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,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Lincoln Memorial Hospital ,1/1/2024,2.0.0,"Lincoln, IL","200 Stahlhut Drive, Lincoln, IL 62656",0005728 (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,,,"2,640.00","2,640.00","1,334.26","2,640.00","2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"1,900.80",percent of total billed charges,"1,900.80",percent of total billed charges,"1,900.80",percent of total billed charges,"1,900.80",percent of total billed charges,"1,900.80",percent of total billed charges,"1,900.80",percent of total billed charges,"2,085.60",percent of total billed charges,"2,085.60",percent of total billed charges,"2,112.00",percent of total billed charges,"2,112.00",percent of total billed charges,,,"1,900.80",percent of total billed charges ,"$2,902; $3,556",Medical / Surgical per diem ,,,"2,085.60",percent of total billed charges ,"2,085.60",percent of total billed charges ,"2,244.00",percent of total billed charges ,"2,244.00",percent of total billed charges ,"2,112.00",percent of total billed charges ,"2,112.00",percent of total billed charges ,"1,848.00",percent of total billed charges ,"1,848.00",percent of total billed charges ,"1,584.00",percent of total billed charges ,"1,584.00",percent of total billed charges ,"1,584.00",percent of total billed charges ,"1,584.00",percent of total billed charges ,,,,,"1,404.48",percent of total billed charges ,,,,,"1,334.26",percent of total billed charges ,,,,,,,,,,,,,,,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,
Acute Care/Isolation,Local ,Local ,,,,both,,,"2,640.00","2,640.00","1,334.26","2,640.00","2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"1,900.80",percent of total billed charges,"1,900.80",percent of total billed charges,"1,900.80",percent of total billed charges,"1,900.80",percent of total billed charges,"1,900.80",percent of total billed charges,"1,900.80",percent of total billed charges,"2,085.60",percent of total billed charges,"2,085.60",percent of total billed charges,"2,112.00",percent of total billed charges,"2,112.00",percent of total billed charges,,,"1,900.80",percent of total billed charges ,"$2,902; $3,556",Medical / Surgical per diem ,,,"2,085.60",percent of total billed charges ,"2,085.60",percent of total billed charges ,"2,244.00",percent of total billed charges ,"2,244.00",percent of total billed charges ,"2,112.00",percent of total billed charges ,"2,112.00",percent of total billed charges ,"1,848.00",percent of total billed charges ,"1,848.00",percent of total billed charges ,"1,584.00",percent of total billed charges ,"1,584.00",percent of total billed charges ,"1,584.00",percent of total billed charges ,"1,584.00",percent of total billed charges ,,,,,"1,404.48",percent of total billed charges ,,,,,"1,334.26",percent of total billed charges ,,,,,,,,,,,,,,,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,
Acute Care/Telemetry,Local ,Local ,,,,both,,,"2,640.00","2,640.00","1,334.26","2,640.00","2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"1,900.80",percent of total billed charges,"1,900.80",percent of total billed charges,"1,900.80",percent of total billed charges,"1,900.80",percent of total billed charges,"1,900.80",percent of total billed charges,"1,900.80",percent of total billed charges,"2,085.60",percent of total billed charges,"2,085.60",percent of total billed charges,"2,112.00",percent of total billed charges,"2,112.00",percent of total billed charges,,,"1,900.80",percent of total billed charges ,"$2,902; $3,556",Medical / Surgical per diem ,,,"2,085.60",percent of total billed charges ,"2,085.60",percent of total billed charges ,"2,244.00",percent of total billed charges ,"2,244.00",percent of total billed charges ,"2,112.00",percent of total billed charges ,"2,112.00",percent of total billed charges ,"1,848.00",percent of total billed charges ,"1,848.00",percent of total billed charges ,"1,584.00",percent of total billed charges ,"1,584.00",percent of total billed charges ,"1,584.00",percent of total billed charges ,"1,584.00",percent of total billed charges ,,,,,"1,404.48",percent of total billed charges ,,,,,"1,334.26",percent of total billed charges ,,,,,,,,,,,,,,,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,
Acute Care/Isol/Tel,Local ,Local ,,,,both,,,"2,640.00","2,640.00","1,334.26","2,640.00","2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"1,900.80",percent of total billed charges,"1,900.80",percent of total billed charges,"1,900.80",percent of total billed charges,"1,900.80",percent of total billed charges,"1,900.80",percent of total billed charges,"1,900.80",percent of total billed charges,"2,085.60",percent of total billed charges,"2,085.60",percent of total billed charges,"2,112.00",percent of total billed charges,"2,112.00",percent of total billed charges,,,"1,900.80",percent of total billed charges ,"$2,902; $3,556",Medical / Surgical per diem ,,,"2,085.60",percent of total billed charges ,"2,085.60",percent of total billed charges ,"2,244.00",percent of total billed charges ,"2,244.00",percent of total billed charges ,"2,112.00",percent of total billed charges ,"2,112.00",percent of total billed charges ,"1,848.00",percent of total billed charges ,"1,848.00",percent of total billed charges ,"1,584.00",percent of total billed charges ,"1,584.00",percent of total billed charges ,"1,584.00",percent of total billed charges ,"1,584.00",percent of total billed charges ,,,,,"1,404.48",percent of total billed charges ,,,,,"1,334.26",percent of total billed charges ,,,,,,,,,,,,,,,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,
Swing Private,Local ,Local ,,,,both,,,"1,530.00","1,530.00",773.26,"2,610.23","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,"1,208.70",percent of total billed charges,"1,208.70",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 ,"$2,902; $3,556",Medical / Surgical per diem ,,,"1,208.70",percent of total billed charges ,"1,208.70",percent of total billed charges ,"1,300.50",percent of total billed charges ,"1,300.50",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 ,,,,,,,,,,,,,,,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,
Swing/Isolation,Local ,Local ,,,,both,,,"1,530.00","1,530.00",773.26,"2,295.27","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,"1,208.70",percent of total billed charges,"1,208.70",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 ,"$2,902; $3,556",Medical / Surgical per diem ,,,"1,208.70",percent of total billed charges ,"1,208.70",percent of total billed charges ,"1,300.50",percent of total billed charges ,"1,300.50",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 ,,,,,,,,,,,,,,,,,"2,295.27",per diem ,,,"2,295.27",per diem ,,,"2,295.27",per diem ,,,"2,295.27",per diem ,,,"2,295.27",per diem ,,,"2,295.27",per diem ,,,"2,295.27",per diem ,,,"2,295.27",per diem ,,,"2,295.27",per diem ,,,"2,295.27",per diem ,,,"2,295.27",per diem ,,,
Swing/Telemetry,Local ,Local ,,,,both,,,"1,530.00","1,530.00",773.26,"2,295.27","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,"1,208.70",percent of total billed charges,"1,208.70",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 ,"$2,902; $3,556",Medical / Surgical per diem ,,,"1,208.70",percent of total billed charges ,"1,208.70",percent of total billed charges ,"1,300.50",percent of total billed charges ,"1,300.50",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 ,,,,,,,,,,,,,,,,,"2,295.27",per diem ,,,"2,295.27",per diem ,,,"2,295.27",per diem ,,,"2,295.27",per diem ,,,"2,295.27",per diem ,,,"2,295.27",per diem ,,,"2,295.27",per diem ,,,"2,295.27",per diem ,,,"2,295.27",per diem ,,,"2,295.27",per diem ,,,"2,295.27",per diem ,,,
Swing/Isol/Tel,Local ,Local ,,,,both,,,"1,530.00","1,530.00",773.26,"2,295.27","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,"1,208.70",percent of total billed charges,"1,208.70",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 ,"$2,902; $3,556",Medical / Surgical per diem ,,,"1,208.70",percent of total billed charges ,"1,208.70",percent of total billed charges ,"1,300.50",percent of total billed charges ,"1,300.50",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 ,,,,,,,,,,,,,,,,,"2,295.27",per diem ,,,"2,295.27",per diem ,,,"2,295.27",per diem ,,,"2,295.27",per diem ,,,"2,295.27",per diem ,,,"2,295.27",per diem ,,,"2,295.27",per diem ,,,"2,295.27",per diem ,,,"2,295.27",per diem ,,,"2,295.27",per diem ,,,"2,295.27",per diem ,,,
Respite Private,Local ,Local ,,,,both,,,"1,205.00","1,205.00",609.01,"2,610.23","1,205.00",percent of total billed charges,"1,205.00",percent of total billed charges,"1,205.00",percent of total billed charges,"1,205.00",percent of total billed charges,"1,205.00",percent of total billed charges,"1,205.00",percent of total billed charges,"1,205.00",percent of total billed charges,"1,205.00",percent of total billed charges,867.6,percent of total billed charges,867.6,percent of total billed charges,867.6,percent of total billed charges,867.6,percent of total billed charges,867.6,percent of total billed charges,867.6,percent of total billed charges,951.95,percent of total billed charges,951.95,percent of total billed charges,964,percent of total billed charges,964,percent of total billed charges,,,867.6,percent of total billed charges ,"$2,902; $3,556",Medical / Surgical per diem ,,,951.95,percent of total billed charges ,951.95,percent of total billed charges ,"1,024.25",percent of total billed charges ,"1,024.25",percent of total billed charges ,964,percent of total billed charges ,964,percent of total billed charges ,843.5,percent of total billed charges ,843.5,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 ,,,,,641.06,percent of total billed charges ,,,,,609.01,percent of total billed charges ,,,,,,,,,,,,,,,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,
Respite/Isolation,Local ,Local ,,,,both,,,"1,205.00","1,205.00",609.01,"2,610.23","1,205.00",percent of total billed charges,"1,205.00",percent of total billed charges,"1,205.00",percent of total billed charges,"1,205.00",percent of total billed charges,"1,205.00",percent of total billed charges,"1,205.00",percent of total billed charges,"1,205.00",percent of total billed charges,"1,205.00",percent of total billed charges,867.6,percent of total billed charges,867.6,percent of total billed charges,867.6,percent of total billed charges,867.6,percent of total billed charges,867.6,percent of total billed charges,867.6,percent of total billed charges,951.95,percent of total billed charges,951.95,percent of total billed charges,964,percent of total billed charges,964,percent of total billed charges,,,867.6,percent of total billed charges ,"$2,902; $3,556",Medical / Surgical per diem ,,,951.95,percent of total billed charges ,951.95,percent of total billed charges ,"1,024.25",percent of total billed charges ,"1,024.25",percent of total billed charges ,964,percent of total billed charges ,964,percent of total billed charges ,843.5,percent of total billed charges ,843.5,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 ,,,,,641.06,percent of total billed charges ,,,,,609.01,percent of total billed charges ,,,,,,,,,,,,,,,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,
Observation Hours,Local ,Local ,,,,both,,,"2,640.00","2,640.00","1,334.26","2,640.00","2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"1,900.80",percent of total billed charges,"1,900.80",percent of total billed charges,"1,900.80",percent of total billed charges,"1,900.80",percent of total billed charges,"1,900.80",percent of total billed charges,"1,900.80",percent of total billed charges,"2,085.60",percent of total billed charges,"2,085.60",percent of total billed charges,"2,112.00",percent of total billed charges,"2,112.00",percent of total billed charges,,,"1,900.80",percent of total billed charges ,"$2,902; $3,556",Medical / Surgical per diem ,,,"2,085.60",percent of total billed charges ,"2,085.60",percent of total billed charges ,"2,244.00",percent of total billed charges ,"2,244.00",percent of total billed charges ,"2,112.00",percent of total billed charges ,"2,112.00",percent of total billed charges ,"1,848.00",percent of total billed charges ,"1,848.00",percent of total billed charges ,"1,584.00",percent of total billed charges ,"1,584.00",percent of total billed charges ,"1,584.00",percent of total billed charges ,"1,584.00",percent of total billed charges ,,,,,"1,404.48",percent of total billed charges ,,,,,"1,334.26",percent of total billed charges ,,,,,,,,,,,,,,,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,
Observation Hours,Local ,Local ,,,,both,,,"2,640.00","2,640.00","1,334.26","2,640.00","2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"1,900.80",percent of total billed charges,"1,900.80",percent of total billed charges,"1,900.80",percent of total billed charges,"1,900.80",percent of total billed charges,"1,900.80",percent of total billed charges,"1,900.80",percent of total billed charges,"2,085.60",percent of total billed charges,"2,085.60",percent of total billed charges,"2,112.00",percent of total billed charges,"2,112.00",percent of total billed charges,,,"1,900.80",percent of total billed charges ,"$2,902; $3,556",Medical / Surgical per diem ,,,"2,085.60",percent of total billed charges ,"2,085.60",percent of total billed charges ,"2,244.00",percent of total billed charges ,"2,244.00",percent of total billed charges ,"2,112.00",percent of total billed charges ,"2,112.00",percent of total billed charges ,"1,848.00",percent of total billed charges ,"1,848.00",percent of total billed charges ,"1,584.00",percent of total billed charges ,"1,584.00",percent of total billed charges ,"1,584.00",percent of total billed charges ,"1,584.00",percent of total billed charges ,,,,,"1,404.48",percent of total billed charges ,,,,,"1,334.26",percent of total billed charges ,,,,,,,,,,,,,,,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,
OBSETRVATION W.TELE,Local ,Local ,,,,both,,,"2,640.00","2,640.00","1,334.26","2,640.00","2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"1,900.80",percent of total billed charges,"1,900.80",percent of total billed charges,"1,900.80",percent of total billed charges,"1,900.80",percent of total billed charges,"1,900.80",percent of total billed charges,"1,900.80",percent of total billed charges,"2,085.60",percent of total billed charges,"2,085.60",percent of total billed charges,"2,112.00",percent of total billed charges,"2,112.00",percent of total billed charges,,,"1,900.80",percent of total billed charges ,"$2,902; $3,556",Medical / Surgical per diem ,,,"2,085.60",percent of total billed charges ,"2,085.60",percent of total billed charges ,"2,244.00",percent of total billed charges ,"2,244.00",percent of total billed charges ,"2,112.00",percent of total billed charges ,"2,112.00",percent of total billed charges ,"1,848.00",percent of total billed charges ,"1,848.00",percent of total billed charges ,"1,584.00",percent of total billed charges ,"1,584.00",percent of total billed charges ,"1,584.00",percent of total billed charges ,"1,584.00",percent of total billed charges ,,,,,"1,404.48",percent of total billed charges ,,,,,"1,334.26",percent of total billed charges ,,,,,,,,,,,,,,,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,
OBSETRVATION W.TELE,Local ,Local ,,,,both,,,"2,640.00","2,640.00","1,334.26","2,640.00","2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"2,640.00",percent of total billed charges,"1,900.80",percent of total billed charges,"1,900.80",percent of total billed charges,"1,900.80",percent of total billed charges,"1,900.80",percent of total billed charges,"1,900.80",percent of total billed charges,"1,900.80",percent of total billed charges,"2,085.60",percent of total billed charges,"2,085.60",percent of total billed charges,"2,112.00",percent of total billed charges,"2,112.00",percent of total billed charges,,,"1,900.80",percent of total billed charges ,"$2,902; $3,556",Medical / Surgical per diem ,,,"2,085.60",percent of total billed charges ,"2,085.60",percent of total billed charges ,"2,244.00",percent of total billed charges ,"2,244.00",percent of total billed charges ,"2,112.00",percent of total billed charges ,"2,112.00",percent of total billed charges ,"1,848.00",percent of total billed charges ,"1,848.00",percent of total billed charges ,"1,584.00",percent of total billed charges ,"1,584.00",percent of total billed charges ,"1,584.00",percent of total billed charges ,"1,584.00",percent of total billed charges ,,,,,"1,404.48",percent of total billed charges ,,,,,"1,334.26",percent of total billed charges ,,,,,,,,,,,,,,,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,"2,610.23",per diem ,,,
NF- FELODIPINE TABLET ER 5MG,259,RC,53489-03-6901,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-METROCREAM CREAM 0.75%,258,RC,54868-38-2500,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
NF-ZONEGRAN CAP 100MG,258,RC,62856-06-8010,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
NF-BUTAL/APAP/CAFF ORAL TAB 50MG-500MG-4,258,RC,64980-01-5501,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
NF-ALUPENT INHALER 0.65MG/INH,258,RC,54868-10-4301,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
NF-BISOPROLOL-HYDROCHLOROTHIAZIDE TAB 5M,258,RC,58864-07-8430,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
NF-DEXILANT CAP DR 60MG,258,RC,64764-01-7590,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
NF- TACROLIMUS POWDER 5GM,258,RC,63275-99-5802,NDC,,both,1,each,36,36,8.28,36,36,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,28.44,percent of total billed charges,28.44,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 ,28.44,percent of total billed charges ,28.44,percent of total billed charges ,30.6,percent of total billed charges ,30.6,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,8.28,percent of total billed charges,,,8.28,percent of total billed charges,,,8.28,percent of total billed charges,
NF-HYDROXYCHLOROQUINE SULFATE TAB 200MG,258,RC,68382-00-9601,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
NF-METHOTREXATE ORAL TABLET 2.5MG,258,RC,67253-03-2036,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
NF-TIKOSYN CAP 0.25MG,258,RC,00069-58-1060,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
NF-HALCION TABLET 0.125MG,258,RC,54868-08-2802,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
NF-CONCERTA TAB ER 27MG,258,RC,55289-09-7590,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
NF-BYSTOLIC ORAL TABLET 10MG,258,RC,54868-60-1801,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
NF-ETODOLAC ER ORAL TAB ER 400MG,258,RC,52959-07-8530,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
NF-FLUVOXAMINE MALEATE TAB 25MG,258,RC,60505-01-6401,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
NF-ADDERALL ORAL TABLET 10MG,258,RC,63629-37-6801,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
NF-VIMPAT ORAL TABLET 50MG,258,RC,54868-60-7700,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
NF-NUVIGIL ORAL TABLET 250MG,258,RC,63459-02-2530,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
NF-PIROXICAM CAP 20MG,258,RC,00093-07-5701,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
NF-FEMARA TAB 2.5MG,258,RC,35356-04-0930,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
NF-HUMIRA SUBQ KIT 40MG/0.8ML,258,RC,54868-48-2200,NDC,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
NF-LOVAZA LIQ CAP 1GM,258,RC,35356-01-0401,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
NF-DALIRESP TAB 500MCG,258,RC,00456-00-9590,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
NF-FIORICET TAB 325MG-50MG-40MG,258,RC,54868-10-5300,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
NF-NUCYNTA ORAL TABLET 50MG,258,RC,50458-08-2004,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
NF-ROBAXIN INJ SOLN 100MG/1ML,258,RC,60977-01-5001,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
NF-METHOTREXATE 2.5MG ORAL TABLET,258,RC,33261-07-5920,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
NF-NEOMYCIN SULF/POLYMYXIN B SULF/PREDNI,258,RC,23490-65-6200,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
NF-PRINIVIL ORAL TABLET 20MG,258,RC,66105-05-4803,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
NF-CYCLOSPORINE CAP 100MG,258,RC,54868-55-2200,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
NF-TAMOXIFEN CITRATE ORAL TABLET 20MG,258,RC,54868-42-8704,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
NF-ANASTROZOLE 1MG ORAL TABLET,258,RC,62033-03-7606,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
NF-CLINDAMYCIN HCL CAP 300MG,258,RC,68071-03-9890,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
NF-PRAVASTATIN 40MG ORAL TABLET,258,RC,58016-00-1200,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
NF-GLEEVEC 400MG ORAL TABLET,258,RC,54868-54-2702,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
"NF-NUVARING VAGINAL INSERT, EXTENDED REL",or ,RC,00052-02-7303,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-FENOFIBRATE MICRO ORAL CAPSULE 200MG,258,RC,00115-05-3301,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-BONIVA 150MG ORAL TABLET,258,RC,00004-01-8682,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
NF-NEVANAC 0.1% OPHTHALMIC SUSPENSION,258,RC,00065-00-0203,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-MINOXIDIL ORAL TABLET 2.5MG,258,RC,68084-02-0401,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-ETODOLAC ORAL TABLET 400MG,258,RC,52959-07-8530,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-AZATHIOPRINE ORAL TABLET 50MG,258,RC,00378-10-0501,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-METHOTREXATE INJECTION SOLUTION 25MG/,258,RC,66758-00-4008,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-BYSTOLIC ORAL TABLET 10MG,258,RC,00456-14-1030,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-ANASTROZOLE ORAL TABLET 1MG,258,RC,00054-01-6413,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-FENOFIBRATE ORAL TABLET 160MG,258,RC,00115-55-2210,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-BYSTOLIC ORAL TABLET 10MG,258,RC,00456-14-1001,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-PLAQUENIL ORAL TABLET 200MG,258,RC,00024-15-6210,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-PILOCARPINE HCL ORAL TABLET 5MG,258,RC,00115-59-2201,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-CELLCEPT TAB 500MG,258,RC,00004-02-6001,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-DAPSONE TAB 100MG,258,RC,49938-01-0130,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-PROGRAF CAP 1MG,258,RC,00469-06-1711,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-REBIF INJECTION 22MCG/0.5ML,258,RC,44087-00-2203,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
NF-ENABLEX TAB ER 15MG,258,RC,00078-04-2015,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-BYSTOLIC ORAL TABLET 5MG,258,RC,00456-14-0530,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-METHYLPHENIDATE HYDROCHLORIDE 27MG OR,258,RC,00591-27-1601,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-XOPENEX HFA 0.045MG/ACTUATION INHALAT,258,RC,49999-09-2215,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-NUCYNTA ORAL TABLET 100MG,258,RC,16590-02-8930,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-DALIRESP ORAL TABLET 500MCG,258,RC,00456-00-9530,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-MINOXIDIL ORAL TABLET 10MG,258,RC,68084-02-0501,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-RAPAFLO CAP 8MG,258,RC,52544-01-5219,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-SAVELLA ORAL TABLET 50MG,258,RC,00456-15-5060,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-OPTIVE OPHTHALMIC SOLUTION 0.5%-0.9%,258,RC,00023-32-4015,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-ETHAMBUTOL HCL TAB 400MG,258,RC,61748-00-1406,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-ZONEGRAN CAP 100MG,258,RC,55045-30-7506,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-ADDERALL ORAL TABLET 10MG,258,RC,63629-37-6801,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-RENVELA ORAL TABLET 800MG,258,RC,58468-01-3001,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-FLUOROMETHOLONE OPHTH SUSP 0.1%,258,RC,52959-03-1605,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-PROGESTERONE IM OIL 50MG/1ML,258,RC,00591-31-2879,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-ESTRACE VAGINAL CREAM 0.1MG/1GM,258,RC,00430-37-5414,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-ECONAZOLE NITRATE CREAM 1%,258,RC,00168-03-1230,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-TRIAMCINOLONE ACETONIDE CREAM 0.5%,258,RC,00168-00-0215,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-SINEMET 25-250 ORAL TABLET 25MG-250MG,or ,RC,00006-39-1768,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-NALTREXONE HCL TAB 50MG,258,RC,00185-00-3901,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-PROBENECID/COLCHICINE TABLET,258,RC,54868-21-7902,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-TACROLIMUS CAP 1MG,258,RC,00378-20-4601,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-TACROLIMUS CAP 1MG,258,RC,00078-06-1705,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-HUMALOG MIX 75/25 SUBQ SUSP 75U-25U/1,or ,RC,54868-43-8100,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-PROBENECID TAB 500MG,258,RC,00378-01-5601,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-CONCERTA TAB ER 27MG,258,RC,35356-01-5230,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-GLYBURIDE 5MG ORAL TABLET,or ,RC,65862-00-3001,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-TERAZOSIN HCL 10MG ORAL CAPSULE,or ,RC,54868-42-4900,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-OMEPRAZOLE 20MG ORAL CAPSULE, DELAYED",or ,RC,54569-54-8204,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-NUCYNTA ER ORAL TAB ER 150MG,258,RC,50458-08-6201,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-ANDROGEL TOPICAL GEL 1.62%,258,RC,00051-84-6233,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-LOSARTAN POTASSIUM AND HYDROCHLOROTHI,258,RC,65862-04-7030,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-NORVIR ORAL TABLET 100MG,258,RC,00074-33-3330,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-HYDROXYZINE HCL ORAL TABLET 50MG,258,RC,16714-00-8304,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-REYATAZ CAP 300MG,258,RC,00003-36-2212,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-TRUVADA ORAL TABLET 200MG-300MG,258,RC,54569-55-8800,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-ASTEPRO NASAL SPRAY 205.5MCG/1ACT,258,RC,00037-02-4330,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-TROSPIUM CHLORIDE TAB 20MG,258,RC,00023-35-1360,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-NOXAFIL ORAL SUSPENSION 40MG/1ML,258,RC,00085-13-2801,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-PROVIGIL ORAL TABLET 100MG,258,RC,21695-02-3430,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-LUPRON DEPOT 6 MONTH PWD FOR SUSP 45M,258,RC,00074-34-7303,NDC,,both,1,each,78,78,17.94,78,78,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,61.62,percent of total billed charges,61.62,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 ,61.62,percent of total billed charges ,61.62,percent of total billed charges ,66.3,percent of total billed charges ,66.3,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 ,,,,,,,,,,,,,,,,,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,
NF-SULINDAC TAB 150MG,258,RC,00591-56-6105,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-FOLBIC TAB 2MG-2.5MG-25MG,258,RC,51991-03-8490,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-FLECAINIDE ACETATE ORAL TABLET 50MG,258,RC,00054-00-1021,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-OXYCODONE AND ACETAMINOPHEN 10MG-650M,258,RC,53746-02-0601,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-OXYCONTIN EXTENDED RELEASE TABLET 20M,258,RC,59011-04-2010,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-SUMATRIPTAN SUCCINATE ORAL TABLET 100,258,RC,00093-02-2490,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-NEORAL CAPSULE 25MG,258,RC,00078-02-4615,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-PAXIL ORAL SUSPENSION 10MG/5ML,258,RC,60505-04-0205,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-BUTALBITAL, ACETAMINOPHEN AND CAFFEIN",258,RC,00603-25-4420,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-ALIMTA IV POWDER FOR SOLUTION 500MG,258,RC,00002-76-2301,NDC,,both,1,each,43,43,9.89,43,43,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,33.97,percent of total billed charges,33.97,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 ,33.97,percent of total billed charges ,33.97,percent of total billed charges ,36.55,percent of total billed charges ,36.55,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 ,,,,,,,,,,,,,,,,,,,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,
NF-MYCOPHENOLATE MOFETIL ORAL TABLET 500,258,RC,00093-74-7705,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-CYTOMEL TABLET 0.005MG,258,RC,54868-50-5800,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-SPRINTEC TAB 35MCG-0.25MG,258,RC,21695-07-6901,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI,258,RC,59310-02-0480,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-MYCOBUTIN CAP 150MG,258,RC,00013-53-0117,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-CLOTRIMAZOLE/BETAMETH DIPROP 1%-0.05%,258,RC,63874-08-0445,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-LODINE TABLET 400MG,258,RC,54868-29-8701,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-2,3 DIMERCAPTOSUCCINIC ACID PWD",258,RC,51552-05-4502,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-ELESTAT OPHTHALMIC SOLUTION 0.05%,258,RC,00023-92-0105,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-ESGIC-PLUS CAP 500MG-50MG-40MG,258,RC,00456-06-7901,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-IMIPRAMINE HCL TAB 50MG,258,RC,54868-22-2104,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-GLEEVEC ORAL TABLET 400MG,258,RC,00078-04-3815,NDC,,both,1,each,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
NF-TACLONEX SUSP 0.064%-0.005%,258,RC,50222-05-0106,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-CARBAMAZEPINE CAP ER 200MG,258,RC,30698-04-2112,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-KLONOPIN TABLET 0.5MG,258,RC,35356-05-7630,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-CIPRO ORAL TABLET 500MG,258,RC,66105-01-0903,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-TRADJENTA ORAL TABLET 5MG,258,RC,00597-01-4030,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-LIOTHYRONINE SODIUM ORAL TABLET 5MCG,258,RC,00574-02-2001,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-ZAFIRLUKAST TAB 20MG,258,RC,54868-41-7200,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-2,3 DIMERCAPTOSUCCINIC ACID POWDER",or ,RC,51552-05-4504,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-BETOPTIC S OPHTH SUSPENSION 0.25%,258,RC,00065-02-4610,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-CIALIS ORAL TABLET 20MG,258,RC,23490-93-8700,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-CLOBETASOL PROPIONATE SHAMPOO 0.05%,258,RC,00299-38-4704,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-OCUSOFT LID SCRUB EYELID CLEANSER PAD,258,RC,54799-03-0208,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-FORADIL AEROLIZER CAPSULE 0.012MG,258,RC,00085-14-0101,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-SYSTANE ULTRA OPHTHALMIC SOLN 0.4%-0.,258,RC,00651-04-3106,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-AVODART CAPSULE, LIQUID-FILLED 0.5MG",258,RC,00173-07-1215,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-HYDROXYCHLOROQUINE ORAL TABLET 200MG,258,RC,23490-57-2403,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-OXAPROZIN TAB 600MG,258,RC,49999-00-7230,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-PILOCARPINE HCL ORAL TABLET 5MG,258,RC,00228-28-0111,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-TEGRETOL XR ORAL TAB ER 200MG,258,RC,54868-56-1001,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-KALYDECO ORAL TABLET 150MG,258,RC,51167-02-0002,NDC,,both,1,each,8,8,1.84,8,8,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,6.32,percent of total billed charges,6.32,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 ,6.32,percent of total billed charges ,6.32,percent of total billed charges ,6.8,percent of total billed charges ,6.8,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 ,,,,,,,,,,,,,,,,,,,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,
NF-CLOBETASOL PROPIONATE LOTION 0.05%,258,RC,00574-21-0302,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-BONIVA ORAL TABLET 150MG,258,RC,54868-53-2201,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
NF-TROSPIUM CHLORIDE ORAL CAPSULE ER 60M,258,RC,00591-36-3630,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-ADDERALL ORAL TABLET 20MG,258,RC,63629-37-6901,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-DEPAKOTE DELAYED-RELEASE TABLET 125MG,258,RC,00074-62-1213,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-ADDERALL ORAL TABLET 30MG,258,RC,54868-54-7001,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-DEPAKOTE ER ORAL TAB ER 250MG,258,RC,54868-55-2500,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-LATANOPROST OPHTH SOLN 0.005%,258,RC,54868-38-8100,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-HYDROXYCHLOROQUINE ORAL TABLET 200MG,258,RC,23490-57-2409,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-ZALEPLON CAP 10MG,258,RC,52959-07-2710,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-NORVIR CAPSULE 100MG,258,RC,54868-37-8201,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-REYATAZ CAP 300MG,258,RC,00003-36-2212,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-TRUVADA ORAL TABLET 200MG-300MG,258,RC,54569-55-8800,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-ALBUTEROL ORAL TABLET 4MG,258,RC,63629-27-3601,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-BLEPHAMIDE S.O.P. OPHTH OINTMENT,258,RC,54569-08-6100,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%,258,RC,24208-04-1105,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-MYRBETRIQ ORAL TABLET 25MG,258,RC,00469-26-0130,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-TOVIAZ ORAL EXTENDED RELEASE TABLET 4,258,RC,54868-61-5600,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-ASMANEX TWISTHALER INH PWD 0.22MG/1AC,258,RC,00085-13-4103,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
NF-ETODOLAC ORAL TABLET 400MG,258,RC,33358-01-3820,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-PATADAY OPHTH SOLN 0.2%,258,RC,00065-02-7225,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-CARBOXYMETHYLCELLULOSE SODIUM POWDER,258,RC,51927-18-0000,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-ACTONEL TAB 35MG,258,RC,49999-04-4804,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-MAXAIR INHALER 0.2MG/ACT,258,RC,54868-28-2101,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-OMNARIS NASAL SPRAY 50MCG/1ACT,258,RC,63402-07-0101,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-XTANDI LIQ CAP 40MG,258,RC,00469-01-2599,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-TRIAMCINOLONE ACETONIDE CREAM 0.5%,258,RC,45802-00-6535,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-2,3 DIMERCAPTOSUCCINIC ACID POWDER",258,RC,51552-05-4505,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-NISOLDIPINE ORAL TAB ER 8.5MG,258,RC,00378-20-9601,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-BUPRENORPHINE HCL SL TAB 2MG,258,RC,63874-11-7403,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-CLORAZEPATE  TAB  7.5MG,258,RC,33261-00-3130,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-ZAFIRLUKAST TAB 20MG,258,RC,00310-04-0260,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-GUANFACINE HCL TABLET 2MG,258,RC,00378-11-9001,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-TACROLIMUS CAP 1MG,258,RC,00469-06-1773,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-ERGOCALCIFEROL CAP 50000IU,258,RC,00955-02-5050,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-PROGRAF CAP 0.5MG,258,RC,00469-06-0773,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-QNASL NASAL AER LIQ 80MCG/1 ACTUATION,258,RC,59310-02-1012,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-MINOCYCLINE HCL CAP 100MG,258,RC,54868-23-9101,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-OXAPROZIN ORAL TABLET 600MG,258,RC,55289-06-0120,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-CONCERTA ORAL TAB ER 27MG,258,RC,50458-05-8801,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-ACARBOSE ORAL TABLET 25MG,258,RC,16252-05-2301,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-FLECAINIDE ACETATE TAB 50MG,258,RC,54868-50-6501,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-ZADITOR OPHTH SOLN 0.025%,258,RC,54868-41-3200,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-BECLOMETH DIPROP MICRO PWD,258,RC,62991-10-2004,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-LOTEMAX OPHTH SUSP 0.5%,258,RC,54569-53-9500,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-LASTACAFT OPHTH SOLN 2.5MG/1ML,258,RC,00023-42-9003,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-TESTOSTERONE CYPIONATE 200MG/ML INTRA,258,RC,00591-32-2379,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-ETODOLAC ORAL TABLET 400MG,258,RC,16590-00-9260,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-EXJADE TAB FOR SUSP 250MG,258,RC,00078-04-6915,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-EXJADE TAB FOR SUSP 500MG,258,RC,00078-04-7015,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-LOVAZA LIQ CAP 1GM,258,RC,54868-58-1600,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-SALSALATE ORAL TABLET 750MG,258,RC,49999-03-6760,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-MIRENA INSERT ER 52MG,258,RC,50419-04-2101,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
NF-ACARBOSE ORAL TABLET 50MG,258,RC,55289-01-7142,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-DULERA INH AER PWD 5MCG-200MCG/ACT,258,RC,00085-46-1001,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-CIALIS ORAL TABLET 5MG,258,RC,23490-93-8602,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-ADVAIR DISKUS INH/NEB  0.1MG-0.05MG/A,258,RC,58016-48-1201,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-BLEPHAMIDE S.O.P. OPHTH OINTMENT,258,RC,54569-08-6100,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-PROLENSA OPHTH SOLN 0.07%,258,RC,24208-06-0201,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-BENICAR HCT ORAL TABLET 40MG-25MG,258,RC,65862-07-8190,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-SODIUM CHLORIDE OPHTH SOLUTION 5%,258,RC,17478-06-2312,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-QUASENSE ORAL TABLET 0.15MG-30MCG,258,RC,52544-09-6691,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-FLOVENT DISKUS INH PWD 250MCG/1ACT,258,RC,00173-06-0102,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-MYRBETRIQ ORAL TABLET 25MG,258,RC,00469-26-0190,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-BLEPHAMIDE OPHTH SUSPENSION,258,RC,54569-08-6000,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-BETAMETHASONE DIP CREAM 0.05%,258,RC,51672-13-1001,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-TIMOLOL MALEATE OPHTH GEL DROP 0.25%,258,RC,61314-02-2405,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-CLOMIPRAMINE HCL CAP 25MG,258,RC,00781-20-2701,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-CLEMASTINE FUMARATE TAB 2.68MG,258,RC,52959-05-0120,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-RELPAX ORAL TABLET 40MG,258,RC,54868-55-2800,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-PRISTIQ EXTENDED-RELEASE TABLET 50MG,258,RC,00008-12-1130,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-SULFACETAMIDE SODIUM OPHTH OINT 10%,258,RC,54868-19-5500,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-METFORMIN HCL EXTENDED-RELEASE TAB 75,258,RC,62756-01-4301,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-PANCRELIPASE CAP DR,258,RC,39822-02-0501,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-CONCERTA TAB ER 27MG,258,RC,54868-49-5701,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-MESALAMINE TAB DR 800MG,258,RC,00430-07-8327,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-BROMFENAC SODIUM OPHTH SOLN 0.07%,258,RC,24208-06-0203,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-PROTONIX ORAL TABLET 20MG,258,RC,00008-08-4381,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-MOMETASONE FUROATE 0.1% TOPICAL APPLI,258,RC,68462-01-9255,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-ENBREL SUBCUTANEOUS SOLUTION 50MG/1ML,258,RC,58406-04-3501,NDC,,both,1,each,9,9,2.07,9,9,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,7.11,percent of total billed charges,7.11,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 ,7.11,percent of total billed charges ,7.11,percent of total billed charges ,7.65,percent of total billed charges ,7.65,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 ,,,,,,,,,,,,,,,,,,,2.07,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,
NF-LEUCOVORIN CALCIUM TAB 10MG,258,RC,00054-44-9710,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-FORTEO SUBQ SOLN 250MCG/1ML,258,RC,54868-54-0600,NDC,,both,1,each,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
NF-CELLCEPT CAP 250MG,258,RC,00004-02-5901,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-VALCYTE TAB 450MG,258,RC,00004-00-3822,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-IBANDRONATE SODIUM TAB 150MG,258,RC,00004-01-8682,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-UNISOM TABLET 25MG,258,RC,54868-48-8200,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-DALIRESP TAB 500MCG,258,RC,00456-00-9563,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-SORIATANE ORAL CAPSULE 10MG,258,RC,00145-00-9025,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-VIMPAT ORAL TABLET 100MG,258,RC,00131-24-7835,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-LUMIGAN OPHTH SOLN 0.03%,258,RC,35356-04-0525,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-FIORICET TABLET,258,RC,54868-10-5300,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-ULTRAM TAB 50MG,258,RC,54569-40-8901,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-ULTRAM ORAL TABLET 50MG,258,RC,66105-05-0010,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-ETODOLAC CAP 300MG,258,RC,51672-40-1701,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-NICARDIPINE HYDROCHLORIDE 20MG ORAL C,258,RC,42291-06-4090,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-AVELOX ORAL TABLET 400MG,258,RC,13411-01-0801,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-FLORASTOR 250MG ORAL CAPSULE,258,RC,54868-60-0600,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-FLUNISOLIDE 0.025MG/ACTUATION NASAL S,258,RC,58018-48-7801,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-MOMETASONE FUROATE POWDER,258,RC,38779-24-1309,NDC,,both,1,each,185,185,42.55,185,185,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,146.15,percent of total billed charges,146.15,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 ,146.15,percent of total billed charges ,146.15,percent of total billed charges ,157.25,percent of total billed charges ,157.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,42.55,percent of total billed charges,,,42.55,percent of total billed charges,,,42.55,percent of total billed charges,
NF-IMITREX TAB 100MG,258,RC,00173-07-3701,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-ONGLYZA ORAL TABLET 5MG,258,RC,00003-42-1531,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-CLOBETASOL PROPIONATE SOLN 0.05%,258,RC,51672-12-9303,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-ENABLEX TAB ER 7.5MG,258,RC,35356-02-7330,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-MURO-128 OPHTH SOLUTION 5%,258,RC,24208-02-7715,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI,258,RC,59310-02-0480,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-ACIPHEX ENTERIC COATED TABLET 20MG,258,RC,54868-41-8500,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-LUPRON DEPOT IM 1 MONTH PWD FOR SUSP,258,RC,54868-32-7700,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
NF-PARNATE TAB 10MG,258,RC,24987-04-4710,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-CARNITOR TAB 330MG,258,RC,54482-01-4407,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-METHYLPHENIDATE HCL CD CAP ER 50MG,258,RC,62175-01-5537,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-METFORMIN ER ORAL TAB ER 500MG,258,RC,00172-44-3560,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-LINZESS CAP 145MCG,258,RC,00456-12-0130,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-JANUMET TAB 1000MG-50MG,258,RC,00006-05-7761,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-LANSOPRAZOLE DISINTEGRATING TAB DR 15,258,RC,54868-57-9500,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-NOVAPLUS FLUTICASONE PROPIONATE NASAL,258,RC,60505-08-4703,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-SINGULAIR CHEW TAB 4MG,258,RC,00006-07-1154,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-CLARINEX ORAL TABLET 5MG,258,RC,66105-08-0701,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-BETAMETHASONE VALERATE LOT 0.1%,258,RC,00168-00-4160,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-ARAVA TAB 10MG,258,RC,00088-21-6030,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-LEFLUNOMIDE ORAL TABLET 20MG,258,RC,00555-03-5201,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-NEXIUM 20MG ORAL CAPSULE, DELAYED REL",258,RC,58016-08-2430,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
**PHY- CLOSED TX RADIAL SHAFT FRACTURE W,25500,CDM,,,GF,both,,,"1,085.00","1,085.00",249.55,"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,857.15,percent of total billed charges,857.15,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 ,857.15,percent of total billed charges ,857.15,percent of total billed charges ,922.25,percent of total billed charges ,922.25,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 ,,,,,,,,,,,,,,,,,,,249.55,percent of total billed charges,,,249.55,percent of total billed charges,,,249.55,percent of total billed charges,,,249.55,percent of total billed charges,,,249.55,percent of total billed charges,,,249.55,percent of total billed charges,,,249.55,percent of total billed charges,,,249.55,percent of total billed charges,,,249.55,percent of total billed charges,,,249.55,percent of total billed charges,,,249.55,percent of total billed charges,
NF-TERBINAFINE HCL TAB 250MG,258,RC,60505-25-7203,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-COREG CR CAP ER 10MG,258,RC,00007-33-7013,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-SUMATRIPTAN SUCCINATE ORAL TAB 50MG,258,RC,59762-18-5109,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-TRI-SPRINTEC 28 ORAL TABLET,258,RC,68258-59-6102,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-ALPHAGAN P 0.1% OPHTHALMIC SOLUTION,258,RC,00023-93-2105,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-PROCTOCREAM-HC CREAM 2.5%,258,RC,54868-42-3200,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-PANCRELIPASE CAP DR 5000U-17000U-2700,258,RC,39822-02-0501,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-SUMATRIPTAN SUCCINATE ORAL TAB 100MG,258,RC,59762-18-5209,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-CORAL CALCIUM,258,RC,51927-36-0700,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-IBANDRONATE SODIUM 150MG ORAL TABLET,258,RC,60505-27-9500,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-TUSSICAPS CAP ER 8MG-10MG,258,RC,54868-59-5700,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-LAMICTAL TAB 100MG,258,RC,00173-06-4255,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-LAMICTAL        TAB  25MG,258,RC,00173-06-3302,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-TUDORZA PRESSAIR INH AER PWD 400MCG/1,258,RC,00456-08-0060,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
NF-CHOLECALCIFEROL CRYSTAL,258,RC,62991-28-5401,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
NF-MEGESTROL ACETATE ORAL SUSP 40MG/ML,258,RC,00121-47-7610,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-VOSOL HC OTIC SOLN 2%-1%,258,RC,00095-02-0110,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-REVLIMID ORAL CAPSULE 10MG,258,RC,59572-04-1000,NDC,,both,1,each,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
NF-PROBENECID TAB 500MG,258,RC,54868-01-5902,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-ACARBOSE ORAL TABLET 50MG,258,RC,00054-01-4120,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-FRAGMIN SUBCUTANEOUS SOLN 15000IU/0.6,258,RC,62856-01-5010,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
NF-SULINDAC TAB 150MG,258,RC,58016-07-4373,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-NEXIUM 40MG ORAL CAPSULE, DELAYED REL",258,RC,49999-03-0730,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-EPLERENONE ORAL TABLET 25MG,258,RC,60505-26-5109,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-IMITREX ORAL TABLET 100MG,258,RC,52959-09-0909,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-VERAMYST NASAL SPRAY 27.5MCG/1ACT,258,RC,68258-89-5201,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-ADDERALL ORAL TABLET 15MG,258,RC,57844-01-1501,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-TENEX TAB 1MG,258,RC,67857-07-0505,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-MONTELUKAST SODIUM CHEW TAB 5MG,258,RC,65862-05-6890,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-DIFLUNISAL 500MG ORAL TABLET,258,RC,55289-04-6015,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-ALTOPREV TAB ER 40MG,258,RC,54868-55-1300,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-TRAZODONE HYDROCHLORIDE 100MG ORAL TA,258,RC,60505-26-5400,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-BISOPROLOL FUMARATE AND HYDROCHLOROTH,258,RC,29300-01-8805,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-,258,RC,00078-03-5861,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-VALSARTAN AND HYDROCHLOROTHIAZIDE 12.,258,RC,68258-60-9509,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-CYMBALTA 60MG ORAL CAPSULE, DELAYED R",258,RC,52959-08-9230,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-ACTONEL 150MG ORAL TABLET,258,RC,54868-60-6900,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-MYRBETRIQ 50MG ORAL TABLET, EXTENDED",258,RC,00469-26-0271,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-ALLOPURINOL 300MG ORAL TABLET,258,RC,16714-00-4201,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-RELAFEN 750MG ORAL TABLET,258,RC,63874-06-8730,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-SYNTHROID 0.025MG ORAL TABLET,258,RC,66105-05-0810,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-LISINOPRIL 40MG ORAL TABLET,258,RC,63874-06-1830,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-ATENOLOL 50MG ORAL TABLET,or ,RC,51079-06-8463,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-ZYRTEC 10MG ORAL TABLET,258,RC,55045-23-9905,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-COUMADIN 2MG ORAL TABLET,258,RC,00056-01-7070,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-SINGULAIR 10MG ORAL TABLET,258,RC,00006-91-1754,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-RITALIN 10MG ORAL TABLET,258,RC,00078-04-4005,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-SENNA 8.6MG ORAL TABLET,258,RC,35356-03-8230,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-ARICEPT 10MG ORAL TABLET,258,RC,55289-01-5121,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-IMDUR 60MG ORAL TABLET, EXTENDED RELE",258,RC,54868-32-4501,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-POTASSIUM CHLORIDE 10MEQ ORAL CAPSULE,258,RC,68382-07-0101,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-ZOCOR 5MG ORAL TABLET,258,RC,58864-07-3930,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-NAMENDA 5MG ORAL TABLET,258,RC,00456-32-0014,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-RISPERIDONE 0.25MG ORAL TABLET,or ,RC,64679-05-5302,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-POTASSIUM CHLORIDE 20MEQ ORAL TABLET,",258,RC,54569-54-1400,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-ENALAPRIL 20MG ORAL TABLET,or ,RC,33358-01-2830,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-VICTOZA SUBQ SOLN 6MG/1ML,258,RC,00169-40-6012,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-PROAIR HFA 0.09MG/ACTUATION INHALATIO,258,RC,23490-79-7201,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-ALBUTEROL SULFATE 0.63MG/3ML INHALATI,258,RC,00378-69-9152,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-MORPHINE SULFATE 60MG ORAL TABLET, EX",258,RC,16590-09-1972,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-AZATHIOPRINE 50MG ORAL TABLET,258,RC,54868-53-1001,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-AZATHIOPRINE ORAL TABLET 50MG,258,RC,54868-53-1004,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-MYFORTIC 360MG ORAL TABLET, ENTERIC C",258,RC,00078-03-8666,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-,258,RC,00065-92-4005,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-SYSTANE ULTRA 0.4%-0.3% OPHTHALMIC SO,258,RC,54569-62-5900,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-TACROLIMUS CAP 0.5MG,258,RC,51079-08-1720,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-LYRICA 75MG ORAL CAPSULE,258,RC,21695-02-7890,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-FORTEO 250MCG/ML SUBCUTANEOUS SOLUTIO,258,RC,00002-84-0001,NDC,,both,1,each,8,8,1.84,8,8,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,6.32,percent of total billed charges,6.32,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 ,6.32,percent of total billed charges ,6.32,percent of total billed charges ,6.8,percent of total billed charges ,6.8,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 ,,,,,,,,,,,,,,,,,,,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,
NF-,258,RC,60429-07-0830,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-PRAVASTATIN SODIUM 40MG ORAL TABLET,258,RC,50111-07-6417,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-LEVOTHYROXINE SODIUM 0.175MG ORAL TAB,258,RC,66336-05-7130,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-LISINOPRIL 5MG ORAL TABLET,258,RC,00603-42-1021,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-LOPERAMIDE HCL 2MG ORAL CAPSULE,258,RC,66336-00-4615,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-IPRATROPIUM BROMIDE AND ALBUTEROL SUL,258,RC,00781-71-4629,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-HYDROCODONE BITART/ACET 325MG-10MG OR,258,RC,54868-49-7402,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-K-DUR 20MEQ ORAL TABLET, EXTENDED REL",258,RC,58864-03-6140,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-HYDROCODONE BITART/ACET 325MG-10MG OR,258,RC,54868-49-7404,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-TIMOPTIC-XE OCUMETER 0.5% OPHTHALMIC,258,RC,54868-32-6400,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-PRADAXA 150MG ORAL CAPSULE,258,RC,54569-62-7600,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-LOVAZA 1GM ORAL CAPSULE, LIQUID FILLE",258,RC,35356-01-0401,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-FAMCICLOVIR 500MG ORAL TABLET,258,RC,00781-56-2231,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-PRAVASTATIN SODIUM 40MG ORAL TABLET,258,RC,35356-01-2530,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-,258,RC,00182-82-3589,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-,258,RC,00904-61-7440,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-METOPROLOL TARTRATE 100MG ORAL TABLET,258,RC,33358-02-4300,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-LOPERAMIDE 2MG ORAL TABLET,258,RC,54868-63-1200,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-REFRESH DRY EYE THERAPY 1%-1% OPHTHAL,258,RC,00023-92-9115,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-PRAVASTATIN SODIUM 40MG ORAL TABLET,258,RC,68084-05-0201,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-POTASSIUM CHLORIDE 20MEQ ORAL TABLET,",258,RC,55289-07-3860,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-DONEPEZIL HYDROCHLORIDE 10MG ORAL TAB,258,RC,13668-01-0374,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-THEOPHYLLINE 300MG ORAL TABLET, EXTEN",258,RC,23155-00-6201,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-MEGESTROL ACETATE 20MG ORAL TABLET,258,RC,49884-02-8901,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-COREG 6.25MG ORAL TABLET,258,RC,54868-44-2401,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-FRAGMIN SUBCUTANEOUS SOLN 15000IU/0.6,258,RC,62856-01-5001,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
NF-PRADAXA 150MG ORAL CAPSULE,258,RC,00597-01-3560,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12,258,RC,60760-00-6390,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-ZEGERID 20MG-1100MG ORAL CAPSULE,258,RC,68012-01-0230,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-KLONOPIN 1MG ORAL TABLET,258,RC,54868-16-9402,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-TIZANIDINE 4MG ORAL TABLET,258,RC,33261-01-0414,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-OXYCONTIN 30MG ORAL TABLET, EXTENDED",258,RC,16590-06-5390,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-OXYCONTIN 30MG ORAL TABLET, EXTENDED",or ,RC,16590-06-5372,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-LOVASTATIN 40MG ORAL TABLET,or ,RC,45963-06-3504,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-POTASSIUM CHLORIDE 20MEQ ORAL TABLET,",or ,RC,68084-03-6001,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-PRAZOSIN HCL 5MG ORAL CAPSULE,258,RC,00378-32-0501,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-RISPERIDONE 3MG ORAL TABLET,258,RC,13668-00-3901,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-DIFLUNISAL 500MG ORAL TABLET,258,RC,64980-01-8105,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-ZENPEP 27000U-5000U-17000U ORAL CAPSU,258,RC,42865-01-0002,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-LYRICA 50MG ORAL CAPSULE,or ,RC,33261-05-2114,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-,258,RC,68084-00-8801,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-BACTRIM DS 800MG-160MG ORAL TABLET,258,RC,54868-03-3703,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-EDURANT 25MG ORAL TABLET,258,RC,59676-02-7801,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-TERBINAFINE 250MG ORAL TABLET,258,RC,54868-57-9400,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-TACROLIMUS 1MG ORAL CAPSULE,258,RC,00781-21-0301,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-TACROLIMUS 0.5MG ORAL CAPSULE,258,RC,50742-02-0701,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-LOSARTAN POTASSIUM AND HYDROCHLOROTHI,or ,RC,68180-02-1709,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-,258,RC,42291-02-0290,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-NYSTATIN POWDER,258,RC,51927-10-8400,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-,258,RC,51655-02-7652,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-PNV OB+DHA 120MG-125MG-400IU-2M ORAL,258,RC,59088-01-1560,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-OMEPRAZOLE 20MG ORAL TABLET, DELAYED",258,RC,54868-59-1100,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-LISINOPRIL 20MG ORAL TABLET,258,RC,50436-50-0001,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-CRESTOR 20MG ORAL TABLET,258,RC,58016-00-5200,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-METFORMIN HCL 750MG ORAL TABLET, EXTE",258,RC,54868-55-0501,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-INDAPAMIDE 2.5MG ORAL TABLET,258,RC,00228-25-7196,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-RABEPRAZOLE SODIUM 20MG ORAL TABLET,",258,RC,13668-01-0705,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-AZILECT 1MG ORAL TABLET,258,RC,68546-02-2956,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-TAMSULOSIN HYDROCHLORIDE 0.4MG ORAL C,258,RC,00781-20-7601,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-PRAVASTATIN SODIUM 40MG ORAL TABLET,258,RC,00093-72-0210,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-DULERA 5MCG/ACTUATION-100MC INHALATIO,258,RC,00085-72-0601,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-FLUOROURACIL 5% TOPICAL APPLICATION C,258,RC,51672-41-1806,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-TAMSULOSIN HYDROCHLORIDE 0.4MG ORAL C,258,RC,00115-82-1101,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-CLONIDINE HYDROCHLORIDE 0.3MG ORAL TA,258,RC,66267-04-6430,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-PNV-SELECT 80MG-300MCG-120MG-40 ORAL,258,RC,42192-03-2090,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-PATADAY 0.2% OPHTHALMIC SOLUTION,258,RC,54569-63-4600,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-TAMSULOSIN HYDROCHLORIDE 0.4MG ORAL C,258,RC,65862-05-9805,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-LISINOPRIL-HYDROCHLOROTHIAZIDE 12.5MG,258,RC,65862-00-4405,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-,258,RC,00093-52-7201,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-THE MEDICINE SHOPPE CO Q-10 200MG ORA,258,RC,49614-02-5265,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-PROPRANOLOL HCL 40MG ORAL TABLET,258,RC,00591-55-5610,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-METHOTREXATE 2.5MG ORAL TABLET,258,RC,67253-03-2010,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-FEXOFENADINE HCL 60MG ORAL TABLET,258,RC,49999-07-7130,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-FLECAINIDE ACETATE 50MG ORAL TABLET,258,RC,00054-00-1021,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-,or ,RC,60505-01-2901,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-FEXOFENADINE HCL 180MG ORAL TABLET,258,RC,54868-54-0901,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-SEASONALE 30MCG-0.15MG ORAL TABLET,258,RC,54868-23-1600,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
"NF-RANEXA 500MG ORAL TABLET, EXTENDED RE",258,RC,61958-10-0301,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-ALBUTEROL HFA 0.09MG/ACTUATION INHALA,258,RC,54868-56-4600,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-,258,RC,54868-17-0602,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-LOSARTAN POTASSIUM AND HYDROCHLOROTHI,258,RC,68180-02-1603,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-LOSARTAN POTASSIUM-HYDROCHLOROTHIAZID,258,RC,21695-08-3190,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-,258,RC,64679-03-1400,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-NITROFURANTOIN MONOHYDRATE \& MACROCR,or ,RC,55045-31-8205,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-,258,RC,58016-02-8515,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-,258,RC,64679-03-1401,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-,258,RC,64679-04-4704,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-BENICAR HCT 12.5MG-20MG ORAL TABLET,258,RC,62332-01-4930,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-CASODEX 50MG ORAL TABLET,258,RC,00310-07-0530,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-BETIMOL 0.5% OPHTHALMIC SOLUTION,258,RC,76478-00-0205,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-VITAMIN D 5000IU ORAL TABLET,258,RC,68071-09-9404,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-LISINOPRIL-HYDROCHLOROTHIAZIDE 25MG-2,or ,RC,65862-00-4501,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 25,or ,RC,54458-09-1002,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-MINOXIDIL 10MG ORAL TABLET,258,RC,49884-02-5701,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-ESTRACE VAGINAL CREAM 0.1MG/1GM,258,RC,54868-04-9600,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
"NF-MATZIM LA 240MG ORAL TABLET, EXTENDED",258,RC,52544-06-9230,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-,258,RC,68258-60-7103,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12,258,RC,21695-07-3490,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-FOSINOPRIL SODIUM 20MG ORAL TABLET,258,RC,60505-25-1104,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-ABILIFY 2MG ORAL TABLET,258,RC,63629-33-8602,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-LISINOPRIL/HYDROCHLOROTHIAZIDE 12.5MG,258,RC,49999-07-6130,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-LOSARTAN POTASSIUM-HYDROCHLOROTHIAZID,258,RC,13668-01-1730,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-ENABLEX EXTENDED-RELEASE TABLET 15MG,258,RC,00430-01-7123,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-SINGULAIR 4MG/PACKET ORAL PACKET,258,RC,00006-38-4130,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-IRBESARTAN AND HYDROCHLOROTHIAZIDE 12,258,RC,60505-36-0309,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-NAMENDA 10MG ORAL TABLET,258,RC,49999-08-0460,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-ACTIVELLA 0.5MG-0.1MG ORAL TABLET,258,RC,00169-51-7510,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-LEFLUNOMIDE 10MG ORAL TABLET,258,RC,00555-03-5101,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-LOSARTAN POTASSIUM-HYDROCHLOROTHIAZID,258,RC,00603-42-3032,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-LUPRON DEPOT 30MG INTRAMUSCULAR POWDE,258,RC,54868-55-6800,NDC,,both,1,each,34,34,7.82,34,34,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,26.86,percent of total billed charges,26.86,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 ,26.86,percent of total billed charges ,26.86,percent of total billed charges ,28.9,percent of total billed charges ,28.9,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 ,,,,,,,,,,,,,,,,,,,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,,,7.82,percent of total billed charges,,,7.82,percent of total billed charges,,,7.82,percent of total billed charges,
NF-EFFIENT 10MG ORAL TABLET,258,RC,00002-51-2377,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF- TRENTAL TABLET 400MG,258,RC,54868-03-7401,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-AMOXAPINE TAB 100MG,258,RC,00591-57-1501,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-IMIPENEM AND CILASTATIN 500MG-500MG I,258,RC,63323-03-2220,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-ABREVA 10% TOPICAL APPLICATION CREAM,258,RC,00135-02-0001,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-ELIQUIS ORAL TABLET 2.5MG,258,RC,00003-08-9321,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-LOSARTAN POTASSIUM-HYDROCHLOROTHIAZID,258,RC,13668-01-1610,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
"NF-NAMENDA XR 28MG ORAL CAPSULE, EXTENDE",258,RC,00456-34-2890,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 25,258,RC,21695-07-3560,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-POTASSIUM CHLORIDE CAP ER 10MEQ,258,RC,54868-13-1706,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-NOVOLOG 100U/ML SUBCUTANEOUS SOLUTION,258,RC,00169-75-0111,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-,258,RC,23490-65-2402,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12,258,RC,68180-05-1902,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-LUTEIN,258,RC,51927-33-9600,NDC,,both,,,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-PULMICORT FLEX 180MCG/1ACT INHALATION,258,RC,54868-58-4400,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-LISINOPRIL-HYDROCHLOROTHIAZIDE 20MG-2,258,RC,68071-01-5330,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-VERAMYST 27.5MCG/1ACTUATION NASAL SPR,258,RC,00173-07-5300,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-METHOCARBAMOL 500MG ORAL TABLET,258,RC,58016-02-5730,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
"NF-NEXIUM 40MG ORAL CAPSULE, DELAYED REL",258,RC,49999-03-0790,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-IDEBENONE POWDER,258,RC,51927-38-0800,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-FIORICET 50MG-325MG-40MG ORAL TABLET,258,RC,58016-00-8960,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-SOTALOL HCL AF 80MG ORAL TABLET,258,RC,42291-07-6001,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-METHOTREXATE 2.5MG ORAL TABLET,258,RC,33261-07-5930,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-EXTAVIA 0.3MG MULTIPLE ROUTES KIT,258,RC,00078-05-6999,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
NF-INVOKANA 300MG ORAL TABLET,258,RC,50458-01-4190,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 20,258,RC,68180-05-2002,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-NYSTATIN POWDER,258,RC,38779-02-4205,NDC,,both,1,each,15,15,3.45,15,15,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,11.85,percent of total billed charges,11.85,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 ,11.85,percent of total billed charges ,11.85,percent of total billed charges ,12.75,percent of total billed charges ,12.75,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 ,,,,,,,,,,,,,,,,,,,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,,,3.45,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,
NF-MONTELUKAST SODIUM CHEW TAB 5MG,258,RC,00006-02-7531,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-FLUTICASONE PROPIONATE 0.05% TOPICAL,258,RC,00115-14-7345,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
"NF-NAMENDA XR 28MG ORAL CAPSULE, EXTENDE",258,RC,00456-34-2833,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-MACROBID 100MG ORAL CAPSULE,258,RC,54868-23-6600,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-LEFLUNOMIDE 20MG ORAL TABLET,258,RC,16714-03-3101,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-ZOFRAN 4MG ORAL TABLET,258,RC,54868-35-0800,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-COUMADIN 5MG ORAL TABLET,258,RC,54868-12-5900,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-VENLAFAXINE 75MG ORAL TABLET,258,RC,00490-01-1460,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-METOPROLOL TARTRATE 25MG ORAL TABLET,258,RC,33261-03-3430,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-GABAPENTIN 100MG ORAL CAPSULE,258,RC,51991-03-3705,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-FLONASE 0.05MG/ACTUATION NASAL SPRAY,258,RC,54868-37-1800,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-FAMOTIDINE 20MG ORAL TABLET,258,RC,00378-30-2001,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-ZYRTEC 10MG ORAL TABLET,258,RC,49999-02-7514,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-REFRESH TEARS 0.5% OPHTHALMIC SOLUTIO,258,RC,00023-07-9815,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-CLINDAMYCIN PHOSPHATE GEL/JELLY 1%,258,RC,59762-37-4301,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-TEMODAR CAP 100MG,258,RC,54868-53-5001,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-TRANDOLAPRIL 4MG ORAL TABLET,258,RC,65862-01-6601,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-SERTRALINE HYDROCHLORIDE 100MG ORAL T,258,RC,63629-32-8901,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-PRAVASTATIN SODIUM 80MG ORAL TABLET,258,RC,00378-05-5377,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
"NF-GLIPIZIDE ER 5MG ORAL TABLET, EXTENDE",258,RC,54868-52-1001,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-CLONIDINE HCL 0.3MG ORAL TABLET,258,RC,55289-09-7030,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
"NF-BUPROPION HCL 150MG ORAL TABLET, EXTE",258,RC,54868-48-9202,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-AMITRIPTYLINE 50MG ORAL TABLET,258,RC,33358-00-2460,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-VALSARTAN-HYDROCHLOROTHIAZIDE 80MG-12,258,RC,00603-63-4502,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-NORETHINDRONE 0.35MG ORAL TABLET,258,RC,68180-08-7613,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-TRILEPTAL ORAL TABLET 600MG,258,RC,00078-04-5761,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-SAPHRIS SL TAB 5MG,258,RC,00456-24-0560,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-LOSARTAN POTASSIUM-HYDROCHLOROTHIAZID,258,RC,00378-14-2093,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-LOTREL 5MG-20MG ORAL CAPSULE,258,RC,33358-02-2200,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-VALSARTAN-HYDROCHLOROTHIAZIDE 320MG-1,258,RC,55700-00-2330,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-IRBESARTAN AND HYDROCHLOROTHIAZIDE 15,258,RC,00955-10-4530,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-PROBENECID-COLCHICINE 500MG-0.5MG ORA,258,RC,54868-21-7901,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-MYRBETRIQ ORAL TABLET 25MG,258,RC,00469-26-0130,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-PROVIGIL 100MG ORAL TABLET,258,RC,63459-01-0101,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-MYCOPHENOLATE MOFETIL 500MG ORAL TABL,258,RC,60505-29-6701,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-MINOXIDIL 2.5MG ORAL TABLET,258,RC,53489-03-8601,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-MINOXIDIL 2.5MG ORAL TABLET,258,RC,00591-56-4205,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-CYCLOSPORINE 25MG ORAL CAPSULE,258,RC,60505-01-3300,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-METOPROLOL TARTRATE ORAL TABLET 100MG,258,RC,63629-14-6202,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-NYSTATIN POWDER,258,RC,51552-00-4102,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-ASMANEX TWIST 0.22MG/ACTUATION INHALA,258,RC,54868-55-4701,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-CYCLOSPORINE 100MG ORAL CAPSULE,258,RC,60505-01-3400,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-NOVOLIN N INJECTION 100U/ML,258,RC,54569-38-3500,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-NOVOLIN R INJ SOLN 100U/1ML,258,RC,54569-38-3300,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-CYCLOSPORINE CAPSULE LIQUID FILLED 10,258,RC,00185-09-3330,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-MYCOPHENOLATE MOFETIL CAP 250MG,258,RC,49999-09-3630,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-ZALEPLON 10MG ORAL CAPSULE,258,RC,63629-34-0501,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-LUMIGAN 0.03% OPHTHALMIC SOLUTION,258,RC,54868-45-7502,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-MIDODRINE HCL 10MG ORAL TABLET,258,RC,00185-01-4901,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
"NF-OXYCONTIN 60MG ORAL TABLET, EXTENDED",258,RC,35356-04-4430,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-EFFIENT 10MG ORAL TABLET,258,RC,00002-47-5930,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-LOSARTAN POTASSIUM-HYDROCHLOROTHIAZID,258,RC,00781-52-0410,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
"NF-OMEPRAZOLE 40MG ORAL CAPSULE, DELAYED",258,RC,60505-01-4602,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-FENOFIBRATE 160MG ORAL TABLET,258,RC,35356-06-0330,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-TRADJENTA 5MG ORAL TABLET,258,RC,00597-01-4061,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-IPRATROPIUM BROM NASAL SPRAY 0.03%,258,RC,54868-57-5100,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-WARFARIN SODIUM 4MG ORAL TABLET,258,RC,54868-44-0203,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-IMURAN TABLET 50MG,258,RC,52959-00-7900,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-NIFEDICAL XL TAB ER 30MG,258,RC,54569-51-5501,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 20,258,RC,16590-03-0990,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-MUCINEX FAST-MAX COLD & SINUS 325MG,258,RC,63824-01-9020,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-EXEMESTANE 25MG ORAL TABLET,258,RC,59762-28-5801,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 10,258,RC,35356-07-7730,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-PROCTOZONE-HC RECTAL CREAM 2.5%,258,RC,64980-03-0130,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-TUDORZA PRESSAIR 400MCG/1 ACTUATION I,258,RC,00456-08-0031,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-CLOMIPRAMINE HCL 50MG ORAL CAPSULE,258,RC,63629-41-2303,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-CLOMIPRAMINE HCL CAP 50MG,258,RC,00781-20-3701,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-XIFAXAN TAB 550MG,258,RC,65649-03-0303,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-LIALDA TAB DR 1.2GM,258,RC,54092-04-7612,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-DUREZOL 0.05% OPHTHALMIC EMULSION,258,RC,00065-92-4007,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-SYSTANE ULTRA OPHTHALMIC SOLN 0.4%-0.,258,RC,00651-04-3105,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-CARDIZEM 30MG ORAL TABLET,258,RC,00187-07-7147,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-BUPROPION 75MG ORAL TABLET,258,RC,63629-34-4902,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-AMPHETAMINE/DEXTROAMPHETAMINE 5MG-5MG,258,RC,16590-09-2484,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-AMPHETAMINE SALT COMBINATION CAP ER 5,258,RC,54868-46-4000,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-METHYLPHENIDATE HCL ORAL TAB 20MG,258,RC,54868-29-7404,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-METHYLPHENIDATE HCL CAP ER 20MG,258,RC,35356-01-6590,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-METHYLPHENIDATE HCL ORAL TABLET 20MG,258,RC,00406-11-4601,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-METHYLPHENIDATE HCL ORAL TAB 20MG,258,RC,00781-57-5301,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-QUINAPRIL HCL 40MG ORAL TABLET,258,RC,55048-06-2930,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-HARVONI ORAL TABLET 90MG-400MG,258,RC,61958-18-0101,NDC,,both,1,each,15,15,3.45,15,15,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,11.85,percent of total billed charges,11.85,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 ,11.85,percent of total billed charges ,11.85,percent of total billed charges ,12.75,percent of total billed charges ,12.75,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 ,,,,,,,,,,,,,,,,,,,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,,,3.45,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,
NF-ANORO ELLIPTA INHALATION POWDER,258,RC,00173-08-6910,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-TESTOSTERONE CYPIONAT INJECTION 200MG,258,RC,54868-36-1801,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-PROBENECID 500MG ORAL TABLET,258,RC,54868-01-5900,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-CLARITIN-D 12HR 5MG-120MG ORAL TABLET,258,RC,11523-71-6203,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-LOSARTAN POTASSIUM-HYDROCHLOROTHIAZID,258,RC,33261-09-5030,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
"NF-FELODIPINE 5MG ORAL TABLET, EXTENDED",258,RC,13668-01-3301,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-ATACAND 4MG ORAL TABLET,258,RC,00186-00-0431,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-IBANDRONATE SODIUM 150MG ORAL TABLET,258,RC,42291-03-3603,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-LEVOTHYROXINE SODIUM 0.175MG ORAL TAB,258,RC,54868-45-0702,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-ISOSORBIDE MONONITRATE 60MG ORAL TABL,258,RC,54569-53-4100,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-DEPAKOTE SPRINKLES 125MG ORAL CAPSULE,258,RC,55289-09-9130,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-CLOBETASOL PROPIONATE 0.05% TOPICAL A,258,RC,50383-02-6715,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-RESTORIL 7.5MG ORAL CAPSULE,258,RC,00406-99-1503,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-MONTELUKAST SODIUM 10MG ORAL TABLET,258,RC,33261-09-6960,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-ACIDOPHILUS LACTOBACILLUS POWDER,258,RC,52372-06-4001,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-HYDROCORTISONE ACETATE-PRAMOXINE HCL,258,RC,42192-01-0701,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
"NF-TOVIAZ 8MG ORAL TABLET, EXTENDED RELE",258,RC,54868-61-7500,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-PIPERACILLIN AND TAZOBACTAM 4GM-0.5GM,258,RC,00409-33-7904,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-MONO-LINYAH 35MCG-0.25MG\ NO STRE ORA,258,RC,16714-03-6001,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-XELODA 500MG ORAL TABLET,258,RC,54868-52-6001,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-LOSARTAN POTASSIUM-HYDROCHLOROTHIAZID,258,RC,65862-04-7090,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-GUANFACINE HCL 1MG ORAL TABLET,258,RC,42291-03-1090,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-ONGLYZA 2.5MG ORAL TABLET,258,RC,00310-61-0030,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-FLUCONAZOLE ORAL TABLET 200MG,258,RC,59762-50-1801,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-CORTISONE ACETATE 25MG ORAL TABLET,258,RC,00143-97-0001,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-RITALIN 20MG ORAL TABLET,258,RC,54868-27-6200,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-NADOLOL 20MG ORAL TABLET,258,RC,00781-11-8110,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-CARVEDILOL ORAL TABLET 6.25MG,258,RC,68382-00-9305,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF- ALTAVERA TAB 30MCG-0.15MG-NA,or ,RC,00781-55-8307,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-JOLESSA TAB 30MCG-0.15MG,258,RC,54868-60-4400,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-CLOPIDOGREL 75MG ORAL TABLET,258,RC,47335-08-9483,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-PRAVASTATIN SODIUM 40MG ORAL TABLET,258,RC,50111-07-6403,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-SYNTHROID 75MCG ORAL TABLET,258,RC,68258-59-7309,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-TRAZODONE HYDROCHLORIDE 150MG ORAL TA,258,RC,60505-26-5501,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-NORCO 5MG-325MG ORAL TABLET,258,RC,55289-08-9415,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-ADVAIR DISKUS 250/50 0.25MG-0.05MG/1I,258,RC,68258-30-3101,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-TRAMADOL HCL 50MG ORAL TABLET,258,RC,57664-03-7713,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-AMLODIPINE BESYLATE-BENAZEPRIL HCL 5M,258,RC,68258-60-7009,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-MORPHINE SULFATE 20MG/1ML ORAL SOLUTI,or ,RC,00527-14-2535,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-ETODOLAC 400MG ORAL TABLET,258,RC,51672-40-1801,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-ARICEPT 10MG ORAL TABLET,258,RC,62856-02-4630,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-SYNTHROID 100MCG ORAL TABLET,258,RC,00074-66-2419,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-TRUVADA TAB 200MG-300MG,258,RC,35356-00-7006,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-AMILORIDE HCL/HYDROCHLOROTHIAZIDE 5MG,258,RC,00555-04-8302,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-GLYXAMBI 10MG-5MG ORAL TABLET,258,RC,00597-01-8290,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-NASACORT ALLERGY 24HR NASAL SPRAY 55M,258,RC,41167-58-0005,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-TACROLIMUS 0.5MG ORAL CAPSULE,258,RC,00781-21-0201,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-MYCOPHENOLATE MOFETIL 500MG ORAL TABL,258,RC,00378-44-7201,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-OXISTAT 1% TOPICAL APPLICATION LOTION,258,RC,10337-03-5960,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-LEVOTHYROXINE SODIUM 100MCG ORAL TABL,258,RC,00378-18-0901,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-METOPROLOL TARTRATE 100MG ORAL TABLET,258,RC,00378-00-4710,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-KALETRA ORAL TABLET 200MG-50MG,258,RC,55289-09-4712,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-KALETRA TAB 200MG-50MG,258,RC,00074-67-9922,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-ANUSOL-HC 2.5% RECTAL CREAM,258,RC,65649-04-0130,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-MEROPENEM 1GM INTRAVENOUS POWDER FOR,258,RC,00409-35-0601,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-ALBUTEROL SULFATE 1.25MG/3ML INHALATI,258,RC,00378-69-9252,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-DANAZOL 100MG ORAL CAPSULE,258,RC,00555-06-3402,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-IMITREX ORAL TABLET 50MG,258,RC,54569-41-9100,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-BENICAR TAB 20MG,258,RC,68462-04-3730,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-FLUCONAZOLE POWDER,258,RC,51552-10-3104,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-SERTRALINE 100MG ORAL TABLET,258,RC,76282-02-1405,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-LOSARTAN POTASSIUM-HYDROCHLOROTHIAZID,258,RC,16714-02-2601,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-NYSTATIN POWDER,258,RC,38779-02-4200,NDC,,both,1,each,300,300,69,300,300,percent of total billed charges,300,percent of total billed charges,300,percent of total billed charges,300,percent of total billed charges,300,percent of total billed charges,300,percent of total billed charges,300,percent of total billed charges,300,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,216,percent of total billed charges,216,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,240,percent of total billed charges,240,percent of total billed charges,,,216,percent of total billed charges ,,,240,percent of total billed charges ,237,percent of total billed charges ,237,percent of total billed charges ,255,percent of total billed charges ,255,percent of total billed charges ,240,percent of total billed charges ,240,percent of total billed charges ,210,percent of total billed charges ,210,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 ,,,,,159.6,percent of total billed charges ,,,,,151.62,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,,,69,percent of total billed charges,,,69,percent of total billed charges,,,69,percent of total billed charges,,,69,percent of total billed charges,
NF-SIMBRINZA OPHTH SUSP 0.2%-1%,258,RC,00065-41-4727,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-LABETALOL HCL ORAL TABLET 200MG,258,RC,00172-43-6560,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-LISINOPRIL ORAL TABLET 40MG,258,RC,68180-05-1701,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-VESICARE 10MG ORAL TABLET,258,RC,51248-01-5152,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-LISINOPRIL/HYDROCHLOROTHIAZIDE 20MG-1,258,RC,00185-01-5210,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-NECON 7/7/7 35MCG-0.5MG\;35MCG-0. ORA,258,RC,52544-01-6528,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-TIAGABINE HCL TAB 2MG,258,RC,54868-51-4500,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-TIAGABINE HYDROCHLORIDE 4MG ORAL TABL,or ,RC,62756-02-2483,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-TIAGABINE HCL TAB 4MG,258,RC,52959-06-8414,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-TUDORZA PRESSAIR 400MCG/1 ACTUATION I,258,RC,00310-08-0039,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-BISOPROLOL FUMARATE 5MG ORAL TABLET,258,RC,00185-07-7130,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-MICROGESTIN 1/20 20MCG-1MG ORAL TABLE,258,RC,52544-02-7621,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-LATUDA 40MG ORAL TABLET,258,RC,63402-03-0430,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-DICYCLOMINE HCL 10MG ORAL CAPSULE,258,RC,49999-02-9190,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-LOVASTATIN 40MG ORAL TABLET,258,RC,66336-04-1230,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-OXYCODONE HCL-ACETAMINOPHEN 7.5MG-325,258,RC,00406-05-2201,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-LOSARTAN POTASSIUM 100MG ORAL TABLET,258,RC,00093-73-6656,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-LOPERAMIDE HCL 2 MG ORAL TABLET,258,RC,51660-01-2206,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-SERTRALINE 100MG ORAL TABLET,258,RC,58016-00-0960,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-QUETIAPINE FUMARATE 25MG ORAL TABLET,258,RC,00093-81-6101,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-POTASSIUM CHLORIDE 10MEQ ORAL CAPSULE,258,RC,00574-01-8101,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-AVONEX 30MCG/0.5ML MULTIPLE ROUTES KI,or ,RC,59627-00-0205,NDC,,both,1,each,69,69,15.87,69,69,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,54.51,percent of total billed charges,54.51,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 ,54.51,percent of total billed charges ,54.51,percent of total billed charges ,58.65,percent of total billed charges ,58.65,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 ,,,,,,,,,,,,,,,,,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,
NF-OXCARBAZEPINE 300MG ORAL TABLET,258,RC,16590-05-6990,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-AMLODIPINE BESYLATE-BENAZEPRIL HCL 10,258,RC,00093-73-7301,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-BENICAR HCT 20MG-12.5MG ORAL TABLET,258,RC,54868-51-7000,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-VESICARE 10MG ORAL TABLET,258,RC,51248-01-5101,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-ALLEGRA ALLERGY TAB 180MG,258,RC,41167-41-2004,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-PREVACID SOLUTAB 15MG ORAL TABLET DIS,258,RC,64764-05-4311,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-VALSARTAN/HYDROCHLOROTHIAZIDE 160MG-1,258,RC,00781-59-4964,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
"NF-RYTARY 36.25MG-145MG ORAL CAPSULE, EX",258,RC,64896-06-6201,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-LISINOPRIL/HYDROCHLOROTHIAZIDE 20MG-2,or ,RC,00185-01-7310,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
"NF-DULOXETINE HCL 60MG ORAL CAPSULE, DEL",258,RC,68180-02-9603,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-OXCARBAZEPINE ORAL SUSPENSION 300MG/5,258,RC,65162-06-4978,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-Tarceva Oral Tablet 100MG,or ,RC,54868-54-7400,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-SYMBICORT 160MCG-4.5MCG/1 ACTU INHALA,258,RC,00186-03-7020,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-CREON CAP DR,258,RC,00032-12-2401,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-SYMLINPEN 1000MCG/1ML SUBCUTANEOUS SO,258,RC,00310-66-2702,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-GLEEVEC 400MG ORAL TABLET,258,RC,54868-54-2700,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-TUDORZA PRESSAIR 400MCG/1 ACTUATION I,258,RC,00310-08-0060,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
NF-BENICAR 20MG ORAL TABLET,258,RC,65597-01-0390,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-LISINOPRIL/HYDROCHLOROTHIAZIDE 20MG-1,258,RC,00378-20-1201,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-CORDRAN TAPE 4MCG/1CM2 TOPICAL APPLIC,258,RC,52544-00-4424,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-FIRST-LANSOPRAZOLE 3MG/1ML ORAL POWDE,258,RC,65628-00-8005,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-DIOVAN 160MG ORAL TABLET,258,RC,00078-03-5934,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-TACROLIMUS 1MG ORAL CAPSULE,258,RC,16729-00-4201,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-TRAMADOL HCL 50MG ORAL TABLET,258,RC,57664-03-7708,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-DEPAKOTE DELAYED-RELEASE TABLET 500MG,258,RC,54868-25-4403,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-Nystatin Powder,258,RC,38779-02-4201,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-Tudorza Pressair Inh Aer Pwd 400MCG/1,or ,RC,00310-08-0039,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-FENTANYL 50MCG/1HR TRANSDERMAL PATCH,",258,RC,00378-91-2298,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-AMLODIPINE BESYLATE-BENAZEPRIL HCL 2.,258,RC,00093-73-7001,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-METOPROLOL SUCCINATE 200MG ORAL TABLE,258,RC,49884-04-0701,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-PATADAY 0.2% OPHTHALMIC SOLUTION,258,RC,35356-04-7725,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-DUREZOL OPHTH EMUL 0.05%,or ,RC,54569-62-5000,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-PROLENSA OPHTH SOLN 0.07%,or ,RC,24208-06-0203,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-DUREZOL OPHTH EMUL 0.05%,258,RC,54569-62-5000,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-PROLENSA OPHTH SOLN 0.07%,258,RC,24208-06-0203,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-Nystatin Powder,258,RC,38779-02-4201,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-Nystatin Powder,258,RC,38779-02-4201,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-PAZEO OPHTH SOLN 0.7%,258,RC,00065-42-7325,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-FLUOROMETHOLONE OPHTH SUSP 0.1%,258,RC,60758-08-8010,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-ORAL TRANSMUCOSAL FENTANYL CITRATE 0.,258,RC,49884-04-6055,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-METHOTREXATE ORAL TABLET 2.5MG,258,RC,54868-38-2601,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-ESTROPIPATE TAB 0.75MG,258,RC,54868-36-7200,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-CALCITRIOL CAPSULE 0.5MCG,258,RC,00093-06-5801,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-CYTOMEL ORAL TABLET 0.025MG,258,RC,54569-20-5306,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-PENNSAID SOLN 2%,258,RC,75987-00-4005,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-MULTAQ ORAL TABLET 400MG,258,RC,00024-41-4260,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-PENTASA CAP ER 500MG,258,RC,54092-01-9112,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-APROTININ-FIBRINOGEN;CALCIUM CHLORIDE,or ,RC,00944-84-0210,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-CABOZANTINIB MALATE CAP 20MG,258,RC,42388-00-1314,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-METHENAMINE HIPPURATE 1GM TABLET,258,RC,64720-01-3910,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-BETASERON SUBCUTANEOUS KIT 0.3MG,258,RC,50419-05-2325,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
NF-ALLEGRA ALLERGY ORAL TABLET 180MG,258,RC,41167-41-2000,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-VIMPAT ORAL TABLET 150MG,258,RC,00131-24-7935,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-VIMPAT TAB 200MG,258,RC,00131-24-8035,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-diazePAM Rectal Delivery System Kit,258,RC,00093-61-3732,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-STIOLTO RESPIMAT INH 2.5-2.5MCG/1ACT,258,RC,00597-01-5561,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-Enbrel Subcutaneous Solution 50MG/1ML,258,RC,54868-54-4400,NDC,,both,1,each,6,6,1.38,6,6,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,4.74,percent of total billed charges,4.74,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 ,4.74,percent of total billed charges ,4.74,percent of total billed charges ,5.1,percent of total billed charges ,5.1,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 ,,,,,,,,,,,,,,,,,,,1.38,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-MORPHINE SULFATE CAP ER 100MG,258,RC,54868-45-7300,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-OLANZAPINE IM PWD FOR SOLN 10MG,258,RC,00781-31-5972,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-Mirena Insert ER 52MG,258,RC,50419-04-2101,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
NF-Nystatin Powder,258,RC,38779-02-4201,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-OTEZLA ORAL TABLET 30MG,258,RC,59572-06-3106,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-OTEZLA ORAL TABLET 10MG-20MG-30MG,or ,RC,59572-06-3027,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-TRANDOLAPRIL ORAL TABLET 4MG,258,RC,00093-73-2701,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-Nystatin Powder,or ,RC,38779-02-4208,NDC,,both,1,each,60,60,13.8,60,60,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,47.4,percent of total billed charges,47.4,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 ,47.4,percent of total billed charges ,47.4,percent of total billed charges ,51,percent of total billed charges ,51,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 ,,,,,,,,,,,,,,,,,,,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,,,13.8,percent of total billed charges,,,13.8,percent of total billed charges,,,13.8,percent of total billed charges,
NF-DANTRIUM CAP 25MG,258,RC,68084-03-0021,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-SUMATRIPTAN SUCCINATE ORAL TABLET 100,258,RC,66267-12-6309,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-Lupron Depot 4 Month Pwd For Susp 30M,or ,RC,00074-36-8303,NDC,,both,1,each,64,64,14.72,64,64,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,50.56,percent of total billed charges,50.56,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 ,50.56,percent of total billed charges ,50.56,percent of total billed charges ,54.4,percent of total billed charges ,54.4,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
NF-FLURAZEPAM HCL CAP 15MG,258,RC,52959-03-6900,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-SPORANOX SOLN 10MG/1ML,258,RC,50458-02-9515,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-Nystatin Powder,258,RC,38779-02-4208,NDC,,both,1,each,60,60,13.8,60,60,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,47.4,percent of total billed charges,47.4,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 ,47.4,percent of total billed charges ,47.4,percent of total billed charges ,51,percent of total billed charges ,51,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 ,,,,,,,,,,,,,,,,,,,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,,,13.8,percent of total billed charges,,,13.8,percent of total billed charges,,,13.8,percent of total billed charges,
NF-ERYTHROMYCIN SOLUTION 2%,258,RC,45802-00-3846,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-imatinib mesylate Oral Tablet 400MG,258,RC,47335-04-7583,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
NF-MEGESTROL ACETATE ORAL TABLET 40MG,or ,RC,54868-16-2902,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-CHANTIX ORAL TABLET 1MG,258,RC,35356-01-7456,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-Nystatin Powder,258,RC,38779-02-4205,NDC,,both,1,each,14,14,3.22,14,14,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,11.06,percent of total billed charges,11.06,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 ,11.06,percent of total billed charges ,11.06,percent of total billed charges ,11.9,percent of total billed charges ,11.9,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 ,,,,,,,,,,,,,,,,,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,
NF-NORETHINDRONE ORAL TABLET 0.35MG,258,RC,00378-72-9253,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-DEPO-PROVERA IM SUSP 150MG/1ML,258,RC,00009-73-7611,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-FOSINOPRIL SODIUM ORAL TABLET 20MG,or ,RC,31722-02-0110,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-VALSARTAN AND HYDROCHLOROTHIAZIDE TAB,258,RC,60505-38-0609,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-Pulmicort Flexhaler Inh/Neb 180MCG/1A,258,RC,54569-59-2800,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-PHENAZOPYRIDINE HCL ORAL TABLET 200MG,258,RC,66424-00-4501,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-SYSTANE OPHTHALMIC GEL/JELLY 0.3%,258,RC,00065-04-7401,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-Boniva Oral Tablet 150MG,or ,RC,00004-01-8682,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-NEXIUM 24HR CAP DR 20MG,258,RC,00573-24-5042,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-Victoza Subcutaneous Solution 6MG/1ML,258,RC,00169-40-6012,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-IMIQUIMOD CRM 5%,258,RC,54868-61-7900,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-AZELASTINE HCL OPHTH SOLN 0.05%,258,RC,60505-05-7804,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-CEVIMELINE HCL CAP 30MG,258,RC,63395-02-0113,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-FLURAZEPAM HCL CAP 15MG,258,RC,52959-03-6906,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-Zegerid Oral Capsule 20MG-1100MG,258,RC,68012-01-0230,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-CLOBETASOL PROPIONATE SOLUTION 0.05%,258,RC,00472-04-0225,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-Nystatin Powder,258,RC,38779-02-4208,NDC,,both,1,each,60,60,13.8,60,60,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,47.4,percent of total billed charges,47.4,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 ,47.4,percent of total billed charges ,47.4,percent of total billed charges ,51,percent of total billed charges ,51,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 ,,,,,,,,,,,,,,,,,,,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,,,13.8,percent of total billed charges,,,13.8,percent of total billed charges,,,13.8,percent of total billed charges,
NF-PRAZOSIN HCL CAP 2MG,258,RC,59762-53-2001,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-ELIQUIS ORAL TABLET 5MG,258,RC,00003-08-9470,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-Nystatin Powder,258,RC,38779-02-4205,NDC,,both,1,each,14,14,3.22,14,14,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,11.06,percent of total billed charges,11.06,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 ,11.06,percent of total billed charges ,11.06,percent of total billed charges ,11.9,percent of total billed charges ,11.9,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 ,,,,,,,,,,,,,,,,,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,
NF-SUMATRIPTAN SUCCINATE ORAL TABLET 50M,258,RC,55111-07-3609,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-ASMANEX TWISTHALER PWD 110MCG/1ACT,258,RC,00085-14-6102,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-CYCLOSPORINE CAP 25MG,258,RC,60505-01-3300,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-CYCLOSPORINE CAP 25MG,258,RC,60505-01-3300,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-QVAR 0.04MG/ACT,258,RC,66267-13-0000,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act,258,RC,00597-01-5561,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-imatinib mesylate Oral Tablet 400MG,258,RC,47335-04-7583,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-Victoza Subcutaneous Solution 6MG/1ML,258,RC,00169-40-6012,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-imatinib mesylate Oral Tablet 400MG,258,RC,47335-04-7583,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-imatinib mesylate Oral Tablet 400MG,258,RC,47335-04-7583,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-Stiolto Respimat Inh 2.5-2.5MCG/1Act,258,RC,00597-01-5561,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-PRAZOSIN HCL CAP 2MG,258,RC,00069-43-7071,NDC,,both,1,each,0.03,0.03,0.01,0.03,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,,,0.02,percent of total billed charges ,,,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.03,percent of total billed charges ,0.03,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,,,,,0.02,percent of total billed charges ,,,,,0.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,
NF-AROMASIN ORAL TABLET 25MG,258,RC,00009-76-6304,NDC,,both,1,each,0.4,0.4,0.09,0.4,0.4,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,0.29,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,0.32,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 ,,,0.32,percent of total billed charges ,0.32,percent of total billed charges ,0.32,percent of total billed charges ,0.34,percent of total billed charges ,0.34,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 ,0.28,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 ,,,,,0.21,percent of total billed charges ,,,,,0.2,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,,,0.09,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,
NF-Zegerid Oral Capsule 20MG-1100MG,258,RC,68012-01-0230,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-GABITRIL TABLET 16MG,258,RC,35356-06-1830,NDC,,both,1,each,0.16,0.16,0.04,0.16,0.16,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,0.12,percent of total billed charges,0.12,percent of total billed charges,0.12,percent of total billed charges,0.12,percent of total billed charges,0.12,percent of total billed charges,0.12,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,,,0.12,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 ,0.14,percent of total billed charges ,0.14,percent of total billed charges ,0.13,percent of total billed charges ,0.13,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 ,,,,,0.08,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-Stiolto Respimat Inh 2.5-2.5MCG/1Act,258,RC,00597-01-5561,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-Nystatin Powder,258,RC,38779-02-4200,NDC,,both,1,each,277,277,63.71,277,277,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,218.83,percent of total billed charges,218.83,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 ,218.83,percent of total billed charges ,218.83,percent of total billed charges ,235.45,percent of total billed charges ,235.45,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 ,,,,,,,,,,,,,,,,,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,
NF-Nystatin Powder,258,RC,38779-02-4208,NDC,,both,1,each,55,55,12.65,55,55,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,43.45,percent of total billed charges,43.45,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 ,43.45,percent of total billed charges ,43.45,percent of total billed charges ,46.75,percent of total billed charges ,46.75,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 ,,,,,,,,,,,,,,,,,,,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,
NF-DULOXETINE HCL CAP DR 60MG,258,RC,33358-00-9960,NDC,,both,1,each,0.06,0.06,0.01,0.06,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,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,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,,,0.04,percent of total billed charges ,,,0.05,percent of total billed charges ,0.05,percent of total billed charges ,0.05,percent of total billed charges ,0.05,percent of total billed charges ,0.05,percent of total billed charges ,0.05,percent of total billed charges ,0.05,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 ,,,,,0.03,percent of total billed charges ,,,,,0.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,
NF-METHOTREXATE ORAL TABLET 2.5MG,258,RC,54868-38-2607,NDC,,both,1,each,0.01,0.01,0,0.01,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,,,0.01,percent of total billed charges ,,,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,
NF-QVAR INH/NEB AER LIQ 0.08MG/1ACT,258,RC,54868-58-5800,NDC,,both,1,each,0.19,0.19,0.04,0.19,0.19,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,0.14,percent of total billed charges,0.14,percent of total billed charges,0.14,percent of total billed charges,0.14,percent of total billed charges,0.14,percent of total billed charges,0.14,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,,,0.14,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 ,0.16,percent of total billed charges ,0.16,percent of total billed charges ,0.15,percent of total billed charges ,0.15,percent of total billed charges ,0.13,percent of total billed charges ,0.13,percent of total billed charges ,0.11,percent of total billed charges ,0.11,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 ,,,,,,,,,,,,,,,,,,,0.04,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-Aranesp Injection Solution 0.06MG/1ML,258,RC,55513-00-0401,NDC,,both,1,each,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
NF-Pantoprazole Sodium Powder,258,RC,49452-49-7201,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-QVAR REDIHALER INH AER LIQ 0.04MG/1AC,258,RC,59310-03-0240,NDC,,both,1,each,0.18,0.18,0.04,0.18,0.18,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,0.13,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,0.14,percent of total billed charges,0.14,percent of total billed charges,0.14,percent of total billed charges,0.14,percent of total billed charges,,,0.13,percent of total billed charges ,,,0.14,percent of total billed charges ,0.14,percent of total billed charges ,0.14,percent of total billed charges ,0.15,percent of total billed charges ,0.15,percent of total billed charges ,0.14,percent of total billed charges ,0.14,percent of total billed charges ,0.13,percent of total billed charges ,0.13,percent of total billed charges ,0.11,percent of total billed charges ,0.11,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 ,,,,,0.09,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-XARELTO TAB 20MG,258,RC,50458-05-7990,NDC,,both,1,each,0.16,0.16,0.04,0.16,0.16,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,0.12,percent of total billed charges,0.12,percent of total billed charges,0.12,percent of total billed charges,0.12,percent of total billed charges,0.12,percent of total billed charges,0.12,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,,,0.12,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 ,0.14,percent of total billed charges ,0.14,percent of total billed charges ,0.13,percent of total billed charges ,0.13,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 ,,,,,0.08,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-tigecycline IV PowdforSoln 50MG,258,RC,63323-09-6010,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-P-CARE MG MR KIT,258,RC,49836-00-0220,NDC,,both,1,each,6.99,6.99,1.61,6.99,6.99,percent of total billed charges,6.99,percent of total billed charges,6.99,percent of total billed charges,6.99,percent of total billed charges,6.99,percent of total billed charges,6.99,percent of total billed charges,6.99,percent of total billed charges,6.99,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,5.52,percent of total billed charges,5.52,percent of total billed charges,5.59,percent of total billed charges,5.59,percent of total billed charges,,,5.03,percent of total billed charges ,,,5.59,percent of total billed charges ,5.52,percent of total billed charges ,5.52,percent of total billed charges ,5.94,percent of total billed charges ,5.94,percent of total billed charges ,5.59,percent of total billed charges ,5.59,percent of total billed charges ,4.89,percent of total billed charges ,4.89,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 ,,,,,3.72,percent of total billed charges ,,,,,3.53,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,
NF-CLOBETASOL PROPIONATE SOLUTION 0.05%,258,RC,00168-02-6950,NDC,,both,1,each,0.04,0.04,0.01,0.04,0.04,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,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,,,0.03,percent of total billed charges ,,,0.03,percent of total billed charges ,0.03,percent of total billed charges ,0.03,percent of total billed charges ,0.03,percent of total billed charges ,0.03,percent of total billed charges ,0.03,percent of total billed charges ,0.03,percent of total billed charges ,0.03,percent of total billed charges ,0.03,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,,,,,0.02,percent of total billed charges ,,,,,0.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,
NF-ADAPALENE TOPICAL CREAM 0.1%,258,RC,00168-04-2446,NDC,,both,1,each,0.07,0.07,0.02,0.07,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,,,0.05,percent of total billed charges ,,,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.05,percent of total billed charges ,0.05,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 ,,,,,,,,,,,,,,,,,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,
NF-PHENTERMINE HCL ORAL TABLET 37.5MG,258,RC,53489-06-7601,NDC,,both,1,each,0.02,0.02,0,0.02,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,,,0.01,percent of total billed charges ,,,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,
NF-SUDAFED 12 HOUR TAB ER 120MG,258,RC,54868-18-0500,NDC,,both,1,each,0.01,0.01,0,0.01,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,,,0.01,percent of total billed charges ,,,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,
NF-ZADITOR OPHTH SOLN 0.025%,258,RC,00065-40-1105,NDC,,both,1,each,0.02,0.02,0,0.02,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,,,0.01,percent of total billed charges ,,,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,
NF-REFRESH LIQUIGEL OPHTH GEL 1%,258,RC,00023-92-0515,NDC,,both,1,each,0.01,0.01,0,0.01,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,,,0.01,percent of total billed charges ,,,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,
NF-IMBRUVICA ORAL TABLET 420MG,258,RC,57962-04-2028,NDC,,both,1,each,4.87,4.87,1.12,4.87,4.87,percent of total billed charges,4.87,percent of total billed charges,4.87,percent of total billed charges,4.87,percent of total billed charges,4.87,percent of total billed charges,4.87,percent of total billed charges,4.87,percent of total billed charges,4.87,percent of total billed charges,3.51,percent of total billed charges,3.51,percent of total billed charges,3.51,percent of total billed charges,3.51,percent of total billed charges,3.51,percent of total billed charges,3.51,percent of total billed charges,3.85,percent of total billed charges,3.85,percent of total billed charges,3.9,percent of total billed charges,3.9,percent of total billed charges,,,3.51,percent of total billed charges ,,,3.9,percent of total billed charges ,3.85,percent of total billed charges ,3.85,percent of total billed charges ,4.14,percent of total billed charges ,4.14,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,3.41,percent of total billed charges ,3.41,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 ,,,,,,,,,,,,,,,,,,,1.12,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-Estring Vaginal Insert ER 0.0075MG/24,or ,RC,00013-21-5036,NDC,,both,1,each,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
NF-CARBAMAZEPINE ORAL TAB ER 100MG,258,RC,00781-59-8601,NDC,,both,1,each,0.01,0.01,0,0.01,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,,,0.01,percent of total billed charges ,,,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,
NF-Orencia ClickJect Autoinjector 125MG/,or ,RC,00003-21-8851,NDC,,both,1,each,12,12,2.76,12,12,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,9.48,percent of total billed charges,9.48,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 ,9.48,percent of total billed charges ,9.48,percent of total billed charges ,10.2,percent of total billed charges ,10.2,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 ,,,,,,,,,,,,,,,,,,,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,
NF-SUBOXONE SUBLINGUAL FILM 8MG-2MG,or ,RC,12496-12-0803,NDC,,both,1,each,0.1,0.1,0.02,0.1,0.1,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,0.1,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,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,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 ,,,0.08,percent of total billed charges ,0.08,percent of total billed charges ,0.08,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 ,0.07,percent of total billed charges ,0.07,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,,,,,0.05,percent of total billed charges ,,,,,0.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,
NF-GRALISE ORAL TABLET 600MG,258,RC,54569-63-7200,NDC,,both,1,each,0.05,0.05,0.01,0.05,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,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 ,,,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 ,0.03,percent of total billed charges ,0.03,percent of total billed charges ,0.03,percent of total billed charges ,0.03,percent of total billed charges ,,,,,0.03,percent of total billed charges ,,,,,0.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,
NF-METHIMAZOLE ORAL TABLET 10MG,258,RC,51293-08-2101,NDC,,both,1,each,0.01,0.01,0,0.01,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,,,0.01,percent of total billed charges ,,,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,
NF-ADAPALENE CRM 0.1%,258,RC,00299-59-1545,NDC,,both,1,each,0.15,0.15,0.03,0.15,0.15,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,0.11,percent of total billed charges,0.11,percent of total billed charges,0.11,percent of total billed charges,0.11,percent of total billed charges,0.11,percent of total billed charges,0.11,percent of total billed charges,0.12,percent of total billed charges,0.12,percent of total billed charges,0.12,percent of total billed charges,0.12,percent of total billed charges,,,0.11,percent of total billed charges ,,,0.12,percent of total billed charges ,0.12,percent of total billed charges ,0.12,percent of total billed charges ,0.13,percent of total billed charges ,0.13,percent of total billed charges ,0.12,percent of total billed charges ,0.12,percent of total billed charges ,0.11,percent of total billed charges ,0.11,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 ,,,,,0.08,percent of total billed charges ,,,,,0.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,
NF-PHENTERMINE HCL CAP 37.5MG,258,RC,50090-06-5302,NDC,,both,1,each,0.02,0.02,0,0.02,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,,,0.01,percent of total billed charges ,,,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,
NF-Enbrel Subcutaneous Solution 50MG/1ML,258,RC,58406-04-3501,NDC,,both,1,each,14,14,3.22,14,14,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,11.06,percent of total billed charges,11.06,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 ,11.06,percent of total billed charges ,11.06,percent of total billed charges ,11.9,percent of total billed charges ,11.9,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 ,,,,,,,,,,,,,,,,,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,
NF-LISINOPRIL-HYDROCHLOROTHIAZIDE TAB 10,258,RC,52959-04-9800,NDC,,both,1,each,0.01,0.01,0,0.01,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,,,0.01,percent of total billed charges ,,,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,
NF-CHANTIX ORAL TABLET 1MG,258,RC,00069-04-6956,NDC,,both,1,each,0.09,0.09,0.02,0.09,0.09,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,0.09,percent of total billed charges,0.09,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,,,0.06,percent of total billed charges ,,,0.07,percent of total billed charges ,0.07,percent of total billed charges ,0.07,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 ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.05,percent of total billed charges ,0.05,percent of total billed charges ,0.05,percent of total billed charges ,0.05,percent of total billed charges ,,,,,0.05,percent of total billed charges ,,,,,0.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,
NF-METHENAMINE HIPPURATE TAB 1GM,258,RC,30698-02-7701,NDC,,both,1,each,0.04,0.04,0.01,0.04,0.04,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,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,,,0.03,percent of total billed charges ,,,0.03,percent of total billed charges ,0.03,percent of total billed charges ,0.03,percent of total billed charges ,0.03,percent of total billed charges ,0.03,percent of total billed charges ,0.03,percent of total billed charges ,0.03,percent of total billed charges ,0.03,percent of total billed charges ,0.03,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,,,,,0.02,percent of total billed charges ,,,,,0.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,
NF-Cabometyx Oral Tablet 40MG,258,RC,42388-00-2526,NDC,,both,1,each,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
NF-Cabometyx Oral Tablet 40MG,258,RC,42388-00-2526,NDC,,both,1,each,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
NF-Asmanex Twist Inh/Neb Powder 220MCG/A,258,RC,54868-55-4700,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-Opdivo Intravenous Solution 10MG/1ML,or ,RC,00003-37-3413,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-Imbruvica Oral Capsule 140MG,258,RC,57962-01-4009,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-DULOXETINE CAPSULE DELAYED RELEASE 60,258,RC,23155-06-5603,NDC,,both,1,each,0.08,0.08,0.02,0.08,0.08,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,0.08,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,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,,,0.06,percent of total billed charges ,,,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.07,percent of total billed charges ,0.07,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.05,percent of total billed charges ,0.05,percent of total billed charges ,0.05,percent of total billed charges ,0.05,percent of total billed charges ,,,,,0.04,percent of total billed charges ,,,,,0.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,
NF-LOSARTAN POTASSIUM ORAL TABLET 100MG,258,RC,54868-61-0700,NDC,,both,1,each,0.07,0.07,0.02,0.07,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,,,0.05,percent of total billed charges ,,,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.05,percent of total billed charges ,0.05,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 ,,,,,,,,,,,,,,,,,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,
NF-TOLTERODINE TARTRATE CAP ER 4MG,258,RC,00009-51-9104,NDC,,both,1,each,0.15,0.15,0.03,0.15,0.15,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,0.11,percent of total billed charges,0.11,percent of total billed charges,0.11,percent of total billed charges,0.11,percent of total billed charges,0.11,percent of total billed charges,0.11,percent of total billed charges,0.12,percent of total billed charges,0.12,percent of total billed charges,0.12,percent of total billed charges,0.12,percent of total billed charges,,,0.11,percent of total billed charges ,,,0.12,percent of total billed charges ,0.12,percent of total billed charges ,0.12,percent of total billed charges ,0.13,percent of total billed charges ,0.13,percent of total billed charges ,0.12,percent of total billed charges ,0.12,percent of total billed charges ,0.11,percent of total billed charges ,0.11,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 ,,,,,0.08,percent of total billed charges ,,,,,0.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,
NF-HumuLIN R Concentrated U-500 KwikPen,258,RC,00002-88-2427,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-TOPROL XL TABLET 200MG,258,RC,70347-02-0002,NDC,,both,1,each,0.04,0.04,0.01,0.04,0.04,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,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,,,0.03,percent of total billed charges ,,,0.03,percent of total billed charges ,0.03,percent of total billed charges ,0.03,percent of total billed charges ,0.03,percent of total billed charges ,0.03,percent of total billed charges ,0.03,percent of total billed charges ,0.03,percent of total billed charges ,0.03,percent of total billed charges ,0.03,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,,,,,0.02,percent of total billed charges ,,,,,0.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,
NF-Boniva Oral Tablet 150MG,258,RC,00004-01-8682,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-VIORELE ORAL TABLET,258,RC,68462-03-1829,NDC,,both,1,each,0.02,0.02,0,0.02,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,,,0.01,percent of total billed charges ,,,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,
NF-Ibrance Oral Capsule 125MG,258,RC,00069-01-8921,NDC,,both,1,each,6,6,1.38,6,6,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,4.74,percent of total billed charges,4.74,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 ,4.74,percent of total billed charges ,4.74,percent of total billed charges ,5.1,percent of total billed charges ,5.1,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 ,,,,,,,,,,,,,,,,,,,1.38,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-EXJADE ORAL TABLET FOR SUSPENSION 500,or ,RC,00078-04-7015,NDC,,both,1,each,1.88,1.88,0.43,1.88,1.88,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,1.35,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,1.49,percent of total billed charges,1.49,percent of total billed charges,1.5,percent of total billed charges,1.5,percent of total billed charges,,,1.35,percent of total billed charges ,,,1.5,percent of total billed charges ,1.49,percent of total billed charges ,1.49,percent of total billed charges ,1.6,percent of total billed charges ,1.6,percent of total billed charges ,1.5,percent of total billed charges ,1.5,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,percent of total billed charges ,,,,,0.95,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,
NF-Daraprim Oral Tablet 25MG,258,RC,52054-03-3095,NDC,,both,1,each,9,9,2.07,9,9,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,7.11,percent of total billed charges,7.11,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 ,7.11,percent of total billed charges ,7.11,percent of total billed charges ,7.65,percent of total billed charges ,7.65,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 ,,,,,,,,,,,,,,,,,,,2.07,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,
NF-Nystatin Powder,or ,RC,62991-27-8501,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-Rhopressa Ophthalmic Solution 0.02%,258,RC,70727-04-9725,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-REFRESH OPTIVE ADVANCED OPHTH SOLN,258,RC,00023-43-0710,NDC,,both,1,each,0.01,0.01,0,0.01,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,,,0.01,percent of total billed charges ,,,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,
NF-Imbruvica Oral Tablet 420MG,258,RC,57962-04-2028,NDC,,both,1,each,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
NF-HOME ACCESS,258,RC,83170-04-4855,NDC,,both,,,0.32,0.32,0.07,0.32,0.32,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,0.23,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,0.25,percent of total billed charges,0.25,percent of total billed charges,0.26,percent of total billed charges,0.26,percent of total billed charges,,,0.23,percent of total billed charges ,,,0.26,percent of total billed charges ,0.25,percent of total billed charges ,0.25,percent of total billed charges ,0.27,percent of total billed charges ,0.27,percent of total billed charges ,0.26,percent of total billed charges ,0.26,percent of total billed charges ,0.22,percent of total billed charges ,0.22,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 ,,,,,0.17,percent of total billed charges ,,,,,0.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,
NF-FERAHEME INTRAVENOUS SOLUTION 30MG/1M,258,RC,59338-07-7501,NDC,,both,1,each,0.69,0.69,0.16,0.69,0.69,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,0.55,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,,,0.5,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 ,0.59,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 ,0.48,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 ,,,,,,,,,,,,,,,,,,,0.16,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-METHOTREXATE   TAB  2.5MG,258,RC,50090-02-9409,NDC,,both,1,each,0.04,0.04,0.01,0.04,0.04,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,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,,,0.03,percent of total billed charges ,,,0.03,percent of total billed charges ,0.03,percent of total billed charges ,0.03,percent of total billed charges ,0.03,percent of total billed charges ,0.03,percent of total billed charges ,0.03,percent of total billed charges ,0.03,percent of total billed charges ,0.03,percent of total billed charges ,0.03,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,,,,,0.02,percent of total billed charges ,,,,,0.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,
NF-NexAVAR Oral Tablet 200MG,258,RC,50419-04-8858,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-Rhopressa Ophthalmic Solution 0.02%,258,RC,70727-04-9725,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-PLASMA IV SOLN NO STRENGTH,258,RC,67467-09-5203,NDC,,both,1,each,0.01,0.01,0,0.01,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,,,0.01,percent of total billed charges ,,,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,
NF-SYSTANE OPHTH SOLUTION,258,RC,00065-04-2915,NDC,,both,1,each,0.01,0.01,0,0.01,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,,,0.01,percent of total billed charges ,,,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,
NF-TEMOZOLOMIDE CAP 140MG,258,RC,00085-14-2504,NDC,,both,1,each,7.65,7.65,1.76,7.65,7.65,percent of total billed charges,7.65,percent of total billed charges,7.65,percent of total billed charges,7.65,percent of total billed charges,7.65,percent of total billed charges,7.65,percent of total billed charges,7.65,percent of total billed charges,7.65,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,6.04,percent of total billed charges,6.04,percent of total billed charges,6.12,percent of total billed charges,6.12,percent of total billed charges,,,5.51,percent of total billed charges ,,,6.12,percent of total billed charges ,6.04,percent of total billed charges ,6.04,percent of total billed charges ,6.5,percent of total billed charges ,6.5,percent of total billed charges ,6.12,percent of total billed charges ,6.12,percent of total billed charges ,5.36,percent of total billed charges ,5.36,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 ,,,,,4.07,percent of total billed charges ,,,,,3.87,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,
NF-TEMOZOLOMIDE CAP 20MG,258,RC,64980-03-3414,NDC,,both,1,each,0.58,0.58,0.13,0.58,0.58,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,0.46,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,,,0.42,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 ,0.49,percent of total billed charges ,0.49,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 ,,,,,,,,,,,,,,,,,,,0.13,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,,,0.13,percent of total billed charges,,,0.13,percent of total billed charges,,,0.13,percent of total billed charges,
NF-DAPSONE ORAL TABLET 100MG,258,RC,29033-00-3730,NDC,,both,1,each,0.01,0.01,0,0.01,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,,,0.01,percent of total billed charges ,,,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,
NF-TEMOZOLOMIDE CAP 140MG,258,RC,00781-26-9444,NDC,,both,1,each,3.54,3.54,0.81,3.54,3.54,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,2.8,percent of total billed charges,2.8,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 ,2.8,percent of total billed charges ,2.8,percent of total billed charges ,3.01,percent of total billed charges ,3.01,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 ,,,,,,,,,,,,,,,,,,,0.81,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,
NF-TEMOZOLOMIDE CAP 20MG,258,RC,00781-26-9244,NDC,,both,1,each,0.51,0.51,0.12,0.51,0.51,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,0.4,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,,,0.37,percent of total billed charges ,,,0.41,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 ,0.41,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 ,,,,,,,,,,,,,,,,,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,
NF-NexAVAR Oral Tablet 200MG,258,RC,50419-04-8858,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-Toujeo Subcutaneous Solution 300U/1ML,258,RC,00024-58-6903,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-TRULICITY SUBQ SOLN 1.5MG/0.5ML,258,RC,00002-14-3480,NDC,,both,1,each,4.56,4.56,1.05,4.56,4.56,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,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,3.6,percent of total billed charges,3.6,percent of total billed charges,3.65,percent of total billed charges,3.65,percent of total billed charges,,,3.28,percent of total billed charges ,,,3.65,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.88,percent of total billed charges ,3.88,percent of total billed charges ,3.65,percent of total billed charges ,3.65,percent of total billed charges ,3.19,percent of total billed charges ,3.19,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 ,,,,,2.43,percent of total billed charges ,,,,,2.3,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,
NF-Kalydeco Oral Tablet 150MG,258,RC,51167-02-0002,NDC,,both,1,each,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
NF-DIOVAN ORAL TABLET 160MG,258,RC,13411-01-4302,NDC,,both,1,each,0.03,0.03,0.01,0.03,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,,,0.02,percent of total billed charges ,,,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.03,percent of total billed charges ,0.03,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,,,,,0.02,percent of total billed charges ,,,,,0.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,
NF-Imbruvica Oral Capsule 140MG,258,RC,57962-01-4009,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-ABILIFY MAINTENA VIAL IM PWD FOR SUSP,258,RC,59148-00-1971,NDC,,both,1,each,27.3,27.3,6.28,27.3,27.3,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,19.66,percent of total billed charges,19.66,percent of total billed charges,19.66,percent of total billed charges,19.66,percent of total billed charges,19.66,percent of total billed charges,19.66,percent of total billed charges,21.57,percent of total billed charges,21.57,percent of total billed charges,21.84,percent of total billed charges,21.84,percent of total billed charges,,,19.66,percent of total billed charges ,,,21.84,percent of total billed charges ,21.57,percent of total billed charges ,21.57,percent of total billed charges ,23.21,percent of total billed charges ,23.21,percent of total billed charges ,21.84,percent of total billed charges ,21.84,percent of total billed charges ,19.11,percent of total billed charges ,19.11,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 ,,,,,14.52,percent of total billed charges ,,,,,13.8,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,,,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,,,6.28,percent of total billed charges,,,6.28,percent of total billed charges,,,6.28,percent of total billed charges,
NF-Ingrezza Oral Capsule 80MG,258,RC,70370-10-8001,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-MINOCYCLINE HCL CAP 100MG,258,RC,50090-23-3904,NDC,,both,1,each,0.03,0.03,0.01,0.03,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,,,0.02,percent of total billed charges ,,,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.03,percent of total billed charges ,0.03,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,,,,,0.02,percent of total billed charges ,,,,,0.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,
NF-OMEPRAZOLE AVPAK CAP DR 40MG,258,RC,50268-06-2015,NDC,,both,1,each,0.07,0.07,0.02,0.07,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,,,0.05,percent of total billed charges ,,,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.05,percent of total billed charges ,0.05,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 ,,,,,,,,,,,,,,,,,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,
NF-PRAZOSIN HCL     CAP  2MG,258,RC,50090-28-2800,NDC,,both,1,each,0.01,0.01,0,0.01,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,,,0.01,percent of total billed charges ,,,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,
NF-Xtandi Oral Liquid Filled Capsule 40M,258,RC,00469-01-2599,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-Imbruvica Oral Capsule 140MG,258,RC,57962-01-4009,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-Xalkori Oral Capsule 250MG,258,RC,00069-81-4020,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-Imbruvica Oral Capsule 140MG,258,RC,57962-01-4009,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-Xalkori Oral Capsule 250MG,258,RC,00069-81-4020,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-DORZOLAMIDE HCL-TIMOLOL 22.3MG-6.8MG/,258,RC,54868-59-8200,NDC,,both,1,each,0.23,0.23,0.05,0.23,0.23,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,0.17,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,0.18,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,,,0.17,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 ,0.2,percent of total billed charges ,0.2,percent of total billed charges ,0.18,percent of total billed charges ,0.18,percent of total billed charges ,0.16,percent of total billed charges ,0.16,percent of total billed charges ,0.14,percent of total billed charges ,0.14,percent of total billed charges ,0.14,percent of total billed charges ,0.14,percent of total billed charges ,,,,,0.12,percent of total billed charges ,,,,,0.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.05,percent of total billed charges,,,0.05,percent of total billed charges,,,0.05,percent of total billed charges,,,0.05,percent of total billed charges,,,0.05,percent of total billed charges,,,0.05,percent of total billed charges,,,0.05,percent of total billed charges,,,0.05,percent of total billed charges,,,0.05,percent of total billed charges,,,0.05,percent of total billed charges,,,0.05,percent of total billed charges,
NF-Asmanex Twist Inh/Neb Powder 220MCG/A,258,RC,54868-55-4700,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-Faslodex Intramascular Solution 50MG/,or ,RC,00310-07-2010,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-Piqray 300MG Daily Dose OralTablet 15,258,RC,00078-07-0802,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-fluticasone-salmeterol 113MCG-14MCG/1,258,RC,00093-36-0882,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-CHLORHEXIDINE GLUCONATE 20% SOLUTION,258,RC,38779-25-7707,NDC,,both,1,each,0.01,0.01,0,0.01,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,,,0.01,percent of total billed charges ,,,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,
NF-Trulicity SubQ Solution 0.75MG/0.5ML,or ,RC,00002-14-3301,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
NF-SYNTHROID ORAL TABLET 112MCG,258,RC,00074-92-9619,NDC,,both,1,each,0.02,0.02,0,0.02,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,,,0.01,percent of total billed charges ,,,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,
"NF-BUTALBITAL, APAP AND CAFFEINE CAPSULE",258,RC,13107-00-7501,NDC,,both,1,each,0.05,0.05,0.01,0.05,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,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 ,,,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 ,0.03,percent of total billed charges ,0.03,percent of total billed charges ,0.03,percent of total billed charges ,0.03,percent of total billed charges ,,,,,0.03,percent of total billed charges ,,,,,0.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,
NF-FIORINAL CAP 50MG-325MG-40MG,258,RC,00023-61-4601,NDC,,both,1,each,0.01,0.01,0,0.01,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,,,0.01,percent of total billed charges ,,,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,
NF-Firmagon SubQ Powder for Solution 80M,258,RC,55566-83-0301,NDC,,both,1,each,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
NF-tigecycline Intravenous PwdforSoln 50,258,RC,00781-34-8192,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-ALTAVERA ORAL TABLET 0.15MG-30MCG,258,RC,70700-01-1685,NDC,,both,1,each,0.01,0.01,0,0.01,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,,,0.01,percent of total billed charges ,,,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,
NF-Tasigna Oral Capsule 200MG,258,RC,00078-05-2687,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-POTASSIUM CHLORIDE ORAL TAB ER 20MEQ,258,RC,63629-27-0304,NDC,,both,1,each,0.01,0.01,0,0.01,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,,,0.01,percent of total billed charges ,,,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,
NF-SPIRONOLACTONE ORAL TABLET 50MG,258,RC,63629-10-6501,NDC,,both,1,each,0.01,0.01,0,0.01,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,,,0.01,percent of total billed charges ,,,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,
NF-BETAMETHASONE VALERATE OINTMENT 0.1%,258,RC,00168-00-3346,NDC,,both,1,each,0.01,0.01,0,0.01,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,,,0.01,percent of total billed charges ,,,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,
NF-Glucagon Injection Powder for Soln 1M,258,RC,63323-05-9303,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-TESTOSTERONE GEL 1.62%,258,RC,69238-10-1302,NDC,,both,1,each,0.09,0.09,0.02,0.09,0.09,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,0.09,percent of total billed charges,0.09,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,,,0.06,percent of total billed charges ,,,0.07,percent of total billed charges ,0.07,percent of total billed charges ,0.07,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 ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.05,percent of total billed charges ,0.05,percent of total billed charges ,0.05,percent of total billed charges ,0.05,percent of total billed charges ,,,,,0.05,percent of total billed charges ,,,,,0.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,
NF-FRANKINCENSE OIL OIL,258,RC,23535-01-5121,NDC,,both,1,each,0.01,0.01,0,0.01,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,,,0.01,percent of total billed charges ,,,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,
NF-Farydak Oral Capsule 15MG,258,RC,00078-06-5106,NDC,,both,1,each,21,21,4.83,21,21,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,16.59,percent of total billed charges,16.59,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 ,16.59,percent of total billed charges ,16.59,percent of total billed charges ,17.85,percent of total billed charges ,17.85,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 ,,,,,,,,,,,,,,,,,,,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,
NF-SYSTANE ULTRA OPHTHALMIC SOLN 0.4%-0.,258,RC,00065-14-3105,NDC,,both,1,each,0.01,0.01,0,0.01,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,,,0.01,percent of total billed charges ,,,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,
NF-Spiriva Respimat Inh Spray 2.5MCG/1Ac,or ,RC,00597-01-0061,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-Victoza Subcutaneous Solution 6MG/1ML,258,RC,00169-40-6012,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-BASAGLAR KWIKPEN SUBQ SOLN 100U/1ML,258,RC,00002-77-1501,NDC,,both,1,each,0.26,0.26,0.06,0.26,0.26,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,0.19,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,0.21,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,,,0.19,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 ,0.22,percent of total billed charges ,0.22,percent of total billed charges ,0.21,percent of total billed charges ,0.21,percent of total billed charges ,0.18,percent of total billed charges ,0.18,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 ,,,,,0.14,percent of total billed charges ,,,,,0.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,
NF-glatiramer acetate SubQ Soln 40MG/1ML,or ,RC,00378-69-6112,NDC,,both,1,each,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
NF-glatiramer acetate SubQ Soln 40MG/1ML,258,RC,00378-69-6112,NDC,,both,1,each,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
NF-LUBIPROSTONE LIQ CAP 24MCG,258,RC,00254-30-2902,NDC,,both,1,each,0.07,0.07,0.02,0.07,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,,,0.05,percent of total billed charges ,,,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.05,percent of total billed charges ,0.05,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 ,,,,,,,,,,,,,,,,,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,
NF-Xtandi Oral Tablet 40MG,258,RC,00469-06-2599,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-fluticasone-salmeterol 232MCG-14MCG/1,or ,RC,00093-36-0982,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-LUTEIN PWD,250,RC,46144-01-2110,NDC,,both,1,each,0.17,0.17,0.04,0.17,0.17,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,0.12,percent of total billed charges,0.12,percent of total billed charges,0.12,percent of total billed charges,0.12,percent of total billed charges,0.12,percent of total billed charges,0.12,percent of total billed charges,0.13,percent of total billed charges,0.13,percent of total billed charges,0.14,percent of total billed charges,0.14,percent of total billed charges,,,0.12,percent of total billed charges ,,,0.14,percent of total billed charges ,0.13,percent of total billed charges ,0.13,percent of total billed charges ,0.14,percent of total billed charges ,0.14,percent of total billed charges ,0.14,percent of total billed charges ,0.14,percent of total billed charges ,0.12,percent of total billed charges ,0.12,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 ,,,,,,,,,,,,,,,,,,,0.04,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-Tracleer Oral Tablet 125MG,258,RC,66215-01-0203,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-LEFLUNOMIDE AVPAK ORAL TABLET 20MG,258,RC,50268-04-7815,NDC,,both,1,each,0.06,0.06,0.01,0.06,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,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,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,,,0.04,percent of total billed charges ,,,0.05,percent of total billed charges ,0.05,percent of total billed charges ,0.05,percent of total billed charges ,0.05,percent of total billed charges ,0.05,percent of total billed charges ,0.05,percent of total billed charges ,0.05,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 ,,,,,0.03,percent of total billed charges ,,,,,0.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,
NF-VIAGRA ORAL TABLET 100MG,258,RC,66105-05-3603,NDC,,both,1,each,0.18,0.18,0.04,0.18,0.18,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,0.13,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,0.14,percent of total billed charges,0.14,percent of total billed charges,0.14,percent of total billed charges,0.14,percent of total billed charges,,,0.13,percent of total billed charges ,,,0.14,percent of total billed charges ,0.14,percent of total billed charges ,0.14,percent of total billed charges ,0.15,percent of total billed charges ,0.15,percent of total billed charges ,0.14,percent of total billed charges ,0.14,percent of total billed charges ,0.13,percent of total billed charges ,0.13,percent of total billed charges ,0.11,percent of total billed charges ,0.11,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 ,,,,,0.09,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-Ibandronate Sodium Oral Tablet 150MG,258,RC,33342-01-5053,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-Ambrisentan Oral Tablet 10MG,258,RC,00378-42-7193,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-URSODIOL ORAL TABLET 500MG,258,RC,68001-03-7800,NDC,,both,1,each,0.05,0.05,0.01,0.05,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,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 ,,,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 ,0.03,percent of total billed charges ,0.03,percent of total billed charges ,0.03,percent of total billed charges ,0.03,percent of total billed charges ,,,,,0.03,percent of total billed charges ,,,,,0.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,
NF-ALLEGRA-D 12 HOUR ORAL TAB ER 60MG-12,258,RC,41167-43-1004,NDC,,both,1,each,0.01,0.01,0,0.01,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,,,0.01,percent of total billed charges ,,,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,
NF-Amphotericin B Powder,or ,RC,38779-01-9100,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-Ambisome Powder For Inj 50MG,258,RC,00469-30-5130,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-Ambisome Powder For Inj 50MG,or ,RC,00469-30-5130,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-SYNTHROID ORAL TABLET 175MCG,258,RC,00074-70-7090,NDC,,both,1,each,0.02,0.02,0,0.02,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,,,0.01,percent of total billed charges ,,,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,
NF-Invega Sustenna IM Susp ER 78MG,258,RC,50458-05-6101,NDC,,both,1,each,23,23,5.29,23,23,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,18.17,percent of total billed charges,18.17,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 ,18.17,percent of total billed charges ,18.17,percent of total billed charges ,19.55,percent of total billed charges ,19.55,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 ,,,,,,,,,,,,,,,,,,,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,
NF-AZITHROMYCIN ORAL TABLET 600MG,258,RC,69452-01-7313,NDC,,both,1,each,0.19,0.19,0.04,0.19,0.19,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,0.14,percent of total billed charges,0.14,percent of total billed charges,0.14,percent of total billed charges,0.14,percent of total billed charges,0.14,percent of total billed charges,0.14,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,,,0.14,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 ,0.16,percent of total billed charges ,0.16,percent of total billed charges ,0.15,percent of total billed charges ,0.15,percent of total billed charges ,0.13,percent of total billed charges ,0.13,percent of total billed charges ,0.11,percent of total billed charges ,0.11,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 ,,,,,,,,,,,,,,,,,,,0.04,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-MESALAMINE RECTAL SUPPOSITORY 1000MG,258,RC,00378-92-3093,NDC,,both,1,each,0.4,0.4,0.09,0.4,0.4,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,0.29,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,0.32,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 ,,,0.32,percent of total billed charges ,0.32,percent of total billed charges ,0.32,percent of total billed charges ,0.34,percent of total billed charges ,0.34,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 ,0.28,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 ,,,,,0.21,percent of total billed charges ,,,,,0.2,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,,,0.09,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,
NF-CAPSAICIN CREAM 0.025%,258,RC,54868-37-6000,NDC,,both,1,each,0.01,0.01,0,0.01,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,,,0.01,percent of total billed charges ,,,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,
NF-Humira Subcutaneous Solution 40MG/0.4,or ,RC,00074-02-4302,NDC,,both,1,each,35,35,8.05,35,35,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,27.65,percent of total billed charges,27.65,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 ,27.65,percent of total billed charges ,27.65,percent of total billed charges ,29.75,percent of total billed charges ,29.75,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 ,,,,,,,,,,,,,,,,,,,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,
NF-Humira Subcutaneous Solution 40MG/0.4,or ,RC,00074-02-4302,NDC,,both,1,each,35,35,8.05,35,35,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,27.65,percent of total billed charges,27.65,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 ,27.65,percent of total billed charges ,27.65,percent of total billed charges ,29.75,percent of total billed charges ,29.75,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 ,,,,,,,,,,,,,,,,,,,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,
NF-DOFETILIDE CAP 125MCG,258,RC,16714-08-4001,NDC,,both,1,each,0.09,0.09,0.02,0.09,0.09,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,0.09,percent of total billed charges,0.09,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,,,0.06,percent of total billed charges ,,,0.07,percent of total billed charges ,0.07,percent of total billed charges ,0.07,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 ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.05,percent of total billed charges ,0.05,percent of total billed charges ,0.05,percent of total billed charges ,0.05,percent of total billed charges ,,,,,0.05,percent of total billed charges ,,,,,0.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,
NF-Calquence Oral Capsule 100MG,258,RC,00310-05-1260,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-ESOMEPRAZOLE MAGNESIUM CAP DR 40MG,258,RC,60760-02-4630,NDC,,both,1,each,0.1,0.1,0.02,0.1,0.1,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,0.1,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,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,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 ,,,0.08,percent of total billed charges ,0.08,percent of total billed charges ,0.08,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 ,0.07,percent of total billed charges ,0.07,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,,,,,0.05,percent of total billed charges ,,,,,0.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,
NF-DOFETILIDE CAP 125MCG,258,RC,00069-58-0060,NDC,,both,1,each,0.13,0.13,0.03,0.13,0.13,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 ,0.1,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 ,0.09,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 ,,,,,,,,,,,,,,,,,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,
NF-CONCERTA TAB ER 54MG,258,RC,54868-47-8901,NDC,,both,1,each,0.07,0.07,0.02,0.07,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,,,0.05,percent of total billed charges ,,,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.05,percent of total billed charges ,0.05,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 ,,,,,,,,,,,,,,,,,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,
NF-Tigecycline IV PwdforSoln 50MG,258,RC,55150-02-2810,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-ADDERALL XR CAP ER 10MG,258,RC,54092-03-8301,NDC,,both,1,each,0.09,0.09,0.02,0.09,0.09,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,0.09,percent of total billed charges,0.09,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,,,0.06,percent of total billed charges ,,,0.07,percent of total billed charges ,0.07,percent of total billed charges ,0.07,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 ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.05,percent of total billed charges ,0.05,percent of total billed charges ,0.05,percent of total billed charges ,0.05,percent of total billed charges ,,,,,0.05,percent of total billed charges ,,,,,0.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,
NF-LEUCOVORIN CALCIUM ORAL TABLET 5MG,258,RC,42806-03-5830,NDC,,both,1,each,0.02,0.02,0,0.02,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,,,0.01,percent of total billed charges ,,,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,
NF-REXULTI TAB 1MG,258,RC,59148-00-3713,NDC,,both,1,each,0.5,0.5,0.12,0.5,0.5,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,0.4,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 ,,,0.4,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 ,0.4,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 ,,,,,,,,,,,,,,,,,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,
NF-Genvoya Oral Tablet,258,RC,61958-19-0101,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-Genvoya Oral Tablet,258,RC,50090-22-7900,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-RIVASTIGMINE TD PATCH ER 13.3MG/24HR,258,RC,00078-05-0315,NDC,,both,1,each,0.27,0.27,0.06,0.27,0.27,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,0.19,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,0.21,percent of total billed charges,0.21,percent of total billed charges,0.22,percent of total billed charges,0.22,percent of total billed charges,,,0.19,percent of total billed charges ,,,0.22,percent of total billed charges ,0.21,percent of total billed charges ,0.21,percent of total billed charges ,0.23,percent of total billed charges ,0.23,percent of total billed charges ,0.22,percent of total billed charges ,0.22,percent of total billed charges ,0.19,percent of total billed charges ,0.19,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 ,,,,,0.14,percent of total billed charges ,,,,,0.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,
NF-Trulicity SubQ Soln 1.5MG/0.5ML,or ,RC,00002-14-3480,NDC,,both,1,each,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
NF-RIVASTIGMINE TD PATCH ER 13.3MG/24HR,258,RC,00078-05-0315,NDC,,both,1,each,0.27,0.27,0.06,0.27,0.27,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,0.19,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,0.21,percent of total billed charges,0.21,percent of total billed charges,0.22,percent of total billed charges,0.22,percent of total billed charges,,,0.19,percent of total billed charges ,,,0.22,percent of total billed charges ,0.21,percent of total billed charges ,0.21,percent of total billed charges ,0.23,percent of total billed charges ,0.23,percent of total billed charges ,0.22,percent of total billed charges ,0.22,percent of total billed charges ,0.19,percent of total billed charges ,0.19,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 ,,,,,0.14,percent of total billed charges ,,,,,0.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,
NF-Genvoya Oral Tablet,258,RC,61958-19-0101,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-BUPRENORPHINE-NALOXONE SL TABLET 2-0.,258,RC,00054-01-8813,NDC,,both,1,each,0.06,0.06,0.01,0.06,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,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,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,,,0.04,percent of total billed charges ,,,0.05,percent of total billed charges ,0.05,percent of total billed charges ,0.05,percent of total billed charges ,0.05,percent of total billed charges ,0.05,percent of total billed charges ,0.05,percent of total billed charges ,0.05,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 ,,,,,0.03,percent of total billed charges ,,,,,0.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,
NF-Xtandi Oral Liquid Filled Capsule 40M,258,RC,00469-01-2599,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-Enbrel Subcutaneous Solution 50MG/1ML,258,RC,58406-04-3501,NDC,,both,1,each,18,18,4.14,18,18,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,14.22,percent of total billed charges,14.22,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 ,14.22,percent of total billed charges ,14.22,percent of total billed charges ,15.3,percent of total billed charges ,15.3,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 ,,,,,,,,,,,,,,,,,,,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,,,4.14,percent of total billed charges,,,4.14,percent of total billed charges,,,4.14,percent of total billed charges,
NF-Ozempic 1MG Doses SubQ Soln 4MG/3ML,258,RC,00169-41-3013,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-Victoza Subcutaneous Solution 6MG/1ML,258,RC,00169-40-6012,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-Oxbryta Oral Tab for Susp 300MG,258,RC,72786-01-1102,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-Genvoya Oral Tablet,258,RC,61958-19-0101,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-Saxenda Subcutaneous Solution 6MG/1ML,258,RC,00169-28-0015,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-BUPRENORPHINE-NALOXONE SL TAB 2MG-0.5,258,RC,65162-04-1603,NDC,,both,1,each,0.06,0.06,0.01,0.06,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,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,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,,,0.04,percent of total billed charges ,,,0.05,percent of total billed charges ,0.05,percent of total billed charges ,0.05,percent of total billed charges ,0.05,percent of total billed charges ,0.05,percent of total billed charges ,0.05,percent of total billed charges ,0.05,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 ,,,,,0.03,percent of total billed charges ,,,,,0.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,
NF-Ingrezza Oral Capsule 40MG,258,RC,70370-20-4001,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-LIOTHYRONINE SODIUM ORAL TABLET 5MCG,258,RC,68788-72-6906,NDC,,both,1,each,0.01,0.01,0,0.01,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,,,0.01,percent of total billed charges ,,,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,
NF-Xtandi Oral Tablet 40MG,258,RC,00469-06-2599,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-BUPRENORPHINE-NALOXONE SL FILM 12MG-3,258,RC,12496-12-1203,NDC,,both,1,each,0.22,0.22,0.05,0.22,0.22,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,0.16,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,0.17,percent of total billed charges,0.17,percent of total billed charges,0.18,percent of total billed charges,0.18,percent of total billed charges,,,0.16,percent of total billed charges ,,,0.18,percent of total billed charges ,0.17,percent of total billed charges ,0.17,percent of total billed charges ,0.19,percent of total billed charges ,0.19,percent of total billed charges ,0.18,percent of total billed charges ,0.18,percent of total billed charges ,0.15,percent of total billed charges ,0.15,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 ,,,,,0.12,percent of total billed charges ,,,,,0.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.05,percent of total billed charges,,,0.05,percent of total billed charges,,,0.05,percent of total billed charges,,,0.05,percent of total billed charges,,,0.05,percent of total billed charges,,,0.05,percent of total billed charges,,,0.05,percent of total billed charges,,,0.05,percent of total billed charges,,,0.05,percent of total billed charges,,,0.05,percent of total billed charges,,,0.05,percent of total billed charges,
NF-Nurtec ODT Oral Dis Tablet 75MG,258,RC,72618-30-0002,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-Ubrelvy Oral Tablet 100MG,258,RC,00023-65-0102,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-MESALAMINE CAP ER 0.375GM,258,RC,00093-92-2489,NDC,,both,1,each,0.05,0.05,0.01,0.05,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,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 ,,,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 ,0.03,percent of total billed charges ,0.03,percent of total billed charges ,0.03,percent of total billed charges ,0.03,percent of total billed charges ,,,,,0.03,percent of total billed charges ,,,,,0.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,
NF-Vyzulta Ophthalmic Solution 0.024%,258,RC,24208-05-0402,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-Mycamine Intravenous Pwd for Soln 100,or ,RC,00469-32-1110,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-Trulicity SubQ Soln 1.5MG/0.5ML,258,RC,00002-14-3401,NDC,,both,1,each,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
NF-Rhopressa Ophthalmic Solution 0.02%,258,RC,70727-04-9725,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-teriparatide SubQ Soln 250MCG/1ML,258,RC,47781-06-5289,NDC,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
NF-Xtandi Oral Liquid Filled Capsule 40M,258,RC,00469-01-2599,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-ENTACAPONE AVPAK ORAL TABLET 200MG,258,RC,50268-02-9515,NDC,,both,1,each,0.06,0.06,0.01,0.06,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,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,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,,,0.04,percent of total billed charges ,,,0.05,percent of total billed charges ,0.05,percent of total billed charges ,0.05,percent of total billed charges ,0.05,percent of total billed charges ,0.05,percent of total billed charges ,0.05,percent of total billed charges ,0.05,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 ,,,,,0.03,percent of total billed charges ,,,,,0.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,
NF-ABIRATERONE ACETATE ORAL TABLET 250MG,258,RC,60505-43-2701,NDC,,both,1,each,0.92,0.92,0.21,0.92,0.92,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,0.73,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,,,0.66,percent of total billed charges ,,,0.74,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 ,0.74,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 ,,,,,,,,,,,,,,,,,,,0.21,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,
NF-DOXYCYCLINE AVPAK ORAL CAPSULE 50MG,258,RC,50268-02-8015,NDC,,both,1,each,0.01,0.01,0,0.01,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,,,0.01,percent of total billed charges ,,,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,
NF-Trulicity SubQ Soln 3MG/0.5ML,258,RC,00002-22-3601,NDC,,both,1,each,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
NF-GRISEOFULVIN ORAL TABLET 500MG,258,RC,63629-29-2901,NDC,,both,1,each,0.03,0.03,0.01,0.03,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.03,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,0.02,percent of total billed charges,,,0.02,percent of total billed charges ,,,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.03,percent of total billed charges ,0.03,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,0.02,percent of total billed charges ,,,,,0.02,percent of total billed charges ,,,,,0.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,
NF-Combivent Respimat Inhalation Spray,or ,RC,00597-00-2402,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-CINACALCET HCL ORAL TABLET 30MG,258,RC,70436-00-0704,NDC,,both,1,each,0.31,0.31,0.07,0.31,0.31,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,0.22,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,0.24,percent of total billed charges,0.24,percent of total billed charges,0.25,percent of total billed charges,0.25,percent of total billed charges,,,0.22,percent of total billed charges ,,,0.25,percent of total billed charges ,0.24,percent of total billed charges ,0.24,percent of total billed charges ,0.26,percent of total billed charges ,0.26,percent of total billed charges ,0.25,percent of total billed charges ,0.25,percent of total billed charges ,0.22,percent of total billed charges ,0.22,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 ,,,,,0.16,percent of total billed charges ,,,,,0.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,
NF-ENVARSUS XR TAB ER 0.75MG,258,RC,68992-30-7503,NDC,,both,1,each,0.06,0.06,0.01,0.06,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,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,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,,,0.04,percent of total billed charges ,,,0.05,percent of total billed charges ,0.05,percent of total billed charges ,0.05,percent of total billed charges ,0.05,percent of total billed charges ,0.05,percent of total billed charges ,0.05,percent of total billed charges ,0.05,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 ,,,,,0.03,percent of total billed charges ,,,,,0.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,
NF-Ozempic 1MG Doses SubQ Soln 4MG/3ML,258,RC,00169-41-3013,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-Deferiprone Oral Tablet 1000MG,258,RC,00054-07-1119,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-Revlimid Oral Capsule 10MG,258,RC,59572-04-1000,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
NF-tigecycline IV PowdforSoln 50MG,258,RC,63323-09-6010,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-Trulicity SubQ Soln 1.5MG/0.5ML,258,RC,00002-14-3480,NDC,,both,1,each,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
NF-Lynparza Oral Tablet 150MG,258,RC,00310-06-7960,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-Rhopressa Ophthalmic Solution 0.02%,258,RC,70727-04-9725,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-Trudhesa Nasal Spray 4MG/1ML,258,RC,77530-07-2504,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-Trulicity SubQ Solution 0.75MG/0.5ML,258,RC,00002-14-3301,NDC,,both,1,each,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
NF-DOXEPIN HCL TABLET 3MG,258,RC,44183-01-0330,NDC,,both,1,each,0.16,0.16,0.04,0.16,0.16,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,0.12,percent of total billed charges,0.12,percent of total billed charges,0.12,percent of total billed charges,0.12,percent of total billed charges,0.12,percent of total billed charges,0.12,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,,,0.12,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 ,0.14,percent of total billed charges ,0.14,percent of total billed charges ,0.13,percent of total billed charges ,0.13,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 ,,,,,0.08,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-Xtandi Oral Tablet 80MG,258,RC,00469-07-2560,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-POSACONAZOLE TABLET DR 100MG,258,RC,00527-21-3335,NDC,,both,1,each,0.74,0.74,0.17,0.74,0.74,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,0.58,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,,,0.53,percent of total billed charges ,,,0.59,percent of total billed charges ,0.58,percent of total billed charges ,0.58,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 ,0.52,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 ,,,,,,,,,,,,,,,,,,,0.17,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-Aubagio Oral Tablet 14MG,258,RC,58468-02-1004,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-HumuLIN R Concentrated U-500 KwikPen,or ,RC,00002-88-2427,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-HumuLIN R Concentrated U-500 KwikPen,or ,RC,00002-88-2427,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-HumuLIN R Concentrated U-500 KwikPen,or ,RC,00002-88-2427,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-OZEMPIC 2MG DOSES SUBQ SOLN 8MG/3ML,258,RC,00169-47-7212,NDC,,both,1,each,3.74,3.74,0.86,3.74,3.74,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,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,2.95,percent of total billed charges,2.95,percent of total billed charges,2.99,percent of total billed charges,2.99,percent of total billed charges,,,2.69,percent of total billed charges ,,,2.99,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 ,2.99,percent of total billed charges ,2.99,percent of total billed charges ,2.62,percent of total billed charges ,2.62,percent of total billed charges ,2.24,percent of total billed charges ,2.24,percent of total billed charges ,2.24,percent of total billed charges ,2.24,percent of total billed charges ,,,,,1.99,percent of total billed charges ,,,,,1.89,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,
NF-FARXIGA ORAL TABLET 5MG,258,RC,50090-34-8200,NDC,,both,1,each,0.22,0.22,0.05,0.22,0.22,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,0.16,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,0.17,percent of total billed charges,0.17,percent of total billed charges,0.18,percent of total billed charges,0.18,percent of total billed charges,,,0.16,percent of total billed charges ,,,0.18,percent of total billed charges ,0.17,percent of total billed charges ,0.17,percent of total billed charges ,0.19,percent of total billed charges ,0.19,percent of total billed charges ,0.18,percent of total billed charges ,0.18,percent of total billed charges ,0.15,percent of total billed charges ,0.15,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 ,,,,,0.12,percent of total billed charges ,,,,,0.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.05,percent of total billed charges,,,0.05,percent of total billed charges,,,0.05,percent of total billed charges,,,0.05,percent of total billed charges,,,0.05,percent of total billed charges,,,0.05,percent of total billed charges,,,0.05,percent of total billed charges,,,0.05,percent of total billed charges,,,0.05,percent of total billed charges,,,0.05,percent of total billed charges,,,0.05,percent of total billed charges,
NF-Xtandi Oral Tablet 80MG,258,RC,00469-07-2560,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-Aubagio Oral Tablet 14MG,258,RC,58468-02-1004,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-CIPROFLOXACIN OTIC SOLUTION 0.2%,258,RC,42195-05-5014,NDC,,both,1,each,0.09,0.09,0.02,0.09,0.09,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,0.09,percent of total billed charges,0.09,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,,,0.06,percent of total billed charges ,,,0.07,percent of total billed charges ,0.07,percent of total billed charges ,0.07,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 ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.05,percent of total billed charges ,0.05,percent of total billed charges ,0.05,percent of total billed charges ,0.05,percent of total billed charges ,,,,,0.05,percent of total billed charges ,,,,,0.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,
NF-Rhopressa Ophthalmic Solution 0.02%,258,RC,70727-04-9725,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-Rocklatan Ophth Soln 0.02%-0.005%,258,RC,70727-05-2925,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-Sofosbuvir-Velpatasvir Tab 400MG-100M,258,RC,72626-27-0101,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-Lotemax Ophthalmic Ointment 0.5%,258,RC,24208-04-4335,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-Trulicity SubQ Soln 1.5MG/0.5ML,258,RC,00002-14-3401,NDC,,both,1,each,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
NF-Vyzulta Ophthalmic Solution 0.024%,258,RC,24208-05-0402,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-Mycamine Intravenous Pwd for Soln 100,258,RC,00469-32-1110,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-Ubrelvy Oral Tablet 50MG,258,RC,00023-64-9802,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-ILEVRO OPHTHALMIC SUSPENSION 0.3%,258,RC,00078-07-4303,NDC,,both,1,each,1.22,1.22,0.28,1.22,1.22,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,0.96,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,,,0.88,percent of total billed charges ,,,0.98,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 ,0.98,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 ,,,,,,,,,,,,,,,,,,,0.28,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-MINIPRESS CAPSULE 5MG,258,RC,00069-43-8071,NDC,,both,1,each,0.01,0.01,0,0.01,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,0.01,percent of total billed charges,,,0.01,percent of total billed charges ,,,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,0.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,,,0,percent of total billed charges,
NF-FLUPHENAZINE HCL ORAL TABLET 10MG,258,RC,51407-04-6101,NDC,,both,1,each,0.1,0.1,0.02,0.1,0.1,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,0.1,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,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,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 ,,,0.08,percent of total billed charges ,0.08,percent of total billed charges ,0.08,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 ,0.07,percent of total billed charges ,0.07,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,,,,,0.05,percent of total billed charges ,,,,,0.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,
NF-Ozempic SubQ Soln 2MG/3ML,258,RC,00169-41-8113,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-SKYRIZI INTRAVENOUS SOLUTION 600MG/10,258,RC,00074-50-1501,NDC,,both,1,each,11.4,11.4,2.62,11.4,11.4,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,9.01,percent of total billed charges,9.01,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 ,9.01,percent of total billed charges ,9.01,percent of total billed charges ,9.69,percent of total billed charges ,9.69,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 ,,,,,,,,,,,,,,,,,,,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,,,2.62,percent of total billed charges,,,2.62,percent of total billed charges,,,2.62,percent of total billed charges,
NF-Rocklatan Ophth Soln 0.02%-0.005%,258,RC,70727-05-2925,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-Genvoya Oral Tablet,258,RC,61958-19-0101,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-Betaseron SubQ Pwd for Soln 0.3MG,258,RC,50419-05-2401,NDC,,both,1,each,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
NF-OLMESARTAN MEDOXOMIL ORAL TAB 20MG,258,RC,00527-24-2632,NDC,,both,1,each,0.07,0.07,0.02,0.07,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,,,0.05,percent of total billed charges ,,,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.05,percent of total billed charges ,0.05,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 ,,,,,,,,,,,,,,,,,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,
NF-tigecycline IV PowdforSoln 50MG,258,RC,63323-09-6010,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NF-DESVENLAFAXINE ORAL TAB ER 50MG,258,RC,00054-04-0022,NDC,,both,1,each,0.12,0.12,0.03,0.12,0.12,percent of total billed charges,0.12,percent of total billed charges,0.12,percent of total billed charges,0.12,percent of total billed charges,0.12,percent of total billed charges,0.12,percent of total billed charges,0.12,percent of total billed charges,0.12,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,0.09,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,,,0.09,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 ,0.1,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 ,0.08,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 ,0.07,percent of total billed charges ,0.07,percent of total billed charges ,,,,,0.06,percent of total billed charges ,,,,,0.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,
NF-DESVENLAFAXINE ORAL TAB ER 100MG,258,RC,00054-04-0122,NDC,,both,1,each,0.12,0.12,0.03,0.12,0.12,percent of total billed charges,0.12,percent of total billed charges,0.12,percent of total billed charges,0.12,percent of total billed charges,0.12,percent of total billed charges,0.12,percent of total billed charges,0.12,percent of total billed charges,0.12,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,0.09,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,,,0.09,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 ,0.1,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 ,0.08,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 ,0.07,percent of total billed charges ,0.07,percent of total billed charges ,,,,,0.06,percent of total billed charges ,,,,,0.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,,,0.03,percent of total billed charges,
NF-Ingrezza Oral Capsule 80MG,258,RC,70370-10-8001,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-Ofev Oral Capsule 150MG,258,RC,00597-01-4560,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-Repatha SureClick SubQ Soln 140MG/1ML,258,RC,72511-07-6002,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-Trulicity SubQ Soln 1.5MG/0.5ML,258,RC,00002-14-3401,NDC,,both,1,each,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
NF-MESALAMINE CAP ER 0.375GM,258,RC,65649-01-0302,NDC,,both,1,each,0.05,0.05,0.01,0.05,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,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 ,,,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 ,0.03,percent of total billed charges ,0.03,percent of total billed charges ,0.03,percent of total billed charges ,0.03,percent of total billed charges ,,,,,0.03,percent of total billed charges ,,,,,0.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,,,0.01,percent of total billed charges,
NF-Teflaro IV Powder for Solution 600MG,258,RC,00456-06-0001,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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-Ozempic SubQ Soln 2MG/3ML,258,RC,00169-41-8113,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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-BUPROPION HCL 24 HR TAB ER 150MG,258,RC,54868-50-1000,NDC,,both,1,each,0.07,0.07,0.02,0.07,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.07,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.05,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,0.06,percent of total billed charges,,,0.05,percent of total billed charges ,,,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.06,percent of total billed charges ,0.05,percent of total billed charges ,0.05,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 ,,,,,,,,,,,,,,,,,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,,,0.02,percent of total billed charges,
**GAMMAGLOBULIN LYOPHILIZED PREP,J1566,CDM,,,,both,1,each,253,253,58.19,253,253,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,199.87,percent of total billed charges,199.87,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 ,199.87,percent of total billed charges ,199.87,percent of total billed charges ,215.05,percent of total billed charges ,215.05,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 ,,,,,,,,,,,,,,,,,,,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,,,58.19,percent of total billed charges,,,58.19,percent of total billed charges,,,58.19,percent of total billed charges,
**EPIDURAL-0.002%FENTANYL/0.2%ROPIVACAIN,250,RC,61553-06-2648,NDC,,both,,,164,164,37.72,164,164,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,129.56,percent of total billed charges,129.56,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 ,129.56,percent of total billed charges ,129.56,percent of total billed charges ,139.4,percent of total billed charges ,139.4,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 ,,,,,,,,,,,,,,,,,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,
**METOPROLOL (LOPRESSOR) TAB: 25MG,250,RC,05107-92-5501,NDC,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**METOPROLOL (LOPRESSOR) TAB: 25MG,637,RC,51079-02-5520,NDC,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
PROLASTIN-C IV PWD FOR SOLN 1GM VIAL +/-,J0256,CDM,,,,both,1,each,"3,408.00","3,408.00",783.84,"3,408.00","3,408.00",percent of total billed charges,"3,408.00",percent of total billed charges,"3,408.00",percent of total billed charges,"3,408.00",percent of total billed charges,"3,408.00",percent of total billed charges,"3,408.00",percent of total billed charges,"3,408.00",percent of total billed charges,"3,408.00",percent of total billed charges,"2,453.76",percent of total billed charges,"2,453.76",percent of total billed charges,"2,453.76",percent of total billed charges,"2,453.76",percent of total billed charges,"2,453.76",percent of total billed charges,"2,453.76",percent of total billed charges,"2,692.32",percent of total billed charges,"2,692.32",percent of total billed charges,"2,726.40",percent of total billed charges,"2,726.40",percent of total billed charges,,,"2,453.76",percent of total billed charges ,,,"2,726.40",percent of total billed charges ,"2,692.32",percent of total billed charges ,"2,692.32",percent of total billed charges ,"2,896.80",percent of total billed charges ,"2,896.80",percent of total billed charges ,"2,726.40",percent of total billed charges ,"2,726.40",percent of total billed charges ,"2,385.60",percent of total billed charges ,"2,385.60",percent of total billed charges ,"2,044.80",percent of total billed charges ,"2,044.80",percent of total billed charges ,"2,044.80",percent of total billed charges ,"2,044.80",percent of total billed charges ,,,,,"1,813.06",percent of total billed charges ,,,,,"1,722.40",percent of total billed charges ,,,,,,,,,,,,,,,,,,,783.84,percent of total billed charges,,,783.84,percent of total billed charges,,,783.84,percent of total billed charges,,,783.84,percent of total billed charges,,,783.84,percent of total billed charges,,,783.84,percent of total billed charges,,,783.84,percent of total billed charges,,,783.84,percent of total billed charges,,,783.84,percent of total billed charges,,,783.84,percent of total billed charges,,,783.84,percent of total billed charges,
"NICARDIPINE  IV SOLN 2.5MG/ML, 10ml",250,RC,00781-32-0495,NDC,,both,1,each,111,111,25.53,111,111,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,87.69,percent of total billed charges,87.69,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 ,87.69,percent of total billed charges ,87.69,percent of total billed charges ,94.35,percent of total billed charges ,94.35,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 ,,,,,,,,,,,,,,,,,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,
**AHP-WOUND REPAIR INTERMEDIATE N/H/F/XT,12044,CDM,,,GF,both,,,"1,044.00","1,044.00",240.12,"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,824.76,percent of total billed charges,824.76,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 ,824.76,percent of total billed charges ,824.76,percent of total billed charges ,887.4,percent of total billed charges ,887.4,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 ,,,,,,,,,,,,,,,,,,,240.12,percent of total billed charges,,,240.12,percent of total billed charges,,,240.12,percent of total billed charges,,,240.12,percent of total billed charges,,,240.12,percent of total billed charges,,,240.12,percent of total billed charges,,,240.12,percent of total billed charges,,,240.12,percent of total billed charges,,,240.12,percent of total billed charges,,,240.12,percent of total billed charges,,,240.12,percent of total billed charges,
RETRIEVER FOREIGN BODY NET 230CM,271,RC,99999-99-9999,NDC,,both,,,801,801,184.23,801,801,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,801,percent of total billed charges,801,percent of total billed charges,801,percent of total billed charges,576.72,percent of total billed charges,576.72,percent of total billed charges,576.72,percent of total billed charges,576.72,percent of total billed charges,576.72,percent of total billed charges,576.72,percent of total billed charges,632.79,percent of total billed charges,632.79,percent of total billed charges,640.8,percent of total billed charges,640.8,percent of total billed charges,,,576.72,percent of total billed charges ,,,640.8,percent of total billed charges ,632.79,percent of total billed charges ,632.79,percent of total billed charges ,680.85,percent of total billed charges ,680.85,percent of total billed charges ,640.8,percent of total billed charges ,640.8,percent of total billed charges ,560.7,percent of total billed charges ,560.7,percent of total billed charges ,480.6,percent of total billed charges ,480.6,percent of total billed charges ,480.6,percent of total billed charges ,480.6,percent of total billed charges ,,,,,426.13,percent of total billed charges ,,,,,404.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,184.23,percent of total billed charges,,,184.23,percent of total billed charges,,,184.23,percent of total billed charges,,,184.23,percent of total billed charges,,,184.23,percent of total billed charges,,,184.23,percent of total billed charges,,,184.23,percent of total billed charges,,,184.23,percent of total billed charges,,,184.23,percent of total billed charges,,,184.23,percent of total billed charges,,,184.23,percent of total billed charges,
VENT TUBE MOD  T,272,RC,99999-99-9999,NDC,,both,,,224,224,51.52,224,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,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,176.96,percent of total billed charges,176.96,percent of total billed charges,179.2,percent of total billed charges,179.2,percent of total billed charges,,,161.28,percent of total billed charges ,,,179.2,percent of total billed charges ,176.96,percent of total billed charges ,176.96,percent of total billed charges ,190.4,percent of total billed charges ,190.4,percent of total billed charges ,179.2,percent of total billed charges ,179.2,percent of total billed charges ,156.8,percent of total billed charges ,156.8,percent of total billed charges ,134.4,percent of total billed charges ,134.4,percent of total billed charges ,134.4,percent of total billed charges ,134.4,percent of total billed charges ,,,,,119.17,percent of total billed charges ,,,,,113.21,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,
CATH OPERATIVE CHOLANGIOGRAPHY,272,RC,99999-99-9999,NDC,,both,,,216,216,49.68,216,216,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,216,percent of total billed charges,216,percent of total billed charges,216,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,172.8,percent of total billed charges,172.8,percent of total billed charges,,,155.52,percent of total billed charges ,,,172.8,percent of total billed charges ,170.64,percent of total billed charges ,170.64,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,172.8,percent of total billed charges ,172.8,percent of total billed charges ,151.2,percent of total billed charges ,151.2,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 ,,,,,114.91,percent of total billed charges ,,,,,109.17,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,,,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,
TVT DEVICE EXACT-DO NOT SWITCH,C1771,CDM,,,,both,,,"9,988.00","9,988.00","2,297.24","9,988.00","9,988.00",percent of total billed charges,"9,988.00",percent of total billed charges,"9,988.00",percent of total billed charges,"9,988.00",percent of total billed charges,"9,988.00",percent of total billed charges,"9,988.00",percent of total billed charges,"9,988.00",percent of total billed charges,"9,988.00",percent of total billed charges,"7,191.36",percent of total billed charges,"7,191.36",percent of total billed charges,"7,191.36",percent of total billed charges,"7,191.36",percent of total billed charges,"7,191.36",percent of total billed charges,"7,191.36",percent of total billed charges,"7,890.52",percent of total billed charges,"7,890.52",percent of total billed charges,"7,990.40",percent of total billed charges,"7,990.40",percent of total billed charges,,,"7,191.36",percent of total billed charges ,,,"7,990.40",percent of total billed charges ,"7,890.52",percent of total billed charges ,"7,890.52",percent of total billed charges ,"8,489.80",percent of total billed charges ,"8,489.80",percent of total billed charges ,"7,990.40",percent of total billed charges ,"7,990.40",percent of total billed charges ,"6,991.60",percent of total billed charges ,"6,991.60",percent of total billed charges ,"5,992.80",percent of total billed charges ,"5,992.80",percent of total billed charges ,"5,992.80",percent of total billed charges ,"5,992.80",percent of total billed charges ,,,,,"5,313.62",percent of total billed charges ,,,,,"5,047.94",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,297.24",percent of total billed charges,,,"2,297.24",percent of total billed charges,,,"2,297.24",percent of total billed charges,,,"2,297.24",percent of total billed charges,,,"2,297.24",percent of total billed charges,,,"2,297.24",percent of total billed charges,,,"2,297.24",percent of total billed charges,,,"2,297.24",percent of total billed charges,,,"2,297.24",percent of total billed charges,,,"2,297.24",percent of total billed charges,,,"2,297.24",percent of total billed charges,
TISSUE CANCEL CHIPS  LOT#_____EXPIRE____,C1713,CDM,,,,both,,,"4,083.00","4,083.00",939.09,"4,083.00","4,083.00",percent of total billed charges,"4,083.00",percent of total billed charges,"4,083.00",percent of total billed charges,"4,083.00",percent of total billed charges,"4,083.00",percent of total billed charges,"4,083.00",percent of total billed charges,"4,083.00",percent of total billed charges,"4,083.00",percent of total billed charges,"2,939.76",percent of total billed charges,"2,939.76",percent of total billed charges,"2,939.76",percent of total billed charges,"2,939.76",percent of total billed charges,"2,939.76",percent of total billed charges,"2,939.76",percent of total billed charges,"3,225.57",percent of total billed charges,"3,225.57",percent of total billed charges,"3,266.40",percent of total billed charges,"3,266.40",percent of total billed charges,,,"2,939.76",percent of total billed charges ,,,"3,266.40",percent of total billed charges ,"3,225.57",percent of total billed charges ,"3,225.57",percent of total billed charges ,"3,470.55",percent of total billed charges ,"3,470.55",percent of total billed charges ,"3,266.40",percent of total billed charges ,"3,266.40",percent of total billed charges ,"2,858.10",percent of total billed charges ,"2,858.10",percent of total billed charges ,"2,449.80",percent of total billed charges ,"2,449.80",percent of total billed charges ,"2,449.80",percent of total billed charges ,"2,449.80",percent of total billed charges ,,,,,"2,172.16",percent of total billed charges ,,,,,"2,063.55",percent of total billed charges ,,,,,,,,,,,,,,,,,,,939.09,percent of total billed charges,,,939.09,percent of total billed charges,,,939.09,percent of total billed charges,,,939.09,percent of total billed charges,,,939.09,percent of total billed charges,,,939.09,percent of total billed charges,,,939.09,percent of total billed charges,,,939.09,percent of total billed charges,,,939.09,percent of total billed charges,,,939.09,percent of total billed charges,,,939.09,percent of total billed charges,
CATH TRIPLE LUMEN 5.5 CENTRAL VENOUS LF,C1751,CDM,,,,both,,,724,724,166.52,724,724,percent of total billed charges,724,percent of total billed charges,724,percent of total billed charges,724,percent of total billed charges,724,percent of total billed charges,724,percent of total billed charges,724,percent of total billed charges,724,percent of total billed charges,521.28,percent of total billed charges,521.28,percent of total billed charges,521.28,percent of total billed charges,521.28,percent of total billed charges,521.28,percent of total billed charges,521.28,percent of total billed charges,571.96,percent of total billed charges,571.96,percent of total billed charges,579.2,percent of total billed charges,579.2,percent of total billed charges,,,521.28,percent of total billed charges ,,,579.2,percent of total billed charges ,571.96,percent of total billed charges ,571.96,percent of total billed charges ,615.4,percent of total billed charges ,615.4,percent of total billed charges ,579.2,percent of total billed charges ,579.2,percent of total billed charges ,506.8,percent of total billed charges ,506.8,percent of total billed charges ,434.4,percent of total billed charges ,434.4,percent of total billed charges ,434.4,percent of total billed charges ,434.4,percent of total billed charges ,,,,,385.17,percent of total billed charges ,,,,,365.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,
CLIP APPLIER LG 10MM,272,RC,99999-99-9999,NDC,,both,,,"1,253.00","1,253.00",288.19,"1,253.00","1,253.00",percent of total billed charges,"1,253.00",percent of total billed charges,"1,253.00",percent of total billed charges,"1,253.00",percent of total billed charges,"1,253.00",percent of total billed charges,"1,253.00",percent of total billed charges,"1,253.00",percent of total billed charges,"1,253.00",percent of total billed charges,902.16,percent of total billed charges,902.16,percent of total billed charges,902.16,percent of total billed charges,902.16,percent of total billed charges,902.16,percent of total billed charges,902.16,percent of total billed charges,989.87,percent of total billed charges,989.87,percent of total billed charges,"1,002.40",percent of total billed charges,"1,002.40",percent of total billed charges,,,902.16,percent of total billed charges ,,,"1,002.40",percent of total billed charges ,989.87,percent of total billed charges ,989.87,percent of total billed charges ,"1,065.05",percent of total billed charges ,"1,065.05",percent of total billed charges ,"1,002.40",percent of total billed charges ,"1,002.40",percent of total billed charges ,877.1,percent of total billed charges ,877.1,percent of total billed charges ,751.8,percent of total billed charges ,751.8,percent of total billed charges ,751.8,percent of total billed charges ,751.8,percent of total billed charges ,,,,,666.6,percent of total billed charges ,,,,,633.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,288.19,percent of total billed charges,,,288.19,percent of total billed charges,,,288.19,percent of total billed charges,,,288.19,percent of total billed charges,,,288.19,percent of total billed charges,,,288.19,percent of total billed charges,,,288.19,percent of total billed charges,,,288.19,percent of total billed charges,,,288.19,percent of total billed charges,,,288.19,percent of total billed charges,,,288.19,percent of total billed charges,
CLIP APPLR MED 11.5,272,RC,99999-99-9999,NDC,,both,,,816,816,187.68,816,816,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,816,percent of total billed charges,816,percent of total billed charges,816,percent of total billed charges,587.52,percent of total billed charges,587.52,percent of total billed charges,587.52,percent of total billed charges,587.52,percent of total billed charges,587.52,percent of total billed charges,587.52,percent of total billed charges,644.64,percent of total billed charges,644.64,percent of total billed charges,652.8,percent of total billed charges,652.8,percent of total billed charges,,,587.52,percent of total billed charges ,,,652.8,percent of total billed charges ,644.64,percent of total billed charges ,644.64,percent of total billed charges ,693.6,percent of total billed charges ,693.6,percent of total billed charges ,652.8,percent of total billed charges ,652.8,percent of total billed charges ,571.2,percent of total billed charges ,571.2,percent of total billed charges ,489.6,percent of total billed charges ,489.6,percent of total billed charges ,489.6,percent of total billed charges ,489.6,percent of total billed charges ,,,,,434.11,percent of total billed charges ,,,,,412.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,187.68,percent of total billed charges,,,187.68,percent of total billed charges,,,187.68,percent of total billed charges,,,187.68,percent of total billed charges,,,187.68,percent of total billed charges,,,187.68,percent of total billed charges,,,187.68,percent of total billed charges,,,187.68,percent of total billed charges,,,187.68,percent of total billed charges,,,187.68,percent of total billed charges,,,187.68,percent of total billed charges,
TRACH AD 10 CUFFED REUSABLE INNER CANNU,272,RC,99999-99-9999,NDC,,both,,,445,445,102.35,445,445,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,351.55,percent of total billed charges,351.55,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 ,351.55,percent of total billed charges ,351.55,percent of total billed charges ,378.25,percent of total billed charges ,378.25,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 ,,,,,,,,,,,,,,,,,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,
TRACH AD 8 CUFFED W REUSABLE INNER CANNU,272,RC,99999-99-9999,NDC,,both,,,835,835,192.05,835,835,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,659.65,percent of total billed charges,659.65,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 ,659.65,percent of total billed charges ,659.65,percent of total billed charges ,709.75,percent of total billed charges ,709.75,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 ,,,,,,,,,,,,,,,,,,,192.05,percent of total billed charges,,,192.05,percent of total billed charges,,,192.05,percent of total billed charges,,,192.05,percent of total billed charges,,,192.05,percent of total billed charges,,,192.05,percent of total billed charges,,,192.05,percent of total billed charges,,,192.05,percent of total billed charges,,,192.05,percent of total billed charges,,,192.05,percent of total billed charges,,,192.05,percent of total billed charges,
TRACH AD 6 CUFFED W REUSABLE INNER CANNU,272,RC,99999-99-9999,NDC,,both,,,843,843,193.89,843,843,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,665.97,percent of total billed charges,665.97,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 ,665.97,percent of total billed charges ,665.97,percent of total billed charges ,716.55,percent of total billed charges ,716.55,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 ,,,,,,,,,,,,,,,,,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,
TRACH PED 5.0 CUFFLESS NO INNER CANNULA,272,RC,99999-99-9999,NDC,,both,,,421,421,96.83,421,421,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,332.59,percent of total billed charges,332.59,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 ,332.59,percent of total billed charges ,332.59,percent of total billed charges ,357.85,percent of total billed charges ,357.85,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 ,,,,,,,,,,,,,,,,,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,
TRACH PED 4.5 CUFFLESS NO INNER CANNULA,272,RC,99999-99-9999,NDC,,both,,,423,423,97.29,423,423,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,423,percent of total billed charges,423,percent of total billed charges,423,percent of total billed charges,304.56,percent of total billed charges,304.56,percent of total billed charges,304.56,percent of total billed charges,304.56,percent of total billed charges,304.56,percent of total billed charges,304.56,percent of total billed charges,334.17,percent of total billed charges,334.17,percent of total billed charges,338.4,percent of total billed charges,338.4,percent of total billed charges,,,304.56,percent of total billed charges ,,,338.4,percent of total billed charges ,334.17,percent of total billed charges ,334.17,percent of total billed charges ,359.55,percent of total billed charges ,359.55,percent of total billed charges ,338.4,percent of total billed charges ,338.4,percent of total billed charges ,296.1,percent of total billed charges ,296.1,percent of total billed charges ,253.8,percent of total billed charges ,253.8,percent of total billed charges ,253.8,percent of total billed charges ,253.8,percent of total billed charges ,,,,,225.04,percent of total billed charges ,,,,,213.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,
TRACH PED 4.0 CUFFLESS NO INNER CANNULA,272,RC,99999-99-9999,NDC,,both,,,440,440,101.2,440,440,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,347.6,percent of total billed charges,347.6,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 ,347.6,percent of total billed charges ,347.6,percent of total billed charges ,374,percent of total billed charges ,374,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
TRACH PED 3.5 CUFFLESS NO INNER CANNULA,272,RC,99999-99-9999,NDC,,both,,,421,421,96.83,421,421,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,332.59,percent of total billed charges,332.59,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 ,332.59,percent of total billed charges ,332.59,percent of total billed charges ,357.85,percent of total billed charges ,357.85,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 ,,,,,,,,,,,,,,,,,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,
STAPLER RELOAD 30 2.5 STRT ENDO GIA II,272,RC,99999-99-9999,NDC,,both,,,996,996,229.08,996,996,percent of total billed charges,996,percent of total billed charges,996,percent of total billed charges,996,percent of total billed charges,996,percent of total billed charges,996,percent of total billed charges,996,percent of total billed charges,996,percent of total billed charges,717.12,percent of total billed charges,717.12,percent of total billed charges,717.12,percent of total billed charges,717.12,percent of total billed charges,717.12,percent of total billed charges,717.12,percent of total billed charges,786.84,percent of total billed charges,786.84,percent of total billed charges,796.8,percent of total billed charges,796.8,percent of total billed charges,,,717.12,percent of total billed charges ,,,796.8,percent of total billed charges ,786.84,percent of total billed charges ,786.84,percent of total billed charges ,846.6,percent of total billed charges ,846.6,percent of total billed charges ,796.8,percent of total billed charges ,796.8,percent of total billed charges ,697.2,percent of total billed charges ,697.2,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 ,,,,,529.87,percent of total billed charges ,,,,,503.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,229.08,percent of total billed charges,,,229.08,percent of total billed charges,,,229.08,percent of total billed charges,,,229.08,percent of total billed charges,,,229.08,percent of total billed charges,,,229.08,percent of total billed charges,,,229.08,percent of total billed charges,,,229.08,percent of total billed charges,,,229.08,percent of total billed charges,,,229.08,percent of total billed charges,,,229.08,percent of total billed charges,
ELECTRODE HOOKED LAP,272,RC,99999-99-9999,NDC,,both,,,588,588,135.24,588,588,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,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,464.52,percent of total billed charges,464.52,percent of total billed charges,470.4,percent of total billed charges,470.4,percent of total billed charges,,,423.36,percent of total billed charges ,,,470.4,percent of total billed charges ,464.52,percent of total billed charges ,464.52,percent of total billed charges ,499.8,percent of total billed charges ,499.8,percent of total billed charges ,470.4,percent of total billed charges ,470.4,percent of total billed charges ,411.6,percent of total billed charges ,411.6,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 ,,,,,312.82,percent of total billed charges ,,,,,297.18,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,
CLIP APPLR MED-LG,272,RC,99999-99-9999,NDC,,both,,,968,968,222.64,968,968,percent of total billed charges,968,percent of total billed charges,968,percent of total billed charges,968,percent of total billed charges,968,percent of total billed charges,968,percent of total billed charges,968,percent of total billed charges,968,percent of total billed charges,696.96,percent of total billed charges,696.96,percent of total billed charges,696.96,percent of total billed charges,696.96,percent of total billed charges,696.96,percent of total billed charges,696.96,percent of total billed charges,764.72,percent of total billed charges,764.72,percent of total billed charges,774.4,percent of total billed charges,774.4,percent of total billed charges,,,696.96,percent of total billed charges ,,,774.4,percent of total billed charges ,764.72,percent of total billed charges ,764.72,percent of total billed charges ,822.8,percent of total billed charges ,822.8,percent of total billed charges ,774.4,percent of total billed charges ,774.4,percent of total billed charges ,677.6,percent of total billed charges ,677.6,percent of total billed charges ,580.8,percent of total billed charges ,580.8,percent of total billed charges ,580.8,percent of total billed charges ,580.8,percent of total billed charges ,,,,,514.98,percent of total billed charges ,,,,,489.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,222.64,percent of total billed charges,,,222.64,percent of total billed charges,,,222.64,percent of total billed charges,,,222.64,percent of total billed charges,,,222.64,percent of total billed charges,,,222.64,percent of total billed charges,,,222.64,percent of total billed charges,,,222.64,percent of total billed charges,,,222.64,percent of total billed charges,,,222.64,percent of total billed charges,,,222.64,percent of total billed charges,
BASKET 3 WIRE 0 TIP,272,RC,99999-99-9999,NDC,,both,,,"2,114.00","2,114.00",486.22,"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,"1,670.06",percent of total billed charges,"1,670.06",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 ,"1,670.06",percent of total billed charges ,"1,670.06",percent of total billed charges ,"1,796.90",percent of total billed charges ,"1,796.90",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 ,,,,,,,,,,,,,,,,,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,
SNARE MINI 11mm,272,RC,99999-99-9999,NDC,,both,,,135,135,31.05,135,135,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,106.65,percent of total billed charges,106.65,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 ,106.65,percent of total billed charges ,106.65,percent of total billed charges ,114.75,percent of total billed charges ,114.75,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 ,,,,,,,,,,,,,,,,,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,
ENDO BIOPSY FORCEP HOT 1503,272,RC,99999-99-9999,NDC,,both,,,942,942,216.66,942,942,percent of total billed charges,942,percent of total billed charges,942,percent of total billed charges,942,percent of total billed charges,942,percent of total billed charges,942,percent of total billed charges,942,percent of total billed charges,942,percent of total billed charges,678.24,percent of total billed charges,678.24,percent of total billed charges,678.24,percent of total billed charges,678.24,percent of total billed charges,678.24,percent of total billed charges,678.24,percent of total billed charges,744.18,percent of total billed charges,744.18,percent of total billed charges,753.6,percent of total billed charges,753.6,percent of total billed charges,,,678.24,percent of total billed charges ,,,753.6,percent of total billed charges ,744.18,percent of total billed charges ,744.18,percent of total billed charges ,800.7,percent of total billed charges ,800.7,percent of total billed charges ,753.6,percent of total billed charges ,753.6,percent of total billed charges ,659.4,percent of total billed charges ,659.4,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 ,,,,,501.14,percent of total billed charges ,,,,,476.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,216.66,percent of total billed charges,,,216.66,percent of total billed charges,,,216.66,percent of total billed charges,,,216.66,percent of total billed charges,,,216.66,percent of total billed charges,,,216.66,percent of total billed charges,,,216.66,percent of total billed charges,,,216.66,percent of total billed charges,,,216.66,percent of total billed charges,,,216.66,percent of total billed charges,,,216.66,percent of total billed charges,
SPECIMEN POUCH ENDO CATCH GOLD 10MM LF,272,RC,99999-99-9999,NDC,,both,,,984,984,226.32,984,984,percent of total billed charges,984,percent of total billed charges,984,percent of total billed charges,984,percent of total billed charges,984,percent of total billed charges,984,percent of total billed charges,984,percent of total billed charges,984,percent of total billed charges,708.48,percent of total billed charges,708.48,percent of total billed charges,708.48,percent of total billed charges,708.48,percent of total billed charges,708.48,percent of total billed charges,708.48,percent of total billed charges,777.36,percent of total billed charges,777.36,percent of total billed charges,787.2,percent of total billed charges,787.2,percent of total billed charges,,,708.48,percent of total billed charges ,,,787.2,percent of total billed charges ,777.36,percent of total billed charges ,777.36,percent of total billed charges ,836.4,percent of total billed charges ,836.4,percent of total billed charges ,787.2,percent of total billed charges ,787.2,percent of total billed charges ,688.8,percent of total billed charges ,688.8,percent of total billed charges ,590.4,percent of total billed charges ,590.4,percent of total billed charges ,590.4,percent of total billed charges ,590.4,percent of total billed charges ,,,,,523.49,percent of total billed charges ,,,,,497.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,226.32,percent of total billed charges,,,226.32,percent of total billed charges,,,226.32,percent of total billed charges,,,226.32,percent of total billed charges,,,226.32,percent of total billed charges,,,226.32,percent of total billed charges,,,226.32,percent of total billed charges,,,226.32,percent of total billed charges,,,226.32,percent of total billed charges,,,226.32,percent of total billed charges,,,226.32,percent of total billed charges,
CHANNEL DRAIN 19FR W/TROCAR BLAKE,272,RC,99999-99-9999,NDC,,both,,,298,298,68.54,298,298,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,235.42,percent of total billed charges,235.42,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 ,235.42,percent of total billed charges ,235.42,percent of total billed charges ,253.3,percent of total billed charges ,253.3,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 ,,,,,,,,,,,,,,,,,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,
CATH NASAL EPISTAT GREEN,272,RC,99999-99-9999,NDC,,both,,,482,482,110.86,482,482,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,380.78,percent of total billed charges,380.78,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 ,380.78,percent of total billed charges ,380.78,percent of total billed charges ,409.7,percent of total billed charges ,409.7,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
STAPLER UNIVERSAL 65 4.8MM,272,RC,99999-99-9999,NDC,,both,,,"4,592.00","4,592.00","1,056.16","4,592.00","4,592.00",percent of total billed charges,"4,592.00",percent of total billed charges,"4,592.00",percent of total billed charges,"4,592.00",percent of total billed charges,"4,592.00",percent of total billed charges,"4,592.00",percent of total billed charges,"4,592.00",percent of total billed charges,"4,592.00",percent of total billed charges,"3,306.24",percent of total billed charges,"3,306.24",percent of total billed charges,"3,306.24",percent of total billed charges,"3,306.24",percent of total billed charges,"3,306.24",percent of total billed charges,"3,306.24",percent of total billed charges,"3,627.68",percent of total billed charges,"3,627.68",percent of total billed charges,"3,673.60",percent of total billed charges,"3,673.60",percent of total billed charges,,,"3,306.24",percent of total billed charges ,,,"3,673.60",percent of total billed charges ,"3,627.68",percent of total billed charges ,"3,627.68",percent of total billed charges ,"3,903.20",percent of total billed charges ,"3,903.20",percent of total billed charges ,"3,673.60",percent of total billed charges ,"3,673.60",percent of total billed charges ,"3,214.40",percent of total billed charges ,"3,214.40",percent of total billed charges ,"2,755.20",percent of total billed charges ,"2,755.20",percent of total billed charges ,"2,755.20",percent of total billed charges ,"2,755.20",percent of total billed charges ,,,,,"2,442.94",percent of total billed charges ,,,,,"2,320.80",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,056.16",percent of total billed charges,,,"1,056.16",percent of total billed charges,,,"1,056.16",percent of total billed charges,,,"1,056.16",percent of total billed charges,,,"1,056.16",percent of total billed charges,,,"1,056.16",percent of total billed charges,,,"1,056.16",percent of total billed charges,,,"1,056.16",percent of total billed charges,,,"1,056.16",percent of total billed charges,,,"1,056.16",percent of total billed charges,,,"1,056.16",percent of total billed charges,
CATH SUPRAPUBIC contains latex,C2627,CDM,,,,both,,,467,467,107.41,467,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,336.24,percent of total billed charges,336.24,percent of total billed charges,336.24,percent of total billed charges,336.24,percent of total billed charges,336.24,percent of total billed charges,336.24,percent of total billed charges,368.93,percent of total billed charges,368.93,percent of total billed charges,373.6,percent of total billed charges,373.6,percent of total billed charges,,,336.24,percent of total billed charges ,,,373.6,percent of total billed charges ,368.93,percent of total billed charges ,368.93,percent of total billed charges ,396.95,percent of total billed charges ,396.95,percent of total billed charges ,373.6,percent of total billed charges ,373.6,percent of total billed charges ,326.9,percent of total billed charges ,326.9,percent of total billed charges ,280.2,percent of total billed charges ,280.2,percent of total billed charges ,280.2,percent of total billed charges ,280.2,percent of total billed charges ,,,,,248.44,percent of total billed charges ,,,,,236.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,
CATH INTRAN/INTRO (IUPC),272,RC,99999-99-9999,NDC,,both,,,424,424,97.52,424,424,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,334.96,percent of total billed charges,334.96,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 ,334.96,percent of total billed charges ,334.96,percent of total billed charges ,360.4,percent of total billed charges ,360.4,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 ,,,,,,,,,,,,,,,,,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,
TROCAR VERSAONE BLUNT 12X150MM,272,RC,99999-99-9999,NDC,,both,,,551,551,126.73,551,551,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,435.29,percent of total billed charges,435.29,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 ,435.29,percent of total billed charges ,435.29,percent of total billed charges ,468.35,percent of total billed charges ,468.35,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 ,,,,,,,,,,,,,,,,,,,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,
TROCAR VERSAONE 5MM W/SLEEVE USSC,272,RC,99999-99-9999,NDC,,both,,,221,221,50.83,221,221,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,174.59,percent of total billed charges,174.59,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 ,174.59,percent of total billed charges ,174.59,percent of total billed charges ,187.85,percent of total billed charges ,187.85,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 ,,,,,,,,,,,,,,,,,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,
NEEDLE PNEUM 150 ENDO,272,RC,99999-99-9999,NDC,,both,,,168,168,38.64,168,168,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,132.72,percent of total billed charges,132.72,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 ,132.72,percent of total billed charges ,132.72,percent of total billed charges ,142.8,percent of total billed charges ,142.8,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 ,,,,,,,,,,,,,,,,,,,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,
VISCERA RETAINER,272,RC,99999-99-9999,NDC,,both,,,390,390,89.7,390,390,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,308.1,percent of total billed charges,308.1,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 ,308.1,percent of total billed charges ,308.1,percent of total billed charges ,331.5,percent of total billed charges ,331.5,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 ,,,,,,,,,,,,,,,,,,,89.7,percent of total billed charges,,,89.7,percent of total billed charges,,,89.7,percent of total billed charges,,,89.7,percent of total billed charges,,,89.7,percent of total billed charges,,,89.7,percent of total billed charges,,,89.7,percent of total billed charges,,,89.7,percent of total billed charges,,,89.7,percent of total billed charges,,,89.7,percent of total billed charges,,,89.7,percent of total billed charges,
ENDO BIOPSY LARGE FORCEP RADIAL JAW4 LF,272,RC,99999-99-9999,NDC,,both,,,219,219,50.37,219,219,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,173.01,percent of total billed charges,173.01,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 ,173.01,percent of total billed charges ,173.01,percent of total billed charges ,186.15,percent of total billed charges ,186.15,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 ,,,,,,,,,,,,,,,,,,,50.37,percent of total billed charges,,,50.37,percent of total billed charges,,,50.37,percent of total billed charges,,,50.37,percent of total billed charges,,,50.37,percent of total billed charges,,,50.37,percent of total billed charges,,,50.37,percent of total billed charges,,,50.37,percent of total billed charges,,,50.37,percent of total billed charges,,,50.37,percent of total billed charges,,,50.37,percent of total billed charges,
STAPLER UNIV 65 DLU LF,272,RC,99999-99-9999,NDC,,both,,,574,574,132.02,574,574,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,453.46,percent of total billed charges,453.46,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 ,453.46,percent of total billed charges ,453.46,percent of total billed charges ,487.9,percent of total billed charges ,487.9,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 ,,,,,,,,,,,,,,,,,,,132.02,percent of total billed charges,,,132.02,percent of total billed charges,,,132.02,percent of total billed charges,,,132.02,percent of total billed charges,,,132.02,percent of total billed charges,,,132.02,percent of total billed charges,,,132.02,percent of total billed charges,,,132.02,percent of total billed charges,,,132.02,percent of total billed charges,,,132.02,percent of total billed charges,,,132.02,percent of total billed charges,
TRACH AD 4 CUFFED W REUSABLE INNER CANNU,272,RC,99999-99-9999,NDC,,both,,,843,843,193.89,843,843,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,665.97,percent of total billed charges,665.97,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 ,665.97,percent of total billed charges ,665.97,percent of total billed charges ,716.55,percent of total billed charges ,716.55,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 ,,,,,,,,,,,,,,,,,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,
TRACH PED 3.0 CUFFLESS NO INNER CANNULA,272,RC,99999-99-9999,NDC,,both,,,421,421,96.83,421,421,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,332.59,percent of total billed charges,332.59,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 ,332.59,percent of total billed charges ,332.59,percent of total billed charges ,357.85,percent of total billed charges ,357.85,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 ,,,,,,,,,,,,,,,,,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,
TROCAR VERSAONE 12MM  NO B/O EVER,272,RC,99999-99-9999,NDC,,both,,,156,156,35.88,156,156,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,123.24,percent of total billed charges,123.24,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 ,123.24,percent of total billed charges ,123.24,percent of total billed charges ,132.6,percent of total billed charges ,132.6,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 ,,,,,,,,,,,,,,,,,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,
GRASPING FRCP X STRN,272,RC,99999-99-9999,NDC,,both,,,"1,946.00","1,946.00",447.58,"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,"1,537.34",percent of total billed charges,"1,537.34",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 ,"1,537.34",percent of total billed charges ,"1,537.34",percent of total billed charges ,"1,654.10",percent of total billed charges ,"1,654.10",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 ,,,,,,,,,,,,,,,,,,,447.58,percent of total billed charges,,,447.58,percent of total billed charges,,,447.58,percent of total billed charges,,,447.58,percent of total billed charges,,,447.58,percent of total billed charges,,,447.58,percent of total billed charges,,,447.58,percent of total billed charges,,,447.58,percent of total billed charges,,,447.58,percent of total billed charges,,,447.58,percent of total billed charges,,,447.58,percent of total billed charges,
BASKET SEGURA 0 TIP,272,RC,99999-99-9999,NDC,,both,,,"2,114.00","2,114.00",486.22,"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,"1,670.06",percent of total billed charges,"1,670.06",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 ,"1,670.06",percent of total billed charges ,"1,670.06",percent of total billed charges ,"1,796.90",percent of total billed charges ,"1,796.90",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 ,,,,,,,,,,,,,,,,,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,
BASKET 5 WIRE 0 TIP,272,RC,99999-99-9999,NDC,,both,,,"2,019.00","2,019.00",464.37,"2,019.00","2,019.00",percent of total billed charges,"2,019.00",percent of total billed charges,"2,019.00",percent of total billed charges,"2,019.00",percent of total billed charges,"2,019.00",percent of total billed charges,"2,019.00",percent of total billed charges,"2,019.00",percent of total billed charges,"2,019.00",percent of total billed charges,"1,453.68",percent of total billed charges,"1,453.68",percent of total billed charges,"1,453.68",percent of total billed charges,"1,453.68",percent of total billed charges,"1,453.68",percent of total billed charges,"1,453.68",percent of total billed charges,"1,595.01",percent of total billed charges,"1,595.01",percent of total billed charges,"1,615.20",percent of total billed charges,"1,615.20",percent of total billed charges,,,"1,453.68",percent of total billed charges ,,,"1,615.20",percent of total billed charges ,"1,595.01",percent of total billed charges ,"1,595.01",percent of total billed charges ,"1,716.15",percent of total billed charges ,"1,716.15",percent of total billed charges ,"1,615.20",percent of total billed charges ,"1,615.20",percent of total billed charges ,"1,413.30",percent of total billed charges ,"1,413.30",percent of total billed charges ,"1,211.40",percent of total billed charges ,"1,211.40",percent of total billed charges ,"1,211.40",percent of total billed charges ,"1,211.40",percent of total billed charges ,,,,,"1,074.11",percent of total billed charges ,,,,,"1,020.40",percent of total billed charges ,,,,,,,,,,,,,,,,,,,464.37,percent of total billed charges,,,464.37,percent of total billed charges,,,464.37,percent of total billed charges,,,464.37,percent of total billed charges,,,464.37,percent of total billed charges,,,464.37,percent of total billed charges,,,464.37,percent of total billed charges,,,464.37,percent of total billed charges,,,464.37,percent of total billed charges,,,464.37,percent of total billed charges,,,464.37,percent of total billed charges,
CATH LAP CHOLI,272,RC,99999-99-9999,NDC,,both,,,"1,007.00","1,007.00",231.61,"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,795.53,percent of total billed charges,795.53,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 ,795.53,percent of total billed charges ,795.53,percent of total billed charges ,855.95,percent of total billed charges ,855.95,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 ,,,,,,,,,,,,,,,,,,,231.61,percent of total billed charges,,,231.61,percent of total billed charges,,,231.61,percent of total billed charges,,,231.61,percent of total billed charges,,,231.61,percent of total billed charges,,,231.61,percent of total billed charges,,,231.61,percent of total billed charges,,,231.61,percent of total billed charges,,,231.61,percent of total billed charges,,,231.61,percent of total billed charges,,,231.61,percent of total billed charges,
SURGICLIP L-13.0 PREM DP W/TIA,272,RC,99999-99-9999,NDC,,both,,,"1,209.00","1,209.00",278.07,"1,209.00","1,209.00",percent of total billed charges,"1,209.00",percent of total billed charges,"1,209.00",percent of total billed charges,"1,209.00",percent of total billed charges,"1,209.00",percent of total billed charges,"1,209.00",percent of total billed charges,"1,209.00",percent of total billed charges,"1,209.00",percent of total billed charges,870.48,percent of total billed charges,870.48,percent of total billed charges,870.48,percent of total billed charges,870.48,percent of total billed charges,870.48,percent of total billed charges,870.48,percent of total billed charges,955.11,percent of total billed charges,955.11,percent of total billed charges,967.2,percent of total billed charges,967.2,percent of total billed charges,,,870.48,percent of total billed charges ,,,967.2,percent of total billed charges ,955.11,percent of total billed charges ,955.11,percent of total billed charges ,"1,027.65",percent of total billed charges ,"1,027.65",percent of total billed charges ,967.2,percent of total billed charges ,967.2,percent of total billed charges ,846.3,percent of total billed charges ,846.3,percent of total billed charges ,725.4,percent of total billed charges ,725.4,percent of total billed charges ,725.4,percent of total billed charges ,725.4,percent of total billed charges ,,,,,643.19,percent of total billed charges ,,,,,611.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,278.07,percent of total billed charges,,,278.07,percent of total billed charges,,,278.07,percent of total billed charges,,,278.07,percent of total billed charges,,,278.07,percent of total billed charges,,,278.07,percent of total billed charges,,,278.07,percent of total billed charges,,,278.07,percent of total billed charges,,,278.07,percent of total billed charges,,,278.07,percent of total billed charges,,,278.07,percent of total billed charges,
BASKET 5 WIRE FILIFORM TIP,272,RC,99999-99-9999,NDC,,both,,,"2,114.00","2,114.00",486.22,"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,"1,670.06",percent of total billed charges,"1,670.06",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 ,"1,670.06",percent of total billed charges ,"1,670.06",percent of total billed charges ,"1,796.90",percent of total billed charges ,"1,796.90",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 ,,,,,,,,,,,,,,,,,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,
STAPLER TA 60 4.8 (OPEN COLON RESECTION),272,RC,99999-99-9999,NDC,,both,,,886,886,203.78,886,886,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,699.94,percent of total billed charges,699.94,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 ,699.94,percent of total billed charges ,699.94,percent of total billed charges ,753.1,percent of total billed charges ,753.1,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 ,,,,,,,,,,,,,,,,,,,203.78,percent of total billed charges,,,203.78,percent of total billed charges,,,203.78,percent of total billed charges,,,203.78,percent of total billed charges,,,203.78,percent of total billed charges,,,203.78,percent of total billed charges,,,203.78,percent of total billed charges,,,203.78,percent of total billed charges,,,203.78,percent of total billed charges,,,203.78,percent of total billed charges,,,203.78,percent of total billed charges,
NEEDLE BIOPSY MAX-CORE 18GAX25CM UROL,272,RC,99999-99-9999,NDC,,both,,,452,452,103.96,452,452,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,357.08,percent of total billed charges,357.08,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 ,357.08,percent of total billed charges ,357.08,percent of total billed charges ,384.2,percent of total billed charges ,384.2,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 ,,,,,,,,,,,,,,,,,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,
BALLOON DILA 6X4CM,C1726,CDM,,,,both,,,"3,164.00","3,164.00",727.72,"3,164.00","3,164.00",percent of total billed charges,"3,164.00",percent of total billed charges,"3,164.00",percent of total billed charges,"3,164.00",percent of total billed charges,"3,164.00",percent of total billed charges,"3,164.00",percent of total billed charges,"3,164.00",percent of total billed charges,"3,164.00",percent of total billed charges,"2,278.08",percent of total billed charges,"2,278.08",percent of total billed charges,"2,278.08",percent of total billed charges,"2,278.08",percent of total billed charges,"2,278.08",percent of total billed charges,"2,278.08",percent of total billed charges,"2,499.56",percent of total billed charges,"2,499.56",percent of total billed charges,"2,531.20",percent of total billed charges,"2,531.20",percent of total billed charges,,,"2,278.08",percent of total billed charges ,,,"2,531.20",percent of total billed charges ,"2,499.56",percent of total billed charges ,"2,499.56",percent of total billed charges ,"2,689.40",percent of total billed charges ,"2,689.40",percent of total billed charges ,"2,531.20",percent of total billed charges ,"2,531.20",percent of total billed charges ,"2,214.80",percent of total billed charges ,"2,214.80",percent of total billed charges ,"1,898.40",percent of total billed charges ,"1,898.40",percent of total billed charges ,"1,898.40",percent of total billed charges ,"1,898.40",percent of total billed charges ,,,,,"1,683.25",percent of total billed charges ,,,,,"1,599.09",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,
BALLOON DILA 6X10CM,C1726,CDM,,,,both,,,"3,065.00","3,065.00",704.95,"3,065.00","3,065.00",percent of total billed charges,"3,065.00",percent of total billed charges,"3,065.00",percent of total billed charges,"3,065.00",percent of total billed charges,"3,065.00",percent of total billed charges,"3,065.00",percent of total billed charges,"3,065.00",percent of total billed charges,"3,065.00",percent of total billed charges,"2,206.80",percent of total billed charges,"2,206.80",percent of total billed charges,"2,206.80",percent of total billed charges,"2,206.80",percent of total billed charges,"2,206.80",percent of total billed charges,"2,206.80",percent of total billed charges,"2,421.35",percent of total billed charges,"2,421.35",percent of total billed charges,"2,452.00",percent of total billed charges,"2,452.00",percent of total billed charges,,,"2,206.80",percent of total billed charges ,,,"2,452.00",percent of total billed charges ,"2,421.35",percent of total billed charges ,"2,421.35",percent of total billed charges ,"2,605.25",percent of total billed charges ,"2,605.25",percent of total billed charges ,"2,452.00",percent of total billed charges ,"2,452.00",percent of total billed charges ,"2,145.50",percent of total billed charges ,"2,145.50",percent of total billed charges ,"1,839.00",percent of total billed charges ,"1,839.00",percent of total billed charges ,"1,839.00",percent of total billed charges ,"1,839.00",percent of total billed charges ,,,,,"1,630.58",percent of total billed charges ,,,,,"1,549.05",percent of total billed charges ,,,,,,,,,,,,,,,,,,,704.95,percent of total billed charges,,,704.95,percent of total billed charges,,,704.95,percent of total billed charges,,,704.95,percent of total billed charges,,,704.95,percent of total billed charges,,,704.95,percent of total billed charges,,,704.95,percent of total billed charges,,,704.95,percent of total billed charges,,,704.95,percent of total billed charges,,,704.95,percent of total billed charges,,,704.95,percent of total billed charges,
URETERAL STENT VAR W POSITIONER,C2617,CDM,,,,both,,,"1,451.00","1,451.00",333.73,"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,"1,146.29",percent of total billed charges,"1,146.29",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 ,"1,146.29",percent of total billed charges ,"1,146.29",percent of total billed charges ,"1,233.35",percent of total billed charges ,"1,233.35",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 ,,,,,,,,,,,,,,,,,,,333.73,percent of total billed charges,,,333.73,percent of total billed charges,,,333.73,percent of total billed charges,,,333.73,percent of total billed charges,,,333.73,percent of total billed charges,,,333.73,percent of total billed charges,,,333.73,percent of total billed charges,,,333.73,percent of total billed charges,,,333.73,percent of total billed charges,,,333.73,percent of total billed charges,,,333.73,percent of total billed charges,
VAPORTRODE DISP CORD,272,RC,99999-99-9999,NDC,,both,,,239,239,54.97,239,239,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,188.81,percent of total billed charges,188.81,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 ,188.81,percent of total billed charges ,188.81,percent of total billed charges ,203.15,percent of total billed charges ,203.15,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 ,,,,,,,,,,,,,,,,,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,
PULSAVAC PLUS FAN SPRAY KIT,272,RC,99999-99-9999,NDC,,both,,,517,517,118.91,517,517,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,408.43,percent of total billed charges,408.43,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 ,408.43,percent of total billed charges ,408.43,percent of total billed charges ,439.45,percent of total billed charges ,439.45,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 ,,,,,,,,,,,,,,,,,,,118.91,percent of total billed charges,,,118.91,percent of total billed charges,,,118.91,percent of total billed charges,,,118.91,percent of total billed charges,,,118.91,percent of total billed charges,,,118.91,percent of total billed charges,,,118.91,percent of total billed charges,,,118.91,percent of total billed charges,,,118.91,percent of total billed charges,,,118.91,percent of total billed charges,,,118.91,percent of total billed charges,
TRANSDUCER W RESEVOIR,272,RC,99999-99-9999,NDC,,both,,,209,209,48.07,209,209,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,165.11,percent of total billed charges,165.11,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 ,165.11,percent of total billed charges ,165.11,percent of total billed charges ,177.65,percent of total billed charges ,177.65,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 ,,,,,,,,,,,,,,,,,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,
ENDOBIOPSY FRCP DUAL,272,RC,99999-99-9999,NDC,,both,,,424,424,97.52,424,424,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,334.96,percent of total billed charges,334.96,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 ,334.96,percent of total billed charges ,334.96,percent of total billed charges ,360.4,percent of total billed charges ,360.4,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 ,,,,,,,,,,,,,,,,,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,
NEEDLE CX BI 18X5 TEMNO,272,RC,99999-99-9999,NDC,,both,,,378,378,86.94,378,378,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,298.62,percent of total billed charges,298.62,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 ,298.62,percent of total billed charges ,298.62,percent of total billed charges ,321.3,percent of total billed charges ,321.3,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 ,,,,,,,,,,,,,,,,,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,
NEEDLE BIOPSY MAX-CORE 14x10,272,RC,99999-99-9999,NDC,,both,,,303,303,69.69,303,303,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,303,percent of total billed charges,303,percent of total billed charges,303,percent of total billed charges,218.16,percent of total billed charges,218.16,percent of total billed charges,218.16,percent of total billed charges,218.16,percent of total billed charges,218.16,percent of total billed charges,218.16,percent of total billed charges,239.37,percent of total billed charges,239.37,percent of total billed charges,242.4,percent of total billed charges,242.4,percent of total billed charges,,,218.16,percent of total billed charges ,,,242.4,percent of total billed charges ,239.37,percent of total billed charges ,239.37,percent of total billed charges ,257.55,percent of total billed charges ,257.55,percent of total billed charges ,242.4,percent of total billed charges ,242.4,percent of total billed charges ,212.1,percent of total billed charges ,212.1,percent of total billed charges ,181.8,percent of total billed charges ,181.8,percent of total billed charges ,181.8,percent of total billed charges ,181.8,percent of total billed charges ,,,,,161.2,percent of total billed charges ,,,,,153.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,
PICC LINE 5FR POWR DBL LUMN SHERLOC 3CG,C1751,CDM,,,,both,,,"1,862.00","1,862.00",428.26,"1,862.00","1,862.00",percent of total billed charges,"1,862.00",percent of total billed charges,"1,862.00",percent of total billed charges,"1,862.00",percent of total billed charges,"1,862.00",percent of total billed charges,"1,862.00",percent of total billed charges,"1,862.00",percent of total billed charges,"1,862.00",percent of total billed charges,"1,340.64",percent of total billed charges,"1,340.64",percent of total billed charges,"1,340.64",percent of total billed charges,"1,340.64",percent of total billed charges,"1,340.64",percent of total billed charges,"1,340.64",percent of total billed charges,"1,470.98",percent of total billed charges,"1,470.98",percent of total billed charges,"1,489.60",percent of total billed charges,"1,489.60",percent of total billed charges,,,"1,340.64",percent of total billed charges ,,,"1,489.60",percent of total billed charges ,"1,470.98",percent of total billed charges ,"1,470.98",percent of total billed charges ,"1,582.70",percent of total billed charges ,"1,582.70",percent of total billed charges ,"1,489.60",percent of total billed charges ,"1,489.60",percent of total billed charges ,"1,303.40",percent of total billed charges ,"1,303.40",percent of total billed charges ,"1,117.20",percent of total billed charges ,"1,117.20",percent of total billed charges ,"1,117.20",percent of total billed charges ,"1,117.20",percent of total billed charges ,,,,,990.58,percent of total billed charges ,,,,,941.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,428.26,percent of total billed charges,,,428.26,percent of total billed charges,,,428.26,percent of total billed charges,,,428.26,percent of total billed charges,,,428.26,percent of total billed charges,,,428.26,percent of total billed charges,,,428.26,percent of total billed charges,,,428.26,percent of total billed charges,,,428.26,percent of total billed charges,,,428.26,percent of total billed charges,,,428.26,percent of total billed charges,
KOPANS TARGET,272,RC,99999-99-9999,NDC,,both,,,472,472,108.56,472,472,percent of total billed charges,472,percent of total billed charges,472,percent of total billed charges,472,percent of total billed charges,472,percent of total billed charges,472,percent of total billed charges,472,percent of total billed charges,472,percent of total billed charges,339.84,percent of total billed charges,339.84,percent of total billed charges,339.84,percent of total billed charges,339.84,percent of total billed charges,339.84,percent of total billed charges,339.84,percent of total billed charges,372.88,percent of total billed charges,372.88,percent of total billed charges,377.6,percent of total billed charges,377.6,percent of total billed charges,,,339.84,percent of total billed charges ,,,377.6,percent of total billed charges ,372.88,percent of total billed charges ,372.88,percent of total billed charges ,401.2,percent of total billed charges ,401.2,percent of total billed charges ,377.6,percent of total billed charges ,377.6,percent of total billed charges ,330.4,percent of total billed charges ,330.4,percent of total billed charges ,283.2,percent of total billed charges ,283.2,percent of total billed charges ,283.2,percent of total billed charges ,283.2,percent of total billed charges ,,,,,251.1,percent of total billed charges ,,,,,238.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,
PACKING ORTHO-DRI,272,RC,99999-99-9999,NDC,,both,,,353,353,81.19,353,353,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,278.87,percent of total billed charges,278.87,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 ,278.87,percent of total billed charges ,278.87,percent of total billed charges ,300.05,percent of total billed charges ,300.05,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 ,,,,,,,,,,,,,,,,,,,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,,,81.19,percent of total billed charges,,,81.19,percent of total billed charges,,,81.19,percent of total billed charges,
SUTURE DOUB ARM NDLE,272,RC,99999-99-9999,NDC,,both,,,431,431,99.13,431,431,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,340.49,percent of total billed charges,340.49,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 ,340.49,percent of total billed charges ,340.49,percent of total billed charges ,366.35,percent of total billed charges ,366.35,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 ,,,,,,,,,,,,,,,,,,,99.13,percent of total billed charges,,,99.13,percent of total billed charges,,,99.13,percent of total billed charges,,,99.13,percent of total billed charges,,,99.13,percent of total billed charges,,,99.13,percent of total billed charges,,,99.13,percent of total billed charges,,,99.13,percent of total billed charges,,,99.13,percent of total billed charges,,,99.13,percent of total billed charges,,,99.13,percent of total billed charges,
SUTURE RETRIEVER DYONIC,272,RC,99999-99-9999,NDC,,both,,,343,343,78.89,343,343,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,270.97,percent of total billed charges,270.97,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 ,270.97,percent of total billed charges ,270.97,percent of total billed charges ,291.55,percent of total billed charges ,291.55,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 ,,,,,,,,,,,,,,,,,,,78.89,percent of total billed charges,,,78.89,percent of total billed charges,,,78.89,percent of total billed charges,,,78.89,percent of total billed charges,,,78.89,percent of total billed charges,,,78.89,percent of total billed charges,,,78.89,percent of total billed charges,,,78.89,percent of total billed charges,,,78.89,percent of total billed charges,,,78.89,percent of total billed charges,,,78.89,percent of total billed charges,
TIP SCISSOR METZENBAUM ORANGE,272,RC,99999-99-9999,NDC,,both,,,595,595,136.85,595,595,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,470.05,percent of total billed charges,470.05,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 ,470.05,percent of total billed charges ,470.05,percent of total billed charges ,505.75,percent of total billed charges ,505.75,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 ,,,,,,,,,,,,,,,,,,,136.85,percent of total billed charges,,,136.85,percent of total billed charges,,,136.85,percent of total billed charges,,,136.85,percent of total billed charges,,,136.85,percent of total billed charges,,,136.85,percent of total billed charges,,,136.85,percent of total billed charges,,,136.85,percent of total billed charges,,,136.85,percent of total billed charges,,,136.85,percent of total billed charges,,,136.85,percent of total billed charges,
CATH HYSTERO 7FR,272,RC,99999-99-9999,NDC,,both,,,276,276,63.48,276,276,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,218.04,percent of total billed charges,218.04,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 ,218.04,percent of total billed charges ,218.04,percent of total billed charges ,234.6,percent of total billed charges ,234.6,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 ,,,,,,,,,,,,,,,,,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,
CATH HYSTERO 5FR,272,RC,99999-99-9999,NDC,,both,,,276,276,63.48,276,276,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,218.04,percent of total billed charges,218.04,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 ,218.04,percent of total billed charges ,218.04,percent of total billed charges ,234.6,percent of total billed charges ,234.6,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 ,,,,,,,,,,,,,,,,,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,
NEEDLE SPINAL HAKKO,272,RC,99999-99-9999,NDC,,both,,,173,173,39.79,173,173,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,136.67,percent of total billed charges,136.67,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 ,136.67,percent of total billed charges ,136.67,percent of total billed charges ,147.05,percent of total billed charges ,147.05,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 ,,,,,,,,,,,,,,,,,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,
NEEDLE BI 22 X 11,272,RC,99999-99-9999,NDC,,both,,,492,492,113.16,492,492,percent of total billed charges,492,percent of total billed charges,492,percent of total billed charges,492,percent of total billed charges,492,percent of total billed charges,492,percent of total billed charges,492,percent of total billed charges,492,percent of total billed charges,354.24,percent of total billed charges,354.24,percent of total billed charges,354.24,percent of total billed charges,354.24,percent of total billed charges,354.24,percent of total billed charges,354.24,percent of total billed charges,388.68,percent of total billed charges,388.68,percent of total billed charges,393.6,percent of total billed charges,393.6,percent of total billed charges,,,354.24,percent of total billed charges ,,,393.6,percent of total billed charges ,388.68,percent of total billed charges ,388.68,percent of total billed charges ,418.2,percent of total billed charges ,418.2,percent of total billed charges ,393.6,percent of total billed charges ,393.6,percent of total billed charges ,344.4,percent of total billed charges ,344.4,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 ,,,,,261.74,percent of total billed charges ,,,,,248.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,113.16,percent of total billed charges,,,113.16,percent of total billed charges,,,113.16,percent of total billed charges,,,113.16,percent of total billed charges,,,113.16,percent of total billed charges,,,113.16,percent of total billed charges,,,113.16,percent of total billed charges,,,113.16,percent of total billed charges,,,113.16,percent of total billed charges,,,113.16,percent of total billed charges,,,113.16,percent of total billed charges,
NEEDLE LOCAL FLX 10C,272,RC,99999-99-9999,NDC,,both,,,211,211,48.53,211,211,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,166.69,percent of total billed charges,166.69,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 ,166.69,percent of total billed charges ,166.69,percent of total billed charges ,179.35,percent of total billed charges ,179.35,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
NEEDLE LOCAL FLX 5C,272,RC,99999-99-9999,NDC,,both,,,202,202,46.46,202,202,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,159.58,percent of total billed charges,159.58,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 ,159.58,percent of total billed charges ,159.58,percent of total billed charges ,171.7,percent of total billed charges ,171.7,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 ,,,,,,,,,,,,,,,,,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,
RETRACTOR RING LONE STAR,272,RC,99999-99-9999,NDC,,both,,,399,399,91.77,399,399,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,315.21,percent of total billed charges,315.21,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 ,315.21,percent of total billed charges ,315.21,percent of total billed charges ,339.15,percent of total billed charges ,339.15,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 ,,,,,,,,,,,,,,,,,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,
CATH HEMA COUDE 3WAY 22FR  LATEX,272,RC,99999-99-9999,NDC,,both,,,268,268,61.64,268,268,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,211.72,percent of total billed charges,211.72,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 ,211.72,percent of total billed charges ,211.72,percent of total billed charges ,227.8,percent of total billed charges ,227.8,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 ,,,,,,,,,,,,,,,,,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,
KNIFE KERATOME 2.85,272,RC,99999-99-9999,NDC,,both,,,155,155,35.65,155,155,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,122.45,percent of total billed charges,122.45,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 ,122.45,percent of total billed charges ,122.45,percent of total billed charges ,131.75,percent of total billed charges ,131.75,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 ,,,,,,,,,,,,,,,,,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,
CRICOTHYROTOMY AIRWAY CATH 6MM,272,RC,99999-99-9999,NDC,,both,,,"1,284.00","1,284.00",295.32,"1,284.00","1,284.00",percent of total billed charges,"1,284.00",percent of total billed charges,"1,284.00",percent of total billed charges,"1,284.00",percent of total billed charges,"1,284.00",percent of total billed charges,"1,284.00",percent of total billed charges,"1,284.00",percent of total billed charges,"1,284.00",percent of total billed charges,924.48,percent of total billed charges,924.48,percent of total billed charges,924.48,percent of total billed charges,924.48,percent of total billed charges,924.48,percent of total billed charges,924.48,percent of total billed charges,"1,014.36",percent of total billed charges,"1,014.36",percent of total billed charges,"1,027.20",percent of total billed charges,"1,027.20",percent of total billed charges,,,924.48,percent of total billed charges ,,,"1,027.20",percent of total billed charges ,"1,014.36",percent of total billed charges ,"1,014.36",percent of total billed charges ,"1,091.40",percent of total billed charges ,"1,091.40",percent of total billed charges ,"1,027.20",percent of total billed charges ,"1,027.20",percent of total billed charges ,898.8,percent of total billed charges ,898.8,percent of total billed charges ,770.4,percent of total billed charges ,770.4,percent of total billed charges ,770.4,percent of total billed charges ,770.4,percent of total billed charges ,,,,,683.09,percent of total billed charges ,,,,,648.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,295.32,percent of total billed charges,,,295.32,percent of total billed charges,,,295.32,percent of total billed charges,,,295.32,percent of total billed charges,,,295.32,percent of total billed charges,,,295.32,percent of total billed charges,,,295.32,percent of total billed charges,,,295.32,percent of total billed charges,,,295.32,percent of total billed charges,,,295.32,percent of total billed charges,,,295.32,percent of total billed charges,
BONE CEMENT MIX SYST QUICK VAC,272,RC,99999-99-9999,NDC,,both,,,542,542,124.66,542,542,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,428.18,percent of total billed charges,428.18,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 ,428.18,percent of total billed charges ,428.18,percent of total billed charges ,460.7,percent of total billed charges ,460.7,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 ,,,,,,,,,,,,,,,,,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,
BLADE 0277-096-275,272,RC,99999-99-9999,NDC,,both,,,576,576,132.48,576,576,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,455.04,percent of total billed charges,455.04,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 ,455.04,percent of total billed charges ,455.04,percent of total billed charges ,489.6,percent of total billed charges ,489.6,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
SCAR TREATMENT GEL,271,RC,99999-99-9999,NDC,,both,,,287,287,66.01,287,287,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,226.73,percent of total billed charges,226.73,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 ,226.73,percent of total billed charges ,226.73,percent of total billed charges ,243.95,percent of total billed charges ,243.95,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 ,,,,,,,,,,,,,,,,,,,66.01,percent of total billed charges,,,66.01,percent of total billed charges,,,66.01,percent of total billed charges,,,66.01,percent of total billed charges,,,66.01,percent of total billed charges,,,66.01,percent of total billed charges,,,66.01,percent of total billed charges,,,66.01,percent of total billed charges,,,66.01,percent of total billed charges,,,66.01,percent of total billed charges,,,66.01,percent of total billed charges,
ELECTRODE Q/C ADULT 3010188-017,271,RC,99999-99-9999,NDC,,both,,,292,292,67.16,292,292,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,230.68,percent of total billed charges,230.68,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 ,230.68,percent of total billed charges ,230.68,percent of total billed charges ,248.2,percent of total billed charges ,248.2,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 ,,,,,,,,,,,,,,,,,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,
ELECTRODE Q/C PED  <33lbs LF,271,RC,99999-99-9999,NDC,,both,,,448,448,103.04,448,448,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,353.92,percent of total billed charges,353.92,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 ,353.92,percent of total billed charges ,353.92,percent of total billed charges ,380.8,percent of total billed charges ,380.8,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 ,,,,,,,,,,,,,,,,,,,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,
EXTERNAL FILTER,271,RC,99999-99-9999,NDC,,both,,,424,424,97.52,424,424,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,334.96,percent of total billed charges,334.96,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 ,334.96,percent of total billed charges ,334.96,percent of total billed charges ,360.4,percent of total billed charges ,360.4,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 ,,,,,,,,,,,,,,,,,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,
CATH HEMA COUDE 3WAY 24FR LATEX,272,RC,99999-99-9999,NDC,,both,,,257,257,59.11,257,257,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,203.03,percent of total billed charges,203.03,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 ,203.03,percent of total billed charges ,203.03,percent of total billed charges ,218.45,percent of total billed charges ,218.45,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,59.11,percent of total billed charges,,,59.11,percent of total billed charges,,,59.11,percent of total billed charges,
STAYS FOR LONE STAR RETRACTOR 35750,272,RC,99999-99-9999,NDC,,both,,,399,399,91.77,399,399,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,315.21,percent of total billed charges,315.21,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 ,315.21,percent of total billed charges ,315.21,percent of total billed charges ,339.15,percent of total billed charges ,339.15,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 ,,,,,,,,,,,,,,,,,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,
POOLE SUCTION LAPAROSCOPY,272,RC,99999-99-9999,NDC,,both,,,145,145,33.35,145,145,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,114.55,percent of total billed charges,114.55,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 ,114.55,percent of total billed charges ,114.55,percent of total billed charges ,123.25,percent of total billed charges ,123.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,33.35,percent of total billed charges,,,33.35,percent of total billed charges,,,33.35,percent of total billed charges,
CHOLI CATH 4.5FR,272,RC,99999-99-9999,NDC,,both,,,221,221,50.83,221,221,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,174.59,percent of total billed charges,174.59,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 ,174.59,percent of total billed charges ,174.59,percent of total billed charges ,187.85,percent of total billed charges ,187.85,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 ,,,,,,,,,,,,,,,,,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,
CATH FOGERTY #5,272,RC,99999-99-9999,NDC,,both,,,689,689,158.47,689,689,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,544.31,percent of total billed charges,544.31,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 ,544.31,percent of total billed charges ,544.31,percent of total billed charges ,585.65,percent of total billed charges ,585.65,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 ,,,,,,,,,,,,,,,,,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,
CATH FOGERTY #6,272,RC,99999-99-9999,NDC,,both,,,689,689,158.47,689,689,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,544.31,percent of total billed charges,544.31,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 ,544.31,percent of total billed charges ,544.31,percent of total billed charges ,585.65,percent of total billed charges ,585.65,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 ,,,,,,,,,,,,,,,,,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,
URINARY DRAIN,271,RC,99999-99-9999,NDC,,both,,,202,202,46.46,202,202,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,159.58,percent of total billed charges,159.58,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 ,159.58,percent of total billed charges ,159.58,percent of total billed charges ,171.7,percent of total billed charges ,171.7,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 ,,,,,,,,,,,,,,,,,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,
ELLIK EVACUATOR  HAS LATEX,272,RC,99999-99-9999,NDC,,both,,,154,154,35.42,154,154,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,121.66,percent of total billed charges,121.66,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 ,121.66,percent of total billed charges ,121.66,percent of total billed charges ,130.9,percent of total billed charges ,130.9,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 ,,,,,,,,,,,,,,,,,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,
NEEDLE ASPI 18GA/21CM LENGTH BIOPSY,272,RC,99999-99-9999,NDC,,both,,,378,378,86.94,378,378,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,298.62,percent of total billed charges,298.62,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 ,298.62,percent of total billed charges ,298.62,percent of total billed charges ,321.3,percent of total billed charges ,321.3,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 ,,,,,,,,,,,,,,,,,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,
STENT 4.8FR X 22-30CM 180-155 W POSITION,C2617,CDM,,,,both,,,"1,451.00","1,451.00",333.73,"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,"1,146.29",percent of total billed charges,"1,146.29",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 ,"1,146.29",percent of total billed charges ,"1,146.29",percent of total billed charges ,"1,233.35",percent of total billed charges ,"1,233.35",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 ,,,,,,,,,,,,,,,,,,,333.73,percent of total billed charges,,,333.73,percent of total billed charges,,,333.73,percent of total billed charges,,,333.73,percent of total billed charges,,,333.73,percent of total billed charges,,,333.73,percent of total billed charges,,,333.73,percent of total billed charges,,,333.73,percent of total billed charges,,,333.73,percent of total billed charges,,,333.73,percent of total billed charges,,,333.73,percent of total billed charges,
STAPLER/CUTTER GIA 80 3.8 OPEN UPR COLON,272,RC,99999-99-9999,NDC,,both,,,"1,389.00","1,389.00",319.47,"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,"1,097.31",percent of total billed charges,"1,097.31",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 ,"1,097.31",percent of total billed charges ,"1,097.31",percent of total billed charges ,"1,180.65",percent of total billed charges ,"1,180.65",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 ,,,,,,,,,,,,,,,,,,,319.47,percent of total billed charges,,,319.47,percent of total billed charges,,,319.47,percent of total billed charges,,,319.47,percent of total billed charges,,,319.47,percent of total billed charges,,,319.47,percent of total billed charges,,,319.47,percent of total billed charges,,,319.47,percent of total billed charges,,,319.47,percent of total billed charges,,,319.47,percent of total billed charges,,,319.47,percent of total billed charges,
STAPLER/CUTTER RELOAD GIA 80 3.8,272,RC,99999-99-9999,NDC,,both,,,629,629,144.67,629,629,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,496.91,percent of total billed charges,496.91,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 ,496.91,percent of total billed charges ,496.91,percent of total billed charges ,534.65,percent of total billed charges ,534.65,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 ,,,,,,,,,,,,,,,,,,,144.67,percent of total billed charges,,,144.67,percent of total billed charges,,,144.67,percent of total billed charges,,,144.67,percent of total billed charges,,,144.67,percent of total billed charges,,,144.67,percent of total billed charges,,,144.67,percent of total billed charges,,,144.67,percent of total billed charges,,,144.67,percent of total billed charges,,,144.67,percent of total billed charges,,,144.67,percent of total billed charges,
GLIDE WIRE STIFF UWS1035,C1769,CDM,,,,both,,,632,632,145.36,632,632,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,499.28,percent of total billed charges,499.28,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 ,499.28,percent of total billed charges ,499.28,percent of total billed charges ,537.2,percent of total billed charges ,537.2,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 ,,,,,,,,,,,,,,,,,,,145.36,percent of total billed charges,,,145.36,percent of total billed charges,,,145.36,percent of total billed charges,,,145.36,percent of total billed charges,,,145.36,percent of total billed charges,,,145.36,percent of total billed charges,,,145.36,percent of total billed charges,,,145.36,percent of total billed charges,,,145.36,percent of total billed charges,,,145.36,percent of total billed charges,,,145.36,percent of total billed charges,
ENDO GUN UNIV 12MM,272,RC,99999-99-9999,NDC,,both,,,"2,096.00","2,096.00",482.08,"2,096.00","2,096.00",percent of total billed charges,"2,096.00",percent of total billed charges,"2,096.00",percent of total billed charges,"2,096.00",percent of total billed charges,"2,096.00",percent of total billed charges,"2,096.00",percent of total billed charges,"2,096.00",percent of total billed charges,"2,096.00",percent of total billed charges,"1,509.12",percent of total billed charges,"1,509.12",percent of total billed charges,"1,509.12",percent of total billed charges,"1,509.12",percent of total billed charges,"1,509.12",percent of total billed charges,"1,509.12",percent of total billed charges,"1,655.84",percent of total billed charges,"1,655.84",percent of total billed charges,"1,676.80",percent of total billed charges,"1,676.80",percent of total billed charges,,,"1,509.12",percent of total billed charges ,,,"1,676.80",percent of total billed charges ,"1,655.84",percent of total billed charges ,"1,655.84",percent of total billed charges ,"1,781.60",percent of total billed charges ,"1,781.60",percent of total billed charges ,"1,676.80",percent of total billed charges ,"1,676.80",percent of total billed charges ,"1,467.20",percent of total billed charges ,"1,467.20",percent of total billed charges ,"1,257.60",percent of total billed charges ,"1,257.60",percent of total billed charges ,"1,257.60",percent of total billed charges ,"1,257.60",percent of total billed charges ,,,,,"1,115.07",percent of total billed charges ,,,,,"1,059.32",percent of total billed charges ,,,,,,,,,,,,,,,,,,,482.08,percent of total billed charges,,,482.08,percent of total billed charges,,,482.08,percent of total billed charges,,,482.08,percent of total billed charges,,,482.08,percent of total billed charges,,,482.08,percent of total billed charges,,,482.08,percent of total billed charges,,,482.08,percent of total billed charges,,,482.08,percent of total billed charges,,,482.08,percent of total billed charges,,,482.08,percent of total billed charges,
STAPLER RELOAD 45 3.5 ROTIC ENDO GIA LF,272,RC,99999-99-9999,NDC,,both,,,"1,561.00","1,561.00",359.03,"1,561.00","1,561.00",percent of total billed charges,"1,561.00",percent of total billed charges,"1,561.00",percent of total billed charges,"1,561.00",percent of total billed charges,"1,561.00",percent of total billed charges,"1,561.00",percent of total billed charges,"1,561.00",percent of total billed charges,"1,561.00",percent of total billed charges,"1,123.92",percent of total billed charges,"1,123.92",percent of total billed charges,"1,123.92",percent of total billed charges,"1,123.92",percent of total billed charges,"1,123.92",percent of total billed charges,"1,123.92",percent of total billed charges,"1,233.19",percent of total billed charges,"1,233.19",percent of total billed charges,"1,248.80",percent of total billed charges,"1,248.80",percent of total billed charges,,,"1,123.92",percent of total billed charges ,,,"1,248.80",percent of total billed charges ,"1,233.19",percent of total billed charges ,"1,233.19",percent of total billed charges ,"1,326.85",percent of total billed charges ,"1,326.85",percent of total billed charges ,"1,248.80",percent of total billed charges ,"1,248.80",percent of total billed charges ,"1,092.70",percent of total billed charges ,"1,092.70",percent of total billed charges ,936.6,percent of total billed charges ,936.6,percent of total billed charges ,936.6,percent of total billed charges ,936.6,percent of total billed charges ,,,,,830.45,percent of total billed charges ,,,,,788.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,359.03,percent of total billed charges,,,359.03,percent of total billed charges,,,359.03,percent of total billed charges,,,359.03,percent of total billed charges,,,359.03,percent of total billed charges,,,359.03,percent of total billed charges,,,359.03,percent of total billed charges,,,359.03,percent of total billed charges,,,359.03,percent of total billed charges,,,359.03,percent of total billed charges,,,359.03,percent of total billed charges,
"VAPR S 90* ELECTRODE 4.0MM,90*SUCTION WI",272,RC,99999-99-9999,NDC,,both,,,"2,899.00","2,899.00",666.77,"2,899.00","2,899.00",percent of total billed charges,"2,899.00",percent of total billed charges,"2,899.00",percent of total billed charges,"2,899.00",percent of total billed charges,"2,899.00",percent of total billed charges,"2,899.00",percent of total billed charges,"2,899.00",percent of total billed charges,"2,899.00",percent of total billed charges,"2,087.28",percent of total billed charges,"2,087.28",percent of total billed charges,"2,087.28",percent of total billed charges,"2,087.28",percent of total billed charges,"2,087.28",percent of total billed charges,"2,087.28",percent of total billed charges,"2,290.21",percent of total billed charges,"2,290.21",percent of total billed charges,"2,319.20",percent of total billed charges,"2,319.20",percent of total billed charges,,,"2,087.28",percent of total billed charges ,,,"2,319.20",percent of total billed charges ,"2,290.21",percent of total billed charges ,"2,290.21",percent of total billed charges ,"2,464.15",percent of total billed charges ,"2,464.15",percent of total billed charges ,"2,319.20",percent of total billed charges ,"2,319.20",percent of total billed charges ,"2,029.30",percent of total billed charges ,"2,029.30",percent of total billed charges ,"1,739.40",percent of total billed charges ,"1,739.40",percent of total billed charges ,"1,739.40",percent of total billed charges ,"1,739.40",percent of total billed charges ,,,,,"1,542.27",percent of total billed charges ,,,,,"1,465.15",percent of total billed charges ,,,,,,,,,,,,,,,,,,,666.77,percent of total billed charges,,,666.77,percent of total billed charges,,,666.77,percent of total billed charges,,,666.77,percent of total billed charges,,,666.77,percent of total billed charges,,,666.77,percent of total billed charges,,,666.77,percent of total billed charges,,,666.77,percent of total billed charges,,,666.77,percent of total billed charges,,,666.77,percent of total billed charges,,,666.77,percent of total billed charges,
TROCAR VERSASTEP 12MM LF,272,RC,99999-99-9999,NDC,,both,,,763,763,175.49,763,763,percent of total billed charges,763,percent of total billed charges,763,percent of total billed charges,763,percent of total billed charges,763,percent of total billed charges,763,percent of total billed charges,763,percent of total billed charges,763,percent of total billed charges,549.36,percent of total billed charges,549.36,percent of total billed charges,549.36,percent of total billed charges,549.36,percent of total billed charges,549.36,percent of total billed charges,549.36,percent of total billed charges,602.77,percent of total billed charges,602.77,percent of total billed charges,610.4,percent of total billed charges,610.4,percent of total billed charges,,,549.36,percent of total billed charges ,,,610.4,percent of total billed charges ,602.77,percent of total billed charges ,602.77,percent of total billed charges ,648.55,percent of total billed charges ,648.55,percent of total billed charges ,610.4,percent of total billed charges ,610.4,percent of total billed charges ,534.1,percent of total billed charges ,534.1,percent of total billed charges ,457.8,percent of total billed charges ,457.8,percent of total billed charges ,457.8,percent of total billed charges ,457.8,percent of total billed charges ,,,,,405.92,percent of total billed charges ,,,,,385.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,175.49,percent of total billed charges,,,175.49,percent of total billed charges,,,175.49,percent of total billed charges,,,175.49,percent of total billed charges,,,175.49,percent of total billed charges,,,175.49,percent of total billed charges,,,175.49,percent of total billed charges,,,175.49,percent of total billed charges,,,175.49,percent of total billed charges,,,175.49,percent of total billed charges,,,175.49,percent of total billed charges,
NEEDLE BIOPSY MAX-CORE 18GA x10CM SWITCH,272,RC,99999-99-9999,NDC,,both,,,272,272,62.56,272,272,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,214.88,percent of total billed charges,214.88,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 ,214.88,percent of total billed charges ,214.88,percent of total billed charges ,231.2,percent of total billed charges ,231.2,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 ,,,,,,,,,,,,,,,,,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,
PUMP REFILL  MEDTRONIC,272,RC,99999-99-9999,NDC,,both,,,305,305,70.15,305,305,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,240.95,percent of total billed charges,240.95,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 ,240.95,percent of total billed charges ,240.95,percent of total billed charges ,259.25,percent of total billed charges ,259.25,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 ,,,,,,,,,,,,,,,,,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,
STENT PERCUFLEX 6X26 W POSITIONER,C2617,CDM,,,,both,,,"1,451.00","1,451.00",333.73,"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,"1,146.29",percent of total billed charges,"1,146.29",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 ,"1,146.29",percent of total billed charges ,"1,146.29",percent of total billed charges ,"1,233.35",percent of total billed charges ,"1,233.35",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 ,,,,,,,,,,,,,,,,,,,333.73,percent of total billed charges,,,333.73,percent of total billed charges,,,333.73,percent of total billed charges,,,333.73,percent of total billed charges,,,333.73,percent of total billed charges,,,333.73,percent of total billed charges,,,333.73,percent of total billed charges,,,333.73,percent of total billed charges,,,333.73,percent of total billed charges,,,333.73,percent of total billed charges,,,333.73,percent of total billed charges,
IRRIGATION PATHFINDER LF,272,RC,99999-99-9999,NDC,,both,,,399,399,91.77,399,399,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,315.21,percent of total billed charges,315.21,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 ,315.21,percent of total billed charges ,315.21,percent of total billed charges ,339.15,percent of total billed charges ,339.15,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 ,,,,,,,,,,,,,,,,,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,
DILATOR CRE 8-10 MM 5.5 BALLON,272,RC,99999-99-9999,NDC,,both,,,"2,114.00","2,114.00",486.22,"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,"1,670.06",percent of total billed charges,"1,670.06",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 ,"1,670.06",percent of total billed charges ,"1,670.06",percent of total billed charges ,"1,796.90",percent of total billed charges ,"1,796.90",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 ,,,,,,,,,,,,,,,,,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,
DILATOR CRE 10-12 MM 5.5 BALLON,272,RC,99999-99-9999,NDC,,both,,,"2,114.00","2,114.00",486.22,"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,"1,670.06",percent of total billed charges,"1,670.06",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 ,"1,670.06",percent of total billed charges ,"1,670.06",percent of total billed charges ,"1,796.90",percent of total billed charges ,"1,796.90",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 ,,,,,,,,,,,,,,,,,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,
DILATOR CRE 12-15 MM 5.5 BALLON,272,RC,99999-99-9999,NDC,,both,,,"2,114.00","2,114.00",486.22,"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,"1,670.06",percent of total billed charges,"1,670.06",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 ,"1,670.06",percent of total billed charges ,"1,670.06",percent of total billed charges ,"1,796.90",percent of total billed charges ,"1,796.90",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 ,,,,,,,,,,,,,,,,,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,
DILATOR CRE 15-18 MM 5.5 BALLON,272,RC,99999-99-9999,NDC,,both,,,"2,114.00","2,114.00",486.22,"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,"1,670.06",percent of total billed charges,"1,670.06",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 ,"1,670.06",percent of total billed charges ,"1,670.06",percent of total billed charges ,"1,796.90",percent of total billed charges ,"1,796.90",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 ,,,,,,,,,,,,,,,,,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,
PACKING NASAL 4.5 ANT  RAPID RHINO,272,RC,99999-99-9999,NDC,,both,,,258,258,59.34,258,258,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,203.82,percent of total billed charges,203.82,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 ,203.82,percent of total billed charges ,203.82,percent of total billed charges ,219.3,percent of total billed charges ,219.3,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 ,,,,,,,,,,,,,,,,,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,
PACKING NASAL 5.5 ANT  RAPID RHINO,272,RC,99999-99-9999,NDC,,both,,,271,271,62.33,271,271,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,214.09,percent of total billed charges,214.09,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 ,214.09,percent of total billed charges ,214.09,percent of total billed charges ,230.35,percent of total billed charges ,230.35,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 ,,,,,,,,,,,,,,,,,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,
PACKING NASAL 5.5 ANT/AIRW  RAPID RHINO,272,RC,99999-99-9999,NDC,,both,,,305,305,70.15,305,305,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,240.95,percent of total billed charges,240.95,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 ,240.95,percent of total billed charges ,240.95,percent of total billed charges ,259.25,percent of total billed charges ,259.25,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 ,,,,,,,,,,,,,,,,,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,
PACKING NASAL 7.5 ANT/POST  RAPID RHINO,272,RC,99999-99-9999,NDC,,both,,,287,287,66.01,287,287,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,226.73,percent of total billed charges,226.73,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 ,226.73,percent of total billed charges ,226.73,percent of total billed charges ,243.95,percent of total billed charges ,243.95,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 ,,,,,,,,,,,,,,,,,,,66.01,percent of total billed charges,,,66.01,percent of total billed charges,,,66.01,percent of total billed charges,,,66.01,percent of total billed charges,,,66.01,percent of total billed charges,,,66.01,percent of total billed charges,,,66.01,percent of total billed charges,,,66.01,percent of total billed charges,,,66.01,percent of total billed charges,,,66.01,percent of total billed charges,,,66.01,percent of total billed charges,
BONE CEMENT DEPUY 3,C1713,CDM,,,,both,,,618,618,142.14,618,618,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,488.22,percent of total billed charges,488.22,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 ,488.22,percent of total billed charges ,488.22,percent of total billed charges ,525.3,percent of total billed charges ,525.3,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 ,,,,,,,,,,,,,,,,,,,142.14,percent of total billed charges,,,142.14,percent of total billed charges,,,142.14,percent of total billed charges,,,142.14,percent of total billed charges,,,142.14,percent of total billed charges,,,142.14,percent of total billed charges,,,142.14,percent of total billed charges,,,142.14,percent of total billed charges,,,142.14,percent of total billed charges,,,142.14,percent of total billed charges,,,142.14,percent of total billed charges,
BONE CEMENT MIXING SYSTEM DEPUY,272,RC,99999-99-9999,NDC,,both,,,942,942,216.66,942,942,percent of total billed charges,942,percent of total billed charges,942,percent of total billed charges,942,percent of total billed charges,942,percent of total billed charges,942,percent of total billed charges,942,percent of total billed charges,942,percent of total billed charges,678.24,percent of total billed charges,678.24,percent of total billed charges,678.24,percent of total billed charges,678.24,percent of total billed charges,678.24,percent of total billed charges,678.24,percent of total billed charges,744.18,percent of total billed charges,744.18,percent of total billed charges,753.6,percent of total billed charges,753.6,percent of total billed charges,,,678.24,percent of total billed charges ,,,753.6,percent of total billed charges ,744.18,percent of total billed charges ,744.18,percent of total billed charges ,800.7,percent of total billed charges ,800.7,percent of total billed charges ,753.6,percent of total billed charges ,753.6,percent of total billed charges ,659.4,percent of total billed charges ,659.4,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 ,,,,,501.14,percent of total billed charges ,,,,,476.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,216.66,percent of total billed charges,,,216.66,percent of total billed charges,,,216.66,percent of total billed charges,,,216.66,percent of total billed charges,,,216.66,percent of total billed charges,,,216.66,percent of total billed charges,,,216.66,percent of total billed charges,,,216.66,percent of total billed charges,,,216.66,percent of total billed charges,,,216.66,percent of total billed charges,,,216.66,percent of total billed charges,
STAPLER RELOAD 45 2.5 ROTIC ENDO GIA,272,RC,99999-99-9999,NDC,,both,,,"1,464.00","1,464.00",336.72,"1,464.00","1,464.00",percent of total billed charges,"1,464.00",percent of total billed charges,"1,464.00",percent of total billed charges,"1,464.00",percent of total billed charges,"1,464.00",percent of total billed charges,"1,464.00",percent of total billed charges,"1,464.00",percent of total billed charges,"1,464.00",percent of total billed charges,"1,054.08",percent of total billed charges,"1,054.08",percent of total billed charges,"1,054.08",percent of total billed charges,"1,054.08",percent of total billed charges,"1,054.08",percent of total billed charges,"1,054.08",percent of total billed charges,"1,156.56",percent of total billed charges,"1,156.56",percent of total billed charges,"1,171.20",percent of total billed charges,"1,171.20",percent of total billed charges,,,"1,054.08",percent of total billed charges ,,,"1,171.20",percent of total billed charges ,"1,156.56",percent of total billed charges ,"1,156.56",percent of total billed charges ,"1,244.40",percent of total billed charges ,"1,244.40",percent of total billed charges ,"1,171.20",percent of total billed charges ,"1,171.20",percent of total billed charges ,"1,024.80",percent of total billed charges ,"1,024.80",percent of total billed charges ,878.4,percent of total billed charges ,878.4,percent of total billed charges ,878.4,percent of total billed charges ,878.4,percent of total billed charges ,,,,,778.85,percent of total billed charges ,,,,,739.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,336.72,percent of total billed charges,,,336.72,percent of total billed charges,,,336.72,percent of total billed charges,,,336.72,percent of total billed charges,,,336.72,percent of total billed charges,,,336.72,percent of total billed charges,,,336.72,percent of total billed charges,,,336.72,percent of total billed charges,,,336.72,percent of total billed charges,,,336.72,percent of total billed charges,,,336.72,percent of total billed charges,
STAPLER RELOAD 60 2.5 ROTIC ENDO GIA LF,272,RC,99999-99-9999,NDC,,both,,,"2,059.00","2,059.00",473.57,"2,059.00","2,059.00",percent of total billed charges,"2,059.00",percent of total billed charges,"2,059.00",percent of total billed charges,"2,059.00",percent of total billed charges,"2,059.00",percent of total billed charges,"2,059.00",percent of total billed charges,"2,059.00",percent of total billed charges,"2,059.00",percent of total billed charges,"1,482.48",percent of total billed charges,"1,482.48",percent of total billed charges,"1,482.48",percent of total billed charges,"1,482.48",percent of total billed charges,"1,482.48",percent of total billed charges,"1,482.48",percent of total billed charges,"1,626.61",percent of total billed charges,"1,626.61",percent of total billed charges,"1,647.20",percent of total billed charges,"1,647.20",percent of total billed charges,,,"1,482.48",percent of total billed charges ,,,"1,647.20",percent of total billed charges ,"1,626.61",percent of total billed charges ,"1,626.61",percent of total billed charges ,"1,750.15",percent of total billed charges ,"1,750.15",percent of total billed charges ,"1,647.20",percent of total billed charges ,"1,647.20",percent of total billed charges ,"1,441.30",percent of total billed charges ,"1,441.30",percent of total billed charges ,"1,235.40",percent of total billed charges ,"1,235.40",percent of total billed charges ,"1,235.40",percent of total billed charges ,"1,235.40",percent of total billed charges ,,,,,"1,095.39",percent of total billed charges ,,,,,"1,040.62",percent of total billed charges ,,,,,,,,,,,,,,,,,,,473.57,percent of total billed charges,,,473.57,percent of total billed charges,,,473.57,percent of total billed charges,,,473.57,percent of total billed charges,,,473.57,percent of total billed charges,,,473.57,percent of total billed charges,,,473.57,percent of total billed charges,,,473.57,percent of total billed charges,,,473.57,percent of total billed charges,,,473.57,percent of total billed charges,,,473.57,percent of total billed charges,
PROBE INJECTION GOLD 15FR,272,RC,99999-99-9999,NDC,,both,,,"2,237.00","2,237.00",514.51,"2,237.00","2,237.00",percent of total billed charges,"2,237.00",percent of total billed charges,"2,237.00",percent of total billed charges,"2,237.00",percent of total billed charges,"2,237.00",percent of total billed charges,"2,237.00",percent of total billed charges,"2,237.00",percent of total billed charges,"2,237.00",percent of total billed charges,"1,610.64",percent of total billed charges,"1,610.64",percent of total billed charges,"1,610.64",percent of total billed charges,"1,610.64",percent of total billed charges,"1,610.64",percent of total billed charges,"1,610.64",percent of total billed charges,"1,767.23",percent of total billed charges,"1,767.23",percent of total billed charges,"1,789.60",percent of total billed charges,"1,789.60",percent of total billed charges,,,"1,610.64",percent of total billed charges ,,,"1,789.60",percent of total billed charges ,"1,767.23",percent of total billed charges ,"1,767.23",percent of total billed charges ,"1,901.45",percent of total billed charges ,"1,901.45",percent of total billed charges ,"1,789.60",percent of total billed charges ,"1,789.60",percent of total billed charges ,"1,565.90",percent of total billed charges ,"1,565.90",percent of total billed charges ,"1,342.20",percent of total billed charges ,"1,342.20",percent of total billed charges ,"1,342.20",percent of total billed charges ,"1,342.20",percent of total billed charges ,,,,,"1,190.08",percent of total billed charges ,,,,,"1,130.58",percent of total billed charges ,,,,,,,,,,,,,,,,,,,514.51,percent of total billed charges,,,514.51,percent of total billed charges,,,514.51,percent of total billed charges,,,514.51,percent of total billed charges,,,514.51,percent of total billed charges,,,514.51,percent of total billed charges,,,514.51,percent of total billed charges,,,514.51,percent of total billed charges,,,514.51,percent of total billed charges,,,514.51,percent of total billed charges,,,514.51,percent of total billed charges,
STAPLER HERNIA  SALUTE,272,RC,99999-99-9999,NDC,,both,,,"3,951.00","3,951.00",908.73,"3,951.00","3,951.00",percent of total billed charges,"3,951.00",percent of total billed charges,"3,951.00",percent of total billed charges,"3,951.00",percent of total billed charges,"3,951.00",percent of total billed charges,"3,951.00",percent of total billed charges,"3,951.00",percent of total billed charges,"3,951.00",percent of total billed charges,"2,844.72",percent of total billed charges,"2,844.72",percent of total billed charges,"2,844.72",percent of total billed charges,"2,844.72",percent of total billed charges,"2,844.72",percent of total billed charges,"2,844.72",percent of total billed charges,"3,121.29",percent of total billed charges,"3,121.29",percent of total billed charges,"3,160.80",percent of total billed charges,"3,160.80",percent of total billed charges,,,"2,844.72",percent of total billed charges ,,,"3,160.80",percent of total billed charges ,"3,121.29",percent of total billed charges ,"3,121.29",percent of total billed charges ,"3,358.35",percent of total billed charges ,"3,358.35",percent of total billed charges ,"3,160.80",percent of total billed charges ,"3,160.80",percent of total billed charges ,"2,765.70",percent of total billed charges ,"2,765.70",percent of total billed charges ,"2,370.60",percent of total billed charges ,"2,370.60",percent of total billed charges ,"2,370.60",percent of total billed charges ,"2,370.60",percent of total billed charges ,,,,,"2,101.93",percent of total billed charges ,,,,,"1,996.84",percent of total billed charges ,,,,,,,,,,,,,,,,,,,908.73,percent of total billed charges,,,908.73,percent of total billed charges,,,908.73,percent of total billed charges,,,908.73,percent of total billed charges,,,908.73,percent of total billed charges,,,908.73,percent of total billed charges,,,908.73,percent of total billed charges,,,908.73,percent of total billed charges,,,908.73,percent of total billed charges,,,908.73,percent of total billed charges,,,908.73,percent of total billed charges,
GRAFT FENESTRATED 4X4 (PER DR REQUEST),C1768,CDM,,,,both,,,"11,998.00","11,998.00","2,759.54","11,998.00","11,998.00",percent of total billed charges,"11,998.00",percent of total billed charges,"11,998.00",percent of total billed charges,"11,998.00",percent of total billed charges,"11,998.00",percent of total billed charges,"11,998.00",percent of total billed charges,"11,998.00",percent of total billed charges,"11,998.00",percent of total billed charges,"8,638.56",percent of total billed charges,"8,638.56",percent of total billed charges,"8,638.56",percent of total billed charges,"8,638.56",percent of total billed charges,"8,638.56",percent of total billed charges,"8,638.56",percent of total billed charges,"9,478.42",percent of total billed charges,"9,478.42",percent of total billed charges,"9,598.40",percent of total billed charges,"9,598.40",percent of total billed charges,,,"8,638.56",percent of total billed charges ,,,"9,598.40",percent of total billed charges ,"9,478.42",percent of total billed charges ,"9,478.42",percent of total billed charges ,"10,198.30",percent of total billed charges ,"10,198.30",percent of total billed charges ,"9,598.40",percent of total billed charges ,"9,598.40",percent of total billed charges ,"8,398.60",percent of total billed charges ,"8,398.60",percent of total billed charges ,"7,198.80",percent of total billed charges ,"7,198.80",percent of total billed charges ,"7,198.80",percent of total billed charges ,"7,198.80",percent of total billed charges ,,,,,"6,382.94",percent of total billed charges ,,,,,"6,063.79",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,759.54",percent of total billed charges,,,"2,759.54",percent of total billed charges,,,"2,759.54",percent of total billed charges,,,"2,759.54",percent of total billed charges,,,"2,759.54",percent of total billed charges,,,"2,759.54",percent of total billed charges,,,"2,759.54",percent of total billed charges,,,"2,759.54",percent of total billed charges,,,"2,759.54",percent of total billed charges,,,"2,759.54",percent of total billed charges,,,"2,759.54",percent of total billed charges,
DRESSING VAC GRANUFOAM MEDIUM BLACK,272,RC,99999-99-9999,NDC,,both,,,464,464,106.72,464,464,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,366.56,percent of total billed charges,366.56,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 ,366.56,percent of total billed charges ,366.56,percent of total billed charges ,394.4,percent of total billed charges ,394.4,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 ,,,,,,,,,,,,,,,,,,,106.72,percent of total billed charges,,,106.72,percent of total billed charges,,,106.72,percent of total billed charges,,,106.72,percent of total billed charges,,,106.72,percent of total billed charges,,,106.72,percent of total billed charges,,,106.72,percent of total billed charges,,,106.72,percent of total billed charges,,,106.72,percent of total billed charges,,,106.72,percent of total billed charges,,,106.72,percent of total billed charges,
*TRACHEOSTOMY MANAGEMENT LF,272,RC,99999-99-9999,NDC,,both,,,192,192,44.16,192,192,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,151.68,percent of total billed charges,151.68,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 ,151.68,percent of total billed charges ,151.68,percent of total billed charges ,163.2,percent of total billed charges ,163.2,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 ,,,,,,,,,,,,,,,,,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,
BLADE SAGITTAL OSCILLATING TOTAL KNEE,272,RC,99999-99-9999,NDC,,both,,,705,705,162.15,705,705,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,556.95,percent of total billed charges,556.95,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 ,556.95,percent of total billed charges ,556.95,percent of total billed charges ,599.25,percent of total billed charges ,599.25,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 ,,,,,,,,,,,,,,,,,,,162.15,percent of total billed charges,,,162.15,percent of total billed charges,,,162.15,percent of total billed charges,,,162.15,percent of total billed charges,,,162.15,percent of total billed charges,,,162.15,percent of total billed charges,,,162.15,percent of total billed charges,,,162.15,percent of total billed charges,,,162.15,percent of total billed charges,,,162.15,percent of total billed charges,,,162.15,percent of total billed charges,
BLADE SAW MM DEPUY TOTAL JOINT,272,RC,99999-99-9999,NDC,,both,,,"1,438.00","1,438.00",330.74,"1,438.00","1,438.00",percent of total billed charges,"1,438.00",percent of total billed charges,"1,438.00",percent of total billed charges,"1,438.00",percent of total billed charges,"1,438.00",percent of total billed charges,"1,438.00",percent of total billed charges,"1,438.00",percent of total billed charges,"1,438.00",percent of total billed charges,"1,035.36",percent of total billed charges,"1,035.36",percent of total billed charges,"1,035.36",percent of total billed charges,"1,035.36",percent of total billed charges,"1,035.36",percent of total billed charges,"1,035.36",percent of total billed charges,"1,136.02",percent of total billed charges,"1,136.02",percent of total billed charges,"1,150.40",percent of total billed charges,"1,150.40",percent of total billed charges,,,"1,035.36",percent of total billed charges ,,,"1,150.40",percent of total billed charges ,"1,136.02",percent of total billed charges ,"1,136.02",percent of total billed charges ,"1,222.30",percent of total billed charges ,"1,222.30",percent of total billed charges ,"1,150.40",percent of total billed charges ,"1,150.40",percent of total billed charges ,"1,006.60",percent of total billed charges ,"1,006.60",percent of total billed charges ,862.8,percent of total billed charges ,862.8,percent of total billed charges ,862.8,percent of total billed charges ,862.8,percent of total billed charges ,,,,,765.02,percent of total billed charges ,,,,,726.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,330.74,percent of total billed charges,,,330.74,percent of total billed charges,,,330.74,percent of total billed charges,,,330.74,percent of total billed charges,,,330.74,percent of total billed charges,,,330.74,percent of total billed charges,,,330.74,percent of total billed charges,,,330.74,percent of total billed charges,,,330.74,percent of total billed charges,,,330.74,percent of total billed charges,,,330.74,percent of total billed charges,
SURGIFLO HEMOSTATIC MATRX KIT W/THROMBIN,272,RC,99999-99-9999,NDC,,both,,,"1,691.00","1,691.00",388.93,"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,"1,335.89",percent of total billed charges,"1,335.89",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 ,"1,335.89",percent of total billed charges ,"1,335.89",percent of total billed charges ,"1,437.35",percent of total billed charges ,"1,437.35",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 ,,,,,,,,,,,,,,,,,,,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,,,388.93,percent of total billed charges,,,388.93,percent of total billed charges,,,388.93,percent of total billed charges,
ADHESION REDUCTION SOLUTION 4%ICODEXTRIN,272,RC,99999-99-9999,NDC,,both,,,"2,102.00","2,102.00",483.46,"2,102.00","2,102.00",percent of total billed charges,"2,102.00",percent of total billed charges,"2,102.00",percent of total billed charges,"2,102.00",percent of total billed charges,"2,102.00",percent of total billed charges,"2,102.00",percent of total billed charges,"2,102.00",percent of total billed charges,"2,102.00",percent of total billed charges,"1,513.44",percent of total billed charges,"1,513.44",percent of total billed charges,"1,513.44",percent of total billed charges,"1,513.44",percent of total billed charges,"1,513.44",percent of total billed charges,"1,513.44",percent of total billed charges,"1,660.58",percent of total billed charges,"1,660.58",percent of total billed charges,"1,681.60",percent of total billed charges,"1,681.60",percent of total billed charges,,,"1,513.44",percent of total billed charges ,,,"1,681.60",percent of total billed charges ,"1,660.58",percent of total billed charges ,"1,660.58",percent of total billed charges ,"1,786.70",percent of total billed charges ,"1,786.70",percent of total billed charges ,"1,681.60",percent of total billed charges ,"1,681.60",percent of total billed charges ,"1,471.40",percent of total billed charges ,"1,471.40",percent of total billed charges ,"1,261.20",percent of total billed charges ,"1,261.20",percent of total billed charges ,"1,261.20",percent of total billed charges ,"1,261.20",percent of total billed charges ,,,,,"1,118.26",percent of total billed charges ,,,,,"1,062.35",percent of total billed charges ,,,,,,,,,,,,,,,,,,,483.46,percent of total billed charges,,,483.46,percent of total billed charges,,,483.46,percent of total billed charges,,,483.46,percent of total billed charges,,,483.46,percent of total billed charges,,,483.46,percent of total billed charges,,,483.46,percent of total billed charges,,,483.46,percent of total billed charges,,,483.46,percent of total billed charges,,,483.46,percent of total billed charges,,,483.46,percent of total billed charges,
CATH UTERINE BALLOON TAMPONADE LF,272,RC,99999-99-9999,NDC,,both,,,"1,197.00","1,197.00",275.31,"1,197.00","1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,945.63,percent of total billed charges,945.63,percent of total billed charges,957.6,percent of total billed charges,957.6,percent of total billed charges,,,861.84,percent of total billed charges ,,,957.6,percent of total billed charges ,945.63,percent of total billed charges ,945.63,percent of total billed charges ,"1,017.45",percent of total billed charges ,"1,017.45",percent of total billed charges ,957.6,percent of total billed charges ,957.6,percent of total billed charges ,837.9,percent of total billed charges ,837.9,percent of total billed charges ,718.2,percent of total billed charges ,718.2,percent of total billed charges ,718.2,percent of total billed charges ,718.2,percent of total billed charges ,,,,,636.8,percent of total billed charges ,,,,,604.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,
TRAUMA PELVIC ORTHOTIC DEVICE,271,RC,99999-99-9999,NDC,,both,,,896,896,206.08,896,896,percent of total billed charges,896,percent of total billed charges,896,percent of total billed charges,896,percent of total billed charges,896,percent of total billed charges,896,percent of total billed charges,896,percent of total billed charges,896,percent of total billed charges,645.12,percent of total billed charges,645.12,percent of total billed charges,645.12,percent of total billed charges,645.12,percent of total billed charges,645.12,percent of total billed charges,645.12,percent of total billed charges,707.84,percent of total billed charges,707.84,percent of total billed charges,716.8,percent of total billed charges,716.8,percent of total billed charges,,,645.12,percent of total billed charges ,,,716.8,percent of total billed charges ,707.84,percent of total billed charges ,707.84,percent of total billed charges ,761.6,percent of total billed charges ,761.6,percent of total billed charges ,716.8,percent of total billed charges ,716.8,percent of total billed charges ,627.2,percent of total billed charges ,627.2,percent of total billed charges ,537.6,percent of total billed charges ,537.6,percent of total billed charges ,537.6,percent of total billed charges ,537.6,percent of total billed charges ,,,,,476.67,percent of total billed charges ,,,,,452.84,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,
TROCAR VERSASTEP 5MM,272,RC,99999-99-9999,NDC,,both,,,910,910,209.3,910,910,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,718.9,percent of total billed charges,718.9,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 ,718.9,percent of total billed charges ,718.9,percent of total billed charges ,773.5,percent of total billed charges ,773.5,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 ,,,,,,,,,,,,,,,,,,,209.3,percent of total billed charges,,,209.3,percent of total billed charges,,,209.3,percent of total billed charges,,,209.3,percent of total billed charges,,,209.3,percent of total billed charges,,,209.3,percent of total billed charges,,,209.3,percent of total billed charges,,,209.3,percent of total billed charges,,,209.3,percent of total billed charges,,,209.3,percent of total billed charges,,,209.3,percent of total billed charges,
BLOOD FLUID WARMING SET 800ML/MIN LF,272,RC,99999-99-9999,NDC,,both,,,633,633,145.59,633,633,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,500.07,percent of total billed charges,500.07,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 ,500.07,percent of total billed charges ,500.07,percent of total billed charges ,538.05,percent of total billed charges ,538.05,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 ,,,,,,,,,,,,,,,,,,,145.59,percent of total billed charges,,,145.59,percent of total billed charges,,,145.59,percent of total billed charges,,,145.59,percent of total billed charges,,,145.59,percent of total billed charges,,,145.59,percent of total billed charges,,,145.59,percent of total billed charges,,,145.59,percent of total billed charges,,,145.59,percent of total billed charges,,,145.59,percent of total billed charges,,,145.59,percent of total billed charges,
BLADE SYST 6 SAGI STRYKER,272,RC,99999-99-9999,NDC,,both,,,602,602,138.46,602,602,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,475.58,percent of total billed charges,475.58,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 ,475.58,percent of total billed charges ,475.58,percent of total billed charges ,511.7,percent of total billed charges ,511.7,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 ,,,,,,,,,,,,,,,,,,,138.46,percent of total billed charges,,,138.46,percent of total billed charges,,,138.46,percent of total billed charges,,,138.46,percent of total billed charges,,,138.46,percent of total billed charges,,,138.46,percent of total billed charges,,,138.46,percent of total billed charges,,,138.46,percent of total billed charges,,,138.46,percent of total billed charges,,,138.46,percent of total billed charges,,,138.46,percent of total billed charges,
ADHESIVE SKIN DERMABOND LF,272,RC,99999-99-9999,NDC,,both,,,179,179,41.17,179,179,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,141.41,percent of total billed charges,141.41,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 ,141.41,percent of total billed charges ,141.41,percent of total billed charges ,152.15,percent of total billed charges ,152.15,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 ,,,,,,,,,,,,,,,,,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,
ZIP WIRE GLIDE WIRE ANGLED,C1769,CDM,,,,both,,,533,533,122.59,533,533,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,421.07,percent of total billed charges,421.07,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 ,421.07,percent of total billed charges ,421.07,percent of total billed charges ,453.05,percent of total billed charges ,453.05,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 ,,,,,,,,,,,,,,,,,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,
HEMOSTAT ABSORB 1/2 X 2 SURGICEL,E1637,CDM,,,,both,,,306,306,70.38,306,306,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,241.74,percent of total billed charges,241.74,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 ,241.74,percent of total billed charges ,241.74,percent of total billed charges ,260.1,percent of total billed charges ,260.1,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 ,,,,,,,,,,,,,,,,,,,70.38,percent of total billed charges,,,70.38,percent of total billed charges,,,70.38,percent of total billed charges,,,70.38,percent of total billed charges,,,70.38,percent of total billed charges,,,70.38,percent of total billed charges,,,70.38,percent of total billed charges,,,70.38,percent of total billed charges,,,70.38,percent of total billed charges,,,70.38,percent of total billed charges,,,70.38,percent of total billed charges,
COLLAR MIAMI J STOUT,L0174,CDM,,,,both,,,350,350,80.5,350,350,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,276.5,percent of total billed charges,276.5,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 ,276.5,percent of total billed charges ,276.5,percent of total billed charges ,297.5,percent of total billed charges ,297.5,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 ,,,,,,,,,,,,,,,,,,,80.5,percent of total billed charges,,,80.5,percent of total billed charges,,,80.5,percent of total billed charges,,,80.5,percent of total billed charges,,,80.5,percent of total billed charges,,,80.5,percent of total billed charges,,,80.5,percent of total billed charges,,,80.5,percent of total billed charges,,,80.5,percent of total billed charges,,,80.5,percent of total billed charges,,,80.5,percent of total billed charges,
COLLAR MIAMI J XSMALL,L0174,CDM,,,,both,,,391,391,89.93,391,391,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,308.89,percent of total billed charges,308.89,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 ,308.89,percent of total billed charges ,308.89,percent of total billed charges ,332.35,percent of total billed charges ,332.35,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 ,,,,,,,,,,,,,,,,,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,
COLLAR MIAMI J TALL,L0174,CDM,,,,both,,,391,391,89.93,391,391,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,308.89,percent of total billed charges,308.89,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 ,308.89,percent of total billed charges ,308.89,percent of total billed charges ,332.35,percent of total billed charges ,332.35,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 ,,,,,,,,,,,,,,,,,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,
CATH TRIPLE LUMEN 7FR HI-PRESSURE LF,C1751,CDM,,,,both,,,982,982,225.86,982,982,percent of total billed charges,982,percent of total billed charges,982,percent of total billed charges,982,percent of total billed charges,982,percent of total billed charges,982,percent of total billed charges,982,percent of total billed charges,982,percent of total billed charges,707.04,percent of total billed charges,707.04,percent of total billed charges,707.04,percent of total billed charges,707.04,percent of total billed charges,707.04,percent of total billed charges,707.04,percent of total billed charges,775.78,percent of total billed charges,775.78,percent of total billed charges,785.6,percent of total billed charges,785.6,percent of total billed charges,,,707.04,percent of total billed charges ,,,785.6,percent of total billed charges ,775.78,percent of total billed charges ,775.78,percent of total billed charges ,834.7,percent of total billed charges ,834.7,percent of total billed charges ,785.6,percent of total billed charges ,785.6,percent of total billed charges ,687.4,percent of total billed charges ,687.4,percent of total billed charges ,589.2,percent of total billed charges ,589.2,percent of total billed charges ,589.2,percent of total billed charges ,589.2,percent of total billed charges ,,,,,522.42,percent of total billed charges ,,,,,496.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,225.86,percent of total billed charges,,,225.86,percent of total billed charges,,,225.86,percent of total billed charges,,,225.86,percent of total billed charges,,,225.86,percent of total billed charges,,,225.86,percent of total billed charges,,,225.86,percent of total billed charges,,,225.86,percent of total billed charges,,,225.86,percent of total billed charges,,,225.86,percent of total billed charges,,,225.86,percent of total billed charges,
DRAIN PLEURX WITH BOTTLE,272,RC,99999-99-9999,NDC,,both,,,535,535,123.05,535,535,percent of total billed charges,535,percent of total billed charges,535,percent of total billed charges,535,percent of total billed charges,535,percent of total billed charges,535,percent of total billed charges,535,percent of total billed charges,535,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,385.2,percent of total billed charges,385.2,percent of total billed charges,422.65,percent of total billed charges,422.65,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,,,385.2,percent of total billed charges ,,,428,percent of total billed charges ,422.65,percent of total billed charges ,422.65,percent of total billed charges ,454.75,percent of total billed charges ,454.75,percent of total billed charges ,428,percent of total billed charges ,428,percent of total billed charges ,374.5,percent of total billed charges ,374.5,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 ,,,,,284.62,percent of total billed charges ,,,,,270.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,
VACUUM KIWI W/TRACTION FORCE INDICATOR,272,RC,99999-99-9999,NDC,,both,,,298,298,68.54,298,298,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,235.42,percent of total billed charges,235.42,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 ,235.42,percent of total billed charges ,235.42,percent of total billed charges ,253.3,percent of total billed charges ,253.3,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 ,,,,,,,,,,,,,,,,,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,
VACUUM KIWI W/C-CUP C-SECTION,272,RC,99999-99-9999,NDC,,both,,,274,274,63.02,274,274,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,216.46,percent of total billed charges,216.46,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 ,216.46,percent of total billed charges ,216.46,percent of total billed charges ,232.9,percent of total billed charges ,232.9,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 ,,,,,,,,,,,,,,,,,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,
BASKET STONE RET ZERO TIP LF,272,RC,99999-99-9999,NDC,,both,,,"1,797.00","1,797.00",413.31,"1,797.00","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,"1,797.00",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,"1,293.84",percent of total billed charges,"1,293.84",percent of total billed charges,"1,293.84",percent of total billed charges,"1,293.84",percent of total billed charges,"1,293.84",percent of total billed charges,"1,293.84",percent of total billed charges,"1,419.63",percent of total billed charges,"1,419.63",percent of total billed charges,"1,437.60",percent of total billed charges,"1,437.60",percent of total billed charges,,,"1,293.84",percent of total billed charges ,,,"1,437.60",percent of total billed charges ,"1,419.63",percent of total billed charges ,"1,419.63",percent of total billed charges ,"1,527.45",percent of total billed charges ,"1,527.45",percent of total billed charges ,"1,437.60",percent of total billed charges ,"1,437.60",percent of total billed charges ,"1,257.90",percent of total billed charges ,"1,257.90",percent of total billed charges ,"1,078.20",percent of total billed charges ,"1,078.20",percent of total billed charges ,"1,078.20",percent of total billed charges ,"1,078.20",percent of total billed charges ,,,,,956,percent of total billed charges ,,,,,908.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,413.31,percent of total billed charges,,,413.31,percent of total billed charges,,,413.31,percent of total billed charges,,,413.31,percent of total billed charges,,,413.31,percent of total billed charges,,,413.31,percent of total billed charges,,,413.31,percent of total billed charges,,,413.31,percent of total billed charges,,,413.31,percent of total billed charges,,,413.31,percent of total billed charges,,,413.31,percent of total billed charges,
FORCEP STONE RET GRASPIT LF,272,RC,99999-99-9999,NDC,,both,,,"2,153.00","2,153.00",495.19,"2,153.00","2,153.00",percent of total billed charges,"2,153.00",percent of total billed charges,"2,153.00",percent of total billed charges,"2,153.00",percent of total billed charges,"2,153.00",percent of total billed charges,"2,153.00",percent of total billed charges,"2,153.00",percent of total billed charges,"2,153.00",percent of total billed charges,"1,550.16",percent of total billed charges,"1,550.16",percent of total billed charges,"1,550.16",percent of total billed charges,"1,550.16",percent of total billed charges,"1,550.16",percent of total billed charges,"1,550.16",percent of total billed charges,"1,700.87",percent of total billed charges,"1,700.87",percent of total billed charges,"1,722.40",percent of total billed charges,"1,722.40",percent of total billed charges,,,"1,550.16",percent of total billed charges ,,,"1,722.40",percent of total billed charges ,"1,700.87",percent of total billed charges ,"1,700.87",percent of total billed charges ,"1,830.05",percent of total billed charges ,"1,830.05",percent of total billed charges ,"1,722.40",percent of total billed charges ,"1,722.40",percent of total billed charges ,"1,507.10",percent of total billed charges ,"1,507.10",percent of total billed charges ,"1,291.80",percent of total billed charges ,"1,291.80",percent of total billed charges ,"1,291.80",percent of total billed charges ,"1,291.80",percent of total billed charges ,,,,,"1,145.40",percent of total billed charges ,,,,,"1,088.13",percent of total billed charges ,,,,,,,,,,,,,,,,,,,495.19,percent of total billed charges,,,495.19,percent of total billed charges,,,495.19,percent of total billed charges,,,495.19,percent of total billed charges,,,495.19,percent of total billed charges,,,495.19,percent of total billed charges,,,495.19,percent of total billed charges,,,495.19,percent of total billed charges,,,495.19,percent of total billed charges,,,495.19,percent of total billed charges,,,495.19,percent of total billed charges,
BASKET STONE RET GEMINI 4-WIRE W/TIP LF,272,RC,99999-99-9999,NDC,,both,,,"1,787.00","1,787.00",411.01,"1,787.00","1,787.00",percent of total billed charges,"1,787.00",percent of total billed charges,"1,787.00",percent of total billed charges,"1,787.00",percent of total billed charges,"1,787.00",percent of total billed charges,"1,787.00",percent of total billed charges,"1,787.00",percent of total billed charges,"1,787.00",percent of total billed charges,"1,286.64",percent of total billed charges,"1,286.64",percent of total billed charges,"1,286.64",percent of total billed charges,"1,286.64",percent of total billed charges,"1,286.64",percent of total billed charges,"1,286.64",percent of total billed charges,"1,411.73",percent of total billed charges,"1,411.73",percent of total billed charges,"1,429.60",percent of total billed charges,"1,429.60",percent of total billed charges,,,"1,286.64",percent of total billed charges ,,,"1,429.60",percent of total billed charges ,"1,411.73",percent of total billed charges ,"1,411.73",percent of total billed charges ,"1,518.95",percent of total billed charges ,"1,518.95",percent of total billed charges ,"1,429.60",percent of total billed charges ,"1,429.60",percent of total billed charges ,"1,250.90",percent of total billed charges ,"1,250.90",percent of total billed charges ,"1,072.20",percent of total billed charges ,"1,072.20",percent of total billed charges ,"1,072.20",percent of total billed charges ,"1,072.20",percent of total billed charges ,,,,,950.68,percent of total billed charges ,,,,,903.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,411.01,percent of total billed charges,,,411.01,percent of total billed charges,,,411.01,percent of total billed charges,,,411.01,percent of total billed charges,,,411.01,percent of total billed charges,,,411.01,percent of total billed charges,,,411.01,percent of total billed charges,,,411.01,percent of total billed charges,,,411.01,percent of total billed charges,,,411.01,percent of total billed charges,,,411.01,percent of total billed charges,
TIP SCISSOR MODIFIED MARYLAND ORANGE,272,RC,99999-99-9999,NDC,,both,,,562,562,129.26,562,562,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,443.98,percent of total billed charges,443.98,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 ,443.98,percent of total billed charges ,443.98,percent of total billed charges ,477.7,percent of total billed charges ,477.7,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 ,,,,,,,,,,,,,,,,,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,
MESH PARIETEX & PATCH W/6CM PLUG LF,C1781,CDM,,,,both,,,"1,026.00","1,026.00",235.98,"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,810.54,percent of total billed charges,810.54,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 ,810.54,percent of total billed charges ,810.54,percent of total billed charges ,872.1,percent of total billed charges ,872.1,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 ,,,,,,,,,,,,,,,,,,,235.98,percent of total billed charges,,,235.98,percent of total billed charges,,,235.98,percent of total billed charges,,,235.98,percent of total billed charges,,,235.98,percent of total billed charges,,,235.98,percent of total billed charges,,,235.98,percent of total billed charges,,,235.98,percent of total billed charges,,,235.98,percent of total billed charges,,,235.98,percent of total billed charges,,,235.98,percent of total billed charges,
MESH PARIETEX & PATCH W/8CM PLUG LF,C1781,CDM,,,,both,,,"1,074.00","1,074.00",247.02,"1,074.00","1,074.00",percent of total billed charges,"1,074.00",percent of total billed charges,"1,074.00",percent of total billed charges,"1,074.00",percent of total billed charges,"1,074.00",percent of total billed charges,"1,074.00",percent of total billed charges,"1,074.00",percent of total billed charges,"1,074.00",percent of total billed charges,773.28,percent of total billed charges,773.28,percent of total billed charges,773.28,percent of total billed charges,773.28,percent of total billed charges,773.28,percent of total billed charges,773.28,percent of total billed charges,848.46,percent of total billed charges,848.46,percent of total billed charges,859.2,percent of total billed charges,859.2,percent of total billed charges,,,773.28,percent of total billed charges ,,,859.2,percent of total billed charges ,848.46,percent of total billed charges ,848.46,percent of total billed charges ,912.9,percent of total billed charges ,912.9,percent of total billed charges ,859.2,percent of total billed charges ,859.2,percent of total billed charges ,751.8,percent of total billed charges ,751.8,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 ,,,,,571.37,percent of total billed charges ,,,,,542.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,247.02,percent of total billed charges,,,247.02,percent of total billed charges,,,247.02,percent of total billed charges,,,247.02,percent of total billed charges,,,247.02,percent of total billed charges,,,247.02,percent of total billed charges,,,247.02,percent of total billed charges,,,247.02,percent of total billed charges,,,247.02,percent of total billed charges,,,247.02,percent of total billed charges,,,247.02,percent of total billed charges,
NEEDLE INTERJECT SCLERO 25GX2.3X240CM,272,RC,99999-99-9999,NDC,,both,,,368,368,84.64,368,368,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,290.72,percent of total billed charges,290.72,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 ,290.72,percent of total billed charges ,290.72,percent of total billed charges ,312.8,percent of total billed charges ,312.8,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 ,,,,,,,,,,,,,,,,,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,
MESH PARIETEX PROGRIP RECTANGL15X9CM,C1781,CDM,,,,both,,,"2,292.00","2,292.00",527.16,"2,292.00","2,292.00",percent of total billed charges,"2,292.00",percent of total billed charges,"2,292.00",percent of total billed charges,"2,292.00",percent of total billed charges,"2,292.00",percent of total billed charges,"2,292.00",percent of total billed charges,"2,292.00",percent of total billed charges,"2,292.00",percent of total billed charges,"1,650.24",percent of total billed charges,"1,650.24",percent of total billed charges,"1,650.24",percent of total billed charges,"1,650.24",percent of total billed charges,"1,650.24",percent of total billed charges,"1,650.24",percent of total billed charges,"1,810.68",percent of total billed charges,"1,810.68",percent of total billed charges,"1,833.60",percent of total billed charges,"1,833.60",percent of total billed charges,,,"1,650.24",percent of total billed charges ,,,"1,833.60",percent of total billed charges ,"1,810.68",percent of total billed charges ,"1,810.68",percent of total billed charges ,"1,948.20",percent of total billed charges ,"1,948.20",percent of total billed charges ,"1,833.60",percent of total billed charges ,"1,833.60",percent of total billed charges ,"1,604.40",percent of total billed charges ,"1,604.40",percent of total billed charges ,"1,375.20",percent of total billed charges ,"1,375.20",percent of total billed charges ,"1,375.20",percent of total billed charges ,"1,375.20",percent of total billed charges ,,,,,"1,219.34",percent of total billed charges ,,,,,"1,158.38",percent of total billed charges ,,,,,,,,,,,,,,,,,,,527.16,percent of total billed charges,,,527.16,percent of total billed charges,,,527.16,percent of total billed charges,,,527.16,percent of total billed charges,,,527.16,percent of total billed charges,,,527.16,percent of total billed charges,,,527.16,percent of total billed charges,,,527.16,percent of total billed charges,,,527.16,percent of total billed charges,,,527.16,percent of total billed charges,,,527.16,percent of total billed charges,
SLEEVE VERSASTEP RADIALLY EXPANDABLE,272,RC,99999-99-9999,NDC,,both,,,410,410,94.3,410,410,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,323.9,percent of total billed charges,323.9,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 ,323.9,percent of total billed charges ,323.9,percent of total billed charges ,348.5,percent of total billed charges ,348.5,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 ,,,,,,,,,,,,,,,,,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,
TIP GRASPER SHORT MODIFID TRADIT LF,272,RC,99999-99-9999,NDC,,both,,,"1,561.00","1,561.00",359.03,"1,561.00","1,561.00",percent of total billed charges,"1,561.00",percent of total billed charges,"1,561.00",percent of total billed charges,"1,561.00",percent of total billed charges,"1,561.00",percent of total billed charges,"1,561.00",percent of total billed charges,"1,561.00",percent of total billed charges,"1,561.00",percent of total billed charges,"1,123.92",percent of total billed charges,"1,123.92",percent of total billed charges,"1,123.92",percent of total billed charges,"1,123.92",percent of total billed charges,"1,123.92",percent of total billed charges,"1,123.92",percent of total billed charges,"1,233.19",percent of total billed charges,"1,233.19",percent of total billed charges,"1,248.80",percent of total billed charges,"1,248.80",percent of total billed charges,,,"1,123.92",percent of total billed charges ,,,"1,248.80",percent of total billed charges ,"1,233.19",percent of total billed charges ,"1,233.19",percent of total billed charges ,"1,326.85",percent of total billed charges ,"1,326.85",percent of total billed charges ,"1,248.80",percent of total billed charges ,"1,248.80",percent of total billed charges ,"1,092.70",percent of total billed charges ,"1,092.70",percent of total billed charges ,936.6,percent of total billed charges ,936.6,percent of total billed charges ,936.6,percent of total billed charges ,936.6,percent of total billed charges ,,,,,830.45,percent of total billed charges ,,,,,788.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,359.03,percent of total billed charges,,,359.03,percent of total billed charges,,,359.03,percent of total billed charges,,,359.03,percent of total billed charges,,,359.03,percent of total billed charges,,,359.03,percent of total billed charges,,,359.03,percent of total billed charges,,,359.03,percent of total billed charges,,,359.03,percent of total billed charges,,,359.03,percent of total billed charges,,,359.03,percent of total billed charges,
CLIP BIOPSY RIBBON LF,A4648,CDM,,,,both,,,656,656,150.88,656,656,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,518.24,percent of total billed charges,518.24,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 ,518.24,percent of total billed charges ,518.24,percent of total billed charges ,557.6,percent of total billed charges ,557.6,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 ,,,,,,,,,,,,,,,,,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,
CLIP BIOPSY COIL LF,A4648,CDM,,,,both,,,656,656,150.88,656,656,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,518.24,percent of total billed charges,518.24,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 ,518.24,percent of total billed charges ,518.24,percent of total billed charges ,557.6,percent of total billed charges ,557.6,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 ,,,,,,,,,,,,,,,,,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,
CLIP BIOPSY WINGED LF,A4648,CDM,,,,both,,,656,656,150.88,656,656,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,518.24,percent of total billed charges,518.24,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 ,518.24,percent of total billed charges ,518.24,percent of total billed charges ,557.6,percent of total billed charges ,557.6,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 ,,,,,,,,,,,,,,,,,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,
BIOPSY DEVICE BREAST CELERO,272,RC,99999-99-9999,NDC,,both,,,"2,284.00","2,284.00",525.32,"2,284.00","2,284.00",percent of total billed charges,"2,284.00",percent of total billed charges,"2,284.00",percent of total billed charges,"2,284.00",percent of total billed charges,"2,284.00",percent of total billed charges,"2,284.00",percent of total billed charges,"2,284.00",percent of total billed charges,"2,284.00",percent of total billed charges,"1,644.48",percent of total billed charges,"1,644.48",percent of total billed charges,"1,644.48",percent of total billed charges,"1,644.48",percent of total billed charges,"1,644.48",percent of total billed charges,"1,644.48",percent of total billed charges,"1,804.36",percent of total billed charges,"1,804.36",percent of total billed charges,"1,827.20",percent of total billed charges,"1,827.20",percent of total billed charges,,,"1,644.48",percent of total billed charges ,,,"1,827.20",percent of total billed charges ,"1,804.36",percent of total billed charges ,"1,804.36",percent of total billed charges ,"1,941.40",percent of total billed charges ,"1,941.40",percent of total billed charges ,"1,827.20",percent of total billed charges ,"1,827.20",percent of total billed charges ,"1,598.80",percent of total billed charges ,"1,598.80",percent of total billed charges ,"1,370.40",percent of total billed charges ,"1,370.40",percent of total billed charges ,"1,370.40",percent of total billed charges ,"1,370.40",percent of total billed charges ,,,,,"1,215.09",percent of total billed charges ,,,,,"1,154.33",percent of total billed charges ,,,,,,,,,,,,,,,,,,,525.32,percent of total billed charges,,,525.32,percent of total billed charges,,,525.32,percent of total billed charges,,,525.32,percent of total billed charges,,,525.32,percent of total billed charges,,,525.32,percent of total billed charges,,,525.32,percent of total billed charges,,,525.32,percent of total billed charges,,,525.32,percent of total billed charges,,,525.32,percent of total billed charges,,,525.32,percent of total billed charges,
NEEDLE BIOPSY COAXIAL 18-9.0 LF,272,RC,99999-99-9999,NDC,,both,,,585,585,134.55,585,585,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,462.15,percent of total billed charges,462.15,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 ,462.15,percent of total billed charges ,462.15,percent of total billed charges ,497.25,percent of total billed charges ,497.25,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 ,,,,,,,,,,,,,,,,,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,
NEEDLE BIOPSY COAXIAL 20-9.0 LF,272,RC,99999-99-9999,NDC,,both,,,585,585,134.55,585,585,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,462.15,percent of total billed charges,462.15,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 ,462.15,percent of total billed charges ,462.15,percent of total billed charges ,497.25,percent of total billed charges ,497.25,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 ,,,,,,,,,,,,,,,,,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,
FIBERWIRE #2 38  TAPR 36.6MM 1/2 CUTTING,278,RC,99999-99-9999,NDC,,both,,,176,176,40.48,176,176,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,139.04,percent of total billed charges,139.04,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 ,139.04,percent of total billed charges ,139.04,percent of total billed charges ,149.6,percent of total billed charges ,149.6,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 ,,,,,,,,,,,,,,,,,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,
SPECIMEN RADIOGRAPHY DEVICE TRANSPEC,272,RC,99999-99-9999,NDC,,both,,,156,156,35.88,156,156,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,123.24,percent of total billed charges,123.24,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 ,123.24,percent of total billed charges ,123.24,percent of total billed charges ,132.6,percent of total billed charges ,132.6,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 ,,,,,,,,,,,,,,,,,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,
CATH HYSTERO/SONOHYSTERO 5FR LF,272,RC,99999-99-9999,NDC,,both,,,168,168,38.64,168,168,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,132.72,percent of total billed charges,132.72,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 ,132.72,percent of total billed charges ,132.72,percent of total billed charges ,142.8,percent of total billed charges ,142.8,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 ,,,,,,,,,,,,,,,,,,,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,
TIP BABCOCK GRASPER MODFID TRADIT LF,272,RC,99999-99-9999,NDC,,both,,,554,554,127.42,554,554,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,437.66,percent of total billed charges,437.66,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 ,437.66,percent of total billed charges ,437.66,percent of total billed charges ,470.9,percent of total billed charges ,470.9,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 ,,,,,,,,,,,,,,,,,,,127.42,percent of total billed charges,,,127.42,percent of total billed charges,,,127.42,percent of total billed charges,,,127.42,percent of total billed charges,,,127.42,percent of total billed charges,,,127.42,percent of total billed charges,,,127.42,percent of total billed charges,,,127.42,percent of total billed charges,,,127.42,percent of total billed charges,,,127.42,percent of total billed charges,,,127.42,percent of total billed charges,
MESH PARIETEX LAP PROGRIP LEFT 15X10CM,C1781,CDM,,,,both,,,"3,442.00","3,442.00",791.66,"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,"2,719.18",percent of total billed charges,"2,719.18",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 ,"2,719.18",percent of total billed charges ,"2,719.18",percent of total billed charges ,"2,925.70",percent of total billed charges ,"2,925.70",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 ,,,,,,,,,,,,,,,,,,,791.66,percent of total billed charges,,,791.66,percent of total billed charges,,,791.66,percent of total billed charges,,,791.66,percent of total billed charges,,,791.66,percent of total billed charges,,,791.66,percent of total billed charges,,,791.66,percent of total billed charges,,,791.66,percent of total billed charges,,,791.66,percent of total billed charges,,,791.66,percent of total billed charges,,,791.66,percent of total billed charges,
MESH PARIETEX LAP PROGRIP RIGHT 15X10CM,C1781,CDM,,,,both,,,"3,236.00","3,236.00",744.28,"3,236.00","3,236.00",percent of total billed charges,"3,236.00",percent of total billed charges,"3,236.00",percent of total billed charges,"3,236.00",percent of total billed charges,"3,236.00",percent of total billed charges,"3,236.00",percent of total billed charges,"3,236.00",percent of total billed charges,"3,236.00",percent of total billed charges,"2,329.92",percent of total billed charges,"2,329.92",percent of total billed charges,"2,329.92",percent of total billed charges,"2,329.92",percent of total billed charges,"2,329.92",percent of total billed charges,"2,329.92",percent of total billed charges,"2,556.44",percent of total billed charges,"2,556.44",percent of total billed charges,"2,588.80",percent of total billed charges,"2,588.80",percent of total billed charges,,,"2,329.92",percent of total billed charges ,,,"2,588.80",percent of total billed charges ,"2,556.44",percent of total billed charges ,"2,556.44",percent of total billed charges ,"2,750.60",percent of total billed charges ,"2,750.60",percent of total billed charges ,"2,588.80",percent of total billed charges ,"2,588.80",percent of total billed charges ,"2,265.20",percent of total billed charges ,"2,265.20",percent of total billed charges ,"1,941.60",percent of total billed charges ,"1,941.60",percent of total billed charges ,"1,941.60",percent of total billed charges ,"1,941.60",percent of total billed charges ,,,,,"1,721.55",percent of total billed charges ,,,,,"1,635.47",percent of total billed charges ,,,,,,,,,,,,,,,,,,,744.28,percent of total billed charges,,,744.28,percent of total billed charges,,,744.28,percent of total billed charges,,,744.28,percent of total billed charges,,,744.28,percent of total billed charges,,,744.28,percent of total billed charges,,,744.28,percent of total billed charges,,,744.28,percent of total billed charges,,,744.28,percent of total billed charges,,,744.28,percent of total billed charges,,,744.28,percent of total billed charges,
POLY LOOP,272,RC,99999-99-9999,NDC,,both,,,997,997,229.31,997,997,percent of total billed charges,997,percent of total billed charges,997,percent of total billed charges,997,percent of total billed charges,997,percent of total billed charges,997,percent of total billed charges,997,percent of total billed charges,997,percent of total billed charges,717.84,percent of total billed charges,717.84,percent of total billed charges,717.84,percent of total billed charges,717.84,percent of total billed charges,717.84,percent of total billed charges,717.84,percent of total billed charges,787.63,percent of total billed charges,787.63,percent of total billed charges,797.6,percent of total billed charges,797.6,percent of total billed charges,,,717.84,percent of total billed charges ,,,797.6,percent of total billed charges ,787.63,percent of total billed charges ,787.63,percent of total billed charges ,847.45,percent of total billed charges ,847.45,percent of total billed charges ,797.6,percent of total billed charges ,797.6,percent of total billed charges ,697.9,percent of total billed charges ,697.9,percent of total billed charges ,598.2,percent of total billed charges ,598.2,percent of total billed charges ,598.2,percent of total billed charges ,598.2,percent of total billed charges ,,,,,530.4,percent of total billed charges ,,,,,503.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,229.31,percent of total billed charges,,,229.31,percent of total billed charges,,,229.31,percent of total billed charges,,,229.31,percent of total billed charges,,,229.31,percent of total billed charges,,,229.31,percent of total billed charges,,,229.31,percent of total billed charges,,,229.31,percent of total billed charges,,,229.31,percent of total billed charges,,,229.31,percent of total billed charges,,,229.31,percent of total billed charges,
BALLOON DILA 18-19-20CM LF,C1726,CDM,,,,both,,,"1,905.00","1,905.00",438.15,"1,905.00","1,905.00",percent of total billed charges,"1,905.00",percent of total billed charges,"1,905.00",percent of total billed charges,"1,905.00",percent of total billed charges,"1,905.00",percent of total billed charges,"1,905.00",percent of total billed charges,"1,905.00",percent of total billed charges,"1,905.00",percent of total billed charges,"1,371.60",percent of total billed charges,"1,371.60",percent of total billed charges,"1,371.60",percent of total billed charges,"1,371.60",percent of total billed charges,"1,371.60",percent of total billed charges,"1,371.60",percent of total billed charges,"1,504.95",percent of total billed charges,"1,504.95",percent of total billed charges,"1,524.00",percent of total billed charges,"1,524.00",percent of total billed charges,,,"1,371.60",percent of total billed charges ,,,"1,524.00",percent of total billed charges ,"1,504.95",percent of total billed charges ,"1,504.95",percent of total billed charges ,"1,619.25",percent of total billed charges ,"1,619.25",percent of total billed charges ,"1,524.00",percent of total billed charges ,"1,524.00",percent of total billed charges ,"1,333.50",percent of total billed charges ,"1,333.50",percent of total billed charges ,"1,143.00",percent of total billed charges ,"1,143.00",percent of total billed charges ,"1,143.00",percent of total billed charges ,"1,143.00",percent of total billed charges ,,,,,"1,013.46",percent of total billed charges ,,,,,962.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,438.15,percent of total billed charges,,,438.15,percent of total billed charges,,,438.15,percent of total billed charges,,,438.15,percent of total billed charges,,,438.15,percent of total billed charges,,,438.15,percent of total billed charges,,,438.15,percent of total billed charges,,,438.15,percent of total billed charges,,,438.15,percent of total billed charges,,,438.15,percent of total billed charges,,,438.15,percent of total billed charges,
NEEDLE BIOPSY 5FR ONE-STEP LF,272,RC,99999-99-9999,NDC,,both,,,189,189,43.47,189,189,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,149.31,percent of total billed charges,149.31,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 ,149.31,percent of total billed charges ,149.31,percent of total billed charges ,160.65,percent of total billed charges ,160.65,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 ,,,,,,,,,,,,,,,,,,,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,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,
NEEDLE HAWKINS 5CM,272,RC,99999-99-9999,NDC,,both,,,229,229,52.67,229,229,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,180.91,percent of total billed charges,180.91,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 ,180.91,percent of total billed charges ,180.91,percent of total billed charges ,194.65,percent of total billed charges ,194.65,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 ,,,,,,,,,,,,,,,,,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,
NEEDLE HAWKINS 10CM,272,RC,99999-99-9999,NDC,,both,,,229,229,52.67,229,229,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,180.91,percent of total billed charges,180.91,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 ,180.91,percent of total billed charges ,180.91,percent of total billed charges ,194.65,percent of total billed charges ,194.65,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 ,,,,,,,,,,,,,,,,,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,
ENDO BIOPSY JUMBO FORCEP RADIAL JAW4 LF,272,RC,99999-99-9999,NDC,,both,,,388,388,89.24,388,388,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,306.52,percent of total billed charges,306.52,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 ,306.52,percent of total billed charges ,306.52,percent of total billed charges ,329.8,percent of total billed charges ,329.8,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 ,,,,,,,,,,,,,,,,,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,
CATH MIDLIN 4FR SGL LUM-FUL GUIDE NONPWR,C1887,CDM,,,,both,,,"1,214.00","1,214.00",279.22,"1,214.00","1,214.00",percent of total billed charges,"1,214.00",percent of total billed charges,"1,214.00",percent of total billed charges,"1,214.00",percent of total billed charges,"1,214.00",percent of total billed charges,"1,214.00",percent of total billed charges,"1,214.00",percent of total billed charges,"1,214.00",percent of total billed charges,874.08,percent of total billed charges,874.08,percent of total billed charges,874.08,percent of total billed charges,874.08,percent of total billed charges,874.08,percent of total billed charges,874.08,percent of total billed charges,959.06,percent of total billed charges,959.06,percent of total billed charges,971.2,percent of total billed charges,971.2,percent of total billed charges,,,874.08,percent of total billed charges ,,,971.2,percent of total billed charges ,959.06,percent of total billed charges ,959.06,percent of total billed charges ,"1,031.90",percent of total billed charges ,"1,031.90",percent of total billed charges ,971.2,percent of total billed charges ,971.2,percent of total billed charges ,849.8,percent of total billed charges ,849.8,percent of total billed charges ,728.4,percent of total billed charges ,728.4,percent of total billed charges ,728.4,percent of total billed charges ,728.4,percent of total billed charges ,,,,,645.85,percent of total billed charges ,,,,,613.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,279.22,percent of total billed charges,,,279.22,percent of total billed charges,,,279.22,percent of total billed charges,,,279.22,percent of total billed charges,,,279.22,percent of total billed charges,,,279.22,percent of total billed charges,,,279.22,percent of total billed charges,,,279.22,percent of total billed charges,,,279.22,percent of total billed charges,,,279.22,percent of total billed charges,,,279.22,percent of total billed charges,
CATH MIDLINE FULL 20GAX10CM POWERED LF,C1751,CDM,,,,both,,,901,901,207.23,901,901,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,711.79,percent of total billed charges,711.79,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 ,711.79,percent of total billed charges ,711.79,percent of total billed charges ,765.85,percent of total billed charges ,765.85,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 ,,,,,,,,,,,,,,,,,,,207.23,percent of total billed charges,,,207.23,percent of total billed charges,,,207.23,percent of total billed charges,,,207.23,percent of total billed charges,,,207.23,percent of total billed charges,,,207.23,percent of total billed charges,,,207.23,percent of total billed charges,,,207.23,percent of total billed charges,,,207.23,percent of total billed charges,,,207.23,percent of total billed charges,,,207.23,percent of total billed charges,
STENT PERCUFLEX + 7FR X28CM W POSITIO,C2617,CDM,,,,both,,,"1,355.00","1,355.00",311.65,"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,"1,070.45",percent of total billed charges,"1,070.45",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 ,"1,070.45",percent of total billed charges ,"1,070.45",percent of total billed charges ,"1,151.75",percent of total billed charges ,"1,151.75",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 ,,,,,,,,,,,,,,,,,,,311.65,percent of total billed charges,,,311.65,percent of total billed charges,,,311.65,percent of total billed charges,,,311.65,percent of total billed charges,,,311.65,percent of total billed charges,,,311.65,percent of total billed charges,,,311.65,percent of total billed charges,,,311.65,percent of total billed charges,,,311.65,percent of total billed charges,,,311.65,percent of total billed charges,,,311.65,percent of total billed charges,
SNAREMASTER SNARE  LF,272,RC,99999-99-9999,NDC,,both,,,268,268,61.64,268,268,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,211.72,percent of total billed charges,211.72,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 ,211.72,percent of total billed charges ,211.72,percent of total billed charges ,227.8,percent of total billed charges ,227.8,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 ,,,,,,,,,,,,,,,,,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,
MULTIBANDER SPEEDBAND SUPERVIEW LF,272,RC,99999-99-9999,NDC,,both,,,"1,511.00","1,511.00",347.53,"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,"1,193.69",percent of total billed charges,"1,193.69",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 ,"1,193.69",percent of total billed charges ,"1,193.69",percent of total billed charges ,"1,284.35",percent of total billed charges ,"1,284.35",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 ,,,,,,,,,,,,,,,,,,,347.53,percent of total billed charges,,,347.53,percent of total billed charges,,,347.53,percent of total billed charges,,,347.53,percent of total billed charges,,,347.53,percent of total billed charges,,,347.53,percent of total billed charges,,,347.53,percent of total billed charges,,,347.53,percent of total billed charges,,,347.53,percent of total billed charges,,,347.53,percent of total billed charges,,,347.53,percent of total billed charges,
DRESSING COLLAGEN W/SILVER 4X4 LF,272,RC,99999-99-9999,NDC,,both,,,292,292,67.16,292,292,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,230.68,percent of total billed charges,230.68,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 ,230.68,percent of total billed charges ,230.68,percent of total billed charges ,248.2,percent of total billed charges ,248.2,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 ,,,,,,,,,,,,,,,,,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,
MESH PARIETEX VENTRAL PATCH 4CM LF,C1781,CDM,,,,both,,,"3,612.00","3,612.00",830.76,"3,612.00","3,612.00",percent of total billed charges,"3,612.00",percent of total billed charges,"3,612.00",percent of total billed charges,"3,612.00",percent of total billed charges,"3,612.00",percent of total billed charges,"3,612.00",percent of total billed charges,"3,612.00",percent of total billed charges,"3,612.00",percent of total billed charges,"2,600.64",percent of total billed charges,"2,600.64",percent of total billed charges,"2,600.64",percent of total billed charges,"2,600.64",percent of total billed charges,"2,600.64",percent of total billed charges,"2,600.64",percent of total billed charges,"2,853.48",percent of total billed charges,"2,853.48",percent of total billed charges,"2,889.60",percent of total billed charges,"2,889.60",percent of total billed charges,,,"2,600.64",percent of total billed charges ,,,"2,889.60",percent of total billed charges ,"2,853.48",percent of total billed charges ,"2,853.48",percent of total billed charges ,"3,070.20",percent of total billed charges ,"3,070.20",percent of total billed charges ,"2,889.60",percent of total billed charges ,"2,889.60",percent of total billed charges ,"2,528.40",percent of total billed charges ,"2,528.40",percent of total billed charges ,"2,167.20",percent of total billed charges ,"2,167.20",percent of total billed charges ,"2,167.20",percent of total billed charges ,"2,167.20",percent of total billed charges ,,,,,"1,921.58",percent of total billed charges ,,,,,"1,825.50",percent of total billed charges ,,,,,,,,,,,,,,,,,,,830.76,percent of total billed charges,,,830.76,percent of total billed charges,,,830.76,percent of total billed charges,,,830.76,percent of total billed charges,,,830.76,percent of total billed charges,,,830.76,percent of total billed charges,,,830.76,percent of total billed charges,,,830.76,percent of total billed charges,,,830.76,percent of total billed charges,,,830.76,percent of total billed charges,,,830.76,percent of total billed charges,
MESH PARIETEX VENTRAL PATCH 6CM LF,C1781,CDM,,,,both,,,"4,330.00","4,330.00",995.9,"4,330.00","4,330.00",percent of total billed charges,"4,330.00",percent of total billed charges,"4,330.00",percent of total billed charges,"4,330.00",percent of total billed charges,"4,330.00",percent of total billed charges,"4,330.00",percent of total billed charges,"4,330.00",percent of total billed charges,"4,330.00",percent of total billed charges,"3,117.60",percent of total billed charges,"3,117.60",percent of total billed charges,"3,117.60",percent of total billed charges,"3,117.60",percent of total billed charges,"3,117.60",percent of total billed charges,"3,117.60",percent of total billed charges,"3,420.70",percent of total billed charges,"3,420.70",percent of total billed charges,"3,464.00",percent of total billed charges,"3,464.00",percent of total billed charges,,,"3,117.60",percent of total billed charges ,,,"3,464.00",percent of total billed charges ,"3,420.70",percent of total billed charges ,"3,420.70",percent of total billed charges ,"3,680.50",percent of total billed charges ,"3,680.50",percent of total billed charges ,"3,464.00",percent of total billed charges ,"3,464.00",percent of total billed charges ,"3,031.00",percent of total billed charges ,"3,031.00",percent of total billed charges ,"2,598.00",percent of total billed charges ,"2,598.00",percent of total billed charges ,"2,598.00",percent of total billed charges ,"2,598.00",percent of total billed charges ,,,,,"2,303.56",percent of total billed charges ,,,,,"2,188.38",percent of total billed charges ,,,,,,,,,,,,,,,,,,,995.9,percent of total billed charges,,,995.9,percent of total billed charges,,,995.9,percent of total billed charges,,,995.9,percent of total billed charges,,,995.9,percent of total billed charges,,,995.9,percent of total billed charges,,,995.9,percent of total billed charges,,,995.9,percent of total billed charges,,,995.9,percent of total billed charges,,,995.9,percent of total billed charges,,,995.9,percent of total billed charges,
LAVAGE KIT 32FR W/3L BAG,271,RC,99999-99-9999,NDC,,both,,,369,369,84.87,369,369,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,291.51,percent of total billed charges,291.51,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 ,291.51,percent of total billed charges ,291.51,percent of total billed charges ,313.65,percent of total billed charges ,313.65,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 ,,,,,,,,,,,,,,,,,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,
INTRODUCER 8FR VALVE XCELA PORT NOLASER,C1894,CDM,,,,both,,,231,231,53.13,231,231,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,182.49,percent of total billed charges,182.49,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 ,182.49,percent of total billed charges ,182.49,percent of total billed charges ,196.35,percent of total billed charges ,196.35,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 ,,,,,,,,,,,,,,,,,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,
PASSER HEWSON TENDON/SUTURE LF,272,RC,99999-99-9999,NDC,,both,,,504,504,115.92,504,504,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,398.16,percent of total billed charges,398.16,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 ,398.16,percent of total billed charges ,398.16,percent of total billed charges ,428.4,percent of total billed charges ,428.4,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 ,,,,,,,,,,,,,,,,,,,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,
MESH SYMBOTEX COMP 20X15CM LF,C1781,CDM,,,,both,,,"6,428.00","6,428.00","1,478.44","6,428.00","6,428.00",percent of total billed charges,"6,428.00",percent of total billed charges,"6,428.00",percent of total billed charges,"6,428.00",percent of total billed charges,"6,428.00",percent of total billed charges,"6,428.00",percent of total billed charges,"6,428.00",percent of total billed charges,"6,428.00",percent of total billed charges,"4,628.16",percent of total billed charges,"4,628.16",percent of total billed charges,"4,628.16",percent of total billed charges,"4,628.16",percent of total billed charges,"4,628.16",percent of total billed charges,"4,628.16",percent of total billed charges,"5,078.12",percent of total billed charges,"5,078.12",percent of total billed charges,"5,142.40",percent of total billed charges,"5,142.40",percent of total billed charges,,,"4,628.16",percent of total billed charges ,,,"5,142.40",percent of total billed charges ,"5,078.12",percent of total billed charges ,"5,078.12",percent of total billed charges ,"5,463.80",percent of total billed charges ,"5,463.80",percent of total billed charges ,"5,142.40",percent of total billed charges ,"5,142.40",percent of total billed charges ,"4,499.60",percent of total billed charges ,"4,499.60",percent of total billed charges ,"3,856.80",percent of total billed charges ,"3,856.80",percent of total billed charges ,"3,856.80",percent of total billed charges ,"3,856.80",percent of total billed charges ,,,,,"3,419.70",percent of total billed charges ,,,,,"3,248.71",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,478.44",percent of total billed charges,,,"1,478.44",percent of total billed charges,,,"1,478.44",percent of total billed charges,,,"1,478.44",percent of total billed charges,,,"1,478.44",percent of total billed charges,,,"1,478.44",percent of total billed charges,,,"1,478.44",percent of total billed charges,,,"1,478.44",percent of total billed charges,,,"1,478.44",percent of total billed charges,,,"1,478.44",percent of total billed charges,,,"1,478.44",percent of total billed charges,
MESH SYMBOTEX COMP 15X10CM LF,C1781,CDM,,,,both,,,"4,518.00","4,518.00","1,039.14","4,518.00","4,518.00",percent of total billed charges,"4,518.00",percent of total billed charges,"4,518.00",percent of total billed charges,"4,518.00",percent of total billed charges,"4,518.00",percent of total billed charges,"4,518.00",percent of total billed charges,"4,518.00",percent of total billed charges,"4,518.00",percent of total billed charges,"3,252.96",percent of total billed charges,"3,252.96",percent of total billed charges,"3,252.96",percent of total billed charges,"3,252.96",percent of total billed charges,"3,252.96",percent of total billed charges,"3,252.96",percent of total billed charges,"3,569.22",percent of total billed charges,"3,569.22",percent of total billed charges,"3,614.40",percent of total billed charges,"3,614.40",percent of total billed charges,,,"3,252.96",percent of total billed charges ,,,"3,614.40",percent of total billed charges ,"3,569.22",percent of total billed charges ,"3,569.22",percent of total billed charges ,"3,840.30",percent of total billed charges ,"3,840.30",percent of total billed charges ,"3,614.40",percent of total billed charges ,"3,614.40",percent of total billed charges ,"3,162.60",percent of total billed charges ,"3,162.60",percent of total billed charges ,"2,710.80",percent of total billed charges ,"2,710.80",percent of total billed charges ,"2,710.80",percent of total billed charges ,"2,710.80",percent of total billed charges ,,,,,"2,403.58",percent of total billed charges ,,,,,"2,283.40",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,039.14",percent of total billed charges,,,"1,039.14",percent of total billed charges,,,"1,039.14",percent of total billed charges,,,"1,039.14",percent of total billed charges,,,"1,039.14",percent of total billed charges,,,"1,039.14",percent of total billed charges,,,"1,039.14",percent of total billed charges,,,"1,039.14",percent of total billed charges,,,"1,039.14",percent of total billed charges,,,"1,039.14",percent of total billed charges,,,"1,039.14",percent of total billed charges,
MESH SYMBOTEX COMP 9CM ROUND LF,C1781,CDM,,,,both,,,"3,371.00","3,371.00",775.33,"3,371.00","3,371.00",percent of total billed charges,"3,371.00",percent of total billed charges,"3,371.00",percent of total billed charges,"3,371.00",percent of total billed charges,"3,371.00",percent of total billed charges,"3,371.00",percent of total billed charges,"3,371.00",percent of total billed charges,"3,371.00",percent of total billed charges,"2,427.12",percent of total billed charges,"2,427.12",percent of total billed charges,"2,427.12",percent of total billed charges,"2,427.12",percent of total billed charges,"2,427.12",percent of total billed charges,"2,427.12",percent of total billed charges,"2,663.09",percent of total billed charges,"2,663.09",percent of total billed charges,"2,696.80",percent of total billed charges,"2,696.80",percent of total billed charges,,,"2,427.12",percent of total billed charges ,,,"2,696.80",percent of total billed charges ,"2,663.09",percent of total billed charges ,"2,663.09",percent of total billed charges ,"2,865.35",percent of total billed charges ,"2,865.35",percent of total billed charges ,"2,696.80",percent of total billed charges ,"2,696.80",percent of total billed charges ,"2,359.70",percent of total billed charges ,"2,359.70",percent of total billed charges ,"2,022.60",percent of total billed charges ,"2,022.60",percent of total billed charges ,"2,022.60",percent of total billed charges ,"2,022.60",percent of total billed charges ,,,,,"1,793.37",percent of total billed charges ,,,,,"1,703.70",percent of total billed charges ,,,,,,,,,,,,,,,,,,,775.33,percent of total billed charges,,,775.33,percent of total billed charges,,,775.33,percent of total billed charges,,,775.33,percent of total billed charges,,,775.33,percent of total billed charges,,,775.33,percent of total billed charges,,,775.33,percent of total billed charges,,,775.33,percent of total billed charges,,,775.33,percent of total billed charges,,,775.33,percent of total billed charges,,,775.33,percent of total billed charges,
MESH SYMBOTEX COMP 12CM ROUND LF,C1781,CDM,,,,both,,,"4,624.00","4,624.00","1,063.52","4,624.00","4,624.00",percent of total billed charges,"4,624.00",percent of total billed charges,"4,624.00",percent of total billed charges,"4,624.00",percent of total billed charges,"4,624.00",percent of total billed charges,"4,624.00",percent of total billed charges,"4,624.00",percent of total billed charges,"4,624.00",percent of total billed charges,"3,329.28",percent of total billed charges,"3,329.28",percent of total billed charges,"3,329.28",percent of total billed charges,"3,329.28",percent of total billed charges,"3,329.28",percent of total billed charges,"3,329.28",percent of total billed charges,"3,652.96",percent of total billed charges,"3,652.96",percent of total billed charges,"3,699.20",percent of total billed charges,"3,699.20",percent of total billed charges,,,"3,329.28",percent of total billed charges ,,,"3,699.20",percent of total billed charges ,"3,652.96",percent of total billed charges ,"3,652.96",percent of total billed charges ,"3,930.40",percent of total billed charges ,"3,930.40",percent of total billed charges ,"3,699.20",percent of total billed charges ,"3,699.20",percent of total billed charges ,"3,236.80",percent of total billed charges ,"3,236.80",percent of total billed charges ,"2,774.40",percent of total billed charges ,"2,774.40",percent of total billed charges ,"2,774.40",percent of total billed charges ,"2,774.40",percent of total billed charges ,,,,,"2,459.97",percent of total billed charges ,,,,,"2,336.97",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,063.52",percent of total billed charges,,,"1,063.52",percent of total billed charges,,,"1,063.52",percent of total billed charges,,,"1,063.52",percent of total billed charges,,,"1,063.52",percent of total billed charges,,,"1,063.52",percent of total billed charges,,,"1,063.52",percent of total billed charges,,,"1,063.52",percent of total billed charges,,,"1,063.52",percent of total billed charges,,,"1,063.52",percent of total billed charges,,,"1,063.52",percent of total billed charges,
MESH SYMBOTEX COMP 15CM ROUND LF,C1781,CDM,,,,both,,,"5,245.00","5,245.00","1,206.35","5,245.00","5,245.00",percent of total billed charges,"5,245.00",percent of total billed charges,"5,245.00",percent of total billed charges,"5,245.00",percent of total billed charges,"5,245.00",percent of total billed charges,"5,245.00",percent of total billed charges,"5,245.00",percent of total billed charges,"5,245.00",percent of total billed charges,"3,776.40",percent of total billed charges,"3,776.40",percent of total billed charges,"3,776.40",percent of total billed charges,"3,776.40",percent of total billed charges,"3,776.40",percent of total billed charges,"3,776.40",percent of total billed charges,"4,143.55",percent of total billed charges,"4,143.55",percent of total billed charges,"4,196.00",percent of total billed charges,"4,196.00",percent of total billed charges,,,"3,776.40",percent of total billed charges ,,,"4,196.00",percent of total billed charges ,"4,143.55",percent of total billed charges ,"4,143.55",percent of total billed charges ,"4,458.25",percent of total billed charges ,"4,458.25",percent of total billed charges ,"4,196.00",percent of total billed charges ,"4,196.00",percent of total billed charges ,"3,671.50",percent of total billed charges ,"3,671.50",percent of total billed charges ,"3,147.00",percent of total billed charges ,"3,147.00",percent of total billed charges ,"3,147.00",percent of total billed charges ,"3,147.00",percent of total billed charges ,,,,,"2,790.34",percent of total billed charges ,,,,,"2,650.82",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,206.35",percent of total billed charges,,,"1,206.35",percent of total billed charges,,,"1,206.35",percent of total billed charges,,,"1,206.35",percent of total billed charges,,,"1,206.35",percent of total billed charges,,,"1,206.35",percent of total billed charges,,,"1,206.35",percent of total billed charges,,,"1,206.35",percent of total billed charges,,,"1,206.35",percent of total billed charges,,,"1,206.35",percent of total billed charges,,,"1,206.35",percent of total billed charges,
FIXATION DEVICE RELIATACK-ABSORB TACK LF,C1713,CDM,,,,both,,,"4,998.00","4,998.00","1,149.54","4,998.00","4,998.00",percent of total billed charges,"4,998.00",percent of total billed charges,"4,998.00",percent of total billed charges,"4,998.00",percent of total billed charges,"4,998.00",percent of total billed charges,"4,998.00",percent of total billed charges,"4,998.00",percent of total billed charges,"4,998.00",percent of total billed charges,"3,598.56",percent of total billed charges,"3,598.56",percent of total billed charges,"3,598.56",percent of total billed charges,"3,598.56",percent of total billed charges,"3,598.56",percent of total billed charges,"3,598.56",percent of total billed charges,"3,948.42",percent of total billed charges,"3,948.42",percent of total billed charges,"3,998.40",percent of total billed charges,"3,998.40",percent of total billed charges,,,"3,598.56",percent of total billed charges ,,,"3,998.40",percent of total billed charges ,"3,948.42",percent of total billed charges ,"3,948.42",percent of total billed charges ,"4,248.30",percent of total billed charges ,"4,248.30",percent of total billed charges ,"3,998.40",percent of total billed charges ,"3,998.40",percent of total billed charges ,"3,498.60",percent of total billed charges ,"3,498.60",percent of total billed charges ,"2,998.80",percent of total billed charges ,"2,998.80",percent of total billed charges ,"2,998.80",percent of total billed charges ,"2,998.80",percent of total billed charges ,,,,,"2,658.94",percent of total billed charges ,,,,,"2,525.99",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,149.54",percent of total billed charges,,,"1,149.54",percent of total billed charges,,,"1,149.54",percent of total billed charges,,,"1,149.54",percent of total billed charges,,,"1,149.54",percent of total billed charges,,,"1,149.54",percent of total billed charges,,,"1,149.54",percent of total billed charges,,,"1,149.54",percent of total billed charges,,,"1,149.54",percent of total billed charges,,,"1,149.54",percent of total billed charges,,,"1,149.54",percent of total billed charges,
ELECTRODE HF LOOP 24FR .35WI RE12 LF,272,RC,99999-99-9999,NDC,,both,,,841,841,193.43,841,841,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,664.39,percent of total billed charges,664.39,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 ,664.39,percent of total billed charges ,664.39,percent of total billed charges ,714.85,percent of total billed charges ,714.85,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 ,,,,,,,,,,,,,,,,,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,
ELECTRODE HF ROLLER 24-28FR 12*30* LF,272,RC,99999-99-9999,NDC,,both,,,841,841,193.43,841,841,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,664.39,percent of total billed charges,664.39,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 ,664.39,percent of total billed charges ,664.39,percent of total billed charges ,714.85,percent of total billed charges ,714.85,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 ,,,,,,,,,,,,,,,,,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,
ELECTRODE HF NEEDLE 24-28FR 12*-30*,272,RC,99999-99-9999,NDC,,both,,,841,841,193.43,841,841,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,664.39,percent of total billed charges,664.39,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 ,664.39,percent of total billed charges ,664.39,percent of total billed charges ,714.85,percent of total billed charges ,714.85,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 ,,,,,,,,,,,,,,,,,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,
CANNULA JABCZENSKI DUCTOGRAM 30GA 5CM,272,RC,99999-99-9999,NDC,,both,,,307,307,70.61,307,307,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,242.53,percent of total billed charges,242.53,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 ,242.53,percent of total billed charges ,242.53,percent of total billed charges ,260.95,percent of total billed charges ,260.95,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 ,,,,,,,,,,,,,,,,,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,
TROCAR BLUNT 12MM VERSAONE LF,272,RC,99999-99-9999,NDC,,both,,,308,308,70.84,308,308,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,243.32,percent of total billed charges,243.32,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 ,243.32,percent of total billed charges ,243.32,percent of total billed charges ,261.8,percent of total billed charges ,261.8,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 ,,,,,,,,,,,,,,,,,,,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,
DRESSING MEPILEX AG BORDER 4X10  LF,272,RC,99999-99-9999,NDC,,both,,,239,239,54.97,239,239,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,188.81,percent of total billed charges,188.81,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 ,188.81,percent of total billed charges ,188.81,percent of total billed charges ,203.15,percent of total billed charges ,203.15,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 ,,,,,,,,,,,,,,,,,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,
DRESSING AG BORDER 4X12  LF,272,RC,99999-99-9999,NDC,,both,,,278,278,63.94,278,278,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,219.62,percent of total billed charges,219.62,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 ,219.62,percent of total billed charges ,219.62,percent of total billed charges ,236.3,percent of total billed charges ,236.3,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
CATH CERVICAL RIPENING 18FR W/STYLET LF,272,RC,99999-99-9999,NDC,,both,,,437,437,100.51,437,437,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,345.23,percent of total billed charges,345.23,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 ,345.23,percent of total billed charges ,345.23,percent of total billed charges ,371.45,percent of total billed charges ,371.45,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 ,,,,,,,,,,,,,,,,,,,100.51,percent of total billed charges,,,100.51,percent of total billed charges,,,100.51,percent of total billed charges,,,100.51,percent of total billed charges,,,100.51,percent of total billed charges,,,100.51,percent of total billed charges,,,100.51,percent of total billed charges,,,100.51,percent of total billed charges,,,100.51,percent of total billed charges,,,100.51,percent of total billed charges,,,100.51,percent of total billed charges,
CATHETER WORD BARTHOLIN GLAND BALLOON,272,RC,99999-99-9999,NDC,,both,,,217,217,49.91,217,217,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,171.43,percent of total billed charges,171.43,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 ,171.43,percent of total billed charges ,171.43,percent of total billed charges ,184.45,percent of total billed charges ,184.45,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 ,,,,,,,,,,,,,,,,,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,
NEEDLE BIOPSY MAX-CORE 18GX16CM LF,272,RC,99999-99-9999,NDC,,both,,,269,269,61.87,269,269,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,212.51,percent of total billed charges,212.51,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 ,212.51,percent of total billed charges ,212.51,percent of total billed charges ,228.65,percent of total billed charges ,228.65,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,61.87,percent of total billed charges,,,61.87,percent of total billed charges,,,61.87,percent of total billed charges,
RELOAD FOR RELIATACK 5 TACK 5MM,272,RC,99999-99-9999,NDC,,both,,,925,925,212.75,925,925,percent of total billed charges,925,percent of total billed charges,925,percent of total billed charges,925,percent of total billed charges,925,percent of total billed charges,925,percent of total billed charges,925,percent of total billed charges,925,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,730.75,percent of total billed charges,730.75,percent of total billed charges,740,percent of total billed charges,740,percent of total billed charges,,,666,percent of total billed charges ,,,740,percent of total billed charges ,730.75,percent of total billed charges ,730.75,percent of total billed charges ,786.25,percent of total billed charges ,786.25,percent of total billed charges ,740,percent of total billed charges ,740,percent of total billed charges ,647.5,percent of total billed charges ,647.5,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 ,,,,,492.1,percent of total billed charges ,,,,,467.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,
RELOAD FOR RELIATACK 10 TACK 5MM,272,RC,99999-99-9999,NDC,,both,,,"1,398.00","1,398.00",321.54,"1,398.00","1,398.00",percent of total billed charges,"1,398.00",percent of total billed charges,"1,398.00",percent of total billed charges,"1,398.00",percent of total billed charges,"1,398.00",percent of total billed charges,"1,398.00",percent of total billed charges,"1,398.00",percent of total billed charges,"1,398.00",percent of total billed charges,"1,006.56",percent of total billed charges,"1,006.56",percent of total billed charges,"1,006.56",percent of total billed charges,"1,006.56",percent of total billed charges,"1,006.56",percent of total billed charges,"1,006.56",percent of total billed charges,"1,104.42",percent of total billed charges,"1,104.42",percent of total billed charges,"1,118.40",percent of total billed charges,"1,118.40",percent of total billed charges,,,"1,006.56",percent of total billed charges ,,,"1,118.40",percent of total billed charges ,"1,104.42",percent of total billed charges ,"1,104.42",percent of total billed charges ,"1,188.30",percent of total billed charges ,"1,188.30",percent of total billed charges ,"1,118.40",percent of total billed charges ,"1,118.40",percent of total billed charges ,978.6,percent of total billed charges ,978.6,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 ,,,,,743.74,percent of total billed charges ,,,,,706.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,321.54,percent of total billed charges,,,321.54,percent of total billed charges,,,321.54,percent of total billed charges,,,321.54,percent of total billed charges,,,321.54,percent of total billed charges,,,321.54,percent of total billed charges,,,321.54,percent of total billed charges,,,321.54,percent of total billed charges,,,321.54,percent of total billed charges,,,321.54,percent of total billed charges,,,321.54,percent of total billed charges,
SURGICEL FIBRILLAR HEMOSTAT 1X2 LF,272,RC,99999-99-9999,NDC,,both,,,"1,670.00","1,670.00",384.1,"1,670.00","1,670.00",percent of total billed charges,"1,670.00",percent of total billed charges,"1,670.00",percent of total billed charges,"1,670.00",percent of total billed charges,"1,670.00",percent of total billed charges,"1,670.00",percent of total billed charges,"1,670.00",percent of total billed charges,"1,670.00",percent of total billed charges,"1,202.40",percent of total billed charges,"1,202.40",percent of total billed charges,"1,202.40",percent of total billed charges,"1,202.40",percent of total billed charges,"1,202.40",percent of total billed charges,"1,202.40",percent of total billed charges,"1,319.30",percent of total billed charges,"1,319.30",percent of total billed charges,"1,336.00",percent of total billed charges,"1,336.00",percent of total billed charges,,,"1,202.40",percent of total billed charges ,,,"1,336.00",percent of total billed charges ,"1,319.30",percent of total billed charges ,"1,319.30",percent of total billed charges ,"1,419.50",percent of total billed charges ,"1,419.50",percent of total billed charges ,"1,336.00",percent of total billed charges ,"1,336.00",percent of total billed charges ,"1,169.00",percent of total billed charges ,"1,169.00",percent of total billed charges ,"1,002.00",percent of total billed charges ,"1,002.00",percent of total billed charges ,"1,002.00",percent of total billed charges ,"1,002.00",percent of total billed charges ,,,,,888.44,percent of total billed charges ,,,,,844.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,384.1,percent of total billed charges,,,384.1,percent of total billed charges,,,384.1,percent of total billed charges,,,384.1,percent of total billed charges,,,384.1,percent of total billed charges,,,384.1,percent of total billed charges,,,384.1,percent of total billed charges,,,384.1,percent of total billed charges,,,384.1,percent of total billed charges,,,384.1,percent of total billed charges,,,384.1,percent of total billed charges,
MESH PARIETEX 15X15CM LF,C1781,CDM,,,,both,,,"2,825.00","2,825.00",649.75,"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,"2,231.75",percent of total billed charges,"2,231.75",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 ,"2,231.75",percent of total billed charges ,"2,231.75",percent of total billed charges ,"2,401.25",percent of total billed charges ,"2,401.25",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 ,,,,,,,,,,,,,,,,,,,649.75,percent of total billed charges,,,649.75,percent of total billed charges,,,649.75,percent of total billed charges,,,649.75,percent of total billed charges,,,649.75,percent of total billed charges,,,649.75,percent of total billed charges,,,649.75,percent of total billed charges,,,649.75,percent of total billed charges,,,649.75,percent of total billed charges,,,649.75,percent of total billed charges,,,649.75,percent of total billed charges,
STENT URET 6X26 DUAL DUROMETER LF,C2617,CDM,,,,both,,,"2,412.00","2,412.00",554.76,"2,412.00","2,412.00",percent of total billed charges,"2,412.00",percent of total billed charges,"2,412.00",percent of total billed charges,"2,412.00",percent of total billed charges,"2,412.00",percent of total billed charges,"2,412.00",percent of total billed charges,"2,412.00",percent of total billed charges,"2,412.00",percent of total billed charges,"1,736.64",percent of total billed charges,"1,736.64",percent of total billed charges,"1,736.64",percent of total billed charges,"1,736.64",percent of total billed charges,"1,736.64",percent of total billed charges,"1,736.64",percent of total billed charges,"1,905.48",percent of total billed charges,"1,905.48",percent of total billed charges,"1,929.60",percent of total billed charges,"1,929.60",percent of total billed charges,,,"1,736.64",percent of total billed charges ,,,"1,929.60",percent of total billed charges ,"1,905.48",percent of total billed charges ,"1,905.48",percent of total billed charges ,"2,050.20",percent of total billed charges ,"2,050.20",percent of total billed charges ,"1,929.60",percent of total billed charges ,"1,929.60",percent of total billed charges ,"1,688.40",percent of total billed charges ,"1,688.40",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 ,,,,,"1,283.18",percent of total billed charges ,,,,,"1,219.02",percent of total billed charges ,,,,,,,,,,,,,,,,,,,554.76,percent of total billed charges,,,554.76,percent of total billed charges,,,554.76,percent of total billed charges,,,554.76,percent of total billed charges,,,554.76,percent of total billed charges,,,554.76,percent of total billed charges,,,554.76,percent of total billed charges,,,554.76,percent of total billed charges,,,554.76,percent of total billed charges,,,554.76,percent of total billed charges,,,554.76,percent of total billed charges,
STENT URET 6X24 DUAL DUROMETER LF,278,RC,99999-99-9999,NDC,,both,,,"2,412.00","2,412.00",554.76,"2,412.00","2,412.00",percent of total billed charges,"2,412.00",percent of total billed charges,"2,412.00",percent of total billed charges,"2,412.00",percent of total billed charges,"2,412.00",percent of total billed charges,"2,412.00",percent of total billed charges,"2,412.00",percent of total billed charges,"2,412.00",percent of total billed charges,"1,736.64",percent of total billed charges,"1,736.64",percent of total billed charges,"1,736.64",percent of total billed charges,"1,736.64",percent of total billed charges,"1,736.64",percent of total billed charges,"1,736.64",percent of total billed charges,"1,905.48",percent of total billed charges,"1,905.48",percent of total billed charges,"1,929.60",percent of total billed charges,"1,929.60",percent of total billed charges,,,"1,736.64",percent of total billed charges ,,,"1,929.60",percent of total billed charges ,"1,905.48",percent of total billed charges ,"1,905.48",percent of total billed charges ,"2,050.20",percent of total billed charges ,"2,050.20",percent of total billed charges ,"1,929.60",percent of total billed charges ,"1,929.60",percent of total billed charges ,"1,688.40",percent of total billed charges ,"1,688.40",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 ,,,,,"1,283.18",percent of total billed charges ,,,,,"1,219.02",percent of total billed charges ,,,,,,,,,,,,,,,,,,,554.76,percent of total billed charges,,,554.76,percent of total billed charges,,,554.76,percent of total billed charges,,,554.76,percent of total billed charges,,,554.76,percent of total billed charges,,,554.76,percent of total billed charges,,,554.76,percent of total billed charges,,,554.76,percent of total billed charges,,,554.76,percent of total billed charges,,,554.76,percent of total billed charges,,,554.76,percent of total billed charges,
NEEDLE GUIDE PROSTATE BIOPSY LF,272,RC,99999-99-9999,NDC,,both,,,198,198,45.54,198,198,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,156.42,percent of total billed charges,156.42,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 ,156.42,percent of total billed charges ,156.42,percent of total billed charges ,168.3,percent of total billed charges ,168.3,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 ,,,,,,,,,,,,,,,,,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,
RESOLUTION CLIP 360 235CM,272,RC,99999-99-9999,NDC,,both,,,"1,996.00","1,996.00",459.08,"1,996.00","1,996.00",percent of total billed charges,"1,996.00",percent of total billed charges,"1,996.00",percent of total billed charges,"1,996.00",percent of total billed charges,"1,996.00",percent of total billed charges,"1,996.00",percent of total billed charges,"1,996.00",percent of total billed charges,"1,996.00",percent of total billed charges,"1,437.12",percent of total billed charges,"1,437.12",percent of total billed charges,"1,437.12",percent of total billed charges,"1,437.12",percent of total billed charges,"1,437.12",percent of total billed charges,"1,437.12",percent of total billed charges,"1,576.84",percent of total billed charges,"1,576.84",percent of total billed charges,"1,596.80",percent of total billed charges,"1,596.80",percent of total billed charges,,,"1,437.12",percent of total billed charges ,,,"1,596.80",percent of total billed charges ,"1,576.84",percent of total billed charges ,"1,576.84",percent of total billed charges ,"1,696.60",percent of total billed charges ,"1,696.60",percent of total billed charges ,"1,596.80",percent of total billed charges ,"1,596.80",percent of total billed charges ,"1,397.20",percent of total billed charges ,"1,397.20",percent of total billed charges ,"1,197.60",percent of total billed charges ,"1,197.60",percent of total billed charges ,"1,197.60",percent of total billed charges ,"1,197.60",percent of total billed charges ,,,,,"1,061.87",percent of total billed charges ,,,,,"1,008.78",percent of total billed charges ,,,,,,,,,,,,,,,,,,,459.08,percent of total billed charges,,,459.08,percent of total billed charges,,,459.08,percent of total billed charges,,,459.08,percent of total billed charges,,,459.08,percent of total billed charges,,,459.08,percent of total billed charges,,,459.08,percent of total billed charges,,,459.08,percent of total billed charges,,,459.08,percent of total billed charges,,,459.08,percent of total billed charges,,,459.08,percent of total billed charges,
STABILIZER FOR INTRACOSSEUS NEEDLES,272,RC,99999-99-9999,NDC,,both,,,187,187,43.01,187,187,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,147.73,percent of total billed charges,147.73,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 ,147.73,percent of total billed charges ,147.73,percent of total billed charges ,158.95,percent of total billed charges ,158.95,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 ,,,,,,,,,,,,,,,,,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,
PROBE FIAPC STR 2.3MM/7FR 220CM,272,RC,99999-99-9999,NDC,,both,,,"1,932.00","1,932.00",444.36,"1,932.00","1,932.00",percent of total billed charges,"1,932.00",percent of total billed charges,"1,932.00",percent of total billed charges,"1,932.00",percent of total billed charges,"1,932.00",percent of total billed charges,"1,932.00",percent of total billed charges,"1,932.00",percent of total billed charges,"1,932.00",percent of total billed charges,"1,391.04",percent of total billed charges,"1,391.04",percent of total billed charges,"1,391.04",percent of total billed charges,"1,391.04",percent of total billed charges,"1,391.04",percent of total billed charges,"1,391.04",percent of total billed charges,"1,526.28",percent of total billed charges,"1,526.28",percent of total billed charges,"1,545.60",percent of total billed charges,"1,545.60",percent of total billed charges,,,"1,391.04",percent of total billed charges ,,,"1,545.60",percent of total billed charges ,"1,526.28",percent of total billed charges ,"1,526.28",percent of total billed charges ,"1,642.20",percent of total billed charges ,"1,642.20",percent of total billed charges ,"1,545.60",percent of total billed charges ,"1,545.60",percent of total billed charges ,"1,352.40",percent of total billed charges ,"1,352.40",percent of total billed charges ,"1,159.20",percent of total billed charges ,"1,159.20",percent of total billed charges ,"1,159.20",percent of total billed charges ,"1,159.20",percent of total billed charges ,,,,,"1,027.82",percent of total billed charges ,,,,,976.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,444.36,percent of total billed charges,,,444.36,percent of total billed charges,,,444.36,percent of total billed charges,,,444.36,percent of total billed charges,,,444.36,percent of total billed charges,,,444.36,percent of total billed charges,,,444.36,percent of total billed charges,,,444.36,percent of total billed charges,,,444.36,percent of total billed charges,,,444.36,percent of total billed charges,,,444.36,percent of total billed charges,
BLADE LARY C-MAC DIFFICULT VIDEO INTUBA,271,RC,99999-99-9999,NDC,,both,,,168,168,38.64,168,168,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,132.72,percent of total billed charges,132.72,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 ,132.72,percent of total billed charges ,132.72,percent of total billed charges ,142.8,percent of total billed charges ,142.8,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 ,,,,,,,,,,,,,,,,,,,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,
BLADE LARY C-MAC 3 VIDEO INTUB LF,270,RC,99999-99-9999,NDC,,both,,,168,168,38.64,168,168,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,132.72,percent of total billed charges,132.72,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 ,132.72,percent of total billed charges ,132.72,percent of total billed charges ,142.8,percent of total billed charges ,142.8,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 ,,,,,,,,,,,,,,,,,,,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,
BLADE LARY C-MAC 4 VIDEO INTUB LF,270,RC,99999-99-9999,NDC,,both,,,168,168,38.64,168,168,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,132.72,percent of total billed charges,132.72,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 ,132.72,percent of total billed charges ,132.72,percent of total billed charges ,142.8,percent of total billed charges ,142.8,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 ,,,,,,,,,,,,,,,,,,,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,
STENT URET 6X28 DUAL DUROMETER LF,C2617,CDM,,,,both,,,"1,548.00","1,548.00",356.04,"1,548.00","1,548.00",percent of total billed charges,"1,548.00",percent of total billed charges,"1,548.00",percent of total billed charges,"1,548.00",percent of total billed charges,"1,548.00",percent of total billed charges,"1,548.00",percent of total billed charges,"1,548.00",percent of total billed charges,"1,548.00",percent of total billed charges,"1,114.56",percent of total billed charges,"1,114.56",percent of total billed charges,"1,114.56",percent of total billed charges,"1,114.56",percent of total billed charges,"1,114.56",percent of total billed charges,"1,114.56",percent of total billed charges,"1,222.92",percent of total billed charges,"1,222.92",percent of total billed charges,"1,238.40",percent of total billed charges,"1,238.40",percent of total billed charges,,,"1,114.56",percent of total billed charges ,,,"1,238.40",percent of total billed charges ,"1,222.92",percent of total billed charges ,"1,222.92",percent of total billed charges ,"1,315.80",percent of total billed charges ,"1,315.80",percent of total billed charges ,"1,238.40",percent of total billed charges ,"1,238.40",percent of total billed charges ,"1,083.60",percent of total billed charges ,"1,083.60",percent of total billed charges ,928.8,percent of total billed charges ,928.8,percent of total billed charges ,928.8,percent of total billed charges ,928.8,percent of total billed charges ,,,,,823.54,percent of total billed charges ,,,,,782.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,356.04,percent of total billed charges,,,356.04,percent of total billed charges,,,356.04,percent of total billed charges,,,356.04,percent of total billed charges,,,356.04,percent of total billed charges,,,356.04,percent of total billed charges,,,356.04,percent of total billed charges,,,356.04,percent of total billed charges,,,356.04,percent of total billed charges,,,356.04,percent of total billed charges,,,356.04,percent of total billed charges,
FETAL PATCH WIRELESS NOVII,272,RC,99999-99-9999,NDC,,both,,,405,405,93.15,405,405,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,319.95,percent of total billed charges,319.95,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 ,319.95,percent of total billed charges ,319.95,percent of total billed charges ,344.25,percent of total billed charges ,344.25,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 ,,,,,,,,,,,,,,,,,,,93.15,percent of total billed charges,,,93.15,percent of total billed charges,,,93.15,percent of total billed charges,,,93.15,percent of total billed charges,,,93.15,percent of total billed charges,,,93.15,percent of total billed charges,,,93.15,percent of total billed charges,,,93.15,percent of total billed charges,,,93.15,percent of total billed charges,,,93.15,percent of total billed charges,,,93.15,percent of total billed charges,
CLIP BIOPSY TWIRL 17G LF,A4648,CDM,,,,both,,,857,857,197.11,857,857,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,677.03,percent of total billed charges,677.03,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 ,677.03,percent of total billed charges ,677.03,percent of total billed charges ,728.45,percent of total billed charges ,728.45,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 ,,,,,,,,,,,,,,,,,,,197.11,percent of total billed charges,,,197.11,percent of total billed charges,,,197.11,percent of total billed charges,,,197.11,percent of total billed charges,,,197.11,percent of total billed charges,,,197.11,percent of total billed charges,,,197.11,percent of total billed charges,,,197.11,percent of total billed charges,,,197.11,percent of total billed charges,,,197.11,percent of total billed charges,,,197.11,percent of total billed charges,
TROCAR BLADELESS 5MM LONG 150MM VERSA,272,RC,99999-99-9999,NDC,,both,,,358,358,82.34,358,358,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,282.82,percent of total billed charges,282.82,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 ,282.82,percent of total billed charges ,282.82,percent of total billed charges ,304.3,percent of total billed charges ,304.3,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 ,,,,,,,,,,,,,,,,,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,
TROCAR BLADELESS 5-12MM LNG VERSA STEP,272,RC,99999-99-9999,NDC,,both,,,446,446,102.58,446,446,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,352.34,percent of total billed charges,352.34,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 ,352.34,percent of total billed charges ,352.34,percent of total billed charges ,379.1,percent of total billed charges ,379.1,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 ,,,,,,,,,,,,,,,,,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,
TROCAR SLEEVE EXP RADLY LONG VERSA STEP,272,RC,99999-99-9999,NDC,,both,,,401,401,92.23,401,401,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,316.79,percent of total billed charges,316.79,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 ,316.79,percent of total billed charges ,316.79,percent of total billed charges ,340.85,percent of total billed charges ,340.85,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 ,,,,,,,,,,,,,,,,,,,92.23,percent of total billed charges,,,92.23,percent of total billed charges,,,92.23,percent of total billed charges,,,92.23,percent of total billed charges,,,92.23,percent of total billed charges,,,92.23,percent of total billed charges,,,92.23,percent of total billed charges,,,92.23,percent of total billed charges,,,92.23,percent of total billed charges,,,92.23,percent of total billed charges,,,92.23,percent of total billed charges,
TRACH LARYNGECT AD 10MM CUFLES & CANNULA,272,RC,99999-99-9999,NDC,,both,,,400,400,92,400,400,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,400,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,316,percent of total billed charges,316,percent of total billed charges,320,percent of total billed charges,320,percent of total billed charges,,,288,percent of total billed charges ,,,320,percent of total billed charges ,316,percent of total billed charges ,316,percent of total billed charges ,340,percent of total billed charges ,340,percent of total billed charges ,320,percent of total billed charges ,320,percent of total billed charges ,280,percent of total billed charges ,280,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 ,,,,,212.8,percent of total billed charges ,,,,,202.16,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,,,92,percent of total billed charges,,,92,percent of total billed charges,,,92,percent of total billed charges,,,92,percent of total billed charges,
TRACH AD 6.5MM CUFFLES & INNER CANNULA,272,RC,99999-99-9999,NDC,,both,,,317,317,72.91,317,317,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,250.43,percent of total billed charges,250.43,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 ,250.43,percent of total billed charges ,250.43,percent of total billed charges ,269.45,percent of total billed charges ,269.45,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 ,,,,,,,,,,,,,,,,,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,
TRACH AD 7.5MM CUFFLES & INNER CANNULA,272,RC,99999-99-9999,NDC,,both,,,317,317,72.91,317,317,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,250.43,percent of total billed charges,250.43,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 ,250.43,percent of total billed charges ,250.43,percent of total billed charges ,269.45,percent of total billed charges ,269.45,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 ,,,,,,,,,,,,,,,,,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,
TRACH AD 8.5MM CUFFLES & INNER CANNULA,272,RC,99999-99-9999,NDC,,both,,,317,317,72.91,317,317,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,250.43,percent of total billed charges,250.43,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 ,250.43,percent of total billed charges ,250.43,percent of total billed charges ,269.45,percent of total billed charges ,269.45,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 ,,,,,,,,,,,,,,,,,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,
TRACH AD 6MM XLT PROX CUFF DISP INNER,272,RC,99999-99-9999,NDC,,both,,,585,585,134.55,585,585,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,462.15,percent of total billed charges,462.15,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 ,462.15,percent of total billed charges ,462.15,percent of total billed charges ,497.25,percent of total billed charges ,497.25,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 ,,,,,,,,,,,,,,,,,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,
TRACH AD 6MM XLT CUFF DISTAL DISP INNER,272,RC,99999-99-9999,NDC,,both,,,585,585,134.55,585,585,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,462.15,percent of total billed charges,462.15,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 ,462.15,percent of total billed charges ,462.15,percent of total billed charges ,497.25,percent of total billed charges ,497.25,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 ,,,,,,,,,,,,,,,,,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,
TRACH AD 6MM XLT CUFFLESS PROX INNER CAN,272,RC,99999-99-9999,NDC,,both,,,585,585,134.55,585,585,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,462.15,percent of total billed charges,462.15,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 ,462.15,percent of total billed charges ,462.15,percent of total billed charges ,497.25,percent of total billed charges ,497.25,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 ,,,,,,,,,,,,,,,,,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,
TRACH AD 6MM XLT CUFFLESS DISTAL DISP,272,RC,99999-99-9999,NDC,,both,,,585,585,134.55,585,585,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,462.15,percent of total billed charges,462.15,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 ,462.15,percent of total billed charges ,462.15,percent of total billed charges ,497.25,percent of total billed charges ,497.25,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 ,,,,,,,,,,,,,,,,,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,,,134.55,percent of total billed charges,
NEEDLE GUIDE 20&21G HFL-38 TRANSDUCER,272,RC,99999-99-9999,NDC,,both,,,184,184,42.32,184,184,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,145.36,percent of total billed charges,145.36,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 ,145.36,percent of total billed charges ,145.36,percent of total billed charges ,156.4,percent of total billed charges ,156.4,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 ,,,,,,,,,,,,,,,,,,,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,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,
TRACH TUBE LARYNGECTOMY SIZE 12-55MM,272,RC,99999-99-9999,NDC,,both,,,"1,089.00","1,089.00",250.47,"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,860.31,percent of total billed charges,860.31,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 ,860.31,percent of total billed charges ,860.31,percent of total billed charges ,925.65,percent of total billed charges ,925.65,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 ,,,,,,,,,,,,,,,,,,,250.47,percent of total billed charges,,,250.47,percent of total billed charges,,,250.47,percent of total billed charges,,,250.47,percent of total billed charges,,,250.47,percent of total billed charges,,,250.47,percent of total billed charges,,,250.47,percent of total billed charges,,,250.47,percent of total billed charges,,,250.47,percent of total billed charges,,,250.47,percent of total billed charges,,,250.47,percent of total billed charges,
WOUND VAC CONTAINER WITH GEL,272,RC,99999-99-9999,NDC,,both,,,384,384,88.32,384,384,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,303.36,percent of total billed charges,303.36,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 ,303.36,percent of total billed charges ,303.36,percent of total billed charges ,326.4,percent of total billed charges ,326.4,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 ,,,,,,,,,,,,,,,,,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,
NOVASURE ADVANCED W/OUT  SURESOUND HOLOG,272,RC,99999-99-9999,NDC,,both,,,"7,251.00","7,251.00","1,667.73","7,251.00","7,251.00",percent of total billed charges,"7,251.00",percent of total billed charges,"7,251.00",percent of total billed charges,"7,251.00",percent of total billed charges,"7,251.00",percent of total billed charges,"7,251.00",percent of total billed charges,"7,251.00",percent of total billed charges,"7,251.00",percent of total billed charges,"5,220.72",percent of total billed charges,"5,220.72",percent of total billed charges,"5,220.72",percent of total billed charges,"5,220.72",percent of total billed charges,"5,220.72",percent of total billed charges,"5,220.72",percent of total billed charges,"5,728.29",percent of total billed charges,"5,728.29",percent of total billed charges,"5,800.80",percent of total billed charges,"5,800.80",percent of total billed charges,,,"5,220.72",percent of total billed charges ,,,"5,800.80",percent of total billed charges ,"5,728.29",percent of total billed charges ,"5,728.29",percent of total billed charges ,"6,163.35",percent of total billed charges ,"6,163.35",percent of total billed charges ,"5,800.80",percent of total billed charges ,"5,800.80",percent of total billed charges ,"5,075.70",percent of total billed charges ,"5,075.70",percent of total billed charges ,"4,350.60",percent of total billed charges ,"4,350.60",percent of total billed charges ,"4,350.60",percent of total billed charges ,"4,350.60",percent of total billed charges ,,,,,"3,857.53",percent of total billed charges ,,,,,"3,664.66",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,667.73",percent of total billed charges,,,"1,667.73",percent of total billed charges,,,"1,667.73",percent of total billed charges,,,"1,667.73",percent of total billed charges,,,"1,667.73",percent of total billed charges,,,"1,667.73",percent of total billed charges,,,"1,667.73",percent of total billed charges,,,"1,667.73",percent of total billed charges,,,"1,667.73",percent of total billed charges,,,"1,667.73",percent of total billed charges,,,"1,667.73",percent of total billed charges,
SURGIFLO HEMOSTATIC TIP APPLICATOR,272,RC,99999-99-9999,NDC,,both,,,503,503,115.69,503,503,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,397.37,percent of total billed charges,397.37,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 ,397.37,percent of total billed charges ,397.37,percent of total billed charges ,427.55,percent of total billed charges ,427.55,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 ,,,,,,,,,,,,,,,,,,,115.69,percent of total billed charges,,,115.69,percent of total billed charges,,,115.69,percent of total billed charges,,,115.69,percent of total billed charges,,,115.69,percent of total billed charges,,,115.69,percent of total billed charges,,,115.69,percent of total billed charges,,,115.69,percent of total billed charges,,,115.69,percent of total billed charges,,,115.69,percent of total billed charges,,,115.69,percent of total billed charges,
RETRACTOR PANNICULUS TRAXI,272,RC,99999-99-9999,NDC,,both,,,628,628,144.44,628,628,percent of total billed charges,628,percent of total billed charges,628,percent of total billed charges,628,percent of total billed charges,628,percent of total billed charges,628,percent of total billed charges,628,percent of total billed charges,628,percent of total billed charges,452.16,percent of total billed charges,452.16,percent of total billed charges,452.16,percent of total billed charges,452.16,percent of total billed charges,452.16,percent of total billed charges,452.16,percent of total billed charges,496.12,percent of total billed charges,496.12,percent of total billed charges,502.4,percent of total billed charges,502.4,percent of total billed charges,,,452.16,percent of total billed charges ,,,502.4,percent of total billed charges ,496.12,percent of total billed charges ,496.12,percent of total billed charges ,533.8,percent of total billed charges ,533.8,percent of total billed charges ,502.4,percent of total billed charges ,502.4,percent of total billed charges ,439.6,percent of total billed charges ,439.6,percent of total billed charges ,376.8,percent of total billed charges ,376.8,percent of total billed charges ,376.8,percent of total billed charges ,376.8,percent of total billed charges ,,,,,334.1,percent of total billed charges ,,,,,317.39,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,
LIGASURE MARYLAND JAW ELECTRONIC,272,RC,99999-99-9999,NDC,,both,,,"3,884.00","3,884.00",893.32,"3,884.00","3,884.00",percent of total billed charges,"3,884.00",percent of total billed charges,"3,884.00",percent of total billed charges,"3,884.00",percent of total billed charges,"3,884.00",percent of total billed charges,"3,884.00",percent of total billed charges,"3,884.00",percent of total billed charges,"3,884.00",percent of total billed charges,"2,796.48",percent of total billed charges,"2,796.48",percent of total billed charges,"2,796.48",percent of total billed charges,"2,796.48",percent of total billed charges,"2,796.48",percent of total billed charges,"2,796.48",percent of total billed charges,"3,068.36",percent of total billed charges,"3,068.36",percent of total billed charges,"3,107.20",percent of total billed charges,"3,107.20",percent of total billed charges,,,"2,796.48",percent of total billed charges ,,,"3,107.20",percent of total billed charges ,"3,068.36",percent of total billed charges ,"3,068.36",percent of total billed charges ,"3,301.40",percent of total billed charges ,"3,301.40",percent of total billed charges ,"3,107.20",percent of total billed charges ,"3,107.20",percent of total billed charges ,"2,718.80",percent of total billed charges ,"2,718.80",percent of total billed charges ,"2,330.40",percent of total billed charges ,"2,330.40",percent of total billed charges ,"2,330.40",percent of total billed charges ,"2,330.40",percent of total billed charges ,,,,,"2,066.29",percent of total billed charges ,,,,,"1,962.97",percent of total billed charges ,,,,,,,,,,,,,,,,,,,893.32,percent of total billed charges,,,893.32,percent of total billed charges,,,893.32,percent of total billed charges,,,893.32,percent of total billed charges,,,893.32,percent of total billed charges,,,893.32,percent of total billed charges,,,893.32,percent of total billed charges,,,893.32,percent of total billed charges,,,893.32,percent of total billed charges,,,893.32,percent of total billed charges,,,893.32,percent of total billed charges,
DRESSING VAC GRANUFOAM LARGE BLACK,272,RC,99999-99-9999,NDC,,both,,,515,515,118.45,515,515,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,406.85,percent of total billed charges,406.85,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 ,406.85,percent of total billed charges ,406.85,percent of total billed charges ,437.75,percent of total billed charges ,437.75,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 ,,,,,,,,,,,,,,,,,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,
TRACH CUFFED SZ 7.5MM W/CANNULA,272,RC,99999-99-9999,NDC,,both,,,318,318,73.14,318,318,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,251.22,percent of total billed charges,251.22,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 ,251.22,percent of total billed charges ,251.22,percent of total billed charges ,270.3,percent of total billed charges ,270.3,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 ,,,,,,,,,,,,,,,,,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,
BAG 1000ML DRAINAGE ASPIRE,272,RC,99999-99-9999,NDC,,both,,,334,334,76.82,334,334,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,263.86,percent of total billed charges,263.86,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 ,263.86,percent of total billed charges ,263.86,percent of total billed charges ,283.9,percent of total billed charges ,283.9,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 ,,,,,,,,,,,,,,,,,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,
TRACH AD 5MM XLT CUFFLESS PROX INNER CAN,272,RC,99999-99-9999,NDC,,both,,,604,604,138.92,604,604,percent of total billed charges,604,percent of total billed charges,604,percent of total billed charges,604,percent of total billed charges,604,percent of total billed charges,604,percent of total billed charges,604,percent of total billed charges,604,percent of total billed charges,434.88,percent of total billed charges,434.88,percent of total billed charges,434.88,percent of total billed charges,434.88,percent of total billed charges,434.88,percent of total billed charges,434.88,percent of total billed charges,477.16,percent of total billed charges,477.16,percent of total billed charges,483.2,percent of total billed charges,483.2,percent of total billed charges,,,434.88,percent of total billed charges ,,,483.2,percent of total billed charges ,477.16,percent of total billed charges ,477.16,percent of total billed charges ,513.4,percent of total billed charges ,513.4,percent of total billed charges ,483.2,percent of total billed charges ,483.2,percent of total billed charges ,422.8,percent of total billed charges ,422.8,percent of total billed charges ,362.4,percent of total billed charges ,362.4,percent of total billed charges ,362.4,percent of total billed charges ,362.4,percent of total billed charges ,,,,,321.33,percent of total billed charges ,,,,,305.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,
TRACH AD 7.5MM UNCUFFED,272,RC,99999-99-9999,NDC,,both,,,289,289,66.47,289,289,percent of total billed charges,289,percent of total billed charges,289,percent of total billed charges,289,percent of total billed charges,289,percent of total billed charges,289,percent of total billed charges,289,percent of total billed charges,289,percent of total billed charges,208.08,percent of total billed charges,208.08,percent of total billed charges,208.08,percent of total billed charges,208.08,percent of total billed charges,208.08,percent of total billed charges,208.08,percent of total billed charges,228.31,percent of total billed charges,228.31,percent of total billed charges,231.2,percent of total billed charges,231.2,percent of total billed charges,,,208.08,percent of total billed charges ,,,231.2,percent of total billed charges ,228.31,percent of total billed charges ,228.31,percent of total billed charges ,245.65,percent of total billed charges ,245.65,percent of total billed charges ,231.2,percent of total billed charges ,231.2,percent of total billed charges ,202.3,percent of total billed charges ,202.3,percent of total billed charges ,173.4,percent of total billed charges ,173.4,percent of total billed charges ,173.4,percent of total billed charges ,173.4,percent of total billed charges ,,,,,153.75,percent of total billed charges ,,,,,146.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,66.47,percent of total billed charges,,,66.47,percent of total billed charges,,,66.47,percent of total billed charges,,,66.47,percent of total billed charges,,,66.47,percent of total billed charges,,,66.47,percent of total billed charges,,,66.47,percent of total billed charges,,,66.47,percent of total billed charges,,,66.47,percent of total billed charges,,,66.47,percent of total billed charges,,,66.47,percent of total billed charges,
TRACH AD 5MM XLT CUFFED PROX INNER CANNU,272,RC,99999-99-9999,NDC,,both,,,604,604,138.92,604,604,percent of total billed charges,604,percent of total billed charges,604,percent of total billed charges,604,percent of total billed charges,604,percent of total billed charges,604,percent of total billed charges,604,percent of total billed charges,604,percent of total billed charges,434.88,percent of total billed charges,434.88,percent of total billed charges,434.88,percent of total billed charges,434.88,percent of total billed charges,434.88,percent of total billed charges,434.88,percent of total billed charges,477.16,percent of total billed charges,477.16,percent of total billed charges,483.2,percent of total billed charges,483.2,percent of total billed charges,,,434.88,percent of total billed charges ,,,483.2,percent of total billed charges ,477.16,percent of total billed charges ,477.16,percent of total billed charges ,513.4,percent of total billed charges ,513.4,percent of total billed charges ,483.2,percent of total billed charges ,483.2,percent of total billed charges ,422.8,percent of total billed charges ,422.8,percent of total billed charges ,362.4,percent of total billed charges ,362.4,percent of total billed charges ,362.4,percent of total billed charges ,362.4,percent of total billed charges ,,,,,321.33,percent of total billed charges ,,,,,305.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,
ADAPTER LUER CATH VALVE CAP ASPIRE,272,RC,99999-99-9999,NDC,,both,,,368,368,84.64,368,368,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,290.72,percent of total billed charges,290.72,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 ,290.72,percent of total billed charges ,290.72,percent of total billed charges ,312.8,percent of total billed charges ,312.8,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 ,,,,,,,,,,,,,,,,,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,
BLOOD FLUID WARM HI-FLOW TUBING RANGER,272,RC,99999-99-9999,NDC,,both,,,235,235,54.05,235,235,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,185.65,percent of total billed charges,185.65,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 ,185.65,percent of total billed charges ,185.65,percent of total billed charges ,199.75,percent of total billed charges ,199.75,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 ,,,,,,,,,,,,,,,,,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,
KIT PREP CHG NOSE TO TOES,272,RC,99999-99-9999,NDC,,both,,,208,208,47.84,208,208,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,164.32,percent of total billed charges,164.32,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 ,164.32,percent of total billed charges ,164.32,percent of total billed charges ,176.8,percent of total billed charges ,176.8,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 ,,,,,,,,,,,,,,,,,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,
RESUSCITATOR INFANT W PRESSURE MANOMETER,270,RC,99999-99-9999,NDC,,both,,,299,299,68.77,299,299,percent of total billed charges,299,percent of total billed charges,299,percent of total billed charges,299,percent of total billed charges,299,percent of total billed charges,299,percent of total billed charges,299,percent of total billed charges,299,percent of total billed charges,215.28,percent of total billed charges,215.28,percent of total billed charges,215.28,percent of total billed charges,215.28,percent of total billed charges,215.28,percent of total billed charges,215.28,percent of total billed charges,236.21,percent of total billed charges,236.21,percent of total billed charges,239.2,percent of total billed charges,239.2,percent of total billed charges,,,215.28,percent of total billed charges ,,,239.2,percent of total billed charges ,236.21,percent of total billed charges ,236.21,percent of total billed charges ,254.15,percent of total billed charges ,254.15,percent of total billed charges ,239.2,percent of total billed charges ,239.2,percent of total billed charges ,209.3,percent of total billed charges ,209.3,percent of total billed charges ,179.4,percent of total billed charges ,179.4,percent of total billed charges ,179.4,percent of total billed charges ,179.4,percent of total billed charges ,,,,,159.07,percent of total billed charges ,,,,,151.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,
PAD SENSOR CHAIR SINGLE RESIDENT,270,RC,99999-99-9999,NDC,,both,,,236,236,54.28,236,236,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,186.44,percent of total billed charges,186.44,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 ,186.44,percent of total billed charges ,186.44,percent of total billed charges ,200.6,percent of total billed charges ,200.6,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 ,,,,,,,,,,,,,,,,,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,
TRACH UNCUFFED SZ 6.5MM W/CANNULA,272,RC,99999-99-9999,NDC,,both,,,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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,
STENT URETERAL VORTEK 6FR 24CM,C2625,CDM,,,,both,,,820,820,188.6,820,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,647.8,percent of total billed charges,647.8,percent of total billed charges,656,percent of total billed charges,656,percent of total billed charges,,,590.4,percent of total billed charges ,,,656,percent of total billed charges ,647.8,percent of total billed charges ,647.8,percent of total billed charges ,697,percent of total billed charges ,697,percent of total billed charges ,656,percent of total billed charges ,656,percent of total billed charges ,574,percent of total billed charges ,574,percent of total billed charges ,492,percent of total billed charges ,492,percent of total billed charges ,492,percent of total billed charges ,492,percent of total billed charges ,,,,,436.24,percent of total billed charges ,,,,,414.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,
STENT URETERAL VORTEK 6FR 22CM,C2625,CDM,,,,both,,,820,820,188.6,820,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,647.8,percent of total billed charges,647.8,percent of total billed charges,656,percent of total billed charges,656,percent of total billed charges,,,590.4,percent of total billed charges ,,,656,percent of total billed charges ,647.8,percent of total billed charges ,647.8,percent of total billed charges ,697,percent of total billed charges ,697,percent of total billed charges ,656,percent of total billed charges ,656,percent of total billed charges ,574,percent of total billed charges ,574,percent of total billed charges ,492,percent of total billed charges ,492,percent of total billed charges ,492,percent of total billed charges ,492,percent of total billed charges ,,,,,436.24,percent of total billed charges ,,,,,414.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,
STENT URETERAL VORTEK 6 FR 26CM,C2625,CDM,,,,both,,,820,820,188.6,820,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,647.8,percent of total billed charges,647.8,percent of total billed charges,656,percent of total billed charges,656,percent of total billed charges,,,590.4,percent of total billed charges ,,,656,percent of total billed charges ,647.8,percent of total billed charges ,647.8,percent of total billed charges ,697,percent of total billed charges ,697,percent of total billed charges ,656,percent of total billed charges ,656,percent of total billed charges ,574,percent of total billed charges ,574,percent of total billed charges ,492,percent of total billed charges ,492,percent of total billed charges ,492,percent of total billed charges ,492,percent of total billed charges ,,,,,436.24,percent of total billed charges ,,,,,414.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,
STENT URETERAL VORTEK 6 FR 28CM,C2625,CDM,,,,both,,,820,820,188.6,820,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,647.8,percent of total billed charges,647.8,percent of total billed charges,656,percent of total billed charges,656,percent of total billed charges,,,590.4,percent of total billed charges ,,,656,percent of total billed charges ,647.8,percent of total billed charges ,647.8,percent of total billed charges ,697,percent of total billed charges ,697,percent of total billed charges ,656,percent of total billed charges ,656,percent of total billed charges ,574,percent of total billed charges ,574,percent of total billed charges ,492,percent of total billed charges ,492,percent of total billed charges ,492,percent of total billed charges ,492,percent of total billed charges ,,,,,436.24,percent of total billed charges ,,,,,414.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,
STENT URETERAL VORTEK 6 FR 30CM,C2625,CDM,,,,both,,,820,820,188.6,820,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,647.8,percent of total billed charges,647.8,percent of total billed charges,656,percent of total billed charges,656,percent of total billed charges,,,590.4,percent of total billed charges ,,,656,percent of total billed charges ,647.8,percent of total billed charges ,647.8,percent of total billed charges ,697,percent of total billed charges ,697,percent of total billed charges ,656,percent of total billed charges ,656,percent of total billed charges ,574,percent of total billed charges ,574,percent of total billed charges ,492,percent of total billed charges ,492,percent of total billed charges ,492,percent of total billed charges ,492,percent of total billed charges ,,,,,436.24,percent of total billed charges ,,,,,414.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,
SHEATH URETERAL 12-14FR 28CM,272,RC,99999-99-9999,NDC,,both,,,"1,487.00","1,487.00",342.01,"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,"1,174.73",percent of total billed charges,"1,174.73",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 ,"1,174.73",percent of total billed charges ,"1,174.73",percent of total billed charges ,"1,263.95",percent of total billed charges ,"1,263.95",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 ,,,,,,,,,,,,,,,,,,,342.01,percent of total billed charges,,,342.01,percent of total billed charges,,,342.01,percent of total billed charges,,,342.01,percent of total billed charges,,,342.01,percent of total billed charges,,,342.01,percent of total billed charges,,,342.01,percent of total billed charges,,,342.01,percent of total billed charges,,,342.01,percent of total billed charges,,,342.01,percent of total billed charges,,,342.01,percent of total billed charges,
SHEATH URETERAL 12-14FR 28CM,272,RC,99999-99-9999,NDC,,both,,,"1,487.00","1,487.00",342.01,"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,"1,174.73",percent of total billed charges,"1,174.73",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 ,"1,174.73",percent of total billed charges ,"1,174.73",percent of total billed charges ,"1,263.95",percent of total billed charges ,"1,263.95",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 ,,,,,,,,,,,,,,,,,,,342.01,percent of total billed charges,,,342.01,percent of total billed charges,,,342.01,percent of total billed charges,,,342.01,percent of total billed charges,,,342.01,percent of total billed charges,,,342.01,percent of total billed charges,,,342.01,percent of total billed charges,,,342.01,percent of total billed charges,,,342.01,percent of total billed charges,,,342.01,percent of total billed charges,,,342.01,percent of total billed charges,
CATH BALLOON URETL IN-KA 15FR,C1725,CDM,,,,both,,,"2,281.00","2,281.00",524.63,"2,281.00","2,281.00",percent of total billed charges,"2,281.00",percent of total billed charges,"2,281.00",percent of total billed charges,"2,281.00",percent of total billed charges,"2,281.00",percent of total billed charges,"2,281.00",percent of total billed charges,"2,281.00",percent of total billed charges,"2,281.00",percent of total billed charges,"1,642.32",percent of total billed charges,"1,642.32",percent of total billed charges,"1,642.32",percent of total billed charges,"1,642.32",percent of total billed charges,"1,642.32",percent of total billed charges,"1,642.32",percent of total billed charges,"1,801.99",percent of total billed charges,"1,801.99",percent of total billed charges,"1,824.80",percent of total billed charges,"1,824.80",percent of total billed charges,,,"1,642.32",percent of total billed charges ,,,"1,824.80",percent of total billed charges ,"1,801.99",percent of total billed charges ,"1,801.99",percent of total billed charges ,"1,938.85",percent of total billed charges ,"1,938.85",percent of total billed charges ,"1,824.80",percent of total billed charges ,"1,824.80",percent of total billed charges ,"1,596.70",percent of total billed charges ,"1,596.70",percent of total billed charges ,"1,368.60",percent of total billed charges ,"1,368.60",percent of total billed charges ,"1,368.60",percent of total billed charges ,"1,368.60",percent of total billed charges ,,,,,"1,213.49",percent of total billed charges ,,,,,"1,152.82",percent of total billed charges ,,,,,,,,,,,,,,,,,,,524.63,percent of total billed charges,,,524.63,percent of total billed charges,,,524.63,percent of total billed charges,,,524.63,percent of total billed charges,,,524.63,percent of total billed charges,,,524.63,percent of total billed charges,,,524.63,percent of total billed charges,,,524.63,percent of total billed charges,,,524.63,percent of total billed charges,,,524.63,percent of total billed charges,,,524.63,percent of total billed charges,
CATH BALLOON URETL IN-KA 18FR,C1725,CDM,,,,both,,,"2,281.00","2,281.00",524.63,"2,281.00","2,281.00",percent of total billed charges,"2,281.00",percent of total billed charges,"2,281.00",percent of total billed charges,"2,281.00",percent of total billed charges,"2,281.00",percent of total billed charges,"2,281.00",percent of total billed charges,"2,281.00",percent of total billed charges,"2,281.00",percent of total billed charges,"1,642.32",percent of total billed charges,"1,642.32",percent of total billed charges,"1,642.32",percent of total billed charges,"1,642.32",percent of total billed charges,"1,642.32",percent of total billed charges,"1,642.32",percent of total billed charges,"1,801.99",percent of total billed charges,"1,801.99",percent of total billed charges,"1,824.80",percent of total billed charges,"1,824.80",percent of total billed charges,,,"1,642.32",percent of total billed charges ,,,"1,824.80",percent of total billed charges ,"1,801.99",percent of total billed charges ,"1,801.99",percent of total billed charges ,"1,938.85",percent of total billed charges ,"1,938.85",percent of total billed charges ,"1,824.80",percent of total billed charges ,"1,824.80",percent of total billed charges ,"1,596.70",percent of total billed charges ,"1,596.70",percent of total billed charges ,"1,368.60",percent of total billed charges ,"1,368.60",percent of total billed charges ,"1,368.60",percent of total billed charges ,"1,368.60",percent of total billed charges ,,,,,"1,213.49",percent of total billed charges ,,,,,"1,152.82",percent of total billed charges ,,,,,,,,,,,,,,,,,,,524.63,percent of total billed charges,,,524.63,percent of total billed charges,,,524.63,percent of total billed charges,,,524.63,percent of total billed charges,,,524.63,percent of total billed charges,,,524.63,percent of total billed charges,,,524.63,percent of total billed charges,,,524.63,percent of total billed charges,,,524.63,percent of total billed charges,,,524.63,percent of total billed charges,,,524.63,percent of total billed charges,
KIT TRANSOBTURATR ARIS W/INSERTER,C1771,CDM,,,,both,,,"8,083.00","8,083.00","1,859.09","8,083.00","8,083.00",percent of total billed charges,"8,083.00",percent of total billed charges,"8,083.00",percent of total billed charges,"8,083.00",percent of total billed charges,"8,083.00",percent of total billed charges,"8,083.00",percent of total billed charges,"8,083.00",percent of total billed charges,"8,083.00",percent of total billed charges,"5,819.76",percent of total billed charges,"5,819.76",percent of total billed charges,"5,819.76",percent of total billed charges,"5,819.76",percent of total billed charges,"5,819.76",percent of total billed charges,"5,819.76",percent of total billed charges,"6,385.57",percent of total billed charges,"6,385.57",percent of total billed charges,"6,466.40",percent of total billed charges,"6,466.40",percent of total billed charges,,,"5,819.76",percent of total billed charges ,,,"6,466.40",percent of total billed charges ,"6,385.57",percent of total billed charges ,"6,385.57",percent of total billed charges ,"6,870.55",percent of total billed charges ,"6,870.55",percent of total billed charges ,"6,466.40",percent of total billed charges ,"6,466.40",percent of total billed charges ,"5,658.10",percent of total billed charges ,"5,658.10",percent of total billed charges ,"4,849.80",percent of total billed charges ,"4,849.80",percent of total billed charges ,"4,849.80",percent of total billed charges ,"4,849.80",percent of total billed charges ,,,,,"4,300.16",percent of total billed charges ,,,,,"4,085.15",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,859.09",percent of total billed charges,,,"1,859.09",percent of total billed charges,,,"1,859.09",percent of total billed charges,,,"1,859.09",percent of total billed charges,,,"1,859.09",percent of total billed charges,,,"1,859.09",percent of total billed charges,,,"1,859.09",percent of total billed charges,,,"1,859.09",percent of total billed charges,,,"1,859.09",percent of total billed charges,,,"1,859.09",percent of total billed charges,,,"1,859.09",percent of total billed charges,
STENT POLARIS 6X20,C2617,CDM,,,,both,,,"1,479.00","1,479.00",340.17,"1,479.00","1,479.00",percent of total billed charges,"1,479.00",percent of total billed charges,"1,479.00",percent of total billed charges,"1,479.00",percent of total billed charges,"1,479.00",percent of total billed charges,"1,479.00",percent of total billed charges,"1,479.00",percent of total billed charges,"1,479.00",percent of total billed charges,"1,064.88",percent of total billed charges,"1,064.88",percent of total billed charges,"1,064.88",percent of total billed charges,"1,064.88",percent of total billed charges,"1,064.88",percent of total billed charges,"1,064.88",percent of total billed charges,"1,168.41",percent of total billed charges,"1,168.41",percent of total billed charges,"1,183.20",percent of total billed charges,"1,183.20",percent of total billed charges,,,"1,064.88",percent of total billed charges ,,,"1,183.20",percent of total billed charges ,"1,168.41",percent of total billed charges ,"1,168.41",percent of total billed charges ,"1,257.15",percent of total billed charges ,"1,257.15",percent of total billed charges ,"1,183.20",percent of total billed charges ,"1,183.20",percent of total billed charges ,"1,035.30",percent of total billed charges ,"1,035.30",percent of total billed charges ,887.4,percent of total billed charges ,887.4,percent of total billed charges ,887.4,percent of total billed charges ,887.4,percent of total billed charges ,,,,,786.83,percent of total billed charges ,,,,,747.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,340.17,percent of total billed charges,,,340.17,percent of total billed charges,,,340.17,percent of total billed charges,,,340.17,percent of total billed charges,,,340.17,percent of total billed charges,,,340.17,percent of total billed charges,,,340.17,percent of total billed charges,,,340.17,percent of total billed charges,,,340.17,percent of total billed charges,,,340.17,percent of total billed charges,,,340.17,percent of total billed charges,
BAG DRAINAGE GOLDBERG,272,RC,99999-99-9999,NDC,,both,,,268,268,61.64,268,268,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,211.72,percent of total billed charges,211.72,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 ,211.72,percent of total billed charges ,211.72,percent of total billed charges ,227.8,percent of total billed charges ,227.8,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 ,,,,,,,,,,,,,,,,,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,
LABORIE INJTAK NEEDLE,272,RC,99999-99-9999,NDC,,both,,,667,667,153.41,667,667,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,526.93,percent of total billed charges,526.93,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 ,526.93,percent of total billed charges ,526.93,percent of total billed charges ,566.95,percent of total billed charges ,566.95,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 ,,,,,,,,,,,,,,,,,,,153.41,percent of total billed charges,,,153.41,percent of total billed charges,,,153.41,percent of total billed charges,,,153.41,percent of total billed charges,,,153.41,percent of total billed charges,,,153.41,percent of total billed charges,,,153.41,percent of total billed charges,,,153.41,percent of total billed charges,,,153.41,percent of total billed charges,,,153.41,percent of total billed charges,,,153.41,percent of total billed charges,
CATH URET 5.8FR BLN 18 FR X4,C1758,CDM,,,,both,,,"2,352.00","2,352.00",540.96,"2,352.00","2,352.00",percent of total billed charges,"2,352.00",percent of total billed charges,"2,352.00",percent of total billed charges,"2,352.00",percent of total billed charges,"2,352.00",percent of total billed charges,"2,352.00",percent of total billed charges,"2,352.00",percent of total billed charges,"2,352.00",percent of total billed charges,"1,693.44",percent of total billed charges,"1,693.44",percent of total billed charges,"1,693.44",percent of total billed charges,"1,693.44",percent of total billed charges,"1,693.44",percent of total billed charges,"1,693.44",percent of total billed charges,"1,858.08",percent of total billed charges,"1,858.08",percent of total billed charges,"1,881.60",percent of total billed charges,"1,881.60",percent of total billed charges,,,"1,693.44",percent of total billed charges ,,,"1,881.60",percent of total billed charges ,"1,858.08",percent of total billed charges ,"1,858.08",percent of total billed charges ,"1,999.20",percent of total billed charges ,"1,999.20",percent of total billed charges ,"1,881.60",percent of total billed charges ,"1,881.60",percent of total billed charges ,"1,646.40",percent of total billed charges ,"1,646.40",percent of total billed charges ,"1,411.20",percent of total billed charges ,"1,411.20",percent of total billed charges ,"1,411.20",percent of total billed charges ,"1,411.20",percent of total billed charges ,,,,,"1,251.26",percent of total billed charges ,,,,,"1,188.70",percent of total billed charges ,,,,,,,,,,,,,,,,,,,540.96,percent of total billed charges,,,540.96,percent of total billed charges,,,540.96,percent of total billed charges,,,540.96,percent of total billed charges,,,540.96,percent of total billed charges,,,540.96,percent of total billed charges,,,540.96,percent of total billed charges,,,540.96,percent of total billed charges,,,540.96,percent of total billed charges,,,540.96,percent of total billed charges,,,540.96,percent of total billed charges,
BASKT EXTRCT STONE DORM 2.2X11,272,RC,99999-99-9999,NDC,,both,,,"2,212.00","2,212.00",508.76,"2,212.00","2,212.00",percent of total billed charges,"2,212.00",percent of total billed charges,"2,212.00",percent of total billed charges,"2,212.00",percent of total billed charges,"2,212.00",percent of total billed charges,"2,212.00",percent of total billed charges,"2,212.00",percent of total billed charges,"2,212.00",percent of total billed charges,"1,592.64",percent of total billed charges,"1,592.64",percent of total billed charges,"1,592.64",percent of total billed charges,"1,592.64",percent of total billed charges,"1,592.64",percent of total billed charges,"1,592.64",percent of total billed charges,"1,747.48",percent of total billed charges,"1,747.48",percent of total billed charges,"1,769.60",percent of total billed charges,"1,769.60",percent of total billed charges,,,"1,592.64",percent of total billed charges ,,,"1,769.60",percent of total billed charges ,"1,747.48",percent of total billed charges ,"1,747.48",percent of total billed charges ,"1,880.20",percent of total billed charges ,"1,880.20",percent of total billed charges ,"1,769.60",percent of total billed charges ,"1,769.60",percent of total billed charges ,"1,548.40",percent of total billed charges ,"1,548.40",percent of total billed charges ,"1,327.20",percent of total billed charges ,"1,327.20",percent of total billed charges ,"1,327.20",percent of total billed charges ,"1,327.20",percent of total billed charges ,,,,,"1,176.78",percent of total billed charges ,,,,,"1,117.94",percent of total billed charges ,,,,,,,,,,,,,,,,,,,508.76,percent of total billed charges,,,508.76,percent of total billed charges,,,508.76,percent of total billed charges,,,508.76,percent of total billed charges,,,508.76,percent of total billed charges,,,508.76,percent of total billed charges,,,508.76,percent of total billed charges,,,508.76,percent of total billed charges,,,508.76,percent of total billed charges,,,508.76,percent of total billed charges,,,508.76,percent of total billed charges,
CATH BALLOON URETL IN-KA 18FR,C1725,CDM,,,,both,,,"2,281.00","2,281.00",524.63,"2,281.00","2,281.00",percent of total billed charges,"2,281.00",percent of total billed charges,"2,281.00",percent of total billed charges,"2,281.00",percent of total billed charges,"2,281.00",percent of total billed charges,"2,281.00",percent of total billed charges,"2,281.00",percent of total billed charges,"2,281.00",percent of total billed charges,"1,642.32",percent of total billed charges,"1,642.32",percent of total billed charges,"1,642.32",percent of total billed charges,"1,642.32",percent of total billed charges,"1,642.32",percent of total billed charges,"1,642.32",percent of total billed charges,"1,801.99",percent of total billed charges,"1,801.99",percent of total billed charges,"1,824.80",percent of total billed charges,"1,824.80",percent of total billed charges,,,"1,642.32",percent of total billed charges ,,,"1,824.80",percent of total billed charges ,"1,801.99",percent of total billed charges ,"1,801.99",percent of total billed charges ,"1,938.85",percent of total billed charges ,"1,938.85",percent of total billed charges ,"1,824.80",percent of total billed charges ,"1,824.80",percent of total billed charges ,"1,596.70",percent of total billed charges ,"1,596.70",percent of total billed charges ,"1,368.60",percent of total billed charges ,"1,368.60",percent of total billed charges ,"1,368.60",percent of total billed charges ,"1,368.60",percent of total billed charges ,,,,,"1,213.49",percent of total billed charges ,,,,,"1,152.82",percent of total billed charges ,,,,,,,,,,,,,,,,,,,524.63,percent of total billed charges,,,524.63,percent of total billed charges,,,524.63,percent of total billed charges,,,524.63,percent of total billed charges,,,524.63,percent of total billed charges,,,524.63,percent of total billed charges,,,524.63,percent of total billed charges,,,524.63,percent of total billed charges,,,524.63,percent of total billed charges,,,524.63,percent of total billed charges,,,524.63,percent of total billed charges,
ELECTRODE 24-28FR GROOVES,272,RC,99999-99-9999,NDC,,both,,,"2,094.00","2,094.00",481.62,"2,094.00","2,094.00",percent of total billed charges,"2,094.00",percent of total billed charges,"2,094.00",percent of total billed charges,"2,094.00",percent of total billed charges,"2,094.00",percent of total billed charges,"2,094.00",percent of total billed charges,"2,094.00",percent of total billed charges,"2,094.00",percent of total billed charges,"1,507.68",percent of total billed charges,"1,507.68",percent of total billed charges,"1,507.68",percent of total billed charges,"1,507.68",percent of total billed charges,"1,507.68",percent of total billed charges,"1,507.68",percent of total billed charges,"1,654.26",percent of total billed charges,"1,654.26",percent of total billed charges,"1,675.20",percent of total billed charges,"1,675.20",percent of total billed charges,,,"1,507.68",percent of total billed charges ,,,"1,675.20",percent of total billed charges ,"1,654.26",percent of total billed charges ,"1,654.26",percent of total billed charges ,"1,779.90",percent of total billed charges ,"1,779.90",percent of total billed charges ,"1,675.20",percent of total billed charges ,"1,675.20",percent of total billed charges ,"1,465.80",percent of total billed charges ,"1,465.80",percent of total billed charges ,"1,256.40",percent of total billed charges ,"1,256.40",percent of total billed charges ,"1,256.40",percent of total billed charges ,"1,256.40",percent of total billed charges ,,,,,"1,114.01",percent of total billed charges ,,,,,"1,058.31",percent of total billed charges ,,,,,,,,,,,,,,,,,,,481.62,percent of total billed charges,,,481.62,percent of total billed charges,,,481.62,percent of total billed charges,,,481.62,percent of total billed charges,,,481.62,percent of total billed charges,,,481.62,percent of total billed charges,,,481.62,percent of total billed charges,,,481.62,percent of total billed charges,,,481.62,percent of total billed charges,,,481.62,percent of total billed charges,,,481.62,percent of total billed charges,
INSTRUMENT LIGASURE OPEN DEV,272,RC,99999-99-9999,NDC,,both,,,"4,821.00","4,821.00","1,108.83","4,821.00","4,821.00",percent of total billed charges,"4,821.00",percent of total billed charges,"4,821.00",percent of total billed charges,"4,821.00",percent of total billed charges,"4,821.00",percent of total billed charges,"4,821.00",percent of total billed charges,"4,821.00",percent of total billed charges,"4,821.00",percent of total billed charges,"3,471.12",percent of total billed charges,"3,471.12",percent of total billed charges,"3,471.12",percent of total billed charges,"3,471.12",percent of total billed charges,"3,471.12",percent of total billed charges,"3,471.12",percent of total billed charges,"3,808.59",percent of total billed charges,"3,808.59",percent of total billed charges,"3,856.80",percent of total billed charges,"3,856.80",percent of total billed charges,,,"3,471.12",percent of total billed charges ,,,"3,856.80",percent of total billed charges ,"3,808.59",percent of total billed charges ,"3,808.59",percent of total billed charges ,"4,097.85",percent of total billed charges ,"4,097.85",percent of total billed charges ,"3,856.80",percent of total billed charges ,"3,856.80",percent of total billed charges ,"3,374.70",percent of total billed charges ,"3,374.70",percent of total billed charges ,"2,892.60",percent of total billed charges ,"2,892.60",percent of total billed charges ,"2,892.60",percent of total billed charges ,"2,892.60",percent of total billed charges ,,,,,"2,564.77",percent of total billed charges ,,,,,"2,436.53",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,108.83",percent of total billed charges,,,"1,108.83",percent of total billed charges,,,"1,108.83",percent of total billed charges,,,"1,108.83",percent of total billed charges,,,"1,108.83",percent of total billed charges,,,"1,108.83",percent of total billed charges,,,"1,108.83",percent of total billed charges,,,"1,108.83",percent of total billed charges,,,"1,108.83",percent of total billed charges,,,"1,108.83",percent of total billed charges,,,"1,108.83",percent of total billed charges,
LIGASURE EXACT DISSECTOR,272,RC,99999-99-9999,NDC,,both,,,"3,964.00","3,964.00",911.72,"3,964.00","3,964.00",percent of total billed charges,"3,964.00",percent of total billed charges,"3,964.00",percent of total billed charges,"3,964.00",percent of total billed charges,"3,964.00",percent of total billed charges,"3,964.00",percent of total billed charges,"3,964.00",percent of total billed charges,"3,964.00",percent of total billed charges,"2,854.08",percent of total billed charges,"2,854.08",percent of total billed charges,"2,854.08",percent of total billed charges,"2,854.08",percent of total billed charges,"2,854.08",percent of total billed charges,"2,854.08",percent of total billed charges,"3,131.56",percent of total billed charges,"3,131.56",percent of total billed charges,"3,171.20",percent of total billed charges,"3,171.20",percent of total billed charges,,,"2,854.08",percent of total billed charges ,,,"3,171.20",percent of total billed charges ,"3,131.56",percent of total billed charges ,"3,131.56",percent of total billed charges ,"3,369.40",percent of total billed charges ,"3,369.40",percent of total billed charges ,"3,171.20",percent of total billed charges ,"3,171.20",percent of total billed charges ,"2,774.80",percent of total billed charges ,"2,774.80",percent of total billed charges ,"2,378.40",percent of total billed charges ,"2,378.40",percent of total billed charges ,"2,378.40",percent of total billed charges ,"2,378.40",percent of total billed charges ,,,,,"2,108.85",percent of total billed charges ,,,,,"2,003.41",percent of total billed charges ,,,,,,,,,,,,,,,,,,,911.72,percent of total billed charges,,,911.72,percent of total billed charges,,,911.72,percent of total billed charges,,,911.72,percent of total billed charges,,,911.72,percent of total billed charges,,,911.72,percent of total billed charges,,,911.72,percent of total billed charges,,,911.72,percent of total billed charges,,,911.72,percent of total billed charges,,,911.72,percent of total billed charges,,,911.72,percent of total billed charges,
BROCHOSCOPE DISP BFLEX 3.8,272,RC,99999-99-9999,NDC,,both,,,"2,478.00","2,478.00",569.94,"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,"1,957.62",percent of total billed charges,"1,957.62",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 ,"1,957.62",percent of total billed charges ,"1,957.62",percent of total billed charges ,"2,106.30",percent of total billed charges ,"2,106.30",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 ,,,,,,,,,,,,,,,,,,,569.94,percent of total billed charges,,,569.94,percent of total billed charges,,,569.94,percent of total billed charges,,,569.94,percent of total billed charges,,,569.94,percent of total billed charges,,,569.94,percent of total billed charges,,,569.94,percent of total billed charges,,,569.94,percent of total billed charges,,,569.94,percent of total billed charges,,,569.94,percent of total billed charges,,,569.94,percent of total billed charges,
BROCHOSCOPE DISP BFLEX 5.0,272,RC,99999-99-9999,NDC,,both,,,"2,478.00","2,478.00",569.94,"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,"1,957.62",percent of total billed charges,"1,957.62",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 ,"1,957.62",percent of total billed charges ,"1,957.62",percent of total billed charges ,"2,106.30",percent of total billed charges ,"2,106.30",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 ,,,,,,,,,,,,,,,,,,,569.94,percent of total billed charges,,,569.94,percent of total billed charges,,,569.94,percent of total billed charges,,,569.94,percent of total billed charges,,,569.94,percent of total billed charges,,,569.94,percent of total billed charges,,,569.94,percent of total billed charges,,,569.94,percent of total billed charges,,,569.94,percent of total billed charges,,,569.94,percent of total billed charges,,,569.94,percent of total billed charges,
BLADE GLIDESCOPE 0 MILLER,272,RC,99999-99-9999,NDC,,both,,,510,510,117.3,510,510,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,402.9,percent of total billed charges,402.9,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 ,402.9,percent of total billed charges ,402.9,percent of total billed charges ,433.5,percent of total billed charges ,433.5,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 ,,,,,,,,,,,,,,,,,,,117.3,percent of total billed charges,,,117.3,percent of total billed charges,,,117.3,percent of total billed charges,,,117.3,percent of total billed charges,,,117.3,percent of total billed charges,,,117.3,percent of total billed charges,,,117.3,percent of total billed charges,,,117.3,percent of total billed charges,,,117.3,percent of total billed charges,,,117.3,percent of total billed charges,,,117.3,percent of total billed charges,
BLADE GLIDESCOPE 1 MILLER,272,RC,99999-99-9999,NDC,,both,,,510,510,117.3,510,510,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,402.9,percent of total billed charges,402.9,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 ,402.9,percent of total billed charges ,402.9,percent of total billed charges ,433.5,percent of total billed charges ,433.5,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 ,,,,,,,,,,,,,,,,,,,117.3,percent of total billed charges,,,117.3,percent of total billed charges,,,117.3,percent of total billed charges,,,117.3,percent of total billed charges,,,117.3,percent of total billed charges,,,117.3,percent of total billed charges,,,117.3,percent of total billed charges,,,117.3,percent of total billed charges,,,117.3,percent of total billed charges,,,117.3,percent of total billed charges,,,117.3,percent of total billed charges,
BLADE GLIDESCOPE 2.5 LOPRO,272,RC,99999-99-9999,NDC,,both,,,510,510,117.3,510,510,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,402.9,percent of total billed charges,402.9,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 ,402.9,percent of total billed charges ,402.9,percent of total billed charges ,433.5,percent of total billed charges ,433.5,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 ,,,,,,,,,,,,,,,,,,,117.3,percent of total billed charges,,,117.3,percent of total billed charges,,,117.3,percent of total billed charges,,,117.3,percent of total billed charges,,,117.3,percent of total billed charges,,,117.3,percent of total billed charges,,,117.3,percent of total billed charges,,,117.3,percent of total billed charges,,,117.3,percent of total billed charges,,,117.3,percent of total billed charges,,,117.3,percent of total billed charges,
GLIDESCOPE BFLEX 5.8 DSP BRNCH,272,RC,99999-99-9999,NDC,,both,,,"2,855.00","2,855.00",656.65,"2,855.00","2,855.00",percent of total billed charges,"2,855.00",percent of total billed charges,"2,855.00",percent of total billed charges,"2,855.00",percent of total billed charges,"2,855.00",percent of total billed charges,"2,855.00",percent of total billed charges,"2,855.00",percent of total billed charges,"2,855.00",percent of total billed charges,"2,055.60",percent of total billed charges,"2,055.60",percent of total billed charges,"2,055.60",percent of total billed charges,"2,055.60",percent of total billed charges,"2,055.60",percent of total billed charges,"2,055.60",percent of total billed charges,"2,255.45",percent of total billed charges,"2,255.45",percent of total billed charges,"2,284.00",percent of total billed charges,"2,284.00",percent of total billed charges,,,"2,055.60",percent of total billed charges ,,,"2,284.00",percent of total billed charges ,"2,255.45",percent of total billed charges ,"2,255.45",percent of total billed charges ,"2,426.75",percent of total billed charges ,"2,426.75",percent of total billed charges ,"2,284.00",percent of total billed charges ,"2,284.00",percent of total billed charges ,"1,998.50",percent of total billed charges ,"1,998.50",percent of total billed charges ,"1,713.00",percent of total billed charges ,"1,713.00",percent of total billed charges ,"1,713.00",percent of total billed charges ,"1,713.00",percent of total billed charges ,,,,,"1,518.86",percent of total billed charges ,,,,,"1,442.92",percent of total billed charges ,,,,,,,,,,,,,,,,,,,656.65,percent of total billed charges,,,656.65,percent of total billed charges,,,656.65,percent of total billed charges,,,656.65,percent of total billed charges,,,656.65,percent of total billed charges,,,656.65,percent of total billed charges,,,656.65,percent of total billed charges,,,656.65,percent of total billed charges,,,656.65,percent of total billed charges,,,656.65,percent of total billed charges,,,656.65,percent of total billed charges,
STENT POLARIS 6X22,C2617,CDM,,,,both,,,"1,479.00","1,479.00",340.17,"1,479.00","1,479.00",percent of total billed charges,"1,479.00",percent of total billed charges,"1,479.00",percent of total billed charges,"1,479.00",percent of total billed charges,"1,479.00",percent of total billed charges,"1,479.00",percent of total billed charges,"1,479.00",percent of total billed charges,"1,479.00",percent of total billed charges,"1,064.88",percent of total billed charges,"1,064.88",percent of total billed charges,"1,064.88",percent of total billed charges,"1,064.88",percent of total billed charges,"1,064.88",percent of total billed charges,"1,064.88",percent of total billed charges,"1,168.41",percent of total billed charges,"1,168.41",percent of total billed charges,"1,183.20",percent of total billed charges,"1,183.20",percent of total billed charges,,,"1,064.88",percent of total billed charges ,,,"1,183.20",percent of total billed charges ,"1,168.41",percent of total billed charges ,"1,168.41",percent of total billed charges ,"1,257.15",percent of total billed charges ,"1,257.15",percent of total billed charges ,"1,183.20",percent of total billed charges ,"1,183.20",percent of total billed charges ,"1,035.30",percent of total billed charges ,"1,035.30",percent of total billed charges ,887.4,percent of total billed charges ,887.4,percent of total billed charges ,887.4,percent of total billed charges ,887.4,percent of total billed charges ,,,,,786.83,percent of total billed charges ,,,,,747.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,340.17,percent of total billed charges,,,340.17,percent of total billed charges,,,340.17,percent of total billed charges,,,340.17,percent of total billed charges,,,340.17,percent of total billed charges,,,340.17,percent of total billed charges,,,340.17,percent of total billed charges,,,340.17,percent of total billed charges,,,340.17,percent of total billed charges,,,340.17,percent of total billed charges,,,340.17,percent of total billed charges,
TROCAR VP8MM BLADELESS,272,RC,99999-99-9999,NDC,,both,,,231,231,53.13,231,231,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,182.49,percent of total billed charges,182.49,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 ,182.49,percent of total billed charges ,182.49,percent of total billed charges ,196.35,percent of total billed charges ,196.35,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 ,,,,,,,,,,,,,,,,,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,
**ENSURE 4-8PKG DO NOT USE,271,RC,00906-99-0441,NDC,,both,,,14,14,3.22,14,14,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,11.06,percent of total billed charges,11.06,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 ,11.06,percent of total billed charges ,11.06,percent of total billed charges ,11.9,percent of total billed charges ,11.9,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 ,,,,,,,,,,,,,,,,,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,
**ENSUREPLUSS HN 1000ML DO NOT USE,271,RC,00906-99-0441,NDC,,both,,,50,50,11.5,50,50,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,39.5,percent of total billed charges,39.5,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 ,39.5,percent of total billed charges ,39.5,percent of total billed charges ,42.5,percent of total billed charges ,42.5,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 ,,,,,,,,,,,,,,,,,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,
**OSMOLITE 1000ML BAG DO NOT USE,271,RC,00906-99-0441,NDC,,both,,,42,42,9.66,42,42,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,33.18,percent of total billed charges,33.18,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 ,33.18,percent of total billed charges ,33.18,percent of total billed charges ,35.7,percent of total billed charges ,35.7,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 ,,,,,,,,,,,,,,,,,,,9.66,percent of total billed charges,,,9.66,percent of total billed charges,,,9.66,percent of total billed charges,,,9.66,percent of total billed charges,,,9.66,percent of total billed charges,,,9.66,percent of total billed charges,,,9.66,percent of total billed charges,,,9.66,percent of total billed charges,,,9.66,percent of total billed charges,,,9.66,percent of total billed charges,,,9.66,percent of total billed charges,
**JEVITY 1000ML BAG DO NOT USE,271,RC,00906-99-0441,NDC,,both,,,51,51,11.73,51,51,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,40.29,percent of total billed charges,40.29,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 ,40.29,percent of total billed charges ,40.29,percent of total billed charges ,43.35,percent of total billed charges ,43.35,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 ,,,,,,,,,,,,,,,,,,,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,
**PERATIVE/VITA/1000,271,RC,00906-99-0441,NDC,,both,,,56,56,12.88,56,56,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,44.24,percent of total billed charges,44.24,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 ,44.24,percent of total billed charges ,44.24,percent of total billed charges ,47.6,percent of total billed charges ,47.6,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 ,,,,,,,,,,,,,,,,,,,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,
**OTHER/ENSUREPLUS 40 OZ DO NOT USE,271,RC,00906-99-0441,NDC,,both,,,13,13,2.99,13,13,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,10.27,percent of total billed charges,10.27,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 ,10.27,percent of total billed charges ,10.27,percent of total billed charges ,11.05,percent of total billed charges ,11.05,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 ,,,,,,,,,,,,,,,,,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,
**OTHER/ENSUREPLUSS 8OZ DO NOT USE,271,RC,00906-99-0441,NDC,,both,,,15,15,3.45,15,15,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,11.85,percent of total billed charges,11.85,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 ,11.85,percent of total billed charges ,11.85,percent of total billed charges ,12.75,percent of total billed charges ,12.75,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 ,,,,,,,,,,,,,,,,,,,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,,,3.45,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,
**ORAL ELEMENTAL 4OZ DO NOT USE,271,RC,00906-99-0441,NDC,,both,,,15,15,3.45,15,15,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,11.85,percent of total billed charges,11.85,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 ,11.85,percent of total billed charges ,11.85,percent of total billed charges ,12.75,percent of total billed charges ,12.75,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 ,,,,,,,,,,,,,,,,,,,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,,,3.45,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,
**ORAL ELEMENTAL 8OZ DO NOT USE,271,RC,00906-99-0441,NDC,,both,,,21,21,4.83,21,21,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,16.59,percent of total billed charges,16.59,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 ,16.59,percent of total billed charges ,16.59,percent of total billed charges ,17.85,percent of total billed charges ,17.85,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 ,,,,,,,,,,,,,,,,,,,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,
**ENSURE 1-4OZ DO NOT USE,271,RC,00906-99-0441,NDC,,both,,,13,13,2.99,13,13,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,10.27,percent of total billed charges,10.27,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 ,10.27,percent of total billed charges ,10.27,percent of total billed charges ,11.05,percent of total billed charges ,11.05,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 ,,,,,,,,,,,,,,,,,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,
**DIABETES INJ ED/15M DO NOT USE,942,RC,00906-99-0441,NDC,,both,,,56,56,12.88,56,56,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,44.24,percent of total billed charges,44.24,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 ,44.24,percent of total billed charges ,44.24,percent of total billed charges ,47.6,percent of total billed charges ,47.6,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 ,,,,,,,,,,,,,,,,,,,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,
**BODY COMPOSITIONS DO NOT USE,942,RC,00906-99-0441,NDC,,both,,,57,57,13.11,57,57,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,45.03,percent of total billed charges,45.03,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 ,45.03,percent of total billed charges ,45.03,percent of total billed charges ,48.45,percent of total billed charges ,48.45,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 ,,,,,,,,,,,,,,,,,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,
**DIAB MGT GRP 3 HR DO NOT USE,942,RC,00906-99-0441,NDC,,both,,,194,194,44.62,194,194,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,153.26,percent of total billed charges,153.26,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 ,153.26,percent of total billed charges ,153.26,percent of total billed charges ,164.9,percent of total billed charges ,164.9,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 ,,,,,,,,,,,,,,,,,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,
MEDICAL NUTRITION THERAPY 15 MIN,97802,CDM,,,,both,,,93,93,21.39,93,93,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,73.47,percent of total billed charges,73.47,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 ,73.47,percent of total billed charges ,73.47,percent of total billed charges ,79.05,percent of total billed charges ,79.05,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 ,,,,,,,,,,,,,,,,,,,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,,,21.39,percent of total billed charges,,,21.39,percent of total billed charges,,,21.39,percent of total billed charges,
**DIET SERV 30 MIN DO NOT USE,942,RC,00906-99-0441,NDC,,both,,,102,102,23.46,102,102,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,80.58,percent of total billed charges,80.58,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 ,80.58,percent of total billed charges ,80.58,percent of total billed charges ,86.7,percent of total billed charges ,86.7,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 ,,,,,,,,,,,,,,,,,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,
**DIAB MGT EDU 2 HR DO NOT USE,942,RC,00906-99-0441,NDC,,both,,,134,134,30.82,134,134,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,105.86,percent of total billed charges,105.86,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 ,105.86,percent of total billed charges ,105.86,percent of total billed charges ,113.9,percent of total billed charges ,113.9,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,30.82,percent of total billed charges,,,30.82,percent of total billed charges,,,30.82,percent of total billed charges,
**GUARD MEALS (2),990,RC,00906-99-0441,NDC,,both,,,27,27,6.21,27,27,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,21.33,percent of total billed charges,21.33,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 ,21.33,percent of total billed charges ,21.33,percent of total billed charges ,22.95,percent of total billed charges ,22.95,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 ,,,,,,,,,,,,,,,,,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,
**GUARD MEAL,990,RC,00906-99-0441,NDC,,both,,,22,22,5.06,22,22,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,17.38,percent of total billed charges,17.38,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 ,17.38,percent of total billed charges ,17.38,percent of total billed charges ,18.7,percent of total billed charges ,18.7,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 ,,,,,,,,,,,,,,,,,,,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,,,5.06,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,
MEDICAL NUTRITION THERP FOLLOW UP 15 MIN,97803,CDM,,,,both,,,85,85,19.55,85,85,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,67.15,percent of total billed charges,67.15,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 ,67.15,percent of total billed charges ,67.15,percent of total billed charges ,72.25,percent of total billed charges ,72.25,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 ,,,,,,,,,,,,,,,,,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,
MEDICAL NUTRITION THERP GROUP 30 MIN,97804,CDM,,,,both,,,74,74,17.02,74,74,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,58.46,percent of total billed charges,58.46,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 ,58.46,percent of total billed charges ,58.46,percent of total billed charges ,62.9,percent of total billed charges ,62.9,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 ,,,,,,,,,,,,,,,,,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,
DIABETES INDIVIDUAL SMT 30 MIN,G0108,CDM,,,,both,,,203,203,46.69,203,203,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,160.37,percent of total billed charges,160.37,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 ,160.37,percent of total billed charges ,160.37,percent of total billed charges ,172.55,percent of total billed charges ,172.55,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 ,,,,,,,,,,,,,,,,,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,
DIABETES GROUP SMT 30 MIN,G0109,CDM,,,,both,,,127,127,29.21,127,127,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,100.33,percent of total billed charges,100.33,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 ,100.33,percent of total billed charges ,100.33,percent of total billed charges ,107.95,percent of total billed charges ,107.95,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 ,,,,,,,,,,,,,,,,,,,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,
WW MEDICAL NUTRITION THERAPY 15 MIN,97802,CDM,,,,both,,,103,103,23.69,103,103,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,81.37,percent of total billed charges,81.37,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 ,81.37,percent of total billed charges ,81.37,percent of total billed charges ,87.55,percent of total billed charges ,87.55,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 ,,,,,,,,,,,,,,,,,,,23.69,percent of total billed charges,,,23.69,percent of total billed charges,,,23.69,percent of total billed charges,,,23.69,percent of total billed charges,,,23.69,percent of total billed charges,,,23.69,percent of total billed charges,,,23.69,percent of total billed charges,,,23.69,percent of total billed charges,,,23.69,percent of total billed charges,,,23.69,percent of total billed charges,,,23.69,percent of total billed charges,
WW MEDICAL NUTRITION THERP FU 15 MIN,97803,CDM,,,,both,,,85,85,19.55,85,85,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,67.15,percent of total billed charges,67.15,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 ,67.15,percent of total billed charges ,67.15,percent of total billed charges ,72.25,percent of total billed charges ,72.25,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 ,,,,,,,,,,,,,,,,,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,
WW MEDICAL NUTRITION THERP GROUP 30 MIN,97804,CDM,,,,both,,,100,100,23,100,100,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,79,percent of total billed charges,79,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 ,79,percent of total billed charges ,79,percent of total billed charges ,85,percent of total billed charges ,85,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 ,,,,,,,,,,,,,,,,,,,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,,,23,percent of total billed charges,,,23,percent of total billed charges,,,23,percent of total billed charges,
MEDICAL NUTRITION SUB TX CHGED DX 15MIN,G0270,CDM,,,,both,,,108,108,24.84,108,108,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,85.32,percent of total billed charges,85.32,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 ,85.32,percent of total billed charges ,85.32,percent of total billed charges ,91.8,percent of total billed charges ,91.8,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 ,,,,,,,,,,,,,,,,,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,
MEDICAL NUTRITION GRP 2 OR MORE 30 MIN,G0271,CDM,,,,both,,,100,100,23,100,100,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,79,percent of total billed charges,79,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 ,79,percent of total billed charges ,79,percent of total billed charges ,85,percent of total billed charges ,85,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 ,,,,,,,,,,,,,,,,,,,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,,,23,percent of total billed charges,,,23,percent of total billed charges,,,23,percent of total billed charges,
PROFESSIONL DEVICE CGM START UP/TRAINING,95250,CDM,,,,both,,,615,615,141.45,615,615,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,485.85,percent of total billed charges,485.85,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 ,485.85,percent of total billed charges ,485.85,percent of total billed charges ,522.75,percent of total billed charges ,522.75,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 ,,,,,,,,,,,,,,,,,,,141.45,percent of total billed charges,,,141.45,percent of total billed charges,,,141.45,percent of total billed charges,,,141.45,percent of total billed charges,,,141.45,percent of total billed charges,,,141.45,percent of total billed charges,,,141.45,percent of total billed charges,,,141.45,percent of total billed charges,,,141.45,percent of total billed charges,,,141.45,percent of total billed charges,,,141.45,percent of total billed charges,
ESTABLISHED PT CGM FOLLOWUP,99212,CDM,,,25,both,,,130,130,29.9,130,130,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,102.7,percent of total billed charges,102.7,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 ,102.7,percent of total billed charges ,102.7,percent of total billed charges ,110.5,percent of total billed charges ,110.5,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 ,,,,,,,,,,,,,,,,,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,
CONT GLUC MNTR PT PROV EQP,95249,CDM,,,,both,,,674,674,155.02,674,674,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,532.46,percent of total billed charges,532.46,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 ,532.46,percent of total billed charges ,532.46,percent of total billed charges ,572.9,percent of total billed charges ,572.9,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 ,,,,,,,,,,,,,,,,,,,155.02,percent of total billed charges,,,155.02,percent of total billed charges,,,155.02,percent of total billed charges,,,155.02,percent of total billed charges,,,155.02,percent of total billed charges,,,155.02,percent of total billed charges,,,155.02,percent of total billed charges,,,155.02,percent of total billed charges,,,155.02,percent of total billed charges,,,155.02,percent of total billed charges,,,155.02,percent of total billed charges,
**FETAL MONITOR FIRST HOUR,59025,CDM,,,,both,,,823,823,189.29,823,823,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,650.17,percent of total billed charges,650.17,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 ,650.17,percent of total billed charges ,650.17,percent of total billed charges ,699.55,percent of total billed charges ,699.55,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 ,,,,,,,,,,,,,,,,,,,189.29,percent of total billed charges,,,189.29,percent of total billed charges,,,189.29,percent of total billed charges,,,189.29,percent of total billed charges,,,189.29,percent of total billed charges,,,189.29,percent of total billed charges,,,189.29,percent of total billed charges,,,189.29,percent of total billed charges,,,189.29,percent of total billed charges,,,189.29,percent of total billed charges,,,189.29,percent of total billed charges,
**ADD'L HOUR FETAL MONITOR,59025,CDM,,,,both,,,415,415,95.45,415,415,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,327.85,percent of total billed charges,327.85,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 ,327.85,percent of total billed charges ,327.85,percent of total billed charges ,352.75,percent of total billed charges ,352.75,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 ,,,,,,,,,,,,,,,,,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,
DELIVERY PROCEDURE,59409,CDM,,,,both,,,"2,758.00","2,758.00",634.34,"2,758.00","2,758.00",percent of total billed charges,"2,758.00",percent of total billed charges,"2,758.00",percent of total billed charges,"2,758.00",percent of total billed charges,"2,758.00",percent of total billed charges,"2,758.00",percent of total billed charges,"2,758.00",percent of total billed charges,"2,758.00",percent of total billed charges,"1,985.76",percent of total billed charges,"1,985.76",percent of total billed charges,"1,985.76",percent of total billed charges,"1,985.76",percent of total billed charges,"1,985.76",percent of total billed charges,"1,985.76",percent of total billed charges,"2,178.82",percent of total billed charges,"2,178.82",percent of total billed charges,"2,206.40",percent of total billed charges,"2,206.40",percent of total billed charges,,,"1,985.76",percent of total billed charges ,,,"2,206.40",percent of total billed charges ,"2,178.82",percent of total billed charges ,"2,178.82",percent of total billed charges ,"2,344.30",percent of total billed charges ,"2,344.30",percent of total billed charges ,"2,206.40",percent of total billed charges ,"2,206.40",percent of total billed charges ,"1,930.60",percent of total billed charges ,"1,930.60",percent of total billed charges ,"1,654.80",percent of total billed charges ,"1,654.80",percent of total billed charges ,"1,654.80",percent of total billed charges ,"1,654.80",percent of total billed charges ,,,,,"1,467.26",percent of total billed charges ,,,,,"1,393.89",percent of total billed charges ,,,,,,,,,,,,,,,,,,,634.34,percent of total billed charges,,,634.34,percent of total billed charges,,,634.34,percent of total billed charges,,,634.34,percent of total billed charges,,,634.34,percent of total billed charges,,,634.34,percent of total billed charges,,,634.34,percent of total billed charges,,,634.34,percent of total billed charges,,,634.34,percent of total billed charges,,,634.34,percent of total billed charges,,,634.34,percent of total billed charges,
EXTERNAL CEPHALIC VERSION,59412,CDM,,,,both,,,"2,479.00","2,479.00",570.17,"2,479.00","2,479.00",percent of total billed charges,"2,479.00",percent of total billed charges,"2,479.00",percent of total billed charges,"2,479.00",percent of total billed charges,"2,479.00",percent of total billed charges,"2,479.00",percent of total billed charges,"2,479.00",percent of total billed charges,"2,479.00",percent of total billed charges,"1,784.88",percent of total billed charges,"1,784.88",percent of total billed charges,"1,784.88",percent of total billed charges,"1,784.88",percent of total billed charges,"1,784.88",percent of total billed charges,"1,784.88",percent of total billed charges,"1,958.41",percent of total billed charges,"1,958.41",percent of total billed charges,"1,983.20",percent of total billed charges,"1,983.20",percent of total billed charges,,,"1,784.88",percent of total billed charges ,,,"1,983.20",percent of total billed charges ,"1,958.41",percent of total billed charges ,"1,958.41",percent of total billed charges ,"2,107.15",percent of total billed charges ,"2,107.15",percent of total billed charges ,"1,983.20",percent of total billed charges ,"1,983.20",percent of total billed charges ,"1,735.30",percent of total billed charges ,"1,735.30",percent of total billed charges ,"1,487.40",percent of total billed charges ,"1,487.40",percent of total billed charges ,"1,487.40",percent of total billed charges ,"1,487.40",percent of total billed charges ,,,,,"1,318.83",percent of total billed charges ,,,,,"1,252.89",percent of total billed charges ,,,,,,,,,,,,,,,,,,,570.17,percent of total billed charges,,,570.17,percent of total billed charges,,,570.17,percent of total billed charges,,,570.17,percent of total billed charges,,,570.17,percent of total billed charges,,,570.17,percent of total billed charges,,,570.17,percent of total billed charges,,,570.17,percent of total billed charges,,,570.17,percent of total billed charges,,,570.17,percent of total billed charges,,,570.17,percent of total billed charges,
**FETAL MONITOR DURING LABOR,59050,CDM,,,,both,,,823,823,189.29,823,823,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,650.17,percent of total billed charges,650.17,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 ,650.17,percent of total billed charges ,650.17,percent of total billed charges ,699.55,percent of total billed charges ,699.55,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 ,,,,,,,,,,,,,,,,,,,189.29,percent of total billed charges,,,189.29,percent of total billed charges,,,189.29,percent of total billed charges,,,189.29,percent of total billed charges,,,189.29,percent of total billed charges,,,189.29,percent of total billed charges,,,189.29,percent of total billed charges,,,189.29,percent of total billed charges,,,189.29,percent of total billed charges,,,189.29,percent of total billed charges,,,189.29,percent of total billed charges,
**PULSE OX SPOT,410,RC,00906-99-0441,NDC,,both,,,135,135,31.05,135,135,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,106.65,percent of total billed charges,106.65,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 ,106.65,percent of total billed charges ,106.65,percent of total billed charges ,114.75,percent of total billed charges ,114.75,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 ,,,,,,,,,,,,,,,,,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,
**PULSE OX 4 HRS,410,RC,00906-99-0441,NDC,,both,,,110,110,25.3,110,110,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,86.9,percent of total billed charges,86.9,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 ,86.9,percent of total billed charges ,86.9,percent of total billed charges ,93.5,percent of total billed charges ,93.5,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 ,,,,,,,,,,,,,,,,,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,
IV HYDRATION 31 MIN TO 1 HOUR,96360,CDM,,,59,both,,,391,391,89.93,391,391,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,308.89,percent of total billed charges,308.89,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 ,308.89,percent of total billed charges ,308.89,percent of total billed charges ,332.35,percent of total billed charges ,332.35,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 ,,,,,,,,,,,,,,,,,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,
**NEB SET UP DO NOT USE,272,RC,00906-99-0441,NDC,,both,,,86,86,19.78,86,86,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,67.94,percent of total billed charges,67.94,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 ,67.94,percent of total billed charges ,67.94,percent of total billed charges ,73.1,percent of total billed charges ,73.1,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**SCALP MONITOR DO NOT USE,272,RC,00906-99-0441,NDC,,both,,,317,317,72.91,317,317,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,250.43,percent of total billed charges,250.43,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 ,250.43,percent of total billed charges ,250.43,percent of total billed charges ,269.45,percent of total billed charges ,269.45,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 ,,,,,,,,,,,,,,,,,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,
**SUTURE (PKG) DO NOT USE,272,RC,00906-99-0441,NDC,,both,,,35,35,8.05,35,35,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,27.65,percent of total billed charges,27.65,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 ,27.65,percent of total billed charges ,27.65,percent of total billed charges ,29.75,percent of total billed charges ,29.75,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 ,,,,,,,,,,,,,,,,,,,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,
**BLOOD GLUCOSE GLUCOMETER,82962,CDM,,,,both,,,53,53,12.19,53,53,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,41.87,percent of total billed charges,41.87,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 ,41.87,percent of total billed charges ,41.87,percent of total billed charges ,45.05,percent of total billed charges ,45.05,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 ,,,,,,,,,,,,,,,,,,,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,
URINE DIPSTICK,81000,CDM,,,,both,,,22,22,5.06,22,22,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,17.38,percent of total billed charges,17.38,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 ,17.38,percent of total billed charges ,17.38,percent of total billed charges ,18.7,percent of total billed charges ,18.7,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 ,,,,,,,,,,,,,,,,,,,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,,,5.06,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,
**PREOP CARE,360,RC,00906-99-0441,NDC,,both,,,441,441,101.43,441,441,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,348.39,percent of total billed charges,348.39,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 ,348.39,percent of total billed charges ,348.39,percent of total billed charges ,374.85,percent of total billed charges ,374.85,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
BLOOD ADMINISTRATION < 2HRS,36430,CDM,,,GF,both,,,"1,498.00","1,498.00",344.54,"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,"1,183.42",percent of total billed charges,"1,183.42",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 ,"1,183.42",percent of total billed charges ,"1,183.42",percent of total billed charges ,"1,273.30",percent of total billed charges ,"1,273.30",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 ,,,,,,,,,,,,,,,,,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,
**NEB TREATMENT DO NOT USE,94640,CDM,,,76,both,,,203,203,46.69,203,203,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,160.37,percent of total billed charges,160.37,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 ,160.37,percent of total billed charges ,160.37,percent of total billed charges ,172.55,percent of total billed charges ,172.55,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 ,,,,,,,,,,,,,,,,,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,
PULSE OX SPOT,94760,CDM,,,,both,,,133,133,30.59,133,133,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,105.07,percent of total billed charges,105.07,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 ,105.07,percent of total billed charges ,105.07,percent of total billed charges ,113.05,percent of total billed charges ,113.05,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 ,,,,,,,,,,,,,,,,,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,
**PULSE OX 4 HRS,94762,CDM,,,,both,,,110,110,25.3,110,110,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,86.9,percent of total billed charges,86.9,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 ,86.9,percent of total billed charges ,86.9,percent of total billed charges ,93.5,percent of total billed charges ,93.5,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 ,,,,,,,,,,,,,,,,,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,
**SDC RECOVERY,710,RC,00906-99-0441,NDC,,both,,,284,284,65.32,284,284,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,224.36,percent of total billed charges,224.36,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 ,224.36,percent of total billed charges ,224.36,percent of total billed charges ,241.4,percent of total billed charges ,241.4,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 ,,,,,,,,,,,,,,,,,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,
**TREATMENT ROOM DO NOT USE,761,RC,00906-99-0441,NDC,,both,,,445,445,102.35,445,445,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,351.55,percent of total billed charges,351.55,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 ,351.55,percent of total billed charges ,351.55,percent of total billed charges ,378.25,percent of total billed charges ,378.25,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 ,,,,,,,,,,,,,,,,,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,
**OBS HR/CHG,762,RC,00906-99-0441,NDC,,both,,,117,117,26.91,117,117,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,92.43,percent of total billed charges,92.43,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 ,92.43,percent of total billed charges ,92.43,percent of total billed charges ,99.45,percent of total billed charges ,99.45,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 ,,,,,,,,,,,,,,,,,,,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,
OB AUDIO/LIMITED/INFANT,92650,CDM,,,,both,,,533,533,122.59,533,533,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,421.07,percent of total billed charges,421.07,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 ,421.07,percent of total billed charges ,421.07,percent of total billed charges ,453.05,percent of total billed charges ,453.05,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 ,,,,,,,,,,,,,,,,,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,
NST (NONSTRESS TEST),59025,CDM,,,,both,,,785,785,180.55,785,785,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,620.15,percent of total billed charges,620.15,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 ,620.15,percent of total billed charges ,620.15,percent of total billed charges ,667.25,percent of total billed charges ,667.25,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 ,,,,,,,,,,,,,,,,,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,
OCT (STRESS TEST),59020,CDM,,,,both,,,"1,212.00","1,212.00",278.76,"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,957.48,percent of total billed charges,957.48,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 ,957.48,percent of total billed charges ,957.48,percent of total billed charges ,"1,030.20",percent of total billed charges ,"1,030.20",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 ,,,,,,,,,,,,,,,,,,,278.76,percent of total billed charges,,,278.76,percent of total billed charges,,,278.76,percent of total billed charges,,,278.76,percent of total billed charges,,,278.76,percent of total billed charges,,,278.76,percent of total billed charges,,,278.76,percent of total billed charges,,,278.76,percent of total billed charges,,,278.76,percent of total billed charges,,,278.76,percent of total billed charges,,,278.76,percent of total billed charges,
STERILE SPECULUM EXAM,99211,CDM,,,,both,,,267,267,61.41,267,267,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,210.93,percent of total billed charges,210.93,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 ,210.93,percent of total billed charges ,210.93,percent of total billed charges ,226.95,percent of total billed charges ,226.95,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 ,,,,,,,,,,,,,,,,,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,
SONOGRAM,76815,CDM,,,,both,,,759,759,174.57,759,759,percent of total billed charges,759,percent of total billed charges,759,percent of total billed charges,759,percent of total billed charges,759,percent of total billed charges,759,percent of total billed charges,759,percent of total billed charges,759,percent of total billed charges,546.48,percent of total billed charges,546.48,percent of total billed charges,546.48,percent of total billed charges,546.48,percent of total billed charges,546.48,percent of total billed charges,546.48,percent of total billed charges,599.61,percent of total billed charges,599.61,percent of total billed charges,607.2,percent of total billed charges,607.2,percent of total billed charges,,,546.48,percent of total billed charges ,,,607.2,percent of total billed charges ,599.61,percent of total billed charges ,599.61,percent of total billed charges ,645.15,percent of total billed charges ,645.15,percent of total billed charges ,607.2,percent of total billed charges ,607.2,percent of total billed charges ,531.3,percent of total billed charges ,531.3,percent of total billed charges ,455.4,percent of total billed charges ,455.4,percent of total billed charges ,455.4,percent of total billed charges ,455.4,percent of total billed charges ,,,,,403.79,percent of total billed charges ,,,,,383.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,174.57,percent of total billed charges,,,174.57,percent of total billed charges,,,174.57,percent of total billed charges,,,174.57,percent of total billed charges,,,174.57,percent of total billed charges,,,174.57,percent of total billed charges,,,174.57,percent of total billed charges,,,174.57,percent of total billed charges,,,174.57,percent of total billed charges,,,174.57,percent of total billed charges,,,174.57,percent of total billed charges,
**B/P MONITOR,720,RC,00906-99-0441,NDC,,both,,,217,217,49.91,217,217,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,171.43,percent of total billed charges,171.43,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 ,171.43,percent of total billed charges ,171.43,percent of total billed charges ,184.45,percent of total billed charges ,184.45,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 ,,,,,,,,,,,,,,,,,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,
AMNIOCENTESIS,59000,CDM,,,,both,,,"1,024.00","1,024.00",235.52,"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,808.96,percent of total billed charges,808.96,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 ,808.96,percent of total billed charges ,808.96,percent of total billed charges ,870.4,percent of total billed charges ,870.4,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 ,,,,,,,,,,,,,,,,,,,235.52,percent of total billed charges,,,235.52,percent of total billed charges,,,235.52,percent of total billed charges,,,235.52,percent of total billed charges,,,235.52,percent of total billed charges,,,235.52,percent of total billed charges,,,235.52,percent of total billed charges,,,235.52,percent of total billed charges,,,235.52,percent of total billed charges,,,235.52,percent of total billed charges,,,235.52,percent of total billed charges,
THERA PROPH/DIAG INJ SQ OR IM,96372,CDM,,,59,both,,,205,205,47.15,205,205,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,161.95,percent of total billed charges,161.95,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 ,161.95,percent of total billed charges ,161.95,percent of total billed charges ,174.25,percent of total billed charges ,174.25,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 ,,,,,,,,,,,,,,,,,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,
**HIV RAPID TEST DO NOT USE,86701,CDM,,,,both,,,237,237,54.51,237,237,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,187.23,percent of total billed charges,187.23,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 ,187.23,percent of total billed charges ,187.23,percent of total billed charges ,201.45,percent of total billed charges ,201.45,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 ,,,,,,,,,,,,,,,,,,,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,,,54.51,percent of total billed charges,,,54.51,percent of total billed charges,,,54.51,percent of total billed charges,
IV HYDRATION ADD'L HOURS,96361,CDM,,,59,both,,,252,252,57.96,252,252,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,199.08,percent of total billed charges,199.08,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 ,199.08,percent of total billed charges ,199.08,percent of total billed charges ,214.2,percent of total billed charges ,214.2,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 ,,,,,,,,,,,,,,,,,,,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,
IV PUSH DRUG INITIAL,96374,CDM,,,59,both,,,184,184,42.32,184,184,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,145.36,percent of total billed charges,145.36,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 ,145.36,percent of total billed charges ,145.36,percent of total billed charges ,156.4,percent of total billed charges ,156.4,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 ,,,,,,,,,,,,,,,,,,,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,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,
PHOTO THERAPY,96900,CDM,,,,both,,,471,471,108.33,471,471,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,372.09,percent of total billed charges,372.09,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 ,372.09,percent of total billed charges ,372.09,percent of total billed charges ,400.35,percent of total billed charges ,400.35,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 ,,,,,,,,,,,,,,,,,,,108.33,percent of total billed charges,,,108.33,percent of total billed charges,,,108.33,percent of total billed charges,,,108.33,percent of total billed charges,,,108.33,percent of total billed charges,,,108.33,percent of total billed charges,,,108.33,percent of total billed charges,,,108.33,percent of total billed charges,,,108.33,percent of total billed charges,,,108.33,percent of total billed charges,,,108.33,percent of total billed charges,
IV PUSH ADD'L DIFF MED,96375,CDM,,,59,both,,,184,184,42.32,184,184,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,145.36,percent of total billed charges,145.36,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 ,145.36,percent of total billed charges ,145.36,percent of total billed charges ,156.4,percent of total billed charges ,156.4,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 ,,,,,,,,,,,,,,,,,,,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,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,
TREATMENT ROOM,99211,CDM,,,,both,,,487,487,112.01,487,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,350.64,percent of total billed charges,350.64,percent of total billed charges,350.64,percent of total billed charges,350.64,percent of total billed charges,350.64,percent of total billed charges,350.64,percent of total billed charges,384.73,percent of total billed charges,384.73,percent of total billed charges,389.6,percent of total billed charges,389.6,percent of total billed charges,,,350.64,percent of total billed charges ,,,389.6,percent of total billed charges ,384.73,percent of total billed charges ,384.73,percent of total billed charges ,413.95,percent of total billed charges ,413.95,percent of total billed charges ,389.6,percent of total billed charges ,389.6,percent of total billed charges ,340.9,percent of total billed charges ,340.9,percent of total billed charges ,292.2,percent of total billed charges ,292.2,percent of total billed charges ,292.2,percent of total billed charges ,292.2,percent of total billed charges ,,,,,259.08,percent of total billed charges ,,,,,246.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,
IV INFUSION UP TO 1 HOUR,96365,CDM,,,59,both,,,747,747,171.81,747,747,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,747,percent of total billed charges,747,percent of total billed charges,747,percent of total billed charges,537.84,percent of total billed charges,537.84,percent of total billed charges,537.84,percent of total billed charges,537.84,percent of total billed charges,537.84,percent of total billed charges,537.84,percent of total billed charges,590.13,percent of total billed charges,590.13,percent of total billed charges,597.6,percent of total billed charges,597.6,percent of total billed charges,,,537.84,percent of total billed charges ,,,597.6,percent of total billed charges ,590.13,percent of total billed charges ,590.13,percent of total billed charges ,634.95,percent of total billed charges ,634.95,percent of total billed charges ,597.6,percent of total billed charges ,597.6,percent of total billed charges ,522.9,percent of total billed charges ,522.9,percent of total billed charges ,448.2,percent of total billed charges ,448.2,percent of total billed charges ,448.2,percent of total billed charges ,448.2,percent of total billed charges ,,,,,397.4,percent of total billed charges ,,,,,377.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,
IV INFUSION ADD'L HOUR,96366,CDM,,,59,both,,,377,377,86.71,377,377,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,297.83,percent of total billed charges,297.83,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 ,297.83,percent of total billed charges ,297.83,percent of total billed charges ,320.45,percent of total billed charges ,320.45,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 ,,,,,,,,,,,,,,,,,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,
**PREOP CARE,360,RC,00906-99-0441,NDC,,both,,,441,441,101.43,441,441,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,348.39,percent of total billed charges,348.39,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 ,348.39,percent of total billed charges ,348.39,percent of total billed charges ,374.85,percent of total billed charges ,374.85,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
TRANSCUTANEOUS BILI,88720,CDM,,,,both,,,104,104,23.92,104,104,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,82.16,percent of total billed charges,82.16,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 ,82.16,percent of total billed charges ,82.16,percent of total billed charges ,88.4,percent of total billed charges ,88.4,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 ,,,,,,,,,,,,,,,,,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,
ACTIM PROM,84112,CDM,,,,both,,,379,379,87.17,379,379,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,299.41,percent of total billed charges,299.41,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 ,299.41,percent of total billed charges ,299.41,percent of total billed charges ,322.15,percent of total billed charges ,322.15,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 ,,,,,,,,,,,,,,,,,,,87.17,percent of total billed charges,,,87.17,percent of total billed charges,,,87.17,percent of total billed charges,,,87.17,percent of total billed charges,,,87.17,percent of total billed charges,,,87.17,percent of total billed charges,,,87.17,percent of total billed charges,,,87.17,percent of total billed charges,,,87.17,percent of total billed charges,,,87.17,percent of total billed charges,,,87.17,percent of total billed charges,
EXTENDED RECOVERY,710,RC,00906-99-0441,NDC,,both,,,410,410,94.3,410,410,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,323.9,percent of total billed charges,323.9,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 ,323.9,percent of total billed charges ,323.9,percent of total billed charges ,348.5,percent of total billed charges ,348.5,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 ,,,,,,,,,,,,,,,,,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,
IV INFUSION UP TO 1 HOUR (59),96365,CDM,,,59,both,,,391,391,89.93,391,391,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,308.89,percent of total billed charges,308.89,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 ,308.89,percent of total billed charges ,308.89,percent of total billed charges ,332.35,percent of total billed charges ,332.35,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 ,,,,,,,,,,,,,,,,,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,
IV INFUSION ADD'L HR (59),96366,CDM,,,59,both,,,377,377,86.71,377,377,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,297.83,percent of total billed charges,297.83,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 ,297.83,percent of total billed charges ,297.83,percent of total billed charges ,320.45,percent of total billed charges ,320.45,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 ,,,,,,,,,,,,,,,,,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,
IV THERAPY SEQ DRUG UP TO 1 HOUR,96367,CDM,,,59,both,,,184,184,42.32,184,184,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,145.36,percent of total billed charges,145.36,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 ,145.36,percent of total billed charges ,145.36,percent of total billed charges ,156.4,percent of total billed charges ,156.4,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 ,,,,,,,,,,,,,,,,,,,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,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,
IV THERAPY CONCURRENT NEW DRUG,96368,CDM,,,59,both,,,184,184,42.32,184,184,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,145.36,percent of total billed charges,145.36,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 ,145.36,percent of total billed charges ,145.36,percent of total billed charges ,156.4,percent of total billed charges ,156.4,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 ,,,,,,,,,,,,,,,,,,,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,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,
IV THERAPY CONCURRENT NEW DRUG (59),96368,CDM,,,59,both,,,184,184,42.32,184,184,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,145.36,percent of total billed charges,145.36,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 ,145.36,percent of total billed charges ,145.36,percent of total billed charges ,156.4,percent of total billed charges ,156.4,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 ,,,,,,,,,,,,,,,,,,,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,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,
IV PUSH SEQUENTIAL SAME DRUG,96376,CDM,,,59,both,,,184,184,42.32,184,184,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,145.36,percent of total billed charges,145.36,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 ,145.36,percent of total billed charges ,145.36,percent of total billed charges ,156.4,percent of total billed charges ,156.4,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 ,,,,,,,,,,,,,,,,,,,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,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,
IV PUSH SEQUENTIAL SAME DRUG (59),96376,CDM,,,59,both,,,184,184,42.32,184,184,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,145.36,percent of total billed charges,145.36,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 ,145.36,percent of total billed charges ,145.36,percent of total billed charges ,156.4,percent of total billed charges ,156.4,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 ,,,,,,,,,,,,,,,,,,,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,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,
IV PUSH DRUG INITIAL (59),96374,CDM,,,59,both,,,184,184,42.32,184,184,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,145.36,percent of total billed charges,145.36,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 ,145.36,percent of total billed charges ,145.36,percent of total billed charges ,156.4,percent of total billed charges ,156.4,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 ,,,,,,,,,,,,,,,,,,,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,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,
IV PUSH ADD'L DIFF MED (59),96375,CDM,,,59,both,,,184,184,42.32,184,184,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,145.36,percent of total billed charges,145.36,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 ,145.36,percent of total billed charges ,145.36,percent of total billed charges ,156.4,percent of total billed charges ,156.4,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 ,,,,,,,,,,,,,,,,,,,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,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,
THERA PROPH/DIAG INJ SQ OR IM (59),96372,CDM,,,59,both,,,205,205,47.15,205,205,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,161.95,percent of total billed charges,161.95,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 ,161.95,percent of total billed charges ,161.95,percent of total billed charges ,174.25,percent of total billed charges ,174.25,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 ,,,,,,,,,,,,,,,,,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,
CIRCUMCISION,54150,CDM,,,,both,,,"7,713.00","7,713.00","1,773.99","7,713.00","7,713.00",percent of total billed charges,"7,713.00",percent of total billed charges,"7,713.00",percent of total billed charges,"7,713.00",percent of total billed charges,"7,713.00",percent of total billed charges,"7,713.00",percent of total billed charges,"7,713.00",percent of total billed charges,"7,713.00",percent of total billed charges,"5,553.36",percent of total billed charges,"5,553.36",percent of total billed charges,"5,553.36",percent of total billed charges,"5,553.36",percent of total billed charges,"5,553.36",percent of total billed charges,"5,553.36",percent of total billed charges,"6,093.27",percent of total billed charges,"6,093.27",percent of total billed charges,"6,170.40",percent of total billed charges,"6,170.40",percent of total billed charges,,,"5,553.36",percent of total billed charges ,,,"6,170.40",percent of total billed charges ,"6,093.27",percent of total billed charges ,"6,093.27",percent of total billed charges ,"6,556.05",percent of total billed charges ,"6,556.05",percent of total billed charges ,"6,170.40",percent of total billed charges ,"6,170.40",percent of total billed charges ,"5,399.10",percent of total billed charges ,"5,399.10",percent of total billed charges ,"4,627.80",percent of total billed charges ,"4,627.80",percent of total billed charges ,"4,627.80",percent of total billed charges ,"4,627.80",percent of total billed charges ,,,,,"4,103.32",percent of total billed charges ,,,,,"3,898.15",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,773.99",percent of total billed charges,,,"1,773.99",percent of total billed charges,,,"1,773.99",percent of total billed charges,,,"1,773.99",percent of total billed charges,,,"1,773.99",percent of total billed charges,,,"1,773.99",percent of total billed charges,,,"1,773.99",percent of total billed charges,,,"1,773.99",percent of total billed charges,,,"1,773.99",percent of total billed charges,,,"1,773.99",percent of total billed charges,,,"1,773.99",percent of total billed charges,
OP LEVEL 1 NEW,99201,CDM,,,,both,,,274,274,63.02,274,274,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,216.46,percent of total billed charges,216.46,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 ,216.46,percent of total billed charges ,216.46,percent of total billed charges ,232.9,percent of total billed charges ,232.9,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 ,,,,,,,,,,,,,,,,,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,
OP LEVEL 1 ESTABLISHED,99211,CDM,,,,both,,,267,267,61.41,267,267,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,210.93,percent of total billed charges,210.93,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 ,210.93,percent of total billed charges ,210.93,percent of total billed charges ,226.95,percent of total billed charges ,226.95,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 ,,,,,,,,,,,,,,,,,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,
OP LEVEL 2 NEW,99202,CDM,,,,both,,,351,351,80.73,351,351,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,277.29,percent of total billed charges,277.29,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 ,277.29,percent of total billed charges ,277.29,percent of total billed charges ,298.35,percent of total billed charges ,298.35,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 ,,,,,,,,,,,,,,,,,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,
OP LEVEL 2 ESTABLISHED,99212,CDM,,,25,both,,,326,326,74.98,326,326,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,257.54,percent of total billed charges,257.54,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 ,257.54,percent of total billed charges ,257.54,percent of total billed charges ,277.1,percent of total billed charges ,277.1,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 ,,,,,,,,,,,,,,,,,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,
OP LEVEL 3 NEW,99203,CDM,,,,both,,,471,471,108.33,471,471,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,372.09,percent of total billed charges,372.09,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 ,372.09,percent of total billed charges ,372.09,percent of total billed charges ,400.35,percent of total billed charges ,400.35,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 ,,,,,,,,,,,,,,,,,,,108.33,percent of total billed charges,,,108.33,percent of total billed charges,,,108.33,percent of total billed charges,,,108.33,percent of total billed charges,,,108.33,percent of total billed charges,,,108.33,percent of total billed charges,,,108.33,percent of total billed charges,,,108.33,percent of total billed charges,,,108.33,percent of total billed charges,,,108.33,percent of total billed charges,,,108.33,percent of total billed charges,
OP LEVEL 3 ESTABLISHED,99213,CDM,,,25,both,,,369,369,84.87,369,369,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,291.51,percent of total billed charges,291.51,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 ,291.51,percent of total billed charges ,291.51,percent of total billed charges ,313.65,percent of total billed charges ,313.65,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 ,,,,,,,,,,,,,,,,,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,
OP LEVEL 4 NEW,99204,CDM,,,,both,,,632,632,145.36,632,632,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,499.28,percent of total billed charges,499.28,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 ,499.28,percent of total billed charges ,499.28,percent of total billed charges ,537.2,percent of total billed charges ,537.2,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 ,,,,,,,,,,,,,,,,,,,145.36,percent of total billed charges,,,145.36,percent of total billed charges,,,145.36,percent of total billed charges,,,145.36,percent of total billed charges,,,145.36,percent of total billed charges,,,145.36,percent of total billed charges,,,145.36,percent of total billed charges,,,145.36,percent of total billed charges,,,145.36,percent of total billed charges,,,145.36,percent of total billed charges,,,145.36,percent of total billed charges,
OP LEVEL 4 ESTABLISHED,99214,CDM,,,25,both,,,486,486,111.78,486,486,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,383.94,percent of total billed charges,383.94,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 ,383.94,percent of total billed charges ,383.94,percent of total billed charges ,413.1,percent of total billed charges ,413.1,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 ,,,,,,,,,,,,,,,,,,,111.78,percent of total billed charges,,,111.78,percent of total billed charges,,,111.78,percent of total billed charges,,,111.78,percent of total billed charges,,,111.78,percent of total billed charges,,,111.78,percent of total billed charges,,,111.78,percent of total billed charges,,,111.78,percent of total billed charges,,,111.78,percent of total billed charges,,,111.78,percent of total billed charges,,,111.78,percent of total billed charges,
OP LEVEL 5 NEW,99205,CDM,,,,both,,,795,795,182.85,795,795,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,628.05,percent of total billed charges,628.05,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 ,628.05,percent of total billed charges ,628.05,percent of total billed charges ,675.75,percent of total billed charges ,675.75,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 ,,,,,,,,,,,,,,,,,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,
OP LEVEL 5 ESTABLISHED,99215,CDM,,,25,both,,,515,515,118.45,515,515,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,406.85,percent of total billed charges,406.85,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 ,406.85,percent of total billed charges ,406.85,percent of total billed charges ,437.75,percent of total billed charges ,437.75,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 ,,,,,,,,,,,,,,,,,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,
BLOOD ADMINISTRATION 2 - 4 HRS,36430,CDM,,,GF,both,,,"1,954.00","1,954.00",449.42,"1,954.00","1,954.00",percent of total billed charges,"1,954.00",percent of total billed charges,"1,954.00",percent of total billed charges,"1,954.00",percent of total billed charges,"1,954.00",percent of total billed charges,"1,954.00",percent of total billed charges,"1,954.00",percent of total billed charges,"1,954.00",percent of total billed charges,"1,406.88",percent of total billed charges,"1,406.88",percent of total billed charges,"1,406.88",percent of total billed charges,"1,406.88",percent of total billed charges,"1,406.88",percent of total billed charges,"1,406.88",percent of total billed charges,"1,543.66",percent of total billed charges,"1,543.66",percent of total billed charges,"1,563.20",percent of total billed charges,"1,563.20",percent of total billed charges,,,"1,406.88",percent of total billed charges ,,,"1,563.20",percent of total billed charges ,"1,543.66",percent of total billed charges ,"1,543.66",percent of total billed charges ,"1,660.90",percent of total billed charges ,"1,660.90",percent of total billed charges ,"1,563.20",percent of total billed charges ,"1,563.20",percent of total billed charges ,"1,367.80",percent of total billed charges ,"1,367.80",percent of total billed charges ,"1,172.40",percent of total billed charges ,"1,172.40",percent of total billed charges ,"1,172.40",percent of total billed charges ,"1,172.40",percent of total billed charges ,,,,,"1,039.53",percent of total billed charges ,,,,,987.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,449.42,percent of total billed charges,,,449.42,percent of total billed charges,,,449.42,percent of total billed charges,,,449.42,percent of total billed charges,,,449.42,percent of total billed charges,,,449.42,percent of total billed charges,,,449.42,percent of total billed charges,,,449.42,percent of total billed charges,,,449.42,percent of total billed charges,,,449.42,percent of total billed charges,,,449.42,percent of total billed charges,
BLOOD ADMINISTRATION  >  4 HRS,36430,CDM,,,GF,both,,,"1,498.00","1,498.00",344.54,"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,"1,183.42",percent of total billed charges,"1,183.42",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 ,"1,183.42",percent of total billed charges ,"1,183.42",percent of total billed charges ,"1,273.30",percent of total billed charges ,"1,273.30",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 ,,,,,,,,,,,,,,,,,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,
NEWBORN RESUSCITATION,99465,CDM,,,,both,,,"1,056.00","1,056.00",242.88,"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,834.24,percent of total billed charges,834.24,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 ,834.24,percent of total billed charges ,834.24,percent of total billed charges ,897.6,percent of total billed charges ,897.6,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 ,,,,,,,,,,,,,,,,,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,
CRITICAL CARE 30 TO 74 MIN,99291,CDM,,,,both,,,"3,883.00","3,883.00",893.09,"9,500.00","3,883.00",percent of total billed charges,"3,883.00",percent of total billed charges,"3,883.00",percent of total billed charges,"3,883.00",percent of total billed charges,"3,883.00",percent of total billed charges,"3,883.00",percent of total billed charges,"3,883.00",percent of total billed charges,"3,883.00",percent of total billed charges,"2,795.76",percent of total billed charges,"2,795.76",percent of total billed charges,"2,795.76",percent of total billed charges,"2,795.76",percent of total billed charges,"2,795.76",percent of total billed charges,"2,795.76",percent of total billed charges,"3,067.57",percent of total billed charges,"3,067.57",percent of total billed charges,"3,106.40",percent of total billed charges,"3,106.40",percent of total billed charges,,,"9,500.00",ER Case Rate,,,"3,106.40",percent of total billed charges ,"3,067.57",percent of total billed charges ,"3,067.57",percent of total billed charges ,"3,300.55",percent of total billed charges ,"3,300.55",percent of total billed charges ,"3,106.40",percent of total billed charges ,"3,106.40",percent of total billed charges ,"2,718.10",percent of total billed charges ,"2,718.10",percent of total billed charges ,"2,329.80",percent of total billed charges ,"2,329.80",percent of total billed charges ,"2,329.80",percent of total billed charges ,"2,329.80",percent of total billed charges ,,,,,"2,065.76",percent of total billed charges ,,,,,"1,962.47",percent of total billed charges ,,,,,,,,,,,,,,,,,,,893.09,percent of total billed charges,,,893.09,percent of total billed charges,,,893.09,percent of total billed charges,,,893.09,percent of total billed charges,,,893.09,percent of total billed charges,,,893.09,percent of total billed charges,,,893.09,percent of total billed charges,,,893.09,percent of total billed charges,,,893.09,percent of total billed charges,,,893.09,percent of total billed charges,,,893.09,percent of total billed charges,
CRITICAL CARE EA ADD'L 30 MIN,99292,CDM,,,,both,,,826,826,189.98,826,826,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,652.54,percent of total billed charges,652.54,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 ,652.54,percent of total billed charges ,652.54,percent of total billed charges ,702.1,percent of total billed charges ,702.1,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 ,,,,,,,,,,,,,,,,,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,
IMMUNIZATION ADMIN EA ADD'L VACCINE,90472,CDM,,,,both,,,90,90,20.7,90,90,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,71.1,percent of total billed charges,71.1,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 ,71.1,percent of total billed charges ,71.1,percent of total billed charges ,76.5,percent of total billed charges ,76.5,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
INDWELLING CATH INSERTION SIMPLE,51702,CDM,,,,both,,,430,430,98.9,430,430,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,339.7,percent of total billed charges,339.7,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 ,339.7,percent of total billed charges ,339.7,percent of total billed charges ,365.5,percent of total billed charges ,365.5,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 ,,,,,,,,,,,,,,,,,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,
OP LEVEL 2 ESTABLISHED,99212,CDM,,,25,both,,,326,326,74.98,326,326,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,257.54,percent of total billed charges,257.54,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 ,257.54,percent of total billed charges ,257.54,percent of total billed charges ,277.1,percent of total billed charges ,277.1,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 ,,,,,,,,,,,,,,,,,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,
OP LEVEL 3 ESTABLISHED,99213,CDM,,,25,both,,,369,369,84.87,369,369,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,291.51,percent of total billed charges,291.51,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 ,291.51,percent of total billed charges ,291.51,percent of total billed charges ,313.65,percent of total billed charges ,313.65,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 ,,,,,,,,,,,,,,,,,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,
OP LEVEL 4 ESTABLISHED,99214,CDM,,,25,both,,,486,486,111.78,486,486,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,383.94,percent of total billed charges,383.94,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 ,383.94,percent of total billed charges ,383.94,percent of total billed charges ,413.1,percent of total billed charges ,413.1,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 ,,,,,,,,,,,,,,,,,,,111.78,percent of total billed charges,,,111.78,percent of total billed charges,,,111.78,percent of total billed charges,,,111.78,percent of total billed charges,,,111.78,percent of total billed charges,,,111.78,percent of total billed charges,,,111.78,percent of total billed charges,,,111.78,percent of total billed charges,,,111.78,percent of total billed charges,,,111.78,percent of total billed charges,,,111.78,percent of total billed charges,
OP LEVEL 5 ESTABLISHED,99215,CDM,,,25,both,,,515,515,118.45,515,515,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,406.85,percent of total billed charges,406.85,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 ,406.85,percent of total billed charges ,406.85,percent of total billed charges ,437.75,percent of total billed charges ,437.75,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 ,,,,,,,,,,,,,,,,,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,
STRAIGHT CATH RESIDUAL,51701,CDM,,,,both,,,384,384,88.32,384,384,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,303.36,percent of total billed charges,303.36,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 ,303.36,percent of total billed charges ,303.36,percent of total billed charges ,326.4,percent of total billed charges ,326.4,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 ,,,,,,,,,,,,,,,,,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,
NEWBORN CAR SEAT TESTING 1ST HR,94780,CDM,,,,both,,,274,274,63.02,274,274,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,216.46,percent of total billed charges,216.46,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 ,216.46,percent of total billed charges ,216.46,percent of total billed charges ,232.9,percent of total billed charges ,232.9,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 ,,,,,,,,,,,,,,,,,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,
NEBULIZER TREATMENT,94640,CDM,,,76,both,,,288,288,66.24,288,288,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,227.52,percent of total billed charges,227.52,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 ,227.52,percent of total billed charges ,227.52,percent of total billed charges ,244.8,percent of total billed charges ,244.8,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
NEWBORN CAR SEAT TESTING ADD'L 30 MIN,94781,CDM,,,,both,,,138,138,31.74,138,138,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,109.02,percent of total billed charges,109.02,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 ,109.02,percent of total billed charges ,109.02,percent of total billed charges ,117.3,percent of total billed charges ,117.3,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 ,,,,,,,,,,,,,,,,,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,
NEONATAL FRENOTOMY,41010,CDM,,,,both,,,"4,031.00","4,031.00",927.13,"4,031.00","4,031.00",percent of total billed charges,"4,031.00",percent of total billed charges,"4,031.00",percent of total billed charges,"4,031.00",percent of total billed charges,"4,031.00",percent of total billed charges,"4,031.00",percent of total billed charges,"4,031.00",percent of total billed charges,"4,031.00",percent of total billed charges,"2,902.32",percent of total billed charges,"2,902.32",percent of total billed charges,"2,902.32",percent of total billed charges,"2,902.32",percent of total billed charges,"2,902.32",percent of total billed charges,"2,902.32",percent of total billed charges,"3,184.49",percent of total billed charges,"3,184.49",percent of total billed charges,"3,224.80",percent of total billed charges,"3,224.80",percent of total billed charges,,,"2,902.32",percent of total billed charges ,,,"3,224.80",percent of total billed charges ,"3,184.49",percent of total billed charges ,"3,184.49",percent of total billed charges ,"3,426.35",percent of total billed charges ,"3,426.35",percent of total billed charges ,"3,224.80",percent of total billed charges ,"3,224.80",percent of total billed charges ,"2,821.70",percent of total billed charges ,"2,821.70",percent of total billed charges ,"2,418.60",percent of total billed charges ,"2,418.60",percent of total billed charges ,"2,418.60",percent of total billed charges ,"2,418.60",percent of total billed charges ,,,,,"2,144.49",percent of total billed charges ,,,,,"2,037.27",percent of total billed charges ,,,,,,,,,,,,,,,,,,,927.13,percent of total billed charges,,,927.13,percent of total billed charges,,,927.13,percent of total billed charges,,,927.13,percent of total billed charges,,,927.13,percent of total billed charges,,,927.13,percent of total billed charges,,,927.13,percent of total billed charges,,,927.13,percent of total billed charges,,,927.13,percent of total billed charges,,,927.13,percent of total billed charges,,,927.13,percent of total billed charges,
IMMUNIZATION ADMINISTRATON; 1 VACCINE,90471,CDM,,,,both,,,136,136,31.28,136,136,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,107.44,percent of total billed charges,107.44,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 ,107.44,percent of total billed charges ,107.44,percent of total billed charges ,115.6,percent of total billed charges ,115.6,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 ,,,,,,,,,,,,,,,,,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,
IV INFUSION HYDRATION; INITIAL 31 MINS T,96360,CDM,,,59,both,,,391,391,89.93,391,391,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,308.89,percent of total billed charges,308.89,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 ,308.89,percent of total billed charges ,308.89,percent of total billed charges ,332.35,percent of total billed charges ,332.35,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 ,,,,,,,,,,,,,,,,,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,
HYDRATION EACH ADD'L HOUR (59),96361,CDM,,,59,both,,,377,377,86.71,377,377,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,297.83,percent of total billed charges,297.83,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 ,297.83,percent of total billed charges ,297.83,percent of total billed charges ,320.45,percent of total billed charges ,320.45,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 ,,,,,,,,,,,,,,,,,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,
ADDITIONAL SEQUENTIAL INFUSION OF NEW DR,96367,CDM,,,59,both,,,378,378,86.94,378,378,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,298.62,percent of total billed charges,298.62,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 ,298.62,percent of total billed charges ,298.62,percent of total billed charges ,321.3,percent of total billed charges ,321.3,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 ,,,,,,,,,,,,,,,,,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,
INTRAVENOUS INFUSION UP TO 1 HR,96365,CDM,,,59,both,,,747,747,171.81,747,747,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,747,percent of total billed charges,747,percent of total billed charges,747,percent of total billed charges,537.84,percent of total billed charges,537.84,percent of total billed charges,537.84,percent of total billed charges,537.84,percent of total billed charges,537.84,percent of total billed charges,537.84,percent of total billed charges,590.13,percent of total billed charges,590.13,percent of total billed charges,597.6,percent of total billed charges,597.6,percent of total billed charges,,,537.84,percent of total billed charges ,,,597.6,percent of total billed charges ,590.13,percent of total billed charges ,590.13,percent of total billed charges ,634.95,percent of total billed charges ,634.95,percent of total billed charges ,597.6,percent of total billed charges ,597.6,percent of total billed charges ,522.9,percent of total billed charges ,522.9,percent of total billed charges ,448.2,percent of total billed charges ,448.2,percent of total billed charges ,448.2,percent of total billed charges ,448.2,percent of total billed charges ,,,,,397.4,percent of total billed charges ,,,,,377.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,
**TRACTION DAILY,271,RC,00906-99-0441,NDC,,both,,,180,180,41.4,180,180,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,142.2,percent of total billed charges,142.2,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 ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,153,percent of total billed charges ,153,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,41.4,percent of total billed charges,,,41.4,percent of total billed charges,,,41.4,percent of total billed charges,
**OVERHEAD TRAPEZE,271,RC,00906-99-0441,NDC,,both,,,93,93,21.39,93,93,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,73.47,percent of total billed charges,73.47,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 ,73.47,percent of total billed charges ,73.47,percent of total billed charges ,79.05,percent of total billed charges ,79.05,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 ,,,,,,,,,,,,,,,,,,,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,,,21.39,percent of total billed charges,,,21.39,percent of total billed charges,,,21.39,percent of total billed charges,
**TRACTION SETUP,271,RC,00906-99-0441,NDC,,both,,,530,530,121.9,530,530,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,418.7,percent of total billed charges,418.7,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 ,418.7,percent of total billed charges ,418.7,percent of total billed charges ,450.5,percent of total billed charges ,450.5,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 ,,,,,,,,,,,,,,,,,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,
**NEB SET UP,272,RC,00906-99-0441,NDC,,both,,,88,88,20.24,88,88,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,69.52,percent of total billed charges,69.52,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 ,69.52,percent of total billed charges ,69.52,percent of total billed charges ,74.8,percent of total billed charges ,74.8,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 ,,,,,,,,,,,,,,,,,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,
**ISOLATION & SUPPLIES,272,RC,00906-99-0441,NDC,,both,,,553,553,127.19,553,553,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,436.87,percent of total billed charges,436.87,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 ,436.87,percent of total billed charges ,436.87,percent of total billed charges ,470.05,percent of total billed charges ,470.05,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 ,,,,,,,,,,,,,,,,,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,
**SUTURE PER PKG,272,RC,00906-99-0441,NDC,,both,,,32,32,7.36,32,32,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,25.28,percent of total billed charges,25.28,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 ,25.28,percent of total billed charges ,25.28,percent of total billed charges ,27.2,percent of total billed charges ,27.2,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 ,,,,,,,,,,,,,,,,,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,
**BLOOD DRAW FEE,36415,CDM,,,,both,,,60,60,13.8,60,60,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,47.4,percent of total billed charges,47.4,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 ,47.4,percent of total billed charges ,47.4,percent of total billed charges ,51,percent of total billed charges ,51,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 ,,,,,,,,,,,,,,,,,,,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,,,13.8,percent of total billed charges,,,13.8,percent of total billed charges,,,13.8,percent of total billed charges,
**HEMOCULT STOOL,82270,CDM,,,,both,,,90,90,20.7,90,90,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,71.1,percent of total billed charges,71.1,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 ,71.1,percent of total billed charges ,71.1,percent of total billed charges ,76.5,percent of total billed charges ,76.5,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**PREOP CARE,360,RC,00906-99-0441,NDC,,both,,,441,441,101.43,441,441,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,348.39,percent of total billed charges,348.39,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 ,348.39,percent of total billed charges ,348.39,percent of total billed charges ,374.85,percent of total billed charges ,374.85,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
BLOOD ADMINISTRATION < 2 HOURS,36430,CDM,,,GF,both,,,"1,498.00","1,498.00",344.54,"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,"1,183.42",percent of total billed charges,"1,183.42",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 ,"1,183.42",percent of total billed charges ,"1,183.42",percent of total billed charges ,"1,273.30",percent of total billed charges ,"1,273.30",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 ,,,,,,,,,,,,,,,,,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,
**NEB TREATMENT,94640,CDM,,,76,both,,,203,203,46.69,203,203,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,160.37,percent of total billed charges,160.37,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 ,160.37,percent of total billed charges ,160.37,percent of total billed charges ,172.55,percent of total billed charges ,172.55,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 ,,,,,,,,,,,,,,,,,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,
**PULSE OXIMETER,94760,CDM,,,,both,,,163,163,37.49,163,163,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,128.77,percent of total billed charges,128.77,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 ,128.77,percent of total billed charges ,128.77,percent of total billed charges ,138.55,percent of total billed charges ,138.55,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 ,,,,,,,,,,,,,,,,,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,
**PULSE OX 4 HRS,94762,CDM,,,,both,,,110,110,25.3,110,110,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,86.9,percent of total billed charges,86.9,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 ,86.9,percent of total billed charges ,86.9,percent of total billed charges ,93.5,percent of total billed charges ,93.5,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 ,,,,,,,,,,,,,,,,,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,
**PEAK FLOW,460,RC,00906-99-0441,NDC,,both,,,117,117,26.91,117,117,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,92.43,percent of total billed charges,92.43,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 ,92.43,percent of total billed charges ,92.43,percent of total billed charges ,99.45,percent of total billed charges ,99.45,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 ,,,,,,,,,,,,,,,,,,,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,
**SDC POST OP CARE,710,RC,00906-99-0441,NDC,,both,,,284,284,65.32,284,284,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,224.36,percent of total billed charges,224.36,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 ,224.36,percent of total billed charges ,224.36,percent of total billed charges ,241.4,percent of total billed charges ,241.4,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 ,,,,,,,,,,,,,,,,,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,
TREATMENT ROOM,99211,CDM,,,,both,,,267,267,61.41,267,267,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,210.93,percent of total billed charges,210.93,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 ,210.93,percent of total billed charges ,210.93,percent of total billed charges ,226.95,percent of total billed charges ,226.95,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 ,,,,,,,,,,,,,,,,,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,
**OBC HR/CHG,762,RC,00906-99-0441,NDC,,both,,,117,117,26.91,117,117,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,92.43,percent of total billed charges,92.43,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 ,92.43,percent of total billed charges ,92.43,percent of total billed charges ,99.45,percent of total billed charges ,99.45,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 ,,,,,,,,,,,,,,,,,,,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,
PNEUMONIA ADMIN FEE,G0009,CDM,,,,both,,,126,126,28.98,126,126,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,99.54,percent of total billed charges,99.54,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 ,99.54,percent of total billed charges ,99.54,percent of total billed charges ,107.1,percent of total billed charges ,107.1,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 ,,,,,,,,,,,,,,,,,,,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,
FLU VAC ADMIN FEE,G0008,CDM,,,,both,,,117,117,26.91,117,117,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,92.43,percent of total billed charges,92.43,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 ,92.43,percent of total billed charges ,92.43,percent of total billed charges ,99.45,percent of total billed charges ,99.45,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 ,,,,,,,,,,,,,,,,,,,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,
**CONT INFUS & PUSH DRUG,Q0085,CDM,,,,both,,,631,631,145.13,631,631,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,498.49,percent of total billed charges,498.49,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 ,498.49,percent of total billed charges ,498.49,percent of total billed charges ,536.35,percent of total billed charges ,536.35,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 ,,,,,,,,,,,,,,,,,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,
**CONTINOUS INFUSION,Q0084,CDM,,,,both,,,365,365,83.95,365,365,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,288.35,percent of total billed charges,288.35,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 ,288.35,percent of total billed charges ,288.35,percent of total billed charges ,310.25,percent of total billed charges ,310.25,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 ,,,,,,,,,,,,,,,,,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,
**INJ (CHEMO) BY SQ/INTRA/IV PUSH,Q0083,CDM,,,,both,,,232,232,53.36,232,232,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,183.28,percent of total billed charges,183.28,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 ,183.28,percent of total billed charges ,183.28,percent of total billed charges ,197.2,percent of total billed charges ,197.2,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 ,,,,,,,,,,,,,,,,,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,
IV PUSH DRUG INITIAL,96374,CDM,,,59,both,,,385,385,88.55,385,385,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,304.15,percent of total billed charges,304.15,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 ,304.15,percent of total billed charges ,304.15,percent of total billed charges ,327.25,percent of total billed charges ,327.25,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 ,,,,,,,,,,,,,,,,,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,
TR INTRAVENOUS/PORT FLUSH,96523,CDM,,,,both,,,259,259,59.57,259,259,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,204.61,percent of total billed charges,204.61,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 ,204.61,percent of total billed charges ,204.61,percent of total billed charges ,220.15,percent of total billed charges ,220.15,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 ,,,,,,,,,,,,,,,,,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,
TR PORT REMOVAL,99211,CDM,,,,both,,,259,259,59.57,259,259,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,204.61,percent of total billed charges,204.61,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 ,204.61,percent of total billed charges ,204.61,percent of total billed charges ,220.15,percent of total billed charges ,220.15,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 ,,,,,,,,,,,,,,,,,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,
**THERA PHOPH/DIAG INJ BY IV,761,RC,00906-99-0441,NDC,,both,,,184,184,42.32,184,184,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,145.36,percent of total billed charges,145.36,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 ,145.36,percent of total billed charges ,145.36,percent of total billed charges ,156.4,percent of total billed charges ,156.4,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 ,,,,,,,,,,,,,,,,,,,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,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,
THERA PROPH/DIAG INJ SQ OR IM,96372,CDM,,,59,both,,,205,205,47.15,205,205,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,161.95,percent of total billed charges,161.95,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 ,161.95,percent of total billed charges ,161.95,percent of total billed charges ,174.25,percent of total billed charges ,174.25,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 ,,,,,,,,,,,,,,,,,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,
**INTRAMUSCLAR INJ OF ANTIBIOTIC,761,RC,00906-99-0441,NDC,,both,,,184,184,42.32,184,184,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,145.36,percent of total billed charges,145.36,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 ,145.36,percent of total billed charges ,145.36,percent of total billed charges ,156.4,percent of total billed charges ,156.4,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 ,,,,,,,,,,,,,,,,,,,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,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,
INTRAVENOUS INFUSION ADD'L HR,96366,CDM,,,59,both,,,335,335,77.05,335,335,percent of total billed charges,335,percent of total billed charges,335,percent of total billed charges,335,percent of total billed charges,335,percent of total billed charges,335,percent of total billed charges,335,percent of total billed charges,335,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,241.2,percent of total billed charges,241.2,percent of total billed charges,264.65,percent of total billed charges,264.65,percent of total billed charges,268,percent of total billed charges,268,percent of total billed charges,,,241.2,percent of total billed charges ,,,268,percent of total billed charges ,264.65,percent of total billed charges ,264.65,percent of total billed charges ,284.75,percent of total billed charges ,284.75,percent of total billed charges ,268,percent of total billed charges ,268,percent of total billed charges ,234.5,percent of total billed charges ,234.5,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 ,,,,,178.22,percent of total billed charges ,,,,,169.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,77.05,percent of total billed charges,,,77.05,percent of total billed charges,,,77.05,percent of total billed charges,,,77.05,percent of total billed charges,,,77.05,percent of total billed charges,,,77.05,percent of total billed charges,,,77.05,percent of total billed charges,,,77.05,percent of total billed charges,,,77.05,percent of total billed charges,,,77.05,percent of total billed charges,,,77.05,percent of total billed charges,
**IV THERAPY (CHEMO) UP TO 1 HR,96422,CDM,,,,both,,,391,391,89.93,391,391,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,308.89,percent of total billed charges,308.89,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 ,308.89,percent of total billed charges ,308.89,percent of total billed charges ,332.35,percent of total billed charges ,332.35,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 ,,,,,,,,,,,,,,,,,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,
**IV THERAPY (CHEMO) ADD'L HR,96423,CDM,,,,both,,,377,377,86.71,377,377,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,297.83,percent of total billed charges,297.83,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 ,297.83,percent of total billed charges ,297.83,percent of total billed charges ,320.45,percent of total billed charges ,320.45,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 ,,,,,,,,,,,,,,,,,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,
**INTRAVENOUS INFUSION 1ST HR DO NOT USE,90765,CDM,,,,both,,,391,391,89.93,391,391,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,308.89,percent of total billed charges,308.89,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 ,308.89,percent of total billed charges ,308.89,percent of total billed charges ,332.35,percent of total billed charges ,332.35,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 ,,,,,,,,,,,,,,,,,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,
IV HYDRATION 31 MIN TO 1 HOUR,96360,CDM,,,59,both,,,391,391,89.93,391,391,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,308.89,percent of total billed charges,308.89,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 ,308.89,percent of total billed charges ,308.89,percent of total billed charges ,332.35,percent of total billed charges ,332.35,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 ,,,,,,,,,,,,,,,,,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,
IV HYDRATION ADD'L HOUR,96361,CDM,,,59,both,,,377,377,86.71,377,377,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,297.83,percent of total billed charges,297.83,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 ,297.83,percent of total billed charges ,297.83,percent of total billed charges ,320.45,percent of total billed charges ,320.45,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 ,,,,,,,,,,,,,,,,,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,
IV PUSH  ADD'L DIFF MED,96375,CDM,,,59,both,,,274,274,63.02,274,274,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,216.46,percent of total billed charges,216.46,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 ,216.46,percent of total billed charges ,216.46,percent of total billed charges ,232.9,percent of total billed charges ,232.9,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 ,,,,,,,,,,,,,,,,,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,
FLUSH INFUSAPORT,96523,CDM,,,,both,,,274,274,63.02,274,274,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,216.46,percent of total billed charges,216.46,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 ,216.46,percent of total billed charges ,216.46,percent of total billed charges ,232.9,percent of total billed charges ,232.9,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 ,,,,,,,,,,,,,,,,,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,
INFUSAPORT BLOOD DRAW,36591,CDM,,,,both,,,326,326,74.98,326,326,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,257.54,percent of total billed charges,257.54,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 ,257.54,percent of total billed charges ,257.54,percent of total billed charges ,277.1,percent of total billed charges ,277.1,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 ,,,,,,,,,,,,,,,,,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,
IV THERAPY SEQ DRUG UP TO 1 HOUR,96367,CDM,,,59,both,,,352,352,80.96,352,352,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,278.08,percent of total billed charges,278.08,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 ,278.08,percent of total billed charges ,278.08,percent of total billed charges ,299.2,percent of total billed charges ,299.2,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 ,,,,,,,,,,,,,,,,,,,80.96,percent of total billed charges,,,80.96,percent of total billed charges,,,80.96,percent of total billed charges,,,80.96,percent of total billed charges,,,80.96,percent of total billed charges,,,80.96,percent of total billed charges,,,80.96,percent of total billed charges,,,80.96,percent of total billed charges,,,80.96,percent of total billed charges,,,80.96,percent of total billed charges,,,80.96,percent of total billed charges,
IV THERAPY CONCURRENT NEW DRUG,96368,CDM,,,59,both,,,184,184,42.32,184,184,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,145.36,percent of total billed charges,145.36,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 ,145.36,percent of total billed charges ,145.36,percent of total billed charges ,156.4,percent of total billed charges ,156.4,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 ,,,,,,,,,,,,,,,,,,,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,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,
IV PUSH SEQUENTIAL SAME DRUG,96376,CDM,,,59,both,,,278,278,63.94,278,278,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,219.62,percent of total billed charges,219.62,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 ,219.62,percent of total billed charges ,219.62,percent of total billed charges ,236.3,percent of total billed charges ,236.3,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
INTRAVENOUS INFUSION 1ST HOUR (59),96365,CDM,,,59,both,,,391,391,89.93,391,391,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,308.89,percent of total billed charges,308.89,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 ,308.89,percent of total billed charges ,308.89,percent of total billed charges ,332.35,percent of total billed charges ,332.35,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 ,,,,,,,,,,,,,,,,,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,
IV PUSH DRUG,96374,CDM,,,59,both,,,274,274,63.02,274,274,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,216.46,percent of total billed charges,216.46,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 ,216.46,percent of total billed charges ,216.46,percent of total billed charges ,232.9,percent of total billed charges ,232.9,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 ,,,,,,,,,,,,,,,,,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,
THERA PROPH/DIAG INJ (59),96372,CDM,,,59,both,,,205,205,47.15,205,205,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,161.95,percent of total billed charges,161.95,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 ,161.95,percent of total billed charges ,161.95,percent of total billed charges ,174.25,percent of total billed charges ,174.25,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 ,,,,,,,,,,,,,,,,,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,
INTRAVENOUS INFUSION ADD'L HR (59),96366,CDM,,,59,both,,,274,274,63.02,274,274,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,216.46,percent of total billed charges,216.46,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 ,216.46,percent of total billed charges ,216.46,percent of total billed charges ,232.9,percent of total billed charges ,232.9,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 ,,,,,,,,,,,,,,,,,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,
IMMUNIZATION ADMINISTRATON 1 VACCINE,90471,CDM,,,,both,,,136,136,31.28,136,136,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,107.44,percent of total billed charges,107.44,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 ,107.44,percent of total billed charges ,107.44,percent of total billed charges ,115.6,percent of total billed charges ,115.6,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 ,,,,,,,,,,,,,,,,,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,
IV THERAPY CONCURRENT NEW DRUG (59),96368,CDM,,,59,both,,,184,184,42.32,184,184,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,145.36,percent of total billed charges,145.36,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 ,145.36,percent of total billed charges ,145.36,percent of total billed charges ,156.4,percent of total billed charges ,156.4,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 ,,,,,,,,,,,,,,,,,,,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,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,
IV PUSH  ADD'L DIFF MED (59),96375,CDM,,,59,both,,,274,274,63.02,274,274,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,216.46,percent of total billed charges,216.46,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 ,216.46,percent of total billed charges ,216.46,percent of total billed charges ,232.9,percent of total billed charges ,232.9,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 ,,,,,,,,,,,,,,,,,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,
IV PUSH SEQUENTIAL SAME DRUG (59),96376,CDM,,,59,both,,,184,184,42.32,184,184,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,145.36,percent of total billed charges,145.36,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 ,145.36,percent of total billed charges ,145.36,percent of total billed charges ,156.4,percent of total billed charges ,156.4,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 ,,,,,,,,,,,,,,,,,,,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,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,
EXTENDED RECOVERY,710,RC,00906-99-0441,NDC,,both,,,410,410,94.3,410,410,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,323.9,percent of total billed charges,323.9,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 ,323.9,percent of total billed charges ,323.9,percent of total billed charges ,348.5,percent of total billed charges ,348.5,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 ,,,,,,,,,,,,,,,,,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,
IV THERAPY SEQ DRUG UP TO 1 HOUR (59),96367,CDM,,,59,both,,,184,184,42.32,184,184,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,145.36,percent of total billed charges,145.36,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 ,145.36,percent of total billed charges ,145.36,percent of total billed charges ,156.4,percent of total billed charges ,156.4,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 ,,,,,,,,,,,,,,,,,,,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,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,
IV HYDRATION 31 MIN TO 1 HOUR,96360,CDM,,,59,both,,,391,391,89.93,391,391,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,308.89,percent of total billed charges,308.89,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 ,308.89,percent of total billed charges ,308.89,percent of total billed charges ,332.35,percent of total billed charges ,332.35,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 ,,,,,,,,,,,,,,,,,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,
IV HYDRATION ADD'L HOUR (59),96361,CDM,,,59,both,,,252,252,57.96,252,252,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,199.08,percent of total billed charges,199.08,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 ,199.08,percent of total billed charges ,199.08,percent of total billed charges ,214.2,percent of total billed charges ,214.2,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 ,,,,,,,,,,,,,,,,,,,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,
OBSERVATION DIRECT ADMIT,G0379,CDM,,,,both,,,371,371,85.33,371,371,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,293.09,percent of total billed charges,293.09,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 ,293.09,percent of total billed charges ,293.09,percent of total billed charges ,315.35,percent of total billed charges ,315.35,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 ,,,,,,,,,,,,,,,,,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,
BLOOD ADMINISTRATION 2 - 4 HRS,36430,CDM,,,GF,both,,,"1,498.00","1,498.00",344.54,"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,"1,183.42",percent of total billed charges,"1,183.42",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 ,"1,183.42",percent of total billed charges ,"1,183.42",percent of total billed charges ,"1,273.30",percent of total billed charges ,"1,273.30",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 ,,,,,,,,,,,,,,,,,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,
BLOOD ADMINISTRATION > 4 HRS,36430,CDM,,,GF,both,,,"1,498.00","1,498.00",344.54,"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,"1,183.42",percent of total billed charges,"1,183.42",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 ,"1,183.42",percent of total billed charges ,"1,183.42",percent of total billed charges ,"1,273.30",percent of total billed charges ,"1,273.30",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 ,,,,,,,,,,,,,,,,,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,
INTUBATION EMERG PROC,31500,CDM,,,,both,,,"1,305.00","1,305.00",300.15,"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,"1,030.95",percent of total billed charges,"1,030.95",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 ,"1,030.95",percent of total billed charges ,"1,030.95",percent of total billed charges ,"1,109.25",percent of total billed charges ,"1,109.25",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 ,,,,,,,,,,,,,,,,,,,300.15,percent of total billed charges,,,300.15,percent of total billed charges,,,300.15,percent of total billed charges,,,300.15,percent of total billed charges,,,300.15,percent of total billed charges,,,300.15,percent of total billed charges,,,300.15,percent of total billed charges,,,300.15,percent of total billed charges,,,300.15,percent of total billed charges,,,300.15,percent of total billed charges,,,300.15,percent of total billed charges,
CARDIO RESUCITATION (CPR),92950,CDM,,,GF,both,,,"1,380.00","1,380.00",317.4,"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,"1,090.20",percent of total billed charges,"1,090.20",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 ,"1,090.20",percent of total billed charges ,"1,090.20",percent of total billed charges ,"1,173.00",percent of total billed charges ,"1,173.00",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 ,,,,,,,,,,,,,,,,,,,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,,,317.4,percent of total billed charges,,,317.4,percent of total billed charges,,,317.4,percent of total billed charges,
CRITICAL CARE 30 - 74 MIN,99291,CDM,,,,both,,,"2,240.00","2,240.00",515.2,"9,500.00","2,240.00",percent of total billed charges,"2,240.00",percent of total billed charges,"2,240.00",percent of total billed charges,"2,240.00",percent of total billed charges,"2,240.00",percent of total billed charges,"2,240.00",percent of total billed charges,"2,240.00",percent of total billed charges,"2,240.00",percent of total billed charges,"1,612.80",percent of total billed charges,"1,612.80",percent of total billed charges,"1,612.80",percent of total billed charges,"1,612.80",percent of total billed charges,"1,612.80",percent of total billed charges,"1,612.80",percent of total billed charges,"1,769.60",percent of total billed charges,"1,769.60",percent of total billed charges,"1,792.00",percent of total billed charges,"1,792.00",percent of total billed charges,,,"9,500.00",ER Case Rate,,,"1,792.00",percent of total billed charges ,"1,769.60",percent of total billed charges ,"1,769.60",percent of total billed charges ,"1,904.00",percent of total billed charges ,"1,904.00",percent of total billed charges ,"1,792.00",percent of total billed charges ,"1,792.00",percent of total billed charges ,"1,568.00",percent of total billed charges ,"1,568.00",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 ,,,,,"1,191.68",percent of total billed charges ,,,,,"1,132.10",percent of total billed charges ,,,,,,,,,,,,,,,,,,,515.2,percent of total billed charges,,,515.2,percent of total billed charges,,,515.2,percent of total billed charges,,,515.2,percent of total billed charges,,,515.2,percent of total billed charges,,,515.2,percent of total billed charges,,,515.2,percent of total billed charges,,,515.2,percent of total billed charges,,,515.2,percent of total billed charges,,,515.2,percent of total billed charges,,,515.2,percent of total billed charges,
CRITICAL CARE EACH ADD'L 30 MIN,99292,CDM,,,,both,,,826,826,189.98,826,826,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,652.54,percent of total billed charges,652.54,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 ,652.54,percent of total billed charges ,652.54,percent of total billed charges ,702.1,percent of total billed charges ,702.1,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 ,,,,,,,,,,,,,,,,,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,
CENTRAL LINE/ PICC LINE BLOOD DRAW,36592,CDM,,,,both,,,216,216,49.68,216,216,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,216,percent of total billed charges,216,percent of total billed charges,216,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,172.8,percent of total billed charges,172.8,percent of total billed charges,,,155.52,percent of total billed charges ,,,172.8,percent of total billed charges ,170.64,percent of total billed charges ,170.64,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,172.8,percent of total billed charges ,172.8,percent of total billed charges ,151.2,percent of total billed charges ,151.2,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 ,,,,,114.91,percent of total billed charges ,,,,,109.17,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,,,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,
BLADDER IRRIGATION/ LAVAGE/ INSTILL,51700,CDM,,,,both,,,828,828,190.44,828,828,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,828,percent of total billed charges,828,percent of total billed charges,596.16,percent of total billed charges,596.16,percent of total billed charges,596.16,percent of total billed charges,596.16,percent of total billed charges,596.16,percent of total billed charges,596.16,percent of total billed charges,654.12,percent of total billed charges,654.12,percent of total billed charges,662.4,percent of total billed charges,662.4,percent of total billed charges,,,596.16,percent of total billed charges ,,,662.4,percent of total billed charges ,654.12,percent of total billed charges ,654.12,percent of total billed charges ,703.8,percent of total billed charges ,703.8,percent of total billed charges ,662.4,percent of total billed charges ,662.4,percent of total billed charges ,579.6,percent of total billed charges ,579.6,percent of total billed charges ,496.8,percent of total billed charges ,496.8,percent of total billed charges ,496.8,percent of total billed charges ,496.8,percent of total billed charges ,,,,,440.5,percent of total billed charges ,,,,,418.47,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,,,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,,,190.44,percent of total billed charges,,,190.44,percent of total billed charges,,,190.44,percent of total billed charges,
STRAIGHT CATH RESIDUAL,51701,CDM,,,,both,,,338,338,77.74,338,338,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,267.02,percent of total billed charges,267.02,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 ,267.02,percent of total billed charges ,267.02,percent of total billed charges ,287.3,percent of total billed charges ,287.3,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 ,,,,,,,,,,,,,,,,,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,
INDWELLING CATH INSERTION SIMPLE,51702,CDM,,,,both,,,434,434,99.82,434,434,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,342.86,percent of total billed charges,342.86,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 ,342.86,percent of total billed charges ,342.86,percent of total billed charges ,368.9,percent of total billed charges ,368.9,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 ,,,,,,,,,,,,,,,,,,,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,,,99.82,percent of total billed charges,,,99.82,percent of total billed charges,,,99.82,percent of total billed charges,
BLADDER SCAN URINE MEASUREMENT,51798,CDM,,,,both,,,312,312,71.76,312,312,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,246.48,percent of total billed charges,246.48,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 ,246.48,percent of total billed charges ,246.48,percent of total billed charges ,265.2,percent of total billed charges ,265.2,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
STRAIGHT CATH URINE SPECIMEN COLL,P9612,CDM,,,,both,,,168,168,38.64,168,168,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,132.72,percent of total billed charges,132.72,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 ,132.72,percent of total billed charges ,132.72,percent of total billed charges ,142.8,percent of total billed charges ,142.8,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 ,,,,,,,,,,,,,,,,,,,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,
EKG,93005,CDM,,,,both,,,456,456,104.88,456,456,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,360.24,percent of total billed charges,360.24,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 ,360.24,percent of total billed charges ,360.24,percent of total billed charges ,387.6,percent of total billed charges ,387.6,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 ,,,,,,,,,,,,,,,,,,,104.88,percent of total billed charges,,,104.88,percent of total billed charges,,,104.88,percent of total billed charges,,,104.88,percent of total billed charges,,,104.88,percent of total billed charges,,,104.88,percent of total billed charges,,,104.88,percent of total billed charges,,,104.88,percent of total billed charges,,,104.88,percent of total billed charges,,,104.88,percent of total billed charges,,,104.88,percent of total billed charges,
INHALATION TREATMENT,94640,CDM,,,76,both,,,203,203,46.69,203,203,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,160.37,percent of total billed charges,160.37,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 ,160.37,percent of total billed charges ,160.37,percent of total billed charges ,172.55,percent of total billed charges ,172.55,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 ,,,,,,,,,,,,,,,,,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,
**BLOOD GLUCOSE GLUCOMETER ACCUCHECK,82962,CDM,,,,both,,,68,68,15.64,68,68,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,53.72,percent of total billed charges,53.72,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 ,53.72,percent of total billed charges ,53.72,percent of total billed charges ,57.8,percent of total billed charges ,57.8,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 ,,,,,,,,,,,,,,,,,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,
CHEMO IV PUSH INITIAL,96409,CDM,,,,both,,,678,678,155.94,678,678,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,535.62,percent of total billed charges,535.62,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 ,535.62,percent of total billed charges ,535.62,percent of total billed charges ,576.3,percent of total billed charges ,576.3,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 ,,,,,,,,,,,,,,,,,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,
CHEMO IV PUSH EA ADD'L,96411,CDM,,,,both,,,538,538,123.74,538,538,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,425.02,percent of total billed charges,425.02,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 ,425.02,percent of total billed charges ,425.02,percent of total billed charges ,457.3,percent of total billed charges ,457.3,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 ,,,,,,,,,,,,,,,,,,,123.74,percent of total billed charges,,,123.74,percent of total billed charges,,,123.74,percent of total billed charges,,,123.74,percent of total billed charges,,,123.74,percent of total billed charges,,,123.74,percent of total billed charges,,,123.74,percent of total billed charges,,,123.74,percent of total billed charges,,,123.74,percent of total billed charges,,,123.74,percent of total billed charges,,,123.74,percent of total billed charges,
CHEMO IV INFUSION INITIAL UP TO 1 HR,96413,CDM,,,,both,,,"1,020.00","1,020.00",234.6,"1,020.00","1,020.00",percent of total billed charges,"1,020.00",percent of total billed charges,"1,020.00",percent of total billed charges,"1,020.00",percent of total billed charges,"1,020.00",percent of total billed charges,"1,020.00",percent of total billed charges,"1,020.00",percent of total billed charges,"1,020.00",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,734.4,percent of total billed charges,734.4,percent of total billed charges,805.8,percent of total billed charges,805.8,percent of total billed charges,816,percent of total billed charges,816,percent of total billed charges,,,734.4,percent of total billed charges ,,,816,percent of total billed charges ,805.8,percent of total billed charges ,805.8,percent of total billed charges ,867,percent of total billed charges ,867,percent of total billed charges ,816,percent of total billed charges ,816,percent of total billed charges ,714,percent of total billed charges ,714,percent of total billed charges ,612,percent of total billed charges ,612,percent of total billed charges ,612,percent of total billed charges ,612,percent of total billed charges ,,,,,542.64,percent of total billed charges ,,,,,515.51,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,,,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,,,234.6,percent of total billed charges,,,234.6,percent of total billed charges,,,234.6,percent of total billed charges,
CHEMO IV INFUSION EA ADD'L HR,96415,CDM,,,,both,,,400,400,92,400,400,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,400,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,316,percent of total billed charges,316,percent of total billed charges,320,percent of total billed charges,320,percent of total billed charges,,,288,percent of total billed charges ,,,320,percent of total billed charges ,316,percent of total billed charges ,316,percent of total billed charges ,340,percent of total billed charges ,340,percent of total billed charges ,320,percent of total billed charges ,320,percent of total billed charges ,280,percent of total billed charges ,280,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 ,,,,,212.8,percent of total billed charges ,,,,,202.16,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,,,92,percent of total billed charges,,,92,percent of total billed charges,,,92,percent of total billed charges,,,92,percent of total billed charges,
CHEMO IV INFUSION SEQUENTIAL,96417,CDM,,,,both,,,561,561,129.03,561,561,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,443.19,percent of total billed charges,443.19,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 ,443.19,percent of total billed charges ,443.19,percent of total billed charges ,476.85,percent of total billed charges ,476.85,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 ,,,,,,,,,,,,,,,,,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,
TEMPORARY TRANCUTANEOUS PACING,92953,CDM,,,,both,,,"1,265.00","1,265.00",290.95,"1,265.00","1,265.00",percent of total billed charges,"1,265.00",percent of total billed charges,"1,265.00",percent of total billed charges,"1,265.00",percent of total billed charges,"1,265.00",percent of total billed charges,"1,265.00",percent of total billed charges,"1,265.00",percent of total billed charges,"1,265.00",percent of total billed charges,910.8,percent of total billed charges,910.8,percent of total billed charges,910.8,percent of total billed charges,910.8,percent of total billed charges,910.8,percent of total billed charges,910.8,percent of total billed charges,999.35,percent of total billed charges,999.35,percent of total billed charges,"1,012.00",percent of total billed charges,"1,012.00",percent of total billed charges,,,910.8,percent of total billed charges ,,,"1,012.00",percent of total billed charges ,999.35,percent of total billed charges ,999.35,percent of total billed charges ,"1,075.25",percent of total billed charges ,"1,075.25",percent of total billed charges ,"1,012.00",percent of total billed charges ,"1,012.00",percent of total billed charges ,885.5,percent of total billed charges ,885.5,percent of total billed charges ,759,percent of total billed charges ,759,percent of total billed charges ,759,percent of total billed charges ,759,percent of total billed charges ,,,,,672.98,percent of total billed charges ,,,,,639.33,percent of total billed charges ,,,,,,,,,,,,,,,,,,,290.95,percent of total billed charges,,,290.95,percent of total billed charges,,,290.95,percent of total billed charges,,,290.95,percent of total billed charges,,,290.95,percent of total billed charges,,,290.95,percent of total billed charges,,,290.95,percent of total billed charges,,,290.95,percent of total billed charges,,,290.95,percent of total billed charges,,,290.95,percent of total billed charges,,,290.95,percent of total billed charges,
NON SELECTIVE DEBRIDEMENT,97602,CDM,,,GP,both,,,368,368,84.64,368,368,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,290.72,percent of total billed charges,290.72,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 ,290.72,percent of total billed charges ,290.72,percent of total billed charges ,312.8,percent of total billed charges ,312.8,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 ,,,,,,,,,,,,,,,,,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,
SYSTEM TURN POSITION STD,272,RC,00906-99-0441,NDC,,both,,,"1,441.00","1,441.00",331.43,"1,441.00","1,441.00",percent of total billed charges,"1,441.00",percent of total billed charges,"1,441.00",percent of total billed charges,"1,441.00",percent of total billed charges,"1,441.00",percent of total billed charges,"1,441.00",percent of total billed charges,"1,441.00",percent of total billed charges,"1,441.00",percent of total billed charges,"1,037.52",percent of total billed charges,"1,037.52",percent of total billed charges,"1,037.52",percent of total billed charges,"1,037.52",percent of total billed charges,"1,037.52",percent of total billed charges,"1,037.52",percent of total billed charges,"1,138.39",percent of total billed charges,"1,138.39",percent of total billed charges,"1,152.80",percent of total billed charges,"1,152.80",percent of total billed charges,,,"1,037.52",percent of total billed charges ,,,"1,152.80",percent of total billed charges ,"1,138.39",percent of total billed charges ,"1,138.39",percent of total billed charges ,"1,224.85",percent of total billed charges ,"1,224.85",percent of total billed charges ,"1,152.80",percent of total billed charges ,"1,152.80",percent of total billed charges ,"1,008.70",percent of total billed charges ,"1,008.70",percent of total billed charges ,864.6,percent of total billed charges ,864.6,percent of total billed charges ,864.6,percent of total billed charges ,864.6,percent of total billed charges ,,,,,766.61,percent of total billed charges ,,,,,728.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,331.43,percent of total billed charges,,,331.43,percent of total billed charges,,,331.43,percent of total billed charges,,,331.43,percent of total billed charges,,,331.43,percent of total billed charges,,,331.43,percent of total billed charges,,,331.43,percent of total billed charges,,,331.43,percent of total billed charges,,,331.43,percent of total billed charges,,,331.43,percent of total billed charges,,,331.43,percent of total billed charges,
SYSTEM TURN POSITION BARI,272,RC,00906-99-0441,NDC,,both,,,"2,089.00","2,089.00",480.47,"2,089.00","2,089.00",percent of total billed charges,"2,089.00",percent of total billed charges,"2,089.00",percent of total billed charges,"2,089.00",percent of total billed charges,"2,089.00",percent of total billed charges,"2,089.00",percent of total billed charges,"2,089.00",percent of total billed charges,"2,089.00",percent of total billed charges,"1,504.08",percent of total billed charges,"1,504.08",percent of total billed charges,"1,504.08",percent of total billed charges,"1,504.08",percent of total billed charges,"1,504.08",percent of total billed charges,"1,504.08",percent of total billed charges,"1,650.31",percent of total billed charges,"1,650.31",percent of total billed charges,"1,671.20",percent of total billed charges,"1,671.20",percent of total billed charges,,,"1,504.08",percent of total billed charges ,,,"1,671.20",percent of total billed charges ,"1,650.31",percent of total billed charges ,"1,650.31",percent of total billed charges ,"1,775.65",percent of total billed charges ,"1,775.65",percent of total billed charges ,"1,671.20",percent of total billed charges ,"1,671.20",percent of total billed charges ,"1,462.30",percent of total billed charges ,"1,462.30",percent of total billed charges ,"1,253.40",percent of total billed charges ,"1,253.40",percent of total billed charges ,"1,253.40",percent of total billed charges ,"1,253.40",percent of total billed charges ,,,,,"1,111.35",percent of total billed charges ,,,,,"1,055.78",percent of total billed charges ,,,,,,,,,,,,,,,,,,,480.47,percent of total billed charges,,,480.47,percent of total billed charges,,,480.47,percent of total billed charges,,,480.47,percent of total billed charges,,,480.47,percent of total billed charges,,,480.47,percent of total billed charges,,,480.47,percent of total billed charges,,,480.47,percent of total billed charges,,,480.47,percent of total billed charges,,,480.47,percent of total billed charges,,,480.47,percent of total billed charges,
**HYPOTHERM DAILY CHG,271,RC,00906-99-0441,NDC,,both,,,678,678,155.94,678,678,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,535.62,percent of total billed charges,535.62,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 ,535.62,percent of total billed charges ,535.62,percent of total billed charges ,576.3,percent of total billed charges ,576.3,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 ,,,,,,,,,,,,,,,,,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,
**PACEMAKER GEN-DAILY,271,RC,00906-99-0441,NDC,,both,,,222,222,51.06,222,222,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,175.38,percent of total billed charges,175.38,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 ,175.38,percent of total billed charges ,175.38,percent of total billed charges ,188.7,percent of total billed charges ,188.7,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**TRACTION SET UP,271,RC,00906-99-0441,NDC,,both,,,553,553,127.19,553,553,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,436.87,percent of total billed charges,436.87,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 ,436.87,percent of total billed charges ,436.87,percent of total billed charges ,470.05,percent of total billed charges ,470.05,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 ,,,,,,,,,,,,,,,,,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,
**TRACTION DAILY,271,RC,00906-99-0441,NDC,,both,,,186,186,42.78,186,186,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,146.94,percent of total billed charges,146.94,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 ,146.94,percent of total billed charges ,146.94,percent of total billed charges ,158.1,percent of total billed charges ,158.1,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 ,,,,,,,,,,,,,,,,,,,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,
**OVERHEAD TRAPEZE,271,RC,00906-99-0441,NDC,,both,,,55,55,12.65,55,55,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,43.45,percent of total billed charges,43.45,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 ,43.45,percent of total billed charges ,43.45,percent of total billed charges ,46.75,percent of total billed charges ,46.75,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 ,,,,,,,,,,,,,,,,,,,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,
**NEB SET UP,272,RC,00906-99-0441,NDC,,both,,,88,88,20.24,88,88,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,69.52,percent of total billed charges,69.52,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 ,69.52,percent of total billed charges ,69.52,percent of total billed charges ,74.8,percent of total billed charges ,74.8,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 ,,,,,,,,,,,,,,,,,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,
**OXYGEN SET UP,272,RC,00906-99-0441,NDC,,both,,,54,54,12.42,54,54,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,42.66,percent of total billed charges,42.66,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 ,42.66,percent of total billed charges ,42.66,percent of total billed charges ,45.9,percent of total billed charges ,45.9,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 ,,,,,,,,,,,,,,,,,,,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,,,12.42,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,
**ISOLATION W/SUP,272,RC,00906-99-0441,NDC,,both,,,553,553,127.19,553,553,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,436.87,percent of total billed charges,436.87,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 ,436.87,percent of total billed charges ,436.87,percent of total billed charges ,470.05,percent of total billed charges ,470.05,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 ,,,,,,,,,,,,,,,,,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,
**BLOOD DRAW FEE,36415,CDM,,,,both,,,35,35,8.05,35,35,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,27.65,percent of total billed charges,27.65,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 ,27.65,percent of total billed charges ,27.65,percent of total billed charges ,29.75,percent of total billed charges ,29.75,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 ,,,,,,,,,,,,,,,,,,,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,
** ICU GASTROCULT,300,RC,00906-99-0441,NDC,,both,,,31,31,7.13,31,31,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,24.49,percent of total billed charges,24.49,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 ,24.49,percent of total billed charges ,24.49,percent of total billed charges ,26.35,percent of total billed charges ,26.35,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 ,,,,,,,,,,,,,,,,,,,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,
**URINE DIPSTICK,81000,CDM,,,,both,,,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
**HEMOCULT,82270,CDM,,,,both,,,54,54,12.42,54,54,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,42.66,percent of total billed charges,42.66,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 ,42.66,percent of total billed charges ,42.66,percent of total billed charges ,45.9,percent of total billed charges ,45.9,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 ,,,,,,,,,,,,,,,,,,,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,,,12.42,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,
**PREOP CARE,360,RC,00906-99-0441,NDC,,both,,,273,273,62.79,273,273,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,215.67,percent of total billed charges,215.67,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 ,215.67,percent of total billed charges ,215.67,percent of total billed charges ,232.05,percent of total billed charges ,232.05,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**BLOOD ADMINISTRATION,36430,CDM,,,GF,both,,,913,913,209.99,913,913,percent of total billed charges,913,percent of total billed charges,913,percent of total billed charges,913,percent of total billed charges,913,percent of total billed charges,913,percent of total billed charges,913,percent of total billed charges,913,percent of total billed charges,657.36,percent of total billed charges,657.36,percent of total billed charges,657.36,percent of total billed charges,657.36,percent of total billed charges,657.36,percent of total billed charges,657.36,percent of total billed charges,721.27,percent of total billed charges,721.27,percent of total billed charges,730.4,percent of total billed charges,730.4,percent of total billed charges,,,657.36,percent of total billed charges ,,,730.4,percent of total billed charges ,721.27,percent of total billed charges ,721.27,percent of total billed charges ,776.05,percent of total billed charges ,776.05,percent of total billed charges ,730.4,percent of total billed charges ,730.4,percent of total billed charges ,639.1,percent of total billed charges ,639.1,percent of total billed charges ,547.8,percent of total billed charges ,547.8,percent of total billed charges ,547.8,percent of total billed charges ,547.8,percent of total billed charges ,,,,,485.72,percent of total billed charges ,,,,,461.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,209.99,percent of total billed charges,,,209.99,percent of total billed charges,,,209.99,percent of total billed charges,,,209.99,percent of total billed charges,,,209.99,percent of total billed charges,,,209.99,percent of total billed charges,,,209.99,percent of total billed charges,,,209.99,percent of total billed charges,,,209.99,percent of total billed charges,,,209.99,percent of total billed charges,,,209.99,percent of total billed charges,
**PULSE OX 4 HRS,94762,CDM,,,,both,,,65,65,14.95,65,65,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,51.35,percent of total billed charges,51.35,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 ,51.35,percent of total billed charges ,51.35,percent of total billed charges ,55.25,percent of total billed charges ,55.25,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 ,,,,,,,,,,,,,,,,,,,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,,,14.95,percent of total billed charges,,,14.95,percent of total billed charges,,,14.95,percent of total billed charges,
**NEB TREATMENT,94640,CDM,,,76,both,,,124,124,28.52,124,124,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,97.96,percent of total billed charges,97.96,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 ,97.96,percent of total billed charges ,97.96,percent of total billed charges ,105.4,percent of total billed charges ,105.4,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 ,,,,,,,,,,,,,,,,,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,
**PULSE OX SPOT,94760,CDM,,,,both,,,100,100,23,100,100,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,79,percent of total billed charges,79,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 ,79,percent of total billed charges ,79,percent of total billed charges ,85,percent of total billed charges ,85,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 ,,,,,,,,,,,,,,,,,,,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,,,23,percent of total billed charges,,,23,percent of total billed charges,,,23,percent of total billed charges,
**SDC RECOVERY,710,RC,00906-99-0441,NDC,,both,,,174,174,40.02,174,174,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,137.46,percent of total billed charges,137.46,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 ,137.46,percent of total billed charges ,137.46,percent of total billed charges ,147.9,percent of total billed charges ,147.9,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**TELEMETRY,93012,CDM,,,,both,,,161,161,37.03,161,161,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,127.19,percent of total billed charges,127.19,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 ,127.19,percent of total billed charges ,127.19,percent of total billed charges ,136.85,percent of total billed charges ,136.85,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 ,,,,,,,,,,,,,,,,,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,
**TREATMENT ROOM,99211,CDM,,,,both,,,259,259,59.57,259,259,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,204.61,percent of total billed charges,204.61,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 ,204.61,percent of total billed charges ,204.61,percent of total billed charges ,220.15,percent of total billed charges ,220.15,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 ,,,,,,,,,,,,,,,,,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,
**OBC HR/CHG,762,RC,00906-99-0441,NDC,,both,,,72,72,16.56,72,72,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,56.88,percent of total billed charges,56.88,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 ,56.88,percent of total billed charges ,56.88,percent of total billed charges ,61.2,percent of total billed charges ,61.2,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**PNEUMONIA ADMIN FEE,G0009,CDM,,,,both,,,16,16,3.68,16,16,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,12.64,percent of total billed charges,12.64,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 ,12.64,percent of total billed charges ,12.64,percent of total billed charges ,13.6,percent of total billed charges ,13.6,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 ,,,,,,,,,,,,,,,,,,,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,,,3.68,percent of total billed charges,,,3.68,percent of total billed charges,,,3.68,percent of total billed charges,
**CONT INFUS & PUSH DRUG,Q0085,CDM,,,,both,,,631,631,145.13,631,631,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,498.49,percent of total billed charges,498.49,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 ,498.49,percent of total billed charges ,498.49,percent of total billed charges ,536.35,percent of total billed charges ,536.35,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 ,,,,,,,,,,,,,,,,,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,
**CONTINOUS INFUSION,Q0084,CDM,,,,both,,,365,365,83.95,365,365,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,288.35,percent of total billed charges,288.35,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 ,288.35,percent of total billed charges ,288.35,percent of total billed charges ,310.25,percent of total billed charges ,310.25,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 ,,,,,,,,,,,,,,,,,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,
**INJECTION BY SQ,Q0083,CDM,,,,both,,,232,232,53.36,232,232,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,183.28,percent of total billed charges,183.28,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 ,183.28,percent of total billed charges ,183.28,percent of total billed charges ,197.2,percent of total billed charges ,197.2,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 ,,,,,,,,,,,,,,,,,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,
**IV PUSH DRUG,Q0085,CDM,,,,both,,,631,631,145.13,631,631,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,498.49,percent of total billed charges,498.49,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 ,498.49,percent of total billed charges ,498.49,percent of total billed charges ,536.35,percent of total billed charges ,536.35,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 ,,,,,,,,,,,,,,,,,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,
**TR INTRAVENOUS/PORT FLUSH,99211,CDM,,,,both,,,259,259,59.57,259,259,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,204.61,percent of total billed charges,204.61,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 ,204.61,percent of total billed charges ,204.61,percent of total billed charges ,220.15,percent of total billed charges ,220.15,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 ,,,,,,,,,,,,,,,,,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,
**TR PORT REMOVAL,99211,CDM,,,,both,,,160,160,36.8,160,160,percent of total billed charges,160,percent of total billed charges,160,percent of total billed charges,160,percent of total billed charges,160,percent of total billed charges,160,percent of total billed charges,160,percent of total billed charges,160,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,115.2,percent of total billed charges,115.2,percent of total billed charges,126.4,percent of total billed charges,126.4,percent of total billed charges,128,percent of total billed charges,128,percent of total billed charges,,,115.2,percent of total billed charges ,,,128,percent of total billed charges ,126.4,percent of total billed charges ,126.4,percent of total billed charges ,136,percent of total billed charges ,136,percent of total billed charges ,128,percent of total billed charges ,128,percent of total billed charges ,112,percent of total billed charges ,112,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 ,,,,,85.12,percent of total billed charges ,,,,,80.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,36.8,percent of total billed charges,,,36.8,percent of total billed charges,,,36.8,percent of total billed charges,,,36.8,percent of total billed charges,,,36.8,percent of total billed charges,,,36.8,percent of total billed charges,,,36.8,percent of total billed charges,,,36.8,percent of total billed charges,,,36.8,percent of total billed charges,,,36.8,percent of total billed charges,,,36.8,percent of total billed charges,
**THERA PROPH/DIAG INJ BY IV,761,RC,00906-99-0441,NDC,,both,,,184,184,42.32,184,184,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,145.36,percent of total billed charges,145.36,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 ,145.36,percent of total billed charges ,145.36,percent of total billed charges ,156.4,percent of total billed charges ,156.4,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 ,,,,,,,,,,,,,,,,,,,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,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,
**THERA PROPH/DIAG INJ BY SQ OR INT,761,RC,00906-99-0441,NDC,,both,,,184,184,42.32,184,184,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,145.36,percent of total billed charges,145.36,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 ,145.36,percent of total billed charges ,145.36,percent of total billed charges ,156.4,percent of total billed charges ,156.4,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 ,,,,,,,,,,,,,,,,,,,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,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,
**INTRAMUSCULAR INJ OF ANTIBICOTIC,761,RC,00906-99-0441,NDC,,both,,,184,184,42.32,184,184,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,145.36,percent of total billed charges,145.36,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 ,145.36,percent of total billed charges ,145.36,percent of total billed charges ,156.4,percent of total billed charges ,156.4,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 ,,,,,,,,,,,,,,,,,,,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,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,
** RENO 60  04-20-10,250,RC,00906-99-0441,NDC,,both,,,168,168,38.64,168,168,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,132.72,percent of total billed charges,132.72,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 ,132.72,percent of total billed charges ,132.72,percent of total billed charges ,142.8,percent of total billed charges ,142.8,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 ,,,,,,,,,,,,,,,,,,,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,
INTRAVENOUS INFUSION UP TO 1 HR,96365,CDM,,,59,both,,,747,747,171.81,747,747,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,747,percent of total billed charges,747,percent of total billed charges,747,percent of total billed charges,537.84,percent of total billed charges,537.84,percent of total billed charges,537.84,percent of total billed charges,537.84,percent of total billed charges,537.84,percent of total billed charges,537.84,percent of total billed charges,590.13,percent of total billed charges,590.13,percent of total billed charges,597.6,percent of total billed charges,597.6,percent of total billed charges,,,537.84,percent of total billed charges ,,,597.6,percent of total billed charges ,590.13,percent of total billed charges ,590.13,percent of total billed charges ,634.95,percent of total billed charges ,634.95,percent of total billed charges ,597.6,percent of total billed charges ,597.6,percent of total billed charges ,522.9,percent of total billed charges ,522.9,percent of total billed charges ,448.2,percent of total billed charges ,448.2,percent of total billed charges ,448.2,percent of total billed charges ,448.2,percent of total billed charges ,,,,,397.4,percent of total billed charges ,,,,,377.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,
PLASTER BANDAGE 2,270,RC,00906-99-0441,NDC,,both,,,17,17,3.91,17,17,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,13.43,percent of total billed charges,13.43,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 ,13.43,percent of total billed charges ,13.43,percent of total billed charges ,14.45,percent of total billed charges ,14.45,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 ,,,,,,,,,,,,,,,,,,,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,
SCROTAL SUPPORT,271,RC,00906-99-0441,NDC,,both,,,66,66,15.18,66,66,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,52.14,percent of total billed charges,52.14,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 ,52.14,percent of total billed charges ,52.14,percent of total billed charges ,56.1,percent of total billed charges ,56.1,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 ,,,,,,,,,,,,,,,,,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,
SYN CAST TAPE 5,271,RC,00906-99-0441,NDC,,both,,,102,102,23.46,102,102,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,80.58,percent of total billed charges,80.58,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 ,80.58,percent of total billed charges ,80.58,percent of total billed charges ,86.7,percent of total billed charges ,86.7,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 ,,,,,,,,,,,,,,,,,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,
SYN CAST TAPE 4,271,RC,00906-99-0441,NDC,,both,,,83,83,19.09,83,83,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,65.57,percent of total billed charges,65.57,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 ,65.57,percent of total billed charges ,65.57,percent of total billed charges ,70.55,percent of total billed charges ,70.55,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 ,,,,,,,,,,,,,,,,,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,
SYN CAST TAPE 2,271,RC,00906-99-0441,NDC,,both,,,53,53,12.19,53,53,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,41.87,percent of total billed charges,41.87,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 ,41.87,percent of total billed charges ,41.87,percent of total billed charges ,45.05,percent of total billed charges ,45.05,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 ,,,,,,,,,,,,,,,,,,,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,
GUIDE WIRE 469060,C1769,CDM,,,,both,,,623,623,143.29,623,623,percent of total billed charges,623,percent of total billed charges,623,percent of total billed charges,623,percent of total billed charges,623,percent of total billed charges,623,percent of total billed charges,623,percent of total billed charges,623,percent of total billed charges,448.56,percent of total billed charges,448.56,percent of total billed charges,448.56,percent of total billed charges,448.56,percent of total billed charges,448.56,percent of total billed charges,448.56,percent of total billed charges,492.17,percent of total billed charges,492.17,percent of total billed charges,498.4,percent of total billed charges,498.4,percent of total billed charges,,,448.56,percent of total billed charges ,,,498.4,percent of total billed charges ,492.17,percent of total billed charges ,492.17,percent of total billed charges ,529.55,percent of total billed charges ,529.55,percent of total billed charges ,498.4,percent of total billed charges ,498.4,percent of total billed charges ,436.1,percent of total billed charges ,436.1,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 ,,,,,331.44,percent of total billed charges ,,,,,314.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,143.29,percent of total billed charges,,,143.29,percent of total billed charges,,,143.29,percent of total billed charges,,,143.29,percent of total billed charges,,,143.29,percent of total billed charges,,,143.29,percent of total billed charges,,,143.29,percent of total billed charges,,,143.29,percent of total billed charges,,,143.29,percent of total billed charges,,,143.29,percent of total billed charges,,,143.29,percent of total billed charges,
DRILL TWIST 472366,272,RC,00906-99-0441,NDC,,both,,,549,549,126.27,549,549,percent of total billed charges,549,percent of total billed charges,549,percent of total billed charges,549,percent of total billed charges,549,percent of total billed charges,549,percent of total billed charges,549,percent of total billed charges,549,percent of total billed charges,395.28,percent of total billed charges,395.28,percent of total billed charges,395.28,percent of total billed charges,395.28,percent of total billed charges,395.28,percent of total billed charges,395.28,percent of total billed charges,433.71,percent of total billed charges,433.71,percent of total billed charges,439.2,percent of total billed charges,439.2,percent of total billed charges,,,395.28,percent of total billed charges ,,,439.2,percent of total billed charges ,433.71,percent of total billed charges ,433.71,percent of total billed charges ,466.65,percent of total billed charges ,466.65,percent of total billed charges ,439.2,percent of total billed charges ,439.2,percent of total billed charges ,384.3,percent of total billed charges ,384.3,percent of total billed charges ,329.4,percent of total billed charges ,329.4,percent of total billed charges ,329.4,percent of total billed charges ,329.4,percent of total billed charges ,,,,,292.07,percent of total billed charges ,,,,,277.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,126.27,percent of total billed charges,,,126.27,percent of total billed charges,,,126.27,percent of total billed charges,,,126.27,percent of total billed charges,,,126.27,percent of total billed charges,,,126.27,percent of total billed charges,,,126.27,percent of total billed charges,,,126.27,percent of total billed charges,,,126.27,percent of total billed charges,,,126.27,percent of total billed charges,,,126.27,percent of total billed charges,
M-ALGNT TUBE 469395,272,RC,00906-99-0441,NDC,,both,,,334,334,76.82,334,334,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,263.86,percent of total billed charges,263.86,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 ,263.86,percent of total billed charges ,263.86,percent of total billed charges ,283.9,percent of total billed charges ,283.9,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 ,,,,,,,,,,,,,,,,,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,
NL DRIV GUIDE 467212,272,RC,00906-99-0441,NDC,,both,,,655,655,150.65,655,655,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,517.45,percent of total billed charges,517.45,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 ,517.45,percent of total billed charges ,517.45,percent of total billed charges ,556.75,percent of total billed charges ,556.75,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 ,,,,,,,,,,,,,,,,,,,150.65,percent of total billed charges,,,150.65,percent of total billed charges,,,150.65,percent of total billed charges,,,150.65,percent of total billed charges,,,150.65,percent of total billed charges,,,150.65,percent of total billed charges,,,150.65,percent of total billed charges,,,150.65,percent of total billed charges,,,150.65,percent of total billed charges,,,150.65,percent of total billed charges,,,150.65,percent of total billed charges,
PASS PIN 014508,C1713,CDM,,,,both,,,833,833,191.59,833,833,percent of total billed charges,833,percent of total billed charges,833,percent of total billed charges,833,percent of total billed charges,833,percent of total billed charges,833,percent of total billed charges,833,percent of total billed charges,833,percent of total billed charges,599.76,percent of total billed charges,599.76,percent of total billed charges,599.76,percent of total billed charges,599.76,percent of total billed charges,599.76,percent of total billed charges,599.76,percent of total billed charges,658.07,percent of total billed charges,658.07,percent of total billed charges,666.4,percent of total billed charges,666.4,percent of total billed charges,,,599.76,percent of total billed charges ,,,666.4,percent of total billed charges ,658.07,percent of total billed charges ,658.07,percent of total billed charges ,708.05,percent of total billed charges ,708.05,percent of total billed charges ,666.4,percent of total billed charges ,666.4,percent of total billed charges ,583.1,percent of total billed charges ,583.1,percent of total billed charges ,499.8,percent of total billed charges ,499.8,percent of total billed charges ,499.8,percent of total billed charges ,499.8,percent of total billed charges ,,,,,443.16,percent of total billed charges ,,,,,421,percent of total billed charges ,,,,,,,,,,,,,,,,,,,191.59,percent of total billed charges,,,191.59,percent of total billed charges,,,191.59,percent of total billed charges,,,191.59,percent of total billed charges,,,191.59,percent of total billed charges,,,191.59,percent of total billed charges,,,191.59,percent of total billed charges,,,191.59,percent of total billed charges,,,191.59,percent of total billed charges,,,191.59,percent of total billed charges,,,191.59,percent of total billed charges,
DRILL GUIDE W 014396,272,RC,00906-99-0441,NDC,,both,,,470,470,108.1,470,470,percent of total billed charges,470,percent of total billed charges,470,percent of total billed charges,470,percent of total billed charges,470,percent of total billed charges,470,percent of total billed charges,470,percent of total billed charges,470,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,338.4,percent of total billed charges,338.4,percent of total billed charges,371.3,percent of total billed charges,371.3,percent of total billed charges,376,percent of total billed charges,376,percent of total billed charges,,,338.4,percent of total billed charges ,,,376,percent of total billed charges ,371.3,percent of total billed charges ,371.3,percent of total billed charges ,399.5,percent of total billed charges ,399.5,percent of total billed charges ,376,percent of total billed charges ,376,percent of total billed charges ,329,percent of total billed charges ,329,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 ,,,,,250.04,percent of total billed charges ,,,,,237.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,
ENDOBUTTON BIT013184,272,RC,00906-99-0441,NDC,,both,,,945,945,217.35,945,945,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,746.55,percent of total billed charges,746.55,percent of total billed charges,756,percent of total billed charges,756,percent of total billed charges,,,680.4,percent of total billed charges ,,,756,percent of total billed charges ,746.55,percent of total billed charges ,746.55,percent of total billed charges ,803.25,percent of total billed charges ,803.25,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 ,,,,,,,,,,,,,,,,,,,217.35,percent of total billed charges,,,217.35,percent of total billed charges,,,217.35,percent of total billed charges,,,217.35,percent of total billed charges,,,217.35,percent of total billed charges,,,217.35,percent of total billed charges,,,217.35,percent of total billed charges,,,217.35,percent of total billed charges,,,217.35,percent of total billed charges,,,217.35,percent of total billed charges,,,217.35,percent of total billed charges,
GUIDE WIRE,C1769,CDM,,,,both,,,229,229,52.67,229,229,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,180.91,percent of total billed charges,180.91,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 ,180.91,percent of total billed charges ,180.91,percent of total billed charges ,194.65,percent of total billed charges ,194.65,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 ,,,,,,,,,,,,,,,,,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,
DRILL BIT CANN 2.7,272,RC,00906-99-0441,NDC,,both,,,"2,019.00","2,019.00",464.37,"2,019.00","2,019.00",percent of total billed charges,"2,019.00",percent of total billed charges,"2,019.00",percent of total billed charges,"2,019.00",percent of total billed charges,"2,019.00",percent of total billed charges,"2,019.00",percent of total billed charges,"2,019.00",percent of total billed charges,"2,019.00",percent of total billed charges,"1,453.68",percent of total billed charges,"1,453.68",percent of total billed charges,"1,453.68",percent of total billed charges,"1,453.68",percent of total billed charges,"1,453.68",percent of total billed charges,"1,453.68",percent of total billed charges,"1,595.01",percent of total billed charges,"1,595.01",percent of total billed charges,"1,615.20",percent of total billed charges,"1,615.20",percent of total billed charges,,,"1,453.68",percent of total billed charges ,,,"1,615.20",percent of total billed charges ,"1,595.01",percent of total billed charges ,"1,595.01",percent of total billed charges ,"1,716.15",percent of total billed charges ,"1,716.15",percent of total billed charges ,"1,615.20",percent of total billed charges ,"1,615.20",percent of total billed charges ,"1,413.30",percent of total billed charges ,"1,413.30",percent of total billed charges ,"1,211.40",percent of total billed charges ,"1,211.40",percent of total billed charges ,"1,211.40",percent of total billed charges ,"1,211.40",percent of total billed charges ,,,,,"1,074.11",percent of total billed charges ,,,,,"1,020.40",percent of total billed charges ,,,,,,,,,,,,,,,,,,,464.37,percent of total billed charges,,,464.37,percent of total billed charges,,,464.37,percent of total billed charges,,,464.37,percent of total billed charges,,,464.37,percent of total billed charges,,,464.37,percent of total billed charges,,,464.37,percent of total billed charges,,,464.37,percent of total billed charges,,,464.37,percent of total billed charges,,,464.37,percent of total billed charges,,,464.37,percent of total billed charges,
CANN TIP FOR 3.5,272,RC,00906-99-0441,NDC,,both,,,"2,019.00","2,019.00",464.37,"2,019.00","2,019.00",percent of total billed charges,"2,019.00",percent of total billed charges,"2,019.00",percent of total billed charges,"2,019.00",percent of total billed charges,"2,019.00",percent of total billed charges,"2,019.00",percent of total billed charges,"2,019.00",percent of total billed charges,"2,019.00",percent of total billed charges,"1,453.68",percent of total billed charges,"1,453.68",percent of total billed charges,"1,453.68",percent of total billed charges,"1,453.68",percent of total billed charges,"1,453.68",percent of total billed charges,"1,453.68",percent of total billed charges,"1,595.01",percent of total billed charges,"1,595.01",percent of total billed charges,"1,615.20",percent of total billed charges,"1,615.20",percent of total billed charges,,,"1,453.68",percent of total billed charges ,,,"1,615.20",percent of total billed charges ,"1,595.01",percent of total billed charges ,"1,595.01",percent of total billed charges ,"1,716.15",percent of total billed charges ,"1,716.15",percent of total billed charges ,"1,615.20",percent of total billed charges ,"1,615.20",percent of total billed charges ,"1,413.30",percent of total billed charges ,"1,413.30",percent of total billed charges ,"1,211.40",percent of total billed charges ,"1,211.40",percent of total billed charges ,"1,211.40",percent of total billed charges ,"1,211.40",percent of total billed charges ,,,,,"1,074.11",percent of total billed charges ,,,,,"1,020.40",percent of total billed charges ,,,,,,,,,,,,,,,,,,,464.37,percent of total billed charges,,,464.37,percent of total billed charges,,,464.37,percent of total billed charges,,,464.37,percent of total billed charges,,,464.37,percent of total billed charges,,,464.37,percent of total billed charges,,,464.37,percent of total billed charges,,,464.37,percent of total billed charges,,,464.37,percent of total billed charges,,,464.37,percent of total billed charges,,,464.37,percent of total billed charges,
DRILL BIT FOR WRIST FUSION SYNTHES,272,RC,00906-99-0441,NDC,,both,,,643,643,147.89,643,643,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,507.97,percent of total billed charges,507.97,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 ,507.97,percent of total billed charges ,507.97,percent of total billed charges ,546.55,percent of total billed charges ,546.55,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 ,,,,,,,,,,,,,,,,,,,147.89,percent of total billed charges,,,147.89,percent of total billed charges,,,147.89,percent of total billed charges,,,147.89,percent of total billed charges,,,147.89,percent of total billed charges,,,147.89,percent of total billed charges,,,147.89,percent of total billed charges,,,147.89,percent of total billed charges,,,147.89,percent of total billed charges,,,147.89,percent of total billed charges,,,147.89,percent of total billed charges,
DRILL BITS 2318-32,272,RC,00906-99-0441,NDC,,both,,,308,308,70.84,308,308,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,243.32,percent of total billed charges,243.32,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 ,243.32,percent of total billed charges ,243.32,percent of total billed charges ,261.8,percent of total billed charges ,261.8,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 ,,,,,,,,,,,,,,,,,,,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,
GUIDEWIRE ACUTRAK STAND & MINI.045 &.059,C1769,CDM,,,,both,,,180,180,41.4,180,180,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,142.2,percent of total billed charges,142.2,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 ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,153,percent of total billed charges ,153,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,41.4,percent of total billed charges,,,41.4,percent of total billed charges,,,41.4,percent of total billed charges,
GIGLI SAW BLADE,272,RC,00906-99-0441,NDC,,both,,,189,189,43.47,189,189,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,149.31,percent of total billed charges,149.31,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 ,149.31,percent of total billed charges ,149.31,percent of total billed charges ,160.65,percent of total billed charges ,160.65,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 ,,,,,,,,,,,,,,,,,,,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,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,
HALL SAW BLD 5071574,272,RC,00906-99-0441,NDC,,both,,,242,242,55.66,242,242,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,191.18,percent of total billed charges,191.18,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 ,191.18,percent of total billed charges ,191.18,percent of total billed charges ,205.7,percent of total billed charges ,205.7,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 ,,,,,,,,,,,,,,,,,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,
BURRS CUTTER 756 182,272,RC,00906-99-0441,NDC,,both,,,764,764,175.72,764,764,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,603.56,percent of total billed charges,603.56,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 ,603.56,percent of total billed charges ,603.56,percent of total billed charges ,649.4,percent of total billed charges ,649.4,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 ,,,,,,,,,,,,,,,,,,,175.72,percent of total billed charges,,,175.72,percent of total billed charges,,,175.72,percent of total billed charges,,,175.72,percent of total billed charges,,,175.72,percent of total billed charges,,,175.72,percent of total billed charges,,,175.72,percent of total billed charges,,,175.72,percent of total billed charges,,,175.72,percent of total billed charges,,,175.72,percent of total billed charges,,,175.72,percent of total billed charges,
BURRS AESCULAP MD807,272,RC,00906-99-0441,NDC,,both,,,306,306,70.38,306,306,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,241.74,percent of total billed charges,241.74,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 ,241.74,percent of total billed charges ,241.74,percent of total billed charges ,260.1,percent of total billed charges ,260.1,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 ,,,,,,,,,,,,,,,,,,,70.38,percent of total billed charges,,,70.38,percent of total billed charges,,,70.38,percent of total billed charges,,,70.38,percent of total billed charges,,,70.38,percent of total billed charges,,,70.38,percent of total billed charges,,,70.38,percent of total billed charges,,,70.38,percent of total billed charges,,,70.38,percent of total billed charges,,,70.38,percent of total billed charges,,,70.38,percent of total billed charges,
SYN CAST PADDING 2,272,RC,00906-99-0441,NDC,,both,,,15,15,3.45,15,15,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,11.85,percent of total billed charges,11.85,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 ,11.85,percent of total billed charges ,11.85,percent of total billed charges ,12.75,percent of total billed charges ,12.75,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 ,,,,,,,,,,,,,,,,,,,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,,,3.45,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,
SYN CAST PADDING 3,272,RC,00906-99-0441,NDC,,both,,,16,16,3.68,16,16,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,12.64,percent of total billed charges,12.64,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 ,12.64,percent of total billed charges ,12.64,percent of total billed charges ,13.6,percent of total billed charges ,13.6,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 ,,,,,,,,,,,,,,,,,,,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,,,3.68,percent of total billed charges,,,3.68,percent of total billed charges,,,3.68,percent of total billed charges,
SYN CAST PADDING 4,272,RC,00906-99-0441,NDC,,both,,,19,19,4.37,19,19,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,15.01,percent of total billed charges,15.01,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 ,15.01,percent of total billed charges ,15.01,percent of total billed charges ,16.15,percent of total billed charges ,16.15,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,4.37,percent of total billed charges,,,4.37,percent of total billed charges,,,4.37,percent of total billed charges,
SYN CAST PADDING 5,272,RC,00906-99-0441,NDC,,both,,,23,23,5.29,23,23,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,18.17,percent of total billed charges,18.17,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 ,18.17,percent of total billed charges ,18.17,percent of total billed charges ,19.55,percent of total billed charges ,19.55,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 ,,,,,,,,,,,,,,,,,,,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,
CAST PADDING 4,272,RC,00906-99-0441,NDC,,both,,,19,19,4.37,19,19,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,15.01,percent of total billed charges,15.01,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 ,15.01,percent of total billed charges ,15.01,percent of total billed charges ,16.15,percent of total billed charges ,16.15,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,4.37,percent of total billed charges,,,4.37,percent of total billed charges,,,4.37,percent of total billed charges,
CAST PADDING 6,272,RC,00906-99-0441,NDC,,both,,,24,24,5.52,24,24,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,18.96,percent of total billed charges,18.96,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 ,18.96,percent of total billed charges ,18.96,percent of total billed charges ,20.4,percent of total billed charges ,20.4,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 ,,,,,,,,,,,,,,,,,,,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,
HEAD REAMER,272,RC,00906-99-0441,NDC,,both,,,917,917,210.91,917,917,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,660.24,percent of total billed charges,660.24,percent of total billed charges,660.24,percent of total billed charges,660.24,percent of total billed charges,660.24,percent of total billed charges,660.24,percent of total billed charges,724.43,percent of total billed charges,724.43,percent of total billed charges,733.6,percent of total billed charges,733.6,percent of total billed charges,,,660.24,percent of total billed charges ,,,733.6,percent of total billed charges ,724.43,percent of total billed charges ,724.43,percent of total billed charges ,779.45,percent of total billed charges ,779.45,percent of total billed charges ,733.6,percent of total billed charges ,733.6,percent of total billed charges ,641.9,percent of total billed charges ,641.9,percent of total billed charges ,550.2,percent of total billed charges ,550.2,percent of total billed charges ,550.2,percent of total billed charges ,550.2,percent of total billed charges ,,,,,487.84,percent of total billed charges ,,,,,463.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,210.91,percent of total billed charges,,,210.91,percent of total billed charges,,,210.91,percent of total billed charges,,,210.91,percent of total billed charges,,,210.91,percent of total billed charges,,,210.91,percent of total billed charges,,,210.91,percent of total billed charges,,,210.91,percent of total billed charges,,,210.91,percent of total billed charges,,,210.91,percent of total billed charges,,,210.91,percent of total billed charges,
GRAFTON PUTTY - CRUNCH 5CC,C1713,CDM,,,,both,,,"7,610.00","7,610.00","1,750.30","7,610.00","7,610.00",percent of total billed charges,"7,610.00",percent of total billed charges,"7,610.00",percent of total billed charges,"7,610.00",percent of total billed charges,"7,610.00",percent of total billed charges,"7,610.00",percent of total billed charges,"7,610.00",percent of total billed charges,"7,610.00",percent of total billed charges,"5,479.20",percent of total billed charges,"5,479.20",percent of total billed charges,"5,479.20",percent of total billed charges,"5,479.20",percent of total billed charges,"5,479.20",percent of total billed charges,"5,479.20",percent of total billed charges,"6,011.90",percent of total billed charges,"6,011.90",percent of total billed charges,"6,088.00",percent of total billed charges,"6,088.00",percent of total billed charges,,,"5,479.20",percent of total billed charges ,,,"6,088.00",percent of total billed charges ,"6,011.90",percent of total billed charges ,"6,011.90",percent of total billed charges ,"6,468.50",percent of total billed charges ,"6,468.50",percent of total billed charges ,"6,088.00",percent of total billed charges ,"6,088.00",percent of total billed charges ,"5,327.00",percent of total billed charges ,"5,327.00",percent of total billed charges ,"4,566.00",percent of total billed charges ,"4,566.00",percent of total billed charges ,"4,566.00",percent of total billed charges ,"4,566.00",percent of total billed charges ,,,,,"4,048.52",percent of total billed charges ,,,,,"3,846.09",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,750.30",percent of total billed charges,,,"1,750.30",percent of total billed charges,,,"1,750.30",percent of total billed charges,,,"1,750.30",percent of total billed charges,,,"1,750.30",percent of total billed charges,,,"1,750.30",percent of total billed charges,,,"1,750.30",percent of total billed charges,,,"1,750.30",percent of total billed charges,,,"1,750.30",percent of total billed charges,,,"1,750.30",percent of total billed charges,,,"1,750.30",percent of total billed charges,
GRAFTON PUTTY 2.5CC NOTE: LOT&EXP,C1713,CDM,,,,both,,,"3,995.00","3,995.00",918.85,"3,995.00","3,995.00",percent of total billed charges,"3,995.00",percent of total billed charges,"3,995.00",percent of total billed charges,"3,995.00",percent of total billed charges,"3,995.00",percent of total billed charges,"3,995.00",percent of total billed charges,"3,995.00",percent of total billed charges,"3,995.00",percent of total billed charges,"2,876.40",percent of total billed charges,"2,876.40",percent of total billed charges,"2,876.40",percent of total billed charges,"2,876.40",percent of total billed charges,"2,876.40",percent of total billed charges,"2,876.40",percent of total billed charges,"3,156.05",percent of total billed charges,"3,156.05",percent of total billed charges,"3,196.00",percent of total billed charges,"3,196.00",percent of total billed charges,,,"2,876.40",percent of total billed charges ,,,"3,196.00",percent of total billed charges ,"3,156.05",percent of total billed charges ,"3,156.05",percent of total billed charges ,"3,395.75",percent of total billed charges ,"3,395.75",percent of total billed charges ,"3,196.00",percent of total billed charges ,"3,196.00",percent of total billed charges ,"2,796.50",percent of total billed charges ,"2,796.50",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 ,,,,,"2,125.34",percent of total billed charges ,,,,,"2,019.07",percent of total billed charges ,,,,,,,,,,,,,,,,,,,918.85,percent of total billed charges,,,918.85,percent of total billed charges,,,918.85,percent of total billed charges,,,918.85,percent of total billed charges,,,918.85,percent of total billed charges,,,918.85,percent of total billed charges,,,918.85,percent of total billed charges,,,918.85,percent of total billed charges,,,918.85,percent of total billed charges,,,918.85,percent of total billed charges,,,918.85,percent of total billed charges,
DRILL BITS BADGER,272,RC,00906-99-0441,NDC,,both,,,"1,789.00","1,789.00",411.47,"1,789.00","1,789.00",percent of total billed charges,"1,789.00",percent of total billed charges,"1,789.00",percent of total billed charges,"1,789.00",percent of total billed charges,"1,789.00",percent of total billed charges,"1,789.00",percent of total billed charges,"1,789.00",percent of total billed charges,"1,789.00",percent of total billed charges,"1,288.08",percent of total billed charges,"1,288.08",percent of total billed charges,"1,288.08",percent of total billed charges,"1,288.08",percent of total billed charges,"1,288.08",percent of total billed charges,"1,288.08",percent of total billed charges,"1,413.31",percent of total billed charges,"1,413.31",percent of total billed charges,"1,431.20",percent of total billed charges,"1,431.20",percent of total billed charges,,,"1,288.08",percent of total billed charges ,,,"1,431.20",percent of total billed charges ,"1,413.31",percent of total billed charges ,"1,413.31",percent of total billed charges ,"1,520.65",percent of total billed charges ,"1,520.65",percent of total billed charges ,"1,431.20",percent of total billed charges ,"1,431.20",percent of total billed charges ,"1,252.30",percent of total billed charges ,"1,252.30",percent of total billed charges ,"1,073.40",percent of total billed charges ,"1,073.40",percent of total billed charges ,"1,073.40",percent of total billed charges ,"1,073.40",percent of total billed charges ,,,,,951.75,percent of total billed charges ,,,,,904.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,411.47,percent of total billed charges,,,411.47,percent of total billed charges,,,411.47,percent of total billed charges,,,411.47,percent of total billed charges,,,411.47,percent of total billed charges,,,411.47,percent of total billed charges,,,411.47,percent of total billed charges,,,411.47,percent of total billed charges,,,411.47,percent of total billed charges,,,411.47,percent of total billed charges,,,411.47,percent of total billed charges,
C-REAMERS,272,RC,00906-99-0441,NDC,,both,,,"1,051.00","1,051.00",241.73,"1,051.00","1,051.00",percent of total billed charges,"1,051.00",percent of total billed charges,"1,051.00",percent of total billed charges,"1,051.00",percent of total billed charges,"1,051.00",percent of total billed charges,"1,051.00",percent of total billed charges,"1,051.00",percent of total billed charges,"1,051.00",percent of total billed charges,756.72,percent of total billed charges,756.72,percent of total billed charges,756.72,percent of total billed charges,756.72,percent of total billed charges,756.72,percent of total billed charges,756.72,percent of total billed charges,830.29,percent of total billed charges,830.29,percent of total billed charges,840.8,percent of total billed charges,840.8,percent of total billed charges,,,756.72,percent of total billed charges ,,,840.8,percent of total billed charges ,830.29,percent of total billed charges ,830.29,percent of total billed charges ,893.35,percent of total billed charges ,893.35,percent of total billed charges ,840.8,percent of total billed charges ,840.8,percent of total billed charges ,735.7,percent of total billed charges ,735.7,percent of total billed charges ,630.6,percent of total billed charges ,630.6,percent of total billed charges ,630.6,percent of total billed charges ,630.6,percent of total billed charges ,,,,,559.13,percent of total billed charges ,,,,,531.18,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,
SAW BLADE 8MM STEP,272,RC,00906-99-0441,NDC,,both,,,910,910,209.3,910,910,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,718.9,percent of total billed charges,718.9,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 ,718.9,percent of total billed charges ,718.9,percent of total billed charges ,773.5,percent of total billed charges ,773.5,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 ,,,,,,,,,,,,,,,,,,,209.3,percent of total billed charges,,,209.3,percent of total billed charges,,,209.3,percent of total billed charges,,,209.3,percent of total billed charges,,,209.3,percent of total billed charges,,,209.3,percent of total billed charges,,,209.3,percent of total billed charges,,,209.3,percent of total billed charges,,,209.3,percent of total billed charges,,,209.3,percent of total billed charges,,,209.3,percent of total billed charges,
DRILL BIT 8757,272,RC,00906-99-0441,NDC,,both,,,"1,541.00","1,541.00",354.43,"1,541.00","1,541.00",percent of total billed charges,"1,541.00",percent of total billed charges,"1,541.00",percent of total billed charges,"1,541.00",percent of total billed charges,"1,541.00",percent of total billed charges,"1,541.00",percent of total billed charges,"1,541.00",percent of total billed charges,"1,541.00",percent of total billed charges,"1,109.52",percent of total billed charges,"1,109.52",percent of total billed charges,"1,109.52",percent of total billed charges,"1,109.52",percent of total billed charges,"1,109.52",percent of total billed charges,"1,109.52",percent of total billed charges,"1,217.39",percent of total billed charges,"1,217.39",percent of total billed charges,"1,232.80",percent of total billed charges,"1,232.80",percent of total billed charges,,,"1,109.52",percent of total billed charges ,,,"1,232.80",percent of total billed charges ,"1,217.39",percent of total billed charges ,"1,217.39",percent of total billed charges ,"1,309.85",percent of total billed charges ,"1,309.85",percent of total billed charges ,"1,232.80",percent of total billed charges ,"1,232.80",percent of total billed charges ,"1,078.70",percent of total billed charges ,"1,078.70",percent of total billed charges ,924.6,percent of total billed charges ,924.6,percent of total billed charges ,924.6,percent of total billed charges ,924.6,percent of total billed charges ,,,,,819.81,percent of total billed charges ,,,,,778.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,354.43,percent of total billed charges,,,354.43,percent of total billed charges,,,354.43,percent of total billed charges,,,354.43,percent of total billed charges,,,354.43,percent of total billed charges,,,354.43,percent of total billed charges,,,354.43,percent of total billed charges,,,354.43,percent of total billed charges,,,354.43,percent of total billed charges,,,354.43,percent of total billed charges,,,354.43,percent of total billed charges,
TWIST DRILL/STOP 2MM,272,RC,00906-99-0441,NDC,,both,,,624,624,143.52,624,624,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,492.96,percent of total billed charges,492.96,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 ,492.96,percent of total billed charges ,492.96,percent of total billed charges ,530.4,percent of total billed charges ,530.4,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 ,,,,,,,,,,,,,,,,,,,143.52,percent of total billed charges,,,143.52,percent of total billed charges,,,143.52,percent of total billed charges,,,143.52,percent of total billed charges,,,143.52,percent of total billed charges,,,143.52,percent of total billed charges,,,143.52,percent of total billed charges,,,143.52,percent of total billed charges,,,143.52,percent of total billed charges,,,143.52,percent of total billed charges,,,143.52,percent of total billed charges,
GUIDE WIRE .059 X 5  STERILE,C1769,CDM,,,,both,,,342,342,78.66,342,342,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,270.18,percent of total billed charges,270.18,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 ,270.18,percent of total billed charges ,270.18,percent of total billed charges ,290.7,percent of total billed charges ,290.7,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 ,,,,,,,,,,,,,,,,,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,
SAW BLADE BIOMET,272,RC,00906-99-0441,NDC,,both,,,992,992,228.16,992,992,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,783.68,percent of total billed charges,783.68,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 ,783.68,percent of total billed charges ,783.68,percent of total billed charges ,843.2,percent of total billed charges ,843.2,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 ,,,,,,,,,,,,,,,,,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,
GUIDE WIRE  SYNTHES,C1769,CDM,,,,both,,,604,604,138.92,604,604,percent of total billed charges,604,percent of total billed charges,604,percent of total billed charges,604,percent of total billed charges,604,percent of total billed charges,604,percent of total billed charges,604,percent of total billed charges,604,percent of total billed charges,434.88,percent of total billed charges,434.88,percent of total billed charges,434.88,percent of total billed charges,434.88,percent of total billed charges,434.88,percent of total billed charges,434.88,percent of total billed charges,477.16,percent of total billed charges,477.16,percent of total billed charges,483.2,percent of total billed charges,483.2,percent of total billed charges,,,434.88,percent of total billed charges ,,,483.2,percent of total billed charges ,477.16,percent of total billed charges ,477.16,percent of total billed charges ,513.4,percent of total billed charges ,513.4,percent of total billed charges ,483.2,percent of total billed charges ,483.2,percent of total billed charges ,422.8,percent of total billed charges ,422.8,percent of total billed charges ,362.4,percent of total billed charges ,362.4,percent of total billed charges ,362.4,percent of total billed charges ,362.4,percent of total billed charges ,,,,,321.33,percent of total billed charges ,,,,,305.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,
BLADE RAY HACK OST,272,RC,00906-99-0441,NDC,,both,,,189,189,43.47,189,189,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,149.31,percent of total billed charges,149.31,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 ,149.31,percent of total billed charges ,149.31,percent of total billed charges ,160.65,percent of total billed charges ,160.65,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 ,,,,,,,,,,,,,,,,,,,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,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,
TAP/2.0 CORTEX SCREW,C1713,CDM,,,,both,,,627,627,144.21,627,627,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,495.33,percent of total billed charges,495.33,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 ,495.33,percent of total billed charges ,495.33,percent of total billed charges ,532.95,percent of total billed charges ,532.95,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 ,,,,,,,,,,,,,,,,,,,144.21,percent of total billed charges,,,144.21,percent of total billed charges,,,144.21,percent of total billed charges,,,144.21,percent of total billed charges,,,144.21,percent of total billed charges,,,144.21,percent of total billed charges,,,144.21,percent of total billed charges,,,144.21,percent of total billed charges,,,144.21,percent of total billed charges,,,144.21,percent of total billed charges,,,144.21,percent of total billed charges,
DRILL BIT,272,RC,00906-99-0441,NDC,,both,,,"2,102.00","2,102.00",483.46,"2,102.00","2,102.00",percent of total billed charges,"2,102.00",percent of total billed charges,"2,102.00",percent of total billed charges,"2,102.00",percent of total billed charges,"2,102.00",percent of total billed charges,"2,102.00",percent of total billed charges,"2,102.00",percent of total billed charges,"2,102.00",percent of total billed charges,"1,513.44",percent of total billed charges,"1,513.44",percent of total billed charges,"1,513.44",percent of total billed charges,"1,513.44",percent of total billed charges,"1,513.44",percent of total billed charges,"1,513.44",percent of total billed charges,"1,660.58",percent of total billed charges,"1,660.58",percent of total billed charges,"1,681.60",percent of total billed charges,"1,681.60",percent of total billed charges,,,"1,513.44",percent of total billed charges ,,,"1,681.60",percent of total billed charges ,"1,660.58",percent of total billed charges ,"1,660.58",percent of total billed charges ,"1,786.70",percent of total billed charges ,"1,786.70",percent of total billed charges ,"1,681.60",percent of total billed charges ,"1,681.60",percent of total billed charges ,"1,471.40",percent of total billed charges ,"1,471.40",percent of total billed charges ,"1,261.20",percent of total billed charges ,"1,261.20",percent of total billed charges ,"1,261.20",percent of total billed charges ,"1,261.20",percent of total billed charges ,,,,,"1,118.26",percent of total billed charges ,,,,,"1,062.35",percent of total billed charges ,,,,,,,,,,,,,,,,,,,483.46,percent of total billed charges,,,483.46,percent of total billed charges,,,483.46,percent of total billed charges,,,483.46,percent of total billed charges,,,483.46,percent of total billed charges,,,483.46,percent of total billed charges,,,483.46,percent of total billed charges,,,483.46,percent of total billed charges,,,483.46,percent of total billed charges,,,483.46,percent of total billed charges,,,483.46,percent of total billed charges,
DRILL BIT 1.1M DIA,272,RC,00906-99-0441,NDC,,both,,,801,801,184.23,801,801,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,801,percent of total billed charges,801,percent of total billed charges,801,percent of total billed charges,576.72,percent of total billed charges,576.72,percent of total billed charges,576.72,percent of total billed charges,576.72,percent of total billed charges,576.72,percent of total billed charges,576.72,percent of total billed charges,632.79,percent of total billed charges,632.79,percent of total billed charges,640.8,percent of total billed charges,640.8,percent of total billed charges,,,576.72,percent of total billed charges ,,,640.8,percent of total billed charges ,632.79,percent of total billed charges ,632.79,percent of total billed charges ,680.85,percent of total billed charges ,680.85,percent of total billed charges ,640.8,percent of total billed charges ,640.8,percent of total billed charges ,560.7,percent of total billed charges ,560.7,percent of total billed charges ,480.6,percent of total billed charges ,480.6,percent of total billed charges ,480.6,percent of total billed charges ,480.6,percent of total billed charges ,,,,,426.13,percent of total billed charges ,,,,,404.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,184.23,percent of total billed charges,,,184.23,percent of total billed charges,,,184.23,percent of total billed charges,,,184.23,percent of total billed charges,,,184.23,percent of total billed charges,,,184.23,percent of total billed charges,,,184.23,percent of total billed charges,,,184.23,percent of total billed charges,,,184.23,percent of total billed charges,,,184.23,percent of total billed charges,,,184.23,percent of total billed charges,
DRILL BIT 310.26,272,RC,00906-99-0441,NDC,,both,,,565,565,129.95,565,565,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,446.35,percent of total billed charges,446.35,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 ,446.35,percent of total billed charges ,446.35,percent of total billed charges ,480.25,percent of total billed charges ,480.25,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 ,,,,,,,,,,,,,,,,,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,
TAP/2.7 CORTEX SCREW 310.87 & 202.2XX,C1713,CDM,,,,both,,,"1,305.00","1,305.00",300.15,"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,"1,030.95",percent of total billed charges,"1,030.95",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 ,"1,030.95",percent of total billed charges ,"1,030.95",percent of total billed charges ,"1,109.25",percent of total billed charges ,"1,109.25",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 ,,,,,,,,,,,,,,,,,,,300.15,percent of total billed charges,,,300.15,percent of total billed charges,,,300.15,percent of total billed charges,,,300.15,percent of total billed charges,,,300.15,percent of total billed charges,,,300.15,percent of total billed charges,,,300.15,percent of total billed charges,,,300.15,percent of total billed charges,,,300.15,percent of total billed charges,,,300.15,percent of total billed charges,,,300.15,percent of total billed charges,
DRILL BIT 2410-25,272,RC,00906-99-0441,NDC,,both,,,262,262,60.26,262,262,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,206.98,percent of total billed charges,206.98,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 ,206.98,percent of total billed charges ,206.98,percent of total billed charges ,222.7,percent of total billed charges ,222.7,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,60.26,percent of total billed charges,,,60.26,percent of total billed charges,,,60.26,percent of total billed charges,
HELMUT AIR FILTER,272,RC,00906-99-0441,NDC,,both,,,307,307,70.61,307,307,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,242.53,percent of total billed charges,242.53,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 ,242.53,percent of total billed charges ,242.53,percent of total billed charges ,260.95,percent of total billed charges ,260.95,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 ,,,,,,,,,,,,,,,,,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,
DRILL BIT 310.16,272,RC,00906-99-0441,NDC,,both,,,504,504,115.92,504,504,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,398.16,percent of total billed charges,398.16,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 ,398.16,percent of total billed charges ,398.16,percent of total billed charges ,428.4,percent of total billed charges ,428.4,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 ,,,,,,,,,,,,,,,,,,,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,
TAP FOR 3.5MM CORTEX SCREWS 110MM SYNTHE,C1713,CDM,,,,both,,,695,695,159.85,695,695,percent of total billed charges,695,percent of total billed charges,695,percent of total billed charges,695,percent of total billed charges,695,percent of total billed charges,695,percent of total billed charges,695,percent of total billed charges,695,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,500.4,percent of total billed charges,500.4,percent of total billed charges,549.05,percent of total billed charges,549.05,percent of total billed charges,556,percent of total billed charges,556,percent of total billed charges,,,500.4,percent of total billed charges ,,,556,percent of total billed charges ,549.05,percent of total billed charges ,549.05,percent of total billed charges ,590.75,percent of total billed charges ,590.75,percent of total billed charges ,556,percent of total billed charges ,556,percent of total billed charges ,486.5,percent of total billed charges ,486.5,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 ,,,,,369.74,percent of total billed charges ,,,,,351.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,159.85,percent of total billed charges,,,159.85,percent of total billed charges,,,159.85,percent of total billed charges,,,159.85,percent of total billed charges,,,159.85,percent of total billed charges,,,159.85,percent of total billed charges,,,159.85,percent of total billed charges,,,159.85,percent of total billed charges,,,159.85,percent of total billed charges,,,159.85,percent of total billed charges,,,159.85,percent of total billed charges,
CLAMP 4.0MM 39556/57,272,RC,00906-99-0441,NDC,,both,,,"1,812.00","1,812.00",416.76,"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,"1,431.48",percent of total billed charges,"1,431.48",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 ,"1,431.48",percent of total billed charges ,"1,431.48",percent of total billed charges ,"1,540.20",percent of total billed charges ,"1,540.20",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 ,,,,,,,,,,,,,,,,,,,416.76,percent of total billed charges,,,416.76,percent of total billed charges,,,416.76,percent of total billed charges,,,416.76,percent of total billed charges,,,416.76,percent of total billed charges,,,416.76,percent of total billed charges,,,416.76,percent of total billed charges,,,416.76,percent of total billed charges,,,416.76,percent of total billed charges,,,416.76,percent of total billed charges,,,416.76,percent of total billed charges,
TAP/3.5 CORTEX SCREW,C1713,CDM,,,,both,,,683,683,157.09,683,683,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,539.57,percent of total billed charges,539.57,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 ,539.57,percent of total billed charges ,539.57,percent of total billed charges ,580.55,percent of total billed charges ,580.55,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 ,,,,,,,,,,,,,,,,,,,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,
TAP/3.5 CANN SCREW,C1713,CDM,,,,both,,,650,650,149.5,650,650,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,513.5,percent of total billed charges,513.5,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 ,513.5,percent of total billed charges ,513.5,percent of total billed charges ,552.5,percent of total billed charges ,552.5,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 ,,,,,,,,,,,,,,,,,,,149.5,percent of total billed charges,,,149.5,percent of total billed charges,,,149.5,percent of total billed charges,,,149.5,percent of total billed charges,,,149.5,percent of total billed charges,,,149.5,percent of total billed charges,,,149.5,percent of total billed charges,,,149.5,percent of total billed charges,,,149.5,percent of total billed charges,,,149.5,percent of total billed charges,,,149.5,percent of total billed charges,
DRILL BIT 2.5DIA GOLD 110M SMALL F SYNTH,272,RC,00906-99-0441,NDC,,both,,,801,801,184.23,801,801,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,801,percent of total billed charges,801,percent of total billed charges,801,percent of total billed charges,576.72,percent of total billed charges,576.72,percent of total billed charges,576.72,percent of total billed charges,576.72,percent of total billed charges,576.72,percent of total billed charges,576.72,percent of total billed charges,632.79,percent of total billed charges,632.79,percent of total billed charges,640.8,percent of total billed charges,640.8,percent of total billed charges,,,576.72,percent of total billed charges ,,,640.8,percent of total billed charges ,632.79,percent of total billed charges ,632.79,percent of total billed charges ,680.85,percent of total billed charges ,680.85,percent of total billed charges ,640.8,percent of total billed charges ,640.8,percent of total billed charges ,560.7,percent of total billed charges ,560.7,percent of total billed charges ,480.6,percent of total billed charges ,480.6,percent of total billed charges ,480.6,percent of total billed charges ,480.6,percent of total billed charges ,,,,,426.13,percent of total billed charges ,,,,,404.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,184.23,percent of total billed charges,,,184.23,percent of total billed charges,,,184.23,percent of total billed charges,,,184.23,percent of total billed charges,,,184.23,percent of total billed charges,,,184.23,percent of total billed charges,,,184.23,percent of total billed charges,,,184.23,percent of total billed charges,,,184.23,percent of total billed charges,,,184.23,percent of total billed charges,,,184.23,percent of total billed charges,
DRILL BIT 3.5DIA 110M SYNTHES SMALL FRAG,272,RC,00906-99-0441,NDC,,both,,,553,553,127.19,553,553,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,436.87,percent of total billed charges,436.87,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 ,436.87,percent of total billed charges ,436.87,percent of total billed charges ,470.05,percent of total billed charges ,470.05,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 ,,,,,,,,,,,,,,,,,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,
CAP PROTECTIVE SMALL,272,RC,00906-99-0441,NDC,,both,,,52,52,11.96,52,52,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,41.08,percent of total billed charges,41.08,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 ,41.08,percent of total billed charges ,41.08,percent of total billed charges ,44.2,percent of total billed charges ,44.2,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 ,,,,,,,,,,,,,,,,,,,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,
GUIDE WIRE 2.0 DIA. 150M TROCAR PT,C1769,CDM,,,,both,,,96,96,22.08,96,96,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,75.84,percent of total billed charges,75.84,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 ,75.84,percent of total billed charges ,75.84,percent of total billed charges ,81.6,percent of total billed charges ,81.6,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 ,,,,,,,,,,,,,,,,,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,
DRILL BIT 2.8 QC 165MM SYNTHES,272,RC,00906-99-0441,NDC,,both,,,"1,145.00","1,145.00",263.35,"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,904.55,percent of total billed charges,904.55,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 ,904.55,percent of total billed charges ,904.55,percent of total billed charges ,973.25,percent of total billed charges ,973.25,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 ,,,,,,,,,,,,,,,,,,,263.35,percent of total billed charges,,,263.35,percent of total billed charges,,,263.35,percent of total billed charges,,,263.35,percent of total billed charges,,,263.35,percent of total billed charges,,,263.35,percent of total billed charges,,,263.35,percent of total billed charges,,,263.35,percent of total billed charges,,,263.35,percent of total billed charges,,,263.35,percent of total billed charges,,,263.35,percent of total billed charges,
FEMORAL BONE BRUSH,272,RC,00906-99-0441,NDC,,both,,,171,171,39.33,171,171,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,135.09,percent of total billed charges,135.09,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 ,135.09,percent of total billed charges ,135.09,percent of total billed charges ,145.35,percent of total billed charges ,145.35,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 ,,,,,,,,,,,,,,,,,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,
BURR  PFJ  MILL,272,RC,00906-99-0441,NDC,,both,,,"2,210.00","2,210.00",508.3,"2,210.00","2,210.00",percent of total billed charges,"2,210.00",percent of total billed charges,"2,210.00",percent of total billed charges,"2,210.00",percent of total billed charges,"2,210.00",percent of total billed charges,"2,210.00",percent of total billed charges,"2,210.00",percent of total billed charges,"2,210.00",percent of total billed charges,"1,591.20",percent of total billed charges,"1,591.20",percent of total billed charges,"1,591.20",percent of total billed charges,"1,591.20",percent of total billed charges,"1,591.20",percent of total billed charges,"1,591.20",percent of total billed charges,"1,745.90",percent of total billed charges,"1,745.90",percent of total billed charges,"1,768.00",percent of total billed charges,"1,768.00",percent of total billed charges,,,"1,591.20",percent of total billed charges ,,,"1,768.00",percent of total billed charges ,"1,745.90",percent of total billed charges ,"1,745.90",percent of total billed charges ,"1,878.50",percent of total billed charges ,"1,878.50",percent of total billed charges ,"1,768.00",percent of total billed charges ,"1,768.00",percent of total billed charges ,"1,547.00",percent of total billed charges ,"1,547.00",percent of total billed charges ,"1,326.00",percent of total billed charges ,"1,326.00",percent of total billed charges ,"1,326.00",percent of total billed charges ,"1,326.00",percent of total billed charges ,,,,,"1,175.72",percent of total billed charges ,,,,,"1,116.93",percent of total billed charges ,,,,,,,,,,,,,,,,,,,508.3,percent of total billed charges,,,508.3,percent of total billed charges,,,508.3,percent of total billed charges,,,508.3,percent of total billed charges,,,508.3,percent of total billed charges,,,508.3,percent of total billed charges,,,508.3,percent of total billed charges,,,508.3,percent of total billed charges,,,508.3,percent of total billed charges,,,508.3,percent of total billed charges,,,508.3,percent of total billed charges,
BLADE NEW STRY,272,RC,00906-99-0441,NDC,,both,,,"1,047.00","1,047.00",240.81,"1,047.00","1,047.00",percent of total billed charges,"1,047.00",percent of total billed charges,"1,047.00",percent of total billed charges,"1,047.00",percent of total billed charges,"1,047.00",percent of total billed charges,"1,047.00",percent of total billed charges,"1,047.00",percent of total billed charges,"1,047.00",percent of total billed charges,753.84,percent of total billed charges,753.84,percent of total billed charges,753.84,percent of total billed charges,753.84,percent of total billed charges,753.84,percent of total billed charges,753.84,percent of total billed charges,827.13,percent of total billed charges,827.13,percent of total billed charges,837.6,percent of total billed charges,837.6,percent of total billed charges,,,753.84,percent of total billed charges ,,,837.6,percent of total billed charges ,827.13,percent of total billed charges ,827.13,percent of total billed charges ,889.95,percent of total billed charges ,889.95,percent of total billed charges ,837.6,percent of total billed charges ,837.6,percent of total billed charges ,732.9,percent of total billed charges ,732.9,percent of total billed charges ,628.2,percent of total billed charges ,628.2,percent of total billed charges ,628.2,percent of total billed charges ,628.2,percent of total billed charges ,,,,,557,percent of total billed charges ,,,,,529.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,240.81,percent of total billed charges,,,240.81,percent of total billed charges,,,240.81,percent of total billed charges,,,240.81,percent of total billed charges,,,240.81,percent of total billed charges,,,240.81,percent of total billed charges,,,240.81,percent of total billed charges,,,240.81,percent of total billed charges,,,240.81,percent of total billed charges,,,240.81,percent of total billed charges,,,240.81,percent of total billed charges,
BLADE LINVATEC ALL,272,RC,00906-99-0441,NDC,,both,,,872,872,200.56,872,872,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,688.88,percent of total billed charges,688.88,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 ,688.88,percent of total billed charges ,688.88,percent of total billed charges ,741.2,percent of total billed charges ,741.2,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 ,,,,,,,,,,,,,,,,,,,200.56,percent of total billed charges,,,200.56,percent of total billed charges,,,200.56,percent of total billed charges,,,200.56,percent of total billed charges,,,200.56,percent of total billed charges,,,200.56,percent of total billed charges,,,200.56,percent of total billed charges,,,200.56,percent of total billed charges,,,200.56,percent of total billed charges,,,200.56,percent of total billed charges,,,200.56,percent of total billed charges,
SHOULDER CANNULA 7CM,272,RC,00906-99-0441,NDC,,both,,,262,262,60.26,262,262,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,206.98,percent of total billed charges,206.98,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 ,206.98,percent of total billed charges ,206.98,percent of total billed charges ,222.7,percent of total billed charges ,222.7,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,60.26,percent of total billed charges,,,60.26,percent of total billed charges,,,60.26,percent of total billed charges,
TAP 2346-37,C1713,CDM,,,,both,,,441,441,101.43,441,441,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,348.39,percent of total billed charges,348.39,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 ,348.39,percent of total billed charges ,348.39,percent of total billed charges ,374.85,percent of total billed charges ,374.85,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
DRILL BIT FEM 2252,272,RC,00906-99-0441,NDC,,both,,,"1,342.00","1,342.00",308.66,"1,342.00","1,342.00",percent of total billed charges,"1,342.00",percent of total billed charges,"1,342.00",percent of total billed charges,"1,342.00",percent of total billed charges,"1,342.00",percent of total billed charges,"1,342.00",percent of total billed charges,"1,342.00",percent of total billed charges,"1,342.00",percent of total billed charges,966.24,percent of total billed charges,966.24,percent of total billed charges,966.24,percent of total billed charges,966.24,percent of total billed charges,966.24,percent of total billed charges,966.24,percent of total billed charges,"1,060.18",percent of total billed charges,"1,060.18",percent of total billed charges,"1,073.60",percent of total billed charges,"1,073.60",percent of total billed charges,,,966.24,percent of total billed charges ,,,"1,073.60",percent of total billed charges ,"1,060.18",percent of total billed charges ,"1,060.18",percent of total billed charges ,"1,140.70",percent of total billed charges ,"1,140.70",percent of total billed charges ,"1,073.60",percent of total billed charges ,"1,073.60",percent of total billed charges ,939.4,percent of total billed charges ,939.4,percent of total billed charges ,805.2,percent of total billed charges ,805.2,percent of total billed charges ,805.2,percent of total billed charges ,805.2,percent of total billed charges ,,,,,713.94,percent of total billed charges ,,,,,678.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,308.66,percent of total billed charges,,,308.66,percent of total billed charges,,,308.66,percent of total billed charges,,,308.66,percent of total billed charges,,,308.66,percent of total billed charges,,,308.66,percent of total billed charges,,,308.66,percent of total billed charges,,,308.66,percent of total billed charges,,,308.66,percent of total billed charges,,,308.66,percent of total billed charges,,,308.66,percent of total billed charges,
GUIDE PIN 2246,C1769,CDM,,,,both,,,925,925,212.75,925,925,percent of total billed charges,925,percent of total billed charges,925,percent of total billed charges,925,percent of total billed charges,925,percent of total billed charges,925,percent of total billed charges,925,percent of total billed charges,925,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,730.75,percent of total billed charges,730.75,percent of total billed charges,740,percent of total billed charges,740,percent of total billed charges,,,666,percent of total billed charges ,,,740,percent of total billed charges ,730.75,percent of total billed charges ,730.75,percent of total billed charges ,786.25,percent of total billed charges ,786.25,percent of total billed charges ,740,percent of total billed charges ,740,percent of total billed charges ,647.5,percent of total billed charges ,647.5,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 ,,,,,492.1,percent of total billed charges ,,,,,467.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,
DRILL  4.3MM  152.5,272,RC,00906-99-0441,NDC,,both,,,"1,398.00","1,398.00",321.54,"1,398.00","1,398.00",percent of total billed charges,"1,398.00",percent of total billed charges,"1,398.00",percent of total billed charges,"1,398.00",percent of total billed charges,"1,398.00",percent of total billed charges,"1,398.00",percent of total billed charges,"1,398.00",percent of total billed charges,"1,398.00",percent of total billed charges,"1,006.56",percent of total billed charges,"1,006.56",percent of total billed charges,"1,006.56",percent of total billed charges,"1,006.56",percent of total billed charges,"1,006.56",percent of total billed charges,"1,006.56",percent of total billed charges,"1,104.42",percent of total billed charges,"1,104.42",percent of total billed charges,"1,118.40",percent of total billed charges,"1,118.40",percent of total billed charges,,,"1,006.56",percent of total billed charges ,,,"1,118.40",percent of total billed charges ,"1,104.42",percent of total billed charges ,"1,104.42",percent of total billed charges ,"1,188.30",percent of total billed charges ,"1,188.30",percent of total billed charges ,"1,118.40",percent of total billed charges ,"1,118.40",percent of total billed charges ,978.6,percent of total billed charges ,978.6,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 ,,,,,743.74,percent of total billed charges ,,,,,706.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,321.54,percent of total billed charges,,,321.54,percent of total billed charges,,,321.54,percent of total billed charges,,,321.54,percent of total billed charges,,,321.54,percent of total billed charges,,,321.54,percent of total billed charges,,,321.54,percent of total billed charges,,,321.54,percent of total billed charges,,,321.54,percent of total billed charges,,,321.54,percent of total billed charges,,,321.54,percent of total billed charges,
GUIDEWIRE BULLET TIP,C1769,CDM,,,,both,,,683,683,157.09,683,683,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,539.57,percent of total billed charges,539.57,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 ,539.57,percent of total billed charges ,539.57,percent of total billed charges ,580.55,percent of total billed charges ,580.55,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 ,,,,,,,,,,,,,,,,,,,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,
CLAMP COMBINATION,272,RC,00906-99-0441,NDC,,both,,,"3,306.00","3,306.00",760.38,"3,306.00","3,306.00",percent of total billed charges,"3,306.00",percent of total billed charges,"3,306.00",percent of total billed charges,"3,306.00",percent of total billed charges,"3,306.00",percent of total billed charges,"3,306.00",percent of total billed charges,"3,306.00",percent of total billed charges,"3,306.00",percent of total billed charges,"2,380.32",percent of total billed charges,"2,380.32",percent of total billed charges,"2,380.32",percent of total billed charges,"2,380.32",percent of total billed charges,"2,380.32",percent of total billed charges,"2,380.32",percent of total billed charges,"2,611.74",percent of total billed charges,"2,611.74",percent of total billed charges,"2,644.80",percent of total billed charges,"2,644.80",percent of total billed charges,,,"2,380.32",percent of total billed charges ,,,"2,644.80",percent of total billed charges ,"2,611.74",percent of total billed charges ,"2,611.74",percent of total billed charges ,"2,810.10",percent of total billed charges ,"2,810.10",percent of total billed charges ,"2,644.80",percent of total billed charges ,"2,644.80",percent of total billed charges ,"2,314.20",percent of total billed charges ,"2,314.20",percent of total billed charges ,"1,983.60",percent of total billed charges ,"1,983.60",percent of total billed charges ,"1,983.60",percent of total billed charges ,"1,983.60",percent of total billed charges ,,,,,"1,758.79",percent of total billed charges ,,,,,"1,670.85",percent of total billed charges ,,,,,,,,,,,,,,,,,,,760.38,percent of total billed charges,,,760.38,percent of total billed charges,,,760.38,percent of total billed charges,,,760.38,percent of total billed charges,,,760.38,percent of total billed charges,,,760.38,percent of total billed charges,,,760.38,percent of total billed charges,,,760.38,percent of total billed charges,,,760.38,percent of total billed charges,,,760.38,percent of total billed charges,,,760.38,percent of total billed charges,
DRILL BIT LONG,272,RC,00906-99-0441,NDC,,both,,,999,999,229.77,999,999,percent of total billed charges,999,percent of total billed charges,999,percent of total billed charges,999,percent of total billed charges,999,percent of total billed charges,999,percent of total billed charges,999,percent of total billed charges,999,percent of total billed charges,719.28,percent of total billed charges,719.28,percent of total billed charges,719.28,percent of total billed charges,719.28,percent of total billed charges,719.28,percent of total billed charges,719.28,percent of total billed charges,789.21,percent of total billed charges,789.21,percent of total billed charges,799.2,percent of total billed charges,799.2,percent of total billed charges,,,719.28,percent of total billed charges ,,,799.2,percent of total billed charges ,789.21,percent of total billed charges ,789.21,percent of total billed charges ,849.15,percent of total billed charges ,849.15,percent of total billed charges ,799.2,percent of total billed charges ,799.2,percent of total billed charges ,699.3,percent of total billed charges ,699.3,percent of total billed charges ,599.4,percent of total billed charges ,599.4,percent of total billed charges ,599.4,percent of total billed charges ,599.4,percent of total billed charges ,,,,,531.47,percent of total billed charges ,,,,,504.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,
DRILL BIT ACUTRAK STAND TAPERED CANNULAT,272,RC,00906-99-0441,NDC,,both,,,"2,920.00","2,920.00",671.6,"2,920.00","2,920.00",percent of total billed charges,"2,920.00",percent of total billed charges,"2,920.00",percent of total billed charges,"2,920.00",percent of total billed charges,"2,920.00",percent of total billed charges,"2,920.00",percent of total billed charges,"2,920.00",percent of total billed charges,"2,920.00",percent of total billed charges,"2,102.40",percent of total billed charges,"2,102.40",percent of total billed charges,"2,102.40",percent of total billed charges,"2,102.40",percent of total billed charges,"2,102.40",percent of total billed charges,"2,102.40",percent of total billed charges,"2,306.80",percent of total billed charges,"2,306.80",percent of total billed charges,"2,336.00",percent of total billed charges,"2,336.00",percent of total billed charges,,,"2,102.40",percent of total billed charges ,,,"2,336.00",percent of total billed charges ,"2,306.80",percent of total billed charges ,"2,306.80",percent of total billed charges ,"2,482.00",percent of total billed charges ,"2,482.00",percent of total billed charges ,"2,336.00",percent of total billed charges ,"2,336.00",percent of total billed charges ,"2,044.00",percent of total billed charges ,"2,044.00",percent of total billed charges ,"1,752.00",percent of total billed charges ,"1,752.00",percent of total billed charges ,"1,752.00",percent of total billed charges ,"1,752.00",percent of total billed charges ,,,,,"1,553.44",percent of total billed charges ,,,,,"1,475.77",percent of total billed charges ,,,,,,,,,,,,,,,,,,,671.6,percent of total billed charges,,,671.6,percent of total billed charges,,,671.6,percent of total billed charges,,,671.6,percent of total billed charges,,,671.6,percent of total billed charges,,,671.6,percent of total billed charges,,,671.6,percent of total billed charges,,,671.6,percent of total billed charges,,,671.6,percent of total billed charges,,,671.6,percent of total billed charges,,,671.6,percent of total billed charges,
SUTURE CAPTURE DEVICE,C1773,CDM,,,,both,,,"1,342.00","1,342.00",308.66,"1,342.00","1,342.00",percent of total billed charges,"1,342.00",percent of total billed charges,"1,342.00",percent of total billed charges,"1,342.00",percent of total billed charges,"1,342.00",percent of total billed charges,"1,342.00",percent of total billed charges,"1,342.00",percent of total billed charges,"1,342.00",percent of total billed charges,966.24,percent of total billed charges,966.24,percent of total billed charges,966.24,percent of total billed charges,966.24,percent of total billed charges,966.24,percent of total billed charges,966.24,percent of total billed charges,"1,060.18",percent of total billed charges,"1,060.18",percent of total billed charges,"1,073.60",percent of total billed charges,"1,073.60",percent of total billed charges,,,966.24,percent of total billed charges ,,,"1,073.60",percent of total billed charges ,"1,060.18",percent of total billed charges ,"1,060.18",percent of total billed charges ,"1,140.70",percent of total billed charges ,"1,140.70",percent of total billed charges ,"1,073.60",percent of total billed charges ,"1,073.60",percent of total billed charges ,939.4,percent of total billed charges ,939.4,percent of total billed charges ,805.2,percent of total billed charges ,805.2,percent of total billed charges ,805.2,percent of total billed charges ,805.2,percent of total billed charges ,,,,,713.94,percent of total billed charges ,,,,,678.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,308.66,percent of total billed charges,,,308.66,percent of total billed charges,,,308.66,percent of total billed charges,,,308.66,percent of total billed charges,,,308.66,percent of total billed charges,,,308.66,percent of total billed charges,,,308.66,percent of total billed charges,,,308.66,percent of total billed charges,,,308.66,percent of total billed charges,,,308.66,percent of total billed charges,,,308.66,percent of total billed charges,
CAST PADDING 3,272,RC,00906-99-0441,NDC,,both,,,15,15,3.45,15,15,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,11.85,percent of total billed charges,11.85,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 ,11.85,percent of total billed charges ,11.85,percent of total billed charges ,12.75,percent of total billed charges ,12.75,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 ,,,,,,,,,,,,,,,,,,,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,,,3.45,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,
SCREW MAGNA FX 1146  16MM & 32MM,C1713,CDM,,,,both,,,"2,274.00","2,274.00",523.02,"2,274.00","2,274.00",percent of total billed charges,"2,274.00",percent of total billed charges,"2,274.00",percent of total billed charges,"2,274.00",percent of total billed charges,"2,274.00",percent of total billed charges,"2,274.00",percent of total billed charges,"2,274.00",percent of total billed charges,"2,274.00",percent of total billed charges,"1,637.28",percent of total billed charges,"1,637.28",percent of total billed charges,"1,637.28",percent of total billed charges,"1,637.28",percent of total billed charges,"1,637.28",percent of total billed charges,"1,637.28",percent of total billed charges,"1,796.46",percent of total billed charges,"1,796.46",percent of total billed charges,"1,819.20",percent of total billed charges,"1,819.20",percent of total billed charges,,,"1,637.28",percent of total billed charges ,,,"1,819.20",percent of total billed charges ,"1,796.46",percent of total billed charges ,"1,796.46",percent of total billed charges ,"1,932.90",percent of total billed charges ,"1,932.90",percent of total billed charges ,"1,819.20",percent of total billed charges ,"1,819.20",percent of total billed charges ,"1,591.80",percent of total billed charges ,"1,591.80",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 ,,,,,"1,209.77",percent of total billed charges ,,,,,"1,149.28",percent of total billed charges ,,,,,,,,,,,,,,,,,,,523.02,percent of total billed charges,,,523.02,percent of total billed charges,,,523.02,percent of total billed charges,,,523.02,percent of total billed charges,,,523.02,percent of total billed charges,,,523.02,percent of total billed charges,,,523.02,percent of total billed charges,,,523.02,percent of total billed charges,,,523.02,percent of total billed charges,,,523.02,percent of total billed charges,,,523.02,percent of total billed charges,
PLATE Y 2.0M 3 HOLE HEAD  SYNTHES,C1713,CDM,,,,both,,,"2,871.00","2,871.00",660.33,"2,871.00","2,871.00",percent of total billed charges,"2,871.00",percent of total billed charges,"2,871.00",percent of total billed charges,"2,871.00",percent of total billed charges,"2,871.00",percent of total billed charges,"2,871.00",percent of total billed charges,"2,871.00",percent of total billed charges,"2,871.00",percent of total billed charges,"2,067.12",percent of total billed charges,"2,067.12",percent of total billed charges,"2,067.12",percent of total billed charges,"2,067.12",percent of total billed charges,"2,067.12",percent of total billed charges,"2,067.12",percent of total billed charges,"2,268.09",percent of total billed charges,"2,268.09",percent of total billed charges,"2,296.80",percent of total billed charges,"2,296.80",percent of total billed charges,,,"2,067.12",percent of total billed charges ,,,"2,296.80",percent of total billed charges ,"2,268.09",percent of total billed charges ,"2,268.09",percent of total billed charges ,"2,440.35",percent of total billed charges ,"2,440.35",percent of total billed charges ,"2,296.80",percent of total billed charges ,"2,296.80",percent of total billed charges ,"2,009.70",percent of total billed charges ,"2,009.70",percent of total billed charges ,"1,722.60",percent of total billed charges ,"1,722.60",percent of total billed charges ,"1,722.60",percent of total billed charges ,"1,722.60",percent of total billed charges ,,,,,"1,527.37",percent of total billed charges ,,,,,"1,451.00",percent of total billed charges ,,,,,,,,,,,,,,,,,,,660.33,percent of total billed charges,,,660.33,percent of total billed charges,,,660.33,percent of total billed charges,,,660.33,percent of total billed charges,,,660.33,percent of total billed charges,,,660.33,percent of total billed charges,,,660.33,percent of total billed charges,,,660.33,percent of total billed charges,,,660.33,percent of total billed charges,,,660.33,percent of total billed charges,,,660.33,percent of total billed charges,
SCREW CORTICAL 2245,C1713,CDM,,,,both,,,823,823,189.29,823,823,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,650.17,percent of total billed charges,650.17,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 ,650.17,percent of total billed charges ,650.17,percent of total billed charges ,699.55,percent of total billed charges ,699.55,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 ,,,,,,,,,,,,,,,,,,,189.29,percent of total billed charges,,,189.29,percent of total billed charges,,,189.29,percent of total billed charges,,,189.29,percent of total billed charges,,,189.29,percent of total billed charges,,,189.29,percent of total billed charges,,,189.29,percent of total billed charges,,,189.29,percent of total billed charges,,,189.29,percent of total billed charges,,,189.29,percent of total billed charges,,,189.29,percent of total billed charges,
SCREW 4.0 CANCEL THREADED SERIES 206&207,C1713,CDM,,,,both,,,197,197,45.31,197,197,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,155.63,percent of total billed charges,155.63,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 ,155.63,percent of total billed charges ,155.63,percent of total billed charges ,167.45,percent of total billed charges ,167.45,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
WASHER SM TI,C1713,CDM,,,,both,,,189,189,43.47,189,189,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,149.31,percent of total billed charges,149.31,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 ,149.31,percent of total billed charges ,149.31,percent of total billed charges ,160.65,percent of total billed charges ,160.65,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 ,,,,,,,,,,,,,,,,,,,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,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,
TISSUE ALLOGRAFT,C1763,CDM,,,,both,,,"1,895.00","1,895.00",435.85,"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,"1,497.05",percent of total billed charges,"1,497.05",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 ,"1,497.05",percent of total billed charges ,"1,497.05",percent of total billed charges ,"1,610.75",percent of total billed charges ,"1,610.75",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 ,,,,,,,,,,,,,,,,,,,435.85,percent of total billed charges,,,435.85,percent of total billed charges,,,435.85,percent of total billed charges,,,435.85,percent of total billed charges,,,435.85,percent of total billed charges,,,435.85,percent of total billed charges,,,435.85,percent of total billed charges,,,435.85,percent of total billed charges,,,435.85,percent of total billed charges,,,435.85,percent of total billed charges,,,435.85,percent of total billed charges,
SCREW MULTI AXIAL,C1713,CDM,,,,both,,,"4,500.00","4,500.00","1,035.00","4,500.00","4,500.00",percent of total billed charges,"4,500.00",percent of total billed charges,"4,500.00",percent of total billed charges,"4,500.00",percent of total billed charges,"4,500.00",percent of total billed charges,"4,500.00",percent of total billed charges,"4,500.00",percent of total billed charges,"4,500.00",percent of total billed charges,"3,240.00",percent of total billed charges,"3,240.00",percent of total billed charges,"3,240.00",percent of total billed charges,"3,240.00",percent of total billed charges,"3,240.00",percent of total billed charges,"3,240.00",percent of total billed charges,"3,555.00",percent of total billed charges,"3,555.00",percent of total billed charges,"3,600.00",percent of total billed charges,"3,600.00",percent of total billed charges,,,"3,240.00",percent of total billed charges ,,,"3,600.00",percent of total billed charges ,"3,555.00",percent of total billed charges ,"3,555.00",percent of total billed charges ,"3,825.00",percent of total billed charges ,"3,825.00",percent of total billed charges ,"3,600.00",percent of total billed charges ,"3,600.00",percent of total billed charges ,"3,150.00",percent of total billed charges ,"3,150.00",percent of total billed charges ,"2,700.00",percent of total billed charges ,"2,700.00",percent of total billed charges ,"2,700.00",percent of total billed charges ,"2,700.00",percent of total billed charges ,,,,,"2,394.00",percent of total billed charges ,,,,,"2,274.30",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,,,"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,
SCREW BREAK OFF SET,C1713,CDM,,,,both,,,"1,344.00","1,344.00",309.12,"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,"1,061.76",percent of total billed charges,"1,061.76",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 ,"1,061.76",percent of total billed charges ,"1,061.76",percent of total billed charges ,"1,142.40",percent of total billed charges ,"1,142.40",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 ,,,,,,,,,,,,,,,,,,,309.12,percent of total billed charges,,,309.12,percent of total billed charges,,,309.12,percent of total billed charges,,,309.12,percent of total billed charges,,,309.12,percent of total billed charges,,,309.12,percent of total billed charges,,,309.12,percent of total billed charges,,,309.12,percent of total billed charges,,,309.12,percent of total billed charges,,,309.12,percent of total billed charges,,,309.12,percent of total billed charges,
GRAFT PASS GUIDE PIN,C1713,CDM,,,,both,,,"1,482.00","1,482.00",340.86,"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,"1,170.78",percent of total billed charges,"1,170.78",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 ,"1,170.78",percent of total billed charges ,"1,170.78",percent of total billed charges ,"1,259.70",percent of total billed charges ,"1,259.70",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 ,,,,,,,,,,,,,,,,,,,340.86,percent of total billed charges,,,340.86,percent of total billed charges,,,340.86,percent of total billed charges,,,340.86,percent of total billed charges,,,340.86,percent of total billed charges,,,340.86,percent of total billed charges,,,340.86,percent of total billed charges,,,340.86,percent of total billed charges,,,340.86,percent of total billed charges,,,340.86,percent of total billed charges,,,340.86,percent of total billed charges,
SCREW 2.7 STAINLESS STEEL,C1713,CDM,,,,both,,,99,99,22.77,99,99,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,78.21,percent of total billed charges,78.21,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 ,78.21,percent of total billed charges ,78.21,percent of total billed charges ,84.15,percent of total billed charges ,84.15,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 ,,,,,,,,,,,,,,,,,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,
VERS DISTAL CENTRALZ,C1776,CDM,,,,both,,,649,649,149.27,649,649,percent of total billed charges,649,percent of total billed charges,649,percent of total billed charges,649,percent of total billed charges,649,percent of total billed charges,649,percent of total billed charges,649,percent of total billed charges,649,percent of total billed charges,467.28,percent of total billed charges,467.28,percent of total billed charges,467.28,percent of total billed charges,467.28,percent of total billed charges,467.28,percent of total billed charges,467.28,percent of total billed charges,512.71,percent of total billed charges,512.71,percent of total billed charges,519.2,percent of total billed charges,519.2,percent of total billed charges,,,467.28,percent of total billed charges ,,,519.2,percent of total billed charges ,512.71,percent of total billed charges ,512.71,percent of total billed charges ,551.65,percent of total billed charges ,551.65,percent of total billed charges ,519.2,percent of total billed charges ,519.2,percent of total billed charges ,454.3,percent of total billed charges ,454.3,percent of total billed charges ,389.4,percent of total billed charges ,389.4,percent of total billed charges ,389.4,percent of total billed charges ,389.4,percent of total billed charges ,,,,,345.27,percent of total billed charges ,,,,,328,percent of total billed charges ,,,,,,,,,,,,,,,,,,,149.27,percent of total billed charges,,,149.27,percent of total billed charges,,,149.27,percent of total billed charges,,,149.27,percent of total billed charges,,,149.27,percent of total billed charges,,,149.27,percent of total billed charges,,,149.27,percent of total billed charges,,,149.27,percent of total billed charges,,,149.27,percent of total billed charges,,,149.27,percent of total billed charges,,,149.27,percent of total billed charges,
VERS ENDO FEM HEAD,C1776,CDM,,,,both,,,"2,113.00","2,113.00",485.99,"2,113.00","2,113.00",percent of total billed charges,"2,113.00",percent of total billed charges,"2,113.00",percent of total billed charges,"2,113.00",percent of total billed charges,"2,113.00",percent of total billed charges,"2,113.00",percent of total billed charges,"2,113.00",percent of total billed charges,"2,113.00",percent of total billed charges,"1,521.36",percent of total billed charges,"1,521.36",percent of total billed charges,"1,521.36",percent of total billed charges,"1,521.36",percent of total billed charges,"1,521.36",percent of total billed charges,"1,521.36",percent of total billed charges,"1,669.27",percent of total billed charges,"1,669.27",percent of total billed charges,"1,690.40",percent of total billed charges,"1,690.40",percent of total billed charges,,,"1,521.36",percent of total billed charges ,,,"1,690.40",percent of total billed charges ,"1,669.27",percent of total billed charges ,"1,669.27",percent of total billed charges ,"1,796.05",percent of total billed charges ,"1,796.05",percent of total billed charges ,"1,690.40",percent of total billed charges ,"1,690.40",percent of total billed charges ,"1,479.10",percent of total billed charges ,"1,479.10",percent of total billed charges ,"1,267.80",percent of total billed charges ,"1,267.80",percent of total billed charges ,"1,267.80",percent of total billed charges ,"1,267.80",percent of total billed charges ,,,,,"1,124.12",percent of total billed charges ,,,,,"1,067.91",percent of total billed charges ,,,,,,,,,,,,,,,,,,,485.99,percent of total billed charges,,,485.99,percent of total billed charges,,,485.99,percent of total billed charges,,,485.99,percent of total billed charges,,,485.99,percent of total billed charges,,,485.99,percent of total billed charges,,,485.99,percent of total billed charges,,,485.99,percent of total billed charges,,,485.99,percent of total billed charges,,,485.99,percent of total billed charges,,,485.99,percent of total billed charges,
**SURGIPRO MESH 3X5 8-18-10,C1781,CDM,,,,both,,,762,762,175.26,762,762,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,601.98,percent of total billed charges,601.98,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 ,601.98,percent of total billed charges ,601.98,percent of total billed charges ,647.7,percent of total billed charges ,647.7,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 ,,,,,,,,,,,,,,,,,,,175.26,percent of total billed charges,,,175.26,percent of total billed charges,,,175.26,percent of total billed charges,,,175.26,percent of total billed charges,,,175.26,percent of total billed charges,,,175.26,percent of total billed charges,,,175.26,percent of total billed charges,,,175.26,percent of total billed charges,,,175.26,percent of total billed charges,,,175.26,percent of total billed charges,,,175.26,percent of total billed charges,
SCREW SCHANZ29443/48,C1713,CDM,,,,both,,,612,612,140.76,612,612,percent of total billed charges,612,percent of total billed charges,612,percent of total billed charges,612,percent of total billed charges,612,percent of total billed charges,612,percent of total billed charges,612,percent of total billed charges,612,percent of total billed charges,440.64,percent of total billed charges,440.64,percent of total billed charges,440.64,percent of total billed charges,440.64,percent of total billed charges,440.64,percent of total billed charges,440.64,percent of total billed charges,483.48,percent of total billed charges,483.48,percent of total billed charges,489.6,percent of total billed charges,489.6,percent of total billed charges,,,440.64,percent of total billed charges ,,,489.6,percent of total billed charges ,483.48,percent of total billed charges ,483.48,percent of total billed charges ,520.2,percent of total billed charges ,520.2,percent of total billed charges ,489.6,percent of total billed charges ,489.6,percent of total billed charges ,428.4,percent of total billed charges ,428.4,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 ,,,,,325.58,percent of total billed charges ,,,,,309.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,140.76,percent of total billed charges,,,140.76,percent of total billed charges,,,140.76,percent of total billed charges,,,140.76,percent of total billed charges,,,140.76,percent of total billed charges,,,140.76,percent of total billed charges,,,140.76,percent of total billed charges,,,140.76,percent of total billed charges,,,140.76,percent of total billed charges,,,140.76,percent of total billed charges,,,140.76,percent of total billed charges,
PLATE TIBIA SYNTHES 241.06 STAINLESS STE,C1713,CDM,,,,both,,,533,533,122.59,533,533,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,421.07,percent of total billed charges,421.07,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 ,421.07,percent of total billed charges ,421.07,percent of total billed charges ,453.05,percent of total billed charges ,453.05,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 ,,,,,,,,,,,,,,,,,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,
S STEEL WIRE,C1713,CDM,,,,both,,,239,239,54.97,239,239,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,188.81,percent of total billed charges,188.81,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 ,188.81,percent of total billed charges ,188.81,percent of total billed charges ,203.15,percent of total billed charges ,203.15,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 ,,,,,,,,,,,,,,,,,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,
LAG SCREW 100MM STD 1181-10-20/57,C1713,CDM,,,,both,,,"1,222.00","1,222.00",281.06,"1,222.00","1,222.00",percent of total billed charges,"1,222.00",percent of total billed charges,"1,222.00",percent of total billed charges,"1,222.00",percent of total billed charges,"1,222.00",percent of total billed charges,"1,222.00",percent of total billed charges,"1,222.00",percent of total billed charges,"1,222.00",percent of total billed charges,879.84,percent of total billed charges,879.84,percent of total billed charges,879.84,percent of total billed charges,879.84,percent of total billed charges,879.84,percent of total billed charges,879.84,percent of total billed charges,965.38,percent of total billed charges,965.38,percent of total billed charges,977.6,percent of total billed charges,977.6,percent of total billed charges,,,879.84,percent of total billed charges ,,,977.6,percent of total billed charges ,965.38,percent of total billed charges ,965.38,percent of total billed charges ,"1,038.70",percent of total billed charges ,"1,038.70",percent of total billed charges ,977.6,percent of total billed charges ,977.6,percent of total billed charges ,855.4,percent of total billed charges ,855.4,percent of total billed charges ,733.2,percent of total billed charges ,733.2,percent of total billed charges ,733.2,percent of total billed charges ,733.2,percent of total billed charges ,,,,,650.1,percent of total billed charges ,,,,,617.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,281.06,percent of total billed charges,,,281.06,percent of total billed charges,,,281.06,percent of total billed charges,,,281.06,percent of total billed charges,,,281.06,percent of total billed charges,,,281.06,percent of total billed charges,,,281.06,percent of total billed charges,,,281.06,percent of total billed charges,,,281.06,percent of total billed charges,,,281.06,percent of total billed charges,,,281.06,percent of total billed charges,
GUIDE WIRE SYNTHES 292.XXXXX,C1769,CDM,,,,both,,,318,318,73.14,318,318,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,251.22,percent of total billed charges,251.22,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 ,251.22,percent of total billed charges ,251.22,percent of total billed charges ,270.3,percent of total billed charges ,270.3,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 ,,,,,,,,,,,,,,,,,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,
PATELLA REAMER BLADE W/PILOT HOLE 26-51,C1713,CDM,,,,both,,,"1,194.00","1,194.00",274.62,"1,194.00","1,194.00",percent of total billed charges,"1,194.00",percent of total billed charges,"1,194.00",percent of total billed charges,"1,194.00",percent of total billed charges,"1,194.00",percent of total billed charges,"1,194.00",percent of total billed charges,"1,194.00",percent of total billed charges,"1,194.00",percent of total billed charges,859.68,percent of total billed charges,859.68,percent of total billed charges,859.68,percent of total billed charges,859.68,percent of total billed charges,859.68,percent of total billed charges,859.68,percent of total billed charges,943.26,percent of total billed charges,943.26,percent of total billed charges,955.2,percent of total billed charges,955.2,percent of total billed charges,,,859.68,percent of total billed charges ,,,955.2,percent of total billed charges ,943.26,percent of total billed charges ,943.26,percent of total billed charges ,"1,014.90",percent of total billed charges ,"1,014.90",percent of total billed charges ,955.2,percent of total billed charges ,955.2,percent of total billed charges ,835.8,percent of total billed charges ,835.8,percent of total billed charges ,716.4,percent of total billed charges ,716.4,percent of total billed charges ,716.4,percent of total billed charges ,716.4,percent of total billed charges ,,,,,635.21,percent of total billed charges ,,,,,603.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,274.62,percent of total billed charges,,,274.62,percent of total billed charges,,,274.62,percent of total billed charges,,,274.62,percent of total billed charges,,,274.62,percent of total billed charges,,,274.62,percent of total billed charges,,,274.62,percent of total billed charges,,,274.62,percent of total billed charges,,,274.62,percent of total billed charges,,,274.62,percent of total billed charges,,,274.62,percent of total billed charges,
VERS LOW DEMAND STEM,C1776,CDM,,,,both,,,"4,057.00","4,057.00",933.11,"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,"3,205.03",percent of total billed charges,"3,205.03",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 ,"3,205.03",percent of total billed charges ,"3,205.03",percent of total billed charges ,"3,448.45",percent of total billed charges ,"3,448.45",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 ,,,,,,,,,,,,,,,,,,,933.11,percent of total billed charges,,,933.11,percent of total billed charges,,,933.11,percent of total billed charges,,,933.11,percent of total billed charges,,,933.11,percent of total billed charges,,,933.11,percent of total billed charges,,,933.11,percent of total billed charges,,,933.11,percent of total billed charges,,,933.11,percent of total billed charges,,,933.11,percent of total billed charges,,,933.11,percent of total billed charges,
PLATE CLOVERLEAF SYNTHES 241.83,C1713,CDM,,,,both,,,"1,853.00","1,853.00",426.19,"1,853.00","1,853.00",percent of total billed charges,"1,853.00",percent of total billed charges,"1,853.00",percent of total billed charges,"1,853.00",percent of total billed charges,"1,853.00",percent of total billed charges,"1,853.00",percent of total billed charges,"1,853.00",percent of total billed charges,"1,853.00",percent of total billed charges,"1,334.16",percent of total billed charges,"1,334.16",percent of total billed charges,"1,334.16",percent of total billed charges,"1,334.16",percent of total billed charges,"1,334.16",percent of total billed charges,"1,334.16",percent of total billed charges,"1,463.87",percent of total billed charges,"1,463.87",percent of total billed charges,"1,482.40",percent of total billed charges,"1,482.40",percent of total billed charges,,,"1,334.16",percent of total billed charges ,,,"1,482.40",percent of total billed charges ,"1,463.87",percent of total billed charges ,"1,463.87",percent of total billed charges ,"1,575.05",percent of total billed charges ,"1,575.05",percent of total billed charges ,"1,482.40",percent of total billed charges ,"1,482.40",percent of total billed charges ,"1,297.10",percent of total billed charges ,"1,297.10",percent of total billed charges ,"1,111.80",percent of total billed charges ,"1,111.80",percent of total billed charges ,"1,111.80",percent of total billed charges ,"1,111.80",percent of total billed charges ,,,,,985.8,percent of total billed charges ,,,,,936.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,426.19,percent of total billed charges,,,426.19,percent of total billed charges,,,426.19,percent of total billed charges,,,426.19,percent of total billed charges,,,426.19,percent of total billed charges,,,426.19,percent of total billed charges,,,426.19,percent of total billed charges,,,426.19,percent of total billed charges,,,426.19,percent of total billed charges,,,426.19,percent of total billed charges,,,426.19,percent of total billed charges,
TIBIAL INSERT DEPUY,C1776,CDM,,,,both,,,"4,481.00","4,481.00","1,030.63","4,481.00","4,481.00",percent of total billed charges,"4,481.00",percent of total billed charges,"4,481.00",percent of total billed charges,"4,481.00",percent of total billed charges,"4,481.00",percent of total billed charges,"4,481.00",percent of total billed charges,"4,481.00",percent of total billed charges,"4,481.00",percent of total billed charges,"3,226.32",percent of total billed charges,"3,226.32",percent of total billed charges,"3,226.32",percent of total billed charges,"3,226.32",percent of total billed charges,"3,226.32",percent of total billed charges,"3,226.32",percent of total billed charges,"3,539.99",percent of total billed charges,"3,539.99",percent of total billed charges,"3,584.80",percent of total billed charges,"3,584.80",percent of total billed charges,,,"3,226.32",percent of total billed charges ,,,"3,584.80",percent of total billed charges ,"3,539.99",percent of total billed charges ,"3,539.99",percent of total billed charges ,"3,808.85",percent of total billed charges ,"3,808.85",percent of total billed charges ,"3,584.80",percent of total billed charges ,"3,584.80",percent of total billed charges ,"3,136.70",percent of total billed charges ,"3,136.70",percent of total billed charges ,"2,688.60",percent of total billed charges ,"2,688.60",percent of total billed charges ,"2,688.60",percent of total billed charges ,"2,688.60",percent of total billed charges ,,,,,"2,383.89",percent of total billed charges ,,,,,"2,264.70",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,030.63",percent of total billed charges,,,"1,030.63",percent of total billed charges,,,"1,030.63",percent of total billed charges,,,"1,030.63",percent of total billed charges,,,"1,030.63",percent of total billed charges,,,"1,030.63",percent of total billed charges,,,"1,030.63",percent of total billed charges,,,"1,030.63",percent of total billed charges,,,"1,030.63",percent of total billed charges,,,"1,030.63",percent of total billed charges,,,"1,030.63",percent of total billed charges,
SCREW 3.5 CORTEX SYNTHES 204.010-120,C1713,CDM,,,,both,,,134,134,30.82,134,134,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,105.86,percent of total billed charges,105.86,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 ,105.86,percent of total billed charges ,105.86,percent of total billed charges ,113.9,percent of total billed charges ,113.9,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,30.82,percent of total billed charges,,,30.82,percent of total billed charges,,,30.82,percent of total billed charges,
TIBIAL TRAY DEPUY,278,RC,00906-99-0441,NDC,,both,,,"6,021.00","6,021.00","1,384.83","6,021.00","6,021.00",percent of total billed charges,"6,021.00",percent of total billed charges,"6,021.00",percent of total billed charges,"6,021.00",percent of total billed charges,"6,021.00",percent of total billed charges,"6,021.00",percent of total billed charges,"6,021.00",percent of total billed charges,"6,021.00",percent of total billed charges,"4,335.12",percent of total billed charges,"4,335.12",percent of total billed charges,"4,335.12",percent of total billed charges,"4,335.12",percent of total billed charges,"4,335.12",percent of total billed charges,"4,335.12",percent of total billed charges,"4,756.59",percent of total billed charges,"4,756.59",percent of total billed charges,"4,816.80",percent of total billed charges,"4,816.80",percent of total billed charges,,,"4,335.12",percent of total billed charges ,,,"4,816.80",percent of total billed charges ,"4,756.59",percent of total billed charges ,"4,756.59",percent of total billed charges ,"5,117.85",percent of total billed charges ,"5,117.85",percent of total billed charges ,"4,816.80",percent of total billed charges ,"4,816.80",percent of total billed charges ,"4,214.70",percent of total billed charges ,"4,214.70",percent of total billed charges ,"3,612.60",percent of total billed charges ,"3,612.60",percent of total billed charges ,"3,612.60",percent of total billed charges ,"3,612.60",percent of total billed charges ,,,,,"3,203.17",percent of total billed charges ,,,,,"3,043.01",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,384.83",percent of total billed charges,,,"1,384.83",percent of total billed charges,,,"1,384.83",percent of total billed charges,,,"1,384.83",percent of total billed charges,,,"1,384.83",percent of total billed charges,,,"1,384.83",percent of total billed charges,,,"1,384.83",percent of total billed charges,,,"1,384.83",percent of total billed charges,,,"1,384.83",percent of total billed charges,,,"1,384.83",percent of total billed charges,,,"1,384.83",percent of total billed charges,
PLATE 1/3 TUB 2-4H,C1713,CDM,,,,both,,,475,475,109.25,475,475,percent of total billed charges,475,percent of total billed charges,475,percent of total billed charges,475,percent of total billed charges,475,percent of total billed charges,475,percent of total billed charges,475,percent of total billed charges,475,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,375.25,percent of total billed charges,375.25,percent of total billed charges,380,percent of total billed charges,380,percent of total billed charges,,,342,percent of total billed charges ,,,380,percent of total billed charges ,375.25,percent of total billed charges ,375.25,percent of total billed charges ,403.75,percent of total billed charges ,403.75,percent of total billed charges ,380,percent of total billed charges ,380,percent of total billed charges ,332.5,percent of total billed charges ,332.5,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 ,,,,,252.7,percent of total billed charges ,,,,,240.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,109.25,percent of total billed charges,,,109.25,percent of total billed charges,,,109.25,percent of total billed charges,,,109.25,percent of total billed charges,,,109.25,percent of total billed charges,,,109.25,percent of total billed charges,,,109.25,percent of total billed charges,,,109.25,percent of total billed charges,,,109.25,percent of total billed charges,,,109.25,percent of total billed charges,,,109.25,percent of total billed charges,
LOCK PIN 1181-100-110,C1713,CDM,,,,both,,,480,480,110.4,480,480,percent of total billed charges,480,percent of total billed charges,480,percent of total billed charges,480,percent of total billed charges,480,percent of total billed charges,480,percent of total billed charges,480,percent of total billed charges,480,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,345.6,percent of total billed charges,345.6,percent of total billed charges,379.2,percent of total billed charges,379.2,percent of total billed charges,384,percent of total billed charges,384,percent of total billed charges,,,345.6,percent of total billed charges ,,,384,percent of total billed charges ,379.2,percent of total billed charges ,379.2,percent of total billed charges ,408,percent of total billed charges ,408,percent of total billed charges ,384,percent of total billed charges ,384,percent of total billed charges ,336,percent of total billed charges ,336,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 ,,,,,255.36,percent of total billed charges ,,,,,242.59,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,,,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,,,110.4,percent of total billed charges,,,110.4,percent of total billed charges,,,110.4,percent of total billed charges,
PLATE 8 HOLE 90*,C1713,CDM,,,,both,,,"2,278.00","2,278.00",523.94,"2,278.00","2,278.00",percent of total billed charges,"2,278.00",percent of total billed charges,"2,278.00",percent of total billed charges,"2,278.00",percent of total billed charges,"2,278.00",percent of total billed charges,"2,278.00",percent of total billed charges,"2,278.00",percent of total billed charges,"2,278.00",percent of total billed charges,"1,640.16",percent of total billed charges,"1,640.16",percent of total billed charges,"1,640.16",percent of total billed charges,"1,640.16",percent of total billed charges,"1,640.16",percent of total billed charges,"1,640.16",percent of total billed charges,"1,799.62",percent of total billed charges,"1,799.62",percent of total billed charges,"1,822.40",percent of total billed charges,"1,822.40",percent of total billed charges,,,"1,640.16",percent of total billed charges ,,,"1,822.40",percent of total billed charges ,"1,799.62",percent of total billed charges ,"1,799.62",percent of total billed charges ,"1,936.30",percent of total billed charges ,"1,936.30",percent of total billed charges ,"1,822.40",percent of total billed charges ,"1,822.40",percent of total billed charges ,"1,594.60",percent of total billed charges ,"1,594.60",percent of total billed charges ,"1,366.80",percent of total billed charges ,"1,366.80",percent of total billed charges ,"1,366.80",percent of total billed charges ,"1,366.80",percent of total billed charges ,,,,,"1,211.90",percent of total billed charges ,,,,,"1,151.30",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,,,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,
FEMORAL COMPONENT DEPUY,C1776,CDM,,,,both,,,"10,684.00","10,684.00","2,457.32","10,684.00","10,684.00",percent of total billed charges,"10,684.00",percent of total billed charges,"10,684.00",percent of total billed charges,"10,684.00",percent of total billed charges,"10,684.00",percent of total billed charges,"10,684.00",percent of total billed charges,"10,684.00",percent of total billed charges,"10,684.00",percent of total billed charges,"7,692.48",percent of total billed charges,"7,692.48",percent of total billed charges,"7,692.48",percent of total billed charges,"7,692.48",percent of total billed charges,"7,692.48",percent of total billed charges,"7,692.48",percent of total billed charges,"8,440.36",percent of total billed charges,"8,440.36",percent of total billed charges,"8,547.20",percent of total billed charges,"8,547.20",percent of total billed charges,,,"7,692.48",percent of total billed charges ,,,"8,547.20",percent of total billed charges ,"8,440.36",percent of total billed charges ,"8,440.36",percent of total billed charges ,"9,081.40",percent of total billed charges ,"9,081.40",percent of total billed charges ,"8,547.20",percent of total billed charges ,"8,547.20",percent of total billed charges ,"7,478.80",percent of total billed charges ,"7,478.80",percent of total billed charges ,"6,410.40",percent of total billed charges ,"6,410.40",percent of total billed charges ,"6,410.40",percent of total billed charges ,"6,410.40",percent of total billed charges ,,,,,"5,683.89",percent of total billed charges ,,,,,"5,399.69",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,457.32",percent of total billed charges,,,"2,457.32",percent of total billed charges,,,"2,457.32",percent of total billed charges,,,"2,457.32",percent of total billed charges,,,"2,457.32",percent of total billed charges,,,"2,457.32",percent of total billed charges,,,"2,457.32",percent of total billed charges,,,"2,457.32",percent of total billed charges,,,"2,457.32",percent of total billed charges,,,"2,457.32",percent of total billed charges,,,"2,457.32",percent of total billed charges,
SCREW 1.5 MODULAR HAND SET SYNTHES,C1713,CDM,,,,both,,,511,511,117.53,511,511,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,403.69,percent of total billed charges,403.69,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 ,403.69,percent of total billed charges ,403.69,percent of total billed charges ,434.35,percent of total billed charges ,434.35,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 ,,,,,,,,,,,,,,,,,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,
SCREW BIO,C1713,CDM,,,,both,,,"1,720.00","1,720.00",395.6,"1,720.00","1,720.00",percent of total billed charges,"1,720.00",percent of total billed charges,"1,720.00",percent of total billed charges,"1,720.00",percent of total billed charges,"1,720.00",percent of total billed charges,"1,720.00",percent of total billed charges,"1,720.00",percent of total billed charges,"1,720.00",percent of total billed charges,"1,238.40",percent of total billed charges,"1,238.40",percent of total billed charges,"1,238.40",percent of total billed charges,"1,238.40",percent of total billed charges,"1,238.40",percent of total billed charges,"1,238.40",percent of total billed charges,"1,358.80",percent of total billed charges,"1,358.80",percent of total billed charges,"1,376.00",percent of total billed charges,"1,376.00",percent of total billed charges,,,"1,238.40",percent of total billed charges ,,,"1,376.00",percent of total billed charges ,"1,358.80",percent of total billed charges ,"1,358.80",percent of total billed charges ,"1,462.00",percent of total billed charges ,"1,462.00",percent of total billed charges ,"1,376.00",percent of total billed charges ,"1,376.00",percent of total billed charges ,"1,204.00",percent of total billed charges ,"1,204.00",percent of total billed charges ,"1,032.00",percent of total billed charges ,"1,032.00",percent of total billed charges ,"1,032.00",percent of total billed charges ,"1,032.00",percent of total billed charges ,,,,,915.04,percent of total billed charges ,,,,,869.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,395.6,percent of total billed charges,,,395.6,percent of total billed charges,,,395.6,percent of total billed charges,,,395.6,percent of total billed charges,,,395.6,percent of total billed charges,,,395.6,percent of total billed charges,,,395.6,percent of total billed charges,,,395.6,percent of total billed charges,,,395.6,percent of total billed charges,,,395.6,percent of total billed charges,,,395.6,percent of total billed charges,
HIP MOORE STEM REG/NARROW,C1713,CDM,,,,both,,,"7,842.00","7,842.00","1,803.66","7,842.00","7,842.00",percent of total billed charges,"7,842.00",percent of total billed charges,"7,842.00",percent of total billed charges,"7,842.00",percent of total billed charges,"7,842.00",percent of total billed charges,"7,842.00",percent of total billed charges,"7,842.00",percent of total billed charges,"7,842.00",percent of total billed charges,"5,646.24",percent of total billed charges,"5,646.24",percent of total billed charges,"5,646.24",percent of total billed charges,"5,646.24",percent of total billed charges,"5,646.24",percent of total billed charges,"5,646.24",percent of total billed charges,"6,195.18",percent of total billed charges,"6,195.18",percent of total billed charges,"6,273.60",percent of total billed charges,"6,273.60",percent of total billed charges,,,"5,646.24",percent of total billed charges ,,,"6,273.60",percent of total billed charges ,"6,195.18",percent of total billed charges ,"6,195.18",percent of total billed charges ,"6,665.70",percent of total billed charges ,"6,665.70",percent of total billed charges ,"6,273.60",percent of total billed charges ,"6,273.60",percent of total billed charges ,"5,489.40",percent of total billed charges ,"5,489.40",percent of total billed charges ,"4,705.20",percent of total billed charges ,"4,705.20",percent of total billed charges ,"4,705.20",percent of total billed charges ,"4,705.20",percent of total billed charges ,,,,,"4,171.94",percent of total billed charges ,,,,,"3,963.35",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,803.66",percent of total billed charges,,,"1,803.66",percent of total billed charges,,,"1,803.66",percent of total billed charges,,,"1,803.66",percent of total billed charges,,,"1,803.66",percent of total billed charges,,,"1,803.66",percent of total billed charges,,,"1,803.66",percent of total billed charges,,,"1,803.66",percent of total billed charges,,,"1,803.66",percent of total billed charges,,,"1,803.66",percent of total billed charges,,,"1,803.66",percent of total billed charges,
SCREW 7.3 209620950,C1713,CDM,,,,both,,,"1,426.00","1,426.00",327.98,"1,426.00","1,426.00",percent of total billed charges,"1,426.00",percent of total billed charges,"1,426.00",percent of total billed charges,"1,426.00",percent of total billed charges,"1,426.00",percent of total billed charges,"1,426.00",percent of total billed charges,"1,426.00",percent of total billed charges,"1,426.00",percent of total billed charges,"1,026.72",percent of total billed charges,"1,026.72",percent of total billed charges,"1,026.72",percent of total billed charges,"1,026.72",percent of total billed charges,"1,026.72",percent of total billed charges,"1,026.72",percent of total billed charges,"1,126.54",percent of total billed charges,"1,126.54",percent of total billed charges,"1,140.80",percent of total billed charges,"1,140.80",percent of total billed charges,,,"1,026.72",percent of total billed charges ,,,"1,140.80",percent of total billed charges ,"1,126.54",percent of total billed charges ,"1,126.54",percent of total billed charges ,"1,212.10",percent of total billed charges ,"1,212.10",percent of total billed charges ,"1,140.80",percent of total billed charges ,"1,140.80",percent of total billed charges ,998.2,percent of total billed charges ,998.2,percent of total billed charges ,855.6,percent of total billed charges ,855.6,percent of total billed charges ,855.6,percent of total billed charges ,855.6,percent of total billed charges ,,,,,758.63,percent of total billed charges ,,,,,720.7,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,,,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,
PLATE 1/3 TUB 5H,C1713,CDM,,,,both,,,541,541,124.43,541,541,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,427.39,percent of total billed charges,427.39,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 ,427.39,percent of total billed charges ,427.39,percent of total billed charges ,459.85,percent of total billed charges ,459.85,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 ,,,,,,,,,,,,,,,,,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,
SS 6.5 CANCEL SCREW,C1713,CDM,,,,both,,,227,227,52.21,227,227,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,179.33,percent of total billed charges,179.33,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 ,179.33,percent of total billed charges ,179.33,percent of total billed charges ,192.95,percent of total billed charges ,192.95,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 ,,,,,,,,,,,,,,,,,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,
PLATE 3.5 DCPS-8H SYNTHES,C1713,CDM,,,,both,,,"1,072.00","1,072.00",246.56,"1,072.00","1,072.00",percent of total billed charges,"1,072.00",percent of total billed charges,"1,072.00",percent of total billed charges,"1,072.00",percent of total billed charges,"1,072.00",percent of total billed charges,"1,072.00",percent of total billed charges,"1,072.00",percent of total billed charges,"1,072.00",percent of total billed charges,771.84,percent of total billed charges,771.84,percent of total billed charges,771.84,percent of total billed charges,771.84,percent of total billed charges,771.84,percent of total billed charges,771.84,percent of total billed charges,846.88,percent of total billed charges,846.88,percent of total billed charges,857.6,percent of total billed charges,857.6,percent of total billed charges,,,771.84,percent of total billed charges ,,,857.6,percent of total billed charges ,846.88,percent of total billed charges ,846.88,percent of total billed charges ,911.2,percent of total billed charges ,911.2,percent of total billed charges ,857.6,percent of total billed charges ,857.6,percent of total billed charges ,750.4,percent of total billed charges ,750.4,percent of total billed charges ,643.2,percent of total billed charges ,643.2,percent of total billed charges ,643.2,percent of total billed charges ,643.2,percent of total billed charges ,,,,,570.3,percent of total billed charges ,,,,,541.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,246.56,percent of total billed charges,,,246.56,percent of total billed charges,,,246.56,percent of total billed charges,,,246.56,percent of total billed charges,,,246.56,percent of total billed charges,,,246.56,percent of total billed charges,,,246.56,percent of total billed charges,,,246.56,percent of total billed charges,,,246.56,percent of total billed charges,,,246.56,percent of total billed charges,,,246.56,percent of total billed charges,
SCREW 3.5 CORTEX SELF TAPPING SYNTHES,C1713,CDM,,,,both,,,223,223,51.29,223,223,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,176.17,percent of total billed charges,176.17,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 ,176.17,percent of total billed charges ,176.17,percent of total billed charges ,189.55,percent of total billed charges ,189.55,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 ,,,,,,,,,,,,,,,,,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,
BONE POLY PLUG 8011,C1713,CDM,,,,both,,,"1,090.00","1,090.00",250.7,"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,861.1,percent of total billed charges,861.1,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 ,861.1,percent of total billed charges ,861.1,percent of total billed charges ,926.5,percent of total billed charges ,926.5,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 ,,,,,,,,,,,,,,,,,,,250.7,percent of total billed charges,,,250.7,percent of total billed charges,,,250.7,percent of total billed charges,,,250.7,percent of total billed charges,,,250.7,percent of total billed charges,,,250.7,percent of total billed charges,,,250.7,percent of total billed charges,,,250.7,percent of total billed charges,,,250.7,percent of total billed charges,,,250.7,percent of total billed charges,,,250.7,percent of total billed charges,
PLT SM FRAG 6 2429,C1713,CDM,,,,both,,,560,560,128.8,560,560,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,442.4,percent of total billed charges,442.4,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 ,442.4,percent of total billed charges ,442.4,percent of total billed charges ,476,percent of total billed charges ,476,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 ,,,,,,,,,,,,,,,,,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,
TIB BEARING,C1776,CDM,,,,both,,,"4,813.00","4,813.00","1,106.99","4,813.00","4,813.00",percent of total billed charges,"4,813.00",percent of total billed charges,"4,813.00",percent of total billed charges,"4,813.00",percent of total billed charges,"4,813.00",percent of total billed charges,"4,813.00",percent of total billed charges,"4,813.00",percent of total billed charges,"4,813.00",percent of total billed charges,"3,465.36",percent of total billed charges,"3,465.36",percent of total billed charges,"3,465.36",percent of total billed charges,"3,465.36",percent of total billed charges,"3,465.36",percent of total billed charges,"3,465.36",percent of total billed charges,"3,802.27",percent of total billed charges,"3,802.27",percent of total billed charges,"3,850.40",percent of total billed charges,"3,850.40",percent of total billed charges,,,"3,465.36",percent of total billed charges ,,,"3,850.40",percent of total billed charges ,"3,802.27",percent of total billed charges ,"3,802.27",percent of total billed charges ,"4,091.05",percent of total billed charges ,"4,091.05",percent of total billed charges ,"3,850.40",percent of total billed charges ,"3,850.40",percent of total billed charges ,"3,369.10",percent of total billed charges ,"3,369.10",percent of total billed charges ,"2,887.80",percent of total billed charges ,"2,887.80",percent of total billed charges ,"2,887.80",percent of total billed charges ,"2,887.80",percent of total billed charges ,,,,,"2,560.52",percent of total billed charges ,,,,,"2,432.49",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,106.99",percent of total billed charges,,,"1,106.99",percent of total billed charges,,,"1,106.99",percent of total billed charges,,,"1,106.99",percent of total billed charges,,,"1,106.99",percent of total billed charges,,,"1,106.99",percent of total billed charges,,,"1,106.99",percent of total billed charges,,,"1,106.99",percent of total billed charges,,,"1,106.99",percent of total billed charges,,,"1,106.99",percent of total billed charges,,,"1,106.99",percent of total billed charges,
PATELLA BUTT,C1776,CDM,,,,both,,,"3,613.00","3,613.00",830.99,"3,613.00","3,613.00",percent of total billed charges,"3,613.00",percent of total billed charges,"3,613.00",percent of total billed charges,"3,613.00",percent of total billed charges,"3,613.00",percent of total billed charges,"3,613.00",percent of total billed charges,"3,613.00",percent of total billed charges,"3,613.00",percent of total billed charges,"2,601.36",percent of total billed charges,"2,601.36",percent of total billed charges,"2,601.36",percent of total billed charges,"2,601.36",percent of total billed charges,"2,601.36",percent of total billed charges,"2,601.36",percent of total billed charges,"2,854.27",percent of total billed charges,"2,854.27",percent of total billed charges,"2,890.40",percent of total billed charges,"2,890.40",percent of total billed charges,,,"2,601.36",percent of total billed charges ,,,"2,890.40",percent of total billed charges ,"2,854.27",percent of total billed charges ,"2,854.27",percent of total billed charges ,"3,071.05",percent of total billed charges ,"3,071.05",percent of total billed charges ,"2,890.40",percent of total billed charges ,"2,890.40",percent of total billed charges ,"2,529.10",percent of total billed charges ,"2,529.10",percent of total billed charges ,"2,167.80",percent of total billed charges ,"2,167.80",percent of total billed charges ,"2,167.80",percent of total billed charges ,"2,167.80",percent of total billed charges ,,,,,"1,922.12",percent of total billed charges ,,,,,"1,826.01",percent of total billed charges ,,,,,,,,,,,,,,,,,,,830.99,percent of total billed charges,,,830.99,percent of total billed charges,,,830.99,percent of total billed charges,,,830.99,percent of total billed charges,,,830.99,percent of total billed charges,,,830.99,percent of total billed charges,,,830.99,percent of total billed charges,,,830.99,percent of total billed charges,,,830.99,percent of total billed charges,,,830.99,percent of total billed charges,,,830.99,percent of total billed charges,
TIB PLATE,C1776,CDM,,,,both,,,"5,466.00","5,466.00","1,257.18","5,466.00","5,466.00",percent of total billed charges,"5,466.00",percent of total billed charges,"5,466.00",percent of total billed charges,"5,466.00",percent of total billed charges,"5,466.00",percent of total billed charges,"5,466.00",percent of total billed charges,"5,466.00",percent of total billed charges,"5,466.00",percent of total billed charges,"3,935.52",percent of total billed charges,"3,935.52",percent of total billed charges,"3,935.52",percent of total billed charges,"3,935.52",percent of total billed charges,"3,935.52",percent of total billed charges,"3,935.52",percent of total billed charges,"4,318.14",percent of total billed charges,"4,318.14",percent of total billed charges,"4,372.80",percent of total billed charges,"4,372.80",percent of total billed charges,,,"3,935.52",percent of total billed charges ,,,"4,372.80",percent of total billed charges ,"4,318.14",percent of total billed charges ,"4,318.14",percent of total billed charges ,"4,646.10",percent of total billed charges ,"4,646.10",percent of total billed charges ,"4,372.80",percent of total billed charges ,"4,372.80",percent of total billed charges ,"3,826.20",percent of total billed charges ,"3,826.20",percent of total billed charges ,"3,279.60",percent of total billed charges ,"3,279.60",percent of total billed charges ,"3,279.60",percent of total billed charges ,"3,279.60",percent of total billed charges ,,,,,"2,907.91",percent of total billed charges ,,,,,"2,762.52",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,257.18",percent of total billed charges,,,"1,257.18",percent of total billed charges,,,"1,257.18",percent of total billed charges,,,"1,257.18",percent of total billed charges,,,"1,257.18",percent of total billed charges,,,"1,257.18",percent of total billed charges,,,"1,257.18",percent of total billed charges,,,"1,257.18",percent of total billed charges,,,"1,257.18",percent of total billed charges,,,"1,257.18",percent of total billed charges,,,"1,257.18",percent of total billed charges,
PLATE L 4 HOLE,C1713,CDM,,,,both,,,"1,200.00","1,200.00",276,"1,200.00","1,200.00",percent of total billed charges,"1,200.00",percent of total billed charges,"1,200.00",percent of total billed charges,"1,200.00",percent of total billed charges,"1,200.00",percent of total billed charges,"1,200.00",percent of total billed charges,"1,200.00",percent of total billed charges,"1,200.00",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,864,percent of total billed charges,864,percent of total billed charges,948,percent of total billed charges,948,percent of total billed charges,960,percent of total billed charges,960,percent of total billed charges,,,864,percent of total billed charges ,,,960,percent of total billed charges ,948,percent of total billed charges ,948,percent of total billed charges ,"1,020.00",percent of total billed charges ,"1,020.00",percent of total billed charges ,960,percent of total billed charges ,960,percent of total billed charges ,840,percent of total billed charges ,840,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 ,,,,,638.4,percent of total billed charges ,,,,,606.48,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,,,276,percent of total billed charges,,,276,percent of total billed charges,,,276,percent of total billed charges,,,276,percent of total billed charges,
PLATE BROAD 10 HOLE,C1713,CDM,,,,both,,,932,932,214.36,932,932,percent of total billed charges,932,percent of total billed charges,932,percent of total billed charges,932,percent of total billed charges,932,percent of total billed charges,932,percent of total billed charges,932,percent of total billed charges,932,percent of total billed charges,671.04,percent of total billed charges,671.04,percent of total billed charges,671.04,percent of total billed charges,671.04,percent of total billed charges,671.04,percent of total billed charges,671.04,percent of total billed charges,736.28,percent of total billed charges,736.28,percent of total billed charges,745.6,percent of total billed charges,745.6,percent of total billed charges,,,671.04,percent of total billed charges ,,,745.6,percent of total billed charges ,736.28,percent of total billed charges ,736.28,percent of total billed charges ,792.2,percent of total billed charges ,792.2,percent of total billed charges ,745.6,percent of total billed charges ,745.6,percent of total billed charges ,652.4,percent of total billed charges ,652.4,percent of total billed charges ,559.2,percent of total billed charges ,559.2,percent of total billed charges ,559.2,percent of total billed charges ,559.2,percent of total billed charges ,,,,,495.82,percent of total billed charges ,,,,,471.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,214.36,percent of total billed charges,,,214.36,percent of total billed charges,,,214.36,percent of total billed charges,,,214.36,percent of total billed charges,,,214.36,percent of total billed charges,,,214.36,percent of total billed charges,,,214.36,percent of total billed charges,,,214.36,percent of total billed charges,,,214.36,percent of total billed charges,,,214.36,percent of total billed charges,,,214.36,percent of total billed charges,
PLT SM FRAG 8 2429,C1713,CDM,,,,both,,,605,605,139.15,605,605,percent of total billed charges,605,percent of total billed charges,605,percent of total billed charges,605,percent of total billed charges,605,percent of total billed charges,605,percent of total billed charges,605,percent of total billed charges,605,percent of total billed charges,435.6,percent of total billed charges,435.6,percent of total billed charges,435.6,percent of total billed charges,435.6,percent of total billed charges,435.6,percent of total billed charges,435.6,percent of total billed charges,477.95,percent of total billed charges,477.95,percent of total billed charges,484,percent of total billed charges,484,percent of total billed charges,,,435.6,percent of total billed charges ,,,484,percent of total billed charges ,477.95,percent of total billed charges ,477.95,percent of total billed charges ,514.25,percent of total billed charges ,514.25,percent of total billed charges ,484,percent of total billed charges ,484,percent of total billed charges ,423.5,percent of total billed charges ,423.5,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 ,,,,,321.86,percent of total billed charges ,,,,,305.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,
SCRW MALLEOLOR 2334,C1713,CDM,,,,both,,,146,146,33.58,146,146,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,115.34,percent of total billed charges,115.34,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 ,115.34,percent of total billed charges ,115.34,percent of total billed charges ,124.1,percent of total billed charges ,124.1,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 ,,,,,,,,,,,,,,,,,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,
PLT SM FRAG 7 2429,C1713,CDM,,,,both,,,614,614,141.22,614,614,percent of total billed charges,614,percent of total billed charges,614,percent of total billed charges,614,percent of total billed charges,614,percent of total billed charges,614,percent of total billed charges,614,percent of total billed charges,614,percent of total billed charges,442.08,percent of total billed charges,442.08,percent of total billed charges,442.08,percent of total billed charges,442.08,percent of total billed charges,442.08,percent of total billed charges,442.08,percent of total billed charges,485.06,percent of total billed charges,485.06,percent of total billed charges,491.2,percent of total billed charges,491.2,percent of total billed charges,,,442.08,percent of total billed charges ,,,491.2,percent of total billed charges ,485.06,percent of total billed charges ,485.06,percent of total billed charges ,521.9,percent of total billed charges ,521.9,percent of total billed charges ,491.2,percent of total billed charges ,491.2,percent of total billed charges ,429.8,percent of total billed charges ,429.8,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 ,,,,,326.65,percent of total billed charges ,,,,,310.32,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,,,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,
SCRW CORTICAL 2350,C1713,CDM,,,,both,,,78,78,17.94,78,78,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,61.62,percent of total billed charges,61.62,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 ,61.62,percent of total billed charges ,61.62,percent of total billed charges ,66.3,percent of total billed charges ,66.3,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 ,,,,,,,,,,,,,,,,,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,
PL SM FRAG 7 HL 2361,C1713,CDM,,,,both,,,278,278,63.94,278,278,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,219.62,percent of total billed charges,219.62,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 ,219.62,percent of total billed charges ,219.62,percent of total billed charges ,236.3,percent of total billed charges ,236.3,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
SCRW CANCELLOUS 2322,C1713,CDM,,,,both,,,82,82,18.86,82,82,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,64.78,percent of total billed charges,64.78,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 ,64.78,percent of total billed charges ,64.78,percent of total billed charges ,69.7,percent of total billed charges ,69.7,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
SCREW EUROPEON 2319,C1713,CDM,,,,both,,,134,134,30.82,134,134,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,105.86,percent of total billed charges,105.86,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 ,105.86,percent of total billed charges ,105.86,percent of total billed charges ,113.9,percent of total billed charges ,113.9,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,30.82,percent of total billed charges,,,30.82,percent of total billed charges,,,30.82,percent of total billed charges,
SCRW CANCELLOUS,C1713,CDM,,,,both,,,79,79,18.17,79,79,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,62.41,percent of total billed charges,62.41,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 ,62.41,percent of total billed charges ,62.41,percent of total billed charges ,67.15,percent of total billed charges ,67.15,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 ,,,,,,,,,,,,,,,,,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,
INTERLOCK SCREW 2236,C1713,CDM,,,,both,,,816,816,187.68,816,816,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,816,percent of total billed charges,816,percent of total billed charges,816,percent of total billed charges,587.52,percent of total billed charges,587.52,percent of total billed charges,587.52,percent of total billed charges,587.52,percent of total billed charges,587.52,percent of total billed charges,587.52,percent of total billed charges,644.64,percent of total billed charges,644.64,percent of total billed charges,652.8,percent of total billed charges,652.8,percent of total billed charges,,,587.52,percent of total billed charges ,,,652.8,percent of total billed charges ,644.64,percent of total billed charges ,644.64,percent of total billed charges ,693.6,percent of total billed charges ,693.6,percent of total billed charges ,652.8,percent of total billed charges ,652.8,percent of total billed charges ,571.2,percent of total billed charges ,571.2,percent of total billed charges ,489.6,percent of total billed charges ,489.6,percent of total billed charges ,489.6,percent of total billed charges ,489.6,percent of total billed charges ,,,,,434.11,percent of total billed charges ,,,,,412.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,187.68,percent of total billed charges,,,187.68,percent of total billed charges,,,187.68,percent of total billed charges,,,187.68,percent of total billed charges,,,187.68,percent of total billed charges,,,187.68,percent of total billed charges,,,187.68,percent of total billed charges,,,187.68,percent of total billed charges,,,187.68,percent of total billed charges,,,187.68,percent of total billed charges,,,187.68,percent of total billed charges,
**GORTEX GRAFT 1/4  2MM 8-18-10,C1762,CDM,,,,both,,,"3,059.00","3,059.00",703.57,"3,059.00","3,059.00",percent of total billed charges,"3,059.00",percent of total billed charges,"3,059.00",percent of total billed charges,"3,059.00",percent of total billed charges,"3,059.00",percent of total billed charges,"3,059.00",percent of total billed charges,"3,059.00",percent of total billed charges,"3,059.00",percent of total billed charges,"2,202.48",percent of total billed charges,"2,202.48",percent of total billed charges,"2,202.48",percent of total billed charges,"2,202.48",percent of total billed charges,"2,202.48",percent of total billed charges,"2,202.48",percent of total billed charges,"2,416.61",percent of total billed charges,"2,416.61",percent of total billed charges,"2,447.20",percent of total billed charges,"2,447.20",percent of total billed charges,,,"2,202.48",percent of total billed charges ,,,"2,447.20",percent of total billed charges ,"2,416.61",percent of total billed charges ,"2,416.61",percent of total billed charges ,"2,600.15",percent of total billed charges ,"2,600.15",percent of total billed charges ,"2,447.20",percent of total billed charges ,"2,447.20",percent of total billed charges ,"2,141.30",percent of total billed charges ,"2,141.30",percent of total billed charges ,"1,835.40",percent of total billed charges ,"1,835.40",percent of total billed charges ,"1,835.40",percent of total billed charges ,"1,835.40",percent of total billed charges ,,,,,"1,627.39",percent of total billed charges ,,,,,"1,546.02",percent of total billed charges ,,,,,,,,,,,,,,,,,,,703.57,percent of total billed charges,,,703.57,percent of total billed charges,,,703.57,percent of total billed charges,,,703.57,percent of total billed charges,,,703.57,percent of total billed charges,,,703.57,percent of total billed charges,,,703.57,percent of total billed charges,,,703.57,percent of total billed charges,,,703.57,percent of total billed charges,,,703.57,percent of total billed charges,,,703.57,percent of total billed charges,
GUIDE PINS 1181-20,C1769,CDM,,,,both,,,185,185,42.55,185,185,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,146.15,percent of total billed charges,146.15,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 ,146.15,percent of total billed charges ,146.15,percent of total billed charges ,157.25,percent of total billed charges ,157.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,42.55,percent of total billed charges,,,42.55,percent of total billed charges,,,42.55,percent of total billed charges,
STEM TIB NEXGEN OPTION SZ 3-8,C1776,CDM,,,,both,,,"13,732.00","13,732.00","3,158.36","13,732.00","13,732.00",percent of total billed charges,"13,732.00",percent of total billed charges,"13,732.00",percent of total billed charges,"13,732.00",percent of total billed charges,"13,732.00",percent of total billed charges,"13,732.00",percent of total billed charges,"13,732.00",percent of total billed charges,"13,732.00",percent of total billed charges,"9,887.04",percent of total billed charges,"9,887.04",percent of total billed charges,"9,887.04",percent of total billed charges,"9,887.04",percent of total billed charges,"9,887.04",percent of total billed charges,"9,887.04",percent of total billed charges,"10,848.28",percent of total billed charges,"10,848.28",percent of total billed charges,"10,985.60",percent of total billed charges,"10,985.60",percent of total billed charges,,,"9,887.04",percent of total billed charges ,,,"10,985.60",percent of total billed charges ,"10,848.28",percent of total billed charges ,"10,848.28",percent of total billed charges ,"11,672.20",percent of total billed charges ,"11,672.20",percent of total billed charges ,"10,985.60",percent of total billed charges ,"10,985.60",percent of total billed charges ,"9,612.40",percent of total billed charges ,"9,612.40",percent of total billed charges ,"8,239.20",percent of total billed charges ,"8,239.20",percent of total billed charges ,"8,239.20",percent of total billed charges ,"8,239.20",percent of total billed charges ,,,,,"7,305.42",percent of total billed charges ,,,,,"6,940.15",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,158.36",percent of total billed charges,,,"3,158.36",percent of total billed charges,,,"3,158.36",percent of total billed charges,,,"3,158.36",percent of total billed charges,,,"3,158.36",percent of total billed charges,,,"3,158.36",percent of total billed charges,,,"3,158.36",percent of total billed charges,,,"3,158.36",percent of total billed charges,,,"3,158.36",percent of total billed charges,,,"3,158.36",percent of total billed charges,,,"3,158.36",percent of total billed charges,
LINER 6105,278,RC,00906-99-0441,NDC,,both,,,"2,722.00","2,722.00",626.06,"2,722.00","2,722.00",percent of total billed charges,"2,722.00",percent of total billed charges,"2,722.00",percent of total billed charges,"2,722.00",percent of total billed charges,"2,722.00",percent of total billed charges,"2,722.00",percent of total billed charges,"2,722.00",percent of total billed charges,"2,722.00",percent of total billed charges,"1,959.84",percent of total billed charges,"1,959.84",percent of total billed charges,"1,959.84",percent of total billed charges,"1,959.84",percent of total billed charges,"1,959.84",percent of total billed charges,"1,959.84",percent of total billed charges,"2,150.38",percent of total billed charges,"2,150.38",percent of total billed charges,"2,177.60",percent of total billed charges,"2,177.60",percent of total billed charges,,,"1,959.84",percent of total billed charges ,,,"2,177.60",percent of total billed charges ,"2,150.38",percent of total billed charges ,"2,150.38",percent of total billed charges ,"2,313.70",percent of total billed charges ,"2,313.70",percent of total billed charges ,"2,177.60",percent of total billed charges ,"2,177.60",percent of total billed charges ,"1,905.40",percent of total billed charges ,"1,905.40",percent of total billed charges ,"1,633.20",percent of total billed charges ,"1,633.20",percent of total billed charges ,"1,633.20",percent of total billed charges ,"1,633.20",percent of total billed charges ,,,,,"1,448.10",percent of total billed charges ,,,,,"1,375.70",percent of total billed charges ,,,,,,,,,,,,,,,,,,,626.06,percent of total billed charges,,,626.06,percent of total billed charges,,,626.06,percent of total billed charges,,,626.06,percent of total billed charges,,,626.06,percent of total billed charges,,,626.06,percent of total billed charges,,,626.06,percent of total billed charges,,,626.06,percent of total billed charges,,,626.06,percent of total billed charges,,,626.06,percent of total billed charges,,,626.06,percent of total billed charges,
PLATE 1/3 TUB 6-12H,C1713,CDM,,,,both,,,"1,398.00","1,398.00",321.54,"1,398.00","1,398.00",percent of total billed charges,"1,398.00",percent of total billed charges,"1,398.00",percent of total billed charges,"1,398.00",percent of total billed charges,"1,398.00",percent of total billed charges,"1,398.00",percent of total billed charges,"1,398.00",percent of total billed charges,"1,398.00",percent of total billed charges,"1,006.56",percent of total billed charges,"1,006.56",percent of total billed charges,"1,006.56",percent of total billed charges,"1,006.56",percent of total billed charges,"1,006.56",percent of total billed charges,"1,006.56",percent of total billed charges,"1,104.42",percent of total billed charges,"1,104.42",percent of total billed charges,"1,118.40",percent of total billed charges,"1,118.40",percent of total billed charges,,,"1,006.56",percent of total billed charges ,,,"1,118.40",percent of total billed charges ,"1,104.42",percent of total billed charges ,"1,104.42",percent of total billed charges ,"1,188.30",percent of total billed charges ,"1,188.30",percent of total billed charges ,"1,118.40",percent of total billed charges ,"1,118.40",percent of total billed charges ,978.6,percent of total billed charges ,978.6,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 ,,,,,743.74,percent of total billed charges ,,,,,706.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,321.54,percent of total billed charges,,,321.54,percent of total billed charges,,,321.54,percent of total billed charges,,,321.54,percent of total billed charges,,,321.54,percent of total billed charges,,,321.54,percent of total billed charges,,,321.54,percent of total billed charges,,,321.54,percent of total billed charges,,,321.54,percent of total billed charges,,,321.54,percent of total billed charges,,,321.54,percent of total billed charges,
LINER 6120,278,RC,00906-99-0441,NDC,,both,,,"2,805.00","2,805.00",645.15,"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,"2,215.95",percent of total billed charges,"2,215.95",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 ,"2,215.95",percent of total billed charges ,"2,215.95",percent of total billed charges ,"2,384.25",percent of total billed charges ,"2,384.25",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 ,,,,,,,,,,,,,,,,,,,645.15,percent of total billed charges,,,645.15,percent of total billed charges,,,645.15,percent of total billed charges,,,645.15,percent of total billed charges,,,645.15,percent of total billed charges,,,645.15,percent of total billed charges,,,645.15,percent of total billed charges,,,645.15,percent of total billed charges,,,645.15,percent of total billed charges,,,645.15,percent of total billed charges,,,645.15,percent of total billed charges,
PLATE WRIST FUSION 3TO8 HOLE,C1713,CDM,,,,both,,,"10,206.00","10,206.00","2,347.38","10,206.00","10,206.00",percent of total billed charges,"10,206.00",percent of total billed charges,"10,206.00",percent of total billed charges,"10,206.00",percent of total billed charges,"10,206.00",percent of total billed charges,"10,206.00",percent of total billed charges,"10,206.00",percent of total billed charges,"10,206.00",percent of total billed charges,"7,348.32",percent of total billed charges,"7,348.32",percent of total billed charges,"7,348.32",percent of total billed charges,"7,348.32",percent of total billed charges,"7,348.32",percent of total billed charges,"7,348.32",percent of total billed charges,"8,062.74",percent of total billed charges,"8,062.74",percent of total billed charges,"8,164.80",percent of total billed charges,"8,164.80",percent of total billed charges,,,"7,348.32",percent of total billed charges ,,,"8,164.80",percent of total billed charges ,"8,062.74",percent of total billed charges ,"8,062.74",percent of total billed charges ,"8,675.10",percent of total billed charges ,"8,675.10",percent of total billed charges ,"8,164.80",percent of total billed charges ,"8,164.80",percent of total billed charges ,"7,144.20",percent of total billed charges ,"7,144.20",percent of total billed charges ,"6,123.60",percent of total billed charges ,"6,123.60",percent of total billed charges ,"6,123.60",percent of total billed charges ,"6,123.60",percent of total billed charges ,,,,,"5,429.59",percent of total billed charges ,,,,,"5,158.11",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,347.38",percent of total billed charges,,,"2,347.38",percent of total billed charges,,,"2,347.38",percent of total billed charges,,,"2,347.38",percent of total billed charges,,,"2,347.38",percent of total billed charges,,,"2,347.38",percent of total billed charges,,,"2,347.38",percent of total billed charges,,,"2,347.38",percent of total billed charges,,,"2,347.38",percent of total billed charges,,,"2,347.38",percent of total billed charges,,,"2,347.38",percent of total billed charges,
HEAD BI POLAR,C1776,CDM,,,,both,,,"3,964.00","3,964.00",911.72,"3,964.00","3,964.00",percent of total billed charges,"3,964.00",percent of total billed charges,"3,964.00",percent of total billed charges,"3,964.00",percent of total billed charges,"3,964.00",percent of total billed charges,"3,964.00",percent of total billed charges,"3,964.00",percent of total billed charges,"3,964.00",percent of total billed charges,"2,854.08",percent of total billed charges,"2,854.08",percent of total billed charges,"2,854.08",percent of total billed charges,"2,854.08",percent of total billed charges,"2,854.08",percent of total billed charges,"2,854.08",percent of total billed charges,"3,131.56",percent of total billed charges,"3,131.56",percent of total billed charges,"3,171.20",percent of total billed charges,"3,171.20",percent of total billed charges,,,"2,854.08",percent of total billed charges ,,,"3,171.20",percent of total billed charges ,"3,131.56",percent of total billed charges ,"3,131.56",percent of total billed charges ,"3,369.40",percent of total billed charges ,"3,369.40",percent of total billed charges ,"3,171.20",percent of total billed charges ,"3,171.20",percent of total billed charges ,"2,774.80",percent of total billed charges ,"2,774.80",percent of total billed charges ,"2,378.40",percent of total billed charges ,"2,378.40",percent of total billed charges ,"2,378.40",percent of total billed charges ,"2,378.40",percent of total billed charges ,,,,,"2,108.85",percent of total billed charges ,,,,,"2,003.41",percent of total billed charges ,,,,,,,,,,,,,,,,,,,911.72,percent of total billed charges,,,911.72,percent of total billed charges,,,911.72,percent of total billed charges,,,911.72,percent of total billed charges,,,911.72,percent of total billed charges,,,911.72,percent of total billed charges,,,911.72,percent of total billed charges,,,911.72,percent of total billed charges,,,911.72,percent of total billed charges,,,911.72,percent of total billed charges,,,911.72,percent of total billed charges,
*CLIP FIXING DEVICE,278,RC,00906-99-0441,NDC,,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**MESH IMPLANTABLE (BARD) 8-18-10,C1781,CDM,,,,both,,,"2,002.00","2,002.00",460.46,"2,002.00","2,002.00",percent of total billed charges,"2,002.00",percent of total billed charges,"2,002.00",percent of total billed charges,"2,002.00",percent of total billed charges,"2,002.00",percent of total billed charges,"2,002.00",percent of total billed charges,"2,002.00",percent of total billed charges,"2,002.00",percent of total billed charges,"1,441.44",percent of total billed charges,"1,441.44",percent of total billed charges,"1,441.44",percent of total billed charges,"1,441.44",percent of total billed charges,"1,441.44",percent of total billed charges,"1,441.44",percent of total billed charges,"1,581.58",percent of total billed charges,"1,581.58",percent of total billed charges,"1,601.60",percent of total billed charges,"1,601.60",percent of total billed charges,,,"1,441.44",percent of total billed charges ,,,"1,601.60",percent of total billed charges ,"1,581.58",percent of total billed charges ,"1,581.58",percent of total billed charges ,"1,701.70",percent of total billed charges ,"1,701.70",percent of total billed charges ,"1,601.60",percent of total billed charges ,"1,601.60",percent of total billed charges ,"1,401.40",percent of total billed charges ,"1,401.40",percent of total billed charges ,"1,201.20",percent of total billed charges ,"1,201.20",percent of total billed charges ,"1,201.20",percent of total billed charges ,"1,201.20",percent of total billed charges ,,,,,"1,065.06",percent of total billed charges ,,,,,"1,011.81",percent of total billed charges ,,,,,,,,,,,,,,,,,,,460.46,percent of total billed charges,,,460.46,percent of total billed charges,,,460.46,percent of total billed charges,,,460.46,percent of total billed charges,,,460.46,percent of total billed charges,,,460.46,percent of total billed charges,,,460.46,percent of total billed charges,,,460.46,percent of total billed charges,,,460.46,percent of total billed charges,,,460.46,percent of total billed charges,,,460.46,percent of total billed charges,
MAGIC WASHER ORTHOFIX,C1713,CDM,,,,both,,,305,305,70.15,305,305,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,240.95,percent of total billed charges,240.95,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 ,240.95,percent of total billed charges ,240.95,percent of total billed charges ,259.25,percent of total billed charges ,259.25,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 ,,,,,,,,,,,,,,,,,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,
BONE SCREW 103530132,C1713,CDM,,,,both,,,999,999,229.77,999,999,percent of total billed charges,999,percent of total billed charges,999,percent of total billed charges,999,percent of total billed charges,999,percent of total billed charges,999,percent of total billed charges,999,percent of total billed charges,999,percent of total billed charges,719.28,percent of total billed charges,719.28,percent of total billed charges,719.28,percent of total billed charges,719.28,percent of total billed charges,719.28,percent of total billed charges,719.28,percent of total billed charges,789.21,percent of total billed charges,789.21,percent of total billed charges,799.2,percent of total billed charges,799.2,percent of total billed charges,,,719.28,percent of total billed charges ,,,799.2,percent of total billed charges ,789.21,percent of total billed charges ,789.21,percent of total billed charges ,849.15,percent of total billed charges ,849.15,percent of total billed charges ,799.2,percent of total billed charges ,799.2,percent of total billed charges ,699.3,percent of total billed charges ,699.3,percent of total billed charges ,599.4,percent of total billed charges ,599.4,percent of total billed charges ,599.4,percent of total billed charges ,599.4,percent of total billed charges ,,,,,531.47,percent of total billed charges ,,,,,504.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,
FEMORAL COMP 162902,C1776,CDM,,,,both,,,"5,860.00","5,860.00","1,347.80","5,860.00","5,860.00",percent of total billed charges,"5,860.00",percent of total billed charges,"5,860.00",percent of total billed charges,"5,860.00",percent of total billed charges,"5,860.00",percent of total billed charges,"5,860.00",percent of total billed charges,"5,860.00",percent of total billed charges,"5,860.00",percent of total billed charges,"4,219.20",percent of total billed charges,"4,219.20",percent of total billed charges,"4,219.20",percent of total billed charges,"4,219.20",percent of total billed charges,"4,219.20",percent of total billed charges,"4,219.20",percent of total billed charges,"4,629.40",percent of total billed charges,"4,629.40",percent of total billed charges,"4,688.00",percent of total billed charges,"4,688.00",percent of total billed charges,,,"4,219.20",percent of total billed charges ,,,"4,688.00",percent of total billed charges ,"4,629.40",percent of total billed charges ,"4,629.40",percent of total billed charges ,"4,981.00",percent of total billed charges ,"4,981.00",percent of total billed charges ,"4,688.00",percent of total billed charges ,"4,688.00",percent of total billed charges ,"4,102.00",percent of total billed charges ,"4,102.00",percent of total billed charges ,"3,516.00",percent of total billed charges ,"3,516.00",percent of total billed charges ,"3,516.00",percent of total billed charges ,"3,516.00",percent of total billed charges ,,,,,"3,117.52",percent of total billed charges ,,,,,"2,961.64",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,347.80",percent of total billed charges,,,"1,347.80",percent of total billed charges,,,"1,347.80",percent of total billed charges,,,"1,347.80",percent of total billed charges,,,"1,347.80",percent of total billed charges,,,"1,347.80",percent of total billed charges,,,"1,347.80",percent of total billed charges,,,"1,347.80",percent of total billed charges,,,"1,347.80",percent of total billed charges,,,"1,347.80",percent of total billed charges,,,"1,347.80",percent of total billed charges,
FEM CENTERING SLEEVE,278,RC,00906-99-0441,NDC,,both,,,"1,239.00","1,239.00",284.97,"1,239.00","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,892.08,percent of total billed charges,892.08,percent of total billed charges,892.08,percent of total billed charges,892.08,percent of total billed charges,892.08,percent of total billed charges,892.08,percent of total billed charges,978.81,percent of total billed charges,978.81,percent of total billed charges,991.2,percent of total billed charges,991.2,percent of total billed charges,,,892.08,percent of total billed charges ,,,991.2,percent of total billed charges ,978.81,percent of total billed charges ,978.81,percent of total billed charges ,"1,053.15",percent of total billed charges ,"1,053.15",percent of total billed charges ,991.2,percent of total billed charges ,991.2,percent of total billed charges ,867.3,percent of total billed charges ,867.3,percent of total billed charges ,743.4,percent of total billed charges ,743.4,percent of total billed charges ,743.4,percent of total billed charges ,743.4,percent of total billed charges ,,,,,659.15,percent of total billed charges ,,,,,626.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,284.97,percent of total billed charges,,,284.97,percent of total billed charges,,,284.97,percent of total billed charges,,,284.97,percent of total billed charges,,,284.97,percent of total billed charges,,,284.97,percent of total billed charges,,,284.97,percent of total billed charges,,,284.97,percent of total billed charges,,,284.97,percent of total billed charges,,,284.97,percent of total billed charges,,,284.97,percent of total billed charges,
GRAFT PASS GUIDE 2 P,C1713,CDM,,,,both,,,"2,218.00","2,218.00",510.14,"2,218.00","2,218.00",percent of total billed charges,"2,218.00",percent of total billed charges,"2,218.00",percent of total billed charges,"2,218.00",percent of total billed charges,"2,218.00",percent of total billed charges,"2,218.00",percent of total billed charges,"2,218.00",percent of total billed charges,"2,218.00",percent of total billed charges,"1,596.96",percent of total billed charges,"1,596.96",percent of total billed charges,"1,596.96",percent of total billed charges,"1,596.96",percent of total billed charges,"1,596.96",percent of total billed charges,"1,596.96",percent of total billed charges,"1,752.22",percent of total billed charges,"1,752.22",percent of total billed charges,"1,774.40",percent of total billed charges,"1,774.40",percent of total billed charges,,,"1,596.96",percent of total billed charges ,,,"1,774.40",percent of total billed charges ,"1,752.22",percent of total billed charges ,"1,752.22",percent of total billed charges ,"1,885.30",percent of total billed charges ,"1,885.30",percent of total billed charges ,"1,774.40",percent of total billed charges ,"1,774.40",percent of total billed charges ,"1,552.60",percent of total billed charges ,"1,552.60",percent of total billed charges ,"1,330.80",percent of total billed charges ,"1,330.80",percent of total billed charges ,"1,330.80",percent of total billed charges ,"1,330.80",percent of total billed charges ,,,,,"1,179.98",percent of total billed charges ,,,,,"1,120.98",percent of total billed charges ,,,,,,,,,,,,,,,,,,,510.14,percent of total billed charges,,,510.14,percent of total billed charges,,,510.14,percent of total billed charges,,,510.14,percent of total billed charges,,,510.14,percent of total billed charges,,,510.14,percent of total billed charges,,,510.14,percent of total billed charges,,,510.14,percent of total billed charges,,,510.14,percent of total billed charges,,,510.14,percent of total billed charges,,,510.14,percent of total billed charges,
ART SURFACE LPS CD 1-10  10-23MM,C1776,CDM,,,,both,,,"3,553.00","3,553.00",817.19,"3,553.00","3,553.00",percent of total billed charges,"3,553.00",percent of total billed charges,"3,553.00",percent of total billed charges,"3,553.00",percent of total billed charges,"3,553.00",percent of total billed charges,"3,553.00",percent of total billed charges,"3,553.00",percent of total billed charges,"3,553.00",percent of total billed charges,"2,558.16",percent of total billed charges,"2,558.16",percent of total billed charges,"2,558.16",percent of total billed charges,"2,558.16",percent of total billed charges,"2,558.16",percent of total billed charges,"2,558.16",percent of total billed charges,"2,806.87",percent of total billed charges,"2,806.87",percent of total billed charges,"2,842.40",percent of total billed charges,"2,842.40",percent of total billed charges,,,"2,558.16",percent of total billed charges ,,,"2,842.40",percent of total billed charges ,"2,806.87",percent of total billed charges ,"2,806.87",percent of total billed charges ,"3,020.05",percent of total billed charges ,"3,020.05",percent of total billed charges ,"2,842.40",percent of total billed charges ,"2,842.40",percent of total billed charges ,"2,487.10",percent of total billed charges ,"2,487.10",percent of total billed charges ,"2,131.80",percent of total billed charges ,"2,131.80",percent of total billed charges ,"2,131.80",percent of total billed charges ,"2,131.80",percent of total billed charges ,,,,,"1,890.20",percent of total billed charges ,,,,,"1,795.69",percent of total billed charges ,,,,,,,,,,,,,,,,,,,817.19,percent of total billed charges,,,817.19,percent of total billed charges,,,817.19,percent of total billed charges,,,817.19,percent of total billed charges,,,817.19,percent of total billed charges,,,817.19,percent of total billed charges,,,817.19,percent of total billed charges,,,817.19,percent of total billed charges,,,817.19,percent of total billed charges,,,817.19,percent of total billed charges,,,817.19,percent of total billed charges,
FIXATION POST 013142,C1713,CDM,,,,both,,,945,945,217.35,945,945,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,746.55,percent of total billed charges,746.55,percent of total billed charges,756,percent of total billed charges,756,percent of total billed charges,,,680.4,percent of total billed charges ,,,756,percent of total billed charges ,746.55,percent of total billed charges ,746.55,percent of total billed charges ,803.25,percent of total billed charges ,803.25,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 ,,,,,,,,,,,,,,,,,,,217.35,percent of total billed charges,,,217.35,percent of total billed charges,,,217.35,percent of total billed charges,,,217.35,percent of total billed charges,,,217.35,percent of total billed charges,,,217.35,percent of total billed charges,,,217.35,percent of total billed charges,,,217.35,percent of total billed charges,,,217.35,percent of total billed charges,,,217.35,percent of total billed charges,,,217.35,percent of total billed charges,
FEMORAL COMP LPS SZ A-H,C1776,CDM,,,,both,,,"22,021.00","22,021.00","5,064.83","22,021.00","22,021.00",percent of total billed charges,"22,021.00",percent of total billed charges,"22,021.00",percent of total billed charges,"22,021.00",percent of total billed charges,"22,021.00",percent of total billed charges,"22,021.00",percent of total billed charges,"22,021.00",percent of total billed charges,"22,021.00",percent of total billed charges,"15,855.12",percent of total billed charges,"15,855.12",percent of total billed charges,"15,855.12",percent of total billed charges,"15,855.12",percent of total billed charges,"15,855.12",percent of total billed charges,"15,855.12",percent of total billed charges,"17,396.59",percent of total billed charges,"17,396.59",percent of total billed charges,"17,616.80",percent of total billed charges,"17,616.80",percent of total billed charges,,,"15,855.12",percent of total billed charges ,,,"17,616.80",percent of total billed charges ,"17,396.59",percent of total billed charges ,"17,396.59",percent of total billed charges ,"18,717.85",percent of total billed charges ,"18,717.85",percent of total billed charges ,"17,616.80",percent of total billed charges ,"17,616.80",percent of total billed charges ,"15,414.70",percent of total billed charges ,"15,414.70",percent of total billed charges ,"13,212.60",percent of total billed charges ,"13,212.60",percent of total billed charges ,"13,212.60",percent of total billed charges ,"13,212.60",percent of total billed charges ,,,,,"11,715.17",percent of total billed charges ,,,,,"11,129.41",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"5,064.83",percent of total billed charges,,,"5,064.83",percent of total billed charges,,,"5,064.83",percent of total billed charges,,,"5,064.83",percent of total billed charges,,,"5,064.83",percent of total billed charges,,,"5,064.83",percent of total billed charges,,,"5,064.83",percent of total billed charges,,,"5,064.83",percent of total billed charges,,,"5,064.83",percent of total billed charges,,,"5,064.83",percent of total billed charges,,,"5,064.83",percent of total billed charges,
ENDOBUTTON 7207323,278,RC,00906-99-0441,NDC,,both,,,"2,126.00","2,126.00",488.98,"2,126.00","2,126.00",percent of total billed charges,"2,126.00",percent of total billed charges,"2,126.00",percent of total billed charges,"2,126.00",percent of total billed charges,"2,126.00",percent of total billed charges,"2,126.00",percent of total billed charges,"2,126.00",percent of total billed charges,"2,126.00",percent of total billed charges,"1,530.72",percent of total billed charges,"1,530.72",percent of total billed charges,"1,530.72",percent of total billed charges,"1,530.72",percent of total billed charges,"1,530.72",percent of total billed charges,"1,530.72",percent of total billed charges,"1,679.54",percent of total billed charges,"1,679.54",percent of total billed charges,"1,700.80",percent of total billed charges,"1,700.80",percent of total billed charges,,,"1,530.72",percent of total billed charges ,,,"1,700.80",percent of total billed charges ,"1,679.54",percent of total billed charges ,"1,679.54",percent of total billed charges ,"1,807.10",percent of total billed charges ,"1,807.10",percent of total billed charges ,"1,700.80",percent of total billed charges ,"1,700.80",percent of total billed charges ,"1,488.20",percent of total billed charges ,"1,488.20",percent of total billed charges ,"1,275.60",percent of total billed charges ,"1,275.60",percent of total billed charges ,"1,275.60",percent of total billed charges ,"1,275.60",percent of total billed charges ,,,,,"1,131.03",percent of total billed charges ,,,,,"1,074.48",percent of total billed charges ,,,,,,,,,,,,,,,,,,,488.98,percent of total billed charges,,,488.98,percent of total billed charges,,,488.98,percent of total billed charges,,,488.98,percent of total billed charges,,,488.98,percent of total billed charges,,,488.98,percent of total billed charges,,,488.98,percent of total billed charges,,,488.98,percent of total billed charges,,,488.98,percent of total billed charges,,,488.98,percent of total billed charges,,,488.98,percent of total billed charges,
SCREW 4.5 CANNULATED SYNTHES,C1713,CDM,,,,both,,,"1,577.00","1,577.00",362.71,"1,577.00","1,577.00",percent of total billed charges,"1,577.00",percent of total billed charges,"1,577.00",percent of total billed charges,"1,577.00",percent of total billed charges,"1,577.00",percent of total billed charges,"1,577.00",percent of total billed charges,"1,577.00",percent of total billed charges,"1,577.00",percent of total billed charges,"1,135.44",percent of total billed charges,"1,135.44",percent of total billed charges,"1,135.44",percent of total billed charges,"1,135.44",percent of total billed charges,"1,135.44",percent of total billed charges,"1,135.44",percent of total billed charges,"1,245.83",percent of total billed charges,"1,245.83",percent of total billed charges,"1,261.60",percent of total billed charges,"1,261.60",percent of total billed charges,,,"1,135.44",percent of total billed charges ,,,"1,261.60",percent of total billed charges ,"1,245.83",percent of total billed charges ,"1,245.83",percent of total billed charges ,"1,340.45",percent of total billed charges ,"1,340.45",percent of total billed charges ,"1,261.60",percent of total billed charges ,"1,261.60",percent of total billed charges ,"1,103.90",percent of total billed charges ,"1,103.90",percent of total billed charges ,946.2,percent of total billed charges ,946.2,percent of total billed charges ,946.2,percent of total billed charges ,946.2,percent of total billed charges ,,,,,838.96,percent of total billed charges ,,,,,797.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,
SS GUIDEWIRE 292.72,C1769,CDM,,,,both,,,218,218,50.14,218,218,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,172.22,percent of total billed charges,172.22,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 ,172.22,percent of total billed charges ,172.22,percent of total billed charges ,185.3,percent of total billed charges ,185.3,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 ,,,,,,,,,,,,,,,,,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,
PATELLA STANDARD,C1776,CDM,,,,both,,,"3,933.00","3,933.00",904.59,"3,933.00","3,933.00",percent of total billed charges,"3,933.00",percent of total billed charges,"3,933.00",percent of total billed charges,"3,933.00",percent of total billed charges,"3,933.00",percent of total billed charges,"3,933.00",percent of total billed charges,"3,933.00",percent of total billed charges,"3,933.00",percent of total billed charges,"2,831.76",percent of total billed charges,"2,831.76",percent of total billed charges,"2,831.76",percent of total billed charges,"2,831.76",percent of total billed charges,"2,831.76",percent of total billed charges,"2,831.76",percent of total billed charges,"3,107.07",percent of total billed charges,"3,107.07",percent of total billed charges,"3,146.40",percent of total billed charges,"3,146.40",percent of total billed charges,,,"2,831.76",percent of total billed charges ,,,"3,146.40",percent of total billed charges ,"3,107.07",percent of total billed charges ,"3,107.07",percent of total billed charges ,"3,343.05",percent of total billed charges ,"3,343.05",percent of total billed charges ,"3,146.40",percent of total billed charges ,"3,146.40",percent of total billed charges ,"2,753.10",percent of total billed charges ,"2,753.10",percent of total billed charges ,"2,359.80",percent of total billed charges ,"2,359.80",percent of total billed charges ,"2,359.80",percent of total billed charges ,"2,359.80",percent of total billed charges ,,,,,"2,092.36",percent of total billed charges ,,,,,"1,987.74",percent of total billed charges ,,,,,,,,,,,,,,,,,,,904.59,percent of total billed charges,,,904.59,percent of total billed charges,,,904.59,percent of total billed charges,,,904.59,percent of total billed charges,,,904.59,percent of total billed charges,,,904.59,percent of total billed charges,,,904.59,percent of total billed charges,,,904.59,percent of total billed charges,,,904.59,percent of total billed charges,,,904.59,percent of total billed charges,,,904.59,percent of total billed charges,
FEMORAL COMPONENT 65,C1776,CDM,,,,both,,,"14,946.00","14,946.00","3,437.58","14,946.00","14,946.00",percent of total billed charges,"14,946.00",percent of total billed charges,"14,946.00",percent of total billed charges,"14,946.00",percent of total billed charges,"14,946.00",percent of total billed charges,"14,946.00",percent of total billed charges,"14,946.00",percent of total billed charges,"14,946.00",percent of total billed charges,"10,761.12",percent of total billed charges,"10,761.12",percent of total billed charges,"10,761.12",percent of total billed charges,"10,761.12",percent of total billed charges,"10,761.12",percent of total billed charges,"10,761.12",percent of total billed charges,"11,807.34",percent of total billed charges,"11,807.34",percent of total billed charges,"11,956.80",percent of total billed charges,"11,956.80",percent of total billed charges,,,"10,761.12",percent of total billed charges ,,,"11,956.80",percent of total billed charges ,"11,807.34",percent of total billed charges ,"11,807.34",percent of total billed charges ,"12,704.10",percent of total billed charges ,"12,704.10",percent of total billed charges ,"11,956.80",percent of total billed charges ,"11,956.80",percent of total billed charges ,"10,462.20",percent of total billed charges ,"10,462.20",percent of total billed charges ,"8,967.60",percent of total billed charges ,"8,967.60",percent of total billed charges ,"8,967.60",percent of total billed charges ,"8,967.60",percent of total billed charges ,,,,,"7,951.27",percent of total billed charges ,,,,,"7,553.71",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,437.58",percent of total billed charges,,,"3,437.58",percent of total billed charges,,,"3,437.58",percent of total billed charges,,,"3,437.58",percent of total billed charges,,,"3,437.58",percent of total billed charges,,,"3,437.58",percent of total billed charges,,,"3,437.58",percent of total billed charges,,,"3,437.58",percent of total billed charges,,,"3,437.58",percent of total billed charges,,,"3,437.58",percent of total billed charges,,,"3,437.58",percent of total billed charges,
BEARING STD,278,RC,00906-99-0441,NDC,,both,,,"5,222.00","5,222.00","1,201.06","5,222.00","5,222.00",percent of total billed charges,"5,222.00",percent of total billed charges,"5,222.00",percent of total billed charges,"5,222.00",percent of total billed charges,"5,222.00",percent of total billed charges,"5,222.00",percent of total billed charges,"5,222.00",percent of total billed charges,"5,222.00",percent of total billed charges,"3,759.84",percent of total billed charges,"3,759.84",percent of total billed charges,"3,759.84",percent of total billed charges,"3,759.84",percent of total billed charges,"3,759.84",percent of total billed charges,"3,759.84",percent of total billed charges,"4,125.38",percent of total billed charges,"4,125.38",percent of total billed charges,"4,177.60",percent of total billed charges,"4,177.60",percent of total billed charges,,,"3,759.84",percent of total billed charges ,,,"4,177.60",percent of total billed charges ,"4,125.38",percent of total billed charges ,"4,125.38",percent of total billed charges ,"4,438.70",percent of total billed charges ,"4,438.70",percent of total billed charges ,"4,177.60",percent of total billed charges ,"4,177.60",percent of total billed charges ,"3,655.40",percent of total billed charges ,"3,655.40",percent of total billed charges ,"3,133.20",percent of total billed charges ,"3,133.20",percent of total billed charges ,"3,133.20",percent of total billed charges ,"3,133.20",percent of total billed charges ,,,,,"2,778.10",percent of total billed charges ,,,,,"2,639.20",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,201.06",percent of total billed charges,,,"1,201.06",percent of total billed charges,,,"1,201.06",percent of total billed charges,,,"1,201.06",percent of total billed charges,,,"1,201.06",percent of total billed charges,,,"1,201.06",percent of total billed charges,,,"1,201.06",percent of total billed charges,,,"1,201.06",percent of total billed charges,,,"1,201.06",percent of total billed charges,,,"1,201.06",percent of total billed charges,,,"1,201.06",percent of total billed charges,
STEM TIB 5980 ZIMMER KNEE SZ 1-4,C1776,CDM,,,,both,,,"13,041.00","13,041.00","2,999.43","13,041.00","13,041.00",percent of total billed charges,"13,041.00",percent of total billed charges,"13,041.00",percent of total billed charges,"13,041.00",percent of total billed charges,"13,041.00",percent of total billed charges,"13,041.00",percent of total billed charges,"13,041.00",percent of total billed charges,"13,041.00",percent of total billed charges,"9,389.52",percent of total billed charges,"9,389.52",percent of total billed charges,"9,389.52",percent of total billed charges,"9,389.52",percent of total billed charges,"9,389.52",percent of total billed charges,"9,389.52",percent of total billed charges,"10,302.39",percent of total billed charges,"10,302.39",percent of total billed charges,"10,432.80",percent of total billed charges,"10,432.80",percent of total billed charges,,,"9,389.52",percent of total billed charges ,,,"10,432.80",percent of total billed charges ,"10,302.39",percent of total billed charges ,"10,302.39",percent of total billed charges ,"11,084.85",percent of total billed charges ,"11,084.85",percent of total billed charges ,"10,432.80",percent of total billed charges ,"10,432.80",percent of total billed charges ,"9,128.70",percent of total billed charges ,"9,128.70",percent of total billed charges ,"7,824.60",percent of total billed charges ,"7,824.60",percent of total billed charges ,"7,824.60",percent of total billed charges ,"7,824.60",percent of total billed charges ,,,,,"6,937.81",percent of total billed charges ,,,,,"6,590.92",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,999.43",percent of total billed charges,,,"2,999.43",percent of total billed charges,,,"2,999.43",percent of total billed charges,,,"2,999.43",percent of total billed charges,,,"2,999.43",percent of total billed charges,,,"2,999.43",percent of total billed charges,,,"2,999.43",percent of total billed charges,,,"2,999.43",percent of total billed charges,,,"2,999.43",percent of total billed charges,,,"2,999.43",percent of total billed charges,,,"2,999.43",percent of total billed charges,
PATELLA COMPONENT DEPUY,C1776,CDM,,,,both,,,"3,776.00","3,776.00",868.48,"3,776.00","3,776.00",percent of total billed charges,"3,776.00",percent of total billed charges,"3,776.00",percent of total billed charges,"3,776.00",percent of total billed charges,"3,776.00",percent of total billed charges,"3,776.00",percent of total billed charges,"3,776.00",percent of total billed charges,"3,776.00",percent of total billed charges,"2,718.72",percent of total billed charges,"2,718.72",percent of total billed charges,"2,718.72",percent of total billed charges,"2,718.72",percent of total billed charges,"2,718.72",percent of total billed charges,"2,718.72",percent of total billed charges,"2,983.04",percent of total billed charges,"2,983.04",percent of total billed charges,"3,020.80",percent of total billed charges,"3,020.80",percent of total billed charges,,,"2,718.72",percent of total billed charges ,,,"3,020.80",percent of total billed charges ,"2,983.04",percent of total billed charges ,"2,983.04",percent of total billed charges ,"3,209.60",percent of total billed charges ,"3,209.60",percent of total billed charges ,"3,020.80",percent of total billed charges ,"3,020.80",percent of total billed charges ,"2,643.20",percent of total billed charges ,"2,643.20",percent of total billed charges ,"2,265.60",percent of total billed charges ,"2,265.60",percent of total billed charges ,"2,265.60",percent of total billed charges ,"2,265.60",percent of total billed charges ,,,,,"2,008.83",percent of total billed charges ,,,,,"1,908.39",percent of total billed charges ,,,,,,,,,,,,,,,,,,,868.48,percent of total billed charges,,,868.48,percent of total billed charges,,,868.48,percent of total billed charges,,,868.48,percent of total billed charges,,,868.48,percent of total billed charges,,,868.48,percent of total billed charges,,,868.48,percent of total billed charges,,,868.48,percent of total billed charges,,,868.48,percent of total billed charges,,,868.48,percent of total billed charges,,,868.48,percent of total billed charges,
DISTAL CENTRALIZER 9MM-19MM,278,RC,00906-99-0441,NDC,,both,,,768,768,176.64,768,768,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,606.72,percent of total billed charges,606.72,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 ,606.72,percent of total billed charges ,606.72,percent of total billed charges ,652.8,percent of total billed charges ,652.8,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 ,,,,,,,,,,,,,,,,,,,176.64,percent of total billed charges,,,176.64,percent of total billed charges,,,176.64,percent of total billed charges,,,176.64,percent of total billed charges,,,176.64,percent of total billed charges,,,176.64,percent of total billed charges,,,176.64,percent of total billed charges,,,176.64,percent of total billed charges,,,176.64,percent of total billed charges,,,176.64,percent of total billed charges,,,176.64,percent of total billed charges,
SCREW HERBERT,C1713,CDM,,,,both,,,"1,222.00","1,222.00",281.06,"1,222.00","1,222.00",percent of total billed charges,"1,222.00",percent of total billed charges,"1,222.00",percent of total billed charges,"1,222.00",percent of total billed charges,"1,222.00",percent of total billed charges,"1,222.00",percent of total billed charges,"1,222.00",percent of total billed charges,"1,222.00",percent of total billed charges,879.84,percent of total billed charges,879.84,percent of total billed charges,879.84,percent of total billed charges,879.84,percent of total billed charges,879.84,percent of total billed charges,879.84,percent of total billed charges,965.38,percent of total billed charges,965.38,percent of total billed charges,977.6,percent of total billed charges,977.6,percent of total billed charges,,,879.84,percent of total billed charges ,,,977.6,percent of total billed charges ,965.38,percent of total billed charges ,965.38,percent of total billed charges ,"1,038.70",percent of total billed charges ,"1,038.70",percent of total billed charges ,977.6,percent of total billed charges ,977.6,percent of total billed charges ,855.4,percent of total billed charges ,855.4,percent of total billed charges ,733.2,percent of total billed charges ,733.2,percent of total billed charges ,733.2,percent of total billed charges ,733.2,percent of total billed charges ,,,,,650.1,percent of total billed charges ,,,,,617.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,281.06,percent of total billed charges,,,281.06,percent of total billed charges,,,281.06,percent of total billed charges,,,281.06,percent of total billed charges,,,281.06,percent of total billed charges,,,281.06,percent of total billed charges,,,281.06,percent of total billed charges,,,281.06,percent of total billed charges,,,281.06,percent of total billed charges,,,281.06,percent of total billed charges,,,281.06,percent of total billed charges,
BONE SCREW SELF-TAP 4.5X 15 /6.5 X 80MM,C1713,CDM,,,,both,,,"1,156.00","1,156.00",265.88,"1,156.00","1,156.00",percent of total billed charges,"1,156.00",percent of total billed charges,"1,156.00",percent of total billed charges,"1,156.00",percent of total billed charges,"1,156.00",percent of total billed charges,"1,156.00",percent of total billed charges,"1,156.00",percent of total billed charges,"1,156.00",percent of total billed charges,832.32,percent of total billed charges,832.32,percent of total billed charges,832.32,percent of total billed charges,832.32,percent of total billed charges,832.32,percent of total billed charges,832.32,percent of total billed charges,913.24,percent of total billed charges,913.24,percent of total billed charges,924.8,percent of total billed charges,924.8,percent of total billed charges,,,832.32,percent of total billed charges ,,,924.8,percent of total billed charges ,913.24,percent of total billed charges ,913.24,percent of total billed charges ,982.6,percent of total billed charges ,982.6,percent of total billed charges ,924.8,percent of total billed charges ,924.8,percent of total billed charges ,809.2,percent of total billed charges ,809.2,percent of total billed charges ,693.6,percent of total billed charges ,693.6,percent of total billed charges ,693.6,percent of total billed charges ,693.6,percent of total billed charges ,,,,,614.99,percent of total billed charges ,,,,,584.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,265.88,percent of total billed charges,,,265.88,percent of total billed charges,,,265.88,percent of total billed charges,,,265.88,percent of total billed charges,,,265.88,percent of total billed charges,,,265.88,percent of total billed charges,,,265.88,percent of total billed charges,,,265.88,percent of total billed charges,,,265.88,percent of total billed charges,,,265.88,percent of total billed charges,,,265.88,percent of total billed charges,
SHELL TRILOGY SOLID/SPIKED/CLUSTER 40-70,278,RC,00906-99-0441,NDC,,both,,,"12,030.00","12,030.00","2,766.90","12,030.00","12,030.00",percent of total billed charges,"12,030.00",percent of total billed charges,"12,030.00",percent of total billed charges,"12,030.00",percent of total billed charges,"12,030.00",percent of total billed charges,"12,030.00",percent of total billed charges,"12,030.00",percent of total billed charges,"12,030.00",percent of total billed charges,"8,661.60",percent of total billed charges,"8,661.60",percent of total billed charges,"8,661.60",percent of total billed charges,"8,661.60",percent of total billed charges,"8,661.60",percent of total billed charges,"8,661.60",percent of total billed charges,"9,503.70",percent of total billed charges,"9,503.70",percent of total billed charges,"9,624.00",percent of total billed charges,"9,624.00",percent of total billed charges,,,"8,661.60",percent of total billed charges ,,,"9,624.00",percent of total billed charges ,"9,503.70",percent of total billed charges ,"9,503.70",percent of total billed charges ,"10,225.50",percent of total billed charges ,"10,225.50",percent of total billed charges ,"9,624.00",percent of total billed charges ,"9,624.00",percent of total billed charges ,"8,421.00",percent of total billed charges ,"8,421.00",percent of total billed charges ,"7,218.00",percent of total billed charges ,"7,218.00",percent of total billed charges ,"7,218.00",percent of total billed charges ,"7,218.00",percent of total billed charges ,,,,,"6,399.96",percent of total billed charges ,,,,,"6,079.96",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,766.90",percent of total billed charges,,,"2,766.90",percent of total billed charges,,,"2,766.90",percent of total billed charges,,,"2,766.90",percent of total billed charges,,,"2,766.90",percent of total billed charges,,,"2,766.90",percent of total billed charges,,,"2,766.90",percent of total billed charges,,,"2,766.90",percent of total billed charges,,,"2,766.90",percent of total billed charges,,,"2,766.90",percent of total billed charges,,,"2,766.90",percent of total billed charges,
FEMORAL HEAD 28MM-32MM,C1776,CDM,,,,both,,,"3,948.00","3,948.00",908.04,"3,948.00","3,948.00",percent of total billed charges,"3,948.00",percent of total billed charges,"3,948.00",percent of total billed charges,"3,948.00",percent of total billed charges,"3,948.00",percent of total billed charges,"3,948.00",percent of total billed charges,"3,948.00",percent of total billed charges,"3,948.00",percent of total billed charges,"2,842.56",percent of total billed charges,"2,842.56",percent of total billed charges,"2,842.56",percent of total billed charges,"2,842.56",percent of total billed charges,"2,842.56",percent of total billed charges,"2,842.56",percent of total billed charges,"3,118.92",percent of total billed charges,"3,118.92",percent of total billed charges,"3,158.40",percent of total billed charges,"3,158.40",percent of total billed charges,,,"2,842.56",percent of total billed charges ,,,"3,158.40",percent of total billed charges ,"3,118.92",percent of total billed charges ,"3,118.92",percent of total billed charges ,"3,355.80",percent of total billed charges ,"3,355.80",percent of total billed charges ,"3,158.40",percent of total billed charges ,"3,158.40",percent of total billed charges ,"2,763.60",percent of total billed charges ,"2,763.60",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 ,,,,,"2,100.34",percent of total billed charges ,,,,,"1,995.32",percent of total billed charges ,,,,,,,,,,,,,,,,,,,908.04,percent of total billed charges,,,908.04,percent of total billed charges,,,908.04,percent of total billed charges,,,908.04,percent of total billed charges,,,908.04,percent of total billed charges,,,908.04,percent of total billed charges,,,908.04,percent of total billed charges,,,908.04,percent of total billed charges,,,908.04,percent of total billed charges,,,908.04,percent of total billed charges,,,908.04,percent of total billed charges,
FEMORAL STEM 7853,C1776,CDM,,,,both,,,"7,658.00","7,658.00","1,761.34","7,658.00","7,658.00",percent of total billed charges,"7,658.00",percent of total billed charges,"7,658.00",percent of total billed charges,"7,658.00",percent of total billed charges,"7,658.00",percent of total billed charges,"7,658.00",percent of total billed charges,"7,658.00",percent of total billed charges,"7,658.00",percent of total billed charges,"5,513.76",percent of total billed charges,"5,513.76",percent of total billed charges,"5,513.76",percent of total billed charges,"5,513.76",percent of total billed charges,"5,513.76",percent of total billed charges,"5,513.76",percent of total billed charges,"6,049.82",percent of total billed charges,"6,049.82",percent of total billed charges,"6,126.40",percent of total billed charges,"6,126.40",percent of total billed charges,,,"5,513.76",percent of total billed charges ,,,"6,126.40",percent of total billed charges ,"6,049.82",percent of total billed charges ,"6,049.82",percent of total billed charges ,"6,509.30",percent of total billed charges ,"6,509.30",percent of total billed charges ,"6,126.40",percent of total billed charges ,"6,126.40",percent of total billed charges ,"5,360.60",percent of total billed charges ,"5,360.60",percent of total billed charges ,"4,594.80",percent of total billed charges ,"4,594.80",percent of total billed charges ,"4,594.80",percent of total billed charges ,"4,594.80",percent of total billed charges ,,,,,"4,074.06",percent of total billed charges ,,,,,"3,870.35",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,761.34",percent of total billed charges,,,"1,761.34",percent of total billed charges,,,"1,761.34",percent of total billed charges,,,"1,761.34",percent of total billed charges,,,"1,761.34",percent of total billed charges,,,"1,761.34",percent of total billed charges,,,"1,761.34",percent of total billed charges,,,"1,761.34",percent of total billed charges,,,"1,761.34",percent of total billed charges,,,"1,761.34",percent of total billed charges,,,"1,761.34",percent of total billed charges,
LAG SCREW 1181-10-XX,C1713,CDM,,,,both,,,"2,371.00","2,371.00",545.33,"2,371.00","2,371.00",percent of total billed charges,"2,371.00",percent of total billed charges,"2,371.00",percent of total billed charges,"2,371.00",percent of total billed charges,"2,371.00",percent of total billed charges,"2,371.00",percent of total billed charges,"2,371.00",percent of total billed charges,"2,371.00",percent of total billed charges,"1,707.12",percent of total billed charges,"1,707.12",percent of total billed charges,"1,707.12",percent of total billed charges,"1,707.12",percent of total billed charges,"1,707.12",percent of total billed charges,"1,707.12",percent of total billed charges,"1,873.09",percent of total billed charges,"1,873.09",percent of total billed charges,"1,896.80",percent of total billed charges,"1,896.80",percent of total billed charges,,,"1,707.12",percent of total billed charges ,,,"1,896.80",percent of total billed charges ,"1,873.09",percent of total billed charges ,"1,873.09",percent of total billed charges ,"2,015.35",percent of total billed charges ,"2,015.35",percent of total billed charges ,"1,896.80",percent of total billed charges ,"1,896.80",percent of total billed charges ,"1,659.70",percent of total billed charges ,"1,659.70",percent of total billed charges ,"1,422.60",percent of total billed charges ,"1,422.60",percent of total billed charges ,"1,422.60",percent of total billed charges ,"1,422.60",percent of total billed charges ,,,,,"1,261.37",percent of total billed charges ,,,,,"1,198.30",percent of total billed charges ,,,,,,,,,,,,,,,,,,,545.33,percent of total billed charges,,,545.33,percent of total billed charges,,,545.33,percent of total billed charges,,,545.33,percent of total billed charges,,,545.33,percent of total billed charges,,,545.33,percent of total billed charges,,,545.33,percent of total billed charges,,,545.33,percent of total billed charges,,,545.33,percent of total billed charges,,,545.33,percent of total billed charges,,,545.33,percent of total billed charges,
PLT SDM FRAG 3 2428,C1713,CDM,,,,both,,,483,483,111.09,483,483,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,381.57,percent of total billed charges,381.57,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 ,381.57,percent of total billed charges ,381.57,percent of total billed charges ,410.55,percent of total billed charges ,410.55,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 ,,,,,,,,,,,,,,,,,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,
AGEE WRIST JACK,278,RC,00906-99-0441,NDC,,both,,,"6,839.00","6,839.00","1,572.97","6,839.00","6,839.00",percent of total billed charges,"6,839.00",percent of total billed charges,"6,839.00",percent of total billed charges,"6,839.00",percent of total billed charges,"6,839.00",percent of total billed charges,"6,839.00",percent of total billed charges,"6,839.00",percent of total billed charges,"6,839.00",percent of total billed charges,"4,924.08",percent of total billed charges,"4,924.08",percent of total billed charges,"4,924.08",percent of total billed charges,"4,924.08",percent of total billed charges,"4,924.08",percent of total billed charges,"4,924.08",percent of total billed charges,"5,402.81",percent of total billed charges,"5,402.81",percent of total billed charges,"5,471.20",percent of total billed charges,"5,471.20",percent of total billed charges,,,"4,924.08",percent of total billed charges ,,,"5,471.20",percent of total billed charges ,"5,402.81",percent of total billed charges ,"5,402.81",percent of total billed charges ,"5,813.15",percent of total billed charges ,"5,813.15",percent of total billed charges ,"5,471.20",percent of total billed charges ,"5,471.20",percent of total billed charges ,"4,787.30",percent of total billed charges ,"4,787.30",percent of total billed charges ,"4,103.40",percent of total billed charges ,"4,103.40",percent of total billed charges ,"4,103.40",percent of total billed charges ,"4,103.40",percent of total billed charges ,,,,,"3,638.35",percent of total billed charges ,,,,,"3,456.43",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,572.97",percent of total billed charges,,,"1,572.97",percent of total billed charges,,,"1,572.97",percent of total billed charges,,,"1,572.97",percent of total billed charges,,,"1,572.97",percent of total billed charges,,,"1,572.97",percent of total billed charges,,,"1,572.97",percent of total billed charges,,,"1,572.97",percent of total billed charges,,,"1,572.97",percent of total billed charges,,,"1,572.97",percent of total billed charges,,,"1,572.97",percent of total billed charges,
LAG SCREW 1181152057,C1713,CDM,,,,both,,,"1,219.00","1,219.00",280.37,"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,963.01,percent of total billed charges,963.01,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 ,963.01,percent of total billed charges ,963.01,percent of total billed charges ,"1,036.15",percent of total billed charges ,"1,036.15",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 ,,,,,,,,,,,,,,,,,,,280.37,percent of total billed charges,,,280.37,percent of total billed charges,,,280.37,percent of total billed charges,,,280.37,percent of total billed charges,,,280.37,percent of total billed charges,,,280.37,percent of total billed charges,,,280.37,percent of total billed charges,,,280.37,percent of total billed charges,,,280.37,percent of total billed charges,,,280.37,percent of total billed charges,,,280.37,percent of total billed charges,
LAG SCREW 1181156067,C1713,CDM,,,,both,,,"1,298.00","1,298.00",298.54,"1,298.00","1,298.00",percent of total billed charges,"1,298.00",percent of total billed charges,"1,298.00",percent of total billed charges,"1,298.00",percent of total billed charges,"1,298.00",percent of total billed charges,"1,298.00",percent of total billed charges,"1,298.00",percent of total billed charges,"1,298.00",percent of total billed charges,934.56,percent of total billed charges,934.56,percent of total billed charges,934.56,percent of total billed charges,934.56,percent of total billed charges,934.56,percent of total billed charges,934.56,percent of total billed charges,"1,025.42",percent of total billed charges,"1,025.42",percent of total billed charges,"1,038.40",percent of total billed charges,"1,038.40",percent of total billed charges,,,934.56,percent of total billed charges ,,,"1,038.40",percent of total billed charges ,"1,025.42",percent of total billed charges ,"1,025.42",percent of total billed charges ,"1,103.30",percent of total billed charges ,"1,103.30",percent of total billed charges ,"1,038.40",percent of total billed charges ,"1,038.40",percent of total billed charges ,908.6,percent of total billed charges ,908.6,percent of total billed charges ,778.8,percent of total billed charges ,778.8,percent of total billed charges ,778.8,percent of total billed charges ,778.8,percent of total billed charges ,,,,,690.54,percent of total billed charges ,,,,,656.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,298.54,percent of total billed charges,,,298.54,percent of total billed charges,,,298.54,percent of total billed charges,,,298.54,percent of total billed charges,,,298.54,percent of total billed charges,,,298.54,percent of total billed charges,,,298.54,percent of total billed charges,,,298.54,percent of total billed charges,,,298.54,percent of total billed charges,,,298.54,percent of total billed charges,,,298.54,percent of total billed charges,
SCREW HEX HEAD COMPR,C1713,CDM,,,,both,,,367,367,84.41,367,367,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,289.93,percent of total billed charges,289.93,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 ,289.93,percent of total billed charges ,289.93,percent of total billed charges ,311.95,percent of total billed charges ,311.95,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 ,,,,,,,,,,,,,,,,,,,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,,,84.41,percent of total billed charges,,,84.41,percent of total billed charges,,,84.41,percent of total billed charges,
SCRW CORTICAL 2324,C1713,CDM,,,,both,,,67,67,15.41,67,67,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,52.93,percent of total billed charges,52.93,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 ,52.93,percent of total billed charges ,52.93,percent of total billed charges ,56.95,percent of total billed charges ,56.95,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 ,,,,,,,,,,,,,,,,,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,
STEINMAN PIN 1870169,C1713,CDM,,,,both,,,69,69,15.87,69,69,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,54.51,percent of total billed charges,54.51,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 ,54.51,percent of total billed charges ,54.51,percent of total billed charges ,58.65,percent of total billed charges ,58.65,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 ,,,,,,,,,,,,,,,,,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,
STEINMAN PIN 3.2 & 4.0 DIAMOND TIP,C1713,CDM,,,,both,,,102,102,23.46,102,102,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,80.58,percent of total billed charges,80.58,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 ,80.58,percent of total billed charges ,80.58,percent of total billed charges ,86.7,percent of total billed charges ,86.7,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 ,,,,,,,,,,,,,,,,,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,
"PLATE 3,4,5,6 HOLE",C1713,CDM,,,,both,,,"2,907.00","2,907.00",668.61,"2,907.00","2,907.00",percent of total billed charges,"2,907.00",percent of total billed charges,"2,907.00",percent of total billed charges,"2,907.00",percent of total billed charges,"2,907.00",percent of total billed charges,"2,907.00",percent of total billed charges,"2,907.00",percent of total billed charges,"2,907.00",percent of total billed charges,"2,093.04",percent of total billed charges,"2,093.04",percent of total billed charges,"2,093.04",percent of total billed charges,"2,093.04",percent of total billed charges,"2,093.04",percent of total billed charges,"2,093.04",percent of total billed charges,"2,296.53",percent of total billed charges,"2,296.53",percent of total billed charges,"2,325.60",percent of total billed charges,"2,325.60",percent of total billed charges,,,"2,093.04",percent of total billed charges ,,,"2,325.60",percent of total billed charges ,"2,296.53",percent of total billed charges ,"2,296.53",percent of total billed charges ,"2,470.95",percent of total billed charges ,"2,470.95",percent of total billed charges ,"2,325.60",percent of total billed charges ,"2,325.60",percent of total billed charges ,"2,034.90",percent of total billed charges ,"2,034.90",percent of total billed charges ,"1,744.20",percent of total billed charges ,"1,744.20",percent of total billed charges ,"1,744.20",percent of total billed charges ,"1,744.20",percent of total billed charges ,,,,,"1,546.52",percent of total billed charges ,,,,,"1,469.20",percent of total billed charges ,,,,,,,,,,,,,,,,,,,668.61,percent of total billed charges,,,668.61,percent of total billed charges,,,668.61,percent of total billed charges,,,668.61,percent of total billed charges,,,668.61,percent of total billed charges,,,668.61,percent of total billed charges,,,668.61,percent of total billed charges,,,668.61,percent of total billed charges,,,668.61,percent of total billed charges,,,668.61,percent of total billed charges,,,668.61,percent of total billed charges,
PLATE 8 HOLE 130*&T,C1713,CDM,,,,both,,,"1,851.00","1,851.00",425.73,"1,851.00","1,851.00",percent of total billed charges,"1,851.00",percent of total billed charges,"1,851.00",percent of total billed charges,"1,851.00",percent of total billed charges,"1,851.00",percent of total billed charges,"1,851.00",percent of total billed charges,"1,851.00",percent of total billed charges,"1,851.00",percent of total billed charges,"1,332.72",percent of total billed charges,"1,332.72",percent of total billed charges,"1,332.72",percent of total billed charges,"1,332.72",percent of total billed charges,"1,332.72",percent of total billed charges,"1,332.72",percent of total billed charges,"1,462.29",percent of total billed charges,"1,462.29",percent of total billed charges,"1,480.80",percent of total billed charges,"1,480.80",percent of total billed charges,,,"1,332.72",percent of total billed charges ,,,"1,480.80",percent of total billed charges ,"1,462.29",percent of total billed charges ,"1,462.29",percent of total billed charges ,"1,573.35",percent of total billed charges ,"1,573.35",percent of total billed charges ,"1,480.80",percent of total billed charges ,"1,480.80",percent of total billed charges ,"1,295.70",percent of total billed charges ,"1,295.70",percent of total billed charges ,"1,110.60",percent of total billed charges ,"1,110.60",percent of total billed charges ,"1,110.60",percent of total billed charges ,"1,110.60",percent of total billed charges ,,,,,984.73,percent of total billed charges ,,,,,935.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,425.73,percent of total billed charges,,,425.73,percent of total billed charges,,,425.73,percent of total billed charges,,,425.73,percent of total billed charges,,,425.73,percent of total billed charges,,,425.73,percent of total billed charges,,,425.73,percent of total billed charges,,,425.73,percent of total billed charges,,,425.73,percent of total billed charges,,,425.73,percent of total billed charges,,,425.73,percent of total billed charges,
SCREW CORTEX 2.4,C1713,CDM,,,,both,,,639,639,146.97,639,639,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,639,percent of total billed charges,639,percent of total billed charges,639,percent of total billed charges,460.08,percent of total billed charges,460.08,percent of total billed charges,460.08,percent of total billed charges,460.08,percent of total billed charges,460.08,percent of total billed charges,460.08,percent of total billed charges,504.81,percent of total billed charges,504.81,percent of total billed charges,511.2,percent of total billed charges,511.2,percent of total billed charges,,,460.08,percent of total billed charges ,,,511.2,percent of total billed charges ,504.81,percent of total billed charges ,504.81,percent of total billed charges ,543.15,percent of total billed charges ,543.15,percent of total billed charges ,511.2,percent of total billed charges ,511.2,percent of total billed charges ,447.3,percent of total billed charges ,447.3,percent of total billed charges ,383.4,percent of total billed charges ,383.4,percent of total billed charges ,383.4,percent of total billed charges ,383.4,percent of total billed charges ,,,,,339.95,percent of total billed charges ,,,,,322.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,146.97,percent of total billed charges,,,146.97,percent of total billed charges,,,146.97,percent of total billed charges,,,146.97,percent of total billed charges,,,146.97,percent of total billed charges,,,146.97,percent of total billed charges,,,146.97,percent of total billed charges,,,146.97,percent of total billed charges,,,146.97,percent of total billed charges,,,146.97,percent of total billed charges,,,146.97,percent of total billed charges,
SCREW CORTEX 2.0 SYNTHES 401.806-838,C1713,CDM,,,,both,,,530,530,121.9,530,530,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,418.7,percent of total billed charges,418.7,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 ,418.7,percent of total billed charges ,418.7,percent of total billed charges ,450.5,percent of total billed charges ,450.5,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 ,,,,,,,,,,,,,,,,,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,
PLATE 2.0MM LC-DCP 6 HOLE,C1713,CDM,,,,both,,,"2,077.00","2,077.00",477.71,"2,077.00","2,077.00",percent of total billed charges,"2,077.00",percent of total billed charges,"2,077.00",percent of total billed charges,"2,077.00",percent of total billed charges,"2,077.00",percent of total billed charges,"2,077.00",percent of total billed charges,"2,077.00",percent of total billed charges,"2,077.00",percent of total billed charges,"1,495.44",percent of total billed charges,"1,495.44",percent of total billed charges,"1,495.44",percent of total billed charges,"1,495.44",percent of total billed charges,"1,495.44",percent of total billed charges,"1,495.44",percent of total billed charges,"1,640.83",percent of total billed charges,"1,640.83",percent of total billed charges,"1,661.60",percent of total billed charges,"1,661.60",percent of total billed charges,,,"1,495.44",percent of total billed charges ,,,"1,661.60",percent of total billed charges ,"1,640.83",percent of total billed charges ,"1,640.83",percent of total billed charges ,"1,765.45",percent of total billed charges ,"1,765.45",percent of total billed charges ,"1,661.60",percent of total billed charges ,"1,661.60",percent of total billed charges ,"1,453.90",percent of total billed charges ,"1,453.90",percent of total billed charges ,"1,246.20",percent of total billed charges ,"1,246.20",percent of total billed charges ,"1,246.20",percent of total billed charges ,"1,246.20",percent of total billed charges ,,,,,"1,104.96",percent of total billed charges ,,,,,"1,049.72",percent of total billed charges ,,,,,,,,,,,,,,,,,,,477.71,percent of total billed charges,,,477.71,percent of total billed charges,,,477.71,percent of total billed charges,,,477.71,percent of total billed charges,,,477.71,percent of total billed charges,,,477.71,percent of total billed charges,,,477.71,percent of total billed charges,,,477.71,percent of total billed charges,,,477.71,percent of total billed charges,,,477.71,percent of total billed charges,,,477.71,percent of total billed charges,
PEG TIB TRAY 5972 ZIMMER KNEE,C1776,CDM,,,,both,,,"4,619.00","4,619.00","1,062.37","4,619.00","4,619.00",percent of total billed charges,"4,619.00",percent of total billed charges,"4,619.00",percent of total billed charges,"4,619.00",percent of total billed charges,"4,619.00",percent of total billed charges,"4,619.00",percent of total billed charges,"4,619.00",percent of total billed charges,"4,619.00",percent of total billed charges,"3,325.68",percent of total billed charges,"3,325.68",percent of total billed charges,"3,325.68",percent of total billed charges,"3,325.68",percent of total billed charges,"3,325.68",percent of total billed charges,"3,325.68",percent of total billed charges,"3,649.01",percent of total billed charges,"3,649.01",percent of total billed charges,"3,695.20",percent of total billed charges,"3,695.20",percent of total billed charges,,,"3,325.68",percent of total billed charges ,,,"3,695.20",percent of total billed charges ,"3,649.01",percent of total billed charges ,"3,649.01",percent of total billed charges ,"3,926.15",percent of total billed charges ,"3,926.15",percent of total billed charges ,"3,695.20",percent of total billed charges ,"3,695.20",percent of total billed charges ,"3,233.30",percent of total billed charges ,"3,233.30",percent of total billed charges ,"2,771.40",percent of total billed charges ,"2,771.40",percent of total billed charges ,"2,771.40",percent of total billed charges ,"2,771.40",percent of total billed charges ,,,,,"2,457.31",percent of total billed charges ,,,,,"2,334.44",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,062.37",percent of total billed charges,,,"1,062.37",percent of total billed charges,,,"1,062.37",percent of total billed charges,,,"1,062.37",percent of total billed charges,,,"1,062.37",percent of total billed charges,,,"1,062.37",percent of total billed charges,,,"1,062.37",percent of total billed charges,,,"1,062.37",percent of total billed charges,,,"1,062.37",percent of total billed charges,,,"1,062.37",percent of total billed charges,,,"1,062.37",percent of total billed charges,
PLATE 10 HOLE,C1713,CDM,,,,both,,,"2,263.00","2,263.00",520.49,"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,"1,787.77",percent of total billed charges,"1,787.77",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 ,"1,787.77",percent of total billed charges ,"1,787.77",percent of total billed charges ,"1,923.55",percent of total billed charges ,"1,923.55",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 ,,,,,,,,,,,,,,,,,,,520.49,percent of total billed charges,,,520.49,percent of total billed charges,,,520.49,percent of total billed charges,,,520.49,percent of total billed charges,,,520.49,percent of total billed charges,,,520.49,percent of total billed charges,,,520.49,percent of total billed charges,,,520.49,percent of total billed charges,,,520.49,percent of total billed charges,,,520.49,percent of total billed charges,,,520.49,percent of total billed charges,
PATELLA COMPONENT 5972 ZIMMER KNEE,C1776,CDM,,,,both,,,"2,634.00","2,634.00",605.82,"2,634.00","2,634.00",percent of total billed charges,"2,634.00",percent of total billed charges,"2,634.00",percent of total billed charges,"2,634.00",percent of total billed charges,"2,634.00",percent of total billed charges,"2,634.00",percent of total billed charges,"2,634.00",percent of total billed charges,"2,634.00",percent of total billed charges,"1,896.48",percent of total billed charges,"1,896.48",percent of total billed charges,"1,896.48",percent of total billed charges,"1,896.48",percent of total billed charges,"1,896.48",percent of total billed charges,"1,896.48",percent of total billed charges,"2,080.86",percent of total billed charges,"2,080.86",percent of total billed charges,"2,107.20",percent of total billed charges,"2,107.20",percent of total billed charges,,,"1,896.48",percent of total billed charges ,,,"2,107.20",percent of total billed charges ,"2,080.86",percent of total billed charges ,"2,080.86",percent of total billed charges ,"2,238.90",percent of total billed charges ,"2,238.90",percent of total billed charges ,"2,107.20",percent of total billed charges ,"2,107.20",percent of total billed charges ,"1,843.80",percent of total billed charges ,"1,843.80",percent of total billed charges ,"1,580.40",percent of total billed charges ,"1,580.40",percent of total billed charges ,"1,580.40",percent of total billed charges ,"1,580.40",percent of total billed charges ,,,,,"1,401.29",percent of total billed charges ,,,,,"1,331.22",percent of total billed charges ,,,,,,,,,,,,,,,,,,,605.82,percent of total billed charges,,,605.82,percent of total billed charges,,,605.82,percent of total billed charges,,,605.82,percent of total billed charges,,,605.82,percent of total billed charges,,,605.82,percent of total billed charges,,,605.82,percent of total billed charges,,,605.82,percent of total billed charges,,,605.82,percent of total billed charges,,,605.82,percent of total billed charges,,,605.82,percent of total billed charges,
ART SURFACE NEX LPS FLEX AB/EF 10-23MM,C1776,CDM,,,,both,,,"11,391.00","11,391.00","2,619.93","11,391.00","11,391.00",percent of total billed charges,"11,391.00",percent of total billed charges,"11,391.00",percent of total billed charges,"11,391.00",percent of total billed charges,"11,391.00",percent of total billed charges,"11,391.00",percent of total billed charges,"11,391.00",percent of total billed charges,"11,391.00",percent of total billed charges,"8,201.52",percent of total billed charges,"8,201.52",percent of total billed charges,"8,201.52",percent of total billed charges,"8,201.52",percent of total billed charges,"8,201.52",percent of total billed charges,"8,201.52",percent of total billed charges,"8,998.89",percent of total billed charges,"8,998.89",percent of total billed charges,"9,112.80",percent of total billed charges,"9,112.80",percent of total billed charges,,,"8,201.52",percent of total billed charges ,,,"9,112.80",percent of total billed charges ,"8,998.89",percent of total billed charges ,"8,998.89",percent of total billed charges ,"9,682.35",percent of total billed charges ,"9,682.35",percent of total billed charges ,"9,112.80",percent of total billed charges ,"9,112.80",percent of total billed charges ,"7,973.70",percent of total billed charges ,"7,973.70",percent of total billed charges ,"6,834.60",percent of total billed charges ,"6,834.60",percent of total billed charges ,"6,834.60",percent of total billed charges ,"6,834.60",percent of total billed charges ,,,,,"6,060.01",percent of total billed charges ,,,,,"5,757.01",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,619.93",percent of total billed charges,,,"2,619.93",percent of total billed charges,,,"2,619.93",percent of total billed charges,,,"2,619.93",percent of total billed charges,,,"2,619.93",percent of total billed charges,,,"2,619.93",percent of total billed charges,,,"2,619.93",percent of total billed charges,,,"2,619.93",percent of total billed charges,,,"2,619.93",percent of total billed charges,,,"2,619.93",percent of total billed charges,,,"2,619.93",percent of total billed charges,
FEMORAL COMP LPS-FLEX GSF 51MM/52MM,C1776,CDM,,,,both,,,"28,474.00","28,474.00","6,549.02","28,474.00","28,474.00",percent of total billed charges,"28,474.00",percent of total billed charges,"28,474.00",percent of total billed charges,"28,474.00",percent of total billed charges,"28,474.00",percent of total billed charges,"28,474.00",percent of total billed charges,"28,474.00",percent of total billed charges,"28,474.00",percent of total billed charges,"20,501.28",percent of total billed charges,"20,501.28",percent of total billed charges,"20,501.28",percent of total billed charges,"20,501.28",percent of total billed charges,"20,501.28",percent of total billed charges,"20,501.28",percent of total billed charges,"22,494.46",percent of total billed charges,"22,494.46",percent of total billed charges,"22,779.20",percent of total billed charges,"22,779.20",percent of total billed charges,,,"20,501.28",percent of total billed charges ,,,"22,779.20",percent of total billed charges ,"22,494.46",percent of total billed charges ,"22,494.46",percent of total billed charges ,"24,202.90",percent of total billed charges ,"24,202.90",percent of total billed charges ,"22,779.20",percent of total billed charges ,"22,779.20",percent of total billed charges ,"19,931.80",percent of total billed charges ,"19,931.80",percent of total billed charges ,"17,084.40",percent of total billed charges ,"17,084.40",percent of total billed charges ,"17,084.40",percent of total billed charges ,"17,084.40",percent of total billed charges ,,,,,"15,148.17",percent of total billed charges ,,,,,"14,390.76",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"6,549.02",percent of total billed charges,,,"6,549.02",percent of total billed charges,,,"6,549.02",percent of total billed charges,,,"6,549.02",percent of total billed charges,,,"6,549.02",percent of total billed charges,,,"6,549.02",percent of total billed charges,,,"6,549.02",percent of total billed charges,,,"6,549.02",percent of total billed charges,,,"6,549.02",percent of total billed charges,,,"6,549.02",percent of total billed charges,,,"6,549.02",percent of total billed charges,
SCREW CANN 3.5,C1713,CDM,,,,both,,,"1,213.00","1,213.00",278.99,"1,213.00","1,213.00",percent of total billed charges,"1,213.00",percent of total billed charges,"1,213.00",percent of total billed charges,"1,213.00",percent of total billed charges,"1,213.00",percent of total billed charges,"1,213.00",percent of total billed charges,"1,213.00",percent of total billed charges,"1,213.00",percent of total billed charges,873.36,percent of total billed charges,873.36,percent of total billed charges,873.36,percent of total billed charges,873.36,percent of total billed charges,873.36,percent of total billed charges,873.36,percent of total billed charges,958.27,percent of total billed charges,958.27,percent of total billed charges,970.4,percent of total billed charges,970.4,percent of total billed charges,,,873.36,percent of total billed charges ,,,970.4,percent of total billed charges ,958.27,percent of total billed charges ,958.27,percent of total billed charges ,"1,031.05",percent of total billed charges ,"1,031.05",percent of total billed charges ,970.4,percent of total billed charges ,970.4,percent of total billed charges ,849.1,percent of total billed charges ,849.1,percent of total billed charges ,727.8,percent of total billed charges ,727.8,percent of total billed charges ,727.8,percent of total billed charges ,727.8,percent of total billed charges ,,,,,645.32,percent of total billed charges ,,,,,613.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,278.99,percent of total billed charges,,,278.99,percent of total billed charges,,,278.99,percent of total billed charges,,,278.99,percent of total billed charges,,,278.99,percent of total billed charges,,,278.99,percent of total billed charges,,,278.99,percent of total billed charges,,,278.99,percent of total billed charges,,,278.99,percent of total billed charges,,,278.99,percent of total billed charges,,,278.99,percent of total billed charges,
MAGIC PIN ORTHOFIX,C1713,CDM,,,,both,,,367,367,84.41,367,367,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,289.93,percent of total billed charges,289.93,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 ,289.93,percent of total billed charges ,289.93,percent of total billed charges ,311.95,percent of total billed charges ,311.95,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 ,,,,,,,,,,,,,,,,,,,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,,,84.41,percent of total billed charges,,,84.41,percent of total billed charges,,,84.41,percent of total billed charges,
WASHER,C1713,CDM,,,,both,,,96,96,22.08,96,96,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,75.84,percent of total billed charges,75.84,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 ,75.84,percent of total billed charges ,75.84,percent of total billed charges ,81.6,percent of total billed charges ,81.6,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 ,,,,,,,,,,,,,,,,,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,
ART SURFACE 5964,C1776,CDM,,,,both,,,"13,693.00","13,693.00","3,149.39","13,693.00","13,693.00",percent of total billed charges,"13,693.00",percent of total billed charges,"13,693.00",percent of total billed charges,"13,693.00",percent of total billed charges,"13,693.00",percent of total billed charges,"13,693.00",percent of total billed charges,"13,693.00",percent of total billed charges,"13,693.00",percent of total billed charges,"9,858.96",percent of total billed charges,"9,858.96",percent of total billed charges,"9,858.96",percent of total billed charges,"9,858.96",percent of total billed charges,"9,858.96",percent of total billed charges,"9,858.96",percent of total billed charges,"10,817.47",percent of total billed charges,"10,817.47",percent of total billed charges,"10,954.40",percent of total billed charges,"10,954.40",percent of total billed charges,,,"9,858.96",percent of total billed charges ,,,"10,954.40",percent of total billed charges ,"10,817.47",percent of total billed charges ,"10,817.47",percent of total billed charges ,"11,639.05",percent of total billed charges ,"11,639.05",percent of total billed charges ,"10,954.40",percent of total billed charges ,"10,954.40",percent of total billed charges ,"9,585.10",percent of total billed charges ,"9,585.10",percent of total billed charges ,"8,215.80",percent of total billed charges ,"8,215.80",percent of total billed charges ,"8,215.80",percent of total billed charges ,"8,215.80",percent of total billed charges ,,,,,"7,284.68",percent of total billed charges ,,,,,"6,920.44",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,149.39",percent of total billed charges,,,"3,149.39",percent of total billed charges,,,"3,149.39",percent of total billed charges,,,"3,149.39",percent of total billed charges,,,"3,149.39",percent of total billed charges,,,"3,149.39",percent of total billed charges,,,"3,149.39",percent of total billed charges,,,"3,149.39",percent of total billed charges,,,"3,149.39",percent of total billed charges,,,"3,149.39",percent of total billed charges,,,"3,149.39",percent of total billed charges,
STEM PLUG 5960,C1713,CDM,,,,both,,,"3,826.00","3,826.00",879.98,"3,826.00","3,826.00",percent of total billed charges,"3,826.00",percent of total billed charges,"3,826.00",percent of total billed charges,"3,826.00",percent of total billed charges,"3,826.00",percent of total billed charges,"3,826.00",percent of total billed charges,"3,826.00",percent of total billed charges,"3,826.00",percent of total billed charges,"2,754.72",percent of total billed charges,"2,754.72",percent of total billed charges,"2,754.72",percent of total billed charges,"2,754.72",percent of total billed charges,"2,754.72",percent of total billed charges,"2,754.72",percent of total billed charges,"3,022.54",percent of total billed charges,"3,022.54",percent of total billed charges,"3,060.80",percent of total billed charges,"3,060.80",percent of total billed charges,,,"2,754.72",percent of total billed charges ,,,"3,060.80",percent of total billed charges ,"3,022.54",percent of total billed charges ,"3,022.54",percent of total billed charges ,"3,252.10",percent of total billed charges ,"3,252.10",percent of total billed charges ,"3,060.80",percent of total billed charges ,"3,060.80",percent of total billed charges ,"2,678.20",percent of total billed charges ,"2,678.20",percent of total billed charges ,"2,295.60",percent of total billed charges ,"2,295.60",percent of total billed charges ,"2,295.60",percent of total billed charges ,"2,295.60",percent of total billed charges ,,,,,"2,035.43",percent of total billed charges ,,,,,"1,933.66",percent of total billed charges ,,,,,,,,,,,,,,,,,,,879.98,percent of total billed charges,,,879.98,percent of total billed charges,,,879.98,percent of total billed charges,,,879.98,percent of total billed charges,,,879.98,percent of total billed charges,,,879.98,percent of total billed charges,,,879.98,percent of total billed charges,,,879.98,percent of total billed charges,,,879.98,percent of total billed charges,,,879.98,percent of total billed charges,,,879.98,percent of total billed charges,
HOLE ELIMIN DEPUY,278,RC,00906-99-0441,NDC,,both,,,794,794,182.62,794,794,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,627.26,percent of total billed charges,627.26,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 ,627.26,percent of total billed charges ,627.26,percent of total billed charges ,674.9,percent of total billed charges ,674.9,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 ,,,,,,,,,,,,,,,,,,,182.62,percent of total billed charges,,,182.62,percent of total billed charges,,,182.62,percent of total billed charges,,,182.62,percent of total billed charges,,,182.62,percent of total billed charges,,,182.62,percent of total billed charges,,,182.62,percent of total billed charges,,,182.62,percent of total billed charges,,,182.62,percent of total billed charges,,,182.62,percent of total billed charges,,,182.62,percent of total billed charges,
SCREW LOCKING WITH STAR DRIVE RECESS,C1713,CDM,,,,both,,,"1,094.00","1,094.00",251.62,"1,094.00","1,094.00",percent of total billed charges,"1,094.00",percent of total billed charges,"1,094.00",percent of total billed charges,"1,094.00",percent of total billed charges,"1,094.00",percent of total billed charges,"1,094.00",percent of total billed charges,"1,094.00",percent of total billed charges,"1,094.00",percent of total billed charges,787.68,percent of total billed charges,787.68,percent of total billed charges,787.68,percent of total billed charges,787.68,percent of total billed charges,787.68,percent of total billed charges,787.68,percent of total billed charges,864.26,percent of total billed charges,864.26,percent of total billed charges,875.2,percent of total billed charges,875.2,percent of total billed charges,,,787.68,percent of total billed charges ,,,875.2,percent of total billed charges ,864.26,percent of total billed charges ,864.26,percent of total billed charges ,929.9,percent of total billed charges ,929.9,percent of total billed charges ,875.2,percent of total billed charges ,875.2,percent of total billed charges ,765.8,percent of total billed charges ,765.8,percent of total billed charges ,656.4,percent of total billed charges ,656.4,percent of total billed charges ,656.4,percent of total billed charges ,656.4,percent of total billed charges ,,,,,582.01,percent of total billed charges ,,,,,552.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,251.62,percent of total billed charges,,,251.62,percent of total billed charges,,,251.62,percent of total billed charges,,,251.62,percent of total billed charges,,,251.62,percent of total billed charges,,,251.62,percent of total billed charges,,,251.62,percent of total billed charges,,,251.62,percent of total billed charges,,,251.62,percent of total billed charges,,,251.62,percent of total billed charges,,,251.62,percent of total billed charges,
LINER DEPUY,278,RC,00906-99-0441,NDC,,both,,,"5,022.00","5,022.00","1,155.06","5,022.00","5,022.00",percent of total billed charges,"5,022.00",percent of total billed charges,"5,022.00",percent of total billed charges,"5,022.00",percent of total billed charges,"5,022.00",percent of total billed charges,"5,022.00",percent of total billed charges,"5,022.00",percent of total billed charges,"5,022.00",percent of total billed charges,"3,615.84",percent of total billed charges,"3,615.84",percent of total billed charges,"3,615.84",percent of total billed charges,"3,615.84",percent of total billed charges,"3,615.84",percent of total billed charges,"3,615.84",percent of total billed charges,"3,967.38",percent of total billed charges,"3,967.38",percent of total billed charges,"4,017.60",percent of total billed charges,"4,017.60",percent of total billed charges,,,"3,615.84",percent of total billed charges ,,,"4,017.60",percent of total billed charges ,"3,967.38",percent of total billed charges ,"3,967.38",percent of total billed charges ,"4,268.70",percent of total billed charges ,"4,268.70",percent of total billed charges ,"4,017.60",percent of total billed charges ,"4,017.60",percent of total billed charges ,"3,515.40",percent of total billed charges ,"3,515.40",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 ,,,,,"2,671.70",percent of total billed charges ,,,,,"2,538.12",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,155.06",percent of total billed charges,,,"1,155.06",percent of total billed charges,,,"1,155.06",percent of total billed charges,,,"1,155.06",percent of total billed charges,,,"1,155.06",percent of total billed charges,,,"1,155.06",percent of total billed charges,,,"1,155.06",percent of total billed charges,,,"1,155.06",percent of total billed charges,,,"1,155.06",percent of total billed charges,,,"1,155.06",percent of total billed charges,,,"1,155.06",percent of total billed charges,
SHELL DEPUY,278,RC,00906-99-0441,NDC,,both,,,"4,113.00","4,113.00",945.99,"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,"3,249.27",percent of total billed charges,"3,249.27",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 ,"3,249.27",percent of total billed charges ,"3,249.27",percent of total billed charges ,"3,496.05",percent of total billed charges ,"3,496.05",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 ,,,,,,,,,,,,,,,,,,,945.99,percent of total billed charges,,,945.99,percent of total billed charges,,,945.99,percent of total billed charges,,,945.99,percent of total billed charges,,,945.99,percent of total billed charges,,,945.99,percent of total billed charges,,,945.99,percent of total billed charges,,,945.99,percent of total billed charges,,,945.99,percent of total billed charges,,,945.99,percent of total billed charges,,,945.99,percent of total billed charges,
FEMORAL STEM DEPUY,C1776,CDM,,,,both,,,"13,594.00","13,594.00","3,126.62","13,594.00","13,594.00",percent of total billed charges,"13,594.00",percent of total billed charges,"13,594.00",percent of total billed charges,"13,594.00",percent of total billed charges,"13,594.00",percent of total billed charges,"13,594.00",percent of total billed charges,"13,594.00",percent of total billed charges,"13,594.00",percent of total billed charges,"9,787.68",percent of total billed charges,"9,787.68",percent of total billed charges,"9,787.68",percent of total billed charges,"9,787.68",percent of total billed charges,"9,787.68",percent of total billed charges,"9,787.68",percent of total billed charges,"10,739.26",percent of total billed charges,"10,739.26",percent of total billed charges,"10,875.20",percent of total billed charges,"10,875.20",percent of total billed charges,,,"9,787.68",percent of total billed charges ,,,"10,875.20",percent of total billed charges ,"10,739.26",percent of total billed charges ,"10,739.26",percent of total billed charges ,"11,554.90",percent of total billed charges ,"11,554.90",percent of total billed charges ,"10,875.20",percent of total billed charges ,"10,875.20",percent of total billed charges ,"9,515.80",percent of total billed charges ,"9,515.80",percent of total billed charges ,"8,156.40",percent of total billed charges ,"8,156.40",percent of total billed charges ,"8,156.40",percent of total billed charges ,"8,156.40",percent of total billed charges ,,,,,"7,232.01",percent of total billed charges ,,,,,"6,870.41",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,126.62",percent of total billed charges,,,"3,126.62",percent of total billed charges,,,"3,126.62",percent of total billed charges,,,"3,126.62",percent of total billed charges,,,"3,126.62",percent of total billed charges,,,"3,126.62",percent of total billed charges,,,"3,126.62",percent of total billed charges,,,"3,126.62",percent of total billed charges,,,"3,126.62",percent of total billed charges,,,"3,126.62",percent of total billed charges,,,"3,126.62",percent of total billed charges,
WASHER ARTHROTEK,C1713,CDM,,,,both,,,"2,935.00","2,935.00",675.05,"2,935.00","2,935.00",percent of total billed charges,"2,935.00",percent of total billed charges,"2,935.00",percent of total billed charges,"2,935.00",percent of total billed charges,"2,935.00",percent of total billed charges,"2,935.00",percent of total billed charges,"2,935.00",percent of total billed charges,"2,935.00",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,"2,113.20",percent of total billed charges,"2,113.20",percent of total billed charges,"2,318.65",percent of total billed charges,"2,318.65",percent of total billed charges,"2,348.00",percent of total billed charges,"2,348.00",percent of total billed charges,,,"2,113.20",percent of total billed charges ,,,"2,348.00",percent of total billed charges ,"2,318.65",percent of total billed charges ,"2,318.65",percent of total billed charges ,"2,494.75",percent of total billed charges ,"2,494.75",percent of total billed charges ,"2,348.00",percent of total billed charges ,"2,348.00",percent of total billed charges ,"2,054.50",percent of total billed charges ,"2,054.50",percent of total billed charges ,"1,761.00",percent of total billed charges ,"1,761.00",percent of total billed charges ,"1,761.00",percent of total billed charges ,"1,761.00",percent of total billed charges ,,,,,"1,561.42",percent of total billed charges ,,,,,"1,483.35",percent of total billed charges ,,,,,,,,,,,,,,,,,,,675.05,percent of total billed charges,,,675.05,percent of total billed charges,,,675.05,percent of total billed charges,,,675.05,percent of total billed charges,,,675.05,percent of total billed charges,,,675.05,percent of total billed charges,,,675.05,percent of total billed charges,,,675.05,percent of total billed charges,,,675.05,percent of total billed charges,,,675.05,percent of total billed charges,,,675.05,percent of total billed charges,
SCREW ARTHROTEK,C1713,CDM,,,,both,,,"1,224.00","1,224.00",281.52,"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,966.96,percent of total billed charges,966.96,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 ,966.96,percent of total billed charges ,966.96,percent of total billed charges ,"1,040.40",percent of total billed charges ,"1,040.40",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 ,,,,,,,,,,,,,,,,,,,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,,,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,
SCREW ACUTRAK STANDARD BONE SCREW,C1713,CDM,,,,both,,,"4,878.00","4,878.00","1,121.94","4,878.00","4,878.00",percent of total billed charges,"4,878.00",percent of total billed charges,"4,878.00",percent of total billed charges,"4,878.00",percent of total billed charges,"4,878.00",percent of total billed charges,"4,878.00",percent of total billed charges,"4,878.00",percent of total billed charges,"4,878.00",percent of total billed charges,"3,512.16",percent of total billed charges,"3,512.16",percent of total billed charges,"3,512.16",percent of total billed charges,"3,512.16",percent of total billed charges,"3,512.16",percent of total billed charges,"3,512.16",percent of total billed charges,"3,853.62",percent of total billed charges,"3,853.62",percent of total billed charges,"3,902.40",percent of total billed charges,"3,902.40",percent of total billed charges,,,"3,512.16",percent of total billed charges ,,,"3,902.40",percent of total billed charges ,"3,853.62",percent of total billed charges ,"3,853.62",percent of total billed charges ,"4,146.30",percent of total billed charges ,"4,146.30",percent of total billed charges ,"3,902.40",percent of total billed charges ,"3,902.40",percent of total billed charges ,"3,414.60",percent of total billed charges ,"3,414.60",percent of total billed charges ,"2,926.80",percent of total billed charges ,"2,926.80",percent of total billed charges ,"2,926.80",percent of total billed charges ,"2,926.80",percent of total billed charges ,,,,,"2,595.10",percent of total billed charges ,,,,,"2,465.34",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,121.94",percent of total billed charges,,,"1,121.94",percent of total billed charges,,,"1,121.94",percent of total billed charges,,,"1,121.94",percent of total billed charges,,,"1,121.94",percent of total billed charges,,,"1,121.94",percent of total billed charges,,,"1,121.94",percent of total billed charges,,,"1,121.94",percent of total billed charges,,,"1,121.94",percent of total billed charges,,,"1,121.94",percent of total billed charges,,,"1,121.94",percent of total billed charges,
SCREW MINI FRAG SYNTHES 2.7 #402.8xx,C1713,CDM,,,,both,,,"1,399.00","1,399.00",321.77,"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,"1,105.21",percent of total billed charges,"1,105.21",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 ,"1,105.21",percent of total billed charges ,"1,105.21",percent of total billed charges ,"1,189.15",percent of total billed charges ,"1,189.15",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 ,,,,,,,,,,,,,,,,,,,321.77,percent of total billed charges,,,321.77,percent of total billed charges,,,321.77,percent of total billed charges,,,321.77,percent of total billed charges,,,321.77,percent of total billed charges,,,321.77,percent of total billed charges,,,321.77,percent of total billed charges,,,321.77,percent of total billed charges,,,321.77,percent of total billed charges,,,321.77,percent of total billed charges,,,321.77,percent of total billed charges,
LINER MOD CUP 36/80 X 22<36,278,RC,00906-99-0441,NDC,,both,,,"9,527.00","9,527.00","2,191.21","9,527.00","9,527.00",percent of total billed charges,"9,527.00",percent of total billed charges,"9,527.00",percent of total billed charges,"9,527.00",percent of total billed charges,"9,527.00",percent of total billed charges,"9,527.00",percent of total billed charges,"9,527.00",percent of total billed charges,"9,527.00",percent of total billed charges,"6,859.44",percent of total billed charges,"6,859.44",percent of total billed charges,"6,859.44",percent of total billed charges,"6,859.44",percent of total billed charges,"6,859.44",percent of total billed charges,"6,859.44",percent of total billed charges,"7,526.33",percent of total billed charges,"7,526.33",percent of total billed charges,"7,621.60",percent of total billed charges,"7,621.60",percent of total billed charges,,,"6,859.44",percent of total billed charges ,,,"7,621.60",percent of total billed charges ,"7,526.33",percent of total billed charges ,"7,526.33",percent of total billed charges ,"8,097.95",percent of total billed charges ,"8,097.95",percent of total billed charges ,"7,621.60",percent of total billed charges ,"7,621.60",percent of total billed charges ,"6,668.90",percent of total billed charges ,"6,668.90",percent of total billed charges ,"5,716.20",percent of total billed charges ,"5,716.20",percent of total billed charges ,"5,716.20",percent of total billed charges ,"5,716.20",percent of total billed charges ,,,,,"5,068.36",percent of total billed charges ,,,,,"4,814.95",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,191.21",percent of total billed charges,,,"2,191.21",percent of total billed charges,,,"2,191.21",percent of total billed charges,,,"2,191.21",percent of total billed charges,,,"2,191.21",percent of total billed charges,,,"2,191.21",percent of total billed charges,,,"2,191.21",percent of total billed charges,,,"2,191.21",percent of total billed charges,,,"2,191.21",percent of total billed charges,,,"2,191.21",percent of total billed charges,,,"2,191.21",percent of total billed charges,
PLATE 2MM/2.4MM,C1713,CDM,,,,both,,,"1,243.00","1,243.00",285.89,"1,243.00","1,243.00",percent of total billed charges,"1,243.00",percent of total billed charges,"1,243.00",percent of total billed charges,"1,243.00",percent of total billed charges,"1,243.00",percent of total billed charges,"1,243.00",percent of total billed charges,"1,243.00",percent of total billed charges,"1,243.00",percent of total billed charges,894.96,percent of total billed charges,894.96,percent of total billed charges,894.96,percent of total billed charges,894.96,percent of total billed charges,894.96,percent of total billed charges,894.96,percent of total billed charges,981.97,percent of total billed charges,981.97,percent of total billed charges,994.4,percent of total billed charges,994.4,percent of total billed charges,,,894.96,percent of total billed charges ,,,994.4,percent of total billed charges ,981.97,percent of total billed charges ,981.97,percent of total billed charges ,"1,056.55",percent of total billed charges ,"1,056.55",percent of total billed charges ,994.4,percent of total billed charges ,994.4,percent of total billed charges ,870.1,percent of total billed charges ,870.1,percent of total billed charges ,745.8,percent of total billed charges ,745.8,percent of total billed charges ,745.8,percent of total billed charges ,745.8,percent of total billed charges ,,,,,661.28,percent of total billed charges ,,,,,628.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,285.89,percent of total billed charges,,,285.89,percent of total billed charges,,,285.89,percent of total billed charges,,,285.89,percent of total billed charges,,,285.89,percent of total billed charges,,,285.89,percent of total billed charges,,,285.89,percent of total billed charges,,,285.89,percent of total billed charges,,,285.89,percent of total billed charges,,,285.89,percent of total billed charges,,,285.89,percent of total billed charges,
SCREW CORTICAL 2.7MM SMALL HEX,C1713,CDM,,,,both,,,197,197,45.31,197,197,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,155.63,percent of total billed charges,155.63,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 ,155.63,percent of total billed charges ,155.63,percent of total billed charges ,167.45,percent of total billed charges ,167.45,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
LINER OFFSET 6341,278,RC,00906-99-0441,NDC,,both,,,"5,074.00","5,074.00","1,167.02","5,074.00","5,074.00",percent of total billed charges,"5,074.00",percent of total billed charges,"5,074.00",percent of total billed charges,"5,074.00",percent of total billed charges,"5,074.00",percent of total billed charges,"5,074.00",percent of total billed charges,"5,074.00",percent of total billed charges,"5,074.00",percent of total billed charges,"3,653.28",percent of total billed charges,"3,653.28",percent of total billed charges,"3,653.28",percent of total billed charges,"3,653.28",percent of total billed charges,"3,653.28",percent of total billed charges,"3,653.28",percent of total billed charges,"4,008.46",percent of total billed charges,"4,008.46",percent of total billed charges,"4,059.20",percent of total billed charges,"4,059.20",percent of total billed charges,,,"3,653.28",percent of total billed charges ,,,"4,059.20",percent of total billed charges ,"4,008.46",percent of total billed charges ,"4,008.46",percent of total billed charges ,"4,312.90",percent of total billed charges ,"4,312.90",percent of total billed charges ,"4,059.20",percent of total billed charges ,"4,059.20",percent of total billed charges ,"3,551.80",percent of total billed charges ,"3,551.80",percent of total billed charges ,"3,044.40",percent of total billed charges ,"3,044.40",percent of total billed charges ,"3,044.40",percent of total billed charges ,"3,044.40",percent of total billed charges ,,,,,"2,699.37",percent of total billed charges ,,,,,"2,564.40",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,167.02",percent of total billed charges,,,"1,167.02",percent of total billed charges,,,"1,167.02",percent of total billed charges,,,"1,167.02",percent of total billed charges,,,"1,167.02",percent of total billed charges,,,"1,167.02",percent of total billed charges,,,"1,167.02",percent of total billed charges,,,"1,167.02",percent of total billed charges,,,"1,167.02",percent of total billed charges,,,"1,167.02",percent of total billed charges,,,"1,167.02",percent of total billed charges,
FIBULA SHAFT SEGMENT,278,RC,00906-99-0441,NDC,,both,,,"3,361.00","3,361.00",773.03,"3,361.00","3,361.00",percent of total billed charges,"3,361.00",percent of total billed charges,"3,361.00",percent of total billed charges,"3,361.00",percent of total billed charges,"3,361.00",percent of total billed charges,"3,361.00",percent of total billed charges,"3,361.00",percent of total billed charges,"3,361.00",percent of total billed charges,"2,419.92",percent of total billed charges,"2,419.92",percent of total billed charges,"2,419.92",percent of total billed charges,"2,419.92",percent of total billed charges,"2,419.92",percent of total billed charges,"2,419.92",percent of total billed charges,"2,655.19",percent of total billed charges,"2,655.19",percent of total billed charges,"2,688.80",percent of total billed charges,"2,688.80",percent of total billed charges,,,"2,419.92",percent of total billed charges ,,,"2,688.80",percent of total billed charges ,"2,655.19",percent of total billed charges ,"2,655.19",percent of total billed charges ,"2,856.85",percent of total billed charges ,"2,856.85",percent of total billed charges ,"2,688.80",percent of total billed charges ,"2,688.80",percent of total billed charges ,"2,352.70",percent of total billed charges ,"2,352.70",percent of total billed charges ,"2,016.60",percent of total billed charges ,"2,016.60",percent of total billed charges ,"2,016.60",percent of total billed charges ,"2,016.60",percent of total billed charges ,,,,,"1,788.05",percent of total billed charges ,,,,,"1,698.65",percent of total billed charges ,,,,,,,,,,,,,,,,,,,773.03,percent of total billed charges,,,773.03,percent of total billed charges,,,773.03,percent of total billed charges,,,773.03,percent of total billed charges,,,773.03,percent of total billed charges,,,773.03,percent of total billed charges,,,773.03,percent of total billed charges,,,773.03,percent of total billed charges,,,773.03,percent of total billed charges,,,773.03,percent of total billed charges,,,773.03,percent of total billed charges,
ANCHOR SCREW 7207186,C1713,CDM,,,,both,,,933,933,214.59,933,933,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,737.07,percent of total billed charges,737.07,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 ,737.07,percent of total billed charges ,737.07,percent of total billed charges ,793.05,percent of total billed charges ,793.05,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 ,,,,,,,,,,,,,,,,,,,214.59,percent of total billed charges,,,214.59,percent of total billed charges,,,214.59,percent of total billed charges,,,214.59,percent of total billed charges,,,214.59,percent of total billed charges,,,214.59,percent of total billed charges,,,214.59,percent of total billed charges,,,214.59,percent of total billed charges,,,214.59,percent of total billed charges,,,214.59,percent of total billed charges,,,214.59,percent of total billed charges,
GUIDEWIRE S&N,C1769,CDM,,,,both,,,"1,133.00","1,133.00",260.59,"1,133.00","1,133.00",percent of total billed charges,"1,133.00",percent of total billed charges,"1,133.00",percent of total billed charges,"1,133.00",percent of total billed charges,"1,133.00",percent of total billed charges,"1,133.00",percent of total billed charges,"1,133.00",percent of total billed charges,"1,133.00",percent of total billed charges,815.76,percent of total billed charges,815.76,percent of total billed charges,815.76,percent of total billed charges,815.76,percent of total billed charges,815.76,percent of total billed charges,815.76,percent of total billed charges,895.07,percent of total billed charges,895.07,percent of total billed charges,906.4,percent of total billed charges,906.4,percent of total billed charges,,,815.76,percent of total billed charges ,,,906.4,percent of total billed charges ,895.07,percent of total billed charges ,895.07,percent of total billed charges ,963.05,percent of total billed charges ,963.05,percent of total billed charges ,906.4,percent of total billed charges ,906.4,percent of total billed charges ,793.1,percent of total billed charges ,793.1,percent of total billed charges ,679.8,percent of total billed charges ,679.8,percent of total billed charges ,679.8,percent of total billed charges ,679.8,percent of total billed charges ,,,,,602.76,percent of total billed charges ,,,,,572.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,260.59,percent of total billed charges,,,260.59,percent of total billed charges,,,260.59,percent of total billed charges,,,260.59,percent of total billed charges,,,260.59,percent of total billed charges,,,260.59,percent of total billed charges,,,260.59,percent of total billed charges,,,260.59,percent of total billed charges,,,260.59,percent of total billed charges,,,260.59,percent of total billed charges,,,260.59,percent of total billed charges,
FEMORAL STEM VERSYS TAPER 9X110/20X155M,C1776,CDM,,,,both,,,"29,534.00","29,534.00","6,792.82","29,534.00","29,534.00",percent of total billed charges,"29,534.00",percent of total billed charges,"29,534.00",percent of total billed charges,"29,534.00",percent of total billed charges,"29,534.00",percent of total billed charges,"29,534.00",percent of total billed charges,"29,534.00",percent of total billed charges,"29,534.00",percent of total billed charges,"21,264.48",percent of total billed charges,"21,264.48",percent of total billed charges,"21,264.48",percent of total billed charges,"21,264.48",percent of total billed charges,"21,264.48",percent of total billed charges,"21,264.48",percent of total billed charges,"23,331.86",percent of total billed charges,"23,331.86",percent of total billed charges,"23,627.20",percent of total billed charges,"23,627.20",percent of total billed charges,,,"21,264.48",percent of total billed charges ,,,"23,627.20",percent of total billed charges ,"23,331.86",percent of total billed charges ,"23,331.86",percent of total billed charges ,"25,103.90",percent of total billed charges ,"25,103.90",percent of total billed charges ,"23,627.20",percent of total billed charges ,"23,627.20",percent of total billed charges ,"20,673.80",percent of total billed charges ,"20,673.80",percent of total billed charges ,"17,720.40",percent of total billed charges ,"17,720.40",percent of total billed charges ,"17,720.40",percent of total billed charges ,"17,720.40",percent of total billed charges ,,,,,"15,712.09",percent of total billed charges ,,,,,"14,926.48",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"6,792.82",percent of total billed charges,,,"6,792.82",percent of total billed charges,,,"6,792.82",percent of total billed charges,,,"6,792.82",percent of total billed charges,,,"6,792.82",percent of total billed charges,,,"6,792.82",percent of total billed charges,,,"6,792.82",percent of total billed charges,,,"6,792.82",percent of total billed charges,,,"6,792.82",percent of total billed charges,,,"6,792.82",percent of total billed charges,,,"6,792.82",percent of total billed charges,
STAPLES RICHARDS,272,RC,00906-99-0441,NDC,,both,,,"1,152.00","1,152.00",264.96,"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,910.08,percent of total billed charges,910.08,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 ,910.08,percent of total billed charges ,910.08,percent of total billed charges ,979.2,percent of total billed charges ,979.2,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
FEMORAL STEM ANT9900,C1776,CDM,,,,both,,,"6,983.00","6,983.00","1,606.09","6,983.00","6,983.00",percent of total billed charges,"6,983.00",percent of total billed charges,"6,983.00",percent of total billed charges,"6,983.00",percent of total billed charges,"6,983.00",percent of total billed charges,"6,983.00",percent of total billed charges,"6,983.00",percent of total billed charges,"6,983.00",percent of total billed charges,"5,027.76",percent of total billed charges,"5,027.76",percent of total billed charges,"5,027.76",percent of total billed charges,"5,027.76",percent of total billed charges,"5,027.76",percent of total billed charges,"5,027.76",percent of total billed charges,"5,516.57",percent of total billed charges,"5,516.57",percent of total billed charges,"5,586.40",percent of total billed charges,"5,586.40",percent of total billed charges,,,"5,027.76",percent of total billed charges ,,,"5,586.40",percent of total billed charges ,"5,516.57",percent of total billed charges ,"5,516.57",percent of total billed charges ,"5,935.55",percent of total billed charges ,"5,935.55",percent of total billed charges ,"5,586.40",percent of total billed charges ,"5,586.40",percent of total billed charges ,"4,888.10",percent of total billed charges ,"4,888.10",percent of total billed charges ,"4,189.80",percent of total billed charges ,"4,189.80",percent of total billed charges ,"4,189.80",percent of total billed charges ,"4,189.80",percent of total billed charges ,,,,,"3,714.96",percent of total billed charges ,,,,,"3,529.21",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,606.09",percent of total billed charges,,,"1,606.09",percent of total billed charges,,,"1,606.09",percent of total billed charges,,,"1,606.09",percent of total billed charges,,,"1,606.09",percent of total billed charges,,,"1,606.09",percent of total billed charges,,,"1,606.09",percent of total billed charges,,,"1,606.09",percent of total billed charges,,,"1,606.09",percent of total billed charges,,,"1,606.09",percent of total billed charges,,,"1,606.09",percent of total billed charges,
SCREW INTERF LINVATE,C1713,CDM,,,,both,,,"1,598.00","1,598.00",367.54,"1,598.00","1,598.00",percent of total billed charges,"1,598.00",percent of total billed charges,"1,598.00",percent of total billed charges,"1,598.00",percent of total billed charges,"1,598.00",percent of total billed charges,"1,598.00",percent of total billed charges,"1,598.00",percent of total billed charges,"1,598.00",percent of total billed charges,"1,150.56",percent of total billed charges,"1,150.56",percent of total billed charges,"1,150.56",percent of total billed charges,"1,150.56",percent of total billed charges,"1,150.56",percent of total billed charges,"1,150.56",percent of total billed charges,"1,262.42",percent of total billed charges,"1,262.42",percent of total billed charges,"1,278.40",percent of total billed charges,"1,278.40",percent of total billed charges,,,"1,150.56",percent of total billed charges ,,,"1,278.40",percent of total billed charges ,"1,262.42",percent of total billed charges ,"1,262.42",percent of total billed charges ,"1,358.30",percent of total billed charges ,"1,358.30",percent of total billed charges ,"1,278.40",percent of total billed charges ,"1,278.40",percent of total billed charges ,"1,118.60",percent of total billed charges ,"1,118.60",percent of total billed charges ,958.8,percent of total billed charges ,958.8,percent of total billed charges ,958.8,percent of total billed charges ,958.8,percent of total billed charges ,,,,,850.14,percent of total billed charges ,,,,,807.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,367.54,percent of total billed charges,,,367.54,percent of total billed charges,,,367.54,percent of total billed charges,,,367.54,percent of total billed charges,,,367.54,percent of total billed charges,,,367.54,percent of total billed charges,,,367.54,percent of total billed charges,,,367.54,percent of total billed charges,,,367.54,percent of total billed charges,,,367.54,percent of total billed charges,,,367.54,percent of total billed charges,
BRIDAL CENTRALIZER,272,RC,00906-99-0441,NDC,,both,,,716,716,164.68,716,716,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,565.64,percent of total billed charges,565.64,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 ,565.64,percent of total billed charges ,565.64,percent of total billed charges ,608.6,percent of total billed charges ,608.6,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 ,,,,,,,,,,,,,,,,,,,164.68,percent of total billed charges,,,164.68,percent of total billed charges,,,164.68,percent of total billed charges,,,164.68,percent of total billed charges,,,164.68,percent of total billed charges,,,164.68,percent of total billed charges,,,164.68,percent of total billed charges,,,164.68,percent of total billed charges,,,164.68,percent of total billed charges,,,164.68,percent of total billed charges,,,164.68,percent of total billed charges,
SS 4.5 MALLEOLAR SCW,C1713,CDM,,,,both,,,236,236,54.28,236,236,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,186.44,percent of total billed charges,186.44,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 ,186.44,percent of total billed charges ,186.44,percent of total billed charges ,200.6,percent of total billed charges ,200.6,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 ,,,,,,,,,,,,,,,,,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,
FEMORAL STEM VERSYS CEM & PRES FIT LD/FX,C1776,CDM,,,,both,,,"10,653.00","10,653.00","2,450.19","10,653.00","10,653.00",percent of total billed charges,"10,653.00",percent of total billed charges,"10,653.00",percent of total billed charges,"10,653.00",percent of total billed charges,"10,653.00",percent of total billed charges,"10,653.00",percent of total billed charges,"10,653.00",percent of total billed charges,"10,653.00",percent of total billed charges,"7,670.16",percent of total billed charges,"7,670.16",percent of total billed charges,"7,670.16",percent of total billed charges,"7,670.16",percent of total billed charges,"7,670.16",percent of total billed charges,"7,670.16",percent of total billed charges,"8,415.87",percent of total billed charges,"8,415.87",percent of total billed charges,"8,522.40",percent of total billed charges,"8,522.40",percent of total billed charges,,,"7,670.16",percent of total billed charges ,,,"8,522.40",percent of total billed charges ,"8,415.87",percent of total billed charges ,"8,415.87",percent of total billed charges ,"9,055.05",percent of total billed charges ,"9,055.05",percent of total billed charges ,"8,522.40",percent of total billed charges ,"8,522.40",percent of total billed charges ,"7,457.10",percent of total billed charges ,"7,457.10",percent of total billed charges ,"6,391.80",percent of total billed charges ,"6,391.80",percent of total billed charges ,"6,391.80",percent of total billed charges ,"6,391.80",percent of total billed charges ,,,,,"5,667.40",percent of total billed charges ,,,,,"5,384.03",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,450.19",percent of total billed charges,,,"2,450.19",percent of total billed charges,,,"2,450.19",percent of total billed charges,,,"2,450.19",percent of total billed charges,,,"2,450.19",percent of total billed charges,,,"2,450.19",percent of total billed charges,,,"2,450.19",percent of total billed charges,,,"2,450.19",percent of total billed charges,,,"2,450.19",percent of total billed charges,,,"2,450.19",percent of total billed charges,,,"2,450.19",percent of total billed charges,
MULTIPOLAR BIPOLAR SHELL 5001  38-70MM,278,RC,00906-99-0441,NDC,,both,,,"7,181.00","7,181.00","1,651.63","7,181.00","7,181.00",percent of total billed charges,"7,181.00",percent of total billed charges,"7,181.00",percent of total billed charges,"7,181.00",percent of total billed charges,"7,181.00",percent of total billed charges,"7,181.00",percent of total billed charges,"7,181.00",percent of total billed charges,"7,181.00",percent of total billed charges,"5,170.32",percent of total billed charges,"5,170.32",percent of total billed charges,"5,170.32",percent of total billed charges,"5,170.32",percent of total billed charges,"5,170.32",percent of total billed charges,"5,170.32",percent of total billed charges,"5,672.99",percent of total billed charges,"5,672.99",percent of total billed charges,"5,744.80",percent of total billed charges,"5,744.80",percent of total billed charges,,,"5,170.32",percent of total billed charges ,,,"5,744.80",percent of total billed charges ,"5,672.99",percent of total billed charges ,"5,672.99",percent of total billed charges ,"6,103.85",percent of total billed charges ,"6,103.85",percent of total billed charges ,"5,744.80",percent of total billed charges ,"5,744.80",percent of total billed charges ,"5,026.70",percent of total billed charges ,"5,026.70",percent of total billed charges ,"4,308.60",percent of total billed charges ,"4,308.60",percent of total billed charges ,"4,308.60",percent of total billed charges ,"4,308.60",percent of total billed charges ,,,,,"3,820.29",percent of total billed charges ,,,,,"3,629.28",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,651.63",percent of total billed charges,,,"1,651.63",percent of total billed charges,,,"1,651.63",percent of total billed charges,,,"1,651.63",percent of total billed charges,,,"1,651.63",percent of total billed charges,,,"1,651.63",percent of total billed charges,,,"1,651.63",percent of total billed charges,,,"1,651.63",percent of total billed charges,,,"1,651.63",percent of total billed charges,,,"1,651.63",percent of total billed charges,,,"1,651.63",percent of total billed charges,
HUMERAL NAIL 340726,C1713,CDM,,,,both,,,"5,815.00","5,815.00","1,337.45","5,815.00","5,815.00",percent of total billed charges,"5,815.00",percent of total billed charges,"5,815.00",percent of total billed charges,"5,815.00",percent of total billed charges,"5,815.00",percent of total billed charges,"5,815.00",percent of total billed charges,"5,815.00",percent of total billed charges,"5,815.00",percent of total billed charges,"4,186.80",percent of total billed charges,"4,186.80",percent of total billed charges,"4,186.80",percent of total billed charges,"4,186.80",percent of total billed charges,"4,186.80",percent of total billed charges,"4,186.80",percent of total billed charges,"4,593.85",percent of total billed charges,"4,593.85",percent of total billed charges,"4,652.00",percent of total billed charges,"4,652.00",percent of total billed charges,,,"4,186.80",percent of total billed charges ,,,"4,652.00",percent of total billed charges ,"4,593.85",percent of total billed charges ,"4,593.85",percent of total billed charges ,"4,942.75",percent of total billed charges ,"4,942.75",percent of total billed charges ,"4,652.00",percent of total billed charges ,"4,652.00",percent of total billed charges ,"4,070.50",percent of total billed charges ,"4,070.50",percent of total billed charges ,"3,489.00",percent of total billed charges ,"3,489.00",percent of total billed charges ,"3,489.00",percent of total billed charges ,"3,489.00",percent of total billed charges ,,,,,"3,093.58",percent of total billed charges ,,,,,"2,938.90",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,337.45",percent of total billed charges,,,"1,337.45",percent of total billed charges,,,"1,337.45",percent of total billed charges,,,"1,337.45",percent of total billed charges,,,"1,337.45",percent of total billed charges,,,"1,337.45",percent of total billed charges,,,"1,337.45",percent of total billed charges,,,"1,337.45",percent of total billed charges,,,"1,337.45",percent of total billed charges,,,"1,337.45",percent of total billed charges,,,"1,337.45",percent of total billed charges,
FEMORAL NAIL 2257,C1713,CDM,,,,both,,,"9,457.00","9,457.00","2,175.11","9,457.00","9,457.00",percent of total billed charges,"9,457.00",percent of total billed charges,"9,457.00",percent of total billed charges,"9,457.00",percent of total billed charges,"9,457.00",percent of total billed charges,"9,457.00",percent of total billed charges,"9,457.00",percent of total billed charges,"9,457.00",percent of total billed charges,"6,809.04",percent of total billed charges,"6,809.04",percent of total billed charges,"6,809.04",percent of total billed charges,"6,809.04",percent of total billed charges,"6,809.04",percent of total billed charges,"6,809.04",percent of total billed charges,"7,471.03",percent of total billed charges,"7,471.03",percent of total billed charges,"7,565.60",percent of total billed charges,"7,565.60",percent of total billed charges,,,"6,809.04",percent of total billed charges ,,,"7,565.60",percent of total billed charges ,"7,471.03",percent of total billed charges ,"7,471.03",percent of total billed charges ,"8,038.45",percent of total billed charges ,"8,038.45",percent of total billed charges ,"7,565.60",percent of total billed charges ,"7,565.60",percent of total billed charges ,"6,619.90",percent of total billed charges ,"6,619.90",percent of total billed charges ,"5,674.20",percent of total billed charges ,"5,674.20",percent of total billed charges ,"5,674.20",percent of total billed charges ,"5,674.20",percent of total billed charges ,,,,,"5,031.12",percent of total billed charges ,,,,,"4,779.57",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,175.11",percent of total billed charges,,,"2,175.11",percent of total billed charges,,,"2,175.11",percent of total billed charges,,,"2,175.11",percent of total billed charges,,,"2,175.11",percent of total billed charges,,,"2,175.11",percent of total billed charges,,,"2,175.11",percent of total billed charges,,,"2,175.11",percent of total billed charges,,,"2,175.11",percent of total billed charges,,,"2,175.11",percent of total billed charges,,,"2,175.11",percent of total billed charges,
SCREW INTRAMEDULLARY CORTICAL 2253,C1713,CDM,,,,both,,,"1,455.00","1,455.00",334.65,"1,455.00","1,455.00",percent of total billed charges,"1,455.00",percent of total billed charges,"1,455.00",percent of total billed charges,"1,455.00",percent of total billed charges,"1,455.00",percent of total billed charges,"1,455.00",percent of total billed charges,"1,455.00",percent of total billed charges,"1,455.00",percent of total billed charges,"1,047.60",percent of total billed charges,"1,047.60",percent of total billed charges,"1,047.60",percent of total billed charges,"1,047.60",percent of total billed charges,"1,047.60",percent of total billed charges,"1,047.60",percent of total billed charges,"1,149.45",percent of total billed charges,"1,149.45",percent of total billed charges,"1,164.00",percent of total billed charges,"1,164.00",percent of total billed charges,,,"1,047.60",percent of total billed charges ,,,"1,164.00",percent of total billed charges ,"1,149.45",percent of total billed charges ,"1,149.45",percent of total billed charges ,"1,236.75",percent of total billed charges ,"1,236.75",percent of total billed charges ,"1,164.00",percent of total billed charges ,"1,164.00",percent of total billed charges ,"1,018.50",percent of total billed charges ,"1,018.50",percent of total billed charges ,873,percent of total billed charges ,873,percent of total billed charges ,873,percent of total billed charges ,873,percent of total billed charges ,,,,,774.06,percent of total billed charges ,,,,,735.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,334.65,percent of total billed charges,,,334.65,percent of total billed charges,,,334.65,percent of total billed charges,,,334.65,percent of total billed charges,,,334.65,percent of total billed charges,,,334.65,percent of total billed charges,,,334.65,percent of total billed charges,,,334.65,percent of total billed charges,,,334.65,percent of total billed charges,,,334.65,percent of total billed charges,,,334.65,percent of total billed charges,
WASHER 2252,C1713,CDM,,,,both,,,587,587,135.01,587,587,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,463.73,percent of total billed charges,463.73,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 ,463.73,percent of total billed charges ,463.73,percent of total billed charges ,498.95,percent of total billed charges ,498.95,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 ,,,,,,,,,,,,,,,,,,,135.01,percent of total billed charges,,,135.01,percent of total billed charges,,,135.01,percent of total billed charges,,,135.01,percent of total billed charges,,,135.01,percent of total billed charges,,,135.01,percent of total billed charges,,,135.01,percent of total billed charges,,,135.01,percent of total billed charges,,,135.01,percent of total billed charges,,,135.01,percent of total billed charges,,,135.01,percent of total billed charges,
SCRW CNCEL 2332-2333,C1713,CDM,,,,both,,,168,168,38.64,168,168,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,132.72,percent of total billed charges,132.72,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 ,132.72,percent of total billed charges ,132.72,percent of total billed charges ,142.8,percent of total billed charges ,142.8,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 ,,,,,,,,,,,,,,,,,,,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,
CABLE READY CABLE FOR HIP,278,RC,00906-99-0441,NDC,,both,,,"2,372.00","2,372.00",545.56,"2,372.00","2,372.00",percent of total billed charges,"2,372.00",percent of total billed charges,"2,372.00",percent of total billed charges,"2,372.00",percent of total billed charges,"2,372.00",percent of total billed charges,"2,372.00",percent of total billed charges,"2,372.00",percent of total billed charges,"2,372.00",percent of total billed charges,"1,707.84",percent of total billed charges,"1,707.84",percent of total billed charges,"1,707.84",percent of total billed charges,"1,707.84",percent of total billed charges,"1,707.84",percent of total billed charges,"1,707.84",percent of total billed charges,"1,873.88",percent of total billed charges,"1,873.88",percent of total billed charges,"1,897.60",percent of total billed charges,"1,897.60",percent of total billed charges,,,"1,707.84",percent of total billed charges ,,,"1,897.60",percent of total billed charges ,"1,873.88",percent of total billed charges ,"1,873.88",percent of total billed charges ,"2,016.20",percent of total billed charges ,"2,016.20",percent of total billed charges ,"1,897.60",percent of total billed charges ,"1,897.60",percent of total billed charges ,"1,660.40",percent of total billed charges ,"1,660.40",percent of total billed charges ,"1,423.20",percent of total billed charges ,"1,423.20",percent of total billed charges ,"1,423.20",percent of total billed charges ,"1,423.20",percent of total billed charges ,,,,,"1,261.90",percent of total billed charges ,,,,,"1,198.81",percent of total billed charges ,,,,,,,,,,,,,,,,,,,545.56,percent of total billed charges,,,545.56,percent of total billed charges,,,545.56,percent of total billed charges,,,545.56,percent of total billed charges,,,545.56,percent of total billed charges,,,545.56,percent of total billed charges,,,545.56,percent of total billed charges,,,545.56,percent of total billed charges,,,545.56,percent of total billed charges,,,545.56,percent of total billed charges,,,545.56,percent of total billed charges,
SCREW LOCKING,C1713,CDM,,,,both,,,"1,204.00","1,204.00",276.92,"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,951.16,percent of total billed charges,951.16,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 ,951.16,percent of total billed charges ,951.16,percent of total billed charges ,"1,023.40",percent of total billed charges ,"1,023.40",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 ,,,,,,,,,,,,,,,,,,,276.92,percent of total billed charges,,,276.92,percent of total billed charges,,,276.92,percent of total billed charges,,,276.92,percent of total billed charges,,,276.92,percent of total billed charges,,,276.92,percent of total billed charges,,,276.92,percent of total billed charges,,,276.92,percent of total billed charges,,,276.92,percent of total billed charges,,,276.92,percent of total billed charges,,,276.92,percent of total billed charges,
SPIKED WASHER7207033,C1713,CDM,,,,both,,,"1,085.00","1,085.00",249.55,"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,857.15,percent of total billed charges,857.15,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 ,857.15,percent of total billed charges ,857.15,percent of total billed charges ,922.25,percent of total billed charges ,922.25,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 ,,,,,,,,,,,,,,,,,,,249.55,percent of total billed charges,,,249.55,percent of total billed charges,,,249.55,percent of total billed charges,,,249.55,percent of total billed charges,,,249.55,percent of total billed charges,,,249.55,percent of total billed charges,,,249.55,percent of total billed charges,,,249.55,percent of total billed charges,,,249.55,percent of total billed charges,,,249.55,percent of total billed charges,,,249.55,percent of total billed charges,
FEMORAL STEM #7871,C1776,CDM,,,,both,,,"9,468.00","9,468.00","2,177.64","9,468.00","9,468.00",percent of total billed charges,"9,468.00",percent of total billed charges,"9,468.00",percent of total billed charges,"9,468.00",percent of total billed charges,"9,468.00",percent of total billed charges,"9,468.00",percent of total billed charges,"9,468.00",percent of total billed charges,"9,468.00",percent of total billed charges,"6,816.96",percent of total billed charges,"6,816.96",percent of total billed charges,"6,816.96",percent of total billed charges,"6,816.96",percent of total billed charges,"6,816.96",percent of total billed charges,"6,816.96",percent of total billed charges,"7,479.72",percent of total billed charges,"7,479.72",percent of total billed charges,"7,574.40",percent of total billed charges,"7,574.40",percent of total billed charges,,,"6,816.96",percent of total billed charges ,,,"7,574.40",percent of total billed charges ,"7,479.72",percent of total billed charges ,"7,479.72",percent of total billed charges ,"8,047.80",percent of total billed charges ,"8,047.80",percent of total billed charges ,"7,574.40",percent of total billed charges ,"7,574.40",percent of total billed charges ,"6,627.60",percent of total billed charges ,"6,627.60",percent of total billed charges ,"5,680.80",percent of total billed charges ,"5,680.80",percent of total billed charges ,"5,680.80",percent of total billed charges ,"5,680.80",percent of total billed charges ,,,,,"5,036.98",percent of total billed charges ,,,,,"4,785.13",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,177.64",percent of total billed charges,,,"2,177.64",percent of total billed charges,,,"2,177.64",percent of total billed charges,,,"2,177.64",percent of total billed charges,,,"2,177.64",percent of total billed charges,,,"2,177.64",percent of total billed charges,,,"2,177.64",percent of total billed charges,,,"2,177.64",percent of total billed charges,,,"2,177.64",percent of total billed charges,,,"2,177.64",percent of total billed charges,,,"2,177.64",percent of total billed charges,
FEMORAL COMP 5960,C1776,CDM,,,,both,,,"4,104.00","4,104.00",943.92,"4,104.00","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,"4,104.00",percent of total billed charges,"4,104.00",percent of total billed charges,"2,954.88",percent of total billed charges,"2,954.88",percent of total billed charges,"2,954.88",percent of total billed charges,"2,954.88",percent of total billed charges,"2,954.88",percent of total billed charges,"2,954.88",percent of total billed charges,"3,242.16",percent of total billed charges,"3,242.16",percent of total billed charges,"3,283.20",percent of total billed charges,"3,283.20",percent of total billed charges,,,"2,954.88",percent of total billed charges ,,,"3,283.20",percent of total billed charges ,"3,242.16",percent of total billed charges ,"3,242.16",percent of total billed charges ,"3,488.40",percent of total billed charges ,"3,488.40",percent of total billed charges ,"3,283.20",percent of total billed charges ,"3,283.20",percent of total billed charges ,"2,872.80",percent of total billed charges ,"2,872.80",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 ,,,,,"2,183.33",percent of total billed charges ,,,,,"2,074.16",percent of total billed charges ,,,,,,,,,,,,,,,,,,,943.92,percent of total billed charges,,,943.92,percent of total billed charges,,,943.92,percent of total billed charges,,,943.92,percent of total billed charges,,,943.92,percent of total billed charges,,,943.92,percent of total billed charges,,,943.92,percent of total billed charges,,,943.92,percent of total billed charges,,,943.92,percent of total billed charges,,,943.92,percent of total billed charges,,,943.92,percent of total billed charges,
ACETABULAR CUP PINNACLE MULTIHOLE 54MM,C1776,CDM,,,,both,,,"8,563.00","8,563.00","1,969.49","8,563.00","8,563.00",percent of total billed charges,"8,563.00",percent of total billed charges,"8,563.00",percent of total billed charges,"8,563.00",percent of total billed charges,"8,563.00",percent of total billed charges,"8,563.00",percent of total billed charges,"8,563.00",percent of total billed charges,"8,563.00",percent of total billed charges,"6,165.36",percent of total billed charges,"6,165.36",percent of total billed charges,"6,165.36",percent of total billed charges,"6,165.36",percent of total billed charges,"6,165.36",percent of total billed charges,"6,165.36",percent of total billed charges,"6,764.77",percent of total billed charges,"6,764.77",percent of total billed charges,"6,850.40",percent of total billed charges,"6,850.40",percent of total billed charges,,,"6,165.36",percent of total billed charges ,,,"6,850.40",percent of total billed charges ,"6,764.77",percent of total billed charges ,"6,764.77",percent of total billed charges ,"7,278.55",percent of total billed charges ,"7,278.55",percent of total billed charges ,"6,850.40",percent of total billed charges ,"6,850.40",percent of total billed charges ,"5,994.10",percent of total billed charges ,"5,994.10",percent of total billed charges ,"5,137.80",percent of total billed charges ,"5,137.80",percent of total billed charges ,"5,137.80",percent of total billed charges ,"5,137.80",percent of total billed charges ,,,,,"4,555.52",percent of total billed charges ,,,,,"4,327.74",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,969.49",percent of total billed charges,,,"1,969.49",percent of total billed charges,,,"1,969.49",percent of total billed charges,,,"1,969.49",percent of total billed charges,,,"1,969.49",percent of total billed charges,,,"1,969.49",percent of total billed charges,,,"1,969.49",percent of total billed charges,,,"1,969.49",percent of total billed charges,,,"1,969.49",percent of total billed charges,,,"1,969.49",percent of total billed charges,,,"1,969.49",percent of total billed charges,
FEMORAL HEAD DEPUY ARTICUL,C1776,CDM,,,,both,,,"3,687.00","3,687.00",848.01,"3,687.00","3,687.00",percent of total billed charges,"3,687.00",percent of total billed charges,"3,687.00",percent of total billed charges,"3,687.00",percent of total billed charges,"3,687.00",percent of total billed charges,"3,687.00",percent of total billed charges,"3,687.00",percent of total billed charges,"3,687.00",percent of total billed charges,"2,654.64",percent of total billed charges,"2,654.64",percent of total billed charges,"2,654.64",percent of total billed charges,"2,654.64",percent of total billed charges,"2,654.64",percent of total billed charges,"2,654.64",percent of total billed charges,"2,912.73",percent of total billed charges,"2,912.73",percent of total billed charges,"2,949.60",percent of total billed charges,"2,949.60",percent of total billed charges,,,"2,654.64",percent of total billed charges ,,,"2,949.60",percent of total billed charges ,"2,912.73",percent of total billed charges ,"2,912.73",percent of total billed charges ,"3,133.95",percent of total billed charges ,"3,133.95",percent of total billed charges ,"2,949.60",percent of total billed charges ,"2,949.60",percent of total billed charges ,"2,580.90",percent of total billed charges ,"2,580.90",percent of total billed charges ,"2,212.20",percent of total billed charges ,"2,212.20",percent of total billed charges ,"2,212.20",percent of total billed charges ,"2,212.20",percent of total billed charges ,,,,,"1,961.48",percent of total billed charges ,,,,,"1,863.41",percent of total billed charges ,,,,,,,,,,,,,,,,,,,848.01,percent of total billed charges,,,848.01,percent of total billed charges,,,848.01,percent of total billed charges,,,848.01,percent of total billed charges,,,848.01,percent of total billed charges,,,848.01,percent of total billed charges,,,848.01,percent of total billed charges,,,848.01,percent of total billed charges,,,848.01,percent of total billed charges,,,848.01,percent of total billed charges,,,848.01,percent of total billed charges,
PROXIMAL SLEEVE DEPUY,278,RC,00906-99-0441,NDC,,both,,,"5,811.00","5,811.00","1,336.53","5,811.00","5,811.00",percent of total billed charges,"5,811.00",percent of total billed charges,"5,811.00",percent of total billed charges,"5,811.00",percent of total billed charges,"5,811.00",percent of total billed charges,"5,811.00",percent of total billed charges,"5,811.00",percent of total billed charges,"5,811.00",percent of total billed charges,"4,183.92",percent of total billed charges,"4,183.92",percent of total billed charges,"4,183.92",percent of total billed charges,"4,183.92",percent of total billed charges,"4,183.92",percent of total billed charges,"4,183.92",percent of total billed charges,"4,590.69",percent of total billed charges,"4,590.69",percent of total billed charges,"4,648.80",percent of total billed charges,"4,648.80",percent of total billed charges,,,"4,183.92",percent of total billed charges ,,,"4,648.80",percent of total billed charges ,"4,590.69",percent of total billed charges ,"4,590.69",percent of total billed charges ,"4,939.35",percent of total billed charges ,"4,939.35",percent of total billed charges ,"4,648.80",percent of total billed charges ,"4,648.80",percent of total billed charges ,"4,067.70",percent of total billed charges ,"4,067.70",percent of total billed charges ,"3,486.60",percent of total billed charges ,"3,486.60",percent of total billed charges ,"3,486.60",percent of total billed charges ,"3,486.60",percent of total billed charges ,,,,,"3,091.45",percent of total billed charges ,,,,,"2,936.88",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,336.53",percent of total billed charges,,,"1,336.53",percent of total billed charges,,,"1,336.53",percent of total billed charges,,,"1,336.53",percent of total billed charges,,,"1,336.53",percent of total billed charges,,,"1,336.53",percent of total billed charges,,,"1,336.53",percent of total billed charges,,,"1,336.53",percent of total billed charges,,,"1,336.53",percent of total billed charges,,,"1,336.53",percent of total billed charges,,,"1,336.53",percent of total billed charges,
ACETABULAR LINER PINNACLE MARATHON,C1776,CDM,,,,both,,,"5,410.00","5,410.00","1,244.30","5,410.00","5,410.00",percent of total billed charges,"5,410.00",percent of total billed charges,"5,410.00",percent of total billed charges,"5,410.00",percent of total billed charges,"5,410.00",percent of total billed charges,"5,410.00",percent of total billed charges,"5,410.00",percent of total billed charges,"5,410.00",percent of total billed charges,"3,895.20",percent of total billed charges,"3,895.20",percent of total billed charges,"3,895.20",percent of total billed charges,"3,895.20",percent of total billed charges,"3,895.20",percent of total billed charges,"3,895.20",percent of total billed charges,"4,273.90",percent of total billed charges,"4,273.90",percent of total billed charges,"4,328.00",percent of total billed charges,"4,328.00",percent of total billed charges,,,"3,895.20",percent of total billed charges ,,,"4,328.00",percent of total billed charges ,"4,273.90",percent of total billed charges ,"4,273.90",percent of total billed charges ,"4,598.50",percent of total billed charges ,"4,598.50",percent of total billed charges ,"4,328.00",percent of total billed charges ,"4,328.00",percent of total billed charges ,"3,787.00",percent of total billed charges ,"3,787.00",percent of total billed charges ,"3,246.00",percent of total billed charges ,"3,246.00",percent of total billed charges ,"3,246.00",percent of total billed charges ,"3,246.00",percent of total billed charges ,,,,,"2,878.12",percent of total billed charges ,,,,,"2,734.21",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,244.30",percent of total billed charges,,,"1,244.30",percent of total billed charges,,,"1,244.30",percent of total billed charges,,,"1,244.30",percent of total billed charges,,,"1,244.30",percent of total billed charges,,,"1,244.30",percent of total billed charges,,,"1,244.30",percent of total billed charges,,,"1,244.30",percent of total billed charges,,,"1,244.30",percent of total billed charges,,,"1,244.30",percent of total billed charges,,,"1,244.30",percent of total billed charges,
"HIP STEM TAPERED,W/POROCOAT,SUMMIT",C1776,CDM,,,,both,,,"17,097.00","17,097.00","3,932.31","17,097.00","17,097.00",percent of total billed charges,"17,097.00",percent of total billed charges,"17,097.00",percent of total billed charges,"17,097.00",percent of total billed charges,"17,097.00",percent of total billed charges,"17,097.00",percent of total billed charges,"17,097.00",percent of total billed charges,"17,097.00",percent of total billed charges,"12,309.84",percent of total billed charges,"12,309.84",percent of total billed charges,"12,309.84",percent of total billed charges,"12,309.84",percent of total billed charges,"12,309.84",percent of total billed charges,"12,309.84",percent of total billed charges,"13,506.63",percent of total billed charges,"13,506.63",percent of total billed charges,"13,677.60",percent of total billed charges,"13,677.60",percent of total billed charges,,,"12,309.84",percent of total billed charges ,,,"13,677.60",percent of total billed charges ,"13,506.63",percent of total billed charges ,"13,506.63",percent of total billed charges ,"14,532.45",percent of total billed charges ,"14,532.45",percent of total billed charges ,"13,677.60",percent of total billed charges ,"13,677.60",percent of total billed charges ,"11,967.90",percent of total billed charges ,"11,967.90",percent of total billed charges ,"10,258.20",percent of total billed charges ,"10,258.20",percent of total billed charges ,"10,258.20",percent of total billed charges ,"10,258.20",percent of total billed charges ,,,,,"9,095.60",percent of total billed charges ,,,,,"8,640.82",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,932.31",percent of total billed charges,,,"3,932.31",percent of total billed charges,,,"3,932.31",percent of total billed charges,,,"3,932.31",percent of total billed charges,,,"3,932.31",percent of total billed charges,,,"3,932.31",percent of total billed charges,,,"3,932.31",percent of total billed charges,,,"3,932.31",percent of total billed charges,,,"3,932.31",percent of total billed charges,,,"3,932.31",percent of total billed charges,,,"3,932.31",percent of total billed charges,
**BLOOD GLUCOSE BY GLUOMETER,82962,CDM,,,,both,,,98,98,22.54,98,98,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,77.42,percent of total billed charges,77.42,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 ,77.42,percent of total billed charges ,77.42,percent of total billed charges ,83.3,percent of total billed charges ,83.3,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 ,,,,,,,,,,,,,,,,,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,
**HEMOCULT,82270,CDM,,,,both,,,90,90,20.7,90,90,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,71.1,percent of total billed charges,71.1,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 ,71.1,percent of total billed charges ,71.1,percent of total billed charges ,76.5,percent of total billed charges ,76.5,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
URO LEVEL 2  1.0 HR,360,RC,00906-99-0441,NDC,,both,,,"6,844.00","6,844.00","1,574.12","6,844.00","6,844.00",percent of total billed charges,"6,844.00",percent of total billed charges,"6,844.00",percent of total billed charges,"6,844.00",percent of total billed charges,"6,844.00",percent of total billed charges,"6,844.00",percent of total billed charges,"6,844.00",percent of total billed charges,"6,844.00",percent of total billed charges,"4,927.68",percent of total billed charges,"4,927.68",percent of total billed charges,"4,927.68",percent of total billed charges,"4,927.68",percent of total billed charges,"4,927.68",percent of total billed charges,"4,927.68",percent of total billed charges,"5,406.76",percent of total billed charges,"5,406.76",percent of total billed charges,"5,475.20",percent of total billed charges,"5,475.20",percent of total billed charges,,,"4,927.68",percent of total billed charges ,,,"5,475.20",percent of total billed charges ,"5,406.76",percent of total billed charges ,"5,406.76",percent of total billed charges ,"5,817.40",percent of total billed charges ,"5,817.40",percent of total billed charges ,"5,475.20",percent of total billed charges ,"5,475.20",percent of total billed charges ,"4,790.80",percent of total billed charges ,"4,790.80",percent of total billed charges ,"4,106.40",percent of total billed charges ,"4,106.40",percent of total billed charges ,"4,106.40",percent of total billed charges ,"4,106.40",percent of total billed charges ,,,,,"3,641.01",percent of total billed charges ,,,,,"3,458.96",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,574.12",percent of total billed charges,,,"1,574.12",percent of total billed charges,,,"1,574.12",percent of total billed charges,,,"1,574.12",percent of total billed charges,,,"1,574.12",percent of total billed charges,,,"1,574.12",percent of total billed charges,,,"1,574.12",percent of total billed charges,,,"1,574.12",percent of total billed charges,,,"1,574.12",percent of total billed charges,,,"1,574.12",percent of total billed charges,,,"1,574.12",percent of total billed charges,
ENT LEVEL 2  1.0 HR,360,RC,00906-99-0441,NDC,,both,,,"6,159.00","6,159.00","1,416.57","6,159.00","6,159.00",percent of total billed charges,"6,159.00",percent of total billed charges,"6,159.00",percent of total billed charges,"6,159.00",percent of total billed charges,"6,159.00",percent of total billed charges,"6,159.00",percent of total billed charges,"6,159.00",percent of total billed charges,"6,159.00",percent of total billed charges,"4,434.48",percent of total billed charges,"4,434.48",percent of total billed charges,"4,434.48",percent of total billed charges,"4,434.48",percent of total billed charges,"4,434.48",percent of total billed charges,"4,434.48",percent of total billed charges,"4,865.61",percent of total billed charges,"4,865.61",percent of total billed charges,"4,927.20",percent of total billed charges,"4,927.20",percent of total billed charges,,,"4,434.48",percent of total billed charges ,,,"4,927.20",percent of total billed charges ,"4,865.61",percent of total billed charges ,"4,865.61",percent of total billed charges ,"5,235.15",percent of total billed charges ,"5,235.15",percent of total billed charges ,"4,927.20",percent of total billed charges ,"4,927.20",percent of total billed charges ,"4,311.30",percent of total billed charges ,"4,311.30",percent of total billed charges ,"3,695.40",percent of total billed charges ,"3,695.40",percent of total billed charges ,"3,695.40",percent of total billed charges ,"3,695.40",percent of total billed charges ,,,,,"3,276.59",percent of total billed charges ,,,,,"3,112.76",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,416.57",percent of total billed charges,,,"1,416.57",percent of total billed charges,,,"1,416.57",percent of total billed charges,,,"1,416.57",percent of total billed charges,,,"1,416.57",percent of total billed charges,,,"1,416.57",percent of total billed charges,,,"1,416.57",percent of total billed charges,,,"1,416.57",percent of total billed charges,,,"1,416.57",percent of total billed charges,,,"1,416.57",percent of total billed charges,,,"1,416.57",percent of total billed charges,
EYE LEVEL 3 (LASER YAG),360,RC,00906-99-0441,NDC,,both,,,"4,333.00","4,333.00",996.59,"4,333.00","4,333.00",percent of total billed charges,"4,333.00",percent of total billed charges,"4,333.00",percent of total billed charges,"4,333.00",percent of total billed charges,"4,333.00",percent of total billed charges,"4,333.00",percent of total billed charges,"4,333.00",percent of total billed charges,"4,333.00",percent of total billed charges,"3,119.76",percent of total billed charges,"3,119.76",percent of total billed charges,"3,119.76",percent of total billed charges,"3,119.76",percent of total billed charges,"3,119.76",percent of total billed charges,"3,119.76",percent of total billed charges,"3,423.07",percent of total billed charges,"3,423.07",percent of total billed charges,"3,466.40",percent of total billed charges,"3,466.40",percent of total billed charges,,,"3,119.76",percent of total billed charges ,,,"3,466.40",percent of total billed charges ,"3,423.07",percent of total billed charges ,"3,423.07",percent of total billed charges ,"3,683.05",percent of total billed charges ,"3,683.05",percent of total billed charges ,"3,466.40",percent of total billed charges ,"3,466.40",percent of total billed charges ,"3,033.10",percent of total billed charges ,"3,033.10",percent of total billed charges ,"2,599.80",percent of total billed charges ,"2,599.80",percent of total billed charges ,"2,599.80",percent of total billed charges ,"2,599.80",percent of total billed charges ,,,,,"2,305.16",percent of total billed charges ,,,,,"2,189.90",percent of total billed charges ,,,,,,,,,,,,,,,,,,,996.59,percent of total billed charges,,,996.59,percent of total billed charges,,,996.59,percent of total billed charges,,,996.59,percent of total billed charges,,,996.59,percent of total billed charges,,,996.59,percent of total billed charges,,,996.59,percent of total billed charges,,,996.59,percent of total billed charges,,,996.59,percent of total billed charges,,,996.59,percent of total billed charges,,,996.59,percent of total billed charges,
URO LEVEL 3  1.0 HR,360,RC,00906-99-0441,NDC,,both,,,"9,798.00","9,798.00","2,253.54","9,798.00","9,798.00",percent of total billed charges,"9,798.00",percent of total billed charges,"9,798.00",percent of total billed charges,"9,798.00",percent of total billed charges,"9,798.00",percent of total billed charges,"9,798.00",percent of total billed charges,"9,798.00",percent of total billed charges,"9,798.00",percent of total billed charges,"7,054.56",percent of total billed charges,"7,054.56",percent of total billed charges,"7,054.56",percent of total billed charges,"7,054.56",percent of total billed charges,"7,054.56",percent of total billed charges,"7,054.56",percent of total billed charges,"7,740.42",percent of total billed charges,"7,740.42",percent of total billed charges,"7,838.40",percent of total billed charges,"7,838.40",percent of total billed charges,,,"7,054.56",percent of total billed charges ,,,"7,838.40",percent of total billed charges ,"7,740.42",percent of total billed charges ,"7,740.42",percent of total billed charges ,"8,328.30",percent of total billed charges ,"8,328.30",percent of total billed charges ,"7,838.40",percent of total billed charges ,"7,838.40",percent of total billed charges ,"6,858.60",percent of total billed charges ,"6,858.60",percent of total billed charges ,"5,878.80",percent of total billed charges ,"5,878.80",percent of total billed charges ,"5,878.80",percent of total billed charges ,"5,878.80",percent of total billed charges ,,,,,"5,212.54",percent of total billed charges ,,,,,"4,951.91",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,253.54",percent of total billed charges,,,"2,253.54",percent of total billed charges,,,"2,253.54",percent of total billed charges,,,"2,253.54",percent of total billed charges,,,"2,253.54",percent of total billed charges,,,"2,253.54",percent of total billed charges,,,"2,253.54",percent of total billed charges,,,"2,253.54",percent of total billed charges,,,"2,253.54",percent of total billed charges,,,"2,253.54",percent of total billed charges,,,"2,253.54",percent of total billed charges,
URO LEVEL 4  1.0 HR,360,RC,00906-99-0441,NDC,,both,,,"7,828.00","7,828.00","1,800.44","7,828.00","7,828.00",percent of total billed charges,"7,828.00",percent of total billed charges,"7,828.00",percent of total billed charges,"7,828.00",percent of total billed charges,"7,828.00",percent of total billed charges,"7,828.00",percent of total billed charges,"7,828.00",percent of total billed charges,"7,828.00",percent of total billed charges,"5,636.16",percent of total billed charges,"5,636.16",percent of total billed charges,"5,636.16",percent of total billed charges,"5,636.16",percent of total billed charges,"5,636.16",percent of total billed charges,"5,636.16",percent of total billed charges,"6,184.12",percent of total billed charges,"6,184.12",percent of total billed charges,"6,262.40",percent of total billed charges,"6,262.40",percent of total billed charges,,,"5,636.16",percent of total billed charges ,,,"6,262.40",percent of total billed charges ,"6,184.12",percent of total billed charges ,"6,184.12",percent of total billed charges ,"6,653.80",percent of total billed charges ,"6,653.80",percent of total billed charges ,"6,262.40",percent of total billed charges ,"6,262.40",percent of total billed charges ,"5,479.60",percent of total billed charges ,"5,479.60",percent of total billed charges ,"4,696.80",percent of total billed charges ,"4,696.80",percent of total billed charges ,"4,696.80",percent of total billed charges ,"4,696.80",percent of total billed charges ,,,,,"4,164.50",percent of total billed charges ,,,,,"3,956.27",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,800.44",percent of total billed charges,,,"1,800.44",percent of total billed charges,,,"1,800.44",percent of total billed charges,,,"1,800.44",percent of total billed charges,,,"1,800.44",percent of total billed charges,,,"1,800.44",percent of total billed charges,,,"1,800.44",percent of total billed charges,,,"1,800.44",percent of total billed charges,,,"1,800.44",percent of total billed charges,,,"1,800.44",percent of total billed charges,,,"1,800.44",percent of total billed charges,
EYE LEVEL 2  0.5HR,360,RC,00906-99-0441,NDC,,both,,,"6,516.00","6,516.00","1,498.68","6,516.00","6,516.00",percent of total billed charges,"6,516.00",percent of total billed charges,"6,516.00",percent of total billed charges,"6,516.00",percent of total billed charges,"6,516.00",percent of total billed charges,"6,516.00",percent of total billed charges,"6,516.00",percent of total billed charges,"6,516.00",percent of total billed charges,"4,691.52",percent of total billed charges,"4,691.52",percent of total billed charges,"4,691.52",percent of total billed charges,"4,691.52",percent of total billed charges,"4,691.52",percent of total billed charges,"4,691.52",percent of total billed charges,"5,147.64",percent of total billed charges,"5,147.64",percent of total billed charges,"5,212.80",percent of total billed charges,"5,212.80",percent of total billed charges,,,"4,691.52",percent of total billed charges ,,,"5,212.80",percent of total billed charges ,"5,147.64",percent of total billed charges ,"5,147.64",percent of total billed charges ,"5,538.60",percent of total billed charges ,"5,538.60",percent of total billed charges ,"5,212.80",percent of total billed charges ,"5,212.80",percent of total billed charges ,"4,561.20",percent of total billed charges ,"4,561.20",percent of total billed charges ,"3,909.60",percent of total billed charges ,"3,909.60",percent of total billed charges ,"3,909.60",percent of total billed charges ,"3,909.60",percent of total billed charges ,,,,,"3,466.51",percent of total billed charges ,,,,,"3,293.19",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,498.68",percent of total billed charges,,,"1,498.68",percent of total billed charges,,,"1,498.68",percent of total billed charges,,,"1,498.68",percent of total billed charges,,,"1,498.68",percent of total billed charges,,,"1,498.68",percent of total billed charges,,,"1,498.68",percent of total billed charges,,,"1,498.68",percent of total billed charges,,,"1,498.68",percent of total billed charges,,,"1,498.68",percent of total billed charges,,,"1,498.68",percent of total billed charges,
TISSUE LEVEL 1  1 HR,360,RC,00906-99-0441,NDC,,both,,,"5,490.00","5,490.00","1,262.70","5,490.00","5,490.00",percent of total billed charges,"5,490.00",percent of total billed charges,"5,490.00",percent of total billed charges,"5,490.00",percent of total billed charges,"5,490.00",percent of total billed charges,"5,490.00",percent of total billed charges,"5,490.00",percent of total billed charges,"5,490.00",percent of total billed charges,"3,952.80",percent of total billed charges,"3,952.80",percent of total billed charges,"3,952.80",percent of total billed charges,"3,952.80",percent of total billed charges,"3,952.80",percent of total billed charges,"3,952.80",percent of total billed charges,"4,337.10",percent of total billed charges,"4,337.10",percent of total billed charges,"4,392.00",percent of total billed charges,"4,392.00",percent of total billed charges,,,"3,952.80",percent of total billed charges ,,,"4,392.00",percent of total billed charges ,"4,337.10",percent of total billed charges ,"4,337.10",percent of total billed charges ,"4,666.50",percent of total billed charges ,"4,666.50",percent of total billed charges ,"4,392.00",percent of total billed charges ,"4,392.00",percent of total billed charges ,"3,843.00",percent of total billed charges ,"3,843.00",percent of total billed charges ,"3,294.00",percent of total billed charges ,"3,294.00",percent of total billed charges ,"3,294.00",percent of total billed charges ,"3,294.00",percent of total billed charges ,,,,,"2,920.68",percent of total billed charges ,,,,,"2,774.65",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,262.70",percent of total billed charges,,,"1,262.70",percent of total billed charges,,,"1,262.70",percent of total billed charges,,,"1,262.70",percent of total billed charges,,,"1,262.70",percent of total billed charges,,,"1,262.70",percent of total billed charges,,,"1,262.70",percent of total billed charges,,,"1,262.70",percent of total billed charges,,,"1,262.70",percent of total billed charges,,,"1,262.70",percent of total billed charges,,,"1,262.70",percent of total billed charges,
ENT LEVEL 1  0.5 HR,360,RC,00906-99-0441,NDC,,both,,,"6,185.00","6,185.00","1,422.55","6,185.00","6,185.00",percent of total billed charges,"6,185.00",percent of total billed charges,"6,185.00",percent of total billed charges,"6,185.00",percent of total billed charges,"6,185.00",percent of total billed charges,"6,185.00",percent of total billed charges,"6,185.00",percent of total billed charges,"6,185.00",percent of total billed charges,"4,453.20",percent of total billed charges,"4,453.20",percent of total billed charges,"4,453.20",percent of total billed charges,"4,453.20",percent of total billed charges,"4,453.20",percent of total billed charges,"4,453.20",percent of total billed charges,"4,886.15",percent of total billed charges,"4,886.15",percent of total billed charges,"4,948.00",percent of total billed charges,"4,948.00",percent of total billed charges,,,"4,453.20",percent of total billed charges ,,,"4,948.00",percent of total billed charges ,"4,886.15",percent of total billed charges ,"4,886.15",percent of total billed charges ,"5,257.25",percent of total billed charges ,"5,257.25",percent of total billed charges ,"4,948.00",percent of total billed charges ,"4,948.00",percent of total billed charges ,"4,329.50",percent of total billed charges ,"4,329.50",percent of total billed charges ,"3,711.00",percent of total billed charges ,"3,711.00",percent of total billed charges ,"3,711.00",percent of total billed charges ,"3,711.00",percent of total billed charges ,,,,,"3,290.42",percent of total billed charges ,,,,,"3,125.90",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,422.55",percent of total billed charges,,,"1,422.55",percent of total billed charges,,,"1,422.55",percent of total billed charges,,,"1,422.55",percent of total billed charges,,,"1,422.55",percent of total billed charges,,,"1,422.55",percent of total billed charges,,,"1,422.55",percent of total billed charges,,,"1,422.55",percent of total billed charges,,,"1,422.55",percent of total billed charges,,,"1,422.55",percent of total billed charges,,,"1,422.55",percent of total billed charges,
EYE LEVEL 4 (CATARACT),360,RC,00906-99-0441,NDC,,both,,,"6,728.00","6,728.00","1,547.44","6,728.00","6,728.00",percent of total billed charges,"6,728.00",percent of total billed charges,"6,728.00",percent of total billed charges,"6,728.00",percent of total billed charges,"6,728.00",percent of total billed charges,"6,728.00",percent of total billed charges,"6,728.00",percent of total billed charges,"6,728.00",percent of total billed charges,"4,844.16",percent of total billed charges,"4,844.16",percent of total billed charges,"4,844.16",percent of total billed charges,"4,844.16",percent of total billed charges,"4,844.16",percent of total billed charges,"4,844.16",percent of total billed charges,"5,315.12",percent of total billed charges,"5,315.12",percent of total billed charges,"5,382.40",percent of total billed charges,"5,382.40",percent of total billed charges,,,"4,844.16",percent of total billed charges ,,,"5,382.40",percent of total billed charges ,"5,315.12",percent of total billed charges ,"5,315.12",percent of total billed charges ,"5,718.80",percent of total billed charges ,"5,718.80",percent of total billed charges ,"5,382.40",percent of total billed charges ,"5,382.40",percent of total billed charges ,"4,709.60",percent of total billed charges ,"4,709.60",percent of total billed charges ,"4,036.80",percent of total billed charges ,"4,036.80",percent of total billed charges ,"4,036.80",percent of total billed charges ,"4,036.80",percent of total billed charges ,,,,,"3,579.30",percent of total billed charges ,,,,,"3,400.33",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,547.44",percent of total billed charges,,,"1,547.44",percent of total billed charges,,,"1,547.44",percent of total billed charges,,,"1,547.44",percent of total billed charges,,,"1,547.44",percent of total billed charges,,,"1,547.44",percent of total billed charges,,,"1,547.44",percent of total billed charges,,,"1,547.44",percent of total billed charges,,,"1,547.44",percent of total billed charges,,,"1,547.44",percent of total billed charges,,,"1,547.44",percent of total billed charges,
**PREOP CARE,360,RC,00906-99-0441,NDC,,both,,,441,441,101.43,441,441,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,348.39,percent of total billed charges,348.39,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 ,348.39,percent of total billed charges ,348.39,percent of total billed charges ,374.85,percent of total billed charges ,374.85,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
URO LEVEL 1  0.5 HR,360,RC,00906-99-0441,NDC,,both,,,"5,751.00","5,751.00","1,322.73","5,751.00","5,751.00",percent of total billed charges,"5,751.00",percent of total billed charges,"5,751.00",percent of total billed charges,"5,751.00",percent of total billed charges,"5,751.00",percent of total billed charges,"5,751.00",percent of total billed charges,"5,751.00",percent of total billed charges,"5,751.00",percent of total billed charges,"4,140.72",percent of total billed charges,"4,140.72",percent of total billed charges,"4,140.72",percent of total billed charges,"4,140.72",percent of total billed charges,"4,140.72",percent of total billed charges,"4,140.72",percent of total billed charges,"4,543.29",percent of total billed charges,"4,543.29",percent of total billed charges,"4,600.80",percent of total billed charges,"4,600.80",percent of total billed charges,,,"4,140.72",percent of total billed charges ,,,"4,600.80",percent of total billed charges ,"4,543.29",percent of total billed charges ,"4,543.29",percent of total billed charges ,"4,888.35",percent of total billed charges ,"4,888.35",percent of total billed charges ,"4,600.80",percent of total billed charges ,"4,600.80",percent of total billed charges ,"4,025.70",percent of total billed charges ,"4,025.70",percent of total billed charges ,"3,450.60",percent of total billed charges ,"3,450.60",percent of total billed charges ,"3,450.60",percent of total billed charges ,"3,450.60",percent of total billed charges ,,,,,"3,059.53",percent of total billed charges ,,,,,"2,906.56",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,322.73",percent of total billed charges,,,"1,322.73",percent of total billed charges,,,"1,322.73",percent of total billed charges,,,"1,322.73",percent of total billed charges,,,"1,322.73",percent of total billed charges,,,"1,322.73",percent of total billed charges,,,"1,322.73",percent of total billed charges,,,"1,322.73",percent of total billed charges,,,"1,322.73",percent of total billed charges,,,"1,322.73",percent of total billed charges,,,"1,322.73",percent of total billed charges,
ENDO LEVEL 3,43239,CDM,,,,both,,,"3,386.00","3,386.00",778.78,"3,386.00","3,386.00",percent of total billed charges,"3,386.00",percent of total billed charges,"3,386.00",percent of total billed charges,"3,386.00",percent of total billed charges,"3,386.00",percent of total billed charges,"3,386.00",percent of total billed charges,"3,386.00",percent of total billed charges,"3,386.00",percent of total billed charges,"2,437.92",percent of total billed charges,"2,437.92",percent of total billed charges,"2,437.92",percent of total billed charges,"2,437.92",percent of total billed charges,"2,437.92",percent of total billed charges,"2,437.92",percent of total billed charges,"2,674.94",percent of total billed charges,"2,674.94",percent of total billed charges,"2,708.80",percent of total billed charges,"2,708.80",percent of total billed charges,,,"2,437.92",percent of total billed charges ,,,"2,708.80",percent of total billed charges ,"2,674.94",percent of total billed charges ,"2,674.94",percent of total billed charges ,"2,878.10",percent of total billed charges ,"2,878.10",percent of total billed charges ,"2,708.80",percent of total billed charges ,"2,708.80",percent of total billed charges ,"2,370.20",percent of total billed charges ,"2,370.20",percent of total billed charges ,"2,031.60",percent of total billed charges ,"2,031.60",percent of total billed charges ,"2,031.60",percent of total billed charges ,"2,031.60",percent of total billed charges ,,,,,"1,801.35",percent of total billed charges ,,,,,"1,711.28",percent of total billed charges ,,,,,,,,,,,,,,,,,,,778.78,percent of total billed charges,,,778.78,percent of total billed charges,,,778.78,percent of total billed charges,,,778.78,percent of total billed charges,,,778.78,percent of total billed charges,,,778.78,percent of total billed charges,,,778.78,percent of total billed charges,,,778.78,percent of total billed charges,,,778.78,percent of total billed charges,,,778.78,percent of total billed charges,,,778.78,percent of total billed charges,
GASTRO LEVEL 2  1.5 HR,360,RC,00906-99-0441,NDC,,both,,,"8,306.00","8,306.00","1,910.38","8,306.00","8,306.00",percent of total billed charges,"8,306.00",percent of total billed charges,"8,306.00",percent of total billed charges,"8,306.00",percent of total billed charges,"8,306.00",percent of total billed charges,"8,306.00",percent of total billed charges,"8,306.00",percent of total billed charges,"8,306.00",percent of total billed charges,"5,980.32",percent of total billed charges,"5,980.32",percent of total billed charges,"5,980.32",percent of total billed charges,"5,980.32",percent of total billed charges,"5,980.32",percent of total billed charges,"5,980.32",percent of total billed charges,"6,561.74",percent of total billed charges,"6,561.74",percent of total billed charges,"6,644.80",percent of total billed charges,"6,644.80",percent of total billed charges,,,"5,980.32",percent of total billed charges ,,,"6,644.80",percent of total billed charges ,"6,561.74",percent of total billed charges ,"6,561.74",percent of total billed charges ,"7,060.10",percent of total billed charges ,"7,060.10",percent of total billed charges ,"6,644.80",percent of total billed charges ,"6,644.80",percent of total billed charges ,"5,814.20",percent of total billed charges ,"5,814.20",percent of total billed charges ,"4,983.60",percent of total billed charges ,"4,983.60",percent of total billed charges ,"4,983.60",percent of total billed charges ,"4,983.60",percent of total billed charges ,,,,,"4,418.79",percent of total billed charges ,,,,,"4,197.85",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,910.38",percent of total billed charges,,,"1,910.38",percent of total billed charges,,,"1,910.38",percent of total billed charges,,,"1,910.38",percent of total billed charges,,,"1,910.38",percent of total billed charges,,,"1,910.38",percent of total billed charges,,,"1,910.38",percent of total billed charges,,,"1,910.38",percent of total billed charges,,,"1,910.38",percent of total billed charges,,,"1,910.38",percent of total billed charges,,,"1,910.38",percent of total billed charges,
HERNIA LEVEL 3  1.5 HR,360,RC,00906-99-0441,NDC,,both,,,"15,789.00","15,789.00","3,631.47","15,789.00","15,789.00",percent of total billed charges,"15,789.00",percent of total billed charges,"15,789.00",percent of total billed charges,"15,789.00",percent of total billed charges,"15,789.00",percent of total billed charges,"15,789.00",percent of total billed charges,"15,789.00",percent of total billed charges,"15,789.00",percent of total billed charges,"11,368.08",percent of total billed charges,"11,368.08",percent of total billed charges,"11,368.08",percent of total billed charges,"11,368.08",percent of total billed charges,"11,368.08",percent of total billed charges,"11,368.08",percent of total billed charges,"12,473.31",percent of total billed charges,"12,473.31",percent of total billed charges,"12,631.20",percent of total billed charges,"12,631.20",percent of total billed charges,,,"11,368.08",percent of total billed charges ,,,"12,631.20",percent of total billed charges ,"12,473.31",percent of total billed charges ,"12,473.31",percent of total billed charges ,"13,420.65",percent of total billed charges ,"13,420.65",percent of total billed charges ,"12,631.20",percent of total billed charges ,"12,631.20",percent of total billed charges ,"11,052.30",percent of total billed charges ,"11,052.30",percent of total billed charges ,"9,473.40",percent of total billed charges ,"9,473.40",percent of total billed charges ,"9,473.40",percent of total billed charges ,"9,473.40",percent of total billed charges ,,,,,"8,399.75",percent of total billed charges ,,,,,"7,979.76",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,631.47",percent of total billed charges,,,"3,631.47",percent of total billed charges,,,"3,631.47",percent of total billed charges,,,"3,631.47",percent of total billed charges,,,"3,631.47",percent of total billed charges,,,"3,631.47",percent of total billed charges,,,"3,631.47",percent of total billed charges,,,"3,631.47",percent of total billed charges,,,"3,631.47",percent of total billed charges,,,"3,631.47",percent of total billed charges,,,"3,631.47",percent of total billed charges,
HERNIA LEVEL 2  1.5 HR,360,RC,00906-99-0441,NDC,,both,,,"10,768.00","10,768.00","2,476.64","10,768.00","10,768.00",percent of total billed charges,"10,768.00",percent of total billed charges,"10,768.00",percent of total billed charges,"10,768.00",percent of total billed charges,"10,768.00",percent of total billed charges,"10,768.00",percent of total billed charges,"10,768.00",percent of total billed charges,"10,768.00",percent of total billed charges,"7,752.96",percent of total billed charges,"7,752.96",percent of total billed charges,"7,752.96",percent of total billed charges,"7,752.96",percent of total billed charges,"7,752.96",percent of total billed charges,"7,752.96",percent of total billed charges,"8,506.72",percent of total billed charges,"8,506.72",percent of total billed charges,"8,614.40",percent of total billed charges,"8,614.40",percent of total billed charges,,,"7,752.96",percent of total billed charges ,,,"8,614.40",percent of total billed charges ,"8,506.72",percent of total billed charges ,"8,506.72",percent of total billed charges ,"9,152.80",percent of total billed charges ,"9,152.80",percent of total billed charges ,"8,614.40",percent of total billed charges ,"8,614.40",percent of total billed charges ,"7,537.60",percent of total billed charges ,"7,537.60",percent of total billed charges ,"6,460.80",percent of total billed charges ,"6,460.80",percent of total billed charges ,"6,460.80",percent of total billed charges ,"6,460.80",percent of total billed charges ,,,,,"5,728.58",percent of total billed charges ,,,,,"5,442.15",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,476.64",percent of total billed charges,,,"2,476.64",percent of total billed charges,,,"2,476.64",percent of total billed charges,,,"2,476.64",percent of total billed charges,,,"2,476.64",percent of total billed charges,,,"2,476.64",percent of total billed charges,,,"2,476.64",percent of total billed charges,,,"2,476.64",percent of total billed charges,,,"2,476.64",percent of total billed charges,,,"2,476.64",percent of total billed charges,,,"2,476.64",percent of total billed charges,
GASTRO LEVEL 3  2.5 HR,360,RC,00906-99-0441,NDC,,both,,,"9,578.00","9,578.00","2,202.94","9,578.00","9,578.00",percent of total billed charges,"9,578.00",percent of total billed charges,"9,578.00",percent of total billed charges,"9,578.00",percent of total billed charges,"9,578.00",percent of total billed charges,"9,578.00",percent of total billed charges,"9,578.00",percent of total billed charges,"9,578.00",percent of total billed charges,"6,896.16",percent of total billed charges,"6,896.16",percent of total billed charges,"6,896.16",percent of total billed charges,"6,896.16",percent of total billed charges,"6,896.16",percent of total billed charges,"6,896.16",percent of total billed charges,"7,566.62",percent of total billed charges,"7,566.62",percent of total billed charges,"7,662.40",percent of total billed charges,"7,662.40",percent of total billed charges,,,"6,896.16",percent of total billed charges ,,,"7,662.40",percent of total billed charges ,"7,566.62",percent of total billed charges ,"7,566.62",percent of total billed charges ,"8,141.30",percent of total billed charges ,"8,141.30",percent of total billed charges ,"7,662.40",percent of total billed charges ,"7,662.40",percent of total billed charges ,"6,704.60",percent of total billed charges ,"6,704.60",percent of total billed charges ,"5,746.80",percent of total billed charges ,"5,746.80",percent of total billed charges ,"5,746.80",percent of total billed charges ,"5,746.80",percent of total billed charges ,,,,,"5,095.50",percent of total billed charges ,,,,,"4,840.72",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,202.94",percent of total billed charges,,,"2,202.94",percent of total billed charges,,,"2,202.94",percent of total billed charges,,,"2,202.94",percent of total billed charges,,,"2,202.94",percent of total billed charges,,,"2,202.94",percent of total billed charges,,,"2,202.94",percent of total billed charges,,,"2,202.94",percent of total billed charges,,,"2,202.94",percent of total billed charges,,,"2,202.94",percent of total billed charges,,,"2,202.94",percent of total billed charges,
HERNIA LEVEL 1  1.5 HR,360,RC,00906-99-0441,NDC,,both,,,"11,879.00","11,879.00","2,732.17","11,879.00","11,879.00",percent of total billed charges,"11,879.00",percent of total billed charges,"11,879.00",percent of total billed charges,"11,879.00",percent of total billed charges,"11,879.00",percent of total billed charges,"11,879.00",percent of total billed charges,"11,879.00",percent of total billed charges,"11,879.00",percent of total billed charges,"8,552.88",percent of total billed charges,"8,552.88",percent of total billed charges,"8,552.88",percent of total billed charges,"8,552.88",percent of total billed charges,"8,552.88",percent of total billed charges,"8,552.88",percent of total billed charges,"9,384.41",percent of total billed charges,"9,384.41",percent of total billed charges,"9,503.20",percent of total billed charges,"9,503.20",percent of total billed charges,,,"8,552.88",percent of total billed charges ,,,"9,503.20",percent of total billed charges ,"9,384.41",percent of total billed charges ,"9,384.41",percent of total billed charges ,"10,097.15",percent of total billed charges ,"10,097.15",percent of total billed charges ,"9,503.20",percent of total billed charges ,"9,503.20",percent of total billed charges ,"8,315.30",percent of total billed charges ,"8,315.30",percent of total billed charges ,"7,127.40",percent of total billed charges ,"7,127.40",percent of total billed charges ,"7,127.40",percent of total billed charges ,"7,127.40",percent of total billed charges ,,,,,"6,319.63",percent of total billed charges ,,,,,"6,003.65",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,732.17",percent of total billed charges,,,"2,732.17",percent of total billed charges,,,"2,732.17",percent of total billed charges,,,"2,732.17",percent of total billed charges,,,"2,732.17",percent of total billed charges,,,"2,732.17",percent of total billed charges,,,"2,732.17",percent of total billed charges,,,"2,732.17",percent of total billed charges,,,"2,732.17",percent of total billed charges,,,"2,732.17",percent of total billed charges,,,"2,732.17",percent of total billed charges,
GASTRO LEVEL 4  2.0 HR,360,RC,00906-99-0441,NDC,,both,,,"13,947.00","13,947.00","3,207.81","13,947.00","13,947.00",percent of total billed charges,"13,947.00",percent of total billed charges,"13,947.00",percent of total billed charges,"13,947.00",percent of total billed charges,"13,947.00",percent of total billed charges,"13,947.00",percent of total billed charges,"13,947.00",percent of total billed charges,"13,947.00",percent of total billed charges,"10,041.84",percent of total billed charges,"10,041.84",percent of total billed charges,"10,041.84",percent of total billed charges,"10,041.84",percent of total billed charges,"10,041.84",percent of total billed charges,"10,041.84",percent of total billed charges,"11,018.13",percent of total billed charges,"11,018.13",percent of total billed charges,"11,157.60",percent of total billed charges,"11,157.60",percent of total billed charges,,,"10,041.84",percent of total billed charges ,,,"11,157.60",percent of total billed charges ,"11,018.13",percent of total billed charges ,"11,018.13",percent of total billed charges ,"11,854.95",percent of total billed charges ,"11,854.95",percent of total billed charges ,"11,157.60",percent of total billed charges ,"11,157.60",percent of total billed charges ,"9,762.90",percent of total billed charges ,"9,762.90",percent of total billed charges ,"8,368.20",percent of total billed charges ,"8,368.20",percent of total billed charges ,"8,368.20",percent of total billed charges ,"8,368.20",percent of total billed charges ,,,,,"7,419.80",percent of total billed charges ,,,,,"7,048.81",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,207.81",percent of total billed charges,,,"3,207.81",percent of total billed charges,,,"3,207.81",percent of total billed charges,,,"3,207.81",percent of total billed charges,,,"3,207.81",percent of total billed charges,,,"3,207.81",percent of total billed charges,,,"3,207.81",percent of total billed charges,,,"3,207.81",percent of total billed charges,,,"3,207.81",percent of total billed charges,,,"3,207.81",percent of total billed charges,,,"3,207.81",percent of total billed charges,
GENERAL LEVEL 1  1 HR,360,RC,00906-99-0441,NDC,,both,,,"12,768.00","12,768.00","2,936.64","12,768.00","12,768.00",percent of total billed charges,"12,768.00",percent of total billed charges,"12,768.00",percent of total billed charges,"12,768.00",percent of total billed charges,"12,768.00",percent of total billed charges,"12,768.00",percent of total billed charges,"12,768.00",percent of total billed charges,"12,768.00",percent of total billed charges,"9,192.96",percent of total billed charges,"9,192.96",percent of total billed charges,"9,192.96",percent of total billed charges,"9,192.96",percent of total billed charges,"9,192.96",percent of total billed charges,"9,192.96",percent of total billed charges,"10,086.72",percent of total billed charges,"10,086.72",percent of total billed charges,"10,214.40",percent of total billed charges,"10,214.40",percent of total billed charges,,,"9,192.96",percent of total billed charges ,,,"10,214.40",percent of total billed charges ,"10,086.72",percent of total billed charges ,"10,086.72",percent of total billed charges ,"10,852.80",percent of total billed charges ,"10,852.80",percent of total billed charges ,"10,214.40",percent of total billed charges ,"10,214.40",percent of total billed charges ,"8,937.60",percent of total billed charges ,"8,937.60",percent of total billed charges ,"7,660.80",percent of total billed charges ,"7,660.80",percent of total billed charges ,"7,660.80",percent of total billed charges ,"7,660.80",percent of total billed charges ,,,,,"6,792.58",percent of total billed charges ,,,,,"6,452.95",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,936.64",percent of total billed charges,,,"2,936.64",percent of total billed charges,,,"2,936.64",percent of total billed charges,,,"2,936.64",percent of total billed charges,,,"2,936.64",percent of total billed charges,,,"2,936.64",percent of total billed charges,,,"2,936.64",percent of total billed charges,,,"2,936.64",percent of total billed charges,,,"2,936.64",percent of total billed charges,,,"2,936.64",percent of total billed charges,,,"2,936.64",percent of total billed charges,
GENERAL LEVEL 3  1.5 HR,360,RC,00906-99-0441,NDC,,both,,,"6,474.00","6,474.00","1,489.02","6,474.00","6,474.00",percent of total billed charges,"6,474.00",percent of total billed charges,"6,474.00",percent of total billed charges,"6,474.00",percent of total billed charges,"6,474.00",percent of total billed charges,"6,474.00",percent of total billed charges,"6,474.00",percent of total billed charges,"6,474.00",percent of total billed charges,"4,661.28",percent of total billed charges,"4,661.28",percent of total billed charges,"4,661.28",percent of total billed charges,"4,661.28",percent of total billed charges,"4,661.28",percent of total billed charges,"4,661.28",percent of total billed charges,"5,114.46",percent of total billed charges,"5,114.46",percent of total billed charges,"5,179.20",percent of total billed charges,"5,179.20",percent of total billed charges,,,"4,661.28",percent of total billed charges ,,,"5,179.20",percent of total billed charges ,"5,114.46",percent of total billed charges ,"5,114.46",percent of total billed charges ,"5,502.90",percent of total billed charges ,"5,502.90",percent of total billed charges ,"5,179.20",percent of total billed charges ,"5,179.20",percent of total billed charges ,"4,531.80",percent of total billed charges ,"4,531.80",percent of total billed charges ,"3,884.40",percent of total billed charges ,"3,884.40",percent of total billed charges ,"3,884.40",percent of total billed charges ,"3,884.40",percent of total billed charges ,,,,,"3,444.17",percent of total billed charges ,,,,,"3,271.96",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,489.02",percent of total billed charges,,,"1,489.02",percent of total billed charges,,,"1,489.02",percent of total billed charges,,,"1,489.02",percent of total billed charges,,,"1,489.02",percent of total billed charges,,,"1,489.02",percent of total billed charges,,,"1,489.02",percent of total billed charges,,,"1,489.02",percent of total billed charges,,,"1,489.02",percent of total billed charges,,,"1,489.02",percent of total billed charges,,,"1,489.02",percent of total billed charges,
GENERAL LEVEL 2  1 HR,360,RC,00906-99-0441,NDC,,both,,,"8,025.00","8,025.00","1,845.75","8,025.00","8,025.00",percent of total billed charges,"8,025.00",percent of total billed charges,"8,025.00",percent of total billed charges,"8,025.00",percent of total billed charges,"8,025.00",percent of total billed charges,"8,025.00",percent of total billed charges,"8,025.00",percent of total billed charges,"8,025.00",percent of total billed charges,"5,778.00",percent of total billed charges,"5,778.00",percent of total billed charges,"5,778.00",percent of total billed charges,"5,778.00",percent of total billed charges,"5,778.00",percent of total billed charges,"5,778.00",percent of total billed charges,"6,339.75",percent of total billed charges,"6,339.75",percent of total billed charges,"6,420.00",percent of total billed charges,"6,420.00",percent of total billed charges,,,"5,778.00",percent of total billed charges ,,,"6,420.00",percent of total billed charges ,"6,339.75",percent of total billed charges ,"6,339.75",percent of total billed charges ,"6,821.25",percent of total billed charges ,"6,821.25",percent of total billed charges ,"6,420.00",percent of total billed charges ,"6,420.00",percent of total billed charges ,"5,617.50",percent of total billed charges ,"5,617.50",percent of total billed charges ,"4,815.00",percent of total billed charges ,"4,815.00",percent of total billed charges ,"4,815.00",percent of total billed charges ,"4,815.00",percent of total billed charges ,,,,,"4,269.30",percent of total billed charges ,,,,,"4,055.84",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,845.75",percent of total billed charges,,,"1,845.75",percent of total billed charges,,,"1,845.75",percent of total billed charges,,,"1,845.75",percent of total billed charges,,,"1,845.75",percent of total billed charges,,,"1,845.75",percent of total billed charges,,,"1,845.75",percent of total billed charges,,,"1,845.75",percent of total billed charges,,,"1,845.75",percent of total billed charges,,,"1,845.75",percent of total billed charges,,,"1,845.75",percent of total billed charges,
TISSUE LEVEL 3   2 HR,360,RC,00906-99-0441,NDC,,both,,,"8,462.00","8,462.00","1,946.26","8,462.00","8,462.00",percent of total billed charges,"8,462.00",percent of total billed charges,"8,462.00",percent of total billed charges,"8,462.00",percent of total billed charges,"8,462.00",percent of total billed charges,"8,462.00",percent of total billed charges,"8,462.00",percent of total billed charges,"8,462.00",percent of total billed charges,"6,092.64",percent of total billed charges,"6,092.64",percent of total billed charges,"6,092.64",percent of total billed charges,"6,092.64",percent of total billed charges,"6,092.64",percent of total billed charges,"6,092.64",percent of total billed charges,"6,684.98",percent of total billed charges,"6,684.98",percent of total billed charges,"6,769.60",percent of total billed charges,"6,769.60",percent of total billed charges,,,"6,092.64",percent of total billed charges ,,,"6,769.60",percent of total billed charges ,"6,684.98",percent of total billed charges ,"6,684.98",percent of total billed charges ,"7,192.70",percent of total billed charges ,"7,192.70",percent of total billed charges ,"6,769.60",percent of total billed charges ,"6,769.60",percent of total billed charges ,"5,923.40",percent of total billed charges ,"5,923.40",percent of total billed charges ,"5,077.20",percent of total billed charges ,"5,077.20",percent of total billed charges ,"5,077.20",percent of total billed charges ,"5,077.20",percent of total billed charges ,,,,,"4,501.78",percent of total billed charges ,,,,,"4,276.69",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,946.26",percent of total billed charges,,,"1,946.26",percent of total billed charges,,,"1,946.26",percent of total billed charges,,,"1,946.26",percent of total billed charges,,,"1,946.26",percent of total billed charges,,,"1,946.26",percent of total billed charges,,,"1,946.26",percent of total billed charges,,,"1,946.26",percent of total billed charges,,,"1,946.26",percent of total billed charges,,,"1,946.26",percent of total billed charges,,,"1,946.26",percent of total billed charges,
TISSUE LEVEL 2   1.5 HR,360,RC,00906-99-0441,NDC,,both,,,"6,461.00","6,461.00","1,486.03","6,461.00","6,461.00",percent of total billed charges,"6,461.00",percent of total billed charges,"6,461.00",percent of total billed charges,"6,461.00",percent of total billed charges,"6,461.00",percent of total billed charges,"6,461.00",percent of total billed charges,"6,461.00",percent of total billed charges,"6,461.00",percent of total billed charges,"4,651.92",percent of total billed charges,"4,651.92",percent of total billed charges,"4,651.92",percent of total billed charges,"4,651.92",percent of total billed charges,"4,651.92",percent of total billed charges,"4,651.92",percent of total billed charges,"5,104.19",percent of total billed charges,"5,104.19",percent of total billed charges,"5,168.80",percent of total billed charges,"5,168.80",percent of total billed charges,,,"4,651.92",percent of total billed charges ,,,"5,168.80",percent of total billed charges ,"5,104.19",percent of total billed charges ,"5,104.19",percent of total billed charges ,"5,491.85",percent of total billed charges ,"5,491.85",percent of total billed charges ,"5,168.80",percent of total billed charges ,"5,168.80",percent of total billed charges ,"4,522.70",percent of total billed charges ,"4,522.70",percent of total billed charges ,"3,876.60",percent of total billed charges ,"3,876.60",percent of total billed charges ,"3,876.60",percent of total billed charges ,"3,876.60",percent of total billed charges ,,,,,"3,437.25",percent of total billed charges ,,,,,"3,265.39",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,486.03",percent of total billed charges,,,"1,486.03",percent of total billed charges,,,"1,486.03",percent of total billed charges,,,"1,486.03",percent of total billed charges,,,"1,486.03",percent of total billed charges,,,"1,486.03",percent of total billed charges,,,"1,486.03",percent of total billed charges,,,"1,486.03",percent of total billed charges,,,"1,486.03",percent of total billed charges,,,"1,486.03",percent of total billed charges,,,"1,486.03",percent of total billed charges,
GYN LEVEL 2  1 HR,360,RC,00906-99-0441,NDC,,both,,,"7,741.00","7,741.00","1,780.43","7,741.00","7,741.00",percent of total billed charges,"7,741.00",percent of total billed charges,"7,741.00",percent of total billed charges,"7,741.00",percent of total billed charges,"7,741.00",percent of total billed charges,"7,741.00",percent of total billed charges,"7,741.00",percent of total billed charges,"7,741.00",percent of total billed charges,"5,573.52",percent of total billed charges,"5,573.52",percent of total billed charges,"5,573.52",percent of total billed charges,"5,573.52",percent of total billed charges,"5,573.52",percent of total billed charges,"5,573.52",percent of total billed charges,"6,115.39",percent of total billed charges,"6,115.39",percent of total billed charges,"6,192.80",percent of total billed charges,"6,192.80",percent of total billed charges,,,"5,573.52",percent of total billed charges ,,,"6,192.80",percent of total billed charges ,"6,115.39",percent of total billed charges ,"6,115.39",percent of total billed charges ,"6,579.85",percent of total billed charges ,"6,579.85",percent of total billed charges ,"6,192.80",percent of total billed charges ,"6,192.80",percent of total billed charges ,"5,418.70",percent of total billed charges ,"5,418.70",percent of total billed charges ,"4,644.60",percent of total billed charges ,"4,644.60",percent of total billed charges ,"4,644.60",percent of total billed charges ,"4,644.60",percent of total billed charges ,,,,,"4,118.21",percent of total billed charges ,,,,,"3,912.30",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,780.43",percent of total billed charges,,,"1,780.43",percent of total billed charges,,,"1,780.43",percent of total billed charges,,,"1,780.43",percent of total billed charges,,,"1,780.43",percent of total billed charges,,,"1,780.43",percent of total billed charges,,,"1,780.43",percent of total billed charges,,,"1,780.43",percent of total billed charges,,,"1,780.43",percent of total billed charges,,,"1,780.43",percent of total billed charges,,,"1,780.43",percent of total billed charges,
ORTHO-BONE LEVEL 2   1.0 HR,360,RC,00906-99-0441,NDC,,both,,,"9,116.00","9,116.00","2,096.68","9,116.00","9,116.00",percent of total billed charges,"9,116.00",percent of total billed charges,"9,116.00",percent of total billed charges,"9,116.00",percent of total billed charges,"9,116.00",percent of total billed charges,"9,116.00",percent of total billed charges,"9,116.00",percent of total billed charges,"9,116.00",percent of total billed charges,"6,563.52",percent of total billed charges,"6,563.52",percent of total billed charges,"6,563.52",percent of total billed charges,"6,563.52",percent of total billed charges,"6,563.52",percent of total billed charges,"6,563.52",percent of total billed charges,"7,201.64",percent of total billed charges,"7,201.64",percent of total billed charges,"7,292.80",percent of total billed charges,"7,292.80",percent of total billed charges,,,"6,563.52",percent of total billed charges ,,,"7,292.80",percent of total billed charges ,"7,201.64",percent of total billed charges ,"7,201.64",percent of total billed charges ,"7,748.60",percent of total billed charges ,"7,748.60",percent of total billed charges ,"7,292.80",percent of total billed charges ,"7,292.80",percent of total billed charges ,"6,381.20",percent of total billed charges ,"6,381.20",percent of total billed charges ,"5,469.60",percent of total billed charges ,"5,469.60",percent of total billed charges ,"5,469.60",percent of total billed charges ,"5,469.60",percent of total billed charges ,,,,,"4,849.71",percent of total billed charges ,,,,,"4,607.23",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,096.68",percent of total billed charges,,,"2,096.68",percent of total billed charges,,,"2,096.68",percent of total billed charges,,,"2,096.68",percent of total billed charges,,,"2,096.68",percent of total billed charges,,,"2,096.68",percent of total billed charges,,,"2,096.68",percent of total billed charges,,,"2,096.68",percent of total billed charges,,,"2,096.68",percent of total billed charges,,,"2,096.68",percent of total billed charges,,,"2,096.68",percent of total billed charges,
ORTHO-BONE LEVEL 4  3.0 HR,360,RC,00906-99-0441,NDC,,both,,,"20,462.00","20,462.00","4,706.26","20,462.00","20,462.00",percent of total billed charges,"20,462.00",percent of total billed charges,"20,462.00",percent of total billed charges,"20,462.00",percent of total billed charges,"20,462.00",percent of total billed charges,"20,462.00",percent of total billed charges,"20,462.00",percent of total billed charges,"20,462.00",percent of total billed charges,"14,732.64",percent of total billed charges,"14,732.64",percent of total billed charges,"14,732.64",percent of total billed charges,"14,732.64",percent of total billed charges,"14,732.64",percent of total billed charges,"14,732.64",percent of total billed charges,"16,164.98",percent of total billed charges,"16,164.98",percent of total billed charges,"16,369.60",percent of total billed charges,"16,369.60",percent of total billed charges,,,"14,732.64",percent of total billed charges ,,,"16,369.60",percent of total billed charges ,"16,164.98",percent of total billed charges ,"16,164.98",percent of total billed charges ,"17,392.70",percent of total billed charges ,"17,392.70",percent of total billed charges ,"16,369.60",percent of total billed charges ,"16,369.60",percent of total billed charges ,"14,323.40",percent of total billed charges ,"14,323.40",percent of total billed charges ,"12,277.20",percent of total billed charges ,"12,277.20",percent of total billed charges ,"12,277.20",percent of total billed charges ,"12,277.20",percent of total billed charges ,,,,,"10,885.78",percent of total billed charges ,,,,,"10,341.49",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,706.26",percent of total billed charges,,,"4,706.26",percent of total billed charges,,,"4,706.26",percent of total billed charges,,,"4,706.26",percent of total billed charges,,,"4,706.26",percent of total billed charges,,,"4,706.26",percent of total billed charges,,,"4,706.26",percent of total billed charges,,,"4,706.26",percent of total billed charges,,,"4,706.26",percent of total billed charges,,,"4,706.26",percent of total billed charges,,,"4,706.26",percent of total billed charges,
ORTHO-COMPLEX LEVEL 1  1.5 HR,360,RC,00906-99-0441,NDC,,both,,,"13,854.00","13,854.00","3,186.42","13,854.00","13,854.00",percent of total billed charges,"13,854.00",percent of total billed charges,"13,854.00",percent of total billed charges,"13,854.00",percent of total billed charges,"13,854.00",percent of total billed charges,"13,854.00",percent of total billed charges,"13,854.00",percent of total billed charges,"13,854.00",percent of total billed charges,"9,974.88",percent of total billed charges,"9,974.88",percent of total billed charges,"9,974.88",percent of total billed charges,"9,974.88",percent of total billed charges,"9,974.88",percent of total billed charges,"9,974.88",percent of total billed charges,"10,944.66",percent of total billed charges,"10,944.66",percent of total billed charges,"11,083.20",percent of total billed charges,"11,083.20",percent of total billed charges,,,"9,974.88",percent of total billed charges ,,,"11,083.20",percent of total billed charges ,"10,944.66",percent of total billed charges ,"10,944.66",percent of total billed charges ,"11,775.90",percent of total billed charges ,"11,775.90",percent of total billed charges ,"11,083.20",percent of total billed charges ,"11,083.20",percent of total billed charges ,"9,697.80",percent of total billed charges ,"9,697.80",percent of total billed charges ,"8,312.40",percent of total billed charges ,"8,312.40",percent of total billed charges ,"8,312.40",percent of total billed charges ,"8,312.40",percent of total billed charges ,,,,,"7,370.33",percent of total billed charges ,,,,,"7,001.81",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,186.42",percent of total billed charges,,,"3,186.42",percent of total billed charges,,,"3,186.42",percent of total billed charges,,,"3,186.42",percent of total billed charges,,,"3,186.42",percent of total billed charges,,,"3,186.42",percent of total billed charges,,,"3,186.42",percent of total billed charges,,,"3,186.42",percent of total billed charges,,,"3,186.42",percent of total billed charges,,,"3,186.42",percent of total billed charges,,,"3,186.42",percent of total billed charges,
ORTHO-COMPLEX LEVEL 2  2.5 HR,360,RC,00906-99-0441,NDC,,both,,,"14,409.00","14,409.00","3,314.07","14,409.00","14,409.00",percent of total billed charges,"14,409.00",percent of total billed charges,"14,409.00",percent of total billed charges,"14,409.00",percent of total billed charges,"14,409.00",percent of total billed charges,"14,409.00",percent of total billed charges,"14,409.00",percent of total billed charges,"14,409.00",percent of total billed charges,"10,374.48",percent of total billed charges,"10,374.48",percent of total billed charges,"10,374.48",percent of total billed charges,"10,374.48",percent of total billed charges,"10,374.48",percent of total billed charges,"10,374.48",percent of total billed charges,"11,383.11",percent of total billed charges,"11,383.11",percent of total billed charges,"11,527.20",percent of total billed charges,"11,527.20",percent of total billed charges,,,"10,374.48",percent of total billed charges ,,,"11,527.20",percent of total billed charges ,"11,383.11",percent of total billed charges ,"11,383.11",percent of total billed charges ,"12,247.65",percent of total billed charges ,"12,247.65",percent of total billed charges ,"11,527.20",percent of total billed charges ,"11,527.20",percent of total billed charges ,"10,086.30",percent of total billed charges ,"10,086.30",percent of total billed charges ,"8,645.40",percent of total billed charges ,"8,645.40",percent of total billed charges ,"8,645.40",percent of total billed charges ,"8,645.40",percent of total billed charges ,,,,,"7,665.59",percent of total billed charges ,,,,,"7,282.31",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,314.07",percent of total billed charges,,,"3,314.07",percent of total billed charges,,,"3,314.07",percent of total billed charges,,,"3,314.07",percent of total billed charges,,,"3,314.07",percent of total billed charges,,,"3,314.07",percent of total billed charges,,,"3,314.07",percent of total billed charges,,,"3,314.07",percent of total billed charges,,,"3,314.07",percent of total billed charges,,,"3,314.07",percent of total billed charges,,,"3,314.07",percent of total billed charges,
ORTHO-COMPLEX LEVEL 3  3.5 HR,360,RC,00906-99-0441,NDC,,both,,,"16,486.00","16,486.00","3,791.78","16,486.00","16,486.00",percent of total billed charges,"16,486.00",percent of total billed charges,"16,486.00",percent of total billed charges,"16,486.00",percent of total billed charges,"16,486.00",percent of total billed charges,"16,486.00",percent of total billed charges,"16,486.00",percent of total billed charges,"16,486.00",percent of total billed charges,"11,869.92",percent of total billed charges,"11,869.92",percent of total billed charges,"11,869.92",percent of total billed charges,"11,869.92",percent of total billed charges,"11,869.92",percent of total billed charges,"11,869.92",percent of total billed charges,"13,023.94",percent of total billed charges,"13,023.94",percent of total billed charges,"13,188.80",percent of total billed charges,"13,188.80",percent of total billed charges,,,"11,869.92",percent of total billed charges ,,,"13,188.80",percent of total billed charges ,"13,023.94",percent of total billed charges ,"13,023.94",percent of total billed charges ,"14,013.10",percent of total billed charges ,"14,013.10",percent of total billed charges ,"13,188.80",percent of total billed charges ,"13,188.80",percent of total billed charges ,"11,540.20",percent of total billed charges ,"11,540.20",percent of total billed charges ,"9,891.60",percent of total billed charges ,"9,891.60",percent of total billed charges ,"9,891.60",percent of total billed charges ,"9,891.60",percent of total billed charges ,,,,,"8,770.55",percent of total billed charges ,,,,,"8,332.02",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,791.78",percent of total billed charges,,,"3,791.78",percent of total billed charges,,,"3,791.78",percent of total billed charges,,,"3,791.78",percent of total billed charges,,,"3,791.78",percent of total billed charges,,,"3,791.78",percent of total billed charges,,,"3,791.78",percent of total billed charges,,,"3,791.78",percent of total billed charges,,,"3,791.78",percent of total billed charges,,,"3,791.78",percent of total billed charges,,,"3,791.78",percent of total billed charges,
EPIDURAL INJECTION/LUMBAR,62323,CDM,,,,both,,,"2,051.00","2,051.00",471.73,"2,051.00","2,051.00",percent of total billed charges,"2,051.00",percent of total billed charges,"2,051.00",percent of total billed charges,"2,051.00",percent of total billed charges,"2,051.00",percent of total billed charges,"2,051.00",percent of total billed charges,"2,051.00",percent of total billed charges,"2,051.00",percent of total billed charges,"1,476.72",percent of total billed charges,"1,476.72",percent of total billed charges,"1,476.72",percent of total billed charges,"1,476.72",percent of total billed charges,"1,476.72",percent of total billed charges,"1,476.72",percent of total billed charges,"1,620.29",percent of total billed charges,"1,620.29",percent of total billed charges,"1,640.80",percent of total billed charges,"1,640.80",percent of total billed charges,,,"1,476.72",percent of total billed charges ,,,"1,640.80",percent of total billed charges ,"1,620.29",percent of total billed charges ,"1,620.29",percent of total billed charges ,"1,743.35",percent of total billed charges ,"1,743.35",percent of total billed charges ,"1,640.80",percent of total billed charges ,"1,640.80",percent of total billed charges ,"1,435.70",percent of total billed charges ,"1,435.70",percent of total billed charges ,"1,230.60",percent of total billed charges ,"1,230.60",percent of total billed charges ,"1,230.60",percent of total billed charges ,"1,230.60",percent of total billed charges ,,,,,"1,091.13",percent of total billed charges ,,,,,"1,036.58",percent of total billed charges ,,,,,,,,,,,,,,,,,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,
ORTHO-NEURO LEVEL 1  1.O HR,360,RC,00906-99-0441,NDC,,both,,,"7,167.00","7,167.00","1,648.41","7,167.00","7,167.00",percent of total billed charges,"7,167.00",percent of total billed charges,"7,167.00",percent of total billed charges,"7,167.00",percent of total billed charges,"7,167.00",percent of total billed charges,"7,167.00",percent of total billed charges,"7,167.00",percent of total billed charges,"7,167.00",percent of total billed charges,"5,160.24",percent of total billed charges,"5,160.24",percent of total billed charges,"5,160.24",percent of total billed charges,"5,160.24",percent of total billed charges,"5,160.24",percent of total billed charges,"5,160.24",percent of total billed charges,"5,661.93",percent of total billed charges,"5,661.93",percent of total billed charges,"5,733.60",percent of total billed charges,"5,733.60",percent of total billed charges,,,"5,160.24",percent of total billed charges ,,,"5,733.60",percent of total billed charges ,"5,661.93",percent of total billed charges ,"5,661.93",percent of total billed charges ,"6,091.95",percent of total billed charges ,"6,091.95",percent of total billed charges ,"5,733.60",percent of total billed charges ,"5,733.60",percent of total billed charges ,"5,016.90",percent of total billed charges ,"5,016.90",percent of total billed charges ,"4,300.20",percent of total billed charges ,"4,300.20",percent of total billed charges ,"4,300.20",percent of total billed charges ,"4,300.20",percent of total billed charges ,,,,,"3,812.84",percent of total billed charges ,,,,,"3,622.20",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,648.41",percent of total billed charges,,,"1,648.41",percent of total billed charges,,,"1,648.41",percent of total billed charges,,,"1,648.41",percent of total billed charges,,,"1,648.41",percent of total billed charges,,,"1,648.41",percent of total billed charges,,,"1,648.41",percent of total billed charges,,,"1,648.41",percent of total billed charges,,,"1,648.41",percent of total billed charges,,,"1,648.41",percent of total billed charges,,,"1,648.41",percent of total billed charges,
ORTHO-NEURO LEVEL 2  1.5 HR,360,RC,00906-99-0441,NDC,,both,,,"6,320.00","6,320.00","1,453.60","6,320.00","6,320.00",percent of total billed charges,"6,320.00",percent of total billed charges,"6,320.00",percent of total billed charges,"6,320.00",percent of total billed charges,"6,320.00",percent of total billed charges,"6,320.00",percent of total billed charges,"6,320.00",percent of total billed charges,"6,320.00",percent of total billed charges,"4,550.40",percent of total billed charges,"4,550.40",percent of total billed charges,"4,550.40",percent of total billed charges,"4,550.40",percent of total billed charges,"4,550.40",percent of total billed charges,"4,550.40",percent of total billed charges,"4,992.80",percent of total billed charges,"4,992.80",percent of total billed charges,"5,056.00",percent of total billed charges,"5,056.00",percent of total billed charges,,,"4,550.40",percent of total billed charges ,,,"5,056.00",percent of total billed charges ,"4,992.80",percent of total billed charges ,"4,992.80",percent of total billed charges ,"5,372.00",percent of total billed charges ,"5,372.00",percent of total billed charges ,"5,056.00",percent of total billed charges ,"5,056.00",percent of total billed charges ,"4,424.00",percent of total billed charges ,"4,424.00",percent of total billed charges ,"3,792.00",percent of total billed charges ,"3,792.00",percent of total billed charges ,"3,792.00",percent of total billed charges ,"3,792.00",percent of total billed charges ,,,,,"3,362.24",percent of total billed charges ,,,,,"3,194.13",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,453.60",percent of total billed charges,,,"1,453.60",percent of total billed charges,,,"1,453.60",percent of total billed charges,,,"1,453.60",percent of total billed charges,,,"1,453.60",percent of total billed charges,,,"1,453.60",percent of total billed charges,,,"1,453.60",percent of total billed charges,,,"1,453.60",percent of total billed charges,,,"1,453.60",percent of total billed charges,,,"1,453.60",percent of total billed charges,,,"1,453.60",percent of total billed charges,
EYE LEVEL 1  0.5HR,360,RC,00906-99-0441,NDC,,both,,,"4,692.00","4,692.00","1,079.16","4,692.00","4,692.00",percent of total billed charges,"4,692.00",percent of total billed charges,"4,692.00",percent of total billed charges,"4,692.00",percent of total billed charges,"4,692.00",percent of total billed charges,"4,692.00",percent of total billed charges,"4,692.00",percent of total billed charges,"4,692.00",percent of total billed charges,"3,378.24",percent of total billed charges,"3,378.24",percent of total billed charges,"3,378.24",percent of total billed charges,"3,378.24",percent of total billed charges,"3,378.24",percent of total billed charges,"3,378.24",percent of total billed charges,"3,706.68",percent of total billed charges,"3,706.68",percent of total billed charges,"3,753.60",percent of total billed charges,"3,753.60",percent of total billed charges,,,"3,378.24",percent of total billed charges ,,,"3,753.60",percent of total billed charges ,"3,706.68",percent of total billed charges ,"3,706.68",percent of total billed charges ,"3,988.20",percent of total billed charges ,"3,988.20",percent of total billed charges ,"3,753.60",percent of total billed charges ,"3,753.60",percent of total billed charges ,"3,284.40",percent of total billed charges ,"3,284.40",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 ,,,,,"2,496.14",percent of total billed charges ,,,,,"2,371.34",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,079.16",percent of total billed charges,,,"1,079.16",percent of total billed charges,,,"1,079.16",percent of total billed charges,,,"1,079.16",percent of total billed charges,,,"1,079.16",percent of total billed charges,,,"1,079.16",percent of total billed charges,,,"1,079.16",percent of total billed charges,,,"1,079.16",percent of total billed charges,,,"1,079.16",percent of total billed charges,,,"1,079.16",percent of total billed charges,,,"1,079.16",percent of total billed charges,
ORTHO-ARTHRO LEVEL 1  1.5 HR,360,RC,00906-99-0441,NDC,,both,,,"9,361.00","9,361.00","2,153.03","9,361.00","9,361.00",percent of total billed charges,"9,361.00",percent of total billed charges,"9,361.00",percent of total billed charges,"9,361.00",percent of total billed charges,"9,361.00",percent of total billed charges,"9,361.00",percent of total billed charges,"9,361.00",percent of total billed charges,"9,361.00",percent of total billed charges,"6,739.92",percent of total billed charges,"6,739.92",percent of total billed charges,"6,739.92",percent of total billed charges,"6,739.92",percent of total billed charges,"6,739.92",percent of total billed charges,"6,739.92",percent of total billed charges,"7,395.19",percent of total billed charges,"7,395.19",percent of total billed charges,"7,488.80",percent of total billed charges,"7,488.80",percent of total billed charges,,,"6,739.92",percent of total billed charges ,,,"7,488.80",percent of total billed charges ,"7,395.19",percent of total billed charges ,"7,395.19",percent of total billed charges ,"7,956.85",percent of total billed charges ,"7,956.85",percent of total billed charges ,"7,488.80",percent of total billed charges ,"7,488.80",percent of total billed charges ,"6,552.70",percent of total billed charges ,"6,552.70",percent of total billed charges ,"5,616.60",percent of total billed charges ,"5,616.60",percent of total billed charges ,"5,616.60",percent of total billed charges ,"5,616.60",percent of total billed charges ,,,,,"4,980.05",percent of total billed charges ,,,,,"4,731.05",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,153.03",percent of total billed charges,,,"2,153.03",percent of total billed charges,,,"2,153.03",percent of total billed charges,,,"2,153.03",percent of total billed charges,,,"2,153.03",percent of total billed charges,,,"2,153.03",percent of total billed charges,,,"2,153.03",percent of total billed charges,,,"2,153.03",percent of total billed charges,,,"2,153.03",percent of total billed charges,,,"2,153.03",percent of total billed charges,,,"2,153.03",percent of total billed charges,
ORTHO-ARTHRO LEVEL 2  2.5 HR,360,RC,00906-99-0441,NDC,,both,,,"14,394.00","14,394.00","3,310.62","14,394.00","14,394.00",percent of total billed charges,"14,394.00",percent of total billed charges,"14,394.00",percent of total billed charges,"14,394.00",percent of total billed charges,"14,394.00",percent of total billed charges,"14,394.00",percent of total billed charges,"14,394.00",percent of total billed charges,"14,394.00",percent of total billed charges,"10,363.68",percent of total billed charges,"10,363.68",percent of total billed charges,"10,363.68",percent of total billed charges,"10,363.68",percent of total billed charges,"10,363.68",percent of total billed charges,"10,363.68",percent of total billed charges,"11,371.26",percent of total billed charges,"11,371.26",percent of total billed charges,"11,515.20",percent of total billed charges,"11,515.20",percent of total billed charges,,,"10,363.68",percent of total billed charges ,,,"11,515.20",percent of total billed charges ,"11,371.26",percent of total billed charges ,"11,371.26",percent of total billed charges ,"12,234.90",percent of total billed charges ,"12,234.90",percent of total billed charges ,"11,515.20",percent of total billed charges ,"11,515.20",percent of total billed charges ,"10,075.80",percent of total billed charges ,"10,075.80",percent of total billed charges ,"8,636.40",percent of total billed charges ,"8,636.40",percent of total billed charges ,"8,636.40",percent of total billed charges ,"8,636.40",percent of total billed charges ,,,,,"7,657.61",percent of total billed charges ,,,,,"7,274.73",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,310.62",percent of total billed charges,,,"3,310.62",percent of total billed charges,,,"3,310.62",percent of total billed charges,,,"3,310.62",percent of total billed charges,,,"3,310.62",percent of total billed charges,,,"3,310.62",percent of total billed charges,,,"3,310.62",percent of total billed charges,,,"3,310.62",percent of total billed charges,,,"3,310.62",percent of total billed charges,,,"3,310.62",percent of total billed charges,,,"3,310.62",percent of total billed charges,
ORTHO-ARTHRO LEVEL 3  3.5 HR,360,RC,00906-99-0441,NDC,,both,,,"11,097.00","11,097.00","2,552.31","11,097.00","11,097.00",percent of total billed charges,"11,097.00",percent of total billed charges,"11,097.00",percent of total billed charges,"11,097.00",percent of total billed charges,"11,097.00",percent of total billed charges,"11,097.00",percent of total billed charges,"11,097.00",percent of total billed charges,"11,097.00",percent of total billed charges,"7,989.84",percent of total billed charges,"7,989.84",percent of total billed charges,"7,989.84",percent of total billed charges,"7,989.84",percent of total billed charges,"7,989.84",percent of total billed charges,"7,989.84",percent of total billed charges,"8,766.63",percent of total billed charges,"8,766.63",percent of total billed charges,"8,877.60",percent of total billed charges,"8,877.60",percent of total billed charges,,,"7,989.84",percent of total billed charges ,,,"8,877.60",percent of total billed charges ,"8,766.63",percent of total billed charges ,"8,766.63",percent of total billed charges ,"9,432.45",percent of total billed charges ,"9,432.45",percent of total billed charges ,"8,877.60",percent of total billed charges ,"8,877.60",percent of total billed charges ,"7,767.90",percent of total billed charges ,"7,767.90",percent of total billed charges ,"6,658.20",percent of total billed charges ,"6,658.20",percent of total billed charges ,"6,658.20",percent of total billed charges ,"6,658.20",percent of total billed charges ,,,,,"5,903.60",percent of total billed charges ,,,,,"5,608.42",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,552.31",percent of total billed charges,,,"2,552.31",percent of total billed charges,,,"2,552.31",percent of total billed charges,,,"2,552.31",percent of total billed charges,,,"2,552.31",percent of total billed charges,,,"2,552.31",percent of total billed charges,,,"2,552.31",percent of total billed charges,,,"2,552.31",percent of total billed charges,,,"2,552.31",percent of total billed charges,,,"2,552.31",percent of total billed charges,,,"2,552.31",percent of total billed charges,
GYN LEVEL 1  1 HR,360,RC,00906-99-0441,NDC,,both,,,"6,000.00","6,000.00","1,380.00","6,000.00","6,000.00",percent of total billed charges,"6,000.00",percent of total billed charges,"6,000.00",percent of total billed charges,"6,000.00",percent of total billed charges,"6,000.00",percent of total billed charges,"6,000.00",percent of total billed charges,"6,000.00",percent of total billed charges,"6,000.00",percent of total billed charges,"4,320.00",percent of total billed charges,"4,320.00",percent of total billed charges,"4,320.00",percent of total billed charges,"4,320.00",percent of total billed charges,"4,320.00",percent of total billed charges,"4,320.00",percent of total billed charges,"4,740.00",percent of total billed charges,"4,740.00",percent of total billed charges,"4,800.00",percent of total billed charges,"4,800.00",percent of total billed charges,,,"4,320.00",percent of total billed charges ,,,"4,800.00",percent of total billed charges ,"4,740.00",percent of total billed charges ,"4,740.00",percent of total billed charges ,"5,100.00",percent of total billed charges ,"5,100.00",percent of total billed charges ,"4,800.00",percent of total billed charges ,"4,800.00",percent of total billed charges ,"4,200.00",percent of total billed charges ,"4,200.00",percent of total billed charges ,"3,600.00",percent of total billed charges ,"3,600.00",percent of total billed charges ,"3,600.00",percent of total billed charges ,"3,600.00",percent of total billed charges ,,,,,"3,192.00",percent of total billed charges ,,,,,"3,032.40",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,,,"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,
GYN LEVEL 3  2 HR,360,RC,00906-99-0441,NDC,,both,,,"8,965.00","8,965.00","2,061.95","8,965.00","8,965.00",percent of total billed charges,"8,965.00",percent of total billed charges,"8,965.00",percent of total billed charges,"8,965.00",percent of total billed charges,"8,965.00",percent of total billed charges,"8,965.00",percent of total billed charges,"8,965.00",percent of total billed charges,"8,965.00",percent of total billed charges,"6,454.80",percent of total billed charges,"6,454.80",percent of total billed charges,"6,454.80",percent of total billed charges,"6,454.80",percent of total billed charges,"6,454.80",percent of total billed charges,"6,454.80",percent of total billed charges,"7,082.35",percent of total billed charges,"7,082.35",percent of total billed charges,"7,172.00",percent of total billed charges,"7,172.00",percent of total billed charges,,,"6,454.80",percent of total billed charges ,,,"7,172.00",percent of total billed charges ,"7,082.35",percent of total billed charges ,"7,082.35",percent of total billed charges ,"7,620.25",percent of total billed charges ,"7,620.25",percent of total billed charges ,"7,172.00",percent of total billed charges ,"7,172.00",percent of total billed charges ,"6,275.50",percent of total billed charges ,"6,275.50",percent of total billed charges ,"5,379.00",percent of total billed charges ,"5,379.00",percent of total billed charges ,"5,379.00",percent of total billed charges ,"5,379.00",percent of total billed charges ,,,,,"4,769.38",percent of total billed charges ,,,,,"4,530.91",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,061.95",percent of total billed charges,,,"2,061.95",percent of total billed charges,,,"2,061.95",percent of total billed charges,,,"2,061.95",percent of total billed charges,,,"2,061.95",percent of total billed charges,,,"2,061.95",percent of total billed charges,,,"2,061.95",percent of total billed charges,,,"2,061.95",percent of total billed charges,,,"2,061.95",percent of total billed charges,,,"2,061.95",percent of total billed charges,,,"2,061.95",percent of total billed charges,
GYN LEVEL 4  1 HR,360,RC,00906-99-0441,NDC,,both,,,"9,681.00","9,681.00","2,226.63","9,681.00","9,681.00",percent of total billed charges,"9,681.00",percent of total billed charges,"9,681.00",percent of total billed charges,"9,681.00",percent of total billed charges,"9,681.00",percent of total billed charges,"9,681.00",percent of total billed charges,"9,681.00",percent of total billed charges,"9,681.00",percent of total billed charges,"6,970.32",percent of total billed charges,"6,970.32",percent of total billed charges,"6,970.32",percent of total billed charges,"6,970.32",percent of total billed charges,"6,970.32",percent of total billed charges,"6,970.32",percent of total billed charges,"7,647.99",percent of total billed charges,"7,647.99",percent of total billed charges,"7,744.80",percent of total billed charges,"7,744.80",percent of total billed charges,,,"6,970.32",percent of total billed charges ,,,"7,744.80",percent of total billed charges ,"7,647.99",percent of total billed charges ,"7,647.99",percent of total billed charges ,"8,228.85",percent of total billed charges ,"8,228.85",percent of total billed charges ,"7,744.80",percent of total billed charges ,"7,744.80",percent of total billed charges ,"6,776.70",percent of total billed charges ,"6,776.70",percent of total billed charges ,"5,808.60",percent of total billed charges ,"5,808.60",percent of total billed charges ,"5,808.60",percent of total billed charges ,"5,808.60",percent of total billed charges ,,,,,"5,150.29",percent of total billed charges ,,,,,"4,892.78",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,226.63",percent of total billed charges,,,"2,226.63",percent of total billed charges,,,"2,226.63",percent of total billed charges,,,"2,226.63",percent of total billed charges,,,"2,226.63",percent of total billed charges,,,"2,226.63",percent of total billed charges,,,"2,226.63",percent of total billed charges,,,"2,226.63",percent of total billed charges,,,"2,226.63",percent of total billed charges,,,"2,226.63",percent of total billed charges,,,"2,226.63",percent of total billed charges,
GYN LEVEL 5  1 HR,360,RC,00906-99-0441,NDC,,both,,,"9,354.00","9,354.00","2,151.42","9,354.00","9,354.00",percent of total billed charges,"9,354.00",percent of total billed charges,"9,354.00",percent of total billed charges,"9,354.00",percent of total billed charges,"9,354.00",percent of total billed charges,"9,354.00",percent of total billed charges,"9,354.00",percent of total billed charges,"9,354.00",percent of total billed charges,"6,734.88",percent of total billed charges,"6,734.88",percent of total billed charges,"6,734.88",percent of total billed charges,"6,734.88",percent of total billed charges,"6,734.88",percent of total billed charges,"6,734.88",percent of total billed charges,"7,389.66",percent of total billed charges,"7,389.66",percent of total billed charges,"7,483.20",percent of total billed charges,"7,483.20",percent of total billed charges,,,"6,734.88",percent of total billed charges ,,,"7,483.20",percent of total billed charges ,"7,389.66",percent of total billed charges ,"7,389.66",percent of total billed charges ,"7,950.90",percent of total billed charges ,"7,950.90",percent of total billed charges ,"7,483.20",percent of total billed charges ,"7,483.20",percent of total billed charges ,"6,547.80",percent of total billed charges ,"6,547.80",percent of total billed charges ,"5,612.40",percent of total billed charges ,"5,612.40",percent of total billed charges ,"5,612.40",percent of total billed charges ,"5,612.40",percent of total billed charges ,,,,,"4,976.33",percent of total billed charges ,,,,,"4,727.51",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,151.42",percent of total billed charges,,,"2,151.42",percent of total billed charges,,,"2,151.42",percent of total billed charges,,,"2,151.42",percent of total billed charges,,,"2,151.42",percent of total billed charges,,,"2,151.42",percent of total billed charges,,,"2,151.42",percent of total billed charges,,,"2,151.42",percent of total billed charges,,,"2,151.42",percent of total billed charges,,,"2,151.42",percent of total billed charges,,,"2,151.42",percent of total billed charges,
GYN LEVEL 6  2 HR,360,RC,00906-99-0441,NDC,,both,,,"11,061.00","11,061.00","2,544.03","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,"8,738.19",percent of total billed charges,"8,738.19",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 ,"8,738.19",percent of total billed charges ,"8,738.19",percent of total billed charges ,"9,401.85",percent of total billed charges ,"9,401.85",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 ,,,,,,,,,,,,,,,,,,,"2,544.03",percent of total billed charges,,,"2,544.03",percent of total billed charges,,,"2,544.03",percent of total billed charges,,,"2,544.03",percent of total billed charges,,,"2,544.03",percent of total billed charges,,,"2,544.03",percent of total billed charges,,,"2,544.03",percent of total billed charges,,,"2,544.03",percent of total billed charges,,,"2,544.03",percent of total billed charges,,,"2,544.03",percent of total billed charges,,,"2,544.03",percent of total billed charges,
ENDO LEVEL 1,360,RC,00906-99-0441,NDC,,both,,,"3,616.00","3,616.00",831.68,"3,616.00","3,616.00",percent of total billed charges,"3,616.00",percent of total billed charges,"3,616.00",percent of total billed charges,"3,616.00",percent of total billed charges,"3,616.00",percent of total billed charges,"3,616.00",percent of total billed charges,"3,616.00",percent of total billed charges,"3,616.00",percent of total billed charges,"2,603.52",percent of total billed charges,"2,603.52",percent of total billed charges,"2,603.52",percent of total billed charges,"2,603.52",percent of total billed charges,"2,603.52",percent of total billed charges,"2,603.52",percent of total billed charges,"2,856.64",percent of total billed charges,"2,856.64",percent of total billed charges,"2,892.80",percent of total billed charges,"2,892.80",percent of total billed charges,,,"2,603.52",percent of total billed charges ,,,"2,892.80",percent of total billed charges ,"2,856.64",percent of total billed charges ,"2,856.64",percent of total billed charges ,"3,073.60",percent of total billed charges ,"3,073.60",percent of total billed charges ,"2,892.80",percent of total billed charges ,"2,892.80",percent of total billed charges ,"2,531.20",percent of total billed charges ,"2,531.20",percent of total billed charges ,"2,169.60",percent of total billed charges ,"2,169.60",percent of total billed charges ,"2,169.60",percent of total billed charges ,"2,169.60",percent of total billed charges ,,,,,"1,923.71",percent of total billed charges ,,,,,"1,827.53",percent of total billed charges ,,,,,,,,,,,,,,,,,,,831.68,percent of total billed charges,,,831.68,percent of total billed charges,,,831.68,percent of total billed charges,,,831.68,percent of total billed charges,,,831.68,percent of total billed charges,,,831.68,percent of total billed charges,,,831.68,percent of total billed charges,,,831.68,percent of total billed charges,,,831.68,percent of total billed charges,,,831.68,percent of total billed charges,,,831.68,percent of total billed charges,
ENDO LEVEL 2,360,RC,00906-99-0441,NDC,,both,,,"3,639.00","3,639.00",836.97,"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,"2,874.81",percent of total billed charges,"2,874.81",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 ,"2,874.81",percent of total billed charges ,"2,874.81",percent of total billed charges ,"3,093.15",percent of total billed charges ,"3,093.15",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 ,,,,,,,,,,,,,,,,,,,836.97,percent of total billed charges,,,836.97,percent of total billed charges,,,836.97,percent of total billed charges,,,836.97,percent of total billed charges,,,836.97,percent of total billed charges,,,836.97,percent of total billed charges,,,836.97,percent of total billed charges,,,836.97,percent of total billed charges,,,836.97,percent of total billed charges,,,836.97,percent of total billed charges,,,836.97,percent of total billed charges,
PAIN INJECTION/OR,360,RC,00906-99-0441,NDC,,both,,,991,991,227.93,991,991,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,782.89,percent of total billed charges,782.89,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 ,782.89,percent of total billed charges ,782.89,percent of total billed charges ,842.35,percent of total billed charges ,842.35,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 ,,,,,,,,,,,,,,,,,,,227.93,percent of total billed charges,,,227.93,percent of total billed charges,,,227.93,percent of total billed charges,,,227.93,percent of total billed charges,,,227.93,percent of total billed charges,,,227.93,percent of total billed charges,,,227.93,percent of total billed charges,,,227.93,percent of total billed charges,,,227.93,percent of total billed charges,,,227.93,percent of total billed charges,,,227.93,percent of total billed charges,
ORTHO-BONE LEVEL 1  .75 HR,360,RC,00906-99-0441,NDC,,both,,,"5,686.00","5,686.00","1,307.78","5,686.00","5,686.00",percent of total billed charges,"5,686.00",percent of total billed charges,"5,686.00",percent of total billed charges,"5,686.00",percent of total billed charges,"5,686.00",percent of total billed charges,"5,686.00",percent of total billed charges,"5,686.00",percent of total billed charges,"5,686.00",percent of total billed charges,"4,093.92",percent of total billed charges,"4,093.92",percent of total billed charges,"4,093.92",percent of total billed charges,"4,093.92",percent of total billed charges,"4,093.92",percent of total billed charges,"4,093.92",percent of total billed charges,"4,491.94",percent of total billed charges,"4,491.94",percent of total billed charges,"4,548.80",percent of total billed charges,"4,548.80",percent of total billed charges,,,"4,093.92",percent of total billed charges ,,,"4,548.80",percent of total billed charges ,"4,491.94",percent of total billed charges ,"4,491.94",percent of total billed charges ,"4,833.10",percent of total billed charges ,"4,833.10",percent of total billed charges ,"4,548.80",percent of total billed charges ,"4,548.80",percent of total billed charges ,"3,980.20",percent of total billed charges ,"3,980.20",percent of total billed charges ,"3,411.60",percent of total billed charges ,"3,411.60",percent of total billed charges ,"3,411.60",percent of total billed charges ,"3,411.60",percent of total billed charges ,,,,,"3,024.95",percent of total billed charges ,,,,,"2,873.70",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,307.78",percent of total billed charges,,,"1,307.78",percent of total billed charges,,,"1,307.78",percent of total billed charges,,,"1,307.78",percent of total billed charges,,,"1,307.78",percent of total billed charges,,,"1,307.78",percent of total billed charges,,,"1,307.78",percent of total billed charges,,,"1,307.78",percent of total billed charges,,,"1,307.78",percent of total billed charges,,,"1,307.78",percent of total billed charges,,,"1,307.78",percent of total billed charges,
ORAL LEVEL 2  2.5 HR,360,RC,00906-99-0441,NDC,,both,,,"6,766.00","6,766.00","1,556.18","6,766.00","6,766.00",percent of total billed charges,"6,766.00",percent of total billed charges,"6,766.00",percent of total billed charges,"6,766.00",percent of total billed charges,"6,766.00",percent of total billed charges,"6,766.00",percent of total billed charges,"6,766.00",percent of total billed charges,"6,766.00",percent of total billed charges,"4,871.52",percent of total billed charges,"4,871.52",percent of total billed charges,"4,871.52",percent of total billed charges,"4,871.52",percent of total billed charges,"4,871.52",percent of total billed charges,"4,871.52",percent of total billed charges,"5,345.14",percent of total billed charges,"5,345.14",percent of total billed charges,"5,412.80",percent of total billed charges,"5,412.80",percent of total billed charges,,,"4,871.52",percent of total billed charges ,,,"5,412.80",percent of total billed charges ,"5,345.14",percent of total billed charges ,"5,345.14",percent of total billed charges ,"5,751.10",percent of total billed charges ,"5,751.10",percent of total billed charges ,"5,412.80",percent of total billed charges ,"5,412.80",percent of total billed charges ,"4,736.20",percent of total billed charges ,"4,736.20",percent of total billed charges ,"4,059.60",percent of total billed charges ,"4,059.60",percent of total billed charges ,"4,059.60",percent of total billed charges ,"4,059.60",percent of total billed charges ,,,,,"3,599.51",percent of total billed charges ,,,,,"3,419.54",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,556.18",percent of total billed charges,,,"1,556.18",percent of total billed charges,,,"1,556.18",percent of total billed charges,,,"1,556.18",percent of total billed charges,,,"1,556.18",percent of total billed charges,,,"1,556.18",percent of total billed charges,,,"1,556.18",percent of total billed charges,,,"1,556.18",percent of total billed charges,,,"1,556.18",percent of total billed charges,,,"1,556.18",percent of total billed charges,,,"1,556.18",percent of total billed charges,
GASTRO LEVEL 1  1.0 HR,360,RC,00906-99-0441,NDC,,both,,,"6,103.00","6,103.00","1,403.69","6,103.00","6,103.00",percent of total billed charges,"6,103.00",percent of total billed charges,"6,103.00",percent of total billed charges,"6,103.00",percent of total billed charges,"6,103.00",percent of total billed charges,"6,103.00",percent of total billed charges,"6,103.00",percent of total billed charges,"6,103.00",percent of total billed charges,"4,394.16",percent of total billed charges,"4,394.16",percent of total billed charges,"4,394.16",percent of total billed charges,"4,394.16",percent of total billed charges,"4,394.16",percent of total billed charges,"4,394.16",percent of total billed charges,"4,821.37",percent of total billed charges,"4,821.37",percent of total billed charges,"4,882.40",percent of total billed charges,"4,882.40",percent of total billed charges,,,"4,394.16",percent of total billed charges ,,,"4,882.40",percent of total billed charges ,"4,821.37",percent of total billed charges ,"4,821.37",percent of total billed charges ,"5,187.55",percent of total billed charges ,"5,187.55",percent of total billed charges ,"4,882.40",percent of total billed charges ,"4,882.40",percent of total billed charges ,"4,272.10",percent of total billed charges ,"4,272.10",percent of total billed charges ,"3,661.80",percent of total billed charges ,"3,661.80",percent of total billed charges ,"3,661.80",percent of total billed charges ,"3,661.80",percent of total billed charges ,,,,,"3,246.80",percent of total billed charges ,,,,,"3,084.46",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,403.69",percent of total billed charges,,,"1,403.69",percent of total billed charges,,,"1,403.69",percent of total billed charges,,,"1,403.69",percent of total billed charges,,,"1,403.69",percent of total billed charges,,,"1,403.69",percent of total billed charges,,,"1,403.69",percent of total billed charges,,,"1,403.69",percent of total billed charges,,,"1,403.69",percent of total billed charges,,,"1,403.69",percent of total billed charges,,,"1,403.69",percent of total billed charges,
OR ADDTL 15 MINUTES,360,RC,00906-99-0441,NDC,,both,,,412,412,94.76,412,412,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,325.48,percent of total billed charges,325.48,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 ,325.48,percent of total billed charges ,325.48,percent of total billed charges ,350.2,percent of total billed charges ,350.2,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 ,,,,,,,,,,,,,,,,,,,94.76,percent of total billed charges,,,94.76,percent of total billed charges,,,94.76,percent of total billed charges,,,94.76,percent of total billed charges,,,94.76,percent of total billed charges,,,94.76,percent of total billed charges,,,94.76,percent of total billed charges,,,94.76,percent of total billed charges,,,94.76,percent of total billed charges,,,94.76,percent of total billed charges,,,94.76,percent of total billed charges,
FINGER FIXATION,360,RC,00906-99-0441,NDC,,both,,,"3,955.00","3,955.00",909.65,"3,955.00","3,955.00",percent of total billed charges,"3,955.00",percent of total billed charges,"3,955.00",percent of total billed charges,"3,955.00",percent of total billed charges,"3,955.00",percent of total billed charges,"3,955.00",percent of total billed charges,"3,955.00",percent of total billed charges,"3,955.00",percent of total billed charges,"2,847.60",percent of total billed charges,"2,847.60",percent of total billed charges,"2,847.60",percent of total billed charges,"2,847.60",percent of total billed charges,"2,847.60",percent of total billed charges,"2,847.60",percent of total billed charges,"3,124.45",percent of total billed charges,"3,124.45",percent of total billed charges,"3,164.00",percent of total billed charges,"3,164.00",percent of total billed charges,,,"2,847.60",percent of total billed charges ,,,"3,164.00",percent of total billed charges ,"3,124.45",percent of total billed charges ,"3,124.45",percent of total billed charges ,"3,361.75",percent of total billed charges ,"3,361.75",percent of total billed charges ,"3,164.00",percent of total billed charges ,"3,164.00",percent of total billed charges ,"2,768.50",percent of total billed charges ,"2,768.50",percent of total billed charges ,"2,373.00",percent of total billed charges ,"2,373.00",percent of total billed charges ,"2,373.00",percent of total billed charges ,"2,373.00",percent of total billed charges ,,,,,"2,104.06",percent of total billed charges ,,,,,"1,998.86",percent of total billed charges ,,,,,,,,,,,,,,,,,,,909.65,percent of total billed charges,,,909.65,percent of total billed charges,,,909.65,percent of total billed charges,,,909.65,percent of total billed charges,,,909.65,percent of total billed charges,,,909.65,percent of total billed charges,,,909.65,percent of total billed charges,,,909.65,percent of total billed charges,,,909.65,percent of total billed charges,,,909.65,percent of total billed charges,,,909.65,percent of total billed charges,
ORAL LEVEL 1   1.0 HR,360,RC,00906-99-0441,NDC,,both,,,"3,731.00","3,731.00",858.13,"3,731.00","3,731.00",percent of total billed charges,"3,731.00",percent of total billed charges,"3,731.00",percent of total billed charges,"3,731.00",percent of total billed charges,"3,731.00",percent of total billed charges,"3,731.00",percent of total billed charges,"3,731.00",percent of total billed charges,"3,731.00",percent of total billed charges,"2,686.32",percent of total billed charges,"2,686.32",percent of total billed charges,"2,686.32",percent of total billed charges,"2,686.32",percent of total billed charges,"2,686.32",percent of total billed charges,"2,686.32",percent of total billed charges,"2,947.49",percent of total billed charges,"2,947.49",percent of total billed charges,"2,984.80",percent of total billed charges,"2,984.80",percent of total billed charges,,,"2,686.32",percent of total billed charges ,,,"2,984.80",percent of total billed charges ,"2,947.49",percent of total billed charges ,"2,947.49",percent of total billed charges ,"3,171.35",percent of total billed charges ,"3,171.35",percent of total billed charges ,"2,984.80",percent of total billed charges ,"2,984.80",percent of total billed charges ,"2,611.70",percent of total billed charges ,"2,611.70",percent of total billed charges ,"2,238.60",percent of total billed charges ,"2,238.60",percent of total billed charges ,"2,238.60",percent of total billed charges ,"2,238.60",percent of total billed charges ,,,,,"1,984.89",percent of total billed charges ,,,,,"1,885.65",percent of total billed charges ,,,,,,,,,,,,,,,,,,,858.13,percent of total billed charges,,,858.13,percent of total billed charges,,,858.13,percent of total billed charges,,,858.13,percent of total billed charges,,,858.13,percent of total billed charges,,,858.13,percent of total billed charges,,,858.13,percent of total billed charges,,,858.13,percent of total billed charges,,,858.13,percent of total billed charges,,,858.13,percent of total billed charges,,,858.13,percent of total billed charges,
ORTHO-BONE LEVEL 3   2.0 HR,360,RC,00906-99-0441,NDC,,both,,,"9,080.00","9,080.00","2,088.40","9,080.00","9,080.00",percent of total billed charges,"9,080.00",percent of total billed charges,"9,080.00",percent of total billed charges,"9,080.00",percent of total billed charges,"9,080.00",percent of total billed charges,"9,080.00",percent of total billed charges,"9,080.00",percent of total billed charges,"9,080.00",percent of total billed charges,"6,537.60",percent of total billed charges,"6,537.60",percent of total billed charges,"6,537.60",percent of total billed charges,"6,537.60",percent of total billed charges,"6,537.60",percent of total billed charges,"6,537.60",percent of total billed charges,"7,173.20",percent of total billed charges,"7,173.20",percent of total billed charges,"7,264.00",percent of total billed charges,"7,264.00",percent of total billed charges,,,"6,537.60",percent of total billed charges ,,,"7,264.00",percent of total billed charges ,"7,173.20",percent of total billed charges ,"7,173.20",percent of total billed charges ,"7,718.00",percent of total billed charges ,"7,718.00",percent of total billed charges ,"7,264.00",percent of total billed charges ,"7,264.00",percent of total billed charges ,"6,356.00",percent of total billed charges ,"6,356.00",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 ,,,,,"4,830.56",percent of total billed charges ,,,,,"4,589.03",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,088.40",percent of total billed charges,,,"2,088.40",percent of total billed charges,,,"2,088.40",percent of total billed charges,,,"2,088.40",percent of total billed charges,,,"2,088.40",percent of total billed charges,,,"2,088.40",percent of total billed charges,,,"2,088.40",percent of total billed charges,,,"2,088.40",percent of total billed charges,,,"2,088.40",percent of total billed charges,,,"2,088.40",percent of total billed charges,,,"2,088.40",percent of total billed charges,
BLOOD ADMINISTRATION < 2 HRS,36430,CDM,,,GF,both,,,"1,498.00","1,498.00",344.54,"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,"1,183.42",percent of total billed charges,"1,183.42",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 ,"1,183.42",percent of total billed charges ,"1,183.42",percent of total billed charges ,"1,273.30",percent of total billed charges ,"1,273.30",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 ,,,,,,,,,,,,,,,,,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,
PACU ADD'L 15 MIN,710,RC,00906-99-0441,NDC,,both,,,353,353,81.19,353,353,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,278.87,percent of total billed charges,278.87,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 ,278.87,percent of total billed charges ,278.87,percent of total billed charges ,300.05,percent of total billed charges ,300.05,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 ,,,,,,,,,,,,,,,,,,,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,,,81.19,percent of total billed charges,,,81.19,percent of total billed charges,,,81.19,percent of total billed charges,
PACU 1ST HOUR,710,RC,00906-99-0441,NDC,,both,,,"1,390.00","1,390.00",319.7,"1,390.00","1,390.00",percent of total billed charges,"1,390.00",percent of total billed charges,"1,390.00",percent of total billed charges,"1,390.00",percent of total billed charges,"1,390.00",percent of total billed charges,"1,390.00",percent of total billed charges,"1,390.00",percent of total billed charges,"1,390.00",percent of total billed charges,"1,000.80",percent of total billed charges,"1,000.80",percent of total billed charges,"1,000.80",percent of total billed charges,"1,000.80",percent of total billed charges,"1,000.80",percent of total billed charges,"1,000.80",percent of total billed charges,"1,098.10",percent of total billed charges,"1,098.10",percent of total billed charges,"1,112.00",percent of total billed charges,"1,112.00",percent of total billed charges,,,"1,000.80",percent of total billed charges ,,,"1,112.00",percent of total billed charges ,"1,098.10",percent of total billed charges ,"1,098.10",percent of total billed charges ,"1,181.50",percent of total billed charges ,"1,181.50",percent of total billed charges ,"1,112.00",percent of total billed charges ,"1,112.00",percent of total billed charges ,973,percent of total billed charges ,973,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 ,,,,,739.48,percent of total billed charges ,,,,,702.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,319.7,percent of total billed charges,,,319.7,percent of total billed charges,,,319.7,percent of total billed charges,,,319.7,percent of total billed charges,,,319.7,percent of total billed charges,,,319.7,percent of total billed charges,,,319.7,percent of total billed charges,,,319.7,percent of total billed charges,,,319.7,percent of total billed charges,,,319.7,percent of total billed charges,,,319.7,percent of total billed charges,
**SDC POST OP CARE,710,RC,00906-99-0441,NDC,,both,,,284,284,65.32,284,284,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,224.36,percent of total billed charges,224.36,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 ,224.36,percent of total billed charges ,224.36,percent of total billed charges ,241.4,percent of total billed charges ,241.4,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 ,,,,,,,,,,,,,,,,,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,
**TR PORT REMOVAL,99211,CDM,,,,both,,,259,259,59.57,259,259,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,204.61,percent of total billed charges,204.61,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 ,204.61,percent of total billed charges ,204.61,percent of total billed charges ,220.15,percent of total billed charges ,220.15,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 ,,,,,,,,,,,,,,,,,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,
GRAFT FASLATA 4X12,C1762,CDM,,,,both,,,"4,499.00","4,499.00","1,034.77","4,499.00","4,499.00",percent of total billed charges,"4,499.00",percent of total billed charges,"4,499.00",percent of total billed charges,"4,499.00",percent of total billed charges,"4,499.00",percent of total billed charges,"4,499.00",percent of total billed charges,"4,499.00",percent of total billed charges,"4,499.00",percent of total billed charges,"3,239.28",percent of total billed charges,"3,239.28",percent of total billed charges,"3,239.28",percent of total billed charges,"3,239.28",percent of total billed charges,"3,239.28",percent of total billed charges,"3,239.28",percent of total billed charges,"3,554.21",percent of total billed charges,"3,554.21",percent of total billed charges,"3,599.20",percent of total billed charges,"3,599.20",percent of total billed charges,,,"3,239.28",percent of total billed charges ,,,"3,599.20",percent of total billed charges ,"3,554.21",percent of total billed charges ,"3,554.21",percent of total billed charges ,"3,824.15",percent of total billed charges ,"3,824.15",percent of total billed charges ,"3,599.20",percent of total billed charges ,"3,599.20",percent of total billed charges ,"3,149.30",percent of total billed charges ,"3,149.30",percent of total billed charges ,"2,699.40",percent of total billed charges ,"2,699.40",percent of total billed charges ,"2,699.40",percent of total billed charges ,"2,699.40",percent of total billed charges ,,,,,"2,393.47",percent of total billed charges ,,,,,"2,273.79",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,034.77",percent of total billed charges,,,"1,034.77",percent of total billed charges,,,"1,034.77",percent of total billed charges,,,"1,034.77",percent of total billed charges,,,"1,034.77",percent of total billed charges,,,"1,034.77",percent of total billed charges,,,"1,034.77",percent of total billed charges,,,"1,034.77",percent of total billed charges,,,"1,034.77",percent of total billed charges,,,"1,034.77",percent of total billed charges,,,"1,034.77",percent of total billed charges,
**CONT INFUS & PUSH DRUG,Q0085,CDM,,,,both,,,631,631,145.13,631,631,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,498.49,percent of total billed charges,498.49,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 ,498.49,percent of total billed charges ,498.49,percent of total billed charges ,536.35,percent of total billed charges ,536.35,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 ,,,,,,,,,,,,,,,,,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,
**CONTINOUS INFUSION,Q0084,CDM,,,,both,,,365,365,83.95,365,365,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,288.35,percent of total billed charges,288.35,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 ,288.35,percent of total billed charges ,288.35,percent of total billed charges ,310.25,percent of total billed charges ,310.25,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 ,,,,,,,,,,,,,,,,,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,
**INJ (CHEMO) BY SQ/INTRA/IV PUSH,Q0083,CDM,,,,both,,,232,232,53.36,232,232,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,183.28,percent of total billed charges,183.28,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 ,183.28,percent of total billed charges ,183.28,percent of total billed charges ,197.2,percent of total billed charges ,197.2,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 ,,,,,,,,,,,,,,,,,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,
IV INTRAVENOUS/PORT FLUSH,96523,CDM,,,,both,,,249,249,57.27,249,249,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,196.71,percent of total billed charges,196.71,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 ,196.71,percent of total billed charges ,196.71,percent of total billed charges ,211.65,percent of total billed charges ,211.65,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 ,,,,,,,,,,,,,,,,,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,
TR PORT REMOVAL,99211,CDM,,,,both,,,267,267,61.41,267,267,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,210.93,percent of total billed charges,210.93,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 ,210.93,percent of total billed charges ,210.93,percent of total billed charges ,226.95,percent of total billed charges ,226.95,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 ,,,,,,,,,,,,,,,,,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,
THERA PROPH/DIAG INJ BY SQ OR IM,96372,CDM,,,59,both,,,205,205,47.15,205,205,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,161.95,percent of total billed charges,161.95,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 ,161.95,percent of total billed charges ,161.95,percent of total billed charges ,174.25,percent of total billed charges ,174.25,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 ,,,,,,,,,,,,,,,,,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,
**TR TUBE REMOVAL,99211,CDM,,,,both,,,259,259,59.57,259,259,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,204.61,percent of total billed charges,204.61,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 ,204.61,percent of total billed charges ,204.61,percent of total billed charges ,220.15,percent of total billed charges ,220.15,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 ,,,,,,,,,,,,,,,,,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,
SCREW HEADED 2.M-2.5M-3.M X 10-36MM,C1713,CDM,,,,both,,,"2,680.00","2,680.00",616.4,"2,680.00","2,680.00",percent of total billed charges,"2,680.00",percent of total billed charges,"2,680.00",percent of total billed charges,"2,680.00",percent of total billed charges,"2,680.00",percent of total billed charges,"2,680.00",percent of total billed charges,"2,680.00",percent of total billed charges,"2,680.00",percent of total billed charges,"1,929.60",percent of total billed charges,"1,929.60",percent of total billed charges,"1,929.60",percent of total billed charges,"1,929.60",percent of total billed charges,"1,929.60",percent of total billed charges,"1,929.60",percent of total billed charges,"2,117.20",percent of total billed charges,"2,117.20",percent of total billed charges,"2,144.00",percent of total billed charges,"2,144.00",percent of total billed charges,,,"1,929.60",percent of total billed charges ,,,"2,144.00",percent of total billed charges ,"2,117.20",percent of total billed charges ,"2,117.20",percent of total billed charges ,"2,278.00",percent of total billed charges ,"2,278.00",percent of total billed charges ,"2,144.00",percent of total billed charges ,"2,144.00",percent of total billed charges ,"1,876.00",percent of total billed charges ,"1,876.00",percent of total billed charges ,"1,608.00",percent of total billed charges ,"1,608.00",percent of total billed charges ,"1,608.00",percent of total billed charges ,"1,608.00",percent of total billed charges ,,,,,"1,425.76",percent of total billed charges ,,,,,"1,354.47",percent of total billed charges ,,,,,,,,,,,,,,,,,,,616.4,percent of total billed charges,,,616.4,percent of total billed charges,,,616.4,percent of total billed charges,,,616.4,percent of total billed charges,,,616.4,percent of total billed charges,,,616.4,percent of total billed charges,,,616.4,percent of total billed charges,,,616.4,percent of total billed charges,,,616.4,percent of total billed charges,,,616.4,percent of total billed charges,,,616.4,percent of total billed charges,
K WIRE 0.9/1.1/1.4 X 150MM BLUNT TROCAR,C1769,CDM,,,,both,,,422,422,97.06,422,422,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,333.38,percent of total billed charges,333.38,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 ,333.38,percent of total billed charges ,333.38,percent of total billed charges ,358.7,percent of total billed charges ,358.7,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 ,,,,,,,,,,,,,,,,,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,
DRILL BIT 1.7 TO 2.0 MM CANNULATED,272,RC,00906-99-0441,NDC,,both,,,"2,643.00","2,643.00",607.89,"2,643.00","2,643.00",percent of total billed charges,"2,643.00",percent of total billed charges,"2,643.00",percent of total billed charges,"2,643.00",percent of total billed charges,"2,643.00",percent of total billed charges,"2,643.00",percent of total billed charges,"2,643.00",percent of total billed charges,"2,643.00",percent of total billed charges,"1,902.96",percent of total billed charges,"1,902.96",percent of total billed charges,"1,902.96",percent of total billed charges,"1,902.96",percent of total billed charges,"1,902.96",percent of total billed charges,"1,902.96",percent of total billed charges,"2,087.97",percent of total billed charges,"2,087.97",percent of total billed charges,"2,114.40",percent of total billed charges,"2,114.40",percent of total billed charges,,,"1,902.96",percent of total billed charges ,,,"2,114.40",percent of total billed charges ,"2,087.97",percent of total billed charges ,"2,087.97",percent of total billed charges ,"2,246.55",percent of total billed charges ,"2,246.55",percent of total billed charges ,"2,114.40",percent of total billed charges ,"2,114.40",percent of total billed charges ,"1,850.10",percent of total billed charges ,"1,850.10",percent of total billed charges ,"1,585.80",percent of total billed charges ,"1,585.80",percent of total billed charges ,"1,585.80",percent of total billed charges ,"1,585.80",percent of total billed charges ,,,,,"1,406.08",percent of total billed charges ,,,,,"1,335.77",percent of total billed charges ,,,,,,,,,,,,,,,,,,,607.89,percent of total billed charges,,,607.89,percent of total billed charges,,,607.89,percent of total billed charges,,,607.89,percent of total billed charges,,,607.89,percent of total billed charges,,,607.89,percent of total billed charges,,,607.89,percent of total billed charges,,,607.89,percent of total billed charges,,,607.89,percent of total billed charges,,,607.89,percent of total billed charges,,,607.89,percent of total billed charges,
REAMER ACUMED,278,RC,00906-99-0441,NDC,,both,,,"1,696.00","1,696.00",390.08,"1,696.00","1,696.00",percent of total billed charges,"1,696.00",percent of total billed charges,"1,696.00",percent of total billed charges,"1,696.00",percent of total billed charges,"1,696.00",percent of total billed charges,"1,696.00",percent of total billed charges,"1,696.00",percent of total billed charges,"1,696.00",percent of total billed charges,"1,221.12",percent of total billed charges,"1,221.12",percent of total billed charges,"1,221.12",percent of total billed charges,"1,221.12",percent of total billed charges,"1,221.12",percent of total billed charges,"1,221.12",percent of total billed charges,"1,339.84",percent of total billed charges,"1,339.84",percent of total billed charges,"1,356.80",percent of total billed charges,"1,356.80",percent of total billed charges,,,"1,221.12",percent of total billed charges ,,,"1,356.80",percent of total billed charges ,"1,339.84",percent of total billed charges ,"1,339.84",percent of total billed charges ,"1,441.60",percent of total billed charges ,"1,441.60",percent of total billed charges ,"1,356.80",percent of total billed charges ,"1,356.80",percent of total billed charges ,"1,187.20",percent of total billed charges ,"1,187.20",percent of total billed charges ,"1,017.60",percent of total billed charges ,"1,017.60",percent of total billed charges ,"1,017.60",percent of total billed charges ,"1,017.60",percent of total billed charges ,,,,,902.27,percent of total billed charges ,,,,,857.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,390.08,percent of total billed charges,,,390.08,percent of total billed charges,,,390.08,percent of total billed charges,,,390.08,percent of total billed charges,,,390.08,percent of total billed charges,,,390.08,percent of total billed charges,,,390.08,percent of total billed charges,,,390.08,percent of total billed charges,,,390.08,percent of total billed charges,,,390.08,percent of total billed charges,,,390.08,percent of total billed charges,
PLATE TOE ACUMED,C1713,CDM,,,,both,,,"2,996.00","2,996.00",689.08,"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,"2,366.84",percent of total billed charges,"2,366.84",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 ,"2,366.84",percent of total billed charges ,"2,366.84",percent of total billed charges ,"2,546.60",percent of total billed charges ,"2,546.60",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 ,,,,,,,,,,,,,,,,,,,689.08,percent of total billed charges,,,689.08,percent of total billed charges,,,689.08,percent of total billed charges,,,689.08,percent of total billed charges,,,689.08,percent of total billed charges,,,689.08,percent of total billed charges,,,689.08,percent of total billed charges,,,689.08,percent of total billed charges,,,689.08,percent of total billed charges,,,689.08,percent of total billed charges,,,689.08,percent of total billed charges,
PLATE DISTAL VOLAR LT&RT ALL SIZES,C1713,CDM,,,,both,,,"6,222.00","6,222.00","1,431.06","6,222.00","6,222.00",percent of total billed charges,"6,222.00",percent of total billed charges,"6,222.00",percent of total billed charges,"6,222.00",percent of total billed charges,"6,222.00",percent of total billed charges,"6,222.00",percent of total billed charges,"6,222.00",percent of total billed charges,"6,222.00",percent of total billed charges,"4,479.84",percent of total billed charges,"4,479.84",percent of total billed charges,"4,479.84",percent of total billed charges,"4,479.84",percent of total billed charges,"4,479.84",percent of total billed charges,"4,479.84",percent of total billed charges,"4,915.38",percent of total billed charges,"4,915.38",percent of total billed charges,"4,977.60",percent of total billed charges,"4,977.60",percent of total billed charges,,,"4,479.84",percent of total billed charges ,,,"4,977.60",percent of total billed charges ,"4,915.38",percent of total billed charges ,"4,915.38",percent of total billed charges ,"5,288.70",percent of total billed charges ,"5,288.70",percent of total billed charges ,"4,977.60",percent of total billed charges ,"4,977.60",percent of total billed charges ,"4,355.40",percent of total billed charges ,"4,355.40",percent of total billed charges ,"3,733.20",percent of total billed charges ,"3,733.20",percent of total billed charges ,"3,733.20",percent of total billed charges ,"3,733.20",percent of total billed charges ,,,,,"3,310.10",percent of total billed charges ,,,,,"3,144.60",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,431.06",percent of total billed charges,,,"1,431.06",percent of total billed charges,,,"1,431.06",percent of total billed charges,,,"1,431.06",percent of total billed charges,,,"1,431.06",percent of total billed charges,,,"1,431.06",percent of total billed charges,,,"1,431.06",percent of total billed charges,,,"1,431.06",percent of total billed charges,,,"1,431.06",percent of total billed charges,,,"1,431.06",percent of total billed charges,,,"1,431.06",percent of total billed charges,
SCREW CORTICAL FOR DISTAL PLATE,C1713,CDM,,,,both,,,786,786,180.78,786,786,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,620.94,percent of total billed charges,620.94,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 ,620.94,percent of total billed charges ,620.94,percent of total billed charges ,668.1,percent of total billed charges ,668.1,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 ,,,,,,,,,,,,,,,,,,,180.78,percent of total billed charges,,,180.78,percent of total billed charges,,,180.78,percent of total billed charges,,,180.78,percent of total billed charges,,,180.78,percent of total billed charges,,,180.78,percent of total billed charges,,,180.78,percent of total billed charges,,,180.78,percent of total billed charges,,,180.78,percent of total billed charges,,,180.78,percent of total billed charges,,,180.78,percent of total billed charges,
SCREW CANCEL DEPUY,C1713,CDM,,,,both,,,752,752,172.96,752,752,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,594.08,percent of total billed charges,594.08,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 ,594.08,percent of total billed charges ,594.08,percent of total billed charges ,639.2,percent of total billed charges ,639.2,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 ,,,,,,,,,,,,,,,,,,,172.96,percent of total billed charges,,,172.96,percent of total billed charges,,,172.96,percent of total billed charges,,,172.96,percent of total billed charges,,,172.96,percent of total billed charges,,,172.96,percent of total billed charges,,,172.96,percent of total billed charges,,,172.96,percent of total billed charges,,,172.96,percent of total billed charges,,,172.96,percent of total billed charges,,,172.96,percent of total billed charges,
DRILL BIT 2.0MM X 5  STERILE,272,RC,00906-99-0441,NDC,,both,,,340,340,78.2,340,340,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,268.6,percent of total billed charges,268.6,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 ,268.6,percent of total billed charges ,268.6,percent of total billed charges ,289,percent of total billed charges ,289,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 ,,,,,,,,,,,,,,,,,,,78.2,percent of total billed charges,,,78.2,percent of total billed charges,,,78.2,percent of total billed charges,,,78.2,percent of total billed charges,,,78.2,percent of total billed charges,,,78.2,percent of total billed charges,,,78.2,percent of total billed charges,,,78.2,percent of total billed charges,,,78.2,percent of total billed charges,,,78.2,percent of total billed charges,,,78.2,percent of total billed charges,
PLATE 3.5MM LCP RECON 6 HOLE/84MM,C1713,CDM,,,,both,,,"5,418.00","5,418.00","1,246.14","5,418.00","5,418.00",percent of total billed charges,"5,418.00",percent of total billed charges,"5,418.00",percent of total billed charges,"5,418.00",percent of total billed charges,"5,418.00",percent of total billed charges,"5,418.00",percent of total billed charges,"5,418.00",percent of total billed charges,"5,418.00",percent of total billed charges,"3,900.96",percent of total billed charges,"3,900.96",percent of total billed charges,"3,900.96",percent of total billed charges,"3,900.96",percent of total billed charges,"3,900.96",percent of total billed charges,"3,900.96",percent of total billed charges,"4,280.22",percent of total billed charges,"4,280.22",percent of total billed charges,"4,334.40",percent of total billed charges,"4,334.40",percent of total billed charges,,,"3,900.96",percent of total billed charges ,,,"4,334.40",percent of total billed charges ,"4,280.22",percent of total billed charges ,"4,280.22",percent of total billed charges ,"4,605.30",percent of total billed charges ,"4,605.30",percent of total billed charges ,"4,334.40",percent of total billed charges ,"4,334.40",percent of total billed charges ,"3,792.60",percent of total billed charges ,"3,792.60",percent of total billed charges ,"3,250.80",percent of total billed charges ,"3,250.80",percent of total billed charges ,"3,250.80",percent of total billed charges ,"3,250.80",percent of total billed charges ,,,,,"2,882.38",percent of total billed charges ,,,,,"2,738.26",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,246.14",percent of total billed charges,,,"1,246.14",percent of total billed charges,,,"1,246.14",percent of total billed charges,,,"1,246.14",percent of total billed charges,,,"1,246.14",percent of total billed charges,,,"1,246.14",percent of total billed charges,,,"1,246.14",percent of total billed charges,,,"1,246.14",percent of total billed charges,,,"1,246.14",percent of total billed charges,,,"1,246.14",percent of total billed charges,,,"1,246.14",percent of total billed charges,
TAP 311.19,C1713,CDM,,,,both,,,674,674,155.02,674,674,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,532.46,percent of total billed charges,532.46,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 ,532.46,percent of total billed charges ,532.46,percent of total billed charges ,572.9,percent of total billed charges ,572.9,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 ,,,,,,,,,,,,,,,,,,,155.02,percent of total billed charges,,,155.02,percent of total billed charges,,,155.02,percent of total billed charges,,,155.02,percent of total billed charges,,,155.02,percent of total billed charges,,,155.02,percent of total billed charges,,,155.02,percent of total billed charges,,,155.02,percent of total billed charges,,,155.02,percent of total billed charges,,,155.02,percent of total billed charges,,,155.02,percent of total billed charges,
PLATE 3.5 DCPS-6H SYNTHES,C1713,CDM,,,,both,,,"1,045.00","1,045.00",240.35,"1,045.00","1,045.00",percent of total billed charges,"1,045.00",percent of total billed charges,"1,045.00",percent of total billed charges,"1,045.00",percent of total billed charges,"1,045.00",percent of total billed charges,"1,045.00",percent of total billed charges,"1,045.00",percent of total billed charges,"1,045.00",percent of total billed charges,752.4,percent of total billed charges,752.4,percent of total billed charges,752.4,percent of total billed charges,752.4,percent of total billed charges,752.4,percent of total billed charges,752.4,percent of total billed charges,825.55,percent of total billed charges,825.55,percent of total billed charges,836,percent of total billed charges,836,percent of total billed charges,,,752.4,percent of total billed charges ,,,836,percent of total billed charges ,825.55,percent of total billed charges ,825.55,percent of total billed charges ,888.25,percent of total billed charges ,888.25,percent of total billed charges ,836,percent of total billed charges ,836,percent of total billed charges ,731.5,percent of total billed charges ,731.5,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 ,,,,,555.94,percent of total billed charges ,,,,,528.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,240.35,percent of total billed charges,,,240.35,percent of total billed charges,,,240.35,percent of total billed charges,,,240.35,percent of total billed charges,,,240.35,percent of total billed charges,,,240.35,percent of total billed charges,,,240.35,percent of total billed charges,,,240.35,percent of total billed charges,,,240.35,percent of total billed charges,,,240.35,percent of total billed charges,,,240.35,percent of total billed charges,
PLATE 3.5 DCPS-7H SYNTHES,C1713,CDM,,,,both,,,"1,084.00","1,084.00",249.32,"1,084.00","1,084.00",percent of total billed charges,"1,084.00",percent of total billed charges,"1,084.00",percent of total billed charges,"1,084.00",percent of total billed charges,"1,084.00",percent of total billed charges,"1,084.00",percent of total billed charges,"1,084.00",percent of total billed charges,"1,084.00",percent of total billed charges,780.48,percent of total billed charges,780.48,percent of total billed charges,780.48,percent of total billed charges,780.48,percent of total billed charges,780.48,percent of total billed charges,780.48,percent of total billed charges,856.36,percent of total billed charges,856.36,percent of total billed charges,867.2,percent of total billed charges,867.2,percent of total billed charges,,,780.48,percent of total billed charges ,,,867.2,percent of total billed charges ,856.36,percent of total billed charges ,856.36,percent of total billed charges ,921.4,percent of total billed charges ,921.4,percent of total billed charges ,867.2,percent of total billed charges ,867.2,percent of total billed charges ,758.8,percent of total billed charges ,758.8,percent of total billed charges ,650.4,percent of total billed charges ,650.4,percent of total billed charges ,650.4,percent of total billed charges ,650.4,percent of total billed charges ,,,,,576.69,percent of total billed charges ,,,,,547.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,249.32,percent of total billed charges,,,249.32,percent of total billed charges,,,249.32,percent of total billed charges,,,249.32,percent of total billed charges,,,249.32,percent of total billed charges,,,249.32,percent of total billed charges,,,249.32,percent of total billed charges,,,249.32,percent of total billed charges,,,249.32,percent of total billed charges,,,249.32,percent of total billed charges,,,249.32,percent of total billed charges,
PEG SMOOTH  FOR PLATE SYSTEM,C1713,CDM,,,,both,,,883,883,203.09,883,883,percent of total billed charges,883,percent of total billed charges,883,percent of total billed charges,883,percent of total billed charges,883,percent of total billed charges,883,percent of total billed charges,883,percent of total billed charges,883,percent of total billed charges,635.76,percent of total billed charges,635.76,percent of total billed charges,635.76,percent of total billed charges,635.76,percent of total billed charges,635.76,percent of total billed charges,635.76,percent of total billed charges,697.57,percent of total billed charges,697.57,percent of total billed charges,706.4,percent of total billed charges,706.4,percent of total billed charges,,,635.76,percent of total billed charges ,,,706.4,percent of total billed charges ,697.57,percent of total billed charges ,697.57,percent of total billed charges ,750.55,percent of total billed charges ,750.55,percent of total billed charges ,706.4,percent of total billed charges ,706.4,percent of total billed charges ,618.1,percent of total billed charges ,618.1,percent of total billed charges ,529.8,percent of total billed charges ,529.8,percent of total billed charges ,529.8,percent of total billed charges ,529.8,percent of total billed charges ,,,,,469.76,percent of total billed charges ,,,,,446.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,203.09,percent of total billed charges,,,203.09,percent of total billed charges,,,203.09,percent of total billed charges,,,203.09,percent of total billed charges,,,203.09,percent of total billed charges,,,203.09,percent of total billed charges,,,203.09,percent of total billed charges,,,203.09,percent of total billed charges,,,203.09,percent of total billed charges,,,203.09,percent of total billed charges,,,203.09,percent of total billed charges,
DRILL BIT  2.0 M FAST &  2.5,272,RC,00906-99-0441,NDC,,both,,,982,982,225.86,982,982,percent of total billed charges,982,percent of total billed charges,982,percent of total billed charges,982,percent of total billed charges,982,percent of total billed charges,982,percent of total billed charges,982,percent of total billed charges,982,percent of total billed charges,707.04,percent of total billed charges,707.04,percent of total billed charges,707.04,percent of total billed charges,707.04,percent of total billed charges,707.04,percent of total billed charges,707.04,percent of total billed charges,775.78,percent of total billed charges,775.78,percent of total billed charges,785.6,percent of total billed charges,785.6,percent of total billed charges,,,707.04,percent of total billed charges ,,,785.6,percent of total billed charges ,775.78,percent of total billed charges ,775.78,percent of total billed charges ,834.7,percent of total billed charges ,834.7,percent of total billed charges ,785.6,percent of total billed charges ,785.6,percent of total billed charges ,687.4,percent of total billed charges ,687.4,percent of total billed charges ,589.2,percent of total billed charges ,589.2,percent of total billed charges ,589.2,percent of total billed charges ,589.2,percent of total billed charges ,,,,,522.42,percent of total billed charges ,,,,,496.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,225.86,percent of total billed charges,,,225.86,percent of total billed charges,,,225.86,percent of total billed charges,,,225.86,percent of total billed charges,,,225.86,percent of total billed charges,,,225.86,percent of total billed charges,,,225.86,percent of total billed charges,,,225.86,percent of total billed charges,,,225.86,percent of total billed charges,,,225.86,percent of total billed charges,,,225.86,percent of total billed charges,
SUTURE ANCHOR CORKSCREW 3.5x12.1 SHOULDE,C1713,CDM,,,,both,,,"1,935.00","1,935.00",445.05,"1,935.00","1,935.00",percent of total billed charges,"1,935.00",percent of total billed charges,"1,935.00",percent of total billed charges,"1,935.00",percent of total billed charges,"1,935.00",percent of total billed charges,"1,935.00",percent of total billed charges,"1,935.00",percent of total billed charges,"1,935.00",percent of total billed charges,"1,393.20",percent of total billed charges,"1,393.20",percent of total billed charges,"1,393.20",percent of total billed charges,"1,393.20",percent of total billed charges,"1,393.20",percent of total billed charges,"1,393.20",percent of total billed charges,"1,528.65",percent of total billed charges,"1,528.65",percent of total billed charges,"1,548.00",percent of total billed charges,"1,548.00",percent of total billed charges,,,"1,393.20",percent of total billed charges ,,,"1,548.00",percent of total billed charges ,"1,528.65",percent of total billed charges ,"1,528.65",percent of total billed charges ,"1,644.75",percent of total billed charges ,"1,644.75",percent of total billed charges ,"1,548.00",percent of total billed charges ,"1,548.00",percent of total billed charges ,"1,354.50",percent of total billed charges ,"1,354.50",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 ,,,,,"1,029.42",percent of total billed charges ,,,,,977.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,445.05,percent of total billed charges,,,445.05,percent of total billed charges,,,445.05,percent of total billed charges,,,445.05,percent of total billed charges,,,445.05,percent of total billed charges,,,445.05,percent of total billed charges,,,445.05,percent of total billed charges,,,445.05,percent of total billed charges,,,445.05,percent of total billed charges,,,445.05,percent of total billed charges,,,445.05,percent of total billed charges,
DRILL BIT ACUTRAK MINI,272,RC,00906-99-0441,NDC,,both,,,"1,511.00","1,511.00",347.53,"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,"1,193.69",percent of total billed charges,"1,193.69",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 ,"1,193.69",percent of total billed charges ,"1,193.69",percent of total billed charges ,"1,284.35",percent of total billed charges ,"1,284.35",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 ,,,,,,,,,,,,,,,,,,,347.53,percent of total billed charges,,,347.53,percent of total billed charges,,,347.53,percent of total billed charges,,,347.53,percent of total billed charges,,,347.53,percent of total billed charges,,,347.53,percent of total billed charges,,,347.53,percent of total billed charges,,,347.53,percent of total billed charges,,,347.53,percent of total billed charges,,,347.53,percent of total billed charges,,,347.53,percent of total billed charges,
SCREW ACUTRAK MINI BONE SCREW,C1713,CDM,,,,both,,,"2,190.00","2,190.00",503.7,"2,190.00","2,190.00",percent of total billed charges,"2,190.00",percent of total billed charges,"2,190.00",percent of total billed charges,"2,190.00",percent of total billed charges,"2,190.00",percent of total billed charges,"2,190.00",percent of total billed charges,"2,190.00",percent of total billed charges,"2,190.00",percent of total billed charges,"1,576.80",percent of total billed charges,"1,576.80",percent of total billed charges,"1,576.80",percent of total billed charges,"1,576.80",percent of total billed charges,"1,576.80",percent of total billed charges,"1,576.80",percent of total billed charges,"1,730.10",percent of total billed charges,"1,730.10",percent of total billed charges,"1,752.00",percent of total billed charges,"1,752.00",percent of total billed charges,,,"1,576.80",percent of total billed charges ,,,"1,752.00",percent of total billed charges ,"1,730.10",percent of total billed charges ,"1,730.10",percent of total billed charges ,"1,861.50",percent of total billed charges ,"1,861.50",percent of total billed charges ,"1,752.00",percent of total billed charges ,"1,752.00",percent of total billed charges ,"1,533.00",percent of total billed charges ,"1,533.00",percent of total billed charges ,"1,314.00",percent of total billed charges ,"1,314.00",percent of total billed charges ,"1,314.00",percent of total billed charges ,"1,314.00",percent of total billed charges ,,,,,"1,165.08",percent of total billed charges ,,,,,"1,106.83",percent of total billed charges ,,,,,,,,,,,,,,,,,,,503.7,percent of total billed charges,,,503.7,percent of total billed charges,,,503.7,percent of total billed charges,,,503.7,percent of total billed charges,,,503.7,percent of total billed charges,,,503.7,percent of total billed charges,,,503.7,percent of total billed charges,,,503.7,percent of total billed charges,,,503.7,percent of total billed charges,,,503.7,percent of total billed charges,,,503.7,percent of total billed charges,
GUIDE PIN THREADED DEPUY,C1769,CDM,,,,both,,,209,209,48.07,209,209,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,165.11,percent of total billed charges,165.11,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 ,165.11,percent of total billed charges ,165.11,percent of total billed charges ,177.65,percent of total billed charges ,177.65,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 ,,,,,,,,,,,,,,,,,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,
SCREW 6.5 ACE CAN CANC LAG DEPUY,C1713,CDM,,,,both,,,"1,692.00","1,692.00",389.16,"1,692.00","1,692.00",percent of total billed charges,"1,692.00",percent of total billed charges,"1,692.00",percent of total billed charges,"1,692.00",percent of total billed charges,"1,692.00",percent of total billed charges,"1,692.00",percent of total billed charges,"1,692.00",percent of total billed charges,"1,692.00",percent of total billed charges,"1,218.24",percent of total billed charges,"1,218.24",percent of total billed charges,"1,218.24",percent of total billed charges,"1,218.24",percent of total billed charges,"1,218.24",percent of total billed charges,"1,218.24",percent of total billed charges,"1,336.68",percent of total billed charges,"1,336.68",percent of total billed charges,"1,353.60",percent of total billed charges,"1,353.60",percent of total billed charges,,,"1,218.24",percent of total billed charges ,,,"1,353.60",percent of total billed charges ,"1,336.68",percent of total billed charges ,"1,336.68",percent of total billed charges ,"1,438.20",percent of total billed charges ,"1,438.20",percent of total billed charges ,"1,353.60",percent of total billed charges ,"1,353.60",percent of total billed charges ,"1,184.40",percent of total billed charges ,"1,184.40",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 ,,,,,900.14,percent of total billed charges ,,,,,855.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,389.16,percent of total billed charges,,,389.16,percent of total billed charges,,,389.16,percent of total billed charges,,,389.16,percent of total billed charges,,,389.16,percent of total billed charges,,,389.16,percent of total billed charges,,,389.16,percent of total billed charges,,,389.16,percent of total billed charges,,,389.16,percent of total billed charges,,,389.16,percent of total billed charges,,,389.16,percent of total billed charges,
LENS WAVE FRONT  SN60WF,C1780,CDM,,,,both,,,"1,204.00","1,204.00",276.92,"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,951.16,percent of total billed charges,951.16,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 ,951.16,percent of total billed charges ,951.16,percent of total billed charges ,"1,023.40",percent of total billed charges ,"1,023.40",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 ,,,,,,,,,,,,,,,,,,,276.92,percent of total billed charges,,,276.92,percent of total billed charges,,,276.92,percent of total billed charges,,,276.92,percent of total billed charges,,,276.92,percent of total billed charges,,,276.92,percent of total billed charges,,,276.92,percent of total billed charges,,,276.92,percent of total billed charges,,,276.92,percent of total billed charges,,,276.92,percent of total billed charges,,,276.92,percent of total billed charges,
MULTIPOLAR BIPOLAR CUP LINR 5001 22-28MM,278,RC,00906-99-0441,NDC,,both,,,"4,341.00","4,341.00",998.43,"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,"3,429.39",percent of total billed charges,"3,429.39",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 ,"3,429.39",percent of total billed charges ,"3,429.39",percent of total billed charges ,"3,689.85",percent of total billed charges ,"3,689.85",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 ,,,,,,,,,,,,,,,,,,,998.43,percent of total billed charges,,,998.43,percent of total billed charges,,,998.43,percent of total billed charges,,,998.43,percent of total billed charges,,,998.43,percent of total billed charges,,,998.43,percent of total billed charges,,,998.43,percent of total billed charges,,,998.43,percent of total billed charges,,,998.43,percent of total billed charges,,,998.43,percent of total billed charges,,,998.43,percent of total billed charges,
**EPIDURAL INJ/LUMBAR/SACR/CAUD,62311,CDM,,,,both,,,"2,051.00","2,051.00",471.73,"2,051.00","2,051.00",percent of total billed charges,"2,051.00",percent of total billed charges,"2,051.00",percent of total billed charges,"2,051.00",percent of total billed charges,"2,051.00",percent of total billed charges,"2,051.00",percent of total billed charges,"2,051.00",percent of total billed charges,"2,051.00",percent of total billed charges,"1,476.72",percent of total billed charges,"1,476.72",percent of total billed charges,"1,476.72",percent of total billed charges,"1,476.72",percent of total billed charges,"1,476.72",percent of total billed charges,"1,476.72",percent of total billed charges,"1,620.29",percent of total billed charges,"1,620.29",percent of total billed charges,"1,640.80",percent of total billed charges,"1,640.80",percent of total billed charges,,,"1,476.72",percent of total billed charges ,,,"1,640.80",percent of total billed charges ,"1,620.29",percent of total billed charges ,"1,620.29",percent of total billed charges ,"1,743.35",percent of total billed charges ,"1,743.35",percent of total billed charges ,"1,640.80",percent of total billed charges ,"1,640.80",percent of total billed charges ,"1,435.70",percent of total billed charges ,"1,435.70",percent of total billed charges ,"1,230.60",percent of total billed charges ,"1,230.60",percent of total billed charges ,"1,230.60",percent of total billed charges ,"1,230.60",percent of total billed charges ,,,,,"1,091.13",percent of total billed charges ,,,,,"1,036.58",percent of total billed charges ,,,,,,,,,,,,,,,,,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,
FEMORAL STEM 7843,C1776,CDM,,,,both,,,"12,789.00","12,789.00","2,941.47","12,789.00","12,789.00",percent of total billed charges,"12,789.00",percent of total billed charges,"12,789.00",percent of total billed charges,"12,789.00",percent of total billed charges,"12,789.00",percent of total billed charges,"12,789.00",percent of total billed charges,"12,789.00",percent of total billed charges,"12,789.00",percent of total billed charges,"9,208.08",percent of total billed charges,"9,208.08",percent of total billed charges,"9,208.08",percent of total billed charges,"9,208.08",percent of total billed charges,"9,208.08",percent of total billed charges,"9,208.08",percent of total billed charges,"10,103.31",percent of total billed charges,"10,103.31",percent of total billed charges,"10,231.20",percent of total billed charges,"10,231.20",percent of total billed charges,,,"9,208.08",percent of total billed charges ,,,"10,231.20",percent of total billed charges ,"10,103.31",percent of total billed charges ,"10,103.31",percent of total billed charges ,"10,870.65",percent of total billed charges ,"10,870.65",percent of total billed charges ,"10,231.20",percent of total billed charges ,"10,231.20",percent of total billed charges ,"8,952.30",percent of total billed charges ,"8,952.30",percent of total billed charges ,"7,673.40",percent of total billed charges ,"7,673.40",percent of total billed charges ,"7,673.40",percent of total billed charges ,"7,673.40",percent of total billed charges ,,,,,"6,803.75",percent of total billed charges ,,,,,"6,463.56",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,941.47",percent of total billed charges,,,"2,941.47",percent of total billed charges,,,"2,941.47",percent of total billed charges,,,"2,941.47",percent of total billed charges,,,"2,941.47",percent of total billed charges,,,"2,941.47",percent of total billed charges,,,"2,941.47",percent of total billed charges,,,"2,941.47",percent of total billed charges,,,"2,941.47",percent of total billed charges,,,"2,941.47",percent of total billed charges,,,"2,941.47",percent of total billed charges,
SCREW 3.5 SHAFT SCREW,C1713,CDM,,,,both,,,178,178,40.94,178,178,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,140.62,percent of total billed charges,140.62,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 ,140.62,percent of total billed charges ,140.62,percent of total billed charges ,151.3,percent of total billed charges ,151.3,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 ,,,,,,,,,,,,,,,,,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,
SCREW ACUTRAK 4.5 MALLEOLAR,C1713,CDM,,,,both,,,"2,220.00","2,220.00",510.6,"2,220.00","2,220.00",percent of total billed charges,"2,220.00",percent of total billed charges,"2,220.00",percent of total billed charges,"2,220.00",percent of total billed charges,"2,220.00",percent of total billed charges,"2,220.00",percent of total billed charges,"2,220.00",percent of total billed charges,"2,220.00",percent of total billed charges,"1,598.40",percent of total billed charges,"1,598.40",percent of total billed charges,"1,598.40",percent of total billed charges,"1,598.40",percent of total billed charges,"1,598.40",percent of total billed charges,"1,598.40",percent of total billed charges,"1,753.80",percent of total billed charges,"1,753.80",percent of total billed charges,"1,776.00",percent of total billed charges,"1,776.00",percent of total billed charges,,,"1,598.40",percent of total billed charges ,,,"1,776.00",percent of total billed charges ,"1,753.80",percent of total billed charges ,"1,753.80",percent of total billed charges ,"1,887.00",percent of total billed charges ,"1,887.00",percent of total billed charges ,"1,776.00",percent of total billed charges ,"1,776.00",percent of total billed charges ,"1,554.00",percent of total billed charges ,"1,554.00",percent of total billed charges ,"1,332.00",percent of total billed charges ,"1,332.00",percent of total billed charges ,"1,332.00",percent of total billed charges ,"1,332.00",percent of total billed charges ,,,,,"1,181.04",percent of total billed charges ,,,,,"1,121.99",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,,,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,,,510.6,percent of total billed charges,,,510.6,percent of total billed charges,,,510.6,percent of total billed charges,
GUIDEWIRE ACUTRAK 4.5 MALLEOLAR,C1769,CDM,,,,both,,,155,155,35.65,155,155,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,122.45,percent of total billed charges,122.45,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 ,122.45,percent of total billed charges ,122.45,percent of total billed charges ,131.75,percent of total billed charges ,131.75,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 ,,,,,,,,,,,,,,,,,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,
DRILL BIT ACUTRAK CANNULATED STANDARD,272,RC,00906-99-0441,NDC,,both,,,"2,019.00","2,019.00",464.37,"2,019.00","2,019.00",percent of total billed charges,"2,019.00",percent of total billed charges,"2,019.00",percent of total billed charges,"2,019.00",percent of total billed charges,"2,019.00",percent of total billed charges,"2,019.00",percent of total billed charges,"2,019.00",percent of total billed charges,"2,019.00",percent of total billed charges,"1,453.68",percent of total billed charges,"1,453.68",percent of total billed charges,"1,453.68",percent of total billed charges,"1,453.68",percent of total billed charges,"1,453.68",percent of total billed charges,"1,453.68",percent of total billed charges,"1,595.01",percent of total billed charges,"1,595.01",percent of total billed charges,"1,615.20",percent of total billed charges,"1,615.20",percent of total billed charges,,,"1,453.68",percent of total billed charges ,,,"1,615.20",percent of total billed charges ,"1,595.01",percent of total billed charges ,"1,595.01",percent of total billed charges ,"1,716.15",percent of total billed charges ,"1,716.15",percent of total billed charges ,"1,615.20",percent of total billed charges ,"1,615.20",percent of total billed charges ,"1,413.30",percent of total billed charges ,"1,413.30",percent of total billed charges ,"1,211.40",percent of total billed charges ,"1,211.40",percent of total billed charges ,"1,211.40",percent of total billed charges ,"1,211.40",percent of total billed charges ,,,,,"1,074.11",percent of total billed charges ,,,,,"1,020.40",percent of total billed charges ,,,,,,,,,,,,,,,,,,,464.37,percent of total billed charges,,,464.37,percent of total billed charges,,,464.37,percent of total billed charges,,,464.37,percent of total billed charges,,,464.37,percent of total billed charges,,,464.37,percent of total billed charges,,,464.37,percent of total billed charges,,,464.37,percent of total billed charges,,,464.37,percent of total billed charges,,,464.37,percent of total billed charges,,,464.37,percent of total billed charges,
LENS B&L LI61AO,C1780,CDM,,,,both,,,"1,324.00","1,324.00",304.52,"1,324.00","1,324.00",percent of total billed charges,"1,324.00",percent of total billed charges,"1,324.00",percent of total billed charges,"1,324.00",percent of total billed charges,"1,324.00",percent of total billed charges,"1,324.00",percent of total billed charges,"1,324.00",percent of total billed charges,"1,324.00",percent of total billed charges,953.28,percent of total billed charges,953.28,percent of total billed charges,953.28,percent of total billed charges,953.28,percent of total billed charges,953.28,percent of total billed charges,953.28,percent of total billed charges,"1,045.96",percent of total billed charges,"1,045.96",percent of total billed charges,"1,059.20",percent of total billed charges,"1,059.20",percent of total billed charges,,,953.28,percent of total billed charges ,,,"1,059.20",percent of total billed charges ,"1,045.96",percent of total billed charges ,"1,045.96",percent of total billed charges ,"1,125.40",percent of total billed charges ,"1,125.40",percent of total billed charges ,"1,059.20",percent of total billed charges ,"1,059.20",percent of total billed charges ,926.8,percent of total billed charges ,926.8,percent of total billed charges ,794.4,percent of total billed charges ,794.4,percent of total billed charges ,794.4,percent of total billed charges ,794.4,percent of total billed charges ,,,,,704.37,percent of total billed charges ,,,,,669.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,304.52,percent of total billed charges,,,304.52,percent of total billed charges,,,304.52,percent of total billed charges,,,304.52,percent of total billed charges,,,304.52,percent of total billed charges,,,304.52,percent of total billed charges,,,304.52,percent of total billed charges,,,304.52,percent of total billed charges,,,304.52,percent of total billed charges,,,304.52,percent of total billed charges,,,304.52,percent of total billed charges,
SCREW 4.0M LOCKING SYNTHES 14M-62M,C1713,CDM,,,,both,,,"1,108.00","1,108.00",254.84,"1,108.00","1,108.00",percent of total billed charges,"1,108.00",percent of total billed charges,"1,108.00",percent of total billed charges,"1,108.00",percent of total billed charges,"1,108.00",percent of total billed charges,"1,108.00",percent of total billed charges,"1,108.00",percent of total billed charges,"1,108.00",percent of total billed charges,797.76,percent of total billed charges,797.76,percent of total billed charges,797.76,percent of total billed charges,797.76,percent of total billed charges,797.76,percent of total billed charges,797.76,percent of total billed charges,875.32,percent of total billed charges,875.32,percent of total billed charges,886.4,percent of total billed charges,886.4,percent of total billed charges,,,797.76,percent of total billed charges ,,,886.4,percent of total billed charges ,875.32,percent of total billed charges ,875.32,percent of total billed charges ,941.8,percent of total billed charges ,941.8,percent of total billed charges ,886.4,percent of total billed charges ,886.4,percent of total billed charges ,775.6,percent of total billed charges ,775.6,percent of total billed charges ,664.8,percent of total billed charges ,664.8,percent of total billed charges ,664.8,percent of total billed charges ,664.8,percent of total billed charges ,,,,,589.46,percent of total billed charges ,,,,,559.98,percent of total billed charges ,,,,,,,,,,,,,,,,,,,254.84,percent of total billed charges,,,254.84,percent of total billed charges,,,254.84,percent of total billed charges,,,254.84,percent of total billed charges,,,254.84,percent of total billed charges,,,254.84,percent of total billed charges,,,254.84,percent of total billed charges,,,254.84,percent of total billed charges,,,254.84,percent of total billed charges,,,254.84,percent of total billed charges,,,254.84,percent of total billed charges,
SCREW 5.0M CANN. SYNTHES 25M-95M,C1713,CDM,,,,both,,,"1,288.00","1,288.00",296.24,"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,"1,017.52",percent of total billed charges,"1,017.52",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 ,"1,017.52",percent of total billed charges ,"1,017.52",percent of total billed charges ,"1,094.80",percent of total billed charges ,"1,094.80",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 ,,,,,,,,,,,,,,,,,,,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,
SCREW 5.0M CANN/CONICAL SYNTHES 40M-95M,C1713,CDM,,,,both,,,"1,135.00","1,135.00",261.05,"1,135.00","1,135.00",percent of total billed charges,"1,135.00",percent of total billed charges,"1,135.00",percent of total billed charges,"1,135.00",percent of total billed charges,"1,135.00",percent of total billed charges,"1,135.00",percent of total billed charges,"1,135.00",percent of total billed charges,"1,135.00",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,817.2,percent of total billed charges,817.2,percent of total billed charges,896.65,percent of total billed charges,896.65,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,,,817.2,percent of total billed charges ,,,908,percent of total billed charges ,896.65,percent of total billed charges ,896.65,percent of total billed charges ,964.75,percent of total billed charges ,964.75,percent of total billed charges ,908,percent of total billed charges ,908,percent of total billed charges ,794.5,percent of total billed charges ,794.5,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 ,,,,,603.82,percent of total billed charges ,,,,,573.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,261.05,percent of total billed charges,,,261.05,percent of total billed charges,,,261.05,percent of total billed charges,,,261.05,percent of total billed charges,,,261.05,percent of total billed charges,,,261.05,percent of total billed charges,,,261.05,percent of total billed charges,,,261.05,percent of total billed charges,,,261.05,percent of total billed charges,,,261.05,percent of total billed charges,,,261.05,percent of total billed charges,
PLATE 4.5M 4 HOLE 82M,C1713,CDM,,,,both,,,"5,070.00","5,070.00","1,166.10","5,070.00","5,070.00",percent of total billed charges,"5,070.00",percent of total billed charges,"5,070.00",percent of total billed charges,"5,070.00",percent of total billed charges,"5,070.00",percent of total billed charges,"5,070.00",percent of total billed charges,"5,070.00",percent of total billed charges,"5,070.00",percent of total billed charges,"3,650.40",percent of total billed charges,"3,650.40",percent of total billed charges,"3,650.40",percent of total billed charges,"3,650.40",percent of total billed charges,"3,650.40",percent of total billed charges,"3,650.40",percent of total billed charges,"4,005.30",percent of total billed charges,"4,005.30",percent of total billed charges,"4,056.00",percent of total billed charges,"4,056.00",percent of total billed charges,,,"3,650.40",percent of total billed charges ,,,"4,056.00",percent of total billed charges ,"4,005.30",percent of total billed charges ,"4,005.30",percent of total billed charges ,"4,309.50",percent of total billed charges ,"4,309.50",percent of total billed charges ,"4,056.00",percent of total billed charges ,"4,056.00",percent of total billed charges ,"3,549.00",percent of total billed charges ,"3,549.00",percent of total billed charges ,"3,042.00",percent of total billed charges ,"3,042.00",percent of total billed charges ,"3,042.00",percent of total billed charges ,"3,042.00",percent of total billed charges ,,,,,"2,697.24",percent of total billed charges ,,,,,"2,562.38",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,166.10",percent of total billed charges,,,"1,166.10",percent of total billed charges,,,"1,166.10",percent of total billed charges,,,"1,166.10",percent of total billed charges,,,"1,166.10",percent of total billed charges,,,"1,166.10",percent of total billed charges,,,"1,166.10",percent of total billed charges,,,"1,166.10",percent of total billed charges,,,"1,166.10",percent of total billed charges,,,"1,166.10",percent of total billed charges,,,"1,166.10",percent of total billed charges,
GUIDE WIRE 2.5M DRILL TIP 200MM SYNTHES,C1769,CDM,,,,both,,,518,518,119.14,518,518,percent of total billed charges,518,percent of total billed charges,518,percent of total billed charges,518,percent of total billed charges,518,percent of total billed charges,518,percent of total billed charges,518,percent of total billed charges,518,percent of total billed charges,372.96,percent of total billed charges,372.96,percent of total billed charges,372.96,percent of total billed charges,372.96,percent of total billed charges,372.96,percent of total billed charges,372.96,percent of total billed charges,409.22,percent of total billed charges,409.22,percent of total billed charges,414.4,percent of total billed charges,414.4,percent of total billed charges,,,372.96,percent of total billed charges ,,,414.4,percent of total billed charges ,409.22,percent of total billed charges ,409.22,percent of total billed charges ,440.3,percent of total billed charges ,440.3,percent of total billed charges ,414.4,percent of total billed charges ,414.4,percent of total billed charges ,362.6,percent of total billed charges ,362.6,percent of total billed charges ,310.8,percent of total billed charges ,310.8,percent of total billed charges ,310.8,percent of total billed charges ,310.8,percent of total billed charges ,,,,,275.58,percent of total billed charges ,,,,,261.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,119.14,percent of total billed charges,,,119.14,percent of total billed charges,,,119.14,percent of total billed charges,,,119.14,percent of total billed charges,,,119.14,percent of total billed charges,,,119.14,percent of total billed charges,,,119.14,percent of total billed charges,,,119.14,percent of total billed charges,,,119.14,percent of total billed charges,,,119.14,percent of total billed charges,,,119.14,percent of total billed charges,
DRILL BIT QUICK COUPL 3.2M X 145M SYNTHE,272,RC,00906-99-0441,NDC,,both,,,701,701,161.23,701,701,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,553.79,percent of total billed charges,553.79,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 ,553.79,percent of total billed charges ,553.79,percent of total billed charges ,595.85,percent of total billed charges ,595.85,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 ,,,,,,,,,,,,,,,,,,,161.23,percent of total billed charges,,,161.23,percent of total billed charges,,,161.23,percent of total billed charges,,,161.23,percent of total billed charges,,,161.23,percent of total billed charges,,,161.23,percent of total billed charges,,,161.23,percent of total billed charges,,,161.23,percent of total billed charges,,,161.23,percent of total billed charges,,,161.23,percent of total billed charges,,,161.23,percent of total billed charges,
SCREW CANN LONG THREAD SYNTHES,C1713,CDM,,,,both,,,"1,720.00","1,720.00",395.6,"1,720.00","1,720.00",percent of total billed charges,"1,720.00",percent of total billed charges,"1,720.00",percent of total billed charges,"1,720.00",percent of total billed charges,"1,720.00",percent of total billed charges,"1,720.00",percent of total billed charges,"1,720.00",percent of total billed charges,"1,720.00",percent of total billed charges,"1,238.40",percent of total billed charges,"1,238.40",percent of total billed charges,"1,238.40",percent of total billed charges,"1,238.40",percent of total billed charges,"1,238.40",percent of total billed charges,"1,238.40",percent of total billed charges,"1,358.80",percent of total billed charges,"1,358.80",percent of total billed charges,"1,376.00",percent of total billed charges,"1,376.00",percent of total billed charges,,,"1,238.40",percent of total billed charges ,,,"1,376.00",percent of total billed charges ,"1,358.80",percent of total billed charges ,"1,358.80",percent of total billed charges ,"1,462.00",percent of total billed charges ,"1,462.00",percent of total billed charges ,"1,376.00",percent of total billed charges ,"1,376.00",percent of total billed charges ,"1,204.00",percent of total billed charges ,"1,204.00",percent of total billed charges ,"1,032.00",percent of total billed charges ,"1,032.00",percent of total billed charges ,"1,032.00",percent of total billed charges ,"1,032.00",percent of total billed charges ,,,,,915.04,percent of total billed charges ,,,,,869.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,395.6,percent of total billed charges,,,395.6,percent of total billed charges,,,395.6,percent of total billed charges,,,395.6,percent of total billed charges,,,395.6,percent of total billed charges,,,395.6,percent of total billed charges,,,395.6,percent of total billed charges,,,395.6,percent of total billed charges,,,395.6,percent of total billed charges,,,395.6,percent of total billed charges,,,395.6,percent of total billed charges,
SCREW 4.5M MALLEOLAR SYNTHES 12M TO 120M,C1713,CDM,,,,both,,,302,302,69.46,302,302,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,238.58,percent of total billed charges,238.58,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 ,238.58,percent of total billed charges ,238.58,percent of total billed charges ,256.7,percent of total billed charges ,256.7,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 ,,,,,,,,,,,,,,,,,,,69.46,percent of total billed charges,,,69.46,percent of total billed charges,,,69.46,percent of total billed charges,,,69.46,percent of total billed charges,,,69.46,percent of total billed charges,,,69.46,percent of total billed charges,,,69.46,percent of total billed charges,,,69.46,percent of total billed charges,,,69.46,percent of total billed charges,,,69.46,percent of total billed charges,,,69.46,percent of total billed charges,
SCREW 6.5M CANCEL 70MM FT,C1713,CDM,,,,both,,,"1,153.00","1,153.00",265.19,"1,153.00","1,153.00",percent of total billed charges,"1,153.00",percent of total billed charges,"1,153.00",percent of total billed charges,"1,153.00",percent of total billed charges,"1,153.00",percent of total billed charges,"1,153.00",percent of total billed charges,"1,153.00",percent of total billed charges,"1,153.00",percent of total billed charges,830.16,percent of total billed charges,830.16,percent of total billed charges,830.16,percent of total billed charges,830.16,percent of total billed charges,830.16,percent of total billed charges,830.16,percent of total billed charges,910.87,percent of total billed charges,910.87,percent of total billed charges,922.4,percent of total billed charges,922.4,percent of total billed charges,,,830.16,percent of total billed charges ,,,922.4,percent of total billed charges ,910.87,percent of total billed charges ,910.87,percent of total billed charges ,980.05,percent of total billed charges ,980.05,percent of total billed charges ,922.4,percent of total billed charges ,922.4,percent of total billed charges ,807.1,percent of total billed charges ,807.1,percent of total billed charges ,691.8,percent of total billed charges ,691.8,percent of total billed charges ,691.8,percent of total billed charges ,691.8,percent of total billed charges ,,,,,613.4,percent of total billed charges ,,,,,582.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,265.19,percent of total billed charges,,,265.19,percent of total billed charges,,,265.19,percent of total billed charges,,,265.19,percent of total billed charges,,,265.19,percent of total billed charges,,,265.19,percent of total billed charges,,,265.19,percent of total billed charges,,,265.19,percent of total billed charges,,,265.19,percent of total billed charges,,,265.19,percent of total billed charges,,,265.19,percent of total billed charges,
SCREW 6.5M CANCEL FUL THRD L 20M TO 150M,C1713,CDM,,,,both,,,361,361,83.03,361,361,percent of total billed charges,361,percent of total billed charges,361,percent of total billed charges,361,percent of total billed charges,361,percent of total billed charges,361,percent of total billed charges,361,percent of total billed charges,361,percent of total billed charges,259.92,percent of total billed charges,259.92,percent of total billed charges,259.92,percent of total billed charges,259.92,percent of total billed charges,259.92,percent of total billed charges,259.92,percent of total billed charges,285.19,percent of total billed charges,285.19,percent of total billed charges,288.8,percent of total billed charges,288.8,percent of total billed charges,,,259.92,percent of total billed charges ,,,288.8,percent of total billed charges ,285.19,percent of total billed charges ,285.19,percent of total billed charges ,306.85,percent of total billed charges ,306.85,percent of total billed charges ,288.8,percent of total billed charges ,288.8,percent of total billed charges ,252.7,percent of total billed charges ,252.7,percent of total billed charges ,216.6,percent of total billed charges ,216.6,percent of total billed charges ,216.6,percent of total billed charges ,216.6,percent of total billed charges ,,,,,192.05,percent of total billed charges ,,,,,182.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,83.03,percent of total billed charges,,,83.03,percent of total billed charges,,,83.03,percent of total billed charges,,,83.03,percent of total billed charges,,,83.03,percent of total billed charges,,,83.03,percent of total billed charges,,,83.03,percent of total billed charges,,,83.03,percent of total billed charges,,,83.03,percent of total billed charges,,,83.03,percent of total billed charges,,,83.03,percent of total billed charges,
INTRAVENOUS INFUSION ADD'L HR,96366,CDM,,,59,both,,,335,335,77.05,335,335,percent of total billed charges,335,percent of total billed charges,335,percent of total billed charges,335,percent of total billed charges,335,percent of total billed charges,335,percent of total billed charges,335,percent of total billed charges,335,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,241.2,percent of total billed charges,241.2,percent of total billed charges,264.65,percent of total billed charges,264.65,percent of total billed charges,268,percent of total billed charges,268,percent of total billed charges,,,241.2,percent of total billed charges ,,,268,percent of total billed charges ,264.65,percent of total billed charges ,264.65,percent of total billed charges ,284.75,percent of total billed charges ,284.75,percent of total billed charges ,268,percent of total billed charges ,268,percent of total billed charges ,234.5,percent of total billed charges ,234.5,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 ,,,,,178.22,percent of total billed charges ,,,,,169.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,77.05,percent of total billed charges,,,77.05,percent of total billed charges,,,77.05,percent of total billed charges,,,77.05,percent of total billed charges,,,77.05,percent of total billed charges,,,77.05,percent of total billed charges,,,77.05,percent of total billed charges,,,77.05,percent of total billed charges,,,77.05,percent of total billed charges,,,77.05,percent of total billed charges,,,77.05,percent of total billed charges,
SCREW 4.5MM CORT SELF TAP 14-70MM,C1713,CDM,,,,both,,,186,186,42.78,186,186,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,146.94,percent of total billed charges,146.94,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 ,146.94,percent of total billed charges ,146.94,percent of total billed charges ,158.1,percent of total billed charges ,158.1,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 ,,,,,,,,,,,,,,,,,,,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,
FEM STEM EXTENSION  11-16MM X145MM,C1776,CDM,,,,both,,,"7,844.00","7,844.00","1,804.12","7,844.00","7,844.00",percent of total billed charges,"7,844.00",percent of total billed charges,"7,844.00",percent of total billed charges,"7,844.00",percent of total billed charges,"7,844.00",percent of total billed charges,"7,844.00",percent of total billed charges,"7,844.00",percent of total billed charges,"7,844.00",percent of total billed charges,"5,647.68",percent of total billed charges,"5,647.68",percent of total billed charges,"5,647.68",percent of total billed charges,"5,647.68",percent of total billed charges,"5,647.68",percent of total billed charges,"5,647.68",percent of total billed charges,"6,196.76",percent of total billed charges,"6,196.76",percent of total billed charges,"6,275.20",percent of total billed charges,"6,275.20",percent of total billed charges,,,"5,647.68",percent of total billed charges ,,,"6,275.20",percent of total billed charges ,"6,196.76",percent of total billed charges ,"6,196.76",percent of total billed charges ,"6,667.40",percent of total billed charges ,"6,667.40",percent of total billed charges ,"6,275.20",percent of total billed charges ,"6,275.20",percent of total billed charges ,"5,490.80",percent of total billed charges ,"5,490.80",percent of total billed charges ,"4,706.40",percent of total billed charges ,"4,706.40",percent of total billed charges ,"4,706.40",percent of total billed charges ,"4,706.40",percent of total billed charges ,,,,,"4,173.01",percent of total billed charges ,,,,,"3,964.36",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,804.12",percent of total billed charges,,,"1,804.12",percent of total billed charges,,,"1,804.12",percent of total billed charges,,,"1,804.12",percent of total billed charges,,,"1,804.12",percent of total billed charges,,,"1,804.12",percent of total billed charges,,,"1,804.12",percent of total billed charges,,,"1,804.12",percent of total billed charges,,,"1,804.12",percent of total billed charges,,,"1,804.12",percent of total billed charges,,,"1,804.12",percent of total billed charges,
SCREW CORT 4.5 LARGE HEX 76Mto145M,C1713,CDM,,,,both,,,176,176,40.48,176,176,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,139.04,percent of total billed charges,139.04,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 ,139.04,percent of total billed charges ,139.04,percent of total billed charges ,149.6,percent of total billed charges ,149.6,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 ,,,,,,,,,,,,,,,,,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,
DRILL BIT LOCKING PLATE ZIMMER,272,RC,00906-99-0441,NDC,,both,,,"1,044.00","1,044.00",240.12,"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,824.76,percent of total billed charges,824.76,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 ,824.76,percent of total billed charges ,824.76,percent of total billed charges ,887.4,percent of total billed charges ,887.4,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 ,,,,,,,,,,,,,,,,,,,240.12,percent of total billed charges,,,240.12,percent of total billed charges,,,240.12,percent of total billed charges,,,240.12,percent of total billed charges,,,240.12,percent of total billed charges,,,240.12,percent of total billed charges,,,240.12,percent of total billed charges,,,240.12,percent of total billed charges,,,240.12,percent of total billed charges,,,240.12,percent of total billed charges,,,240.12,percent of total billed charges,
GUIDE WIRE LOCKING PLATE,C1769,CDM,,,,both,,,90,90,20.7,90,90,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,71.1,percent of total billed charges,71.1,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 ,71.1,percent of total billed charges ,71.1,percent of total billed charges ,76.5,percent of total billed charges ,76.5,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
SCREW 6.5 CANNULATED 70M ACE DEPUY,C1713,CDM,,,,both,,,253,253,58.19,253,253,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,199.87,percent of total billed charges,199.87,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 ,199.87,percent of total billed charges ,199.87,percent of total billed charges ,215.05,percent of total billed charges ,215.05,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 ,,,,,,,,,,,,,,,,,,,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,,,58.19,percent of total billed charges,,,58.19,percent of total billed charges,,,58.19,percent of total billed charges,
SCREW 6.5 CANNULATED 80M ACE DEPUY,C1713,CDM,,,,both,,,302,302,69.46,302,302,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,238.58,percent of total billed charges,238.58,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 ,238.58,percent of total billed charges ,238.58,percent of total billed charges ,256.7,percent of total billed charges ,256.7,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 ,,,,,,,,,,,,,,,,,,,69.46,percent of total billed charges,,,69.46,percent of total billed charges,,,69.46,percent of total billed charges,,,69.46,percent of total billed charges,,,69.46,percent of total billed charges,,,69.46,percent of total billed charges,,,69.46,percent of total billed charges,,,69.46,percent of total billed charges,,,69.46,percent of total billed charges,,,69.46,percent of total billed charges,,,69.46,percent of total billed charges,
DRILL BIT 5.5M CANNULATED ACE DEPUY,272,RC,00906-99-0441,NDC,,both,,,"1,327.00","1,327.00",305.21,"1,327.00","1,327.00",percent of total billed charges,"1,327.00",percent of total billed charges,"1,327.00",percent of total billed charges,"1,327.00",percent of total billed charges,"1,327.00",percent of total billed charges,"1,327.00",percent of total billed charges,"1,327.00",percent of total billed charges,"1,327.00",percent of total billed charges,955.44,percent of total billed charges,955.44,percent of total billed charges,955.44,percent of total billed charges,955.44,percent of total billed charges,955.44,percent of total billed charges,955.44,percent of total billed charges,"1,048.33",percent of total billed charges,"1,048.33",percent of total billed charges,"1,061.60",percent of total billed charges,"1,061.60",percent of total billed charges,,,955.44,percent of total billed charges ,,,"1,061.60",percent of total billed charges ,"1,048.33",percent of total billed charges ,"1,048.33",percent of total billed charges ,"1,127.95",percent of total billed charges ,"1,127.95",percent of total billed charges ,"1,061.60",percent of total billed charges ,"1,061.60",percent of total billed charges ,928.9,percent of total billed charges ,928.9,percent of total billed charges ,796.2,percent of total billed charges ,796.2,percent of total billed charges ,796.2,percent of total billed charges ,796.2,percent of total billed charges ,,,,,705.96,percent of total billed charges ,,,,,670.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,305.21,percent of total billed charges,,,305.21,percent of total billed charges,,,305.21,percent of total billed charges,,,305.21,percent of total billed charges,,,305.21,percent of total billed charges,,,305.21,percent of total billed charges,,,305.21,percent of total billed charges,,,305.21,percent of total billed charges,,,305.21,percent of total billed charges,,,305.21,percent of total billed charges,,,305.21,percent of total billed charges,
SCREW 4.0 CANNULATED 60M SM FRAG DEPUY,C1713,CDM,,,,both,,,964,964,221.72,964,964,percent of total billed charges,964,percent of total billed charges,964,percent of total billed charges,964,percent of total billed charges,964,percent of total billed charges,964,percent of total billed charges,964,percent of total billed charges,964,percent of total billed charges,694.08,percent of total billed charges,694.08,percent of total billed charges,694.08,percent of total billed charges,694.08,percent of total billed charges,694.08,percent of total billed charges,694.08,percent of total billed charges,761.56,percent of total billed charges,761.56,percent of total billed charges,771.2,percent of total billed charges,771.2,percent of total billed charges,,,694.08,percent of total billed charges ,,,771.2,percent of total billed charges ,761.56,percent of total billed charges ,761.56,percent of total billed charges ,819.4,percent of total billed charges ,819.4,percent of total billed charges ,771.2,percent of total billed charges ,771.2,percent of total billed charges ,674.8,percent of total billed charges ,674.8,percent of total billed charges ,578.4,percent of total billed charges ,578.4,percent of total billed charges ,578.4,percent of total billed charges ,578.4,percent of total billed charges ,,,,,512.85,percent of total billed charges ,,,,,487.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,221.72,percent of total billed charges,,,221.72,percent of total billed charges,,,221.72,percent of total billed charges,,,221.72,percent of total billed charges,,,221.72,percent of total billed charges,,,221.72,percent of total billed charges,,,221.72,percent of total billed charges,,,221.72,percent of total billed charges,,,221.72,percent of total billed charges,,,221.72,percent of total billed charges,,,221.72,percent of total billed charges,
DRILL BIT THREADED 2.9M SMALL FRAG DEPUY,272,RC,00906-99-0441,NDC,,both,,,"1,404.00","1,404.00",322.92,"1,404.00","1,404.00",percent of total billed charges,"1,404.00",percent of total billed charges,"1,404.00",percent of total billed charges,"1,404.00",percent of total billed charges,"1,404.00",percent of total billed charges,"1,404.00",percent of total billed charges,"1,404.00",percent of total billed charges,"1,404.00",percent of total billed charges,"1,010.88",percent of total billed charges,"1,010.88",percent of total billed charges,"1,010.88",percent of total billed charges,"1,010.88",percent of total billed charges,"1,010.88",percent of total billed charges,"1,010.88",percent of total billed charges,"1,109.16",percent of total billed charges,"1,109.16",percent of total billed charges,"1,123.20",percent of total billed charges,"1,123.20",percent of total billed charges,,,"1,010.88",percent of total billed charges ,,,"1,123.20",percent of total billed charges ,"1,109.16",percent of total billed charges ,"1,109.16",percent of total billed charges ,"1,193.40",percent of total billed charges ,"1,193.40",percent of total billed charges ,"1,123.20",percent of total billed charges ,"1,123.20",percent of total billed charges ,982.8,percent of total billed charges ,982.8,percent of total billed charges ,842.4,percent of total billed charges ,842.4,percent of total billed charges ,842.4,percent of total billed charges ,842.4,percent of total billed charges ,,,,,746.93,percent of total billed charges ,,,,,709.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,322.92,percent of total billed charges,,,322.92,percent of total billed charges,,,322.92,percent of total billed charges,,,322.92,percent of total billed charges,,,322.92,percent of total billed charges,,,322.92,percent of total billed charges,,,322.92,percent of total billed charges,,,322.92,percent of total billed charges,,,322.92,percent of total billed charges,,,322.92,percent of total billed charges,,,322.92,percent of total billed charges,
GUIDE PIN SMALL FRAG DEPUY,C1769,CDM,,,,both,,,141,141,32.43,141,141,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,111.39,percent of total billed charges,111.39,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 ,111.39,percent of total billed charges ,111.39,percent of total billed charges ,119.85,percent of total billed charges ,119.85,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 ,,,,,,,,,,,,,,,,,,,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,
SCREW CORTEX 3.5M TITANI SELF TAPPING,C1713,CDM,,,,both,,,272,272,62.56,272,272,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,214.88,percent of total billed charges,214.88,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 ,214.88,percent of total billed charges ,214.88,percent of total billed charges ,231.2,percent of total billed charges ,231.2,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 ,,,,,,,,,,,,,,,,,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,
SCREW CANNULATE 7.3M TITANI,C1713,CDM,,,,both,,,"1,559.00","1,559.00",358.57,"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,"1,231.61",percent of total billed charges,"1,231.61",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 ,"1,231.61",percent of total billed charges ,"1,231.61",percent of total billed charges ,"1,325.15",percent of total billed charges ,"1,325.15",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 ,,,,,,,,,,,,,,,,,,,358.57,percent of total billed charges,,,358.57,percent of total billed charges,,,358.57,percent of total billed charges,,,358.57,percent of total billed charges,,,358.57,percent of total billed charges,,,358.57,percent of total billed charges,,,358.57,percent of total billed charges,,,358.57,percent of total billed charges,,,358.57,percent of total billed charges,,,358.57,percent of total billed charges,,,358.57,percent of total billed charges,
DRILL BIT 5.0 DIA CANNULATED/6.5 SCREW,272,RC,00906-99-0441,NDC,,both,,,"2,102.00","2,102.00",483.46,"2,102.00","2,102.00",percent of total billed charges,"2,102.00",percent of total billed charges,"2,102.00",percent of total billed charges,"2,102.00",percent of total billed charges,"2,102.00",percent of total billed charges,"2,102.00",percent of total billed charges,"2,102.00",percent of total billed charges,"2,102.00",percent of total billed charges,"1,513.44",percent of total billed charges,"1,513.44",percent of total billed charges,"1,513.44",percent of total billed charges,"1,513.44",percent of total billed charges,"1,513.44",percent of total billed charges,"1,513.44",percent of total billed charges,"1,660.58",percent of total billed charges,"1,660.58",percent of total billed charges,"1,681.60",percent of total billed charges,"1,681.60",percent of total billed charges,,,"1,513.44",percent of total billed charges ,,,"1,681.60",percent of total billed charges ,"1,660.58",percent of total billed charges ,"1,660.58",percent of total billed charges ,"1,786.70",percent of total billed charges ,"1,786.70",percent of total billed charges ,"1,681.60",percent of total billed charges ,"1,681.60",percent of total billed charges ,"1,471.40",percent of total billed charges ,"1,471.40",percent of total billed charges ,"1,261.20",percent of total billed charges ,"1,261.20",percent of total billed charges ,"1,261.20",percent of total billed charges ,"1,261.20",percent of total billed charges ,,,,,"1,118.26",percent of total billed charges ,,,,,"1,062.35",percent of total billed charges ,,,,,,,,,,,,,,,,,,,483.46,percent of total billed charges,,,483.46,percent of total billed charges,,,483.46,percent of total billed charges,,,483.46,percent of total billed charges,,,483.46,percent of total billed charges,,,483.46,percent of total billed charges,,,483.46,percent of total billed charges,,,483.46,percent of total billed charges,,,483.46,percent of total billed charges,,,483.46,percent of total billed charges,,,483.46,percent of total billed charges,
PLATELET DELIVERY SYSTEM  SYMPHONY,272,RC,00906-99-0441,NDC,,both,,,772,772,177.56,772,772,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,609.88,percent of total billed charges,609.88,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 ,609.88,percent of total billed charges ,609.88,percent of total billed charges ,656.2,percent of total billed charges ,656.2,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,177.56,percent of total billed charges,,,177.56,percent of total billed charges,,,177.56,percent of total billed charges,
SCREW 2.7 CORTEX SELF TAPPING SYNTHES,C1713,CDM,,,,both,,,200,200,46,200,200,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,158,percent of total billed charges,158,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 ,158,percent of total billed charges ,158,percent of total billed charges ,170,percent of total billed charges ,170,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 ,,,,,,,,,,,,,,,,,,,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,,,46,percent of total billed charges,,,46,percent of total billed charges,,,46,percent of total billed charges,
FEMORAL COMPONENT CR FLEX OPTION SZ B-G,C1776,CDM,,,,both,,,"22,539.00","22,539.00","5,183.97","22,539.00","22,539.00",percent of total billed charges,"22,539.00",percent of total billed charges,"22,539.00",percent of total billed charges,"22,539.00",percent of total billed charges,"22,539.00",percent of total billed charges,"22,539.00",percent of total billed charges,"22,539.00",percent of total billed charges,"22,539.00",percent of total billed charges,"16,228.08",percent of total billed charges,"16,228.08",percent of total billed charges,"16,228.08",percent of total billed charges,"16,228.08",percent of total billed charges,"16,228.08",percent of total billed charges,"16,228.08",percent of total billed charges,"17,805.81",percent of total billed charges,"17,805.81",percent of total billed charges,"18,031.20",percent of total billed charges,"18,031.20",percent of total billed charges,,,"16,228.08",percent of total billed charges ,,,"18,031.20",percent of total billed charges ,"17,805.81",percent of total billed charges ,"17,805.81",percent of total billed charges ,"19,158.15",percent of total billed charges ,"19,158.15",percent of total billed charges ,"18,031.20",percent of total billed charges ,"18,031.20",percent of total billed charges ,"15,777.30",percent of total billed charges ,"15,777.30",percent of total billed charges ,"13,523.40",percent of total billed charges ,"13,523.40",percent of total billed charges ,"13,523.40",percent of total billed charges ,"13,523.40",percent of total billed charges ,,,,,"11,990.75",percent of total billed charges ,,,,,"11,391.21",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"5,183.97",percent of total billed charges,,,"5,183.97",percent of total billed charges,,,"5,183.97",percent of total billed charges,,,"5,183.97",percent of total billed charges,,,"5,183.97",percent of total billed charges,,,"5,183.97",percent of total billed charges,,,"5,183.97",percent of total billed charges,,,"5,183.97",percent of total billed charges,,,"5,183.97",percent of total billed charges,,,"5,183.97",percent of total billed charges,,,"5,183.97",percent of total billed charges,
ARTICULAR SURFACE NEXGEN CR-FLEX 1-10,C1776,CDM,,,,both,,,"9,012.00","9,012.00","2,072.76","9,012.00","9,012.00",percent of total billed charges,"9,012.00",percent of total billed charges,"9,012.00",percent of total billed charges,"9,012.00",percent of total billed charges,"9,012.00",percent of total billed charges,"9,012.00",percent of total billed charges,"9,012.00",percent of total billed charges,"9,012.00",percent of total billed charges,"6,488.64",percent of total billed charges,"6,488.64",percent of total billed charges,"6,488.64",percent of total billed charges,"6,488.64",percent of total billed charges,"6,488.64",percent of total billed charges,"6,488.64",percent of total billed charges,"7,119.48",percent of total billed charges,"7,119.48",percent of total billed charges,"7,209.60",percent of total billed charges,"7,209.60",percent of total billed charges,,,"6,488.64",percent of total billed charges ,,,"7,209.60",percent of total billed charges ,"7,119.48",percent of total billed charges ,"7,119.48",percent of total billed charges ,"7,660.20",percent of total billed charges ,"7,660.20",percent of total billed charges ,"7,209.60",percent of total billed charges ,"7,209.60",percent of total billed charges ,"6,308.40",percent of total billed charges ,"6,308.40",percent of total billed charges ,"5,407.20",percent of total billed charges ,"5,407.20",percent of total billed charges ,"5,407.20",percent of total billed charges ,"5,407.20",percent of total billed charges ,,,,,"4,794.38",percent of total billed charges ,,,,,"4,554.66",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,072.76",percent of total billed charges,,,"2,072.76",percent of total billed charges,,,"2,072.76",percent of total billed charges,,,"2,072.76",percent of total billed charges,,,"2,072.76",percent of total billed charges,,,"2,072.76",percent of total billed charges,,,"2,072.76",percent of total billed charges,,,"2,072.76",percent of total billed charges,,,"2,072.76",percent of total billed charges,,,"2,072.76",percent of total billed charges,,,"2,072.76",percent of total billed charges,
*GUIDE WIRE 47-1161DO NOT USE SEE4600021,272,RC,00906-99-0441,NDC,,both,,,161,161,37.03,161,161,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,127.19,percent of total billed charges,127.19,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 ,127.19,percent of total billed charges ,127.19,percent of total billed charges ,136.85,percent of total billed charges ,136.85,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 ,,,,,,,,,,,,,,,,,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,
DYE KIT I.C.GREEN,272,RC,00906-99-0441,NDC,,both,,,961,961,221.03,961,961,percent of total billed charges,961,percent of total billed charges,961,percent of total billed charges,961,percent of total billed charges,961,percent of total billed charges,961,percent of total billed charges,961,percent of total billed charges,961,percent of total billed charges,691.92,percent of total billed charges,691.92,percent of total billed charges,691.92,percent of total billed charges,691.92,percent of total billed charges,691.92,percent of total billed charges,691.92,percent of total billed charges,759.19,percent of total billed charges,759.19,percent of total billed charges,768.8,percent of total billed charges,768.8,percent of total billed charges,,,691.92,percent of total billed charges ,,,768.8,percent of total billed charges ,759.19,percent of total billed charges ,759.19,percent of total billed charges ,816.85,percent of total billed charges ,816.85,percent of total billed charges ,768.8,percent of total billed charges ,768.8,percent of total billed charges ,672.7,percent of total billed charges ,672.7,percent of total billed charges ,576.6,percent of total billed charges ,576.6,percent of total billed charges ,576.6,percent of total billed charges ,576.6,percent of total billed charges ,,,,,511.25,percent of total billed charges ,,,,,485.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,221.03,percent of total billed charges,,,221.03,percent of total billed charges,,,221.03,percent of total billed charges,,,221.03,percent of total billed charges,,,221.03,percent of total billed charges,,,221.03,percent of total billed charges,,,221.03,percent of total billed charges,,,221.03,percent of total billed charges,,,221.03,percent of total billed charges,,,221.03,percent of total billed charges,,,221.03,percent of total billed charges,
GUIDE PIN THREADED/ITST 3.2,C1769,CDM,,,,both,,,"1,252.00","1,252.00",287.96,"1,252.00","1,252.00",percent of total billed charges,"1,252.00",percent of total billed charges,"1,252.00",percent of total billed charges,"1,252.00",percent of total billed charges,"1,252.00",percent of total billed charges,"1,252.00",percent of total billed charges,"1,252.00",percent of total billed charges,"1,252.00",percent of total billed charges,901.44,percent of total billed charges,901.44,percent of total billed charges,901.44,percent of total billed charges,901.44,percent of total billed charges,901.44,percent of total billed charges,901.44,percent of total billed charges,989.08,percent of total billed charges,989.08,percent of total billed charges,"1,001.60",percent of total billed charges,"1,001.60",percent of total billed charges,,,901.44,percent of total billed charges ,,,"1,001.60",percent of total billed charges ,989.08,percent of total billed charges ,989.08,percent of total billed charges ,"1,064.20",percent of total billed charges ,"1,064.20",percent of total billed charges ,"1,001.60",percent of total billed charges ,"1,001.60",percent of total billed charges ,876.4,percent of total billed charges ,876.4,percent of total billed charges ,751.2,percent of total billed charges ,751.2,percent of total billed charges ,751.2,percent of total billed charges ,751.2,percent of total billed charges ,,,,,666.06,percent of total billed charges ,,,,,632.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,287.96,percent of total billed charges,,,287.96,percent of total billed charges,,,287.96,percent of total billed charges,,,287.96,percent of total billed charges,,,287.96,percent of total billed charges,,,287.96,percent of total billed charges,,,287.96,percent of total billed charges,,,287.96,percent of total billed charges,,,287.96,percent of total billed charges,,,287.96,percent of total billed charges,,,287.96,percent of total billed charges,
K WIRE-GUIDEWIRE  2255-2366,C1769,CDM,,,,both,,,"1,119.00","1,119.00",257.37,"1,119.00","1,119.00",percent of total billed charges,"1,119.00",percent of total billed charges,"1,119.00",percent of total billed charges,"1,119.00",percent of total billed charges,"1,119.00",percent of total billed charges,"1,119.00",percent of total billed charges,"1,119.00",percent of total billed charges,"1,119.00",percent of total billed charges,805.68,percent of total billed charges,805.68,percent of total billed charges,805.68,percent of total billed charges,805.68,percent of total billed charges,805.68,percent of total billed charges,805.68,percent of total billed charges,884.01,percent of total billed charges,884.01,percent of total billed charges,895.2,percent of total billed charges,895.2,percent of total billed charges,,,805.68,percent of total billed charges ,,,895.2,percent of total billed charges ,884.01,percent of total billed charges ,884.01,percent of total billed charges ,951.15,percent of total billed charges ,951.15,percent of total billed charges ,895.2,percent of total billed charges ,895.2,percent of total billed charges ,783.3,percent of total billed charges ,783.3,percent of total billed charges ,671.4,percent of total billed charges ,671.4,percent of total billed charges ,671.4,percent of total billed charges ,671.4,percent of total billed charges ,,,,,595.31,percent of total billed charges ,,,,,565.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,257.37,percent of total billed charges,,,257.37,percent of total billed charges,,,257.37,percent of total billed charges,,,257.37,percent of total billed charges,,,257.37,percent of total billed charges,,,257.37,percent of total billed charges,,,257.37,percent of total billed charges,,,257.37,percent of total billed charges,,,257.37,percent of total billed charges,,,257.37,percent of total billed charges,,,257.37,percent of total billed charges,
NAIL CAP / ITST,C1713,CDM,,,,both,,,"1,188.00","1,188.00",273.24,"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,938.52,percent of total billed charges,938.52,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 ,938.52,percent of total billed charges ,938.52,percent of total billed charges ,"1,009.80",percent of total billed charges ,"1,009.80",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 ,,,,,,,,,,,,,,,,,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,
SCREW LAG / ITST ONE PIECE 11MM,C1713,CDM,,,,both,,,"1,542.00","1,542.00",354.66,"1,542.00","1,542.00",percent of total billed charges,"1,542.00",percent of total billed charges,"1,542.00",percent of total billed charges,"1,542.00",percent of total billed charges,"1,542.00",percent of total billed charges,"1,542.00",percent of total billed charges,"1,542.00",percent of total billed charges,"1,542.00",percent of total billed charges,"1,110.24",percent of total billed charges,"1,110.24",percent of total billed charges,"1,110.24",percent of total billed charges,"1,110.24",percent of total billed charges,"1,110.24",percent of total billed charges,"1,110.24",percent of total billed charges,"1,218.18",percent of total billed charges,"1,218.18",percent of total billed charges,"1,233.60",percent of total billed charges,"1,233.60",percent of total billed charges,,,"1,110.24",percent of total billed charges ,,,"1,233.60",percent of total billed charges ,"1,218.18",percent of total billed charges ,"1,218.18",percent of total billed charges ,"1,310.70",percent of total billed charges ,"1,310.70",percent of total billed charges ,"1,233.60",percent of total billed charges ,"1,233.60",percent of total billed charges ,"1,079.40",percent of total billed charges ,"1,079.40",percent of total billed charges ,925.2,percent of total billed charges ,925.2,percent of total billed charges ,925.2,percent of total billed charges ,925.2,percent of total billed charges ,,,,,820.34,percent of total billed charges ,,,,,779.33,percent of total billed charges ,,,,,,,,,,,,,,,,,,,354.66,percent of total billed charges,,,354.66,percent of total billed charges,,,354.66,percent of total billed charges,,,354.66,percent of total billed charges,,,354.66,percent of total billed charges,,,354.66,percent of total billed charges,,,354.66,percent of total billed charges,,,354.66,percent of total billed charges,,,354.66,percent of total billed charges,,,354.66,percent of total billed charges,,,354.66,percent of total billed charges,
SCREW ROCKWOOD SHOULDER,C1713,CDM,,,,both,,,"1,977.00","1,977.00",454.71,"1,977.00","1,977.00",percent of total billed charges,"1,977.00",percent of total billed charges,"1,977.00",percent of total billed charges,"1,977.00",percent of total billed charges,"1,977.00",percent of total billed charges,"1,977.00",percent of total billed charges,"1,977.00",percent of total billed charges,"1,977.00",percent of total billed charges,"1,423.44",percent of total billed charges,"1,423.44",percent of total billed charges,"1,423.44",percent of total billed charges,"1,423.44",percent of total billed charges,"1,423.44",percent of total billed charges,"1,423.44",percent of total billed charges,"1,561.83",percent of total billed charges,"1,561.83",percent of total billed charges,"1,581.60",percent of total billed charges,"1,581.60",percent of total billed charges,,,"1,423.44",percent of total billed charges ,,,"1,581.60",percent of total billed charges ,"1,561.83",percent of total billed charges ,"1,561.83",percent of total billed charges ,"1,680.45",percent of total billed charges ,"1,680.45",percent of total billed charges ,"1,581.60",percent of total billed charges ,"1,581.60",percent of total billed charges ,"1,383.90",percent of total billed charges ,"1,383.90",percent of total billed charges ,"1,186.20",percent of total billed charges ,"1,186.20",percent of total billed charges ,"1,186.20",percent of total billed charges ,"1,186.20",percent of total billed charges ,,,,,"1,051.76",percent of total billed charges ,,,,,999.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,454.71,percent of total billed charges,,,454.71,percent of total billed charges,,,454.71,percent of total billed charges,,,454.71,percent of total billed charges,,,454.71,percent of total billed charges,,,454.71,percent of total billed charges,,,454.71,percent of total billed charges,,,454.71,percent of total billed charges,,,454.71,percent of total billed charges,,,454.71,percent of total billed charges,,,454.71,percent of total billed charges,
WASHER  SHOULDER,C1713,CDM,,,,both,,,635,635,146.05,635,635,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,501.65,percent of total billed charges,501.65,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 ,501.65,percent of total billed charges ,501.65,percent of total billed charges ,539.75,percent of total billed charges ,539.75,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 ,,,,,,,,,,,,,,,,,,,146.05,percent of total billed charges,,,146.05,percent of total billed charges,,,146.05,percent of total billed charges,,,146.05,percent of total billed charges,,,146.05,percent of total billed charges,,,146.05,percent of total billed charges,,,146.05,percent of total billed charges,,,146.05,percent of total billed charges,,,146.05,percent of total billed charges,,,146.05,percent of total billed charges,,,146.05,percent of total billed charges,
PLATE PROXI MED/LAT TIBIAL 3.5-4.5 6H LT,C1713,CDM,,,,both,,,"3,890.00","3,890.00",894.7,"3,890.00","3,890.00",percent of total billed charges,"3,890.00",percent of total billed charges,"3,890.00",percent of total billed charges,"3,890.00",percent of total billed charges,"3,890.00",percent of total billed charges,"3,890.00",percent of total billed charges,"3,890.00",percent of total billed charges,"3,890.00",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,"2,800.80",percent of total billed charges,"2,800.80",percent of total billed charges,"3,073.10",percent of total billed charges,"3,073.10",percent of total billed charges,"3,112.00",percent of total billed charges,"3,112.00",percent of total billed charges,,,"2,800.80",percent of total billed charges ,,,"3,112.00",percent of total billed charges ,"3,073.10",percent of total billed charges ,"3,073.10",percent of total billed charges ,"3,306.50",percent of total billed charges ,"3,306.50",percent of total billed charges ,"3,112.00",percent of total billed charges ,"3,112.00",percent of total billed charges ,"2,723.00",percent of total billed charges ,"2,723.00",percent of total billed charges ,"2,334.00",percent of total billed charges ,"2,334.00",percent of total billed charges ,"2,334.00",percent of total billed charges ,"2,334.00",percent of total billed charges ,,,,,"2,069.48",percent of total billed charges ,,,,,"1,966.01",percent of total billed charges ,,,,,,,,,,,,,,,,,,,894.7,percent of total billed charges,,,894.7,percent of total billed charges,,,894.7,percent of total billed charges,,,894.7,percent of total billed charges,,,894.7,percent of total billed charges,,,894.7,percent of total billed charges,,,894.7,percent of total billed charges,,,894.7,percent of total billed charges,,,894.7,percent of total billed charges,,,894.7,percent of total billed charges,,,894.7,percent of total billed charges,
K WIRE STYLE 6  1.6MX152M ZIMMER,C1713,CDM,,,,both,,,305,305,70.15,305,305,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,240.95,percent of total billed charges,240.95,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 ,240.95,percent of total billed charges ,240.95,percent of total billed charges ,259.25,percent of total billed charges ,259.25,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 ,,,,,,,,,,,,,,,,,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,
DRILL BIT QUIK CONECT 3.2M DI X 195M ZIM,272,RC,00906-99-0441,NDC,,both,,,499,499,114.77,499,499,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,394.21,percent of total billed charges,394.21,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 ,394.21,percent of total billed charges ,394.21,percent of total billed charges ,424.15,percent of total billed charges ,424.15,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 ,,,,,,,,,,,,,,,,,,,114.77,percent of total billed charges,,,114.77,percent of total billed charges,,,114.77,percent of total billed charges,,,114.77,percent of total billed charges,,,114.77,percent of total billed charges,,,114.77,percent of total billed charges,,,114.77,percent of total billed charges,,,114.77,percent of total billed charges,,,114.77,percent of total billed charges,,,114.77,percent of total billed charges,,,114.77,percent of total billed charges,
SCREW PERIARTICULAR SELF TAPPING,C1713,CDM,,,,both,,,229,229,52.67,229,229,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,180.91,percent of total billed charges,180.91,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 ,180.91,percent of total billed charges ,180.91,percent of total billed charges ,194.65,percent of total billed charges ,194.65,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 ,,,,,,,,,,,,,,,,,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,
SCREW PERIARTICULAR THREADED,C1713,CDM,,,,both,,,229,229,52.67,229,229,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,180.91,percent of total billed charges,180.91,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 ,180.91,percent of total billed charges ,180.91,percent of total billed charges ,194.65,percent of total billed charges ,194.65,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 ,,,,,,,,,,,,,,,,,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,
FEM COMPONENT LPS FLEX SZ C-G,C1776,CDM,,,,both,,,"22,992.00","22,992.00","5,288.16","22,992.00","22,992.00",percent of total billed charges,"22,992.00",percent of total billed charges,"22,992.00",percent of total billed charges,"22,992.00",percent of total billed charges,"22,992.00",percent of total billed charges,"22,992.00",percent of total billed charges,"22,992.00",percent of total billed charges,"22,992.00",percent of total billed charges,"16,554.24",percent of total billed charges,"16,554.24",percent of total billed charges,"16,554.24",percent of total billed charges,"16,554.24",percent of total billed charges,"16,554.24",percent of total billed charges,"16,554.24",percent of total billed charges,"18,163.68",percent of total billed charges,"18,163.68",percent of total billed charges,"18,393.60",percent of total billed charges,"18,393.60",percent of total billed charges,,,"16,554.24",percent of total billed charges ,,,"18,393.60",percent of total billed charges ,"18,163.68",percent of total billed charges ,"18,163.68",percent of total billed charges ,"19,543.20",percent of total billed charges ,"19,543.20",percent of total billed charges ,"18,393.60",percent of total billed charges ,"18,393.60",percent of total billed charges ,"16,094.40",percent of total billed charges ,"16,094.40",percent of total billed charges ,"13,795.20",percent of total billed charges ,"13,795.20",percent of total billed charges ,"13,795.20",percent of total billed charges ,"13,795.20",percent of total billed charges ,,,,,"12,231.74",percent of total billed charges ,,,,,"11,620.16",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"5,288.16",percent of total billed charges,,,"5,288.16",percent of total billed charges,,,"5,288.16",percent of total billed charges,,,"5,288.16",percent of total billed charges,,,"5,288.16",percent of total billed charges,,,"5,288.16",percent of total billed charges,,,"5,288.16",percent of total billed charges,,,"5,288.16",percent of total billed charges,,,"5,288.16",percent of total billed charges,,,"5,288.16",percent of total billed charges,,,"5,288.16",percent of total billed charges,
ART SURF LPS FLEX,C1776,CDM,,,,both,,,"11,111.00","11,111.00","2,555.53","11,111.00","11,111.00",percent of total billed charges,"11,111.00",percent of total billed charges,"11,111.00",percent of total billed charges,"11,111.00",percent of total billed charges,"11,111.00",percent of total billed charges,"11,111.00",percent of total billed charges,"11,111.00",percent of total billed charges,"11,111.00",percent of total billed charges,"7,999.92",percent of total billed charges,"7,999.92",percent of total billed charges,"7,999.92",percent of total billed charges,"7,999.92",percent of total billed charges,"7,999.92",percent of total billed charges,"7,999.92",percent of total billed charges,"8,777.69",percent of total billed charges,"8,777.69",percent of total billed charges,"8,888.80",percent of total billed charges,"8,888.80",percent of total billed charges,,,"7,999.92",percent of total billed charges ,,,"8,888.80",percent of total billed charges ,"8,777.69",percent of total billed charges ,"8,777.69",percent of total billed charges ,"9,444.35",percent of total billed charges ,"9,444.35",percent of total billed charges ,"8,888.80",percent of total billed charges ,"8,888.80",percent of total billed charges ,"7,777.70",percent of total billed charges ,"7,777.70",percent of total billed charges ,"6,666.60",percent of total billed charges ,"6,666.60",percent of total billed charges ,"6,666.60",percent of total billed charges ,"6,666.60",percent of total billed charges ,,,,,"5,911.05",percent of total billed charges ,,,,,"5,615.50",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,555.53",percent of total billed charges,,,"2,555.53",percent of total billed charges,,,"2,555.53",percent of total billed charges,,,"2,555.53",percent of total billed charges,,,"2,555.53",percent of total billed charges,,,"2,555.53",percent of total billed charges,,,"2,555.53",percent of total billed charges,,,"2,555.53",percent of total billed charges,,,"2,555.53",percent of total billed charges,,,"2,555.53",percent of total billed charges,,,"2,555.53",percent of total billed charges,
IV PUSH DRUG INITIAL,96374,CDM,,,59,both,,,274,274,63.02,274,274,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,216.46,percent of total billed charges,216.46,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 ,216.46,percent of total billed charges ,216.46,percent of total billed charges ,232.9,percent of total billed charges ,232.9,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 ,,,,,,,,,,,,,,,,,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,
**IV THERAPY(CHEMO) UP TO 1 HR,96422,CDM,,,,both,,,391,391,89.93,391,391,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,308.89,percent of total billed charges,308.89,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 ,308.89,percent of total billed charges ,308.89,percent of total billed charges ,332.35,percent of total billed charges ,332.35,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 ,,,,,,,,,,,,,,,,,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,
**IV THERAPY (CHEMO) ADD'L HR,96423,CDM,,,,both,,,377,377,86.71,377,377,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,297.83,percent of total billed charges,297.83,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 ,297.83,percent of total billed charges ,297.83,percent of total billed charges ,320.45,percent of total billed charges ,320.45,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 ,,,,,,,,,,,,,,,,,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,
IV HYDRATION 31 MIN TO 1 HR,96360,CDM,,,59,both,,,653,653,150.19,653,653,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,515.87,percent of total billed charges,515.87,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 ,515.87,percent of total billed charges ,515.87,percent of total billed charges ,555.05,percent of total billed charges ,555.05,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 ,,,,,,,,,,,,,,,,,,,150.19,percent of total billed charges,,,150.19,percent of total billed charges,,,150.19,percent of total billed charges,,,150.19,percent of total billed charges,,,150.19,percent of total billed charges,,,150.19,percent of total billed charges,,,150.19,percent of total billed charges,,,150.19,percent of total billed charges,,,150.19,percent of total billed charges,,,150.19,percent of total billed charges,,,150.19,percent of total billed charges,
IV HYDRATION ADD'L HOUR,96361,CDM,,,59,both,,,324,324,74.52,324,324,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,255.96,percent of total billed charges,255.96,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 ,255.96,percent of total billed charges ,255.96,percent of total billed charges ,275.4,percent of total billed charges ,275.4,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
GUIDE WIRE 1.25 NON-THREAD 150MM,C1769,CDM,,,,both,,,127,127,29.21,127,127,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,100.33,percent of total billed charges,100.33,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 ,100.33,percent of total billed charges ,100.33,percent of total billed charges ,107.95,percent of total billed charges ,107.95,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 ,,,,,,,,,,,,,,,,,,,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,
SCREW 4.0 CANLATD LNG THRED 2.5 HEX SCKT,C1713,CDM,,,,both,,,"1,381.00","1,381.00",317.63,"1,381.00","1,381.00",percent of total billed charges,"1,381.00",percent of total billed charges,"1,381.00",percent of total billed charges,"1,381.00",percent of total billed charges,"1,381.00",percent of total billed charges,"1,381.00",percent of total billed charges,"1,381.00",percent of total billed charges,"1,381.00",percent of total billed charges,994.32,percent of total billed charges,994.32,percent of total billed charges,994.32,percent of total billed charges,994.32,percent of total billed charges,994.32,percent of total billed charges,994.32,percent of total billed charges,"1,090.99",percent of total billed charges,"1,090.99",percent of total billed charges,"1,104.80",percent of total billed charges,"1,104.80",percent of total billed charges,,,994.32,percent of total billed charges ,,,"1,104.80",percent of total billed charges ,"1,090.99",percent of total billed charges ,"1,090.99",percent of total billed charges ,"1,173.85",percent of total billed charges ,"1,173.85",percent of total billed charges ,"1,104.80",percent of total billed charges ,"1,104.80",percent of total billed charges ,966.7,percent of total billed charges ,966.7,percent of total billed charges ,828.6,percent of total billed charges ,828.6,percent of total billed charges ,828.6,percent of total billed charges ,828.6,percent of total billed charges ,,,,,734.69,percent of total billed charges ,,,,,697.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,317.63,percent of total billed charges,,,317.63,percent of total billed charges,,,317.63,percent of total billed charges,,,317.63,percent of total billed charges,,,317.63,percent of total billed charges,,,317.63,percent of total billed charges,,,317.63,percent of total billed charges,,,317.63,percent of total billed charges,,,317.63,percent of total billed charges,,,317.63,percent of total billed charges,,,317.63,percent of total billed charges,
IMPLANT/HAMMERTOE,C1713,CDM,,,,both,,,"1,864.00","1,864.00",428.72,"1,864.00","1,864.00",percent of total billed charges,"1,864.00",percent of total billed charges,"1,864.00",percent of total billed charges,"1,864.00",percent of total billed charges,"1,864.00",percent of total billed charges,"1,864.00",percent of total billed charges,"1,864.00",percent of total billed charges,"1,864.00",percent of total billed charges,"1,342.08",percent of total billed charges,"1,342.08",percent of total billed charges,"1,342.08",percent of total billed charges,"1,342.08",percent of total billed charges,"1,342.08",percent of total billed charges,"1,342.08",percent of total billed charges,"1,472.56",percent of total billed charges,"1,472.56",percent of total billed charges,"1,491.20",percent of total billed charges,"1,491.20",percent of total billed charges,,,"1,342.08",percent of total billed charges ,,,"1,491.20",percent of total billed charges ,"1,472.56",percent of total billed charges ,"1,472.56",percent of total billed charges ,"1,584.40",percent of total billed charges ,"1,584.40",percent of total billed charges ,"1,491.20",percent of total billed charges ,"1,491.20",percent of total billed charges ,"1,304.80",percent of total billed charges ,"1,304.80",percent of total billed charges ,"1,118.40",percent of total billed charges ,"1,118.40",percent of total billed charges ,"1,118.40",percent of total billed charges ,"1,118.40",percent of total billed charges ,,,,,991.65,percent of total billed charges ,,,,,942.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,428.72,percent of total billed charges,,,428.72,percent of total billed charges,,,428.72,percent of total billed charges,,,428.72,percent of total billed charges,,,428.72,percent of total billed charges,,,428.72,percent of total billed charges,,,428.72,percent of total billed charges,,,428.72,percent of total billed charges,,,428.72,percent of total billed charges,,,428.72,percent of total billed charges,,,428.72,percent of total billed charges,
SCREW ACUTRAK II,C1713,CDM,,,,both,,,"2,891.00","2,891.00",664.93,"2,891.00","2,891.00",percent of total billed charges,"2,891.00",percent of total billed charges,"2,891.00",percent of total billed charges,"2,891.00",percent of total billed charges,"2,891.00",percent of total billed charges,"2,891.00",percent of total billed charges,"2,891.00",percent of total billed charges,"2,891.00",percent of total billed charges,"2,081.52",percent of total billed charges,"2,081.52",percent of total billed charges,"2,081.52",percent of total billed charges,"2,081.52",percent of total billed charges,"2,081.52",percent of total billed charges,"2,081.52",percent of total billed charges,"2,283.89",percent of total billed charges,"2,283.89",percent of total billed charges,"2,312.80",percent of total billed charges,"2,312.80",percent of total billed charges,,,"2,081.52",percent of total billed charges ,,,"2,312.80",percent of total billed charges ,"2,283.89",percent of total billed charges ,"2,283.89",percent of total billed charges ,"2,457.35",percent of total billed charges ,"2,457.35",percent of total billed charges ,"2,312.80",percent of total billed charges ,"2,312.80",percent of total billed charges ,"2,023.70",percent of total billed charges ,"2,023.70",percent of total billed charges ,"1,734.60",percent of total billed charges ,"1,734.60",percent of total billed charges ,"1,734.60",percent of total billed charges ,"1,734.60",percent of total billed charges ,,,,,"1,538.01",percent of total billed charges ,,,,,"1,461.11",percent of total billed charges ,,,,,,,,,,,,,,,,,,,664.93,percent of total billed charges,,,664.93,percent of total billed charges,,,664.93,percent of total billed charges,,,664.93,percent of total billed charges,,,664.93,percent of total billed charges,,,664.93,percent of total billed charges,,,664.93,percent of total billed charges,,,664.93,percent of total billed charges,,,664.93,percent of total billed charges,,,664.93,percent of total billed charges,,,664.93,percent of total billed charges,
TIBIAL NAIL 2253 SERIES,C1713,CDM,,,,both,,,"4,630.00","4,630.00","1,064.90","4,630.00","4,630.00",percent of total billed charges,"4,630.00",percent of total billed charges,"4,630.00",percent of total billed charges,"4,630.00",percent of total billed charges,"4,630.00",percent of total billed charges,"4,630.00",percent of total billed charges,"4,630.00",percent of total billed charges,"4,630.00",percent of total billed charges,"3,333.60",percent of total billed charges,"3,333.60",percent of total billed charges,"3,333.60",percent of total billed charges,"3,333.60",percent of total billed charges,"3,333.60",percent of total billed charges,"3,333.60",percent of total billed charges,"3,657.70",percent of total billed charges,"3,657.70",percent of total billed charges,"3,704.00",percent of total billed charges,"3,704.00",percent of total billed charges,,,"3,333.60",percent of total billed charges ,,,"3,704.00",percent of total billed charges ,"3,657.70",percent of total billed charges ,"3,657.70",percent of total billed charges ,"3,935.50",percent of total billed charges ,"3,935.50",percent of total billed charges ,"3,704.00",percent of total billed charges ,"3,704.00",percent of total billed charges ,"3,241.00",percent of total billed charges ,"3,241.00",percent of total billed charges ,"2,778.00",percent of total billed charges ,"2,778.00",percent of total billed charges ,"2,778.00",percent of total billed charges ,"2,778.00",percent of total billed charges ,,,,,"2,463.16",percent of total billed charges ,,,,,"2,340.00",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,064.90",percent of total billed charges,,,"1,064.90",percent of total billed charges,,,"1,064.90",percent of total billed charges,,,"1,064.90",percent of total billed charges,,,"1,064.90",percent of total billed charges,,,"1,064.90",percent of total billed charges,,,"1,064.90",percent of total billed charges,,,"1,064.90",percent of total billed charges,,,"1,064.90",percent of total billed charges,,,"1,064.90",percent of total billed charges,,,"1,064.90",percent of total billed charges,
OMNIPAQUE 300 50ML NOVAPLUS,Q9967,CDM,,,,both,,,159,159,36.57,159,159,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,125.61,percent of total billed charges,125.61,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 ,125.61,percent of total billed charges ,125.61,percent of total billed charges ,135.15,percent of total billed charges ,135.15,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,36.57,percent of total billed charges,,,36.57,percent of total billed charges,,,36.57,percent of total billed charges,
IV PUSH ADD'L DIFF MED,96375,CDM,,,59,both,,,274,274,63.02,274,274,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,216.46,percent of total billed charges,216.46,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 ,216.46,percent of total billed charges ,216.46,percent of total billed charges ,232.9,percent of total billed charges ,232.9,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 ,,,,,,,,,,,,,,,,,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,
FLUSH INFUSAPORT,96523,CDM,,,,both,,,249,249,57.27,249,249,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,196.71,percent of total billed charges,196.71,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 ,196.71,percent of total billed charges ,196.71,percent of total billed charges ,211.65,percent of total billed charges ,211.65,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 ,,,,,,,,,,,,,,,,,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,
SCREW UNI & MIS HEADED/HEADLESS 48MM,C1713,CDM,,,,both,,,665,665,152.95,665,665,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,525.35,percent of total billed charges,525.35,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 ,525.35,percent of total billed charges ,525.35,percent of total billed charges ,565.25,percent of total billed charges ,565.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,152.95,percent of total billed charges,,,152.95,percent of total billed charges,,,152.95,percent of total billed charges,
TIB TRAY UNI HIGH FLEX SZ 1-6,C1776,CDM,,,,both,,,"8,426.00","8,426.00","1,937.98","8,426.00","8,426.00",percent of total billed charges,"8,426.00",percent of total billed charges,"8,426.00",percent of total billed charges,"8,426.00",percent of total billed charges,"8,426.00",percent of total billed charges,"8,426.00",percent of total billed charges,"8,426.00",percent of total billed charges,"8,426.00",percent of total billed charges,"6,066.72",percent of total billed charges,"6,066.72",percent of total billed charges,"6,066.72",percent of total billed charges,"6,066.72",percent of total billed charges,"6,066.72",percent of total billed charges,"6,066.72",percent of total billed charges,"6,656.54",percent of total billed charges,"6,656.54",percent of total billed charges,"6,740.80",percent of total billed charges,"6,740.80",percent of total billed charges,,,"6,066.72",percent of total billed charges ,,,"6,740.80",percent of total billed charges ,"6,656.54",percent of total billed charges ,"6,656.54",percent of total billed charges ,"7,162.10",percent of total billed charges ,"7,162.10",percent of total billed charges ,"6,740.80",percent of total billed charges ,"6,740.80",percent of total billed charges ,"5,898.20",percent of total billed charges ,"5,898.20",percent of total billed charges ,"5,055.60",percent of total billed charges ,"5,055.60",percent of total billed charges ,"5,055.60",percent of total billed charges ,"5,055.60",percent of total billed charges ,,,,,"4,482.63",percent of total billed charges ,,,,,"4,258.50",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,937.98",percent of total billed charges,,,"1,937.98",percent of total billed charges,,,"1,937.98",percent of total billed charges,,,"1,937.98",percent of total billed charges,,,"1,937.98",percent of total billed charges,,,"1,937.98",percent of total billed charges,,,"1,937.98",percent of total billed charges,,,"1,937.98",percent of total billed charges,,,"1,937.98",percent of total billed charges,,,"1,937.98",percent of total billed charges,,,"1,937.98",percent of total billed charges,
FEMORAL COMP UNI HIGH FLEX SZ A-G,C1776,CDM,,,,both,,,"10,831.00","10,831.00","2,491.13","10,831.00","10,831.00",percent of total billed charges,"10,831.00",percent of total billed charges,"10,831.00",percent of total billed charges,"10,831.00",percent of total billed charges,"10,831.00",percent of total billed charges,"10,831.00",percent of total billed charges,"10,831.00",percent of total billed charges,"10,831.00",percent of total billed charges,"7,798.32",percent of total billed charges,"7,798.32",percent of total billed charges,"7,798.32",percent of total billed charges,"7,798.32",percent of total billed charges,"7,798.32",percent of total billed charges,"7,798.32",percent of total billed charges,"8,556.49",percent of total billed charges,"8,556.49",percent of total billed charges,"8,664.80",percent of total billed charges,"8,664.80",percent of total billed charges,,,"7,798.32",percent of total billed charges ,,,"8,664.80",percent of total billed charges ,"8,556.49",percent of total billed charges ,"8,556.49",percent of total billed charges ,"9,206.35",percent of total billed charges ,"9,206.35",percent of total billed charges ,"8,664.80",percent of total billed charges ,"8,664.80",percent of total billed charges ,"7,581.70",percent of total billed charges ,"7,581.70",percent of total billed charges ,"6,498.60",percent of total billed charges ,"6,498.60",percent of total billed charges ,"6,498.60",percent of total billed charges ,"6,498.60",percent of total billed charges ,,,,,"5,762.09",percent of total billed charges ,,,,,"5,473.99",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,491.13",percent of total billed charges,,,"2,491.13",percent of total billed charges,,,"2,491.13",percent of total billed charges,,,"2,491.13",percent of total billed charges,,,"2,491.13",percent of total billed charges,,,"2,491.13",percent of total billed charges,,,"2,491.13",percent of total billed charges,,,"2,491.13",percent of total billed charges,,,"2,491.13",percent of total billed charges,,,"2,491.13",percent of total billed charges,,,"2,491.13",percent of total billed charges,
ART SURFACE UNI HIGH FLEX SZ 1-6  8-14MM,C1776,CDM,,,,both,,,"6,428.00","6,428.00","1,478.44","6,428.00","6,428.00",percent of total billed charges,"6,428.00",percent of total billed charges,"6,428.00",percent of total billed charges,"6,428.00",percent of total billed charges,"6,428.00",percent of total billed charges,"6,428.00",percent of total billed charges,"6,428.00",percent of total billed charges,"6,428.00",percent of total billed charges,"4,628.16",percent of total billed charges,"4,628.16",percent of total billed charges,"4,628.16",percent of total billed charges,"4,628.16",percent of total billed charges,"4,628.16",percent of total billed charges,"4,628.16",percent of total billed charges,"5,078.12",percent of total billed charges,"5,078.12",percent of total billed charges,"5,142.40",percent of total billed charges,"5,142.40",percent of total billed charges,,,"4,628.16",percent of total billed charges ,,,"5,142.40",percent of total billed charges ,"5,078.12",percent of total billed charges ,"5,078.12",percent of total billed charges ,"5,463.80",percent of total billed charges ,"5,463.80",percent of total billed charges ,"5,142.40",percent of total billed charges ,"5,142.40",percent of total billed charges ,"4,499.60",percent of total billed charges ,"4,499.60",percent of total billed charges ,"3,856.80",percent of total billed charges ,"3,856.80",percent of total billed charges ,"3,856.80",percent of total billed charges ,"3,856.80",percent of total billed charges ,,,,,"3,419.70",percent of total billed charges ,,,,,"3,248.71",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,478.44",percent of total billed charges,,,"1,478.44",percent of total billed charges,,,"1,478.44",percent of total billed charges,,,"1,478.44",percent of total billed charges,,,"1,478.44",percent of total billed charges,,,"1,478.44",percent of total billed charges,,,"1,478.44",percent of total billed charges,,,"1,478.44",percent of total billed charges,,,"1,478.44",percent of total billed charges,,,"1,478.44",percent of total billed charges,,,"1,478.44",percent of total billed charges,
CANNULA SHOULDER ARTHREX,272,RC,00906-99-0441,NDC,,both,,,467,467,107.41,467,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,336.24,percent of total billed charges,336.24,percent of total billed charges,336.24,percent of total billed charges,336.24,percent of total billed charges,336.24,percent of total billed charges,336.24,percent of total billed charges,368.93,percent of total billed charges,368.93,percent of total billed charges,373.6,percent of total billed charges,373.6,percent of total billed charges,,,336.24,percent of total billed charges ,,,373.6,percent of total billed charges ,368.93,percent of total billed charges ,368.93,percent of total billed charges ,396.95,percent of total billed charges ,396.95,percent of total billed charges ,373.6,percent of total billed charges ,373.6,percent of total billed charges ,326.9,percent of total billed charges ,326.9,percent of total billed charges ,280.2,percent of total billed charges ,280.2,percent of total billed charges ,280.2,percent of total billed charges ,280.2,percent of total billed charges ,,,,,248.44,percent of total billed charges ,,,,,236.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,
NEEDLE SCORPION SHOULDER ARTHREX,272,RC,00906-99-0441,NDC,,both,,,"2,634.00","2,634.00",605.82,"2,634.00","2,634.00",percent of total billed charges,"2,634.00",percent of total billed charges,"2,634.00",percent of total billed charges,"2,634.00",percent of total billed charges,"2,634.00",percent of total billed charges,"2,634.00",percent of total billed charges,"2,634.00",percent of total billed charges,"2,634.00",percent of total billed charges,"1,896.48",percent of total billed charges,"1,896.48",percent of total billed charges,"1,896.48",percent of total billed charges,"1,896.48",percent of total billed charges,"1,896.48",percent of total billed charges,"1,896.48",percent of total billed charges,"2,080.86",percent of total billed charges,"2,080.86",percent of total billed charges,"2,107.20",percent of total billed charges,"2,107.20",percent of total billed charges,,,"1,896.48",percent of total billed charges ,,,"2,107.20",percent of total billed charges ,"2,080.86",percent of total billed charges ,"2,080.86",percent of total billed charges ,"2,238.90",percent of total billed charges ,"2,238.90",percent of total billed charges ,"2,107.20",percent of total billed charges ,"2,107.20",percent of total billed charges ,"1,843.80",percent of total billed charges ,"1,843.80",percent of total billed charges ,"1,580.40",percent of total billed charges ,"1,580.40",percent of total billed charges ,"1,580.40",percent of total billed charges ,"1,580.40",percent of total billed charges ,,,,,"1,401.29",percent of total billed charges ,,,,,"1,331.22",percent of total billed charges ,,,,,,,,,,,,,,,,,,,605.82,percent of total billed charges,,,605.82,percent of total billed charges,,,605.82,percent of total billed charges,,,605.82,percent of total billed charges,,,605.82,percent of total billed charges,,,605.82,percent of total billed charges,,,605.82,percent of total billed charges,,,605.82,percent of total billed charges,,,605.82,percent of total billed charges,,,605.82,percent of total billed charges,,,605.82,percent of total billed charges,
PUSHLOCK SHOULDER ARTHREX,C1713,CDM,,,,both,,,"4,032.00","4,032.00",927.36,"4,032.00","4,032.00",percent of total billed charges,"4,032.00",percent of total billed charges,"4,032.00",percent of total billed charges,"4,032.00",percent of total billed charges,"4,032.00",percent of total billed charges,"4,032.00",percent of total billed charges,"4,032.00",percent of total billed charges,"4,032.00",percent of total billed charges,"2,903.04",percent of total billed charges,"2,903.04",percent of total billed charges,"2,903.04",percent of total billed charges,"2,903.04",percent of total billed charges,"2,903.04",percent of total billed charges,"2,903.04",percent of total billed charges,"3,185.28",percent of total billed charges,"3,185.28",percent of total billed charges,"3,225.60",percent of total billed charges,"3,225.60",percent of total billed charges,,,"2,903.04",percent of total billed charges ,,,"3,225.60",percent of total billed charges ,"3,185.28",percent of total billed charges ,"3,185.28",percent of total billed charges ,"3,427.20",percent of total billed charges ,"3,427.20",percent of total billed charges ,"3,225.60",percent of total billed charges ,"3,225.60",percent of total billed charges ,"2,822.40",percent of total billed charges ,"2,822.40",percent of total billed charges ,"2,419.20",percent of total billed charges ,"2,419.20",percent of total billed charges ,"2,419.20",percent of total billed charges ,"2,419.20",percent of total billed charges ,,,,,"2,145.02",percent of total billed charges ,,,,,"2,037.77",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,,,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,
PUSHLOCK PUNCH SHOULDER ARTHREX,C1713,CDM,,,,both,,,"1,047.00","1,047.00",240.81,"1,047.00","1,047.00",percent of total billed charges,"1,047.00",percent of total billed charges,"1,047.00",percent of total billed charges,"1,047.00",percent of total billed charges,"1,047.00",percent of total billed charges,"1,047.00",percent of total billed charges,"1,047.00",percent of total billed charges,"1,047.00",percent of total billed charges,753.84,percent of total billed charges,753.84,percent of total billed charges,753.84,percent of total billed charges,753.84,percent of total billed charges,753.84,percent of total billed charges,753.84,percent of total billed charges,827.13,percent of total billed charges,827.13,percent of total billed charges,837.6,percent of total billed charges,837.6,percent of total billed charges,,,753.84,percent of total billed charges ,,,837.6,percent of total billed charges ,827.13,percent of total billed charges ,827.13,percent of total billed charges ,889.95,percent of total billed charges ,889.95,percent of total billed charges ,837.6,percent of total billed charges ,837.6,percent of total billed charges ,732.9,percent of total billed charges ,732.9,percent of total billed charges ,628.2,percent of total billed charges ,628.2,percent of total billed charges ,628.2,percent of total billed charges ,628.2,percent of total billed charges ,,,,,557,percent of total billed charges ,,,,,529.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,240.81,percent of total billed charges,,,240.81,percent of total billed charges,,,240.81,percent of total billed charges,,,240.81,percent of total billed charges,,,240.81,percent of total billed charges,,,240.81,percent of total billed charges,,,240.81,percent of total billed charges,,,240.81,percent of total billed charges,,,240.81,percent of total billed charges,,,240.81,percent of total billed charges,,,240.81,percent of total billed charges,
BLOOD PATCH,62273,CDM,,,,both,,,"2,453.00","2,453.00",564.19,"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,"1,937.87",percent of total billed charges,"1,937.87",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 ,"1,937.87",percent of total billed charges ,"1,937.87",percent of total billed charges ,"2,085.05",percent of total billed charges ,"2,085.05",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 ,,,,,,,,,,,,,,,,,,,564.19,percent of total billed charges,,,564.19,percent of total billed charges,,,564.19,percent of total billed charges,,,564.19,percent of total billed charges,,,564.19,percent of total billed charges,,,564.19,percent of total billed charges,,,564.19,percent of total billed charges,,,564.19,percent of total billed charges,,,564.19,percent of total billed charges,,,564.19,percent of total billed charges,,,564.19,percent of total billed charges,
NERVE ROOT/GANGLION BLOCK INJ,64520,CDM,,,,both,,,"3,120.00","3,120.00",717.6,"3,120.00","3,120.00",percent of total billed charges,"3,120.00",percent of total billed charges,"3,120.00",percent of total billed charges,"3,120.00",percent of total billed charges,"3,120.00",percent of total billed charges,"3,120.00",percent of total billed charges,"3,120.00",percent of total billed charges,"3,120.00",percent of total billed charges,"2,246.40",percent of total billed charges,"2,246.40",percent of total billed charges,"2,246.40",percent of total billed charges,"2,246.40",percent of total billed charges,"2,246.40",percent of total billed charges,"2,246.40",percent of total billed charges,"2,464.80",percent of total billed charges,"2,464.80",percent of total billed charges,"2,496.00",percent of total billed charges,"2,496.00",percent of total billed charges,,,"2,246.40",percent of total billed charges ,,,"2,496.00",percent of total billed charges ,"2,464.80",percent of total billed charges ,"2,464.80",percent of total billed charges ,"2,652.00",percent of total billed charges ,"2,652.00",percent of total billed charges ,"2,496.00",percent of total billed charges ,"2,496.00",percent of total billed charges ,"2,184.00",percent of total billed charges ,"2,184.00",percent of total billed charges ,"1,872.00",percent of total billed charges ,"1,872.00",percent of total billed charges ,"1,872.00",percent of total billed charges ,"1,872.00",percent of total billed charges ,,,,,"1,659.84",percent of total billed charges ,,,,,"1,576.85",percent of total billed charges ,,,,,,,,,,,,,,,,,,,717.6,percent of total billed charges,,,717.6,percent of total billed charges,,,717.6,percent of total billed charges,,,717.6,percent of total billed charges,,,717.6,percent of total billed charges,,,717.6,percent of total billed charges,,,717.6,percent of total billed charges,,,717.6,percent of total billed charges,,,717.6,percent of total billed charges,,,717.6,percent of total billed charges,,,717.6,percent of total billed charges,
STELLATE GANGLION BK,64510,CDM,,,,both,,,"2,818.00","2,818.00",648.14,"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,"2,226.22",percent of total billed charges,"2,226.22",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 ,"2,226.22",percent of total billed charges ,"2,226.22",percent of total billed charges ,"2,395.30",percent of total billed charges ,"2,395.30",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 ,,,,,,,,,,,,,,,,,,,648.14,percent of total billed charges,,,648.14,percent of total billed charges,,,648.14,percent of total billed charges,,,648.14,percent of total billed charges,,,648.14,percent of total billed charges,,,648.14,percent of total billed charges,,,648.14,percent of total billed charges,,,648.14,percent of total billed charges,,,648.14,percent of total billed charges,,,648.14,percent of total billed charges,,,648.14,percent of total billed charges,
ADD LEVEL TRANS EPID/LUMB/SACRA,64484,CDM,,,,both,,,956,956,219.88,956,956,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,755.24,percent of total billed charges,755.24,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 ,755.24,percent of total billed charges ,755.24,percent of total billed charges ,812.6,percent of total billed charges ,812.6,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 ,,,,,,,,,,,,,,,,,,,219.88,percent of total billed charges,,,219.88,percent of total billed charges,,,219.88,percent of total billed charges,,,219.88,percent of total billed charges,,,219.88,percent of total billed charges,,,219.88,percent of total billed charges,,,219.88,percent of total billed charges,,,219.88,percent of total billed charges,,,219.88,percent of total billed charges,,,219.88,percent of total billed charges,,,219.88,percent of total billed charges,
TRANSFORAMINAL EPID/LUMB/SACR,64483,CDM,,,,both,,,"3,012.00","3,012.00",692.76,"3,012.00","3,012.00",percent of total billed charges,"3,012.00",percent of total billed charges,"3,012.00",percent of total billed charges,"3,012.00",percent of total billed charges,"3,012.00",percent of total billed charges,"3,012.00",percent of total billed charges,"3,012.00",percent of total billed charges,"3,012.00",percent of total billed charges,"2,168.64",percent of total billed charges,"2,168.64",percent of total billed charges,"2,168.64",percent of total billed charges,"2,168.64",percent of total billed charges,"2,168.64",percent of total billed charges,"2,168.64",percent of total billed charges,"2,379.48",percent of total billed charges,"2,379.48",percent of total billed charges,"2,409.60",percent of total billed charges,"2,409.60",percent of total billed charges,,,"2,168.64",percent of total billed charges ,,,"2,409.60",percent of total billed charges ,"2,379.48",percent of total billed charges ,"2,379.48",percent of total billed charges ,"2,560.20",percent of total billed charges ,"2,560.20",percent of total billed charges ,"2,409.60",percent of total billed charges ,"2,409.60",percent of total billed charges ,"2,108.40",percent of total billed charges ,"2,108.40",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 ,,,,,"1,602.38",percent of total billed charges ,,,,,"1,522.26",percent of total billed charges ,,,,,,,,,,,,,,,,,,,692.76,percent of total billed charges,,,692.76,percent of total billed charges,,,692.76,percent of total billed charges,,,692.76,percent of total billed charges,,,692.76,percent of total billed charges,,,692.76,percent of total billed charges,,,692.76,percent of total billed charges,,,692.76,percent of total billed charges,,,692.76,percent of total billed charges,,,692.76,percent of total billed charges,,,692.76,percent of total billed charges,
ADDLT TRANS EPID/CERV/THOR,64480,CDM,,,,both,,,956,956,219.88,956,956,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,755.24,percent of total billed charges,755.24,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 ,755.24,percent of total billed charges ,755.24,percent of total billed charges ,812.6,percent of total billed charges ,812.6,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 ,,,,,,,,,,,,,,,,,,,219.88,percent of total billed charges,,,219.88,percent of total billed charges,,,219.88,percent of total billed charges,,,219.88,percent of total billed charges,,,219.88,percent of total billed charges,,,219.88,percent of total billed charges,,,219.88,percent of total billed charges,,,219.88,percent of total billed charges,,,219.88,percent of total billed charges,,,219.88,percent of total billed charges,,,219.88,percent of total billed charges,
TRANSFORAMINAL EPID/CERV/THOR,64479,CDM,,,,both,,,"3,052.00","3,052.00",701.96,"3,052.00","3,052.00",percent of total billed charges,"3,052.00",percent of total billed charges,"3,052.00",percent of total billed charges,"3,052.00",percent of total billed charges,"3,052.00",percent of total billed charges,"3,052.00",percent of total billed charges,"3,052.00",percent of total billed charges,"3,052.00",percent of total billed charges,"2,197.44",percent of total billed charges,"2,197.44",percent of total billed charges,"2,197.44",percent of total billed charges,"2,197.44",percent of total billed charges,"2,197.44",percent of total billed charges,"2,197.44",percent of total billed charges,"2,411.08",percent of total billed charges,"2,411.08",percent of total billed charges,"2,441.60",percent of total billed charges,"2,441.60",percent of total billed charges,,,"2,197.44",percent of total billed charges ,,,"2,441.60",percent of total billed charges ,"2,411.08",percent of total billed charges ,"2,411.08",percent of total billed charges ,"2,594.20",percent of total billed charges ,"2,594.20",percent of total billed charges ,"2,441.60",percent of total billed charges ,"2,441.60",percent of total billed charges ,"2,136.40",percent of total billed charges ,"2,136.40",percent of total billed charges ,"1,831.20",percent of total billed charges ,"1,831.20",percent of total billed charges ,"1,831.20",percent of total billed charges ,"1,831.20",percent of total billed charges ,,,,,"1,623.66",percent of total billed charges ,,,,,"1,542.48",percent of total billed charges ,,,,,,,,,,,,,,,,,,,701.96,percent of total billed charges,,,701.96,percent of total billed charges,,,701.96,percent of total billed charges,,,701.96,percent of total billed charges,,,701.96,percent of total billed charges,,,701.96,percent of total billed charges,,,701.96,percent of total billed charges,,,701.96,percent of total billed charges,,,701.96,percent of total billed charges,,,701.96,percent of total billed charges,,,701.96,percent of total billed charges,
2ND LEVEL FACET INJ LUMBAR/SACRAL,64494,CDM,,,,both,,,"1,552.00","1,552.00",356.96,"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,"1,226.08",percent of total billed charges,"1,226.08",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 ,"1,226.08",percent of total billed charges ,"1,226.08",percent of total billed charges ,"1,319.20",percent of total billed charges ,"1,319.20",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 ,,,,,,,,,,,,,,,,,,,356.96,percent of total billed charges,,,356.96,percent of total billed charges,,,356.96,percent of total billed charges,,,356.96,percent of total billed charges,,,356.96,percent of total billed charges,,,356.96,percent of total billed charges,,,356.96,percent of total billed charges,,,356.96,percent of total billed charges,,,356.96,percent of total billed charges,,,356.96,percent of total billed charges,,,356.96,percent of total billed charges,
FACET INJ/LUMBAR/MEDIAN/SACRAL W/IMAGING,64493,CDM,,,,both,,,"3,032.00","3,032.00",697.36,"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,"2,395.28",percent of total billed charges,"2,395.28",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 ,"2,395.28",percent of total billed charges ,"2,395.28",percent of total billed charges ,"2,577.20",percent of total billed charges ,"2,577.20",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 ,,,,,,,,,,,,,,,,,,,697.36,percent of total billed charges,,,697.36,percent of total billed charges,,,697.36,percent of total billed charges,,,697.36,percent of total billed charges,,,697.36,percent of total billed charges,,,697.36,percent of total billed charges,,,697.36,percent of total billed charges,,,697.36,percent of total billed charges,,,697.36,percent of total billed charges,,,697.36,percent of total billed charges,,,697.36,percent of total billed charges,
2ND LEVEL FACET INJ CERV/THORACIC,64491,CDM,,,,both,,,"1,110.00","1,110.00",255.3,"1,110.00","1,110.00",percent of total billed charges,"1,110.00",percent of total billed charges,"1,110.00",percent of total billed charges,"1,110.00",percent of total billed charges,"1,110.00",percent of total billed charges,"1,110.00",percent of total billed charges,"1,110.00",percent of total billed charges,"1,110.00",percent of total billed charges,799.2,percent of total billed charges,799.2,percent of total billed charges,799.2,percent of total billed charges,799.2,percent of total billed charges,799.2,percent of total billed charges,799.2,percent of total billed charges,876.9,percent of total billed charges,876.9,percent of total billed charges,888,percent of total billed charges,888,percent of total billed charges,,,799.2,percent of total billed charges ,,,888,percent of total billed charges ,876.9,percent of total billed charges ,876.9,percent of total billed charges ,943.5,percent of total billed charges ,943.5,percent of total billed charges ,888,percent of total billed charges ,888,percent of total billed charges ,777,percent of total billed charges ,777,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 ,,,,,590.52,percent of total billed charges ,,,,,560.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,255.3,percent of total billed charges,,,255.3,percent of total billed charges,,,255.3,percent of total billed charges,,,255.3,percent of total billed charges,,,255.3,percent of total billed charges,,,255.3,percent of total billed charges,,,255.3,percent of total billed charges,,,255.3,percent of total billed charges,,,255.3,percent of total billed charges,,,255.3,percent of total billed charges,,,255.3,percent of total billed charges,
FACET INJ/CERVICAL WITH IMAGING,64490,CDM,,,,both,,,"2,336.00","2,336.00",537.28,"2,336.00","2,336.00",percent of total billed charges,"2,336.00",percent of total billed charges,"2,336.00",percent of total billed charges,"2,336.00",percent of total billed charges,"2,336.00",percent of total billed charges,"2,336.00",percent of total billed charges,"2,336.00",percent of total billed charges,"2,336.00",percent of total billed charges,"1,681.92",percent of total billed charges,"1,681.92",percent of total billed charges,"1,681.92",percent of total billed charges,"1,681.92",percent of total billed charges,"1,681.92",percent of total billed charges,"1,681.92",percent of total billed charges,"1,845.44",percent of total billed charges,"1,845.44",percent of total billed charges,"1,868.80",percent of total billed charges,"1,868.80",percent of total billed charges,,,"1,681.92",percent of total billed charges ,,,"1,868.80",percent of total billed charges ,"1,845.44",percent of total billed charges ,"1,845.44",percent of total billed charges ,"1,985.60",percent of total billed charges ,"1,985.60",percent of total billed charges ,"1,868.80",percent of total billed charges ,"1,868.80",percent of total billed charges ,"1,635.20",percent of total billed charges ,"1,635.20",percent of total billed charges ,"1,401.60",percent of total billed charges ,"1,401.60",percent of total billed charges ,"1,401.60",percent of total billed charges ,"1,401.60",percent of total billed charges ,,,,,"1,242.75",percent of total billed charges ,,,,,"1,180.61",percent of total billed charges ,,,,,,,,,,,,,,,,,,,537.28,percent of total billed charges,,,537.28,percent of total billed charges,,,537.28,percent of total billed charges,,,537.28,percent of total billed charges,,,537.28,percent of total billed charges,,,537.28,percent of total billed charges,,,537.28,percent of total billed charges,,,537.28,percent of total billed charges,,,537.28,percent of total billed charges,,,537.28,percent of total billed charges,,,537.28,percent of total billed charges,
TRIGEMINAL NERVE BRANCH BLOCK,64400,CDM,,,GF,both,,,"1,844.00","1,844.00",424.12,"1,844.00","1,844.00",percent of total billed charges,"1,844.00",percent of total billed charges,"1,844.00",percent of total billed charges,"1,844.00",percent of total billed charges,"1,844.00",percent of total billed charges,"1,844.00",percent of total billed charges,"1,844.00",percent of total billed charges,"1,844.00",percent of total billed charges,"1,327.68",percent of total billed charges,"1,327.68",percent of total billed charges,"1,327.68",percent of total billed charges,"1,327.68",percent of total billed charges,"1,327.68",percent of total billed charges,"1,327.68",percent of total billed charges,"1,456.76",percent of total billed charges,"1,456.76",percent of total billed charges,"1,475.20",percent of total billed charges,"1,475.20",percent of total billed charges,,,"1,327.68",percent of total billed charges ,,,"1,475.20",percent of total billed charges ,"1,456.76",percent of total billed charges ,"1,456.76",percent of total billed charges ,"1,567.40",percent of total billed charges ,"1,567.40",percent of total billed charges ,"1,475.20",percent of total billed charges ,"1,475.20",percent of total billed charges ,"1,290.80",percent of total billed charges ,"1,290.80",percent of total billed charges ,"1,106.40",percent of total billed charges ,"1,106.40",percent of total billed charges ,"1,106.40",percent of total billed charges ,"1,106.40",percent of total billed charges ,,,,,981.01,percent of total billed charges ,,,,,931.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,
EPIDURAL INJ/LUMBAR/SACR/CAUD W/O IMAGIN,62322,CDM,,,,both,,,"2,740.00","2,740.00",630.2,"2,740.00","2,740.00",percent of total billed charges,"2,740.00",percent of total billed charges,"2,740.00",percent of total billed charges,"2,740.00",percent of total billed charges,"2,740.00",percent of total billed charges,"2,740.00",percent of total billed charges,"2,740.00",percent of total billed charges,"2,740.00",percent of total billed charges,"1,972.80",percent of total billed charges,"1,972.80",percent of total billed charges,"1,972.80",percent of total billed charges,"1,972.80",percent of total billed charges,"1,972.80",percent of total billed charges,"1,972.80",percent of total billed charges,"2,164.60",percent of total billed charges,"2,164.60",percent of total billed charges,"2,192.00",percent of total billed charges,"2,192.00",percent of total billed charges,,,"1,972.80",percent of total billed charges ,,,"2,192.00",percent of total billed charges ,"2,164.60",percent of total billed charges ,"2,164.60",percent of total billed charges ,"2,329.00",percent of total billed charges ,"2,329.00",percent of total billed charges ,"2,192.00",percent of total billed charges ,"2,192.00",percent of total billed charges ,"1,918.00",percent of total billed charges ,"1,918.00",percent of total billed charges ,"1,644.00",percent of total billed charges ,"1,644.00",percent of total billed charges ,"1,644.00",percent of total billed charges ,"1,644.00",percent of total billed charges ,,,,,"1,457.68",percent of total billed charges ,,,,,"1,384.80",percent of total billed charges ,,,,,,,,,,,,,,,,,,,630.2,percent of total billed charges,,,630.2,percent of total billed charges,,,630.2,percent of total billed charges,,,630.2,percent of total billed charges,,,630.2,percent of total billed charges,,,630.2,percent of total billed charges,,,630.2,percent of total billed charges,,,630.2,percent of total billed charges,,,630.2,percent of total billed charges,,,630.2,percent of total billed charges,,,630.2,percent of total billed charges,
EPIDURAL INJ/CERVICAL/THORACIC W/O IMAGI,62320,CDM,,,,both,,,"2,917.00","2,917.00",670.91,"2,917.00","2,917.00",percent of total billed charges,"2,917.00",percent of total billed charges,"2,917.00",percent of total billed charges,"2,917.00",percent of total billed charges,"2,917.00",percent of total billed charges,"2,917.00",percent of total billed charges,"2,917.00",percent of total billed charges,"2,917.00",percent of total billed charges,"2,100.24",percent of total billed charges,"2,100.24",percent of total billed charges,"2,100.24",percent of total billed charges,"2,100.24",percent of total billed charges,"2,100.24",percent of total billed charges,"2,100.24",percent of total billed charges,"2,304.43",percent of total billed charges,"2,304.43",percent of total billed charges,"2,333.60",percent of total billed charges,"2,333.60",percent of total billed charges,,,"2,100.24",percent of total billed charges ,,,"2,333.60",percent of total billed charges ,"2,304.43",percent of total billed charges ,"2,304.43",percent of total billed charges ,"2,479.45",percent of total billed charges ,"2,479.45",percent of total billed charges ,"2,333.60",percent of total billed charges ,"2,333.60",percent of total billed charges ,"2,041.90",percent of total billed charges ,"2,041.90",percent of total billed charges ,"1,750.20",percent of total billed charges ,"1,750.20",percent of total billed charges ,"1,750.20",percent of total billed charges ,"1,750.20",percent of total billed charges ,,,,,"1,551.84",percent of total billed charges ,,,,,"1,474.25",percent of total billed charges ,,,,,,,,,,,,,,,,,,,670.91,percent of total billed charges,,,670.91,percent of total billed charges,,,670.91,percent of total billed charges,,,670.91,percent of total billed charges,,,670.91,percent of total billed charges,,,670.91,percent of total billed charges,,,670.91,percent of total billed charges,,,670.91,percent of total billed charges,,,670.91,percent of total billed charges,,,670.91,percent of total billed charges,,,670.91,percent of total billed charges,
TRIGGER POINT INJ,20550,CDM,,,,both,,,"1,844.00","1,844.00",424.12,"1,844.00","1,844.00",percent of total billed charges,"1,844.00",percent of total billed charges,"1,844.00",percent of total billed charges,"1,844.00",percent of total billed charges,"1,844.00",percent of total billed charges,"1,844.00",percent of total billed charges,"1,844.00",percent of total billed charges,"1,844.00",percent of total billed charges,"1,327.68",percent of total billed charges,"1,327.68",percent of total billed charges,"1,327.68",percent of total billed charges,"1,327.68",percent of total billed charges,"1,327.68",percent of total billed charges,"1,327.68",percent of total billed charges,"1,456.76",percent of total billed charges,"1,456.76",percent of total billed charges,"1,475.20",percent of total billed charges,"1,475.20",percent of total billed charges,,,"1,327.68",percent of total billed charges ,,,"1,475.20",percent of total billed charges ,"1,456.76",percent of total billed charges ,"1,456.76",percent of total billed charges ,"1,567.40",percent of total billed charges ,"1,567.40",percent of total billed charges ,"1,475.20",percent of total billed charges ,"1,475.20",percent of total billed charges ,"1,290.80",percent of total billed charges ,"1,290.80",percent of total billed charges ,"1,106.40",percent of total billed charges ,"1,106.40",percent of total billed charges ,"1,106.40",percent of total billed charges ,"1,106.40",percent of total billed charges ,,,,,981.01,percent of total billed charges ,,,,,931.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,
SELECTIVE NERVE BLK/CERV/THOR,64479,CDM,,,,both,,,"3,052.00","3,052.00",701.96,"3,052.00","3,052.00",percent of total billed charges,"3,052.00",percent of total billed charges,"3,052.00",percent of total billed charges,"3,052.00",percent of total billed charges,"3,052.00",percent of total billed charges,"3,052.00",percent of total billed charges,"3,052.00",percent of total billed charges,"3,052.00",percent of total billed charges,"2,197.44",percent of total billed charges,"2,197.44",percent of total billed charges,"2,197.44",percent of total billed charges,"2,197.44",percent of total billed charges,"2,197.44",percent of total billed charges,"2,197.44",percent of total billed charges,"2,411.08",percent of total billed charges,"2,411.08",percent of total billed charges,"2,441.60",percent of total billed charges,"2,441.60",percent of total billed charges,,,"2,197.44",percent of total billed charges ,,,"2,441.60",percent of total billed charges ,"2,411.08",percent of total billed charges ,"2,411.08",percent of total billed charges ,"2,594.20",percent of total billed charges ,"2,594.20",percent of total billed charges ,"2,441.60",percent of total billed charges ,"2,441.60",percent of total billed charges ,"2,136.40",percent of total billed charges ,"2,136.40",percent of total billed charges ,"1,831.20",percent of total billed charges ,"1,831.20",percent of total billed charges ,"1,831.20",percent of total billed charges ,"1,831.20",percent of total billed charges ,,,,,"1,623.66",percent of total billed charges ,,,,,"1,542.48",percent of total billed charges ,,,,,,,,,,,,,,,,,,,701.96,percent of total billed charges,,,701.96,percent of total billed charges,,,701.96,percent of total billed charges,,,701.96,percent of total billed charges,,,701.96,percent of total billed charges,,,701.96,percent of total billed charges,,,701.96,percent of total billed charges,,,701.96,percent of total billed charges,,,701.96,percent of total billed charges,,,701.96,percent of total billed charges,,,701.96,percent of total billed charges,
SELECTIVE NERVE BLK/LUMB/SACR,64483,CDM,,,,both,,,"3,140.00","3,140.00",722.2,"3,140.00","3,140.00",percent of total billed charges,"3,140.00",percent of total billed charges,"3,140.00",percent of total billed charges,"3,140.00",percent of total billed charges,"3,140.00",percent of total billed charges,"3,140.00",percent of total billed charges,"3,140.00",percent of total billed charges,"3,140.00",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,"2,260.80",percent of total billed charges,"2,260.80",percent of total billed charges,"2,480.60",percent of total billed charges,"2,480.60",percent of total billed charges,"2,512.00",percent of total billed charges,"2,512.00",percent of total billed charges,,,"2,260.80",percent of total billed charges ,,,"2,512.00",percent of total billed charges ,"2,480.60",percent of total billed charges ,"2,480.60",percent of total billed charges ,"2,669.00",percent of total billed charges ,"2,669.00",percent of total billed charges ,"2,512.00",percent of total billed charges ,"2,512.00",percent of total billed charges ,"2,198.00",percent of total billed charges ,"2,198.00",percent of total billed charges ,"1,884.00",percent of total billed charges ,"1,884.00",percent of total billed charges ,"1,884.00",percent of total billed charges ,"1,884.00",percent of total billed charges ,,,,,"1,670.48",percent of total billed charges ,,,,,"1,586.96",percent of total billed charges ,,,,,,,,,,,,,,,,,,,722.2,percent of total billed charges,,,722.2,percent of total billed charges,,,722.2,percent of total billed charges,,,722.2,percent of total billed charges,,,722.2,percent of total billed charges,,,722.2,percent of total billed charges,,,722.2,percent of total billed charges,,,722.2,percent of total billed charges,,,722.2,percent of total billed charges,,,722.2,percent of total billed charges,,,722.2,percent of total billed charges,
SACRAL ILIAC INJ WITH IMAGING,27096,CDM,,,,both,,,"2,051.00","2,051.00",471.73,"2,051.00","2,051.00",percent of total billed charges,"2,051.00",percent of total billed charges,"2,051.00",percent of total billed charges,"2,051.00",percent of total billed charges,"2,051.00",percent of total billed charges,"2,051.00",percent of total billed charges,"2,051.00",percent of total billed charges,"2,051.00",percent of total billed charges,"1,476.72",percent of total billed charges,"1,476.72",percent of total billed charges,"1,476.72",percent of total billed charges,"1,476.72",percent of total billed charges,"1,476.72",percent of total billed charges,"1,476.72",percent of total billed charges,"1,620.29",percent of total billed charges,"1,620.29",percent of total billed charges,"1,640.80",percent of total billed charges,"1,640.80",percent of total billed charges,,,"1,476.72",percent of total billed charges ,,,"1,640.80",percent of total billed charges ,"1,620.29",percent of total billed charges ,"1,620.29",percent of total billed charges ,"1,743.35",percent of total billed charges ,"1,743.35",percent of total billed charges ,"1,640.80",percent of total billed charges ,"1,640.80",percent of total billed charges ,"1,435.70",percent of total billed charges ,"1,435.70",percent of total billed charges ,"1,230.60",percent of total billed charges ,"1,230.60",percent of total billed charges ,"1,230.60",percent of total billed charges ,"1,230.60",percent of total billed charges ,,,,,"1,091.13",percent of total billed charges ,,,,,"1,036.58",percent of total billed charges ,,,,,,,,,,,,,,,,,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,
**PUMP REFILL PROC,95991,CDM,,,,both,,,956,956,219.88,956,956,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,755.24,percent of total billed charges,755.24,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 ,755.24,percent of total billed charges ,755.24,percent of total billed charges ,812.6,percent of total billed charges ,812.6,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 ,,,,,,,,,,,,,,,,,,,219.88,percent of total billed charges,,,219.88,percent of total billed charges,,,219.88,percent of total billed charges,,,219.88,percent of total billed charges,,,219.88,percent of total billed charges,,,219.88,percent of total billed charges,,,219.88,percent of total billed charges,,,219.88,percent of total billed charges,,,219.88,percent of total billed charges,,,219.88,percent of total billed charges,,,219.88,percent of total billed charges,
**PYRIFORMIS MUSCLE INJECTION,96372,CDM,,,59,both,,,"1,782.00","1,782.00",409.86,"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,"1,407.78",percent of total billed charges,"1,407.78",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 ,"1,407.78",percent of total billed charges ,"1,407.78",percent of total billed charges ,"1,514.70",percent of total billed charges ,"1,514.70",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 ,,,,,,,,,,,,,,,,,,,409.86,percent of total billed charges,,,409.86,percent of total billed charges,,,409.86,percent of total billed charges,,,409.86,percent of total billed charges,,,409.86,percent of total billed charges,,,409.86,percent of total billed charges,,,409.86,percent of total billed charges,,,409.86,percent of total billed charges,,,409.86,percent of total billed charges,,,409.86,percent of total billed charges,,,409.86,percent of total billed charges,
LUMBAR PUNCTURE,62270,CDM,,,,both,,,"1,550.00","1,550.00",356.5,"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,"1,224.50",percent of total billed charges,"1,224.50",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 ,"1,224.50",percent of total billed charges ,"1,224.50",percent of total billed charges ,"1,317.50",percent of total billed charges ,"1,317.50",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 ,,,,,,,,,,,,,,,,,,,356.5,percent of total billed charges,,,356.5,percent of total billed charges,,,356.5,percent of total billed charges,,,356.5,percent of total billed charges,,,356.5,percent of total billed charges,,,356.5,percent of total billed charges,,,356.5,percent of total billed charges,,,356.5,percent of total billed charges,,,356.5,percent of total billed charges,,,356.5,percent of total billed charges,,,356.5,percent of total billed charges,
PARAINTERARTICULASIS INJECTION,64493,CDM,,,,both,,,"3,032.00","3,032.00",697.36,"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,"2,395.28",percent of total billed charges,"2,395.28",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 ,"2,395.28",percent of total billed charges ,"2,395.28",percent of total billed charges ,"2,577.20",percent of total billed charges ,"2,577.20",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 ,,,,,,,,,,,,,,,,,,,697.36,percent of total billed charges,,,697.36,percent of total billed charges,,,697.36,percent of total billed charges,,,697.36,percent of total billed charges,,,697.36,percent of total billed charges,,,697.36,percent of total billed charges,,,697.36,percent of total billed charges,,,697.36,percent of total billed charges,,,697.36,percent of total billed charges,,,697.36,percent of total billed charges,,,697.36,percent of total billed charges,
INTERCOSTAL NERVE BLOCK SINGLE,64420,CDM,,,,both,,,"2,111.00","2,111.00",485.53,"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,"1,667.69",percent of total billed charges,"1,667.69",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 ,"1,667.69",percent of total billed charges ,"1,667.69",percent of total billed charges ,"1,794.35",percent of total billed charges ,"1,794.35",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 ,,,,,,,,,,,,,,,,,,,485.53,percent of total billed charges,,,485.53,percent of total billed charges,,,485.53,percent of total billed charges,,,485.53,percent of total billed charges,,,485.53,percent of total billed charges,,,485.53,percent of total billed charges,,,485.53,percent of total billed charges,,,485.53,percent of total billed charges,,,485.53,percent of total billed charges,,,485.53,percent of total billed charges,,,485.53,percent of total billed charges,
OCCIPITAL NERVE BLOCK,64450,CDM,,,GF,both,,,"2,114.00","2,114.00",486.22,"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,"1,670.06",percent of total billed charges,"1,670.06",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 ,"1,670.06",percent of total billed charges ,"1,670.06",percent of total billed charges ,"1,796.90",percent of total billed charges ,"1,796.90",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 ,,,,,,,,,,,,,,,,,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,
INJECTION INTO SMALL JOINT BURS,20600,CDM,,,,both,,,"1,272.00","1,272.00",292.56,"1,272.00","1,272.00",percent of total billed charges,"1,272.00",percent of total billed charges,"1,272.00",percent of total billed charges,"1,272.00",percent of total billed charges,"1,272.00",percent of total billed charges,"1,272.00",percent of total billed charges,"1,272.00",percent of total billed charges,"1,272.00",percent of total billed charges,915.84,percent of total billed charges,915.84,percent of total billed charges,915.84,percent of total billed charges,915.84,percent of total billed charges,915.84,percent of total billed charges,915.84,percent of total billed charges,"1,004.88",percent of total billed charges,"1,004.88",percent of total billed charges,"1,017.60",percent of total billed charges,"1,017.60",percent of total billed charges,,,915.84,percent of total billed charges ,,,"1,017.60",percent of total billed charges ,"1,004.88",percent of total billed charges ,"1,004.88",percent of total billed charges ,"1,081.20",percent of total billed charges ,"1,081.20",percent of total billed charges ,"1,017.60",percent of total billed charges ,"1,017.60",percent of total billed charges ,890.4,percent of total billed charges ,890.4,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 ,,,,,676.7,percent of total billed charges ,,,,,642.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,292.56,percent of total billed charges,,,292.56,percent of total billed charges,,,292.56,percent of total billed charges,,,292.56,percent of total billed charges,,,292.56,percent of total billed charges,,,292.56,percent of total billed charges,,,292.56,percent of total billed charges,,,292.56,percent of total billed charges,,,292.56,percent of total billed charges,,,292.56,percent of total billed charges,,,292.56,percent of total billed charges,
SHOULDER INJECTION,20610,CDM,,,GF,both,,,"1,844.00","1,844.00",424.12,"1,844.00","1,844.00",percent of total billed charges,"1,844.00",percent of total billed charges,"1,844.00",percent of total billed charges,"1,844.00",percent of total billed charges,"1,844.00",percent of total billed charges,"1,844.00",percent of total billed charges,"1,844.00",percent of total billed charges,"1,844.00",percent of total billed charges,"1,327.68",percent of total billed charges,"1,327.68",percent of total billed charges,"1,327.68",percent of total billed charges,"1,327.68",percent of total billed charges,"1,327.68",percent of total billed charges,"1,327.68",percent of total billed charges,"1,456.76",percent of total billed charges,"1,456.76",percent of total billed charges,"1,475.20",percent of total billed charges,"1,475.20",percent of total billed charges,,,"1,327.68",percent of total billed charges ,,,"1,475.20",percent of total billed charges ,"1,456.76",percent of total billed charges ,"1,456.76",percent of total billed charges ,"1,567.40",percent of total billed charges ,"1,567.40",percent of total billed charges ,"1,475.20",percent of total billed charges ,"1,475.20",percent of total billed charges ,"1,290.80",percent of total billed charges ,"1,290.80",percent of total billed charges ,"1,106.40",percent of total billed charges ,"1,106.40",percent of total billed charges ,"1,106.40",percent of total billed charges ,"1,106.40",percent of total billed charges ,,,,,981.01,percent of total billed charges ,,,,,931.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,
SHOULDER INJECTION,20610,CDM,,,GF,both,,,"1,844.00","1,844.00",424.12,"1,844.00","1,844.00",percent of total billed charges,"1,844.00",percent of total billed charges,"1,844.00",percent of total billed charges,"1,844.00",percent of total billed charges,"1,844.00",percent of total billed charges,"1,844.00",percent of total billed charges,"1,844.00",percent of total billed charges,"1,844.00",percent of total billed charges,"1,327.68",percent of total billed charges,"1,327.68",percent of total billed charges,"1,327.68",percent of total billed charges,"1,327.68",percent of total billed charges,"1,327.68",percent of total billed charges,"1,327.68",percent of total billed charges,"1,456.76",percent of total billed charges,"1,456.76",percent of total billed charges,"1,475.20",percent of total billed charges,"1,475.20",percent of total billed charges,,,"1,327.68",percent of total billed charges ,,,"1,475.20",percent of total billed charges ,"1,456.76",percent of total billed charges ,"1,456.76",percent of total billed charges ,"1,567.40",percent of total billed charges ,"1,567.40",percent of total billed charges ,"1,475.20",percent of total billed charges ,"1,475.20",percent of total billed charges ,"1,290.80",percent of total billed charges ,"1,290.80",percent of total billed charges ,"1,106.40",percent of total billed charges ,"1,106.40",percent of total billed charges ,"1,106.40",percent of total billed charges ,"1,106.40",percent of total billed charges ,,,,,981.01,percent of total billed charges ,,,,,931.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,
INJ TENDON/TR,20551,CDM,,,,both,,,"1,272.00","1,272.00",292.56,"1,272.00","1,272.00",percent of total billed charges,"1,272.00",percent of total billed charges,"1,272.00",percent of total billed charges,"1,272.00",percent of total billed charges,"1,272.00",percent of total billed charges,"1,272.00",percent of total billed charges,"1,272.00",percent of total billed charges,"1,272.00",percent of total billed charges,915.84,percent of total billed charges,915.84,percent of total billed charges,915.84,percent of total billed charges,915.84,percent of total billed charges,915.84,percent of total billed charges,915.84,percent of total billed charges,"1,004.88",percent of total billed charges,"1,004.88",percent of total billed charges,"1,017.60",percent of total billed charges,"1,017.60",percent of total billed charges,,,915.84,percent of total billed charges ,,,"1,017.60",percent of total billed charges ,"1,004.88",percent of total billed charges ,"1,004.88",percent of total billed charges ,"1,081.20",percent of total billed charges ,"1,081.20",percent of total billed charges ,"1,017.60",percent of total billed charges ,"1,017.60",percent of total billed charges ,890.4,percent of total billed charges ,890.4,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 ,,,,,676.7,percent of total billed charges ,,,,,642.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,292.56,percent of total billed charges,,,292.56,percent of total billed charges,,,292.56,percent of total billed charges,,,292.56,percent of total billed charges,,,292.56,percent of total billed charges,,,292.56,percent of total billed charges,,,292.56,percent of total billed charges,,,292.56,percent of total billed charges,,,292.56,percent of total billed charges,,,292.56,percent of total billed charges,,,292.56,percent of total billed charges,
"HIP,KNEE,SHOULDER, JOINT INJ W/O IMAGING",20610,CDM,,,GF,both,,,"1,844.00","1,844.00",424.12,"1,844.00","1,844.00",percent of total billed charges,"1,844.00",percent of total billed charges,"1,844.00",percent of total billed charges,"1,844.00",percent of total billed charges,"1,844.00",percent of total billed charges,"1,844.00",percent of total billed charges,"1,844.00",percent of total billed charges,"1,844.00",percent of total billed charges,"1,327.68",percent of total billed charges,"1,327.68",percent of total billed charges,"1,327.68",percent of total billed charges,"1,327.68",percent of total billed charges,"1,327.68",percent of total billed charges,"1,327.68",percent of total billed charges,"1,456.76",percent of total billed charges,"1,456.76",percent of total billed charges,"1,475.20",percent of total billed charges,"1,475.20",percent of total billed charges,,,"1,327.68",percent of total billed charges ,,,"1,475.20",percent of total billed charges ,"1,456.76",percent of total billed charges ,"1,456.76",percent of total billed charges ,"1,567.40",percent of total billed charges ,"1,567.40",percent of total billed charges ,"1,475.20",percent of total billed charges ,"1,475.20",percent of total billed charges ,"1,290.80",percent of total billed charges ,"1,290.80",percent of total billed charges ,"1,106.40",percent of total billed charges ,"1,106.40",percent of total billed charges ,"1,106.40",percent of total billed charges ,"1,106.40",percent of total billed charges ,,,,,981.01,percent of total billed charges ,,,,,931.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,,,424.12,percent of total billed charges,
LENS MA60AC 3 PIECE ANTERIOR CHAMBER,C1780,CDM,,,,both,,,"1,258.00","1,258.00",289.34,"1,258.00","1,258.00",percent of total billed charges,"1,258.00",percent of total billed charges,"1,258.00",percent of total billed charges,"1,258.00",percent of total billed charges,"1,258.00",percent of total billed charges,"1,258.00",percent of total billed charges,"1,258.00",percent of total billed charges,"1,258.00",percent of total billed charges,905.76,percent of total billed charges,905.76,percent of total billed charges,905.76,percent of total billed charges,905.76,percent of total billed charges,905.76,percent of total billed charges,905.76,percent of total billed charges,993.82,percent of total billed charges,993.82,percent of total billed charges,"1,006.40",percent of total billed charges,"1,006.40",percent of total billed charges,,,905.76,percent of total billed charges ,,,"1,006.40",percent of total billed charges ,993.82,percent of total billed charges ,993.82,percent of total billed charges ,"1,069.30",percent of total billed charges ,"1,069.30",percent of total billed charges ,"1,006.40",percent of total billed charges ,"1,006.40",percent of total billed charges ,880.6,percent of total billed charges ,880.6,percent of total billed charges ,754.8,percent of total billed charges ,754.8,percent of total billed charges ,754.8,percent of total billed charges ,754.8,percent of total billed charges ,,,,,669.26,percent of total billed charges ,,,,,635.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,
LENS TORIC,C1780,CDM,,,,both,,,"4,829.00","4,829.00","1,110.67","4,829.00","4,829.00",percent of total billed charges,"4,829.00",percent of total billed charges,"4,829.00",percent of total billed charges,"4,829.00",percent of total billed charges,"4,829.00",percent of total billed charges,"4,829.00",percent of total billed charges,"4,829.00",percent of total billed charges,"4,829.00",percent of total billed charges,"3,476.88",percent of total billed charges,"3,476.88",percent of total billed charges,"3,476.88",percent of total billed charges,"3,476.88",percent of total billed charges,"3,476.88",percent of total billed charges,"3,476.88",percent of total billed charges,"3,814.91",percent of total billed charges,"3,814.91",percent of total billed charges,"3,863.20",percent of total billed charges,"3,863.20",percent of total billed charges,,,"3,476.88",percent of total billed charges ,,,"3,863.20",percent of total billed charges ,"3,814.91",percent of total billed charges ,"3,814.91",percent of total billed charges ,"4,104.65",percent of total billed charges ,"4,104.65",percent of total billed charges ,"3,863.20",percent of total billed charges ,"3,863.20",percent of total billed charges ,"3,380.30",percent of total billed charges ,"3,380.30",percent of total billed charges ,"2,897.40",percent of total billed charges ,"2,897.40",percent of total billed charges ,"2,897.40",percent of total billed charges ,"2,897.40",percent of total billed charges ,,,,,"2,569.03",percent of total billed charges ,,,,,"2,440.58",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,110.67",percent of total billed charges,,,"1,110.67",percent of total billed charges,,,"1,110.67",percent of total billed charges,,,"1,110.67",percent of total billed charges,,,"1,110.67",percent of total billed charges,,,"1,110.67",percent of total billed charges,,,"1,110.67",percent of total billed charges,,,"1,110.67",percent of total billed charges,,,"1,110.67",percent of total billed charges,,,"1,110.67",percent of total billed charges,,,"1,110.67",percent of total billed charges,
SCREW PROFILE 8X20 MM & 8X25MM,C1713,CDM,,,,both,,,"1,900.00","1,900.00",437,"1,900.00","1,900.00",percent of total billed charges,"1,900.00",percent of total billed charges,"1,900.00",percent of total billed charges,"1,900.00",percent of total billed charges,"1,900.00",percent of total billed charges,"1,900.00",percent of total billed charges,"1,900.00",percent of total billed charges,"1,900.00",percent of total billed charges,"1,368.00",percent of total billed charges,"1,368.00",percent of total billed charges,"1,368.00",percent of total billed charges,"1,368.00",percent of total billed charges,"1,368.00",percent of total billed charges,"1,368.00",percent of total billed charges,"1,501.00",percent of total billed charges,"1,501.00",percent of total billed charges,"1,520.00",percent of total billed charges,"1,520.00",percent of total billed charges,,,"1,368.00",percent of total billed charges ,,,"1,520.00",percent of total billed charges ,"1,501.00",percent of total billed charges ,"1,501.00",percent of total billed charges ,"1,615.00",percent of total billed charges ,"1,615.00",percent of total billed charges ,"1,520.00",percent of total billed charges ,"1,520.00",percent of total billed charges ,"1,330.00",percent of total billed charges ,"1,330.00",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 ,,,,,"1,010.80",percent of total billed charges ,,,,,960.26,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,,,437,percent of total billed charges,,,437,percent of total billed charges,,,437,percent of total billed charges,,,437,percent of total billed charges,
SCREW ADVANTAGE 9 X 25MM,C1713,CDM,,,,both,,,"1,900.00","1,900.00",437,"1,900.00","1,900.00",percent of total billed charges,"1,900.00",percent of total billed charges,"1,900.00",percent of total billed charges,"1,900.00",percent of total billed charges,"1,900.00",percent of total billed charges,"1,900.00",percent of total billed charges,"1,900.00",percent of total billed charges,"1,900.00",percent of total billed charges,"1,368.00",percent of total billed charges,"1,368.00",percent of total billed charges,"1,368.00",percent of total billed charges,"1,368.00",percent of total billed charges,"1,368.00",percent of total billed charges,"1,368.00",percent of total billed charges,"1,501.00",percent of total billed charges,"1,501.00",percent of total billed charges,"1,520.00",percent of total billed charges,"1,520.00",percent of total billed charges,,,"1,368.00",percent of total billed charges ,,,"1,520.00",percent of total billed charges ,"1,501.00",percent of total billed charges ,"1,501.00",percent of total billed charges ,"1,615.00",percent of total billed charges ,"1,615.00",percent of total billed charges ,"1,520.00",percent of total billed charges ,"1,520.00",percent of total billed charges ,"1,330.00",percent of total billed charges ,"1,330.00",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 ,,,,,"1,010.80",percent of total billed charges ,,,,,960.26,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,,,437,percent of total billed charges,,,437,percent of total billed charges,,,437,percent of total billed charges,,,437,percent of total billed charges,
REAMER ACORN AND FLUTED,C1713,CDM,,,,both,,,"3,140.00","3,140.00",722.2,"3,140.00","3,140.00",percent of total billed charges,"3,140.00",percent of total billed charges,"3,140.00",percent of total billed charges,"3,140.00",percent of total billed charges,"3,140.00",percent of total billed charges,"3,140.00",percent of total billed charges,"3,140.00",percent of total billed charges,"3,140.00",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,"2,260.80",percent of total billed charges,"2,260.80",percent of total billed charges,"2,480.60",percent of total billed charges,"2,480.60",percent of total billed charges,"2,512.00",percent of total billed charges,"2,512.00",percent of total billed charges,,,"2,260.80",percent of total billed charges ,,,"2,512.00",percent of total billed charges ,"2,480.60",percent of total billed charges ,"2,480.60",percent of total billed charges ,"2,669.00",percent of total billed charges ,"2,669.00",percent of total billed charges ,"2,512.00",percent of total billed charges ,"2,512.00",percent of total billed charges ,"2,198.00",percent of total billed charges ,"2,198.00",percent of total billed charges ,"1,884.00",percent of total billed charges ,"1,884.00",percent of total billed charges ,"1,884.00",percent of total billed charges ,"1,884.00",percent of total billed charges ,,,,,"1,670.48",percent of total billed charges ,,,,,"1,586.96",percent of total billed charges ,,,,,,,,,,,,,,,,,,,722.2,percent of total billed charges,,,722.2,percent of total billed charges,,,722.2,percent of total billed charges,,,722.2,percent of total billed charges,,,722.2,percent of total billed charges,,,722.2,percent of total billed charges,,,722.2,percent of total billed charges,,,722.2,percent of total billed charges,,,722.2,percent of total billed charges,,,722.2,percent of total billed charges,,,722.2,percent of total billed charges,
GENICULAR NERVE BLOCK,64450,CDM,,,GF,both,,,"1,696.00","1,696.00",390.08,"1,696.00","1,696.00",percent of total billed charges,"1,696.00",percent of total billed charges,"1,696.00",percent of total billed charges,"1,696.00",percent of total billed charges,"1,696.00",percent of total billed charges,"1,696.00",percent of total billed charges,"1,696.00",percent of total billed charges,"1,696.00",percent of total billed charges,"1,221.12",percent of total billed charges,"1,221.12",percent of total billed charges,"1,221.12",percent of total billed charges,"1,221.12",percent of total billed charges,"1,221.12",percent of total billed charges,"1,221.12",percent of total billed charges,"1,339.84",percent of total billed charges,"1,339.84",percent of total billed charges,"1,356.80",percent of total billed charges,"1,356.80",percent of total billed charges,,,"1,221.12",percent of total billed charges ,,,"1,356.80",percent of total billed charges ,"1,339.84",percent of total billed charges ,"1,339.84",percent of total billed charges ,"1,441.60",percent of total billed charges ,"1,441.60",percent of total billed charges ,"1,356.80",percent of total billed charges ,"1,356.80",percent of total billed charges ,"1,187.20",percent of total billed charges ,"1,187.20",percent of total billed charges ,"1,017.60",percent of total billed charges ,"1,017.60",percent of total billed charges ,"1,017.60",percent of total billed charges ,"1,017.60",percent of total billed charges ,,,,,902.27,percent of total billed charges ,,,,,857.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,390.08,percent of total billed charges,,,390.08,percent of total billed charges,,,390.08,percent of total billed charges,,,390.08,percent of total billed charges,,,390.08,percent of total billed charges,,,390.08,percent of total billed charges,,,390.08,percent of total billed charges,,,390.08,percent of total billed charges,,,390.08,percent of total billed charges,,,390.08,percent of total billed charges,,,390.08,percent of total billed charges,
AMNIOGRAFT 2.5X2.0 SIZE A,C1713,CDM,,,,both,,,"5,118.00","5,118.00","1,177.14","5,118.00","5,118.00",percent of total billed charges,"5,118.00",percent of total billed charges,"5,118.00",percent of total billed charges,"5,118.00",percent of total billed charges,"5,118.00",percent of total billed charges,"5,118.00",percent of total billed charges,"5,118.00",percent of total billed charges,"5,118.00",percent of total billed charges,"3,684.96",percent of total billed charges,"3,684.96",percent of total billed charges,"3,684.96",percent of total billed charges,"3,684.96",percent of total billed charges,"3,684.96",percent of total billed charges,"3,684.96",percent of total billed charges,"4,043.22",percent of total billed charges,"4,043.22",percent of total billed charges,"4,094.40",percent of total billed charges,"4,094.40",percent of total billed charges,,,"3,684.96",percent of total billed charges ,,,"4,094.40",percent of total billed charges ,"4,043.22",percent of total billed charges ,"4,043.22",percent of total billed charges ,"4,350.30",percent of total billed charges ,"4,350.30",percent of total billed charges ,"4,094.40",percent of total billed charges ,"4,094.40",percent of total billed charges ,"3,582.60",percent of total billed charges ,"3,582.60",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 ,,,,,"2,722.78",percent of total billed charges ,,,,,"2,586.64",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,177.14",percent of total billed charges,,,"1,177.14",percent of total billed charges,,,"1,177.14",percent of total billed charges,,,"1,177.14",percent of total billed charges,,,"1,177.14",percent of total billed charges,,,"1,177.14",percent of total billed charges,,,"1,177.14",percent of total billed charges,,,"1,177.14",percent of total billed charges,,,"1,177.14",percent of total billed charges,,,"1,177.14",percent of total billed charges,,,"1,177.14",percent of total billed charges,
STAPLE 10MM QUICKFIX ARTHREX,C1713,CDM,,,,both,,,"1,248.00","1,248.00",287.04,"1,248.00","1,248.00",percent of total billed charges,"1,248.00",percent of total billed charges,"1,248.00",percent of total billed charges,"1,248.00",percent of total billed charges,"1,248.00",percent of total billed charges,"1,248.00",percent of total billed charges,"1,248.00",percent of total billed charges,"1,248.00",percent of total billed charges,898.56,percent of total billed charges,898.56,percent of total billed charges,898.56,percent of total billed charges,898.56,percent of total billed charges,898.56,percent of total billed charges,898.56,percent of total billed charges,985.92,percent of total billed charges,985.92,percent of total billed charges,998.4,percent of total billed charges,998.4,percent of total billed charges,,,898.56,percent of total billed charges ,,,998.4,percent of total billed charges ,985.92,percent of total billed charges ,985.92,percent of total billed charges ,"1,060.80",percent of total billed charges ,"1,060.80",percent of total billed charges ,998.4,percent of total billed charges ,998.4,percent of total billed charges ,873.6,percent of total billed charges ,873.6,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 ,,,,,663.94,percent of total billed charges ,,,,,630.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,287.04,percent of total billed charges,,,287.04,percent of total billed charges,,,287.04,percent of total billed charges,,,287.04,percent of total billed charges,,,287.04,percent of total billed charges,,,287.04,percent of total billed charges,,,287.04,percent of total billed charges,,,287.04,percent of total billed charges,,,287.04,percent of total billed charges,,,287.04,percent of total billed charges,,,287.04,percent of total billed charges,
FEMORAL NEXGEN LPS-FLEX TIVAN 51MM-52MM,C1776,CDM,,,,both,,,"28,167.00","28,167.00","6,478.41","28,167.00","28,167.00",percent of total billed charges,"28,167.00",percent of total billed charges,"28,167.00",percent of total billed charges,"28,167.00",percent of total billed charges,"28,167.00",percent of total billed charges,"28,167.00",percent of total billed charges,"28,167.00",percent of total billed charges,"28,167.00",percent of total billed charges,"20,280.24",percent of total billed charges,"20,280.24",percent of total billed charges,"20,280.24",percent of total billed charges,"20,280.24",percent of total billed charges,"20,280.24",percent of total billed charges,"20,280.24",percent of total billed charges,"22,251.93",percent of total billed charges,"22,251.93",percent of total billed charges,"22,533.60",percent of total billed charges,"22,533.60",percent of total billed charges,,,"20,280.24",percent of total billed charges ,,,"22,533.60",percent of total billed charges ,"22,251.93",percent of total billed charges ,"22,251.93",percent of total billed charges ,"23,941.95",percent of total billed charges ,"23,941.95",percent of total billed charges ,"22,533.60",percent of total billed charges ,"22,533.60",percent of total billed charges ,"19,716.90",percent of total billed charges ,"19,716.90",percent of total billed charges ,"16,900.20",percent of total billed charges ,"16,900.20",percent of total billed charges ,"16,900.20",percent of total billed charges ,"16,900.20",percent of total billed charges ,,,,,"14,984.84",percent of total billed charges ,,,,,"14,235.60",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"6,478.41",percent of total billed charges,,,"6,478.41",percent of total billed charges,,,"6,478.41",percent of total billed charges,,,"6,478.41",percent of total billed charges,,,"6,478.41",percent of total billed charges,,,"6,478.41",percent of total billed charges,,,"6,478.41",percent of total billed charges,,,"6,478.41",percent of total billed charges,,,"6,478.41",percent of total billed charges,,,"6,478.41",percent of total billed charges,,,"6,478.41",percent of total billed charges,
ART SURF LPS-FLEX FIXED PROLONG,C1776,CDM,,,,both,,,"10,814.00","10,814.00","2,487.22","10,814.00","10,814.00",percent of total billed charges,"10,814.00",percent of total billed charges,"10,814.00",percent of total billed charges,"10,814.00",percent of total billed charges,"10,814.00",percent of total billed charges,"10,814.00",percent of total billed charges,"10,814.00",percent of total billed charges,"10,814.00",percent of total billed charges,"7,786.08",percent of total billed charges,"7,786.08",percent of total billed charges,"7,786.08",percent of total billed charges,"7,786.08",percent of total billed charges,"7,786.08",percent of total billed charges,"7,786.08",percent of total billed charges,"8,543.06",percent of total billed charges,"8,543.06",percent of total billed charges,"8,651.20",percent of total billed charges,"8,651.20",percent of total billed charges,,,"7,786.08",percent of total billed charges ,,,"8,651.20",percent of total billed charges ,"8,543.06",percent of total billed charges ,"8,543.06",percent of total billed charges ,"9,191.90",percent of total billed charges ,"9,191.90",percent of total billed charges ,"8,651.20",percent of total billed charges ,"8,651.20",percent of total billed charges ,"7,569.80",percent of total billed charges ,"7,569.80",percent of total billed charges ,"6,488.40",percent of total billed charges ,"6,488.40",percent of total billed charges ,"6,488.40",percent of total billed charges ,"6,488.40",percent of total billed charges ,,,,,"5,753.05",percent of total billed charges ,,,,,"5,465.40",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,487.22",percent of total billed charges,,,"2,487.22",percent of total billed charges,,,"2,487.22",percent of total billed charges,,,"2,487.22",percent of total billed charges,,,"2,487.22",percent of total billed charges,,,"2,487.22",percent of total billed charges,,,"2,487.22",percent of total billed charges,,,"2,487.22",percent of total billed charges,,,"2,487.22",percent of total billed charges,,,"2,487.22",percent of total billed charges,,,"2,487.22",percent of total billed charges,
ORTHOCORD 2-0 W/DOUBLE ARMED MENISCAL,278,RC,00906-99-0441,NDC,,both,,,787,787,181.01,787,787,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,621.73,percent of total billed charges,621.73,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 ,621.73,percent of total billed charges ,621.73,percent of total billed charges ,668.95,percent of total billed charges ,668.95,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 ,,,,,,,,,,,,,,,,,,,181.01,percent of total billed charges,,,181.01,percent of total billed charges,,,181.01,percent of total billed charges,,,181.01,percent of total billed charges,,,181.01,percent of total billed charges,,,181.01,percent of total billed charges,,,181.01,percent of total billed charges,,,181.01,percent of total billed charges,,,181.01,percent of total billed charges,,,181.01,percent of total billed charges,,,181.01,percent of total billed charges,
SCREW CANNUL FIXATION KUROSAKA,C1713,CDM,,,,both,,,"1,938.00","1,938.00",445.74,"1,938.00","1,938.00",percent of total billed charges,"1,938.00",percent of total billed charges,"1,938.00",percent of total billed charges,"1,938.00",percent of total billed charges,"1,938.00",percent of total billed charges,"1,938.00",percent of total billed charges,"1,938.00",percent of total billed charges,"1,938.00",percent of total billed charges,"1,395.36",percent of total billed charges,"1,395.36",percent of total billed charges,"1,395.36",percent of total billed charges,"1,395.36",percent of total billed charges,"1,395.36",percent of total billed charges,"1,395.36",percent of total billed charges,"1,531.02",percent of total billed charges,"1,531.02",percent of total billed charges,"1,550.40",percent of total billed charges,"1,550.40",percent of total billed charges,,,"1,395.36",percent of total billed charges ,,,"1,550.40",percent of total billed charges ,"1,531.02",percent of total billed charges ,"1,531.02",percent of total billed charges ,"1,647.30",percent of total billed charges ,"1,647.30",percent of total billed charges ,"1,550.40",percent of total billed charges ,"1,550.40",percent of total billed charges ,"1,356.60",percent of total billed charges ,"1,356.60",percent of total billed charges ,"1,162.80",percent of total billed charges ,"1,162.80",percent of total billed charges ,"1,162.80",percent of total billed charges ,"1,162.80",percent of total billed charges ,,,,,"1,031.02",percent of total billed charges ,,,,,979.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,445.74,percent of total billed charges,,,445.74,percent of total billed charges,,,445.74,percent of total billed charges,,,445.74,percent of total billed charges,,,445.74,percent of total billed charges,,,445.74,percent of total billed charges,,,445.74,percent of total billed charges,,,445.74,percent of total billed charges,,,445.74,percent of total billed charges,,,445.74,percent of total billed charges,,,445.74,percent of total billed charges,
TISSUE BACKFILL PLUG,C1713,CDM,,,,both,,,"3,095.00","3,095.00",711.85,"3,095.00","3,095.00",percent of total billed charges,"3,095.00",percent of total billed charges,"3,095.00",percent of total billed charges,"3,095.00",percent of total billed charges,"3,095.00",percent of total billed charges,"3,095.00",percent of total billed charges,"3,095.00",percent of total billed charges,"3,095.00",percent of total billed charges,"2,228.40",percent of total billed charges,"2,228.40",percent of total billed charges,"2,228.40",percent of total billed charges,"2,228.40",percent of total billed charges,"2,228.40",percent of total billed charges,"2,228.40",percent of total billed charges,"2,445.05",percent of total billed charges,"2,445.05",percent of total billed charges,"2,476.00",percent of total billed charges,"2,476.00",percent of total billed charges,,,"2,228.40",percent of total billed charges ,,,"2,476.00",percent of total billed charges ,"2,445.05",percent of total billed charges ,"2,445.05",percent of total billed charges ,"2,630.75",percent of total billed charges ,"2,630.75",percent of total billed charges ,"2,476.00",percent of total billed charges ,"2,476.00",percent of total billed charges ,"2,166.50",percent of total billed charges ,"2,166.50",percent of total billed charges ,"1,857.00",percent of total billed charges ,"1,857.00",percent of total billed charges ,"1,857.00",percent of total billed charges ,"1,857.00",percent of total billed charges ,,,,,"1,646.54",percent of total billed charges ,,,,,"1,564.21",percent of total billed charges ,,,,,,,,,,,,,,,,,,,711.85,percent of total billed charges,,,711.85,percent of total billed charges,,,711.85,percent of total billed charges,,,711.85,percent of total billed charges,,,711.85,percent of total billed charges,,,711.85,percent of total billed charges,,,711.85,percent of total billed charges,,,711.85,percent of total billed charges,,,711.85,percent of total billed charges,,,711.85,percent of total billed charges,,,711.85,percent of total billed charges,
TRAY BACKFILL PLUG INSTALL,272,RC,00906-99-0441,NDC,,both,,,"2,047.00","2,047.00",470.81,"2,047.00","2,047.00",percent of total billed charges,"2,047.00",percent of total billed charges,"2,047.00",percent of total billed charges,"2,047.00",percent of total billed charges,"2,047.00",percent of total billed charges,"2,047.00",percent of total billed charges,"2,047.00",percent of total billed charges,"2,047.00",percent of total billed charges,"1,473.84",percent of total billed charges,"1,473.84",percent of total billed charges,"1,473.84",percent of total billed charges,"1,473.84",percent of total billed charges,"1,473.84",percent of total billed charges,"1,473.84",percent of total billed charges,"1,617.13",percent of total billed charges,"1,617.13",percent of total billed charges,"1,637.60",percent of total billed charges,"1,637.60",percent of total billed charges,,,"1,473.84",percent of total billed charges ,,,"1,637.60",percent of total billed charges ,"1,617.13",percent of total billed charges ,"1,617.13",percent of total billed charges ,"1,739.95",percent of total billed charges ,"1,739.95",percent of total billed charges ,"1,637.60",percent of total billed charges ,"1,637.60",percent of total billed charges ,"1,432.90",percent of total billed charges ,"1,432.90",percent of total billed charges ,"1,228.20",percent of total billed charges ,"1,228.20",percent of total billed charges ,"1,228.20",percent of total billed charges ,"1,228.20",percent of total billed charges ,,,,,"1,089.00",percent of total billed charges ,,,,,"1,034.55",percent of total billed charges ,,,,,,,,,,,,,,,,,,,470.81,percent of total billed charges,,,470.81,percent of total billed charges,,,470.81,percent of total billed charges,,,470.81,percent of total billed charges,,,470.81,percent of total billed charges,,,470.81,percent of total billed charges,,,470.81,percent of total billed charges,,,470.81,percent of total billed charges,,,470.81,percent of total billed charges,,,470.81,percent of total billed charges,,,470.81,percent of total billed charges,
IV THERAPY SEQ DRUG UP TO 1 HOUR,96367,CDM,,,59,both,,,184,184,42.32,184,184,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,145.36,percent of total billed charges,145.36,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 ,145.36,percent of total billed charges ,145.36,percent of total billed charges ,156.4,percent of total billed charges ,156.4,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 ,,,,,,,,,,,,,,,,,,,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,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,
IV THERAPY CONCURRENT NEW DRUG,96368,CDM,,,59,both,,,184,184,42.32,184,184,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,145.36,percent of total billed charges,145.36,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 ,145.36,percent of total billed charges ,145.36,percent of total billed charges ,156.4,percent of total billed charges ,156.4,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 ,,,,,,,,,,,,,,,,,,,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,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,
IV PUSH SEQUENTIAL SAME DRUG,96376,CDM,,,59,both,,,184,184,42.32,184,184,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,145.36,percent of total billed charges,145.36,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 ,145.36,percent of total billed charges ,145.36,percent of total billed charges ,156.4,percent of total billed charges ,156.4,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 ,,,,,,,,,,,,,,,,,,,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,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,
HIP BALL FRACTURED HEAD MODULAR CATHCART,278,RC,00906-99-0441,NDC,,both,,,"2,405.00","2,405.00",553.15,"2,405.00","2,405.00",percent of total billed charges,"2,405.00",percent of total billed charges,"2,405.00",percent of total billed charges,"2,405.00",percent of total billed charges,"2,405.00",percent of total billed charges,"2,405.00",percent of total billed charges,"2,405.00",percent of total billed charges,"2,405.00",percent of total billed charges,"1,731.60",percent of total billed charges,"1,731.60",percent of total billed charges,"1,731.60",percent of total billed charges,"1,731.60",percent of total billed charges,"1,731.60",percent of total billed charges,"1,731.60",percent of total billed charges,"1,899.95",percent of total billed charges,"1,899.95",percent of total billed charges,"1,924.00",percent of total billed charges,"1,924.00",percent of total billed charges,,,"1,731.60",percent of total billed charges ,,,"1,924.00",percent of total billed charges ,"1,899.95",percent of total billed charges ,"1,899.95",percent of total billed charges ,"2,044.25",percent of total billed charges ,"2,044.25",percent of total billed charges ,"1,924.00",percent of total billed charges ,"1,924.00",percent of total billed charges ,"1,683.50",percent of total billed charges ,"1,683.50",percent of total billed charges ,"1,443.00",percent of total billed charges ,"1,443.00",percent of total billed charges ,"1,443.00",percent of total billed charges ,"1,443.00",percent of total billed charges ,,,,,"1,279.46",percent of total billed charges ,,,,,"1,215.49",percent of total billed charges ,,,,,,,,,,,,,,,,,,,553.15,percent of total billed charges,,,553.15,percent of total billed charges,,,553.15,percent of total billed charges,,,553.15,percent of total billed charges,,,553.15,percent of total billed charges,,,553.15,percent of total billed charges,,,553.15,percent of total billed charges,,,553.15,percent of total billed charges,,,553.15,percent of total billed charges,,,553.15,percent of total billed charges,,,553.15,percent of total billed charges,
HIP SPACER TAPERED ARTICUL/EZE-,278,RC,00906-99-0441,NDC,,both,,,"1,651.00","1,651.00",379.73,"1,651.00","1,651.00",percent of total billed charges,"1,651.00",percent of total billed charges,"1,651.00",percent of total billed charges,"1,651.00",percent of total billed charges,"1,651.00",percent of total billed charges,"1,651.00",percent of total billed charges,"1,651.00",percent of total billed charges,"1,651.00",percent of total billed charges,"1,188.72",percent of total billed charges,"1,188.72",percent of total billed charges,"1,188.72",percent of total billed charges,"1,188.72",percent of total billed charges,"1,188.72",percent of total billed charges,"1,188.72",percent of total billed charges,"1,304.29",percent of total billed charges,"1,304.29",percent of total billed charges,"1,320.80",percent of total billed charges,"1,320.80",percent of total billed charges,,,"1,188.72",percent of total billed charges ,,,"1,320.80",percent of total billed charges ,"1,304.29",percent of total billed charges ,"1,304.29",percent of total billed charges ,"1,403.35",percent of total billed charges ,"1,403.35",percent of total billed charges ,"1,320.80",percent of total billed charges ,"1,320.80",percent of total billed charges ,"1,155.70",percent of total billed charges ,"1,155.70",percent of total billed charges ,990.6,percent of total billed charges ,990.6,percent of total billed charges ,990.6,percent of total billed charges ,990.6,percent of total billed charges ,,,,,878.33,percent of total billed charges ,,,,,834.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,379.73,percent of total billed charges,,,379.73,percent of total billed charges,,,379.73,percent of total billed charges,,,379.73,percent of total billed charges,,,379.73,percent of total billed charges,,,379.73,percent of total billed charges,,,379.73,percent of total billed charges,,,379.73,percent of total billed charges,,,379.73,percent of total billed charges,,,379.73,percent of total billed charges,,,379.73,percent of total billed charges,
3RD + LEVEL FACET INJ CERV/THORACIC,64492,CDM,,,,both,,,416,416,95.68,416,416,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,328.64,percent of total billed charges,328.64,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 ,328.64,percent of total billed charges ,328.64,percent of total billed charges ,353.6,percent of total billed charges ,353.6,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 ,,,,,,,,,,,,,,,,,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,
3RD + LEVEL FACET INJ LUMBAR/SACRAL,64495,CDM,,,,both,,,259,259,59.57,259,259,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,204.61,percent of total billed charges,204.61,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 ,204.61,percent of total billed charges ,204.61,percent of total billed charges ,220.15,percent of total billed charges ,220.15,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 ,,,,,,,,,,,,,,,,,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,
INTRAVENOUS INFUSION UP TO 1 HR (59),96365,CDM,,,59,both,,,391,391,89.93,391,391,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,308.89,percent of total billed charges,308.89,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 ,308.89,percent of total billed charges ,308.89,percent of total billed charges ,332.35,percent of total billed charges ,332.35,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 ,,,,,,,,,,,,,,,,,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,
PATELLA PROLONG NEXGN ALL-POLY,C1776,CDM,,,,both,,,"5,671.00","5,671.00","1,304.33","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,"4,480.09",percent of total billed charges,"4,480.09",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 ,"4,480.09",percent of total billed charges ,"4,480.09",percent of total billed charges ,"4,820.35",percent of total billed charges ,"4,820.35",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 ,,,,,,,,,,,,,,,,,,,"1,304.33",percent of total billed charges,,,"1,304.33",percent of total billed charges,,,"1,304.33",percent of total billed charges,,,"1,304.33",percent of total billed charges,,,"1,304.33",percent of total billed charges,,,"1,304.33",percent of total billed charges,,,"1,304.33",percent of total billed charges,,,"1,304.33",percent of total billed charges,,,"1,304.33",percent of total billed charges,,,"1,304.33",percent of total billed charges,,,"1,304.33",percent of total billed charges,
IV PUSH DRUG INITIAL,96374,CDM,,,59,both,,,274,274,63.02,274,274,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,216.46,percent of total billed charges,216.46,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 ,216.46,percent of total billed charges ,216.46,percent of total billed charges ,232.9,percent of total billed charges ,232.9,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 ,,,,,,,,,,,,,,,,,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,
THERA PROPH/DIAG INJ BY SQ OR IM (59),96372,CDM,,,59,both,,,205,205,47.15,205,205,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,161.95,percent of total billed charges,161.95,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 ,161.95,percent of total billed charges ,161.95,percent of total billed charges ,174.25,percent of total billed charges ,174.25,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 ,,,,,,,,,,,,,,,,,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,
FIXATION SYSTEM SORBAFIX ABSORBABLE,C1713,CDM,,,,both,,,"5,107.00","5,107.00","1,174.61","5,107.00","5,107.00",percent of total billed charges,"5,107.00",percent of total billed charges,"5,107.00",percent of total billed charges,"5,107.00",percent of total billed charges,"5,107.00",percent of total billed charges,"5,107.00",percent of total billed charges,"5,107.00",percent of total billed charges,"5,107.00",percent of total billed charges,"3,677.04",percent of total billed charges,"3,677.04",percent of total billed charges,"3,677.04",percent of total billed charges,"3,677.04",percent of total billed charges,"3,677.04",percent of total billed charges,"3,677.04",percent of total billed charges,"4,034.53",percent of total billed charges,"4,034.53",percent of total billed charges,"4,085.60",percent of total billed charges,"4,085.60",percent of total billed charges,,,"3,677.04",percent of total billed charges ,,,"4,085.60",percent of total billed charges ,"4,034.53",percent of total billed charges ,"4,034.53",percent of total billed charges ,"4,340.95",percent of total billed charges ,"4,340.95",percent of total billed charges ,"4,085.60",percent of total billed charges ,"4,085.60",percent of total billed charges ,"3,574.90",percent of total billed charges ,"3,574.90",percent of total billed charges ,"3,064.20",percent of total billed charges ,"3,064.20",percent of total billed charges ,"3,064.20",percent of total billed charges ,"3,064.20",percent of total billed charges ,,,,,"2,716.92",percent of total billed charges ,,,,,"2,581.08",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,174.61",percent of total billed charges,,,"1,174.61",percent of total billed charges,,,"1,174.61",percent of total billed charges,,,"1,174.61",percent of total billed charges,,,"1,174.61",percent of total billed charges,,,"1,174.61",percent of total billed charges,,,"1,174.61",percent of total billed charges,,,"1,174.61",percent of total billed charges,,,"1,174.61",percent of total billed charges,,,"1,174.61",percent of total billed charges,,,"1,174.61",percent of total billed charges,
SCREW PROFILE/ADVANTAGE,C1713,CDM,,,,both,,,"1,924.00","1,924.00",442.52,"1,924.00","1,924.00",percent of total billed charges,"1,924.00",percent of total billed charges,"1,924.00",percent of total billed charges,"1,924.00",percent of total billed charges,"1,924.00",percent of total billed charges,"1,924.00",percent of total billed charges,"1,924.00",percent of total billed charges,"1,924.00",percent of total billed charges,"1,385.28",percent of total billed charges,"1,385.28",percent of total billed charges,"1,385.28",percent of total billed charges,"1,385.28",percent of total billed charges,"1,385.28",percent of total billed charges,"1,385.28",percent of total billed charges,"1,519.96",percent of total billed charges,"1,519.96",percent of total billed charges,"1,539.20",percent of total billed charges,"1,539.20",percent of total billed charges,,,"1,385.28",percent of total billed charges ,,,"1,539.20",percent of total billed charges ,"1,519.96",percent of total billed charges ,"1,519.96",percent of total billed charges ,"1,635.40",percent of total billed charges ,"1,635.40",percent of total billed charges ,"1,539.20",percent of total billed charges ,"1,539.20",percent of total billed charges ,"1,346.80",percent of total billed charges ,"1,346.80",percent of total billed charges ,"1,154.40",percent of total billed charges ,"1,154.40",percent of total billed charges ,"1,154.40",percent of total billed charges ,"1,154.40",percent of total billed charges ,,,,,"1,023.57",percent of total billed charges ,,,,,972.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,442.52,percent of total billed charges,,,442.52,percent of total billed charges,,,442.52,percent of total billed charges,,,442.52,percent of total billed charges,,,442.52,percent of total billed charges,,,442.52,percent of total billed charges,,,442.52,percent of total billed charges,,,442.52,percent of total billed charges,,,442.52,percent of total billed charges,,,442.52,percent of total billed charges,,,442.52,percent of total billed charges,
NAIL TROCH FIXATION,C1713,CDM,,,,both,,,"15,304.00","15,304.00","3,519.92","15,304.00","15,304.00",percent of total billed charges,"15,304.00",percent of total billed charges,"15,304.00",percent of total billed charges,"15,304.00",percent of total billed charges,"15,304.00",percent of total billed charges,"15,304.00",percent of total billed charges,"15,304.00",percent of total billed charges,"15,304.00",percent of total billed charges,"11,018.88",percent of total billed charges,"11,018.88",percent of total billed charges,"11,018.88",percent of total billed charges,"11,018.88",percent of total billed charges,"11,018.88",percent of total billed charges,"11,018.88",percent of total billed charges,"12,090.16",percent of total billed charges,"12,090.16",percent of total billed charges,"12,243.20",percent of total billed charges,"12,243.20",percent of total billed charges,,,"11,018.88",percent of total billed charges ,,,"12,243.20",percent of total billed charges ,"12,090.16",percent of total billed charges ,"12,090.16",percent of total billed charges ,"13,008.40",percent of total billed charges ,"13,008.40",percent of total billed charges ,"12,243.20",percent of total billed charges ,"12,243.20",percent of total billed charges ,"10,712.80",percent of total billed charges ,"10,712.80",percent of total billed charges ,"9,182.40",percent of total billed charges ,"9,182.40",percent of total billed charges ,"9,182.40",percent of total billed charges ,"9,182.40",percent of total billed charges ,,,,,"8,141.73",percent of total billed charges ,,,,,"7,734.64",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,519.92",percent of total billed charges,,,"3,519.92",percent of total billed charges,,,"3,519.92",percent of total billed charges,,,"3,519.92",percent of total billed charges,,,"3,519.92",percent of total billed charges,,,"3,519.92",percent of total billed charges,,,"3,519.92",percent of total billed charges,,,"3,519.92",percent of total billed charges,,,"3,519.92",percent of total billed charges,,,"3,519.92",percent of total billed charges,,,"3,519.92",percent of total billed charges,
WIRE SYNTHES,C1713,CDM,,,,both,,,951,951,218.73,951,951,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,751.29,percent of total billed charges,751.29,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 ,751.29,percent of total billed charges ,751.29,percent of total billed charges ,808.35,percent of total billed charges ,808.35,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 ,,,,,,,,,,,,,,,,,,,218.73,percent of total billed charges,,,218.73,percent of total billed charges,,,218.73,percent of total billed charges,,,218.73,percent of total billed charges,,,218.73,percent of total billed charges,,,218.73,percent of total billed charges,,,218.73,percent of total billed charges,,,218.73,percent of total billed charges,,,218.73,percent of total billed charges,,,218.73,percent of total billed charges,,,218.73,percent of total billed charges,
REAMING ROD 2.5 SYNTHES,278,RC,00906-99-0441,NDC,,both,,,"1,150.00","1,150.00",264.5,"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,908.5,percent of total billed charges,908.5,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 ,908.5,percent of total billed charges ,908.5,percent of total billed charges ,977.5,percent of total billed charges ,977.5,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 ,,,,,,,,,,,,,,,,,,,264.5,percent of total billed charges,,,264.5,percent of total billed charges,,,264.5,percent of total billed charges,,,264.5,percent of total billed charges,,,264.5,percent of total billed charges,,,264.5,percent of total billed charges,,,264.5,percent of total billed charges,,,264.5,percent of total billed charges,,,264.5,percent of total billed charges,,,264.5,percent of total billed charges,,,264.5,percent of total billed charges,
BLADE HELICAL  95MM,272,RC,00906-99-0441,NDC,,both,,,"5,474.00","5,474.00","1,259.02","5,474.00","5,474.00",percent of total billed charges,"5,474.00",percent of total billed charges,"5,474.00",percent of total billed charges,"5,474.00",percent of total billed charges,"5,474.00",percent of total billed charges,"5,474.00",percent of total billed charges,"5,474.00",percent of total billed charges,"5,474.00",percent of total billed charges,"3,941.28",percent of total billed charges,"3,941.28",percent of total billed charges,"3,941.28",percent of total billed charges,"3,941.28",percent of total billed charges,"3,941.28",percent of total billed charges,"3,941.28",percent of total billed charges,"4,324.46",percent of total billed charges,"4,324.46",percent of total billed charges,"4,379.20",percent of total billed charges,"4,379.20",percent of total billed charges,,,"3,941.28",percent of total billed charges ,,,"4,379.20",percent of total billed charges ,"4,324.46",percent of total billed charges ,"4,324.46",percent of total billed charges ,"4,652.90",percent of total billed charges ,"4,652.90",percent of total billed charges ,"4,379.20",percent of total billed charges ,"4,379.20",percent of total billed charges ,"3,831.80",percent of total billed charges ,"3,831.80",percent of total billed charges ,"3,284.40",percent of total billed charges ,"3,284.40",percent of total billed charges ,"3,284.40",percent of total billed charges ,"3,284.40",percent of total billed charges ,,,,,"2,912.17",percent of total billed charges ,,,,,"2,766.56",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,259.02",percent of total billed charges,,,"1,259.02",percent of total billed charges,,,"1,259.02",percent of total billed charges,,,"1,259.02",percent of total billed charges,,,"1,259.02",percent of total billed charges,,,"1,259.02",percent of total billed charges,,,"1,259.02",percent of total billed charges,,,"1,259.02",percent of total billed charges,,,"1,259.02",percent of total billed charges,,,"1,259.02",percent of total billed charges,,,"1,259.02",percent of total billed charges,
"COMPONENT, PATELLAR GEN II",278,RC,00906-99-0441,NDC,,both,,,"3,755.00","3,755.00",863.65,"3,755.00","3,755.00",percent of total billed charges,"3,755.00",percent of total billed charges,"3,755.00",percent of total billed charges,"3,755.00",percent of total billed charges,"3,755.00",percent of total billed charges,"3,755.00",percent of total billed charges,"3,755.00",percent of total billed charges,"3,755.00",percent of total billed charges,"2,703.60",percent of total billed charges,"2,703.60",percent of total billed charges,"2,703.60",percent of total billed charges,"2,703.60",percent of total billed charges,"2,703.60",percent of total billed charges,"2,703.60",percent of total billed charges,"2,966.45",percent of total billed charges,"2,966.45",percent of total billed charges,"3,004.00",percent of total billed charges,"3,004.00",percent of total billed charges,,,"2,703.60",percent of total billed charges ,,,"3,004.00",percent of total billed charges ,"2,966.45",percent of total billed charges ,"2,966.45",percent of total billed charges ,"3,191.75",percent of total billed charges ,"3,191.75",percent of total billed charges ,"3,004.00",percent of total billed charges ,"3,004.00",percent of total billed charges ,"2,628.50",percent of total billed charges ,"2,628.50",percent of total billed charges ,"2,253.00",percent of total billed charges ,"2,253.00",percent of total billed charges ,"2,253.00",percent of total billed charges ,"2,253.00",percent of total billed charges ,,,,,"1,997.66",percent of total billed charges ,,,,,"1,897.78",percent of total billed charges ,,,,,,,,,,,,,,,,,,,863.65,percent of total billed charges,,,863.65,percent of total billed charges,,,863.65,percent of total billed charges,,,863.65,percent of total billed charges,,,863.65,percent of total billed charges,,,863.65,percent of total billed charges,,,863.65,percent of total billed charges,,,863.65,percent of total billed charges,,,863.65,percent of total billed charges,,,863.65,percent of total billed charges,,,863.65,percent of total billed charges,
"INSERT, ART HIGH FLEX, GEN II PS",278,RC,00906-99-0441,NDC,,both,,,"5,622.00","5,622.00","1,293.06","5,622.00","5,622.00",percent of total billed charges,"5,622.00",percent of total billed charges,"5,622.00",percent of total billed charges,"5,622.00",percent of total billed charges,"5,622.00",percent of total billed charges,"5,622.00",percent of total billed charges,"5,622.00",percent of total billed charges,"5,622.00",percent of total billed charges,"4,047.84",percent of total billed charges,"4,047.84",percent of total billed charges,"4,047.84",percent of total billed charges,"4,047.84",percent of total billed charges,"4,047.84",percent of total billed charges,"4,047.84",percent of total billed charges,"4,441.38",percent of total billed charges,"4,441.38",percent of total billed charges,"4,497.60",percent of total billed charges,"4,497.60",percent of total billed charges,,,"4,047.84",percent of total billed charges ,,,"4,497.60",percent of total billed charges ,"4,441.38",percent of total billed charges ,"4,441.38",percent of total billed charges ,"4,778.70",percent of total billed charges ,"4,778.70",percent of total billed charges ,"4,497.60",percent of total billed charges ,"4,497.60",percent of total billed charges ,"3,935.40",percent of total billed charges ,"3,935.40",percent of total billed charges ,"3,373.20",percent of total billed charges ,"3,373.20",percent of total billed charges ,"3,373.20",percent of total billed charges ,"3,373.20",percent of total billed charges ,,,,,"2,990.90",percent of total billed charges ,,,,,"2,841.36",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,293.06",percent of total billed charges,,,"1,293.06",percent of total billed charges,,,"1,293.06",percent of total billed charges,,,"1,293.06",percent of total billed charges,,,"1,293.06",percent of total billed charges,,,"1,293.06",percent of total billed charges,,,"1,293.06",percent of total billed charges,,,"1,293.06",percent of total billed charges,,,"1,293.06",percent of total billed charges,,,"1,293.06",percent of total billed charges,,,"1,293.06",percent of total billed charges,
BASEPLATE TIBIAL LFT GEN II,278,RC,00906-99-0441,NDC,,both,,,"6,422.00","6,422.00","1,477.06","6,422.00","6,422.00",percent of total billed charges,"6,422.00",percent of total billed charges,"6,422.00",percent of total billed charges,"6,422.00",percent of total billed charges,"6,422.00",percent of total billed charges,"6,422.00",percent of total billed charges,"6,422.00",percent of total billed charges,"6,422.00",percent of total billed charges,"4,623.84",percent of total billed charges,"4,623.84",percent of total billed charges,"4,623.84",percent of total billed charges,"4,623.84",percent of total billed charges,"4,623.84",percent of total billed charges,"4,623.84",percent of total billed charges,"5,073.38",percent of total billed charges,"5,073.38",percent of total billed charges,"5,137.60",percent of total billed charges,"5,137.60",percent of total billed charges,,,"4,623.84",percent of total billed charges ,,,"5,137.60",percent of total billed charges ,"5,073.38",percent of total billed charges ,"5,073.38",percent of total billed charges ,"5,458.70",percent of total billed charges ,"5,458.70",percent of total billed charges ,"5,137.60",percent of total billed charges ,"5,137.60",percent of total billed charges ,"4,495.40",percent of total billed charges ,"4,495.40",percent of total billed charges ,"3,853.20",percent of total billed charges ,"3,853.20",percent of total billed charges ,"3,853.20",percent of total billed charges ,"3,853.20",percent of total billed charges ,,,,,"3,416.50",percent of total billed charges ,,,,,"3,245.68",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,477.06",percent of total billed charges,,,"1,477.06",percent of total billed charges,,,"1,477.06",percent of total billed charges,,,"1,477.06",percent of total billed charges,,,"1,477.06",percent of total billed charges,,,"1,477.06",percent of total billed charges,,,"1,477.06",percent of total billed charges,,,"1,477.06",percent of total billed charges,,,"1,477.06",percent of total billed charges,,,"1,477.06",percent of total billed charges,,,"1,477.06",percent of total billed charges,
"COMPONENT, FEM, LFT GEN II",278,RC,00906-99-0441,NDC,,both,,,"16,680.00","16,680.00","3,836.40","16,680.00","16,680.00",percent of total billed charges,"16,680.00",percent of total billed charges,"16,680.00",percent of total billed charges,"16,680.00",percent of total billed charges,"16,680.00",percent of total billed charges,"16,680.00",percent of total billed charges,"16,680.00",percent of total billed charges,"16,680.00",percent of total billed charges,"12,009.60",percent of total billed charges,"12,009.60",percent of total billed charges,"12,009.60",percent of total billed charges,"12,009.60",percent of total billed charges,"12,009.60",percent of total billed charges,"12,009.60",percent of total billed charges,"13,177.20",percent of total billed charges,"13,177.20",percent of total billed charges,"13,344.00",percent of total billed charges,"13,344.00",percent of total billed charges,,,"12,009.60",percent of total billed charges ,,,"13,344.00",percent of total billed charges ,"13,177.20",percent of total billed charges ,"13,177.20",percent of total billed charges ,"14,178.00",percent of total billed charges ,"14,178.00",percent of total billed charges ,"13,344.00",percent of total billed charges ,"13,344.00",percent of total billed charges ,"11,676.00",percent of total billed charges ,"11,676.00",percent of total billed charges ,"10,008.00",percent of total billed charges ,"10,008.00",percent of total billed charges ,"10,008.00",percent of total billed charges ,"10,008.00",percent of total billed charges ,,,,,"8,873.76",percent of total billed charges ,,,,,"8,430.07",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,836.40",percent of total billed charges,,,"3,836.40",percent of total billed charges,,,"3,836.40",percent of total billed charges,,,"3,836.40",percent of total billed charges,,,"3,836.40",percent of total billed charges,,,"3,836.40",percent of total billed charges,,,"3,836.40",percent of total billed charges,,,"3,836.40",percent of total billed charges,,,"3,836.40",percent of total billed charges,,,"3,836.40",percent of total billed charges,,,"3,836.40",percent of total billed charges,
BLADE SMALL PLANER,272,RC,00906-99-0441,NDC,,both,,,"1,505.00","1,505.00",346.15,"1,505.00","1,505.00",percent of total billed charges,"1,505.00",percent of total billed charges,"1,505.00",percent of total billed charges,"1,505.00",percent of total billed charges,"1,505.00",percent of total billed charges,"1,505.00",percent of total billed charges,"1,505.00",percent of total billed charges,"1,505.00",percent of total billed charges,"1,083.60",percent of total billed charges,"1,083.60",percent of total billed charges,"1,083.60",percent of total billed charges,"1,083.60",percent of total billed charges,"1,083.60",percent of total billed charges,"1,083.60",percent of total billed charges,"1,188.95",percent of total billed charges,"1,188.95",percent of total billed charges,"1,204.00",percent of total billed charges,"1,204.00",percent of total billed charges,,,"1,083.60",percent of total billed charges ,,,"1,204.00",percent of total billed charges ,"1,188.95",percent of total billed charges ,"1,188.95",percent of total billed charges ,"1,279.25",percent of total billed charges ,"1,279.25",percent of total billed charges ,"1,204.00",percent of total billed charges ,"1,204.00",percent of total billed charges ,"1,053.50",percent of total billed charges ,"1,053.50",percent of total billed charges ,903,percent of total billed charges ,903,percent of total billed charges ,903,percent of total billed charges ,903,percent of total billed charges ,,,,,800.66,percent of total billed charges ,,,,,760.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,346.15,percent of total billed charges,,,346.15,percent of total billed charges,,,346.15,percent of total billed charges,,,346.15,percent of total billed charges,,,346.15,percent of total billed charges,,,346.15,percent of total billed charges,,,346.15,percent of total billed charges,,,346.15,percent of total billed charges,,,346.15,percent of total billed charges,,,346.15,percent of total billed charges,,,346.15,percent of total billed charges,
KIT MENISECTOMY/ELECTRODE ESA6.5IN,272,RC,00906-99-0441,NDC,,both,,,437,437,100.51,437,437,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,345.23,percent of total billed charges,345.23,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 ,345.23,percent of total billed charges ,345.23,percent of total billed charges ,371.45,percent of total billed charges ,371.45,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 ,,,,,,,,,,,,,,,,,,,100.51,percent of total billed charges,,,100.51,percent of total billed charges,,,100.51,percent of total billed charges,,,100.51,percent of total billed charges,,,100.51,percent of total billed charges,,,100.51,percent of total billed charges,,,100.51,percent of total billed charges,,,100.51,percent of total billed charges,,,100.51,percent of total billed charges,,,100.51,percent of total billed charges,,,100.51,percent of total billed charges,
IMMUNIZATION ADMINISTRATION 1 VACCINE,90471,CDM,,,,both,,,184,184,42.32,184,184,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,145.36,percent of total billed charges,145.36,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 ,145.36,percent of total billed charges ,145.36,percent of total billed charges ,156.4,percent of total billed charges ,156.4,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 ,,,,,,,,,,,,,,,,,,,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,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,
GRAFTON PUTTY 1CC NOTE: LOT & EXP,C1713,CDM,,,,both,,,"1,607.00","1,607.00",369.61,"1,607.00","1,607.00",percent of total billed charges,"1,607.00",percent of total billed charges,"1,607.00",percent of total billed charges,"1,607.00",percent of total billed charges,"1,607.00",percent of total billed charges,"1,607.00",percent of total billed charges,"1,607.00",percent of total billed charges,"1,607.00",percent of total billed charges,"1,157.04",percent of total billed charges,"1,157.04",percent of total billed charges,"1,157.04",percent of total billed charges,"1,157.04",percent of total billed charges,"1,157.04",percent of total billed charges,"1,157.04",percent of total billed charges,"1,269.53",percent of total billed charges,"1,269.53",percent of total billed charges,"1,285.60",percent of total billed charges,"1,285.60",percent of total billed charges,,,"1,157.04",percent of total billed charges ,,,"1,285.60",percent of total billed charges ,"1,269.53",percent of total billed charges ,"1,269.53",percent of total billed charges ,"1,365.95",percent of total billed charges ,"1,365.95",percent of total billed charges ,"1,285.60",percent of total billed charges ,"1,285.60",percent of total billed charges ,"1,124.90",percent of total billed charges ,"1,124.90",percent of total billed charges ,964.2,percent of total billed charges ,964.2,percent of total billed charges ,964.2,percent of total billed charges ,964.2,percent of total billed charges ,,,,,854.92,percent of total billed charges ,,,,,812.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,369.61,percent of total billed charges,,,369.61,percent of total billed charges,,,369.61,percent of total billed charges,,,369.61,percent of total billed charges,,,369.61,percent of total billed charges,,,369.61,percent of total billed charges,,,369.61,percent of total billed charges,,,369.61,percent of total billed charges,,,369.61,percent of total billed charges,,,369.61,percent of total billed charges,,,369.61,percent of total billed charges,
PUTTY 1CC DBX NOTE: LOT&EXP,C1713,CDM,,,,both,,,"2,038.00","2,038.00",468.74,"2,038.00","2,038.00",percent of total billed charges,"2,038.00",percent of total billed charges,"2,038.00",percent of total billed charges,"2,038.00",percent of total billed charges,"2,038.00",percent of total billed charges,"2,038.00",percent of total billed charges,"2,038.00",percent of total billed charges,"2,038.00",percent of total billed charges,"1,467.36",percent of total billed charges,"1,467.36",percent of total billed charges,"1,467.36",percent of total billed charges,"1,467.36",percent of total billed charges,"1,467.36",percent of total billed charges,"1,467.36",percent of total billed charges,"1,610.02",percent of total billed charges,"1,610.02",percent of total billed charges,"1,630.40",percent of total billed charges,"1,630.40",percent of total billed charges,,,"1,467.36",percent of total billed charges ,,,"1,630.40",percent of total billed charges ,"1,610.02",percent of total billed charges ,"1,610.02",percent of total billed charges ,"1,732.30",percent of total billed charges ,"1,732.30",percent of total billed charges ,"1,630.40",percent of total billed charges ,"1,630.40",percent of total billed charges ,"1,426.60",percent of total billed charges ,"1,426.60",percent of total billed charges ,"1,222.80",percent of total billed charges ,"1,222.80",percent of total billed charges ,"1,222.80",percent of total billed charges ,"1,222.80",percent of total billed charges ,,,,,"1,084.22",percent of total billed charges ,,,,,"1,030.01",percent of total billed charges ,,,,,,,,,,,,,,,,,,,468.74,percent of total billed charges,,,468.74,percent of total billed charges,,,468.74,percent of total billed charges,,,468.74,percent of total billed charges,,,468.74,percent of total billed charges,,,468.74,percent of total billed charges,,,468.74,percent of total billed charges,,,468.74,percent of total billed charges,,,468.74,percent of total billed charges,,,468.74,percent of total billed charges,,,468.74,percent of total billed charges,
PUTTY 10CC DBX NOTE: LOT&EXP,C1713,CDM,,,,both,,,"13,364.00","13,364.00","3,073.72","13,364.00","13,364.00",percent of total billed charges,"13,364.00",percent of total billed charges,"13,364.00",percent of total billed charges,"13,364.00",percent of total billed charges,"13,364.00",percent of total billed charges,"13,364.00",percent of total billed charges,"13,364.00",percent of total billed charges,"13,364.00",percent of total billed charges,"9,622.08",percent of total billed charges,"9,622.08",percent of total billed charges,"9,622.08",percent of total billed charges,"9,622.08",percent of total billed charges,"9,622.08",percent of total billed charges,"9,622.08",percent of total billed charges,"10,557.56",percent of total billed charges,"10,557.56",percent of total billed charges,"10,691.20",percent of total billed charges,"10,691.20",percent of total billed charges,,,"9,622.08",percent of total billed charges ,,,"10,691.20",percent of total billed charges ,"10,557.56",percent of total billed charges ,"10,557.56",percent of total billed charges ,"11,359.40",percent of total billed charges ,"11,359.40",percent of total billed charges ,"10,691.20",percent of total billed charges ,"10,691.20",percent of total billed charges ,"9,354.80",percent of total billed charges ,"9,354.80",percent of total billed charges ,"8,018.40",percent of total billed charges ,"8,018.40",percent of total billed charges ,"8,018.40",percent of total billed charges ,"8,018.40",percent of total billed charges ,,,,,"7,109.65",percent of total billed charges ,,,,,"6,754.17",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,073.72",percent of total billed charges,,,"3,073.72",percent of total billed charges,,,"3,073.72",percent of total billed charges,,,"3,073.72",percent of total billed charges,,,"3,073.72",percent of total billed charges,,,"3,073.72",percent of total billed charges,,,"3,073.72",percent of total billed charges,,,"3,073.72",percent of total billed charges,,,"3,073.72",percent of total billed charges,,,"3,073.72",percent of total billed charges,,,"3,073.72",percent of total billed charges,
ANCHOR/SCREW FASTIN RC 5.0 MM / 6.5 MM,C1713,CDM,,,,both,,,"3,426.00","3,426.00",787.98,"3,426.00","3,426.00",percent of total billed charges,"3,426.00",percent of total billed charges,"3,426.00",percent of total billed charges,"3,426.00",percent of total billed charges,"3,426.00",percent of total billed charges,"3,426.00",percent of total billed charges,"3,426.00",percent of total billed charges,"3,426.00",percent of total billed charges,"2,466.72",percent of total billed charges,"2,466.72",percent of total billed charges,"2,466.72",percent of total billed charges,"2,466.72",percent of total billed charges,"2,466.72",percent of total billed charges,"2,466.72",percent of total billed charges,"2,706.54",percent of total billed charges,"2,706.54",percent of total billed charges,"2,740.80",percent of total billed charges,"2,740.80",percent of total billed charges,,,"2,466.72",percent of total billed charges ,,,"2,740.80",percent of total billed charges ,"2,706.54",percent of total billed charges ,"2,706.54",percent of total billed charges ,"2,912.10",percent of total billed charges ,"2,912.10",percent of total billed charges ,"2,740.80",percent of total billed charges ,"2,740.80",percent of total billed charges ,"2,398.20",percent of total billed charges ,"2,398.20",percent of total billed charges ,"2,055.60",percent of total billed charges ,"2,055.60",percent of total billed charges ,"2,055.60",percent of total billed charges ,"2,055.60",percent of total billed charges ,,,,,"1,822.63",percent of total billed charges ,,,,,"1,731.50",percent of total billed charges ,,,,,,,,,,,,,,,,,,,787.98,percent of total billed charges,,,787.98,percent of total billed charges,,,787.98,percent of total billed charges,,,787.98,percent of total billed charges,,,787.98,percent of total billed charges,,,787.98,percent of total billed charges,,,787.98,percent of total billed charges,,,787.98,percent of total billed charges,,,787.98,percent of total billed charges,,,787.98,percent of total billed charges,,,787.98,percent of total billed charges,
DRILL BIT CANNULATED QC,272,RC,00906-99-0441,NDC,,both,,,"4,250.00","4,250.00",977.5,"4,250.00","4,250.00",percent of total billed charges,"4,250.00",percent of total billed charges,"4,250.00",percent of total billed charges,"4,250.00",percent of total billed charges,"4,250.00",percent of total billed charges,"4,250.00",percent of total billed charges,"4,250.00",percent of total billed charges,"4,250.00",percent of total billed charges,"3,060.00",percent of total billed charges,"3,060.00",percent of total billed charges,"3,060.00",percent of total billed charges,"3,060.00",percent of total billed charges,"3,060.00",percent of total billed charges,"3,060.00",percent of total billed charges,"3,357.50",percent of total billed charges,"3,357.50",percent of total billed charges,"3,400.00",percent of total billed charges,"3,400.00",percent of total billed charges,,,"3,060.00",percent of total billed charges ,,,"3,400.00",percent of total billed charges ,"3,357.50",percent of total billed charges ,"3,357.50",percent of total billed charges ,"3,612.50",percent of total billed charges ,"3,612.50",percent of total billed charges ,"3,400.00",percent of total billed charges ,"3,400.00",percent of total billed charges ,"2,975.00",percent of total billed charges ,"2,975.00",percent of total billed charges ,"2,550.00",percent of total billed charges ,"2,550.00",percent of total billed charges ,"2,550.00",percent of total billed charges ,"2,550.00",percent of total billed charges ,,,,,"2,261.00",percent of total billed charges ,,,,,"2,147.95",percent of total billed charges ,,,,,,,,,,,,,,,,,,,977.5,percent of total billed charges,,,977.5,percent of total billed charges,,,977.5,percent of total billed charges,,,977.5,percent of total billed charges,,,977.5,percent of total billed charges,,,977.5,percent of total billed charges,,,977.5,percent of total billed charges,,,977.5,percent of total billed charges,,,977.5,percent of total billed charges,,,977.5,percent of total billed charges,,,977.5,percent of total billed charges,
GUIDE WIRE 1.6MM THREADED,C1769,CDM,,,,both,,,287,287,66.01,287,287,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,226.73,percent of total billed charges,226.73,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 ,226.73,percent of total billed charges ,226.73,percent of total billed charges ,243.95,percent of total billed charges ,243.95,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 ,,,,,,,,,,,,,,,,,,,66.01,percent of total billed charges,,,66.01,percent of total billed charges,,,66.01,percent of total billed charges,,,66.01,percent of total billed charges,,,66.01,percent of total billed charges,,,66.01,percent of total billed charges,,,66.01,percent of total billed charges,,,66.01,percent of total billed charges,,,66.01,percent of total billed charges,,,66.01,percent of total billed charges,,,66.01,percent of total billed charges,
INTRAVENOUS INFUSION ADD'L HR (59),96366,CDM,,,59,both,,,377,377,86.71,377,377,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,297.83,percent of total billed charges,297.83,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 ,297.83,percent of total billed charges ,297.83,percent of total billed charges ,320.45,percent of total billed charges ,320.45,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 ,,,,,,,,,,,,,,,,,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,
SHELL CLUSTER & UNI-HOLE CONTINUUM 40-80,278,RC,00906-99-0441,NDC,,both,,,"15,032.00","15,032.00","3,457.36","15,032.00","15,032.00",percent of total billed charges,"15,032.00",percent of total billed charges,"15,032.00",percent of total billed charges,"15,032.00",percent of total billed charges,"15,032.00",percent of total billed charges,"15,032.00",percent of total billed charges,"15,032.00",percent of total billed charges,"15,032.00",percent of total billed charges,"10,823.04",percent of total billed charges,"10,823.04",percent of total billed charges,"10,823.04",percent of total billed charges,"10,823.04",percent of total billed charges,"10,823.04",percent of total billed charges,"10,823.04",percent of total billed charges,"11,875.28",percent of total billed charges,"11,875.28",percent of total billed charges,"12,025.60",percent of total billed charges,"12,025.60",percent of total billed charges,,,"10,823.04",percent of total billed charges ,,,"12,025.60",percent of total billed charges ,"11,875.28",percent of total billed charges ,"11,875.28",percent of total billed charges ,"12,777.20",percent of total billed charges ,"12,777.20",percent of total billed charges ,"12,025.60",percent of total billed charges ,"12,025.60",percent of total billed charges ,"10,522.40",percent of total billed charges ,"10,522.40",percent of total billed charges ,"9,019.20",percent of total billed charges ,"9,019.20",percent of total billed charges ,"9,019.20",percent of total billed charges ,"9,019.20",percent of total billed charges ,,,,,"7,997.02",percent of total billed charges ,,,,,"7,597.17",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,457.36",percent of total billed charges,,,"3,457.36",percent of total billed charges,,,"3,457.36",percent of total billed charges,,,"3,457.36",percent of total billed charges,,,"3,457.36",percent of total billed charges,,,"3,457.36",percent of total billed charges,,,"3,457.36",percent of total billed charges,,,"3,457.36",percent of total billed charges,,,"3,457.36",percent of total billed charges,,,"3,457.36",percent of total billed charges,,,"3,457.36",percent of total billed charges,
LINER NEUTRL CONTINUUM LONGEVITY 28&32MM,278,RC,00906-99-0441,NDC,,both,,,"8,490.00","8,490.00","1,952.70","8,490.00","8,490.00",percent of total billed charges,"8,490.00",percent of total billed charges,"8,490.00",percent of total billed charges,"8,490.00",percent of total billed charges,"8,490.00",percent of total billed charges,"8,490.00",percent of total billed charges,"8,490.00",percent of total billed charges,"8,490.00",percent of total billed charges,"6,112.80",percent of total billed charges,"6,112.80",percent of total billed charges,"6,112.80",percent of total billed charges,"6,112.80",percent of total billed charges,"6,112.80",percent of total billed charges,"6,112.80",percent of total billed charges,"6,707.10",percent of total billed charges,"6,707.10",percent of total billed charges,"6,792.00",percent of total billed charges,"6,792.00",percent of total billed charges,,,"6,112.80",percent of total billed charges ,,,"6,792.00",percent of total billed charges ,"6,707.10",percent of total billed charges ,"6,707.10",percent of total billed charges ,"7,216.50",percent of total billed charges ,"7,216.50",percent of total billed charges ,"6,792.00",percent of total billed charges ,"6,792.00",percent of total billed charges ,"5,943.00",percent of total billed charges ,"5,943.00",percent of total billed charges ,"5,094.00",percent of total billed charges ,"5,094.00",percent of total billed charges ,"5,094.00",percent of total billed charges ,"5,094.00",percent of total billed charges ,,,,,"4,516.68",percent of total billed charges ,,,,,"4,290.85",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,952.70",percent of total billed charges,,,"1,952.70",percent of total billed charges,,,"1,952.70",percent of total billed charges,,,"1,952.70",percent of total billed charges,,,"1,952.70",percent of total billed charges,,,"1,952.70",percent of total billed charges,,,"1,952.70",percent of total billed charges,,,"1,952.70",percent of total billed charges,,,"1,952.70",percent of total billed charges,,,"1,952.70",percent of total billed charges,,,"1,952.70",percent of total billed charges,
PLATE CLAV LOCKING,C1776,CDM,,,,both,,,"5,735.00","5,735.00","1,319.05","5,735.00","5,735.00",percent of total billed charges,"5,735.00",percent of total billed charges,"5,735.00",percent of total billed charges,"5,735.00",percent of total billed charges,"5,735.00",percent of total billed charges,"5,735.00",percent of total billed charges,"5,735.00",percent of total billed charges,"5,735.00",percent of total billed charges,"4,129.20",percent of total billed charges,"4,129.20",percent of total billed charges,"4,129.20",percent of total billed charges,"4,129.20",percent of total billed charges,"4,129.20",percent of total billed charges,"4,129.20",percent of total billed charges,"4,530.65",percent of total billed charges,"4,530.65",percent of total billed charges,"4,588.00",percent of total billed charges,"4,588.00",percent of total billed charges,,,"4,129.20",percent of total billed charges ,,,"4,588.00",percent of total billed charges ,"4,530.65",percent of total billed charges ,"4,530.65",percent of total billed charges ,"4,874.75",percent of total billed charges ,"4,874.75",percent of total billed charges ,"4,588.00",percent of total billed charges ,"4,588.00",percent of total billed charges ,"4,014.50",percent of total billed charges ,"4,014.50",percent of total billed charges ,"3,441.00",percent of total billed charges ,"3,441.00",percent of total billed charges ,"3,441.00",percent of total billed charges ,"3,441.00",percent of total billed charges ,,,,,"3,051.02",percent of total billed charges ,,,,,"2,898.47",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,319.05",percent of total billed charges,,,"1,319.05",percent of total billed charges,,,"1,319.05",percent of total billed charges,,,"1,319.05",percent of total billed charges,,,"1,319.05",percent of total billed charges,,,"1,319.05",percent of total billed charges,,,"1,319.05",percent of total billed charges,,,"1,319.05",percent of total billed charges,,,"1,319.05",percent of total billed charges,,,"1,319.05",percent of total billed charges,,,"1,319.05",percent of total billed charges,
"SCREW T20 CORTEX, SELF-TAPPING",C1713,CDM,,,,both,,,234,234,53.82,234,234,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,184.86,percent of total billed charges,184.86,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 ,184.86,percent of total billed charges ,184.86,percent of total billed charges ,198.9,percent of total billed charges ,198.9,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 ,,,,,,,,,,,,,,,,,,,53.82,percent of total billed charges,,,53.82,percent of total billed charges,,,53.82,percent of total billed charges,,,53.82,percent of total billed charges,,,53.82,percent of total billed charges,,,53.82,percent of total billed charges,,,53.82,percent of total billed charges,,,53.82,percent of total billed charges,,,53.82,percent of total billed charges,,,53.82,percent of total billed charges,,,53.82,percent of total billed charges,
DRILL BIT 2.0MM-3.5MM SMITH QUICK CONECT,272,RC,00906-99-0441,NDC,,both,,,833,833,191.59,833,833,percent of total billed charges,833,percent of total billed charges,833,percent of total billed charges,833,percent of total billed charges,833,percent of total billed charges,833,percent of total billed charges,833,percent of total billed charges,833,percent of total billed charges,599.76,percent of total billed charges,599.76,percent of total billed charges,599.76,percent of total billed charges,599.76,percent of total billed charges,599.76,percent of total billed charges,599.76,percent of total billed charges,658.07,percent of total billed charges,658.07,percent of total billed charges,666.4,percent of total billed charges,666.4,percent of total billed charges,,,599.76,percent of total billed charges ,,,666.4,percent of total billed charges ,658.07,percent of total billed charges ,658.07,percent of total billed charges ,708.05,percent of total billed charges ,708.05,percent of total billed charges ,666.4,percent of total billed charges ,666.4,percent of total billed charges ,583.1,percent of total billed charges ,583.1,percent of total billed charges ,499.8,percent of total billed charges ,499.8,percent of total billed charges ,499.8,percent of total billed charges ,499.8,percent of total billed charges ,,,,,443.16,percent of total billed charges ,,,,,421,percent of total billed charges ,,,,,,,,,,,,,,,,,,,191.59,percent of total billed charges,,,191.59,percent of total billed charges,,,191.59,percent of total billed charges,,,191.59,percent of total billed charges,,,191.59,percent of total billed charges,,,191.59,percent of total billed charges,,,191.59,percent of total billed charges,,,191.59,percent of total billed charges,,,191.59,percent of total billed charges,,,191.59,percent of total billed charges,,,191.59,percent of total billed charges,
GRAFTON ORTHOBLEND SMALL DEFECT 5CC,C1713,CDM,,,,both,,,"6,740.00","6,740.00","1,550.20","6,740.00","6,740.00",percent of total billed charges,"6,740.00",percent of total billed charges,"6,740.00",percent of total billed charges,"6,740.00",percent of total billed charges,"6,740.00",percent of total billed charges,"6,740.00",percent of total billed charges,"6,740.00",percent of total billed charges,"6,740.00",percent of total billed charges,"4,852.80",percent of total billed charges,"4,852.80",percent of total billed charges,"4,852.80",percent of total billed charges,"4,852.80",percent of total billed charges,"4,852.80",percent of total billed charges,"4,852.80",percent of total billed charges,"5,324.60",percent of total billed charges,"5,324.60",percent of total billed charges,"5,392.00",percent of total billed charges,"5,392.00",percent of total billed charges,,,"4,852.80",percent of total billed charges ,,,"5,392.00",percent of total billed charges ,"5,324.60",percent of total billed charges ,"5,324.60",percent of total billed charges ,"5,729.00",percent of total billed charges ,"5,729.00",percent of total billed charges ,"5,392.00",percent of total billed charges ,"5,392.00",percent of total billed charges ,"4,718.00",percent of total billed charges ,"4,718.00",percent of total billed charges ,"4,044.00",percent of total billed charges ,"4,044.00",percent of total billed charges ,"4,044.00",percent of total billed charges ,"4,044.00",percent of total billed charges ,,,,,"3,585.68",percent of total billed charges ,,,,,"3,406.40",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,550.20",percent of total billed charges,,,"1,550.20",percent of total billed charges,,,"1,550.20",percent of total billed charges,,,"1,550.20",percent of total billed charges,,,"1,550.20",percent of total billed charges,,,"1,550.20",percent of total billed charges,,,"1,550.20",percent of total billed charges,,,"1,550.20",percent of total billed charges,,,"1,550.20",percent of total billed charges,,,"1,550.20",percent of total billed charges,,,"1,550.20",percent of total billed charges,
NAIL FEMORAL CPM  2493 SERIES,C1713,CDM,,,,both,,,"15,500.00","15,500.00","3,565.00","15,500.00","15,500.00",percent of total billed charges,"15,500.00",percent of total billed charges,"15,500.00",percent of total billed charges,"15,500.00",percent of total billed charges,"15,500.00",percent of total billed charges,"15,500.00",percent of total billed charges,"15,500.00",percent of total billed charges,"15,500.00",percent of total billed charges,"11,160.00",percent of total billed charges,"11,160.00",percent of total billed charges,"11,160.00",percent of total billed charges,"11,160.00",percent of total billed charges,"11,160.00",percent of total billed charges,"11,160.00",percent of total billed charges,"12,245.00",percent of total billed charges,"12,245.00",percent of total billed charges,"12,400.00",percent of total billed charges,"12,400.00",percent of total billed charges,,,"11,160.00",percent of total billed charges ,,,"12,400.00",percent of total billed charges ,"12,245.00",percent of total billed charges ,"12,245.00",percent of total billed charges ,"13,175.00",percent of total billed charges ,"13,175.00",percent of total billed charges ,"12,400.00",percent of total billed charges ,"12,400.00",percent of total billed charges ,"10,850.00",percent of total billed charges ,"10,850.00",percent of total billed charges ,"9,300.00",percent of total billed charges ,"9,300.00",percent of total billed charges ,"9,300.00",percent of total billed charges ,"9,300.00",percent of total billed charges ,,,,,"8,246.00",percent of total billed charges ,,,,,"7,833.70",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,565.00",percent of total billed charges,,,"3,565.00",percent of total billed charges,,,"3,565.00",percent of total billed charges,,,"3,565.00",percent of total billed charges,,,"3,565.00",percent of total billed charges,,,"3,565.00",percent of total billed charges,,,"3,565.00",percent of total billed charges,,,"3,565.00",percent of total billed charges,,,"3,565.00",percent of total billed charges,,,"3,565.00",percent of total billed charges,,,"3,565.00",percent of total billed charges,
SCREW LAG NATURAL Z NAIL 2485 SERIES,C1713,CDM,,,,both,,,"4,428.00","4,428.00","1,018.44","4,428.00","4,428.00",percent of total billed charges,"4,428.00",percent of total billed charges,"4,428.00",percent of total billed charges,"4,428.00",percent of total billed charges,"4,428.00",percent of total billed charges,"4,428.00",percent of total billed charges,"4,428.00",percent of total billed charges,"4,428.00",percent of total billed charges,"3,188.16",percent of total billed charges,"3,188.16",percent of total billed charges,"3,188.16",percent of total billed charges,"3,188.16",percent of total billed charges,"3,188.16",percent of total billed charges,"3,188.16",percent of total billed charges,"3,498.12",percent of total billed charges,"3,498.12",percent of total billed charges,"3,542.40",percent of total billed charges,"3,542.40",percent of total billed charges,,,"3,188.16",percent of total billed charges ,,,"3,542.40",percent of total billed charges ,"3,498.12",percent of total billed charges ,"3,498.12",percent of total billed charges ,"3,763.80",percent of total billed charges ,"3,763.80",percent of total billed charges ,"3,542.40",percent of total billed charges ,"3,542.40",percent of total billed charges ,"3,099.60",percent of total billed charges ,"3,099.60",percent of total billed charges ,"2,656.80",percent of total billed charges ,"2,656.80",percent of total billed charges ,"2,656.80",percent of total billed charges ,"2,656.80",percent of total billed charges ,,,,,"2,355.70",percent of total billed charges ,,,,,"2,237.91",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,018.44",percent of total billed charges,,,"1,018.44",percent of total billed charges,,,"1,018.44",percent of total billed charges,,,"1,018.44",percent of total billed charges,,,"1,018.44",percent of total billed charges,,,"1,018.44",percent of total billed charges,,,"1,018.44",percent of total billed charges,,,"1,018.44",percent of total billed charges,,,"1,018.44",percent of total billed charges,,,"1,018.44",percent of total billed charges,,,"1,018.44",percent of total billed charges,
GUIDE WIRE BULLET TIP 2255 SEIRES,C1769,CDM,,,,both,,,"1,509.00","1,509.00",347.07,"1,509.00","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,"1,509.00",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,"1,086.48",percent of total billed charges,"1,086.48",percent of total billed charges,"1,086.48",percent of total billed charges,"1,086.48",percent of total billed charges,"1,086.48",percent of total billed charges,"1,086.48",percent of total billed charges,"1,192.11",percent of total billed charges,"1,192.11",percent of total billed charges,"1,207.20",percent of total billed charges,"1,207.20",percent of total billed charges,,,"1,086.48",percent of total billed charges ,,,"1,207.20",percent of total billed charges ,"1,192.11",percent of total billed charges ,"1,192.11",percent of total billed charges ,"1,282.65",percent of total billed charges ,"1,282.65",percent of total billed charges ,"1,207.20",percent of total billed charges ,"1,207.20",percent of total billed charges ,"1,056.30",percent of total billed charges ,"1,056.30",percent of total billed charges ,905.4,percent of total billed charges ,905.4,percent of total billed charges ,905.4,percent of total billed charges ,905.4,percent of total billed charges ,,,,,802.79,percent of total billed charges ,,,,,762.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,347.07,percent of total billed charges,,,347.07,percent of total billed charges,,,347.07,percent of total billed charges,,,347.07,percent of total billed charges,,,347.07,percent of total billed charges,,,347.07,percent of total billed charges,,,347.07,percent of total billed charges,,,347.07,percent of total billed charges,,,347.07,percent of total billed charges,,,347.07,percent of total billed charges,,,347.07,percent of total billed charges,
GUIDE PIN 2490 SERIES 3.0MM,C1713,CDM,,,,both,,,"1,233.00","1,233.00",283.59,"1,233.00","1,233.00",percent of total billed charges,"1,233.00",percent of total billed charges,"1,233.00",percent of total billed charges,"1,233.00",percent of total billed charges,"1,233.00",percent of total billed charges,"1,233.00",percent of total billed charges,"1,233.00",percent of total billed charges,"1,233.00",percent of total billed charges,887.76,percent of total billed charges,887.76,percent of total billed charges,887.76,percent of total billed charges,887.76,percent of total billed charges,887.76,percent of total billed charges,887.76,percent of total billed charges,974.07,percent of total billed charges,974.07,percent of total billed charges,986.4,percent of total billed charges,986.4,percent of total billed charges,,,887.76,percent of total billed charges ,,,986.4,percent of total billed charges ,974.07,percent of total billed charges ,974.07,percent of total billed charges ,"1,048.05",percent of total billed charges ,"1,048.05",percent of total billed charges ,986.4,percent of total billed charges ,986.4,percent of total billed charges ,863.1,percent of total billed charges ,863.1,percent of total billed charges ,739.8,percent of total billed charges ,739.8,percent of total billed charges ,739.8,percent of total billed charges ,739.8,percent of total billed charges ,,,,,655.96,percent of total billed charges ,,,,,623.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,283.59,percent of total billed charges,,,283.59,percent of total billed charges,,,283.59,percent of total billed charges,,,283.59,percent of total billed charges,,,283.59,percent of total billed charges,,,283.59,percent of total billed charges,,,283.59,percent of total billed charges,,,283.59,percent of total billed charges,,,283.59,percent of total billed charges,,,283.59,percent of total billed charges,,,283.59,percent of total billed charges,
SCREW CANNULATED 2.3MM & 3.0MMTRIMED,C1713,CDM,,,,both,,,"2,438.00","2,438.00",560.74,"2,438.00","2,438.00",percent of total billed charges,"2,438.00",percent of total billed charges,"2,438.00",percent of total billed charges,"2,438.00",percent of total billed charges,"2,438.00",percent of total billed charges,"2,438.00",percent of total billed charges,"2,438.00",percent of total billed charges,"2,438.00",percent of total billed charges,"1,755.36",percent of total billed charges,"1,755.36",percent of total billed charges,"1,755.36",percent of total billed charges,"1,755.36",percent of total billed charges,"1,755.36",percent of total billed charges,"1,755.36",percent of total billed charges,"1,926.02",percent of total billed charges,"1,926.02",percent of total billed charges,"1,950.40",percent of total billed charges,"1,950.40",percent of total billed charges,,,"1,755.36",percent of total billed charges ,,,"1,950.40",percent of total billed charges ,"1,926.02",percent of total billed charges ,"1,926.02",percent of total billed charges ,"2,072.30",percent of total billed charges ,"2,072.30",percent of total billed charges ,"1,950.40",percent of total billed charges ,"1,950.40",percent of total billed charges ,"1,706.60",percent of total billed charges ,"1,706.60",percent of total billed charges ,"1,462.80",percent of total billed charges ,"1,462.80",percent of total billed charges ,"1,462.80",percent of total billed charges ,"1,462.80",percent of total billed charges ,,,,,"1,297.02",percent of total billed charges ,,,,,"1,232.17",percent of total billed charges ,,,,,,,,,,,,,,,,,,,560.74,percent of total billed charges,,,560.74,percent of total billed charges,,,560.74,percent of total billed charges,,,560.74,percent of total billed charges,,,560.74,percent of total billed charges,,,560.74,percent of total billed charges,,,560.74,percent of total billed charges,,,560.74,percent of total billed charges,,,560.74,percent of total billed charges,,,560.74,percent of total billed charges,,,560.74,percent of total billed charges,
GUIDE WIRE 0.8/120 & 1.1/120 TRIMED,C1769,CDM,,,,both,,,137,137,31.51,137,137,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,108.23,percent of total billed charges,108.23,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 ,108.23,percent of total billed charges ,108.23,percent of total billed charges ,116.45,percent of total billed charges ,116.45,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 ,,,,,,,,,,,,,,,,,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,
DRILL BIT 1MM 2.3MM & 3.0MM TRIMED,272,RC,00906-99-0441,NDC,,both,,,"1,332.00","1,332.00",306.36,"1,332.00","1,332.00",percent of total billed charges,"1,332.00",percent of total billed charges,"1,332.00",percent of total billed charges,"1,332.00",percent of total billed charges,"1,332.00",percent of total billed charges,"1,332.00",percent of total billed charges,"1,332.00",percent of total billed charges,"1,332.00",percent of total billed charges,959.04,percent of total billed charges,959.04,percent of total billed charges,959.04,percent of total billed charges,959.04,percent of total billed charges,959.04,percent of total billed charges,959.04,percent of total billed charges,"1,052.28",percent of total billed charges,"1,052.28",percent of total billed charges,"1,065.60",percent of total billed charges,"1,065.60",percent of total billed charges,,,959.04,percent of total billed charges ,,,"1,065.60",percent of total billed charges ,"1,052.28",percent of total billed charges ,"1,052.28",percent of total billed charges ,"1,132.20",percent of total billed charges ,"1,132.20",percent of total billed charges ,"1,065.60",percent of total billed charges ,"1,065.60",percent of total billed charges ,932.4,percent of total billed charges ,932.4,percent of total billed charges ,799.2,percent of total billed charges ,799.2,percent of total billed charges ,799.2,percent of total billed charges ,799.2,percent of total billed charges ,,,,,708.62,percent of total billed charges ,,,,,673.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,306.36,percent of total billed charges,,,306.36,percent of total billed charges,,,306.36,percent of total billed charges,,,306.36,percent of total billed charges,,,306.36,percent of total billed charges,,,306.36,percent of total billed charges,,,306.36,percent of total billed charges,,,306.36,percent of total billed charges,,,306.36,percent of total billed charges,,,306.36,percent of total billed charges,,,306.36,percent of total billed charges,
LINER ALTRX CROSSLINKED POLY 36X56,C1713,CDM,,,,both,,,"7,575.00","7,575.00","1,742.25","7,575.00","7,575.00",percent of total billed charges,"7,575.00",percent of total billed charges,"7,575.00",percent of total billed charges,"7,575.00",percent of total billed charges,"7,575.00",percent of total billed charges,"7,575.00",percent of total billed charges,"7,575.00",percent of total billed charges,"7,575.00",percent of total billed charges,"5,454.00",percent of total billed charges,"5,454.00",percent of total billed charges,"5,454.00",percent of total billed charges,"5,454.00",percent of total billed charges,"5,454.00",percent of total billed charges,"5,454.00",percent of total billed charges,"5,984.25",percent of total billed charges,"5,984.25",percent of total billed charges,"6,060.00",percent of total billed charges,"6,060.00",percent of total billed charges,,,"5,454.00",percent of total billed charges ,,,"6,060.00",percent of total billed charges ,"5,984.25",percent of total billed charges ,"5,984.25",percent of total billed charges ,"6,438.75",percent of total billed charges ,"6,438.75",percent of total billed charges ,"6,060.00",percent of total billed charges ,"6,060.00",percent of total billed charges ,"5,302.50",percent of total billed charges ,"5,302.50",percent of total billed charges ,"4,545.00",percent of total billed charges ,"4,545.00",percent of total billed charges ,"4,545.00",percent of total billed charges ,"4,545.00",percent of total billed charges ,,,,,"4,029.90",percent of total billed charges ,,,,,"3,828.41",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,742.25",percent of total billed charges,,,"1,742.25",percent of total billed charges,,,"1,742.25",percent of total billed charges,,,"1,742.25",percent of total billed charges,,,"1,742.25",percent of total billed charges,,,"1,742.25",percent of total billed charges,,,"1,742.25",percent of total billed charges,,,"1,742.25",percent of total billed charges,,,"1,742.25",percent of total billed charges,,,"1,742.25",percent of total billed charges,,,"1,742.25",percent of total billed charges,
ANTERIOR TIBIALIS TENDON FROZEN,278,RC,00906-99-0441,NDC,,both,,,"9,923.00","9,923.00","2,282.29","9,923.00","9,923.00",percent of total billed charges,"9,923.00",percent of total billed charges,"9,923.00",percent of total billed charges,"9,923.00",percent of total billed charges,"9,923.00",percent of total billed charges,"9,923.00",percent of total billed charges,"9,923.00",percent of total billed charges,"9,923.00",percent of total billed charges,"7,144.56",percent of total billed charges,"7,144.56",percent of total billed charges,"7,144.56",percent of total billed charges,"7,144.56",percent of total billed charges,"7,144.56",percent of total billed charges,"7,144.56",percent of total billed charges,"7,839.17",percent of total billed charges,"7,839.17",percent of total billed charges,"7,938.40",percent of total billed charges,"7,938.40",percent of total billed charges,,,"7,144.56",percent of total billed charges ,,,"7,938.40",percent of total billed charges ,"7,839.17",percent of total billed charges ,"7,839.17",percent of total billed charges ,"8,434.55",percent of total billed charges ,"8,434.55",percent of total billed charges ,"7,938.40",percent of total billed charges ,"7,938.40",percent of total billed charges ,"6,946.10",percent of total billed charges ,"6,946.10",percent of total billed charges ,"5,953.80",percent of total billed charges ,"5,953.80",percent of total billed charges ,"5,953.80",percent of total billed charges ,"5,953.80",percent of total billed charges ,,,,,"5,279.04",percent of total billed charges ,,,,,"5,015.08",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,282.29",percent of total billed charges,,,"2,282.29",percent of total billed charges,,,"2,282.29",percent of total billed charges,,,"2,282.29",percent of total billed charges,,,"2,282.29",percent of total billed charges,,,"2,282.29",percent of total billed charges,,,"2,282.29",percent of total billed charges,,,"2,282.29",percent of total billed charges,,,"2,282.29",percent of total billed charges,,,"2,282.29",percent of total billed charges,,,"2,282.29",percent of total billed charges,
TUNNELS STD 7-8 EZLOK FEM FIXATION,278,RC,00906-99-0441,NDC,,both,,,"4,893.00","4,893.00","1,125.39","4,893.00","4,893.00",percent of total billed charges,"4,893.00",percent of total billed charges,"4,893.00",percent of total billed charges,"4,893.00",percent of total billed charges,"4,893.00",percent of total billed charges,"4,893.00",percent of total billed charges,"4,893.00",percent of total billed charges,"4,893.00",percent of total billed charges,"3,522.96",percent of total billed charges,"3,522.96",percent of total billed charges,"3,522.96",percent of total billed charges,"3,522.96",percent of total billed charges,"3,522.96",percent of total billed charges,"3,522.96",percent of total billed charges,"3,865.47",percent of total billed charges,"3,865.47",percent of total billed charges,"3,914.40",percent of total billed charges,"3,914.40",percent of total billed charges,,,"3,522.96",percent of total billed charges ,,,"3,914.40",percent of total billed charges ,"3,865.47",percent of total billed charges ,"3,865.47",percent of total billed charges ,"4,159.05",percent of total billed charges ,"4,159.05",percent of total billed charges ,"3,914.40",percent of total billed charges ,"3,914.40",percent of total billed charges ,"3,425.10",percent of total billed charges ,"3,425.10",percent of total billed charges ,"2,935.80",percent of total billed charges ,"2,935.80",percent of total billed charges ,"2,935.80",percent of total billed charges ,"2,935.80",percent of total billed charges ,,,,,"2,603.08",percent of total billed charges ,,,,,"2,472.92",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,125.39",percent of total billed charges,,,"1,125.39",percent of total billed charges,,,"1,125.39",percent of total billed charges,,,"1,125.39",percent of total billed charges,,,"1,125.39",percent of total billed charges,,,"1,125.39",percent of total billed charges,,,"1,125.39",percent of total billed charges,,,"1,125.39",percent of total billed charges,,,"1,125.39",percent of total billed charges,,,"1,125.39",percent of total billed charges,,,"1,125.39",percent of total billed charges,
WASHERLOC TISSUE FIXATION 160MM,C1713,CDM,,,,both,,,"4,428.00","4,428.00","1,018.44","4,428.00","4,428.00",percent of total billed charges,"4,428.00",percent of total billed charges,"4,428.00",percent of total billed charges,"4,428.00",percent of total billed charges,"4,428.00",percent of total billed charges,"4,428.00",percent of total billed charges,"4,428.00",percent of total billed charges,"4,428.00",percent of total billed charges,"3,188.16",percent of total billed charges,"3,188.16",percent of total billed charges,"3,188.16",percent of total billed charges,"3,188.16",percent of total billed charges,"3,188.16",percent of total billed charges,"3,188.16",percent of total billed charges,"3,498.12",percent of total billed charges,"3,498.12",percent of total billed charges,"3,542.40",percent of total billed charges,"3,542.40",percent of total billed charges,,,"3,188.16",percent of total billed charges ,,,"3,542.40",percent of total billed charges ,"3,498.12",percent of total billed charges ,"3,498.12",percent of total billed charges ,"3,763.80",percent of total billed charges ,"3,763.80",percent of total billed charges ,"3,542.40",percent of total billed charges ,"3,542.40",percent of total billed charges ,"3,099.60",percent of total billed charges ,"3,099.60",percent of total billed charges ,"2,656.80",percent of total billed charges ,"2,656.80",percent of total billed charges ,"2,656.80",percent of total billed charges ,"2,656.80",percent of total billed charges ,,,,,"2,355.70",percent of total billed charges ,,,,,"2,237.91",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,018.44",percent of total billed charges,,,"1,018.44",percent of total billed charges,,,"1,018.44",percent of total billed charges,,,"1,018.44",percent of total billed charges,,,"1,018.44",percent of total billed charges,,,"1,018.44",percent of total billed charges,,,"1,018.44",percent of total billed charges,,,"1,018.44",percent of total billed charges,,,"1,018.44",percent of total billed charges,,,"1,018.44",percent of total billed charges,,,"1,018.44",percent of total billed charges,
INSERTER WASHERLOC EZLOC,C1713,CDM,,,,both,,,"4,600.00","4,600.00","1,058.00","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,"3,634.00",percent of total billed charges,"3,634.00",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 ,"3,634.00",percent of total billed charges ,"3,634.00",percent of total billed charges ,"3,910.00",percent of total billed charges ,"3,910.00",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 ,,,,,,,,,,,,,,,,,,,"1,058.00",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,,,"1,058.00",percent of total billed charges,,,"1,058.00",percent of total billed charges,,,"1,058.00",percent of total billed charges,
SCREW WASHERLOC 44X6MM CANCELLOUS,C1713,CDM,,,,both,,,"1,692.00","1,692.00",389.16,"1,692.00","1,692.00",percent of total billed charges,"1,692.00",percent of total billed charges,"1,692.00",percent of total billed charges,"1,692.00",percent of total billed charges,"1,692.00",percent of total billed charges,"1,692.00",percent of total billed charges,"1,692.00",percent of total billed charges,"1,692.00",percent of total billed charges,"1,218.24",percent of total billed charges,"1,218.24",percent of total billed charges,"1,218.24",percent of total billed charges,"1,218.24",percent of total billed charges,"1,218.24",percent of total billed charges,"1,218.24",percent of total billed charges,"1,336.68",percent of total billed charges,"1,336.68",percent of total billed charges,"1,353.60",percent of total billed charges,"1,353.60",percent of total billed charges,,,"1,218.24",percent of total billed charges ,,,"1,353.60",percent of total billed charges ,"1,336.68",percent of total billed charges ,"1,336.68",percent of total billed charges ,"1,438.20",percent of total billed charges ,"1,438.20",percent of total billed charges ,"1,353.60",percent of total billed charges ,"1,353.60",percent of total billed charges ,"1,184.40",percent of total billed charges ,"1,184.40",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 ,,,,,900.14,percent of total billed charges ,,,,,855.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,389.16,percent of total billed charges,,,389.16,percent of total billed charges,,,389.16,percent of total billed charges,,,389.16,percent of total billed charges,,,389.16,percent of total billed charges,,,389.16,percent of total billed charges,,,389.16,percent of total billed charges,,,389.16,percent of total billed charges,,,389.16,percent of total billed charges,,,389.16,percent of total billed charges,,,389.16,percent of total billed charges,
SUTURE ANCHOR CORKSCREW 3.5Mx10 ELB-WRIS,C1713,CDM,,,,both,,,"3,802.00","3,802.00",874.46,"3,802.00","3,802.00",percent of total billed charges,"3,802.00",percent of total billed charges,"3,802.00",percent of total billed charges,"3,802.00",percent of total billed charges,"3,802.00",percent of total billed charges,"3,802.00",percent of total billed charges,"3,802.00",percent of total billed charges,"3,802.00",percent of total billed charges,"2,737.44",percent of total billed charges,"2,737.44",percent of total billed charges,"2,737.44",percent of total billed charges,"2,737.44",percent of total billed charges,"2,737.44",percent of total billed charges,"2,737.44",percent of total billed charges,"3,003.58",percent of total billed charges,"3,003.58",percent of total billed charges,"3,041.60",percent of total billed charges,"3,041.60",percent of total billed charges,,,"2,737.44",percent of total billed charges ,,,"3,041.60",percent of total billed charges ,"3,003.58",percent of total billed charges ,"3,003.58",percent of total billed charges ,"3,231.70",percent of total billed charges ,"3,231.70",percent of total billed charges ,"3,041.60",percent of total billed charges ,"3,041.60",percent of total billed charges ,"2,661.40",percent of total billed charges ,"2,661.40",percent of total billed charges ,"2,281.20",percent of total billed charges ,"2,281.20",percent of total billed charges ,"2,281.20",percent of total billed charges ,"2,281.20",percent of total billed charges ,,,,,"2,022.66",percent of total billed charges ,,,,,"1,921.53",percent of total billed charges ,,,,,,,,,,,,,,,,,,,874.46,percent of total billed charges,,,874.46,percent of total billed charges,,,874.46,percent of total billed charges,,,874.46,percent of total billed charges,,,874.46,percent of total billed charges,,,874.46,percent of total billed charges,,,874.46,percent of total billed charges,,,874.46,percent of total billed charges,,,874.46,percent of total billed charges,,,874.46,percent of total billed charges,,,874.46,percent of total billed charges,
BURR SHAVER ROUND 5.5MM ARTHREX,272,RC,00906-99-0441,NDC,,both,,,679,679,156.17,679,679,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,536.41,percent of total billed charges,536.41,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 ,536.41,percent of total billed charges ,536.41,percent of total billed charges ,577.15,percent of total billed charges ,577.15,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 ,,,,,,,,,,,,,,,,,,,156.17,percent of total billed charges,,,156.17,percent of total billed charges,,,156.17,percent of total billed charges,,,156.17,percent of total billed charges,,,156.17,percent of total billed charges,,,156.17,percent of total billed charges,,,156.17,percent of total billed charges,,,156.17,percent of total billed charges,,,156.17,percent of total billed charges,,,156.17,percent of total billed charges,,,156.17,percent of total billed charges,
SHAVER 5.0MM ARTHREX,272,RC,00906-99-0441,NDC,,both,,,606,606,139.38,606,606,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,478.74,percent of total billed charges,478.74,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 ,478.74,percent of total billed charges ,478.74,percent of total billed charges ,515.1,percent of total billed charges ,515.1,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 ,,,,,,,,,,,,,,,,,,,139.38,percent of total billed charges,,,139.38,percent of total billed charges,,,139.38,percent of total billed charges,,,139.38,percent of total billed charges,,,139.38,percent of total billed charges,,,139.38,percent of total billed charges,,,139.38,percent of total billed charges,,,139.38,percent of total billed charges,,,139.38,percent of total billed charges,,,139.38,percent of total billed charges,,,139.38,percent of total billed charges,
SUTURE ANCHOR 4.75X24.5 BIOCOMPOSIT SWIV,C1713,CDM,,,,both,,,"4,428.00","4,428.00","1,018.44","4,428.00","4,428.00",percent of total billed charges,"4,428.00",percent of total billed charges,"4,428.00",percent of total billed charges,"4,428.00",percent of total billed charges,"4,428.00",percent of total billed charges,"4,428.00",percent of total billed charges,"4,428.00",percent of total billed charges,"4,428.00",percent of total billed charges,"3,188.16",percent of total billed charges,"3,188.16",percent of total billed charges,"3,188.16",percent of total billed charges,"3,188.16",percent of total billed charges,"3,188.16",percent of total billed charges,"3,188.16",percent of total billed charges,"3,498.12",percent of total billed charges,"3,498.12",percent of total billed charges,"3,542.40",percent of total billed charges,"3,542.40",percent of total billed charges,,,"3,188.16",percent of total billed charges ,,,"3,542.40",percent of total billed charges ,"3,498.12",percent of total billed charges ,"3,498.12",percent of total billed charges ,"3,763.80",percent of total billed charges ,"3,763.80",percent of total billed charges ,"3,542.40",percent of total billed charges ,"3,542.40",percent of total billed charges ,"3,099.60",percent of total billed charges ,"3,099.60",percent of total billed charges ,"2,656.80",percent of total billed charges ,"2,656.80",percent of total billed charges ,"2,656.80",percent of total billed charges ,"2,656.80",percent of total billed charges ,,,,,"2,355.70",percent of total billed charges ,,,,,"2,237.91",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,018.44",percent of total billed charges,,,"1,018.44",percent of total billed charges,,,"1,018.44",percent of total billed charges,,,"1,018.44",percent of total billed charges,,,"1,018.44",percent of total billed charges,,,"1,018.44",percent of total billed charges,,,"1,018.44",percent of total billed charges,,,"1,018.44",percent of total billed charges,,,"1,018.44",percent of total billed charges,,,"1,018.44",percent of total billed charges,,,"1,018.44",percent of total billed charges,
CORKSCREW FT SUTURE ANCHOR ARTHREX,C1713,CDM,,,,both,,,"2,618.00","2,618.00",602.14,"2,618.00","2,618.00",percent of total billed charges,"2,618.00",percent of total billed charges,"2,618.00",percent of total billed charges,"2,618.00",percent of total billed charges,"2,618.00",percent of total billed charges,"2,618.00",percent of total billed charges,"2,618.00",percent of total billed charges,"2,618.00",percent of total billed charges,"1,884.96",percent of total billed charges,"1,884.96",percent of total billed charges,"1,884.96",percent of total billed charges,"1,884.96",percent of total billed charges,"1,884.96",percent of total billed charges,"1,884.96",percent of total billed charges,"2,068.22",percent of total billed charges,"2,068.22",percent of total billed charges,"2,094.40",percent of total billed charges,"2,094.40",percent of total billed charges,,,"1,884.96",percent of total billed charges ,,,"2,094.40",percent of total billed charges ,"2,068.22",percent of total billed charges ,"2,068.22",percent of total billed charges ,"2,225.30",percent of total billed charges ,"2,225.30",percent of total billed charges ,"2,094.40",percent of total billed charges ,"2,094.40",percent of total billed charges ,"1,832.60",percent of total billed charges ,"1,832.60",percent of total billed charges ,"1,570.80",percent of total billed charges ,"1,570.80",percent of total billed charges ,"1,570.80",percent of total billed charges ,"1,570.80",percent of total billed charges ,,,,,"1,392.78",percent of total billed charges ,,,,,"1,323.14",percent of total billed charges ,,,,,,,,,,,,,,,,,,,602.14,percent of total billed charges,,,602.14,percent of total billed charges,,,602.14,percent of total billed charges,,,602.14,percent of total billed charges,,,602.14,percent of total billed charges,,,602.14,percent of total billed charges,,,602.14,percent of total billed charges,,,602.14,percent of total billed charges,,,602.14,percent of total billed charges,,,602.14,percent of total billed charges,,,602.14,percent of total billed charges,
CANNULA TWIST-IN ARTHREX,C1713,CDM,,,,both,,,257,257,59.11,257,257,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,203.03,percent of total billed charges,203.03,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 ,203.03,percent of total billed charges ,203.03,percent of total billed charges ,218.45,percent of total billed charges ,218.45,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,59.11,percent of total billed charges,,,59.11,percent of total billed charges,,,59.11,percent of total billed charges,
NEEDLE SCORPION SURE-MULTI-FIRE ARTHREX,272,RC,00906-99-0441,NDC,,both,,,"1,730.00","1,730.00",397.9,"1,730.00","1,730.00",percent of total billed charges,"1,730.00",percent of total billed charges,"1,730.00",percent of total billed charges,"1,730.00",percent of total billed charges,"1,730.00",percent of total billed charges,"1,730.00",percent of total billed charges,"1,730.00",percent of total billed charges,"1,730.00",percent of total billed charges,"1,245.60",percent of total billed charges,"1,245.60",percent of total billed charges,"1,245.60",percent of total billed charges,"1,245.60",percent of total billed charges,"1,245.60",percent of total billed charges,"1,245.60",percent of total billed charges,"1,366.70",percent of total billed charges,"1,366.70",percent of total billed charges,"1,384.00",percent of total billed charges,"1,384.00",percent of total billed charges,,,"1,245.60",percent of total billed charges ,,,"1,384.00",percent of total billed charges ,"1,366.70",percent of total billed charges ,"1,366.70",percent of total billed charges ,"1,470.50",percent of total billed charges ,"1,470.50",percent of total billed charges ,"1,384.00",percent of total billed charges ,"1,384.00",percent of total billed charges ,"1,211.00",percent of total billed charges ,"1,211.00",percent of total billed charges ,"1,038.00",percent of total billed charges ,"1,038.00",percent of total billed charges ,"1,038.00",percent of total billed charges ,"1,038.00",percent of total billed charges ,,,,,920.36,percent of total billed charges ,,,,,874.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,397.9,percent of total billed charges,,,397.9,percent of total billed charges,,,397.9,percent of total billed charges,,,397.9,percent of total billed charges,,,397.9,percent of total billed charges,,,397.9,percent of total billed charges,,,397.9,percent of total billed charges,,,397.9,percent of total billed charges,,,397.9,percent of total billed charges,,,397.9,percent of total billed charges,,,397.9,percent of total billed charges,
PFJ-PROLONG KNEE W/STD PATELLA  CAPPED,278,RC,00906-99-0441,NDC,,both,,,"31,177.00","31,177.00","7,170.71","31,177.00","31,177.00",percent of total billed charges,"31,177.00",percent of total billed charges,"31,177.00",percent of total billed charges,"31,177.00",percent of total billed charges,"31,177.00",percent of total billed charges,"31,177.00",percent of total billed charges,"31,177.00",percent of total billed charges,"31,177.00",percent of total billed charges,"22,447.44",percent of total billed charges,"22,447.44",percent of total billed charges,"22,447.44",percent of total billed charges,"22,447.44",percent of total billed charges,"22,447.44",percent of total billed charges,"22,447.44",percent of total billed charges,"24,629.83",percent of total billed charges,"24,629.83",percent of total billed charges,"24,941.60",percent of total billed charges,"24,941.60",percent of total billed charges,,,"22,447.44",percent of total billed charges ,,,"24,941.60",percent of total billed charges ,"24,629.83",percent of total billed charges ,"24,629.83",percent of total billed charges ,"26,500.45",percent of total billed charges ,"26,500.45",percent of total billed charges ,"24,941.60",percent of total billed charges ,"24,941.60",percent of total billed charges ,"21,823.90",percent of total billed charges ,"21,823.90",percent of total billed charges ,"18,706.20",percent of total billed charges ,"18,706.20",percent of total billed charges ,"18,706.20",percent of total billed charges ,"18,706.20",percent of total billed charges ,,,,,"16,586.16",percent of total billed charges ,,,,,"15,756.86",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"7,170.71",percent of total billed charges,,,"7,170.71",percent of total billed charges,,,"7,170.71",percent of total billed charges,,,"7,170.71",percent of total billed charges,,,"7,170.71",percent of total billed charges,,,"7,170.71",percent of total billed charges,,,"7,170.71",percent of total billed charges,,,"7,170.71",percent of total billed charges,,,"7,170.71",percent of total billed charges,,,"7,170.71",percent of total billed charges,,,"7,170.71",percent of total billed charges,
NEXGEN FLEX TOTAL KNEE CAPPED,C1776,CDM,,,,both,,,"18,296.00","18,296.00","4,208.08","18,296.00","18,296.00",percent of total billed charges,"18,296.00",percent of total billed charges,"18,296.00",percent of total billed charges,"18,296.00",percent of total billed charges,"18,296.00",percent of total billed charges,"18,296.00",percent of total billed charges,"18,296.00",percent of total billed charges,"18,296.00",percent of total billed charges,"13,173.12",percent of total billed charges,"13,173.12",percent of total billed charges,"13,173.12",percent of total billed charges,"13,173.12",percent of total billed charges,"13,173.12",percent of total billed charges,"13,173.12",percent of total billed charges,"14,453.84",percent of total billed charges,"14,453.84",percent of total billed charges,"14,636.80",percent of total billed charges,"14,636.80",percent of total billed charges,,,"13,173.12",percent of total billed charges ,,,"14,636.80",percent of total billed charges ,"14,453.84",percent of total billed charges ,"14,453.84",percent of total billed charges ,"15,551.60",percent of total billed charges ,"15,551.60",percent of total billed charges ,"14,636.80",percent of total billed charges ,"14,636.80",percent of total billed charges ,"12,807.20",percent of total billed charges ,"12,807.20",percent of total billed charges ,"10,977.60",percent of total billed charges ,"10,977.60",percent of total billed charges ,"10,977.60",percent of total billed charges ,"10,977.60",percent of total billed charges ,,,,,"9,733.47",percent of total billed charges ,,,,,"9,246.80",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,208.08",percent of total billed charges,,,"4,208.08",percent of total billed charges,,,"4,208.08",percent of total billed charges,,,"4,208.08",percent of total billed charges,,,"4,208.08",percent of total billed charges,,,"4,208.08",percent of total billed charges,,,"4,208.08",percent of total billed charges,,,"4,208.08",percent of total billed charges,,,"4,208.08",percent of total billed charges,,,"4,208.08",percent of total billed charges,,,"4,208.08",percent of total billed charges,
SCREW LOW PROF CORTICAL TI 2.3 ARTHREX,C1713,CDM,,,,both,,,870,870,200.1,870,870,percent of total billed charges,870,percent of total billed charges,870,percent of total billed charges,870,percent of total billed charges,870,percent of total billed charges,870,percent of total billed charges,870,percent of total billed charges,870,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,626.4,percent of total billed charges,626.4,percent of total billed charges,687.3,percent of total billed charges,687.3,percent of total billed charges,696,percent of total billed charges,696,percent of total billed charges,,,626.4,percent of total billed charges ,,,696,percent of total billed charges ,687.3,percent of total billed charges ,687.3,percent of total billed charges ,739.5,percent of total billed charges ,739.5,percent of total billed charges ,696,percent of total billed charges ,696,percent of total billed charges ,609,percent of total billed charges ,609,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 ,,,,,462.84,percent of total billed charges ,,,,,439.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,200.1,percent of total billed charges,,,200.1,percent of total billed charges,,,200.1,percent of total billed charges,,,200.1,percent of total billed charges,,,200.1,percent of total billed charges,,,200.1,percent of total billed charges,,,200.1,percent of total billed charges,,,200.1,percent of total billed charges,,,200.1,percent of total billed charges,,,200.1,percent of total billed charges,,,200.1,percent of total billed charges,
PLATE LOW PROF META OPEN WDG TI ARTHREX,C1713,CDM,,,,both,,,"5,799.00","5,799.00","1,333.77","5,799.00","5,799.00",percent of total billed charges,"5,799.00",percent of total billed charges,"5,799.00",percent of total billed charges,"5,799.00",percent of total billed charges,"5,799.00",percent of total billed charges,"5,799.00",percent of total billed charges,"5,799.00",percent of total billed charges,"5,799.00",percent of total billed charges,"4,175.28",percent of total billed charges,"4,175.28",percent of total billed charges,"4,175.28",percent of total billed charges,"4,175.28",percent of total billed charges,"4,175.28",percent of total billed charges,"4,175.28",percent of total billed charges,"4,581.21",percent of total billed charges,"4,581.21",percent of total billed charges,"4,639.20",percent of total billed charges,"4,639.20",percent of total billed charges,,,"4,175.28",percent of total billed charges ,,,"4,639.20",percent of total billed charges ,"4,581.21",percent of total billed charges ,"4,581.21",percent of total billed charges ,"4,929.15",percent of total billed charges ,"4,929.15",percent of total billed charges ,"4,639.20",percent of total billed charges ,"4,639.20",percent of total billed charges ,"4,059.30",percent of total billed charges ,"4,059.30",percent of total billed charges ,"3,479.40",percent of total billed charges ,"3,479.40",percent of total billed charges ,"3,479.40",percent of total billed charges ,"3,479.40",percent of total billed charges ,,,,,"3,085.07",percent of total billed charges ,,,,,"2,930.81",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,333.77",percent of total billed charges,,,"1,333.77",percent of total billed charges,,,"1,333.77",percent of total billed charges,,,"1,333.77",percent of total billed charges,,,"1,333.77",percent of total billed charges,,,"1,333.77",percent of total billed charges,,,"1,333.77",percent of total billed charges,,,"1,333.77",percent of total billed charges,,,"1,333.77",percent of total billed charges,,,"1,333.77",percent of total billed charges,,,"1,333.77",percent of total billed charges,
PLATE HOLDER ARTHREX BB-TAK,C1713,CDM,,,,both,,,404,404,92.92,404,404,percent of total billed charges,404,percent of total billed charges,404,percent of total billed charges,404,percent of total billed charges,404,percent of total billed charges,404,percent of total billed charges,404,percent of total billed charges,404,percent of total billed charges,290.88,percent of total billed charges,290.88,percent of total billed charges,290.88,percent of total billed charges,290.88,percent of total billed charges,290.88,percent of total billed charges,290.88,percent of total billed charges,319.16,percent of total billed charges,319.16,percent of total billed charges,323.2,percent of total billed charges,323.2,percent of total billed charges,,,290.88,percent of total billed charges ,,,323.2,percent of total billed charges ,319.16,percent of total billed charges ,319.16,percent of total billed charges ,343.4,percent of total billed charges ,343.4,percent of total billed charges ,323.2,percent of total billed charges ,323.2,percent of total billed charges ,282.8,percent of total billed charges ,282.8,percent of total billed charges ,242.4,percent of total billed charges ,242.4,percent of total billed charges ,242.4,percent of total billed charges ,242.4,percent of total billed charges ,,,,,214.93,percent of total billed charges ,,,,,204.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,
SCREW 3.5MM CORT STAP-N TAP 10-50MM,C1713,CDM,,,,both,,,198,198,45.54,198,198,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,156.42,percent of total billed charges,156.42,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 ,156.42,percent of total billed charges ,156.42,percent of total billed charges ,168.3,percent of total billed charges ,168.3,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 ,,,,,,,,,,,,,,,,,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,
SCREW 2.7MM LOCKING 18-22MM,C1713,CDM,,,,both,,,978,978,224.94,978,978,percent of total billed charges,978,percent of total billed charges,978,percent of total billed charges,978,percent of total billed charges,978,percent of total billed charges,978,percent of total billed charges,978,percent of total billed charges,978,percent of total billed charges,704.16,percent of total billed charges,704.16,percent of total billed charges,704.16,percent of total billed charges,704.16,percent of total billed charges,704.16,percent of total billed charges,704.16,percent of total billed charges,772.62,percent of total billed charges,772.62,percent of total billed charges,782.4,percent of total billed charges,782.4,percent of total billed charges,,,704.16,percent of total billed charges ,,,782.4,percent of total billed charges ,772.62,percent of total billed charges ,772.62,percent of total billed charges ,831.3,percent of total billed charges ,831.3,percent of total billed charges ,782.4,percent of total billed charges ,782.4,percent of total billed charges ,684.6,percent of total billed charges ,684.6,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 ,,,,,520.3,percent of total billed charges ,,,,,494.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,224.94,percent of total billed charges,,,224.94,percent of total billed charges,,,224.94,percent of total billed charges,,,224.94,percent of total billed charges,,,224.94,percent of total billed charges,,,224.94,percent of total billed charges,,,224.94,percent of total billed charges,,,224.94,percent of total billed charges,,,224.94,percent of total billed charges,,,224.94,percent of total billed charges,,,224.94,percent of total billed charges,
DRILL BIT QUIK CONECT1.1;1.5;2;2.7;,272,RC,00906-99-0441,NDC,,both,,,688,688,158.24,688,688,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,543.52,percent of total billed charges,543.52,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 ,543.52,percent of total billed charges ,543.52,percent of total billed charges ,584.8,percent of total billed charges ,584.8,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 ,,,,,,,,,,,,,,,,,,,158.24,percent of total billed charges,,,158.24,percent of total billed charges,,,158.24,percent of total billed charges,,,158.24,percent of total billed charges,,,158.24,percent of total billed charges,,,158.24,percent of total billed charges,,,158.24,percent of total billed charges,,,158.24,percent of total billed charges,,,158.24,percent of total billed charges,,,158.24,percent of total billed charges,,,158.24,percent of total billed charges,
DRILL STANDARD  2.7MM  ZIMMER,272,RC,00906-99-0441,NDC,,both,,,"1,717.00","1,717.00",394.91,"1,717.00","1,717.00",percent of total billed charges,"1,717.00",percent of total billed charges,"1,717.00",percent of total billed charges,"1,717.00",percent of total billed charges,"1,717.00",percent of total billed charges,"1,717.00",percent of total billed charges,"1,717.00",percent of total billed charges,"1,717.00",percent of total billed charges,"1,236.24",percent of total billed charges,"1,236.24",percent of total billed charges,"1,236.24",percent of total billed charges,"1,236.24",percent of total billed charges,"1,236.24",percent of total billed charges,"1,236.24",percent of total billed charges,"1,356.43",percent of total billed charges,"1,356.43",percent of total billed charges,"1,373.60",percent of total billed charges,"1,373.60",percent of total billed charges,,,"1,236.24",percent of total billed charges ,,,"1,373.60",percent of total billed charges ,"1,356.43",percent of total billed charges ,"1,356.43",percent of total billed charges ,"1,459.45",percent of total billed charges ,"1,459.45",percent of total billed charges ,"1,373.60",percent of total billed charges ,"1,373.60",percent of total billed charges ,"1,201.90",percent of total billed charges ,"1,201.90",percent of total billed charges ,"1,030.20",percent of total billed charges ,"1,030.20",percent of total billed charges ,"1,030.20",percent of total billed charges ,"1,030.20",percent of total billed charges ,,,,,913.44,percent of total billed charges ,,,,,867.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,394.91,percent of total billed charges,,,394.91,percent of total billed charges,,,394.91,percent of total billed charges,,,394.91,percent of total billed charges,,,394.91,percent of total billed charges,,,394.91,percent of total billed charges,,,394.91,percent of total billed charges,,,394.91,percent of total billed charges,,,394.91,percent of total billed charges,,,394.91,percent of total billed charges,,,394.91,percent of total billed charges,
DRILL STANDARD  2.0MM ZIMMER,272,RC,00906-99-0441,NDC,,both,,,"2,797.00","2,797.00",643.31,"2,797.00","2,797.00",percent of total billed charges,"2,797.00",percent of total billed charges,"2,797.00",percent of total billed charges,"2,797.00",percent of total billed charges,"2,797.00",percent of total billed charges,"2,797.00",percent of total billed charges,"2,797.00",percent of total billed charges,"2,797.00",percent of total billed charges,"2,013.84",percent of total billed charges,"2,013.84",percent of total billed charges,"2,013.84",percent of total billed charges,"2,013.84",percent of total billed charges,"2,013.84",percent of total billed charges,"2,013.84",percent of total billed charges,"2,209.63",percent of total billed charges,"2,209.63",percent of total billed charges,"2,237.60",percent of total billed charges,"2,237.60",percent of total billed charges,,,"2,013.84",percent of total billed charges ,,,"2,237.60",percent of total billed charges ,"2,209.63",percent of total billed charges ,"2,209.63",percent of total billed charges ,"2,377.45",percent of total billed charges ,"2,377.45",percent of total billed charges ,"2,237.60",percent of total billed charges ,"2,237.60",percent of total billed charges ,"1,957.90",percent of total billed charges ,"1,957.90",percent of total billed charges ,"1,678.20",percent of total billed charges ,"1,678.20",percent of total billed charges ,"1,678.20",percent of total billed charges ,"1,678.20",percent of total billed charges ,,,,,"1,488.00",percent of total billed charges ,,,,,"1,413.60",percent of total billed charges ,,,,,,,,,,,,,,,,,,,643.31,percent of total billed charges,,,643.31,percent of total billed charges,,,643.31,percent of total billed charges,,,643.31,percent of total billed charges,,,643.31,percent of total billed charges,,,643.31,percent of total billed charges,,,643.31,percent of total billed charges,,,643.31,percent of total billed charges,,,643.31,percent of total billed charges,,,643.31,percent of total billed charges,,,643.31,percent of total billed charges,
SCREW 3.5MM LOCKING W/2.7M HEAD,C1713,CDM,,,,both,,,905,905,208.15,905,905,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,714.95,percent of total billed charges,714.95,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 ,714.95,percent of total billed charges ,714.95,percent of total billed charges ,769.25,percent of total billed charges ,769.25,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 ,,,,,,,,,,,,,,,,,,,208.15,percent of total billed charges,,,208.15,percent of total billed charges,,,208.15,percent of total billed charges,,,208.15,percent of total billed charges,,,208.15,percent of total billed charges,,,208.15,percent of total billed charges,,,208.15,percent of total billed charges,,,208.15,percent of total billed charges,,,208.15,percent of total billed charges,,,208.15,percent of total billed charges,,,208.15,percent of total billed charges,
SCREW 3.5MM  PERI W 2.7MM HEAD,C1713,CDM,,,,both,,,326,326,74.98,326,326,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,257.54,percent of total billed charges,257.54,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 ,257.54,percent of total billed charges ,257.54,percent of total billed charges ,277.1,percent of total billed charges ,277.1,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 ,,,,,,,,,,,,,,,,,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,
PLATE 6H 106MM  DIST LAT FIB LOCKIN,C1713,CDM,,,,both,,,"5,814.00","5,814.00","1,337.22","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,"4,593.06",percent of total billed charges,"4,593.06",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 ,"4,593.06",percent of total billed charges ,"4,593.06",percent of total billed charges ,"4,941.90",percent of total billed charges ,"4,941.90",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 ,,,,,,,,,,,,,,,,,,,"1,337.22",percent of total billed charges,,,"1,337.22",percent of total billed charges,,,"1,337.22",percent of total billed charges,,,"1,337.22",percent of total billed charges,,,"1,337.22",percent of total billed charges,,,"1,337.22",percent of total billed charges,,,"1,337.22",percent of total billed charges,,,"1,337.22",percent of total billed charges,,,"1,337.22",percent of total billed charges,,,"1,337.22",percent of total billed charges,,,"1,337.22",percent of total billed charges,
SCREW 2.4MM CANNULATED,C1713,CDM,,,,both,,,"2,919.00","2,919.00",671.37,"2,919.00","2,919.00",percent of total billed charges,"2,919.00",percent of total billed charges,"2,919.00",percent of total billed charges,"2,919.00",percent of total billed charges,"2,919.00",percent of total billed charges,"2,919.00",percent of total billed charges,"2,919.00",percent of total billed charges,"2,919.00",percent of total billed charges,"2,101.68",percent of total billed charges,"2,101.68",percent of total billed charges,"2,101.68",percent of total billed charges,"2,101.68",percent of total billed charges,"2,101.68",percent of total billed charges,"2,101.68",percent of total billed charges,"2,306.01",percent of total billed charges,"2,306.01",percent of total billed charges,"2,335.20",percent of total billed charges,"2,335.20",percent of total billed charges,,,"2,101.68",percent of total billed charges ,,,"2,335.20",percent of total billed charges ,"2,306.01",percent of total billed charges ,"2,306.01",percent of total billed charges ,"2,481.15",percent of total billed charges ,"2,481.15",percent of total billed charges ,"2,335.20",percent of total billed charges ,"2,335.20",percent of total billed charges ,"2,043.30",percent of total billed charges ,"2,043.30",percent of total billed charges ,"1,751.40",percent of total billed charges ,"1,751.40",percent of total billed charges ,"1,751.40",percent of total billed charges ,"1,751.40",percent of total billed charges ,,,,,"1,552.91",percent of total billed charges ,,,,,"1,475.26",percent of total billed charges ,,,,,,,,,,,,,,,,,,,671.37,percent of total billed charges,,,671.37,percent of total billed charges,,,671.37,percent of total billed charges,,,671.37,percent of total billed charges,,,671.37,percent of total billed charges,,,671.37,percent of total billed charges,,,671.37,percent of total billed charges,,,671.37,percent of total billed charges,,,671.37,percent of total billed charges,,,671.37,percent of total billed charges,,,671.37,percent of total billed charges,
DRILL BIT/QC 2.0MM CANULATD 150MM SYNTH,272,RC,00906-99-0441,NDC,,both,,,"3,705.00","3,705.00",852.15,"3,705.00","3,705.00",percent of total billed charges,"3,705.00",percent of total billed charges,"3,705.00",percent of total billed charges,"3,705.00",percent of total billed charges,"3,705.00",percent of total billed charges,"3,705.00",percent of total billed charges,"3,705.00",percent of total billed charges,"3,705.00",percent of total billed charges,"2,667.60",percent of total billed charges,"2,667.60",percent of total billed charges,"2,667.60",percent of total billed charges,"2,667.60",percent of total billed charges,"2,667.60",percent of total billed charges,"2,667.60",percent of total billed charges,"2,926.95",percent of total billed charges,"2,926.95",percent of total billed charges,"2,964.00",percent of total billed charges,"2,964.00",percent of total billed charges,,,"2,667.60",percent of total billed charges ,,,"2,964.00",percent of total billed charges ,"2,926.95",percent of total billed charges ,"2,926.95",percent of total billed charges ,"3,149.25",percent of total billed charges ,"3,149.25",percent of total billed charges ,"2,964.00",percent of total billed charges ,"2,964.00",percent of total billed charges ,"2,593.50",percent of total billed charges ,"2,593.50",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 ,,,,,"1,971.06",percent of total billed charges ,,,,,"1,872.51",percent of total billed charges ,,,,,,,,,,,,,,,,,,,852.15,percent of total billed charges,,,852.15,percent of total billed charges,,,852.15,percent of total billed charges,,,852.15,percent of total billed charges,,,852.15,percent of total billed charges,,,852.15,percent of total billed charges,,,852.15,percent of total billed charges,,,852.15,percent of total billed charges,,,852.15,percent of total billed charges,,,852.15,percent of total billed charges,,,852.15,percent of total billed charges,
GUIDEWIRE 1.1MM NON-THREAD150MM,C1769,CDM,,,,both,,,249,249,57.27,249,249,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,196.71,percent of total billed charges,196.71,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 ,196.71,percent of total billed charges ,196.71,percent of total billed charges ,211.65,percent of total billed charges ,211.65,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 ,,,,,,,,,,,,,,,,,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,
SCREW 2.7M  SLF-TAPPING STAR,C1713,CDM,,,,both,,,316,316,72.68,316,316,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,249.64,percent of total billed charges,249.64,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 ,249.64,percent of total billed charges ,249.64,percent of total billed charges ,268.6,percent of total billed charges ,268.6,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,72.68,percent of total billed charges,,,72.68,percent of total billed charges,,,72.68,percent of total billed charges,
SCREW 2.0MM LOCKING SLF-TPING STAR,C1713,CDM,,,,both,,,"1,004.00","1,004.00",230.92,"1,004.00","1,004.00",percent of total billed charges,"1,004.00",percent of total billed charges,"1,004.00",percent of total billed charges,"1,004.00",percent of total billed charges,"1,004.00",percent of total billed charges,"1,004.00",percent of total billed charges,"1,004.00",percent of total billed charges,"1,004.00",percent of total billed charges,722.88,percent of total billed charges,722.88,percent of total billed charges,722.88,percent of total billed charges,722.88,percent of total billed charges,722.88,percent of total billed charges,722.88,percent of total billed charges,793.16,percent of total billed charges,793.16,percent of total billed charges,803.2,percent of total billed charges,803.2,percent of total billed charges,,,722.88,percent of total billed charges ,,,803.2,percent of total billed charges ,793.16,percent of total billed charges ,793.16,percent of total billed charges ,853.4,percent of total billed charges ,853.4,percent of total billed charges ,803.2,percent of total billed charges ,803.2,percent of total billed charges ,702.8,percent of total billed charges ,702.8,percent of total billed charges ,602.4,percent of total billed charges ,602.4,percent of total billed charges ,602.4,percent of total billed charges ,602.4,percent of total billed charges ,,,,,534.13,percent of total billed charges ,,,,,507.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,230.92,percent of total billed charges,,,230.92,percent of total billed charges,,,230.92,percent of total billed charges,,,230.92,percent of total billed charges,,,230.92,percent of total billed charges,,,230.92,percent of total billed charges,,,230.92,percent of total billed charges,,,230.92,percent of total billed charges,,,230.92,percent of total billed charges,,,230.92,percent of total billed charges,,,230.92,percent of total billed charges,
PLATE 2.XMM FUSION,C1713,CDM,,,,both,,,"6,004.00","6,004.00","1,380.92","6,004.00","6,004.00",percent of total billed charges,"6,004.00",percent of total billed charges,"6,004.00",percent of total billed charges,"6,004.00",percent of total billed charges,"6,004.00",percent of total billed charges,"6,004.00",percent of total billed charges,"6,004.00",percent of total billed charges,"6,004.00",percent of total billed charges,"4,322.88",percent of total billed charges,"4,322.88",percent of total billed charges,"4,322.88",percent of total billed charges,"4,322.88",percent of total billed charges,"4,322.88",percent of total billed charges,"4,322.88",percent of total billed charges,"4,743.16",percent of total billed charges,"4,743.16",percent of total billed charges,"4,803.20",percent of total billed charges,"4,803.20",percent of total billed charges,,,"4,322.88",percent of total billed charges ,,,"4,803.20",percent of total billed charges ,"4,743.16",percent of total billed charges ,"4,743.16",percent of total billed charges ,"5,103.40",percent of total billed charges ,"5,103.40",percent of total billed charges ,"4,803.20",percent of total billed charges ,"4,803.20",percent of total billed charges ,"4,202.80",percent of total billed charges ,"4,202.80",percent of total billed charges ,"3,602.40",percent of total billed charges ,"3,602.40",percent of total billed charges ,"3,602.40",percent of total billed charges ,"3,602.40",percent of total billed charges ,,,,,"3,194.13",percent of total billed charges ,,,,,"3,034.42",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,380.92",percent of total billed charges,,,"1,380.92",percent of total billed charges,,,"1,380.92",percent of total billed charges,,,"1,380.92",percent of total billed charges,,,"1,380.92",percent of total billed charges,,,"1,380.92",percent of total billed charges,,,"1,380.92",percent of total billed charges,,,"1,380.92",percent of total billed charges,,,"1,380.92",percent of total billed charges,,,"1,380.92",percent of total billed charges,,,"1,380.92",percent of total billed charges,
DRILL BIT 1.8MM DEPTH  MARK QC 110MM,272,RC,00906-99-0441,NDC,,both,,,"1,340.00","1,340.00",308.2,"1,340.00","1,340.00",percent of total billed charges,"1,340.00",percent of total billed charges,"1,340.00",percent of total billed charges,"1,340.00",percent of total billed charges,"1,340.00",percent of total billed charges,"1,340.00",percent of total billed charges,"1,340.00",percent of total billed charges,"1,340.00",percent of total billed charges,964.8,percent of total billed charges,964.8,percent of total billed charges,964.8,percent of total billed charges,964.8,percent of total billed charges,964.8,percent of total billed charges,964.8,percent of total billed charges,"1,058.60",percent of total billed charges,"1,058.60",percent of total billed charges,"1,072.00",percent of total billed charges,"1,072.00",percent of total billed charges,,,964.8,percent of total billed charges ,,,"1,072.00",percent of total billed charges ,"1,058.60",percent of total billed charges ,"1,058.60",percent of total billed charges ,"1,139.00",percent of total billed charges ,"1,139.00",percent of total billed charges ,"1,072.00",percent of total billed charges ,"1,072.00",percent of total billed charges ,938,percent of total billed charges ,938,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 ,,,,,712.88,percent of total billed charges ,,,,,677.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,308.2,percent of total billed charges,,,308.2,percent of total billed charges,,,308.2,percent of total billed charges,,,308.2,percent of total billed charges,,,308.2,percent of total billed charges,,,308.2,percent of total billed charges,,,308.2,percent of total billed charges,,,308.2,percent of total billed charges,,,308.2,percent of total billed charges,,,308.2,percent of total billed charges,,,308.2,percent of total billed charges,
ELECTRODE HOOK COOLCUT,272,RC,00906-99-0441,NDC,,both,,,"1,541.00","1,541.00",354.43,"1,541.00","1,541.00",percent of total billed charges,"1,541.00",percent of total billed charges,"1,541.00",percent of total billed charges,"1,541.00",percent of total billed charges,"1,541.00",percent of total billed charges,"1,541.00",percent of total billed charges,"1,541.00",percent of total billed charges,"1,541.00",percent of total billed charges,"1,109.52",percent of total billed charges,"1,109.52",percent of total billed charges,"1,109.52",percent of total billed charges,"1,109.52",percent of total billed charges,"1,109.52",percent of total billed charges,"1,109.52",percent of total billed charges,"1,217.39",percent of total billed charges,"1,217.39",percent of total billed charges,"1,232.80",percent of total billed charges,"1,232.80",percent of total billed charges,,,"1,109.52",percent of total billed charges ,,,"1,232.80",percent of total billed charges ,"1,217.39",percent of total billed charges ,"1,217.39",percent of total billed charges ,"1,309.85",percent of total billed charges ,"1,309.85",percent of total billed charges ,"1,232.80",percent of total billed charges ,"1,232.80",percent of total billed charges ,"1,078.70",percent of total billed charges ,"1,078.70",percent of total billed charges ,924.6,percent of total billed charges ,924.6,percent of total billed charges ,924.6,percent of total billed charges ,924.6,percent of total billed charges ,,,,,819.81,percent of total billed charges ,,,,,778.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,354.43,percent of total billed charges,,,354.43,percent of total billed charges,,,354.43,percent of total billed charges,,,354.43,percent of total billed charges,,,354.43,percent of total billed charges,,,354.43,percent of total billed charges,,,354.43,percent of total billed charges,,,354.43,percent of total billed charges,,,354.43,percent of total billed charges,,,354.43,percent of total billed charges,,,354.43,percent of total billed charges,
SLEEVE STERILE STAR SYSTEM LATERAL POSIT,272,RC,00906-99-0441,NDC,,both,,,"1,336.00","1,336.00",307.28,"1,336.00","1,336.00",percent of total billed charges,"1,336.00",percent of total billed charges,"1,336.00",percent of total billed charges,"1,336.00",percent of total billed charges,"1,336.00",percent of total billed charges,"1,336.00",percent of total billed charges,"1,336.00",percent of total billed charges,"1,336.00",percent of total billed charges,961.92,percent of total billed charges,961.92,percent of total billed charges,961.92,percent of total billed charges,961.92,percent of total billed charges,961.92,percent of total billed charges,961.92,percent of total billed charges,"1,055.44",percent of total billed charges,"1,055.44",percent of total billed charges,"1,068.80",percent of total billed charges,"1,068.80",percent of total billed charges,,,961.92,percent of total billed charges ,,,"1,068.80",percent of total billed charges ,"1,055.44",percent of total billed charges ,"1,055.44",percent of total billed charges ,"1,135.60",percent of total billed charges ,"1,135.60",percent of total billed charges ,"1,068.80",percent of total billed charges ,"1,068.80",percent of total billed charges ,935.2,percent of total billed charges ,935.2,percent of total billed charges ,801.6,percent of total billed charges ,801.6,percent of total billed charges ,801.6,percent of total billed charges ,801.6,percent of total billed charges ,,,,,710.75,percent of total billed charges ,,,,,675.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,307.28,percent of total billed charges,,,307.28,percent of total billed charges,,,307.28,percent of total billed charges,,,307.28,percent of total billed charges,,,307.28,percent of total billed charges,,,307.28,percent of total billed charges,,,307.28,percent of total billed charges,,,307.28,percent of total billed charges,,,307.28,percent of total billed charges,,,307.28,percent of total billed charges,,,307.28,percent of total billed charges,
SHOULDER HUMERAL HEAD BF OFFSET 40-56MM,C1776,CDM,,,,both,,,"12,785.00","12,785.00","2,940.55","12,785.00","12,785.00",percent of total billed charges,"12,785.00",percent of total billed charges,"12,785.00",percent of total billed charges,"12,785.00",percent of total billed charges,"12,785.00",percent of total billed charges,"12,785.00",percent of total billed charges,"12,785.00",percent of total billed charges,"12,785.00",percent of total billed charges,"9,205.20",percent of total billed charges,"9,205.20",percent of total billed charges,"9,205.20",percent of total billed charges,"9,205.20",percent of total billed charges,"9,205.20",percent of total billed charges,"9,205.20",percent of total billed charges,"10,100.15",percent of total billed charges,"10,100.15",percent of total billed charges,"10,228.00",percent of total billed charges,"10,228.00",percent of total billed charges,,,"9,205.20",percent of total billed charges ,,,"10,228.00",percent of total billed charges ,"10,100.15",percent of total billed charges ,"10,100.15",percent of total billed charges ,"10,867.25",percent of total billed charges ,"10,867.25",percent of total billed charges ,"10,228.00",percent of total billed charges ,"10,228.00",percent of total billed charges ,"8,949.50",percent of total billed charges ,"8,949.50",percent of total billed charges ,"7,671.00",percent of total billed charges ,"7,671.00",percent of total billed charges ,"7,671.00",percent of total billed charges ,"7,671.00",percent of total billed charges ,,,,,"6,801.62",percent of total billed charges ,,,,,"6,461.54",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,940.55",percent of total billed charges,,,"2,940.55",percent of total billed charges,,,"2,940.55",percent of total billed charges,,,"2,940.55",percent of total billed charges,,,"2,940.55",percent of total billed charges,,,"2,940.55",percent of total billed charges,,,"2,940.55",percent of total billed charges,,,"2,940.55",percent of total billed charges,,,"2,940.55",percent of total billed charges,,,"2,940.55",percent of total billed charges,,,"2,940.55",percent of total billed charges,
SHOULDER HUMERAL STEM,C1776,CDM,,,,both,,,"26,060.00","26,060.00","5,993.80","26,060.00","26,060.00",percent of total billed charges,"26,060.00",percent of total billed charges,"26,060.00",percent of total billed charges,"26,060.00",percent of total billed charges,"26,060.00",percent of total billed charges,"26,060.00",percent of total billed charges,"26,060.00",percent of total billed charges,"26,060.00",percent of total billed charges,"18,763.20",percent of total billed charges,"18,763.20",percent of total billed charges,"18,763.20",percent of total billed charges,"18,763.20",percent of total billed charges,"18,763.20",percent of total billed charges,"18,763.20",percent of total billed charges,"20,587.40",percent of total billed charges,"20,587.40",percent of total billed charges,"20,848.00",percent of total billed charges,"20,848.00",percent of total billed charges,,,"18,763.20",percent of total billed charges ,,,"20,848.00",percent of total billed charges ,"20,587.40",percent of total billed charges ,"20,587.40",percent of total billed charges ,"22,151.00",percent of total billed charges ,"22,151.00",percent of total billed charges ,"20,848.00",percent of total billed charges ,"20,848.00",percent of total billed charges ,"18,242.00",percent of total billed charges ,"18,242.00",percent of total billed charges ,"15,636.00",percent of total billed charges ,"15,636.00",percent of total billed charges ,"15,636.00",percent of total billed charges ,"15,636.00",percent of total billed charges ,,,,,"13,863.92",percent of total billed charges ,,,,,"13,170.72",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"5,993.80",percent of total billed charges,,,"5,993.80",percent of total billed charges,,,"5,993.80",percent of total billed charges,,,"5,993.80",percent of total billed charges,,,"5,993.80",percent of total billed charges,,,"5,993.80",percent of total billed charges,,,"5,993.80",percent of total billed charges,,,"5,993.80",percent of total billed charges,,,"5,993.80",percent of total billed charges,,,"5,993.80",percent of total billed charges,,,"5,993.80",percent of total billed charges,
SCREW 1.5 CORTICAL  ST MINI CRUCIFORM,C1713,CDM,,,,both,,,198,198,45.54,198,198,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,156.42,percent of total billed charges,156.42,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 ,156.42,percent of total billed charges ,156.42,percent of total billed charges ,168.3,percent of total billed charges ,168.3,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 ,,,,,,,,,,,,,,,,,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,
"PLATE 2.0MM STRAIGHT 3, 4 HOLE",C1776,CDM,,,,both,,,539,539,123.97,539,539,percent of total billed charges,539,percent of total billed charges,539,percent of total billed charges,539,percent of total billed charges,539,percent of total billed charges,539,percent of total billed charges,539,percent of total billed charges,539,percent of total billed charges,388.08,percent of total billed charges,388.08,percent of total billed charges,388.08,percent of total billed charges,388.08,percent of total billed charges,388.08,percent of total billed charges,388.08,percent of total billed charges,425.81,percent of total billed charges,425.81,percent of total billed charges,431.2,percent of total billed charges,431.2,percent of total billed charges,,,388.08,percent of total billed charges ,,,431.2,percent of total billed charges ,425.81,percent of total billed charges ,425.81,percent of total billed charges ,458.15,percent of total billed charges ,458.15,percent of total billed charges ,431.2,percent of total billed charges ,431.2,percent of total billed charges ,377.3,percent of total billed charges ,377.3,percent of total billed charges ,323.4,percent of total billed charges ,323.4,percent of total billed charges ,323.4,percent of total billed charges ,323.4,percent of total billed charges ,,,,,286.75,percent of total billed charges ,,,,,272.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,
PLATE 1/3 TUB W COLLAR,C1776,CDM,,,,both,,,604,604,138.92,604,604,percent of total billed charges,604,percent of total billed charges,604,percent of total billed charges,604,percent of total billed charges,604,percent of total billed charges,604,percent of total billed charges,604,percent of total billed charges,604,percent of total billed charges,434.88,percent of total billed charges,434.88,percent of total billed charges,434.88,percent of total billed charges,434.88,percent of total billed charges,434.88,percent of total billed charges,434.88,percent of total billed charges,477.16,percent of total billed charges,477.16,percent of total billed charges,483.2,percent of total billed charges,483.2,percent of total billed charges,,,434.88,percent of total billed charges ,,,483.2,percent of total billed charges ,477.16,percent of total billed charges ,477.16,percent of total billed charges ,513.4,percent of total billed charges ,513.4,percent of total billed charges ,483.2,percent of total billed charges ,483.2,percent of total billed charges ,422.8,percent of total billed charges ,422.8,percent of total billed charges ,362.4,percent of total billed charges ,362.4,percent of total billed charges ,362.4,percent of total billed charges ,362.4,percent of total billed charges ,,,,,321.33,percent of total billed charges ,,,,,305.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,
ART SURFACE INSERTER TIP UNI KNEE,C1776,CDM,,,,both,,,"1,307.00","1,307.00",300.61,"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,"1,032.53",percent of total billed charges,"1,032.53",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 ,"1,032.53",percent of total billed charges ,"1,032.53",percent of total billed charges ,"1,110.95",percent of total billed charges ,"1,110.95",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 ,,,,,,,,,,,,,,,,,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,
SCREW CORT NATURAL Z NAIL  2484 SERIES,C1713,CDM,,,,both,,,"2,089.00","2,089.00",480.47,"2,089.00","2,089.00",percent of total billed charges,"2,089.00",percent of total billed charges,"2,089.00",percent of total billed charges,"2,089.00",percent of total billed charges,"2,089.00",percent of total billed charges,"2,089.00",percent of total billed charges,"2,089.00",percent of total billed charges,"2,089.00",percent of total billed charges,"1,504.08",percent of total billed charges,"1,504.08",percent of total billed charges,"1,504.08",percent of total billed charges,"1,504.08",percent of total billed charges,"1,504.08",percent of total billed charges,"1,504.08",percent of total billed charges,"1,650.31",percent of total billed charges,"1,650.31",percent of total billed charges,"1,671.20",percent of total billed charges,"1,671.20",percent of total billed charges,,,"1,504.08",percent of total billed charges ,,,"1,671.20",percent of total billed charges ,"1,650.31",percent of total billed charges ,"1,650.31",percent of total billed charges ,"1,775.65",percent of total billed charges ,"1,775.65",percent of total billed charges ,"1,671.20",percent of total billed charges ,"1,671.20",percent of total billed charges ,"1,462.30",percent of total billed charges ,"1,462.30",percent of total billed charges ,"1,253.40",percent of total billed charges ,"1,253.40",percent of total billed charges ,"1,253.40",percent of total billed charges ,"1,253.40",percent of total billed charges ,,,,,"1,111.35",percent of total billed charges ,,,,,"1,055.78",percent of total billed charges ,,,,,,,,,,,,,,,,,,,480.47,percent of total billed charges,,,480.47,percent of total billed charges,,,480.47,percent of total billed charges,,,480.47,percent of total billed charges,,,480.47,percent of total billed charges,,,480.47,percent of total billed charges,,,480.47,percent of total billed charges,,,480.47,percent of total billed charges,,,480.47,percent of total billed charges,,,480.47,percent of total billed charges,,,480.47,percent of total billed charges,
K WIRE,C1713,CDM,,,,both,,,178,178,40.94,178,178,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,140.62,percent of total billed charges,140.62,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 ,140.62,percent of total billed charges ,140.62,percent of total billed charges ,151.3,percent of total billed charges ,151.3,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 ,,,,,,,,,,,,,,,,,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,
"SCREW 4.0 CANCEL SMALL HEX 40MM, PT 14MM",C1713,CDM,,,,both,,,197,197,45.31,197,197,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,155.63,percent of total billed charges,155.63,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 ,155.63,percent of total billed charges ,155.63,percent of total billed charges ,167.45,percent of total billed charges ,167.45,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
DRILL BIT 3.3  195MM   NCB TRAY,272,RC,00906-99-0441,NDC,,both,,,"1,587.00","1,587.00",365.01,"1,587.00","1,587.00",percent of total billed charges,"1,587.00",percent of total billed charges,"1,587.00",percent of total billed charges,"1,587.00",percent of total billed charges,"1,587.00",percent of total billed charges,"1,587.00",percent of total billed charges,"1,587.00",percent of total billed charges,"1,587.00",percent of total billed charges,"1,142.64",percent of total billed charges,"1,142.64",percent of total billed charges,"1,142.64",percent of total billed charges,"1,142.64",percent of total billed charges,"1,142.64",percent of total billed charges,"1,142.64",percent of total billed charges,"1,253.73",percent of total billed charges,"1,253.73",percent of total billed charges,"1,269.60",percent of total billed charges,"1,269.60",percent of total billed charges,,,"1,142.64",percent of total billed charges ,,,"1,269.60",percent of total billed charges ,"1,253.73",percent of total billed charges ,"1,253.73",percent of total billed charges ,"1,348.95",percent of total billed charges ,"1,348.95",percent of total billed charges ,"1,269.60",percent of total billed charges ,"1,269.60",percent of total billed charges ,"1,110.90",percent of total billed charges ,"1,110.90",percent of total billed charges ,952.2,percent of total billed charges ,952.2,percent of total billed charges ,952.2,percent of total billed charges ,952.2,percent of total billed charges ,,,,,844.28,percent of total billed charges ,,,,,802.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,365.01,percent of total billed charges,,,365.01,percent of total billed charges,,,365.01,percent of total billed charges,,,365.01,percent of total billed charges,,,365.01,percent of total billed charges,,,365.01,percent of total billed charges,,,365.01,percent of total billed charges,,,365.01,percent of total billed charges,,,365.01,percent of total billed charges,,,365.01,percent of total billed charges,,,365.01,percent of total billed charges,
GUIDEWIRE 1.6MM X 190MM TREADED NCB TRAY,C1769,CDM,,,,both,,,268,268,61.64,268,268,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,211.72,percent of total billed charges,211.72,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 ,211.72,percent of total billed charges ,211.72,percent of total billed charges ,227.8,percent of total billed charges ,227.8,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 ,,,,,,,,,,,,,,,,,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,
PLATE PROXIMAL TIBIA   NCB TRAY,C1713,CDM,,,,both,,,"13,011.00","13,011.00","2,992.53","13,011.00","13,011.00",percent of total billed charges,"13,011.00",percent of total billed charges,"13,011.00",percent of total billed charges,"13,011.00",percent of total billed charges,"13,011.00",percent of total billed charges,"13,011.00",percent of total billed charges,"13,011.00",percent of total billed charges,"13,011.00",percent of total billed charges,"9,367.92",percent of total billed charges,"9,367.92",percent of total billed charges,"9,367.92",percent of total billed charges,"9,367.92",percent of total billed charges,"9,367.92",percent of total billed charges,"9,367.92",percent of total billed charges,"10,278.69",percent of total billed charges,"10,278.69",percent of total billed charges,"10,408.80",percent of total billed charges,"10,408.80",percent of total billed charges,,,"9,367.92",percent of total billed charges ,,,"10,408.80",percent of total billed charges ,"10,278.69",percent of total billed charges ,"10,278.69",percent of total billed charges ,"11,059.35",percent of total billed charges ,"11,059.35",percent of total billed charges ,"10,408.80",percent of total billed charges ,"10,408.80",percent of total billed charges ,"9,107.70",percent of total billed charges ,"9,107.70",percent of total billed charges ,"7,806.60",percent of total billed charges ,"7,806.60",percent of total billed charges ,"7,806.60",percent of total billed charges ,"7,806.60",percent of total billed charges ,,,,,"6,921.85",percent of total billed charges ,,,,,"6,575.76",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,992.53",percent of total billed charges,,,"2,992.53",percent of total billed charges,,,"2,992.53",percent of total billed charges,,,"2,992.53",percent of total billed charges,,,"2,992.53",percent of total billed charges,,,"2,992.53",percent of total billed charges,,,"2,992.53",percent of total billed charges,,,"2,992.53",percent of total billed charges,,,"2,992.53",percent of total billed charges,,,"2,992.53",percent of total billed charges,,,"2,992.53",percent of total billed charges,
SCREW CAP LOCKING     NCB TRAY,C1713,CDM,,,,both,,,"1,627.00","1,627.00",374.21,"1,627.00","1,627.00",percent of total billed charges,"1,627.00",percent of total billed charges,"1,627.00",percent of total billed charges,"1,627.00",percent of total billed charges,"1,627.00",percent of total billed charges,"1,627.00",percent of total billed charges,"1,627.00",percent of total billed charges,"1,627.00",percent of total billed charges,"1,171.44",percent of total billed charges,"1,171.44",percent of total billed charges,"1,171.44",percent of total billed charges,"1,171.44",percent of total billed charges,"1,171.44",percent of total billed charges,"1,171.44",percent of total billed charges,"1,285.33",percent of total billed charges,"1,285.33",percent of total billed charges,"1,301.60",percent of total billed charges,"1,301.60",percent of total billed charges,,,"1,171.44",percent of total billed charges ,,,"1,301.60",percent of total billed charges ,"1,285.33",percent of total billed charges ,"1,285.33",percent of total billed charges ,"1,382.95",percent of total billed charges ,"1,382.95",percent of total billed charges ,"1,301.60",percent of total billed charges ,"1,301.60",percent of total billed charges ,"1,138.90",percent of total billed charges ,"1,138.90",percent of total billed charges ,976.2,percent of total billed charges ,976.2,percent of total billed charges ,976.2,percent of total billed charges ,976.2,percent of total billed charges ,,,,,865.56,percent of total billed charges ,,,,,822.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,374.21,percent of total billed charges,,,374.21,percent of total billed charges,,,374.21,percent of total billed charges,,,374.21,percent of total billed charges,,,374.21,percent of total billed charges,,,374.21,percent of total billed charges,,,374.21,percent of total billed charges,,,374.21,percent of total billed charges,,,374.21,percent of total billed charges,,,374.21,percent of total billed charges,,,374.21,percent of total billed charges,
SCREW CANCELLOUS   NCB TRAY,C1713,CDM,,,,both,,,"1,508.00","1,508.00",346.84,"1,508.00","1,508.00",percent of total billed charges,"1,508.00",percent of total billed charges,"1,508.00",percent of total billed charges,"1,508.00",percent of total billed charges,"1,508.00",percent of total billed charges,"1,508.00",percent of total billed charges,"1,508.00",percent of total billed charges,"1,508.00",percent of total billed charges,"1,085.76",percent of total billed charges,"1,085.76",percent of total billed charges,"1,085.76",percent of total billed charges,"1,085.76",percent of total billed charges,"1,085.76",percent of total billed charges,"1,085.76",percent of total billed charges,"1,191.32",percent of total billed charges,"1,191.32",percent of total billed charges,"1,206.40",percent of total billed charges,"1,206.40",percent of total billed charges,,,"1,085.76",percent of total billed charges ,,,"1,206.40",percent of total billed charges ,"1,191.32",percent of total billed charges ,"1,191.32",percent of total billed charges ,"1,281.80",percent of total billed charges ,"1,281.80",percent of total billed charges ,"1,206.40",percent of total billed charges ,"1,206.40",percent of total billed charges ,"1,055.60",percent of total billed charges ,"1,055.60",percent of total billed charges ,904.8,percent of total billed charges ,904.8,percent of total billed charges ,904.8,percent of total billed charges ,904.8,percent of total billed charges ,,,,,802.26,percent of total billed charges ,,,,,762.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,346.84,percent of total billed charges,,,346.84,percent of total billed charges,,,346.84,percent of total billed charges,,,346.84,percent of total billed charges,,,346.84,percent of total billed charges,,,346.84,percent of total billed charges,,,346.84,percent of total billed charges,,,346.84,percent of total billed charges,,,346.84,percent of total billed charges,,,346.84,percent of total billed charges,,,346.84,percent of total billed charges,
SCREW CORTICAL SELF TAP  NCB TRAY,C1713,CDM,,,,both,,,"1,111.00","1,111.00",255.53,"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,877.69,percent of total billed charges,877.69,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 ,877.69,percent of total billed charges ,877.69,percent of total billed charges ,944.35,percent of total billed charges ,944.35,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 ,,,,,,,,,,,,,,,,,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,
DRILL BIT 2.5MM 180MM  NCB TRAY,272,RC,00906-99-0441,NDC,,both,,,"1,196.00","1,196.00",275.08,"1,196.00","1,196.00",percent of total billed charges,"1,196.00",percent of total billed charges,"1,196.00",percent of total billed charges,"1,196.00",percent of total billed charges,"1,196.00",percent of total billed charges,"1,196.00",percent of total billed charges,"1,196.00",percent of total billed charges,"1,196.00",percent of total billed charges,861.12,percent of total billed charges,861.12,percent of total billed charges,861.12,percent of total billed charges,861.12,percent of total billed charges,861.12,percent of total billed charges,861.12,percent of total billed charges,944.84,percent of total billed charges,944.84,percent of total billed charges,956.8,percent of total billed charges,956.8,percent of total billed charges,,,861.12,percent of total billed charges ,,,956.8,percent of total billed charges ,944.84,percent of total billed charges ,944.84,percent of total billed charges ,"1,016.60",percent of total billed charges ,"1,016.60",percent of total billed charges ,956.8,percent of total billed charges ,956.8,percent of total billed charges ,837.2,percent of total billed charges ,837.2,percent of total billed charges ,717.6,percent of total billed charges ,717.6,percent of total billed charges ,717.6,percent of total billed charges ,717.6,percent of total billed charges ,,,,,636.27,percent of total billed charges ,,,,,604.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,275.08,percent of total billed charges,,,275.08,percent of total billed charges,,,275.08,percent of total billed charges,,,275.08,percent of total billed charges,,,275.08,percent of total billed charges,,,275.08,percent of total billed charges,,,275.08,percent of total billed charges,,,275.08,percent of total billed charges,,,275.08,percent of total billed charges,,,275.08,percent of total billed charges,,,275.08,percent of total billed charges,
DRILL TIB/HUM CALI  4.3MM ZIMMER,272,RC,00906-99-0441,NDC,,both,,,"2,053.00","2,053.00",472.19,"2,053.00","2,053.00",percent of total billed charges,"2,053.00",percent of total billed charges,"2,053.00",percent of total billed charges,"2,053.00",percent of total billed charges,"2,053.00",percent of total billed charges,"2,053.00",percent of total billed charges,"2,053.00",percent of total billed charges,"2,053.00",percent of total billed charges,"1,478.16",percent of total billed charges,"1,478.16",percent of total billed charges,"1,478.16",percent of total billed charges,"1,478.16",percent of total billed charges,"1,478.16",percent of total billed charges,"1,478.16",percent of total billed charges,"1,621.87",percent of total billed charges,"1,621.87",percent of total billed charges,"1,642.40",percent of total billed charges,"1,642.40",percent of total billed charges,,,"1,478.16",percent of total billed charges ,,,"1,642.40",percent of total billed charges ,"1,621.87",percent of total billed charges ,"1,621.87",percent of total billed charges ,"1,745.05",percent of total billed charges ,"1,745.05",percent of total billed charges ,"1,642.40",percent of total billed charges ,"1,642.40",percent of total billed charges ,"1,437.10",percent of total billed charges ,"1,437.10",percent of total billed charges ,"1,231.80",percent of total billed charges ,"1,231.80",percent of total billed charges ,"1,231.80",percent of total billed charges ,"1,231.80",percent of total billed charges ,,,,,"1,092.20",percent of total billed charges ,,,,,"1,037.59",percent of total billed charges ,,,,,,,,,,,,,,,,,,,472.19,percent of total billed charges,,,472.19,percent of total billed charges,,,472.19,percent of total billed charges,,,472.19,percent of total billed charges,,,472.19,percent of total billed charges,,,472.19,percent of total billed charges,,,472.19,percent of total billed charges,,,472.19,percent of total billed charges,,,472.19,percent of total billed charges,,,472.19,percent of total billed charges,,,472.19,percent of total billed charges,
DRILL FREE HAND TARG 4.3MM ZIMMER,272,RC,00906-99-0441,NDC,,both,,,"1,250.00","1,250.00",287.5,"1,250.00","1,250.00",percent of total billed charges,"1,250.00",percent of total billed charges,"1,250.00",percent of total billed charges,"1,250.00",percent of total billed charges,"1,250.00",percent of total billed charges,"1,250.00",percent of total billed charges,"1,250.00",percent of total billed charges,"1,250.00",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,900,percent of total billed charges,900,percent of total billed charges,987.5,percent of total billed charges,987.5,percent of total billed charges,"1,000.00",percent of total billed charges,"1,000.00",percent of total billed charges,,,900,percent of total billed charges ,,,"1,000.00",percent of total billed charges ,987.5,percent of total billed charges ,987.5,percent of total billed charges ,"1,062.50",percent of total billed charges ,"1,062.50",percent of total billed charges ,"1,000.00",percent of total billed charges ,"1,000.00",percent of total billed charges ,875,percent of total billed charges ,875,percent of total billed charges ,750,percent of total billed charges ,750,percent of total billed charges ,750,percent of total billed charges ,750,percent of total billed charges ,,,,,665,percent of total billed charges ,,,,,631.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,287.5,percent of total billed charges,,,287.5,percent of total billed charges,,,287.5,percent of total billed charges,,,287.5,percent of total billed charges,,,287.5,percent of total billed charges,,,287.5,percent of total billed charges,,,287.5,percent of total billed charges,,,287.5,percent of total billed charges,,,287.5,percent of total billed charges,,,287.5,percent of total billed charges,,,287.5,percent of total billed charges,
NAIL TIBIA 10MM X 34 CM UNIVERSAL,C1713,CDM,,,,both,,,"15,387.00","15,387.00","3,539.01","15,387.00","15,387.00",percent of total billed charges,"15,387.00",percent of total billed charges,"15,387.00",percent of total billed charges,"15,387.00",percent of total billed charges,"15,387.00",percent of total billed charges,"15,387.00",percent of total billed charges,"15,387.00",percent of total billed charges,"15,387.00",percent of total billed charges,"11,078.64",percent of total billed charges,"11,078.64",percent of total billed charges,"11,078.64",percent of total billed charges,"11,078.64",percent of total billed charges,"11,078.64",percent of total billed charges,"11,078.64",percent of total billed charges,"12,155.73",percent of total billed charges,"12,155.73",percent of total billed charges,"12,309.60",percent of total billed charges,"12,309.60",percent of total billed charges,,,"11,078.64",percent of total billed charges ,,,"12,309.60",percent of total billed charges ,"12,155.73",percent of total billed charges ,"12,155.73",percent of total billed charges ,"13,078.95",percent of total billed charges ,"13,078.95",percent of total billed charges ,"12,309.60",percent of total billed charges ,"12,309.60",percent of total billed charges ,"10,770.90",percent of total billed charges ,"10,770.90",percent of total billed charges ,"9,232.20",percent of total billed charges ,"9,232.20",percent of total billed charges ,"9,232.20",percent of total billed charges ,"9,232.20",percent of total billed charges ,,,,,"8,185.88",percent of total billed charges ,,,,,"7,776.59",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,539.01",percent of total billed charges,,,"3,539.01",percent of total billed charges,,,"3,539.01",percent of total billed charges,,,"3,539.01",percent of total billed charges,,,"3,539.01",percent of total billed charges,,,"3,539.01",percent of total billed charges,,,"3,539.01",percent of total billed charges,,,"3,539.01",percent of total billed charges,,,"3,539.01",percent of total billed charges,,,"3,539.01",percent of total billed charges,,,"3,539.01",percent of total billed charges,
"PIN STEINMANN STYLE 6, 229MM SERIES",C1713,CDM,,,,both,,,88,88,20.24,88,88,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,69.52,percent of total billed charges,69.52,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 ,69.52,percent of total billed charges ,69.52,percent of total billed charges ,74.8,percent of total billed charges ,74.8,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 ,,,,,,,,,,,,,,,,,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,
STAPLE COMPRESSION SS 10IX15L,C1713,CDM,,,,both,,,"4,979.00","4,979.00","1,145.17","4,979.00","4,979.00",percent of total billed charges,"4,979.00",percent of total billed charges,"4,979.00",percent of total billed charges,"4,979.00",percent of total billed charges,"4,979.00",percent of total billed charges,"4,979.00",percent of total billed charges,"4,979.00",percent of total billed charges,"4,979.00",percent of total billed charges,"3,584.88",percent of total billed charges,"3,584.88",percent of total billed charges,"3,584.88",percent of total billed charges,"3,584.88",percent of total billed charges,"3,584.88",percent of total billed charges,"3,584.88",percent of total billed charges,"3,933.41",percent of total billed charges,"3,933.41",percent of total billed charges,"3,983.20",percent of total billed charges,"3,983.20",percent of total billed charges,,,"3,584.88",percent of total billed charges ,,,"3,983.20",percent of total billed charges ,"3,933.41",percent of total billed charges ,"3,933.41",percent of total billed charges ,"4,232.15",percent of total billed charges ,"4,232.15",percent of total billed charges ,"3,983.20",percent of total billed charges ,"3,983.20",percent of total billed charges ,"3,485.30",percent of total billed charges ,"3,485.30",percent of total billed charges ,"2,987.40",percent of total billed charges ,"2,987.40",percent of total billed charges ,"2,987.40",percent of total billed charges ,"2,987.40",percent of total billed charges ,,,,,"2,648.83",percent of total billed charges ,,,,,"2,516.39",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,145.17",percent of total billed charges,,,"1,145.17",percent of total billed charges,,,"1,145.17",percent of total billed charges,,,"1,145.17",percent of total billed charges,,,"1,145.17",percent of total billed charges,,,"1,145.17",percent of total billed charges,,,"1,145.17",percent of total billed charges,,,"1,145.17",percent of total billed charges,,,"1,145.17",percent of total billed charges,,,"1,145.17",percent of total billed charges,,,"1,145.17",percent of total billed charges,
DRILL BIT CANNULATED 2 -3  ARTHREX COMP,272,RC,00906-99-0441,NDC,,both,,,"1,298.00","1,298.00",298.54,"1,298.00","1,298.00",percent of total billed charges,"1,298.00",percent of total billed charges,"1,298.00",percent of total billed charges,"1,298.00",percent of total billed charges,"1,298.00",percent of total billed charges,"1,298.00",percent of total billed charges,"1,298.00",percent of total billed charges,"1,298.00",percent of total billed charges,934.56,percent of total billed charges,934.56,percent of total billed charges,934.56,percent of total billed charges,934.56,percent of total billed charges,934.56,percent of total billed charges,934.56,percent of total billed charges,"1,025.42",percent of total billed charges,"1,025.42",percent of total billed charges,"1,038.40",percent of total billed charges,"1,038.40",percent of total billed charges,,,934.56,percent of total billed charges ,,,"1,038.40",percent of total billed charges ,"1,025.42",percent of total billed charges ,"1,025.42",percent of total billed charges ,"1,103.30",percent of total billed charges ,"1,103.30",percent of total billed charges ,"1,038.40",percent of total billed charges ,"1,038.40",percent of total billed charges ,908.6,percent of total billed charges ,908.6,percent of total billed charges ,778.8,percent of total billed charges ,778.8,percent of total billed charges ,778.8,percent of total billed charges ,778.8,percent of total billed charges ,,,,,690.54,percent of total billed charges ,,,,,656.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,298.54,percent of total billed charges,,,298.54,percent of total billed charges,,,298.54,percent of total billed charges,,,298.54,percent of total billed charges,,,298.54,percent of total billed charges,,,298.54,percent of total billed charges,,,298.54,percent of total billed charges,,,298.54,percent of total billed charges,,,298.54,percent of total billed charges,,,298.54,percent of total billed charges,,,298.54,percent of total billed charges,
SMART TOE IMPLANT WITH SHAPE MEMORY,C1776,CDM,,,,both,,,"7,563.00","7,563.00","1,739.49","7,563.00","7,563.00",percent of total billed charges,"7,563.00",percent of total billed charges,"7,563.00",percent of total billed charges,"7,563.00",percent of total billed charges,"7,563.00",percent of total billed charges,"7,563.00",percent of total billed charges,"7,563.00",percent of total billed charges,"7,563.00",percent of total billed charges,"5,445.36",percent of total billed charges,"5,445.36",percent of total billed charges,"5,445.36",percent of total billed charges,"5,445.36",percent of total billed charges,"5,445.36",percent of total billed charges,"5,445.36",percent of total billed charges,"5,974.77",percent of total billed charges,"5,974.77",percent of total billed charges,"6,050.40",percent of total billed charges,"6,050.40",percent of total billed charges,,,"5,445.36",percent of total billed charges ,,,"6,050.40",percent of total billed charges ,"5,974.77",percent of total billed charges ,"5,974.77",percent of total billed charges ,"6,428.55",percent of total billed charges ,"6,428.55",percent of total billed charges ,"6,050.40",percent of total billed charges ,"6,050.40",percent of total billed charges ,"5,294.10",percent of total billed charges ,"5,294.10",percent of total billed charges ,"4,537.80",percent of total billed charges ,"4,537.80",percent of total billed charges ,"4,537.80",percent of total billed charges ,"4,537.80",percent of total billed charges ,,,,,"4,023.52",percent of total billed charges ,,,,,"3,822.34",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,739.49",percent of total billed charges,,,"1,739.49",percent of total billed charges,,,"1,739.49",percent of total billed charges,,,"1,739.49",percent of total billed charges,,,"1,739.49",percent of total billed charges,,,"1,739.49",percent of total billed charges,,,"1,739.49",percent of total billed charges,,,"1,739.49",percent of total billed charges,,,"1,739.49",percent of total billed charges,,,"1,739.49",percent of total billed charges,,,"1,739.49",percent of total billed charges,
DRILL BIT SMART TOE SPECIFIC POINTED,272,RC,00906-99-0441,NDC,,both,,,"1,111.00","1,111.00",255.53,"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,877.69,percent of total billed charges,877.69,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 ,877.69,percent of total billed charges ,877.69,percent of total billed charges ,944.35,percent of total billed charges ,944.35,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 ,,,,,,,,,,,,,,,,,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,
DRILL BIT PINNACLE HIP DEPUY,272,RC,00906-99-0441,NDC,,both,,,"1,587.00","1,587.00",365.01,"1,587.00","1,587.00",percent of total billed charges,"1,587.00",percent of total billed charges,"1,587.00",percent of total billed charges,"1,587.00",percent of total billed charges,"1,587.00",percent of total billed charges,"1,587.00",percent of total billed charges,"1,587.00",percent of total billed charges,"1,587.00",percent of total billed charges,"1,142.64",percent of total billed charges,"1,142.64",percent of total billed charges,"1,142.64",percent of total billed charges,"1,142.64",percent of total billed charges,"1,142.64",percent of total billed charges,"1,142.64",percent of total billed charges,"1,253.73",percent of total billed charges,"1,253.73",percent of total billed charges,"1,269.60",percent of total billed charges,"1,269.60",percent of total billed charges,,,"1,142.64",percent of total billed charges ,,,"1,269.60",percent of total billed charges ,"1,253.73",percent of total billed charges ,"1,253.73",percent of total billed charges ,"1,348.95",percent of total billed charges ,"1,348.95",percent of total billed charges ,"1,269.60",percent of total billed charges ,"1,269.60",percent of total billed charges ,"1,110.90",percent of total billed charges ,"1,110.90",percent of total billed charges ,952.2,percent of total billed charges ,952.2,percent of total billed charges ,952.2,percent of total billed charges ,952.2,percent of total billed charges ,,,,,844.28,percent of total billed charges ,,,,,802.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,365.01,percent of total billed charges,,,365.01,percent of total billed charges,,,365.01,percent of total billed charges,,,365.01,percent of total billed charges,,,365.01,percent of total billed charges,,,365.01,percent of total billed charges,,,365.01,percent of total billed charges,,,365.01,percent of total billed charges,,,365.01,percent of total billed charges,,,365.01,percent of total billed charges,,,365.01,percent of total billed charges,
DRILL BIT 1.7MM CANNULATED ARTHREX,272,RC,00906-99-0441,NDC,,both,,,"1,168.00","1,168.00",268.64,"1,168.00","1,168.00",percent of total billed charges,"1,168.00",percent of total billed charges,"1,168.00",percent of total billed charges,"1,168.00",percent of total billed charges,"1,168.00",percent of total billed charges,"1,168.00",percent of total billed charges,"1,168.00",percent of total billed charges,"1,168.00",percent of total billed charges,840.96,percent of total billed charges,840.96,percent of total billed charges,840.96,percent of total billed charges,840.96,percent of total billed charges,840.96,percent of total billed charges,840.96,percent of total billed charges,922.72,percent of total billed charges,922.72,percent of total billed charges,934.4,percent of total billed charges,934.4,percent of total billed charges,,,840.96,percent of total billed charges ,,,934.4,percent of total billed charges ,922.72,percent of total billed charges ,922.72,percent of total billed charges ,992.8,percent of total billed charges ,992.8,percent of total billed charges ,934.4,percent of total billed charges ,934.4,percent of total billed charges ,817.6,percent of total billed charges ,817.6,percent of total billed charges ,700.8,percent of total billed charges ,700.8,percent of total billed charges ,700.8,percent of total billed charges ,700.8,percent of total billed charges ,,,,,621.38,percent of total billed charges ,,,,,590.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,268.64,percent of total billed charges,,,268.64,percent of total billed charges,,,268.64,percent of total billed charges,,,268.64,percent of total billed charges,,,268.64,percent of total billed charges,,,268.64,percent of total billed charges,,,268.64,percent of total billed charges,,,268.64,percent of total billed charges,,,268.64,percent of total billed charges,,,268.64,percent of total billed charges,,,268.64,percent of total billed charges,
DRILL BIT 1.7M AO LOW PROFIL PLATE ARTH,272,RC,00906-99-0441,NDC,,both,,,739,739,169.97,739,739,percent of total billed charges,739,percent of total billed charges,739,percent of total billed charges,739,percent of total billed charges,739,percent of total billed charges,739,percent of total billed charges,739,percent of total billed charges,739,percent of total billed charges,532.08,percent of total billed charges,532.08,percent of total billed charges,532.08,percent of total billed charges,532.08,percent of total billed charges,532.08,percent of total billed charges,532.08,percent of total billed charges,583.81,percent of total billed charges,583.81,percent of total billed charges,591.2,percent of total billed charges,591.2,percent of total billed charges,,,532.08,percent of total billed charges ,,,591.2,percent of total billed charges ,583.81,percent of total billed charges ,583.81,percent of total billed charges ,628.15,percent of total billed charges ,628.15,percent of total billed charges ,591.2,percent of total billed charges ,591.2,percent of total billed charges ,517.3,percent of total billed charges ,517.3,percent of total billed charges ,443.4,percent of total billed charges ,443.4,percent of total billed charges ,443.4,percent of total billed charges ,443.4,percent of total billed charges ,,,,,393.15,percent of total billed charges ,,,,,373.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,169.97,percent of total billed charges,,,169.97,percent of total billed charges,,,169.97,percent of total billed charges,,,169.97,percent of total billed charges,,,169.97,percent of total billed charges,,,169.97,percent of total billed charges,,,169.97,percent of total billed charges,,,169.97,percent of total billed charges,,,169.97,percent of total billed charges,,,169.97,percent of total billed charges,,,169.97,percent of total billed charges,
SCREW LOW PROF CANULATD TI 2.3 X26 ARTHR,C1776,CDM,,,,both,,,"1,271.00","1,271.00",292.33,"1,271.00","1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,915.12,percent of total billed charges,915.12,percent of total billed charges,915.12,percent of total billed charges,915.12,percent of total billed charges,915.12,percent of total billed charges,915.12,percent of total billed charges,"1,004.09",percent of total billed charges,"1,004.09",percent of total billed charges,"1,016.80",percent of total billed charges,"1,016.80",percent of total billed charges,,,915.12,percent of total billed charges ,,,"1,016.80",percent of total billed charges ,"1,004.09",percent of total billed charges ,"1,004.09",percent of total billed charges ,"1,080.35",percent of total billed charges ,"1,080.35",percent of total billed charges ,"1,016.80",percent of total billed charges ,"1,016.80",percent of total billed charges ,889.7,percent of total billed charges ,889.7,percent of total billed charges ,762.6,percent of total billed charges ,762.6,percent of total billed charges ,762.6,percent of total billed charges ,762.6,percent of total billed charges ,,,,,676.17,percent of total billed charges ,,,,,642.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,
GUIDEWIRE 0.86MM  ARTHREX,C1769,CDM,,,,both,,,145,145,33.35,145,145,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,114.55,percent of total billed charges,114.55,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 ,114.55,percent of total billed charges ,114.55,percent of total billed charges ,123.25,percent of total billed charges ,123.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,33.35,percent of total billed charges,,,33.35,percent of total billed charges,,,33.35,percent of total billed charges,
STAPLE COMPRESSION SS 10IX10L ARTHREX,C1776,CDM,,,,both,,,"3,960.00","3,960.00",910.8,"3,960.00","3,960.00",percent of total billed charges,"3,960.00",percent of total billed charges,"3,960.00",percent of total billed charges,"3,960.00",percent of total billed charges,"3,960.00",percent of total billed charges,"3,960.00",percent of total billed charges,"3,960.00",percent of total billed charges,"3,960.00",percent of total billed charges,"2,851.20",percent of total billed charges,"2,851.20",percent of total billed charges,"2,851.20",percent of total billed charges,"2,851.20",percent of total billed charges,"2,851.20",percent of total billed charges,"2,851.20",percent of total billed charges,"3,128.40",percent of total billed charges,"3,128.40",percent of total billed charges,"3,168.00",percent of total billed charges,"3,168.00",percent of total billed charges,,,"2,851.20",percent of total billed charges ,,,"3,168.00",percent of total billed charges ,"3,128.40",percent of total billed charges ,"3,128.40",percent of total billed charges ,"3,366.00",percent of total billed charges ,"3,366.00",percent of total billed charges ,"3,168.00",percent of total billed charges ,"3,168.00",percent of total billed charges ,"2,772.00",percent of total billed charges ,"2,772.00",percent of total billed charges ,"2,376.00",percent of total billed charges ,"2,376.00",percent of total billed charges ,"2,376.00",percent of total billed charges ,"2,376.00",percent of total billed charges ,,,,,"2,106.72",percent of total billed charges ,,,,,"2,001.38",percent of total billed charges ,,,,,,,,,,,,,,,,,,,910.8,percent of total billed charges,,,910.8,percent of total billed charges,,,910.8,percent of total billed charges,,,910.8,percent of total billed charges,,,910.8,percent of total billed charges,,,910.8,percent of total billed charges,,,910.8,percent of total billed charges,,,910.8,percent of total billed charges,,,910.8,percent of total billed charges,,,910.8,percent of total billed charges,,,910.8,percent of total billed charges,
STEM HIP-NATURAL POROUS COLLARED,C1776,CDM,,,,both,,,"26,599.00","26,599.00","6,117.77","26,599.00","26,599.00",percent of total billed charges,"26,599.00",percent of total billed charges,"26,599.00",percent of total billed charges,"26,599.00",percent of total billed charges,"26,599.00",percent of total billed charges,"26,599.00",percent of total billed charges,"26,599.00",percent of total billed charges,"26,599.00",percent of total billed charges,"19,151.28",percent of total billed charges,"19,151.28",percent of total billed charges,"19,151.28",percent of total billed charges,"19,151.28",percent of total billed charges,"19,151.28",percent of total billed charges,"19,151.28",percent of total billed charges,"21,013.21",percent of total billed charges,"21,013.21",percent of total billed charges,"21,279.20",percent of total billed charges,"21,279.20",percent of total billed charges,,,"19,151.28",percent of total billed charges ,,,"21,279.20",percent of total billed charges ,"21,013.21",percent of total billed charges ,"21,013.21",percent of total billed charges ,"22,609.15",percent of total billed charges ,"22,609.15",percent of total billed charges ,"21,279.20",percent of total billed charges ,"21,279.20",percent of total billed charges ,"18,619.30",percent of total billed charges ,"18,619.30",percent of total billed charges ,"15,959.40",percent of total billed charges ,"15,959.40",percent of total billed charges ,"15,959.40",percent of total billed charges ,"15,959.40",percent of total billed charges ,,,,,"14,150.67",percent of total billed charges ,,,,,"13,443.13",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"6,117.77",percent of total billed charges,,,"6,117.77",percent of total billed charges,,,"6,117.77",percent of total billed charges,,,"6,117.77",percent of total billed charges,,,"6,117.77",percent of total billed charges,,,"6,117.77",percent of total billed charges,,,"6,117.77",percent of total billed charges,,,"6,117.77",percent of total billed charges,,,"6,117.77",percent of total billed charges,,,"6,117.77",percent of total billed charges,,,"6,117.77",percent of total billed charges,
TAP QC  FOR 1.5M & 2.0M SCREWS,272,RC,00906-99-0441,NDC,,both,,,658,658,151.34,658,658,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,519.82,percent of total billed charges,519.82,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 ,519.82,percent of total billed charges ,519.82,percent of total billed charges ,559.3,percent of total billed charges ,559.3,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 ,,,,,,,,,,,,,,,,,,,151.34,percent of total billed charges,,,151.34,percent of total billed charges,,,151.34,percent of total billed charges,,,151.34,percent of total billed charges,,,151.34,percent of total billed charges,,,151.34,percent of total billed charges,,,151.34,percent of total billed charges,,,151.34,percent of total billed charges,,,151.34,percent of total billed charges,,,151.34,percent of total billed charges,,,151.34,percent of total billed charges,
DRILL HGPII CUP FLEXIBLE,272,RC,00906-99-0441,NDC,,both,,,"2,145.00","2,145.00",493.35,"2,145.00","2,145.00",percent of total billed charges,"2,145.00",percent of total billed charges,"2,145.00",percent of total billed charges,"2,145.00",percent of total billed charges,"2,145.00",percent of total billed charges,"2,145.00",percent of total billed charges,"2,145.00",percent of total billed charges,"2,145.00",percent of total billed charges,"1,544.40",percent of total billed charges,"1,544.40",percent of total billed charges,"1,544.40",percent of total billed charges,"1,544.40",percent of total billed charges,"1,544.40",percent of total billed charges,"1,544.40",percent of total billed charges,"1,694.55",percent of total billed charges,"1,694.55",percent of total billed charges,"1,716.00",percent of total billed charges,"1,716.00",percent of total billed charges,,,"1,544.40",percent of total billed charges ,,,"1,716.00",percent of total billed charges ,"1,694.55",percent of total billed charges ,"1,694.55",percent of total billed charges ,"1,823.25",percent of total billed charges ,"1,823.25",percent of total billed charges ,"1,716.00",percent of total billed charges ,"1,716.00",percent of total billed charges ,"1,501.50",percent of total billed charges ,"1,501.50",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 ,,,,,"1,141.14",percent of total billed charges ,,,,,"1,084.08",percent of total billed charges ,,,,,,,,,,,,,,,,,,,493.35,percent of total billed charges,,,493.35,percent of total billed charges,,,493.35,percent of total billed charges,,,493.35,percent of total billed charges,,,493.35,percent of total billed charges,,,493.35,percent of total billed charges,,,493.35,percent of total billed charges,,,493.35,percent of total billed charges,,,493.35,percent of total billed charges,,,493.35,percent of total billed charges,,,493.35,percent of total billed charges,
HIP TOTAL DEPUY CAP GROUP 1 IMPLANT,C1776,CDM,,,,both,,,"27,633.00","27,633.00","6,355.59","27,633.00","27,633.00",percent of total billed charges,"27,633.00",percent of total billed charges,"27,633.00",percent of total billed charges,"27,633.00",percent of total billed charges,"27,633.00",percent of total billed charges,"27,633.00",percent of total billed charges,"27,633.00",percent of total billed charges,"27,633.00",percent of total billed charges,"19,895.76",percent of total billed charges,"19,895.76",percent of total billed charges,"19,895.76",percent of total billed charges,"19,895.76",percent of total billed charges,"19,895.76",percent of total billed charges,"19,895.76",percent of total billed charges,"21,830.07",percent of total billed charges,"21,830.07",percent of total billed charges,"22,106.40",percent of total billed charges,"22,106.40",percent of total billed charges,,,"19,895.76",percent of total billed charges ,,,"22,106.40",percent of total billed charges ,"21,830.07",percent of total billed charges ,"21,830.07",percent of total billed charges ,"23,488.05",percent of total billed charges ,"23,488.05",percent of total billed charges ,"22,106.40",percent of total billed charges ,"22,106.40",percent of total billed charges ,"19,343.10",percent of total billed charges ,"19,343.10",percent of total billed charges ,"16,579.80",percent of total billed charges ,"16,579.80",percent of total billed charges ,"16,579.80",percent of total billed charges ,"16,579.80",percent of total billed charges ,,,,,"14,700.76",percent of total billed charges ,,,,,"13,965.72",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"6,355.59",percent of total billed charges,,,"6,355.59",percent of total billed charges,,,"6,355.59",percent of total billed charges,,,"6,355.59",percent of total billed charges,,,"6,355.59",percent of total billed charges,,,"6,355.59",percent of total billed charges,,,"6,355.59",percent of total billed charges,,,"6,355.59",percent of total billed charges,,,"6,355.59",percent of total billed charges,,,"6,355.59",percent of total billed charges,,,"6,355.59",percent of total billed charges,
UNIPOLAR FEMORAL HEAD 38MM-60MM,C1776,CDM,,,,both,,,"4,625.00","4,625.00","1,063.75","4,625.00","4,625.00",percent of total billed charges,"4,625.00",percent of total billed charges,"4,625.00",percent of total billed charges,"4,625.00",percent of total billed charges,"4,625.00",percent of total billed charges,"4,625.00",percent of total billed charges,"4,625.00",percent of total billed charges,"4,625.00",percent of total billed charges,"3,330.00",percent of total billed charges,"3,330.00",percent of total billed charges,"3,330.00",percent of total billed charges,"3,330.00",percent of total billed charges,"3,330.00",percent of total billed charges,"3,330.00",percent of total billed charges,"3,653.75",percent of total billed charges,"3,653.75",percent of total billed charges,"3,700.00",percent of total billed charges,"3,700.00",percent of total billed charges,,,"3,330.00",percent of total billed charges ,,,"3,700.00",percent of total billed charges ,"3,653.75",percent of total billed charges ,"3,653.75",percent of total billed charges ,"3,931.25",percent of total billed charges ,"3,931.25",percent of total billed charges ,"3,700.00",percent of total billed charges ,"3,700.00",percent of total billed charges ,"3,237.50",percent of total billed charges ,"3,237.50",percent of total billed charges ,"2,775.00",percent of total billed charges ,"2,775.00",percent of total billed charges ,"2,775.00",percent of total billed charges ,"2,775.00",percent of total billed charges ,,,,,"2,460.50",percent of total billed charges ,,,,,"2,337.48",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,063.75",percent of total billed charges,,,"1,063.75",percent of total billed charges,,,"1,063.75",percent of total billed charges,,,"1,063.75",percent of total billed charges,,,"1,063.75",percent of total billed charges,,,"1,063.75",percent of total billed charges,,,"1,063.75",percent of total billed charges,,,"1,063.75",percent of total billed charges,,,"1,063.75",percent of total billed charges,,,"1,063.75",percent of total billed charges,,,"1,063.75",percent of total billed charges,
UNIPOLAR FEMORAL HEAD ADAPTER +0/+8MM,C1776,CDM,,,,both,,,"2,980.00","2,980.00",685.4,"2,980.00","2,980.00",percent of total billed charges,"2,980.00",percent of total billed charges,"2,980.00",percent of total billed charges,"2,980.00",percent of total billed charges,"2,980.00",percent of total billed charges,"2,980.00",percent of total billed charges,"2,980.00",percent of total billed charges,"2,980.00",percent of total billed charges,"2,145.60",percent of total billed charges,"2,145.60",percent of total billed charges,"2,145.60",percent of total billed charges,"2,145.60",percent of total billed charges,"2,145.60",percent of total billed charges,"2,145.60",percent of total billed charges,"2,354.20",percent of total billed charges,"2,354.20",percent of total billed charges,"2,384.00",percent of total billed charges,"2,384.00",percent of total billed charges,,,"2,145.60",percent of total billed charges ,,,"2,384.00",percent of total billed charges ,"2,354.20",percent of total billed charges ,"2,354.20",percent of total billed charges ,"2,533.00",percent of total billed charges ,"2,533.00",percent of total billed charges ,"2,384.00",percent of total billed charges ,"2,384.00",percent of total billed charges ,"2,086.00",percent of total billed charges ,"2,086.00",percent of total billed charges ,"1,788.00",percent of total billed charges ,"1,788.00",percent of total billed charges ,"1,788.00",percent of total billed charges ,"1,788.00",percent of total billed charges ,,,,,"1,585.36",percent of total billed charges ,,,,,"1,506.09",percent of total billed charges ,,,,,,,,,,,,,,,,,,,685.4,percent of total billed charges,,,685.4,percent of total billed charges,,,685.4,percent of total billed charges,,,685.4,percent of total billed charges,,,685.4,percent of total billed charges,,,685.4,percent of total billed charges,,,685.4,percent of total billed charges,,,685.4,percent of total billed charges,,,685.4,percent of total billed charges,,,685.4,percent of total billed charges,,,685.4,percent of total billed charges,
PLATE 3.5MM LCP SUPERIOR CLAVICAL,C1776,CDM,,,,both,,,"8,177.00","8,177.00","1,880.71","8,177.00","8,177.00",percent of total billed charges,"8,177.00",percent of total billed charges,"8,177.00",percent of total billed charges,"8,177.00",percent of total billed charges,"8,177.00",percent of total billed charges,"8,177.00",percent of total billed charges,"8,177.00",percent of total billed charges,"8,177.00",percent of total billed charges,"5,887.44",percent of total billed charges,"5,887.44",percent of total billed charges,"5,887.44",percent of total billed charges,"5,887.44",percent of total billed charges,"5,887.44",percent of total billed charges,"5,887.44",percent of total billed charges,"6,459.83",percent of total billed charges,"6,459.83",percent of total billed charges,"6,541.60",percent of total billed charges,"6,541.60",percent of total billed charges,,,"5,887.44",percent of total billed charges ,,,"6,541.60",percent of total billed charges ,"6,459.83",percent of total billed charges ,"6,459.83",percent of total billed charges ,"6,950.45",percent of total billed charges ,"6,950.45",percent of total billed charges ,"6,541.60",percent of total billed charges ,"6,541.60",percent of total billed charges ,"5,723.90",percent of total billed charges ,"5,723.90",percent of total billed charges ,"4,906.20",percent of total billed charges ,"4,906.20",percent of total billed charges ,"4,906.20",percent of total billed charges ,"4,906.20",percent of total billed charges ,,,,,"4,350.16",percent of total billed charges ,,,,,"4,132.66",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,880.71",percent of total billed charges,,,"1,880.71",percent of total billed charges,,,"1,880.71",percent of total billed charges,,,"1,880.71",percent of total billed charges,,,"1,880.71",percent of total billed charges,,,"1,880.71",percent of total billed charges,,,"1,880.71",percent of total billed charges,,,"1,880.71",percent of total billed charges,,,"1,880.71",percent of total billed charges,,,"1,880.71",percent of total billed charges,,,"1,880.71",percent of total billed charges,
DRILL BIT 2.0MM W/DEPTH MARK 140MM,272,RC,00906-99-0441,NDC,,both,,,"1,554.00","1,554.00",357.42,"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,"1,227.66",percent of total billed charges,"1,227.66",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 ,"1,227.66",percent of total billed charges ,"1,227.66",percent of total billed charges ,"1,320.90",percent of total billed charges ,"1,320.90",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 ,,,,,,,,,,,,,,,,,,,357.42,percent of total billed charges,,,357.42,percent of total billed charges,,,357.42,percent of total billed charges,,,357.42,percent of total billed charges,,,357.42,percent of total billed charges,,,357.42,percent of total billed charges,,,357.42,percent of total billed charges,,,357.42,percent of total billed charges,,,357.42,percent of total billed charges,,,357.42,percent of total billed charges,,,357.42,percent of total billed charges,
KNEE POROUS FLEX FEM/MIS TM TIB/PROL,C1776,CDM,,,,both,,,"34,211.00","34,211.00","7,868.53","34,211.00","34,211.00",percent of total billed charges,"34,211.00",percent of total billed charges,"34,211.00",percent of total billed charges,"34,211.00",percent of total billed charges,"34,211.00",percent of total billed charges,"34,211.00",percent of total billed charges,"34,211.00",percent of total billed charges,"34,211.00",percent of total billed charges,"24,631.92",percent of total billed charges,"24,631.92",percent of total billed charges,"24,631.92",percent of total billed charges,"24,631.92",percent of total billed charges,"24,631.92",percent of total billed charges,"24,631.92",percent of total billed charges,"27,026.69",percent of total billed charges,"27,026.69",percent of total billed charges,"27,368.80",percent of total billed charges,"27,368.80",percent of total billed charges,,,"24,631.92",percent of total billed charges ,,,"27,368.80",percent of total billed charges ,"27,026.69",percent of total billed charges ,"27,026.69",percent of total billed charges ,"29,079.35",percent of total billed charges ,"29,079.35",percent of total billed charges ,"27,368.80",percent of total billed charges ,"27,368.80",percent of total billed charges ,"23,947.70",percent of total billed charges ,"23,947.70",percent of total billed charges ,"20,526.60",percent of total billed charges ,"20,526.60",percent of total billed charges ,"20,526.60",percent of total billed charges ,"20,526.60",percent of total billed charges ,,,,,"18,200.25",percent of total billed charges ,,,,,"17,290.24",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"7,868.53",percent of total billed charges,,,"7,868.53",percent of total billed charges,,,"7,868.53",percent of total billed charges,,,"7,868.53",percent of total billed charges,,,"7,868.53",percent of total billed charges,,,"7,868.53",percent of total billed charges,,,"7,868.53",percent of total billed charges,,,"7,868.53",percent of total billed charges,,,"7,868.53",percent of total billed charges,,,"7,868.53",percent of total billed charges,,,"7,868.53",percent of total billed charges,
PEG THREAD FOR PLATE SYSTEM,C1713,CDM,,,,both,,,719,719,165.37,719,719,percent of total billed charges,719,percent of total billed charges,719,percent of total billed charges,719,percent of total billed charges,719,percent of total billed charges,719,percent of total billed charges,719,percent of total billed charges,719,percent of total billed charges,517.68,percent of total billed charges,517.68,percent of total billed charges,517.68,percent of total billed charges,517.68,percent of total billed charges,517.68,percent of total billed charges,517.68,percent of total billed charges,568.01,percent of total billed charges,568.01,percent of total billed charges,575.2,percent of total billed charges,575.2,percent of total billed charges,,,517.68,percent of total billed charges ,,,575.2,percent of total billed charges ,568.01,percent of total billed charges ,568.01,percent of total billed charges ,611.15,percent of total billed charges ,611.15,percent of total billed charges ,575.2,percent of total billed charges ,575.2,percent of total billed charges ,503.3,percent of total billed charges ,503.3,percent of total billed charges ,431.4,percent of total billed charges ,431.4,percent of total billed charges ,431.4,percent of total billed charges ,431.4,percent of total billed charges ,,,,,382.51,percent of total billed charges ,,,,,363.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,
PEG THREADED MULTIDIRECTIONAL FOR PLATE,C1713,CDM,,,,both,,,"1,270.00","1,270.00",292.1,"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,"1,003.30",percent of total billed charges,"1,003.30",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 ,"1,003.30",percent of total billed charges ,"1,003.30",percent of total billed charges ,"1,079.50",percent of total billed charges ,"1,079.50",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 ,,,,,,,,,,,,,,,,,,,292.1,percent of total billed charges,,,292.1,percent of total billed charges,,,292.1,percent of total billed charges,,,292.1,percent of total billed charges,,,292.1,percent of total billed charges,,,292.1,percent of total billed charges,,,292.1,percent of total billed charges,,,292.1,percent of total billed charges,,,292.1,percent of total billed charges,,,292.1,percent of total billed charges,,,292.1,percent of total billed charges,
PEG SCREW NON LOCKING FOR PLATE SYSTEM,C1713,CDM,,,,both,,,719,719,165.37,719,719,percent of total billed charges,719,percent of total billed charges,719,percent of total billed charges,719,percent of total billed charges,719,percent of total billed charges,719,percent of total billed charges,719,percent of total billed charges,719,percent of total billed charges,517.68,percent of total billed charges,517.68,percent of total billed charges,517.68,percent of total billed charges,517.68,percent of total billed charges,517.68,percent of total billed charges,517.68,percent of total billed charges,568.01,percent of total billed charges,568.01,percent of total billed charges,575.2,percent of total billed charges,575.2,percent of total billed charges,,,517.68,percent of total billed charges ,,,575.2,percent of total billed charges ,568.01,percent of total billed charges ,568.01,percent of total billed charges ,611.15,percent of total billed charges ,611.15,percent of total billed charges ,575.2,percent of total billed charges ,575.2,percent of total billed charges ,503.3,percent of total billed charges ,503.3,percent of total billed charges ,431.4,percent of total billed charges ,431.4,percent of total billed charges ,431.4,percent of total billed charges ,431.4,percent of total billed charges ,,,,,382.51,percent of total billed charges ,,,,,363.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,
PEG DRIVER FOR PLATE SYSTEM,272,RC,00906-99-0441,NDC,,both,,,449,449,103.27,449,449,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,354.71,percent of total billed charges,354.71,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 ,354.71,percent of total billed charges ,354.71,percent of total billed charges ,381.65,percent of total billed charges ,381.65,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 ,,,,,,,,,,,,,,,,,,,103.27,percent of total billed charges,,,103.27,percent of total billed charges,,,103.27,percent of total billed charges,,,103.27,percent of total billed charges,,,103.27,percent of total billed charges,,,103.27,percent of total billed charges,,,103.27,percent of total billed charges,,,103.27,percent of total billed charges,,,103.27,percent of total billed charges,,,103.27,percent of total billed charges,,,103.27,percent of total billed charges,
PEG PARTIAL THREAD FOR PLATE SYSTEM,C1713,CDM,,,,both,,,719,719,165.37,719,719,percent of total billed charges,719,percent of total billed charges,719,percent of total billed charges,719,percent of total billed charges,719,percent of total billed charges,719,percent of total billed charges,719,percent of total billed charges,719,percent of total billed charges,517.68,percent of total billed charges,517.68,percent of total billed charges,517.68,percent of total billed charges,517.68,percent of total billed charges,517.68,percent of total billed charges,517.68,percent of total billed charges,568.01,percent of total billed charges,568.01,percent of total billed charges,575.2,percent of total billed charges,575.2,percent of total billed charges,,,517.68,percent of total billed charges ,,,575.2,percent of total billed charges ,568.01,percent of total billed charges ,568.01,percent of total billed charges ,611.15,percent of total billed charges ,611.15,percent of total billed charges ,575.2,percent of total billed charges ,575.2,percent of total billed charges ,503.3,percent of total billed charges ,503.3,percent of total billed charges ,431.4,percent of total billed charges ,431.4,percent of total billed charges ,431.4,percent of total billed charges ,431.4,percent of total billed charges ,,,,,382.51,percent of total billed charges ,,,,,363.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,
GUIDE PIN  OSTEONECROSIS INTERVENTION,C1769,CDM,,,,both,,,"3,040.00","3,040.00",699.2,"3,040.00","3,040.00",percent of total billed charges,"3,040.00",percent of total billed charges,"3,040.00",percent of total billed charges,"3,040.00",percent of total billed charges,"3,040.00",percent of total billed charges,"3,040.00",percent of total billed charges,"3,040.00",percent of total billed charges,"3,040.00",percent of total billed charges,"2,188.80",percent of total billed charges,"2,188.80",percent of total billed charges,"2,188.80",percent of total billed charges,"2,188.80",percent of total billed charges,"2,188.80",percent of total billed charges,"2,188.80",percent of total billed charges,"2,401.60",percent of total billed charges,"2,401.60",percent of total billed charges,"2,432.00",percent of total billed charges,"2,432.00",percent of total billed charges,,,"2,188.80",percent of total billed charges ,,,"2,432.00",percent of total billed charges ,"2,401.60",percent of total billed charges ,"2,401.60",percent of total billed charges ,"2,584.00",percent of total billed charges ,"2,584.00",percent of total billed charges ,"2,432.00",percent of total billed charges ,"2,432.00",percent of total billed charges ,"2,128.00",percent of total billed charges ,"2,128.00",percent of total billed charges ,"1,824.00",percent of total billed charges ,"1,824.00",percent of total billed charges ,"1,824.00",percent of total billed charges ,"1,824.00",percent of total billed charges ,,,,,"1,617.28",percent of total billed charges ,,,,,"1,536.42",percent of total billed charges ,,,,,,,,,,,,,,,,,,,699.2,percent of total billed charges,,,699.2,percent of total billed charges,,,699.2,percent of total billed charges,,,699.2,percent of total billed charges,,,699.2,percent of total billed charges,,,699.2,percent of total billed charges,,,699.2,percent of total billed charges,,,699.2,percent of total billed charges,,,699.2,percent of total billed charges,,,699.2,percent of total billed charges,,,699.2,percent of total billed charges,
OSTEONECROSIS INTERVENTION IMPLANT,C1713,CDM,,,,both,,,"27,167.00","27,167.00","6,248.41","27,167.00","27,167.00",percent of total billed charges,"27,167.00",percent of total billed charges,"27,167.00",percent of total billed charges,"27,167.00",percent of total billed charges,"27,167.00",percent of total billed charges,"27,167.00",percent of total billed charges,"27,167.00",percent of total billed charges,"27,167.00",percent of total billed charges,"19,560.24",percent of total billed charges,"19,560.24",percent of total billed charges,"19,560.24",percent of total billed charges,"19,560.24",percent of total billed charges,"19,560.24",percent of total billed charges,"19,560.24",percent of total billed charges,"21,461.93",percent of total billed charges,"21,461.93",percent of total billed charges,"21,733.60",percent of total billed charges,"21,733.60",percent of total billed charges,,,"19,560.24",percent of total billed charges ,,,"21,733.60",percent of total billed charges ,"21,461.93",percent of total billed charges ,"21,461.93",percent of total billed charges ,"23,091.95",percent of total billed charges ,"23,091.95",percent of total billed charges ,"21,733.60",percent of total billed charges ,"21,733.60",percent of total billed charges ,"19,016.90",percent of total billed charges ,"19,016.90",percent of total billed charges ,"16,300.20",percent of total billed charges ,"16,300.20",percent of total billed charges ,"16,300.20",percent of total billed charges ,"16,300.20",percent of total billed charges ,,,,,"14,452.84",percent of total billed charges ,,,,,"13,730.20",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"6,248.41",percent of total billed charges,,,"6,248.41",percent of total billed charges,,,"6,248.41",percent of total billed charges,,,"6,248.41",percent of total billed charges,,,"6,248.41",percent of total billed charges,,,"6,248.41",percent of total billed charges,,,"6,248.41",percent of total billed charges,,,"6,248.41",percent of total billed charges,,,"6,248.41",percent of total billed charges,,,"6,248.41",percent of total billed charges,,,"6,248.41",percent of total billed charges,
PLATE DIST LAT HUM LCK 5H RT,C1713,CDM,,,,both,,,"7,507.00","7,507.00","1,726.61","7,507.00","7,507.00",percent of total billed charges,"7,507.00",percent of total billed charges,"7,507.00",percent of total billed charges,"7,507.00",percent of total billed charges,"7,507.00",percent of total billed charges,"7,507.00",percent of total billed charges,"7,507.00",percent of total billed charges,"7,507.00",percent of total billed charges,"5,405.04",percent of total billed charges,"5,405.04",percent of total billed charges,"5,405.04",percent of total billed charges,"5,405.04",percent of total billed charges,"5,405.04",percent of total billed charges,"5,405.04",percent of total billed charges,"5,930.53",percent of total billed charges,"5,930.53",percent of total billed charges,"6,005.60",percent of total billed charges,"6,005.60",percent of total billed charges,,,"5,405.04",percent of total billed charges ,,,"6,005.60",percent of total billed charges ,"5,930.53",percent of total billed charges ,"5,930.53",percent of total billed charges ,"6,380.95",percent of total billed charges ,"6,380.95",percent of total billed charges ,"6,005.60",percent of total billed charges ,"6,005.60",percent of total billed charges ,"5,254.90",percent of total billed charges ,"5,254.90",percent of total billed charges ,"4,504.20",percent of total billed charges ,"4,504.20",percent of total billed charges ,"4,504.20",percent of total billed charges ,"4,504.20",percent of total billed charges ,,,,,"3,993.72",percent of total billed charges ,,,,,"3,794.04",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,726.61",percent of total billed charges,,,"1,726.61",percent of total billed charges,,,"1,726.61",percent of total billed charges,,,"1,726.61",percent of total billed charges,,,"1,726.61",percent of total billed charges,,,"1,726.61",percent of total billed charges,,,"1,726.61",percent of total billed charges,,,"1,726.61",percent of total billed charges,,,"1,726.61",percent of total billed charges,,,"1,726.61",percent of total billed charges,,,"1,726.61",percent of total billed charges,
PLATE DIST MED HUM LCK 3H RT,C1713,CDM,,,,both,,,"7,711.00","7,711.00","1,773.53","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,"6,091.69",percent of total billed charges,"6,091.69",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 ,"6,091.69",percent of total billed charges ,"6,091.69",percent of total billed charges ,"6,554.35",percent of total billed charges ,"6,554.35",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 ,,,,,,,,,,,,,,,,,,,"1,773.53",percent of total billed charges,,,"1,773.53",percent of total billed charges,,,"1,773.53",percent of total billed charges,,,"1,773.53",percent of total billed charges,,,"1,773.53",percent of total billed charges,,,"1,773.53",percent of total billed charges,,,"1,773.53",percent of total billed charges,,,"1,773.53",percent of total billed charges,,,"1,773.53",percent of total billed charges,,,"1,773.53",percent of total billed charges,,,"1,773.53",percent of total billed charges,
GUIDE PIN 3.2 PART THREAD 9  TROCAR TIP,C1713,CDM,,,,both,,,235,235,54.05,235,235,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,185.65,percent of total billed charges,185.65,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 ,185.65,percent of total billed charges ,185.65,percent of total billed charges ,199.75,percent of total billed charges ,199.75,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 ,,,,,,,,,,,,,,,,,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,
PLATE DIST MEDIAL TIBIAL LOCK 6H RT&LT,C1713,CDM,,,,both,,,"12,436.00","12,436.00","2,860.28","12,436.00","12,436.00",percent of total billed charges,"12,436.00",percent of total billed charges,"12,436.00",percent of total billed charges,"12,436.00",percent of total billed charges,"12,436.00",percent of total billed charges,"12,436.00",percent of total billed charges,"12,436.00",percent of total billed charges,"12,436.00",percent of total billed charges,"8,953.92",percent of total billed charges,"8,953.92",percent of total billed charges,"8,953.92",percent of total billed charges,"8,953.92",percent of total billed charges,"8,953.92",percent of total billed charges,"8,953.92",percent of total billed charges,"9,824.44",percent of total billed charges,"9,824.44",percent of total billed charges,"9,948.80",percent of total billed charges,"9,948.80",percent of total billed charges,,,"8,953.92",percent of total billed charges ,,,"9,948.80",percent of total billed charges ,"9,824.44",percent of total billed charges ,"9,824.44",percent of total billed charges ,"10,570.60",percent of total billed charges ,"10,570.60",percent of total billed charges ,"9,948.80",percent of total billed charges ,"9,948.80",percent of total billed charges ,"8,705.20",percent of total billed charges ,"8,705.20",percent of total billed charges ,"7,461.60",percent of total billed charges ,"7,461.60",percent of total billed charges ,"7,461.60",percent of total billed charges ,"7,461.60",percent of total billed charges ,,,,,"6,615.95",percent of total billed charges ,,,,,"6,285.15",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,860.28",percent of total billed charges,,,"2,860.28",percent of total billed charges,,,"2,860.28",percent of total billed charges,,,"2,860.28",percent of total billed charges,,,"2,860.28",percent of total billed charges,,,"2,860.28",percent of total billed charges,,,"2,860.28",percent of total billed charges,,,"2,860.28",percent of total billed charges,,,"2,860.28",percent of total billed charges,,,"2,860.28",percent of total billed charges,,,"2,860.28",percent of total billed charges,
SCREW PERI LOCKING 3.5MM X 12M-52M,C1713,CDM,,,,both,,,"1,020.00","1,020.00",234.6,"1,020.00","1,020.00",percent of total billed charges,"1,020.00",percent of total billed charges,"1,020.00",percent of total billed charges,"1,020.00",percent of total billed charges,"1,020.00",percent of total billed charges,"1,020.00",percent of total billed charges,"1,020.00",percent of total billed charges,"1,020.00",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,734.4,percent of total billed charges,734.4,percent of total billed charges,805.8,percent of total billed charges,805.8,percent of total billed charges,816,percent of total billed charges,816,percent of total billed charges,,,734.4,percent of total billed charges ,,,816,percent of total billed charges ,805.8,percent of total billed charges ,805.8,percent of total billed charges ,867,percent of total billed charges ,867,percent of total billed charges ,816,percent of total billed charges ,816,percent of total billed charges ,714,percent of total billed charges ,714,percent of total billed charges ,612,percent of total billed charges ,612,percent of total billed charges ,612,percent of total billed charges ,612,percent of total billed charges ,,,,,542.64,percent of total billed charges ,,,,,515.51,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,,,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,,,234.6,percent of total billed charges,,,234.6,percent of total billed charges,,,234.6,percent of total billed charges,
SCREW TENODESIS BIOCOMPOSITE,C1713,CDM,,,,both,,,"2,937.00","2,937.00",675.51,"2,937.00","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,"2,937.00",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,"2,114.64",percent of total billed charges,"2,114.64",percent of total billed charges,"2,114.64",percent of total billed charges,"2,114.64",percent of total billed charges,"2,114.64",percent of total billed charges,"2,114.64",percent of total billed charges,"2,320.23",percent of total billed charges,"2,320.23",percent of total billed charges,"2,349.60",percent of total billed charges,"2,349.60",percent of total billed charges,,,"2,114.64",percent of total billed charges ,,,"2,349.60",percent of total billed charges ,"2,320.23",percent of total billed charges ,"2,320.23",percent of total billed charges ,"2,496.45",percent of total billed charges ,"2,496.45",percent of total billed charges ,"2,349.60",percent of total billed charges ,"2,349.60",percent of total billed charges ,"2,055.90",percent of total billed charges ,"2,055.90",percent of total billed charges ,"1,762.20",percent of total billed charges ,"1,762.20",percent of total billed charges ,"1,762.20",percent of total billed charges ,"1,762.20",percent of total billed charges ,,,,,"1,562.48",percent of total billed charges ,,,,,"1,484.36",percent of total billed charges ,,,,,,,,,,,,,,,,,,,675.51,percent of total billed charges,,,675.51,percent of total billed charges,,,675.51,percent of total billed charges,,,675.51,percent of total billed charges,,,675.51,percent of total billed charges,,,675.51,percent of total billed charges,,,675.51,percent of total billed charges,,,675.51,percent of total billed charges,,,675.51,percent of total billed charges,,,675.51,percent of total billed charges,,,675.51,percent of total billed charges,
PLATE DIST MEDIAL TIBIAL LOCK 8H LT,C1713,CDM,,,,both,,,"12,628.00","12,628.00","2,904.44","12,628.00","12,628.00",percent of total billed charges,"12,628.00",percent of total billed charges,"12,628.00",percent of total billed charges,"12,628.00",percent of total billed charges,"12,628.00",percent of total billed charges,"12,628.00",percent of total billed charges,"12,628.00",percent of total billed charges,"12,628.00",percent of total billed charges,"9,092.16",percent of total billed charges,"9,092.16",percent of total billed charges,"9,092.16",percent of total billed charges,"9,092.16",percent of total billed charges,"9,092.16",percent of total billed charges,"9,092.16",percent of total billed charges,"9,976.12",percent of total billed charges,"9,976.12",percent of total billed charges,"10,102.40",percent of total billed charges,"10,102.40",percent of total billed charges,,,"9,092.16",percent of total billed charges ,,,"10,102.40",percent of total billed charges ,"9,976.12",percent of total billed charges ,"9,976.12",percent of total billed charges ,"10,733.80",percent of total billed charges ,"10,733.80",percent of total billed charges ,"10,102.40",percent of total billed charges ,"10,102.40",percent of total billed charges ,"8,839.60",percent of total billed charges ,"8,839.60",percent of total billed charges ,"7,576.80",percent of total billed charges ,"7,576.80",percent of total billed charges ,"7,576.80",percent of total billed charges ,"7,576.80",percent of total billed charges ,,,,,"6,718.10",percent of total billed charges ,,,,,"6,382.19",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,904.44",percent of total billed charges,,,"2,904.44",percent of total billed charges,,,"2,904.44",percent of total billed charges,,,"2,904.44",percent of total billed charges,,,"2,904.44",percent of total billed charges,,,"2,904.44",percent of total billed charges,,,"2,904.44",percent of total billed charges,,,"2,904.44",percent of total billed charges,,,"2,904.44",percent of total billed charges,,,"2,904.44",percent of total billed charges,,,"2,904.44",percent of total billed charges,
DRILL BIT QC 3-FLUTED 2.5MM DIA 180MM,272,RC,00906-99-0441,NDC,,both,,,"1,020.00","1,020.00",234.6,"1,020.00","1,020.00",percent of total billed charges,"1,020.00",percent of total billed charges,"1,020.00",percent of total billed charges,"1,020.00",percent of total billed charges,"1,020.00",percent of total billed charges,"1,020.00",percent of total billed charges,"1,020.00",percent of total billed charges,"1,020.00",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,734.4,percent of total billed charges,734.4,percent of total billed charges,805.8,percent of total billed charges,805.8,percent of total billed charges,816,percent of total billed charges,816,percent of total billed charges,,,734.4,percent of total billed charges ,,,816,percent of total billed charges ,805.8,percent of total billed charges ,805.8,percent of total billed charges ,867,percent of total billed charges ,867,percent of total billed charges ,816,percent of total billed charges ,816,percent of total billed charges ,714,percent of total billed charges ,714,percent of total billed charges ,612,percent of total billed charges ,612,percent of total billed charges ,612,percent of total billed charges ,612,percent of total billed charges ,,,,,542.64,percent of total billed charges ,,,,,515.51,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,,,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,,,234.6,percent of total billed charges,,,234.6,percent of total billed charges,,,234.6,percent of total billed charges,
PLATE PROXIMAL MEDIAL TIBIAL 3.5MM 4H LT,C1713,CDM,,,,both,,,"6,987.00","6,987.00","1,607.01","6,987.00","6,987.00",percent of total billed charges,"6,987.00",percent of total billed charges,"6,987.00",percent of total billed charges,"6,987.00",percent of total billed charges,"6,987.00",percent of total billed charges,"6,987.00",percent of total billed charges,"6,987.00",percent of total billed charges,"6,987.00",percent of total billed charges,"5,030.64",percent of total billed charges,"5,030.64",percent of total billed charges,"5,030.64",percent of total billed charges,"5,030.64",percent of total billed charges,"5,030.64",percent of total billed charges,"5,030.64",percent of total billed charges,"5,519.73",percent of total billed charges,"5,519.73",percent of total billed charges,"5,589.60",percent of total billed charges,"5,589.60",percent of total billed charges,,,"5,030.64",percent of total billed charges ,,,"5,589.60",percent of total billed charges ,"5,519.73",percent of total billed charges ,"5,519.73",percent of total billed charges ,"5,938.95",percent of total billed charges ,"5,938.95",percent of total billed charges ,"5,589.60",percent of total billed charges ,"5,589.60",percent of total billed charges ,"4,890.90",percent of total billed charges ,"4,890.90",percent of total billed charges ,"4,192.20",percent of total billed charges ,"4,192.20",percent of total billed charges ,"4,192.20",percent of total billed charges ,"4,192.20",percent of total billed charges ,,,,,"3,717.08",percent of total billed charges ,,,,,"3,531.23",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,607.01",percent of total billed charges,,,"1,607.01",percent of total billed charges,,,"1,607.01",percent of total billed charges,,,"1,607.01",percent of total billed charges,,,"1,607.01",percent of total billed charges,,,"1,607.01",percent of total billed charges,,,"1,607.01",percent of total billed charges,,,"1,607.01",percent of total billed charges,,,"1,607.01",percent of total billed charges,,,"1,607.01",percent of total billed charges,,,"1,607.01",percent of total billed charges,
SCREW 7.0 CANNULATED 16MM THREADED,C1713,CDM,,,,both,,,"2,124.00","2,124.00",488.52,"2,124.00","2,124.00",percent of total billed charges,"2,124.00",percent of total billed charges,"2,124.00",percent of total billed charges,"2,124.00",percent of total billed charges,"2,124.00",percent of total billed charges,"2,124.00",percent of total billed charges,"2,124.00",percent of total billed charges,"2,124.00",percent of total billed charges,"1,529.28",percent of total billed charges,"1,529.28",percent of total billed charges,"1,529.28",percent of total billed charges,"1,529.28",percent of total billed charges,"1,529.28",percent of total billed charges,"1,529.28",percent of total billed charges,"1,677.96",percent of total billed charges,"1,677.96",percent of total billed charges,"1,699.20",percent of total billed charges,"1,699.20",percent of total billed charges,,,"1,529.28",percent of total billed charges ,,,"1,699.20",percent of total billed charges ,"1,677.96",percent of total billed charges ,"1,677.96",percent of total billed charges ,"1,805.40",percent of total billed charges ,"1,805.40",percent of total billed charges ,"1,699.20",percent of total billed charges ,"1,699.20",percent of total billed charges ,"1,486.80",percent of total billed charges ,"1,486.80",percent of total billed charges ,"1,274.40",percent of total billed charges ,"1,274.40",percent of total billed charges ,"1,274.40",percent of total billed charges ,"1,274.40",percent of total billed charges ,,,,,"1,129.97",percent of total billed charges ,,,,,"1,073.47",percent of total billed charges ,,,,,,,,,,,,,,,,,,,488.52,percent of total billed charges,,,488.52,percent of total billed charges,,,488.52,percent of total billed charges,,,488.52,percent of total billed charges,,,488.52,percent of total billed charges,,,488.52,percent of total billed charges,,,488.52,percent of total billed charges,,,488.52,percent of total billed charges,,,488.52,percent of total billed charges,,,488.52,percent of total billed charges,,,488.52,percent of total billed charges,
KNEE UNI ZUK HIGH FLEX,C1776,CDM,,,,both,,,"19,855.00","19,855.00","4,566.65","19,855.00","19,855.00",percent of total billed charges,"19,855.00",percent of total billed charges,"19,855.00",percent of total billed charges,"19,855.00",percent of total billed charges,"19,855.00",percent of total billed charges,"19,855.00",percent of total billed charges,"19,855.00",percent of total billed charges,"19,855.00",percent of total billed charges,"14,295.60",percent of total billed charges,"14,295.60",percent of total billed charges,"14,295.60",percent of total billed charges,"14,295.60",percent of total billed charges,"14,295.60",percent of total billed charges,"14,295.60",percent of total billed charges,"15,685.45",percent of total billed charges,"15,685.45",percent of total billed charges,"15,884.00",percent of total billed charges,"15,884.00",percent of total billed charges,,,"14,295.60",percent of total billed charges ,,,"15,884.00",percent of total billed charges ,"15,685.45",percent of total billed charges ,"15,685.45",percent of total billed charges ,"16,876.75",percent of total billed charges ,"16,876.75",percent of total billed charges ,"15,884.00",percent of total billed charges ,"15,884.00",percent of total billed charges ,"13,898.50",percent of total billed charges ,"13,898.50",percent of total billed charges ,"11,913.00",percent of total billed charges ,"11,913.00",percent of total billed charges ,"11,913.00",percent of total billed charges ,"11,913.00",percent of total billed charges ,,,,,"10,562.86",percent of total billed charges ,,,,,"10,034.72",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,566.65",percent of total billed charges,,,"4,566.65",percent of total billed charges,,,"4,566.65",percent of total billed charges,,,"4,566.65",percent of total billed charges,,,"4,566.65",percent of total billed charges,,,"4,566.65",percent of total billed charges,,,"4,566.65",percent of total billed charges,,,"4,566.65",percent of total billed charges,,,"4,566.65",percent of total billed charges,,,"4,566.65",percent of total billed charges,,,"4,566.65",percent of total billed charges,
SCREW T20 LOCKING,C1713,CDM,,,,both,,,987,987,227.01,987,987,percent of total billed charges,987,percent of total billed charges,987,percent of total billed charges,987,percent of total billed charges,987,percent of total billed charges,987,percent of total billed charges,987,percent of total billed charges,987,percent of total billed charges,710.64,percent of total billed charges,710.64,percent of total billed charges,710.64,percent of total billed charges,710.64,percent of total billed charges,710.64,percent of total billed charges,710.64,percent of total billed charges,779.73,percent of total billed charges,779.73,percent of total billed charges,789.6,percent of total billed charges,789.6,percent of total billed charges,,,710.64,percent of total billed charges ,,,789.6,percent of total billed charges ,779.73,percent of total billed charges ,779.73,percent of total billed charges ,838.95,percent of total billed charges ,838.95,percent of total billed charges ,789.6,percent of total billed charges ,789.6,percent of total billed charges ,690.9,percent of total billed charges ,690.9,percent of total billed charges ,592.2,percent of total billed charges ,592.2,percent of total billed charges ,592.2,percent of total billed charges ,592.2,percent of total billed charges ,,,,,525.08,percent of total billed charges ,,,,,498.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,227.01,percent of total billed charges,,,227.01,percent of total billed charges,,,227.01,percent of total billed charges,,,227.01,percent of total billed charges,,,227.01,percent of total billed charges,,,227.01,percent of total billed charges,,,227.01,percent of total billed charges,,,227.01,percent of total billed charges,,,227.01,percent of total billed charges,,,227.01,percent of total billed charges,,,227.01,percent of total billed charges,
HIP TOTAL DEPUY CAP GROUP 2 IMPLANT,C1776,CDM,,,,both,,,"35,801.00","35,801.00","8,234.23","35,801.00","35,801.00",percent of total billed charges,"35,801.00",percent of total billed charges,"35,801.00",percent of total billed charges,"35,801.00",percent of total billed charges,"35,801.00",percent of total billed charges,"35,801.00",percent of total billed charges,"35,801.00",percent of total billed charges,"35,801.00",percent of total billed charges,"25,776.72",percent of total billed charges,"25,776.72",percent of total billed charges,"25,776.72",percent of total billed charges,"25,776.72",percent of total billed charges,"25,776.72",percent of total billed charges,"25,776.72",percent of total billed charges,"28,282.79",percent of total billed charges,"28,282.79",percent of total billed charges,"28,640.80",percent of total billed charges,"28,640.80",percent of total billed charges,,,"25,776.72",percent of total billed charges ,,,"28,640.80",percent of total billed charges ,"28,282.79",percent of total billed charges ,"28,282.79",percent of total billed charges ,"30,430.85",percent of total billed charges ,"30,430.85",percent of total billed charges ,"28,640.80",percent of total billed charges ,"28,640.80",percent of total billed charges ,"25,060.70",percent of total billed charges ,"25,060.70",percent of total billed charges ,"21,480.60",percent of total billed charges ,"21,480.60",percent of total billed charges ,"21,480.60",percent of total billed charges ,"21,480.60",percent of total billed charges ,,,,,"19,046.13",percent of total billed charges ,,,,,"18,093.83",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"8,234.23",percent of total billed charges,,,"8,234.23",percent of total billed charges,,,"8,234.23",percent of total billed charges,,,"8,234.23",percent of total billed charges,,,"8,234.23",percent of total billed charges,,,"8,234.23",percent of total billed charges,,,"8,234.23",percent of total billed charges,,,"8,234.23",percent of total billed charges,,,"8,234.23",percent of total billed charges,,,"8,234.23",percent of total billed charges,,,"8,234.23",percent of total billed charges,
REAMER 2MM CALIBRATED FOR SMART TOES,272,RC,00906-99-0441,NDC,,both,,,"2,700.00","2,700.00",621,"2,700.00","2,700.00",percent of total billed charges,"2,700.00",percent of total billed charges,"2,700.00",percent of total billed charges,"2,700.00",percent of total billed charges,"2,700.00",percent of total billed charges,"2,700.00",percent of total billed charges,"2,700.00",percent of total billed charges,"2,700.00",percent of total billed charges,"1,944.00",percent of total billed charges,"1,944.00",percent of total billed charges,"1,944.00",percent of total billed charges,"1,944.00",percent of total billed charges,"1,944.00",percent of total billed charges,"1,944.00",percent of total billed charges,"2,133.00",percent of total billed charges,"2,133.00",percent of total billed charges,"2,160.00",percent of total billed charges,"2,160.00",percent of total billed charges,,,"1,944.00",percent of total billed charges ,,,"2,160.00",percent of total billed charges ,"2,133.00",percent of total billed charges ,"2,133.00",percent of total billed charges ,"2,295.00",percent of total billed charges ,"2,295.00",percent of total billed charges ,"2,160.00",percent of total billed charges ,"2,160.00",percent of total billed charges ,"1,890.00",percent of total billed charges ,"1,890.00",percent of total billed charges ,"1,620.00",percent of total billed charges ,"1,620.00",percent of total billed charges ,"1,620.00",percent of total billed charges ,"1,620.00",percent of total billed charges ,,,,,"1,436.40",percent of total billed charges ,,,,,"1,364.58",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,,,621,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,,,621,percent of total billed charges,,,621,percent of total billed charges,
PIN 3.2MM,C1731,CDM,,,,both,,,"1,681.00","1,681.00",386.63,"1,681.00","1,681.00",percent of total billed charges,"1,681.00",percent of total billed charges,"1,681.00",percent of total billed charges,"1,681.00",percent of total billed charges,"1,681.00",percent of total billed charges,"1,681.00",percent of total billed charges,"1,681.00",percent of total billed charges,"1,681.00",percent of total billed charges,"1,210.32",percent of total billed charges,"1,210.32",percent of total billed charges,"1,210.32",percent of total billed charges,"1,210.32",percent of total billed charges,"1,210.32",percent of total billed charges,"1,210.32",percent of total billed charges,"1,327.99",percent of total billed charges,"1,327.99",percent of total billed charges,"1,344.80",percent of total billed charges,"1,344.80",percent of total billed charges,,,"1,210.32",percent of total billed charges ,,,"1,344.80",percent of total billed charges ,"1,327.99",percent of total billed charges ,"1,327.99",percent of total billed charges ,"1,428.85",percent of total billed charges ,"1,428.85",percent of total billed charges ,"1,344.80",percent of total billed charges ,"1,344.80",percent of total billed charges ,"1,176.70",percent of total billed charges ,"1,176.70",percent of total billed charges ,"1,008.60",percent of total billed charges ,"1,008.60",percent of total billed charges ,"1,008.60",percent of total billed charges ,"1,008.60",percent of total billed charges ,,,,,894.29,percent of total billed charges ,,,,,849.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,386.63,percent of total billed charges,,,386.63,percent of total billed charges,,,386.63,percent of total billed charges,,,386.63,percent of total billed charges,,,386.63,percent of total billed charges,,,386.63,percent of total billed charges,,,386.63,percent of total billed charges,,,386.63,percent of total billed charges,,,386.63,percent of total billed charges,,,386.63,percent of total billed charges,,,386.63,percent of total billed charges,
PLATE FUSION RIGHT 1ST MCP MODULAR HAND,C1713,CDM,,,,both,,,"4,696.00","4,696.00","1,080.08","4,696.00","4,696.00",percent of total billed charges,"4,696.00",percent of total billed charges,"4,696.00",percent of total billed charges,"4,696.00",percent of total billed charges,"4,696.00",percent of total billed charges,"4,696.00",percent of total billed charges,"4,696.00",percent of total billed charges,"4,696.00",percent of total billed charges,"3,381.12",percent of total billed charges,"3,381.12",percent of total billed charges,"3,381.12",percent of total billed charges,"3,381.12",percent of total billed charges,"3,381.12",percent of total billed charges,"3,381.12",percent of total billed charges,"3,709.84",percent of total billed charges,"3,709.84",percent of total billed charges,"3,756.80",percent of total billed charges,"3,756.80",percent of total billed charges,,,"3,381.12",percent of total billed charges ,,,"3,756.80",percent of total billed charges ,"3,709.84",percent of total billed charges ,"3,709.84",percent of total billed charges ,"3,991.60",percent of total billed charges ,"3,991.60",percent of total billed charges ,"3,756.80",percent of total billed charges ,"3,756.80",percent of total billed charges ,"3,287.20",percent of total billed charges ,"3,287.20",percent of total billed charges ,"2,817.60",percent of total billed charges ,"2,817.60",percent of total billed charges ,"2,817.60",percent of total billed charges ,"2,817.60",percent of total billed charges ,,,,,"2,498.27",percent of total billed charges ,,,,,"2,373.36",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,080.08",percent of total billed charges,,,"1,080.08",percent of total billed charges,,,"1,080.08",percent of total billed charges,,,"1,080.08",percent of total billed charges,,,"1,080.08",percent of total billed charges,,,"1,080.08",percent of total billed charges,,,"1,080.08",percent of total billed charges,,,"1,080.08",percent of total billed charges,,,"1,080.08",percent of total billed charges,,,"1,080.08",percent of total billed charges,,,"1,080.08",percent of total billed charges,
SCREW CRUCIFORM 2.XMM X 8.0/16 MODULAR,C1713,CDM,,,,both,,,461,461,106.03,461,461,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,364.19,percent of total billed charges,364.19,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 ,364.19,percent of total billed charges ,364.19,percent of total billed charges ,391.85,percent of total billed charges ,391.85,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 ,,,,,,,,,,,,,,,,,,,106.03,percent of total billed charges,,,106.03,percent of total billed charges,,,106.03,percent of total billed charges,,,106.03,percent of total billed charges,,,106.03,percent of total billed charges,,,106.03,percent of total billed charges,,,106.03,percent of total billed charges,,,106.03,percent of total billed charges,,,106.03,percent of total billed charges,,,106.03,percent of total billed charges,,,106.03,percent of total billed charges,
DRILL BIT 1.5MM X5  QUICK RELEASE,272,RC,00906-99-0441,NDC,,both,,,720,720,165.6,720,720,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,568.8,percent of total billed charges,568.8,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 ,568.8,percent of total billed charges ,568.8,percent of total billed charges ,612,percent of total billed charges ,612,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,165.6,percent of total billed charges,,,165.6,percent of total billed charges,,,165.6,percent of total billed charges,
REAMER 14MM MTP CONCAVE OR CONVEX,272,RC,00906-99-0441,NDC,,both,,,"1,634.00","1,634.00",375.82,"1,634.00","1,634.00",percent of total billed charges,"1,634.00",percent of total billed charges,"1,634.00",percent of total billed charges,"1,634.00",percent of total billed charges,"1,634.00",percent of total billed charges,"1,634.00",percent of total billed charges,"1,634.00",percent of total billed charges,"1,634.00",percent of total billed charges,"1,176.48",percent of total billed charges,"1,176.48",percent of total billed charges,"1,176.48",percent of total billed charges,"1,176.48",percent of total billed charges,"1,176.48",percent of total billed charges,"1,176.48",percent of total billed charges,"1,290.86",percent of total billed charges,"1,290.86",percent of total billed charges,"1,307.20",percent of total billed charges,"1,307.20",percent of total billed charges,,,"1,176.48",percent of total billed charges ,,,"1,307.20",percent of total billed charges ,"1,290.86",percent of total billed charges ,"1,290.86",percent of total billed charges ,"1,388.90",percent of total billed charges ,"1,388.90",percent of total billed charges ,"1,307.20",percent of total billed charges ,"1,307.20",percent of total billed charges ,"1,143.80",percent of total billed charges ,"1,143.80",percent of total billed charges ,980.4,percent of total billed charges ,980.4,percent of total billed charges ,980.4,percent of total billed charges ,980.4,percent of total billed charges ,,,,,869.29,percent of total billed charges ,,,,,825.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,375.82,percent of total billed charges,,,375.82,percent of total billed charges,,,375.82,percent of total billed charges,,,375.82,percent of total billed charges,,,375.82,percent of total billed charges,,,375.82,percent of total billed charges,,,375.82,percent of total billed charges,,,375.82,percent of total billed charges,,,375.82,percent of total billed charges,,,375.82,percent of total billed charges,,,375.82,percent of total billed charges,
PLATE PH WITH 4 LOCK HOLES NCB TRAY,C1713,CDM,,,,both,,,"12,441.00","12,441.00","2,861.43","12,441.00","12,441.00",percent of total billed charges,"12,441.00",percent of total billed charges,"12,441.00",percent of total billed charges,"12,441.00",percent of total billed charges,"12,441.00",percent of total billed charges,"12,441.00",percent of total billed charges,"12,441.00",percent of total billed charges,"12,441.00",percent of total billed charges,"8,957.52",percent of total billed charges,"8,957.52",percent of total billed charges,"8,957.52",percent of total billed charges,"8,957.52",percent of total billed charges,"8,957.52",percent of total billed charges,"8,957.52",percent of total billed charges,"9,828.39",percent of total billed charges,"9,828.39",percent of total billed charges,"9,952.80",percent of total billed charges,"9,952.80",percent of total billed charges,,,"8,957.52",percent of total billed charges ,,,"9,952.80",percent of total billed charges ,"9,828.39",percent of total billed charges ,"9,828.39",percent of total billed charges ,"10,574.85",percent of total billed charges ,"10,574.85",percent of total billed charges ,"9,952.80",percent of total billed charges ,"9,952.80",percent of total billed charges ,"8,708.70",percent of total billed charges ,"8,708.70",percent of total billed charges ,"7,464.60",percent of total billed charges ,"7,464.60",percent of total billed charges ,"7,464.60",percent of total billed charges ,"7,464.60",percent of total billed charges ,,,,,"6,618.61",percent of total billed charges ,,,,,"6,287.68",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,861.43",percent of total billed charges,,,"2,861.43",percent of total billed charges,,,"2,861.43",percent of total billed charges,,,"2,861.43",percent of total billed charges,,,"2,861.43",percent of total billed charges,,,"2,861.43",percent of total billed charges,,,"2,861.43",percent of total billed charges,,,"2,861.43",percent of total billed charges,,,"2,861.43",percent of total billed charges,,,"2,861.43",percent of total billed charges,,,"2,861.43",percent of total billed charges,
SCREW CANCELLOUS FULL THREAD SX4.5 NCB,C1713,CDM,,,,both,,,"1,347.00","1,347.00",309.81,"1,347.00","1,347.00",percent of total billed charges,"1,347.00",percent of total billed charges,"1,347.00",percent of total billed charges,"1,347.00",percent of total billed charges,"1,347.00",percent of total billed charges,"1,347.00",percent of total billed charges,"1,347.00",percent of total billed charges,"1,347.00",percent of total billed charges,969.84,percent of total billed charges,969.84,percent of total billed charges,969.84,percent of total billed charges,969.84,percent of total billed charges,969.84,percent of total billed charges,969.84,percent of total billed charges,"1,064.13",percent of total billed charges,"1,064.13",percent of total billed charges,"1,077.60",percent of total billed charges,"1,077.60",percent of total billed charges,,,969.84,percent of total billed charges ,,,"1,077.60",percent of total billed charges ,"1,064.13",percent of total billed charges ,"1,064.13",percent of total billed charges ,"1,144.95",percent of total billed charges ,"1,144.95",percent of total billed charges ,"1,077.60",percent of total billed charges ,"1,077.60",percent of total billed charges ,942.9,percent of total billed charges ,942.9,percent of total billed charges ,808.2,percent of total billed charges ,808.2,percent of total billed charges ,808.2,percent of total billed charges ,808.2,percent of total billed charges ,,,,,716.6,percent of total billed charges ,,,,,680.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,309.81,percent of total billed charges,,,309.81,percent of total billed charges,,,309.81,percent of total billed charges,,,309.81,percent of total billed charges,,,309.81,percent of total billed charges,,,309.81,percent of total billed charges,,,309.81,percent of total billed charges,,,309.81,percent of total billed charges,,,309.81,percent of total billed charges,,,309.81,percent of total billed charges,,,309.81,percent of total billed charges,
"WASHER SMALL FITS  ZIM SCREW 2.7,3.5,4,7",C1713,CDM,,,,both,,,198,198,45.54,198,198,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,156.42,percent of total billed charges,156.42,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 ,156.42,percent of total billed charges ,156.42,percent of total billed charges ,168.3,percent of total billed charges ,168.3,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 ,,,,,,,,,,,,,,,,,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,
IV THERAPY CONCURRENT NEW DRUG (59),96368,CDM,,,59,both,,,184,184,42.32,184,184,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,145.36,percent of total billed charges,145.36,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 ,145.36,percent of total billed charges ,145.36,percent of total billed charges ,156.4,percent of total billed charges ,156.4,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 ,,,,,,,,,,,,,,,,,,,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,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,
REAMER LOW PROFILE,272,RC,00906-99-0441,NDC,,both,,,"1,819.00","1,819.00",418.37,"1,819.00","1,819.00",percent of total billed charges,"1,819.00",percent of total billed charges,"1,819.00",percent of total billed charges,"1,819.00",percent of total billed charges,"1,819.00",percent of total billed charges,"1,819.00",percent of total billed charges,"1,819.00",percent of total billed charges,"1,819.00",percent of total billed charges,"1,309.68",percent of total billed charges,"1,309.68",percent of total billed charges,"1,309.68",percent of total billed charges,"1,309.68",percent of total billed charges,"1,309.68",percent of total billed charges,"1,309.68",percent of total billed charges,"1,437.01",percent of total billed charges,"1,437.01",percent of total billed charges,"1,455.20",percent of total billed charges,"1,455.20",percent of total billed charges,,,"1,309.68",percent of total billed charges ,,,"1,455.20",percent of total billed charges ,"1,437.01",percent of total billed charges ,"1,437.01",percent of total billed charges ,"1,546.15",percent of total billed charges ,"1,546.15",percent of total billed charges ,"1,455.20",percent of total billed charges ,"1,455.20",percent of total billed charges ,"1,273.30",percent of total billed charges ,"1,273.30",percent of total billed charges ,"1,091.40",percent of total billed charges ,"1,091.40",percent of total billed charges ,"1,091.40",percent of total billed charges ,"1,091.40",percent of total billed charges ,,,,,967.71,percent of total billed charges ,,,,,919.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,418.37,percent of total billed charges,,,418.37,percent of total billed charges,,,418.37,percent of total billed charges,,,418.37,percent of total billed charges,,,418.37,percent of total billed charges,,,418.37,percent of total billed charges,,,418.37,percent of total billed charges,,,418.37,percent of total billed charges,,,418.37,percent of total billed charges,,,418.37,percent of total billed charges,,,418.37,percent of total billed charges,
SCREW 2.0 CORTICAL  ST MINI CRUCIFORM,C1713,CDM,,,,both,,,216,216,49.68,216,216,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,216,percent of total billed charges,216,percent of total billed charges,216,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,172.8,percent of total billed charges,172.8,percent of total billed charges,,,155.52,percent of total billed charges ,,,172.8,percent of total billed charges ,170.64,percent of total billed charges ,170.64,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,172.8,percent of total billed charges ,172.8,percent of total billed charges ,151.2,percent of total billed charges ,151.2,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 ,,,,,114.91,percent of total billed charges ,,,,,109.17,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,,,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,
LASSO SHOULDER,C1713,CDM,,,,both,,,"1,307.00","1,307.00",300.61,"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,"1,032.53",percent of total billed charges,"1,032.53",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 ,"1,032.53",percent of total billed charges ,"1,032.53",percent of total billed charges ,"1,110.95",percent of total billed charges ,"1,110.95",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 ,,,,,,,,,,,,,,,,,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,
DRILL KIT FOR SUTURETAK,272,RC,00906-99-0441,NDC,,both,,,"1,494.00","1,494.00",343.62,"1,494.00","1,494.00",percent of total billed charges,"1,494.00",percent of total billed charges,"1,494.00",percent of total billed charges,"1,494.00",percent of total billed charges,"1,494.00",percent of total billed charges,"1,494.00",percent of total billed charges,"1,494.00",percent of total billed charges,"1,494.00",percent of total billed charges,"1,075.68",percent of total billed charges,"1,075.68",percent of total billed charges,"1,075.68",percent of total billed charges,"1,075.68",percent of total billed charges,"1,075.68",percent of total billed charges,"1,075.68",percent of total billed charges,"1,180.26",percent of total billed charges,"1,180.26",percent of total billed charges,"1,195.20",percent of total billed charges,"1,195.20",percent of total billed charges,,,"1,075.68",percent of total billed charges ,,,"1,195.20",percent of total billed charges ,"1,180.26",percent of total billed charges ,"1,180.26",percent of total billed charges ,"1,269.90",percent of total billed charges ,"1,269.90",percent of total billed charges ,"1,195.20",percent of total billed charges ,"1,195.20",percent of total billed charges ,"1,045.80",percent of total billed charges ,"1,045.80",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 ,,,,,794.81,percent of total billed charges ,,,,,755.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,343.62,percent of total billed charges,,,343.62,percent of total billed charges,,,343.62,percent of total billed charges,,,343.62,percent of total billed charges,,,343.62,percent of total billed charges,,,343.62,percent of total billed charges,,,343.62,percent of total billed charges,,,343.62,percent of total billed charges,,,343.62,percent of total billed charges,,,343.62,percent of total billed charges,,,343.62,percent of total billed charges,
SUTURE ANCHOR BIOCOMPOSITE SUTURETAK,C1713,CDM,,,,both,,,"2,984.00","2,984.00",686.32,"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,"2,357.36",percent of total billed charges,"2,357.36",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 ,"2,357.36",percent of total billed charges ,"2,357.36",percent of total billed charges ,"2,536.40",percent of total billed charges ,"2,536.40",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 ,,,,,,,,,,,,,,,,,,,686.32,percent of total billed charges,,,686.32,percent of total billed charges,,,686.32,percent of total billed charges,,,686.32,percent of total billed charges,,,686.32,percent of total billed charges,,,686.32,percent of total billed charges,,,686.32,percent of total billed charges,,,686.32,percent of total billed charges,,,686.32,percent of total billed charges,,,686.32,percent of total billed charges,,,686.32,percent of total billed charges,
PLATE 3.5M HUMERUS  LCP PROX LONG 6H/160,C1713,CDM,,,,both,,,"17,273.00","17,273.00","3,972.79","17,273.00","17,273.00",percent of total billed charges,"17,273.00",percent of total billed charges,"17,273.00",percent of total billed charges,"17,273.00",percent of total billed charges,"17,273.00",percent of total billed charges,"17,273.00",percent of total billed charges,"17,273.00",percent of total billed charges,"17,273.00",percent of total billed charges,"12,436.56",percent of total billed charges,"12,436.56",percent of total billed charges,"12,436.56",percent of total billed charges,"12,436.56",percent of total billed charges,"12,436.56",percent of total billed charges,"12,436.56",percent of total billed charges,"13,645.67",percent of total billed charges,"13,645.67",percent of total billed charges,"13,818.40",percent of total billed charges,"13,818.40",percent of total billed charges,,,"12,436.56",percent of total billed charges ,,,"13,818.40",percent of total billed charges ,"13,645.67",percent of total billed charges ,"13,645.67",percent of total billed charges ,"14,682.05",percent of total billed charges ,"14,682.05",percent of total billed charges ,"13,818.40",percent of total billed charges ,"13,818.40",percent of total billed charges ,"12,091.10",percent of total billed charges ,"12,091.10",percent of total billed charges ,"10,363.80",percent of total billed charges ,"10,363.80",percent of total billed charges ,"10,363.80",percent of total billed charges ,"10,363.80",percent of total billed charges ,,,,,"9,189.24",percent of total billed charges ,,,,,"8,729.77",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,972.79",percent of total billed charges,,,"3,972.79",percent of total billed charges,,,"3,972.79",percent of total billed charges,,,"3,972.79",percent of total billed charges,,,"3,972.79",percent of total billed charges,,,"3,972.79",percent of total billed charges,,,"3,972.79",percent of total billed charges,,,"3,972.79",percent of total billed charges,,,"3,972.79",percent of total billed charges,,,"3,972.79",percent of total billed charges,,,"3,972.79",percent of total billed charges,
"PLATE 1.5MM H-PLATE 4 HOLE, 9M LENGTH",C1776,CDM,,,,both,,,"1,274.00","1,274.00",293.02,"1,274.00","1,274.00",percent of total billed charges,"1,274.00",percent of total billed charges,"1,274.00",percent of total billed charges,"1,274.00",percent of total billed charges,"1,274.00",percent of total billed charges,"1,274.00",percent of total billed charges,"1,274.00",percent of total billed charges,"1,274.00",percent of total billed charges,917.28,percent of total billed charges,917.28,percent of total billed charges,917.28,percent of total billed charges,917.28,percent of total billed charges,917.28,percent of total billed charges,917.28,percent of total billed charges,"1,006.46",percent of total billed charges,"1,006.46",percent of total billed charges,"1,019.20",percent of total billed charges,"1,019.20",percent of total billed charges,,,917.28,percent of total billed charges ,,,"1,019.20",percent of total billed charges ,"1,006.46",percent of total billed charges ,"1,006.46",percent of total billed charges ,"1,082.90",percent of total billed charges ,"1,082.90",percent of total billed charges ,"1,019.20",percent of total billed charges ,"1,019.20",percent of total billed charges ,891.8,percent of total billed charges ,891.8,percent of total billed charges ,764.4,percent of total billed charges ,764.4,percent of total billed charges ,764.4,percent of total billed charges ,764.4,percent of total billed charges ,,,,,677.77,percent of total billed charges ,,,,,643.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,293.02,percent of total billed charges,,,293.02,percent of total billed charges,,,293.02,percent of total billed charges,,,293.02,percent of total billed charges,,,293.02,percent of total billed charges,,,293.02,percent of total billed charges,,,293.02,percent of total billed charges,,,293.02,percent of total billed charges,,,293.02,percent of total billed charges,,,293.02,percent of total billed charges,,,293.02,percent of total billed charges,
"PLATE 2.0M STRAIGHT 5,6 HOLE",C1776,CDM,,,,both,,,606,606,139.38,606,606,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,478.74,percent of total billed charges,478.74,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 ,478.74,percent of total billed charges ,478.74,percent of total billed charges ,515.1,percent of total billed charges ,515.1,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 ,,,,,,,,,,,,,,,,,,,139.38,percent of total billed charges,,,139.38,percent of total billed charges,,,139.38,percent of total billed charges,,,139.38,percent of total billed charges,,,139.38,percent of total billed charges,,,139.38,percent of total billed charges,,,139.38,percent of total billed charges,,,139.38,percent of total billed charges,,,139.38,percent of total billed charges,,,139.38,percent of total billed charges,,,139.38,percent of total billed charges,
PLATE 2.0M-2.7M T-PLATE 18-32 LENGTH,C1776,CDM,,,,both,,,576,576,132.48,576,576,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,455.04,percent of total billed charges,455.04,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 ,455.04,percent of total billed charges ,455.04,percent of total billed charges ,489.6,percent of total billed charges ,489.6,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
PLATE 2.0M-2.7M  L-PLATE OBLIQUE LFT-RHT,C1776,CDM,,,,both,,,511,511,117.53,511,511,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,403.69,percent of total billed charges,403.69,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 ,403.69,percent of total billed charges ,403.69,percent of total billed charges ,434.35,percent of total billed charges ,434.35,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 ,,,,,,,,,,,,,,,,,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,
"PLATE 1/4 TUB W COLLAR 3, 4 HOLE",C1776,CDM,,,,both,,,597,597,137.31,597,597,percent of total billed charges,597,percent of total billed charges,597,percent of total billed charges,597,percent of total billed charges,597,percent of total billed charges,597,percent of total billed charges,597,percent of total billed charges,597,percent of total billed charges,429.84,percent of total billed charges,429.84,percent of total billed charges,429.84,percent of total billed charges,429.84,percent of total billed charges,429.84,percent of total billed charges,429.84,percent of total billed charges,471.63,percent of total billed charges,471.63,percent of total billed charges,477.6,percent of total billed charges,477.6,percent of total billed charges,,,429.84,percent of total billed charges ,,,477.6,percent of total billed charges ,471.63,percent of total billed charges ,471.63,percent of total billed charges ,507.45,percent of total billed charges ,507.45,percent of total billed charges ,477.6,percent of total billed charges ,477.6,percent of total billed charges ,417.9,percent of total billed charges ,417.9,percent of total billed charges ,358.2,percent of total billed charges ,358.2,percent of total billed charges ,358.2,percent of total billed charges ,358.2,percent of total billed charges ,,,,,317.6,percent of total billed charges ,,,,,301.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,137.31,percent of total billed charges,,,137.31,percent of total billed charges,,,137.31,percent of total billed charges,,,137.31,percent of total billed charges,,,137.31,percent of total billed charges,,,137.31,percent of total billed charges,,,137.31,percent of total billed charges,,,137.31,percent of total billed charges,,,137.31,percent of total billed charges,,,137.31,percent of total billed charges,,,137.31,percent of total billed charges,
"PLATE 1/4 TUB W COLLAR 5,  HOLE",C1776,CDM,,,,both,,,701,701,161.23,701,701,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,553.79,percent of total billed charges,553.79,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 ,553.79,percent of total billed charges ,553.79,percent of total billed charges ,595.85,percent of total billed charges ,595.85,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 ,,,,,,,,,,,,,,,,,,,161.23,percent of total billed charges,,,161.23,percent of total billed charges,,,161.23,percent of total billed charges,,,161.23,percent of total billed charges,,,161.23,percent of total billed charges,,,161.23,percent of total billed charges,,,161.23,percent of total billed charges,,,161.23,percent of total billed charges,,,161.23,percent of total billed charges,,,161.23,percent of total billed charges,,,161.23,percent of total billed charges,
"PLATE 1/4 TUB W COLLAR 6,7,8 HOLE",C1776,CDM,,,,both,,,791,791,181.93,791,791,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,569.52,percent of total billed charges,569.52,percent of total billed charges,569.52,percent of total billed charges,569.52,percent of total billed charges,569.52,percent of total billed charges,569.52,percent of total billed charges,624.89,percent of total billed charges,624.89,percent of total billed charges,632.8,percent of total billed charges,632.8,percent of total billed charges,,,569.52,percent of total billed charges ,,,632.8,percent of total billed charges ,624.89,percent of total billed charges ,624.89,percent of total billed charges ,672.35,percent of total billed charges ,672.35,percent of total billed charges ,632.8,percent of total billed charges ,632.8,percent of total billed charges ,553.7,percent of total billed charges ,553.7,percent of total billed charges ,474.6,percent of total billed charges ,474.6,percent of total billed charges ,474.6,percent of total billed charges ,474.6,percent of total billed charges ,,,,,420.81,percent of total billed charges ,,,,,399.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,181.93,percent of total billed charges,,,181.93,percent of total billed charges,,,181.93,percent of total billed charges,,,181.93,percent of total billed charges,,,181.93,percent of total billed charges,,,181.93,percent of total billed charges,,,181.93,percent of total billed charges,,,181.93,percent of total billed charges,,,181.93,percent of total billed charges,,,181.93,percent of total billed charges,,,181.93,percent of total billed charges,
"WASHER MINI FITS ZIM SCREW 1.5, 2.0,4.5",C1713,CDM,,,,both,,,334,334,76.82,334,334,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,263.86,percent of total billed charges,263.86,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 ,263.86,percent of total billed charges ,263.86,percent of total billed charges ,283.9,percent of total billed charges ,283.9,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 ,,,,,,,,,,,,,,,,,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,
TAP QC FOR 2.7M.3.5M.4.0M SCREWS,C1713,CDM,,,,both,,,791,791,181.93,791,791,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,569.52,percent of total billed charges,569.52,percent of total billed charges,569.52,percent of total billed charges,569.52,percent of total billed charges,569.52,percent of total billed charges,569.52,percent of total billed charges,624.89,percent of total billed charges,624.89,percent of total billed charges,632.8,percent of total billed charges,632.8,percent of total billed charges,,,569.52,percent of total billed charges ,,,632.8,percent of total billed charges ,624.89,percent of total billed charges ,624.89,percent of total billed charges ,672.35,percent of total billed charges ,672.35,percent of total billed charges ,632.8,percent of total billed charges ,632.8,percent of total billed charges ,553.7,percent of total billed charges ,553.7,percent of total billed charges ,474.6,percent of total billed charges ,474.6,percent of total billed charges ,474.6,percent of total billed charges ,474.6,percent of total billed charges ,,,,,420.81,percent of total billed charges ,,,,,399.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,181.93,percent of total billed charges,,,181.93,percent of total billed charges,,,181.93,percent of total billed charges,,,181.93,percent of total billed charges,,,181.93,percent of total billed charges,,,181.93,percent of total billed charges,,,181.93,percent of total billed charges,,,181.93,percent of total billed charges,,,181.93,percent of total billed charges,,,181.93,percent of total billed charges,,,181.93,percent of total billed charges,
FEMORAL HEAD 6 DEGREE COCR 22MM-32MM,C1776,CDM,,,,both,,,"5,996.00","5,996.00","1,379.08","5,996.00","5,996.00",percent of total billed charges,"5,996.00",percent of total billed charges,"5,996.00",percent of total billed charges,"5,996.00",percent of total billed charges,"5,996.00",percent of total billed charges,"5,996.00",percent of total billed charges,"5,996.00",percent of total billed charges,"5,996.00",percent of total billed charges,"4,317.12",percent of total billed charges,"4,317.12",percent of total billed charges,"4,317.12",percent of total billed charges,"4,317.12",percent of total billed charges,"4,317.12",percent of total billed charges,"4,317.12",percent of total billed charges,"4,736.84",percent of total billed charges,"4,736.84",percent of total billed charges,"4,796.80",percent of total billed charges,"4,796.80",percent of total billed charges,,,"4,317.12",percent of total billed charges ,,,"4,796.80",percent of total billed charges ,"4,736.84",percent of total billed charges ,"4,736.84",percent of total billed charges ,"5,096.60",percent of total billed charges ,"5,096.60",percent of total billed charges ,"4,796.80",percent of total billed charges ,"4,796.80",percent of total billed charges ,"4,197.20",percent of total billed charges ,"4,197.20",percent of total billed charges ,"3,597.60",percent of total billed charges ,"3,597.60",percent of total billed charges ,"3,597.60",percent of total billed charges ,"3,597.60",percent of total billed charges ,,,,,"3,189.87",percent of total billed charges ,,,,,"3,030.38",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,379.08",percent of total billed charges,,,"1,379.08",percent of total billed charges,,,"1,379.08",percent of total billed charges,,,"1,379.08",percent of total billed charges,,,"1,379.08",percent of total billed charges,,,"1,379.08",percent of total billed charges,,,"1,379.08",percent of total billed charges,,,"1,379.08",percent of total billed charges,,,"1,379.08",percent of total billed charges,,,"1,379.08",percent of total billed charges,,,"1,379.08",percent of total billed charges,
DRILL RETRO FEMUR CALIBRATED 4.3MM,272,RC,00906-99-0441,NDC,,both,,,"2,564.00","2,564.00",589.72,"2,564.00","2,564.00",percent of total billed charges,"2,564.00",percent of total billed charges,"2,564.00",percent of total billed charges,"2,564.00",percent of total billed charges,"2,564.00",percent of total billed charges,"2,564.00",percent of total billed charges,"2,564.00",percent of total billed charges,"2,564.00",percent of total billed charges,"1,846.08",percent of total billed charges,"1,846.08",percent of total billed charges,"1,846.08",percent of total billed charges,"1,846.08",percent of total billed charges,"1,846.08",percent of total billed charges,"1,846.08",percent of total billed charges,"2,025.56",percent of total billed charges,"2,025.56",percent of total billed charges,"2,051.20",percent of total billed charges,"2,051.20",percent of total billed charges,,,"1,846.08",percent of total billed charges ,,,"2,051.20",percent of total billed charges ,"2,025.56",percent of total billed charges ,"2,025.56",percent of total billed charges ,"2,179.40",percent of total billed charges ,"2,179.40",percent of total billed charges ,"2,051.20",percent of total billed charges ,"2,051.20",percent of total billed charges ,"1,794.80",percent of total billed charges ,"1,794.80",percent of total billed charges ,"1,538.40",percent of total billed charges ,"1,538.40",percent of total billed charges ,"1,538.40",percent of total billed charges ,"1,538.40",percent of total billed charges ,,,,,"1,364.05",percent of total billed charges ,,,,,"1,295.85",percent of total billed charges ,,,,,,,,,,,,,,,,,,,589.72,percent of total billed charges,,,589.72,percent of total billed charges,,,589.72,percent of total billed charges,,,589.72,percent of total billed charges,,,589.72,percent of total billed charges,,,589.72,percent of total billed charges,,,589.72,percent of total billed charges,,,589.72,percent of total billed charges,,,589.72,percent of total billed charges,,,589.72,percent of total billed charges,,,589.72,percent of total billed charges,
DRILL RETRO FEMUR CALIBRATED 4.9MM,272,RC,00906-99-0441,NDC,,both,,,"5,497.00","5,497.00","1,264.31","5,497.00","5,497.00",percent of total billed charges,"5,497.00",percent of total billed charges,"5,497.00",percent of total billed charges,"5,497.00",percent of total billed charges,"5,497.00",percent of total billed charges,"5,497.00",percent of total billed charges,"5,497.00",percent of total billed charges,"5,497.00",percent of total billed charges,"3,957.84",percent of total billed charges,"3,957.84",percent of total billed charges,"3,957.84",percent of total billed charges,"3,957.84",percent of total billed charges,"3,957.84",percent of total billed charges,"3,957.84",percent of total billed charges,"4,342.63",percent of total billed charges,"4,342.63",percent of total billed charges,"4,397.60",percent of total billed charges,"4,397.60",percent of total billed charges,,,"3,957.84",percent of total billed charges ,,,"4,397.60",percent of total billed charges ,"4,342.63",percent of total billed charges ,"4,342.63",percent of total billed charges ,"4,672.45",percent of total billed charges ,"4,672.45",percent of total billed charges ,"4,397.60",percent of total billed charges ,"4,397.60",percent of total billed charges ,"3,847.90",percent of total billed charges ,"3,847.90",percent of total billed charges ,"3,298.20",percent of total billed charges ,"3,298.20",percent of total billed charges ,"3,298.20",percent of total billed charges ,"3,298.20",percent of total billed charges ,,,,,"2,924.40",percent of total billed charges ,,,,,"2,778.18",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,264.31",percent of total billed charges,,,"1,264.31",percent of total billed charges,,,"1,264.31",percent of total billed charges,,,"1,264.31",percent of total billed charges,,,"1,264.31",percent of total billed charges,,,"1,264.31",percent of total billed charges,,,"1,264.31",percent of total billed charges,,,"1,264.31",percent of total billed charges,,,"1,264.31",percent of total billed charges,,,"1,264.31",percent of total billed charges,,,"1,264.31",percent of total billed charges,
NAIL RETRO FEMUR 11.5MMX24 & 34,C1713,CDM,,,,both,,,"19,620.00","19,620.00","4,512.60","19,620.00","19,620.00",percent of total billed charges,"19,620.00",percent of total billed charges,"19,620.00",percent of total billed charges,"19,620.00",percent of total billed charges,"19,620.00",percent of total billed charges,"19,620.00",percent of total billed charges,"19,620.00",percent of total billed charges,"19,620.00",percent of total billed charges,"14,126.40",percent of total billed charges,"14,126.40",percent of total billed charges,"14,126.40",percent of total billed charges,"14,126.40",percent of total billed charges,"14,126.40",percent of total billed charges,"14,126.40",percent of total billed charges,"15,499.80",percent of total billed charges,"15,499.80",percent of total billed charges,"15,696.00",percent of total billed charges,"15,696.00",percent of total billed charges,,,"14,126.40",percent of total billed charges ,,,"15,696.00",percent of total billed charges ,"15,499.80",percent of total billed charges ,"15,499.80",percent of total billed charges ,"16,677.00",percent of total billed charges ,"16,677.00",percent of total billed charges ,"15,696.00",percent of total billed charges ,"15,696.00",percent of total billed charges ,"13,734.00",percent of total billed charges ,"13,734.00",percent of total billed charges ,"11,772.00",percent of total billed charges ,"11,772.00",percent of total billed charges ,"11,772.00",percent of total billed charges ,"11,772.00",percent of total billed charges ,,,,,"10,437.84",percent of total billed charges ,,,,,"9,915.95",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,512.60",percent of total billed charges,,,"4,512.60",percent of total billed charges,,,"4,512.60",percent of total billed charges,,,"4,512.60",percent of total billed charges,,,"4,512.60",percent of total billed charges,,,"4,512.60",percent of total billed charges,,,"4,512.60",percent of total billed charges,,,"4,512.60",percent of total billed charges,,,"4,512.60",percent of total billed charges,,,"4,512.60",percent of total billed charges,,,"4,512.60",percent of total billed charges,
IV PUSH ADD'L DIFF MED (59),96375,CDM,,,59,both,,,274,274,63.02,274,274,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,216.46,percent of total billed charges,216.46,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 ,216.46,percent of total billed charges ,216.46,percent of total billed charges ,232.9,percent of total billed charges ,232.9,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 ,,,,,,,,,,,,,,,,,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,
IV PUSH SEQUENTIAL SAME DRUG (59),96376,CDM,,,59,both,,,184,184,42.32,184,184,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,145.36,percent of total billed charges,145.36,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 ,145.36,percent of total billed charges ,145.36,percent of total billed charges ,156.4,percent of total billed charges ,156.4,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 ,,,,,,,,,,,,,,,,,,,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,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,
PLATE 3.5 CONTOURABLE DUAL COMPRESSION,C1713,CDM,,,,both,,,"1,155.00","1,155.00",265.65,"1,155.00","1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,831.6,percent of total billed charges,831.6,percent of total billed charges,831.6,percent of total billed charges,831.6,percent of total billed charges,831.6,percent of total billed charges,831.6,percent of total billed charges,912.45,percent of total billed charges,912.45,percent of total billed charges,924,percent of total billed charges,924,percent of total billed charges,,,831.6,percent of total billed charges ,,,924,percent of total billed charges ,912.45,percent of total billed charges ,912.45,percent of total billed charges ,981.75,percent of total billed charges ,981.75,percent of total billed charges ,924,percent of total billed charges ,924,percent of total billed charges ,808.5,percent of total billed charges ,808.5,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 ,,,,,614.46,percent of total billed charges ,,,,,583.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,
DRILL W STOP BIGLIANI/FLATOW SHOULDER,272,RC,00906-99-0441,NDC,,both,,,"1,952.00","1,952.00",448.96,"1,952.00","1,952.00",percent of total billed charges,"1,952.00",percent of total billed charges,"1,952.00",percent of total billed charges,"1,952.00",percent of total billed charges,"1,952.00",percent of total billed charges,"1,952.00",percent of total billed charges,"1,952.00",percent of total billed charges,"1,952.00",percent of total billed charges,"1,405.44",percent of total billed charges,"1,405.44",percent of total billed charges,"1,405.44",percent of total billed charges,"1,405.44",percent of total billed charges,"1,405.44",percent of total billed charges,"1,405.44",percent of total billed charges,"1,542.08",percent of total billed charges,"1,542.08",percent of total billed charges,"1,561.60",percent of total billed charges,"1,561.60",percent of total billed charges,,,"1,405.44",percent of total billed charges ,,,"1,561.60",percent of total billed charges ,"1,542.08",percent of total billed charges ,"1,542.08",percent of total billed charges ,"1,659.20",percent of total billed charges ,"1,659.20",percent of total billed charges ,"1,561.60",percent of total billed charges ,"1,561.60",percent of total billed charges ,"1,366.40",percent of total billed charges ,"1,366.40",percent of total billed charges ,"1,171.20",percent of total billed charges ,"1,171.20",percent of total billed charges ,"1,171.20",percent of total billed charges ,"1,171.20",percent of total billed charges ,,,,,"1,038.46",percent of total billed charges ,,,,,986.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,448.96,percent of total billed charges,,,448.96,percent of total billed charges,,,448.96,percent of total billed charges,,,448.96,percent of total billed charges,,,448.96,percent of total billed charges,,,448.96,percent of total billed charges,,,448.96,percent of total billed charges,,,448.96,percent of total billed charges,,,448.96,percent of total billed charges,,,448.96,percent of total billed charges,,,448.96,percent of total billed charges,
KEEL SPONGE BIGLIANI/FLATOW SHOULDER,C1776,CDM,,,,both,,,747,747,171.81,747,747,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,747,percent of total billed charges,747,percent of total billed charges,747,percent of total billed charges,537.84,percent of total billed charges,537.84,percent of total billed charges,537.84,percent of total billed charges,537.84,percent of total billed charges,537.84,percent of total billed charges,537.84,percent of total billed charges,590.13,percent of total billed charges,590.13,percent of total billed charges,597.6,percent of total billed charges,597.6,percent of total billed charges,,,537.84,percent of total billed charges ,,,597.6,percent of total billed charges ,590.13,percent of total billed charges ,590.13,percent of total billed charges ,634.95,percent of total billed charges ,634.95,percent of total billed charges ,597.6,percent of total billed charges ,597.6,percent of total billed charges ,522.9,percent of total billed charges ,522.9,percent of total billed charges ,448.2,percent of total billed charges ,448.2,percent of total billed charges ,448.2,percent of total billed charges ,448.2,percent of total billed charges ,,,,,397.4,percent of total billed charges ,,,,,377.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,
GLENOID COMPONENT PEG BIGLI/FLATO SHOULD,C1776,CDM,,,,both,,,"13,464.00","13,464.00","3,096.72","13,464.00","13,464.00",percent of total billed charges,"13,464.00",percent of total billed charges,"13,464.00",percent of total billed charges,"13,464.00",percent of total billed charges,"13,464.00",percent of total billed charges,"13,464.00",percent of total billed charges,"13,464.00",percent of total billed charges,"13,464.00",percent of total billed charges,"9,694.08",percent of total billed charges,"9,694.08",percent of total billed charges,"9,694.08",percent of total billed charges,"9,694.08",percent of total billed charges,"9,694.08",percent of total billed charges,"9,694.08",percent of total billed charges,"10,636.56",percent of total billed charges,"10,636.56",percent of total billed charges,"10,771.20",percent of total billed charges,"10,771.20",percent of total billed charges,,,"9,694.08",percent of total billed charges ,,,"10,771.20",percent of total billed charges ,"10,636.56",percent of total billed charges ,"10,636.56",percent of total billed charges ,"11,444.40",percent of total billed charges ,"11,444.40",percent of total billed charges ,"10,771.20",percent of total billed charges ,"10,771.20",percent of total billed charges ,"9,424.80",percent of total billed charges ,"9,424.80",percent of total billed charges ,"8,078.40",percent of total billed charges ,"8,078.40",percent of total billed charges ,"8,078.40",percent of total billed charges ,"8,078.40",percent of total billed charges ,,,,,"7,162.85",percent of total billed charges ,,,,,"6,804.71",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,096.72",percent of total billed charges,,,"3,096.72",percent of total billed charges,,,"3,096.72",percent of total billed charges,,,"3,096.72",percent of total billed charges,,,"3,096.72",percent of total billed charges,,,"3,096.72",percent of total billed charges,,,"3,096.72",percent of total billed charges,,,"3,096.72",percent of total billed charges,,,"3,096.72",percent of total billed charges,,,"3,096.72",percent of total billed charges,,,"3,096.72",percent of total billed charges,
SCREW 2.4 QUICKFIX TI CANN PT 28MM,C1713,CDM,,,,both,,,"1,164.00","1,164.00",267.72,"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,919.56,percent of total billed charges,919.56,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 ,919.56,percent of total billed charges ,919.56,percent of total billed charges ,989.4,percent of total billed charges ,989.4,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 ,,,,,,,,,,,,,,,,,,,267.72,percent of total billed charges,,,267.72,percent of total billed charges,,,267.72,percent of total billed charges,,,267.72,percent of total billed charges,,,267.72,percent of total billed charges,,,267.72,percent of total billed charges,,,267.72,percent of total billed charges,,,267.72,percent of total billed charges,,,267.72,percent of total billed charges,,,267.72,percent of total billed charges,,,267.72,percent of total billed charges,
TIBIAL NAIL CAP 15MM,C1713,CDM,,,,both,,,"2,232.00","2,232.00",513.36,"2,232.00","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,"2,232.00",percent of total billed charges,"2,232.00",percent of total billed charges,"1,607.04",percent of total billed charges,"1,607.04",percent of total billed charges,"1,607.04",percent of total billed charges,"1,607.04",percent of total billed charges,"1,607.04",percent of total billed charges,"1,607.04",percent of total billed charges,"1,763.28",percent of total billed charges,"1,763.28",percent of total billed charges,"1,785.60",percent of total billed charges,"1,785.60",percent of total billed charges,,,"1,607.04",percent of total billed charges ,,,"1,785.60",percent of total billed charges ,"1,763.28",percent of total billed charges ,"1,763.28",percent of total billed charges ,"1,897.20",percent of total billed charges ,"1,897.20",percent of total billed charges ,"1,785.60",percent of total billed charges ,"1,785.60",percent of total billed charges ,"1,562.40",percent of total billed charges ,"1,562.40",percent of total billed charges ,"1,339.20",percent of total billed charges ,"1,339.20",percent of total billed charges ,"1,339.20",percent of total billed charges ,"1,339.20",percent of total billed charges ,,,,,"1,187.42",percent of total billed charges ,,,,,"1,128.05",percent of total billed charges ,,,,,,,,,,,,,,,,,,,513.36,percent of total billed charges,,,513.36,percent of total billed charges,,,513.36,percent of total billed charges,,,513.36,percent of total billed charges,,,513.36,percent of total billed charges,,,513.36,percent of total billed charges,,,513.36,percent of total billed charges,,,513.36,percent of total billed charges,,,513.36,percent of total billed charges,,,513.36,percent of total billed charges,,,513.36,percent of total billed charges,
SCREW CAPTURE LOPRO 2.5X30MM,C1713,CDM,,,,both,,,"2,760.00","2,760.00",634.8,"2,760.00","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,"2,760.00",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,"1,987.20",percent of total billed charges,"1,987.20",percent of total billed charges,"1,987.20",percent of total billed charges,"1,987.20",percent of total billed charges,"1,987.20",percent of total billed charges,"1,987.20",percent of total billed charges,"2,180.40",percent of total billed charges,"2,180.40",percent of total billed charges,"2,208.00",percent of total billed charges,"2,208.00",percent of total billed charges,,,"1,987.20",percent of total billed charges ,,,"2,208.00",percent of total billed charges ,"2,180.40",percent of total billed charges ,"2,180.40",percent of total billed charges ,"2,346.00",percent of total billed charges ,"2,346.00",percent of total billed charges ,"2,208.00",percent of total billed charges ,"2,208.00",percent of total billed charges ,"1,932.00",percent of total billed charges ,"1,932.00",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 ,,,,,"1,468.32",percent of total billed charges ,,,,,"1,394.90",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,,,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,,,634.8,percent of total billed charges,,,634.8,percent of total billed charges,,,634.8,percent of total billed charges,
K-WIRE 2.0/2.5 MM SMO0TH INTEGRA LIFE,C1769,CDM,,,,both,,,393,393,90.39,393,393,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,310.47,percent of total billed charges,310.47,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 ,310.47,percent of total billed charges ,310.47,percent of total billed charges ,334.05,percent of total billed charges ,334.05,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 ,,,,,,,,,,,,,,,,,,,90.39,percent of total billed charges,,,90.39,percent of total billed charges,,,90.39,percent of total billed charges,,,90.39,percent of total billed charges,,,90.39,percent of total billed charges,,,90.39,percent of total billed charges,,,90.39,percent of total billed charges,,,90.39,percent of total billed charges,,,90.39,percent of total billed charges,,,90.39,percent of total billed charges,,,90.39,percent of total billed charges,
OVERDRILL TC 2.0/2.5 INTEGRA,272,RC,00906-99-0441,NDC,,both,,,"2,463.00","2,463.00",566.49,"2,463.00","2,463.00",percent of total billed charges,"2,463.00",percent of total billed charges,"2,463.00",percent of total billed charges,"2,463.00",percent of total billed charges,"2,463.00",percent of total billed charges,"2,463.00",percent of total billed charges,"2,463.00",percent of total billed charges,"2,463.00",percent of total billed charges,"1,773.36",percent of total billed charges,"1,773.36",percent of total billed charges,"1,773.36",percent of total billed charges,"1,773.36",percent of total billed charges,"1,773.36",percent of total billed charges,"1,773.36",percent of total billed charges,"1,945.77",percent of total billed charges,"1,945.77",percent of total billed charges,"1,970.40",percent of total billed charges,"1,970.40",percent of total billed charges,,,"1,773.36",percent of total billed charges ,,,"1,970.40",percent of total billed charges ,"1,945.77",percent of total billed charges ,"1,945.77",percent of total billed charges ,"2,093.55",percent of total billed charges ,"2,093.55",percent of total billed charges ,"1,970.40",percent of total billed charges ,"1,970.40",percent of total billed charges ,"1,724.10",percent of total billed charges ,"1,724.10",percent of total billed charges ,"1,477.80",percent of total billed charges ,"1,477.80",percent of total billed charges ,"1,477.80",percent of total billed charges ,"1,477.80",percent of total billed charges ,,,,,"1,310.32",percent of total billed charges ,,,,,"1,244.80",percent of total billed charges ,,,,,,,,,,,,,,,,,,,566.49,percent of total billed charges,,,566.49,percent of total billed charges,,,566.49,percent of total billed charges,,,566.49,percent of total billed charges,,,566.49,percent of total billed charges,,,566.49,percent of total billed charges,,,566.49,percent of total billed charges,,,566.49,percent of total billed charges,,,566.49,percent of total billed charges,,,566.49,percent of total billed charges,,,566.49,percent of total billed charges,
PLATE 3.5MM ULS DUAL COMP 14H  183MML,C1713,CDM,,,,both,,,"4,491.00","4,491.00","1,032.93","4,491.00","4,491.00",percent of total billed charges,"4,491.00",percent of total billed charges,"4,491.00",percent of total billed charges,"4,491.00",percent of total billed charges,"4,491.00",percent of total billed charges,"4,491.00",percent of total billed charges,"4,491.00",percent of total billed charges,"4,491.00",percent of total billed charges,"3,233.52",percent of total billed charges,"3,233.52",percent of total billed charges,"3,233.52",percent of total billed charges,"3,233.52",percent of total billed charges,"3,233.52",percent of total billed charges,"3,233.52",percent of total billed charges,"3,547.89",percent of total billed charges,"3,547.89",percent of total billed charges,"3,592.80",percent of total billed charges,"3,592.80",percent of total billed charges,,,"3,233.52",percent of total billed charges ,,,"3,592.80",percent of total billed charges ,"3,547.89",percent of total billed charges ,"3,547.89",percent of total billed charges ,"3,817.35",percent of total billed charges ,"3,817.35",percent of total billed charges ,"3,592.80",percent of total billed charges ,"3,592.80",percent of total billed charges ,"3,143.70",percent of total billed charges ,"3,143.70",percent of total billed charges ,"2,694.60",percent of total billed charges ,"2,694.60",percent of total billed charges ,"2,694.60",percent of total billed charges ,"2,694.60",percent of total billed charges ,,,,,"2,389.21",percent of total billed charges ,,,,,"2,269.75",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,032.93",percent of total billed charges,,,"1,032.93",percent of total billed charges,,,"1,032.93",percent of total billed charges,,,"1,032.93",percent of total billed charges,,,"1,032.93",percent of total billed charges,,,"1,032.93",percent of total billed charges,,,"1,032.93",percent of total billed charges,,,"1,032.93",percent of total billed charges,,,"1,032.93",percent of total billed charges,,,"1,032.93",percent of total billed charges,,,"1,032.93",percent of total billed charges,
PLATE NATURAL KNEE HI TIB OSTEO TITANIUM,C1713,CDM,,,,both,,,"14,491.00","14,491.00","3,332.93","14,491.00","14,491.00",percent of total billed charges,"14,491.00",percent of total billed charges,"14,491.00",percent of total billed charges,"14,491.00",percent of total billed charges,"14,491.00",percent of total billed charges,"14,491.00",percent of total billed charges,"14,491.00",percent of total billed charges,"14,491.00",percent of total billed charges,"10,433.52",percent of total billed charges,"10,433.52",percent of total billed charges,"10,433.52",percent of total billed charges,"10,433.52",percent of total billed charges,"10,433.52",percent of total billed charges,"10,433.52",percent of total billed charges,"11,447.89",percent of total billed charges,"11,447.89",percent of total billed charges,"11,592.80",percent of total billed charges,"11,592.80",percent of total billed charges,,,"10,433.52",percent of total billed charges ,,,"11,592.80",percent of total billed charges ,"11,447.89",percent of total billed charges ,"11,447.89",percent of total billed charges ,"12,317.35",percent of total billed charges ,"12,317.35",percent of total billed charges ,"11,592.80",percent of total billed charges ,"11,592.80",percent of total billed charges ,"10,143.70",percent of total billed charges ,"10,143.70",percent of total billed charges ,"8,694.60",percent of total billed charges ,"8,694.60",percent of total billed charges ,"8,694.60",percent of total billed charges ,"8,694.60",percent of total billed charges ,,,,,"7,709.21",percent of total billed charges ,,,,,"7,323.75",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,332.93",percent of total billed charges,,,"3,332.93",percent of total billed charges,,,"3,332.93",percent of total billed charges,,,"3,332.93",percent of total billed charges,,,"3,332.93",percent of total billed charges,,,"3,332.93",percent of total billed charges,,,"3,332.93",percent of total billed charges,,,"3,332.93",percent of total billed charges,,,"3,332.93",percent of total billed charges,,,"3,332.93",percent of total billed charges,,,"3,332.93",percent of total billed charges,
SCREW CORT BONE 4.5MM 44-50MM TIB OSTEO,C1713,CDM,,,,both,,,"1,027.00","1,027.00",236.21,"1,027.00","1,027.00",percent of total billed charges,"1,027.00",percent of total billed charges,"1,027.00",percent of total billed charges,"1,027.00",percent of total billed charges,"1,027.00",percent of total billed charges,"1,027.00",percent of total billed charges,"1,027.00",percent of total billed charges,"1,027.00",percent of total billed charges,739.44,percent of total billed charges,739.44,percent of total billed charges,739.44,percent of total billed charges,739.44,percent of total billed charges,739.44,percent of total billed charges,739.44,percent of total billed charges,811.33,percent of total billed charges,811.33,percent of total billed charges,821.6,percent of total billed charges,821.6,percent of total billed charges,,,739.44,percent of total billed charges ,,,821.6,percent of total billed charges ,811.33,percent of total billed charges ,811.33,percent of total billed charges ,872.95,percent of total billed charges ,872.95,percent of total billed charges ,821.6,percent of total billed charges ,821.6,percent of total billed charges ,718.9,percent of total billed charges ,718.9,percent of total billed charges ,616.2,percent of total billed charges ,616.2,percent of total billed charges ,616.2,percent of total billed charges ,616.2,percent of total billed charges ,,,,,546.36,percent of total billed charges ,,,,,519.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,236.21,percent of total billed charges,,,236.21,percent of total billed charges,,,236.21,percent of total billed charges,,,236.21,percent of total billed charges,,,236.21,percent of total billed charges,,,236.21,percent of total billed charges,,,236.21,percent of total billed charges,,,236.21,percent of total billed charges,,,236.21,percent of total billed charges,,,236.21,percent of total billed charges,,,236.21,percent of total billed charges,
SCREW CORT BONE 4.5MM 60MM TIB OSTEO,C1713,CDM,,,,both,,,"1,952.00","1,952.00",448.96,"1,952.00","1,952.00",percent of total billed charges,"1,952.00",percent of total billed charges,"1,952.00",percent of total billed charges,"1,952.00",percent of total billed charges,"1,952.00",percent of total billed charges,"1,952.00",percent of total billed charges,"1,952.00",percent of total billed charges,"1,952.00",percent of total billed charges,"1,405.44",percent of total billed charges,"1,405.44",percent of total billed charges,"1,405.44",percent of total billed charges,"1,405.44",percent of total billed charges,"1,405.44",percent of total billed charges,"1,405.44",percent of total billed charges,"1,542.08",percent of total billed charges,"1,542.08",percent of total billed charges,"1,561.60",percent of total billed charges,"1,561.60",percent of total billed charges,,,"1,405.44",percent of total billed charges ,,,"1,561.60",percent of total billed charges ,"1,542.08",percent of total billed charges ,"1,542.08",percent of total billed charges ,"1,659.20",percent of total billed charges ,"1,659.20",percent of total billed charges ,"1,561.60",percent of total billed charges ,"1,561.60",percent of total billed charges ,"1,366.40",percent of total billed charges ,"1,366.40",percent of total billed charges ,"1,171.20",percent of total billed charges ,"1,171.20",percent of total billed charges ,"1,171.20",percent of total billed charges ,"1,171.20",percent of total billed charges ,,,,,"1,038.46",percent of total billed charges ,,,,,986.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,448.96,percent of total billed charges,,,448.96,percent of total billed charges,,,448.96,percent of total billed charges,,,448.96,percent of total billed charges,,,448.96,percent of total billed charges,,,448.96,percent of total billed charges,,,448.96,percent of total billed charges,,,448.96,percent of total billed charges,,,448.96,percent of total billed charges,,,448.96,percent of total billed charges,,,448.96,percent of total billed charges,
"SCREW CANCELLEOUS 6.5, HEX, 16MM THREAD",C1713,CDM,,,,both,,,316,316,72.68,316,316,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,249.64,percent of total billed charges,249.64,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 ,249.64,percent of total billed charges ,249.64,percent of total billed charges ,268.6,percent of total billed charges ,268.6,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,72.68,percent of total billed charges,,,72.68,percent of total billed charges,,,72.68,percent of total billed charges,
PLATE 3.5MM ULS DUAL COMP 8H  105M,C1713,CDM,,,,both,,,"3,442.00","3,442.00",791.66,"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,"2,719.18",percent of total billed charges,"2,719.18",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 ,"2,719.18",percent of total billed charges ,"2,719.18",percent of total billed charges ,"2,925.70",percent of total billed charges ,"2,925.70",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 ,,,,,,,,,,,,,,,,,,,791.66,percent of total billed charges,,,791.66,percent of total billed charges,,,791.66,percent of total billed charges,,,791.66,percent of total billed charges,,,791.66,percent of total billed charges,,,791.66,percent of total billed charges,,,791.66,percent of total billed charges,,,791.66,percent of total billed charges,,,791.66,percent of total billed charges,,,791.66,percent of total billed charges,,,791.66,percent of total billed charges,
REAMER PILOTED HEADED 6.5MM,272,RC,00906-99-0441,NDC,,both,,,"1,905.00","1,905.00",438.15,"1,905.00","1,905.00",percent of total billed charges,"1,905.00",percent of total billed charges,"1,905.00",percent of total billed charges,"1,905.00",percent of total billed charges,"1,905.00",percent of total billed charges,"1,905.00",percent of total billed charges,"1,905.00",percent of total billed charges,"1,905.00",percent of total billed charges,"1,371.60",percent of total billed charges,"1,371.60",percent of total billed charges,"1,371.60",percent of total billed charges,"1,371.60",percent of total billed charges,"1,371.60",percent of total billed charges,"1,371.60",percent of total billed charges,"1,504.95",percent of total billed charges,"1,504.95",percent of total billed charges,"1,524.00",percent of total billed charges,"1,524.00",percent of total billed charges,,,"1,371.60",percent of total billed charges ,,,"1,524.00",percent of total billed charges ,"1,504.95",percent of total billed charges ,"1,504.95",percent of total billed charges ,"1,619.25",percent of total billed charges ,"1,619.25",percent of total billed charges ,"1,524.00",percent of total billed charges ,"1,524.00",percent of total billed charges ,"1,333.50",percent of total billed charges ,"1,333.50",percent of total billed charges ,"1,143.00",percent of total billed charges ,"1,143.00",percent of total billed charges ,"1,143.00",percent of total billed charges ,"1,143.00",percent of total billed charges ,,,,,"1,013.46",percent of total billed charges ,,,,,962.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,438.15,percent of total billed charges,,,438.15,percent of total billed charges,,,438.15,percent of total billed charges,,,438.15,percent of total billed charges,,,438.15,percent of total billed charges,,,438.15,percent of total billed charges,,,438.15,percent of total billed charges,,,438.15,percent of total billed charges,,,438.15,percent of total billed charges,,,438.15,percent of total billed charges,,,438.15,percent of total billed charges,
SUTURE ANCHOR SWIVELOCK TENODESIS 6.25,C1713,CDM,,,,both,,,"3,809.00","3,809.00",876.07,"3,809.00","3,809.00",percent of total billed charges,"3,809.00",percent of total billed charges,"3,809.00",percent of total billed charges,"3,809.00",percent of total billed charges,"3,809.00",percent of total billed charges,"3,809.00",percent of total billed charges,"3,809.00",percent of total billed charges,"3,809.00",percent of total billed charges,"2,742.48",percent of total billed charges,"2,742.48",percent of total billed charges,"2,742.48",percent of total billed charges,"2,742.48",percent of total billed charges,"2,742.48",percent of total billed charges,"2,742.48",percent of total billed charges,"3,009.11",percent of total billed charges,"3,009.11",percent of total billed charges,"3,047.20",percent of total billed charges,"3,047.20",percent of total billed charges,,,"2,742.48",percent of total billed charges ,,,"3,047.20",percent of total billed charges ,"3,009.11",percent of total billed charges ,"3,009.11",percent of total billed charges ,"3,237.65",percent of total billed charges ,"3,237.65",percent of total billed charges ,"3,047.20",percent of total billed charges ,"3,047.20",percent of total billed charges ,"2,666.30",percent of total billed charges ,"2,666.30",percent of total billed charges ,"2,285.40",percent of total billed charges ,"2,285.40",percent of total billed charges ,"2,285.40",percent of total billed charges ,"2,285.40",percent of total billed charges ,,,,,"2,026.39",percent of total billed charges ,,,,,"1,925.07",percent of total billed charges ,,,,,,,,,,,,,,,,,,,876.07,percent of total billed charges,,,876.07,percent of total billed charges,,,876.07,percent of total billed charges,,,876.07,percent of total billed charges,,,876.07,percent of total billed charges,,,876.07,percent of total billed charges,,,876.07,percent of total billed charges,,,876.07,percent of total billed charges,,,876.07,percent of total billed charges,,,876.07,percent of total billed charges,,,876.07,percent of total billed charges,
FIBERLOOP #2 COLLAGEN COATED,272,RC,00906-99-0441,NDC,,both,,,700,700,161,700,700,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,553,percent of total billed charges,553,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 ,553,percent of total billed charges ,553,percent of total billed charges ,595,percent of total billed charges ,595,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 ,,,,,,,,,,,,,,,,,,,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,
OSTEOCHONDRAL AUTOGRAFT,C1713,CDM,,,,both,,,"4,829.00","4,829.00","1,110.67","4,829.00","4,829.00",percent of total billed charges,"4,829.00",percent of total billed charges,"4,829.00",percent of total billed charges,"4,829.00",percent of total billed charges,"4,829.00",percent of total billed charges,"4,829.00",percent of total billed charges,"4,829.00",percent of total billed charges,"4,829.00",percent of total billed charges,"3,476.88",percent of total billed charges,"3,476.88",percent of total billed charges,"3,476.88",percent of total billed charges,"3,476.88",percent of total billed charges,"3,476.88",percent of total billed charges,"3,476.88",percent of total billed charges,"3,814.91",percent of total billed charges,"3,814.91",percent of total billed charges,"3,863.20",percent of total billed charges,"3,863.20",percent of total billed charges,,,"3,476.88",percent of total billed charges ,,,"3,863.20",percent of total billed charges ,"3,814.91",percent of total billed charges ,"3,814.91",percent of total billed charges ,"4,104.65",percent of total billed charges ,"4,104.65",percent of total billed charges ,"3,863.20",percent of total billed charges ,"3,863.20",percent of total billed charges ,"3,380.30",percent of total billed charges ,"3,380.30",percent of total billed charges ,"2,897.40",percent of total billed charges ,"2,897.40",percent of total billed charges ,"2,897.40",percent of total billed charges ,"2,897.40",percent of total billed charges ,,,,,"2,569.03",percent of total billed charges ,,,,,"2,440.58",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,110.67",percent of total billed charges,,,"1,110.67",percent of total billed charges,,,"1,110.67",percent of total billed charges,,,"1,110.67",percent of total billed charges,,,"1,110.67",percent of total billed charges,,,"1,110.67",percent of total billed charges,,,"1,110.67",percent of total billed charges,,,"1,110.67",percent of total billed charges,,,"1,110.67",percent of total billed charges,,,"1,110.67",percent of total billed charges,,,"1,110.67",percent of total billed charges,
PORT XCELA POWER INJECT 8FR SINGLE LUMEN,C1788,CDM,,,,both,,,"2,313.00","2,313.00",531.99,"2,313.00","2,313.00",percent of total billed charges,"2,313.00",percent of total billed charges,"2,313.00",percent of total billed charges,"2,313.00",percent of total billed charges,"2,313.00",percent of total billed charges,"2,313.00",percent of total billed charges,"2,313.00",percent of total billed charges,"2,313.00",percent of total billed charges,"1,665.36",percent of total billed charges,"1,665.36",percent of total billed charges,"1,665.36",percent of total billed charges,"1,665.36",percent of total billed charges,"1,665.36",percent of total billed charges,"1,665.36",percent of total billed charges,"1,827.27",percent of total billed charges,"1,827.27",percent of total billed charges,"1,850.40",percent of total billed charges,"1,850.40",percent of total billed charges,,,"1,665.36",percent of total billed charges ,,,"1,850.40",percent of total billed charges ,"1,827.27",percent of total billed charges ,"1,827.27",percent of total billed charges ,"1,966.05",percent of total billed charges ,"1,966.05",percent of total billed charges ,"1,850.40",percent of total billed charges ,"1,850.40",percent of total billed charges ,"1,619.10",percent of total billed charges ,"1,619.10",percent of total billed charges ,"1,387.80",percent of total billed charges ,"1,387.80",percent of total billed charges ,"1,387.80",percent of total billed charges ,"1,387.80",percent of total billed charges ,,,,,"1,230.52",percent of total billed charges ,,,,,"1,168.99",percent of total billed charges ,,,,,,,,,,,,,,,,,,,531.99,percent of total billed charges,,,531.99,percent of total billed charges,,,531.99,percent of total billed charges,,,531.99,percent of total billed charges,,,531.99,percent of total billed charges,,,531.99,percent of total billed charges,,,531.99,percent of total billed charges,,,531.99,percent of total billed charges,,,531.99,percent of total billed charges,,,531.99,percent of total billed charges,,,531.99,percent of total billed charges,
PLATE CLAVICLE FRACTURE CENTRAL LEFT,C1713,CDM,,,,both,,,"5,109.00","5,109.00","1,175.07","5,109.00","5,109.00",percent of total billed charges,"5,109.00",percent of total billed charges,"5,109.00",percent of total billed charges,"5,109.00",percent of total billed charges,"5,109.00",percent of total billed charges,"5,109.00",percent of total billed charges,"5,109.00",percent of total billed charges,"5,109.00",percent of total billed charges,"3,678.48",percent of total billed charges,"3,678.48",percent of total billed charges,"3,678.48",percent of total billed charges,"3,678.48",percent of total billed charges,"3,678.48",percent of total billed charges,"3,678.48",percent of total billed charges,"4,036.11",percent of total billed charges,"4,036.11",percent of total billed charges,"4,087.20",percent of total billed charges,"4,087.20",percent of total billed charges,,,"3,678.48",percent of total billed charges ,,,"4,087.20",percent of total billed charges ,"4,036.11",percent of total billed charges ,"4,036.11",percent of total billed charges ,"4,342.65",percent of total billed charges ,"4,342.65",percent of total billed charges ,"4,087.20",percent of total billed charges ,"4,087.20",percent of total billed charges ,"3,576.30",percent of total billed charges ,"3,576.30",percent of total billed charges ,"3,065.40",percent of total billed charges ,"3,065.40",percent of total billed charges ,"3,065.40",percent of total billed charges ,"3,065.40",percent of total billed charges ,,,,,"2,717.99",percent of total billed charges ,,,,,"2,582.09",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,175.07",percent of total billed charges,,,"1,175.07",percent of total billed charges,,,"1,175.07",percent of total billed charges,,,"1,175.07",percent of total billed charges,,,"1,175.07",percent of total billed charges,,,"1,175.07",percent of total billed charges,,,"1,175.07",percent of total billed charges,,,"1,175.07",percent of total billed charges,,,"1,175.07",percent of total billed charges,,,"1,175.07",percent of total billed charges,,,"1,175.07",percent of total billed charges,
SCREW LOW PROFILE CORTICAL TM SS 3.5X14M,C1713,CDM,,,,both,,,328,328,75.44,328,328,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,259.12,percent of total billed charges,259.12,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 ,259.12,percent of total billed charges ,259.12,percent of total billed charges ,278.8,percent of total billed charges ,278.8,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 ,,,,,,,,,,,,,,,,,,,75.44,percent of total billed charges,,,75.44,percent of total billed charges,,,75.44,percent of total billed charges,,,75.44,percent of total billed charges,,,75.44,percent of total billed charges,,,75.44,percent of total billed charges,,,75.44,percent of total billed charges,,,75.44,percent of total billed charges,,,75.44,percent of total billed charges,,,75.44,percent of total billed charges,,,75.44,percent of total billed charges,
SCREW LOW PROFILE LOCK SS 3.5M X 14,C1713,CDM,,,,both,,,"1,072.00","1,072.00",246.56,"1,072.00","1,072.00",percent of total billed charges,"1,072.00",percent of total billed charges,"1,072.00",percent of total billed charges,"1,072.00",percent of total billed charges,"1,072.00",percent of total billed charges,"1,072.00",percent of total billed charges,"1,072.00",percent of total billed charges,"1,072.00",percent of total billed charges,771.84,percent of total billed charges,771.84,percent of total billed charges,771.84,percent of total billed charges,771.84,percent of total billed charges,771.84,percent of total billed charges,771.84,percent of total billed charges,846.88,percent of total billed charges,846.88,percent of total billed charges,857.6,percent of total billed charges,857.6,percent of total billed charges,,,771.84,percent of total billed charges ,,,857.6,percent of total billed charges ,846.88,percent of total billed charges ,846.88,percent of total billed charges ,911.2,percent of total billed charges ,911.2,percent of total billed charges ,857.6,percent of total billed charges ,857.6,percent of total billed charges ,750.4,percent of total billed charges ,750.4,percent of total billed charges ,643.2,percent of total billed charges ,643.2,percent of total billed charges ,643.2,percent of total billed charges ,643.2,percent of total billed charges ,,,,,570.3,percent of total billed charges ,,,,,541.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,246.56,percent of total billed charges,,,246.56,percent of total billed charges,,,246.56,percent of total billed charges,,,246.56,percent of total billed charges,,,246.56,percent of total billed charges,,,246.56,percent of total billed charges,,,246.56,percent of total billed charges,,,246.56,percent of total billed charges,,,246.56,percent of total billed charges,,,246.56,percent of total billed charges,,,246.56,percent of total billed charges,
DRILL BIT 2.5MM,272,RC,00906-99-0441,NDC,,both,,,793,793,182.39,793,793,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,626.47,percent of total billed charges,626.47,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 ,626.47,percent of total billed charges ,626.47,percent of total billed charges ,674.05,percent of total billed charges ,674.05,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 ,,,,,,,,,,,,,,,,,,,182.39,percent of total billed charges,,,182.39,percent of total billed charges,,,182.39,percent of total billed charges,,,182.39,percent of total billed charges,,,182.39,percent of total billed charges,,,182.39,percent of total billed charges,,,182.39,percent of total billed charges,,,182.39,percent of total billed charges,,,182.39,percent of total billed charges,,,182.39,percent of total billed charges,,,182.39,percent of total billed charges,
BLADE OSTEOTOME MRI SHORT 8MM,272,RC,00906-99-0441,NDC,,both,,,"1,582.00","1,582.00",363.86,"1,582.00","1,582.00",percent of total billed charges,"1,582.00",percent of total billed charges,"1,582.00",percent of total billed charges,"1,582.00",percent of total billed charges,"1,582.00",percent of total billed charges,"1,582.00",percent of total billed charges,"1,582.00",percent of total billed charges,"1,582.00",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,"1,249.78",percent of total billed charges,"1,249.78",percent of total billed charges,"1,265.60",percent of total billed charges,"1,265.60",percent of total billed charges,,,"1,139.04",percent of total billed charges ,,,"1,265.60",percent of total billed charges ,"1,249.78",percent of total billed charges ,"1,249.78",percent of total billed charges ,"1,344.70",percent of total billed charges ,"1,344.70",percent of total billed charges ,"1,265.60",percent of total billed charges ,"1,265.60",percent of total billed charges ,"1,107.40",percent of total billed charges ,"1,107.40",percent of total billed charges ,949.2,percent of total billed charges ,949.2,percent of total billed charges ,949.2,percent of total billed charges ,949.2,percent of total billed charges ,,,,,841.62,percent of total billed charges ,,,,,799.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,363.86,percent of total billed charges,,,363.86,percent of total billed charges,,,363.86,percent of total billed charges,,,363.86,percent of total billed charges,,,363.86,percent of total billed charges,,,363.86,percent of total billed charges,,,363.86,percent of total billed charges,,,363.86,percent of total billed charges,,,363.86,percent of total billed charges,,,363.86,percent of total billed charges,,,363.86,percent of total billed charges,
KNEE SPACER TEMPORARY W GENTAMICIN,C1776,CDM,,,,both,,,"22,537.00","22,537.00","5,183.51","22,537.00","22,537.00",percent of total billed charges,"22,537.00",percent of total billed charges,"22,537.00",percent of total billed charges,"22,537.00",percent of total billed charges,"22,537.00",percent of total billed charges,"22,537.00",percent of total billed charges,"22,537.00",percent of total billed charges,"22,537.00",percent of total billed charges,"16,226.64",percent of total billed charges,"16,226.64",percent of total billed charges,"16,226.64",percent of total billed charges,"16,226.64",percent of total billed charges,"16,226.64",percent of total billed charges,"16,226.64",percent of total billed charges,"17,804.23",percent of total billed charges,"17,804.23",percent of total billed charges,"18,029.60",percent of total billed charges,"18,029.60",percent of total billed charges,,,"16,226.64",percent of total billed charges ,,,"18,029.60",percent of total billed charges ,"17,804.23",percent of total billed charges ,"17,804.23",percent of total billed charges ,"19,156.45",percent of total billed charges ,"19,156.45",percent of total billed charges ,"18,029.60",percent of total billed charges ,"18,029.60",percent of total billed charges ,"15,775.90",percent of total billed charges ,"15,775.90",percent of total billed charges ,"13,522.20",percent of total billed charges ,"13,522.20",percent of total billed charges ,"13,522.20",percent of total billed charges ,"13,522.20",percent of total billed charges ,,,,,"11,989.68",percent of total billed charges ,,,,,"11,390.20",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"5,183.51",percent of total billed charges,,,"5,183.51",percent of total billed charges,,,"5,183.51",percent of total billed charges,,,"5,183.51",percent of total billed charges,,,"5,183.51",percent of total billed charges,,,"5,183.51",percent of total billed charges,,,"5,183.51",percent of total billed charges,,,"5,183.51",percent of total billed charges,,,"5,183.51",percent of total billed charges,,,"5,183.51",percent of total billed charges,,,"5,183.51",percent of total billed charges,
DRILL BIT  2.2MM-2.9MM,272,RC,00906-99-0441,NDC,,both,,,888,888,204.24,888,888,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,701.52,percent of total billed charges,701.52,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 ,701.52,percent of total billed charges ,701.52,percent of total billed charges ,754.8,percent of total billed charges ,754.8,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 ,,,,,,,,,,,,,,,,,,,204.24,percent of total billed charges,,,204.24,percent of total billed charges,,,204.24,percent of total billed charges,,,204.24,percent of total billed charges,,,204.24,percent of total billed charges,,,204.24,percent of total billed charges,,,204.24,percent of total billed charges,,,204.24,percent of total billed charges,,,204.24,percent of total billed charges,,,204.24,percent of total billed charges,,,204.24,percent of total billed charges,
SCREW LOW PROF NON LOCK 2.7 DVR CROSSL,C1713,CDM,,,,both,,,470,470,108.1,470,470,percent of total billed charges,470,percent of total billed charges,470,percent of total billed charges,470,percent of total billed charges,470,percent of total billed charges,470,percent of total billed charges,470,percent of total billed charges,470,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,338.4,percent of total billed charges,338.4,percent of total billed charges,371.3,percent of total billed charges,371.3,percent of total billed charges,376,percent of total billed charges,376,percent of total billed charges,,,338.4,percent of total billed charges ,,,376,percent of total billed charges ,371.3,percent of total billed charges ,371.3,percent of total billed charges ,399.5,percent of total billed charges ,399.5,percent of total billed charges ,376,percent of total billed charges ,376,percent of total billed charges ,329,percent of total billed charges ,329,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 ,,,,,250.04,percent of total billed charges ,,,,,237.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,
PLATE DVR CROSSLOC NRW-MINI-WIDE,C1713,CDM,,,,both,,,"6,988.00","6,988.00","1,607.24","6,988.00","6,988.00",percent of total billed charges,"6,988.00",percent of total billed charges,"6,988.00",percent of total billed charges,"6,988.00",percent of total billed charges,"6,988.00",percent of total billed charges,"6,988.00",percent of total billed charges,"6,988.00",percent of total billed charges,"6,988.00",percent of total billed charges,"5,031.36",percent of total billed charges,"5,031.36",percent of total billed charges,"5,031.36",percent of total billed charges,"5,031.36",percent of total billed charges,"5,031.36",percent of total billed charges,"5,031.36",percent of total billed charges,"5,520.52",percent of total billed charges,"5,520.52",percent of total billed charges,"5,590.40",percent of total billed charges,"5,590.40",percent of total billed charges,,,"5,031.36",percent of total billed charges ,,,"5,590.40",percent of total billed charges ,"5,520.52",percent of total billed charges ,"5,520.52",percent of total billed charges ,"5,939.80",percent of total billed charges ,"5,939.80",percent of total billed charges ,"5,590.40",percent of total billed charges ,"5,590.40",percent of total billed charges ,"4,891.60",percent of total billed charges ,"4,891.60",percent of total billed charges ,"4,192.80",percent of total billed charges ,"4,192.80",percent of total billed charges ,"4,192.80",percent of total billed charges ,"4,192.80",percent of total billed charges ,,,,,"3,717.62",percent of total billed charges ,,,,,"3,531.74",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,607.24",percent of total billed charges,,,"1,607.24",percent of total billed charges,,,"1,607.24",percent of total billed charges,,,"1,607.24",percent of total billed charges,,,"1,607.24",percent of total billed charges,,,"1,607.24",percent of total billed charges,,,"1,607.24",percent of total billed charges,,,"1,607.24",percent of total billed charges,,,"1,607.24",percent of total billed charges,,,"1,607.24",percent of total billed charges,,,"1,607.24",percent of total billed charges,
PLATE DVR CROSSL MEDIUM RT-LT,C1713,CDM,,,,both,,,"7,866.00","7,866.00","1,809.18","7,866.00","7,866.00",percent of total billed charges,"7,866.00",percent of total billed charges,"7,866.00",percent of total billed charges,"7,866.00",percent of total billed charges,"7,866.00",percent of total billed charges,"7,866.00",percent of total billed charges,"7,866.00",percent of total billed charges,"7,866.00",percent of total billed charges,"5,663.52",percent of total billed charges,"5,663.52",percent of total billed charges,"5,663.52",percent of total billed charges,"5,663.52",percent of total billed charges,"5,663.52",percent of total billed charges,"5,663.52",percent of total billed charges,"6,214.14",percent of total billed charges,"6,214.14",percent of total billed charges,"6,292.80",percent of total billed charges,"6,292.80",percent of total billed charges,,,"5,663.52",percent of total billed charges ,,,"6,292.80",percent of total billed charges ,"6,214.14",percent of total billed charges ,"6,214.14",percent of total billed charges ,"6,686.10",percent of total billed charges ,"6,686.10",percent of total billed charges ,"6,292.80",percent of total billed charges ,"6,292.80",percent of total billed charges ,"5,506.20",percent of total billed charges ,"5,506.20",percent of total billed charges ,"4,719.60",percent of total billed charges ,"4,719.60",percent of total billed charges ,"4,719.60",percent of total billed charges ,"4,719.60",percent of total billed charges ,,,,,"4,184.71",percent of total billed charges ,,,,,"3,975.48",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,809.18",percent of total billed charges,,,"1,809.18",percent of total billed charges,,,"1,809.18",percent of total billed charges,,,"1,809.18",percent of total billed charges,,,"1,809.18",percent of total billed charges,,,"1,809.18",percent of total billed charges,,,"1,809.18",percent of total billed charges,,,"1,809.18",percent of total billed charges,,,"1,809.18",percent of total billed charges,,,"1,809.18",percent of total billed charges,,,"1,809.18",percent of total billed charges,
PLATE DVR CROSSL LONG RT-LT,C1713,CDM,,,,both,,,"8,495.00","8,495.00","1,953.85","8,495.00","8,495.00",percent of total billed charges,"8,495.00",percent of total billed charges,"8,495.00",percent of total billed charges,"8,495.00",percent of total billed charges,"8,495.00",percent of total billed charges,"8,495.00",percent of total billed charges,"8,495.00",percent of total billed charges,"8,495.00",percent of total billed charges,"6,116.40",percent of total billed charges,"6,116.40",percent of total billed charges,"6,116.40",percent of total billed charges,"6,116.40",percent of total billed charges,"6,116.40",percent of total billed charges,"6,116.40",percent of total billed charges,"6,711.05",percent of total billed charges,"6,711.05",percent of total billed charges,"6,796.00",percent of total billed charges,"6,796.00",percent of total billed charges,,,"6,116.40",percent of total billed charges ,,,"6,796.00",percent of total billed charges ,"6,711.05",percent of total billed charges ,"6,711.05",percent of total billed charges ,"7,220.75",percent of total billed charges ,"7,220.75",percent of total billed charges ,"6,796.00",percent of total billed charges ,"6,796.00",percent of total billed charges ,"5,946.50",percent of total billed charges ,"5,946.50",percent of total billed charges ,"5,097.00",percent of total billed charges ,"5,097.00",percent of total billed charges ,"5,097.00",percent of total billed charges ,"5,097.00",percent of total billed charges ,,,,,"4,519.34",percent of total billed charges ,,,,,"4,293.37",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,953.85",percent of total billed charges,,,"1,953.85",percent of total billed charges,,,"1,953.85",percent of total billed charges,,,"1,953.85",percent of total billed charges,,,"1,953.85",percent of total billed charges,,,"1,953.85",percent of total billed charges,,,"1,953.85",percent of total billed charges,,,"1,953.85",percent of total billed charges,,,"1,953.85",percent of total billed charges,,,"1,953.85",percent of total billed charges,,,"1,953.85",percent of total billed charges,
PEG SMOTH LOCKING 2.2 DVR CROSSL,C1713,CDM,,,,both,,,935,935,215.05,935,935,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,738.65,percent of total billed charges,738.65,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 ,738.65,percent of total billed charges ,738.65,percent of total billed charges ,794.75,percent of total billed charges ,794.75,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 ,,,,,,,,,,,,,,,,,,,215.05,percent of total billed charges,,,215.05,percent of total billed charges,,,215.05,percent of total billed charges,,,215.05,percent of total billed charges,,,215.05,percent of total billed charges,,,215.05,percent of total billed charges,,,215.05,percent of total billed charges,,,215.05,percent of total billed charges,,,215.05,percent of total billed charges,,,215.05,percent of total billed charges,,,215.05,percent of total billed charges,
SCREW SQUARE LOCKING 2.7M DVR CROSS,C1713,CDM,,,,both,,,935,935,215.05,935,935,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,738.65,percent of total billed charges,738.65,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 ,738.65,percent of total billed charges ,738.65,percent of total billed charges ,794.75,percent of total billed charges ,794.75,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 ,,,,,,,,,,,,,,,,,,,215.05,percent of total billed charges,,,215.05,percent of total billed charges,,,215.05,percent of total billed charges,,,215.05,percent of total billed charges,,,215.05,percent of total billed charges,,,215.05,percent of total billed charges,,,215.05,percent of total billed charges,,,215.05,percent of total billed charges,,,215.05,percent of total billed charges,,,215.05,percent of total billed charges,,,215.05,percent of total billed charges,
SCREW MULTIDIRECT 2.7 DVR CROSS,C1713,CDM,,,,both,,,"1,569.00","1,569.00",360.87,"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,"1,239.51",percent of total billed charges,"1,239.51",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 ,"1,239.51",percent of total billed charges ,"1,239.51",percent of total billed charges ,"1,333.65",percent of total billed charges ,"1,333.65",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 ,,,,,,,,,,,,,,,,,,,360.87,percent of total billed charges,,,360.87,percent of total billed charges,,,360.87,percent of total billed charges,,,360.87,percent of total billed charges,,,360.87,percent of total billed charges,,,360.87,percent of total billed charges,,,360.87,percent of total billed charges,,,360.87,percent of total billed charges,,,360.87,percent of total billed charges,,,360.87,percent of total billed charges,,,360.87,percent of total billed charges,
BONE CEMENT BIOMET,C1713,CDM,,,,both,,,"1,629.00","1,629.00",374.67,"1,629.00","1,629.00",percent of total billed charges,"1,629.00",percent of total billed charges,"1,629.00",percent of total billed charges,"1,629.00",percent of total billed charges,"1,629.00",percent of total billed charges,"1,629.00",percent of total billed charges,"1,629.00",percent of total billed charges,"1,629.00",percent of total billed charges,"1,172.88",percent of total billed charges,"1,172.88",percent of total billed charges,"1,172.88",percent of total billed charges,"1,172.88",percent of total billed charges,"1,172.88",percent of total billed charges,"1,172.88",percent of total billed charges,"1,286.91",percent of total billed charges,"1,286.91",percent of total billed charges,"1,303.20",percent of total billed charges,"1,303.20",percent of total billed charges,,,"1,172.88",percent of total billed charges ,,,"1,303.20",percent of total billed charges ,"1,286.91",percent of total billed charges ,"1,286.91",percent of total billed charges ,"1,384.65",percent of total billed charges ,"1,384.65",percent of total billed charges ,"1,303.20",percent of total billed charges ,"1,303.20",percent of total billed charges ,"1,140.30",percent of total billed charges ,"1,140.30",percent of total billed charges ,977.4,percent of total billed charges ,977.4,percent of total billed charges ,977.4,percent of total billed charges ,977.4,percent of total billed charges ,,,,,866.63,percent of total billed charges ,,,,,823.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,374.67,percent of total billed charges,,,374.67,percent of total billed charges,,,374.67,percent of total billed charges,,,374.67,percent of total billed charges,,,374.67,percent of total billed charges,,,374.67,percent of total billed charges,,,374.67,percent of total billed charges,,,374.67,percent of total billed charges,,,374.67,percent of total billed charges,,,374.67,percent of total billed charges,,,374.67,percent of total billed charges,
TIBIAL INSERT CROSSLINK DEPUY,C1776,CDM,,,,both,,,"13,970.00","13,970.00","3,213.10","13,970.00","13,970.00",percent of total billed charges,"13,970.00",percent of total billed charges,"13,970.00",percent of total billed charges,"13,970.00",percent of total billed charges,"13,970.00",percent of total billed charges,"13,970.00",percent of total billed charges,"13,970.00",percent of total billed charges,"13,970.00",percent of total billed charges,"10,058.40",percent of total billed charges,"10,058.40",percent of total billed charges,"10,058.40",percent of total billed charges,"10,058.40",percent of total billed charges,"10,058.40",percent of total billed charges,"10,058.40",percent of total billed charges,"11,036.30",percent of total billed charges,"11,036.30",percent of total billed charges,"11,176.00",percent of total billed charges,"11,176.00",percent of total billed charges,,,"10,058.40",percent of total billed charges ,,,"11,176.00",percent of total billed charges ,"11,036.30",percent of total billed charges ,"11,036.30",percent of total billed charges ,"11,874.50",percent of total billed charges ,"11,874.50",percent of total billed charges ,"11,176.00",percent of total billed charges ,"11,176.00",percent of total billed charges ,"9,779.00",percent of total billed charges ,"9,779.00",percent of total billed charges ,"8,382.00",percent of total billed charges ,"8,382.00",percent of total billed charges ,"8,382.00",percent of total billed charges ,"8,382.00",percent of total billed charges ,,,,,"7,432.04",percent of total billed charges ,,,,,"7,060.44",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,213.10",percent of total billed charges,,,"3,213.10",percent of total billed charges,,,"3,213.10",percent of total billed charges,,,"3,213.10",percent of total billed charges,,,"3,213.10",percent of total billed charges,,,"3,213.10",percent of total billed charges,,,"3,213.10",percent of total billed charges,,,"3,213.10",percent of total billed charges,,,"3,213.10",percent of total billed charges,,,"3,213.10",percent of total billed charges,,,"3,213.10",percent of total billed charges,
SCREW CMN SET TITANIUM,C1713,CDM,,,,both,,,"2,347.00","2,347.00",539.81,"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,"1,854.13",percent of total billed charges,"1,854.13",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 ,"1,854.13",percent of total billed charges ,"1,854.13",percent of total billed charges ,"1,994.95",percent of total billed charges ,"1,994.95",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 ,,,,,,,,,,,,,,,,,,,539.81,percent of total billed charges,,,539.81,percent of total billed charges,,,539.81,percent of total billed charges,,,539.81,percent of total billed charges,,,539.81,percent of total billed charges,,,539.81,percent of total billed charges,,,539.81,percent of total billed charges,,,539.81,percent of total billed charges,,,539.81,percent of total billed charges,,,539.81,percent of total billed charges,,,539.81,percent of total billed charges,
PLATE VOLAR 3H LEFT STANDARD,C1713,CDM,,,,both,,,"9,363.00","9,363.00","2,153.49","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,"7,396.77",percent of total billed charges,"7,396.77",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 ,"7,396.77",percent of total billed charges ,"7,396.77",percent of total billed charges ,"7,958.55",percent of total billed charges ,"7,958.55",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 ,,,,,,,,,,,,,,,,,,,"2,153.49",percent of total billed charges,,,"2,153.49",percent of total billed charges,,,"2,153.49",percent of total billed charges,,,"2,153.49",percent of total billed charges,,,"2,153.49",percent of total billed charges,,,"2,153.49",percent of total billed charges,,,"2,153.49",percent of total billed charges,,,"2,153.49",percent of total billed charges,,,"2,153.49",percent of total billed charges,,,"2,153.49",percent of total billed charges,,,"2,153.49",percent of total billed charges,
SCREW LOCKING 2.4MM,C1713,CDM,,,,both,,,"1,258.00","1,258.00",289.34,"1,258.00","1,258.00",percent of total billed charges,"1,258.00",percent of total billed charges,"1,258.00",percent of total billed charges,"1,258.00",percent of total billed charges,"1,258.00",percent of total billed charges,"1,258.00",percent of total billed charges,"1,258.00",percent of total billed charges,"1,258.00",percent of total billed charges,905.76,percent of total billed charges,905.76,percent of total billed charges,905.76,percent of total billed charges,905.76,percent of total billed charges,905.76,percent of total billed charges,905.76,percent of total billed charges,993.82,percent of total billed charges,993.82,percent of total billed charges,"1,006.40",percent of total billed charges,"1,006.40",percent of total billed charges,,,905.76,percent of total billed charges ,,,"1,006.40",percent of total billed charges ,993.82,percent of total billed charges ,993.82,percent of total billed charges ,"1,069.30",percent of total billed charges ,"1,069.30",percent of total billed charges ,"1,006.40",percent of total billed charges ,"1,006.40",percent of total billed charges ,880.6,percent of total billed charges ,880.6,percent of total billed charges ,754.8,percent of total billed charges ,754.8,percent of total billed charges ,754.8,percent of total billed charges ,754.8,percent of total billed charges ,,,,,669.26,percent of total billed charges ,,,,,635.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,
SCREW NONLOCKING 2.4M,C1713,CDM,,,,both,,,858,858,197.34,858,858,percent of total billed charges,858,percent of total billed charges,858,percent of total billed charges,858,percent of total billed charges,858,percent of total billed charges,858,percent of total billed charges,858,percent of total billed charges,858,percent of total billed charges,617.76,percent of total billed charges,617.76,percent of total billed charges,617.76,percent of total billed charges,617.76,percent of total billed charges,617.76,percent of total billed charges,617.76,percent of total billed charges,677.82,percent of total billed charges,677.82,percent of total billed charges,686.4,percent of total billed charges,686.4,percent of total billed charges,,,617.76,percent of total billed charges ,,,686.4,percent of total billed charges ,677.82,percent of total billed charges ,677.82,percent of total billed charges ,729.3,percent of total billed charges ,729.3,percent of total billed charges ,686.4,percent of total billed charges ,686.4,percent of total billed charges ,600.6,percent of total billed charges ,600.6,percent of total billed charges ,514.8,percent of total billed charges ,514.8,percent of total billed charges ,514.8,percent of total billed charges ,514.8,percent of total billed charges ,,,,,456.46,percent of total billed charges ,,,,,433.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,197.34,percent of total billed charges,,,197.34,percent of total billed charges,,,197.34,percent of total billed charges,,,197.34,percent of total billed charges,,,197.34,percent of total billed charges,,,197.34,percent of total billed charges,,,197.34,percent of total billed charges,,,197.34,percent of total billed charges,,,197.34,percent of total billed charges,,,197.34,percent of total billed charges,,,197.34,percent of total billed charges,
PEG LOCKING 1.8MM,C1713,CDM,,,,both,,,"1,117.00","1,117.00",256.91,"1,117.00","1,117.00",percent of total billed charges,"1,117.00",percent of total billed charges,"1,117.00",percent of total billed charges,"1,117.00",percent of total billed charges,"1,117.00",percent of total billed charges,"1,117.00",percent of total billed charges,"1,117.00",percent of total billed charges,"1,117.00",percent of total billed charges,804.24,percent of total billed charges,804.24,percent of total billed charges,804.24,percent of total billed charges,804.24,percent of total billed charges,804.24,percent of total billed charges,804.24,percent of total billed charges,882.43,percent of total billed charges,882.43,percent of total billed charges,893.6,percent of total billed charges,893.6,percent of total billed charges,,,804.24,percent of total billed charges ,,,893.6,percent of total billed charges ,882.43,percent of total billed charges ,882.43,percent of total billed charges ,949.45,percent of total billed charges ,949.45,percent of total billed charges ,893.6,percent of total billed charges ,893.6,percent of total billed charges ,781.9,percent of total billed charges ,781.9,percent of total billed charges ,670.2,percent of total billed charges ,670.2,percent of total billed charges ,670.2,percent of total billed charges ,670.2,percent of total billed charges ,,,,,594.24,percent of total billed charges ,,,,,564.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,256.91,percent of total billed charges,,,256.91,percent of total billed charges,,,256.91,percent of total billed charges,,,256.91,percent of total billed charges,,,256.91,percent of total billed charges,,,256.91,percent of total billed charges,,,256.91,percent of total billed charges,,,256.91,percent of total billed charges,,,256.91,percent of total billed charges,,,256.91,percent of total billed charges,,,256.91,percent of total billed charges,
DRILL BIT AO 1.8MM DIA 45MM,272,RC,00906-99-0441,NDC,,both,,,"1,981.00","1,981.00",455.63,"1,981.00","1,981.00",percent of total billed charges,"1,981.00",percent of total billed charges,"1,981.00",percent of total billed charges,"1,981.00",percent of total billed charges,"1,981.00",percent of total billed charges,"1,981.00",percent of total billed charges,"1,981.00",percent of total billed charges,"1,981.00",percent of total billed charges,"1,426.32",percent of total billed charges,"1,426.32",percent of total billed charges,"1,426.32",percent of total billed charges,"1,426.32",percent of total billed charges,"1,426.32",percent of total billed charges,"1,426.32",percent of total billed charges,"1,564.99",percent of total billed charges,"1,564.99",percent of total billed charges,"1,584.80",percent of total billed charges,"1,584.80",percent of total billed charges,,,"1,426.32",percent of total billed charges ,,,"1,584.80",percent of total billed charges ,"1,564.99",percent of total billed charges ,"1,564.99",percent of total billed charges ,"1,683.85",percent of total billed charges ,"1,683.85",percent of total billed charges ,"1,584.80",percent of total billed charges ,"1,584.80",percent of total billed charges ,"1,386.70",percent of total billed charges ,"1,386.70",percent of total billed charges ,"1,188.60",percent of total billed charges ,"1,188.60",percent of total billed charges ,"1,188.60",percent of total billed charges ,"1,188.60",percent of total billed charges ,,,,,"1,053.89",percent of total billed charges ,,,,,"1,001.20",percent of total billed charges ,,,,,,,,,,,,,,,,,,,455.63,percent of total billed charges,,,455.63,percent of total billed charges,,,455.63,percent of total billed charges,,,455.63,percent of total billed charges,,,455.63,percent of total billed charges,,,455.63,percent of total billed charges,,,455.63,percent of total billed charges,,,455.63,percent of total billed charges,,,455.63,percent of total billed charges,,,455.63,percent of total billed charges,,,455.63,percent of total billed charges,
K WIRE 1.25MM DIA,C1769,CDM,,,,both,,,168,168,38.64,168,168,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,132.72,percent of total billed charges,132.72,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 ,132.72,percent of total billed charges ,132.72,percent of total billed charges ,142.8,percent of total billed charges ,142.8,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 ,,,,,,,,,,,,,,,,,,,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,
WIRE CIRCLAGE LUQUE BEADED 1.22MM X30CM,278,RC,00906-99-0441,NDC,,both,,,400,400,92,400,400,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,400,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,316,percent of total billed charges,316,percent of total billed charges,320,percent of total billed charges,320,percent of total billed charges,,,288,percent of total billed charges ,,,320,percent of total billed charges ,316,percent of total billed charges ,316,percent of total billed charges ,340,percent of total billed charges ,340,percent of total billed charges ,320,percent of total billed charges ,320,percent of total billed charges ,280,percent of total billed charges ,280,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 ,,,,,212.8,percent of total billed charges ,,,,,202.16,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,,,92,percent of total billed charges,,,92,percent of total billed charges,,,92,percent of total billed charges,,,92,percent of total billed charges,
K WIRE 2.0MM DIA TRAUMA,C1769,CDM,,,,both,,,310,310,71.3,310,310,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,244.9,percent of total billed charges,244.9,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 ,244.9,percent of total billed charges ,244.9,percent of total billed charges ,263.5,percent of total billed charges ,263.5,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 ,,,,,,,,,,,,,,,,,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,
PERSONA-NEXGEN CEMENT TOTAL KNEE CAPPED,C1776,CDM,,,,both,,,"23,599.00","23,599.00","5,427.77","23,599.00","23,599.00",percent of total billed charges,"23,599.00",percent of total billed charges,"23,599.00",percent of total billed charges,"23,599.00",percent of total billed charges,"23,599.00",percent of total billed charges,"23,599.00",percent of total billed charges,"23,599.00",percent of total billed charges,"23,599.00",percent of total billed charges,"16,991.28",percent of total billed charges,"16,991.28",percent of total billed charges,"16,991.28",percent of total billed charges,"16,991.28",percent of total billed charges,"16,991.28",percent of total billed charges,"16,991.28",percent of total billed charges,"18,643.21",percent of total billed charges,"18,643.21",percent of total billed charges,"18,879.20",percent of total billed charges,"18,879.20",percent of total billed charges,,,"16,991.28",percent of total billed charges ,,,"18,879.20",percent of total billed charges ,"18,643.21",percent of total billed charges ,"18,643.21",percent of total billed charges ,"20,059.15",percent of total billed charges ,"20,059.15",percent of total billed charges ,"18,879.20",percent of total billed charges ,"18,879.20",percent of total billed charges ,"16,519.30",percent of total billed charges ,"16,519.30",percent of total billed charges ,"14,159.40",percent of total billed charges ,"14,159.40",percent of total billed charges ,"14,159.40",percent of total billed charges ,"14,159.40",percent of total billed charges ,,,,,"12,554.67",percent of total billed charges ,,,,,"11,926.93",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"5,427.77",percent of total billed charges,,,"5,427.77",percent of total billed charges,,,"5,427.77",percent of total billed charges,,,"5,427.77",percent of total billed charges,,,"5,427.77",percent of total billed charges,,,"5,427.77",percent of total billed charges,,,"5,427.77",percent of total billed charges,,,"5,427.77",percent of total billed charges,,,"5,427.77",percent of total billed charges,,,"5,427.77",percent of total billed charges,,,"5,427.77",percent of total billed charges,
SCREW 2.4MM HEADLES SHORT THR  SYNTHES,C1713,CDM,,,,both,,,"3,299.00","3,299.00",758.77,"3,299.00","3,299.00",percent of total billed charges,"3,299.00",percent of total billed charges,"3,299.00",percent of total billed charges,"3,299.00",percent of total billed charges,"3,299.00",percent of total billed charges,"3,299.00",percent of total billed charges,"3,299.00",percent of total billed charges,"3,299.00",percent of total billed charges,"2,375.28",percent of total billed charges,"2,375.28",percent of total billed charges,"2,375.28",percent of total billed charges,"2,375.28",percent of total billed charges,"2,375.28",percent of total billed charges,"2,375.28",percent of total billed charges,"2,606.21",percent of total billed charges,"2,606.21",percent of total billed charges,"2,639.20",percent of total billed charges,"2,639.20",percent of total billed charges,,,"2,375.28",percent of total billed charges ,,,"2,639.20",percent of total billed charges ,"2,606.21",percent of total billed charges ,"2,606.21",percent of total billed charges ,"2,804.15",percent of total billed charges ,"2,804.15",percent of total billed charges ,"2,639.20",percent of total billed charges ,"2,639.20",percent of total billed charges ,"2,309.30",percent of total billed charges ,"2,309.30",percent of total billed charges ,"1,979.40",percent of total billed charges ,"1,979.40",percent of total billed charges ,"1,979.40",percent of total billed charges ,"1,979.40",percent of total billed charges ,,,,,"1,755.07",percent of total billed charges ,,,,,"1,667.31",percent of total billed charges ,,,,,,,,,,,,,,,,,,,758.77,percent of total billed charges,,,758.77,percent of total billed charges,,,758.77,percent of total billed charges,,,758.77,percent of total billed charges,,,758.77,percent of total billed charges,,,758.77,percent of total billed charges,,,758.77,percent of total billed charges,,,758.77,percent of total billed charges,,,758.77,percent of total billed charges,,,758.77,percent of total billed charges,,,758.77,percent of total billed charges,
DRILL 1/8 QUICK RELEASE,272,RC,00906-99-0441,NDC,,both,,,"1,257.00","1,257.00",289.11,"1,257.00","1,257.00",percent of total billed charges,"1,257.00",percent of total billed charges,"1,257.00",percent of total billed charges,"1,257.00",percent of total billed charges,"1,257.00",percent of total billed charges,"1,257.00",percent of total billed charges,"1,257.00",percent of total billed charges,"1,257.00",percent of total billed charges,905.04,percent of total billed charges,905.04,percent of total billed charges,905.04,percent of total billed charges,905.04,percent of total billed charges,905.04,percent of total billed charges,905.04,percent of total billed charges,993.03,percent of total billed charges,993.03,percent of total billed charges,"1,005.60",percent of total billed charges,"1,005.60",percent of total billed charges,,,905.04,percent of total billed charges ,,,"1,005.60",percent of total billed charges ,993.03,percent of total billed charges ,993.03,percent of total billed charges ,"1,068.45",percent of total billed charges ,"1,068.45",percent of total billed charges ,"1,005.60",percent of total billed charges ,"1,005.60",percent of total billed charges ,879.9,percent of total billed charges ,879.9,percent of total billed charges ,754.2,percent of total billed charges ,754.2,percent of total billed charges ,754.2,percent of total billed charges ,754.2,percent of total billed charges ,,,,,668.72,percent of total billed charges ,,,,,635.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,289.11,percent of total billed charges,,,289.11,percent of total billed charges,,,289.11,percent of total billed charges,,,289.11,percent of total billed charges,,,289.11,percent of total billed charges,,,289.11,percent of total billed charges,,,289.11,percent of total billed charges,,,289.11,percent of total billed charges,,,289.11,percent of total billed charges,,,289.11,percent of total billed charges,,,289.11,percent of total billed charges,
BLADE OXFORD RESECTION KNEE,272,RC,00906-99-0441,NDC,,both,,,"5,744.00","5,744.00","1,321.12","5,744.00","5,744.00",percent of total billed charges,"5,744.00",percent of total billed charges,"5,744.00",percent of total billed charges,"5,744.00",percent of total billed charges,"5,744.00",percent of total billed charges,"5,744.00",percent of total billed charges,"5,744.00",percent of total billed charges,"5,744.00",percent of total billed charges,"4,135.68",percent of total billed charges,"4,135.68",percent of total billed charges,"4,135.68",percent of total billed charges,"4,135.68",percent of total billed charges,"4,135.68",percent of total billed charges,"4,135.68",percent of total billed charges,"4,537.76",percent of total billed charges,"4,537.76",percent of total billed charges,"4,595.20",percent of total billed charges,"4,595.20",percent of total billed charges,,,"4,135.68",percent of total billed charges ,,,"4,595.20",percent of total billed charges ,"4,537.76",percent of total billed charges ,"4,537.76",percent of total billed charges ,"4,882.40",percent of total billed charges ,"4,882.40",percent of total billed charges ,"4,595.20",percent of total billed charges ,"4,595.20",percent of total billed charges ,"4,020.80",percent of total billed charges ,"4,020.80",percent of total billed charges ,"3,446.40",percent of total billed charges ,"3,446.40",percent of total billed charges ,"3,446.40",percent of total billed charges ,"3,446.40",percent of total billed charges ,,,,,"3,055.81",percent of total billed charges ,,,,,"2,903.02",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,321.12",percent of total billed charges,,,"1,321.12",percent of total billed charges,,,"1,321.12",percent of total billed charges,,,"1,321.12",percent of total billed charges,,,"1,321.12",percent of total billed charges,,,"1,321.12",percent of total billed charges,,,"1,321.12",percent of total billed charges,,,"1,321.12",percent of total billed charges,,,"1,321.12",percent of total billed charges,,,"1,321.12",percent of total billed charges,,,"1,321.12",percent of total billed charges,
KNEE OXFORD UNI COMPART,C1776,CDM,,,,both,,,"30,846.00","30,846.00","7,094.58","30,846.00","30,846.00",percent of total billed charges,"30,846.00",percent of total billed charges,"30,846.00",percent of total billed charges,"30,846.00",percent of total billed charges,"30,846.00",percent of total billed charges,"30,846.00",percent of total billed charges,"30,846.00",percent of total billed charges,"30,846.00",percent of total billed charges,"22,209.12",percent of total billed charges,"22,209.12",percent of total billed charges,"22,209.12",percent of total billed charges,"22,209.12",percent of total billed charges,"22,209.12",percent of total billed charges,"22,209.12",percent of total billed charges,"24,368.34",percent of total billed charges,"24,368.34",percent of total billed charges,"24,676.80",percent of total billed charges,"24,676.80",percent of total billed charges,,,"22,209.12",percent of total billed charges ,,,"24,676.80",percent of total billed charges ,"24,368.34",percent of total billed charges ,"24,368.34",percent of total billed charges ,"26,219.10",percent of total billed charges ,"26,219.10",percent of total billed charges ,"24,676.80",percent of total billed charges ,"24,676.80",percent of total billed charges ,"21,592.20",percent of total billed charges ,"21,592.20",percent of total billed charges ,"18,507.60",percent of total billed charges ,"18,507.60",percent of total billed charges ,"18,507.60",percent of total billed charges ,"18,507.60",percent of total billed charges ,,,,,"16,410.07",percent of total billed charges ,,,,,"15,589.57",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"7,094.58",percent of total billed charges,,,"7,094.58",percent of total billed charges,,,"7,094.58",percent of total billed charges,,,"7,094.58",percent of total billed charges,,,"7,094.58",percent of total billed charges,,,"7,094.58",percent of total billed charges,,,"7,094.58",percent of total billed charges,,,"7,094.58",percent of total billed charges,,,"7,094.58",percent of total billed charges,,,"7,094.58",percent of total billed charges,,,"7,094.58",percent of total billed charges,
SCREW VERSA FX LAG 12.7DX70-125 THREAD,C1713,CDM,,,,both,,,"3,261.00","3,261.00",750.03,"3,261.00","3,261.00",percent of total billed charges,"3,261.00",percent of total billed charges,"3,261.00",percent of total billed charges,"3,261.00",percent of total billed charges,"3,261.00",percent of total billed charges,"3,261.00",percent of total billed charges,"3,261.00",percent of total billed charges,"3,261.00",percent of total billed charges,"2,347.92",percent of total billed charges,"2,347.92",percent of total billed charges,"2,347.92",percent of total billed charges,"2,347.92",percent of total billed charges,"2,347.92",percent of total billed charges,"2,347.92",percent of total billed charges,"2,576.19",percent of total billed charges,"2,576.19",percent of total billed charges,"2,608.80",percent of total billed charges,"2,608.80",percent of total billed charges,,,"2,347.92",percent of total billed charges ,,,"2,608.80",percent of total billed charges ,"2,576.19",percent of total billed charges ,"2,576.19",percent of total billed charges ,"2,771.85",percent of total billed charges ,"2,771.85",percent of total billed charges ,"2,608.80",percent of total billed charges ,"2,608.80",percent of total billed charges ,"2,282.70",percent of total billed charges ,"2,282.70",percent of total billed charges ,"1,956.60",percent of total billed charges ,"1,956.60",percent of total billed charges ,"1,956.60",percent of total billed charges ,"1,956.60",percent of total billed charges ,,,,,"1,734.85",percent of total billed charges ,,,,,"1,648.11",percent of total billed charges ,,,,,,,,,,,,,,,,,,,750.03,percent of total billed charges,,,750.03,percent of total billed charges,,,750.03,percent of total billed charges,,,750.03,percent of total billed charges,,,750.03,percent of total billed charges,,,750.03,percent of total billed charges,,,750.03,percent of total billed charges,,,750.03,percent of total billed charges,,,750.03,percent of total billed charges,,,750.03,percent of total billed charges,,,750.03,percent of total billed charges,
PLATE VERSA FX 135&140D 3&4 HOLE,C1713,CDM,,,,both,,,"4,938.00","4,938.00","1,135.74","4,938.00","4,938.00",percent of total billed charges,"4,938.00",percent of total billed charges,"4,938.00",percent of total billed charges,"4,938.00",percent of total billed charges,"4,938.00",percent of total billed charges,"4,938.00",percent of total billed charges,"4,938.00",percent of total billed charges,"4,938.00",percent of total billed charges,"3,555.36",percent of total billed charges,"3,555.36",percent of total billed charges,"3,555.36",percent of total billed charges,"3,555.36",percent of total billed charges,"3,555.36",percent of total billed charges,"3,555.36",percent of total billed charges,"3,901.02",percent of total billed charges,"3,901.02",percent of total billed charges,"3,950.40",percent of total billed charges,"3,950.40",percent of total billed charges,,,"3,555.36",percent of total billed charges ,,,"3,950.40",percent of total billed charges ,"3,901.02",percent of total billed charges ,"3,901.02",percent of total billed charges ,"4,197.30",percent of total billed charges ,"4,197.30",percent of total billed charges ,"3,950.40",percent of total billed charges ,"3,950.40",percent of total billed charges ,"3,456.60",percent of total billed charges ,"3,456.60",percent of total billed charges ,"2,962.80",percent of total billed charges ,"2,962.80",percent of total billed charges ,"2,962.80",percent of total billed charges ,"2,962.80",percent of total billed charges ,,,,,"2,627.02",percent of total billed charges ,,,,,"2,495.67",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,135.74",percent of total billed charges,,,"1,135.74",percent of total billed charges,,,"1,135.74",percent of total billed charges,,,"1,135.74",percent of total billed charges,,,"1,135.74",percent of total billed charges,,,"1,135.74",percent of total billed charges,,,"1,135.74",percent of total billed charges,,,"1,135.74",percent of total billed charges,,,"1,135.74",percent of total billed charges,,,"1,135.74",percent of total billed charges,,,"1,135.74",percent of total billed charges,
GUIDE PIN VERSA FX CALIBRATED 3.2X230MM,C1713,CDM,,,,both,,,"1,813.00","1,813.00",416.99,"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,"1,432.27",percent of total billed charges,"1,432.27",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 ,"1,432.27",percent of total billed charges ,"1,432.27",percent of total billed charges ,"1,541.05",percent of total billed charges ,"1,541.05",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 ,,,,,,,,,,,,,,,,,,,416.99,percent of total billed charges,,,416.99,percent of total billed charges,,,416.99,percent of total billed charges,,,416.99,percent of total billed charges,,,416.99,percent of total billed charges,,,416.99,percent of total billed charges,,,416.99,percent of total billed charges,,,416.99,percent of total billed charges,,,416.99,percent of total billed charges,,,416.99,percent of total billed charges,,,416.99,percent of total billed charges,
PLATE WRIST FUSION 2.5TRILOCK DORSAL RT,C1776,CDM,,,,both,,,"10,110.00","10,110.00","2,325.30","10,110.00","10,110.00",percent of total billed charges,"10,110.00",percent of total billed charges,"10,110.00",percent of total billed charges,"10,110.00",percent of total billed charges,"10,110.00",percent of total billed charges,"10,110.00",percent of total billed charges,"10,110.00",percent of total billed charges,"10,110.00",percent of total billed charges,"7,279.20",percent of total billed charges,"7,279.20",percent of total billed charges,"7,279.20",percent of total billed charges,"7,279.20",percent of total billed charges,"7,279.20",percent of total billed charges,"7,279.20",percent of total billed charges,"7,986.90",percent of total billed charges,"7,986.90",percent of total billed charges,"8,088.00",percent of total billed charges,"8,088.00",percent of total billed charges,,,"7,279.20",percent of total billed charges ,,,"8,088.00",percent of total billed charges ,"7,986.90",percent of total billed charges ,"7,986.90",percent of total billed charges ,"8,593.50",percent of total billed charges ,"8,593.50",percent of total billed charges ,"8,088.00",percent of total billed charges ,"8,088.00",percent of total billed charges ,"7,077.00",percent of total billed charges ,"7,077.00",percent of total billed charges ,"6,066.00",percent of total billed charges ,"6,066.00",percent of total billed charges ,"6,066.00",percent of total billed charges ,"6,066.00",percent of total billed charges ,,,,,"5,378.52",percent of total billed charges ,,,,,"5,109.59",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,325.30",percent of total billed charges,,,"2,325.30",percent of total billed charges,,,"2,325.30",percent of total billed charges,,,"2,325.30",percent of total billed charges,,,"2,325.30",percent of total billed charges,,,"2,325.30",percent of total billed charges,,,"2,325.30",percent of total billed charges,,,"2,325.30",percent of total billed charges,,,"2,325.30",percent of total billed charges,,,"2,325.30",percent of total billed charges,,,"2,325.30",percent of total billed charges,
SCREW 2.5 CORTEX GOLD WRIST FUSION,C1713,CDM,,,,both,,,959,959,220.57,959,959,percent of total billed charges,959,percent of total billed charges,959,percent of total billed charges,959,percent of total billed charges,959,percent of total billed charges,959,percent of total billed charges,959,percent of total billed charges,959,percent of total billed charges,690.48,percent of total billed charges,690.48,percent of total billed charges,690.48,percent of total billed charges,690.48,percent of total billed charges,690.48,percent of total billed charges,690.48,percent of total billed charges,757.61,percent of total billed charges,757.61,percent of total billed charges,767.2,percent of total billed charges,767.2,percent of total billed charges,,,690.48,percent of total billed charges ,,,767.2,percent of total billed charges ,757.61,percent of total billed charges ,757.61,percent of total billed charges ,815.15,percent of total billed charges ,815.15,percent of total billed charges ,767.2,percent of total billed charges ,767.2,percent of total billed charges ,671.3,percent of total billed charges ,671.3,percent of total billed charges ,575.4,percent of total billed charges ,575.4,percent of total billed charges ,575.4,percent of total billed charges ,575.4,percent of total billed charges ,,,,,510.19,percent of total billed charges ,,,,,484.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,
DRILL BIT 2.5 ARTHRODESIS WRIST FUSION,272,RC,00906-99-0441,NDC,,both,,,"1,021.00","1,021.00",234.83,"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,806.59,percent of total billed charges,806.59,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 ,806.59,percent of total billed charges ,806.59,percent of total billed charges ,867.85,percent of total billed charges ,867.85,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 ,,,,,,,,,,,,,,,,,,,234.83,percent of total billed charges,,,234.83,percent of total billed charges,,,234.83,percent of total billed charges,,,234.83,percent of total billed charges,,,234.83,percent of total billed charges,,,234.83,percent of total billed charges,,,234.83,percent of total billed charges,,,234.83,percent of total billed charges,,,234.83,percent of total billed charges,,,234.83,percent of total billed charges,,,234.83,percent of total billed charges,
SCREW 2.5 BLUE LOCKING WRIST FUSION,C1713,CDM,,,,both,,,"1,371.00","1,371.00",315.33,"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,"1,083.09",percent of total billed charges,"1,083.09",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 ,"1,083.09",percent of total billed charges ,"1,083.09",percent of total billed charges ,"1,165.35",percent of total billed charges ,"1,165.35",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 ,,,,,,,,,,,,,,,,,,,315.33,percent of total billed charges,,,315.33,percent of total billed charges,,,315.33,percent of total billed charges,,,315.33,percent of total billed charges,,,315.33,percent of total billed charges,,,315.33,percent of total billed charges,,,315.33,percent of total billed charges,,,315.33,percent of total billed charges,,,315.33,percent of total billed charges,,,315.33,percent of total billed charges,,,315.33,percent of total billed charges,
FIBERLINK-TIGERLINK,C1713,CDM,,,,both,,,609,609,140.07,609,609,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,481.11,percent of total billed charges,481.11,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 ,481.11,percent of total billed charges ,481.11,percent of total billed charges ,517.65,percent of total billed charges ,517.65,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 ,,,,,,,,,,,,,,,,,,,140.07,percent of total billed charges,,,140.07,percent of total billed charges,,,140.07,percent of total billed charges,,,140.07,percent of total billed charges,,,140.07,percent of total billed charges,,,140.07,percent of total billed charges,,,140.07,percent of total billed charges,,,140.07,percent of total billed charges,,,140.07,percent of total billed charges,,,140.07,percent of total billed charges,,,140.07,percent of total billed charges,
ACHILLES SPEEDBRIDGE,C1713,CDM,,,,both,,,"13,668.00","13,668.00","3,143.64","13,668.00","13,668.00",percent of total billed charges,"13,668.00",percent of total billed charges,"13,668.00",percent of total billed charges,"13,668.00",percent of total billed charges,"13,668.00",percent of total billed charges,"13,668.00",percent of total billed charges,"13,668.00",percent of total billed charges,"13,668.00",percent of total billed charges,"9,840.96",percent of total billed charges,"9,840.96",percent of total billed charges,"9,840.96",percent of total billed charges,"9,840.96",percent of total billed charges,"9,840.96",percent of total billed charges,"9,840.96",percent of total billed charges,"10,797.72",percent of total billed charges,"10,797.72",percent of total billed charges,"10,934.40",percent of total billed charges,"10,934.40",percent of total billed charges,,,"9,840.96",percent of total billed charges ,,,"10,934.40",percent of total billed charges ,"10,797.72",percent of total billed charges ,"10,797.72",percent of total billed charges ,"11,617.80",percent of total billed charges ,"11,617.80",percent of total billed charges ,"10,934.40",percent of total billed charges ,"10,934.40",percent of total billed charges ,"9,567.60",percent of total billed charges ,"9,567.60",percent of total billed charges ,"8,200.80",percent of total billed charges ,"8,200.80",percent of total billed charges ,"8,200.80",percent of total billed charges ,"8,200.80",percent of total billed charges ,,,,,"7,271.38",percent of total billed charges ,,,,,"6,907.81",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,143.64",percent of total billed charges,,,"3,143.64",percent of total billed charges,,,"3,143.64",percent of total billed charges,,,"3,143.64",percent of total billed charges,,,"3,143.64",percent of total billed charges,,,"3,143.64",percent of total billed charges,,,"3,143.64",percent of total billed charges,,,"3,143.64",percent of total billed charges,,,"3,143.64",percent of total billed charges,,,"3,143.64",percent of total billed charges,,,"3,143.64",percent of total billed charges,
KNEE UNI ZUK VIVSCIL-E HIGHLY CROSSLINK,C1776,CDM,,,,both,,,"22,814.00","22,814.00","5,247.22","22,814.00","22,814.00",percent of total billed charges,"22,814.00",percent of total billed charges,"22,814.00",percent of total billed charges,"22,814.00",percent of total billed charges,"22,814.00",percent of total billed charges,"22,814.00",percent of total billed charges,"22,814.00",percent of total billed charges,"22,814.00",percent of total billed charges,"16,426.08",percent of total billed charges,"16,426.08",percent of total billed charges,"16,426.08",percent of total billed charges,"16,426.08",percent of total billed charges,"16,426.08",percent of total billed charges,"16,426.08",percent of total billed charges,"18,023.06",percent of total billed charges,"18,023.06",percent of total billed charges,"18,251.20",percent of total billed charges,"18,251.20",percent of total billed charges,,,"16,426.08",percent of total billed charges ,,,"18,251.20",percent of total billed charges ,"18,023.06",percent of total billed charges ,"18,023.06",percent of total billed charges ,"19,391.90",percent of total billed charges ,"19,391.90",percent of total billed charges ,"18,251.20",percent of total billed charges ,"18,251.20",percent of total billed charges ,"15,969.80",percent of total billed charges ,"15,969.80",percent of total billed charges ,"13,688.40",percent of total billed charges ,"13,688.40",percent of total billed charges ,"13,688.40",percent of total billed charges ,"13,688.40",percent of total billed charges ,,,,,"12,137.05",percent of total billed charges ,,,,,"11,530.20",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"5,247.22",percent of total billed charges,,,"5,247.22",percent of total billed charges,,,"5,247.22",percent of total billed charges,,,"5,247.22",percent of total billed charges,,,"5,247.22",percent of total billed charges,,,"5,247.22",percent of total billed charges,,,"5,247.22",percent of total billed charges,,,"5,247.22",percent of total billed charges,,,"5,247.22",percent of total billed charges,,,"5,247.22",percent of total billed charges,,,"5,247.22",percent of total billed charges,
LUMBAR/SACRAL RADIO FREQ ABLATION MULT,64636,CDM,,,,both,,,"2,857.00","2,857.00",657.11,"2,857.00","2,857.00",percent of total billed charges,"2,857.00",percent of total billed charges,"2,857.00",percent of total billed charges,"2,857.00",percent of total billed charges,"2,857.00",percent of total billed charges,"2,857.00",percent of total billed charges,"2,857.00",percent of total billed charges,"2,857.00",percent of total billed charges,"2,057.04",percent of total billed charges,"2,057.04",percent of total billed charges,"2,057.04",percent of total billed charges,"2,057.04",percent of total billed charges,"2,057.04",percent of total billed charges,"2,057.04",percent of total billed charges,"2,257.03",percent of total billed charges,"2,257.03",percent of total billed charges,"2,285.60",percent of total billed charges,"2,285.60",percent of total billed charges,,,"2,057.04",percent of total billed charges ,,,"2,285.60",percent of total billed charges ,"2,257.03",percent of total billed charges ,"2,257.03",percent of total billed charges ,"2,428.45",percent of total billed charges ,"2,428.45",percent of total billed charges ,"2,285.60",percent of total billed charges ,"2,285.60",percent of total billed charges ,"1,999.90",percent of total billed charges ,"1,999.90",percent of total billed charges ,"1,714.20",percent of total billed charges ,"1,714.20",percent of total billed charges ,"1,714.20",percent of total billed charges ,"1,714.20",percent of total billed charges ,,,,,"1,519.92",percent of total billed charges ,,,,,"1,443.93",percent of total billed charges ,,,,,,,,,,,,,,,,,,,657.11,percent of total billed charges,,,657.11,percent of total billed charges,,,657.11,percent of total billed charges,,,657.11,percent of total billed charges,,,657.11,percent of total billed charges,,,657.11,percent of total billed charges,,,657.11,percent of total billed charges,,,657.11,percent of total billed charges,,,657.11,percent of total billed charges,,,657.11,percent of total billed charges,,,657.11,percent of total billed charges,
RF ABLASION VENOM 100MM ELECTRODE,272,RC,00906-99-0441,NDC,,both,,,"2,324.00","2,324.00",534.52,"2,324.00","2,324.00",percent of total billed charges,"2,324.00",percent of total billed charges,"2,324.00",percent of total billed charges,"2,324.00",percent of total billed charges,"2,324.00",percent of total billed charges,"2,324.00",percent of total billed charges,"2,324.00",percent of total billed charges,"2,324.00",percent of total billed charges,"1,673.28",percent of total billed charges,"1,673.28",percent of total billed charges,"1,673.28",percent of total billed charges,"1,673.28",percent of total billed charges,"1,673.28",percent of total billed charges,"1,673.28",percent of total billed charges,"1,835.96",percent of total billed charges,"1,835.96",percent of total billed charges,"1,859.20",percent of total billed charges,"1,859.20",percent of total billed charges,,,"1,673.28",percent of total billed charges ,,,"1,859.20",percent of total billed charges ,"1,835.96",percent of total billed charges ,"1,835.96",percent of total billed charges ,"1,975.40",percent of total billed charges ,"1,975.40",percent of total billed charges ,"1,859.20",percent of total billed charges ,"1,859.20",percent of total billed charges ,"1,626.80",percent of total billed charges ,"1,626.80",percent of total billed charges ,"1,394.40",percent of total billed charges ,"1,394.40",percent of total billed charges ,"1,394.40",percent of total billed charges ,"1,394.40",percent of total billed charges ,,,,,"1,236.37",percent of total billed charges ,,,,,"1,174.55",percent of total billed charges ,,,,,,,,,,,,,,,,,,,534.52,percent of total billed charges,,,534.52,percent of total billed charges,,,534.52,percent of total billed charges,,,534.52,percent of total billed charges,,,534.52,percent of total billed charges,,,534.52,percent of total billed charges,,,534.52,percent of total billed charges,,,534.52,percent of total billed charges,,,534.52,percent of total billed charges,,,534.52,percent of total billed charges,,,534.52,percent of total billed charges,
RF ABLASION VENOM CANNULA 18GX100MM,272,RC,00906-99-0441,NDC,,both,,,589,589,135.47,589,589,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,465.31,percent of total billed charges,465.31,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 ,465.31,percent of total billed charges ,465.31,percent of total billed charges ,500.65,percent of total billed charges ,500.65,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 ,,,,,,,,,,,,,,,,,,,135.47,percent of total billed charges,,,135.47,percent of total billed charges,,,135.47,percent of total billed charges,,,135.47,percent of total billed charges,,,135.47,percent of total billed charges,,,135.47,percent of total billed charges,,,135.47,percent of total billed charges,,,135.47,percent of total billed charges,,,135.47,percent of total billed charges,,,135.47,percent of total billed charges,,,135.47,percent of total billed charges,
LUMBAR/SACRAL RADIO FREQ ABLATION SINGLE,64635,CDM,,,,both,,,"4,948.00","4,948.00","1,138.04","4,948.00","4,948.00",percent of total billed charges,"4,948.00",percent of total billed charges,"4,948.00",percent of total billed charges,"4,948.00",percent of total billed charges,"4,948.00",percent of total billed charges,"4,948.00",percent of total billed charges,"4,948.00",percent of total billed charges,"4,948.00",percent of total billed charges,"3,562.56",percent of total billed charges,"3,562.56",percent of total billed charges,"3,562.56",percent of total billed charges,"3,562.56",percent of total billed charges,"3,562.56",percent of total billed charges,"3,562.56",percent of total billed charges,"3,908.92",percent of total billed charges,"3,908.92",percent of total billed charges,"3,958.40",percent of total billed charges,"3,958.40",percent of total billed charges,,,"3,562.56",percent of total billed charges ,,,"3,958.40",percent of total billed charges ,"3,908.92",percent of total billed charges ,"3,908.92",percent of total billed charges ,"4,205.80",percent of total billed charges ,"4,205.80",percent of total billed charges ,"3,958.40",percent of total billed charges ,"3,958.40",percent of total billed charges ,"3,463.60",percent of total billed charges ,"3,463.60",percent of total billed charges ,"2,968.80",percent of total billed charges ,"2,968.80",percent of total billed charges ,"2,968.80",percent of total billed charges ,"2,968.80",percent of total billed charges ,,,,,"2,632.34",percent of total billed charges ,,,,,"2,500.72",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,138.04",percent of total billed charges,,,"1,138.04",percent of total billed charges,,,"1,138.04",percent of total billed charges,,,"1,138.04",percent of total billed charges,,,"1,138.04",percent of total billed charges,,,"1,138.04",percent of total billed charges,,,"1,138.04",percent of total billed charges,,,"1,138.04",percent of total billed charges,,,"1,138.04",percent of total billed charges,,,"1,138.04",percent of total billed charges,,,"1,138.04",percent of total billed charges,
VERSYS 6  BEADED FC 13X160MM STD BODY ST,278,RC,00906-99-0441,NDC,,both,,,"20,551.00","20,551.00","4,726.73","20,551.00","20,551.00",percent of total billed charges,"20,551.00",percent of total billed charges,"20,551.00",percent of total billed charges,"20,551.00",percent of total billed charges,"20,551.00",percent of total billed charges,"20,551.00",percent of total billed charges,"20,551.00",percent of total billed charges,"20,551.00",percent of total billed charges,"14,796.72",percent of total billed charges,"14,796.72",percent of total billed charges,"14,796.72",percent of total billed charges,"14,796.72",percent of total billed charges,"14,796.72",percent of total billed charges,"14,796.72",percent of total billed charges,"16,235.29",percent of total billed charges,"16,235.29",percent of total billed charges,"16,440.80",percent of total billed charges,"16,440.80",percent of total billed charges,,,"14,796.72",percent of total billed charges ,,,"16,440.80",percent of total billed charges ,"16,235.29",percent of total billed charges ,"16,235.29",percent of total billed charges ,"17,468.35",percent of total billed charges ,"17,468.35",percent of total billed charges ,"16,440.80",percent of total billed charges ,"16,440.80",percent of total billed charges ,"14,385.70",percent of total billed charges ,"14,385.70",percent of total billed charges ,"12,330.60",percent of total billed charges ,"12,330.60",percent of total billed charges ,"12,330.60",percent of total billed charges ,"12,330.60",percent of total billed charges ,,,,,"10,933.13",percent of total billed charges ,,,,,"10,386.48",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,726.73",percent of total billed charges,,,"4,726.73",percent of total billed charges,,,"4,726.73",percent of total billed charges,,,"4,726.73",percent of total billed charges,,,"4,726.73",percent of total billed charges,,,"4,726.73",percent of total billed charges,,,"4,726.73",percent of total billed charges,,,"4,726.73",percent of total billed charges,,,"4,726.73",percent of total billed charges,,,"4,726.73",percent of total billed charges,,,"4,726.73",percent of total billed charges,
"BIOLOX DELTA OPTION FEM HEAD 32MM, +0MM",278,RC,00906-99-0441,NDC,,both,,,"13,850.00","13,850.00","3,185.50","13,850.00","13,850.00",percent of total billed charges,"13,850.00",percent of total billed charges,"13,850.00",percent of total billed charges,"13,850.00",percent of total billed charges,"13,850.00",percent of total billed charges,"13,850.00",percent of total billed charges,"13,850.00",percent of total billed charges,"13,850.00",percent of total billed charges,"9,972.00",percent of total billed charges,"9,972.00",percent of total billed charges,"9,972.00",percent of total billed charges,"9,972.00",percent of total billed charges,"9,972.00",percent of total billed charges,"9,972.00",percent of total billed charges,"10,941.50",percent of total billed charges,"10,941.50",percent of total billed charges,"11,080.00",percent of total billed charges,"11,080.00",percent of total billed charges,,,"9,972.00",percent of total billed charges ,,,"11,080.00",percent of total billed charges ,"10,941.50",percent of total billed charges ,"10,941.50",percent of total billed charges ,"11,772.50",percent of total billed charges ,"11,772.50",percent of total billed charges ,"11,080.00",percent of total billed charges ,"11,080.00",percent of total billed charges ,"9,695.00",percent of total billed charges ,"9,695.00",percent of total billed charges ,"8,310.00",percent of total billed charges ,"8,310.00",percent of total billed charges ,"8,310.00",percent of total billed charges ,"8,310.00",percent of total billed charges ,,,,,"7,368.20",percent of total billed charges ,,,,,"6,999.79",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,185.50",percent of total billed charges,,,"3,185.50",percent of total billed charges,,,"3,185.50",percent of total billed charges,,,"3,185.50",percent of total billed charges,,,"3,185.50",percent of total billed charges,,,"3,185.50",percent of total billed charges,,,"3,185.50",percent of total billed charges,,,"3,185.50",percent of total billed charges,,,"3,185.50",percent of total billed charges,,,"3,185.50",percent of total billed charges,,,"3,185.50",percent of total billed charges,
PROXIMAL TENODESIS IMPLANT REV:0,C1713,CDM,,,,both,,,"8,959.00","8,959.00","2,060.57","8,959.00","8,959.00",percent of total billed charges,"8,959.00",percent of total billed charges,"8,959.00",percent of total billed charges,"8,959.00",percent of total billed charges,"8,959.00",percent of total billed charges,"8,959.00",percent of total billed charges,"8,959.00",percent of total billed charges,"8,959.00",percent of total billed charges,"6,450.48",percent of total billed charges,"6,450.48",percent of total billed charges,"6,450.48",percent of total billed charges,"6,450.48",percent of total billed charges,"6,450.48",percent of total billed charges,"6,450.48",percent of total billed charges,"7,077.61",percent of total billed charges,"7,077.61",percent of total billed charges,"7,167.20",percent of total billed charges,"7,167.20",percent of total billed charges,,,"6,450.48",percent of total billed charges ,,,"7,167.20",percent of total billed charges ,"7,077.61",percent of total billed charges ,"7,077.61",percent of total billed charges ,"7,615.15",percent of total billed charges ,"7,615.15",percent of total billed charges ,"7,167.20",percent of total billed charges ,"7,167.20",percent of total billed charges ,"6,271.30",percent of total billed charges ,"6,271.30",percent of total billed charges ,"5,375.40",percent of total billed charges ,"5,375.40",percent of total billed charges ,"5,375.40",percent of total billed charges ,"5,375.40",percent of total billed charges ,,,,,"4,766.19",percent of total billed charges ,,,,,"4,527.88",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,060.57",percent of total billed charges,,,"2,060.57",percent of total billed charges,,,"2,060.57",percent of total billed charges,,,"2,060.57",percent of total billed charges,,,"2,060.57",percent of total billed charges,,,"2,060.57",percent of total billed charges,,,"2,060.57",percent of total billed charges,,,"2,060.57",percent of total billed charges,,,"2,060.57",percent of total billed charges,,,"2,060.57",percent of total billed charges,,,"2,060.57",percent of total billed charges,
SPEEDBRG IMP IMPLANT W/BIO-COMP SWVLK,C1713,CDM,,,,both,,,"13,668.00","13,668.00","3,143.64","13,668.00","13,668.00",percent of total billed charges,"13,668.00",percent of total billed charges,"13,668.00",percent of total billed charges,"13,668.00",percent of total billed charges,"13,668.00",percent of total billed charges,"13,668.00",percent of total billed charges,"13,668.00",percent of total billed charges,"13,668.00",percent of total billed charges,"9,840.96",percent of total billed charges,"9,840.96",percent of total billed charges,"9,840.96",percent of total billed charges,"9,840.96",percent of total billed charges,"9,840.96",percent of total billed charges,"9,840.96",percent of total billed charges,"10,797.72",percent of total billed charges,"10,797.72",percent of total billed charges,"10,934.40",percent of total billed charges,"10,934.40",percent of total billed charges,,,"9,840.96",percent of total billed charges ,,,"10,934.40",percent of total billed charges ,"10,797.72",percent of total billed charges ,"10,797.72",percent of total billed charges ,"11,617.80",percent of total billed charges ,"11,617.80",percent of total billed charges ,"10,934.40",percent of total billed charges ,"10,934.40",percent of total billed charges ,"9,567.60",percent of total billed charges ,"9,567.60",percent of total billed charges ,"8,200.80",percent of total billed charges ,"8,200.80",percent of total billed charges ,"8,200.80",percent of total billed charges ,"8,200.80",percent of total billed charges ,,,,,"7,271.38",percent of total billed charges ,,,,,"6,907.81",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,143.64",percent of total billed charges,,,"3,143.64",percent of total billed charges,,,"3,143.64",percent of total billed charges,,,"3,143.64",percent of total billed charges,,,"3,143.64",percent of total billed charges,,,"3,143.64",percent of total billed charges,,,"3,143.64",percent of total billed charges,,,"3,143.64",percent of total billed charges,,,"3,143.64",percent of total billed charges,,,"3,143.64",percent of total billed charges,,,"3,143.64",percent of total billed charges,
GRAFT DECELLULARIZED DERMIS  4X7X1.5,C1713,CDM,,,,both,,,"16,217.00","16,217.00","3,729.91","16,217.00","16,217.00",percent of total billed charges,"16,217.00",percent of total billed charges,"16,217.00",percent of total billed charges,"16,217.00",percent of total billed charges,"16,217.00",percent of total billed charges,"16,217.00",percent of total billed charges,"16,217.00",percent of total billed charges,"16,217.00",percent of total billed charges,"11,676.24",percent of total billed charges,"11,676.24",percent of total billed charges,"11,676.24",percent of total billed charges,"11,676.24",percent of total billed charges,"11,676.24",percent of total billed charges,"11,676.24",percent of total billed charges,"12,811.43",percent of total billed charges,"12,811.43",percent of total billed charges,"12,973.60",percent of total billed charges,"12,973.60",percent of total billed charges,,,"11,676.24",percent of total billed charges ,,,"12,973.60",percent of total billed charges ,"12,811.43",percent of total billed charges ,"12,811.43",percent of total billed charges ,"13,784.45",percent of total billed charges ,"13,784.45",percent of total billed charges ,"12,973.60",percent of total billed charges ,"12,973.60",percent of total billed charges ,"11,351.90",percent of total billed charges ,"11,351.90",percent of total billed charges ,"9,730.20",percent of total billed charges ,"9,730.20",percent of total billed charges ,"9,730.20",percent of total billed charges ,"9,730.20",percent of total billed charges ,,,,,"8,627.44",percent of total billed charges ,,,,,"8,196.07",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,729.91",percent of total billed charges,,,"3,729.91",percent of total billed charges,,,"3,729.91",percent of total billed charges,,,"3,729.91",percent of total billed charges,,,"3,729.91",percent of total billed charges,,,"3,729.91",percent of total billed charges,,,"3,729.91",percent of total billed charges,,,"3,729.91",percent of total billed charges,,,"3,729.91",percent of total billed charges,,,"3,729.91",percent of total billed charges,,,"3,729.91",percent of total billed charges,
KNEE HIGH DEMAND CAP ATTUNE DEPUY,C1776,CDM,,,,both,,,"23,996.00","23,996.00","5,519.08","23,996.00","23,996.00",percent of total billed charges,"23,996.00",percent of total billed charges,"23,996.00",percent of total billed charges,"23,996.00",percent of total billed charges,"23,996.00",percent of total billed charges,"23,996.00",percent of total billed charges,"23,996.00",percent of total billed charges,"23,996.00",percent of total billed charges,"17,277.12",percent of total billed charges,"17,277.12",percent of total billed charges,"17,277.12",percent of total billed charges,"17,277.12",percent of total billed charges,"17,277.12",percent of total billed charges,"17,277.12",percent of total billed charges,"18,956.84",percent of total billed charges,"18,956.84",percent of total billed charges,"19,196.80",percent of total billed charges,"19,196.80",percent of total billed charges,,,"17,277.12",percent of total billed charges ,,,"19,196.80",percent of total billed charges ,"18,956.84",percent of total billed charges ,"18,956.84",percent of total billed charges ,"20,396.60",percent of total billed charges ,"20,396.60",percent of total billed charges ,"19,196.80",percent of total billed charges ,"19,196.80",percent of total billed charges ,"16,797.20",percent of total billed charges ,"16,797.20",percent of total billed charges ,"14,397.60",percent of total billed charges ,"14,397.60",percent of total billed charges ,"14,397.60",percent of total billed charges ,"14,397.60",percent of total billed charges ,,,,,"12,765.87",percent of total billed charges ,,,,,"12,127.58",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"5,519.08",percent of total billed charges,,,"5,519.08",percent of total billed charges,,,"5,519.08",percent of total billed charges,,,"5,519.08",percent of total billed charges,,,"5,519.08",percent of total billed charges,,,"5,519.08",percent of total billed charges,,,"5,519.08",percent of total billed charges,,,"5,519.08",percent of total billed charges,,,"5,519.08",percent of total billed charges,,,"5,519.08",percent of total billed charges,,,"5,519.08",percent of total billed charges,
"LABRALTAPE, WHITE 1.5MM 36",272,RC,00906-99-0441,NDC,,both,,,572,572,131.56,572,572,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,451.88,percent of total billed charges,451.88,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 ,451.88,percent of total billed charges ,451.88,percent of total billed charges ,486.2,percent of total billed charges ,486.2,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,131.56,percent of total billed charges,,,131.56,percent of total billed charges,,,131.56,percent of total billed charges,
PERSONA CEMENT VE PREM TOTAL KNEE CAP,278,RC,00906-99-0441,NDC,,both,,,"24,856.00","24,856.00","5,716.88","24,856.00","24,856.00",percent of total billed charges,"24,856.00",percent of total billed charges,"24,856.00",percent of total billed charges,"24,856.00",percent of total billed charges,"24,856.00",percent of total billed charges,"24,856.00",percent of total billed charges,"24,856.00",percent of total billed charges,"24,856.00",percent of total billed charges,"17,896.32",percent of total billed charges,"17,896.32",percent of total billed charges,"17,896.32",percent of total billed charges,"17,896.32",percent of total billed charges,"17,896.32",percent of total billed charges,"17,896.32",percent of total billed charges,"19,636.24",percent of total billed charges,"19,636.24",percent of total billed charges,"19,884.80",percent of total billed charges,"19,884.80",percent of total billed charges,,,"17,896.32",percent of total billed charges ,,,"19,884.80",percent of total billed charges ,"19,636.24",percent of total billed charges ,"19,636.24",percent of total billed charges ,"21,127.60",percent of total billed charges ,"21,127.60",percent of total billed charges ,"19,884.80",percent of total billed charges ,"19,884.80",percent of total billed charges ,"17,399.20",percent of total billed charges ,"17,399.20",percent of total billed charges ,"14,913.60",percent of total billed charges ,"14,913.60",percent of total billed charges ,"14,913.60",percent of total billed charges ,"14,913.60",percent of total billed charges ,,,,,"13,223.39",percent of total billed charges ,,,,,"12,562.22",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"5,716.88",percent of total billed charges,,,"5,716.88",percent of total billed charges,,,"5,716.88",percent of total billed charges,,,"5,716.88",percent of total billed charges,,,"5,716.88",percent of total billed charges,,,"5,716.88",percent of total billed charges,,,"5,716.88",percent of total billed charges,,,"5,716.88",percent of total billed charges,,,"5,716.88",percent of total billed charges,,,"5,716.88",percent of total billed charges,,,"5,716.88",percent of total billed charges,
BLOOD ADMINISTRATION 2 - 4 HRS,36430,CDM,,,GF,both,,,"1,498.00","1,498.00",344.54,"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,"1,183.42",percent of total billed charges,"1,183.42",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 ,"1,183.42",percent of total billed charges ,"1,183.42",percent of total billed charges ,"1,273.30",percent of total billed charges ,"1,273.30",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 ,,,,,,,,,,,,,,,,,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,
BLOOD ADMINISTRATION > 4 HRS,36430,CDM,,,GF,both,,,"1,498.00","1,498.00",344.54,"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,"1,183.42",percent of total billed charges,"1,183.42",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 ,"1,183.42",percent of total billed charges ,"1,183.42",percent of total billed charges ,"1,273.30",percent of total billed charges ,"1,273.30",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 ,,,,,,,,,,,,,,,,,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,
IMMUNIZATION ADMIN EA ADD'L VACCINE,90472,CDM,,,,both,,,110,110,25.3,110,110,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,86.9,percent of total billed charges,86.9,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 ,86.9,percent of total billed charges ,86.9,percent of total billed charges ,93.5,percent of total billed charges ,93.5,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 ,,,,,,,,,,,,,,,,,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,
BLADDER SCAN URINE MEASUREMENT,51798,CDM,,,,both,,,312,312,71.76,312,312,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,246.48,percent of total billed charges,246.48,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 ,246.48,percent of total billed charges ,246.48,percent of total billed charges ,265.2,percent of total billed charges ,265.2,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
CENTRAL LINE/PICC LINE BLOOD DRAW,36592,CDM,,,,both,,,217,217,49.91,217,217,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,171.43,percent of total billed charges,171.43,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 ,171.43,percent of total billed charges ,171.43,percent of total billed charges ,184.45,percent of total billed charges ,184.45,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 ,,,,,,,,,,,,,,,,,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,
CHEMO IV PUSH INITIAL,96409,CDM,,,,both,,,678,678,155.94,678,678,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,535.62,percent of total billed charges,535.62,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 ,535.62,percent of total billed charges ,535.62,percent of total billed charges ,576.3,percent of total billed charges ,576.3,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 ,,,,,,,,,,,,,,,,,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,
CHEMO IV PUSH EA ADD'L,96411,CDM,,,,both,,,459,459,105.57,459,459,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,362.61,percent of total billed charges,362.61,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 ,362.61,percent of total billed charges ,362.61,percent of total billed charges ,390.15,percent of total billed charges ,390.15,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 ,,,,,,,,,,,,,,,,,,,105.57,percent of total billed charges,,,105.57,percent of total billed charges,,,105.57,percent of total billed charges,,,105.57,percent of total billed charges,,,105.57,percent of total billed charges,,,105.57,percent of total billed charges,,,105.57,percent of total billed charges,,,105.57,percent of total billed charges,,,105.57,percent of total billed charges,,,105.57,percent of total billed charges,,,105.57,percent of total billed charges,
CHEMO IV INFUSION INITIAL UP TO 1 HR,96413,CDM,,,,both,,,"1,020.00","1,020.00",234.6,"1,020.00","1,020.00",percent of total billed charges,"1,020.00",percent of total billed charges,"1,020.00",percent of total billed charges,"1,020.00",percent of total billed charges,"1,020.00",percent of total billed charges,"1,020.00",percent of total billed charges,"1,020.00",percent of total billed charges,"1,020.00",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,734.4,percent of total billed charges,734.4,percent of total billed charges,805.8,percent of total billed charges,805.8,percent of total billed charges,816,percent of total billed charges,816,percent of total billed charges,,,734.4,percent of total billed charges ,,,816,percent of total billed charges ,805.8,percent of total billed charges ,805.8,percent of total billed charges ,867,percent of total billed charges ,867,percent of total billed charges ,816,percent of total billed charges ,816,percent of total billed charges ,714,percent of total billed charges ,714,percent of total billed charges ,612,percent of total billed charges ,612,percent of total billed charges ,612,percent of total billed charges ,612,percent of total billed charges ,,,,,542.64,percent of total billed charges ,,,,,515.51,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,,,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,,,234.6,percent of total billed charges,,,234.6,percent of total billed charges,,,234.6,percent of total billed charges,
CHEMO IV INFUSION EA ADD'L HR,96415,CDM,,,,both,,,400,400,92,400,400,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,400,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,316,percent of total billed charges,316,percent of total billed charges,320,percent of total billed charges,320,percent of total billed charges,,,288,percent of total billed charges ,,,320,percent of total billed charges ,316,percent of total billed charges ,316,percent of total billed charges ,340,percent of total billed charges ,340,percent of total billed charges ,320,percent of total billed charges ,320,percent of total billed charges ,280,percent of total billed charges ,280,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 ,,,,,212.8,percent of total billed charges ,,,,,202.16,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,,,92,percent of total billed charges,,,92,percent of total billed charges,,,92,percent of total billed charges,,,92,percent of total billed charges,
CHEMO IV INFUSION SEQUENTIAL,96417,CDM,,,,both,,,561,561,129.03,561,561,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,443.19,percent of total billed charges,443.19,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 ,443.19,percent of total billed charges ,443.19,percent of total billed charges ,476.85,percent of total billed charges ,476.85,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 ,,,,,,,,,,,,,,,,,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,
TUBING SET AQUILEX IN/OUT FLOW Y,272,RC,00906-99-0441,NDC,,both,,,"1,140.00","1,140.00",262.2,"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,900.6,percent of total billed charges,900.6,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 ,900.6,percent of total billed charges ,900.6,percent of total billed charges ,969,percent of total billed charges ,969,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,262.2,percent of total billed charges,,,262.2,percent of total billed charges,,,262.2,percent of total billed charges,
TISSUE REMOVAL DEVICE MYOSURE,A4649,CDM,,,,both,,,"8,407.00","8,407.00","1,933.61","8,407.00","8,407.00",percent of total billed charges,"8,407.00",percent of total billed charges,"8,407.00",percent of total billed charges,"8,407.00",percent of total billed charges,"8,407.00",percent of total billed charges,"8,407.00",percent of total billed charges,"8,407.00",percent of total billed charges,"8,407.00",percent of total billed charges,"6,053.04",percent of total billed charges,"6,053.04",percent of total billed charges,"6,053.04",percent of total billed charges,"6,053.04",percent of total billed charges,"6,053.04",percent of total billed charges,"6,053.04",percent of total billed charges,"6,641.53",percent of total billed charges,"6,641.53",percent of total billed charges,"6,725.60",percent of total billed charges,"6,725.60",percent of total billed charges,,,"6,053.04",percent of total billed charges ,,,"6,725.60",percent of total billed charges ,"6,641.53",percent of total billed charges ,"6,641.53",percent of total billed charges ,"7,145.95",percent of total billed charges ,"7,145.95",percent of total billed charges ,"6,725.60",percent of total billed charges ,"6,725.60",percent of total billed charges ,"5,884.90",percent of total billed charges ,"5,884.90",percent of total billed charges ,"5,044.20",percent of total billed charges ,"5,044.20",percent of total billed charges ,"5,044.20",percent of total billed charges ,"5,044.20",percent of total billed charges ,,,,,"4,472.52",percent of total billed charges ,,,,,"4,248.90",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,933.61",percent of total billed charges,,,"1,933.61",percent of total billed charges,,,"1,933.61",percent of total billed charges,,,"1,933.61",percent of total billed charges,,,"1,933.61",percent of total billed charges,,,"1,933.61",percent of total billed charges,,,"1,933.61",percent of total billed charges,,,"1,933.61",percent of total billed charges,,,"1,933.61",percent of total billed charges,,,"1,933.61",percent of total billed charges,,,"1,933.61",percent of total billed charges,
TISSUE REMOVAL DEVICE LITE MYOSURE,A4649,CDM,,,,both,,,"5,627.00","5,627.00","1,294.21","5,627.00","5,627.00",percent of total billed charges,"5,627.00",percent of total billed charges,"5,627.00",percent of total billed charges,"5,627.00",percent of total billed charges,"5,627.00",percent of total billed charges,"5,627.00",percent of total billed charges,"5,627.00",percent of total billed charges,"5,627.00",percent of total billed charges,"4,051.44",percent of total billed charges,"4,051.44",percent of total billed charges,"4,051.44",percent of total billed charges,"4,051.44",percent of total billed charges,"4,051.44",percent of total billed charges,"4,051.44",percent of total billed charges,"4,445.33",percent of total billed charges,"4,445.33",percent of total billed charges,"4,501.60",percent of total billed charges,"4,501.60",percent of total billed charges,,,"4,051.44",percent of total billed charges ,,,"4,501.60",percent of total billed charges ,"4,445.33",percent of total billed charges ,"4,445.33",percent of total billed charges ,"4,782.95",percent of total billed charges ,"4,782.95",percent of total billed charges ,"4,501.60",percent of total billed charges ,"4,501.60",percent of total billed charges ,"3,938.90",percent of total billed charges ,"3,938.90",percent of total billed charges ,"3,376.20",percent of total billed charges ,"3,376.20",percent of total billed charges ,"3,376.20",percent of total billed charges ,"3,376.20",percent of total billed charges ,,,,,"2,993.56",percent of total billed charges ,,,,,"2,843.89",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,294.21",percent of total billed charges,,,"1,294.21",percent of total billed charges,,,"1,294.21",percent of total billed charges,,,"1,294.21",percent of total billed charges,,,"1,294.21",percent of total billed charges,,,"1,294.21",percent of total billed charges,,,"1,294.21",percent of total billed charges,,,"1,294.21",percent of total billed charges,,,"1,294.21",percent of total billed charges,,,"1,294.21",percent of total billed charges,,,"1,294.21",percent of total billed charges,
TISSUE REMOVAL DEVICE XL MYOSURE,A4649,CDM,,,,both,,,"9,171.00","9,171.00","2,109.33","9,171.00","9,171.00",percent of total billed charges,"9,171.00",percent of total billed charges,"9,171.00",percent of total billed charges,"9,171.00",percent of total billed charges,"9,171.00",percent of total billed charges,"9,171.00",percent of total billed charges,"9,171.00",percent of total billed charges,"9,171.00",percent of total billed charges,"6,603.12",percent of total billed charges,"6,603.12",percent of total billed charges,"6,603.12",percent of total billed charges,"6,603.12",percent of total billed charges,"6,603.12",percent of total billed charges,"6,603.12",percent of total billed charges,"7,245.09",percent of total billed charges,"7,245.09",percent of total billed charges,"7,336.80",percent of total billed charges,"7,336.80",percent of total billed charges,,,"6,603.12",percent of total billed charges ,,,"7,336.80",percent of total billed charges ,"7,245.09",percent of total billed charges ,"7,245.09",percent of total billed charges ,"7,795.35",percent of total billed charges ,"7,795.35",percent of total billed charges ,"7,336.80",percent of total billed charges ,"7,336.80",percent of total billed charges ,"6,419.70",percent of total billed charges ,"6,419.70",percent of total billed charges ,"5,502.60",percent of total billed charges ,"5,502.60",percent of total billed charges ,"5,502.60",percent of total billed charges ,"5,502.60",percent of total billed charges ,,,,,"4,878.97",percent of total billed charges ,,,,,"4,635.02",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,109.33",percent of total billed charges,,,"2,109.33",percent of total billed charges,,,"2,109.33",percent of total billed charges,,,"2,109.33",percent of total billed charges,,,"2,109.33",percent of total billed charges,,,"2,109.33",percent of total billed charges,,,"2,109.33",percent of total billed charges,,,"2,109.33",percent of total billed charges,,,"2,109.33",percent of total billed charges,,,"2,109.33",percent of total billed charges,,,"2,109.33",percent of total billed charges,
ANATOEMIC PROSTHESIS 20MM,C1713,CDM,,,,both,,,"9,769.00","9,769.00","2,246.87","9,769.00","9,769.00",percent of total billed charges,"9,769.00",percent of total billed charges,"9,769.00",percent of total billed charges,"9,769.00",percent of total billed charges,"9,769.00",percent of total billed charges,"9,769.00",percent of total billed charges,"9,769.00",percent of total billed charges,"9,769.00",percent of total billed charges,"7,033.68",percent of total billed charges,"7,033.68",percent of total billed charges,"7,033.68",percent of total billed charges,"7,033.68",percent of total billed charges,"7,033.68",percent of total billed charges,"7,033.68",percent of total billed charges,"7,717.51",percent of total billed charges,"7,717.51",percent of total billed charges,"7,815.20",percent of total billed charges,"7,815.20",percent of total billed charges,,,"7,033.68",percent of total billed charges ,,,"7,815.20",percent of total billed charges ,"7,717.51",percent of total billed charges ,"7,717.51",percent of total billed charges ,"8,303.65",percent of total billed charges ,"8,303.65",percent of total billed charges ,"7,815.20",percent of total billed charges ,"7,815.20",percent of total billed charges ,"6,838.30",percent of total billed charges ,"6,838.30",percent of total billed charges ,"5,861.40",percent of total billed charges ,"5,861.40",percent of total billed charges ,"5,861.40",percent of total billed charges ,"5,861.40",percent of total billed charges ,,,,,"5,197.11",percent of total billed charges ,,,,,"4,937.25",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,246.87",percent of total billed charges,,,"2,246.87",percent of total billed charges,,,"2,246.87",percent of total billed charges,,,"2,246.87",percent of total billed charges,,,"2,246.87",percent of total billed charges,,,"2,246.87",percent of total billed charges,,,"2,246.87",percent of total billed charges,,,"2,246.87",percent of total billed charges,,,"2,246.87",percent of total billed charges,,,"2,246.87",percent of total billed charges,,,"2,246.87",percent of total billed charges,
ANCHOR TI 3.5MM #0 SUTURE,C1713,CDM,,,,both,,,"4,436.00","4,436.00","1,020.28","4,436.00","4,436.00",percent of total billed charges,"4,436.00",percent of total billed charges,"4,436.00",percent of total billed charges,"4,436.00",percent of total billed charges,"4,436.00",percent of total billed charges,"4,436.00",percent of total billed charges,"4,436.00",percent of total billed charges,"4,436.00",percent of total billed charges,"3,193.92",percent of total billed charges,"3,193.92",percent of total billed charges,"3,193.92",percent of total billed charges,"3,193.92",percent of total billed charges,"3,193.92",percent of total billed charges,"3,193.92",percent of total billed charges,"3,504.44",percent of total billed charges,"3,504.44",percent of total billed charges,"3,548.80",percent of total billed charges,"3,548.80",percent of total billed charges,,,"3,193.92",percent of total billed charges ,,,"3,548.80",percent of total billed charges ,"3,504.44",percent of total billed charges ,"3,504.44",percent of total billed charges ,"3,770.60",percent of total billed charges ,"3,770.60",percent of total billed charges ,"3,548.80",percent of total billed charges ,"3,548.80",percent of total billed charges ,"3,105.20",percent of total billed charges ,"3,105.20",percent of total billed charges ,"2,661.60",percent of total billed charges ,"2,661.60",percent of total billed charges ,"2,661.60",percent of total billed charges ,"2,661.60",percent of total billed charges ,,,,,"2,359.95",percent of total billed charges ,,,,,"2,241.95",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,020.28",percent of total billed charges,,,"1,020.28",percent of total billed charges,,,"1,020.28",percent of total billed charges,,,"1,020.28",percent of total billed charges,,,"1,020.28",percent of total billed charges,,,"1,020.28",percent of total billed charges,,,"1,020.28",percent of total billed charges,,,"1,020.28",percent of total billed charges,,,"1,020.28",percent of total billed charges,,,"1,020.28",percent of total billed charges,,,"1,020.28",percent of total billed charges,
CEMENT PREP KIT - HIP-BOROWIECKI,272,RC,00906-99-0441,NDC,,both,,,"3,582.00","3,582.00",823.86,"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,"2,829.78",percent of total billed charges,"2,829.78",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 ,"2,829.78",percent of total billed charges ,"2,829.78",percent of total billed charges ,"3,044.70",percent of total billed charges ,"3,044.70",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 ,,,,,,,,,,,,,,,,,,,823.86,percent of total billed charges,,,823.86,percent of total billed charges,,,823.86,percent of total billed charges,,,823.86,percent of total billed charges,,,823.86,percent of total billed charges,,,823.86,percent of total billed charges,,,823.86,percent of total billed charges,,,823.86,percent of total billed charges,,,823.86,percent of total billed charges,,,823.86,percent of total billed charges,,,823.86,percent of total billed charges,
EVOLVE STEM,C1713,CDM,,,,both,,,"20,661.00","20,661.00","4,752.03","20,661.00","20,661.00",percent of total billed charges,"20,661.00",percent of total billed charges,"20,661.00",percent of total billed charges,"20,661.00",percent of total billed charges,"20,661.00",percent of total billed charges,"20,661.00",percent of total billed charges,"20,661.00",percent of total billed charges,"20,661.00",percent of total billed charges,"14,875.92",percent of total billed charges,"14,875.92",percent of total billed charges,"14,875.92",percent of total billed charges,"14,875.92",percent of total billed charges,"14,875.92",percent of total billed charges,"14,875.92",percent of total billed charges,"16,322.19",percent of total billed charges,"16,322.19",percent of total billed charges,"16,528.80",percent of total billed charges,"16,528.80",percent of total billed charges,,,"14,875.92",percent of total billed charges ,,,"16,528.80",percent of total billed charges ,"16,322.19",percent of total billed charges ,"16,322.19",percent of total billed charges ,"17,561.85",percent of total billed charges ,"17,561.85",percent of total billed charges ,"16,528.80",percent of total billed charges ,"16,528.80",percent of total billed charges ,"14,462.70",percent of total billed charges ,"14,462.70",percent of total billed charges ,"12,396.60",percent of total billed charges ,"12,396.60",percent of total billed charges ,"12,396.60",percent of total billed charges ,"12,396.60",percent of total billed charges ,,,,,"10,991.65",percent of total billed charges ,,,,,"10,442.07",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,752.03",percent of total billed charges,,,"4,752.03",percent of total billed charges,,,"4,752.03",percent of total billed charges,,,"4,752.03",percent of total billed charges,,,"4,752.03",percent of total billed charges,,,"4,752.03",percent of total billed charges,,,"4,752.03",percent of total billed charges,,,"4,752.03",percent of total billed charges,,,"4,752.03",percent of total billed charges,,,"4,752.03",percent of total billed charges,,,"4,752.03",percent of total billed charges,
EVOLVE PROLINE HEAD,C1713,CDM,,,,both,,,"17,386.00","17,386.00","3,998.78","17,386.00","17,386.00",percent of total billed charges,"17,386.00",percent of total billed charges,"17,386.00",percent of total billed charges,"17,386.00",percent of total billed charges,"17,386.00",percent of total billed charges,"17,386.00",percent of total billed charges,"17,386.00",percent of total billed charges,"17,386.00",percent of total billed charges,"12,517.92",percent of total billed charges,"12,517.92",percent of total billed charges,"12,517.92",percent of total billed charges,"12,517.92",percent of total billed charges,"12,517.92",percent of total billed charges,"12,517.92",percent of total billed charges,"13,734.94",percent of total billed charges,"13,734.94",percent of total billed charges,"13,908.80",percent of total billed charges,"13,908.80",percent of total billed charges,,,"12,517.92",percent of total billed charges ,,,"13,908.80",percent of total billed charges ,"13,734.94",percent of total billed charges ,"13,734.94",percent of total billed charges ,"14,778.10",percent of total billed charges ,"14,778.10",percent of total billed charges ,"13,908.80",percent of total billed charges ,"13,908.80",percent of total billed charges ,"12,170.20",percent of total billed charges ,"12,170.20",percent of total billed charges ,"10,431.60",percent of total billed charges ,"10,431.60",percent of total billed charges ,"10,431.60",percent of total billed charges ,"10,431.60",percent of total billed charges ,,,,,"9,249.35",percent of total billed charges ,,,,,"8,786.88",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,998.78",percent of total billed charges,,,"3,998.78",percent of total billed charges,,,"3,998.78",percent of total billed charges,,,"3,998.78",percent of total billed charges,,,"3,998.78",percent of total billed charges,,,"3,998.78",percent of total billed charges,,,"3,998.78",percent of total billed charges,,,"3,998.78",percent of total billed charges,,,"3,998.78",percent of total billed charges,,,"3,998.78",percent of total billed charges,,,"3,998.78",percent of total billed charges,
HIP TOTAL DEPUY CAP GROUP 3 IMPLANT,C1776,CDM,,,,both,,,"35,543.00","35,543.00","8,174.89","35,543.00","35,543.00",percent of total billed charges,"35,543.00",percent of total billed charges,"35,543.00",percent of total billed charges,"35,543.00",percent of total billed charges,"35,543.00",percent of total billed charges,"35,543.00",percent of total billed charges,"35,543.00",percent of total billed charges,"35,543.00",percent of total billed charges,"25,590.96",percent of total billed charges,"25,590.96",percent of total billed charges,"25,590.96",percent of total billed charges,"25,590.96",percent of total billed charges,"25,590.96",percent of total billed charges,"25,590.96",percent of total billed charges,"28,078.97",percent of total billed charges,"28,078.97",percent of total billed charges,"28,434.40",percent of total billed charges,"28,434.40",percent of total billed charges,,,"25,590.96",percent of total billed charges ,,,"28,434.40",percent of total billed charges ,"28,078.97",percent of total billed charges ,"28,078.97",percent of total billed charges ,"30,211.55",percent of total billed charges ,"30,211.55",percent of total billed charges ,"28,434.40",percent of total billed charges ,"28,434.40",percent of total billed charges ,"24,880.10",percent of total billed charges ,"24,880.10",percent of total billed charges ,"21,325.80",percent of total billed charges ,"21,325.80",percent of total billed charges ,"21,325.80",percent of total billed charges ,"21,325.80",percent of total billed charges ,,,,,"18,908.88",percent of total billed charges ,,,,,"17,963.43",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"8,174.89",percent of total billed charges,,,"8,174.89",percent of total billed charges,,,"8,174.89",percent of total billed charges,,,"8,174.89",percent of total billed charges,,,"8,174.89",percent of total billed charges,,,"8,174.89",percent of total billed charges,,,"8,174.89",percent of total billed charges,,,"8,174.89",percent of total billed charges,,,"8,174.89",percent of total billed charges,,,"8,174.89",percent of total billed charges,,,"8,174.89",percent of total billed charges,
PLATE CLAVICLE SUP MIDSHAFT RT 9 HOLE,C1776,CDM,,,,both,,,"8,623.00","8,623.00","1,983.29","8,623.00","8,623.00",percent of total billed charges,"8,623.00",percent of total billed charges,"8,623.00",percent of total billed charges,"8,623.00",percent of total billed charges,"8,623.00",percent of total billed charges,"8,623.00",percent of total billed charges,"8,623.00",percent of total billed charges,"8,623.00",percent of total billed charges,"6,208.56",percent of total billed charges,"6,208.56",percent of total billed charges,"6,208.56",percent of total billed charges,"6,208.56",percent of total billed charges,"6,208.56",percent of total billed charges,"6,208.56",percent of total billed charges,"6,812.17",percent of total billed charges,"6,812.17",percent of total billed charges,"6,898.40",percent of total billed charges,"6,898.40",percent of total billed charges,,,"6,208.56",percent of total billed charges ,,,"6,898.40",percent of total billed charges ,"6,812.17",percent of total billed charges ,"6,812.17",percent of total billed charges ,"7,329.55",percent of total billed charges ,"7,329.55",percent of total billed charges ,"6,898.40",percent of total billed charges ,"6,898.40",percent of total billed charges ,"6,036.10",percent of total billed charges ,"6,036.10",percent of total billed charges ,"5,173.80",percent of total billed charges ,"5,173.80",percent of total billed charges ,"5,173.80",percent of total billed charges ,"5,173.80",percent of total billed charges ,,,,,"4,587.44",percent of total billed charges ,,,,,"4,358.06",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,983.29",percent of total billed charges,,,"1,983.29",percent of total billed charges,,,"1,983.29",percent of total billed charges,,,"1,983.29",percent of total billed charges,,,"1,983.29",percent of total billed charges,,,"1,983.29",percent of total billed charges,,,"1,983.29",percent of total billed charges,,,"1,983.29",percent of total billed charges,,,"1,983.29",percent of total billed charges,,,"1,983.29",percent of total billed charges,,,"1,983.29",percent of total billed charges,
PERC INSERT KIT FOR 3.0MM S-TAK,272,RC,00906-99-0441,NDC,,both,,,"2,528.00","2,528.00",581.44,"2,528.00","2,528.00",percent of total billed charges,"2,528.00",percent of total billed charges,"2,528.00",percent of total billed charges,"2,528.00",percent of total billed charges,"2,528.00",percent of total billed charges,"2,528.00",percent of total billed charges,"2,528.00",percent of total billed charges,"2,528.00",percent of total billed charges,"1,820.16",percent of total billed charges,"1,820.16",percent of total billed charges,"1,820.16",percent of total billed charges,"1,820.16",percent of total billed charges,"1,820.16",percent of total billed charges,"1,820.16",percent of total billed charges,"1,997.12",percent of total billed charges,"1,997.12",percent of total billed charges,"2,022.40",percent of total billed charges,"2,022.40",percent of total billed charges,,,"1,820.16",percent of total billed charges ,,,"2,022.40",percent of total billed charges ,"1,997.12",percent of total billed charges ,"1,997.12",percent of total billed charges ,"2,148.80",percent of total billed charges ,"2,148.80",percent of total billed charges ,"2,022.40",percent of total billed charges ,"2,022.40",percent of total billed charges ,"1,769.60",percent of total billed charges ,"1,769.60",percent of total billed charges ,"1,516.80",percent of total billed charges ,"1,516.80",percent of total billed charges ,"1,516.80",percent of total billed charges ,"1,516.80",percent of total billed charges ,,,,,"1,344.90",percent of total billed charges ,,,,,"1,277.65",percent of total billed charges ,,,,,,,,,,,,,,,,,,,581.44,percent of total billed charges,,,581.44,percent of total billed charges,,,581.44,percent of total billed charges,,,581.44,percent of total billed charges,,,581.44,percent of total billed charges,,,581.44,percent of total billed charges,,,581.44,percent of total billed charges,,,581.44,percent of total billed charges,,,581.44,percent of total billed charges,,,581.44,percent of total billed charges,,,581.44,percent of total billed charges,
SUTURE ANCHBIO-COMP S-TAK KNOTLESS,C1713,CDM,,,,both,,,"5,270.00","5,270.00","1,212.10","5,270.00","5,270.00",percent of total billed charges,"5,270.00",percent of total billed charges,"5,270.00",percent of total billed charges,"5,270.00",percent of total billed charges,"5,270.00",percent of total billed charges,"5,270.00",percent of total billed charges,"5,270.00",percent of total billed charges,"5,270.00",percent of total billed charges,"3,794.40",percent of total billed charges,"3,794.40",percent of total billed charges,"3,794.40",percent of total billed charges,"3,794.40",percent of total billed charges,"3,794.40",percent of total billed charges,"3,794.40",percent of total billed charges,"4,163.30",percent of total billed charges,"4,163.30",percent of total billed charges,"4,216.00",percent of total billed charges,"4,216.00",percent of total billed charges,,,"3,794.40",percent of total billed charges ,,,"4,216.00",percent of total billed charges ,"4,163.30",percent of total billed charges ,"4,163.30",percent of total billed charges ,"4,479.50",percent of total billed charges ,"4,479.50",percent of total billed charges ,"4,216.00",percent of total billed charges ,"4,216.00",percent of total billed charges ,"3,689.00",percent of total billed charges ,"3,689.00",percent of total billed charges ,"3,162.00",percent of total billed charges ,"3,162.00",percent of total billed charges ,"3,162.00",percent of total billed charges ,"3,162.00",percent of total billed charges ,,,,,"2,803.64",percent of total billed charges ,,,,,"2,663.46",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,212.10",percent of total billed charges,,,"1,212.10",percent of total billed charges,,,"1,212.10",percent of total billed charges,,,"1,212.10",percent of total billed charges,,,"1,212.10",percent of total billed charges,,,"1,212.10",percent of total billed charges,,,"1,212.10",percent of total billed charges,,,"1,212.10",percent of total billed charges,,,"1,212.10",percent of total billed charges,,,"1,212.10",percent of total billed charges,,,"1,212.10",percent of total billed charges,
"STEP DRL, FOR 3.0MM KNOTLESS S-TAK",272,RC,00906-99-0441,NDC,,both,,,952,952,218.96,952,952,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,752.08,percent of total billed charges,752.08,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 ,752.08,percent of total billed charges ,752.08,percent of total billed charges ,809.2,percent of total billed charges ,809.2,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 ,,,,,,,,,,,,,,,,,,,218.96,percent of total billed charges,,,218.96,percent of total billed charges,,,218.96,percent of total billed charges,,,218.96,percent of total billed charges,,,218.96,percent of total billed charges,,,218.96,percent of total billed charges,,,218.96,percent of total billed charges,,,218.96,percent of total billed charges,,,218.96,percent of total billed charges,,,218.96,percent of total billed charges,,,218.96,percent of total billed charges,
SUTURE ANCHOR 4.75X19.1 BIO COMP SWVLK,C1776,CDM,,,,both,,,"4,957.00","4,957.00","1,140.11","4,957.00","4,957.00",percent of total billed charges,"4,957.00",percent of total billed charges,"4,957.00",percent of total billed charges,"4,957.00",percent of total billed charges,"4,957.00",percent of total billed charges,"4,957.00",percent of total billed charges,"4,957.00",percent of total billed charges,"4,957.00",percent of total billed charges,"3,569.04",percent of total billed charges,"3,569.04",percent of total billed charges,"3,569.04",percent of total billed charges,"3,569.04",percent of total billed charges,"3,569.04",percent of total billed charges,"3,569.04",percent of total billed charges,"3,916.03",percent of total billed charges,"3,916.03",percent of total billed charges,"3,965.60",percent of total billed charges,"3,965.60",percent of total billed charges,,,"3,569.04",percent of total billed charges ,,,"3,965.60",percent of total billed charges ,"3,916.03",percent of total billed charges ,"3,916.03",percent of total billed charges ,"4,213.45",percent of total billed charges ,"4,213.45",percent of total billed charges ,"3,965.60",percent of total billed charges ,"3,965.60",percent of total billed charges ,"3,469.90",percent of total billed charges ,"3,469.90",percent of total billed charges ,"2,974.20",percent of total billed charges ,"2,974.20",percent of total billed charges ,"2,974.20",percent of total billed charges ,"2,974.20",percent of total billed charges ,,,,,"2,637.12",percent of total billed charges ,,,,,"2,505.27",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,140.11",percent of total billed charges,,,"1,140.11",percent of total billed charges,,,"1,140.11",percent of total billed charges,,,"1,140.11",percent of total billed charges,,,"1,140.11",percent of total billed charges,,,"1,140.11",percent of total billed charges,,,"1,140.11",percent of total billed charges,,,"1,140.11",percent of total billed charges,,,"1,140.11",percent of total billed charges,,,"1,140.11",percent of total billed charges,,,"1,140.11",percent of total billed charges,
TRIPLEDAM CANNULA 7MM X 7CM,C1776,CDM,,,,both,,,522,522,120.06,522,522,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,412.38,percent of total billed charges,412.38,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 ,412.38,percent of total billed charges ,412.38,percent of total billed charges ,443.7,percent of total billed charges ,443.7,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 ,,,,,,,,,,,,,,,,,,,120.06,percent of total billed charges,,,120.06,percent of total billed charges,,,120.06,percent of total billed charges,,,120.06,percent of total billed charges,,,120.06,percent of total billed charges,,,120.06,percent of total billed charges,,,120.06,percent of total billed charges,,,120.06,percent of total billed charges,,,120.06,percent of total billed charges,,,120.06,percent of total billed charges,,,120.06,percent of total billed charges,
PUNCH DISP CRKSCRW WSVLK ANCHS,C1713,CDM,,,,both,,,785,785,180.55,785,785,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,620.15,percent of total billed charges,620.15,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 ,620.15,percent of total billed charges ,620.15,percent of total billed charges ,667.25,percent of total billed charges ,667.25,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 ,,,,,,,,,,,,,,,,,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,
"SCREW SELF DRILL CANN LONG 2.3, 22MM",C1713,CDM,,,,both,,,"3,451.00","3,451.00",793.73,"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,"2,726.29",percent of total billed charges,"2,726.29",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 ,"2,726.29",percent of total billed charges ,"2,726.29",percent of total billed charges ,"2,933.35",percent of total billed charges ,"2,933.35",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 ,,,,,,,,,,,,,,,,,,,793.73,percent of total billed charges,,,793.73,percent of total billed charges,,,793.73,percent of total billed charges,,,793.73,percent of total billed charges,,,793.73,percent of total billed charges,,,793.73,percent of total billed charges,,,793.73,percent of total billed charges,,,793.73,percent of total billed charges,,,793.73,percent of total billed charges,,,793.73,percent of total billed charges,,,793.73,percent of total billed charges,
SUCTION IRRIGATOR NO TIP STRYKEFLOW II,272,RC,00906-99-0441,NDC,,both,,,416,416,95.68,416,416,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,328.64,percent of total billed charges,328.64,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 ,328.64,percent of total billed charges ,328.64,percent of total billed charges ,353.6,percent of total billed charges ,353.6,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 ,,,,,,,,,,,,,,,,,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,
PLATE TACK,C1713,CDM,,,,both,,,"1,055.00","1,055.00",242.65,"1,055.00","1,055.00",percent of total billed charges,"1,055.00",percent of total billed charges,"1,055.00",percent of total billed charges,"1,055.00",percent of total billed charges,"1,055.00",percent of total billed charges,"1,055.00",percent of total billed charges,"1,055.00",percent of total billed charges,"1,055.00",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,759.6,percent of total billed charges,759.6,percent of total billed charges,833.45,percent of total billed charges,833.45,percent of total billed charges,844,percent of total billed charges,844,percent of total billed charges,,,759.6,percent of total billed charges ,,,844,percent of total billed charges ,833.45,percent of total billed charges ,833.45,percent of total billed charges ,896.75,percent of total billed charges ,896.75,percent of total billed charges ,844,percent of total billed charges ,844,percent of total billed charges ,738.5,percent of total billed charges ,738.5,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 ,,,,,561.26,percent of total billed charges ,,,,,533.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,242.65,percent of total billed charges,,,242.65,percent of total billed charges,,,242.65,percent of total billed charges,,,242.65,percent of total billed charges,,,242.65,percent of total billed charges,,,242.65,percent of total billed charges,,,242.65,percent of total billed charges,,,242.65,percent of total billed charges,,,242.65,percent of total billed charges,,,242.65,percent of total billed charges,,,242.65,percent of total billed charges,
FUSION CUP,C1776,CDM,,,,both,,,"9,542.00","9,542.00","2,194.66","9,542.00","9,542.00",percent of total billed charges,"9,542.00",percent of total billed charges,"9,542.00",percent of total billed charges,"9,542.00",percent of total billed charges,"9,542.00",percent of total billed charges,"9,542.00",percent of total billed charges,"9,542.00",percent of total billed charges,"9,542.00",percent of total billed charges,"6,870.24",percent of total billed charges,"6,870.24",percent of total billed charges,"6,870.24",percent of total billed charges,"6,870.24",percent of total billed charges,"6,870.24",percent of total billed charges,"6,870.24",percent of total billed charges,"7,538.18",percent of total billed charges,"7,538.18",percent of total billed charges,"7,633.60",percent of total billed charges,"7,633.60",percent of total billed charges,,,"6,870.24",percent of total billed charges ,,,"7,633.60",percent of total billed charges ,"7,538.18",percent of total billed charges ,"7,538.18",percent of total billed charges ,"8,110.70",percent of total billed charges ,"8,110.70",percent of total billed charges ,"7,633.60",percent of total billed charges ,"7,633.60",percent of total billed charges ,"6,679.40",percent of total billed charges ,"6,679.40",percent of total billed charges ,"5,725.20",percent of total billed charges ,"5,725.20",percent of total billed charges ,"5,725.20",percent of total billed charges ,"5,725.20",percent of total billed charges ,,,,,"5,076.34",percent of total billed charges ,,,,,"4,822.53",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,194.66",percent of total billed charges,,,"2,194.66",percent of total billed charges,,,"2,194.66",percent of total billed charges,,,"2,194.66",percent of total billed charges,,,"2,194.66",percent of total billed charges,,,"2,194.66",percent of total billed charges,,,"2,194.66",percent of total billed charges,,,"2,194.66",percent of total billed charges,,,"2,194.66",percent of total billed charges,,,"2,194.66",percent of total billed charges,,,"2,194.66",percent of total billed charges,
SCREW COMPRESSION 2.4   08MM TO 12MM,C1713,CDM,,,,both,,,965,965,221.95,965,965,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,762.35,percent of total billed charges,762.35,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 ,762.35,percent of total billed charges ,762.35,percent of total billed charges ,820.25,percent of total billed charges ,820.25,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 ,,,,,,,,,,,,,,,,,,,221.95,percent of total billed charges,,,221.95,percent of total billed charges,,,221.95,percent of total billed charges,,,221.95,percent of total billed charges,,,221.95,percent of total billed charges,,,221.95,percent of total billed charges,,,221.95,percent of total billed charges,,,221.95,percent of total billed charges,,,221.95,percent of total billed charges,,,221.95,percent of total billed charges,,,221.95,percent of total billed charges,
REAMER FUSION CUP,272,RC,00906-99-0441,NDC,,both,,,"2,179.00","2,179.00",501.17,"2,179.00","2,179.00",percent of total billed charges,"2,179.00",percent of total billed charges,"2,179.00",percent of total billed charges,"2,179.00",percent of total billed charges,"2,179.00",percent of total billed charges,"2,179.00",percent of total billed charges,"2,179.00",percent of total billed charges,"2,179.00",percent of total billed charges,"1,568.88",percent of total billed charges,"1,568.88",percent of total billed charges,"1,568.88",percent of total billed charges,"1,568.88",percent of total billed charges,"1,568.88",percent of total billed charges,"1,568.88",percent of total billed charges,"1,721.41",percent of total billed charges,"1,721.41",percent of total billed charges,"1,743.20",percent of total billed charges,"1,743.20",percent of total billed charges,,,"1,568.88",percent of total billed charges ,,,"1,743.20",percent of total billed charges ,"1,721.41",percent of total billed charges ,"1,721.41",percent of total billed charges ,"1,852.15",percent of total billed charges ,"1,852.15",percent of total billed charges ,"1,743.20",percent of total billed charges ,"1,743.20",percent of total billed charges ,"1,525.30",percent of total billed charges ,"1,525.30",percent of total billed charges ,"1,307.40",percent of total billed charges ,"1,307.40",percent of total billed charges ,"1,307.40",percent of total billed charges ,"1,307.40",percent of total billed charges ,,,,,"1,159.23",percent of total billed charges ,,,,,"1,101.27",percent of total billed charges ,,,,,,,,,,,,,,,,,,,501.17,percent of total billed charges,,,501.17,percent of total billed charges,,,501.17,percent of total billed charges,,,501.17,percent of total billed charges,,,501.17,percent of total billed charges,,,501.17,percent of total billed charges,,,501.17,percent of total billed charges,,,501.17,percent of total billed charges,,,501.17,percent of total billed charges,,,501.17,percent of total billed charges,,,501.17,percent of total billed charges,
SECONDARY FIXATION ACL/PCL REPAIR KIT,278,RC,00906-99-0441,NDC,,both,,,"7,436.00","7,436.00","1,710.28","7,436.00","7,436.00",percent of total billed charges,"7,436.00",percent of total billed charges,"7,436.00",percent of total billed charges,"7,436.00",percent of total billed charges,"7,436.00",percent of total billed charges,"7,436.00",percent of total billed charges,"7,436.00",percent of total billed charges,"7,436.00",percent of total billed charges,"5,353.92",percent of total billed charges,"5,353.92",percent of total billed charges,"5,353.92",percent of total billed charges,"5,353.92",percent of total billed charges,"5,353.92",percent of total billed charges,"5,353.92",percent of total billed charges,"5,874.44",percent of total billed charges,"5,874.44",percent of total billed charges,"5,948.80",percent of total billed charges,"5,948.80",percent of total billed charges,,,"5,353.92",percent of total billed charges ,,,"5,948.80",percent of total billed charges ,"5,874.44",percent of total billed charges ,"5,874.44",percent of total billed charges ,"6,320.60",percent of total billed charges ,"6,320.60",percent of total billed charges ,"5,948.80",percent of total billed charges ,"5,948.80",percent of total billed charges ,"5,205.20",percent of total billed charges ,"5,205.20",percent of total billed charges ,"4,461.60",percent of total billed charges ,"4,461.60",percent of total billed charges ,"4,461.60",percent of total billed charges ,"4,461.60",percent of total billed charges ,,,,,"3,955.95",percent of total billed charges ,,,,,"3,758.15",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,710.28",percent of total billed charges,,,"1,710.28",percent of total billed charges,,,"1,710.28",percent of total billed charges,,,"1,710.28",percent of total billed charges,,,"1,710.28",percent of total billed charges,,,"1,710.28",percent of total billed charges,,,"1,710.28",percent of total billed charges,,,"1,710.28",percent of total billed charges,,,"1,710.28",percent of total billed charges,,,"1,710.28",percent of total billed charges,,,"1,710.28",percent of total billed charges,
FIBERWIRE #2TW  38  TAPER,278,RC,00906-99-0441,NDC,,both,,,733,733,168.59,733,733,percent of total billed charges,733,percent of total billed charges,733,percent of total billed charges,733,percent of total billed charges,733,percent of total billed charges,733,percent of total billed charges,733,percent of total billed charges,733,percent of total billed charges,527.76,percent of total billed charges,527.76,percent of total billed charges,527.76,percent of total billed charges,527.76,percent of total billed charges,527.76,percent of total billed charges,527.76,percent of total billed charges,579.07,percent of total billed charges,579.07,percent of total billed charges,586.4,percent of total billed charges,586.4,percent of total billed charges,,,527.76,percent of total billed charges ,,,586.4,percent of total billed charges ,579.07,percent of total billed charges ,579.07,percent of total billed charges ,623.05,percent of total billed charges ,623.05,percent of total billed charges ,586.4,percent of total billed charges ,586.4,percent of total billed charges ,513.1,percent of total billed charges ,513.1,percent of total billed charges ,439.8,percent of total billed charges ,439.8,percent of total billed charges ,439.8,percent of total billed charges ,439.8,percent of total billed charges ,,,,,389.96,percent of total billed charges ,,,,,370.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,168.59,percent of total billed charges,,,168.59,percent of total billed charges,,,168.59,percent of total billed charges,,,168.59,percent of total billed charges,,,168.59,percent of total billed charges,,,168.59,percent of total billed charges,,,168.59,percent of total billed charges,,,168.59,percent of total billed charges,,,168.59,percent of total billed charges,,,168.59,percent of total billed charges,,,168.59,percent of total billed charges,
HIP G7 OSSEOTI SHELL /MXL LINER,C1776,CDM,,,,both,,,"15,765.00","15,765.00","3,625.95","15,765.00","15,765.00",percent of total billed charges,"15,765.00",percent of total billed charges,"15,765.00",percent of total billed charges,"15,765.00",percent of total billed charges,"15,765.00",percent of total billed charges,"15,765.00",percent of total billed charges,"15,765.00",percent of total billed charges,"15,765.00",percent of total billed charges,"11,350.80",percent of total billed charges,"11,350.80",percent of total billed charges,"11,350.80",percent of total billed charges,"11,350.80",percent of total billed charges,"11,350.80",percent of total billed charges,"11,350.80",percent of total billed charges,"12,454.35",percent of total billed charges,"12,454.35",percent of total billed charges,"12,612.00",percent of total billed charges,"12,612.00",percent of total billed charges,,,"11,350.80",percent of total billed charges ,,,"12,612.00",percent of total billed charges ,"12,454.35",percent of total billed charges ,"12,454.35",percent of total billed charges ,"13,400.25",percent of total billed charges ,"13,400.25",percent of total billed charges ,"12,612.00",percent of total billed charges ,"12,612.00",percent of total billed charges ,"11,035.50",percent of total billed charges ,"11,035.50",percent of total billed charges ,"9,459.00",percent of total billed charges ,"9,459.00",percent of total billed charges ,"9,459.00",percent of total billed charges ,"9,459.00",percent of total billed charges ,,,,,"8,386.98",percent of total billed charges ,,,,,"7,967.63",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,625.95",percent of total billed charges,,,"3,625.95",percent of total billed charges,,,"3,625.95",percent of total billed charges,,,"3,625.95",percent of total billed charges,,,"3,625.95",percent of total billed charges,,,"3,625.95",percent of total billed charges,,,"3,625.95",percent of total billed charges,,,"3,625.95",percent of total billed charges,,,"3,625.95",percent of total billed charges,,,"3,625.95",percent of total billed charges,,,"3,625.95",percent of total billed charges,
HIP VERSYS POROUS STEM/STD HEAD/SCREWS,C1776,CDM,,,,both,,,"14,829.00","14,829.00","3,410.67","14,829.00","14,829.00",percent of total billed charges,"14,829.00",percent of total billed charges,"14,829.00",percent of total billed charges,"14,829.00",percent of total billed charges,"14,829.00",percent of total billed charges,"14,829.00",percent of total billed charges,"14,829.00",percent of total billed charges,"14,829.00",percent of total billed charges,"10,676.88",percent of total billed charges,"10,676.88",percent of total billed charges,"10,676.88",percent of total billed charges,"10,676.88",percent of total billed charges,"10,676.88",percent of total billed charges,"10,676.88",percent of total billed charges,"11,714.91",percent of total billed charges,"11,714.91",percent of total billed charges,"11,863.20",percent of total billed charges,"11,863.20",percent of total billed charges,,,"10,676.88",percent of total billed charges ,,,"11,863.20",percent of total billed charges ,"11,714.91",percent of total billed charges ,"11,714.91",percent of total billed charges ,"12,604.65",percent of total billed charges ,"12,604.65",percent of total billed charges ,"11,863.20",percent of total billed charges ,"11,863.20",percent of total billed charges ,"10,380.30",percent of total billed charges ,"10,380.30",percent of total billed charges ,"8,897.40",percent of total billed charges ,"8,897.40",percent of total billed charges ,"8,897.40",percent of total billed charges ,"8,897.40",percent of total billed charges ,,,,,"7,889.03",percent of total billed charges ,,,,,"7,494.58",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,410.67",percent of total billed charges,,,"3,410.67",percent of total billed charges,,,"3,410.67",percent of total billed charges,,,"3,410.67",percent of total billed charges,,,"3,410.67",percent of total billed charges,,,"3,410.67",percent of total billed charges,,,"3,410.67",percent of total billed charges,,,"3,410.67",percent of total billed charges,,,"3,410.67",percent of total billed charges,,,"3,410.67",percent of total billed charges,,,"3,410.67",percent of total billed charges,
PREVENA 20CM WOUND MGMT DRSG,278,RC,00906-99-0441,NDC,,both,,,"4,036.00","4,036.00",928.28,"4,036.00","4,036.00",percent of total billed charges,"4,036.00",percent of total billed charges,"4,036.00",percent of total billed charges,"4,036.00",percent of total billed charges,"4,036.00",percent of total billed charges,"4,036.00",percent of total billed charges,"4,036.00",percent of total billed charges,"4,036.00",percent of total billed charges,"2,905.92",percent of total billed charges,"2,905.92",percent of total billed charges,"2,905.92",percent of total billed charges,"2,905.92",percent of total billed charges,"2,905.92",percent of total billed charges,"2,905.92",percent of total billed charges,"3,188.44",percent of total billed charges,"3,188.44",percent of total billed charges,"3,228.80",percent of total billed charges,"3,228.80",percent of total billed charges,,,"2,905.92",percent of total billed charges ,,,"3,228.80",percent of total billed charges ,"3,188.44",percent of total billed charges ,"3,188.44",percent of total billed charges ,"3,430.60",percent of total billed charges ,"3,430.60",percent of total billed charges ,"3,228.80",percent of total billed charges ,"3,228.80",percent of total billed charges ,"2,825.20",percent of total billed charges ,"2,825.20",percent of total billed charges ,"2,421.60",percent of total billed charges ,"2,421.60",percent of total billed charges ,"2,421.60",percent of total billed charges ,"2,421.60",percent of total billed charges ,,,,,"2,147.15",percent of total billed charges ,,,,,"2,039.79",percent of total billed charges ,,,,,,,,,,,,,,,,,,,928.28,percent of total billed charges,,,928.28,percent of total billed charges,,,928.28,percent of total billed charges,,,928.28,percent of total billed charges,,,928.28,percent of total billed charges,,,928.28,percent of total billed charges,,,928.28,percent of total billed charges,,,928.28,percent of total billed charges,,,928.28,percent of total billed charges,,,928.28,percent of total billed charges,,,928.28,percent of total billed charges,
ANCHOR HEALIX ADVANCE,C1713,CDM,,,,both,,,"3,352.00","3,352.00",770.96,"3,352.00","3,352.00",percent of total billed charges,"3,352.00",percent of total billed charges,"3,352.00",percent of total billed charges,"3,352.00",percent of total billed charges,"3,352.00",percent of total billed charges,"3,352.00",percent of total billed charges,"3,352.00",percent of total billed charges,"3,352.00",percent of total billed charges,"2,413.44",percent of total billed charges,"2,413.44",percent of total billed charges,"2,413.44",percent of total billed charges,"2,413.44",percent of total billed charges,"2,413.44",percent of total billed charges,"2,413.44",percent of total billed charges,"2,648.08",percent of total billed charges,"2,648.08",percent of total billed charges,"2,681.60",percent of total billed charges,"2,681.60",percent of total billed charges,,,"2,413.44",percent of total billed charges ,,,"2,681.60",percent of total billed charges ,"2,648.08",percent of total billed charges ,"2,648.08",percent of total billed charges ,"2,849.20",percent of total billed charges ,"2,849.20",percent of total billed charges ,"2,681.60",percent of total billed charges ,"2,681.60",percent of total billed charges ,"2,346.40",percent of total billed charges ,"2,346.40",percent of total billed charges ,"2,011.20",percent of total billed charges ,"2,011.20",percent of total billed charges ,"2,011.20",percent of total billed charges ,"2,011.20",percent of total billed charges ,,,,,"1,783.26",percent of total billed charges ,,,,,"1,694.10",percent of total billed charges ,,,,,,,,,,,,,,,,,,,770.96,percent of total billed charges,,,770.96,percent of total billed charges,,,770.96,percent of total billed charges,,,770.96,percent of total billed charges,,,770.96,percent of total billed charges,,,770.96,percent of total billed charges,,,770.96,percent of total billed charges,,,770.96,percent of total billed charges,,,770.96,percent of total billed charges,,,770.96,percent of total billed charges,,,770.96,percent of total billed charges,
ANTERIOR TIBIALIS TENDON,278,RC,00906-99-0441,NDC,,both,,,"13,828.00","13,828.00","3,180.44","13,828.00","13,828.00",percent of total billed charges,"13,828.00",percent of total billed charges,"13,828.00",percent of total billed charges,"13,828.00",percent of total billed charges,"13,828.00",percent of total billed charges,"13,828.00",percent of total billed charges,"13,828.00",percent of total billed charges,"13,828.00",percent of total billed charges,"9,956.16",percent of total billed charges,"9,956.16",percent of total billed charges,"9,956.16",percent of total billed charges,"9,956.16",percent of total billed charges,"9,956.16",percent of total billed charges,"9,956.16",percent of total billed charges,"10,924.12",percent of total billed charges,"10,924.12",percent of total billed charges,"11,062.40",percent of total billed charges,"11,062.40",percent of total billed charges,,,"9,956.16",percent of total billed charges ,,,"11,062.40",percent of total billed charges ,"10,924.12",percent of total billed charges ,"10,924.12",percent of total billed charges ,"11,753.80",percent of total billed charges ,"11,753.80",percent of total billed charges ,"11,062.40",percent of total billed charges ,"11,062.40",percent of total billed charges ,"9,679.60",percent of total billed charges ,"9,679.60",percent of total billed charges ,"8,296.80",percent of total billed charges ,"8,296.80",percent of total billed charges ,"8,296.80",percent of total billed charges ,"8,296.80",percent of total billed charges ,,,,,"7,356.50",percent of total billed charges ,,,,,"6,988.67",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,180.44",percent of total billed charges,,,"3,180.44",percent of total billed charges,,,"3,180.44",percent of total billed charges,,,"3,180.44",percent of total billed charges,,,"3,180.44",percent of total billed charges,,,"3,180.44",percent of total billed charges,,,"3,180.44",percent of total billed charges,,,"3,180.44",percent of total billed charges,,,"3,180.44",percent of total billed charges,,,"3,180.44",percent of total billed charges,,,"3,180.44",percent of total billed charges,
LOCKDOWN AC DEVICE (9)CM,278,RC,00906-99-0441,NDC,,both,,,"16,862.00","16,862.00","3,878.26","16,862.00","16,862.00",percent of total billed charges,"16,862.00",percent of total billed charges,"16,862.00",percent of total billed charges,"16,862.00",percent of total billed charges,"16,862.00",percent of total billed charges,"16,862.00",percent of total billed charges,"16,862.00",percent of total billed charges,"16,862.00",percent of total billed charges,"12,140.64",percent of total billed charges,"12,140.64",percent of total billed charges,"12,140.64",percent of total billed charges,"12,140.64",percent of total billed charges,"12,140.64",percent of total billed charges,"12,140.64",percent of total billed charges,"13,320.98",percent of total billed charges,"13,320.98",percent of total billed charges,"13,489.60",percent of total billed charges,"13,489.60",percent of total billed charges,,,"12,140.64",percent of total billed charges ,,,"13,489.60",percent of total billed charges ,"13,320.98",percent of total billed charges ,"13,320.98",percent of total billed charges ,"14,332.70",percent of total billed charges ,"14,332.70",percent of total billed charges ,"13,489.60",percent of total billed charges ,"13,489.60",percent of total billed charges ,"11,803.40",percent of total billed charges ,"11,803.40",percent of total billed charges ,"10,117.20",percent of total billed charges ,"10,117.20",percent of total billed charges ,"10,117.20",percent of total billed charges ,"10,117.20",percent of total billed charges ,,,,,"8,970.58",percent of total billed charges ,,,,,"8,522.05",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,878.26",percent of total billed charges,,,"3,878.26",percent of total billed charges,,,"3,878.26",percent of total billed charges,,,"3,878.26",percent of total billed charges,,,"3,878.26",percent of total billed charges,,,"3,878.26",percent of total billed charges,,,"3,878.26",percent of total billed charges,,,"3,878.26",percent of total billed charges,,,"3,878.26",percent of total billed charges,,,"3,878.26",percent of total billed charges,,,"3,878.26",percent of total billed charges,
LOCKDOWN SCREW & WASHER ( )MM,C1713,CDM,,,,both,,,820,820,188.6,820,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,647.8,percent of total billed charges,647.8,percent of total billed charges,656,percent of total billed charges,656,percent of total billed charges,,,590.4,percent of total billed charges ,,,656,percent of total billed charges ,647.8,percent of total billed charges ,647.8,percent of total billed charges ,697,percent of total billed charges ,697,percent of total billed charges ,656,percent of total billed charges ,656,percent of total billed charges ,574,percent of total billed charges ,574,percent of total billed charges ,492,percent of total billed charges ,492,percent of total billed charges ,492,percent of total billed charges ,492,percent of total billed charges ,,,,,436.24,percent of total billed charges ,,,,,414.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,
LOCKDOWN LENGTH GAUGE,272,RC,00906-99-0441,NDC,,both,,,"1,882.00","1,882.00",432.86,"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,"1,486.78",percent of total billed charges,"1,486.78",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 ,"1,486.78",percent of total billed charges ,"1,486.78",percent of total billed charges ,"1,599.70",percent of total billed charges ,"1,599.70",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 ,,,,,,,,,,,,,,,,,,,432.86,percent of total billed charges,,,432.86,percent of total billed charges,,,432.86,percent of total billed charges,,,432.86,percent of total billed charges,,,432.86,percent of total billed charges,,,432.86,percent of total billed charges,,,432.86,percent of total billed charges,,,432.86,percent of total billed charges,,,432.86,percent of total billed charges,,,432.86,percent of total billed charges,,,432.86,percent of total billed charges,
LOCKDOWN AO DRILL 2.5MM DIAM,272,RC,00906-99-0441,NDC,,both,,,"1,086.00","1,086.00",249.78,"1,086.00","1,086.00",percent of total billed charges,"1,086.00",percent of total billed charges,"1,086.00",percent of total billed charges,"1,086.00",percent of total billed charges,"1,086.00",percent of total billed charges,"1,086.00",percent of total billed charges,"1,086.00",percent of total billed charges,"1,086.00",percent of total billed charges,781.92,percent of total billed charges,781.92,percent of total billed charges,781.92,percent of total billed charges,781.92,percent of total billed charges,781.92,percent of total billed charges,781.92,percent of total billed charges,857.94,percent of total billed charges,857.94,percent of total billed charges,868.8,percent of total billed charges,868.8,percent of total billed charges,,,781.92,percent of total billed charges ,,,868.8,percent of total billed charges ,857.94,percent of total billed charges ,857.94,percent of total billed charges ,923.1,percent of total billed charges ,923.1,percent of total billed charges ,868.8,percent of total billed charges ,868.8,percent of total billed charges ,760.2,percent of total billed charges ,760.2,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 ,,,,,577.75,percent of total billed charges ,,,,,548.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,249.78,percent of total billed charges,,,249.78,percent of total billed charges,,,249.78,percent of total billed charges,,,249.78,percent of total billed charges,,,249.78,percent of total billed charges,,,249.78,percent of total billed charges,,,249.78,percent of total billed charges,,,249.78,percent of total billed charges,,,249.78,percent of total billed charges,,,249.78,percent of total billed charges,,,249.78,percent of total billed charges,
LOCKDOWN AO CORTICAL TAP 3.5X130MM,C1713,CDM,,,,both,,,"1,086.00","1,086.00",249.78,"1,086.00","1,086.00",percent of total billed charges,"1,086.00",percent of total billed charges,"1,086.00",percent of total billed charges,"1,086.00",percent of total billed charges,"1,086.00",percent of total billed charges,"1,086.00",percent of total billed charges,"1,086.00",percent of total billed charges,"1,086.00",percent of total billed charges,781.92,percent of total billed charges,781.92,percent of total billed charges,781.92,percent of total billed charges,781.92,percent of total billed charges,781.92,percent of total billed charges,781.92,percent of total billed charges,857.94,percent of total billed charges,857.94,percent of total billed charges,868.8,percent of total billed charges,868.8,percent of total billed charges,,,781.92,percent of total billed charges ,,,868.8,percent of total billed charges ,857.94,percent of total billed charges ,857.94,percent of total billed charges ,923.1,percent of total billed charges ,923.1,percent of total billed charges ,868.8,percent of total billed charges ,868.8,percent of total billed charges ,760.2,percent of total billed charges ,760.2,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 ,,,,,577.75,percent of total billed charges ,,,,,548.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,249.78,percent of total billed charges,,,249.78,percent of total billed charges,,,249.78,percent of total billed charges,,,249.78,percent of total billed charges,,,249.78,percent of total billed charges,,,249.78,percent of total billed charges,,,249.78,percent of total billed charges,,,249.78,percent of total billed charges,,,249.78,percent of total billed charges,,,249.78,percent of total billed charges,,,249.78,percent of total billed charges,
SCREW FEMORAL INTERFERENCE 7X25MM 3.5 HE,C1713,CDM,,,,both,,,"1,206.00","1,206.00",277.38,"1,206.00","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,"1,206.00",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,868.32,percent of total billed charges,868.32,percent of total billed charges,868.32,percent of total billed charges,868.32,percent of total billed charges,868.32,percent of total billed charges,868.32,percent of total billed charges,952.74,percent of total billed charges,952.74,percent of total billed charges,964.8,percent of total billed charges,964.8,percent of total billed charges,,,868.32,percent of total billed charges ,,,964.8,percent of total billed charges ,952.74,percent of total billed charges ,952.74,percent of total billed charges ,"1,025.10",percent of total billed charges ,"1,025.10",percent of total billed charges ,964.8,percent of total billed charges ,964.8,percent of total billed charges ,844.2,percent of total billed charges ,844.2,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 ,,,,,641.59,percent of total billed charges ,,,,,609.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,277.38,percent of total billed charges,,,277.38,percent of total billed charges,,,277.38,percent of total billed charges,,,277.38,percent of total billed charges,,,277.38,percent of total billed charges,,,277.38,percent of total billed charges,,,277.38,percent of total billed charges,,,277.38,percent of total billed charges,,,277.38,percent of total billed charges,,,277.38,percent of total billed charges,,,277.38,percent of total billed charges,
SCREW CANNULATED INTERFERENCE 8X25MM 3.5,C1713,CDM,,,,both,,,"1,188.00","1,188.00",273.24,"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,938.52,percent of total billed charges,938.52,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 ,938.52,percent of total billed charges ,938.52,percent of total billed charges ,"1,009.80",percent of total billed charges ,"1,009.80",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 ,,,,,,,,,,,,,,,,,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,
PIN HEWSON,C1713,CDM,,,,both,,,258,258,59.34,258,258,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,203.82,percent of total billed charges,203.82,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 ,203.82,percent of total billed charges ,203.82,percent of total billed charges ,219.3,percent of total billed charges ,219.3,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 ,,,,,,,,,,,,,,,,,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,
BLADE SCREWDRIVER 2.5/2.8,272,RC,00906-99-0441,NDC,,both,,,"1,760.00","1,760.00",404.8,"1,760.00","1,760.00",percent of total billed charges,"1,760.00",percent of total billed charges,"1,760.00",percent of total billed charges,"1,760.00",percent of total billed charges,"1,760.00",percent of total billed charges,"1,760.00",percent of total billed charges,"1,760.00",percent of total billed charges,"1,760.00",percent of total billed charges,"1,267.20",percent of total billed charges,"1,267.20",percent of total billed charges,"1,267.20",percent of total billed charges,"1,267.20",percent of total billed charges,"1,267.20",percent of total billed charges,"1,267.20",percent of total billed charges,"1,390.40",percent of total billed charges,"1,390.40",percent of total billed charges,"1,408.00",percent of total billed charges,"1,408.00",percent of total billed charges,,,"1,267.20",percent of total billed charges ,,,"1,408.00",percent of total billed charges ,"1,390.40",percent of total billed charges ,"1,390.40",percent of total billed charges ,"1,496.00",percent of total billed charges ,"1,496.00",percent of total billed charges ,"1,408.00",percent of total billed charges ,"1,408.00",percent of total billed charges ,"1,232.00",percent of total billed charges ,"1,232.00",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 ,,,,,936.32,percent of total billed charges ,,,,,889.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,404.8,percent of total billed charges,,,404.8,percent of total billed charges,,,404.8,percent of total billed charges,,,404.8,percent of total billed charges,,,404.8,percent of total billed charges,,,404.8,percent of total billed charges,,,404.8,percent of total billed charges,,,404.8,percent of total billed charges,,,404.8,percent of total billed charges,,,404.8,percent of total billed charges,,,404.8,percent of total billed charges,
DRILL BIT Q/C 2.5MM DIAM X 300MM,272,RC,00906-99-0441,NDC,,both,,,917,917,210.91,917,917,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,660.24,percent of total billed charges,660.24,percent of total billed charges,660.24,percent of total billed charges,660.24,percent of total billed charges,660.24,percent of total billed charges,660.24,percent of total billed charges,724.43,percent of total billed charges,724.43,percent of total billed charges,733.6,percent of total billed charges,733.6,percent of total billed charges,,,660.24,percent of total billed charges ,,,733.6,percent of total billed charges ,724.43,percent of total billed charges ,724.43,percent of total billed charges ,779.45,percent of total billed charges ,779.45,percent of total billed charges ,733.6,percent of total billed charges ,733.6,percent of total billed charges ,641.9,percent of total billed charges ,641.9,percent of total billed charges ,550.2,percent of total billed charges ,550.2,percent of total billed charges ,550.2,percent of total billed charges ,550.2,percent of total billed charges ,,,,,487.84,percent of total billed charges ,,,,,463.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,210.91,percent of total billed charges,,,210.91,percent of total billed charges,,,210.91,percent of total billed charges,,,210.91,percent of total billed charges,,,210.91,percent of total billed charges,,,210.91,percent of total billed charges,,,210.91,percent of total billed charges,,,210.91,percent of total billed charges,,,210.91,percent of total billed charges,,,210.91,percent of total billed charges,,,210.91,percent of total billed charges,
ARTHREX GEMINI SR8,272,RC,00906-99-0441,NDC,,both,,,303,303,69.69,303,303,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,303,percent of total billed charges,303,percent of total billed charges,303,percent of total billed charges,218.16,percent of total billed charges,218.16,percent of total billed charges,218.16,percent of total billed charges,218.16,percent of total billed charges,218.16,percent of total billed charges,218.16,percent of total billed charges,239.37,percent of total billed charges,239.37,percent of total billed charges,242.4,percent of total billed charges,242.4,percent of total billed charges,,,218.16,percent of total billed charges ,,,242.4,percent of total billed charges ,239.37,percent of total billed charges ,239.37,percent of total billed charges ,257.55,percent of total billed charges ,257.55,percent of total billed charges ,242.4,percent of total billed charges ,242.4,percent of total billed charges ,212.1,percent of total billed charges ,212.1,percent of total billed charges ,181.8,percent of total billed charges ,181.8,percent of total billed charges ,181.8,percent of total billed charges ,181.8,percent of total billed charges ,,,,,161.2,percent of total billed charges ,,,,,153.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,
FIBERTAPE,272,RC,00906-99-0441,NDC,,both,,,472,472,108.56,472,472,percent of total billed charges,472,percent of total billed charges,472,percent of total billed charges,472,percent of total billed charges,472,percent of total billed charges,472,percent of total billed charges,472,percent of total billed charges,472,percent of total billed charges,339.84,percent of total billed charges,339.84,percent of total billed charges,339.84,percent of total billed charges,339.84,percent of total billed charges,339.84,percent of total billed charges,339.84,percent of total billed charges,372.88,percent of total billed charges,372.88,percent of total billed charges,377.6,percent of total billed charges,377.6,percent of total billed charges,,,339.84,percent of total billed charges ,,,377.6,percent of total billed charges ,372.88,percent of total billed charges ,372.88,percent of total billed charges ,401.2,percent of total billed charges ,401.2,percent of total billed charges ,377.6,percent of total billed charges ,377.6,percent of total billed charges ,330.4,percent of total billed charges ,330.4,percent of total billed charges ,283.2,percent of total billed charges ,283.2,percent of total billed charges ,283.2,percent of total billed charges ,283.2,percent of total billed charges ,,,,,251.1,percent of total billed charges ,,,,,238.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,
COUNTERSINK  5.0MM CANNULATED,C1713,CDM,,,,both,,,"1,496.00","1,496.00",344.08,"1,496.00","1,496.00",percent of total billed charges,"1,496.00",percent of total billed charges,"1,496.00",percent of total billed charges,"1,496.00",percent of total billed charges,"1,496.00",percent of total billed charges,"1,496.00",percent of total billed charges,"1,496.00",percent of total billed charges,"1,496.00",percent of total billed charges,"1,077.12",percent of total billed charges,"1,077.12",percent of total billed charges,"1,077.12",percent of total billed charges,"1,077.12",percent of total billed charges,"1,077.12",percent of total billed charges,"1,077.12",percent of total billed charges,"1,181.84",percent of total billed charges,"1,181.84",percent of total billed charges,"1,196.80",percent of total billed charges,"1,196.80",percent of total billed charges,,,"1,077.12",percent of total billed charges ,,,"1,196.80",percent of total billed charges ,"1,181.84",percent of total billed charges ,"1,181.84",percent of total billed charges ,"1,271.60",percent of total billed charges ,"1,271.60",percent of total billed charges ,"1,196.80",percent of total billed charges ,"1,196.80",percent of total billed charges ,"1,047.20",percent of total billed charges ,"1,047.20",percent of total billed charges ,897.6,percent of total billed charges ,897.6,percent of total billed charges ,897.6,percent of total billed charges ,897.6,percent of total billed charges ,,,,,795.87,percent of total billed charges ,,,,,756.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,344.08,percent of total billed charges,,,344.08,percent of total billed charges,,,344.08,percent of total billed charges,,,344.08,percent of total billed charges,,,344.08,percent of total billed charges,,,344.08,percent of total billed charges,,,344.08,percent of total billed charges,,,344.08,percent of total billed charges,,,344.08,percent of total billed charges,,,344.08,percent of total billed charges,,,344.08,percent of total billed charges,
PLATE MTP FUSION SMALL 5DG RT,C1713,CDM,,,,both,,,"14,037.00","14,037.00","3,228.51","14,037.00","14,037.00",percent of total billed charges,"14,037.00",percent of total billed charges,"14,037.00",percent of total billed charges,"14,037.00",percent of total billed charges,"14,037.00",percent of total billed charges,"14,037.00",percent of total billed charges,"14,037.00",percent of total billed charges,"14,037.00",percent of total billed charges,"10,106.64",percent of total billed charges,"10,106.64",percent of total billed charges,"10,106.64",percent of total billed charges,"10,106.64",percent of total billed charges,"10,106.64",percent of total billed charges,"10,106.64",percent of total billed charges,"11,089.23",percent of total billed charges,"11,089.23",percent of total billed charges,"11,229.60",percent of total billed charges,"11,229.60",percent of total billed charges,,,"10,106.64",percent of total billed charges ,,,"11,229.60",percent of total billed charges ,"11,089.23",percent of total billed charges ,"11,089.23",percent of total billed charges ,"11,931.45",percent of total billed charges ,"11,931.45",percent of total billed charges ,"11,229.60",percent of total billed charges ,"11,229.60",percent of total billed charges ,"9,825.90",percent of total billed charges ,"9,825.90",percent of total billed charges ,"8,422.20",percent of total billed charges ,"8,422.20",percent of total billed charges ,"8,422.20",percent of total billed charges ,"8,422.20",percent of total billed charges ,,,,,"7,467.68",percent of total billed charges ,,,,,"7,094.30",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,228.51",percent of total billed charges,,,"3,228.51",percent of total billed charges,,,"3,228.51",percent of total billed charges,,,"3,228.51",percent of total billed charges,,,"3,228.51",percent of total billed charges,,,"3,228.51",percent of total billed charges,,,"3,228.51",percent of total billed charges,,,"3,228.51",percent of total billed charges,,,"3,228.51",percent of total billed charges,,,"3,228.51",percent of total billed charges,,,"3,228.51",percent of total billed charges,
SCREW LOCKING LG HD 2.7X 10-20MM,C1713,CDM,,,,both,,,"2,806.00","2,806.00",645.38,"2,806.00","2,806.00",percent of total billed charges,"2,806.00",percent of total billed charges,"2,806.00",percent of total billed charges,"2,806.00",percent of total billed charges,"2,806.00",percent of total billed charges,"2,806.00",percent of total billed charges,"2,806.00",percent of total billed charges,"2,806.00",percent of total billed charges,"2,020.32",percent of total billed charges,"2,020.32",percent of total billed charges,"2,020.32",percent of total billed charges,"2,020.32",percent of total billed charges,"2,020.32",percent of total billed charges,"2,020.32",percent of total billed charges,"2,216.74",percent of total billed charges,"2,216.74",percent of total billed charges,"2,244.80",percent of total billed charges,"2,244.80",percent of total billed charges,,,"2,020.32",percent of total billed charges ,,,"2,244.80",percent of total billed charges ,"2,216.74",percent of total billed charges ,"2,216.74",percent of total billed charges ,"2,385.10",percent of total billed charges ,"2,385.10",percent of total billed charges ,"2,244.80",percent of total billed charges ,"2,244.80",percent of total billed charges ,"1,964.20",percent of total billed charges ,"1,964.20",percent of total billed charges ,"1,683.60",percent of total billed charges ,"1,683.60",percent of total billed charges ,"1,683.60",percent of total billed charges ,"1,683.60",percent of total billed charges ,,,,,"1,492.79",percent of total billed charges ,,,,,"1,418.15",percent of total billed charges ,,,,,,,,,,,,,,,,,,,645.38,percent of total billed charges,,,645.38,percent of total billed charges,,,645.38,percent of total billed charges,,,645.38,percent of total billed charges,,,645.38,percent of total billed charges,,,645.38,percent of total billed charges,,,645.38,percent of total billed charges,,,645.38,percent of total billed charges,,,645.38,percent of total billed charges,,,645.38,percent of total billed charges,,,645.38,percent of total billed charges,
EXPRESSE W III NEEDLE,C1713,CDM,,,,both,,,"2,126.00","2,126.00",488.98,"2,126.00","2,126.00",percent of total billed charges,"2,126.00",percent of total billed charges,"2,126.00",percent of total billed charges,"2,126.00",percent of total billed charges,"2,126.00",percent of total billed charges,"2,126.00",percent of total billed charges,"2,126.00",percent of total billed charges,"2,126.00",percent of total billed charges,"1,530.72",percent of total billed charges,"1,530.72",percent of total billed charges,"1,530.72",percent of total billed charges,"1,530.72",percent of total billed charges,"1,530.72",percent of total billed charges,"1,530.72",percent of total billed charges,"1,679.54",percent of total billed charges,"1,679.54",percent of total billed charges,"1,700.80",percent of total billed charges,"1,700.80",percent of total billed charges,,,"1,530.72",percent of total billed charges ,,,"1,700.80",percent of total billed charges ,"1,679.54",percent of total billed charges ,"1,679.54",percent of total billed charges ,"1,807.10",percent of total billed charges ,"1,807.10",percent of total billed charges ,"1,700.80",percent of total billed charges ,"1,700.80",percent of total billed charges ,"1,488.20",percent of total billed charges ,"1,488.20",percent of total billed charges ,"1,275.60",percent of total billed charges ,"1,275.60",percent of total billed charges ,"1,275.60",percent of total billed charges ,"1,275.60",percent of total billed charges ,,,,,"1,131.03",percent of total billed charges ,,,,,"1,074.48",percent of total billed charges ,,,,,,,,,,,,,,,,,,,488.98,percent of total billed charges,,,488.98,percent of total billed charges,,,488.98,percent of total billed charges,,,488.98,percent of total billed charges,,,488.98,percent of total billed charges,,,488.98,percent of total billed charges,,,488.98,percent of total billed charges,,,488.98,percent of total billed charges,,,488.98,percent of total billed charges,,,488.98,percent of total billed charges,,,488.98,percent of total billed charges,
CLEAR CANNULA THREADED 7MX75M,C1713,CDM,,,,both,,,435,435,100.05,435,435,percent of total billed charges,435,percent of total billed charges,435,percent of total billed charges,435,percent of total billed charges,435,percent of total billed charges,435,percent of total billed charges,435,percent of total billed charges,435,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,313.2,percent of total billed charges,313.2,percent of total billed charges,343.65,percent of total billed charges,343.65,percent of total billed charges,348,percent of total billed charges,348,percent of total billed charges,,,313.2,percent of total billed charges ,,,348,percent of total billed charges ,343.65,percent of total billed charges ,343.65,percent of total billed charges ,369.75,percent of total billed charges ,369.75,percent of total billed charges ,348,percent of total billed charges ,348,percent of total billed charges ,304.5,percent of total billed charges ,304.5,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 ,,,,,231.42,percent of total billed charges ,,,,,219.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,100.05,percent of total billed charges,,,100.05,percent of total billed charges,,,100.05,percent of total billed charges,,,100.05,percent of total billed charges,,,100.05,percent of total billed charges,,,100.05,percent of total billed charges,,,100.05,percent of total billed charges,,,100.05,percent of total billed charges,,,100.05,percent of total billed charges,,,100.05,percent of total billed charges,,,100.05,percent of total billed charges,
HEALIX AV BR 4.5 TAPE,C1713,CDM,,,,both,,,"3,931.00","3,931.00",904.13,"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,"3,105.49",percent of total billed charges,"3,105.49",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 ,"3,105.49",percent of total billed charges ,"3,105.49",percent of total billed charges ,"3,341.35",percent of total billed charges ,"3,341.35",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 ,,,,,,,,,,,,,,,,,,,904.13,percent of total billed charges,,,904.13,percent of total billed charges,,,904.13,percent of total billed charges,,,904.13,percent of total billed charges,,,904.13,percent of total billed charges,,,904.13,percent of total billed charges,,,904.13,percent of total billed charges,,,904.13,percent of total billed charges,,,904.13,percent of total billed charges,,,904.13,percent of total billed charges,,,904.13,percent of total billed charges,
HEALIX AV KNTLSS BR 4.75,278,RC,00906-99-0441,NDC,,both,,,"3,560.00","3,560.00",818.8,"3,560.00","3,560.00",percent of total billed charges,"3,560.00",percent of total billed charges,"3,560.00",percent of total billed charges,"3,560.00",percent of total billed charges,"3,560.00",percent of total billed charges,"3,560.00",percent of total billed charges,"3,560.00",percent of total billed charges,"3,560.00",percent of total billed charges,"2,563.20",percent of total billed charges,"2,563.20",percent of total billed charges,"2,563.20",percent of total billed charges,"2,563.20",percent of total billed charges,"2,563.20",percent of total billed charges,"2,563.20",percent of total billed charges,"2,812.40",percent of total billed charges,"2,812.40",percent of total billed charges,"2,848.00",percent of total billed charges,"2,848.00",percent of total billed charges,,,"2,563.20",percent of total billed charges ,,,"2,848.00",percent of total billed charges ,"2,812.40",percent of total billed charges ,"2,812.40",percent of total billed charges ,"3,026.00",percent of total billed charges ,"3,026.00",percent of total billed charges ,"2,848.00",percent of total billed charges ,"2,848.00",percent of total billed charges ,"2,492.00",percent of total billed charges ,"2,492.00",percent of total billed charges ,"2,136.00",percent of total billed charges ,"2,136.00",percent of total billed charges ,"2,136.00",percent of total billed charges ,"2,136.00",percent of total billed charges ,,,,,"1,893.92",percent of total billed charges ,,,,,"1,799.22",percent of total billed charges ,,,,,,,,,,,,,,,,,,,818.8,percent of total billed charges,,,818.8,percent of total billed charges,,,818.8,percent of total billed charges,,,818.8,percent of total billed charges,,,818.8,percent of total billed charges,,,818.8,percent of total billed charges,,,818.8,percent of total billed charges,,,818.8,percent of total billed charges,,,818.8,percent of total billed charges,,,818.8,percent of total billed charges,,,818.8,percent of total billed charges,
HEALIX AV BR 4.5 SUTANC PCORD,C1713,CDM,,,,both,,,"3,454.00","3,454.00",794.42,"3,454.00","3,454.00",percent of total billed charges,"3,454.00",percent of total billed charges,"3,454.00",percent of total billed charges,"3,454.00",percent of total billed charges,"3,454.00",percent of total billed charges,"3,454.00",percent of total billed charges,"3,454.00",percent of total billed charges,"3,454.00",percent of total billed charges,"2,486.88",percent of total billed charges,"2,486.88",percent of total billed charges,"2,486.88",percent of total billed charges,"2,486.88",percent of total billed charges,"2,486.88",percent of total billed charges,"2,486.88",percent of total billed charges,"2,728.66",percent of total billed charges,"2,728.66",percent of total billed charges,"2,763.20",percent of total billed charges,"2,763.20",percent of total billed charges,,,"2,486.88",percent of total billed charges ,,,"2,763.20",percent of total billed charges ,"2,728.66",percent of total billed charges ,"2,728.66",percent of total billed charges ,"2,935.90",percent of total billed charges ,"2,935.90",percent of total billed charges ,"2,763.20",percent of total billed charges ,"2,763.20",percent of total billed charges ,"2,417.80",percent of total billed charges ,"2,417.80",percent of total billed charges ,"2,072.40",percent of total billed charges ,"2,072.40",percent of total billed charges ,"2,072.40",percent of total billed charges ,"2,072.40",percent of total billed charges ,,,,,"1,837.53",percent of total billed charges ,,,,,"1,745.65",percent of total billed charges ,,,,,,,,,,,,,,,,,,,794.42,percent of total billed charges,,,794.42,percent of total billed charges,,,794.42,percent of total billed charges,,,794.42,percent of total billed charges,,,794.42,percent of total billed charges,,,794.42,percent of total billed charges,,,794.42,percent of total billed charges,,,794.42,percent of total billed charges,,,794.42,percent of total billed charges,,,794.42,percent of total billed charges,,,794.42,percent of total billed charges,
ELECTRODE RA 15CM COSMAN DISPOSABLE,272,RC,00906-99-0441,NDC,,both,,,812,812,186.76,812,812,percent of total billed charges,812,percent of total billed charges,812,percent of total billed charges,812,percent of total billed charges,812,percent of total billed charges,812,percent of total billed charges,812,percent of total billed charges,812,percent of total billed charges,584.64,percent of total billed charges,584.64,percent of total billed charges,584.64,percent of total billed charges,584.64,percent of total billed charges,584.64,percent of total billed charges,584.64,percent of total billed charges,641.48,percent of total billed charges,641.48,percent of total billed charges,649.6,percent of total billed charges,649.6,percent of total billed charges,,,584.64,percent of total billed charges ,,,649.6,percent of total billed charges ,641.48,percent of total billed charges ,641.48,percent of total billed charges ,690.2,percent of total billed charges ,690.2,percent of total billed charges ,649.6,percent of total billed charges ,649.6,percent of total billed charges ,568.4,percent of total billed charges ,568.4,percent of total billed charges ,487.2,percent of total billed charges ,487.2,percent of total billed charges ,487.2,percent of total billed charges ,487.2,percent of total billed charges ,,,,,431.98,percent of total billed charges ,,,,,410.38,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,
ELECTRODE RA 10CM COSMAN DISPOSABLE,272,RC,00906-99-0441,NDC,,both,,,812,812,186.76,812,812,percent of total billed charges,812,percent of total billed charges,812,percent of total billed charges,812,percent of total billed charges,812,percent of total billed charges,812,percent of total billed charges,812,percent of total billed charges,812,percent of total billed charges,584.64,percent of total billed charges,584.64,percent of total billed charges,584.64,percent of total billed charges,584.64,percent of total billed charges,584.64,percent of total billed charges,584.64,percent of total billed charges,641.48,percent of total billed charges,641.48,percent of total billed charges,649.6,percent of total billed charges,649.6,percent of total billed charges,,,584.64,percent of total billed charges ,,,649.6,percent of total billed charges ,641.48,percent of total billed charges ,641.48,percent of total billed charges ,690.2,percent of total billed charges ,690.2,percent of total billed charges ,649.6,percent of total billed charges ,649.6,percent of total billed charges ,568.4,percent of total billed charges ,568.4,percent of total billed charges ,487.2,percent of total billed charges ,487.2,percent of total billed charges ,487.2,percent of total billed charges ,487.2,percent of total billed charges ,,,,,431.98,percent of total billed charges ,,,,,410.38,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,
CANNULA RF CRVD SHARP 16G X 10CM COSMAN,272,RC,00906-99-0441,NDC,,both,,,192,192,44.16,192,192,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,151.68,percent of total billed charges,151.68,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 ,151.68,percent of total billed charges ,151.68,percent of total billed charges ,163.2,percent of total billed charges ,163.2,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 ,,,,,,,,,,,,,,,,,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,
CANNULA RF CRVD SHARP 16G X 15CM COSMAN,272,RC,00906-99-0441,NDC,,both,,,192,192,44.16,192,192,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,151.68,percent of total billed charges,151.68,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 ,151.68,percent of total billed charges ,151.68,percent of total billed charges ,163.2,percent of total billed charges ,163.2,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 ,,,,,,,,,,,,,,,,,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,
SMOKE EVACUATION PENCIL,272,RC,00906-99-0441,NDC,,both,,,290,290,66.7,290,290,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,229.1,percent of total billed charges,229.1,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 ,229.1,percent of total billed charges ,229.1,percent of total billed charges ,246.5,percent of total billed charges ,246.5,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 ,,,,,,,,,,,,,,,,,,,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,,,66.7,percent of total billed charges,,,66.7,percent of total billed charges,,,66.7,percent of total billed charges,
SCREW LOW PRO CORT 2.7 X 16MM,C1713,CDM,,,,both,,,"1,469.00","1,469.00",337.87,"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,"1,160.51",percent of total billed charges,"1,160.51",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 ,"1,160.51",percent of total billed charges ,"1,160.51",percent of total billed charges ,"1,248.65",percent of total billed charges ,"1,248.65",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 ,,,,,,,,,,,,,,,,,,,337.87,percent of total billed charges,,,337.87,percent of total billed charges,,,337.87,percent of total billed charges,,,337.87,percent of total billed charges,,,337.87,percent of total billed charges,,,337.87,percent of total billed charges,,,337.87,percent of total billed charges,,,337.87,percent of total billed charges,,,337.87,percent of total billed charges,,,337.87,percent of total billed charges,,,337.87,percent of total billed charges,
PIN TEMP FIXATION 1.1MM SMALL,278,RC,00906-99-0441,NDC,,both,,,"1,001.00","1,001.00",230.23,"1,001.00","1,001.00",percent of total billed charges,"1,001.00",percent of total billed charges,"1,001.00",percent of total billed charges,"1,001.00",percent of total billed charges,"1,001.00",percent of total billed charges,"1,001.00",percent of total billed charges,"1,001.00",percent of total billed charges,"1,001.00",percent of total billed charges,720.72,percent of total billed charges,720.72,percent of total billed charges,720.72,percent of total billed charges,720.72,percent of total billed charges,720.72,percent of total billed charges,720.72,percent of total billed charges,790.79,percent of total billed charges,790.79,percent of total billed charges,800.8,percent of total billed charges,800.8,percent of total billed charges,,,720.72,percent of total billed charges ,,,800.8,percent of total billed charges ,790.79,percent of total billed charges ,790.79,percent of total billed charges ,850.85,percent of total billed charges ,850.85,percent of total billed charges ,800.8,percent of total billed charges ,800.8,percent of total billed charges ,700.7,percent of total billed charges ,700.7,percent of total billed charges ,600.6,percent of total billed charges ,600.6,percent of total billed charges ,600.6,percent of total billed charges ,600.6,percent of total billed charges ,,,,,532.53,percent of total billed charges ,,,,,505.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,230.23,percent of total billed charges,,,230.23,percent of total billed charges,,,230.23,percent of total billed charges,,,230.23,percent of total billed charges,,,230.23,percent of total billed charges,,,230.23,percent of total billed charges,,,230.23,percent of total billed charges,,,230.23,percent of total billed charges,,,230.23,percent of total billed charges,,,230.23,percent of total billed charges,,,230.23,percent of total billed charges,
SUTURE PASSER NEEDLE QUATTRO,272,RC,00906-99-0441,NDC,,both,,,"1,576.00","1,576.00",362.48,"1,576.00","1,576.00",percent of total billed charges,"1,576.00",percent of total billed charges,"1,576.00",percent of total billed charges,"1,576.00",percent of total billed charges,"1,576.00",percent of total billed charges,"1,576.00",percent of total billed charges,"1,576.00",percent of total billed charges,"1,576.00",percent of total billed charges,"1,134.72",percent of total billed charges,"1,134.72",percent of total billed charges,"1,134.72",percent of total billed charges,"1,134.72",percent of total billed charges,"1,134.72",percent of total billed charges,"1,134.72",percent of total billed charges,"1,245.04",percent of total billed charges,"1,245.04",percent of total billed charges,"1,260.80",percent of total billed charges,"1,260.80",percent of total billed charges,,,"1,134.72",percent of total billed charges ,,,"1,260.80",percent of total billed charges ,"1,245.04",percent of total billed charges ,"1,245.04",percent of total billed charges ,"1,339.60",percent of total billed charges ,"1,339.60",percent of total billed charges ,"1,260.80",percent of total billed charges ,"1,260.80",percent of total billed charges ,"1,103.20",percent of total billed charges ,"1,103.20",percent of total billed charges ,945.6,percent of total billed charges ,945.6,percent of total billed charges ,945.6,percent of total billed charges ,945.6,percent of total billed charges ,,,,,838.43,percent of total billed charges ,,,,,796.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,362.48,percent of total billed charges,,,362.48,percent of total billed charges,,,362.48,percent of total billed charges,,,362.48,percent of total billed charges,,,362.48,percent of total billed charges,,,362.48,percent of total billed charges,,,362.48,percent of total billed charges,,,362.48,percent of total billed charges,,,362.48,percent of total billed charges,,,362.48,percent of total billed charges,,,362.48,percent of total billed charges,
"CANNULA HYDDM RGD 8.5 X 75MM, SINGLE",272,RC,00906-99-0441,NDC,,both,,,404,404,92.92,404,404,percent of total billed charges,404,percent of total billed charges,404,percent of total billed charges,404,percent of total billed charges,404,percent of total billed charges,404,percent of total billed charges,404,percent of total billed charges,404,percent of total billed charges,290.88,percent of total billed charges,290.88,percent of total billed charges,290.88,percent of total billed charges,290.88,percent of total billed charges,290.88,percent of total billed charges,290.88,percent of total billed charges,319.16,percent of total billed charges,319.16,percent of total billed charges,323.2,percent of total billed charges,323.2,percent of total billed charges,,,290.88,percent of total billed charges ,,,323.2,percent of total billed charges ,319.16,percent of total billed charges ,319.16,percent of total billed charges ,343.4,percent of total billed charges ,343.4,percent of total billed charges ,323.2,percent of total billed charges ,323.2,percent of total billed charges ,282.8,percent of total billed charges ,282.8,percent of total billed charges ,242.4,percent of total billed charges ,242.4,percent of total billed charges ,242.4,percent of total billed charges ,242.4,percent of total billed charges ,,,,,214.93,percent of total billed charges ,,,,,204.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,
SUTURE ANCHOR DOUBLE LOADED WITH BBAND,272,RC,00906-99-0441,NDC,,both,,,"3,432.00","3,432.00",789.36,"3,432.00","3,432.00",percent of total billed charges,"3,432.00",percent of total billed charges,"3,432.00",percent of total billed charges,"3,432.00",percent of total billed charges,"3,432.00",percent of total billed charges,"3,432.00",percent of total billed charges,"3,432.00",percent of total billed charges,"3,432.00",percent of total billed charges,"2,471.04",percent of total billed charges,"2,471.04",percent of total billed charges,"2,471.04",percent of total billed charges,"2,471.04",percent of total billed charges,"2,471.04",percent of total billed charges,"2,471.04",percent of total billed charges,"2,711.28",percent of total billed charges,"2,711.28",percent of total billed charges,"2,745.60",percent of total billed charges,"2,745.60",percent of total billed charges,,,"2,471.04",percent of total billed charges ,,,"2,745.60",percent of total billed charges ,"2,711.28",percent of total billed charges ,"2,711.28",percent of total billed charges ,"2,917.20",percent of total billed charges ,"2,917.20",percent of total billed charges ,"2,745.60",percent of total billed charges ,"2,745.60",percent of total billed charges ,"2,402.40",percent of total billed charges ,"2,402.40",percent of total billed charges ,"2,059.20",percent of total billed charges ,"2,059.20",percent of total billed charges ,"2,059.20",percent of total billed charges ,"2,059.20",percent of total billed charges ,,,,,"1,825.82",percent of total billed charges ,,,,,"1,734.53",percent of total billed charges ,,,,,,,,,,,,,,,,,,,789.36,percent of total billed charges,,,789.36,percent of total billed charges,,,789.36,percent of total billed charges,,,789.36,percent of total billed charges,,,789.36,percent of total billed charges,,,789.36,percent of total billed charges,,,789.36,percent of total billed charges,,,789.36,percent of total billed charges,,,789.36,percent of total billed charges,,,789.36,percent of total billed charges,,,789.36,percent of total billed charges,
ANCHOR LINK 4.5MM QUATTRO,C1713,CDM,,,,both,,,"4,145.00","4,145.00",953.35,"4,145.00","4,145.00",percent of total billed charges,"4,145.00",percent of total billed charges,"4,145.00",percent of total billed charges,"4,145.00",percent of total billed charges,"4,145.00",percent of total billed charges,"4,145.00",percent of total billed charges,"4,145.00",percent of total billed charges,"4,145.00",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,"2,984.40",percent of total billed charges,"2,984.40",percent of total billed charges,"3,274.55",percent of total billed charges,"3,274.55",percent of total billed charges,"3,316.00",percent of total billed charges,"3,316.00",percent of total billed charges,,,"2,984.40",percent of total billed charges ,,,"3,316.00",percent of total billed charges ,"3,274.55",percent of total billed charges ,"3,274.55",percent of total billed charges ,"3,523.25",percent of total billed charges ,"3,523.25",percent of total billed charges ,"3,316.00",percent of total billed charges ,"3,316.00",percent of total billed charges ,"2,901.50",percent of total billed charges ,"2,901.50",percent of total billed charges ,"2,487.00",percent of total billed charges ,"2,487.00",percent of total billed charges ,"2,487.00",percent of total billed charges ,"2,487.00",percent of total billed charges ,,,,,"2,205.14",percent of total billed charges ,,,,,"2,094.88",percent of total billed charges ,,,,,,,,,,,,,,,,,,,953.35,percent of total billed charges,,,953.35,percent of total billed charges,,,953.35,percent of total billed charges,,,953.35,percent of total billed charges,,,953.35,percent of total billed charges,,,953.35,percent of total billed charges,,,953.35,percent of total billed charges,,,953.35,percent of total billed charges,,,953.35,percent of total billed charges,,,953.35,percent of total billed charges,,,953.35,percent of total billed charges,
BASKET GEMINI 3 WIRE 2.4F X 90CM X 11MM,272,RC,00906-99-0441,NDC,,both,,,"1,579.00","1,579.00",363.17,"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,"1,247.41",percent of total billed charges,"1,247.41",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 ,"1,247.41",percent of total billed charges ,"1,247.41",percent of total billed charges ,"1,342.15",percent of total billed charges ,"1,342.15",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 ,,,,,,,,,,,,,,,,,,,363.17,percent of total billed charges,,,363.17,percent of total billed charges,,,363.17,percent of total billed charges,,,363.17,percent of total billed charges,,,363.17,percent of total billed charges,,,363.17,percent of total billed charges,,,363.17,percent of total billed charges,,,363.17,percent of total billed charges,,,363.17,percent of total billed charges,,,363.17,percent of total billed charges,,,363.17,percent of total billed charges,
BASKET SEGURA 2.4F X 120CM X 16MM,272,RC,00906-99-0441,NDC,,both,,,"1,758.00","1,758.00",404.34,"1,758.00","1,758.00",percent of total billed charges,"1,758.00",percent of total billed charges,"1,758.00",percent of total billed charges,"1,758.00",percent of total billed charges,"1,758.00",percent of total billed charges,"1,758.00",percent of total billed charges,"1,758.00",percent of total billed charges,"1,758.00",percent of total billed charges,"1,265.76",percent of total billed charges,"1,265.76",percent of total billed charges,"1,265.76",percent of total billed charges,"1,265.76",percent of total billed charges,"1,265.76",percent of total billed charges,"1,265.76",percent of total billed charges,"1,388.82",percent of total billed charges,"1,388.82",percent of total billed charges,"1,406.40",percent of total billed charges,"1,406.40",percent of total billed charges,,,"1,265.76",percent of total billed charges ,,,"1,406.40",percent of total billed charges ,"1,388.82",percent of total billed charges ,"1,388.82",percent of total billed charges ,"1,494.30",percent of total billed charges ,"1,494.30",percent of total billed charges ,"1,406.40",percent of total billed charges ,"1,406.40",percent of total billed charges ,"1,230.60",percent of total billed charges ,"1,230.60",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 ,,,,,935.26,percent of total billed charges ,,,,,888.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,404.34,percent of total billed charges,,,404.34,percent of total billed charges,,,404.34,percent of total billed charges,,,404.34,percent of total billed charges,,,404.34,percent of total billed charges,,,404.34,percent of total billed charges,,,404.34,percent of total billed charges,,,404.34,percent of total billed charges,,,404.34,percent of total billed charges,,,404.34,percent of total billed charges,,,404.34,percent of total billed charges,
PRONG TALON 3 2.4/120,272,RC,00906-99-0441,NDC,,both,,,"1,682.00","1,682.00",386.86,"1,682.00","1,682.00",percent of total billed charges,"1,682.00",percent of total billed charges,"1,682.00",percent of total billed charges,"1,682.00",percent of total billed charges,"1,682.00",percent of total billed charges,"1,682.00",percent of total billed charges,"1,682.00",percent of total billed charges,"1,682.00",percent of total billed charges,"1,211.04",percent of total billed charges,"1,211.04",percent of total billed charges,"1,211.04",percent of total billed charges,"1,211.04",percent of total billed charges,"1,211.04",percent of total billed charges,"1,211.04",percent of total billed charges,"1,328.78",percent of total billed charges,"1,328.78",percent of total billed charges,"1,345.60",percent of total billed charges,"1,345.60",percent of total billed charges,,,"1,211.04",percent of total billed charges ,,,"1,345.60",percent of total billed charges ,"1,328.78",percent of total billed charges ,"1,328.78",percent of total billed charges ,"1,429.70",percent of total billed charges ,"1,429.70",percent of total billed charges ,"1,345.60",percent of total billed charges ,"1,345.60",percent of total billed charges ,"1,177.40",percent of total billed charges ,"1,177.40",percent of total billed charges ,"1,009.20",percent of total billed charges ,"1,009.20",percent of total billed charges ,"1,009.20",percent of total billed charges ,"1,009.20",percent of total billed charges ,,,,,894.82,percent of total billed charges ,,,,,850.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,386.86,percent of total billed charges,,,386.86,percent of total billed charges,,,386.86,percent of total billed charges,,,386.86,percent of total billed charges,,,386.86,percent of total billed charges,,,386.86,percent of total billed charges,,,386.86,percent of total billed charges,,,386.86,percent of total billed charges,,,386.86,percent of total billed charges,,,386.86,percent of total billed charges,,,386.86,percent of total billed charges,
BASKET ZERO TIP 1.9F X 120CM,272,RC,00906-99-0441,NDC,,both,,,"1,928.00","1,928.00",443.44,"1,928.00","1,928.00",percent of total billed charges,"1,928.00",percent of total billed charges,"1,928.00",percent of total billed charges,"1,928.00",percent of total billed charges,"1,928.00",percent of total billed charges,"1,928.00",percent of total billed charges,"1,928.00",percent of total billed charges,"1,928.00",percent of total billed charges,"1,388.16",percent of total billed charges,"1,388.16",percent of total billed charges,"1,388.16",percent of total billed charges,"1,388.16",percent of total billed charges,"1,388.16",percent of total billed charges,"1,388.16",percent of total billed charges,"1,523.12",percent of total billed charges,"1,523.12",percent of total billed charges,"1,542.40",percent of total billed charges,"1,542.40",percent of total billed charges,,,"1,388.16",percent of total billed charges ,,,"1,542.40",percent of total billed charges ,"1,523.12",percent of total billed charges ,"1,523.12",percent of total billed charges ,"1,638.80",percent of total billed charges ,"1,638.80",percent of total billed charges ,"1,542.40",percent of total billed charges ,"1,542.40",percent of total billed charges ,"1,349.60",percent of total billed charges ,"1,349.60",percent of total billed charges ,"1,156.80",percent of total billed charges ,"1,156.80",percent of total billed charges ,"1,156.80",percent of total billed charges ,"1,156.80",percent of total billed charges ,,,,,"1,025.70",percent of total billed charges ,,,,,974.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,443.44,percent of total billed charges,,,443.44,percent of total billed charges,,,443.44,percent of total billed charges,,,443.44,percent of total billed charges,,,443.44,percent of total billed charges,,,443.44,percent of total billed charges,,,443.44,percent of total billed charges,,,443.44,percent of total billed charges,,,443.44,percent of total billed charges,,,443.44,percent of total billed charges,,,443.44,percent of total billed charges,
DILATOR URETERAL 8/10,272,RC,00906-99-0441,NDC,,both,,,553,553,127.19,553,553,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,436.87,percent of total billed charges,436.87,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 ,436.87,percent of total billed charges ,436.87,percent of total billed charges ,470.05,percent of total billed charges ,470.05,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 ,,,,,,,,,,,,,,,,,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,
ENCORE 26 SGL UROLOGY INFLATION,272,RC,00906-99-0441,NDC,,both,,,369,369,84.87,369,369,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,291.51,percent of total billed charges,291.51,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 ,291.51,percent of total billed charges ,291.51,percent of total billed charges ,313.65,percent of total billed charges ,313.65,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 ,,,,,,,,,,,,,,,,,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,
CATHETER ANGLE TIPPED 5FR / 65CM,272,RC,00906-99-0441,NDC,,both,,,198,198,45.54,198,198,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,156.42,percent of total billed charges,156.42,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 ,156.42,percent of total billed charges ,156.42,percent of total billed charges ,168.3,percent of total billed charges ,168.3,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 ,,,,,,,,,,,,,,,,,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,
SHEATH UR NAVIGATOR HD 12/14 F X 28 CM,272,RC,00906-99-0441,NDC,,both,,,"1,064.00","1,064.00",244.72,"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,840.56,percent of total billed charges,840.56,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 ,840.56,percent of total billed charges ,840.56,percent of total billed charges ,904.4,percent of total billed charges ,904.4,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 ,,,,,,,,,,,,,,,,,,,244.72,percent of total billed charges,,,244.72,percent of total billed charges,,,244.72,percent of total billed charges,,,244.72,percent of total billed charges,,,244.72,percent of total billed charges,,,244.72,percent of total billed charges,,,244.72,percent of total billed charges,,,244.72,percent of total billed charges,,,244.72,percent of total billed charges,,,244.72,percent of total billed charges,,,244.72,percent of total billed charges,
SHEATH UR NAVIGATOR HD 12/14 F X 36 CM,272,RC,00906-99-0441,NDC,,both,,,"1,064.00","1,064.00",244.72,"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,840.56,percent of total billed charges,840.56,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 ,840.56,percent of total billed charges ,840.56,percent of total billed charges ,904.4,percent of total billed charges ,904.4,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 ,,,,,,,,,,,,,,,,,,,244.72,percent of total billed charges,,,244.72,percent of total billed charges,,,244.72,percent of total billed charges,,,244.72,percent of total billed charges,,,244.72,percent of total billed charges,,,244.72,percent of total billed charges,,,244.72,percent of total billed charges,,,244.72,percent of total billed charges,,,244.72,percent of total billed charges,,,244.72,percent of total billed charges,,,244.72,percent of total billed charges,
BALLOON U2Q/5-4/5.8/75 SINGLE,272,RC,00906-99-0441,NDC,,both,,,"2,352.00","2,352.00",540.96,"2,352.00","2,352.00",percent of total billed charges,"2,352.00",percent of total billed charges,"2,352.00",percent of total billed charges,"2,352.00",percent of total billed charges,"2,352.00",percent of total billed charges,"2,352.00",percent of total billed charges,"2,352.00",percent of total billed charges,"2,352.00",percent of total billed charges,"1,693.44",percent of total billed charges,"1,693.44",percent of total billed charges,"1,693.44",percent of total billed charges,"1,693.44",percent of total billed charges,"1,693.44",percent of total billed charges,"1,693.44",percent of total billed charges,"1,858.08",percent of total billed charges,"1,858.08",percent of total billed charges,"1,881.60",percent of total billed charges,"1,881.60",percent of total billed charges,,,"1,693.44",percent of total billed charges ,,,"1,881.60",percent of total billed charges ,"1,858.08",percent of total billed charges ,"1,858.08",percent of total billed charges ,"1,999.20",percent of total billed charges ,"1,999.20",percent of total billed charges ,"1,881.60",percent of total billed charges ,"1,881.60",percent of total billed charges ,"1,646.40",percent of total billed charges ,"1,646.40",percent of total billed charges ,"1,411.20",percent of total billed charges ,"1,411.20",percent of total billed charges ,"1,411.20",percent of total billed charges ,"1,411.20",percent of total billed charges ,,,,,"1,251.26",percent of total billed charges ,,,,,"1,188.70",percent of total billed charges ,,,,,,,,,,,,,,,,,,,540.96,percent of total billed charges,,,540.96,percent of total billed charges,,,540.96,percent of total billed charges,,,540.96,percent of total billed charges,,,540.96,percent of total billed charges,,,540.96,percent of total billed charges,,,540.96,percent of total billed charges,,,540.96,percent of total billed charges,,,540.96,percent of total billed charges,,,540.96,percent of total billed charges,,,540.96,percent of total billed charges,
BALLOON U2Q/7-4/5.8/75 SINGLE,272,RC,00906-99-0441,NDC,,both,,,"2,197.00","2,197.00",505.31,"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,"1,735.63",percent of total billed charges,"1,735.63",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 ,"1,735.63",percent of total billed charges ,"1,735.63",percent of total billed charges ,"1,867.45",percent of total billed charges ,"1,867.45",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 ,,,,,,,,,,,,,,,,,,,505.31,percent of total billed charges,,,505.31,percent of total billed charges,,,505.31,percent of total billed charges,,,505.31,percent of total billed charges,,,505.31,percent of total billed charges,,,505.31,percent of total billed charges,,,505.31,percent of total billed charges,,,505.31,percent of total billed charges,,,505.31,percent of total billed charges,,,505.31,percent of total billed charges,,,505.31,percent of total billed charges,
LITHOVUE DISP STANDARD DEFLECTION GLOBAL,272,RC,00906-99-0441,NDC,,both,,,"10,060.00","10,060.00","2,313.80","10,060.00","10,060.00",percent of total billed charges,"10,060.00",percent of total billed charges,"10,060.00",percent of total billed charges,"10,060.00",percent of total billed charges,"10,060.00",percent of total billed charges,"10,060.00",percent of total billed charges,"10,060.00",percent of total billed charges,"10,060.00",percent of total billed charges,"7,243.20",percent of total billed charges,"7,243.20",percent of total billed charges,"7,243.20",percent of total billed charges,"7,243.20",percent of total billed charges,"7,243.20",percent of total billed charges,"7,243.20",percent of total billed charges,"7,947.40",percent of total billed charges,"7,947.40",percent of total billed charges,"8,048.00",percent of total billed charges,"8,048.00",percent of total billed charges,,,"7,243.20",percent of total billed charges ,,,"8,048.00",percent of total billed charges ,"7,947.40",percent of total billed charges ,"7,947.40",percent of total billed charges ,"8,551.00",percent of total billed charges ,"8,551.00",percent of total billed charges ,"8,048.00",percent of total billed charges ,"8,048.00",percent of total billed charges ,"7,042.00",percent of total billed charges ,"7,042.00",percent of total billed charges ,"6,036.00",percent of total billed charges ,"6,036.00",percent of total billed charges ,"6,036.00",percent of total billed charges ,"6,036.00",percent of total billed charges ,,,,,"5,351.92",percent of total billed charges ,,,,,"5,084.32",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,313.80",percent of total billed charges,,,"2,313.80",percent of total billed charges,,,"2,313.80",percent of total billed charges,,,"2,313.80",percent of total billed charges,,,"2,313.80",percent of total billed charges,,,"2,313.80",percent of total billed charges,,,"2,313.80",percent of total billed charges,,,"2,313.80",percent of total billed charges,,,"2,313.80",percent of total billed charges,,,"2,313.80",percent of total billed charges,,,"2,313.80",percent of total billed charges,
FORCEP PIRANHA 1MM FINAL ASSY & PACK URO,272,RC,00906-99-0441,NDC,,both,,,"3,045.00","3,045.00",700.35,"3,045.00","3,045.00",percent of total billed charges,"3,045.00",percent of total billed charges,"3,045.00",percent of total billed charges,"3,045.00",percent of total billed charges,"3,045.00",percent of total billed charges,"3,045.00",percent of total billed charges,"3,045.00",percent of total billed charges,"3,045.00",percent of total billed charges,"2,192.40",percent of total billed charges,"2,192.40",percent of total billed charges,"2,192.40",percent of total billed charges,"2,192.40",percent of total billed charges,"2,192.40",percent of total billed charges,"2,192.40",percent of total billed charges,"2,405.55",percent of total billed charges,"2,405.55",percent of total billed charges,"2,436.00",percent of total billed charges,"2,436.00",percent of total billed charges,,,"2,192.40",percent of total billed charges ,,,"2,436.00",percent of total billed charges ,"2,405.55",percent of total billed charges ,"2,405.55",percent of total billed charges ,"2,588.25",percent of total billed charges ,"2,588.25",percent of total billed charges ,"2,436.00",percent of total billed charges ,"2,436.00",percent of total billed charges ,"2,131.50",percent of total billed charges ,"2,131.50",percent of total billed charges ,"1,827.00",percent of total billed charges ,"1,827.00",percent of total billed charges ,"1,827.00",percent of total billed charges ,"1,827.00",percent of total billed charges ,,,,,"1,619.94",percent of total billed charges ,,,,,"1,538.94",percent of total billed charges ,,,,,,,,,,,,,,,,,,,700.35,percent of total billed charges,,,700.35,percent of total billed charges,,,700.35,percent of total billed charges,,,700.35,percent of total billed charges,,,700.35,percent of total billed charges,,,700.35,percent of total billed charges,,,700.35,percent of total billed charges,,,700.35,percent of total billed charges,,,700.35,percent of total billed charges,,,700.35,percent of total billed charges,,,700.35,percent of total billed charges,
ZIPWIRE ANGLED TIP .035IN,272,RC,00906-99-0441,NDC,,both,,,411,411,94.53,411,411,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,324.69,percent of total billed charges,324.69,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 ,324.69,percent of total billed charges ,324.69,percent of total billed charges ,349.35,percent of total billed charges ,349.35,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 ,,,,,,,,,,,,,,,,,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,
H/W INTERNALBRACE LGMNT AUGMNT REPAIR K,272,RC,00906-99-0441,NDC,,both,,,"11,646.00","11,646.00","2,678.58","11,646.00","11,646.00",percent of total billed charges,"11,646.00",percent of total billed charges,"11,646.00",percent of total billed charges,"11,646.00",percent of total billed charges,"11,646.00",percent of total billed charges,"11,646.00",percent of total billed charges,"11,646.00",percent of total billed charges,"11,646.00",percent of total billed charges,"8,385.12",percent of total billed charges,"8,385.12",percent of total billed charges,"8,385.12",percent of total billed charges,"8,385.12",percent of total billed charges,"8,385.12",percent of total billed charges,"8,385.12",percent of total billed charges,"9,200.34",percent of total billed charges,"9,200.34",percent of total billed charges,"9,316.80",percent of total billed charges,"9,316.80",percent of total billed charges,,,"8,385.12",percent of total billed charges ,,,"9,316.80",percent of total billed charges ,"9,200.34",percent of total billed charges ,"9,200.34",percent of total billed charges ,"9,899.10",percent of total billed charges ,"9,899.10",percent of total billed charges ,"9,316.80",percent of total billed charges ,"9,316.80",percent of total billed charges ,"8,152.20",percent of total billed charges ,"8,152.20",percent of total billed charges ,"6,987.60",percent of total billed charges ,"6,987.60",percent of total billed charges ,"6,987.60",percent of total billed charges ,"6,987.60",percent of total billed charges ,,,,,"6,195.67",percent of total billed charges ,,,,,"5,885.89",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,678.58",percent of total billed charges,,,"2,678.58",percent of total billed charges,,,"2,678.58",percent of total billed charges,,,"2,678.58",percent of total billed charges,,,"2,678.58",percent of total billed charges,,,"2,678.58",percent of total billed charges,,,"2,678.58",percent of total billed charges,,,"2,678.58",percent of total billed charges,,,"2,678.58",percent of total billed charges,,,"2,678.58",percent of total billed charges,,,"2,678.58",percent of total billed charges,
HALO OBTRYX,C1771,CDM,,,,both,,,"8,176.00","8,176.00","1,880.48","8,176.00","8,176.00",percent of total billed charges,"8,176.00",percent of total billed charges,"8,176.00",percent of total billed charges,"8,176.00",percent of total billed charges,"8,176.00",percent of total billed charges,"8,176.00",percent of total billed charges,"8,176.00",percent of total billed charges,"8,176.00",percent of total billed charges,"5,886.72",percent of total billed charges,"5,886.72",percent of total billed charges,"5,886.72",percent of total billed charges,"5,886.72",percent of total billed charges,"5,886.72",percent of total billed charges,"5,886.72",percent of total billed charges,"6,459.04",percent of total billed charges,"6,459.04",percent of total billed charges,"6,540.80",percent of total billed charges,"6,540.80",percent of total billed charges,,,"5,886.72",percent of total billed charges ,,,"6,540.80",percent of total billed charges ,"6,459.04",percent of total billed charges ,"6,459.04",percent of total billed charges ,"6,949.60",percent of total billed charges ,"6,949.60",percent of total billed charges ,"6,540.80",percent of total billed charges ,"6,540.80",percent of total billed charges ,"5,723.20",percent of total billed charges ,"5,723.20",percent of total billed charges ,"4,905.60",percent of total billed charges ,"4,905.60",percent of total billed charges ,"4,905.60",percent of total billed charges ,"4,905.60",percent of total billed charges ,,,,,"4,349.63",percent of total billed charges ,,,,,"4,132.15",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,880.48",percent of total billed charges,,,"1,880.48",percent of total billed charges,,,"1,880.48",percent of total billed charges,,,"1,880.48",percent of total billed charges,,,"1,880.48",percent of total billed charges,,,"1,880.48",percent of total billed charges,,,"1,880.48",percent of total billed charges,,,"1,880.48",percent of total billed charges,,,"1,880.48",percent of total billed charges,,,"1,880.48",percent of total billed charges,,,"1,880.48",percent of total billed charges,
TREATMENT ROOM,99211,CDM,,,,both,,,267,267,61.41,267,267,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,210.93,percent of total billed charges,210.93,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 ,210.93,percent of total billed charges ,210.93,percent of total billed charges ,226.95,percent of total billed charges ,226.95,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 ,,,,,,,,,,,,,,,,,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,
INFUSAPORT BLOOD DRAW,36591,CDM,,,,both,,,236,236,54.28,236,236,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,186.44,percent of total billed charges,186.44,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 ,186.44,percent of total billed charges ,186.44,percent of total billed charges ,200.6,percent of total billed charges ,200.6,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 ,,,,,,,,,,,,,,,,,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,
EXTENDED RECOVERY,710,RC,00906-99-0441,NDC,,both,,,410,410,94.3,410,410,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,323.9,percent of total billed charges,323.9,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 ,323.9,percent of total billed charges ,323.9,percent of total billed charges ,348.5,percent of total billed charges ,348.5,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 ,,,,,,,,,,,,,,,,,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,
"INTRAVENOUS INFUSION, HYDRATION; INITIAL",96360,CDM,,,59,both,,,653,653,150.19,653,653,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,515.87,percent of total billed charges,515.87,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 ,515.87,percent of total billed charges ,515.87,percent of total billed charges ,555.05,percent of total billed charges ,555.05,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 ,,,,,,,,,,,,,,,,,,,150.19,percent of total billed charges,,,150.19,percent of total billed charges,,,150.19,percent of total billed charges,,,150.19,percent of total billed charges,,,150.19,percent of total billed charges,,,150.19,percent of total billed charges,,,150.19,percent of total billed charges,,,150.19,percent of total billed charges,,,150.19,percent of total billed charges,,,150.19,percent of total billed charges,,,150.19,percent of total billed charges,
HYDRATION ADD'L HOUR (59),96361,CDM,,,59,both,,,377,377,86.71,377,377,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,297.83,percent of total billed charges,297.83,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 ,297.83,percent of total billed charges ,297.83,percent of total billed charges ,320.45,percent of total billed charges ,320.45,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 ,,,,,,,,,,,,,,,,,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,
ADD'L SEQ INFUSION OF NEW DRUG (59),96367,CDM,,,59,both,,,378,378,86.94,378,378,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,298.62,percent of total billed charges,298.62,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 ,298.62,percent of total billed charges ,298.62,percent of total billed charges ,321.3,percent of total billed charges ,321.3,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 ,,,,,,,,,,,,,,,,,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,
EPIDURAL INJ/LUMBAR/SACR/CAUD W IMAGIN,62323,CDM,,,,both,,,"2,740.00","2,740.00",630.2,"2,740.00","2,740.00",percent of total billed charges,"2,740.00",percent of total billed charges,"2,740.00",percent of total billed charges,"2,740.00",percent of total billed charges,"2,740.00",percent of total billed charges,"2,740.00",percent of total billed charges,"2,740.00",percent of total billed charges,"2,740.00",percent of total billed charges,"1,972.80",percent of total billed charges,"1,972.80",percent of total billed charges,"1,972.80",percent of total billed charges,"1,972.80",percent of total billed charges,"1,972.80",percent of total billed charges,"1,972.80",percent of total billed charges,"2,164.60",percent of total billed charges,"2,164.60",percent of total billed charges,"2,192.00",percent of total billed charges,"2,192.00",percent of total billed charges,,,"1,972.80",percent of total billed charges ,,,"2,192.00",percent of total billed charges ,"2,164.60",percent of total billed charges ,"2,164.60",percent of total billed charges ,"2,329.00",percent of total billed charges ,"2,329.00",percent of total billed charges ,"2,192.00",percent of total billed charges ,"2,192.00",percent of total billed charges ,"1,918.00",percent of total billed charges ,"1,918.00",percent of total billed charges ,"1,644.00",percent of total billed charges ,"1,644.00",percent of total billed charges ,"1,644.00",percent of total billed charges ,"1,644.00",percent of total billed charges ,,,,,"1,457.68",percent of total billed charges ,,,,,"1,384.80",percent of total billed charges ,,,,,,,,,,,,,,,,,,,630.2,percent of total billed charges,,,630.2,percent of total billed charges,,,630.2,percent of total billed charges,,,630.2,percent of total billed charges,,,630.2,percent of total billed charges,,,630.2,percent of total billed charges,,,630.2,percent of total billed charges,,,630.2,percent of total billed charges,,,630.2,percent of total billed charges,,,630.2,percent of total billed charges,,,630.2,percent of total billed charges,
EPIDURAL INJ/CERVICAL/THORACIC W/IMAGING,62321,CDM,,,,both,,,"2,917.00","2,917.00",670.91,"2,917.00","2,917.00",percent of total billed charges,"2,917.00",percent of total billed charges,"2,917.00",percent of total billed charges,"2,917.00",percent of total billed charges,"2,917.00",percent of total billed charges,"2,917.00",percent of total billed charges,"2,917.00",percent of total billed charges,"2,917.00",percent of total billed charges,"2,100.24",percent of total billed charges,"2,100.24",percent of total billed charges,"2,100.24",percent of total billed charges,"2,100.24",percent of total billed charges,"2,100.24",percent of total billed charges,"2,100.24",percent of total billed charges,"2,304.43",percent of total billed charges,"2,304.43",percent of total billed charges,"2,333.60",percent of total billed charges,"2,333.60",percent of total billed charges,,,"2,100.24",percent of total billed charges ,,,"2,333.60",percent of total billed charges ,"2,304.43",percent of total billed charges ,"2,304.43",percent of total billed charges ,"2,479.45",percent of total billed charges ,"2,479.45",percent of total billed charges ,"2,333.60",percent of total billed charges ,"2,333.60",percent of total billed charges ,"2,041.90",percent of total billed charges ,"2,041.90",percent of total billed charges ,"1,750.20",percent of total billed charges ,"1,750.20",percent of total billed charges ,"1,750.20",percent of total billed charges ,"1,750.20",percent of total billed charges ,,,,,"1,551.84",percent of total billed charges ,,,,,"1,474.25",percent of total billed charges ,,,,,,,,,,,,,,,,,,,670.91,percent of total billed charges,,,670.91,percent of total billed charges,,,670.91,percent of total billed charges,,,670.91,percent of total billed charges,,,670.91,percent of total billed charges,,,670.91,percent of total billed charges,,,670.91,percent of total billed charges,,,670.91,percent of total billed charges,,,670.91,percent of total billed charges,,,670.91,percent of total billed charges,,,670.91,percent of total billed charges,
PUMP REFILL AND REPROGRAM,62370,CDM,,,,both,,,"1,313.00","1,313.00",301.99,"1,313.00","1,313.00",percent of total billed charges,"1,313.00",percent of total billed charges,"1,313.00",percent of total billed charges,"1,313.00",percent of total billed charges,"1,313.00",percent of total billed charges,"1,313.00",percent of total billed charges,"1,313.00",percent of total billed charges,"1,313.00",percent of total billed charges,945.36,percent of total billed charges,945.36,percent of total billed charges,945.36,percent of total billed charges,945.36,percent of total billed charges,945.36,percent of total billed charges,945.36,percent of total billed charges,"1,037.27",percent of total billed charges,"1,037.27",percent of total billed charges,"1,050.40",percent of total billed charges,"1,050.40",percent of total billed charges,,,945.36,percent of total billed charges ,,,"1,050.40",percent of total billed charges ,"1,037.27",percent of total billed charges ,"1,037.27",percent of total billed charges ,"1,116.05",percent of total billed charges ,"1,116.05",percent of total billed charges ,"1,050.40",percent of total billed charges ,"1,050.40",percent of total billed charges ,919.1,percent of total billed charges ,919.1,percent of total billed charges ,787.8,percent of total billed charges ,787.8,percent of total billed charges ,787.8,percent of total billed charges ,787.8,percent of total billed charges ,,,,,698.52,percent of total billed charges ,,,,,663.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,301.99,percent of total billed charges,,,301.99,percent of total billed charges,,,301.99,percent of total billed charges,,,301.99,percent of total billed charges,,,301.99,percent of total billed charges,,,301.99,percent of total billed charges,,,301.99,percent of total billed charges,,,301.99,percent of total billed charges,,,301.99,percent of total billed charges,,,301.99,percent of total billed charges,,,301.99,percent of total billed charges,
CELIAC PLEXUS BLOCK,64530,CDM,,,,both,,,"3,425.00","3,425.00",787.75,"3,425.00","3,425.00",percent of total billed charges,"3,425.00",percent of total billed charges,"3,425.00",percent of total billed charges,"3,425.00",percent of total billed charges,"3,425.00",percent of total billed charges,"3,425.00",percent of total billed charges,"3,425.00",percent of total billed charges,"3,425.00",percent of total billed charges,"2,466.00",percent of total billed charges,"2,466.00",percent of total billed charges,"2,466.00",percent of total billed charges,"2,466.00",percent of total billed charges,"2,466.00",percent of total billed charges,"2,466.00",percent of total billed charges,"2,705.75",percent of total billed charges,"2,705.75",percent of total billed charges,"2,740.00",percent of total billed charges,"2,740.00",percent of total billed charges,,,"2,466.00",percent of total billed charges ,,,"2,740.00",percent of total billed charges ,"2,705.75",percent of total billed charges ,"2,705.75",percent of total billed charges ,"2,911.25",percent of total billed charges ,"2,911.25",percent of total billed charges ,"2,740.00",percent of total billed charges ,"2,740.00",percent of total billed charges ,"2,397.50",percent of total billed charges ,"2,397.50",percent of total billed charges ,"2,055.00",percent of total billed charges ,"2,055.00",percent of total billed charges ,"2,055.00",percent of total billed charges ,"2,055.00",percent of total billed charges ,,,,,"1,822.10",percent of total billed charges ,,,,,"1,731.00",percent of total billed charges ,,,,,,,,,,,,,,,,,,,787.75,percent of total billed charges,,,787.75,percent of total billed charges,,,787.75,percent of total billed charges,,,787.75,percent of total billed charges,,,787.75,percent of total billed charges,,,787.75,percent of total billed charges,,,787.75,percent of total billed charges,,,787.75,percent of total billed charges,,,787.75,percent of total billed charges,,,787.75,percent of total billed charges,,,787.75,percent of total billed charges,
MEDIAL BRANCH BLOCK/CERVICAL/THORACIC,64490,CDM,,,,both,,,"3,008.00","3,008.00",691.84,"3,008.00","3,008.00",percent of total billed charges,"3,008.00",percent of total billed charges,"3,008.00",percent of total billed charges,"3,008.00",percent of total billed charges,"3,008.00",percent of total billed charges,"3,008.00",percent of total billed charges,"3,008.00",percent of total billed charges,"3,008.00",percent of total billed charges,"2,165.76",percent of total billed charges,"2,165.76",percent of total billed charges,"2,165.76",percent of total billed charges,"2,165.76",percent of total billed charges,"2,165.76",percent of total billed charges,"2,165.76",percent of total billed charges,"2,376.32",percent of total billed charges,"2,376.32",percent of total billed charges,"2,406.40",percent of total billed charges,"2,406.40",percent of total billed charges,,,"2,165.76",percent of total billed charges ,,,"2,406.40",percent of total billed charges ,"2,376.32",percent of total billed charges ,"2,376.32",percent of total billed charges ,"2,556.80",percent of total billed charges ,"2,556.80",percent of total billed charges ,"2,406.40",percent of total billed charges ,"2,406.40",percent of total billed charges ,"2,105.60",percent of total billed charges ,"2,105.60",percent of total billed charges ,"1,804.80",percent of total billed charges ,"1,804.80",percent of total billed charges ,"1,804.80",percent of total billed charges ,"1,804.80",percent of total billed charges ,,,,,"1,600.26",percent of total billed charges ,,,,,"1,520.24",percent of total billed charges ,,,,,,,,,,,,,,,,,,,691.84,percent of total billed charges,,,691.84,percent of total billed charges,,,691.84,percent of total billed charges,,,691.84,percent of total billed charges,,,691.84,percent of total billed charges,,,691.84,percent of total billed charges,,,691.84,percent of total billed charges,,,691.84,percent of total billed charges,,,691.84,percent of total billed charges,,,691.84,percent of total billed charges,,,691.84,percent of total billed charges,
SUPERIOR HYPOGASTRIC PLEXUS NERVE INJECT,64517,CDM,,,,both,,,"3,657.00","3,657.00",841.11,"3,657.00","3,657.00",percent of total billed charges,"3,657.00",percent of total billed charges,"3,657.00",percent of total billed charges,"3,657.00",percent of total billed charges,"3,657.00",percent of total billed charges,"3,657.00",percent of total billed charges,"3,657.00",percent of total billed charges,"3,657.00",percent of total billed charges,"2,633.04",percent of total billed charges,"2,633.04",percent of total billed charges,"2,633.04",percent of total billed charges,"2,633.04",percent of total billed charges,"2,633.04",percent of total billed charges,"2,633.04",percent of total billed charges,"2,889.03",percent of total billed charges,"2,889.03",percent of total billed charges,"2,925.60",percent of total billed charges,"2,925.60",percent of total billed charges,,,"2,633.04",percent of total billed charges ,,,"2,925.60",percent of total billed charges ,"2,889.03",percent of total billed charges ,"2,889.03",percent of total billed charges ,"3,108.45",percent of total billed charges ,"3,108.45",percent of total billed charges ,"2,925.60",percent of total billed charges ,"2,925.60",percent of total billed charges ,"2,559.90",percent of total billed charges ,"2,559.90",percent of total billed charges ,"2,194.20",percent of total billed charges ,"2,194.20",percent of total billed charges ,"2,194.20",percent of total billed charges ,"2,194.20",percent of total billed charges ,,,,,"1,945.52",percent of total billed charges ,,,,,"1,848.25",percent of total billed charges ,,,,,,,,,,,,,,,,,,,841.11,percent of total billed charges,,,841.11,percent of total billed charges,,,841.11,percent of total billed charges,,,841.11,percent of total billed charges,,,841.11,percent of total billed charges,,,841.11,percent of total billed charges,,,841.11,percent of total billed charges,,,841.11,percent of total billed charges,,,841.11,percent of total billed charges,,,841.11,percent of total billed charges,,,841.11,percent of total billed charges,
TROCANTERIC BURSA LARGE JOINT,20610,CDM,,,GF,both,,,"1,421.00","1,421.00",326.83,"1,421.00","1,421.00",percent of total billed charges,"1,421.00",percent of total billed charges,"1,421.00",percent of total billed charges,"1,421.00",percent of total billed charges,"1,421.00",percent of total billed charges,"1,421.00",percent of total billed charges,"1,421.00",percent of total billed charges,"1,421.00",percent of total billed charges,"1,023.12",percent of total billed charges,"1,023.12",percent of total billed charges,"1,023.12",percent of total billed charges,"1,023.12",percent of total billed charges,"1,023.12",percent of total billed charges,"1,023.12",percent of total billed charges,"1,122.59",percent of total billed charges,"1,122.59",percent of total billed charges,"1,136.80",percent of total billed charges,"1,136.80",percent of total billed charges,,,"1,023.12",percent of total billed charges ,,,"1,136.80",percent of total billed charges ,"1,122.59",percent of total billed charges ,"1,122.59",percent of total billed charges ,"1,207.85",percent of total billed charges ,"1,207.85",percent of total billed charges ,"1,136.80",percent of total billed charges ,"1,136.80",percent of total billed charges ,994.7,percent of total billed charges ,994.7,percent of total billed charges ,852.6,percent of total billed charges ,852.6,percent of total billed charges ,852.6,percent of total billed charges ,852.6,percent of total billed charges ,,,,,755.97,percent of total billed charges ,,,,,718.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,326.83,percent of total billed charges,,,326.83,percent of total billed charges,,,326.83,percent of total billed charges,,,326.83,percent of total billed charges,,,326.83,percent of total billed charges,,,326.83,percent of total billed charges,,,326.83,percent of total billed charges,,,326.83,percent of total billed charges,,,326.83,percent of total billed charges,,,326.83,percent of total billed charges,,,326.83,percent of total billed charges,
PERIFORMIS MUSCLE INJECTION,20552,CDM,,,,both,,,"1,075.00","1,075.00",247.25,"1,075.00","1,075.00",percent of total billed charges,"1,075.00",percent of total billed charges,"1,075.00",percent of total billed charges,"1,075.00",percent of total billed charges,"1,075.00",percent of total billed charges,"1,075.00",percent of total billed charges,"1,075.00",percent of total billed charges,"1,075.00",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,849.25,percent of total billed charges,849.25,percent of total billed charges,860,percent of total billed charges,860,percent of total billed charges,,,774,percent of total billed charges ,,,860,percent of total billed charges ,849.25,percent of total billed charges ,849.25,percent of total billed charges ,913.75,percent of total billed charges ,913.75,percent of total billed charges ,860,percent of total billed charges ,860,percent of total billed charges ,752.5,percent of total billed charges ,752.5,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 ,,,,,571.9,percent of total billed charges ,,,,,543.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,247.25,percent of total billed charges,,,247.25,percent of total billed charges,,,247.25,percent of total billed charges,,,247.25,percent of total billed charges,,,247.25,percent of total billed charges,,,247.25,percent of total billed charges,,,247.25,percent of total billed charges,,,247.25,percent of total billed charges,,,247.25,percent of total billed charges,,,247.25,percent of total billed charges,,,247.25,percent of total billed charges,
EPIDURAL NEUROSTIMULATER IMPLANT,63650,CDM,,,,both,,,"11,578.00","11,578.00","2,662.94","11,578.00","11,578.00",percent of total billed charges,"11,578.00",percent of total billed charges,"11,578.00",percent of total billed charges,"11,578.00",percent of total billed charges,"11,578.00",percent of total billed charges,"11,578.00",percent of total billed charges,"11,578.00",percent of total billed charges,"11,578.00",percent of total billed charges,"8,336.16",percent of total billed charges,"8,336.16",percent of total billed charges,"8,336.16",percent of total billed charges,"8,336.16",percent of total billed charges,"8,336.16",percent of total billed charges,"8,336.16",percent of total billed charges,"9,146.62",percent of total billed charges,"9,146.62",percent of total billed charges,"9,262.40",percent of total billed charges,"9,262.40",percent of total billed charges,,,"8,336.16",percent of total billed charges ,,,"9,262.40",percent of total billed charges ,"9,146.62",percent of total billed charges ,"9,146.62",percent of total billed charges ,"9,841.30",percent of total billed charges ,"9,841.30",percent of total billed charges ,"9,262.40",percent of total billed charges ,"9,262.40",percent of total billed charges ,"8,104.60",percent of total billed charges ,"8,104.60",percent of total billed charges ,"6,946.80",percent of total billed charges ,"6,946.80",percent of total billed charges ,"6,946.80",percent of total billed charges ,"6,946.80",percent of total billed charges ,,,,,"6,159.50",percent of total billed charges ,,,,,"5,851.52",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,662.94",percent of total billed charges,,,"2,662.94",percent of total billed charges,,,"2,662.94",percent of total billed charges,,,"2,662.94",percent of total billed charges,,,"2,662.94",percent of total billed charges,,,"2,662.94",percent of total billed charges,,,"2,662.94",percent of total billed charges,,,"2,662.94",percent of total billed charges,,,"2,662.94",percent of total billed charges,,,"2,662.94",percent of total billed charges,,,"2,662.94",percent of total billed charges,
INTERCOSTAL NERVE BLOCKS MULTIPLE,64421,CDM,,,,both,,,"2,976.00","2,976.00",684.48,"2,976.00","2,976.00",percent of total billed charges,"2,976.00",percent of total billed charges,"2,976.00",percent of total billed charges,"2,976.00",percent of total billed charges,"2,976.00",percent of total billed charges,"2,976.00",percent of total billed charges,"2,976.00",percent of total billed charges,"2,976.00",percent of total billed charges,"2,142.72",percent of total billed charges,"2,142.72",percent of total billed charges,"2,142.72",percent of total billed charges,"2,142.72",percent of total billed charges,"2,142.72",percent of total billed charges,"2,142.72",percent of total billed charges,"2,351.04",percent of total billed charges,"2,351.04",percent of total billed charges,"2,380.80",percent of total billed charges,"2,380.80",percent of total billed charges,,,"2,142.72",percent of total billed charges ,,,"2,380.80",percent of total billed charges ,"2,351.04",percent of total billed charges ,"2,351.04",percent of total billed charges ,"2,529.60",percent of total billed charges ,"2,529.60",percent of total billed charges ,"2,380.80",percent of total billed charges ,"2,380.80",percent of total billed charges ,"2,083.20",percent of total billed charges ,"2,083.20",percent of total billed charges ,"1,785.60",percent of total billed charges ,"1,785.60",percent of total billed charges ,"1,785.60",percent of total billed charges ,"1,785.60",percent of total billed charges ,,,,,"1,583.23",percent of total billed charges ,,,,,"1,504.07",percent of total billed charges ,,,,,,,,,,,,,,,,,,,684.48,percent of total billed charges,,,684.48,percent of total billed charges,,,684.48,percent of total billed charges,,,684.48,percent of total billed charges,,,684.48,percent of total billed charges,,,684.48,percent of total billed charges,,,684.48,percent of total billed charges,,,684.48,percent of total billed charges,,,684.48,percent of total billed charges,,,684.48,percent of total billed charges,,,684.48,percent of total billed charges,
PERIPHERAL NERVE BRANCH INJECTION,64450,CDM,,,GF,both,,,"1,696.00","1,696.00",390.08,"1,696.00","1,696.00",percent of total billed charges,"1,696.00",percent of total billed charges,"1,696.00",percent of total billed charges,"1,696.00",percent of total billed charges,"1,696.00",percent of total billed charges,"1,696.00",percent of total billed charges,"1,696.00",percent of total billed charges,"1,696.00",percent of total billed charges,"1,221.12",percent of total billed charges,"1,221.12",percent of total billed charges,"1,221.12",percent of total billed charges,"1,221.12",percent of total billed charges,"1,221.12",percent of total billed charges,"1,221.12",percent of total billed charges,"1,339.84",percent of total billed charges,"1,339.84",percent of total billed charges,"1,356.80",percent of total billed charges,"1,356.80",percent of total billed charges,,,"1,221.12",percent of total billed charges ,,,"1,356.80",percent of total billed charges ,"1,339.84",percent of total billed charges ,"1,339.84",percent of total billed charges ,"1,441.60",percent of total billed charges ,"1,441.60",percent of total billed charges ,"1,356.80",percent of total billed charges ,"1,356.80",percent of total billed charges ,"1,187.20",percent of total billed charges ,"1,187.20",percent of total billed charges ,"1,017.60",percent of total billed charges ,"1,017.60",percent of total billed charges ,"1,017.60",percent of total billed charges ,"1,017.60",percent of total billed charges ,,,,,902.27,percent of total billed charges ,,,,,857.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,390.08,percent of total billed charges,,,390.08,percent of total billed charges,,,390.08,percent of total billed charges,,,390.08,percent of total billed charges,,,390.08,percent of total billed charges,,,390.08,percent of total billed charges,,,390.08,percent of total billed charges,,,390.08,percent of total billed charges,,,390.08,percent of total billed charges,,,390.08,percent of total billed charges,,,390.08,percent of total billed charges,
MEDIAL BRANCH BLOCK LUMBAR/SACRAL WITH I,64493,CDM,,,,both,,,"3,417.00","3,417.00",785.91,"3,417.00","3,417.00",percent of total billed charges,"3,417.00",percent of total billed charges,"3,417.00",percent of total billed charges,"3,417.00",percent of total billed charges,"3,417.00",percent of total billed charges,"3,417.00",percent of total billed charges,"3,417.00",percent of total billed charges,"3,417.00",percent of total billed charges,"2,460.24",percent of total billed charges,"2,460.24",percent of total billed charges,"2,460.24",percent of total billed charges,"2,460.24",percent of total billed charges,"2,460.24",percent of total billed charges,"2,460.24",percent of total billed charges,"2,699.43",percent of total billed charges,"2,699.43",percent of total billed charges,"2,733.60",percent of total billed charges,"2,733.60",percent of total billed charges,,,"2,460.24",percent of total billed charges ,,,"2,733.60",percent of total billed charges ,"2,699.43",percent of total billed charges ,"2,699.43",percent of total billed charges ,"2,904.45",percent of total billed charges ,"2,904.45",percent of total billed charges ,"2,733.60",percent of total billed charges ,"2,733.60",percent of total billed charges ,"2,391.90",percent of total billed charges ,"2,391.90",percent of total billed charges ,"2,050.20",percent of total billed charges ,"2,050.20",percent of total billed charges ,"2,050.20",percent of total billed charges ,"2,050.20",percent of total billed charges ,,,,,"1,817.84",percent of total billed charges ,,,,,"1,726.95",percent of total billed charges ,,,,,,,,,,,,,,,,,,,785.91,percent of total billed charges,,,785.91,percent of total billed charges,,,785.91,percent of total billed charges,,,785.91,percent of total billed charges,,,785.91,percent of total billed charges,,,785.91,percent of total billed charges,,,785.91,percent of total billed charges,,,785.91,percent of total billed charges,,,785.91,percent of total billed charges,,,785.91,percent of total billed charges,,,785.91,percent of total billed charges,
MEDIAL BRANCH BLOCK LUMBAR/SACRAL MULTIP,64495,CDM,,,,both,,,"1,723.00","1,723.00",396.29,"1,723.00","1,723.00",percent of total billed charges,"1,723.00",percent of total billed charges,"1,723.00",percent of total billed charges,"1,723.00",percent of total billed charges,"1,723.00",percent of total billed charges,"1,723.00",percent of total billed charges,"1,723.00",percent of total billed charges,"1,723.00",percent of total billed charges,"1,240.56",percent of total billed charges,"1,240.56",percent of total billed charges,"1,240.56",percent of total billed charges,"1,240.56",percent of total billed charges,"1,240.56",percent of total billed charges,"1,240.56",percent of total billed charges,"1,361.17",percent of total billed charges,"1,361.17",percent of total billed charges,"1,378.40",percent of total billed charges,"1,378.40",percent of total billed charges,,,"1,240.56",percent of total billed charges ,,,"1,378.40",percent of total billed charges ,"1,361.17",percent of total billed charges ,"1,361.17",percent of total billed charges ,"1,464.55",percent of total billed charges ,"1,464.55",percent of total billed charges ,"1,378.40",percent of total billed charges ,"1,378.40",percent of total billed charges ,"1,206.10",percent of total billed charges ,"1,206.10",percent of total billed charges ,"1,033.80",percent of total billed charges ,"1,033.80",percent of total billed charges ,"1,033.80",percent of total billed charges ,"1,033.80",percent of total billed charges ,,,,,916.64,percent of total billed charges ,,,,,870.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,396.29,percent of total billed charges,,,396.29,percent of total billed charges,,,396.29,percent of total billed charges,,,396.29,percent of total billed charges,,,396.29,percent of total billed charges,,,396.29,percent of total billed charges,,,396.29,percent of total billed charges,,,396.29,percent of total billed charges,,,396.29,percent of total billed charges,,,396.29,percent of total billed charges,,,396.29,percent of total billed charges,
MEDIAL BRANCH BLOCK TWO LEVELS LUMBAR/SA,64494,CDM,,,,both,,,"1,861.00","1,861.00",428.03,"1,861.00","1,861.00",percent of total billed charges,"1,861.00",percent of total billed charges,"1,861.00",percent of total billed charges,"1,861.00",percent of total billed charges,"1,861.00",percent of total billed charges,"1,861.00",percent of total billed charges,"1,861.00",percent of total billed charges,"1,861.00",percent of total billed charges,"1,339.92",percent of total billed charges,"1,339.92",percent of total billed charges,"1,339.92",percent of total billed charges,"1,339.92",percent of total billed charges,"1,339.92",percent of total billed charges,"1,339.92",percent of total billed charges,"1,470.19",percent of total billed charges,"1,470.19",percent of total billed charges,"1,488.80",percent of total billed charges,"1,488.80",percent of total billed charges,,,"1,339.92",percent of total billed charges ,,,"1,488.80",percent of total billed charges ,"1,470.19",percent of total billed charges ,"1,470.19",percent of total billed charges ,"1,581.85",percent of total billed charges ,"1,581.85",percent of total billed charges ,"1,488.80",percent of total billed charges ,"1,488.80",percent of total billed charges ,"1,302.70",percent of total billed charges ,"1,302.70",percent of total billed charges ,"1,116.60",percent of total billed charges ,"1,116.60",percent of total billed charges ,"1,116.60",percent of total billed charges ,"1,116.60",percent of total billed charges ,,,,,990.05,percent of total billed charges ,,,,,940.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,428.03,percent of total billed charges,,,428.03,percent of total billed charges,,,428.03,percent of total billed charges,,,428.03,percent of total billed charges,,,428.03,percent of total billed charges,,,428.03,percent of total billed charges,,,428.03,percent of total billed charges,,,428.03,percent of total billed charges,,,428.03,percent of total billed charges,,,428.03,percent of total billed charges,,,428.03,percent of total billed charges,
SUTURE RETENTION GUARD,272,RC,00906-99-0441,NDC,,both,,,543,543,124.89,543,543,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,428.97,percent of total billed charges,428.97,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 ,428.97,percent of total billed charges ,428.97,percent of total billed charges ,461.55,percent of total billed charges ,461.55,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 ,,,,,,,,,,,,,,,,,,,124.89,percent of total billed charges,,,124.89,percent of total billed charges,,,124.89,percent of total billed charges,,,124.89,percent of total billed charges,,,124.89,percent of total billed charges,,,124.89,percent of total billed charges,,,124.89,percent of total billed charges,,,124.89,percent of total billed charges,,,124.89,percent of total billed charges,,,124.89,percent of total billed charges,,,124.89,percent of total billed charges,
TIGHTROPE 1.1MM CMC MINI IMPLANT SYSTEM,278,RC,00906-99-0441,NDC,,both,,,"8,000.00","8,000.00","1,840.00","8,000.00","8,000.00",percent of total billed charges,"8,000.00",percent of total billed charges,"8,000.00",percent of total billed charges,"8,000.00",percent of total billed charges,"8,000.00",percent of total billed charges,"8,000.00",percent of total billed charges,"8,000.00",percent of total billed charges,"8,000.00",percent of total billed charges,"5,760.00",percent of total billed charges,"5,760.00",percent of total billed charges,"5,760.00",percent of total billed charges,"5,760.00",percent of total billed charges,"5,760.00",percent of total billed charges,"5,760.00",percent of total billed charges,"6,320.00",percent of total billed charges,"6,320.00",percent of total billed charges,"6,400.00",percent of total billed charges,"6,400.00",percent of total billed charges,,,"5,760.00",percent of total billed charges ,,,"6,400.00",percent of total billed charges ,"6,320.00",percent of total billed charges ,"6,320.00",percent of total billed charges ,"6,800.00",percent of total billed charges ,"6,800.00",percent of total billed charges ,"6,400.00",percent of total billed charges ,"6,400.00",percent of total billed charges ,"5,600.00",percent of total billed charges ,"5,600.00",percent of total billed charges ,"4,800.00",percent of total billed charges ,"4,800.00",percent of total billed charges ,"4,800.00",percent of total billed charges ,"4,800.00",percent of total billed charges ,,,,,"4,256.00",percent of total billed charges ,,,,,"4,043.20",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,840.00",percent of total billed charges,,,"1,840.00",percent of total billed charges,,,"1,840.00",percent of total billed charges,,,"1,840.00",percent of total billed charges,,,"1,840.00",percent of total billed charges,,,"1,840.00",percent of total billed charges,,,"1,840.00",percent of total billed charges,,,"1,840.00",percent of total billed charges,,,"1,840.00",percent of total billed charges,,,"1,840.00",percent of total billed charges,,,"1,840.00",percent of total billed charges,
RADIOFREQUENCY ABLATION KNEE,64640,CDM,,,,both,,,"3,442.00","3,442.00",791.66,"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,"2,719.18",percent of total billed charges,"2,719.18",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 ,"2,719.18",percent of total billed charges ,"2,719.18",percent of total billed charges ,"2,925.70",percent of total billed charges ,"2,925.70",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 ,,,,,,,,,,,,,,,,,,,791.66,percent of total billed charges,,,791.66,percent of total billed charges,,,791.66,percent of total billed charges,,,791.66,percent of total billed charges,,,791.66,percent of total billed charges,,,791.66,percent of total billed charges,,,791.66,percent of total billed charges,,,791.66,percent of total billed charges,,,791.66,percent of total billed charges,,,791.66,percent of total billed charges,,,791.66,percent of total billed charges,
ILIONIGNUINAL NERVE BLOCK,64425,CDM,,,,both,,,"2,037.00","2,037.00",468.51,"2,037.00","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,"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,"1,466.64",percent of total billed charges,"1,466.64",percent of total billed charges,"1,466.64",percent of total billed charges,"1,466.64",percent of total billed charges,"1,466.64",percent of total billed charges,"1,466.64",percent of total billed charges,"1,609.23",percent of total billed charges,"1,609.23",percent of total billed charges,"1,629.60",percent of total billed charges,"1,629.60",percent of total billed charges,,,"1,466.64",percent of total billed charges ,,,"1,629.60",percent of total billed charges ,"1,609.23",percent of total billed charges ,"1,609.23",percent of total billed charges ,"1,731.45",percent of total billed charges ,"1,731.45",percent of total billed charges ,"1,629.60",percent of total billed charges ,"1,629.60",percent of total billed charges ,"1,425.90",percent of total billed charges ,"1,425.90",percent of total billed charges ,"1,222.20",percent of total billed charges ,"1,222.20",percent of total billed charges ,"1,222.20",percent of total billed charges ,"1,222.20",percent of total billed charges ,,,,,"1,083.68",percent of total billed charges ,,,,,"1,029.50",percent of total billed charges ,,,,,,,,,,,,,,,,,,,468.51,percent of total billed charges,,,468.51,percent of total billed charges,,,468.51,percent of total billed charges,,,468.51,percent of total billed charges,,,468.51,percent of total billed charges,,,468.51,percent of total billed charges,,,468.51,percent of total billed charges,,,468.51,percent of total billed charges,,,468.51,percent of total billed charges,,,468.51,percent of total billed charges,,,468.51,percent of total billed charges,
INTERCOSTAL NERVE BLOCK-SINGLE,64420,CDM,,,,both,,,"2,134.00","2,134.00",490.82,"2,134.00","2,134.00",percent of total billed charges,"2,134.00",percent of total billed charges,"2,134.00",percent of total billed charges,"2,134.00",percent of total billed charges,"2,134.00",percent of total billed charges,"2,134.00",percent of total billed charges,"2,134.00",percent of total billed charges,"2,134.00",percent of total billed charges,"1,536.48",percent of total billed charges,"1,536.48",percent of total billed charges,"1,536.48",percent of total billed charges,"1,536.48",percent of total billed charges,"1,536.48",percent of total billed charges,"1,536.48",percent of total billed charges,"1,685.86",percent of total billed charges,"1,685.86",percent of total billed charges,"1,707.20",percent of total billed charges,"1,707.20",percent of total billed charges,,,"1,536.48",percent of total billed charges ,,,"1,707.20",percent of total billed charges ,"1,685.86",percent of total billed charges ,"1,685.86",percent of total billed charges ,"1,813.90",percent of total billed charges ,"1,813.90",percent of total billed charges ,"1,707.20",percent of total billed charges ,"1,707.20",percent of total billed charges ,"1,493.80",percent of total billed charges ,"1,493.80",percent of total billed charges ,"1,280.40",percent of total billed charges ,"1,280.40",percent of total billed charges ,"1,280.40",percent of total billed charges ,"1,280.40",percent of total billed charges ,,,,,"1,135.29",percent of total billed charges ,,,,,"1,078.52",percent of total billed charges ,,,,,,,,,,,,,,,,,,,490.82,percent of total billed charges,,,490.82,percent of total billed charges,,,490.82,percent of total billed charges,,,490.82,percent of total billed charges,,,490.82,percent of total billed charges,,,490.82,percent of total billed charges,,,490.82,percent of total billed charges,,,490.82,percent of total billed charges,,,490.82,percent of total billed charges,,,490.82,percent of total billed charges,,,490.82,percent of total billed charges,
INTERCOSTAL NERVE BLOCK-MULTI,64421,CDM,,,,both,,,"2,976.00","2,976.00",684.48,"2,976.00","2,976.00",percent of total billed charges,"2,976.00",percent of total billed charges,"2,976.00",percent of total billed charges,"2,976.00",percent of total billed charges,"2,976.00",percent of total billed charges,"2,976.00",percent of total billed charges,"2,976.00",percent of total billed charges,"2,976.00",percent of total billed charges,"2,142.72",percent of total billed charges,"2,142.72",percent of total billed charges,"2,142.72",percent of total billed charges,"2,142.72",percent of total billed charges,"2,142.72",percent of total billed charges,"2,142.72",percent of total billed charges,"2,351.04",percent of total billed charges,"2,351.04",percent of total billed charges,"2,380.80",percent of total billed charges,"2,380.80",percent of total billed charges,,,"2,142.72",percent of total billed charges ,,,"2,380.80",percent of total billed charges ,"2,351.04",percent of total billed charges ,"2,351.04",percent of total billed charges ,"2,529.60",percent of total billed charges ,"2,529.60",percent of total billed charges ,"2,380.80",percent of total billed charges ,"2,380.80",percent of total billed charges ,"2,083.20",percent of total billed charges ,"2,083.20",percent of total billed charges ,"1,785.60",percent of total billed charges ,"1,785.60",percent of total billed charges ,"1,785.60",percent of total billed charges ,"1,785.60",percent of total billed charges ,,,,,"1,583.23",percent of total billed charges ,,,,,"1,504.07",percent of total billed charges ,,,,,,,,,,,,,,,,,,,684.48,percent of total billed charges,,,684.48,percent of total billed charges,,,684.48,percent of total billed charges,,,684.48,percent of total billed charges,,,684.48,percent of total billed charges,,,684.48,percent of total billed charges,,,684.48,percent of total billed charges,,,684.48,percent of total billed charges,,,684.48,percent of total billed charges,,,684.48,percent of total billed charges,,,684.48,percent of total billed charges,
TRANSFORAMINAL EPIDURAL LUMBAR-ADDIONAL,64484,CDM,,,,both,,,"1,877.00","1,877.00",431.71,"1,877.00","1,877.00",percent of total billed charges,"1,877.00",percent of total billed charges,"1,877.00",percent of total billed charges,"1,877.00",percent of total billed charges,"1,877.00",percent of total billed charges,"1,877.00",percent of total billed charges,"1,877.00",percent of total billed charges,"1,877.00",percent of total billed charges,"1,351.44",percent of total billed charges,"1,351.44",percent of total billed charges,"1,351.44",percent of total billed charges,"1,351.44",percent of total billed charges,"1,351.44",percent of total billed charges,"1,351.44",percent of total billed charges,"1,482.83",percent of total billed charges,"1,482.83",percent of total billed charges,"1,501.60",percent of total billed charges,"1,501.60",percent of total billed charges,,,"1,351.44",percent of total billed charges ,,,"1,501.60",percent of total billed charges ,"1,482.83",percent of total billed charges ,"1,482.83",percent of total billed charges ,"1,595.45",percent of total billed charges ,"1,595.45",percent of total billed charges ,"1,501.60",percent of total billed charges ,"1,501.60",percent of total billed charges ,"1,313.90",percent of total billed charges ,"1,313.90",percent of total billed charges ,"1,126.20",percent of total billed charges ,"1,126.20",percent of total billed charges ,"1,126.20",percent of total billed charges ,"1,126.20",percent of total billed charges ,,,,,998.56,percent of total billed charges ,,,,,948.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,431.71,percent of total billed charges,,,431.71,percent of total billed charges,,,431.71,percent of total billed charges,,,431.71,percent of total billed charges,,,431.71,percent of total billed charges,,,431.71,percent of total billed charges,,,431.71,percent of total billed charges,,,431.71,percent of total billed charges,,,431.71,percent of total billed charges,,,431.71,percent of total billed charges,,,431.71,percent of total billed charges,
LUMBAR MEDIAL BRANCH BLOCK-1ST,64493,CDM,,,,both,,,"3,416.00","3,416.00",785.68,"3,416.00","3,416.00",percent of total billed charges,"3,416.00",percent of total billed charges,"3,416.00",percent of total billed charges,"3,416.00",percent of total billed charges,"3,416.00",percent of total billed charges,"3,416.00",percent of total billed charges,"3,416.00",percent of total billed charges,"3,416.00",percent of total billed charges,"2,459.52",percent of total billed charges,"2,459.52",percent of total billed charges,"2,459.52",percent of total billed charges,"2,459.52",percent of total billed charges,"2,459.52",percent of total billed charges,"2,459.52",percent of total billed charges,"2,698.64",percent of total billed charges,"2,698.64",percent of total billed charges,"2,732.80",percent of total billed charges,"2,732.80",percent of total billed charges,,,"2,459.52",percent of total billed charges ,,,"2,732.80",percent of total billed charges ,"2,698.64",percent of total billed charges ,"2,698.64",percent of total billed charges ,"2,903.60",percent of total billed charges ,"2,903.60",percent of total billed charges ,"2,732.80",percent of total billed charges ,"2,732.80",percent of total billed charges ,"2,391.20",percent of total billed charges ,"2,391.20",percent of total billed charges ,"2,049.60",percent of total billed charges ,"2,049.60",percent of total billed charges ,"2,049.60",percent of total billed charges ,"2,049.60",percent of total billed charges ,,,,,"1,817.31",percent of total billed charges ,,,,,"1,726.45",percent of total billed charges ,,,,,,,,,,,,,,,,,,,785.68,percent of total billed charges,,,785.68,percent of total billed charges,,,785.68,percent of total billed charges,,,785.68,percent of total billed charges,,,785.68,percent of total billed charges,,,785.68,percent of total billed charges,,,785.68,percent of total billed charges,,,785.68,percent of total billed charges,,,785.68,percent of total billed charges,,,785.68,percent of total billed charges,,,785.68,percent of total billed charges,
LUMBAR MEDIAL BRANCH BLOCK-2ND,64494,CDM,,,,both,,,"1,860.00","1,860.00",427.8,"1,860.00","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,"1,860.00",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,"1,339.20",percent of total billed charges,"1,339.20",percent of total billed charges,"1,339.20",percent of total billed charges,"1,339.20",percent of total billed charges,"1,339.20",percent of total billed charges,"1,339.20",percent of total billed charges,"1,469.40",percent of total billed charges,"1,469.40",percent of total billed charges,"1,488.00",percent of total billed charges,"1,488.00",percent of total billed charges,,,"1,339.20",percent of total billed charges ,,,"1,488.00",percent of total billed charges ,"1,469.40",percent of total billed charges ,"1,469.40",percent of total billed charges ,"1,581.00",percent of total billed charges ,"1,581.00",percent of total billed charges ,"1,488.00",percent of total billed charges ,"1,488.00",percent of total billed charges ,"1,302.00",percent of total billed charges ,"1,302.00",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 ,,,,,989.52,percent of total billed charges ,,,,,940.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,427.8,percent of total billed charges,,,427.8,percent of total billed charges,,,427.8,percent of total billed charges,,,427.8,percent of total billed charges,,,427.8,percent of total billed charges,,,427.8,percent of total billed charges,,,427.8,percent of total billed charges,,,427.8,percent of total billed charges,,,427.8,percent of total billed charges,,,427.8,percent of total billed charges,,,427.8,percent of total billed charges,
LUMBAR MEDIAL BRANCH BLOCK -3RD,64495,CDM,,,,both,,,"1,723.00","1,723.00",396.29,"1,723.00","1,723.00",percent of total billed charges,"1,723.00",percent of total billed charges,"1,723.00",percent of total billed charges,"1,723.00",percent of total billed charges,"1,723.00",percent of total billed charges,"1,723.00",percent of total billed charges,"1,723.00",percent of total billed charges,"1,723.00",percent of total billed charges,"1,240.56",percent of total billed charges,"1,240.56",percent of total billed charges,"1,240.56",percent of total billed charges,"1,240.56",percent of total billed charges,"1,240.56",percent of total billed charges,"1,240.56",percent of total billed charges,"1,361.17",percent of total billed charges,"1,361.17",percent of total billed charges,"1,378.40",percent of total billed charges,"1,378.40",percent of total billed charges,,,"1,240.56",percent of total billed charges ,,,"1,378.40",percent of total billed charges ,"1,361.17",percent of total billed charges ,"1,361.17",percent of total billed charges ,"1,464.55",percent of total billed charges ,"1,464.55",percent of total billed charges ,"1,378.40",percent of total billed charges ,"1,378.40",percent of total billed charges ,"1,206.10",percent of total billed charges ,"1,206.10",percent of total billed charges ,"1,033.80",percent of total billed charges ,"1,033.80",percent of total billed charges ,"1,033.80",percent of total billed charges ,"1,033.80",percent of total billed charges ,,,,,916.64,percent of total billed charges ,,,,,870.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,396.29,percent of total billed charges,,,396.29,percent of total billed charges,,,396.29,percent of total billed charges,,,396.29,percent of total billed charges,,,396.29,percent of total billed charges,,,396.29,percent of total billed charges,,,396.29,percent of total billed charges,,,396.29,percent of total billed charges,,,396.29,percent of total billed charges,,,396.29,percent of total billed charges,,,396.29,percent of total billed charges,
PHASE II RECOVERY CHARGE $22 PER MINUTE,710,RC,00906-99-0441,NDC,,both,,,30,30,6.9,30,30,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,23.7,percent of total billed charges,23.7,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 ,23.7,percent of total billed charges ,23.7,percent of total billed charges ,25.5,percent of total billed charges ,25.5,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 ,,,,,,,,,,,,,,,,,,,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,
LUMBAR TRANSFORAMINAL ESI,64483,CDM,,,,both,,,"3,013.00","3,013.00",692.99,"3,013.00","3,013.00",percent of total billed charges,"3,013.00",percent of total billed charges,"3,013.00",percent of total billed charges,"3,013.00",percent of total billed charges,"3,013.00",percent of total billed charges,"3,013.00",percent of total billed charges,"3,013.00",percent of total billed charges,"3,013.00",percent of total billed charges,"2,169.36",percent of total billed charges,"2,169.36",percent of total billed charges,"2,169.36",percent of total billed charges,"2,169.36",percent of total billed charges,"2,169.36",percent of total billed charges,"2,169.36",percent of total billed charges,"2,380.27",percent of total billed charges,"2,380.27",percent of total billed charges,"2,410.40",percent of total billed charges,"2,410.40",percent of total billed charges,,,"2,169.36",percent of total billed charges ,,,"2,410.40",percent of total billed charges ,"2,380.27",percent of total billed charges ,"2,380.27",percent of total billed charges ,"2,561.05",percent of total billed charges ,"2,561.05",percent of total billed charges ,"2,410.40",percent of total billed charges ,"2,410.40",percent of total billed charges ,"2,109.10",percent of total billed charges ,"2,109.10",percent of total billed charges ,"1,807.80",percent of total billed charges ,"1,807.80",percent of total billed charges ,"1,807.80",percent of total billed charges ,"1,807.80",percent of total billed charges ,,,,,"1,602.92",percent of total billed charges ,,,,,"1,522.77",percent of total billed charges ,,,,,,,,,,,,,,,,,,,692.99,percent of total billed charges,,,692.99,percent of total billed charges,,,692.99,percent of total billed charges,,,692.99,percent of total billed charges,,,692.99,percent of total billed charges,,,692.99,percent of total billed charges,,,692.99,percent of total billed charges,,,692.99,percent of total billed charges,,,692.99,percent of total billed charges,,,692.99,percent of total billed charges,,,692.99,percent of total billed charges,
GENICULAR RFA,64624,CDM,,,,both,,,"3,687.00","3,687.00",848.01,"3,687.00","3,687.00",percent of total billed charges,"3,687.00",percent of total billed charges,"3,687.00",percent of total billed charges,"3,687.00",percent of total billed charges,"3,687.00",percent of total billed charges,"3,687.00",percent of total billed charges,"3,687.00",percent of total billed charges,"3,687.00",percent of total billed charges,"2,654.64",percent of total billed charges,"2,654.64",percent of total billed charges,"2,654.64",percent of total billed charges,"2,654.64",percent of total billed charges,"2,654.64",percent of total billed charges,"2,654.64",percent of total billed charges,"2,912.73",percent of total billed charges,"2,912.73",percent of total billed charges,"2,949.60",percent of total billed charges,"2,949.60",percent of total billed charges,,,"2,654.64",percent of total billed charges ,,,"2,949.60",percent of total billed charges ,"2,912.73",percent of total billed charges ,"2,912.73",percent of total billed charges ,"3,133.95",percent of total billed charges ,"3,133.95",percent of total billed charges ,"2,949.60",percent of total billed charges ,"2,949.60",percent of total billed charges ,"2,580.90",percent of total billed charges ,"2,580.90",percent of total billed charges ,"2,212.20",percent of total billed charges ,"2,212.20",percent of total billed charges ,"2,212.20",percent of total billed charges ,"2,212.20",percent of total billed charges ,,,,,"1,961.48",percent of total billed charges ,,,,,"1,863.41",percent of total billed charges ,,,,,,,,,,,,,,,,,,,848.01,percent of total billed charges,,,848.01,percent of total billed charges,,,848.01,percent of total billed charges,,,848.01,percent of total billed charges,,,848.01,percent of total billed charges,,,848.01,percent of total billed charges,,,848.01,percent of total billed charges,,,848.01,percent of total billed charges,,,848.01,percent of total billed charges,,,848.01,percent of total billed charges,,,848.01,percent of total billed charges,
L/S PARVERTREBRAL FACET 2 LEVELS,64494,CDM,,,,both,,,"1,704.00","1,704.00",391.92,"1,704.00","1,704.00",percent of total billed charges,"1,704.00",percent of total billed charges,"1,704.00",percent of total billed charges,"1,704.00",percent of total billed charges,"1,704.00",percent of total billed charges,"1,704.00",percent of total billed charges,"1,704.00",percent of total billed charges,"1,704.00",percent of total billed charges,"1,226.88",percent of total billed charges,"1,226.88",percent of total billed charges,"1,226.88",percent of total billed charges,"1,226.88",percent of total billed charges,"1,226.88",percent of total billed charges,"1,226.88",percent of total billed charges,"1,346.16",percent of total billed charges,"1,346.16",percent of total billed charges,"1,363.20",percent of total billed charges,"1,363.20",percent of total billed charges,,,"1,226.88",percent of total billed charges ,,,"1,363.20",percent of total billed charges ,"1,346.16",percent of total billed charges ,"1,346.16",percent of total billed charges ,"1,448.40",percent of total billed charges ,"1,448.40",percent of total billed charges ,"1,363.20",percent of total billed charges ,"1,363.20",percent of total billed charges ,"1,192.80",percent of total billed charges ,"1,192.80",percent of total billed charges ,"1,022.40",percent of total billed charges ,"1,022.40",percent of total billed charges ,"1,022.40",percent of total billed charges ,"1,022.40",percent of total billed charges ,,,,,906.53,percent of total billed charges ,,,,,861.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,391.92,percent of total billed charges,,,391.92,percent of total billed charges,,,391.92,percent of total billed charges,,,391.92,percent of total billed charges,,,391.92,percent of total billed charges,,,391.92,percent of total billed charges,,,391.92,percent of total billed charges,,,391.92,percent of total billed charges,,,391.92,percent of total billed charges,,,391.92,percent of total billed charges,,,391.92,percent of total billed charges,
PARAVERTEBRAL BLOCK SINGLE LEVEL,64461,CDM,,,,both,,,"2,853.00","2,853.00",656.19,"2,853.00","2,853.00",percent of total billed charges,"2,853.00",percent of total billed charges,"2,853.00",percent of total billed charges,"2,853.00",percent of total billed charges,"2,853.00",percent of total billed charges,"2,853.00",percent of total billed charges,"2,853.00",percent of total billed charges,"2,853.00",percent of total billed charges,"2,054.16",percent of total billed charges,"2,054.16",percent of total billed charges,"2,054.16",percent of total billed charges,"2,054.16",percent of total billed charges,"2,054.16",percent of total billed charges,"2,054.16",percent of total billed charges,"2,253.87",percent of total billed charges,"2,253.87",percent of total billed charges,"2,282.40",percent of total billed charges,"2,282.40",percent of total billed charges,,,"2,054.16",percent of total billed charges ,,,"2,282.40",percent of total billed charges ,"2,253.87",percent of total billed charges ,"2,253.87",percent of total billed charges ,"2,425.05",percent of total billed charges ,"2,425.05",percent of total billed charges ,"2,282.40",percent of total billed charges ,"2,282.40",percent of total billed charges ,"1,997.10",percent of total billed charges ,"1,997.10",percent of total billed charges ,"1,711.80",percent of total billed charges ,"1,711.80",percent of total billed charges ,"1,711.80",percent of total billed charges ,"1,711.80",percent of total billed charges ,,,,,"1,517.80",percent of total billed charges ,,,,,"1,441.91",percent of total billed charges ,,,,,,,,,,,,,,,,,,,656.19,percent of total billed charges,,,656.19,percent of total billed charges,,,656.19,percent of total billed charges,,,656.19,percent of total billed charges,,,656.19,percent of total billed charges,,,656.19,percent of total billed charges,,,656.19,percent of total billed charges,,,656.19,percent of total billed charges,,,656.19,percent of total billed charges,,,656.19,percent of total billed charges,,,656.19,percent of total billed charges,
THORACIC PARAVERTEBRAL BLOCK 2ND LEVEL,64462,CDM,,,,both,,,"1,701.00","1,701.00",391.23,"1,701.00","1,701.00",percent of total billed charges,"1,701.00",percent of total billed charges,"1,701.00",percent of total billed charges,"1,701.00",percent of total billed charges,"1,701.00",percent of total billed charges,"1,701.00",percent of total billed charges,"1,701.00",percent of total billed charges,"1,701.00",percent of total billed charges,"1,224.72",percent of total billed charges,"1,224.72",percent of total billed charges,"1,224.72",percent of total billed charges,"1,224.72",percent of total billed charges,"1,224.72",percent of total billed charges,"1,224.72",percent of total billed charges,"1,343.79",percent of total billed charges,"1,343.79",percent of total billed charges,"1,360.80",percent of total billed charges,"1,360.80",percent of total billed charges,,,"1,224.72",percent of total billed charges ,,,"1,360.80",percent of total billed charges ,"1,343.79",percent of total billed charges ,"1,343.79",percent of total billed charges ,"1,445.85",percent of total billed charges ,"1,445.85",percent of total billed charges ,"1,360.80",percent of total billed charges ,"1,360.80",percent of total billed charges ,"1,190.70",percent of total billed charges ,"1,190.70",percent of total billed charges ,"1,020.60",percent of total billed charges ,"1,020.60",percent of total billed charges ,"1,020.60",percent of total billed charges ,"1,020.60",percent of total billed charges ,,,,,904.93,percent of total billed charges ,,,,,859.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,391.23,percent of total billed charges,,,391.23,percent of total billed charges,,,391.23,percent of total billed charges,,,391.23,percent of total billed charges,,,391.23,percent of total billed charges,,,391.23,percent of total billed charges,,,391.23,percent of total billed charges,,,391.23,percent of total billed charges,,,391.23,percent of total billed charges,,,391.23,percent of total billed charges,,,391.23,percent of total billed charges,
COLPORRAPHY,360,RC,00906-99-0441,NDC,,both,,,"1,117.00","1,117.00",256.91,"1,117.00","1,117.00",percent of total billed charges,"1,117.00",percent of total billed charges,"1,117.00",percent of total billed charges,"1,117.00",percent of total billed charges,"1,117.00",percent of total billed charges,"1,117.00",percent of total billed charges,"1,117.00",percent of total billed charges,"1,117.00",percent of total billed charges,804.24,percent of total billed charges,804.24,percent of total billed charges,804.24,percent of total billed charges,804.24,percent of total billed charges,804.24,percent of total billed charges,804.24,percent of total billed charges,882.43,percent of total billed charges,882.43,percent of total billed charges,893.6,percent of total billed charges,893.6,percent of total billed charges,,,804.24,percent of total billed charges ,,,893.6,percent of total billed charges ,882.43,percent of total billed charges ,882.43,percent of total billed charges ,949.45,percent of total billed charges ,949.45,percent of total billed charges ,893.6,percent of total billed charges ,893.6,percent of total billed charges ,781.9,percent of total billed charges ,781.9,percent of total billed charges ,670.2,percent of total billed charges ,670.2,percent of total billed charges ,670.2,percent of total billed charges ,670.2,percent of total billed charges ,,,,,594.24,percent of total billed charges ,,,,,564.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,256.91,percent of total billed charges,,,256.91,percent of total billed charges,,,256.91,percent of total billed charges,,,256.91,percent of total billed charges,,,256.91,percent of total billed charges,,,256.91,percent of total billed charges,,,256.91,percent of total billed charges,,,256.91,percent of total billed charges,,,256.91,percent of total billed charges,,,256.91,percent of total billed charges,,,256.91,percent of total billed charges,
SACRO-ILIAC JOINT INJECTION WITH FLURO,27096,CDM,,,,both,,,"1,346.00","1,346.00",309.58,"1,346.00","1,346.00",percent of total billed charges,"1,346.00",percent of total billed charges,"1,346.00",percent of total billed charges,"1,346.00",percent of total billed charges,"1,346.00",percent of total billed charges,"1,346.00",percent of total billed charges,"1,346.00",percent of total billed charges,"1,346.00",percent of total billed charges,969.12,percent of total billed charges,969.12,percent of total billed charges,969.12,percent of total billed charges,969.12,percent of total billed charges,969.12,percent of total billed charges,969.12,percent of total billed charges,"1,063.34",percent of total billed charges,"1,063.34",percent of total billed charges,"1,076.80",percent of total billed charges,"1,076.80",percent of total billed charges,,,969.12,percent of total billed charges ,,,"1,076.80",percent of total billed charges ,"1,063.34",percent of total billed charges ,"1,063.34",percent of total billed charges ,"1,144.10",percent of total billed charges ,"1,144.10",percent of total billed charges ,"1,076.80",percent of total billed charges ,"1,076.80",percent of total billed charges ,942.2,percent of total billed charges ,942.2,percent of total billed charges ,807.6,percent of total billed charges ,807.6,percent of total billed charges ,807.6,percent of total billed charges ,807.6,percent of total billed charges ,,,,,716.07,percent of total billed charges ,,,,,680.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,309.58,percent of total billed charges,,,309.58,percent of total billed charges,,,309.58,percent of total billed charges,,,309.58,percent of total billed charges,,,309.58,percent of total billed charges,,,309.58,percent of total billed charges,,,309.58,percent of total billed charges,,,309.58,percent of total billed charges,,,309.58,percent of total billed charges,,,309.58,percent of total billed charges,,,309.58,percent of total billed charges,
CERVICAL/THORACIC RADIO FREQ ABLATION SI,64633,CDM,,,,both,,,"5,245.00","5,245.00","1,206.35","5,245.00","5,245.00",percent of total billed charges,"5,245.00",percent of total billed charges,"5,245.00",percent of total billed charges,"5,245.00",percent of total billed charges,"5,245.00",percent of total billed charges,"5,245.00",percent of total billed charges,"5,245.00",percent of total billed charges,"5,245.00",percent of total billed charges,"3,776.40",percent of total billed charges,"3,776.40",percent of total billed charges,"3,776.40",percent of total billed charges,"3,776.40",percent of total billed charges,"3,776.40",percent of total billed charges,"3,776.40",percent of total billed charges,"4,143.55",percent of total billed charges,"4,143.55",percent of total billed charges,"4,196.00",percent of total billed charges,"4,196.00",percent of total billed charges,,,"3,776.40",percent of total billed charges ,,,"4,196.00",percent of total billed charges ,"4,143.55",percent of total billed charges ,"4,143.55",percent of total billed charges ,"4,458.25",percent of total billed charges ,"4,458.25",percent of total billed charges ,"4,196.00",percent of total billed charges ,"4,196.00",percent of total billed charges ,"3,671.50",percent of total billed charges ,"3,671.50",percent of total billed charges ,"3,147.00",percent of total billed charges ,"3,147.00",percent of total billed charges ,"3,147.00",percent of total billed charges ,"3,147.00",percent of total billed charges ,,,,,"2,790.34",percent of total billed charges ,,,,,"2,650.82",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,206.35",percent of total billed charges,,,"1,206.35",percent of total billed charges,,,"1,206.35",percent of total billed charges,,,"1,206.35",percent of total billed charges,,,"1,206.35",percent of total billed charges,,,"1,206.35",percent of total billed charges,,,"1,206.35",percent of total billed charges,,,"1,206.35",percent of total billed charges,,,"1,206.35",percent of total billed charges,,,"1,206.35",percent of total billed charges,,,"1,206.35",percent of total billed charges,
CERVICAL/THORACIC RADIO FREQ ABLATION AD,64634,CDM,,,,both,,,"2,756.00","2,756.00",633.88,"2,756.00","2,756.00",percent of total billed charges,"2,756.00",percent of total billed charges,"2,756.00",percent of total billed charges,"2,756.00",percent of total billed charges,"2,756.00",percent of total billed charges,"2,756.00",percent of total billed charges,"2,756.00",percent of total billed charges,"2,756.00",percent of total billed charges,"1,984.32",percent of total billed charges,"1,984.32",percent of total billed charges,"1,984.32",percent of total billed charges,"1,984.32",percent of total billed charges,"1,984.32",percent of total billed charges,"1,984.32",percent of total billed charges,"2,177.24",percent of total billed charges,"2,177.24",percent of total billed charges,"2,204.80",percent of total billed charges,"2,204.80",percent of total billed charges,,,"1,984.32",percent of total billed charges ,,,"2,204.80",percent of total billed charges ,"2,177.24",percent of total billed charges ,"2,177.24",percent of total billed charges ,"2,342.60",percent of total billed charges ,"2,342.60",percent of total billed charges ,"2,204.80",percent of total billed charges ,"2,204.80",percent of total billed charges ,"1,929.20",percent of total billed charges ,"1,929.20",percent of total billed charges ,"1,653.60",percent of total billed charges ,"1,653.60",percent of total billed charges ,"1,653.60",percent of total billed charges ,"1,653.60",percent of total billed charges ,,,,,"1,466.19",percent of total billed charges ,,,,,"1,392.88",percent of total billed charges ,,,,,,,,,,,,,,,,,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,
GREEN LIGHT LASER,52648,CDM,,,,both,,,"16,473.00","16,473.00","3,788.79","16,473.00","16,473.00",percent of total billed charges,"16,473.00",percent of total billed charges,"16,473.00",percent of total billed charges,"16,473.00",percent of total billed charges,"16,473.00",percent of total billed charges,"16,473.00",percent of total billed charges,"16,473.00",percent of total billed charges,"16,473.00",percent of total billed charges,"11,860.56",percent of total billed charges,"11,860.56",percent of total billed charges,"11,860.56",percent of total billed charges,"11,860.56",percent of total billed charges,"11,860.56",percent of total billed charges,"11,860.56",percent of total billed charges,"13,013.67",percent of total billed charges,"13,013.67",percent of total billed charges,"13,178.40",percent of total billed charges,"13,178.40",percent of total billed charges,,,"11,860.56",percent of total billed charges ,,,"13,178.40",percent of total billed charges ,"13,013.67",percent of total billed charges ,"13,013.67",percent of total billed charges ,"14,002.05",percent of total billed charges ,"14,002.05",percent of total billed charges ,"13,178.40",percent of total billed charges ,"13,178.40",percent of total billed charges ,"11,531.10",percent of total billed charges ,"11,531.10",percent of total billed charges ,"9,883.80",percent of total billed charges ,"9,883.80",percent of total billed charges ,"9,883.80",percent of total billed charges ,"9,883.80",percent of total billed charges ,,,,,"8,763.64",percent of total billed charges ,,,,,"8,325.45",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,788.79",percent of total billed charges,,,"3,788.79",percent of total billed charges,,,"3,788.79",percent of total billed charges,,,"3,788.79",percent of total billed charges,,,"3,788.79",percent of total billed charges,,,"3,788.79",percent of total billed charges,,,"3,788.79",percent of total billed charges,,,"3,788.79",percent of total billed charges,,,"3,788.79",percent of total billed charges,,,"3,788.79",percent of total billed charges,,,"3,788.79",percent of total billed charges,
STRM LOCKING SCREW 2.7X14MM ST,C1713,CDM,,,,both,,,"1,158.00","1,158.00",266.34,"1,158.00","1,158.00",percent of total billed charges,"1,158.00",percent of total billed charges,"1,158.00",percent of total billed charges,"1,158.00",percent of total billed charges,"1,158.00",percent of total billed charges,"1,158.00",percent of total billed charges,"1,158.00",percent of total billed charges,"1,158.00",percent of total billed charges,833.76,percent of total billed charges,833.76,percent of total billed charges,833.76,percent of total billed charges,833.76,percent of total billed charges,833.76,percent of total billed charges,833.76,percent of total billed charges,914.82,percent of total billed charges,914.82,percent of total billed charges,926.4,percent of total billed charges,926.4,percent of total billed charges,,,833.76,percent of total billed charges ,,,926.4,percent of total billed charges ,914.82,percent of total billed charges ,914.82,percent of total billed charges ,984.3,percent of total billed charges ,984.3,percent of total billed charges ,926.4,percent of total billed charges ,926.4,percent of total billed charges ,810.6,percent of total billed charges ,810.6,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 ,,,,,616.06,percent of total billed charges ,,,,,585.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,
STRM LOCKING SCREW 3.5X22MM ST,C1713,CDM,,,,both,,,"1,158.00","1,158.00",266.34,"1,158.00","1,158.00",percent of total billed charges,"1,158.00",percent of total billed charges,"1,158.00",percent of total billed charges,"1,158.00",percent of total billed charges,"1,158.00",percent of total billed charges,"1,158.00",percent of total billed charges,"1,158.00",percent of total billed charges,"1,158.00",percent of total billed charges,833.76,percent of total billed charges,833.76,percent of total billed charges,833.76,percent of total billed charges,833.76,percent of total billed charges,833.76,percent of total billed charges,833.76,percent of total billed charges,914.82,percent of total billed charges,914.82,percent of total billed charges,926.4,percent of total billed charges,926.4,percent of total billed charges,,,833.76,percent of total billed charges ,,,926.4,percent of total billed charges ,914.82,percent of total billed charges ,914.82,percent of total billed charges ,984.3,percent of total billed charges ,984.3,percent of total billed charges ,926.4,percent of total billed charges ,926.4,percent of total billed charges ,810.6,percent of total billed charges ,810.6,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 ,,,,,616.06,percent of total billed charges ,,,,,585.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,
STRM LOCKING SCREW 3.5X24MM ST,C1713,CDM,,,,both,,,"1,158.00","1,158.00",266.34,"1,158.00","1,158.00",percent of total billed charges,"1,158.00",percent of total billed charges,"1,158.00",percent of total billed charges,"1,158.00",percent of total billed charges,"1,158.00",percent of total billed charges,"1,158.00",percent of total billed charges,"1,158.00",percent of total billed charges,"1,158.00",percent of total billed charges,833.76,percent of total billed charges,833.76,percent of total billed charges,833.76,percent of total billed charges,833.76,percent of total billed charges,833.76,percent of total billed charges,833.76,percent of total billed charges,914.82,percent of total billed charges,914.82,percent of total billed charges,926.4,percent of total billed charges,926.4,percent of total billed charges,,,833.76,percent of total billed charges ,,,926.4,percent of total billed charges ,914.82,percent of total billed charges ,914.82,percent of total billed charges ,984.3,percent of total billed charges ,984.3,percent of total billed charges ,926.4,percent of total billed charges ,926.4,percent of total billed charges ,810.6,percent of total billed charges ,810.6,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 ,,,,,616.06,percent of total billed charges ,,,,,585.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,
STRM LOCKING SCREW 3.5X28MM ST,C1713,CDM,,,,both,,,"1,158.00","1,158.00",266.34,"1,158.00","1,158.00",percent of total billed charges,"1,158.00",percent of total billed charges,"1,158.00",percent of total billed charges,"1,158.00",percent of total billed charges,"1,158.00",percent of total billed charges,"1,158.00",percent of total billed charges,"1,158.00",percent of total billed charges,"1,158.00",percent of total billed charges,833.76,percent of total billed charges,833.76,percent of total billed charges,833.76,percent of total billed charges,833.76,percent of total billed charges,833.76,percent of total billed charges,833.76,percent of total billed charges,914.82,percent of total billed charges,914.82,percent of total billed charges,926.4,percent of total billed charges,926.4,percent of total billed charges,,,833.76,percent of total billed charges ,,,926.4,percent of total billed charges ,914.82,percent of total billed charges ,914.82,percent of total billed charges ,984.3,percent of total billed charges ,984.3,percent of total billed charges ,926.4,percent of total billed charges ,926.4,percent of total billed charges ,810.6,percent of total billed charges ,810.6,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 ,,,,,616.06,percent of total billed charges ,,,,,585.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,
STRM LP SCREW 3.5X14MM ST,C1713,CDM,,,,both,,,"1,158.00","1,158.00",266.34,"1,158.00","1,158.00",percent of total billed charges,"1,158.00",percent of total billed charges,"1,158.00",percent of total billed charges,"1,158.00",percent of total billed charges,"1,158.00",percent of total billed charges,"1,158.00",percent of total billed charges,"1,158.00",percent of total billed charges,"1,158.00",percent of total billed charges,833.76,percent of total billed charges,833.76,percent of total billed charges,833.76,percent of total billed charges,833.76,percent of total billed charges,833.76,percent of total billed charges,833.76,percent of total billed charges,914.82,percent of total billed charges,914.82,percent of total billed charges,926.4,percent of total billed charges,926.4,percent of total billed charges,,,833.76,percent of total billed charges ,,,926.4,percent of total billed charges ,914.82,percent of total billed charges ,914.82,percent of total billed charges ,984.3,percent of total billed charges ,984.3,percent of total billed charges ,926.4,percent of total billed charges ,926.4,percent of total billed charges ,810.6,percent of total billed charges ,810.6,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 ,,,,,616.06,percent of total billed charges ,,,,,585.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,
STRM LOCKING SCREW 2.7X12MM ST,C1713,CDM,,,,both,,,"1,158.00","1,158.00",266.34,"1,158.00","1,158.00",percent of total billed charges,"1,158.00",percent of total billed charges,"1,158.00",percent of total billed charges,"1,158.00",percent of total billed charges,"1,158.00",percent of total billed charges,"1,158.00",percent of total billed charges,"1,158.00",percent of total billed charges,"1,158.00",percent of total billed charges,833.76,percent of total billed charges,833.76,percent of total billed charges,833.76,percent of total billed charges,833.76,percent of total billed charges,833.76,percent of total billed charges,833.76,percent of total billed charges,914.82,percent of total billed charges,914.82,percent of total billed charges,926.4,percent of total billed charges,926.4,percent of total billed charges,,,833.76,percent of total billed charges ,,,926.4,percent of total billed charges ,914.82,percent of total billed charges ,914.82,percent of total billed charges ,984.3,percent of total billed charges ,984.3,percent of total billed charges ,926.4,percent of total billed charges ,926.4,percent of total billed charges ,810.6,percent of total billed charges ,810.6,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 ,,,,,616.06,percent of total billed charges ,,,,,585.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,,,266.34,percent of total billed charges,
1MPJ FUSION PLTT STD,C1713,CDM,,,,both,,,"10,118.00","10,118.00","2,327.14","10,118.00","10,118.00",percent of total billed charges,"10,118.00",percent of total billed charges,"10,118.00",percent of total billed charges,"10,118.00",percent of total billed charges,"10,118.00",percent of total billed charges,"10,118.00",percent of total billed charges,"10,118.00",percent of total billed charges,"10,118.00",percent of total billed charges,"7,284.96",percent of total billed charges,"7,284.96",percent of total billed charges,"7,284.96",percent of total billed charges,"7,284.96",percent of total billed charges,"7,284.96",percent of total billed charges,"7,284.96",percent of total billed charges,"7,993.22",percent of total billed charges,"7,993.22",percent of total billed charges,"8,094.40",percent of total billed charges,"8,094.40",percent of total billed charges,,,"7,284.96",percent of total billed charges ,,,"8,094.40",percent of total billed charges ,"7,993.22",percent of total billed charges ,"7,993.22",percent of total billed charges ,"8,600.30",percent of total billed charges ,"8,600.30",percent of total billed charges ,"8,094.40",percent of total billed charges ,"8,094.40",percent of total billed charges ,"7,082.60",percent of total billed charges ,"7,082.60",percent of total billed charges ,"6,070.80",percent of total billed charges ,"6,070.80",percent of total billed charges ,"6,070.80",percent of total billed charges ,"6,070.80",percent of total billed charges ,,,,,"5,382.78",percent of total billed charges ,,,,,"5,113.64",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,327.14",percent of total billed charges,,,"2,327.14",percent of total billed charges,,,"2,327.14",percent of total billed charges,,,"2,327.14",percent of total billed charges,,,"2,327.14",percent of total billed charges,,,"2,327.14",percent of total billed charges,,,"2,327.14",percent of total billed charges,,,"2,327.14",percent of total billed charges,,,"2,327.14",percent of total billed charges,,,"2,327.14",percent of total billed charges,,,"2,327.14",percent of total billed charges,
STRATUM 1ST MPJ INSTR KIT,278,RC,00906-99-0441,NDC,,both,,,"4,108.00","4,108.00",944.84,"4,108.00","4,108.00",percent of total billed charges,"4,108.00",percent of total billed charges,"4,108.00",percent of total billed charges,"4,108.00",percent of total billed charges,"4,108.00",percent of total billed charges,"4,108.00",percent of total billed charges,"4,108.00",percent of total billed charges,"4,108.00",percent of total billed charges,"2,957.76",percent of total billed charges,"2,957.76",percent of total billed charges,"2,957.76",percent of total billed charges,"2,957.76",percent of total billed charges,"2,957.76",percent of total billed charges,"2,957.76",percent of total billed charges,"3,245.32",percent of total billed charges,"3,245.32",percent of total billed charges,"3,286.40",percent of total billed charges,"3,286.40",percent of total billed charges,,,"2,957.76",percent of total billed charges ,,,"3,286.40",percent of total billed charges ,"3,245.32",percent of total billed charges ,"3,245.32",percent of total billed charges ,"3,491.80",percent of total billed charges ,"3,491.80",percent of total billed charges ,"3,286.40",percent of total billed charges ,"3,286.40",percent of total billed charges ,"2,875.60",percent of total billed charges ,"2,875.60",percent of total billed charges ,"2,464.80",percent of total billed charges ,"2,464.80",percent of total billed charges ,"2,464.80",percent of total billed charges ,"2,464.80",percent of total billed charges ,,,,,"2,185.46",percent of total billed charges ,,,,,"2,076.18",percent of total billed charges ,,,,,,,,,,,,,,,,,,,944.84,percent of total billed charges,,,944.84,percent of total billed charges,,,944.84,percent of total billed charges,,,944.84,percent of total billed charges,,,944.84,percent of total billed charges,,,944.84,percent of total billed charges,,,944.84,percent of total billed charges,,,944.84,percent of total billed charges,,,944.84,percent of total billed charges,,,944.84,percent of total billed charges,,,944.84,percent of total billed charges,
STRATUM CALIB DRILL 2.0 MM ST W SLV,278,RC,00906-99-0441,NDC,,both,,,"1,426.00","1,426.00",327.98,"1,426.00","1,426.00",percent of total billed charges,"1,426.00",percent of total billed charges,"1,426.00",percent of total billed charges,"1,426.00",percent of total billed charges,"1,426.00",percent of total billed charges,"1,426.00",percent of total billed charges,"1,426.00",percent of total billed charges,"1,426.00",percent of total billed charges,"1,026.72",percent of total billed charges,"1,026.72",percent of total billed charges,"1,026.72",percent of total billed charges,"1,026.72",percent of total billed charges,"1,026.72",percent of total billed charges,"1,026.72",percent of total billed charges,"1,126.54",percent of total billed charges,"1,126.54",percent of total billed charges,"1,140.80",percent of total billed charges,"1,140.80",percent of total billed charges,,,"1,026.72",percent of total billed charges ,,,"1,140.80",percent of total billed charges ,"1,126.54",percent of total billed charges ,"1,126.54",percent of total billed charges ,"1,212.10",percent of total billed charges ,"1,212.10",percent of total billed charges ,"1,140.80",percent of total billed charges ,"1,140.80",percent of total billed charges ,998.2,percent of total billed charges ,998.2,percent of total billed charges ,855.6,percent of total billed charges ,855.6,percent of total billed charges ,855.6,percent of total billed charges ,855.6,percent of total billed charges ,,,,,758.63,percent of total billed charges ,,,,,720.7,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,,,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,
STRATUM CALIB DRILL 2.7 MM ST W SLV,278,RC,00906-99-0441,NDC,,both,,,"1,504.00","1,504.00",345.92,"1,504.00","1,504.00",percent of total billed charges,"1,504.00",percent of total billed charges,"1,504.00",percent of total billed charges,"1,504.00",percent of total billed charges,"1,504.00",percent of total billed charges,"1,504.00",percent of total billed charges,"1,504.00",percent of total billed charges,"1,504.00",percent of total billed charges,"1,082.88",percent of total billed charges,"1,082.88",percent of total billed charges,"1,082.88",percent of total billed charges,"1,082.88",percent of total billed charges,"1,082.88",percent of total billed charges,"1,082.88",percent of total billed charges,"1,188.16",percent of total billed charges,"1,188.16",percent of total billed charges,"1,203.20",percent of total billed charges,"1,203.20",percent of total billed charges,,,"1,082.88",percent of total billed charges ,,,"1,203.20",percent of total billed charges ,"1,188.16",percent of total billed charges ,"1,188.16",percent of total billed charges ,"1,278.40",percent of total billed charges ,"1,278.40",percent of total billed charges ,"1,203.20",percent of total billed charges ,"1,203.20",percent of total billed charges ,"1,052.80",percent of total billed charges ,"1,052.80",percent of total billed charges ,902.4,percent of total billed charges ,902.4,percent of total billed charges ,902.4,percent of total billed charges ,902.4,percent of total billed charges ,,,,,800.13,percent of total billed charges ,,,,,760.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,345.92,percent of total billed charges,,,345.92,percent of total billed charges,,,345.92,percent of total billed charges,,,345.92,percent of total billed charges,,,345.92,percent of total billed charges,,,345.92,percent of total billed charges,,,345.92,percent of total billed charges,,,345.92,percent of total billed charges,,,345.92,percent of total billed charges,,,345.92,percent of total billed charges,,,345.92,percent of total billed charges,
SHEATH NAV HD13/15 X 28 CM,272,RC,00906-99-0441,NDC,,both,,,"1,166.00","1,166.00",268.18,"1,166.00","1,166.00",percent of total billed charges,"1,166.00",percent of total billed charges,"1,166.00",percent of total billed charges,"1,166.00",percent of total billed charges,"1,166.00",percent of total billed charges,"1,166.00",percent of total billed charges,"1,166.00",percent of total billed charges,"1,166.00",percent of total billed charges,839.52,percent of total billed charges,839.52,percent of total billed charges,839.52,percent of total billed charges,839.52,percent of total billed charges,839.52,percent of total billed charges,839.52,percent of total billed charges,921.14,percent of total billed charges,921.14,percent of total billed charges,932.8,percent of total billed charges,932.8,percent of total billed charges,,,839.52,percent of total billed charges ,,,932.8,percent of total billed charges ,921.14,percent of total billed charges ,921.14,percent of total billed charges ,991.1,percent of total billed charges ,991.1,percent of total billed charges ,932.8,percent of total billed charges ,932.8,percent of total billed charges ,816.2,percent of total billed charges ,816.2,percent of total billed charges ,699.6,percent of total billed charges ,699.6,percent of total billed charges ,699.6,percent of total billed charges ,699.6,percent of total billed charges ,,,,,620.31,percent of total billed charges ,,,,,589.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,268.18,percent of total billed charges,,,268.18,percent of total billed charges,,,268.18,percent of total billed charges,,,268.18,percent of total billed charges,,,268.18,percent of total billed charges,,,268.18,percent of total billed charges,,,268.18,percent of total billed charges,,,268.18,percent of total billed charges,,,268.18,percent of total billed charges,,,268.18,percent of total billed charges,,,268.18,percent of total billed charges,
SHEATH NAV HD13/15 X 36 CM,272,RC,00906-99-0441,NDC,,both,,,"1,166.00","1,166.00",268.18,"1,166.00","1,166.00",percent of total billed charges,"1,166.00",percent of total billed charges,"1,166.00",percent of total billed charges,"1,166.00",percent of total billed charges,"1,166.00",percent of total billed charges,"1,166.00",percent of total billed charges,"1,166.00",percent of total billed charges,"1,166.00",percent of total billed charges,839.52,percent of total billed charges,839.52,percent of total billed charges,839.52,percent of total billed charges,839.52,percent of total billed charges,839.52,percent of total billed charges,839.52,percent of total billed charges,921.14,percent of total billed charges,921.14,percent of total billed charges,932.8,percent of total billed charges,932.8,percent of total billed charges,,,839.52,percent of total billed charges ,,,932.8,percent of total billed charges ,921.14,percent of total billed charges ,921.14,percent of total billed charges ,991.1,percent of total billed charges ,991.1,percent of total billed charges ,932.8,percent of total billed charges ,932.8,percent of total billed charges ,816.2,percent of total billed charges ,816.2,percent of total billed charges ,699.6,percent of total billed charges ,699.6,percent of total billed charges ,699.6,percent of total billed charges ,699.6,percent of total billed charges ,,,,,620.31,percent of total billed charges ,,,,,589.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,268.18,percent of total billed charges,,,268.18,percent of total billed charges,,,268.18,percent of total billed charges,,,268.18,percent of total billed charges,,,268.18,percent of total billed charges,,,268.18,percent of total billed charges,,,268.18,percent of total billed charges,,,268.18,percent of total billed charges,,,268.18,percent of total billed charges,,,268.18,percent of total billed charges,,,268.18,percent of total billed charges,
"ZIPWIRE STANDARD, BOSTON SCIENTIFIC",C1769,CDM,,,,both,,,411,411,94.53,411,411,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,324.69,percent of total billed charges,324.69,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 ,324.69,percent of total billed charges ,324.69,percent of total billed charges ,349.35,percent of total billed charges ,349.35,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 ,,,,,,,,,,,,,,,,,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,
MOD FLEX DRILL BIT,272,RC,00906-99-0441,NDC,,both,,,"1,079.00","1,079.00",248.17,"1,079.00","1,079.00",percent of total billed charges,"1,079.00",percent of total billed charges,"1,079.00",percent of total billed charges,"1,079.00",percent of total billed charges,"1,079.00",percent of total billed charges,"1,079.00",percent of total billed charges,"1,079.00",percent of total billed charges,"1,079.00",percent of total billed charges,776.88,percent of total billed charges,776.88,percent of total billed charges,776.88,percent of total billed charges,776.88,percent of total billed charges,776.88,percent of total billed charges,776.88,percent of total billed charges,852.41,percent of total billed charges,852.41,percent of total billed charges,863.2,percent of total billed charges,863.2,percent of total billed charges,,,776.88,percent of total billed charges ,,,863.2,percent of total billed charges ,852.41,percent of total billed charges ,852.41,percent of total billed charges ,917.15,percent of total billed charges ,917.15,percent of total billed charges ,863.2,percent of total billed charges ,863.2,percent of total billed charges ,755.3,percent of total billed charges ,755.3,percent of total billed charges ,647.4,percent of total billed charges ,647.4,percent of total billed charges ,647.4,percent of total billed charges ,647.4,percent of total billed charges ,,,,,574.03,percent of total billed charges ,,,,,545.33,percent of total billed charges ,,,,,,,,,,,,,,,,,,,248.17,percent of total billed charges,,,248.17,percent of total billed charges,,,248.17,percent of total billed charges,,,248.17,percent of total billed charges,,,248.17,percent of total billed charges,,,248.17,percent of total billed charges,,,248.17,percent of total billed charges,,,248.17,percent of total billed charges,,,248.17,percent of total billed charges,,,248.17,percent of total billed charges,,,248.17,percent of total billed charges,
4 HOLE SHELL,C1776,CDM,,,,both,,,"12,720.00","12,720.00","2,925.60","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,"10,048.80",percent of total billed charges,"10,048.80",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 ,"10,048.80",percent of total billed charges ,"10,048.80",percent of total billed charges ,"10,812.00",percent of total billed charges ,"10,812.00",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 ,,,,,,,,,,,,,,,,,,,"2,925.60",percent of total billed charges,,,"2,925.60",percent of total billed charges,,,"2,925.60",percent of total billed charges,,,"2,925.60",percent of total billed charges,,,"2,925.60",percent of total billed charges,,,"2,925.60",percent of total billed charges,,,"2,925.60",percent of total billed charges,,,"2,925.60",percent of total billed charges,,,"2,925.60",percent of total billed charges,,,"2,925.60",percent of total billed charges,,,"2,925.60",percent of total billed charges,
SHELF TAP BONE SCREW,C1713,CDM,,,,both,,,689,689,158.47,689,689,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,544.31,percent of total billed charges,544.31,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 ,544.31,percent of total billed charges ,544.31,percent of total billed charges ,585.65,percent of total billed charges ,585.65,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 ,,,,,,,,,,,,,,,,,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,
G7 NEUTRAL LINER,C1776,CDM,,,,both,,,"6,360.00","6,360.00","1,462.80","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,"5,024.40",percent of total billed charges,"5,024.40",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 ,"5,024.40",percent of total billed charges ,"5,024.40",percent of total billed charges ,"5,406.00",percent of total billed charges ,"5,406.00",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 ,,,,,,,,,,,,,,,,,,,"1,462.80",percent of total billed charges,,,"1,462.80",percent of total billed charges,,,"1,462.80",percent of total billed charges,,,"1,462.80",percent of total billed charges,,,"1,462.80",percent of total billed charges,,,"1,462.80",percent of total billed charges,,,"1,462.80",percent of total billed charges,,,"1,462.80",percent of total billed charges,,,"1,462.80",percent of total billed charges,,,"1,462.80",percent of total billed charges,,,"1,462.80",percent of total billed charges,
AVENIR STD COLUMN,C1776,CDM,,,,both,,,"13,091.00","13,091.00","3,010.93","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,"10,341.89",percent of total billed charges,"10,341.89",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 ,"10,341.89",percent of total billed charges ,"10,341.89",percent of total billed charges ,"11,127.35",percent of total billed charges ,"11,127.35",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 ,,,,,,,,,,,,,,,,,,,"3,010.93",percent of total billed charges,,,"3,010.93",percent of total billed charges,,,"3,010.93",percent of total billed charges,,,"3,010.93",percent of total billed charges,,,"3,010.93",percent of total billed charges,,,"3,010.93",percent of total billed charges,,,"3,010.93",percent of total billed charges,,,"3,010.93",percent of total billed charges,,,"3,010.93",percent of total billed charges,,,"3,010.93",percent of total billed charges,,,"3,010.93",percent of total billed charges,
BS AMS700 ACCESS KIT,272,RC,00906-99-0441,NDC,,both,,,"6,267.00","6,267.00","1,441.41","6,267.00","6,267.00",percent of total billed charges,"6,267.00",percent of total billed charges,"6,267.00",percent of total billed charges,"6,267.00",percent of total billed charges,"6,267.00",percent of total billed charges,"6,267.00",percent of total billed charges,"6,267.00",percent of total billed charges,"6,267.00",percent of total billed charges,"4,512.24",percent of total billed charges,"4,512.24",percent of total billed charges,"4,512.24",percent of total billed charges,"4,512.24",percent of total billed charges,"4,512.24",percent of total billed charges,"4,512.24",percent of total billed charges,"4,950.93",percent of total billed charges,"4,950.93",percent of total billed charges,"5,013.60",percent of total billed charges,"5,013.60",percent of total billed charges,,,"4,512.24",percent of total billed charges ,,,"5,013.60",percent of total billed charges ,"4,950.93",percent of total billed charges ,"4,950.93",percent of total billed charges ,"5,326.95",percent of total billed charges ,"5,326.95",percent of total billed charges ,"5,013.60",percent of total billed charges ,"5,013.60",percent of total billed charges ,"4,386.90",percent of total billed charges ,"4,386.90",percent of total billed charges ,"3,760.20",percent of total billed charges ,"3,760.20",percent of total billed charges ,"3,760.20",percent of total billed charges ,"3,760.20",percent of total billed charges ,,,,,"3,334.04",percent of total billed charges ,,,,,"3,167.34",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,441.41",percent of total billed charges,,,"1,441.41",percent of total billed charges,,,"1,441.41",percent of total billed charges,,,"1,441.41",percent of total billed charges,,,"1,441.41",percent of total billed charges,,,"1,441.41",percent of total billed charges,,,"1,441.41",percent of total billed charges,,,"1,441.41",percent of total billed charges,,,"1,441.41",percent of total billed charges,,,"1,441.41",percent of total billed charges,,,"1,441.41",percent of total billed charges,
"SP FIBERTAK RC, DBLOAD TAPE",278,RC,00906-99-0441,NDC,,both,,,"4,177.00","4,177.00",960.71,"4,177.00","4,177.00",percent of total billed charges,"4,177.00",percent of total billed charges,"4,177.00",percent of total billed charges,"4,177.00",percent of total billed charges,"4,177.00",percent of total billed charges,"4,177.00",percent of total billed charges,"4,177.00",percent of total billed charges,"4,177.00",percent of total billed charges,"3,007.44",percent of total billed charges,"3,007.44",percent of total billed charges,"3,007.44",percent of total billed charges,"3,007.44",percent of total billed charges,"3,007.44",percent of total billed charges,"3,007.44",percent of total billed charges,"3,299.83",percent of total billed charges,"3,299.83",percent of total billed charges,"3,341.60",percent of total billed charges,"3,341.60",percent of total billed charges,,,"3,007.44",percent of total billed charges ,,,"3,341.60",percent of total billed charges ,"3,299.83",percent of total billed charges ,"3,299.83",percent of total billed charges ,"3,550.45",percent of total billed charges ,"3,550.45",percent of total billed charges ,"3,341.60",percent of total billed charges ,"3,341.60",percent of total billed charges ,"2,923.90",percent of total billed charges ,"2,923.90",percent of total billed charges ,"2,506.20",percent of total billed charges ,"2,506.20",percent of total billed charges ,"2,506.20",percent of total billed charges ,"2,506.20",percent of total billed charges ,,,,,"2,222.16",percent of total billed charges ,,,,,"2,111.06",percent of total billed charges ,,,,,,,,,,,,,,,,,,,960.71,percent of total billed charges,,,960.71,percent of total billed charges,,,960.71,percent of total billed charges,,,960.71,percent of total billed charges,,,960.71,percent of total billed charges,,,960.71,percent of total billed charges,,,960.71,percent of total billed charges,,,960.71,percent of total billed charges,,,960.71,percent of total billed charges,,,960.71,percent of total billed charges,,,960.71,percent of total billed charges,
ARTHREX BURR,272,RC,00906-99-0441,NDC,,both,,,393,393,90.39,393,393,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,310.47,percent of total billed charges,310.47,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 ,310.47,percent of total billed charges ,310.47,percent of total billed charges ,334.05,percent of total billed charges ,334.05,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 ,,,,,,,,,,,,,,,,,,,90.39,percent of total billed charges,,,90.39,percent of total billed charges,,,90.39,percent of total billed charges,,,90.39,percent of total billed charges,,,90.39,percent of total billed charges,,,90.39,percent of total billed charges,,,90.39,percent of total billed charges,,,90.39,percent of total billed charges,,,90.39,percent of total billed charges,,,90.39,percent of total billed charges,,,90.39,percent of total billed charges,
APOLLO RF 90 MULTIPORT,272,RC,00906-99-0441,NDC,,both,,,"1,307.00","1,307.00",300.61,"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,"1,032.53",percent of total billed charges,"1,032.53",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 ,"1,032.53",percent of total billed charges ,"1,032.53",percent of total billed charges ,"1,110.95",percent of total billed charges ,"1,110.95",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 ,,,,,,,,,,,,,,,,,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,
BS CONCEAL 100ML,278,RC,00906-99-0441,NDC,,both,,,"17,649.00","17,649.00","4,059.27","17,649.00","17,649.00",percent of total billed charges,"17,649.00",percent of total billed charges,"17,649.00",percent of total billed charges,"17,649.00",percent of total billed charges,"17,649.00",percent of total billed charges,"17,649.00",percent of total billed charges,"17,649.00",percent of total billed charges,"17,649.00",percent of total billed charges,"12,707.28",percent of total billed charges,"12,707.28",percent of total billed charges,"12,707.28",percent of total billed charges,"12,707.28",percent of total billed charges,"12,707.28",percent of total billed charges,"12,707.28",percent of total billed charges,"13,942.71",percent of total billed charges,"13,942.71",percent of total billed charges,"14,119.20",percent of total billed charges,"14,119.20",percent of total billed charges,,,"12,707.28",percent of total billed charges ,,,"14,119.20",percent of total billed charges ,"13,942.71",percent of total billed charges ,"13,942.71",percent of total billed charges ,"15,001.65",percent of total billed charges ,"15,001.65",percent of total billed charges ,"14,119.20",percent of total billed charges ,"14,119.20",percent of total billed charges ,"12,354.30",percent of total billed charges ,"12,354.30",percent of total billed charges ,"10,589.40",percent of total billed charges ,"10,589.40",percent of total billed charges ,"10,589.40",percent of total billed charges ,"10,589.40",percent of total billed charges ,,,,,"9,389.27",percent of total billed charges ,,,,,"8,919.80",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,059.27",percent of total billed charges,,,"4,059.27",percent of total billed charges,,,"4,059.27",percent of total billed charges,,,"4,059.27",percent of total billed charges,,,"4,059.27",percent of total billed charges,,,"4,059.27",percent of total billed charges,,,"4,059.27",percent of total billed charges,,,"4,059.27",percent of total billed charges,,,"4,059.27",percent of total billed charges,,,"4,059.27",percent of total billed charges,,,"4,059.27",percent of total billed charges,
BS AMS700 LGX MS PUMP,C1813,CDM,,,,both,,,"59,084.00","59,084.00","13,589.32","59,084.00","59,084.00",percent of total billed charges,"59,084.00",percent of total billed charges,"59,084.00",percent of total billed charges,"59,084.00",percent of total billed charges,"59,084.00",percent of total billed charges,"59,084.00",percent of total billed charges,"59,084.00",percent of total billed charges,"59,084.00",percent of total billed charges,"42,540.48",percent of total billed charges,"42,540.48",percent of total billed charges,"42,540.48",percent of total billed charges,"42,540.48",percent of total billed charges,"42,540.48",percent of total billed charges,"42,540.48",percent of total billed charges,"46,676.36",percent of total billed charges,"46,676.36",percent of total billed charges,"47,267.20",percent of total billed charges,"47,267.20",percent of total billed charges,,,"42,540.48",percent of total billed charges ,,,"47,267.20",percent of total billed charges ,"46,676.36",percent of total billed charges ,"46,676.36",percent of total billed charges ,"50,221.40",percent of total billed charges ,"50,221.40",percent of total billed charges ,"47,267.20",percent of total billed charges ,"47,267.20",percent of total billed charges ,"41,358.80",percent of total billed charges ,"41,358.80",percent of total billed charges ,"35,450.40",percent of total billed charges ,"35,450.40",percent of total billed charges ,"35,450.40",percent of total billed charges ,"35,450.40",percent of total billed charges ,,,,,"31,432.69",percent of total billed charges ,,,,,"29,861.05",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"13,589.32",percent of total billed charges,,,"13,589.32",percent of total billed charges,,,"13,589.32",percent of total billed charges,,,"13,589.32",percent of total billed charges,,,"13,589.32",percent of total billed charges,,,"13,589.32",percent of total billed charges,,,"13,589.32",percent of total billed charges,,,"13,589.32",percent of total billed charges,,,"13,589.32",percent of total billed charges,,,"13,589.32",percent of total billed charges,,,"13,589.32",percent of total billed charges,
MAROPLASTIQUE IMPLANT,L8606,CDM,,,,both,,,"4,758.00","4,758.00","1,094.34","4,758.00","4,758.00",percent of total billed charges,"4,758.00",percent of total billed charges,"4,758.00",percent of total billed charges,"4,758.00",percent of total billed charges,"4,758.00",percent of total billed charges,"4,758.00",percent of total billed charges,"4,758.00",percent of total billed charges,"4,758.00",percent of total billed charges,"3,425.76",percent of total billed charges,"3,425.76",percent of total billed charges,"3,425.76",percent of total billed charges,"3,425.76",percent of total billed charges,"3,425.76",percent of total billed charges,"3,425.76",percent of total billed charges,"3,758.82",percent of total billed charges,"3,758.82",percent of total billed charges,"3,806.40",percent of total billed charges,"3,806.40",percent of total billed charges,,,"3,425.76",percent of total billed charges ,,,"3,806.40",percent of total billed charges ,"3,758.82",percent of total billed charges ,"3,758.82",percent of total billed charges ,"4,044.30",percent of total billed charges ,"4,044.30",percent of total billed charges ,"3,806.40",percent of total billed charges ,"3,806.40",percent of total billed charges ,"3,330.60",percent of total billed charges ,"3,330.60",percent of total billed charges ,"2,854.80",percent of total billed charges ,"2,854.80",percent of total billed charges ,"2,854.80",percent of total billed charges ,"2,854.80",percent of total billed charges ,,,,,"2,531.26",percent of total billed charges ,,,,,"2,404.69",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,094.34",percent of total billed charges,,,"1,094.34",percent of total billed charges,,,"1,094.34",percent of total billed charges,,,"1,094.34",percent of total billed charges,,,"1,094.34",percent of total billed charges,,,"1,094.34",percent of total billed charges,,,"1,094.34",percent of total billed charges,,,"1,094.34",percent of total billed charges,,,"1,094.34",percent of total billed charges,,,"1,094.34",percent of total billed charges,,,"1,094.34",percent of total billed charges,
KIT BULKAMID,272,RC,00906-99-0441,NDC,,both,,,"6,825.00","6,825.00","1,569.75","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,"5,391.75",percent of total billed charges,"5,391.75",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 ,"5,391.75",percent of total billed charges ,"5,391.75",percent of total billed charges ,"5,801.25",percent of total billed charges ,"5,801.25",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 ,,,,,,,,,,,,,,,,,,,"1,569.75",percent of total billed charges,,,"1,569.75",percent of total billed charges,,,"1,569.75",percent of total billed charges,,,"1,569.75",percent of total billed charges,,,"1,569.75",percent of total billed charges,,,"1,569.75",percent of total billed charges,,,"1,569.75",percent of total billed charges,,,"1,569.75",percent of total billed charges,,,"1,569.75",percent of total billed charges,,,"1,569.75",percent of total billed charges,,,"1,569.75",percent of total billed charges,
ARALAST NP IV POWDER FOR SOLUTION 1GM,636,RC,00944-28-0202,NDC,,both,1,each,"1,377.00","1,377.00",316.71,"1,377.00","1,377.00",percent of total billed charges,"1,377.00",percent of total billed charges,"1,377.00",percent of total billed charges,"1,377.00",percent of total billed charges,"1,377.00",percent of total billed charges,"1,377.00",percent of total billed charges,"1,377.00",percent of total billed charges,"1,377.00",percent of total billed charges,991.44,percent of total billed charges,991.44,percent of total billed charges,991.44,percent of total billed charges,991.44,percent of total billed charges,991.44,percent of total billed charges,991.44,percent of total billed charges,"1,087.83",percent of total billed charges,"1,087.83",percent of total billed charges,"1,101.60",percent of total billed charges,"1,101.60",percent of total billed charges,,,991.44,percent of total billed charges ,,,"1,101.60",percent of total billed charges ,"1,087.83",percent of total billed charges ,"1,087.83",percent of total billed charges ,"1,170.45",percent of total billed charges ,"1,170.45",percent of total billed charges ,"1,101.60",percent of total billed charges ,"1,101.60",percent of total billed charges ,963.9,percent of total billed charges ,963.9,percent of total billed charges ,826.2,percent of total billed charges ,826.2,percent of total billed charges ,826.2,percent of total billed charges ,826.2,percent of total billed charges ,,,,,732.56,percent of total billed charges ,,,,,695.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,316.71,percent of total billed charges,,,316.71,percent of total billed charges,,,316.71,percent of total billed charges,,,316.71,percent of total billed charges,,,316.71,percent of total billed charges,,,316.71,percent of total billed charges,,,316.71,percent of total billed charges,,,316.71,percent of total billed charges,,,316.71,percent of total billed charges,,,316.71,percent of total billed charges,,,316.71,percent of total billed charges,
HYDROCORTISONE 1% CREAM : 30GM,637,RC,00472-03-3956,NDC,,both,1,each,43.25,43.25,9.95,43.25,43.25,percent of total billed charges,43.25,percent of total billed charges,43.25,percent of total billed charges,43.25,percent of total billed charges,43.25,percent of total billed charges,43.25,percent of total billed charges,43.25,percent of total billed charges,43.25,percent of total billed charges,31.14,percent of total billed charges,31.14,percent of total billed charges,31.14,percent of total billed charges,31.14,percent of total billed charges,31.14,percent of total billed charges,31.14,percent of total billed charges,34.17,percent of total billed charges,34.17,percent of total billed charges,34.6,percent of total billed charges,34.6,percent of total billed charges,,,31.14,percent of total billed charges ,,,34.6,percent of total billed charges ,34.17,percent of total billed charges ,34.17,percent of total billed charges ,36.76,percent of total billed charges ,36.76,percent of total billed charges ,34.6,percent of total billed charges ,34.6,percent of total billed charges ,30.28,percent of total billed charges ,30.28,percent of total billed charges ,25.95,percent of total billed charges ,25.95,percent of total billed charges ,25.95,percent of total billed charges ,25.95,percent of total billed charges ,,,,,23.01,percent of total billed charges ,,,,,21.86,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,,,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,
**LINDANE 1%(KWELL) SHMP:60ML DO NOT USE,637,RC,00472-05-7202,NDC,,both,1,each,36,36,8.28,36,36,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,28.44,percent of total billed charges,28.44,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 ,28.44,percent of total billed charges ,28.44,percent of total billed charges ,30.6,percent of total billed charges ,30.6,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,8.28,percent of total billed charges,,,8.28,percent of total billed charges,,,8.28,percent of total billed charges,
**RETIN A CRM 20 GM DO NOT USE,259,RC,00403-18-2918,NDC,,both,1,each,187,187,43.01,187,187,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,147.73,percent of total billed charges,147.73,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 ,147.73,percent of total billed charges ,147.73,percent of total billed charges ,158.95,percent of total billed charges ,158.95,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 ,,,,,,,,,,,,,,,,,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,
GRANULEX ARSL : 113.4GM*,250,RC,51079-06-2182,NDC,,both,1,each,46,46,10.58,46,46,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,36.34,percent of total billed charges,36.34,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 ,36.34,percent of total billed charges ,36.34,percent of total billed charges ,39.1,percent of total billed charges ,39.1,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,10.58,percent of total billed charges,,,10.58,percent of total billed charges,,,10.58,percent of total billed charges,
**GENTIAN SOLN 1% 30ML DO NOT USE,250,RC,00228-13-1601,NDC,,both,1,each,23,23,5.29,23,23,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,18.17,percent of total billed charges,18.17,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 ,18.17,percent of total billed charges ,18.17,percent of total billed charges ,19.55,percent of total billed charges ,19.55,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 ,,,,,,,,,,,,,,,,,,,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,
GENTAMICIN TOP OINT : 1%  15GM,250,RC,45802-00-4635,NDC,,both,1,each,145,145,33.35,145,145,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,114.55,percent of total billed charges,114.55,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 ,114.55,percent of total billed charges ,114.55,percent of total billed charges ,123.25,percent of total billed charges ,123.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,33.35,percent of total billed charges,,,33.35,percent of total billed charges,,,33.35,percent of total billed charges,
SLOAN-KETTERING OINT :  8OZ.,637,RC,99999-99-9999,NDC,,both,1,each,53,53,12.19,53,53,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,41.87,percent of total billed charges,41.87,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 ,41.87,percent of total billed charges ,41.87,percent of total billed charges ,45.05,percent of total billed charges ,45.05,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 ,,,,,,,,,,,,,,,,,,,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,
**ESTRADIOL PATCH DO NOT USE,259,RC,50419-04-5204,NDC,,both,1,each,47,47,10.81,47,47,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,37.13,percent of total billed charges,37.13,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 ,37.13,percent of total billed charges ,37.13,percent of total billed charges ,39.95,percent of total billed charges ,39.95,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**ELASE OINTMENT DO NOT USE,Local ,Local ,,,,both,,,260,260,59.8,260,260,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,205.4,percent of total billed charges,205.4,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 ,205.4,percent of total billed charges ,205.4,percent of total billed charges ,221,percent of total billed charges ,221,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,59.8,percent of total billed charges,,,59.8,percent of total billed charges,,,59.8,percent of total billed charges,
**FLOUROURACIL(EFUDEX)CRM:1% 25MG DO NOT,259,RC,00187-32-0426,NDC,,both,1,each,313,313,71.99,313,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,247.27,percent of total billed charges,247.27,percent of total billed charges,250.4,percent of total billed charges,250.4,percent of total billed charges,,,225.36,percent of total billed charges ,,,250.4,percent of total billed charges ,247.27,percent of total billed charges ,247.27,percent of total billed charges ,266.05,percent of total billed charges ,266.05,percent of total billed charges ,250.4,percent of total billed charges ,250.4,percent of total billed charges ,219.1,percent of total billed charges ,219.1,percent of total billed charges ,187.8,percent of total billed charges ,187.8,percent of total billed charges ,187.8,percent of total billed charges ,187.8,percent of total billed charges ,,,,,166.52,percent of total billed charges ,,,,,158.19,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,,,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,
**DOMEBORO PWDR PACKET 1 PCKT DO NOT USE,637,RC,01650-00-2324,NDC,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
ESTRADIOL PATCH : 0.1MG/24HR,637,RC,47781-02-0904,NDC,,both,1,each,50.46,50.46,11.61,50.46,50.46,percent of total billed charges,50.46,percent of total billed charges,50.46,percent of total billed charges,50.46,percent of total billed charges,50.46,percent of total billed charges,50.46,percent of total billed charges,50.46,percent of total billed charges,50.46,percent of total billed charges,36.33,percent of total billed charges,36.33,percent of total billed charges,36.33,percent of total billed charges,36.33,percent of total billed charges,36.33,percent of total billed charges,36.33,percent of total billed charges,39.86,percent of total billed charges,39.86,percent of total billed charges,40.37,percent of total billed charges,40.37,percent of total billed charges,,,36.33,percent of total billed charges ,,,40.37,percent of total billed charges ,39.86,percent of total billed charges ,39.86,percent of total billed charges ,42.89,percent of total billed charges ,42.89,percent of total billed charges ,40.37,percent of total billed charges ,40.37,percent of total billed charges ,35.32,percent of total billed charges ,35.32,percent of total billed charges ,30.28,percent of total billed charges ,30.28,percent of total billed charges ,30.28,percent of total billed charges ,30.28,percent of total billed charges ,,,,,26.84,percent of total billed charges ,,,,,25.5,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,
DESITIN OINT : 60GM,637,RC,75834-01-7001,NDC,,both,1,each,14,14,3.22,14,14,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,11.06,percent of total billed charges,11.06,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 ,11.06,percent of total billed charges ,11.06,percent of total billed charges ,11.9,percent of total billed charges ,11.9,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 ,,,,,,,,,,,,,,,,,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,
HYDROCORTISONE 0.5% CREAM : 30GM,637,RC,51672-20-1002,NDC,,both,1,each,27,27,6.21,27,27,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,21.33,percent of total billed charges,21.33,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 ,21.33,percent of total billed charges ,21.33,percent of total billed charges ,22.95,percent of total billed charges ,22.95,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 ,,,,,,,,,,,,,,,,,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,
CHLORASEPTIC THROAT SPRAY : 177ML,637,RC,46122-02-6530,NDC,,both,1,each,45.21,45.21,10.4,45.21,45.21,percent of total billed charges,45.21,percent of total billed charges,45.21,percent of total billed charges,45.21,percent of total billed charges,45.21,percent of total billed charges,45.21,percent of total billed charges,45.21,percent of total billed charges,45.21,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,35.72,percent of total billed charges,35.72,percent of total billed charges,36.17,percent of total billed charges,36.17,percent of total billed charges,,,32.55,percent of total billed charges ,,,36.17,percent of total billed charges ,35.72,percent of total billed charges ,35.72,percent of total billed charges ,38.43,percent of total billed charges ,38.43,percent of total billed charges ,36.17,percent of total billed charges ,36.17,percent of total billed charges ,31.65,percent of total billed charges ,31.65,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 ,,,,,24.05,percent of total billed charges ,,,,,22.85,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,,,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,
CETACAINE SPRAY : 20GM*,637,RC,10223-02-0103,NDC,,both,1,each,151,151,34.73,151,151,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,119.29,percent of total billed charges,119.29,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 ,119.29,percent of total billed charges ,119.29,percent of total billed charges ,128.35,percent of total billed charges ,128.35,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 ,,,,,,,,,,,,,,,,,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,
CALAMINE LOTION : 120ML,637,RC,00869-00-6326,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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,
POVIDONE-IODINE 10% OINT : 30GM,250,RC,00034-23-4019,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**DIPHENHYDRAMINE (BENADRYL) CRM DO NOT,637,RC,00536-41-8095,NDC,,both,1,each,29,29,6.67,29,29,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,22.91,percent of total billed charges,22.91,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 ,22.91,percent of total billed charges ,22.91,percent of total billed charges ,24.65,percent of total billed charges ,24.65,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 ,,,,,,,,,,,,,,,,,,,6.67,percent of total billed charges,,,6.67,percent of total billed charges,,,6.67,percent of total billed charges,,,6.67,percent of total billed charges,,,6.67,percent of total billed charges,,,6.67,percent of total billed charges,,,6.67,percent of total billed charges,,,6.67,percent of total billed charges,,,6.67,percent of total billed charges,,,6.67,percent of total billed charges,,,6.67,percent of total billed charges,
CARMEX TUBE : 10GM,637,RC,83078-01-2313,NDC,,both,,,12,12,2.76,12,12,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,9.48,percent of total billed charges,9.48,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 ,9.48,percent of total billed charges ,9.48,percent of total billed charges ,10.2,percent of total billed charges ,10.2,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 ,,,,,,,,,,,,,,,,,,,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,
BACITRACIN OINT : 30GM,637,RC,45802-00-6003,NDC,,both,1,each,6,6,1.38,6,6,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,4.74,percent of total billed charges,4.74,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 ,4.74,percent of total billed charges ,4.74,percent of total billed charges ,5.1,percent of total billed charges ,5.1,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 ,,,,,,,,,,,,,,,,,,,1.38,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,
NYSTATIN OINT : 15GM,637,RC,51672-12-7201,NDC,,both,1,each,27,27,6.21,27,27,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,21.33,percent of total billed charges,21.33,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 ,21.33,percent of total billed charges ,21.33,percent of total billed charges ,22.95,percent of total billed charges ,22.95,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 ,,,,,,,,,,,,,,,,,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,
THROMBIN (THROMBOSTAT) PWDR : 10 MU,250,RC,00071-41-7635,NDC,,both,,,350,350,80.5,350,350,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,276.5,percent of total billed charges,276.5,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 ,276.5,percent of total billed charges ,276.5,percent of total billed charges ,297.5,percent of total billed charges ,297.5,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 ,,,,,,,,,,,,,,,,,,,80.5,percent of total billed charges,,,80.5,percent of total billed charges,,,80.5,percent of total billed charges,,,80.5,percent of total billed charges,,,80.5,percent of total billed charges,,,80.5,percent of total billed charges,,,80.5,percent of total billed charges,,,80.5,percent of total billed charges,,,80.5,percent of total billed charges,,,80.5,percent of total billed charges,,,80.5,percent of total billed charges,
ANUSOL-HC CREM : 30GM,250,RC,64980-03-0130,NDC,,both,1,each,152,152,34.96,152,152,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,120.08,percent of total billed charges,120.08,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 ,120.08,percent of total billed charges ,120.08,percent of total billed charges ,129.2,percent of total billed charges ,129.2,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 ,,,,,,,,,,,,,,,,,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,
ANALGESIC OINT (BENGAY) : 30GM,637,RC,99999-99-9999,NDC,,both,1,each,21,21,4.83,21,21,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,16.59,percent of total billed charges,16.59,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 ,16.59,percent of total billed charges ,16.59,percent of total billed charges ,17.85,percent of total billed charges ,17.85,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 ,,,,,,,,,,,,,,,,,,,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,
BENZOCAINE (AMERICAINE) ARSL : 60GM,250,RC,63736-03-7802,NDC,,both,1,each,44.8,44.8,10.3,44.8,44.8,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,35.39,percent of total billed charges,35.39,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 ,35.39,percent of total billed charges ,35.39,percent of total billed charges ,38.08,percent of total billed charges ,38.08,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 ,,,,,,,,,,,,,,,,,,,10.3,percent of total billed charges,,,10.3,percent of total billed charges,,,10.3,percent of total billed charges,,,10.3,percent of total billed charges,,,10.3,percent of total billed charges,,,10.3,percent of total billed charges,,,10.3,percent of total billed charges,,,10.3,percent of total billed charges,,,10.3,percent of total billed charges,,,10.3,percent of total billed charges,,,10.3,percent of total billed charges,
EPINEPHrine 1MG/ML INJ : 30ML,J0171,CDM,,,,both,1,each,859.14,859.14,197.6,859.14,859.14,percent of total billed charges,859.14,percent of total billed charges,859.14,percent of total billed charges,859.14,percent of total billed charges,859.14,percent of total billed charges,859.14,percent of total billed charges,859.14,percent of total billed charges,859.14,percent of total billed charges,618.58,percent of total billed charges,618.58,percent of total billed charges,618.58,percent of total billed charges,618.58,percent of total billed charges,618.58,percent of total billed charges,618.58,percent of total billed charges,678.72,percent of total billed charges,678.72,percent of total billed charges,687.31,percent of total billed charges,687.31,percent of total billed charges,,,618.58,percent of total billed charges ,,,687.31,percent of total billed charges ,678.72,percent of total billed charges ,678.72,percent of total billed charges ,730.27,percent of total billed charges ,730.27,percent of total billed charges ,687.31,percent of total billed charges ,687.31,percent of total billed charges ,601.4,percent of total billed charges ,601.4,percent of total billed charges ,515.48,percent of total billed charges ,515.48,percent of total billed charges ,515.48,percent of total billed charges ,515.48,percent of total billed charges ,,,,,457.06,percent of total billed charges ,,,,,434.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,197.6,percent of total billed charges,,,197.6,percent of total billed charges,,,197.6,percent of total billed charges,,,197.6,percent of total billed charges,,,197.6,percent of total billed charges,,,197.6,percent of total billed charges,,,197.6,percent of total billed charges,,,197.6,percent of total billed charges,,,197.6,percent of total billed charges,,,197.6,percent of total billed charges,,,197.6,percent of total billed charges,
**CONJ ESTROGEN/MEDRO(PREMPOR) DO NOT US,250,RC,42023-01-6899,NDC,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
MOMETASONE (NASONEX) NASAL SPRY:50MCG,637,RC,60505-08-3001,NDC,,both,1,each,177.77,177.77,40.89,177.77,177.77,percent of total billed charges,177.77,percent of total billed charges,177.77,percent of total billed charges,177.77,percent of total billed charges,177.77,percent of total billed charges,177.77,percent of total billed charges,177.77,percent of total billed charges,177.77,percent of total billed charges,127.99,percent of total billed charges,127.99,percent of total billed charges,127.99,percent of total billed charges,127.99,percent of total billed charges,127.99,percent of total billed charges,127.99,percent of total billed charges,140.44,percent of total billed charges,140.44,percent of total billed charges,142.22,percent of total billed charges,142.22,percent of total billed charges,,,127.99,percent of total billed charges ,,,142.22,percent of total billed charges ,140.44,percent of total billed charges ,140.44,percent of total billed charges ,151.1,percent of total billed charges ,151.1,percent of total billed charges ,142.22,percent of total billed charges ,142.22,percent of total billed charges ,124.44,percent of total billed charges ,124.44,percent of total billed charges ,106.66,percent of total billed charges ,106.66,percent of total billed charges ,106.66,percent of total billed charges ,106.66,percent of total billed charges ,,,,,94.57,percent of total billed charges ,,,,,89.84,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,,,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,
**RIFABUTIN (MYCOBUTIN) DO NOT USE,259,RC,00013-53-0117,NDC,,both,1,each,23,23,5.29,23,23,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,18.17,percent of total billed charges,18.17,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 ,18.17,percent of total billed charges ,18.17,percent of total billed charges ,19.55,percent of total billed charges ,19.55,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 ,,,,,,,,,,,,,,,,,,,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,
**METAXALONE (SKELAXIN)TAB 400 MG DO NOT,637,RC,60760-00-6290,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
LEVOFLOXACIN (LEVAQUIN) TAB : 500 MG,637,RC,00904-63-5261,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
LEVOFLOXACIN (LEVAQUIN) TAB : 250 MG,637,RC,00904-63-5161,NDC,,both,1,each,1.35,1.35,0.31,1.35,1.35,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,1.07,percent of total billed charges,1.07,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 ,1.07,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 ,1.08,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 ,,,,,,,,,,,,,,,,,,,0.31,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,
**PERGOLIDE-METHIONINE DO NOT USE,259,RC,00187-08-3901,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
OxyCODONE CTL REL (OXYconTIN) TAB : 10MG,637,RC,59011-04-1020,NDC,,both,1,each,18,18,4.14,18,18,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,14.22,percent of total billed charges,14.22,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 ,14.22,percent of total billed charges ,14.22,percent of total billed charges ,15.3,percent of total billed charges ,15.3,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 ,,,,,,,,,,,,,,,,,,,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,,,4.14,percent of total billed charges,,,4.14,percent of total billed charges,,,4.14,percent of total billed charges,
**ALDOCLOR 250 DO NOT USE,Local ,Local ,,,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**ISRADIPINE (DYNACIRC) 2.5MG DO NOT USE,259,RC,65726-02-2615,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**LACTASE ENZYME (LACTAID) DO NOT USE,259,RC,00045-00-8002,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
ESTROGEN CONJUGATED TAB : 0.9MG*,637,RC,00046-11-0381,NDC,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
**FEXOFENADINE(ALLEGRA)CAP 60MG DO NOT U,637,RC,00088-11-0249,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**ALKA-SELTZER EFFERV TAB DO NOT USE,637,RC,16500-00-4002,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
BISACODYL (DULCOLAX) SUPP : 10 MG RECTAL,637,RC,00574-70-5050,NDC,,both,1,each,4.42,4.42,1.02,4.42,4.42,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,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,3.49,percent of total billed charges,3.49,percent of total billed charges,3.54,percent of total billed charges,3.54,percent of total billed charges,,,3.18,percent of total billed charges ,,,3.54,percent of total billed charges ,3.49,percent of total billed charges ,3.49,percent of total billed charges ,3.76,percent of total billed charges ,3.76,percent of total billed charges ,3.54,percent of total billed charges ,3.54,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 ,,,,,,,,,,,,,,,,,,,1.02,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,
**PROMETHAZINE (PHENERGAN) DO NOT USE,637,RC,00713-01-3212,NDC,,both,1,each,17,17,3.91,17,17,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,13.43,percent of total billed charges,13.43,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 ,13.43,percent of total billed charges ,13.43,percent of total billed charges ,14.45,percent of total billed charges ,14.45,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 ,,,,,,,,,,,,,,,,,,,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,
PROMETHAZINE (PHENERGAN) SUPP : 25 MG,637,RC,51672-52-9701,NDC,,both,1,each,22.79,22.79,5.24,22.79,22.79,percent of total billed charges,22.79,percent of total billed charges,22.79,percent of total billed charges,22.79,percent of total billed charges,22.79,percent of total billed charges,22.79,percent of total billed charges,22.79,percent of total billed charges,22.79,percent of total billed charges,16.41,percent of total billed charges,16.41,percent of total billed charges,16.41,percent of total billed charges,16.41,percent of total billed charges,16.41,percent of total billed charges,16.41,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18.23,percent of total billed charges,18.23,percent of total billed charges,,,16.41,percent of total billed charges ,,,18.23,percent of total billed charges ,18,percent of total billed charges ,18,percent of total billed charges ,19.37,percent of total billed charges ,19.37,percent of total billed charges ,18.23,percent of total billed charges ,18.23,percent of total billed charges ,15.95,percent of total billed charges ,15.95,percent of total billed charges ,13.67,percent of total billed charges ,13.67,percent of total billed charges ,13.67,percent of total billed charges ,13.67,percent of total billed charges ,,,,,12.12,percent of total billed charges ,,,,,11.52,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,
PROMETHAZINE (PHENERGAN) SUPP : 12.5MG,637,RC,00713-05-3612,NDC,,both,1,each,21.84,21.84,5.02,21.84,21.84,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,17.25,percent of total billed charges,17.25,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 ,17.25,percent of total billed charges ,17.25,percent of total billed charges ,18.56,percent of total billed charges ,18.56,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 ,,,,,,,,,,,,,,,,,,,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,
SODIUM POLYSTYR SUSP: 15GM/60ML,637,RC,46287-00-0601,NDC,,both,60,each,64.29,64.29,14.79,64.29,64.29,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,46.29,percent of total billed charges,46.29,percent of total billed charges,46.29,percent of total billed charges,46.29,percent of total billed charges,46.29,percent of total billed charges,46.29,percent of total billed charges,50.79,percent of total billed charges,50.79,percent of total billed charges,51.43,percent of total billed charges,51.43,percent of total billed charges,,,46.29,percent of total billed charges ,,,51.43,percent of total billed charges ,50.79,percent of total billed charges ,50.79,percent of total billed charges ,54.65,percent of total billed charges ,54.65,percent of total billed charges ,51.43,percent of total billed charges ,51.43,percent of total billed charges ,45,percent of total billed charges ,45,percent of total billed charges ,38.57,percent of total billed charges ,38.57,percent of total billed charges ,38.57,percent of total billed charges ,38.57,percent of total billed charges ,,,,,34.2,percent of total billed charges ,,,,,32.49,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,,,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,,,14.79,percent of total billed charges,,,14.79,percent of total billed charges,,,14.79,percent of total billed charges,
PROCHLORPERAZINE (COMPAZINE) SUPP: 25MG,637,RC,00713-01-3512,NDC,,both,1,each,36,36,8.28,36,36,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,28.44,percent of total billed charges,28.44,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 ,28.44,percent of total billed charges ,28.44,percent of total billed charges ,30.6,percent of total billed charges ,30.6,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,8.28,percent of total billed charges,,,8.28,percent of total billed charges,,,8.28,percent of total billed charges,
**PROCHLORPERAZ (COMPAZINE) SUPP DO NOT,637,RC,00007-33-6103,NDC,,both,1,each,17,17,3.91,17,17,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,13.43,percent of total billed charges,13.43,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 ,13.43,percent of total billed charges ,13.43,percent of total billed charges ,14.45,percent of total billed charges ,14.45,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 ,,,,,,,,,,,,,,,,,,,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,
**MINERAL OIL ENEMA DO NOT USE,Local ,Local ,,,,both,,,21,21,4.83,21,21,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,16.59,percent of total billed charges,16.59,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 ,16.59,percent of total billed charges ,16.59,percent of total billed charges ,17.85,percent of total billed charges ,17.85,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 ,,,,,,,,,,,,,,,,,,,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,
BELLADONNA & OPIUM SUPP : 60MG,637,RC,00574-70-4012,NDC,,both,1,each,164.52,164.52,37.84,164.52,164.52,percent of total billed charges,164.52,percent of total billed charges,164.52,percent of total billed charges,164.52,percent of total billed charges,164.52,percent of total billed charges,164.52,percent of total billed charges,164.52,percent of total billed charges,164.52,percent of total billed charges,118.45,percent of total billed charges,118.45,percent of total billed charges,118.45,percent of total billed charges,118.45,percent of total billed charges,118.45,percent of total billed charges,118.45,percent of total billed charges,129.97,percent of total billed charges,129.97,percent of total billed charges,131.62,percent of total billed charges,131.62,percent of total billed charges,,,118.45,percent of total billed charges ,,,131.62,percent of total billed charges ,129.97,percent of total billed charges ,129.97,percent of total billed charges ,139.84,percent of total billed charges ,139.84,percent of total billed charges ,131.62,percent of total billed charges ,131.62,percent of total billed charges ,115.16,percent of total billed charges ,115.16,percent of total billed charges ,98.71,percent of total billed charges ,98.71,percent of total billed charges ,98.71,percent of total billed charges ,98.71,percent of total billed charges ,,,,,87.52,percent of total billed charges ,,,,,83.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,37.84,percent of total billed charges,,,37.84,percent of total billed charges,,,37.84,percent of total billed charges,,,37.84,percent of total billed charges,,,37.84,percent of total billed charges,,,37.84,percent of total billed charges,,,37.84,percent of total billed charges,,,37.84,percent of total billed charges,,,37.84,percent of total billed charges,,,37.84,percent of total billed charges,,,37.84,percent of total billed charges,
HYDROCORTISONE SUPP : 25MG,637,RC,00574-70-9012,NDC,,both,1,each,12.52,12.52,2.88,12.52,12.52,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,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,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,9.89,percent of total billed charges,9.89,percent of total billed charges,10.02,percent of total billed charges,10.02,percent of total billed charges,,,9.01,percent of total billed charges ,,,10.02,percent of total billed charges ,9.89,percent of total billed charges ,9.89,percent of total billed charges ,10.64,percent of total billed charges ,10.64,percent of total billed charges ,10.02,percent of total billed charges ,10.02,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 ,,,,,6.33,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,
NICOTINE INHALER : 1 KIT,637,RC,00009-54-0001,NDC,,both,1,each,"1,130.52","1,130.52",260.02,"1,130.52","1,130.52",percent of total billed charges,"1,130.52",percent of total billed charges,"1,130.52",percent of total billed charges,"1,130.52",percent of total billed charges,"1,130.52",percent of total billed charges,"1,130.52",percent of total billed charges,"1,130.52",percent of total billed charges,"1,130.52",percent of total billed charges,813.97,percent of total billed charges,813.97,percent of total billed charges,813.97,percent of total billed charges,813.97,percent of total billed charges,813.97,percent of total billed charges,813.97,percent of total billed charges,893.11,percent of total billed charges,893.11,percent of total billed charges,904.42,percent of total billed charges,904.42,percent of total billed charges,,,813.97,percent of total billed charges ,,,904.42,percent of total billed charges ,893.11,percent of total billed charges ,893.11,percent of total billed charges ,960.94,percent of total billed charges ,960.94,percent of total billed charges ,904.42,percent of total billed charges ,904.42,percent of total billed charges ,791.36,percent of total billed charges ,791.36,percent of total billed charges ,678.31,percent of total billed charges ,678.31,percent of total billed charges ,678.31,percent of total billed charges ,678.31,percent of total billed charges ,,,,,601.44,percent of total billed charges ,,,,,571.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,260.02,percent of total billed charges,,,260.02,percent of total billed charges,,,260.02,percent of total billed charges,,,260.02,percent of total billed charges,,,260.02,percent of total billed charges,,,260.02,percent of total billed charges,,,260.02,percent of total billed charges,,,260.02,percent of total billed charges,,,260.02,percent of total billed charges,,,260.02,percent of total billed charges,,,260.02,percent of total billed charges,
FLUTICASONE (FLOVENT HFA) INHA : 110MCG,637,RC,00173-07-1920,NDC,,both,1,each,529.67,529.67,121.82,529.67,529.67,percent of total billed charges,529.67,percent of total billed charges,529.67,percent of total billed charges,529.67,percent of total billed charges,529.67,percent of total billed charges,529.67,percent of total billed charges,529.67,percent of total billed charges,529.67,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,418.44,percent of total billed charges,418.44,percent of total billed charges,423.74,percent of total billed charges,423.74,percent of total billed charges,,,381.36,percent of total billed charges ,,,423.74,percent of total billed charges ,418.44,percent of total billed charges ,418.44,percent of total billed charges ,450.22,percent of total billed charges ,450.22,percent of total billed charges ,423.74,percent of total billed charges ,423.74,percent of total billed charges ,370.77,percent of total billed charges ,370.77,percent of total billed charges ,317.8,percent of total billed charges ,317.8,percent of total billed charges ,317.8,percent of total billed charges ,317.8,percent of total billed charges ,,,,,281.78,percent of total billed charges ,,,,,267.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,121.82,percent of total billed charges,,,121.82,percent of total billed charges,,,121.82,percent of total billed charges,,,121.82,percent of total billed charges,,,121.82,percent of total billed charges,,,121.82,percent of total billed charges,,,121.82,percent of total billed charges,,,121.82,percent of total billed charges,,,121.82,percent of total billed charges,,,121.82,percent of total billed charges,,,121.82,percent of total billed charges,
SUSPENSORY,Local ,Local ,,,,both,,,31,31,7.13,31,31,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,24.49,percent of total billed charges,24.49,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 ,24.49,percent of total billed charges ,24.49,percent of total billed charges ,26.35,percent of total billed charges ,26.35,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 ,,,,,,,,,,,,,,,,,,,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,
**BABY OIL,250,RC,08137-00-3307,NDC,,both,,,12,12,2.76,12,12,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,9.48,percent of total billed charges,9.48,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 ,9.48,percent of total billed charges ,9.48,percent of total billed charges ,10.2,percent of total billed charges ,10.2,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 ,,,,,,,,,,,,,,,,,,,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,
**THORAZINE 100 SUPP DO NOT USE,259,RC,00007-50-7103,NDC,,both,,,29,29,6.67,29,29,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,22.91,percent of total billed charges,22.91,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 ,22.91,percent of total billed charges ,22.91,percent of total billed charges ,24.65,percent of total billed charges ,24.65,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 ,,,,,,,,,,,,,,,,,,,6.67,percent of total billed charges,,,6.67,percent of total billed charges,,,6.67,percent of total billed charges,,,6.67,percent of total billed charges,,,6.67,percent of total billed charges,,,6.67,percent of total billed charges,,,6.67,percent of total billed charges,,,6.67,percent of total billed charges,,,6.67,percent of total billed charges,,,6.67,percent of total billed charges,,,6.67,percent of total billed charges,
HYDROGEN PEROXIDE,637,RC,00295-11-7916,NDC,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
CHLORHEXIDINE MOUTHWASH : 480 ML,250,RC,51284-06-2022,NDC,,both,,,13,13,2.99,13,13,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,10.27,percent of total billed charges,10.27,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 ,10.27,percent of total billed charges ,10.27,percent of total billed charges ,11.05,percent of total billed charges ,11.05,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 ,,,,,,,,,,,,,,,,,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,
**VANCENASE AQ 84 DO NOT USE,Local ,Local ,,,,both,,,311,311,71.53,311,311,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,245.69,percent of total billed charges,245.69,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 ,245.69,percent of total billed charges ,245.69,percent of total billed charges ,264.35,percent of total billed charges ,264.35,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 ,,,,,,,,,,,,,,,,,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,
**ELOCON 0.1% CRM 45GM DO NOT USE,637,RC,00085-05-6702,NDC,,both,1,each,151,151,34.73,151,151,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,119.29,percent of total billed charges,119.29,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 ,119.29,percent of total billed charges ,119.29,percent of total billed charges ,128.35,percent of total billed charges ,128.35,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 ,,,,,,,,,,,,,,,,,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,
**ECONAZOLE (SPECTAZOLE)CRM 30GM DO NOT,250,RC,00062-54-6002,NDC,,both,,,48,48,11.04,48,48,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,37.92,percent of total billed charges,37.92,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 ,37.92,percent of total billed charges ,37.92,percent of total billed charges ,40.8,percent of total billed charges ,40.8,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 ,,,,,,,,,,,,,,,,,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,
**ELIMITE CRM 60GM DO NOT USE,637,RC,54569-29-8700,NDC,,both,,,99,99,22.77,99,99,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,78.21,percent of total billed charges,78.21,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 ,78.21,percent of total billed charges ,78.21,percent of total billed charges ,84.15,percent of total billed charges ,84.15,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 ,,,,,,,,,,,,,,,,,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,
**TERCONAZOLE (TERAZOL 7) DO NOT USE,259,RC,00062-53-5001,NDC,,both,1,each,178,178,40.94,178,178,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,140.62,percent of total billed charges,140.62,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 ,140.62,percent of total billed charges ,140.62,percent of total billed charges ,151.3,percent of total billed charges ,151.3,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 ,,,,,,,,,,,,,,,,,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,
**TRIAMCINOLONE (NASACORT) DO NOT USE,259,RC,00075-15-0616,NDC,,both,1,each,331,331,76.13,331,331,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,261.49,percent of total billed charges,261.49,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 ,261.49,percent of total billed charges ,261.49,percent of total billed charges ,281.35,percent of total billed charges ,281.35,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 ,,,,,,,,,,,,,,,,,,,76.13,percent of total billed charges,,,76.13,percent of total billed charges,,,76.13,percent of total billed charges,,,76.13,percent of total billed charges,,,76.13,percent of total billed charges,,,76.13,percent of total billed charges,,,76.13,percent of total billed charges,,,76.13,percent of total billed charges,,,76.13,percent of total billed charges,,,76.13,percent of total billed charges,,,76.13,percent of total billed charges,
FLUTICASONE (FLOVENT HFA) INHA : 220MCG,250,RC,00173-07-2020,NDC,,both,1,each,899.91,899.91,206.98,899.91,899.91,percent of total billed charges,899.91,percent of total billed charges,899.91,percent of total billed charges,899.91,percent of total billed charges,899.91,percent of total billed charges,899.91,percent of total billed charges,899.91,percent of total billed charges,899.91,percent of total billed charges,647.94,percent of total billed charges,647.94,percent of total billed charges,647.94,percent of total billed charges,647.94,percent of total billed charges,647.94,percent of total billed charges,647.94,percent of total billed charges,710.93,percent of total billed charges,710.93,percent of total billed charges,719.93,percent of total billed charges,719.93,percent of total billed charges,,,647.94,percent of total billed charges ,,,719.93,percent of total billed charges ,710.93,percent of total billed charges ,710.93,percent of total billed charges ,764.92,percent of total billed charges ,764.92,percent of total billed charges ,719.93,percent of total billed charges ,719.93,percent of total billed charges ,629.94,percent of total billed charges ,629.94,percent of total billed charges ,539.95,percent of total billed charges ,539.95,percent of total billed charges ,539.95,percent of total billed charges ,539.95,percent of total billed charges ,,,,,478.75,percent of total billed charges ,,,,,454.81,percent of total billed charges ,,,,,,,,,,,,,,,,,,,206.98,percent of total billed charges,,,206.98,percent of total billed charges,,,206.98,percent of total billed charges,,,206.98,percent of total billed charges,,,206.98,percent of total billed charges,,,206.98,percent of total billed charges,,,206.98,percent of total billed charges,,,206.98,percent of total billed charges,,,206.98,percent of total billed charges,,,206.98,percent of total billed charges,,,206.98,percent of total billed charges,
**ARTROVENT NAS 30ML DO NOT USE,259,RC,00597-00-8130,NDC,,both,1,each,300,300,69,300,300,percent of total billed charges,300,percent of total billed charges,300,percent of total billed charges,300,percent of total billed charges,300,percent of total billed charges,300,percent of total billed charges,300,percent of total billed charges,300,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,216,percent of total billed charges,216,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,240,percent of total billed charges,240,percent of total billed charges,,,216,percent of total billed charges ,,,240,percent of total billed charges ,237,percent of total billed charges ,237,percent of total billed charges ,255,percent of total billed charges ,255,percent of total billed charges ,240,percent of total billed charges ,240,percent of total billed charges ,210,percent of total billed charges ,210,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 ,,,,,159.6,percent of total billed charges ,,,,,151.62,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,,,69,percent of total billed charges,,,69,percent of total billed charges,,,69,percent of total billed charges,,,69,percent of total billed charges,
**COLLAGENASE (SANTL) OINT 15GM DO NOT U,637,RC,50484-05-2715,NDC,,both,1,each,80,80,18.4,80,80,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,63.2,percent of total billed charges,63.2,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 ,63.2,percent of total billed charges ,63.2,percent of total billed charges ,68,percent of total billed charges ,68,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 ,,,,,,,,,,,,,,,,,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,
POTASSIUM CHLORIDE 10%  LIQ : 15ML,637,RC,00603-15-3458,NDC,,both,15,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
CAPSAICIN (ZOSTRIX) CR 0.025% : 60GM,637,RC,00536-25-2525,NDC,,both,1,each,16,16,3.68,16,16,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,12.64,percent of total billed charges,12.64,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 ,12.64,percent of total billed charges ,12.64,percent of total billed charges ,13.6,percent of total billed charges ,13.6,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 ,,,,,,,,,,,,,,,,,,,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,,,3.68,percent of total billed charges,,,3.68,percent of total billed charges,,,3.68,percent of total billed charges,
**PRAMOXINE (PROCTOFOAM) ARSL 10GM DO NO,250,RC,00091-47-5020,NDC,,both,1,each,150,150,34.5,150,150,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,118.5,percent of total billed charges,118.5,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 ,118.5,percent of total billed charges ,118.5,percent of total billed charges ,127.5,percent of total billed charges ,127.5,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 ,,,,,,,,,,,,,,,,,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,
**DOME-PASTE STRP DO NOT USE,259,RC,00085-18-1102,NDC,,both,1,each,131,131,30.13,131,131,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,103.49,percent of total billed charges,103.49,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 ,103.49,percent of total billed charges ,103.49,percent of total billed charges ,111.35,percent of total billed charges ,111.35,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 ,,,,,,,,,,,,,,,,,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,
COLLOIDAL OATMEAL (AVEENO BATH): 1 BX,637,RC,81370-00-3640,NDC,,both,1,each,19,19,4.37,19,19,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,15.01,percent of total billed charges,15.01,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 ,15.01,percent of total billed charges ,15.01,percent of total billed charges ,16.15,percent of total billed charges ,16.15,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,4.37,percent of total billed charges,,,4.37,percent of total billed charges,,,4.37,percent of total billed charges,
NITROGLYCERIN PATCH 0.6MG/HR,637,RC,43598-08-9330,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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,
NITROGLYCERIN PATCH 0.4MG/HR,637,RC,47781-02-9803,NDC,,both,1,each,3.35,3.35,0.77,3.35,3.35,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,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,2.65,percent of total billed charges,2.65,percent of total billed charges,2.68,percent of total billed charges,2.68,percent of total billed charges,,,2.41,percent of total billed charges ,,,2.68,percent of total billed charges ,2.65,percent of total billed charges ,2.65,percent of total billed charges ,2.85,percent of total billed charges ,2.85,percent of total billed charges ,2.68,percent of total billed charges ,2.68,percent of total billed charges ,2.35,percent of total billed charges ,2.35,percent of total billed charges ,2.01,percent of total billed charges ,2.01,percent of total billed charges ,2.01,percent of total billed charges ,2.01,percent of total billed charges ,,,,,1.78,percent of total billed charges ,,,,,1.69,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,
NITROGLYCERIN PATCH 0.3MG/HR,637,RC,50742-05-1530,NDC,,both,1,each,25,25,5.75,25,25,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,19.75,percent of total billed charges,19.75,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 ,19.75,percent of total billed charges ,19.75,percent of total billed charges ,21.25,percent of total billed charges ,21.25,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 ,,,,,,,,,,,,,,,,,,,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,,,5.75,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,
NITROGLYCERIN PATCH 0.2MG/HR,637,RC,68382-03-0901,NDC,,both,1,each,1.3,1.3,0.3,1.3,1.3,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,1.03,percent of total billed charges,1.03,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 ,1.03,percent of total billed charges ,1.03,percent of total billed charges ,1.11,percent of total billed charges ,1.11,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 ,,,,,,,,,,,,,,,,,,,0.3,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,
NITROGLYCERIN PATCH 0.1MG/HR,637,RC,47781-02-9603,NDC,,both,1,each,2.4,2.4,0.55,2.4,2.4,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,1.9,percent of total billed charges,1.9,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 ,1.9,percent of total billed charges ,1.9,percent of total billed charges ,2.04,percent of total billed charges ,2.04,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 ,,,,,,,,,,,,,,,,,,,0.55,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,
BETAMETHASONE (DIPROLENE) OINT : 15 GM,637,RC,00168-00-5615,NDC,,both,1,each,21,21,4.83,21,21,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,16.59,percent of total billed charges,16.59,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 ,16.59,percent of total billed charges ,16.59,percent of total billed charges ,17.85,percent of total billed charges ,17.85,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 ,,,,,,,,,,,,,,,,,,,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,
NICOTINE 21MG PATCH,Local ,Local ,,,,both,,,6.4,6.4,1.47,6.4,6.4,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,6.4,percent of total billed charges,6.4,percent of total billed charges,4.61,percent of total billed charges,4.61,percent of total billed charges,4.61,percent of total billed charges,4.61,percent of total billed charges,4.61,percent of total billed charges,4.61,percent of total billed charges,5.06,percent of total billed charges,5.06,percent of total billed charges,5.12,percent of total billed charges,5.12,percent of total billed charges,,,4.61,percent of total billed charges ,,,5.12,percent of total billed charges ,5.06,percent of total billed charges ,5.06,percent of total billed charges ,5.44,percent of total billed charges ,5.44,percent of total billed charges ,5.12,percent of total billed charges ,5.12,percent of total billed charges ,4.48,percent of total billed charges ,4.48,percent of total billed charges ,3.84,percent of total billed charges ,3.84,percent of total billed charges ,3.84,percent of total billed charges ,3.84,percent of total billed charges ,,,,,3.4,percent of total billed charges ,,,,,3.23,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,
NICOTINE 14MG PATCH,637,RC,60505-70-6200,NDC,,both,1,each,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**ACYCLOVIR(ZOVIRAX) 5% OINT:3GM,637,RC,54569-20-4700,NDC,,both,1,each,209,209,48.07,209,209,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,165.11,percent of total billed charges,165.11,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 ,165.11,percent of total billed charges ,165.11,percent of total billed charges ,177.65,percent of total billed charges ,177.65,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 ,,,,,,,,,,,,,,,,,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,
ZINC OXIDE OINT : 30GM,637,RC,75834-01-7001,NDC,,both,1,each,39.37,39.37,9.06,39.37,39.37,percent of total billed charges,39.37,percent of total billed charges,39.37,percent of total billed charges,39.37,percent of total billed charges,39.37,percent of total billed charges,39.37,percent of total billed charges,39.37,percent of total billed charges,39.37,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,31.1,percent of total billed charges,31.1,percent of total billed charges,31.5,percent of total billed charges,31.5,percent of total billed charges,,,28.35,percent of total billed charges ,,,31.5,percent of total billed charges ,31.1,percent of total billed charges ,31.1,percent of total billed charges ,33.46,percent of total billed charges ,33.46,percent of total billed charges ,31.5,percent of total billed charges ,31.5,percent of total billed charges ,27.56,percent of total billed charges ,27.56,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 ,,,,,19.9,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,
**NICOTINE (HABITROL) 7MG PATCH DO NOT U,637,RC,00766-14-4020,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
PETROLATUM OINT : 30GM,637,RC,00521-23-8400,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
TRIPLE DYE : 1 APPLICATOR,250,RC,51101-28-2605,NDC,,both,1,each,13,13,2.99,13,13,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,10.27,percent of total billed charges,10.27,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 ,10.27,percent of total billed charges ,10.27,percent of total billed charges ,11.05,percent of total billed charges ,11.05,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 ,,,,,,,,,,,,,,,,,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,
**SELENIUM SHMPT 1 APP DO NOT USE,637,RC,00536-19-9553,NDC,,both,,,14,14,3.22,14,14,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,11.06,percent of total billed charges,11.06,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 ,11.06,percent of total billed charges ,11.06,percent of total billed charges ,11.9,percent of total billed charges ,11.9,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 ,,,,,,,,,,,,,,,,,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,
TRIAMCINOLONE 0.1% CREAM,637,RC,00713-02-2515,NDC,,both,1,each,70.29,70.29,16.17,70.29,70.29,percent of total billed charges,70.29,percent of total billed charges,70.29,percent of total billed charges,70.29,percent of total billed charges,70.29,percent of total billed charges,70.29,percent of total billed charges,70.29,percent of total billed charges,70.29,percent of total billed charges,50.61,percent of total billed charges,50.61,percent of total billed charges,50.61,percent of total billed charges,50.61,percent of total billed charges,50.61,percent of total billed charges,50.61,percent of total billed charges,55.53,percent of total billed charges,55.53,percent of total billed charges,56.23,percent of total billed charges,56.23,percent of total billed charges,,,50.61,percent of total billed charges ,,,56.23,percent of total billed charges ,55.53,percent of total billed charges ,55.53,percent of total billed charges ,59.75,percent of total billed charges ,59.75,percent of total billed charges ,56.23,percent of total billed charges ,56.23,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 ,,,,,,,,,,,,,,,,,,,16.17,percent of total billed charges,,,16.17,percent of total billed charges,,,16.17,percent of total billed charges,,,16.17,percent of total billed charges,,,16.17,percent of total billed charges,,,16.17,percent of total billed charges,,,16.17,percent of total billed charges,,,16.17,percent of total billed charges,,,16.17,percent of total billed charges,,,16.17,percent of total billed charges,,,16.17,percent of total billed charges,
**TRIAMCINOLONE ACET.1% CO NOT USE,259,RC,00472-03-0180,NDC,,both,1,each,12,12,2.76,12,12,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,9.48,percent of total billed charges,9.48,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 ,9.48,percent of total billed charges ,9.48,percent of total billed charges ,10.2,percent of total billed charges ,10.2,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 ,,,,,,,,,,,,,,,,,,,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,
**TYLENOL EXT. STR. TAB:500MG HOSPICE,637,RC,62107-00-5001,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
XYLOCAINE 2% JELLY : 30ML,250,RC,00186-03-3001,NDC,,both,1,each,53,53,12.19,53,53,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,41.87,percent of total billed charges,41.87,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 ,41.87,percent of total billed charges ,41.87,percent of total billed charges ,45.05,percent of total billed charges ,45.05,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 ,,,,,,,,,,,,,,,,,,,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,
LIDOCAINE (XYLOCAINE) 5% OINT : 35GM,250,RC,64380-07-8932,NDC,,both,1,each,190,190,43.7,190,190,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,150.1,percent of total billed charges,150.1,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 ,150.1,percent of total billed charges ,150.1,percent of total billed charges ,161.5,percent of total billed charges ,161.5,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 ,,,,,,,,,,,,,,,,,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,
LIDOCAINE 4% TOPICAL SOLN,637,RC,00527-60-0480,NDC,,both,1,each,20,20,4.6,20,20,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,15.8,percent of total billed charges,15.8,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 ,15.8,percent of total billed charges ,15.8,percent of total billed charges ,17,percent of total billed charges ,17,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 ,,,,,,,,,,,,,,,,,,,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,,,4.6,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,,,4.6,percent of total billed charges,,,4.6,percent of total billed charges,,,4.6,percent of total billed charges,
LIDOCAINE (XYLOCAINE) 2% JELLY : 30ML,250,RC,17478-07-1130,NDC,,both,1,each,77,77,17.71,77,77,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,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,60.83,percent of total billed charges,60.83,percent of total billed charges,61.6,percent of total billed charges,61.6,percent of total billed charges,,,55.44,percent of total billed charges ,,,61.6,percent of total billed charges ,60.83,percent of total billed charges ,60.83,percent of total billed charges ,65.45,percent of total billed charges ,65.45,percent of total billed charges ,61.6,percent of total billed charges ,61.6,percent of total billed charges ,53.9,percent of total billed charges ,53.9,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 ,,,,,40.96,percent of total billed charges ,,,,,38.92,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,,,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,
EUCERIN CREAM : 113 GM,250,RC,72140-00-0021,NDC,,both,1,each,110.8,110.8,25.48,110.8,110.8,percent of total billed charges,110.8,percent of total billed charges,110.8,percent of total billed charges,110.8,percent of total billed charges,110.8,percent of total billed charges,110.8,percent of total billed charges,110.8,percent of total billed charges,110.8,percent of total billed charges,79.78,percent of total billed charges,79.78,percent of total billed charges,79.78,percent of total billed charges,79.78,percent of total billed charges,79.78,percent of total billed charges,79.78,percent of total billed charges,87.53,percent of total billed charges,87.53,percent of total billed charges,88.64,percent of total billed charges,88.64,percent of total billed charges,,,79.78,percent of total billed charges ,,,88.64,percent of total billed charges ,87.53,percent of total billed charges ,87.53,percent of total billed charges ,94.18,percent of total billed charges ,94.18,percent of total billed charges ,88.64,percent of total billed charges ,88.64,percent of total billed charges ,77.56,percent of total billed charges ,77.56,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 ,,,,,58.95,percent of total billed charges ,,,,,56,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,
SILVER NITRATE APPLICATOR : 10 pk,250,RC,12870-00-0101,NDC,,both,,,15.6,15.6,3.59,15.6,15.6,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,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,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,11.23,percent of total billed charges,11.23,percent of total billed charges,12.32,percent of total billed charges,12.32,percent of total billed charges,12.48,percent of total billed charges,12.48,percent of total billed charges,,,11.23,percent of total billed charges ,,,12.48,percent of total billed charges ,12.32,percent of total billed charges ,12.32,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,12.48,percent of total billed charges ,12.48,percent of total billed charges ,10.92,percent of total billed charges ,10.92,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 ,,,,,8.3,percent of total billed charges ,,,,,7.88,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,
PRAMIPEXOLE (MIRAPEX) TAB : 0.125MG,637,RC,00597-00-8353,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
SILVER SULFADIAZINE 1% CREAM  400GM,637,RC,67877-01-2440,NDC,,both,1,each,148,148,34.04,148,148,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,116.92,percent of total billed charges,116.92,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 ,116.92,percent of total billed charges ,116.92,percent of total billed charges ,125.8,percent of total billed charges ,125.8,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 ,,,,,,,,,,,,,,,,,,,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,,,34.04,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,
SILVADENE 1% CREAM  50GM/85GM,637,RC,61570-01-3155,NDC,,both,1,each,65.96,65.96,15.17,65.96,65.96,percent of total billed charges,65.96,percent of total billed charges,65.96,percent of total billed charges,65.96,percent of total billed charges,65.96,percent of total billed charges,65.96,percent of total billed charges,65.96,percent of total billed charges,65.96,percent of total billed charges,47.49,percent of total billed charges,47.49,percent of total billed charges,47.49,percent of total billed charges,47.49,percent of total billed charges,47.49,percent of total billed charges,47.49,percent of total billed charges,52.11,percent of total billed charges,52.11,percent of total billed charges,52.77,percent of total billed charges,52.77,percent of total billed charges,,,47.49,percent of total billed charges ,,,52.77,percent of total billed charges ,52.11,percent of total billed charges ,52.11,percent of total billed charges ,56.07,percent of total billed charges ,56.07,percent of total billed charges ,52.77,percent of total billed charges ,52.77,percent of total billed charges ,46.17,percent of total billed charges ,46.17,percent of total billed charges ,39.58,percent of total billed charges ,39.58,percent of total billed charges ,39.58,percent of total billed charges ,39.58,percent of total billed charges ,,,,,35.09,percent of total billed charges ,,,,,33.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.17,percent of total billed charges,,,15.17,percent of total billed charges,,,15.17,percent of total billed charges,,,15.17,percent of total billed charges,,,15.17,percent of total billed charges,,,15.17,percent of total billed charges,,,15.17,percent of total billed charges,,,15.17,percent of total billed charges,,,15.17,percent of total billed charges,,,15.17,percent of total billed charges,,,15.17,percent of total billed charges,
BACITRACIN OINT 0.9GM PAK,637,RC,45802-00-6070,NDC,,both,1,each,1.84,1.84,0.42,1.84,1.84,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,1.45,percent of total billed charges,1.45,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 ,1.45,percent of total billed charges ,1.45,percent of total billed charges ,1.56,percent of total billed charges ,1.56,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 ,,,,,,,,,,,,,,,,,,,0.42,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,
BACITRACIN-NEOMYCIN-POLYMYXIN OINT: 1 PK,637,RC,45802-01-4370,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
**DIBUCAINE OINT 1APPL DO NOT USE,637,RC,30083-58-1296,NDC,,both,1,each,16,16,3.68,16,16,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,12.64,percent of total billed charges,12.64,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 ,12.64,percent of total billed charges ,12.64,percent of total billed charges ,13.6,percent of total billed charges ,13.6,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 ,,,,,,,,,,,,,,,,,,,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,,,3.68,percent of total billed charges,,,3.68,percent of total billed charges,,,3.68,percent of total billed charges,
**SURE STEP TEST STRIP DO NOT USE,Local ,Local ,,,,both,,,121,121,27.83,121,121,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,95.59,percent of total billed charges,95.59,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 ,95.59,percent of total billed charges ,95.59,percent of total billed charges ,102.85,percent of total billed charges ,102.85,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,27.83,percent of total billed charges,,,27.83,percent of total billed charges,,,27.83,percent of total billed charges,
KETOCONAZOLE 2% (NIZORAL) CREAM: 15GM,637,RC,51672-12-9801,NDC,,both,1,each,75.23,75.23,17.3,75.23,75.23,percent of total billed charges,75.23,percent of total billed charges,75.23,percent of total billed charges,75.23,percent of total billed charges,75.23,percent of total billed charges,75.23,percent of total billed charges,75.23,percent of total billed charges,75.23,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,59.43,percent of total billed charges,59.43,percent of total billed charges,60.18,percent of total billed charges,60.18,percent of total billed charges,,,54.17,percent of total billed charges ,,,60.18,percent of total billed charges ,59.43,percent of total billed charges ,59.43,percent of total billed charges ,63.95,percent of total billed charges ,63.95,percent of total billed charges ,60.18,percent of total billed charges ,60.18,percent of total billed charges ,52.66,percent of total billed charges ,52.66,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 ,,,,,40.02,percent of total billed charges ,,,,,38.02,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,
NITROGLYCERIN 2% OINT : 30GM,637,RC,00281-03-2630,NDC,,both,1,each,95,95,21.85,95,95,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,75.05,percent of total billed charges,75.05,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 ,75.05,percent of total billed charges ,75.05,percent of total billed charges ,80.75,percent of total billed charges ,80.75,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,21.85,percent of total billed charges,,,21.85,percent of total billed charges,,,21.85,percent of total billed charges,
LOTRISONE CREAM : 45GM*,637,RC,00168-02-5846,NDC,,both,,,76,76,17.48,76,76,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,60.04,percent of total billed charges,60.04,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 ,60.04,percent of total billed charges ,60.04,percent of total billed charges ,64.6,percent of total billed charges ,64.6,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 ,,,,,,,,,,,,,,,,,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,
TRIPLE ANTIBIOTIC OINT : 30GM,637,RC,00472-01-7956,NDC,,both,1,each,61,61,14.03,61,61,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,48.19,percent of total billed charges,48.19,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 ,48.19,percent of total billed charges ,48.19,percent of total billed charges ,51.85,percent of total billed charges ,51.85,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 ,,,,,,,,,,,,,,,,,,,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,,,14.03,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,
**NYSTATIN-TRIAMCINOLONE 30GM DO NOT USE,259,RC,00168-00-8130,NDC,,both,1,each,69,69,15.87,69,69,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,54.51,percent of total billed charges,54.51,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 ,54.51,percent of total billed charges ,54.51,percent of total billed charges ,58.65,percent of total billed charges ,58.65,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 ,,,,,,,,,,,,,,,,,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,
MICONAZOLE 2% (MONISTAT-DERM) CREM:30GM,637,RC,61269-07-3556,NDC,,both,1,each,53,53,12.19,53,53,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,41.87,percent of total billed charges,41.87,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 ,41.87,percent of total billed charges ,41.87,percent of total billed charges ,45.05,percent of total billed charges ,45.05,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 ,,,,,,,,,,,,,,,,,,,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,
LANOLIN (LANSINOH) : 40GM,637,RC,89165-00-0701,NDC,,both,1,each,89.98,89.98,20.7,89.98,89.98,percent of total billed charges,89.98,percent of total billed charges,89.98,percent of total billed charges,89.98,percent of total billed charges,89.98,percent of total billed charges,89.98,percent of total billed charges,89.98,percent of total billed charges,89.98,percent of total billed charges,64.79,percent of total billed charges,64.79,percent of total billed charges,64.79,percent of total billed charges,64.79,percent of total billed charges,64.79,percent of total billed charges,64.79,percent of total billed charges,71.08,percent of total billed charges,71.08,percent of total billed charges,71.98,percent of total billed charges,71.98,percent of total billed charges,,,64.79,percent of total billed charges ,,,71.98,percent of total billed charges ,71.08,percent of total billed charges ,71.08,percent of total billed charges ,76.48,percent of total billed charges ,76.48,percent of total billed charges ,71.98,percent of total billed charges ,71.98,percent of total billed charges ,62.99,percent of total billed charges ,62.99,percent of total billed charges ,53.99,percent of total billed charges ,53.99,percent of total billed charges ,53.99,percent of total billed charges ,53.99,percent of total billed charges ,,,,,47.87,percent of total billed charges ,,,,,45.48,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,,,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,
**MYCOSTATIN POWDER DO NOT USE,259,RC,58016-31-5501,NDC,,both,,,127,127,29.21,127,127,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,100.33,percent of total billed charges,100.33,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 ,100.33,percent of total billed charges ,100.33,percent of total billed charges ,107.95,percent of total billed charges ,107.95,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 ,,,,,,,,,,,,,,,,,,,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,
POLYMYXIN B/BACITRACIN  OINT : 30GM,637,RC,00168-00-2135,NDC,,both,1,each,21,21,4.83,21,21,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,16.59,percent of total billed charges,16.59,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 ,16.59,percent of total billed charges ,16.59,percent of total billed charges ,17.85,percent of total billed charges ,17.85,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 ,,,,,,,,,,,,,,,,,,,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,
CLOTRIM/BETAMETH(LOTRISONE) CR 15GM,637,RC,00168-02-5815,NDC,,both,1,each,116.74,116.74,26.85,116.74,116.74,percent of total billed charges,116.74,percent of total billed charges,116.74,percent of total billed charges,116.74,percent of total billed charges,116.74,percent of total billed charges,116.74,percent of total billed charges,116.74,percent of total billed charges,116.74,percent of total billed charges,84.05,percent of total billed charges,84.05,percent of total billed charges,84.05,percent of total billed charges,84.05,percent of total billed charges,84.05,percent of total billed charges,84.05,percent of total billed charges,92.22,percent of total billed charges,92.22,percent of total billed charges,93.39,percent of total billed charges,93.39,percent of total billed charges,,,84.05,percent of total billed charges ,,,93.39,percent of total billed charges ,92.22,percent of total billed charges ,92.22,percent of total billed charges ,99.23,percent of total billed charges ,99.23,percent of total billed charges ,93.39,percent of total billed charges ,93.39,percent of total billed charges ,81.72,percent of total billed charges ,81.72,percent of total billed charges ,70.04,percent of total billed charges ,70.04,percent of total billed charges ,70.04,percent of total billed charges ,70.04,percent of total billed charges ,,,,,62.11,percent of total billed charges ,,,,,59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.85,percent of total billed charges,,,26.85,percent of total billed charges,,,26.85,percent of total billed charges,,,26.85,percent of total billed charges,,,26.85,percent of total billed charges,,,26.85,percent of total billed charges,,,26.85,percent of total billed charges,,,26.85,percent of total billed charges,,,26.85,percent of total billed charges,,,26.85,percent of total billed charges,,,26.85,percent of total billed charges,
**POVIDONE (BETADINE) DO NOT USE,259,RC,67618-01-4803,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
CLOTRIMAZOLE 1% (LOTRIMIN) CREAM : 15GM,637,RC,68001-04-7545,NDC,,both,1,each,23.87,23.87,5.49,23.87,23.87,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,23.87,percent of total billed charges,23.87,percent of total billed charges,17.19,percent of total billed charges,17.19,percent of total billed charges,17.19,percent of total billed charges,17.19,percent of total billed charges,17.19,percent of total billed charges,17.19,percent of total billed charges,18.86,percent of total billed charges,18.86,percent of total billed charges,19.1,percent of total billed charges,19.1,percent of total billed charges,,,17.19,percent of total billed charges ,,,19.1,percent of total billed charges ,18.86,percent of total billed charges ,18.86,percent of total billed charges ,20.29,percent of total billed charges ,20.29,percent of total billed charges ,19.1,percent of total billed charges ,19.1,percent of total billed charges ,16.71,percent of total billed charges ,16.71,percent of total billed charges ,14.32,percent of total billed charges ,14.32,percent of total billed charges ,14.32,percent of total billed charges ,14.32,percent of total billed charges ,,,,,12.7,percent of total billed charges ,,,,,12.06,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,
**CICLOPIROX (LOPROX) CRM DO NOT USE,259,RC,99207-00-1515,NDC,,both,1,each,45,45,10.35,45,45,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,35.55,percent of total billed charges,35.55,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 ,35.55,percent of total billed charges ,35.55,percent of total billed charges ,38.25,percent of total billed charges ,38.25,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 ,,,,,,,,,,,,,,,,,,,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,
FLUOCINONIDE (LIDEX) CREAM : 15GM,637,RC,00093-02-6215,NDC,,both,1,each,47,47,10.81,47,47,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,37.13,percent of total billed charges,37.13,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 ,37.13,percent of total billed charges ,37.13,percent of total billed charges ,39.95,percent of total billed charges ,39.95,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**LINDANE 1% LOTION 60 ML DO NOT USE,637,RC,60432-05-4660,NDC,,both,1,each,36,36,8.28,36,36,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,28.44,percent of total billed charges,28.44,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 ,28.44,percent of total billed charges ,28.44,percent of total billed charges ,30.6,percent of total billed charges ,30.6,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,8.28,percent of total billed charges,,,8.28,percent of total billed charges,,,8.28,percent of total billed charges,
**KERI LOT :1 APPL DO NOT USE,259,RC,19810-00-0269,NDC,,both,,,35,35,8.05,35,35,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,27.65,percent of total billed charges,27.65,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 ,27.65,percent of total billed charges ,27.65,percent of total billed charges ,29.75,percent of total billed charges ,29.75,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 ,,,,,,,,,,,,,,,,,,,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,
TRIAMCINOLONE 0.1% DENTAL PSTE : 5GM,637,RC,64980-03-2005,NDC,,both,1,each,111,111,25.53,111,111,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,87.69,percent of total billed charges,87.69,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 ,87.69,percent of total billed charges ,87.69,percent of total billed charges ,94.35,percent of total billed charges ,94.35,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 ,,,,,,,,,,,,,,,,,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,
**HYDROCORTISONE 30MG DO NOT USE,259,RC,64980-03-2005,NDC,,both,,,30,30,6.9,30,30,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,23.7,percent of total billed charges,23.7,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 ,23.7,percent of total billed charges ,23.7,percent of total billed charges ,25.5,percent of total billed charges ,25.5,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 ,,,,,,,,,,,,,,,,,,,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,
**PILOCARPINE/EPINEPHINE DO NOT USE,Local ,Local ,,,,both,,,130,130,29.9,130,130,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,102.7,percent of total billed charges,102.7,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 ,102.7,percent of total billed charges ,102.7,percent of total billed charges ,110.5,percent of total billed charges ,110.5,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 ,,,,,,,,,,,,,,,,,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,
TRANDOLAPRIL (MAVIK) TAB : 2 MG,637,RC,68180-05-6701,NDC,,both,1,each,0.53,0.53,0.12,0.53,0.53,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,0.42,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,,,0.38,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 ,0.45,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 ,0.37,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 ,,,,,,,,,,,,,,,,,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,
**NAPRELAN 500MG DO NOT USE,Local ,Local ,,,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
AZITHROMYCIN (ZITHROMAX) SUSP:200MG/5ML,637,RC,00069-31-4019,NDC,,both,1,each,82.78,82.78,19.04,82.78,82.78,percent of total billed charges,82.78,percent of total billed charges,82.78,percent of total billed charges,82.78,percent of total billed charges,82.78,percent of total billed charges,82.78,percent of total billed charges,82.78,percent of total billed charges,82.78,percent of total billed charges,59.6,percent of total billed charges,59.6,percent of total billed charges,59.6,percent of total billed charges,59.6,percent of total billed charges,59.6,percent of total billed charges,59.6,percent of total billed charges,65.4,percent of total billed charges,65.4,percent of total billed charges,66.22,percent of total billed charges,66.22,percent of total billed charges,,,59.6,percent of total billed charges ,,,66.22,percent of total billed charges ,65.4,percent of total billed charges ,65.4,percent of total billed charges ,70.36,percent of total billed charges ,70.36,percent of total billed charges ,66.22,percent of total billed charges ,66.22,percent of total billed charges ,57.95,percent of total billed charges ,57.95,percent of total billed charges ,49.67,percent of total billed charges ,49.67,percent of total billed charges ,49.67,percent of total billed charges ,49.67,percent of total billed charges ,,,,,44.04,percent of total billed charges ,,,,,41.84,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,
**NICARDIPINE (CARDENE)CAP 45MG DO NOT,637,RC,67286-08-1304,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
ITRACONAZOLE (SPORANOX) CAP : 100 MG,637,RC,60687-02-9925,NDC,,both,1,each,8.95,8.95,2.06,8.95,8.95,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,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,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,7.07,percent of total billed charges,7.07,percent of total billed charges,7.16,percent of total billed charges,7.16,percent of total billed charges,,,6.44,percent of total billed charges ,,,7.16,percent of total billed charges ,7.07,percent of total billed charges ,7.07,percent of total billed charges ,7.61,percent of total billed charges ,7.61,percent of total billed charges ,7.16,percent of total billed charges ,7.16,percent of total billed charges ,6.27,percent of total billed charges ,6.27,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 ,,,,,4.76,percent of total billed charges ,,,,,4.52,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,
GABAPENTIN (NEURONTIN) CAP : 300 MG,637,RC,60687-05-9111,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
COLESTIPOL (COLESTID) TAB : 1 GM,637,RC,00115-52-1116,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
**ZALEPLON (SONATA) CAP DO NOT USE,Local ,Local ,,,,both,1,each,13,13,2.99,13,13,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,10.27,percent of total billed charges,10.27,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 ,10.27,percent of total billed charges ,10.27,percent of total billed charges ,11.05,percent of total billed charges ,11.05,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 ,,,,,,,,,,,,,,,,,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,
**OXYQUINOLONE SO4 DO NOT USE,Local ,Local ,,,,both,,,50,50,11.5,50,50,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,39.5,percent of total billed charges,39.5,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 ,39.5,percent of total billed charges ,39.5,percent of total billed charges ,42.5,percent of total billed charges ,42.5,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 ,,,,,,,,,,,,,,,,,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,
**MEDROXYPROGESTERONE TAB 2.500 MG,250,RC,00555-08-7202,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**PIRBUTEROL AUTHOHALER DO NOT USE,259,RC,51672-41-1101,NDC,,both,1,each,80,80,18.4,80,80,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,63.2,percent of total billed charges,63.2,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 ,63.2,percent of total billed charges ,63.2,percent of total billed charges ,68,percent of total billed charges ,68,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 ,,,,,,,,,,,,,,,,,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,
**DICLOXACILLIN(DYNAPEN)CAT 500MG DO NOT,637,RC,00093-31-2501,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
NITROFURANTOIN (MACROBID) CAP: 100MG,637,RC,68001-03-8600,NDC,,both,1,each,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**CYPROHEPTADIN ELIX DO NOT USE,259,RC,00472-07-5516,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**TRANDOLAPRIL-VERAPAMIL DO NOT USEG,259,RC,00074-32-9013,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
VANCOMYCIN (VANCOCIN) CAPS : 250MG,637,RC,00121-08-9020,NDC,,both,1,each,63.95,63.95,14.71,63.95,63.95,percent of total billed charges,63.95,percent of total billed charges,63.95,percent of total billed charges,63.95,percent of total billed charges,63.95,percent of total billed charges,63.95,percent of total billed charges,63.95,percent of total billed charges,63.95,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,46.04,percent of total billed charges,46.04,percent of total billed charges,50.52,percent of total billed charges,50.52,percent of total billed charges,51.16,percent of total billed charges,51.16,percent of total billed charges,,,46.04,percent of total billed charges ,,,51.16,percent of total billed charges ,50.52,percent of total billed charges ,50.52,percent of total billed charges ,54.36,percent of total billed charges ,54.36,percent of total billed charges ,51.16,percent of total billed charges ,51.16,percent of total billed charges ,44.77,percent of total billed charges ,44.77,percent of total billed charges ,38.37,percent of total billed charges ,38.37,percent of total billed charges ,38.37,percent of total billed charges ,38.37,percent of total billed charges ,,,,,34.02,percent of total billed charges ,,,,,32.32,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,,,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,,,14.71,percent of total billed charges,,,14.71,percent of total billed charges,,,14.71,percent of total billed charges,
**ZINC 2.5MG DO NOT USE,259,RC,00121-08-9020,NDC,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**PYRIDOXINE 25MG TAB DO NOT USE,250,RC,00527-11-9501,NDC,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
LACTULOSE PWDR PCKT : 20GM/PCKT*,637,RC,66220-07-2930,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
NAPHAZOLINE FORTE OPTH SOLN : 15ML,637,RC,00603-71-7841,NDC,,both,,,35,35,8.05,35,35,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,27.65,percent of total billed charges,27.65,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 ,27.65,percent of total billed charges ,27.65,percent of total billed charges ,29.75,percent of total billed charges ,29.75,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 ,,,,,,,,,,,,,,,,,,,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,
KETOROLAC (ACULAR) 0.5% OPTH SOLN :5ML,637,RC,17478-02-0910,NDC,,both,1,each,58.43,58.43,13.44,58.43,58.43,percent of total billed charges,58.43,percent of total billed charges,58.43,percent of total billed charges,58.43,percent of total billed charges,58.43,percent of total billed charges,58.43,percent of total billed charges,58.43,percent of total billed charges,58.43,percent of total billed charges,42.07,percent of total billed charges,42.07,percent of total billed charges,42.07,percent of total billed charges,42.07,percent of total billed charges,42.07,percent of total billed charges,42.07,percent of total billed charges,46.16,percent of total billed charges,46.16,percent of total billed charges,46.74,percent of total billed charges,46.74,percent of total billed charges,,,42.07,percent of total billed charges ,,,46.74,percent of total billed charges ,46.16,percent of total billed charges ,46.16,percent of total billed charges ,49.67,percent of total billed charges ,49.67,percent of total billed charges ,46.74,percent of total billed charges ,46.74,percent of total billed charges ,40.9,percent of total billed charges ,40.9,percent of total billed charges ,35.06,percent of total billed charges ,35.06,percent of total billed charges ,35.06,percent of total billed charges ,35.06,percent of total billed charges ,,,,,31.08,percent of total billed charges ,,,,,29.53,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,
DORZOLAMIDE-TIMOLOL OPHT SOLN 10ML,637,RC,61314-00-3002,NDC,,both,1,each,120.02,120.02,27.6,120.02,120.02,percent of total billed charges,120.02,percent of total billed charges,120.02,percent of total billed charges,120.02,percent of total billed charges,120.02,percent of total billed charges,120.02,percent of total billed charges,120.02,percent of total billed charges,120.02,percent of total billed charges,86.41,percent of total billed charges,86.41,percent of total billed charges,86.41,percent of total billed charges,86.41,percent of total billed charges,86.41,percent of total billed charges,86.41,percent of total billed charges,94.82,percent of total billed charges,94.82,percent of total billed charges,96.02,percent of total billed charges,96.02,percent of total billed charges,,,86.41,percent of total billed charges ,,,96.02,percent of total billed charges ,94.82,percent of total billed charges ,94.82,percent of total billed charges ,102.02,percent of total billed charges ,102.02,percent of total billed charges ,96.02,percent of total billed charges ,96.02,percent of total billed charges ,84.01,percent of total billed charges ,84.01,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 ,,,,,63.85,percent of total billed charges ,,,,,60.66,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,,,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,
EMLA CREAM : 5GM TUBE,250,RC,00168-03-5755,NDC,,both,1,each,17,17,3.91,17,17,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,13.43,percent of total billed charges,13.43,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 ,13.43,percent of total billed charges ,13.43,percent of total billed charges ,14.45,percent of total billed charges ,14.45,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 ,,,,,,,,,,,,,,,,,,,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,
OPHTHALMIC LUBRICANT OINT : 3.5GM,637,RC,00065-05-1801,NDC,,both,1,each,80.52,80.52,18.52,80.52,80.52,percent of total billed charges,80.52,percent of total billed charges,80.52,percent of total billed charges,80.52,percent of total billed charges,80.52,percent of total billed charges,80.52,percent of total billed charges,80.52,percent of total billed charges,80.52,percent of total billed charges,57.97,percent of total billed charges,57.97,percent of total billed charges,57.97,percent of total billed charges,57.97,percent of total billed charges,57.97,percent of total billed charges,57.97,percent of total billed charges,63.61,percent of total billed charges,63.61,percent of total billed charges,64.42,percent of total billed charges,64.42,percent of total billed charges,,,57.97,percent of total billed charges ,,,64.42,percent of total billed charges ,63.61,percent of total billed charges ,63.61,percent of total billed charges ,68.44,percent of total billed charges ,68.44,percent of total billed charges ,64.42,percent of total billed charges ,64.42,percent of total billed charges ,56.36,percent of total billed charges ,56.36,percent of total billed charges ,48.31,percent of total billed charges ,48.31,percent of total billed charges ,48.31,percent of total billed charges ,48.31,percent of total billed charges ,,,,,42.84,percent of total billed charges ,,,,,40.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,18.52,percent of total billed charges,,,18.52,percent of total billed charges,,,18.52,percent of total billed charges,,,18.52,percent of total billed charges,,,18.52,percent of total billed charges,,,18.52,percent of total billed charges,,,18.52,percent of total billed charges,,,18.52,percent of total billed charges,,,18.52,percent of total billed charges,,,18.52,percent of total billed charges,,,18.52,percent of total billed charges,
ANUSOL OINT : 30GM,637,RC,00071-30-7513,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
MOEXIPRIL (UNIVASC) TAB : 15 MG*,637,RC,00091-37-1501,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
CYANOCOBOLAMIN (VIT B-12) TAB : 100MCG,637,RC,50268-08-5211,NDC,,both,1,each,0.3,0.3,0.07,0.3,0.3,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,0.22,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,0.24,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,,,0.22,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 ,0.26,percent of total billed charges ,0.26,percent of total billed charges ,0.24,percent of total billed charges ,0.24,percent of total billed charges ,0.21,percent of total billed charges ,0.21,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 ,,,,,0.16,percent of total billed charges ,,,,,0.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,
PENCICLOVIR (DENAVIR) CRM : 1%  1.5GM,637,RC,00067-60-2415,NDC,,both,,,76,76,17.48,76,76,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,60.04,percent of total billed charges,60.04,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 ,60.04,percent of total billed charges ,60.04,percent of total billed charges ,64.6,percent of total billed charges ,64.6,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 ,,,,,,,,,,,,,,,,,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,
LOPERAMIDE (IMODIUM) CAP : 2MG,637,RC,60687-02-2911,NDC,,both,1,each,2.48,2.48,0.57,2.48,2.48,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,1.96,percent of total billed charges,1.96,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 ,1.96,percent of total billed charges ,1.96,percent of total billed charges ,2.11,percent of total billed charges ,2.11,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 ,,,,,,,,,,,,,,,,,,,0.57,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,
FENOFIBRATE (TRICOR) TAB  145 MG,637,RC,51079-06-0820,NDC,,both,1,each,7.28,7.28,1.67,7.28,7.28,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,5.75,percent of total billed charges,5.75,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 ,5.75,percent of total billed charges ,5.75,percent of total billed charges ,6.19,percent of total billed charges ,6.19,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 ,,,,,,,,,,,,,,,,,,,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,,,1.67,percent of total billed charges,,,1.67,percent of total billed charges,,,1.67,percent of total billed charges,
**TICLOPIDINE (TICLID) DO NOT USE,259,RC,60505-00-2702,NDC,,both,1,each,13,13,2.99,13,13,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,10.27,percent of total billed charges,10.27,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 ,10.27,percent of total billed charges ,10.27,percent of total billed charges ,11.05,percent of total billed charges ,11.05,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 ,,,,,,,,,,,,,,,,,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,
FOSINOPRIL (MONOPRIL) TAB : 10 MG,637,RC,00087-01-5846,NDC,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
**RISPERIDONE (RISPERDAL) 0.25MG DO NOT,259,RC,50458-03-0104,NDC,,both,1,each,12,12,2.76,12,12,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,9.48,percent of total billed charges,9.48,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 ,9.48,percent of total billed charges ,9.48,percent of total billed charges ,10.2,percent of total billed charges ,10.2,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 ,,,,,,,,,,,,,,,,,,,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,
**NEFAZODONE (SERZONE) TAB DO NOT USE,259,RC,00172-43-3270,NDC,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
TOPROL XL (METOPROLOL ER) : 100MG,637,RC,60687-04-1301,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
MOEXIPRIL (UNIVASC) TAB : 7.500 MG*,637,RC,00091-37-0701,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
LOSARTAN (COZAAR) TAB : 50 MG,637,RC,68180-03-7703,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
OLOPATADINE (PATANOL) OPTH SOL: 0.1% 5ML,637,RC,60505-05-7501,NDC,,both,,,91.51,91.51,21.05,91.51,91.51,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,91.51,percent of total billed charges,91.51,percent of total billed charges,65.89,percent of total billed charges,65.89,percent of total billed charges,65.89,percent of total billed charges,65.89,percent of total billed charges,65.89,percent of total billed charges,65.89,percent of total billed charges,72.29,percent of total billed charges,72.29,percent of total billed charges,73.21,percent of total billed charges,73.21,percent of total billed charges,,,65.89,percent of total billed charges ,,,73.21,percent of total billed charges ,72.29,percent of total billed charges ,72.29,percent of total billed charges ,77.78,percent of total billed charges ,77.78,percent of total billed charges ,73.21,percent of total billed charges ,73.21,percent of total billed charges ,64.06,percent of total billed charges ,64.06,percent of total billed charges ,54.91,percent of total billed charges ,54.91,percent of total billed charges ,54.91,percent of total billed charges ,54.91,percent of total billed charges ,,,,,48.68,percent of total billed charges ,,,,,46.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,21.05,percent of total billed charges,,,21.05,percent of total billed charges,,,21.05,percent of total billed charges,,,21.05,percent of total billed charges,,,21.05,percent of total billed charges,,,21.05,percent of total billed charges,,,21.05,percent of total billed charges,,,21.05,percent of total billed charges,,,21.05,percent of total billed charges,,,21.05,percent of total billed charges,,,21.05,percent of total billed charges,
**ESTROPIPATE(OGEN)TAB .625MG DO NOT USE,637,RC,00555-07-2702,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**ACARBOSE (PRECOSE) TAB : 50MG,637,RC,00026-28-6148,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
CARBIDOPA-LEVODOPA CR TAB 50-200MG,637,RC,68084-02-8201,NDC,,both,1,each,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
MedroxyPROGESTERone TAB : 2.5MG,637,RC,59762-00-5501,NDC,,both,1,each,0.3,0.3,0.07,0.3,0.3,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,0.22,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,0.24,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,,,0.22,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 ,0.26,percent of total billed charges ,0.26,percent of total billed charges ,0.24,percent of total billed charges ,0.24,percent of total billed charges ,0.21,percent of total billed charges ,0.21,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 ,,,,,0.16,percent of total billed charges ,,,,,0.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,
HYOSCYAMINE (LEVSIN) TAB : 0.125 MG,637,RC,42192-03-4001,NDC,,both,1,each,1.02,1.02,0.23,1.02,1.02,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,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,0.81,percent of total billed charges,0.81,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 ,,,0.82,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 ,0.82,percent of total billed charges ,0.82,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 ,,,,,0.52,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,
HYDROXYUREA (HYDREA) CAP : 500MG,637,RC,00003-08-3050,NDC,,both,1,each,12,12,2.76,12,12,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,9.48,percent of total billed charges,9.48,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 ,9.48,percent of total billed charges ,9.48,percent of total billed charges ,10.2,percent of total billed charges ,10.2,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 ,,,,,,,,,,,,,,,,,,,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,
ANASTRAZOLE(ARIMIDEX)TAB: 1 MG,637,RC,50268-00-7511,NDC,,both,1,each,3.69,3.69,0.85,3.69,3.69,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,2.92,percent of total billed charges,2.92,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 ,2.92,percent of total billed charges ,2.92,percent of total billed charges ,3.14,percent of total billed charges ,3.14,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 ,,,,,,,,,,,,,,,,,,,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,
OXYCODONE-APAP TAB 5-325MG,637,RC,68084-03-5501,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
PROPYLTHIOURACIL TAB : 50 MG,637,RC,67253-06-5110,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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,
PROPAFENONE (RYTHMOL) TAB : 150 MG,637,RC,60687-07-0911,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
POTASSIUM-SODIUM PHOSPHATE PWDR : 1PKT,637,RC,17314-93-1102,NDC,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**PYRAZINAMIDE 500 DO NOT USE,637,RC,61748-00-1211,NDC,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
VERAPAMIL ER (CALAN SR) TAB : 120 MG,637,RC,68462-02-9201,NDC,,both,1,each,1.05,1.05,0.24,1.05,1.05,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,0.83,percent of total billed charges,0.83,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 ,0.83,percent of total billed charges ,0.83,percent of total billed charges ,0.89,percent of total billed charges ,0.89,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 ,,,,,,,,,,,,,,,,,,,0.24,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,
**ZESTORETIC 20/12.5 DO NOT USE,259,RC,00310-01-4210,NDC,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
GABAPENTIN (NEURONTIN) CAP : 400 MG,637,RC,60687-06-0211,NDC,,both,1,each,1.14,1.14,0.26,1.14,1.14,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,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,0.9,percent of total billed charges,0.9,percent of total billed charges,0.91,percent of total billed charges,0.91,percent of total billed charges,,,0.82,percent of total billed charges ,,,0.91,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 ,0.91,percent of total billed charges ,0.91,percent of total billed charges ,0.8,percent of total billed charges ,0.8,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 ,,,,,0.61,percent of total billed charges ,,,,,0.58,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,
AMYLASE-LIPASE-PROTEASE (PANCREASE) CAP:,637,RC,00045-03-4660,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**CETIRIZINE(ZYRTEC)TAB 10MG DO NOT USE,637,RC,00069-07-3166,NDC,,both,1,each,17,17,3.91,17,17,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,13.43,percent of total billed charges,13.43,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 ,13.43,percent of total billed charges ,13.43,percent of total billed charges ,14.45,percent of total billed charges ,14.45,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 ,,,,,,,,,,,,,,,,,,,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,
ASPIRIN ENTERIC TAB : 81MG,637,RC,00904-67-5180,NDC,,both,1,each,0.25,0.25,0.06,0.25,0.25,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,0.18,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,0.2,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,,,0.18,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 ,0.21,percent of total billed charges ,0.21,percent of total billed charges ,0.2,percent of total billed charges ,0.2,percent of total billed charges ,0.18,percent of total billed charges ,0.18,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 ,,,,,0.13,percent of total billed charges ,,,,,0.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,
RIZATRIPTAN (MAXALT-MLT) TAB : 10 MG,637,RC,69452-01-5774,NDC,,both,1,each,5.12,5.12,1.18,5.12,5.12,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,4.04,percent of total billed charges,4.04,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 ,4.04,percent of total billed charges ,4.04,percent of total billed charges ,4.35,percent of total billed charges ,4.35,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 ,,,,,,,,,,,,,,,,,,,1.18,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,,,1.18,percent of total billed charges,,,1.18,percent of total billed charges,,,1.18,percent of total billed charges,
ZINC (ORAZINC) CAP : 220 MG,637,RC,77333-09-8325,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NABUMETONE (RELAFEN) TAB : 500MG,637,RC,60687-06-3011,NDC,,both,1,each,3.91,3.91,0.9,3.91,3.91,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,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,3.09,percent of total billed charges,3.09,percent of total billed charges,3.13,percent of total billed charges,3.13,percent of total billed charges,,,2.82,percent of total billed charges ,,,3.13,percent of total billed charges ,3.09,percent of total billed charges ,3.09,percent of total billed charges ,3.32,percent of total billed charges ,3.32,percent of total billed charges ,3.13,percent of total billed charges ,3.13,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 ,,,,,2.08,percent of total billed charges ,,,,,1.98,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,
BUPROPION (WELLBUTRIN) TAB : 75 MG,637,RC,00093-02-8001,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
DEXAMETHASONE TAB : 0.75MG,J8540,CDM,,,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**SUSPENSORY,Local ,Local ,,,,both,,,57,57,13.11,57,57,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,45.03,percent of total billed charges,45.03,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 ,45.03,percent of total billed charges ,45.03,percent of total billed charges ,48.45,percent of total billed charges ,48.45,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 ,,,,,,,,,,,,,,,,,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,
**PROCAINAMIDE (PROCANBID) DO NOT USE,259,RC,00172-23-4760,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
VERAPAMIL ER TAB : 240MG*,637,RC,51079-08-6920,NDC,,both,1,each,12,12,2.76,12,12,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,9.48,percent of total billed charges,9.48,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 ,9.48,percent of total billed charges ,9.48,percent of total billed charges ,10.2,percent of total billed charges ,10.2,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 ,,,,,,,,,,,,,,,,,,,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,
ATORVASTATIN (LIPITOR) TAB : 10MG,637,RC,68084-00-9711,NDC,,both,1,each,1.73,1.73,0.4,1.73,1.73,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,1.37,percent of total billed charges,1.37,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 ,1.37,percent of total billed charges ,1.37,percent of total billed charges ,1.47,percent of total billed charges ,1.47,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 ,,,,,,,,,,,,,,,,,,,0.4,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,
**CEFPROZIL(CEFZIL)SUSP 125MG/5ML DO NOT,637,RC,00087-77-1840,NDC,,both,1,each,52,52,11.96,52,52,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,41.08,percent of total billed charges,41.08,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 ,41.08,percent of total billed charges ,41.08,percent of total billed charges ,44.2,percent of total billed charges ,44.2,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 ,,,,,,,,,,,,,,,,,,,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,
OLANZapine (ZyPREXA) TAB : 5 MG,637,RC,60505-31-1100,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
**PEPCID AC TAB 10MG DO NOT USE,637,RC,16837-08-5606,NDC,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
TRIAMTERENE-HYDROCHTZ  TAB : 37.5-25MG,637,RC,68084-07-5095,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
AMLODIPINE-BENAZEPRIL CAP 5-20MG,637,RC,00078-04-0605,NDC,,both,1,each,14,14,3.22,14,14,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,11.06,percent of total billed charges,11.06,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 ,11.06,percent of total billed charges ,11.06,percent of total billed charges ,11.9,percent of total billed charges ,11.9,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 ,,,,,,,,,,,,,,,,,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,
**NIACIN TAB 500 MG DO NOT USE,259,RC,10267-00-5301,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
**ZILEUTON (ZYFLO) TAB DO NOT USE,259,RC,00074-80-3622,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
LEVOTHYROXINE (SYNTHROID) TAB : 112MCG,637,RC,60687-05-0801,NDC,,both,1,each,3.71,3.71,0.85,3.71,3.71,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,2.93,percent of total billed charges,2.93,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 ,2.93,percent of total billed charges ,2.93,percent of total billed charges ,3.15,percent of total billed charges ,3.15,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 ,,,,,,,,,,,,,,,,,,,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,
SOTALOL (BETAPACE) TAB : 80 MG,637,RC,68084-06-5411,NDC,,both,1,each,0.41,0.41,0.09,0.41,0.41,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,0.3,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,0.32,percent of total billed charges,0.32,percent of total billed charges,0.33,percent of total billed charges,0.33,percent of total billed charges,,,0.3,percent of total billed charges ,,,0.33,percent of total billed charges ,0.32,percent of total billed charges ,0.32,percent of total billed charges ,0.35,percent of total billed charges ,0.35,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 ,0.29,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 ,,,,,0.22,percent of total billed charges ,,,,,0.21,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,,,0.09,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,
QUINAPRIL 40MG,Local ,Local ,,,,both,,,16,16,3.68,16,16,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,12.64,percent of total billed charges,12.64,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 ,12.64,percent of total billed charges ,12.64,percent of total billed charges ,13.6,percent of total billed charges ,13.6,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 ,,,,,,,,,,,,,,,,,,,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,,,3.68,percent of total billed charges,,,3.68,percent of total billed charges,,,3.68,percent of total billed charges,
DESIPRAMINE TAB : 25MG,637,RC,00781-19-7201,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
riMANTAdine (FLUMADINE) TAB : 100 MG*,637,RC,00115-19-1101,NDC,,both,1,each,13,13,2.99,13,13,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,10.27,percent of total billed charges,10.27,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 ,10.27,percent of total billed charges ,10.27,percent of total billed charges ,11.05,percent of total billed charges ,11.05,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 ,,,,,,,,,,,,,,,,,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,
TOPROL XL (METOPROLOL ER) : 50MG,637,RC,00904-63-2361,NDC,,both,1,each,2.18,2.18,0.5,2.18,2.18,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,1.72,percent of total billed charges,1.72,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 ,1.72,percent of total billed charges ,1.72,percent of total billed charges ,1.85,percent of total billed charges ,1.85,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 ,,,,,,,,,,,,,,,,,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,
TAMSULOSIN (FLOMAX) CAP : 0.4MG,637,RC,50268-07-4011,NDC,,both,1,each,1.48,1.48,0.34,1.48,1.48,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,1.48,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,1.07,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,1.17,percent of total billed charges,1.17,percent of total billed charges,1.18,percent of total billed charges,1.18,percent of total billed charges,,,1.07,percent of total billed charges ,,,1.18,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 ,1.18,percent of total billed charges ,1.18,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 ,,,,,,,,,,,,,,,,,,,0.34,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,
**VISKEN 10 MG DO NOT USE,259,RC,00078-00-7305,NDC,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
ROPINIROLE (REQUIP) TAB : 0.25MG,637,RC,00007-48-9020,NDC,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
AmLODIPine-BENAZEPRIL CAP  5-10MG*,637,RC,00078-04-0505,NDC,,both,1,each,14,14,3.22,14,14,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,11.06,percent of total billed charges,11.06,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 ,11.06,percent of total billed charges ,11.06,percent of total billed charges ,11.9,percent of total billed charges ,11.9,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 ,,,,,,,,,,,,,,,,,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,
**LUVOX 500MG DO NOT USE,Local ,Local ,,,,both,,,14,14,3.22,14,14,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,11.06,percent of total billed charges,11.06,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 ,11.06,percent of total billed charges ,11.06,percent of total billed charges ,11.9,percent of total billed charges ,11.9,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 ,,,,,,,,,,,,,,,,,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,
PredniSONE TAB : 1 MG,J7512,CDM,,,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
A&D OINTMENT : 120GM,637,RC,45802-03-9504,NDC,,both,1,each,45.01,45.01,10.35,45.01,45.01,percent of total billed charges,45.01,percent of total billed charges,45.01,percent of total billed charges,45.01,percent of total billed charges,45.01,percent of total billed charges,45.01,percent of total billed charges,45.01,percent of total billed charges,45.01,percent of total billed charges,32.41,percent of total billed charges,32.41,percent of total billed charges,32.41,percent of total billed charges,32.41,percent of total billed charges,32.41,percent of total billed charges,32.41,percent of total billed charges,35.56,percent of total billed charges,35.56,percent of total billed charges,36.01,percent of total billed charges,36.01,percent of total billed charges,,,32.41,percent of total billed charges ,,,36.01,percent of total billed charges ,35.56,percent of total billed charges ,35.56,percent of total billed charges ,38.26,percent of total billed charges ,38.26,percent of total billed charges ,36.01,percent of total billed charges ,36.01,percent of total billed charges ,31.51,percent of total billed charges ,31.51,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 ,,,,,23.95,percent of total billed charges ,,,,,22.75,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,
FENOFIBRATE (TRICOR) TAB : 54 MG,637,RC,00074-40-0990,NDC,,both,1,each,14,14,3.22,14,14,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,11.06,percent of total billed charges,11.06,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 ,11.06,percent of total billed charges ,11.06,percent of total billed charges ,11.9,percent of total billed charges ,11.9,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 ,,,,,,,,,,,,,,,,,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,
FAMCICLOVIR (FAMVIR) TAB : 500 MG,637,RC,00078-03-6815,NDC,,both,1,each,36,36,8.28,36,36,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,28.44,percent of total billed charges,28.44,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 ,28.44,percent of total billed charges ,28.44,percent of total billed charges ,30.6,percent of total billed charges ,30.6,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,8.28,percent of total billed charges,,,8.28,percent of total billed charges,,,8.28,percent of total billed charges,
BENAZEPRIL (LOTENSIN) TAB : 10 MG,637,RC,43547-03-3610,NDC,,both,1,each,0.86,0.86,0.2,0.86,0.86,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,0.68,percent of total billed charges,0.68,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 ,0.68,percent of total billed charges ,0.68,percent of total billed charges ,0.73,percent of total billed charges ,0.73,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 ,,,,,,,,,,,,,,,,,,,0.2,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 B 12) TAB : 500MCG,637,RC,77333-09-3725,NDC,,both,1,each,0.83,0.83,0.19,0.83,0.83,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,0.66,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,,,0.6,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 ,0.71,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 ,0.58,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 ,,,,,,,,,,,,,,,,,,,0.19,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,
**CONJ(PREMPHASE)TAB DO NOT USE,637,RC,00046-25-7306,NDC,,both,1,each,13,13,2.99,13,13,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,10.27,percent of total billed charges,10.27,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 ,10.27,percent of total billed charges ,10.27,percent of total billed charges ,11.05,percent of total billed charges ,11.05,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 ,,,,,,,,,,,,,,,,,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,
QUEtiapine (SEROquel) TAB : 25MG,637,RC,68001-01-8500,NDC,,both,1,each,1.3,1.3,0.3,1.3,1.3,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,1.03,percent of total billed charges,1.03,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 ,1.03,percent of total billed charges ,1.03,percent of total billed charges ,1.11,percent of total billed charges ,1.11,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 ,,,,,,,,,,,,,,,,,,,0.3,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,
WARFARIN (COUMADIN) TAB : 3MG,637,RC,00832-12-1401,NDC,,both,1,each,0.65,0.65,0.15,0.65,0.65,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,0.51,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,,,0.47,percent of total billed charges ,,,0.52,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 ,0.52,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 ,,,,,,,,,,,,,,,,,,,0.15,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,
**VOLMAX 4MG TAB DO NOT USE,Local ,Local ,,,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
CANDESARTAN (ATACAND) TAB : 16 MG,637,RC,49884-06-6009,NDC,,both,1,each,4.85,4.85,1.12,4.85,4.85,percent of total billed charges,4.85,percent of total billed charges,4.85,percent of total billed charges,4.85,percent of total billed charges,4.85,percent of total billed charges,4.85,percent of total billed charges,4.85,percent of total billed charges,4.85,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,3.83,percent of total billed charges,3.83,percent of total billed charges,3.88,percent of total billed charges,3.88,percent of total billed charges,,,3.49,percent of total billed charges ,,,3.88,percent of total billed charges ,3.83,percent of total billed charges ,3.83,percent of total billed charges ,4.12,percent of total billed charges ,4.12,percent of total billed charges ,3.88,percent of total billed charges ,3.88,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,2.58,percent of total billed charges ,,,,,2.45,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,
**BAKING SODA 4OZ DO NOT USE,250,RC,99999-99-9999,NDC,,both,1,each,13,13,2.99,13,13,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,10.27,percent of total billed charges,10.27,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 ,10.27,percent of total billed charges ,10.27,percent of total billed charges ,11.05,percent of total billed charges ,11.05,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 ,,,,,,,,,,,,,,,,,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,
MENTHOL-CAMPHOR-LANOLIN (MENTHOLAT) OINT,637,RC,01074-20-0011,NDC,,both,1,each,13,13,2.99,13,13,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,10.27,percent of total billed charges,10.27,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 ,10.27,percent of total billed charges ,10.27,percent of total billed charges ,11.05,percent of total billed charges ,11.05,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 ,,,,,,,,,,,,,,,,,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,
**ORAL CONTR SINGLE DO NOT USE,Local ,Local ,,,,both,,,13,13,2.99,13,13,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,10.27,percent of total billed charges,10.27,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 ,10.27,percent of total billed charges ,10.27,percent of total billed charges ,11.05,percent of total billed charges ,11.05,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 ,,,,,,,,,,,,,,,,,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,
**NALTREXONE (REVIA) TAB DO NOT USE,259,RC,00555-09-0201,NDC,,both,1,each,27,27,6.21,27,27,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,21.33,percent of total billed charges,21.33,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 ,21.33,percent of total billed charges ,21.33,percent of total billed charges ,22.95,percent of total billed charges ,22.95,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 ,,,,,,,,,,,,,,,,,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,
PROVENTIL HCA INHALER,Local ,Local ,,,,both,,,156,156,35.88,156,156,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,123.24,percent of total billed charges,123.24,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 ,123.24,percent of total billed charges ,123.24,percent of total billed charges ,132.6,percent of total billed charges ,132.6,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 ,,,,,,,,,,,,,,,,,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,
**NORETHINDRONE ETH ESTRADIOL DO NOT USE,259,RC,00430-05-4414,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
OXYBUTININ XL (DITROPAN XL) TAB : 5MG,637,RC,62175-02-7037,NDC,,both,1,each,5.6,5.6,1.29,5.6,5.6,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,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,4.42,percent of total billed charges,4.42,percent of total billed charges,4.48,percent of total billed charges,4.48,percent of total billed charges,,,4.03,percent of total billed charges ,,,4.48,percent of total billed charges ,4.42,percent of total billed charges ,4.42,percent of total billed charges ,4.76,percent of total billed charges ,4.76,percent of total billed charges ,4.48,percent of total billed charges ,4.48,percent of total billed charges ,3.92,percent of total billed charges ,3.92,percent of total billed charges ,3.36,percent of total billed charges ,3.36,percent of total billed charges ,3.36,percent of total billed charges ,3.36,percent of total billed charges ,,,,,2.98,percent of total billed charges ,,,,,2.83,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,,,1.29,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,,,1.29,percent of total billed charges,,,1.29,percent of total billed charges,,,1.29,percent of total billed charges,
CALCIUM CARB 600MG VIT D 400IU,637,RC,50268-01-5015,NDC,,both,1,each,1.37,1.37,0.32,1.37,1.37,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,1.08,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,,,0.99,percent of total billed charges ,,,1.1,percent of total billed charges ,1.08,percent of total billed charges ,1.08,percent of total billed charges ,1.16,percent of total billed charges ,1.16,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 ,,,,,,,,,,,,,,,,,,,0.32,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,
**INDIVAVIR(CRIXIVAN)CAP 400MG DO NOT US,637,RC,00006-05-7342,NDC,,both,1,each,14,14,3.22,14,14,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,11.06,percent of total billed charges,11.06,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 ,11.06,percent of total billed charges ,11.06,percent of total billed charges ,11.9,percent of total billed charges ,11.9,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 ,,,,,,,,,,,,,,,,,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,
**VIDEX 100MG TAB DO NOT USE,Local ,Local ,,,,both,,,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
**EPROSARTAN(TEVETEN)TAB 600MG DO NOT U,637,RC,60598-01-0101,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
TIZANIDINE (ZANAFLEX) TAB : 4MG,637,RC,00093-51-6051,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
VANCOMYCIN 500MG/ORAL,637,RC,00002-31-2542,NDC,,both,,,47,47,10.81,47,47,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,37.13,percent of total billed charges,37.13,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 ,37.13,percent of total billed charges ,37.13,percent of total billed charges ,39.95,percent of total billed charges ,39.95,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**FLUVOXAMINE(LUVOX)TAB 100MG DO NOT USE,637,RC,00032-42-0501,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**FLUVOXAMINE(LUVOX)TAB 25MG DO NOT USE,637,RC,00032-42-0201,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**GATIFLOXACIN (TEQUIN) DO NOT USE,259,RC,00015-11-7780,NDC,,both,1,each,50,50,11.5,50,50,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,39.5,percent of total billed charges,39.5,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 ,39.5,percent of total billed charges ,39.5,percent of total billed charges ,42.5,percent of total billed charges ,42.5,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 ,,,,,,,,,,,,,,,,,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,
OCUVITE TAB,637,RC,00904-77-3552,NDC,,both,1,each,0.25,0.25,0.06,0.25,0.25,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,0.18,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,0.2,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,,,0.18,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 ,0.21,percent of total billed charges ,0.21,percent of total billed charges ,0.2,percent of total billed charges ,0.2,percent of total billed charges ,0.18,percent of total billed charges ,0.18,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 ,,,,,0.13,percent of total billed charges ,,,,,0.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,
**PROCTOFOAM SPRY 10GM DO NOT USE,250,RC,00091-06-9010,NDC,,both,1,each,113,113,25.99,113,113,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,89.27,percent of total billed charges,89.27,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 ,89.27,percent of total billed charges ,89.27,percent of total billed charges ,96.05,percent of total billed charges ,96.05,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 ,,,,,,,,,,,,,,,,,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,
AMYLASE-LIPASE-PROTEASE CAP*,637,RC,39822-02-0501,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
VENLAFAXINE ER (EFFEXOR XR) CAP : 150 MG,637,RC,68084-07-1311,NDC,,both,1,each,1.93,1.93,0.44,1.93,1.93,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,1.52,percent of total billed charges,1.52,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 ,1.52,percent of total billed charges ,1.52,percent of total billed charges ,1.64,percent of total billed charges ,1.64,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 ,,,,,,,,,,,,,,,,,,,0.44,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,
**ZAFIRLUKAST (ACCOLATE) TAB DO NOT USE,259,RC,00310-04-0239,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
SERTRALINE (ZOLOFT) TAB : 25 MG,637,RC,60687-02-3111,NDC,,both,1,each,0.77,0.77,0.18,0.77,0.77,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,0.61,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 ,,,0.62,percent of total billed charges ,0.61,percent of total billed charges ,0.61,percent of total billed charges ,0.65,percent of total billed charges ,0.65,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 ,,,,,,,,,,,,,,,,,,,0.18,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,
LIDOCAINE UROJET 2% : 20ML,258,RC,76329-30-1305,NDC,,both,1,each,29.05,29.05,6.68,29.05,29.05,percent of total billed charges,29.05,percent of total billed charges,29.05,percent of total billed charges,29.05,percent of total billed charges,29.05,percent of total billed charges,29.05,percent of total billed charges,29.05,percent of total billed charges,29.05,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,20.92,percent of total billed charges,20.92,percent of total billed charges,22.95,percent of total billed charges,22.95,percent of total billed charges,23.24,percent of total billed charges,23.24,percent of total billed charges,,,20.92,percent of total billed charges ,,,23.24,percent of total billed charges ,22.95,percent of total billed charges ,22.95,percent of total billed charges ,24.69,percent of total billed charges ,24.69,percent of total billed charges ,23.24,percent of total billed charges ,23.24,percent of total billed charges ,20.34,percent of total billed charges ,20.34,percent of total billed charges ,17.43,percent of total billed charges ,17.43,percent of total billed charges ,17.43,percent of total billed charges ,17.43,percent of total billed charges ,,,,,15.45,percent of total billed charges ,,,,,14.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.68,percent of total billed charges,,,6.68,percent of total billed charges,,,6.68,percent of total billed charges,,,6.68,percent of total billed charges,,,6.68,percent of total billed charges,,,6.68,percent of total billed charges,,,6.68,percent of total billed charges,,,6.68,percent of total billed charges,,,6.68,percent of total billed charges,,,6.68,percent of total billed charges,,,6.68,percent of total billed charges,
**FLUVOXAMINE (LUVOX) TAB : 50 MG,637,RC,60505-01-6501,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
PrednisoLONE SYRP : 5MG/5ML  5ML,637,RC,13925-01-6604,NDC,,both,5,each,15,15,3.45,15,15,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,11.85,percent of total billed charges,11.85,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 ,11.85,percent of total billed charges ,11.85,percent of total billed charges ,12.75,percent of total billed charges ,12.75,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 ,,,,,,,,,,,,,,,,,,,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,,,3.45,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,
MEPIVACAINE 2% INJ :,J0670,CDM,,,,both,1,each,80.12,80.12,18.43,80.12,80.12,percent of total billed charges,80.12,percent of total billed charges,80.12,percent of total billed charges,80.12,percent of total billed charges,80.12,percent of total billed charges,80.12,percent of total billed charges,80.12,percent of total billed charges,80.12,percent of total billed charges,57.69,percent of total billed charges,57.69,percent of total billed charges,57.69,percent of total billed charges,57.69,percent of total billed charges,57.69,percent of total billed charges,57.69,percent of total billed charges,63.29,percent of total billed charges,63.29,percent of total billed charges,64.1,percent of total billed charges,64.1,percent of total billed charges,,,57.69,percent of total billed charges ,,,64.1,percent of total billed charges ,63.29,percent of total billed charges ,63.29,percent of total billed charges ,68.1,percent of total billed charges ,68.1,percent of total billed charges ,64.1,percent of total billed charges ,64.1,percent of total billed charges ,56.08,percent of total billed charges ,56.08,percent of total billed charges ,48.07,percent of total billed charges ,48.07,percent of total billed charges ,48.07,percent of total billed charges ,48.07,percent of total billed charges ,,,,,42.62,percent of total billed charges ,,,,,40.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,18.43,percent of total billed charges,,,18.43,percent of total billed charges,,,18.43,percent of total billed charges,,,18.43,percent of total billed charges,,,18.43,percent of total billed charges,,,18.43,percent of total billed charges,,,18.43,percent of total billed charges,,,18.43,percent of total billed charges,,,18.43,percent of total billed charges,,,18.43,percent of total billed charges,,,18.43,percent of total billed charges,
BUPivacaine 0.25% INJ PF : 10ML,250,RC,00409-11-5901,NDC,,both,1,each,62.9,62.9,14.47,62.9,62.9,percent of total billed charges,62.9,percent of total billed charges,62.9,percent of total billed charges,62.9,percent of total billed charges,62.9,percent of total billed charges,62.9,percent of total billed charges,62.9,percent of total billed charges,62.9,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,45.29,percent of total billed charges,45.29,percent of total billed charges,49.69,percent of total billed charges,49.69,percent of total billed charges,50.32,percent of total billed charges,50.32,percent of total billed charges,,,45.29,percent of total billed charges ,,,50.32,percent of total billed charges ,49.69,percent of total billed charges ,49.69,percent of total billed charges ,53.47,percent of total billed charges ,53.47,percent of total billed charges ,50.32,percent of total billed charges ,50.32,percent of total billed charges ,44.03,percent of total billed charges ,44.03,percent of total billed charges ,37.74,percent of total billed charges ,37.74,percent of total billed charges ,37.74,percent of total billed charges ,37.74,percent of total billed charges ,,,,,33.46,percent of total billed charges ,,,,,31.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.47,percent of total billed charges,,,14.47,percent of total billed charges,,,14.47,percent of total billed charges,,,14.47,percent of total billed charges,,,14.47,percent of total billed charges,,,14.47,percent of total billed charges,,,14.47,percent of total billed charges,,,14.47,percent of total billed charges,,,14.47,percent of total billed charges,,,14.47,percent of total billed charges,,,14.47,percent of total billed charges,
BUPivacaine 0.5% INJ : 50ML,250,RC,00409-15-6018,NDC,,both,1,each,74.12,74.12,17.05,74.12,74.12,percent of total billed charges,74.12,percent of total billed charges,74.12,percent of total billed charges,74.12,percent of total billed charges,74.12,percent of total billed charges,74.12,percent of total billed charges,74.12,percent of total billed charges,74.12,percent of total billed charges,53.37,percent of total billed charges,53.37,percent of total billed charges,53.37,percent of total billed charges,53.37,percent of total billed charges,53.37,percent of total billed charges,53.37,percent of total billed charges,58.55,percent of total billed charges,58.55,percent of total billed charges,59.3,percent of total billed charges,59.3,percent of total billed charges,,,53.37,percent of total billed charges ,,,59.3,percent of total billed charges ,58.55,percent of total billed charges ,58.55,percent of total billed charges ,63,percent of total billed charges ,63,percent of total billed charges ,59.3,percent of total billed charges ,59.3,percent of total billed charges ,51.88,percent of total billed charges ,51.88,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 ,,,,,39.43,percent of total billed charges ,,,,,37.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,17.05,percent of total billed charges,,,17.05,percent of total billed charges,,,17.05,percent of total billed charges,,,17.05,percent of total billed charges,,,17.05,percent of total billed charges,,,17.05,percent of total billed charges,,,17.05,percent of total billed charges,,,17.05,percent of total billed charges,,,17.05,percent of total billed charges,,,17.05,percent of total billed charges,,,17.05,percent of total billed charges,
DILTIAZEM (CARDIZEM) INJ : 25MG/5ML VIAL,J3490,CDM,,,,both,1,each,26.3,26.3,6.05,26.3,26.3,percent of total billed charges,26.3,percent of total billed charges,26.3,percent of total billed charges,26.3,percent of total billed charges,26.3,percent of total billed charges,26.3,percent of total billed charges,26.3,percent of total billed charges,26.3,percent of total billed charges,18.94,percent of total billed charges,18.94,percent of total billed charges,18.94,percent of total billed charges,18.94,percent of total billed charges,18.94,percent of total billed charges,18.94,percent of total billed charges,20.78,percent of total billed charges,20.78,percent of total billed charges,21.04,percent of total billed charges,21.04,percent of total billed charges,,,18.94,percent of total billed charges ,,,21.04,percent of total billed charges ,20.78,percent of total billed charges ,20.78,percent of total billed charges ,22.36,percent of total billed charges ,22.36,percent of total billed charges ,21.04,percent of total billed charges ,21.04,percent of total billed charges ,18.41,percent of total billed charges ,18.41,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 ,,,,,13.99,percent of total billed charges ,,,,,13.29,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,,,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,
"BUPivacaine-EPI 0.5% 1:200,000 INJ",250,RC,00409-17-5550,NDC,,both,1,each,319.7,319.7,73.53,319.7,319.7,percent of total billed charges,319.7,percent of total billed charges,319.7,percent of total billed charges,319.7,percent of total billed charges,319.7,percent of total billed charges,319.7,percent of total billed charges,319.7,percent of total billed charges,319.7,percent of total billed charges,230.18,percent of total billed charges,230.18,percent of total billed charges,230.18,percent of total billed charges,230.18,percent of total billed charges,230.18,percent of total billed charges,230.18,percent of total billed charges,252.56,percent of total billed charges,252.56,percent of total billed charges,255.76,percent of total billed charges,255.76,percent of total billed charges,,,230.18,percent of total billed charges ,,,255.76,percent of total billed charges ,252.56,percent of total billed charges ,252.56,percent of total billed charges ,271.75,percent of total billed charges ,271.75,percent of total billed charges ,255.76,percent of total billed charges ,255.76,percent of total billed charges ,223.79,percent of total billed charges ,223.79,percent of total billed charges ,191.82,percent of total billed charges ,191.82,percent of total billed charges ,191.82,percent of total billed charges ,191.82,percent of total billed charges ,,,,,170.08,percent of total billed charges ,,,,,161.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,73.53,percent of total billed charges,,,73.53,percent of total billed charges,,,73.53,percent of total billed charges,,,73.53,percent of total billed charges,,,73.53,percent of total billed charges,,,73.53,percent of total billed charges,,,73.53,percent of total billed charges,,,73.53,percent of total billed charges,,,73.53,percent of total billed charges,,,73.53,percent of total billed charges,,,73.53,percent of total billed charges,
MEPIVACAINE 1% (CARBOCAINE) INJ,J0670,CDM,,,,both,1,each,117,117,26.91,117,117,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,92.43,percent of total billed charges,92.43,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 ,92.43,percent of total billed charges ,92.43,percent of total billed charges ,99.45,percent of total billed charges ,99.45,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 ,,,,,,,,,,,,,,,,,,,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,
ISOFLURANE (FORANE) SOLN : 10 ML,250,RC,10019-03-6040,NDC,,both,1,each,81,81,18.63,81,81,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,63.99,percent of total billed charges,63.99,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 ,63.99,percent of total billed charges ,63.99,percent of total billed charges ,68.85,percent of total billed charges ,68.85,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 ,,,,,,,,,,,,,,,,,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,
**LIDOCAINE-EPI 2% DO NOT USE,250,RC,00409-31-8203,NDC,,both,1,each,80,80,18.4,80,80,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,63.2,percent of total billed charges,63.2,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 ,63.2,percent of total billed charges ,63.2,percent of total billed charges ,68,percent of total billed charges ,68,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 ,,,,,,,,,,,,,,,,,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,
"LIDOCAINE 1% w EPI 1:100,000",250,RC,63323-04-8227,NDC,,both,1,each,17.44,17.44,4.01,17.44,17.44,percent of total billed charges,17.44,percent of total billed charges,17.44,percent of total billed charges,17.44,percent of total billed charges,17.44,percent of total billed charges,17.44,percent of total billed charges,17.44,percent of total billed charges,17.44,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,13.78,percent of total billed charges,13.78,percent of total billed charges,13.95,percent of total billed charges,13.95,percent of total billed charges,,,12.56,percent of total billed charges ,,,13.95,percent of total billed charges ,13.78,percent of total billed charges ,13.78,percent of total billed charges ,14.82,percent of total billed charges ,14.82,percent of total billed charges ,13.95,percent of total billed charges ,13.95,percent of total billed charges ,12.21,percent of total billed charges ,12.21,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 ,,,,,9.28,percent of total billed charges ,,,,,8.81,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,,,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,,,4.01,percent of total billed charges,,,4.01,percent of total billed charges,,,4.01,percent of total billed charges,
DALTEPARIN INJ :5000 UNIT/0.2ML(FRAGMIN),J1645,CDM,,,,both,1,each,126.74,126.74,29.15,126.74,126.74,percent of total billed charges,126.74,percent of total billed charges,126.74,percent of total billed charges,126.74,percent of total billed charges,126.74,percent of total billed charges,126.74,percent of total billed charges,126.74,percent of total billed charges,126.74,percent of total billed charges,91.25,percent of total billed charges,91.25,percent of total billed charges,91.25,percent of total billed charges,91.25,percent of total billed charges,91.25,percent of total billed charges,91.25,percent of total billed charges,100.12,percent of total billed charges,100.12,percent of total billed charges,101.39,percent of total billed charges,101.39,percent of total billed charges,,,91.25,percent of total billed charges ,,,101.39,percent of total billed charges ,100.12,percent of total billed charges ,100.12,percent of total billed charges ,107.73,percent of total billed charges ,107.73,percent of total billed charges ,101.39,percent of total billed charges ,101.39,percent of total billed charges ,88.72,percent of total billed charges ,88.72,percent of total billed charges ,76.04,percent of total billed charges ,76.04,percent of total billed charges ,76.04,percent of total billed charges ,76.04,percent of total billed charges ,,,,,67.43,percent of total billed charges ,,,,,64.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,29.15,percent of total billed charges,,,29.15,percent of total billed charges,,,29.15,percent of total billed charges,,,29.15,percent of total billed charges,,,29.15,percent of total billed charges,,,29.15,percent of total billed charges,,,29.15,percent of total billed charges,,,29.15,percent of total billed charges,,,29.15,percent of total billed charges,,,29.15,percent of total billed charges,,,29.15,percent of total billed charges,
LIDOCAINE 1% (10MG/ML) INJ : 50ML,250,RC,63323-04-8557,NDC,,both,1,each,46.04,46.04,10.59,46.04,46.04,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,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,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,36.37,percent of total billed charges,36.37,percent of total billed charges,36.83,percent of total billed charges,36.83,percent of total billed charges,,,33.15,percent of total billed charges ,,,36.83,percent of total billed charges ,36.37,percent of total billed charges ,36.37,percent of total billed charges ,39.13,percent of total billed charges ,39.13,percent of total billed charges ,36.83,percent of total billed charges ,36.83,percent of total billed charges ,32.23,percent of total billed charges ,32.23,percent of total billed charges ,27.62,percent of total billed charges ,27.62,percent of total billed charges ,27.62,percent of total billed charges ,27.62,percent of total billed charges ,,,,,24.49,percent of total billed charges ,,,,,23.27,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,
"LIDOCAINE 2% EPI 1:200,000 INJ : 20ML",J2001,CDM,,,,both,1,each,66.62,66.62,15.32,66.62,66.62,percent of total billed charges,66.62,percent of total billed charges,66.62,percent of total billed charges,66.62,percent of total billed charges,66.62,percent of total billed charges,66.62,percent of total billed charges,66.62,percent of total billed charges,66.62,percent of total billed charges,47.97,percent of total billed charges,47.97,percent of total billed charges,47.97,percent of total billed charges,47.97,percent of total billed charges,47.97,percent of total billed charges,47.97,percent of total billed charges,52.63,percent of total billed charges,52.63,percent of total billed charges,53.3,percent of total billed charges,53.3,percent of total billed charges,,,47.97,percent of total billed charges ,,,53.3,percent of total billed charges ,52.63,percent of total billed charges ,52.63,percent of total billed charges ,56.63,percent of total billed charges ,56.63,percent of total billed charges ,53.3,percent of total billed charges ,53.3,percent of total billed charges ,46.63,percent of total billed charges ,46.63,percent of total billed charges ,39.97,percent of total billed charges ,39.97,percent of total billed charges ,39.97,percent of total billed charges ,39.97,percent of total billed charges ,,,,,35.44,percent of total billed charges ,,,,,33.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.32,percent of total billed charges,,,15.32,percent of total billed charges,,,15.32,percent of total billed charges,,,15.32,percent of total billed charges,,,15.32,percent of total billed charges,,,15.32,percent of total billed charges,,,15.32,percent of total billed charges,,,15.32,percent of total billed charges,,,15.32,percent of total billed charges,,,15.32,percent of total billed charges,,,15.32,percent of total billed charges,
LIDOCAINE (XYLOCAINE) 1% INJ : 50ML,J2001,CDM,,,,both,1,each,75,75,17.25,75,75,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,59.25,percent of total billed charges,59.25,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 ,59.25,percent of total billed charges ,59.25,percent of total billed charges ,63.75,percent of total billed charges ,63.75,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 ,,,,,,,,,,,,,,,,,,,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,,,17.25,percent of total billed charges,,,17.25,percent of total billed charges,,,17.25,percent of total billed charges,
BUPivacaine MPF 0.25% INJ : 10ML,250,RC,00409-11-5901,NDC,,both,1,each,12.62,12.62,2.9,12.62,12.62,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,9.97,percent of total billed charges,9.97,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 ,9.97,percent of total billed charges ,9.97,percent of total billed charges ,10.73,percent of total billed charges ,10.73,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 ,,,,,,,,,,,,,,,,,,,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,,,2.9,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,,,2.9,percent of total billed charges,,,2.9,percent of total billed charges,,,2.9,percent of total billed charges,
SCOPOLAMINE INJ : 0.4MG/ML  1ML*,Local ,Local ,,,,both,1,each,72,72,16.56,72,72,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,56.88,percent of total billed charges,56.88,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 ,56.88,percent of total billed charges ,56.88,percent of total billed charges ,61.2,percent of total billed charges ,61.2,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
TERBUTALINE (BRETHINE) INJ : 1MG/ML,J3105,CDM,,,,both,1,each,20.55,20.55,4.73,20.55,20.55,percent of total billed charges,20.55,percent of total billed charges,20.55,percent of total billed charges,20.55,percent of total billed charges,20.55,percent of total billed charges,20.55,percent of total billed charges,20.55,percent of total billed charges,20.55,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,14.8,percent of total billed charges,14.8,percent of total billed charges,16.23,percent of total billed charges,16.23,percent of total billed charges,16.44,percent of total billed charges,16.44,percent of total billed charges,,,14.8,percent of total billed charges ,,,16.44,percent of total billed charges ,16.23,percent of total billed charges ,16.23,percent of total billed charges ,17.47,percent of total billed charges ,17.47,percent of total billed charges ,16.44,percent of total billed charges ,16.44,percent of total billed charges ,14.39,percent of total billed charges ,14.39,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 ,,,,,10.93,percent of total billed charges ,,,,,10.39,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,,,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,
KETOROLAC (TORADOL) INJ : 15MG,J1885,CDM,,,,both,1,each,11.38,11.38,2.62,11.38,11.38,percent of total billed charges,11.38,percent of total billed charges,11.38,percent of total billed charges,11.38,percent of total billed charges,11.38,percent of total billed charges,11.38,percent of total billed charges,11.38,percent of total billed charges,11.38,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,8.99,percent of total billed charges,8.99,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 ,8.99,percent of total billed charges ,8.99,percent of total billed charges ,9.67,percent of total billed charges ,9.67,percent of total billed charges ,9.1,percent of total billed charges ,9.1,percent of total billed charges ,7.97,percent of total billed charges ,7.97,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 ,,,,,6.05,percent of total billed charges ,,,,,5.75,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,,,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,
VECURONIUM (NORCURON) INJ: 10MG/10ML,J3490,CDM,,,,both,1,each,47.75,47.75,10.98,47.75,47.75,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,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,34.38,percent of total billed charges,34.38,percent of total billed charges,34.38,percent of total billed charges,34.38,percent of total billed charges,34.38,percent of total billed charges,34.38,percent of total billed charges,37.72,percent of total billed charges,37.72,percent of total billed charges,38.2,percent of total billed charges,38.2,percent of total billed charges,,,34.38,percent of total billed charges ,,,38.2,percent of total billed charges ,37.72,percent of total billed charges ,37.72,percent of total billed charges ,40.59,percent of total billed charges ,40.59,percent of total billed charges ,38.2,percent of total billed charges ,38.2,percent of total billed charges ,33.43,percent of total billed charges ,33.43,percent of total billed charges ,28.65,percent of total billed charges ,28.65,percent of total billed charges ,28.65,percent of total billed charges ,28.65,percent of total billed charges ,,,,,25.4,percent of total billed charges ,,,,,24.13,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,,,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,
NITROGLYCERIN PREMIX IV :200MCG/ML 250ML,J3490,CDM,,,,both,1,each,160.58,160.58,36.93,160.58,160.58,percent of total billed charges,160.58,percent of total billed charges,160.58,percent of total billed charges,160.58,percent of total billed charges,160.58,percent of total billed charges,160.58,percent of total billed charges,160.58,percent of total billed charges,160.58,percent of total billed charges,115.62,percent of total billed charges,115.62,percent of total billed charges,115.62,percent of total billed charges,115.62,percent of total billed charges,115.62,percent of total billed charges,115.62,percent of total billed charges,126.86,percent of total billed charges,126.86,percent of total billed charges,128.46,percent of total billed charges,128.46,percent of total billed charges,,,115.62,percent of total billed charges ,,,128.46,percent of total billed charges ,126.86,percent of total billed charges ,126.86,percent of total billed charges ,136.49,percent of total billed charges ,136.49,percent of total billed charges ,128.46,percent of total billed charges ,128.46,percent of total billed charges ,112.41,percent of total billed charges ,112.41,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 ,,,,,85.43,percent of total billed charges ,,,,,81.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,36.93,percent of total billed charges,,,36.93,percent of total billed charges,,,36.93,percent of total billed charges,,,36.93,percent of total billed charges,,,36.93,percent of total billed charges,,,36.93,percent of total billed charges,,,36.93,percent of total billed charges,,,36.93,percent of total billed charges,,,36.93,percent of total billed charges,,,36.93,percent of total billed charges,,,36.93,percent of total billed charges,
KETOROLAC (TORADOL) INJ : 60 MG,J1885,CDM,,,,both,1,each,44.85,44.85,10.32,44.85,44.85,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,35.43,percent of total billed charges,35.43,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 ,35.43,percent of total billed charges ,35.43,percent of total billed charges ,38.12,percent of total billed charges ,38.12,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 ,,,,,,,,,,,,,,,,,,,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,
KETOROLAC (TORADOL) INJ : 30 MG,J1885,CDM,,,,both,1,each,11.75,11.75,2.7,11.75,11.75,percent of total billed charges,11.75,percent of total billed charges,11.75,percent of total billed charges,11.75,percent of total billed charges,11.75,percent of total billed charges,11.75,percent of total billed charges,11.75,percent of total billed charges,11.75,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,8.46,percent of total billed charges,8.46,percent of total billed charges,9.28,percent of total billed charges,9.28,percent of total billed charges,9.4,percent of total billed charges,9.4,percent of total billed charges,,,8.46,percent of total billed charges ,,,9.4,percent of total billed charges ,9.28,percent of total billed charges ,9.28,percent of total billed charges ,9.99,percent of total billed charges ,9.99,percent of total billed charges ,9.4,percent of total billed charges ,9.4,percent of total billed charges ,8.23,percent of total billed charges ,8.23,percent of total billed charges ,7.05,percent of total billed charges ,7.05,percent of total billed charges ,7.05,percent of total billed charges ,7.05,percent of total billed charges ,,,,,6.25,percent of total billed charges ,,,,,5.94,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,,,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,
BUPivacaine 0.25% PF INJ : 30ML,250,RC,63323-04-6437,NDC,,both,1,each,22.38,22.38,5.15,22.38,22.38,percent of total billed charges,22.38,percent of total billed charges,22.38,percent of total billed charges,22.38,percent of total billed charges,22.38,percent of total billed charges,22.38,percent of total billed charges,22.38,percent of total billed charges,22.38,percent of total billed charges,16.11,percent of total billed charges,16.11,percent of total billed charges,16.11,percent of total billed charges,16.11,percent of total billed charges,16.11,percent of total billed charges,16.11,percent of total billed charges,17.68,percent of total billed charges,17.68,percent of total billed charges,17.9,percent of total billed charges,17.9,percent of total billed charges,,,16.11,percent of total billed charges ,,,17.9,percent of total billed charges ,17.68,percent of total billed charges ,17.68,percent of total billed charges ,19.02,percent of total billed charges ,19.02,percent of total billed charges ,17.9,percent of total billed charges ,17.9,percent of total billed charges ,15.67,percent of total billed charges ,15.67,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 ,,,,,11.91,percent of total billed charges ,,,,,11.31,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,,,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,
AZTREONAM (AZACTAM) INJ : 1 GM,250,RC,00409-08-2911,NDC,,both,1,each,282.82,282.82,65.05,282.82,282.82,percent of total billed charges,282.82,percent of total billed charges,282.82,percent of total billed charges,282.82,percent of total billed charges,282.82,percent of total billed charges,282.82,percent of total billed charges,282.82,percent of total billed charges,282.82,percent of total billed charges,203.63,percent of total billed charges,203.63,percent of total billed charges,203.63,percent of total billed charges,203.63,percent of total billed charges,203.63,percent of total billed charges,203.63,percent of total billed charges,223.43,percent of total billed charges,223.43,percent of total billed charges,226.26,percent of total billed charges,226.26,percent of total billed charges,,,203.63,percent of total billed charges ,,,226.26,percent of total billed charges ,223.43,percent of total billed charges ,223.43,percent of total billed charges ,240.4,percent of total billed charges ,240.4,percent of total billed charges ,226.26,percent of total billed charges ,226.26,percent of total billed charges ,197.97,percent of total billed charges ,197.97,percent of total billed charges ,169.69,percent of total billed charges ,169.69,percent of total billed charges ,169.69,percent of total billed charges ,169.69,percent of total billed charges ,,,,,150.46,percent of total billed charges ,,,,,142.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.05,percent of total billed charges,,,65.05,percent of total billed charges,,,65.05,percent of total billed charges,,,65.05,percent of total billed charges,,,65.05,percent of total billed charges,,,65.05,percent of total billed charges,,,65.05,percent of total billed charges,,,65.05,percent of total billed charges,,,65.05,percent of total billed charges,,,65.05,percent of total billed charges,,,65.05,percent of total billed charges,
NACL INJ SINGLE DOSE,Local ,Local ,,,,both,,,50,50,11.5,50,50,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,39.5,percent of total billed charges,39.5,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 ,39.5,percent of total billed charges ,39.5,percent of total billed charges ,42.5,percent of total billed charges ,42.5,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 ,,,,,,,,,,,,,,,,,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,
HEPARIN LOCK FLUSH INJ : 10 UN/ML 30ML,J1642,CDM,,,,both,1,each,27,27,6.21,27,27,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,21.33,percent of total billed charges,21.33,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 ,21.33,percent of total billed charges ,21.33,percent of total billed charges ,22.95,percent of total billed charges ,22.95,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 ,,,,,,,,,,,,,,,,,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,
AMIODARONE (CORDARONE) INJ : 150MG/3ML,J0282,CDM,,,,both,1,each,28.93,28.93,6.65,28.93,28.93,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,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,20.83,percent of total billed charges,20.83,percent of total billed charges,20.83,percent of total billed charges,20.83,percent of total billed charges,20.83,percent of total billed charges,20.83,percent of total billed charges,22.85,percent of total billed charges,22.85,percent of total billed charges,23.14,percent of total billed charges,23.14,percent of total billed charges,,,20.83,percent of total billed charges ,,,23.14,percent of total billed charges ,22.85,percent of total billed charges ,22.85,percent of total billed charges ,24.59,percent of total billed charges ,24.59,percent of total billed charges ,23.14,percent of total billed charges ,23.14,percent of total billed charges ,20.25,percent of total billed charges ,20.25,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 ,,,,,15.39,percent of total billed charges ,,,,,14.62,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,,,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,
TORSEMIDE (DEMADEX) INJ : 20MG/2ML,J3265,CDM,,,,both,1,each,67,67,15.41,67,67,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,52.93,percent of total billed charges,52.93,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 ,52.93,percent of total billed charges ,52.93,percent of total billed charges ,56.95,percent of total billed charges ,56.95,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 ,,,,,,,,,,,,,,,,,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,
TORSEMIDE (DEMADEX) INJ : 50MG/5ML,J3265,CDM,,,,both,1,each,71,71,16.33,71,71,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,56.09,percent of total billed charges,56.09,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 ,56.09,percent of total billed charges ,56.09,percent of total billed charges ,60.35,percent of total billed charges ,60.35,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 ,,,,,,,,,,,,,,,,,,,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,,,16.33,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,
PANTOPRAZOLE(PROTONIX) 40 MG VIAL INJ.,C9113,CDM,,,,both,1,each,47.18,47.18,10.85,47.18,47.18,percent of total billed charges,47.18,percent of total billed charges,47.18,percent of total billed charges,47.18,percent of total billed charges,47.18,percent of total billed charges,47.18,percent of total billed charges,47.18,percent of total billed charges,47.18,percent of total billed charges,33.97,percent of total billed charges,33.97,percent of total billed charges,33.97,percent of total billed charges,33.97,percent of total billed charges,33.97,percent of total billed charges,33.97,percent of total billed charges,37.27,percent of total billed charges,37.27,percent of total billed charges,37.74,percent of total billed charges,37.74,percent of total billed charges,,,33.97,percent of total billed charges ,,,37.74,percent of total billed charges ,37.27,percent of total billed charges ,37.27,percent of total billed charges ,40.1,percent of total billed charges ,40.1,percent of total billed charges ,37.74,percent of total billed charges ,37.74,percent of total billed charges ,33.03,percent of total billed charges ,33.03,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 ,,,,,25.1,percent of total billed charges ,,,,,23.84,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,,,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,
CIPROFLOXACIN IVPB : 200MG/100ML,J0744,CDM,,,,both,1,each,33.17,33.17,7.63,33.17,33.17,percent of total billed charges,33.17,percent of total billed charges,33.17,percent of total billed charges,33.17,percent of total billed charges,33.17,percent of total billed charges,33.17,percent of total billed charges,33.17,percent of total billed charges,33.17,percent of total billed charges,23.88,percent of total billed charges,23.88,percent of total billed charges,23.88,percent of total billed charges,23.88,percent of total billed charges,23.88,percent of total billed charges,23.88,percent of total billed charges,26.2,percent of total billed charges,26.2,percent of total billed charges,26.54,percent of total billed charges,26.54,percent of total billed charges,,,23.88,percent of total billed charges ,,,26.54,percent of total billed charges ,26.2,percent of total billed charges ,26.2,percent of total billed charges ,28.19,percent of total billed charges ,28.19,percent of total billed charges ,26.54,percent of total billed charges ,26.54,percent of total billed charges ,23.22,percent of total billed charges ,23.22,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 ,,,,,17.65,percent of total billed charges ,,,,,16.76,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,
CIPROFLOXACIN IVPB : 400MG/200ML,J0744,CDM,,,,both,1,each,49.98,49.98,11.5,49.98,49.98,percent of total billed charges,49.98,percent of total billed charges,49.98,percent of total billed charges,49.98,percent of total billed charges,49.98,percent of total billed charges,49.98,percent of total billed charges,49.98,percent of total billed charges,49.98,percent of total billed charges,35.99,percent of total billed charges,35.99,percent of total billed charges,35.99,percent of total billed charges,35.99,percent of total billed charges,35.99,percent of total billed charges,35.99,percent of total billed charges,39.48,percent of total billed charges,39.48,percent of total billed charges,39.98,percent of total billed charges,39.98,percent of total billed charges,,,35.99,percent of total billed charges ,,,39.98,percent of total billed charges ,39.48,percent of total billed charges ,39.48,percent of total billed charges ,42.48,percent of total billed charges ,42.48,percent of total billed charges ,39.98,percent of total billed charges ,39.98,percent of total billed charges ,34.99,percent of total billed charges ,34.99,percent of total billed charges ,29.99,percent of total billed charges ,29.99,percent of total billed charges ,29.99,percent of total billed charges ,29.99,percent of total billed charges ,,,,,26.59,percent of total billed charges ,,,,,25.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,
**PIPERACILLIN (PIPRACIL) DO NOT USE,250,RC,00206-38-8228,NDC,,both,1,each,197,197,45.31,197,197,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,155.63,percent of total billed charges,155.63,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 ,155.63,percent of total billed charges ,155.63,percent of total billed charges ,167.45,percent of total billed charges ,167.45,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
SUMAtriptan (IMITREX) INJ : 6MG/0.5ML,250,RC,55150-01-7305,NDC,,both,1,each,117.57,117.57,27.04,117.57,117.57,percent of total billed charges,117.57,percent of total billed charges,117.57,percent of total billed charges,117.57,percent of total billed charges,117.57,percent of total billed charges,117.57,percent of total billed charges,117.57,percent of total billed charges,117.57,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,92.88,percent of total billed charges,92.88,percent of total billed charges,94.06,percent of total billed charges,94.06,percent of total billed charges,,,84.65,percent of total billed charges ,,,94.06,percent of total billed charges ,92.88,percent of total billed charges ,92.88,percent of total billed charges ,99.93,percent of total billed charges ,99.93,percent of total billed charges ,94.06,percent of total billed charges ,94.06,percent of total billed charges ,82.3,percent of total billed charges ,82.3,percent of total billed charges ,70.54,percent of total billed charges ,70.54,percent of total billed charges ,70.54,percent of total billed charges ,70.54,percent of total billed charges ,,,,,62.55,percent of total billed charges ,,,,,59.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.04,percent of total billed charges,,,27.04,percent of total billed charges,,,27.04,percent of total billed charges,,,27.04,percent of total billed charges,,,27.04,percent of total billed charges,,,27.04,percent of total billed charges,,,27.04,percent of total billed charges,,,27.04,percent of total billed charges,,,27.04,percent of total billed charges,,,27.04,percent of total billed charges,,,27.04,percent of total billed charges,
KETAMINE HCL INJ : 500MG,J3490,CDM,,,,both,1,each,95.24,95.24,21.91,95.24,95.24,percent of total billed charges,95.24,percent of total billed charges,95.24,percent of total billed charges,95.24,percent of total billed charges,95.24,percent of total billed charges,95.24,percent of total billed charges,95.24,percent of total billed charges,95.24,percent of total billed charges,68.57,percent of total billed charges,68.57,percent of total billed charges,68.57,percent of total billed charges,68.57,percent of total billed charges,68.57,percent of total billed charges,68.57,percent of total billed charges,75.24,percent of total billed charges,75.24,percent of total billed charges,76.19,percent of total billed charges,76.19,percent of total billed charges,,,68.57,percent of total billed charges ,,,76.19,percent of total billed charges ,75.24,percent of total billed charges ,75.24,percent of total billed charges ,80.95,percent of total billed charges ,80.95,percent of total billed charges ,76.19,percent of total billed charges ,76.19,percent of total billed charges ,66.67,percent of total billed charges ,66.67,percent of total billed charges ,57.14,percent of total billed charges ,57.14,percent of total billed charges ,57.14,percent of total billed charges ,57.14,percent of total billed charges ,,,,,50.67,percent of total billed charges ,,,,,48.13,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,
BUPivacaine 0.5% PF INJ :,250,RC,63323-04-6637,NDC,,both,1,each,80.38,80.38,18.49,80.38,80.38,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,57.87,percent of total billed charges,57.87,percent of total billed charges,57.87,percent of total billed charges,57.87,percent of total billed charges,57.87,percent of total billed charges,57.87,percent of total billed charges,63.5,percent of total billed charges,63.5,percent of total billed charges,64.3,percent of total billed charges,64.3,percent of total billed charges,,,57.87,percent of total billed charges ,,,64.3,percent of total billed charges ,63.5,percent of total billed charges ,63.5,percent of total billed charges ,68.32,percent of total billed charges ,68.32,percent of total billed charges ,64.3,percent of total billed charges ,64.3,percent of total billed charges ,56.27,percent of total billed charges ,56.27,percent of total billed charges ,48.23,percent of total billed charges ,48.23,percent of total billed charges ,48.23,percent of total billed charges ,48.23,percent of total billed charges ,,,,,42.76,percent of total billed charges ,,,,,40.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,18.49,percent of total billed charges,,,18.49,percent of total billed charges,,,18.49,percent of total billed charges,,,18.49,percent of total billed charges,,,18.49,percent of total billed charges,,,18.49,percent of total billed charges,,,18.49,percent of total billed charges,,,18.49,percent of total billed charges,,,18.49,percent of total billed charges,,,18.49,percent of total billed charges,,,18.49,percent of total billed charges,
**LIDOCAINE 2%EPINEPHRINE DO NOT USE,250,RC,00074-31-8201,NDC,,both,1,each,92,92,21.16,92,92,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,72.68,percent of total billed charges,72.68,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 ,72.68,percent of total billed charges ,72.68,percent of total billed charges ,78.2,percent of total billed charges ,78.2,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 ,,,,,,,,,,,,,,,,,,,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,
LIDOCAINE PF 0.5% (5MG/ML) INJ : 50ML,J2001,CDM,,,,both,1,each,36.91,36.91,8.49,36.91,36.91,percent of total billed charges,36.91,percent of total billed charges,36.91,percent of total billed charges,36.91,percent of total billed charges,36.91,percent of total billed charges,36.91,percent of total billed charges,36.91,percent of total billed charges,36.91,percent of total billed charges,26.58,percent of total billed charges,26.58,percent of total billed charges,26.58,percent of total billed charges,26.58,percent of total billed charges,26.58,percent of total billed charges,26.58,percent of total billed charges,29.16,percent of total billed charges,29.16,percent of total billed charges,29.53,percent of total billed charges,29.53,percent of total billed charges,,,26.58,percent of total billed charges ,,,29.53,percent of total billed charges ,29.16,percent of total billed charges ,29.16,percent of total billed charges ,31.37,percent of total billed charges ,31.37,percent of total billed charges ,29.53,percent of total billed charges ,29.53,percent of total billed charges ,25.84,percent of total billed charges ,25.84,percent of total billed charges ,22.15,percent of total billed charges ,22.15,percent of total billed charges ,22.15,percent of total billed charges ,22.15,percent of total billed charges ,,,,,19.64,percent of total billed charges ,,,,,18.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.49,percent of total billed charges,,,8.49,percent of total billed charges,,,8.49,percent of total billed charges,,,8.49,percent of total billed charges,,,8.49,percent of total billed charges,,,8.49,percent of total billed charges,,,8.49,percent of total billed charges,,,8.49,percent of total billed charges,,,8.49,percent of total billed charges,,,8.49,percent of total billed charges,,,8.49,percent of total billed charges,
**ATRACURIUM (TRACRIUM) INJ DO NOT USE,250,RC,00081-09-4095,NDC,,both,1,each,225,225,51.75,225,225,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,177.75,percent of total billed charges,177.75,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 ,177.75,percent of total billed charges ,177.75,percent of total billed charges ,191.25,percent of total billed charges ,191.25,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 ,,,,,,,,,,,,,,,,,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,
MIVACURIUM INJ : 2MG/ML 50ML,250,RC,00074-43-7550,NDC,,both,1,each,12,12,2.76,12,12,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,9.48,percent of total billed charges,9.48,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 ,9.48,percent of total billed charges ,9.48,percent of total billed charges ,10.2,percent of total billed charges ,10.2,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 ,,,,,,,,,,,,,,,,,,,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,
SUCCINYLCHOLINE INJ : 20MG/ML 10ML,J0330,CDM,,,,both,1,each,78.33,78.33,18.02,78.33,78.33,percent of total billed charges,78.33,percent of total billed charges,78.33,percent of total billed charges,78.33,percent of total billed charges,78.33,percent of total billed charges,78.33,percent of total billed charges,78.33,percent of total billed charges,78.33,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,56.4,percent of total billed charges,56.4,percent of total billed charges,61.88,percent of total billed charges,61.88,percent of total billed charges,62.66,percent of total billed charges,62.66,percent of total billed charges,,,56.4,percent of total billed charges ,,,62.66,percent of total billed charges ,61.88,percent of total billed charges ,61.88,percent of total billed charges ,66.58,percent of total billed charges ,66.58,percent of total billed charges ,62.66,percent of total billed charges ,62.66,percent of total billed charges ,54.83,percent of total billed charges ,54.83,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 ,,,,,41.67,percent of total billed charges ,,,,,39.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,18.02,percent of total billed charges,,,18.02,percent of total billed charges,,,18.02,percent of total billed charges,,,18.02,percent of total billed charges,,,18.02,percent of total billed charges,,,18.02,percent of total billed charges,,,18.02,percent of total billed charges,,,18.02,percent of total billed charges,,,18.02,percent of total billed charges,,,18.02,percent of total billed charges,,,18.02,percent of total billed charges,
VECURONIUM (NORCURON) INJ : 10MG,250,RC,00409-16-3201,NDC,,both,1,each,149,149,34.27,149,149,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,117.71,percent of total billed charges,117.71,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 ,117.71,percent of total billed charges ,117.71,percent of total billed charges ,126.65,percent of total billed charges ,126.65,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 ,,,,,,,,,,,,,,,,,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,
LIDOCAINE PF 2% (20MG/ML) INJ,J2001,CDM,,,,both,1,each,34.34,34.34,7.9,34.34,34.34,percent of total billed charges,34.34,percent of total billed charges,34.34,percent of total billed charges,34.34,percent of total billed charges,34.34,percent of total billed charges,34.34,percent of total billed charges,34.34,percent of total billed charges,34.34,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,27.13,percent of total billed charges,27.13,percent of total billed charges,27.47,percent of total billed charges,27.47,percent of total billed charges,,,24.72,percent of total billed charges ,,,27.47,percent of total billed charges ,27.13,percent of total billed charges ,27.13,percent of total billed charges ,29.19,percent of total billed charges ,29.19,percent of total billed charges ,27.47,percent of total billed charges ,27.47,percent of total billed charges ,24.04,percent of total billed charges ,24.04,percent of total billed charges ,20.6,percent of total billed charges ,20.6,percent of total billed charges ,20.6,percent of total billed charges ,20.6,percent of total billed charges ,,,,,18.27,percent of total billed charges ,,,,,17.36,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,
ETOMIDATE [AMIDATE] INJ : 20MG/10ML,J3490,CDM,,,,both,1,each,40.22,40.22,9.25,40.22,40.22,percent of total billed charges,40.22,percent of total billed charges,40.22,percent of total billed charges,40.22,percent of total billed charges,40.22,percent of total billed charges,40.22,percent of total billed charges,40.22,percent of total billed charges,40.22,percent of total billed charges,28.96,percent of total billed charges,28.96,percent of total billed charges,28.96,percent of total billed charges,28.96,percent of total billed charges,28.96,percent of total billed charges,28.96,percent of total billed charges,31.77,percent of total billed charges,31.77,percent of total billed charges,32.18,percent of total billed charges,32.18,percent of total billed charges,,,28.96,percent of total billed charges ,,,32.18,percent of total billed charges ,31.77,percent of total billed charges ,31.77,percent of total billed charges ,34.19,percent of total billed charges ,34.19,percent of total billed charges ,32.18,percent of total billed charges ,32.18,percent of total billed charges ,28.15,percent of total billed charges ,28.15,percent of total billed charges ,24.13,percent of total billed charges ,24.13,percent of total billed charges ,24.13,percent of total billed charges ,24.13,percent of total billed charges ,,,,,21.4,percent of total billed charges ,,,,,20.33,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,
ONDANSETRON (ZOFRAN) IV/IM INJ : 4MG/2ML,J2405,CDM,,,,both,1,each,7.83,7.83,1.8,7.83,7.83,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,7.83,percent of total billed charges,7.83,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,6.19,percent of total billed charges,6.19,percent of total billed charges,6.26,percent of total billed charges,6.26,percent of total billed charges,,,5.64,percent of total billed charges ,,,6.26,percent of total billed charges ,6.19,percent of total billed charges ,6.19,percent of total billed charges ,6.66,percent of total billed charges ,6.66,percent of total billed charges ,6.26,percent of total billed charges ,6.26,percent of total billed charges ,5.48,percent of total billed charges ,5.48,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 ,,,,,4.17,percent of total billed charges ,,,,,3.96,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,,,1.8,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,
FAMOTIDINE (PEPCID) INJ : 20MG/2ML,J3490,CDM,,,,both,1,each,8.34,8.34,1.92,8.34,8.34,percent of total billed charges,8.34,percent of total billed charges,8.34,percent of total billed charges,8.34,percent of total billed charges,8.34,percent of total billed charges,8.34,percent of total billed charges,8.34,percent of total billed charges,8.34,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,6.59,percent of total billed charges,6.59,percent of total billed charges,6.67,percent of total billed charges,6.67,percent of total billed charges,,,6,percent of total billed charges ,,,6.67,percent of total billed charges ,6.59,percent of total billed charges ,6.59,percent of total billed charges ,7.09,percent of total billed charges ,7.09,percent of total billed charges ,6.67,percent of total billed charges ,6.67,percent of total billed charges ,5.84,percent of total billed charges ,5.84,percent of total billed charges ,5,percent of total billed charges ,5,percent of total billed charges ,5,percent of total billed charges ,5,percent of total billed charges ,,,,,4.44,percent of total billed charges ,,,,,4.22,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,,,1.92,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,
CALCITONIN SALMON INJ : 200 IU/ML 2ML,J0630,CDM,,,,both,1,each,"2,452.94","2,452.94",564.18,"2,452.94","2,452.94",percent of total billed charges,"2,452.94",percent of total billed charges,"2,452.94",percent of total billed charges,"2,452.94",percent of total billed charges,"2,452.94",percent of total billed charges,"2,452.94",percent of total billed charges,"2,452.94",percent of total billed charges,"2,452.94",percent of total billed charges,"1,766.12",percent of total billed charges,"1,766.12",percent of total billed charges,"1,766.12",percent of total billed charges,"1,766.12",percent of total billed charges,"1,766.12",percent of total billed charges,"1,766.12",percent of total billed charges,"1,937.82",percent of total billed charges,"1,937.82",percent of total billed charges,"1,962.35",percent of total billed charges,"1,962.35",percent of total billed charges,,,"1,766.12",percent of total billed charges ,,,"1,962.35",percent of total billed charges ,"1,937.82",percent of total billed charges ,"1,937.82",percent of total billed charges ,"2,085.00",percent of total billed charges ,"2,085.00",percent of total billed charges ,"1,962.35",percent of total billed charges ,"1,962.35",percent of total billed charges ,"1,717.06",percent of total billed charges ,"1,717.06",percent of total billed charges ,"1,471.76",percent of total billed charges ,"1,471.76",percent of total billed charges ,"1,471.76",percent of total billed charges ,"1,471.76",percent of total billed charges ,,,,,"1,304.96",percent of total billed charges ,,,,,"1,239.72",percent of total billed charges ,,,,,,,,,,,,,,,,,,,564.18,percent of total billed charges,,,564.18,percent of total billed charges,,,564.18,percent of total billed charges,,,564.18,percent of total billed charges,,,564.18,percent of total billed charges,,,564.18,percent of total billed charges,,,564.18,percent of total billed charges,,,564.18,percent of total billed charges,,,564.18,percent of total billed charges,,,564.18,percent of total billed charges,,,564.18,percent of total billed charges,
CARBOPROST (HEMABATE) INJ : 250MCG/ML,250,RC,00009-08-5608,NDC,,both,1,each,"1,227.11","1,227.11",282.24,"1,227.11","1,227.11",percent of total billed charges,"1,227.11",percent of total billed charges,"1,227.11",percent of total billed charges,"1,227.11",percent of total billed charges,"1,227.11",percent of total billed charges,"1,227.11",percent of total billed charges,"1,227.11",percent of total billed charges,"1,227.11",percent of total billed charges,883.52,percent of total billed charges,883.52,percent of total billed charges,883.52,percent of total billed charges,883.52,percent of total billed charges,883.52,percent of total billed charges,883.52,percent of total billed charges,969.42,percent of total billed charges,969.42,percent of total billed charges,981.69,percent of total billed charges,981.69,percent of total billed charges,,,883.52,percent of total billed charges ,,,981.69,percent of total billed charges ,969.42,percent of total billed charges ,969.42,percent of total billed charges ,"1,043.04",percent of total billed charges ,"1,043.04",percent of total billed charges ,981.69,percent of total billed charges ,981.69,percent of total billed charges ,858.98,percent of total billed charges ,858.98,percent of total billed charges ,736.27,percent of total billed charges ,736.27,percent of total billed charges ,736.27,percent of total billed charges ,736.27,percent of total billed charges ,,,,,652.82,percent of total billed charges ,,,,,620.18,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,,,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,
DEXTROSE 10% AMP : 5ML*,250,RC,00409-40-8902,NDC,,both,1,each,494,494,113.62,494,494,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,390.26,percent of total billed charges,390.26,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 ,390.26,percent of total billed charges ,390.26,percent of total billed charges ,419.9,percent of total billed charges ,419.9,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 ,,,,,,,,,,,,,,,,,,,113.62,percent of total billed charges,,,113.62,percent of total billed charges,,,113.62,percent of total billed charges,,,113.62,percent of total billed charges,,,113.62,percent of total billed charges,,,113.62,percent of total billed charges,,,113.62,percent of total billed charges,,,113.62,percent of total billed charges,,,113.62,percent of total billed charges,,,113.62,percent of total billed charges,,,113.62,percent of total billed charges,
TETRACAINE INJ : 20MG/2ML AMP,250,RC,54288-01-2710,NDC,,both,1,each,376.9,376.9,86.69,376.9,376.9,percent of total billed charges,376.9,percent of total billed charges,376.9,percent of total billed charges,376.9,percent of total billed charges,376.9,percent of total billed charges,376.9,percent of total billed charges,376.9,percent of total billed charges,376.9,percent of total billed charges,271.37,percent of total billed charges,271.37,percent of total billed charges,271.37,percent of total billed charges,271.37,percent of total billed charges,271.37,percent of total billed charges,271.37,percent of total billed charges,297.75,percent of total billed charges,297.75,percent of total billed charges,301.52,percent of total billed charges,301.52,percent of total billed charges,,,271.37,percent of total billed charges ,,,301.52,percent of total billed charges ,297.75,percent of total billed charges ,297.75,percent of total billed charges ,320.37,percent of total billed charges ,320.37,percent of total billed charges ,301.52,percent of total billed charges ,301.52,percent of total billed charges ,263.83,percent of total billed charges ,263.83,percent of total billed charges ,226.14,percent of total billed charges ,226.14,percent of total billed charges ,226.14,percent of total billed charges ,226.14,percent of total billed charges ,,,,,200.51,percent of total billed charges ,,,,,190.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,86.69,percent of total billed charges,,,86.69,percent of total billed charges,,,86.69,percent of total billed charges,,,86.69,percent of total billed charges,,,86.69,percent of total billed charges,,,86.69,percent of total billed charges,,,86.69,percent of total billed charges,,,86.69,percent of total billed charges,,,86.69,percent of total billed charges,,,86.69,percent of total billed charges,,,86.69,percent of total billed charges,
DIHYDROERGOTAMINE MESYLATE INJ : 1MG/ML,J1110,CDM,,,,both,1,each,431.85,431.85,99.33,431.85,431.85,percent of total billed charges,431.85,percent of total billed charges,431.85,percent of total billed charges,431.85,percent of total billed charges,431.85,percent of total billed charges,431.85,percent of total billed charges,431.85,percent of total billed charges,431.85,percent of total billed charges,310.93,percent of total billed charges,310.93,percent of total billed charges,310.93,percent of total billed charges,310.93,percent of total billed charges,310.93,percent of total billed charges,310.93,percent of total billed charges,341.16,percent of total billed charges,341.16,percent of total billed charges,345.48,percent of total billed charges,345.48,percent of total billed charges,,,310.93,percent of total billed charges ,,,345.48,percent of total billed charges ,341.16,percent of total billed charges ,341.16,percent of total billed charges ,367.07,percent of total billed charges ,367.07,percent of total billed charges ,345.48,percent of total billed charges ,345.48,percent of total billed charges ,302.3,percent of total billed charges ,302.3,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 ,,,,,229.74,percent of total billed charges ,,,,,218.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,99.33,percent of total billed charges,,,99.33,percent of total billed charges,,,99.33,percent of total billed charges,,,99.33,percent of total billed charges,,,99.33,percent of total billed charges,,,99.33,percent of total billed charges,,,99.33,percent of total billed charges,,,99.33,percent of total billed charges,,,99.33,percent of total billed charges,,,99.33,percent of total billed charges,,,99.33,percent of total billed charges,
**REVEX ING 100MCG DO NOT USE,250,RC,10019-03-1521,NDC,,both,1,each,47,47,10.81,47,47,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,37.13,percent of total billed charges,37.13,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 ,37.13,percent of total billed charges ,37.13,percent of total billed charges ,39.95,percent of total billed charges ,39.95,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
CefTAZidime (TAZICEF) INJ : 1GM,J0713,CDM,,,,both,1,each,53.05,53.05,12.2,53.05,53.05,percent of total billed charges,53.05,percent of total billed charges,53.05,percent of total billed charges,53.05,percent of total billed charges,53.05,percent of total billed charges,53.05,percent of total billed charges,53.05,percent of total billed charges,53.05,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,41.91,percent of total billed charges,41.91,percent of total billed charges,42.44,percent of total billed charges,42.44,percent of total billed charges,,,38.2,percent of total billed charges ,,,42.44,percent of total billed charges ,41.91,percent of total billed charges ,41.91,percent of total billed charges ,45.09,percent of total billed charges ,45.09,percent of total billed charges ,42.44,percent of total billed charges ,42.44,percent of total billed charges ,37.14,percent of total billed charges ,37.14,percent of total billed charges ,31.83,percent of total billed charges ,31.83,percent of total billed charges ,31.83,percent of total billed charges ,31.83,percent of total billed charges ,,,,,28.22,percent of total billed charges ,,,,,26.81,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.2,percent of total billed charges,,,12.2,percent of total billed charges,,,12.2,percent of total billed charges,,,12.2,percent of total billed charges,,,12.2,percent of total billed charges,,,12.2,percent of total billed charges,,,12.2,percent of total billed charges,,,12.2,percent of total billed charges,,,12.2,percent of total billed charges,,,12.2,percent of total billed charges,,,12.2,percent of total billed charges,
CefTAZidime (TAZICEF) INJ : 2GM,J0713,CDM,,,,both,1,each,95,95,21.85,95,95,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,75.05,percent of total billed charges,75.05,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 ,75.05,percent of total billed charges ,75.05,percent of total billed charges ,80.75,percent of total billed charges ,80.75,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,21.85,percent of total billed charges,,,21.85,percent of total billed charges,,,21.85,percent of total billed charges,
COSYNTROPIN INJ : 0.25MG,J0834,CDM,,,,both,1,each,212.17,212.17,48.8,212.17,212.17,percent of total billed charges,212.17,percent of total billed charges,212.17,percent of total billed charges,212.17,percent of total billed charges,212.17,percent of total billed charges,212.17,percent of total billed charges,212.17,percent of total billed charges,212.17,percent of total billed charges,152.76,percent of total billed charges,152.76,percent of total billed charges,152.76,percent of total billed charges,152.76,percent of total billed charges,152.76,percent of total billed charges,152.76,percent of total billed charges,167.61,percent of total billed charges,167.61,percent of total billed charges,169.74,percent of total billed charges,169.74,percent of total billed charges,,,152.76,percent of total billed charges ,,,169.74,percent of total billed charges ,167.61,percent of total billed charges ,167.61,percent of total billed charges ,180.34,percent of total billed charges ,180.34,percent of total billed charges ,169.74,percent of total billed charges ,169.74,percent of total billed charges ,148.52,percent of total billed charges ,148.52,percent of total billed charges ,127.3,percent of total billed charges ,127.3,percent of total billed charges ,127.3,percent of total billed charges ,127.3,percent of total billed charges ,,,,,112.87,percent of total billed charges ,,,,,107.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,48.8,percent of total billed charges,,,48.8,percent of total billed charges,,,48.8,percent of total billed charges,,,48.8,percent of total billed charges,,,48.8,percent of total billed charges,,,48.8,percent of total billed charges,,,48.8,percent of total billed charges,,,48.8,percent of total billed charges,,,48.8,percent of total billed charges,,,48.8,percent of total billed charges,,,48.8,percent of total billed charges,
**MILRINONE(PRIMACOR) INJ 1OMG DO NOT US,250,RC,55390-00-1910,NDC,,both,1,each,437,437,100.51,437,437,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,345.23,percent of total billed charges,345.23,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 ,345.23,percent of total billed charges ,345.23,percent of total billed charges ,371.45,percent of total billed charges ,371.45,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 ,,,,,,,,,,,,,,,,,,,100.51,percent of total billed charges,,,100.51,percent of total billed charges,,,100.51,percent of total billed charges,,,100.51,percent of total billed charges,,,100.51,percent of total billed charges,,,100.51,percent of total billed charges,,,100.51,percent of total billed charges,,,100.51,percent of total billed charges,,,100.51,percent of total billed charges,,,100.51,percent of total billed charges,,,100.51,percent of total billed charges,
**GAMMA GLOBULIN 5CC DO NOT USE,Local ,Local ,,,,both,,,"1,824.00","1,824.00",419.52,"1,824.00","1,824.00",percent of total billed charges,"1,824.00",percent of total billed charges,"1,824.00",percent of total billed charges,"1,824.00",percent of total billed charges,"1,824.00",percent of total billed charges,"1,824.00",percent of total billed charges,"1,824.00",percent of total billed charges,"1,824.00",percent of total billed charges,"1,313.28",percent of total billed charges,"1,313.28",percent of total billed charges,"1,313.28",percent of total billed charges,"1,313.28",percent of total billed charges,"1,313.28",percent of total billed charges,"1,313.28",percent of total billed charges,"1,440.96",percent of total billed charges,"1,440.96",percent of total billed charges,"1,459.20",percent of total billed charges,"1,459.20",percent of total billed charges,,,"1,313.28",percent of total billed charges ,,,"1,459.20",percent of total billed charges ,"1,440.96",percent of total billed charges ,"1,440.96",percent of total billed charges ,"1,550.40",percent of total billed charges ,"1,550.40",percent of total billed charges ,"1,459.20",percent of total billed charges ,"1,459.20",percent of total billed charges ,"1,276.80",percent of total billed charges ,"1,276.80",percent of total billed charges ,"1,094.40",percent of total billed charges ,"1,094.40",percent of total billed charges ,"1,094.40",percent of total billed charges ,"1,094.40",percent of total billed charges ,,,,,970.37,percent of total billed charges ,,,,,921.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,419.52,percent of total billed charges,,,419.52,percent of total billed charges,,,419.52,percent of total billed charges,,,419.52,percent of total billed charges,,,419.52,percent of total billed charges,,,419.52,percent of total billed charges,,,419.52,percent of total billed charges,,,419.52,percent of total billed charges,,,419.52,percent of total billed charges,,,419.52,percent of total billed charges,,,419.52,percent of total billed charges,
EPOETIN INJ : 4000 UN/ML,J0885,CDM,,,,both,1,each,"1,176.82","1,176.82",270.67,"1,176.82","1,176.82",percent of total billed charges,"1,176.82",percent of total billed charges,"1,176.82",percent of total billed charges,"1,176.82",percent of total billed charges,"1,176.82",percent of total billed charges,"1,176.82",percent of total billed charges,"1,176.82",percent of total billed charges,"1,176.82",percent of total billed charges,847.31,percent of total billed charges,847.31,percent of total billed charges,847.31,percent of total billed charges,847.31,percent of total billed charges,847.31,percent of total billed charges,847.31,percent of total billed charges,929.69,percent of total billed charges,929.69,percent of total billed charges,941.46,percent of total billed charges,941.46,percent of total billed charges,,,847.31,percent of total billed charges ,,,941.46,percent of total billed charges ,929.69,percent of total billed charges ,929.69,percent of total billed charges ,"1,000.30",percent of total billed charges ,"1,000.30",percent of total billed charges ,941.46,percent of total billed charges ,941.46,percent of total billed charges ,823.77,percent of total billed charges ,823.77,percent of total billed charges ,706.09,percent of total billed charges ,706.09,percent of total billed charges ,706.09,percent of total billed charges ,706.09,percent of total billed charges ,,,,,626.07,percent of total billed charges ,,,,,594.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,270.67,percent of total billed charges,,,270.67,percent of total billed charges,,,270.67,percent of total billed charges,,,270.67,percent of total billed charges,,,270.67,percent of total billed charges,,,270.67,percent of total billed charges,,,270.67,percent of total billed charges,,,270.67,percent of total billed charges,,,270.67,percent of total billed charges,,,270.67,percent of total billed charges,,,270.67,percent of total billed charges,
GuaiFENesin W CODEINE LIQ : 10ML UD,637,RC,00121-15-5010,NDC,,both,10,each,8.47,8.47,1.95,8.47,8.47,percent of total billed charges,8.47,percent of total billed charges,8.47,percent of total billed charges,8.47,percent of total billed charges,8.47,percent of total billed charges,8.47,percent of total billed charges,8.47,percent of total billed charges,8.47,percent of total billed charges,6.1,percent of total billed charges,6.1,percent of total billed charges,6.1,percent of total billed charges,6.1,percent of total billed charges,6.1,percent of total billed charges,6.1,percent of total billed charges,6.69,percent of total billed charges,6.69,percent of total billed charges,6.78,percent of total billed charges,6.78,percent of total billed charges,,,6.1,percent of total billed charges ,,,6.78,percent of total billed charges ,6.69,percent of total billed charges ,6.69,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.78,percent of total billed charges ,6.78,percent of total billed charges ,5.93,percent of total billed charges ,5.93,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 ,,,,,4.51,percent of total billed charges ,,,,,4.28,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,,,1.95,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,
**ETIDRONATE(DIDRONEL)INJ 300MG DO NOT U,J1436,CDM,,,,both,1,each,453,453,104.19,453,453,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,357.87,percent of total billed charges,357.87,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 ,357.87,percent of total billed charges ,357.87,percent of total billed charges ,385.05,percent of total billed charges ,385.05,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 ,,,,,,,,,,,,,,,,,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,
**CAFFEINE &SOD BENZOATE INJ DO NOT USE,250,RC,00517-25-0210,NDC,,both,1,each,52,52,11.96,52,52,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,41.08,percent of total billed charges,41.08,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 ,41.08,percent of total billed charges ,41.08,percent of total billed charges ,44.2,percent of total billed charges ,44.2,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 ,,,,,,,,,,,,,,,,,,,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,
FILGRASTIM INJ : 300 MCG,J1442,CDM,,,,both,1,each,"1,686.43","1,686.43",387.88,"1,686.43","1,686.43",percent of total billed charges,"1,686.43",percent of total billed charges,"1,686.43",percent of total billed charges,"1,686.43",percent of total billed charges,"1,686.43",percent of total billed charges,"1,686.43",percent of total billed charges,"1,686.43",percent of total billed charges,"1,686.43",percent of total billed charges,"1,214.23",percent of total billed charges,"1,214.23",percent of total billed charges,"1,214.23",percent of total billed charges,"1,214.23",percent of total billed charges,"1,214.23",percent of total billed charges,"1,214.23",percent of total billed charges,"1,332.28",percent of total billed charges,"1,332.28",percent of total billed charges,"1,349.14",percent of total billed charges,"1,349.14",percent of total billed charges,,,"1,214.23",percent of total billed charges ,,,"1,349.14",percent of total billed charges ,"1,332.28",percent of total billed charges ,"1,332.28",percent of total billed charges ,"1,433.47",percent of total billed charges ,"1,433.47",percent of total billed charges ,"1,349.14",percent of total billed charges ,"1,349.14",percent of total billed charges ,"1,180.50",percent of total billed charges ,"1,180.50",percent of total billed charges ,"1,011.86",percent of total billed charges ,"1,011.86",percent of total billed charges ,"1,011.86",percent of total billed charges ,"1,011.86",percent of total billed charges ,,,,,897.18,percent of total billed charges ,,,,,852.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,387.88,percent of total billed charges,,,387.88,percent of total billed charges,,,387.88,percent of total billed charges,,,387.88,percent of total billed charges,,,387.88,percent of total billed charges,,,387.88,percent of total billed charges,,,387.88,percent of total billed charges,,,387.88,percent of total billed charges,,,387.88,percent of total billed charges,,,387.88,percent of total billed charges,,,387.88,percent of total billed charges,
SODIUM ACETATE INJ : 2MEQ/ML 20ML VIAL,250,RC,00409-72-9973,NDC,,both,1,each,6.43,6.43,1.48,6.43,6.43,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,6.43,percent of total billed charges,6.43,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,5.08,percent of total billed charges,5.08,percent of total billed charges,5.14,percent of total billed charges,5.14,percent of total billed charges,,,4.63,percent of total billed charges ,,,5.14,percent of total billed charges ,5.08,percent of total billed charges ,5.08,percent of total billed charges ,5.47,percent of total billed charges ,5.47,percent of total billed charges ,5.14,percent of total billed charges ,5.14,percent of total billed charges ,4.5,percent of total billed charges ,4.5,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 ,,,,,3.42,percent of total billed charges ,,,,,3.25,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,,,1.48,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,,,1.48,percent of total billed charges,,,1.48,percent of total billed charges,,,1.48,percent of total billed charges,
SODIUM PHOSPHATE INJ : 15 mM/5ML,250,RC,00409-73-9172,NDC,,both,1,each,163,163,37.49,163,163,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,128.77,percent of total billed charges,128.77,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 ,128.77,percent of total billed charges ,128.77,percent of total billed charges ,138.55,percent of total billed charges ,138.55,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 ,,,,,,,,,,,,,,,,,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,
CISATRACURIUM (NIMBEX) INJ : 2MG/ML,250,RC,00781-31-5095,NDC,,both,1,each,206.49,206.49,47.49,206.49,206.49,percent of total billed charges,206.49,percent of total billed charges,206.49,percent of total billed charges,206.49,percent of total billed charges,206.49,percent of total billed charges,206.49,percent of total billed charges,206.49,percent of total billed charges,206.49,percent of total billed charges,148.67,percent of total billed charges,148.67,percent of total billed charges,148.67,percent of total billed charges,148.67,percent of total billed charges,148.67,percent of total billed charges,148.67,percent of total billed charges,163.13,percent of total billed charges,163.13,percent of total billed charges,165.19,percent of total billed charges,165.19,percent of total billed charges,,,148.67,percent of total billed charges ,,,165.19,percent of total billed charges ,163.13,percent of total billed charges ,163.13,percent of total billed charges ,175.52,percent of total billed charges ,175.52,percent of total billed charges ,165.19,percent of total billed charges ,165.19,percent of total billed charges ,144.54,percent of total billed charges ,144.54,percent of total billed charges ,123.89,percent of total billed charges ,123.89,percent of total billed charges ,123.89,percent of total billed charges ,123.89,percent of total billed charges ,,,,,109.85,percent of total billed charges ,,,,,104.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,47.49,percent of total billed charges,,,47.49,percent of total billed charges,,,47.49,percent of total billed charges,,,47.49,percent of total billed charges,,,47.49,percent of total billed charges,,,47.49,percent of total billed charges,,,47.49,percent of total billed charges,,,47.49,percent of total billed charges,,,47.49,percent of total billed charges,,,47.49,percent of total billed charges,,,47.49,percent of total billed charges,
**PYRIDOXINE (VIT) DO NOT USE,250,RC,63323-01-8001,NDC,,both,1,each,54,54,12.42,54,54,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,42.66,percent of total billed charges,42.66,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 ,42.66,percent of total billed charges ,42.66,percent of total billed charges ,45.9,percent of total billed charges ,45.9,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 ,,,,,,,,,,,,,,,,,,,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,,,12.42,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,
PENTAMIDINE INJ : 300 MG,250,RC,63323-01-1310,NDC,,both,1,each,588,588,135.24,588,588,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,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,464.52,percent of total billed charges,464.52,percent of total billed charges,470.4,percent of total billed charges,470.4,percent of total billed charges,,,423.36,percent of total billed charges ,,,470.4,percent of total billed charges ,464.52,percent of total billed charges ,464.52,percent of total billed charges ,499.8,percent of total billed charges ,499.8,percent of total billed charges ,470.4,percent of total billed charges ,470.4,percent of total billed charges ,411.6,percent of total billed charges ,411.6,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 ,,,,,312.82,percent of total billed charges ,,,,,297.18,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,
PIPERACILLIN-TAZOB (ZOSYN) : 3-0.375,J2543,CDM,,,,both,1,each,55.3,55.3,12.72,55.3,55.3,percent of total billed charges,55.3,percent of total billed charges,55.3,percent of total billed charges,55.3,percent of total billed charges,55.3,percent of total billed charges,55.3,percent of total billed charges,55.3,percent of total billed charges,55.3,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,39.82,percent of total billed charges,39.82,percent of total billed charges,43.69,percent of total billed charges,43.69,percent of total billed charges,44.24,percent of total billed charges,44.24,percent of total billed charges,,,39.82,percent of total billed charges ,,,44.24,percent of total billed charges ,43.69,percent of total billed charges ,43.69,percent of total billed charges ,47.01,percent of total billed charges ,47.01,percent of total billed charges ,44.24,percent of total billed charges ,44.24,percent of total billed charges ,38.71,percent of total billed charges ,38.71,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 ,,,,,29.42,percent of total billed charges ,,,,,27.95,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,
**ZINC IN 1 MG DO NOT USE,250,RC,00409-40-9001,NDC,,both,1,each,55,55,12.65,55,55,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,43.45,percent of total billed charges,43.45,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 ,43.45,percent of total billed charges ,43.45,percent of total billed charges ,46.75,percent of total billed charges ,46.75,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 ,,,,,,,,,,,,,,,,,,,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,
DIGOXIN IMMUNE FAB INJ : 40MG,J1162,CDM,,,,both,1,each,"16,235.00","16,235.00","3,734.05","16,235.00","16,235.00",percent of total billed charges,"16,235.00",percent of total billed charges,"16,235.00",percent of total billed charges,"16,235.00",percent of total billed charges,"16,235.00",percent of total billed charges,"16,235.00",percent of total billed charges,"16,235.00",percent of total billed charges,"16,235.00",percent of total billed charges,"11,689.20",percent of total billed charges,"11,689.20",percent of total billed charges,"11,689.20",percent of total billed charges,"11,689.20",percent of total billed charges,"11,689.20",percent of total billed charges,"11,689.20",percent of total billed charges,"12,825.65",percent of total billed charges,"12,825.65",percent of total billed charges,"12,988.00",percent of total billed charges,"12,988.00",percent of total billed charges,,,"11,689.20",percent of total billed charges ,,,"12,988.00",percent of total billed charges ,"12,825.65",percent of total billed charges ,"12,825.65",percent of total billed charges ,"13,799.75",percent of total billed charges ,"13,799.75",percent of total billed charges ,"12,988.00",percent of total billed charges ,"12,988.00",percent of total billed charges ,"11,364.50",percent of total billed charges ,"11,364.50",percent of total billed charges ,"9,741.00",percent of total billed charges ,"9,741.00",percent of total billed charges ,"9,741.00",percent of total billed charges ,"9,741.00",percent of total billed charges ,,,,,"8,637.02",percent of total billed charges ,,,,,"8,205.17",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,734.05",percent of total billed charges,,,"3,734.05",percent of total billed charges,,,"3,734.05",percent of total billed charges,,,"3,734.05",percent of total billed charges,,,"3,734.05",percent of total billed charges,,,"3,734.05",percent of total billed charges,,,"3,734.05",percent of total billed charges,,,"3,734.05",percent of total billed charges,,,"3,734.05",percent of total billed charges,,,"3,734.05",percent of total billed charges,,,"3,734.05",percent of total billed charges,
LEVOFLOXACIN 500MG PREMIX IV :,J1956,CDM,,,,both,1,each,118,118,27.14,118,118,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,93.22,percent of total billed charges,93.22,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 ,93.22,percent of total billed charges ,93.22,percent of total billed charges ,100.3,percent of total billed charges ,100.3,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 ,,,,,,,,,,,,,,,,,,,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,,,27.14,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,
CEFEPIME (MAXIPIME) INJ : 1GM,J0692,CDM,,,,both,1,each,42.9,42.9,9.87,42.9,42.9,percent of total billed charges,42.9,percent of total billed charges,42.9,percent of total billed charges,42.9,percent of total billed charges,42.9,percent of total billed charges,42.9,percent of total billed charges,42.9,percent of total billed charges,42.9,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,33.89,percent of total billed charges,33.89,percent of total billed charges,34.32,percent of total billed charges,34.32,percent of total billed charges,,,30.89,percent of total billed charges ,,,34.32,percent of total billed charges ,33.89,percent of total billed charges ,33.89,percent of total billed charges ,36.47,percent of total billed charges ,36.47,percent of total billed charges ,34.32,percent of total billed charges ,34.32,percent of total billed charges ,30.03,percent of total billed charges ,30.03,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 ,,,,,22.82,percent of total billed charges ,,,,,21.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.87,percent of total billed charges,,,9.87,percent of total billed charges,,,9.87,percent of total billed charges,,,9.87,percent of total billed charges,,,9.87,percent of total billed charges,,,9.87,percent of total billed charges,,,9.87,percent of total billed charges,,,9.87,percent of total billed charges,,,9.87,percent of total billed charges,,,9.87,percent of total billed charges,,,9.87,percent of total billed charges,
CEFEPIME (MAXIPIME) INJ : 2GM,J0692,CDM,,,,both,1,each,80.47,80.47,18.51,80.47,80.47,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,63.57,percent of total billed charges,63.57,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 ,63.57,percent of total billed charges ,63.57,percent of total billed charges ,68.4,percent of total billed charges ,68.4,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 ,,,,,,,,,,,,,,,,,,,18.51,percent of total billed charges,,,18.51,percent of total billed charges,,,18.51,percent of total billed charges,,,18.51,percent of total billed charges,,,18.51,percent of total billed charges,,,18.51,percent of total billed charges,,,18.51,percent of total billed charges,,,18.51,percent of total billed charges,,,18.51,percent of total billed charges,,,18.51,percent of total billed charges,,,18.51,percent of total billed charges,
FLUCONAZOLE (DIFLUCAN) INJ : 100MG,J1450,CDM,,,,both,1,each,171,171,39.33,171,171,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,135.09,percent of total billed charges,135.09,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 ,135.09,percent of total billed charges ,135.09,percent of total billed charges ,145.35,percent of total billed charges ,145.35,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 ,,,,,,,,,,,,,,,,,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,
SINCALIDE (KINEVAC) : 5MCG,J2805,CDM,,,,both,1,each,793,793,182.39,793,793,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,626.47,percent of total billed charges,626.47,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 ,626.47,percent of total billed charges ,626.47,percent of total billed charges ,674.05,percent of total billed charges ,674.05,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 ,,,,,,,,,,,,,,,,,,,182.39,percent of total billed charges,,,182.39,percent of total billed charges,,,182.39,percent of total billed charges,,,182.39,percent of total billed charges,,,182.39,percent of total billed charges,,,182.39,percent of total billed charges,,,182.39,percent of total billed charges,,,182.39,percent of total billed charges,,,182.39,percent of total billed charges,,,182.39,percent of total billed charges,,,182.39,percent of total billed charges,
DEHYDRATED ALCOHOL 98% INJ : 5ML,250,RC,17478-05-0305,NDC,,both,1,each,"1,200.00","1,200.00",276,"1,200.00","1,200.00",percent of total billed charges,"1,200.00",percent of total billed charges,"1,200.00",percent of total billed charges,"1,200.00",percent of total billed charges,"1,200.00",percent of total billed charges,"1,200.00",percent of total billed charges,"1,200.00",percent of total billed charges,"1,200.00",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,864,percent of total billed charges,864,percent of total billed charges,948,percent of total billed charges,948,percent of total billed charges,960,percent of total billed charges,960,percent of total billed charges,,,864,percent of total billed charges ,,,960,percent of total billed charges ,948,percent of total billed charges ,948,percent of total billed charges ,"1,020.00",percent of total billed charges ,"1,020.00",percent of total billed charges ,960,percent of total billed charges ,960,percent of total billed charges ,840,percent of total billed charges ,840,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 ,,,,,638.4,percent of total billed charges ,,,,,606.48,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,,,276,percent of total billed charges,,,276,percent of total billed charges,,,276,percent of total billed charges,,,276,percent of total billed charges,
VARICELLA ZOST ADULT,Local ,Local ,,,,both,,,282,282,64.86,282,282,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,222.78,percent of total billed charges,222.78,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 ,222.78,percent of total billed charges ,222.78,percent of total billed charges ,239.7,percent of total billed charges ,239.7,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 ,,,,,,,,,,,,,,,,,,,64.86,percent of total billed charges,,,64.86,percent of total billed charges,,,64.86,percent of total billed charges,,,64.86,percent of total billed charges,,,64.86,percent of total billed charges,,,64.86,percent of total billed charges,,,64.86,percent of total billed charges,,,64.86,percent of total billed charges,,,64.86,percent of total billed charges,,,64.86,percent of total billed charges,,,64.86,percent of total billed charges,
EDROPHONIUM (ENLON) PLUS INJ : 15ML,250,RC,10019-01-9515,NDC,,both,1,each,73,73,16.79,73,73,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,57.67,percent of total billed charges,57.67,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 ,57.67,percent of total billed charges ,57.67,percent of total billed charges ,62.05,percent of total billed charges ,62.05,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 ,,,,,,,,,,,,,,,,,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,
IBUTILIDE (CORVERT) INJ : 1MG/10ML,J1742,CDM,,,,both,1,each,650.5,650.5,149.62,650.5,650.5,percent of total billed charges,650.5,percent of total billed charges,650.5,percent of total billed charges,650.5,percent of total billed charges,650.5,percent of total billed charges,650.5,percent of total billed charges,650.5,percent of total billed charges,650.5,percent of total billed charges,468.36,percent of total billed charges,468.36,percent of total billed charges,468.36,percent of total billed charges,468.36,percent of total billed charges,468.36,percent of total billed charges,468.36,percent of total billed charges,513.9,percent of total billed charges,513.9,percent of total billed charges,520.4,percent of total billed charges,520.4,percent of total billed charges,,,468.36,percent of total billed charges ,,,520.4,percent of total billed charges ,513.9,percent of total billed charges ,513.9,percent of total billed charges ,552.93,percent of total billed charges ,552.93,percent of total billed charges ,520.4,percent of total billed charges ,520.4,percent of total billed charges ,455.35,percent of total billed charges ,455.35,percent of total billed charges ,390.3,percent of total billed charges ,390.3,percent of total billed charges ,390.3,percent of total billed charges ,390.3,percent of total billed charges ,,,,,346.07,percent of total billed charges ,,,,,328.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,149.62,percent of total billed charges,,,149.62,percent of total billed charges,,,149.62,percent of total billed charges,,,149.62,percent of total billed charges,,,149.62,percent of total billed charges,,,149.62,percent of total billed charges,,,149.62,percent of total billed charges,,,149.62,percent of total billed charges,,,149.62,percent of total billed charges,,,149.62,percent of total billed charges,,,149.62,percent of total billed charges,
ROPivacaine (NAROPIN) 0.2% INJ,J2795,CDM,,,,both,1,each,113.75,113.75,26.16,113.75,113.75,percent of total billed charges,113.75,percent of total billed charges,113.75,percent of total billed charges,113.75,percent of total billed charges,113.75,percent of total billed charges,113.75,percent of total billed charges,113.75,percent of total billed charges,113.75,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,89.86,percent of total billed charges,89.86,percent of total billed charges,91,percent of total billed charges,91,percent of total billed charges,,,81.9,percent of total billed charges ,,,91,percent of total billed charges ,89.86,percent of total billed charges ,89.86,percent of total billed charges ,96.69,percent of total billed charges ,96.69,percent of total billed charges ,91,percent of total billed charges ,91,percent of total billed charges ,79.63,percent of total billed charges ,79.63,percent of total billed charges ,68.25,percent of total billed charges ,68.25,percent of total billed charges ,68.25,percent of total billed charges ,68.25,percent of total billed charges ,,,,,60.52,percent of total billed charges ,,,,,57.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.16,percent of total billed charges,,,26.16,percent of total billed charges,,,26.16,percent of total billed charges,,,26.16,percent of total billed charges,,,26.16,percent of total billed charges,,,26.16,percent of total billed charges,,,26.16,percent of total billed charges,,,26.16,percent of total billed charges,,,26.16,percent of total billed charges,,,26.16,percent of total billed charges,,,26.16,percent of total billed charges,
ROPivacaine (NAROPIN) 0.5% INJ : 30ML,J2795,CDM,,,,both,1,each,75,75,17.25,75,75,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,59.25,percent of total billed charges,59.25,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 ,59.25,percent of total billed charges ,59.25,percent of total billed charges ,63.75,percent of total billed charges ,63.75,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 ,,,,,,,,,,,,,,,,,,,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,,,17.25,percent of total billed charges,,,17.25,percent of total billed charges,,,17.25,percent of total billed charges,
SODIUM BICARBONATE 4.2% INJ 10ML INFANT,250,RC,00409-55-3414,NDC,,both,1,each,100.5,100.5,23.12,100.5,100.5,percent of total billed charges,100.5,percent of total billed charges,100.5,percent of total billed charges,100.5,percent of total billed charges,100.5,percent of total billed charges,100.5,percent of total billed charges,100.5,percent of total billed charges,100.5,percent of total billed charges,72.36,percent of total billed charges,72.36,percent of total billed charges,72.36,percent of total billed charges,72.36,percent of total billed charges,72.36,percent of total billed charges,72.36,percent of total billed charges,79.4,percent of total billed charges,79.4,percent of total billed charges,80.4,percent of total billed charges,80.4,percent of total billed charges,,,72.36,percent of total billed charges ,,,80.4,percent of total billed charges ,79.4,percent of total billed charges ,79.4,percent of total billed charges ,85.43,percent of total billed charges ,85.43,percent of total billed charges ,80.4,percent of total billed charges ,80.4,percent of total billed charges ,70.35,percent of total billed charges ,70.35,percent of total billed charges ,60.3,percent of total billed charges ,60.3,percent of total billed charges ,60.3,percent of total billed charges ,60.3,percent of total billed charges ,,,,,53.47,percent of total billed charges ,,,,,50.79,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,,,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,
LIDOCAINE INJ : 40MG/ML 5ML AMP,J2001,CDM,,,,both,1,each,32,32,7.36,32,32,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,25.28,percent of total billed charges,25.28,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 ,25.28,percent of total billed charges ,25.28,percent of total billed charges ,27.2,percent of total billed charges ,27.2,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 ,,,,,,,,,,,,,,,,,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,
BOTULINUM TOXIN A (BOTOX) INJ : 100 UN,J0585,CDM,,,,both,1,each,"3,512.36","3,512.36",807.84,"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,"2,774.76",percent of total billed charges,"2,774.76",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 ,"2,774.76",percent of total billed charges ,"2,774.76",percent of total billed charges ,"2,985.51",percent of total billed charges ,"2,985.51",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 ,,,,,,,,,,,,,,,,,,,807.84,percent of total billed charges,,,807.84,percent of total billed charges,,,807.84,percent of total billed charges,,,807.84,percent of total billed charges,,,807.84,percent of total billed charges,,,807.84,percent of total billed charges,,,807.84,percent of total billed charges,,,807.84,percent of total billed charges,,,807.84,percent of total billed charges,,,807.84,percent of total billed charges,,,807.84,percent of total billed charges,
**FOSPHENYTOIN 50MG DO NOT USEE,250,RC,00071-40-0705,NDC,,both,,,128,128,29.44,128,128,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,101.12,percent of total billed charges,101.12,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 ,101.12,percent of total billed charges ,101.12,percent of total billed charges ,108.8,percent of total billed charges ,108.8,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**MEDROXPROGESTERONE INJ 150MG DO NOT US,250,RC,00009-07-4630,NDC,,both,1,each,294,294,67.62,294,294,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,232.26,percent of total billed charges,232.26,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 ,232.26,percent of total billed charges ,232.26,percent of total billed charges ,249.9,percent of total billed charges ,249.9,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**TES SOLUTION DO NOT USE,Local ,Local ,,,,both,,,323,323,74.29,323,323,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,255.17,percent of total billed charges,255.17,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 ,255.17,percent of total billed charges ,255.17,percent of total billed charges ,274.55,percent of total billed charges ,274.55,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 ,,,,,,,,,,,,,,,,,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,
**OCTREOTIDE (SANDOSTATIN)INJ: 100MCG/ML,J2354,CDM,,,,both,1,each,133,133,30.59,133,133,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,105.07,percent of total billed charges,105.07,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 ,105.07,percent of total billed charges ,105.07,percent of total billed charges ,113.05,percent of total billed charges ,113.05,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 ,,,,,,,,,,,,,,,,,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,
**METHYLPREDNIS 40INJ DO NOT USE,Local ,Local ,,,,both,,,47,47,10.81,47,47,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,37.13,percent of total billed charges,37.13,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 ,37.13,percent of total billed charges ,37.13,percent of total billed charges ,39.95,percent of total billed charges ,39.95,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
METHOHEXITAL (BREVITAL) INJ : 500MG/50ML,250,RC,42023-01-0501,NDC,,both,1,each,655.18,655.18,150.69,655.18,655.18,percent of total billed charges,655.18,percent of total billed charges,655.18,percent of total billed charges,655.18,percent of total billed charges,655.18,percent of total billed charges,655.18,percent of total billed charges,655.18,percent of total billed charges,655.18,percent of total billed charges,471.73,percent of total billed charges,471.73,percent of total billed charges,471.73,percent of total billed charges,471.73,percent of total billed charges,471.73,percent of total billed charges,471.73,percent of total billed charges,517.59,percent of total billed charges,517.59,percent of total billed charges,524.14,percent of total billed charges,524.14,percent of total billed charges,,,471.73,percent of total billed charges ,,,524.14,percent of total billed charges ,517.59,percent of total billed charges ,517.59,percent of total billed charges ,556.9,percent of total billed charges ,556.9,percent of total billed charges ,524.14,percent of total billed charges ,524.14,percent of total billed charges ,458.63,percent of total billed charges ,458.63,percent of total billed charges ,393.11,percent of total billed charges ,393.11,percent of total billed charges ,393.11,percent of total billed charges ,393.11,percent of total billed charges ,,,,,348.56,percent of total billed charges ,,,,,331.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,150.69,percent of total billed charges,,,150.69,percent of total billed charges,,,150.69,percent of total billed charges,,,150.69,percent of total billed charges,,,150.69,percent of total billed charges,,,150.69,percent of total billed charges,,,150.69,percent of total billed charges,,,150.69,percent of total billed charges,,,150.69,percent of total billed charges,,,150.69,percent of total billed charges,,,150.69,percent of total billed charges,
"BETAMETHASONE(CELESTONE) 6MG/ML,PER ML",J0702,CDM,,,,both,1,each,119.17,119.17,27.41,119.17,119.17,percent of total billed charges,119.17,percent of total billed charges,119.17,percent of total billed charges,119.17,percent of total billed charges,119.17,percent of total billed charges,119.17,percent of total billed charges,119.17,percent of total billed charges,119.17,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,94.14,percent of total billed charges,94.14,percent of total billed charges,95.34,percent of total billed charges,95.34,percent of total billed charges,,,85.8,percent of total billed charges ,,,95.34,percent of total billed charges ,94.14,percent of total billed charges ,94.14,percent of total billed charges ,101.29,percent of total billed charges ,101.29,percent of total billed charges ,95.34,percent of total billed charges ,95.34,percent of total billed charges ,83.42,percent of total billed charges ,83.42,percent of total billed charges ,71.5,percent of total billed charges ,71.5,percent of total billed charges ,71.5,percent of total billed charges ,71.5,percent of total billed charges ,,,,,63.4,percent of total billed charges ,,,,,60.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.41,percent of total billed charges,,,27.41,percent of total billed charges,,,27.41,percent of total billed charges,,,27.41,percent of total billed charges,,,27.41,percent of total billed charges,,,27.41,percent of total billed charges,,,27.41,percent of total billed charges,,,27.41,percent of total billed charges,,,27.41,percent of total billed charges,,,27.41,percent of total billed charges,,,27.41,percent of total billed charges,
DOXAPRAM(DOPRAM)INJ 20 MG/ML:20ML VIAL,J3490,CDM,,,,both,1,each,231,231,53.13,231,231,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,182.49,percent of total billed charges,182.49,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 ,182.49,percent of total billed charges ,182.49,percent of total billed charges ,196.35,percent of total billed charges ,196.35,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 ,,,,,,,,,,,,,,,,,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,
LIDOCAINE 4% INJ PF : 40MG/ML 5ML AMP,250,RC,63323-04-9089,NDC,,both,1,each,33.75,33.75,7.76,33.75,33.75,percent of total billed charges,33.75,percent of total billed charges,33.75,percent of total billed charges,33.75,percent of total billed charges,33.75,percent of total billed charges,33.75,percent of total billed charges,33.75,percent of total billed charges,33.75,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,26.66,percent of total billed charges,26.66,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,,,24.3,percent of total billed charges ,,,27,percent of total billed charges ,26.66,percent of total billed charges ,26.66,percent of total billed charges ,28.69,percent of total billed charges ,28.69,percent of total billed charges ,27,percent of total billed charges ,27,percent of total billed charges ,23.63,percent of total billed charges ,23.63,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 ,,,,,17.96,percent of total billed charges ,,,,,17.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.76,percent of total billed charges,,,7.76,percent of total billed charges,,,7.76,percent of total billed charges,,,7.76,percent of total billed charges,,,7.76,percent of total billed charges,,,7.76,percent of total billed charges,,,7.76,percent of total billed charges,,,7.76,percent of total billed charges,,,7.76,percent of total billed charges,,,7.76,percent of total billed charges,,,7.76,percent of total billed charges,
**NAFCILLIN(NAFCIL)ADD INJ 2GM DO NOT US,250,RC,00781-31-2992,NDC,,both,1,each,53,53,12.19,53,53,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,41.87,percent of total billed charges,41.87,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 ,41.87,percent of total billed charges ,41.87,percent of total billed charges ,45.05,percent of total billed charges ,45.05,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 ,,,,,,,,,,,,,,,,,,,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,
**DURICEF SUSP 250MG/5ML DO NOT USE,637,RC,00087-07-8241,NDC,,both,1,each,162,162,37.26,162,162,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,127.98,percent of total billed charges,127.98,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 ,127.98,percent of total billed charges ,127.98,percent of total billed charges ,137.7,percent of total billed charges ,137.7,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 ,,,,,,,,,,,,,,,,,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,
MAGNESIUM SULFATE  20 GM/500ML,J3475,CDM,,,,both,,,54.51,54.51,12.54,54.51,54.51,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,43.06,percent of total billed charges,43.06,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 ,43.06,percent of total billed charges ,43.06,percent of total billed charges ,46.33,percent of total billed charges ,46.33,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 ,,,,,,,,,,,,,,,,,,,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,
EPTIFIBATIDE (INTEGRILIN) INJ: 20MG/10ML,J1327,CDM,,,,both,1,each,435.23,435.23,100.1,435.23,435.23,percent of total billed charges,435.23,percent of total billed charges,435.23,percent of total billed charges,435.23,percent of total billed charges,435.23,percent of total billed charges,435.23,percent of total billed charges,435.23,percent of total billed charges,435.23,percent of total billed charges,313.37,percent of total billed charges,313.37,percent of total billed charges,313.37,percent of total billed charges,313.37,percent of total billed charges,313.37,percent of total billed charges,313.37,percent of total billed charges,343.83,percent of total billed charges,343.83,percent of total billed charges,348.18,percent of total billed charges,348.18,percent of total billed charges,,,313.37,percent of total billed charges ,,,348.18,percent of total billed charges ,343.83,percent of total billed charges ,343.83,percent of total billed charges ,369.95,percent of total billed charges ,369.95,percent of total billed charges ,348.18,percent of total billed charges ,348.18,percent of total billed charges ,304.66,percent of total billed charges ,304.66,percent of total billed charges ,261.14,percent of total billed charges ,261.14,percent of total billed charges ,261.14,percent of total billed charges ,261.14,percent of total billed charges ,,,,,231.54,percent of total billed charges ,,,,,219.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,100.1,percent of total billed charges,,,100.1,percent of total billed charges,,,100.1,percent of total billed charges,,,100.1,percent of total billed charges,,,100.1,percent of total billed charges,,,100.1,percent of total billed charges,,,100.1,percent of total billed charges,,,100.1,percent of total billed charges,,,100.1,percent of total billed charges,,,100.1,percent of total billed charges,,,100.1,percent of total billed charges,
EPTIFIBATIDE (INTEGRILIN)INJ: 75MG/100ML,J1327,CDM,,,,both,1,each,494.24,494.24,113.68,494.24,494.24,percent of total billed charges,494.24,percent of total billed charges,494.24,percent of total billed charges,494.24,percent of total billed charges,494.24,percent of total billed charges,494.24,percent of total billed charges,494.24,percent of total billed charges,494.24,percent of total billed charges,355.85,percent of total billed charges,355.85,percent of total billed charges,355.85,percent of total billed charges,355.85,percent of total billed charges,355.85,percent of total billed charges,355.85,percent of total billed charges,390.45,percent of total billed charges,390.45,percent of total billed charges,395.39,percent of total billed charges,395.39,percent of total billed charges,,,355.85,percent of total billed charges ,,,395.39,percent of total billed charges ,390.45,percent of total billed charges ,390.45,percent of total billed charges ,420.1,percent of total billed charges ,420.1,percent of total billed charges ,395.39,percent of total billed charges ,395.39,percent of total billed charges ,345.97,percent of total billed charges ,345.97,percent of total billed charges ,296.54,percent of total billed charges ,296.54,percent of total billed charges ,296.54,percent of total billed charges ,296.54,percent of total billed charges ,,,,,262.94,percent of total billed charges ,,,,,249.79,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,
InFLIXimab (REMICADE) INJ : PER 10MG,J1745,CDM,,,,both,10,each,370.28,370.28,85.16,370.28,370.28,percent of total billed charges,370.28,percent of total billed charges,370.28,percent of total billed charges,370.28,percent of total billed charges,370.28,percent of total billed charges,370.28,percent of total billed charges,370.28,percent of total billed charges,370.28,percent of total billed charges,266.6,percent of total billed charges,266.6,percent of total billed charges,266.6,percent of total billed charges,266.6,percent of total billed charges,266.6,percent of total billed charges,266.6,percent of total billed charges,292.52,percent of total billed charges,292.52,percent of total billed charges,296.22,percent of total billed charges,296.22,percent of total billed charges,,,266.6,percent of total billed charges ,,,296.22,percent of total billed charges ,292.52,percent of total billed charges ,292.52,percent of total billed charges ,314.74,percent of total billed charges ,314.74,percent of total billed charges ,296.22,percent of total billed charges ,296.22,percent of total billed charges ,259.2,percent of total billed charges ,259.2,percent of total billed charges ,222.17,percent of total billed charges ,222.17,percent of total billed charges ,222.17,percent of total billed charges ,222.17,percent of total billed charges ,,,,,196.99,percent of total billed charges ,,,,,187.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,85.16,percent of total billed charges,,,85.16,percent of total billed charges,,,85.16,percent of total billed charges,,,85.16,percent of total billed charges,,,85.16,percent of total billed charges,,,85.16,percent of total billed charges,,,85.16,percent of total billed charges,,,85.16,percent of total billed charges,,,85.16,percent of total billed charges,,,85.16,percent of total billed charges,,,85.16,percent of total billed charges,
**REG INSULIN IV ADD DO NOT USE,Local ,Local ,,,,both,,,50,50,11.5,50,50,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,39.5,percent of total billed charges,39.5,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 ,39.5,percent of total billed charges ,39.5,percent of total billed charges ,42.5,percent of total billed charges ,42.5,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 ,,,,,,,,,,,,,,,,,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,
**NESACAINE INJ 1%-30ML,J2400,CDM,,,,both,,,370,370,85.1,370,370,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,292.3,percent of total billed charges,292.3,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 ,292.3,percent of total billed charges ,292.3,percent of total billed charges ,314.5,percent of total billed charges ,314.5,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 ,,,,,,,,,,,,,,,,,,,85.1,percent of total billed charges,,,85.1,percent of total billed charges,,,85.1,percent of total billed charges,,,85.1,percent of total billed charges,,,85.1,percent of total billed charges,,,85.1,percent of total billed charges,,,85.1,percent of total billed charges,,,85.1,percent of total billed charges,,,85.1,percent of total billed charges,,,85.1,percent of total billed charges,,,85.1,percent of total billed charges,
MIDAZOLAM (VERSED) INJ : 2MG/2ML,J2250,CDM,,,,both,1,each,21.23,21.23,4.88,21.23,21.23,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,16.77,percent of total billed charges,16.77,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 ,16.77,percent of total billed charges ,16.77,percent of total billed charges ,18.05,percent of total billed charges ,18.05,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 ,,,,,,,,,,,,,,,,,,,4.88,percent of total billed charges,,,4.88,percent of total billed charges,,,4.88,percent of total billed charges,,,4.88,percent of total billed charges,,,4.88,percent of total billed charges,,,4.88,percent of total billed charges,,,4.88,percent of total billed charges,,,4.88,percent of total billed charges,,,4.88,percent of total billed charges,,,4.88,percent of total billed charges,,,4.88,percent of total billed charges,
LEVOTHYROXINE INJECTION : 100MCG,250,RC,00074-66-2411,NDC,,both,1,each,659.62,659.62,151.71,659.62,659.62,percent of total billed charges,659.62,percent of total billed charges,659.62,percent of total billed charges,659.62,percent of total billed charges,659.62,percent of total billed charges,659.62,percent of total billed charges,659.62,percent of total billed charges,659.62,percent of total billed charges,474.93,percent of total billed charges,474.93,percent of total billed charges,474.93,percent of total billed charges,474.93,percent of total billed charges,474.93,percent of total billed charges,474.93,percent of total billed charges,521.1,percent of total billed charges,521.1,percent of total billed charges,527.7,percent of total billed charges,527.7,percent of total billed charges,,,474.93,percent of total billed charges ,,,527.7,percent of total billed charges ,521.1,percent of total billed charges ,521.1,percent of total billed charges ,560.68,percent of total billed charges ,560.68,percent of total billed charges ,527.7,percent of total billed charges ,527.7,percent of total billed charges ,461.73,percent of total billed charges ,461.73,percent of total billed charges ,395.77,percent of total billed charges ,395.77,percent of total billed charges ,395.77,percent of total billed charges ,395.77,percent of total billed charges ,,,,,350.92,percent of total billed charges ,,,,,333.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,151.71,percent of total billed charges,,,151.71,percent of total billed charges,,,151.71,percent of total billed charges,,,151.71,percent of total billed charges,,,151.71,percent of total billed charges,,,151.71,percent of total billed charges,,,151.71,percent of total billed charges,,,151.71,percent of total billed charges,,,151.71,percent of total billed charges,,,151.71,percent of total billed charges,,,151.71,percent of total billed charges,
**DIHYDROERGOTAMINE IN DO NOT USE,250,RC,00074-66-2411,NDC,,both,,,106,106,24.38,106,106,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,83.74,percent of total billed charges,83.74,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 ,83.74,percent of total billed charges ,83.74,percent of total billed charges ,90.1,percent of total billed charges ,90.1,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 ,,,,,,,,,,,,,,,,,,,24.38,percent of total billed charges,,,24.38,percent of total billed charges,,,24.38,percent of total billed charges,,,24.38,percent of total billed charges,,,24.38,percent of total billed charges,,,24.38,percent of total billed charges,,,24.38,percent of total billed charges,,,24.38,percent of total billed charges,,,24.38,percent of total billed charges,,,24.38,percent of total billed charges,,,24.38,percent of total billed charges,
*CHLOROTHIAZIDE SODIUM INJ : 500MG,J1205,CDM,,,,both,1,each,105,105,24.15,105,105,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,82.95,percent of total billed charges,82.95,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 ,82.95,percent of total billed charges ,82.95,percent of total billed charges ,89.25,percent of total billed charges ,89.25,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 ,,,,,,,,,,,,,,,,,,,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,
BUTORPHanol (STADOL) INJ : 1MG/ML,J0595,CDM,,,,both,1,each,6.68,6.68,1.54,6.68,6.68,percent of total billed charges,6.68,percent of total billed charges,6.68,percent of total billed charges,6.68,percent of total billed charges,6.68,percent of total billed charges,6.68,percent of total billed charges,6.68,percent of total billed charges,6.68,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,4.81,percent of total billed charges,4.81,percent of total billed charges,5.28,percent of total billed charges,5.28,percent of total billed charges,5.34,percent of total billed charges,5.34,percent of total billed charges,,,4.81,percent of total billed charges ,,,5.34,percent of total billed charges ,5.28,percent of total billed charges ,5.28,percent of total billed charges ,5.68,percent of total billed charges ,5.68,percent of total billed charges ,5.34,percent of total billed charges ,5.34,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 ,,,,,3.55,percent of total billed charges ,,,,,3.38,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,
ALTEPLASE (ACTIVASE) INJ : 100MG/100ML,J2997,CDM,,,,both,1,each,"41,984.82","41,984.82","9,656.51","41,984.82","41,984.82",percent of total billed charges,"41,984.82",percent of total billed charges,"41,984.82",percent of total billed charges,"41,984.82",percent of total billed charges,"41,984.82",percent of total billed charges,"41,984.82",percent of total billed charges,"41,984.82",percent of total billed charges,"41,984.82",percent of total billed charges,"30,229.07",percent of total billed charges,"30,229.07",percent of total billed charges,"30,229.07",percent of total billed charges,"30,229.07",percent of total billed charges,"30,229.07",percent of total billed charges,"30,229.07",percent of total billed charges,"33,168.01",percent of total billed charges,"33,168.01",percent of total billed charges,"33,587.86",percent of total billed charges,"33,587.86",percent of total billed charges,,,"30,229.07",percent of total billed charges ,,,"33,587.86",percent of total billed charges ,"33,168.01",percent of total billed charges ,"33,168.01",percent of total billed charges ,"35,687.10",percent of total billed charges ,"35,687.10",percent of total billed charges ,"33,587.86",percent of total billed charges ,"33,587.86",percent of total billed charges ,"29,389.37",percent of total billed charges ,"29,389.37",percent of total billed charges ,"25,190.89",percent of total billed charges ,"25,190.89",percent of total billed charges ,"25,190.89",percent of total billed charges ,"25,190.89",percent of total billed charges ,,,,,"22,335.92",percent of total billed charges ,,,,,"21,219.13",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"9,656.51",percent of total billed charges,,,"9,656.51",percent of total billed charges,,,"9,656.51",percent of total billed charges,,,"9,656.51",percent of total billed charges,,,"9,656.51",percent of total billed charges,,,"9,656.51",percent of total billed charges,,,"9,656.51",percent of total billed charges,,,"9,656.51",percent of total billed charges,,,"9,656.51",percent of total billed charges,,,"9,656.51",percent of total billed charges,,,"9,656.51",percent of total billed charges,
AcetaZOLAMIDE (DIAMOX) INJ : 500 MG,J1120,CDM,,,,both,1,each,182.75,182.75,42.03,182.75,182.75,percent of total billed charges,182.75,percent of total billed charges,182.75,percent of total billed charges,182.75,percent of total billed charges,182.75,percent of total billed charges,182.75,percent of total billed charges,182.75,percent of total billed charges,182.75,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,144.37,percent of total billed charges,144.37,percent of total billed charges,146.2,percent of total billed charges,146.2,percent of total billed charges,,,131.58,percent of total billed charges ,,,146.2,percent of total billed charges ,144.37,percent of total billed charges ,144.37,percent of total billed charges ,155.34,percent of total billed charges ,155.34,percent of total billed charges ,146.2,percent of total billed charges ,146.2,percent of total billed charges ,127.93,percent of total billed charges ,127.93,percent of total billed charges ,109.65,percent of total billed charges ,109.65,percent of total billed charges ,109.65,percent of total billed charges ,109.65,percent of total billed charges ,,,,,97.22,percent of total billed charges ,,,,,92.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,42.03,percent of total billed charges,,,42.03,percent of total billed charges,,,42.03,percent of total billed charges,,,42.03,percent of total billed charges,,,42.03,percent of total billed charges,,,42.03,percent of total billed charges,,,42.03,percent of total billed charges,,,42.03,percent of total billed charges,,,42.03,percent of total billed charges,,,42.03,percent of total billed charges,,,42.03,percent of total billed charges,
CeFAZolin (ANCEF) INJ : 1GM VIAL,J0690,CDM,,,,both,1,each,20.09,20.09,4.62,20.09,20.09,percent of total billed charges,20.09,percent of total billed charges,20.09,percent of total billed charges,20.09,percent of total billed charges,20.09,percent of total billed charges,20.09,percent of total billed charges,20.09,percent of total billed charges,20.09,percent of total billed charges,14.46,percent of total billed charges,14.46,percent of total billed charges,14.46,percent of total billed charges,14.46,percent of total billed charges,14.46,percent of total billed charges,14.46,percent of total billed charges,15.87,percent of total billed charges,15.87,percent of total billed charges,16.07,percent of total billed charges,16.07,percent of total billed charges,,,14.46,percent of total billed charges ,,,16.07,percent of total billed charges ,15.87,percent of total billed charges ,15.87,percent of total billed charges ,17.08,percent of total billed charges ,17.08,percent of total billed charges ,16.07,percent of total billed charges ,16.07,percent of total billed charges ,14.06,percent of total billed charges ,14.06,percent of total billed charges ,12.05,percent of total billed charges ,12.05,percent of total billed charges ,12.05,percent of total billed charges ,12.05,percent of total billed charges ,,,,,10.69,percent of total billed charges ,,,,,10.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.62,percent of total billed charges,,,4.62,percent of total billed charges,,,4.62,percent of total billed charges,,,4.62,percent of total billed charges,,,4.62,percent of total billed charges,,,4.62,percent of total billed charges,,,4.62,percent of total billed charges,,,4.62,percent of total billed charges,,,4.62,percent of total billed charges,,,4.62,percent of total billed charges,,,4.62,percent of total billed charges,
LEUCOVORIN CALCIUM INJ : 100 MG,J0640,CDM,,,,both,1,each,81,81,18.63,81,81,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,63.99,percent of total billed charges,63.99,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 ,63.99,percent of total billed charges ,63.99,percent of total billed charges ,68.85,percent of total billed charges ,68.85,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 ,,,,,,,,,,,,,,,,,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,
**ZOFRAN DO NOT USE,Local ,Local ,,,,both,,,709,709,163.07,709,709,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,560.11,percent of total billed charges,560.11,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 ,560.11,percent of total billed charges ,560.11,percent of total billed charges ,602.65,percent of total billed charges ,602.65,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 ,,,,,,,,,,,,,,,,,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,
MITOMYCIN (MUTAMYCIN) INJ : 5 MG,J9280,CDM,,,,both,1,each,236,236,54.28,236,236,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,186.44,percent of total billed charges,186.44,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 ,186.44,percent of total billed charges ,186.44,percent of total billed charges ,200.6,percent of total billed charges ,200.6,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 ,,,,,,,,,,,,,,,,,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,
**AMPHOTERICIN (FUNGIZONE)INJ 50MG DO NO,J0285,CDM,,,,both,1,each,300,300,69,300,300,percent of total billed charges,300,percent of total billed charges,300,percent of total billed charges,300,percent of total billed charges,300,percent of total billed charges,300,percent of total billed charges,300,percent of total billed charges,300,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,216,percent of total billed charges,216,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,240,percent of total billed charges,240,percent of total billed charges,,,216,percent of total billed charges ,,,240,percent of total billed charges ,237,percent of total billed charges ,237,percent of total billed charges ,255,percent of total billed charges ,255,percent of total billed charges ,240,percent of total billed charges ,240,percent of total billed charges ,210,percent of total billed charges ,210,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 ,,,,,159.6,percent of total billed charges ,,,,,151.62,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,,,69,percent of total billed charges,,,69,percent of total billed charges,,,69,percent of total billed charges,,,69,percent of total billed charges,
**AMPICILLIN OMNIPEN N ADV INJ DO NOT US,J0290,CDM,,,,both,1,each,81,81,18.63,81,81,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,63.99,percent of total billed charges,63.99,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 ,63.99,percent of total billed charges ,63.99,percent of total billed charges ,68.85,percent of total billed charges ,68.85,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 ,,,,,,,,,,,,,,,,,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,
AMPICILLIN INJ : 2GM,J0290,CDM,,,,both,1,each,56.73,56.73,13.05,56.73,56.73,percent of total billed charges,56.73,percent of total billed charges,56.73,percent of total billed charges,56.73,percent of total billed charges,56.73,percent of total billed charges,56.73,percent of total billed charges,56.73,percent of total billed charges,56.73,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,44.82,percent of total billed charges,44.82,percent of total billed charges,45.38,percent of total billed charges,45.38,percent of total billed charges,,,40.85,percent of total billed charges ,,,45.38,percent of total billed charges ,44.82,percent of total billed charges ,44.82,percent of total billed charges ,48.22,percent of total billed charges ,48.22,percent of total billed charges ,45.38,percent of total billed charges ,45.38,percent of total billed charges ,39.71,percent of total billed charges ,39.71,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 ,,,,,30.18,percent of total billed charges ,,,,,28.67,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,,,13.05,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,
dexAMETHasone INJ 4MG/ML : 5ML,J1100,CDM,,,,both,1,each,87.09,87.09,20.03,87.09,87.09,percent of total billed charges,87.09,percent of total billed charges,87.09,percent of total billed charges,87.09,percent of total billed charges,87.09,percent of total billed charges,87.09,percent of total billed charges,87.09,percent of total billed charges,87.09,percent of total billed charges,62.7,percent of total billed charges,62.7,percent of total billed charges,62.7,percent of total billed charges,62.7,percent of total billed charges,62.7,percent of total billed charges,62.7,percent of total billed charges,68.8,percent of total billed charges,68.8,percent of total billed charges,69.67,percent of total billed charges,69.67,percent of total billed charges,,,62.7,percent of total billed charges ,,,69.67,percent of total billed charges ,68.8,percent of total billed charges ,68.8,percent of total billed charges ,74.03,percent of total billed charges ,74.03,percent of total billed charges ,69.67,percent of total billed charges ,69.67,percent of total billed charges ,60.96,percent of total billed charges ,60.96,percent of total billed charges ,52.25,percent of total billed charges ,52.25,percent of total billed charges ,52.25,percent of total billed charges ,52.25,percent of total billed charges ,,,,,46.33,percent of total billed charges ,,,,,44.02,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,,,20.03,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,
AMPICILLIN INJ : 500MG,J0290,CDM,,,,both,1,each,37.13,37.13,8.54,37.13,37.13,percent of total billed charges,37.13,percent of total billed charges,37.13,percent of total billed charges,37.13,percent of total billed charges,37.13,percent of total billed charges,37.13,percent of total billed charges,37.13,percent of total billed charges,37.13,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,26.73,percent of total billed charges,26.73,percent of total billed charges,29.33,percent of total billed charges,29.33,percent of total billed charges,29.7,percent of total billed charges,29.7,percent of total billed charges,,,26.73,percent of total billed charges ,,,29.7,percent of total billed charges ,29.33,percent of total billed charges ,29.33,percent of total billed charges ,31.56,percent of total billed charges ,31.56,percent of total billed charges ,29.7,percent of total billed charges ,29.7,percent of total billed charges ,25.99,percent of total billed charges ,25.99,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 ,,,,,19.75,percent of total billed charges ,,,,,18.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.54,percent of total billed charges,,,8.54,percent of total billed charges,,,8.54,percent of total billed charges,,,8.54,percent of total billed charges,,,8.54,percent of total billed charges,,,8.54,percent of total billed charges,,,8.54,percent of total billed charges,,,8.54,percent of total billed charges,,,8.54,percent of total billed charges,,,8.54,percent of total billed charges,,,8.54,percent of total billed charges,
TPN ELECTROLYTE INJ : 20ML,250,RC,00409-57-7901,NDC,,both,1,each,104,104,23.92,104,104,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,82.16,percent of total billed charges,82.16,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 ,82.16,percent of total billed charges ,82.16,percent of total billed charges ,88.4,percent of total billed charges ,88.4,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 ,,,,,,,,,,,,,,,,,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,
HEPARIN  50 UNITS/ML PREMIX  : 500ML BAG,J1644,CDM,,,,both,,,843.44,843.44,193.99,843.44,843.44,percent of total billed charges,843.44,percent of total billed charges,843.44,percent of total billed charges,843.44,percent of total billed charges,843.44,percent of total billed charges,843.44,percent of total billed charges,843.44,percent of total billed charges,843.44,percent of total billed charges,607.28,percent of total billed charges,607.28,percent of total billed charges,607.28,percent of total billed charges,607.28,percent of total billed charges,607.28,percent of total billed charges,607.28,percent of total billed charges,666.32,percent of total billed charges,666.32,percent of total billed charges,674.75,percent of total billed charges,674.75,percent of total billed charges,,,607.28,percent of total billed charges ,,,674.75,percent of total billed charges ,666.32,percent of total billed charges ,666.32,percent of total billed charges ,716.92,percent of total billed charges ,716.92,percent of total billed charges ,674.75,percent of total billed charges ,674.75,percent of total billed charges ,590.41,percent of total billed charges ,590.41,percent of total billed charges ,506.06,percent of total billed charges ,506.06,percent of total billed charges ,506.06,percent of total billed charges ,506.06,percent of total billed charges ,,,,,448.71,percent of total billed charges ,,,,,426.27,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,
POTASSIUM PHOSPHATE INJ : 3MM/ML 5ML,J3490,CDM,,,,both,1,each,157,157,36.11,157,157,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,124.03,percent of total billed charges,124.03,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 ,124.03,percent of total billed charges ,124.03,percent of total billed charges ,133.45,percent of total billed charges ,133.45,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 ,,,,,,,,,,,,,,,,,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,
SODIUM CHLORIDE 14.6% INJ : 40ML,Local ,Local ,,,,both,1,each,65.25,65.25,15.01,65.25,65.25,percent of total billed charges,65.25,percent of total billed charges,65.25,percent of total billed charges,65.25,percent of total billed charges,65.25,percent of total billed charges,65.25,percent of total billed charges,65.25,percent of total billed charges,65.25,percent of total billed charges,46.98,percent of total billed charges,46.98,percent of total billed charges,46.98,percent of total billed charges,46.98,percent of total billed charges,46.98,percent of total billed charges,46.98,percent of total billed charges,51.55,percent of total billed charges,51.55,percent of total billed charges,52.2,percent of total billed charges,52.2,percent of total billed charges,,,46.98,percent of total billed charges ,,,52.2,percent of total billed charges ,51.55,percent of total billed charges ,51.55,percent of total billed charges ,55.46,percent of total billed charges ,55.46,percent of total billed charges ,52.2,percent of total billed charges ,52.2,percent of total billed charges ,45.68,percent of total billed charges ,45.68,percent of total billed charges ,39.15,percent of total billed charges ,39.15,percent of total billed charges ,39.15,percent of total billed charges ,39.15,percent of total billed charges ,,,,,34.71,percent of total billed charges ,,,,,32.98,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,,,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,
AMPICILLIN/SULBACTAM INJ : 3GM,J0295,CDM,,,,both,1,each,153.12,153.12,35.22,153.12,153.12,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,120.96,percent of total billed charges,120.96,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 ,120.96,percent of total billed charges ,120.96,percent of total billed charges ,130.15,percent of total billed charges ,130.15,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 ,,,,,,,,,,,,,,,,,,,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,
BUPIVACAINE 0.75%,Local ,Local ,,,,both,,,84,84,19.32,84,84,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,66.36,percent of total billed charges,66.36,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 ,66.36,percent of total billed charges ,66.36,percent of total billed charges ,71.4,percent of total billed charges ,71.4,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 ,,,,,,,,,,,,,,,,,,,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,
AMPICILLIN/SULBACTAM INJ : 1.5GM,J0295,CDM,,,,both,1,each,39.13,39.13,9,39.13,39.13,percent of total billed charges,39.13,percent of total billed charges,39.13,percent of total billed charges,39.13,percent of total billed charges,39.13,percent of total billed charges,39.13,percent of total billed charges,39.13,percent of total billed charges,39.13,percent of total billed charges,28.17,percent of total billed charges,28.17,percent of total billed charges,28.17,percent of total billed charges,28.17,percent of total billed charges,28.17,percent of total billed charges,28.17,percent of total billed charges,30.91,percent of total billed charges,30.91,percent of total billed charges,31.3,percent of total billed charges,31.3,percent of total billed charges,,,28.17,percent of total billed charges ,,,31.3,percent of total billed charges ,30.91,percent of total billed charges ,30.91,percent of total billed charges ,33.26,percent of total billed charges ,33.26,percent of total billed charges ,31.3,percent of total billed charges ,31.3,percent of total billed charges ,27.39,percent of total billed charges ,27.39,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 ,,,,,,,,,,,,,,,,,,,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,,,9,percent of total billed charges,,,9,percent of total billed charges,,,9,percent of total billed charges,
ACYCLOVIR (ZOVIRAX) INJ : 500MG,J0133,CDM,,,,both,1,each,49.61,49.61,11.41,49.61,49.61,percent of total billed charges,49.61,percent of total billed charges,49.61,percent of total billed charges,49.61,percent of total billed charges,49.61,percent of total billed charges,49.61,percent of total billed charges,49.61,percent of total billed charges,49.61,percent of total billed charges,35.72,percent of total billed charges,35.72,percent of total billed charges,35.72,percent of total billed charges,35.72,percent of total billed charges,35.72,percent of total billed charges,35.72,percent of total billed charges,39.19,percent of total billed charges,39.19,percent of total billed charges,39.69,percent of total billed charges,39.69,percent of total billed charges,,,35.72,percent of total billed charges ,,,39.69,percent of total billed charges ,39.19,percent of total billed charges ,39.19,percent of total billed charges ,42.17,percent of total billed charges ,42.17,percent of total billed charges ,39.69,percent of total billed charges ,39.69,percent of total billed charges ,34.73,percent of total billed charges ,34.73,percent of total billed charges ,29.77,percent of total billed charges ,29.77,percent of total billed charges ,29.77,percent of total billed charges ,29.77,percent of total billed charges ,,,,,26.39,percent of total billed charges ,,,,,25.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.41,percent of total billed charges,,,11.41,percent of total billed charges,,,11.41,percent of total billed charges,,,11.41,percent of total billed charges,,,11.41,percent of total billed charges,,,11.41,percent of total billed charges,,,11.41,percent of total billed charges,,,11.41,percent of total billed charges,,,11.41,percent of total billed charges,,,11.41,percent of total billed charges,,,11.41,percent of total billed charges,
METHYLENE BLUE 1% INJ: 10MG/1ML,Q9968,CDM,,,,both,1,each,608.35,608.35,139.92,608.35,608.35,percent of total billed charges,608.35,percent of total billed charges,608.35,percent of total billed charges,608.35,percent of total billed charges,608.35,percent of total billed charges,608.35,percent of total billed charges,608.35,percent of total billed charges,608.35,percent of total billed charges,438.01,percent of total billed charges,438.01,percent of total billed charges,438.01,percent of total billed charges,438.01,percent of total billed charges,438.01,percent of total billed charges,438.01,percent of total billed charges,480.6,percent of total billed charges,480.6,percent of total billed charges,486.68,percent of total billed charges,486.68,percent of total billed charges,,,438.01,percent of total billed charges ,,,486.68,percent of total billed charges ,480.6,percent of total billed charges ,480.6,percent of total billed charges ,517.1,percent of total billed charges ,517.1,percent of total billed charges ,486.68,percent of total billed charges ,486.68,percent of total billed charges ,425.85,percent of total billed charges ,425.85,percent of total billed charges ,365.01,percent of total billed charges ,365.01,percent of total billed charges ,365.01,percent of total billed charges ,365.01,percent of total billed charges ,,,,,323.64,percent of total billed charges ,,,,,307.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,139.92,percent of total billed charges,,,139.92,percent of total billed charges,,,139.92,percent of total billed charges,,,139.92,percent of total billed charges,,,139.92,percent of total billed charges,,,139.92,percent of total billed charges,,,139.92,percent of total billed charges,,,139.92,percent of total billed charges,,,139.92,percent of total billed charges,,,139.92,percent of total billed charges,,,139.92,percent of total billed charges,
**HEALON SYRINGE: 10MG/ML0.55ML,250,RC,00016-03-1055,NDC,,both,1,each,513,513,117.99,513,513,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,513,percent of total billed charges,513,percent of total billed charges,513,percent of total billed charges,369.36,percent of total billed charges,369.36,percent of total billed charges,369.36,percent of total billed charges,369.36,percent of total billed charges,369.36,percent of total billed charges,369.36,percent of total billed charges,405.27,percent of total billed charges,405.27,percent of total billed charges,410.4,percent of total billed charges,410.4,percent of total billed charges,,,369.36,percent of total billed charges ,,,410.4,percent of total billed charges ,405.27,percent of total billed charges ,405.27,percent of total billed charges ,436.05,percent of total billed charges ,436.05,percent of total billed charges ,410.4,percent of total billed charges ,410.4,percent of total billed charges ,359.1,percent of total billed charges ,359.1,percent of total billed charges ,307.8,percent of total billed charges ,307.8,percent of total billed charges ,307.8,percent of total billed charges ,307.8,percent of total billed charges ,,,,,272.92,percent of total billed charges ,,,,,259.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,117.99,percent of total billed charges,,,117.99,percent of total billed charges,,,117.99,percent of total billed charges,,,117.99,percent of total billed charges,,,117.99,percent of total billed charges,,,117.99,percent of total billed charges,,,117.99,percent of total billed charges,,,117.99,percent of total billed charges,,,117.99,percent of total billed charges,,,117.99,percent of total billed charges,,,117.99,percent of total billed charges,
WATER FOR INJECTION STERILE : VIAL,250,RC,63323-01-8510,NDC,,both,1,each,35.73,35.73,8.22,35.73,35.73,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,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,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,28.23,percent of total billed charges,28.23,percent of total billed charges,28.58,percent of total billed charges,28.58,percent of total billed charges,,,25.73,percent of total billed charges ,,,28.58,percent of total billed charges ,28.23,percent of total billed charges ,28.23,percent of total billed charges ,30.37,percent of total billed charges ,30.37,percent of total billed charges ,28.58,percent of total billed charges ,28.58,percent of total billed charges ,25.01,percent of total billed charges ,25.01,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 ,,,,,19.01,percent of total billed charges ,,,,,18.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.22,percent of total billed charges,,,8.22,percent of total billed charges,,,8.22,percent of total billed charges,,,8.22,percent of total billed charges,,,8.22,percent of total billed charges,,,8.22,percent of total billed charges,,,8.22,percent of total billed charges,,,8.22,percent of total billed charges,,,8.22,percent of total billed charges,,,8.22,percent of total billed charges,,,8.22,percent of total billed charges,
MIDAZOLAM (VERSED) INJ : 5 MG/ML 10MLMDV,J2250,CDM,,,,both,1,each,75.5,75.5,17.37,75.5,75.5,percent of total billed charges,75.5,percent of total billed charges,75.5,percent of total billed charges,75.5,percent of total billed charges,75.5,percent of total billed charges,75.5,percent of total billed charges,75.5,percent of total billed charges,75.5,percent of total billed charges,54.36,percent of total billed charges,54.36,percent of total billed charges,54.36,percent of total billed charges,54.36,percent of total billed charges,54.36,percent of total billed charges,54.36,percent of total billed charges,59.65,percent of total billed charges,59.65,percent of total billed charges,60.4,percent of total billed charges,60.4,percent of total billed charges,,,54.36,percent of total billed charges ,,,60.4,percent of total billed charges ,59.65,percent of total billed charges ,59.65,percent of total billed charges ,64.18,percent of total billed charges ,64.18,percent of total billed charges ,60.4,percent of total billed charges ,60.4,percent of total billed charges ,52.85,percent of total billed charges ,52.85,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 ,,,,,40.17,percent of total billed charges ,,,,,38.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,17.37,percent of total billed charges,,,17.37,percent of total billed charges,,,17.37,percent of total billed charges,,,17.37,percent of total billed charges,,,17.37,percent of total billed charges,,,17.37,percent of total billed charges,,,17.37,percent of total billed charges,,,17.37,percent of total billed charges,,,17.37,percent of total billed charges,,,17.37,percent of total billed charges,,,17.37,percent of total billed charges,
FLUMAZENIL (ROMAZICON) INJ : 10ML,250,RC,00004-69-1206,NDC,,both,1,each,151,151,34.73,151,151,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,119.29,percent of total billed charges,119.29,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 ,119.29,percent of total billed charges ,119.29,percent of total billed charges ,128.35,percent of total billed charges ,128.35,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 ,,,,,,,,,,,,,,,,,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,
HYALURONIDASE (WYDASE) INJ : 150 U,J3470,CDM,,,,both,1,each,138,138,31.74,138,138,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,109.02,percent of total billed charges,109.02,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 ,109.02,percent of total billed charges ,109.02,percent of total billed charges ,117.3,percent of total billed charges ,117.3,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 ,,,,,,,,,,,,,,,,,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,
FLUCONAZOLE INJ : 200MG/100ML,J1450,CDM,,,,both,1,each,142,142,32.66,142,142,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,112.18,percent of total billed charges,112.18,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 ,112.18,percent of total billed charges ,112.18,percent of total billed charges ,120.7,percent of total billed charges ,120.7,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 ,,,,,,,,,,,,,,,,,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,
HydrOXYzine (VISTARIL) INJ : 50MG/ML,J3410,CDM,,,,both,1,each,47.12,47.12,10.84,47.12,47.12,percent of total billed charges,47.12,percent of total billed charges,47.12,percent of total billed charges,47.12,percent of total billed charges,47.12,percent of total billed charges,47.12,percent of total billed charges,47.12,percent of total billed charges,47.12,percent of total billed charges,33.93,percent of total billed charges,33.93,percent of total billed charges,33.93,percent of total billed charges,33.93,percent of total billed charges,33.93,percent of total billed charges,33.93,percent of total billed charges,37.22,percent of total billed charges,37.22,percent of total billed charges,37.7,percent of total billed charges,37.7,percent of total billed charges,,,33.93,percent of total billed charges ,,,37.7,percent of total billed charges ,37.22,percent of total billed charges ,37.22,percent of total billed charges ,40.05,percent of total billed charges ,40.05,percent of total billed charges ,37.7,percent of total billed charges ,37.7,percent of total billed charges ,32.98,percent of total billed charges ,32.98,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 ,,,,,25.07,percent of total billed charges ,,,,,23.81,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,,,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,
DOXYCYCLINE INJ : 100 MG,J3490,CDM,,,,both,1,each,195.26,195.26,44.91,195.26,195.26,percent of total billed charges,195.26,percent of total billed charges,195.26,percent of total billed charges,195.26,percent of total billed charges,195.26,percent of total billed charges,195.26,percent of total billed charges,195.26,percent of total billed charges,195.26,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,140.59,percent of total billed charges,140.59,percent of total billed charges,154.26,percent of total billed charges,154.26,percent of total billed charges,156.21,percent of total billed charges,156.21,percent of total billed charges,,,140.59,percent of total billed charges ,,,156.21,percent of total billed charges ,154.26,percent of total billed charges ,154.26,percent of total billed charges ,165.97,percent of total billed charges ,165.97,percent of total billed charges ,156.21,percent of total billed charges ,156.21,percent of total billed charges ,136.68,percent of total billed charges ,136.68,percent of total billed charges ,117.16,percent of total billed charges ,117.16,percent of total billed charges ,117.16,percent of total billed charges ,117.16,percent of total billed charges ,,,,,103.88,percent of total billed charges ,,,,,98.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,44.91,percent of total billed charges,,,44.91,percent of total billed charges,,,44.91,percent of total billed charges,,,44.91,percent of total billed charges,,,44.91,percent of total billed charges,,,44.91,percent of total billed charges,,,44.91,percent of total billed charges,,,44.91,percent of total billed charges,,,44.91,percent of total billed charges,,,44.91,percent of total billed charges,,,44.91,percent of total billed charges,
ENALAPRILAT 1.25MG/ML INJ,J3490,CDM,,,,both,1,each,56.42,56.42,12.98,56.42,56.42,percent of total billed charges,56.42,percent of total billed charges,56.42,percent of total billed charges,56.42,percent of total billed charges,56.42,percent of total billed charges,56.42,percent of total billed charges,56.42,percent of total billed charges,56.42,percent of total billed charges,40.62,percent of total billed charges,40.62,percent of total billed charges,40.62,percent of total billed charges,40.62,percent of total billed charges,40.62,percent of total billed charges,40.62,percent of total billed charges,44.57,percent of total billed charges,44.57,percent of total billed charges,45.14,percent of total billed charges,45.14,percent of total billed charges,,,40.62,percent of total billed charges ,,,45.14,percent of total billed charges ,44.57,percent of total billed charges ,44.57,percent of total billed charges ,47.96,percent of total billed charges ,47.96,percent of total billed charges ,45.14,percent of total billed charges ,45.14,percent of total billed charges ,39.49,percent of total billed charges ,39.49,percent of total billed charges ,33.85,percent of total billed charges ,33.85,percent of total billed charges ,33.85,percent of total billed charges ,33.85,percent of total billed charges ,,,,,30.02,percent of total billed charges ,,,,,28.51,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,
MIDAZOLAM (VERSED) INJ : 5MG/ML SDV,J2250,CDM,,,,both,1,each,75.5,75.5,17.37,75.5,75.5,percent of total billed charges,75.5,percent of total billed charges,75.5,percent of total billed charges,75.5,percent of total billed charges,75.5,percent of total billed charges,75.5,percent of total billed charges,75.5,percent of total billed charges,75.5,percent of total billed charges,54.36,percent of total billed charges,54.36,percent of total billed charges,54.36,percent of total billed charges,54.36,percent of total billed charges,54.36,percent of total billed charges,54.36,percent of total billed charges,59.65,percent of total billed charges,59.65,percent of total billed charges,60.4,percent of total billed charges,60.4,percent of total billed charges,,,54.36,percent of total billed charges ,,,60.4,percent of total billed charges ,59.65,percent of total billed charges ,59.65,percent of total billed charges ,64.18,percent of total billed charges ,64.18,percent of total billed charges ,60.4,percent of total billed charges ,60.4,percent of total billed charges ,52.85,percent of total billed charges ,52.85,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 ,,,,,40.17,percent of total billed charges ,,,,,38.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,17.37,percent of total billed charges,,,17.37,percent of total billed charges,,,17.37,percent of total billed charges,,,17.37,percent of total billed charges,,,17.37,percent of total billed charges,,,17.37,percent of total billed charges,,,17.37,percent of total billed charges,,,17.37,percent of total billed charges,,,17.37,percent of total billed charges,,,17.37,percent of total billed charges,,,17.37,percent of total billed charges,
VERAPAMIL 5MG/2ML INJ,J3490,CDM,,,,both,1,each,357.51,357.51,82.23,357.51,357.51,percent of total billed charges,357.51,percent of total billed charges,357.51,percent of total billed charges,357.51,percent of total billed charges,357.51,percent of total billed charges,357.51,percent of total billed charges,357.51,percent of total billed charges,357.51,percent of total billed charges,257.41,percent of total billed charges,257.41,percent of total billed charges,257.41,percent of total billed charges,257.41,percent of total billed charges,257.41,percent of total billed charges,257.41,percent of total billed charges,282.43,percent of total billed charges,282.43,percent of total billed charges,286.01,percent of total billed charges,286.01,percent of total billed charges,,,257.41,percent of total billed charges ,,,286.01,percent of total billed charges ,282.43,percent of total billed charges ,282.43,percent of total billed charges ,303.88,percent of total billed charges ,303.88,percent of total billed charges ,286.01,percent of total billed charges ,286.01,percent of total billed charges ,250.26,percent of total billed charges ,250.26,percent of total billed charges ,214.51,percent of total billed charges ,214.51,percent of total billed charges ,214.51,percent of total billed charges ,214.51,percent of total billed charges ,,,,,190.2,percent of total billed charges ,,,,,180.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,82.23,percent of total billed charges,,,82.23,percent of total billed charges,,,82.23,percent of total billed charges,,,82.23,percent of total billed charges,,,82.23,percent of total billed charges,,,82.23,percent of total billed charges,,,82.23,percent of total billed charges,,,82.23,percent of total billed charges,,,82.23,percent of total billed charges,,,82.23,percent of total billed charges,,,82.23,percent of total billed charges,
OXACILLIN (PROSTAPHLIN) INJ : 2GM,J2700,CDM,,,,both,1,each,121.23,121.23,27.88,121.23,121.23,percent of total billed charges,121.23,percent of total billed charges,121.23,percent of total billed charges,121.23,percent of total billed charges,121.23,percent of total billed charges,121.23,percent of total billed charges,121.23,percent of total billed charges,121.23,percent of total billed charges,87.29,percent of total billed charges,87.29,percent of total billed charges,87.29,percent of total billed charges,87.29,percent of total billed charges,87.29,percent of total billed charges,87.29,percent of total billed charges,95.77,percent of total billed charges,95.77,percent of total billed charges,96.98,percent of total billed charges,96.98,percent of total billed charges,,,87.29,percent of total billed charges ,,,96.98,percent of total billed charges ,95.77,percent of total billed charges ,95.77,percent of total billed charges ,103.05,percent of total billed charges ,103.05,percent of total billed charges ,96.98,percent of total billed charges ,96.98,percent of total billed charges ,84.86,percent of total billed charges ,84.86,percent of total billed charges ,72.74,percent of total billed charges ,72.74,percent of total billed charges ,72.74,percent of total billed charges ,72.74,percent of total billed charges ,,,,,64.49,percent of total billed charges ,,,,,61.27,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,,,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,,,27.88,percent of total billed charges,,,27.88,percent of total billed charges,,,27.88,percent of total billed charges,
OXACILLIN (PROSTAPHLIN) INJ : 1GM,J2700,CDM,,,,both,1,each,106.68,106.68,24.54,106.68,106.68,percent of total billed charges,106.68,percent of total billed charges,106.68,percent of total billed charges,106.68,percent of total billed charges,106.68,percent of total billed charges,106.68,percent of total billed charges,106.68,percent of total billed charges,106.68,percent of total billed charges,76.81,percent of total billed charges,76.81,percent of total billed charges,76.81,percent of total billed charges,76.81,percent of total billed charges,76.81,percent of total billed charges,76.81,percent of total billed charges,84.28,percent of total billed charges,84.28,percent of total billed charges,85.34,percent of total billed charges,85.34,percent of total billed charges,,,76.81,percent of total billed charges ,,,85.34,percent of total billed charges ,84.28,percent of total billed charges ,84.28,percent of total billed charges ,90.68,percent of total billed charges ,90.68,percent of total billed charges ,85.34,percent of total billed charges ,85.34,percent of total billed charges ,74.68,percent of total billed charges ,74.68,percent of total billed charges ,64.01,percent of total billed charges ,64.01,percent of total billed charges ,64.01,percent of total billed charges ,64.01,percent of total billed charges ,,,,,56.75,percent of total billed charges ,,,,,53.92,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,
VANCOMYCIN (VANCOCIN) INJ : 1000MG,J3370,CDM,,,,both,1,each,48.49,48.49,11.15,48.49,48.49,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,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,34.91,percent of total billed charges,34.91,percent of total billed charges,38.31,percent of total billed charges,38.31,percent of total billed charges,38.79,percent of total billed charges,38.79,percent of total billed charges,,,34.91,percent of total billed charges ,,,38.79,percent of total billed charges ,38.31,percent of total billed charges ,38.31,percent of total billed charges ,41.22,percent of total billed charges ,41.22,percent of total billed charges ,38.79,percent of total billed charges ,38.79,percent of total billed charges ,33.94,percent of total billed charges ,33.94,percent of total billed charges ,29.09,percent of total billed charges ,29.09,percent of total billed charges ,29.09,percent of total billed charges ,29.09,percent of total billed charges ,,,,,25.8,percent of total billed charges ,,,,,24.51,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,
DIAZEPAM (DIASTAT) RECTAL GEL : 10MG,250,RC,68682-06-5220,NDC,,both,1,each,449.83,449.83,103.46,449.83,449.83,percent of total billed charges,449.83,percent of total billed charges,449.83,percent of total billed charges,449.83,percent of total billed charges,449.83,percent of total billed charges,449.83,percent of total billed charges,449.83,percent of total billed charges,449.83,percent of total billed charges,323.88,percent of total billed charges,323.88,percent of total billed charges,323.88,percent of total billed charges,323.88,percent of total billed charges,323.88,percent of total billed charges,323.88,percent of total billed charges,355.37,percent of total billed charges,355.37,percent of total billed charges,359.86,percent of total billed charges,359.86,percent of total billed charges,,,323.88,percent of total billed charges ,,,359.86,percent of total billed charges ,355.37,percent of total billed charges ,355.37,percent of total billed charges ,382.36,percent of total billed charges ,382.36,percent of total billed charges ,359.86,percent of total billed charges ,359.86,percent of total billed charges ,314.88,percent of total billed charges ,314.88,percent of total billed charges ,269.9,percent of total billed charges ,269.9,percent of total billed charges ,269.9,percent of total billed charges ,269.9,percent of total billed charges ,,,,,239.31,percent of total billed charges ,,,,,227.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,103.46,percent of total billed charges,,,103.46,percent of total billed charges,,,103.46,percent of total billed charges,,,103.46,percent of total billed charges,,,103.46,percent of total billed charges,,,103.46,percent of total billed charges,,,103.46,percent of total billed charges,,,103.46,percent of total billed charges,,,103.46,percent of total billed charges,,,103.46,percent of total billed charges,,,103.46,percent of total billed charges,
DIAZEPAM INJ CARP : 10MG/2ML,J3360,CDM,,,,both,1,each,487.39,487.39,112.1,487.39,487.39,percent of total billed charges,487.39,percent of total billed charges,487.39,percent of total billed charges,487.39,percent of total billed charges,487.39,percent of total billed charges,487.39,percent of total billed charges,487.39,percent of total billed charges,487.39,percent of total billed charges,350.92,percent of total billed charges,350.92,percent of total billed charges,350.92,percent of total billed charges,350.92,percent of total billed charges,350.92,percent of total billed charges,350.92,percent of total billed charges,385.04,percent of total billed charges,385.04,percent of total billed charges,389.91,percent of total billed charges,389.91,percent of total billed charges,,,350.92,percent of total billed charges ,,,389.91,percent of total billed charges ,385.04,percent of total billed charges ,385.04,percent of total billed charges ,414.28,percent of total billed charges ,414.28,percent of total billed charges ,389.91,percent of total billed charges ,389.91,percent of total billed charges ,341.17,percent of total billed charges ,341.17,percent of total billed charges ,292.43,percent of total billed charges ,292.43,percent of total billed charges ,292.43,percent of total billed charges ,292.43,percent of total billed charges ,,,,,259.29,percent of total billed charges ,,,,,246.33,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,,,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,,,112.1,percent of total billed charges,,,112.1,percent of total billed charges,,,112.1,percent of total billed charges,
**PEDIAPROFEN SING DS DO NOT USE,Local ,Local ,,,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
TUBERCULIN PPD INJ : 0.1ML DOSE,250,RC,42023-01-0401,NDC,,both,1,each,51,51,11.73,51,51,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,40.29,percent of total billed charges,40.29,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 ,40.29,percent of total billed charges ,40.29,percent of total billed charges ,43.35,percent of total billed charges ,43.35,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 ,,,,,,,,,,,,,,,,,,,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,
TRACE ELEMENTS INJ : 1ML,250,RC,00517-93-0525,NDC,,both,1,each,78.12,78.12,17.97,78.12,78.12,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,56.25,percent of total billed charges,56.25,percent of total billed charges,56.25,percent of total billed charges,56.25,percent of total billed charges,56.25,percent of total billed charges,56.25,percent of total billed charges,61.71,percent of total billed charges,61.71,percent of total billed charges,62.5,percent of total billed charges,62.5,percent of total billed charges,,,56.25,percent of total billed charges ,,,62.5,percent of total billed charges ,61.71,percent of total billed charges ,61.71,percent of total billed charges ,66.4,percent of total billed charges ,66.4,percent of total billed charges ,62.5,percent of total billed charges ,62.5,percent of total billed charges ,54.68,percent of total billed charges ,54.68,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 ,,,,,41.56,percent of total billed charges ,,,,,39.48,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,,,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,
**TIMENTIN INJ 3.10MG DO NOT USE,Local ,Local ,,,,both,,,167,167,38.41,167,167,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,131.93,percent of total billed charges,131.93,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 ,131.93,percent of total billed charges ,131.93,percent of total billed charges ,141.95,percent of total billed charges ,141.95,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 ,,,,,,,,,,,,,,,,,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,
**TRIMETHOBENZAMIDE INJ 200MG DO NOT USE,J3250,CDM,,,,both,1,each,81,81,18.63,81,81,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,63.99,percent of total billed charges,63.99,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 ,63.99,percent of total billed charges ,63.99,percent of total billed charges ,68.85,percent of total billed charges ,68.85,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 ,,,,,,,,,,,,,,,,,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,
TOBRAMYCIN INJ : 40MG/ML VIAL,J3260,CDM,,,,both,1,each,109,109,25.07,109,109,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,86.11,percent of total billed charges,86.11,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 ,86.11,percent of total billed charges ,86.11,percent of total billed charges ,92.65,percent of total billed charges ,92.65,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 ,,,,,,,,,,,,,,,,,,,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,
ChlorproMAZINE INJ : 50MG/2ML,J3230,CDM,,,,both,1,each,231.37,231.37,53.22,231.37,231.37,percent of total billed charges,231.37,percent of total billed charges,231.37,percent of total billed charges,231.37,percent of total billed charges,231.37,percent of total billed charges,231.37,percent of total billed charges,231.37,percent of total billed charges,231.37,percent of total billed charges,166.59,percent of total billed charges,166.59,percent of total billed charges,166.59,percent of total billed charges,166.59,percent of total billed charges,166.59,percent of total billed charges,166.59,percent of total billed charges,182.78,percent of total billed charges,182.78,percent of total billed charges,185.1,percent of total billed charges,185.1,percent of total billed charges,,,166.59,percent of total billed charges ,,,185.1,percent of total billed charges ,182.78,percent of total billed charges ,182.78,percent of total billed charges ,196.66,percent of total billed charges ,196.66,percent of total billed charges ,185.1,percent of total billed charges ,185.1,percent of total billed charges ,161.96,percent of total billed charges ,161.96,percent of total billed charges ,138.82,percent of total billed charges ,138.82,percent of total billed charges ,138.82,percent of total billed charges ,138.82,percent of total billed charges ,,,,,123.09,percent of total billed charges ,,,,,116.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,53.22,percent of total billed charges,,,53.22,percent of total billed charges,,,53.22,percent of total billed charges,,,53.22,percent of total billed charges,,,53.22,percent of total billed charges,,,53.22,percent of total billed charges,,,53.22,percent of total billed charges,,,53.22,percent of total billed charges,,,53.22,percent of total billed charges,,,53.22,percent of total billed charges,,,53.22,percent of total billed charges,
THIAMINE HCL INJ : 200MG/2ML,J3411,CDM,,,,both,1,each,71,71,16.33,71,71,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,56.09,percent of total billed charges,56.09,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 ,56.09,percent of total billed charges ,56.09,percent of total billed charges ,60.35,percent of total billed charges ,60.35,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 ,,,,,,,,,,,,,,,,,,,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,,,16.33,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,
TETANUS TOXOID ADSORBED : 0.5ML DOSE,636,RC,49281-04-0010,NDC,,both,1,each,55,55,12.65,55,55,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,43.45,percent of total billed charges,43.45,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 ,43.45,percent of total billed charges ,43.45,percent of total billed charges ,46.75,percent of total billed charges ,46.75,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 ,,,,,,,,,,,,,,,,,,,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,
EDROPHONIUM (ENLON)INJ : 10MG/ML 15ML,250,RC,10019-08-7315,NDC,,both,1,each,76,76,17.48,76,76,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,60.04,percent of total billed charges,60.04,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 ,60.04,percent of total billed charges ,60.04,percent of total billed charges ,64.6,percent of total billed charges ,64.6,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 ,,,,,,,,,,,,,,,,,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,
AMMONIA INHALANT : 0.33ML,250,RC,39822-99-0002,NDC,,both,1,each,1.55,1.55,0.36,1.55,1.55,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,1.22,percent of total billed charges,1.22,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 ,1.22,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 ,1.24,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 ,,,,,,,,,,,,,,,,,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,
**TAGAMET IN 150 MG DO NOT USE,250,RC,00409-74-4401,NDC,,both,1,each,80,80,18.4,80,80,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,63.2,percent of total billed charges,63.2,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 ,63.2,percent of total billed charges ,63.2,percent of total billed charges ,68,percent of total billed charges ,68,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 ,,,,,,,,,,,,,,,,,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,
**SUS-PHRINE INJ .3ML DO NOT USE,Local ,Local ,,,,both,,,79,79,18.17,79,79,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,62.41,percent of total billed charges,62.41,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 ,62.41,percent of total billed charges ,62.41,percent of total billed charges ,67.15,percent of total billed charges ,67.15,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 ,,,,,,,,,,,,,,,,,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,
**TROVAN 200 MG VIAL DO NOT USE,Local ,Local ,,,,both,,,239,239,54.97,239,239,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,188.81,percent of total billed charges,188.81,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 ,188.81,percent of total billed charges ,188.81,percent of total billed charges ,203.15,percent of total billed charges ,203.15,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 ,,,,,,,,,,,,,,,,,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,
MethylPREDNISolone (Solu) INJ : 1GM,J2930,CDM,,,,both,1,each,488.58,488.58,112.37,488.58,488.58,percent of total billed charges,488.58,percent of total billed charges,488.58,percent of total billed charges,488.58,percent of total billed charges,488.58,percent of total billed charges,488.58,percent of total billed charges,488.58,percent of total billed charges,488.58,percent of total billed charges,351.78,percent of total billed charges,351.78,percent of total billed charges,351.78,percent of total billed charges,351.78,percent of total billed charges,351.78,percent of total billed charges,351.78,percent of total billed charges,385.98,percent of total billed charges,385.98,percent of total billed charges,390.86,percent of total billed charges,390.86,percent of total billed charges,,,351.78,percent of total billed charges ,,,390.86,percent of total billed charges ,385.98,percent of total billed charges ,385.98,percent of total billed charges ,415.29,percent of total billed charges ,415.29,percent of total billed charges ,390.86,percent of total billed charges ,390.86,percent of total billed charges ,342.01,percent of total billed charges ,342.01,percent of total billed charges ,293.15,percent of total billed charges ,293.15,percent of total billed charges ,293.15,percent of total billed charges ,293.15,percent of total billed charges ,,,,,259.92,percent of total billed charges ,,,,,246.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,112.37,percent of total billed charges,,,112.37,percent of total billed charges,,,112.37,percent of total billed charges,,,112.37,percent of total billed charges,,,112.37,percent of total billed charges,,,112.37,percent of total billed charges,,,112.37,percent of total billed charges,,,112.37,percent of total billed charges,,,112.37,percent of total billed charges,,,112.37,percent of total billed charges,,,112.37,percent of total billed charges,
MethylPREDNISolone (Solu) INJ : 500 MG,J2930,CDM,,,,both,1,each,249.38,249.38,57.36,249.38,249.38,percent of total billed charges,249.38,percent of total billed charges,249.38,percent of total billed charges,249.38,percent of total billed charges,249.38,percent of total billed charges,249.38,percent of total billed charges,249.38,percent of total billed charges,249.38,percent of total billed charges,179.55,percent of total billed charges,179.55,percent of total billed charges,179.55,percent of total billed charges,179.55,percent of total billed charges,179.55,percent of total billed charges,179.55,percent of total billed charges,197.01,percent of total billed charges,197.01,percent of total billed charges,199.5,percent of total billed charges,199.5,percent of total billed charges,,,179.55,percent of total billed charges ,,,199.5,percent of total billed charges ,197.01,percent of total billed charges ,197.01,percent of total billed charges ,211.97,percent of total billed charges ,211.97,percent of total billed charges ,199.5,percent of total billed charges ,199.5,percent of total billed charges ,174.57,percent of total billed charges ,174.57,percent of total billed charges ,149.63,percent of total billed charges ,149.63,percent of total billed charges ,149.63,percent of total billed charges ,149.63,percent of total billed charges ,,,,,132.67,percent of total billed charges ,,,,,126.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.36,percent of total billed charges,,,57.36,percent of total billed charges,,,57.36,percent of total billed charges,,,57.36,percent of total billed charges,,,57.36,percent of total billed charges,,,57.36,percent of total billed charges,,,57.36,percent of total billed charges,,,57.36,percent of total billed charges,,,57.36,percent of total billed charges,,,57.36,percent of total billed charges,,,57.36,percent of total billed charges,
MethylPREDNISolone INJ : 40MG,J2920,CDM,,,,both,1,each,82.99,82.99,19.09,82.99,82.99,percent of total billed charges,82.99,percent of total billed charges,82.99,percent of total billed charges,82.99,percent of total billed charges,82.99,percent of total billed charges,82.99,percent of total billed charges,82.99,percent of total billed charges,82.99,percent of total billed charges,59.75,percent of total billed charges,59.75,percent of total billed charges,59.75,percent of total billed charges,59.75,percent of total billed charges,59.75,percent of total billed charges,59.75,percent of total billed charges,65.56,percent of total billed charges,65.56,percent of total billed charges,66.39,percent of total billed charges,66.39,percent of total billed charges,,,59.75,percent of total billed charges ,,,66.39,percent of total billed charges ,65.56,percent of total billed charges ,65.56,percent of total billed charges ,70.54,percent of total billed charges ,70.54,percent of total billed charges ,66.39,percent of total billed charges ,66.39,percent of total billed charges ,58.09,percent of total billed charges ,58.09,percent of total billed charges ,49.79,percent of total billed charges ,49.79,percent of total billed charges ,49.79,percent of total billed charges ,49.79,percent of total billed charges ,,,,,44.15,percent of total billed charges ,,,,,41.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,
SODIUM BICARBONATE 8.4% INJ 10ML PEDIATR,250,RC,00409-49-0014,NDC,,both,1,each,125,125,28.75,125,125,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,98.75,percent of total billed charges,98.75,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 ,98.75,percent of total billed charges ,98.75,percent of total billed charges ,106.25,percent of total billed charges ,106.25,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 ,,,,,,,,,,,,,,,,,,,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,,,28.75,percent of total billed charges,,,28.75,percent of total billed charges,,,28.75,percent of total billed charges,
**TRAVAN 300 MG VIAL DO NOT USE,Local ,Local ,,,,both,,,329,329,75.67,329,329,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,259.91,percent of total billed charges,259.91,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 ,259.91,percent of total billed charges ,259.91,percent of total billed charges ,279.65,percent of total billed charges ,279.65,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 ,,,,,,,,,,,,,,,,,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,
HYDROCORTISONE (Solu-CORTEF)INJ: 100MG,J1720,CDM,,,,both,1,each,257.47,257.47,59.22,257.47,257.47,percent of total billed charges,257.47,percent of total billed charges,257.47,percent of total billed charges,257.47,percent of total billed charges,257.47,percent of total billed charges,257.47,percent of total billed charges,257.47,percent of total billed charges,257.47,percent of total billed charges,185.38,percent of total billed charges,185.38,percent of total billed charges,185.38,percent of total billed charges,185.38,percent of total billed charges,185.38,percent of total billed charges,185.38,percent of total billed charges,203.4,percent of total billed charges,203.4,percent of total billed charges,205.98,percent of total billed charges,205.98,percent of total billed charges,,,185.38,percent of total billed charges ,,,205.98,percent of total billed charges ,203.4,percent of total billed charges ,203.4,percent of total billed charges ,218.85,percent of total billed charges ,218.85,percent of total billed charges ,205.98,percent of total billed charges ,205.98,percent of total billed charges ,180.23,percent of total billed charges ,180.23,percent of total billed charges ,154.48,percent of total billed charges ,154.48,percent of total billed charges ,154.48,percent of total billed charges ,154.48,percent of total billed charges ,,,,,136.97,percent of total billed charges ,,,,,130.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,59.22,percent of total billed charges,,,59.22,percent of total billed charges,,,59.22,percent of total billed charges,,,59.22,percent of total billed charges,,,59.22,percent of total billed charges,,,59.22,percent of total billed charges,,,59.22,percent of total billed charges,,,59.22,percent of total billed charges,,,59.22,percent of total billed charges,,,59.22,percent of total billed charges,,,59.22,percent of total billed charges,
SODIUM BICARBONATE 8.4% INJ : 50ML SYRIN,250,RC,00409-66-3724,NDC,,both,1,each,148.27,148.27,34.1,148.27,148.27,percent of total billed charges,148.27,percent of total billed charges,148.27,percent of total billed charges,148.27,percent of total billed charges,148.27,percent of total billed charges,148.27,percent of total billed charges,148.27,percent of total billed charges,148.27,percent of total billed charges,106.75,percent of total billed charges,106.75,percent of total billed charges,106.75,percent of total billed charges,106.75,percent of total billed charges,106.75,percent of total billed charges,106.75,percent of total billed charges,117.13,percent of total billed charges,117.13,percent of total billed charges,118.62,percent of total billed charges,118.62,percent of total billed charges,,,106.75,percent of total billed charges ,,,118.62,percent of total billed charges ,117.13,percent of total billed charges ,117.13,percent of total billed charges ,126.03,percent of total billed charges ,126.03,percent of total billed charges ,118.62,percent of total billed charges ,118.62,percent of total billed charges ,103.79,percent of total billed charges ,103.79,percent of total billed charges ,88.96,percent of total billed charges ,88.96,percent of total billed charges ,88.96,percent of total billed charges ,88.96,percent of total billed charges ,,,,,78.88,percent of total billed charges ,,,,,74.94,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,,,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,
**MICONAZOLE POWDER DO NOT USE,Local ,Local ,,,,both,,,40,40,9.2,40,40,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,31.6,percent of total billed charges,31.6,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 ,31.6,percent of total billed charges ,31.6,percent of total billed charges ,34,percent of total billed charges ,34,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 ,,,,,,,,,,,,,,,,,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,
**ISOSORBIDE DINITRATE SL TAB DO NOT USE,637,RC,00143-17-6501,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**ISOSORBINE DINITRATE SL TAB DO NOT USE,637,RC,00143-17-6701,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**DIGOXIN (LANOXICAP) DO NOT USE,259,RC,00173-02-7255,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**DIGOXIN(LANOXICAP) CAP 0.2MG DO NOT US,250,RC,00173-02-7455,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**SERAX CPA 10 MG DO NOT USE,259,RC,00172-48-0460,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**SERAX CAP 15 MG DO NOT USE,259,RC,00172-48-0560,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**SLO-PNYLLIN 100MG TA DO NOT USE,Local ,Local ,,,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**THEOPHYLLINE 200 MG DO NOT USE,Local ,Local ,,,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**THEOPHYLLINE SR 250 MG DO NOT USE,Local ,Local ,,,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
LEVOTHYROXINE (SYNTHROID) TAB : 100MCG,637,RC,51079-04-4220,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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,
**LEVOTHYROXINE(SYNTHROID)TAB DO NOT USE,250,RC,00456-03-2701,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
LEVOTHYROXINE (SYNTHROID) TAB : 25MCG,637,RC,60687-04-5311,NDC,,both,1,each,1.19,1.19,0.27,1.19,1.19,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,0.94,percent of total billed charges,0.94,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 ,0.94,percent of total billed charges ,0.94,percent of total billed charges ,1.01,percent of total billed charges ,1.01,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 ,,,,,,,,,,,,,,,,,,,0.27,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,
LEVOTHYROXINE (SYNTHROID) TAB : 50MCG,637,RC,00074-45-5290,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
LEVOTHYROXINE (SYNTHROID) TAB : 75MCG,637,RC,51079-04-4120,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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,
THIAMINE (VIT B-1) TAB : 50 MG,637,RC,50268-08-5115,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
FLAVOXATE (URISPAS) TAB : 100 MG,637,RC,17314-92-2001,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
ENALAPRIL (VASOTEC) TAB : 10MG,637,RC,51079-09-5220,NDC,,both,1,each,12,12,2.76,12,12,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,9.48,percent of total billed charges,9.48,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 ,9.48,percent of total billed charges ,9.48,percent of total billed charges ,10.2,percent of total billed charges ,10.2,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 ,,,,,,,,,,,,,,,,,,,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,
ASPIRIN BUFFERED TAB : 325MG,637,RC,00904-20-1559,NDC,,both,1,each,0.25,0.25,0.06,0.25,0.25,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,0.18,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,0.2,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,,,0.18,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 ,0.21,percent of total billed charges ,0.21,percent of total billed charges ,0.2,percent of total billed charges ,0.2,percent of total billed charges ,0.18,percent of total billed charges ,0.18,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 ,,,,,0.13,percent of total billed charges ,,,,,0.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,
VERAPAMIL (CALAN) TAB : 80MG,637,RC,23155-00-2601,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
ASCORBIC ACID (VIT C) TAB : 500MG,637,RC,00904-05-2361,NDC,,both,1,each,0.25,0.25,0.06,0.25,0.25,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,0.18,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,0.2,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,,,0.18,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 ,0.21,percent of total billed charges ,0.21,percent of total billed charges ,0.2,percent of total billed charges ,0.2,percent of total billed charges ,0.18,percent of total billed charges ,0.18,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 ,,,,,0.13,percent of total billed charges ,,,,,0.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,
raNITIdine (ZANTAC) TAB : 150 MG*,Local ,Local ,,,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
**CEFACLOR(CECLOR) CAT 25O MG DO NOT USE,637,RC,63304-06-5801,NDC,,both,1,each,17,17,3.91,17,17,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,13.43,percent of total billed charges,13.43,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 ,13.43,percent of total billed charges ,13.43,percent of total billed charges ,14.45,percent of total billed charges ,14.45,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 ,,,,,,,,,,,,,,,,,,,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,
BENZTROPINE (COGENTIN) TAB : 1 MG,637,RC,60687-03-6801,NDC,,both,1,each,1.43,1.43,0.33,1.43,1.43,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,1.03,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,1.13,percent of total billed charges,1.13,percent of total billed charges,1.14,percent of total billed charges,1.14,percent of total billed charges,,,1.03,percent of total billed charges ,,,1.14,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 ,1.14,percent of total billed charges ,1.14,percent of total billed charges ,1,percent of total billed charges ,1,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 ,,,,,0.76,percent of total billed charges ,,,,,0.72,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,
**BENZTROPINE(COGENTIN)TAB 2MG DO NOT US,637,RC,50111-03-9501,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
PROCHLORPERAZINE (COMPAZINE) TAB : 10 MG,637,RC,50268-06-8511,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
PROCHLORPERAZINE (COMPAZINE) TAB : 5 MG,250,RC,60219-20-3801,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
**PROPOXYPHENE (DARVON) 65MG DO NOT USE,259,RC,00093-07-4101,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
dexAMETHasone TAB : 4MG,J8540,CDM,,,,both,1,each,5.75,5.75,1.32,5.75,5.75,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,5.75,percent of total billed charges,5.75,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,4.54,percent of total billed charges,4.54,percent of total billed charges,4.6,percent of total billed charges,4.6,percent of total billed charges,,,4.14,percent of total billed charges ,,,4.6,percent of total billed charges ,4.54,percent of total billed charges ,4.54,percent of total billed charges ,4.89,percent of total billed charges ,4.89,percent of total billed charges ,4.6,percent of total billed charges ,4.6,percent of total billed charges ,4.03,percent of total billed charges ,4.03,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 ,,,,,3.06,percent of total billed charges ,,,,,2.91,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,
DEXAMETHASONE TAB : 0.5MG,J8540,CDM,,,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
TraZODone (DESYREL) TAB : 50 MG,637,RC,50111-05-6001,NDC,,both,1,each,0.58,0.58,0.13,0.58,0.58,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,0.46,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,,,0.42,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 ,0.49,percent of total billed charges ,0.49,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 ,,,,,,,,,,,,,,,,,,,0.13,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,,,0.13,percent of total billed charges,,,0.13,percent of total billed charges,,,0.13,percent of total billed charges,
**PHEONIXYBENZAMINE DO NOT USE,259,RC,65197-00-0101,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
BELLADONNA ALKALOID-PHENOBARB TAB : 1TAB,637,RC,00603-24-1821,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
RALOXIFENE (EVISTA) TAB : 60 MG,637,RC,65862-07-0930,NDC,,both,1,each,6,6,1.38,6,6,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,4.74,percent of total billed charges,4.74,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 ,4.74,percent of total billed charges ,4.74,percent of total billed charges ,5.1,percent of total billed charges ,5.1,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 ,,,,,,,,,,,,,,,,,,,1.38,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,
**ERYTHROMYCIN EC TAB 250MG DO NOT USE,250,RC,00074-63-2613,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**ERYTHROMYCIN TAB 333MG DO NOT USE,637,RC,00074-63-2013,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**PIROXICAM (FELDENE) CAP DO NOT USE,259,RC,00663-32-2066,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**PIROXICAM (FELDENE) DO NOT USE,259,RC,00663-32-3041,NDC,,both,1,each,17,17,3.91,17,17,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,13.43,percent of total billed charges,13.43,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 ,13.43,percent of total billed charges ,13.43,percent of total billed charges ,14.45,percent of total billed charges ,14.45,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 ,,,,,,,,,,,,,,,,,,,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,
**FERROUS SULFATE DO NOT USE,259,RC,04969-29-4121,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
FERROUS SULF TAB : 325MG,637,RC,00245-01-0801,NDC,,both,1,each,0.53,0.53,0.12,0.53,0.53,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,0.42,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,,,0.38,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 ,0.45,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 ,0.37,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 ,,,,,,,,,,,,,,,,,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,
**FIORINAL TAB 1 TAB DO NOT USE,250,RC,00078-01-0305,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**FIORINAL CAP 1 CAP DO NOT USE,250,RC,00527-13-1201,NDC,,both,1,each,12,12,2.76,12,12,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,9.48,percent of total billed charges,9.48,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 ,9.48,percent of total billed charges ,9.48,percent of total billed charges ,10.2,percent of total billed charges ,10.2,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 ,,,,,,,,,,,,,,,,,,,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,
**FIORICET TAB 1 TAB DO NOT USE,250,RC,00603-25-4421,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
POTASSIUM CHL ORAL TAB : 8 MEQ(SLOW K),637,RC,66758-01-1013,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
CAPTOPRIL (CAPOTEN) TAB : 12.5MG,637,RC,60687-03-0421,NDC,,both,1,each,4.51,4.51,1.04,4.51,4.51,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,4.51,percent of total billed charges,4.51,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,3.56,percent of total billed charges,3.56,percent of total billed charges,3.61,percent of total billed charges,3.61,percent of total billed charges,,,3.25,percent of total billed charges ,,,3.61,percent of total billed charges ,3.56,percent of total billed charges ,3.56,percent of total billed charges ,3.83,percent of total billed charges ,3.83,percent of total billed charges ,3.61,percent of total billed charges ,3.61,percent of total billed charges ,3.16,percent of total billed charges ,3.16,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 ,,,,,2.4,percent of total billed charges ,,,,,2.28,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,
DIGOXIN (LANOXIN) TAB : 0.125 MG,637,RC,00904-59-2161,NDC,,both,1,each,5.54,5.54,1.27,5.54,5.54,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,4.38,percent of total billed charges,4.38,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 ,4.38,percent of total billed charges ,4.38,percent of total billed charges ,4.71,percent of total billed charges ,4.71,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 ,,,,,,,,,,,,,,,,,,,1.27,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,,,1.27,percent of total billed charges,,,1.27,percent of total billed charges,,,1.27,percent of total billed charges,
DIGOXIN (LANOXIN) TAB : 0.25MG,637,RC,00143-12-4101,NDC,,both,1,each,6,6,1.38,6,6,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,4.74,percent of total billed charges,4.74,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 ,4.74,percent of total billed charges ,4.74,percent of total billed charges ,5.1,percent of total billed charges ,5.1,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 ,,,,,,,,,,,,,,,,,,,1.38,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,
METOPROLOL TART(LOPRESSOR) : 50MG,637,RC,62584-02-6611,NDC,,both,1,each,0.5,0.5,0.12,0.5,0.5,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,0.4,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 ,,,0.4,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 ,0.4,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 ,,,,,,,,,,,,,,,,,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,
POTASSIUM CHL ORAL TAB : 10MEQ UD,637,RC,68084-06-3211,NDC,,both,1,each,1.55,1.55,0.36,1.55,1.55,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,1.22,percent of total billed charges,1.22,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 ,1.22,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 ,1.24,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 ,,,,,,,,,,,,,,,,,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,
GlyBURIDE (MICRONASE) TAB : 5 MG,637,RC,51079-08-7301,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
NORTRIPTYLINE (AVENTYL) CAP : 10 MG,637,RC,00002-08-1702,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
NORTRIPTYLINE (AVENTYL) CAP : 25 MG,637,RC,60687-02-9301,NDC,,both,1,each,3.22,3.22,0.74,3.22,3.22,percent of total billed charges,3.22,percent of total billed charges,3.22,percent of total billed charges,3.22,percent of total billed charges,3.22,percent of total billed charges,3.22,percent of total billed charges,3.22,percent of total billed charges,3.22,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,2.54,percent of total billed charges,2.54,percent of total billed charges,2.58,percent of total billed charges,2.58,percent of total billed charges,,,2.32,percent of total billed charges ,,,2.58,percent of total billed charges ,2.54,percent of total billed charges ,2.54,percent of total billed charges ,2.74,percent of total billed charges ,2.74,percent of total billed charges ,2.58,percent of total billed charges ,2.58,percent of total billed charges ,2.25,percent of total billed charges ,2.25,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 ,,,,,1.71,percent of total billed charges ,,,,,1.63,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,
AMOXICILLIN CAP : 250 MG,637,RC,00781-20-2001,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
AMOXICILLIN CAP : 500MG,637,RC,00781-26-1301,NDC,,both,1,each,0.32,0.32,0.07,0.32,0.32,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,0.23,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,0.25,percent of total billed charges,0.25,percent of total billed charges,0.26,percent of total billed charges,0.26,percent of total billed charges,,,0.23,percent of total billed charges ,,,0.26,percent of total billed charges ,0.25,percent of total billed charges ,0.25,percent of total billed charges ,0.27,percent of total billed charges ,0.27,percent of total billed charges ,0.26,percent of total billed charges ,0.26,percent of total billed charges ,0.22,percent of total billed charges ,0.22,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 ,,,,,0.17,percent of total billed charges ,,,,,0.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,,,0.07,percent of total billed charges,
MECLIZINE (ANTIVERT) TAB : 12.5MG,637,RC,70710-11-6101,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
MECLIZINE (ANTIVERT) TAB : 25 MG,637,RC,68084-04-9111,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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,
ACETAMINOPHEN (TYLENOL) TAB : 325MG,637,RC,16103-03-5308,NDC,,both,1,each,0.25,0.25,0.06,0.25,0.25,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,0.18,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,0.2,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,,,0.18,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 ,0.21,percent of total billed charges ,0.21,percent of total billed charges ,0.2,percent of total billed charges ,0.2,percent of total billed charges ,0.18,percent of total billed charges ,0.18,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 ,,,,,0.13,percent of total billed charges ,,,,,0.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,
ACETAMINOPHEN (TYLENOL) TAB : 500MG,637,RC,00904-67-3061,NDC,,both,1,each,0.25,0.25,0.06,0.25,0.25,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,0.18,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,0.2,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,,,0.18,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 ,0.21,percent of total billed charges ,0.21,percent of total billed charges ,0.2,percent of total billed charges ,0.2,percent of total billed charges ,0.18,percent of total billed charges ,0.18,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 ,,,,,0.13,percent of total billed charges ,,,,,0.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,
**ACETAMINOPHEN/CODE TAB 300MG/15MG DO N,259,RC,00093-00-5001,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
ACETAMINOPHEN-COD 300MG/30MG,637,RC,00406-04-8462,NDC,,both,1,each,1.35,1.35,0.31,1.35,1.35,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,1.07,percent of total billed charges,1.07,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 ,1.07,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 ,1.08,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 ,,,,,,,,,,,,,,,,,,,0.31,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,
**ACETAMINOPHEN COD 120 12MG/5M DO NOT U,637,RC,00121-05-0404,NDC,,both,5,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
SPIRONOLACTONE (ALDACTONE) TAB : 25 MG,637,RC,60687-04-6511,NDC,,both,1,each,1.41,1.41,0.32,1.41,1.41,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,1.11,percent of total billed charges,1.11,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 ,1.11,percent of total billed charges ,1.11,percent of total billed charges ,1.2,percent of total billed charges ,1.2,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 ,,,,,,,,,,,,,,,,,,,0.32,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,
METHYLDOPA (ALDOMET) TAB : 250 MG,637,RC,51079-02-0020,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
**SPIRONOLACTONE-HYROCHLOROTH DO NOT USE,259,RC,00378-01-4101,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**NAPROXIN (ANAPROX) TAB DO NOT USE,259,RC,00093-05-3601,NDC,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
HydrALAZINE (APRESOLINE) TAB : 10MG,637,RC,00904-64-4061,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
HydraLAZINE (APRESOLINE) TAB : 25MG,637,RC,62584-07-3301,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
HydraLAZINE (APRESOLINE) TAB : 50MG,637,RC,00904-64-4261,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
CHLORTHALIDONE (HYGROTON) TAB : 50 MG,637,RC,00378-02-1301,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**AMOXAPINE(ASENDIN)TAB 50MG DO NOT USE,637,RC,00591-57-1401,NDC,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
LORazepam (ATIVAN) TAB : 1 MG UD,637,RC,60687-06-2711,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
LORazepam (ATIVAN) TAB : 0.5MG UD,637,RC,60687-06-2711,NDC,,both,1,each,1.06,1.06,0.24,1.06,1.06,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,0.84,percent of total billed charges,0.84,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 ,0.84,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 ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.24,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,
DICYCLOMINE CAP : 10 MG,637,RC,51079-01-1820,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
DICYCLOMINE (BENTYL) TAB : 20MG,637,RC,00591-07-9501,NDC,,both,1,each,2.08,2.08,0.48,2.08,2.08,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,1.64,percent of total billed charges,1.64,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 ,1.64,percent of total billed charges ,1.64,percent of total billed charges ,1.77,percent of total billed charges ,1.77,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 ,,,,,,,,,,,,,,,,,,,0.48,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,
**BUMETANIDE (BUMEX) TAB : 1 MG,637,RC,00172-42-3360,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
SUCRALFATE (CARAFATE) TAB : 1 GM,637,RC,62135-04-3690,NDC,,both,1,each,15.16,15.16,3.49,15.16,15.16,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,11.98,percent of total billed charges,11.98,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 ,11.98,percent of total billed charges ,11.98,percent of total billed charges ,12.89,percent of total billed charges ,12.89,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 ,,,,,,,,,,,,,,,,,,,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,
CIPROFLOXACIN (CIPRO) TAB : 500 MG,637,RC,00904-70-8361,NDC,,both,1,each,0.99,0.99,0.23,0.99,0.99,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,0.78,percent of total billed charges,0.78,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 ,0.78,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 ,0.79,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
**CIPROFLOXACIN HCL 75 DO NOT USE,Local ,Local ,,,,both,,,34,34,7.82,34,34,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,26.86,percent of total billed charges,26.86,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 ,26.86,percent of total billed charges ,26.86,percent of total billed charges ,28.9,percent of total billed charges ,28.9,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 ,,,,,,,,,,,,,,,,,,,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,,,7.82,percent of total billed charges,,,7.82,percent of total billed charges,,,7.82,percent of total billed charges,
WARFARIN (COUMADIN) TAB : 2MG,637,RC,51672-40-2801,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
WARFARIN (COUMADIN) TAB : 2.5MG,637,RC,68084-00-2711,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
WARFARIN (COUMADIN) TAB : 5MG,637,RC,62584-09-9401,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
ISOSORBIDE DINITRATE TAB : 10MG,637,RC,68084-00-8211,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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,
ISOSORBIDE DINITRATE TAB : 20MG*,637,RC,00603-41-1821,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**ISOSORBINE DINITRATE TAB 5MG DO NOT US,637,RC,00310-07-7039,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
MIRTAZAPINE (REMERON) TAB : 30 MG,637,RC,68084-01-2001,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
QUEtiapine(SEROquel) TAB : 100MG,637,RC,68001-01-8400,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
FentaNYL PATCH 50MCG/HR,637,RC,60505-70-1200,NDC,,both,1,each,19,19,4.37,19,19,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,15.01,percent of total billed charges,15.01,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 ,15.01,percent of total billed charges ,15.01,percent of total billed charges ,16.15,percent of total billed charges ,16.15,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,4.37,percent of total billed charges,,,4.37,percent of total billed charges,,,4.37,percent of total billed charges,
**PSEUDOEPHEDRINE SYRP 15MG/5ML DO NOT U,637,RC,00081-08-6282,NDC,,both,5,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**GEVRABON LIQ DO NOT USE,259,RC,36652-02-5035,NDC,,both,30,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
TRAZODONE TAB : 100 MG,637,RC,00182-12-6089,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**TRAZODONE TAB 150 MG DO NOT USE,259,RC,00677-13-0201,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
RISEDRONATE (ACTONEL) TAB : 5 MG,637,RC,00149-04-7101,NDC,,both,1,each,13,13,2.99,13,13,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,10.27,percent of total billed charges,10.27,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 ,10.27,percent of total billed charges ,10.27,percent of total billed charges ,11.05,percent of total billed charges ,11.05,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 ,,,,,,,,,,,,,,,,,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,
TORSEMIDE (DEMADEX) TAB : 100 MG,637,RC,50268-07-5715,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
TOLTERODINE (DETROL LA) CAP : 2MG,637,RC,27241-01-9130,NDC,,both,1,each,18.2,18.2,4.19,18.2,18.2,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,14.38,percent of total billed charges,14.38,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 ,14.38,percent of total billed charges ,14.38,percent of total billed charges ,15.47,percent of total billed charges ,15.47,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 ,,,,,,,,,,,,,,,,,,,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,
ZOLPIDEM (AMBIEN) TAB : 5 MG,637,RC,00904-60-8261,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
ALENDRONATE (FOSAMAX) TAB : 70 MG,637,RC,65862-03-2904,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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,
THIAMINE (VIT B-1) TAB : 100 MG,637,RC,00182-00-4789,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**THALIDOMIDE CAP 50 MG DO NOT USE,Local ,Local ,,,,both,,,49,49,11.27,49,49,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,38.71,percent of total billed charges,38.71,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 ,38.71,percent of total billed charges ,38.71,percent of total billed charges ,41.65,percent of total billed charges ,41.65,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 ,,,,,,,,,,,,,,,,,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,
MetFORMIN XR (GLUCOPHAGE XR) TAB : 500MG,637,RC,60687-06-4011,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
"MEGESTROL LIQ : 40MG/ML, 10ML UD",637,RC,00054-35-4258,NDC,,both,5,each,7.71,7.71,1.77,7.71,7.71,percent of total billed charges,7.71,percent of total billed charges,7.71,percent of total billed charges,7.71,percent of total billed charges,7.71,percent of total billed charges,7.71,percent of total billed charges,7.71,percent of total billed charges,7.71,percent of total billed charges,5.55,percent of total billed charges,5.55,percent of total billed charges,5.55,percent of total billed charges,5.55,percent of total billed charges,5.55,percent of total billed charges,5.55,percent of total billed charges,6.09,percent of total billed charges,6.09,percent of total billed charges,6.17,percent of total billed charges,6.17,percent of total billed charges,,,5.55,percent of total billed charges ,,,6.17,percent of total billed charges ,6.09,percent of total billed charges ,6.09,percent of total billed charges ,6.55,percent of total billed charges ,6.55,percent of total billed charges ,6.17,percent of total billed charges ,6.17,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 ,,,,,4.1,percent of total billed charges ,,,,,3.9,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,
HYDROcodone/APAP 10MG/325MG TAB,250,RC,00406-01-2501,NDC,,both,1,each,7.08,7.08,1.63,7.08,7.08,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,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,5.59,percent of total billed charges,5.59,percent of total billed charges,5.66,percent of total billed charges,5.66,percent of total billed charges,,,5.1,percent of total billed charges ,,,5.66,percent of total billed charges ,5.59,percent of total billed charges ,5.59,percent of total billed charges ,6.02,percent of total billed charges ,6.02,percent of total billed charges ,5.66,percent of total billed charges ,5.66,percent of total billed charges ,4.96,percent of total billed charges ,4.96,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,,,,,3.77,percent of total billed charges ,,,,,3.58,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,
RisperiDONE (RisperDAL) TAB : 0.5 MG,637,RC,00904-63-5861,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
FLUVASTATIN (LESCOL) CAP : 20 MG*,637,RC,00378-80-2093,NDC,,both,1,each,18,18,4.14,18,18,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,14.22,percent of total billed charges,14.22,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 ,14.22,percent of total billed charges ,14.22,percent of total billed charges ,15.3,percent of total billed charges ,15.3,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 ,,,,,,,,,,,,,,,,,,,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,,,4.14,percent of total billed charges,,,4.14,percent of total billed charges,,,4.14,percent of total billed charges,
RIVASTIGMINE (EXELON) CAP : 1.5MG,637,RC,55111-03-5260,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
ESTRADIOL (ESTRACE) TAB : 1 MG,637,RC,51862-03-3301,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
ALENDRONATE (FOSAMAX) TAB : 10 MG,637,RC,00006-09-3631,NDC,,both,1,each,14,14,3.22,14,14,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,11.06,percent of total billed charges,11.06,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 ,11.06,percent of total billed charges ,11.06,percent of total billed charges ,11.9,percent of total billed charges ,11.9,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 ,,,,,,,,,,,,,,,,,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,
**PSEUDOEPHEDRINE-GUAFENESIN DO NOT USE,250,RC,51479-00-3201,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
FINASTERIDE (PROSCAR) TAB : 5MG,637,RC,60687-04-2865,NDC,,both,1,each,2.55,2.55,0.59,2.55,2.55,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,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,2.01,percent of total billed charges,2.01,percent of total billed charges,2.04,percent of total billed charges,2.04,percent of total billed charges,,,1.84,percent of total billed charges ,,,2.04,percent of total billed charges ,2.01,percent of total billed charges ,2.01,percent of total billed charges ,2.17,percent of total billed charges ,2.17,percent of total billed charges ,2.04,percent of total billed charges ,2.04,percent of total billed charges ,1.79,percent of total billed charges ,1.79,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 ,,,,,1.36,percent of total billed charges ,,,,,1.29,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,
FELODIPINE (PLENDIL) TAB : 5 MG,637,RC,00186-04-5128,NDC,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
**POLY-VI-SOL W/IRON DO NOT USE,Local ,Local ,,,,both,,,18,18,4.14,18,18,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,14.22,percent of total billed charges,14.22,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 ,14.22,percent of total billed charges ,14.22,percent of total billed charges ,15.3,percent of total billed charges ,15.3,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 ,,,,,,,,,,,,,,,,,,,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,,,4.14,percent of total billed charges,,,4.14,percent of total billed charges,,,4.14,percent of total billed charges,
AEROCHAMBER WITH MASK,271,RC,00456-07-4413,NDC,,both,,,200,200,46,200,200,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,158,percent of total billed charges,158,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 ,158,percent of total billed charges ,158,percent of total billed charges ,170,percent of total billed charges ,170,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 ,,,,,,,,,,,,,,,,,,,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,,,46,percent of total billed charges,,,46,percent of total billed charges,,,46,percent of total billed charges,
TED STOCKINGS THIGH,Local ,Local ,,,,both,,,110,110,25.3,110,110,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,86.9,percent of total billed charges,86.9,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 ,86.9,percent of total billed charges ,86.9,percent of total billed charges ,93.5,percent of total billed charges ,93.5,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 ,,,,,,,,,,,,,,,,,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,
**PROCRIT 1000 UNITS,J0885,CDM,,,,both,,,75,75,17.25,75,75,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,59.25,percent of total billed charges,59.25,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 ,59.25,percent of total billed charges ,59.25,percent of total billed charges ,63.75,percent of total billed charges ,63.75,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 ,,,,,,,,,,,,,,,,,,,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,,,17.25,percent of total billed charges,,,17.25,percent of total billed charges,,,17.25,percent of total billed charges,
**PROCRIT 1000 UNITS DO NOT USE,J0885,CDM,,,,both,,,75,75,17.25,75,75,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,59.25,percent of total billed charges,59.25,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 ,59.25,percent of total billed charges ,59.25,percent of total billed charges ,63.75,percent of total billed charges ,63.75,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 ,,,,,,,,,,,,,,,,,,,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,,,17.25,percent of total billed charges,,,17.25,percent of total billed charges,,,17.25,percent of total billed charges,
ENOXAPARIN (LOVENOX) INJ : 40MG/0.4ML,J1650,CDM,,,,both,1,each,102.02,102.02,23.46,102.02,102.02,percent of total billed charges,102.02,percent of total billed charges,102.02,percent of total billed charges,102.02,percent of total billed charges,102.02,percent of total billed charges,102.02,percent of total billed charges,102.02,percent of total billed charges,102.02,percent of total billed charges,73.45,percent of total billed charges,73.45,percent of total billed charges,73.45,percent of total billed charges,73.45,percent of total billed charges,73.45,percent of total billed charges,73.45,percent of total billed charges,80.6,percent of total billed charges,80.6,percent of total billed charges,81.62,percent of total billed charges,81.62,percent of total billed charges,,,73.45,percent of total billed charges ,,,81.62,percent of total billed charges ,80.6,percent of total billed charges ,80.6,percent of total billed charges ,86.72,percent of total billed charges ,86.72,percent of total billed charges ,81.62,percent of total billed charges ,81.62,percent of total billed charges ,71.41,percent of total billed charges ,71.41,percent of total billed charges ,61.21,percent of total billed charges ,61.21,percent of total billed charges ,61.21,percent of total billed charges ,61.21,percent of total billed charges ,,,,,54.27,percent of total billed charges ,,,,,51.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,
**INTERFERON A1 MILL DO NOT USE,J9214,CDM,,,,both,,,78,78,17.94,78,78,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,61.62,percent of total billed charges,61.62,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 ,61.62,percent of total billed charges ,61.62,percent of total billed charges ,66.3,percent of total billed charges ,66.3,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 ,,,,,,,,,,,,,,,,,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,
**INTERLEUKIN (PROLEUKIN) DO NOT USE,J9015,CDM,,,,both,1,each,150,150,34.5,150,150,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,118.5,percent of total billed charges,118.5,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 ,118.5,percent of total billed charges ,118.5,percent of total billed charges ,127.5,percent of total billed charges ,127.5,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 ,,,,,,,,,,,,,,,,,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,
ENOXAPARIN (LOVENOX) INJ : 30MG/0.3ML,J1650,CDM,,,,both,1,each,45.43,45.43,10.45,45.43,45.43,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,35.89,percent of total billed charges,35.89,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 ,35.89,percent of total billed charges ,35.89,percent of total billed charges ,38.62,percent of total billed charges ,38.62,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 ,,,,,,,,,,,,,,,,,,,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,
VANCOMYCIN (VANCOCIN) INJ : 500 MG,J3370,CDM,,,,both,1,each,119.17,119.17,27.41,119.17,119.17,percent of total billed charges,119.17,percent of total billed charges,119.17,percent of total billed charges,119.17,percent of total billed charges,119.17,percent of total billed charges,119.17,percent of total billed charges,119.17,percent of total billed charges,119.17,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,94.14,percent of total billed charges,94.14,percent of total billed charges,95.34,percent of total billed charges,95.34,percent of total billed charges,,,85.8,percent of total billed charges ,,,95.34,percent of total billed charges ,94.14,percent of total billed charges ,94.14,percent of total billed charges ,101.29,percent of total billed charges ,101.29,percent of total billed charges ,95.34,percent of total billed charges ,95.34,percent of total billed charges ,83.42,percent of total billed charges ,83.42,percent of total billed charges ,71.5,percent of total billed charges ,71.5,percent of total billed charges ,71.5,percent of total billed charges ,71.5,percent of total billed charges ,,,,,63.4,percent of total billed charges ,,,,,60.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.41,percent of total billed charges,,,27.41,percent of total billed charges,,,27.41,percent of total billed charges,,,27.41,percent of total billed charges,,,27.41,percent of total billed charges,,,27.41,percent of total billed charges,,,27.41,percent of total billed charges,,,27.41,percent of total billed charges,,,27.41,percent of total billed charges,,,27.41,percent of total billed charges,,,27.41,percent of total billed charges,
MethylPREDNISolone INJ : 125MG,J2930,CDM,,,,both,1,each,131.86,131.86,30.33,131.86,131.86,percent of total billed charges,131.86,percent of total billed charges,131.86,percent of total billed charges,131.86,percent of total billed charges,131.86,percent of total billed charges,131.86,percent of total billed charges,131.86,percent of total billed charges,131.86,percent of total billed charges,94.94,percent of total billed charges,94.94,percent of total billed charges,94.94,percent of total billed charges,94.94,percent of total billed charges,94.94,percent of total billed charges,94.94,percent of total billed charges,104.17,percent of total billed charges,104.17,percent of total billed charges,105.49,percent of total billed charges,105.49,percent of total billed charges,,,94.94,percent of total billed charges ,,,105.49,percent of total billed charges ,104.17,percent of total billed charges ,104.17,percent of total billed charges ,112.08,percent of total billed charges ,112.08,percent of total billed charges ,105.49,percent of total billed charges ,105.49,percent of total billed charges ,92.3,percent of total billed charges ,92.3,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 ,,,,,70.15,percent of total billed charges ,,,,,66.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,30.33,percent of total billed charges,,,30.33,percent of total billed charges,,,30.33,percent of total billed charges,,,30.33,percent of total billed charges,,,30.33,percent of total billed charges,,,30.33,percent of total billed charges,,,30.33,percent of total billed charges,,,30.33,percent of total billed charges,,,30.33,percent of total billed charges,,,30.33,percent of total billed charges,,,30.33,percent of total billed charges,
CefTRIAXone (ROCEPHIN) INJ : 250MG,J0696,CDM,,,,both,1,each,9.4,9.4,2.16,9.4,9.4,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,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,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,6.77,percent of total billed charges,6.77,percent of total billed charges,7.43,percent of total billed charges,7.43,percent of total billed charges,7.52,percent of total billed charges,7.52,percent of total billed charges,,,6.77,percent of total billed charges ,,,7.52,percent of total billed charges ,7.43,percent of total billed charges ,7.43,percent of total billed charges ,7.99,percent of total billed charges ,7.99,percent of total billed charges ,7.52,percent of total billed charges ,7.52,percent of total billed charges ,6.58,percent of total billed charges ,6.58,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,percent of total billed charges ,,,,,4.75,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,
IRON DEXTRAN INJ : 100MG/2ML VIAL,J1750,CDM,,,,both,1,each,340.92,340.92,78.41,340.92,340.92,percent of total billed charges,340.92,percent of total billed charges,340.92,percent of total billed charges,340.92,percent of total billed charges,340.92,percent of total billed charges,340.92,percent of total billed charges,340.92,percent of total billed charges,340.92,percent of total billed charges,245.46,percent of total billed charges,245.46,percent of total billed charges,245.46,percent of total billed charges,245.46,percent of total billed charges,245.46,percent of total billed charges,245.46,percent of total billed charges,269.33,percent of total billed charges,269.33,percent of total billed charges,272.74,percent of total billed charges,272.74,percent of total billed charges,,,245.46,percent of total billed charges ,,,272.74,percent of total billed charges ,269.33,percent of total billed charges ,269.33,percent of total billed charges ,289.78,percent of total billed charges ,289.78,percent of total billed charges ,272.74,percent of total billed charges ,272.74,percent of total billed charges ,238.64,percent of total billed charges ,238.64,percent of total billed charges ,204.55,percent of total billed charges ,204.55,percent of total billed charges ,204.55,percent of total billed charges ,204.55,percent of total billed charges ,,,,,181.37,percent of total billed charges ,,,,,172.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,78.41,percent of total billed charges,,,78.41,percent of total billed charges,,,78.41,percent of total billed charges,,,78.41,percent of total billed charges,,,78.41,percent of total billed charges,,,78.41,percent of total billed charges,,,78.41,percent of total billed charges,,,78.41,percent of total billed charges,,,78.41,percent of total billed charges,,,78.41,percent of total billed charges,,,78.41,percent of total billed charges,
CARBIDOPA-LEVODOPA TAB 10-100MG,637,RC,00093-97-0101,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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 TAB 25-100MG,637,RC,60687-06-6111,NDC,,both,1,each,0.71,0.71,0.16,0.71,0.71,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,0.56,percent of total billed charges,0.56,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 ,0.56,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 ,0.57,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 ,,,,,,,,,,,,,,,,,,,0.16,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,
**CARBIDORA LEVODORA TAB 25 250MG DO NOT,637,RC,00093-02-9401,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**CARISOPRODOL COMP(SOMA COMPD)DO NOT US,637,RC,49884-02-4601,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
PHENAZOPYRIDINE(PYRIDIUM) : 200 MG*,637,RC,68084-02-9301,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
CALCITRIOL (ROCALTROL) CAP : 0.25 MCG,637,RC,60687-03-4511,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
TETRACYCLINE (SUMYCIN) CAP : 500 MG,637,RC,23155-00-1701,NDC,,both,1,each,35,35,8.05,35,35,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,27.65,percent of total billed charges,27.65,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 ,27.65,percent of total billed charges ,27.65,percent of total billed charges ,29.75,percent of total billed charges ,29.75,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 ,,,,,,,,,,,,,,,,,,,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,
**TETRACYCLINE CAP 500 MG DO NOT USE,Local ,Local ,,,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**TOLINASE 100 MG DO NOT USE,Local ,Local ,,,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
CarBAMazepine CHEW TAB : 100MG,637,RC,00904-38-5461,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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,
CarBAMazepine (TEGretol) TAB : 200 MG,637,RC,51079-03-8520,NDC,,both,1,each,2.02,2.02,0.46,2.02,2.02,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,1.6,percent of total billed charges,1.6,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 ,1.6,percent of total billed charges ,1.6,percent of total billed charges ,1.72,percent of total billed charges ,1.72,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
DIPYRIDAMOLE INJ : 50MG/10ML,J1245,CDM,,,,both,1,each,32,32,7.36,32,32,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,25.28,percent of total billed charges,25.28,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 ,25.28,percent of total billed charges ,25.28,percent of total billed charges ,27.2,percent of total billed charges ,27.2,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 ,,,,,,,,,,,,,,,,,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,
MetroNIDAZOLE (FLAGYL) TAB : 500MG,637,RC,68084-09-6611,NDC,,both,1,each,2.95,2.95,0.68,2.95,2.95,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,2.95,percent of total billed charges,2.95,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,2.33,percent of total billed charges,2.33,percent of total billed charges,2.36,percent of total billed charges,2.36,percent of total billed charges,,,2.12,percent of total billed charges ,,,2.36,percent of total billed charges ,2.33,percent of total billed charges ,2.33,percent of total billed charges ,2.51,percent of total billed charges ,2.51,percent of total billed charges ,2.36,percent of total billed charges ,2.36,percent of total billed charges ,2.07,percent of total billed charges ,2.07,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 ,,,,,1.57,percent of total billed charges ,,,,,1.49,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,
**MEPERIDIEN TAB DO NOT USE,259,RC,52152-01-5802,NDC,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
**CLARITHROMYCIN (BIAXIN) TAB : 500 MG,637,RC,00074-25-8611,NDC,,both,1,each,23,23,5.29,23,23,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,18.17,percent of total billed charges,18.17,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 ,18.17,percent of total billed charges ,18.17,percent of total billed charges ,19.55,percent of total billed charges ,19.55,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 ,,,,,,,,,,,,,,,,,,,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,
**SECOBARBITAL (SECONAL) DO NOT USE,259,RC,63304-06-7980,NDC,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
**ROXANOL SR TABS 30MG DO NOT USE,Local ,Local ,,,,both,,,12,12,2.76,12,12,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,9.48,percent of total billed charges,9.48,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 ,9.48,percent of total billed charges ,9.48,percent of total billed charges ,10.2,percent of total billed charges ,10.2,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 ,,,,,,,,,,,,,,,,,,,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,
**TYLOX CAP 1 CAP DO NOT USE,259,RC,00591-07-3701,NDC,,both,1,each,12,12,2.76,12,12,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,9.48,percent of total billed charges,9.48,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 ,9.48,percent of total billed charges ,9.48,percent of total billed charges ,10.2,percent of total billed charges ,10.2,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 ,,,,,,,,,,,,,,,,,,,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,
**PERCONDAN 1 TAB DO NOT USE,259,RC,00590-01-3585,NDC,,both,1,each,12,12,2.76,12,12,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,9.48,percent of total billed charges,9.48,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 ,9.48,percent of total billed charges ,9.48,percent of total billed charges ,10.2,percent of total billed charges ,10.2,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 ,,,,,,,,,,,,,,,,,,,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,
**MORPHINE SULFATE TAB 10MG DO NOT USE,259,RC,63304-07-0601,NDC,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
THYROID TABLETS : 60MG,637,RC,42192-03-3001,NDC,,both,1,each,5.05,5.05,1.16,5.05,5.05,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,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,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,3.99,percent of total billed charges,3.99,percent of total billed charges,4.04,percent of total billed charges,4.04,percent of total billed charges,,,3.64,percent of total billed charges ,,,4.04,percent of total billed charges ,3.99,percent of total billed charges ,3.99,percent of total billed charges ,4.29,percent of total billed charges ,4.29,percent of total billed charges ,4.04,percent of total billed charges ,4.04,percent of total billed charges ,3.54,percent of total billed charges ,3.54,percent of total billed charges ,3.03,percent of total billed charges ,3.03,percent of total billed charges ,3.03,percent of total billed charges ,3.03,percent of total billed charges ,,,,,2.69,percent of total billed charges ,,,,,2.55,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,
**TOCAINIDE 600 MG TAB DO NOT USE,Local ,Local ,,,,both,,,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
**PERPHENAZINE AMITRIPTYLINE DO NOT USE,259,RC,00378-03-3001,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**PERPHENAZINE AMITRIPTYLINE DO NOT USE,259,RC,00378-04-4201,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**PERPHENAZINE AMITRIPTYLINE DO NOT USE,259,RC,00378-05-7401,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**TRINSICON CAPS DO NOT USE,Local ,Local ,,,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
PENTOXIFYLLINE (TRENtal) TAB : 400 MG,637,RC,00904-54-4861,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
**BETHANECHOL(URECHOLINE)TAB DO NOT USE,637,RC,65473-07-0301,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
BETHANECHOL (URECHOLINE) TAB : 25 MG,637,RC,68084-07-0411,NDC,,both,1,each,3.37,3.37,0.78,3.37,3.37,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,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,2.66,percent of total billed charges,2.66,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 ,2.66,percent of total billed charges ,2.66,percent of total billed charges ,2.86,percent of total billed charges ,2.86,percent of total billed charges ,2.7,percent of total billed charges ,2.7,percent of total billed charges ,2.36,percent of total billed charges ,2.36,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 ,,,,,,,,,,,,,,,,,,,0.78,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,
**URISED TAB 1 TAB DO NOT USE,259,RC,61451-21-8301,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**ISOXUPRINE TAB 10MG DO NOT USE,259,RC,00781-18-4001,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
DOXYCYCLINE CAP/TAB : 100 MG,637,RC,00527-13-3850,NDC,,both,1,each,2.66,2.66,0.61,2.66,2.66,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,2.66,percent of total billed charges,2.66,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,2.1,percent of total billed charges,2.1,percent of total billed charges,2.13,percent of total billed charges,2.13,percent of total billed charges,,,1.92,percent of total billed charges ,,,2.13,percent of total billed charges ,2.1,percent of total billed charges ,2.1,percent of total billed charges ,2.26,percent of total billed charges ,2.26,percent of total billed charges ,2.13,percent of total billed charges ,2.13,percent of total billed charges ,1.86,percent of total billed charges ,1.86,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 ,,,,,1.34,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,
METOLAZONE (ZAROXOLYN) TAB : 2.5MG,637,RC,72888-00-5201,NDC,,both,1,each,8,8,1.84,8,8,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,6.32,percent of total billed charges,6.32,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 ,6.32,percent of total billed charges ,6.32,percent of total billed charges ,6.8,percent of total billed charges ,6.8,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 ,,,,,,,,,,,,,,,,,,,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,
ALLOPURINOL (ZYLOPRIM) TAB : 100 MG,637,RC,60687-06-7711,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
DIMETAPP ELIX : 1 ML,637,RC,15127-00-1014,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
HYDROCIL(METAMUCIL) SF PWDR : 1 PKT,637,RC,37000-00-2410,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
METHYLCELLULOSE(CITRUCEL) : 15ML/PKT,637,RC,00135-00-8969,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
CHOLESTYRAMINE PWD FOR ORAL SUSP : 4GM,637,RC,00245-00-3660,NDC,,both,1,each,9,9,2.07,9,9,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,7.11,percent of total billed charges,7.11,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 ,7.11,percent of total billed charges ,7.11,percent of total billed charges ,7.65,percent of total billed charges ,7.65,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 ,,,,,,,,,,,,,,,,,,,2.07,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,
**QUIBRON CAPS 150 MG DO NOT USE,Local ,Local ,,,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
METHYLPHENIDATE (RITALIN) TAB : 5 MG,637,RC,31722-01-7301,NDC,,both,1,each,6,6,1.38,6,6,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,4.74,percent of total billed charges,4.74,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 ,4.74,percent of total billed charges ,4.74,percent of total billed charges ,5.1,percent of total billed charges ,5.1,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 ,,,,,,,,,,,,,,,,,,,1.38,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,
VERAPAMIL ER (CALAN SR) TAB : 240 MG,637,RC,75834-01-5901,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
SIMVASTATIN (ZOCOR) TAB : 40 MG,637,RC,68180-04-6409,NDC,,both,1,each,0.78,0.78,0.18,0.78,0.78,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,0.62,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,,,0.56,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 ,0.66,percent of total billed charges ,0.66,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 ,,,,,,,,,,,,,,,,,,,0.18,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,
**ANIMOCAPROCI (AMICAR) DO NOT USE,259,RC,66479-00-2182,NDC,,both,1,each,13,13,2.99,13,13,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,10.27,percent of total billed charges,10.27,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 ,10.27,percent of total billed charges ,10.27,percent of total billed charges ,11.05,percent of total billed charges ,11.05,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 ,,,,,,,,,,,,,,,,,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,
MetroNIDAZOLE (FLAGYL) TAB : 250MG,637,RC,60687-05-2611,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
FOLIC ACID TAB : 1MG,637,RC,60687-06-8111,NDC,,both,1,each,0.79,0.79,0.18,0.79,0.79,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,0.57,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,0.62,percent of total billed charges,0.62,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,,,0.57,percent of total billed charges ,,,0.63,percent of total billed charges ,0.62,percent of total billed charges ,0.62,percent of total billed charges ,0.67,percent of total billed charges ,0.67,percent of total billed charges ,0.63,percent of total billed charges ,0.63,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 ,,,,,0.42,percent of total billed charges ,,,,,0.4,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,
GENATON (GAVISCON) ANTACID TAB,637,RC,46122-01-5078,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
HALOPERIDOL (HALDOL) TAB : 5MG,637,RC,60687-01-6101,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
GlipiZIDE (GLUCOTROL) TAB : 10 MG,637,RC,51079-08-1120,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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,
GlipiZIDE (GLUCOTROL) TAB : 5 MG,637,RC,50268-03-6111,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
HALOPERIDOL (HALDOL) TAB : 0.5MG,637,RC,51079-07-3320,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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,
HALOPERIDOL (HALDOL) TAB : 1MG,637,RC,00781-13-9201,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
HALOPERIDOL (HALDOL) TAB : 2MG,637,RC,51079-07-3520,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
**METHERGINE TAB DO NOT USE,250,RC,00078-00-5405,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
PANCRELIPASE (PANCREASE) CAP : MT 20*,637,RC,00045-03-4660,NDC,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
**THIORIDZAINE TAB:10MG DO NOT USE,637,RC,51079-05-6520,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**THIORIZAZINE TAB:25MG DO NOT USE,637,RC,51079-05-6620,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
INDOMETHACIN (INDOCIN) CAP : 50 MG,637,RC,51079-01-9020,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
PHYTONADIONE (MEPHYTON) TAB : 5MG,637,RC,70710-10-1401,NDC,,both,1,each,61.63,61.63,14.17,61.63,61.63,percent of total billed charges,61.63,percent of total billed charges,61.63,percent of total billed charges,61.63,percent of total billed charges,61.63,percent of total billed charges,61.63,percent of total billed charges,61.63,percent of total billed charges,61.63,percent of total billed charges,44.37,percent of total billed charges,44.37,percent of total billed charges,44.37,percent of total billed charges,44.37,percent of total billed charges,44.37,percent of total billed charges,44.37,percent of total billed charges,48.69,percent of total billed charges,48.69,percent of total billed charges,49.3,percent of total billed charges,49.3,percent of total billed charges,,,44.37,percent of total billed charges ,,,49.3,percent of total billed charges ,48.69,percent of total billed charges ,48.69,percent of total billed charges ,52.39,percent of total billed charges ,52.39,percent of total billed charges ,49.3,percent of total billed charges ,49.3,percent of total billed charges ,43.14,percent of total billed charges ,43.14,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 ,,,,,32.79,percent of total billed charges ,,,,,31.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.17,percent of total billed charges,,,14.17,percent of total billed charges,,,14.17,percent of total billed charges,,,14.17,percent of total billed charges,,,14.17,percent of total billed charges,,,14.17,percent of total billed charges,,,14.17,percent of total billed charges,,,14.17,percent of total billed charges,,,14.17,percent of total billed charges,,,14.17,percent of total billed charges,,,14.17,percent of total billed charges,
**PRAZOSIN CAP 1MG DO NOT USE,259,RC,00093-40-6701,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**PRAZSON CAP 2MG DO NOT USE,259,RC,00093-40-6801,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**PRAZOSIN 5MG DO NOT USE,259,RC,00093-40-6901,NDC,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
MODURETIC TAB : 5-50 UD,637,RC,00378-05-7701,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**PRIMIDONE(MYSOLINE)TAB 250MG DO NOT US,637,RC,00591-53-2101,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
OSELTAMIVIR (TAMIFLU) CAP : 75 MG,637,RC,69238-12-6601,NDC,,both,1,each,16,16,3.68,16,16,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,12.64,percent of total billed charges,12.64,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 ,12.64,percent of total billed charges ,12.64,percent of total billed charges ,13.6,percent of total billed charges ,13.6,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 ,,,,,,,,,,,,,,,,,,,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,,,3.68,percent of total billed charges,,,3.68,percent of total billed charges,,,3.68,percent of total billed charges,
AMYLASE-LIPASE-PROTEASE CAP : MT 10,637,RC,00045-03-4260,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
NAPROXEN (NAPROSYN) TAB : 250 MG,637,RC,68462-01-8801,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
**NAPROSYN 500MG DOSE DO NOT USE,Local ,Local ,,,,both,,,12,12,2.76,12,12,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,9.48,percent of total billed charges,9.48,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 ,9.48,percent of total billed charges ,9.48,percent of total billed charges ,10.2,percent of total billed charges ,10.2,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 ,,,,,,,,,,,,,,,,,,,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,
**NAPROSYN TAB 375MG DO NOT USE,637,RC,18393-02-7353,NDC,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
**NITROGYCERIN CAP 2.5 MG DO NOT USE,259,RC,58177-00-0403,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**NITROGYLCERIN CPA 6.5MG DO NOT USE,259,RC,58177-00-0503,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
TAMOXIFEN (NOLVADEX) TAB : 10 MG,637,RC,51862-06-4260,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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,
**NORFLOXACIN (NOROXIN) DO NOT USE,259,RC,00006-07-0520,NDC,,both,1,each,18,18,4.14,18,18,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,14.22,percent of total billed charges,14.22,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 ,14.22,percent of total billed charges ,14.22,percent of total billed charges ,15.3,percent of total billed charges ,15.3,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 ,,,,,,,,,,,,,,,,,,,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,,,4.14,percent of total billed charges,,,4.14,percent of total billed charges,,,4.14,percent of total billed charges,
NIACIN TABLET : 100MG,637,RC,80681-00-9000,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
**OS-CAL 250MG TAB DO NOT USE,Local ,Local ,,,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
OS-CAL D TAB : 500MG/200IU,637,RC,00904-54-6052,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
**BROMOCRIPTINE(PARLODEL)TAB 2.5MG DO NO,637,RC,00078-00-1715,NDC,,both,1,each,14,14,3.22,14,14,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,11.06,percent of total billed charges,11.06,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 ,11.06,percent of total billed charges ,11.06,percent of total billed charges ,11.9,percent of total billed charges ,11.9,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 ,,,,,,,,,,,,,,,,,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,
PENICILLIN (PEN-VK) TAB : 250 MG,637,RC,00143-98-3701,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
VALSARTAN (DIOVAN) TAB : 80MG,637,RC,60687-06-2311,NDC,,both,1,each,4.5,4.5,1.04,4.5,4.5,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,3.56,percent of total billed charges,3.56,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 ,3.56,percent of total billed charges ,3.56,percent of total billed charges ,3.83,percent of total billed charges ,3.83,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 ,,,,,,,,,,,,,,,,,,,1.04,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,
**FAMOTIDINE(PEPCID)TAB 40MG DO NOT USE,637,RC,00172-57-2960,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**PROCAINAMIDE (PROCAN) DO NOT USE,259,RC,00003-07-7550,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
PHENAZOPYRIDINE (PYRIDIUM) : 100 MG,637,RC,65162-06-8110,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
QuiNIDineSULFATE TAB : 200 MG,637,RC,42806-05-1330,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
QUINIDINE (QUINAGLUTE) TAB : 324 MG,637,RC,00591-55-3801,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
METOCLOPRAMIDE (REGLAN) TAB : 10MG,637,RC,60687-06-3111,NDC,,both,1,each,2.15,2.15,0.49,2.15,2.15,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,1.7,percent of total billed charges,1.7,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 ,1.7,percent of total billed charges ,1.7,percent of total billed charges ,1.83,percent of total billed charges ,1.83,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 ,,,,,,,,,,,,,,,,,,,0.49,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,
**METHOCARBAMOL(RABAXIN)TAB 750MG DO NOT,637,RC,00603-44-8621,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
DOXEPIN (SINEquan CAP : 10 MG,637,RC,69238-11-6609,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
**FLUDROCORTISONE(FLORINEF)TAB DO NOT US,637,RC,61570-01-9001,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
CARBENICILLIN (GEOCILLIN) TAB : 382 MG,637,RC,00049-14-3066,NDC,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
MORPHINE SOLN. (ROXANOL) : 20MG/ML 30ML,637,RC,27808-00-8201,NDC,,both,1,each,72.11,72.11,16.59,72.11,72.11,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,72.11,percent of total billed charges,72.11,percent of total billed charges,51.92,percent of total billed charges,51.92,percent of total billed charges,51.92,percent of total billed charges,51.92,percent of total billed charges,51.92,percent of total billed charges,51.92,percent of total billed charges,56.97,percent of total billed charges,56.97,percent of total billed charges,57.69,percent of total billed charges,57.69,percent of total billed charges,,,51.92,percent of total billed charges ,,,57.69,percent of total billed charges ,56.97,percent of total billed charges ,56.97,percent of total billed charges ,61.29,percent of total billed charges ,61.29,percent of total billed charges ,57.69,percent of total billed charges ,57.69,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 ,,,,,38.36,percent of total billed charges ,,,,,36.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.59,percent of total billed charges,,,16.59,percent of total billed charges,,,16.59,percent of total billed charges,,,16.59,percent of total billed charges,,,16.59,percent of total billed charges,,,16.59,percent of total billed charges,,,16.59,percent of total billed charges,,,16.59,percent of total billed charges,,,16.59,percent of total billed charges,,,16.59,percent of total billed charges,,,16.59,percent of total billed charges,
LABETALOL TAB : 100MG,637,RC,68001-03-8100,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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,
ISOSORBIDE (IMDUR) CR TAB : 60 MG*,637,RC,58177-02-3811,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
CarBAMazepineSUSP : 100MG/5ML  5ML,637,RC,68094-00-0759,NDC,,both,5,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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,
MORPHINE TAB EXT REL (MS CONTIN) : 60MG*,637,RC,60951-06-5570,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**THEOPHYLLINE LIQ 80MG,637,RC,00472-14-4416,NDC,,both,15,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
MORPHINE EXTENDED RELEASE 100MG,637,RC,00406-83-9001,NDC,,both,1,each,13,13,2.99,13,13,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,10.27,percent of total billed charges,10.27,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 ,10.27,percent of total billed charges ,10.27,percent of total billed charges ,11.05,percent of total billed charges ,11.05,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 ,,,,,,,,,,,,,,,,,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,
**OXCHLOROSENE (CLORPACTIN) DO NOT USE,259,RC,00327-00-0110,NDC,,both,,,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
NAPHAZOLINE-PHENIRAMINE OPTH SOLN: 15ML,637,RC,00065-00-8515,NDC,,both,1,each,45,45,10.35,45,45,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,35.55,percent of total billed charges,35.55,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 ,35.55,percent of total billed charges ,35.55,percent of total billed charges ,38.25,percent of total billed charges ,38.25,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 ,,,,,,,,,,,,,,,,,,,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,
TRIAMCINOLONE ACET 0.1% CREAM 1 LB,637,RC,00168-00-0416,NDC,,both,1,each,31,31,7.13,31,31,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,24.49,percent of total billed charges,24.49,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 ,24.49,percent of total billed charges ,24.49,percent of total billed charges ,26.35,percent of total billed charges ,26.35,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 ,,,,,,,,,,,,,,,,,,,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,
**BALANCED SAL SOLUTION 500ML DO NOT USE,Local ,Local ,,,,both,,,119,119,27.37,119,119,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,94.01,percent of total billed charges,94.01,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 ,94.01,percent of total billed charges ,94.01,percent of total billed charges ,101.15,percent of total billed charges ,101.15,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 ,,,,,,,,,,,,,,,,,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,
**CICLOPIROX (PENLOC) SOL DO NOT USE,259,RC,00066-80-0801,NDC,,both,1,each,316,316,72.68,316,316,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,249.64,percent of total billed charges,249.64,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 ,249.64,percent of total billed charges ,249.64,percent of total billed charges ,268.6,percent of total billed charges ,268.6,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,72.68,percent of total billed charges,,,72.68,percent of total billed charges,,,72.68,percent of total billed charges,
PROPARACAINE 0.5% OPTH : 15ML,250,RC,61314-00-1601,NDC,,both,1,each,176.29,176.29,40.55,176.29,176.29,percent of total billed charges,176.29,percent of total billed charges,176.29,percent of total billed charges,176.29,percent of total billed charges,176.29,percent of total billed charges,176.29,percent of total billed charges,176.29,percent of total billed charges,176.29,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,139.27,percent of total billed charges,139.27,percent of total billed charges,141.03,percent of total billed charges,141.03,percent of total billed charges,,,126.93,percent of total billed charges ,,,141.03,percent of total billed charges ,139.27,percent of total billed charges ,139.27,percent of total billed charges ,149.85,percent of total billed charges ,149.85,percent of total billed charges ,141.03,percent of total billed charges ,141.03,percent of total billed charges ,123.4,percent of total billed charges ,123.4,percent of total billed charges ,105.77,percent of total billed charges ,105.77,percent of total billed charges ,105.77,percent of total billed charges ,105.77,percent of total billed charges ,,,,,93.79,percent of total billed charges ,,,,,89.1,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,,,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,
**DIAZEPAM (DIASTAT) KIT 5MG DO NOT USE,259,RC,66490-06-5120,NDC,,both,,,424,424,97.52,424,424,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,334.96,percent of total billed charges,334.96,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 ,334.96,percent of total billed charges ,334.96,percent of total billed charges ,360.4,percent of total billed charges ,360.4,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 ,,,,,,,,,,,,,,,,,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,
ADVAIR 50-500 DISKHALER : 14D EACH,637,RC,00173-06-9704,NDC,,both,1,each,487.31,487.31,112.08,487.31,487.31,percent of total billed charges,487.31,percent of total billed charges,487.31,percent of total billed charges,487.31,percent of total billed charges,487.31,percent of total billed charges,487.31,percent of total billed charges,487.31,percent of total billed charges,487.31,percent of total billed charges,350.86,percent of total billed charges,350.86,percent of total billed charges,350.86,percent of total billed charges,350.86,percent of total billed charges,350.86,percent of total billed charges,350.86,percent of total billed charges,384.97,percent of total billed charges,384.97,percent of total billed charges,389.85,percent of total billed charges,389.85,percent of total billed charges,,,350.86,percent of total billed charges ,,,389.85,percent of total billed charges ,384.97,percent of total billed charges ,384.97,percent of total billed charges ,414.21,percent of total billed charges ,414.21,percent of total billed charges ,389.85,percent of total billed charges ,389.85,percent of total billed charges ,341.12,percent of total billed charges ,341.12,percent of total billed charges ,292.39,percent of total billed charges ,292.39,percent of total billed charges ,292.39,percent of total billed charges ,292.39,percent of total billed charges ,,,,,259.25,percent of total billed charges ,,,,,246.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,112.08,percent of total billed charges,,,112.08,percent of total billed charges,,,112.08,percent of total billed charges,,,112.08,percent of total billed charges,,,112.08,percent of total billed charges,,,112.08,percent of total billed charges,,,112.08,percent of total billed charges,,,112.08,percent of total billed charges,,,112.08,percent of total billed charges,,,112.08,percent of total billed charges,,,112.08,percent of total billed charges,
**ATROVENT NASAL 15ML DO NOT USE,259,RC,00597-00-8676,NDC,,both,1,each,185,185,42.55,185,185,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,146.15,percent of total billed charges,146.15,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 ,146.15,percent of total billed charges ,146.15,percent of total billed charges ,157.25,percent of total billed charges ,157.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,42.55,percent of total billed charges,,,42.55,percent of total billed charges,,,42.55,percent of total billed charges,
ADVAIR 50-100 DISKHALER : 14D EACH,637,RC,00173-06-9504,NDC,,both,1,each,445.08,445.08,102.37,445.08,445.08,percent of total billed charges,445.08,percent of total billed charges,445.08,percent of total billed charges,445.08,percent of total billed charges,445.08,percent of total billed charges,445.08,percent of total billed charges,445.08,percent of total billed charges,445.08,percent of total billed charges,320.46,percent of total billed charges,320.46,percent of total billed charges,320.46,percent of total billed charges,320.46,percent of total billed charges,320.46,percent of total billed charges,320.46,percent of total billed charges,351.61,percent of total billed charges,351.61,percent of total billed charges,356.06,percent of total billed charges,356.06,percent of total billed charges,,,320.46,percent of total billed charges ,,,356.06,percent of total billed charges ,351.61,percent of total billed charges ,351.61,percent of total billed charges ,378.32,percent of total billed charges ,378.32,percent of total billed charges ,356.06,percent of total billed charges ,356.06,percent of total billed charges ,311.56,percent of total billed charges ,311.56,percent of total billed charges ,267.05,percent of total billed charges ,267.05,percent of total billed charges ,267.05,percent of total billed charges ,267.05,percent of total billed charges ,,,,,236.78,percent of total billed charges ,,,,,224.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,102.37,percent of total billed charges,,,102.37,percent of total billed charges,,,102.37,percent of total billed charges,,,102.37,percent of total billed charges,,,102.37,percent of total billed charges,,,102.37,percent of total billed charges,,,102.37,percent of total billed charges,,,102.37,percent of total billed charges,,,102.37,percent of total billed charges,,,102.37,percent of total billed charges,,,102.37,percent of total billed charges,
TOBRADEX OPTH OINT : 3.5GM,637,RC,00078-08-7601,NDC,,both,1,each,469,469,107.87,469,469,percent of total billed charges,469,percent of total billed charges,469,percent of total billed charges,469,percent of total billed charges,469,percent of total billed charges,469,percent of total billed charges,469,percent of total billed charges,469,percent of total billed charges,337.68,percent of total billed charges,337.68,percent of total billed charges,337.68,percent of total billed charges,337.68,percent of total billed charges,337.68,percent of total billed charges,337.68,percent of total billed charges,370.51,percent of total billed charges,370.51,percent of total billed charges,375.2,percent of total billed charges,375.2,percent of total billed charges,,,337.68,percent of total billed charges ,,,375.2,percent of total billed charges ,370.51,percent of total billed charges ,370.51,percent of total billed charges ,398.65,percent of total billed charges ,398.65,percent of total billed charges ,375.2,percent of total billed charges ,375.2,percent of total billed charges ,328.3,percent of total billed charges ,328.3,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 ,,,,,249.51,percent of total billed charges ,,,,,237.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,107.87,percent of total billed charges,,,107.87,percent of total billed charges,,,107.87,percent of total billed charges,,,107.87,percent of total billed charges,,,107.87,percent of total billed charges,,,107.87,percent of total billed charges,,,107.87,percent of total billed charges,,,107.87,percent of total billed charges,,,107.87,percent of total billed charges,,,107.87,percent of total billed charges,,,107.87,percent of total billed charges,
**BLEPHAMIDE OPTH OINT 3.5GM DO NOT USE,637,RC,00023-03-1304,NDC,,both,1,each,146,146,33.58,146,146,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,115.34,percent of total billed charges,115.34,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 ,115.34,percent of total billed charges ,115.34,percent of total billed charges ,124.1,percent of total billed charges ,124.1,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 ,,,,,,,,,,,,,,,,,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,
ADVAIR 50-250 DISKHALER : 14D EACH,637,RC,00054-03-2756,NDC,,both,1,each,370.53,370.53,85.22,370.53,370.53,percent of total billed charges,370.53,percent of total billed charges,370.53,percent of total billed charges,370.53,percent of total billed charges,370.53,percent of total billed charges,370.53,percent of total billed charges,370.53,percent of total billed charges,370.53,percent of total billed charges,266.78,percent of total billed charges,266.78,percent of total billed charges,266.78,percent of total billed charges,266.78,percent of total billed charges,266.78,percent of total billed charges,266.78,percent of total billed charges,292.72,percent of total billed charges,292.72,percent of total billed charges,296.42,percent of total billed charges,296.42,percent of total billed charges,,,266.78,percent of total billed charges ,,,296.42,percent of total billed charges ,292.72,percent of total billed charges ,292.72,percent of total billed charges ,314.95,percent of total billed charges ,314.95,percent of total billed charges ,296.42,percent of total billed charges ,296.42,percent of total billed charges ,259.37,percent of total billed charges ,259.37,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 ,,,,,197.12,percent of total billed charges ,,,,,187.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,85.22,percent of total billed charges,,,85.22,percent of total billed charges,,,85.22,percent of total billed charges,,,85.22,percent of total billed charges,,,85.22,percent of total billed charges,,,85.22,percent of total billed charges,,,85.22,percent of total billed charges,,,85.22,percent of total billed charges,,,85.22,percent of total billed charges,,,85.22,percent of total billed charges,,,85.22,percent of total billed charges,
**CEFPODOSIME SUSP 100MG/5ML DO NOT USE,637,RC,00009-36-1501,NDC,,both,1,each,356,356,81.88,356,356,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,281.24,percent of total billed charges,281.24,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 ,281.24,percent of total billed charges ,281.24,percent of total billed charges ,302.6,percent of total billed charges ,302.6,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 ,,,,,,,,,,,,,,,,,,,81.88,percent of total billed charges,,,81.88,percent of total billed charges,,,81.88,percent of total billed charges,,,81.88,percent of total billed charges,,,81.88,percent of total billed charges,,,81.88,percent of total billed charges,,,81.88,percent of total billed charges,,,81.88,percent of total billed charges,,,81.88,percent of total billed charges,,,81.88,percent of total billed charges,,,81.88,percent of total billed charges,
**KETORIFEN .25 (ZADITOR) DO NOT USE,259,RC,58768-01-0205,NDC,,both,1,each,141,141,32.43,141,141,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,111.39,percent of total billed charges,111.39,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 ,111.39,percent of total billed charges ,111.39,percent of total billed charges ,119.85,percent of total billed charges ,119.85,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 ,,,,,,,,,,,,,,,,,,,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,
MINERAL OIL (FLEET) ENEMA : 133ML,637,RC,00132-03-0140,NDC,,both,1,each,6.21,6.21,1.43,6.21,6.21,percent of total billed charges,6.21,percent of total billed charges,6.21,percent of total billed charges,6.21,percent of total billed charges,6.21,percent of total billed charges,6.21,percent of total billed charges,6.21,percent of total billed charges,6.21,percent of total billed charges,4.47,percent of total billed charges,4.47,percent of total billed charges,4.47,percent of total billed charges,4.47,percent of total billed charges,4.47,percent of total billed charges,4.47,percent of total billed charges,4.91,percent of total billed charges,4.91,percent of total billed charges,4.97,percent of total billed charges,4.97,percent of total billed charges,,,4.47,percent of total billed charges ,,,4.97,percent of total billed charges ,4.91,percent of total billed charges ,4.91,percent of total billed charges ,5.28,percent of total billed charges ,5.28,percent of total billed charges ,4.97,percent of total billed charges ,4.97,percent of total billed charges ,4.35,percent of total billed charges ,4.35,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 ,,,,,3.3,percent of total billed charges ,,,,,3.14,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,
**MESALAMINE(ROWASA)SUSP 60ML DO NOT USE,637,RC,68220-00-6607,NDC,,both,1,each,45,45,10.35,45,45,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,35.55,percent of total billed charges,35.55,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 ,35.55,percent of total billed charges ,35.55,percent of total billed charges ,38.25,percent of total billed charges ,38.25,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 ,,,,,,,,,,,,,,,,,,,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,
MetroNIDAZOLE 0.75%(METROGEL) GEL:45GM,637,RC,51672-41-1606,NDC,,both,1,each,168.93,168.93,38.85,168.93,168.93,percent of total billed charges,168.93,percent of total billed charges,168.93,percent of total billed charges,168.93,percent of total billed charges,168.93,percent of total billed charges,168.93,percent of total billed charges,168.93,percent of total billed charges,168.93,percent of total billed charges,121.63,percent of total billed charges,121.63,percent of total billed charges,121.63,percent of total billed charges,121.63,percent of total billed charges,121.63,percent of total billed charges,121.63,percent of total billed charges,133.45,percent of total billed charges,133.45,percent of total billed charges,135.14,percent of total billed charges,135.14,percent of total billed charges,,,121.63,percent of total billed charges ,,,135.14,percent of total billed charges ,133.45,percent of total billed charges ,133.45,percent of total billed charges ,143.59,percent of total billed charges ,143.59,percent of total billed charges ,135.14,percent of total billed charges ,135.14,percent of total billed charges ,118.25,percent of total billed charges ,118.25,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 ,,,,,89.87,percent of total billed charges ,,,,,85.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,38.85,percent of total billed charges,,,38.85,percent of total billed charges,,,38.85,percent of total billed charges,,,38.85,percent of total billed charges,,,38.85,percent of total billed charges,,,38.85,percent of total billed charges,,,38.85,percent of total billed charges,,,38.85,percent of total billed charges,,,38.85,percent of total billed charges,,,38.85,percent of total billed charges,,,38.85,percent of total billed charges,
**TRIAMCINOLONE 1% OINT: DO NOT USE,637,RC,00168-00-0680,NDC,,both,1,each,32,32,7.36,32,32,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,25.28,percent of total billed charges,25.28,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 ,25.28,percent of total billed charges ,25.28,percent of total billed charges ,27.2,percent of total billed charges ,27.2,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 ,,,,,,,,,,,,,,,,,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,
ASPERCREME/ALOE CREAM : 10%  5OZ,637,RC,41167-05-7204,NDC,,both,1,each,77.36,77.36,17.79,77.36,77.36,percent of total billed charges,77.36,percent of total billed charges,77.36,percent of total billed charges,77.36,percent of total billed charges,77.36,percent of total billed charges,77.36,percent of total billed charges,77.36,percent of total billed charges,77.36,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,61.11,percent of total billed charges,61.11,percent of total billed charges,61.89,percent of total billed charges,61.89,percent of total billed charges,,,55.7,percent of total billed charges ,,,61.89,percent of total billed charges ,61.11,percent of total billed charges ,61.11,percent of total billed charges ,65.76,percent of total billed charges ,65.76,percent of total billed charges ,61.89,percent of total billed charges ,61.89,percent of total billed charges ,54.15,percent of total billed charges ,54.15,percent of total billed charges ,46.42,percent of total billed charges ,46.42,percent of total billed charges ,46.42,percent of total billed charges ,46.42,percent of total billed charges ,,,,,41.16,percent of total billed charges ,,,,,39.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,17.79,percent of total billed charges,,,17.79,percent of total billed charges,,,17.79,percent of total billed charges,,,17.79,percent of total billed charges,,,17.79,percent of total billed charges,,,17.79,percent of total billed charges,,,17.79,percent of total billed charges,,,17.79,percent of total billed charges,,,17.79,percent of total billed charges,,,17.79,percent of total billed charges,,,17.79,percent of total billed charges,
**VANICREAM DO NOT UE,Local ,Local ,,,,both,,,33,33,7.59,33,33,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,26.07,percent of total billed charges,26.07,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 ,26.07,percent of total billed charges ,26.07,percent of total billed charges ,28.05,percent of total billed charges ,28.05,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 ,,,,,,,,,,,,,,,,,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,
**TESTOSTERONE OINT DO NOT USE,Local ,Local ,,,,both,,,97,97,22.31,97,97,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,76.63,percent of total billed charges,76.63,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 ,76.63,percent of total billed charges ,76.63,percent of total billed charges ,82.45,percent of total billed charges ,82.45,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 ,,,,,,,,,,,,,,,,,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,
**TIMOLOL XE .25% OPTH SOLN DO NOT USE,259,RC,00006-35-5732,NDC,,both,1,each,75,75,17.25,75,75,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,59.25,percent of total billed charges,59.25,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 ,59.25,percent of total billed charges ,59.25,percent of total billed charges ,63.75,percent of total billed charges ,63.75,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 ,,,,,,,,,,,,,,,,,,,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,,,17.25,percent of total billed charges,,,17.25,percent of total billed charges,,,17.25,percent of total billed charges,
(OLD)ALBUTEROL-IPRATROP(COMBIVENT) : 4GM,637,RC,00597-00-2402,NDC,,both,1,each,943.42,943.42,216.99,943.42,943.42,percent of total billed charges,943.42,percent of total billed charges,943.42,percent of total billed charges,943.42,percent of total billed charges,943.42,percent of total billed charges,943.42,percent of total billed charges,943.42,percent of total billed charges,943.42,percent of total billed charges,679.26,percent of total billed charges,679.26,percent of total billed charges,679.26,percent of total billed charges,679.26,percent of total billed charges,679.26,percent of total billed charges,679.26,percent of total billed charges,745.3,percent of total billed charges,745.3,percent of total billed charges,754.74,percent of total billed charges,754.74,percent of total billed charges,,,679.26,percent of total billed charges ,,,754.74,percent of total billed charges ,745.3,percent of total billed charges ,745.3,percent of total billed charges ,801.91,percent of total billed charges ,801.91,percent of total billed charges ,754.74,percent of total billed charges ,754.74,percent of total billed charges ,660.39,percent of total billed charges ,660.39,percent of total billed charges ,566.05,percent of total billed charges ,566.05,percent of total billed charges ,566.05,percent of total billed charges ,566.05,percent of total billed charges ,,,,,501.9,percent of total billed charges ,,,,,476.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,216.99,percent of total billed charges,,,216.99,percent of total billed charges,,,216.99,percent of total billed charges,,,216.99,percent of total billed charges,,,216.99,percent of total billed charges,,,216.99,percent of total billed charges,,,216.99,percent of total billed charges,,,216.99,percent of total billed charges,,,216.99,percent of total billed charges,,,216.99,percent of total billed charges,,,216.99,percent of total billed charges,
"DESFERAL INJ : 500MG/VIAL, 5ML",J0895,CDM,,,,both,1,each,91.75,91.75,21.1,91.75,91.75,percent of total billed charges,91.75,percent of total billed charges,91.75,percent of total billed charges,91.75,percent of total billed charges,91.75,percent of total billed charges,91.75,percent of total billed charges,91.75,percent of total billed charges,91.75,percent of total billed charges,66.06,percent of total billed charges,66.06,percent of total billed charges,66.06,percent of total billed charges,66.06,percent of total billed charges,66.06,percent of total billed charges,66.06,percent of total billed charges,72.48,percent of total billed charges,72.48,percent of total billed charges,73.4,percent of total billed charges,73.4,percent of total billed charges,,,66.06,percent of total billed charges ,,,73.4,percent of total billed charges ,72.48,percent of total billed charges ,72.48,percent of total billed charges ,77.99,percent of total billed charges ,77.99,percent of total billed charges ,73.4,percent of total billed charges ,73.4,percent of total billed charges ,64.23,percent of total billed charges ,64.23,percent of total billed charges ,55.05,percent of total billed charges ,55.05,percent of total billed charges ,55.05,percent of total billed charges ,55.05,percent of total billed charges ,,,,,48.81,percent of total billed charges ,,,,,46.37,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,,,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,
**MICONAZOLE 3 (MONISTAT) DO NOT USE:,259,RC,30062-54-3001,NDC,,both,,,93,93,21.39,93,93,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,73.47,percent of total billed charges,73.47,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 ,73.47,percent of total billed charges ,73.47,percent of total billed charges ,79.05,percent of total billed charges ,79.05,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 ,,,,,,,,,,,,,,,,,,,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,,,21.39,percent of total billed charges,,,21.39,percent of total billed charges,,,21.39,percent of total billed charges,
ESTROGEN CONJUGATED VAG CREAM :,637,RC,00046-08-7221,NDC,,both,1,each,891.87,891.87,205.13,891.87,891.87,percent of total billed charges,891.87,percent of total billed charges,891.87,percent of total billed charges,891.87,percent of total billed charges,891.87,percent of total billed charges,891.87,percent of total billed charges,891.87,percent of total billed charges,891.87,percent of total billed charges,642.15,percent of total billed charges,642.15,percent of total billed charges,642.15,percent of total billed charges,642.15,percent of total billed charges,642.15,percent of total billed charges,642.15,percent of total billed charges,704.58,percent of total billed charges,704.58,percent of total billed charges,713.5,percent of total billed charges,713.5,percent of total billed charges,,,642.15,percent of total billed charges ,,,713.5,percent of total billed charges ,704.58,percent of total billed charges ,704.58,percent of total billed charges ,758.09,percent of total billed charges ,758.09,percent of total billed charges ,713.5,percent of total billed charges ,713.5,percent of total billed charges ,624.31,percent of total billed charges ,624.31,percent of total billed charges ,535.12,percent of total billed charges ,535.12,percent of total billed charges ,535.12,percent of total billed charges ,535.12,percent of total billed charges ,,,,,474.47,percent of total billed charges ,,,,,450.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,205.13,percent of total billed charges,,,205.13,percent of total billed charges,,,205.13,percent of total billed charges,,,205.13,percent of total billed charges,,,205.13,percent of total billed charges,,,205.13,percent of total billed charges,,,205.13,percent of total billed charges,,,205.13,percent of total billed charges,,,205.13,percent of total billed charges,,,205.13,percent of total billed charges,,,205.13,percent of total billed charges,
FLUNISOLIDE (AEROBID) INHALER : 7GM,637,RC,00456-06-7299,NDC,,both,1,each,161,161,37.03,161,161,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,127.19,percent of total billed charges,127.19,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 ,127.19,percent of total billed charges ,127.19,percent of total billed charges ,136.85,percent of total billed charges ,136.85,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 ,,,,,,,,,,,,,,,,,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,
WITCH HAZEL (TUCKS) PADS : 1 JAR,250,RC,00904-68-2960,NDC,,both,1,each,48.46,48.46,11.15,48.46,48.46,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,48.46,percent of total billed charges,48.46,percent of total billed charges,34.89,percent of total billed charges,34.89,percent of total billed charges,34.89,percent of total billed charges,34.89,percent of total billed charges,34.89,percent of total billed charges,34.89,percent of total billed charges,38.28,percent of total billed charges,38.28,percent of total billed charges,38.77,percent of total billed charges,38.77,percent of total billed charges,,,34.89,percent of total billed charges ,,,38.77,percent of total billed charges ,38.28,percent of total billed charges ,38.28,percent of total billed charges ,41.19,percent of total billed charges ,41.19,percent of total billed charges ,38.77,percent of total billed charges ,38.77,percent of total billed charges ,33.92,percent of total billed charges ,33.92,percent of total billed charges ,29.08,percent of total billed charges ,29.08,percent of total billed charges ,29.08,percent of total billed charges ,29.08,percent of total billed charges ,,,,,25.78,percent of total billed charges ,,,,,24.49,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,
**TRIPLE SULFA VA CR DO NOT USE,259,RC,00168-00-1833,NDC,,both,1,each,50,50,11.5,50,50,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,39.5,percent of total billed charges,39.5,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 ,39.5,percent of total billed charges ,39.5,percent of total billed charges ,42.5,percent of total billed charges ,42.5,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 ,,,,,,,,,,,,,,,,,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,
**METRONIDZAOLE (METROGEL) DO NOT USE,259,RC,00089-02-0025,NDC,,both,,,177,177,40.71,177,177,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,139.83,percent of total billed charges,139.83,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 ,139.83,percent of total billed charges ,139.83,percent of total billed charges ,150.45,percent of total billed charges ,150.45,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 ,,,,,,,,,,,,,,,,,,,40.71,percent of total billed charges,,,40.71,percent of total billed charges,,,40.71,percent of total billed charges,,,40.71,percent of total billed charges,,,40.71,percent of total billed charges,,,40.71,percent of total billed charges,,,40.71,percent of total billed charges,,,40.71,percent of total billed charges,,,40.71,percent of total billed charges,,,40.71,percent of total billed charges,,,40.71,percent of total billed charges,
AMITRIPTYLINE TAB : 10 MG,637,RC,29300-04-1901,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
CEFUROXIME (CEFTIN) TAB : 250 MG,637,RC,67877-02-1560,NDC,,both,1,each,6,6,1.38,6,6,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,4.74,percent of total billed charges,4.74,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 ,4.74,percent of total billed charges ,4.74,percent of total billed charges ,5.1,percent of total billed charges ,5.1,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 ,,,,,,,,,,,,,,,,,,,1.38,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,
**DISULFIRAM(ANTABUSE)TAB 250MG DO NOT U,637,RC,00781-10-6001,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
IRBESARTAN (AVAPRO) TAB : 150MG,637,RC,33342-00-4807,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
SULFASALAZINE (AZULFIDINE) TAB : 500 MG,637,RC,00013-01-0111,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
BUMETANIDE (BUMEX) TAB : 0.5MG*,637,RC,51079-09-8520,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
CloNIDine (CATAPRES) TAB : 0.1MG,637,RC,68001-02-3700,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
CloNIDine (CATAPRES-TTS-1) PTCH: 0.1MG,637,RC,00591-35-0804,NDC,,both,1,each,74,74,17.02,74,74,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,58.46,percent of total billed charges,58.46,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 ,58.46,percent of total billed charges ,58.46,percent of total billed charges ,62.9,percent of total billed charges ,62.9,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 ,,,,,,,,,,,,,,,,,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,
CloNIDine (CATAPRES-TTS-2) PTCH : 0.2MG,637,RC,51862-04-5404,NDC,,both,1,each,47.66,47.66,10.96,47.66,47.66,percent of total billed charges,47.66,percent of total billed charges,47.66,percent of total billed charges,47.66,percent of total billed charges,47.66,percent of total billed charges,47.66,percent of total billed charges,47.66,percent of total billed charges,47.66,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,37.65,percent of total billed charges,37.65,percent of total billed charges,38.13,percent of total billed charges,38.13,percent of total billed charges,,,34.32,percent of total billed charges ,,,38.13,percent of total billed charges ,37.65,percent of total billed charges ,37.65,percent of total billed charges ,40.51,percent of total billed charges ,40.51,percent of total billed charges ,38.13,percent of total billed charges ,38.13,percent of total billed charges ,33.36,percent of total billed charges ,33.36,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 ,,,,,,,,,,,,,,,,,,,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,
CLINDAMYCIN (CLEOCIN) CAP : 150MG,637,RC,42292-00-1820,NDC,,both,1,each,0.87,0.87,0.2,0.87,0.87,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,0.63,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,0.69,percent of total billed charges,0.69,percent of total billed charges,0.7,percent of total billed charges,0.7,percent of total billed charges,,,0.63,percent of total billed charges ,,,0.7,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 ,0.7,percent of total billed charges ,0.7,percent of total billed charges ,0.61,percent of total billed charges ,0.61,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 ,,,,,0.44,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,
**SULINDAC (CLINORIL) TAB DO NOT USE.,259,RC,00591-56-6101,NDC,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
**SULINDAC (CLINORIL) TAB DO NOT USE,259,RC,00591-56-6001,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
COLCHICINE (COLCRYS) TAB : 0.6MG,637,RC,00591-25-6201,NDC,,both,1,each,32,32,7.36,32,32,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,25.28,percent of total billed charges,25.28,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 ,25.28,percent of total billed charges ,25.28,percent of total billed charges ,27.2,percent of total billed charges ,27.2,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 ,,,,,,,,,,,,,,,,,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,
NADOLOL (CORGARD) TAB : 40 MG,637,RC,60687-03-1325,NDC,,both,1,each,12,12,2.76,12,12,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,9.48,percent of total billed charges,9.48,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 ,9.48,percent of total billed charges ,9.48,percent of total billed charges ,10.2,percent of total billed charges ,10.2,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 ,,,,,,,,,,,,,,,,,,,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,
**NADOLOL (CORGARD) TAB DO NOT USE,259,RC,00003-02-4155,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**CHLORPHENIRAM TAB 4 MG DO NOT USE,259,RC,00182-04-7101,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
GLUCOSE ORAL GEL,250,RC,00574-00-6915,NDC,,both,1,each,10.21,10.21,2.35,10.21,10.21,percent of total billed charges,10.21,percent of total billed charges,10.21,percent of total billed charges,10.21,percent of total billed charges,10.21,percent of total billed charges,10.21,percent of total billed charges,10.21,percent of total billed charges,10.21,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,8.07,percent of total billed charges,8.07,percent of total billed charges,8.17,percent of total billed charges,8.17,percent of total billed charges,,,7.35,percent of total billed charges ,,,8.17,percent of total billed charges ,8.07,percent of total billed charges ,8.07,percent of total billed charges ,8.68,percent of total billed charges ,8.68,percent of total billed charges ,8.17,percent of total billed charges ,8.17,percent of total billed charges ,7.15,percent of total billed charges ,7.15,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 ,,,,,5.43,percent of total billed charges ,,,,,5.16,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,
**HYOSCYAMINE(CYSTOSPAZ)TAB DO NOT USE,637,RC,61451-22-2501,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
DANTROLENE (DANTRIUM) CAP : 25MG,637,RC,00149-00-3005,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**PROPOXYPHONE NAPSYLA DO NOT USE,Local ,Local ,,,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
DEMECLOCYCLINE (DECLOMYCIN) TAB : 300 MG,637,RC,60687-07-0511,NDC,,both,1,each,18,18,4.14,18,18,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,14.22,percent of total billed charges,14.22,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 ,14.22,percent of total billed charges ,14.22,percent of total billed charges ,15.3,percent of total billed charges ,15.3,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 ,,,,,,,,,,,,,,,,,,,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,,,4.14,percent of total billed charges,,,4.14,percent of total billed charges,,,4.14,percent of total billed charges,
DIVALPROEX (DEPAKOTE) TAB : 250 MG DR,637,RC,68001-01-0500,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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,
AcetaZOLAMIDE (DIAMOX) TAB : 250 MG,637,RC,00527-10-5001,NDC,,both,1,each,6,6,1.38,6,6,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,4.74,percent of total billed charges,4.74,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 ,4.74,percent of total billed charges ,4.74,percent of total billed charges ,5.1,percent of total billed charges ,5.1,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 ,,,,,,,,,,,,,,,,,,,1.38,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,
PHENYTOIN (DILANTIN) CHEW TAB : 50 MG,637,RC,60687-01-5625,NDC,,both,1,each,6.2,6.2,1.43,6.2,6.2,percent of total billed charges,6.2,percent of total billed charges,6.2,percent of total billed charges,6.2,percent of total billed charges,6.2,percent of total billed charges,6.2,percent of total billed charges,6.2,percent of total billed charges,6.2,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,4.9,percent of total billed charges,4.9,percent of total billed charges,4.96,percent of total billed charges,4.96,percent of total billed charges,,,4.46,percent of total billed charges ,,,4.96,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,5.27,percent of total billed charges ,5.27,percent of total billed charges ,4.96,percent of total billed charges ,4.96,percent of total billed charges ,4.34,percent of total billed charges ,4.34,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 ,,,,,3.3,percent of total billed charges ,,,,,3.13,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,
**SALSALATE (DISALICID) DO NOT USE,259,RC,57664-01-0308,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**SALSALATE (DISALICID) DO NOT USE,259,RC,57664-01-0508,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
oxyBUTYnin (DITROPAN) TAB : 5 MG,637,RC,00904-70-2761,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
METOLAZONE (ZAROXOLYN) TAB : 5 MG,637,RC,65580-06-4471,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
CHLOROTHIAZIDE TAB : 500 MG,637,RC,00378-01-6201,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**TASMAR 100 MG DO NOT USE,259,RC,00004-59-2001,NDC,,both,,,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
DICLOXACILLIN (DYNAPEN) CAP : 250 MG,637,RC,00093-31-2301,NDC,,both,1,each,1.94,1.94,0.45,1.94,1.94,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,1.53,percent of total billed charges,1.53,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 ,1.53,percent of total billed charges ,1.53,percent of total billed charges ,1.65,percent of total billed charges ,1.65,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 ,,,,,,,,,,,,,,,,,,,0.45,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,
**TRIAMETERENE 500 MG CAP DO NOT USE,Local ,Local ,,,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
CLOBETASOL (TEMOVATE) OINT: 0.05% 30GM,637,RC,00168-01-6215,NDC,,both,1,each,21,21,4.83,21,21,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,16.59,percent of total billed charges,16.59,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 ,16.59,percent of total billed charges ,16.59,percent of total billed charges ,17.85,percent of total billed charges ,17.85,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 ,,,,,,,,,,,,,,,,,,,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,
**NIZORAL SHAMPOO DO NOT USE,Local ,Local ,,,,both,,,125,125,28.75,125,125,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,98.75,percent of total billed charges,98.75,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 ,98.75,percent of total billed charges ,98.75,percent of total billed charges ,106.25,percent of total billed charges ,106.25,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 ,,,,,,,,,,,,,,,,,,,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,,,28.75,percent of total billed charges,,,28.75,percent of total billed charges,,,28.75,percent of total billed charges,
**SANTYL OINT 30GM DO NOT USE,250,RC,50484-05-2730,NDC,,both,,,397,397,91.31,397,397,percent of total billed charges,397,percent of total billed charges,397,percent of total billed charges,397,percent of total billed charges,397,percent of total billed charges,397,percent of total billed charges,397,percent of total billed charges,397,percent of total billed charges,285.84,percent of total billed charges,285.84,percent of total billed charges,285.84,percent of total billed charges,285.84,percent of total billed charges,285.84,percent of total billed charges,285.84,percent of total billed charges,313.63,percent of total billed charges,313.63,percent of total billed charges,317.6,percent of total billed charges,317.6,percent of total billed charges,,,285.84,percent of total billed charges ,,,317.6,percent of total billed charges ,313.63,percent of total billed charges ,313.63,percent of total billed charges ,337.45,percent of total billed charges ,337.45,percent of total billed charges ,317.6,percent of total billed charges ,317.6,percent of total billed charges ,277.9,percent of total billed charges ,277.9,percent of total billed charges ,238.2,percent of total billed charges ,238.2,percent of total billed charges ,238.2,percent of total billed charges ,238.2,percent of total billed charges ,,,,,211.2,percent of total billed charges ,,,,,200.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,91.31,percent of total billed charges,,,91.31,percent of total billed charges,,,91.31,percent of total billed charges,,,91.31,percent of total billed charges,,,91.31,percent of total billed charges,,,91.31,percent of total billed charges,,,91.31,percent of total billed charges,,,91.31,percent of total billed charges,,,91.31,percent of total billed charges,,,91.31,percent of total billed charges,,,91.31,percent of total billed charges,
POLYMYXIN/BACITRICIN PWDR : 10GM*DISC*,250,RC,05823-24-0331,NDC,,both,1,each,49,49,11.27,49,49,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,38.71,percent of total billed charges,38.71,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 ,38.71,percent of total billed charges ,38.71,percent of total billed charges ,41.65,percent of total billed charges ,41.65,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 ,,,,,,,,,,,,,,,,,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,
IPRATROPIUM (ATROVENT) INH SOLN 0.5MG UD,250,RC,60687-03-9479,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
**VANERIL INHALER DO NOT USE,259,RC,00085-07-3604,NDC,,both,1,each,201,201,46.23,201,201,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,158.79,percent of total billed charges,158.79,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 ,158.79,percent of total billed charges ,158.79,percent of total billed charges ,170.85,percent of total billed charges ,170.85,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 ,,,,,,,,,,,,,,,,,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,
ALBUTEROL INHALER : PER CANISTER,637,RC,59310-05-7920,NDC,,both,1,each,76,76,17.48,76,76,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,60.04,percent of total billed charges,60.04,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 ,60.04,percent of total billed charges ,60.04,percent of total billed charges ,64.6,percent of total billed charges ,64.6,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 ,,,,,,,,,,,,,,,,,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,
**DOCUSATE CASNOT AVAIL DO NOT USE,250,RC,00713-04-0699,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
ACETYLCYSTEINE 20% NEB SOLN,250,RC,63323-06-9210,NDC,,both,,,53.11,53.11,12.22,53.11,53.11,percent of total billed charges,53.11,percent of total billed charges,53.11,percent of total billed charges,53.11,percent of total billed charges,53.11,percent of total billed charges,53.11,percent of total billed charges,53.11,percent of total billed charges,53.11,percent of total billed charges,38.24,percent of total billed charges,38.24,percent of total billed charges,38.24,percent of total billed charges,38.24,percent of total billed charges,38.24,percent of total billed charges,38.24,percent of total billed charges,41.96,percent of total billed charges,41.96,percent of total billed charges,42.49,percent of total billed charges,42.49,percent of total billed charges,,,38.24,percent of total billed charges ,,,42.49,percent of total billed charges ,41.96,percent of total billed charges ,41.96,percent of total billed charges ,45.14,percent of total billed charges ,45.14,percent of total billed charges ,42.49,percent of total billed charges ,42.49,percent of total billed charges ,37.18,percent of total billed charges ,37.18,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 ,,,,,28.25,percent of total billed charges ,,,,,26.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.22,percent of total billed charges,,,12.22,percent of total billed charges,,,12.22,percent of total billed charges,,,12.22,percent of total billed charges,,,12.22,percent of total billed charges,,,12.22,percent of total billed charges,,,12.22,percent of total billed charges,,,12.22,percent of total billed charges,,,12.22,percent of total billed charges,,,12.22,percent of total billed charges,,,12.22,percent of total billed charges,
**CROMOLYN (INTAL) INH DO NOT USE,259,RC,00585-06-7502,NDC,,both,1,each,236,236,54.28,236,236,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,186.44,percent of total billed charges,186.44,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 ,186.44,percent of total billed charges ,186.44,percent of total billed charges ,200.6,percent of total billed charges ,200.6,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 ,,,,,,,,,,,,,,,,,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,
TRIAMCINOLONE (AZMACORT) INH : 20GM*,637,RC,00074-30-1460,NDC,,both,1,each,267,267,61.41,267,267,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,210.93,percent of total billed charges,210.93,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 ,210.93,percent of total billed charges ,210.93,percent of total billed charges ,226.95,percent of total billed charges ,226.95,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 ,,,,,,,,,,,,,,,,,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,
IPRATROPIUM (ATROVENT) INHALER : 14GM,250,RC,00597-00-8214,NDC,,both,1,each,220,220,50.6,220,220,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,173.8,percent of total billed charges,173.8,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 ,173.8,percent of total billed charges ,173.8,percent of total billed charges ,187,percent of total billed charges ,187,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
ALBUTEROL INHA PREMIX SOLN : 2.5MG/3ML,637,RC,60687-03-9583,NDC,,both,1,each,0.96,0.96,0.22,0.96,0.96,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,0.69,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,0.76,percent of total billed charges,0.76,percent of total billed charges,0.77,percent of total billed charges,0.77,percent of total billed charges,,,0.69,percent of total billed charges ,,,0.77,percent of total billed charges ,0.76,percent of total billed charges ,0.76,percent of total billed charges ,0.82,percent of total billed charges ,0.82,percent of total billed charges ,0.77,percent of total billed charges ,0.77,percent of total billed charges ,0.67,percent of total billed charges ,0.67,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 ,,,,,0.51,percent of total billed charges ,,,,,0.49,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,
CLOTRIMAZOLE(GYNE-LOTRIMIN)CREAM : 45GM,637,RC,51672-20-0306,NDC,,both,1,each,39,39,8.97,39,39,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,39,percent of total billed charges,39,percent of total billed charges,39,percent of total billed charges,28.08,percent of total billed charges,28.08,percent of total billed charges,28.08,percent of total billed charges,28.08,percent of total billed charges,28.08,percent of total billed charges,28.08,percent of total billed charges,30.81,percent of total billed charges,30.81,percent of total billed charges,31.2,percent of total billed charges,31.2,percent of total billed charges,,,28.08,percent of total billed charges ,,,31.2,percent of total billed charges ,30.81,percent of total billed charges ,30.81,percent of total billed charges ,33.15,percent of total billed charges ,33.15,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,27.3,percent of total billed charges ,27.3,percent of total billed charges ,23.4,percent of total billed charges ,23.4,percent of total billed charges ,23.4,percent of total billed charges ,23.4,percent of total billed charges ,,,,,20.75,percent of total billed charges ,,,,,19.71,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,,,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,,,8.97,percent of total billed charges,,,8.97,percent of total billed charges,,,8.97,percent of total billed charges,
GLY-OXIDE LIQ : 15ML,637,RC,42037-01-0475,NDC,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
SODIUM CL INHALATION SOLN : 3 ML UD,636,RC,49502-08-3003,NDC,,both,1,each,52,52,11.96,52,52,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,41.08,percent of total billed charges,41.08,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 ,41.08,percent of total billed charges ,41.08,percent of total billed charges ,44.2,percent of total billed charges ,44.2,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 ,,,,,,,,,,,,,,,,,,,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,
MICONAZOLE 2% (MONISTAT) VAG CREM :45GM,637,RC,61269-07-3063,NDC,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
**TERBUTALINE SULF INJ DO NOT USE,Local ,Local ,,,,both,,,146,146,33.58,146,146,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,115.34,percent of total billed charges,115.34,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 ,115.34,percent of total billed charges ,115.34,percent of total billed charges ,124.1,percent of total billed charges ,124.1,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 ,,,,,,,,,,,,,,,,,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,
**POVIDONE (BETADINE) DO NOT USE,259,RC,00034-23-2010,NDC,,both,,,12,12,2.76,12,12,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,9.48,percent of total billed charges,9.48,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 ,9.48,percent of total billed charges ,9.48,percent of total billed charges ,10.2,percent of total billed charges ,10.2,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 ,,,,,,,,,,,,,,,,,,,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,
MUPIROCIN (BACTROBAN) 2% OINT : 22GM,250,RC,68462-01-8022,NDC,,both,1,each,42.66,42.66,9.81,42.66,42.66,percent of total billed charges,42.66,percent of total billed charges,42.66,percent of total billed charges,42.66,percent of total billed charges,42.66,percent of total billed charges,42.66,percent of total billed charges,42.66,percent of total billed charges,42.66,percent of total billed charges,30.72,percent of total billed charges,30.72,percent of total billed charges,30.72,percent of total billed charges,30.72,percent of total billed charges,30.72,percent of total billed charges,30.72,percent of total billed charges,33.7,percent of total billed charges,33.7,percent of total billed charges,34.13,percent of total billed charges,34.13,percent of total billed charges,,,30.72,percent of total billed charges ,,,34.13,percent of total billed charges ,33.7,percent of total billed charges ,33.7,percent of total billed charges ,36.26,percent of total billed charges ,36.26,percent of total billed charges ,34.13,percent of total billed charges ,34.13,percent of total billed charges ,29.86,percent of total billed charges ,29.86,percent of total billed charges ,25.6,percent of total billed charges ,25.6,percent of total billed charges ,25.6,percent of total billed charges ,25.6,percent of total billed charges ,,,,,22.7,percent of total billed charges ,,,,,21.56,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,
OPTICHAMBER ADV CHAMBER DEVICE,637,RC,42135-01-0008,NDC,,both,,,60.52,60.52,13.92,60.52,60.52,percent of total billed charges,60.52,percent of total billed charges,60.52,percent of total billed charges,60.52,percent of total billed charges,60.52,percent of total billed charges,60.52,percent of total billed charges,60.52,percent of total billed charges,60.52,percent of total billed charges,43.57,percent of total billed charges,43.57,percent of total billed charges,43.57,percent of total billed charges,43.57,percent of total billed charges,43.57,percent of total billed charges,43.57,percent of total billed charges,47.81,percent of total billed charges,47.81,percent of total billed charges,48.42,percent of total billed charges,48.42,percent of total billed charges,,,43.57,percent of total billed charges ,,,48.42,percent of total billed charges ,47.81,percent of total billed charges ,47.81,percent of total billed charges ,51.44,percent of total billed charges ,51.44,percent of total billed charges ,48.42,percent of total billed charges ,48.42,percent of total billed charges ,42.36,percent of total billed charges ,42.36,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 ,,,,,32.2,percent of total billed charges ,,,,,30.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.92,percent of total billed charges,,,13.92,percent of total billed charges,,,13.92,percent of total billed charges,,,13.92,percent of total billed charges,,,13.92,percent of total billed charges,,,13.92,percent of total billed charges,,,13.92,percent of total billed charges,,,13.92,percent of total billed charges,,,13.92,percent of total billed charges,,,13.92,percent of total billed charges,,,13.92,percent of total billed charges,
**AVC VAG CREAM: 120GM DO NOT USE,259,RC,66500-01-0304,NDC,,both,1,each,147,147,33.81,147,147,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,116.13,percent of total billed charges,116.13,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 ,116.13,percent of total billed charges ,116.13,percent of total billed charges ,124.95,percent of total billed charges ,124.95,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 ,,,,,,,,,,,,,,,,,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,
**MONISTAT DUAL PK DO NOT USE,Local ,Local ,,,,both,,,93,93,21.39,93,93,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,73.47,percent of total billed charges,73.47,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 ,73.47,percent of total billed charges ,73.47,percent of total billed charges ,79.05,percent of total billed charges ,79.05,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 ,,,,,,,,,,,,,,,,,,,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,,,21.39,percent of total billed charges,,,21.39,percent of total billed charges,,,21.39,percent of total billed charges,
METAPROTERENOL INHALER : 14GM,250,RC,00597-00-7017,NDC,,both,1,each,150,150,34.5,150,150,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,118.5,percent of total billed charges,118.5,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 ,118.5,percent of total billed charges ,118.5,percent of total billed charges ,127.5,percent of total billed charges ,127.5,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 ,,,,,,,,,,,,,,,,,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,
LIDOCAINE VISCOUS 2% ORAL : 20ML UD,637,RC,50383-07-7504,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
BICITRA : 30ML UD,250,RC,00121-11-9030,NDC,,both,30,each,16.23,16.23,3.73,16.23,16.23,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,12.82,percent of total billed charges,12.82,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 ,12.82,percent of total billed charges ,12.82,percent of total billed charges ,13.8,percent of total billed charges ,13.8,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 ,,,,,,,,,,,,,,,,,,,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,,,3.73,percent of total billed charges,,,3.73,percent of total billed charges,,,3.73,percent of total billed charges,
**NEDOCROMIL (TILADE) DO NOT USE,259,RC,60793-01-2001,NDC,,both,,,201,201,46.23,201,201,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,158.79,percent of total billed charges,158.79,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 ,158.79,percent of total billed charges ,158.79,percent of total billed charges ,170.85,percent of total billed charges ,170.85,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 ,,,,,,,,,,,,,,,,,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,
AMLACTIN 12% LOT : 225GM,250,RC,00245-00-2322,NDC,,both,1,each,116.86,116.86,26.88,116.86,116.86,percent of total billed charges,116.86,percent of total billed charges,116.86,percent of total billed charges,116.86,percent of total billed charges,116.86,percent of total billed charges,116.86,percent of total billed charges,116.86,percent of total billed charges,116.86,percent of total billed charges,84.14,percent of total billed charges,84.14,percent of total billed charges,84.14,percent of total billed charges,84.14,percent of total billed charges,84.14,percent of total billed charges,84.14,percent of total billed charges,92.32,percent of total billed charges,92.32,percent of total billed charges,93.49,percent of total billed charges,93.49,percent of total billed charges,,,84.14,percent of total billed charges ,,,93.49,percent of total billed charges ,92.32,percent of total billed charges ,92.32,percent of total billed charges ,99.33,percent of total billed charges ,99.33,percent of total billed charges ,93.49,percent of total billed charges ,93.49,percent of total billed charges ,81.8,percent of total billed charges ,81.8,percent of total billed charges ,70.12,percent of total billed charges ,70.12,percent of total billed charges ,70.12,percent of total billed charges ,70.12,percent of total billed charges ,,,,,62.17,percent of total billed charges ,,,,,59.06,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,
DUODERM CGF 4X4 DRESSING : 1 SHEET,272,RC,68455-01-0693,NDC,,both,1,each,12,12,2.76,12,12,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,9.48,percent of total billed charges,9.48,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 ,9.48,percent of total billed charges ,9.48,percent of total billed charges ,10.2,percent of total billed charges ,10.2,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 ,,,,,,,,,,,,,,,,,,,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,
**ROWASA SUPPOS DO NOT USE,Local ,Local ,,,,both,,,24,24,5.52,24,24,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,18.96,percent of total billed charges,18.96,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 ,18.96,percent of total billed charges ,18.96,percent of total billed charges ,20.4,percent of total billed charges ,20.4,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 ,,,,,,,,,,,,,,,,,,,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,
SODIUM BIPHOSPHATE (FLEET) ENEMA : 133ML,637,RC,00904-63-2078,NDC,,both,1,each,6,6,1.38,6,6,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,4.74,percent of total billed charges,4.74,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 ,4.74,percent of total billed charges ,4.74,percent of total billed charges ,5.1,percent of total billed charges ,5.1,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 ,,,,,,,,,,,,,,,,,,,1.38,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,
**TRIMETHOBENZAMIDE(TIGAN) SUPP : 200 MG,250,RC,55045-11-9803,NDC,,both,1,each,14,14,3.22,14,14,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,11.06,percent of total billed charges,11.06,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 ,11.06,percent of total billed charges ,11.06,percent of total billed charges ,11.9,percent of total billed charges ,11.9,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 ,,,,,,,,,,,,,,,,,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,
**TRIMETHOBENZAMIDE(TIGAN) SUPP : 100 MG,250,RC,00713-01-0709,NDC,,both,1,each,12,12,2.76,12,12,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,9.48,percent of total billed charges,9.48,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 ,9.48,percent of total billed charges ,9.48,percent of total billed charges ,10.2,percent of total billed charges ,10.2,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 ,,,,,,,,,,,,,,,,,,,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,
GLYCERIN PEDIATRIC SUPP,637,RC,00132-01-9012,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
GLYCERINE ADULT SUPP : 1 SUPP,637,RC,46122-02-2163,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
ACETAMINOPHEN (TYLENOL) SUPP : 325MG,637,RC,51672-21-1604,NDC,,both,1,each,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
ACETAMINOPHEN (TYLENOL) SUPP : 120MG,637,RC,45802-07-3230,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
ACETAMINOPHEN (TYLENOL) SUPP : 650MG,637,RC,45802-07-3033,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
ASPIRIN SUPPOSITORY : 300 MG,637,RC,00574-70-3412,NDC,,both,1,each,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
ASPIRIN SUPP : 600 MG,637,RC,00574-70-3612,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
ClonazePAM (KlonoPIN) TAB : 0.5MG,637,RC,60687-05-4411,NDC,,both,1,each,0.38,0.38,0.09,0.38,0.38,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,0.27,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,0.3,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 ,,,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.32,percent of total billed charges ,0.32,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 ,0.27,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 ,,,,,0.2,percent of total billed charges ,,,,,0.19,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,,,0.09,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,
**THEOPHYLLINE(THEO-DUR)CAP:125MG DO NOT,259,RC,00369-08-1201,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
CHLORPROMAZINE TAB : 10MG,637,RC,00781-17-1501,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
BENZONATATE (TESSALON) CAP : 100MG,637,RC,62332-04-2631,NDC,,both,1,each,1.45,1.45,0.33,1.45,1.45,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,1.04,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,1.15,percent of total billed charges,1.15,percent of total billed charges,1.16,percent of total billed charges,1.16,percent of total billed charges,,,1.04,percent of total billed charges ,,,1.16,percent of total billed charges ,1.15,percent of total billed charges ,1.15,percent of total billed charges ,1.23,percent of total billed charges ,1.23,percent of total billed charges ,1.16,percent of total billed charges ,1.16,percent of total billed charges ,1.02,percent of total billed charges ,1.02,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 ,,,,,0.77,percent of total billed charges ,,,,,0.73,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,
**GUANFACINE (TENEX) 1 MG DO NOT USE,259,RC,00378-11-6001,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**TAVIST D,Local ,Local ,,,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**FLECAINIDE (TAMBOCOR) TAB : 100MG,637,RC,49884-06-9501,NDC,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
FLUCONAZOLE (DIFLUCAN) TAB : 200MG*,637,RC,00172-54-1310,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
FLUCONAZOLE (DIFLUCAN) TAB : 100MG,637,RC,00904-65-0061,NDC,,both,1,each,6,6,1.38,6,6,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,4.74,percent of total billed charges,4.74,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 ,4.74,percent of total billed charges ,4.74,percent of total billed charges ,5.1,percent of total billed charges ,5.1,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 ,,,,,,,,,,,,,,,,,,,1.38,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,
LEVOTHYROXINE (SYNTHROID) TAB : 150MCG*,637,RC,00074-70-6911,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
AMANTADINE (SYMMETREL) CAP : 100MG,637,RC,60687-04-2211,NDC,,both,1,each,9,9,2.07,9,9,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,7.11,percent of total billed charges,7.11,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 ,7.11,percent of total billed charges ,7.11,percent of total billed charges ,7.65,percent of total billed charges ,7.65,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 ,,,,,,,,,,,,,,,,,,,2.07,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,
**TRIFLUOPERAZINE (STELAZINE) DO NOT USE,259,RC,00378-24-0501,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**CARISOPRODOL TAB 350 MG DO NOT USE,259,RC,00781-50-0501,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**SERAX CAP 30 MG DO NOT USE,259,RC,00172-48-0660,NDC,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
PSEUDOEPHEDRINE TAB : 30 MG,637,RC,00904-63-3724,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
SODIUM CHLORIDE TAB : 1 GM,637,RC,77333-08-3525,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
SODIUM BICARBONATE TAB : 650 MG,637,RC,77333-08-3110,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
**IMODIUM 2MG CAP(DO NOT USE),Local ,Local ,,,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
LISINOPRIL TAB :  20MG,637,RC,00904-67-9961,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
HYOSCYAMINE (LEVSINEX) : 0.375MG,637,RC,47781-00-1401,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
LISINOPRIL TAB :  10MG,637,RC,00904-67-9861,NDC,,both,1,each,0.33,0.33,0.08,0.33,0.33,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,0.24,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,0.26,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,,,0.24,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 ,0.28,percent of total billed charges ,0.28,percent of total billed charges ,0.26,percent of total billed charges ,0.26,percent of total billed charges ,0.23,percent of total billed charges ,0.23,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 ,,,,,0.18,percent of total billed charges ,,,,,0.17,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,,,0.08,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,,,0.08,percent of total billed charges,,,0.08,percent of total billed charges,,,0.08,percent of total billed charges,
DICLOFENAC (VOLTAREN) TAB : 50 MG,637,RC,68001-02-8006,NDC,,both,1,each,0.36,0.36,0.08,0.36,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,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,0.28,percent of total billed charges,0.28,percent of total billed charges,0.29,percent of total billed charges,0.29,percent of total billed charges,,,0.26,percent of total billed charges ,,,0.29,percent of total billed charges ,0.28,percent of total billed charges ,0.28,percent of total billed charges ,0.31,percent of total billed charges ,0.31,percent of total billed charges ,0.29,percent of total billed charges ,0.29,percent of total billed charges ,0.25,percent of total billed charges ,0.25,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 ,,,,,0.19,percent of total billed charges ,,,,,0.18,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,,,0.08,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,,,0.08,percent of total billed charges,,,0.08,percent of total billed charges,,,0.08,percent of total billed charges,
LISINOPRIL TAB : 5MG,637,RC,00904-67-9761,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
LISINOPRIL TAB : 2.5MG,637,RC,00006-00-1528,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
"NYSTATIN SUSP : 100,000 UN/ML  60ML",637,RC,00121-08-1002,NDC,,both,1,each,47,47,10.81,47,47,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,37.13,percent of total billed charges,37.13,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 ,37.13,percent of total billed charges ,37.13,percent of total billed charges ,39.95,percent of total billed charges ,39.95,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**ERTHROMYCIN-SULFASOXAZOLE DO NOT USE,259,RC,00555-04-4522,NDC,,both,1,each,155,155,35.65,155,155,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,122.45,percent of total billed charges,122.45,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 ,122.45,percent of total billed charges ,122.45,percent of total billed charges ,131.75,percent of total billed charges ,131.75,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 ,,,,,,,,,,,,,,,,,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,
"NYSTATIN SUSP 500,000 units/5ML : 5ML",637,RC,00121-48-1005,NDC,,both,5,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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,
*CEPHALEXIN ORAL SUSP : 125MG/5ML  100ML,637,RC,00777-23-2148,NDC,,both,1,each,16,16,3.68,16,16,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,12.64,percent of total billed charges,12.64,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 ,12.64,percent of total billed charges ,12.64,percent of total billed charges ,13.6,percent of total billed charges ,13.6,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 ,,,,,,,,,,,,,,,,,,,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,,,3.68,percent of total billed charges,,,3.68,percent of total billed charges,,,3.68,percent of total billed charges,
**ERYTHROMYCIN (EES)SUSP 200MG DO NOT US,250,RC,00074-63-0350,NDC,,both,1,each,68,68,15.64,68,68,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,53.72,percent of total billed charges,53.72,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 ,53.72,percent of total billed charges ,53.72,percent of total billed charges ,57.8,percent of total billed charges ,57.8,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 ,,,,,,,,,,,,,,,,,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,
CLINDAMYCIN PED SUSP : 75MG/5ML 100ML,637,RC,00574-01-2901,NDC,,both,1,each,147.11,147.11,33.84,147.11,147.11,percent of total billed charges,147.11,percent of total billed charges,147.11,percent of total billed charges,147.11,percent of total billed charges,147.11,percent of total billed charges,147.11,percent of total billed charges,147.11,percent of total billed charges,147.11,percent of total billed charges,105.92,percent of total billed charges,105.92,percent of total billed charges,105.92,percent of total billed charges,105.92,percent of total billed charges,105.92,percent of total billed charges,105.92,percent of total billed charges,116.22,percent of total billed charges,116.22,percent of total billed charges,117.69,percent of total billed charges,117.69,percent of total billed charges,,,105.92,percent of total billed charges ,,,117.69,percent of total billed charges ,116.22,percent of total billed charges ,116.22,percent of total billed charges ,125.04,percent of total billed charges ,125.04,percent of total billed charges ,117.69,percent of total billed charges ,117.69,percent of total billed charges ,102.98,percent of total billed charges ,102.98,percent of total billed charges ,88.27,percent of total billed charges ,88.27,percent of total billed charges ,88.27,percent of total billed charges ,88.27,percent of total billed charges ,,,,,78.26,percent of total billed charges ,,,,,74.35,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,
**CEFACLOR ORAL SUSP 250MG DO NOT USE,637,RC,63304-09-5601,NDC,,both,1,each,38,38,8.74,38,38,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,30.02,percent of total billed charges,30.02,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 ,30.02,percent of total billed charges ,30.02,percent of total billed charges ,32.3,percent of total billed charges ,32.3,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 ,,,,,,,,,,,,,,,,,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,
**CEFACLOR ORAL SUSP 125MG DO NOT USE,637,RC,63304-09-5401,NDC,,both,1,each,38,38,8.74,38,38,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,30.02,percent of total billed charges,30.02,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 ,30.02,percent of total billed charges ,30.02,percent of total billed charges ,32.3,percent of total billed charges ,32.3,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 ,,,,,,,,,,,,,,,,,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,
ACETIC ACID (VOSOL) OTIC SOLN : 15ML,637,RC,60432-07-4115,NDC,,both,1,each,103.84,103.84,23.88,103.84,103.84,percent of total billed charges,103.84,percent of total billed charges,103.84,percent of total billed charges,103.84,percent of total billed charges,103.84,percent of total billed charges,103.84,percent of total billed charges,103.84,percent of total billed charges,103.84,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,82.03,percent of total billed charges,82.03,percent of total billed charges,83.07,percent of total billed charges,83.07,percent of total billed charges,,,74.76,percent of total billed charges ,,,83.07,percent of total billed charges ,82.03,percent of total billed charges ,82.03,percent of total billed charges ,88.26,percent of total billed charges ,88.26,percent of total billed charges ,83.07,percent of total billed charges ,83.07,percent of total billed charges ,72.69,percent of total billed charges ,72.69,percent of total billed charges ,62.3,percent of total billed charges ,62.3,percent of total billed charges ,62.3,percent of total billed charges ,62.3,percent of total billed charges ,,,,,55.24,percent of total billed charges ,,,,,52.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,23.88,percent of total billed charges,,,23.88,percent of total billed charges,,,23.88,percent of total billed charges,,,23.88,percent of total billed charges,,,23.88,percent of total billed charges,,,23.88,percent of total billed charges,,,23.88,percent of total billed charges,,,23.88,percent of total billed charges,,,23.88,percent of total billed charges,,,23.88,percent of total billed charges,,,23.88,percent of total billed charges,
**ACETAMINOPHEN (TYLENOL) 80MG/0.8ML  15,637,RC,00450-01-8615,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**TUSSI ORGANIDIN LIQ DO NOT USE,Local ,Local ,,,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
TUSSIONEX SUSP : 5ML,637,RC,62542-03-0104,NDC,,both,5,each,15.43,15.43,3.55,15.43,15.43,percent of total billed charges,15.43,percent of total billed charges,15.43,percent of total billed charges,15.43,percent of total billed charges,15.43,percent of total billed charges,15.43,percent of total billed charges,15.43,percent of total billed charges,15.43,percent of total billed charges,11.11,percent of total billed charges,11.11,percent of total billed charges,11.11,percent of total billed charges,11.11,percent of total billed charges,11.11,percent of total billed charges,11.11,percent of total billed charges,12.19,percent of total billed charges,12.19,percent of total billed charges,12.34,percent of total billed charges,12.34,percent of total billed charges,,,11.11,percent of total billed charges ,,,12.34,percent of total billed charges ,12.19,percent of total billed charges ,12.19,percent of total billed charges ,13.12,percent of total billed charges ,13.12,percent of total billed charges ,12.34,percent of total billed charges ,12.34,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,9.26,percent of total billed charges ,9.26,percent of total billed charges ,9.26,percent of total billed charges ,9.26,percent of total billed charges ,,,,,8.21,percent of total billed charges ,,,,,7.8,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,,,3.55,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,,,3.55,percent of total billed charges,,,3.55,percent of total billed charges,,,3.55,percent of total billed charges,
**TUSSI ORGANIDIN DM L DO NOT USE,Local ,Local ,,,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**TITRALAC SYSO 1G/5ML DO NOT USE,Local ,Local ,,,,both,,,31,31,7.13,31,31,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,24.49,percent of total billed charges,24.49,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 ,24.49,percent of total billed charges ,24.49,percent of total billed charges ,26.35,percent of total billed charges ,26.35,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 ,,,,,,,,,,,,,,,,,,,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,
PEG ELECTROLYTES (GOLYTELY)SOLN: 4000ML,637,RC,43386-00-9019,NDC,,both,1,each,35.73,35.73,8.22,35.73,35.73,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,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,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,28.23,percent of total billed charges,28.23,percent of total billed charges,28.58,percent of total billed charges,28.58,percent of total billed charges,,,25.73,percent of total billed charges ,,,28.58,percent of total billed charges ,28.23,percent of total billed charges ,28.23,percent of total billed charges ,30.37,percent of total billed charges ,30.37,percent of total billed charges ,28.58,percent of total billed charges ,28.58,percent of total billed charges ,25.01,percent of total billed charges ,25.01,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 ,,,,,19.01,percent of total billed charges ,,,,,18.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.22,percent of total billed charges,,,8.22,percent of total billed charges,,,8.22,percent of total billed charges,,,8.22,percent of total billed charges,,,8.22,percent of total billed charges,,,8.22,percent of total billed charges,,,8.22,percent of total billed charges,,,8.22,percent of total billed charges,,,8.22,percent of total billed charges,,,8.22,percent of total billed charges,,,8.22,percent of total billed charges,
**DISPYRAMIDE (NORPACE) CAP DO NOT USE,637,RC,00591-55-6001,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**PROBENECID TAB DO NOT USE,259,RC,00591-53-4701,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**ETHIDRONATE (DIDRONEL) DO NOT USE,259,RC,03700-04-0202,NDC,,both,1,each,12,12,2.76,12,12,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,9.48,percent of total billed charges,9.48,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 ,9.48,percent of total billed charges ,9.48,percent of total billed charges ,10.2,percent of total billed charges ,10.2,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 ,,,,,,,,,,,,,,,,,,,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,
**GLYBURIDE (MICRONASE) DO NOT USE,259,RC,00093-83-4301,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
HydrOXYzine (ATARAX) TAB : 10MG,637,RC,00093-50-6001,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
**IMIPRAMINE TAB:50MG DO NOT USE,259,RC,00781-17-6601,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**DILTIAZEM SR(CARDIZEM SR)DO NOT USE,637,RC,00378-60-9001,NDC,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
**DILTIZEM(CARDIZEM) TAB DO NOT USE,637,RC,51079-07-4720,NDC,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
**TRIHEXPHENIDY 5MG DO NOT USE,Local ,Local ,,,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
TRIHEXYPHENIDYL (ARTANE) TAB : 5 MG,637,RC,00591-53-3701,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
TRIHEXYPHENIDYL (ARTANE) TAB : 2 MG,637,RC,70954-02-1210,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
ASPIRIN CHEWABLE TAB : 81MG,637,RC,66553-00-0201,NDC,,both,1,each,0.25,0.25,0.06,0.25,0.25,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,0.18,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,0.2,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,,,0.18,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 ,0.21,percent of total billed charges ,0.21,percent of total billed charges ,0.2,percent of total billed charges ,0.2,percent of total billed charges ,0.18,percent of total billed charges ,0.18,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 ,,,,,0.13,percent of total billed charges ,,,,,0.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,
**LOPERAMIDE LIQ 1MG/5ML 60ML DO NOT USE,637,RC,50383-06-1804,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
EVAC-Q-KWIK KIT : 1 EA,250,RC,00281-02-9776,NDC,,both,,,24,24,5.52,24,24,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,18.96,percent of total billed charges,18.96,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 ,18.96,percent of total billed charges ,18.96,percent of total billed charges ,20.4,percent of total billed charges ,20.4,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 ,,,,,,,,,,,,,,,,,,,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,
**NIFEDIPINE CR (PROCARDIA XL)DO NOT USE,637,RC,00378-34-9501,NDC,,both,1,each,14,14,3.22,14,14,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,11.06,percent of total billed charges,11.06,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 ,11.06,percent of total billed charges ,11.06,percent of total billed charges ,11.9,percent of total billed charges ,11.9,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 ,,,,,,,,,,,,,,,,,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,
**PYRIDOXINE TAB 100MG DO NOT USE,259,RC,00182-00-8701,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
IBUPROFEN (MOTRIN) TAB : 800 MG,637,RC,00904-58-5561,NDC,,both,1,each,0.27,0.27,0.06,0.27,0.27,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,0.19,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,0.21,percent of total billed charges,0.21,percent of total billed charges,0.22,percent of total billed charges,0.22,percent of total billed charges,,,0.19,percent of total billed charges ,,,0.22,percent of total billed charges ,0.21,percent of total billed charges ,0.21,percent of total billed charges ,0.23,percent of total billed charges ,0.23,percent of total billed charges ,0.22,percent of total billed charges ,0.22,percent of total billed charges ,0.19,percent of total billed charges ,0.19,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 ,,,,,0.14,percent of total billed charges ,,,,,0.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,
SORE THROAT LOZENGES,637,RC,63824-07-3216,NDC,,both,1,each,0.53,0.53,0.12,0.53,0.53,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,0.42,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,,,0.38,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 ,0.45,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 ,0.37,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 ,,,,,,,,,,,,,,,,,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,
**MISPOROSTOL(CYTOTEC) TAB DO NOT USE,250,RC,00025-14-6160,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
SODIUM POLYSTYRENE SULF ENEMA : 30GM,250,RC,00054-88-1501,NDC,,both,1,each,53,53,12.19,53,53,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,41.87,percent of total billed charges,41.87,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 ,41.87,percent of total billed charges ,41.87,percent of total billed charges ,45.05,percent of total billed charges ,45.05,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 ,,,,,,,,,,,,,,,,,,,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,
**POTASSIUM IDIDE(SSKI) 30ML DO NOT USE,250,RC,00245-00-0331,NDC,,both,1,each,37,37,8.51,37,37,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,29.23,percent of total billed charges,29.23,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 ,29.23,percent of total billed charges ,29.23,percent of total billed charges ,31.45,percent of total billed charges ,31.45,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 ,,,,,,,,,,,,,,,,,,,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,
ALLOPURINOL (ZYLOPRIM) TAB : 300 MG,637,RC,62584-07-1311,NDC,,both,1,each,1.83,1.83,0.42,1.83,1.83,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,1.45,percent of total billed charges,1.45,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 ,1.45,percent of total billed charges ,1.45,percent of total billed charges ,1.56,percent of total billed charges ,1.56,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 ,,,,,,,,,,,,,,,,,,,0.42,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,
ACYCLOVIR (ZOVIRAX) CAP : 200 MG,637,RC,60505-00-4206,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
**PROPOXYPHENE N-APAP TAB: 100-650MG,250,RC,51079-03-2220,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**WYTENSIN 4 MG TABS DO NOT USE,Local ,Local ,,,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**VIVACTIL TAB 10MG DO NOT USE,250,RC,65473-07-0201,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**ERGOCALCIFEROL (DELTALIN) DO NOT USE,259,RC,00002-02-6002,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
PYRIDOXINE (VITAMIN B6) TAB : 50 MG,637,RC,77333-09-4010,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
**PINDOLOL (VISKEN) DO NOT USE,259,RC,61392-03-9530,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**VIOKASE TAB 1 TAB DO NOT USE,250,RC,58914-01-1110,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
ENALAPRIL (VASOTEC) TAB : 5MG,637,RC,43547-05-4610,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
ENALAPRIL (VASOTEC) TAB : 2.5MG,637,RC,63304-08-3401,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
ACETAMINOPHEN CHEW TAB : 80MG,637,RC,00904-57-9146,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
TRIMETHOPRIM (TRIMPEX) TAB : 100MG,637,RC,70954-05-4110,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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,
SCOPOLAMINE PATCH : 1.5MG (1MG/3 DAYS),637,RC,10019-05-5390,NDC,,both,1,each,87.54,87.54,20.13,87.54,87.54,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,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,63.03,percent of total billed charges,63.03,percent of total billed charges,63.03,percent of total billed charges,63.03,percent of total billed charges,63.03,percent of total billed charges,63.03,percent of total billed charges,69.16,percent of total billed charges,69.16,percent of total billed charges,70.03,percent of total billed charges,70.03,percent of total billed charges,,,63.03,percent of total billed charges ,,,70.03,percent of total billed charges ,69.16,percent of total billed charges ,69.16,percent of total billed charges ,74.41,percent of total billed charges ,74.41,percent of total billed charges ,70.03,percent of total billed charges ,70.03,percent of total billed charges ,61.28,percent of total billed charges ,61.28,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 ,,,,,46.57,percent of total billed charges ,,,,,44.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.13,percent of total billed charges,,,20.13,percent of total billed charges,,,20.13,percent of total billed charges,,,20.13,percent of total billed charges,,,20.13,percent of total billed charges,,,20.13,percent of total billed charges,,,20.13,percent of total billed charges,,,20.13,percent of total billed charges,,,20.13,percent of total billed charges,,,20.13,percent of total billed charges,,,20.13,percent of total billed charges,
**CLORAZEPATE (TRANXENE) DO NOT USE,259,RC,67386-03-0101,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**MONTELUKAS (SINCLAIRE) DO NOT USE,259,RC,00006-02-7531,NDC,,both,1,each,16,16,3.68,16,16,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,12.64,percent of total billed charges,12.64,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 ,12.64,percent of total billed charges ,12.64,percent of total billed charges ,13.6,percent of total billed charges ,13.6,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 ,,,,,,,,,,,,,,,,,,,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,,,3.68,percent of total billed charges,,,3.68,percent of total billed charges,,,3.68,percent of total billed charges,
RIFAMPIN (RIFADIN) CAP : 300 MG*,Local ,Local ,,,,both,1,each,17,17,3.91,17,17,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,13.43,percent of total billed charges,13.43,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 ,13.43,percent of total billed charges ,13.43,percent of total billed charges ,14.45,percent of total billed charges ,14.45,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 ,,,,,,,,,,,,,,,,,,,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,
GAVISCON SUSP :  355ML BULK,250,RC,00088-11-7114,NDC,,both,1,each,40,40,9.2,40,40,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,31.6,percent of total billed charges,31.6,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 ,31.6,percent of total billed charges ,31.6,percent of total billed charges ,34,percent of total billed charges ,34,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 ,,,,,,,,,,,,,,,,,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,
SELEGILINE (ELDEPRYL) TAB : 5 MG,637,RC,60505-00-5501,NDC,,both,1,each,5.92,5.92,1.36,5.92,5.92,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,4.68,percent of total billed charges,4.68,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 ,4.68,percent of total billed charges ,4.68,percent of total billed charges ,5.03,percent of total billed charges ,5.03,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 ,,,,,,,,,,,,,,,,,,,1.36,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,
VENLAFAXINE (EFFEXOR XR) CAP : 75MG,637,RC,68084-07-0911,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
TERAZOSIN (HYTRIN) CAP : 5MG,637,RC,50268-07-6611,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
DIAZEPAM (VALIUM) ELIX 5MG/ML,637,RC,00054-31-8863,NDC,,both,1,each,49,49,11.27,49,49,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,38.71,percent of total billed charges,38.71,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 ,38.71,percent of total billed charges ,38.71,percent of total billed charges ,41.65,percent of total billed charges ,41.65,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 ,,,,,,,,,,,,,,,,,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,
"IBUPROFEN SUSP : 100MG/5ML, 5ML UD",637,RC,68001-05-2192,NDC,,both,5,each,2.44,2.44,0.56,2.44,2.44,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,2.44,percent of total billed charges,2.44,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,1.93,percent of total billed charges,1.93,percent of total billed charges,1.95,percent of total billed charges,1.95,percent of total billed charges,,,1.76,percent of total billed charges ,,,1.95,percent of total billed charges ,1.93,percent of total billed charges ,1.93,percent of total billed charges ,2.07,percent of total billed charges ,2.07,percent of total billed charges ,1.95,percent of total billed charges ,1.95,percent of total billed charges ,1.71,percent of total billed charges ,1.71,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 ,,,,,1.3,percent of total billed charges ,,,,,1.23,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,
**CLONZAPAM(KLONOPIN)TAB 1MG DO NOT USE,637,RC,00228-30-0411,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**LEVOTHYROXINE(LEVOTHROID)TAB DO NOT US,250,RC,00456-03-2801,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
PRIMIDONE (MYSOLINE) TAB : 50 MG,637,RC,50268-06-8611,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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,
"VALPROIC ACID LIQ : 250MG/5ML, 5ML",637,RC,68094-01-9359,NDC,,both,5,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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,
**NAPROXEN (ANAPROX) TAB DO NOT USE,259,RC,00093-05-3701,NDC,,both,1,each,12,12,2.76,12,12,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,9.48,percent of total billed charges,9.48,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 ,9.48,percent of total billed charges ,9.48,percent of total billed charges ,10.2,percent of total billed charges ,10.2,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 ,,,,,,,,,,,,,,,,,,,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,
BUSPIRONE (BUSPAR) TAB : 10 MG,637,RC,00591-06-5801,NDC,,both,1,each,12,12,2.76,12,12,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,9.48,percent of total billed charges,9.48,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 ,9.48,percent of total billed charges ,9.48,percent of total billed charges ,10.2,percent of total billed charges ,10.2,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 ,,,,,,,,,,,,,,,,,,,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,
**DILTIZEM SR(CARDIZEM CD) 60MG DO NOT U,637,RC,00378-60-6001,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**FLURBIPROFEN (ANSAID) DO NOT USE,259,RC,00093-07-1101,NDC,,both,1,each,13,13,2.99,13,13,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,10.27,percent of total billed charges,10.27,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 ,10.27,percent of total billed charges ,10.27,percent of total billed charges ,11.05,percent of total billed charges ,11.05,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 ,,,,,,,,,,,,,,,,,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,
QUINAPRIL (ACCUPRIL) TAB : 10MG,637,RC,00071-05-3040,NDC,,both,1,each,12,12,2.76,12,12,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,9.48,percent of total billed charges,9.48,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 ,9.48,percent of total billed charges ,9.48,percent of total billed charges ,10.2,percent of total billed charges ,10.2,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 ,,,,,,,,,,,,,,,,,,,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,
IPECAC ELIX : 30 ML,637,RC,00574-00-1201,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
VITAMIN D3 (CHOLECALCIFEROL) :  400 IU,637,RC,77333-09-4810,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
MENTHOL (CHLORASEPTIC) LOZ : 1 LOZ,637,RC,78112-00-1106,NDC,,both,,,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
**PREDNISONE TAB 5MG DON'T USE,J7506,CDM,,,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
GUAIFENESIN-CODEINE ELIX : 5ML,637,RC,00121-06-8304,NDC,,both,5,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
GuaiFENesin LIQ : 200MG/10ML  10ML,637,RC,00121-14-8810,NDC,,both,10,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
GuaiFENesin DM ELIX : 5ML*,637,RC,00121-06-3805,NDC,,both,5,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
AMOXICILLIN ORAL SUSP : 250MG/5ML,637,RC,65862-07-0755,NDC,,both,1,each,23,23,5.29,23,23,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,18.17,percent of total billed charges,18.17,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 ,18.17,percent of total billed charges ,18.17,percent of total billed charges ,19.55,percent of total billed charges ,19.55,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 ,,,,,,,,,,,,,,,,,,,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,
**ACETAMINOPHEN TAB:325MG HOSPICE,637,RC,00182-01-4101,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
AMOXICILLIN ORAL SUSP : 125MG/5ML 100ML,637,RC,00143-98-8801,NDC,,both,1,each,19.38,19.38,4.46,19.38,19.38,percent of total billed charges,19.38,percent of total billed charges,19.38,percent of total billed charges,19.38,percent of total billed charges,19.38,percent of total billed charges,19.38,percent of total billed charges,19.38,percent of total billed charges,19.38,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,15.31,percent of total billed charges,15.31,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 ,15.31,percent of total billed charges ,15.31,percent of total billed charges ,16.47,percent of total billed charges ,16.47,percent of total billed charges ,15.5,percent of total billed charges ,15.5,percent of total billed charges ,13.57,percent of total billed charges ,13.57,percent of total billed charges ,11.63,percent of total billed charges ,11.63,percent of total billed charges ,11.63,percent of total billed charges ,11.63,percent of total billed charges ,,,,,10.31,percent of total billed charges ,,,,,9.79,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,,,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,
NIFEdipine ER (ADALAT) TAB : 30 MG,637,RC,50268-05-9711,NDC,,both,1,each,4.94,4.94,1.14,4.94,4.94,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,3.9,percent of total billed charges,3.9,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 ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,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 ,,,,,,,,,,,,,,,,,,,1.14,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,
**LIBRAX CAP 1 CAP DO NOT USE,250,RC,00187-41-0010,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**SUCRETS LOZ DO NOT USE,259,RC,05310-00-0886,NDC,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**THYROID TAB 30MG DO NOT USE,637,RC,00904-78-6560,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
PredniSONE oral SOLN : 5MG/5ML  5ML,J7512,CDM,,,,both,5,each,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
CALCIUM CHEW TABS (TUMS) : 500MG,637,RC,50268-01-4911,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
**DOCUSATE(CORRECTOL) TAB DO NOT USE,250,RC,41100-01-7079,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**THIORIDAZINE(MELLARIL)TAB:50MG DO NOT,637,RC,00378-06-1601,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
MAALOX SUSP : 148ML BULK,637,RC,00067-03-3062,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
AMOXICILLIN CLAV (AUGMENTIN) : 250MG,637,RC,42571-01-6030,NDC,,both,1,each,10.59,10.59,2.44,10.59,10.59,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,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,8.37,percent of total billed charges,8.37,percent of total billed charges,8.47,percent of total billed charges,8.47,percent of total billed charges,,,7.62,percent of total billed charges ,,,8.47,percent of total billed charges ,8.37,percent of total billed charges ,8.37,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,8.47,percent of total billed charges ,8.47,percent of total billed charges ,7.41,percent of total billed charges ,7.41,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 ,,,,,5.63,percent of total billed charges ,,,,,5.35,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,,,2.44,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,
AUGMENTIN SUSP : 250MG/5ML,637,RC,59651-00-2601,NDC,,both,1,each,120.83,120.83,27.79,120.83,120.83,percent of total billed charges,120.83,percent of total billed charges,120.83,percent of total billed charges,120.83,percent of total billed charges,120.83,percent of total billed charges,120.83,percent of total billed charges,120.83,percent of total billed charges,120.83,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,95.46,percent of total billed charges,95.46,percent of total billed charges,96.66,percent of total billed charges,96.66,percent of total billed charges,,,87,percent of total billed charges ,,,96.66,percent of total billed charges ,95.46,percent of total billed charges ,95.46,percent of total billed charges ,102.71,percent of total billed charges ,102.71,percent of total billed charges ,96.66,percent of total billed charges ,96.66,percent of total billed charges ,84.58,percent of total billed charges ,84.58,percent of total billed charges ,72.5,percent of total billed charges ,72.5,percent of total billed charges ,72.5,percent of total billed charges ,72.5,percent of total billed charges ,,,,,64.28,percent of total billed charges ,,,,,61.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.79,percent of total billed charges,,,27.79,percent of total billed charges,,,27.79,percent of total billed charges,,,27.79,percent of total billed charges,,,27.79,percent of total billed charges,,,27.79,percent of total billed charges,,,27.79,percent of total billed charges,,,27.79,percent of total billed charges,,,27.79,percent of total billed charges,,,27.79,percent of total billed charges,,,27.79,percent of total billed charges,
ACTIVATED CHARCOAL AQUA SUSP : 25GM,250,RC,00574-05-2174,NDC,,both,1,each,45.23,45.23,10.4,45.23,45.23,percent of total billed charges,45.23,percent of total billed charges,45.23,percent of total billed charges,45.23,percent of total billed charges,45.23,percent of total billed charges,45.23,percent of total billed charges,45.23,percent of total billed charges,45.23,percent of total billed charges,32.57,percent of total billed charges,32.57,percent of total billed charges,32.57,percent of total billed charges,32.57,percent of total billed charges,32.57,percent of total billed charges,32.57,percent of total billed charges,35.73,percent of total billed charges,35.73,percent of total billed charges,36.18,percent of total billed charges,36.18,percent of total billed charges,,,32.57,percent of total billed charges ,,,36.18,percent of total billed charges ,35.73,percent of total billed charges ,35.73,percent of total billed charges ,38.45,percent of total billed charges ,38.45,percent of total billed charges ,36.18,percent of total billed charges ,36.18,percent of total billed charges ,31.66,percent of total billed charges ,31.66,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 ,,,,,24.06,percent of total billed charges ,,,,,22.86,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,,,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,
**QUINIDEX TAB 300 MG DO NOT USE,259,RC,00093-91-7501,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
SUCRALFATE (CARAFATE) SUSP : 1GM/10ML,637,RC,68094-00-4359,NDC,,both,10,each,33.49,33.49,7.7,33.49,33.49,percent of total billed charges,33.49,percent of total billed charges,33.49,percent of total billed charges,33.49,percent of total billed charges,33.49,percent of total billed charges,33.49,percent of total billed charges,33.49,percent of total billed charges,33.49,percent of total billed charges,24.11,percent of total billed charges,24.11,percent of total billed charges,24.11,percent of total billed charges,24.11,percent of total billed charges,24.11,percent of total billed charges,24.11,percent of total billed charges,26.46,percent of total billed charges,26.46,percent of total billed charges,26.79,percent of total billed charges,26.79,percent of total billed charges,,,24.11,percent of total billed charges ,,,26.79,percent of total billed charges ,26.46,percent of total billed charges ,26.46,percent of total billed charges ,28.47,percent of total billed charges ,28.47,percent of total billed charges ,26.79,percent of total billed charges ,26.79,percent of total billed charges ,23.44,percent of total billed charges ,23.44,percent of total billed charges ,20.09,percent of total billed charges ,20.09,percent of total billed charges ,20.09,percent of total billed charges ,20.09,percent of total billed charges ,,,,,17.82,percent of total billed charges ,,,,,16.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.7,percent of total billed charges,,,7.7,percent of total billed charges,,,7.7,percent of total billed charges,,,7.7,percent of total billed charges,,,7.7,percent of total billed charges,,,7.7,percent of total billed charges,,,7.7,percent of total billed charges,,,7.7,percent of total billed charges,,,7.7,percent of total billed charges,,,7.7,percent of total billed charges,,,7.7,percent of total billed charges,
**DOXEPIN(SINEQUAN)CAP 100MG DO NOT USE,637,RC,51079-06-5120,NDC,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
ESTROGEN CONJ. (PREMARIN) TAB : 0.3MG,637,RC,00046-11-0081,NDC,,both,1,each,12,12,2.76,12,12,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,9.48,percent of total billed charges,9.48,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 ,9.48,percent of total billed charges ,9.48,percent of total billed charges ,10.2,percent of total billed charges ,10.2,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 ,,,,,,,,,,,,,,,,,,,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,
ESTROGEN CONJUGATED TAB : 1.25MG,637,RC,00046-11-0481,NDC,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
**PREDNISONE TAB 50MG DO NOT USE,J7506,CDM,,,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**QUININE CAP 200 MG DO NOT USE,637,RC,00172-41-7160,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
QUININE CAP : 325 MG,637,RC,00677-16-4701,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**PREDNISOLONE TAB DO NOT USE,J7510,CDM,,,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
TOPIRAMATE (TOPAMAX) TAB : 25 MG,637,RC,68084-03-4201,NDC,,both,1,each,0.67,0.67,0.15,0.67,0.67,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,0.53,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 ,,,0.54,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 ,0.54,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 ,,,,,,,,,,,,,,,,,,,0.15,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,
GlipiZIDE XL (GLUCOTROL XL) TAB : 5MG,637,RC,68084-01-1101,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
**PHENOBARBITAL TAB 100 MG DO NOT USE,637,RC,00603-51-6732,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
MetFORMIN (GLUCOPHAGE) TAB : 500 MG,637,RC,60687-01-5501,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
**CEFIXIME(SUPRAX)TAB DO NOT USE,250,RC,00005-38-9794,NDC,,both,1,each,53,53,12.19,53,53,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,41.87,percent of total billed charges,41.87,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 ,41.87,percent of total billed charges ,41.87,percent of total billed charges ,45.05,percent of total billed charges ,45.05,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 ,,,,,,,,,,,,,,,,,,,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,
TraMADol(ULTRAM) TAB : 50 MG,637,RC,65162-06-2710,NDC,,both,1,each,0.94,0.94,0.22,0.94,0.94,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,0.68,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,0.74,percent of total billed charges,0.74,percent of total billed charges,0.75,percent of total billed charges,0.75,percent of total billed charges,,,0.68,percent of total billed charges ,,,0.75,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 ,0.75,percent of total billed charges ,0.75,percent of total billed charges ,0.66,percent of total billed charges ,0.66,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 ,,,,,0.5,percent of total billed charges ,,,,,0.48,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,
FAMOTIDINE (PEPCID) TAB : 20 MG,637,RC,50268-03-0311,NDC,,both,1,each,0.61,0.61,0.14,0.61,0.61,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,0.48,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,,,0.44,percent of total billed charges ,,,0.49,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 ,0.49,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 ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
**TRANYLCRPROMINE (PARNATE) DO NOT USE,259,RC,00007-44-7120,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**PAPAVERINE HCL 150 MG DO NOT USE,Local ,Local ,,,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
PANCRELIPASE (PANCREASE) EC CAP : 1 CAP*,637,RC,00115-70-3501,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
GuaiFENesinLA (MUCINEX) TAB : 600MG,637,RC,68084-05-7211,NDC,,both,1,each,2.97,2.97,0.68,2.97,2.97,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,2.14,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,2.35,percent of total billed charges,2.35,percent of total billed charges,2.38,percent of total billed charges,2.38,percent of total billed charges,,,2.14,percent of total billed charges ,,,2.38,percent of total billed charges ,2.35,percent of total billed charges ,2.35,percent of total billed charges ,2.52,percent of total billed charges ,2.52,percent of total billed charges ,2.38,percent of total billed charges ,2.38,percent of total billed charges ,2.08,percent of total billed charges ,2.08,percent of total billed charges ,1.78,percent of total billed charges ,1.78,percent of total billed charges ,1.78,percent of total billed charges ,1.78,percent of total billed charges ,,,,,1.58,percent of total billed charges ,,,,,1.5,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,
**GUAIFENESIN(ORGANIDIN)TAB 200MG DO NOT,250,RC,00904-51-5460,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**MELATONIN TAB DO NOT USE,259,RC,65203-00-0401,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
MAG-OX 400 TAB : 400MG,637,RC,54738-09-7312,NDC,,both,1,each,0.25,0.25,0.06,0.25,0.25,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,0.18,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,0.2,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,,,0.18,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 ,0.21,percent of total billed charges ,0.21,percent of total billed charges ,0.2,percent of total billed charges ,0.2,percent of total billed charges ,0.18,percent of total billed charges ,0.18,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 ,,,,,0.13,percent of total billed charges ,,,,,0.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,
SERTRALINE (ZOLOFT) TAB : 50 MG,637,RC,60687-02-4211,NDC,,both,1,each,1.69,1.69,0.39,1.69,1.69,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,1.34,percent of total billed charges,1.34,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 ,1.34,percent of total billed charges ,1.34,percent of total billed charges ,1.44,percent of total billed charges ,1.44,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 ,,,,,,,,,,,,,,,,,,,0.39,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,
FLUOXETINE (PROZAC) LIQ : 20MG/5ML,637,RC,00777-51-2058,NDC,,both,5,each,25,25,5.75,25,25,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,19.75,percent of total billed charges,19.75,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 ,19.75,percent of total billed charges ,19.75,percent of total billed charges ,21.25,percent of total billed charges ,21.25,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 ,,,,,,,,,,,,,,,,,,,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,,,5.75,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,
**FUROSEMIDE 120MG ORA DO NOT USE,250,RC,00054-32-9450,NDC,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**ETODOLAC (LODINE) 400 MG DO NOT USE,259,RC,59911-36-0801,NDC,,both,1,each,14,14,3.22,14,14,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,11.06,percent of total billed charges,11.06,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 ,11.06,percent of total billed charges ,11.06,percent of total billed charges ,11.9,percent of total billed charges ,11.9,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 ,,,,,,,,,,,,,,,,,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,
**LODINE (ETODOLAC) CAP DO NOT USE,259,RC,59911-36-0701,NDC,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
PredniSONE TAB : 10 MG,J7512,CDM,,,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
**OFLOXACIN (FLOXIN) TAB DO NOT USE,259,RC,60346-04-0099,NDC,,both,1,each,32,32,7.36,32,32,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,25.28,percent of total billed charges,25.28,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 ,25.28,percent of total billed charges ,25.28,percent of total billed charges ,27.2,percent of total billed charges ,27.2,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 ,,,,,,,,,,,,,,,,,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,
METHIMAZOLE (TAPAZOLE) TAB : 5 MG,637,RC,49884-06-4001,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
DICLOFENAC (VOLTAREN) TAB : 75 MG,637,RC,60687-06-5811,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
**TOLEMTIN 600 MG TAB DO NOT USE,Local ,Local ,,,,both,,,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
HYDROCODONE-APAP TAB 7.5-500MG,637,RC,00074-19-7312,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**AZATHIOPRINE (IMURAN) TAB 50MG DO NOT,J7500,CDM,,,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
**DEFIXIME(SUPRAX)SUSP 100MG/5ML DO NOT,250,RC,68180-02-0203,NDC,,both,1,each,222,222,51.06,222,222,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,175.38,percent of total billed charges,175.38,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 ,175.38,percent of total billed charges ,175.38,percent of total billed charges ,188.7,percent of total billed charges ,188.7,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**DOXYCYCLINE(VIBRAMYCIN)CAP 50MG DO NOT,250,RC,00677-05-9802,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
IBUPROFEN (ADVIL) TAB : 200 MG,637,RC,00904-79-1461,NDC,,both,1,each,0.25,0.25,0.06,0.25,0.25,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,0.18,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,0.2,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,,,0.18,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 ,0.21,percent of total billed charges ,0.21,percent of total billed charges ,0.2,percent of total billed charges ,0.2,percent of total billed charges ,0.18,percent of total billed charges ,0.18,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 ,,,,,0.13,percent of total billed charges ,,,,,0.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,
LEVOTHYROXINE (SYNTHROID) TAB : 125MCG,637,RC,00048-11-3003,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
ALPRAZOLAM (XANAX) TAB : 1 MG,637,RC,00378-40-0501,NDC,,both,1,each,12,12,2.76,12,12,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,9.48,percent of total billed charges,9.48,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 ,9.48,percent of total billed charges ,9.48,percent of total billed charges ,10.2,percent of total billed charges ,10.2,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 ,,,,,,,,,,,,,,,,,,,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,
**THIETHYLPERAZINE (TORECAN) DO NOT USE,259,RC,00054-47-4825,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
CLONIDINE (CATAPRES) TAB : 0.2MG,637,RC,00378-01-8601,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
VERAPAMIL ER (CALAN SR) TAB : 180 MG,637,RC,68462-02-9301,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
DICLOFENAC (VOLTAREN) TAB : 25 MG,637,RC,00781-17-8501,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**PRIMIUDONE (MYSOLINE)250MG/5ML DO NOT,259,RC,00046-38-5008,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
OXYCODONE EXT REL (OXYCONTIN) TAB : 40MG,637,RC,59011-01-0525,NDC,,both,1,each,21,21,4.83,21,21,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,16.59,percent of total billed charges,16.59,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 ,16.59,percent of total billed charges ,16.59,percent of total billed charges ,17.85,percent of total billed charges ,17.85,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 ,,,,,,,,,,,,,,,,,,,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,
SENNA PLAIN (SENOKOT) TABS : 8.6MG,637,RC,00904-65-2261,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
OXYCODONE IMMED REL (OXY IR)  : 5MG,637,RC,00406-05-5201,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
**MORPHINE SR (ORMORPH) DO NOT USE,259,RC,00054-47-9325,NDC,,both,1,each,19,19,4.37,19,19,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,15.01,percent of total billed charges,15.01,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 ,15.01,percent of total billed charges ,15.01,percent of total billed charges ,16.15,percent of total billed charges ,16.15,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,4.37,percent of total billed charges,,,4.37,percent of total billed charges,,,4.37,percent of total billed charges,
SIMETHICONE(MYLICON)LIQ  20MG/0.3ML 30ML,637,RC,69618-00-5951,NDC,,both,1,each,37.34,37.34,8.59,37.34,37.34,percent of total billed charges,37.34,percent of total billed charges,37.34,percent of total billed charges,37.34,percent of total billed charges,37.34,percent of total billed charges,37.34,percent of total billed charges,37.34,percent of total billed charges,37.34,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,29.5,percent of total billed charges,29.5,percent of total billed charges,29.87,percent of total billed charges,29.87,percent of total billed charges,,,26.88,percent of total billed charges ,,,29.87,percent of total billed charges ,29.5,percent of total billed charges ,29.5,percent of total billed charges ,31.74,percent of total billed charges ,31.74,percent of total billed charges ,29.87,percent of total billed charges ,29.87,percent of total billed charges ,26.14,percent of total billed charges ,26.14,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 ,,,,,19.86,percent of total billed charges ,,,,,18.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.59,percent of total billed charges,,,8.59,percent of total billed charges,,,8.59,percent of total billed charges,,,8.59,percent of total billed charges,,,8.59,percent of total billed charges,,,8.59,percent of total billed charges,,,8.59,percent of total billed charges,,,8.59,percent of total billed charges,,,8.59,percent of total billed charges,,,8.59,percent of total billed charges,,,8.59,percent of total billed charges,
**AMPHOJEL SUSP 320MG/5ML DO NOT USE,250,RC,00182-01-6240,NDC,,both,30,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
raNITIdine ORAL SOLN : 150MG/10ML,Local ,Local ,,,,both,10,each,20,20,4.6,20,20,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,15.8,percent of total billed charges,15.8,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 ,15.8,percent of total billed charges ,15.8,percent of total billed charges ,17,percent of total billed charges ,17,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 ,,,,,,,,,,,,,,,,,,,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,,,4.6,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,,,4.6,percent of total billed charges,,,4.6,percent of total billed charges,,,4.6,percent of total billed charges,
DOXAZOSIN (CARDURA) TAB : 1 MG,637,RC,00904-55-2261,NDC,,both,1,each,2.76,2.76,0.63,2.76,2.76,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,2.18,percent of total billed charges,2.18,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 ,2.18,percent of total billed charges ,2.18,percent of total billed charges ,2.35,percent of total billed charges ,2.35,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 ,,,,,,,,,,,,,,,,,,,0.63,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,
**DOXAZOSIN(CARDURA)TAB 2MG DO NOT USE,250,RC,58177-02-6704,NDC,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
DOXAZOSIN (CARDURA) TAB : 4 MG,637,RC,68084-08-6225,NDC,,both,1,each,4.68,4.68,1.08,4.68,4.68,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,3.7,percent of total billed charges,3.7,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 ,3.7,percent of total billed charges ,3.7,percent of total billed charges ,3.98,percent of total billed charges ,3.98,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 ,,,,,,,,,,,,,,,,,,,1.08,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,
GlyBURIDE (GLYNASE) TAB : 3 MG,637,RC,00143-99-1901,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
AmLODIPine (NORVASC) TAB : 5 MG,637,RC,60687-04-8801,NDC,,both,1,each,0.33,0.33,0.08,0.33,0.33,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,0.24,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,0.26,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,,,0.24,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 ,0.28,percent of total billed charges ,0.28,percent of total billed charges ,0.26,percent of total billed charges ,0.26,percent of total billed charges ,0.23,percent of total billed charges ,0.23,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 ,,,,,0.18,percent of total billed charges ,,,,,0.17,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,,,0.08,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,,,0.08,percent of total billed charges,,,0.08,percent of total billed charges,,,0.08,percent of total billed charges,
PARoxetine (PAXIL) TAB : 20 MG,637,RC,00904-56-7761,NDC,,both,,,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
**PAROXETINE(PAXIL)TAB 30 MG DO NOT USE,637,RC,54569-41-4800,NDC,,both,1,each,18,18,4.14,18,18,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,14.22,percent of total billed charges,14.22,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 ,14.22,percent of total billed charges ,14.22,percent of total billed charges ,15.3,percent of total billed charges ,15.3,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 ,,,,,,,,,,,,,,,,,,,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,,,4.14,percent of total billed charges,,,4.14,percent of total billed charges,,,4.14,percent of total billed charges,
ZOLMitriptan (ZOMIG) TAB : 5 MG,637,RC,68382-07-1782,NDC,,both,1,each,15.38,15.38,3.54,15.38,15.38,percent of total billed charges,15.38,percent of total billed charges,15.38,percent of total billed charges,15.38,percent of total billed charges,15.38,percent of total billed charges,15.38,percent of total billed charges,15.38,percent of total billed charges,15.38,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,12.15,percent of total billed charges,12.15,percent of total billed charges,12.3,percent of total billed charges,12.3,percent of total billed charges,,,11.07,percent of total billed charges ,,,12.3,percent of total billed charges ,12.15,percent of total billed charges ,12.15,percent of total billed charges ,13.07,percent of total billed charges ,13.07,percent of total billed charges ,12.3,percent of total billed charges ,12.3,percent of total billed charges ,10.77,percent of total billed charges ,10.77,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 ,,,,,8.18,percent of total billed charges ,,,,,7.77,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,,,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,
**ONDANSETRONB(ZOFRAN) TAB 8MG DO NOT US,Q0179,CDM,,,,both,1,each,87,87,20.01,87,87,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,68.73,percent of total billed charges,68.73,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 ,68.73,percent of total billed charges ,68.73,percent of total billed charges ,73.95,percent of total billed charges ,73.95,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 ,,,,,,,,,,,,,,,,,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,
**BIAXIN ORAL SUSP 125MG/5ML DO NOT USE,637,RC,00074-31-6350,NDC,,both,1,each,86,86,19.78,86,86,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,67.94,percent of total billed charges,67.94,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 ,67.94,percent of total billed charges ,67.94,percent of total billed charges ,73.1,percent of total billed charges ,73.1,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
BIAXIN ORAL SUSP : 250MG/5ML  50ML*,637,RC,00074-31-8850,NDC,,both,1,each,171,171,39.33,171,171,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,135.09,percent of total billed charges,135.09,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 ,135.09,percent of total billed charges ,135.09,percent of total billed charges ,145.35,percent of total billed charges ,145.35,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 ,,,,,,,,,,,,,,,,,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,
MORPHINE SOLN (ROXANOL) : 20MG/ML 120ML,637,RC,58177-08-8603,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
MORPHINE TAB EXT REL (MS CONTIN) : 15MG,637,RC,68084-01-5701,NDC,,both,1,each,8,8,1.84,8,8,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,6.32,percent of total billed charges,6.32,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 ,6.32,percent of total billed charges ,6.32,percent of total billed charges ,6.8,percent of total billed charges ,6.8,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 ,,,,,,,,,,,,,,,,,,,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,
**ACEBRUTOLO(SECTRAL) DO NOT USE,259,RC,00378-12-0001,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**RISPERIDONE (RISPERDAL) 4MG DO NOT USE,259,RC,50458-03-5006,NDC,,both,1,each,33,33,7.59,33,33,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,26.07,percent of total billed charges,26.07,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 ,26.07,percent of total billed charges ,26.07,percent of total billed charges ,28.05,percent of total billed charges ,28.05,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 ,,,,,,,,,,,,,,,,,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,
**RISPERIDONE (RISPERDAL) 3MG DO NOT USE,259,RC,50458-03-3006,NDC,,both,1,each,24,24,5.52,24,24,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,18.96,percent of total billed charges,18.96,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 ,18.96,percent of total billed charges ,18.96,percent of total billed charges ,20.4,percent of total billed charges ,20.4,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 ,,,,,,,,,,,,,,,,,,,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,
**PHENTERMINE 30MG DO NOT USE,Local ,Local ,,,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
MORPHINE TAB EXT REL (MS CONTIN) : 30MG,637,RC,68084-01-5801,NDC,,both,1,each,9,9,2.07,9,9,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,7.11,percent of total billed charges,7.11,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 ,7.11,percent of total billed charges ,7.11,percent of total billed charges ,7.65,percent of total billed charges ,7.65,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 ,,,,,,,,,,,,,,,,,,,2.07,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,
**TRIMETHOBENZAMIDE250 DO NOT USE,Local ,Local ,,,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**METHOCARBAMOL TAB 500MG DO NOT USE,250,RC,00143-12-9001,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**VENLAFAXINE(FFEXOR) TAB DO NOT USE,637,RC,00008-08-3703,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
VENLAFAXINE (EFFEXOR) TAB : 75 MG,637,RC,68084-08-5611,NDC,,both,1,each,0.6,0.6,0.14,0.6,0.6,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,0.47,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,,,0.43,percent of total billed charges ,,,0.48,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 ,0.48,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 ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
AZITHROMYCIN (ZITHROMAX) TAB : 250MG,637,RC,65862-06-4169,NDC,,both,1,each,5.87,5.87,1.35,5.87,5.87,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,5.87,percent of total billed charges,5.87,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,4.64,percent of total billed charges,4.64,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 ,4.64,percent of total billed charges ,4.64,percent of total billed charges ,4.99,percent of total billed charges ,4.99,percent of total billed charges ,4.7,percent of total billed charges ,4.7,percent of total billed charges ,4.11,percent of total billed charges ,4.11,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 ,,,,,3.12,percent of total billed charges ,,,,,2.97,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,
AZITHROMYCIN (ZITHROMAX)100MG/5ML  15ML,637,RC,00093-20-2723,NDC,,both,1,each,76.85,76.85,17.68,76.85,76.85,percent of total billed charges,76.85,percent of total billed charges,76.85,percent of total billed charges,76.85,percent of total billed charges,76.85,percent of total billed charges,76.85,percent of total billed charges,76.85,percent of total billed charges,76.85,percent of total billed charges,55.33,percent of total billed charges,55.33,percent of total billed charges,55.33,percent of total billed charges,55.33,percent of total billed charges,55.33,percent of total billed charges,55.33,percent of total billed charges,60.71,percent of total billed charges,60.71,percent of total billed charges,61.48,percent of total billed charges,61.48,percent of total billed charges,,,55.33,percent of total billed charges ,,,61.48,percent of total billed charges ,60.71,percent of total billed charges ,60.71,percent of total billed charges ,65.32,percent of total billed charges ,65.32,percent of total billed charges ,61.48,percent of total billed charges ,61.48,percent of total billed charges ,53.8,percent of total billed charges ,53.8,percent of total billed charges ,46.11,percent of total billed charges ,46.11,percent of total billed charges ,46.11,percent of total billed charges ,46.11,percent of total billed charges ,,,,,40.88,percent of total billed charges ,,,,,38.84,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,,,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,
**LORATADINE-PSEUDOEPHERDRINE DO NOT USE,259,RC,00085-06-3505,NDC,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
LORATADINE (CLARITIN) TAB : 10 MG,637,RC,68001-04-3816,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
**HYDROcodone AND GuaiIFENesinLIQ : 10ML,637,RC,58177-08-8107,NDC,,both,10,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
AMLODIPINE-BENAZEPRIL CAP  2.5-10MG,637,RC,00078-04-0405,NDC,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
MetFORMIN (GLUCOPHAGE) TAB : 850 MG,637,RC,60687-01-4311,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
**VENLAFAXINE(FFEXOR) DO NOT USE,259,RC,00008-07-0302,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**QUINIDINE 300 MG TAB DO NOT USE,Local ,Local ,,,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**QUININE TAB 260MG DO NOT USE,250,RC,00172-30-0160,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**MEDROXYPROGESTERONE TAB DO NOT USE,259,RC,05325-81-6604,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**PROLIXIN TAB 5MG DO NOT USE,Local ,Local ,,,,both,,,12,12,2.76,12,12,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,9.48,percent of total billed charges,9.48,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 ,9.48,percent of total billed charges ,9.48,percent of total billed charges ,10.2,percent of total billed charges ,10.2,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 ,,,,,,,,,,,,,,,,,,,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,
**PROCAINAMIDE (PROCAN) DO NOT USE,259,RC,00093-91-1401,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
ESTROGEN CONJ(PREMARIN) TAB : 0.625MG,637,RC,00046-08-7221,NDC,,both,1,each,20.01,20.01,4.6,20.01,20.01,percent of total billed charges,20.01,percent of total billed charges,20.01,percent of total billed charges,20.01,percent of total billed charges,20.01,percent of total billed charges,20.01,percent of total billed charges,20.01,percent of total billed charges,20.01,percent of total billed charges,14.41,percent of total billed charges,14.41,percent of total billed charges,14.41,percent of total billed charges,14.41,percent of total billed charges,14.41,percent of total billed charges,14.41,percent of total billed charges,15.81,percent of total billed charges,15.81,percent of total billed charges,16.01,percent of total billed charges,16.01,percent of total billed charges,,,14.41,percent of total billed charges ,,,16.01,percent of total billed charges ,15.81,percent of total billed charges ,15.81,percent of total billed charges ,17.01,percent of total billed charges ,17.01,percent of total billed charges ,16.01,percent of total billed charges ,16.01,percent of total billed charges ,14.01,percent of total billed charges ,14.01,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 ,,,,,10.65,percent of total billed charges ,,,,,10.11,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,,,4.6,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,,,4.6,percent of total billed charges,,,4.6,percent of total billed charges,,,4.6,percent of total billed charges,
PHENYLEPHRINE 1% NASAL SOLN : 15ML,637,RC,00024-13-5202,NDC,,both,1,each,17,17,3.91,17,17,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,13.43,percent of total billed charges,13.43,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 ,13.43,percent of total billed charges ,13.43,percent of total billed charges ,14.45,percent of total billed charges ,14.45,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 ,,,,,,,,,,,,,,,,,,,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,
PHENYLEPHRINE NASAL 0.5% SOLN : 15ML,637,RC,00024-17-5401,NDC,,both,1,each,14,14,3.22,14,14,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,11.06,percent of total billed charges,11.06,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 ,11.06,percent of total billed charges ,11.06,percent of total billed charges ,11.9,percent of total billed charges ,11.9,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 ,,,,,,,,,,,,,,,,,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,
PHENYLEPHRINE NASAL SOLN : 0.25%  15ML*,637,RC,00024-13-4803,NDC,,both,1,each,21,21,4.83,21,21,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,16.59,percent of total billed charges,16.59,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 ,16.59,percent of total billed charges ,16.59,percent of total billed charges ,17.85,percent of total billed charges ,17.85,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 ,,,,,,,,,,,,,,,,,,,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,
NORMAL SALINE NASAL MIST (OCEAN),637,RC,00904-38-6575,NDC,,both,1,each,11.21,11.21,2.58,11.21,11.21,percent of total billed charges,11.21,percent of total billed charges,11.21,percent of total billed charges,11.21,percent of total billed charges,11.21,percent of total billed charges,11.21,percent of total billed charges,11.21,percent of total billed charges,11.21,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,8.86,percent of total billed charges,8.86,percent of total billed charges,8.97,percent of total billed charges,8.97,percent of total billed charges,,,8.07,percent of total billed charges ,,,8.97,percent of total billed charges ,8.86,percent of total billed charges ,8.86,percent of total billed charges ,9.53,percent of total billed charges ,9.53,percent of total billed charges ,8.97,percent of total billed charges ,8.97,percent of total billed charges ,7.85,percent of total billed charges ,7.85,percent of total billed charges ,6.73,percent of total billed charges ,6.73,percent of total billed charges ,6.73,percent of total billed charges ,6.73,percent of total billed charges ,,,,,5.96,percent of total billed charges ,,,,,5.67,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,,,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,
FLUNISOLIDE (NASALIDE) ARSL : 25 MCG,637,RC,24208-03-4425,NDC,,both,1,each,163,163,37.49,163,163,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,128.77,percent of total billed charges,128.77,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 ,128.77,percent of total billed charges ,128.77,percent of total billed charges ,138.55,percent of total billed charges ,138.55,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 ,,,,,,,,,,,,,,,,,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,
TRIAMCINOLONE NASAL SPRY : 16.9ML,637,RC,45802-01-0901,NDC,,both,1,each,63.9,63.9,14.7,63.9,63.9,percent of total billed charges,63.9,percent of total billed charges,63.9,percent of total billed charges,63.9,percent of total billed charges,63.9,percent of total billed charges,63.9,percent of total billed charges,63.9,percent of total billed charges,63.9,percent of total billed charges,46.01,percent of total billed charges,46.01,percent of total billed charges,46.01,percent of total billed charges,46.01,percent of total billed charges,46.01,percent of total billed charges,46.01,percent of total billed charges,50.48,percent of total billed charges,50.48,percent of total billed charges,51.12,percent of total billed charges,51.12,percent of total billed charges,,,46.01,percent of total billed charges ,,,51.12,percent of total billed charges ,50.48,percent of total billed charges ,50.48,percent of total billed charges ,54.32,percent of total billed charges ,54.32,percent of total billed charges ,51.12,percent of total billed charges ,51.12,percent of total billed charges ,44.73,percent of total billed charges ,44.73,percent of total billed charges ,38.34,percent of total billed charges ,38.34,percent of total billed charges ,38.34,percent of total billed charges ,38.34,percent of total billed charges ,,,,,33.99,percent of total billed charges ,,,,,32.3,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,,,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,,,14.7,percent of total billed charges,,,14.7,percent of total billed charges,,,14.7,percent of total billed charges,
HEMORRHOIDAL (ANUSOL) SUPP :,637,RC,00536-11-8612,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
**VANCENASE NASA INHALER DO NOT USE,259,RC,00085-00-4106,NDC,,both,1,each,220,220,50.6,220,220,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,173.8,percent of total billed charges,173.8,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 ,173.8,percent of total billed charges ,173.8,percent of total billed charges ,187,percent of total billed charges ,187,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
OXYMETAZOLINE (AFRIN) NAS SOL:0.05% 15ML,637,RC,24385-03-5210,NDC,,both,1,each,22.91,22.91,5.27,22.91,22.91,percent of total billed charges,22.91,percent of total billed charges,22.91,percent of total billed charges,22.91,percent of total billed charges,22.91,percent of total billed charges,22.91,percent of total billed charges,22.91,percent of total billed charges,22.91,percent of total billed charges,16.5,percent of total billed charges,16.5,percent of total billed charges,16.5,percent of total billed charges,16.5,percent of total billed charges,16.5,percent of total billed charges,16.5,percent of total billed charges,18.1,percent of total billed charges,18.1,percent of total billed charges,18.33,percent of total billed charges,18.33,percent of total billed charges,,,16.5,percent of total billed charges ,,,18.33,percent of total billed charges ,18.1,percent of total billed charges ,18.1,percent of total billed charges ,19.47,percent of total billed charges ,19.47,percent of total billed charges ,18.33,percent of total billed charges ,18.33,percent of total billed charges ,16.04,percent of total billed charges ,16.04,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 ,,,,,12.19,percent of total billed charges ,,,,,11.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.27,percent of total billed charges,,,5.27,percent of total billed charges,,,5.27,percent of total billed charges,,,5.27,percent of total billed charges,,,5.27,percent of total billed charges,,,5.27,percent of total billed charges,,,5.27,percent of total billed charges,,,5.27,percent of total billed charges,,,5.27,percent of total billed charges,,,5.27,percent of total billed charges,,,5.27,percent of total billed charges,
**AEROCHAMBER KIT:1 KIT DO NOT USE,272,RC,00456-07-4613,NDC,,both,,,92,92,21.16,92,92,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,72.68,percent of total billed charges,72.68,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 ,72.68,percent of total billed charges ,72.68,percent of total billed charges ,78.2,percent of total billed charges ,78.2,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 ,,,,,,,,,,,,,,,,,,,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,
BRIMONIDINE(ALPHAGAN P) 0.15% OPTH : 5ML,637,RC,61314-01-4405,NDC,,both,1,each,457.33,457.33,105.19,457.33,457.33,percent of total billed charges,457.33,percent of total billed charges,457.33,percent of total billed charges,457.33,percent of total billed charges,457.33,percent of total billed charges,457.33,percent of total billed charges,457.33,percent of total billed charges,457.33,percent of total billed charges,329.28,percent of total billed charges,329.28,percent of total billed charges,329.28,percent of total billed charges,329.28,percent of total billed charges,329.28,percent of total billed charges,329.28,percent of total billed charges,361.29,percent of total billed charges,361.29,percent of total billed charges,365.86,percent of total billed charges,365.86,percent of total billed charges,,,329.28,percent of total billed charges ,,,365.86,percent of total billed charges ,361.29,percent of total billed charges ,361.29,percent of total billed charges ,388.73,percent of total billed charges ,388.73,percent of total billed charges ,365.86,percent of total billed charges ,365.86,percent of total billed charges ,320.13,percent of total billed charges ,320.13,percent of total billed charges ,274.4,percent of total billed charges ,274.4,percent of total billed charges ,274.4,percent of total billed charges ,274.4,percent of total billed charges ,,,,,243.3,percent of total billed charges ,,,,,231.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,105.19,percent of total billed charges,,,105.19,percent of total billed charges,,,105.19,percent of total billed charges,,,105.19,percent of total billed charges,,,105.19,percent of total billed charges,,,105.19,percent of total billed charges,,,105.19,percent of total billed charges,,,105.19,percent of total billed charges,,,105.19,percent of total billed charges,,,105.19,percent of total billed charges,,,105.19,percent of total billed charges,
**TOBRADEX OPTH OINT DO NOT USE,Local ,Local ,,,,both,,,175,175,40.25,175,175,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,138.25,percent of total billed charges,138.25,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 ,138.25,percent of total billed charges ,138.25,percent of total billed charges ,148.75,percent of total billed charges ,148.75,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 ,,,,,,,,,,,,,,,,,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,
**DICLOFENAC(VOLTAREN)OPTH 2.5 DO NOT US,637,RC,58768-01-0002,NDC,,both,1,each,108,108,24.84,108,108,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,85.32,percent of total billed charges,85.32,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 ,85.32,percent of total billed charges ,85.32,percent of total billed charges ,91.8,percent of total billed charges ,91.8,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 ,,,,,,,,,,,,,,,,,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,
CIPROFLOXACIN 0.3% OPTH SOLN,637,RC,69315-03-0805,NDC,,both,1,each,75.46,75.46,17.36,75.46,75.46,percent of total billed charges,75.46,percent of total billed charges,75.46,percent of total billed charges,75.46,percent of total billed charges,75.46,percent of total billed charges,75.46,percent of total billed charges,75.46,percent of total billed charges,75.46,percent of total billed charges,54.33,percent of total billed charges,54.33,percent of total billed charges,54.33,percent of total billed charges,54.33,percent of total billed charges,54.33,percent of total billed charges,54.33,percent of total billed charges,59.61,percent of total billed charges,59.61,percent of total billed charges,60.37,percent of total billed charges,60.37,percent of total billed charges,,,54.33,percent of total billed charges ,,,60.37,percent of total billed charges ,59.61,percent of total billed charges ,59.61,percent of total billed charges ,64.14,percent of total billed charges ,64.14,percent of total billed charges ,60.37,percent of total billed charges ,60.37,percent of total billed charges ,52.82,percent of total billed charges ,52.82,percent of total billed charges ,45.28,percent of total billed charges ,45.28,percent of total billed charges ,45.28,percent of total billed charges ,45.28,percent of total billed charges ,,,,,40.14,percent of total billed charges ,,,,,38.14,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,
TIMOLOL(TIMOPTIC) 0.5% OPHT SOLN : 2.5ML,637,RC,60505-10-0501,NDC,,both,1,each,518.15,518.15,119.17,518.15,518.15,percent of total billed charges,518.15,percent of total billed charges,518.15,percent of total billed charges,518.15,percent of total billed charges,518.15,percent of total billed charges,518.15,percent of total billed charges,518.15,percent of total billed charges,518.15,percent of total billed charges,373.07,percent of total billed charges,373.07,percent of total billed charges,373.07,percent of total billed charges,373.07,percent of total billed charges,373.07,percent of total billed charges,373.07,percent of total billed charges,409.34,percent of total billed charges,409.34,percent of total billed charges,414.52,percent of total billed charges,414.52,percent of total billed charges,,,373.07,percent of total billed charges ,,,414.52,percent of total billed charges ,409.34,percent of total billed charges ,409.34,percent of total billed charges ,440.43,percent of total billed charges ,440.43,percent of total billed charges ,414.52,percent of total billed charges ,414.52,percent of total billed charges ,362.71,percent of total billed charges ,362.71,percent of total billed charges ,310.89,percent of total billed charges ,310.89,percent of total billed charges ,310.89,percent of total billed charges ,310.89,percent of total billed charges ,,,,,275.66,percent of total billed charges ,,,,,261.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,119.17,percent of total billed charges,,,119.17,percent of total billed charges,,,119.17,percent of total billed charges,,,119.17,percent of total billed charges,,,119.17,percent of total billed charges,,,119.17,percent of total billed charges,,,119.17,percent of total billed charges,,,119.17,percent of total billed charges,,,119.17,percent of total billed charges,,,119.17,percent of total billed charges,,,119.17,percent of total billed charges,
DORZOLAMIDE 2%(TRUSOPT) OPTH SOLN:10ML,637,RC,42571-01-4126,NDC,,both,1,each,122.54,122.54,28.18,122.54,122.54,percent of total billed charges,122.54,percent of total billed charges,122.54,percent of total billed charges,122.54,percent of total billed charges,122.54,percent of total billed charges,122.54,percent of total billed charges,122.54,percent of total billed charges,122.54,percent of total billed charges,88.23,percent of total billed charges,88.23,percent of total billed charges,88.23,percent of total billed charges,88.23,percent of total billed charges,88.23,percent of total billed charges,88.23,percent of total billed charges,96.81,percent of total billed charges,96.81,percent of total billed charges,98.03,percent of total billed charges,98.03,percent of total billed charges,,,88.23,percent of total billed charges ,,,98.03,percent of total billed charges ,96.81,percent of total billed charges ,96.81,percent of total billed charges ,104.16,percent of total billed charges ,104.16,percent of total billed charges ,98.03,percent of total billed charges ,98.03,percent of total billed charges ,85.78,percent of total billed charges ,85.78,percent of total billed charges ,73.52,percent of total billed charges ,73.52,percent of total billed charges ,73.52,percent of total billed charges ,73.52,percent of total billed charges ,,,,,65.19,percent of total billed charges ,,,,,61.93,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,,,28.18,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,
LATANOPROST (XALATAN) OPTH SOLN : 2.5ML,637,RC,61314-05-4701,NDC,,both,1,each,96.82,96.82,22.27,96.82,96.82,percent of total billed charges,96.82,percent of total billed charges,96.82,percent of total billed charges,96.82,percent of total billed charges,96.82,percent of total billed charges,96.82,percent of total billed charges,96.82,percent of total billed charges,96.82,percent of total billed charges,69.71,percent of total billed charges,69.71,percent of total billed charges,69.71,percent of total billed charges,69.71,percent of total billed charges,69.71,percent of total billed charges,69.71,percent of total billed charges,76.49,percent of total billed charges,76.49,percent of total billed charges,77.46,percent of total billed charges,77.46,percent of total billed charges,,,69.71,percent of total billed charges ,,,77.46,percent of total billed charges ,76.49,percent of total billed charges ,76.49,percent of total billed charges ,82.3,percent of total billed charges ,82.3,percent of total billed charges ,77.46,percent of total billed charges ,77.46,percent of total billed charges ,67.77,percent of total billed charges ,67.77,percent of total billed charges ,58.09,percent of total billed charges ,58.09,percent of total billed charges ,58.09,percent of total billed charges ,58.09,percent of total billed charges ,,,,,51.51,percent of total billed charges ,,,,,48.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.27,percent of total billed charges,,,22.27,percent of total billed charges,,,22.27,percent of total billed charges,,,22.27,percent of total billed charges,,,22.27,percent of total billed charges,,,22.27,percent of total billed charges,,,22.27,percent of total billed charges,,,22.27,percent of total billed charges,,,22.27,percent of total billed charges,,,22.27,percent of total billed charges,,,22.27,percent of total billed charges,
TETRACAINE 0.5% OPTH :,250,RC,68682-09-2064,NDC,,both,1,each,320.98,320.98,73.83,320.98,320.98,percent of total billed charges,320.98,percent of total billed charges,320.98,percent of total billed charges,320.98,percent of total billed charges,320.98,percent of total billed charges,320.98,percent of total billed charges,320.98,percent of total billed charges,320.98,percent of total billed charges,231.11,percent of total billed charges,231.11,percent of total billed charges,231.11,percent of total billed charges,231.11,percent of total billed charges,231.11,percent of total billed charges,231.11,percent of total billed charges,253.57,percent of total billed charges,253.57,percent of total billed charges,256.78,percent of total billed charges,256.78,percent of total billed charges,,,231.11,percent of total billed charges ,,,256.78,percent of total billed charges ,253.57,percent of total billed charges ,253.57,percent of total billed charges ,272.83,percent of total billed charges ,272.83,percent of total billed charges ,256.78,percent of total billed charges ,256.78,percent of total billed charges ,224.69,percent of total billed charges ,224.69,percent of total billed charges ,192.59,percent of total billed charges ,192.59,percent of total billed charges ,192.59,percent of total billed charges ,192.59,percent of total billed charges ,,,,,170.76,percent of total billed charges ,,,,,162.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,73.83,percent of total billed charges,,,73.83,percent of total billed charges,,,73.83,percent of total billed charges,,,73.83,percent of total billed charges,,,73.83,percent of total billed charges,,,73.83,percent of total billed charges,,,73.83,percent of total billed charges,,,73.83,percent of total billed charges,,,73.83,percent of total billed charges,,,73.83,percent of total billed charges,,,73.83,percent of total billed charges,
TOBRADEX OPTH SUSP :,637,RC,00574-40-3110,NDC,,both,1,each,209.27,209.27,48.13,209.27,209.27,percent of total billed charges,209.27,percent of total billed charges,209.27,percent of total billed charges,209.27,percent of total billed charges,209.27,percent of total billed charges,209.27,percent of total billed charges,209.27,percent of total billed charges,209.27,percent of total billed charges,150.67,percent of total billed charges,150.67,percent of total billed charges,150.67,percent of total billed charges,150.67,percent of total billed charges,150.67,percent of total billed charges,150.67,percent of total billed charges,165.32,percent of total billed charges,165.32,percent of total billed charges,167.42,percent of total billed charges,167.42,percent of total billed charges,,,150.67,percent of total billed charges ,,,167.42,percent of total billed charges ,165.32,percent of total billed charges ,165.32,percent of total billed charges ,177.88,percent of total billed charges ,177.88,percent of total billed charges ,167.42,percent of total billed charges ,167.42,percent of total billed charges ,146.49,percent of total billed charges ,146.49,percent of total billed charges ,125.56,percent of total billed charges ,125.56,percent of total billed charges ,125.56,percent of total billed charges ,125.56,percent of total billed charges ,,,,,111.33,percent of total billed charges ,,,,,105.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,48.13,percent of total billed charges,,,48.13,percent of total billed charges,,,48.13,percent of total billed charges,,,48.13,percent of total billed charges,,,48.13,percent of total billed charges,,,48.13,percent of total billed charges,,,48.13,percent of total billed charges,,,48.13,percent of total billed charges,,,48.13,percent of total billed charges,,,48.13,percent of total billed charges,,,48.13,percent of total billed charges,
IOPIDINE 0.5% OPTH SOLN : 5ML,250,RC,61314-06-6505,NDC,,both,1,each,188.04,188.04,43.25,188.04,188.04,percent of total billed charges,188.04,percent of total billed charges,188.04,percent of total billed charges,188.04,percent of total billed charges,188.04,percent of total billed charges,188.04,percent of total billed charges,188.04,percent of total billed charges,188.04,percent of total billed charges,135.39,percent of total billed charges,135.39,percent of total billed charges,135.39,percent of total billed charges,135.39,percent of total billed charges,135.39,percent of total billed charges,135.39,percent of total billed charges,148.55,percent of total billed charges,148.55,percent of total billed charges,150.43,percent of total billed charges,150.43,percent of total billed charges,,,135.39,percent of total billed charges ,,,150.43,percent of total billed charges ,148.55,percent of total billed charges ,148.55,percent of total billed charges ,159.83,percent of total billed charges ,159.83,percent of total billed charges ,150.43,percent of total billed charges ,150.43,percent of total billed charges ,131.63,percent of total billed charges ,131.63,percent of total billed charges ,112.82,percent of total billed charges ,112.82,percent of total billed charges ,112.82,percent of total billed charges ,112.82,percent of total billed charges ,,,,,100.04,percent of total billed charges ,,,,,95.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.25,percent of total billed charges,,,43.25,percent of total billed charges,,,43.25,percent of total billed charges,,,43.25,percent of total billed charges,,,43.25,percent of total billed charges,,,43.25,percent of total billed charges,,,43.25,percent of total billed charges,,,43.25,percent of total billed charges,,,43.25,percent of total billed charges,,,43.25,percent of total billed charges,,,43.25,percent of total billed charges,
MIOSTAT 0.01% OPTH SOLN : 1.5ML,250,RC,00065-00-2315,NDC,,both,1,each,61,61,14.03,61,61,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,48.19,percent of total billed charges,48.19,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 ,48.19,percent of total billed charges ,48.19,percent of total billed charges ,51.85,percent of total billed charges ,51.85,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 ,,,,,,,,,,,,,,,,,,,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,,,14.03,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,
**REFRESH PLUS OPTH SOL DO NOT USE,637,RC,00023-54-8730,NDC,,both,,,35,35,8.05,35,35,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,27.65,percent of total billed charges,27.65,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 ,27.65,percent of total billed charges ,27.65,percent of total billed charges ,29.75,percent of total billed charges ,29.75,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 ,,,,,,,,,,,,,,,,,,,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,
TROPICAMIDE 1% (MYDRIACYL)OPTH SOLN: 3ML,250,RC,00065-03-5503,NDC,,both,3,each,46,46,10.58,46,46,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,36.34,percent of total billed charges,36.34,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 ,36.34,percent of total billed charges ,36.34,percent of total billed charges ,39.1,percent of total billed charges ,39.1,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,10.58,percent of total billed charges,,,10.58,percent of total billed charges,,,10.58,percent of total billed charges,
**FLURBIPROFEN(OCUFFEN)OPTH DO NOT USE,637,RC,11980-08-0103,NDC,,both,1,each,25,25,5.75,25,25,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,19.75,percent of total billed charges,19.75,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 ,19.75,percent of total billed charges ,19.75,percent of total billed charges ,21.25,percent of total billed charges ,21.25,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 ,,,,,,,,,,,,,,,,,,,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,,,5.75,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,
CYCLOPENTOLATE (CYCLOGYL)OPTH SOL 2%:2ML,250,RC,17478-00-9702,NDC,,both,1,each,123.49,123.49,28.4,123.49,123.49,percent of total billed charges,123.49,percent of total billed charges,123.49,percent of total billed charges,123.49,percent of total billed charges,123.49,percent of total billed charges,123.49,percent of total billed charges,123.49,percent of total billed charges,123.49,percent of total billed charges,88.91,percent of total billed charges,88.91,percent of total billed charges,88.91,percent of total billed charges,88.91,percent of total billed charges,88.91,percent of total billed charges,88.91,percent of total billed charges,97.56,percent of total billed charges,97.56,percent of total billed charges,98.79,percent of total billed charges,98.79,percent of total billed charges,,,88.91,percent of total billed charges ,,,98.79,percent of total billed charges ,97.56,percent of total billed charges ,97.56,percent of total billed charges ,104.97,percent of total billed charges ,104.97,percent of total billed charges ,98.79,percent of total billed charges ,98.79,percent of total billed charges ,86.44,percent of total billed charges ,86.44,percent of total billed charges ,74.09,percent of total billed charges ,74.09,percent of total billed charges ,74.09,percent of total billed charges ,74.09,percent of total billed charges ,,,,,65.7,percent of total billed charges ,,,,,62.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28.4,percent of total billed charges,,,28.4,percent of total billed charges,,,28.4,percent of total billed charges,,,28.4,percent of total billed charges,,,28.4,percent of total billed charges,,,28.4,percent of total billed charges,,,28.4,percent of total billed charges,,,28.4,percent of total billed charges,,,28.4,percent of total billed charges,,,28.4,percent of total billed charges,,,28.4,percent of total billed charges,
GENTAMICIN (GARAMYCIN) OPTH OINT : 3.5GM,250,RC,17478-02-8435,NDC,,both,1,each,68,68,15.64,68,68,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,53.72,percent of total billed charges,53.72,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 ,53.72,percent of total billed charges ,53.72,percent of total billed charges ,57.8,percent of total billed charges ,57.8,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 ,,,,,,,,,,,,,,,,,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,
BACITRACIN OPTH OINT : 3.5GM,637,RC,00574-40-2235,NDC,,both,1,each,287,287,66.01,287,287,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,226.73,percent of total billed charges,226.73,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 ,226.73,percent of total billed charges ,226.73,percent of total billed charges ,243.95,percent of total billed charges ,243.95,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 ,,,,,,,,,,,,,,,,,,,66.01,percent of total billed charges,,,66.01,percent of total billed charges,,,66.01,percent of total billed charges,,,66.01,percent of total billed charges,,,66.01,percent of total billed charges,,,66.01,percent of total billed charges,,,66.01,percent of total billed charges,,,66.01,percent of total billed charges,,,66.01,percent of total billed charges,,,66.01,percent of total billed charges,,,66.01,percent of total billed charges,
TETRACAINE OPTH SOLN : 15ML,250,RC,68682-09-2064,NDC,,both,1,each,91,91,20.93,91,91,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,71.89,percent of total billed charges,71.89,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 ,71.89,percent of total billed charges ,71.89,percent of total billed charges ,77.35,percent of total billed charges ,77.35,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 ,,,,,,,,,,,,,,,,,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,
**PILOCARPINE 4%(PILOPINE)OPTH GEL DO NO,637,RC,00065-02-1535,NDC,,both,1,each,121,121,27.83,121,121,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,95.59,percent of total billed charges,95.59,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 ,95.59,percent of total billed charges ,95.59,percent of total billed charges ,102.85,percent of total billed charges ,102.85,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,27.83,percent of total billed charges,,,27.83,percent of total billed charges,,,27.83,percent of total billed charges,
**TRIFLURIDNE (VIROPTICE) DO NOT USE,259,RC,61570-00-3775,NDC,,both,,,274,274,63.02,274,274,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,216.46,percent of total billed charges,216.46,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 ,216.46,percent of total billed charges ,216.46,percent of total billed charges ,232.9,percent of total billed charges ,232.9,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 ,,,,,,,,,,,,,,,,,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,
SODIUM CHLORIDE 2% OPTHALMIC (MURO-128),637,RC,24208-02-7615,NDC,,both,1,each,81.48,81.48,18.74,81.48,81.48,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,58.67,percent of total billed charges,58.67,percent of total billed charges,58.67,percent of total billed charges,58.67,percent of total billed charges,58.67,percent of total billed charges,58.67,percent of total billed charges,64.37,percent of total billed charges,64.37,percent of total billed charges,65.18,percent of total billed charges,65.18,percent of total billed charges,,,58.67,percent of total billed charges ,,,65.18,percent of total billed charges ,64.37,percent of total billed charges ,64.37,percent of total billed charges ,69.26,percent of total billed charges ,69.26,percent of total billed charges ,65.18,percent of total billed charges ,65.18,percent of total billed charges ,57.04,percent of total billed charges ,57.04,percent of total billed charges ,48.89,percent of total billed charges ,48.89,percent of total billed charges ,48.89,percent of total billed charges ,48.89,percent of total billed charges ,,,,,43.35,percent of total billed charges ,,,,,41.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,18.74,percent of total billed charges,,,18.74,percent of total billed charges,,,18.74,percent of total billed charges,,,18.74,percent of total billed charges,,,18.74,percent of total billed charges,,,18.74,percent of total billed charges,,,18.74,percent of total billed charges,,,18.74,percent of total billed charges,,,18.74,percent of total billed charges,,,18.74,percent of total billed charges,,,18.74,percent of total billed charges,
**TRIFLURIDINE (VIROPTIC) DO NOT USE,259,RC,61570-00-3775,NDC,,both,,,117,117,26.91,117,117,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,92.43,percent of total billed charges,92.43,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 ,92.43,percent of total billed charges ,92.43,percent of total billed charges ,99.45,percent of total billed charges ,99.45,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 ,,,,,,,,,,,,,,,,,,,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,
**TOBRAMYCIN-=DEXAMETH OPTH DO NOT USE,259,RC,00065-06-4435,NDC,,both,1,each,117,117,26.91,117,117,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,92.43,percent of total billed charges,92.43,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 ,92.43,percent of total billed charges ,92.43,percent of total billed charges ,99.45,percent of total billed charges ,99.45,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 ,,,,,,,,,,,,,,,,,,,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,
TOBRAMYCIN 0.3% (TOBREX)OPTH SOLN:5ML,637,RC,70069-01-3101,NDC,,both,1,each,70,70,16.1,70,70,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,55.3,percent of total billed charges,55.3,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 ,55.3,percent of total billed charges ,55.3,percent of total billed charges ,59.5,percent of total billed charges ,59.5,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 ,,,,,,,,,,,,,,,,,,,16.1,percent of total billed charges,,,16.1,percent of total billed charges,,,16.1,percent of total billed charges,,,16.1,percent of total billed charges,,,16.1,percent of total billed charges,,,16.1,percent of total billed charges,,,16.1,percent of total billed charges,,,16.1,percent of total billed charges,,,16.1,percent of total billed charges,,,16.1,percent of total billed charges,,,16.1,percent of total billed charges,
**ANTIPYRINE (AURALCAN) SOL DO NOT USE,259,RC,24208-05-6162,NDC,,both,1,each,44,44,10.12,44,44,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,34.76,percent of total billed charges,34.76,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 ,34.76,percent of total billed charges ,34.76,percent of total billed charges ,37.4,percent of total billed charges ,37.4,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 ,,,,,,,,,,,,,,,,,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,
**TIMOLOL .5% (TIMOTIC) DO NOT USE,259,RC,24208-03-2405,NDC,,both,1,each,76,76,17.48,76,76,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,60.04,percent of total billed charges,60.04,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 ,60.04,percent of total billed charges ,60.04,percent of total billed charges ,64.6,percent of total billed charges ,64.6,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 ,,,,,,,,,,,,,,,,,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,
TIMOPTIC 0.25% OPTH SOLN : 5ML,637,RC,60758-08-0205,NDC,,both,1,each,43.41,43.41,9.98,43.41,43.41,percent of total billed charges,43.41,percent of total billed charges,43.41,percent of total billed charges,43.41,percent of total billed charges,43.41,percent of total billed charges,43.41,percent of total billed charges,43.41,percent of total billed charges,43.41,percent of total billed charges,31.26,percent of total billed charges,31.26,percent of total billed charges,31.26,percent of total billed charges,31.26,percent of total billed charges,31.26,percent of total billed charges,31.26,percent of total billed charges,34.29,percent of total billed charges,34.29,percent of total billed charges,34.73,percent of total billed charges,34.73,percent of total billed charges,,,31.26,percent of total billed charges ,,,34.73,percent of total billed charges ,34.29,percent of total billed charges ,34.29,percent of total billed charges ,36.9,percent of total billed charges ,36.9,percent of total billed charges ,34.73,percent of total billed charges ,34.73,percent of total billed charges ,30.39,percent of total billed charges ,30.39,percent of total billed charges ,26.05,percent of total billed charges ,26.05,percent of total billed charges ,26.05,percent of total billed charges ,26.05,percent of total billed charges ,,,,,23.09,percent of total billed charges ,,,,,21.94,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,,,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,
SULFACETAMIDE 10% OPTH OINT : 3.5GM,637,RC,00168-00-7938,NDC,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
**SULFACETAMIDE SOD 30 DO NOT USE,Local ,Local ,,,,both,,,145,145,33.35,145,145,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,114.55,percent of total billed charges,114.55,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 ,114.55,percent of total billed charges ,114.55,percent of total billed charges ,123.25,percent of total billed charges ,123.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,33.35,percent of total billed charges,,,33.35,percent of total billed charges,,,33.35,percent of total billed charges,
CYCLOPENTOLATE (CYCLOGYL)OPTH SOL 1%,250,RC,17478-01-0002,NDC,,both,1,each,65.13,65.13,14.98,65.13,65.13,percent of total billed charges,65.13,percent of total billed charges,65.13,percent of total billed charges,65.13,percent of total billed charges,65.13,percent of total billed charges,65.13,percent of total billed charges,65.13,percent of total billed charges,65.13,percent of total billed charges,46.89,percent of total billed charges,46.89,percent of total billed charges,46.89,percent of total billed charges,46.89,percent of total billed charges,46.89,percent of total billed charges,46.89,percent of total billed charges,51.45,percent of total billed charges,51.45,percent of total billed charges,52.1,percent of total billed charges,52.1,percent of total billed charges,,,46.89,percent of total billed charges ,,,52.1,percent of total billed charges ,51.45,percent of total billed charges ,51.45,percent of total billed charges ,55.36,percent of total billed charges ,55.36,percent of total billed charges ,52.1,percent of total billed charges ,52.1,percent of total billed charges ,45.59,percent of total billed charges ,45.59,percent of total billed charges ,39.08,percent of total billed charges ,39.08,percent of total billed charges ,39.08,percent of total billed charges ,39.08,percent of total billed charges ,,,,,34.65,percent of total billed charges ,,,,,32.92,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,,,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,
DIPIVEFRIN (PROPINE) 0.1% OPHT SOLN: 5ML,637,RC,01980-02-6005,NDC,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
PrednisoLONE 1% (PRED FORTE)OPTH: 5ML,250,RC,61314-06-3705,NDC,,both,1,each,130.74,130.74,30.07,130.74,130.74,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,103.28,percent of total billed charges,103.28,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 ,103.28,percent of total billed charges ,103.28,percent of total billed charges ,111.13,percent of total billed charges ,111.13,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 ,,,,,,,,,,,,,,,,,,,30.07,percent of total billed charges,,,30.07,percent of total billed charges,,,30.07,percent of total billed charges,,,30.07,percent of total billed charges,,,30.07,percent of total billed charges,,,30.07,percent of total billed charges,,,30.07,percent of total billed charges,,,30.07,percent of total billed charges,,,30.07,percent of total billed charges,,,30.07,percent of total billed charges,,,30.07,percent of total billed charges,
POLYOMYCIN (POLYSPORIN) OINT : 1 APP,637,RC,00081-07-9786,NDC,,both,1,each,31,31,7.13,31,31,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,24.49,percent of total billed charges,24.49,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 ,24.49,percent of total billed charges ,24.49,percent of total billed charges ,26.35,percent of total billed charges ,26.35,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 ,,,,,,,,,,,,,,,,,,,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,
**OCUTRICIN HC OPTH SUSP DO NOT USE,259,RC,61570-00-3675,NDC,,both,1,each,89,89,20.47,89,89,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,70.31,percent of total billed charges,70.31,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 ,70.31,percent of total billed charges ,70.31,percent of total billed charges ,75.65,percent of total billed charges ,75.65,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 ,,,,,,,,,,,,,,,,,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,
NEOSPORIN OPHTH SOL'N : 10 ML,637,RC,24208-07-9062,NDC,,both,1,each,125,125,28.75,125,125,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,98.75,percent of total billed charges,98.75,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 ,98.75,percent of total billed charges ,98.75,percent of total billed charges ,106.25,percent of total billed charges ,106.25,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 ,,,,,,,,,,,,,,,,,,,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,,,28.75,percent of total billed charges,,,28.75,percent of total billed charges,,,28.75,percent of total billed charges,
TRIPLE ANTIBIOTIC OPHT OINT : 3.5GM,250,RC,16571-07-5453,NDC,,both,1,each,222,222,51.06,222,222,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,175.38,percent of total billed charges,175.38,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 ,175.38,percent of total billed charges ,175.38,percent of total billed charges ,188.7,percent of total billed charges ,188.7,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
PHENYLEPHRINE 2.5% OPTH SOL,250,RC,17478-02-0605,NDC,,both,1,each,285,285,65.55,285,285,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,225.15,percent of total billed charges,225.15,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 ,225.15,percent of total billed charges ,225.15,percent of total billed charges ,242.25,percent of total billed charges ,242.25,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 ,,,,,,,,,,,,,,,,,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,
NYSTATIN TOP PWDR : 15GM,637,RC,68382-03-7001,NDC,,both,1,each,43.67,43.67,10.04,43.67,43.67,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,34.5,percent of total billed charges,34.5,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 ,34.5,percent of total billed charges ,34.5,percent of total billed charges ,37.12,percent of total billed charges ,37.12,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 ,,,,,,,,,,,,,,,,,,,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,,,10.04,percent of total billed charges,,,10.04,percent of total billed charges,,,10.04,percent of total billed charges,
TROPICAMIDE 1% (MYDRIACYL)OPTH SOLN:15ML,250,RC,17478-01-0212,NDC,,both,1,each,62.22,62.22,14.31,62.22,62.22,percent of total billed charges,62.22,percent of total billed charges,62.22,percent of total billed charges,62.22,percent of total billed charges,62.22,percent of total billed charges,62.22,percent of total billed charges,62.22,percent of total billed charges,62.22,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,49.15,percent of total billed charges,49.15,percent of total billed charges,49.78,percent of total billed charges,49.78,percent of total billed charges,,,44.8,percent of total billed charges ,,,49.78,percent of total billed charges ,49.15,percent of total billed charges ,49.15,percent of total billed charges ,52.89,percent of total billed charges ,52.89,percent of total billed charges ,49.78,percent of total billed charges ,49.78,percent of total billed charges ,43.55,percent of total billed charges ,43.55,percent of total billed charges ,37.33,percent of total billed charges ,37.33,percent of total billed charges ,37.33,percent of total billed charges ,37.33,percent of total billed charges ,,,,,33.1,percent of total billed charges ,,,,,31.45,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,
ARTIFICIAL TEARS OPTH SOLN : 15ML,637,RC,00023-07-9815,NDC,,both,1,each,20.82,20.82,4.79,20.82,20.82,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,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,14.99,percent of total billed charges,14.99,percent of total billed charges,14.99,percent of total billed charges,14.99,percent of total billed charges,14.99,percent of total billed charges,14.99,percent of total billed charges,16.45,percent of total billed charges,16.45,percent of total billed charges,16.66,percent of total billed charges,16.66,percent of total billed charges,,,14.99,percent of total billed charges ,,,16.66,percent of total billed charges ,16.45,percent of total billed charges ,16.45,percent of total billed charges ,17.7,percent of total billed charges ,17.7,percent of total billed charges ,16.66,percent of total billed charges ,16.66,percent of total billed charges ,14.57,percent of total billed charges ,14.57,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 ,,,,,11.08,percent of total billed charges ,,,,,10.52,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,
LACRI-LUBE OINT : 3.5GM,637,RC,61314-06-3136,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**HOMATROPHINE 5%OPTH SOLN 5ML DO NOT US,250,RC,58768-04-6705,NDC,,both,1,each,93,93,21.39,93,93,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,73.47,percent of total billed charges,73.47,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 ,73.47,percent of total billed charges ,73.47,percent of total billed charges ,79.05,percent of total billed charges ,79.05,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 ,,,,,,,,,,,,,,,,,,,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,,,21.39,percent of total billed charges,,,21.39,percent of total billed charges,,,21.39,percent of total billed charges,
dexAMETHasone (MAXITROL)OPTH SUSP :,637,RC,24208-08-3060,NDC,,both,1,each,53,53,12.19,53,53,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,41.87,percent of total billed charges,41.87,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 ,41.87,percent of total billed charges ,41.87,percent of total billed charges ,45.05,percent of total billed charges ,45.05,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 ,,,,,,,,,,,,,,,,,,,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,
PILOCARPINE 4% OPTH SOLN : 15ML,637,RC,61314-02-0615,NDC,,both,1,each,368.63,368.63,84.78,368.63,368.63,percent of total billed charges,368.63,percent of total billed charges,368.63,percent of total billed charges,368.63,percent of total billed charges,368.63,percent of total billed charges,368.63,percent of total billed charges,368.63,percent of total billed charges,368.63,percent of total billed charges,265.41,percent of total billed charges,265.41,percent of total billed charges,265.41,percent of total billed charges,265.41,percent of total billed charges,265.41,percent of total billed charges,265.41,percent of total billed charges,291.22,percent of total billed charges,291.22,percent of total billed charges,294.9,percent of total billed charges,294.9,percent of total billed charges,,,265.41,percent of total billed charges ,,,294.9,percent of total billed charges ,291.22,percent of total billed charges ,291.22,percent of total billed charges ,313.34,percent of total billed charges ,313.34,percent of total billed charges ,294.9,percent of total billed charges ,294.9,percent of total billed charges ,258.04,percent of total billed charges ,258.04,percent of total billed charges ,221.18,percent of total billed charges ,221.18,percent of total billed charges ,221.18,percent of total billed charges ,221.18,percent of total billed charges ,,,,,196.11,percent of total billed charges ,,,,,186.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,84.78,percent of total billed charges,,,84.78,percent of total billed charges,,,84.78,percent of total billed charges,,,84.78,percent of total billed charges,,,84.78,percent of total billed charges,,,84.78,percent of total billed charges,,,84.78,percent of total billed charges,,,84.78,percent of total billed charges,,,84.78,percent of total billed charges,,,84.78,percent of total billed charges,,,84.78,percent of total billed charges,
GENTAMICIN (GARAMYCIN) OPTH SOLN : 5ML,250,RC,60758-01-8805,NDC,,both,1,each,155.73,155.73,35.82,155.73,155.73,percent of total billed charges,155.73,percent of total billed charges,155.73,percent of total billed charges,155.73,percent of total billed charges,155.73,percent of total billed charges,155.73,percent of total billed charges,155.73,percent of total billed charges,155.73,percent of total billed charges,112.13,percent of total billed charges,112.13,percent of total billed charges,112.13,percent of total billed charges,112.13,percent of total billed charges,112.13,percent of total billed charges,112.13,percent of total billed charges,123.03,percent of total billed charges,123.03,percent of total billed charges,124.58,percent of total billed charges,124.58,percent of total billed charges,,,112.13,percent of total billed charges ,,,124.58,percent of total billed charges ,123.03,percent of total billed charges ,123.03,percent of total billed charges ,132.37,percent of total billed charges ,132.37,percent of total billed charges ,124.58,percent of total billed charges ,124.58,percent of total billed charges ,109.01,percent of total billed charges ,109.01,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 ,,,,,82.85,percent of total billed charges ,,,,,78.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,35.82,percent of total billed charges,,,35.82,percent of total billed charges,,,35.82,percent of total billed charges,,,35.82,percent of total billed charges,,,35.82,percent of total billed charges,,,35.82,percent of total billed charges,,,35.82,percent of total billed charges,,,35.82,percent of total billed charges,,,35.82,percent of total billed charges,,,35.82,percent of total billed charges,,,35.82,percent of total billed charges,
PILOCARPINE 2% OPTH SOLN : 15ML,637,RC,61314-02-0415,NDC,,both,1,each,351.62,351.62,80.87,351.62,351.62,percent of total billed charges,351.62,percent of total billed charges,351.62,percent of total billed charges,351.62,percent of total billed charges,351.62,percent of total billed charges,351.62,percent of total billed charges,351.62,percent of total billed charges,351.62,percent of total billed charges,253.17,percent of total billed charges,253.17,percent of total billed charges,253.17,percent of total billed charges,253.17,percent of total billed charges,253.17,percent of total billed charges,253.17,percent of total billed charges,277.78,percent of total billed charges,277.78,percent of total billed charges,281.3,percent of total billed charges,281.3,percent of total billed charges,,,253.17,percent of total billed charges ,,,281.3,percent of total billed charges ,277.78,percent of total billed charges ,277.78,percent of total billed charges ,298.88,percent of total billed charges ,298.88,percent of total billed charges ,281.3,percent of total billed charges ,281.3,percent of total billed charges ,246.13,percent of total billed charges ,246.13,percent of total billed charges ,210.97,percent of total billed charges ,210.97,percent of total billed charges ,210.97,percent of total billed charges ,210.97,percent of total billed charges ,,,,,187.06,percent of total billed charges ,,,,,177.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,80.87,percent of total billed charges,,,80.87,percent of total billed charges,,,80.87,percent of total billed charges,,,80.87,percent of total billed charges,,,80.87,percent of total billed charges,,,80.87,percent of total billed charges,,,80.87,percent of total billed charges,,,80.87,percent of total billed charges,,,80.87,percent of total billed charges,,,80.87,percent of total billed charges,,,80.87,percent of total billed charges,
PILOCARPINE 1% OPTH : 15ML,250,RC,61314-02-0315,NDC,,both,1,each,365,365,83.95,365,365,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,288.35,percent of total billed charges,288.35,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 ,288.35,percent of total billed charges ,288.35,percent of total billed charges ,310.25,percent of total billed charges ,310.25,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 ,,,,,,,,,,,,,,,,,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,
**HPOTEARS OPTH 15ML DO NOT USE,259,RC,00168-01-7715,NDC,,both,1,each,66,66,15.18,66,66,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,52.14,percent of total billed charges,52.14,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 ,52.14,percent of total billed charges ,52.14,percent of total billed charges ,56.1,percent of total billed charges ,56.1,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 ,,,,,,,,,,,,,,,,,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,
ATROPINE 1% OPTH SOLN,250,RC,60505-62-2602,NDC,,both,1,each,211.13,211.13,48.56,211.13,211.13,percent of total billed charges,211.13,percent of total billed charges,211.13,percent of total billed charges,211.13,percent of total billed charges,211.13,percent of total billed charges,211.13,percent of total billed charges,211.13,percent of total billed charges,211.13,percent of total billed charges,152.01,percent of total billed charges,152.01,percent of total billed charges,152.01,percent of total billed charges,152.01,percent of total billed charges,152.01,percent of total billed charges,152.01,percent of total billed charges,166.79,percent of total billed charges,166.79,percent of total billed charges,168.9,percent of total billed charges,168.9,percent of total billed charges,,,152.01,percent of total billed charges ,,,168.9,percent of total billed charges ,166.79,percent of total billed charges ,166.79,percent of total billed charges ,179.46,percent of total billed charges ,179.46,percent of total billed charges ,168.9,percent of total billed charges ,168.9,percent of total billed charges ,147.79,percent of total billed charges ,147.79,percent of total billed charges ,126.68,percent of total billed charges ,126.68,percent of total billed charges ,126.68,percent of total billed charges ,126.68,percent of total billed charges ,,,,,112.32,percent of total billed charges ,,,,,106.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,48.56,percent of total billed charges,,,48.56,percent of total billed charges,,,48.56,percent of total billed charges,,,48.56,percent of total billed charges,,,48.56,percent of total billed charges,,,48.56,percent of total billed charges,,,48.56,percent of total billed charges,,,48.56,percent of total billed charges,,,48.56,percent of total billed charges,,,48.56,percent of total billed charges,,,48.56,percent of total billed charges,
DEXAMETHASONE OPTH SOL 0.1% : 5ML,637,RC,24208-07-2002,NDC,,both,1,each,74,74,17.02,74,74,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,58.46,percent of total billed charges,58.46,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 ,58.46,percent of total billed charges ,58.46,percent of total billed charges ,62.9,percent of total billed charges ,62.9,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 ,,,,,,,,,,,,,,,,,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,
**DIPHENHYDRAMINE ELIX : 12.5MG/5ML - ER,250,RC,00472-12-2394,NDC,,both,5,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
ERYTHROMYCIN 0.5% OPTH OINT : 1GM,250,RC,00574-40-2439,NDC,,both,1,each,26.13,26.13,6.01,26.13,26.13,percent of total billed charges,26.13,percent of total billed charges,26.13,percent of total billed charges,26.13,percent of total billed charges,26.13,percent of total billed charges,26.13,percent of total billed charges,26.13,percent of total billed charges,26.13,percent of total billed charges,18.81,percent of total billed charges,18.81,percent of total billed charges,18.81,percent of total billed charges,18.81,percent of total billed charges,18.81,percent of total billed charges,18.81,percent of total billed charges,20.64,percent of total billed charges,20.64,percent of total billed charges,20.9,percent of total billed charges,20.9,percent of total billed charges,,,18.81,percent of total billed charges ,,,20.9,percent of total billed charges ,20.64,percent of total billed charges ,20.64,percent of total billed charges ,22.21,percent of total billed charges ,22.21,percent of total billed charges ,20.9,percent of total billed charges ,20.9,percent of total billed charges ,18.29,percent of total billed charges ,18.29,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 ,,,,,13.9,percent of total billed charges ,,,,,13.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.01,percent of total billed charges,,,6.01,percent of total billed charges,,,6.01,percent of total billed charges,,,6.01,percent of total billed charges,,,6.01,percent of total billed charges,,,6.01,percent of total billed charges,,,6.01,percent of total billed charges,,,6.01,percent of total billed charges,,,6.01,percent of total billed charges,,,6.01,percent of total billed charges,,,6.01,percent of total billed charges,
CORTISPORIN OPTH OINT : 3.5GM,637,RC,00574-42-5035,NDC,,both,1,each,222,222,51.06,222,222,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,175.38,percent of total billed charges,175.38,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 ,175.38,percent of total billed charges ,175.38,percent of total billed charges ,188.7,percent of total billed charges ,188.7,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
OPHTHALMIC IRRIGATION SOLN : 120ML,250,RC,10119-00-0738,NDC,,both,1,each,16,16,3.68,16,16,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,12.64,percent of total billed charges,12.64,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 ,12.64,percent of total billed charges ,12.64,percent of total billed charges ,13.6,percent of total billed charges ,13.6,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 ,,,,,,,,,,,,,,,,,,,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,,,3.68,percent of total billed charges,,,3.68,percent of total billed charges,,,3.68,percent of total billed charges,
BUTENAFINE 1% (MENTAX) CRM : 30GM,637,RC,51672-21-0002,NDC,,both,1,each,105.25,105.25,24.21,105.25,105.25,percent of total billed charges,105.25,percent of total billed charges,105.25,percent of total billed charges,105.25,percent of total billed charges,105.25,percent of total billed charges,105.25,percent of total billed charges,105.25,percent of total billed charges,105.25,percent of total billed charges,75.78,percent of total billed charges,75.78,percent of total billed charges,75.78,percent of total billed charges,75.78,percent of total billed charges,75.78,percent of total billed charges,75.78,percent of total billed charges,83.15,percent of total billed charges,83.15,percent of total billed charges,84.2,percent of total billed charges,84.2,percent of total billed charges,,,75.78,percent of total billed charges ,,,84.2,percent of total billed charges ,83.15,percent of total billed charges ,83.15,percent of total billed charges ,89.46,percent of total billed charges ,89.46,percent of total billed charges ,84.2,percent of total billed charges ,84.2,percent of total billed charges ,73.68,percent of total billed charges ,73.68,percent of total billed charges ,63.15,percent of total billed charges ,63.15,percent of total billed charges ,63.15,percent of total billed charges ,63.15,percent of total billed charges ,,,,,55.99,percent of total billed charges ,,,,,53.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.21,percent of total billed charges,,,24.21,percent of total billed charges,,,24.21,percent of total billed charges,,,24.21,percent of total billed charges,,,24.21,percent of total billed charges,,,24.21,percent of total billed charges,,,24.21,percent of total billed charges,,,24.21,percent of total billed charges,,,24.21,percent of total billed charges,,,24.21,percent of total billed charges,,,24.21,percent of total billed charges,
**BLEPHAMIDE OPHT SUSP 5ML DO NOT USE,259,RC,24208-03-1705,NDC,,both,1,each,108,108,24.84,108,108,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,85.32,percent of total billed charges,85.32,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 ,85.32,percent of total billed charges ,85.32,percent of total billed charges ,91.8,percent of total billed charges ,91.8,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 ,,,,,,,,,,,,,,,,,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,
AMVISC SYR : 12MG/ML 0.5ML,250,RC,61772-05-9051,NDC,,both,1,each,296,296,68.08,296,296,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,233.84,percent of total billed charges,233.84,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 ,233.84,percent of total billed charges ,233.84,percent of total billed charges ,251.6,percent of total billed charges ,251.6,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 ,,,,,,,,,,,,,,,,,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,
PIOGLITAZONE (ACTOS) TAB : 15 MG,637,RC,13668-01-4030,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
**ZANAMIVIR (RELENAZ) DO NOT USE,259,RC,00173-06-8101,NDC,,both,1,each,187,187,43.01,187,187,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,147.73,percent of total billed charges,147.73,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 ,147.73,percent of total billed charges ,147.73,percent of total billed charges ,158.95,percent of total billed charges ,158.95,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 ,,,,,,,,,,,,,,,,,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,
AZELASTINE (ASTELIN)NASAL  : 137MCG/SPRY,637,RC,60505-08-3305,NDC,,both,1,each,51,51,11.73,51,51,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,40.29,percent of total billed charges,40.29,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 ,40.29,percent of total billed charges ,40.29,percent of total billed charges ,43.35,percent of total billed charges ,43.35,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 ,,,,,,,,,,,,,,,,,,,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,
TOOTHETTE/PACK OF 5,Local ,Local ,,,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
PHENYLEPHRINE 10% OPTH VISCOUS : 5ML,637,RC,00024-13-6201,NDC,,both,1,each,76,76,17.48,76,76,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,60.04,percent of total billed charges,60.04,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 ,60.04,percent of total billed charges ,60.04,percent of total billed charges ,64.6,percent of total billed charges ,64.6,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 ,,,,,,,,,,,,,,,,,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,
**LORAZEPAM TABS  : 0.5MG HOSPICE GENERI,637,RC,00591-02-4005,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**OPIPRANOLOL 3% OPTH SOL DO NOT USE,259,RC,24208-02-7507,NDC,,both,,,81,81,18.63,81,81,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,63.99,percent of total billed charges,63.99,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 ,63.99,percent of total billed charges ,63.99,percent of total billed charges ,68.85,percent of total billed charges ,68.85,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 ,,,,,,,,,,,,,,,,,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,
CORTISPORIN OTIC SUSP : 10ML,637,RC,63481-05-2910,NDC,,both,1,each,239,239,54.97,239,239,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,188.81,percent of total billed charges,188.81,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 ,188.81,percent of total billed charges ,188.81,percent of total billed charges ,203.15,percent of total billed charges ,203.15,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 ,,,,,,,,,,,,,,,,,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,
BETOPTIC S 0.25% OPTH SUSP : 5ML,637,RC,00065-02-4605,NDC,,both,1,each,114,114,26.22,114,114,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,90.06,percent of total billed charges,90.06,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 ,90.06,percent of total billed charges ,90.06,percent of total billed charges ,96.9,percent of total billed charges ,96.9,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 ,,,,,,,,,,,,,,,,,,,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,,,26.22,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,
**BECONASE AQ NASAL SPRY 25MG DO NOT USE,637,RC,00173-03-8879,NDC,,both,1,each,209,209,48.07,209,209,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,165.11,percent of total billed charges,165.11,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 ,165.11,percent of total billed charges ,165.11,percent of total billed charges ,177.65,percent of total billed charges ,177.65,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 ,,,,,,,,,,,,,,,,,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,
DEBROX OTIC SOLN : 15ML,637,RC,78112-07-3623,NDC,,both,1,each,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
CORTISPORIN OTIC SOLN : 10ML,637,RC,61314-06-4610,NDC,,both,1,each,365.81,365.81,84.14,365.81,365.81,percent of total billed charges,365.81,percent of total billed charges,365.81,percent of total billed charges,365.81,percent of total billed charges,365.81,percent of total billed charges,365.81,percent of total billed charges,365.81,percent of total billed charges,365.81,percent of total billed charges,263.38,percent of total billed charges,263.38,percent of total billed charges,263.38,percent of total billed charges,263.38,percent of total billed charges,263.38,percent of total billed charges,263.38,percent of total billed charges,288.99,percent of total billed charges,288.99,percent of total billed charges,292.65,percent of total billed charges,292.65,percent of total billed charges,,,263.38,percent of total billed charges ,,,292.65,percent of total billed charges ,288.99,percent of total billed charges ,288.99,percent of total billed charges ,310.94,percent of total billed charges ,310.94,percent of total billed charges ,292.65,percent of total billed charges ,292.65,percent of total billed charges ,256.07,percent of total billed charges ,256.07,percent of total billed charges ,219.49,percent of total billed charges ,219.49,percent of total billed charges ,219.49,percent of total billed charges ,219.49,percent of total billed charges ,,,,,194.61,percent of total billed charges ,,,,,184.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,84.14,percent of total billed charges,,,84.14,percent of total billed charges,,,84.14,percent of total billed charges,,,84.14,percent of total billed charges,,,84.14,percent of total billed charges,,,84.14,percent of total billed charges,,,84.14,percent of total billed charges,,,84.14,percent of total billed charges,,,84.14,percent of total billed charges,,,84.14,percent of total billed charges,,,84.14,percent of total billed charges,
**CERUMENEX EAR DROPS 6ML DO NOT USE,259,RC,00034-54-9006,NDC,,both,1,each,89,89,20.47,89,89,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,70.31,percent of total billed charges,70.31,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 ,70.31,percent of total billed charges ,70.31,percent of total billed charges ,75.65,percent of total billed charges ,75.65,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 ,,,,,,,,,,,,,,,,,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,
POLYMYXIN B/TRIMETHOPRIM OPTH SOLN: 10ML,637,RC,61314-06-2810,NDC,,both,1,each,49.85,49.85,11.47,49.85,49.85,percent of total billed charges,49.85,percent of total billed charges,49.85,percent of total billed charges,49.85,percent of total billed charges,49.85,percent of total billed charges,49.85,percent of total billed charges,49.85,percent of total billed charges,49.85,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,35.89,percent of total billed charges,35.89,percent of total billed charges,39.38,percent of total billed charges,39.38,percent of total billed charges,39.88,percent of total billed charges,39.88,percent of total billed charges,,,35.89,percent of total billed charges ,,,39.88,percent of total billed charges ,39.38,percent of total billed charges ,39.38,percent of total billed charges ,42.37,percent of total billed charges ,42.37,percent of total billed charges ,39.88,percent of total billed charges ,39.88,percent of total billed charges ,34.9,percent of total billed charges ,34.9,percent of total billed charges ,29.91,percent of total billed charges ,29.91,percent of total billed charges ,29.91,percent of total billed charges ,29.91,percent of total billed charges ,,,,,26.52,percent of total billed charges ,,,,,25.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.47,percent of total billed charges,,,11.47,percent of total billed charges,,,11.47,percent of total billed charges,,,11.47,percent of total billed charges,,,11.47,percent of total billed charges,,,11.47,percent of total billed charges,,,11.47,percent of total billed charges,,,11.47,percent of total billed charges,,,11.47,percent of total billed charges,,,11.47,percent of total billed charges,,,11.47,percent of total billed charges,
**ACETIC ACID HC (VOSOL HC) DO NOT USE,637,RC,24208-05-5555,NDC,,both,1,each,107,107,24.61,107,107,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,84.53,percent of total billed charges,84.53,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 ,84.53,percent of total billed charges ,84.53,percent of total billed charges ,90.95,percent of total billed charges ,90.95,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 ,,,,,,,,,,,,,,,,,,,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,
CLOZAPINE (CLOZARIL) TAB : 100 MG,637,RC,00172-43-6060,NDC,,both,1,each,17,17,3.91,17,17,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,13.43,percent of total billed charges,13.43,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 ,13.43,percent of total billed charges ,13.43,percent of total billed charges ,14.45,percent of total billed charges ,14.45,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 ,,,,,,,,,,,,,,,,,,,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,
CILOSTAZOL (PLETAL) TAB :  100MG,637,RC,00093-20-6406,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
**FLUPHENAZINE TAB 10MG DO NOT USE,250,RC,49884-00-6401,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**POLYSACCHARIDE (NIFEREX) 50 MG DO NOT,259,RC,00131-22-0037,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**VALSARTAN HYDROCHLOROTHRIAZ DO NOT USE,Local ,Local ,,,,both,,,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
GlipiZIDE XL (GLUCOTROL XL) TAB : 2.5MG,637,RC,59651-02-6830,NDC,,both,1,each,4.2,4.2,0.97,4.2,4.2,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,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,3.32,percent of total billed charges,3.32,percent of total billed charges,3.36,percent of total billed charges,3.36,percent of total billed charges,,,3.02,percent of total billed charges ,,,3.36,percent of total billed charges ,3.32,percent of total billed charges ,3.32,percent of total billed charges ,3.57,percent of total billed charges ,3.57,percent of total billed charges ,3.36,percent of total billed charges ,3.36,percent of total billed charges ,2.94,percent of total billed charges ,2.94,percent of total billed charges ,2.52,percent of total billed charges ,2.52,percent of total billed charges ,2.52,percent of total billed charges ,2.52,percent of total billed charges ,,,,,2.23,percent of total billed charges ,,,,,2.12,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,
FELODIPINE (PLENDIL) TAB : 2.5MG,637,RC,68462-02-3301,NDC,,both,1,each,1.3,1.3,0.3,1.3,1.3,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,1.03,percent of total billed charges,1.03,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 ,1.03,percent of total billed charges ,1.03,percent of total billed charges ,1.11,percent of total billed charges ,1.11,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 ,,,,,,,,,,,,,,,,,,,0.3,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,
**MORPHINE SUPP 10MG DO NOT USE,250,RC,00245-01-6112,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
PEG (MIRALAX) PWDR : 17GM/DOSE,637,RC,60687-04-3198,NDC,,both,17,each,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**INSULIN HUMULIN 50-50 : 100 UN/ML*DISC,J1815,CDM,,,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
ENOXAPARIN (LOVENOX) INJ : 100MG/1ML,J1650,CDM,,,,both,1,each,156.87,156.87,36.08,156.87,156.87,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,123.93,percent of total billed charges,123.93,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 ,123.93,percent of total billed charges ,123.93,percent of total billed charges ,133.34,percent of total billed charges ,133.34,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 ,,,,,,,,,,,,,,,,,,,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,,,36.08,percent of total billed charges,,,36.08,percent of total billed charges,,,36.08,percent of total billed charges,
**CONJ ESTROGEN/MEDROX(PREMPRO)TAB DO NT,637,RC,00046-09-7506,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**CEFPROZIL(CEFZIL)SUSP 250MG/5ML DO NOT,637,RC,00087-77-1940,NDC,,both,1,each,101,101,23.23,101,101,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,79.79,percent of total billed charges,79.79,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 ,79.79,percent of total billed charges ,79.79,percent of total billed charges ,85.85,percent of total billed charges ,85.85,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 ,,,,,,,,,,,,,,,,,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,
**MONTELUKAST (SINGULAIR) DO NOT USE,259,RC,00006-07-1131,NDC,,both,1,each,14,14,3.22,14,14,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,11.06,percent of total billed charges,11.06,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 ,11.06,percent of total billed charges ,11.06,percent of total billed charges ,11.9,percent of total billed charges ,11.9,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 ,,,,,,,,,,,,,,,,,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,
**ZIAC 5MG TAB DO NOT USE,Local ,Local ,,,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
TOPIRAMATE (TOPAMAX) TAB : 200 MG,637,RC,00045-06-4165,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
AGGRENOX  CAP : 200-25MG,637,RC,68462-04-0560,NDC,,both,1,each,34,34,7.82,34,34,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,26.86,percent of total billed charges,26.86,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 ,26.86,percent of total billed charges ,26.86,percent of total billed charges ,28.9,percent of total billed charges ,28.9,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 ,,,,,,,,,,,,,,,,,,,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,,,7.82,percent of total billed charges,,,7.82,percent of total billed charges,,,7.82,percent of total billed charges,
**ZESTORETIC 20/25 LISINOPRIL DO NOT USE,259,RC,00247-11-5030,NDC,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
TiZANidine (ZANAFLEX) TAB : 2 MG,637,RC,50268-07-5911,NDC,,both,1,each,0.92,0.92,0.21,0.92,0.92,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,0.73,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,,,0.66,percent of total billed charges ,,,0.74,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 ,0.74,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 ,,,,,,,,,,,,,,,,,,,0.21,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,
MOUTH (MOI-STIR) LIQ : 1 BTL,637,RC,50930-00-9808,NDC,,both,1,each,62,62,14.26,62,62,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,48.98,percent of total billed charges,48.98,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 ,48.98,percent of total billed charges ,48.98,percent of total billed charges ,52.7,percent of total billed charges ,52.7,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 ,,,,,,,,,,,,,,,,,,,14.26,percent of total billed charges,,,14.26,percent of total billed charges,,,14.26,percent of total billed charges,,,14.26,percent of total billed charges,,,14.26,percent of total billed charges,,,14.26,percent of total billed charges,,,14.26,percent of total billed charges,,,14.26,percent of total billed charges,,,14.26,percent of total billed charges,,,14.26,percent of total billed charges,,,14.26,percent of total billed charges,
AMANTADINE (SYMMETREL)50MG/5ML : 5ML,637,RC,00121-06-4616,NDC,,both,5,each,0.62,0.62,0.14,0.62,0.62,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,0.49,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,,,0.45,percent of total billed charges ,,,0.5,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 ,0.5,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 ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
**ZOFRAN 4MG TAB DO NOT USE,637,RC,00173-05-6900,NDC,,both,,,89,89,20.47,89,89,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,70.31,percent of total billed charges,70.31,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 ,70.31,percent of total billed charges ,70.31,percent of total billed charges ,75.65,percent of total billed charges ,75.65,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 ,,,,,,,,,,,,,,,,,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,
PANTOPRAZOLE (PROTONIX) TAB : 40 MG,637,RC,35573-04-2851,NDC,,both,1,each,1.26,1.26,0.29,1.26,1.26,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,1,percent of total billed charges,1,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,percent of total billed charges ,1,percent of total billed charges ,1.07,percent of total billed charges ,1.07,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 ,,,,,,,,,,,,,,,,,,,0.29,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,
POLYCARBOPHIL (FIBERCON) TAB : 625MG,637,RC,50024-04-3001,NDC,,both,1,each,0.25,0.25,0.06,0.25,0.25,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,0.18,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,0.2,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,,,0.18,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 ,0.21,percent of total billed charges ,0.21,percent of total billed charges ,0.2,percent of total billed charges ,0.2,percent of total billed charges ,0.18,percent of total billed charges ,0.18,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 ,,,,,0.13,percent of total billed charges ,,,,,0.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,
AZOPT 1% OPTH SUSP : 10ML,637,RC,82584-03-0703,NDC,,both,1,each,753.9,753.9,173.4,753.9,753.9,percent of total billed charges,753.9,percent of total billed charges,753.9,percent of total billed charges,753.9,percent of total billed charges,753.9,percent of total billed charges,753.9,percent of total billed charges,753.9,percent of total billed charges,753.9,percent of total billed charges,542.81,percent of total billed charges,542.81,percent of total billed charges,542.81,percent of total billed charges,542.81,percent of total billed charges,542.81,percent of total billed charges,542.81,percent of total billed charges,595.58,percent of total billed charges,595.58,percent of total billed charges,603.12,percent of total billed charges,603.12,percent of total billed charges,,,542.81,percent of total billed charges ,,,603.12,percent of total billed charges ,595.58,percent of total billed charges ,595.58,percent of total billed charges ,640.82,percent of total billed charges ,640.82,percent of total billed charges ,603.12,percent of total billed charges ,603.12,percent of total billed charges ,527.73,percent of total billed charges ,527.73,percent of total billed charges ,452.34,percent of total billed charges ,452.34,percent of total billed charges ,452.34,percent of total billed charges ,452.34,percent of total billed charges ,,,,,401.07,percent of total billed charges ,,,,,381.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,173.4,percent of total billed charges,,,173.4,percent of total billed charges,,,173.4,percent of total billed charges,,,173.4,percent of total billed charges,,,173.4,percent of total billed charges,,,173.4,percent of total billed charges,,,173.4,percent of total billed charges,,,173.4,percent of total billed charges,,,173.4,percent of total billed charges,,,173.4,percent of total billed charges,,,173.4,percent of total billed charges,
**CHLORTHALIDON TAB 100 MG DO NOT USE,259,RC,82584-03-0703,NDC,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**ESTRAOIOL (ESTRACE) CRM:1 APPLDO NOT U,259,RC,00430-37-5414,NDC,,both,,,221,221,50.83,221,221,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,174.59,percent of total billed charges,174.59,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 ,174.59,percent of total billed charges ,174.59,percent of total billed charges ,187.85,percent of total billed charges ,187.85,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 ,,,,,,,,,,,,,,,,,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,
**OXAPROZIN(DAYPRO)TAB 600MG DO NOT USE,250,RC,00025-13-8134,NDC,,both,1,each,12,12,2.76,12,12,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,9.48,percent of total billed charges,9.48,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 ,9.48,percent of total billed charges ,9.48,percent of total billed charges ,10.2,percent of total billed charges ,10.2,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 ,,,,,,,,,,,,,,,,,,,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,
**FLUTAMIDE (EULEXIN) CAP DO NOT USE,259,RC,00085-05-2503,NDC,,both,1,each,13,13,2.99,13,13,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,10.27,percent of total billed charges,10.27,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 ,10.27,percent of total billed charges ,10.27,percent of total billed charges ,11.05,percent of total billed charges ,11.05,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 ,,,,,,,,,,,,,,,,,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,
**ZIDOVUDINE(RETROVIR)SYRP 240ML DO NOT,637,RC,00173-01-1318,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**MOBAN 10MG DO NOT USE,259,RC,63481-00-7370,NDC,,both,,,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
**DILTIAZEM(CARDIZEM)INJ 50MG DO NOT USE,250,RC,55390-05-6510,NDC,,both,1,each,57,57,13.11,57,57,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,45.03,percent of total billed charges,45.03,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 ,45.03,percent of total billed charges ,45.03,percent of total billed charges ,48.45,percent of total billed charges ,48.45,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 ,,,,,,,,,,,,,,,,,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,
METOCLOPRAMIDE (REGLAN) TAB : 5MG,637,RC,51079-08-8620,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
**CAPSAICIN .025%CRM DO NOT USE,259,RC,00536-25-2525,NDC,,both,1,each,53,53,12.19,53,53,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,41.87,percent of total billed charges,41.87,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 ,41.87,percent of total billed charges ,41.87,percent of total billed charges ,45.05,percent of total billed charges ,45.05,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 ,,,,,,,,,,,,,,,,,,,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,
DESMOPRESSIN (DDAVP)NASAL SPRY: 0.01%,637,RC,00075-24-5201,NDC,,both,1,each,"1,404.00","1,404.00",322.92,"1,404.00","1,404.00",percent of total billed charges,"1,404.00",percent of total billed charges,"1,404.00",percent of total billed charges,"1,404.00",percent of total billed charges,"1,404.00",percent of total billed charges,"1,404.00",percent of total billed charges,"1,404.00",percent of total billed charges,"1,404.00",percent of total billed charges,"1,010.88",percent of total billed charges,"1,010.88",percent of total billed charges,"1,010.88",percent of total billed charges,"1,010.88",percent of total billed charges,"1,010.88",percent of total billed charges,"1,010.88",percent of total billed charges,"1,109.16",percent of total billed charges,"1,109.16",percent of total billed charges,"1,123.20",percent of total billed charges,"1,123.20",percent of total billed charges,,,"1,010.88",percent of total billed charges ,,,"1,123.20",percent of total billed charges ,"1,109.16",percent of total billed charges ,"1,109.16",percent of total billed charges ,"1,193.40",percent of total billed charges ,"1,193.40",percent of total billed charges ,"1,123.20",percent of total billed charges ,"1,123.20",percent of total billed charges ,982.8,percent of total billed charges ,982.8,percent of total billed charges ,842.4,percent of total billed charges ,842.4,percent of total billed charges ,842.4,percent of total billed charges ,842.4,percent of total billed charges ,,,,,746.93,percent of total billed charges ,,,,,709.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,322.92,percent of total billed charges,,,322.92,percent of total billed charges,,,322.92,percent of total billed charges,,,322.92,percent of total billed charges,,,322.92,percent of total billed charges,,,322.92,percent of total billed charges,,,322.92,percent of total billed charges,,,322.92,percent of total billed charges,,,322.92,percent of total billed charges,,,322.92,percent of total billed charges,,,322.92,percent of total billed charges,
BUDESONIDE (PULMICORT) INHALER : 200MCG,637,RC,00186-09-1542,NDC,,both,1,each,500,500,115,500,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,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,395,percent of total billed charges,395,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,,,360,percent of total billed charges ,,,400,percent of total billed charges ,395,percent of total billed charges ,395,percent of total billed charges ,425,percent of total billed charges ,425,percent of total billed charges ,400,percent of total billed charges ,400,percent of total billed charges ,350,percent of total billed charges ,350,percent of total billed charges ,300,percent of total billed charges ,300,percent of total billed charges ,300,percent of total billed charges ,300,percent of total billed charges ,,,,,266,percent of total billed charges ,,,,,252.7,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,,,115,percent of total billed charges,,,115,percent of total billed charges,,,115,percent of total billed charges,,,115,percent of total billed charges,
**CEPACOL 4OZ DO NOT USE,637,RC,01150-92-1008,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
MOI-STIR SPRAY,637,RC,99999-99-9999,NDC,,both,1,each,40,40,9.2,40,40,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,31.6,percent of total billed charges,31.6,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 ,31.6,percent of total billed charges ,31.6,percent of total billed charges ,34,percent of total billed charges ,34,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 ,,,,,,,,,,,,,,,,,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,
CALCITONIN (MIACALCIN) SPRY : 200 IU,637,RC,60505-08-2306,NDC,,both,1,each,326.47,326.47,75.09,326.47,326.47,percent of total billed charges,326.47,percent of total billed charges,326.47,percent of total billed charges,326.47,percent of total billed charges,326.47,percent of total billed charges,326.47,percent of total billed charges,326.47,percent of total billed charges,326.47,percent of total billed charges,235.06,percent of total billed charges,235.06,percent of total billed charges,235.06,percent of total billed charges,235.06,percent of total billed charges,235.06,percent of total billed charges,235.06,percent of total billed charges,257.91,percent of total billed charges,257.91,percent of total billed charges,261.18,percent of total billed charges,261.18,percent of total billed charges,,,235.06,percent of total billed charges ,,,261.18,percent of total billed charges ,257.91,percent of total billed charges ,257.91,percent of total billed charges ,277.5,percent of total billed charges ,277.5,percent of total billed charges ,261.18,percent of total billed charges ,261.18,percent of total billed charges ,228.53,percent of total billed charges ,228.53,percent of total billed charges ,195.88,percent of total billed charges ,195.88,percent of total billed charges ,195.88,percent of total billed charges ,195.88,percent of total billed charges ,,,,,173.68,percent of total billed charges ,,,,,165,percent of total billed charges ,,,,,,,,,,,,,,,,,,,75.09,percent of total billed charges,,,75.09,percent of total billed charges,,,75.09,percent of total billed charges,,,75.09,percent of total billed charges,,,75.09,percent of total billed charges,,,75.09,percent of total billed charges,,,75.09,percent of total billed charges,,,75.09,percent of total billed charges,,,75.09,percent of total billed charges,,,75.09,percent of total billed charges,,,75.09,percent of total billed charges,
**SALMETEROL (SEREVENT) INH DO NOT USE,259,RC,00173-04-6700,NDC,,both,1,each,281,281,64.63,281,281,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,221.99,percent of total billed charges,221.99,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 ,221.99,percent of total billed charges ,221.99,percent of total billed charges ,238.85,percent of total billed charges ,238.85,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 ,,,,,,,,,,,,,,,,,,,64.63,percent of total billed charges,,,64.63,percent of total billed charges,,,64.63,percent of total billed charges,,,64.63,percent of total billed charges,,,64.63,percent of total billed charges,,,64.63,percent of total billed charges,,,64.63,percent of total billed charges,,,64.63,percent of total billed charges,,,64.63,percent of total billed charges,,,64.63,percent of total billed charges,,,64.63,percent of total billed charges,
PROMETHAZINE (PHENERGAN) TAB : 25 MG,250,RC,00904-64-6161,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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,
THERAPEUTIC VITAMIN W MINERALS,637,RC,00904-54-9261,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
**PHENOBARBITAL TAB 15MG DO NOT USE,637,RC,00603-51-6521,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
PHENobarbital TAB : 32.4 MG,637,RC,00904-65-7561,NDC,,both,1,each,6.5,6.5,1.5,6.5,6.5,percent of total billed charges,6.5,percent of total billed charges,6.5,percent of total billed charges,6.5,percent of total billed charges,6.5,percent of total billed charges,6.5,percent of total billed charges,6.5,percent of total billed charges,6.5,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,5.14,percent of total billed charges,5.14,percent of total billed charges,5.2,percent of total billed charges,5.2,percent of total billed charges,,,4.68,percent of total billed charges ,,,5.2,percent of total billed charges ,5.14,percent of total billed charges ,5.14,percent of total billed charges ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.2,percent of total billed charges ,5.2,percent of total billed charges ,4.55,percent of total billed charges ,4.55,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 ,,,,,3.46,percent of total billed charges ,,,,,3.29,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,,,1.5,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,
PHENobarbitalTAB : 64.8 MG,637,RC,13517-01-1201,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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,
PHENYTOIN (DILANTIN) CAP : 100 MG,637,RC,51079-09-0520,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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,
**PROPRANOLOL(INDERAL)TAB 10MG DO NOT US,637,RC,00182-18-1289,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
PROPRANOLOL (INDERAL) TAB : 20 MG,637,RC,00603-54-8321,NDC,,both,1,each,1.88,1.88,0.43,1.88,1.88,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,1.35,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,1.49,percent of total billed charges,1.49,percent of total billed charges,1.5,percent of total billed charges,1.5,percent of total billed charges,,,1.35,percent of total billed charges ,,,1.5,percent of total billed charges ,1.49,percent of total billed charges ,1.49,percent of total billed charges ,1.6,percent of total billed charges ,1.6,percent of total billed charges ,1.5,percent of total billed charges ,1.5,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,percent of total billed charges ,,,,,0.95,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,
PROPRANOLOL (INDERAL) TAB : 80 MG,637,RC,69292-05-3801,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
HydrOXYzine (VISTARIL) CAP : 25MG,637,RC,51079-00-7720,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
PredniSONE TAB : 5 MG,J7512,CDM,,,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
PredniSONE TAB : 20 MG,J7512,CDM,,,,both,1,each,1.46,1.46,0.34,1.46,1.46,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,1.15,percent of total billed charges,1.15,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 ,1.15,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 ,1.17,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 ,,,,,,,,,,,,,,,,,,,0.34,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,
**NIFEDIPINE(PROCARDIA)CAP 10MG DO NT US,637,RC,00228-24-9710,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
TEMAZEPAM (RESTORIL) CAP : 15MG UD,637,RC,00228-20-7610,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
TEMAZEPAM (RESTORIL) CAP : 30MG UD,637,RC,00406-99-1701,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
**CIMETIDINE (TAGAMET) TAB DO NOT USE,259,RC,00172-71-1760,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**CIMETIDINE (TAGMET) DO NOT USE,259,RC,00172-71-7160,NDC,,both,1,each,12,12,2.76,12,12,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,9.48,percent of total billed charges,9.48,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 ,9.48,percent of total billed charges ,9.48,percent of total billed charges ,10.2,percent of total billed charges ,10.2,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 ,,,,,,,,,,,,,,,,,,,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,
ATENOLOL (TENORMIN) TAB : 50MG,637,RC,00093-07-5201,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
**THEOPHYLLIN(THEO-DUR)TAB:100MG DO NOT,259,RC,00085-04-8781,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
THEOPHYLLINE (THEO-DUR) : 200 MG,637,RC,52244-02-0010,NDC,,both,1,each,12,12,2.76,12,12,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,9.48,percent of total billed charges,9.48,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 ,9.48,percent of total billed charges ,9.48,percent of total billed charges ,10.2,percent of total billed charges ,10.2,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 ,,,,,,,,,,,,,,,,,,,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,
THEOPHYLLINE (THEO-DUR) TAB : 300 MG,637,RC,68462-07-2101,NDC,,both,1,each,13.69,13.69,3.15,13.69,13.69,percent of total billed charges,13.69,percent of total billed charges,13.69,percent of total billed charges,13.69,percent of total billed charges,13.69,percent of total billed charges,13.69,percent of total billed charges,13.69,percent of total billed charges,13.69,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,10.82,percent of total billed charges,10.82,percent of total billed charges,10.95,percent of total billed charges,10.95,percent of total billed charges,,,9.86,percent of total billed charges ,,,10.95,percent of total billed charges ,10.82,percent of total billed charges ,10.82,percent of total billed charges ,11.64,percent of total billed charges ,11.64,percent of total billed charges ,10.95,percent of total billed charges ,10.95,percent of total billed charges ,9.58,percent of total billed charges ,9.58,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 ,,,,,7.28,percent of total billed charges ,,,,,6.92,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,
**THEOPHYLLINE SR 450 MG DO NOT USE,Local ,Local ,,,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
ChlorproMAZINE TAB : 25 MG,250,RC,50268-01-6311,NDC,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
CHLORPROMAZINE TAB : 50 MG,637,RC,00781-17-1701,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**TROVAN 100 MG DO NOT USE,Local ,Local ,,,,both,,,38,38,8.74,38,38,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,30.02,percent of total billed charges,30.02,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 ,30.02,percent of total billed charges ,30.02,percent of total billed charges ,32.3,percent of total billed charges ,32.3,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 ,,,,,,,,,,,,,,,,,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,
DIAZEPAM (VALIUM) TAB : 2MG,637,RC,00378-02-7101,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
DIAZEPAM (VALIUM) TAB : 5MG,637,RC,00378-03-4501,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
HYDROcodone/APAP TAB 5-500MG (VICODIN),637,RC,00406-03-5762,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
ALPRAZolam(XANAX) TAB : 0.25MG,637,RC,49884-01-1074,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
ALPRAZolam (XANAX) TAB : 0.5MG,637,RC,00228-20-2910,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
DIAZEPAM (VALIUM) TAB : 10MG,637,RC,00591-56-2001,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**IMIPRAMINE TAB:10MG DO NOT USE,259,RC,00781-17-6201,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**IMIPRAMINE TAB:25MG DO NOT USE,259,RC,00781-17-6401,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**OMPERZAOLE(PRILOSEC)CAP 20MG DO NT USE,637,RC,52959-05-3614,NDC,,both,1,each,17,17,3.91,17,17,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,13.43,percent of total billed charges,13.43,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 ,13.43,percent of total billed charges ,13.43,percent of total billed charges ,14.45,percent of total billed charges ,14.45,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 ,,,,,,,,,,,,,,,,,,,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,
LITHIUM CARBONATE  : 300MG,637,RC,00054-85-2825,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
**DOXEPIN(SINEQUAN)CAP 25MG DO NOT USE,637,RC,51079-04-3720,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**DOXEPIN(SINEQUAN)CAP DO NOT USE,637,RC,51079-04-3820,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
INDOMETHACIN CAP : 25MG,637,RC,50268-04-3015,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
CHLORDIAZEPOXIDE CAP : 10MG,637,RC,51079-03-7520,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
ChlordiazePOXIDE (LIBRIUM) CAP : 25 MG,637,RC,00555-01-5902,NDC,,both,1,each,6,6,1.38,6,6,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,4.74,percent of total billed charges,4.74,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 ,4.74,percent of total billed charges ,4.74,percent of total billed charges ,5.1,percent of total billed charges ,5.1,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 ,,,,,,,,,,,,,,,,,,,1.38,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,
ChlordiazePOXIDE (LIBRIUM) CAP :  5 MG,637,RC,51079-03-7420,NDC,,both,1,each,0.36,0.36,0.08,0.36,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,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,0.28,percent of total billed charges,0.28,percent of total billed charges,0.29,percent of total billed charges,0.29,percent of total billed charges,,,0.26,percent of total billed charges ,,,0.29,percent of total billed charges ,0.28,percent of total billed charges ,0.28,percent of total billed charges ,0.31,percent of total billed charges ,0.31,percent of total billed charges ,0.29,percent of total billed charges ,0.29,percent of total billed charges ,0.25,percent of total billed charges ,0.25,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 ,,,,,0.19,percent of total billed charges ,,,,,0.18,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,,,0.08,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,,,0.08,percent of total billed charges,,,0.08,percent of total billed charges,,,0.08,percent of total billed charges,
GEMFIBROZIL (LOPID) TAB : 600 MG,637,RC,50268-03-5011,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
**MINOXIDIL (LONITEN) DO NOT USE,259,RC,00591-56-4301,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
GAMMAGLOBULIN (PRIVIGEN) FOR INJ,J1459,CDM,,,,both,1,each,571.74,571.74,131.5,571.74,571.74,percent of total billed charges,571.74,percent of total billed charges,571.74,percent of total billed charges,571.74,percent of total billed charges,571.74,percent of total billed charges,571.74,percent of total billed charges,571.74,percent of total billed charges,571.74,percent of total billed charges,411.65,percent of total billed charges,411.65,percent of total billed charges,411.65,percent of total billed charges,411.65,percent of total billed charges,411.65,percent of total billed charges,411.65,percent of total billed charges,451.67,percent of total billed charges,451.67,percent of total billed charges,457.39,percent of total billed charges,457.39,percent of total billed charges,,,411.65,percent of total billed charges ,,,457.39,percent of total billed charges ,451.67,percent of total billed charges ,451.67,percent of total billed charges ,485.98,percent of total billed charges ,485.98,percent of total billed charges ,457.39,percent of total billed charges ,457.39,percent of total billed charges ,400.22,percent of total billed charges ,400.22,percent of total billed charges ,343.04,percent of total billed charges ,343.04,percent of total billed charges ,343.04,percent of total billed charges ,343.04,percent of total billed charges ,,,,,304.17,percent of total billed charges ,,,,,288.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,131.5,percent of total billed charges,,,131.5,percent of total billed charges,,,131.5,percent of total billed charges,,,131.5,percent of total billed charges,,,131.5,percent of total billed charges,,,131.5,percent of total billed charges,,,131.5,percent of total billed charges,,,131.5,percent of total billed charges,,,131.5,percent of total billed charges,,,131.5,percent of total billed charges,,,131.5,percent of total billed charges,
ALBUTEROL INHAL SOLN : 5MG/ML  20ML,637,RC,50383-07-4120,NDC,,both,1,each,73,73,16.79,73,73,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,57.67,percent of total billed charges,57.67,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 ,57.67,percent of total billed charges ,57.67,percent of total billed charges ,62.05,percent of total billed charges ,62.05,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 ,,,,,,,,,,,,,,,,,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,
**LITHOBID TAB DO NOT USE,259,RC,51655-02-4990,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
BACLOFEN (LIORESAL) TAB : 20 MG,637,RC,00527-13-3701,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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,
**GLUCAGON IN 1MG/ML DO NOT USE,J1610,CDM,,,,both,1,each,388,388,89.24,388,388,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,306.52,percent of total billed charges,306.52,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 ,306.52,percent of total billed charges ,306.52,percent of total billed charges ,329.8,percent of total billed charges ,329.8,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 ,,,,,,,,,,,,,,,,,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,
HETASTARCH 6% (HESPAN) INJ : 500ML,250,RC,00264-19-6510,NDC,,both,1,each,557,557,128.11,557,557,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,440.03,percent of total billed charges,440.03,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 ,440.03,percent of total billed charges ,440.03,percent of total billed charges ,473.45,percent of total billed charges ,473.45,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 ,,,,,,,,,,,,,,,,,,,128.11,percent of total billed charges,,,128.11,percent of total billed charges,,,128.11,percent of total billed charges,,,128.11,percent of total billed charges,,,128.11,percent of total billed charges,,,128.11,percent of total billed charges,,,128.11,percent of total billed charges,,,128.11,percent of total billed charges,,,128.11,percent of total billed charges,,,128.11,percent of total billed charges,,,128.11,percent of total billed charges,
BACLOFEN (LIORESAL) TAB : 10 MG,637,RC,00172-40-9660,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
ASPIRIN ENTERIC TAB : 325MG,637,RC,00536-12-3201,NDC,,both,1,each,0.25,0.25,0.06,0.25,0.25,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,0.18,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,0.2,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,,,0.18,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 ,0.21,percent of total billed charges ,0.21,percent of total billed charges ,0.2,percent of total billed charges ,0.2,percent of total billed charges ,0.18,percent of total billed charges ,0.18,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 ,,,,,0.13,percent of total billed charges ,,,,,0.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,
**AUGEMENTIN 100 ML DO NOT USE,259,RC,00536-12-3201,NDC,,both,,,188,188,43.24,188,188,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,148.52,percent of total billed charges,148.52,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 ,148.52,percent of total billed charges ,148.52,percent of total billed charges ,159.8,percent of total billed charges ,159.8,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 ,,,,,,,,,,,,,,,,,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,
NEOMYCIN OPTH OINT,Local ,Local ,,,,both,,,30,30,6.9,30,30,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,23.7,percent of total billed charges,23.7,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 ,23.7,percent of total billed charges ,23.7,percent of total billed charges ,25.5,percent of total billed charges ,25.5,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 ,,,,,,,,,,,,,,,,,,,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,
TOLTERODINE (DETROL) TAB : 2 MG,637,RC,27241-01-9130,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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,
LEVOTHYROXINE (SYNTHROID) TAB : 88MCG,637,RC,42292-00-3801,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
**PHENOBARBITAL SOD 30 DO NOT USE,Local ,Local ,,,,both,,,47,47,10.81,47,47,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,37.13,percent of total billed charges,37.13,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 ,37.13,percent of total billed charges ,37.13,percent of total billed charges ,39.95,percent of total billed charges ,39.95,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
PROTAMINE INJ : 10mg/ml,J2720,CDM,,,,both,1,each,316.57,316.57,72.81,316.57,316.57,percent of total billed charges,316.57,percent of total billed charges,316.57,percent of total billed charges,316.57,percent of total billed charges,316.57,percent of total billed charges,316.57,percent of total billed charges,316.57,percent of total billed charges,316.57,percent of total billed charges,227.93,percent of total billed charges,227.93,percent of total billed charges,227.93,percent of total billed charges,227.93,percent of total billed charges,227.93,percent of total billed charges,227.93,percent of total billed charges,250.09,percent of total billed charges,250.09,percent of total billed charges,253.26,percent of total billed charges,253.26,percent of total billed charges,,,227.93,percent of total billed charges ,,,253.26,percent of total billed charges ,250.09,percent of total billed charges ,250.09,percent of total billed charges ,269.08,percent of total billed charges ,269.08,percent of total billed charges ,253.26,percent of total billed charges ,253.26,percent of total billed charges ,221.6,percent of total billed charges ,221.6,percent of total billed charges ,189.94,percent of total billed charges ,189.94,percent of total billed charges ,189.94,percent of total billed charges ,189.94,percent of total billed charges ,,,,,168.42,percent of total billed charges ,,,,,159.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,72.81,percent of total billed charges,,,72.81,percent of total billed charges,,,72.81,percent of total billed charges,,,72.81,percent of total billed charges,,,72.81,percent of total billed charges,,,72.81,percent of total billed charges,,,72.81,percent of total billed charges,,,72.81,percent of total billed charges,,,72.81,percent of total billed charges,,,72.81,percent of total billed charges,,,72.81,percent of total billed charges,
ISONIAZID (INH) TAB : 300MG,637,RC,51079-00-8320,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**INDOMETHACIN SR(INDOCIN)75MG DO NOT US,637,RC,00185-07-2001,NDC,,both,1,each,12,12,2.76,12,12,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,9.48,percent of total billed charges,9.48,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 ,9.48,percent of total billed charges ,9.48,percent of total billed charges ,10.2,percent of total billed charges ,10.2,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 ,,,,,,,,,,,,,,,,,,,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,
PROPRANOLOL (INDERAL LA) CAP : 80 MG,637,RC,00603-54-8621,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
INSULIN HumuLIN NPH INJ: 100 UN/ML*,J1815,CDM,,,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
INSULIN HumuLIN REGULAR INJ :100UN/ML*,J1815,CDM,,,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
AMINOCAPROIC ACID INJ : 5GM/20ML,250,RC,00409-43-4673,NDC,,both,1,each,111.87,111.87,25.73,111.87,111.87,percent of total billed charges,111.87,percent of total billed charges,111.87,percent of total billed charges,111.87,percent of total billed charges,111.87,percent of total billed charges,111.87,percent of total billed charges,111.87,percent of total billed charges,111.87,percent of total billed charges,80.55,percent of total billed charges,80.55,percent of total billed charges,80.55,percent of total billed charges,80.55,percent of total billed charges,80.55,percent of total billed charges,80.55,percent of total billed charges,88.38,percent of total billed charges,88.38,percent of total billed charges,89.5,percent of total billed charges,89.5,percent of total billed charges,,,80.55,percent of total billed charges ,,,89.5,percent of total billed charges ,88.38,percent of total billed charges ,88.38,percent of total billed charges ,95.09,percent of total billed charges ,95.09,percent of total billed charges ,89.5,percent of total billed charges ,89.5,percent of total billed charges ,78.31,percent of total billed charges ,78.31,percent of total billed charges ,67.12,percent of total billed charges ,67.12,percent of total billed charges ,67.12,percent of total billed charges ,67.12,percent of total billed charges ,,,,,59.51,percent of total billed charges ,,,,,56.54,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,,,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,
INSULIN HumuLIN 70-30 INJ: 100 UN/ML,J1815,CDM,,,,both,3,each,14.14,14.14,3.25,14.14,14.14,percent of total billed charges,14.14,percent of total billed charges,14.14,percent of total billed charges,14.14,percent of total billed charges,14.14,percent of total billed charges,14.14,percent of total billed charges,14.14,percent of total billed charges,14.14,percent of total billed charges,10.18,percent of total billed charges,10.18,percent of total billed charges,10.18,percent of total billed charges,10.18,percent of total billed charges,10.18,percent of total billed charges,10.18,percent of total billed charges,11.17,percent of total billed charges,11.17,percent of total billed charges,11.31,percent of total billed charges,11.31,percent of total billed charges,,,10.18,percent of total billed charges ,,,11.31,percent of total billed charges ,11.17,percent of total billed charges ,11.17,percent of total billed charges ,12.02,percent of total billed charges ,12.02,percent of total billed charges ,11.31,percent of total billed charges ,11.31,percent of total billed charges ,9.9,percent of total billed charges ,9.9,percent of total billed charges ,8.48,percent of total billed charges ,8.48,percent of total billed charges ,8.48,percent of total billed charges ,8.48,percent of total billed charges ,,,,,7.52,percent of total billed charges ,,,,,7.15,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,
PROPRANOLOL (INDERAL LA) CAP : 60 MG,637,RC,62559-05-3001,NDC,,both,1,each,6.94,6.94,1.6,6.94,6.94,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,6.94,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,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5.48,percent of total billed charges,5.48,percent of total billed charges,5.55,percent of total billed charges,5.55,percent of total billed charges,,,5,percent of total billed charges ,,,5.55,percent of total billed charges ,5.48,percent of total billed charges ,5.48,percent of total billed charges ,5.9,percent of total billed charges ,5.9,percent of total billed charges ,5.55,percent of total billed charges ,5.55,percent of total billed charges ,4.86,percent of total billed charges ,4.86,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 ,,,,,3.69,percent of total billed charges ,,,,,3.51,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,
PROPRANOLOL (INDERAL) CAP : 160 MG,637,RC,00046-04-7981,NDC,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
PROPRANOLOL (INDERAL) CAP : 120 MG,637,RC,00046-04-7381,NDC,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
**TERAZOSIN(HYTRIN) 2MG DO NOT USE,637,RC,00781-20-5201,NDC,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
TERAZOSIN (HYTRIN) CAP : 1 MG,637,RC,59746-03-8306,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
**FERROUS GLUCONATE 300MG DO NOT USE,250,RC,00245-00-6101,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**GUANADREL (HYLORE) 10 MG DO NOT USE,259,RC,53014-07-8771,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
INSULIN LISPRO (HUMALOG) INJ : 100 UN/ML,J1815,CDM,,,,both,1,each,41,41,9.43,41,41,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,32.39,percent of total billed charges,32.39,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 ,32.39,percent of total billed charges ,32.39,percent of total billed charges ,34.85,percent of total billed charges ,34.85,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 ,,,,,,,,,,,,,,,,,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,
**INSULIN GLARGINE (LANTUS) INJ: 100 UN/,J1815,CDM,,,,both,1,each,416,416,95.68,416,416,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,328.64,percent of total billed charges,328.64,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 ,328.64,percent of total billed charges ,328.64,percent of total billed charges ,353.6,percent of total billed charges ,353.6,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 ,,,,,,,,,,,,,,,,,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,
HYDROmorphone (DILAUDID) TAB : 2 MG,637,RC,42858-03-0125,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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,
**MORPHINE SUPP 20MG DO NOT USE,250,RC,00574-71-1412,NDC,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
FentaNYL PATCH 25MCG/HR,250,RC,00378-91-2116,NDC,,both,1,each,10.68,10.68,2.46,10.68,10.68,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,10.68,percent of total billed charges,10.68,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,8.44,percent of total billed charges,8.44,percent of total billed charges,8.54,percent of total billed charges,8.54,percent of total billed charges,,,7.69,percent of total billed charges ,,,8.54,percent of total billed charges ,8.44,percent of total billed charges ,8.44,percent of total billed charges ,9.08,percent of total billed charges ,9.08,percent of total billed charges ,8.54,percent of total billed charges ,8.54,percent of total billed charges ,7.48,percent of total billed charges ,7.48,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 ,,,,,5.68,percent of total billed charges ,,,,,5.4,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,,,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,
SULFACETAMIDE 10% OPTH SOLN : 15ML,637,RC,24208-06-7004,NDC,,both,1,each,125,125,28.75,125,125,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,98.75,percent of total billed charges,98.75,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 ,98.75,percent of total billed charges ,98.75,percent of total billed charges ,106.25,percent of total billed charges ,106.25,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 ,,,,,,,,,,,,,,,,,,,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,,,28.75,percent of total billed charges,,,28.75,percent of total billed charges,,,28.75,percent of total billed charges,
FentaNYL PATCH 75MCG/HR,250,RC,00378-91-2398,NDC,,both,1,each,68,68,15.64,68,68,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,53.72,percent of total billed charges,53.72,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 ,53.72,percent of total billed charges ,53.72,percent of total billed charges ,57.8,percent of total billed charges ,57.8,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 ,,,,,,,,,,,,,,,,,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,
FentaNYL PATCH 100MCG/HR,250,RC,00378-91-2498,NDC,,both,1,each,30.55,30.55,7.03,30.55,30.55,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,30.55,percent of total billed charges,30.55,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,24.13,percent of total billed charges,24.13,percent of total billed charges,24.44,percent of total billed charges,24.44,percent of total billed charges,,,22,percent of total billed charges ,,,24.44,percent of total billed charges ,24.13,percent of total billed charges ,24.13,percent of total billed charges ,25.97,percent of total billed charges ,25.97,percent of total billed charges ,24.44,percent of total billed charges ,24.44,percent of total billed charges ,21.39,percent of total billed charges ,21.39,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 ,,,,,16.25,percent of total billed charges ,,,,,15.44,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,
MORPHINE SULFATE IR (MSIR) : 15MG TAB,637,RC,00054-02-3524,NDC,,both,1,each,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**SEPTRA TAB 80MG DO NOT USE,637,RC,00081-08-5256,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
SULFAMETHOXAZOLE/TRIMETHOPRIM DS TAB,637,RC,60687-06-1411,NDC,,both,1,each,0.89,0.89,0.2,0.89,0.89,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,0.7,percent of total billed charges,0.7,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 ,0.7,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 ,0.71,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 ,,,,,,,,,,,,,,,,,,,0.2,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,
DiphenhydrAMINE (BENADRYL) CAP : 50MG,637,RC,00904-20-5661,NDC,,both,1,each,0.25,0.25,0.06,0.25,0.25,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,0.18,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,0.2,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,,,0.18,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 ,0.21,percent of total billed charges ,0.21,percent of total billed charges ,0.2,percent of total billed charges ,0.2,percent of total billed charges ,0.18,percent of total billed charges ,0.18,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 ,,,,,0.13,percent of total billed charges ,,,,,0.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,
DOCUSATE SOD (COLACE) CAP : 100MG,637,RC,60687-01-2911,NDC,,both,1,each,0.25,0.25,0.06,0.25,0.25,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,0.18,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,0.2,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,,,0.18,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 ,0.21,percent of total billed charges ,0.21,percent of total billed charges ,0.2,percent of total billed charges ,0.2,percent of total billed charges ,0.18,percent of total billed charges ,0.18,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 ,,,,,0.13,percent of total billed charges ,,,,,0.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,
DiphenhydrAMINE (BENADRYL) CAP : 25MG,637,RC,00904-72-3761,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
AMOXICILLIN CLAV (AUGMENTIN) : 500MG,637,RC,66685-10-0202,NDC,,both,1,each,0.64,0.64,0.15,0.64,0.64,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,0.51,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,,,0.46,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 ,0.54,percent of total billed charges ,0.54,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 ,,,,,,,,,,,,,,,,,,,0.15,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,
DILTIAZEM (CARDIZEM) TAB : 30MG,637,RC,60687-07-1711,NDC,,both,1,each,0.33,0.33,0.08,0.33,0.33,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,0.24,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,0.26,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,,,0.24,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 ,0.28,percent of total billed charges ,0.28,percent of total billed charges ,0.26,percent of total billed charges ,0.26,percent of total billed charges ,0.23,percent of total billed charges ,0.23,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 ,,,,,0.18,percent of total billed charges ,,,,,0.17,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,,,0.08,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,,,0.08,percent of total billed charges,,,0.08,percent of total billed charges,,,0.08,percent of total billed charges,
DILTIAZEM (CARDIZEM) TAB : 60MG*,637,RC,51079-07-4620,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
PROPOXYPHENE N-100 TAB (DARVOCET) : UD,250,RC,63739-02-1510,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
DILTIAZEM SR (CARDIZEM SR) CAP : 120MG,637,RC,00378-61-2001,NDC,,both,1,each,14,14,3.22,14,14,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,11.06,percent of total billed charges,11.06,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 ,11.06,percent of total billed charges ,11.06,percent of total billed charges ,11.9,percent of total billed charges ,11.9,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 ,,,,,,,,,,,,,,,,,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,
CAPTOPRIL (CAPOTEN) TAB : 25 MG,637,RC,00143-11-7201,NDC,,both,1,each,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
MULTI-VITAMIN CAP / TAB : 1 EACH,637,RC,00904-05-3061,NDC,,both,1,each,0.19,0.19,0.04,0.19,0.19,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,0.14,percent of total billed charges,0.14,percent of total billed charges,0.14,percent of total billed charges,0.14,percent of total billed charges,0.14,percent of total billed charges,0.14,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,,,0.14,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 ,0.16,percent of total billed charges ,0.16,percent of total billed charges ,0.15,percent of total billed charges ,0.15,percent of total billed charges ,0.13,percent of total billed charges ,0.13,percent of total billed charges ,0.11,percent of total billed charges ,0.11,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 ,,,,,,,,,,,,,,,,,,,0.04,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,
**NIZATIDINE (AXID) CAP DO NOT USE,259,RC,65726-01-4415,NDC,,both,1,each,14,14,3.22,14,14,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,11.06,percent of total billed charges,11.06,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 ,11.06,percent of total billed charges ,11.06,percent of total billed charges ,11.9,percent of total billed charges ,11.9,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 ,,,,,,,,,,,,,,,,,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,
TERBUTALINE (BRETHINE) TAB : 2.5MG,637,RC,00527-13-1801,NDC,,both,1,each,14,14,3.22,14,14,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,11.06,percent of total billed charges,11.06,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 ,11.06,percent of total billed charges ,11.06,percent of total billed charges ,11.9,percent of total billed charges ,11.9,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 ,,,,,,,,,,,,,,,,,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,
TERBUTALINE (BRETHINE) TAB : 5 MG,637,RC,00527-13-1101,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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,
AMIODARONE (CORDARONE) TAB : 200 MG,637,RC,60687-04-3701,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
AMITRIPTYLINE TAB : 50 MG,637,RC,60687-04-4411,NDC,,both,1,each,1.81,1.81,0.42,1.81,1.81,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,1.43,percent of total billed charges,1.43,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 ,1.43,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 ,1.45,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 ,,,,,,,,,,,,,,,,,,,0.42,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,
AMITRIPTYLINE TAB : 25 MG,637,RC,51079-01-0720,NDC,,both,1,each,0.63,0.63,0.14,0.63,0.63,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,0.5,percent of total billed charges,0.5,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 ,0.5,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 ,0.5,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 ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
CEPHALEXIN (KEFLEX) CAP : 500 MG,637,RC,60687-01-6301,NDC,,both,1,each,1.42,1.42,0.33,1.42,1.42,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,1.12,percent of total billed charges,1.12,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 ,1.12,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 ,1.14,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 ,,,,,,,,,,,,,,,,,,,0.33,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,
CEPHALEXIN (KEFLEX) CAP : 250 MG,637,RC,68180-04-4101,NDC,,both,1,each,0.65,0.65,0.15,0.65,0.65,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,0.51,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,,,0.47,percent of total billed charges ,,,0.52,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 ,0.52,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 ,,,,,,,,,,,,,,,,,,,0.15,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,
DimenhyDRINATE(DRAMAMINE) TAB : 50 MG,637,RC,00904-20-5159,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
**TRIMTERNE-HZTZ CAP DO NOT USE,259,RC,00781-20-7401,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
CYCLOBENZAPRINE (FLEXERIL) TAB : 10MG,637,RC,60687-05-5811,NDC,,both,1,each,0.25,0.25,0.06,0.25,0.25,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,0.18,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,0.2,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,,,0.18,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 ,0.21,percent of total billed charges ,0.21,percent of total billed charges ,0.2,percent of total billed charges ,0.2,percent of total billed charges ,0.18,percent of total billed charges ,0.18,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 ,,,,,0.13,percent of total billed charges ,,,,,0.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,
FUROSEMIDE (LASIX) TAB : 20MG,637,RC,00904-71-7761,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
FUROSEMIDE (LASIX) TAB : 40 MG,637,RC,00904-71-7861,NDC,,both,1,each,0.17,0.17,0.04,0.17,0.17,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,0.12,percent of total billed charges,0.12,percent of total billed charges,0.12,percent of total billed charges,0.12,percent of total billed charges,0.12,percent of total billed charges,0.12,percent of total billed charges,0.13,percent of total billed charges,0.13,percent of total billed charges,0.14,percent of total billed charges,0.14,percent of total billed charges,,,0.12,percent of total billed charges ,,,0.14,percent of total billed charges ,0.13,percent of total billed charges ,0.13,percent of total billed charges ,0.14,percent of total billed charges ,0.14,percent of total billed charges ,0.14,percent of total billed charges ,0.14,percent of total billed charges ,0.12,percent of total billed charges ,0.12,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 ,,,,,,,,,,,,,,,,,,,0.04,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,
FUROSEMIDE (LASIX) TAB : 80 MG,637,RC,51079-05-2701,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
HYDROCHLOROTHIAZIDE TAB : 25 MG,637,RC,60687-05-9311,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
**HYDROCHLOROTHIAZIDE TAB DO NOT USE,637,RC,00172-20-8960,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
BISACODYL TABLET : 5 MG ORAL TABLET,637,RC,00904-64-0761,NDC,,both,1,each,0.25,0.25,0.06,0.25,0.25,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,0.18,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,0.2,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,,,0.18,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 ,0.21,percent of total billed charges ,0.21,percent of total billed charges ,0.2,percent of total billed charges ,0.2,percent of total billed charges ,0.18,percent of total billed charges ,0.18,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 ,,,,,0.13,percent of total billed charges ,,,,,0.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,
**FLURAZEPAM(DALMANE)CAP DO NOT USE,250,RC,00143-33-6701,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**FLURAZEPHAM(DALMANE)CAP 30MG DO NOT US,250,RC,00378-44-3001,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**DOCUSATE (SURFAK) CAP DO NOT USE,259,RC,51079-00-7120,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
ARTHROTEC 75 TAB : 75MG-200MCG,637,RC,00025-14-2160,NDC,,both,1,each,12,12,2.76,12,12,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,9.48,percent of total billed charges,9.48,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 ,9.48,percent of total billed charges ,9.48,percent of total billed charges ,10.2,percent of total billed charges ,10.2,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 ,,,,,,,,,,,,,,,,,,,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,
**FERRO-SEQUELS DO NOT USE,259,RC,03665-22-6768,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
CLOMIPRAMINE (ANAFRANIL) CAP : 50 MG,637,RC,51672-40-1201,NDC,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
**TRIAZOLAM(HALCION)TAB .125MG DO NOT US,250,RC,00009-00-1004,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
IBUPROFEN (MOTRIN) TAB : 400 MG,637,RC,60687-04-4601,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
IBUPROFEN (MOTRIN) TAB : 600 MG,637,RC,60687-04-5711,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
POTASSIUM CHL TABL EFF : 25 MEQ(KLYTE),637,RC,00245-53-2630,NDC,,both,1,each,4.49,4.49,1.03,4.49,4.49,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,4.49,percent of total billed charges,4.49,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,3.55,percent of total billed charges,3.55,percent of total billed charges,3.59,percent of total billed charges,3.59,percent of total billed charges,,,3.23,percent of total billed charges ,,,3.59,percent of total billed charges ,3.55,percent of total billed charges ,3.55,percent of total billed charges ,3.82,percent of total billed charges ,3.82,percent of total billed charges ,3.59,percent of total billed charges ,3.59,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 ,,,,,2.39,percent of total billed charges ,,,,,2.27,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,
**TRIAMTERENE-HCTZ TAB DO NOT USE,259,RC,51079-04-3320,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
MILK OF MAGNESIA : 30ML UD,637,RC,66689-00-5301,NDC,,both,30,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
DIPYRIDAMOLE TAB : 25MG,637,RC,00555-02-5202,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**DOCUSATE-CAS(PERI-COLACE)CAP DO NOT US,250,RC,00713-04-0699,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
DIPHENOXYLATE/ATROPINE (LOMOTIL) TAB,637,RC,62559-04-9001,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
**ACETAMINOPHEN LIQ : 160MG/5ML 120ML,637,RC,00113-01-0526,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
ACETAMINOPHEN-COD LIQ : 120-12MG/5ML,637,RC,00121-05-0405,NDC,,both,5,each,6,6,1.38,6,6,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,4.74,percent of total billed charges,4.74,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 ,4.74,percent of total billed charges ,4.74,percent of total billed charges ,5.1,percent of total billed charges ,5.1,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 ,,,,,,,,,,,,,,,,,,,1.38,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,
LIDOCAINE VISCOUS 2% : 100ML,637,RC,00054-35-0049,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
MULTI-DELYN LIQUID : 5ML,637,RC,54838-00-0870,NDC,,both,5,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
**TAGAMET ELIX 60 MG DO NOT USE,259,RC,50383-00-5008,NDC,,both,1,each,19,19,4.37,19,19,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,15.01,percent of total billed charges,15.01,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 ,15.01,percent of total billed charges ,15.01,percent of total billed charges ,16.15,percent of total billed charges ,16.15,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,4.37,percent of total billed charges,,,4.37,percent of total billed charges,,,4.37,percent of total billed charges,
*DORBITOL 70%LIQ DO NOT USE,250,RC,00574-01-6816,NDC,,both,60,each,47,47,10.81,47,47,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,37.13,percent of total billed charges,37.13,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 ,37.13,percent of total billed charges ,37.13,percent of total billed charges ,39.95,percent of total billed charges ,39.95,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
SULFAMETHOXAZOLE-TMP SUSP 800/160 : 20ML,637,RC,65862-04-9647,NDC,,both,20,each,19.78,19.78,4.55,19.78,19.78,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,19.78,percent of total billed charges,19.78,percent of total billed charges,14.24,percent of total billed charges,14.24,percent of total billed charges,14.24,percent of total billed charges,14.24,percent of total billed charges,14.24,percent of total billed charges,14.24,percent of total billed charges,15.63,percent of total billed charges,15.63,percent of total billed charges,15.82,percent of total billed charges,15.82,percent of total billed charges,,,14.24,percent of total billed charges ,,,15.82,percent of total billed charges ,15.63,percent of total billed charges ,15.63,percent of total billed charges ,16.81,percent of total billed charges ,16.81,percent of total billed charges ,15.82,percent of total billed charges ,15.82,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 ,,,,,10.52,percent of total billed charges ,,,,,10,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,
METOCLOPRAMIDE LIQ : 5MG/5ML  5ML,250,RC,00121-05-7616,NDC,,both,5,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
**MAGALDRATE (RIOPAN) SUSP 30ML DO NOT U,259,RC,00046-07-6599,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
PHENOBARBITAL ELIX : 20MG/5ML  5ML,637,RC,00472-10-1516,NDC,,both,5,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
PrednisoLONE SYRP : 15MG/5ML,637,RC,50383-00-4224,NDC,,both,5,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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,
ANTIPYRINE-BENZOCAINE OTIC SOLN: 10/15 *,637,RC,76439-03-0515,NDC,,both,1,each,36,36,8.28,36,36,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,28.44,percent of total billed charges,28.44,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 ,28.44,percent of total billed charges ,28.44,percent of total billed charges ,30.6,percent of total billed charges ,30.6,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,8.28,percent of total billed charges,,,8.28,percent of total billed charges,,,8.28,percent of total billed charges,
PROMETHAZINE/COD SYRUP : 5ML,637,RC,60432-06-0616,NDC,,both,5,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
PEPTO-BISMOL SUSP : 237ML  BULK,637,RC,37000-00-3203,NDC,,both,1,each,65.75,65.75,15.12,65.75,65.75,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,47.34,percent of total billed charges,47.34,percent of total billed charges,47.34,percent of total billed charges,47.34,percent of total billed charges,47.34,percent of total billed charges,47.34,percent of total billed charges,51.94,percent of total billed charges,51.94,percent of total billed charges,52.6,percent of total billed charges,52.6,percent of total billed charges,,,47.34,percent of total billed charges ,,,52.6,percent of total billed charges ,51.94,percent of total billed charges ,51.94,percent of total billed charges ,55.89,percent of total billed charges ,55.89,percent of total billed charges ,52.6,percent of total billed charges ,52.6,percent of total billed charges ,46.03,percent of total billed charges ,46.03,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 ,,,,,34.98,percent of total billed charges ,,,,,33.23,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,
CeleBREX (CELECOXIB): 200MG CAP,637,RC,60687-04-4701,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**POLY VISOL FE DO NOT UES,Local ,Local ,,,,both,,,66,66,15.18,66,66,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,52.14,percent of total billed charges,52.14,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 ,52.14,percent of total billed charges ,52.14,percent of total billed charges ,56.1,percent of total billed charges ,56.1,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 ,,,,,,,,,,,,,,,,,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,
**DOCUSATE/CASANTHRANOL LIQ DO NOT USE,250,RC,00121-04-5816,NDC,,both,15,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**AUGEMENTIN SUS 400 MG 100ML DO NOT USE,259,RC,00029-60-9251,NDC,,both,1,each,188,188,43.24,188,188,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,148.52,percent of total billed charges,148.52,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 ,148.52,percent of total billed charges ,148.52,percent of total billed charges ,159.8,percent of total billed charges ,159.8,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 ,,,,,,,,,,,,,,,,,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,
CHLORAL HYDRATE LIQ : 500MG/5ML  5ML*,637,RC,00121-05-3205,NDC,,both,5,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
CODIMAL DH SYRUP : 5ML,637,RC,60258-07-7016,NDC,,both,5,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
NITROLINGUAL SPRAY : 0.4MG/SPRY,637,RC,28595-05-5049,NDC,,both,1,each,404,404,92.92,404,404,percent of total billed charges,404,percent of total billed charges,404,percent of total billed charges,404,percent of total billed charges,404,percent of total billed charges,404,percent of total billed charges,404,percent of total billed charges,404,percent of total billed charges,290.88,percent of total billed charges,290.88,percent of total billed charges,290.88,percent of total billed charges,290.88,percent of total billed charges,290.88,percent of total billed charges,290.88,percent of total billed charges,319.16,percent of total billed charges,319.16,percent of total billed charges,323.2,percent of total billed charges,323.2,percent of total billed charges,,,290.88,percent of total billed charges ,,,323.2,percent of total billed charges ,319.16,percent of total billed charges ,319.16,percent of total billed charges ,343.4,percent of total billed charges ,343.4,percent of total billed charges ,323.2,percent of total billed charges ,323.2,percent of total billed charges ,282.8,percent of total billed charges ,282.8,percent of total billed charges ,242.4,percent of total billed charges ,242.4,percent of total billed charges ,242.4,percent of total billed charges ,242.4,percent of total billed charges ,,,,,214.93,percent of total billed charges ,,,,,204.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,
GABAPENTIN (NEURONTIN) CAP : 100MG,637,RC,65162-01-0110,NDC,,both,1,each,0.62,0.62,0.14,0.62,0.62,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,0.49,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,,,0.45,percent of total billed charges ,,,0.5,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 ,0.5,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 ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
DOLASETRON(ANZEMET) INJ 12.5MG/0.625ML*,J1260,CDM,,,,both,1,each,81,81,18.63,81,81,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,63.99,percent of total billed charges,63.99,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 ,63.99,percent of total billed charges ,63.99,percent of total billed charges ,68.85,percent of total billed charges ,68.85,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 ,,,,,,,,,,,,,,,,,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,
**NALDECON PED LIQ DO NOT USE,259,RC,00015-56-1530,NDC,,both,,,40,40,9.2,40,40,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,31.6,percent of total billed charges,31.6,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 ,31.6,percent of total billed charges ,31.6,percent of total billed charges ,34,percent of total billed charges ,34,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 ,,,,,,,,,,,,,,,,,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,
EMETROL LIQUID : 120ML,637,RC,65197-02-0104,NDC,,both,1,each,26,26,5.98,26,26,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,20.54,percent of total billed charges,20.54,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 ,20.54,percent of total billed charges ,20.54,percent of total billed charges ,22.1,percent of total billed charges ,22.1,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 ,,,,,,,,,,,,,,,,,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,
**THEOPHYLLINE LIQ 80MG DO NOT USE,Local ,Local ,,,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
MIRTAZAPINE (REMERON) TAB : 15 MG,637,RC,68084-01-1911,NDC,,both,1,each,0.75,0.75,0.17,0.75,0.75,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,0.59,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,,,0.54,percent of total billed charges ,,,0.6,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 ,0.6,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 ,,,,,,,,,,,,,,,,,,,0.17,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,
KAOPECTATE SUSP : 240ML  BULK,637,RC,00009-04-0002,NDC,,both,1,each,36,36,8.28,36,36,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,28.44,percent of total billed charges,28.44,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 ,28.44,percent of total billed charges ,28.44,percent of total billed charges ,30.6,percent of total billed charges ,30.6,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,8.28,percent of total billed charges,,,8.28,percent of total billed charges,,,8.28,percent of total billed charges,
pyRIDostigmine ELIX : 60MG/5ML *,637,RC,00187-30-1220,NDC,,both,5,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
DIPHENOXYLATE/ATROPINE LIQ : 5ML,637,RC,00054-31-9446,NDC,,both,5,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
FUROSEMIDE ORAL SOLN 40MG/5ML CUP,637,RC,00054-32-9450,NDC,,both,5,each,10.02,10.02,2.3,10.02,10.02,percent of total billed charges,10.02,percent of total billed charges,10.02,percent of total billed charges,10.02,percent of total billed charges,10.02,percent of total billed charges,10.02,percent of total billed charges,10.02,percent of total billed charges,10.02,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,7.21,percent of total billed charges,7.21,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.02,percent of total billed charges,8.02,percent of total billed charges,,,7.21,percent of total billed charges ,,,8.02,percent of total billed charges ,7.92,percent of total billed charges ,7.92,percent of total billed charges ,8.52,percent of total billed charges ,8.52,percent of total billed charges ,8.02,percent of total billed charges ,8.02,percent of total billed charges ,7.01,percent of total billed charges ,7.01,percent of total billed charges ,6.01,percent of total billed charges ,6.01,percent of total billed charges ,6.01,percent of total billed charges ,6.01,percent of total billed charges ,,,,,5.33,percent of total billed charges ,,,,,5.06,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,
**MYLANTA II SUSP 30ML DO NOT USE,Local ,Local ,,,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**MOM/CASC SUSP DO NOT USE,Local ,Local ,,,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
MINERAL OIL LIQ : 30ML,637,RC,54092-04-1716,NDC,,both,30,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
HYDROcodoneAPAP SOLN : 7.5/325MG 15ML,637,RC,00121-07-7204,NDC,,both,15,each,16.95,16.95,3.9,16.95,16.95,percent of total billed charges,16.95,percent of total billed charges,16.95,percent of total billed charges,16.95,percent of total billed charges,16.95,percent of total billed charges,16.95,percent of total billed charges,16.95,percent of total billed charges,16.95,percent of total billed charges,12.2,percent of total billed charges,12.2,percent of total billed charges,12.2,percent of total billed charges,12.2,percent of total billed charges,12.2,percent of total billed charges,12.2,percent of total billed charges,13.39,percent of total billed charges,13.39,percent of total billed charges,13.56,percent of total billed charges,13.56,percent of total billed charges,,,12.2,percent of total billed charges ,,,13.56,percent of total billed charges ,13.39,percent of total billed charges ,13.39,percent of total billed charges ,14.41,percent of total billed charges ,14.41,percent of total billed charges ,13.56,percent of total billed charges ,13.56,percent of total billed charges ,11.87,percent of total billed charges ,11.87,percent of total billed charges ,10.17,percent of total billed charges ,10.17,percent of total billed charges ,10.17,percent of total billed charges ,10.17,percent of total billed charges ,,,,,9.02,percent of total billed charges ,,,,,8.57,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,,,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,
**FER-IN-SOL ELIX 125 MG DO NOT USE,259,RC,00087-07-4002,NDC,,both,1,each,88,88,20.24,88,88,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,69.52,percent of total billed charges,69.52,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 ,69.52,percent of total billed charges ,69.52,percent of total billed charges ,74.8,percent of total billed charges ,74.8,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 ,,,,,,,,,,,,,,,,,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,
**NOVAHISTINE EXP ELI DO NOT USE,Local ,Local ,,,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**NALDECON CX SYRP DO NOT USE,259,RC,00015-56-6140,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
CEPHALEXIN ORAL SUSP : 250MG/5ML  100ML,637,RC,00093-41-7773,NDC,,both,1,each,108.9,108.9,25.05,108.9,108.9,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,78.41,percent of total billed charges,78.41,percent of total billed charges,78.41,percent of total billed charges,78.41,percent of total billed charges,78.41,percent of total billed charges,78.41,percent of total billed charges,86.03,percent of total billed charges,86.03,percent of total billed charges,87.12,percent of total billed charges,87.12,percent of total billed charges,,,78.41,percent of total billed charges ,,,87.12,percent of total billed charges ,86.03,percent of total billed charges ,86.03,percent of total billed charges ,92.57,percent of total billed charges ,92.57,percent of total billed charges ,87.12,percent of total billed charges ,87.12,percent of total billed charges ,76.23,percent of total billed charges ,76.23,percent of total billed charges ,65.34,percent of total billed charges ,65.34,percent of total billed charges ,65.34,percent of total billed charges ,65.34,percent of total billed charges ,,,,,57.93,percent of total billed charges ,,,,,55.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,25.05,percent of total billed charges,,,25.05,percent of total billed charges,,,25.05,percent of total billed charges,,,25.05,percent of total billed charges,,,25.05,percent of total billed charges,,,25.05,percent of total billed charges,,,25.05,percent of total billed charges,,,25.05,percent of total billed charges,,,25.05,percent of total billed charges,,,25.05,percent of total billed charges,,,25.05,percent of total billed charges,
DIGOXIN (LANOXIN) 0.25MG/5ML ORAL SOLN,637,RC,00054-00-5746,NDC,,both,,,31.74,31.74,7.3,31.74,31.74,percent of total billed charges,31.74,percent of total billed charges,31.74,percent of total billed charges,31.74,percent of total billed charges,31.74,percent of total billed charges,31.74,percent of total billed charges,31.74,percent of total billed charges,31.74,percent of total billed charges,22.85,percent of total billed charges,22.85,percent of total billed charges,22.85,percent of total billed charges,22.85,percent of total billed charges,22.85,percent of total billed charges,22.85,percent of total billed charges,25.07,percent of total billed charges,25.07,percent of total billed charges,25.39,percent of total billed charges,25.39,percent of total billed charges,,,22.85,percent of total billed charges ,,,25.39,percent of total billed charges ,25.07,percent of total billed charges ,25.07,percent of total billed charges ,26.98,percent of total billed charges ,26.98,percent of total billed charges ,25.39,percent of total billed charges ,25.39,percent of total billed charges ,22.22,percent of total billed charges ,22.22,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 ,,,,,16.89,percent of total billed charges ,,,,,16.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.3,percent of total billed charges,,,7.3,percent of total billed charges,,,7.3,percent of total billed charges,,,7.3,percent of total billed charges,,,7.3,percent of total billed charges,,,7.3,percent of total billed charges,,,7.3,percent of total billed charges,,,7.3,percent of total billed charges,,,7.3,percent of total billed charges,,,7.3,percent of total billed charges,,,7.3,percent of total billed charges,
"POTASSIUM CHL SLN ORAL 20MEQ/15ML, 15ML",637,RC,60687-06-2844,NDC,,both,15,each,20.47,20.47,4.71,20.47,20.47,percent of total billed charges,20.47,percent of total billed charges,20.47,percent of total billed charges,20.47,percent of total billed charges,20.47,percent of total billed charges,20.47,percent of total billed charges,20.47,percent of total billed charges,20.47,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,14.74,percent of total billed charges,14.74,percent of total billed charges,16.17,percent of total billed charges,16.17,percent of total billed charges,16.38,percent of total billed charges,16.38,percent of total billed charges,,,14.74,percent of total billed charges ,,,16.38,percent of total billed charges ,16.17,percent of total billed charges ,16.17,percent of total billed charges ,17.4,percent of total billed charges ,17.4,percent of total billed charges ,16.38,percent of total billed charges ,16.38,percent of total billed charges ,14.33,percent of total billed charges ,14.33,percent of total billed charges ,12.28,percent of total billed charges ,12.28,percent of total billed charges ,12.28,percent of total billed charges ,12.28,percent of total billed charges ,,,,,10.89,percent of total billed charges ,,,,,10.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.71,percent of total billed charges,,,4.71,percent of total billed charges,,,4.71,percent of total billed charges,,,4.71,percent of total billed charges,,,4.71,percent of total billed charges,,,4.71,percent of total billed charges,,,4.71,percent of total billed charges,,,4.71,percent of total billed charges,,,4.71,percent of total billed charges,,,4.71,percent of total billed charges,,,4.71,percent of total billed charges,
CHERRY SYRUP : 5ML*,637,RC,00395-26-6216,NDC,,both,5,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
**MOM/WMINERAL OIL DO NOT SUE,259,RC,51079-02-4530,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
MethylPREDNISolone (MEDROL) DOSEPAK :4MG,J7509,CDM,,,,both,1,each,37.31,37.31,8.58,37.31,37.31,percent of total billed charges,37.31,percent of total billed charges,37.31,percent of total billed charges,37.31,percent of total billed charges,37.31,percent of total billed charges,37.31,percent of total billed charges,37.31,percent of total billed charges,37.31,percent of total billed charges,26.86,percent of total billed charges,26.86,percent of total billed charges,26.86,percent of total billed charges,26.86,percent of total billed charges,26.86,percent of total billed charges,26.86,percent of total billed charges,29.47,percent of total billed charges,29.47,percent of total billed charges,29.85,percent of total billed charges,29.85,percent of total billed charges,,,26.86,percent of total billed charges ,,,29.85,percent of total billed charges ,29.47,percent of total billed charges ,29.47,percent of total billed charges ,31.71,percent of total billed charges ,31.71,percent of total billed charges ,29.85,percent of total billed charges ,29.85,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 ,,,,,,,,,,,,,,,,,,,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,,,8.58,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,
**FLEETS PHOSPHO-SODA LIQ DO NOT USE,250,RC,00132-01-0803,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**MYLANTA DB STR SUSP 360ML DO NOT USE,259,RC,01683-76-2212,NDC,,both,1,each,47,47,10.81,47,47,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,37.13,percent of total billed charges,37.13,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 ,37.13,percent of total billed charges ,37.13,percent of total billed charges ,39.95,percent of total billed charges ,39.95,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**FERROUS SULF ELIX : 220MG/5ML,637,RC,00904-14-6516,NDC,,both,5,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
PHENYTOIN SUSP : 100MG/4ML,637,RC,17856-40-6904,NDC,,both,5,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
DEXAMETHASONE ELIX : 0.5MG/5ML 5ML,J8540,CDM,,,,both,5,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
DOCUSATE SOD (COLACE) SYR : 60MG/15ML,637,RC,54838-01-0780,NDC,,both,15,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
LACTULOSE SOLN 10G/15ML,637,RC,66689-00-3901,NDC,,both,15,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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,
**ERYPED ORAL SUSP 100MG/2.5ML DO NOT US,637,RC,00074-63-0350,NDC,,both,1,each,58,58,13.34,58,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,45.82,percent of total billed charges,45.82,percent of total billed charges,46.4,percent of total billed charges,46.4,percent of total billed charges,,,41.76,percent of total billed charges ,,,46.4,percent of total billed charges ,45.82,percent of total billed charges ,45.82,percent of total billed charges ,49.3,percent of total billed charges ,49.3,percent of total billed charges ,46.4,percent of total billed charges ,46.4,percent of total billed charges ,40.6,percent of total billed charges ,40.6,percent of total billed charges ,34.8,percent of total billed charges ,34.8,percent of total billed charges ,34.8,percent of total billed charges ,34.8,percent of total billed charges ,,,,,30.86,percent of total billed charges ,,,,,29.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,
FLUCONAZOLE SUSP : 10MG/ML 35ML,637,RC,57237-01-4935,NDC,,both,1,each,59.62,59.62,13.71,59.62,59.62,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,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,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,47.1,percent of total billed charges,47.1,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 ,47.1,percent of total billed charges ,47.1,percent of total billed charges ,50.68,percent of total billed charges ,50.68,percent of total billed charges ,47.7,percent of total billed charges ,47.7,percent of total billed charges ,41.73,percent of total billed charges ,41.73,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 ,,,,,31.72,percent of total billed charges ,,,,,30.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.71,percent of total billed charges,,,13.71,percent of total billed charges,,,13.71,percent of total billed charges,,,13.71,percent of total billed charges,,,13.71,percent of total billed charges,,,13.71,percent of total billed charges,,,13.71,percent of total billed charges,,,13.71,percent of total billed charges,,,13.71,percent of total billed charges,,,13.71,percent of total billed charges,,,13.71,percent of total billed charges,
HYDROXYZINE HCL ELIX : 10MG/5ML  5ML,637,RC,00182-13-7640,NDC,,both,5,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
AUGMENTIN SUSP : 125MG/5ML  75ML BTL,637,RC,60432-00-6575,NDC,,both,1,each,120.95,120.95,27.82,120.95,120.95,percent of total billed charges,120.95,percent of total billed charges,120.95,percent of total billed charges,120.95,percent of total billed charges,120.95,percent of total billed charges,120.95,percent of total billed charges,120.95,percent of total billed charges,120.95,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,95.55,percent of total billed charges,95.55,percent of total billed charges,96.76,percent of total billed charges,96.76,percent of total billed charges,,,87.08,percent of total billed charges ,,,96.76,percent of total billed charges ,95.55,percent of total billed charges ,95.55,percent of total billed charges ,102.81,percent of total billed charges ,102.81,percent of total billed charges ,96.76,percent of total billed charges ,96.76,percent of total billed charges ,84.67,percent of total billed charges ,84.67,percent of total billed charges ,72.57,percent of total billed charges ,72.57,percent of total billed charges ,72.57,percent of total billed charges ,72.57,percent of total billed charges ,,,,,64.35,percent of total billed charges ,,,,,61.13,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,
ACETAZOLAMIDE (DIAMOX) CAP : 500 MG,637,RC,51285-07-5402,NDC,,both,1,each,12,12,2.76,12,12,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,9.48,percent of total billed charges,9.48,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 ,9.48,percent of total billed charges ,9.48,percent of total billed charges ,10.2,percent of total billed charges ,10.2,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 ,,,,,,,,,,,,,,,,,,,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,
DESIPRAMINE (NORPRAMIN) TAB : 50 MG,637,RC,00781-19-7301,NDC,,both,1,each,12,12,2.76,12,12,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,9.48,percent of total billed charges,9.48,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 ,9.48,percent of total billed charges ,9.48,percent of total billed charges ,10.2,percent of total billed charges ,10.2,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 ,,,,,,,,,,,,,,,,,,,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,
**POTASSIUM CHLORIDE TAB : 10MEQ HOSPICE,637,RC,00245-00-4111,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**OPHENADRINE (NORFLEX) DO NOT USE,259,RC,00185-00-2201,NDC,,both,1,each,12,12,2.76,12,12,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,9.48,percent of total billed charges,9.48,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 ,9.48,percent of total billed charges ,9.48,percent of total billed charges ,10.2,percent of total billed charges ,10.2,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 ,,,,,,,,,,,,,,,,,,,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,
NITROGLYCERIN (NITROSTAT) SL TAB : 0.4MG,637,RC,68462-06-3925,NDC,,both,1,each,18.37,18.37,4.23,18.37,18.37,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,13.23,percent of total billed charges,13.23,percent of total billed charges,13.23,percent of total billed charges,13.23,percent of total billed charges,13.23,percent of total billed charges,13.23,percent of total billed charges,14.51,percent of total billed charges,14.51,percent of total billed charges,14.7,percent of total billed charges,14.7,percent of total billed charges,,,13.23,percent of total billed charges ,,,14.7,percent of total billed charges ,14.51,percent of total billed charges ,14.51,percent of total billed charges ,15.61,percent of total billed charges ,15.61,percent of total billed charges ,14.7,percent of total billed charges ,14.7,percent of total billed charges ,12.86,percent of total billed charges ,12.86,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 ,,,,,9.77,percent of total billed charges ,,,,,9.28,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,,,4.23,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,
NITROGLYCERIN (NITROSTAT) SL TAB : 0.3MG,637,RC,59762-49-2101,NDC,,both,1,each,216,216,49.68,216,216,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,216,percent of total billed charges,216,percent of total billed charges,216,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,172.8,percent of total billed charges,172.8,percent of total billed charges,,,155.52,percent of total billed charges ,,,172.8,percent of total billed charges ,170.64,percent of total billed charges ,170.64,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,172.8,percent of total billed charges ,172.8,percent of total billed charges ,151.2,percent of total billed charges ,151.2,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 ,,,,,114.91,percent of total billed charges ,,,,,109.17,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,,,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,
**NIACIN CAP 250 MG DO NOT USE,259,RC,00182-08-1101,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**NYSTATIN (NILSTAT) TAB DO NOT USE,259,RC,00005-54-2660,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**NEOMYCIN TAB 500 MG DO NOT USE,259,RC,51079-00-1520,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
BuPROPion (WELLBUTRIN) TAB : 100MG,637,RC,60687-03-5111,NDC,,both,1,each,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**THIOTHIXENE(NAVANE)CAP:5MG DO NOT USE,259,RC,00781-22-2801,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**THIOTHIXENE (NAVANE) CAP DO NOT USE,259,RC,00781-22-2701,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**PHENELZINE (NARDIL) DO NOT USE,259,RC,00071-02-7024,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
LOVASTATIN (MEVACOR) TAB : 20 MG,637,RC,68180-04-6801,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
SIMETHICONE (MYLICON) TAB : 80 MG,637,RC,24385-01-1878,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
CLOTRIMAZOLE (MYCELEX) LOZ : 10 MG,637,RC,00574-01-0777,NDC,,both,1,each,9,9,2.07,9,9,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,7.11,percent of total billed charges,7.11,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 ,7.11,percent of total billed charges ,7.11,percent of total billed charges ,7.65,percent of total billed charges ,7.65,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 ,,,,,,,,,,,,,,,,,,,2.07,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,
**MIDRIN CAP DO NOT USE,259,RC,00086-01-2005,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**MEXILETINE (MEXITIL) DO NOT USE,259,RC,00093-87-4001,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**PYRIDOSTIGMINE (NESTINON) DO NOT USE,259,RC,00187-30-1030,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**MEPROBAMAGE TAB 400 MG DO NOT USE,259,RC,00591-52-3801,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**MEPROBAMATE TAB 200 MG DO NOT USE,259,RC,00591-52-3901,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
MEGESTROL (MEGACE) TAB : 40 MG,637,RC,00555-06-0702,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
**METHYLPREDNIS TAB 4 MG DO NOT USE,259,RC,00182-10-5001,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
PRENATAL VITAMIN TAB : 1 TAB,637,RC,00904-53-1346,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
**TROVAN 200 MG DO NOT USE,Local ,Local ,,,,both,,,49,49,11.27,49,49,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,38.71,percent of total billed charges,38.71,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 ,38.71,percent of total billed charges ,38.71,percent of total billed charges ,41.65,percent of total billed charges ,41.65,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 ,,,,,,,,,,,,,,,,,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,
**NIFEDIPINE(PROCARDIA XL) DO NOT USE,637,RC,00085-17-1603,NDC,,both,1,each,12,12,2.76,12,12,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,9.48,percent of total billed charges,9.48,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 ,9.48,percent of total billed charges ,9.48,percent of total billed charges ,10.2,percent of total billed charges ,10.2,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 ,,,,,,,,,,,,,,,,,,,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,
NITROFURANTOIN (MACRODANTIN) CAP : 50MG,637,RC,60687-04-7201,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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,
**INDAPAMIDE (LOZOL) DO NOT USE,259,RC,00075-00-8262,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**MESALAMINE(ASACOL)TAB 400MG DO NOT USE,637,RC,00149-07-5202,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
DiphenhydrAMINE 12.5MG/5ML 5ML ORAL CUP,637,RC,00904-69-8520,NDC,,both,5,each,7.35,7.35,1.69,7.35,7.35,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,5.81,percent of total billed charges,5.81,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 ,5.81,percent of total billed charges ,5.81,percent of total billed charges ,6.25,percent of total billed charges ,6.25,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 ,,,,,,,,,,,,,,,,,,,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,
MESALAMINE (ASACOL) TAB : 400 MG*,637,RC,00430-07-5327,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
SIMVASTATIN (ZOCOR) TAB : 10 MG,637,RC,51079-04-5420,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
PRAVASTATIN (PRAVACHOL) TAB : 20 MG,637,RC,51079-04-5801,NDC,,both,1,each,2.65,2.65,0.61,2.65,2.65,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,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,2.09,percent of total billed charges,2.09,percent of total billed charges,2.12,percent of total billed charges,2.12,percent of total billed charges,,,1.91,percent of total billed charges ,,,2.12,percent of total billed charges ,2.09,percent of total billed charges ,2.09,percent of total billed charges ,2.25,percent of total billed charges ,2.25,percent of total billed charges ,2.12,percent of total billed charges ,2.12,percent of total billed charges ,1.86,percent of total billed charges ,1.86,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 ,,,,,1.41,percent of total billed charges ,,,,,1.34,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,
REPAGLINIDE (PRANDIN) TAB : 2 MG,637,RC,00574-02-4201,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
**LORACARBEF SUSP DO NOT USE,259,RC,00002-51-3687,NDC,,both,1,each,164,164,37.72,164,164,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,129.56,percent of total billed charges,129.56,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 ,129.56,percent of total billed charges ,129.56,percent of total billed charges ,139.4,percent of total billed charges ,139.4,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 ,,,,,,,,,,,,,,,,,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,
LACTULOSE LIQ : 10GM/15ML,637,RC,00182-60-7240,NDC,,both,15,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
**ALUTEROL LIQ DO NOT USE,259,RC,00472-08-2516,NDC,,both,5,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
CITALOPRAM (CeleXA) TAB : 20 MG,637,RC,00904-60-8561,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
CYPROHEPTADINE (PERIACTIN) TAB : 4MG,637,RC,50742-01-9001,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
**NEPHROVITE DO NOT USE,259,RC,54391-00-0201,NDC,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
*CANDIDA SKIN TEST (CANDIN) INJ : 0.1ML,250,RC,49643-01-3801,NDC,,both,1,each,104,104,23.92,104,104,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,82.16,percent of total billed charges,82.16,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 ,82.16,percent of total billed charges ,82.16,percent of total billed charges ,88.4,percent of total billed charges ,88.4,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 ,,,,,,,,,,,,,,,,,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,
**IBUPROFEN-HYDROCODONE DO NOT USE,259,RC,00074-22-7714,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
HYDROCORTISONE TAB : 20 MG,637,RC,59762-00-7501,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
NISOLDIPINE (SULAR) TAB : 10MG*,637,RC,59630-04-4010,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
QUINAPRIL (ACCUPRIL) TAB : 20MG,637,RC,00071-05-3240,NDC,,both,1,each,18,18,4.14,18,18,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,14.22,percent of total billed charges,14.22,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 ,14.22,percent of total billed charges ,14.22,percent of total billed charges ,15.3,percent of total billed charges ,15.3,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 ,,,,,,,,,,,,,,,,,,,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,,,4.14,percent of total billed charges,,,4.14,percent of total billed charges,,,4.14,percent of total billed charges,
TERBINAFINE 1% (LamISIL AT) CREAM:24GM,637,RC,51672-20-8002,NDC,,both,1,each,33,33,7.59,33,33,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,26.07,percent of total billed charges,26.07,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 ,26.07,percent of total billed charges ,26.07,percent of total billed charges ,28.05,percent of total billed charges ,28.05,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 ,,,,,,,,,,,,,,,,,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,
ROSIGLITAZONE (AVANDIA) TAB : 4 MG*,637,RC,00029-31-5913,NDC,,both,1,each,14,14,3.22,14,14,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,11.06,percent of total billed charges,11.06,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 ,11.06,percent of total billed charges ,11.06,percent of total billed charges ,11.9,percent of total billed charges ,11.9,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 ,,,,,,,,,,,,,,,,,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,
DONNATAL ELIXIR : 10ML,637,RC,66213-04-2316,NDC,,both,10,each,19,19,4.37,19,19,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,15.01,percent of total billed charges,15.01,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 ,15.01,percent of total billed charges ,15.01,percent of total billed charges ,16.15,percent of total billed charges ,16.15,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,4.37,percent of total billed charges,,,4.37,percent of total billed charges,,,4.37,percent of total billed charges,
FLUoxetine (PROzac) CAP : 20MG,250,RC,00904-57-8561,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
**UNISOM,Local ,Local ,,,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**DANOCRINE(DANAZOL)CAP 200MG DO NOT USE,637,RC,00555-06-3509,NDC,,both,1,each,16,16,3.68,16,16,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,12.64,percent of total billed charges,12.64,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 ,12.64,percent of total billed charges ,12.64,percent of total billed charges ,13.6,percent of total billed charges ,13.6,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 ,,,,,,,,,,,,,,,,,,,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,,,3.68,percent of total billed charges,,,3.68,percent of total billed charges,,,3.68,percent of total billed charges,
**CARBINOXAMINE =PSEUDO DO NOT USE,259,RC,00472-07-3331,NDC,,both,1,each,12,12,2.76,12,12,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,9.48,percent of total billed charges,9.48,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 ,9.48,percent of total billed charges ,9.48,percent of total billed charges ,10.2,percent of total billed charges ,10.2,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 ,,,,,,,,,,,,,,,,,,,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,
**PEPCID RDC 20MG DO NOT USE,Local ,Local ,,,,both,,,16,16,3.68,16,16,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,12.64,percent of total billed charges,12.64,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 ,12.64,percent of total billed charges ,12.64,percent of total billed charges ,13.6,percent of total billed charges ,13.6,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 ,,,,,,,,,,,,,,,,,,,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,,,3.68,percent of total billed charges,,,3.68,percent of total billed charges,,,3.68,percent of total billed charges,
PARoxetine (PAXIL) TAB : 10MG,637,RC,68084-00-4401,NDC,,both,,,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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,
CIPROFLOXACIN (CIPRO) TAB : 250 MG,637,RC,55111-01-2601,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
PRAMIPEXOLE (MIRAPEX) TAB : 0.25MG,637,RC,13668-00-9290,NDC,,both,1,each,1.05,1.05,0.24,1.05,1.05,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,0.83,percent of total billed charges,0.83,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 ,0.83,percent of total billed charges ,0.83,percent of total billed charges ,0.89,percent of total billed charges ,0.89,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 ,,,,,,,,,,,,,,,,,,,0.24,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,
**FLUCONAZOLE(DIFLUCAN) 50MG DO NOT USE,637,RC,00049-34-1030,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**ROFECOXIB(VIOXX)TAB 12.500MG DO NOT US,250,RC,00006-00-7468,NDC,,both,1,each,14,14,3.22,14,14,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,11.06,percent of total billed charges,11.06,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 ,11.06,percent of total billed charges ,11.06,percent of total billed charges ,11.9,percent of total billed charges ,11.9,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 ,,,,,,,,,,,,,,,,,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,
ARTHROTEC TAB : 50MG-200MCG,637,RC,00025-14-1160,NDC,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
**ZESTORETIC 10/12.5MG DO NOT USE,Local ,Local ,,,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
ENOXAPARIN (LOVENOX) INJ : 60MG/0.6ML,J1650,CDM,,,,both,1,each,70.25,70.25,16.16,70.25,70.25,percent of total billed charges,70.25,percent of total billed charges,70.25,percent of total billed charges,70.25,percent of total billed charges,70.25,percent of total billed charges,70.25,percent of total billed charges,70.25,percent of total billed charges,70.25,percent of total billed charges,50.58,percent of total billed charges,50.58,percent of total billed charges,50.58,percent of total billed charges,50.58,percent of total billed charges,50.58,percent of total billed charges,50.58,percent of total billed charges,55.5,percent of total billed charges,55.5,percent of total billed charges,56.2,percent of total billed charges,56.2,percent of total billed charges,,,50.58,percent of total billed charges ,,,56.2,percent of total billed charges ,55.5,percent of total billed charges ,55.5,percent of total billed charges ,59.71,percent of total billed charges ,59.71,percent of total billed charges ,56.2,percent of total billed charges ,56.2,percent of total billed charges ,49.18,percent of total billed charges ,49.18,percent of total billed charges ,42.15,percent of total billed charges ,42.15,percent of total billed charges ,42.15,percent of total billed charges ,42.15,percent of total billed charges ,,,,,37.37,percent of total billed charges ,,,,,35.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.16,percent of total billed charges,,,16.16,percent of total billed charges,,,16.16,percent of total billed charges,,,16.16,percent of total billed charges,,,16.16,percent of total billed charges,,,16.16,percent of total billed charges,,,16.16,percent of total billed charges,,,16.16,percent of total billed charges,,,16.16,percent of total billed charges,,,16.16,percent of total billed charges,,,16.16,percent of total billed charges,
CARVEDILOL (COREG) TAB : 3.125 MG,637,RC,51079-07-7101,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
WARFARIN (COUMADIN) TAB : 1MG,637,RC,00832-12-1101,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
TOCOPHEROL (VITAMIN E) CAP : 400 UNITS,637,RC,87701-04-0754,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
**ERYTHROMYCIN(EES)OS DO NOT USE,250,RC,00074-63-0613,NDC,,both,1,each,40,40,9.2,40,40,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,31.6,percent of total billed charges,31.6,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 ,31.6,percent of total billed charges ,31.6,percent of total billed charges ,34,percent of total billed charges ,34,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 ,,,,,,,,,,,,,,,,,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,
**NAPROXEN DO NOT USE,Local ,Local ,,,,both,,,68,68,15.64,68,68,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,53.72,percent of total billed charges,53.72,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 ,53.72,percent of total billed charges ,53.72,percent of total billed charges ,57.8,percent of total billed charges ,57.8,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 ,,,,,,,,,,,,,,,,,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,
SENNA PLUS (SENOKOT S) TABLET,637,RC,57896-05-5501,NDC,,both,1,each,0.25,0.25,0.06,0.25,0.25,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,0.18,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,0.2,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,,,0.18,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 ,0.21,percent of total billed charges ,0.21,percent of total billed charges ,0.2,percent of total billed charges ,0.2,percent of total billed charges ,0.18,percent of total billed charges ,0.18,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 ,,,,,0.13,percent of total billed charges ,,,,,0.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,
AMOXICILLIN CLAV (AUGMENTIN) : 875MG,637,RC,65862-05-0301,NDC,,both,1,each,0.79,0.79,0.18,0.79,0.79,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,0.57,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,0.62,percent of total billed charges,0.62,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,,,0.57,percent of total billed charges ,,,0.63,percent of total billed charges ,0.62,percent of total billed charges ,0.62,percent of total billed charges ,0.67,percent of total billed charges ,0.67,percent of total billed charges ,0.63,percent of total billed charges ,0.63,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 ,,,,,0.42,percent of total billed charges ,,,,,0.4,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,
**TENORETIC 50 DP NOT USE,Local ,Local ,,,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
GlipiZIDE XL (GLUCOTROL XL) TAB : 10MG,637,RC,68084-01-1201,NDC,,both,1,each,6,6,1.38,6,6,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,4.74,percent of total billed charges,4.74,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 ,4.74,percent of total billed charges ,4.74,percent of total billed charges ,5.1,percent of total billed charges ,5.1,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 ,,,,,,,,,,,,,,,,,,,1.38,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,
**OGEN TAB 1.25 DO NOT USE,637,RC,54868-12-6100,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**CEFPROZIL(CEFZIL)TAB 250MG DO NOT USE,637,RC,00087-77-2060,NDC,,both,1,each,21,21,4.83,21,21,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,16.59,percent of total billed charges,16.59,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 ,16.59,percent of total billed charges ,16.59,percent of total billed charges ,17.85,percent of total billed charges ,17.85,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 ,,,,,,,,,,,,,,,,,,,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,
**MIDODRINE 2.5MG DO NOT USE,259,RC,54092-00-0301,NDC,,both,,,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
CARBIDOPA-LEVODOPA CR TAB 25-100MG,637,RC,51079-09-7820,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
**OLANZAPINE (ZYPREXA) 10MG DO NOT USE,637,RC,00002-41-1733,NDC,,both,1,each,58,58,13.34,58,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,45.82,percent of total billed charges,45.82,percent of total billed charges,46.4,percent of total billed charges,46.4,percent of total billed charges,,,41.76,percent of total billed charges ,,,46.4,percent of total billed charges ,45.82,percent of total billed charges ,45.82,percent of total billed charges ,49.3,percent of total billed charges ,49.3,percent of total billed charges ,46.4,percent of total billed charges ,46.4,percent of total billed charges ,40.6,percent of total billed charges ,40.6,percent of total billed charges ,34.8,percent of total billed charges ,34.8,percent of total billed charges ,34.8,percent of total billed charges ,34.8,percent of total billed charges ,,,,,30.86,percent of total billed charges ,,,,,29.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,
**ZIDOVUDINE(RETROVIR)CAP 100MG DO NOT U,250,RC,00173-01-0855,NDC,,both,1,each,14,14,3.22,14,14,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,11.06,percent of total billed charges,11.06,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 ,11.06,percent of total billed charges ,11.06,percent of total billed charges ,11.9,percent of total billed charges ,11.9,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 ,,,,,,,,,,,,,,,,,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,
TERBINAFINE (LamISIL) TAB : 250 MG*,Local ,Local ,,,,both,1,each,31,31,7.13,31,31,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,24.49,percent of total billed charges,24.49,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 ,24.49,percent of total billed charges ,24.49,percent of total billed charges ,26.35,percent of total billed charges ,26.35,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 ,,,,,,,,,,,,,,,,,,,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,
**CLARITHROMYCIN(BIAXIN)TAB DO NOT USE,250,RC,00074-33-6811,NDC,,both,1,each,23,23,5.29,23,23,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,18.17,percent of total billed charges,18.17,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 ,18.17,percent of total billed charges ,18.17,percent of total billed charges ,19.55,percent of total billed charges ,19.55,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 ,,,,,,,,,,,,,,,,,,,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,
**POLYSACCHARIDE-IRON COMP 150MG DO NOT,259,RC,00131-42-2086,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
ZOLPIDEM (AMBIEN) TAB : 10 MG,637,RC,65862-01-6001,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
**ATIVAN TAB 2MG DO NOT USE     ),637,RC,00008-00-6502,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
ATENOLOL (TENORMIN) TAB : 25MG,637,RC,51079-07-5920,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
"**VITAMIN A CAP 10,000 UNITS DO NOT USE",259,RC,00904-20-8560,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
**GLIMEPIRIDE(AMARYL TAB DO NOT USE,637,RC,00039-02-2110,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
GLIMEPIRIDE (AMARYL) TAB : 2MG,637,RC,68084-03-2611,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
**GLIMEPIRIDE(AMARYL) DO NOT USE,637,RC,00039-02-2310,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
DONEPEZIL (ARICEPT) TAB : 5 MG,637,RC,60687-02-9211,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
**CONJUCATED ESTROG/MEDROX TAB DO NOT US,637,RC,00046-08-7506,NDC,,both,1,each,13,13,2.99,13,13,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,10.27,percent of total billed charges,10.27,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 ,10.27,percent of total billed charges ,10.27,percent of total billed charges ,11.05,percent of total billed charges ,11.05,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 ,,,,,,,,,,,,,,,,,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,
**ATIVAN TABS: 0.5MG HOPSICE(WYETH),250,RC,00008-00-8102,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
URSODIOL (ACTIGALL) CAP : 300MG,637,RC,00591-31-5901,NDC,,both,1,each,2.13,2.13,0.49,2.13,2.13,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,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,1.68,percent of total billed charges,1.68,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 ,1.68,percent of total billed charges ,1.68,percent of total billed charges ,1.81,percent of total billed charges ,1.81,percent of total billed charges ,1.7,percent of total billed charges ,1.7,percent of total billed charges ,1.49,percent of total billed charges ,1.49,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 ,,,,,1.13,percent of total billed charges ,,,,,1.08,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,
BuPROPion SR(WELLBUTRIN SR) TAB : 150MG,637,RC,60687-03-1211,NDC,,both,1,each,2.36,2.36,0.54,2.36,2.36,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,2.36,percent of total billed charges,2.36,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,1.86,percent of total billed charges,1.86,percent of total billed charges,1.89,percent of total billed charges,1.89,percent of total billed charges,,,1.7,percent of total billed charges ,,,1.89,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 ,1.89,percent of total billed charges ,1.89,percent of total billed charges ,1.65,percent of total billed charges ,1.65,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 ,,,,,1.19,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,
**OLANZAPINE (ZEPREXA) 7.5MG DO NOT USE,259,RC,00002-41-1660,NDC,,both,1,each,30,30,6.9,30,30,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,23.7,percent of total billed charges,23.7,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 ,23.7,percent of total billed charges ,23.7,percent of total billed charges ,25.5,percent of total billed charges ,25.5,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 ,,,,,,,,,,,,,,,,,,,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,
**ZINC 200 MG DO NOT USE,Local ,Local ,,,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**NIANAMIDE TAB 500 MG DO NOT USE,259,RC,00536-40-6901,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
VALACYCLOVIR (VALTREX) TAB : 500MG,637,RC,00173-09-3308,NDC,,both,1,each,19,19,4.37,19,19,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,15.01,percent of total billed charges,15.01,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 ,15.01,percent of total billed charges ,15.01,percent of total billed charges ,16.15,percent of total billed charges ,16.15,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,4.37,percent of total billed charges,,,4.37,percent of total billed charges,,,4.37,percent of total billed charges,
**ATIVAN TABS:1MG HOSPICE (WYETH),637,RC,00008-00-6402,NDC,,both,1,each,12,12,2.76,12,12,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,9.48,percent of total billed charges,9.48,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 ,9.48,percent of total billed charges ,9.48,percent of total billed charges ,10.2,percent of total billed charges ,10.2,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 ,,,,,,,,,,,,,,,,,,,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,
**ISOSORBIDE(IMDUR)CR TAB 120MG DO NOT U,637,RC,59930-15-8701,NDC,,both,1,each,13,13,2.99,13,13,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,10.27,percent of total billed charges,10.27,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 ,10.27,percent of total billed charges ,10.27,percent of total billed charges ,11.05,percent of total billed charges ,11.05,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 ,,,,,,,,,,,,,,,,,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,
ISOSORBIDE (IMDUR) CR TAB : 30 MG,637,RC,50742-01-7501,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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,
**DAPSONE TAB 25MG DO NOT USE,259,RC,49938-01-0201,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**KETOPROFEN (ORUVIL) CAP DO NOT USE,259,RC,00008-06-9001,NDC,,both,1,each,18,18,4.14,18,18,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,14.22,percent of total billed charges,14.22,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 ,14.22,percent of total billed charges ,14.22,percent of total billed charges ,15.3,percent of total billed charges ,15.3,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 ,,,,,,,,,,,,,,,,,,,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,,,4.14,percent of total billed charges,,,4.14,percent of total billed charges,,,4.14,percent of total billed charges,
MAGNESIUM  CITRATE LIQ : 300ML BTL,637,RC,00904-67-8744,NDC,,both,1,each,26,26,5.98,26,26,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,20.54,percent of total billed charges,20.54,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 ,20.54,percent of total billed charges ,20.54,percent of total billed charges ,22.1,percent of total billed charges ,22.1,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 ,,,,,,,,,,,,,,,,,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,
**RIFAMPIN 300 MG DO NOT USE,Local ,Local ,,,,both,,,16,16,3.68,16,16,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,12.64,percent of total billed charges,12.64,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 ,12.64,percent of total billed charges ,12.64,percent of total billed charges ,13.6,percent of total billed charges ,13.6,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 ,,,,,,,,,,,,,,,,,,,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,,,3.68,percent of total billed charges,,,3.68,percent of total billed charges,,,3.68,percent of total billed charges,
HYDROXYCHLOROQUINE (PLAQUENIL)TAB: 200MG,637,RC,00093-97-7401,NDC,,both,1,each,12,12,2.76,12,12,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,9.48,percent of total billed charges,9.48,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 ,9.48,percent of total billed charges ,9.48,percent of total billed charges ,10.2,percent of total billed charges ,10.2,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 ,,,,,,,,,,,,,,,,,,,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,
METHOTREXATE TAB : 2.5 MG,J8610,CDM,,,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
CLOZAPINE (CLOZARIL) TAB : 25 MG,637,RC,00078-01-2606,NDC,,both,1,each,12,12,2.76,12,12,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,9.48,percent of total billed charges,9.48,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 ,9.48,percent of total billed charges ,9.48,percent of total billed charges ,10.2,percent of total billed charges ,10.2,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 ,,,,,,,,,,,,,,,,,,,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,
BuPROPion SR(WELLBUTRIN SR) TAB: 100MG,637,RC,68084-06-9701,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
**ZIAC 10 MG DO NOT USE,259,RC,51285-00-4901,NDC,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
NORMAL SALINE  100ML:,258,RC,00338-00-4918,NDC,,both,1,each,46.66,46.66,10.73,46.66,46.66,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,36.86,percent of total billed charges,36.86,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 ,36.86,percent of total billed charges ,36.86,percent of total billed charges ,39.66,percent of total billed charges ,39.66,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 ,,,,,,,,,,,,,,,,,,,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,
NORMAL  SALINE 0.9% : 250ML,J7050,CDM,,,,both,1,each,17.59,17.59,4.05,17.59,17.59,percent of total billed charges,17.59,percent of total billed charges,17.59,percent of total billed charges,17.59,percent of total billed charges,17.59,percent of total billed charges,17.59,percent of total billed charges,17.59,percent of total billed charges,17.59,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,13.9,percent of total billed charges,13.9,percent of total billed charges,14.07,percent of total billed charges,14.07,percent of total billed charges,,,12.66,percent of total billed charges ,,,14.07,percent of total billed charges ,13.9,percent of total billed charges ,13.9,percent of total billed charges ,14.95,percent of total billed charges ,14.95,percent of total billed charges ,14.07,percent of total billed charges ,14.07,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 ,,,,,9.36,percent of total billed charges ,,,,,8.89,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,,,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,
DEXTROSE 5% NACL 0.3% : 1000ML*,J7042,CDM,,,,both,,,57,57,13.11,57,57,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,45.03,percent of total billed charges,45.03,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 ,45.03,percent of total billed charges ,45.03,percent of total billed charges ,48.45,percent of total billed charges ,48.45,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 ,,,,,,,,,,,,,,,,,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,
DEXTROSE 5% NACL .9% 1000 ML:,J7042,CDM,,,,both,,,52,52,11.96,52,52,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,41.08,percent of total billed charges,41.08,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 ,41.08,percent of total billed charges ,41.08,percent of total billed charges ,44.2,percent of total billed charges ,44.2,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 ,,,,,,,,,,,,,,,,,,,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,
NORMAL SALINE  50ML:,258,RC,63323-06-2361,NDC,,both,1,each,46.22,46.22,10.63,46.22,46.22,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,46.22,percent of total billed charges,46.22,percent of total billed charges,33.28,percent of total billed charges,33.28,percent of total billed charges,33.28,percent of total billed charges,33.28,percent of total billed charges,33.28,percent of total billed charges,33.28,percent of total billed charges,36.51,percent of total billed charges,36.51,percent of total billed charges,36.98,percent of total billed charges,36.98,percent of total billed charges,,,33.28,percent of total billed charges ,,,36.98,percent of total billed charges ,36.51,percent of total billed charges ,36.51,percent of total billed charges ,39.29,percent of total billed charges ,39.29,percent of total billed charges ,36.98,percent of total billed charges ,36.98,percent of total billed charges ,32.35,percent of total billed charges ,32.35,percent of total billed charges ,27.73,percent of total billed charges ,27.73,percent of total billed charges ,27.73,percent of total billed charges ,27.73,percent of total billed charges ,,,,,24.59,percent of total billed charges ,,,,,23.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.63,percent of total billed charges,,,10.63,percent of total billed charges,,,10.63,percent of total billed charges,,,10.63,percent of total billed charges,,,10.63,percent of total billed charges,,,10.63,percent of total billed charges,,,10.63,percent of total billed charges,,,10.63,percent of total billed charges,,,10.63,percent of total billed charges,,,10.63,percent of total billed charges,,,10.63,percent of total billed charges,
DEXTROSE 5% 500 ML:,J7060,CDM,,,,both,,,43,43,9.89,43,43,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,33.97,percent of total billed charges,33.97,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 ,33.97,percent of total billed charges ,33.97,percent of total billed charges ,36.55,percent of total billed charges ,36.55,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 ,,,,,,,,,,,,,,,,,,,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,
DEXTROSE INJ 5% 50ML,258,RC,99999-99-9999,NDC,,both,,,46,46,10.58,46,46,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,36.34,percent of total billed charges,36.34,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 ,36.34,percent of total billed charges ,36.34,percent of total billed charges ,39.1,percent of total billed charges ,39.1,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,10.58,percent of total billed charges,,,10.58,percent of total billed charges,,,10.58,percent of total billed charges,
NORMAL SALINE 250ML,258,RC,99999-99-9999,NDC,,both,,,57,57,13.11,57,57,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,45.03,percent of total billed charges,45.03,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 ,45.03,percent of total billed charges ,45.03,percent of total billed charges ,48.45,percent of total billed charges ,48.45,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 ,,,,,,,,,,,,,,,,,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,
DEXTROSE 5% NACL .45 1000 ML:,J7042,CDM,,,,both,,,46,46,10.58,46,46,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,36.34,percent of total billed charges,36.34,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 ,36.34,percent of total billed charges ,36.34,percent of total billed charges ,39.1,percent of total billed charges ,39.1,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,10.58,percent of total billed charges,,,10.58,percent of total billed charges,,,10.58,percent of total billed charges,
DEXTROSE 5% 250 ML:,J7060,CDM,,,,both,1,each,57,57,13.11,57,57,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,45.03,percent of total billed charges,45.03,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 ,45.03,percent of total billed charges ,45.03,percent of total billed charges ,48.45,percent of total billed charges ,48.45,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 ,,,,,,,,,,,,,,,,,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,
DEXTROSE 5% 100 ML: BAG,258,RC,00264-15-1032,NDC,,both,,,52,52,11.96,52,52,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,41.08,percent of total billed charges,41.08,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 ,41.08,percent of total billed charges ,41.08,percent of total billed charges ,44.2,percent of total billed charges ,44.2,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 ,,,,,,,,,,,,,,,,,,,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,
SOD CHLORIDE 0.45% : 1000ML,J7030,CDM,,,,both,1,each,48,48,11.04,48,48,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,37.92,percent of total billed charges,37.92,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 ,37.92,percent of total billed charges ,37.92,percent of total billed charges ,40.8,percent of total billed charges ,40.8,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 ,,,,,,,,,,,,,,,,,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,
MONTELUKAST (SINGULAIR) TAB : 10 MG,637,RC,68084-08-7511,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
FLUoxetine(PROzac) CAP : 10 MG,637,RC,00904-57-8461,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
CLOPIDOGREL (PLAVIX) TAB : 75 MG,637,RC,68084-05-3611,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
**ROFECOXIB(VIOXX)TAB 25MG DO NOT USE,250,RC,00006-01-1068,NDC,,both,1,each,17,17,3.91,17,17,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,13.43,percent of total billed charges,13.43,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 ,13.43,percent of total billed charges ,13.43,percent of total billed charges ,14.45,percent of total billed charges ,14.45,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 ,,,,,,,,,,,,,,,,,,,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,
**ORAL CONTRACEPTIVE TAB 21 TAB DO NOT U,250,RC,00008-00-5601,NDC,,both,1,each,277,277,63.71,277,277,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,218.83,percent of total billed charges,218.83,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 ,218.83,percent of total billed charges ,218.83,percent of total billed charges ,235.45,percent of total billed charges ,235.45,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 ,,,,,,,,,,,,,,,,,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,
SERTRALINE (ZOLOFT) TAB : 100MG,637,RC,59762-49-1003,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
DILTIAZEM CD CAP : 240MG,637,RC,24979-00-2807,NDC,,both,1,each,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**SINUTAB SINUS DO NOT USE,Local ,Local ,,,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**MYCOLOG II 30GM DO NOT USE,Local ,Local ,,,,both,,,21,21,4.83,21,21,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,16.59,percent of total billed charges,16.59,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 ,16.59,percent of total billed charges ,16.59,percent of total billed charges ,17.85,percent of total billed charges ,17.85,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 ,,,,,,,,,,,,,,,,,,,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,
ACYCLOVIR (ZOVIRAX) TAB : 800 MG,637,RC,00173-09-4555,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**OCUPRESS 1% OPTH SOL DO NOT USE,259,RC,54569-43-0500,NDC,,both,,,227,227,52.21,227,227,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,179.33,percent of total billed charges,179.33,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 ,179.33,percent of total billed charges ,179.33,percent of total billed charges ,192.95,percent of total billed charges ,192.95,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 ,,,,,,,,,,,,,,,,,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,
**MAALOX PLUS SUPS:148ML BULK DO NOT USE,259,RC,00067-03-3379,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**SUDAFED SEVERE COLD DO NOT USE,Local ,Local ,,,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
DILTIAZEM CD CAP : 120MG,637,RC,24979-00-2607,NDC,,both,1,each,1.35,1.35,0.31,1.35,1.35,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,1.07,percent of total billed charges,1.07,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 ,1.07,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 ,1.08,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 ,,,,,,,,,,,,,,,,,,,0.31,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,
**THIORIDAZINE HCL 100 DO NOT USE,Local ,Local ,,,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
MAALOX SUSP : 30ML UD*,637,RC,00121-17-6130,NDC,,both,30,each,6,6,1.38,6,6,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,4.74,percent of total billed charges,4.74,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 ,4.74,percent of total billed charges ,4.74,percent of total billed charges ,5.1,percent of total billed charges ,5.1,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 ,,,,,,,,,,,,,,,,,,,1.38,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,
**RISPERIDONE 2MG TAB DO NOT SUE,Local ,Local ,,,,both,,,21,21,4.83,21,21,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,16.59,percent of total billed charges,16.59,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 ,16.59,percent of total billed charges ,16.59,percent of total billed charges ,17.85,percent of total billed charges ,17.85,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 ,,,,,,,,,,,,,,,,,,,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,
CELECOXIB (CELEBREX) CAP : 100 MG,637,RC,00025-15-2031,NDC,,both,1,each,12,12,2.76,12,12,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,9.48,percent of total billed charges,9.48,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 ,9.48,percent of total billed charges ,9.48,percent of total billed charges ,10.2,percent of total billed charges ,10.2,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 ,,,,,,,,,,,,,,,,,,,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,
LANSOPRAZOLE (PREVACID) CAP : 30 MG,637,RC,60687-01-2311,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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,
LamoTRIgine(LaMICtal) TAB : 25 MG*,637,RC,00173-06-3302,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
LANSOPRAZOLE (PREVACID) CAP : 15 MG,637,RC,68001-01-1104,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
RAMIPRIL (ALTACE) CAP : 5MG,637,RC,57237-02-2401,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
DILTIAZEM CD CAP : 180MG,637,RC,60687-02-0611,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
RAMIPRIL (ALTACE) CAP : 2.5MG,637,RC,61570-01-1156,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
KETOROLAC (TORADOL) TAB : 10 MG,637,RC,35573-04-5002,NDC,,both,1,each,4.43,4.43,1.02,4.43,4.43,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,3.5,percent of total billed charges,3.5,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 ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3.77,percent of total billed charges ,3.77,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 ,,,,,,,,,,,,,,,,,,,1.02,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,
DILTIAZEM CD CAP : 300MG,637,RC,50742-02-5190,NDC,,both,1,each,5.23,5.23,1.2,5.23,5.23,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,4.13,percent of total billed charges,4.13,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 ,4.13,percent of total billed charges ,4.13,percent of total billed charges ,4.45,percent of total billed charges ,4.45,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 ,,,,,,,,,,,,,,,,,,,1.2,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,,,1.2,percent of total billed charges,,,1.2,percent of total billed charges,,,1.2,percent of total billed charges,
ISOSORBIDE MONONITRATE (ISMO) TAB : 20MG,637,RC,00228-26-2011,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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) INJ : 25MG/ML,J2175,CDM,,,,both,,,24.3,24.3,5.59,24.3,24.3,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,17.5,percent of total billed charges,17.5,percent of total billed charges,17.5,percent of total billed charges,17.5,percent of total billed charges,17.5,percent of total billed charges,17.5,percent of total billed charges,19.2,percent of total billed charges,19.2,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,,,17.5,percent of total billed charges ,,,19.44,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,20.66,percent of total billed charges ,20.66,percent of total billed charges ,19.44,percent of total billed charges ,19.44,percent of total billed charges ,17.01,percent of total billed charges ,17.01,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 ,,,,,12.93,percent of total billed charges ,,,,,12.28,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,
MEPERIDINE (DEMEROL) INJ : 50MG/ML,J2175,CDM,,,,both,1,each,24.84,24.84,5.71,24.84,24.84,percent of total billed charges,24.84,percent of total billed charges,24.84,percent of total billed charges,24.84,percent of total billed charges,24.84,percent of total billed charges,24.84,percent of total billed charges,24.84,percent of total billed charges,24.84,percent of total billed charges,17.88,percent of total billed charges,17.88,percent of total billed charges,17.88,percent of total billed charges,17.88,percent of total billed charges,17.88,percent of total billed charges,17.88,percent of total billed charges,19.62,percent of total billed charges,19.62,percent of total billed charges,19.87,percent of total billed charges,19.87,percent of total billed charges,,,17.88,percent of total billed charges ,,,19.87,percent of total billed charges ,19.62,percent of total billed charges ,19.62,percent of total billed charges ,21.11,percent of total billed charges ,21.11,percent of total billed charges ,19.87,percent of total billed charges ,19.87,percent of total billed charges ,17.39,percent of total billed charges ,17.39,percent of total billed charges ,14.9,percent of total billed charges ,14.9,percent of total billed charges ,14.9,percent of total billed charges ,14.9,percent of total billed charges ,,,,,13.21,percent of total billed charges ,,,,,12.55,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,,,5.71,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,
**ZANTAC.INJ 25 MG DO NOT USE,J2780,CDM,,,,both,1,each,81,81,18.63,81,81,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,63.99,percent of total billed charges,63.99,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 ,63.99,percent of total billed charges ,63.99,percent of total billed charges ,68.85,percent of total billed charges ,68.85,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 ,,,,,,,,,,,,,,,,,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,
MEPERIDINE (DEMEROL) INJ : 100MG/ML,J2175,CDM,,,,both,1,each,25.75,25.75,5.92,25.75,25.75,percent of total billed charges,25.75,percent of total billed charges,25.75,percent of total billed charges,25.75,percent of total billed charges,25.75,percent of total billed charges,25.75,percent of total billed charges,25.75,percent of total billed charges,25.75,percent of total billed charges,18.54,percent of total billed charges,18.54,percent of total billed charges,18.54,percent of total billed charges,18.54,percent of total billed charges,18.54,percent of total billed charges,18.54,percent of total billed charges,20.34,percent of total billed charges,20.34,percent of total billed charges,20.6,percent of total billed charges,20.6,percent of total billed charges,,,18.54,percent of total billed charges ,,,20.6,percent of total billed charges ,20.34,percent of total billed charges ,20.34,percent of total billed charges ,21.89,percent of total billed charges ,21.89,percent of total billed charges ,20.6,percent of total billed charges ,20.6,percent of total billed charges ,18.03,percent of total billed charges ,18.03,percent of total billed charges ,15.45,percent of total billed charges ,15.45,percent of total billed charges ,15.45,percent of total billed charges ,15.45,percent of total billed charges ,,,,,13.7,percent of total billed charges ,,,,,13.01,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,,,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,
MEPERIDINE PCA INJ : 10 MG/ML 30 ML,J2175,CDM,,,,both,1,each,120.05,120.05,27.61,120.05,120.05,percent of total billed charges,120.05,percent of total billed charges,120.05,percent of total billed charges,120.05,percent of total billed charges,120.05,percent of total billed charges,120.05,percent of total billed charges,120.05,percent of total billed charges,120.05,percent of total billed charges,86.44,percent of total billed charges,86.44,percent of total billed charges,86.44,percent of total billed charges,86.44,percent of total billed charges,86.44,percent of total billed charges,86.44,percent of total billed charges,94.84,percent of total billed charges,94.84,percent of total billed charges,96.04,percent of total billed charges,96.04,percent of total billed charges,,,86.44,percent of total billed charges ,,,96.04,percent of total billed charges ,94.84,percent of total billed charges ,94.84,percent of total billed charges ,102.04,percent of total billed charges ,102.04,percent of total billed charges ,96.04,percent of total billed charges ,96.04,percent of total billed charges ,84.04,percent of total billed charges ,84.04,percent of total billed charges ,72.03,percent of total billed charges ,72.03,percent of total billed charges ,72.03,percent of total billed charges ,72.03,percent of total billed charges ,,,,,63.87,percent of total billed charges ,,,,,60.67,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,,,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,,,27.61,percent of total billed charges,,,27.61,percent of total billed charges,,,27.61,percent of total billed charges,
MORPHINE SULFATE INJ : 4 MG/ML,J2270,CDM,,,,both,1,each,57.28,57.28,13.17,57.28,57.28,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,45.25,percent of total billed charges,45.25,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 ,45.25,percent of total billed charges ,45.25,percent of total billed charges ,48.69,percent of total billed charges ,48.69,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 ,,,,,,,,,,,,,,,,,,,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,
MORPHINE SULFATE INJ : 8 MG/ML,J2270,CDM,,,,both,1,each,54,54,12.42,54,54,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,42.66,percent of total billed charges,42.66,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 ,42.66,percent of total billed charges ,42.66,percent of total billed charges ,45.9,percent of total billed charges ,45.9,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 ,,,,,,,,,,,,,,,,,,,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,,,12.42,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,
MORPHINE SULFATE CARP : 10 MG/ML*,J2270,CDM,,,,both,1,each,54,54,12.42,54,54,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,42.66,percent of total billed charges,42.66,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 ,42.66,percent of total billed charges ,42.66,percent of total billed charges ,45.9,percent of total billed charges ,45.9,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 ,,,,,,,,,,,,,,,,,,,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,,,12.42,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,
MORPHINE SULFATE VIAL 15MG INJ : 15MG/ML,J2270,CDM,,,,both,1,each,16.43,16.43,3.78,16.43,16.43,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,11.83,percent of total billed charges,11.83,percent of total billed charges,11.83,percent of total billed charges,11.83,percent of total billed charges,11.83,percent of total billed charges,11.83,percent of total billed charges,12.98,percent of total billed charges,12.98,percent of total billed charges,13.14,percent of total billed charges,13.14,percent of total billed charges,,,11.83,percent of total billed charges ,,,13.14,percent of total billed charges ,12.98,percent of total billed charges ,12.98,percent of total billed charges ,13.97,percent of total billed charges ,13.97,percent of total billed charges ,13.14,percent of total billed charges ,13.14,percent of total billed charges ,11.5,percent of total billed charges ,11.5,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 ,,,,,8.74,percent of total billed charges ,,,,,8.3,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,,,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,
MORPHINE PCA INJ : 5MG/ML 30ML,J2270,CDM,,,,both,1,each,166.97,166.97,38.4,166.97,166.97,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,120.22,percent of total billed charges,120.22,percent of total billed charges,120.22,percent of total billed charges,120.22,percent of total billed charges,120.22,percent of total billed charges,120.22,percent of total billed charges,131.91,percent of total billed charges,131.91,percent of total billed charges,133.58,percent of total billed charges,133.58,percent of total billed charges,,,120.22,percent of total billed charges ,,,133.58,percent of total billed charges ,131.91,percent of total billed charges ,131.91,percent of total billed charges ,141.92,percent of total billed charges ,141.92,percent of total billed charges ,133.58,percent of total billed charges ,133.58,percent of total billed charges ,116.88,percent of total billed charges ,116.88,percent of total billed charges ,100.18,percent of total billed charges ,100.18,percent of total billed charges ,100.18,percent of total billed charges ,100.18,percent of total billed charges ,,,,,88.83,percent of total billed charges ,,,,,84.39,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,,,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,,,38.4,percent of total billed charges,,,38.4,percent of total billed charges,,,38.4,percent of total billed charges,
AZITHROMYCIN (ZITHROMAX) INJ : 500MG,J0456,CDM,,,,both,1,each,34.04,34.04,7.83,34.04,34.04,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,34.04,percent of total billed charges,34.04,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,26.89,percent of total billed charges,26.89,percent of total billed charges,27.23,percent of total billed charges,27.23,percent of total billed charges,,,24.51,percent of total billed charges ,,,27.23,percent of total billed charges ,26.89,percent of total billed charges ,26.89,percent of total billed charges ,28.93,percent of total billed charges ,28.93,percent of total billed charges ,27.23,percent of total billed charges ,27.23,percent of total billed charges ,23.83,percent of total billed charges ,23.83,percent of total billed charges ,20.42,percent of total billed charges ,20.42,percent of total billed charges ,20.42,percent of total billed charges ,20.42,percent of total billed charges ,,,,,18.11,percent of total billed charges ,,,,,17.2,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,,,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,
**SECOBARBITAL SOD 50M DO NOT USE,Local ,Local ,,,,both,,,58,58,13.34,58,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,45.82,percent of total billed charges,45.82,percent of total billed charges,46.4,percent of total billed charges,46.4,percent of total billed charges,,,41.76,percent of total billed charges ,,,46.4,percent of total billed charges ,45.82,percent of total billed charges ,45.82,percent of total billed charges ,49.3,percent of total billed charges ,49.3,percent of total billed charges ,46.4,percent of total billed charges ,46.4,percent of total billed charges ,40.6,percent of total billed charges ,40.6,percent of total billed charges ,34.8,percent of total billed charges ,34.8,percent of total billed charges ,34.8,percent of total billed charges ,34.8,percent of total billed charges ,,,,,30.86,percent of total billed charges ,,,,,29.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,
ADENOSINE INJ: 3MG/ML 2ML,J0153,CDM,,,,both,1,each,30.07,30.07,6.92,30.07,30.07,percent of total billed charges,30.07,percent of total billed charges,30.07,percent of total billed charges,30.07,percent of total billed charges,30.07,percent of total billed charges,30.07,percent of total billed charges,30.07,percent of total billed charges,30.07,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,21.65,percent of total billed charges,21.65,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,24.06,percent of total billed charges,24.06,percent of total billed charges,,,21.65,percent of total billed charges ,,,24.06,percent of total billed charges ,23.76,percent of total billed charges ,23.76,percent of total billed charges ,25.56,percent of total billed charges ,25.56,percent of total billed charges ,24.06,percent of total billed charges ,24.06,percent of total billed charges ,21.05,percent of total billed charges ,21.05,percent of total billed charges ,18.04,percent of total billed charges ,18.04,percent of total billed charges ,18.04,percent of total billed charges ,18.04,percent of total billed charges ,,,,,16,percent of total billed charges ,,,,,15.2,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,
FentaNYL INJ : 100MCG/2ML,J3010,CDM,,,,both,1,each,56.02,56.02,12.88,56.02,56.02,percent of total billed charges,56.02,percent of total billed charges,56.02,percent of total billed charges,56.02,percent of total billed charges,56.02,percent of total billed charges,56.02,percent of total billed charges,56.02,percent of total billed charges,56.02,percent of total billed charges,40.33,percent of total billed charges,40.33,percent of total billed charges,40.33,percent of total billed charges,40.33,percent of total billed charges,40.33,percent of total billed charges,40.33,percent of total billed charges,44.26,percent of total billed charges,44.26,percent of total billed charges,44.82,percent of total billed charges,44.82,percent of total billed charges,,,40.33,percent of total billed charges ,,,44.82,percent of total billed charges ,44.26,percent of total billed charges ,44.26,percent of total billed charges ,47.62,percent of total billed charges ,47.62,percent of total billed charges ,44.82,percent of total billed charges ,44.82,percent of total billed charges ,39.21,percent of total billed charges ,39.21,percent of total billed charges ,33.61,percent of total billed charges ,33.61,percent of total billed charges ,33.61,percent of total billed charges ,33.61,percent of total billed charges ,,,,,29.8,percent of total billed charges ,,,,,28.31,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,
SUFENTANIL (SUFENTA) INJ : 50 MCG/1ML,250,RC,00074-33-8031,NDC,,both,1,each,68,68,15.64,68,68,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,53.72,percent of total billed charges,53.72,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 ,53.72,percent of total billed charges ,53.72,percent of total billed charges ,57.8,percent of total billed charges ,57.8,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 ,,,,,,,,,,,,,,,,,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,
SUFentanil INJ : 250MCG/5ML,250,RC,00409-33-8221,NDC,,both,1,each,127,127,29.21,127,127,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,100.33,percent of total billed charges,100.33,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 ,100.33,percent of total billed charges ,100.33,percent of total billed charges ,107.95,percent of total billed charges ,107.95,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 ,,,,,,,,,,,,,,,,,,,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,
**MORPHINE PF 2MG/2ML(ASTRAMORPH)*,J2275,CDM,,,,both,1,each,128,128,29.44,128,128,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,101.12,percent of total billed charges,101.12,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 ,101.12,percent of total billed charges ,101.12,percent of total billed charges ,108.8,percent of total billed charges ,108.8,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
FentaNYL INJ : 50MCG/ML  50ML,J3010,CDM,,,,both,1,each,125,125,28.75,125,125,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,98.75,percent of total billed charges,98.75,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 ,98.75,percent of total billed charges ,98.75,percent of total billed charges ,106.25,percent of total billed charges ,106.25,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 ,,,,,,,,,,,,,,,,,,,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,,,28.75,percent of total billed charges,,,28.75,percent of total billed charges,,,28.75,percent of total billed charges,
**MORPHINE SOLN LIQ 10 MG DO NOT USE,250,RC,00054-37-8549,NDC,,both,1,each,45,45,10.35,45,45,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,35.55,percent of total billed charges,35.55,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 ,35.55,percent of total billed charges ,35.55,percent of total billed charges ,38.25,percent of total billed charges ,38.25,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 ,,,,,,,,,,,,,,,,,,,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,
HYDROmorphone (DILAUDID) INJ : 2 MG/ML,J1170,CDM,,,,both,1,each,43.68,43.68,10.05,43.68,43.68,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,31.45,percent of total billed charges,31.45,percent of total billed charges,31.45,percent of total billed charges,31.45,percent of total billed charges,31.45,percent of total billed charges,31.45,percent of total billed charges,34.51,percent of total billed charges,34.51,percent of total billed charges,34.94,percent of total billed charges,34.94,percent of total billed charges,,,31.45,percent of total billed charges ,,,34.94,percent of total billed charges ,34.51,percent of total billed charges ,34.51,percent of total billed charges ,37.13,percent of total billed charges ,37.13,percent of total billed charges ,34.94,percent of total billed charges ,34.94,percent of total billed charges ,30.58,percent of total billed charges ,30.58,percent of total billed charges ,26.21,percent of total billed charges ,26.21,percent of total billed charges ,26.21,percent of total billed charges ,26.21,percent of total billed charges ,,,,,23.24,percent of total billed charges ,,,,,22.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.05,percent of total billed charges,,,10.05,percent of total billed charges,,,10.05,percent of total billed charges,,,10.05,percent of total billed charges,,,10.05,percent of total billed charges,,,10.05,percent of total billed charges,,,10.05,percent of total billed charges,,,10.05,percent of total billed charges,,,10.05,percent of total billed charges,,,10.05,percent of total billed charges,,,10.05,percent of total billed charges,
DOPamine (INTROPIN) INJ : 400 MG/5ML,J1265,CDM,,,,both,1,each,124,124,28.52,124,124,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,97.96,percent of total billed charges,97.96,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 ,97.96,percent of total billed charges ,97.96,percent of total billed charges ,105.4,percent of total billed charges ,105.4,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 ,,,,,,,,,,,,,,,,,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,
**DEXRAZOXANE (ZINECARD) DO NOT USE,250,RC,00013-87-1562,NDC,,both,1,each,"1,689.00","1,689.00",388.47,"1,689.00","1,689.00",percent of total billed charges,"1,689.00",percent of total billed charges,"1,689.00",percent of total billed charges,"1,689.00",percent of total billed charges,"1,689.00",percent of total billed charges,"1,689.00",percent of total billed charges,"1,689.00",percent of total billed charges,"1,689.00",percent of total billed charges,"1,216.08",percent of total billed charges,"1,216.08",percent of total billed charges,"1,216.08",percent of total billed charges,"1,216.08",percent of total billed charges,"1,216.08",percent of total billed charges,"1,216.08",percent of total billed charges,"1,334.31",percent of total billed charges,"1,334.31",percent of total billed charges,"1,351.20",percent of total billed charges,"1,351.20",percent of total billed charges,,,"1,216.08",percent of total billed charges ,,,"1,351.20",percent of total billed charges ,"1,334.31",percent of total billed charges ,"1,334.31",percent of total billed charges ,"1,435.65",percent of total billed charges ,"1,435.65",percent of total billed charges ,"1,351.20",percent of total billed charges ,"1,351.20",percent of total billed charges ,"1,182.30",percent of total billed charges ,"1,182.30",percent of total billed charges ,"1,013.40",percent of total billed charges ,"1,013.40",percent of total billed charges ,"1,013.40",percent of total billed charges ,"1,013.40",percent of total billed charges ,,,,,898.55,percent of total billed charges ,,,,,853.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,388.47,percent of total billed charges,,,388.47,percent of total billed charges,,,388.47,percent of total billed charges,,,388.47,percent of total billed charges,,,388.47,percent of total billed charges,,,388.47,percent of total billed charges,,,388.47,percent of total billed charges,,,388.47,percent of total billed charges,,,388.47,percent of total billed charges,,,388.47,percent of total billed charges,,,388.47,percent of total billed charges,
FLUMAzenil (ROMAZICON) INJ : 0.5MG/5ML,J3490,CDM,,,,both,1,each,38.87,38.87,8.94,38.87,38.87,percent of total billed charges,38.87,percent of total billed charges,38.87,percent of total billed charges,38.87,percent of total billed charges,38.87,percent of total billed charges,38.87,percent of total billed charges,38.87,percent of total billed charges,38.87,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,30.71,percent of total billed charges,30.71,percent of total billed charges,31.1,percent of total billed charges,31.1,percent of total billed charges,,,27.99,percent of total billed charges ,,,31.1,percent of total billed charges ,30.71,percent of total billed charges ,30.71,percent of total billed charges ,33.04,percent of total billed charges ,33.04,percent of total billed charges ,31.1,percent of total billed charges ,31.1,percent of total billed charges ,27.21,percent of total billed charges ,27.21,percent of total billed charges ,23.32,percent of total billed charges ,23.32,percent of total billed charges ,23.32,percent of total billed charges ,23.32,percent of total billed charges ,,,,,20.68,percent of total billed charges ,,,,,19.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.94,percent of total billed charges,,,8.94,percent of total billed charges,,,8.94,percent of total billed charges,,,8.94,percent of total billed charges,,,8.94,percent of total billed charges,,,8.94,percent of total billed charges,,,8.94,percent of total billed charges,,,8.94,percent of total billed charges,,,8.94,percent of total billed charges,,,8.94,percent of total billed charges,,,8.94,percent of total billed charges,
droPERidol (INAPSINE) INJ : 5MG/2ML,J1790,CDM,,,,both,1,each,26,26,5.98,26,26,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,20.54,percent of total billed charges,20.54,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 ,20.54,percent of total billed charges ,20.54,percent of total billed charges ,22.1,percent of total billed charges ,22.1,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 ,,,,,,,,,,,,,,,,,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,
**DROPERIDOL (INAPSINE) INJ : 2.5MG/1ML,J1790,CDM,,,,both,1,each,23,23,5.29,23,23,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,18.17,percent of total billed charges,18.17,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 ,18.17,percent of total billed charges ,18.17,percent of total billed charges ,19.55,percent of total billed charges ,19.55,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 ,,,,,,,,,,,,,,,,,,,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,
DEXTROSE 5%  50 ML: BAG,258,RC,00990-79-2313,NDC,,both,1,each,28.88,28.88,6.64,28.88,28.88,percent of total billed charges,28.88,percent of total billed charges,28.88,percent of total billed charges,28.88,percent of total billed charges,28.88,percent of total billed charges,28.88,percent of total billed charges,28.88,percent of total billed charges,28.88,percent of total billed charges,20.79,percent of total billed charges,20.79,percent of total billed charges,20.79,percent of total billed charges,20.79,percent of total billed charges,20.79,percent of total billed charges,20.79,percent of total billed charges,22.82,percent of total billed charges,22.82,percent of total billed charges,23.1,percent of total billed charges,23.1,percent of total billed charges,,,20.79,percent of total billed charges ,,,23.1,percent of total billed charges ,22.82,percent of total billed charges ,22.82,percent of total billed charges ,24.55,percent of total billed charges ,24.55,percent of total billed charges ,23.1,percent of total billed charges ,23.1,percent of total billed charges ,20.22,percent of total billed charges ,20.22,percent of total billed charges ,17.33,percent of total billed charges ,17.33,percent of total billed charges ,17.33,percent of total billed charges ,17.33,percent of total billed charges ,,,,,15.36,percent of total billed charges ,,,,,14.6,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,,,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,,,6.64,percent of total billed charges,,,6.64,percent of total billed charges,,,6.64,percent of total billed charges,
WATER FOR INJ : 1000ML,258,RC,63323-01-7876,NDC,,both,1,each,77,77,17.71,77,77,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,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,60.83,percent of total billed charges,60.83,percent of total billed charges,61.6,percent of total billed charges,61.6,percent of total billed charges,,,55.44,percent of total billed charges ,,,61.6,percent of total billed charges ,60.83,percent of total billed charges ,60.83,percent of total billed charges ,65.45,percent of total billed charges ,65.45,percent of total billed charges ,61.6,percent of total billed charges ,61.6,percent of total billed charges ,53.9,percent of total billed charges ,53.9,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 ,,,,,40.96,percent of total billed charges ,,,,,38.92,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,,,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,
NORMAL SALINE 50ML,258,RC,99999-99-9999,NDC,,both,,,46,46,10.58,46,46,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,36.34,percent of total billed charges,36.34,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 ,36.34,percent of total billed charges ,36.34,percent of total billed charges ,39.1,percent of total billed charges ,39.1,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,10.58,percent of total billed charges,,,10.58,percent of total billed charges,,,10.58,percent of total billed charges,
**ADENOSINE 90MG/30ML VIAL,J0153,CDM,,,,both,1,each,"1,249.99","1,249.99",287.5,"1,249.99","1,249.99",percent of total billed charges,"1,249.99",percent of total billed charges,"1,249.99",percent of total billed charges,"1,249.99",percent of total billed charges,"1,249.99",percent of total billed charges,"1,249.99",percent of total billed charges,"1,249.99",percent of total billed charges,"1,249.99",percent of total billed charges,899.99,percent of total billed charges,899.99,percent of total billed charges,899.99,percent of total billed charges,899.99,percent of total billed charges,899.99,percent of total billed charges,899.99,percent of total billed charges,987.49,percent of total billed charges,987.49,percent of total billed charges,999.99,percent of total billed charges,999.99,percent of total billed charges,,,899.99,percent of total billed charges ,,,999.99,percent of total billed charges ,987.49,percent of total billed charges ,987.49,percent of total billed charges ,"1,062.49",percent of total billed charges ,"1,062.49",percent of total billed charges ,999.99,percent of total billed charges ,999.99,percent of total billed charges ,874.99,percent of total billed charges ,874.99,percent of total billed charges ,749.99,percent of total billed charges ,749.99,percent of total billed charges ,749.99,percent of total billed charges ,749.99,percent of total billed charges ,,,,,664.99,percent of total billed charges ,,,,,631.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,287.5,percent of total billed charges,,,287.5,percent of total billed charges,,,287.5,percent of total billed charges,,,287.5,percent of total billed charges,,,287.5,percent of total billed charges,,,287.5,percent of total billed charges,,,287.5,percent of total billed charges,,,287.5,percent of total billed charges,,,287.5,percent of total billed charges,,,287.5,percent of total billed charges,,,287.5,percent of total billed charges,
NORMAL SALINE 100ML,258,RC,99999-99-9999,NDC,,both,,,46,46,10.58,46,46,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,36.34,percent of total billed charges,36.34,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 ,36.34,percent of total billed charges ,36.34,percent of total billed charges ,39.1,percent of total billed charges ,39.1,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,10.58,percent of total billed charges,,,10.58,percent of total billed charges,,,10.58,percent of total billed charges,
SODIUM CHLORIDE 0.9% PF INJ : 10ML,250,RC,00409-48-8812,NDC,,both,1,each,24.25,24.25,5.58,24.25,24.25,percent of total billed charges,24.25,percent of total billed charges,24.25,percent of total billed charges,24.25,percent of total billed charges,24.25,percent of total billed charges,24.25,percent of total billed charges,24.25,percent of total billed charges,24.25,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,19.16,percent of total billed charges,19.16,percent of total billed charges,19.4,percent of total billed charges,19.4,percent of total billed charges,,,17.46,percent of total billed charges ,,,19.4,percent of total billed charges ,19.16,percent of total billed charges ,19.16,percent of total billed charges ,20.61,percent of total billed charges ,20.61,percent of total billed charges ,19.4,percent of total billed charges ,19.4,percent of total billed charges ,16.98,percent of total billed charges ,16.98,percent of total billed charges ,14.55,percent of total billed charges ,14.55,percent of total billed charges ,14.55,percent of total billed charges ,14.55,percent of total billed charges ,,,,,12.9,percent of total billed charges ,,,,,12.26,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,,,5.58,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,
NORMAL  SALINE 0.9% : 500ML,258,RC,00338-95-4304,NDC,,both,1,each,60.45,60.45,13.9,60.45,60.45,percent of total billed charges,60.45,percent of total billed charges,60.45,percent of total billed charges,60.45,percent of total billed charges,60.45,percent of total billed charges,60.45,percent of total billed charges,60.45,percent of total billed charges,60.45,percent of total billed charges,43.52,percent of total billed charges,43.52,percent of total billed charges,43.52,percent of total billed charges,43.52,percent of total billed charges,43.52,percent of total billed charges,43.52,percent of total billed charges,47.76,percent of total billed charges,47.76,percent of total billed charges,48.36,percent of total billed charges,48.36,percent of total billed charges,,,43.52,percent of total billed charges ,,,48.36,percent of total billed charges ,47.76,percent of total billed charges ,47.76,percent of total billed charges ,51.38,percent of total billed charges ,51.38,percent of total billed charges ,48.36,percent of total billed charges ,48.36,percent of total billed charges ,42.32,percent of total billed charges ,42.32,percent of total billed charges ,36.27,percent of total billed charges ,36.27,percent of total billed charges ,36.27,percent of total billed charges ,36.27,percent of total billed charges ,,,,,32.16,percent of total billed charges ,,,,,30.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.9,percent of total billed charges,,,13.9,percent of total billed charges,,,13.9,percent of total billed charges,,,13.9,percent of total billed charges,,,13.9,percent of total billed charges,,,13.9,percent of total billed charges,,,13.9,percent of total billed charges,,,13.9,percent of total billed charges,,,13.9,percent of total billed charges,,,13.9,percent of total billed charges,,,13.9,percent of total billed charges,
DEXTROSE 5%/ LR : 1000ML,258,RC,00338-01-2504,NDC,,both,,,4.31,4.31,0.99,4.31,4.31,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,4.31,percent of total billed charges,4.31,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,3.4,percent of total billed charges,3.4,percent of total billed charges,3.45,percent of total billed charges,3.45,percent of total billed charges,,,3.1,percent of total billed charges ,,,3.45,percent of total billed charges ,3.4,percent of total billed charges ,3.4,percent of total billed charges ,3.66,percent of total billed charges ,3.66,percent of total billed charges ,3.45,percent of total billed charges ,3.45,percent of total billed charges ,3.02,percent of total billed charges ,3.02,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 ,,,,,2.29,percent of total billed charges ,,,,,2.18,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,
**NORMOSOL-M-DEXTROSE 1000ML DO NOT USE,258,RC,99999-99-9999,NDC,,both,,,54,54,12.42,54,54,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,42.66,percent of total billed charges,42.66,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 ,42.66,percent of total billed charges ,42.66,percent of total billed charges ,45.9,percent of total billed charges ,45.9,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 ,,,,,,,,,,,,,,,,,,,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,,,12.42,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,
DEXTROSE 5% 1000ML BAG,J7060,CDM,,,,both,,,56,56,12.88,56,56,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,44.24,percent of total billed charges,44.24,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 ,44.24,percent of total billed charges ,44.24,percent of total billed charges ,47.6,percent of total billed charges ,47.6,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 ,,,,,,,,,,,,,,,,,,,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,
**DEXTROSE INJ 5% 100M DO NOT USE,258,RC,00074-71-0067,NDC,,both,,,46,46,10.58,46,46,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,36.34,percent of total billed charges,36.34,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 ,36.34,percent of total billed charges ,36.34,percent of total billed charges ,39.1,percent of total billed charges ,39.1,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,10.58,percent of total billed charges,,,10.58,percent of total billed charges,,,10.58,percent of total billed charges,
DEXTROSE 10% INJ 500ML BAG,258,RC,00338-00-2303,NDC,,both,,,35.5,35.5,8.17,35.5,35.5,percent of total billed charges,35.5,percent of total billed charges,35.5,percent of total billed charges,35.5,percent of total billed charges,35.5,percent of total billed charges,35.5,percent of total billed charges,35.5,percent of total billed charges,35.5,percent of total billed charges,25.56,percent of total billed charges,25.56,percent of total billed charges,25.56,percent of total billed charges,25.56,percent of total billed charges,25.56,percent of total billed charges,25.56,percent of total billed charges,28.05,percent of total billed charges,28.05,percent of total billed charges,28.4,percent of total billed charges,28.4,percent of total billed charges,,,25.56,percent of total billed charges ,,,28.4,percent of total billed charges ,28.05,percent of total billed charges ,28.05,percent of total billed charges ,30.18,percent of total billed charges ,30.18,percent of total billed charges ,28.4,percent of total billed charges ,28.4,percent of total billed charges ,24.85,percent of total billed charges ,24.85,percent of total billed charges ,21.3,percent of total billed charges ,21.3,percent of total billed charges ,21.3,percent of total billed charges ,21.3,percent of total billed charges ,,,,,18.89,percent of total billed charges ,,,,,17.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.17,percent of total billed charges,,,8.17,percent of total billed charges,,,8.17,percent of total billed charges,,,8.17,percent of total billed charges,,,8.17,percent of total billed charges,,,8.17,percent of total billed charges,,,8.17,percent of total billed charges,,,8.17,percent of total billed charges,,,8.17,percent of total billed charges,,,8.17,percent of total billed charges,,,8.17,percent of total billed charges,
DEXTROSE 70% SOLN : 500ML,258,RC,00338-07-1906,NDC,,both,1,each,60,60,13.8,60,60,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,47.4,percent of total billed charges,47.4,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 ,47.4,percent of total billed charges ,47.4,percent of total billed charges ,51,percent of total billed charges ,51,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 ,,,,,,,,,,,,,,,,,,,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,,,13.8,percent of total billed charges,,,13.8,percent of total billed charges,,,13.8,percent of total billed charges,
LACTATED RINGERS INJ : 1000ML,J7120,CDM,,,,both,1,each,59,59,13.57,59,59,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,46.61,percent of total billed charges,46.61,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 ,46.61,percent of total billed charges ,46.61,percent of total billed charges ,50.15,percent of total billed charges ,50.15,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 ,,,,,,,,,,,,,,,,,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,
ATROPINE SULF SYRG : 1MG/10ML,J0461,CDM,,,,both,1,each,35.31,35.31,8.12,35.31,35.31,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,27.89,percent of total billed charges,27.89,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 ,27.89,percent of total billed charges ,27.89,percent of total billed charges ,30.01,percent of total billed charges ,30.01,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 ,,,,,,,,,,,,,,,,,,,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,
"**ATROPINE SULF INJ : 0.4MG/ML, 1ML VIAL",J0461,CDM,,,,both,1,each,33,33,7.59,33,33,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,26.07,percent of total billed charges,26.07,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 ,26.07,percent of total billed charges ,26.07,percent of total billed charges ,28.05,percent of total billed charges ,28.05,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 ,,,,,,,,,,,,,,,,,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,
LORazepam (ATIVAN) INJ : 2 MG/1ML,J2060,CDM,,,,both,1,each,77.57,77.57,17.84,77.57,77.57,percent of total billed charges,77.57,percent of total billed charges,77.57,percent of total billed charges,77.57,percent of total billed charges,77.57,percent of total billed charges,77.57,percent of total billed charges,77.57,percent of total billed charges,77.57,percent of total billed charges,55.85,percent of total billed charges,55.85,percent of total billed charges,55.85,percent of total billed charges,55.85,percent of total billed charges,55.85,percent of total billed charges,55.85,percent of total billed charges,61.28,percent of total billed charges,61.28,percent of total billed charges,62.06,percent of total billed charges,62.06,percent of total billed charges,,,55.85,percent of total billed charges ,,,62.06,percent of total billed charges ,61.28,percent of total billed charges ,61.28,percent of total billed charges ,65.93,percent of total billed charges ,65.93,percent of total billed charges ,62.06,percent of total billed charges ,62.06,percent of total billed charges ,54.3,percent of total billed charges ,54.3,percent of total billed charges ,46.54,percent of total billed charges ,46.54,percent of total billed charges ,46.54,percent of total billed charges ,46.54,percent of total billed charges ,,,,,41.27,percent of total billed charges ,,,,,39.2,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,,,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,,,17.84,percent of total billed charges,,,17.84,percent of total billed charges,,,17.84,percent of total billed charges,
**TRIAMCINOLONE(ARISTOSPAN) DO NOT USE,250,RC,00005-45-0531,NDC,,both,1,each,86,86,19.78,86,86,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,67.94,percent of total billed charges,67.94,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 ,67.94,percent of total billed charges ,67.94,percent of total billed charges ,73.1,percent of total billed charges ,73.1,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
TRIAMCINOLONE (ARISTOSPAN) INJ : 20 MG*,J3303,CDM,,,,both,1,each,114,114,26.22,114,114,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,90.06,percent of total billed charges,90.06,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 ,90.06,percent of total billed charges ,90.06,percent of total billed charges ,96.9,percent of total billed charges ,96.9,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 ,,,,,,,,,,,,,,,,,,,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,,,26.22,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,
**TRIAMCINOLONE (ARISTOCORT) DO NOT USE,250,RC,00003-02-9320,NDC,,both,1,each,133,133,30.59,133,133,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,105.07,percent of total billed charges,105.07,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 ,105.07,percent of total billed charges ,105.07,percent of total billed charges ,113.05,percent of total billed charges ,113.05,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 ,,,,,,,,,,,,,,,,,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,
TRIAMCINOLONE (ARISTOCORT) INJ : 40 MG,250,RC,05731-72-0201,NDC,,both,1,each,100,100,23,100,100,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,79,percent of total billed charges,79,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 ,79,percent of total billed charges ,79,percent of total billed charges ,85,percent of total billed charges ,85,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 ,,,,,,,,,,,,,,,,,,,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,,,23,percent of total billed charges,,,23,percent of total billed charges,,,23,percent of total billed charges,
PHYTONADIONE INJ : 10MG/ML 1ML,J3430,CDM,,,,both,1,each,540.75,540.75,124.37,540.75,540.75,percent of total billed charges,540.75,percent of total billed charges,540.75,percent of total billed charges,540.75,percent of total billed charges,540.75,percent of total billed charges,540.75,percent of total billed charges,540.75,percent of total billed charges,540.75,percent of total billed charges,389.34,percent of total billed charges,389.34,percent of total billed charges,389.34,percent of total billed charges,389.34,percent of total billed charges,389.34,percent of total billed charges,389.34,percent of total billed charges,427.19,percent of total billed charges,427.19,percent of total billed charges,432.6,percent of total billed charges,432.6,percent of total billed charges,,,389.34,percent of total billed charges ,,,432.6,percent of total billed charges ,427.19,percent of total billed charges ,427.19,percent of total billed charges ,459.64,percent of total billed charges ,459.64,percent of total billed charges ,432.6,percent of total billed charges ,432.6,percent of total billed charges ,378.53,percent of total billed charges ,378.53,percent of total billed charges ,324.45,percent of total billed charges ,324.45,percent of total billed charges ,324.45,percent of total billed charges ,324.45,percent of total billed charges ,,,,,287.68,percent of total billed charges ,,,,,273.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,124.37,percent of total billed charges,,,124.37,percent of total billed charges,,,124.37,percent of total billed charges,,,124.37,percent of total billed charges,,,124.37,percent of total billed charges,,,124.37,percent of total billed charges,,,124.37,percent of total billed charges,,,124.37,percent of total billed charges,,,124.37,percent of total billed charges,,,124.37,percent of total billed charges,,,124.37,percent of total billed charges,
PHYTONADIONE INJ NEONATAL : 1MG/0.5ML,J3430,CDM,,,,both,1,each,258.69,258.69,59.5,258.69,258.69,percent of total billed charges,258.69,percent of total billed charges,258.69,percent of total billed charges,258.69,percent of total billed charges,258.69,percent of total billed charges,258.69,percent of total billed charges,258.69,percent of total billed charges,258.69,percent of total billed charges,186.26,percent of total billed charges,186.26,percent of total billed charges,186.26,percent of total billed charges,186.26,percent of total billed charges,186.26,percent of total billed charges,186.26,percent of total billed charges,204.37,percent of total billed charges,204.37,percent of total billed charges,206.95,percent of total billed charges,206.95,percent of total billed charges,,,186.26,percent of total billed charges ,,,206.95,percent of total billed charges ,204.37,percent of total billed charges ,204.37,percent of total billed charges ,219.89,percent of total billed charges ,219.89,percent of total billed charges ,206.95,percent of total billed charges ,206.95,percent of total billed charges ,181.08,percent of total billed charges ,181.08,percent of total billed charges ,155.21,percent of total billed charges ,155.21,percent of total billed charges ,155.21,percent of total billed charges ,155.21,percent of total billed charges ,,,,,137.62,percent of total billed charges ,,,,,130.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,59.5,percent of total billed charges,,,59.5,percent of total billed charges,,,59.5,percent of total billed charges,,,59.5,percent of total billed charges,,,59.5,percent of total billed charges,,,59.5,percent of total billed charges,,,59.5,percent of total billed charges,,,59.5,percent of total billed charges,,,59.5,percent of total billed charges,,,59.5,percent of total billed charges,,,59.5,percent of total billed charges,
HydrALAZINE(APRESOLINE) : 20MG/ML 1ML,J0360,CDM,,,,both,1,each,57.63,57.63,13.25,57.63,57.63,percent of total billed charges,57.63,percent of total billed charges,57.63,percent of total billed charges,57.63,percent of total billed charges,57.63,percent of total billed charges,57.63,percent of total billed charges,57.63,percent of total billed charges,57.63,percent of total billed charges,41.49,percent of total billed charges,41.49,percent of total billed charges,41.49,percent of total billed charges,41.49,percent of total billed charges,41.49,percent of total billed charges,41.49,percent of total billed charges,45.53,percent of total billed charges,45.53,percent of total billed charges,46.1,percent of total billed charges,46.1,percent of total billed charges,,,41.49,percent of total billed charges ,,,46.1,percent of total billed charges ,45.53,percent of total billed charges ,45.53,percent of total billed charges ,48.99,percent of total billed charges ,48.99,percent of total billed charges ,46.1,percent of total billed charges ,46.1,percent of total billed charges ,40.34,percent of total billed charges ,40.34,percent of total billed charges ,34.58,percent of total billed charges ,34.58,percent of total billed charges ,34.58,percent of total billed charges ,34.58,percent of total billed charges ,,,,,30.66,percent of total billed charges ,,,,,29.13,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,,,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,
CeFAZolin (ANCEF) ADD INJ : 1GM,J0690,CDM,,,,both,1,each,19,19,4.37,19,19,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,15.01,percent of total billed charges,15.01,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 ,15.01,percent of total billed charges ,15.01,percent of total billed charges ,16.15,percent of total billed charges ,16.15,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,4.37,percent of total billed charges,,,4.37,percent of total billed charges,,,4.37,percent of total billed charges,
AMPICILLIN INJ : 1GM,J0290,CDM,,,,both,1,each,18,18,4.14,18,18,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,14.22,percent of total billed charges,14.22,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 ,14.22,percent of total billed charges ,14.22,percent of total billed charges ,15.3,percent of total billed charges ,15.3,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 ,,,,,,,,,,,,,,,,,,,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,,,4.14,percent of total billed charges,,,4.14,percent of total billed charges,,,4.14,percent of total billed charges,
AMPICILLIN INJ : 250 MG,J0290,CDM,,,,both,1,each,10.11,10.11,2.33,10.11,10.11,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,10.11,percent of total billed charges,10.11,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,7.99,percent of total billed charges,7.99,percent of total billed charges,8.09,percent of total billed charges,8.09,percent of total billed charges,,,7.28,percent of total billed charges ,,,8.09,percent of total billed charges ,7.99,percent of total billed charges ,7.99,percent of total billed charges ,8.59,percent of total billed charges ,8.59,percent of total billed charges ,8.09,percent of total billed charges ,8.09,percent of total billed charges ,7.08,percent of total billed charges ,7.08,percent of total billed charges ,6.07,percent of total billed charges ,6.07,percent of total billed charges ,6.07,percent of total billed charges ,6.07,percent of total billed charges ,,,,,5.38,percent of total billed charges ,,,,,5.11,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,,,2.33,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,
AMINOPHYLLINE 250MG/10ML,J0280,CDM,,,,both,1,each,156.39,156.39,35.97,156.39,156.39,percent of total billed charges,156.39,percent of total billed charges,156.39,percent of total billed charges,156.39,percent of total billed charges,156.39,percent of total billed charges,156.39,percent of total billed charges,156.39,percent of total billed charges,156.39,percent of total billed charges,112.6,percent of total billed charges,112.6,percent of total billed charges,112.6,percent of total billed charges,112.6,percent of total billed charges,112.6,percent of total billed charges,112.6,percent of total billed charges,123.55,percent of total billed charges,123.55,percent of total billed charges,125.11,percent of total billed charges,125.11,percent of total billed charges,,,112.6,percent of total billed charges ,,,125.11,percent of total billed charges ,123.55,percent of total billed charges ,123.55,percent of total billed charges ,132.93,percent of total billed charges ,132.93,percent of total billed charges ,125.11,percent of total billed charges ,125.11,percent of total billed charges ,109.47,percent of total billed charges ,109.47,percent of total billed charges ,93.83,percent of total billed charges ,93.83,percent of total billed charges ,93.83,percent of total billed charges ,93.83,percent of total billed charges ,,,,,83.2,percent of total billed charges ,,,,,79.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,35.97,percent of total billed charges,,,35.97,percent of total billed charges,,,35.97,percent of total billed charges,,,35.97,percent of total billed charges,,,35.97,percent of total billed charges,,,35.97,percent of total billed charges,,,35.97,percent of total billed charges,,,35.97,percent of total billed charges,,,35.97,percent of total billed charges,,,35.97,percent of total billed charges,,,35.97,percent of total billed charges,
AMPICILLIN (OMNIPEN-N) INJ : 125 MG,J0290,CDM,,,,both,1,each,68,68,15.64,68,68,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,53.72,percent of total billed charges,53.72,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 ,53.72,percent of total billed charges ,53.72,percent of total billed charges ,57.8,percent of total billed charges ,57.8,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 ,,,,,,,,,,,,,,,,,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,
IMIPENEM & CILASTAN(PRIMAXIN) : 500 MG,J0743,CDM,,,,both,1,each,181.65,181.65,41.78,181.65,181.65,percent of total billed charges,181.65,percent of total billed charges,181.65,percent of total billed charges,181.65,percent of total billed charges,181.65,percent of total billed charges,181.65,percent of total billed charges,181.65,percent of total billed charges,181.65,percent of total billed charges,130.79,percent of total billed charges,130.79,percent of total billed charges,130.79,percent of total billed charges,130.79,percent of total billed charges,130.79,percent of total billed charges,130.79,percent of total billed charges,143.5,percent of total billed charges,143.5,percent of total billed charges,145.32,percent of total billed charges,145.32,percent of total billed charges,,,130.79,percent of total billed charges ,,,145.32,percent of total billed charges ,143.5,percent of total billed charges ,143.5,percent of total billed charges ,154.4,percent of total billed charges ,154.4,percent of total billed charges ,145.32,percent of total billed charges ,145.32,percent of total billed charges ,127.16,percent of total billed charges ,127.16,percent of total billed charges ,108.99,percent of total billed charges ,108.99,percent of total billed charges ,108.99,percent of total billed charges ,108.99,percent of total billed charges ,,,,,96.64,percent of total billed charges ,,,,,91.81,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,,,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,
SODIUM CL INH SOLN 0.9%: 3 ML,250,RC,00487-93-0103,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
**SURGICEL 1X2,Local ,Local ,,,,both,,,58,58,13.34,58,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,45.82,percent of total billed charges,45.82,percent of total billed charges,46.4,percent of total billed charges,46.4,percent of total billed charges,,,41.76,percent of total billed charges ,,,46.4,percent of total billed charges ,45.82,percent of total billed charges ,45.82,percent of total billed charges ,49.3,percent of total billed charges ,49.3,percent of total billed charges ,46.4,percent of total billed charges ,46.4,percent of total billed charges ,40.6,percent of total billed charges ,40.6,percent of total billed charges ,34.8,percent of total billed charges ,34.8,percent of total billed charges ,34.8,percent of total billed charges ,34.8,percent of total billed charges ,,,,,30.86,percent of total billed charges ,,,,,29.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,
**DEXAMETHASONE TAB:4MG HOSPICE GENERIC,250,RC,00054-41-8425,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
SODIUM CHLORIDE 0.9% FLUSH,250,RC,08290-30-6500,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
MetroNIDAZOLE (FLAGYL) : 500MG PREMIX,J3490,CDM,,,,both,1,each,27.79,27.79,6.39,27.79,27.79,percent of total billed charges,27.79,percent of total billed charges,27.79,percent of total billed charges,27.79,percent of total billed charges,27.79,percent of total billed charges,27.79,percent of total billed charges,27.79,percent of total billed charges,27.79,percent of total billed charges,20.01,percent of total billed charges,20.01,percent of total billed charges,20.01,percent of total billed charges,20.01,percent of total billed charges,20.01,percent of total billed charges,20.01,percent of total billed charges,21.95,percent of total billed charges,21.95,percent of total billed charges,22.23,percent of total billed charges,22.23,percent of total billed charges,,,20.01,percent of total billed charges ,,,22.23,percent of total billed charges ,21.95,percent of total billed charges ,21.95,percent of total billed charges ,23.62,percent of total billed charges ,23.62,percent of total billed charges ,22.23,percent of total billed charges ,22.23,percent of total billed charges ,19.45,percent of total billed charges ,19.45,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 ,,,,,14.78,percent of total billed charges ,,,,,14.05,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,,,6.39,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,
DEXTROSE INJ 5% 250ML GLASS,258,RC,00409-15-2202,NDC,,both,250,each,212,212,48.76,212,212,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,167.48,percent of total billed charges,167.48,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 ,167.48,percent of total billed charges ,167.48,percent of total billed charges ,180.2,percent of total billed charges ,180.2,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 ,,,,,,,,,,,,,,,,,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,
raNITIdine (ZANTAC): 50MG/2ML,J2780,CDM,,,,both,1,each,109.39,109.39,25.16,109.39,109.39,percent of total billed charges,109.39,percent of total billed charges,109.39,percent of total billed charges,109.39,percent of total billed charges,109.39,percent of total billed charges,109.39,percent of total billed charges,109.39,percent of total billed charges,109.39,percent of total billed charges,78.76,percent of total billed charges,78.76,percent of total billed charges,78.76,percent of total billed charges,78.76,percent of total billed charges,78.76,percent of total billed charges,78.76,percent of total billed charges,86.42,percent of total billed charges,86.42,percent of total billed charges,87.51,percent of total billed charges,87.51,percent of total billed charges,,,78.76,percent of total billed charges ,,,87.51,percent of total billed charges ,86.42,percent of total billed charges ,86.42,percent of total billed charges ,92.98,percent of total billed charges ,92.98,percent of total billed charges ,87.51,percent of total billed charges ,87.51,percent of total billed charges ,76.57,percent of total billed charges ,76.57,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 ,,,,,58.2,percent of total billed charges ,,,,,55.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,25.16,percent of total billed charges,,,25.16,percent of total billed charges,,,25.16,percent of total billed charges,,,25.16,percent of total billed charges,,,25.16,percent of total billed charges,,,25.16,percent of total billed charges,,,25.16,percent of total billed charges,,,25.16,percent of total billed charges,,,25.16,percent of total billed charges,,,25.16,percent of total billed charges,,,25.16,percent of total billed charges,
**TAGAMET IN 1 ML DO NOT USE,250,RC,00409-74-4716,NDC,,both,1,each,151,151,34.73,151,151,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,119.29,percent of total billed charges,119.29,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 ,119.29,percent of total billed charges ,119.29,percent of total billed charges ,128.35,percent of total billed charges ,128.35,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 ,,,,,,,,,,,,,,,,,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,
NORMAL  SALINE 0.9% : 1000ML,258,RC,00338-00-4904,NDC,,both,1,each,45,45,10.35,45,45,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,35.55,percent of total billed charges,35.55,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 ,35.55,percent of total billed charges ,35.55,percent of total billed charges ,38.25,percent of total billed charges ,38.25,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 ,,,,,,,,,,,,,,,,,,,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,
MANNITOL 20% INJ : 500ML,J2150,CDM,,,,both,1,each,225.7,225.7,51.91,225.7,225.7,percent of total billed charges,225.7,percent of total billed charges,225.7,percent of total billed charges,225.7,percent of total billed charges,225.7,percent of total billed charges,225.7,percent of total billed charges,225.7,percent of total billed charges,225.7,percent of total billed charges,162.5,percent of total billed charges,162.5,percent of total billed charges,162.5,percent of total billed charges,162.5,percent of total billed charges,162.5,percent of total billed charges,162.5,percent of total billed charges,178.3,percent of total billed charges,178.3,percent of total billed charges,180.56,percent of total billed charges,180.56,percent of total billed charges,,,162.5,percent of total billed charges ,,,180.56,percent of total billed charges ,178.3,percent of total billed charges ,178.3,percent of total billed charges ,191.85,percent of total billed charges ,191.85,percent of total billed charges ,180.56,percent of total billed charges ,180.56,percent of total billed charges ,157.99,percent of total billed charges ,157.99,percent of total billed charges ,135.42,percent of total billed charges ,135.42,percent of total billed charges ,135.42,percent of total billed charges ,135.42,percent of total billed charges ,,,,,120.07,percent of total billed charges ,,,,,114.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.91,percent of total billed charges,,,51.91,percent of total billed charges,,,51.91,percent of total billed charges,,,51.91,percent of total billed charges,,,51.91,percent of total billed charges,,,51.91,percent of total billed charges,,,51.91,percent of total billed charges,,,51.91,percent of total billed charges,,,51.91,percent of total billed charges,,,51.91,percent of total billed charges,,,51.91,percent of total billed charges,
LIPOSYN III 10% 500ML,250,RC,00409-97-9003,NDC,,both,1,each,229,229,52.67,229,229,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,180.91,percent of total billed charges,180.91,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 ,180.91,percent of total billed charges ,180.91,percent of total billed charges ,194.65,percent of total billed charges ,194.65,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 ,,,,,,,,,,,,,,,,,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,
**CROMOLYN (NASALCROM) DO NOT USE,250,RC,00009-77-0901,NDC,,both,1,each,194,194,44.62,194,194,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,153.26,percent of total billed charges,153.26,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 ,153.26,percent of total billed charges ,153.26,percent of total billed charges ,164.9,percent of total billed charges ,164.9,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 ,,,,,,,,,,,,,,,,,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,
**METARAMINOL INJ 100MG DO NOT USE,J0380,CDM,,,,both,1,each,137,137,31.51,137,137,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,108.23,percent of total billed charges,108.23,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 ,108.23,percent of total billed charges ,108.23,percent of total billed charges ,116.45,percent of total billed charges ,116.45,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 ,,,,,,,,,,,,,,,,,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,
VARICELLA ZOSTER IMMUNE GLOBULIN (VZIG),90396,CDM,,,,both,1,each,737,737,169.51,737,737,percent of total billed charges,737,percent of total billed charges,737,percent of total billed charges,737,percent of total billed charges,737,percent of total billed charges,737,percent of total billed charges,737,percent of total billed charges,737,percent of total billed charges,530.64,percent of total billed charges,530.64,percent of total billed charges,530.64,percent of total billed charges,530.64,percent of total billed charges,530.64,percent of total billed charges,530.64,percent of total billed charges,582.23,percent of total billed charges,582.23,percent of total billed charges,589.6,percent of total billed charges,589.6,percent of total billed charges,,,530.64,percent of total billed charges ,,,589.6,percent of total billed charges ,582.23,percent of total billed charges ,582.23,percent of total billed charges ,626.45,percent of total billed charges ,626.45,percent of total billed charges ,589.6,percent of total billed charges ,589.6,percent of total billed charges ,515.9,percent of total billed charges ,515.9,percent of total billed charges ,442.2,percent of total billed charges ,442.2,percent of total billed charges ,442.2,percent of total billed charges ,442.2,percent of total billed charges ,,,,,392.08,percent of total billed charges ,,,,,372.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,169.51,percent of total billed charges,,,169.51,percent of total billed charges,,,169.51,percent of total billed charges,,,169.51,percent of total billed charges,,,169.51,percent of total billed charges,,,169.51,percent of total billed charges,,,169.51,percent of total billed charges,,,169.51,percent of total billed charges,,,169.51,percent of total billed charges,,,169.51,percent of total billed charges,,,169.51,percent of total billed charges,
**NALOXONE (NARCON) INJ DO NOT USE,250,RC,00409-12-1201,NDC,,both,1,each,52,52,11.96,52,52,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,41.08,percent of total billed charges,41.08,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 ,41.08,percent of total billed charges ,41.08,percent of total billed charges ,44.2,percent of total billed charges ,44.2,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 ,,,,,,,,,,,,,,,,,,,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,
"ATROPINE SULF INJ : 1 MG/ML, 1ML VIAL",J0461,CDM,,,,both,1,each,27.1,27.1,6.23,27.1,27.1,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,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,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,21.41,percent of total billed charges,21.41,percent of total billed charges,21.68,percent of total billed charges,21.68,percent of total billed charges,,,19.51,percent of total billed charges ,,,21.68,percent of total billed charges ,21.41,percent of total billed charges ,21.41,percent of total billed charges ,23.04,percent of total billed charges ,23.04,percent of total billed charges ,21.68,percent of total billed charges ,21.68,percent of total billed charges ,18.97,percent of total billed charges ,18.97,percent of total billed charges ,16.26,percent of total billed charges ,16.26,percent of total billed charges ,16.26,percent of total billed charges ,16.26,percent of total billed charges ,,,,,14.42,percent of total billed charges ,,,,,13.7,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,,,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,
ESMOLOL (BREVIBLOC) INJ : 100MG/10ML,J3490,CDM,,,,both,1,each,36.16,36.16,8.32,36.16,36.16,percent of total billed charges,36.16,percent of total billed charges,36.16,percent of total billed charges,36.16,percent of total billed charges,36.16,percent of total billed charges,36.16,percent of total billed charges,36.16,percent of total billed charges,36.16,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,28.57,percent of total billed charges,28.57,percent of total billed charges,28.93,percent of total billed charges,28.93,percent of total billed charges,,,26.04,percent of total billed charges ,,,28.93,percent of total billed charges ,28.57,percent of total billed charges ,28.57,percent of total billed charges ,30.74,percent of total billed charges ,30.74,percent of total billed charges ,28.93,percent of total billed charges ,28.93,percent of total billed charges ,25.31,percent of total billed charges ,25.31,percent of total billed charges ,21.7,percent of total billed charges ,21.7,percent of total billed charges ,21.7,percent of total billed charges ,21.7,percent of total billed charges ,,,,,19.24,percent of total billed charges ,,,,,18.28,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,
**IMMUNOGLOBLIN DO NOT USE,250,RC,00944-26-2004,NDC,,both,1,each,"3,648.00","3,648.00",839.04,"3,648.00","3,648.00",percent of total billed charges,"3,648.00",percent of total billed charges,"3,648.00",percent of total billed charges,"3,648.00",percent of total billed charges,"3,648.00",percent of total billed charges,"3,648.00",percent of total billed charges,"3,648.00",percent of total billed charges,"3,648.00",percent of total billed charges,"2,626.56",percent of total billed charges,"2,626.56",percent of total billed charges,"2,626.56",percent of total billed charges,"2,626.56",percent of total billed charges,"2,626.56",percent of total billed charges,"2,626.56",percent of total billed charges,"2,881.92",percent of total billed charges,"2,881.92",percent of total billed charges,"2,918.40",percent of total billed charges,"2,918.40",percent of total billed charges,,,"2,626.56",percent of total billed charges ,,,"2,918.40",percent of total billed charges ,"2,881.92",percent of total billed charges ,"2,881.92",percent of total billed charges ,"3,100.80",percent of total billed charges ,"3,100.80",percent of total billed charges ,"2,918.40",percent of total billed charges ,"2,918.40",percent of total billed charges ,"2,553.60",percent of total billed charges ,"2,553.60",percent of total billed charges ,"2,188.80",percent of total billed charges ,"2,188.80",percent of total billed charges ,"2,188.80",percent of total billed charges ,"2,188.80",percent of total billed charges ,,,,,"1,940.74",percent of total billed charges ,,,,,"1,843.70",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,,,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,,,839.04,percent of total billed charges,,,839.04,percent of total billed charges,,,839.04,percent of total billed charges,
TENECTEPLASE (TNKase) KIT : 50MG,J3101,CDM,,,,both,,,"37,155.89","37,155.89","8,545.85","37,155.89","37,155.89",percent of total billed charges,"37,155.89",percent of total billed charges,"37,155.89",percent of total billed charges,"37,155.89",percent of total billed charges,"37,155.89",percent of total billed charges,"37,155.89",percent of total billed charges,"37,155.89",percent of total billed charges,"37,155.89",percent of total billed charges,"26,752.24",percent of total billed charges,"26,752.24",percent of total billed charges,"26,752.24",percent of total billed charges,"26,752.24",percent of total billed charges,"26,752.24",percent of total billed charges,"26,752.24",percent of total billed charges,"29,353.15",percent of total billed charges,"29,353.15",percent of total billed charges,"29,724.71",percent of total billed charges,"29,724.71",percent of total billed charges,,,"26,752.24",percent of total billed charges ,,,"29,724.71",percent of total billed charges ,"29,353.15",percent of total billed charges ,"29,353.15",percent of total billed charges ,"31,582.51",percent of total billed charges ,"31,582.51",percent of total billed charges ,"29,724.71",percent of total billed charges ,"29,724.71",percent of total billed charges ,"26,009.12",percent of total billed charges ,"26,009.12",percent of total billed charges ,"22,293.53",percent of total billed charges ,"22,293.53",percent of total billed charges ,"22,293.53",percent of total billed charges ,"22,293.53",percent of total billed charges ,,,,,"19,766.93",percent of total billed charges ,,,,,"18,778.59",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"8,545.85",percent of total billed charges,,,"8,545.85",percent of total billed charges,,,"8,545.85",percent of total billed charges,,,"8,545.85",percent of total billed charges,,,"8,545.85",percent of total billed charges,,,"8,545.85",percent of total billed charges,,,"8,545.85",percent of total billed charges,,,"8,545.85",percent of total billed charges,,,"8,545.85",percent of total billed charges,,,"8,545.85",percent of total billed charges,,,"8,545.85",percent of total billed charges,
MEPERIDINE (DEMEROL) INJ : 75MG/ML,J2175,CDM,,,,both,1,each,21.57,21.57,4.96,21.57,21.57,percent of total billed charges,21.57,percent of total billed charges,21.57,percent of total billed charges,21.57,percent of total billed charges,21.57,percent of total billed charges,21.57,percent of total billed charges,21.57,percent of total billed charges,21.57,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,17.04,percent of total billed charges,17.04,percent of total billed charges,17.26,percent of total billed charges,17.26,percent of total billed charges,,,15.53,percent of total billed charges ,,,17.26,percent of total billed charges ,17.04,percent of total billed charges ,17.04,percent of total billed charges ,18.33,percent of total billed charges ,18.33,percent of total billed charges ,17.26,percent of total billed charges ,17.26,percent of total billed charges ,15.1,percent of total billed charges ,15.1,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 ,,,,,11.48,percent of total billed charges ,,,,,10.9,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,,,4.96,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,,,4.96,percent of total billed charges,,,4.96,percent of total billed charges,,,4.96,percent of total billed charges,
MORPHINE SULFATE VIAL 10MG INJ : 10MG/ML,J2270,CDM,,,,both,1,each,45.04,45.04,10.36,45.04,45.04,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,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,35.58,percent of total billed charges,35.58,percent of total billed charges,36.03,percent of total billed charges,36.03,percent of total billed charges,,,32.43,percent of total billed charges ,,,36.03,percent of total billed charges ,35.58,percent of total billed charges ,35.58,percent of total billed charges ,38.28,percent of total billed charges ,38.28,percent of total billed charges ,36.03,percent of total billed charges ,36.03,percent of total billed charges ,31.53,percent of total billed charges ,31.53,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 ,,,,,23.96,percent of total billed charges ,,,,,22.76,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,
**HEPARIN LOCK FLUSH INJ : 100 UN/ML 30M,J1642,CDM,,,,both,1,each,23,23,5.29,23,23,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,18.17,percent of total billed charges,18.17,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 ,18.17,percent of total billed charges ,18.17,percent of total billed charges ,19.55,percent of total billed charges ,19.55,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 ,,,,,,,,,,,,,,,,,,,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,
MIOCHOL-E 1:100,Local ,Local ,,,,both,,,127,127,29.21,127,127,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,100.33,percent of total billed charges,100.33,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 ,100.33,percent of total billed charges ,100.33,percent of total billed charges ,107.95,percent of total billed charges ,107.95,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 ,,,,,,,,,,,,,,,,,,,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,
**HEP A (HAVRIX) 0.5ML DO NOT USE,Local ,Local ,,,,both,,,155,155,35.65,155,155,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,122.45,percent of total billed charges,122.45,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 ,122.45,percent of total billed charges ,122.45,percent of total billed charges ,131.75,percent of total billed charges ,131.75,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 ,,,,,,,,,,,,,,,,,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,
**MORPHINE PF (DURAMORPH) .5MG/ML 10ML*,J2274,CDM,,,,both,1,each,223,223,51.29,223,223,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,176.17,percent of total billed charges,176.17,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 ,176.17,percent of total billed charges ,176.17,percent of total billed charges ,189.55,percent of total billed charges ,189.55,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 ,,,,,,,,,,,,,,,,,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,
**MORPHINE PF (ASTRAMORPH) DO NOT USE,250,RC,00186-11-5102,NDC,,both,1,each,33,33,7.59,33,33,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,26.07,percent of total billed charges,26.07,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 ,26.07,percent of total billed charges ,26.07,percent of total billed charges ,28.05,percent of total billed charges ,28.05,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 ,,,,,,,,,,,,,,,,,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,
EPINEPHrine 1MG/ML : 1ML AMP/VIAL,J0171,CDM,,,,both,1,each,153.12,153.12,35.22,153.12,153.12,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,120.96,percent of total billed charges,120.96,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 ,120.96,percent of total billed charges ,120.96,percent of total billed charges ,130.15,percent of total billed charges ,130.15,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 ,,,,,,,,,,,,,,,,,,,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,
**DIPTH INJ .500ML DO NOT USE,250,RC,49281-02-9810,NDC,,both,1,each,197,197,45.31,197,197,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,155.63,percent of total billed charges,155.63,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 ,155.63,percent of total billed charges ,155.63,percent of total billed charges ,167.45,percent of total billed charges ,167.45,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
DIPHTHERIA & TETANUS PEDIATRIC : 0.5ML,90702,CDM,,,,both,1,each,53,53,12.19,53,53,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,41.87,percent of total billed charges,41.87,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 ,41.87,percent of total billed charges ,41.87,percent of total billed charges ,45.05,percent of total billed charges ,45.05,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 ,,,,,,,,,,,,,,,,,,,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,
TETANUS & DIPHTH.TOX(7 yo & older)0.5ML,90714,CDM,,,,both,1,each,189,189,43.47,189,189,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,149.31,percent of total billed charges,149.31,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 ,149.31,percent of total billed charges ,149.31,percent of total billed charges ,160.65,percent of total billed charges ,160.65,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 ,,,,,,,,,,,,,,,,,,,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,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,
NEO/POLY/DEX (MAXITROL) OPHT OINT : 3.5G,637,RC,24208-07-9535,NDC,,both,1,each,102,102,23.46,102,102,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,80.58,percent of total billed charges,80.58,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 ,80.58,percent of total billed charges ,80.58,percent of total billed charges ,86.7,percent of total billed charges ,86.7,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 ,,,,,,,,,,,,,,,,,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,
DOPamine (INTROPIN) PREMIX : 400MG/250ML,J1265,CDM,,,,both,,,138.38,138.38,31.83,138.38,138.38,percent of total billed charges,138.38,percent of total billed charges,138.38,percent of total billed charges,138.38,percent of total billed charges,138.38,percent of total billed charges,138.38,percent of total billed charges,138.38,percent of total billed charges,138.38,percent of total billed charges,99.63,percent of total billed charges,99.63,percent of total billed charges,99.63,percent of total billed charges,99.63,percent of total billed charges,99.63,percent of total billed charges,99.63,percent of total billed charges,109.32,percent of total billed charges,109.32,percent of total billed charges,110.7,percent of total billed charges,110.7,percent of total billed charges,,,99.63,percent of total billed charges ,,,110.7,percent of total billed charges ,109.32,percent of total billed charges ,109.32,percent of total billed charges ,117.62,percent of total billed charges ,117.62,percent of total billed charges ,110.7,percent of total billed charges ,110.7,percent of total billed charges ,96.87,percent of total billed charges ,96.87,percent of total billed charges ,83.03,percent of total billed charges ,83.03,percent of total billed charges ,83.03,percent of total billed charges ,83.03,percent of total billed charges ,,,,,73.62,percent of total billed charges ,,,,,69.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,31.83,percent of total billed charges,,,31.83,percent of total billed charges,,,31.83,percent of total billed charges,,,31.83,percent of total billed charges,,,31.83,percent of total billed charges,,,31.83,percent of total billed charges,,,31.83,percent of total billed charges,,,31.83,percent of total billed charges,,,31.83,percent of total billed charges,,,31.83,percent of total billed charges,,,31.83,percent of total billed charges,
PIPERACILLIN-TAZOB (ZOSYN) : 2-0.25GM,J2543,CDM,,,,both,1,each,31.71,31.71,7.29,31.71,31.71,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,31.71,percent of total billed charges,31.71,percent of total billed charges,22.83,percent of total billed charges,22.83,percent of total billed charges,22.83,percent of total billed charges,22.83,percent of total billed charges,22.83,percent of total billed charges,22.83,percent of total billed charges,25.05,percent of total billed charges,25.05,percent of total billed charges,25.37,percent of total billed charges,25.37,percent of total billed charges,,,22.83,percent of total billed charges ,,,25.37,percent of total billed charges ,25.05,percent of total billed charges ,25.05,percent of total billed charges ,26.95,percent of total billed charges ,26.95,percent of total billed charges ,25.37,percent of total billed charges ,25.37,percent of total billed charges ,22.2,percent of total billed charges ,22.2,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 ,,,,,16.87,percent of total billed charges ,,,,,16.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.29,percent of total billed charges,,,7.29,percent of total billed charges,,,7.29,percent of total billed charges,,,7.29,percent of total billed charges,,,7.29,percent of total billed charges,,,7.29,percent of total billed charges,,,7.29,percent of total billed charges,,,7.29,percent of total billed charges,,,7.29,percent of total billed charges,,,7.29,percent of total billed charges,,,7.29,percent of total billed charges,
DOBUTamine INJ : 250MG/20ML,J1250,CDM,,,,both,1,each,89.8,89.8,20.65,89.8,89.8,percent of total billed charges,89.8,percent of total billed charges,89.8,percent of total billed charges,89.8,percent of total billed charges,89.8,percent of total billed charges,89.8,percent of total billed charges,89.8,percent of total billed charges,89.8,percent of total billed charges,64.66,percent of total billed charges,64.66,percent of total billed charges,64.66,percent of total billed charges,64.66,percent of total billed charges,64.66,percent of total billed charges,64.66,percent of total billed charges,70.94,percent of total billed charges,70.94,percent of total billed charges,71.84,percent of total billed charges,71.84,percent of total billed charges,,,64.66,percent of total billed charges ,,,71.84,percent of total billed charges ,70.94,percent of total billed charges ,70.94,percent of total billed charges ,76.33,percent of total billed charges ,76.33,percent of total billed charges ,71.84,percent of total billed charges ,71.84,percent of total billed charges ,62.86,percent of total billed charges ,62.86,percent of total billed charges ,53.88,percent of total billed charges ,53.88,percent of total billed charges ,53.88,percent of total billed charges ,53.88,percent of total billed charges ,,,,,47.77,percent of total billed charges ,,,,,45.38,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,,,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,,,20.65,percent of total billed charges,,,20.65,percent of total billed charges,,,20.65,percent of total billed charges,
PAMIDRONATE(AREDIA)90MG/NS 250ML,J2430,CDM,,,,both,1,each,"1,116.00","1,116.00",256.68,"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,881.64,percent of total billed charges,881.64,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 ,881.64,percent of total billed charges ,881.64,percent of total billed charges ,948.6,percent of total billed charges ,948.6,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 ,,,,,,,,,,,,,,,,,,,256.68,percent of total billed charges,,,256.68,percent of total billed charges,,,256.68,percent of total billed charges,,,256.68,percent of total billed charges,,,256.68,percent of total billed charges,,,256.68,percent of total billed charges,,,256.68,percent of total billed charges,,,256.68,percent of total billed charges,,,256.68,percent of total billed charges,,,256.68,percent of total billed charges,,,256.68,percent of total billed charges,
**RAPLON 5ML INJ DO NOT USE,Local ,Local ,,,,both,,,101,101,23.23,101,101,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,79.79,percent of total billed charges,79.79,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 ,79.79,percent of total billed charges ,79.79,percent of total billed charges ,85.85,percent of total billed charges ,85.85,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 ,,,,,,,,,,,,,,,,,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,
**PHENYTOIN (DELANTIN) INJ DO NOT USE,J1165,CDM,,,,both,1,each,57,57,13.11,57,57,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,45.03,percent of total billed charges,45.03,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 ,45.03,percent of total billed charges ,45.03,percent of total billed charges ,48.45,percent of total billed charges ,48.45,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 ,,,,,,,,,,,,,,,,,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,
PHENYTOIN (DILANTIN) INJ : 100MG/2ML,J1165,CDM,,,,both,1,each,94,94,21.62,94,94,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,74.26,percent of total billed charges,74.26,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 ,74.26,percent of total billed charges ,74.26,percent of total billed charges ,79.9,percent of total billed charges ,79.9,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 ,,,,,,,,,,,,,,,,,,,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,
DIGOXIN (LANOXIN) INJ : 0.5MG/2ML,J1160,CDM,,,,both,1,each,38,38,8.74,38,38,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,30.02,percent of total billed charges,30.02,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 ,30.02,percent of total billed charges ,30.02,percent of total billed charges ,32.3,percent of total billed charges ,32.3,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 ,,,,,,,,,,,,,,,,,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,
DEXTROSE 50% INJECTION: 50ML,258,RC,00409-49-0264,NDC,,both,1,each,144.08,144.08,33.14,144.08,144.08,percent of total billed charges,144.08,percent of total billed charges,144.08,percent of total billed charges,144.08,percent of total billed charges,144.08,percent of total billed charges,144.08,percent of total billed charges,144.08,percent of total billed charges,144.08,percent of total billed charges,103.74,percent of total billed charges,103.74,percent of total billed charges,103.74,percent of total billed charges,103.74,percent of total billed charges,103.74,percent of total billed charges,103.74,percent of total billed charges,113.82,percent of total billed charges,113.82,percent of total billed charges,115.26,percent of total billed charges,115.26,percent of total billed charges,,,103.74,percent of total billed charges ,,,115.26,percent of total billed charges ,113.82,percent of total billed charges ,113.82,percent of total billed charges ,122.47,percent of total billed charges ,122.47,percent of total billed charges ,115.26,percent of total billed charges ,115.26,percent of total billed charges ,100.86,percent of total billed charges ,100.86,percent of total billed charges ,86.45,percent of total billed charges ,86.45,percent of total billed charges ,86.45,percent of total billed charges ,86.45,percent of total billed charges ,,,,,76.65,percent of total billed charges ,,,,,72.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,33.14,percent of total billed charges,,,33.14,percent of total billed charges,,,33.14,percent of total billed charges,,,33.14,percent of total billed charges,,,33.14,percent of total billed charges,,,33.14,percent of total billed charges,,,33.14,percent of total billed charges,,,33.14,percent of total billed charges,,,33.14,percent of total billed charges,,,33.14,percent of total billed charges,,,33.14,percent of total billed charges,
DEPO MethylPREDNISolone INJ:80MG/ML,J1040,CDM,,,,both,1,each,101.67,101.67,23.38,101.67,101.67,percent of total billed charges,101.67,percent of total billed charges,101.67,percent of total billed charges,101.67,percent of total billed charges,101.67,percent of total billed charges,101.67,percent of total billed charges,101.67,percent of total billed charges,101.67,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,73.2,percent of total billed charges,73.2,percent of total billed charges,80.32,percent of total billed charges,80.32,percent of total billed charges,81.34,percent of total billed charges,81.34,percent of total billed charges,,,73.2,percent of total billed charges ,,,81.34,percent of total billed charges ,80.32,percent of total billed charges ,80.32,percent of total billed charges ,86.42,percent of total billed charges ,86.42,percent of total billed charges ,81.34,percent of total billed charges ,81.34,percent of total billed charges ,71.17,percent of total billed charges ,71.17,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 ,,,,,54.09,percent of total billed charges ,,,,,51.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,23.38,percent of total billed charges,,,23.38,percent of total billed charges,,,23.38,percent of total billed charges,,,23.38,percent of total billed charges,,,23.38,percent of total billed charges,,,23.38,percent of total billed charges,,,23.38,percent of total billed charges,,,23.38,percent of total billed charges,,,23.38,percent of total billed charges,,,23.38,percent of total billed charges,,,23.38,percent of total billed charges,
dexAMETHasone INJ 4MG/ML : 30ML,J1100,CDM,,,,both,1,each,378.01,378.01,86.94,378.01,378.01,percent of total billed charges,378.01,percent of total billed charges,378.01,percent of total billed charges,378.01,percent of total billed charges,378.01,percent of total billed charges,378.01,percent of total billed charges,378.01,percent of total billed charges,378.01,percent of total billed charges,272.17,percent of total billed charges,272.17,percent of total billed charges,272.17,percent of total billed charges,272.17,percent of total billed charges,272.17,percent of total billed charges,272.17,percent of total billed charges,298.63,percent of total billed charges,298.63,percent of total billed charges,302.41,percent of total billed charges,302.41,percent of total billed charges,,,272.17,percent of total billed charges ,,,302.41,percent of total billed charges ,298.63,percent of total billed charges ,298.63,percent of total billed charges ,321.31,percent of total billed charges ,321.31,percent of total billed charges ,302.41,percent of total billed charges ,302.41,percent of total billed charges ,264.61,percent of total billed charges ,264.61,percent of total billed charges ,226.81,percent of total billed charges ,226.81,percent of total billed charges ,226.81,percent of total billed charges ,226.81,percent of total billed charges ,,,,,201.1,percent of total billed charges ,,,,,191.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,
dexAMETHasone INJ 4MG/ML : 1ML,J1100,CDM,,,,both,1,each,20.91,20.91,4.81,20.91,20.91,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,16.52,percent of total billed charges,16.52,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 ,16.52,percent of total billed charges ,16.52,percent of total billed charges ,17.77,percent of total billed charges ,17.77,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 ,,,,,,,,,,,,,,,,,,,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,,,4.81,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,,,4.81,percent of total billed charges,,,4.81,percent of total billed charges,,,4.81,percent of total billed charges,
CEFOTAXIME (CLAFORAN) INJ : 2GM,J0698,CDM,,,,both,1,each,78,78,17.94,78,78,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,61.62,percent of total billed charges,61.62,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 ,61.62,percent of total billed charges ,61.62,percent of total billed charges ,66.3,percent of total billed charges ,66.3,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 ,,,,,,,,,,,,,,,,,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,
PROCHLORPERAZINE(COMPAZINE) 10MG/2ML INJ,J0780,CDM,,,,both,1,each,72.74,72.74,16.73,72.74,72.74,percent of total billed charges,72.74,percent of total billed charges,72.74,percent of total billed charges,72.74,percent of total billed charges,72.74,percent of total billed charges,72.74,percent of total billed charges,72.74,percent of total billed charges,72.74,percent of total billed charges,52.37,percent of total billed charges,52.37,percent of total billed charges,52.37,percent of total billed charges,52.37,percent of total billed charges,52.37,percent of total billed charges,52.37,percent of total billed charges,57.46,percent of total billed charges,57.46,percent of total billed charges,58.19,percent of total billed charges,58.19,percent of total billed charges,,,52.37,percent of total billed charges ,,,58.19,percent of total billed charges ,57.46,percent of total billed charges ,57.46,percent of total billed charges ,61.83,percent of total billed charges ,61.83,percent of total billed charges ,58.19,percent of total billed charges ,58.19,percent of total billed charges ,50.92,percent of total billed charges ,50.92,percent of total billed charges ,43.64,percent of total billed charges ,43.64,percent of total billed charges ,43.64,percent of total billed charges ,43.64,percent of total billed charges ,,,,,38.7,percent of total billed charges ,,,,,36.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.73,percent of total billed charges,,,16.73,percent of total billed charges,,,16.73,percent of total billed charges,,,16.73,percent of total billed charges,,,16.73,percent of total billed charges,,,16.73,percent of total billed charges,,,16.73,percent of total billed charges,,,16.73,percent of total billed charges,,,16.73,percent of total billed charges,,,16.73,percent of total billed charges,,,16.73,percent of total billed charges,
BENZTROPINE (COGENTIN) INJ : 2MG/2ML,J0515,CDM,,,,both,1,each,463.96,463.96,106.71,463.96,463.96,percent of total billed charges,463.96,percent of total billed charges,463.96,percent of total billed charges,463.96,percent of total billed charges,463.96,percent of total billed charges,463.96,percent of total billed charges,463.96,percent of total billed charges,463.96,percent of total billed charges,334.05,percent of total billed charges,334.05,percent of total billed charges,334.05,percent of total billed charges,334.05,percent of total billed charges,334.05,percent of total billed charges,334.05,percent of total billed charges,366.53,percent of total billed charges,366.53,percent of total billed charges,371.17,percent of total billed charges,371.17,percent of total billed charges,,,334.05,percent of total billed charges ,,,371.17,percent of total billed charges ,366.53,percent of total billed charges ,366.53,percent of total billed charges ,394.37,percent of total billed charges ,394.37,percent of total billed charges ,371.17,percent of total billed charges ,371.17,percent of total billed charges ,324.77,percent of total billed charges ,324.77,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 ,,,,,,,,,,,,,,,,,,,106.71,percent of total billed charges,,,106.71,percent of total billed charges,,,106.71,percent of total billed charges,,,106.71,percent of total billed charges,,,106.71,percent of total billed charges,,,106.71,percent of total billed charges,,,106.71,percent of total billed charges,,,106.71,percent of total billed charges,,,106.71,percent of total billed charges,,,106.71,percent of total billed charges,,,106.71,percent of total billed charges,
**OPTISON SUSP 10 MG DO NOT USE,250,RC,00019-27-0703,NDC,,both,,,841,841,193.43,841,841,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,664.39,percent of total billed charges,664.39,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 ,664.39,percent of total billed charges ,664.39,percent of total billed charges ,714.85,percent of total billed charges ,714.85,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 ,,,,,,,,,,,,,,,,,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,
CLINDAMYCIN ADD INJ : 900MG/6ML,250,RC,00409-40-5503,NDC,,both,1,each,171,171,39.33,171,171,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,135.09,percent of total billed charges,135.09,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 ,135.09,percent of total billed charges ,135.09,percent of total billed charges ,145.35,percent of total billed charges ,145.35,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 ,,,,,,,,,,,,,,,,,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,
CLINDAMYCIN INJ : 600MG/4ML,J3490,CDM,,,,both,1,each,26.12,26.12,6.01,26.12,26.12,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,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,18.81,percent of total billed charges,18.81,percent of total billed charges,18.81,percent of total billed charges,18.81,percent of total billed charges,18.81,percent of total billed charges,18.81,percent of total billed charges,20.63,percent of total billed charges,20.63,percent of total billed charges,20.9,percent of total billed charges,20.9,percent of total billed charges,,,18.81,percent of total billed charges ,,,20.9,percent of total billed charges ,20.63,percent of total billed charges ,20.63,percent of total billed charges ,22.2,percent of total billed charges ,22.2,percent of total billed charges ,20.9,percent of total billed charges ,20.9,percent of total billed charges ,18.28,percent of total billed charges ,18.28,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 ,,,,,13.9,percent of total billed charges ,,,,,13.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.01,percent of total billed charges,,,6.01,percent of total billed charges,,,6.01,percent of total billed charges,,,6.01,percent of total billed charges,,,6.01,percent of total billed charges,,,6.01,percent of total billed charges,,,6.01,percent of total billed charges,,,6.01,percent of total billed charges,,,6.01,percent of total billed charges,,,6.01,percent of total billed charges,,,6.01,percent of total billed charges,
CLINDAMYCIN INJ : 900MG/6ML,J3490,CDM,,,,both,1,each,41.93,41.93,9.64,41.93,41.93,percent of total billed charges,41.93,percent of total billed charges,41.93,percent of total billed charges,41.93,percent of total billed charges,41.93,percent of total billed charges,41.93,percent of total billed charges,41.93,percent of total billed charges,41.93,percent of total billed charges,30.19,percent of total billed charges,30.19,percent of total billed charges,30.19,percent of total billed charges,30.19,percent of total billed charges,30.19,percent of total billed charges,30.19,percent of total billed charges,33.12,percent of total billed charges,33.12,percent of total billed charges,33.54,percent of total billed charges,33.54,percent of total billed charges,,,30.19,percent of total billed charges ,,,33.54,percent of total billed charges ,33.12,percent of total billed charges ,33.12,percent of total billed charges ,35.64,percent of total billed charges ,35.64,percent of total billed charges ,33.54,percent of total billed charges ,33.54,percent of total billed charges ,29.35,percent of total billed charges ,29.35,percent of total billed charges ,25.16,percent of total billed charges ,25.16,percent of total billed charges ,25.16,percent of total billed charges ,25.16,percent of total billed charges ,,,,,22.31,percent of total billed charges ,,,,,21.19,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,,,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,,,9.64,percent of total billed charges,,,9.64,percent of total billed charges,,,9.64,percent of total billed charges,
CEFOTAXIME (CLAFORAN) INJ : 1GM,J0698,CDM,,,,both,1,each,85.6,85.6,19.69,85.6,85.6,percent of total billed charges,85.6,percent of total billed charges,85.6,percent of total billed charges,85.6,percent of total billed charges,85.6,percent of total billed charges,85.6,percent of total billed charges,85.6,percent of total billed charges,85.6,percent of total billed charges,61.63,percent of total billed charges,61.63,percent of total billed charges,61.63,percent of total billed charges,61.63,percent of total billed charges,61.63,percent of total billed charges,61.63,percent of total billed charges,67.62,percent of total billed charges,67.62,percent of total billed charges,68.48,percent of total billed charges,68.48,percent of total billed charges,,,61.63,percent of total billed charges ,,,68.48,percent of total billed charges ,67.62,percent of total billed charges ,67.62,percent of total billed charges ,72.76,percent of total billed charges ,72.76,percent of total billed charges ,68.48,percent of total billed charges ,68.48,percent of total billed charges ,59.92,percent of total billed charges ,59.92,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 ,,,,,45.54,percent of total billed charges ,,,,,43.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.69,percent of total billed charges,,,19.69,percent of total billed charges,,,19.69,percent of total billed charges,,,19.69,percent of total billed charges,,,19.69,percent of total billed charges,,,19.69,percent of total billed charges,,,19.69,percent of total billed charges,,,19.69,percent of total billed charges,,,19.69,percent of total billed charges,,,19.69,percent of total billed charges,,,19.69,percent of total billed charges,
**CEFOTETAN(CEFOTAN)INJ 2GM DO NOT USE,250,RC,00310-03-7720,NDC,,both,1,each,222,222,51.06,222,222,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,175.38,percent of total billed charges,175.38,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 ,175.38,percent of total billed charges ,175.38,percent of total billed charges ,188.7,percent of total billed charges ,188.7,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**CEFOTETAN(CEFOTAN)INJ 1GM DO NOT USE,250,RC,00310-03-7610,NDC,,both,1,each,164,164,37.72,164,164,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,129.56,percent of total billed charges,129.56,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 ,129.56,percent of total billed charges ,129.56,percent of total billed charges ,139.4,percent of total billed charges ,139.4,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 ,,,,,,,,,,,,,,,,,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,
CALCIUM GLUCONATE 100MG/ML 10ML VIAL,J0612,CDM,,,,both,1,each,129.55,129.55,29.8,129.55,129.55,percent of total billed charges,129.55,percent of total billed charges,129.55,percent of total billed charges,129.55,percent of total billed charges,129.55,percent of total billed charges,129.55,percent of total billed charges,129.55,percent of total billed charges,129.55,percent of total billed charges,93.28,percent of total billed charges,93.28,percent of total billed charges,93.28,percent of total billed charges,93.28,percent of total billed charges,93.28,percent of total billed charges,93.28,percent of total billed charges,102.34,percent of total billed charges,102.34,percent of total billed charges,103.64,percent of total billed charges,103.64,percent of total billed charges,,,93.28,percent of total billed charges ,,,103.64,percent of total billed charges ,102.34,percent of total billed charges ,102.34,percent of total billed charges ,110.12,percent of total billed charges ,110.12,percent of total billed charges ,103.64,percent of total billed charges ,103.64,percent of total billed charges ,90.69,percent of total billed charges ,90.69,percent of total billed charges ,77.73,percent of total billed charges ,77.73,percent of total billed charges ,77.73,percent of total billed charges ,77.73,percent of total billed charges ,,,,,68.92,percent of total billed charges ,,,,,65.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,29.8,percent of total billed charges,,,29.8,percent of total billed charges,,,29.8,percent of total billed charges,,,29.8,percent of total billed charges,,,29.8,percent of total billed charges,,,29.8,percent of total billed charges,,,29.8,percent of total billed charges,,,29.8,percent of total billed charges,,,29.8,percent of total billed charges,,,29.8,percent of total billed charges,,,29.8,percent of total billed charges,
CALCIUM CHLORIDE SYRG : 1GM/10ML,J3490,CDM,,,,both,1,each,129.61,129.61,29.81,129.61,129.61,percent of total billed charges,129.61,percent of total billed charges,129.61,percent of total billed charges,129.61,percent of total billed charges,129.61,percent of total billed charges,129.61,percent of total billed charges,129.61,percent of total billed charges,129.61,percent of total billed charges,93.32,percent of total billed charges,93.32,percent of total billed charges,93.32,percent of total billed charges,93.32,percent of total billed charges,93.32,percent of total billed charges,93.32,percent of total billed charges,102.39,percent of total billed charges,102.39,percent of total billed charges,103.69,percent of total billed charges,103.69,percent of total billed charges,,,93.32,percent of total billed charges ,,,103.69,percent of total billed charges ,102.39,percent of total billed charges ,102.39,percent of total billed charges ,110.17,percent of total billed charges ,110.17,percent of total billed charges ,103.69,percent of total billed charges ,103.69,percent of total billed charges ,90.73,percent of total billed charges ,90.73,percent of total billed charges ,77.77,percent of total billed charges ,77.77,percent of total billed charges ,77.77,percent of total billed charges ,77.77,percent of total billed charges ,,,,,68.95,percent of total billed charges ,,,,,65.5,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,,,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,,,29.81,percent of total billed charges,,,29.81,percent of total billed charges,,,29.81,percent of total billed charges,
BUPRENORPHINE (BUPRENEX)INJ : 0.3MG/ML,J0592,CDM,,,,both,1,each,178.12,178.12,40.97,178.12,178.12,percent of total billed charges,178.12,percent of total billed charges,178.12,percent of total billed charges,178.12,percent of total billed charges,178.12,percent of total billed charges,178.12,percent of total billed charges,178.12,percent of total billed charges,178.12,percent of total billed charges,128.25,percent of total billed charges,128.25,percent of total billed charges,128.25,percent of total billed charges,128.25,percent of total billed charges,128.25,percent of total billed charges,128.25,percent of total billed charges,140.71,percent of total billed charges,140.71,percent of total billed charges,142.5,percent of total billed charges,142.5,percent of total billed charges,,,128.25,percent of total billed charges ,,,142.5,percent of total billed charges ,140.71,percent of total billed charges ,140.71,percent of total billed charges ,151.4,percent of total billed charges ,151.4,percent of total billed charges ,142.5,percent of total billed charges ,142.5,percent of total billed charges ,124.68,percent of total billed charges ,124.68,percent of total billed charges ,106.87,percent of total billed charges ,106.87,percent of total billed charges ,106.87,percent of total billed charges ,106.87,percent of total billed charges ,,,,,94.76,percent of total billed charges ,,,,,90.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,40.97,percent of total billed charges,,,40.97,percent of total billed charges,,,40.97,percent of total billed charges,,,40.97,percent of total billed charges,,,40.97,percent of total billed charges,,,40.97,percent of total billed charges,,,40.97,percent of total billed charges,,,40.97,percent of total billed charges,,,40.97,percent of total billed charges,,,40.97,percent of total billed charges,,,40.97,percent of total billed charges,
"BUMETANIDE (BUMEX) INJ 1MG/4ML, 4ML VL",250,RC,00409-14-1234,NDC,,both,1,each,20.62,20.62,4.74,20.62,20.62,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,16.29,percent of total billed charges,16.29,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 ,16.29,percent of total billed charges ,16.29,percent of total billed charges ,17.53,percent of total billed charges ,17.53,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 ,,,,,,,,,,,,,,,,,,,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,
BUMETANIDE (BUMEX) INJ : 0.5MG/2ML*,S0171,CDM,,,,both,1,each,57,57,13.11,57,57,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,45.03,percent of total billed charges,45.03,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 ,45.03,percent of total billed charges ,45.03,percent of total billed charges ,48.45,percent of total billed charges ,48.45,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 ,,,,,,,,,,,,,,,,,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,
**PENICILLIN G BENZ/PROC INJ : 900/300 P,J0558,CDM,,,,both,1,each,117,117,26.91,117,117,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,92.43,percent of total billed charges,92.43,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 ,92.43,percent of total billed charges ,92.43,percent of total billed charges ,99.45,percent of total billed charges ,99.45,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 ,,,,,,,,,,,,,,,,,,,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,
"DICYCLOMINE(BENTYL)INJ 10MG/ML,2ML VIAL",J0500,CDM,,,,both,1,each,587.55,587.55,135.14,587.55,587.55,percent of total billed charges,587.55,percent of total billed charges,587.55,percent of total billed charges,587.55,percent of total billed charges,587.55,percent of total billed charges,587.55,percent of total billed charges,587.55,percent of total billed charges,587.55,percent of total billed charges,423.04,percent of total billed charges,423.04,percent of total billed charges,423.04,percent of total billed charges,423.04,percent of total billed charges,423.04,percent of total billed charges,423.04,percent of total billed charges,464.16,percent of total billed charges,464.16,percent of total billed charges,470.04,percent of total billed charges,470.04,percent of total billed charges,,,423.04,percent of total billed charges ,,,470.04,percent of total billed charges ,464.16,percent of total billed charges ,464.16,percent of total billed charges ,499.42,percent of total billed charges ,499.42,percent of total billed charges ,470.04,percent of total billed charges ,470.04,percent of total billed charges ,411.29,percent of total billed charges ,411.29,percent of total billed charges ,352.53,percent of total billed charges ,352.53,percent of total billed charges ,352.53,percent of total billed charges ,352.53,percent of total billed charges ,,,,,312.58,percent of total billed charges ,,,,,296.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,135.14,percent of total billed charges,,,135.14,percent of total billed charges,,,135.14,percent of total billed charges,,,135.14,percent of total billed charges,,,135.14,percent of total billed charges,,,135.14,percent of total billed charges,,,135.14,percent of total billed charges,,,135.14,percent of total billed charges,,,135.14,percent of total billed charges,,,135.14,percent of total billed charges,,,135.14,percent of total billed charges,
DiphenhydrAMINE(BENADRYL)INJ : 50 MG/ML,J1200,CDM,,,,both,1,each,85.04,85.04,19.56,85.04,85.04,percent of total billed charges,85.04,percent of total billed charges,85.04,percent of total billed charges,85.04,percent of total billed charges,85.04,percent of total billed charges,85.04,percent of total billed charges,85.04,percent of total billed charges,85.04,percent of total billed charges,61.23,percent of total billed charges,61.23,percent of total billed charges,61.23,percent of total billed charges,61.23,percent of total billed charges,61.23,percent of total billed charges,61.23,percent of total billed charges,67.18,percent of total billed charges,67.18,percent of total billed charges,68.03,percent of total billed charges,68.03,percent of total billed charges,,,61.23,percent of total billed charges ,,,68.03,percent of total billed charges ,67.18,percent of total billed charges ,67.18,percent of total billed charges ,72.28,percent of total billed charges ,72.28,percent of total billed charges ,68.03,percent of total billed charges ,68.03,percent of total billed charges ,59.53,percent of total billed charges ,59.53,percent of total billed charges ,51.02,percent of total billed charges ,51.02,percent of total billed charges ,51.02,percent of total billed charges ,51.02,percent of total billed charges ,,,,,45.24,percent of total billed charges ,,,,,42.98,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.56,percent of total billed charges,,,19.56,percent of total billed charges,,,19.56,percent of total billed charges,,,19.56,percent of total billed charges,,,19.56,percent of total billed charges,,,19.56,percent of total billed charges,,,19.56,percent of total billed charges,,,19.56,percent of total billed charges,,,19.56,percent of total billed charges,,,19.56,percent of total billed charges,,,19.56,percent of total billed charges,
FLUTICASONE (FLOVENT HFA) INHA : 44MCG,637,RC,66993-00-7896,NDC,,both,1,each,538.17,538.17,123.78,538.17,538.17,percent of total billed charges,538.17,percent of total billed charges,538.17,percent of total billed charges,538.17,percent of total billed charges,538.17,percent of total billed charges,538.17,percent of total billed charges,538.17,percent of total billed charges,538.17,percent of total billed charges,387.48,percent of total billed charges,387.48,percent of total billed charges,387.48,percent of total billed charges,387.48,percent of total billed charges,387.48,percent of total billed charges,387.48,percent of total billed charges,425.15,percent of total billed charges,425.15,percent of total billed charges,430.54,percent of total billed charges,430.54,percent of total billed charges,,,387.48,percent of total billed charges ,,,430.54,percent of total billed charges ,425.15,percent of total billed charges ,425.15,percent of total billed charges ,457.44,percent of total billed charges ,457.44,percent of total billed charges ,430.54,percent of total billed charges ,430.54,percent of total billed charges ,376.72,percent of total billed charges ,376.72,percent of total billed charges ,322.9,percent of total billed charges ,322.9,percent of total billed charges ,322.9,percent of total billed charges ,322.9,percent of total billed charges ,,,,,286.31,percent of total billed charges ,,,,,271.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,123.78,percent of total billed charges,,,123.78,percent of total billed charges,,,123.78,percent of total billed charges,,,123.78,percent of total billed charges,,,123.78,percent of total billed charges,,,123.78,percent of total billed charges,,,123.78,percent of total billed charges,,,123.78,percent of total billed charges,,,123.78,percent of total billed charges,,,123.78,percent of total billed charges,,,123.78,percent of total billed charges,
CYANOCOBALAMIN INJ : 1000MCG/ML,J3420,CDM,,,,both,1,each,34.72,34.72,7.99,34.72,34.72,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,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,27.43,percent of total billed charges,27.43,percent of total billed charges,27.78,percent of total billed charges,27.78,percent of total billed charges,,,25,percent of total billed charges ,,,27.78,percent of total billed charges ,27.43,percent of total billed charges ,27.43,percent of total billed charges ,29.51,percent of total billed charges ,29.51,percent of total billed charges ,27.78,percent of total billed charges ,27.78,percent of total billed charges ,24.3,percent of total billed charges ,24.3,percent of total billed charges ,20.83,percent of total billed charges ,20.83,percent of total billed charges ,20.83,percent of total billed charges ,20.83,percent of total billed charges ,,,,,18.47,percent of total billed charges ,,,,,17.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.99,percent of total billed charges,,,7.99,percent of total billed charges,,,7.99,percent of total billed charges,,,7.99,percent of total billed charges,,,7.99,percent of total billed charges,,,7.99,percent of total billed charges,,,7.99,percent of total billed charges,,,7.99,percent of total billed charges,,,7.99,percent of total billed charges,,,7.99,percent of total billed charges,,,7.99,percent of total billed charges,
**NOVOLIN N 1000ML DO NOT USE,Local ,Local ,,,,both,,,155,155,35.65,155,155,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,122.45,percent of total billed charges,122.45,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 ,122.45,percent of total billed charges ,122.45,percent of total billed charges ,131.75,percent of total billed charges ,131.75,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 ,,,,,,,,,,,,,,,,,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,
**BUPIVACAINE(SENSORCAINE)ING 1ML DO NOT,250,RC,00186-10-3301,NDC,,both,1,each,30,30,6.9,30,30,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,23.7,percent of total billed charges,23.7,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 ,23.7,percent of total billed charges ,23.7,percent of total billed charges ,25.5,percent of total billed charges ,25.5,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 ,,,,,,,,,,,,,,,,,,,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,
MUMPS SKIN TEST INJ : 0.1ML DOSE,250,RC,49281-02-4010,NDC,,both,1,each,73,73,16.79,73,73,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,57.67,percent of total billed charges,57.67,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 ,57.67,percent of total billed charges ,57.67,percent of total billed charges ,62.05,percent of total billed charges ,62.05,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 ,,,,,,,,,,,,,,,,,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,
BUPivacaine 0.75% SPINAL INJ : 1 AMP,250,RC,00409-36-1301,NDC,,both,1,each,34.83,34.83,8.01,34.83,34.83,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,25.08,percent of total billed charges,25.08,percent of total billed charges,25.08,percent of total billed charges,25.08,percent of total billed charges,25.08,percent of total billed charges,25.08,percent of total billed charges,27.52,percent of total billed charges,27.52,percent of total billed charges,27.86,percent of total billed charges,27.86,percent of total billed charges,,,25.08,percent of total billed charges ,,,27.86,percent of total billed charges ,27.52,percent of total billed charges ,27.52,percent of total billed charges ,29.61,percent of total billed charges ,29.61,percent of total billed charges ,27.86,percent of total billed charges ,27.86,percent of total billed charges ,24.38,percent of total billed charges ,24.38,percent of total billed charges ,20.9,percent of total billed charges ,20.9,percent of total billed charges ,20.9,percent of total billed charges ,20.9,percent of total billed charges ,,,,,18.53,percent of total billed charges ,,,,,17.6,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,
METHYLERGONOVINE INJ : 0.2MG/ML,J2210,CDM,,,,both,1,each,164,164,37.72,164,164,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,129.56,percent of total billed charges,129.56,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 ,129.56,percent of total billed charges ,129.56,percent of total billed charges ,139.4,percent of total billed charges ,139.4,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 ,,,,,,,,,,,,,,,,,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,
MAGNESIUM SULFATE 500MG/ML  : 20ML VIAL,J3475,CDM,,,,both,1,each,100,100,23,100,100,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,79,percent of total billed charges,79,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 ,79,percent of total billed charges ,79,percent of total billed charges ,85,percent of total billed charges ,85,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 ,,,,,,,,,,,,,,,,,,,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,,,23,percent of total billed charges,,,23,percent of total billed charges,,,23,percent of total billed charges,
MANNITOL 25% INJ: 50ML,J2150,CDM,,,,both,,,81,81,18.63,81,81,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,63.99,percent of total billed charges,63.99,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 ,63.99,percent of total billed charges ,63.99,percent of total billed charges ,68.85,percent of total billed charges ,68.85,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 ,,,,,,,,,,,,,,,,,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,
**MAGNESIUM INJ DO NOT SUE,250,RC,00517-26-1025,NDC,,both,1,each,51,51,11.73,51,51,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,40.29,percent of total billed charges,40.29,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 ,40.29,percent of total billed charges ,40.29,percent of total billed charges ,43.35,percent of total billed charges ,43.35,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 ,,,,,,,,,,,,,,,,,,,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,
METOPROLOL INJECTION : 5MG/5ML,J3490,CDM,,,,both,1,each,12.25,12.25,2.82,12.25,12.25,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,9.68,percent of total billed charges,9.68,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 ,9.68,percent of total billed charges ,9.68,percent of total billed charges ,10.41,percent of total billed charges ,10.41,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 ,,,,,,,,,,,,,,,,,,,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,,,2.82,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,
LIDOCAINE 2GM/D5W 250ML PREMIX,J2001,CDM,,,,both,1,each,115,115,26.45,115,115,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,90.85,percent of total billed charges,90.85,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 ,90.85,percent of total billed charges ,90.85,percent of total billed charges ,97.75,percent of total billed charges ,97.75,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 ,,,,,,,,,,,,,,,,,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,
LIDOCAINE 2% SYRINGE : 100MG/5ML,J2001,CDM,,,,both,1,each,37.9,37.9,8.72,37.9,37.9,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,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,27.29,percent of total billed charges,27.29,percent of total billed charges,27.29,percent of total billed charges,27.29,percent of total billed charges,27.29,percent of total billed charges,27.29,percent of total billed charges,29.94,percent of total billed charges,29.94,percent of total billed charges,30.32,percent of total billed charges,30.32,percent of total billed charges,,,27.29,percent of total billed charges ,,,30.32,percent of total billed charges ,29.94,percent of total billed charges ,29.94,percent of total billed charges ,32.22,percent of total billed charges ,32.22,percent of total billed charges ,30.32,percent of total billed charges ,30.32,percent of total billed charges ,26.53,percent of total billed charges ,26.53,percent of total billed charges ,22.74,percent of total billed charges ,22.74,percent of total billed charges ,22.74,percent of total billed charges ,22.74,percent of total billed charges ,,,,,20.16,percent of total billed charges ,,,,,19.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.72,percent of total billed charges,,,8.72,percent of total billed charges,,,8.72,percent of total billed charges,,,8.72,percent of total billed charges,,,8.72,percent of total billed charges,,,8.72,percent of total billed charges,,,8.72,percent of total billed charges,,,8.72,percent of total billed charges,,,8.72,percent of total billed charges,,,8.72,percent of total billed charges,,,8.72,percent of total billed charges,
POLI-GRIP CREAM : 1 TUBE,637,RC,10158-00-5402,NDC,,both,1,each,57.17,57.17,13.15,57.17,57.17,percent of total billed charges,57.17,percent of total billed charges,57.17,percent of total billed charges,57.17,percent of total billed charges,57.17,percent of total billed charges,57.17,percent of total billed charges,57.17,percent of total billed charges,57.17,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,45.16,percent of total billed charges,45.16,percent of total billed charges,45.74,percent of total billed charges,45.74,percent of total billed charges,,,41.16,percent of total billed charges ,,,45.74,percent of total billed charges ,45.16,percent of total billed charges ,45.16,percent of total billed charges ,48.59,percent of total billed charges ,48.59,percent of total billed charges ,45.74,percent of total billed charges ,45.74,percent of total billed charges ,40.02,percent of total billed charges ,40.02,percent of total billed charges ,34.3,percent of total billed charges ,34.3,percent of total billed charges ,34.3,percent of total billed charges ,34.3,percent of total billed charges ,,,,,30.41,percent of total billed charges ,,,,,28.89,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,,,13.15,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,
**CHLORDIAZEPOXIDE(LIBRIUM) 100MG DO NOT,J1990,CDM,,,,both,1,each,80,80,18.4,80,80,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,63.2,percent of total billed charges,63.2,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 ,63.2,percent of total billed charges ,63.2,percent of total billed charges ,68,percent of total billed charges ,68,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 ,,,,,,,,,,,,,,,,,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,
NORepinephrine (LEVOPHED) INJ: 4MG/4ML,250,RC,00409-33-7504,NDC,,both,1,each,70.74,70.74,16.27,70.74,70.74,percent of total billed charges,70.74,percent of total billed charges,70.74,percent of total billed charges,70.74,percent of total billed charges,70.74,percent of total billed charges,70.74,percent of total billed charges,70.74,percent of total billed charges,70.74,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,50.93,percent of total billed charges,50.93,percent of total billed charges,55.88,percent of total billed charges,55.88,percent of total billed charges,56.59,percent of total billed charges,56.59,percent of total billed charges,,,50.93,percent of total billed charges ,,,56.59,percent of total billed charges ,55.88,percent of total billed charges ,55.88,percent of total billed charges ,60.13,percent of total billed charges ,60.13,percent of total billed charges ,56.59,percent of total billed charges ,56.59,percent of total billed charges ,49.52,percent of total billed charges ,49.52,percent of total billed charges ,42.44,percent of total billed charges ,42.44,percent of total billed charges ,42.44,percent of total billed charges ,42.44,percent of total billed charges ,,,,,37.63,percent of total billed charges ,,,,,35.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.27,percent of total billed charges,,,16.27,percent of total billed charges,,,16.27,percent of total billed charges,,,16.27,percent of total billed charges,,,16.27,percent of total billed charges,,,16.27,percent of total billed charges,,,16.27,percent of total billed charges,,,16.27,percent of total billed charges,,,16.27,percent of total billed charges,,,16.27,percent of total billed charges,,,16.27,percent of total billed charges,
FUROSEMIDE (LASIX) INJ : 100MG/10ML,J1940,CDM,,,,both,1,each,41.79,41.79,9.61,41.79,41.79,percent of total billed charges,41.79,percent of total billed charges,41.79,percent of total billed charges,41.79,percent of total billed charges,41.79,percent of total billed charges,41.79,percent of total billed charges,41.79,percent of total billed charges,41.79,percent of total billed charges,30.09,percent of total billed charges,30.09,percent of total billed charges,30.09,percent of total billed charges,30.09,percent of total billed charges,30.09,percent of total billed charges,30.09,percent of total billed charges,33.01,percent of total billed charges,33.01,percent of total billed charges,33.43,percent of total billed charges,33.43,percent of total billed charges,,,30.09,percent of total billed charges ,,,33.43,percent of total billed charges ,33.01,percent of total billed charges ,33.01,percent of total billed charges ,35.52,percent of total billed charges ,35.52,percent of total billed charges ,33.43,percent of total billed charges ,33.43,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 ,,,,,,,,,,,,,,,,,,,9.61,percent of total billed charges,,,9.61,percent of total billed charges,,,9.61,percent of total billed charges,,,9.61,percent of total billed charges,,,9.61,percent of total billed charges,,,9.61,percent of total billed charges,,,9.61,percent of total billed charges,,,9.61,percent of total billed charges,,,9.61,percent of total billed charges,,,9.61,percent of total billed charges,,,9.61,percent of total billed charges,
FUROSEMIDE (LASIX) INJ : 40MG/4ML,J1940,CDM,,,,both,1,each,12.31,12.31,2.83,12.31,12.31,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,8.86,percent of total billed charges,8.86,percent of total billed charges,8.86,percent of total billed charges,8.86,percent of total billed charges,8.86,percent of total billed charges,8.86,percent of total billed charges,9.72,percent of total billed charges,9.72,percent of total billed charges,9.85,percent of total billed charges,9.85,percent of total billed charges,,,8.86,percent of total billed charges ,,,9.85,percent of total billed charges ,9.72,percent of total billed charges ,9.72,percent of total billed charges ,10.46,percent of total billed charges ,10.46,percent of total billed charges ,9.85,percent of total billed charges ,9.85,percent of total billed charges ,8.62,percent of total billed charges ,8.62,percent of total billed charges ,7.39,percent of total billed charges ,7.39,percent of total billed charges ,7.39,percent of total billed charges ,7.39,percent of total billed charges ,,,,,6.55,percent of total billed charges ,,,,,6.22,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,,,2.83,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,
FUROSEMIDE (LASIX) INJ : 20MG/2ML,J1940,CDM,,,,both,1,each,25.72,25.72,5.92,25.72,25.72,percent of total billed charges,25.72,percent of total billed charges,25.72,percent of total billed charges,25.72,percent of total billed charges,25.72,percent of total billed charges,25.72,percent of total billed charges,25.72,percent of total billed charges,25.72,percent of total billed charges,18.52,percent of total billed charges,18.52,percent of total billed charges,18.52,percent of total billed charges,18.52,percent of total billed charges,18.52,percent of total billed charges,18.52,percent of total billed charges,20.32,percent of total billed charges,20.32,percent of total billed charges,20.58,percent of total billed charges,20.58,percent of total billed charges,,,18.52,percent of total billed charges ,,,20.58,percent of total billed charges ,20.32,percent of total billed charges ,20.32,percent of total billed charges ,21.86,percent of total billed charges ,21.86,percent of total billed charges ,20.58,percent of total billed charges ,20.58,percent of total billed charges ,18,percent of total billed charges ,18,percent of total billed charges ,15.43,percent of total billed charges ,15.43,percent of total billed charges ,15.43,percent of total billed charges ,15.43,percent of total billed charges ,,,,,13.68,percent of total billed charges ,,,,,13,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,,,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,
TRIAMCINOLONE(KENALOG-40MG/ML)INJ : 5ML,J3301,CDM,,,,both,1,each,400,400,92,400,400,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,400,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,316,percent of total billed charges,316,percent of total billed charges,320,percent of total billed charges,320,percent of total billed charges,,,288,percent of total billed charges ,,,320,percent of total billed charges ,316,percent of total billed charges ,316,percent of total billed charges ,340,percent of total billed charges ,340,percent of total billed charges ,320,percent of total billed charges ,320,percent of total billed charges ,280,percent of total billed charges ,280,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 ,,,,,212.8,percent of total billed charges ,,,,,202.16,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,,,92,percent of total billed charges,,,92,percent of total billed charges,,,92,percent of total billed charges,,,92,percent of total billed charges,
**ISOPROTERENOL INJ .200 MG DO NOT USE,250,RC,00409-14-1005,NDC,,both,1,each,73,73,16.79,73,73,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,57.67,percent of total billed charges,57.67,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 ,57.67,percent of total billed charges ,57.67,percent of total billed charges ,62.05,percent of total billed charges ,62.05,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 ,,,,,,,,,,,,,,,,,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,
PROPRANOLOL (INDERAL) INJ : 1MG/ML,J1800,CDM,,,,both,1,each,25.36,25.36,5.83,25.36,25.36,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,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,20.03,percent of total billed charges,20.03,percent of total billed charges,20.29,percent of total billed charges,20.29,percent of total billed charges,,,18.26,percent of total billed charges ,,,20.29,percent of total billed charges ,20.03,percent of total billed charges ,20.03,percent of total billed charges ,21.56,percent of total billed charges ,21.56,percent of total billed charges ,20.29,percent of total billed charges ,20.29,percent of total billed charges ,17.75,percent of total billed charges ,17.75,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 ,,,,,13.49,percent of total billed charges ,,,,,12.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.83,percent of total billed charges,,,5.83,percent of total billed charges,,,5.83,percent of total billed charges,,,5.83,percent of total billed charges,,,5.83,percent of total billed charges,,,5.83,percent of total billed charges,,,5.83,percent of total billed charges,,,5.83,percent of total billed charges,,,5.83,percent of total billed charges,,,5.83,percent of total billed charges,,,5.83,percent of total billed charges,
**TESANUS (HYPER-TET) INJ DO NOT USE,90389,CDM,,,,both,1,each,624,624,143.52,624,624,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,492.96,percent of total billed charges,492.96,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 ,492.96,percent of total billed charges ,492.96,percent of total billed charges ,530.4,percent of total billed charges ,530.4,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 ,,,,,,,,,,,,,,,,,,,143.52,percent of total billed charges,,,143.52,percent of total billed charges,,,143.52,percent of total billed charges,,,143.52,percent of total billed charges,,,143.52,percent of total billed charges,,,143.52,percent of total billed charges,,,143.52,percent of total billed charges,,,143.52,percent of total billed charges,,,143.52,percent of total billed charges,,,143.52,percent of total billed charges,,,143.52,percent of total billed charges,
HEPATITIS B PEDIATRIC VACCINE :,90744,CDM,,,,both,1,each,247,247,56.81,247,247,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,195.13,percent of total billed charges,195.13,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 ,195.13,percent of total billed charges ,195.13,percent of total billed charges ,209.95,percent of total billed charges ,209.95,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 ,,,,,,,,,,,,,,,,,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,
**HEPATITIS B IMMUNE INJ 0.5ML DO NOT US,250,RC,00026-06-3600,NDC,,both,1,each,177,177,40.71,177,177,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,139.83,percent of total billed charges,139.83,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 ,139.83,percent of total billed charges ,139.83,percent of total billed charges ,150.45,percent of total billed charges ,150.45,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 ,,,,,,,,,,,,,,,,,,,40.71,percent of total billed charges,,,40.71,percent of total billed charges,,,40.71,percent of total billed charges,,,40.71,percent of total billed charges,,,40.71,percent of total billed charges,,,40.71,percent of total billed charges,,,40.71,percent of total billed charges,,,40.71,percent of total billed charges,,,40.71,percent of total billed charges,,,40.71,percent of total billed charges,,,40.71,percent of total billed charges,
"HEPARIN INJ : 1000 UN/ML, 1ML VIAL",J1644,CDM,,,,both,1,each,14.92,14.92,3.43,14.92,14.92,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,14.92,percent of total billed charges,14.92,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,11.79,percent of total billed charges,11.79,percent of total billed charges,11.94,percent of total billed charges,11.94,percent of total billed charges,,,10.74,percent of total billed charges ,,,11.94,percent of total billed charges ,11.79,percent of total billed charges ,11.79,percent of total billed charges ,12.68,percent of total billed charges ,12.68,percent of total billed charges ,11.94,percent of total billed charges ,11.94,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 ,,,,,7.94,percent of total billed charges ,,,,,7.54,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,
HEPARIN INJ : 5000 UN/ML,J1644,CDM,,,,both,1,each,16.04,16.04,3.69,16.04,16.04,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,11.55,percent of total billed charges,11.55,percent of total billed charges,11.55,percent of total billed charges,11.55,percent of total billed charges,11.55,percent of total billed charges,11.55,percent of total billed charges,12.67,percent of total billed charges,12.67,percent of total billed charges,12.83,percent of total billed charges,12.83,percent of total billed charges,,,11.55,percent of total billed charges ,,,12.83,percent of total billed charges ,12.67,percent of total billed charges ,12.67,percent of total billed charges ,13.63,percent of total billed charges ,13.63,percent of total billed charges ,12.83,percent of total billed charges ,12.83,percent of total billed charges ,11.23,percent of total billed charges ,11.23,percent of total billed charges ,9.62,percent of total billed charges ,9.62,percent of total billed charges ,9.62,percent of total billed charges ,9.62,percent of total billed charges ,,,,,8.53,percent of total billed charges ,,,,,8.11,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,,,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,
MILK OF MAGNESIA SUSP : 360ML BULK*,637,RC,00182-60-8439,NDC,,both,1,each,16,16,3.68,16,16,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,12.64,percent of total billed charges,12.64,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 ,12.64,percent of total billed charges ,12.64,percent of total billed charges ,13.6,percent of total billed charges ,13.6,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 ,,,,,,,,,,,,,,,,,,,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,,,3.68,percent of total billed charges,,,3.68,percent of total billed charges,,,3.68,percent of total billed charges,
HALOPERIDOL IM INJ : 5MG/ML  1ML,J1630,CDM,,,,both,1,each,7.87,7.87,1.81,7.87,7.87,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,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,6.22,percent of total billed charges,6.22,percent of total billed charges,6.3,percent of total billed charges,6.3,percent of total billed charges,,,5.67,percent of total billed charges ,,,6.3,percent of total billed charges ,6.22,percent of total billed charges ,6.22,percent of total billed charges ,6.69,percent of total billed charges ,6.69,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,5.51,percent of total billed charges ,5.51,percent of total billed charges ,4.72,percent of total billed charges ,4.72,percent of total billed charges ,4.72,percent of total billed charges ,4.72,percent of total billed charges ,,,,,4.19,percent of total billed charges ,,,,,3.98,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,
**HALOPERIDOL DECANOATE DO NOT USE,J1631,CDM,,,,both,1,each,172,172,39.56,172,172,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,135.88,percent of total billed charges,135.88,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 ,135.88,percent of total billed charges ,135.88,percent of total billed charges ,146.2,percent of total billed charges ,146.2,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 ,,,,,,,,,,,,,,,,,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,
GENTAMICIN INJ : 80MG/2ML,J1580,CDM,,,,both,1,each,56.73,56.73,13.05,56.73,56.73,percent of total billed charges,56.73,percent of total billed charges,56.73,percent of total billed charges,56.73,percent of total billed charges,56.73,percent of total billed charges,56.73,percent of total billed charges,56.73,percent of total billed charges,56.73,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,44.82,percent of total billed charges,44.82,percent of total billed charges,45.38,percent of total billed charges,45.38,percent of total billed charges,,,40.85,percent of total billed charges ,,,45.38,percent of total billed charges ,44.82,percent of total billed charges ,44.82,percent of total billed charges ,48.22,percent of total billed charges ,48.22,percent of total billed charges ,45.38,percent of total billed charges ,45.38,percent of total billed charges ,39.71,percent of total billed charges ,39.71,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 ,,,,,30.18,percent of total billed charges ,,,,,28.67,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,,,13.05,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,
**IMMUNE GLOBULIN (POLYGAM S/D)10GM,J1566,CDM,,,,both,1,each,201,201,46.23,201,201,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,158.79,percent of total billed charges,158.79,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 ,158.79,percent of total billed charges ,158.79,percent of total billed charges ,170.85,percent of total billed charges ,170.85,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 ,,,,,,,,,,,,,,,,,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,
FOLIC ACID INJ : 5MG/ML  10ML,J3490,CDM,,,,both,1,each,247.55,247.55,56.94,247.55,247.55,percent of total billed charges,247.55,percent of total billed charges,247.55,percent of total billed charges,247.55,percent of total billed charges,247.55,percent of total billed charges,247.55,percent of total billed charges,247.55,percent of total billed charges,247.55,percent of total billed charges,178.24,percent of total billed charges,178.24,percent of total billed charges,178.24,percent of total billed charges,178.24,percent of total billed charges,178.24,percent of total billed charges,178.24,percent of total billed charges,195.56,percent of total billed charges,195.56,percent of total billed charges,198.04,percent of total billed charges,198.04,percent of total billed charges,,,178.24,percent of total billed charges ,,,198.04,percent of total billed charges ,195.56,percent of total billed charges ,195.56,percent of total billed charges ,210.42,percent of total billed charges ,210.42,percent of total billed charges ,198.04,percent of total billed charges ,198.04,percent of total billed charges ,173.29,percent of total billed charges ,173.29,percent of total billed charges ,148.53,percent of total billed charges ,148.53,percent of total billed charges ,148.53,percent of total billed charges ,148.53,percent of total billed charges ,,,,,131.7,percent of total billed charges ,,,,,125.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,56.94,percent of total billed charges,,,56.94,percent of total billed charges,,,56.94,percent of total billed charges,,,56.94,percent of total billed charges,,,56.94,percent of total billed charges,,,56.94,percent of total billed charges,,,56.94,percent of total billed charges,,,56.94,percent of total billed charges,,,56.94,percent of total billed charges,,,56.94,percent of total billed charges,,,56.94,percent of total billed charges,
SODIUM HYPOCHLORITE 0.25% SOL,250,RC,00436-09-3616,NDC,,both,1,each,59.82,59.82,13.76,59.82,59.82,percent of total billed charges,59.82,percent of total billed charges,59.82,percent of total billed charges,59.82,percent of total billed charges,59.82,percent of total billed charges,59.82,percent of total billed charges,59.82,percent of total billed charges,59.82,percent of total billed charges,43.07,percent of total billed charges,43.07,percent of total billed charges,43.07,percent of total billed charges,43.07,percent of total billed charges,43.07,percent of total billed charges,43.07,percent of total billed charges,47.26,percent of total billed charges,47.26,percent of total billed charges,47.86,percent of total billed charges,47.86,percent of total billed charges,,,43.07,percent of total billed charges ,,,47.86,percent of total billed charges ,47.26,percent of total billed charges ,47.26,percent of total billed charges ,50.85,percent of total billed charges ,50.85,percent of total billed charges ,47.86,percent of total billed charges ,47.86,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 ,,,,,,,,,,,,,,,,,,,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,
EPHEDrine SULFATE INJ : 50MG/1ML,250,RC,51754-42-0004,NDC,,both,1,each,215.11,215.11,49.48,215.11,215.11,percent of total billed charges,215.11,percent of total billed charges,215.11,percent of total billed charges,215.11,percent of total billed charges,215.11,percent of total billed charges,215.11,percent of total billed charges,215.11,percent of total billed charges,215.11,percent of total billed charges,154.88,percent of total billed charges,154.88,percent of total billed charges,154.88,percent of total billed charges,154.88,percent of total billed charges,154.88,percent of total billed charges,154.88,percent of total billed charges,169.94,percent of total billed charges,169.94,percent of total billed charges,172.09,percent of total billed charges,172.09,percent of total billed charges,,,154.88,percent of total billed charges ,,,172.09,percent of total billed charges ,169.94,percent of total billed charges ,169.94,percent of total billed charges ,182.84,percent of total billed charges ,182.84,percent of total billed charges ,172.09,percent of total billed charges ,172.09,percent of total billed charges ,150.58,percent of total billed charges ,150.58,percent of total billed charges ,129.07,percent of total billed charges ,129.07,percent of total billed charges ,129.07,percent of total billed charges ,129.07,percent of total billed charges ,,,,,114.44,percent of total billed charges ,,,,,108.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,49.48,percent of total billed charges,,,49.48,percent of total billed charges,,,49.48,percent of total billed charges,,,49.48,percent of total billed charges,,,49.48,percent of total billed charges,,,49.48,percent of total billed charges,,,49.48,percent of total billed charges,,,49.48,percent of total billed charges,,,49.48,percent of total billed charges,,,49.48,percent of total billed charges,,,49.48,percent of total billed charges,
GENTAMICIN INJ : 20MG/2ML,J1580,CDM,,,,both,1,each,21.87,21.87,5.03,21.87,21.87,percent of total billed charges,21.87,percent of total billed charges,21.87,percent of total billed charges,21.87,percent of total billed charges,21.87,percent of total billed charges,21.87,percent of total billed charges,21.87,percent of total billed charges,21.87,percent of total billed charges,15.75,percent of total billed charges,15.75,percent of total billed charges,15.75,percent of total billed charges,15.75,percent of total billed charges,15.75,percent of total billed charges,15.75,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.5,percent of total billed charges,17.5,percent of total billed charges,,,15.75,percent of total billed charges ,,,17.5,percent of total billed charges ,17.28,percent of total billed charges ,17.28,percent of total billed charges ,18.59,percent of total billed charges ,18.59,percent of total billed charges ,17.5,percent of total billed charges ,17.5,percent of total billed charges ,15.31,percent of total billed charges ,15.31,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 ,,,,,11.63,percent of total billed charges ,,,,,11.05,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,
GELFOAM SPONGE SIZE 200 : 1 SPONGE,270,RC,00009-03-4903,NDC,,both,1,each,113.11,113.11,26.02,113.11,113.11,percent of total billed charges,113.11,percent of total billed charges,113.11,percent of total billed charges,113.11,percent of total billed charges,113.11,percent of total billed charges,113.11,percent of total billed charges,113.11,percent of total billed charges,113.11,percent of total billed charges,81.44,percent of total billed charges,81.44,percent of total billed charges,81.44,percent of total billed charges,81.44,percent of total billed charges,81.44,percent of total billed charges,81.44,percent of total billed charges,89.36,percent of total billed charges,89.36,percent of total billed charges,90.49,percent of total billed charges,90.49,percent of total billed charges,,,81.44,percent of total billed charges ,,,90.49,percent of total billed charges ,89.36,percent of total billed charges ,89.36,percent of total billed charges ,96.14,percent of total billed charges ,96.14,percent of total billed charges ,90.49,percent of total billed charges ,90.49,percent of total billed charges ,79.18,percent of total billed charges ,79.18,percent of total billed charges ,67.87,percent of total billed charges ,67.87,percent of total billed charges ,67.87,percent of total billed charges ,67.87,percent of total billed charges ,,,,,60.17,percent of total billed charges ,,,,,57.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.02,percent of total billed charges,,,26.02,percent of total billed charges,,,26.02,percent of total billed charges,,,26.02,percent of total billed charges,,,26.02,percent of total billed charges,,,26.02,percent of total billed charges,,,26.02,percent of total billed charges,,,26.02,percent of total billed charges,,,26.02,percent of total billed charges,,,26.02,percent of total billed charges,,,26.02,percent of total billed charges,
**ERTHROMYCIN LACTOBIONATE INJ DO NOT US,J1364,CDM,,,,both,1,each,171,171,39.33,171,171,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,135.09,percent of total billed charges,135.09,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 ,135.09,percent of total billed charges ,135.09,percent of total billed charges ,145.35,percent of total billed charges ,145.35,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 ,,,,,,,,,,,,,,,,,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,
**ERTHROMYCIN LACTOBIONATE DO NOT USE,J1364,CDM,,,,both,1,each,181,181,41.63,181,181,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,142.99,percent of total billed charges,142.99,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 ,142.99,percent of total billed charges ,142.99,percent of total billed charges ,153.85,percent of total billed charges ,153.85,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,41.63,percent of total billed charges,,,41.63,percent of total billed charges,,,41.63,percent of total billed charges,
**EPINEPHRINE HCL DO NOT USE,250,RC,00409-72-4101,NDC,,both,1,each,75,75,17.25,75,75,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,59.25,percent of total billed charges,59.25,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 ,59.25,percent of total billed charges ,59.25,percent of total billed charges ,63.75,percent of total billed charges ,63.75,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 ,,,,,,,,,,,,,,,,,,,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,,,17.25,percent of total billed charges,,,17.25,percent of total billed charges,,,17.25,percent of total billed charges,
EPINEPHrine 0.1MG/ML SYRINGE : 10ML,J0171,CDM,,,,both,1,each,113.8,113.8,26.17,113.8,113.8,percent of total billed charges,113.8,percent of total billed charges,113.8,percent of total billed charges,113.8,percent of total billed charges,113.8,percent of total billed charges,113.8,percent of total billed charges,113.8,percent of total billed charges,113.8,percent of total billed charges,81.94,percent of total billed charges,81.94,percent of total billed charges,81.94,percent of total billed charges,81.94,percent of total billed charges,81.94,percent of total billed charges,81.94,percent of total billed charges,89.9,percent of total billed charges,89.9,percent of total billed charges,91.04,percent of total billed charges,91.04,percent of total billed charges,,,81.94,percent of total billed charges ,,,91.04,percent of total billed charges ,89.9,percent of total billed charges ,89.9,percent of total billed charges ,96.73,percent of total billed charges ,96.73,percent of total billed charges ,91.04,percent of total billed charges ,91.04,percent of total billed charges ,79.66,percent of total billed charges ,79.66,percent of total billed charges ,68.28,percent of total billed charges ,68.28,percent of total billed charges ,68.28,percent of total billed charges ,68.28,percent of total billed charges ,,,,,60.54,percent of total billed charges ,,,,,57.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.17,percent of total billed charges,,,26.17,percent of total billed charges,,,26.17,percent of total billed charges,,,26.17,percent of total billed charges,,,26.17,percent of total billed charges,,,26.17,percent of total billed charges,,,26.17,percent of total billed charges,,,26.17,percent of total billed charges,,,26.17,percent of total billed charges,,,26.17,percent of total billed charges,,,26.17,percent of total billed charges,
SULFAMETH/TRIMETH IV : 800-160/10ML,J3490,CDM,,,,both,1,each,54,54,12.42,54,54,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,42.66,percent of total billed charges,42.66,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 ,42.66,percent of total billed charges ,42.66,percent of total billed charges ,45.9,percent of total billed charges ,45.9,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 ,,,,,,,,,,,,,,,,,,,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,,,12.42,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,
**SEPTRA IV 5ML DO NOT USE,Local ,Local ,,,,both,,,55,55,12.65,55,55,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,43.45,percent of total billed charges,43.45,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 ,43.45,percent of total billed charges ,43.45,percent of total billed charges ,46.75,percent of total billed charges ,46.75,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 ,,,,,,,,,,,,,,,,,,,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,
CefTRIAXone(ROCEPHIN) INJ : 500 MG,J0696,CDM,,,,both,1,each,12.73,12.73,2.93,12.73,12.73,percent of total billed charges,12.73,percent of total billed charges,12.73,percent of total billed charges,12.73,percent of total billed charges,12.73,percent of total billed charges,12.73,percent of total billed charges,12.73,percent of total billed charges,12.73,percent of total billed charges,9.17,percent of total billed charges,9.17,percent of total billed charges,9.17,percent of total billed charges,9.17,percent of total billed charges,9.17,percent of total billed charges,9.17,percent of total billed charges,10.06,percent of total billed charges,10.06,percent of total billed charges,10.18,percent of total billed charges,10.18,percent of total billed charges,,,9.17,percent of total billed charges ,,,10.18,percent of total billed charges ,10.06,percent of total billed charges ,10.06,percent of total billed charges ,10.82,percent of total billed charges ,10.82,percent of total billed charges ,10.18,percent of total billed charges ,10.18,percent of total billed charges ,8.91,percent of total billed charges ,8.91,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 ,,,,,6.77,percent of total billed charges ,,,,,6.43,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,
**RUBELLA VIRUS VACCINE LIVE : 0.5ML*,90706,CDM,,,,both,1,each,177,177,40.71,177,177,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,139.83,percent of total billed charges,139.83,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 ,139.83,percent of total billed charges ,139.83,percent of total billed charges ,150.45,percent of total billed charges ,150.45,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 ,,,,,,,,,,,,,,,,,,,40.71,percent of total billed charges,,,40.71,percent of total billed charges,,,40.71,percent of total billed charges,,,40.71,percent of total billed charges,,,40.71,percent of total billed charges,,,40.71,percent of total billed charges,,,40.71,percent of total billed charges,,,40.71,percent of total billed charges,,,40.71,percent of total billed charges,,,40.71,percent of total billed charges,,,40.71,percent of total billed charges,
CefTRIAXone (ROCEPHIN)  : 2GM INJ,J0696,CDM,,,,both,1,each,32.64,32.64,7.51,32.64,32.64,percent of total billed charges,32.64,percent of total billed charges,32.64,percent of total billed charges,32.64,percent of total billed charges,32.64,percent of total billed charges,32.64,percent of total billed charges,32.64,percent of total billed charges,32.64,percent of total billed charges,23.5,percent of total billed charges,23.5,percent of total billed charges,23.5,percent of total billed charges,23.5,percent of total billed charges,23.5,percent of total billed charges,23.5,percent of total billed charges,25.79,percent of total billed charges,25.79,percent of total billed charges,26.11,percent of total billed charges,26.11,percent of total billed charges,,,23.5,percent of total billed charges ,,,26.11,percent of total billed charges ,25.79,percent of total billed charges ,25.79,percent of total billed charges ,27.74,percent of total billed charges ,27.74,percent of total billed charges ,26.11,percent of total billed charges ,26.11,percent of total billed charges ,22.85,percent of total billed charges ,22.85,percent of total billed charges ,19.58,percent of total billed charges ,19.58,percent of total billed charges ,19.58,percent of total billed charges ,19.58,percent of total billed charges ,,,,,17.36,percent of total billed charges ,,,,,16.5,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,,,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,,,7.51,percent of total billed charges,,,7.51,percent of total billed charges,,,7.51,percent of total billed charges,
CefTRIAXone (ROCEPHIN) ADD INJ : 1GM,J0696,CDM,,,,both,1,each,14,14,3.22,14,14,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,11.06,percent of total billed charges,11.06,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 ,11.06,percent of total billed charges ,11.06,percent of total billed charges ,11.9,percent of total billed charges ,11.9,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 ,,,,,,,,,,,,,,,,,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,
"GLYCOPYRROLATE INJ 0.2MG/ML, 2ML",250,RC,00143-96-8125,NDC,,both,1,each,175,175,40.25,175,175,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,138.25,percent of total billed charges,138.25,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 ,138.25,percent of total billed charges ,138.25,percent of total billed charges ,148.75,percent of total billed charges ,148.75,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 ,,,,,,,,,,,,,,,,,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,
METOCLOPRAMIDE (REGLAN) INJ : 10MG/2ML,J2765,CDM,,,,both,1,each,18.09,18.09,4.16,18.09,18.09,percent of total billed charges,18.09,percent of total billed charges,18.09,percent of total billed charges,18.09,percent of total billed charges,18.09,percent of total billed charges,18.09,percent of total billed charges,18.09,percent of total billed charges,18.09,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,14.29,percent of total billed charges,14.29,percent of total billed charges,14.47,percent of total billed charges,14.47,percent of total billed charges,,,13.02,percent of total billed charges ,,,14.47,percent of total billed charges ,14.29,percent of total billed charges ,14.29,percent of total billed charges ,15.38,percent of total billed charges ,15.38,percent of total billed charges ,14.47,percent of total billed charges ,14.47,percent of total billed charges ,12.66,percent of total billed charges ,12.66,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 ,,,,,9.62,percent of total billed charges ,,,,,9.14,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,
PHENTOLAMINE MESYLATE INJ : 5MG*,J2760,CDM,,,,both,1,each,925,925,212.75,925,925,percent of total billed charges,925,percent of total billed charges,925,percent of total billed charges,925,percent of total billed charges,925,percent of total billed charges,925,percent of total billed charges,925,percent of total billed charges,925,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,730.75,percent of total billed charges,730.75,percent of total billed charges,740,percent of total billed charges,740,percent of total billed charges,,,666,percent of total billed charges ,,,740,percent of total billed charges ,730.75,percent of total billed charges ,730.75,percent of total billed charges ,786.25,percent of total billed charges ,786.25,percent of total billed charges ,740,percent of total billed charges ,740,percent of total billed charges ,647.5,percent of total billed charges ,647.5,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 ,,,,,492.1,percent of total billed charges ,,,,,467.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,
**QUINIDINE INJ 800MG/10ML DO NOT USE,250,RC,00002-14-0701,NDC,,both,1,each,137,137,31.51,137,137,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,108.23,percent of total billed charges,108.23,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 ,108.23,percent of total billed charges ,108.23,percent of total billed charges ,116.45,percent of total billed charges ,116.45,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 ,,,,,,,,,,,,,,,,,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,
PROCAINAMIDE INJ : 1GM,J2690,CDM,,,,both,1,each,583.12,583.12,134.12,583.12,583.12,percent of total billed charges,583.12,percent of total billed charges,583.12,percent of total billed charges,583.12,percent of total billed charges,583.12,percent of total billed charges,583.12,percent of total billed charges,583.12,percent of total billed charges,583.12,percent of total billed charges,419.85,percent of total billed charges,419.85,percent of total billed charges,419.85,percent of total billed charges,419.85,percent of total billed charges,419.85,percent of total billed charges,419.85,percent of total billed charges,460.66,percent of total billed charges,460.66,percent of total billed charges,466.5,percent of total billed charges,466.5,percent of total billed charges,,,419.85,percent of total billed charges ,,,466.5,percent of total billed charges ,460.66,percent of total billed charges ,460.66,percent of total billed charges ,495.65,percent of total billed charges ,495.65,percent of total billed charges ,466.5,percent of total billed charges ,466.5,percent of total billed charges ,408.18,percent of total billed charges ,408.18,percent of total billed charges ,349.87,percent of total billed charges ,349.87,percent of total billed charges ,349.87,percent of total billed charges ,349.87,percent of total billed charges ,,,,,310.22,percent of total billed charges ,,,,,294.71,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,
**POLIXIN DECANOATE INJ DO NOT USE,J2680,CDM,,,,both,1,each,104,104,23.92,104,104,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,82.16,percent of total billed charges,82.16,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 ,82.16,percent of total billed charges ,82.16,percent of total billed charges ,88.4,percent of total billed charges ,88.4,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 ,,,,,,,,,,,,,,,,,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,
**CONJUCATED ESTROGEN INJ 25MG DO NOT US,250,RC,00046-07-4905,NDC,,both,1,each,199,199,45.77,199,199,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,157.21,percent of total billed charges,157.21,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 ,157.21,percent of total billed charges ,157.21,percent of total billed charges ,169.15,percent of total billed charges ,169.15,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 ,,,,,,,,,,,,,,,,,,,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,,,45.77,percent of total billed charges,,,45.77,percent of total billed charges,,,45.77,percent of total billed charges,
POTASSIUM CL INJ : 40MEQ/20ML,J3480,CDM,,,,both,1,each,13.62,13.62,3.13,13.62,13.62,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,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,10.76,percent of total billed charges,10.76,percent of total billed charges,10.9,percent of total billed charges,10.9,percent of total billed charges,,,9.81,percent of total billed charges ,,,10.9,percent of total billed charges ,10.76,percent of total billed charges ,10.76,percent of total billed charges ,11.58,percent of total billed charges ,11.58,percent of total billed charges ,10.9,percent of total billed charges ,10.9,percent of total billed charges ,9.53,percent of total billed charges ,9.53,percent of total billed charges ,8.17,percent of total billed charges ,8.17,percent of total billed charges ,8.17,percent of total billed charges ,8.17,percent of total billed charges ,,,,,7.25,percent of total billed charges ,,,,,6.88,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,
**POVIDONE(BETHADINE) VAL GEL DO NOT USE,637,RC,00034-23-7230,NDC,,both,,,38,38,8.74,38,38,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,30.02,percent of total billed charges,30.02,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 ,30.02,percent of total billed charges ,30.02,percent of total billed charges ,32.3,percent of total billed charges ,32.3,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 ,,,,,,,,,,,,,,,,,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,
POTASSIUM CL INJ : 20MEQ/10ML,J3480,CDM,,,,both,1,each,9.37,9.37,2.16,9.37,9.37,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,9.37,percent of total billed charges,9.37,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,6.75,percent of total billed charges,6.75,percent of total billed charges,7.4,percent of total billed charges,7.4,percent of total billed charges,7.5,percent of total billed charges,7.5,percent of total billed charges,,,6.75,percent of total billed charges ,,,7.5,percent of total billed charges ,7.4,percent of total billed charges ,7.4,percent of total billed charges ,7.96,percent of total billed charges ,7.96,percent of total billed charges ,7.5,percent of total billed charges ,7.5,percent of total billed charges ,6.56,percent of total billed charges ,6.56,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 ,,,,,4.98,percent of total billed charges ,,,,,4.74,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,
VASOPRESSIN INJ: 20 UNITS/ML,250,RC,63323-03-0201,NDC,,both,1,each,638.31,638.31,146.81,638.31,638.31,percent of total billed charges,638.31,percent of total billed charges,638.31,percent of total billed charges,638.31,percent of total billed charges,638.31,percent of total billed charges,638.31,percent of total billed charges,638.31,percent of total billed charges,638.31,percent of total billed charges,459.58,percent of total billed charges,459.58,percent of total billed charges,459.58,percent of total billed charges,459.58,percent of total billed charges,459.58,percent of total billed charges,459.58,percent of total billed charges,504.26,percent of total billed charges,504.26,percent of total billed charges,510.65,percent of total billed charges,510.65,percent of total billed charges,,,459.58,percent of total billed charges ,,,510.65,percent of total billed charges ,504.26,percent of total billed charges ,504.26,percent of total billed charges ,542.56,percent of total billed charges ,542.56,percent of total billed charges ,510.65,percent of total billed charges ,510.65,percent of total billed charges ,446.82,percent of total billed charges ,446.82,percent of total billed charges ,382.99,percent of total billed charges ,382.99,percent of total billed charges ,382.99,percent of total billed charges ,382.99,percent of total billed charges ,,,,,339.58,percent of total billed charges ,,,,,322.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,146.81,percent of total billed charges,,,146.81,percent of total billed charges,,,146.81,percent of total billed charges,,,146.81,percent of total billed charges,,,146.81,percent of total billed charges,,,146.81,percent of total billed charges,,,146.81,percent of total billed charges,,,146.81,percent of total billed charges,,,146.81,percent of total billed charges,,,146.81,percent of total billed charges,,,146.81,percent of total billed charges,
ENALAPRILAT INJ : 2.5MG/2ML,250,RC,00409-21-2202,NDC,,both,1,each,53,53,12.19,53,53,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,41.87,percent of total billed charges,41.87,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 ,41.87,percent of total billed charges ,41.87,percent of total billed charges ,45.05,percent of total billed charges ,45.05,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 ,,,,,,,,,,,,,,,,,,,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,
**DINOPROSTONE(CERVIDIL)VG 10MG DO NOT U,250,RC,00456-41-2363,NDC,,both,1,each,"1,210.00","1,210.00",278.3,"1,210.00","1,210.00",percent of total billed charges,"1,210.00",percent of total billed charges,"1,210.00",percent of total billed charges,"1,210.00",percent of total billed charges,"1,210.00",percent of total billed charges,"1,210.00",percent of total billed charges,"1,210.00",percent of total billed charges,"1,210.00",percent of total billed charges,871.2,percent of total billed charges,871.2,percent of total billed charges,871.2,percent of total billed charges,871.2,percent of total billed charges,871.2,percent of total billed charges,871.2,percent of total billed charges,955.9,percent of total billed charges,955.9,percent of total billed charges,968,percent of total billed charges,968,percent of total billed charges,,,871.2,percent of total billed charges ,,,968,percent of total billed charges ,955.9,percent of total billed charges ,955.9,percent of total billed charges ,"1,028.50",percent of total billed charges ,"1,028.50",percent of total billed charges ,968,percent of total billed charges ,968,percent of total billed charges ,847,percent of total billed charges ,847,percent of total billed charges ,726,percent of total billed charges ,726,percent of total billed charges ,726,percent of total billed charges ,726,percent of total billed charges ,,,,,643.72,percent of total billed charges ,,,,,611.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,278.3,percent of total billed charges,,,278.3,percent of total billed charges,,,278.3,percent of total billed charges,,,278.3,percent of total billed charges,,,278.3,percent of total billed charges,,,278.3,percent of total billed charges,,,278.3,percent of total billed charges,,,278.3,percent of total billed charges,,,278.3,percent of total billed charges,,,278.3,percent of total billed charges,,,278.3,percent of total billed charges,
OXYTOCIN (PITOCIN) INJ: 10 UNITS/ML  1ML,J2590,CDM,,,,both,1,each,25.03,25.03,5.76,25.03,25.03,percent of total billed charges,25.03,percent of total billed charges,25.03,percent of total billed charges,25.03,percent of total billed charges,25.03,percent of total billed charges,25.03,percent of total billed charges,25.03,percent of total billed charges,25.03,percent of total billed charges,18.02,percent of total billed charges,18.02,percent of total billed charges,18.02,percent of total billed charges,18.02,percent of total billed charges,18.02,percent of total billed charges,18.02,percent of total billed charges,19.77,percent of total billed charges,19.77,percent of total billed charges,20.02,percent of total billed charges,20.02,percent of total billed charges,,,18.02,percent of total billed charges ,,,20.02,percent of total billed charges ,19.77,percent of total billed charges ,19.77,percent of total billed charges ,21.28,percent of total billed charges ,21.28,percent of total billed charges ,20.02,percent of total billed charges ,20.02,percent of total billed charges ,17.52,percent of total billed charges ,17.52,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 ,,,,,13.32,percent of total billed charges ,,,,,12.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.76,percent of total billed charges,,,5.76,percent of total billed charges,,,5.76,percent of total billed charges,,,5.76,percent of total billed charges,,,5.76,percent of total billed charges,,,5.76,percent of total billed charges,,,5.76,percent of total billed charges,,,5.76,percent of total billed charges,,,5.76,percent of total billed charges,,,5.76,percent of total billed charges,,,5.76,percent of total billed charges,
**PIPERCILLIN (PIPRACIL) INJ DO NOT USE,250,RC,63323-03-9050,NDC,,both,1,each,213,213,48.99,213,213,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,168.27,percent of total billed charges,168.27,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 ,168.27,percent of total billed charges ,168.27,percent of total billed charges ,181.05,percent of total billed charges ,181.05,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 ,,,,,,,,,,,,,,,,,,,48.99,percent of total billed charges,,,48.99,percent of total billed charges,,,48.99,percent of total billed charges,,,48.99,percent of total billed charges,,,48.99,percent of total billed charges,,,48.99,percent of total billed charges,,,48.99,percent of total billed charges,,,48.99,percent of total billed charges,,,48.99,percent of total billed charges,,,48.99,percent of total billed charges,,,48.99,percent of total billed charges,
**PHYSOSTIGMINE INJ 1MG/1ML DO NOT USE,250,RC,11098-05-1002,NDC,,both,1,each,97,97,22.31,97,97,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,76.63,percent of total billed charges,76.63,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 ,76.63,percent of total billed charges ,76.63,percent of total billed charges ,82.45,percent of total billed charges ,82.45,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 ,,,,,,,,,,,,,,,,,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,
**PHENOBARBITAL SOD 13,Local ,Local ,,,,both,,,73,73,16.79,73,73,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,57.67,percent of total billed charges,57.67,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 ,57.67,percent of total billed charges ,57.67,percent of total billed charges ,62.05,percent of total billed charges ,62.05,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 ,,,,,,,,,,,,,,,,,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,
PHENobarbital INJ 65MG/1ML,J2560,CDM,,,,both,1,each,284.69,284.69,65.48,284.69,284.69,percent of total billed charges,284.69,percent of total billed charges,284.69,percent of total billed charges,284.69,percent of total billed charges,284.69,percent of total billed charges,284.69,percent of total billed charges,284.69,percent of total billed charges,284.69,percent of total billed charges,204.98,percent of total billed charges,204.98,percent of total billed charges,204.98,percent of total billed charges,204.98,percent of total billed charges,204.98,percent of total billed charges,204.98,percent of total billed charges,224.91,percent of total billed charges,224.91,percent of total billed charges,227.75,percent of total billed charges,227.75,percent of total billed charges,,,204.98,percent of total billed charges ,,,227.75,percent of total billed charges ,224.91,percent of total billed charges ,224.91,percent of total billed charges ,241.99,percent of total billed charges ,241.99,percent of total billed charges ,227.75,percent of total billed charges ,227.75,percent of total billed charges ,199.28,percent of total billed charges ,199.28,percent of total billed charges ,170.81,percent of total billed charges ,170.81,percent of total billed charges ,170.81,percent of total billed charges ,170.81,percent of total billed charges ,,,,,151.46,percent of total billed charges ,,,,,143.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.48,percent of total billed charges,,,65.48,percent of total billed charges,,,65.48,percent of total billed charges,,,65.48,percent of total billed charges,,,65.48,percent of total billed charges,,,65.48,percent of total billed charges,,,65.48,percent of total billed charges,,,65.48,percent of total billed charges,,,65.48,percent of total billed charges,,,65.48,percent of total billed charges,,,65.48,percent of total billed charges,
**PROMETHAZAINE (PHENERGRAN)INJ 50MG,J2550,CDM,,,,both,1,each,58,58,13.34,58,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,45.82,percent of total billed charges,45.82,percent of total billed charges,46.4,percent of total billed charges,46.4,percent of total billed charges,,,41.76,percent of total billed charges ,,,46.4,percent of total billed charges ,45.82,percent of total billed charges ,45.82,percent of total billed charges ,49.3,percent of total billed charges ,49.3,percent of total billed charges ,46.4,percent of total billed charges ,46.4,percent of total billed charges ,40.6,percent of total billed charges ,40.6,percent of total billed charges ,34.8,percent of total billed charges ,34.8,percent of total billed charges ,34.8,percent of total billed charges ,34.8,percent of total billed charges ,,,,,30.86,percent of total billed charges ,,,,,29.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,
PROMETHAZINE (PHENERGAN) INJ: 25MG/ML,J2550,CDM,,,,both,1,each,9.27,9.27,2.13,9.27,9.27,percent of total billed charges,9.27,percent of total billed charges,9.27,percent of total billed charges,9.27,percent of total billed charges,9.27,percent of total billed charges,9.27,percent of total billed charges,9.27,percent of total billed charges,9.27,percent of total billed charges,6.67,percent of total billed charges,6.67,percent of total billed charges,6.67,percent of total billed charges,6.67,percent of total billed charges,6.67,percent of total billed charges,6.67,percent of total billed charges,7.32,percent of total billed charges,7.32,percent of total billed charges,7.42,percent of total billed charges,7.42,percent of total billed charges,,,6.67,percent of total billed charges ,,,7.42,percent of total billed charges ,7.32,percent of total billed charges ,7.32,percent of total billed charges ,7.88,percent of total billed charges ,7.88,percent of total billed charges ,7.42,percent of total billed charges ,7.42,percent of total billed charges ,6.49,percent of total billed charges ,6.49,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 ,,,,,4.93,percent of total billed charges ,,,,,4.69,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,
**TIROFIBAN (AGGRSTAT) INJ: DO NOT USE,636,RC,00006-37-1350,NDC,,both,1,each,"2,705.00","2,705.00",622.15,"2,705.00","2,705.00",percent of total billed charges,"2,705.00",percent of total billed charges,"2,705.00",percent of total billed charges,"2,705.00",percent of total billed charges,"2,705.00",percent of total billed charges,"2,705.00",percent of total billed charges,"2,705.00",percent of total billed charges,"2,705.00",percent of total billed charges,"1,947.60",percent of total billed charges,"1,947.60",percent of total billed charges,"1,947.60",percent of total billed charges,"1,947.60",percent of total billed charges,"1,947.60",percent of total billed charges,"1,947.60",percent of total billed charges,"2,136.95",percent of total billed charges,"2,136.95",percent of total billed charges,"2,164.00",percent of total billed charges,"2,164.00",percent of total billed charges,,,"1,947.60",percent of total billed charges ,,,"2,164.00",percent of total billed charges ,"2,136.95",percent of total billed charges ,"2,136.95",percent of total billed charges ,"2,299.25",percent of total billed charges ,"2,299.25",percent of total billed charges ,"2,164.00",percent of total billed charges ,"2,164.00",percent of total billed charges ,"1,893.50",percent of total billed charges ,"1,893.50",percent of total billed charges ,"1,623.00",percent of total billed charges ,"1,623.00",percent of total billed charges ,"1,623.00",percent of total billed charges ,"1,623.00",percent of total billed charges ,,,,,"1,439.06",percent of total billed charges ,,,,,"1,367.11",percent of total billed charges ,,,,,,,,,,,,,,,,,,,622.15,percent of total billed charges,,,622.15,percent of total billed charges,,,622.15,percent of total billed charges,,,622.15,percent of total billed charges,,,622.15,percent of total billed charges,,,622.15,percent of total billed charges,,,622.15,percent of total billed charges,,,622.15,percent of total billed charges,,,622.15,percent of total billed charges,,,622.15,percent of total billed charges,,,622.15,percent of total billed charges,
**PENCILLIN G POTAS DO NOT USE,J2540,CDM,,,,both,,,54,54,12.42,54,54,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,42.66,percent of total billed charges,42.66,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 ,42.66,percent of total billed charges ,42.66,percent of total billed charges ,45.9,percent of total billed charges ,45.9,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 ,,,,,,,,,,,,,,,,,,,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,,,12.42,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,
PENICILLIN (WYCILLIN) INJ : 600 MU,J2510,CDM,,,,both,1,each,54,54,12.42,54,54,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,42.66,percent of total billed charges,42.66,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 ,42.66,percent of total billed charges ,42.66,percent of total billed charges ,45.9,percent of total billed charges ,45.9,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 ,,,,,,,,,,,,,,,,,,,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,,,12.42,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,
**NAFCILIN 1GM DO NOT USE,Local ,Local ,,,,both,,,27,27,6.21,27,27,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,21.33,percent of total billed charges,21.33,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 ,21.33,percent of total billed charges ,21.33,percent of total billed charges ,22.95,percent of total billed charges ,22.95,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 ,,,,,,,,,,,,,,,,,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,
WYCILLIN INJ : 2 ML,250,RC,61570-00-8510,NDC,,both,1,each,76,76,17.48,76,76,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,60.04,percent of total billed charges,60.04,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 ,60.04,percent of total billed charges ,60.04,percent of total billed charges ,64.6,percent of total billed charges ,64.6,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 ,,,,,,,,,,,,,,,,,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,
PANCURONIUM INJ : 1MG/ML 10ML,Local ,Local ,,,,both,1,each,83,83,19.09,83,83,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,65.57,percent of total billed charges,65.57,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 ,65.57,percent of total billed charges ,65.57,percent of total billed charges ,70.55,percent of total billed charges ,70.55,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 ,,,,,,,,,,,,,,,,,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,
PROPOFOL (DIPRIVAN) INJ : 10MG/ML 100ML,J3490,CDM,,,,both,1,each,465,465,106.95,465,465,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,367.35,percent of total billed charges,367.35,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 ,367.35,percent of total billed charges ,367.35,percent of total billed charges ,395.25,percent of total billed charges ,395.25,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 ,,,,,,,,,,,,,,,,,,,106.95,percent of total billed charges,,,106.95,percent of total billed charges,,,106.95,percent of total billed charges,,,106.95,percent of total billed charges,,,106.95,percent of total billed charges,,,106.95,percent of total billed charges,,,106.95,percent of total billed charges,,,106.95,percent of total billed charges,,,106.95,percent of total billed charges,,,106.95,percent of total billed charges,,,106.95,percent of total billed charges,
PROPOFOL (DIPRIVAN) INJ : 10MG/ML 50ML,J2704,CDM,,,,both,1,each,95.49,95.49,21.96,95.49,95.49,percent of total billed charges,95.49,percent of total billed charges,95.49,percent of total billed charges,95.49,percent of total billed charges,95.49,percent of total billed charges,95.49,percent of total billed charges,95.49,percent of total billed charges,95.49,percent of total billed charges,68.75,percent of total billed charges,68.75,percent of total billed charges,68.75,percent of total billed charges,68.75,percent of total billed charges,68.75,percent of total billed charges,68.75,percent of total billed charges,75.44,percent of total billed charges,75.44,percent of total billed charges,76.39,percent of total billed charges,76.39,percent of total billed charges,,,68.75,percent of total billed charges ,,,76.39,percent of total billed charges ,75.44,percent of total billed charges ,75.44,percent of total billed charges ,81.17,percent of total billed charges ,81.17,percent of total billed charges ,76.39,percent of total billed charges ,76.39,percent of total billed charges ,66.84,percent of total billed charges ,66.84,percent of total billed charges ,57.29,percent of total billed charges ,57.29,percent of total billed charges ,57.29,percent of total billed charges ,57.29,percent of total billed charges ,,,,,50.8,percent of total billed charges ,,,,,48.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,21.96,percent of total billed charges,,,21.96,percent of total billed charges,,,21.96,percent of total billed charges,,,21.96,percent of total billed charges,,,21.96,percent of total billed charges,,,21.96,percent of total billed charges,,,21.96,percent of total billed charges,,,21.96,percent of total billed charges,,,21.96,percent of total billed charges,,,21.96,percent of total billed charges,,,21.96,percent of total billed charges,
nalBUPHine (NUBAIN) INJ : 10MG/ML 1ML,J2300,CDM,,,,both,1,each,55.44,55.44,12.75,55.44,55.44,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,39.92,percent of total billed charges,39.92,percent of total billed charges,39.92,percent of total billed charges,39.92,percent of total billed charges,39.92,percent of total billed charges,39.92,percent of total billed charges,43.8,percent of total billed charges,43.8,percent of total billed charges,44.35,percent of total billed charges,44.35,percent of total billed charges,,,39.92,percent of total billed charges ,,,44.35,percent of total billed charges ,43.8,percent of total billed charges ,43.8,percent of total billed charges ,47.12,percent of total billed charges ,47.12,percent of total billed charges ,44.35,percent of total billed charges ,44.35,percent of total billed charges ,38.81,percent of total billed charges ,38.81,percent of total billed charges ,33.26,percent of total billed charges ,33.26,percent of total billed charges ,33.26,percent of total billed charges ,33.26,percent of total billed charges ,,,,,29.49,percent of total billed charges ,,,,,28.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.75,percent of total billed charges,,,12.75,percent of total billed charges,,,12.75,percent of total billed charges,,,12.75,percent of total billed charges,,,12.75,percent of total billed charges,,,12.75,percent of total billed charges,,,12.75,percent of total billed charges,,,12.75,percent of total billed charges,,,12.75,percent of total billed charges,,,12.75,percent of total billed charges,,,12.75,percent of total billed charges,
**NALRUPHINE(NUBAIN)INJ 20MG/ML DO NOT U,J2300,CDM,,,,both,1,each,214,214,49.22,214,214,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,169.06,percent of total billed charges,169.06,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 ,169.06,percent of total billed charges ,169.06,percent of total billed charges ,181.9,percent of total billed charges ,181.9,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 ,,,,,,,,,,,,,,,,,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,
**LABETALOL (NORMODYNE) INJ DO NOT USE,250,RC,65483-03-5502,NDC,,both,1,each,399,399,91.77,399,399,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,315.21,percent of total billed charges,315.21,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 ,315.21,percent of total billed charges ,315.21,percent of total billed charges ,339.15,percent of total billed charges ,339.15,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 ,,,,,,,,,,,,,,,,,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,
NITROGLYCERIN INJ : 50MG/10ML,J3490,CDM,,,,both,1,each,40.12,40.12,9.23,40.12,40.12,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,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,28.89,percent of total billed charges,28.89,percent of total billed charges,28.89,percent of total billed charges,28.89,percent of total billed charges,28.89,percent of total billed charges,28.89,percent of total billed charges,31.69,percent of total billed charges,31.69,percent of total billed charges,32.1,percent of total billed charges,32.1,percent of total billed charges,,,28.89,percent of total billed charges ,,,32.1,percent of total billed charges ,31.69,percent of total billed charges ,31.69,percent of total billed charges ,34.1,percent of total billed charges ,34.1,percent of total billed charges ,32.1,percent of total billed charges ,32.1,percent of total billed charges ,28.08,percent of total billed charges ,28.08,percent of total billed charges ,24.07,percent of total billed charges ,24.07,percent of total billed charges ,24.07,percent of total billed charges ,24.07,percent of total billed charges ,,,,,21.34,percent of total billed charges ,,,,,20.28,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,,,9.23,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,
NITROPRUSSIDE INJ : 50MG/2ML,250,RC,25021-03-1002,NDC,,both,1,each,870.75,870.75,200.27,870.75,870.75,percent of total billed charges,870.75,percent of total billed charges,870.75,percent of total billed charges,870.75,percent of total billed charges,870.75,percent of total billed charges,870.75,percent of total billed charges,870.75,percent of total billed charges,870.75,percent of total billed charges,626.94,percent of total billed charges,626.94,percent of total billed charges,626.94,percent of total billed charges,626.94,percent of total billed charges,626.94,percent of total billed charges,626.94,percent of total billed charges,687.89,percent of total billed charges,687.89,percent of total billed charges,696.6,percent of total billed charges,696.6,percent of total billed charges,,,626.94,percent of total billed charges ,,,696.6,percent of total billed charges ,687.89,percent of total billed charges ,687.89,percent of total billed charges ,740.14,percent of total billed charges ,740.14,percent of total billed charges ,696.6,percent of total billed charges ,696.6,percent of total billed charges ,609.53,percent of total billed charges ,609.53,percent of total billed charges ,522.45,percent of total billed charges ,522.45,percent of total billed charges ,522.45,percent of total billed charges ,522.45,percent of total billed charges ,,,,,463.24,percent of total billed charges ,,,,,440.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,200.27,percent of total billed charges,,,200.27,percent of total billed charges,,,200.27,percent of total billed charges,,,200.27,percent of total billed charges,,,200.27,percent of total billed charges,,,200.27,percent of total billed charges,,,200.27,percent of total billed charges,,,200.27,percent of total billed charges,,,200.27,percent of total billed charges,,,200.27,percent of total billed charges,,,200.27,percent of total billed charges,
PHENYLEPHRINE 1% INJ : 10MG/ML  1ML,J2371,CDM,,,,both,1,each,50.74,50.74,11.67,50.74,50.74,percent of total billed charges,50.74,percent of total billed charges,50.74,percent of total billed charges,50.74,percent of total billed charges,50.74,percent of total billed charges,50.74,percent of total billed charges,50.74,percent of total billed charges,50.74,percent of total billed charges,36.53,percent of total billed charges,36.53,percent of total billed charges,36.53,percent of total billed charges,36.53,percent of total billed charges,36.53,percent of total billed charges,36.53,percent of total billed charges,40.08,percent of total billed charges,40.08,percent of total billed charges,40.59,percent of total billed charges,40.59,percent of total billed charges,,,36.53,percent of total billed charges ,,,40.59,percent of total billed charges ,40.08,percent of total billed charges ,40.08,percent of total billed charges ,43.13,percent of total billed charges ,43.13,percent of total billed charges ,40.59,percent of total billed charges ,40.59,percent of total billed charges ,35.52,percent of total billed charges ,35.52,percent of total billed charges ,30.44,percent of total billed charges ,30.44,percent of total billed charges ,30.44,percent of total billed charges ,30.44,percent of total billed charges ,,,,,26.99,percent of total billed charges ,,,,,25.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.67,percent of total billed charges,,,11.67,percent of total billed charges,,,11.67,percent of total billed charges,,,11.67,percent of total billed charges,,,11.67,percent of total billed charges,,,11.67,percent of total billed charges,,,11.67,percent of total billed charges,,,11.67,percent of total billed charges,,,11.67,percent of total billed charges,,,11.67,percent of total billed charges,,,11.67,percent of total billed charges,
nalOXone (NARCAN) INJ : 2MG/2ML PFS,J2310,CDM,,,,both,1,each,195.51,195.51,44.97,195.51,195.51,percent of total billed charges,195.51,percent of total billed charges,195.51,percent of total billed charges,195.51,percent of total billed charges,195.51,percent of total billed charges,195.51,percent of total billed charges,195.51,percent of total billed charges,195.51,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,154.45,percent of total billed charges,154.45,percent of total billed charges,156.41,percent of total billed charges,156.41,percent of total billed charges,,,140.77,percent of total billed charges ,,,156.41,percent of total billed charges ,154.45,percent of total billed charges ,154.45,percent of total billed charges ,166.18,percent of total billed charges ,166.18,percent of total billed charges ,156.41,percent of total billed charges ,156.41,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 ,,,,,104.01,percent of total billed charges ,,,,,98.81,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,
nalOXone (NARCAN) INJ : 0.4MG/ML  1ML,J2310,CDM,,,,both,1,each,87.79,87.79,20.19,87.79,87.79,percent of total billed charges,87.79,percent of total billed charges,87.79,percent of total billed charges,87.79,percent of total billed charges,87.79,percent of total billed charges,87.79,percent of total billed charges,87.79,percent of total billed charges,87.79,percent of total billed charges,63.21,percent of total billed charges,63.21,percent of total billed charges,63.21,percent of total billed charges,63.21,percent of total billed charges,63.21,percent of total billed charges,63.21,percent of total billed charges,69.35,percent of total billed charges,69.35,percent of total billed charges,70.23,percent of total billed charges,70.23,percent of total billed charges,,,63.21,percent of total billed charges ,,,70.23,percent of total billed charges ,69.35,percent of total billed charges ,69.35,percent of total billed charges ,74.62,percent of total billed charges ,74.62,percent of total billed charges ,70.23,percent of total billed charges ,70.23,percent of total billed charges ,61.45,percent of total billed charges ,61.45,percent of total billed charges ,52.67,percent of total billed charges ,52.67,percent of total billed charges ,52.67,percent of total billed charges ,52.67,percent of total billed charges ,,,,,46.7,percent of total billed charges ,,,,,44.37,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,
MULTIVITAMIN (MVI-12) INJ : 10ML,250,RC,54643-90-0701,NDC,,both,1,each,64.34,64.34,14.8,64.34,64.34,percent of total billed charges,64.34,percent of total billed charges,64.34,percent of total billed charges,64.34,percent of total billed charges,64.34,percent of total billed charges,64.34,percent of total billed charges,64.34,percent of total billed charges,64.34,percent of total billed charges,46.32,percent of total billed charges,46.32,percent of total billed charges,46.32,percent of total billed charges,46.32,percent of total billed charges,46.32,percent of total billed charges,46.32,percent of total billed charges,50.83,percent of total billed charges,50.83,percent of total billed charges,51.47,percent of total billed charges,51.47,percent of total billed charges,,,46.32,percent of total billed charges ,,,51.47,percent of total billed charges ,50.83,percent of total billed charges ,50.83,percent of total billed charges ,54.69,percent of total billed charges ,54.69,percent of total billed charges ,51.47,percent of total billed charges ,51.47,percent of total billed charges ,45.04,percent of total billed charges ,45.04,percent of total billed charges ,38.6,percent of total billed charges ,38.6,percent of total billed charges ,38.6,percent of total billed charges ,38.6,percent of total billed charges ,,,,,34.23,percent of total billed charges ,,,,,32.52,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,,,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,,,14.8,percent of total billed charges,,,14.8,percent of total billed charges,,,14.8,percent of total billed charges,
NOVANTRONE INJ : 25MG/12.5ML,J9293,CDM,,,,both,1,each,"1,293.00","1,293.00",297.39,"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,"1,021.47",percent of total billed charges,"1,021.47",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 ,"1,021.47",percent of total billed charges ,"1,021.47",percent of total billed charges ,"1,099.05",percent of total billed charges ,"1,099.05",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 ,,,,,,,,,,,,,,,,,,,297.39,percent of total billed charges,,,297.39,percent of total billed charges,,,297.39,percent of total billed charges,,,297.39,percent of total billed charges,,,297.39,percent of total billed charges,,,297.39,percent of total billed charges,,,297.39,percent of total billed charges,,,297.39,percent of total billed charges,,,297.39,percent of total billed charges,,,297.39,percent of total billed charges,,,297.39,percent of total billed charges,
BLEOMYCIN INJ :  15 UNITS,J9040,CDM,,,,both,1,each,780,780,179.4,780,780,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,616.2,percent of total billed charges,616.2,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 ,616.2,percent of total billed charges ,616.2,percent of total billed charges ,663,percent of total billed charges ,663,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 ,,,,,,,,,,,,,,,,,,,179.4,percent of total billed charges,,,179.4,percent of total billed charges,,,179.4,percent of total billed charges,,,179.4,percent of total billed charges,,,179.4,percent of total billed charges,,,179.4,percent of total billed charges,,,179.4,percent of total billed charges,,,179.4,percent of total billed charges,,,179.4,percent of total billed charges,,,179.4,percent of total billed charges,,,179.4,percent of total billed charges,
**DACARBAZINE INJ 200 MG DO NOT USE,J9140,CDM,,,,both,1,each,125,125,28.75,125,125,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,98.75,percent of total billed charges,98.75,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 ,98.75,percent of total billed charges ,98.75,percent of total billed charges ,106.25,percent of total billed charges ,106.25,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 ,,,,,,,,,,,,,,,,,,,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,,,28.75,percent of total billed charges,,,28.75,percent of total billed charges,,,28.75,percent of total billed charges,
CISPLATIN (PLATINOL) INJ : 50 MG,J9060,CDM,,,,both,1,each,620,620,142.6,620,620,percent of total billed charges,620,percent of total billed charges,620,percent of total billed charges,620,percent of total billed charges,620,percent of total billed charges,620,percent of total billed charges,620,percent of total billed charges,620,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,446.4,percent of total billed charges,446.4,percent of total billed charges,489.8,percent of total billed charges,489.8,percent of total billed charges,496,percent of total billed charges,496,percent of total billed charges,,,446.4,percent of total billed charges ,,,496,percent of total billed charges ,489.8,percent of total billed charges ,489.8,percent of total billed charges ,527,percent of total billed charges ,527,percent of total billed charges ,496,percent of total billed charges ,496,percent of total billed charges ,434,percent of total billed charges ,434,percent of total billed charges ,372,percent of total billed charges ,372,percent of total billed charges ,372,percent of total billed charges ,372,percent of total billed charges ,,,,,329.84,percent of total billed charges ,,,,,313.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,142.6,percent of total billed charges,,,142.6,percent of total billed charges,,,142.6,percent of total billed charges,,,142.6,percent of total billed charges,,,142.6,percent of total billed charges,,,142.6,percent of total billed charges,,,142.6,percent of total billed charges,,,142.6,percent of total billed charges,,,142.6,percent of total billed charges,,,142.6,percent of total billed charges,,,142.6,percent of total billed charges,
**IRINOTECAN INJ 20 MG DO NOT USE,J9206,CDM,,,,both,,,295,295,67.85,295,295,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,233.05,percent of total billed charges,233.05,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 ,233.05,percent of total billed charges ,233.05,percent of total billed charges ,250.75,percent of total billed charges ,250.75,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 ,,,,,,,,,,,,,,,,,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,
FLUOROURACIL INJ : 500MG,J9190,CDM,,,,both,1,each,26,26,5.98,26,26,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,20.54,percent of total billed charges,20.54,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 ,20.54,percent of total billed charges ,20.54,percent of total billed charges ,22.1,percent of total billed charges ,22.1,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 ,,,,,,,,,,,,,,,,,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,
**DOXORUBICIN (ADRIAMYCIN) DO NOT USE,J9000,CDM,,,,both,1,each,94,94,21.62,94,94,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,74.26,percent of total billed charges,74.26,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 ,74.26,percent of total billed charges ,74.26,percent of total billed charges ,79.9,percent of total billed charges ,79.9,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 ,,,,,,,,,,,,,,,,,,,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,
**METHOTREXATE 5MG/IV 25MG DO NOT USE,J9250,CDM,,,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**DOXORUBICIN (ADRIAMYCIN) INJ : 2 MG,J9310,CDM,,,,both,1,each,"2,480.00","2,480.00",570.4,"2,480.00","2,480.00",percent of total billed charges,"2,480.00",percent of total billed charges,"2,480.00",percent of total billed charges,"2,480.00",percent of total billed charges,"2,480.00",percent of total billed charges,"2,480.00",percent of total billed charges,"2,480.00",percent of total billed charges,"2,480.00",percent of total billed charges,"1,785.60",percent of total billed charges,"1,785.60",percent of total billed charges,"1,785.60",percent of total billed charges,"1,785.60",percent of total billed charges,"1,785.60",percent of total billed charges,"1,785.60",percent of total billed charges,"1,959.20",percent of total billed charges,"1,959.20",percent of total billed charges,"1,984.00",percent of total billed charges,"1,984.00",percent of total billed charges,,,"1,785.60",percent of total billed charges ,,,"1,984.00",percent of total billed charges ,"1,959.20",percent of total billed charges ,"1,959.20",percent of total billed charges ,"2,108.00",percent of total billed charges ,"2,108.00",percent of total billed charges ,"1,984.00",percent of total billed charges ,"1,984.00",percent of total billed charges ,"1,736.00",percent of total billed charges ,"1,736.00",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 ,,,,,"1,319.36",percent of total billed charges ,,,,,"1,253.39",percent of total billed charges ,,,,,,,,,,,,,,,,,,,570.4,percent of total billed charges,,,570.4,percent of total billed charges,,,570.4,percent of total billed charges,,,570.4,percent of total billed charges,,,570.4,percent of total billed charges,,,570.4,percent of total billed charges,,,570.4,percent of total billed charges,,,570.4,percent of total billed charges,,,570.4,percent of total billed charges,,,570.4,percent of total billed charges,,,570.4,percent of total billed charges,
VINCRISTINE INJ : 1MG/1ML,J9370,CDM,,,,both,1,each,92,92,21.16,92,92,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,72.68,percent of total billed charges,72.68,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 ,72.68,percent of total billed charges ,72.68,percent of total billed charges ,78.2,percent of total billed charges ,78.2,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 ,,,,,,,,,,,,,,,,,,,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,
**ETOPOSIDE (VEPESID) INJ : 20 MG,J9181,CDM,,,,both,1,each,97,97,22.31,97,97,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,76.63,percent of total billed charges,76.63,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 ,76.63,percent of total billed charges ,76.63,percent of total billed charges ,82.45,percent of total billed charges ,82.45,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 ,,,,,,,,,,,,,,,,,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,
IRINOTECAN (CAMPTOSAR) INJ : 20 MG,J9206,CDM,,,,both,1,each,295,295,67.85,295,295,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,233.05,percent of total billed charges,233.05,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 ,233.05,percent of total billed charges ,233.05,percent of total billed charges ,250.75,percent of total billed charges ,250.75,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 ,,,,,,,,,,,,,,,,,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,
**FLUDARABINE (FLUDARA) DO NOT USE,J9185,CDM,,,,both,,,"1,525.00","1,525.00",350.75,"1,525.00","1,525.00",percent of total billed charges,"1,525.00",percent of total billed charges,"1,525.00",percent of total billed charges,"1,525.00",percent of total billed charges,"1,525.00",percent of total billed charges,"1,525.00",percent of total billed charges,"1,525.00",percent of total billed charges,"1,525.00",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,"1,204.75",percent of total billed charges,"1,204.75",percent of total billed charges,"1,220.00",percent of total billed charges,"1,220.00",percent of total billed charges,,,"1,098.00",percent of total billed charges ,,,"1,220.00",percent of total billed charges ,"1,204.75",percent of total billed charges ,"1,204.75",percent of total billed charges ,"1,296.25",percent of total billed charges ,"1,296.25",percent of total billed charges ,"1,220.00",percent of total billed charges ,"1,220.00",percent of total billed charges ,"1,067.50",percent of total billed charges ,"1,067.50",percent of total billed charges ,915,percent of total billed charges ,915,percent of total billed charges ,915,percent of total billed charges ,915,percent of total billed charges ,,,,,811.3,percent of total billed charges ,,,,,770.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,350.75,percent of total billed charges,,,350.75,percent of total billed charges,,,350.75,percent of total billed charges,,,350.75,percent of total billed charges,,,350.75,percent of total billed charges,,,350.75,percent of total billed charges,,,350.75,percent of total billed charges,,,350.75,percent of total billed charges,,,350.75,percent of total billed charges,,,350.75,percent of total billed charges,,,350.75,percent of total billed charges,
VINBLASTINE 1MG,J9360,CDM,,,,both,,,34,34,7.82,34,34,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,26.86,percent of total billed charges,26.86,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 ,26.86,percent of total billed charges ,26.86,percent of total billed charges ,28.9,percent of total billed charges ,28.9,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 ,,,,,,,,,,,,,,,,,,,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,,,7.82,percent of total billed charges,,,7.82,percent of total billed charges,,,7.82,percent of total billed charges,
**ASPARAGINASE (ELSPAR) DO NOT USE,J9020,CDM,,,,both,1,each,378,378,86.94,378,378,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,298.62,percent of total billed charges,298.62,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 ,298.62,percent of total billed charges ,298.62,percent of total billed charges ,321.3,percent of total billed charges ,321.3,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 ,,,,,,,,,,,,,,,,,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,
**INTERFERON(INTRON)INJ 5MU DO NOT USE,J9213,CDM,,,,both,1,each,295,295,67.85,295,295,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,233.05,percent of total billed charges,233.05,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 ,233.05,percent of total billed charges ,233.05,percent of total billed charges ,250.75,percent of total billed charges ,250.75,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 ,,,,,,,,,,,,,,,,,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,
**ZOFRAN 1MG INJ DO NOT USE,J2405,CDM,,,,both,,,38,38,8.74,38,38,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,30.02,percent of total billed charges,30.02,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 ,30.02,percent of total billed charges ,30.02,percent of total billed charges ,32.3,percent of total billed charges ,32.3,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 ,,,,,,,,,,,,,,,,,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,
LEVOFLOXACIN 250MG PREMIX IV:,J1956,CDM,,,,both,1,each,79,79,18.17,79,79,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,62.41,percent of total billed charges,62.41,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 ,62.41,percent of total billed charges ,62.41,percent of total billed charges ,67.15,percent of total billed charges ,67.15,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 ,,,,,,,,,,,,,,,,,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,
**VINCRISTINE 1MG DO NOT USE,J9370,CDM,,,,both,,,48,48,11.04,48,48,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,37.92,percent of total billed charges,37.92,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 ,37.92,percent of total billed charges ,37.92,percent of total billed charges ,40.8,percent of total billed charges ,40.8,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 ,,,,,,,,,,,,,,,,,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,
PNEUMOCCOCAL 23 VACCINE : 0.5ML/DOSE,90732,CDM,,,,both,0.5,each,542.65,542.65,124.81,542.65,542.65,percent of total billed charges,542.65,percent of total billed charges,542.65,percent of total billed charges,542.65,percent of total billed charges,542.65,percent of total billed charges,542.65,percent of total billed charges,542.65,percent of total billed charges,542.65,percent of total billed charges,390.71,percent of total billed charges,390.71,percent of total billed charges,390.71,percent of total billed charges,390.71,percent of total billed charges,390.71,percent of total billed charges,390.71,percent of total billed charges,428.69,percent of total billed charges,428.69,percent of total billed charges,434.12,percent of total billed charges,434.12,percent of total billed charges,,,390.71,percent of total billed charges ,,,434.12,percent of total billed charges ,428.69,percent of total billed charges ,428.69,percent of total billed charges ,461.25,percent of total billed charges ,461.25,percent of total billed charges ,434.12,percent of total billed charges ,434.12,percent of total billed charges ,379.86,percent of total billed charges ,379.86,percent of total billed charges ,325.59,percent of total billed charges ,325.59,percent of total billed charges ,325.59,percent of total billed charges ,325.59,percent of total billed charges ,,,,,288.69,percent of total billed charges ,,,,,274.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,124.81,percent of total billed charges,,,124.81,percent of total billed charges,,,124.81,percent of total billed charges,,,124.81,percent of total billed charges,,,124.81,percent of total billed charges,,,124.81,percent of total billed charges,,,124.81,percent of total billed charges,,,124.81,percent of total billed charges,,,124.81,percent of total billed charges,,,124.81,percent of total billed charges,,,124.81,percent of total billed charges,
ENOXAPARIN (LOVENOX) INJ : 80MG/0.8ML,J1650,CDM,,,,both,1,each,121.65,121.65,27.98,121.65,121.65,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,96.1,percent of total billed charges,96.1,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 ,96.1,percent of total billed charges ,96.1,percent of total billed charges ,103.4,percent of total billed charges ,103.4,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 ,,,,,,,,,,,,,,,,,,,27.98,percent of total billed charges,,,27.98,percent of total billed charges,,,27.98,percent of total billed charges,,,27.98,percent of total billed charges,,,27.98,percent of total billed charges,,,27.98,percent of total billed charges,,,27.98,percent of total billed charges,,,27.98,percent of total billed charges,,,27.98,percent of total billed charges,,,27.98,percent of total billed charges,,,27.98,percent of total billed charges,
**CYCLOPHOSPHAM 100 MG DO NOT USE,J9070,CDM,,,,both,,,27,27,6.21,27,27,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,21.33,percent of total billed charges,21.33,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 ,21.33,percent of total billed charges ,21.33,percent of total billed charges ,22.95,percent of total billed charges ,22.95,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 ,,,,,,,,,,,,,,,,,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,
**ETOPSIDE 10MG DO NOT USE,J9181,CDM,,,,both,,,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
**CISPLANTIN 10 MG DO NOT USE,J9060,CDM,,,,both,,,127,127,29.21,127,127,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,100.33,percent of total billed charges,100.33,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 ,100.33,percent of total billed charges ,100.33,percent of total billed charges ,107.95,percent of total billed charges ,107.95,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 ,,,,,,,,,,,,,,,,,,,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,
LEUCOVORIN 50MG/50,J0640,CDM,,,,both,,,40,40,9.2,40,40,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,31.6,percent of total billed charges,31.6,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 ,31.6,percent of total billed charges ,31.6,percent of total billed charges ,34,percent of total billed charges ,34,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 ,,,,,,,,,,,,,,,,,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,
**MAVIK 4MG DO NOT USE,637,RC,54569-54-2200,NDC,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
PHENYLEPHRINE 10% OPTH SOLN : 5ML,250,RC,42702-01-0305,NDC,,both,1,each,161.61,161.61,37.17,161.61,161.61,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,127.67,percent of total billed charges,127.67,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 ,127.67,percent of total billed charges ,127.67,percent of total billed charges ,137.37,percent of total billed charges ,137.37,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 ,,,,,,,,,,,,,,,,,,,37.17,percent of total billed charges,,,37.17,percent of total billed charges,,,37.17,percent of total billed charges,,,37.17,percent of total billed charges,,,37.17,percent of total billed charges,,,37.17,percent of total billed charges,,,37.17,percent of total billed charges,,,37.17,percent of total billed charges,,,37.17,percent of total billed charges,,,37.17,percent of total billed charges,,,37.17,percent of total billed charges,
GALANTAMINE (RAZADYNE) TAB : 4 MG,637,RC,50458-03-9060,NDC,,both,1,each,13,13,2.99,13,13,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,10.27,percent of total billed charges,10.27,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 ,10.27,percent of total billed charges ,10.27,percent of total billed charges ,11.05,percent of total billed charges ,11.05,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 ,,,,,,,,,,,,,,,,,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,
**MOXIFLOXACIN (AVELOX) DO NOT USE,259,RC,00085-17-3303,NDC,,both,1,each,48,48,11.04,48,48,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,37.92,percent of total billed charges,37.92,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 ,37.92,percent of total billed charges ,37.92,percent of total billed charges ,40.8,percent of total billed charges ,40.8,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 ,,,,,,,,,,,,,,,,,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,
GLUCOSAMINE CAP : 500 MG,637,RC,53503-08-2940,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
TOPROL XL (METOPROLOL ER) : 25MG,637,RC,68001-03-5600,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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,
**CALCIUM CARBONATE SUSP DO NOT USE,259,RC,00054-31-1763,NDC,,both,5,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
ONDANSETRON (ZOFRAN ODT) TAB : 4 MG,637,RC,68001-02-4616,NDC,,both,1,each,1.53,1.53,0.35,1.53,1.53,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,1.21,percent of total billed charges,1.21,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 ,1.21,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 ,1.22,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 ,,,,,,,,,,,,,,,,,,,0.35,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,
ZIPRASIDONE (GEODON) CAP : 20 MG,637,RC,68084-01-0309,NDC,,both,1,each,7.08,7.08,1.63,7.08,7.08,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,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,5.59,percent of total billed charges,5.59,percent of total billed charges,5.66,percent of total billed charges,5.66,percent of total billed charges,,,5.1,percent of total billed charges ,,,5.66,percent of total billed charges ,5.59,percent of total billed charges ,5.59,percent of total billed charges ,6.02,percent of total billed charges ,6.02,percent of total billed charges ,5.66,percent of total billed charges ,5.66,percent of total billed charges ,4.96,percent of total billed charges ,4.96,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,,,,,3.77,percent of total billed charges ,,,,,3.58,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,
**DIVALPROEX(DEPAKOTE)CAP 125MG DO NOT U,637,RC,00074-61-1413,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**MIDZAOLAM (VERSED) DO NOT USE,259,RC,00004-01-6851,NDC,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
LETROZOLE (FEMARA) TAB : 2.5MG*,637,RC,62756-05-1183,NDC,,both,1,each,29,29,6.67,29,29,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,22.91,percent of total billed charges,22.91,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 ,22.91,percent of total billed charges ,22.91,percent of total billed charges ,24.65,percent of total billed charges ,24.65,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 ,,,,,,,,,,,,,,,,,,,6.67,percent of total billed charges,,,6.67,percent of total billed charges,,,6.67,percent of total billed charges,,,6.67,percent of total billed charges,,,6.67,percent of total billed charges,,,6.67,percent of total billed charges,,,6.67,percent of total billed charges,,,6.67,percent of total billed charges,,,6.67,percent of total billed charges,,,6.67,percent of total billed charges,,,6.67,percent of total billed charges,
ANAGRELIDE (AGRYLIN) CAP : 0.5MG,637,RC,54092-00-6301,NDC,,both,1,each,25,25,5.75,25,25,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,19.75,percent of total billed charges,19.75,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 ,19.75,percent of total billed charges ,19.75,percent of total billed charges ,21.25,percent of total billed charges ,21.25,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 ,,,,,,,,,,,,,,,,,,,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,,,5.75,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,
LEVETIRACETAM (KEPPRA) TAB : 250 MG,637,RC,50474-05-9140,NDC,,both,1,each,13,13,2.99,13,13,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,10.27,percent of total billed charges,10.27,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 ,10.27,percent of total billed charges ,10.27,percent of total billed charges ,11.05,percent of total billed charges ,11.05,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 ,,,,,,,,,,,,,,,,,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,
**BUSPIRONE(BUSPAR)TAB 15MG DO NOT USE,637,RC,00087-08-2233,NDC,,both,1,each,13,13,2.99,13,13,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,10.27,percent of total billed charges,10.27,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 ,10.27,percent of total billed charges ,10.27,percent of total billed charges ,11.05,percent of total billed charges ,11.05,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 ,,,,,,,,,,,,,,,,,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,
FLUTICASONE (FLONASE) NASAL :50MCG 16GM,637,RC,60505-08-2901,NDC,,both,1,each,46.95,46.95,10.8,46.95,46.95,percent of total billed charges,46.95,percent of total billed charges,46.95,percent of total billed charges,46.95,percent of total billed charges,46.95,percent of total billed charges,46.95,percent of total billed charges,46.95,percent of total billed charges,46.95,percent of total billed charges,33.8,percent of total billed charges,33.8,percent of total billed charges,33.8,percent of total billed charges,33.8,percent of total billed charges,33.8,percent of total billed charges,33.8,percent of total billed charges,37.09,percent of total billed charges,37.09,percent of total billed charges,37.56,percent of total billed charges,37.56,percent of total billed charges,,,33.8,percent of total billed charges ,,,37.56,percent of total billed charges ,37.09,percent of total billed charges ,37.09,percent of total billed charges ,39.91,percent of total billed charges ,39.91,percent of total billed charges ,37.56,percent of total billed charges ,37.56,percent of total billed charges ,32.87,percent of total billed charges ,32.87,percent of total billed charges ,28.17,percent of total billed charges ,28.17,percent of total billed charges ,28.17,percent of total billed charges ,28.17,percent of total billed charges ,,,,,24.98,percent of total billed charges ,,,,,23.73,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,,,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,
**MELOXICAM (MOBIC) DO NOT USE,259,RC,00597-00-2901,NDC,,both,1,each,12,12,2.76,12,12,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,9.48,percent of total billed charges,9.48,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 ,9.48,percent of total billed charges ,9.48,percent of total billed charges ,10.2,percent of total billed charges ,10.2,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 ,,,,,,,,,,,,,,,,,,,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,
**SEREVENT INHAL 120 DOSE DO NOT USE,259,RC,00173-04-6400,NDC,,both,,,295,295,67.85,295,295,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,233.05,percent of total billed charges,233.05,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 ,233.05,percent of total billed charges ,233.05,percent of total billed charges ,250.75,percent of total billed charges ,250.75,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 ,,,,,,,,,,,,,,,,,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,
**HYDROCODONE=-APAP 10-50MG DO NOT USE,259,RC,00406-03-6301,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
ATORVASTATIN (LIPITOR) TAB : 20 MG,637,RC,51079-02-0901,NDC,,both,1,each,1.03,1.03,0.24,1.03,1.03,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,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,0.81,percent of total billed charges,0.81,percent of total billed charges,0.82,percent of total billed charges,0.82,percent of total billed charges,,,0.74,percent of total billed charges ,,,0.82,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 ,0.82,percent of total billed charges ,0.82,percent of total billed charges ,0.72,percent of total billed charges ,0.72,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 ,,,,,0.52,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,
INSULIN HumaLOG MIX 75/25 : 100UN/MM,J1815,CDM,,,,both,1,each,159.3,159.3,36.64,159.3,159.3,percent of total billed charges,159.3,percent of total billed charges,159.3,percent of total billed charges,159.3,percent of total billed charges,159.3,percent of total billed charges,159.3,percent of total billed charges,159.3,percent of total billed charges,159.3,percent of total billed charges,114.7,percent of total billed charges,114.7,percent of total billed charges,114.7,percent of total billed charges,114.7,percent of total billed charges,114.7,percent of total billed charges,114.7,percent of total billed charges,125.85,percent of total billed charges,125.85,percent of total billed charges,127.44,percent of total billed charges,127.44,percent of total billed charges,,,114.7,percent of total billed charges ,,,127.44,percent of total billed charges ,125.85,percent of total billed charges ,125.85,percent of total billed charges ,135.41,percent of total billed charges ,135.41,percent of total billed charges ,127.44,percent of total billed charges ,127.44,percent of total billed charges ,111.51,percent of total billed charges ,111.51,percent of total billed charges ,95.58,percent of total billed charges ,95.58,percent of total billed charges ,95.58,percent of total billed charges ,95.58,percent of total billed charges ,,,,,84.75,percent of total billed charges ,,,,,80.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,36.64,percent of total billed charges,,,36.64,percent of total billed charges,,,36.64,percent of total billed charges,,,36.64,percent of total billed charges,,,36.64,percent of total billed charges,,,36.64,percent of total billed charges,,,36.64,percent of total billed charges,,,36.64,percent of total billed charges,,,36.64,percent of total billed charges,,,36.64,percent of total billed charges,,,36.64,percent of total billed charges,
**TIMOLOL XE .5% OPHT GEL DO NOT USE,259,RC,61314-02-2525,NDC,,both,1,each,65,65,14.95,65,65,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,51.35,percent of total billed charges,51.35,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 ,51.35,percent of total billed charges ,51.35,percent of total billed charges ,55.25,percent of total billed charges ,55.25,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 ,,,,,,,,,,,,,,,,,,,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,,,14.95,percent of total billed charges,,,14.95,percent of total billed charges,,,14.95,percent of total billed charges,
FAMCICLOVIR (FAMVIR) TAB : 250MG,637,RC,00078-03-6715,NDC,,both,1,each,18,18,4.14,18,18,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,14.22,percent of total billed charges,14.22,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 ,14.22,percent of total billed charges ,14.22,percent of total billed charges ,15.3,percent of total billed charges ,15.3,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 ,,,,,,,,,,,,,,,,,,,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,,,4.14,percent of total billed charges,,,4.14,percent of total billed charges,,,4.14,percent of total billed charges,
**S/B VITAMIN STRESS DO NOT USE,Local ,Local ,,,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**INVANZ INJ : 1GM,J1335,CDM,,,,both,,,221,221,50.83,221,221,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,174.59,percent of total billed charges,174.59,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 ,174.59,percent of total billed charges ,174.59,percent of total billed charges ,187.85,percent of total billed charges ,187.85,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 ,,,,,,,,,,,,,,,,,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,
**KANAMYCIN INJ 1GM/3ML DO NOT USE,J1850,CDM,,,,both,1,each,24,24,5.52,24,24,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,18.96,percent of total billed charges,18.96,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 ,18.96,percent of total billed charges ,18.96,percent of total billed charges ,20.4,percent of total billed charges ,20.4,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 ,,,,,,,,,,,,,,,,,,,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,
**NESALAMINE(PENTASA)CAP 250MG DO NOT US,637,RC,54092-01-8981,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**SELENIUM TAB DO NOT USE,259,RC,00182-11-3801,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
RisperiDONE (RisperDAL) TAB : 1 MG,637,RC,00904-63-5961,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
**DICLOFENAC(VOLTARENXR) TAB DO NOT USE,637,RC,00781-13-8101,NDC,,both,1,each,13,13,2.99,13,13,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,10.27,percent of total billed charges,10.27,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 ,10.27,percent of total billed charges ,10.27,percent of total billed charges ,11.05,percent of total billed charges ,11.05,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 ,,,,,,,,,,,,,,,,,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,
**PHENYTOIN(DALANTIN)CAP 30MG DO NOT USE,637,RC,00071-03-6524,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**CARNITINE(CARNITOR) 330MG DO NOT USE,637,RC,54482-01-4407,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
REPAGLINIDE (PRANDIN) TAB : 0.5 MG*,637,RC,00169-00-8181,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**VENLAFAXINE (FEXOR XR) DO NOT USE,259,RC,00008-08-3703,NDC,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
NIACIN ER CAP : 500MG,637,RC,80681-00-9000,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
HEXACHLOROPHENE 3% CLEANSER :,637,RC,54868-33-4000,NDC,,both,1,each,104,104,23.92,104,104,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,82.16,percent of total billed charges,82.16,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 ,82.16,percent of total billed charges ,82.16,percent of total billed charges ,88.4,percent of total billed charges ,88.4,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 ,,,,,,,,,,,,,,,,,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,
REPAGLINIDE (PRANDIN) TAB : 1 MG*,637,RC,00169-00-8281,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
TORSEMIDE (DEMADEX) TAB : 20MG,637,RC,68084-05-3901,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
**DIPRIVAN 10MG/ML DO NOT USE,Local ,Local ,,,,both,,,68,68,15.64,68,68,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,53.72,percent of total billed charges,53.72,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 ,53.72,percent of total billed charges ,53.72,percent of total billed charges ,57.8,percent of total billed charges ,57.8,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 ,,,,,,,,,,,,,,,,,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,
**THIOPENTAL (PENTOTHAL) INJ : 400MG/20M,J3490,CDM,,,,both,1,each,734,734,168.82,734,734,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,579.86,percent of total billed charges,579.86,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 ,579.86,percent of total billed charges ,579.86,percent of total billed charges ,623.9,percent of total billed charges ,623.9,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 ,,,,,,,,,,,,,,,,,,,168.82,percent of total billed charges,,,168.82,percent of total billed charges,,,168.82,percent of total billed charges,,,168.82,percent of total billed charges,,,168.82,percent of total billed charges,,,168.82,percent of total billed charges,,,168.82,percent of total billed charges,,,168.82,percent of total billed charges,,,168.82,percent of total billed charges,,,168.82,percent of total billed charges,,,168.82,percent of total billed charges,
ALUPENT SYRUP 5CC,637,RC,51079-04-8120,NDC,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
AUGMENTIN 200MG/5ML SUSP,637,RC,00029-60-8539,NDC,,both,1,each,86,86,19.78,86,86,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,67.94,percent of total billed charges,67.94,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 ,67.94,percent of total billed charges ,67.94,percent of total billed charges ,73.1,percent of total billed charges ,73.1,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**BECONASE AQ NASAL SPRAY DO NOT USE,Local ,Local ,,,,both,1,each,272,272,62.56,272,272,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,214.88,percent of total billed charges,214.88,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 ,214.88,percent of total billed charges ,214.88,percent of total billed charges ,231.2,percent of total billed charges ,231.2,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 ,,,,,,,,,,,,,,,,,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,
CHLORTHALIDONE 100MG,637,RC,00378-02-1301,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**DIPRIVAN 10MG/ML DO NOT USE,250,RC,00641-03-7625,NDC,,both,1,each,68,68,15.64,68,68,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,53.72,percent of total billed charges,53.72,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 ,53.72,percent of total billed charges ,53.72,percent of total billed charges ,57.8,percent of total billed charges ,57.8,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 ,,,,,,,,,,,,,,,,,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,
FentaNYL INJ : 250MCG/5ML,J3010,CDM,,,,both,1,each,69.56,69.56,16,69.56,69.56,percent of total billed charges,69.56,percent of total billed charges,69.56,percent of total billed charges,69.56,percent of total billed charges,69.56,percent of total billed charges,69.56,percent of total billed charges,69.56,percent of total billed charges,69.56,percent of total billed charges,50.08,percent of total billed charges,50.08,percent of total billed charges,50.08,percent of total billed charges,50.08,percent of total billed charges,50.08,percent of total billed charges,50.08,percent of total billed charges,54.95,percent of total billed charges,54.95,percent of total billed charges,55.65,percent of total billed charges,55.65,percent of total billed charges,,,50.08,percent of total billed charges ,,,55.65,percent of total billed charges ,54.95,percent of total billed charges ,54.95,percent of total billed charges ,59.13,percent of total billed charges ,59.13,percent of total billed charges ,55.65,percent of total billed charges ,55.65,percent of total billed charges ,48.69,percent of total billed charges ,48.69,percent of total billed charges ,41.74,percent of total billed charges ,41.74,percent of total billed charges ,41.74,percent of total billed charges ,41.74,percent of total billed charges ,,,,,37.01,percent of total billed charges ,,,,,35.16,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,,,16,percent of total billed charges,,,16,percent of total billed charges,,,16,percent of total billed charges,,,16,percent of total billed charges,
FIBRIN SEALANT TISSEEL :  KIT,250,RC,62238-00-0805,NDC,,both,1,each,"2,182.00","2,182.00",501.86,"2,182.00","2,182.00",percent of total billed charges,"2,182.00",percent of total billed charges,"2,182.00",percent of total billed charges,"2,182.00",percent of total billed charges,"2,182.00",percent of total billed charges,"2,182.00",percent of total billed charges,"2,182.00",percent of total billed charges,"2,182.00",percent of total billed charges,"1,571.04",percent of total billed charges,"1,571.04",percent of total billed charges,"1,571.04",percent of total billed charges,"1,571.04",percent of total billed charges,"1,571.04",percent of total billed charges,"1,571.04",percent of total billed charges,"1,723.78",percent of total billed charges,"1,723.78",percent of total billed charges,"1,745.60",percent of total billed charges,"1,745.60",percent of total billed charges,,,"1,571.04",percent of total billed charges ,,,"1,745.60",percent of total billed charges ,"1,723.78",percent of total billed charges ,"1,723.78",percent of total billed charges ,"1,854.70",percent of total billed charges ,"1,854.70",percent of total billed charges ,"1,745.60",percent of total billed charges ,"1,745.60",percent of total billed charges ,"1,527.40",percent of total billed charges ,"1,527.40",percent of total billed charges ,"1,309.20",percent of total billed charges ,"1,309.20",percent of total billed charges ,"1,309.20",percent of total billed charges ,"1,309.20",percent of total billed charges ,,,,,"1,160.82",percent of total billed charges ,,,,,"1,102.78",percent of total billed charges ,,,,,,,,,,,,,,,,,,,501.86,percent of total billed charges,,,501.86,percent of total billed charges,,,501.86,percent of total billed charges,,,501.86,percent of total billed charges,,,501.86,percent of total billed charges,,,501.86,percent of total billed charges,,,501.86,percent of total billed charges,,,501.86,percent of total billed charges,,,501.86,percent of total billed charges,,,501.86,percent of total billed charges,,,501.86,percent of total billed charges,
HEMASEEL 5ML/FIBRIN SEALANT,250,RC,64285-30-0605,NDC,,both,1,each,"2,502.00","2,502.00",575.46,"2,502.00","2,502.00",percent of total billed charges,"2,502.00",percent of total billed charges,"2,502.00",percent of total billed charges,"2,502.00",percent of total billed charges,"2,502.00",percent of total billed charges,"2,502.00",percent of total billed charges,"2,502.00",percent of total billed charges,"2,502.00",percent of total billed charges,"1,801.44",percent of total billed charges,"1,801.44",percent of total billed charges,"1,801.44",percent of total billed charges,"1,801.44",percent of total billed charges,"1,801.44",percent of total billed charges,"1,801.44",percent of total billed charges,"1,976.58",percent of total billed charges,"1,976.58",percent of total billed charges,"2,001.60",percent of total billed charges,"2,001.60",percent of total billed charges,,,"1,801.44",percent of total billed charges ,,,"2,001.60",percent of total billed charges ,"1,976.58",percent of total billed charges ,"1,976.58",percent of total billed charges ,"2,126.70",percent of total billed charges ,"2,126.70",percent of total billed charges ,"2,001.60",percent of total billed charges ,"2,001.60",percent of total billed charges ,"1,751.40",percent of total billed charges ,"1,751.40",percent of total billed charges ,"1,501.20",percent of total billed charges ,"1,501.20",percent of total billed charges ,"1,501.20",percent of total billed charges ,"1,501.20",percent of total billed charges ,,,,,"1,331.06",percent of total billed charges ,,,,,"1,264.51",percent of total billed charges ,,,,,,,,,,,,,,,,,,,575.46,percent of total billed charges,,,575.46,percent of total billed charges,,,575.46,percent of total billed charges,,,575.46,percent of total billed charges,,,575.46,percent of total billed charges,,,575.46,percent of total billed charges,,,575.46,percent of total billed charges,,,575.46,percent of total billed charges,,,575.46,percent of total billed charges,,,575.46,percent of total billed charges,,,575.46,percent of total billed charges,
**ERTAPENEM (INVANZ) INJ : 1GM,J1335,CDM,,,,both,1,each,221,221,50.83,221,221,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,174.59,percent of total billed charges,174.59,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 ,174.59,percent of total billed charges ,174.59,percent of total billed charges ,187.85,percent of total billed charges ,187.85,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 ,,,,,,,,,,,,,,,,,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,
LamoTRIgine (LaMICtal TAB : 100MG,637,RC,68084-03-1901,NDC,,both,1,each,0.54,0.54,0.12,0.54,0.54,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,0.43,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,,,0.39,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 ,0.46,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 ,0.38,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 ,,,,,,,,,,,,,,,,,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,
**ALBUTEROL SYRUP DO NOT USE,637,RC,00085-11-3201,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
REMERON 45 MG,637,RC,00052-01-0730,NDC,,both,1,each,12,12,2.76,12,12,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,9.48,percent of total billed charges,9.48,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 ,9.48,percent of total billed charges ,9.48,percent of total billed charges ,10.2,percent of total billed charges ,10.2,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 ,,,,,,,,,,,,,,,,,,,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,
SODIUM PENTOTHAL,250,RC,63323-01-7015,NDC,,both,1,each,74,74,17.02,74,74,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,58.46,percent of total billed charges,58.46,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 ,58.46,percent of total billed charges ,58.46,percent of total billed charges ,62.9,percent of total billed charges ,62.9,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 ,,,,,,,,,,,,,,,,,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,
**STREPTOKINASE 1.5 MMU DO NOT USE,Local ,Local ,,,,both,,,"1,983.00","1,983.00",456.09,"1,983.00","1,983.00",percent of total billed charges,"1,983.00",percent of total billed charges,"1,983.00",percent of total billed charges,"1,983.00",percent of total billed charges,"1,983.00",percent of total billed charges,"1,983.00",percent of total billed charges,"1,983.00",percent of total billed charges,"1,983.00",percent of total billed charges,"1,427.76",percent of total billed charges,"1,427.76",percent of total billed charges,"1,427.76",percent of total billed charges,"1,427.76",percent of total billed charges,"1,427.76",percent of total billed charges,"1,427.76",percent of total billed charges,"1,566.57",percent of total billed charges,"1,566.57",percent of total billed charges,"1,586.40",percent of total billed charges,"1,586.40",percent of total billed charges,,,"1,427.76",percent of total billed charges ,,,"1,586.40",percent of total billed charges ,"1,566.57",percent of total billed charges ,"1,566.57",percent of total billed charges ,"1,685.55",percent of total billed charges ,"1,685.55",percent of total billed charges ,"1,586.40",percent of total billed charges ,"1,586.40",percent of total billed charges ,"1,388.10",percent of total billed charges ,"1,388.10",percent of total billed charges ,"1,189.80",percent of total billed charges ,"1,189.80",percent of total billed charges ,"1,189.80",percent of total billed charges ,"1,189.80",percent of total billed charges ,,,,,"1,054.96",percent of total billed charges ,,,,,"1,002.21",percent of total billed charges ,,,,,,,,,,,,,,,,,,,456.09,percent of total billed charges,,,456.09,percent of total billed charges,,,456.09,percent of total billed charges,,,456.09,percent of total billed charges,,,456.09,percent of total billed charges,,,456.09,percent of total billed charges,,,456.09,percent of total billed charges,,,456.09,percent of total billed charges,,,456.09,percent of total billed charges,,,456.09,percent of total billed charges,,,456.09,percent of total billed charges,
"THROMBIN 5,000 UNITS - TOPICAL",250,RC,60793-02-1505,NDC,,both,,,91.94,91.94,21.15,91.94,91.94,percent of total billed charges,91.94,percent of total billed charges,91.94,percent of total billed charges,91.94,percent of total billed charges,91.94,percent of total billed charges,91.94,percent of total billed charges,91.94,percent of total billed charges,91.94,percent of total billed charges,66.2,percent of total billed charges,66.2,percent of total billed charges,66.2,percent of total billed charges,66.2,percent of total billed charges,66.2,percent of total billed charges,66.2,percent of total billed charges,72.63,percent of total billed charges,72.63,percent of total billed charges,73.55,percent of total billed charges,73.55,percent of total billed charges,,,66.2,percent of total billed charges ,,,73.55,percent of total billed charges ,72.63,percent of total billed charges ,72.63,percent of total billed charges ,78.15,percent of total billed charges ,78.15,percent of total billed charges ,73.55,percent of total billed charges ,73.55,percent of total billed charges ,64.36,percent of total billed charges ,64.36,percent of 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 ,,,,,46.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,21.15,percent of total billed charges,,,21.15,percent of total billed charges,,,21.15,percent of total billed charges,,,21.15,percent of total billed charges,,,21.15,percent of total billed charges,,,21.15,percent of total billed charges,,,21.15,percent of total billed charges,,,21.15,percent of total billed charges,,,21.15,percent of total billed charges,,,21.15,percent of total billed charges,,,21.15,percent of total billed charges,
ZOLEDRONIC ACID INJ: 1MG (4MG VIAL),J3489,CDM,,,,both,,,"2,259.00","2,259.00",519.57,"2,259.00","2,259.00",percent of total billed charges,"2,259.00",percent of total billed charges,"2,259.00",percent of total billed charges,"2,259.00",percent of total billed charges,"2,259.00",percent of total billed charges,"2,259.00",percent of total billed charges,"2,259.00",percent of total billed charges,"2,259.00",percent of total billed charges,"1,626.48",percent of total billed charges,"1,626.48",percent of total billed charges,"1,626.48",percent of total billed charges,"1,626.48",percent of total billed charges,"1,626.48",percent of total billed charges,"1,626.48",percent of total billed charges,"1,784.61",percent of total billed charges,"1,784.61",percent of total billed charges,"1,807.20",percent of total billed charges,"1,807.20",percent of total billed charges,,,"1,626.48",percent of total billed charges ,,,"1,807.20",percent of total billed charges ,"1,784.61",percent of total billed charges ,"1,784.61",percent of total billed charges ,"1,920.15",percent of total billed charges ,"1,920.15",percent of total billed charges ,"1,807.20",percent of total billed charges ,"1,807.20",percent of total billed charges ,"1,581.30",percent of total billed charges ,"1,581.30",percent of total billed charges ,"1,355.40",percent of total billed charges ,"1,355.40",percent of total billed charges ,"1,355.40",percent of total billed charges ,"1,355.40",percent of total billed charges ,,,,,"1,201.79",percent of total billed charges ,,,,,"1,141.70",percent of total billed charges ,,,,,,,,,,,,,,,,,,,519.57,percent of total billed charges,,,519.57,percent of total billed charges,,,519.57,percent of total billed charges,,,519.57,percent of total billed charges,,,519.57,percent of total billed charges,,,519.57,percent of total billed charges,,,519.57,percent of total billed charges,,,519.57,percent of total billed charges,,,519.57,percent of total billed charges,,,519.57,percent of total billed charges,,,519.57,percent of total billed charges,
LIDOCAINE INJ 2% INJ : 5ML,Local ,Local ,,,,both,1,each,52,52,11.96,52,52,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,41.08,percent of total billed charges,41.08,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 ,41.08,percent of total billed charges ,41.08,percent of total billed charges ,44.2,percent of total billed charges ,44.2,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 ,,,,,,,,,,,,,,,,,,,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,
NEOSTIGMINE INJ : 1MG/ML 10ML,J2710,CDM,,,,both,1,each,81.85,81.85,18.83,81.85,81.85,percent of total billed charges,81.85,percent of total billed charges,81.85,percent of total billed charges,81.85,percent of total billed charges,81.85,percent of total billed charges,81.85,percent of total billed charges,81.85,percent of total billed charges,81.85,percent of total billed charges,58.93,percent of total billed charges,58.93,percent of total billed charges,58.93,percent of total billed charges,58.93,percent of total billed charges,58.93,percent of total billed charges,58.93,percent of total billed charges,64.66,percent of total billed charges,64.66,percent of total billed charges,65.48,percent of total billed charges,65.48,percent of total billed charges,,,58.93,percent of total billed charges ,,,65.48,percent of total billed charges ,64.66,percent of total billed charges ,64.66,percent of total billed charges ,69.57,percent of total billed charges ,69.57,percent of total billed charges ,65.48,percent of total billed charges ,65.48,percent of total billed charges ,57.3,percent of total billed charges ,57.3,percent of total billed charges ,49.11,percent of total billed charges ,49.11,percent of total billed charges ,49.11,percent of total billed charges ,49.11,percent of total billed charges ,,,,,43.54,percent of total billed charges ,,,,,41.37,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,
PROPOFOL (DIPRIVAN) INJ : 10MG/ML 20ML,J2704,CDM,,,,both,1,each,38.12,38.12,8.77,38.12,38.12,percent of total billed charges,38.12,percent of total billed charges,38.12,percent of total billed charges,38.12,percent of total billed charges,38.12,percent of total billed charges,38.12,percent of total billed charges,38.12,percent of total billed charges,38.12,percent of total billed charges,27.45,percent of total billed charges,27.45,percent of total billed charges,27.45,percent of total billed charges,27.45,percent of total billed charges,27.45,percent of total billed charges,27.45,percent of total billed charges,30.11,percent of total billed charges,30.11,percent of total billed charges,30.5,percent of total billed charges,30.5,percent of total billed charges,,,27.45,percent of total billed charges ,,,30.5,percent of total billed charges ,30.11,percent of total billed charges ,30.11,percent of total billed charges ,32.4,percent of total billed charges ,32.4,percent of total billed charges ,30.5,percent of total billed charges ,30.5,percent of total billed charges ,26.68,percent of total billed charges ,26.68,percent of total billed charges ,22.87,percent of total billed charges ,22.87,percent of total billed charges ,22.87,percent of total billed charges ,22.87,percent of total billed charges ,,,,,20.28,percent of total billed charges ,,,,,19.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.77,percent of total billed charges,,,8.77,percent of total billed charges,,,8.77,percent of total billed charges,,,8.77,percent of total billed charges,,,8.77,percent of total billed charges,,,8.77,percent of total billed charges,,,8.77,percent of total billed charges,,,8.77,percent of total billed charges,,,8.77,percent of total billed charges,,,8.77,percent of total billed charges,,,8.77,percent of total billed charges,
ROCURONIUM 10MG/ML(ZEMURON)INJ :,250,RC,00409-95-5870,NDC,,both,1,each,60.35,60.35,13.88,60.35,60.35,percent of total billed charges,60.35,percent of total billed charges,60.35,percent of total billed charges,60.35,percent of total billed charges,60.35,percent of total billed charges,60.35,percent of total billed charges,60.35,percent of total billed charges,60.35,percent of total billed charges,43.45,percent of total billed charges,43.45,percent of total billed charges,43.45,percent of total billed charges,43.45,percent of total billed charges,43.45,percent of total billed charges,43.45,percent of total billed charges,47.68,percent of total billed charges,47.68,percent of total billed charges,48.28,percent of total billed charges,48.28,percent of total billed charges,,,43.45,percent of total billed charges ,,,48.28,percent of total billed charges ,47.68,percent of total billed charges ,47.68,percent of total billed charges ,51.3,percent of total billed charges ,51.3,percent of total billed charges ,48.28,percent of total billed charges ,48.28,percent of total billed charges ,42.25,percent of total billed charges ,42.25,percent of total billed charges ,36.21,percent of total billed charges ,36.21,percent of total billed charges ,36.21,percent of total billed charges ,36.21,percent of total billed charges ,,,,,32.11,percent of total billed charges ,,,,,30.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.88,percent of total billed charges,,,13.88,percent of total billed charges,,,13.88,percent of total billed charges,,,13.88,percent of total billed charges,,,13.88,percent of total billed charges,,,13.88,percent of total billed charges,,,13.88,percent of total billed charges,,,13.88,percent of total billed charges,,,13.88,percent of total billed charges,,,13.88,percent of total billed charges,,,13.88,percent of total billed charges,
**TUBOCURARN MD DO NOT USE,250,RC,00003-09-5015,NDC,,both,1,each,110,110,25.3,110,110,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,86.9,percent of total billed charges,86.9,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 ,86.9,percent of total billed charges ,86.9,percent of total billed charges ,93.5,percent of total billed charges ,93.5,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 ,,,,,,,,,,,,,,,,,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,
BUPivacaine 0.75% PF INJ : 30ML,250,RC,63323-04-7237,NDC,,both,1,each,52.03,52.03,11.97,52.03,52.03,percent of total billed charges,52.03,percent of total billed charges,52.03,percent of total billed charges,52.03,percent of total billed charges,52.03,percent of total billed charges,52.03,percent of total billed charges,52.03,percent of total billed charges,52.03,percent of total billed charges,37.46,percent of total billed charges,37.46,percent of total billed charges,37.46,percent of total billed charges,37.46,percent of total billed charges,37.46,percent of total billed charges,37.46,percent of total billed charges,41.1,percent of total billed charges,41.1,percent of total billed charges,41.62,percent of total billed charges,41.62,percent of total billed charges,,,37.46,percent of total billed charges ,,,41.62,percent of total billed charges ,41.1,percent of total billed charges ,41.1,percent of total billed charges ,44.23,percent of total billed charges ,44.23,percent of total billed charges ,41.62,percent of total billed charges ,41.62,percent of total billed charges ,36.42,percent of total billed charges ,36.42,percent of total billed charges ,31.22,percent of total billed charges ,31.22,percent of total billed charges ,31.22,percent of total billed charges ,31.22,percent of total billed charges ,,,,,27.68,percent of total billed charges ,,,,,26.3,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,,,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,
KCL 20MEQ/D5.45NS 1000 ML PREMIX,J3480,CDM,,,,both,1000,each,31.66,31.66,7.28,31.66,31.66,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,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,22.8,percent of total billed charges,22.8,percent of total billed charges,25.01,percent of total billed charges,25.01,percent of total billed charges,25.33,percent of total billed charges,25.33,percent of total billed charges,,,22.8,percent of total billed charges ,,,25.33,percent of total billed charges ,25.01,percent of total billed charges ,25.01,percent of total billed charges ,26.91,percent of total billed charges ,26.91,percent of total billed charges ,25.33,percent of total billed charges ,25.33,percent of total billed charges ,22.16,percent of total billed charges ,22.16,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 ,,,,,16.84,percent of total billed charges ,,,,,16,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,
KCL 20MEQ/0.9% NS 1000ML PREMIX,258,RC,00338-06-9104,NDC,,both,1,each,92.79,92.79,21.34,92.79,92.79,percent of total billed charges,92.79,percent of total billed charges,92.79,percent of total billed charges,92.79,percent of total billed charges,92.79,percent of total billed charges,92.79,percent of total billed charges,92.79,percent of total billed charges,92.79,percent of total billed charges,66.81,percent of total billed charges,66.81,percent of total billed charges,66.81,percent of total billed charges,66.81,percent of total billed charges,66.81,percent of total billed charges,66.81,percent of total billed charges,73.3,percent of total billed charges,73.3,percent of total billed charges,74.23,percent of total billed charges,74.23,percent of total billed charges,,,66.81,percent of total billed charges ,,,74.23,percent of total billed charges ,73.3,percent of total billed charges ,73.3,percent of total billed charges ,78.87,percent of total billed charges ,78.87,percent of total billed charges ,74.23,percent of total billed charges ,74.23,percent of total billed charges ,64.95,percent of total billed charges ,64.95,percent of total billed charges ,55.67,percent of total billed charges ,55.67,percent of total billed charges ,55.67,percent of total billed charges ,55.67,percent of total billed charges ,,,,,49.36,percent of total billed charges ,,,,,46.9,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,,,21.34,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,
KCL 40MEQ/0.9% NS 1000ML PREMIX,258,RC,63323-06-8801,NDC,,both,1,each,43.62,43.62,10.03,43.62,43.62,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,43.62,percent of total billed charges,43.62,percent of total billed charges,31.41,percent of total billed charges,31.41,percent of total billed charges,31.41,percent of total billed charges,31.41,percent of total billed charges,31.41,percent of total billed charges,31.41,percent of total billed charges,34.46,percent of total billed charges,34.46,percent of total billed charges,34.9,percent of total billed charges,34.9,percent of total billed charges,,,31.41,percent of total billed charges ,,,34.9,percent of total billed charges ,34.46,percent of total billed charges ,34.46,percent of total billed charges ,37.08,percent of total billed charges ,37.08,percent of total billed charges ,34.9,percent of total billed charges ,34.9,percent of total billed charges ,30.53,percent of total billed charges ,30.53,percent of total billed charges ,26.17,percent of total billed charges ,26.17,percent of total billed charges ,26.17,percent of total billed charges ,26.17,percent of total billed charges ,,,,,23.21,percent of total billed charges ,,,,,22.05,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,
ACETAMINOPHEN LIQ : 160MG/5ML CUP,637,RC,00121-17-8105,NDC,,both,5,each,3.78,3.78,0.87,3.78,3.78,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,2.99,percent of total billed charges,2.99,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 ,2.99,percent of total billed charges ,2.99,percent of total billed charges ,3.21,percent of total billed charges ,3.21,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 ,,,,,,,,,,,,,,,,,,,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,
ATROPINE SULF INJ : 0.4 MG/ML 20ML MDV,J0461,CDM,,,,both,1,each,338.98,338.98,77.97,338.98,338.98,percent of total billed charges,338.98,percent of total billed charges,338.98,percent of total billed charges,338.98,percent of total billed charges,338.98,percent of total billed charges,338.98,percent of total billed charges,338.98,percent of total billed charges,338.98,percent of total billed charges,244.07,percent of total billed charges,244.07,percent of total billed charges,244.07,percent of total billed charges,244.07,percent of total billed charges,244.07,percent of total billed charges,244.07,percent of total billed charges,267.79,percent of total billed charges,267.79,percent of total billed charges,271.18,percent of total billed charges,271.18,percent of total billed charges,,,244.07,percent of total billed charges ,,,271.18,percent of total billed charges ,267.79,percent of total billed charges ,267.79,percent of total billed charges ,288.13,percent of total billed charges ,288.13,percent of total billed charges ,271.18,percent of total billed charges ,271.18,percent of total billed charges ,237.29,percent of total billed charges ,237.29,percent of total billed charges ,203.39,percent of total billed charges ,203.39,percent of total billed charges ,203.39,percent of total billed charges ,203.39,percent of total billed charges ,,,,,180.34,percent of total billed charges ,,,,,171.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,77.97,percent of total billed charges,,,77.97,percent of total billed charges,,,77.97,percent of total billed charges,,,77.97,percent of total billed charges,,,77.97,percent of total billed charges,,,77.97,percent of total billed charges,,,77.97,percent of total billed charges,,,77.97,percent of total billed charges,,,77.97,percent of total billed charges,,,77.97,percent of total billed charges,,,77.97,percent of total billed charges,
"BUPivacaine-EPI 0.25% INJ 1:200,000",250,RC,00409-90-4216,NDC,,both,1,each,147.76,147.76,33.98,147.76,147.76,percent of total billed charges,147.76,percent of total billed charges,147.76,percent of total billed charges,147.76,percent of total billed charges,147.76,percent of total billed charges,147.76,percent of total billed charges,147.76,percent of total billed charges,147.76,percent of total billed charges,106.39,percent of total billed charges,106.39,percent of total billed charges,106.39,percent of total billed charges,106.39,percent of total billed charges,106.39,percent of total billed charges,106.39,percent of total billed charges,116.73,percent of total billed charges,116.73,percent of total billed charges,118.21,percent of total billed charges,118.21,percent of total billed charges,,,106.39,percent of total billed charges ,,,118.21,percent of total billed charges ,116.73,percent of total billed charges ,116.73,percent of total billed charges ,125.6,percent of total billed charges ,125.6,percent of total billed charges ,118.21,percent of total billed charges ,118.21,percent of total billed charges ,103.43,percent of total billed charges ,103.43,percent of total billed charges ,88.66,percent of total billed charges ,88.66,percent of total billed charges ,88.66,percent of total billed charges ,88.66,percent of total billed charges ,,,,,78.61,percent of total billed charges ,,,,,74.68,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,,,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,
CHLOROPROCAINE 2% 20MG/ML INJ,J2400,CDM,,,,both,1,each,280.42,280.42,64.5,280.42,280.42,percent of total billed charges,280.42,percent of total billed charges,280.42,percent of total billed charges,280.42,percent of total billed charges,280.42,percent of total billed charges,280.42,percent of total billed charges,280.42,percent of total billed charges,280.42,percent of total billed charges,201.9,percent of total billed charges,201.9,percent of total billed charges,201.9,percent of total billed charges,201.9,percent of total billed charges,201.9,percent of total billed charges,201.9,percent of total billed charges,221.53,percent of total billed charges,221.53,percent of total billed charges,224.34,percent of total billed charges,224.34,percent of total billed charges,,,201.9,percent of total billed charges ,,,224.34,percent of total billed charges ,221.53,percent of total billed charges ,221.53,percent of total billed charges ,238.36,percent of total billed charges ,238.36,percent of total billed charges ,224.34,percent of total billed charges ,224.34,percent of total billed charges ,196.29,percent of total billed charges ,196.29,percent of total billed charges ,168.25,percent of total billed charges ,168.25,percent of total billed charges ,168.25,percent of total billed charges ,168.25,percent of total billed charges ,,,,,149.18,percent of total billed charges ,,,,,141.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.5,percent of total billed charges,,,64.5,percent of total billed charges,,,64.5,percent of total billed charges,,,64.5,percent of total billed charges,,,64.5,percent of total billed charges,,,64.5,percent of total billed charges,,,64.5,percent of total billed charges,,,64.5,percent of total billed charges,,,64.5,percent of total billed charges,,,64.5,percent of total billed charges,,,64.5,percent of total billed charges,
CHLOROPROCAINE 3% INJ : 20ML,J2400,CDM,,,,both,1,each,180.04,180.04,41.41,180.04,180.04,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,129.63,percent of total billed charges,129.63,percent of total billed charges,129.63,percent of total billed charges,129.63,percent of total billed charges,129.63,percent of total billed charges,129.63,percent of total billed charges,142.23,percent of total billed charges,142.23,percent of total billed charges,144.03,percent of total billed charges,144.03,percent of total billed charges,,,129.63,percent of total billed charges ,,,144.03,percent of total billed charges ,142.23,percent of total billed charges ,142.23,percent of total billed charges ,153.03,percent of total billed charges ,153.03,percent of total billed charges ,144.03,percent of total billed charges ,144.03,percent of total billed charges ,126.03,percent of total billed charges ,126.03,percent of total billed charges ,108.02,percent of total billed charges ,108.02,percent of total billed charges ,108.02,percent of total billed charges ,108.02,percent of total billed charges ,,,,,95.78,percent of total billed charges ,,,,,90.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,41.41,percent of total billed charges,,,41.41,percent of total billed charges,,,41.41,percent of total billed charges,,,41.41,percent of total billed charges,,,41.41,percent of total billed charges,,,41.41,percent of total billed charges,,,41.41,percent of total billed charges,,,41.41,percent of total billed charges,,,41.41,percent of total billed charges,,,41.41,percent of total billed charges,,,41.41,percent of total billed charges,
GLYCOPYRROLATE INJ : 0.2MG/ML 20ML*,250,RC,00517-46-2025,NDC,,both,1,each,49,49,11.27,49,49,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,38.71,percent of total billed charges,38.71,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 ,38.71,percent of total billed charges ,38.71,percent of total billed charges ,41.65,percent of total billed charges ,41.65,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 ,,,,,,,,,,,,,,,,,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,
MEPIVACAINE 1% INJ:,J0670,CDM,,,,both,1,each,104.25,104.25,23.98,104.25,104.25,percent of total billed charges,104.25,percent of total billed charges,104.25,percent of total billed charges,104.25,percent of total billed charges,104.25,percent of total billed charges,104.25,percent of total billed charges,104.25,percent of total billed charges,104.25,percent of total billed charges,75.06,percent of total billed charges,75.06,percent of total billed charges,75.06,percent of total billed charges,75.06,percent of total billed charges,75.06,percent of total billed charges,75.06,percent of total billed charges,82.36,percent of total billed charges,82.36,percent of total billed charges,83.4,percent of total billed charges,83.4,percent of total billed charges,,,75.06,percent of total billed charges ,,,83.4,percent of total billed charges ,82.36,percent of total billed charges ,82.36,percent of total billed charges ,88.61,percent of total billed charges ,88.61,percent of total billed charges ,83.4,percent of total billed charges ,83.4,percent of total billed charges ,72.98,percent of total billed charges ,72.98,percent of total billed charges ,62.55,percent of total billed charges ,62.55,percent of total billed charges ,62.55,percent of total billed charges ,62.55,percent of total billed charges ,,,,,55.46,percent of total billed charges ,,,,,52.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,23.98,percent of total billed charges,,,23.98,percent of total billed charges,,,23.98,percent of total billed charges,,,23.98,percent of total billed charges,,,23.98,percent of total billed charges,,,23.98,percent of total billed charges,,,23.98,percent of total billed charges,,,23.98,percent of total billed charges,,,23.98,percent of total billed charges,,,23.98,percent of total billed charges,,,23.98,percent of total billed charges,
FULVESTRANT (FASLODEX) INJ : 250MG/5ML,J9395,CDM,,,,both,1,each,727.04,727.04,167.22,727.04,727.04,percent of total billed charges,727.04,percent of total billed charges,727.04,percent of total billed charges,727.04,percent of total billed charges,727.04,percent of total billed charges,727.04,percent of total billed charges,727.04,percent of total billed charges,727.04,percent of total billed charges,523.47,percent of total billed charges,523.47,percent of total billed charges,523.47,percent of total billed charges,523.47,percent of total billed charges,523.47,percent of total billed charges,523.47,percent of total billed charges,574.36,percent of total billed charges,574.36,percent of total billed charges,581.63,percent of total billed charges,581.63,percent of total billed charges,,,523.47,percent of total billed charges ,,,581.63,percent of total billed charges ,574.36,percent of total billed charges ,574.36,percent of total billed charges ,617.98,percent of total billed charges ,617.98,percent of total billed charges ,581.63,percent of total billed charges ,581.63,percent of total billed charges ,508.93,percent of total billed charges ,508.93,percent of total billed charges ,436.22,percent of total billed charges ,436.22,percent of total billed charges ,436.22,percent of total billed charges ,436.22,percent of total billed charges ,,,,,386.79,percent of total billed charges ,,,,,367.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,167.22,percent of total billed charges,,,167.22,percent of total billed charges,,,167.22,percent of total billed charges,,,167.22,percent of total billed charges,,,167.22,percent of total billed charges,,,167.22,percent of total billed charges,,,167.22,percent of total billed charges,,,167.22,percent of total billed charges,,,167.22,percent of total billed charges,,,167.22,percent of total billed charges,,,167.22,percent of total billed charges,
CLEOCIN INJ 300MG/2ML,J3490,CDM,,,,both,,,27.23,27.23,6.26,27.23,27.23,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,27.23,percent of total billed charges,27.23,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,21.51,percent of total billed charges,21.51,percent of total billed charges,21.78,percent of total billed charges,21.78,percent of total billed charges,,,19.61,percent of total billed charges ,,,21.78,percent of total billed charges ,21.51,percent of total billed charges ,21.51,percent of total billed charges ,23.15,percent of total billed charges ,23.15,percent of total billed charges ,21.78,percent of total billed charges ,21.78,percent of total billed charges ,19.06,percent of total billed charges ,19.06,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 ,,,,,13.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.26,percent of total billed charges,,,6.26,percent of total billed charges,,,6.26,percent of total billed charges,,,6.26,percent of total billed charges,,,6.26,percent of total billed charges,,,6.26,percent of total billed charges,,,6.26,percent of total billed charges,,,6.26,percent of total billed charges,,,6.26,percent of total billed charges,,,6.26,percent of total billed charges,,,6.26,percent of total billed charges,
**PAMINDROANATE (AREDIA) DO NOT USE,J2430,CDM,,,,both,1,each,"1,990.00","1,990.00",457.7,"1,990.00","1,990.00",percent of total billed charges,"1,990.00",percent of total billed charges,"1,990.00",percent of total billed charges,"1,990.00",percent of total billed charges,"1,990.00",percent of total billed charges,"1,990.00",percent of total billed charges,"1,990.00",percent of total billed charges,"1,990.00",percent of total billed charges,"1,432.80",percent of total billed charges,"1,432.80",percent of total billed charges,"1,432.80",percent of total billed charges,"1,432.80",percent of total billed charges,"1,432.80",percent of total billed charges,"1,432.80",percent of total billed charges,"1,572.10",percent of total billed charges,"1,572.10",percent of total billed charges,"1,592.00",percent of total billed charges,"1,592.00",percent of total billed charges,,,"1,432.80",percent of total billed charges ,,,"1,592.00",percent of total billed charges ,"1,572.10",percent of total billed charges ,"1,572.10",percent of total billed charges ,"1,691.50",percent of total billed charges ,"1,691.50",percent of total billed charges ,"1,592.00",percent of total billed charges ,"1,592.00",percent of total billed charges ,"1,393.00",percent of total billed charges ,"1,393.00",percent of total billed charges ,"1,194.00",percent of total billed charges ,"1,194.00",percent of total billed charges ,"1,194.00",percent of total billed charges ,"1,194.00",percent of total billed charges ,,,,,"1,058.68",percent of total billed charges ,,,,,"1,005.75",percent of total billed charges ,,,,,,,,,,,,,,,,,,,457.7,percent of total billed charges,,,457.7,percent of total billed charges,,,457.7,percent of total billed charges,,,457.7,percent of total billed charges,,,457.7,percent of total billed charges,,,457.7,percent of total billed charges,,,457.7,percent of total billed charges,,,457.7,percent of total billed charges,,,457.7,percent of total billed charges,,,457.7,percent of total billed charges,,,457.7,percent of total billed charges,
BUDESONIDE (PULMICORT) : 0.25MG/2ML,637,RC,00487-96-0101,NDC,,both,1,each,12.87,12.87,2.96,12.87,12.87,percent of total billed charges,12.87,percent of total billed charges,12.87,percent of total billed charges,12.87,percent of total billed charges,12.87,percent of total billed charges,12.87,percent of total billed charges,12.87,percent of total billed charges,12.87,percent of total billed charges,9.27,percent of total billed charges,9.27,percent of total billed charges,9.27,percent of total billed charges,9.27,percent of total billed charges,9.27,percent of total billed charges,9.27,percent of total billed charges,10.17,percent of total billed charges,10.17,percent of total billed charges,10.3,percent of total billed charges,10.3,percent of total billed charges,,,9.27,percent of total billed charges ,,,10.3,percent of total billed charges ,10.17,percent of total billed charges ,10.17,percent of total billed charges ,10.94,percent of total billed charges ,10.94,percent of total billed charges ,10.3,percent of total billed charges ,10.3,percent of total billed charges ,9.01,percent of total billed charges ,9.01,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 ,,,,,6.85,percent of total billed charges ,,,,,6.5,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,,,2.96,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,,,2.96,percent of total billed charges,,,2.96,percent of total billed charges,,,2.96,percent of total billed charges,
BUDESONIDE (PULMICORT) : 0.5MG/2ML,250,RC,60687-05-2479,NDC,,both,1,each,6.33,6.33,1.46,6.33,6.33,percent of total billed charges,6.33,percent of total billed charges,6.33,percent of total billed charges,6.33,percent of total billed charges,6.33,percent of total billed charges,6.33,percent of total billed charges,6.33,percent of total billed charges,6.33,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,5,percent of total billed charges,5,percent of total billed charges,5.06,percent of total billed charges,5.06,percent of total billed charges,,,4.56,percent of total billed charges ,,,5.06,percent of total billed charges ,5,percent of total billed charges ,5,percent of total billed charges ,5.38,percent of total billed charges ,5.38,percent of total billed charges ,5.06,percent of total billed charges ,5.06,percent of total billed charges ,4.43,percent of total billed charges ,4.43,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 ,,,,,3.37,percent of total billed charges ,,,,,3.2,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,
**ZOLEDRONIC (ZOMETA) 4MG/100ML PREMIX,J3489,CDM,,,,both,,,"1,152.00","1,152.00",264.96,"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,910.08,percent of total billed charges,910.08,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 ,910.08,percent of total billed charges ,910.08,percent of total billed charges ,979.2,percent of total billed charges ,979.2,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
AMILorideTAB : 5MG,637,RC,00574-02-9201,NDC,,both,1,each,0.96,0.96,0.22,0.96,0.96,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,0.69,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,0.76,percent of total billed charges,0.76,percent of total billed charges,0.77,percent of total billed charges,0.77,percent of total billed charges,,,0.69,percent of total billed charges ,,,0.77,percent of total billed charges ,0.76,percent of total billed charges ,0.76,percent of total billed charges ,0.82,percent of total billed charges ,0.82,percent of total billed charges ,0.77,percent of total billed charges ,0.77,percent of total billed charges ,0.67,percent of total billed charges ,0.67,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 ,,,,,0.51,percent of total billed charges ,,,,,0.49,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,
**TELMISARTAN(MICARDIS)TAB:20MG DO NOT U,259,RC,00597-00-3928,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**METHENAMINE MANDELATE TAB DO NOT USE,259,RC,52152-01-1102,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
PENTOVAN 10ML INJ,250,RC,99999-99-9999,NDC,,both,,,53,53,12.19,53,53,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,41.87,percent of total billed charges,41.87,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 ,41.87,percent of total billed charges ,41.87,percent of total billed charges ,45.05,percent of total billed charges ,45.05,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 ,,,,,,,,,,,,,,,,,,,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,
DEXTROSE 5% NACL 0.2% 1000ML,J7042,CDM,,,,both,1,each,74.68,74.68,17.18,74.68,74.68,percent of total billed charges,74.68,percent of total billed charges,74.68,percent of total billed charges,74.68,percent of total billed charges,74.68,percent of total billed charges,74.68,percent of total billed charges,74.68,percent of total billed charges,74.68,percent of total billed charges,53.77,percent of total billed charges,53.77,percent of total billed charges,53.77,percent of total billed charges,53.77,percent of total billed charges,53.77,percent of total billed charges,53.77,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59.74,percent of total billed charges,59.74,percent of total billed charges,,,53.77,percent of total billed charges ,,,59.74,percent of total billed charges ,59,percent of total billed charges ,59,percent of total billed charges ,63.48,percent of total billed charges ,63.48,percent of total billed charges ,59.74,percent of total billed charges ,59.74,percent of total billed charges ,52.28,percent of total billed charges ,52.28,percent of total billed charges ,44.81,percent of total billed charges ,44.81,percent of total billed charges ,44.81,percent of total billed charges ,44.81,percent of total billed charges ,,,,,39.73,percent of total billed charges ,,,,,37.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,17.18,percent of total billed charges,,,17.18,percent of total billed charges,,,17.18,percent of total billed charges,,,17.18,percent of total billed charges,,,17.18,percent of total billed charges,,,17.18,percent of total billed charges,,,17.18,percent of total billed charges,,,17.18,percent of total billed charges,,,17.18,percent of total billed charges,,,17.18,percent of total billed charges,,,17.18,percent of total billed charges,
AMINOSYN II 10% SOLN : 500 ML,250,RC,00409-41-6403,NDC,,both,1,each,102,102,23.46,102,102,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,80.58,percent of total billed charges,80.58,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 ,80.58,percent of total billed charges ,80.58,percent of total billed charges ,86.7,percent of total billed charges ,86.7,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 ,,,,,,,,,,,,,,,,,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,
CarBAMazepine ER CAP (CARBATROL) : 200MG,637,RC,51079-03-8520,NDC,,both,1,each,3.85,3.85,0.89,3.85,3.85,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,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,3.04,percent of total billed charges,3.04,percent of total billed charges,3.08,percent of total billed charges,3.08,percent of total billed charges,,,2.77,percent of total billed charges ,,,3.08,percent of total billed charges ,3.04,percent of total billed charges ,3.04,percent of total billed charges ,3.27,percent of total billed charges ,3.27,percent of total billed charges ,3.08,percent of total billed charges ,3.08,percent of total billed charges ,2.7,percent of total billed charges ,2.7,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 ,,,,,2.05,percent of total billed charges ,,,,,1.95,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,
HEP-LOCK PF INJ : 10 UNITS/1ML,J1642,CDM,,,,both,1,each,18,18,4.14,18,18,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,14.22,percent of total billed charges,14.22,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 ,14.22,percent of total billed charges ,14.22,percent of total billed charges ,15.3,percent of total billed charges ,15.3,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 ,,,,,,,,,,,,,,,,,,,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,,,4.14,percent of total billed charges,,,4.14,percent of total billed charges,,,4.14,percent of total billed charges,
MAGNESIUM SULFATE 1 GM / 100ML PREMIX,J3475,CDM,,,,both,1,each,150,150,34.5,150,150,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,118.5,percent of total billed charges,118.5,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 ,118.5,percent of total billed charges ,118.5,percent of total billed charges ,127.5,percent of total billed charges ,127.5,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 ,,,,,,,,,,,,,,,,,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,
KCL 30MEQ/D5.45NS 1000ML PREMIX,J3480,CDM,,,,both,1000,each,42.39,42.39,9.75,42.39,42.39,percent of total billed charges,42.39,percent of total billed charges,42.39,percent of total billed charges,42.39,percent of total billed charges,42.39,percent of total billed charges,42.39,percent of total billed charges,42.39,percent of total billed charges,42.39,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,33.49,percent of total billed charges,33.49,percent of total billed charges,33.91,percent of total billed charges,33.91,percent of total billed charges,,,30.52,percent of total billed charges ,,,33.91,percent of total billed charges ,33.49,percent of total billed charges ,33.49,percent of total billed charges ,36.03,percent of total billed charges ,36.03,percent of total billed charges ,33.91,percent of total billed charges ,33.91,percent of total billed charges ,29.67,percent of total billed charges ,29.67,percent of total billed charges ,25.43,percent of total billed charges ,25.43,percent of total billed charges ,25.43,percent of total billed charges ,25.43,percent of total billed charges ,,,,,22.55,percent of total billed charges ,,,,,21.42,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,,,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,,,9.75,percent of total billed charges,,,9.75,percent of total billed charges,,,9.75,percent of total billed charges,
KCL 40MEQ/D5.45NS 1000ML PREMIX,J3480,CDM,,,,both,1000,each,43.62,43.62,10.03,43.62,43.62,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,43.62,percent of total billed charges,43.62,percent of total billed charges,31.41,percent of total billed charges,31.41,percent of total billed charges,31.41,percent of total billed charges,31.41,percent of total billed charges,31.41,percent of total billed charges,31.41,percent of total billed charges,34.46,percent of total billed charges,34.46,percent of total billed charges,34.9,percent of total billed charges,34.9,percent of total billed charges,,,31.41,percent of total billed charges ,,,34.9,percent of total billed charges ,34.46,percent of total billed charges ,34.46,percent of total billed charges ,37.08,percent of total billed charges ,37.08,percent of total billed charges ,34.9,percent of total billed charges ,34.9,percent of total billed charges ,30.53,percent of total billed charges ,30.53,percent of total billed charges ,26.17,percent of total billed charges ,26.17,percent of total billed charges ,26.17,percent of total billed charges ,26.17,percent of total billed charges ,,,,,23.21,percent of total billed charges ,,,,,22.05,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,
KCL 20MEQ/D5W 1000ML PREMIX,J3480,CDM,,,,both,1000,each,48.9,48.9,11.25,48.9,48.9,percent of total billed charges,48.9,percent of total billed charges,48.9,percent of total billed charges,48.9,percent of total billed charges,48.9,percent of total billed charges,48.9,percent of total billed charges,48.9,percent of total billed charges,48.9,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,38.63,percent of total billed charges,38.63,percent of total billed charges,39.12,percent of total billed charges,39.12,percent of total billed charges,,,35.21,percent of total billed charges ,,,39.12,percent of total billed charges ,38.63,percent of total billed charges ,38.63,percent of total billed charges ,41.57,percent of total billed charges ,41.57,percent of total billed charges ,39.12,percent of total billed charges ,39.12,percent of total billed charges ,34.23,percent of total billed charges ,34.23,percent of total billed charges ,29.34,percent of total billed charges ,29.34,percent of total billed charges ,29.34,percent of total billed charges ,29.34,percent of total billed charges ,,,,,26.01,percent of total billed charges ,,,,,24.71,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,,,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,
KCL 20MEQ/D5.9NS 1000ML PREMIX,J3480,CDM,,,,both,1000,each,36.59,36.59,8.42,36.59,36.59,percent of total billed charges,36.59,percent of total billed charges,36.59,percent of total billed charges,36.59,percent of total billed charges,36.59,percent of total billed charges,36.59,percent of total billed charges,36.59,percent of total billed charges,36.59,percent of total billed charges,26.34,percent of total billed charges,26.34,percent of total billed charges,26.34,percent of total billed charges,26.34,percent of total billed charges,26.34,percent of total billed charges,26.34,percent of total billed charges,28.91,percent of total billed charges,28.91,percent of total billed charges,29.27,percent of total billed charges,29.27,percent of total billed charges,,,26.34,percent of total billed charges ,,,29.27,percent of total billed charges ,28.91,percent of total billed charges ,28.91,percent of total billed charges ,31.1,percent of total billed charges ,31.1,percent of total billed charges ,29.27,percent of total billed charges ,29.27,percent of total billed charges ,25.61,percent of total billed charges ,25.61,percent of total billed charges ,21.95,percent of total billed charges ,21.95,percent of total billed charges ,21.95,percent of total billed charges ,21.95,percent of total billed charges ,,,,,19.47,percent of total billed charges ,,,,,18.49,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,,,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,,,8.42,percent of total billed charges,,,8.42,percent of total billed charges,,,8.42,percent of total billed charges,
KCL 40MEQ/D5.9NS 1000ML PREMIX,J3480,CDM,,,,both,1000,each,44.33,44.33,10.2,44.33,44.33,percent of total billed charges,44.33,percent of total billed charges,44.33,percent of total billed charges,44.33,percent of total billed charges,44.33,percent of total billed charges,44.33,percent of total billed charges,44.33,percent of total billed charges,44.33,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,35.02,percent of total billed charges,35.02,percent of total billed charges,35.46,percent of total billed charges,35.46,percent of total billed charges,,,31.92,percent of total billed charges ,,,35.46,percent of total billed charges ,35.02,percent of total billed charges ,35.02,percent of total billed charges ,37.68,percent of total billed charges ,37.68,percent of total billed charges ,35.46,percent of total billed charges ,35.46,percent of total billed charges ,31.03,percent of total billed charges ,31.03,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 ,,,,,23.58,percent of total billed charges ,,,,,22.4,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,,,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,,,10.2,percent of total billed charges,,,10.2,percent of total billed charges,,,10.2,percent of total billed charges,
KCL 20MEQ/0.45NS 1000ML PREMIX,J3480,CDM,,,,both,1,each,36.76,36.76,8.45,36.76,36.76,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,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,29.04,percent of total billed charges,29.04,percent of total billed charges,29.41,percent of total billed charges,29.41,percent of total billed charges,,,26.47,percent of total billed charges ,,,29.41,percent of total billed charges ,29.04,percent of total billed charges ,29.04,percent of total billed charges ,31.25,percent of total billed charges ,31.25,percent of total billed charges ,29.41,percent of total billed charges ,29.41,percent of total billed charges ,25.73,percent of total billed charges ,25.73,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 ,,,,,19.56,percent of total billed charges ,,,,,18.58,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,
KCL 20MEQ/D5LR 1000ML PREMIX,J3480,CDM,,,,both,1000,each,43.62,43.62,10.03,43.62,43.62,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,43.62,percent of total billed charges,43.62,percent of total billed charges,31.41,percent of total billed charges,31.41,percent of total billed charges,31.41,percent of total billed charges,31.41,percent of total billed charges,31.41,percent of total billed charges,31.41,percent of total billed charges,34.46,percent of total billed charges,34.46,percent of total billed charges,34.9,percent of total billed charges,34.9,percent of total billed charges,,,31.41,percent of total billed charges ,,,34.9,percent of total billed charges ,34.46,percent of total billed charges ,34.46,percent of total billed charges ,37.08,percent of total billed charges ,37.08,percent of total billed charges ,34.9,percent of total billed charges ,34.9,percent of total billed charges ,30.53,percent of total billed charges ,30.53,percent of total billed charges ,26.17,percent of total billed charges ,26.17,percent of total billed charges ,26.17,percent of total billed charges ,26.17,percent of total billed charges ,,,,,23.21,percent of total billed charges ,,,,,22.05,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,
ESCITALOPRAM (LEXAPRO) TAB : 10MG,637,RC,00904-64-2661,NDC,,both,1,each,0.63,0.63,0.14,0.63,0.63,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,0.5,percent of total billed charges,0.5,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 ,0.5,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 ,0.5,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 ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
RACEPINEPHRINE INH SOL 2.25% : 0.5ML UD,250,RC,00487-27-8401,NDC,,both,1,each,5.77,5.77,1.33,5.77,5.77,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,4.56,percent of total billed charges,4.56,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 ,4.56,percent of total billed charges ,4.56,percent of total billed charges ,4.9,percent of total billed charges ,4.9,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 ,,,,,,,,,,,,,,,,,,,1.33,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,
AYR SALINE NASAL GEL : 14 GM,637,RC,00225-05-2547,NDC,,both,1,each,41,41,9.43,41,41,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,32.39,percent of total billed charges,32.39,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 ,32.39,percent of total billed charges ,32.39,percent of total billed charges ,34.85,percent of total billed charges ,34.85,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 ,,,,,,,,,,,,,,,,,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,
GELFOAM DENTAL SPONGE (SIZE 4) : 1 EACH,250,RC,00009-03-9605,NDC,,both,1,each,117,117,26.91,117,117,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,92.43,percent of total billed charges,92.43,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 ,92.43,percent of total billed charges ,92.43,percent of total billed charges ,99.45,percent of total billed charges ,99.45,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 ,,,,,,,,,,,,,,,,,,,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,
RISEDRONATE (ACTONEL) TAB : 35MG,637,RC,33342-01-0937,NDC,,both,1,each,5.01,5.01,1.15,5.01,5.01,percent of total billed charges,5.01,percent of total billed charges,5.01,percent of total billed charges,5.01,percent of total billed charges,5.01,percent of total billed charges,5.01,percent of total billed charges,5.01,percent of total billed charges,5.01,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,3.96,percent of total billed charges,3.96,percent of total billed charges,4.01,percent of total billed charges,4.01,percent of total billed charges,,,3.61,percent of total billed charges ,,,4.01,percent of total billed charges ,3.96,percent of total billed charges ,3.96,percent of total billed charges ,4.26,percent of total billed charges ,4.26,percent of total billed charges ,4.01,percent of total billed charges ,4.01,percent of total billed charges ,3.51,percent of total billed charges ,3.51,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 ,,,,,2.67,percent of total billed charges ,,,,,2.53,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,
OLANZapine (ZyPREXA) TAB : 2.5MG *,Local ,Local ,,,,both,1,each,24,24,5.52,24,24,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,18.96,percent of total billed charges,18.96,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 ,18.96,percent of total billed charges ,18.96,percent of total billed charges ,20.4,percent of total billed charges ,20.4,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 ,,,,,,,,,,,,,,,,,,,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,
**BENZOL PER. (DESQUAM-X) DO NOT USE,259,RC,00072-66-2101,NDC,,both,1,each,65,65,14.95,65,65,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,51.35,percent of total billed charges,51.35,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 ,51.35,percent of total billed charges ,51.35,percent of total billed charges ,55.25,percent of total billed charges ,55.25,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 ,,,,,,,,,,,,,,,,,,,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,,,14.95,percent of total billed charges,,,14.95,percent of total billed charges,,,14.95,percent of total billed charges,
**LORACARBEF (LORABID) DO NOT USE,259,RC,00002-31-7102,NDC,,both,1,each,38,38,8.74,38,38,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,30.02,percent of total billed charges,30.02,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 ,30.02,percent of total billed charges ,30.02,percent of total billed charges ,32.3,percent of total billed charges ,32.3,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 ,,,,,,,,,,,,,,,,,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,
LEFLUNOMIDE (ARAVA) TAB : 20MG,637,RC,00088-21-6130,NDC,,both,1,each,38,38,8.74,38,38,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,30.02,percent of total billed charges,30.02,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 ,30.02,percent of total billed charges ,30.02,percent of total billed charges ,32.3,percent of total billed charges ,32.3,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 ,,,,,,,,,,,,,,,,,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,
TRANDOLAPRIL (MAVIK) TAB : 1MG,637,RC,68180-05-6601,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
OCTREOTIDE (SandoSTATIN DEPOT): 20MG,J2353,CDM,,,,both,1,each,523.42,523.42,120.39,523.42,523.42,percent of total billed charges,523.42,percent of total billed charges,523.42,percent of total billed charges,523.42,percent of total billed charges,523.42,percent of total billed charges,523.42,percent of total billed charges,523.42,percent of total billed charges,523.42,percent of total billed charges,376.86,percent of total billed charges,376.86,percent of total billed charges,376.86,percent of total billed charges,376.86,percent of total billed charges,376.86,percent of total billed charges,376.86,percent of total billed charges,413.5,percent of total billed charges,413.5,percent of total billed charges,418.74,percent of total billed charges,418.74,percent of total billed charges,,,376.86,percent of total billed charges ,,,418.74,percent of total billed charges ,413.5,percent of total billed charges ,413.5,percent of total billed charges ,444.91,percent of total billed charges ,444.91,percent of total billed charges ,418.74,percent of total billed charges ,418.74,percent of total billed charges ,366.39,percent of total billed charges ,366.39,percent of total billed charges ,314.05,percent of total billed charges ,314.05,percent of total billed charges ,314.05,percent of total billed charges ,314.05,percent of total billed charges ,,,,,278.46,percent of total billed charges ,,,,,264.54,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,
**TERCONAZOLE VAG SUPP DO NOT USE,259,RC,00062-53-5101,NDC,,both,1,each,172,172,39.56,172,172,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,135.88,percent of total billed charges,135.88,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 ,135.88,percent of total billed charges ,135.88,percent of total billed charges ,146.2,percent of total billed charges ,146.2,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 ,,,,,,,,,,,,,,,,,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,
PAPAIN-UREA (ACCUZYME) OINT : 30GM*,250,RC,00064-50-1030,NDC,,both,1,each,121,121,27.83,121,121,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,95.59,percent of total billed charges,95.59,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 ,95.59,percent of total billed charges ,95.59,percent of total billed charges ,102.85,percent of total billed charges ,102.85,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,27.83,percent of total billed charges,,,27.83,percent of total billed charges,,,27.83,percent of total billed charges,
BIMATOPROST (LUMIGAN) 0.03% OPTH : 2.5 *,637,RC,00023-91-8703,NDC,,both,1,each,148,148,34.04,148,148,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,116.92,percent of total billed charges,116.92,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 ,116.92,percent of total billed charges ,116.92,percent of total billed charges ,125.8,percent of total billed charges ,125.8,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 ,,,,,,,,,,,,,,,,,,,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,,,34.04,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,
**TACAINIDE (TONOCARD) TAB DO NOT USE,259,RC,00186-07-0768,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
NATEGLINIDE (STARLIX) TAB : 120MG,637,RC,68084-04-5911,NDC,,both,1,each,6.88,6.88,1.58,6.88,6.88,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,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,5.44,percent of total billed charges,5.44,percent of total billed charges,5.5,percent of total billed charges,5.5,percent of total billed charges,,,4.95,percent of total billed charges ,,,5.5,percent of total billed charges ,5.44,percent of total billed charges ,5.44,percent of total billed charges ,5.85,percent of total billed charges ,5.85,percent of total billed charges ,5.5,percent of total billed charges ,5.5,percent of total billed charges ,4.82,percent of total billed charges ,4.82,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 ,,,,,3.66,percent of total billed charges ,,,,,3.48,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,
"LORazepam ORAL CONCENTRATE: 2MG/ML, 30ML",637,RC,65162-06-8784,NDC,,both,1,each,55.34,55.34,12.73,55.34,55.34,percent of total billed charges,55.34,percent of total billed charges,55.34,percent of total billed charges,55.34,percent of total billed charges,55.34,percent of total billed charges,55.34,percent of total billed charges,55.34,percent of total billed charges,55.34,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,43.72,percent of total billed charges,43.72,percent of total billed charges,44.27,percent of total billed charges,44.27,percent of total billed charges,,,39.84,percent of total billed charges ,,,44.27,percent of total billed charges ,43.72,percent of total billed charges ,43.72,percent of total billed charges ,47.04,percent of total billed charges ,47.04,percent of total billed charges ,44.27,percent of total billed charges ,44.27,percent of total billed charges ,38.74,percent of total billed charges ,38.74,percent of total billed charges ,33.2,percent of total billed charges ,33.2,percent of total billed charges ,33.2,percent of total billed charges ,33.2,percent of total billed charges ,,,,,29.44,percent of total billed charges ,,,,,27.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.73,percent of total billed charges,,,12.73,percent of total billed charges,,,12.73,percent of total billed charges,,,12.73,percent of total billed charges,,,12.73,percent of total billed charges,,,12.73,percent of total billed charges,,,12.73,percent of total billed charges,,,12.73,percent of total billed charges,,,12.73,percent of total billed charges,,,12.73,percent of total billed charges,,,12.73,percent of total billed charges,
**ZIMMERS SWISH * SWALLOW DO NOT USE,250,RC,60432-00-3316,NDC,,both,1,each,16,16,3.68,16,16,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,12.64,percent of total billed charges,12.64,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 ,12.64,percent of total billed charges ,12.64,percent of total billed charges ,13.6,percent of total billed charges ,13.6,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 ,,,,,,,,,,,,,,,,,,,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,,,3.68,percent of total billed charges,,,3.68,percent of total billed charges,,,3.68,percent of total billed charges,
MAGIC MOUTHWASH COMP 90ML,250,RC,54868-12-2700,NDC,,both,1,each,61,61,14.03,61,61,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,48.19,percent of total billed charges,48.19,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 ,48.19,percent of total billed charges ,48.19,percent of total billed charges ,51.85,percent of total billed charges ,51.85,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 ,,,,,,,,,,,,,,,,,,,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,,,14.03,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,
BENZOCAINE ORAL GEL :,Local ,Local ,,,,both,1,each,51.52,51.52,11.85,51.52,51.52,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,37.09,percent of total billed charges,37.09,percent of total billed charges,37.09,percent of total billed charges,37.09,percent of total billed charges,37.09,percent of total billed charges,37.09,percent of total billed charges,40.7,percent of total billed charges,40.7,percent of total billed charges,41.22,percent of total billed charges,41.22,percent of total billed charges,,,37.09,percent of total billed charges ,,,41.22,percent of total billed charges ,40.7,percent of total billed charges ,40.7,percent of total billed charges ,43.79,percent of total billed charges ,43.79,percent of total billed charges ,41.22,percent of total billed charges ,41.22,percent of total billed charges ,36.06,percent of total billed charges ,36.06,percent of total billed charges ,30.91,percent of total billed charges ,30.91,percent of total billed charges ,30.91,percent of total billed charges ,30.91,percent of total billed charges ,,,,,27.41,percent of total billed charges ,,,,,26.04,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,
**TETRACAINE (PONTOCAINE) AMP DO NOT USE,250,RC,00409-18-4906,NDC,,both,1,each,67,67,15.41,67,67,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,52.93,percent of total billed charges,52.93,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 ,52.93,percent of total billed charges ,52.93,percent of total billed charges ,56.95,percent of total billed charges ,56.95,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 ,,,,,,,,,,,,,,,,,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,
ENOXAPARIN (LOVENOX) INJ : 10MG J1650,J1650,CDM,,,,both,1,each,25,25,5.75,25,25,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,19.75,percent of total billed charges,19.75,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 ,19.75,percent of total billed charges ,19.75,percent of total billed charges ,21.25,percent of total billed charges ,21.25,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 ,,,,,,,,,,,,,,,,,,,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,,,5.75,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,
BETAXOLOL (BETOPTIC) 0.5% OPTH SOLN: 5ML,637,RC,61314-02-4501,NDC,,both,1,each,150.38,150.38,34.59,150.38,150.38,percent of total billed charges,150.38,percent of total billed charges,150.38,percent of total billed charges,150.38,percent of total billed charges,150.38,percent of total billed charges,150.38,percent of total billed charges,150.38,percent of total billed charges,150.38,percent of total billed charges,108.27,percent of total billed charges,108.27,percent of total billed charges,108.27,percent of total billed charges,108.27,percent of total billed charges,108.27,percent of total billed charges,108.27,percent of total billed charges,118.8,percent of total billed charges,118.8,percent of total billed charges,120.3,percent of total billed charges,120.3,percent of total billed charges,,,108.27,percent of total billed charges ,,,120.3,percent of total billed charges ,118.8,percent of total billed charges ,118.8,percent of total billed charges ,127.82,percent of total billed charges ,127.82,percent of total billed charges ,120.3,percent of total billed charges ,120.3,percent of total billed charges ,105.27,percent of total billed charges ,105.27,percent of total billed charges ,90.23,percent of total billed charges ,90.23,percent of total billed charges ,90.23,percent of total billed charges ,90.23,percent of total billed charges ,,,,,80,percent of total billed charges ,,,,,76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,34.59,percent of total billed charges,,,34.59,percent of total billed charges,,,34.59,percent of total billed charges,,,34.59,percent of total billed charges,,,34.59,percent of total billed charges,,,34.59,percent of total billed charges,,,34.59,percent of total billed charges,,,34.59,percent of total billed charges,,,34.59,percent of total billed charges,,,34.59,percent of total billed charges,,,34.59,percent of total billed charges,
**LAMINARIA CERVICAL DILATOR,Local ,Local ,,,,both,,,36,36,8.28,36,36,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,28.44,percent of total billed charges,28.44,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 ,28.44,percent of total billed charges ,28.44,percent of total billed charges ,30.6,percent of total billed charges ,30.6,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,8.28,percent of total billed charges,,,8.28,percent of total billed charges,,,8.28,percent of total billed charges,
MISOPROSTOL (CYTOTEC) TAB : 100 MCG,637,RC,59762-50-0701,NDC,,both,1,each,2.07,2.07,0.48,2.07,2.07,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,1.64,percent of total billed charges,1.64,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 ,1.64,percent of total billed charges ,1.64,percent of total billed charges ,1.76,percent of total billed charges ,1.76,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 ,,,,,,,,,,,,,,,,,,,0.48,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,
FOLIC ACID XTRA *,637,RC,30768-00-0080,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
**HYDROCORTISONE 2.5% RECTAL CR DO NOT U,250,RC,64980-03-0130,NDC,,both,1,each,17,17,3.91,17,17,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,13.43,percent of total billed charges,13.43,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 ,13.43,percent of total billed charges ,13.43,percent of total billed charges ,14.45,percent of total billed charges ,14.45,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 ,,,,,,,,,,,,,,,,,,,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,
SIMVASTATIN (ZOCOR) TAB : 80MG,637,RC,00006-05-4331,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**MILK OF MAGNESIA CONC DO NOT USE,259,RC,00054-35-6749,NDC,,both,1,each,17,17,3.91,17,17,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,13.43,percent of total billed charges,13.43,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 ,13.43,percent of total billed charges ,13.43,percent of total billed charges ,14.45,percent of total billed charges ,14.45,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 ,,,,,,,,,,,,,,,,,,,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,
BAZA PROTECTANT CREAM : 5 OZ,637,RC,11701-00-4614,NDC,,both,1,each,113.08,113.08,26.01,113.08,113.08,percent of total billed charges,113.08,percent of total billed charges,113.08,percent of total billed charges,113.08,percent of total billed charges,113.08,percent of total billed charges,113.08,percent of total billed charges,113.08,percent of total billed charges,113.08,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,89.33,percent of total billed charges,89.33,percent of total billed charges,90.46,percent of total billed charges,90.46,percent of total billed charges,,,81.42,percent of total billed charges ,,,90.46,percent of total billed charges ,89.33,percent of total billed charges ,89.33,percent of total billed charges ,96.12,percent of total billed charges ,96.12,percent of total billed charges ,90.46,percent of total billed charges ,90.46,percent of total billed charges ,79.16,percent of total billed charges ,79.16,percent of total billed charges ,67.85,percent of total billed charges ,67.85,percent of total billed charges ,67.85,percent of total billed charges ,67.85,percent of total billed charges ,,,,,60.16,percent of total billed charges ,,,,,57.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.01,percent of total billed charges,,,26.01,percent of total billed charges,,,26.01,percent of total billed charges,,,26.01,percent of total billed charges,,,26.01,percent of total billed charges,,,26.01,percent of total billed charges,,,26.01,percent of total billed charges,,,26.01,percent of total billed charges,,,26.01,percent of total billed charges,,,26.01,percent of total billed charges,,,26.01,percent of total billed charges,
CEFEPIME (MAXIPIME) INJ : 500MG,J0692,CDM,,,,both,1,each,179,179,41.17,179,179,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,141.41,percent of total billed charges,141.41,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 ,141.41,percent of total billed charges ,141.41,percent of total billed charges ,152.15,percent of total billed charges ,152.15,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 ,,,,,,,,,,,,,,,,,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,
TOBRAMYCIN SULFATE INJ :UP TO 80MG J3260,J3260,CDM,,,,both,1,each,31,31,7.13,31,31,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,24.49,percent of total billed charges,24.49,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 ,24.49,percent of total billed charges ,24.49,percent of total billed charges ,26.35,percent of total billed charges ,26.35,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 ,,,,,,,,,,,,,,,,,,,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,
AMIKACIN SULFATE (AMIKIN) INJ : 500MG,J0278,CDM,,,,both,1,each,52,52,11.96,52,52,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,41.08,percent of total billed charges,41.08,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 ,41.08,percent of total billed charges ,41.08,percent of total billed charges ,44.2,percent of total billed charges ,44.2,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 ,,,,,,,,,,,,,,,,,,,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,
DARBEPOETIN ALFA INJ PER 1MCG UNIT,J0881,CDM,,,,both,1,each,32,32,7.36,32,32,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,25.28,percent of total billed charges,25.28,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 ,25.28,percent of total billed charges ,25.28,percent of total billed charges ,27.2,percent of total billed charges ,27.2,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 ,,,,,,,,,,,,,,,,,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,
CODEINE SULFATE TAB : 30 MG,637,RC,00054-02-4424,NDC,,both,1,each,9.28,9.28,2.13,9.28,9.28,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,6.68,percent of total billed charges,6.68,percent of total billed charges,6.68,percent of total billed charges,6.68,percent of total billed charges,6.68,percent of total billed charges,6.68,percent of total billed charges,7.33,percent of total billed charges,7.33,percent of total billed charges,7.42,percent of total billed charges,7.42,percent of total billed charges,,,6.68,percent of total billed charges ,,,7.42,percent of total billed charges ,7.33,percent of total billed charges ,7.33,percent of total billed charges ,7.89,percent of total billed charges ,7.89,percent of total billed charges ,7.42,percent of total billed charges ,7.42,percent of total billed charges ,6.5,percent of total billed charges ,6.5,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 ,,,,,4.94,percent of total billed charges ,,,,,4.69,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,
**LEVOFLOXACIN (QUIXIN) .5% DO NOT USE,259,RC,68669-01-3505,NDC,,both,1,each,176,176,40.48,176,176,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,139.04,percent of total billed charges,139.04,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 ,139.04,percent of total billed charges ,139.04,percent of total billed charges ,149.6,percent of total billed charges ,149.6,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 ,,,,,,,,,,,,,,,,,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,
**OLANZAPINE (ZYPREXA) 15MG DO NOT USE,259,RC,00002-44-1560,NDC,,both,1,each,69,69,15.87,69,69,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,54.51,percent of total billed charges,54.51,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 ,54.51,percent of total billed charges ,54.51,percent of total billed charges ,58.65,percent of total billed charges ,58.65,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 ,,,,,,,,,,,,,,,,,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,
**DALFORPRISTIN/QUINUPRISTIN DO NOT USE,J2770,CDM,,,,both,1,each,521,521,119.83,521,521,percent of total billed charges,521,percent of total billed charges,521,percent of total billed charges,521,percent of total billed charges,521,percent of total billed charges,521,percent of total billed charges,521,percent of total billed charges,521,percent of total billed charges,375.12,percent of total billed charges,375.12,percent of total billed charges,375.12,percent of total billed charges,375.12,percent of total billed charges,375.12,percent of total billed charges,375.12,percent of total billed charges,411.59,percent of total billed charges,411.59,percent of total billed charges,416.8,percent of total billed charges,416.8,percent of total billed charges,,,375.12,percent of total billed charges ,,,416.8,percent of total billed charges ,411.59,percent of total billed charges ,411.59,percent of total billed charges ,442.85,percent of total billed charges ,442.85,percent of total billed charges ,416.8,percent of total billed charges ,416.8,percent of total billed charges ,364.7,percent of total billed charges ,364.7,percent of total billed charges ,312.6,percent of total billed charges ,312.6,percent of total billed charges ,312.6,percent of total billed charges ,312.6,percent of total billed charges ,,,,,277.17,percent of total billed charges ,,,,,263.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,119.83,percent of total billed charges,,,119.83,percent of total billed charges,,,119.83,percent of total billed charges,,,119.83,percent of total billed charges,,,119.83,percent of total billed charges,,,119.83,percent of total billed charges,,,119.83,percent of total billed charges,,,119.83,percent of total billed charges,,,119.83,percent of total billed charges,,,119.83,percent of total billed charges,,,119.83,percent of total billed charges,
EPOETIN INJ : 3000 UN/ML,J0885,CDM,,,,both,1,each,313.89,313.89,72.19,313.89,313.89,percent of total billed charges,313.89,percent of total billed charges,313.89,percent of total billed charges,313.89,percent of total billed charges,313.89,percent of total billed charges,313.89,percent of total billed charges,313.89,percent of total billed charges,313.89,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,247.97,percent of total billed charges,247.97,percent of total billed charges,251.11,percent of total billed charges,251.11,percent of total billed charges,,,226,percent of total billed charges ,,,251.11,percent of total billed charges ,247.97,percent of total billed charges ,247.97,percent of total billed charges ,266.81,percent of total billed charges ,266.81,percent of total billed charges ,251.11,percent of total billed charges ,251.11,percent of total billed charges ,219.72,percent of total billed charges ,219.72,percent of total billed charges ,188.33,percent of total billed charges ,188.33,percent of total billed charges ,188.33,percent of total billed charges ,188.33,percent of total billed charges ,,,,,166.99,percent of total billed charges ,,,,,158.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,72.19,percent of total billed charges,,,72.19,percent of total billed charges,,,72.19,percent of total billed charges,,,72.19,percent of total billed charges,,,72.19,percent of total billed charges,,,72.19,percent of total billed charges,,,72.19,percent of total billed charges,,,72.19,percent of total billed charges,,,72.19,percent of total billed charges,,,72.19,percent of total billed charges,,,72.19,percent of total billed charges,
ENTACAPONE (COMTAN) TAB : 200MG,637,RC,00078-03-2705,NDC,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
TRICHOPHYTON 1:500 SKIN TEST : 1 ML,250,RC,38697-60-8701,NDC,,both,1,each,201,201,46.23,201,201,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,158.79,percent of total billed charges,158.79,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 ,158.79,percent of total billed charges ,158.79,percent of total billed charges ,170.85,percent of total billed charges ,170.85,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 ,,,,,,,,,,,,,,,,,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,
SALMETEROL (SEREVENT) DISK : 50MCG*,Local ,Local ,,,,both,1,each,476,476,109.48,476,476,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,376.04,percent of total billed charges,376.04,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 ,376.04,percent of total billed charges ,376.04,percent of total billed charges ,404.6,percent of total billed charges ,404.6,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 ,,,,,,,,,,,,,,,,,,,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,
**BENZOYL PEROXIDE 60 MG DO NOT USE,259,RC,59366-27-4501,NDC,,both,1,each,105,105,24.15,105,105,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,82.95,percent of total billed charges,82.95,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 ,82.95,percent of total billed charges ,82.95,percent of total billed charges ,89.25,percent of total billed charges ,89.25,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 ,,,,,,,,,,,,,,,,,,,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,
MAG-AL PLUS ANTACID/ANTIGAS SUSP 30ML,637,RC,00121-17-6130,NDC,,both,1,each,9.63,9.63,2.21,9.63,9.63,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,6.93,percent of total billed charges,6.93,percent of total billed charges,6.93,percent of total billed charges,6.93,percent of total billed charges,6.93,percent of total billed charges,6.93,percent of total billed charges,7.61,percent of total billed charges,7.61,percent of total billed charges,7.7,percent of total billed charges,7.7,percent of total billed charges,,,6.93,percent of total billed charges ,,,7.7,percent of total billed charges ,7.61,percent of total billed charges ,7.61,percent of total billed charges ,8.19,percent of total billed charges ,8.19,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.74,percent of total billed charges ,6.74,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 ,,,,,5.12,percent of total billed charges ,,,,,4.87,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,
PANTOPRAZOLE (PROTONIX) TAB : 20 MG,637,RC,60687-05-8511,NDC,,both,1,each,0.25,0.25,0.06,0.25,0.25,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,0.18,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,0.2,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,,,0.18,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 ,0.21,percent of total billed charges ,0.21,percent of total billed charges ,0.2,percent of total billed charges ,0.2,percent of total billed charges ,0.18,percent of total billed charges ,0.18,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 ,,,,,0.13,percent of total billed charges ,,,,,0.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,
ACYCLOVIR (ZOVIRAX) 5% CREAM,637,RC,00187-09-9445,NDC,,both,1,each,"1,582.24","1,582.24",363.92,"1,582.24","1,582.24",percent of total billed charges,"1,582.24",percent of total billed charges,"1,582.24",percent of total billed charges,"1,582.24",percent of total billed charges,"1,582.24",percent of total billed charges,"1,582.24",percent of total billed charges,"1,582.24",percent of total billed charges,"1,582.24",percent of total billed charges,"1,139.21",percent of total billed charges,"1,139.21",percent of total billed charges,"1,139.21",percent of total billed charges,"1,139.21",percent of total billed charges,"1,139.21",percent of total billed charges,"1,139.21",percent of total billed charges,"1,249.97",percent of total billed charges,"1,249.97",percent of total billed charges,"1,265.79",percent of total billed charges,"1,265.79",percent of total billed charges,,,"1,139.21",percent of total billed charges ,,,"1,265.79",percent of total billed charges ,"1,249.97",percent of total billed charges ,"1,249.97",percent of total billed charges ,"1,344.90",percent of total billed charges ,"1,344.90",percent of total billed charges ,"1,265.79",percent of total billed charges ,"1,265.79",percent of total billed charges ,"1,107.57",percent of total billed charges ,"1,107.57",percent of total billed charges ,949.34,percent of total billed charges ,949.34,percent of total billed charges ,949.34,percent of total billed charges ,949.34,percent of total billed charges ,,,,,841.75,percent of total billed charges ,,,,,799.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,363.92,percent of total billed charges,,,363.92,percent of total billed charges,,,363.92,percent of total billed charges,,,363.92,percent of total billed charges,,,363.92,percent of total billed charges,,,363.92,percent of total billed charges,,,363.92,percent of total billed charges,,,363.92,percent of total billed charges,,,363.92,percent of total billed charges,,,363.92,percent of total billed charges,,,363.92,percent of total billed charges,
CALCIUM ACETATE (PHOSLO) CAP : 667MG,637,RC,64980-01-0401,NDC,,both,1,each,3.8,3.8,0.87,3.8,3.8,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,3,percent of total billed charges,3,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,percent of total billed charges ,3,percent of total billed charges ,3.23,percent of total billed charges ,3.23,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 ,,,,,,,,,,,,,,,,,,,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,
HYDROCORTISONE 1% LOTION : 120 ML,637,RC,00394-08-5932,NDC,,both,1,each,63.86,63.86,14.69,63.86,63.86,percent of total billed charges,63.86,percent of total billed charges,63.86,percent of total billed charges,63.86,percent of total billed charges,63.86,percent of total billed charges,63.86,percent of total billed charges,63.86,percent of total billed charges,63.86,percent of total billed charges,45.98,percent of total billed charges,45.98,percent of total billed charges,45.98,percent of total billed charges,45.98,percent of total billed charges,45.98,percent of total billed charges,45.98,percent of total billed charges,50.45,percent of total billed charges,50.45,percent of total billed charges,51.09,percent of total billed charges,51.09,percent of total billed charges,,,45.98,percent of total billed charges ,,,51.09,percent of total billed charges ,50.45,percent of total billed charges ,50.45,percent of total billed charges ,54.28,percent of total billed charges ,54.28,percent of total billed charges ,51.09,percent of total billed charges ,51.09,percent of total billed charges ,44.7,percent of total billed charges ,44.7,percent of total billed charges ,38.32,percent of total billed charges ,38.32,percent of total billed charges ,38.32,percent of total billed charges ,38.32,percent of total billed charges ,,,,,33.97,percent of total billed charges ,,,,,32.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.69,percent of total billed charges,,,14.69,percent of total billed charges,,,14.69,percent of total billed charges,,,14.69,percent of total billed charges,,,14.69,percent of total billed charges,,,14.69,percent of total billed charges,,,14.69,percent of total billed charges,,,14.69,percent of total billed charges,,,14.69,percent of total billed charges,,,14.69,percent of total billed charges,,,14.69,percent of total billed charges,
LINEZOLID (ZYVOX) INJ : 600MG/300ML,J2020,CDM,,,,both,1,each,213.82,213.82,49.18,213.82,213.82,percent of total billed charges,213.82,percent of total billed charges,213.82,percent of total billed charges,213.82,percent of total billed charges,213.82,percent of total billed charges,213.82,percent of total billed charges,213.82,percent of total billed charges,213.82,percent of total billed charges,153.95,percent of total billed charges,153.95,percent of total billed charges,153.95,percent of total billed charges,153.95,percent of total billed charges,153.95,percent of total billed charges,153.95,percent of total billed charges,168.92,percent of total billed charges,168.92,percent of total billed charges,171.06,percent of total billed charges,171.06,percent of total billed charges,,,153.95,percent of total billed charges ,,,171.06,percent of total billed charges ,168.92,percent of total billed charges ,168.92,percent of total billed charges ,181.75,percent of total billed charges ,181.75,percent of total billed charges ,171.06,percent of total billed charges ,171.06,percent of total billed charges ,149.67,percent of total billed charges ,149.67,percent of total billed charges ,128.29,percent of total billed charges ,128.29,percent of total billed charges ,128.29,percent of total billed charges ,128.29,percent of total billed charges ,,,,,113.75,percent of total billed charges ,,,,,108.06,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,
**VALDEXOXIB (BEXTRA) TAB DO NOT USE,259,RC,00025-19-7531,NDC,,both,1,each,21,21,4.83,21,21,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,16.59,percent of total billed charges,16.59,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 ,16.59,percent of total billed charges ,16.59,percent of total billed charges ,17.85,percent of total billed charges ,17.85,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 ,,,,,,,,,,,,,,,,,,,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,
**LANTISEPTIC SKIN PROTECT DO NOT USE,259,RC,12090-00-0922,NDC,,both,1,each,21,21,4.83,21,21,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,16.59,percent of total billed charges,16.59,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 ,16.59,percent of total billed charges ,16.59,percent of total billed charges ,17.85,percent of total billed charges ,17.85,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 ,,,,,,,,,,,,,,,,,,,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,
BusPIRone (BUSPAR) TAB : 5 MG,637,RC,68382-01-8001,NDC,,both,1,each,0.41,0.41,0.09,0.41,0.41,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,0.3,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,0.32,percent of total billed charges,0.32,percent of total billed charges,0.33,percent of total billed charges,0.33,percent of total billed charges,,,0.3,percent of total billed charges ,,,0.33,percent of total billed charges ,0.32,percent of total billed charges ,0.32,percent of total billed charges ,0.35,percent of total billed charges ,0.35,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 ,0.29,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 ,,,,,0.22,percent of total billed charges ,,,,,0.21,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,,,0.09,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,
L.E.T. TOPICAL SOLUTION : 3ML,Local ,Local ,,,,both,1,each,49,49,11.27,49,49,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,38.71,percent of total billed charges,38.71,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 ,38.71,percent of total billed charges ,38.71,percent of total billed charges ,41.65,percent of total billed charges ,41.65,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 ,,,,,,,,,,,,,,,,,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,
PRALIDOXIME (PROTOPAM) INJ : 1GM,J2730,CDM,,,,both,1,each,442,442,101.66,442,442,percent of total billed charges,442,percent of total billed charges,442,percent of total billed charges,442,percent of total billed charges,442,percent of total billed charges,442,percent of total billed charges,442,percent of total billed charges,442,percent of total billed charges,318.24,percent of total billed charges,318.24,percent of total billed charges,318.24,percent of total billed charges,318.24,percent of total billed charges,318.24,percent of total billed charges,318.24,percent of total billed charges,349.18,percent of total billed charges,349.18,percent of total billed charges,353.6,percent of total billed charges,353.6,percent of total billed charges,,,318.24,percent of total billed charges ,,,353.6,percent of total billed charges ,349.18,percent of total billed charges ,349.18,percent of total billed charges ,375.7,percent of total billed charges ,375.7,percent of total billed charges ,353.6,percent of total billed charges ,353.6,percent of total billed charges ,309.4,percent of total billed charges ,309.4,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 ,,,,,235.14,percent of total billed charges ,,,,,223.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,101.66,percent of total billed charges,,,101.66,percent of total billed charges,,,101.66,percent of total billed charges,,,101.66,percent of total billed charges,,,101.66,percent of total billed charges,,,101.66,percent of total billed charges,,,101.66,percent of total billed charges,,,101.66,percent of total billed charges,,,101.66,percent of total billed charges,,,101.66,percent of total billed charges,,,101.66,percent of total billed charges,
PILOCARPINE 0.5% OPHTH SOLN : 15 ML*,637,RC,54868-21-1000,NDC,,both,1,each,21,21,4.83,21,21,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,16.59,percent of total billed charges,16.59,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 ,16.59,percent of total billed charges ,16.59,percent of total billed charges ,17.85,percent of total billed charges ,17.85,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 ,,,,,,,,,,,,,,,,,,,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,
OXCARBAZEPHINE (TRILEPTAL):  150MG,250,RC,00078-03-3605,NDC,,both,1,each,16,16,3.68,16,16,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,12.64,percent of total billed charges,12.64,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 ,12.64,percent of total billed charges ,12.64,percent of total billed charges ,13.6,percent of total billed charges ,13.6,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 ,,,,,,,,,,,,,,,,,,,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,,,3.68,percent of total billed charges,,,3.68,percent of total billed charges,,,3.68,percent of total billed charges,
**THIAGABINE (GABITRIL) TAB DO NOT USE,259,RC,63459-04-0401,NDC,,both,1,each,18,18,4.14,18,18,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,14.22,percent of total billed charges,14.22,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 ,14.22,percent of total billed charges ,14.22,percent of total billed charges ,15.3,percent of total billed charges ,15.3,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 ,,,,,,,,,,,,,,,,,,,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,,,4.14,percent of total billed charges,,,4.14,percent of total billed charges,,,4.14,percent of total billed charges,
DESMOPRESSIN ACETATE INJ : 4MCG/1ML,J2597,CDM,,,,both,1,each,326.87,326.87,75.18,326.87,326.87,percent of total billed charges,326.87,percent of total billed charges,326.87,percent of total billed charges,326.87,percent of total billed charges,326.87,percent of total billed charges,326.87,percent of total billed charges,326.87,percent of total billed charges,326.87,percent of total billed charges,235.35,percent of total billed charges,235.35,percent of total billed charges,235.35,percent of total billed charges,235.35,percent of total billed charges,235.35,percent of total billed charges,235.35,percent of total billed charges,258.23,percent of total billed charges,258.23,percent of total billed charges,261.5,percent of total billed charges,261.5,percent of total billed charges,,,235.35,percent of total billed charges ,,,261.5,percent of total billed charges ,258.23,percent of total billed charges ,258.23,percent of total billed charges ,277.84,percent of total billed charges ,277.84,percent of total billed charges ,261.5,percent of total billed charges ,261.5,percent of total billed charges ,228.81,percent of total billed charges ,228.81,percent of total billed charges ,196.12,percent of total billed charges ,196.12,percent of total billed charges ,196.12,percent of total billed charges ,196.12,percent of total billed charges ,,,,,173.89,percent of total billed charges ,,,,,165.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,75.18,percent of total billed charges,,,75.18,percent of total billed charges,,,75.18,percent of total billed charges,,,75.18,percent of total billed charges,,,75.18,percent of total billed charges,,,75.18,percent of total billed charges,,,75.18,percent of total billed charges,,,75.18,percent of total billed charges,,,75.18,percent of total billed charges,,,75.18,percent of total billed charges,,,75.18,percent of total billed charges,
CefOXitin(MEFOXIN) 1GM INJ,J0694,CDM,,,,both,1,each,116.09,116.09,26.7,116.09,116.09,percent of total billed charges,116.09,percent of total billed charges,116.09,percent of total billed charges,116.09,percent of total billed charges,116.09,percent of total billed charges,116.09,percent of total billed charges,116.09,percent of total billed charges,116.09,percent of total billed charges,83.58,percent of total billed charges,83.58,percent of total billed charges,83.58,percent of total billed charges,83.58,percent of total billed charges,83.58,percent of total billed charges,83.58,percent of total billed charges,91.71,percent of total billed charges,91.71,percent of total billed charges,92.87,percent of total billed charges,92.87,percent of total billed charges,,,83.58,percent of total billed charges ,,,92.87,percent of total billed charges ,91.71,percent of total billed charges ,91.71,percent of total billed charges ,98.68,percent of total billed charges ,98.68,percent of total billed charges ,92.87,percent of total billed charges ,92.87,percent of total billed charges ,81.26,percent of total billed charges ,81.26,percent of total billed charges ,69.65,percent of total billed charges ,69.65,percent of total billed charges ,69.65,percent of total billed charges ,69.65,percent of total billed charges ,,,,,61.76,percent of total billed charges ,,,,,58.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.7,percent of total billed charges,,,26.7,percent of total billed charges,,,26.7,percent of total billed charges,,,26.7,percent of total billed charges,,,26.7,percent of total billed charges,,,26.7,percent of total billed charges,,,26.7,percent of total billed charges,,,26.7,percent of total billed charges,,,26.7,percent of total billed charges,,,26.7,percent of total billed charges,,,26.7,percent of total billed charges,
**PHARMACY MMC MISC ONLY DO NOT USE,Local ,Local ,,,,both,,,227,227,52.21,227,227,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,179.33,percent of total billed charges,179.33,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 ,179.33,percent of total billed charges ,179.33,percent of total billed charges ,192.95,percent of total billed charges ,192.95,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 ,,,,,,,,,,,,,,,,,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,
BENZOIN COMPOUND TINCTURE USP : 60ML,250,RC,00395-02-4392,NDC,,both,1,each,80.52,80.52,18.52,80.52,80.52,percent of total billed charges,80.52,percent of total billed charges,80.52,percent of total billed charges,80.52,percent of total billed charges,80.52,percent of total billed charges,80.52,percent of total billed charges,80.52,percent of total billed charges,80.52,percent of total billed charges,57.97,percent of total billed charges,57.97,percent of total billed charges,57.97,percent of total billed charges,57.97,percent of total billed charges,57.97,percent of total billed charges,57.97,percent of total billed charges,63.61,percent of total billed charges,63.61,percent of total billed charges,64.42,percent of total billed charges,64.42,percent of total billed charges,,,57.97,percent of total billed charges ,,,64.42,percent of total billed charges ,63.61,percent of total billed charges ,63.61,percent of total billed charges ,68.44,percent of total billed charges ,68.44,percent of total billed charges ,64.42,percent of total billed charges ,64.42,percent of total billed charges ,56.36,percent of total billed charges ,56.36,percent of total billed charges ,48.31,percent of total billed charges ,48.31,percent of total billed charges ,48.31,percent of total billed charges ,48.31,percent of total billed charges ,,,,,42.84,percent of total billed charges ,,,,,40.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,18.52,percent of total billed charges,,,18.52,percent of total billed charges,,,18.52,percent of total billed charges,,,18.52,percent of total billed charges,,,18.52,percent of total billed charges,,,18.52,percent of total billed charges,,,18.52,percent of total billed charges,,,18.52,percent of total billed charges,,,18.52,percent of total billed charges,,,18.52,percent of total billed charges,,,18.52,percent of total billed charges,
GATIFLOXACIN (ZYMAXID) OPHT 0.5% : 2.5ML,250,RC,60758-06-1525,NDC,,both,1,each,299.75,299.75,68.94,299.75,299.75,percent of total billed charges,299.75,percent of total billed charges,299.75,percent of total billed charges,299.75,percent of total billed charges,299.75,percent of total billed charges,299.75,percent of total billed charges,299.75,percent of total billed charges,299.75,percent of total billed charges,215.82,percent of total billed charges,215.82,percent of total billed charges,215.82,percent of total billed charges,215.82,percent of total billed charges,215.82,percent of total billed charges,215.82,percent of total billed charges,236.8,percent of total billed charges,236.8,percent of total billed charges,239.8,percent of total billed charges,239.8,percent of total billed charges,,,215.82,percent of total billed charges ,,,239.8,percent of total billed charges ,236.8,percent of total billed charges ,236.8,percent of total billed charges ,254.79,percent of total billed charges ,254.79,percent of total billed charges ,239.8,percent of total billed charges ,239.8,percent of total billed charges ,209.83,percent of total billed charges ,209.83,percent of total billed charges ,179.85,percent of total billed charges ,179.85,percent of total billed charges ,179.85,percent of total billed charges ,179.85,percent of total billed charges ,,,,,159.47,percent of total billed charges ,,,,,151.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,68.94,percent of total billed charges,,,68.94,percent of total billed charges,,,68.94,percent of total billed charges,,,68.94,percent of total billed charges,,,68.94,percent of total billed charges,,,68.94,percent of total billed charges,,,68.94,percent of total billed charges,,,68.94,percent of total billed charges,,,68.94,percent of total billed charges,,,68.94,percent of total billed charges,,,68.94,percent of total billed charges,
**EZETIMIBE(ZETIA)TAB : 10MG,250,RC,66582-04-1431,NDC,,both,1,each,14,14,3.22,14,14,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,11.06,percent of total billed charges,11.06,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 ,11.06,percent of total billed charges ,11.06,percent of total billed charges ,11.9,percent of total billed charges ,11.9,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 ,,,,,,,,,,,,,,,,,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,
**POVIDONE-IODINE(BETADINE) SOLN 480ML,250,RC,67618-01-5017,NDC,,both,1,each,20,20,4.6,20,20,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,15.8,percent of total billed charges,15.8,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 ,15.8,percent of total billed charges ,15.8,percent of total billed charges ,17,percent of total billed charges ,17,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 ,,,,,,,,,,,,,,,,,,,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,,,4.6,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,,,4.6,percent of total billed charges,,,4.6,percent of total billed charges,,,4.6,percent of total billed charges,
**RABEPRAZOLE (ACIPHEX) 20MG DO NOT USE,259,RC,62856-02-4330,NDC,,both,1,each,18,18,4.14,18,18,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,14.22,percent of total billed charges,14.22,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 ,14.22,percent of total billed charges ,14.22,percent of total billed charges ,15.3,percent of total billed charges ,15.3,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 ,,,,,,,,,,,,,,,,,,,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,,,4.14,percent of total billed charges,,,4.14,percent of total billed charges,,,4.14,percent of total billed charges,
AMVISC PLUS 0.8 ML DISP SYRINGE,250,RC,08065-18-3055,NDC,,both,1,each,596,596,137.08,596,596,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,470.84,percent of total billed charges,470.84,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 ,470.84,percent of total billed charges ,470.84,percent of total billed charges ,506.6,percent of total billed charges ,506.6,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 ,,,,,,,,,,,,,,,,,,,137.08,percent of total billed charges,,,137.08,percent of total billed charges,,,137.08,percent of total billed charges,,,137.08,percent of total billed charges,,,137.08,percent of total billed charges,,,137.08,percent of total billed charges,,,137.08,percent of total billed charges,,,137.08,percent of total billed charges,,,137.08,percent of total billed charges,,,137.08,percent of total billed charges,,,137.08,percent of total billed charges,
DESONIDE CREAM 0.05% : 15G,637,RC,45802-04-2235,NDC,,both,1,each,280.06,280.06,64.41,280.06,280.06,percent of total billed charges,280.06,percent of total billed charges,280.06,percent of total billed charges,280.06,percent of total billed charges,280.06,percent of total billed charges,280.06,percent of total billed charges,280.06,percent of total billed charges,280.06,percent of total billed charges,201.64,percent of total billed charges,201.64,percent of total billed charges,201.64,percent of total billed charges,201.64,percent of total billed charges,201.64,percent of total billed charges,201.64,percent of total billed charges,221.25,percent of total billed charges,221.25,percent of total billed charges,224.05,percent of total billed charges,224.05,percent of total billed charges,,,201.64,percent of total billed charges ,,,224.05,percent of total billed charges ,221.25,percent of total billed charges ,221.25,percent of total billed charges ,238.05,percent of total billed charges ,238.05,percent of total billed charges ,224.05,percent of total billed charges ,224.05,percent of total billed charges ,196.04,percent of total billed charges ,196.04,percent of total billed charges ,168.04,percent of total billed charges ,168.04,percent of total billed charges ,168.04,percent of total billed charges ,168.04,percent of total billed charges ,,,,,148.99,percent of total billed charges ,,,,,141.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.41,percent of total billed charges,,,64.41,percent of total billed charges,,,64.41,percent of total billed charges,,,64.41,percent of total billed charges,,,64.41,percent of total billed charges,,,64.41,percent of total billed charges,,,64.41,percent of total billed charges,,,64.41,percent of total billed charges,,,64.41,percent of total billed charges,,,64.41,percent of total billed charges,,,64.41,percent of total billed charges,
**TEGASEROD (ZELNORM) DO NOT USE,259,RC,00078-03-5580,NDC,,both,1,each,14,14,3.22,14,14,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,11.06,percent of total billed charges,11.06,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 ,11.06,percent of total billed charges ,11.06,percent of total billed charges ,11.9,percent of total billed charges ,11.9,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 ,,,,,,,,,,,,,,,,,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,
**MIDODRINE TAB 5MG DO NOT USE,259,RC,54092-00-0401,NDC,,both,1,each,14,14,3.22,14,14,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,11.06,percent of total billed charges,11.06,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 ,11.06,percent of total billed charges ,11.06,percent of total billed charges ,11.9,percent of total billed charges ,11.9,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 ,,,,,,,,,,,,,,,,,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,
LevETIRAcetam (KEPPRA)500MG TAB,637,RC,51079-08-2101,NDC,,both,1,each,0.98,0.98,0.23,0.98,0.98,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,0.77,percent of total billed charges,0.77,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 ,0.77,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 ,0.78,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
LEVOFLOXACIN 750MG PREMIX IV,J1956,CDM,,,,both,1,each,36.74,36.74,8.45,36.74,36.74,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,36.74,percent of total billed charges,36.74,percent of total billed charges,26.45,percent of total billed charges,26.45,percent of total billed charges,26.45,percent of total billed charges,26.45,percent of total billed charges,26.45,percent of total billed charges,26.45,percent of total billed charges,29.02,percent of total billed charges,29.02,percent of total billed charges,29.39,percent of total billed charges,29.39,percent of total billed charges,,,26.45,percent of total billed charges ,,,29.39,percent of total billed charges ,29.02,percent of total billed charges ,29.02,percent of total billed charges ,31.23,percent of total billed charges ,31.23,percent of total billed charges ,29.39,percent of total billed charges ,29.39,percent of total billed charges ,25.72,percent of total billed charges ,25.72,percent of total billed charges ,22.04,percent of total billed charges ,22.04,percent of total billed charges ,22.04,percent of total billed charges ,22.04,percent of total billed charges ,,,,,19.55,percent of total billed charges ,,,,,18.57,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,
HYDROmorphone (DILAUDID) INJ : 4 MG/ML,J1170,CDM,,,,both,1,each,83.31,83.31,19.16,83.31,83.31,percent of total billed charges,83.31,percent of total billed charges,83.31,percent of total billed charges,83.31,percent of total billed charges,83.31,percent of total billed charges,83.31,percent of total billed charges,83.31,percent of total billed charges,83.31,percent of total billed charges,59.98,percent of total billed charges,59.98,percent of total billed charges,59.98,percent of total billed charges,59.98,percent of total billed charges,59.98,percent of total billed charges,59.98,percent of total billed charges,65.81,percent of total billed charges,65.81,percent of total billed charges,66.65,percent of total billed charges,66.65,percent of total billed charges,,,59.98,percent of total billed charges ,,,66.65,percent of total billed charges ,65.81,percent of total billed charges ,65.81,percent of total billed charges ,70.81,percent of total billed charges ,70.81,percent of total billed charges ,66.65,percent of total billed charges ,66.65,percent of total billed charges ,58.32,percent of total billed charges ,58.32,percent of total billed charges ,49.99,percent of total billed charges ,49.99,percent of total billed charges ,49.99,percent of total billed charges ,49.99,percent of total billed charges ,,,,,44.32,percent of total billed charges ,,,,,42.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.16,percent of total billed charges,,,19.16,percent of total billed charges,,,19.16,percent of total billed charges,,,19.16,percent of total billed charges,,,19.16,percent of total billed charges,,,19.16,percent of total billed charges,,,19.16,percent of total billed charges,,,19.16,percent of total billed charges,,,19.16,percent of total billed charges,,,19.16,percent of total billed charges,,,19.16,percent of total billed charges,
CARVEDILOL (COREG) TAB : 12.5 MG,637,RC,51079-09-3101,NDC,,both,1,each,0.48,0.48,0.11,0.48,0.48,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,0.35,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,0.38,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,,,0.35,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 ,0.41,percent of total billed charges ,0.41,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 ,0.34,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 ,,,,,0.26,percent of total billed charges ,,,,,0.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.11,percent of total billed charges,,,0.11,percent of total billed charges,,,0.11,percent of total billed charges,,,0.11,percent of total billed charges,,,0.11,percent of total billed charges,,,0.11,percent of total billed charges,,,0.11,percent of total billed charges,,,0.11,percent of total billed charges,,,0.11,percent of total billed charges,,,0.11,percent of total billed charges,,,0.11,percent of total billed charges,
BUDESONIDE (RHINOCORT) NASAL SP.,637,RC,00536-11-1248,NDC,,both,,,59.77,59.77,13.75,59.77,59.77,percent of total billed charges,59.77,percent of total billed charges,59.77,percent of total billed charges,59.77,percent of total billed charges,59.77,percent of total billed charges,59.77,percent of total billed charges,59.77,percent of total billed charges,59.77,percent of total billed charges,43.03,percent of total billed charges,43.03,percent of total billed charges,43.03,percent of total billed charges,43.03,percent of total billed charges,43.03,percent of total billed charges,43.03,percent of total billed charges,47.22,percent of total billed charges,47.22,percent of total billed charges,47.82,percent of total billed charges,47.82,percent of total billed charges,,,43.03,percent of total billed charges ,,,47.82,percent of total billed charges ,47.22,percent of total billed charges ,47.22,percent of total billed charges ,50.8,percent of total billed charges ,50.8,percent of total billed charges ,47.82,percent of total billed charges ,47.82,percent of total billed charges ,41.84,percent of total billed charges ,41.84,percent of total billed charges ,35.86,percent of total billed charges ,35.86,percent of total billed charges ,35.86,percent of total billed charges ,35.86,percent of total billed charges ,,,,,31.8,percent of total billed charges ,,,,,30.21,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,,,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,
**WELCHOL TAB 625 MG DO NOT USE,259,RC,65597-07-0118,NDC,,both,1,each,12,12,2.76,12,12,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,9.48,percent of total billed charges,9.48,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 ,9.48,percent of total billed charges ,9.48,percent of total billed charges ,10.2,percent of total billed charges ,10.2,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 ,,,,,,,,,,,,,,,,,,,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,
ERTAPENEM (INVanz) INJ : 1GM,J1335,CDM,,,,both,1,each,306.44,306.44,70.48,306.44,306.44,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,242.09,percent of total billed charges,242.09,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 ,242.09,percent of total billed charges ,242.09,percent of total billed charges ,260.47,percent of total billed charges ,260.47,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 ,,,,,,,,,,,,,,,,,,,70.48,percent of total billed charges,,,70.48,percent of total billed charges,,,70.48,percent of total billed charges,,,70.48,percent of total billed charges,,,70.48,percent of total billed charges,,,70.48,percent of total billed charges,,,70.48,percent of total billed charges,,,70.48,percent of total billed charges,,,70.48,percent of total billed charges,,,70.48,percent of total billed charges,,,70.48,percent of total billed charges,
**LEVOTHYRONINE (CYTOMEL) DO NOT USE,259,RC,52604-34-1401,NDC,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
DILTIAZEM (CARDIZEM) INJ : 125MG/25ML VL,J3490,CDM,,,,both,1,each,83.57,83.57,19.22,83.57,83.57,percent of total billed charges,83.57,percent of total billed charges,83.57,percent of total billed charges,83.57,percent of total billed charges,83.57,percent of total billed charges,83.57,percent of total billed charges,83.57,percent of total billed charges,83.57,percent of total billed charges,60.17,percent of total billed charges,60.17,percent of total billed charges,60.17,percent of total billed charges,60.17,percent of total billed charges,60.17,percent of total billed charges,60.17,percent of total billed charges,66.02,percent of total billed charges,66.02,percent of total billed charges,66.86,percent of total billed charges,66.86,percent of total billed charges,,,60.17,percent of total billed charges ,,,66.86,percent of total billed charges ,66.02,percent of total billed charges ,66.02,percent of total billed charges ,71.03,percent of total billed charges ,71.03,percent of total billed charges ,66.86,percent of total billed charges ,66.86,percent of total billed charges ,58.5,percent of total billed charges ,58.5,percent of total billed charges ,50.14,percent of total billed charges ,50.14,percent of total billed charges ,50.14,percent of total billed charges ,50.14,percent of total billed charges ,,,,,44.46,percent of total billed charges ,,,,,42.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.22,percent of total billed charges,,,19.22,percent of total billed charges,,,19.22,percent of total billed charges,,,19.22,percent of total billed charges,,,19.22,percent of total billed charges,,,19.22,percent of total billed charges,,,19.22,percent of total billed charges,,,19.22,percent of total billed charges,,,19.22,percent of total billed charges,,,19.22,percent of total billed charges,,,19.22,percent of total billed charges,
EZETIMIBE (ZETIA) TAB 10MG,637,RC,59651-00-5230,NDC,,both,,,11.05,11.05,2.54,11.05,11.05,percent of total billed charges,11.05,percent of total billed charges,11.05,percent of total billed charges,11.05,percent of total billed charges,11.05,percent of total billed charges,11.05,percent of total billed charges,11.05,percent of total billed charges,11.05,percent of total billed charges,7.96,percent of total billed charges,7.96,percent of total billed charges,7.96,percent of total billed charges,7.96,percent of total billed charges,7.96,percent of total billed charges,7.96,percent of total billed charges,8.73,percent of total billed charges,8.73,percent of total billed charges,8.84,percent of total billed charges,8.84,percent of total billed charges,,,7.96,percent of total billed charges ,,,8.84,percent of total billed charges ,8.73,percent of total billed charges ,8.73,percent of total billed charges ,9.39,percent of total billed charges ,9.39,percent of total billed charges ,8.84,percent of total billed charges ,8.84,percent of total billed charges ,7.74,percent of total billed charges ,7.74,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 ,,,,,5.88,percent of total billed charges ,,,,,5.58,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,,,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,
**AUGMENTIN XR TAB 1000MG DO NOT USE,637,RC,00029-60-9648,NDC,,both,1,each,14,14,3.22,14,14,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,11.06,percent of total billed charges,11.06,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 ,11.06,percent of total billed charges ,11.06,percent of total billed charges ,11.9,percent of total billed charges ,11.9,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 ,,,,,,,,,,,,,,,,,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,
MEMANTINE (NAMENDA) TAB : 5MG,637,RC,60687-01-8457,NDC,,both,,,1.42,1.42,0.33,1.42,1.42,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,1.12,percent of total billed charges,1.12,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 ,1.12,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 ,1.14,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 ,,,,,,,,,,,,,,,,,,,0.33,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,
**RETROVIR INJ 10MG/ML DO NOT USE,250,RC,00173-01-0793,NDC,,both,1,each,95,95,21.85,95,95,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,75.05,percent of total billed charges,75.05,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 ,75.05,percent of total billed charges ,75.05,percent of total billed charges ,80.75,percent of total billed charges ,80.75,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,21.85,percent of total billed charges,,,21.85,percent of total billed charges,,,21.85,percent of total billed charges,
**HYDROMORPHONE HCL RECTAL SUSP DO NOT U,259,RC,00574-72-2406,NDC,,both,1,each,41,41,9.43,41,41,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,32.39,percent of total billed charges,32.39,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 ,32.39,percent of total billed charges ,32.39,percent of total billed charges ,34.85,percent of total billed charges ,34.85,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 ,,,,,,,,,,,,,,,,,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,
ZOLOFT CONCENTRATE 20MG/ML *,Local ,Local ,,,,both,1,each,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
"FML S.O.P. OPHTH OINTMENT 0.1% {0.1%, OI",250,RC,00023-03-1604,NDC,,both,1,each,87,87,20.01,87,87,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,68.73,percent of total billed charges,68.73,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 ,68.73,percent of total billed charges ,68.73,percent of total billed charges ,73.95,percent of total billed charges ,73.95,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 ,,,,,,,,,,,,,,,,,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,
"TRAVATAN OPHTH SOLN 0.004% {0.004%, SOLU",637,RC,00781-61-8556,NDC,,both,1,each,526.85,526.85,121.18,526.85,526.85,percent of total billed charges,526.85,percent of total billed charges,526.85,percent of total billed charges,526.85,percent of total billed charges,526.85,percent of total billed charges,526.85,percent of total billed charges,526.85,percent of total billed charges,526.85,percent of total billed charges,379.33,percent of total billed charges,379.33,percent of total billed charges,379.33,percent of total billed charges,379.33,percent of total billed charges,379.33,percent of total billed charges,379.33,percent of total billed charges,416.21,percent of total billed charges,416.21,percent of total billed charges,421.48,percent of total billed charges,421.48,percent of total billed charges,,,379.33,percent of total billed charges ,,,421.48,percent of total billed charges ,416.21,percent of total billed charges ,416.21,percent of total billed charges ,447.82,percent of total billed charges ,447.82,percent of total billed charges ,421.48,percent of total billed charges ,421.48,percent of total billed charges ,368.8,percent of total billed charges ,368.8,percent of total billed charges ,316.11,percent of total billed charges ,316.11,percent of total billed charges ,316.11,percent of total billed charges ,316.11,percent of total billed charges ,,,,,280.28,percent of total billed charges ,,,,,266.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,121.18,percent of total billed charges,,,121.18,percent of total billed charges,,,121.18,percent of total billed charges,,,121.18,percent of total billed charges,,,121.18,percent of total billed charges,,,121.18,percent of total billed charges,,,121.18,percent of total billed charges,,,121.18,percent of total billed charges,,,121.18,percent of total billed charges,,,121.18,percent of total billed charges,,,121.18,percent of total billed charges,
CIPROFLOXAIN HC (CIPRO HC) OTIC SOLN,637,RC,00078-08-5526,NDC,,both,,,698.36,698.36,160.62,698.36,698.36,percent of total billed charges,698.36,percent of total billed charges,698.36,percent of total billed charges,698.36,percent of total billed charges,698.36,percent of total billed charges,698.36,percent of total billed charges,698.36,percent of total billed charges,698.36,percent of total billed charges,502.82,percent of total billed charges,502.82,percent of total billed charges,502.82,percent of total billed charges,502.82,percent of total billed charges,502.82,percent of total billed charges,502.82,percent of total billed charges,551.7,percent of total billed charges,551.7,percent of total billed charges,558.69,percent of total billed charges,558.69,percent of total billed charges,,,502.82,percent of total billed charges ,,,558.69,percent of total billed charges ,551.7,percent of total billed charges ,551.7,percent of total billed charges ,593.61,percent of total billed charges ,593.61,percent of total billed charges ,558.69,percent of total billed charges ,558.69,percent of total billed charges ,488.85,percent of total billed charges ,488.85,percent of total billed charges ,419.02,percent of total billed charges ,419.02,percent of total billed charges ,419.02,percent of total billed charges ,419.02,percent of total billed charges ,,,,,371.53,percent of total billed charges ,,,,,352.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,160.62,percent of total billed charges,,,160.62,percent of total billed charges,,,160.62,percent of total billed charges,,,160.62,percent of total billed charges,,,160.62,percent of total billed charges,,,160.62,percent of total billed charges,,,160.62,percent of total billed charges,,,160.62,percent of total billed charges,,,160.62,percent of total billed charges,,,160.62,percent of total billed charges,,,160.62,percent of total billed charges,
CHLORTHALIDONE (HYGROTON) TAB : 25MG,637,RC,60687-03-1795,NDC,,both,1,each,6.17,6.17,1.42,6.17,6.17,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,4.87,percent of total billed charges,4.87,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 ,4.87,percent of total billed charges ,4.87,percent of total billed charges ,5.24,percent of total billed charges ,5.24,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 ,,,,,,,,,,,,,,,,,,,1.42,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,,,1.42,percent of total billed charges,,,1.42,percent of total billed charges,,,1.42,percent of total billed charges,
GLUCAGON EMERGENCY KIT INJ : 1MG,J1610,CDM,,,,both,,,578.15,578.15,132.97,578.15,578.15,percent of total billed charges,578.15,percent of total billed charges,578.15,percent of total billed charges,578.15,percent of total billed charges,578.15,percent of total billed charges,578.15,percent of total billed charges,578.15,percent of total billed charges,578.15,percent of total billed charges,416.27,percent of total billed charges,416.27,percent of total billed charges,416.27,percent of total billed charges,416.27,percent of total billed charges,416.27,percent of total billed charges,416.27,percent of total billed charges,456.74,percent of total billed charges,456.74,percent of total billed charges,462.52,percent of total billed charges,462.52,percent of total billed charges,,,416.27,percent of total billed charges ,,,462.52,percent of total billed charges ,456.74,percent of total billed charges ,456.74,percent of total billed charges ,491.43,percent of total billed charges ,491.43,percent of total billed charges ,462.52,percent of total billed charges ,462.52,percent of total billed charges ,404.71,percent of total billed charges ,404.71,percent of total billed charges ,346.89,percent of total billed charges ,346.89,percent of total billed charges ,346.89,percent of total billed charges ,346.89,percent of total billed charges ,,,,,307.58,percent of total billed charges ,,,,,292.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,132.97,percent of total billed charges,,,132.97,percent of total billed charges,,,132.97,percent of total billed charges,,,132.97,percent of total billed charges,,,132.97,percent of total billed charges,,,132.97,percent of total billed charges,,,132.97,percent of total billed charges,,,132.97,percent of total billed charges,,,132.97,percent of total billed charges,,,132.97,percent of total billed charges,,,132.97,percent of total billed charges,
ZIPRASIDONE (GEODON) 20MG/ML IM,J3486,CDM,,,,both,1,each,218.53,218.53,50.26,218.53,218.53,percent of total billed charges,218.53,percent of total billed charges,218.53,percent of total billed charges,218.53,percent of total billed charges,218.53,percent of total billed charges,218.53,percent of total billed charges,218.53,percent of total billed charges,218.53,percent of total billed charges,157.34,percent of total billed charges,157.34,percent of total billed charges,157.34,percent of total billed charges,157.34,percent of total billed charges,157.34,percent of total billed charges,157.34,percent of total billed charges,172.64,percent of total billed charges,172.64,percent of total billed charges,174.82,percent of total billed charges,174.82,percent of total billed charges,,,157.34,percent of total billed charges ,,,174.82,percent of total billed charges ,172.64,percent of total billed charges ,172.64,percent of total billed charges ,185.75,percent of total billed charges ,185.75,percent of total billed charges ,174.82,percent of total billed charges ,174.82,percent of total billed charges ,152.97,percent of total billed charges ,152.97,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 ,,,,,116.26,percent of total billed charges ,,,,,110.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,50.26,percent of total billed charges,,,50.26,percent of total billed charges,,,50.26,percent of total billed charges,,,50.26,percent of total billed charges,,,50.26,percent of total billed charges,,,50.26,percent of total billed charges,,,50.26,percent of total billed charges,,,50.26,percent of total billed charges,,,50.26,percent of total billed charges,,,50.26,percent of total billed charges,,,50.26,percent of total billed charges,
SPIRIVA (TIOTROPIUM) POWDER FOR INH,637,RC,00597-00-7575,NDC,,both,1,each,209.65,209.65,48.22,209.65,209.65,percent of total billed charges,209.65,percent of total billed charges,209.65,percent of total billed charges,209.65,percent of total billed charges,209.65,percent of total billed charges,209.65,percent of total billed charges,209.65,percent of total billed charges,209.65,percent of total billed charges,150.95,percent of total billed charges,150.95,percent of total billed charges,150.95,percent of total billed charges,150.95,percent of total billed charges,150.95,percent of total billed charges,150.95,percent of total billed charges,165.62,percent of total billed charges,165.62,percent of total billed charges,167.72,percent of total billed charges,167.72,percent of total billed charges,,,150.95,percent of total billed charges ,,,167.72,percent of total billed charges ,165.62,percent of total billed charges ,165.62,percent of total billed charges ,178.2,percent of total billed charges ,178.2,percent of total billed charges ,167.72,percent of total billed charges ,167.72,percent of total billed charges ,146.76,percent of total billed charges ,146.76,percent of total billed charges ,125.79,percent of total billed charges ,125.79,percent of total billed charges ,125.79,percent of total billed charges ,125.79,percent of total billed charges ,,,,,111.53,percent of total billed charges ,,,,,105.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,48.22,percent of total billed charges,,,48.22,percent of total billed charges,,,48.22,percent of total billed charges,,,48.22,percent of total billed charges,,,48.22,percent of total billed charges,,,48.22,percent of total billed charges,,,48.22,percent of total billed charges,,,48.22,percent of total billed charges,,,48.22,percent of total billed charges,,,48.22,percent of total billed charges,,,48.22,percent of total billed charges,
HYOSCYAMINE ORAL DROPS,637,RC,54838-05-0615,NDC,,both,1,each,94.93,94.93,21.83,94.93,94.93,percent of total billed charges,94.93,percent of total billed charges,94.93,percent of total billed charges,94.93,percent of total billed charges,94.93,percent of total billed charges,94.93,percent of total billed charges,94.93,percent of total billed charges,94.93,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,74.99,percent of total billed charges,74.99,percent of total billed charges,75.94,percent of total billed charges,75.94,percent of total billed charges,,,68.35,percent of total billed charges ,,,75.94,percent of total billed charges ,74.99,percent of total billed charges ,74.99,percent of total billed charges ,80.69,percent of total billed charges ,80.69,percent of total billed charges ,75.94,percent of total billed charges ,75.94,percent of total billed charges ,66.45,percent of total billed charges ,66.45,percent of total billed charges ,56.96,percent of total billed charges ,56.96,percent of total billed charges ,56.96,percent of total billed charges ,56.96,percent of total billed charges ,,,,,50.5,percent of total billed charges ,,,,,47.98,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,
ACETYLCYSTEINE 10% NEB SOLN : 10ML*,637,RC,00517-75-1003,NDC,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
**INFUMORPH 200 MG/20ML SYRINGE*,J2274,CDM,,,,both,1,each,"2,626.00","2,626.00",603.98,"2,626.00","2,626.00",percent of total billed charges,"2,626.00",percent of total billed charges,"2,626.00",percent of total billed charges,"2,626.00",percent of total billed charges,"2,626.00",percent of total billed charges,"2,626.00",percent of total billed charges,"2,626.00",percent of total billed charges,"2,626.00",percent of total billed charges,"1,890.72",percent of total billed charges,"1,890.72",percent of total billed charges,"1,890.72",percent of total billed charges,"1,890.72",percent of total billed charges,"1,890.72",percent of total billed charges,"1,890.72",percent of total billed charges,"2,074.54",percent of total billed charges,"2,074.54",percent of total billed charges,"2,100.80",percent of total billed charges,"2,100.80",percent of total billed charges,,,"1,890.72",percent of total billed charges ,,,"2,100.80",percent of total billed charges ,"2,074.54",percent of total billed charges ,"2,074.54",percent of total billed charges ,"2,232.10",percent of total billed charges ,"2,232.10",percent of total billed charges ,"2,100.80",percent of total billed charges ,"2,100.80",percent of total billed charges ,"1,838.20",percent of total billed charges ,"1,838.20",percent of total billed charges ,"1,575.60",percent of total billed charges ,"1,575.60",percent of total billed charges ,"1,575.60",percent of total billed charges ,"1,575.60",percent of total billed charges ,,,,,"1,397.03",percent of total billed charges ,,,,,"1,327.18",percent of total billed charges ,,,,,,,,,,,,,,,,,,,603.98,percent of total billed charges,,,603.98,percent of total billed charges,,,603.98,percent of total billed charges,,,603.98,percent of total billed charges,,,603.98,percent of total billed charges,,,603.98,percent of total billed charges,,,603.98,percent of total billed charges,,,603.98,percent of total billed charges,,,603.98,percent of total billed charges,,,603.98,percent of total billed charges,,,603.98,percent of total billed charges,
MORPHINE IMMEDIATE RELEASE 30MG TABLETS,637,RC,58177-03-1404,NDC,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
"OxyCODONE ORAL CONC 20MG/ML, 30ML",637,RC,66689-00-2530,NDC,,both,,,552,552,126.96,552,552,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,436.08,percent of total billed charges,436.08,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 ,436.08,percent of total billed charges ,436.08,percent of total billed charges ,469.2,percent of total billed charges ,469.2,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 ,,,,,,,,,,,,,,,,,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,
**CASPOFUNGIN INJ (CANCIDAS) : 50MG,J0637,CDM,,,,both,,,"2,973.00","2,973.00",683.79,"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,"2,348.67",percent of total billed charges,"2,348.67",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 ,"2,348.67",percent of total billed charges ,"2,348.67",percent of total billed charges ,"2,527.05",percent of total billed charges ,"2,527.05",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 ,,,,,,,,,,,,,,,,,,,683.79,percent of total billed charges,,,683.79,percent of total billed charges,,,683.79,percent of total billed charges,,,683.79,percent of total billed charges,,,683.79,percent of total billed charges,,,683.79,percent of total billed charges,,,683.79,percent of total billed charges,,,683.79,percent of total billed charges,,,683.79,percent of total billed charges,,,683.79,percent of total billed charges,,,683.79,percent of total billed charges,
**LIDODERM PATCH DO NOT USE,637,RC,63481-06-8706,NDC,,both,,,13,13,2.99,13,13,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,10.27,percent of total billed charges,10.27,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 ,10.27,percent of total billed charges ,10.27,percent of total billed charges ,11.05,percent of total billed charges ,11.05,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 ,,,,,,,,,,,,,,,,,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,,,2.99,percent of total billed charges,
MANDELAMINE 500MG TAB,637,RC,52152-01-1102,NDC,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
FentaNYL PATCH 12MCG/HR,637,RC,00406-90-1276,NDC,,both,,,21.77,21.77,5.01,21.77,21.77,percent of total billed charges,21.77,percent of total billed charges,21.77,percent of total billed charges,21.77,percent of total billed charges,21.77,percent of total billed charges,21.77,percent of total billed charges,21.77,percent of total billed charges,21.77,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,17.2,percent of total billed charges,17.2,percent of total billed charges,17.42,percent of total billed charges,17.42,percent of total billed charges,,,15.67,percent of total billed charges ,,,17.42,percent of total billed charges ,17.2,percent of total billed charges ,17.2,percent of total billed charges ,18.5,percent of total billed charges ,18.5,percent of total billed charges ,17.42,percent of total billed charges ,17.42,percent of total billed charges ,15.24,percent of total billed charges ,15.24,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 ,,,,,11.58,percent of total billed charges ,,,,,11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.01,percent of total billed charges,,,5.01,percent of total billed charges,,,5.01,percent of total billed charges,,,5.01,percent of total billed charges,,,5.01,percent of total billed charges,,,5.01,percent of total billed charges,,,5.01,percent of total billed charges,,,5.01,percent of total billed charges,,,5.01,percent of total billed charges,,,5.01,percent of total billed charges,,,5.01,percent of total billed charges,
GUAIFENESIN CF,637,RC,00113-05-5834,NDC,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**LYMPHAZURINE DYE,Local ,Local ,,,,both,,,227,227,52.21,227,227,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,179.33,percent of total billed charges,179.33,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 ,179.33,percent of total billed charges ,179.33,percent of total billed charges ,192.95,percent of total billed charges ,192.95,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 ,,,,,,,,,,,,,,,,,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,
TRIAMCINOLONE 0.1% LOTION: 60ML,637,RC,60432-05-6161,NDC,,both,1,each,75.46,75.46,17.36,75.46,75.46,percent of total billed charges,75.46,percent of total billed charges,75.46,percent of total billed charges,75.46,percent of total billed charges,75.46,percent of total billed charges,75.46,percent of total billed charges,75.46,percent of total billed charges,75.46,percent of total billed charges,54.33,percent of total billed charges,54.33,percent of total billed charges,54.33,percent of total billed charges,54.33,percent of total billed charges,54.33,percent of total billed charges,54.33,percent of total billed charges,59.61,percent of total billed charges,59.61,percent of total billed charges,60.37,percent of total billed charges,60.37,percent of total billed charges,,,54.33,percent of total billed charges ,,,60.37,percent of total billed charges ,59.61,percent of total billed charges ,59.61,percent of total billed charges ,64.14,percent of total billed charges ,64.14,percent of total billed charges ,60.37,percent of total billed charges ,60.37,percent of total billed charges ,52.82,percent of total billed charges ,52.82,percent of total billed charges ,45.28,percent of total billed charges ,45.28,percent of total billed charges ,45.28,percent of total billed charges ,45.28,percent of total billed charges ,,,,,40.14,percent of total billed charges ,,,,,38.14,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,
LICE-KILLING SHAMPOO,250,RC,24385-01-1603,NDC,,both,1,each,10.69,10.69,2.46,10.69,10.69,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,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,7.7,percent of total billed charges,7.7,percent of total billed charges,7.7,percent of total billed charges,7.7,percent of total billed charges,7.7,percent of total billed charges,7.7,percent of total billed charges,8.45,percent of total billed charges,8.45,percent of total billed charges,8.55,percent of total billed charges,8.55,percent of total billed charges,,,7.7,percent of total billed charges ,,,8.55,percent of total billed charges ,8.45,percent of total billed charges ,8.45,percent of total billed charges ,9.09,percent of total billed charges ,9.09,percent of total billed charges ,8.55,percent of total billed charges ,8.55,percent of total billed charges ,7.48,percent of total billed charges ,7.48,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 ,,,,,5.69,percent of total billed charges ,,,,,5.4,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,,,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,
DULOXETINE (CYMBALTA) : 30MG CAP,637,RC,60687-07-3411,NDC,,both,,,5.3,5.3,1.22,5.3,5.3,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,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,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,4.19,percent of total billed charges,4.19,percent of total billed charges,4.24,percent of total billed charges,4.24,percent of total billed charges,,,3.82,percent of total billed charges ,,,4.24,percent of total billed charges ,4.19,percent of total billed charges ,4.19,percent of total billed charges ,4.51,percent of total billed charges ,4.51,percent of total billed charges ,4.24,percent of total billed charges ,4.24,percent of total billed charges ,3.71,percent of total billed charges ,3.71,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 ,,,,,2.82,percent of total billed charges ,,,,,2.68,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,
VANCOMYCIN (VANCOCIN) CAPS : 125MG,637,RC,62559-03-9020,NDC,,both,1,each,17.92,17.92,4.12,17.92,17.92,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,12.9,percent of total billed charges,12.9,percent of total billed charges,12.9,percent of total billed charges,12.9,percent of total billed charges,12.9,percent of total billed charges,12.9,percent of total billed charges,14.16,percent of total billed charges,14.16,percent of total billed charges,14.34,percent of total billed charges,14.34,percent of total billed charges,,,12.9,percent of total billed charges ,,,14.34,percent of total billed charges ,14.16,percent of total billed charges ,14.16,percent of total billed charges ,15.23,percent of total billed charges ,15.23,percent of total billed charges ,14.34,percent of total billed charges ,14.34,percent of total billed charges ,12.54,percent of total billed charges ,12.54,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 ,,,,,9.53,percent of total billed charges ,,,,,9.06,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,,,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,
PREGABALIN (LYRICA) CAP : 25MG,637,RC,69097-06-7705,NDC,,both,1,each,24.5,24.5,5.64,24.5,24.5,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,19.36,percent of total billed charges,19.36,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 ,19.36,percent of total billed charges ,19.36,percent of total billed charges ,20.83,percent of total billed charges ,20.83,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 ,,,,,,,,,,,,,,,,,,,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,,,5.64,percent of total billed charges,,,5.64,percent of total billed charges,,,5.64,percent of total billed charges,
NEXIUM 40MG IV,250,RC,00186-60-4001,NDC,,both,,,71,71,16.33,71,71,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,56.09,percent of total billed charges,56.09,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 ,56.09,percent of total billed charges ,56.09,percent of total billed charges ,60.35,percent of total billed charges ,60.35,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 ,,,,,,,,,,,,,,,,,,,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,,,16.33,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,
TAMIFLU 6MG/ML SUSPENSION : 60ML,637,RC,27241-01-3909,NDC,,both,60,each,380,380,87.4,380,380,percent of total billed charges,380,percent of total billed charges,380,percent of total billed charges,380,percent of total billed charges,380,percent of total billed charges,380,percent of total billed charges,380,percent of total billed charges,380,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,273.6,percent of total billed charges,273.6,percent of total billed charges,300.2,percent of total billed charges,300.2,percent of total billed charges,304,percent of total billed charges,304,percent of total billed charges,,,273.6,percent of total billed charges ,,,304,percent of total billed charges ,300.2,percent of total billed charges ,300.2,percent of total billed charges ,323,percent of total billed charges ,323,percent of total billed charges ,304,percent of total billed charges ,304,percent of total billed charges ,266,percent of total billed charges ,266,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 ,,,,,202.16,percent of total billed charges ,,,,,192.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,87.4,percent of total billed charges,,,87.4,percent of total billed charges,,,87.4,percent of total billed charges,,,87.4,percent of total billed charges,,,87.4,percent of total billed charges,,,87.4,percent of total billed charges,,,87.4,percent of total billed charges,,,87.4,percent of total billed charges,,,87.4,percent of total billed charges,,,87.4,percent of total billed charges,,,87.4,percent of total billed charges,
NORMAL SALINE 100ML ADDV *,250,RC,00409-71-0167,NDC,,both,1,each,46,46,10.58,46,46,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,36.34,percent of total billed charges,36.34,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 ,36.34,percent of total billed charges ,36.34,percent of total billed charges ,39.1,percent of total billed charges ,39.1,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,10.58,percent of total billed charges,,,10.58,percent of total billed charges,,,10.58,percent of total billed charges,
DEXTROSE 5% 100 ML: ADDV BAG *,250,RC,00409-71-0067,NDC,,both,,,46,46,10.58,46,46,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,36.34,percent of total billed charges,36.34,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 ,36.34,percent of total billed charges ,36.34,percent of total billed charges ,39.1,percent of total billed charges ,39.1,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,10.58,percent of total billed charges,,,10.58,percent of total billed charges,,,10.58,percent of total billed charges,
NORMAL SALINE 50ML ADDV *,250,RC,00409-71-0166,NDC,,both,1,each,46,46,10.58,46,46,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,36.34,percent of total billed charges,36.34,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 ,36.34,percent of total billed charges ,36.34,percent of total billed charges ,39.1,percent of total billed charges ,39.1,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,10.58,percent of total billed charges,,,10.58,percent of total billed charges,,,10.58,percent of total billed charges,
DEXTROSE 5%  50 ML: ADDV BAG *,250,RC,00409-71-0066,NDC,,both,,,61,61,14.03,61,61,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,48.19,percent of total billed charges,48.19,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 ,48.19,percent of total billed charges ,48.19,percent of total billed charges ,51.85,percent of total billed charges ,51.85,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 ,,,,,,,,,,,,,,,,,,,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,,,14.03,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,
MORPHINE 10MG/5ML ORAL SOLUTION CUP,637,RC,68094-00-0162,NDC,,both,5,each,7.94,7.94,1.83,7.94,7.94,percent of total billed charges,7.94,percent of total billed charges,7.94,percent of total billed charges,7.94,percent of total billed charges,7.94,percent of total billed charges,7.94,percent of total billed charges,7.94,percent of total billed charges,7.94,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,6.27,percent of total billed charges,6.27,percent of total billed charges,6.35,percent of total billed charges,6.35,percent of total billed charges,,,5.72,percent of total billed charges ,,,6.35,percent of total billed charges ,6.27,percent of total billed charges ,6.27,percent of total billed charges ,6.75,percent of total billed charges ,6.75,percent of total billed charges ,6.35,percent of total billed charges ,6.35,percent of total billed charges ,5.56,percent of total billed charges ,5.56,percent of total billed charges ,4.76,percent of total 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 ,,,,,,,,,,,,,,,,,,,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,
CefTRIAXone (ROCEPHIN) INJ : 1GM IM/IV,J0696,CDM,,,,both,1,each,46.79,46.79,10.76,46.79,46.79,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,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,33.69,percent of total billed charges,33.69,percent of total billed charges,33.69,percent of total billed charges,33.69,percent of total billed charges,33.69,percent of total billed charges,33.69,percent of total billed charges,36.96,percent of total billed charges,36.96,percent of total billed charges,37.43,percent of total billed charges,37.43,percent of total billed charges,,,33.69,percent of total billed charges ,,,37.43,percent of total billed charges ,36.96,percent of total billed charges ,36.96,percent of total billed charges ,39.77,percent of total billed charges ,39.77,percent of total billed charges ,37.43,percent of total billed charges ,37.43,percent of total billed charges ,32.75,percent of total billed charges ,32.75,percent of total billed charges ,28.07,percent of total billed charges ,28.07,percent of total billed charges ,28.07,percent of total billed charges ,28.07,percent of total billed charges ,,,,,24.89,percent of total billed charges ,,,,,23.65,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,,,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,
HYDROcodone/APAP 7.5MG/325MG TAB,637,RC,60687-04-0701,NDC,,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
ALBUMIN (HUMAN) 25% : 25GM/100ML,P9047,CDM,,,,both,,,713.18,713.18,164.03,713.18,713.18,percent of total billed charges,713.18,percent of total billed charges,713.18,percent of total billed charges,713.18,percent of total billed charges,713.18,percent of total billed charges,713.18,percent of total billed charges,713.18,percent of total billed charges,713.18,percent of total billed charges,513.49,percent of total billed charges,513.49,percent of total billed charges,513.49,percent of total billed charges,513.49,percent of total billed charges,513.49,percent of total billed charges,513.49,percent of total billed charges,563.41,percent of total billed charges,563.41,percent of total billed charges,570.54,percent of total billed charges,570.54,percent of total billed charges,,,513.49,percent of total billed charges ,,,570.54,percent of total billed charges ,563.41,percent of total billed charges ,563.41,percent of total billed charges ,606.2,percent of total billed charges ,606.2,percent of total billed charges ,570.54,percent of total billed charges ,570.54,percent of total billed charges ,499.23,percent of total billed charges ,499.23,percent of total billed charges ,427.91,percent of total billed charges ,427.91,percent of total billed charges ,427.91,percent of total billed charges ,427.91,percent of total billed charges ,,,,,379.41,percent of total billed charges ,,,,,360.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,164.03,percent of total billed charges,,,164.03,percent of total billed charges,,,164.03,percent of total billed charges,,,164.03,percent of total billed charges,,,164.03,percent of total billed charges,,,164.03,percent of total billed charges,,,164.03,percent of total billed charges,,,164.03,percent of total billed charges,,,164.03,percent of total billed charges,,,164.03,percent of total billed charges,,,164.03,percent of total billed charges,
CLINIMIX E 5%-20% INJ CENTRAL 2000ML,250,RC,00338-11-1504,NDC,,both,1000,each,314.99,314.99,72.45,314.99,314.99,percent of total billed charges,314.99,percent of total billed charges,314.99,percent of total billed charges,314.99,percent of total billed charges,314.99,percent of total billed charges,314.99,percent of total billed charges,314.99,percent of total billed charges,314.99,percent of total billed charges,226.79,percent of total billed charges,226.79,percent of total billed charges,226.79,percent of total billed charges,226.79,percent of total billed charges,226.79,percent of total billed charges,226.79,percent of total billed charges,248.84,percent of total billed charges,248.84,percent of total billed charges,251.99,percent of total billed charges,251.99,percent of total billed charges,,,226.79,percent of total billed charges ,,,251.99,percent of total billed charges ,248.84,percent of total billed charges ,248.84,percent of total billed charges ,267.74,percent of total billed charges ,267.74,percent of total billed charges ,251.99,percent of total billed charges ,251.99,percent of total billed charges ,220.49,percent of total billed charges ,220.49,percent of total billed charges ,188.99,percent of total billed charges ,188.99,percent of total billed charges ,188.99,percent of total billed charges ,188.99,percent of total billed charges ,,,,,167.57,percent of total billed charges ,,,,,159.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,72.45,percent of total billed charges,,,72.45,percent of total billed charges,,,72.45,percent of total billed charges,,,72.45,percent of total billed charges,,,72.45,percent of total billed charges,,,72.45,percent of total billed charges,,,72.45,percent of total billed charges,,,72.45,percent of total billed charges,,,72.45,percent of total billed charges,,,72.45,percent of total billed charges,,,72.45,percent of total billed charges,
NORMAL SALINE 100ML MINI-BAG PLUS,258,RC,00338-05-5318,NDC,,both,1,each,47,47,10.81,47,47,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,37.13,percent of total billed charges,37.13,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 ,37.13,percent of total billed charges ,37.13,percent of total billed charges ,39.95,percent of total billed charges ,39.95,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
NORMAL SALINE 50ML MINI-BAG PLUS,250,RC,00338-91-5130,NDC,,both,1,each,47,47,10.81,47,47,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,37.13,percent of total billed charges,37.13,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 ,37.13,percent of total billed charges ,37.13,percent of total billed charges ,39.95,percent of total billed charges ,39.95,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
HYDROCHLOROTHIAZIDE 12.5MG CAPSULE,637,RC,50228-01-4601,NDC,,both,,,0.35,0.35,0.08,0.35,0.35,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,0.25,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,0.28,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,,,0.25,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 ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.28,percent of total billed charges ,0.28,percent of total billed charges ,0.25,percent of total billed charges ,0.25,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 ,,,,,0.19,percent of total billed charges ,,,,,0.18,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,,,0.08,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,,,0.08,percent of total billed charges,,,0.08,percent of total billed charges,,,0.08,percent of total billed charges,
IBANDRONATE (BONIVA) INJ: 3MG/3ML,J1740,CDM,,,,both,,,998,998,229.54,998,998,percent of total billed charges,998,percent of total billed charges,998,percent of total billed charges,998,percent of total billed charges,998,percent of total billed charges,998,percent of total billed charges,998,percent of total billed charges,998,percent of total billed charges,718.56,percent of total billed charges,718.56,percent of total billed charges,718.56,percent of total billed charges,718.56,percent of total billed charges,718.56,percent of total billed charges,718.56,percent of total billed charges,788.42,percent of total billed charges,788.42,percent of total billed charges,798.4,percent of total billed charges,798.4,percent of total billed charges,,,718.56,percent of total billed charges ,,,798.4,percent of total billed charges ,788.42,percent of total billed charges ,788.42,percent of total billed charges ,848.3,percent of total billed charges ,848.3,percent of total billed charges ,798.4,percent of total billed charges ,798.4,percent of total billed charges ,698.6,percent of total billed charges ,698.6,percent of total billed charges ,598.8,percent of total billed charges ,598.8,percent of total billed charges ,598.8,percent of total billed charges ,598.8,percent of total billed charges ,,,,,530.94,percent of total billed charges ,,,,,504.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,229.54,percent of total billed charges,,,229.54,percent of total billed charges,,,229.54,percent of total billed charges,,,229.54,percent of total billed charges,,,229.54,percent of total billed charges,,,229.54,percent of total billed charges,,,229.54,percent of total billed charges,,,229.54,percent of total billed charges,,,229.54,percent of total billed charges,,,229.54,percent of total billed charges,,,229.54,percent of total billed charges,
EXENATIDE (BYETTA) 5MCG/DOSE: PEN INJECT,637,RC,00310-65-1201,NDC,,both,1,each,"3,599.55","3,599.55",827.9,"3,599.55","3,599.55",percent of total billed charges,"3,599.55",percent of total billed charges,"3,599.55",percent of total billed charges,"3,599.55",percent of total billed charges,"3,599.55",percent of total billed charges,"3,599.55",percent of total billed charges,"3,599.55",percent of total billed charges,"3,599.55",percent of total billed charges,"2,591.68",percent of total billed charges,"2,591.68",percent of total billed charges,"2,591.68",percent of total billed charges,"2,591.68",percent of total billed charges,"2,591.68",percent of total billed charges,"2,591.68",percent of total billed charges,"2,843.64",percent of total billed charges,"2,843.64",percent of total billed charges,"2,879.64",percent of total billed charges,"2,879.64",percent of total billed charges,,,"2,591.68",percent of total billed charges ,,,"2,879.64",percent of total billed charges ,"2,843.64",percent of total billed charges ,"2,843.64",percent of total billed charges ,"3,059.62",percent of total billed charges ,"3,059.62",percent of total billed charges ,"2,879.64",percent of total billed charges ,"2,879.64",percent of total billed charges ,"2,519.69",percent of total billed charges ,"2,519.69",percent of total billed charges ,"2,159.73",percent of total billed charges ,"2,159.73",percent of total billed charges ,"2,159.73",percent of total billed charges ,"2,159.73",percent of total billed charges ,,,,,"1,914.96",percent of total billed charges ,,,,,"1,819.21",percent of total billed charges ,,,,,,,,,,,,,,,,,,,827.9,percent of total billed charges,,,827.9,percent of total billed charges,,,827.9,percent of total billed charges,,,827.9,percent of total billed charges,,,827.9,percent of total billed charges,,,827.9,percent of total billed charges,,,827.9,percent of total billed charges,,,827.9,percent of total billed charges,,,827.9,percent of total billed charges,,,827.9,percent of total billed charges,,,827.9,percent of total billed charges,
HYDROmorphone PCA (DILAUDID) 1MG/ML 30ML,J1170,CDM,,,,both,,,496.8,496.8,114.26,496.8,496.8,percent of total billed charges,496.8,percent of total billed charges,496.8,percent of total billed charges,496.8,percent of total billed charges,496.8,percent of total billed charges,496.8,percent of total billed charges,496.8,percent of total billed charges,496.8,percent of total billed charges,357.7,percent of total billed charges,357.7,percent of total billed charges,357.7,percent of total billed charges,357.7,percent of total billed charges,357.7,percent of total billed charges,357.7,percent of total billed charges,392.47,percent of total billed charges,392.47,percent of total billed charges,397.44,percent of total billed charges,397.44,percent of total billed charges,,,357.7,percent of total billed charges ,,,397.44,percent of total billed charges ,392.47,percent of total billed charges ,392.47,percent of total billed charges ,422.28,percent of total billed charges ,422.28,percent of total billed charges ,397.44,percent of total billed charges ,397.44,percent of total billed charges ,347.76,percent of total billed charges ,347.76,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 ,,,,,264.3,percent of total billed charges ,,,,,251.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,114.26,percent of total billed charges,,,114.26,percent of total billed charges,,,114.26,percent of total billed charges,,,114.26,percent of total billed charges,,,114.26,percent of total billed charges,,,114.26,percent of total billed charges,,,114.26,percent of total billed charges,,,114.26,percent of total billed charges,,,114.26,percent of total billed charges,,,114.26,percent of total billed charges,,,114.26,percent of total billed charges,
"FentaNYL PCA : 30MCG/ML, 30ML*",J3010,CDM,,,,both,,,"1,190.00","1,190.00",273.7,"1,190.00","1,190.00",percent of total billed charges,"1,190.00",percent of total billed charges,"1,190.00",percent of total billed charges,"1,190.00",percent of total billed charges,"1,190.00",percent of total billed charges,"1,190.00",percent of total billed charges,"1,190.00",percent of total billed charges,"1,190.00",percent of total billed charges,856.8,percent of total billed charges,856.8,percent of total billed charges,856.8,percent of total billed charges,856.8,percent of total billed charges,856.8,percent of total billed charges,856.8,percent of total billed charges,940.1,percent of total billed charges,940.1,percent of total billed charges,952,percent of total billed charges,952,percent of total billed charges,,,856.8,percent of total billed charges ,,,952,percent of total billed charges ,940.1,percent of total billed charges ,940.1,percent of total billed charges ,"1,011.50",percent of total billed charges ,"1,011.50",percent of total billed charges ,952,percent of total billed charges ,952,percent of total billed charges ,833,percent of total billed charges ,833,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 ,,,,,633.08,percent of total billed charges ,,,,,601.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,273.7,percent of total billed charges,,,273.7,percent of total billed charges,,,273.7,percent of total billed charges,,,273.7,percent of total billed charges,,,273.7,percent of total billed charges,,,273.7,percent of total billed charges,,,273.7,percent of total billed charges,,,273.7,percent of total billed charges,,,273.7,percent of total billed charges,,,273.7,percent of total billed charges,,,273.7,percent of total billed charges,
SandoSTATIN LAR DEPOT : 30 MG,J2353,CDM,,,,both,1,each,939,939,215.97,939,939,percent of total billed charges,939,percent of total billed charges,939,percent of total billed charges,939,percent of total billed charges,939,percent of total billed charges,939,percent of total billed charges,939,percent of total billed charges,939,percent of total billed charges,676.08,percent of total billed charges,676.08,percent of total billed charges,676.08,percent of total billed charges,676.08,percent of total billed charges,676.08,percent of total billed charges,676.08,percent of total billed charges,741.81,percent of total billed charges,741.81,percent of total billed charges,751.2,percent of total billed charges,751.2,percent of total billed charges,,,676.08,percent of total billed charges ,,,751.2,percent of total billed charges ,741.81,percent of total billed charges ,741.81,percent of total billed charges ,798.15,percent of total billed charges ,798.15,percent of total billed charges ,751.2,percent of total billed charges ,751.2,percent of total billed charges ,657.3,percent of total billed charges ,657.3,percent of total billed charges ,563.4,percent of total billed charges ,563.4,percent of total billed charges ,563.4,percent of total billed charges ,563.4,percent of total billed charges ,,,,,499.55,percent of total billed charges ,,,,,474.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,215.97,percent of total billed charges,,,215.97,percent of total billed charges,,,215.97,percent of total billed charges,,,215.97,percent of total billed charges,,,215.97,percent of total billed charges,,,215.97,percent of total billed charges,,,215.97,percent of total billed charges,,,215.97,percent of total billed charges,,,215.97,percent of total billed charges,,,215.97,percent of total billed charges,,,215.97,percent of total billed charges,
DIVALPROEX SOD ER (DEPAKOTE) : 250MG,637,RC,68001-01-0500,NDC,,both,1,each,3.49,3.49,0.8,3.49,3.49,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,2.76,percent of total billed charges,2.76,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 ,2.76,percent of total billed charges ,2.76,percent of total billed charges ,2.97,percent of total billed charges ,2.97,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 ,,,,,,,,,,,,,,,,,,,0.8,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,
Tdap VACCINE : SINGLE DOSE,90715,CDM,,,,both,,,445.57,445.57,102.48,445.57,445.57,percent of total billed charges,445.57,percent of total billed charges,445.57,percent of total billed charges,445.57,percent of total billed charges,445.57,percent of total billed charges,445.57,percent of total billed charges,445.57,percent of total billed charges,445.57,percent of total billed charges,320.81,percent of total billed charges,320.81,percent of total billed charges,320.81,percent of total billed charges,320.81,percent of total billed charges,320.81,percent of total billed charges,320.81,percent of total billed charges,352,percent of total billed charges,352,percent of total billed charges,356.46,percent of total billed charges,356.46,percent of total billed charges,,,320.81,percent of total billed charges ,,,356.46,percent of total billed charges ,352,percent of total billed charges ,352,percent of total billed charges ,378.73,percent of total billed charges ,378.73,percent of total billed charges ,356.46,percent of total billed charges ,356.46,percent of total billed charges ,311.9,percent of total billed charges ,311.9,percent of total billed charges ,267.34,percent of total billed charges ,267.34,percent of total billed charges ,267.34,percent of total billed charges ,267.34,percent of total billed charges ,,,,,237.04,percent of total billed charges ,,,,,225.19,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,
PEGFILGRASTIM (NEULASTA) 6MG INJ,J2506,CDM,,,,both,,,"33,566.09","33,566.09","7,720.20","33,566.09","33,566.09",percent of total billed charges,"33,566.09",percent of total billed charges,"33,566.09",percent of total billed charges,"33,566.09",percent of total billed charges,"33,566.09",percent of total billed charges,"33,566.09",percent of total billed charges,"33,566.09",percent of total billed charges,"33,566.09",percent of total billed charges,"24,167.58",percent of total billed charges,"24,167.58",percent of total billed charges,"24,167.58",percent of total billed charges,"24,167.58",percent of total billed charges,"24,167.58",percent of total billed charges,"24,167.58",percent of total billed charges,"26,517.21",percent of total billed charges,"26,517.21",percent of total billed charges,"26,852.87",percent of total billed charges,"26,852.87",percent of total billed charges,,,"24,167.58",percent of total billed charges ,,,"26,852.87",percent of total billed charges ,"26,517.21",percent of total billed charges ,"26,517.21",percent of total billed charges ,"28,531.18",percent of total billed charges ,"28,531.18",percent of total billed charges ,"26,852.87",percent of total billed charges ,"26,852.87",percent of total billed charges ,"23,496.26",percent of total billed charges ,"23,496.26",percent of total billed charges ,"20,139.65",percent of total billed charges ,"20,139.65",percent of total billed charges ,"20,139.65",percent of total billed charges ,"20,139.65",percent of total billed charges ,,,,,"17,857.16",percent of total billed charges ,,,,,"16,964.30",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"7,720.20",percent of total billed charges,,,"7,720.20",percent of total billed charges,,,"7,720.20",percent of total billed charges,,,"7,720.20",percent of total billed charges,,,"7,720.20",percent of total billed charges,,,"7,720.20",percent of total billed charges,,,"7,720.20",percent of total billed charges,,,"7,720.20",percent of total billed charges,,,"7,720.20",percent of total billed charges,,,"7,720.20",percent of total billed charges,,,"7,720.20",percent of total billed charges,
ACYCLOVIR SUSP 200MG/5ML : 5ML,637,RC,00472-00-8216,NDC,,both,,,579,579,133.17,579,579,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,457.41,percent of total billed charges,457.41,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 ,457.41,percent of total billed charges ,457.41,percent of total billed charges ,492.15,percent of total billed charges ,492.15,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 ,,,,,,,,,,,,,,,,,,,133.17,percent of total billed charges,,,133.17,percent of total billed charges,,,133.17,percent of total billed charges,,,133.17,percent of total billed charges,,,133.17,percent of total billed charges,,,133.17,percent of total billed charges,,,133.17,percent of total billed charges,,,133.17,percent of total billed charges,,,133.17,percent of total billed charges,,,133.17,percent of total billed charges,,,133.17,percent of total billed charges,
SitaGLIPtin (JANUVIA) : 50MG TAB,637,RC,00006-01-1231,NDC,,both,,,43,43,9.89,43,43,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,33.97,percent of total billed charges,33.97,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 ,33.97,percent of total billed charges ,33.97,percent of total billed charges ,36.55,percent of total billed charges ,36.55,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 ,,,,,,,,,,,,,,,,,,,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,
ROSUVASTATIN (CRESTOR) TAB : 5MG,637,RC,60687-02-3411,NDC,,both,,,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
FILGRASTIM (ZARXIO) INJ : 300MCG,J1442,CDM,,,,both,1,each,"1,230.00","1,230.00",282.9,"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,971.7,percent of total billed charges,971.7,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 ,971.7,percent of total billed charges ,971.7,percent of total billed charges ,"1,045.50",percent of total billed charges ,"1,045.50",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 ,,,,,,,,,,,,,,,,,,,282.9,percent of total billed charges,,,282.9,percent of total billed charges,,,282.9,percent of total billed charges,,,282.9,percent of total billed charges,,,282.9,percent of total billed charges,,,282.9,percent of total billed charges,,,282.9,percent of total billed charges,,,282.9,percent of total billed charges,,,282.9,percent of total billed charges,,,282.9,percent of total billed charges,,,282.9,percent of total billed charges,
VARENICLINE (CHANTIX) TAB: 0.5MG,637,RC,00069-04-6856,NDC,,both,1,each,25.27,25.27,5.81,25.27,25.27,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,19.96,percent of total billed charges,19.96,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 ,19.96,percent of total billed charges ,19.96,percent of total billed charges ,21.48,percent of total billed charges ,21.48,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 ,,,,,,,,,,,,,,,,,,,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,
BANANA BAG,258,RC,99999-99-9999,NDC,,both,,,353,353,81.19,353,353,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,278.87,percent of total billed charges,278.87,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 ,278.87,percent of total billed charges ,278.87,percent of total billed charges ,300.05,percent of total billed charges ,300.05,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 ,,,,,,,,,,,,,,,,,,,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,,,81.19,percent of total billed charges,,,81.19,percent of total billed charges,,,81.19,percent of total billed charges,
FERROUS SULF UD LIQ : 300MG/5ML,637,RC,00121-05-3005,NDC,,both,1,each,5.7,5.7,1.31,5.7,5.7,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,4.5,percent of total billed charges,4.5,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 ,4.5,percent of total billed charges ,4.5,percent of total billed charges ,4.85,percent of total billed charges ,4.85,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 ,,,,,,,,,,,,,,,,,,,1.31,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,
RiTUXimab IV : PER 10MG (J-CODE),J9312,CDM,,,,both,10,each,831.46,831.46,191.24,831.46,831.46,percent of total billed charges,831.46,percent of total billed charges,831.46,percent of total billed charges,831.46,percent of total billed charges,831.46,percent of total billed charges,831.46,percent of total billed charges,831.46,percent of total billed charges,831.46,percent of total billed charges,598.65,percent of total billed charges,598.65,percent of total billed charges,598.65,percent of total billed charges,598.65,percent of total billed charges,598.65,percent of total billed charges,598.65,percent of total billed charges,656.85,percent of total billed charges,656.85,percent of total billed charges,665.17,percent of total billed charges,665.17,percent of total billed charges,,,598.65,percent of total billed charges ,,,665.17,percent of total billed charges ,656.85,percent of total billed charges ,656.85,percent of total billed charges ,706.74,percent of total billed charges ,706.74,percent of total billed charges ,665.17,percent of total billed charges ,665.17,percent of total billed charges ,582.02,percent of total billed charges ,582.02,percent of total billed charges ,498.88,percent of total billed charges ,498.88,percent of total billed charges ,498.88,percent of total billed charges ,498.88,percent of total billed charges ,,,,,442.34,percent of total billed charges ,,,,,420.22,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,
VENOFER INJ : 100MG/5ML,J1756,CDM,,,,both,1,each,410.82,410.82,94.49,410.82,410.82,percent of total billed charges,410.82,percent of total billed charges,410.82,percent of total billed charges,410.82,percent of total billed charges,410.82,percent of total billed charges,410.82,percent of total billed charges,410.82,percent of total billed charges,410.82,percent of total billed charges,295.79,percent of total billed charges,295.79,percent of total billed charges,295.79,percent of total billed charges,295.79,percent of total billed charges,295.79,percent of total billed charges,295.79,percent of total billed charges,324.55,percent of total billed charges,324.55,percent of total billed charges,328.66,percent of total billed charges,328.66,percent of total billed charges,,,295.79,percent of total billed charges ,,,328.66,percent of total billed charges ,324.55,percent of total billed charges ,324.55,percent of total billed charges ,349.2,percent of total billed charges ,349.2,percent of total billed charges ,328.66,percent of total billed charges ,328.66,percent of total billed charges ,287.57,percent of total billed charges ,287.57,percent of total billed charges ,246.49,percent of total billed charges ,246.49,percent of total billed charges ,246.49,percent of total billed charges ,246.49,percent of total billed charges ,,,,,218.56,percent of total billed charges ,,,,,207.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,94.49,percent of total billed charges,,,94.49,percent of total billed charges,,,94.49,percent of total billed charges,,,94.49,percent of total billed charges,,,94.49,percent of total billed charges,,,94.49,percent of total billed charges,,,94.49,percent of total billed charges,,,94.49,percent of total billed charges,,,94.49,percent of total billed charges,,,94.49,percent of total billed charges,,,94.49,percent of total billed charges,
LEVONORGESTREL TAB : 1.5MG,637,RC,69536-01-4619,NDC,,both,1,each,66.71,66.71,15.34,66.71,66.71,percent of total billed charges,66.71,percent of total billed charges,66.71,percent of total billed charges,66.71,percent of total billed charges,66.71,percent of total billed charges,66.71,percent of total billed charges,66.71,percent of total billed charges,66.71,percent of total billed charges,48.03,percent of total billed charges,48.03,percent of total billed charges,48.03,percent of total billed charges,48.03,percent of total billed charges,48.03,percent of total billed charges,48.03,percent of total billed charges,52.7,percent of total billed charges,52.7,percent of total billed charges,53.37,percent of total billed charges,53.37,percent of total billed charges,,,48.03,percent of total billed charges ,,,53.37,percent of total billed charges ,52.7,percent of total billed charges ,52.7,percent of total billed charges ,56.7,percent of total billed charges ,56.7,percent of total billed charges ,53.37,percent of total billed charges ,53.37,percent of total billed charges ,46.7,percent of total billed charges ,46.7,percent of total billed charges ,40.03,percent of total billed charges ,40.03,percent of total billed charges ,40.03,percent of total billed charges ,40.03,percent of total billed charges ,,,,,35.49,percent of total billed charges ,,,,,33.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.34,percent of total billed charges,,,15.34,percent of total billed charges,,,15.34,percent of total billed charges,,,15.34,percent of total billed charges,,,15.34,percent of total billed charges,,,15.34,percent of total billed charges,,,15.34,percent of total billed charges,,,15.34,percent of total billed charges,,,15.34,percent of total billed charges,,,15.34,percent of total billed charges,,,15.34,percent of total billed charges,
POTASSIUM CL 20MEQ/100ML STERILE WATER,250,RC,00409-70-7526,NDC,,both,1,each,188,188,43.24,188,188,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,148.52,percent of total billed charges,148.52,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 ,148.52,percent of total billed charges ,148.52,percent of total billed charges ,159.8,percent of total billed charges ,159.8,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 ,,,,,,,,,,,,,,,,,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,
CALCITRIOL (CALCIJEX) INJ : 1MCG/1ML,J0636,CDM,,,,both,1,each,34,34,7.82,34,34,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,26.86,percent of total billed charges,26.86,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 ,26.86,percent of total billed charges ,26.86,percent of total billed charges ,28.9,percent of total billed charges ,28.9,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 ,,,,,,,,,,,,,,,,,,,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,,,7.82,percent of total billed charges,,,7.82,percent of total billed charges,,,7.82,percent of total billed charges,
LINEZOLID (ZYVOX) TAB : 600MG,637,RC,31722-07-4920,NDC,,both,1,each,6.86,6.86,1.58,6.86,6.86,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,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,5.42,percent of total billed charges,5.42,percent of total billed charges,5.49,percent of total billed charges,5.49,percent of total billed charges,,,4.94,percent of total billed charges ,,,5.49,percent of total billed charges ,5.42,percent of total billed charges ,5.42,percent of total billed charges ,5.83,percent of total billed charges ,5.83,percent of total billed charges ,5.49,percent of total billed charges ,5.49,percent of total billed charges ,4.8,percent of total billed charges ,4.8,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 ,,,,,3.65,percent of total billed charges ,,,,,3.47,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,
ALBUTEROL INHA SOLN UD : 2.5MG/0.5ML,637,RC,60687-03-9579,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
HYDROCORTISONE 0.5% OINT : 30GM,637,RC,00168-00-1631,NDC,,both,1,each,33,33,7.59,33,33,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,26.07,percent of total billed charges,26.07,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 ,26.07,percent of total billed charges ,26.07,percent of total billed charges ,28.05,percent of total billed charges ,28.05,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 ,,,,,,,,,,,,,,,,,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,
IPRATROPIUM (ATROVENT) HFA : 200MDI,637,RC,00597-00-8717,NDC,,both,1,each,807.73,807.73,185.78,807.73,807.73,percent of total billed charges,807.73,percent of total billed charges,807.73,percent of total billed charges,807.73,percent of total billed charges,807.73,percent of total billed charges,807.73,percent of total billed charges,807.73,percent of total billed charges,807.73,percent of total billed charges,581.57,percent of total billed charges,581.57,percent of total billed charges,581.57,percent of total billed charges,581.57,percent of total billed charges,581.57,percent of total billed charges,581.57,percent of total billed charges,638.11,percent of total billed charges,638.11,percent of total billed charges,646.18,percent of total billed charges,646.18,percent of total billed charges,,,581.57,percent of total billed charges ,,,646.18,percent of total billed charges ,638.11,percent of total billed charges ,638.11,percent of total billed charges ,686.57,percent of total billed charges ,686.57,percent of total billed charges ,646.18,percent of total billed charges ,646.18,percent of total billed charges ,565.41,percent of total billed charges ,565.41,percent of total billed charges ,484.64,percent of total billed charges ,484.64,percent of total billed charges ,484.64,percent of total billed charges ,484.64,percent of total billed charges ,,,,,429.71,percent of total billed charges ,,,,,408.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,185.78,percent of total billed charges,,,185.78,percent of total billed charges,,,185.78,percent of total billed charges,,,185.78,percent of total billed charges,,,185.78,percent of total billed charges,,,185.78,percent of total billed charges,,,185.78,percent of total billed charges,,,185.78,percent of total billed charges,,,185.78,percent of total billed charges,,,185.78,percent of total billed charges,,,185.78,percent of total billed charges,
ALBUTEROL (PROAIR) HFA INHALER : 200MDI,637,RC,00054-07-4287,NDC,,both,1,each,157.12,157.12,36.14,157.12,157.12,percent of total billed charges,157.12,percent of total billed charges,157.12,percent of total billed charges,157.12,percent of total billed charges,157.12,percent of total billed charges,157.12,percent of total billed charges,157.12,percent of total billed charges,157.12,percent of total billed charges,113.13,percent of total billed charges,113.13,percent of total billed charges,113.13,percent of total billed charges,113.13,percent of total billed charges,113.13,percent of total billed charges,113.13,percent of total billed charges,124.12,percent of total billed charges,124.12,percent of total billed charges,125.7,percent of total billed charges,125.7,percent of total billed charges,,,113.13,percent of total billed charges ,,,125.7,percent of total billed charges ,124.12,percent of total billed charges ,124.12,percent of total billed charges ,133.55,percent of total billed charges ,133.55,percent of total billed charges ,125.7,percent of total billed charges ,125.7,percent of total billed charges ,109.98,percent of total billed charges ,109.98,percent of total billed charges ,94.27,percent of total billed charges ,94.27,percent of total billed charges ,94.27,percent of total billed charges ,94.27,percent of total billed charges ,,,,,83.59,percent of total billed charges ,,,,,79.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,36.14,percent of total billed charges,,,36.14,percent of total billed charges,,,36.14,percent of total billed charges,,,36.14,percent of total billed charges,,,36.14,percent of total billed charges,,,36.14,percent of total billed charges,,,36.14,percent of total billed charges,,,36.14,percent of total billed charges,,,36.14,percent of total billed charges,,,36.14,percent of total billed charges,,,36.14,percent of total billed charges,
DOCOSANOL CREAM 10% : 2GM,250,RC,61269-09-8135,NDC,,both,1,each,345,345,79.35,345,345,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,272.55,percent of total billed charges,272.55,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 ,272.55,percent of total billed charges ,272.55,percent of total billed charges ,293.25,percent of total billed charges ,293.25,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 ,,,,,,,,,,,,,,,,,,,79.35,percent of total billed charges,,,79.35,percent of total billed charges,,,79.35,percent of total billed charges,,,79.35,percent of total billed charges,,,79.35,percent of total billed charges,,,79.35,percent of total billed charges,,,79.35,percent of total billed charges,,,79.35,percent of total billed charges,,,79.35,percent of total billed charges,,,79.35,percent of total billed charges,,,79.35,percent of total billed charges,
ABATACEPT (ORENCIA) PWD FOR IV : 250MG,J0129,CDM,,,,both,1,each,"6,075.27","6,075.27","1,397.31","6,075.27","6,075.27",percent of total billed charges,"6,075.27",percent of total billed charges,"6,075.27",percent of total billed charges,"6,075.27",percent of total billed charges,"6,075.27",percent of total billed charges,"6,075.27",percent of total billed charges,"6,075.27",percent of total billed charges,"6,075.27",percent of total billed charges,"4,374.19",percent of total billed charges,"4,374.19",percent of total billed charges,"4,374.19",percent of total billed charges,"4,374.19",percent of total billed charges,"4,374.19",percent of total billed charges,"4,374.19",percent of total billed charges,"4,799.46",percent of total billed charges,"4,799.46",percent of total billed charges,"4,860.22",percent of total billed charges,"4,860.22",percent of total billed charges,,,"4,374.19",percent of total billed charges ,,,"4,860.22",percent of total billed charges ,"4,799.46",percent of total billed charges ,"4,799.46",percent of total billed charges ,"5,163.98",percent of total billed charges ,"5,163.98",percent of total billed charges ,"4,860.22",percent of total billed charges ,"4,860.22",percent of total billed charges ,"4,252.69",percent of total billed charges ,"4,252.69",percent of total billed charges ,"3,645.16",percent of total billed charges ,"3,645.16",percent of total billed charges ,"3,645.16",percent of total billed charges ,"3,645.16",percent of total billed charges ,,,,,"3,232.04",percent of total billed charges ,,,,,"3,070.44",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,397.31",percent of total billed charges,,,"1,397.31",percent of total billed charges,,,"1,397.31",percent of total billed charges,,,"1,397.31",percent of total billed charges,,,"1,397.31",percent of total billed charges,,,"1,397.31",percent of total billed charges,,,"1,397.31",percent of total billed charges,,,"1,397.31",percent of total billed charges,,,"1,397.31",percent of total billed charges,,,"1,397.31",percent of total billed charges,,,"1,397.31",percent of total billed charges,
METRONIDAZOLE GEL 0.75% : 45GM,637,RC,00168-02-7545,NDC,,both,45,each,213,213,48.99,213,213,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,168.27,percent of total billed charges,168.27,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 ,168.27,percent of total billed charges ,168.27,percent of total billed charges ,181.05,percent of total billed charges ,181.05,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 ,,,,,,,,,,,,,,,,,,,48.99,percent of total billed charges,,,48.99,percent of total billed charges,,,48.99,percent of total billed charges,,,48.99,percent of total billed charges,,,48.99,percent of total billed charges,,,48.99,percent of total billed charges,,,48.99,percent of total billed charges,,,48.99,percent of total billed charges,,,48.99,percent of total billed charges,,,48.99,percent of total billed charges,,,48.99,percent of total billed charges,
SODIUM THIOSULFATE: 12.5GM/50ML INJ.,250,RC,60267-07-0550,NDC,,both,50,each,"1,113.00","1,113.00",255.99,"1,113.00","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,801.36,percent of total billed charges,801.36,percent of total billed charges,801.36,percent of total billed charges,801.36,percent of total billed charges,801.36,percent of total billed charges,801.36,percent of total billed charges,879.27,percent of total billed charges,879.27,percent of total billed charges,890.4,percent of total billed charges,890.4,percent of total billed charges,,,801.36,percent of total billed charges ,,,890.4,percent of total billed charges ,879.27,percent of total billed charges ,879.27,percent of total billed charges ,946.05,percent of total billed charges ,946.05,percent of total billed charges ,890.4,percent of total billed charges ,890.4,percent of total billed charges ,779.1,percent of total billed charges ,779.1,percent of total billed charges ,667.8,percent of total billed charges ,667.8,percent of total billed charges ,667.8,percent of total billed charges ,667.8,percent of total billed charges ,,,,,592.12,percent of total billed charges ,,,,,562.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,255.99,percent of total billed charges,,,255.99,percent of total billed charges,,,255.99,percent of total billed charges,,,255.99,percent of total billed charges,,,255.99,percent of total billed charges,,,255.99,percent of total billed charges,,,255.99,percent of total billed charges,,,255.99,percent of total billed charges,,,255.99,percent of total billed charges,,,255.99,percent of total billed charges,,,255.99,percent of total billed charges,
ADRENALIN TOPICAL SOLN 1:1000 30ML,637,RC,42023-01-0301,NDC,,both,30,each,327.2,327.2,75.26,327.2,327.2,percent of total billed charges,327.2,percent of total billed charges,327.2,percent of total billed charges,327.2,percent of total billed charges,327.2,percent of total billed charges,327.2,percent of total billed charges,327.2,percent of total billed charges,327.2,percent of total billed charges,235.58,percent of total billed charges,235.58,percent of total billed charges,235.58,percent of total billed charges,235.58,percent of total billed charges,235.58,percent of total billed charges,235.58,percent of total billed charges,258.49,percent of total billed charges,258.49,percent of total billed charges,261.76,percent of total billed charges,261.76,percent of total billed charges,,,235.58,percent of total billed charges ,,,261.76,percent of total billed charges ,258.49,percent of total billed charges ,258.49,percent of total billed charges ,278.12,percent of total billed charges ,278.12,percent of total billed charges ,261.76,percent of total billed charges ,261.76,percent of total billed charges ,229.04,percent of total billed charges ,229.04,percent of total billed charges ,196.32,percent of total billed charges ,196.32,percent of total billed charges ,196.32,percent of total billed charges ,196.32,percent of total billed charges ,,,,,174.07,percent of total billed charges ,,,,,165.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,75.26,percent of total billed charges,,,75.26,percent of total billed charges,,,75.26,percent of total billed charges,,,75.26,percent of total billed charges,,,75.26,percent of total billed charges,,,75.26,percent of total billed charges,,,75.26,percent of total billed charges,,,75.26,percent of total billed charges,,,75.26,percent of total billed charges,,,75.26,percent of total billed charges,,,75.26,percent of total billed charges,
REBIF 44MCG SYRINGE,J1826,CDM,,,,both,44,each,"1,080.00","1,080.00",248.4,"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,853.2,percent of total billed charges,853.2,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 ,853.2,percent of total billed charges ,853.2,percent of total billed charges ,918,percent of total billed charges ,918,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
PHYSostigmine SALICYLAT INJECTION 1MG/ML,250,RC,17478-05-1002,NDC,,both,1,each,547.2,547.2,125.86,547.2,547.2,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,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,393.98,percent of total billed charges,393.98,percent of total billed charges,393.98,percent of total billed charges,393.98,percent of total billed charges,393.98,percent of total billed charges,393.98,percent of total billed charges,432.29,percent of total billed charges,432.29,percent of total billed charges,437.76,percent of total billed charges,437.76,percent of total billed charges,,,393.98,percent of total billed charges ,,,437.76,percent of total billed charges ,432.29,percent of total billed charges ,432.29,percent of total billed charges ,465.12,percent of total billed charges ,465.12,percent of total billed charges ,437.76,percent of total billed charges ,437.76,percent of total billed charges ,383.04,percent of total billed charges ,383.04,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 ,,,,,291.11,percent of total billed charges ,,,,,276.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,125.86,percent of total billed charges,,,125.86,percent of total billed charges,,,125.86,percent of total billed charges,,,125.86,percent of total billed charges,,,125.86,percent of total billed charges,,,125.86,percent of total billed charges,,,125.86,percent of total billed charges,,,125.86,percent of total billed charges,,,125.86,percent of total billed charges,,,125.86,percent of total billed charges,,,125.86,percent of total billed charges,
BYETTA 10MCG : 60 DOSE PEN*,637,RC,66780-02-1201,NDC,,both,1,each,976,976,224.48,976,976,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,771.04,percent of total billed charges,771.04,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 ,771.04,percent of total billed charges ,771.04,percent of total billed charges ,829.6,percent of total billed charges ,829.6,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 ,,,,,,,,,,,,,,,,,,,224.48,percent of total billed charges,,,224.48,percent of total billed charges,,,224.48,percent of total billed charges,,,224.48,percent of total billed charges,,,224.48,percent of total billed charges,,,224.48,percent of total billed charges,,,224.48,percent of total billed charges,,,224.48,percent of total billed charges,,,224.48,percent of total billed charges,,,224.48,percent of total billed charges,,,224.48,percent of total billed charges,
VENLAFAXINE (EFFEXOR) TAB : 37.5MG,637,RC,68084-08-4411,NDC,,both,1,each,0.71,0.71,0.16,0.71,0.71,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,0.56,percent of total billed charges,0.56,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 ,0.56,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 ,0.57,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 ,,,,,,,,,,,,,,,,,,,0.16,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,
VENLAFAXINE (EFFEXOR) XR : 37.5MG CAP,637,RC,68084-06-9801,NDC,,both,1,each,1.93,1.93,0.44,1.93,1.93,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,1.52,percent of total billed charges,1.52,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 ,1.52,percent of total billed charges ,1.52,percent of total billed charges ,1.64,percent of total billed charges ,1.64,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 ,,,,,,,,,,,,,,,,,,,0.44,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,
MEROPENEM (MERREM) INJ : 1GM,J2185,CDM,,,,both,1,each,93.07,93.07,21.41,93.07,93.07,percent of total billed charges,93.07,percent of total billed charges,93.07,percent of total billed charges,93.07,percent of total billed charges,93.07,percent of total billed charges,93.07,percent of total billed charges,93.07,percent of total billed charges,93.07,percent of total billed charges,67.01,percent of total billed charges,67.01,percent of total billed charges,67.01,percent of total billed charges,67.01,percent of total billed charges,67.01,percent of total billed charges,67.01,percent of total billed charges,73.53,percent of total billed charges,73.53,percent of total billed charges,74.46,percent of total billed charges,74.46,percent of total billed charges,,,67.01,percent of total billed charges ,,,74.46,percent of total billed charges ,73.53,percent of total billed charges ,73.53,percent of total billed charges ,79.11,percent of total billed charges ,79.11,percent of total billed charges ,74.46,percent of total billed charges ,74.46,percent of total billed charges ,65.15,percent of total billed charges ,65.15,percent of total billed charges ,55.84,percent of total billed charges ,55.84,percent of total billed charges ,55.84,percent of total billed charges ,55.84,percent of total billed charges ,,,,,49.51,percent of total billed charges ,,,,,47.04,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,,,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,
HYDROcodone/APAP 5MG/325MG TAB,637,RC,00406-01-2362,NDC,,both,1,each,3.42,3.42,0.79,3.42,3.42,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,2.7,percent of total billed charges,2.7,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 ,2.7,percent of total billed charges ,2.7,percent of total billed charges ,2.91,percent of total billed charges ,2.91,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 ,,,,,,,,,,,,,,,,,,,0.79,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,
dexmedeTOMIDine(PRECEDEX) 200MCG/2ML,250,RC,00143-95-3225,NDC,,both,2,each,152.63,152.63,35.1,152.63,152.63,percent of total billed charges,152.63,percent of total billed charges,152.63,percent of total billed charges,152.63,percent of total billed charges,152.63,percent of total billed charges,152.63,percent of total billed charges,152.63,percent of total billed charges,152.63,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,120.58,percent of total billed charges,120.58,percent of total billed charges,122.1,percent of total billed charges,122.1,percent of total billed charges,,,109.89,percent of total billed charges ,,,122.1,percent of total billed charges ,120.58,percent of total billed charges ,120.58,percent of total billed charges ,129.74,percent of total billed charges ,129.74,percent of total billed charges ,122.1,percent of total billed charges ,122.1,percent of total billed charges ,106.84,percent of total billed charges ,106.84,percent of total billed charges ,91.58,percent of total billed charges ,91.58,percent of total billed charges ,91.58,percent of total billed charges ,91.58,percent of total billed charges ,,,,,81.2,percent of total billed charges ,,,,,77.14,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,,,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,,,35.1,percent of total billed charges,,,35.1,percent of total billed charges,,,35.1,percent of total billed charges,
"TETRAVISC OPHTH SOLN 0.5% {0.5%, SOLUTIO",250,RC,68682-09-2064,NDC,,both,5,each,61,61,14.03,61,61,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,48.19,percent of total billed charges,48.19,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 ,48.19,percent of total billed charges ,48.19,percent of total billed charges ,51.85,percent of total billed charges ,51.85,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 ,,,,,,,,,,,,,,,,,,,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,,,14.03,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,
DUOVISC OPHT SYSTEM 0.4/0.35ML : 1 EA,250,RC,08065-18-3135,NDC,,both,1,each,768,768,176.64,768,768,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,606.72,percent of total billed charges,606.72,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 ,606.72,percent of total billed charges ,606.72,percent of total billed charges ,652.8,percent of total billed charges ,652.8,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 ,,,,,,,,,,,,,,,,,,,176.64,percent of total billed charges,,,176.64,percent of total billed charges,,,176.64,percent of total billed charges,,,176.64,percent of total billed charges,,,176.64,percent of total billed charges,,,176.64,percent of total billed charges,,,176.64,percent of total billed charges,,,176.64,percent of total billed charges,,,176.64,percent of total billed charges,,,176.64,percent of total billed charges,,,176.64,percent of total billed charges,
ERYTHROMYCIN LAC INJ : 500MG,J1364,CDM,,,,both,,,410.4,410.4,94.39,410.4,410.4,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,410.4,percent of total billed charges,410.4,percent of total billed charges,295.49,percent of total billed charges,295.49,percent of total billed charges,295.49,percent of total billed charges,295.49,percent of total billed charges,295.49,percent of total billed charges,295.49,percent of total billed charges,324.22,percent of total billed charges,324.22,percent of total billed charges,328.32,percent of total billed charges,328.32,percent of total billed charges,,,295.49,percent of total billed charges ,,,328.32,percent of total billed charges ,324.22,percent of total billed charges ,324.22,percent of total billed charges ,348.84,percent of total billed charges ,348.84,percent of total billed charges ,328.32,percent of total billed charges ,328.32,percent of total billed charges ,287.28,percent of total billed charges ,287.28,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 ,,,,,218.33,percent of total billed charges ,,,,,207.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,94.39,percent of total billed charges,,,94.39,percent of total billed charges,,,94.39,percent of total billed charges,,,94.39,percent of total billed charges,,,94.39,percent of total billed charges,,,94.39,percent of total billed charges,,,94.39,percent of total billed charges,,,94.39,percent of total billed charges,,,94.39,percent of total billed charges,,,94.39,percent of total billed charges,,,94.39,percent of total billed charges,
CEFOTAXIME (CLAFORAN) INJ : 500MG,J0698,CDM,,,,both,,,176,176,40.48,176,176,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,139.04,percent of total billed charges,139.04,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 ,139.04,percent of total billed charges ,139.04,percent of total billed charges ,149.6,percent of total billed charges ,149.6,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 ,,,,,,,,,,,,,,,,,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,
ACCUNEB(ALBUTEROL) INH SOLN : 1.25MG/3ML,637,RC,00378-69-9252,NDC,,both,1,each,6,6,1.38,6,6,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,4.74,percent of total billed charges,4.74,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 ,4.74,percent of total billed charges ,4.74,percent of total billed charges ,5.1,percent of total billed charges ,5.1,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 ,,,,,,,,,,,,,,,,,,,1.38,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,
ZOLEDRONIC ACID (RECLAST) : 5MG/100ML,J3489,CDM,,,,both,100,each,719.73,719.73,165.54,719.73,719.73,percent of total billed charges,719.73,percent of total billed charges,719.73,percent of total billed charges,719.73,percent of total billed charges,719.73,percent of total billed charges,719.73,percent of total billed charges,719.73,percent of total billed charges,719.73,percent of total billed charges,518.21,percent of total billed charges,518.21,percent of total billed charges,518.21,percent of total billed charges,518.21,percent of total billed charges,518.21,percent of total billed charges,518.21,percent of total billed charges,568.59,percent of total billed charges,568.59,percent of total billed charges,575.78,percent of total billed charges,575.78,percent of total billed charges,,,518.21,percent of total billed charges ,,,575.78,percent of total billed charges ,568.59,percent of total billed charges ,568.59,percent of total billed charges ,611.77,percent of total billed charges ,611.77,percent of total billed charges ,575.78,percent of total billed charges ,575.78,percent of total billed charges ,503.81,percent of total billed charges ,503.81,percent of total billed charges ,431.84,percent of total billed charges ,431.84,percent of total billed charges ,431.84,percent of total billed charges ,431.84,percent of total billed charges ,,,,,382.9,percent of total billed charges ,,,,,363.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,165.54,percent of total billed charges,,,165.54,percent of total billed charges,,,165.54,percent of total billed charges,,,165.54,percent of total billed charges,,,165.54,percent of total billed charges,,,165.54,percent of total billed charges,,,165.54,percent of total billed charges,,,165.54,percent of total billed charges,,,165.54,percent of total billed charges,,,165.54,percent of total billed charges,,,165.54,percent of total billed charges,
SOLIFENACIN (VESICARE) TAB : 5MG,637,RC,67877-05-2730,NDC,,both,1,each,21.5,21.5,4.95,21.5,21.5,percent of total billed charges,21.5,percent of total billed charges,21.5,percent of total billed charges,21.5,percent of total billed charges,21.5,percent of total billed charges,21.5,percent of total billed charges,21.5,percent of total billed charges,21.5,percent of total billed charges,15.48,percent of total billed charges,15.48,percent of total billed charges,15.48,percent of total billed charges,15.48,percent of total billed charges,15.48,percent of total billed charges,15.48,percent of total billed charges,16.99,percent of total billed charges,16.99,percent of total billed charges,17.2,percent of total billed charges,17.2,percent of total billed charges,,,15.48,percent of total billed charges ,,,17.2,percent of total billed charges ,16.99,percent of total billed charges ,16.99,percent of total billed charges ,18.28,percent of total billed charges ,18.28,percent of total billed charges ,17.2,percent of total billed charges ,17.2,percent of total billed charges ,15.05,percent of total billed charges ,15.05,percent of total billed charges ,12.9,percent of total billed charges ,12.9,percent of total billed charges ,12.9,percent of total billed charges ,12.9,percent of total billed charges ,,,,,11.44,percent of total billed charges ,,,,,10.87,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,,,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,
BUDESONIDE (PULMICORT) FLEXHALER 180MCG,637,RC,00093-68-1673,NDC,,both,1,each,596.21,596.21,137.13,596.21,596.21,percent of total billed charges,596.21,percent of total billed charges,596.21,percent of total billed charges,596.21,percent of total billed charges,596.21,percent of total billed charges,596.21,percent of total billed charges,596.21,percent of total billed charges,596.21,percent of total billed charges,429.27,percent of total billed charges,429.27,percent of total billed charges,429.27,percent of total billed charges,429.27,percent of total billed charges,429.27,percent of total billed charges,429.27,percent of total billed charges,471.01,percent of total billed charges,471.01,percent of total billed charges,476.97,percent of total billed charges,476.97,percent of total billed charges,,,429.27,percent of total billed charges ,,,476.97,percent of total billed charges ,471.01,percent of total billed charges ,471.01,percent of total billed charges ,506.78,percent of total billed charges ,506.78,percent of total billed charges ,476.97,percent of total billed charges ,476.97,percent of total billed charges ,417.35,percent of total billed charges ,417.35,percent of total billed charges ,357.73,percent of total billed charges ,357.73,percent of total billed charges ,357.73,percent of total billed charges ,357.73,percent of total billed charges ,,,,,317.18,percent of total billed charges ,,,,,301.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,137.13,percent of total billed charges,,,137.13,percent of total billed charges,,,137.13,percent of total billed charges,,,137.13,percent of total billed charges,,,137.13,percent of total billed charges,,,137.13,percent of total billed charges,,,137.13,percent of total billed charges,,,137.13,percent of total billed charges,,,137.13,percent of total billed charges,,,137.13,percent of total billed charges,,,137.13,percent of total billed charges,
PREGABALIN (LYRICA) CAP : 100MG,637,RC,00071-10-1541,NDC,,both,1,each,24.99,24.99,5.75,24.99,24.99,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,17.99,percent of total billed charges,17.99,percent of total billed charges,17.99,percent of total billed charges,17.99,percent of total billed charges,17.99,percent of total billed charges,17.99,percent of total billed charges,19.74,percent of total billed charges,19.74,percent of total billed charges,19.99,percent of total billed charges,19.99,percent of total billed charges,,,17.99,percent of total billed charges ,,,19.99,percent of total billed charges ,19.74,percent of total billed charges ,19.74,percent of total billed charges ,21.24,percent of total billed charges ,21.24,percent of total billed charges ,19.99,percent of total billed charges ,19.99,percent of total billed charges ,17.49,percent of total billed charges ,17.49,percent of total billed charges ,14.99,percent of total billed charges ,14.99,percent of total billed charges ,14.99,percent of total billed charges ,14.99,percent of total billed charges ,,,,,13.29,percent of total billed charges ,,,,,12.63,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,,,5.75,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,
RABIES VACCINE IM PWD SUSP : 2.5IU/ML,90675,CDM,,,,both,1,each,"1,460.73","1,460.73",335.97,"1,460.73","1,460.73",percent of total billed charges,"1,460.73",percent of total billed charges,"1,460.73",percent of total billed charges,"1,460.73",percent of total billed charges,"1,460.73",percent of total billed charges,"1,460.73",percent of total billed charges,"1,460.73",percent of total billed charges,"1,460.73",percent of total billed charges,"1,051.73",percent of total billed charges,"1,051.73",percent of total billed charges,"1,051.73",percent of total billed charges,"1,051.73",percent of total billed charges,"1,051.73",percent of total billed charges,"1,051.73",percent of total billed charges,"1,153.98",percent of total billed charges,"1,153.98",percent of total billed charges,"1,168.58",percent of total billed charges,"1,168.58",percent of total billed charges,,,"1,051.73",percent of total billed charges ,,,"1,168.58",percent of total billed charges ,"1,153.98",percent of total billed charges ,"1,153.98",percent of total billed charges ,"1,241.62",percent of total billed charges ,"1,241.62",percent of total billed charges ,"1,168.58",percent of total billed charges ,"1,168.58",percent of total billed charges ,"1,022.51",percent of total billed charges ,"1,022.51",percent of total billed charges ,876.44,percent of total billed charges ,876.44,percent of total billed charges ,876.44,percent of total billed charges ,876.44,percent of total billed charges ,,,,,777.11,percent of total billed charges ,,,,,738.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,335.97,percent of total billed charges,,,335.97,percent of total billed charges,,,335.97,percent of total billed charges,,,335.97,percent of total billed charges,,,335.97,percent of total billed charges,,,335.97,percent of total billed charges,,,335.97,percent of total billed charges,,,335.97,percent of total billed charges,,,335.97,percent of total billed charges,,,335.97,percent of total billed charges,,,335.97,percent of total billed charges,
RABIES IMMUNE GLOBULIN : 300IU VIAL,90375,CDM,,,,both,2,each,"3,765.59","3,765.59",866.09,"3,765.59","3,765.59",percent of total billed charges,"3,765.59",percent of total billed charges,"3,765.59",percent of total billed charges,"3,765.59",percent of total billed charges,"3,765.59",percent of total billed charges,"3,765.59",percent of total billed charges,"3,765.59",percent of total billed charges,"3,765.59",percent of total billed charges,"2,711.22",percent of total billed charges,"2,711.22",percent of total billed charges,"2,711.22",percent of total billed charges,"2,711.22",percent of total billed charges,"2,711.22",percent of total billed charges,"2,711.22",percent of total billed charges,"2,974.82",percent of total billed charges,"2,974.82",percent of total billed charges,"3,012.47",percent of total billed charges,"3,012.47",percent of total billed charges,,,"2,711.22",percent of total billed charges ,,,"3,012.47",percent of total billed charges ,"2,974.82",percent of total billed charges ,"2,974.82",percent of total billed charges ,"3,200.75",percent of total billed charges ,"3,200.75",percent of total billed charges ,"3,012.47",percent of total billed charges ,"3,012.47",percent of total billed charges ,"2,635.91",percent of total billed charges ,"2,635.91",percent of total billed charges ,"2,259.35",percent of total billed charges ,"2,259.35",percent of total billed charges ,"2,259.35",percent of total billed charges ,"2,259.35",percent of total billed charges ,,,,,"2,003.29",percent of total billed charges ,,,,,"1,903.13",percent of total billed charges ,,,,,,,,,,,,,,,,,,,866.09,percent of total billed charges,,,866.09,percent of total billed charges,,,866.09,percent of total billed charges,,,866.09,percent of total billed charges,,,866.09,percent of total billed charges,,,866.09,percent of total billed charges,,,866.09,percent of total billed charges,,,866.09,percent of total billed charges,,,866.09,percent of total billed charges,,,866.09,percent of total billed charges,,,866.09,percent of total billed charges,
DOXEPIN (SINEquan) CAP : 25 MG,637,RC,49884-02-1801,NDC,,both,1,each,2.93,2.93,0.67,2.93,2.93,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,2.31,percent of total billed charges,2.31,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 ,2.31,percent of total billed charges ,2.31,percent of total billed charges ,2.49,percent of total billed charges ,2.49,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 ,,,,,,,,,,,,,,,,,,,0.67,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,
"IBUPROFEN SUSP : 100MG/5ML, 120ML BTL",637,RC,00904-53-0920,NDC,,both,120,each,12,12,2.76,12,12,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,9.48,percent of total billed charges,9.48,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 ,9.48,percent of total billed charges ,9.48,percent of total billed charges ,10.2,percent of total billed charges ,10.2,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 ,,,,,,,,,,,,,,,,,,,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,
ROPINIRole (REQUIP) TABS : 0.5MG,637,RC,62332-00-3131,NDC,,both,1,each,0.25,0.25,0.06,0.25,0.25,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,0.18,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,0.2,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,,,0.18,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 ,0.21,percent of total billed charges ,0.21,percent of total billed charges ,0.2,percent of total billed charges ,0.2,percent of total billed charges ,0.18,percent of total billed charges ,0.18,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 ,,,,,0.13,percent of total billed charges ,,,,,0.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,
"PENICILLIN G BENZATHINE : 1,200,000U/2ML",J0561,CDM,,,,both,2,each,904.74,904.74,208.09,904.74,904.74,percent of total billed charges,904.74,percent of total billed charges,904.74,percent of total billed charges,904.74,percent of total billed charges,904.74,percent of total billed charges,904.74,percent of total billed charges,904.74,percent of total billed charges,904.74,percent of total billed charges,651.41,percent of total billed charges,651.41,percent of total billed charges,651.41,percent of total billed charges,651.41,percent of total billed charges,651.41,percent of total billed charges,651.41,percent of total billed charges,714.74,percent of total billed charges,714.74,percent of total billed charges,723.79,percent of total billed charges,723.79,percent of total billed charges,,,651.41,percent of total billed charges ,,,723.79,percent of total billed charges ,714.74,percent of total billed charges ,714.74,percent of total billed charges ,769.03,percent of total billed charges ,769.03,percent of total billed charges ,723.79,percent of total billed charges ,723.79,percent of total billed charges ,633.32,percent of total billed charges ,633.32,percent of total billed charges ,542.84,percent of total billed charges ,542.84,percent of total billed charges ,542.84,percent of total billed charges ,542.84,percent of total billed charges ,,,,,481.32,percent of total billed charges ,,,,,457.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,208.09,percent of total billed charges,,,208.09,percent of total billed charges,,,208.09,percent of total billed charges,,,208.09,percent of total billed charges,,,208.09,percent of total billed charges,,,208.09,percent of total billed charges,,,208.09,percent of total billed charges,,,208.09,percent of total billed charges,,,208.09,percent of total billed charges,,,208.09,percent of total billed charges,,,208.09,percent of total billed charges,
HEPATITIS B IMMUNE GLOBULIN IM SOLN:,90371,CDM,,,,both,,,"5,205.21","5,205.21","1,197.20","5,205.21","5,205.21",percent of total billed charges,"5,205.21",percent of total billed charges,"5,205.21",percent of total billed charges,"5,205.21",percent of total billed charges,"5,205.21",percent of total billed charges,"5,205.21",percent of total billed charges,"5,205.21",percent of total billed charges,"5,205.21",percent of total billed charges,"3,747.75",percent of total billed charges,"3,747.75",percent of total billed charges,"3,747.75",percent of total billed charges,"3,747.75",percent of total billed charges,"3,747.75",percent of total billed charges,"3,747.75",percent of total billed charges,"4,112.12",percent of total billed charges,"4,112.12",percent of total billed charges,"4,164.17",percent of total billed charges,"4,164.17",percent of total billed charges,,,"3,747.75",percent of total billed charges ,,,"4,164.17",percent of total billed charges ,"4,112.12",percent of total billed charges ,"4,112.12",percent of total billed charges ,"4,424.43",percent of total billed charges ,"4,424.43",percent of total billed charges ,"4,164.17",percent of total billed charges ,"4,164.17",percent of total billed charges ,"3,643.65",percent of total billed charges ,"3,643.65",percent of total billed charges ,"3,123.13",percent of total billed charges ,"3,123.13",percent of total billed charges ,"3,123.13",percent of total billed charges ,"3,123.13",percent of total billed charges ,,,,,"2,769.17",percent of total billed charges ,,,,,"2,630.71",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,197.20",percent of total billed charges,,,"1,197.20",percent of total billed charges,,,"1,197.20",percent of total billed charges,,,"1,197.20",percent of total billed charges,,,"1,197.20",percent of total billed charges,,,"1,197.20",percent of total billed charges,,,"1,197.20",percent of total billed charges,,,"1,197.20",percent of total billed charges,,,"1,197.20",percent of total billed charges,,,"1,197.20",percent of total billed charges,,,"1,197.20",percent of total billed charges,
BD ULTRA-FINE III MINI PEN NEEDLE,250,RC,08290-32-0119,NDC,,both,1,each,1.18,1.18,0.27,1.18,1.18,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,0.93,percent of total billed charges,0.93,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 ,0.93,percent of total billed charges ,0.93,percent of total billed charges ,1,percent of total billed charges ,1,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 ,,,,,,,,,,,,,,,,,,,0.27,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,
CYCLOBENZAPRINE (FLEXERIL) TAB : 5MG,637,RC,50268-01-9011,NDC,,both,1,each,2.81,2.81,0.65,2.81,2.81,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,2.22,percent of total billed charges,2.22,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 ,2.22,percent of total billed charges ,2.22,percent of total billed charges ,2.39,percent of total billed charges ,2.39,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 ,,,,,,,,,,,,,,,,,,,0.65,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,
CHLORHEXIDINE (HIBICLENS) : 236ML,637,RC,00234-05-7508,NDC,,both,236,each,67.01,67.01,15.41,67.01,67.01,percent of total billed charges,67.01,percent of total billed charges,67.01,percent of total billed charges,67.01,percent of total billed charges,67.01,percent of total billed charges,67.01,percent of total billed charges,67.01,percent of total billed charges,67.01,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,52.94,percent of total billed charges,52.94,percent of total billed charges,53.61,percent of total billed charges,53.61,percent of total billed charges,,,48.25,percent of total billed charges ,,,53.61,percent of total billed charges ,52.94,percent of total billed charges ,52.94,percent of total billed charges ,56.96,percent of total billed charges ,56.96,percent of total billed charges ,53.61,percent of total billed charges ,53.61,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 ,,,,,,,,,,,,,,,,,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,
ERYTHROMYCIN TABLET : 250MG,637,RC,69238-14-7103,NDC,,both,1,each,5.54,5.54,1.27,5.54,5.54,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,4.38,percent of total billed charges,4.38,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 ,4.38,percent of total billed charges ,4.38,percent of total billed charges ,4.71,percent of total billed charges ,4.71,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 ,,,,,,,,,,,,,,,,,,,1.27,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,,,1.27,percent of total billed charges,,,1.27,percent of total billed charges,,,1.27,percent of total billed charges,
VERAPAMIL HCL ER TAB : 120MG*,637,RC,00172-42-8510,NDC,,both,1,each,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
LISINOPRIL TAB : 2.5MG,637,RC,60687-06-5611,NDC,,both,1,each,0.66,0.66,0.15,0.66,0.66,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,0.52,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,,,0.48,percent of total billed charges ,,,0.53,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 ,0.53,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 ,,,,,,,,,,,,,,,,,,,0.15,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,
OMEPRAZOLE CAP (PriLOSEC) : 20MG,637,RC,68462-03-9601,NDC,,both,1,each,0.25,0.25,0.06,0.25,0.25,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,0.18,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,0.2,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,,,0.18,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 ,0.21,percent of total billed charges ,0.21,percent of total billed charges ,0.2,percent of total billed charges ,0.2,percent of total billed charges ,0.18,percent of total billed charges ,0.18,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 ,,,,,0.13,percent of total billed charges ,,,,,0.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,
IPRATROPIUM/ALBUTEROL(DUONEB) : 3ML UD,637,RC,76204-06-0030,NDC,,both,1,each,2.46,2.46,0.57,2.46,2.46,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,1.94,percent of total billed charges,1.94,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 ,1.94,percent of total billed charges ,1.94,percent of total billed charges ,2.09,percent of total billed charges ,2.09,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 ,,,,,,,,,,,,,,,,,,,0.57,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,
AMOXAPINE TABLET : 50MG*,637,RC,00591-57-1401,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
OXcarbazepine (TRILEPTAL) TAB : 150MG,637,RC,60687-07-1101,NDC,,both,1,each,1.97,1.97,0.45,1.97,1.97,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,1.56,percent of total billed charges,1.56,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 ,1.56,percent of total billed charges ,1.56,percent of total billed charges ,1.67,percent of total billed charges ,1.67,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 ,,,,,,,,,,,,,,,,,,,0.45,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 (KADIAN) ER : 10MG*,637,RC,35356-00-4700,NDC,,both,1,each,14,14,3.22,14,14,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,11.06,percent of total billed charges,11.06,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 ,11.06,percent of total billed charges ,11.06,percent of total billed charges ,11.9,percent of total billed charges ,11.9,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 ,,,,,,,,,,,,,,,,,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,
METHACHOLINE KIT - 6 DILUTIONS,J7674,CDM,,,,both,1,each,"1,216.77","1,216.77",279.86,"1,216.77","1,216.77",percent of total billed charges,"1,216.77",percent of total billed charges,"1,216.77",percent of total billed charges,"1,216.77",percent of total billed charges,"1,216.77",percent of total billed charges,"1,216.77",percent of total billed charges,"1,216.77",percent of total billed charges,"1,216.77",percent of total billed charges,876.07,percent of total billed charges,876.07,percent of total billed charges,876.07,percent of total billed charges,876.07,percent of total billed charges,876.07,percent of total billed charges,876.07,percent of total billed charges,961.25,percent of total billed charges,961.25,percent of total billed charges,973.42,percent of total billed charges,973.42,percent of total billed charges,,,876.07,percent of total billed charges ,,,973.42,percent of total billed charges ,961.25,percent of total billed charges ,961.25,percent of total billed charges ,"1,034.25",percent of total billed charges ,"1,034.25",percent of total billed charges ,973.42,percent of total billed charges ,973.42,percent of total billed charges ,851.74,percent of total billed charges ,851.74,percent of total billed charges ,730.06,percent of total billed charges ,730.06,percent of total billed charges ,730.06,percent of total billed charges ,730.06,percent of total billed charges ,,,,,647.32,percent of total billed charges ,,,,,614.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,279.86,percent of total billed charges,,,279.86,percent of total billed charges,,,279.86,percent of total billed charges,,,279.86,percent of total billed charges,,,279.86,percent of total billed charges,,,279.86,percent of total billed charges,,,279.86,percent of total billed charges,,,279.86,percent of total billed charges,,,279.86,percent of total billed charges,,,279.86,percent of total billed charges,,,279.86,percent of total billed charges,
NYSTATIN-TCM (MYCOLOG) CREAM : 30GM,637,RC,45802-08-8014,NDC,,both,30,each,66.38,66.38,15.27,66.38,66.38,percent of total billed charges,66.38,percent of total billed charges,66.38,percent of total billed charges,66.38,percent of total billed charges,66.38,percent of total billed charges,66.38,percent of total billed charges,66.38,percent of total billed charges,66.38,percent of total billed charges,47.79,percent of total billed charges,47.79,percent of total billed charges,47.79,percent of total billed charges,47.79,percent of total billed charges,47.79,percent of total billed charges,47.79,percent of total billed charges,52.44,percent of total billed charges,52.44,percent of total billed charges,53.1,percent of total billed charges,53.1,percent of total billed charges,,,47.79,percent of total billed charges ,,,53.1,percent of total billed charges ,52.44,percent of total billed charges ,52.44,percent of total billed charges ,56.42,percent of total billed charges ,56.42,percent of total billed charges ,53.1,percent of total billed charges ,53.1,percent of total billed charges ,46.47,percent of total billed charges ,46.47,percent of total billed charges ,39.83,percent of total billed charges ,39.83,percent of total billed charges ,39.83,percent of total billed charges ,39.83,percent of total billed charges ,,,,,35.31,percent of total billed charges ,,,,,33.55,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,,,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,,,15.27,percent of total billed charges,,,15.27,percent of total billed charges,,,15.27,percent of total billed charges,
PERMETHRIN (ELIMITE) CRM 5% : 60GM,637,RC,00472-02-4260,NDC,,both,,,407.52,407.52,93.73,407.52,407.52,percent of total billed charges,407.52,percent of total billed charges,407.52,percent of total billed charges,407.52,percent of total billed charges,407.52,percent of total billed charges,407.52,percent of total billed charges,407.52,percent of total billed charges,407.52,percent of total billed charges,293.41,percent of total billed charges,293.41,percent of total billed charges,293.41,percent of total billed charges,293.41,percent of total billed charges,293.41,percent of total billed charges,293.41,percent of total billed charges,321.94,percent of total billed charges,321.94,percent of total billed charges,326.02,percent of total billed charges,326.02,percent of total billed charges,,,293.41,percent of total billed charges ,,,326.02,percent of total billed charges ,321.94,percent of total billed charges ,321.94,percent of total billed charges ,346.39,percent of total billed charges ,346.39,percent of total billed charges ,326.02,percent of total billed charges ,326.02,percent of total billed charges ,285.26,percent of total billed charges ,285.26,percent of total billed charges ,244.51,percent of total billed charges ,244.51,percent of total billed charges ,244.51,percent of total billed charges ,244.51,percent of total billed charges ,,,,,216.8,percent of total billed charges ,,,,,205.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,93.73,percent of total billed charges,,,93.73,percent of total billed charges,,,93.73,percent of total billed charges,,,93.73,percent of total billed charges,,,93.73,percent of total billed charges,,,93.73,percent of total billed charges,,,93.73,percent of total billed charges,,,93.73,percent of total billed charges,,,93.73,percent of total billed charges,,,93.73,percent of total billed charges,,,93.73,percent of total billed charges,
POVIDONE-IODINE DOUCHE 0.3% : 2 PAK*,637,RC,41608-00-8743,NDC,,both,,,16,16,3.68,16,16,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,12.64,percent of total billed charges,12.64,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 ,12.64,percent of total billed charges ,12.64,percent of total billed charges ,13.6,percent of total billed charges ,13.6,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 ,,,,,,,,,,,,,,,,,,,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,,,3.68,percent of total billed charges,,,3.68,percent of total billed charges,,,3.68,percent of total billed charges,
"MIDAZOLAM (VERSED) SYRUP : 2MG/ML,5ML UD",250,RC,68094-07-6459,NDC,,both,5,each,15,15,3.45,15,15,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,11.85,percent of total billed charges,11.85,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 ,11.85,percent of total billed charges ,11.85,percent of total billed charges ,12.75,percent of total billed charges ,12.75,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 ,,,,,,,,,,,,,,,,,,,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,,,3.45,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,
AZTREONAM (AZACTAM) INJ : 2GM,250,RC,63323-04-0220,NDC,,both,1,each,637.34,637.34,146.59,637.34,637.34,percent of total billed charges,637.34,percent of total billed charges,637.34,percent of total billed charges,637.34,percent of total billed charges,637.34,percent of total billed charges,637.34,percent of total billed charges,637.34,percent of total billed charges,637.34,percent of total billed charges,458.88,percent of total billed charges,458.88,percent of total billed charges,458.88,percent of total billed charges,458.88,percent of total billed charges,458.88,percent of total billed charges,458.88,percent of total billed charges,503.5,percent of total billed charges,503.5,percent of total billed charges,509.87,percent of total billed charges,509.87,percent of total billed charges,,,458.88,percent of total billed charges ,,,509.87,percent of total billed charges ,503.5,percent of total billed charges ,503.5,percent of total billed charges ,541.74,percent of total billed charges ,541.74,percent of total billed charges ,509.87,percent of total billed charges ,509.87,percent of total billed charges ,446.14,percent of total billed charges ,446.14,percent of total billed charges ,382.4,percent of total billed charges ,382.4,percent of total billed charges ,382.4,percent of total billed charges ,382.4,percent of total billed charges ,,,,,339.06,percent of total billed charges ,,,,,322.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,146.59,percent of total billed charges,,,146.59,percent of total billed charges,,,146.59,percent of total billed charges,,,146.59,percent of total billed charges,,,146.59,percent of total billed charges,,,146.59,percent of total billed charges,,,146.59,percent of total billed charges,,,146.59,percent of total billed charges,,,146.59,percent of total billed charges,,,146.59,percent of total billed charges,,,146.59,percent of total billed charges,
HEMORRHOIDAL (TUCKS) OINTMENT : 29GM,637,RC,41388-00-0732,NDC,,both,1,each,44.93,44.93,10.33,44.93,44.93,percent of total billed charges,44.93,percent of total billed charges,44.93,percent of total billed charges,44.93,percent of total billed charges,44.93,percent of total billed charges,44.93,percent of total billed charges,44.93,percent of total billed charges,44.93,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,32.35,percent of total billed charges,32.35,percent of total billed charges,35.49,percent of total billed charges,35.49,percent of total billed charges,35.94,percent of total billed charges,35.94,percent of total billed charges,,,32.35,percent of total billed charges ,,,35.94,percent of total billed charges ,35.49,percent of total billed charges ,35.49,percent of total billed charges ,38.19,percent of total billed charges ,38.19,percent of total billed charges ,35.94,percent of total billed charges ,35.94,percent of total billed charges ,31.45,percent of total billed charges ,31.45,percent of total billed charges ,26.96,percent of total billed charges ,26.96,percent of total billed charges ,26.96,percent of total billed charges ,26.96,percent of total billed charges ,,,,,23.9,percent of total billed charges ,,,,,22.71,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,,,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,,,10.33,percent of total billed charges,,,10.33,percent of total billed charges,,,10.33,percent of total billed charges,
FISH OIL (SEA OMEGA) CAPS : 1000MG,637,RC,77333-03-0825,NDC,,both,1,each,0.91,0.91,0.21,0.91,0.91,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,0.72,percent of total billed charges,0.72,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 ,0.72,percent of total billed charges ,0.72,percent of total billed charges ,0.77,percent of total billed charges ,0.77,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 ,,,,,,,,,,,,,,,,,,,0.21,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,
MELOXICAM (MOBIC) : TAB 7.5MG,637,RC,50268-05-2511,NDC,,both,1,each,0.25,0.25,0.06,0.25,0.25,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,0.18,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,0.2,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,,,0.18,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 ,0.21,percent of total billed charges ,0.21,percent of total billed charges ,0.2,percent of total billed charges ,0.2,percent of total billed charges ,0.18,percent of total billed charges ,0.18,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 ,,,,,0.13,percent of total billed charges ,,,,,0.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,
NORTRIPTYLINE (AVENTYL) CAP : 10MG,637,RC,50268-06-0311,NDC,,both,1,each,1.42,1.42,0.33,1.42,1.42,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,1.12,percent of total billed charges,1.12,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 ,1.12,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 ,1.14,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 ,,,,,,,,,,,,,,,,,,,0.33,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,
CITRUCEL TABLET 500MG,637,RC,00135-01-9902,NDC,,both,1,each,0.61,0.61,0.14,0.61,0.61,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,0.48,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,,,0.44,percent of total billed charges ,,,0.49,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 ,0.49,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 ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
LETS GEL TOPICAL : 3ML,250,RC,00054-35-0049,NDC,,both,3,each,42.16,42.16,9.7,42.16,42.16,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,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,30.36,percent of total billed charges,30.36,percent of total billed charges,30.36,percent of total billed charges,30.36,percent of total billed charges,30.36,percent of total billed charges,30.36,percent of total billed charges,33.31,percent of total billed charges,33.31,percent of total billed charges,33.73,percent of total billed charges,33.73,percent of total billed charges,,,30.36,percent of total billed charges ,,,33.73,percent of total billed charges ,33.31,percent of total billed charges ,33.31,percent of total billed charges ,35.84,percent of total billed charges ,35.84,percent of total billed charges ,33.73,percent of total billed charges ,33.73,percent of total billed charges ,29.51,percent of total billed charges ,29.51,percent of total billed charges ,25.3,percent of total billed charges ,25.3,percent of total billed charges ,25.3,percent of total billed charges ,25.3,percent of total billed charges ,,,,,22.43,percent of total billed charges ,,,,,21.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.7,percent of total billed charges,,,9.7,percent of total billed charges,,,9.7,percent of total billed charges,,,9.7,percent of total billed charges,,,9.7,percent of total billed charges,,,9.7,percent of total billed charges,,,9.7,percent of total billed charges,,,9.7,percent of total billed charges,,,9.7,percent of total billed charges,,,9.7,percent of total billed charges,,,9.7,percent of total billed charges,
"CEFIXIME (SUPRAX) SUSP 200MG/5ML, 50ML",637,RC,43598-06-7450,NDC,,both,50,each,579.32,579.32,133.24,579.32,579.32,percent of total billed charges,579.32,percent of total billed charges,579.32,percent of total billed charges,579.32,percent of total billed charges,579.32,percent of total billed charges,579.32,percent of total billed charges,579.32,percent of total billed charges,579.32,percent of total billed charges,417.11,percent of total billed charges,417.11,percent of total billed charges,417.11,percent of total billed charges,417.11,percent of total billed charges,417.11,percent of total billed charges,417.11,percent of total billed charges,457.66,percent of total billed charges,457.66,percent of total billed charges,463.46,percent of total billed charges,463.46,percent of total billed charges,,,417.11,percent of total billed charges ,,,463.46,percent of total billed charges ,457.66,percent of total billed charges ,457.66,percent of total billed charges ,492.42,percent of total billed charges ,492.42,percent of total billed charges ,463.46,percent of total billed charges ,463.46,percent of total billed charges ,405.52,percent of total billed charges ,405.52,percent of total billed charges ,347.59,percent of total billed charges ,347.59,percent of total billed charges ,347.59,percent of total billed charges ,347.59,percent of total billed charges ,,,,,308.2,percent of total billed charges ,,,,,292.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,133.24,percent of total billed charges,,,133.24,percent of total billed charges,,,133.24,percent of total billed charges,,,133.24,percent of total billed charges,,,133.24,percent of total billed charges,,,133.24,percent of total billed charges,,,133.24,percent of total billed charges,,,133.24,percent of total billed charges,,,133.24,percent of total billed charges,,,133.24,percent of total billed charges,,,133.24,percent of total billed charges,
IBANDRONATE (BONIVA) 3MG/3ML PFS,J1740,CDM,,,,both,1,each,"1,756.52","1,756.52",404,"1,756.52","1,756.52",percent of total billed charges,"1,756.52",percent of total billed charges,"1,756.52",percent of total billed charges,"1,756.52",percent of total billed charges,"1,756.52",percent of total billed charges,"1,756.52",percent of total billed charges,"1,756.52",percent of total billed charges,"1,756.52",percent of total billed charges,"1,264.69",percent of total billed charges,"1,264.69",percent of total billed charges,"1,264.69",percent of total billed charges,"1,264.69",percent of total billed charges,"1,264.69",percent of total billed charges,"1,264.69",percent of total billed charges,"1,387.65",percent of total billed charges,"1,387.65",percent of total billed charges,"1,405.22",percent of total billed charges,"1,405.22",percent of total billed charges,,,"1,264.69",percent of total billed charges ,,,"1,405.22",percent of total billed charges ,"1,387.65",percent of total billed charges ,"1,387.65",percent of total billed charges ,"1,493.04",percent of total billed charges ,"1,493.04",percent of total billed charges ,"1,405.22",percent of total billed charges ,"1,405.22",percent of total billed charges ,"1,229.56",percent of total billed charges ,"1,229.56",percent of total billed charges ,"1,053.91",percent of total billed charges ,"1,053.91",percent of total billed charges ,"1,053.91",percent of total billed charges ,"1,053.91",percent of total billed charges ,,,,,934.47,percent of total billed charges ,,,,,887.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,404,percent of total billed charges,,,404,percent of total billed charges,,,404,percent of total billed charges,,,404,percent of total billed charges,,,404,percent of total billed charges,,,404,percent of total billed charges,,,404,percent of total billed charges,,,404,percent of total billed charges,,,404,percent of total billed charges,,,404,percent of total billed charges,,,404,percent of total billed charges,
B COMPLEX TABLET,637,RC,00536-47-8701,NDC,,both,1,each,0.25,0.25,0.06,0.25,0.25,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,0.18,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,0.2,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,,,0.18,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 ,0.21,percent of total billed charges ,0.21,percent of total billed charges ,0.2,percent of total billed charges ,0.2,percent of total billed charges ,0.18,percent of total billed charges ,0.18,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 ,,,,,0.13,percent of total billed charges ,,,,,0.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,
ESTROGEN (PREMARIN) CONJ : 0.45MG *,637,RC,00046-11-0181,NDC,,both,1,each,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
TRYPSIN/BALSAM PERU/CASTOR OINT 30GM*,Local ,Local ,,,,both,30,each,76,76,17.48,76,76,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,60.04,percent of total billed charges,60.04,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 ,60.04,percent of total billed charges ,60.04,percent of total billed charges ,64.6,percent of total billed charges ,64.6,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 ,,,,,,,,,,,,,,,,,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,
BAZA MICONAZOLE 2% BARRIER CREAM : 5 OZ.,637,RC,11701-00-4514,NDC,,both,1,each,89.77,89.77,20.65,89.77,89.77,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,64.63,percent of total billed charges,64.63,percent of total billed charges,64.63,percent of total billed charges,64.63,percent of total billed charges,64.63,percent of total billed charges,64.63,percent of total billed charges,70.92,percent of total billed charges,70.92,percent of total billed charges,71.82,percent of total billed charges,71.82,percent of total billed charges,,,64.63,percent of total billed charges ,,,71.82,percent of total billed charges ,70.92,percent of total billed charges ,70.92,percent of total billed charges ,76.3,percent of total billed charges ,76.3,percent of total billed charges ,71.82,percent of total billed charges ,71.82,percent of total billed charges ,62.84,percent of total billed charges ,62.84,percent of total billed charges ,53.86,percent of total billed charges ,53.86,percent of total billed charges ,53.86,percent of total billed charges ,53.86,percent of total billed charges ,,,,,47.76,percent of total billed charges ,,,,,45.37,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,,,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,,,20.65,percent of total billed charges,,,20.65,percent of total billed charges,,,20.65,percent of total billed charges,
ACYCLOVIR (ZOVIRAX) TAB : 800MG,637,RC,68084-01-0901,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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,
NIFEdipine (PROCARDIA) CAPS : 10MG,637,RC,69315-02-1101,NDC,,both,1,each,1.62,1.62,0.37,1.62,1.62,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,1.28,percent of total billed charges,1.28,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 ,1.28,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 ,1.3,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 ,,,,,,,,,,,,,,,,,,,0.37,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,
TRIAMCINOLONE(KENALOG-40)INJ : 1ML,J3301,CDM,,,,both,1,each,61.17,61.17,14.07,61.17,61.17,percent of total billed charges,61.17,percent of total billed charges,61.17,percent of total billed charges,61.17,percent of total billed charges,61.17,percent of total billed charges,61.17,percent of total billed charges,61.17,percent of total billed charges,61.17,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,48.32,percent of total billed charges,48.32,percent of total billed charges,48.94,percent of total billed charges,48.94,percent of total billed charges,,,44.04,percent of total billed charges ,,,48.94,percent of total billed charges ,48.32,percent of total billed charges ,48.32,percent of total billed charges ,51.99,percent of total billed charges ,51.99,percent of total billed charges ,48.94,percent of total billed charges ,48.94,percent of total billed charges ,42.82,percent of total billed charges ,42.82,percent of total billed charges ,36.7,percent of total billed charges ,36.7,percent of total billed charges ,36.7,percent of total billed charges ,36.7,percent of total billed charges ,,,,,32.54,percent of total billed charges ,,,,,30.92,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.07,percent of total billed charges,,,14.07,percent of total billed charges,,,14.07,percent of total billed charges,,,14.07,percent of total billed charges,,,14.07,percent of total billed charges,,,14.07,percent of total billed charges,,,14.07,percent of total billed charges,,,14.07,percent of total billed charges,,,14.07,percent of total billed charges,,,14.07,percent of total billed charges,,,14.07,percent of total billed charges,
INTRON A 18 MILLION UNITS/3ML INJ : 3ML,J9214,CDM,,,,both,1,each,"2,959.00","2,959.00",680.57,"2,959.00","2,959.00",percent of total billed charges,"2,959.00",percent of total billed charges,"2,959.00",percent of total billed charges,"2,959.00",percent of total billed charges,"2,959.00",percent of total billed charges,"2,959.00",percent of total billed charges,"2,959.00",percent of total billed charges,"2,959.00",percent of total billed charges,"2,130.48",percent of total billed charges,"2,130.48",percent of total billed charges,"2,130.48",percent of total billed charges,"2,130.48",percent of total billed charges,"2,130.48",percent of total billed charges,"2,130.48",percent of total billed charges,"2,337.61",percent of total billed charges,"2,337.61",percent of total billed charges,"2,367.20",percent of total billed charges,"2,367.20",percent of total billed charges,,,"2,130.48",percent of total billed charges ,,,"2,367.20",percent of total billed charges ,"2,337.61",percent of total billed charges ,"2,337.61",percent of total billed charges ,"2,515.15",percent of total billed charges ,"2,515.15",percent of total billed charges ,"2,367.20",percent of total billed charges ,"2,367.20",percent of total billed charges ,"2,071.30",percent of total billed charges ,"2,071.30",percent of total billed charges ,"1,775.40",percent of total billed charges ,"1,775.40",percent of total billed charges ,"1,775.40",percent of total billed charges ,"1,775.40",percent of total billed charges ,,,,,"1,574.19",percent of total billed charges ,,,,,"1,495.48",percent of total billed charges ,,,,,,,,,,,,,,,,,,,680.57,percent of total billed charges,,,680.57,percent of total billed charges,,,680.57,percent of total billed charges,,,680.57,percent of total billed charges,,,680.57,percent of total billed charges,,,680.57,percent of total billed charges,,,680.57,percent of total billed charges,,,680.57,percent of total billed charges,,,680.57,percent of total billed charges,,,680.57,percent of total billed charges,,,680.57,percent of total billed charges,
LIDOCAINE (LIDODERM) FILM 5%,637,RC,61959-00-0130,NDC,,both,1,each,6.25,6.25,1.44,6.25,6.25,percent of total billed charges,6.25,percent of total billed charges,6.25,percent of total billed charges,6.25,percent of total billed charges,6.25,percent of total billed charges,6.25,percent of total billed charges,6.25,percent of total billed charges,6.25,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,4.5,percent of total billed charges,4.5,percent of total billed charges,4.94,percent of total billed charges,4.94,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,,,4.5,percent of total billed charges ,,,5,percent of total billed charges ,4.94,percent of total billed charges ,4.94,percent of total billed charges ,5.31,percent of total billed charges ,5.31,percent of total billed charges ,5,percent of total billed charges ,5,percent of total billed charges ,4.38,percent of total billed charges ,4.38,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 ,,,,,3.33,percent of total billed charges ,,,,,3.16,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,
CefOXitin(MEFOXIN) 2GM INJ,J0694,CDM,,,,both,1,each,122.07,122.07,28.08,122.07,122.07,percent of total billed charges,122.07,percent of total billed charges,122.07,percent of total billed charges,122.07,percent of total billed charges,122.07,percent of total billed charges,122.07,percent of total billed charges,122.07,percent of total billed charges,122.07,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,96.44,percent of total billed charges,96.44,percent of total billed charges,97.66,percent of total billed charges,97.66,percent of total billed charges,,,87.89,percent of total billed charges ,,,97.66,percent of total billed charges ,96.44,percent of total billed charges ,96.44,percent of total billed charges ,103.76,percent of total billed charges ,103.76,percent of total billed charges ,97.66,percent of total billed charges ,97.66,percent of total billed charges ,85.45,percent of total billed charges ,85.45,percent of total billed charges ,73.24,percent of total billed charges ,73.24,percent of total billed charges ,73.24,percent of total billed charges ,73.24,percent of total billed charges ,,,,,64.94,percent of total billed charges ,,,,,61.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28.08,percent of total billed charges,,,28.08,percent of total billed charges,,,28.08,percent of total billed charges,,,28.08,percent of total billed charges,,,28.08,percent of total billed charges,,,28.08,percent of total billed charges,,,28.08,percent of total billed charges,,,28.08,percent of total billed charges,,,28.08,percent of total billed charges,,,28.08,percent of total billed charges,,,28.08,percent of total billed charges,
MANNITOL INJECTION 20% 500ML BAG,258,RC,00409-77-1503,NDC,,both,1,each,830,830,190.9,830,830,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,655.7,percent of total billed charges,655.7,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 ,655.7,percent of total billed charges ,655.7,percent of total billed charges ,705.5,percent of total billed charges ,705.5,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 ,,,,,,,,,,,,,,,,,,,190.9,percent of total billed charges,,,190.9,percent of total billed charges,,,190.9,percent of total billed charges,,,190.9,percent of total billed charges,,,190.9,percent of total billed charges,,,190.9,percent of total billed charges,,,190.9,percent of total billed charges,,,190.9,percent of total billed charges,,,190.9,percent of total billed charges,,,190.9,percent of total billed charges,,,190.9,percent of total billed charges,
ALFUZOSIN (UROXATRAL) ER TAB : 10MG,637,RC,57237-01-1490,NDC,,both,1,each,0.35,0.35,0.08,0.35,0.35,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,0.25,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,0.28,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,,,0.25,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 ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.28,percent of total billed charges ,0.28,percent of total billed charges ,0.25,percent of total billed charges ,0.25,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 ,,,,,0.19,percent of total billed charges ,,,,,0.18,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,,,0.08,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,,,0.08,percent of total billed charges,,,0.08,percent of total billed charges,,,0.08,percent of total billed charges,
COUGH DROP (RICOLA) : EA.,637,RC,24385-00-4165,NDC,,both,1,each,0.25,0.25,0.06,0.25,0.25,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,0.18,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,0.2,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,,,0.18,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 ,0.21,percent of total billed charges ,0.21,percent of total billed charges ,0.2,percent of total billed charges ,0.2,percent of total billed charges ,0.18,percent of total billed charges ,0.18,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 ,,,,,0.13,percent of total billed charges ,,,,,0.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,
"FentaNYL 2MCG/ML/ROPIVACAINE 0.2%,100ML",J3010,CDM,,,,both,1,each,806,806,185.38,806,806,percent of total billed charges,806,percent of total billed charges,806,percent of total billed charges,806,percent of total billed charges,806,percent of total billed charges,806,percent of total billed charges,806,percent of total billed charges,806,percent of total billed charges,580.32,percent of total billed charges,580.32,percent of total billed charges,580.32,percent of total billed charges,580.32,percent of total billed charges,580.32,percent of total billed charges,580.32,percent of total billed charges,636.74,percent of total billed charges,636.74,percent of total billed charges,644.8,percent of total billed charges,644.8,percent of total billed charges,,,580.32,percent of total billed charges ,,,644.8,percent of total billed charges ,636.74,percent of total billed charges ,636.74,percent of total billed charges ,685.1,percent of total billed charges ,685.1,percent of total billed charges ,644.8,percent of total billed charges ,644.8,percent of total billed charges ,564.2,percent of total billed charges ,564.2,percent of total billed charges ,483.6,percent of total billed charges ,483.6,percent of total billed charges ,483.6,percent of total billed charges ,483.6,percent of total billed charges ,,,,,428.79,percent of total billed charges ,,,,,407.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,185.38,percent of total billed charges,,,185.38,percent of total billed charges,,,185.38,percent of total billed charges,,,185.38,percent of total billed charges,,,185.38,percent of total billed charges,,,185.38,percent of total billed charges,,,185.38,percent of total billed charges,,,185.38,percent of total billed charges,,,185.38,percent of total billed charges,,,185.38,percent of total billed charges,,,185.38,percent of total billed charges,
AmLODIPine (NORVASC) TAB : 2.5MG,637,RC,67877-01-9790,NDC,,both,1,each,0.25,0.25,0.06,0.25,0.25,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,0.18,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,0.2,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,,,0.18,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 ,0.21,percent of total billed charges ,0.21,percent of total billed charges ,0.2,percent of total billed charges ,0.2,percent of total billed charges ,0.18,percent of total billed charges ,0.18,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 ,,,,,0.13,percent of total billed charges ,,,,,0.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,
RAMIPRIL (ALTACE) CAP : 2.5MG,637,RC,68001-04-2900,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
ALTEPLASE (ACTIVASE CATHFLO) : 2MG,J2997,CDM,,,,both,1,each,731.36,731.36,168.21,731.36,731.36,percent of total billed charges,731.36,percent of total billed charges,731.36,percent of total billed charges,731.36,percent of total billed charges,731.36,percent of total billed charges,731.36,percent of total billed charges,731.36,percent of total billed charges,731.36,percent of total billed charges,526.58,percent of total billed charges,526.58,percent of total billed charges,526.58,percent of total billed charges,526.58,percent of total billed charges,526.58,percent of total billed charges,526.58,percent of total billed charges,577.77,percent of total billed charges,577.77,percent of total billed charges,585.09,percent of total billed charges,585.09,percent of total billed charges,,,526.58,percent of total billed charges ,,,585.09,percent of total billed charges ,577.77,percent of total billed charges ,577.77,percent of total billed charges ,621.66,percent of total billed charges ,621.66,percent of total billed charges ,585.09,percent of total billed charges ,585.09,percent of total billed charges ,511.95,percent of total billed charges ,511.95,percent of total billed charges ,438.82,percent of total billed charges ,438.82,percent of total billed charges ,438.82,percent of total billed charges ,438.82,percent of total billed charges ,,,,,389.08,percent of total billed charges ,,,,,369.63,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,,,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,
MOUTH WASH (LISTERINE) : 88ML,637,RC,12547-04-2795,NDC,,both,88,each,44.86,44.86,10.32,44.86,44.86,percent of total billed charges,44.86,percent of total billed charges,44.86,percent of total billed charges,44.86,percent of total billed charges,44.86,percent of total billed charges,44.86,percent of total billed charges,44.86,percent of total billed charges,44.86,percent of total billed charges,32.3,percent of total billed charges,32.3,percent of total billed charges,32.3,percent of total billed charges,32.3,percent of total billed charges,32.3,percent of total billed charges,32.3,percent of total billed charges,35.44,percent of total billed charges,35.44,percent of total billed charges,35.89,percent of total billed charges,35.89,percent of total billed charges,,,32.3,percent of total billed charges ,,,35.89,percent of total billed charges ,35.44,percent of total billed charges ,35.44,percent of total billed charges ,38.13,percent of total billed charges ,38.13,percent of total billed charges ,35.89,percent of total billed charges ,35.89,percent of total billed charges ,31.4,percent of total billed charges ,31.4,percent of total billed charges ,26.92,percent of total billed charges ,26.92,percent of total billed charges ,26.92,percent of total billed charges ,26.92,percent of total billed charges ,,,,,23.87,percent of total billed charges ,,,,,22.67,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,
LamiVUDine/ZIDOVUDINE (COMBIVIR) 150/300,637,RC,31722-05-0660,NDC,,both,1,each,23.93,23.93,5.5,23.93,23.93,percent of total billed charges,23.93,percent of total billed charges,23.93,percent of total billed charges,23.93,percent of total billed charges,23.93,percent of total billed charges,23.93,percent of total billed charges,23.93,percent of total billed charges,23.93,percent of total billed charges,17.23,percent of total billed charges,17.23,percent of total billed charges,17.23,percent of total billed charges,17.23,percent of total billed charges,17.23,percent of total billed charges,17.23,percent of total billed charges,18.9,percent of total billed charges,18.9,percent of total billed charges,19.14,percent of total billed charges,19.14,percent of total billed charges,,,17.23,percent of total billed charges ,,,19.14,percent of total billed charges ,18.9,percent of total billed charges ,18.9,percent of total billed charges ,20.34,percent of total billed charges ,20.34,percent of total billed charges ,19.14,percent of total billed charges ,19.14,percent of total billed charges ,16.75,percent of total billed charges ,16.75,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 ,,,,,12.73,percent of total billed charges ,,,,,12.09,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,,,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,
CEFPODOXIME PROXETIL (VANTIN)  :  200MG,637,RC,65862-00-9620,NDC,,both,1,each,12.33,12.33,2.84,12.33,12.33,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,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,9.74,percent of total billed charges,9.74,percent of total billed charges,9.86,percent of total billed charges,9.86,percent of total billed charges,,,8.88,percent of total billed charges ,,,9.86,percent of total billed charges ,9.74,percent of total billed charges ,9.74,percent of total billed charges ,10.48,percent of total billed charges ,10.48,percent of total billed charges ,9.86,percent of total billed charges ,9.86,percent of total billed charges ,8.63,percent of total billed charges ,8.63,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 ,,,,,6.23,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,,,2.84,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,
INTRASITE GEL : 25GM,637,RC,00223-04-3857,NDC,,both,1,each,15.8,15.8,3.63,15.8,15.8,percent of total billed charges,15.8,percent of total billed charges,15.8,percent of total billed charges,15.8,percent of total billed charges,15.8,percent of total billed charges,15.8,percent of total billed charges,15.8,percent of total billed charges,15.8,percent of total billed charges,11.38,percent of total billed charges,11.38,percent of total billed charges,11.38,percent of total billed charges,11.38,percent of total billed charges,11.38,percent of total billed charges,11.38,percent of total billed charges,12.48,percent of total billed charges,12.48,percent of total billed charges,12.64,percent of total billed charges,12.64,percent of total billed charges,,,11.38,percent of total billed charges ,,,12.64,percent of total billed charges ,12.48,percent of total billed charges ,12.48,percent of total billed charges ,13.43,percent of total billed charges ,13.43,percent of total billed charges ,12.64,percent of total billed charges ,12.64,percent of total billed charges ,11.06,percent of total billed charges ,11.06,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 ,,,,,8.41,percent of total billed charges ,,,,,7.99,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,,,3.63,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,
CYCLOPHOSPHAMIDE IV PWD FOR SOLN 500MG,J9070,CDM,,,,both,1,each,236,236,54.28,236,236,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,186.44,percent of total billed charges,186.44,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 ,186.44,percent of total billed charges ,186.44,percent of total billed charges ,200.6,percent of total billed charges ,200.6,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 ,,,,,,,,,,,,,,,,,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,
BUDESONIDE 80/FORMOTEROL 4.5 (SYMBICORT),637,RC,00186-03-7228,NDC,,both,1,each,552.33,552.33,127.04,552.33,552.33,percent of total billed charges,552.33,percent of total billed charges,552.33,percent of total billed charges,552.33,percent of total billed charges,552.33,percent of total billed charges,552.33,percent of total billed charges,552.33,percent of total billed charges,552.33,percent of total billed charges,397.68,percent of total billed charges,397.68,percent of total billed charges,397.68,percent of total billed charges,397.68,percent of total billed charges,397.68,percent of total billed charges,397.68,percent of total billed charges,436.34,percent of total billed charges,436.34,percent of total billed charges,441.86,percent of total billed charges,441.86,percent of total billed charges,,,397.68,percent of total billed charges ,,,441.86,percent of total billed charges ,436.34,percent of total billed charges ,436.34,percent of total billed charges ,469.48,percent of total billed charges ,469.48,percent of total billed charges ,441.86,percent of total billed charges ,441.86,percent of total billed charges ,386.63,percent of total billed charges ,386.63,percent of total billed charges ,331.4,percent of total billed charges ,331.4,percent of total billed charges ,331.4,percent of total billed charges ,331.4,percent of total billed charges ,,,,,293.84,percent of total billed charges ,,,,,279.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,127.04,percent of total billed charges,,,127.04,percent of total billed charges,,,127.04,percent of total billed charges,,,127.04,percent of total billed charges,,,127.04,percent of total billed charges,,,127.04,percent of total billed charges,,,127.04,percent of total billed charges,,,127.04,percent of total billed charges,,,127.04,percent of total billed charges,,,127.04,percent of total billed charges,,,127.04,percent of total billed charges,
BUDESONIDE 160/FORMOTEROL 4.5(SYMBICORT),637,RC,00186-03-7028,NDC,,both,1,each,568.33,568.33,130.72,568.33,568.33,percent of total billed charges,568.33,percent of total billed charges,568.33,percent of total billed charges,568.33,percent of total billed charges,568.33,percent of total billed charges,568.33,percent of total billed charges,568.33,percent of total billed charges,568.33,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,409.2,percent of total billed charges,409.2,percent of total billed charges,448.98,percent of total billed charges,448.98,percent of total billed charges,454.66,percent of total billed charges,454.66,percent of total billed charges,,,409.2,percent of total billed charges ,,,454.66,percent of total billed charges ,448.98,percent of total billed charges ,448.98,percent of total billed charges ,483.08,percent of total billed charges ,483.08,percent of total billed charges ,454.66,percent of total billed charges ,454.66,percent of total billed charges ,397.83,percent of total billed charges ,397.83,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 ,,,,,302.35,percent of total billed charges ,,,,,287.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,130.72,percent of total billed charges,,,130.72,percent of total billed charges,,,130.72,percent of total billed charges,,,130.72,percent of total billed charges,,,130.72,percent of total billed charges,,,130.72,percent of total billed charges,,,130.72,percent of total billed charges,,,130.72,percent of total billed charges,,,130.72,percent of total billed charges,,,130.72,percent of total billed charges,,,130.72,percent of total billed charges,
POVIDONE-IODINE OINT (BETADINE) : 30GM,637,RC,00536-12-7180,NDC,,both,30,each,34.04,34.04,7.83,34.04,34.04,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,34.04,percent of total billed charges,34.04,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,26.89,percent of total billed charges,26.89,percent of total billed charges,27.23,percent of total billed charges,27.23,percent of total billed charges,,,24.51,percent of total billed charges ,,,27.23,percent of total billed charges ,26.89,percent of total billed charges ,26.89,percent of total billed charges ,28.93,percent of total billed charges ,28.93,percent of total billed charges ,27.23,percent of total billed charges ,27.23,percent of total billed charges ,23.83,percent of total billed charges ,23.83,percent of total billed charges ,20.42,percent of total billed charges ,20.42,percent of total billed charges ,20.42,percent of total billed charges ,20.42,percent of total billed charges ,,,,,18.11,percent of total billed charges ,,,,,17.2,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,,,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,
HEPARIN LOCK FLUSH 10 UNITS/1ML : 5ML,J1642,CDM,,,,both,1,each,5.75,5.75,1.32,5.75,5.75,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,5.75,percent of total billed charges,5.75,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,4.54,percent of total billed charges,4.54,percent of total billed charges,4.6,percent of total billed charges,4.6,percent of total billed charges,,,4.14,percent of total billed charges ,,,4.6,percent of total billed charges ,4.54,percent of total billed charges ,4.54,percent of total billed charges ,4.89,percent of total billed charges ,4.89,percent of total billed charges ,4.6,percent of total billed charges ,4.6,percent of total billed charges ,4.03,percent of total billed charges ,4.03,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 ,,,,,3.06,percent of total billed charges ,,,,,2.91,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,
HEPARIN LOCK FLUSH 100 UNITS/1ML : 5ML,J1642,CDM,,,,both,1,each,8.21,8.21,1.89,8.21,8.21,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,8.21,percent of total billed charges,8.21,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,6.49,percent of total billed charges,6.49,percent of total billed charges,6.57,percent of total billed charges,6.57,percent of total billed charges,,,5.91,percent of total billed charges ,,,6.57,percent of total billed charges ,6.49,percent of total billed charges ,6.49,percent of total billed charges ,6.98,percent of total billed charges ,6.98,percent of total billed charges ,6.57,percent of total billed charges ,6.57,percent of total billed charges ,5.75,percent of total billed charges ,5.75,percent of total billed charges ,4.93,percent of total billed charges ,4.93,percent of total billed charges ,4.93,percent of total billed charges ,4.93,percent of total billed charges ,,,,,4.37,percent of total billed charges ,,,,,4.15,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,,,1.89,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,
PERSANTINE INJ : 40ML SYRINGE,J1245,CDM,,,,both,,,120,120,27.6,120,120,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,94.8,percent of total billed charges,94.8,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 ,94.8,percent of total billed charges ,94.8,percent of total billed charges ,102,percent of total billed charges ,102,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
KINEVAC : 30ML BAG *,636,RC,99999-99-9999,NDC,,both,,,369,369,84.87,369,369,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,291.51,percent of total billed charges,291.51,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 ,291.51,percent of total billed charges ,291.51,percent of total billed charges ,313.65,percent of total billed charges ,313.65,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 ,,,,,,,,,,,,,,,,,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,
METHOCARBAMOL (ROBAXIN) TAB : 500MG,637,RC,76385-01-2301,NDC,,both,1,each,0.75,0.75,0.17,0.75,0.75,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,0.59,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,,,0.54,percent of total billed charges ,,,0.6,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 ,0.6,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 ,,,,,,,,,,,,,,,,,,,0.17,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,
"ORPHENADRINE (NORFLEX) INJ 30MG/ML, 2ML",J2360,CDM,,,,both,1,each,55.58,55.58,12.78,55.58,55.58,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,43.91,percent of total billed charges,43.91,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 ,43.91,percent of total billed charges ,43.91,percent of total billed charges ,47.24,percent of total billed charges ,47.24,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 ,,,,,,,,,,,,,,,,,,,12.78,percent of total billed charges,,,12.78,percent of total billed charges,,,12.78,percent of total billed charges,,,12.78,percent of total billed charges,,,12.78,percent of total billed charges,,,12.78,percent of total billed charges,,,12.78,percent of total billed charges,,,12.78,percent of total billed charges,,,12.78,percent of total billed charges,,,12.78,percent of total billed charges,,,12.78,percent of total billed charges,
DimenhyDRINATE(DRAMAMINE) 50MG/ML INJ,J1240,CDM,,,,both,1,each,62.5,62.5,14.38,62.5,62.5,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,62.5,percent of total billed charges,62.5,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,45,percent of total billed charges,45,percent of total billed charges,49.38,percent of total billed charges,49.38,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,,,45,percent of total billed charges ,,,50,percent of total billed charges ,49.38,percent of total billed charges ,49.38,percent of total billed charges ,53.13,percent of total billed charges ,53.13,percent of total billed charges ,50,percent of total billed charges ,50,percent of total billed charges ,43.75,percent of total billed charges ,43.75,percent of total billed charges ,37.5,percent of total billed charges ,37.5,percent of total billed charges ,37.5,percent of total billed charges ,37.5,percent of total billed charges ,,,,,33.25,percent of total billed charges ,,,,,31.59,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,
ACETYLCYSTEINE(ACETADOTE)INJ 200MG/ML 30,J0132,CDM,,,,both,1,each,411.51,411.51,94.65,411.51,411.51,percent of total billed charges,411.51,percent of total billed charges,411.51,percent of total billed charges,411.51,percent of total billed charges,411.51,percent of total billed charges,411.51,percent of total billed charges,411.51,percent of total billed charges,411.51,percent of total billed charges,296.29,percent of total billed charges,296.29,percent of total billed charges,296.29,percent of total billed charges,296.29,percent of total billed charges,296.29,percent of total billed charges,296.29,percent of total billed charges,325.09,percent of total billed charges,325.09,percent of total billed charges,329.21,percent of total billed charges,329.21,percent of total billed charges,,,296.29,percent of total billed charges ,,,329.21,percent of total billed charges ,325.09,percent of total billed charges ,325.09,percent of total billed charges ,349.78,percent of total billed charges ,349.78,percent of total billed charges ,329.21,percent of total billed charges ,329.21,percent of total billed charges ,288.06,percent of total billed charges ,288.06,percent of total billed charges ,246.91,percent of total billed charges ,246.91,percent of total billed charges ,246.91,percent of total billed charges ,246.91,percent of total billed charges ,,,,,218.92,percent of total billed charges ,,,,,207.98,percent of total billed charges ,,,,,,,,,,,,,,,,,,,94.65,percent of total billed charges,,,94.65,percent of total billed charges,,,94.65,percent of total billed charges,,,94.65,percent of total billed charges,,,94.65,percent of total billed charges,,,94.65,percent of total billed charges,,,94.65,percent of total billed charges,,,94.65,percent of total billed charges,,,94.65,percent of total billed charges,,,94.65,percent of total billed charges,,,94.65,percent of total billed charges,
M-M-R II INJECTION,90707,CDM,,,,both,1,each,527.47,527.47,121.32,527.47,527.47,percent of total billed charges,527.47,percent of total billed charges,527.47,percent of total billed charges,527.47,percent of total billed charges,527.47,percent of total billed charges,527.47,percent of total billed charges,527.47,percent of total billed charges,527.47,percent of total billed charges,379.78,percent of total billed charges,379.78,percent of total billed charges,379.78,percent of total billed charges,379.78,percent of total billed charges,379.78,percent of total billed charges,379.78,percent of total billed charges,416.7,percent of total billed charges,416.7,percent of total billed charges,421.98,percent of total billed charges,421.98,percent of total billed charges,,,379.78,percent of total billed charges ,,,421.98,percent of total billed charges ,416.7,percent of total billed charges ,416.7,percent of total billed charges ,448.35,percent of total billed charges ,448.35,percent of total billed charges ,421.98,percent of total billed charges ,421.98,percent of total billed charges ,369.23,percent of total billed charges ,369.23,percent of total billed charges ,316.48,percent of total billed charges ,316.48,percent of total billed charges ,316.48,percent of total billed charges ,316.48,percent of total billed charges ,,,,,280.61,percent of total billed charges ,,,,,266.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,121.32,percent of total billed charges,,,121.32,percent of total billed charges,,,121.32,percent of total billed charges,,,121.32,percent of total billed charges,,,121.32,percent of total billed charges,,,121.32,percent of total billed charges,,,121.32,percent of total billed charges,,,121.32,percent of total billed charges,,,121.32,percent of total billed charges,,,121.32,percent of total billed charges,,,121.32,percent of total billed charges,
PREMARIN IV POWDER FOR INJ 25MG,J1410,CDM,,,,both,1,each,"1,133.51","1,133.51",260.71,"1,133.51","1,133.51",percent of total billed charges,"1,133.51",percent of total billed charges,"1,133.51",percent of total billed charges,"1,133.51",percent of total billed charges,"1,133.51",percent of total billed charges,"1,133.51",percent of total billed charges,"1,133.51",percent of total billed charges,"1,133.51",percent of total billed charges,816.13,percent of total billed charges,816.13,percent of total billed charges,816.13,percent of total billed charges,816.13,percent of total billed charges,816.13,percent of total billed charges,816.13,percent of total billed charges,895.47,percent of total billed charges,895.47,percent of total billed charges,906.81,percent of total billed charges,906.81,percent of total billed charges,,,816.13,percent of total billed charges ,,,906.81,percent of total billed charges ,895.47,percent of total billed charges ,895.47,percent of total billed charges ,963.48,percent of total billed charges ,963.48,percent of total billed charges ,906.81,percent of total billed charges ,906.81,percent of total billed charges ,793.46,percent of total billed charges ,793.46,percent of total billed charges ,680.11,percent of total billed charges ,680.11,percent of total billed charges ,680.11,percent of total billed charges ,680.11,percent of total billed charges ,,,,,603.03,percent of total billed charges ,,,,,572.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,260.71,percent of total billed charges,,,260.71,percent of total billed charges,,,260.71,percent of total billed charges,,,260.71,percent of total billed charges,,,260.71,percent of total billed charges,,,260.71,percent of total billed charges,,,260.71,percent of total billed charges,,,260.71,percent of total billed charges,,,260.71,percent of total billed charges,,,260.71,percent of total billed charges,,,260.71,percent of total billed charges,
RIVASTIGMINE (EXELON) PATCH : 9.5MG/24HR,637,RC,00781-73-0931,NDC,,both,1,each,21,21,4.83,21,21,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,16.59,percent of total billed charges,16.59,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 ,16.59,percent of total billed charges ,16.59,percent of total billed charges ,17.85,percent of total billed charges ,17.85,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 ,,,,,,,,,,,,,,,,,,,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,
GuaiIFENesin DM(MUCINEX DM) ER TAB,637,RC,63824-00-5632,NDC,,both,1,each,1.82,1.82,0.42,1.82,1.82,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,1.44,percent of total billed charges,1.44,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 ,1.44,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 ,1.46,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 ,,,,,,,,,,,,,,,,,,,0.42,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,
ZANAMIVIR (RELENZA) 5MG ORAL INH,637,RC,00173-06-8101,NDC,,both,1,each,255.11,255.11,58.68,255.11,255.11,percent of total billed charges,255.11,percent of total billed charges,255.11,percent of total billed charges,255.11,percent of total billed charges,255.11,percent of total billed charges,255.11,percent of total billed charges,255.11,percent of total billed charges,255.11,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,201.54,percent of total billed charges,201.54,percent of total billed charges,204.09,percent of total billed charges,204.09,percent of total billed charges,,,183.68,percent of total billed charges ,,,204.09,percent of total billed charges ,201.54,percent of total billed charges ,201.54,percent of total billed charges ,216.84,percent of total billed charges ,216.84,percent of total billed charges ,204.09,percent of total billed charges ,204.09,percent of total billed charges ,178.58,percent of total billed charges ,178.58,percent of total billed charges ,153.07,percent of total billed charges ,153.07,percent of total billed charges ,153.07,percent of total billed charges ,153.07,percent of total billed charges ,,,,,135.72,percent of total billed charges ,,,,,128.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,58.68,percent of total billed charges,,,58.68,percent of total billed charges,,,58.68,percent of total billed charges,,,58.68,percent of total billed charges,,,58.68,percent of total billed charges,,,58.68,percent of total billed charges,,,58.68,percent of total billed charges,,,58.68,percent of total billed charges,,,58.68,percent of total billed charges,,,58.68,percent of total billed charges,,,58.68,percent of total billed charges,
IPRATROPIUM (ATROVENT) NASAL 0.06% 15ML,637,RC,24208-03-9915,NDC,,both,15,each,129,129,29.67,129,129,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,101.91,percent of total billed charges,101.91,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 ,101.91,percent of total billed charges ,101.91,percent of total billed charges ,109.65,percent of total billed charges ,109.65,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 ,,,,,,,,,,,,,,,,,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,
TIMOLOL(TIMOPTIC XE) GFS 0.5% : 5ML,637,RC,61314-02-2505,NDC,,both,1,each,615,615,141.45,615,615,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,485.85,percent of total billed charges,485.85,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 ,485.85,percent of total billed charges ,485.85,percent of total billed charges ,522.75,percent of total billed charges ,522.75,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 ,,,,,,,,,,,,,,,,,,,141.45,percent of total billed charges,,,141.45,percent of total billed charges,,,141.45,percent of total billed charges,,,141.45,percent of total billed charges,,,141.45,percent of total billed charges,,,141.45,percent of total billed charges,,,141.45,percent of total billed charges,,,141.45,percent of total billed charges,,,141.45,percent of total billed charges,,,141.45,percent of total billed charges,,,141.45,percent of total billed charges,
RIFAMPIN CAP 150MG,637,RC,60687-05-7511,NDC,,both,1,each,5.06,5.06,1.16,5.06,5.06,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,5.06,percent of total billed charges,5.06,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,4,percent of total billed charges,4,percent of total billed charges,4.05,percent of total billed charges,4.05,percent of total billed charges,,,3.64,percent of total billed charges ,,,4.05,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,4.3,percent of total billed charges ,4.3,percent of total billed charges ,4.05,percent of total billed charges ,4.05,percent of total billed charges ,3.54,percent of total billed charges ,3.54,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 ,,,,,2.69,percent of total billed charges ,,,,,2.56,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,
RIFAXAMIN (XIFAXAN) TAB : 200MG,637,RC,65649-03-0103,NDC,,both,1,each,34.57,34.57,7.95,34.57,34.57,percent of total billed charges,34.57,percent of total billed charges,34.57,percent of total billed charges,34.57,percent of total billed charges,34.57,percent of total billed charges,34.57,percent of total billed charges,34.57,percent of total billed charges,34.57,percent of total billed charges,24.89,percent of total billed charges,24.89,percent of total billed charges,24.89,percent of total billed charges,24.89,percent of total billed charges,24.89,percent of total billed charges,24.89,percent of total billed charges,27.31,percent of total billed charges,27.31,percent of total billed charges,27.66,percent of total billed charges,27.66,percent of total billed charges,,,24.89,percent of total billed charges ,,,27.66,percent of total billed charges ,27.31,percent of total billed charges ,27.31,percent of total billed charges ,29.38,percent of total billed charges ,29.38,percent of total billed charges ,27.66,percent of total billed charges ,27.66,percent of total billed charges ,24.2,percent of total billed charges ,24.2,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 ,,,,,18.39,percent of total billed charges ,,,,,17.47,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,,,7.95,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,,,7.95,percent of total billed charges,,,7.95,percent of total billed charges,,,7.95,percent of total billed charges,
SANTYL OINT 250U/1GM : 30GM,637,RC,50484-00-1030,NDC,,both,30,each,539.3,539.3,124.04,539.3,539.3,percent of total billed charges,539.3,percent of total billed charges,539.3,percent of total billed charges,539.3,percent of total billed charges,539.3,percent of total billed charges,539.3,percent of total billed charges,539.3,percent of total billed charges,539.3,percent of total billed charges,388.3,percent of total billed charges,388.3,percent of total billed charges,388.3,percent of total billed charges,388.3,percent of total billed charges,388.3,percent of total billed charges,388.3,percent of total billed charges,426.05,percent of total billed charges,426.05,percent of total billed charges,431.44,percent of total billed charges,431.44,percent of total billed charges,,,388.3,percent of total billed charges ,,,431.44,percent of total billed charges ,426.05,percent of total billed charges ,426.05,percent of total billed charges ,458.41,percent of total billed charges ,458.41,percent of total billed charges ,431.44,percent of total billed charges ,431.44,percent of total billed charges ,377.51,percent of total billed charges ,377.51,percent of total billed charges ,323.58,percent of total billed charges ,323.58,percent of total billed charges ,323.58,percent of total billed charges ,323.58,percent of total billed charges ,,,,,286.91,percent of total billed charges ,,,,,272.56,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,
MISOPROSTOL TAB 200MCG,637,RC,59762-50-0801,NDC,,both,1,each,3.69,3.69,0.85,3.69,3.69,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,2.92,percent of total billed charges,2.92,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 ,2.92,percent of total billed charges ,2.92,percent of total billed charges ,3.14,percent of total billed charges ,3.14,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 ,,,,,,,,,,,,,,,,,,,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,
"OCTREOTIDE INJ 100MCG/1ML, 1ML",J2354,CDM,,,,both,1,each,35.9,35.9,8.26,35.9,35.9,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,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,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,25.85,percent of total billed charges,25.85,percent of total billed charges,28.36,percent of total billed charges,28.36,percent of total billed charges,28.72,percent of total billed charges,28.72,percent of total billed charges,,,25.85,percent of total billed charges ,,,28.72,percent of total billed charges ,28.36,percent of total billed charges ,28.36,percent of total billed charges ,30.52,percent of total billed charges ,30.52,percent of total billed charges ,28.72,percent of total billed charges ,28.72,percent of total billed charges ,25.13,percent of total billed charges ,25.13,percent of total billed charges ,21.54,percent of total billed charges ,21.54,percent of total billed charges ,21.54,percent of total billed charges ,21.54,percent of total billed charges ,,,,,19.1,percent of total billed charges ,,,,,18.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.26,percent of total billed charges,,,8.26,percent of total billed charges,,,8.26,percent of total billed charges,,,8.26,percent of total billed charges,,,8.26,percent of total billed charges,,,8.26,percent of total billed charges,,,8.26,percent of total billed charges,,,8.26,percent of total billed charges,,,8.26,percent of total billed charges,,,8.26,percent of total billed charges,,,8.26,percent of total billed charges,
"CloNIDineEPIDURAL INJ 100MCG/ML, 10ML*",J0735,CDM,,,,both,1,each,622,622,143.06,622,622,percent of total billed charges,622,percent of total billed charges,622,percent of total billed charges,622,percent of total billed charges,622,percent of total billed charges,622,percent of total billed charges,622,percent of total billed charges,622,percent of total billed charges,447.84,percent of total billed charges,447.84,percent of total billed charges,447.84,percent of total billed charges,447.84,percent of total billed charges,447.84,percent of total billed charges,447.84,percent of total billed charges,491.38,percent of total billed charges,491.38,percent of total billed charges,497.6,percent of total billed charges,497.6,percent of total billed charges,,,447.84,percent of total billed charges ,,,497.6,percent of total billed charges ,491.38,percent of total billed charges ,491.38,percent of total billed charges ,528.7,percent of total billed charges ,528.7,percent of total billed charges ,497.6,percent of total billed charges ,497.6,percent of total billed charges ,435.4,percent of total billed charges ,435.4,percent of total billed charges ,373.2,percent of total billed charges ,373.2,percent of total billed charges ,373.2,percent of total billed charges ,373.2,percent of total billed charges ,,,,,330.9,percent of total billed charges ,,,,,314.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,143.06,percent of total billed charges,,,143.06,percent of total billed charges,,,143.06,percent of total billed charges,,,143.06,percent of total billed charges,,,143.06,percent of total billed charges,,,143.06,percent of total billed charges,,,143.06,percent of total billed charges,,,143.06,percent of total billed charges,,,143.06,percent of total billed charges,,,143.06,percent of total billed charges,,,143.06,percent of total billed charges,
GI COCKTAIL,637,RC,99999-99-9999,NDC,,both,1,each,12,12,2.76,12,12,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,9.48,percent of total billed charges,9.48,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 ,9.48,percent of total billed charges ,9.48,percent of total billed charges ,10.2,percent of total billed charges ,10.2,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 ,,,,,,,,,,,,,,,,,,,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,
FLUOROURACIL (EFUDEX) CRM 5% : 40GM,637,RC,00378-47-9106,NDC,,both,1,each,175,175,40.25,175,175,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,138.25,percent of total billed charges,138.25,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 ,138.25,percent of total billed charges ,138.25,percent of total billed charges ,148.75,percent of total billed charges ,148.75,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 ,,,,,,,,,,,,,,,,,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,
CETIRIZINE (ZyrTEC) CAP : 10MG,637,RC,51079-05-9720,NDC,,both,1,each,1.67,1.67,0.38,1.67,1.67,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,1.32,percent of total billed charges,1.32,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 ,1.32,percent of total billed charges ,1.32,percent of total billed charges ,1.42,percent of total billed charges ,1.42,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 ,,,,,,,,,,,,,,,,,,,0.38,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,
DOCUSATE LIQ (COLACE) 100MG/10ML,637,RC,50383-03-4910,NDC,,both,10,each,2.33,2.33,0.54,2.33,2.33,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,2.33,percent of total billed charges,2.33,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,1.84,percent of total billed charges,1.84,percent of total billed charges,1.86,percent of total billed charges,1.86,percent of total billed charges,,,1.68,percent of total billed charges ,,,1.86,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 ,1.86,percent of total billed charges ,1.86,percent of total billed charges ,1.63,percent of total billed charges ,1.63,percent of total billed charges ,1.4,percent of total billed charges ,1.4,percent of total billed charges ,1.4,percent of total billed charges ,1.4,percent of total billed charges ,,,,,1.24,percent of total billed charges ,,,,,1.18,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,
AMIKACIN INJ SOLN : 250MG/ML,J0278,CDM,,,,both,1,each,204.18,204.18,46.96,204.18,204.18,percent of total billed charges,204.18,percent of total billed charges,204.18,percent of total billed charges,204.18,percent of total billed charges,204.18,percent of total billed charges,204.18,percent of total billed charges,204.18,percent of total billed charges,204.18,percent of total billed charges,147.01,percent of total billed charges,147.01,percent of total billed charges,147.01,percent of total billed charges,147.01,percent of total billed charges,147.01,percent of total billed charges,147.01,percent of total billed charges,161.3,percent of total billed charges,161.3,percent of total billed charges,163.34,percent of total billed charges,163.34,percent of total billed charges,,,147.01,percent of total billed charges ,,,163.34,percent of total billed charges ,161.3,percent of total billed charges ,161.3,percent of total billed charges ,173.55,percent of total billed charges ,173.55,percent of total billed charges ,163.34,percent of total billed charges ,163.34,percent of total billed charges ,142.93,percent of total billed charges ,142.93,percent of total billed charges ,122.51,percent of total billed charges ,122.51,percent of total billed charges ,122.51,percent of total billed charges ,122.51,percent of total billed charges ,,,,,108.62,percent of total billed charges ,,,,,103.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.96,percent of total billed charges,,,46.96,percent of total billed charges,,,46.96,percent of total billed charges,,,46.96,percent of total billed charges,,,46.96,percent of total billed charges,,,46.96,percent of total billed charges,,,46.96,percent of total billed charges,,,46.96,percent of total billed charges,,,46.96,percent of total billed charges,,,46.96,percent of total billed charges,,,46.96,percent of total billed charges,
FLEET ENEMA CHILDREN RECTAL LIQUID,637,RC,00132-02-0220,NDC,,both,,,5.86,5.86,1.35,5.86,5.86,percent of total billed charges,5.86,percent of total billed charges,5.86,percent of total billed charges,5.86,percent of total billed charges,5.86,percent of total billed charges,5.86,percent of total billed charges,5.86,percent of total billed charges,5.86,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,4.22,percent of total billed charges,4.22,percent of total billed charges,4.63,percent of total billed charges,4.63,percent of total billed charges,4.69,percent of total billed charges,4.69,percent of total billed charges,,,4.22,percent of total billed charges ,,,4.69,percent of total billed charges ,4.63,percent of total billed charges ,4.63,percent of total billed charges ,4.98,percent of total billed charges ,4.98,percent of total billed charges ,4.69,percent of total billed charges ,4.69,percent of total billed charges ,4.1,percent of total billed charges ,4.1,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 ,,,,,3.12,percent of total billed charges ,,,,,2.96,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,
PROBIOTIC CAPSULES,637,RC,49100-03-6404,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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,
ZIDOVUDINE SYRUP 50MG/5ML : 5ML,637,RC,65862-00-4824,NDC,,both,5,each,3.29,3.29,0.76,3.29,3.29,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,2.6,percent of total billed charges,2.6,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 ,2.6,percent of total billed charges ,2.6,percent of total billed charges ,2.8,percent of total billed charges ,2.8,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 ,,,,,,,,,,,,,,,,,,,0.76,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,
ZIDOVUDINE INJ 10MG/ML : 20ML VIAL,J3485,CDM,,,,both,1,each,275.2,275.2,63.3,275.2,275.2,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,198.14,percent of total billed charges,198.14,percent of total billed charges,198.14,percent of total billed charges,198.14,percent of total billed charges,198.14,percent of total billed charges,198.14,percent of total billed charges,217.41,percent of total billed charges,217.41,percent of total billed charges,220.16,percent of total billed charges,220.16,percent of total billed charges,,,198.14,percent of total billed charges ,,,220.16,percent of total billed charges ,217.41,percent of total billed charges ,217.41,percent of total billed charges ,233.92,percent of total billed charges ,233.92,percent of total billed charges ,220.16,percent of total billed charges ,220.16,percent of total billed charges ,192.64,percent of total billed charges ,192.64,percent of total billed charges ,165.12,percent of total billed charges ,165.12,percent of total billed charges ,165.12,percent of total billed charges ,165.12,percent of total billed charges ,,,,,146.41,percent of total billed charges ,,,,,139.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,63.3,percent of total billed charges,,,63.3,percent of total billed charges,,,63.3,percent of total billed charges,,,63.3,percent of total billed charges,,,63.3,percent of total billed charges,,,63.3,percent of total billed charges,,,63.3,percent of total billed charges,,,63.3,percent of total billed charges,,,63.3,percent of total billed charges,,,63.3,percent of total billed charges,,,63.3,percent of total billed charges,
INSULIN DETEMIR (LEVEMIR)  SOLN 100U/1ML,J1815,CDM,,,,both,10,each,746.24,746.24,171.64,746.24,746.24,percent of total billed charges,746.24,percent of total billed charges,746.24,percent of total billed charges,746.24,percent of total billed charges,746.24,percent of total billed charges,746.24,percent of total billed charges,746.24,percent of total billed charges,746.24,percent of total billed charges,537.29,percent of total billed charges,537.29,percent of total billed charges,537.29,percent of total billed charges,537.29,percent of total billed charges,537.29,percent of total billed charges,537.29,percent of total billed charges,589.53,percent of total billed charges,589.53,percent of total billed charges,596.99,percent of total billed charges,596.99,percent of total billed charges,,,537.29,percent of total billed charges ,,,596.99,percent of total billed charges ,589.53,percent of total billed charges ,589.53,percent of total billed charges ,634.3,percent of total billed charges ,634.3,percent of total billed charges ,596.99,percent of total billed charges ,596.99,percent of total billed charges ,522.37,percent of total billed charges ,522.37,percent of total billed charges ,447.74,percent of total billed charges ,447.74,percent of total billed charges ,447.74,percent of total billed charges ,447.74,percent of total billed charges ,,,,,397,percent of total billed charges ,,,,,377.15,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,
CLINIMIX E 4.25%-10% INJ CENTRAL 2000ML,258,RC,00338-11-4403,NDC,,both,1000,each,886,886,203.78,886,886,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,699.94,percent of total billed charges,699.94,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 ,699.94,percent of total billed charges ,699.94,percent of total billed charges ,753.1,percent of total billed charges ,753.1,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 ,,,,,,,,,,,,,,,,,,,203.78,percent of total billed charges,,,203.78,percent of total billed charges,,,203.78,percent of total billed charges,,,203.78,percent of total billed charges,,,203.78,percent of total billed charges,,,203.78,percent of total billed charges,,,203.78,percent of total billed charges,,,203.78,percent of total billed charges,,,203.78,percent of total billed charges,,,203.78,percent of total billed charges,,,203.78,percent of total billed charges,
ERYTHROMYCIN IVPB / NS 100ML,258,RC,99999-99-9999,NDC,,both,1,each,662,662,152.26,662,662,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,522.98,percent of total billed charges,522.98,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 ,522.98,percent of total billed charges ,522.98,percent of total billed charges ,562.7,percent of total billed charges ,562.7,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 ,,,,,,,,,,,,,,,,,,,152.26,percent of total billed charges,,,152.26,percent of total billed charges,,,152.26,percent of total billed charges,,,152.26,percent of total billed charges,,,152.26,percent of total billed charges,,,152.26,percent of total billed charges,,,152.26,percent of total billed charges,,,152.26,percent of total billed charges,,,152.26,percent of total billed charges,,,152.26,percent of total billed charges,,,152.26,percent of total billed charges,
ValACYclovir (VALTREX) TAB : 500MG,637,RC,31722-07-0430,NDC,,both,1,each,1.88,1.88,0.43,1.88,1.88,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,1.35,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,1.49,percent of total billed charges,1.49,percent of total billed charges,1.5,percent of total billed charges,1.5,percent of total billed charges,,,1.35,percent of total billed charges ,,,1.5,percent of total billed charges ,1.49,percent of total billed charges ,1.49,percent of total billed charges ,1.6,percent of total billed charges ,1.6,percent of total billed charges ,1.5,percent of total billed charges ,1.5,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,percent of total billed charges ,,,,,0.95,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,
CYANIDE ANTIDOTE KIT,250,RC,50633-03-1011,NDC,,both,1,each,"6,580.00","6,580.00","1,513.40","6,580.00","6,580.00",percent of total billed charges,"6,580.00",percent of total billed charges,"6,580.00",percent of total billed charges,"6,580.00",percent of total billed charges,"6,580.00",percent of total billed charges,"6,580.00",percent of total billed charges,"6,580.00",percent of total billed charges,"6,580.00",percent of total billed charges,"4,737.60",percent of total billed charges,"4,737.60",percent of total billed charges,"4,737.60",percent of total billed charges,"4,737.60",percent of total billed charges,"4,737.60",percent of total billed charges,"4,737.60",percent of total billed charges,"5,198.20",percent of total billed charges,"5,198.20",percent of total billed charges,"5,264.00",percent of total billed charges,"5,264.00",percent of total billed charges,,,"4,737.60",percent of total billed charges ,,,"5,264.00",percent of total billed charges ,"5,198.20",percent of total billed charges ,"5,198.20",percent of total billed charges ,"5,593.00",percent of total billed charges ,"5,593.00",percent of total billed charges ,"5,264.00",percent of total billed charges ,"5,264.00",percent of total billed charges ,"4,606.00",percent of total billed charges ,"4,606.00",percent of total billed charges ,"3,948.00",percent of total billed charges ,"3,948.00",percent of total billed charges ,"3,948.00",percent of total billed charges ,"3,948.00",percent of total billed charges ,,,,,"3,500.56",percent of total billed charges ,,,,,"3,325.53",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,513.40",percent of total billed charges,,,"1,513.40",percent of total billed charges,,,"1,513.40",percent of total billed charges,,,"1,513.40",percent of total billed charges,,,"1,513.40",percent of total billed charges,,,"1,513.40",percent of total billed charges,,,"1,513.40",percent of total billed charges,,,"1,513.40",percent of total billed charges,,,"1,513.40",percent of total billed charges,,,"1,513.40",percent of total billed charges,,,"1,513.40",percent of total billed charges,
LANSOPRAZOLE(PREVACID)SOLUTAB 30MG,637,RC,00378-69-8232,NDC,,both,1,each,23.02,23.02,5.29,23.02,23.02,percent of total billed charges,23.02,percent of total billed charges,23.02,percent of total billed charges,23.02,percent of total billed charges,23.02,percent of total billed charges,23.02,percent of total billed charges,23.02,percent of total billed charges,23.02,percent of total billed charges,16.57,percent of total billed charges,16.57,percent of total billed charges,16.57,percent of total billed charges,16.57,percent of total billed charges,16.57,percent of total billed charges,16.57,percent of total billed charges,18.19,percent of total billed charges,18.19,percent of total billed charges,18.42,percent of total billed charges,18.42,percent of total billed charges,,,16.57,percent of total billed charges ,,,18.42,percent of total billed charges ,18.19,percent of total billed charges ,18.19,percent of total billed charges ,19.57,percent of total billed charges ,19.57,percent of total billed charges ,18.42,percent of total billed charges ,18.42,percent of total billed charges ,16.11,percent of total billed charges ,16.11,percent of total billed charges ,13.81,percent of total billed charges ,13.81,percent of total billed charges ,13.81,percent of total billed charges ,13.81,percent of total billed charges ,,,,,12.25,percent of total billed charges ,,,,,11.63,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,
FLEET PREP KIT 3 KIT,637,RC,54868-31-7700,NDC,,both,1,each,25,25,5.75,25,25,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,19.75,percent of total billed charges,19.75,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 ,19.75,percent of total billed charges ,19.75,percent of total billed charges ,21.25,percent of total billed charges ,21.25,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 ,,,,,,,,,,,,,,,,,,,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,,,5.75,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,
PYRIDOXINE HCL INJECTION SOLN 100MG/1ML,J3415,CDM,,,,both,1,each,116.59,116.59,26.82,116.59,116.59,percent of total billed charges,116.59,percent of total billed charges,116.59,percent of total billed charges,116.59,percent of total billed charges,116.59,percent of total billed charges,116.59,percent of total billed charges,116.59,percent of total billed charges,116.59,percent of total billed charges,83.94,percent of total billed charges,83.94,percent of total billed charges,83.94,percent of total billed charges,83.94,percent of total billed charges,83.94,percent of total billed charges,83.94,percent of total billed charges,92.11,percent of total billed charges,92.11,percent of total billed charges,93.27,percent of total billed charges,93.27,percent of total billed charges,,,83.94,percent of total billed charges ,,,93.27,percent of total billed charges ,92.11,percent of total billed charges ,92.11,percent of total billed charges ,99.1,percent of total billed charges ,99.1,percent of total billed charges ,93.27,percent of total billed charges ,93.27,percent of total billed charges ,81.61,percent of total billed charges ,81.61,percent of total billed charges ,69.95,percent of total billed charges ,69.95,percent of total billed charges ,69.95,percent of total billed charges ,69.95,percent of total billed charges ,,,,,62.03,percent of total billed charges ,,,,,58.92,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,
"TOBRAMYCIN INJ SOLN 40MG/1ML, 2ML VL",J3260,CDM,,,,both,40,each,22.47,22.47,5.17,22.47,22.47,percent of total billed charges,22.47,percent of total billed charges,22.47,percent of total billed charges,22.47,percent of total billed charges,22.47,percent of total billed charges,22.47,percent of total billed charges,22.47,percent of total billed charges,22.47,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,17.75,percent of total billed charges,17.75,percent of total billed charges,17.98,percent of total billed charges,17.98,percent of total billed charges,,,16.18,percent of total billed charges ,,,17.98,percent of total billed charges ,17.75,percent of total billed charges ,17.75,percent of total billed charges ,19.1,percent of total billed charges ,19.1,percent of total billed charges ,17.98,percent of total billed charges ,17.98,percent of total billed charges ,15.73,percent of total billed charges ,15.73,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 ,,,,,11.95,percent of total billed charges ,,,,,11.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.17,percent of total billed charges,,,5.17,percent of total billed charges,,,5.17,percent of total billed charges,,,5.17,percent of total billed charges,,,5.17,percent of total billed charges,,,5.17,percent of total billed charges,,,5.17,percent of total billed charges,,,5.17,percent of total billed charges,,,5.17,percent of total billed charges,,,5.17,percent of total billed charges,,,5.17,percent of total billed charges,
FOSPHENYTOIN INJ 100MG PE/2ML,Q2009,CDM,,,,both,1,each,192,192,44.16,192,192,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,151.68,percent of total billed charges,151.68,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 ,151.68,percent of total billed charges ,151.68,percent of total billed charges ,163.2,percent of total billed charges ,163.2,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 ,,,,,,,,,,,,,,,,,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,
FAT EMULSION 20% :,250,RC,00338-05-1913,NDC,,both,250,each,174.19,174.19,40.06,174.19,174.19,percent of total billed charges,174.19,percent of total billed charges,174.19,percent of total billed charges,174.19,percent of total billed charges,174.19,percent of total billed charges,174.19,percent of total billed charges,174.19,percent of total billed charges,174.19,percent of total billed charges,125.42,percent of total billed charges,125.42,percent of total billed charges,125.42,percent of total billed charges,125.42,percent of total billed charges,125.42,percent of total billed charges,125.42,percent of total billed charges,137.61,percent of total billed charges,137.61,percent of total billed charges,139.35,percent of total billed charges,139.35,percent of total billed charges,,,125.42,percent of total billed charges ,,,139.35,percent of total billed charges ,137.61,percent of total billed charges ,137.61,percent of total billed charges ,148.06,percent of total billed charges ,148.06,percent of total billed charges ,139.35,percent of total billed charges ,139.35,percent of total billed charges ,121.93,percent of total billed charges ,121.93,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 ,,,,,92.67,percent of total billed charges ,,,,,88.04,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,,,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,
MINERAL OIL : 30ML,637,RC,48433-02-0230,NDC,,both,30,each,14,14,3.22,14,14,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,11.06,percent of total billed charges,11.06,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 ,11.06,percent of total billed charges ,11.06,percent of total billed charges ,11.9,percent of total billed charges ,11.9,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 ,,,,,,,,,,,,,,,,,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,
**THIOPENTHAL (PENTOTHAL) INJ : 500MG,J3490,CDM,,,,both,1,each,462,462,106.26,462,462,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,364.98,percent of total billed charges,364.98,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 ,364.98,percent of total billed charges ,364.98,percent of total billed charges ,392.7,percent of total billed charges ,392.7,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 ,,,,,,,,,,,,,,,,,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,
MORPHINE SULFATE INJ : 5 MG/1ML,J2270,CDM,,,,both,1,each,43.71,43.71,10.05,43.71,43.71,percent of total billed charges,43.71,percent of total billed charges,43.71,percent of total billed charges,43.71,percent of total billed charges,43.71,percent of total billed charges,43.71,percent of total billed charges,43.71,percent of total billed charges,43.71,percent of total billed charges,31.47,percent of total billed charges,31.47,percent of total billed charges,31.47,percent of total billed charges,31.47,percent of total billed charges,31.47,percent of total billed charges,31.47,percent of total billed charges,34.53,percent of total billed charges,34.53,percent of total billed charges,34.97,percent of total billed charges,34.97,percent of total billed charges,,,31.47,percent of total billed charges ,,,34.97,percent of total billed charges ,34.53,percent of total billed charges ,34.53,percent of total billed charges ,37.15,percent of total billed charges ,37.15,percent of total billed charges ,34.97,percent of total billed charges ,34.97,percent of total billed charges ,30.6,percent of total billed charges ,30.6,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 ,,,,,23.25,percent of total billed charges ,,,,,22.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.05,percent of total billed charges,,,10.05,percent of total billed charges,,,10.05,percent of total billed charges,,,10.05,percent of total billed charges,,,10.05,percent of total billed charges,,,10.05,percent of total billed charges,,,10.05,percent of total billed charges,,,10.05,percent of total billed charges,,,10.05,percent of total billed charges,,,10.05,percent of total billed charges,,,10.05,percent of total billed charges,
"BETAMETHASONE SP PF INJ 6MG/ML, 1ML*",250,RC,54868-02-0600,NDC,,both,1,each,69,69,15.87,69,69,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,54.51,percent of total billed charges,54.51,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 ,54.51,percent of total billed charges ,54.51,percent of total billed charges ,58.65,percent of total billed charges ,58.65,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 ,,,,,,,,,,,,,,,,,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,
**ANIDULAFUNGIN (ERAXIS) INJ : 100MG,J0348,CDM,,,,both,100,each,706.92,706.92,162.59,706.92,706.92,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,558.47,percent of total billed charges,558.47,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 ,558.47,percent of total billed charges ,558.47,percent of total billed charges ,600.88,percent of total billed charges ,600.88,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,162.59,percent of total billed charges,,,162.59,percent of total billed charges,,,162.59,percent of total billed charges,
dexAMETHasone INJ 10MG/ML 1ML PF,J1100,CDM,,,,both,1,each,47.74,47.74,10.98,47.74,47.74,percent of total billed charges,47.74,percent of total billed charges,47.74,percent of total billed charges,47.74,percent of total billed charges,47.74,percent of total billed charges,47.74,percent of total billed charges,47.74,percent of total billed charges,47.74,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,34.37,percent of total billed charges,34.37,percent of total billed charges,37.71,percent of total billed charges,37.71,percent of total billed charges,38.19,percent of total billed charges,38.19,percent of total billed charges,,,34.37,percent of total billed charges ,,,38.19,percent of total billed charges ,37.71,percent of total billed charges ,37.71,percent of total billed charges ,40.58,percent of total billed charges ,40.58,percent of total billed charges ,38.19,percent of total billed charges ,38.19,percent of total billed charges ,33.42,percent of total billed charges ,33.42,percent of total billed charges ,28.64,percent of total billed charges ,28.64,percent of total billed charges ,28.64,percent of total billed charges ,28.64,percent of total billed charges ,,,,,25.4,percent of total billed charges ,,,,,24.13,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,,,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,
MethylPREDNISolone (MEDROL) TAB : 4MG EA,J7509,CDM,,,,both,1,each,1.38,1.38,0.32,1.38,1.38,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,1.09,percent of total billed charges,1.09,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 ,1.09,percent of total billed charges ,1.09,percent of total billed charges ,1.17,percent of total billed charges ,1.17,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 ,,,,,,,,,,,,,,,,,,,0.32,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,
ADVAIR HFA INH AER 45MCG-21MCG,637,RC,00173-07-1522,NDC,,both,1,each,731.23,731.23,168.18,731.23,731.23,percent of total billed charges,731.23,percent of total billed charges,731.23,percent of total billed charges,731.23,percent of total billed charges,731.23,percent of total billed charges,731.23,percent of total billed charges,731.23,percent of total billed charges,731.23,percent of total billed charges,526.49,percent of total billed charges,526.49,percent of total billed charges,526.49,percent of total billed charges,526.49,percent of total billed charges,526.49,percent of total billed charges,526.49,percent of total billed charges,577.67,percent of total billed charges,577.67,percent of total billed charges,584.98,percent of total billed charges,584.98,percent of total billed charges,,,526.49,percent of total billed charges ,,,584.98,percent of total billed charges ,577.67,percent of total billed charges ,577.67,percent of total billed charges ,621.55,percent of total billed charges ,621.55,percent of total billed charges ,584.98,percent of total billed charges ,584.98,percent of total billed charges ,511.86,percent of total billed charges ,511.86,percent of total billed charges ,438.74,percent of total billed charges ,438.74,percent of total billed charges ,438.74,percent of total billed charges ,438.74,percent of total billed charges ,,,,,389.01,percent of total billed charges ,,,,,369.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,168.18,percent of total billed charges,,,168.18,percent of total billed charges,,,168.18,percent of total billed charges,,,168.18,percent of total billed charges,,,168.18,percent of total billed charges,,,168.18,percent of total billed charges,,,168.18,percent of total billed charges,,,168.18,percent of total billed charges,,,168.18,percent of total billed charges,,,168.18,percent of total billed charges,,,168.18,percent of total billed charges,
ADVAIR HFA INH AER 115MCG-21MCG,637,RC,00173-07-1620,NDC,,both,1,each,689.72,689.72,158.64,689.72,689.72,percent of total billed charges,689.72,percent of total billed charges,689.72,percent of total billed charges,689.72,percent of total billed charges,689.72,percent of total billed charges,689.72,percent of total billed charges,689.72,percent of total billed charges,689.72,percent of total billed charges,496.6,percent of total billed charges,496.6,percent of total billed charges,496.6,percent of total billed charges,496.6,percent of total billed charges,496.6,percent of total billed charges,496.6,percent of total billed charges,544.88,percent of total billed charges,544.88,percent of total billed charges,551.78,percent of total billed charges,551.78,percent of total billed charges,,,496.6,percent of total billed charges ,,,551.78,percent of total billed charges ,544.88,percent of total billed charges ,544.88,percent of total billed charges ,586.26,percent of total billed charges ,586.26,percent of total billed charges ,551.78,percent of total billed charges ,551.78,percent of total billed charges ,482.8,percent of total billed charges ,482.8,percent of total billed charges ,413.83,percent of total billed charges ,413.83,percent of total billed charges ,413.83,percent of total billed charges ,413.83,percent of total billed charges ,,,,,366.93,percent of total billed charges ,,,,,348.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,158.64,percent of total billed charges,,,158.64,percent of total billed charges,,,158.64,percent of total billed charges,,,158.64,percent of total billed charges,,,158.64,percent of total billed charges,,,158.64,percent of total billed charges,,,158.64,percent of total billed charges,,,158.64,percent of total billed charges,,,158.64,percent of total billed charges,,,158.64,percent of total billed charges,,,158.64,percent of total billed charges,
ADVAIR HFA INH AER 230MCG-21MCG,637,RC,00173-07-1720,NDC,,both,1,each,"1,007.61","1,007.61",231.75,"1,007.61","1,007.61",percent of total billed charges,"1,007.61",percent of total billed charges,"1,007.61",percent of total billed charges,"1,007.61",percent of total billed charges,"1,007.61",percent of total billed charges,"1,007.61",percent of total billed charges,"1,007.61",percent of total billed charges,"1,007.61",percent of total billed charges,725.48,percent of total billed charges,725.48,percent of total billed charges,725.48,percent of total billed charges,725.48,percent of total billed charges,725.48,percent of total billed charges,725.48,percent of total billed charges,796.01,percent of total billed charges,796.01,percent of total billed charges,806.09,percent of total billed charges,806.09,percent of total billed charges,,,725.48,percent of total billed charges ,,,806.09,percent of total billed charges ,796.01,percent of total billed charges ,796.01,percent of total billed charges ,856.47,percent of total billed charges ,856.47,percent of total billed charges ,806.09,percent of total billed charges ,806.09,percent of total billed charges ,705.33,percent of total billed charges ,705.33,percent of total billed charges ,604.57,percent of total billed charges ,604.57,percent of total billed charges ,604.57,percent of total billed charges ,604.57,percent of total billed charges ,,,,,536.05,percent of total billed charges ,,,,,509.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,231.75,percent of total billed charges,,,231.75,percent of total billed charges,,,231.75,percent of total billed charges,,,231.75,percent of total billed charges,,,231.75,percent of total billed charges,,,231.75,percent of total billed charges,,,231.75,percent of total billed charges,,,231.75,percent of total billed charges,,,231.75,percent of total billed charges,,,231.75,percent of total billed charges,,,231.75,percent of total billed charges,
SulfASALAzineAB 500MG,637,RC,62135-09-6001,NDC,,both,1,each,0.71,0.71,0.16,0.71,0.71,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,0.56,percent of total billed charges,0.56,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 ,0.56,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 ,0.57,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 ,,,,,,,,,,,,,,,,,,,0.16,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,
DANTROLENE SOD IV PWD FOR SOLN : 20MG,250,RC,42023-01-2306,NDC,,both,1,each,762.3,762.3,175.33,762.3,762.3,percent of total billed charges,762.3,percent of total billed charges,762.3,percent of total billed charges,762.3,percent of total billed charges,762.3,percent of total billed charges,762.3,percent of total billed charges,762.3,percent of total billed charges,762.3,percent of total billed charges,548.86,percent of total billed charges,548.86,percent of total billed charges,548.86,percent of total billed charges,548.86,percent of total billed charges,548.86,percent of total billed charges,548.86,percent of total billed charges,602.22,percent of total billed charges,602.22,percent of total billed charges,609.84,percent of total billed charges,609.84,percent of total billed charges,,,548.86,percent of total billed charges ,,,609.84,percent of total billed charges ,602.22,percent of total billed charges ,602.22,percent of total billed charges ,647.96,percent of total billed charges ,647.96,percent of total billed charges ,609.84,percent of total billed charges ,609.84,percent of total billed charges ,533.61,percent of total billed charges ,533.61,percent of total billed charges ,457.38,percent of total billed charges ,457.38,percent of total billed charges ,457.38,percent of total billed charges ,457.38,percent of total billed charges ,,,,,405.54,percent of total billed charges ,,,,,385.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,175.33,percent of total billed charges,,,175.33,percent of total billed charges,,,175.33,percent of total billed charges,,,175.33,percent of total billed charges,,,175.33,percent of total billed charges,,,175.33,percent of total billed charges,,,175.33,percent of total billed charges,,,175.33,percent of total billed charges,,,175.33,percent of total billed charges,,,175.33,percent of total billed charges,,,175.33,percent of total billed charges,
METOPROLOL TART(LOPRESSOR) : 25MG,637,RC,57664-05-0652,NDC,,both,,,0.34,0.34,0.08,0.34,0.34,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,0.24,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,0.27,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,,,0.24,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 ,0.29,percent of total billed charges ,0.29,percent of total billed charges ,0.27,percent of total billed charges ,0.27,percent of total billed charges ,0.24,percent of total billed charges ,0.24,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 ,,,,,0.18,percent of total billed charges ,,,,,0.17,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,,,0.08,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,,,0.08,percent of total billed charges,,,0.08,percent of total billed charges,,,0.08,percent of total billed charges,
FERRIC GLUCONATE COMPLEX 62.5MG/5ML,J2916,CDM,,,,both,1,each,248.2,248.2,57.09,248.2,248.2,percent of total billed charges,248.2,percent of total billed charges,248.2,percent of total billed charges,248.2,percent of total billed charges,248.2,percent of total billed charges,248.2,percent of total billed charges,248.2,percent of total billed charges,248.2,percent of total billed charges,178.7,percent of total billed charges,178.7,percent of total billed charges,178.7,percent of total billed charges,178.7,percent of total billed charges,178.7,percent of total billed charges,178.7,percent of total billed charges,196.08,percent of total billed charges,196.08,percent of total billed charges,198.56,percent of total billed charges,198.56,percent of total billed charges,,,178.7,percent of total billed charges ,,,198.56,percent of total billed charges ,196.08,percent of total billed charges ,196.08,percent of total billed charges ,210.97,percent of total billed charges ,210.97,percent of total billed charges ,198.56,percent of total billed charges ,198.56,percent of total billed charges ,173.74,percent of total billed charges ,173.74,percent of total billed charges ,148.92,percent of total billed charges ,148.92,percent of total billed charges ,148.92,percent of total billed charges ,148.92,percent of total billed charges ,,,,,132.04,percent of total billed charges ,,,,,125.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.09,percent of total billed charges,,,57.09,percent of total billed charges,,,57.09,percent of total billed charges,,,57.09,percent of total billed charges,,,57.09,percent of total billed charges,,,57.09,percent of total billed charges,,,57.09,percent of total billed charges,,,57.09,percent of total billed charges,,,57.09,percent of total billed charges,,,57.09,percent of total billed charges,,,57.09,percent of total billed charges,
XYLOCAINE-MPF INJ SOLN 1% : 5ML,250,RC,00143-95-9501,NDC,,both,1,each,40.75,40.75,9.37,40.75,40.75,percent of total billed charges,40.75,percent of total billed charges,40.75,percent of total billed charges,40.75,percent of total billed charges,40.75,percent of total billed charges,40.75,percent of total billed charges,40.75,percent of total billed charges,40.75,percent of total billed charges,29.34,percent of total billed charges,29.34,percent of total billed charges,29.34,percent of total billed charges,29.34,percent of total billed charges,29.34,percent of total billed charges,29.34,percent of total billed charges,32.19,percent of total billed charges,32.19,percent of total billed charges,32.6,percent of total billed charges,32.6,percent of total billed charges,,,29.34,percent of total billed charges ,,,32.6,percent of total billed charges ,32.19,percent of total billed charges ,32.19,percent of total billed charges ,34.64,percent of total billed charges ,34.64,percent of total billed charges ,32.6,percent of total billed charges ,32.6,percent of total billed charges ,28.53,percent of total billed charges ,28.53,percent of total billed charges ,24.45,percent of total billed charges ,24.45,percent of total billed charges ,24.45,percent of total billed charges ,24.45,percent of total billed charges ,,,,,21.68,percent of total billed charges ,,,,,20.6,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,,,9.37,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,
RIVASTIGMINE (EXELON) PATCH : 4.6MG/24HR,637,RC,00781-73-0431,NDC,,both,1,each,12.54,12.54,2.88,12.54,12.54,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,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,9.03,percent of total billed charges,9.03,percent of total billed charges,9.91,percent of total billed charges,9.91,percent of total billed charges,10.03,percent of total billed charges,10.03,percent of total billed charges,,,9.03,percent of total billed charges ,,,10.03,percent of total billed charges ,9.91,percent of total billed charges ,9.91,percent of total billed charges ,10.66,percent of total billed charges ,10.66,percent of total billed charges ,10.03,percent of total billed charges ,10.03,percent of total billed charges ,8.78,percent of total billed charges ,8.78,percent of total billed charges ,7.52,percent of total billed charges ,7.52,percent of total billed charges ,7.52,percent of total billed charges ,7.52,percent of total billed charges ,,,,,6.67,percent of total billed charges ,,,,,6.34,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,
ARALAST NP IV POWDER FOR SOLUTION 1GM,J0256,CDM,,,,both,1,each,"3,163.00","3,163.00",727.49,"3,163.00","3,163.00",percent of total billed charges,"3,163.00",percent of total billed charges,"3,163.00",percent of total billed charges,"3,163.00",percent of total billed charges,"3,163.00",percent of total billed charges,"3,163.00",percent of total billed charges,"3,163.00",percent of total billed charges,"3,163.00",percent of total billed charges,"2,277.36",percent of total billed charges,"2,277.36",percent of total billed charges,"2,277.36",percent of total billed charges,"2,277.36",percent of total billed charges,"2,277.36",percent of total billed charges,"2,277.36",percent of total billed charges,"2,498.77",percent of total billed charges,"2,498.77",percent of total billed charges,"2,530.40",percent of total billed charges,"2,530.40",percent of total billed charges,,,"2,277.36",percent of total billed charges ,,,"2,530.40",percent of total billed charges ,"2,498.77",percent of total billed charges ,"2,498.77",percent of total billed charges ,"2,688.55",percent of total billed charges ,"2,688.55",percent of total billed charges ,"2,530.40",percent of total billed charges ,"2,530.40",percent of total billed charges ,"2,214.10",percent of total billed charges ,"2,214.10",percent of total billed charges ,"1,897.80",percent of total billed charges ,"1,897.80",percent of total billed charges ,"1,897.80",percent of total billed charges ,"1,897.80",percent of total billed charges ,,,,,"1,682.72",percent of total billed charges ,,,,,"1,598.58",percent of total billed charges ,,,,,,,,,,,,,,,,,,,727.49,percent of total billed charges,,,727.49,percent of total billed charges,,,727.49,percent of total billed charges,,,727.49,percent of total billed charges,,,727.49,percent of total billed charges,,,727.49,percent of total billed charges,,,727.49,percent of total billed charges,,,727.49,percent of total billed charges,,,727.49,percent of total billed charges,,,727.49,percent of total billed charges,,,727.49,percent of total billed charges,
"FOSPROPOFOL (LUSEDRA) 35MG/ML, 30ML INJ",250,RC,62856-03-5008,NDC,,both,1,each,"1,014.00","1,014.00",233.22,"1,014.00","1,014.00",percent of total billed charges,"1,014.00",percent of total billed charges,"1,014.00",percent of total billed charges,"1,014.00",percent of total billed charges,"1,014.00",percent of total billed charges,"1,014.00",percent of total billed charges,"1,014.00",percent of total billed charges,"1,014.00",percent of total billed charges,730.08,percent of total billed charges,730.08,percent of total billed charges,730.08,percent of total billed charges,730.08,percent of total billed charges,730.08,percent of total billed charges,730.08,percent of total billed charges,801.06,percent of total billed charges,801.06,percent of total billed charges,811.2,percent of total billed charges,811.2,percent of total billed charges,,,730.08,percent of total billed charges ,,,811.2,percent of total billed charges ,801.06,percent of total billed charges ,801.06,percent of total billed charges ,861.9,percent of total billed charges ,861.9,percent of total billed charges ,811.2,percent of total billed charges ,811.2,percent of total billed charges ,709.8,percent of total billed charges ,709.8,percent of total billed charges ,608.4,percent of total billed charges ,608.4,percent of total billed charges ,608.4,percent of total billed charges ,608.4,percent of total billed charges ,,,,,539.45,percent of total billed charges ,,,,,512.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,233.22,percent of total billed charges,,,233.22,percent of total billed charges,,,233.22,percent of total billed charges,,,233.22,percent of total billed charges,,,233.22,percent of total billed charges,,,233.22,percent of total billed charges,,,233.22,percent of total billed charges,,,233.22,percent of total billed charges,,,233.22,percent of total billed charges,,,233.22,percent of total billed charges,,,233.22,percent of total billed charges,
ORPHENADRINE (NORFLEX) ER : 100MG,637,RC,43386-04-8024,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
GALANTAMINE (RAZADYNE) ER : 8MG TAB,637,RC,65862-07-4430,NDC,,both,1,each,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
DAPTOmycin (CUBICIN) IV : 500MG VIAL,J0878,CDM,,,,both,1,each,412.54,412.54,94.88,412.54,412.54,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,325.91,percent of total billed charges,325.91,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 ,325.91,percent of total billed charges ,325.91,percent of total billed charges ,350.66,percent of total billed charges ,350.66,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 ,,,,,,,,,,,,,,,,,,,94.88,percent of total billed charges,,,94.88,percent of total billed charges,,,94.88,percent of total billed charges,,,94.88,percent of total billed charges,,,94.88,percent of total billed charges,,,94.88,percent of total billed charges,,,94.88,percent of total billed charges,,,94.88,percent of total billed charges,,,94.88,percent of total billed charges,,,94.88,percent of total billed charges,,,94.88,percent of total billed charges,
TIGECYCLINE (TYGACIL) INJ : 50MG,J3243,CDM,,,,both,1,each,452.05,452.05,103.97,452.05,452.05,percent of total billed charges,452.05,percent of total billed charges,452.05,percent of total billed charges,452.05,percent of total billed charges,452.05,percent of total billed charges,452.05,percent of total billed charges,452.05,percent of total billed charges,452.05,percent of total billed charges,325.48,percent of total billed charges,325.48,percent of total billed charges,325.48,percent of total billed charges,325.48,percent of total billed charges,325.48,percent of total billed charges,325.48,percent of total billed charges,357.12,percent of total billed charges,357.12,percent of total billed charges,361.64,percent of total billed charges,361.64,percent of total billed charges,,,325.48,percent of total billed charges ,,,361.64,percent of total billed charges ,357.12,percent of total billed charges ,357.12,percent of total billed charges ,384.24,percent of total billed charges ,384.24,percent of total billed charges ,361.64,percent of total billed charges ,361.64,percent of total billed charges ,316.44,percent of total billed charges ,316.44,percent of total billed charges ,271.23,percent of total billed charges ,271.23,percent of total billed charges ,271.23,percent of total billed charges ,271.23,percent of total billed charges ,,,,,240.49,percent of total billed charges ,,,,,228.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,103.97,percent of total billed charges,,,103.97,percent of total billed charges,,,103.97,percent of total billed charges,,,103.97,percent of total billed charges,,,103.97,percent of total billed charges,,,103.97,percent of total billed charges,,,103.97,percent of total billed charges,,,103.97,percent of total billed charges,,,103.97,percent of total billed charges,,,103.97,percent of total billed charges,,,103.97,percent of total billed charges,
CLORPACTIN POWDER : 2GM,250,RC,00327-00-0110,NDC,,both,1,each,218,218,50.14,218,218,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,172.22,percent of total billed charges,172.22,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 ,172.22,percent of total billed charges ,172.22,percent of total billed charges ,185.3,percent of total billed charges ,185.3,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 ,,,,,,,,,,,,,,,,,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,
CYCLOSPORINE OPHTH EMUL 0.05%(RESTASIS),637,RC,60505-62-0201,NDC,,both,1,each,574.88,574.88,132.22,574.88,574.88,percent of total billed charges,574.88,percent of total billed charges,574.88,percent of total billed charges,574.88,percent of total billed charges,574.88,percent of total billed charges,574.88,percent of total billed charges,574.88,percent of total billed charges,574.88,percent of total billed charges,413.91,percent of total billed charges,413.91,percent of total billed charges,413.91,percent of total billed charges,413.91,percent of total billed charges,413.91,percent of total billed charges,413.91,percent of total billed charges,454.16,percent of total billed charges,454.16,percent of total billed charges,459.9,percent of total billed charges,459.9,percent of total billed charges,,,413.91,percent of total billed charges ,,,459.9,percent of total billed charges ,454.16,percent of total billed charges ,454.16,percent of total billed charges ,488.65,percent of total billed charges ,488.65,percent of total billed charges ,459.9,percent of total billed charges ,459.9,percent of total billed charges ,402.42,percent of total billed charges ,402.42,percent of total billed charges ,344.93,percent of total billed charges ,344.93,percent of total billed charges ,344.93,percent of total billed charges ,344.93,percent of total billed charges ,,,,,305.84,percent of total billed charges ,,,,,290.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,132.22,percent of total billed charges,,,132.22,percent of total billed charges,,,132.22,percent of total billed charges,,,132.22,percent of total billed charges,,,132.22,percent of total billed charges,,,132.22,percent of total billed charges,,,132.22,percent of total billed charges,,,132.22,percent of total billed charges,,,132.22,percent of total billed charges,,,132.22,percent of total billed charges,,,132.22,percent of total billed charges,
OXYTOCIN 30 UNITS / NS 0.9% 500ML,J2590,CDM,,,,both,1,each,249.81,249.81,57.46,249.81,249.81,percent of total billed charges,249.81,percent of total billed charges,249.81,percent of total billed charges,249.81,percent of total billed charges,249.81,percent of total billed charges,249.81,percent of total billed charges,249.81,percent of total billed charges,249.81,percent of total billed charges,179.86,percent of total billed charges,179.86,percent of total billed charges,179.86,percent of total billed charges,179.86,percent of total billed charges,179.86,percent of total billed charges,179.86,percent of total billed charges,197.35,percent of total billed charges,197.35,percent of total billed charges,199.85,percent of total billed charges,199.85,percent of total billed charges,,,179.86,percent of total billed charges ,,,199.85,percent of total billed charges ,197.35,percent of total billed charges ,197.35,percent of total billed charges ,212.34,percent of total billed charges ,212.34,percent of total billed charges ,199.85,percent of total billed charges ,199.85,percent of total billed charges ,174.87,percent of total billed charges ,174.87,percent of total billed charges ,149.89,percent of total billed charges ,149.89,percent of total billed charges ,149.89,percent of total billed charges ,149.89,percent of total billed charges ,,,,,132.9,percent of total billed charges ,,,,,126.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.46,percent of total billed charges,,,57.46,percent of total billed charges,,,57.46,percent of total billed charges,,,57.46,percent of total billed charges,,,57.46,percent of total billed charges,,,57.46,percent of total billed charges,,,57.46,percent of total billed charges,,,57.46,percent of total billed charges,,,57.46,percent of total billed charges,,,57.46,percent of total billed charges,,,57.46,percent of total billed charges,
OCUCOAT  OPHTH SOLUTION : 1ML,250,RC,24208-03-8448,NDC,,both,1,each,188,188,43.24,188,188,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,148.52,percent of total billed charges,148.52,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 ,148.52,percent of total billed charges ,148.52,percent of total billed charges ,159.8,percent of total billed charges ,159.8,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 ,,,,,,,,,,,,,,,,,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,
COMBIGAN OPHTH SOLN 0.2%-0.5%,637,RC,00023-92-1105,NDC,,both,5,each,902.22,902.22,207.51,902.22,902.22,percent of total billed charges,902.22,percent of total billed charges,902.22,percent of total billed charges,902.22,percent of total billed charges,902.22,percent of total billed charges,902.22,percent of total billed charges,902.22,percent of total billed charges,902.22,percent of total billed charges,649.6,percent of total billed charges,649.6,percent of total billed charges,649.6,percent of total billed charges,649.6,percent of total billed charges,649.6,percent of total billed charges,649.6,percent of total billed charges,712.75,percent of total billed charges,712.75,percent of total billed charges,721.78,percent of total billed charges,721.78,percent of total billed charges,,,649.6,percent of total billed charges ,,,721.78,percent of total billed charges ,712.75,percent of total billed charges ,712.75,percent of total billed charges ,766.89,percent of total billed charges ,766.89,percent of total billed charges ,721.78,percent of total billed charges ,721.78,percent of total billed charges ,631.55,percent of total billed charges ,631.55,percent of total billed charges ,541.33,percent of total billed charges ,541.33,percent of total billed charges ,541.33,percent of total billed charges ,541.33,percent of total billed charges ,,,,,479.98,percent of total billed charges ,,,,,455.98,percent of total billed charges ,,,,,,,,,,,,,,,,,,,207.51,percent of total billed charges,,,207.51,percent of total billed charges,,,207.51,percent of total billed charges,,,207.51,percent of total billed charges,,,207.51,percent of total billed charges,,,207.51,percent of total billed charges,,,207.51,percent of total billed charges,,,207.51,percent of total billed charges,,,207.51,percent of total billed charges,,,207.51,percent of total billed charges,,,207.51,percent of total billed charges,
LOTEMAX OPHTH SUSP 0.5%,637,RC,68682-02-9905,NDC,,both,5,each,567.23,567.23,130.46,567.23,567.23,percent of total billed charges,567.23,percent of total billed charges,567.23,percent of total billed charges,567.23,percent of total billed charges,567.23,percent of total billed charges,567.23,percent of total billed charges,567.23,percent of total billed charges,567.23,percent of total billed charges,408.41,percent of total billed charges,408.41,percent of total billed charges,408.41,percent of total billed charges,408.41,percent of total billed charges,408.41,percent of total billed charges,408.41,percent of total billed charges,448.11,percent of total billed charges,448.11,percent of total billed charges,453.78,percent of total billed charges,453.78,percent of total billed charges,,,408.41,percent of total billed charges ,,,453.78,percent of total billed charges ,448.11,percent of total billed charges ,448.11,percent of total billed charges ,482.15,percent of total billed charges ,482.15,percent of total billed charges ,453.78,percent of total billed charges ,453.78,percent of total billed charges ,397.06,percent of total billed charges ,397.06,percent of total billed charges ,340.34,percent of total billed charges ,340.34,percent of total billed charges ,340.34,percent of total billed charges ,340.34,percent of total billed charges ,,,,,301.77,percent of total billed charges ,,,,,286.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,130.46,percent of total billed charges,,,130.46,percent of total billed charges,,,130.46,percent of total billed charges,,,130.46,percent of total billed charges,,,130.46,percent of total billed charges,,,130.46,percent of total billed charges,,,130.46,percent of total billed charges,,,130.46,percent of total billed charges,,,130.46,percent of total billed charges,,,130.46,percent of total billed charges,,,130.46,percent of total billed charges,
EPOETIN INJ : 2000 UNITS/ML,J0885,CDM,,,,both,1,each,265.64,265.64,61.1,265.64,265.64,percent of total billed charges,265.64,percent of total billed charges,265.64,percent of total billed charges,265.64,percent of total billed charges,265.64,percent of total billed charges,265.64,percent of total billed charges,265.64,percent of total billed charges,265.64,percent of total billed charges,191.26,percent of total billed charges,191.26,percent of total billed charges,191.26,percent of total billed charges,191.26,percent of total billed charges,191.26,percent of total billed charges,191.26,percent of total billed charges,209.86,percent of total billed charges,209.86,percent of total billed charges,212.51,percent of total billed charges,212.51,percent of total billed charges,,,191.26,percent of total billed charges ,,,212.51,percent of total billed charges ,209.86,percent of total billed charges ,209.86,percent of total billed charges ,225.79,percent of total billed charges ,225.79,percent of total billed charges ,212.51,percent of total billed charges ,212.51,percent of total billed charges ,185.95,percent of total billed charges ,185.95,percent of total billed charges ,159.38,percent of total billed charges ,159.38,percent of total billed charges ,159.38,percent of total billed charges ,159.38,percent of total billed charges ,,,,,141.32,percent of total billed charges ,,,,,134.25,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,
AZASITE OPHTH SOLN 1%,637,RC,17478-03-0703,NDC,,both,,,492.4,492.4,113.25,492.4,492.4,percent of total billed charges,492.4,percent of total billed charges,492.4,percent of total billed charges,492.4,percent of total billed charges,492.4,percent of total billed charges,492.4,percent of total billed charges,492.4,percent of total billed charges,492.4,percent of total billed charges,354.53,percent of total billed charges,354.53,percent of total billed charges,354.53,percent of total billed charges,354.53,percent of total billed charges,354.53,percent of total billed charges,354.53,percent of total billed charges,389,percent of total billed charges,389,percent of total billed charges,393.92,percent of total billed charges,393.92,percent of total billed charges,,,354.53,percent of total billed charges ,,,393.92,percent of total billed charges ,389,percent of total billed charges ,389,percent of total billed charges ,418.54,percent of total billed charges ,418.54,percent of total billed charges ,393.92,percent of total billed charges ,393.92,percent of total billed charges ,344.68,percent of total billed charges ,344.68,percent of total billed charges ,295.44,percent of total billed charges ,295.44,percent of total billed charges ,295.44,percent of total billed charges ,295.44,percent of total billed charges ,,,,,261.96,percent of total billed charges ,,,,,248.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,113.25,percent of total billed charges,,,113.25,percent of total billed charges,,,113.25,percent of total billed charges,,,113.25,percent of total billed charges,,,113.25,percent of total billed charges,,,113.25,percent of total billed charges,,,113.25,percent of total billed charges,,,113.25,percent of total billed charges,,,113.25,percent of total billed charges,,,113.25,percent of total billed charges,,,113.25,percent of total billed charges,
ROSUVASTATIN (CRESTOR) TAB : 40MG,637,RC,57237-01-7190,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
CLOPIDOGREL (PLAVIX) TAB : 300MG,637,RC,69367-01-9430,NDC,,both,1,each,30.59,30.59,7.04,30.59,30.59,percent of total billed charges,30.59,percent of total billed charges,30.59,percent of total billed charges,30.59,percent of total billed charges,30.59,percent of total billed charges,30.59,percent of total billed charges,30.59,percent of total billed charges,30.59,percent of total billed charges,22.02,percent of total billed charges,22.02,percent of total billed charges,22.02,percent of total billed charges,22.02,percent of total billed charges,22.02,percent of total billed charges,22.02,percent of total billed charges,24.17,percent of total billed charges,24.17,percent of total billed charges,24.47,percent of total billed charges,24.47,percent of total billed charges,,,22.02,percent of total billed charges ,,,24.47,percent of total billed charges ,24.17,percent of total billed charges ,24.17,percent of total billed charges ,26,percent of total billed charges ,26,percent of total billed charges ,24.47,percent of total billed charges ,24.47,percent of total billed charges ,21.41,percent of total billed charges ,21.41,percent of total billed charges ,18.35,percent of total billed charges ,18.35,percent of total billed charges ,18.35,percent of total billed charges ,18.35,percent of total billed charges ,,,,,16.27,percent of total billed charges ,,,,,15.46,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,,,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,,,7.04,percent of total billed charges,,,7.04,percent of total billed charges,,,7.04,percent of total billed charges,
EPIPEN AUTO-INJECTOR 0.3MG SYRINGE,637,RC,49502-01-0202,NDC,,both,1,each,"1,522.45","1,522.45",350.16,"1,522.45","1,522.45",percent of total billed charges,"1,522.45",percent of total billed charges,"1,522.45",percent of total billed charges,"1,522.45",percent of total billed charges,"1,522.45",percent of total billed charges,"1,522.45",percent of total billed charges,"1,522.45",percent of total billed charges,"1,522.45",percent of total billed charges,"1,096.16",percent of total billed charges,"1,096.16",percent of total billed charges,"1,096.16",percent of total billed charges,"1,096.16",percent of total billed charges,"1,096.16",percent of total billed charges,"1,096.16",percent of total billed charges,"1,202.74",percent of total billed charges,"1,202.74",percent of total billed charges,"1,217.96",percent of total billed charges,"1,217.96",percent of total billed charges,,,"1,096.16",percent of total billed charges ,,,"1,217.96",percent of total billed charges ,"1,202.74",percent of total billed charges ,"1,202.74",percent of total billed charges ,"1,294.08",percent of total billed charges ,"1,294.08",percent of total billed charges ,"1,217.96",percent of total billed charges ,"1,217.96",percent of total billed charges ,"1,065.72",percent of total billed charges ,"1,065.72",percent of total billed charges ,913.47,percent of total billed charges ,913.47,percent of total billed charges ,913.47,percent of total billed charges ,913.47,percent of total billed charges ,,,,,809.94,percent of total billed charges ,,,,,769.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,350.16,percent of total billed charges,,,350.16,percent of total billed charges,,,350.16,percent of total billed charges,,,350.16,percent of total billed charges,,,350.16,percent of total billed charges,,,350.16,percent of total billed charges,,,350.16,percent of total billed charges,,,350.16,percent of total billed charges,,,350.16,percent of total billed charges,,,350.16,percent of total billed charges,,,350.16,percent of total billed charges,
MOXIFLOXACIN (VIGAMOX) OPHT 0.5% : 3ML,637,RC,60505-05-8204,NDC,,both,3,each,292.34,292.34,67.24,292.34,292.34,percent of total billed charges,292.34,percent of total billed charges,292.34,percent of total billed charges,292.34,percent of total billed charges,292.34,percent of total billed charges,292.34,percent of total billed charges,292.34,percent of total billed charges,292.34,percent of total billed charges,210.48,percent of total billed charges,210.48,percent of total billed charges,210.48,percent of total billed charges,210.48,percent of total billed charges,210.48,percent of total billed charges,210.48,percent of total billed charges,230.95,percent of total billed charges,230.95,percent of total billed charges,233.87,percent of total billed charges,233.87,percent of total billed charges,,,210.48,percent of total billed charges ,,,233.87,percent of total billed charges ,230.95,percent of total billed charges ,230.95,percent of total billed charges ,248.49,percent of total billed charges ,248.49,percent of total billed charges ,233.87,percent of total billed charges ,233.87,percent of total billed charges ,204.64,percent of total billed charges ,204.64,percent of total billed charges ,175.4,percent of total billed charges ,175.4,percent of total billed charges ,175.4,percent of total billed charges ,175.4,percent of total billed charges ,,,,,155.52,percent of total billed charges ,,,,,147.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,67.24,percent of total billed charges,,,67.24,percent of total billed charges,,,67.24,percent of total billed charges,,,67.24,percent of total billed charges,,,67.24,percent of total billed charges,,,67.24,percent of total billed charges,,,67.24,percent of total billed charges,,,67.24,percent of total billed charges,,,67.24,percent of total billed charges,,,67.24,percent of total billed charges,,,67.24,percent of total billed charges,
PHENYTOIN (DILANTIN) INJ : 100MG/2ML,J1165,CDM,,,,both,1,each,18.29,18.29,4.21,18.29,18.29,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,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,14.45,percent of total billed charges,14.45,percent of total billed charges,14.63,percent of total billed charges,14.63,percent of total billed charges,,,13.17,percent of total billed charges ,,,14.63,percent of total billed charges ,14.45,percent of total billed charges ,14.45,percent of total billed charges ,15.55,percent of total billed charges ,15.55,percent of total billed charges ,14.63,percent of total billed charges ,14.63,percent of total billed charges ,12.8,percent of total billed charges ,12.8,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 ,,,,,9.73,percent of total billed charges ,,,,,9.24,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,
VALPROATE SODIUM INJ 500MG/5ML,J3490,CDM,,,,both,5,each,40.84,40.84,9.39,40.84,40.84,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,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,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,32.26,percent of total billed charges,32.26,percent of total billed charges,32.67,percent of total billed charges,32.67,percent of total billed charges,,,29.4,percent of total billed charges ,,,32.67,percent of total billed charges ,32.26,percent of total billed charges ,32.26,percent of total billed charges ,34.71,percent of total billed charges ,34.71,percent of total billed charges ,32.67,percent of total billed charges ,32.67,percent of total billed charges ,28.59,percent of total billed charges ,28.59,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 ,,,,,21.73,percent of total billed charges ,,,,,20.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.39,percent of total billed charges,,,9.39,percent of total billed charges,,,9.39,percent of total billed charges,,,9.39,percent of total billed charges,,,9.39,percent of total billed charges,,,9.39,percent of total billed charges,,,9.39,percent of total billed charges,,,9.39,percent of total billed charges,,,9.39,percent of total billed charges,,,9.39,percent of total billed charges,,,9.39,percent of total billed charges,
pyRIDostigmine (MESTINON) TAB  : 60MG,637,RC,00904-66-2261,NDC,,both,1,each,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
PETROLATUM WHITE OINTMENT :,637,RC,00168-00-5321,NDC,,both,1,each,11.53,11.53,2.65,11.53,11.53,percent of total billed charges,11.53,percent of total billed charges,11.53,percent of total billed charges,11.53,percent of total billed charges,11.53,percent of total billed charges,11.53,percent of total billed charges,11.53,percent of total billed charges,11.53,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,9.11,percent of total billed charges,9.11,percent of total billed charges,9.22,percent of total billed charges,9.22,percent of total billed charges,,,8.3,percent of total billed charges ,,,9.22,percent of total billed charges ,9.11,percent of total billed charges ,9.11,percent of total billed charges ,9.8,percent of total billed charges ,9.8,percent of total billed charges ,9.22,percent of total billed charges ,9.22,percent of total billed charges ,8.07,percent of total billed charges ,8.07,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 ,,,,,6.13,percent of total billed charges ,,,,,5.83,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,
TELAVANCIN (VIBATIV) IV SOLN : 750MG,J3095,CDM,,,,both,1,each,"1,590.00","1,590.00",365.7,"1,590.00","1,590.00",percent of total billed charges,"1,590.00",percent of total billed charges,"1,590.00",percent of total billed charges,"1,590.00",percent of total billed charges,"1,590.00",percent of total billed charges,"1,590.00",percent of total billed charges,"1,590.00",percent of total billed charges,"1,590.00",percent of total billed charges,"1,144.80",percent of total billed charges,"1,144.80",percent of total billed charges,"1,144.80",percent of total billed charges,"1,144.80",percent of total billed charges,"1,144.80",percent of total billed charges,"1,144.80",percent of total billed charges,"1,256.10",percent of total billed charges,"1,256.10",percent of total billed charges,"1,272.00",percent of total billed charges,"1,272.00",percent of total billed charges,,,"1,144.80",percent of total billed charges ,,,"1,272.00",percent of total billed charges ,"1,256.10",percent of total billed charges ,"1,256.10",percent of total billed charges ,"1,351.50",percent of total billed charges ,"1,351.50",percent of total billed charges ,"1,272.00",percent of total billed charges ,"1,272.00",percent of total billed charges ,"1,113.00",percent of total billed charges ,"1,113.00",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 ,,,,,845.88,percent of total billed charges ,,,,,803.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,365.7,percent of total billed charges,,,365.7,percent of total billed charges,,,365.7,percent of total billed charges,,,365.7,percent of total billed charges,,,365.7,percent of total billed charges,,,365.7,percent of total billed charges,,,365.7,percent of total billed charges,,,365.7,percent of total billed charges,,,365.7,percent of total billed charges,,,365.7,percent of total billed charges,,,365.7,percent of total billed charges,
VIBATIV IV POWDER FOR SOLUTION 250MG,J3095,CDM,,,,both,1,each,455,455,104.65,455,455,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,359.45,percent of total billed charges,359.45,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 ,359.45,percent of total billed charges ,359.45,percent of total billed charges ,386.75,percent of total billed charges ,386.75,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 ,,,,,,,,,,,,,,,,,,,104.65,percent of total billed charges,,,104.65,percent of total billed charges,,,104.65,percent of total billed charges,,,104.65,percent of total billed charges,,,104.65,percent of total billed charges,,,104.65,percent of total billed charges,,,104.65,percent of total billed charges,,,104.65,percent of total billed charges,,,104.65,percent of total billed charges,,,104.65,percent of total billed charges,,,104.65,percent of total billed charges,
XYLOCAINE-MPF INJ 1% (10MG/ML) 30ML,J2001,CDM,,,,both,1,each,25.62,25.62,5.89,25.62,25.62,percent of total billed charges,25.62,percent of total billed charges,25.62,percent of total billed charges,25.62,percent of total billed charges,25.62,percent of total billed charges,25.62,percent of total billed charges,25.62,percent of total billed charges,25.62,percent of total billed charges,18.45,percent of total billed charges,18.45,percent of total billed charges,18.45,percent of total billed charges,18.45,percent of total billed charges,18.45,percent of total billed charges,18.45,percent of total billed charges,20.24,percent of total billed charges,20.24,percent of total billed charges,20.5,percent of total billed charges,20.5,percent of total billed charges,,,18.45,percent of total billed charges ,,,20.5,percent of total billed charges ,20.24,percent of total billed charges ,20.24,percent of total billed charges ,21.78,percent of total billed charges ,21.78,percent of total billed charges ,20.5,percent of total billed charges ,20.5,percent of total billed charges ,17.93,percent of total billed charges ,17.93,percent of total billed charges ,15.37,percent of total billed charges ,15.37,percent of total billed charges ,15.37,percent of total billed charges ,15.37,percent of total billed charges ,,,,,13.63,percent of total billed charges ,,,,,12.95,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,
FLUDROCORTISONE ACETATE TAB 0.1MG,637,RC,68084-02-8811,NDC,,both,1,each,3.32,3.32,0.76,3.32,3.32,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,2.62,percent of total billed charges,2.62,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 ,2.62,percent of total billed charges ,2.62,percent of total billed charges ,2.82,percent of total billed charges ,2.82,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 ,,,,,,,,,,,,,,,,,,,0.76,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,
MIDODRINE HCL ORAL TABLET 2.5MG,637,RC,52817-03-2310,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
INFLUENZA VACCINE HIGH-DOSE  65 YRS*,90662,CDM,,,,both,1,each,81,81,18.63,81,81,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,63.99,percent of total billed charges,63.99,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 ,63.99,percent of total billed charges ,63.99,percent of total billed charges ,68.85,percent of total billed charges ,68.85,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 ,,,,,,,,,,,,,,,,,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,
METHADONE HCL TAB 10MG,637,RC,68084-07-3801,NDC,,both,1,each,3.08,3.08,0.71,3.08,3.08,percent of total billed charges,3.08,percent of total billed charges,3.08,percent of total billed charges,3.08,percent of total billed charges,3.08,percent of total billed charges,3.08,percent of total billed charges,3.08,percent of total billed charges,3.08,percent of total billed charges,2.22,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,2.43,percent of total billed charges,2.43,percent of total billed charges,2.46,percent of total billed charges,2.46,percent of total billed charges,,,2.22,percent of total billed charges ,,,2.46,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 ,2.46,percent of total billed charges ,2.46,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 ,,,,,,,,,,,,,,,,,,,0.71,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,
HYDROmorphone (DILAUDID) INJ : 1 MG/ML,J1170,CDM,,,,both,1,each,48.32,48.32,11.11,48.32,48.32,percent of total billed charges,48.32,percent of total billed charges,48.32,percent of total billed charges,48.32,percent of total billed charges,48.32,percent of total billed charges,48.32,percent of total billed charges,48.32,percent of total billed charges,48.32,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,38.17,percent of total billed charges,38.17,percent of total billed charges,38.66,percent of total billed charges,38.66,percent of total billed charges,,,34.79,percent of total billed charges ,,,38.66,percent of total billed charges ,38.17,percent of total billed charges ,38.17,percent of total billed charges ,41.07,percent of total billed charges ,41.07,percent of total billed charges ,38.66,percent of total billed charges ,38.66,percent of total billed charges ,33.82,percent of total billed charges ,33.82,percent of total billed charges ,28.99,percent of total billed charges ,28.99,percent of total billed charges ,28.99,percent of total billed charges ,28.99,percent of total billed charges ,,,,,25.71,percent of total billed charges ,,,,,24.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.11,percent of total billed charges,,,11.11,percent of total billed charges,,,11.11,percent of total billed charges,,,11.11,percent of total billed charges,,,11.11,percent of total billed charges,,,11.11,percent of total billed charges,,,11.11,percent of total billed charges,,,11.11,percent of total billed charges,,,11.11,percent of total billed charges,,,11.11,percent of total billed charges,,,11.11,percent of total billed charges,
ALPH1PRO INH (PROLASTIN-C) IV GM,J0256,CDM,,,,both,1,each,"1,999.50","1,999.50",459.89,"1,999.50","1,999.50",percent of total billed charges,"1,999.50",percent of total billed charges,"1,999.50",percent of total billed charges,"1,999.50",percent of total billed charges,"1,999.50",percent of total billed charges,"1,999.50",percent of total billed charges,"1,999.50",percent of total billed charges,"1,999.50",percent of total billed charges,"1,439.64",percent of total billed charges,"1,439.64",percent of total billed charges,"1,439.64",percent of total billed charges,"1,439.64",percent of total billed charges,"1,439.64",percent of total billed charges,"1,439.64",percent of total billed charges,"1,579.61",percent of total billed charges,"1,579.61",percent of total billed charges,"1,599.60",percent of total billed charges,"1,599.60",percent of total billed charges,,,"1,439.64",percent of total billed charges ,,,"1,599.60",percent of total billed charges ,"1,579.61",percent of total billed charges ,"1,579.61",percent of total billed charges ,"1,699.58",percent of total billed charges ,"1,699.58",percent of total billed charges ,"1,599.60",percent of total billed charges ,"1,599.60",percent of total billed charges ,"1,399.65",percent of total billed charges ,"1,399.65",percent of total billed charges ,"1,199.70",percent of total billed charges ,"1,199.70",percent of total billed charges ,"1,199.70",percent of total billed charges ,"1,199.70",percent of total billed charges ,,,,,"1,063.73",percent of total billed charges ,,,,,"1,010.55",percent of total billed charges ,,,,,,,,,,,,,,,,,,,459.89,percent of total billed charges,,,459.89,percent of total billed charges,,,459.89,percent of total billed charges,,,459.89,percent of total billed charges,,,459.89,percent of total billed charges,,,459.89,percent of total billed charges,,,459.89,percent of total billed charges,,,459.89,percent of total billed charges,,,459.89,percent of total billed charges,,,459.89,percent of total billed charges,,,459.89,percent of total billed charges,
TOCILIZUMAB(ACTEMRA) INJ : 400MG/20ML,J3262,CDM,,,,both,1,each,"16,048.37","16,048.37","3,691.13","16,048.37","16,048.37",percent of total billed charges,"16,048.37",percent of total billed charges,"16,048.37",percent of total billed charges,"16,048.37",percent of total billed charges,"16,048.37",percent of total billed charges,"16,048.37",percent of total billed charges,"16,048.37",percent of total billed charges,"16,048.37",percent of total billed charges,"11,554.83",percent of total billed charges,"11,554.83",percent of total billed charges,"11,554.83",percent of total billed charges,"11,554.83",percent of total billed charges,"11,554.83",percent of total billed charges,"11,554.83",percent of total billed charges,"12,678.21",percent of total billed charges,"12,678.21",percent of total billed charges,"12,838.70",percent of total billed charges,"12,838.70",percent of total billed charges,,,"11,554.83",percent of total billed charges ,,,"12,838.70",percent of total billed charges ,"12,678.21",percent of total billed charges ,"12,678.21",percent of total billed charges ,"13,641.11",percent of total billed charges ,"13,641.11",percent of total billed charges ,"12,838.70",percent of total billed charges ,"12,838.70",percent of total billed charges ,"11,233.86",percent of total billed charges ,"11,233.86",percent of total billed charges ,"9,629.02",percent of total billed charges ,"9,629.02",percent of total billed charges ,"9,629.02",percent of total billed charges ,"9,629.02",percent of total billed charges ,,,,,"8,537.73",percent of total billed charges ,,,,,"8,110.85",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,691.13",percent of total billed charges,,,"3,691.13",percent of total billed charges,,,"3,691.13",percent of total billed charges,,,"3,691.13",percent of total billed charges,,,"3,691.13",percent of total billed charges,,,"3,691.13",percent of total billed charges,,,"3,691.13",percent of total billed charges,,,"3,691.13",percent of total billed charges,,,"3,691.13",percent of total billed charges,,,"3,691.13",percent of total billed charges,,,"3,691.13",percent of total billed charges,
"HYDROMORPHONE HCL SOLN 2MG/1ML,20ML",J1170,CDM,,,,both,1,each,6,6,1.38,6,6,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,4.74,percent of total billed charges,4.74,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 ,4.74,percent of total billed charges ,4.74,percent of total billed charges ,5.1,percent of total billed charges ,5.1,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 ,,,,,,,,,,,,,,,,,,,1.38,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,
CORTISONE ACETATE TAB : 25MG,637,RC,00143-97-0001,NDC,,both,1,each,14,14,3.22,14,14,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,11.06,percent of total billed charges,11.06,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 ,11.06,percent of total billed charges ,11.06,percent of total billed charges ,11.9,percent of total billed charges ,11.9,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 ,,,,,,,,,,,,,,,,,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,
RAMELTEON (ROZEREM) TAB : 8MG,637,RC,64764-08-0530,NDC,,both,1,each,6.91,6.91,1.59,6.91,6.91,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,5.46,percent of total billed charges,5.46,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 ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.87,percent of total billed charges ,5.87,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 ,,,,,,,,,,,,,,,,,,,1.59,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,
INTRALIPID INJECTION 20%,250,RC,00338-05-1902,NDC,,both,250,each,555,555,127.65,555,555,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,438.45,percent of total billed charges,438.45,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 ,438.45,percent of total billed charges ,438.45,percent of total billed charges ,471.75,percent of total billed charges ,471.75,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 ,,,,,,,,,,,,,,,,,,,127.65,percent of total billed charges,,,127.65,percent of total billed charges,,,127.65,percent of total billed charges,,,127.65,percent of total billed charges,,,127.65,percent of total billed charges,,,127.65,percent of total billed charges,,,127.65,percent of total billed charges,,,127.65,percent of total billed charges,,,127.65,percent of total billed charges,,,127.65,percent of total billed charges,,,127.65,percent of total billed charges,
HYALURONATE SODIUM OPHT FOR INJ,250,RC,61772-06-0081,NDC,,both,1,each,385.45,385.45,88.65,385.45,385.45,percent of total billed charges,385.45,percent of total billed charges,385.45,percent of total billed charges,385.45,percent of total billed charges,385.45,percent of total billed charges,385.45,percent of total billed charges,385.45,percent of total billed charges,385.45,percent of total billed charges,277.52,percent of total billed charges,277.52,percent of total billed charges,277.52,percent of total billed charges,277.52,percent of total billed charges,277.52,percent of total billed charges,277.52,percent of total billed charges,304.51,percent of total billed charges,304.51,percent of total billed charges,308.36,percent of total billed charges,308.36,percent of total billed charges,,,277.52,percent of total billed charges ,,,308.36,percent of total billed charges ,304.51,percent of total billed charges ,304.51,percent of total billed charges ,327.63,percent of total billed charges ,327.63,percent of total billed charges ,308.36,percent of total billed charges ,308.36,percent of total billed charges ,269.82,percent of total billed charges ,269.82,percent of total billed charges ,231.27,percent of total billed charges ,231.27,percent of total billed charges ,231.27,percent of total billed charges ,231.27,percent of total billed charges ,,,,,205.06,percent of total billed charges ,,,,,194.81,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,,,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,
NITROGLYCERIN OINT 2% : 1GM FOILPAC,637,RC,00281-03-2608,NDC,,both,1,each,32.21,32.21,7.41,32.21,32.21,percent of total billed charges,32.21,percent of total billed charges,32.21,percent of total billed charges,32.21,percent of total billed charges,32.21,percent of total billed charges,32.21,percent of total billed charges,32.21,percent of total billed charges,32.21,percent of total billed charges,23.19,percent of total billed charges,23.19,percent of total billed charges,23.19,percent of total billed charges,23.19,percent of total billed charges,23.19,percent of total billed charges,23.19,percent of total billed charges,25.45,percent of total billed charges,25.45,percent of total billed charges,25.77,percent of total billed charges,25.77,percent of total billed charges,,,23.19,percent of total billed charges ,,,25.77,percent of total billed charges ,25.45,percent of total billed charges ,25.45,percent of total billed charges ,27.38,percent of total billed charges ,27.38,percent of total billed charges ,25.77,percent of total billed charges ,25.77,percent of total billed charges ,22.55,percent of total billed charges ,22.55,percent of total billed charges ,19.33,percent of total billed charges ,19.33,percent of total billed charges ,19.33,percent of total billed charges ,19.33,percent of total billed charges ,,,,,17.14,percent of total billed charges ,,,,,16.28,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,
CARISOPRODOL (SOMA) TAB : 350MG,637,RC,50742-06-5601,NDC,,both,1,each,2.04,2.04,0.47,2.04,2.04,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,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,1.61,percent of total billed charges,1.61,percent of total billed charges,1.63,percent of total billed charges,1.63,percent of total billed charges,,,1.47,percent of total billed charges ,,,1.63,percent of total billed charges ,1.61,percent of total billed charges ,1.61,percent of total billed charges ,1.73,percent of total billed charges ,1.73,percent of total billed charges ,1.63,percent of total billed charges ,1.63,percent of total billed charges ,1.43,percent of total billed charges ,1.43,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 ,,,,,1.09,percent of total billed charges ,,,,,1.03,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,
LAMINARIA CERVICAL DILATOR,Local ,Local ,,,,both,1,each,93,93,21.39,93,93,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,73.47,percent of total billed charges,73.47,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 ,73.47,percent of total billed charges ,73.47,percent of total billed charges ,79.05,percent of total billed charges ,79.05,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 ,,,,,,,,,,,,,,,,,,,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,,,21.39,percent of total billed charges,,,21.39,percent of total billed charges,,,21.39,percent of total billed charges,
BACTERIOSTATIC SODIUM CL 0.9% 30ML,250,RC,00409-19-6607,NDC,,both,1,each,11.94,11.94,2.75,11.94,11.94,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,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,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,9.43,percent of total billed charges,9.43,percent of total billed charges,9.55,percent of total billed charges,9.55,percent of total billed charges,,,8.6,percent of total billed charges ,,,9.55,percent of total billed charges ,9.43,percent of total billed charges ,9.43,percent of total billed charges ,10.15,percent of total billed charges ,10.15,percent of total billed charges ,9.55,percent of total billed charges ,9.55,percent of total billed charges ,8.36,percent of total billed charges ,8.36,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 ,,,,,6.35,percent of total billed charges ,,,,,6.03,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,
INSULIN HumuLIN REGULAR 100U/ML : 3ML VL,J1815,CDM,,,,both,1,each,14.95,14.95,3.44,14.95,14.95,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,11.81,percent of total billed charges,11.81,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 ,11.81,percent of total billed charges ,11.81,percent of total billed charges ,12.71,percent of total billed charges ,12.71,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 ,,,,,,,,,,,,,,,,,,,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,,,3.44,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,,,3.44,percent of total billed charges,,,3.44,percent of total billed charges,,,3.44,percent of total billed charges,
INSULIN HumuLIN NPH U-100 : 3ML VIAL,J1815,CDM,,,,both,1,each,43.68,43.68,10.05,43.68,43.68,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,31.45,percent of total billed charges,31.45,percent of total billed charges,31.45,percent of total billed charges,31.45,percent of total billed charges,31.45,percent of total billed charges,31.45,percent of total billed charges,34.51,percent of total billed charges,34.51,percent of total billed charges,34.94,percent of total billed charges,34.94,percent of total billed charges,,,31.45,percent of total billed charges ,,,34.94,percent of total billed charges ,34.51,percent of total billed charges ,34.51,percent of total billed charges ,37.13,percent of total billed charges ,37.13,percent of total billed charges ,34.94,percent of total billed charges ,34.94,percent of total billed charges ,30.58,percent of total billed charges ,30.58,percent of total billed charges ,26.21,percent of total billed charges ,26.21,percent of total billed charges ,26.21,percent of total billed charges ,26.21,percent of total billed charges ,,,,,23.24,percent of total billed charges ,,,,,22.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.05,percent of total billed charges,,,10.05,percent of total billed charges,,,10.05,percent of total billed charges,,,10.05,percent of total billed charges,,,10.05,percent of total billed charges,,,10.05,percent of total billed charges,,,10.05,percent of total billed charges,,,10.05,percent of total billed charges,,,10.05,percent of total billed charges,,,10.05,percent of total billed charges,,,10.05,percent of total billed charges,
INSULIN LISPRO (HumaLOG/NovoLOG) 3ML VL,J1815,CDM,,,,both,1,each,41.87,41.87,9.63,41.87,41.87,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,33.08,percent of total billed charges,33.08,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 ,33.08,percent of total billed charges ,33.08,percent of total billed charges ,35.59,percent of total billed charges ,35.59,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 ,,,,,,,,,,,,,,,,,,,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,
TOPIRAMATE (TOPAMAX) TAB : 100MG,637,RC,68084-03-4401,NDC,,both,1,each,1.46,1.46,0.34,1.46,1.46,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,1.15,percent of total billed charges,1.15,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 ,1.15,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 ,1.17,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 ,,,,,,,,,,,,,,,,,,,0.34,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,
MORPHINE PF (DURAMORPH) 1MG/ML 10ML,J2274,CDM,,,,both,1,each,531.53,531.53,122.25,531.53,531.53,percent of total billed charges,531.53,percent of total billed charges,531.53,percent of total billed charges,531.53,percent of total billed charges,531.53,percent of total billed charges,531.53,percent of total billed charges,531.53,percent of total billed charges,531.53,percent of total billed charges,382.7,percent of total billed charges,382.7,percent of total billed charges,382.7,percent of total billed charges,382.7,percent of total billed charges,382.7,percent of total billed charges,382.7,percent of total billed charges,419.91,percent of total billed charges,419.91,percent of total billed charges,425.22,percent of total billed charges,425.22,percent of total billed charges,,,382.7,percent of total billed charges ,,,425.22,percent of total billed charges ,419.91,percent of total billed charges ,419.91,percent of total billed charges ,451.8,percent of total billed charges ,451.8,percent of total billed charges ,425.22,percent of total billed charges ,425.22,percent of total billed charges ,372.07,percent of total billed charges ,372.07,percent of total billed charges ,318.92,percent of total billed charges ,318.92,percent of total billed charges ,318.92,percent of total billed charges ,318.92,percent of total billed charges ,,,,,282.77,percent of total billed charges ,,,,,268.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,122.25,percent of total billed charges,,,122.25,percent of total billed charges,,,122.25,percent of total billed charges,,,122.25,percent of total billed charges,,,122.25,percent of total billed charges,,,122.25,percent of total billed charges,,,122.25,percent of total billed charges,,,122.25,percent of total billed charges,,,122.25,percent of total billed charges,,,122.25,percent of total billed charges,,,122.25,percent of total billed charges,
VITAMIN D3 (CHOLECALC) : 1000 IU (25MCG),637,RC,48433-01-0401,NDC,,both,,,1.21,1.21,0.28,1.21,1.21,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,0.96,percent of total billed charges,0.96,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 ,0.96,percent of total billed charges ,0.96,percent of total billed charges ,1.03,percent of total billed charges ,1.03,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 ,,,,,,,,,,,,,,,,,,,0.28,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,
RISPERDAL CONSTA IM  SUSP ER 25MG,J2794,CDM,,,,both,1,each,"1,745.00","1,745.00",401.35,"1,745.00","1,745.00",percent of total billed charges,"1,745.00",percent of total billed charges,"1,745.00",percent of total billed charges,"1,745.00",percent of total billed charges,"1,745.00",percent of total billed charges,"1,745.00",percent of total billed charges,"1,745.00",percent of total billed charges,"1,745.00",percent of total billed charges,"1,256.40",percent of total billed charges,"1,256.40",percent of total billed charges,"1,256.40",percent of total billed charges,"1,256.40",percent of total billed charges,"1,256.40",percent of total billed charges,"1,256.40",percent of total billed charges,"1,378.55",percent of total billed charges,"1,378.55",percent of total billed charges,"1,396.00",percent of total billed charges,"1,396.00",percent of total billed charges,,,"1,256.40",percent of total billed charges ,,,"1,396.00",percent of total billed charges ,"1,378.55",percent of total billed charges ,"1,378.55",percent of total billed charges ,"1,483.25",percent of total billed charges ,"1,483.25",percent of total billed charges ,"1,396.00",percent of total billed charges ,"1,396.00",percent of total billed charges ,"1,221.50",percent of total billed charges ,"1,221.50",percent of total billed charges ,"1,047.00",percent of total billed charges ,"1,047.00",percent of total billed charges ,"1,047.00",percent of total billed charges ,"1,047.00",percent of total billed charges ,,,,,928.34,percent of total billed charges ,,,,,881.92,percent of total billed charges ,,,,,,,,,,,,,,,,,,,401.35,percent of total billed charges,,,401.35,percent of total billed charges,,,401.35,percent of total billed charges,,,401.35,percent of total billed charges,,,401.35,percent of total billed charges,,,401.35,percent of total billed charges,,,401.35,percent of total billed charges,,,401.35,percent of total billed charges,,,401.35,percent of total billed charges,,,401.35,percent of total billed charges,,,401.35,percent of total billed charges,
NORMAL SALINE 0.9% 250ML ADD,J7050,CDM,,,,both,250,each,88,88,20.24,88,88,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,69.52,percent of total billed charges,69.52,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 ,69.52,percent of total billed charges ,69.52,percent of total billed charges ,74.8,percent of total billed charges ,74.8,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 ,,,,,,,,,,,,,,,,,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,
"DICLOFENAC GEL 1% (VOLTAREN), 100GM",637,RC,69097-05-2444,NDC,,both,1,each,94.15,94.15,21.65,94.15,94.15,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,94.15,percent of total billed charges,94.15,percent of total billed charges,67.79,percent of total billed charges,67.79,percent of total billed charges,67.79,percent of total billed charges,67.79,percent of total billed charges,67.79,percent of total billed charges,67.79,percent of total billed charges,74.38,percent of total billed charges,74.38,percent of total billed charges,75.32,percent of total billed charges,75.32,percent of total billed charges,,,67.79,percent of total billed charges ,,,75.32,percent of total billed charges ,74.38,percent of total billed charges ,74.38,percent of total billed charges ,80.03,percent of total billed charges ,80.03,percent of total billed charges ,75.32,percent of total billed charges ,75.32,percent of total billed charges ,65.91,percent of total billed charges ,65.91,percent of total billed charges ,56.49,percent of total billed charges ,56.49,percent of total billed charges ,56.49,percent of total billed charges ,56.49,percent of total billed charges ,,,,,50.09,percent of total billed charges ,,,,,47.58,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,,,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,,,21.65,percent of total billed charges,,,21.65,percent of total billed charges,,,21.65,percent of total billed charges,
GLUCOSAMINE & CHONDR CAP 500MG-400MG,637,RC,50268-03-7611,NDC,,both,1,each,0.54,0.54,0.12,0.54,0.54,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,0.43,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,,,0.39,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 ,0.46,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 ,0.38,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 ,,,,,,,,,,,,,,,,,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,
"HEALON 10MG/ML, 0.55ML INTRAOCULAR *",250,RC,00016-03-1055,NDC,,both,1,each,828,828,190.44,828,828,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,828,percent of total billed charges,828,percent of total billed charges,596.16,percent of total billed charges,596.16,percent of total billed charges,596.16,percent of total billed charges,596.16,percent of total billed charges,596.16,percent of total billed charges,596.16,percent of total billed charges,654.12,percent of total billed charges,654.12,percent of total billed charges,662.4,percent of total billed charges,662.4,percent of total billed charges,,,596.16,percent of total billed charges ,,,662.4,percent of total billed charges ,654.12,percent of total billed charges ,654.12,percent of total billed charges ,703.8,percent of total billed charges ,703.8,percent of total billed charges ,662.4,percent of total billed charges ,662.4,percent of total billed charges ,579.6,percent of total billed charges ,579.6,percent of total billed charges ,496.8,percent of total billed charges ,496.8,percent of total billed charges ,496.8,percent of total billed charges ,496.8,percent of total billed charges ,,,,,440.5,percent of total billed charges ,,,,,418.47,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,,,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,,,190.44,percent of total billed charges,,,190.44,percent of total billed charges,,,190.44,percent of total billed charges,
INSULIN novoLOG MIX 70/30 10ML,637,RC,00169-36-8512,NDC,,both,1,each,230.75,230.75,53.07,230.75,230.75,percent of total billed charges,230.75,percent of total billed charges,230.75,percent of total billed charges,230.75,percent of total billed charges,230.75,percent of total billed charges,230.75,percent of total billed charges,230.75,percent of total billed charges,230.75,percent of total billed charges,166.14,percent of total billed charges,166.14,percent of total billed charges,166.14,percent of total billed charges,166.14,percent of total billed charges,166.14,percent of total billed charges,166.14,percent of total billed charges,182.29,percent of total billed charges,182.29,percent of total billed charges,184.6,percent of total billed charges,184.6,percent of total billed charges,,,166.14,percent of total billed charges ,,,184.6,percent of total billed charges ,182.29,percent of total billed charges ,182.29,percent of total billed charges ,196.14,percent of total billed charges ,196.14,percent of total billed charges ,184.6,percent of total billed charges ,184.6,percent of total billed charges ,161.53,percent of total billed charges ,161.53,percent of total billed charges ,138.45,percent of total billed charges ,138.45,percent of total billed charges ,138.45,percent of total billed charges ,138.45,percent of total billed charges ,,,,,122.76,percent of total billed charges ,,,,,116.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,53.07,percent of total billed charges,,,53.07,percent of total billed charges,,,53.07,percent of total billed charges,,,53.07,percent of total billed charges,,,53.07,percent of total billed charges,,,53.07,percent of total billed charges,,,53.07,percent of total billed charges,,,53.07,percent of total billed charges,,,53.07,percent of total billed charges,,,53.07,percent of total billed charges,,,53.07,percent of total billed charges,
METHOTREXATE SODIUM INJ SOLN 50MG/2ML,J9250,CDM,,,,both,1,each,77.04,77.04,17.72,77.04,77.04,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,77.04,percent of total billed charges,77.04,percent of total billed charges,55.47,percent of total billed charges,55.47,percent of total billed charges,55.47,percent of total billed charges,55.47,percent of total billed charges,55.47,percent of total billed charges,55.47,percent of total billed charges,60.86,percent of total billed charges,60.86,percent of total billed charges,61.63,percent of total billed charges,61.63,percent of total billed charges,,,55.47,percent of total billed charges ,,,61.63,percent of total billed charges ,60.86,percent of total billed charges ,60.86,percent of total billed charges ,65.48,percent of total billed charges ,65.48,percent of total billed charges ,61.63,percent of total billed charges ,61.63,percent of total billed charges ,53.93,percent of total billed charges ,53.93,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 ,,,,,40.99,percent of total billed charges ,,,,,38.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,17.72,percent of total billed charges,,,17.72,percent of total billed charges,,,17.72,percent of total billed charges,,,17.72,percent of total billed charges,,,17.72,percent of total billed charges,,,17.72,percent of total billed charges,,,17.72,percent of total billed charges,,,17.72,percent of total billed charges,,,17.72,percent of total billed charges,,,17.72,percent of total billed charges,,,17.72,percent of total billed charges,
MULTI-VITAMIN PLUS IRON TABLET,637,RC,80681-01-2400,NDC,,both,1,each,0.25,0.25,0.06,0.25,0.25,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,0.18,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,0.2,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,,,0.18,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 ,0.21,percent of total billed charges ,0.21,percent of total billed charges ,0.2,percent of total billed charges ,0.2,percent of total billed charges ,0.18,percent of total billed charges ,0.18,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 ,,,,,0.13,percent of total billed charges ,,,,,0.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,
OSELTAMIVIR (TAMIFLU) CAPS : 30MG,637,RC,68180-06-7511,NDC,,both,1,each,21.68,21.68,4.99,21.68,21.68,percent of total billed charges,21.68,percent of total billed charges,21.68,percent of total billed charges,21.68,percent of total billed charges,21.68,percent of total billed charges,21.68,percent of total billed charges,21.68,percent of total billed charges,21.68,percent of total billed charges,15.61,percent of total billed charges,15.61,percent of total billed charges,15.61,percent of total billed charges,15.61,percent of total billed charges,15.61,percent of total billed charges,15.61,percent of total billed charges,17.13,percent of total billed charges,17.13,percent of total billed charges,17.34,percent of total billed charges,17.34,percent of total billed charges,,,15.61,percent of total billed charges ,,,17.34,percent of total billed charges ,17.13,percent of total billed charges ,17.13,percent of total billed charges ,18.43,percent of total billed charges ,18.43,percent of total billed charges ,17.34,percent of total billed charges ,17.34,percent of total billed charges ,15.18,percent of total billed charges ,15.18,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 ,,,,,11.53,percent of total billed charges ,,,,,10.96,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,
**ACETIC ACID IRRIGATION SOLN 0.25% : 1L,250,RC,00264-23-0400,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
LEVETIRACETAM (KEPPRA) 500MG/5ML IV,J1953,CDM,,,,both,5,each,23.47,23.47,5.4,23.47,23.47,percent of total billed charges,23.47,percent of total billed charges,23.47,percent of total billed charges,23.47,percent of total billed charges,23.47,percent of total billed charges,23.47,percent of total billed charges,23.47,percent of total billed charges,23.47,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,16.9,percent of total billed charges,16.9,percent of total billed charges,18.54,percent of total billed charges,18.54,percent of total billed charges,18.78,percent of total billed charges,18.78,percent of total billed charges,,,16.9,percent of total billed charges ,,,18.78,percent of total billed charges ,18.54,percent of total billed charges ,18.54,percent of total billed charges ,19.95,percent of total billed charges ,19.95,percent of total billed charges ,18.78,percent of total billed charges ,18.78,percent of total billed charges ,16.43,percent of total billed charges ,16.43,percent of total billed charges ,14.08,percent of total billed charges ,14.08,percent of total billed charges ,14.08,percent of total billed charges ,14.08,percent of total billed charges ,,,,,12.49,percent of total billed charges ,,,,,11.86,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,,,5.4,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,
**AMPHOTERICIN B POWDER FOR INJ 50MG,J0285,CDM,,,,both,1,each,398.13,398.13,91.57,398.13,398.13,percent of total billed charges,398.13,percent of total billed charges,398.13,percent of total billed charges,398.13,percent of total billed charges,398.13,percent of total billed charges,398.13,percent of total billed charges,398.13,percent of total billed charges,398.13,percent of total billed charges,286.65,percent of total billed charges,286.65,percent of total billed charges,286.65,percent of total billed charges,286.65,percent of total billed charges,286.65,percent of total billed charges,286.65,percent of total billed charges,314.52,percent of total billed charges,314.52,percent of total billed charges,318.5,percent of total billed charges,318.5,percent of total billed charges,,,286.65,percent of total billed charges ,,,318.5,percent of total billed charges ,314.52,percent of total billed charges ,314.52,percent of total billed charges ,338.41,percent of total billed charges ,338.41,percent of total billed charges ,318.5,percent of total billed charges ,318.5,percent of total billed charges ,278.69,percent of total billed charges ,278.69,percent of total billed charges ,238.88,percent of total billed charges ,238.88,percent of total billed charges ,238.88,percent of total billed charges ,238.88,percent of total billed charges ,,,,,211.81,percent of total billed charges ,,,,,201.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,91.57,percent of total billed charges,,,91.57,percent of total billed charges,,,91.57,percent of total billed charges,,,91.57,percent of total billed charges,,,91.57,percent of total billed charges,,,91.57,percent of total billed charges,,,91.57,percent of total billed charges,,,91.57,percent of total billed charges,,,91.57,percent of total billed charges,,,91.57,percent of total billed charges,,,91.57,percent of total billed charges,
ESZOPICLONE (LUNESTA) TAB : 1MG,637,RC,42043-03-2003,NDC,,both,1,each,2.34,2.34,0.54,2.34,2.34,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,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,1.85,percent of total billed charges,1.85,percent of total billed charges,1.87,percent of total billed charges,1.87,percent of total billed charges,,,1.68,percent of total billed charges ,,,1.87,percent of total billed charges ,1.85,percent of total billed charges ,1.85,percent of total billed charges ,1.99,percent of total billed charges ,1.99,percent of total billed charges ,1.87,percent of total billed charges ,1.87,percent of total billed charges ,1.64,percent of total billed charges ,1.64,percent of total billed charges ,1.4,percent of total billed charges ,1.4,percent of total billed charges ,1.4,percent of total billed charges ,1.4,percent of total billed charges ,,,,,1.24,percent of total billed charges ,,,,,1.18,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,
NYSTATIN & TRIAM ACET OINT 30GM,637,RC,45802-08-8014,NDC,,both,30,each,126.73,126.73,29.15,126.73,126.73,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,91.25,percent of total billed charges,91.25,percent of total billed charges,91.25,percent of total billed charges,91.25,percent of total billed charges,91.25,percent of total billed charges,91.25,percent of total billed charges,100.12,percent of total billed charges,100.12,percent of total billed charges,101.38,percent of total billed charges,101.38,percent of total billed charges,,,91.25,percent of total billed charges ,,,101.38,percent of total billed charges ,100.12,percent of total billed charges ,100.12,percent of total billed charges ,107.72,percent of total billed charges ,107.72,percent of total billed charges ,101.38,percent of total billed charges ,101.38,percent of total billed charges ,88.71,percent of total billed charges ,88.71,percent of total billed charges ,76.04,percent of total billed charges ,76.04,percent of total billed charges ,76.04,percent of total billed charges ,76.04,percent of total billed charges ,,,,,67.42,percent of total billed charges ,,,,,64.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,29.15,percent of total billed charges,,,29.15,percent of total billed charges,,,29.15,percent of total billed charges,,,29.15,percent of total billed charges,,,29.15,percent of total billed charges,,,29.15,percent of total billed charges,,,29.15,percent of total billed charges,,,29.15,percent of total billed charges,,,29.15,percent of total billed charges,,,29.15,percent of total billed charges,,,29.15,percent of total billed charges,
MAGNESIUM SULFATE 4 GM /100ML PREMIX,J3475,CDM,,,,both,1,each,200,200,46,200,200,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,158,percent of total billed charges,158,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 ,158,percent of total billed charges ,158,percent of total billed charges ,170,percent of total billed charges ,170,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 ,,,,,,,,,,,,,,,,,,,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,,,46,percent of total billed charges,,,46,percent of total billed charges,,,46,percent of total billed charges,
DULOXETINE (CYMBALTA) : 20MG CAP,637,RC,68084-06-7511,NDC,,both,1,each,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
LITHIUM CARBONATE TAB ER 450MG,637,RC,68462-02-2401,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
SODIUM CL 0.9% FLUSH RED PORT 10ML,250,RC,00409-19-6607,NDC,,both,1,each,9,9,2.07,9,9,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,7.11,percent of total billed charges,7.11,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 ,7.11,percent of total billed charges ,7.11,percent of total billed charges ,7.65,percent of total billed charges ,7.65,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 ,,,,,,,,,,,,,,,,,,,2.07,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,
SODIUM CL 0.9% FLUSH GRAY PORT 10ML,250,RC,00409-19-6607,NDC,,both,,,9,9,2.07,9,9,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,7.11,percent of total billed charges,7.11,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 ,7.11,percent of total billed charges ,7.11,percent of total billed charges ,7.65,percent of total billed charges ,7.65,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 ,,,,,,,,,,,,,,,,,,,2.07,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,
Z_OFIRMEV IV SOLN : 1000MG/100ML,258,RC,43825-01-0201,NDC,,both,1,each,302.8,302.8,69.64,302.8,302.8,percent of total billed charges,302.8,percent of total billed charges,302.8,percent of total billed charges,302.8,percent of total billed charges,302.8,percent of total billed charges,302.8,percent of total billed charges,302.8,percent of total billed charges,302.8,percent of total billed charges,218.02,percent of total billed charges,218.02,percent of total billed charges,218.02,percent of total billed charges,218.02,percent of total billed charges,218.02,percent of total billed charges,218.02,percent of total billed charges,239.21,percent of total billed charges,239.21,percent of total billed charges,242.24,percent of total billed charges,242.24,percent of total billed charges,,,218.02,percent of total billed charges ,,,242.24,percent of total billed charges ,239.21,percent of total billed charges ,239.21,percent of total billed charges ,257.38,percent of total billed charges ,257.38,percent of total billed charges ,242.24,percent of total billed charges ,242.24,percent of total billed charges ,211.96,percent of total billed charges ,211.96,percent of total billed charges ,181.68,percent of total billed charges ,181.68,percent of total billed charges ,181.68,percent of total billed charges ,181.68,percent of total billed charges ,,,,,161.09,percent of total billed charges ,,,,,153.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,69.64,percent of total billed charges,,,69.64,percent of total billed charges,,,69.64,percent of total billed charges,,,69.64,percent of total billed charges,,,69.64,percent of total billed charges,,,69.64,percent of total billed charges,,,69.64,percent of total billed charges,,,69.64,percent of total billed charges,,,69.64,percent of total billed charges,,,69.64,percent of total billed charges,,,69.64,percent of total billed charges,
"CALDOLOR IV SOLN 100MG/1ML, 8ML",258,RC,66220-02-8708,NDC,,both,1,each,112.4,112.4,25.85,112.4,112.4,percent of total billed charges,112.4,percent of total billed charges,112.4,percent of total billed charges,112.4,percent of total billed charges,112.4,percent of total billed charges,112.4,percent of total billed charges,112.4,percent of total billed charges,112.4,percent of total billed charges,80.93,percent of total billed charges,80.93,percent of total billed charges,80.93,percent of total billed charges,80.93,percent of total billed charges,80.93,percent of total billed charges,80.93,percent of total billed charges,88.8,percent of total billed charges,88.8,percent of total billed charges,89.92,percent of total billed charges,89.92,percent of total billed charges,,,80.93,percent of total billed charges ,,,89.92,percent of total billed charges ,88.8,percent of total billed charges ,88.8,percent of total billed charges ,95.54,percent of total billed charges ,95.54,percent of total billed charges ,89.92,percent of total billed charges ,89.92,percent of total billed charges ,78.68,percent of total billed charges ,78.68,percent of total billed charges ,67.44,percent of total billed charges ,67.44,percent of total billed charges ,67.44,percent of total billed charges ,67.44,percent of total billed charges ,,,,,59.8,percent of total billed charges ,,,,,56.81,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,,,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,,,25.85,percent of total billed charges,,,25.85,percent of total billed charges,,,25.85,percent of total billed charges,
BROMFENAC (BROMDAY) 0.09% OPHT SOLN,637,RC,50383-02-4971,NDC,,both,1.7,each,453.56,453.56,104.32,453.56,453.56,percent of total billed charges,453.56,percent of total billed charges,453.56,percent of total billed charges,453.56,percent of total billed charges,453.56,percent of total billed charges,453.56,percent of total billed charges,453.56,percent of total billed charges,453.56,percent of total billed charges,326.56,percent of total billed charges,326.56,percent of total billed charges,326.56,percent of total billed charges,326.56,percent of total billed charges,326.56,percent of total billed charges,326.56,percent of total billed charges,358.31,percent of total billed charges,358.31,percent of total billed charges,362.85,percent of total billed charges,362.85,percent of total billed charges,,,326.56,percent of total billed charges ,,,362.85,percent of total billed charges ,358.31,percent of total billed charges ,358.31,percent of total billed charges ,385.53,percent of total billed charges ,385.53,percent of total billed charges ,362.85,percent of total billed charges ,362.85,percent of total billed charges ,317.49,percent of total billed charges ,317.49,percent of total billed charges ,272.14,percent of total billed charges ,272.14,percent of total billed charges ,272.14,percent of total billed charges ,272.14,percent of total billed charges ,,,,,241.29,percent of total billed charges ,,,,,229.23,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,,,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,
ACETAMINOPHEN ER ORAL TAB ER : 650MG,637,RC,50268-00-5211,NDC,,both,1,each,0.25,0.25,0.06,0.25,0.25,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,0.18,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,0.2,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,,,0.18,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 ,0.21,percent of total billed charges ,0.21,percent of total billed charges ,0.2,percent of total billed charges ,0.2,percent of total billed charges ,0.18,percent of total billed charges ,0.18,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 ,,,,,0.13,percent of total billed charges ,,,,,0.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,
DEXTROSE 5%  50ML MINIBAG PLUS,250,RC,00338-05-5111,NDC,,both,1,each,24.8,24.8,5.7,24.8,24.8,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,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,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,19.59,percent of total billed charges,19.59,percent of total billed charges,19.84,percent of total billed charges,19.84,percent of total billed charges,,,17.86,percent of total billed charges ,,,19.84,percent of total billed charges ,19.59,percent of total billed charges ,19.59,percent of total billed charges ,21.08,percent of total billed charges ,21.08,percent of total billed charges ,19.84,percent of total billed charges ,19.84,percent of total billed charges ,17.36,percent of total billed charges ,17.36,percent of total billed charges ,14.88,percent of total billed charges ,14.88,percent of total billed charges ,14.88,percent of total billed charges ,14.88,percent of total billed charges ,,,,,13.19,percent of total billed charges ,,,,,12.53,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,,,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,
DEXTROSE 5% 100ML MINIBAG PLUS,250,RC,00338-05-5118,NDC,,both,1,each,19,19,4.37,19,19,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,15.01,percent of total billed charges,15.01,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 ,15.01,percent of total billed charges ,15.01,percent of total billed charges ,16.15,percent of total billed charges ,16.15,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,4.37,percent of total billed charges,,,4.37,percent of total billed charges,,,4.37,percent of total billed charges,
DABIGATRAN (PRADAXA) CAP : 75MG,637,RC,00597-01-4960,NDC,,both,1,each,22,22,5.06,22,22,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,17.38,percent of total billed charges,17.38,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 ,17.38,percent of total billed charges ,17.38,percent of total billed charges ,18.7,percent of total billed charges ,18.7,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 ,,,,,,,,,,,,,,,,,,,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,,,5.06,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,
KETOROLAX (SPRIX) NASAL 15.75MG/SPRAY*,637,RC,00517-88-8005,NDC,,both,1,each,107,107,24.61,107,107,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,84.53,percent of total billed charges,84.53,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 ,84.53,percent of total billed charges ,84.53,percent of total billed charges ,90.95,percent of total billed charges ,90.95,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 ,,,,,,,,,,,,,,,,,,,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,
ROPINIRole (REQUIP) TAB : 2MG,637,RC,62332-00-3331,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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 ACE. OINT 0.5% : 15GM,637,RC,52565-00-4815,NDC,,both,1,each,44.38,44.38,10.21,44.38,44.38,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,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,31.95,percent of total billed charges,31.95,percent of total billed charges,31.95,percent of total billed charges,31.95,percent of total billed charges,31.95,percent of total billed charges,31.95,percent of total billed charges,35.06,percent of total billed charges,35.06,percent of total billed charges,35.5,percent of total billed charges,35.5,percent of total billed charges,,,31.95,percent of total billed charges ,,,35.5,percent of total billed charges ,35.06,percent of total billed charges ,35.06,percent of total billed charges ,37.72,percent of total billed charges ,37.72,percent of total billed charges ,35.5,percent of total billed charges ,35.5,percent of total billed charges ,31.07,percent of total billed charges ,31.07,percent of total billed charges ,26.63,percent of total billed charges ,26.63,percent of total billed charges ,26.63,percent of total billed charges ,26.63,percent of total billed charges ,,,,,23.61,percent of total billed charges ,,,,,22.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.21,percent of total billed charges,,,10.21,percent of total billed charges,,,10.21,percent of total billed charges,,,10.21,percent of total billed charges,,,10.21,percent of total billed charges,,,10.21,percent of total billed charges,,,10.21,percent of total billed charges,,,10.21,percent of total billed charges,,,10.21,percent of total billed charges,,,10.21,percent of total billed charges,,,10.21,percent of total billed charges,
FOLIC ACID TAB : 400MCG,637,RC,50268-03-4611,NDC,,both,1,each,0.92,0.92,0.21,0.92,0.92,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,0.73,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,,,0.66,percent of total billed charges ,,,0.74,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 ,0.74,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 ,,,,,,,,,,,,,,,,,,,0.21,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,
ALISKIREN (TEKTURNA) TAB : 300MG,637,RC,00078-04-8615,NDC,,both,1,each,25.19,25.19,5.79,25.19,25.19,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,25.19,percent of total billed charges,25.19,percent of total billed charges,18.14,percent of total billed charges,18.14,percent of total billed charges,18.14,percent of total billed charges,18.14,percent of total billed charges,18.14,percent of total billed charges,18.14,percent of total billed charges,19.9,percent of total billed charges,19.9,percent of total billed charges,20.15,percent of total billed charges,20.15,percent of total billed charges,,,18.14,percent of total billed charges ,,,20.15,percent of total billed charges ,19.9,percent of total billed charges ,19.9,percent of total billed charges ,21.41,percent of total billed charges ,21.41,percent of total billed charges ,20.15,percent of total billed charges ,20.15,percent of total billed charges ,17.63,percent of total billed charges ,17.63,percent of total billed charges ,15.11,percent of total billed charges ,15.11,percent of total billed charges ,15.11,percent of total billed charges ,15.11,percent of total billed charges ,,,,,13.4,percent of total billed charges ,,,,,12.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.79,percent of total billed charges,,,5.79,percent of total billed charges,,,5.79,percent of total billed charges,,,5.79,percent of total billed charges,,,5.79,percent of total billed charges,,,5.79,percent of total billed charges,,,5.79,percent of total billed charges,,,5.79,percent of total billed charges,,,5.79,percent of total billed charges,,,5.79,percent of total billed charges,,,5.79,percent of total billed charges,
FIDAXOMICIN (DIFICID) TAB : 200MG,637,RC,52015-00-8001,NDC,,both,1,each,355,355,81.65,355,355,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,280.45,percent of total billed charges,280.45,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 ,280.45,percent of total billed charges ,280.45,percent of total billed charges ,301.75,percent of total billed charges ,301.75,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 ,,,,,,,,,,,,,,,,,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,
FLUCONAZOLE (DIFLUCAN) TAB : 150MG,637,RC,68001-02-5344,NDC,,both,1,each,5.52,5.52,1.27,5.52,5.52,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,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,4.36,percent of total billed charges,4.36,percent of total billed charges,4.42,percent of total billed charges,4.42,percent of total billed charges,,,3.97,percent of total billed charges ,,,4.42,percent of total billed charges ,4.36,percent of total billed charges ,4.36,percent of total billed charges ,4.69,percent of total billed charges ,4.69,percent of total billed charges ,4.42,percent of total billed charges ,4.42,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 ,,,,,2.94,percent of total billed charges ,,,,,2.79,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,,,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,
COENZYME Q10 ORAL CAP 10IU-100MG,637,RC,80681-00-1000,NDC,,both,1,each,0.61,0.61,0.14,0.61,0.61,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,0.48,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,,,0.44,percent of total billed charges ,,,0.49,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 ,0.49,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 ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
DOCUSATE CALCIUM CAP : 240MG,637,RC,00904-69-9760,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
LABETALOL HCL INJ 100MG/20ML MDV*,J3490,CDM,,,,both,20,each,54,54,12.42,54,54,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,42.66,percent of total billed charges,42.66,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 ,42.66,percent of total billed charges ,42.66,percent of total billed charges ,45.9,percent of total billed charges ,45.9,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 ,,,,,,,,,,,,,,,,,,,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,,,12.42,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,
ARIPIPRAZOLE (ABILIFY) TAB : 5MG,637,RC,62332-00-9831,NDC,,both,1,each,4.75,4.75,1.09,4.75,4.75,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,3.75,percent of total billed charges,3.75,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 ,3.75,percent of total billed charges ,3.75,percent of total billed charges ,4.04,percent of total billed charges ,4.04,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 ,,,,,,,,,,,,,,,,,,,1.09,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,
PRAMIPEXOLE (MIRAPEX) TAB : 1MG,637,RC,13668-00-9490,NDC,,both,1,each,4.51,4.51,1.04,4.51,4.51,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,4.51,percent of total billed charges,4.51,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,3.56,percent of total billed charges,3.56,percent of total billed charges,3.61,percent of total billed charges,3.61,percent of total billed charges,,,3.25,percent of total billed charges ,,,3.61,percent of total billed charges ,3.56,percent of total billed charges ,3.56,percent of total billed charges ,3.83,percent of total billed charges ,3.83,percent of total billed charges ,3.61,percent of total billed charges ,3.61,percent of total billed charges ,3.16,percent of total billed charges ,3.16,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 ,,,,,2.4,percent of total billed charges ,,,,,2.28,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,
ARFORMOTEROL (BROVANA) 15MCG INH,637,RC,70748-01-7501,NDC,,both,1,each,24.88,24.88,5.72,24.88,24.88,percent of total billed charges,24.88,percent of total billed charges,24.88,percent of total billed charges,24.88,percent of total billed charges,24.88,percent of total billed charges,24.88,percent of total billed charges,24.88,percent of total billed charges,24.88,percent of total billed charges,17.91,percent of total billed charges,17.91,percent of total billed charges,17.91,percent of total billed charges,17.91,percent of total billed charges,17.91,percent of total billed charges,17.91,percent of total billed charges,19.66,percent of total billed charges,19.66,percent of total billed charges,19.9,percent of total billed charges,19.9,percent of total billed charges,,,17.91,percent of total billed charges ,,,19.9,percent of total billed charges ,19.66,percent of total billed charges ,19.66,percent of total billed charges ,21.15,percent of total billed charges ,21.15,percent of total billed charges ,19.9,percent of total billed charges ,19.9,percent of total billed charges ,17.42,percent of total billed charges ,17.42,percent of total billed charges ,14.93,percent of total billed charges ,14.93,percent of total billed charges ,14.93,percent of total billed charges ,14.93,percent of total billed charges ,,,,,13.24,percent of total billed charges ,,,,,12.57,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,
BRIMONIDINE(ALPHAGAN P) 0.1% OPHT SOLN,637,RC,00023-93-2105,NDC,,both,5,each,590.16,590.16,135.74,590.16,590.16,percent of total billed charges,590.16,percent of total billed charges,590.16,percent of total billed charges,590.16,percent of total billed charges,590.16,percent of total billed charges,590.16,percent of total billed charges,590.16,percent of total billed charges,590.16,percent of total billed charges,424.92,percent of total billed charges,424.92,percent of total billed charges,424.92,percent of total billed charges,424.92,percent of total billed charges,424.92,percent of total billed charges,424.92,percent of total billed charges,466.23,percent of total billed charges,466.23,percent of total billed charges,472.13,percent of total billed charges,472.13,percent of total billed charges,,,424.92,percent of total billed charges ,,,472.13,percent of total billed charges ,466.23,percent of total billed charges ,466.23,percent of total billed charges ,501.64,percent of total billed charges ,501.64,percent of total billed charges ,472.13,percent of total billed charges ,472.13,percent of total billed charges ,413.11,percent of total billed charges ,413.11,percent of total billed charges ,354.1,percent of total billed charges ,354.1,percent of total billed charges ,354.1,percent of total billed charges ,354.1,percent of total billed charges ,,,,,313.97,percent of total billed charges ,,,,,298.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,135.74,percent of total billed charges,,,135.74,percent of total billed charges,,,135.74,percent of total billed charges,,,135.74,percent of total billed charges,,,135.74,percent of total billed charges,,,135.74,percent of total billed charges,,,135.74,percent of total billed charges,,,135.74,percent of total billed charges,,,135.74,percent of total billed charges,,,135.74,percent of total billed charges,,,135.74,percent of total billed charges,
BUTT PASTE BOUDREAUX'S 113GM,637,RC,62103-03-3304,NDC,,both,1,each,61.21,61.21,14.08,61.21,61.21,percent of total billed charges,61.21,percent of total billed charges,61.21,percent of total billed charges,61.21,percent of total billed charges,61.21,percent of total billed charges,61.21,percent of total billed charges,61.21,percent of total billed charges,61.21,percent of total billed charges,44.07,percent of total billed charges,44.07,percent of total billed charges,44.07,percent of total billed charges,44.07,percent of total billed charges,44.07,percent of total billed charges,44.07,percent of total billed charges,48.36,percent of total billed charges,48.36,percent of total billed charges,48.97,percent of total billed charges,48.97,percent of total billed charges,,,44.07,percent of total billed charges ,,,48.97,percent of total billed charges ,48.36,percent of total billed charges ,48.36,percent of total billed charges ,52.03,percent of total billed charges ,52.03,percent of total billed charges ,48.97,percent of total billed charges ,48.97,percent of total billed charges ,42.85,percent of total billed charges ,42.85,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 ,,,,,32.56,percent of total billed charges ,,,,,30.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.08,percent of total billed charges,,,14.08,percent of total billed charges,,,14.08,percent of total billed charges,,,14.08,percent of total billed charges,,,14.08,percent of total billed charges,,,14.08,percent of total billed charges,,,14.08,percent of total billed charges,,,14.08,percent of total billed charges,,,14.08,percent of total billed charges,,,14.08,percent of total billed charges,,,14.08,percent of total billed charges,
FEBUXOSTAT (ULORIC) TAB : 40MG,637,RC,55111-07-9630,NDC,,both,1,each,47,47,10.81,47,47,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,37.13,percent of total billed charges,37.13,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 ,37.13,percent of total billed charges ,37.13,percent of total billed charges ,39.95,percent of total billed charges ,39.95,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
RIVAROXABAN (XARELTO) TAB : 10MG,637,RC,50458-05-8010,NDC,,both,1,each,51.41,51.41,11.82,51.41,51.41,percent of total billed charges,51.41,percent of total billed charges,51.41,percent of total billed charges,51.41,percent of total billed charges,51.41,percent of total billed charges,51.41,percent of total billed charges,51.41,percent of total billed charges,51.41,percent of total billed charges,37.02,percent of total billed charges,37.02,percent of total billed charges,37.02,percent of total billed charges,37.02,percent of total billed charges,37.02,percent of total billed charges,37.02,percent of total billed charges,40.61,percent of total billed charges,40.61,percent of total billed charges,41.13,percent of total billed charges,41.13,percent of total billed charges,,,37.02,percent of total billed charges ,,,41.13,percent of total billed charges ,40.61,percent of total billed charges ,40.61,percent of total billed charges ,43.7,percent of total billed charges ,43.7,percent of total billed charges ,41.13,percent of total billed charges ,41.13,percent of total billed charges ,35.99,percent of total billed charges ,35.99,percent of total billed charges ,30.85,percent of total billed charges ,30.85,percent of total billed charges ,30.85,percent of total billed charges ,30.85,percent of total billed charges ,,,,,27.35,percent of total billed charges ,,,,,25.98,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.82,percent of total billed charges,,,11.82,percent of total billed charges,,,11.82,percent of total billed charges,,,11.82,percent of total billed charges,,,11.82,percent of total billed charges,,,11.82,percent of total billed charges,,,11.82,percent of total billed charges,,,11.82,percent of total billed charges,,,11.82,percent of total billed charges,,,11.82,percent of total billed charges,,,11.82,percent of total billed charges,
HYDROXYUREA CAP 500MG,637,RC,68084-02-8401,NDC,,both,1,each,2.96,2.96,0.68,2.96,2.96,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,2.96,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,2.13,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,2.34,percent of total billed charges,2.34,percent of total billed charges,2.37,percent of total billed charges,2.37,percent of total billed charges,,,2.13,percent of total billed charges ,,,2.37,percent of total billed charges ,2.34,percent of total billed charges ,2.34,percent of total billed charges ,2.52,percent of total billed charges ,2.52,percent of total billed charges ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.07,percent of total billed charges ,2.07,percent of total billed charges ,1.78,percent of total billed charges ,1.78,percent of total billed charges ,1.78,percent of total billed charges ,1.78,percent of total billed charges ,,,,,1.57,percent of total billed charges ,,,,,1.5,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,
ERGOCALCIFEROL CAP 50000IU (1.25MG),637,RC,69452-01-5120,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
ALREX OPHTH SUSP 0.2%,637,RC,24208-03-5305,NDC,,both,5,each,252,252,57.96,252,252,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,199.08,percent of total billed charges,199.08,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 ,199.08,percent of total billed charges ,199.08,percent of total billed charges ,214.2,percent of total billed charges ,214.2,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 ,,,,,,,,,,,,,,,,,,,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,
AMOXICILLIN TAB : 875MG,637,RC,65862-00-1501,NDC,,both,1,each,1.21,1.21,0.28,1.21,1.21,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,0.96,percent of total billed charges,0.96,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 ,0.96,percent of total billed charges ,0.96,percent of total billed charges ,1.03,percent of total billed charges ,1.03,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 ,,,,,,,,,,,,,,,,,,,0.28,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,
LORAZEPAM (ATIVAN) INJ : 20MG/10ML,J2060,CDM,,,,both,1,each,31,31,7.13,31,31,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,24.49,percent of total billed charges,24.49,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 ,24.49,percent of total billed charges ,24.49,percent of total billed charges ,26.35,percent of total billed charges ,26.35,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 ,,,,,,,,,,,,,,,,,,,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,
CIPROFLOX/DEXAMETH OTIC SUSP.,637,RC,00078-07-9975,NDC,,both,1,each,583.96,583.96,134.31,583.96,583.96,percent of total billed charges,583.96,percent of total billed charges,583.96,percent of total billed charges,583.96,percent of total billed charges,583.96,percent of total billed charges,583.96,percent of total billed charges,583.96,percent of total billed charges,583.96,percent of total billed charges,420.45,percent of total billed charges,420.45,percent of total billed charges,420.45,percent of total billed charges,420.45,percent of total billed charges,420.45,percent of total billed charges,420.45,percent of total billed charges,461.33,percent of total billed charges,461.33,percent of total billed charges,467.17,percent of total billed charges,467.17,percent of total billed charges,,,420.45,percent of total billed charges ,,,467.17,percent of total billed charges ,461.33,percent of total billed charges ,461.33,percent of total billed charges ,496.37,percent of total billed charges ,496.37,percent of total billed charges ,467.17,percent of total billed charges ,467.17,percent of total billed charges ,408.77,percent of total billed charges ,408.77,percent of total billed charges ,350.38,percent of total billed charges ,350.38,percent of total billed charges ,350.38,percent of total billed charges ,350.38,percent of total billed charges ,,,,,310.67,percent of total billed charges ,,,,,295.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,134.31,percent of total billed charges,,,134.31,percent of total billed charges,,,134.31,percent of total billed charges,,,134.31,percent of total billed charges,,,134.31,percent of total billed charges,,,134.31,percent of total billed charges,,,134.31,percent of total billed charges,,,134.31,percent of total billed charges,,,134.31,percent of total billed charges,,,134.31,percent of total billed charges,,,134.31,percent of total billed charges,
BUTORPHANOL (STADOL) INJ : 2MG/1ML,J0595,CDM,,,,both,1,each,94,94,21.62,94,94,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,74.26,percent of total billed charges,74.26,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 ,74.26,percent of total billed charges ,74.26,percent of total billed charges ,79.9,percent of total billed charges ,79.9,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 ,,,,,,,,,,,,,,,,,,,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,
BIMATOPROST (LUMIGAN ) OPHT 0.01%,637,RC,00023-32-0503,NDC,,both,2.5,each,585.52,585.52,134.67,585.52,585.52,percent of total billed charges,585.52,percent of total billed charges,585.52,percent of total billed charges,585.52,percent of total billed charges,585.52,percent of total billed charges,585.52,percent of total billed charges,585.52,percent of total billed charges,585.52,percent of total billed charges,421.57,percent of total billed charges,421.57,percent of total billed charges,421.57,percent of total billed charges,421.57,percent of total billed charges,421.57,percent of total billed charges,421.57,percent of total billed charges,462.56,percent of total billed charges,462.56,percent of total billed charges,468.42,percent of total billed charges,468.42,percent of total billed charges,,,421.57,percent of total billed charges ,,,468.42,percent of total billed charges ,462.56,percent of total billed charges ,462.56,percent of total billed charges ,497.69,percent of total billed charges ,497.69,percent of total billed charges ,468.42,percent of total billed charges ,468.42,percent of total billed charges ,409.86,percent of total billed charges ,409.86,percent of total billed charges ,351.31,percent of total billed charges ,351.31,percent of total billed charges ,351.31,percent of total billed charges ,351.31,percent of total billed charges ,,,,,311.5,percent of total billed charges ,,,,,295.92,percent of total billed charges ,,,,,,,,,,,,,,,,,,,134.67,percent of total billed charges,,,134.67,percent of total billed charges,,,134.67,percent of total billed charges,,,134.67,percent of total billed charges,,,134.67,percent of total billed charges,,,134.67,percent of total billed charges,,,134.67,percent of total billed charges,,,134.67,percent of total billed charges,,,134.67,percent of total billed charges,,,134.67,percent of total billed charges,,,134.67,percent of total billed charges,
VISCOAT OPHTH SOLN,250,RC,08065-18-3905,NDC,,both,1,each,448,448,103.04,448,448,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,353.92,percent of total billed charges,353.92,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 ,353.92,percent of total billed charges ,353.92,percent of total billed charges ,380.8,percent of total billed charges ,380.8,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 ,,,,,,,,,,,,,,,,,,,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,
APREPITANT (EMEND) CAP : 40MG,637,RC,13668-05-9181,NDC,,both,1,each,136.23,136.23,31.33,136.23,136.23,percent of total billed charges,136.23,percent of total billed charges,136.23,percent of total billed charges,136.23,percent of total billed charges,136.23,percent of total billed charges,136.23,percent of total billed charges,136.23,percent of total billed charges,136.23,percent of total billed charges,98.09,percent of total billed charges,98.09,percent of total billed charges,98.09,percent of total billed charges,98.09,percent of total billed charges,98.09,percent of total billed charges,98.09,percent of total billed charges,107.62,percent of total billed charges,107.62,percent of total billed charges,108.98,percent of total billed charges,108.98,percent of total billed charges,,,98.09,percent of total billed charges ,,,108.98,percent of total billed charges ,107.62,percent of total billed charges ,107.62,percent of total billed charges ,115.8,percent of total billed charges ,115.8,percent of total billed charges ,108.98,percent of total billed charges ,108.98,percent of total billed charges ,95.36,percent of total billed charges ,95.36,percent of total billed charges ,81.74,percent of total billed charges ,81.74,percent of total billed charges ,81.74,percent of total billed charges ,81.74,percent of total billed charges ,,,,,72.47,percent of total billed charges ,,,,,68.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,31.33,percent of total billed charges,,,31.33,percent of total billed charges,,,31.33,percent of total billed charges,,,31.33,percent of total billed charges,,,31.33,percent of total billed charges,,,31.33,percent of total billed charges,,,31.33,percent of total billed charges,,,31.33,percent of total billed charges,,,31.33,percent of total billed charges,,,31.33,percent of total billed charges,,,31.33,percent of total billed charges,
VISCOELASTIC OPHT SOLN (OPTIVISC),250,RC,08065-18-3710,NDC,,both,,,277,277,63.71,277,277,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,218.83,percent of total billed charges,218.83,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 ,218.83,percent of total billed charges ,218.83,percent of total billed charges ,235.45,percent of total billed charges ,235.45,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 ,,,,,,,,,,,,,,,,,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,
BACLOFEN (LIORISAL) TAB : 10MG,637,RC,00904-64-7561,NDC,,both,1,each,1.62,1.62,0.37,1.62,1.62,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,1.28,percent of total billed charges,1.28,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 ,1.28,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 ,1.3,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 ,,,,,,,,,,,,,,,,,,,0.37,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,
FLUVOXAMINE MAL(LUVOX) TAB : 25MG*,637,RC,00185-00-1701,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
OXYCODONE-APAP TAB 10MG-325MG,637,RC,68084-07-1001,NDC,,both,1,each,14,14,3.22,14,14,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,11.06,percent of total billed charges,11.06,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 ,11.06,percent of total billed charges ,11.06,percent of total billed charges ,11.9,percent of total billed charges ,11.9,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 ,,,,,,,,,,,,,,,,,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,
OCUCOAT OPTH SYRG 1ML,250,RC,24208-03-8448,NDC,,both,1,each,329,329,75.67,329,329,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,259.91,percent of total billed charges,259.91,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 ,259.91,percent of total billed charges ,259.91,percent of total billed charges ,279.65,percent of total billed charges ,279.65,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 ,,,,,,,,,,,,,,,,,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,
"MAGNESIUM SULFATE INJ 500MG/1ML, 2ML VL",J3475,CDM,,,,both,1,each,19.58,19.58,4.5,19.58,19.58,percent of total billed charges,19.58,percent of total billed charges,19.58,percent of total billed charges,19.58,percent of total billed charges,19.58,percent of total billed charges,19.58,percent of total billed charges,19.58,percent of total billed charges,19.58,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,15.47,percent of total billed charges,15.47,percent of total billed charges,15.66,percent of total billed charges,15.66,percent of total billed charges,,,14.1,percent of total billed charges ,,,15.66,percent of total billed charges ,15.47,percent of total billed charges ,15.47,percent of total billed charges ,16.64,percent of total billed charges ,16.64,percent of total billed charges ,15.66,percent of total billed charges ,15.66,percent of total billed charges ,13.71,percent of total billed charges ,13.71,percent of total billed charges ,11.75,percent of total billed charges ,11.75,percent of total billed charges ,11.75,percent of total billed charges ,11.75,percent of total billed charges ,,,,,10.42,percent of total billed charges ,,,,,9.9,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,
CRANBERRY  CAPSULE,637,RC,57896-08-4501,NDC,,both,1,each,1.23,1.23,0.28,1.23,1.23,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,0.97,percent of total billed charges,0.97,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 ,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 ,0.98,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 ,,,,,,,,,,,,,,,,,,,0.28,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,
FOSPHENYTOIN INJ 500MG PE/10ML VIAL,Q2009,CDM,,,,both,1,each,362.11,362.11,83.29,362.11,362.11,percent of total billed charges,362.11,percent of total billed charges,362.11,percent of total billed charges,362.11,percent of total billed charges,362.11,percent of total billed charges,362.11,percent of total billed charges,362.11,percent of total billed charges,362.11,percent of total billed charges,260.72,percent of total billed charges,260.72,percent of total billed charges,260.72,percent of total billed charges,260.72,percent of total billed charges,260.72,percent of total billed charges,260.72,percent of total billed charges,286.07,percent of total billed charges,286.07,percent of total billed charges,289.69,percent of total billed charges,289.69,percent of total billed charges,,,260.72,percent of total billed charges ,,,289.69,percent of total billed charges ,286.07,percent of total billed charges ,286.07,percent of total billed charges ,307.79,percent of total billed charges ,307.79,percent of total billed charges ,289.69,percent of total billed charges ,289.69,percent of total billed charges ,253.48,percent of total billed charges ,253.48,percent of total billed charges ,217.27,percent of total billed charges ,217.27,percent of total billed charges ,217.27,percent of total billed charges ,217.27,percent of total billed charges ,,,,,192.64,percent of total billed charges ,,,,,183.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,83.29,percent of total billed charges,,,83.29,percent of total billed charges,,,83.29,percent of total billed charges,,,83.29,percent of total billed charges,,,83.29,percent of total billed charges,,,83.29,percent of total billed charges,,,83.29,percent of total billed charges,,,83.29,percent of total billed charges,,,83.29,percent of total billed charges,,,83.29,percent of total billed charges,,,83.29,percent of total billed charges,
AMPHOTERICIN B LIPOSOME inj 50MG,J0289,CDM,,,,both,1,each,422.02,422.02,97.06,422.02,422.02,percent of total billed charges,422.02,percent of total billed charges,422.02,percent of total billed charges,422.02,percent of total billed charges,422.02,percent of total billed charges,422.02,percent of total billed charges,422.02,percent of total billed charges,422.02,percent of total billed charges,303.85,percent of total billed charges,303.85,percent of total billed charges,303.85,percent of total billed charges,303.85,percent of total billed charges,303.85,percent of total billed charges,303.85,percent of total billed charges,333.4,percent of total billed charges,333.4,percent of total billed charges,337.62,percent of total billed charges,337.62,percent of total billed charges,,,303.85,percent of total billed charges ,,,337.62,percent of total billed charges ,333.4,percent of total billed charges ,333.4,percent of total billed charges ,358.72,percent of total billed charges ,358.72,percent of total billed charges ,337.62,percent of total billed charges ,337.62,percent of total billed charges ,295.41,percent of total billed charges ,295.41,percent of total billed charges ,253.21,percent of total billed charges ,253.21,percent of total billed charges ,253.21,percent of total billed charges ,253.21,percent of total billed charges ,,,,,224.51,percent of total billed charges ,,,,,213.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,
ONDANSETRON ORAL SOLN 4MG/5ML : 5ML,637,RC,68094-07-6359,NDC,,both,5,each,14,14,3.22,14,14,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,11.06,percent of total billed charges,11.06,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 ,11.06,percent of total billed charges ,11.06,percent of total billed charges ,11.9,percent of total billed charges ,11.9,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 ,,,,,,,,,,,,,,,,,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,
HALOPERIDOL ORAL CONC 2MG/ML,637,RC,00121-05-8104,NDC,,both,120,each,104,104,23.92,104,104,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,82.16,percent of total billed charges,82.16,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 ,82.16,percent of total billed charges ,82.16,percent of total billed charges ,88.4,percent of total billed charges ,88.4,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 ,,,,,,,,,,,,,,,,,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,
SWEET EASE ORAL SYRUP 24% : 15ML,637,RC,00906-99-0441,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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,
EXPAREL 1.3% INJ. 20ML SDV,C9290,CDM,,,,both,1,each,"2,758.00","2,758.00",634.34,"2,758.00","2,758.00",percent of total billed charges,"2,758.00",percent of total billed charges,"2,758.00",percent of total billed charges,"2,758.00",percent of total billed charges,"2,758.00",percent of total billed charges,"2,758.00",percent of total billed charges,"2,758.00",percent of total billed charges,"2,758.00",percent of total billed charges,"1,985.76",percent of total billed charges,"1,985.76",percent of total billed charges,"1,985.76",percent of total billed charges,"1,985.76",percent of total billed charges,"1,985.76",percent of total billed charges,"1,985.76",percent of total billed charges,"2,178.82",percent of total billed charges,"2,178.82",percent of total billed charges,"2,206.40",percent of total billed charges,"2,206.40",percent of total billed charges,,,"1,985.76",percent of total billed charges ,,,"2,206.40",percent of total billed charges ,"2,178.82",percent of total billed charges ,"2,178.82",percent of total billed charges ,"2,344.30",percent of total billed charges ,"2,344.30",percent of total billed charges ,"2,206.40",percent of total billed charges ,"2,206.40",percent of total billed charges ,"1,930.60",percent of total billed charges ,"1,930.60",percent of total billed charges ,"1,654.80",percent of total billed charges ,"1,654.80",percent of total billed charges ,"1,654.80",percent of total billed charges ,"1,654.80",percent of total billed charges ,,,,,"1,467.26",percent of total billed charges ,,,,,"1,393.89",percent of total billed charges ,,,,,,,,,,,,,,,,,,,634.34,percent of total billed charges,,,634.34,percent of total billed charges,,,634.34,percent of total billed charges,,,634.34,percent of total billed charges,,,634.34,percent of total billed charges,,,634.34,percent of total billed charges,,,634.34,percent of total billed charges,,,634.34,percent of total billed charges,,,634.34,percent of total billed charges,,,634.34,percent of total billed charges,,,634.34,percent of total billed charges,
MICAFUNGIN (MYCAMINE) 100MG INJ,J2248,CDM,,,,both,1,each,945.07,945.07,217.37,945.07,945.07,percent of total billed charges,945.07,percent of total billed charges,945.07,percent of total billed charges,945.07,percent of total billed charges,945.07,percent of total billed charges,945.07,percent of total billed charges,945.07,percent of total billed charges,945.07,percent of total billed charges,680.45,percent of total billed charges,680.45,percent of total billed charges,680.45,percent of total billed charges,680.45,percent of total billed charges,680.45,percent of total billed charges,680.45,percent of total billed charges,746.61,percent of total billed charges,746.61,percent of total billed charges,756.06,percent of total billed charges,756.06,percent of total billed charges,,,680.45,percent of total billed charges ,,,756.06,percent of total billed charges ,746.61,percent of total billed charges ,746.61,percent of total billed charges ,803.31,percent of total billed charges ,803.31,percent of total billed charges ,756.06,percent of total billed charges ,756.06,percent of total billed charges ,661.55,percent of total billed charges ,661.55,percent of total billed charges ,567.04,percent of total billed charges ,567.04,percent of total billed charges ,567.04,percent of total billed charges ,567.04,percent of total billed charges ,,,,,502.78,percent of total billed charges ,,,,,477.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,217.37,percent of total billed charges,,,217.37,percent of total billed charges,,,217.37,percent of total billed charges,,,217.37,percent of total billed charges,,,217.37,percent of total billed charges,,,217.37,percent of total billed charges,,,217.37,percent of total billed charges,,,217.37,percent of total billed charges,,,217.37,percent of total billed charges,,,217.37,percent of total billed charges,,,217.37,percent of total billed charges,
VALPROIC ACID (DEPAKENE) CAP : 250MG,637,RC,00832-03-1011,NDC,,both,1,each,0.64,0.64,0.15,0.64,0.64,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,0.51,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,,,0.46,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 ,0.54,percent of total billed charges ,0.54,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 ,,,,,,,,,,,,,,,,,,,0.15,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,
KCL 20MEQ/100ML IVPB PREMIX,J3480,CDM,,,,both,1,each,100,100,23,100,100,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,79,percent of total billed charges,79,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 ,79,percent of total billed charges ,79,percent of total billed charges ,85,percent of total billed charges ,85,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 ,,,,,,,,,,,,,,,,,,,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,,,23,percent of total billed charges,,,23,percent of total billed charges,,,23,percent of total billed charges,
TICAGRELOR (BRILINTA) TAB : 90MG,637,RC,00186-07-7739,NDC,,both,1,each,26,26,5.98,26,26,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,20.54,percent of total billed charges,20.54,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 ,20.54,percent of total billed charges ,20.54,percent of total billed charges ,22.1,percent of total billed charges ,22.1,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 ,,,,,,,,,,,,,,,,,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,
NEBIVOLOL (BYSTOLIC) : 5MG,637,RC,43547-05-2503,NDC,,both,1,each,16.03,16.03,3.69,16.03,16.03,percent of total billed charges,16.03,percent of total billed charges,16.03,percent of total billed charges,16.03,percent of total billed charges,16.03,percent of total billed charges,16.03,percent of total billed charges,16.03,percent of total billed charges,16.03,percent of total billed charges,11.54,percent of total billed charges,11.54,percent of total billed charges,11.54,percent of total billed charges,11.54,percent of total billed charges,11.54,percent of total billed charges,11.54,percent of total billed charges,12.66,percent of total billed charges,12.66,percent of total billed charges,12.82,percent of total billed charges,12.82,percent of total billed charges,,,11.54,percent of total billed charges ,,,12.82,percent of total billed charges ,12.66,percent of total billed charges ,12.66,percent of total billed charges ,13.63,percent of total billed charges ,13.63,percent of total billed charges ,12.82,percent of total billed charges ,12.82,percent of total billed charges ,11.22,percent of total billed charges ,11.22,percent of total billed charges ,9.62,percent of total billed charges ,9.62,percent of total billed charges ,9.62,percent of total billed charges ,9.62,percent of total billed charges ,,,,,8.53,percent of total billed charges ,,,,,8.1,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,,,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,
DENOSUMAB (PROLIA) : 60MG/ML SYRG,J0897,CDM,,,,both,1,each,"13,241.69","13,241.69","3,045.59","13,241.69","13,241.69",percent of total billed charges,"13,241.69",percent of total billed charges,"13,241.69",percent of total billed charges,"13,241.69",percent of total billed charges,"13,241.69",percent of total billed charges,"13,241.69",percent of total billed charges,"13,241.69",percent of total billed charges,"13,241.69",percent of total billed charges,"9,534.02",percent of total billed charges,"9,534.02",percent of total billed charges,"9,534.02",percent of total billed charges,"9,534.02",percent of total billed charges,"9,534.02",percent of total billed charges,"9,534.02",percent of total billed charges,"10,460.94",percent of total billed charges,"10,460.94",percent of total billed charges,"10,593.35",percent of total billed charges,"10,593.35",percent of total billed charges,,,"9,534.02",percent of total billed charges ,,,"10,593.35",percent of total billed charges ,"10,460.94",percent of total billed charges ,"10,460.94",percent of total billed charges ,"11,255.44",percent of total billed charges ,"11,255.44",percent of total billed charges ,"10,593.35",percent of total billed charges ,"10,593.35",percent of total billed charges ,"9,269.18",percent of total billed charges ,"9,269.18",percent of total billed charges ,"7,945.01",percent of total billed charges ,"7,945.01",percent of total billed charges ,"7,945.01",percent of total billed charges ,"7,945.01",percent of total billed charges ,,,,,"7,044.58",percent of total billed charges ,,,,,"6,692.35",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,045.59",percent of total billed charges,,,"3,045.59",percent of total billed charges,,,"3,045.59",percent of total billed charges,,,"3,045.59",percent of total billed charges,,,"3,045.59",percent of total billed charges,,,"3,045.59",percent of total billed charges,,,"3,045.59",percent of total billed charges,,,"3,045.59",percent of total billed charges,,,"3,045.59",percent of total billed charges,,,"3,045.59",percent of total billed charges,,,"3,045.59",percent of total billed charges,
LIDOCAINE  SOLN 4% LARYNGOJET : 4ML,250,RC,76329-63-0005,NDC,,both,1,each,83,83,19.09,83,83,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,65.57,percent of total billed charges,65.57,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 ,65.57,percent of total billed charges ,65.57,percent of total billed charges ,70.55,percent of total billed charges ,70.55,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 ,,,,,,,,,,,,,,,,,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,
AMOXICILLIN CHEW TAB : 250MG,637,RC,00093-22-6801,NDC,,both,1,each,1.21,1.21,0.28,1.21,1.21,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,0.96,percent of total billed charges,0.96,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 ,0.96,percent of total billed charges ,0.96,percent of total billed charges ,1.03,percent of total billed charges ,1.03,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 ,,,,,,,,,,,,,,,,,,,0.28,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,
MethylPREDNISolone TAB : 4MG EACH,J7509,CDM,,,,both,1,each,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
CELECOXIB (CELEBREX) CAP : 100MG,637,RC,60687-04-3601,NDC,,both,1,each,2.37,2.37,0.55,2.37,2.37,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,1.87,percent of total billed charges,1.87,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 ,1.87,percent of total billed charges ,1.87,percent of total billed charges ,2.01,percent of total billed charges ,2.01,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 ,,,,,,,,,,,,,,,,,,,0.55,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,
ETHAMBUTOL HCL TAB : 400MG,637,RC,68850-00-1202,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
LEVALBUTEROL (XOPENEX) HFA MDI : 15GM,637,RC,00591-29-2754,NDC,,both,15,each,242.73,242.73,55.83,242.73,242.73,percent of total billed charges,242.73,percent of total billed charges,242.73,percent of total billed charges,242.73,percent of total billed charges,242.73,percent of total billed charges,242.73,percent of total billed charges,242.73,percent of total billed charges,242.73,percent of total billed charges,174.77,percent of total billed charges,174.77,percent of total billed charges,174.77,percent of total billed charges,174.77,percent of total billed charges,174.77,percent of total billed charges,174.77,percent of total billed charges,191.76,percent of total billed charges,191.76,percent of total billed charges,194.18,percent of total billed charges,194.18,percent of total billed charges,,,174.77,percent of total billed charges ,,,194.18,percent of total billed charges ,191.76,percent of total billed charges ,191.76,percent of total billed charges ,206.32,percent of total billed charges ,206.32,percent of total billed charges ,194.18,percent of total billed charges ,194.18,percent of total billed charges ,169.91,percent of total billed charges ,169.91,percent of total billed charges ,145.64,percent of total billed charges ,145.64,percent of total billed charges ,145.64,percent of total billed charges ,145.64,percent of total billed charges ,,,,,129.13,percent of total billed charges ,,,,,122.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.83,percent of total billed charges,,,55.83,percent of total billed charges,,,55.83,percent of total billed charges,,,55.83,percent of total billed charges,,,55.83,percent of total billed charges,,,55.83,percent of total billed charges,,,55.83,percent of total billed charges,,,55.83,percent of total billed charges,,,55.83,percent of total billed charges,,,55.83,percent of total billed charges,,,55.83,percent of total billed charges,
ENOXAPARIN (LOVENOX) INJ : 150MG/ML,J1650,CDM,,,,both,1,each,377.74,377.74,86.88,377.74,377.74,percent of total billed charges,377.74,percent of total billed charges,377.74,percent of total billed charges,377.74,percent of total billed charges,377.74,percent of total billed charges,377.74,percent of total billed charges,377.74,percent of total billed charges,377.74,percent of total billed charges,271.97,percent of total billed charges,271.97,percent of total billed charges,271.97,percent of total billed charges,271.97,percent of total billed charges,271.97,percent of total billed charges,271.97,percent of total billed charges,298.41,percent of total billed charges,298.41,percent of total billed charges,302.19,percent of total billed charges,302.19,percent of total billed charges,,,271.97,percent of total billed charges ,,,302.19,percent of total billed charges ,298.41,percent of total billed charges ,298.41,percent of total billed charges ,321.08,percent of total billed charges ,321.08,percent of total billed charges ,302.19,percent of total billed charges ,302.19,percent of total billed charges ,264.42,percent of total billed charges ,264.42,percent of total billed charges ,226.64,percent of total billed charges ,226.64,percent of total billed charges ,226.64,percent of total billed charges ,226.64,percent of total billed charges ,,,,,200.96,percent of total billed charges ,,,,,190.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,86.88,percent of total billed charges,,,86.88,percent of total billed charges,,,86.88,percent of total billed charges,,,86.88,percent of total billed charges,,,86.88,percent of total billed charges,,,86.88,percent of total billed charges,,,86.88,percent of total billed charges,,,86.88,percent of total billed charges,,,86.88,percent of total billed charges,,,86.88,percent of total billed charges,,,86.88,percent of total billed charges,
DENOSUMAB (XGEVA) SQ INJ : 120MG/1.7ML,J0897,CDM,,,,both,1,each,"16,772.56","16,772.56","3,857.69","16,772.56","16,772.56",percent of total billed charges,"16,772.56",percent of total billed charges,"16,772.56",percent of total billed charges,"16,772.56",percent of total billed charges,"16,772.56",percent of total billed charges,"16,772.56",percent of total billed charges,"16,772.56",percent of total billed charges,"16,772.56",percent of total billed charges,"12,076.24",percent of total billed charges,"12,076.24",percent of total billed charges,"12,076.24",percent of total billed charges,"12,076.24",percent of total billed charges,"12,076.24",percent of total billed charges,"12,076.24",percent of total billed charges,"13,250.32",percent of total billed charges,"13,250.32",percent of total billed charges,"13,418.05",percent of total billed charges,"13,418.05",percent of total billed charges,,,"12,076.24",percent of total billed charges ,,,"13,418.05",percent of total billed charges ,"13,250.32",percent of total billed charges ,"13,250.32",percent of total billed charges ,"14,256.68",percent of total billed charges ,"14,256.68",percent of total billed charges ,"13,418.05",percent of total billed charges ,"13,418.05",percent of total billed charges ,"11,740.79",percent of total billed charges ,"11,740.79",percent of total billed charges ,"10,063.54",percent of total billed charges ,"10,063.54",percent of total billed charges ,"10,063.54",percent of total billed charges ,"10,063.54",percent of total billed charges ,,,,,"8,923.00",percent of total billed charges ,,,,,"8,476.85",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,857.69",percent of total billed charges,,,"3,857.69",percent of total billed charges,,,"3,857.69",percent of total billed charges,,,"3,857.69",percent of total billed charges,,,"3,857.69",percent of total billed charges,,,"3,857.69",percent of total billed charges,,,"3,857.69",percent of total billed charges,,,"3,857.69",percent of total billed charges,,,"3,857.69",percent of total billed charges,,,"3,857.69",percent of total billed charges,,,"3,857.69",percent of total billed charges,
FENTANYL 3MCG/ML-ROPIVACAINE 250ML*,Local ,Local ,,,,both,250,each,"1,697.00","1,697.00",390.31,"1,697.00","1,697.00",percent of total billed charges,"1,697.00",percent of total billed charges,"1,697.00",percent of total billed charges,"1,697.00",percent of total billed charges,"1,697.00",percent of total billed charges,"1,697.00",percent of total billed charges,"1,697.00",percent of total billed charges,"1,697.00",percent of total billed charges,"1,221.84",percent of total billed charges,"1,221.84",percent of total billed charges,"1,221.84",percent of total billed charges,"1,221.84",percent of total billed charges,"1,221.84",percent of total billed charges,"1,221.84",percent of total billed charges,"1,340.63",percent of total billed charges,"1,340.63",percent of total billed charges,"1,357.60",percent of total billed charges,"1,357.60",percent of total billed charges,,,"1,221.84",percent of total billed charges ,,,"1,357.60",percent of total billed charges ,"1,340.63",percent of total billed charges ,"1,340.63",percent of total billed charges ,"1,442.45",percent of total billed charges ,"1,442.45",percent of total billed charges ,"1,357.60",percent of total billed charges ,"1,357.60",percent of total billed charges ,"1,187.90",percent of total billed charges ,"1,187.90",percent of total billed charges ,"1,018.20",percent of total billed charges ,"1,018.20",percent of total billed charges ,"1,018.20",percent of total billed charges ,"1,018.20",percent of total billed charges ,,,,,902.8,percent of total billed charges ,,,,,857.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,390.31,percent of total billed charges,,,390.31,percent of total billed charges,,,390.31,percent of total billed charges,,,390.31,percent of total billed charges,,,390.31,percent of total billed charges,,,390.31,percent of total billed charges,,,390.31,percent of total billed charges,,,390.31,percent of total billed charges,,,390.31,percent of total billed charges,,,390.31,percent of total billed charges,,,390.31,percent of total billed charges,
RIVAROXABAN (XARELTO) TAB : 15MG,637,RC,50458-05-7830,NDC,,both,1,each,46,46,10.58,46,46,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,36.34,percent of total billed charges,36.34,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 ,36.34,percent of total billed charges ,36.34,percent of total billed charges ,39.1,percent of total billed charges ,39.1,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,10.58,percent of total billed charges,,,10.58,percent of total billed charges,,,10.58,percent of total billed charges,
CLOBETASOL PROPIONATE CREAM 0.05%,637,RC,42291-00-7615,NDC,,both,30,each,68.38,68.38,15.73,68.38,68.38,percent of total billed charges,68.38,percent of total billed charges,68.38,percent of total billed charges,68.38,percent of total billed charges,68.38,percent of total billed charges,68.38,percent of total billed charges,68.38,percent of total billed charges,68.38,percent of total billed charges,49.23,percent of total billed charges,49.23,percent of total billed charges,49.23,percent of total billed charges,49.23,percent of total billed charges,49.23,percent of total billed charges,49.23,percent of total billed charges,54.02,percent of total billed charges,54.02,percent of total billed charges,54.7,percent of total billed charges,54.7,percent of total billed charges,,,49.23,percent of total billed charges ,,,54.7,percent of total billed charges ,54.02,percent of total billed charges ,54.02,percent of total billed charges ,58.12,percent of total billed charges ,58.12,percent of total billed charges ,54.7,percent of total billed charges ,54.7,percent of total billed charges ,47.87,percent of total billed charges ,47.87,percent of total billed charges ,41.03,percent of total billed charges ,41.03,percent of total billed charges ,41.03,percent of total billed charges ,41.03,percent of total billed charges ,,,,,36.38,percent of total billed charges ,,,,,34.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.73,percent of total billed charges,,,15.73,percent of total billed charges,,,15.73,percent of total billed charges,,,15.73,percent of total billed charges,,,15.73,percent of total billed charges,,,15.73,percent of total billed charges,,,15.73,percent of total billed charges,,,15.73,percent of total billed charges,,,15.73,percent of total billed charges,,,15.73,percent of total billed charges,,,15.73,percent of total billed charges,
ZONISAMIDE CAP : 100MG,637,RC,60687-02-3011,NDC,,both,1,each,2.02,2.02,0.46,2.02,2.02,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,1.6,percent of total billed charges,1.6,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 ,1.6,percent of total billed charges ,1.6,percent of total billed charges ,1.72,percent of total billed charges ,1.72,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
COLESEVELAM (WELCHOL) TAB : 625MG,637,RC,68462-04-3318,NDC,,both,1,each,12.6,12.6,2.9,12.6,12.6,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,9.95,percent of total billed charges,9.95,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 ,9.95,percent of total billed charges ,9.95,percent of total billed charges ,10.71,percent of total billed charges ,10.71,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 ,,,,,,,,,,,,,,,,,,,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,,,2.9,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,,,2.9,percent of total billed charges,,,2.9,percent of total billed charges,,,2.9,percent of total billed charges,
LEVOTHYROXINE (SYNTHROID) TAB : 125MCG,637,RC,60687-05-1911,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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,
BERINERT IV PWD FOR SOLN  : 500U,J0597,CDM,,,,both,1,each,"9,051.75","9,051.75","2,081.90","9,051.75","9,051.75",percent of total billed charges,"9,051.75",percent of total billed charges,"9,051.75",percent of total billed charges,"9,051.75",percent of total billed charges,"9,051.75",percent of total billed charges,"9,051.75",percent of total billed charges,"9,051.75",percent of total billed charges,"9,051.75",percent of total billed charges,"6,517.26",percent of total billed charges,"6,517.26",percent of total billed charges,"6,517.26",percent of total billed charges,"6,517.26",percent of total billed charges,"6,517.26",percent of total billed charges,"6,517.26",percent of total billed charges,"7,150.88",percent of total billed charges,"7,150.88",percent of total billed charges,"7,241.40",percent of total billed charges,"7,241.40",percent of total billed charges,,,"6,517.26",percent of total billed charges ,,,"7,241.40",percent of total billed charges ,"7,150.88",percent of total billed charges ,"7,150.88",percent of total billed charges ,"7,693.99",percent of total billed charges ,"7,693.99",percent of total billed charges ,"7,241.40",percent of total billed charges ,"7,241.40",percent of total billed charges ,"6,336.23",percent of total billed charges ,"6,336.23",percent of total billed charges ,"5,431.05",percent of total billed charges ,"5,431.05",percent of total billed charges ,"5,431.05",percent of total billed charges ,"5,431.05",percent of total billed charges ,,,,,"4,815.53",percent of total billed charges ,,,,,"4,574.75",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,081.90",percent of total billed charges,,,"2,081.90",percent of total billed charges,,,"2,081.90",percent of total billed charges,,,"2,081.90",percent of total billed charges,,,"2,081.90",percent of total billed charges,,,"2,081.90",percent of total billed charges,,,"2,081.90",percent of total billed charges,,,"2,081.90",percent of total billed charges,,,"2,081.90",percent of total billed charges,,,"2,081.90",percent of total billed charges,,,"2,081.90",percent of total billed charges,
MYCOPHENOLATE MOFETIL IV SOL : 500MG,J7517,CDM,,,,both,1,each,"1,261.12","1,261.12",290.06,"1,261.12","1,261.12",percent of total billed charges,"1,261.12",percent of total billed charges,"1,261.12",percent of total billed charges,"1,261.12",percent of total billed charges,"1,261.12",percent of total billed charges,"1,261.12",percent of total billed charges,"1,261.12",percent of total billed charges,"1,261.12",percent of total billed charges,908.01,percent of total billed charges,908.01,percent of total billed charges,908.01,percent of total billed charges,908.01,percent of total billed charges,908.01,percent of total billed charges,908.01,percent of total billed charges,996.28,percent of total billed charges,996.28,percent of total billed charges,"1,008.90",percent of total billed charges,"1,008.90",percent of total billed charges,,,908.01,percent of total billed charges ,,,"1,008.90",percent of total billed charges ,996.28,percent of total billed charges ,996.28,percent of total billed charges ,"1,071.95",percent of total billed charges ,"1,071.95",percent of total billed charges ,"1,008.90",percent of total billed charges ,"1,008.90",percent of total billed charges ,882.78,percent of total billed charges ,882.78,percent of total billed charges ,756.67,percent of total billed charges ,756.67,percent of total billed charges ,756.67,percent of total billed charges ,756.67,percent of total billed charges ,,,,,670.92,percent of total billed charges ,,,,,637.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,290.06,percent of total billed charges,,,290.06,percent of total billed charges,,,290.06,percent of total billed charges,,,290.06,percent of total billed charges,,,290.06,percent of total billed charges,,,290.06,percent of total billed charges,,,290.06,percent of total billed charges,,,290.06,percent of total billed charges,,,290.06,percent of total billed charges,,,290.06,percent of total billed charges,,,290.06,percent of total billed charges,
DEXTROSE 5% AVIVA / VisIV BAG 250ML,258,RC,00338-00-6230,NDC,,both,1,each,329,329,75.67,329,329,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,259.91,percent of total billed charges,259.91,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 ,259.91,percent of total billed charges ,259.91,percent of total billed charges ,279.65,percent of total billed charges ,279.65,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 ,,,,,,,,,,,,,,,,,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,
PHENAZOPYRIDINE (PYRIDIUM) : 100MG*,637,RC,68084-02-9201,NDC,,both,1,each,6,6,1.38,6,6,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,4.74,percent of total billed charges,4.74,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 ,4.74,percent of total billed charges ,4.74,percent of total billed charges ,5.1,percent of total billed charges ,5.1,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 ,,,,,,,,,,,,,,,,,,,1.38,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,
LEXISCAN INJ SYRG : 0.4MG/5ML,J2785,CDM,,,,both,1,each,"1,845.00","1,845.00",424.35,"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,"1,457.55",percent of total billed charges,"1,457.55",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 ,"1,457.55",percent of total billed charges ,"1,457.55",percent of total billed charges ,"1,568.25",percent of total billed charges ,"1,568.25",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 ,,,,,,,,,,,,,,,,,,,424.35,percent of total billed charges,,,424.35,percent of total billed charges,,,424.35,percent of total billed charges,,,424.35,percent of total billed charges,,,424.35,percent of total billed charges,,,424.35,percent of total billed charges,,,424.35,percent of total billed charges,,,424.35,percent of total billed charges,,,424.35,percent of total billed charges,,,424.35,percent of total billed charges,,,424.35,percent of total billed charges,
HEPATITIS-B IM SUSP 20MCG/1ML (ADULT),250,RC,58160-08-2152,NDC,,both,1,each,448.96,448.96,103.26,448.96,448.96,percent of total billed charges,448.96,percent of total billed charges,448.96,percent of total billed charges,448.96,percent of total billed charges,448.96,percent of total billed charges,448.96,percent of total billed charges,448.96,percent of total billed charges,448.96,percent of total billed charges,323.25,percent of total billed charges,323.25,percent of total billed charges,323.25,percent of total billed charges,323.25,percent of total billed charges,323.25,percent of total billed charges,323.25,percent of total billed charges,354.68,percent of total billed charges,354.68,percent of total billed charges,359.17,percent of total billed charges,359.17,percent of total billed charges,,,323.25,percent of total billed charges ,,,359.17,percent of total billed charges ,354.68,percent of total billed charges ,354.68,percent of total billed charges ,381.62,percent of total billed charges ,381.62,percent of total billed charges ,359.17,percent of total billed charges ,359.17,percent of total billed charges ,314.27,percent of total billed charges ,314.27,percent of total billed charges ,269.38,percent of total billed charges ,269.38,percent of total billed charges ,269.38,percent of total billed charges ,269.38,percent of total billed charges ,,,,,238.85,percent of total billed charges ,,,,,226.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,103.26,percent of total billed charges,,,103.26,percent of total billed charges,,,103.26,percent of total billed charges,,,103.26,percent of total billed charges,,,103.26,percent of total billed charges,,,103.26,percent of total billed charges,,,103.26,percent of total billed charges,,,103.26,percent of total billed charges,,,103.26,percent of total billed charges,,,103.26,percent of total billed charges,,,103.26,percent of total billed charges,
CLARITHROMYCIN (BIAXIN) : 500MG,637,RC,65862-02-2660,NDC,,both,1,each,4.06,4.06,0.93,4.06,4.06,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,4.06,percent of total billed charges,4.06,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,3.21,percent of total billed charges,3.21,percent of total billed charges,3.25,percent of total billed charges,3.25,percent of total billed charges,,,2.92,percent of total billed charges ,,,3.25,percent of total billed charges ,3.21,percent of total billed charges ,3.21,percent of total billed charges ,3.45,percent of total billed charges ,3.45,percent of total billed charges ,3.25,percent of total billed charges ,3.25,percent of total billed charges ,2.84,percent of total billed charges ,2.84,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 ,,,,,2.16,percent of total billed charges ,,,,,2.05,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,
"MORPHINE PCA : 5MG/ML, 30ML",J2270,CDM,,,,both,1,each,164.85,164.85,37.92,164.85,164.85,percent of total billed charges,164.85,percent of total billed charges,164.85,percent of total billed charges,164.85,percent of total billed charges,164.85,percent of total billed charges,164.85,percent of total billed charges,164.85,percent of total billed charges,164.85,percent of total billed charges,118.69,percent of total billed charges,118.69,percent of total billed charges,118.69,percent of total billed charges,118.69,percent of total billed charges,118.69,percent of total billed charges,118.69,percent of total billed charges,130.23,percent of total billed charges,130.23,percent of total billed charges,131.88,percent of total billed charges,131.88,percent of total billed charges,,,118.69,percent of total billed charges ,,,131.88,percent of total billed charges ,130.23,percent of total billed charges ,130.23,percent of total billed charges ,140.12,percent of total billed charges ,140.12,percent of total billed charges ,131.88,percent of total billed charges ,131.88,percent of total billed charges ,115.4,percent of total billed charges ,115.4,percent of total billed charges ,98.91,percent of total billed charges ,98.91,percent of total billed charges ,98.91,percent of total billed charges ,98.91,percent of total billed charges ,,,,,87.7,percent of total billed charges ,,,,,83.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,37.92,percent of total billed charges,,,37.92,percent of total billed charges,,,37.92,percent of total billed charges,,,37.92,percent of total billed charges,,,37.92,percent of total billed charges,,,37.92,percent of total billed charges,,,37.92,percent of total billed charges,,,37.92,percent of total billed charges,,,37.92,percent of total billed charges,,,37.92,percent of total billed charges,,,37.92,percent of total billed charges,
FENTANYL PCA : 25MCG/ML 30ML,J3010,CDM,,,,both,1,each,643,643,147.89,643,643,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,507.97,percent of total billed charges,507.97,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 ,507.97,percent of total billed charges ,507.97,percent of total billed charges ,546.55,percent of total billed charges ,546.55,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 ,,,,,,,,,,,,,,,,,,,147.89,percent of total billed charges,,,147.89,percent of total billed charges,,,147.89,percent of total billed charges,,,147.89,percent of total billed charges,,,147.89,percent of total billed charges,,,147.89,percent of total billed charges,,,147.89,percent of total billed charges,,,147.89,percent of total billed charges,,,147.89,percent of total billed charges,,,147.89,percent of total billed charges,,,147.89,percent of total billed charges,
"HYDROmorphone PCA : 0.2MG/ML, 30ML",J1170,CDM,,,,both,1,each,410.76,410.76,94.47,410.76,410.76,percent of total billed charges,410.76,percent of total billed charges,410.76,percent of total billed charges,410.76,percent of total billed charges,410.76,percent of total billed charges,410.76,percent of total billed charges,410.76,percent of total billed charges,410.76,percent of total billed charges,295.75,percent of total billed charges,295.75,percent of total billed charges,295.75,percent of total billed charges,295.75,percent of total billed charges,295.75,percent of total billed charges,295.75,percent of total billed charges,324.5,percent of total billed charges,324.5,percent of total billed charges,328.61,percent of total billed charges,328.61,percent of total billed charges,,,295.75,percent of total billed charges ,,,328.61,percent of total billed charges ,324.5,percent of total billed charges ,324.5,percent of total billed charges ,349.15,percent of total billed charges ,349.15,percent of total billed charges ,328.61,percent of total billed charges ,328.61,percent of total billed charges ,287.53,percent of total billed charges ,287.53,percent of total billed charges ,246.46,percent of total billed charges ,246.46,percent of total billed charges ,246.46,percent of total billed charges ,246.46,percent of total billed charges ,,,,,218.52,percent of total billed charges ,,,,,207.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,94.47,percent of total billed charges,,,94.47,percent of total billed charges,,,94.47,percent of total billed charges,,,94.47,percent of total billed charges,,,94.47,percent of total billed charges,,,94.47,percent of total billed charges,,,94.47,percent of total billed charges,,,94.47,percent of total billed charges,,,94.47,percent of total billed charges,,,94.47,percent of total billed charges,,,94.47,percent of total billed charges,
LIDOCAINE 1% BUFFERED INJ : 10ML,250,RC,63323-04-9257,NDC,,both,1,each,74.93,74.93,17.23,74.93,74.93,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,59.19,percent of total billed charges,59.19,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 ,59.19,percent of total billed charges ,59.19,percent of total billed charges ,63.69,percent of total billed charges ,63.69,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 ,,,,,,,,,,,,,,,,,,,17.23,percent of total billed charges,,,17.23,percent of total billed charges,,,17.23,percent of total billed charges,,,17.23,percent of total billed charges,,,17.23,percent of total billed charges,,,17.23,percent of total billed charges,,,17.23,percent of total billed charges,,,17.23,percent of total billed charges,,,17.23,percent of total billed charges,,,17.23,percent of total billed charges,,,17.23,percent of total billed charges,
FONDAPARINUX (ARIXTRA) 2.5MG/0.5ML,J1652,CDM,,,,both,1,each,91,91,20.93,91,91,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,71.89,percent of total billed charges,71.89,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 ,71.89,percent of total billed charges ,71.89,percent of total billed charges ,77.35,percent of total billed charges ,77.35,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 ,,,,,,,,,,,,,,,,,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,
METAXALONE (SKELAXIN) TAB : 800MG,637,RC,68084-01-3511,NDC,,both,1,each,19.08,19.08,4.39,19.08,19.08,percent of total billed charges,19.08,percent of total billed charges,19.08,percent of total billed charges,19.08,percent of total billed charges,19.08,percent of total billed charges,19.08,percent of total billed charges,19.08,percent of total billed charges,19.08,percent of total billed charges,13.74,percent of total billed charges,13.74,percent of total billed charges,13.74,percent of total billed charges,13.74,percent of total billed charges,13.74,percent of total billed charges,13.74,percent of total billed charges,15.07,percent of total billed charges,15.07,percent of total billed charges,15.26,percent of total billed charges,15.26,percent of total billed charges,,,13.74,percent of total billed charges ,,,15.26,percent of total billed charges ,15.07,percent of total billed charges ,15.07,percent of total billed charges ,16.22,percent of total billed charges ,16.22,percent of total billed charges ,15.26,percent of total billed charges ,15.26,percent of total billed charges ,13.36,percent of total billed charges ,13.36,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 ,,,,,10.15,percent of total billed charges ,,,,,9.64,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,
NICARDIPINE HCL IV SOLN 2.5MG/1ML,250,RC,00143-96-8910,NDC,,both,1,each,153.12,153.12,35.22,153.12,153.12,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,120.96,percent of total billed charges,120.96,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 ,120.96,percent of total billed charges ,120.96,percent of total billed charges ,130.15,percent of total billed charges ,130.15,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 ,,,,,,,,,,,,,,,,,,,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,
MAGNESIUM  OXIDE TABLET : 250MG,637,RC,00761-02-8320,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
TRANEXAMIC ACID IV SOLN 1000MG/10ML,250,RC,39822-10-0001,NDC,,both,1,each,80.08,80.08,18.42,80.08,80.08,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,63.26,percent of total billed charges,63.26,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 ,63.26,percent of total billed charges ,63.26,percent of total billed charges ,68.07,percent of total billed charges ,68.07,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 ,,,,,,,,,,,,,,,,,,,18.42,percent of total billed charges,,,18.42,percent of total billed charges,,,18.42,percent of total billed charges,,,18.42,percent of total billed charges,,,18.42,percent of total billed charges,,,18.42,percent of total billed charges,,,18.42,percent of total billed charges,,,18.42,percent of total billed charges,,,18.42,percent of total billed charges,,,18.42,percent of total billed charges,,,18.42,percent of total billed charges,
TRANEXAMIC ACID / NS,258,RC,39822-10-0107,NDC,,both,1,each,270,270,62.1,270,270,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,270,percent of total billed charges,270,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,194.4,percent of total billed charges,194.4,percent of total billed charges,213.3,percent of total billed charges,213.3,percent of total billed charges,216,percent of total billed charges,216,percent of total billed charges,,,194.4,percent of total billed charges ,,,216,percent of total billed charges ,213.3,percent of total billed charges ,213.3,percent of total billed charges ,229.5,percent of total billed charges ,229.5,percent of total billed charges ,216,percent of total billed charges ,216,percent of total billed charges ,189,percent of total billed charges ,189,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 ,,,,,143.64,percent of total billed charges ,,,,,136.46,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,,,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,,,62.1,percent of total billed charges,,,62.1,percent of total billed charges,,,62.1,percent of total billed charges,
PEAK FLOW METER DEVICE,Local ,Local ,,,,both,,,34,34,7.82,34,34,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,26.86,percent of total billed charges,26.86,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 ,26.86,percent of total billed charges ,26.86,percent of total billed charges ,28.9,percent of total billed charges ,28.9,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 ,,,,,,,,,,,,,,,,,,,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,,,7.82,percent of total billed charges,,,7.82,percent of total billed charges,,,7.82,percent of total billed charges,
PROSTIN VR PED IV SOLN 500MCG/1ML,250,RC,00009-31-6906,NDC,,both,1,each,652,652,149.96,652,652,percent of total billed charges,652,percent of total billed charges,652,percent of total billed charges,652,percent of total billed charges,652,percent of total billed charges,652,percent of total billed charges,652,percent of total billed charges,652,percent of total billed charges,469.44,percent of total billed charges,469.44,percent of total billed charges,469.44,percent of total billed charges,469.44,percent of total billed charges,469.44,percent of total billed charges,469.44,percent of total billed charges,515.08,percent of total billed charges,515.08,percent of total billed charges,521.6,percent of total billed charges,521.6,percent of total billed charges,,,469.44,percent of total billed charges ,,,521.6,percent of total billed charges ,515.08,percent of total billed charges ,515.08,percent of total billed charges ,554.2,percent of total billed charges ,554.2,percent of total billed charges ,521.6,percent of total billed charges ,521.6,percent of total billed charges ,456.4,percent of total billed charges ,456.4,percent of total billed charges ,391.2,percent of total billed charges ,391.2,percent of total billed charges ,391.2,percent of total billed charges ,391.2,percent of total billed charges ,,,,,346.86,percent of total billed charges ,,,,,329.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,149.96,percent of total billed charges,,,149.96,percent of total billed charges,,,149.96,percent of total billed charges,,,149.96,percent of total billed charges,,,149.96,percent of total billed charges,,,149.96,percent of total billed charges,,,149.96,percent of total billed charges,,,149.96,percent of total billed charges,,,149.96,percent of total billed charges,,,149.96,percent of total billed charges,,,149.96,percent of total billed charges,
dexAMETHasone ORAL SOLN : 0.5MG/5ML,637,RC,00054-31-7763,NDC,,both,5,each,0.71,0.71,0.16,0.71,0.71,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,0.56,percent of total billed charges,0.56,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 ,0.56,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 ,0.57,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 ,,,,,,,,,,,,,,,,,,,0.16,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,
TRIAMCINOLONE PF INJ(TRIESENCE) 40MG/ML,250,RC,00003-02-9305,NDC,,both,1,each,556.18,556.18,127.92,556.18,556.18,percent of total billed charges,556.18,percent of total billed charges,556.18,percent of total billed charges,556.18,percent of total billed charges,556.18,percent of total billed charges,556.18,percent of total billed charges,556.18,percent of total billed charges,556.18,percent of total billed charges,400.45,percent of total billed charges,400.45,percent of total billed charges,400.45,percent of total billed charges,400.45,percent of total billed charges,400.45,percent of total billed charges,400.45,percent of total billed charges,439.38,percent of total billed charges,439.38,percent of total billed charges,444.94,percent of total billed charges,444.94,percent of total billed charges,,,400.45,percent of total billed charges ,,,444.94,percent of total billed charges ,439.38,percent of total billed charges ,439.38,percent of total billed charges ,472.75,percent of total billed charges ,472.75,percent of total billed charges ,444.94,percent of total billed charges ,444.94,percent of total billed charges ,389.33,percent of total billed charges ,389.33,percent of total billed charges ,333.71,percent of total billed charges ,333.71,percent of total billed charges ,333.71,percent of total billed charges ,333.71,percent of total billed charges ,,,,,295.89,percent of total billed charges ,,,,,281.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,127.92,percent of total billed charges,,,127.92,percent of total billed charges,,,127.92,percent of total billed charges,,,127.92,percent of total billed charges,,,127.92,percent of total billed charges,,,127.92,percent of total billed charges,,,127.92,percent of total billed charges,,,127.92,percent of total billed charges,,,127.92,percent of total billed charges,,,127.92,percent of total billed charges,,,127.92,percent of total billed charges,
VISCOAT CELLUGEL OPHTH INJ SOLN.,250,RC,08065-18-3810,NDC,,both,1,each,313,313,71.99,313,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,247.27,percent of total billed charges,247.27,percent of total billed charges,250.4,percent of total billed charges,250.4,percent of total billed charges,,,225.36,percent of total billed charges ,,,250.4,percent of total billed charges ,247.27,percent of total billed charges ,247.27,percent of total billed charges ,266.05,percent of total billed charges ,266.05,percent of total billed charges ,250.4,percent of total billed charges ,250.4,percent of total billed charges ,219.1,percent of total billed charges ,219.1,percent of total billed charges ,187.8,percent of total billed charges ,187.8,percent of total billed charges ,187.8,percent of total billed charges ,187.8,percent of total billed charges ,,,,,166.52,percent of total billed charges ,,,,,158.19,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,,,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,
BUDESONIDE (ENTOCORT) CAP  : 3MG,637,RC,00574-98-5510,NDC,,both,1,each,3.5,3.5,0.81,3.5,3.5,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,2.52,percent of total billed charges,2.52,percent of total billed charges,2.52,percent of total billed charges,2.52,percent of total billed charges,2.52,percent of total billed charges,2.52,percent of total billed charges,2.77,percent of total billed charges,2.77,percent of total billed charges,2.8,percent of total billed charges,2.8,percent of total billed charges,,,2.52,percent of total billed charges ,,,2.8,percent of total billed charges ,2.77,percent of total billed charges ,2.77,percent of total billed charges ,2.98,percent of total billed charges ,2.98,percent of total billed charges ,2.8,percent of total billed charges ,2.8,percent of total billed charges ,2.45,percent of total billed charges ,2.45,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 ,,,,,1.86,percent of total billed charges ,,,,,1.77,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,
PROSTIN VR PEDIATRIC IV SOLN 0.5MG/1ML,250,RC,00009-31-6906,NDC,,both,1,each,286,286,65.78,286,286,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,225.94,percent of total billed charges,225.94,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 ,225.94,percent of total billed charges ,225.94,percent of total billed charges ,243.1,percent of total billed charges ,243.1,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 ,,,,,,,,,,,,,,,,,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,
CARBIDOPA-LEVODOPA TAB 25MG-250MG,637,RC,68084-00-9401,NDC,,both,1,each,1.11,1.11,0.26,1.11,1.11,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,0.88,percent of total billed charges,0.88,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 ,0.88,percent of total billed charges ,0.88,percent of total billed charges ,0.94,percent of total billed charges ,0.94,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 ,,,,,,,,,,,,,,,,,,,0.26,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,
CAFFEINE CITRATE IV SOLN 60MG/3ML,J0706,CDM,,,,both,1,each,97.45,97.45,22.41,97.45,97.45,percent of total billed charges,97.45,percent of total billed charges,97.45,percent of total billed charges,97.45,percent of total billed charges,97.45,percent of total billed charges,97.45,percent of total billed charges,97.45,percent of total billed charges,97.45,percent of total billed charges,70.16,percent of total billed charges,70.16,percent of total billed charges,70.16,percent of total billed charges,70.16,percent of total billed charges,70.16,percent of total billed charges,70.16,percent of total billed charges,76.99,percent of total billed charges,76.99,percent of total billed charges,77.96,percent of total billed charges,77.96,percent of total billed charges,,,70.16,percent of total billed charges ,,,77.96,percent of total billed charges ,76.99,percent of total billed charges ,76.99,percent of total billed charges ,82.83,percent of total billed charges ,82.83,percent of total billed charges ,77.96,percent of total billed charges ,77.96,percent of total billed charges ,68.22,percent of total billed charges ,68.22,percent of total billed charges ,58.47,percent of total billed charges ,58.47,percent of total billed charges ,58.47,percent of total billed charges ,58.47,percent of total billed charges ,,,,,51.84,percent of total billed charges ,,,,,49.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.41,percent of total billed charges,,,22.41,percent of total billed charges,,,22.41,percent of total billed charges,,,22.41,percent of total billed charges,,,22.41,percent of total billed charges,,,22.41,percent of total billed charges,,,22.41,percent of total billed charges,,,22.41,percent of total billed charges,,,22.41,percent of total billed charges,,,22.41,percent of total billed charges,,,22.41,percent of total billed charges,
LACTATED RINGER'S SOLN : 500ML,J7120,CDM,,,,both,1,each,58,58,13.34,58,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,45.82,percent of total billed charges,45.82,percent of total billed charges,46.4,percent of total billed charges,46.4,percent of total billed charges,,,41.76,percent of total billed charges ,,,46.4,percent of total billed charges ,45.82,percent of total billed charges ,45.82,percent of total billed charges ,49.3,percent of total billed charges ,49.3,percent of total billed charges ,46.4,percent of total billed charges ,46.4,percent of total billed charges ,40.6,percent of total billed charges ,40.6,percent of total billed charges ,34.8,percent of total billed charges ,34.8,percent of total billed charges ,34.8,percent of total billed charges ,34.8,percent of total billed charges ,,,,,30.86,percent of total billed charges ,,,,,29.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,
CEFAZOLIN (ANCEF) 2GM / D5W PREMIX,J0690,CDM,,,,both,1,each,160.95,160.95,37.02,160.95,160.95,percent of total billed charges,160.95,percent of total billed charges,160.95,percent of total billed charges,160.95,percent of total billed charges,160.95,percent of total billed charges,160.95,percent of total billed charges,160.95,percent of total billed charges,160.95,percent of total billed charges,115.88,percent of total billed charges,115.88,percent of total billed charges,115.88,percent of total billed charges,115.88,percent of total billed charges,115.88,percent of total billed charges,115.88,percent of total billed charges,127.15,percent of total billed charges,127.15,percent of total billed charges,128.76,percent of total billed charges,128.76,percent of total billed charges,,,115.88,percent of total billed charges ,,,128.76,percent of total billed charges ,127.15,percent of total billed charges ,127.15,percent of total billed charges ,136.81,percent of total billed charges ,136.81,percent of total billed charges ,128.76,percent of total billed charges ,128.76,percent of total billed charges ,112.67,percent of total billed charges ,112.67,percent of total billed charges ,96.57,percent of total billed charges ,96.57,percent of total billed charges ,96.57,percent of total billed charges ,96.57,percent of total billed charges ,,,,,85.63,percent of total billed charges ,,,,,81.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,37.02,percent of total billed charges,,,37.02,percent of total billed charges,,,37.02,percent of total billed charges,,,37.02,percent of total billed charges,,,37.02,percent of total billed charges,,,37.02,percent of total billed charges,,,37.02,percent of total billed charges,,,37.02,percent of total billed charges,,,37.02,percent of total billed charges,,,37.02,percent of total billed charges,,,37.02,percent of total billed charges,
KETOROLAC (ACUVAIL) OPHT SOLN 0.45%,637,RC,00023-35-0731,NDC,,both,1,each,59.96,59.96,13.79,59.96,59.96,percent of total billed charges,59.96,percent of total billed charges,59.96,percent of total billed charges,59.96,percent of total billed charges,59.96,percent of total billed charges,59.96,percent of total billed charges,59.96,percent of total billed charges,59.96,percent of total billed charges,43.17,percent of total billed charges,43.17,percent of total billed charges,43.17,percent of total billed charges,43.17,percent of total billed charges,43.17,percent of total billed charges,43.17,percent of total billed charges,47.37,percent of total billed charges,47.37,percent of total billed charges,47.97,percent of total billed charges,47.97,percent of total billed charges,,,43.17,percent of total billed charges ,,,47.97,percent of total billed charges ,47.37,percent of total billed charges ,47.37,percent of total billed charges ,50.97,percent of total billed charges ,50.97,percent of total billed charges ,47.97,percent of total billed charges ,47.97,percent of total billed charges ,41.97,percent of total billed charges ,41.97,percent of total billed charges ,35.98,percent of total billed charges ,35.98,percent of total billed charges ,35.98,percent of total billed charges ,35.98,percent of total billed charges ,,,,,31.9,percent of total billed charges ,,,,,30.3,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,
**DARBEPOETIN (ARANESP) 100MCG PFS,J0881,CDM,,,,both,1,each,"2,837.79","2,837.79",652.69,"2,837.79","2,837.79",percent of total billed charges,"2,837.79",percent of total billed charges,"2,837.79",percent of total billed charges,"2,837.79",percent of total billed charges,"2,837.79",percent of total billed charges,"2,837.79",percent of total billed charges,"2,837.79",percent of total billed charges,"2,837.79",percent of total billed charges,"2,043.21",percent of total billed charges,"2,043.21",percent of total billed charges,"2,043.21",percent of total billed charges,"2,043.21",percent of total billed charges,"2,043.21",percent of total billed charges,"2,043.21",percent of total billed charges,"2,241.85",percent of total billed charges,"2,241.85",percent of total billed charges,"2,270.23",percent of total billed charges,"2,270.23",percent of total billed charges,,,"2,043.21",percent of total billed charges ,,,"2,270.23",percent of total billed charges ,"2,241.85",percent of total billed charges ,"2,241.85",percent of total billed charges ,"2,412.12",percent of total billed charges ,"2,412.12",percent of total billed charges ,"2,270.23",percent of total billed charges ,"2,270.23",percent of total billed charges ,"1,986.45",percent of total billed charges ,"1,986.45",percent of total billed charges ,"1,702.67",percent of total billed charges ,"1,702.67",percent of total billed charges ,"1,702.67",percent of total billed charges ,"1,702.67",percent of total billed charges ,,,,,"1,509.70",percent of total billed charges ,,,,,"1,434.22",percent of total billed charges ,,,,,,,,,,,,,,,,,,,652.69,percent of total billed charges,,,652.69,percent of total billed charges,,,652.69,percent of total billed charges,,,652.69,percent of total billed charges,,,652.69,percent of total billed charges,,,652.69,percent of total billed charges,,,652.69,percent of total billed charges,,,652.69,percent of total billed charges,,,652.69,percent of total billed charges,,,652.69,percent of total billed charges,,,652.69,percent of total billed charges,
MELATONIN ORAL TABLET : 1MG,637,RC,74312-00-2832,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
AMOXICILLIN ORAL SUSP : 400MG/5ML,637,RC,65862-00-7150,NDC,,both,75,each,46.62,46.62,10.72,46.62,46.62,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,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,33.57,percent of total billed charges,33.57,percent of total billed charges,33.57,percent of total billed charges,33.57,percent of total billed charges,33.57,percent of total billed charges,33.57,percent of total billed charges,36.83,percent of total billed charges,36.83,percent of total billed charges,37.3,percent of total billed charges,37.3,percent of total billed charges,,,33.57,percent of total billed charges ,,,37.3,percent of total billed charges ,36.83,percent of total billed charges ,36.83,percent of total billed charges ,39.63,percent of total billed charges ,39.63,percent of total billed charges ,37.3,percent of total billed charges ,37.3,percent of total billed charges ,32.63,percent of total billed charges ,32.63,percent of total billed charges ,27.97,percent of total billed charges ,27.97,percent of total billed charges ,27.97,percent of total billed charges ,27.97,percent of total billed charges ,,,,,24.8,percent of total billed charges ,,,,,23.56,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,,,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,,,10.72,percent of total billed charges,,,10.72,percent of total billed charges,,,10.72,percent of total billed charges,
TETANUS IMMUNE GLUBULIN : 250 UNITS,J1670,CDM,,,,both,1,each,"2,632.00","2,632.00",605.36,"2,632.00","2,632.00",percent of total billed charges,"2,632.00",percent of total billed charges,"2,632.00",percent of total billed charges,"2,632.00",percent of total billed charges,"2,632.00",percent of total billed charges,"2,632.00",percent of total billed charges,"2,632.00",percent of total billed charges,"2,632.00",percent of total billed charges,"1,895.04",percent of total billed charges,"1,895.04",percent of total billed charges,"1,895.04",percent of total billed charges,"1,895.04",percent of total billed charges,"1,895.04",percent of total billed charges,"1,895.04",percent of total billed charges,"2,079.28",percent of total billed charges,"2,079.28",percent of total billed charges,"2,105.60",percent of total billed charges,"2,105.60",percent of total billed charges,,,"1,895.04",percent of total billed charges ,,,"2,105.60",percent of total billed charges ,"2,079.28",percent of total billed charges ,"2,079.28",percent of total billed charges ,"2,237.20",percent of total billed charges ,"2,237.20",percent of total billed charges ,"2,105.60",percent of total billed charges ,"2,105.60",percent of total billed charges ,"1,842.40",percent of total billed charges ,"1,842.40",percent of total billed charges ,"1,579.20",percent of total billed charges ,"1,579.20",percent of total billed charges ,"1,579.20",percent of total billed charges ,"1,579.20",percent of total billed charges ,,,,,"1,400.22",percent of total billed charges ,,,,,"1,330.21",percent of total billed charges ,,,,,,,,,,,,,,,,,,,605.36,percent of total billed charges,,,605.36,percent of total billed charges,,,605.36,percent of total billed charges,,,605.36,percent of total billed charges,,,605.36,percent of total billed charges,,,605.36,percent of total billed charges,,,605.36,percent of total billed charges,,,605.36,percent of total billed charges,,,605.36,percent of total billed charges,,,605.36,percent of total billed charges,,,605.36,percent of total billed charges,
POVIDONE-IODINE OPHT SOLN (BETADINE)30ML,250,RC,00065-04-1130,NDC,,both,30,each,109.29,109.29,25.14,109.29,109.29,percent of total billed charges,109.29,percent of total billed charges,109.29,percent of total billed charges,109.29,percent of total billed charges,109.29,percent of total billed charges,109.29,percent of total billed charges,109.29,percent of total billed charges,109.29,percent of total billed charges,78.69,percent of total billed charges,78.69,percent of total billed charges,78.69,percent of total billed charges,78.69,percent of total billed charges,78.69,percent of total billed charges,78.69,percent of total billed charges,86.34,percent of total billed charges,86.34,percent of total billed charges,87.43,percent of total billed charges,87.43,percent of total billed charges,,,78.69,percent of total billed charges ,,,87.43,percent of total billed charges ,86.34,percent of total billed charges ,86.34,percent of total billed charges ,92.9,percent of total billed charges ,92.9,percent of total billed charges ,87.43,percent of total billed charges ,87.43,percent of total billed charges ,76.5,percent of total billed charges ,76.5,percent of total billed charges ,65.57,percent of total billed charges ,65.57,percent of total billed charges ,65.57,percent of total billed charges ,65.57,percent of total billed charges ,,,,,58.14,percent of total billed charges ,,,,,55.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,25.14,percent of total billed charges,,,25.14,percent of total billed charges,,,25.14,percent of total billed charges,,,25.14,percent of total billed charges,,,25.14,percent of total billed charges,,,25.14,percent of total billed charges,,,25.14,percent of total billed charges,,,25.14,percent of total billed charges,,,25.14,percent of total billed charges,,,25.14,percent of total billed charges,,,25.14,percent of total billed charges,
HYPER-SAL INH/NEB SOLUTION 7%,637,RC,83490-02-0760,NDC,,both,1,each,4.29,4.29,0.99,4.29,4.29,percent of total billed charges,4.29,percent of total billed charges,4.29,percent of total billed charges,4.29,percent of total billed charges,4.29,percent of total billed charges,4.29,percent of total billed charges,4.29,percent of total billed charges,4.29,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,3.39,percent of total billed charges,3.39,percent of total billed charges,3.43,percent of total billed charges,3.43,percent of total billed charges,,,3.09,percent of total billed charges ,,,3.43,percent of total billed charges ,3.39,percent of total billed charges ,3.39,percent of total billed charges ,3.65,percent of total billed charges ,3.65,percent of total billed charges ,3.43,percent of total billed charges ,3.43,percent of total billed charges ,3,percent of total billed charges ,3,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 ,,,,,2.28,percent of total billed charges ,,,,,2.17,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,
INFUMORPH 500MG/20ML AMP,J2274,CDM,,,,both,,,"3,174.54","3,174.54",730.14,"3,174.54","3,174.54",percent of total billed charges,"3,174.54",percent of total billed charges,"3,174.54",percent of total billed charges,"3,174.54",percent of total billed charges,"3,174.54",percent of total billed charges,"3,174.54",percent of total billed charges,"3,174.54",percent of total billed charges,"3,174.54",percent of total billed charges,"2,285.67",percent of total billed charges,"2,285.67",percent of total billed charges,"2,285.67",percent of total billed charges,"2,285.67",percent of total billed charges,"2,285.67",percent of total billed charges,"2,285.67",percent of total billed charges,"2,507.89",percent of total billed charges,"2,507.89",percent of total billed charges,"2,539.63",percent of total billed charges,"2,539.63",percent of total billed charges,,,"2,285.67",percent of total billed charges ,,,"2,539.63",percent of total billed charges ,"2,507.89",percent of total billed charges ,"2,507.89",percent of total billed charges ,"2,698.36",percent of total billed charges ,"2,698.36",percent of total billed charges ,"2,539.63",percent of total billed charges ,"2,539.63",percent of total billed charges ,"2,222.18",percent of total billed charges ,"2,222.18",percent of total billed charges ,"1,904.72",percent of total billed charges ,"1,904.72",percent of total billed charges ,"1,904.72",percent of total billed charges ,"1,904.72",percent of total billed charges ,,,,,"1,688.86",percent of total billed charges ,,,,,"1,604.41",percent of total billed charges ,,,,,,,,,,,,,,,,,,,730.14,percent of total billed charges,,,730.14,percent of total billed charges,,,730.14,percent of total billed charges,,,730.14,percent of total billed charges,,,730.14,percent of total billed charges,,,730.14,percent of total billed charges,,,730.14,percent of total billed charges,,,730.14,percent of total billed charges,,,730.14,percent of total billed charges,,,730.14,percent of total billed charges,,,730.14,percent of total billed charges,
CEFTAROLINE (TEFLARO) IV : 600MG,C9399,CDM,,,,both,1,each,685.67,685.67,157.7,685.67,685.67,percent of total billed charges,685.67,percent of total billed charges,685.67,percent of total billed charges,685.67,percent of total billed charges,685.67,percent of total billed charges,685.67,percent of total billed charges,685.67,percent of total billed charges,685.67,percent of total billed charges,493.68,percent of total billed charges,493.68,percent of total billed charges,493.68,percent of total billed charges,493.68,percent of total billed charges,493.68,percent of total billed charges,493.68,percent of total billed charges,541.68,percent of total billed charges,541.68,percent of total billed charges,548.54,percent of total billed charges,548.54,percent of total billed charges,,,493.68,percent of total billed charges ,,,548.54,percent of total billed charges ,541.68,percent of total billed charges ,541.68,percent of total billed charges ,582.82,percent of total billed charges ,582.82,percent of total billed charges ,548.54,percent of total billed charges ,548.54,percent of total billed charges ,479.97,percent of total billed charges ,479.97,percent of total billed charges ,411.4,percent of total billed charges ,411.4,percent of total billed charges ,411.4,percent of total billed charges ,411.4,percent of total billed charges ,,,,,364.78,percent of total billed charges ,,,,,346.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,157.7,percent of total billed charges,,,157.7,percent of total billed charges,,,157.7,percent of total billed charges,,,157.7,percent of total billed charges,,,157.7,percent of total billed charges,,,157.7,percent of total billed charges,,,157.7,percent of total billed charges,,,157.7,percent of total billed charges,,,157.7,percent of total billed charges,,,157.7,percent of total billed charges,,,157.7,percent of total billed charges,
"GLYCOPYRROLATE INJ 0.2MG/1ML, 1ML",250,RC,00517-46-0125,NDC,,both,1,each,39.54,39.54,9.09,39.54,39.54,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,28.47,percent of total billed charges,28.47,percent of total billed charges,28.47,percent of total billed charges,28.47,percent of total billed charges,28.47,percent of total billed charges,28.47,percent of total billed charges,31.24,percent of total billed charges,31.24,percent of total billed charges,31.63,percent of total billed charges,31.63,percent of total billed charges,,,28.47,percent of total billed charges ,,,31.63,percent of total billed charges ,31.24,percent of total billed charges ,31.24,percent of total billed charges ,33.61,percent of total billed charges ,33.61,percent of total billed charges ,31.63,percent of total billed charges ,31.63,percent of total billed charges ,27.68,percent of total billed charges ,27.68,percent of total billed charges ,23.72,percent of total billed charges ,23.72,percent of total billed charges ,23.72,percent of total billed charges ,23.72,percent of total billed charges ,,,,,21.04,percent of total billed charges ,,,,,19.98,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,
**PERFLUTREN (DEFINITY) IV LIPID MICROSP,Q9957,CDM,,,,both,1.5,each,413.1,413.1,95.01,413.1,413.1,percent of total billed charges,413.1,percent of total billed charges,413.1,percent of total billed charges,413.1,percent of total billed charges,413.1,percent of total billed charges,413.1,percent of total billed charges,413.1,percent of total billed charges,413.1,percent of total billed charges,297.43,percent of total billed charges,297.43,percent of total billed charges,297.43,percent of total billed charges,297.43,percent of total billed charges,297.43,percent of total billed charges,297.43,percent of total billed charges,326.35,percent of total billed charges,326.35,percent of total billed charges,330.48,percent of total billed charges,330.48,percent of total billed charges,,,297.43,percent of total billed charges ,,,330.48,percent of total billed charges ,326.35,percent of total billed charges ,326.35,percent of total billed charges ,351.14,percent of total billed charges ,351.14,percent of total billed charges ,330.48,percent of total billed charges ,330.48,percent of total billed charges ,289.17,percent of total billed charges ,289.17,percent of total billed charges ,247.86,percent of total billed charges ,247.86,percent of total billed charges ,247.86,percent of total billed charges ,247.86,percent of total billed charges ,,,,,219.77,percent of total billed charges ,,,,,208.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,95.01,percent of total billed charges,,,95.01,percent of total billed charges,,,95.01,percent of total billed charges,,,95.01,percent of total billed charges,,,95.01,percent of total billed charges,,,95.01,percent of total billed charges,,,95.01,percent of total billed charges,,,95.01,percent of total billed charges,,,95.01,percent of total billed charges,,,95.01,percent of total billed charges,,,95.01,percent of total billed charges,
FLUVOXAMINE (LUVOX) TAB : 50MG,637,RC,62559-01-5901,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
"BUPivacaine SPINAL INJ SOLN 0.75%, 2ML",250,RC,00409-36-1301,NDC,,both,1,each,168,168,38.64,168,168,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,132.72,percent of total billed charges,132.72,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 ,132.72,percent of total billed charges ,132.72,percent of total billed charges ,142.8,percent of total billed charges ,142.8,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 ,,,,,,,,,,,,,,,,,,,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,
"LIDOCAINE 5% SOLN SPINAL, 2ML",Local ,Local ,,,,both,1,each,81,81,18.63,81,81,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,63.99,percent of total billed charges,63.99,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 ,63.99,percent of total billed charges ,63.99,percent of total billed charges ,68.85,percent of total billed charges ,68.85,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 ,,,,,,,,,,,,,,,,,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,
**DARBEPOETIN(ARANESP) INJ : 25MCG,J0881,CDM,,,,both,1,each,648.3,648.3,149.11,648.3,648.3,percent of total billed charges,648.3,percent of total billed charges,648.3,percent of total billed charges,648.3,percent of total billed charges,648.3,percent of total billed charges,648.3,percent of total billed charges,648.3,percent of total billed charges,648.3,percent of total billed charges,466.78,percent of total billed charges,466.78,percent of total billed charges,466.78,percent of total billed charges,466.78,percent of total billed charges,466.78,percent of total billed charges,466.78,percent of total billed charges,512.16,percent of total billed charges,512.16,percent of total billed charges,518.64,percent of total billed charges,518.64,percent of total billed charges,,,466.78,percent of total billed charges ,,,518.64,percent of total billed charges ,512.16,percent of total billed charges ,512.16,percent of total billed charges ,551.06,percent of total billed charges ,551.06,percent of total billed charges ,518.64,percent of total billed charges ,518.64,percent of total billed charges ,453.81,percent of total billed charges ,453.81,percent of total billed charges ,388.98,percent of total billed charges ,388.98,percent of total billed charges ,388.98,percent of total billed charges ,388.98,percent of total billed charges ,,,,,344.9,percent of total billed charges ,,,,,327.65,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,
**HYALURONIDASE (VITRASE) INJ 200U/1ML,J3470,CDM,,,,both,1,each,581,581,133.63,581,581,percent of total billed charges,581,percent of total billed charges,581,percent of total billed charges,581,percent of total billed charges,581,percent of total billed charges,581,percent of total billed charges,581,percent of total billed charges,581,percent of total billed charges,418.32,percent of total billed charges,418.32,percent of total billed charges,418.32,percent of total billed charges,418.32,percent of total billed charges,418.32,percent of total billed charges,418.32,percent of total billed charges,458.99,percent of total billed charges,458.99,percent of total billed charges,464.8,percent of total billed charges,464.8,percent of total billed charges,,,418.32,percent of total billed charges ,,,464.8,percent of total billed charges ,458.99,percent of total billed charges ,458.99,percent of total billed charges ,493.85,percent of total billed charges ,493.85,percent of total billed charges ,464.8,percent of total billed charges ,464.8,percent of total billed charges ,406.7,percent of total billed charges ,406.7,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 ,,,,,309.09,percent of total billed charges ,,,,,293.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,133.63,percent of total billed charges,,,133.63,percent of total billed charges,,,133.63,percent of total billed charges,,,133.63,percent of total billed charges,,,133.63,percent of total billed charges,,,133.63,percent of total billed charges,,,133.63,percent of total billed charges,,,133.63,percent of total billed charges,,,133.63,percent of total billed charges,,,133.63,percent of total billed charges,,,133.63,percent of total billed charges,
"APRACLONIDINE (IOPIDINE) OPHT 1%, 0.1ML",637,RC,00065-06-6010,NDC,,both,1,each,308.77,308.77,71.02,308.77,308.77,percent of total billed charges,308.77,percent of total billed charges,308.77,percent of total billed charges,308.77,percent of total billed charges,308.77,percent of total billed charges,308.77,percent of total billed charges,308.77,percent of total billed charges,308.77,percent of total billed charges,222.31,percent of total billed charges,222.31,percent of total billed charges,222.31,percent of total billed charges,222.31,percent of total billed charges,222.31,percent of total billed charges,222.31,percent of total billed charges,243.93,percent of total billed charges,243.93,percent of total billed charges,247.02,percent of total billed charges,247.02,percent of total billed charges,,,222.31,percent of total billed charges ,,,247.02,percent of total billed charges ,243.93,percent of total billed charges ,243.93,percent of total billed charges ,262.45,percent of total billed charges ,262.45,percent of total billed charges ,247.02,percent of total billed charges ,247.02,percent of total billed charges ,216.14,percent of total billed charges ,216.14,percent of total billed charges ,185.26,percent of total billed charges ,185.26,percent of total billed charges ,185.26,percent of total billed charges ,185.26,percent of total billed charges ,,,,,164.27,percent of total billed charges ,,,,,156.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,71.02,percent of total billed charges,,,71.02,percent of total billed charges,,,71.02,percent of total billed charges,,,71.02,percent of total billed charges,,,71.02,percent of total billed charges,,,71.02,percent of total billed charges,,,71.02,percent of total billed charges,,,71.02,percent of total billed charges,,,71.02,percent of total billed charges,,,71.02,percent of total billed charges,,,71.02,percent of total billed charges,
EPIPEN JR AUTO-INJECTOR KIT 0.15MG/0.3ML,637,RC,49502-05-0102,NDC,,both,1,each,647,647,148.81,647,647,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,511.13,percent of total billed charges,511.13,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 ,511.13,percent of total billed charges ,511.13,percent of total billed charges ,549.95,percent of total billed charges ,549.95,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 ,,,,,,,,,,,,,,,,,,,148.81,percent of total billed charges,,,148.81,percent of total billed charges,,,148.81,percent of total billed charges,,,148.81,percent of total billed charges,,,148.81,percent of total billed charges,,,148.81,percent of total billed charges,,,148.81,percent of total billed charges,,,148.81,percent of total billed charges,,,148.81,percent of total billed charges,,,148.81,percent of total billed charges,,,148.81,percent of total billed charges,
BUMETANIDE (BUMEX) TABLET : 1MG,250,RC,42799-01-2001,NDC,,both,1,each,3.33,3.33,0.77,3.33,3.33,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,2.63,percent of total billed charges,2.63,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 ,2.63,percent of total billed charges ,2.63,percent of total billed charges ,2.83,percent of total billed charges ,2.83,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 ,,,,,,,,,,,,,,,,,,,0.77,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,
BRIMONIDINE TAR OPHTH SOLN 0.2%,637,RC,70069-02-3101,NDC,,both,5,each,45.17,45.17,10.39,45.17,45.17,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,35.68,percent of total billed charges,35.68,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 ,35.68,percent of total billed charges ,35.68,percent of total billed charges ,38.39,percent of total billed charges ,38.39,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 ,,,,,,,,,,,,,,,,,,,10.39,percent of total billed charges,,,10.39,percent of total billed charges,,,10.39,percent of total billed charges,,,10.39,percent of total billed charges,,,10.39,percent of total billed charges,,,10.39,percent of total billed charges,,,10.39,percent of total billed charges,,,10.39,percent of total billed charges,,,10.39,percent of total billed charges,,,10.39,percent of total billed charges,,,10.39,percent of total billed charges,
PNEUMOCOCCAL (PREVNAR 13) IM : 0.5ML,90670,CDM,,,,both,1,each,610.9,610.9,140.51,610.9,610.9,percent of total billed charges,610.9,percent of total billed charges,610.9,percent of total billed charges,610.9,percent of total billed charges,610.9,percent of total billed charges,610.9,percent of total billed charges,610.9,percent of total billed charges,610.9,percent of total billed charges,439.85,percent of total billed charges,439.85,percent of total billed charges,439.85,percent of total billed charges,439.85,percent of total billed charges,439.85,percent of total billed charges,439.85,percent of total billed charges,482.61,percent of total billed charges,482.61,percent of total billed charges,488.72,percent of total billed charges,488.72,percent of total billed charges,,,439.85,percent of total billed charges ,,,488.72,percent of total billed charges ,482.61,percent of total billed charges ,482.61,percent of total billed charges ,519.27,percent of total billed charges ,519.27,percent of total billed charges ,488.72,percent of total billed charges ,488.72,percent of total billed charges ,427.63,percent of total billed charges ,427.63,percent of total billed charges ,366.54,percent of total billed charges ,366.54,percent of total billed charges ,366.54,percent of total billed charges ,366.54,percent of total billed charges ,,,,,325,percent of total billed charges ,,,,,308.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,140.51,percent of total billed charges,,,140.51,percent of total billed charges,,,140.51,percent of total billed charges,,,140.51,percent of total billed charges,,,140.51,percent of total billed charges,,,140.51,percent of total billed charges,,,140.51,percent of total billed charges,,,140.51,percent of total billed charges,,,140.51,percent of total billed charges,,,140.51,percent of total billed charges,,,140.51,percent of total billed charges,
AMPICILLIN CAPS : 500MG,637,RC,65862-00-1701,NDC,,both,1,each,0.56,0.56,0.13,0.56,0.56,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,0.44,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,,,0.4,percent of total billed charges ,,,0.45,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 ,0.45,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 ,,,,,,,,,,,,,,,,,,,0.13,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,,,0.13,percent of total billed charges,,,0.13,percent of total billed charges,,,0.13,percent of total billed charges,
ROPivacaine (NAROPIN) INJ 0.2% 2MG/1ML,J2795,CDM,,,,both,1,each,83,83,19.09,83,83,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,65.57,percent of total billed charges,65.57,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 ,65.57,percent of total billed charges ,65.57,percent of total billed charges ,70.55,percent of total billed charges ,70.55,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 ,,,,,,,,,,,,,,,,,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,
FentaNYL 2.5MCG/ML-ROPIVACAIN 0.2%,250,RC,99999-99-9999,NDC,,both,1,each,"1,057.94","1,057.94",243.33,"1,057.94","1,057.94",percent of total billed charges,"1,057.94",percent of total billed charges,"1,057.94",percent of total billed charges,"1,057.94",percent of total billed charges,"1,057.94",percent of total billed charges,"1,057.94",percent of total billed charges,"1,057.94",percent of total billed charges,"1,057.94",percent of total billed charges,761.72,percent of total billed charges,761.72,percent of total billed charges,761.72,percent of total billed charges,761.72,percent of total billed charges,761.72,percent of total billed charges,761.72,percent of total billed charges,835.77,percent of total billed charges,835.77,percent of total billed charges,846.35,percent of total billed charges,846.35,percent of total billed charges,,,761.72,percent of total billed charges ,,,846.35,percent of total billed charges ,835.77,percent of total billed charges ,835.77,percent of total billed charges ,899.25,percent of total billed charges ,899.25,percent of total billed charges ,846.35,percent of total billed charges ,846.35,percent of total billed charges ,740.56,percent of total billed charges ,740.56,percent of total billed charges ,634.76,percent of total billed charges ,634.76,percent of total billed charges ,634.76,percent of total billed charges ,634.76,percent of total billed charges ,,,,,562.82,percent of total billed charges ,,,,,534.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,243.33,percent of total billed charges,,,243.33,percent of total billed charges,,,243.33,percent of total billed charges,,,243.33,percent of total billed charges,,,243.33,percent of total billed charges,,,243.33,percent of total billed charges,,,243.33,percent of total billed charges,,,243.33,percent of total billed charges,,,243.33,percent of total billed charges,,,243.33,percent of total billed charges,,,243.33,percent of total billed charges,
"nalBUPHine (nubain) 20MG/1ML, 1ML",J2300,CDM,,,,both,1,each,64,64,14.72,64,64,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,50.56,percent of total billed charges,50.56,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 ,50.56,percent of total billed charges ,50.56,percent of total billed charges ,54.4,percent of total billed charges ,54.4,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
APIXABAN (ELIQUIS) TABLET :  2.5MG,637,RC,00003-08-9321,NDC,,both,1,each,22.37,22.37,5.15,22.37,22.37,percent of total billed charges,22.37,percent of total billed charges,22.37,percent of total billed charges,22.37,percent of total billed charges,22.37,percent of total billed charges,22.37,percent of total billed charges,22.37,percent of total billed charges,22.37,percent of total billed charges,16.11,percent of total billed charges,16.11,percent of total billed charges,16.11,percent of total billed charges,16.11,percent of total billed charges,16.11,percent of total billed charges,16.11,percent of total billed charges,17.67,percent of total billed charges,17.67,percent of total billed charges,17.9,percent of total billed charges,17.9,percent of total billed charges,,,16.11,percent of total billed charges ,,,17.9,percent of total billed charges ,17.67,percent of total billed charges ,17.67,percent of total billed charges ,19.01,percent of total billed charges ,19.01,percent of total billed charges ,17.9,percent of total billed charges ,17.9,percent of total billed charges ,15.66,percent of total billed charges ,15.66,percent of total billed charges ,13.42,percent of total billed charges ,13.42,percent of total billed charges ,13.42,percent of total billed charges ,13.42,percent of total billed charges ,,,,,11.9,percent of total billed charges ,,,,,11.31,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,,,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,
ROSUVASTATIN (CRESTOR) TAB : 10MG,637,RC,50268-07-0911,NDC,,both,1,each,41,41,9.43,41,41,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,32.39,percent of total billed charges,32.39,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 ,32.39,percent of total billed charges ,32.39,percent of total billed charges ,34.85,percent of total billed charges ,34.85,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 ,,,,,,,,,,,,,,,,,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,
FLECAINIDE ACETATE TAB : 100MG,637,RC,62559-03-8001,NDC,,both,1,each,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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,
BENZONATATE (TESSALON) CAP : 200MG,637,RC,42806-07-1501,NDC,,both,1,each,2.28,2.28,0.52,2.28,2.28,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,1.8,percent of total billed charges,1.8,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 ,1.8,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 ,1.82,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 ,,,,,,,,,,,,,,,,,,,0.52,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,
FOSFOMYCIN (MONUROL) PWD : 3GM,637,RC,00456-43-0001,NDC,,both,1,each,133.11,133.11,30.62,133.11,133.11,percent of total billed charges,133.11,percent of total billed charges,133.11,percent of total billed charges,133.11,percent of total billed charges,133.11,percent of total billed charges,133.11,percent of total billed charges,133.11,percent of total billed charges,133.11,percent of total billed charges,95.84,percent of total billed charges,95.84,percent of total billed charges,95.84,percent of total billed charges,95.84,percent of total billed charges,95.84,percent of total billed charges,95.84,percent of total billed charges,105.16,percent of total billed charges,105.16,percent of total billed charges,106.49,percent of total billed charges,106.49,percent of total billed charges,,,95.84,percent of total billed charges ,,,106.49,percent of total billed charges ,105.16,percent of total billed charges ,105.16,percent of total billed charges ,113.14,percent of total billed charges ,113.14,percent of total billed charges ,106.49,percent of total billed charges ,106.49,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 ,,,,,70.81,percent of total billed charges ,,,,,67.27,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,,,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,
TRIFLURIDINE (VIROPTIC) OPHTH SOLN 1%,637,RC,61314-00-4475,NDC,,both,7.5,each,489.14,489.14,112.5,489.14,489.14,percent of total billed charges,489.14,percent of total billed charges,489.14,percent of total billed charges,489.14,percent of total billed charges,489.14,percent of total billed charges,489.14,percent of total billed charges,489.14,percent of total billed charges,489.14,percent of total billed charges,352.18,percent of total billed charges,352.18,percent of total billed charges,352.18,percent of total billed charges,352.18,percent of total billed charges,352.18,percent of total billed charges,352.18,percent of total billed charges,386.42,percent of total billed charges,386.42,percent of total billed charges,391.31,percent of total billed charges,391.31,percent of total billed charges,,,352.18,percent of total billed charges ,,,391.31,percent of total billed charges ,386.42,percent of total billed charges ,386.42,percent of total billed charges ,415.77,percent of total billed charges ,415.77,percent of total billed charges ,391.31,percent of total billed charges ,391.31,percent of total billed charges ,342.4,percent of total billed charges ,342.4,percent of total billed charges ,293.48,percent of total billed charges ,293.48,percent of total billed charges ,293.48,percent of total billed charges ,293.48,percent of total billed charges ,,,,,260.22,percent of total billed charges ,,,,,247.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,112.5,percent of total billed charges,,,112.5,percent of total billed charges,,,112.5,percent of total billed charges,,,112.5,percent of total billed charges,,,112.5,percent of total billed charges,,,112.5,percent of total billed charges,,,112.5,percent of total billed charges,,,112.5,percent of total billed charges,,,112.5,percent of total billed charges,,,112.5,percent of total billed charges,,,112.5,percent of total billed charges,
CEFDINIR (OMNICEF) SUSP 250MG/5ML,637,RC,65862-02-1901,NDC,,both,60,each,92,92,21.16,92,92,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,72.68,percent of total billed charges,72.68,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 ,72.68,percent of total billed charges ,72.68,percent of total billed charges ,78.2,percent of total billed charges ,78.2,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 ,,,,,,,,,,,,,,,,,,,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,
MIRABEGRON (MYRBETRIQ) TAB : 25MG,637,RC,00469-26-0130,NDC,,both,1,each,49.85,49.85,11.47,49.85,49.85,percent of total billed charges,49.85,percent of total billed charges,49.85,percent of total billed charges,49.85,percent of total billed charges,49.85,percent of total billed charges,49.85,percent of total billed charges,49.85,percent of total billed charges,49.85,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,35.89,percent of total billed charges,35.89,percent of total billed charges,39.38,percent of total billed charges,39.38,percent of total billed charges,39.88,percent of total billed charges,39.88,percent of total billed charges,,,35.89,percent of total billed charges ,,,39.88,percent of total billed charges ,39.38,percent of total billed charges ,39.38,percent of total billed charges ,42.37,percent of total billed charges ,42.37,percent of total billed charges ,39.88,percent of total billed charges ,39.88,percent of total billed charges ,34.9,percent of total billed charges ,34.9,percent of total billed charges ,29.91,percent of total billed charges ,29.91,percent of total billed charges ,29.91,percent of total billed charges ,29.91,percent of total billed charges ,,,,,26.52,percent of total billed charges ,,,,,25.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.47,percent of total billed charges,,,11.47,percent of total billed charges,,,11.47,percent of total billed charges,,,11.47,percent of total billed charges,,,11.47,percent of total billed charges,,,11.47,percent of total billed charges,,,11.47,percent of total billed charges,,,11.47,percent of total billed charges,,,11.47,percent of total billed charges,,,11.47,percent of total billed charges,,,11.47,percent of total billed charges,
GUAIFENESIN DM 200MG/20MG : 10ML,637,RC,00121-12-7610,NDC,,both,10,each,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
RANOLAZINE (RANEXA) ER TAB : 500MG,637,RC,61958-10-0301,NDC,,both,1,each,28,28,6.44,28,28,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,22.12,percent of total billed charges,22.12,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 ,22.12,percent of total billed charges ,22.12,percent of total billed charges ,23.8,percent of total billed charges ,23.8,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 ,,,,,,,,,,,,,,,,,,,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,
LOSARTAN (COZAAR) TABLET : 25MG,637,RC,68084-03-4611,NDC,,both,1,each,0.25,0.25,0.06,0.25,0.25,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,0.18,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,0.2,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,,,0.18,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 ,0.21,percent of total billed charges ,0.21,percent of total billed charges ,0.2,percent of total billed charges ,0.2,percent of total billed charges ,0.18,percent of total billed charges ,0.18,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 ,,,,,0.13,percent of total billed charges ,,,,,0.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,
TOBRAMYCIN (TOBREX) OPHTH OINT 0.3%,637,RC,00078-08-1301,NDC,,both,3.5,each,532.35,532.35,122.44,532.35,532.35,percent of total billed charges,532.35,percent of total billed charges,532.35,percent of total billed charges,532.35,percent of total billed charges,532.35,percent of total billed charges,532.35,percent of total billed charges,532.35,percent of total billed charges,532.35,percent of total billed charges,383.29,percent of total billed charges,383.29,percent of total billed charges,383.29,percent of total billed charges,383.29,percent of total billed charges,383.29,percent of total billed charges,383.29,percent of total billed charges,420.56,percent of total billed charges,420.56,percent of total billed charges,425.88,percent of total billed charges,425.88,percent of total billed charges,,,383.29,percent of total billed charges ,,,425.88,percent of total billed charges ,420.56,percent of total billed charges ,420.56,percent of total billed charges ,452.5,percent of total billed charges ,452.5,percent of total billed charges ,425.88,percent of total billed charges ,425.88,percent of total billed charges ,372.65,percent of total billed charges ,372.65,percent of total billed charges ,319.41,percent of total billed charges ,319.41,percent of total billed charges ,319.41,percent of total billed charges ,319.41,percent of total billed charges ,,,,,283.21,percent of total billed charges ,,,,,269.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,122.44,percent of total billed charges,,,122.44,percent of total billed charges,,,122.44,percent of total billed charges,,,122.44,percent of total billed charges,,,122.44,percent of total billed charges,,,122.44,percent of total billed charges,,,122.44,percent of total billed charges,,,122.44,percent of total billed charges,,,122.44,percent of total billed charges,,,122.44,percent of total billed charges,,,122.44,percent of total billed charges,
THERMOTABS ORAL TABLET *,637,RC,38485-08-6335,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
RIFAXIMIN (XIFAXAN) TABLET : 550MG,637,RC,65649-03-0303,NDC,,both,1,each,63,63,14.49,63,63,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,49.77,percent of total billed charges,49.77,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 ,49.77,percent of total billed charges ,49.77,percent of total billed charges ,53.55,percent of total billed charges ,53.55,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,14.49,percent of total billed charges,,,14.49,percent of total billed charges,,,14.49,percent of total billed charges,
DICLEGIS TAB DR 10MG-10MG,637,RC,55494-01-0010,NDC,,both,1,each,19.53,19.53,4.49,19.53,19.53,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,15.43,percent of total billed charges,15.43,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 ,15.43,percent of total billed charges ,15.43,percent of total billed charges ,16.6,percent of total billed charges ,16.6,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 ,,,,,,,,,,,,,,,,,,,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,,,4.49,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,
ESMOLOL (BREVIBLOC) 2500MG/250ML IVPB,258,RC,10019-00-5561,NDC,,both,1,each,595.37,595.37,136.94,595.37,595.37,percent of total billed charges,595.37,percent of total billed charges,595.37,percent of total billed charges,595.37,percent of total billed charges,595.37,percent of total billed charges,595.37,percent of total billed charges,595.37,percent of total billed charges,595.37,percent of total billed charges,428.67,percent of total billed charges,428.67,percent of total billed charges,428.67,percent of total billed charges,428.67,percent of total billed charges,428.67,percent of total billed charges,428.67,percent of total billed charges,470.34,percent of total billed charges,470.34,percent of total billed charges,476.3,percent of total billed charges,476.3,percent of total billed charges,,,428.67,percent of total billed charges ,,,476.3,percent of total billed charges ,470.34,percent of total billed charges ,470.34,percent of total billed charges ,506.06,percent of total billed charges ,506.06,percent of total billed charges ,476.3,percent of total billed charges ,476.3,percent of total billed charges ,416.76,percent of total billed charges ,416.76,percent of total billed charges ,357.22,percent of total billed charges ,357.22,percent of total billed charges ,357.22,percent of total billed charges ,357.22,percent of total billed charges ,,,,,316.74,percent of total billed charges ,,,,,300.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,136.94,percent of total billed charges,,,136.94,percent of total billed charges,,,136.94,percent of total billed charges,,,136.94,percent of total billed charges,,,136.94,percent of total billed charges,,,136.94,percent of total billed charges,,,136.94,percent of total billed charges,,,136.94,percent of total billed charges,,,136.94,percent of total billed charges,,,136.94,percent of total billed charges,,,136.94,percent of total billed charges,
"BUTALBITAL, ACETAMINOPHEN, AND CAFFEINE",637,RC,99999-99-9999,NDC,,both,1,each,5.6,5.6,1.29,5.6,5.6,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,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,4.42,percent of total billed charges,4.42,percent of total billed charges,4.48,percent of total billed charges,4.48,percent of total billed charges,,,4.03,percent of total billed charges ,,,4.48,percent of total billed charges ,4.42,percent of total billed charges ,4.42,percent of total billed charges ,4.76,percent of total billed charges ,4.76,percent of total billed charges ,4.48,percent of total billed charges ,4.48,percent of total billed charges ,3.92,percent of total billed charges ,3.92,percent of total billed charges ,3.36,percent of total billed charges ,3.36,percent of total billed charges ,3.36,percent of total billed charges ,3.36,percent of total billed charges ,,,,,2.98,percent of total billed charges ,,,,,2.83,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,,,1.29,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,,,1.29,percent of total billed charges,,,1.29,percent of total billed charges,,,1.29,percent of total billed charges,
PRASUGREL (EFFIENT) TAB : 10MG,637,RC,16729-02-7310,NDC,,both,1,each,72,72,16.56,72,72,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,56.88,percent of total billed charges,56.88,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 ,56.88,percent of total billed charges ,56.88,percent of total billed charges ,61.2,percent of total billed charges ,61.2,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
MESALAMINE (LIALDA) TAB : 1.2GM,637,RC,54092-01-0001,NDC,,both,1,each,21.76,21.76,5,21.76,21.76,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,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,17.19,percent of total billed charges,17.19,percent of total billed charges,17.41,percent of total billed charges,17.41,percent of total billed charges,,,15.67,percent of total billed charges ,,,17.41,percent of total billed charges ,17.19,percent of total billed charges ,17.19,percent of total billed charges ,18.5,percent of total billed charges ,18.5,percent of total billed charges ,17.41,percent of total billed charges ,17.41,percent of total billed charges ,15.23,percent of total billed charges ,15.23,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 ,,,,,11.58,percent of total billed charges ,,,,,11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5,percent of total billed charges,,,5,percent of total billed charges,,,5,percent of total billed charges,,,5,percent of total billed charges,,,5,percent of total billed charges,,,5,percent of total billed charges,,,5,percent of total billed charges,,,5,percent of total billed charges,,,5,percent of total billed charges,,,5,percent of total billed charges,,,5,percent of total billed charges,
DICYCLOMINE (Bentyl) CAP : 10MG,637,RC,60687-03-6901,NDC,,both,1,each,1.56,1.56,0.36,1.56,1.56,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,1.56,percent of total billed charges,1.56,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,1.23,percent of total billed charges,1.23,percent of total billed charges,1.25,percent of total billed charges,1.25,percent of total billed charges,,,1.12,percent of total billed charges ,,,1.25,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 ,1.25,percent of total billed charges ,1.25,percent of total billed charges ,1.09,percent of total billed charges ,1.09,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 ,,,,,0.83,percent of total billed charges ,,,,,0.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,
LEUPROLIDE DEPOT 45MG KIT,J9217,CDM,,,,both,1,each,"17,823.00","17,823.00","4,099.29","17,823.00","17,823.00",percent of total billed charges,"17,823.00",percent of total billed charges,"17,823.00",percent of total billed charges,"17,823.00",percent of total billed charges,"17,823.00",percent of total billed charges,"17,823.00",percent of total billed charges,"17,823.00",percent of total billed charges,"17,823.00",percent of total billed charges,"12,832.56",percent of total billed charges,"12,832.56",percent of total billed charges,"12,832.56",percent of total billed charges,"12,832.56",percent of total billed charges,"12,832.56",percent of total billed charges,"12,832.56",percent of total billed charges,"14,080.17",percent of total billed charges,"14,080.17",percent of total billed charges,"14,258.40",percent of total billed charges,"14,258.40",percent of total billed charges,,,"12,832.56",percent of total billed charges ,,,"14,258.40",percent of total billed charges ,"14,080.17",percent of total billed charges ,"14,080.17",percent of total billed charges ,"15,149.55",percent of total billed charges ,"15,149.55",percent of total billed charges ,"14,258.40",percent of total billed charges ,"14,258.40",percent of total billed charges ,"12,476.10",percent of total billed charges ,"12,476.10",percent of total billed charges ,"10,693.80",percent of total billed charges ,"10,693.80",percent of total billed charges ,"10,693.80",percent of total billed charges ,"10,693.80",percent of total billed charges ,,,,,"9,481.84",percent of total billed charges ,,,,,"9,007.74",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,099.29",percent of total billed charges,,,"4,099.29",percent of total billed charges,,,"4,099.29",percent of total billed charges,,,"4,099.29",percent of total billed charges,,,"4,099.29",percent of total billed charges,,,"4,099.29",percent of total billed charges,,,"4,099.29",percent of total billed charges,,,"4,099.29",percent of total billed charges,,,"4,099.29",percent of total billed charges,,,"4,099.29",percent of total billed charges,,,"4,099.29",percent of total billed charges,
PRAXBIND 5GM IV SOLN,J3490,CDM,,,,both,5,each,"14,175.00","14,175.00","3,260.25","14,175.00","14,175.00",percent of total billed charges,"14,175.00",percent of total billed charges,"14,175.00",percent of total billed charges,"14,175.00",percent of total billed charges,"14,175.00",percent of total billed charges,"14,175.00",percent of total billed charges,"14,175.00",percent of total billed charges,"14,175.00",percent of total billed charges,"10,206.00",percent of total billed charges,"10,206.00",percent of total billed charges,"10,206.00",percent of total billed charges,"10,206.00",percent of total billed charges,"10,206.00",percent of total billed charges,"10,206.00",percent of total billed charges,"11,198.25",percent of total billed charges,"11,198.25",percent of total billed charges,"11,340.00",percent of total billed charges,"11,340.00",percent of total billed charges,,,"10,206.00",percent of total billed charges ,,,"11,340.00",percent of total billed charges ,"11,198.25",percent of total billed charges ,"11,198.25",percent of total billed charges ,"12,048.75",percent of total billed charges ,"12,048.75",percent of total billed charges ,"11,340.00",percent of total billed charges ,"11,340.00",percent of total billed charges ,"9,922.50",percent of total billed charges ,"9,922.50",percent of total billed charges ,"8,505.00",percent of total billed charges ,"8,505.00",percent of total billed charges ,"8,505.00",percent of total billed charges ,"8,505.00",percent of total billed charges ,,,,,"7,541.10",percent of total billed charges ,,,,,"7,164.05",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,260.25",percent of total billed charges,,,"3,260.25",percent of total billed charges,,,"3,260.25",percent of total billed charges,,,"3,260.25",percent of total billed charges,,,"3,260.25",percent of total billed charges,,,"3,260.25",percent of total billed charges,,,"3,260.25",percent of total billed charges,,,"3,260.25",percent of total billed charges,,,"3,260.25",percent of total billed charges,,,"3,260.25",percent of total billed charges,,,"3,260.25",percent of total billed charges,
LEVOFLOXACIN (LEVAQUIN) TAB : 750MG,637,RC,55111-02-8130,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
MOXIFLOXACIN (AVELOX) IV 400MG/250ML,J2280,CDM,,,,both,1,each,"1,219.89","1,219.89",280.57,"1,219.89","1,219.89",percent of total billed charges,"1,219.89",percent of total billed charges,"1,219.89",percent of total billed charges,"1,219.89",percent of total billed charges,"1,219.89",percent of total billed charges,"1,219.89",percent of total billed charges,"1,219.89",percent of total billed charges,"1,219.89",percent of total billed charges,878.32,percent of total billed charges,878.32,percent of total billed charges,878.32,percent of total billed charges,878.32,percent of total billed charges,878.32,percent of total billed charges,878.32,percent of total billed charges,963.71,percent of total billed charges,963.71,percent of total billed charges,975.91,percent of total billed charges,975.91,percent of total billed charges,,,878.32,percent of total billed charges ,,,975.91,percent of total billed charges ,963.71,percent of total billed charges ,963.71,percent of total billed charges ,"1,036.91",percent of total billed charges ,"1,036.91",percent of total billed charges ,975.91,percent of total billed charges ,975.91,percent of total billed charges ,853.92,percent of total billed charges ,853.92,percent of total billed charges ,731.93,percent of total billed charges ,731.93,percent of total billed charges ,731.93,percent of total billed charges ,731.93,percent of total billed charges ,,,,,648.98,percent of total billed charges ,,,,,616.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,280.57,percent of total billed charges,,,280.57,percent of total billed charges,,,280.57,percent of total billed charges,,,280.57,percent of total billed charges,,,280.57,percent of total billed charges,,,280.57,percent of total billed charges,,,280.57,percent of total billed charges,,,280.57,percent of total billed charges,,,280.57,percent of total billed charges,,,280.57,percent of total billed charges,,,280.57,percent of total billed charges,
PHOS-NaK PWD oral SUSP,637,RC,60258-00-0601,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
VISION BLUE 0.06% OPHT SOLN,250,RC,68803-06-1201,NDC,,both,1,each,479,479,110.17,479,479,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,378.41,percent of total billed charges,378.41,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 ,378.41,percent of total billed charges ,378.41,percent of total billed charges ,407.15,percent of total billed charges ,407.15,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 ,,,,,,,,,,,,,,,,,,,110.17,percent of total billed charges,,,110.17,percent of total billed charges,,,110.17,percent of total billed charges,,,110.17,percent of total billed charges,,,110.17,percent of total billed charges,,,110.17,percent of total billed charges,,,110.17,percent of total billed charges,,,110.17,percent of total billed charges,,,110.17,percent of total billed charges,,,110.17,percent of total billed charges,,,110.17,percent of total billed charges,
SUGAMMADEX (BRIDION) INJ. 200MG/2ML,250,RC,00006-54-2312,NDC,,both,,,583.25,583.25,134.15,583.25,583.25,percent of total billed charges,583.25,percent of total billed charges,583.25,percent of total billed charges,583.25,percent of total billed charges,583.25,percent of total billed charges,583.25,percent of total billed charges,583.25,percent of total billed charges,583.25,percent of total billed charges,419.94,percent of total billed charges,419.94,percent of total billed charges,419.94,percent of total billed charges,419.94,percent of total billed charges,419.94,percent of total billed charges,419.94,percent of total billed charges,460.77,percent of total billed charges,460.77,percent of total billed charges,466.6,percent of total billed charges,466.6,percent of total billed charges,,,419.94,percent of total billed charges ,,,466.6,percent of total billed charges ,460.77,percent of total billed charges ,460.77,percent of total billed charges ,495.76,percent of total billed charges ,495.76,percent of total billed charges ,466.6,percent of total billed charges ,466.6,percent of total billed charges ,408.28,percent of total billed charges ,408.28,percent of total billed charges ,349.95,percent of total billed charges ,349.95,percent of total billed charges ,349.95,percent of total billed charges ,349.95,percent of total billed charges ,,,,,310.29,percent of total billed charges ,,,,,294.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,134.15,percent of total billed charges,,,134.15,percent of total billed charges,,,134.15,percent of total billed charges,,,134.15,percent of total billed charges,,,134.15,percent of total billed charges,,,134.15,percent of total billed charges,,,134.15,percent of total billed charges,,,134.15,percent of total billed charges,,,134.15,percent of total billed charges,,,134.15,percent of total billed charges,,,134.15,percent of total billed charges,
VANCOMYCIN IVPB 1.25GM / NS 250ML,Local ,Local ,,,,both,,,214,214,49.22,214,214,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,169.06,percent of total billed charges,169.06,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 ,169.06,percent of total billed charges ,169.06,percent of total billed charges ,181.9,percent of total billed charges ,181.9,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 ,,,,,,,,,,,,,,,,,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,
SILODOSIN (RAPAFLO) CAP : 8MG,637,RC,69238-14-2003,NDC,,both,1,each,2.02,2.02,0.46,2.02,2.02,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,1.6,percent of total billed charges,1.6,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 ,1.6,percent of total billed charges ,1.6,percent of total billed charges ,1.72,percent of total billed charges ,1.72,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
IVABRADINE (CORLANOR) TAB : 5MG,637,RC,55513-08-0060,NDC,,both,1,each,29.07,29.07,6.69,29.07,29.07,percent of total billed charges,29.07,percent of total billed charges,29.07,percent of total billed charges,29.07,percent of total billed charges,29.07,percent of total billed charges,29.07,percent of total billed charges,29.07,percent of total billed charges,29.07,percent of total billed charges,20.93,percent of total billed charges,20.93,percent of total billed charges,20.93,percent of total billed charges,20.93,percent of total billed charges,20.93,percent of total billed charges,20.93,percent of total billed charges,22.97,percent of total billed charges,22.97,percent of total billed charges,23.26,percent of total billed charges,23.26,percent of total billed charges,,,20.93,percent of total billed charges ,,,23.26,percent of total billed charges ,22.97,percent of total billed charges ,22.97,percent of total billed charges ,24.71,percent of total billed charges ,24.71,percent of total billed charges ,23.26,percent of total billed charges ,23.26,percent of total billed charges ,20.35,percent of total billed charges ,20.35,percent of total billed charges ,17.44,percent of total billed charges ,17.44,percent of total billed charges ,17.44,percent of total billed charges ,17.44,percent of total billed charges ,,,,,15.47,percent of total billed charges ,,,,,14.69,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,,,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,
INCRUSE ELLIPTA INH PWD 62.5MCG/1ACT,637,RC,00173-08-7306,NDC,,both,1,each,222.73,222.73,51.23,222.73,222.73,percent of total billed charges,222.73,percent of total billed charges,222.73,percent of total billed charges,222.73,percent of total billed charges,222.73,percent of total billed charges,222.73,percent of total billed charges,222.73,percent of total billed charges,222.73,percent of total billed charges,160.37,percent of total billed charges,160.37,percent of total billed charges,160.37,percent of total billed charges,160.37,percent of total billed charges,160.37,percent of total billed charges,160.37,percent of total billed charges,175.96,percent of total billed charges,175.96,percent of total billed charges,178.18,percent of total billed charges,178.18,percent of total billed charges,,,160.37,percent of total billed charges ,,,178.18,percent of total billed charges ,175.96,percent of total billed charges ,175.96,percent of total billed charges ,189.32,percent of total billed charges ,189.32,percent of total billed charges ,178.18,percent of total billed charges ,178.18,percent of total billed charges ,155.91,percent of total billed charges ,155.91,percent of total billed charges ,133.64,percent of total billed charges ,133.64,percent of total billed charges ,133.64,percent of total billed charges ,133.64,percent of total billed charges ,,,,,118.49,percent of total billed charges ,,,,,112.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.23,percent of total billed charges,,,51.23,percent of total billed charges,,,51.23,percent of total billed charges,,,51.23,percent of total billed charges,,,51.23,percent of total billed charges,,,51.23,percent of total billed charges,,,51.23,percent of total billed charges,,,51.23,percent of total billed charges,,,51.23,percent of total billed charges,,,51.23,percent of total billed charges,,,51.23,percent of total billed charges,
BREO ELLIPTA INH PWD 100MCG-25MCG,637,RC,00054-03-2656,NDC,,both,1,each,378.2,378.2,86.99,378.2,378.2,percent of total billed charges,378.2,percent of total billed charges,378.2,percent of total billed charges,378.2,percent of total billed charges,378.2,percent of total billed charges,378.2,percent of total billed charges,378.2,percent of total billed charges,378.2,percent of total billed charges,272.3,percent of total billed charges,272.3,percent of total billed charges,272.3,percent of total billed charges,272.3,percent of total billed charges,272.3,percent of total billed charges,272.3,percent of total billed charges,298.78,percent of total billed charges,298.78,percent of total billed charges,302.56,percent of total billed charges,302.56,percent of total billed charges,,,272.3,percent of total billed charges ,,,302.56,percent of total billed charges ,298.78,percent of total billed charges ,298.78,percent of total billed charges ,321.47,percent of total billed charges ,321.47,percent of total billed charges ,302.56,percent of total billed charges ,302.56,percent of total billed charges ,264.74,percent of total billed charges ,264.74,percent of total billed charges ,226.92,percent of total billed charges ,226.92,percent of total billed charges ,226.92,percent of total billed charges ,226.92,percent of total billed charges ,,,,,201.2,percent of total billed charges ,,,,,191.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,86.99,percent of total billed charges,,,86.99,percent of total billed charges,,,86.99,percent of total billed charges,,,86.99,percent of total billed charges,,,86.99,percent of total billed charges,,,86.99,percent of total billed charges,,,86.99,percent of total billed charges,,,86.99,percent of total billed charges,,,86.99,percent of total billed charges,,,86.99,percent of total billed charges,,,86.99,percent of total billed charges,
BREO ELLIPTA 200MCG-25MCG PWD INH,637,RC,00173-08-8214,NDC,,both,1,each,798.14,798.14,183.57,798.14,798.14,percent of total billed charges,798.14,percent of total billed charges,798.14,percent of total billed charges,798.14,percent of total billed charges,798.14,percent of total billed charges,798.14,percent of total billed charges,798.14,percent of total billed charges,798.14,percent of total billed charges,574.66,percent of total billed charges,574.66,percent of total billed charges,574.66,percent of total billed charges,574.66,percent of total billed charges,574.66,percent of total billed charges,574.66,percent of total billed charges,630.53,percent of total billed charges,630.53,percent of total billed charges,638.51,percent of total billed charges,638.51,percent of total billed charges,,,574.66,percent of total billed charges ,,,638.51,percent of total billed charges ,630.53,percent of total billed charges ,630.53,percent of total billed charges ,678.42,percent of total billed charges ,678.42,percent of total billed charges ,638.51,percent of total billed charges ,638.51,percent of total billed charges ,558.7,percent of total billed charges ,558.7,percent of total billed charges ,478.88,percent of total billed charges ,478.88,percent of total billed charges ,478.88,percent of total billed charges ,478.88,percent of total billed charges ,,,,,424.61,percent of total billed charges ,,,,,403.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,183.57,percent of total billed charges,,,183.57,percent of total billed charges,,,183.57,percent of total billed charges,,,183.57,percent of total billed charges,,,183.57,percent of total billed charges,,,183.57,percent of total billed charges,,,183.57,percent of total billed charges,,,183.57,percent of total billed charges,,,183.57,percent of total billed charges,,,183.57,percent of total billed charges,,,183.57,percent of total billed charges,
PredniSONE TAB : 2.5MG,J7512,CDM,,,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
MORPHINE SULF ORAL SOLN : 10MG/5ML*,637,RC,68094-00-0162,NDC,,both,5,each,19,19,4.37,19,19,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,15.01,percent of total billed charges,15.01,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 ,15.01,percent of total billed charges ,15.01,percent of total billed charges ,16.15,percent of total billed charges ,16.15,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,4.37,percent of total billed charges,,,4.37,percent of total billed charges,,,4.37,percent of total billed charges,
PILOCARPINE HCL TAB : 5MG,637,RC,00228-28-0111,NDC,,both,1,each,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
ROFLUMILAST (DALIRESP) :  500MCG,637,RC,00310-00-9530,NDC,,both,1,each,56.32,56.32,12.95,56.32,56.32,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,44.49,percent of total billed charges,44.49,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 ,44.49,percent of total billed charges ,44.49,percent of total billed charges ,47.87,percent of total billed charges ,47.87,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 ,,,,,,,,,,,,,,,,,,,12.95,percent of total billed charges,,,12.95,percent of total billed charges,,,12.95,percent of total billed charges,,,12.95,percent of total billed charges,,,12.95,percent of total billed charges,,,12.95,percent of total billed charges,,,12.95,percent of total billed charges,,,12.95,percent of total billed charges,,,12.95,percent of total billed charges,,,12.95,percent of total billed charges,,,12.95,percent of total billed charges,
MEDROXYPROGESTERONE 150MG/1ML,250,RC,59762-45-3802,NDC,,both,1,each,575.88,575.88,132.45,575.88,575.88,percent of total billed charges,575.88,percent of total billed charges,575.88,percent of total billed charges,575.88,percent of total billed charges,575.88,percent of total billed charges,575.88,percent of total billed charges,575.88,percent of total billed charges,575.88,percent of total billed charges,414.63,percent of total billed charges,414.63,percent of total billed charges,414.63,percent of total billed charges,414.63,percent of total billed charges,414.63,percent of total billed charges,414.63,percent of total billed charges,454.95,percent of total billed charges,454.95,percent of total billed charges,460.7,percent of total billed charges,460.7,percent of total billed charges,,,414.63,percent of total billed charges ,,,460.7,percent of total billed charges ,454.95,percent of total billed charges ,454.95,percent of total billed charges ,489.5,percent of total billed charges ,489.5,percent of total billed charges ,460.7,percent of total billed charges ,460.7,percent of total billed charges ,403.12,percent of total billed charges ,403.12,percent of total billed charges ,345.53,percent of total billed charges ,345.53,percent of total billed charges ,345.53,percent of total billed charges ,345.53,percent of total billed charges ,,,,,306.37,percent of total billed charges ,,,,,291.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,132.45,percent of total billed charges,,,132.45,percent of total billed charges,,,132.45,percent of total billed charges,,,132.45,percent of total billed charges,,,132.45,percent of total billed charges,,,132.45,percent of total billed charges,,,132.45,percent of total billed charges,,,132.45,percent of total billed charges,,,132.45,percent of total billed charges,,,132.45,percent of total billed charges,,,132.45,percent of total billed charges,
TRIAMCINOLONE/MOXIFLOX OPHT INJ,250,RC,99999-99-9999,NDC,,both,1,each,191,191,43.93,191,191,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,150.89,percent of total billed charges,150.89,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 ,150.89,percent of total billed charges ,150.89,percent of total billed charges ,162.35,percent of total billed charges ,162.35,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 ,,,,,,,,,,,,,,,,,,,43.93,percent of total billed charges,,,43.93,percent of total billed charges,,,43.93,percent of total billed charges,,,43.93,percent of total billed charges,,,43.93,percent of total billed charges,,,43.93,percent of total billed charges,,,43.93,percent of total billed charges,,,43.93,percent of total billed charges,,,43.93,percent of total billed charges,,,43.93,percent of total billed charges,,,43.93,percent of total billed charges,
LIDOCAINE/PHENYLEPHRINE OPHT INJ,250,RC,99999-99-9999,NDC,,both,1,each,205,205,47.15,205,205,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,161.95,percent of total billed charges,161.95,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 ,161.95,percent of total billed charges ,161.95,percent of total billed charges ,174.25,percent of total billed charges ,174.25,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 ,,,,,,,,,,,,,,,,,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,
DANTROLENE (DANTRIUM) CAPSULE : 25MG,637,RC,68084-03-0011,NDC,,both,1,each,4.95,4.95,1.14,4.95,4.95,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,3.91,percent of total billed charges,3.91,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 ,3.91,percent of total billed charges ,3.91,percent of total billed charges ,4.21,percent of total billed charges ,4.21,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 ,,,,,,,,,,,,,,,,,,,1.14,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,
HYDROXYCHLOROQUINE TAB :  200MG,637,RC,00378-03-7301,NDC,,both,1,each,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
AZATHIOPRINE (IMURAN) TAB : 50MG,637,RC,68084-02-2911,NDC,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
LIDOCAINE (AKTEN) OPHTH GEL 3.5%,637,RC,17478-07-9225,NDC,,both,1,each,83.74,83.74,19.26,83.74,83.74,percent of total billed charges,83.74,percent of total billed charges,83.74,percent of total billed charges,83.74,percent of total billed charges,83.74,percent of total billed charges,83.74,percent of total billed charges,83.74,percent of total billed charges,83.74,percent of total billed charges,60.29,percent of total billed charges,60.29,percent of total billed charges,60.29,percent of total billed charges,60.29,percent of total billed charges,60.29,percent of total billed charges,60.29,percent of total billed charges,66.15,percent of total billed charges,66.15,percent of total billed charges,66.99,percent of total billed charges,66.99,percent of total billed charges,,,60.29,percent of total billed charges ,,,66.99,percent of total billed charges ,66.15,percent of total billed charges ,66.15,percent of total billed charges ,71.18,percent of total billed charges ,71.18,percent of total billed charges ,66.99,percent of total billed charges ,66.99,percent of total billed charges ,58.62,percent of total billed charges ,58.62,percent of total billed charges ,50.24,percent of total billed charges ,50.24,percent of total billed charges ,50.24,percent of total billed charges ,50.24,percent of total billed charges ,,,,,44.55,percent of total billed charges ,,,,,42.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.26,percent of total billed charges,,,19.26,percent of total billed charges,,,19.26,percent of total billed charges,,,19.26,percent of total billed charges,,,19.26,percent of total billed charges,,,19.26,percent of total billed charges,,,19.26,percent of total billed charges,,,19.26,percent of total billed charges,,,19.26,percent of total billed charges,,,19.26,percent of total billed charges,,,19.26,percent of total billed charges,
OLANZAPINE IM INJ (ZyPREXA) : 10MG,250,RC,55150-03-0801,NDC,,both,1,each,193,193,44.39,193,193,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,152.47,percent of total billed charges,152.47,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 ,152.47,percent of total billed charges ,152.47,percent of total billed charges ,164.05,percent of total billed charges ,164.05,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 ,,,,,,,,,,,,,,,,,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,
MELATONIN ORAL TABLET : 5MG,637,RC,80681-00-4000,NDC,,both,1,each,1.66,1.66,0.38,1.66,1.66,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,1.31,percent of total billed charges,1.31,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 ,1.31,percent of total billed charges ,1.31,percent of total billed charges ,1.41,percent of total billed charges ,1.41,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 ,,,,,,,,,,,,,,,,,,,0.38,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,
Fentanyl/Ropivacaine2.5mcg/ml/0.2% 100ML,258,RC,99999-99-9999,NDC,,both,,,990,990,227.7,990,990,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,990,percent of total billed charges,990,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,712.8,percent of total billed charges,712.8,percent of total billed charges,782.1,percent of total billed charges,782.1,percent of total billed charges,792,percent of total billed charges,792,percent of total billed charges,,,712.8,percent of total billed charges ,,,792,percent of total billed charges ,782.1,percent of total billed charges ,782.1,percent of total billed charges ,841.5,percent of total billed charges ,841.5,percent of total billed charges ,792,percent of total billed charges ,792,percent of total billed charges ,693,percent of total billed charges ,693,percent of total billed charges ,594,percent of total billed charges ,594,percent of total billed charges ,594,percent of total billed charges ,594,percent of total billed charges ,,,,,526.68,percent of total billed charges ,,,,,500.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,227.7,percent of total billed charges,,,227.7,percent of total billed charges,,,227.7,percent of total billed charges,,,227.7,percent of total billed charges,,,227.7,percent of total billed charges,,,227.7,percent of total billed charges,,,227.7,percent of total billed charges,,,227.7,percent of total billed charges,,,227.7,percent of total billed charges,,,227.7,percent of total billed charges,,,227.7,percent of total billed charges,
MOXIFLOXACIN TAB : 400MG,637,RC,13668-02-0130,NDC,,both,1,each,5.05,5.05,1.16,5.05,5.05,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,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,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,3.99,percent of total billed charges,3.99,percent of total billed charges,4.04,percent of total billed charges,4.04,percent of total billed charges,,,3.64,percent of total billed charges ,,,4.04,percent of total billed charges ,3.99,percent of total billed charges ,3.99,percent of total billed charges ,4.29,percent of total billed charges ,4.29,percent of total billed charges ,4.04,percent of total billed charges ,4.04,percent of total billed charges ,3.54,percent of total billed charges ,3.54,percent of total billed charges ,3.03,percent of total billed charges ,3.03,percent of total billed charges ,3.03,percent of total billed charges ,3.03,percent of total billed charges ,,,,,2.69,percent of total billed charges ,,,,,2.55,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,
CYCLOSPORINE CAPSULE : 100MG,637,RC,00093-90-2019,NDC,,both,,,6.09,6.09,1.4,6.09,6.09,percent of total billed charges,6.09,percent of total billed charges,6.09,percent of total billed charges,6.09,percent of total billed charges,6.09,percent of total billed charges,6.09,percent of total billed charges,6.09,percent of total billed charges,6.09,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,4.81,percent of total billed charges,4.81,percent of total billed charges,4.87,percent of total billed charges,4.87,percent of total billed charges,,,4.38,percent of total billed charges ,,,4.87,percent of total billed charges ,4.81,percent of total billed charges ,4.81,percent of total billed charges ,5.18,percent of total billed charges ,5.18,percent of total billed charges ,4.87,percent of total billed charges ,4.87,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 ,,,,,3.24,percent of total billed charges ,,,,,3.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
FLORASTOR ORAL CAPSULE : 250MG,637,RC,04142-00-0024,NDC,,both,1,each,2.73,2.73,0.63,2.73,2.73,percent of total billed charges,2.73,percent of total billed charges,2.73,percent of total billed charges,2.73,percent of total billed charges,2.73,percent of total billed charges,2.73,percent of total billed charges,2.73,percent of total billed charges,2.73,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,2.16,percent of total billed charges,2.16,percent of total billed charges,2.18,percent of total billed charges,2.18,percent of total billed charges,,,1.97,percent of total billed charges ,,,2.18,percent of total billed charges ,2.16,percent of total billed charges ,2.16,percent of total billed charges ,2.32,percent of total billed charges ,2.32,percent of total billed charges ,2.18,percent of total billed charges ,2.18,percent of total billed charges ,1.91,percent of total billed charges ,1.91,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 ,,,,,1.45,percent of total billed charges ,,,,,1.38,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,
KCL 10MEQ/100ML IVPB PREMIX,J3480,CDM,,,,both,100,each,37.4,37.4,8.6,37.4,37.4,percent of total billed charges,37.4,percent of total billed charges,37.4,percent of total billed charges,37.4,percent of total billed charges,37.4,percent of total billed charges,37.4,percent of total billed charges,37.4,percent of total billed charges,37.4,percent of total billed charges,26.93,percent of total billed charges,26.93,percent of total billed charges,26.93,percent of total billed charges,26.93,percent of total billed charges,26.93,percent of total billed charges,26.93,percent of total billed charges,29.55,percent of total billed charges,29.55,percent of total billed charges,29.92,percent of total billed charges,29.92,percent of total billed charges,,,26.93,percent of total billed charges ,,,29.92,percent of total billed charges ,29.55,percent of total billed charges ,29.55,percent of total billed charges ,31.79,percent of total billed charges ,31.79,percent of total billed charges ,29.92,percent of total billed charges ,29.92,percent of total billed charges ,26.18,percent of total billed charges ,26.18,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 ,,,,,19.9,percent of total billed charges ,,,,,18.9,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,,,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,
MAGNESIUM SULFATE 2 GM / 50ML IV PREMIX,J3475,CDM,,,,both,,,115.26,115.26,26.51,115.26,115.26,percent of total billed charges,115.26,percent of total billed charges,115.26,percent of total billed charges,115.26,percent of total billed charges,115.26,percent of total billed charges,115.26,percent of total billed charges,115.26,percent of total billed charges,115.26,percent of total billed charges,82.99,percent of total billed charges,82.99,percent of total billed charges,82.99,percent of total billed charges,82.99,percent of total billed charges,82.99,percent of total billed charges,82.99,percent of total billed charges,91.06,percent of total billed charges,91.06,percent of total billed charges,92.21,percent of total billed charges,92.21,percent of total billed charges,,,82.99,percent of total billed charges ,,,92.21,percent of total billed charges ,91.06,percent of total billed charges ,91.06,percent of total billed charges ,97.97,percent of total billed charges ,97.97,percent of total billed charges ,92.21,percent of total billed charges ,92.21,percent of total billed charges ,80.68,percent of total billed charges ,80.68,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 ,,,,,61.32,percent of total billed charges ,,,,,58.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.51,percent of total billed charges,,,26.51,percent of total billed charges,,,26.51,percent of total billed charges,,,26.51,percent of total billed charges,,,26.51,percent of total billed charges,,,26.51,percent of total billed charges,,,26.51,percent of total billed charges,,,26.51,percent of total billed charges,,,26.51,percent of total billed charges,,,26.51,percent of total billed charges,,,26.51,percent of total billed charges,
PROTHROMBIN COMPLEX CONC : PER 1000 UNIT,J7168,CDM,,,,both,1,each,"11,634.00","11,634.00","2,675.82","11,634.00","11,634.00",percent of total billed charges,"11,634.00",percent of total billed charges,"11,634.00",percent of total billed charges,"11,634.00",percent of total billed charges,"11,634.00",percent of total billed charges,"11,634.00",percent of total billed charges,"11,634.00",percent of total billed charges,"11,634.00",percent of total billed charges,"8,376.48",percent of total billed charges,"8,376.48",percent of total billed charges,"8,376.48",percent of total billed charges,"8,376.48",percent of total billed charges,"8,376.48",percent of total billed charges,"8,376.48",percent of total billed charges,"9,190.86",percent of total billed charges,"9,190.86",percent of total billed charges,"9,307.20",percent of total billed charges,"9,307.20",percent of total billed charges,,,"8,376.48",percent of total billed charges ,,,"9,307.20",percent of total billed charges ,"9,190.86",percent of total billed charges ,"9,190.86",percent of total billed charges ,"9,888.90",percent of total billed charges ,"9,888.90",percent of total billed charges ,"9,307.20",percent of total billed charges ,"9,307.20",percent of total billed charges ,"8,143.80",percent of total billed charges ,"8,143.80",percent of total billed charges ,"6,980.40",percent of total billed charges ,"6,980.40",percent of total billed charges ,"6,980.40",percent of total billed charges ,"6,980.40",percent of total billed charges ,,,,,"6,189.29",percent of total billed charges ,,,,,"5,879.82",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,675.82",percent of total billed charges,,,"2,675.82",percent of total billed charges,,,"2,675.82",percent of total billed charges,,,"2,675.82",percent of total billed charges,,,"2,675.82",percent of total billed charges,,,"2,675.82",percent of total billed charges,,,"2,675.82",percent of total billed charges,,,"2,675.82",percent of total billed charges,,,"2,675.82",percent of total billed charges,,,"2,675.82",percent of total billed charges,,,"2,675.82",percent of total billed charges,
ALBUMIN (ALBURX) 5% : 12.5GM/250ML,P9047,CDM,,,,both,1,each,356.59,356.59,82.02,356.59,356.59,percent of total billed charges,356.59,percent of total billed charges,356.59,percent of total billed charges,356.59,percent of total billed charges,356.59,percent of total billed charges,356.59,percent of total billed charges,356.59,percent of total billed charges,356.59,percent of total billed charges,256.74,percent of total billed charges,256.74,percent of total billed charges,256.74,percent of total billed charges,256.74,percent of total billed charges,256.74,percent of total billed charges,256.74,percent of total billed charges,281.71,percent of total billed charges,281.71,percent of total billed charges,285.27,percent of total billed charges,285.27,percent of total billed charges,,,256.74,percent of total billed charges ,,,285.27,percent of total billed charges ,281.71,percent of total billed charges ,281.71,percent of total billed charges ,303.1,percent of total billed charges ,303.1,percent of total billed charges ,285.27,percent of total billed charges ,285.27,percent of total billed charges ,249.61,percent of total billed charges ,249.61,percent of total billed charges ,213.95,percent of total billed charges ,213.95,percent of total billed charges ,213.95,percent of total billed charges ,213.95,percent of total billed charges ,,,,,189.71,percent of total billed charges ,,,,,180.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,82.02,percent of total billed charges,,,82.02,percent of total billed charges,,,82.02,percent of total billed charges,,,82.02,percent of total billed charges,,,82.02,percent of total billed charges,,,82.02,percent of total billed charges,,,82.02,percent of total billed charges,,,82.02,percent of total billed charges,,,82.02,percent of total billed charges,,,82.02,percent of total billed charges,,,82.02,percent of total billed charges,
MEMANTINE (NAMENDA) XR CAP : 28MG,637,RC,65162-07-8509,NDC,,both,1,each,6.9,6.9,1.59,6.9,6.9,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,4.97,percent of total billed charges,4.97,percent of total billed charges,4.97,percent of total billed charges,4.97,percent of total billed charges,4.97,percent of total billed charges,4.97,percent of total billed charges,5.45,percent of total billed charges,5.45,percent of total billed charges,5.52,percent of total billed charges,5.52,percent of total billed charges,,,4.97,percent of total billed charges ,,,5.52,percent of total billed charges ,5.45,percent of total billed charges ,5.45,percent of total billed charges ,5.87,percent of total billed charges ,5.87,percent of total billed charges ,5.52,percent of total billed charges ,5.52,percent of total billed charges ,4.83,percent of total billed charges ,4.83,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 ,,,,,3.67,percent of total billed charges ,,,,,3.49,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,
ESOMEPRAZOLE (NEXIUM) I.V. : 40MG,250,RC,00186-60-4001,NDC,,both,1,each,497.23,497.23,114.36,497.23,497.23,percent of total billed charges,497.23,percent of total billed charges,497.23,percent of total billed charges,497.23,percent of total billed charges,497.23,percent of total billed charges,497.23,percent of total billed charges,497.23,percent of total billed charges,497.23,percent of total billed charges,358.01,percent of total billed charges,358.01,percent of total billed charges,358.01,percent of total billed charges,358.01,percent of total billed charges,358.01,percent of total billed charges,358.01,percent of total billed charges,392.81,percent of total billed charges,392.81,percent of total billed charges,397.78,percent of total billed charges,397.78,percent of total billed charges,,,358.01,percent of total billed charges ,,,397.78,percent of total billed charges ,392.81,percent of total billed charges ,392.81,percent of total billed charges ,422.65,percent of total billed charges ,422.65,percent of total billed charges ,397.78,percent of total billed charges ,397.78,percent of total billed charges ,348.06,percent of total billed charges ,348.06,percent of total billed charges ,298.34,percent of total billed charges ,298.34,percent of total billed charges ,298.34,percent of total billed charges ,298.34,percent of total billed charges ,,,,,264.53,percent of total billed charges ,,,,,251.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,114.36,percent of total billed charges,,,114.36,percent of total billed charges,,,114.36,percent of total billed charges,,,114.36,percent of total billed charges,,,114.36,percent of total billed charges,,,114.36,percent of total billed charges,,,114.36,percent of total billed charges,,,114.36,percent of total billed charges,,,114.36,percent of total billed charges,,,114.36,percent of total billed charges,,,114.36,percent of total billed charges,
"LIDOCAINE w EPI 2% 1:100,000 20ML",J2001,CDM,,,,both,1,each,20,20,4.6,20,20,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,15.8,percent of total billed charges,15.8,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 ,15.8,percent of total billed charges ,15.8,percent of total billed charges ,17,percent of total billed charges ,17,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 ,,,,,,,,,,,,,,,,,,,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,,,4.6,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,,,4.6,percent of total billed charges,,,4.6,percent of total billed charges,,,4.6,percent of total billed charges,
MEPOLIZUMAB (NUCALA)  : 100MG,J2182,CDM,,,,both,1,each,"10,213.00","10,213.00","2,348.99","10,213.00","10,213.00",percent of total billed charges,"10,213.00",percent of total billed charges,"10,213.00",percent of total billed charges,"10,213.00",percent of total billed charges,"10,213.00",percent of total billed charges,"10,213.00",percent of total billed charges,"10,213.00",percent of total billed charges,"10,213.00",percent of total billed charges,"7,353.36",percent of total billed charges,"7,353.36",percent of total billed charges,"7,353.36",percent of total billed charges,"7,353.36",percent of total billed charges,"7,353.36",percent of total billed charges,"7,353.36",percent of total billed charges,"8,068.27",percent of total billed charges,"8,068.27",percent of total billed charges,"8,170.40",percent of total billed charges,"8,170.40",percent of total billed charges,,,"7,353.36",percent of total billed charges ,,,"8,170.40",percent of total billed charges ,"8,068.27",percent of total billed charges ,"8,068.27",percent of total billed charges ,"8,681.05",percent of total billed charges ,"8,681.05",percent of total billed charges ,"8,170.40",percent of total billed charges ,"8,170.40",percent of total billed charges ,"7,149.10",percent of total billed charges ,"7,149.10",percent of total billed charges ,"6,127.80",percent of total billed charges ,"6,127.80",percent of total billed charges ,"6,127.80",percent of total billed charges ,"6,127.80",percent of total billed charges ,,,,,"5,433.32",percent of total billed charges ,,,,,"5,161.65",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,348.99",percent of total billed charges,,,"2,348.99",percent of total billed charges,,,"2,348.99",percent of total billed charges,,,"2,348.99",percent of total billed charges,,,"2,348.99",percent of total billed charges,,,"2,348.99",percent of total billed charges,,,"2,348.99",percent of total billed charges,,,"2,348.99",percent of total billed charges,,,"2,348.99",percent of total billed charges,,,"2,348.99",percent of total billed charges,,,"2,348.99",percent of total billed charges,
FILGRASTIM (GRANIX(R)) : 480MCG,J1447,CDM,,,,both,1,each,662.97,662.97,152.48,662.97,662.97,percent of total billed charges,662.97,percent of total billed charges,662.97,percent of total billed charges,662.97,percent of total billed charges,662.97,percent of total billed charges,662.97,percent of total billed charges,662.97,percent of total billed charges,662.97,percent of total billed charges,477.34,percent of total billed charges,477.34,percent of total billed charges,477.34,percent of total billed charges,477.34,percent of total billed charges,477.34,percent of total billed charges,477.34,percent of total billed charges,523.75,percent of total billed charges,523.75,percent of total billed charges,530.38,percent of total billed charges,530.38,percent of total billed charges,,,477.34,percent of total billed charges ,,,530.38,percent of total billed charges ,523.75,percent of total billed charges ,523.75,percent of total billed charges ,563.52,percent of total billed charges ,563.52,percent of total billed charges ,530.38,percent of total billed charges ,530.38,percent of total billed charges ,464.08,percent of total billed charges ,464.08,percent of total billed charges ,397.78,percent of total billed charges ,397.78,percent of total billed charges ,397.78,percent of total billed charges ,397.78,percent of total billed charges ,,,,,352.7,percent of total billed charges ,,,,,335.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,152.48,percent of total billed charges,,,152.48,percent of total billed charges,,,152.48,percent of total billed charges,,,152.48,percent of total billed charges,,,152.48,percent of total billed charges,,,152.48,percent of total billed charges,,,152.48,percent of total billed charges,,,152.48,percent of total billed charges,,,152.48,percent of total billed charges,,,152.48,percent of total billed charges,,,152.48,percent of total billed charges,
UMECLIDINIUM VILANTEROL INH PWD,637,RC,00173-08-6906,NDC,,both,1,each,797.47,797.47,183.42,797.47,797.47,percent of total billed charges,797.47,percent of total billed charges,797.47,percent of total billed charges,797.47,percent of total billed charges,797.47,percent of total billed charges,797.47,percent of total billed charges,797.47,percent of total billed charges,797.47,percent of total billed charges,574.18,percent of total billed charges,574.18,percent of total billed charges,574.18,percent of total billed charges,574.18,percent of total billed charges,574.18,percent of total billed charges,574.18,percent of total billed charges,630,percent of total billed charges,630,percent of total billed charges,637.98,percent of total billed charges,637.98,percent of total billed charges,,,574.18,percent of total billed charges ,,,637.98,percent of total billed charges ,630,percent of total billed charges ,630,percent of total billed charges ,677.85,percent of total billed charges ,677.85,percent of total billed charges ,637.98,percent of total billed charges ,637.98,percent of total billed charges ,558.23,percent of total billed charges ,558.23,percent of total billed charges ,478.48,percent of total billed charges ,478.48,percent of total billed charges ,478.48,percent of total billed charges ,478.48,percent of total billed charges ,,,,,424.25,percent of total billed charges ,,,,,403.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,183.42,percent of total billed charges,,,183.42,percent of total billed charges,,,183.42,percent of total billed charges,,,183.42,percent of total billed charges,,,183.42,percent of total billed charges,,,183.42,percent of total billed charges,,,183.42,percent of total billed charges,,,183.42,percent of total billed charges,,,183.42,percent of total billed charges,,,183.42,percent of total billed charges,,,183.42,percent of total billed charges,
HURRICAINE ONE MM SPRAY 20%,637,RC,00283-06-1026,NDC,,both,1,each,62.89,62.89,14.46,62.89,62.89,percent of total billed charges,62.89,percent of total billed charges,62.89,percent of total billed charges,62.89,percent of total billed charges,62.89,percent of total billed charges,62.89,percent of total billed charges,62.89,percent of total billed charges,62.89,percent of total billed charges,45.28,percent of total billed charges,45.28,percent of total billed charges,45.28,percent of total billed charges,45.28,percent of total billed charges,45.28,percent of total billed charges,45.28,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,50.31,percent of total billed charges,50.31,percent of total billed charges,,,45.28,percent of total billed charges ,,,50.31,percent of total billed charges ,49.68,percent of total billed charges ,49.68,percent of total billed charges ,53.46,percent of total billed charges ,53.46,percent of total billed charges ,50.31,percent of total billed charges ,50.31,percent of total billed charges ,44.02,percent of total billed charges ,44.02,percent of total billed charges ,37.73,percent of total billed charges ,37.73,percent of total billed charges ,37.73,percent of total billed charges ,37.73,percent of total billed charges ,,,,,33.46,percent of total billed charges ,,,,,31.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.46,percent of total billed charges,,,14.46,percent of total billed charges,,,14.46,percent of total billed charges,,,14.46,percent of total billed charges,,,14.46,percent of total billed charges,,,14.46,percent of total billed charges,,,14.46,percent of total billed charges,,,14.46,percent of total billed charges,,,14.46,percent of total billed charges,,,14.46,percent of total billed charges,,,14.46,percent of total billed charges,
CefTRIaxONE 2GM / D5W PREMIX,J0696,CDM,,,,both,1,each,131.27,131.27,30.19,131.27,131.27,percent of total billed charges,131.27,percent of total billed charges,131.27,percent of total billed charges,131.27,percent of total billed charges,131.27,percent of total billed charges,131.27,percent of total billed charges,131.27,percent of total billed charges,131.27,percent of total billed charges,94.51,percent of total billed charges,94.51,percent of total billed charges,94.51,percent of total billed charges,94.51,percent of total billed charges,94.51,percent of total billed charges,94.51,percent of total billed charges,103.7,percent of total billed charges,103.7,percent of total billed charges,105.02,percent of total billed charges,105.02,percent of total billed charges,,,94.51,percent of total billed charges ,,,105.02,percent of total billed charges ,103.7,percent of total billed charges ,103.7,percent of total billed charges ,111.58,percent of total billed charges ,111.58,percent of total billed charges ,105.02,percent of total billed charges ,105.02,percent of total billed charges ,91.89,percent of total billed charges ,91.89,percent of total billed charges ,78.76,percent of total billed charges ,78.76,percent of total billed charges ,78.76,percent of total billed charges ,78.76,percent of total billed charges ,,,,,69.84,percent of total billed charges ,,,,,66.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,30.19,percent of total billed charges,,,30.19,percent of total billed charges,,,30.19,percent of total billed charges,,,30.19,percent of total billed charges,,,30.19,percent of total billed charges,,,30.19,percent of total billed charges,,,30.19,percent of total billed charges,,,30.19,percent of total billed charges,,,30.19,percent of total billed charges,,,30.19,percent of total billed charges,,,30.19,percent of total billed charges,
METHYLNALTREXONE(RELISTOR) SUBQ 12MG,250,RC,65649-05-5102,NDC,,both,1,each,669.45,669.45,153.97,669.45,669.45,percent of total billed charges,669.45,percent of total billed charges,669.45,percent of total billed charges,669.45,percent of total billed charges,669.45,percent of total billed charges,669.45,percent of total billed charges,669.45,percent of total billed charges,669.45,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,528.87,percent of total billed charges,528.87,percent of total billed charges,535.56,percent of total billed charges,535.56,percent of total billed charges,,,482,percent of total billed charges ,,,535.56,percent of total billed charges ,528.87,percent of total billed charges ,528.87,percent of total billed charges ,569.03,percent of total billed charges ,569.03,percent of total billed charges ,535.56,percent of total billed charges ,535.56,percent of total billed charges ,468.62,percent of total billed charges ,468.62,percent of total billed charges ,401.67,percent of total billed charges ,401.67,percent of total billed charges ,401.67,percent of total billed charges ,401.67,percent of total billed charges ,,,,,356.15,percent of total billed charges ,,,,,338.34,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,,,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,
REGADENOSON(LEXISCAN) 0.4MG/5ML SYRG,J2785,CDM,,,,both,1,each,842.4,842.4,193.75,842.4,842.4,percent of total billed charges,842.4,percent of total billed charges,842.4,percent of total billed charges,842.4,percent of total billed charges,842.4,percent of total billed charges,842.4,percent of total billed charges,842.4,percent of total billed charges,842.4,percent of total billed charges,606.53,percent of total billed charges,606.53,percent of total billed charges,606.53,percent of total billed charges,606.53,percent of total billed charges,606.53,percent of total billed charges,606.53,percent of total billed charges,665.5,percent of total billed charges,665.5,percent of total billed charges,673.92,percent of total billed charges,673.92,percent of total billed charges,,,606.53,percent of total billed charges ,,,673.92,percent of total billed charges ,665.5,percent of total billed charges ,665.5,percent of total billed charges ,716.04,percent of total billed charges ,716.04,percent of total billed charges ,673.92,percent of total billed charges ,673.92,percent of total billed charges ,589.68,percent of total billed charges ,589.68,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 ,,,,,448.16,percent of total billed charges ,,,,,425.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,193.75,percent of total billed charges,,,193.75,percent of total billed charges,,,193.75,percent of total billed charges,,,193.75,percent of total billed charges,,,193.75,percent of total billed charges,,,193.75,percent of total billed charges,,,193.75,percent of total billed charges,,,193.75,percent of total billed charges,,,193.75,percent of total billed charges,,,193.75,percent of total billed charges,,,193.75,percent of total billed charges,
STIOLTO RESPIMAT (TIOTROPIUM/OLODATEROL),637,RC,00597-01-5561,NDC,,both,1,each,976.96,976.96,224.7,976.96,976.96,percent of total billed charges,976.96,percent of total billed charges,976.96,percent of total billed charges,976.96,percent of total billed charges,976.96,percent of total billed charges,976.96,percent of total billed charges,976.96,percent of total billed charges,976.96,percent of total billed charges,703.41,percent of total billed charges,703.41,percent of total billed charges,703.41,percent of total billed charges,703.41,percent of total billed charges,703.41,percent of total billed charges,703.41,percent of total billed charges,771.8,percent of total billed charges,771.8,percent of total billed charges,781.57,percent of total billed charges,781.57,percent of total billed charges,,,703.41,percent of total billed charges ,,,781.57,percent of total billed charges ,771.8,percent of total billed charges ,771.8,percent of total billed charges ,830.42,percent of total billed charges ,830.42,percent of total billed charges ,781.57,percent of total billed charges ,781.57,percent of total billed charges ,683.87,percent of total billed charges ,683.87,percent of total billed charges ,586.18,percent of total billed charges ,586.18,percent of total billed charges ,586.18,percent of total billed charges ,586.18,percent of total billed charges ,,,,,519.74,percent of total billed charges ,,,,,493.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,224.7,percent of total billed charges,,,224.7,percent of total billed charges,,,224.7,percent of total billed charges,,,224.7,percent of total billed charges,,,224.7,percent of total billed charges,,,224.7,percent of total billed charges,,,224.7,percent of total billed charges,,,224.7,percent of total billed charges,,,224.7,percent of total billed charges,,,224.7,percent of total billed charges,,,224.7,percent of total billed charges,
DIPHENHYDRAMINE(BENADRYL) TOP CREAM 1%,637,RC,12547-01-7162,NDC,,both,1,each,37.81,37.81,8.7,37.81,37.81,percent of total billed charges,37.81,percent of total billed charges,37.81,percent of total billed charges,37.81,percent of total billed charges,37.81,percent of total billed charges,37.81,percent of total billed charges,37.81,percent of total billed charges,37.81,percent of total billed charges,27.22,percent of total billed charges,27.22,percent of total billed charges,27.22,percent of total billed charges,27.22,percent of total billed charges,27.22,percent of total billed charges,27.22,percent of total billed charges,29.87,percent of total billed charges,29.87,percent of total billed charges,30.25,percent of total billed charges,30.25,percent of total billed charges,,,27.22,percent of total billed charges ,,,30.25,percent of total billed charges ,29.87,percent of total billed charges ,29.87,percent of total billed charges ,32.14,percent of total billed charges ,32.14,percent of total billed charges ,30.25,percent of total billed charges ,30.25,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 ,,,,,20.11,percent of total billed charges ,,,,,19.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.7,percent of total billed charges,,,8.7,percent of total billed charges,,,8.7,percent of total billed charges,,,8.7,percent of total billed charges,,,8.7,percent of total billed charges,,,8.7,percent of total billed charges,,,8.7,percent of total billed charges,,,8.7,percent of total billed charges,,,8.7,percent of total billed charges,,,8.7,percent of total billed charges,,,8.7,percent of total billed charges,
TRANEXAMIC ACID / NS 250ML,Local ,Local ,,,,both,1,each,270,270,62.1,270,270,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,270,percent of total billed charges,270,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,194.4,percent of total billed charges,194.4,percent of total billed charges,213.3,percent of total billed charges,213.3,percent of total billed charges,216,percent of total billed charges,216,percent of total billed charges,,,194.4,percent of total billed charges ,,,216,percent of total billed charges ,213.3,percent of total billed charges ,213.3,percent of total billed charges ,229.5,percent of total billed charges ,229.5,percent of total billed charges ,216,percent of total billed charges ,216,percent of total billed charges ,189,percent of total billed charges ,189,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 ,,,,,143.64,percent of total billed charges ,,,,,136.46,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,,,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,,,62.1,percent of total billed charges,,,62.1,percent of total billed charges,,,62.1,percent of total billed charges,
BECLOMETHASONE (QVAR) 80MCG,637,RC,59310-03-0480,NDC,,both,1,each,572.62,572.62,131.7,572.62,572.62,percent of total billed charges,572.62,percent of total billed charges,572.62,percent of total billed charges,572.62,percent of total billed charges,572.62,percent of total billed charges,572.62,percent of total billed charges,572.62,percent of total billed charges,572.62,percent of total billed charges,412.29,percent of total billed charges,412.29,percent of total billed charges,412.29,percent of total billed charges,412.29,percent of total billed charges,412.29,percent of total billed charges,412.29,percent of total billed charges,452.37,percent of total billed charges,452.37,percent of total billed charges,458.1,percent of total billed charges,458.1,percent of total billed charges,,,412.29,percent of total billed charges ,,,458.1,percent of total billed charges ,452.37,percent of total billed charges ,452.37,percent of total billed charges ,486.73,percent of total billed charges ,486.73,percent of total billed charges ,458.1,percent of total billed charges ,458.1,percent of total billed charges ,400.83,percent of total billed charges ,400.83,percent of total billed charges ,343.57,percent of total billed charges ,343.57,percent of total billed charges ,343.57,percent of total billed charges ,343.57,percent of total billed charges ,,,,,304.63,percent of total billed charges ,,,,,289.4,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,
**RiTUXimab IV VIAL : 100MG/10ML,J9310,CDM,,,,both,1,each,"3,657.15","3,657.15",841.14,"3,657.15","3,657.15",percent of total billed charges,"3,657.15",percent of total billed charges,"3,657.15",percent of total billed charges,"3,657.15",percent of total billed charges,"3,657.15",percent of total billed charges,"3,657.15",percent of total billed charges,"3,657.15",percent of total billed charges,"3,657.15",percent of total billed charges,"2,633.15",percent of total billed charges,"2,633.15",percent of total billed charges,"2,633.15",percent of total billed charges,"2,633.15",percent of total billed charges,"2,633.15",percent of total billed charges,"2,633.15",percent of total billed charges,"2,889.15",percent of total billed charges,"2,889.15",percent of total billed charges,"2,925.72",percent of total billed charges,"2,925.72",percent of total billed charges,,,"2,633.15",percent of total billed charges ,,,"2,925.72",percent of total billed charges ,"2,889.15",percent of total billed charges ,"2,889.15",percent of total billed charges ,"3,108.58",percent of total billed charges ,"3,108.58",percent of total billed charges ,"2,925.72",percent of total billed charges ,"2,925.72",percent of total billed charges ,"2,560.01",percent of total billed charges ,"2,560.01",percent of total billed charges ,"2,194.29",percent of total billed charges ,"2,194.29",percent of total billed charges ,"2,194.29",percent of total billed charges ,"2,194.29",percent of total billed charges ,,,,,"1,945.60",percent of total billed charges ,,,,,"1,848.32",percent of total billed charges ,,,,,,,,,,,,,,,,,,,841.14,percent of total billed charges,,,841.14,percent of total billed charges,,,841.14,percent of total billed charges,,,841.14,percent of total billed charges,,,841.14,percent of total billed charges,,,841.14,percent of total billed charges,,,841.14,percent of total billed charges,,,841.14,percent of total billed charges,,,841.14,percent of total billed charges,,,841.14,percent of total billed charges,,,841.14,percent of total billed charges,
DIAZEPAM INJ : 50MG/10 ML,J3360,CDM,,,,both,1,each,884.52,884.52,203.44,884.52,884.52,percent of total billed charges,884.52,percent of total billed charges,884.52,percent of total billed charges,884.52,percent of total billed charges,884.52,percent of total billed charges,884.52,percent of total billed charges,884.52,percent of total billed charges,884.52,percent of total billed charges,636.85,percent of total billed charges,636.85,percent of total billed charges,636.85,percent of total billed charges,636.85,percent of total billed charges,636.85,percent of total billed charges,636.85,percent of total billed charges,698.77,percent of total billed charges,698.77,percent of total billed charges,707.62,percent of total billed charges,707.62,percent of total billed charges,,,636.85,percent of total billed charges ,,,707.62,percent of total billed charges ,698.77,percent of total billed charges ,698.77,percent of total billed charges ,751.84,percent of total billed charges ,751.84,percent of total billed charges ,707.62,percent of total billed charges ,707.62,percent of total billed charges ,619.16,percent of total billed charges ,619.16,percent of total billed charges ,530.71,percent of total billed charges ,530.71,percent of total billed charges ,530.71,percent of total billed charges ,530.71,percent of total billed charges ,,,,,470.56,percent of total billed charges ,,,,,447.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,203.44,percent of total billed charges,,,203.44,percent of total billed charges,,,203.44,percent of total billed charges,,,203.44,percent of total billed charges,,,203.44,percent of total billed charges,,,203.44,percent of total billed charges,,,203.44,percent of total billed charges,,,203.44,percent of total billed charges,,,203.44,percent of total billed charges,,,203.44,percent of total billed charges,,,203.44,percent of total billed charges,
CHLOROTHIAZIDE SODIUM IV PWD : 500MG,250,RC,63323-06-5827,NDC,,both,1,each,563,563,129.49,563,563,percent of total billed charges,563,percent of total billed charges,563,percent of total billed charges,563,percent of total billed charges,563,percent of total billed charges,563,percent of total billed charges,563,percent of total billed charges,563,percent of total billed charges,405.36,percent of total billed charges,405.36,percent of total billed charges,405.36,percent of total billed charges,405.36,percent of total billed charges,405.36,percent of total billed charges,405.36,percent of total billed charges,444.77,percent of total billed charges,444.77,percent of total billed charges,450.4,percent of total billed charges,450.4,percent of total billed charges,,,405.36,percent of total billed charges ,,,450.4,percent of total billed charges ,444.77,percent of total billed charges ,444.77,percent of total billed charges ,478.55,percent of total billed charges ,478.55,percent of total billed charges ,450.4,percent of total billed charges ,450.4,percent of total billed charges ,394.1,percent of total billed charges ,394.1,percent of total billed charges ,337.8,percent of total billed charges ,337.8,percent of total billed charges ,337.8,percent of total billed charges ,337.8,percent of total billed charges ,,,,,299.52,percent of total billed charges ,,,,,284.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,129.49,percent of total billed charges,,,129.49,percent of total billed charges,,,129.49,percent of total billed charges,,,129.49,percent of total billed charges,,,129.49,percent of total billed charges,,,129.49,percent of total billed charges,,,129.49,percent of total billed charges,,,129.49,percent of total billed charges,,,129.49,percent of total billed charges,,,129.49,percent of total billed charges,,,129.49,percent of total billed charges,
CEFEPIME 2GM / D5W PREMIX,J0696,CDM,,,,both,1,each,207.54,207.54,47.73,207.54,207.54,percent of total billed charges,207.54,percent of total billed charges,207.54,percent of total billed charges,207.54,percent of total billed charges,207.54,percent of total billed charges,207.54,percent of total billed charges,207.54,percent of total billed charges,207.54,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,163.96,percent of total billed charges,163.96,percent of total billed charges,166.03,percent of total billed charges,166.03,percent of total billed charges,,,149.43,percent of total billed charges ,,,166.03,percent of total billed charges ,163.96,percent of total billed charges ,163.96,percent of total billed charges ,176.41,percent of total billed charges ,176.41,percent of total billed charges ,166.03,percent of total billed charges ,166.03,percent of total billed charges ,145.28,percent of total billed charges ,145.28,percent of total billed charges ,124.52,percent of total billed charges ,124.52,percent of total billed charges ,124.52,percent of total billed charges ,124.52,percent of total billed charges ,,,,,110.41,percent of total billed charges ,,,,,104.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,47.73,percent of total billed charges,,,47.73,percent of total billed charges,,,47.73,percent of total billed charges,,,47.73,percent of total billed charges,,,47.73,percent of total billed charges,,,47.73,percent of total billed charges,,,47.73,percent of total billed charges,,,47.73,percent of total billed charges,,,47.73,percent of total billed charges,,,47.73,percent of total billed charges,,,47.73,percent of total billed charges,
"DEFEROXAMINE INJ : 2GM/VIAL, 20ML",J0895,CDM,,,,both,1,each,273.79,273.79,62.97,273.79,273.79,percent of total billed charges,273.79,percent of total billed charges,273.79,percent of total billed charges,273.79,percent of total billed charges,273.79,percent of total billed charges,273.79,percent of total billed charges,273.79,percent of total billed charges,273.79,percent of total billed charges,197.13,percent of total billed charges,197.13,percent of total billed charges,197.13,percent of total billed charges,197.13,percent of total billed charges,197.13,percent of total billed charges,197.13,percent of total billed charges,216.29,percent of total billed charges,216.29,percent of total billed charges,219.03,percent of total billed charges,219.03,percent of total billed charges,,,197.13,percent of total billed charges ,,,219.03,percent of total billed charges ,216.29,percent of total billed charges ,216.29,percent of total billed charges ,232.72,percent of total billed charges ,232.72,percent of total billed charges ,219.03,percent of total billed charges ,219.03,percent of total billed charges ,191.65,percent of total billed charges ,191.65,percent of total billed charges ,164.27,percent of total billed charges ,164.27,percent of total billed charges ,164.27,percent of total billed charges ,164.27,percent of total billed charges ,,,,,145.66,percent of total billed charges ,,,,,138.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,62.97,percent of total billed charges,,,62.97,percent of total billed charges,,,62.97,percent of total billed charges,,,62.97,percent of total billed charges,,,62.97,percent of total billed charges,,,62.97,percent of total billed charges,,,62.97,percent of total billed charges,,,62.97,percent of total billed charges,,,62.97,percent of total billed charges,,,62.97,percent of total billed charges,,,62.97,percent of total billed charges,
EMTRICITABINE/TENOFOVIR (TRUVADA) TAB,637,RC,00093-77-0456,NDC,,both,1,each,107.7,107.7,24.77,107.7,107.7,percent of total billed charges,107.7,percent of total billed charges,107.7,percent of total billed charges,107.7,percent of total billed charges,107.7,percent of total billed charges,107.7,percent of total billed charges,107.7,percent of total billed charges,107.7,percent of total billed charges,77.54,percent of total billed charges,77.54,percent of total billed charges,77.54,percent of total billed charges,77.54,percent of total billed charges,77.54,percent of total billed charges,77.54,percent of total billed charges,85.08,percent of total billed charges,85.08,percent of total billed charges,86.16,percent of total billed charges,86.16,percent of total billed charges,,,77.54,percent of total billed charges ,,,86.16,percent of total billed charges ,85.08,percent of total billed charges ,85.08,percent of total billed charges ,91.55,percent of total billed charges ,91.55,percent of total billed charges ,86.16,percent of total billed charges ,86.16,percent of total billed charges ,75.39,percent of total billed charges ,75.39,percent of total billed charges ,64.62,percent of total billed charges ,64.62,percent of total billed charges ,64.62,percent of total billed charges ,64.62,percent of total billed charges ,,,,,57.3,percent of total billed charges ,,,,,54.43,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,,,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,
RALTEGRAVIR (ISENTRESS) TAB : 400MG,637,RC,00006-02-2761,NDC,,both,1,each,46.38,46.38,10.67,46.38,46.38,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,36.64,percent of total billed charges,36.64,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 ,36.64,percent of total billed charges ,36.64,percent of total billed charges ,39.42,percent of total billed charges ,39.42,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 ,,,,,,,,,,,,,,,,,,,10.67,percent of total billed charges,,,10.67,percent of total billed charges,,,10.67,percent of total billed charges,,,10.67,percent of total billed charges,,,10.67,percent of total billed charges,,,10.67,percent of total billed charges,,,10.67,percent of total billed charges,,,10.67,percent of total billed charges,,,10.67,percent of total billed charges,,,10.67,percent of total billed charges,,,10.67,percent of total billed charges,
CLINIMIX E 4.25%-5% PERIPHERAL 1000ML,250,RC,00338-11-3803,NDC,,both,1000,each,95.75,95.75,22.02,95.75,95.75,percent of total billed charges,95.75,percent of total billed charges,95.75,percent of total billed charges,95.75,percent of total billed charges,95.75,percent of total billed charges,95.75,percent of total billed charges,95.75,percent of total billed charges,95.75,percent of total billed charges,68.94,percent of total billed charges,68.94,percent of total billed charges,68.94,percent of total billed charges,68.94,percent of total billed charges,68.94,percent of total billed charges,68.94,percent of total billed charges,75.64,percent of total billed charges,75.64,percent of total billed charges,76.6,percent of total billed charges,76.6,percent of total billed charges,,,68.94,percent of total billed charges ,,,76.6,percent of total billed charges ,75.64,percent of total billed charges ,75.64,percent of total billed charges ,81.39,percent of total billed charges ,81.39,percent of total billed charges ,76.6,percent of total billed charges ,76.6,percent of total billed charges ,67.03,percent of total billed charges ,67.03,percent of total billed charges ,57.45,percent of total billed charges ,57.45,percent of total billed charges ,57.45,percent of total billed charges ,57.45,percent of total billed charges ,,,,,50.94,percent of total billed charges ,,,,,48.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.02,percent of total billed charges,,,22.02,percent of total billed charges,,,22.02,percent of total billed charges,,,22.02,percent of total billed charges,,,22.02,percent of total billed charges,,,22.02,percent of total billed charges,,,22.02,percent of total billed charges,,,22.02,percent of total billed charges,,,22.02,percent of total billed charges,,,22.02,percent of total billed charges,,,22.02,percent of total billed charges,
KABIVEN INJ CENTRAL TPN 2053ML,250,RC,63323-07-1220,NDC,,both,2053,each,"1,136.43","1,136.43",261.38,"1,136.43","1,136.43",percent of total billed charges,"1,136.43",percent of total billed charges,"1,136.43",percent of total billed charges,"1,136.43",percent of total billed charges,"1,136.43",percent of total billed charges,"1,136.43",percent of total billed charges,"1,136.43",percent of total billed charges,"1,136.43",percent of total billed charges,818.23,percent of total billed charges,818.23,percent of total billed charges,818.23,percent of total billed charges,818.23,percent of total billed charges,818.23,percent of total billed charges,818.23,percent of total billed charges,897.78,percent of total billed charges,897.78,percent of total billed charges,909.14,percent of total billed charges,909.14,percent of total billed charges,,,818.23,percent of total billed charges ,,,909.14,percent of total billed charges ,897.78,percent of total billed charges ,897.78,percent of total billed charges ,965.97,percent of total billed charges ,965.97,percent of total billed charges ,909.14,percent of total billed charges ,909.14,percent of total billed charges ,795.5,percent of total billed charges ,795.5,percent of total billed charges ,681.86,percent of total billed charges ,681.86,percent of total billed charges ,681.86,percent of total billed charges ,681.86,percent of total billed charges ,,,,,604.58,percent of total billed charges ,,,,,574.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,261.38,percent of total billed charges,,,261.38,percent of total billed charges,,,261.38,percent of total billed charges,,,261.38,percent of total billed charges,,,261.38,percent of total billed charges,,,261.38,percent of total billed charges,,,261.38,percent of total billed charges,,,261.38,percent of total billed charges,,,261.38,percent of total billed charges,,,261.38,percent of total billed charges,,,261.38,percent of total billed charges,
FOMEPIZOLE(ANTIZOL)INJ 1500MG : PER 1,J1451,CDM,,,,both,1,each,"2,204.90","2,204.90",507.13,"2,204.90","2,204.90",percent of total billed charges,"2,204.90",percent of total billed charges,"2,204.90",percent of total billed charges,"2,204.90",percent of total billed charges,"2,204.90",percent of total billed charges,"2,204.90",percent of total billed charges,"2,204.90",percent of total billed charges,"2,204.90",percent of total billed charges,"1,587.53",percent of total billed charges,"1,587.53",percent of total billed charges,"1,587.53",percent of total billed charges,"1,587.53",percent of total billed charges,"1,587.53",percent of total billed charges,"1,587.53",percent of total billed charges,"1,741.87",percent of total billed charges,"1,741.87",percent of total billed charges,"1,763.92",percent of total billed charges,"1,763.92",percent of total billed charges,,,"1,587.53",percent of total billed charges ,,,"1,763.92",percent of total billed charges ,"1,741.87",percent of total billed charges ,"1,741.87",percent of total billed charges ,"1,874.17",percent of total billed charges ,"1,874.17",percent of total billed charges ,"1,763.92",percent of total billed charges ,"1,763.92",percent of total billed charges ,"1,543.43",percent of total billed charges ,"1,543.43",percent of total billed charges ,"1,322.94",percent of total billed charges ,"1,322.94",percent of total billed charges ,"1,322.94",percent of total billed charges ,"1,322.94",percent of total billed charges ,,,,,"1,173.01",percent of total billed charges ,,,,,"1,114.36",percent of total billed charges ,,,,,,,,,,,,,,,,,,,507.13,percent of total billed charges,,,507.13,percent of total billed charges,,,507.13,percent of total billed charges,,,507.13,percent of total billed charges,,,507.13,percent of total billed charges,,,507.13,percent of total billed charges,,,507.13,percent of total billed charges,,,507.13,percent of total billed charges,,,507.13,percent of total billed charges,,,507.13,percent of total billed charges,,,507.13,percent of total billed charges,
MOMETASONE/FORMOTEROL (DULERA) 100-5 INH,637,RC,78206-01-2702,NDC,,both,1,each,100.34,100.34,23.08,100.34,100.34,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,79.27,percent of total billed charges,79.27,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 ,79.27,percent of total billed charges ,79.27,percent of total billed charges ,85.29,percent of total billed charges ,85.29,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 ,,,,,,,,,,,,,,,,,,,23.08,percent of total billed charges,,,23.08,percent of total billed charges,,,23.08,percent of total billed charges,,,23.08,percent of total billed charges,,,23.08,percent of total billed charges,,,23.08,percent of total billed charges,,,23.08,percent of total billed charges,,,23.08,percent of total billed charges,,,23.08,percent of total billed charges,,,23.08,percent of total billed charges,,,23.08,percent of total billed charges,
ClonazePAM (KlonoPIN) TAB : 2MG,637,RC,16729-01-3800,NDC,,both,1,each,0.47,0.47,0.11,0.47,0.47,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,0.34,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,0.37,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,,,0.34,percent of total billed charges ,,,0.38,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 ,0.38,percent of total billed charges ,0.38,percent of total billed charges ,0.33,percent of total billed charges ,0.33,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 ,,,,,0.25,percent of total billed charges ,,,,,0.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.11,percent of total billed charges,,,0.11,percent of total billed charges,,,0.11,percent of total billed charges,,,0.11,percent of total billed charges,,,0.11,percent of total billed charges,,,0.11,percent of total billed charges,,,0.11,percent of total billed charges,,,0.11,percent of total billed charges,,,0.11,percent of total billed charges,,,0.11,percent of total billed charges,,,0.11,percent of total billed charges,
OCTAGAM FOR INJ,J1568,CDM,,,,both,1,each,267.85,267.85,61.61,267.85,267.85,percent of total billed charges,267.85,percent of total billed charges,267.85,percent of total billed charges,267.85,percent of total billed charges,267.85,percent of total billed charges,267.85,percent of total billed charges,267.85,percent of total billed charges,267.85,percent of total billed charges,192.85,percent of total billed charges,192.85,percent of total billed charges,192.85,percent of total billed charges,192.85,percent of total billed charges,192.85,percent of total billed charges,192.85,percent of total billed charges,211.6,percent of total billed charges,211.6,percent of total billed charges,214.28,percent of total billed charges,214.28,percent of total billed charges,,,192.85,percent of total billed charges ,,,214.28,percent of total billed charges ,211.6,percent of total billed charges ,211.6,percent of total billed charges ,227.67,percent of total billed charges ,227.67,percent of total billed charges ,214.28,percent of total billed charges ,214.28,percent of total billed charges ,187.5,percent of total billed charges ,187.5,percent of total billed charges ,160.71,percent of total billed charges ,160.71,percent of total billed charges ,160.71,percent of total billed charges ,160.71,percent of total billed charges ,,,,,142.5,percent of total billed charges ,,,,,135.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,61.61,percent of total billed charges,,,61.61,percent of total billed charges,,,61.61,percent of total billed charges,,,61.61,percent of total billed charges,,,61.61,percent of total billed charges,,,61.61,percent of total billed charges,,,61.61,percent of total billed charges,,,61.61,percent of total billed charges,,,61.61,percent of total billed charges,,,61.61,percent of total billed charges,,,61.61,percent of total billed charges,
"nalBUPHine (nubain) 10MG/1ML, 10ML",J2300,CDM,,,,both,1,each,400,400,92,400,400,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,400,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,316,percent of total billed charges,316,percent of total billed charges,320,percent of total billed charges,320,percent of total billed charges,,,288,percent of total billed charges ,,,320,percent of total billed charges ,316,percent of total billed charges ,316,percent of total billed charges ,340,percent of total billed charges ,340,percent of total billed charges ,320,percent of total billed charges ,320,percent of total billed charges ,280,percent of total billed charges ,280,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 ,,,,,212.8,percent of total billed charges ,,,,,202.16,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,,,92,percent of total billed charges,,,92,percent of total billed charges,,,92,percent of total billed charges,,,92,percent of total billed charges,
HPV VACCINE : SINGLE DOSE,90649,CDM,,,,both,1,each,746.93,746.93,171.79,746.93,746.93,percent of total billed charges,746.93,percent of total billed charges,746.93,percent of total billed charges,746.93,percent of total billed charges,746.93,percent of total billed charges,746.93,percent of total billed charges,746.93,percent of total billed charges,746.93,percent of total billed charges,537.79,percent of total billed charges,537.79,percent of total billed charges,537.79,percent of total billed charges,537.79,percent of total billed charges,537.79,percent of total billed charges,537.79,percent of total billed charges,590.07,percent of total billed charges,590.07,percent of total billed charges,597.54,percent of total billed charges,597.54,percent of total billed charges,,,537.79,percent of total billed charges ,,,597.54,percent of total billed charges ,590.07,percent of total billed charges ,590.07,percent of total billed charges ,634.89,percent of total billed charges ,634.89,percent of total billed charges ,597.54,percent of total billed charges ,597.54,percent of total billed charges ,522.85,percent of total billed charges ,522.85,percent of total billed charges ,448.16,percent of total billed charges ,448.16,percent of total billed charges ,448.16,percent of total billed charges ,448.16,percent of total billed charges ,,,,,397.37,percent of total billed charges ,,,,,377.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,171.79,percent of total billed charges,,,171.79,percent of total billed charges,,,171.79,percent of total billed charges,,,171.79,percent of total billed charges,,,171.79,percent of total billed charges,,,171.79,percent of total billed charges,,,171.79,percent of total billed charges,,,171.79,percent of total billed charges,,,171.79,percent of total billed charges,,,171.79,percent of total billed charges,,,171.79,percent of total billed charges,
ZERBAXA INJ PER 50/25MG JCODE,J0695,CDM,,,,both,1,each,33.6,33.6,7.73,33.6,33.6,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,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,24.19,percent of total billed charges,24.19,percent of total billed charges,26.54,percent of total billed charges,26.54,percent of total billed charges,26.88,percent of total billed charges,26.88,percent of total billed charges,,,24.19,percent of total billed charges ,,,26.88,percent of total billed charges ,26.54,percent of total billed charges ,26.54,percent of total billed charges ,28.56,percent of total billed charges ,28.56,percent of total billed charges ,26.88,percent of total billed charges ,26.88,percent of total billed charges ,23.52,percent of total billed charges ,23.52,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 ,,,,,17.88,percent of total billed charges ,,,,,16.98,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,
PHOSPHORUS(PHOSPHA NEUTRAL) : 250MG,637,RC,64980-01-0401,NDC,,both,1,each,1.49,1.49,0.34,1.49,1.49,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,1.18,percent of total billed charges,1.18,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 ,1.18,percent of total billed charges ,1.18,percent of total billed charges ,1.27,percent of total billed charges ,1.27,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 ,,,,,,,,,,,,,,,,,,,0.34,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,
LUMASON VIAL KIT : 5ML,Q9950,CDM,,,,both,1,each,759.82,759.82,174.76,759.82,759.82,percent of total billed charges,759.82,percent of total billed charges,759.82,percent of total billed charges,759.82,percent of total billed charges,759.82,percent of total billed charges,759.82,percent of total billed charges,759.82,percent of total billed charges,759.82,percent of total billed charges,547.07,percent of total billed charges,547.07,percent of total billed charges,547.07,percent of total billed charges,547.07,percent of total billed charges,547.07,percent of total billed charges,547.07,percent of total billed charges,600.26,percent of total billed charges,600.26,percent of total billed charges,607.86,percent of total billed charges,607.86,percent of total billed charges,,,547.07,percent of total billed charges ,,,607.86,percent of total billed charges ,600.26,percent of total billed charges ,600.26,percent of total billed charges ,645.85,percent of total billed charges ,645.85,percent of total billed charges ,607.86,percent of total billed charges ,607.86,percent of total billed charges ,531.87,percent of total billed charges ,531.87,percent of total billed charges ,455.89,percent of total billed charges ,455.89,percent of total billed charges ,455.89,percent of total billed charges ,455.89,percent of total billed charges ,,,,,404.22,percent of total billed charges ,,,,,384.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,174.76,percent of total billed charges,,,174.76,percent of total billed charges,,,174.76,percent of total billed charges,,,174.76,percent of total billed charges,,,174.76,percent of total billed charges,,,174.76,percent of total billed charges,,,174.76,percent of total billed charges,,,174.76,percent of total billed charges,,,174.76,percent of total billed charges,,,174.76,percent of total billed charges,,,174.76,percent of total billed charges,
HYDROcodone/IBUPROFEN 7.5/200MG TAB,637,RC,53746-01-4501,NDC,,both,1,each,10.6,10.6,2.44,10.6,10.6,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,8.37,percent of total billed charges,8.37,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 ,8.37,percent of total billed charges ,8.37,percent of total billed charges ,9.01,percent of total billed charges ,9.01,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 ,,,,,,,,,,,,,,,,,,,2.44,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,,,2.44,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,
GELFOAM SPONGE SIZE 100 : 1 SPONGE,270,RC,00009-03-4201,NDC,,both,1,each,150,150,34.5,150,150,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,118.5,percent of total billed charges,118.5,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 ,118.5,percent of total billed charges ,118.5,percent of total billed charges ,127.5,percent of total billed charges ,127.5,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 ,,,,,,,,,,,,,,,,,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,
TACROLIMUS TAB : 0.5 MG,637,RC,51079-08-1701,NDC,,both,1,each,3.42,3.42,0.79,3.42,3.42,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,2.7,percent of total billed charges,2.7,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 ,2.7,percent of total billed charges ,2.7,percent of total billed charges ,2.91,percent of total billed charges ,2.91,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 ,,,,,,,,,,,,,,,,,,,0.79,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,
dexAMETHasone TAB : 0.5MG,J8540,CDM,,,,both,1,each,0.71,0.71,0.16,0.71,0.71,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,0.56,percent of total billed charges,0.56,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 ,0.56,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 ,0.57,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 ,,,,,,,,,,,,,,,,,,,0.16,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,
HYALURONIDASE 150 USP UNITS/ML,J3470,CDM,,,,both,1,each,571.71,571.71,131.49,571.71,571.71,percent of total billed charges,571.71,percent of total billed charges,571.71,percent of total billed charges,571.71,percent of total billed charges,571.71,percent of total billed charges,571.71,percent of total billed charges,571.71,percent of total billed charges,571.71,percent of total billed charges,411.63,percent of total billed charges,411.63,percent of total billed charges,411.63,percent of total billed charges,411.63,percent of total billed charges,411.63,percent of total billed charges,411.63,percent of total billed charges,451.65,percent of total billed charges,451.65,percent of total billed charges,457.37,percent of total billed charges,457.37,percent of total billed charges,,,411.63,percent of total billed charges ,,,457.37,percent of total billed charges ,451.65,percent of total billed charges ,451.65,percent of total billed charges ,485.95,percent of total billed charges ,485.95,percent of total billed charges ,457.37,percent of total billed charges ,457.37,percent of total billed charges ,400.2,percent of total billed charges ,400.2,percent of total billed charges ,343.03,percent of total billed charges ,343.03,percent of total billed charges ,343.03,percent of total billed charges ,343.03,percent of total billed charges ,,,,,304.15,percent of total billed charges ,,,,,288.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,131.49,percent of total billed charges,,,131.49,percent of total billed charges,,,131.49,percent of total billed charges,,,131.49,percent of total billed charges,,,131.49,percent of total billed charges,,,131.49,percent of total billed charges,,,131.49,percent of total billed charges,,,131.49,percent of total billed charges,,,131.49,percent of total billed charges,,,131.49,percent of total billed charges,,,131.49,percent of total billed charges,
PHENTOLAMINE 5MG VIAL,J2760,CDM,,,,both,1,each,"1,635.77","1,635.77",376.23,"1,635.77","1,635.77",percent of total billed charges,"1,635.77",percent of total billed charges,"1,635.77",percent of total billed charges,"1,635.77",percent of total billed charges,"1,635.77",percent of total billed charges,"1,635.77",percent of total billed charges,"1,635.77",percent of total billed charges,"1,635.77",percent of total billed charges,"1,177.75",percent of total billed charges,"1,177.75",percent of total billed charges,"1,177.75",percent of total billed charges,"1,177.75",percent of total billed charges,"1,177.75",percent of total billed charges,"1,177.75",percent of total billed charges,"1,292.26",percent of total billed charges,"1,292.26",percent of total billed charges,"1,308.62",percent of total billed charges,"1,308.62",percent of total billed charges,,,"1,177.75",percent of total billed charges ,,,"1,308.62",percent of total billed charges ,"1,292.26",percent of total billed charges ,"1,292.26",percent of total billed charges ,"1,390.40",percent of total billed charges ,"1,390.40",percent of total billed charges ,"1,308.62",percent of total billed charges ,"1,308.62",percent of total billed charges ,"1,145.04",percent of total billed charges ,"1,145.04",percent of total billed charges ,981.46,percent of total billed charges ,981.46,percent of total billed charges ,981.46,percent of total billed charges ,981.46,percent of total billed charges ,,,,,870.23,percent of total billed charges ,,,,,826.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,376.23,percent of total billed charges,,,376.23,percent of total billed charges,,,376.23,percent of total billed charges,,,376.23,percent of total billed charges,,,376.23,percent of total billed charges,,,376.23,percent of total billed charges,,,376.23,percent of total billed charges,,,376.23,percent of total billed charges,,,376.23,percent of total billed charges,,,376.23,percent of total billed charges,,,376.23,percent of total billed charges,
APIXABAN (ELIQUIS) TABLET : 5MG,637,RC,00003-08-9431,NDC,,both,1,each,15.23,15.23,3.5,15.23,15.23,percent of total billed charges,15.23,percent of total billed charges,15.23,percent of total billed charges,15.23,percent of total billed charges,15.23,percent of total billed charges,15.23,percent of total billed charges,15.23,percent of total billed charges,15.23,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,12.03,percent of total billed charges,12.03,percent of total billed charges,12.18,percent of total billed charges,12.18,percent of total billed charges,,,10.97,percent of total billed charges ,,,12.18,percent of total billed charges ,12.03,percent of total billed charges ,12.03,percent of total billed charges ,12.95,percent of total billed charges ,12.95,percent of total billed charges ,12.18,percent of total billed charges ,12.18,percent of total billed charges ,10.66,percent of total billed charges ,10.66,percent of total billed charges ,9.14,percent of total billed charges ,9.14,percent of total billed charges ,9.14,percent of total billed charges ,9.14,percent of total billed charges ,,,,,8.1,percent of total billed charges ,,,,,7.7,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,
SIMBRINZA OPTHALMIC SUSP 1%/0.2%,637,RC,00065-41-4727,NDC,,both,8,each,483.84,483.84,111.28,483.84,483.84,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,348.36,percent of total billed charges,348.36,percent of total billed charges,348.36,percent of total billed charges,348.36,percent of total billed charges,348.36,percent of total billed charges,348.36,percent of total billed charges,382.23,percent of total billed charges,382.23,percent of total billed charges,387.07,percent of total billed charges,387.07,percent of total billed charges,,,348.36,percent of total billed charges ,,,387.07,percent of total billed charges ,382.23,percent of total billed charges ,382.23,percent of total billed charges ,411.26,percent of total billed charges ,411.26,percent of total billed charges ,387.07,percent of total billed charges ,387.07,percent of total billed charges ,338.69,percent of total billed charges ,338.69,percent of total billed charges ,290.3,percent of total billed charges ,290.3,percent of total billed charges ,290.3,percent of total billed charges ,290.3,percent of total billed charges ,,,,,257.4,percent of total billed charges ,,,,,244.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,111.28,percent of total billed charges,,,111.28,percent of total billed charges,,,111.28,percent of total billed charges,,,111.28,percent of total billed charges,,,111.28,percent of total billed charges,,,111.28,percent of total billed charges,,,111.28,percent of total billed charges,,,111.28,percent of total billed charges,,,111.28,percent of total billed charges,,,111.28,percent of total billed charges,,,111.28,percent of total billed charges,
ENTRESTO TAB : 24MG/26MG,637,RC,00078-06-5920,NDC,,both,1,each,53.89,53.89,12.39,53.89,53.89,percent of total billed charges,53.89,percent of total billed charges,53.89,percent of total billed charges,53.89,percent of total billed charges,53.89,percent of total billed charges,53.89,percent of total billed charges,53.89,percent of total billed charges,53.89,percent of total billed charges,38.8,percent of total billed charges,38.8,percent of total billed charges,38.8,percent of total billed charges,38.8,percent of total billed charges,38.8,percent of total billed charges,38.8,percent of total billed charges,42.57,percent of total billed charges,42.57,percent of total billed charges,43.11,percent of total billed charges,43.11,percent of total billed charges,,,38.8,percent of total billed charges ,,,43.11,percent of total billed charges ,42.57,percent of total billed charges ,42.57,percent of total billed charges ,45.81,percent of total billed charges ,45.81,percent of total billed charges ,43.11,percent of total billed charges ,43.11,percent of total billed charges ,37.72,percent of total billed charges ,37.72,percent of total billed charges ,32.33,percent of total billed charges ,32.33,percent of total billed charges ,32.33,percent of total billed charges ,32.33,percent of total billed charges ,,,,,28.67,percent of total billed charges ,,,,,27.24,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,,,12.39,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,
CLINIMIX E 5%/15% INJ CENTRAL 2000ML,250,RC,00338-11-4703,NDC,,both,1,each,928.7,928.7,213.6,928.7,928.7,percent of total billed charges,928.7,percent of total billed charges,928.7,percent of total billed charges,928.7,percent of total billed charges,928.7,percent of total billed charges,928.7,percent of total billed charges,928.7,percent of total billed charges,928.7,percent of total billed charges,668.66,percent of total billed charges,668.66,percent of total billed charges,668.66,percent of total billed charges,668.66,percent of total billed charges,668.66,percent of total billed charges,668.66,percent of total billed charges,733.67,percent of total billed charges,733.67,percent of total billed charges,742.96,percent of total billed charges,742.96,percent of total billed charges,,,668.66,percent of total billed charges ,,,742.96,percent of total billed charges ,733.67,percent of total billed charges ,733.67,percent of total billed charges ,789.4,percent of total billed charges ,789.4,percent of total billed charges ,742.96,percent of total billed charges ,742.96,percent of total billed charges ,650.09,percent of total billed charges ,650.09,percent of total billed charges ,557.22,percent of total billed charges ,557.22,percent of total billed charges ,557.22,percent of total billed charges ,557.22,percent of total billed charges ,,,,,494.07,percent of total billed charges ,,,,,469.36,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,,,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,,,213.6,percent of total billed charges,,,213.6,percent of total billed charges,,,213.6,percent of total billed charges,
PARICALCITOL IV SOLN : 2MCG SDV,637,RC,00074-46-3701,NDC,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
ARGATROBAN : PER 1MG,J0883,CDM,,,,both,1,each,"1,266.24","1,266.24",291.24,"1,266.24","1,266.24",percent of total billed charges,"1,266.24",percent of total billed charges,"1,266.24",percent of total billed charges,"1,266.24",percent of total billed charges,"1,266.24",percent of total billed charges,"1,266.24",percent of total billed charges,"1,266.24",percent of total billed charges,"1,266.24",percent of total billed charges,911.69,percent of total billed charges,911.69,percent of total billed charges,911.69,percent of total billed charges,911.69,percent of total billed charges,911.69,percent of total billed charges,911.69,percent of total billed charges,"1,000.33",percent of total billed charges,"1,000.33",percent of total billed charges,"1,012.99",percent of total billed charges,"1,012.99",percent of total billed charges,,,911.69,percent of total billed charges ,,,"1,012.99",percent of total billed charges ,"1,000.33",percent of total billed charges ,"1,000.33",percent of total billed charges ,"1,076.30",percent of total billed charges ,"1,076.30",percent of total billed charges ,"1,012.99",percent of total billed charges ,"1,012.99",percent of total billed charges ,886.37,percent of total billed charges ,886.37,percent of total billed charges ,759.74,percent of total billed charges ,759.74,percent of total billed charges ,759.74,percent of total billed charges ,759.74,percent of total billed charges ,,,,,673.64,percent of total billed charges ,,,,,639.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,291.24,percent of total billed charges,,,291.24,percent of total billed charges,,,291.24,percent of total billed charges,,,291.24,percent of total billed charges,,,291.24,percent of total billed charges,,,291.24,percent of total billed charges,,,291.24,percent of total billed charges,,,291.24,percent of total billed charges,,,291.24,percent of total billed charges,,,291.24,percent of total billed charges,,,291.24,percent of total billed charges,
INJECTAFER : PER 1MG JCODE,J1439,CDM,,,,both,1,each,4.56,4.56,1.05,4.56,4.56,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,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,3.6,percent of total billed charges,3.6,percent of total billed charges,3.65,percent of total billed charges,3.65,percent of total billed charges,,,3.28,percent of total billed charges ,,,3.65,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.88,percent of total billed charges ,3.88,percent of total billed charges ,3.65,percent of total billed charges ,3.65,percent of total billed charges ,3.19,percent of total billed charges ,3.19,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 ,,,,,2.43,percent of total billed charges ,,,,,2.3,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,
VANCOMYCIN PREMIX 1GM/NS 200ML,J3370,CDM,,,,both,1,each,171.25,171.25,39.39,171.25,171.25,percent of total billed charges,171.25,percent of total billed charges,171.25,percent of total billed charges,171.25,percent of total billed charges,171.25,percent of total billed charges,171.25,percent of total billed charges,171.25,percent of total billed charges,171.25,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,135.29,percent of total billed charges,135.29,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,,,123.3,percent of total billed charges ,,,137,percent of total billed charges ,135.29,percent of total billed charges ,135.29,percent of total billed charges ,145.56,percent of total billed charges ,145.56,percent of total billed charges ,137,percent of total billed charges ,137,percent of total billed charges ,119.88,percent of total billed charges ,119.88,percent of total billed charges ,102.75,percent of total billed charges ,102.75,percent of total billed charges ,102.75,percent of total billed charges ,102.75,percent of total billed charges ,,,,,91.11,percent of total billed charges ,,,,,86.55,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,
VANCOMYCIN PREMIX 1.5GM/NS 300ML,J3370,CDM,,,,both,,,325.95,325.95,74.97,325.95,325.95,percent of total billed charges,325.95,percent of total billed charges,325.95,percent of total billed charges,325.95,percent of total billed charges,325.95,percent of total billed charges,325.95,percent of total billed charges,325.95,percent of total billed charges,325.95,percent of total billed charges,234.68,percent of total billed charges,234.68,percent of total billed charges,234.68,percent of total billed charges,234.68,percent of total billed charges,234.68,percent of total billed charges,234.68,percent of total billed charges,257.5,percent of total billed charges,257.5,percent of total billed charges,260.76,percent of total billed charges,260.76,percent of total billed charges,,,234.68,percent of total billed charges ,,,260.76,percent of total billed charges ,257.5,percent of total billed charges ,257.5,percent of total billed charges ,277.06,percent of total billed charges ,277.06,percent of total billed charges ,260.76,percent of total billed charges ,260.76,percent of total billed charges ,228.17,percent of total billed charges ,228.17,percent of total billed charges ,195.57,percent of total billed charges ,195.57,percent of total billed charges ,195.57,percent of total billed charges ,195.57,percent of total billed charges ,,,,,173.41,percent of total billed charges ,,,,,164.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,74.97,percent of total billed charges,,,74.97,percent of total billed charges,,,74.97,percent of total billed charges,,,74.97,percent of total billed charges,,,74.97,percent of total billed charges,,,74.97,percent of total billed charges,,,74.97,percent of total billed charges,,,74.97,percent of total billed charges,,,74.97,percent of total billed charges,,,74.97,percent of total billed charges,,,74.97,percent of total billed charges,
FERAHEME 510MG VIAL,Q0138,CDM,,,,both,1,each,"4,380.00","4,380.00","1,007.40","4,380.00","4,380.00",percent of total billed charges,"4,380.00",percent of total billed charges,"4,380.00",percent of total billed charges,"4,380.00",percent of total billed charges,"4,380.00",percent of total billed charges,"4,380.00",percent of total billed charges,"4,380.00",percent of total billed charges,"4,380.00",percent of total billed charges,"3,153.60",percent of total billed charges,"3,153.60",percent of total billed charges,"3,153.60",percent of total billed charges,"3,153.60",percent of total billed charges,"3,153.60",percent of total billed charges,"3,153.60",percent of total billed charges,"3,460.20",percent of total billed charges,"3,460.20",percent of total billed charges,"3,504.00",percent of total billed charges,"3,504.00",percent of total billed charges,,,"3,153.60",percent of total billed charges ,,,"3,504.00",percent of total billed charges ,"3,460.20",percent of total billed charges ,"3,460.20",percent of total billed charges ,"3,723.00",percent of total billed charges ,"3,723.00",percent of total billed charges ,"3,504.00",percent of total billed charges ,"3,504.00",percent of total billed charges ,"3,066.00",percent of total billed charges ,"3,066.00",percent of total billed charges ,"2,628.00",percent of total billed charges ,"2,628.00",percent of total billed charges ,"2,628.00",percent of total billed charges ,"2,628.00",percent of total billed charges ,,,,,"2,330.16",percent of total billed charges ,,,,,"2,213.65",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,007.40",percent of total billed charges,,,"1,007.40",percent of total billed charges,,,"1,007.40",percent of total billed charges,,,"1,007.40",percent of total billed charges,,,"1,007.40",percent of total billed charges,,,"1,007.40",percent of total billed charges,,,"1,007.40",percent of total billed charges,,,"1,007.40",percent of total billed charges,,,"1,007.40",percent of total billed charges,,,"1,007.40",percent of total billed charges,,,"1,007.40",percent of total billed charges,
PRAZOSIN 1MG TAB,637,RC,70954-00-1910,NDC,,both,1,each,1.89,1.89,0.43,1.89,1.89,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,1.49,percent of total billed charges,1.49,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 ,1.49,percent of total billed charges ,1.49,percent of total billed charges ,1.61,percent of total billed charges ,1.61,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 ,,,,,,,,,,,,,,,,,,,0.43,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,
TRELEGY ELLIPA 100/62.5/25MCG INHALER,637,RC,00173-08-8710,NDC,,both,1,each,508.95,508.95,117.06,508.95,508.95,percent of total billed charges,508.95,percent of total billed charges,508.95,percent of total billed charges,508.95,percent of total billed charges,508.95,percent of total billed charges,508.95,percent of total billed charges,508.95,percent of total billed charges,508.95,percent of total billed charges,366.44,percent of total billed charges,366.44,percent of total billed charges,366.44,percent of total billed charges,366.44,percent of total billed charges,366.44,percent of total billed charges,366.44,percent of total billed charges,402.07,percent of total billed charges,402.07,percent of total billed charges,407.16,percent of total billed charges,407.16,percent of total billed charges,,,366.44,percent of total billed charges ,,,407.16,percent of total billed charges ,402.07,percent of total billed charges ,402.07,percent of total billed charges ,432.61,percent of total billed charges ,432.61,percent of total billed charges ,407.16,percent of total billed charges ,407.16,percent of total billed charges ,356.27,percent of total billed charges ,356.27,percent of total billed charges ,305.37,percent of total billed charges ,305.37,percent of total billed charges ,305.37,percent of total billed charges ,305.37,percent of total billed charges ,,,,,270.76,percent of total billed charges ,,,,,257.22,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,,,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,
THIAMINE (VIT B 1) TAB : 100MG,637,RC,50268-08-5215,NDC,,both,1,each,2,2,0.46,2,2,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,1.58,percent of total billed charges,1.58,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 ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.7,percent of total billed charges ,1.7,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 ,,,,,,,,,,,,,,,,,,,0.46,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,
BIOFREEZE GEL : 3 OZ TUBE,637,RC,59316-01-0212,NDC,,both,1,each,86.57,86.57,19.91,86.57,86.57,percent of total billed charges,86.57,percent of total billed charges,86.57,percent of total billed charges,86.57,percent of total billed charges,86.57,percent of total billed charges,86.57,percent of total billed charges,86.57,percent of total billed charges,86.57,percent of total billed charges,62.33,percent of total billed charges,62.33,percent of total billed charges,62.33,percent of total billed charges,62.33,percent of total billed charges,62.33,percent of total billed charges,62.33,percent of total billed charges,68.39,percent of total billed charges,68.39,percent of total billed charges,69.26,percent of total billed charges,69.26,percent of total billed charges,,,62.33,percent of total billed charges ,,,69.26,percent of total billed charges ,68.39,percent of total billed charges ,68.39,percent of total billed charges ,73.58,percent of total billed charges ,73.58,percent of total billed charges ,69.26,percent of total billed charges ,69.26,percent of total billed charges ,60.6,percent of total billed charges ,60.6,percent of total billed charges ,51.94,percent of total billed charges ,51.94,percent of total billed charges ,51.94,percent of total billed charges ,51.94,percent of total billed charges ,,,,,46.06,percent of total billed charges ,,,,,43.75,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,,,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,,,19.91,percent of total billed charges,,,19.91,percent of total billed charges,,,19.91,percent of total billed charges,
MIRENA (LEVONORGESTREL 52MG) IUD,J7298,CDM,,,,both,1,each,"5,005.92","5,005.92","1,151.36","5,005.92","5,005.92",percent of total billed charges,"5,005.92",percent of total billed charges,"5,005.92",percent of total billed charges,"5,005.92",percent of total billed charges,"5,005.92",percent of total billed charges,"5,005.92",percent of total billed charges,"5,005.92",percent of total billed charges,"5,005.92",percent of total billed charges,"3,604.26",percent of total billed charges,"3,604.26",percent of total billed charges,"3,604.26",percent of total billed charges,"3,604.26",percent of total billed charges,"3,604.26",percent of total billed charges,"3,604.26",percent of total billed charges,"3,954.68",percent of total billed charges,"3,954.68",percent of total billed charges,"4,004.74",percent of total billed charges,"4,004.74",percent of total billed charges,,,"3,604.26",percent of total billed charges ,,,"4,004.74",percent of total billed charges ,"3,954.68",percent of total billed charges ,"3,954.68",percent of total billed charges ,"4,255.03",percent of total billed charges ,"4,255.03",percent of total billed charges ,"4,004.74",percent of total billed charges ,"4,004.74",percent of total billed charges ,"3,504.14",percent of total billed charges ,"3,504.14",percent of total billed charges ,"3,003.55",percent of total billed charges ,"3,003.55",percent of total billed charges ,"3,003.55",percent of total billed charges ,"3,003.55",percent of total billed charges ,,,,,"2,663.15",percent of total billed charges ,,,,,"2,529.99",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,151.36",percent of total billed charges,,,"1,151.36",percent of total billed charges,,,"1,151.36",percent of total billed charges,,,"1,151.36",percent of total billed charges,,,"1,151.36",percent of total billed charges,,,"1,151.36",percent of total billed charges,,,"1,151.36",percent of total billed charges,,,"1,151.36",percent of total billed charges,,,"1,151.36",percent of total billed charges,,,"1,151.36",percent of total billed charges,,,"1,151.36",percent of total billed charges,
LACTASE ENZYME TAB,637,RC,00904-52-2452,NDC,,both,,,0.25,0.25,0.06,0.25,0.25,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,0.18,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,0.2,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,,,0.18,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 ,0.21,percent of total billed charges ,0.21,percent of total billed charges ,0.2,percent of total billed charges ,0.2,percent of total billed charges ,0.18,percent of total billed charges ,0.18,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 ,,,,,0.13,percent of total billed charges ,,,,,0.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,
FentaNYL 2MCG/ML-ROPIVACAINE 0.2%,250,RC,99999-99-9999,NDC,,both,1,each,795,795,182.85,795,795,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,628.05,percent of total billed charges,628.05,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 ,628.05,percent of total billed charges ,628.05,percent of total billed charges ,675.75,percent of total billed charges ,675.75,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 ,,,,,,,,,,,,,,,,,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,
METHYLENE BLUE IV SOLN : 5MG/1ML,Q9968,CDM,,,,both,1,each,790,790,181.7,790,790,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,624.1,percent of total billed charges,624.1,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 ,624.1,percent of total billed charges ,624.1,percent of total billed charges ,671.5,percent of total billed charges ,671.5,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 ,,,,,,,,,,,,,,,,,,,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,,,181.7,percent of total billed charges,,,181.7,percent of total billed charges,,,181.7,percent of total billed charges,
MEROPENEM (MERREM) INJ : 500MG,J2185,CDM,,,,both,1,each,43.87,43.87,10.09,43.87,43.87,percent of total billed charges,43.87,percent of total billed charges,43.87,percent of total billed charges,43.87,percent of total billed charges,43.87,percent of total billed charges,43.87,percent of total billed charges,43.87,percent of total billed charges,43.87,percent of total billed charges,31.59,percent of total billed charges,31.59,percent of total billed charges,31.59,percent of total billed charges,31.59,percent of total billed charges,31.59,percent of total billed charges,31.59,percent of total billed charges,34.66,percent of total billed charges,34.66,percent of total billed charges,35.1,percent of total billed charges,35.1,percent of total billed charges,,,31.59,percent of total billed charges ,,,35.1,percent of total billed charges ,34.66,percent of total billed charges ,34.66,percent of total billed charges ,37.29,percent of total billed charges ,37.29,percent of total billed charges ,35.1,percent of total billed charges ,35.1,percent of total billed charges ,30.71,percent of total billed charges ,30.71,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 ,,,,,23.34,percent of total billed charges ,,,,,22.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.09,percent of total billed charges,,,10.09,percent of total billed charges,,,10.09,percent of total billed charges,,,10.09,percent of total billed charges,,,10.09,percent of total billed charges,,,10.09,percent of total billed charges,,,10.09,percent of total billed charges,,,10.09,percent of total billed charges,,,10.09,percent of total billed charges,,,10.09,percent of total billed charges,,,10.09,percent of total billed charges,
IVERMECTIN 3MG TAB,637,RC,42799-08-0601,NDC,,both,1,each,11.62,11.62,2.67,11.62,11.62,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,9.18,percent of total billed charges,9.18,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 ,9.18,percent of total billed charges ,9.18,percent of total billed charges ,9.88,percent of total billed charges ,9.88,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 ,,,,,,,,,,,,,,,,,,,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,,,2.67,percent of total billed charges,,,2.67,percent of total billed charges,,,2.67,percent of total billed charges,
PARAGARD IUD,J7300,CDM,,,,both,1,each,"4,032.42","4,032.42",927.46,"4,032.42","4,032.42",percent of total billed charges,"4,032.42",percent of total billed charges,"4,032.42",percent of total billed charges,"4,032.42",percent of total billed charges,"4,032.42",percent of total billed charges,"4,032.42",percent of total billed charges,"4,032.42",percent of total billed charges,"4,032.42",percent of total billed charges,"2,903.34",percent of total billed charges,"2,903.34",percent of total billed charges,"2,903.34",percent of total billed charges,"2,903.34",percent of total billed charges,"2,903.34",percent of total billed charges,"2,903.34",percent of total billed charges,"3,185.61",percent of total billed charges,"3,185.61",percent of total billed charges,"3,225.94",percent of total billed charges,"3,225.94",percent of total billed charges,,,"2,903.34",percent of total billed charges ,,,"3,225.94",percent of total billed charges ,"3,185.61",percent of total billed charges ,"3,185.61",percent of total billed charges ,"3,427.56",percent of total billed charges ,"3,427.56",percent of total billed charges ,"3,225.94",percent of total billed charges ,"3,225.94",percent of total billed charges ,"2,822.69",percent of total billed charges ,"2,822.69",percent of total billed charges ,"2,419.45",percent of total billed charges ,"2,419.45",percent of total billed charges ,"2,419.45",percent of total billed charges ,"2,419.45",percent of total billed charges ,,,,,"2,145.25",percent of total billed charges ,,,,,"2,037.99",percent of total billed charges ,,,,,,,,,,,,,,,,,,,927.46,percent of total billed charges,,,927.46,percent of total billed charges,,,927.46,percent of total billed charges,,,927.46,percent of total billed charges,,,927.46,percent of total billed charges,,,927.46,percent of total billed charges,,,927.46,percent of total billed charges,,,927.46,percent of total billed charges,,,927.46,percent of total billed charges,,,927.46,percent of total billed charges,,,927.46,percent of total billed charges,
NEXPLANON (ETONOGESTREL 68MG) IMPLANT,J7307,CDM,,,,both,1,each,"5,482.00","5,482.00","1,260.86","5,482.00","5,482.00",percent of total billed charges,"5,482.00",percent of total billed charges,"5,482.00",percent of total billed charges,"5,482.00",percent of total billed charges,"5,482.00",percent of total billed charges,"5,482.00",percent of total billed charges,"5,482.00",percent of total billed charges,"5,482.00",percent of total billed charges,"3,947.04",percent of total billed charges,"3,947.04",percent of total billed charges,"3,947.04",percent of total billed charges,"3,947.04",percent of total billed charges,"3,947.04",percent of total billed charges,"3,947.04",percent of total billed charges,"4,330.78",percent of total billed charges,"4,330.78",percent of total billed charges,"4,385.60",percent of total billed charges,"4,385.60",percent of total billed charges,,,"3,947.04",percent of total billed charges ,,,"4,385.60",percent of total billed charges ,"4,330.78",percent of total billed charges ,"4,330.78",percent of total billed charges ,"4,659.70",percent of total billed charges ,"4,659.70",percent of total billed charges ,"4,385.60",percent of total billed charges ,"4,385.60",percent of total billed charges ,"3,837.40",percent of total billed charges ,"3,837.40",percent of total billed charges ,"3,289.20",percent of total billed charges ,"3,289.20",percent of total billed charges ,"3,289.20",percent of total billed charges ,"3,289.20",percent of total billed charges ,,,,,"2,916.42",percent of total billed charges ,,,,,"2,770.60",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,260.86",percent of total billed charges,,,"1,260.86",percent of total billed charges,,,"1,260.86",percent of total billed charges,,,"1,260.86",percent of total billed charges,,,"1,260.86",percent of total billed charges,,,"1,260.86",percent of total billed charges,,,"1,260.86",percent of total billed charges,,,"1,260.86",percent of total billed charges,,,"1,260.86",percent of total billed charges,,,"1,260.86",percent of total billed charges,,,"1,260.86",percent of total billed charges,
ARANESP 60MCG VIAL,J0881,CDM,,,,both,1,each,"3,258.21","3,258.21",749.39,"3,258.21","3,258.21",percent of total billed charges,"3,258.21",percent of total billed charges,"3,258.21",percent of total billed charges,"3,258.21",percent of total billed charges,"3,258.21",percent of total billed charges,"3,258.21",percent of total billed charges,"3,258.21",percent of total billed charges,"3,258.21",percent of total billed charges,"2,345.91",percent of total billed charges,"2,345.91",percent of total billed charges,"2,345.91",percent of total billed charges,"2,345.91",percent of total billed charges,"2,345.91",percent of total billed charges,"2,345.91",percent of total billed charges,"2,573.99",percent of total billed charges,"2,573.99",percent of total billed charges,"2,606.57",percent of total billed charges,"2,606.57",percent of total billed charges,,,"2,345.91",percent of total billed charges ,,,"2,606.57",percent of total billed charges ,"2,573.99",percent of total billed charges ,"2,573.99",percent of total billed charges ,"2,769.48",percent of total billed charges ,"2,769.48",percent of total billed charges ,"2,606.57",percent of total billed charges ,"2,606.57",percent of total billed charges ,"2,280.75",percent of total billed charges ,"2,280.75",percent of total billed charges ,"1,954.93",percent of total billed charges ,"1,954.93",percent of total billed charges ,"1,954.93",percent of total billed charges ,"1,954.93",percent of total billed charges ,,,,,"1,733.37",percent of total billed charges ,,,,,"1,646.70",percent of total billed charges ,,,,,,,,,,,,,,,,,,,749.39,percent of total billed charges,,,749.39,percent of total billed charges,,,749.39,percent of total billed charges,,,749.39,percent of total billed charges,,,749.39,percent of total billed charges,,,749.39,percent of total billed charges,,,749.39,percent of total billed charges,,,749.39,percent of total billed charges,,,749.39,percent of total billed charges,,,749.39,percent of total billed charges,,,749.39,percent of total billed charges,
ENTYVIO 300MG SDV INJECTION,J3380,CDM,,,,both,1,each,"40,385.00","40,385.00","9,288.55","40,385.00","40,385.00",percent of total billed charges,"40,385.00",percent of total billed charges,"40,385.00",percent of total billed charges,"40,385.00",percent of total billed charges,"40,385.00",percent of total billed charges,"40,385.00",percent of total billed charges,"40,385.00",percent of total billed charges,"40,385.00",percent of total billed charges,"29,077.20",percent of total billed charges,"29,077.20",percent of total billed charges,"29,077.20",percent of total billed charges,"29,077.20",percent of total billed charges,"29,077.20",percent of total billed charges,"29,077.20",percent of total billed charges,"31,904.15",percent of total billed charges,"31,904.15",percent of total billed charges,"32,308.00",percent of total billed charges,"32,308.00",percent of total billed charges,,,"29,077.20",percent of total billed charges ,,,"32,308.00",percent of total billed charges ,"31,904.15",percent of total billed charges ,"31,904.15",percent of total billed charges ,"34,327.25",percent of total billed charges ,"34,327.25",percent of total billed charges ,"32,308.00",percent of total billed charges ,"32,308.00",percent of total billed charges ,"28,269.50",percent of total billed charges ,"28,269.50",percent of total billed charges ,"24,231.00",percent of total billed charges ,"24,231.00",percent of total billed charges ,"24,231.00",percent of total billed charges ,"24,231.00",percent of total billed charges ,,,,,"21,484.82",percent of total billed charges ,,,,,"20,410.58",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"9,288.55",percent of total billed charges,,,"9,288.55",percent of total billed charges,,,"9,288.55",percent of total billed charges,,,"9,288.55",percent of total billed charges,,,"9,288.55",percent of total billed charges,,,"9,288.55",percent of total billed charges,,,"9,288.55",percent of total billed charges,,,"9,288.55",percent of total billed charges,,,"9,288.55",percent of total billed charges,,,"9,288.55",percent of total billed charges,,,"9,288.55",percent of total billed charges,
USTEKINUMAB (STELARA) 130MG/26ML,J3358,CDM,,,,both,1,each,"11,520.00","11,520.00","2,649.60","11,520.00","11,520.00",percent of total billed charges,"11,520.00",percent of total billed charges,"11,520.00",percent of total billed charges,"11,520.00",percent of total billed charges,"11,520.00",percent of total billed charges,"11,520.00",percent of total billed charges,"11,520.00",percent of total billed charges,"11,520.00",percent of total billed charges,"8,294.40",percent of total billed charges,"8,294.40",percent of total billed charges,"8,294.40",percent of total billed charges,"8,294.40",percent of total billed charges,"8,294.40",percent of total billed charges,"8,294.40",percent of total billed charges,"9,100.80",percent of total billed charges,"9,100.80",percent of total billed charges,"9,216.00",percent of total billed charges,"9,216.00",percent of total billed charges,,,"8,294.40",percent of total billed charges ,,,"9,216.00",percent of total billed charges ,"9,100.80",percent of total billed charges ,"9,100.80",percent of total billed charges ,"9,792.00",percent of total billed charges ,"9,792.00",percent of total billed charges ,"9,216.00",percent of total billed charges ,"9,216.00",percent of total billed charges ,"8,064.00",percent of total billed charges ,"8,064.00",percent of total billed charges ,"6,912.00",percent of total billed charges ,"6,912.00",percent of total billed charges ,"6,912.00",percent of total billed charges ,"6,912.00",percent of total billed charges ,,,,,"6,128.64",percent of total billed charges ,,,,,"5,822.21",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,649.60",percent of total billed charges,,,"2,649.60",percent of total billed charges,,,"2,649.60",percent of total billed charges,,,"2,649.60",percent of total billed charges,,,"2,649.60",percent of total billed charges,,,"2,649.60",percent of total billed charges,,,"2,649.60",percent of total billed charges,,,"2,649.60",percent of total billed charges,,,"2,649.60",percent of total billed charges,,,"2,649.60",percent of total billed charges,,,"2,649.60",percent of total billed charges,
NAC (Acetylcysteine) ORAL CAP : 600MG,637,RC,79854-00-4097,NDC,,both,1,each,1,1,0.23,1,1,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,0.79,percent of total billed charges,0.79,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 ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.85,percent of total billed charges ,0.85,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 ,,,,,,,,,,,,,,,,,,,0.23,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,
VANCOMYCIN PREMIX 2GM/NS 400ML,J3370,CDM,,,,both,1,each,306.46,306.46,70.49,306.46,306.46,percent of total billed charges,306.46,percent of total billed charges,306.46,percent of total billed charges,306.46,percent of total billed charges,306.46,percent of total billed charges,306.46,percent of total billed charges,306.46,percent of total billed charges,306.46,percent of total billed charges,220.65,percent of total billed charges,220.65,percent of total billed charges,220.65,percent of total billed charges,220.65,percent of total billed charges,220.65,percent of total billed charges,220.65,percent of total billed charges,242.1,percent of total billed charges,242.1,percent of total billed charges,245.17,percent of total billed charges,245.17,percent of total billed charges,,,220.65,percent of total billed charges ,,,245.17,percent of total billed charges ,242.1,percent of total billed charges ,242.1,percent of total billed charges ,260.49,percent of total billed charges ,260.49,percent of total billed charges ,245.17,percent of total billed charges ,245.17,percent of total billed charges ,214.52,percent of total billed charges ,214.52,percent of total billed charges ,183.88,percent of total billed charges ,183.88,percent of total billed charges ,183.88,percent of total billed charges ,183.88,percent of total billed charges ,,,,,163.04,percent of total billed charges ,,,,,154.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,70.49,percent of total billed charges,,,70.49,percent of total billed charges,,,70.49,percent of total billed charges,,,70.49,percent of total billed charges,,,70.49,percent of total billed charges,,,70.49,percent of total billed charges,,,70.49,percent of total billed charges,,,70.49,percent of total billed charges,,,70.49,percent of total billed charges,,,70.49,percent of total billed charges,,,70.49,percent of total billed charges,
OLANZAPINE (ZYPREXA) ODT : 5MG,637,RC,60505-32-7503,NDC,,both,1,each,2.53,2.53,0.58,2.53,2.53,percent of total billed charges,2.53,percent of total billed charges,2.53,percent of total billed charges,2.53,percent of total billed charges,2.53,percent of total billed charges,2.53,percent of total billed charges,2.53,percent of total billed charges,2.53,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,2,percent of total billed charges,2,percent of total billed charges,2.02,percent of total billed charges,2.02,percent of total billed charges,,,1.82,percent of total billed charges ,,,2.02,percent of total billed charges ,2,percent of total billed charges ,2,percent of total billed charges ,2.15,percent of total billed charges ,2.15,percent of total billed charges ,2.02,percent of total billed charges ,2.02,percent of total billed charges ,1.77,percent of total billed charges ,1.77,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 ,,,,,,,,,,,,,,,,,,,0.58,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,
NICOTINE 7MG PATCH,637,RC,00536-58-9488,NDC,,both,1,each,4.73,4.73,1.09,4.73,4.73,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,3.74,percent of total billed charges,3.74,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 ,3.74,percent of total billed charges ,3.74,percent of total billed charges ,4.02,percent of total billed charges ,4.02,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 ,,,,,,,,,,,,,,,,,,,1.09,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,
FASENRA 30MG INJ,J0517,CDM,,,,both,1,each,"40,186.17","40,186.17","9,242.82","40,186.17","40,186.17",percent of total billed charges,"40,186.17",percent of total billed charges,"40,186.17",percent of total billed charges,"40,186.17",percent of total billed charges,"40,186.17",percent of total billed charges,"40,186.17",percent of total billed charges,"40,186.17",percent of total billed charges,"40,186.17",percent of total billed charges,"28,934.04",percent of total billed charges,"28,934.04",percent of total billed charges,"28,934.04",percent of total billed charges,"28,934.04",percent of total billed charges,"28,934.04",percent of total billed charges,"28,934.04",percent of total billed charges,"31,747.07",percent of total billed charges,"31,747.07",percent of total billed charges,"32,148.94",percent of total billed charges,"32,148.94",percent of total billed charges,,,"28,934.04",percent of total billed charges ,,,"32,148.94",percent of total billed charges ,"31,747.07",percent of total billed charges ,"31,747.07",percent of total billed charges ,"34,158.24",percent of total billed charges ,"34,158.24",percent of total billed charges ,"32,148.94",percent of total billed charges ,"32,148.94",percent of total billed charges ,"28,130.32",percent of total billed charges ,"28,130.32",percent of total billed charges ,"24,111.70",percent of total billed charges ,"24,111.70",percent of total billed charges ,"24,111.70",percent of total billed charges ,"24,111.70",percent of total billed charges ,,,,,"21,379.04",percent of total billed charges ,,,,,"20,310.09",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"9,242.82",percent of total billed charges,,,"9,242.82",percent of total billed charges,,,"9,242.82",percent of total billed charges,,,"9,242.82",percent of total billed charges,,,"9,242.82",percent of total billed charges,,,"9,242.82",percent of total billed charges,,,"9,242.82",percent of total billed charges,,,"9,242.82",percent of total billed charges,,,"9,242.82",percent of total billed charges,,,"9,242.82",percent of total billed charges,,,"9,242.82",percent of total billed charges,
LOPINAVIR/RITONAVIR SOLN 400-100/5,637,RC,00074-39-5646,NDC,,both,5,each,51.15,51.15,11.76,51.15,51.15,percent of total billed charges,51.15,percent of total billed charges,51.15,percent of total billed charges,51.15,percent of total billed charges,51.15,percent of total billed charges,51.15,percent of total billed charges,51.15,percent of total billed charges,51.15,percent of total billed charges,36.83,percent of total billed charges,36.83,percent of total billed charges,36.83,percent of total billed charges,36.83,percent of total billed charges,36.83,percent of total billed charges,36.83,percent of total billed charges,40.41,percent of total billed charges,40.41,percent of total billed charges,40.92,percent of total billed charges,40.92,percent of total billed charges,,,36.83,percent of total billed charges ,,,40.92,percent of total billed charges ,40.41,percent of total billed charges ,40.41,percent of total billed charges ,43.48,percent of total billed charges ,43.48,percent of total billed charges ,40.92,percent of total billed charges ,40.92,percent of total billed charges ,35.81,percent of total billed charges ,35.81,percent of total billed charges ,30.69,percent of total billed charges ,30.69,percent of total billed charges ,30.69,percent of total billed charges ,30.69,percent of total billed charges ,,,,,27.21,percent of total billed charges ,,,,,25.85,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,
VORTIOXETINE (TRINTELLIX) 20MG TAB,637,RC,64764-07-5030,NDC,,both,1,each,42.49,42.49,9.77,42.49,42.49,percent of total billed charges,42.49,percent of total billed charges,42.49,percent of total billed charges,42.49,percent of total billed charges,42.49,percent of total billed charges,42.49,percent of total billed charges,42.49,percent of total billed charges,42.49,percent of total billed charges,30.59,percent of total billed charges,30.59,percent of total billed charges,30.59,percent of total billed charges,30.59,percent of total billed charges,30.59,percent of total billed charges,30.59,percent of total billed charges,33.57,percent of total billed charges,33.57,percent of total billed charges,33.99,percent of total billed charges,33.99,percent of total billed charges,,,30.59,percent of total billed charges ,,,33.99,percent of total billed charges ,33.57,percent of total billed charges ,33.57,percent of total billed charges ,36.12,percent of total billed charges ,36.12,percent of total billed charges ,33.99,percent of total billed charges ,33.99,percent of total billed charges ,29.74,percent of total billed charges ,29.74,percent of total billed charges ,25.49,percent of total billed charges ,25.49,percent of total billed charges ,25.49,percent of total billed charges ,25.49,percent of total billed charges ,,,,,22.6,percent of total billed charges ,,,,,21.47,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,,,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,,,9.77,percent of total billed charges,,,9.77,percent of total billed charges,,,9.77,percent of total billed charges,
FESOTERODINE (TOVIAZ) 8MG TAB,637,RC,43598-02-4830,NDC,,both,1,each,42.86,42.86,9.86,42.86,42.86,percent of total billed charges,42.86,percent of total billed charges,42.86,percent of total billed charges,42.86,percent of total billed charges,42.86,percent of total billed charges,42.86,percent of total billed charges,42.86,percent of total billed charges,42.86,percent of total billed charges,30.86,percent of total billed charges,30.86,percent of total billed charges,30.86,percent of total billed charges,30.86,percent of total billed charges,30.86,percent of total billed charges,30.86,percent of total billed charges,33.86,percent of total billed charges,33.86,percent of total billed charges,34.29,percent of total billed charges,34.29,percent of total billed charges,,,30.86,percent of total billed charges ,,,34.29,percent of total billed charges ,33.86,percent of total billed charges ,33.86,percent of total billed charges ,36.43,percent of total billed charges ,36.43,percent of total billed charges ,34.29,percent of total billed charges ,34.29,percent of total billed charges ,30,percent of total billed charges ,30,percent of total billed charges ,25.72,percent of total billed charges ,25.72,percent of total billed charges ,25.72,percent of total billed charges ,25.72,percent of total billed charges ,,,,,22.8,percent of total billed charges ,,,,,21.66,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,
MYCOPHENOLATE 500MG CAP,J7517,CDM,,,,both,,,1.05,1.05,0.24,1.05,1.05,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,0.83,percent of total billed charges,0.83,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 ,0.83,percent of total billed charges ,0.83,percent of total billed charges ,0.89,percent of total billed charges ,0.89,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 ,,,,,,,,,,,,,,,,,,,0.24,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,
"BUMETANIDE (BUMEX) INJ 0.25MG/ML,10ML*",250,RC,00641-61-6210,NDC,,both,1,each,29.57,29.57,6.8,29.57,29.57,percent of total billed charges,29.57,percent of total billed charges,29.57,percent of total billed charges,29.57,percent of total billed charges,29.57,percent of total billed charges,29.57,percent of total billed charges,29.57,percent of total billed charges,29.57,percent of total billed charges,21.29,percent of total billed charges,21.29,percent of total billed charges,21.29,percent of total billed charges,21.29,percent of total billed charges,21.29,percent of total billed charges,21.29,percent of total billed charges,23.36,percent of total billed charges,23.36,percent of total billed charges,23.66,percent of total billed charges,23.66,percent of total billed charges,,,21.29,percent of total billed charges ,,,23.66,percent of total billed charges ,23.36,percent of total billed charges ,23.36,percent of total billed charges ,25.13,percent of total billed charges ,25.13,percent of total billed charges ,23.66,percent of total billed charges ,23.66,percent of total billed charges ,20.7,percent of total billed charges ,20.7,percent of total billed charges ,17.74,percent of total billed charges ,17.74,percent of total billed charges ,17.74,percent of total billed charges ,17.74,percent of total billed charges ,,,,,15.73,percent of total billed charges ,,,,,14.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.8,percent of total billed charges,,,6.8,percent of total billed charges,,,6.8,percent of total billed charges,,,6.8,percent of total billed charges,,,6.8,percent of total billed charges,,,6.8,percent of total billed charges,,,6.8,percent of total billed charges,,,6.8,percent of total billed charges,,,6.8,percent of total billed charges,,,6.8,percent of total billed charges,,,6.8,percent of total billed charges,
RYANODEX 250MG VIAL,636,RC,42367-05-4032,NDC,,both,1,each,"16,178.19","16,178.19","3,720.98","16,178.19","16,178.19",percent of total billed charges,"16,178.19",percent of total billed charges,"16,178.19",percent of total billed charges,"16,178.19",percent of total billed charges,"16,178.19",percent of total billed charges,"16,178.19",percent of total billed charges,"16,178.19",percent of total billed charges,"16,178.19",percent of total billed charges,"11,648.30",percent of total billed charges,"11,648.30",percent of total billed charges,"11,648.30",percent of total billed charges,"11,648.30",percent of total billed charges,"11,648.30",percent of total billed charges,"11,648.30",percent of total billed charges,"12,780.77",percent of total billed charges,"12,780.77",percent of total billed charges,"12,942.55",percent of total billed charges,"12,942.55",percent of total billed charges,,,"11,648.30",percent of total billed charges ,,,"12,942.55",percent of total billed charges ,"12,780.77",percent of total billed charges ,"12,780.77",percent of total billed charges ,"13,751.46",percent of total billed charges ,"13,751.46",percent of total billed charges ,"12,942.55",percent of total billed charges ,"12,942.55",percent of total billed charges ,"11,324.73",percent of total billed charges ,"11,324.73",percent of total billed charges ,"9,706.91",percent of total billed charges ,"9,706.91",percent of total billed charges ,"9,706.91",percent of total billed charges ,"9,706.91",percent of total billed charges ,,,,,"8,606.80",percent of total billed charges ,,,,,"8,176.46",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,720.98",percent of total billed charges,,,"3,720.98",percent of total billed charges,,,"3,720.98",percent of total billed charges,,,"3,720.98",percent of total billed charges,,,"3,720.98",percent of total billed charges,,,"3,720.98",percent of total billed charges,,,"3,720.98",percent of total billed charges,,,"3,720.98",percent of total billed charges,,,"3,720.98",percent of total billed charges,,,"3,720.98",percent of total billed charges,,,"3,720.98",percent of total billed charges,
RETACRIT 10000 UNIT/ML VIAL,Q5106,CDM,,,,both,1,each,656.52,656.52,151,656.52,656.52,percent of total billed charges,656.52,percent of total billed charges,656.52,percent of total billed charges,656.52,percent of total billed charges,656.52,percent of total billed charges,656.52,percent of total billed charges,656.52,percent of total billed charges,656.52,percent of total billed charges,472.69,percent of total billed charges,472.69,percent of total billed charges,472.69,percent of total billed charges,472.69,percent of total billed charges,472.69,percent of total billed charges,472.69,percent of total billed charges,518.65,percent of total billed charges,518.65,percent of total billed charges,525.22,percent of total billed charges,525.22,percent of total billed charges,,,472.69,percent of total billed charges ,,,525.22,percent of total billed charges ,518.65,percent of total billed charges ,518.65,percent of total billed charges ,558.04,percent of total billed charges ,558.04,percent of total billed charges ,525.22,percent of total billed charges ,525.22,percent of total billed charges ,459.56,percent of total billed charges ,459.56,percent of total billed charges ,393.91,percent of total billed charges ,393.91,percent of total billed charges ,393.91,percent of total billed charges ,393.91,percent of total billed charges ,,,,,349.27,percent of total billed charges ,,,,,331.81,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,,,151,percent of total billed charges,,,151,percent of total billed charges,,,151,percent of total billed charges,,,151,percent of total billed charges,
RETACRIT 40000 UNIT/ML VIAL,Q5106,CDM,,,,both,,,"1,597.08","1,597.08",367.33,"1,597.08","1,597.08",percent of total billed charges,"1,597.08",percent of total billed charges,"1,597.08",percent of total billed charges,"1,597.08",percent of total billed charges,"1,597.08",percent of total billed charges,"1,597.08",percent of total billed charges,"1,597.08",percent of total billed charges,"1,597.08",percent of total billed charges,"1,149.90",percent of total billed charges,"1,149.90",percent of total billed charges,"1,149.90",percent of total billed charges,"1,149.90",percent of total billed charges,"1,149.90",percent of total billed charges,"1,149.90",percent of total billed charges,"1,261.69",percent of total billed charges,"1,261.69",percent of total billed charges,"1,277.66",percent of total billed charges,"1,277.66",percent of total billed charges,,,"1,149.90",percent of total billed charges ,,,"1,277.66",percent of total billed charges ,"1,261.69",percent of total billed charges ,"1,261.69",percent of total billed charges ,"1,357.52",percent of total billed charges ,"1,357.52",percent of total billed charges ,"1,277.66",percent of total billed charges ,"1,277.66",percent of total billed charges ,"1,117.96",percent of total billed charges ,"1,117.96",percent of total billed charges ,958.25,percent of total billed charges ,958.25,percent of total billed charges ,958.25,percent of total billed charges ,958.25,percent of total billed charges ,,,,,849.65,percent of total billed charges ,,,,,807.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,367.33,percent of total billed charges,,,367.33,percent of total billed charges,,,367.33,percent of total billed charges,,,367.33,percent of total billed charges,,,367.33,percent of total billed charges,,,367.33,percent of total billed charges,,,367.33,percent of total billed charges,,,367.33,percent of total billed charges,,,367.33,percent of total billed charges,,,367.33,percent of total billed charges,,,367.33,percent of total billed charges,
SOLIQUA 100/33 INSULIN PEN INJECTION,J3490,CDM,,,,both,1,each,371.69,371.69,85.49,371.69,371.69,percent of total billed charges,371.69,percent of total billed charges,371.69,percent of total billed charges,371.69,percent of total billed charges,371.69,percent of total billed charges,371.69,percent of total billed charges,371.69,percent of total billed charges,371.69,percent of total billed charges,267.62,percent of total billed charges,267.62,percent of total billed charges,267.62,percent of total billed charges,267.62,percent of total billed charges,267.62,percent of total billed charges,267.62,percent of total billed charges,293.64,percent of total billed charges,293.64,percent of total billed charges,297.35,percent of total billed charges,297.35,percent of total billed charges,,,267.62,percent of total billed charges ,,,297.35,percent of total billed charges ,293.64,percent of total billed charges ,293.64,percent of total billed charges ,315.94,percent of total billed charges ,315.94,percent of total billed charges ,297.35,percent of total billed charges ,297.35,percent of total billed charges ,260.18,percent of total billed charges ,260.18,percent of total billed charges ,223.01,percent of total billed charges ,223.01,percent of total billed charges ,223.01,percent of total billed charges ,223.01,percent of total billed charges ,,,,,197.74,percent of total billed charges ,,,,,187.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,85.49,percent of total billed charges,,,85.49,percent of total billed charges,,,85.49,percent of total billed charges,,,85.49,percent of total billed charges,,,85.49,percent of total billed charges,,,85.49,percent of total billed charges,,,85.49,percent of total billed charges,,,85.49,percent of total billed charges,,,85.49,percent of total billed charges,,,85.49,percent of total billed charges,,,85.49,percent of total billed charges,
FERRIC SULBSULFATE 259MG (ASTRINGYN),636,RC,59365-60-6500,NDC,,both,,,46.31,46.31,10.65,46.31,46.31,percent of total billed charges,46.31,percent of total billed charges,46.31,percent of total billed charges,46.31,percent of total billed charges,46.31,percent of total billed charges,46.31,percent of total billed charges,46.31,percent of total billed charges,46.31,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,36.58,percent of total billed charges,36.58,percent of total billed charges,37.05,percent of total billed charges,37.05,percent of total billed charges,,,33.34,percent of total billed charges ,,,37.05,percent of total billed charges ,36.58,percent of total billed charges ,36.58,percent of total billed charges ,39.36,percent of total billed charges ,39.36,percent of total billed charges ,37.05,percent of total billed charges ,37.05,percent of total billed charges ,32.42,percent of total billed charges ,32.42,percent of total billed charges ,27.79,percent of total billed charges ,27.79,percent of total billed charges ,27.79,percent of total billed charges ,27.79,percent of total billed charges ,,,,,24.64,percent of total billed charges ,,,,,23.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.65,percent of total billed charges,,,10.65,percent of total billed charges,,,10.65,percent of total billed charges,,,10.65,percent of total billed charges,,,10.65,percent of total billed charges,,,10.65,percent of total billed charges,,,10.65,percent of total billed charges,,,10.65,percent of total billed charges,,,10.65,percent of total billed charges,,,10.65,percent of total billed charges,,,10.65,percent of total billed charges,
DOXEPIN CAP : 100 MG,637,RC,27241-01-7101,NDC,,both,1,each,5.69,5.69,1.31,5.69,5.69,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,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,4.5,percent of total billed charges,4.5,percent of total billed charges,4.55,percent of total billed charges,4.55,percent of total billed charges,,,4.1,percent of total billed charges ,,,4.55,percent of total billed charges ,4.5,percent of total billed charges ,4.5,percent of total billed charges ,4.84,percent of total billed charges ,4.84,percent of total billed charges ,4.55,percent of total billed charges ,4.55,percent of total billed charges ,3.98,percent of total billed charges ,3.98,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 ,,,,,3.03,percent of total billed charges ,,,,,2.88,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,
SIMPONI ARIA 50MG/4ML,J1602,CDM,,,,both,1,each,"12,543.34","12,543.34","2,884.97","12,543.34","12,543.34",percent of total billed charges,"12,543.34",percent of total billed charges,"12,543.34",percent of total billed charges,"12,543.34",percent of total billed charges,"12,543.34",percent of total billed charges,"12,543.34",percent of total billed charges,"12,543.34",percent of total billed charges,"12,543.34",percent of total billed charges,"9,031.20",percent of total billed charges,"9,031.20",percent of total billed charges,"9,031.20",percent of total billed charges,"9,031.20",percent of total billed charges,"9,031.20",percent of total billed charges,"9,031.20",percent of total billed charges,"9,909.24",percent of total billed charges,"9,909.24",percent of total billed charges,"10,034.67",percent of total billed charges,"10,034.67",percent of total billed charges,,,"9,031.20",percent of total billed charges ,,,"10,034.67",percent of total billed charges ,"9,909.24",percent of total billed charges ,"9,909.24",percent of total billed charges ,"10,661.84",percent of total billed charges ,"10,661.84",percent of total billed charges ,"10,034.67",percent of total billed charges ,"10,034.67",percent of total billed charges ,"8,780.34",percent of total billed charges ,"8,780.34",percent of total billed charges ,"7,526.00",percent of total billed charges ,"7,526.00",percent of total billed charges ,"7,526.00",percent of total billed charges ,"7,526.00",percent of total billed charges ,,,,,"6,673.06",percent of total billed charges ,,,,,"6,339.40",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,884.97",percent of total billed charges,,,"2,884.97",percent of total billed charges,,,"2,884.97",percent of total billed charges,,,"2,884.97",percent of total billed charges,,,"2,884.97",percent of total billed charges,,,"2,884.97",percent of total billed charges,,,"2,884.97",percent of total billed charges,,,"2,884.97",percent of total billed charges,,,"2,884.97",percent of total billed charges,,,"2,884.97",percent of total billed charges,,,"2,884.97",percent of total billed charges,
valGANcyclovir TAB : 450MG,637,RC,31722-08-3260,NDC,,both,1,each,9.24,9.24,2.13,9.24,9.24,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,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,7.3,percent of total billed charges,7.3,percent of total billed charges,7.39,percent of total billed charges,7.39,percent of total billed charges,,,6.65,percent of total billed charges ,,,7.39,percent of total billed charges ,7.3,percent of total billed charges ,7.3,percent of total billed charges ,7.85,percent of total billed charges ,7.85,percent of total billed charges ,7.39,percent of total billed charges ,7.39,percent of total billed charges ,6.47,percent of total billed charges ,6.47,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 ,,,,,4.92,percent of total billed charges ,,,,,4.67,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,
KETOCONAZOLE 2% SHAMPOO,637,RC,63646-00-1004,NDC,,both,1,each,105.73,105.73,24.32,105.73,105.73,percent of total billed charges,105.73,percent of total billed charges,105.73,percent of total billed charges,105.73,percent of total billed charges,105.73,percent of total billed charges,105.73,percent of total billed charges,105.73,percent of total billed charges,105.73,percent of total billed charges,76.13,percent of total billed charges,76.13,percent of total billed charges,76.13,percent of total billed charges,76.13,percent of total billed charges,76.13,percent of total billed charges,76.13,percent of total billed charges,83.53,percent of total billed charges,83.53,percent of total billed charges,84.58,percent of total billed charges,84.58,percent of total billed charges,,,76.13,percent of total billed charges ,,,84.58,percent of total billed charges ,83.53,percent of total billed charges ,83.53,percent of total billed charges ,89.87,percent of total billed charges ,89.87,percent of total billed charges ,84.58,percent of total billed charges ,84.58,percent of total billed charges ,74.01,percent of total billed charges ,74.01,percent of total billed charges ,63.44,percent of total billed charges ,63.44,percent of total billed charges ,63.44,percent of total billed charges ,63.44,percent of total billed charges ,,,,,56.25,percent of total billed charges ,,,,,53.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.32,percent of total billed charges,,,24.32,percent of total billed charges,,,24.32,percent of total billed charges,,,24.32,percent of total billed charges,,,24.32,percent of total billed charges,,,24.32,percent of total billed charges,,,24.32,percent of total billed charges,,,24.32,percent of total billed charges,,,24.32,percent of total billed charges,,,24.32,percent of total billed charges,,,24.32,percent of total billed charges,
ABIRATERONE (ZYTIGA) 250MG TAB,637,RC,60687-04-5521,NDC,,both,1,each,26.89,26.89,6.18,26.89,26.89,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,21.24,percent of total billed charges,21.24,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 ,21.24,percent of total billed charges ,21.24,percent of total billed charges ,22.86,percent of total billed charges ,22.86,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 ,,,,,,,,,,,,,,,,,,,6.18,percent of total billed charges,,,6.18,percent of total billed charges,,,6.18,percent of total billed charges,,,6.18,percent of total billed charges,,,6.18,percent of total billed charges,,,6.18,percent of total billed charges,,,6.18,percent of total billed charges,,,6.18,percent of total billed charges,,,6.18,percent of total billed charges,,,6.18,percent of total billed charges,,,6.18,percent of total billed charges,
LINACLOTIDE (LINZESS) 72MCG CAP,637,RC,00456-12-0330,NDC,,both,1,each,47.39,47.39,10.9,47.39,47.39,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,37.44,percent of total billed charges,37.44,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 ,37.44,percent of total billed charges ,37.44,percent of total billed charges ,40.28,percent of total billed charges ,40.28,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
FIRMAGON (DEGARELIX) 80MG INJ,J9155,CDM,,,,both,1,each,"2,075.30","2,075.30",477.32,"2,075.30","2,075.30",percent of total billed charges,"2,075.30",percent of total billed charges,"2,075.30",percent of total billed charges,"2,075.30",percent of total billed charges,"2,075.30",percent of total billed charges,"2,075.30",percent of total billed charges,"2,075.30",percent of total billed charges,"2,075.30",percent of total billed charges,"1,494.22",percent of total billed charges,"1,494.22",percent of total billed charges,"1,494.22",percent of total billed charges,"1,494.22",percent of total billed charges,"1,494.22",percent of total billed charges,"1,494.22",percent of total billed charges,"1,639.49",percent of total billed charges,"1,639.49",percent of total billed charges,"1,660.24",percent of total billed charges,"1,660.24",percent of total billed charges,,,"1,494.22",percent of total billed charges ,,,"1,660.24",percent of total billed charges ,"1,639.49",percent of total billed charges ,"1,639.49",percent of total billed charges ,"1,764.01",percent of total billed charges ,"1,764.01",percent of total billed charges ,"1,660.24",percent of total billed charges ,"1,660.24",percent of total billed charges ,"1,452.71",percent of total billed charges ,"1,452.71",percent of total billed charges ,"1,245.18",percent of total billed charges ,"1,245.18",percent of total billed charges ,"1,245.18",percent of total billed charges ,"1,245.18",percent of total billed charges ,,,,,"1,104.06",percent of total billed charges ,,,,,"1,048.86",percent of total billed charges ,,,,,,,,,,,,,,,,,,,477.32,percent of total billed charges,,,477.32,percent of total billed charges,,,477.32,percent of total billed charges,,,477.32,percent of total billed charges,,,477.32,percent of total billed charges,,,477.32,percent of total billed charges,,,477.32,percent of total billed charges,,,477.32,percent of total billed charges,,,477.32,percent of total billed charges,,,477.32,percent of total billed charges,,,477.32,percent of total billed charges,
REMDESIVIR 100MG/20ML VIAL,250,RC,61958-29-0201,NDC,,both,1,each,"2,719.60","2,719.60",625.51,"2,719.60","2,719.60",percent of total billed charges,"2,719.60",percent of total billed charges,"2,719.60",percent of total billed charges,"2,719.60",percent of total billed charges,"2,719.60",percent of total billed charges,"2,719.60",percent of total billed charges,"2,719.60",percent of total billed charges,"2,719.60",percent of total billed charges,"1,958.11",percent of total billed charges,"1,958.11",percent of total billed charges,"1,958.11",percent of total billed charges,"1,958.11",percent of total billed charges,"1,958.11",percent of total billed charges,"1,958.11",percent of total billed charges,"2,148.48",percent of total billed charges,"2,148.48",percent of total billed charges,"2,175.68",percent of total billed charges,"2,175.68",percent of total billed charges,,,"1,958.11",percent of total billed charges ,,,"2,175.68",percent of total billed charges ,"2,148.48",percent of total billed charges ,"2,148.48",percent of total billed charges ,"2,311.66",percent of total billed charges ,"2,311.66",percent of total billed charges ,"2,175.68",percent of total billed charges ,"2,175.68",percent of total billed charges ,"1,903.72",percent of total billed charges ,"1,903.72",percent of total billed charges ,"1,631.76",percent of total billed charges ,"1,631.76",percent of total billed charges ,"1,631.76",percent of total billed charges ,"1,631.76",percent of total billed charges ,,,,,"1,446.83",percent of total billed charges ,,,,,"1,374.49",percent of total billed charges ,,,,,,,,,,,,,,,,,,,625.51,percent of total billed charges,,,625.51,percent of total billed charges,,,625.51,percent of total billed charges,,,625.51,percent of total billed charges,,,625.51,percent of total billed charges,,,625.51,percent of total billed charges,,,625.51,percent of total billed charges,,,625.51,percent of total billed charges,,,625.51,percent of total billed charges,,,625.51,percent of total billed charges,,,625.51,percent of total billed charges,
LACOSAMIDE (VIMPAT) 200MG VIAL,C9254,CDM,,,,both,1,each,572.87,572.87,131.76,572.87,572.87,percent of total billed charges,572.87,percent of total billed charges,572.87,percent of total billed charges,572.87,percent of total billed charges,572.87,percent of total billed charges,572.87,percent of total billed charges,572.87,percent of total billed charges,572.87,percent of total billed charges,412.47,percent of total billed charges,412.47,percent of total billed charges,412.47,percent of total billed charges,412.47,percent of total billed charges,412.47,percent of total billed charges,412.47,percent of total billed charges,452.57,percent of total billed charges,452.57,percent of total billed charges,458.3,percent of total billed charges,458.3,percent of total billed charges,,,412.47,percent of total billed charges ,,,458.3,percent of total billed charges ,452.57,percent of total billed charges ,452.57,percent of total billed charges ,486.94,percent of total billed charges ,486.94,percent of total billed charges ,458.3,percent of total billed charges ,458.3,percent of total billed charges ,401.01,percent of total billed charges ,401.01,percent of total billed charges ,343.72,percent of total billed charges ,343.72,percent of total billed charges ,343.72,percent of total billed charges ,343.72,percent of total billed charges ,,,,,304.77,percent of total billed charges ,,,,,289.53,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,,,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,
cloBAZam 10mg TAB,250,RC,60687-04-2321,NDC,,both,1,each,10.66,10.66,2.45,10.66,10.66,percent of total billed charges,10.66,percent of total billed charges,10.66,percent of total billed charges,10.66,percent of total billed charges,10.66,percent of total billed charges,10.66,percent of total billed charges,10.66,percent of total billed charges,10.66,percent of total billed charges,7.68,percent of total billed charges,7.68,percent of total billed charges,7.68,percent of total billed charges,7.68,percent of total billed charges,7.68,percent of total billed charges,7.68,percent of total billed charges,8.42,percent of total billed charges,8.42,percent of total billed charges,8.53,percent of total billed charges,8.53,percent of total billed charges,,,7.68,percent of total billed charges ,,,8.53,percent of total billed charges ,8.42,percent of total billed charges ,8.42,percent of total billed charges ,9.06,percent of total billed charges ,9.06,percent of total billed charges ,8.53,percent of total billed charges ,8.53,percent of total billed charges ,7.46,percent of total billed charges ,7.46,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 ,,,,,5.67,percent of total billed charges ,,,,,5.39,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,,,2.45,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,
SEVELAMER 2.4GM PKT FOR ORAL SUSP,250,RC,43598-04-7990,NDC,,both,1,each,23.9,23.9,5.5,23.9,23.9,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,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,18.88,percent of total billed charges,18.88,percent of total billed charges,19.12,percent of total billed charges,19.12,percent of total billed charges,,,17.21,percent of total billed charges ,,,19.12,percent of total billed charges ,18.88,percent of total billed charges ,18.88,percent of total billed charges ,20.32,percent of total billed charges ,20.32,percent of total billed charges ,19.12,percent of total billed charges ,19.12,percent of total billed charges ,16.73,percent of total billed charges ,16.73,percent of total billed charges ,14.34,percent of total billed charges ,14.34,percent of total billed charges ,14.34,percent of total billed charges ,14.34,percent of total billed charges ,,,,,12.71,percent of total billed charges ,,,,,12.08,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,,,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,
KETOCONAZOLE 200MG TAB,250,RC,51672-40-2601,NDC,,both,1,each,3.19,3.19,0.73,3.19,3.19,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,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,2.52,percent of total billed charges,2.52,percent of total billed charges,2.55,percent of total billed charges,2.55,percent of total billed charges,,,2.3,percent of total billed charges ,,,2.55,percent of total billed charges ,2.52,percent of total billed charges ,2.52,percent of total billed charges ,2.71,percent of total billed charges ,2.71,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,1.7,percent of total billed charges ,,,,,1.61,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,
dexAMETHasone TAB : 2MG,J8540,CDM,,,,both,1,each,2.15,2.15,0.49,2.15,2.15,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,1.7,percent of total billed charges,1.7,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 ,1.7,percent of total billed charges ,1.7,percent of total billed charges ,1.83,percent of total billed charges ,1.83,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 ,,,,,,,,,,,,,,,,,,,0.49,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,
.COVID VACCINE (MODERNA) ADMIN DOSE #2,0012A,CDM,,,,both,,,95,95,21.85,95,95,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,75.05,percent of total billed charges,75.05,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 ,75.05,percent of total billed charges ,75.05,percent of total billed charges ,80.75,percent of total billed charges ,80.75,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,21.85,percent of total billed charges,,,21.85,percent of total billed charges,,,21.85,percent of total billed charges,
.COVID VACCINE (MODERNA) ADMIN DOSE #1,0011A,CDM,,,,both,1,each,95,95,21.85,95,95,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,75.05,percent of total billed charges,75.05,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 ,75.05,percent of total billed charges ,75.05,percent of total billed charges ,80.75,percent of total billed charges ,80.75,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,21.85,percent of total billed charges,,,21.85,percent of total billed charges,,,21.85,percent of total billed charges,
CICLOPIROX GEL 0.77%,250,RC,00574-20-6130,NDC,,both,,,112.04,112.04,25.77,112.04,112.04,percent of total billed charges,112.04,percent of total billed charges,112.04,percent of total billed charges,112.04,percent of total billed charges,112.04,percent of total billed charges,112.04,percent of total billed charges,112.04,percent of total billed charges,112.04,percent of total billed charges,80.67,percent of total billed charges,80.67,percent of total billed charges,80.67,percent of total billed charges,80.67,percent of total billed charges,80.67,percent of total billed charges,80.67,percent of total billed charges,88.51,percent of total billed charges,88.51,percent of total billed charges,89.63,percent of total billed charges,89.63,percent of total billed charges,,,80.67,percent of total billed charges ,,,89.63,percent of total billed charges ,88.51,percent of total billed charges ,88.51,percent of total billed charges ,95.23,percent of total billed charges ,95.23,percent of total billed charges ,89.63,percent of total billed charges ,89.63,percent of total billed charges ,78.43,percent of total billed charges ,78.43,percent of total billed charges ,67.22,percent of total billed charges ,67.22,percent of total billed charges ,67.22,percent of total billed charges ,67.22,percent of total billed charges ,,,,,59.61,percent of total billed charges ,,,,,56.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,25.77,percent of total billed charges,,,25.77,percent of total billed charges,,,25.77,percent of total billed charges,,,25.77,percent of total billed charges,,,25.77,percent of total billed charges,,,25.77,percent of total billed charges,,,25.77,percent of total billed charges,,,25.77,percent of total billed charges,,,25.77,percent of total billed charges,,,25.77,percent of total billed charges,,,25.77,percent of total billed charges,
NALOXEGOL TAB : 25MG,250,RC,57841-13-0101,NDC,,both,1,each,38.91,38.91,8.95,38.91,38.91,percent of total billed charges,38.91,percent of total billed charges,38.91,percent of total billed charges,38.91,percent of total billed charges,38.91,percent of total billed charges,38.91,percent of total billed charges,38.91,percent of total billed charges,38.91,percent of total billed charges,28.02,percent of total billed charges,28.02,percent of total billed charges,28.02,percent of total billed charges,28.02,percent of total billed charges,28.02,percent of total billed charges,28.02,percent of total billed charges,30.74,percent of total billed charges,30.74,percent of total billed charges,31.13,percent of total billed charges,31.13,percent of total billed charges,,,28.02,percent of total billed charges ,,,31.13,percent of total billed charges ,30.74,percent of total billed charges ,30.74,percent of total billed charges ,33.07,percent of total billed charges ,33.07,percent of total billed charges ,31.13,percent of total billed charges ,31.13,percent of total billed charges ,27.24,percent of total billed charges ,27.24,percent of total billed charges ,23.35,percent of total billed charges ,23.35,percent of total billed charges ,23.35,percent of total billed charges ,23.35,percent of total billed charges ,,,,,20.7,percent of total billed charges ,,,,,19.67,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,,,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,,,8.95,percent of total billed charges,,,8.95,percent of total billed charges,,,8.95,percent of total billed charges,
BETAMETHASONE 0.05% CREAM : 45GM,250,RC,00472-03-8045,NDC,,both,1,each,172.87,172.87,39.76,172.87,172.87,percent of total billed charges,172.87,percent of total billed charges,172.87,percent of total billed charges,172.87,percent of total billed charges,172.87,percent of total billed charges,172.87,percent of total billed charges,172.87,percent of total billed charges,172.87,percent of total billed charges,124.47,percent of total billed charges,124.47,percent of total billed charges,124.47,percent of total billed charges,124.47,percent of total billed charges,124.47,percent of total billed charges,124.47,percent of total billed charges,136.57,percent of total billed charges,136.57,percent of total billed charges,138.3,percent of total billed charges,138.3,percent of total billed charges,,,124.47,percent of total billed charges ,,,138.3,percent of total billed charges ,136.57,percent of total billed charges ,136.57,percent of total billed charges ,146.94,percent of total billed charges ,146.94,percent of total billed charges ,138.3,percent of total billed charges ,138.3,percent of total billed charges ,121.01,percent of total billed charges ,121.01,percent of total billed charges ,103.72,percent of total billed charges ,103.72,percent of total billed charges ,103.72,percent of total billed charges ,103.72,percent of total billed charges ,,,,,91.97,percent of total billed charges ,,,,,87.37,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,
.BAMLANIVIMAB ADMINISTRATION,M0245,CDM,,,,both,,,309.6,309.6,71.21,309.6,309.6,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,309.6,percent of total billed charges,309.6,percent of total billed charges,222.91,percent of total billed charges,222.91,percent of total billed charges,222.91,percent of total billed charges,222.91,percent of total billed charges,222.91,percent of total billed charges,222.91,percent of total billed charges,244.58,percent of total billed charges,244.58,percent of total billed charges,247.68,percent of total billed charges,247.68,percent of total billed charges,,,222.91,percent of total billed charges ,,,247.68,percent of total billed charges ,244.58,percent of total billed charges ,244.58,percent of total billed charges ,263.16,percent of total billed charges ,263.16,percent of total billed charges ,247.68,percent of total billed charges ,247.68,percent of total billed charges ,216.72,percent of total billed charges ,216.72,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 ,,,,,164.71,percent of total billed charges ,,,,,156.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,71.21,percent of total billed charges,,,71.21,percent of total billed charges,,,71.21,percent of total billed charges,,,71.21,percent of total billed charges,,,71.21,percent of total billed charges,,,71.21,percent of total billed charges,,,71.21,percent of total billed charges,,,71.21,percent of total billed charges,,,71.21,percent of total billed charges,,,71.21,percent of total billed charges,,,71.21,percent of total billed charges,
VORICONAZOLE TAB : 200MG,250,RC,68462-05-7330,NDC,,both,1,each,5.57,5.57,1.28,5.57,5.57,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,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,4.01,percent of total billed charges,4.01,percent of total billed charges,4.4,percent of total billed charges,4.4,percent of total billed charges,4.46,percent of total billed charges,4.46,percent of total billed charges,,,4.01,percent of total billed charges ,,,4.46,percent of total billed charges ,4.4,percent of total billed charges ,4.4,percent of total billed charges ,4.73,percent of total billed charges ,4.73,percent of total billed charges ,4.46,percent of total billed charges ,4.46,percent of total billed charges ,3.9,percent of total billed charges ,3.9,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 ,,,,,2.96,percent of total billed charges ,,,,,2.82,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,,,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,
ICOSAPENT (VASCEPA) CAP : 1GM,250,RC,00054-05-0823,NDC,,both,1,each,8.09,8.09,1.86,8.09,8.09,percent of total billed charges,8.09,percent of total billed charges,8.09,percent of total billed charges,8.09,percent of total billed charges,8.09,percent of total billed charges,8.09,percent of total billed charges,8.09,percent of total billed charges,8.09,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,6.39,percent of total billed charges,6.39,percent of total billed charges,6.47,percent of total billed charges,6.47,percent of total billed charges,,,5.82,percent of total billed charges ,,,6.47,percent of total billed charges ,6.39,percent of total billed charges ,6.39,percent of total billed charges ,6.88,percent of total billed charges ,6.88,percent of total billed charges ,6.47,percent of total billed charges ,6.47,percent of total billed charges ,5.66,percent of total billed charges ,5.66,percent of total billed charges ,4.85,percent of total billed charges ,4.85,percent of total billed charges ,4.85,percent of total billed charges ,4.85,percent of total billed charges ,,,,,4.3,percent of total billed charges ,,,,,4.09,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,
CAFFEINE TAB : 200MG,250,RC,46122-04-5773,NDC,,both,,,0.25,0.25,0.06,0.25,0.25,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,0.18,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,0.2,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,,,0.18,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 ,0.21,percent of total billed charges ,0.21,percent of total billed charges ,0.2,percent of total billed charges ,0.2,percent of total billed charges ,0.18,percent of total billed charges ,0.18,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 ,,,,,0.13,percent of total billed charges ,,,,,0.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,
FILGRAMSTIM INJ : 480MCG,J1442,CDM,,,,both,,,888.38,888.38,204.33,888.38,888.38,percent of total billed charges,888.38,percent of total billed charges,888.38,percent of total billed charges,888.38,percent of total billed charges,888.38,percent of total billed charges,888.38,percent of total billed charges,888.38,percent of total billed charges,888.38,percent of total billed charges,639.63,percent of total billed charges,639.63,percent of total billed charges,639.63,percent of total billed charges,639.63,percent of total billed charges,639.63,percent of total billed charges,639.63,percent of total billed charges,701.82,percent of total billed charges,701.82,percent of total billed charges,710.7,percent of total billed charges,710.7,percent of total billed charges,,,639.63,percent of total billed charges ,,,710.7,percent of total billed charges ,701.82,percent of total billed charges ,701.82,percent of total billed charges ,755.12,percent of total billed charges ,755.12,percent of total billed charges ,710.7,percent of total billed charges ,710.7,percent of total billed charges ,621.87,percent of total billed charges ,621.87,percent of total billed charges ,533.03,percent of total billed charges ,533.03,percent of total billed charges ,533.03,percent of total billed charges ,533.03,percent of total billed charges ,,,,,472.62,percent of total billed charges ,,,,,448.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,204.33,percent of total billed charges,,,204.33,percent of total billed charges,,,204.33,percent of total billed charges,,,204.33,percent of total billed charges,,,204.33,percent of total billed charges,,,204.33,percent of total billed charges,,,204.33,percent of total billed charges,,,204.33,percent of total billed charges,,,204.33,percent of total billed charges,,,204.33,percent of total billed charges,,,204.33,percent of total billed charges,
**DELETE DUPLI*CDROPERIDOL INJ : 5MG/2ML,J1790,CDM,,,,both,,,102.76,102.76,23.63,102.76,102.76,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,73.99,percent of total billed charges,73.99,percent of total billed charges,73.99,percent of total billed charges,73.99,percent of total billed charges,73.99,percent of total billed charges,73.99,percent of total billed charges,81.18,percent of total billed charges,81.18,percent of total billed charges,82.21,percent of total billed charges,82.21,percent of total billed charges,,,73.99,percent of total billed charges ,,,82.21,percent of total billed charges ,81.18,percent of total billed charges ,81.18,percent of total billed charges ,87.35,percent of total billed charges ,87.35,percent of total billed charges ,82.21,percent of total billed charges ,82.21,percent of total billed charges ,71.93,percent of total billed charges ,71.93,percent of total billed charges ,61.66,percent of total billed charges ,61.66,percent of total billed charges ,61.66,percent of total billed charges ,61.66,percent of total billed charges ,,,,,54.67,percent of total billed charges ,,,,,51.93,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,
RIFAMPIN 600MG VIAL,J3490,CDM,,,,both,1,each,583.22,583.22,134.14,583.22,583.22,percent of total billed charges,583.22,percent of total billed charges,583.22,percent of total billed charges,583.22,percent of total billed charges,583.22,percent of total billed charges,583.22,percent of total billed charges,583.22,percent of total billed charges,583.22,percent of total billed charges,419.92,percent of total billed charges,419.92,percent of total billed charges,419.92,percent of total billed charges,419.92,percent of total billed charges,419.92,percent of total billed charges,419.92,percent of total billed charges,460.74,percent of total billed charges,460.74,percent of total billed charges,466.58,percent of total billed charges,466.58,percent of total billed charges,,,419.92,percent of total billed charges ,,,466.58,percent of total billed charges ,460.74,percent of total billed charges ,460.74,percent of total billed charges ,495.74,percent of total billed charges ,495.74,percent of total billed charges ,466.58,percent of total billed charges ,466.58,percent of total billed charges ,408.25,percent of total billed charges ,408.25,percent of total billed charges ,349.93,percent of total billed charges ,349.93,percent of total billed charges ,349.93,percent of total billed charges ,349.93,percent of total billed charges ,,,,,310.27,percent of total billed charges ,,,,,294.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,134.14,percent of total billed charges,,,134.14,percent of total billed charges,,,134.14,percent of total billed charges,,,134.14,percent of total billed charges,,,134.14,percent of total billed charges,,,134.14,percent of total billed charges,,,134.14,percent of total billed charges,,,134.14,percent of total billed charges,,,134.14,percent of total billed charges,,,134.14,percent of total billed charges,,,134.14,percent of total billed charges,
CEFADROXIL (DURICEF) CAP : 500MG,250,RC,68180-01-8008,NDC,,both,1,each,0.26,0.26,0.06,0.26,0.26,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,0.19,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,0.21,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,,,0.19,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 ,0.22,percent of total billed charges ,0.22,percent of total billed charges ,0.21,percent of total billed charges ,0.21,percent of total billed charges ,0.18,percent of total billed charges ,0.18,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 ,,,,,0.14,percent of total billed charges ,,,,,0.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,
.REGENERON INFUSION ADMINISTRATION,M0243,CDM,,,,both,,,929,929,213.67,929,929,percent of total billed charges,929,percent of total billed charges,929,percent of total billed charges,929,percent of total billed charges,929,percent of total billed charges,929,percent of total billed charges,929,percent of total billed charges,929,percent of total billed charges,668.88,percent of total billed charges,668.88,percent of total billed charges,668.88,percent of total billed charges,668.88,percent of total billed charges,668.88,percent of total billed charges,668.88,percent of total billed charges,733.91,percent of total billed charges,733.91,percent of total billed charges,743.2,percent of total billed charges,743.2,percent of total billed charges,,,668.88,percent of total billed charges ,,,743.2,percent of total billed charges ,733.91,percent of total billed charges ,733.91,percent of total billed charges ,789.65,percent of total billed charges ,789.65,percent of total billed charges ,743.2,percent of total billed charges ,743.2,percent of total billed charges ,650.3,percent of total billed charges ,650.3,percent of total billed charges ,557.4,percent of total billed charges ,557.4,percent of total billed charges ,557.4,percent of total billed charges ,557.4,percent of total billed charges ,,,,,494.23,percent of total billed charges ,,,,,469.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,213.67,percent of total billed charges,,,213.67,percent of total billed charges,,,213.67,percent of total billed charges,,,213.67,percent of total billed charges,,,213.67,percent of total billed charges,,,213.67,percent of total billed charges,,,213.67,percent of total billed charges,,,213.67,percent of total billed charges,,,213.67,percent of total billed charges,,,213.67,percent of total billed charges,,,213.67,percent of total billed charges,
VENETOCLAX (VENCLEXTA) TAB : 100MG,250,RC,00074-05-7611,NDC,,both,1,each,228.03,228.03,52.45,228.03,228.03,percent of total billed charges,228.03,percent of total billed charges,228.03,percent of total billed charges,228.03,percent of total billed charges,228.03,percent of total billed charges,228.03,percent of total billed charges,228.03,percent of total billed charges,228.03,percent of total billed charges,164.18,percent of total billed charges,164.18,percent of total billed charges,164.18,percent of total billed charges,164.18,percent of total billed charges,164.18,percent of total billed charges,164.18,percent of total billed charges,180.14,percent of total billed charges,180.14,percent of total billed charges,182.42,percent of total billed charges,182.42,percent of total billed charges,,,164.18,percent of total billed charges ,,,182.42,percent of total billed charges ,180.14,percent of total billed charges ,180.14,percent of total billed charges ,193.83,percent of total billed charges ,193.83,percent of total billed charges ,182.42,percent of total billed charges ,182.42,percent of total billed charges ,159.62,percent of total billed charges ,159.62,percent of total billed charges ,136.82,percent of total billed charges ,136.82,percent of total billed charges ,136.82,percent of total billed charges ,136.82,percent of total billed charges ,,,,,121.31,percent of total billed charges ,,,,,115.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.45,percent of total billed charges,,,52.45,percent of total billed charges,,,52.45,percent of total billed charges,,,52.45,percent of total billed charges,,,52.45,percent of total billed charges,,,52.45,percent of total billed charges,,,52.45,percent of total billed charges,,,52.45,percent of total billed charges,,,52.45,percent of total billed charges,,,52.45,percent of total billed charges,,,52.45,percent of total billed charges,
RETACRIT 3000 UNIT/ML VIAL,Q5106,CDM,,,,both,,,156.95,156.95,36.1,156.95,156.95,percent of total billed charges,156.95,percent of total billed charges,156.95,percent of total billed charges,156.95,percent of total billed charges,156.95,percent of total billed charges,156.95,percent of total billed charges,156.95,percent of total billed charges,156.95,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,123.99,percent of total billed charges,123.99,percent of total billed charges,125.56,percent of total billed charges,125.56,percent of total billed charges,,,113,percent of total billed charges ,,,125.56,percent of total billed charges ,123.99,percent of total billed charges ,123.99,percent of total billed charges ,133.41,percent of total billed charges ,133.41,percent of total billed charges ,125.56,percent of total billed charges ,125.56,percent of total billed charges ,109.87,percent of total billed charges ,109.87,percent of total billed charges ,94.17,percent of total billed charges ,94.17,percent of total billed charges ,94.17,percent of total billed charges ,94.17,percent of total billed charges ,,,,,83.5,percent of total billed charges ,,,,,79.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,36.1,percent of total billed charges,,,36.1,percent of total billed charges,,,36.1,percent of total billed charges,,,36.1,percent of total billed charges,,,36.1,percent of total billed charges,,,36.1,percent of total billed charges,,,36.1,percent of total billed charges,,,36.1,percent of total billed charges,,,36.1,percent of total billed charges,,,36.1,percent of total billed charges,,,36.1,percent of total billed charges,
infliximab-dyyb (INFLECTRA) INJ: PER10MG,Q5103,CDM,,,,both,10,each,346.85,346.85,79.78,346.85,346.85,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,249.73,percent of total billed charges,249.73,percent of total billed charges,249.73,percent of total billed charges,249.73,percent of total billed charges,249.73,percent of total billed charges,249.73,percent of total billed charges,274.01,percent of total billed charges,274.01,percent of total billed charges,277.48,percent of total billed charges,277.48,percent of total billed charges,,,249.73,percent of total billed charges ,,,277.48,percent of total billed charges ,274.01,percent of total billed charges ,274.01,percent of total billed charges ,294.82,percent of total billed charges ,294.82,percent of total billed charges ,277.48,percent of total billed charges ,277.48,percent of total billed charges ,242.8,percent of total billed charges ,242.8,percent of total billed charges ,208.11,percent of total billed charges ,208.11,percent of total billed charges ,208.11,percent of total billed charges ,208.11,percent of total billed charges ,,,,,184.52,percent of total billed charges ,,,,,175.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,79.78,percent of total billed charges,,,79.78,percent of total billed charges,,,79.78,percent of total billed charges,,,79.78,percent of total billed charges,,,79.78,percent of total billed charges,,,79.78,percent of total billed charges,,,79.78,percent of total billed charges,,,79.78,percent of total billed charges,,,79.78,percent of total billed charges,,,79.78,percent of total billed charges,,,79.78,percent of total billed charges,
VIMPAT (LACOSAMIDE) TAB : 100MG,637,RC,31722-08-1360,NDC,,both,,,52.7,52.7,12.12,52.7,52.7,percent of total billed charges,52.7,percent of total billed charges,52.7,percent of total billed charges,52.7,percent of total billed charges,52.7,percent of total billed charges,52.7,percent of total billed charges,52.7,percent of total billed charges,52.7,percent of total billed charges,37.94,percent of total billed charges,37.94,percent of total billed charges,37.94,percent of total billed charges,37.94,percent of total billed charges,37.94,percent of total billed charges,37.94,percent of total billed charges,41.63,percent of total billed charges,41.63,percent of total billed charges,42.16,percent of total billed charges,42.16,percent of total billed charges,,,37.94,percent of total billed charges ,,,42.16,percent of total billed charges ,41.63,percent of total billed charges ,41.63,percent of total billed charges ,44.8,percent of total billed charges ,44.8,percent of total billed charges ,42.16,percent of total billed charges ,42.16,percent of total billed charges ,36.89,percent of total billed charges ,36.89,percent of total billed charges ,31.62,percent of total billed charges ,31.62,percent of total billed charges ,31.62,percent of total billed charges ,31.62,percent of total billed charges ,,,,,28.04,percent of total billed charges ,,,,,26.63,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,,,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,,,12.12,percent of total billed charges,,,12.12,percent of total billed charges,,,12.12,percent of total billed charges,
BARICITINIB (OLUMIANT) TAB : 2MG,250,RC,00002-41-8230,NDC,,both,1,each,166,166,38.18,166,166,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,131.14,percent of total billed charges,131.14,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 ,131.14,percent of total billed charges ,131.14,percent of total billed charges ,141.1,percent of total billed charges ,141.1,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 ,,,,,,,,,,,,,,,,,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,
ARMODAFINIL (NUVIGIL) TABLET : 250MG,250,RC,65862-08-0730,NDC,,both,1,each,8,8,1.84,8,8,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,6.32,percent of total billed charges,6.32,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 ,6.32,percent of total billed charges ,6.32,percent of total billed charges ,6.8,percent of total billed charges ,6.8,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 ,,,,,,,,,,,,,,,,,,,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,
VASOPRESSIN IVPB 20 UNITS/NS 50ML PREMIX,258,RC,42023-02-3701,NDC,,both,1,each,"4,268.66","4,268.66",981.79,"4,268.66","4,268.66",percent of total billed charges,"4,268.66",percent of total billed charges,"4,268.66",percent of total billed charges,"4,268.66",percent of total billed charges,"4,268.66",percent of total billed charges,"4,268.66",percent of total billed charges,"4,268.66",percent of total billed charges,"4,268.66",percent of total billed charges,"3,073.44",percent of total billed charges,"3,073.44",percent of total billed charges,"3,073.44",percent of total billed charges,"3,073.44",percent of total billed charges,"3,073.44",percent of total billed charges,"3,073.44",percent of total billed charges,"3,372.24",percent of total billed charges,"3,372.24",percent of total billed charges,"3,414.93",percent of total billed charges,"3,414.93",percent of total billed charges,,,"3,073.44",percent of total billed charges ,,,"3,414.93",percent of total billed charges ,"3,372.24",percent of total billed charges ,"3,372.24",percent of total billed charges ,"3,628.36",percent of total billed charges ,"3,628.36",percent of total billed charges ,"3,414.93",percent of total billed charges ,"3,414.93",percent of total billed charges ,"2,988.06",percent of total billed charges ,"2,988.06",percent of total billed charges ,"2,561.20",percent of total billed charges ,"2,561.20",percent of total billed charges ,"2,561.20",percent of total billed charges ,"2,561.20",percent of total billed charges ,,,,,"2,270.93",percent of total billed charges ,,,,,"2,157.38",percent of total billed charges ,,,,,,,,,,,,,,,,,,,981.79,percent of total billed charges,,,981.79,percent of total billed charges,,,981.79,percent of total billed charges,,,981.79,percent of total billed charges,,,981.79,percent of total billed charges,,,981.79,percent of total billed charges,,,981.79,percent of total billed charges,,,981.79,percent of total billed charges,,,981.79,percent of total billed charges,,,981.79,percent of total billed charges,,,981.79,percent of total billed charges,
MITOMYCIN : 40MG BLADDER IRRIGATION,J9280,CDM,,,,both,,,779.9,779.9,179.38,779.9,779.9,percent of total billed charges,779.9,percent of total billed charges,779.9,percent of total billed charges,779.9,percent of total billed charges,779.9,percent of total billed charges,779.9,percent of total billed charges,779.9,percent of total billed charges,779.9,percent of total billed charges,561.53,percent of total billed charges,561.53,percent of total billed charges,561.53,percent of total billed charges,561.53,percent of total billed charges,561.53,percent of total billed charges,561.53,percent of total billed charges,616.12,percent of total billed charges,616.12,percent of total billed charges,623.92,percent of total billed charges,623.92,percent of total billed charges,,,561.53,percent of total billed charges ,,,623.92,percent of total billed charges ,616.12,percent of total billed charges ,616.12,percent of total billed charges ,662.92,percent of total billed charges ,662.92,percent of total billed charges ,623.92,percent of total billed charges ,623.92,percent of total billed charges ,545.93,percent of total billed charges ,545.93,percent of total billed charges ,467.94,percent of total billed charges ,467.94,percent of total billed charges ,467.94,percent of total billed charges ,467.94,percent of total billed charges ,,,,,414.91,percent of total billed charges ,,,,,394.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,179.38,percent of total billed charges,,,179.38,percent of total billed charges,,,179.38,percent of total billed charges,,,179.38,percent of total billed charges,,,179.38,percent of total billed charges,,,179.38,percent of total billed charges,,,179.38,percent of total billed charges,,,179.38,percent of total billed charges,,,179.38,percent of total billed charges,,,179.38,percent of total billed charges,,,179.38,percent of total billed charges,
VANCOMYCIN PREMIX 0.75GM/NS 150ML,J3370,CDM,,,,both,1,each,165.8,165.8,38.13,165.8,165.8,percent of total billed charges,165.8,percent of total billed charges,165.8,percent of total billed charges,165.8,percent of total billed charges,165.8,percent of total billed charges,165.8,percent of total billed charges,165.8,percent of total billed charges,165.8,percent of total billed charges,119.38,percent of total billed charges,119.38,percent of total billed charges,119.38,percent of total billed charges,119.38,percent of total billed charges,119.38,percent of total billed charges,119.38,percent of total billed charges,130.98,percent of total billed charges,130.98,percent of total billed charges,132.64,percent of total billed charges,132.64,percent of total billed charges,,,119.38,percent of total billed charges ,,,132.64,percent of total billed charges ,130.98,percent of total billed charges ,130.98,percent of total billed charges ,140.93,percent of total billed charges ,140.93,percent of total billed charges ,132.64,percent of total billed charges ,132.64,percent of total billed charges ,116.06,percent of total billed charges ,116.06,percent of total billed charges ,99.48,percent of total billed charges ,99.48,percent of total billed charges ,99.48,percent of total billed charges ,99.48,percent of total billed charges ,,,,,88.21,percent of total billed charges ,,,,,83.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,38.13,percent of total billed charges,,,38.13,percent of total billed charges,,,38.13,percent of total billed charges,,,38.13,percent of total billed charges,,,38.13,percent of total billed charges,,,38.13,percent of total billed charges,,,38.13,percent of total billed charges,,,38.13,percent of total billed charges,,,38.13,percent of total billed charges,,,38.13,percent of total billed charges,,,38.13,percent of total billed charges,
VANCOMYCIN PREMIX 1.25GM/NS 250ML,J3370,CDM,,,,both,1,each,214,214,49.22,214,214,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,169.06,percent of total billed charges,169.06,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 ,169.06,percent of total billed charges ,169.06,percent of total billed charges ,181.9,percent of total billed charges ,181.9,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 ,,,,,,,,,,,,,,,,,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,
VANCOMYCIN PREMIX 1.75GM/NS 350ML,J3370,CDM,,,,both,1,each,252.94,252.94,58.18,252.94,252.94,percent of total billed charges,252.94,percent of total billed charges,252.94,percent of total billed charges,252.94,percent of total billed charges,252.94,percent of total billed charges,252.94,percent of total billed charges,252.94,percent of total billed charges,252.94,percent of total billed charges,182.12,percent of total billed charges,182.12,percent of total billed charges,182.12,percent of total billed charges,182.12,percent of total billed charges,182.12,percent of total billed charges,182.12,percent of total billed charges,199.82,percent of total billed charges,199.82,percent of total billed charges,202.35,percent of total billed charges,202.35,percent of total billed charges,,,182.12,percent of total billed charges ,,,202.35,percent of total billed charges ,199.82,percent of total billed charges ,199.82,percent of total billed charges ,215,percent of total billed charges ,215,percent of total billed charges ,202.35,percent of total billed charges ,202.35,percent of total billed charges ,177.06,percent of total billed charges ,177.06,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 ,,,,,134.56,percent of total billed charges ,,,,,127.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,58.18,percent of total billed charges,,,58.18,percent of total billed charges,,,58.18,percent of total billed charges,,,58.18,percent of total billed charges,,,58.18,percent of total billed charges,,,58.18,percent of total billed charges,,,58.18,percent of total billed charges,,,58.18,percent of total billed charges,,,58.18,percent of total billed charges,,,58.18,percent of total billed charges,,,58.18,percent of total billed charges,
EDARAVONE (RADICAVA) 30MG/100ML PREMIX,J1301,CDM,,,,both,1,each,"3,073.98","3,073.98",707.02,"3,073.98","3,073.98",percent of total billed charges,"3,073.98",percent of total billed charges,"3,073.98",percent of total billed charges,"3,073.98",percent of total billed charges,"3,073.98",percent of total billed charges,"3,073.98",percent of total billed charges,"3,073.98",percent of total billed charges,"3,073.98",percent of total billed charges,"2,213.27",percent of total billed charges,"2,213.27",percent of total billed charges,"2,213.27",percent of total billed charges,"2,213.27",percent of total billed charges,"2,213.27",percent of total billed charges,"2,213.27",percent of total billed charges,"2,428.44",percent of total billed charges,"2,428.44",percent of total billed charges,"2,459.18",percent of total billed charges,"2,459.18",percent of total billed charges,,,"2,213.27",percent of total billed charges ,,,"2,459.18",percent of total billed charges ,"2,428.44",percent of total billed charges ,"2,428.44",percent of total billed charges ,"2,612.88",percent of total billed charges ,"2,612.88",percent of total billed charges ,"2,459.18",percent of total billed charges ,"2,459.18",percent of total billed charges ,"2,151.79",percent of total billed charges ,"2,151.79",percent of total billed charges ,"1,844.39",percent of total billed charges ,"1,844.39",percent of total billed charges ,"1,844.39",percent of total billed charges ,"1,844.39",percent of total billed charges ,,,,,"1,635.36",percent of total billed charges ,,,,,"1,553.59",percent of total billed charges ,,,,,,,,,,,,,,,,,,,707.02,percent of total billed charges,,,707.02,percent of total billed charges,,,707.02,percent of total billed charges,,,707.02,percent of total billed charges,,,707.02,percent of total billed charges,,,707.02,percent of total billed charges,,,707.02,percent of total billed charges,,,707.02,percent of total billed charges,,,707.02,percent of total billed charges,,,707.02,percent of total billed charges,,,707.02,percent of total billed charges,
VITAMIN D3 (CHOLECALCIFEROL) : 5000UNITS,250,RC,50268-08-6611,NDC,,both,1,each,0.86,0.86,0.2,0.86,0.86,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,0.68,percent of total billed charges,0.68,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 ,0.68,percent of total billed charges ,0.68,percent of total billed charges ,0.73,percent of total billed charges ,0.73,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 ,,,,,,,,,,,,,,,,,,,0.2,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,
CLINDAMYCIN (CLEOCIN) 300MG/D5W PREMIX,250,RC,00338-34-1024,NDC,,both,1,each,50.36,50.36,11.58,50.36,50.36,percent of total billed charges,50.36,percent of total billed charges,50.36,percent of total billed charges,50.36,percent of total billed charges,50.36,percent of total billed charges,50.36,percent of total billed charges,50.36,percent of total billed charges,50.36,percent of total billed charges,36.26,percent of total billed charges,36.26,percent of total billed charges,36.26,percent of total billed charges,36.26,percent of total billed charges,36.26,percent of total billed charges,36.26,percent of total billed charges,39.78,percent of total billed charges,39.78,percent of total billed charges,40.29,percent of total billed charges,40.29,percent of total billed charges,,,36.26,percent of total billed charges ,,,40.29,percent of total billed charges ,39.78,percent of total billed charges ,39.78,percent of total billed charges ,42.81,percent of total billed charges ,42.81,percent of total billed charges ,40.29,percent of total billed charges ,40.29,percent of total billed charges ,35.25,percent of total billed charges ,35.25,percent of total billed charges ,30.22,percent of total billed charges ,30.22,percent of total billed charges ,30.22,percent of total billed charges ,30.22,percent of total billed charges ,,,,,26.79,percent of total billed charges ,,,,,25.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.58,percent of total billed charges,,,11.58,percent of total billed charges,,,11.58,percent of total billed charges,,,11.58,percent of total billed charges,,,11.58,percent of total billed charges,,,11.58,percent of total billed charges,,,11.58,percent of total billed charges,,,11.58,percent of total billed charges,,,11.58,percent of total billed charges,,,11.58,percent of total billed charges,,,11.58,percent of total billed charges,
BUPRENORPHINE(BELBUCA)BUCCAL FILM:300MCG,J0571,CDM,,,,both,1,each,46.5,46.5,10.7,46.5,46.5,percent of total billed charges,46.5,percent of total billed charges,46.5,percent of total billed charges,46.5,percent of total billed charges,46.5,percent of total billed charges,46.5,percent of total billed charges,46.5,percent of total billed charges,46.5,percent of total billed charges,33.48,percent of total billed charges,33.48,percent of total billed charges,33.48,percent of total billed charges,33.48,percent of total billed charges,33.48,percent of total billed charges,33.48,percent of total billed charges,36.74,percent of total billed charges,36.74,percent of total billed charges,37.2,percent of total billed charges,37.2,percent of total billed charges,,,33.48,percent of total billed charges ,,,37.2,percent of total billed charges ,36.74,percent of total billed charges ,36.74,percent of total billed charges ,39.53,percent of total billed charges ,39.53,percent of total billed charges ,37.2,percent of total billed charges ,37.2,percent of total billed charges ,32.55,percent of total billed charges ,32.55,percent of total billed charges ,27.9,percent of total billed charges ,27.9,percent of total billed charges ,27.9,percent of total billed charges ,27.9,percent of total billed charges ,,,,,24.74,percent of total billed charges ,,,,,23.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.7,percent of total billed charges,,,10.7,percent of total billed charges,,,10.7,percent of total billed charges,,,10.7,percent of total billed charges,,,10.7,percent of total billed charges,,,10.7,percent of total billed charges,,,10.7,percent of total billed charges,,,10.7,percent of total billed charges,,,10.7,percent of total billed charges,,,10.7,percent of total billed charges,,,10.7,percent of total billed charges,
PROPOFOL (DIPRIVAN) INJ : 10MG/ML 100ML,J2704,CDM,,,,both,1,each,147.72,147.72,33.98,147.72,147.72,percent of total billed charges,147.72,percent of total billed charges,147.72,percent of total billed charges,147.72,percent of total billed charges,147.72,percent of total billed charges,147.72,percent of total billed charges,147.72,percent of total billed charges,147.72,percent of total billed charges,106.36,percent of total billed charges,106.36,percent of total billed charges,106.36,percent of total billed charges,106.36,percent of total billed charges,106.36,percent of total billed charges,106.36,percent of total billed charges,116.7,percent of total billed charges,116.7,percent of total billed charges,118.18,percent of total billed charges,118.18,percent of total billed charges,,,106.36,percent of total billed charges ,,,118.18,percent of total billed charges ,116.7,percent of total billed charges ,116.7,percent of total billed charges ,125.56,percent of total billed charges ,125.56,percent of total billed charges ,118.18,percent of total billed charges ,118.18,percent of total billed charges ,103.4,percent of total billed charges ,103.4,percent of total billed charges ,88.63,percent of total billed charges ,88.63,percent of total billed charges ,88.63,percent of total billed charges ,88.63,percent of total billed charges ,,,,,78.59,percent of total billed charges ,,,,,74.66,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,,,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,
AMIODARONE(NEXTERONE) 150MG/100ML PREMIX,J0282,CDM,,,,both,1,each,386.3,386.3,88.85,386.3,386.3,percent of total billed charges,386.3,percent of total billed charges,386.3,percent of total billed charges,386.3,percent of total billed charges,386.3,percent of total billed charges,386.3,percent of total billed charges,386.3,percent of total billed charges,386.3,percent of total billed charges,278.14,percent of total billed charges,278.14,percent of total billed charges,278.14,percent of total billed charges,278.14,percent of total billed charges,278.14,percent of total billed charges,278.14,percent of total billed charges,305.18,percent of total billed charges,305.18,percent of total billed charges,309.04,percent of total billed charges,309.04,percent of total billed charges,,,278.14,percent of total billed charges ,,,309.04,percent of total billed charges ,305.18,percent of total billed charges ,305.18,percent of total billed charges ,328.36,percent of total billed charges ,328.36,percent of total billed charges ,309.04,percent of total billed charges ,309.04,percent of total billed charges ,270.41,percent of total billed charges ,270.41,percent of total billed charges ,231.78,percent of total billed charges ,231.78,percent of total billed charges ,231.78,percent of total billed charges ,231.78,percent of total billed charges ,,,,,205.51,percent of total billed charges ,,,,,195.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,88.85,percent of total billed charges,,,88.85,percent of total billed charges,,,88.85,percent of total billed charges,,,88.85,percent of total billed charges,,,88.85,percent of total billed charges,,,88.85,percent of total billed charges,,,88.85,percent of total billed charges,,,88.85,percent of total billed charges,,,88.85,percent of total billed charges,,,88.85,percent of total billed charges,,,88.85,percent of total billed charges,
PREVNAR 20 IM VACCINE : 0.5ML,90677,CDM,,,,both,1,each,"1,266.55","1,266.55",291.31,"1,266.55","1,266.55",percent of total billed charges,"1,266.55",percent of total billed charges,"1,266.55",percent of total billed charges,"1,266.55",percent of total billed charges,"1,266.55",percent of total billed charges,"1,266.55",percent of total billed charges,"1,266.55",percent of total billed charges,"1,266.55",percent of total billed charges,911.92,percent of total billed charges,911.92,percent of total billed charges,911.92,percent of total billed charges,911.92,percent of total billed charges,911.92,percent of total billed charges,911.92,percent of total billed charges,"1,000.57",percent of total billed charges,"1,000.57",percent of total billed charges,"1,013.24",percent of total billed charges,"1,013.24",percent of total billed charges,,,911.92,percent of total billed charges ,,,"1,013.24",percent of total billed charges ,"1,000.57",percent of total billed charges ,"1,000.57",percent of total billed charges ,"1,076.57",percent of total billed charges ,"1,076.57",percent of total billed charges ,"1,013.24",percent of total billed charges ,"1,013.24",percent of total billed charges ,886.59,percent of total billed charges ,886.59,percent of total billed charges ,759.93,percent of total billed charges ,759.93,percent of total billed charges ,759.93,percent of total billed charges ,759.93,percent of total billed charges ,,,,,673.8,percent of total billed charges ,,,,,640.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,291.31,percent of total billed charges,,,291.31,percent of total billed charges,,,291.31,percent of total billed charges,,,291.31,percent of total billed charges,,,291.31,percent of total billed charges,,,291.31,percent of total billed charges,,,291.31,percent of total billed charges,,,291.31,percent of total billed charges,,,291.31,percent of total billed charges,,,291.31,percent of total billed charges,,,291.31,percent of total billed charges,
PEMBROLIZUMAB (KEYTRUDA) VIAL : 100MG,J9271,CDM,,,,both,,,"35,735.14","35,735.14","8,219.08","35,735.14","35,735.14",percent of total billed charges,"35,735.14",percent of total billed charges,"35,735.14",percent of total billed charges,"35,735.14",percent of total billed charges,"35,735.14",percent of total billed charges,"35,735.14",percent of total billed charges,"35,735.14",percent of total billed charges,"35,735.14",percent of total billed charges,"25,729.30",percent of total billed charges,"25,729.30",percent of total billed charges,"25,729.30",percent of total billed charges,"25,729.30",percent of total billed charges,"25,729.30",percent of total billed charges,"25,729.30",percent of total billed charges,"28,230.76",percent of total billed charges,"28,230.76",percent of total billed charges,"28,588.11",percent of total billed charges,"28,588.11",percent of total billed charges,,,"25,729.30",percent of total billed charges ,,,"28,588.11",percent of total billed charges ,"28,230.76",percent of total billed charges ,"28,230.76",percent of total billed charges ,"30,374.87",percent of total billed charges ,"30,374.87",percent of total billed charges ,"28,588.11",percent of total billed charges ,"28,588.11",percent of total billed charges ,"25,014.60",percent of total billed charges ,"25,014.60",percent of total billed charges ,"21,441.08",percent of total billed charges ,"21,441.08",percent of total billed charges ,"21,441.08",percent of total billed charges ,"21,441.08",percent of total billed charges ,,,,,"19,011.09",percent of total billed charges ,,,,,"18,060.54",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"8,219.08",percent of total billed charges,,,"8,219.08",percent of total billed charges,,,"8,219.08",percent of total billed charges,,,"8,219.08",percent of total billed charges,,,"8,219.08",percent of total billed charges,,,"8,219.08",percent of total billed charges,,,"8,219.08",percent of total billed charges,,,"8,219.08",percent of total billed charges,,,"8,219.08",percent of total billed charges,,,"8,219.08",percent of total billed charges,,,"8,219.08",percent of total billed charges,
ACETIC ACID 0.25% IRRIGATION SOLUTION,250,RC,00264-23-0400,NDC,,both,,,42.29,42.29,9.73,42.29,42.29,percent of total billed charges,42.29,percent of total billed charges,42.29,percent of total billed charges,42.29,percent of total billed charges,42.29,percent of total billed charges,42.29,percent of total billed charges,42.29,percent of total billed charges,42.29,percent of total billed charges,30.45,percent of total billed charges,30.45,percent of total billed charges,30.45,percent of total billed charges,30.45,percent of total billed charges,30.45,percent of total billed charges,30.45,percent of total billed charges,33.41,percent of total billed charges,33.41,percent of total billed charges,33.83,percent of total billed charges,33.83,percent of total billed charges,,,30.45,percent of total billed charges ,,,33.83,percent of total billed charges ,33.41,percent of total billed charges ,33.41,percent of total billed charges ,35.95,percent of total billed charges ,35.95,percent of total billed charges ,33.83,percent of total billed charges ,33.83,percent of total billed charges ,29.6,percent of total billed charges ,29.6,percent of total billed charges ,25.37,percent of total billed charges ,25.37,percent of total billed charges ,25.37,percent of total billed charges ,25.37,percent of total billed charges ,,,,,22.5,percent of total billed charges ,,,,,21.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.73,percent of total billed charges,,,9.73,percent of total billed charges,,,9.73,percent of total billed charges,,,9.73,percent of total billed charges,,,9.73,percent of total billed charges,,,9.73,percent of total billed charges,,,9.73,percent of total billed charges,,,9.73,percent of total billed charges,,,9.73,percent of total billed charges,,,9.73,percent of total billed charges,,,9.73,percent of total billed charges,
RIVASTIGMINE (EXELON) PATCH : 13.3MG/24H,250,RC,00781-73-1331,NDC,,both,1,each,12.3,12.3,2.83,12.3,12.3,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,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,8.86,percent of total billed charges,8.86,percent of total billed charges,8.86,percent of total billed charges,8.86,percent of total billed charges,8.86,percent of total billed charges,8.86,percent of total billed charges,9.72,percent of total billed charges,9.72,percent of total billed charges,9.84,percent of total billed charges,9.84,percent of total billed charges,,,8.86,percent of total billed charges ,,,9.84,percent of total billed charges ,9.72,percent of total billed charges ,9.72,percent of total billed charges ,10.46,percent of total billed charges ,10.46,percent of total billed charges ,9.84,percent of total billed charges ,9.84,percent of total billed charges ,8.61,percent of total billed charges ,8.61,percent of total billed charges ,7.38,percent of total billed charges ,7.38,percent of total billed charges ,7.38,percent of total billed charges ,7.38,percent of total billed charges ,,,,,6.54,percent of total billed charges ,,,,,6.22,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,,,2.83,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,
CeFAZolin (ANCEF) INJ : 2GM VIAL,J0690,CDM,,,,both,1,each,76.65,76.65,17.63,76.65,76.65,percent of total billed charges,76.65,percent of total billed charges,76.65,percent of total billed charges,76.65,percent of total billed charges,76.65,percent of total billed charges,76.65,percent of total billed charges,76.65,percent of total billed charges,76.65,percent of total billed charges,55.19,percent of total billed charges,55.19,percent of total billed charges,55.19,percent of total billed charges,55.19,percent of total billed charges,55.19,percent of total billed charges,55.19,percent of total billed charges,60.55,percent of total billed charges,60.55,percent of total billed charges,61.32,percent of total billed charges,61.32,percent of total billed charges,,,55.19,percent of total billed charges ,,,61.32,percent of total billed charges ,60.55,percent of total billed charges ,60.55,percent of total billed charges ,65.15,percent of total billed charges ,65.15,percent of total billed charges ,61.32,percent of total billed charges ,61.32,percent of total billed charges ,53.66,percent of total billed charges ,53.66,percent of total billed charges ,45.99,percent of total billed charges ,45.99,percent of total billed charges ,45.99,percent of total billed charges ,45.99,percent of total billed charges ,,,,,40.78,percent of total billed charges ,,,,,38.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,17.63,percent of total billed charges,,,17.63,percent of total billed charges,,,17.63,percent of total billed charges,,,17.63,percent of total billed charges,,,17.63,percent of total billed charges,,,17.63,percent of total billed charges,,,17.63,percent of total billed charges,,,17.63,percent of total billed charges,,,17.63,percent of total billed charges,,,17.63,percent of total billed charges,,,17.63,percent of total billed charges,
ATOVAQUONE ORAL SUSP 750MG/5ML,258,RC,50268-00-8612,NDC,,both,1,each,51.99,51.99,11.96,51.99,51.99,percent of total billed charges,51.99,percent of total billed charges,51.99,percent of total billed charges,51.99,percent of total billed charges,51.99,percent of total billed charges,51.99,percent of total billed charges,51.99,percent of total billed charges,51.99,percent of total billed charges,37.43,percent of total billed charges,37.43,percent of total billed charges,37.43,percent of total billed charges,37.43,percent of total billed charges,37.43,percent of total billed charges,37.43,percent of total billed charges,41.07,percent of total billed charges,41.07,percent of total billed charges,41.59,percent of total billed charges,41.59,percent of total billed charges,,,37.43,percent of total billed charges ,,,41.59,percent of total billed charges ,41.07,percent of total billed charges ,41.07,percent of total billed charges ,44.19,percent of total billed charges ,44.19,percent of total billed charges ,41.59,percent of total billed charges ,41.59,percent of total billed charges ,36.39,percent of total billed charges ,36.39,percent of total billed charges ,31.19,percent of total billed charges ,31.19,percent of total billed charges ,31.19,percent of total billed charges ,31.19,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,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,
VALGANCYCLOVIR TAB : 450MG,258,RC,31722-08-3260,NDC,,both,1,each,9.24,9.24,2.13,9.24,9.24,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,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,7.3,percent of total billed charges,7.3,percent of total billed charges,7.39,percent of total billed charges,7.39,percent of total billed charges,,,6.65,percent of total billed charges ,,,7.39,percent of total billed charges ,7.3,percent of total billed charges ,7.3,percent of total billed charges ,7.85,percent of total billed charges ,7.85,percent of total billed charges ,7.39,percent of total billed charges ,7.39,percent of total billed charges ,6.47,percent of total billed charges ,6.47,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 ,,,,,4.92,percent of total billed charges ,,,,,4.67,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,
LEVETIRACETAM *ORAL* SOLN : 500MG/5ML,250,RC,60687-02-4967,NDC,,both,1,each,5.7,5.7,1.31,5.7,5.7,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,4.5,percent of total billed charges,4.5,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 ,4.5,percent of total billed charges ,4.5,percent of total billed charges ,4.85,percent of total billed charges ,4.85,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 ,,,,,,,,,,,,,,,,,,,1.31,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,
EMPAGLIFLOZIN (JARDIANCE) TAB : 10 MG,250,RC,00597-01-5237,NDC,,both,1,each,59.6,59.6,13.71,59.6,59.6,percent of total billed charges,59.6,percent of total billed charges,59.6,percent of total billed charges,59.6,percent of total billed charges,59.6,percent of total billed charges,59.6,percent of total billed charges,59.6,percent of total billed charges,59.6,percent of total billed charges,42.91,percent of total billed charges,42.91,percent of total billed charges,42.91,percent of total billed charges,42.91,percent of total billed charges,42.91,percent of total billed charges,42.91,percent of total billed charges,47.08,percent of total billed charges,47.08,percent of total billed charges,47.68,percent of total billed charges,47.68,percent of total billed charges,,,42.91,percent of total billed charges ,,,47.68,percent of total billed charges ,47.08,percent of total billed charges ,47.08,percent of total billed charges ,50.66,percent of total billed charges ,50.66,percent of total billed charges ,47.68,percent of total billed charges ,47.68,percent of total billed charges ,41.72,percent of total billed charges ,41.72,percent of total billed charges ,35.76,percent of total billed charges ,35.76,percent of total billed charges ,35.76,percent of total billed charges ,35.76,percent of total billed charges ,,,,,31.71,percent of total billed charges ,,,,,30.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.71,percent of total billed charges,,,13.71,percent of total billed charges,,,13.71,percent of total billed charges,,,13.71,percent of total billed charges,,,13.71,percent of total billed charges,,,13.71,percent of total billed charges,,,13.71,percent of total billed charges,,,13.71,percent of total billed charges,,,13.71,percent of total billed charges,,,13.71,percent of total billed charges,,,13.71,percent of total billed charges,
SODIUM ZIRCONIUM (LOKELMA) PACKET : 10GM,250,RC,00310-11-1001,NDC,,both,1,each,68.9,68.9,15.85,68.9,68.9,percent of total billed charges,68.9,percent of total billed charges,68.9,percent of total billed charges,68.9,percent of total billed charges,68.9,percent of total billed charges,68.9,percent of total billed charges,68.9,percent of total billed charges,68.9,percent of total billed charges,49.61,percent of total billed charges,49.61,percent of total billed charges,49.61,percent of total billed charges,49.61,percent of total billed charges,49.61,percent of total billed charges,49.61,percent of total billed charges,54.43,percent of total billed charges,54.43,percent of total billed charges,55.12,percent of total billed charges,55.12,percent of total billed charges,,,49.61,percent of total billed charges ,,,55.12,percent of total billed charges ,54.43,percent of total billed charges ,54.43,percent of total billed charges ,58.57,percent of total billed charges ,58.57,percent of total billed charges ,55.12,percent of total billed charges ,55.12,percent of total billed charges ,48.23,percent of total billed charges ,48.23,percent of total billed charges ,41.34,percent of total billed charges ,41.34,percent of total billed charges ,41.34,percent of total billed charges ,41.34,percent of total billed charges ,,,,,36.65,percent of total billed charges ,,,,,34.82,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,,,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,
ULIPRISTAL (ELLA) TAB : 30MG,250,RC,73302-04-5601,NDC,,both,1,each,79.54,79.54,18.29,79.54,79.54,percent of total billed charges,79.54,percent of total billed charges,79.54,percent of total billed charges,79.54,percent of total billed charges,79.54,percent of total billed charges,79.54,percent of total billed charges,79.54,percent of total billed charges,79.54,percent of total billed charges,57.27,percent of total billed charges,57.27,percent of total billed charges,57.27,percent of total billed charges,57.27,percent of total billed charges,57.27,percent of total billed charges,57.27,percent of total billed charges,62.84,percent of total billed charges,62.84,percent of total billed charges,63.63,percent of total billed charges,63.63,percent of total billed charges,,,57.27,percent of total billed charges ,,,63.63,percent of total billed charges ,62.84,percent of total billed charges ,62.84,percent of total billed charges ,67.61,percent of total billed charges ,67.61,percent of total billed charges ,63.63,percent of total billed charges ,63.63,percent of total billed charges ,55.68,percent of total billed charges ,55.68,percent of total billed charges ,47.72,percent of total billed charges ,47.72,percent of total billed charges ,47.72,percent of total billed charges ,47.72,percent of total billed charges ,,,,,42.32,percent of total billed charges ,,,,,40.2,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,
OPTISON INJ 3ML,Q9956,CDM,,,,both,1,each,747.84,747.84,172,747.84,747.84,percent of total billed charges,747.84,percent of total billed charges,747.84,percent of total billed charges,747.84,percent of total billed charges,747.84,percent of total billed charges,747.84,percent of total billed charges,747.84,percent of total billed charges,747.84,percent of total billed charges,538.44,percent of total billed charges,538.44,percent of total billed charges,538.44,percent of total billed charges,538.44,percent of total billed charges,538.44,percent of total billed charges,538.44,percent of total billed charges,590.79,percent of total billed charges,590.79,percent of total billed charges,598.27,percent of total billed charges,598.27,percent of total billed charges,,,538.44,percent of total billed charges ,,,598.27,percent of total billed charges ,590.79,percent of total billed charges ,590.79,percent of total billed charges ,635.66,percent of total billed charges ,635.66,percent of total billed charges ,598.27,percent of total billed charges ,598.27,percent of total billed charges ,523.49,percent of total billed charges ,523.49,percent of total billed charges ,448.7,percent of total billed charges ,448.7,percent of total billed charges ,448.7,percent of total billed charges ,448.7,percent of total billed charges ,,,,,397.85,percent of total billed charges ,,,,,377.96,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,,,172,percent of total billed charges,,,172,percent of total billed charges,,,172,percent of total billed charges,,,172,percent of total billed charges,
RITUXIMAB-ABBS (TRUXIMA) : PER 10MG,Q5115,CDM,,,,both,10,each,405.6,405.6,93.29,405.6,405.6,percent of total billed charges,405.6,percent of total billed charges,405.6,percent of total billed charges,405.6,percent of total billed charges,405.6,percent of total billed charges,405.6,percent of total billed charges,405.6,percent of total billed charges,405.6,percent of total billed charges,292.03,percent of total billed charges,292.03,percent of total billed charges,292.03,percent of total billed charges,292.03,percent of total billed charges,292.03,percent of total billed charges,292.03,percent of total billed charges,320.42,percent of total billed charges,320.42,percent of total billed charges,324.48,percent of total billed charges,324.48,percent of total billed charges,,,292.03,percent of total billed charges ,,,324.48,percent of total billed charges ,320.42,percent of total billed charges ,320.42,percent of total billed charges ,344.76,percent of total billed charges ,344.76,percent of total billed charges ,324.48,percent of total billed charges ,324.48,percent of total billed charges ,283.92,percent of total billed charges ,283.92,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 ,,,,,215.78,percent of total billed charges ,,,,,204.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,93.29,percent of total billed charges,,,93.29,percent of total billed charges,,,93.29,percent of total billed charges,,,93.29,percent of total billed charges,,,93.29,percent of total billed charges,,,93.29,percent of total billed charges,,,93.29,percent of total billed charges,,,93.29,percent of total billed charges,,,93.29,percent of total billed charges,,,93.29,percent of total billed charges,,,93.29,percent of total billed charges,
TEZSPIRE (TEZEPELUMAB-EKKO) PFS : 210MG,J2356,CDM,,,,both,1,each,"25,285.65","25,285.65","5,815.70","25,285.65","25,285.65",percent of total billed charges,"25,285.65",percent of total billed charges,"25,285.65",percent of total billed charges,"25,285.65",percent of total billed charges,"25,285.65",percent of total billed charges,"25,285.65",percent of total billed charges,"25,285.65",percent of total billed charges,"25,285.65",percent of total billed charges,"18,205.67",percent of total billed charges,"18,205.67",percent of total billed charges,"18,205.67",percent of total billed charges,"18,205.67",percent of total billed charges,"18,205.67",percent of total billed charges,"18,205.67",percent of total billed charges,"19,975.66",percent of total billed charges,"19,975.66",percent of total billed charges,"20,228.52",percent of total billed charges,"20,228.52",percent of total billed charges,,,"18,205.67",percent of total billed charges ,,,"20,228.52",percent of total billed charges ,"19,975.66",percent of total billed charges ,"19,975.66",percent of total billed charges ,"21,492.80",percent of total billed charges ,"21,492.80",percent of total billed charges ,"20,228.52",percent of total billed charges ,"20,228.52",percent of total billed charges ,"17,699.96",percent of total billed charges ,"17,699.96",percent of total billed charges ,"15,171.39",percent of total billed charges ,"15,171.39",percent of total billed charges ,"15,171.39",percent of total billed charges ,"15,171.39",percent of total billed charges ,,,,,"13,451.97",percent of total billed charges ,,,,,"12,779.37",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"5,815.70",percent of total billed charges,,,"5,815.70",percent of total billed charges,,,"5,815.70",percent of total billed charges,,,"5,815.70",percent of total billed charges,,,"5,815.70",percent of total billed charges,,,"5,815.70",percent of total billed charges,,,"5,815.70",percent of total billed charges,,,"5,815.70",percent of total billed charges,,,"5,815.70",percent of total billed charges,,,"5,815.70",percent of total billed charges,,,"5,815.70",percent of total billed charges,
ROMIPLOSTIM (NPLATE) : 250MCG,J2796,CDM,,,,both,1,each,"11,778.48","11,778.48","2,709.05","11,778.48","11,778.48",percent of total billed charges,"11,778.48",percent of total billed charges,"11,778.48",percent of total billed charges,"11,778.48",percent of total billed charges,"11,778.48",percent of total billed charges,"11,778.48",percent of total billed charges,"11,778.48",percent of total billed charges,"11,778.48",percent of total billed charges,"8,480.51",percent of total billed charges,"8,480.51",percent of total billed charges,"8,480.51",percent of total billed charges,"8,480.51",percent of total billed charges,"8,480.51",percent of total billed charges,"8,480.51",percent of total billed charges,"9,305.00",percent of total billed charges,"9,305.00",percent of total billed charges,"9,422.78",percent of total billed charges,"9,422.78",percent of total billed charges,,,"8,480.51",percent of total billed charges ,,,"9,422.78",percent of total billed charges ,"9,305.00",percent of total billed charges ,"9,305.00",percent of total billed charges ,"10,011.71",percent of total billed charges ,"10,011.71",percent of total billed charges ,"9,422.78",percent of total billed charges ,"9,422.78",percent of total billed charges ,"8,244.94",percent of total billed charges ,"8,244.94",percent of total billed charges ,"7,067.09",percent of total billed charges ,"7,067.09",percent of total billed charges ,"7,067.09",percent of total billed charges ,"7,067.09",percent of total billed charges ,,,,,"6,266.15",percent of total billed charges ,,,,,"5,952.84",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,709.05",percent of total billed charges,,,"2,709.05",percent of total billed charges,,,"2,709.05",percent of total billed charges,,,"2,709.05",percent of total billed charges,,,"2,709.05",percent of total billed charges,,,"2,709.05",percent of total billed charges,,,"2,709.05",percent of total billed charges,,,"2,709.05",percent of total billed charges,,,"2,709.05",percent of total billed charges,,,"2,709.05",percent of total billed charges,,,"2,709.05",percent of total billed charges,
BEZLOTOXUMAB (ZINPLAVA) 1000MG/40ML VIAL,J0565,CDM,,,,both,1,each,"28,044.00","28,044.00","6,450.12","28,044.00","28,044.00",percent of total billed charges,"28,044.00",percent of total billed charges,"28,044.00",percent of total billed charges,"28,044.00",percent of total billed charges,"28,044.00",percent of total billed charges,"28,044.00",percent of total billed charges,"28,044.00",percent of total billed charges,"28,044.00",percent of total billed charges,"20,191.68",percent of total billed charges,"20,191.68",percent of total billed charges,"20,191.68",percent of total billed charges,"20,191.68",percent of total billed charges,"20,191.68",percent of total billed charges,"20,191.68",percent of total billed charges,"22,154.76",percent of total billed charges,"22,154.76",percent of total billed charges,"22,435.20",percent of total billed charges,"22,435.20",percent of total billed charges,,,"20,191.68",percent of total billed charges ,,,"22,435.20",percent of total billed charges ,"22,154.76",percent of total billed charges ,"22,154.76",percent of total billed charges ,"23,837.40",percent of total billed charges ,"23,837.40",percent of total billed charges ,"22,435.20",percent of total billed charges ,"22,435.20",percent of total billed charges ,"19,630.80",percent of total billed charges ,"19,630.80",percent of total billed charges ,"16,826.40",percent of total billed charges ,"16,826.40",percent of total billed charges ,"16,826.40",percent of total billed charges ,"16,826.40",percent of total billed charges ,,,,,"14,919.41",percent of total billed charges ,,,,,"14,173.44",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"6,450.12",percent of total billed charges,,,"6,450.12",percent of total billed charges,,,"6,450.12",percent of total billed charges,,,"6,450.12",percent of total billed charges,,,"6,450.12",percent of total billed charges,,,"6,450.12",percent of total billed charges,,,"6,450.12",percent of total billed charges,,,"6,450.12",percent of total billed charges,,,"6,450.12",percent of total billed charges,,,"6,450.12",percent of total billed charges,,,"6,450.12",percent of total billed charges,
GABAPENTIN ORAL LIQUID 250MG/5ML PER10ML,250,RC,59762-50-5007,NDC,,both,5,each,3.39,3.39,0.78,3.39,3.39,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,2.68,percent of total billed charges,2.68,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 ,2.68,percent of total billed charges ,2.68,percent of total billed charges ,2.88,percent of total billed charges ,2.88,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 ,,,,,,,,,,,,,,,,,,,0.78,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,
OMEPRAZOLE ORAL DISINTEGRATING TAB:20MG,250,RC,46122-06-1604,NDC,,both,10,each,27.49,27.49,6.32,27.49,27.49,percent of total billed charges,27.49,percent of total billed charges,27.49,percent of total billed charges,27.49,percent of total billed charges,27.49,percent of total billed charges,27.49,percent of total billed charges,27.49,percent of total billed charges,27.49,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,21.72,percent of total billed charges,21.72,percent of total billed charges,21.99,percent of total billed charges,21.99,percent of total billed charges,,,19.79,percent of total billed charges ,,,21.99,percent of total billed charges ,21.72,percent of total billed charges ,21.72,percent of total billed charges ,23.37,percent of total billed charges ,23.37,percent of total billed charges ,21.99,percent of total billed charges ,21.99,percent of total billed charges ,19.24,percent of total billed charges ,19.24,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 ,,,,,14.62,percent of total billed charges ,,,,,13.89,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,
FLUCONAZOLE SUSP : 40MG/ML PER 5ML,250,RC,57237-01-5035,NDC,,both,5,each,11.35,11.35,2.61,11.35,11.35,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,8.17,percent of total billed charges,8.17,percent of total billed charges,8.17,percent of total billed charges,8.17,percent of total billed charges,8.17,percent of total billed charges,8.17,percent of total billed charges,8.97,percent of total billed charges,8.97,percent of total billed charges,9.08,percent of total billed charges,9.08,percent of total billed charges,,,8.17,percent of total billed charges ,,,9.08,percent of total billed charges ,8.97,percent of total billed charges ,8.97,percent of total billed charges ,9.65,percent of total billed charges ,9.65,percent of total billed charges ,9.08,percent of total billed charges ,9.08,percent of total billed charges ,7.95,percent of total billed charges ,7.95,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 ,,,,,6.04,percent of total billed charges ,,,,,5.74,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,,,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,
CLINIMIX 5/20 1000ML,258,RC,00338-11-3803,NDC,,both,1,each,779.97,779.97,179.39,779.97,779.97,percent of total billed charges,779.97,percent of total billed charges,779.97,percent of total billed charges,779.97,percent of total billed charges,779.97,percent of total billed charges,779.97,percent of total billed charges,779.97,percent of total billed charges,779.97,percent of total billed charges,561.58,percent of total billed charges,561.58,percent of total billed charges,561.58,percent of total billed charges,561.58,percent of total billed charges,561.58,percent of total billed charges,561.58,percent of total billed charges,616.18,percent of total billed charges,616.18,percent of total billed charges,623.98,percent of total billed charges,623.98,percent of total billed charges,,,561.58,percent of total billed charges ,,,623.98,percent of total billed charges ,616.18,percent of total billed charges ,616.18,percent of total billed charges ,662.97,percent of total billed charges ,662.97,percent of total billed charges ,623.98,percent of total billed charges ,623.98,percent of total billed charges ,545.98,percent of total billed charges ,545.98,percent of total billed charges ,467.98,percent of total billed charges ,467.98,percent of total billed charges ,467.98,percent of total billed charges ,467.98,percent of total billed charges ,,,,,414.94,percent of total billed charges ,,,,,394.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,179.39,percent of total billed charges,,,179.39,percent of total billed charges,,,179.39,percent of total billed charges,,,179.39,percent of total billed charges,,,179.39,percent of total billed charges,,,179.39,percent of total billed charges,,,179.39,percent of total billed charges,,,179.39,percent of total billed charges,,,179.39,percent of total billed charges,,,179.39,percent of total billed charges,,,179.39,percent of total billed charges,
SIMETHICONE TAB : 125MG,250,RC,69618-00-3206,NDC,,both,,,0.25,0.25,0.06,0.25,0.25,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,0.18,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,0.2,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,,,0.18,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 ,0.21,percent of total billed charges ,0.21,percent of total billed charges ,0.2,percent of total billed charges ,0.2,percent of total billed charges ,0.18,percent of total billed charges ,0.18,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 ,,,,,0.13,percent of total billed charges ,,,,,0.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,
TRANEXAMIC ACID TAB : 650MG,250,RC,00591-37-2030,NDC,,both,1,each,6.67,6.67,1.53,6.67,6.67,percent of total billed charges,6.67,percent of total billed charges,6.67,percent of total billed charges,6.67,percent of total billed charges,6.67,percent of total billed charges,6.67,percent of total billed charges,6.67,percent of total billed charges,6.67,percent of total 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,4.8,percent of total billed charges,4.8,percent of total billed charges,5.27,percent of total billed charges,5.27,percent of total billed charges,5.34,percent of total billed charges,5.34,percent of total billed charges,,,4.8,percent of total billed charges ,,,5.34,percent of total billed charges ,5.27,percent of total billed charges ,5.27,percent of total billed charges ,5.67,percent of total billed charges ,5.67,percent of total billed charges ,5.34,percent of total billed charges ,5.34,percent of total billed charges ,4.67,percent of total billed charges ,4.67,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 ,,,,,3.55,percent of total billed charges ,,,,,3.37,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,
KYLEENA 19.5MG DEVICE IUD,J7296,CDM,,,,both,1,each,"6,329.03","6,329.03","1,455.68","6,329.03","6,329.03",percent of total billed charges,"6,329.03",percent of total billed charges,"6,329.03",percent of total billed charges,"6,329.03",percent of total billed charges,"6,329.03",percent of total billed charges,"6,329.03",percent of total billed charges,"6,329.03",percent of total billed charges,"6,329.03",percent of total billed charges,"4,556.90",percent of total billed charges,"4,556.90",percent of total billed charges,"4,556.90",percent of total billed charges,"4,556.90",percent of total billed charges,"4,556.90",percent of total billed charges,"4,556.90",percent of total billed charges,"4,999.93",percent of total billed charges,"4,999.93",percent of total billed charges,"5,063.22",percent of total billed charges,"5,063.22",percent of total billed charges,,,"4,556.90",percent of total billed charges ,,,"5,063.22",percent of total billed charges ,"4,999.93",percent of total billed charges ,"4,999.93",percent of total billed charges ,"5,379.68",percent of total billed charges ,"5,379.68",percent of total billed charges ,"5,063.22",percent of total billed charges ,"5,063.22",percent of total billed charges ,"4,430.32",percent of total billed charges ,"4,430.32",percent of total billed charges ,"3,797.42",percent of total billed charges ,"3,797.42",percent of total billed charges ,"3,797.42",percent of total billed charges ,"3,797.42",percent of total billed charges ,,,,,"3,367.04",percent of total billed charges ,,,,,"3,198.69",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,455.68",percent of total billed charges,,,"1,455.68",percent of total billed charges,,,"1,455.68",percent of total billed charges,,,"1,455.68",percent of total billed charges,,,"1,455.68",percent of total billed charges,,,"1,455.68",percent of total billed charges,,,"1,455.68",percent of total billed charges,,,"1,455.68",percent of total billed charges,,,"1,455.68",percent of total billed charges,,,"1,455.68",percent of total billed charges,,,"1,455.68",percent of total billed charges,
CERTOLIZUMAB (CIMZIA) 400MG SYRINGE KIT,J0717,CDM,,,,both,1,each,"35,811.50","35,811.50","8,236.65","35,811.50","35,811.50",percent of total billed charges,"35,811.50",percent of total billed charges,"35,811.50",percent of total billed charges,"35,811.50",percent of total billed charges,"35,811.50",percent of total billed charges,"35,811.50",percent of total billed charges,"35,811.50",percent of total billed charges,"35,811.50",percent of total billed charges,"25,784.28",percent of total billed charges,"25,784.28",percent of total billed charges,"25,784.28",percent of total billed charges,"25,784.28",percent of total billed charges,"25,784.28",percent of total billed charges,"25,784.28",percent of total billed charges,"28,291.09",percent of total billed charges,"28,291.09",percent of total billed charges,"28,649.20",percent of total billed charges,"28,649.20",percent of total billed charges,,,"25,784.28",percent of total billed charges ,,,"28,649.20",percent of total billed charges ,"28,291.09",percent of total billed charges ,"28,291.09",percent of total billed charges ,"30,439.78",percent of total billed charges ,"30,439.78",percent of total billed charges ,"28,649.20",percent of total billed charges ,"28,649.20",percent of total billed charges ,"25,068.05",percent of total billed charges ,"25,068.05",percent of total billed charges ,"21,486.90",percent of total billed charges ,"21,486.90",percent of total billed charges ,"21,486.90",percent of total billed charges ,"21,486.90",percent of total billed charges ,,,,,"19,051.72",percent of total billed charges ,,,,,"18,099.13",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"8,236.65",percent of total billed charges,,,"8,236.65",percent of total billed charges,,,"8,236.65",percent of total billed charges,,,"8,236.65",percent of total billed charges,,,"8,236.65",percent of total billed charges,,,"8,236.65",percent of total billed charges,,,"8,236.65",percent of total billed charges,,,"8,236.65",percent of total billed charges,,,"8,236.65",percent of total billed charges,,,"8,236.65",percent of total billed charges,,,"8,236.65",percent of total billed charges,
AMOXICILLIN/CLAVULANATE 400MG/5ML,250,RC,65862-05-3450,NDC,,both,,,43.58,43.58,10.02,43.58,43.58,percent of total billed charges,43.58,percent of total billed charges,43.58,percent of total billed charges,43.58,percent of total billed charges,43.58,percent of total billed charges,43.58,percent of total billed charges,43.58,percent of total billed charges,43.58,percent of total billed charges,31.38,percent of total billed charges,31.38,percent of total billed charges,31.38,percent of total billed charges,31.38,percent of total billed charges,31.38,percent of total billed charges,31.38,percent of total billed charges,34.43,percent of total billed charges,34.43,percent of total billed charges,34.86,percent of total billed charges,34.86,percent of total billed charges,,,31.38,percent of total billed charges ,,,34.86,percent of total billed charges ,34.43,percent of total billed charges ,34.43,percent of total billed charges ,37.04,percent of total billed charges ,37.04,percent of total billed charges ,34.86,percent of total billed charges ,34.86,percent of total billed charges ,30.51,percent of total billed charges ,30.51,percent of total billed charges ,26.15,percent of total billed charges ,26.15,percent of total billed charges ,26.15,percent of total billed charges ,26.15,percent of total billed charges ,,,,,23.18,percent of total billed charges ,,,,,22.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.02,percent of total billed charges,,,10.02,percent of total billed charges,,,10.02,percent of total billed charges,,,10.02,percent of total billed charges,,,10.02,percent of total billed charges,,,10.02,percent of total billed charges,,,10.02,percent of total billed charges,,,10.02,percent of total billed charges,,,10.02,percent of total billed charges,,,10.02,percent of total billed charges,,,10.02,percent of total billed charges,
MILRINONE VIAL INJ : 50MG,J2260,CDM,,,,both,1,each,173.31,173.31,39.86,173.31,173.31,percent of total billed charges,173.31,percent of total billed charges,173.31,percent of total billed charges,173.31,percent of total billed charges,173.31,percent of total billed charges,173.31,percent of total billed charges,173.31,percent of total billed charges,173.31,percent of total billed charges,124.78,percent of total billed charges,124.78,percent of total billed charges,124.78,percent of total billed charges,124.78,percent of total billed charges,124.78,percent of total billed charges,124.78,percent of total billed charges,136.91,percent of total billed charges,136.91,percent of total billed charges,138.65,percent of total billed charges,138.65,percent of total billed charges,,,124.78,percent of total billed charges ,,,138.65,percent of total billed charges ,136.91,percent of total billed charges ,136.91,percent of total billed charges ,147.31,percent of total billed charges ,147.31,percent of total billed charges ,138.65,percent of total billed charges ,138.65,percent of total billed charges ,121.32,percent of total billed charges ,121.32,percent of total billed charges ,103.99,percent of total billed charges ,103.99,percent of total billed charges ,103.99,percent of total billed charges ,103.99,percent of total billed charges ,,,,,92.2,percent of total billed charges ,,,,,87.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,39.86,percent of total billed charges,,,39.86,percent of total billed charges,,,39.86,percent of total billed charges,,,39.86,percent of total billed charges,,,39.86,percent of total billed charges,,,39.86,percent of total billed charges,,,39.86,percent of total billed charges,,,39.86,percent of total billed charges,,,39.86,percent of total billed charges,,,39.86,percent of total billed charges,,,39.86,percent of total billed charges,
FULPHILA (PEGFILGRASTIM-JMDB) INJ : 6MG,Q5108,CDM,,,,both,1,each,"9,473.40","9,473.40","2,178.88","9,473.40","9,473.40",percent of total billed charges,"9,473.40",percent of total billed charges,"9,473.40",percent of total billed charges,"9,473.40",percent of total billed charges,"9,473.40",percent of total billed charges,"9,473.40",percent of total billed charges,"9,473.40",percent of total billed charges,"9,473.40",percent of total billed charges,"6,820.85",percent of total billed charges,"6,820.85",percent of total billed charges,"6,820.85",percent of total billed charges,"6,820.85",percent of total billed charges,"6,820.85",percent of total billed charges,"6,820.85",percent of total billed charges,"7,483.99",percent of total billed charges,"7,483.99",percent of total billed charges,"7,578.72",percent of total billed charges,"7,578.72",percent of total billed charges,,,"6,820.85",percent of total billed charges ,,,"7,578.72",percent of total billed charges ,"7,483.99",percent of total billed charges ,"7,483.99",percent of total billed charges ,"8,052.39",percent of total billed charges ,"8,052.39",percent of total billed charges ,"7,578.72",percent of total billed charges ,"7,578.72",percent of total billed charges ,"6,631.38",percent of total billed charges ,"6,631.38",percent of total billed charges ,"5,684.04",percent of total billed charges ,"5,684.04",percent of total billed charges ,"5,684.04",percent of total billed charges ,"5,684.04",percent of total billed charges ,,,,,"5,039.85",percent of total billed charges ,,,,,"4,787.86",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,178.88",percent of total billed charges,,,"2,178.88",percent of total billed charges,,,"2,178.88",percent of total billed charges,,,"2,178.88",percent of total billed charges,,,"2,178.88",percent of total billed charges,,,"2,178.88",percent of total billed charges,,,"2,178.88",percent of total billed charges,,,"2,178.88",percent of total billed charges,,,"2,178.88",percent of total billed charges,,,"2,178.88",percent of total billed charges,,,"2,178.88",percent of total billed charges,
SODIUM HYPOCHLORITE 0.125% SOL,250,RC,00436-06-7216,NDC,,both,,,76.8,76.8,17.66,76.8,76.8,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,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,55.3,percent of total billed charges,55.3,percent of total billed charges,55.3,percent of total billed charges,55.3,percent of total billed charges,55.3,percent of total billed charges,55.3,percent of total billed charges,60.67,percent of total billed charges,60.67,percent of total billed charges,61.44,percent of total billed charges,61.44,percent of total billed charges,,,55.3,percent of total billed charges ,,,61.44,percent of total billed charges ,60.67,percent of total billed charges ,60.67,percent of total billed charges ,65.28,percent of total billed charges ,65.28,percent of total billed charges ,61.44,percent of total billed charges ,61.44,percent of total billed charges ,53.76,percent of total billed charges ,53.76,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 ,,,,,40.86,percent of total billed charges ,,,,,38.81,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,,,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,
IMMUNE GLOBULIN (PRIVIGEN) : 5GM,J1459,CDM,,,,both,1,each,600.46,600.46,138.11,600.46,600.46,percent of total billed charges,600.46,percent of total billed charges,600.46,percent of total billed charges,600.46,percent of total billed charges,600.46,percent of total billed charges,600.46,percent of total billed charges,600.46,percent of total billed charges,600.46,percent of total billed charges,432.33,percent of total billed charges,432.33,percent of total billed charges,432.33,percent of total billed charges,432.33,percent of total billed charges,432.33,percent of total billed charges,432.33,percent of total billed charges,474.36,percent of total billed charges,474.36,percent of total billed charges,480.37,percent of total billed charges,480.37,percent of total billed charges,,,432.33,percent of total billed charges ,,,480.37,percent of total billed charges ,474.36,percent of total billed charges ,474.36,percent of total billed charges ,510.39,percent of total billed charges ,510.39,percent of total billed charges ,480.37,percent of total billed charges ,480.37,percent of total billed charges ,420.32,percent of total billed charges ,420.32,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 ,,,,,319.44,percent of total billed charges ,,,,,303.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,138.11,percent of total billed charges,,,138.11,percent of total billed charges,,,138.11,percent of total billed charges,,,138.11,percent of total billed charges,,,138.11,percent of total billed charges,,,138.11,percent of total billed charges,,,138.11,percent of total billed charges,,,138.11,percent of total billed charges,,,138.11,percent of total billed charges,,,138.11,percent of total billed charges,,,138.11,percent of total billed charges,
IMMUNE GLOBULIN (PRIVIGEN) : 10GM,J1459,CDM,,,,both,1,each,600.46,600.46,138.11,600.46,600.46,percent of total billed charges,600.46,percent of total billed charges,600.46,percent of total billed charges,600.46,percent of total billed charges,600.46,percent of total billed charges,600.46,percent of total billed charges,600.46,percent of total billed charges,600.46,percent of total billed charges,432.33,percent of total billed charges,432.33,percent of total billed charges,432.33,percent of total billed charges,432.33,percent of total billed charges,432.33,percent of total billed charges,432.33,percent of total billed charges,474.36,percent of total billed charges,474.36,percent of total billed charges,480.37,percent of total billed charges,480.37,percent of total billed charges,,,432.33,percent of total billed charges ,,,480.37,percent of total billed charges ,474.36,percent of total billed charges ,474.36,percent of total billed charges ,510.39,percent of total billed charges ,510.39,percent of total billed charges ,480.37,percent of total billed charges ,480.37,percent of total billed charges ,420.32,percent of total billed charges ,420.32,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 ,,,,,319.44,percent of total billed charges ,,,,,303.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,138.11,percent of total billed charges,,,138.11,percent of total billed charges,,,138.11,percent of total billed charges,,,138.11,percent of total billed charges,,,138.11,percent of total billed charges,,,138.11,percent of total billed charges,,,138.11,percent of total billed charges,,,138.11,percent of total billed charges,,,138.11,percent of total billed charges,,,138.11,percent of total billed charges,,,138.11,percent of total billed charges,
IMMUNE GLOBULIN (PRIVIGEN) : 20GM,J1459,CDM,,,,both,1,each,600.46,600.46,138.11,600.46,600.46,percent of total billed charges,600.46,percent of total billed charges,600.46,percent of total billed charges,600.46,percent of total billed charges,600.46,percent of total billed charges,600.46,percent of total billed charges,600.46,percent of total billed charges,600.46,percent of total billed charges,432.33,percent of total billed charges,432.33,percent of total billed charges,432.33,percent of total billed charges,432.33,percent of total billed charges,432.33,percent of total billed charges,432.33,percent of total billed charges,474.36,percent of total billed charges,474.36,percent of total billed charges,480.37,percent of total billed charges,480.37,percent of total billed charges,,,432.33,percent of total billed charges ,,,480.37,percent of total billed charges ,474.36,percent of total billed charges ,474.36,percent of total billed charges ,510.39,percent of total billed charges ,510.39,percent of total billed charges ,480.37,percent of total billed charges ,480.37,percent of total billed charges ,420.32,percent of total billed charges ,420.32,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 ,,,,,319.44,percent of total billed charges ,,,,,303.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,138.11,percent of total billed charges,,,138.11,percent of total billed charges,,,138.11,percent of total billed charges,,,138.11,percent of total billed charges,,,138.11,percent of total billed charges,,,138.11,percent of total billed charges,,,138.11,percent of total billed charges,,,138.11,percent of total billed charges,,,138.11,percent of total billed charges,,,138.11,percent of total billed charges,,,138.11,percent of total billed charges,
IMMUNE GLOBULIN (PRIVIGEN) : 40GM,J1459,CDM,,,,both,1,each,600.46,600.46,138.11,600.46,600.46,percent of total billed charges,600.46,percent of total billed charges,600.46,percent of total billed charges,600.46,percent of total billed charges,600.46,percent of total billed charges,600.46,percent of total billed charges,600.46,percent of total billed charges,600.46,percent of total billed charges,432.33,percent of total billed charges,432.33,percent of total billed charges,432.33,percent of total billed charges,432.33,percent of total billed charges,432.33,percent of total billed charges,432.33,percent of total billed charges,474.36,percent of total billed charges,474.36,percent of total billed charges,480.37,percent of total billed charges,480.37,percent of total billed charges,,,432.33,percent of total billed charges ,,,480.37,percent of total billed charges ,474.36,percent of total billed charges ,474.36,percent of total billed charges ,510.39,percent of total billed charges ,510.39,percent of total billed charges ,480.37,percent of total billed charges ,480.37,percent of total billed charges ,420.32,percent of total billed charges ,420.32,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 ,,,,,319.44,percent of total billed charges ,,,,,303.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,138.11,percent of total billed charges,,,138.11,percent of total billed charges,,,138.11,percent of total billed charges,,,138.11,percent of total billed charges,,,138.11,percent of total billed charges,,,138.11,percent of total billed charges,,,138.11,percent of total billed charges,,,138.11,percent of total billed charges,,,138.11,percent of total billed charges,,,138.11,percent of total billed charges,,,138.11,percent of total billed charges,
PROTHROMBIN COMPLEX CONC : PER 500 UNIT,J7168,CDM,,,,both,1,each,"5,817.00","5,817.00","1,337.91","5,817.00","5,817.00",percent of total billed charges,"5,817.00",percent of total billed charges,"5,817.00",percent of total billed charges,"5,817.00",percent of total billed charges,"5,817.00",percent of total billed charges,"5,817.00",percent of total billed charges,"5,817.00",percent of total billed charges,"5,817.00",percent of total billed charges,"4,188.24",percent of total billed charges,"4,188.24",percent of total billed charges,"4,188.24",percent of total billed charges,"4,188.24",percent of total billed charges,"4,188.24",percent of total billed charges,"4,188.24",percent of total billed charges,"4,595.43",percent of total billed charges,"4,595.43",percent of total billed charges,"4,653.60",percent of total billed charges,"4,653.60",percent of total billed charges,,,"4,188.24",percent of total billed charges ,,,"4,653.60",percent of total billed charges ,"4,595.43",percent of total billed charges ,"4,595.43",percent of total billed charges ,"4,944.45",percent of total billed charges ,"4,944.45",percent of total billed charges ,"4,653.60",percent of total billed charges ,"4,653.60",percent of total billed charges ,"4,071.90",percent of total billed charges ,"4,071.90",percent of total billed charges ,"3,490.20",percent of total billed charges ,"3,490.20",percent of total billed charges ,"3,490.20",percent of total billed charges ,"3,490.20",percent of total billed charges ,,,,,"3,094.64",percent of total billed charges ,,,,,"2,939.91",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,337.91",percent of total billed charges,,,"1,337.91",percent of total billed charges,,,"1,337.91",percent of total billed charges,,,"1,337.91",percent of total billed charges,,,"1,337.91",percent of total billed charges,,,"1,337.91",percent of total billed charges,,,"1,337.91",percent of total billed charges,,,"1,337.91",percent of total billed charges,,,"1,337.91",percent of total billed charges,,,"1,337.91",percent of total billed charges,,,"1,337.91",percent of total billed charges,
romosozumab-aqqg (EVENITY) INJ : 210MG,J3111,CDM,,,,both,2,each,"16,904.78","16,904.78","3,888.10","16,904.78","16,904.78",percent of total billed charges,"16,904.78",percent of total billed charges,"16,904.78",percent of total billed charges,"16,904.78",percent of total billed charges,"16,904.78",percent of total billed charges,"16,904.78",percent of total billed charges,"16,904.78",percent of total billed charges,"16,904.78",percent of total billed charges,"12,171.44",percent of total billed charges,"12,171.44",percent of total billed charges,"12,171.44",percent of total billed charges,"12,171.44",percent of total billed charges,"12,171.44",percent of total billed charges,"12,171.44",percent of total billed charges,"13,354.78",percent of total billed charges,"13,354.78",percent of total billed charges,"13,523.82",percent of total billed charges,"13,523.82",percent of total billed charges,,,"12,171.44",percent of total billed charges ,,,"13,523.82",percent of total billed charges ,"13,354.78",percent of total billed charges ,"13,354.78",percent of total billed charges ,"14,369.06",percent of total billed charges ,"14,369.06",percent of total billed charges ,"13,523.82",percent of total billed charges ,"13,523.82",percent of total billed charges ,"11,833.35",percent of total billed charges ,"11,833.35",percent of total billed charges ,"10,142.87",percent of total billed charges ,"10,142.87",percent of total billed charges ,"10,142.87",percent of total billed charges ,"10,142.87",percent of total billed charges ,,,,,"8,993.34",percent of total billed charges ,,,,,"8,543.68",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,888.10",percent of total billed charges,,,"3,888.10",percent of total billed charges,,,"3,888.10",percent of total billed charges,,,"3,888.10",percent of total billed charges,,,"3,888.10",percent of total billed charges,,,"3,888.10",percent of total billed charges,,,"3,888.10",percent of total billed charges,,,"3,888.10",percent of total billed charges,,,"3,888.10",percent of total billed charges,,,"3,888.10",percent of total billed charges,,,"3,888.10",percent of total billed charges,
DEXTROSE 10% INJ 250ML BAG,258,RC,00338-00-2302,NDC,,both,1,each,31.89,31.89,7.33,31.89,31.89,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,25.19,percent of total billed charges,25.19,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 ,25.19,percent of total billed charges ,25.19,percent of total billed charges ,27.11,percent of total billed charges ,27.11,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 ,,,,,,,,,,,,,,,,,,,7.33,percent of total billed charges,,,7.33,percent of total billed charges,,,7.33,percent of total billed charges,,,7.33,percent of total billed charges,,,7.33,percent of total billed charges,,,7.33,percent of total billed charges,,,7.33,percent of total billed charges,,,7.33,percent of total billed charges,,,7.33,percent of total billed charges,,,7.33,percent of total billed charges,,,7.33,percent of total billed charges,
DROXIDOPA CAP : 300MG,250,RC,72205-00-7490,NDC,,both,1,each,8.63,8.63,1.98,8.63,8.63,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,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,6.21,percent of total billed charges,6.21,percent of total billed charges,6.21,percent of total billed charges,6.21,percent of total billed charges,6.21,percent of total billed charges,6.21,percent of total billed charges,6.82,percent of total billed charges,6.82,percent of total billed charges,6.9,percent of total billed charges,6.9,percent of total billed charges,,,6.21,percent of total billed charges ,,,6.9,percent of total billed charges ,6.82,percent of total billed charges ,6.82,percent of total billed charges ,7.34,percent of total billed charges ,7.34,percent of total billed charges ,6.9,percent of total billed charges ,6.9,percent of total billed charges ,6.04,percent of total billed charges ,6.04,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 ,,,,,4.59,percent of total billed charges ,,,,,4.36,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,,,1.98,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,
CINACALCET (SENSIPAR) TAB: 30MG,J0604,CDM,,,,both,1,each,2.41,2.41,0.55,2.41,2.41,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,1.9,percent of total billed charges,1.9,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 ,1.9,percent of total billed charges ,1.9,percent of total billed charges ,2.05,percent of total billed charges ,2.05,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 ,,,,,,,,,,,,,,,,,,,0.55,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,
RYTARY 23.75MG/95MG CAP,250,RC,64896-06-6101,NDC,,both,1,each,5.75,5.75,1.32,5.75,5.75,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,5.75,percent of total billed charges,5.75,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,4.54,percent of total billed charges,4.54,percent of total billed charges,4.6,percent of total billed charges,4.6,percent of total billed charges,,,4.14,percent of total billed charges ,,,4.6,percent of total billed charges ,4.54,percent of total billed charges ,4.54,percent of total billed charges ,4.89,percent of total billed charges ,4.89,percent of total billed charges ,4.6,percent of total billed charges ,4.6,percent of total billed charges ,4.03,percent of total billed charges ,4.03,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 ,,,,,3.06,percent of total billed charges ,,,,,2.91,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,
RISANKIZUMAB-RZAA (SKYRIZI) INJ : 600MG,J2327,CDM,,,,both,1,each,"45,133.85","45,133.85","10,380.79","45,133.85","45,133.85",percent of total billed charges,"45,133.85",percent of total billed charges,"45,133.85",percent of total billed charges,"45,133.85",percent of total billed charges,"45,133.85",percent of total billed charges,"45,133.85",percent of total billed charges,"45,133.85",percent of total billed charges,"45,133.85",percent of total billed charges,"32,496.37",percent of total billed charges,"32,496.37",percent of total billed charges,"32,496.37",percent of total billed charges,"32,496.37",percent of total billed charges,"32,496.37",percent of total billed charges,"32,496.37",percent of total billed charges,"35,655.74",percent of total billed charges,"35,655.74",percent of total billed charges,"36,107.08",percent of total billed charges,"36,107.08",percent of total billed charges,,,"32,496.37",percent of total billed charges ,,,"36,107.08",percent of total billed charges ,"35,655.74",percent of total billed charges ,"35,655.74",percent of total billed charges ,"38,363.77",percent of total billed charges ,"38,363.77",percent of total billed charges ,"36,107.08",percent of total billed charges ,"36,107.08",percent of total billed charges ,"31,593.70",percent of total billed charges ,"31,593.70",percent of total billed charges ,"27,080.31",percent of total billed charges ,"27,080.31",percent of total billed charges ,"27,080.31",percent of total billed charges ,"27,080.31",percent of total billed charges ,,,,,"24,011.21",percent of total billed charges ,,,,,"22,810.65",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"10,380.79",percent of total billed charges,,,"10,380.79",percent of total billed charges,,,"10,380.79",percent of total billed charges,,,"10,380.79",percent of total billed charges,,,"10,380.79",percent of total billed charges,,,"10,380.79",percent of total billed charges,,,"10,380.79",percent of total billed charges,,,"10,380.79",percent of total billed charges,,,"10,380.79",percent of total billed charges,,,"10,380.79",percent of total billed charges,,,"10,380.79",percent of total billed charges,
INDAPAMIDE TAB : 1.25MG,250,RC,62559-05-1001,NDC,,both,1,each,0.5,0.5,0.12,0.5,0.5,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,0.4,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 ,,,0.4,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 ,0.4,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 ,,,,,,,,,,,,,,,,,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,,,0.12,percent of total billed charges,
VITAMIN A CAPSULES : 3000 MCG,250,RC,00904-20-8560,NDC,,both,1,each,0.25,0.25,0.06,0.25,0.25,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,0.18,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,0.2,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,,,0.18,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 ,0.21,percent of total billed charges ,0.21,percent of total billed charges ,0.2,percent of total billed charges ,0.2,percent of total billed charges ,0.18,percent of total billed charges ,0.18,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 ,,,,,0.13,percent of total billed charges ,,,,,0.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,,,0.06,percent of total billed charges,
FLUTIC FUROATE (ARNUITY) INH : 100MCG,250,RC,00173-08-7414,NDC,,both,,,339.12,339.12,78,339.12,339.12,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,339.12,percent of total billed charges,339.12,percent of total billed charges,244.17,percent of total billed charges,244.17,percent of total billed charges,244.17,percent of total billed charges,244.17,percent of total billed charges,244.17,percent of total billed charges,244.17,percent of total billed charges,267.9,percent of total billed charges,267.9,percent of total billed charges,271.3,percent of total billed charges,271.3,percent of total billed charges,,,244.17,percent of total billed charges ,,,271.3,percent of total billed charges ,267.9,percent of total billed charges ,267.9,percent of total billed charges ,288.25,percent of total billed charges ,288.25,percent of total billed charges ,271.3,percent of total billed charges ,271.3,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 ,,,,,,,,,,,,,,,,,,,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,,,78,percent of total billed charges,,,78,percent of total billed charges,,,78,percent of total billed charges,
MICONAZOLE POWDER : 2.5 OZ BOTTLE,250,RC,46122-04-4427,NDC,,both,1,each,46.8,46.8,10.76,46.8,46.8,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,46.8,percent of total billed charges,46.8,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,33.7,percent of total billed charges,33.7,percent of total billed charges,36.97,percent of total billed charges,36.97,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,,,33.7,percent of total billed charges ,,,37.44,percent of total billed charges ,36.97,percent of total billed charges ,36.97,percent of total billed charges ,39.78,percent of total billed charges ,39.78,percent of total billed charges ,37.44,percent of total billed charges ,37.44,percent of total billed charges ,32.76,percent of total billed charges ,32.76,percent of total billed charges ,28.08,percent of total billed charges ,28.08,percent of total billed charges ,28.08,percent of total billed charges ,28.08,percent of total billed charges ,,,,,24.9,percent of total billed charges ,,,,,23.65,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,,,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,
METHADONE 10MG/ML ORAL SOLUTION,250,RC,00527-19-2736,NDC,,both,1,each,379.37,379.37,87.26,379.37,379.37,percent of total billed charges,379.37,percent of total billed charges,379.37,percent of total billed charges,379.37,percent of total billed charges,379.37,percent of total billed charges,379.37,percent of total billed charges,379.37,percent of total billed charges,379.37,percent of total billed charges,273.15,percent of total billed charges,273.15,percent of total billed charges,273.15,percent of total billed charges,273.15,percent of total billed charges,273.15,percent of total billed charges,273.15,percent of total billed charges,299.7,percent of total billed charges,299.7,percent of total billed charges,303.5,percent of total billed charges,303.5,percent of total billed charges,,,273.15,percent of total billed charges ,,,303.5,percent of total billed charges ,299.7,percent of total billed charges ,299.7,percent of total billed charges ,322.46,percent of total billed charges ,322.46,percent of total billed charges ,303.5,percent of total billed charges ,303.5,percent of total billed charges ,265.56,percent of total billed charges ,265.56,percent of total billed charges ,227.62,percent of total billed charges ,227.62,percent of total billed charges ,227.62,percent of total billed charges ,227.62,percent of total billed charges ,,,,,201.82,percent of total billed charges ,,,,,191.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,87.26,percent of total billed charges,,,87.26,percent of total billed charges,,,87.26,percent of total billed charges,,,87.26,percent of total billed charges,,,87.26,percent of total billed charges,,,87.26,percent of total billed charges,,,87.26,percent of total billed charges,,,87.26,percent of total billed charges,,,87.26,percent of total billed charges,,,87.26,percent of total billed charges,,,87.26,percent of total billed charges,
MEROPENEM (MERREM) INJ : 2 GM,J2185,CDM,,,,both,1,each,405.5,405.5,93.27,405.5,405.5,percent of total billed charges,405.5,percent of total billed charges,405.5,percent of total billed charges,405.5,percent of total billed charges,405.5,percent of total billed charges,405.5,percent of total billed charges,405.5,percent of total billed charges,405.5,percent of total billed charges,291.96,percent of total billed charges,291.96,percent of total billed charges,291.96,percent of total billed charges,291.96,percent of total billed charges,291.96,percent of total billed charges,291.96,percent of total billed charges,320.35,percent of total billed charges,320.35,percent of total billed charges,324.4,percent of total billed charges,324.4,percent of total billed charges,,,291.96,percent of total billed charges ,,,324.4,percent of total billed charges ,320.35,percent of total billed charges ,320.35,percent of total billed charges ,344.68,percent of total billed charges ,344.68,percent of total billed charges ,324.4,percent of total billed charges ,324.4,percent of total billed charges ,283.85,percent of total billed charges ,283.85,percent of total billed charges ,243.3,percent of total billed charges ,243.3,percent of total billed charges ,243.3,percent of total billed charges ,243.3,percent of total billed charges ,,,,,215.73,percent of total billed charges ,,,,,204.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,93.27,percent of total billed charges,,,93.27,percent of total billed charges,,,93.27,percent of total billed charges,,,93.27,percent of total billed charges,,,93.27,percent of total billed charges,,,93.27,percent of total billed charges,,,93.27,percent of total billed charges,,,93.27,percent of total billed charges,,,93.27,percent of total billed charges,,,93.27,percent of total billed charges,,,93.27,percent of total billed charges,
CLINDAMYCIN (CLEOCIN) 600MG/D5W PREMIX,250,RC,00781-32-8909,NDC,,both,1,each,70.68,70.68,16.26,70.68,70.68,percent of total billed charges,70.68,percent of total billed charges,70.68,percent of total billed charges,70.68,percent of total billed charges,70.68,percent of total billed charges,70.68,percent of total billed charges,70.68,percent of total billed charges,70.68,percent of total billed charges,50.89,percent of total billed charges,50.89,percent of total billed charges,50.89,percent of total billed charges,50.89,percent of total billed charges,50.89,percent of total billed charges,50.89,percent of total billed charges,55.84,percent of total billed charges,55.84,percent of total billed charges,56.54,percent of total billed charges,56.54,percent of total billed charges,,,50.89,percent of total billed charges ,,,56.54,percent of total billed charges ,55.84,percent of total billed charges ,55.84,percent of total billed charges ,60.08,percent of total billed charges ,60.08,percent of total billed charges ,56.54,percent of total billed charges ,56.54,percent of total billed charges ,49.48,percent of total billed charges ,49.48,percent of total billed charges ,42.41,percent of total billed charges ,42.41,percent of total billed charges ,42.41,percent of total billed charges ,42.41,percent of total billed charges ,,,,,37.6,percent of total billed charges ,,,,,35.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.26,percent of total billed charges,,,16.26,percent of total billed charges,,,16.26,percent of total billed charges,,,16.26,percent of total billed charges,,,16.26,percent of total billed charges,,,16.26,percent of total billed charges,,,16.26,percent of total billed charges,,,16.26,percent of total billed charges,,,16.26,percent of total billed charges,,,16.26,percent of total billed charges,,,16.26,percent of total billed charges,
CLINDAMYCIN (CLEOCIN) 900MG/D5W PREMIX,250,RC,00338-38-1424,NDC,,both,1,each,191.04,191.04,43.94,191.04,191.04,percent of total billed charges,191.04,percent of total billed charges,191.04,percent of total billed charges,191.04,percent of total billed charges,191.04,percent of total billed charges,191.04,percent of total billed charges,191.04,percent of total billed charges,191.04,percent of total billed charges,137.55,percent of total billed charges,137.55,percent of total billed charges,137.55,percent of total billed charges,137.55,percent of total billed charges,137.55,percent of total billed charges,137.55,percent of total billed charges,150.92,percent of total billed charges,150.92,percent of total billed charges,152.83,percent of total billed charges,152.83,percent of total billed charges,,,137.55,percent of total billed charges ,,,152.83,percent of total billed charges ,150.92,percent of total billed charges ,150.92,percent of total billed charges ,162.38,percent of total billed charges ,162.38,percent of total billed charges ,152.83,percent of total billed charges ,152.83,percent of total billed charges ,133.73,percent of total billed charges ,133.73,percent of total billed charges ,114.62,percent of total billed charges ,114.62,percent of total billed charges ,114.62,percent of total billed charges ,114.62,percent of total billed charges ,,,,,101.63,percent of total billed charges ,,,,,96.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.94,percent of total billed charges,,,43.94,percent of total billed charges,,,43.94,percent of total billed charges,,,43.94,percent of total billed charges,,,43.94,percent of total billed charges,,,43.94,percent of total billed charges,,,43.94,percent of total billed charges,,,43.94,percent of total billed charges,,,43.94,percent of total billed charges,,,43.94,percent of total billed charges,,,43.94,percent of total billed charges,
DOBUTamine 250MG/IVPB 250ML IVPB,J1250,CDM,,,,both,250,each,89.8,89.8,20.65,89.8,89.8,percent of total billed charges,89.8,percent of total billed charges,89.8,percent of total billed charges,89.8,percent of total billed charges,89.8,percent of total billed charges,89.8,percent of total billed charges,89.8,percent of total billed charges,89.8,percent of total billed charges,64.66,percent of total billed charges,64.66,percent of total billed charges,64.66,percent of total billed charges,64.66,percent of total billed charges,64.66,percent of total billed charges,64.66,percent of total billed charges,70.94,percent of total billed charges,70.94,percent of total billed charges,71.84,percent of total billed charges,71.84,percent of total billed charges,,,64.66,percent of total billed charges ,,,71.84,percent of total billed charges ,70.94,percent of total billed charges ,70.94,percent of total billed charges ,76.33,percent of total billed charges ,76.33,percent of total billed charges ,71.84,percent of total billed charges ,71.84,percent of total billed charges ,62.86,percent of total billed charges ,62.86,percent of total billed charges ,53.88,percent of total billed charges ,53.88,percent of total billed charges ,53.88,percent of total billed charges ,53.88,percent of total billed charges ,,,,,47.77,percent of total billed charges ,,,,,45.38,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,,,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,,,20.65,percent of total billed charges,,,20.65,percent of total billed charges,,,20.65,percent of total billed charges,
INSULIN PREMIX (MYXREDLIN)100UNITS/100ML,258,RC,00338-01-2612,NDC,,both,1,each,46.85,46.85,10.78,46.85,46.85,percent of total billed charges,46.85,percent of total billed charges,46.85,percent of total billed charges,46.85,percent of total billed charges,46.85,percent of total billed charges,46.85,percent of total billed charges,46.85,percent of total billed charges,46.85,percent of total billed charges,33.73,percent of total billed charges,33.73,percent of total billed charges,33.73,percent of total billed charges,33.73,percent of total billed charges,33.73,percent of total billed charges,33.73,percent of total billed charges,37.01,percent of total billed charges,37.01,percent of total billed charges,37.48,percent of total billed charges,37.48,percent of total billed charges,,,33.73,percent of total billed charges ,,,37.48,percent of total billed charges ,37.01,percent of total billed charges ,37.01,percent of total billed charges ,39.82,percent of total billed charges ,39.82,percent of total billed charges ,37.48,percent of total billed charges ,37.48,percent of total billed charges ,32.8,percent of total billed charges ,32.8,percent of total billed charges ,28.11,percent of total billed charges ,28.11,percent of total billed charges ,28.11,percent of total billed charges ,28.11,percent of total billed charges ,,,,,24.92,percent of total billed charges ,,,,,23.68,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,,,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,,,10.78,percent of total billed charges,,,10.78,percent of total billed charges,,,10.78,percent of total billed charges,
LABETALOL HCL INJ :  5MG/ML VIAL,J3490,CDM,,,,both,1,each,119.36,119.36,27.45,119.36,119.36,percent of total billed charges,119.36,percent of total billed charges,119.36,percent of total billed charges,119.36,percent of total billed charges,119.36,percent of total billed charges,119.36,percent of total billed charges,119.36,percent of total billed charges,119.36,percent of total billed charges,85.94,percent of total billed charges,85.94,percent of total billed charges,85.94,percent of total billed charges,85.94,percent of total billed charges,85.94,percent of total billed charges,85.94,percent of total billed charges,94.29,percent of total billed charges,94.29,percent of total billed charges,95.49,percent of total billed charges,95.49,percent of total billed charges,,,85.94,percent of total billed charges ,,,95.49,percent of total billed charges ,94.29,percent of total billed charges ,94.29,percent of total billed charges ,101.46,percent of total billed charges ,101.46,percent of total billed charges ,95.49,percent of total billed charges ,95.49,percent of total billed charges ,83.55,percent of total billed charges ,83.55,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 ,,,,,63.5,percent of total billed charges ,,,,,60.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.45,percent of total billed charges,,,27.45,percent of total billed charges,,,27.45,percent of total billed charges,,,27.45,percent of total billed charges,,,27.45,percent of total billed charges,,,27.45,percent of total billed charges,,,27.45,percent of total billed charges,,,27.45,percent of total billed charges,,,27.45,percent of total billed charges,,,27.45,percent of total billed charges,,,27.45,percent of total billed charges,
**METHYLDOPATE HCL INJ DO NOT USE,J0210,CDM,,,,both,1,each,67,67,15.41,67,67,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,52.93,percent of total billed charges,52.93,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 ,52.93,percent of total billed charges ,52.93,percent of total billed charges ,56.95,percent of total billed charges ,56.95,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 ,,,,,,,,,,,,,,,,,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,
DEPO MethylPREDNISolone INJ 40MG/ML 1ML,J1030,CDM,,,,both,1,each,74.97,74.97,17.24,74.97,74.97,percent of total billed charges,74.97,percent of total billed charges,74.97,percent of total billed charges,74.97,percent of total billed charges,74.97,percent of total billed charges,74.97,percent of total billed charges,74.97,percent of total billed charges,74.97,percent of total billed charges,53.98,percent of total billed charges,53.98,percent of total billed charges,53.98,percent of total billed charges,53.98,percent of total billed charges,53.98,percent of total billed charges,53.98,percent of total billed charges,59.23,percent of total billed charges,59.23,percent of total billed charges,59.98,percent of total billed charges,59.98,percent of total billed charges,,,53.98,percent of total billed charges ,,,59.98,percent of total billed charges ,59.23,percent of total billed charges ,59.23,percent of total billed charges ,63.72,percent of total billed charges ,63.72,percent of total billed charges ,59.98,percent of total billed charges ,59.98,percent of total billed charges ,52.48,percent of total billed charges ,52.48,percent of total billed charges ,44.98,percent of total billed charges ,44.98,percent of total billed charges ,44.98,percent of total billed charges ,44.98,percent of total billed charges ,,,,,39.88,percent of total billed charges ,,,,,37.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,17.24,percent of total billed charges,,,17.24,percent of total billed charges,,,17.24,percent of total billed charges,,,17.24,percent of total billed charges,,,17.24,percent of total billed charges,,,17.24,percent of total billed charges,,,17.24,percent of total billed charges,,,17.24,percent of total billed charges,,,17.24,percent of total billed charges,,,17.24,percent of total billed charges,,,17.24,percent of total billed charges,
DEPO MEDROL INJ: 80MG/ML  1ML,J1040,CDM,,,,both,1,each,107,107,24.61,107,107,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,84.53,percent of total billed charges,84.53,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 ,84.53,percent of total billed charges ,84.53,percent of total billed charges ,90.95,percent of total billed charges ,90.95,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 ,,,,,,,,,,,,,,,,,,,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,
HYSKON SOLN (DIAGNOSTIC AID : 100ML,250,RC,61563-02-3161,NDC,,both,1,each,150,150,34.5,150,150,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,118.5,percent of total billed charges,118.5,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 ,118.5,percent of total billed charges ,118.5,percent of total billed charges ,127.5,percent of total billed charges ,127.5,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 ,,,,,,,,,,,,,,,,,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,
**LORAZEPAM TABS  : 1MG  HOSPICE GENERIC,637,RC,00591-02-4101,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
**ACETAMINOPHEN-COD#3TAB: HOSPICE GEN,637,RC,63304-05-6201,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
GENTAMICIN INJ : 40MG/ML  20ML,J1580,CDM,,,,both,40,each,158,158,36.34,158,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,113.76,percent of total billed charges,113.76,percent of total billed charges,113.76,percent of total billed charges,113.76,percent of total billed charges,113.76,percent of total billed charges,113.76,percent of total billed charges,124.82,percent of total billed charges,124.82,percent of total billed charges,126.4,percent of total billed charges,126.4,percent of total billed charges,,,113.76,percent of total billed charges ,,,126.4,percent of total billed charges ,124.82,percent of total billed charges ,124.82,percent of total billed charges ,134.3,percent of total billed charges ,134.3,percent of total billed charges ,126.4,percent of total billed charges ,126.4,percent of total billed charges ,110.6,percent of total billed charges ,110.6,percent of total billed charges ,94.8,percent of total billed charges ,94.8,percent of total billed charges ,94.8,percent of total billed charges ,94.8,percent of total billed charges ,,,,,84.06,percent of total billed charges ,,,,,79.85,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,
CLAFORAN ADD VIAL : 1GM,J0698,CDM,,,,both,1,each,54,54,12.42,54,54,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,42.66,percent of total billed charges,42.66,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 ,42.66,percent of total billed charges ,42.66,percent of total billed charges ,45.9,percent of total billed charges ,45.9,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 ,,,,,,,,,,,,,,,,,,,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,,,12.42,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,
PENICILLIN G POTASSIUM INJ : 20 MU,250,RC,00364-29-0861,NDC,,both,1,each,32,32,7.36,32,32,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,25.28,percent of total billed charges,25.28,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 ,25.28,percent of total billed charges ,25.28,percent of total billed charges ,27.2,percent of total billed charges ,27.2,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 ,,,,,,,,,,,,,,,,,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,
PENICILLIN-G POTASSIUM INJ : 5 MIL UNITS,J2540,CDM,,,,both,1,each,76.56,76.56,17.61,76.56,76.56,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,60.48,percent of total billed charges,60.48,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 ,60.48,percent of total billed charges ,60.48,percent of total billed charges ,65.08,percent of total billed charges ,65.08,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 ,,,,,,,,,,,,,,,,,,,17.61,percent of total billed charges,,,17.61,percent of total billed charges,,,17.61,percent of total billed charges,,,17.61,percent of total billed charges,,,17.61,percent of total billed charges,,,17.61,percent of total billed charges,,,17.61,percent of total billed charges,,,17.61,percent of total billed charges,,,17.61,percent of total billed charges,,,17.61,percent of total billed charges,,,17.61,percent of total billed charges,
**PIPRCIL INJ DO NOT USE,250,RC,00206-38-7916,NDC,,both,1,each,93,93,21.39,93,93,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,73.47,percent of total billed charges,73.47,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 ,73.47,percent of total billed charges ,73.47,percent of total billed charges ,79.05,percent of total billed charges ,79.05,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 ,,,,,,,,,,,,,,,,,,,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,,,21.39,percent of total billed charges,,,21.39,percent of total billed charges,,,21.39,percent of total billed charges,
MORPHINE PCA : 1MG/ML  30ML,J2270,CDM,,,,both,,,129.15,129.15,29.7,129.15,129.15,percent of total billed charges,129.15,percent of total billed charges,129.15,percent of total billed charges,129.15,percent of total billed charges,129.15,percent of total billed charges,129.15,percent of total billed charges,129.15,percent of total billed charges,129.15,percent of total billed charges,92.99,percent of total billed charges,92.99,percent of total billed charges,92.99,percent of total billed charges,92.99,percent of total billed charges,92.99,percent of total billed charges,92.99,percent of total billed charges,102.03,percent of total billed charges,102.03,percent of total billed charges,103.32,percent of total billed charges,103.32,percent of total billed charges,,,92.99,percent of total billed charges ,,,103.32,percent of total billed charges ,102.03,percent of total billed charges ,102.03,percent of total billed charges ,109.78,percent of total billed charges ,109.78,percent of total billed charges ,103.32,percent of total billed charges ,103.32,percent of total billed charges ,90.41,percent of total billed charges ,90.41,percent of total billed charges ,77.49,percent of total billed charges ,77.49,percent of total billed charges ,77.49,percent of total billed charges ,77.49,percent of total billed charges ,,,,,68.71,percent of total billed charges ,,,,,65.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,29.7,percent of total billed charges,,,29.7,percent of total billed charges,,,29.7,percent of total billed charges,,,29.7,percent of total billed charges,,,29.7,percent of total billed charges,,,29.7,percent of total billed charges,,,29.7,percent of total billed charges,,,29.7,percent of total billed charges,,,29.7,percent of total billed charges,,,29.7,percent of total billed charges,,,29.7,percent of total billed charges,
PIPERACILLIN-TAZOB (ZOSYN) : 4.5GM,J2543,CDM,,,,both,1,each,64.49,64.49,14.83,64.49,64.49,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,46.43,percent of total billed charges,46.43,percent of total billed charges,46.43,percent of total billed charges,46.43,percent of total billed charges,46.43,percent of total billed charges,46.43,percent of total billed charges,50.95,percent of total billed charges,50.95,percent of total billed charges,51.59,percent of total billed charges,51.59,percent of total billed charges,,,46.43,percent of total billed charges ,,,51.59,percent of total billed charges ,50.95,percent of total billed charges ,50.95,percent of total billed charges ,54.82,percent of total billed charges ,54.82,percent of total billed charges ,51.59,percent of total billed charges ,51.59,percent of total billed charges ,45.14,percent of total billed charges ,45.14,percent of total billed charges ,38.69,percent of total billed charges ,38.69,percent of total billed charges ,38.69,percent of total billed charges ,38.69,percent of total billed charges ,,,,,34.31,percent of total billed charges ,,,,,32.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.83,percent of total billed charges,,,14.83,percent of total billed charges,,,14.83,percent of total billed charges,,,14.83,percent of total billed charges,,,14.83,percent of total billed charges,,,14.83,percent of total billed charges,,,14.83,percent of total billed charges,,,14.83,percent of total billed charges,,,14.83,percent of total billed charges,,,14.83,percent of total billed charges,,,14.83,percent of total billed charges,
INFLUENZA VACCINE QUADIVALENT  0.5ML,90686,CDM,,,,both,0.5,each,33,33,7.59,33,33,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,26.07,percent of total billed charges,26.07,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 ,26.07,percent of total billed charges ,26.07,percent of total billed charges ,28.05,percent of total billed charges ,28.05,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 ,,,,,,,,,,,,,,,,,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,
MORPHINE SULFATE INJ : 2 MG/ML,J2270,CDM,,,,both,1,each,40.44,40.44,9.3,40.44,40.44,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,31.95,percent of total billed charges,31.95,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 ,31.95,percent of total billed charges ,31.95,percent of total billed charges ,34.37,percent of total billed charges ,34.37,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 ,,,,,,,,,,,,,,,,,,,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,,,9.3,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,
AMPICILLIN (OMNIPEN-N) ADD INJ : 1GM,250,RC,00015-74-0489,NDC,,both,1,each,76,76,17.48,76,76,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,60.04,percent of total billed charges,60.04,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 ,60.04,percent of total billed charges ,60.04,percent of total billed charges ,64.6,percent of total billed charges ,64.6,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 ,,,,,,,,,,,,,,,,,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,
BETAMETHASONE 0.05% OINT : 45GM,637,RC,00168-00-5646,NDC,,both,1,each,429.63,429.63,98.81,429.63,429.63,percent of total billed charges,429.63,percent of total billed charges,429.63,percent of total billed charges,429.63,percent of total billed charges,429.63,percent of total billed charges,429.63,percent of total billed charges,429.63,percent of total billed charges,429.63,percent of total billed charges,309.33,percent of total billed charges,309.33,percent of total billed charges,309.33,percent of total billed charges,309.33,percent of total billed charges,309.33,percent of total billed charges,309.33,percent of total billed charges,339.41,percent of total billed charges,339.41,percent of total billed charges,343.7,percent of total billed charges,343.7,percent of total billed charges,,,309.33,percent of total billed charges ,,,343.7,percent of total billed charges ,339.41,percent of total billed charges ,339.41,percent of total billed charges ,365.19,percent of total billed charges ,365.19,percent of total billed charges ,343.7,percent of total billed charges ,343.7,percent of total billed charges ,300.74,percent of total billed charges ,300.74,percent of total billed charges ,257.78,percent of total billed charges ,257.78,percent of total billed charges ,257.78,percent of total billed charges ,257.78,percent of total billed charges ,,,,,228.56,percent of total billed charges ,,,,,217.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,98.81,percent of total billed charges,,,98.81,percent of total billed charges,,,98.81,percent of total billed charges,,,98.81,percent of total billed charges,,,98.81,percent of total billed charges,,,98.81,percent of total billed charges,,,98.81,percent of total billed charges,,,98.81,percent of total billed charges,,,98.81,percent of total billed charges,,,98.81,percent of total billed charges,,,98.81,percent of total billed charges,
MUPIROCIN (BACTROBAN) CREAM 2% 15GM,637,RC,68462-05-6417,NDC,,both,1,each,414.23,414.23,95.27,414.23,414.23,percent of total billed charges,414.23,percent of total billed charges,414.23,percent of total billed charges,414.23,percent of total billed charges,414.23,percent of total billed charges,414.23,percent of total billed charges,414.23,percent of total billed charges,414.23,percent of total billed charges,298.25,percent of total billed charges,298.25,percent of total billed charges,298.25,percent of total billed charges,298.25,percent of total billed charges,298.25,percent of total billed charges,298.25,percent of total billed charges,327.24,percent of total billed charges,327.24,percent of total billed charges,331.38,percent of total billed charges,331.38,percent of total billed charges,,,298.25,percent of total billed charges ,,,331.38,percent of total billed charges ,327.24,percent of total billed charges ,327.24,percent of total billed charges ,352.1,percent of total billed charges ,352.1,percent of total billed charges ,331.38,percent of total billed charges ,331.38,percent of total billed charges ,289.96,percent of total billed charges ,289.96,percent of total billed charges ,248.54,percent of total billed charges ,248.54,percent of total billed charges ,248.54,percent of total billed charges ,248.54,percent of total billed charges ,,,,,220.37,percent of total billed charges ,,,,,209.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,95.27,percent of total billed charges,,,95.27,percent of total billed charges,,,95.27,percent of total billed charges,,,95.27,percent of total billed charges,,,95.27,percent of total billed charges,,,95.27,percent of total billed charges,,,95.27,percent of total billed charges,,,95.27,percent of total billed charges,,,95.27,percent of total billed charges,,,95.27,percent of total billed charges,,,95.27,percent of total billed charges,
CAPSICUM 0.025% CRM : 60GM*,637,RC,59366-26-9206,NDC,,both,1,each,25,25,5.75,25,25,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,19.75,percent of total billed charges,19.75,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 ,19.75,percent of total billed charges ,19.75,percent of total billed charges ,21.25,percent of total billed charges ,21.25,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 ,,,,,,,,,,,,,,,,,,,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,,,5.75,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,
HYDROCORTISONE 1% OINT : 30GM,637,RC,00168-00-2031,NDC,,both,1,each,69.28,69.28,15.93,69.28,69.28,percent of total billed charges,69.28,percent of total billed charges,69.28,percent of total billed charges,69.28,percent of total billed charges,69.28,percent of total billed charges,69.28,percent of total billed charges,69.28,percent of total billed charges,69.28,percent of total billed charges,49.88,percent of total billed charges,49.88,percent of total billed charges,49.88,percent of total billed charges,49.88,percent of total billed charges,49.88,percent of total billed charges,49.88,percent of total billed charges,54.73,percent of total billed charges,54.73,percent of total billed charges,55.42,percent of total billed charges,55.42,percent of total billed charges,,,49.88,percent of total billed charges ,,,55.42,percent of total billed charges ,54.73,percent of total billed charges ,54.73,percent of total billed charges ,58.89,percent of total billed charges ,58.89,percent of total billed charges ,55.42,percent of total billed charges ,55.42,percent of total billed charges ,48.5,percent of total billed charges ,48.5,percent of total billed charges ,41.57,percent of total billed charges ,41.57,percent of total billed charges ,41.57,percent of total billed charges ,41.57,percent of total billed charges ,,,,,36.86,percent of total billed charges ,,,,,35.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.93,percent of total billed charges,,,15.93,percent of total billed charges,,,15.93,percent of total billed charges,,,15.93,percent of total billed charges,,,15.93,percent of total billed charges,,,15.93,percent of total billed charges,,,15.93,percent of total billed charges,,,15.93,percent of total billed charges,,,15.93,percent of total billed charges,,,15.93,percent of total billed charges,,,15.93,percent of total billed charges,
HYDROCORTISONE 2.5% CREAM : 30GM,637,RC,64980-03-2430,NDC,,both,1,each,33.16,33.16,7.63,33.16,33.16,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,33.16,percent of total billed charges,33.16,percent of total billed charges,23.88,percent of total billed charges,23.88,percent of total billed charges,23.88,percent of total billed charges,23.88,percent of total billed charges,23.88,percent of total billed charges,23.88,percent of total billed charges,26.2,percent of total billed charges,26.2,percent of total billed charges,26.53,percent of total billed charges,26.53,percent of total billed charges,,,23.88,percent of total billed charges ,,,26.53,percent of total billed charges ,26.2,percent of total billed charges ,26.2,percent of total billed charges ,28.19,percent of total billed charges ,28.19,percent of total billed charges ,26.53,percent of total billed charges ,26.53,percent of total billed charges ,23.21,percent of total billed charges ,23.21,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 ,,,,,17.64,percent of total billed charges ,,,,,16.76,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,
**BECONASE NASAL INHA 6.7GM DO NOT USE,637,RC,00173-04-6800,NDC,,both,1,each,105,105,24.15,105,105,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,82.95,percent of total billed charges,82.95,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 ,82.95,percent of total billed charges ,82.95,percent of total billed charges ,89.25,percent of total billed charges ,89.25,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 ,,,,,,,,,,,,,,,,,,,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,
OCUFLOX OPTH SOLN : 0.3%,637,RC,17478-07-1311,NDC,,both,1,each,91.51,91.51,21.05,91.51,91.51,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,91.51,percent of total billed charges,91.51,percent of total billed charges,65.89,percent of total billed charges,65.89,percent of total billed charges,65.89,percent of total billed charges,65.89,percent of total billed charges,65.89,percent of total billed charges,65.89,percent of total billed charges,72.29,percent of total billed charges,72.29,percent of total billed charges,73.21,percent of total billed charges,73.21,percent of total billed charges,,,65.89,percent of total billed charges ,,,73.21,percent of total billed charges ,72.29,percent of total billed charges ,72.29,percent of total billed charges ,77.78,percent of total billed charges ,77.78,percent of total billed charges ,73.21,percent of total billed charges ,73.21,percent of total billed charges ,64.06,percent of total billed charges ,64.06,percent of total billed charges ,54.91,percent of total billed charges ,54.91,percent of total billed charges ,54.91,percent of total billed charges ,54.91,percent of total billed charges ,,,,,48.68,percent of total billed charges ,,,,,46.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,21.05,percent of total billed charges,,,21.05,percent of total billed charges,,,21.05,percent of total billed charges,,,21.05,percent of total billed charges,,,21.05,percent of total billed charges,,,21.05,percent of total billed charges,,,21.05,percent of total billed charges,,,21.05,percent of total billed charges,,,21.05,percent of total billed charges,,,21.05,percent of total billed charges,,,21.05,percent of total billed charges,
FLUOR-OP 0.1% OPTH SOLN : 5ML,637,RC,58768-03-5805,NDC,,both,1,each,24,24,5.52,24,24,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,18.96,percent of total billed charges,18.96,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 ,18.96,percent of total billed charges ,18.96,percent of total billed charges ,20.4,percent of total billed charges ,20.4,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 ,,,,,,,,,,,,,,,,,,,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,
"EPOETIN INJ : 10,000 UN/ML",J0885,CDM,,,,both,1,each,483.61,483.61,111.23,483.61,483.61,percent of total billed charges,483.61,percent of total billed charges,483.61,percent of total billed charges,483.61,percent of total billed charges,483.61,percent of total billed charges,483.61,percent of total billed charges,483.61,percent of total billed charges,483.61,percent of total billed charges,348.2,percent of total billed charges,348.2,percent of total billed charges,348.2,percent of total billed charges,348.2,percent of total billed charges,348.2,percent of total billed charges,348.2,percent of total billed charges,382.05,percent of total billed charges,382.05,percent of total billed charges,386.89,percent of total billed charges,386.89,percent of total billed charges,,,348.2,percent of total billed charges ,,,386.89,percent of total billed charges ,382.05,percent of total billed charges ,382.05,percent of total billed charges ,411.07,percent of total billed charges ,411.07,percent of total billed charges ,386.89,percent of total billed charges ,386.89,percent of total billed charges ,338.53,percent of total billed charges ,338.53,percent of total billed charges ,290.17,percent of total billed charges ,290.17,percent of total billed charges ,290.17,percent of total billed charges ,290.17,percent of total billed charges ,,,,,257.28,percent of total billed charges ,,,,,244.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,111.23,percent of total billed charges,,,111.23,percent of total billed charges,,,111.23,percent of total billed charges,,,111.23,percent of total billed charges,,,111.23,percent of total billed charges,,,111.23,percent of total billed charges,,,111.23,percent of total billed charges,,,111.23,percent of total billed charges,,,111.23,percent of total billed charges,,,111.23,percent of total billed charges,,,111.23,percent of total billed charges,
"EPOETIN INJ : 20,000 UN/ML",J0885,CDM,,,,both,1,each,814.63,814.63,187.36,814.63,814.63,percent of total billed charges,814.63,percent of total billed charges,814.63,percent of total billed charges,814.63,percent of total billed charges,814.63,percent of total billed charges,814.63,percent of total billed charges,814.63,percent of total billed charges,814.63,percent of total billed charges,586.53,percent of total billed charges,586.53,percent of total billed charges,586.53,percent of total billed charges,586.53,percent of total billed charges,586.53,percent of total billed charges,586.53,percent of total billed charges,643.56,percent of total billed charges,643.56,percent of total billed charges,651.7,percent of total billed charges,651.7,percent of total billed charges,,,586.53,percent of total billed charges ,,,651.7,percent of total billed charges ,643.56,percent of total billed charges ,643.56,percent of total billed charges ,692.44,percent of total billed charges ,692.44,percent of total billed charges ,651.7,percent of total billed charges ,651.7,percent of total billed charges ,570.24,percent of total billed charges ,570.24,percent of total billed charges ,488.78,percent of total billed charges ,488.78,percent of total billed charges ,488.78,percent of total billed charges ,488.78,percent of total billed charges ,,,,,433.38,percent of total billed charges ,,,,,411.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,187.36,percent of total billed charges,,,187.36,percent of total billed charges,,,187.36,percent of total billed charges,,,187.36,percent of total billed charges,,,187.36,percent of total billed charges,,,187.36,percent of total billed charges,,,187.36,percent of total billed charges,,,187.36,percent of total billed charges,,,187.36,percent of total billed charges,,,187.36,percent of total billed charges,,,187.36,percent of total billed charges,
**PRED MILD 0.12% OPTH SUS 5ML DO NOT US,637,RC,11980-01-7405,NDC,,both,1,each,54,54,12.42,54,54,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,42.66,percent of total billed charges,42.66,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 ,42.66,percent of total billed charges ,42.66,percent of total billed charges ,45.9,percent of total billed charges ,45.9,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 ,,,,,,,,,,,,,,,,,,,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,,,12.42,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,
EYE WASH SOLN STERILE : 120ML,250,RC,00536-12-2497,NDC,,both,1,each,14.31,14.31,3.29,14.31,14.31,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,10.3,percent of total billed charges,10.3,percent of total billed charges,10.3,percent of total billed charges,10.3,percent of total billed charges,10.3,percent of total billed charges,10.3,percent of total billed charges,11.3,percent of total billed charges,11.3,percent of total billed charges,11.45,percent of total billed charges,11.45,percent of total billed charges,,,10.3,percent of total billed charges ,,,11.45,percent of total billed charges ,11.3,percent of total billed charges ,11.3,percent of total billed charges ,12.16,percent of total billed charges ,12.16,percent of total billed charges ,11.45,percent of total billed charges ,11.45,percent of total billed charges ,10.02,percent of total billed charges ,10.02,percent of total billed charges ,8.59,percent of total billed charges ,8.59,percent of total billed charges ,8.59,percent of total billed charges ,8.59,percent of total billed charges ,,,,,7.61,percent of total billed charges ,,,,,7.23,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,
FLUORESCEIN OPHT STRIPS,270,RC,17238-09-0030,NDC,,both,1,each,0.67,0.67,0.15,0.67,0.67,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,0.53,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 ,,,0.54,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 ,0.54,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 ,,,,,,,,,,,,,,,,,,,0.15,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,
FLUOCINONIDE (LIDEX) 0.05% OINT : 30GM,637,RC,51672-12-6401,NDC,,both,1,each,153,153,35.19,153,153,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,120.87,percent of total billed charges,120.87,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 ,120.87,percent of total billed charges ,120.87,percent of total billed charges ,130.05,percent of total billed charges ,130.05,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 ,,,,,,,,,,,,,,,,,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,
TRIAMCINOLONE 0.5% CREM : 15GM,637,RC,49158-01-4120,NDC,,both,1,each,11,11,2.53,11,11,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,8.69,percent of total billed charges,8.69,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 ,8.69,percent of total billed charges ,8.69,percent of total billed charges ,9.35,percent of total billed charges ,9.35,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 ,,,,,,,,,,,,,,,,,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,,,2.53,percent of total billed charges,
NYSTATIN CREAM : 15GM,637,RC,00832-04-6515,NDC,,both,1,each,45.68,45.68,10.51,45.68,45.68,percent of total billed charges,45.68,percent of total billed charges,45.68,percent of total billed charges,45.68,percent of total billed charges,45.68,percent of total billed charges,45.68,percent of total billed charges,45.68,percent of total billed charges,45.68,percent of total billed charges,32.89,percent of total billed charges,32.89,percent of total billed charges,32.89,percent of total billed charges,32.89,percent of total billed charges,32.89,percent of total billed charges,32.89,percent of total billed charges,36.09,percent of total billed charges,36.09,percent of total billed charges,36.54,percent of total billed charges,36.54,percent of total billed charges,,,32.89,percent of total billed charges ,,,36.54,percent of total billed charges ,36.09,percent of total billed charges ,36.09,percent of total billed charges ,38.83,percent of total billed charges ,38.83,percent of total billed charges ,36.54,percent of total billed charges ,36.54,percent of total billed charges ,31.98,percent of total billed charges ,31.98,percent of total billed charges ,27.41,percent of total billed charges ,27.41,percent of total billed charges ,27.41,percent of total billed charges ,27.41,percent of total billed charges ,,,,,24.3,percent of total billed charges ,,,,,23.09,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,,,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,
BACITRACIN OINT : 454GM,637,RC,49158-01-2216,NDC,,both,1,each,58,58,13.34,58,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,45.82,percent of total billed charges,45.82,percent of total billed charges,46.4,percent of total billed charges,46.4,percent of total billed charges,,,41.76,percent of total billed charges ,,,46.4,percent of total billed charges ,45.82,percent of total billed charges ,45.82,percent of total billed charges ,49.3,percent of total billed charges ,49.3,percent of total billed charges ,46.4,percent of total billed charges ,46.4,percent of total billed charges ,40.6,percent of total billed charges ,40.6,percent of total billed charges ,34.8,percent of total billed charges ,34.8,percent of total billed charges ,34.8,percent of total billed charges ,34.8,percent of total billed charges ,,,,,30.86,percent of total billed charges ,,,,,29.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,
LEVALBUTEROL (XOPENEX) INH SOLN  1.25MG,637,RC,76204-09-0001,NDC,,both,1,each,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
LEVALBUTEROL (XOPENEX) INHA SOLN 0.63MG,637,RC,00115-99-3178,NDC,,both,1,each,3.43,3.43,0.79,3.43,3.43,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,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,2.71,percent of total billed charges,2.71,percent of total billed charges,2.74,percent of total billed charges,2.74,percent of total billed charges,,,2.47,percent of total billed charges ,,,2.74,percent of total billed charges ,2.71,percent of total billed charges ,2.71,percent of total billed charges ,2.92,percent of total billed charges ,2.92,percent of total billed charges ,2.74,percent of total billed charges ,2.74,percent of total billed charges ,2.4,percent of total billed charges ,2.4,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 ,,,,,1.82,percent of total billed charges ,,,,,1.73,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,
**RANITIDINE.HCL TAB : 150MG HOSPICE GEN,637,RC,63304-07-4560,NDC,,both,1,each,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
INSULIN LANTUS (GLARGINE) : 100UN/ML,J1815,CDM,,,,both,1,each,224.21,224.21,51.57,224.21,224.21,percent of total billed charges,224.21,percent of total billed charges,224.21,percent of total billed charges,224.21,percent of total billed charges,224.21,percent of total billed charges,224.21,percent of total billed charges,224.21,percent of total billed charges,224.21,percent of total billed charges,161.43,percent of total billed charges,161.43,percent of total billed charges,161.43,percent of total billed charges,161.43,percent of total billed charges,161.43,percent of total billed charges,161.43,percent of total billed charges,177.13,percent of total billed charges,177.13,percent of total billed charges,179.37,percent of total billed charges,179.37,percent of total billed charges,,,161.43,percent of total billed charges ,,,179.37,percent of total billed charges ,177.13,percent of total billed charges ,177.13,percent of total billed charges ,190.58,percent of total billed charges ,190.58,percent of total billed charges ,179.37,percent of total billed charges ,179.37,percent of total billed charges ,156.95,percent of total billed charges ,156.95,percent of total billed charges ,134.53,percent of total billed charges ,134.53,percent of total billed charges ,134.53,percent of total billed charges ,134.53,percent of total billed charges ,,,,,119.28,percent of total billed charges ,,,,,113.32,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,,,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,
INSULIN HumaLOG (LISPRO) : 100UN/ML*,J1815,CDM,,,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
OMALIZUMAB (XOLAIR) 150MG INJ,J2357,CDM,,,,both,1,each,"11,075.92","11,075.92","2,547.46","11,075.92","11,075.92",percent of total billed charges,"11,075.92",percent of total billed charges,"11,075.92",percent of total billed charges,"11,075.92",percent of total billed charges,"11,075.92",percent of total billed charges,"11,075.92",percent of total billed charges,"11,075.92",percent of total billed charges,"11,075.92",percent of total billed charges,"7,974.66",percent of total billed charges,"7,974.66",percent of total billed charges,"7,974.66",percent of total billed charges,"7,974.66",percent of total billed charges,"7,974.66",percent of total billed charges,"7,974.66",percent of total billed charges,"8,749.98",percent of total billed charges,"8,749.98",percent of total billed charges,"8,860.74",percent of total billed charges,"8,860.74",percent of total billed charges,,,"7,974.66",percent of total billed charges ,,,"8,860.74",percent of total billed charges ,"8,749.98",percent of total billed charges ,"8,749.98",percent of total billed charges ,"9,414.53",percent of total billed charges ,"9,414.53",percent of total billed charges ,"8,860.74",percent of total billed charges ,"8,860.74",percent of total billed charges ,"7,753.14",percent of total billed charges ,"7,753.14",percent of total billed charges ,"6,645.55",percent of total billed charges ,"6,645.55",percent of total billed charges ,"6,645.55",percent of total billed charges ,"6,645.55",percent of total billed charges ,,,,,"5,892.39",percent of total billed charges ,,,,,"5,597.77",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,547.46",percent of total billed charges,,,"2,547.46",percent of total billed charges,,,"2,547.46",percent of total billed charges,,,"2,547.46",percent of total billed charges,,,"2,547.46",percent of total billed charges,,,"2,547.46",percent of total billed charges,,,"2,547.46",percent of total billed charges,,,"2,547.46",percent of total billed charges,,,"2,547.46",percent of total billed charges,,,"2,547.46",percent of total billed charges,,,"2,547.46",percent of total billed charges,
LAMINARIA CERVICAL DILATOR,250,RC,99999-99-9999,NDC,,both,1,each,93,93,21.39,93,93,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,73.47,percent of total billed charges,73.47,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 ,73.47,percent of total billed charges ,73.47,percent of total billed charges ,79.05,percent of total billed charges ,79.05,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 ,,,,,,,,,,,,,,,,,,,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,,,21.39,percent of total billed charges,,,21.39,percent of total billed charges,,,21.39,percent of total billed charges,
ANIDULAFUNGIN(ERAXIS) INJ: 100MG,J0348,CDM,,,,both,1,each,"1,722.00","1,722.00",396.06,"1,722.00","1,722.00",percent of total billed charges,"1,722.00",percent of total billed charges,"1,722.00",percent of total billed charges,"1,722.00",percent of total billed charges,"1,722.00",percent of total billed charges,"1,722.00",percent of total billed charges,"1,722.00",percent of total billed charges,"1,722.00",percent of total billed charges,"1,239.84",percent of total billed charges,"1,239.84",percent of total billed charges,"1,239.84",percent of total billed charges,"1,239.84",percent of total billed charges,"1,239.84",percent of total billed charges,"1,239.84",percent of total billed charges,"1,360.38",percent of total billed charges,"1,360.38",percent of total billed charges,"1,377.60",percent of total billed charges,"1,377.60",percent of total billed charges,,,"1,239.84",percent of total billed charges ,,,"1,377.60",percent of total billed charges ,"1,360.38",percent of total billed charges ,"1,360.38",percent of total billed charges ,"1,463.70",percent of total billed charges ,"1,463.70",percent of total billed charges ,"1,377.60",percent of total billed charges ,"1,377.60",percent of total billed charges ,"1,205.40",percent of total billed charges ,"1,205.40",percent of total billed charges ,"1,033.20",percent of total billed charges ,"1,033.20",percent of total billed charges ,"1,033.20",percent of total billed charges ,"1,033.20",percent of total billed charges ,,,,,916.1,percent of total billed charges ,,,,,870.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,396.06,percent of total billed charges,,,396.06,percent of total billed charges,,,396.06,percent of total billed charges,,,396.06,percent of total billed charges,,,396.06,percent of total billed charges,,,396.06,percent of total billed charges,,,396.06,percent of total billed charges,,,396.06,percent of total billed charges,,,396.06,percent of total billed charges,,,396.06,percent of total billed charges,,,396.06,percent of total billed charges,
PROLASTIN-C IV PWD FOR SOLN*,J0256,CDM,,,,both,1,each,4,4,0.92,4,4,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,3.16,percent of total billed charges,3.16,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 ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.4,percent of total billed charges ,3.4,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 ,,,,,,,,,,,,,,,,,,,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,
IV TPN TRACKER,Local ,Local ,,,,both,,,10,10,2.3,10,10,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,7.9,percent of total billed charges,7.9,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 ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,8.5,percent of total billed charges ,8.5,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 ,,,,,,,,,,,,,,,,,,,2.3,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,
PHY-DEBRIDEMENT OF NAIL,11720,CDM,,,,both,,,75,75,17.25,75,75,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,59.25,percent of total billed charges,59.25,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 ,59.25,percent of total billed charges ,59.25,percent of total billed charges ,63.75,percent of total billed charges ,63.75,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 ,,,,,,,,,,,,,,,,,,,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,,,17.25,percent of total billed charges,,,17.25,percent of total billed charges,,,17.25,percent of total billed charges,
ER-DEBRIDEMENT-ADDITIONAL 20 CM-BONE,11047,CDM,,,,both,,,"2,743.00","2,743.00",630.89,"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,"2,166.97",percent of total billed charges,"2,166.97",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 ,"2,166.97",percent of total billed charges ,"2,166.97",percent of total billed charges ,"2,331.55",percent of total billed charges ,"2,331.55",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 ,,,,,,,,,,,,,,,,,,,630.89,percent of total billed charges,,,630.89,percent of total billed charges,,,630.89,percent of total billed charges,,,630.89,percent of total billed charges,,,630.89,percent of total billed charges,,,630.89,percent of total billed charges,,,630.89,percent of total billed charges,,,630.89,percent of total billed charges,,,630.89,percent of total billed charges,,,630.89,percent of total billed charges,,,630.89,percent of total billed charges,
ER-REPAIR INTERMEDIATE F/E/E/N/L&M/MUC 2,12056,CDM,,,GF,both,,,"1,708.00","1,708.00",392.84,"1,708.00","1,708.00",percent of total billed charges,"1,708.00",percent of total billed charges,"1,708.00",percent of total billed charges,"1,708.00",percent of total billed charges,"1,708.00",percent of total billed charges,"1,708.00",percent of total billed charges,"1,708.00",percent of total billed charges,"1,708.00",percent of total billed charges,"1,229.76",percent of total billed charges,"1,229.76",percent of total billed charges,"1,229.76",percent of total billed charges,"1,229.76",percent of total billed charges,"1,229.76",percent of total billed charges,"1,229.76",percent of total billed charges,"1,349.32",percent of total billed charges,"1,349.32",percent of total billed charges,"1,366.40",percent of total billed charges,"1,366.40",percent of total billed charges,,,"1,229.76",percent of total billed charges ,,,"1,366.40",percent of total billed charges ,"1,349.32",percent of total billed charges ,"1,349.32",percent of total billed charges ,"1,451.80",percent of total billed charges ,"1,451.80",percent of total billed charges ,"1,366.40",percent of total billed charges ,"1,366.40",percent of total billed charges ,"1,195.60",percent of total billed charges ,"1,195.60",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 ,,,,,908.66,percent of total billed charges ,,,,,863.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,392.84,percent of total billed charges,,,392.84,percent of total billed charges,,,392.84,percent of total billed charges,,,392.84,percent of total billed charges,,,392.84,percent of total billed charges,,,392.84,percent of total billed charges,,,392.84,percent of total billed charges,,,392.84,percent of total billed charges,,,392.84,percent of total billed charges,,,392.84,percent of total billed charges,,,392.84,percent of total billed charges,
ER-ASPIRATION MAJ JOINT,20610,CDM,,,GF,both,,,"1,301.00","1,301.00",299.23,"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,"1,027.79",percent of total billed charges,"1,027.79",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 ,"1,027.79",percent of total billed charges ,"1,027.79",percent of total billed charges ,"1,105.85",percent of total billed charges ,"1,105.85",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 ,,,,,,,,,,,,,,,,,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,
ER-CERUMEN REMOVE BY INSTRUMENT,69210,CDM,,,GF,both,,,384,384,88.32,384,384,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,303.36,percent of total billed charges,303.36,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 ,303.36,percent of total billed charges ,303.36,percent of total billed charges ,326.4,percent of total billed charges ,326.4,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 ,,,,,,,,,,,,,,,,,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,
US GUIDE PICC W/O PORT >5 YEARS,36573,CDM,,,,both,,,"3,114.00","3,114.00",716.22,"3,114.00","3,114.00",percent of total billed charges,"3,114.00",percent of total billed charges,"3,114.00",percent of total billed charges,"3,114.00",percent of total billed charges,"3,114.00",percent of total billed charges,"3,114.00",percent of total billed charges,"3,114.00",percent of total billed charges,"3,114.00",percent of total billed charges,"2,242.08",percent of total billed charges,"2,242.08",percent of total billed charges,"2,242.08",percent of total billed charges,"2,242.08",percent of total billed charges,"2,242.08",percent of total billed charges,"2,242.08",percent of total billed charges,"2,460.06",percent of total billed charges,"2,460.06",percent of total billed charges,"2,491.20",percent of total billed charges,"2,491.20",percent of total billed charges,,,"2,242.08",percent of total billed charges ,,,"2,491.20",percent of total billed charges ,"2,460.06",percent of total billed charges ,"2,460.06",percent of total billed charges ,"2,646.90",percent of total billed charges ,"2,646.90",percent of total billed charges ,"2,491.20",percent of total billed charges ,"2,491.20",percent of total billed charges ,"2,179.80",percent of total billed charges ,"2,179.80",percent of total billed charges ,"1,868.40",percent of total billed charges ,"1,868.40",percent of total billed charges ,"1,868.40",percent of total billed charges ,"1,868.40",percent of total billed charges ,,,,,"1,656.65",percent of total billed charges ,,,,,"1,573.82",percent of total billed charges ,,,,,,,,,,,,,,,,,,,716.22,percent of total billed charges,,,716.22,percent of total billed charges,,,716.22,percent of total billed charges,,,716.22,percent of total billed charges,,,716.22,percent of total billed charges,,,716.22,percent of total billed charges,,,716.22,percent of total billed charges,,,716.22,percent of total billed charges,,,716.22,percent of total billed charges,,,716.22,percent of total billed charges,,,716.22,percent of total billed charges,
ER-INCISION & DRAINAGE-SCROTAL,55100,CDM,,,GF,both,,,"3,533.00","3,533.00",812.59,"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,"2,791.07",percent of total billed charges,"2,791.07",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 ,"2,791.07",percent of total billed charges ,"2,791.07",percent of total billed charges ,"3,003.05",percent of total billed charges ,"3,003.05",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 ,,,,,,,,,,,,,,,,,,,812.59,percent of total billed charges,,,812.59,percent of total billed charges,,,812.59,percent of total billed charges,,,812.59,percent of total billed charges,,,812.59,percent of total billed charges,,,812.59,percent of total billed charges,,,812.59,percent of total billed charges,,,812.59,percent of total billed charges,,,812.59,percent of total billed charges,,,812.59,percent of total billed charges,,,812.59,percent of total billed charges,
**ER-INTRAMUSCLAR INJ ANTIB DO NOT USE,96372,CDM,,,59,both,,,184,184,42.32,184,184,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,145.36,percent of total billed charges,145.36,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 ,145.36,percent of total billed charges ,145.36,percent of total billed charges ,156.4,percent of total billed charges ,156.4,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 ,,,,,,,,,,,,,,,,,,,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,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,
IV THERAPY UP TO 1 HR,96365,CDM,,,59,both,,,747,747,171.81,747,747,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,747,percent of total billed charges,747,percent of total billed charges,747,percent of total billed charges,537.84,percent of total billed charges,537.84,percent of total billed charges,537.84,percent of total billed charges,537.84,percent of total billed charges,537.84,percent of total billed charges,537.84,percent of total billed charges,590.13,percent of total billed charges,590.13,percent of total billed charges,597.6,percent of total billed charges,597.6,percent of total billed charges,,,537.84,percent of total billed charges ,,,597.6,percent of total billed charges ,590.13,percent of total billed charges ,590.13,percent of total billed charges ,634.95,percent of total billed charges ,634.95,percent of total billed charges ,597.6,percent of total billed charges ,597.6,percent of total billed charges ,522.9,percent of total billed charges ,522.9,percent of total billed charges ,448.2,percent of total billed charges ,448.2,percent of total billed charges ,448.2,percent of total billed charges ,448.2,percent of total billed charges ,,,,,397.4,percent of total billed charges ,,,,,377.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,
ER-THERA PROPH/DIAG INJ BY IV SINGLE,96374,CDM,,,59,both,,,385,385,88.55,385,385,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,304.15,percent of total billed charges,304.15,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 ,304.15,percent of total billed charges ,304.15,percent of total billed charges ,327.25,percent of total billed charges ,327.25,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 ,,,,,,,,,,,,,,,,,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,
PROS/ORTH MGMT SUBSEQUENT X15MIN,97763,CDM,,,,both,,,182,182,41.86,182,182,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,143.78,percent of total billed charges,143.78,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 ,143.78,percent of total billed charges ,143.78,percent of total billed charges ,154.7,percent of total billed charges ,154.7,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 ,,,,,,,,,,,,,,,,,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,
ER-THERA PROPH/DIAG INJ BY SQ OR IM,96372,CDM,,,59,both,,,249,249,57.27,249,249,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,196.71,percent of total billed charges,196.71,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 ,196.71,percent of total billed charges ,196.71,percent of total billed charges ,211.65,percent of total billed charges ,211.65,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 ,,,,,,,,,,,,,,,,,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,
**ER-DEBRIDE/FULL,Local ,Local ,,,,both,,,109,109,25.07,109,109,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,86.11,percent of total billed charges,86.11,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 ,86.11,percent of total billed charges ,86.11,percent of total billed charges ,92.65,percent of total billed charges ,92.65,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 ,,,,,,,,,,,,,,,,,,,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,
**ER-DEBRIDE/UP TO 10%,Local ,Local ,,,,both,,,109,109,25.07,109,109,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,86.11,percent of total billed charges,86.11,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 ,86.11,percent of total billed charges ,86.11,percent of total billed charges ,92.65,percent of total billed charges ,92.65,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 ,,,,,,,,,,,,,,,,,,,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,
**CAST HEEL DO NOT USE,Local ,Local ,,,,both,,,53,53,12.19,53,53,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,41.87,percent of total billed charges,41.87,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 ,41.87,percent of total billed charges ,41.87,percent of total billed charges ,45.05,percent of total billed charges ,45.05,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 ,,,,,,,,,,,,,,,,,,,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,
**FIBERGLASS 4,Local ,Local ,,,,both,,,148,148,34.04,148,148,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,116.92,percent of total billed charges,116.92,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 ,116.92,percent of total billed charges ,116.92,percent of total billed charges ,125.8,percent of total billed charges ,125.8,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 ,,,,,,,,,,,,,,,,,,,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,,,34.04,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,
**FIBERGLASS 2,Local ,Local ,,,,both,,,96,96,22.08,96,96,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,75.84,percent of total billed charges,75.84,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 ,75.84,percent of total billed charges ,75.84,percent of total billed charges ,81.6,percent of total billed charges ,81.6,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 ,,,,,,,,,,,,,,,,,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,
**CAST HEEL DO NOT USE,Local ,Local ,,,,both,,,53,53,12.19,53,53,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,41.87,percent of total billed charges,41.87,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 ,41.87,percent of total billed charges ,41.87,percent of total billed charges ,45.05,percent of total billed charges ,45.05,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 ,,,,,,,,,,,,,,,,,,,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,
CULTURE STREP SCREEN,87077,CDM,,,,both,,,145,145,33.35,145,145,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,114.55,percent of total billed charges,114.55,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 ,114.55,percent of total billed charges ,114.55,percent of total billed charges ,123.25,percent of total billed charges ,123.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,33.35,percent of total billed charges,,,33.35,percent of total billed charges,,,33.35,percent of total billed charges,
**BLOOD ADMINISTRATION DO NOT USE,36430,CDM,,,GF,both,,,"1,460.00","1,460.00",335.8,"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,"1,153.40",percent of total billed charges,"1,153.40",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 ,"1,153.40",percent of total billed charges ,"1,153.40",percent of total billed charges ,"1,241.00",percent of total billed charges ,"1,241.00",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 ,,,,,,,,,,,,,,,,,,,335.8,percent of total billed charges,,,335.8,percent of total billed charges,,,335.8,percent of total billed charges,,,335.8,percent of total billed charges,,,335.8,percent of total billed charges,,,335.8,percent of total billed charges,,,335.8,percent of total billed charges,,,335.8,percent of total billed charges,,,335.8,percent of total billed charges,,,335.8,percent of total billed charges,,,335.8,percent of total billed charges,
NEBULIZER TREATMENT,94640,CDM,,,76,both,,,262,262,60.26,262,262,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,206.98,percent of total billed charges,206.98,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 ,206.98,percent of total billed charges ,206.98,percent of total billed charges ,222.7,percent of total billed charges ,222.7,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,60.26,percent of total billed charges,,,60.26,percent of total billed charges,,,60.26,percent of total billed charges,
**ER-TEMP TRANS PACING DO NOT USE,92953,CDM,,,,both,,,"1,201.00","1,201.00",276.23,"1,201.00","1,201.00",percent of total billed charges,"1,201.00",percent of total billed charges,"1,201.00",percent of total billed charges,"1,201.00",percent of total billed charges,"1,201.00",percent of total billed charges,"1,201.00",percent of total billed charges,"1,201.00",percent of total billed charges,"1,201.00",percent of total billed charges,864.72,percent of total billed charges,864.72,percent of total billed charges,864.72,percent of total billed charges,864.72,percent of total billed charges,864.72,percent of total billed charges,864.72,percent of total billed charges,948.79,percent of total billed charges,948.79,percent of total billed charges,960.8,percent of total billed charges,960.8,percent of total billed charges,,,864.72,percent of total billed charges ,,,960.8,percent of total billed charges ,948.79,percent of total billed charges ,948.79,percent of total billed charges ,"1,020.85",percent of total billed charges ,"1,020.85",percent of total billed charges ,960.8,percent of total billed charges ,960.8,percent of total billed charges ,840.7,percent of total billed charges ,840.7,percent of total billed charges ,720.6,percent of total billed charges ,720.6,percent of total billed charges ,720.6,percent of total billed charges ,720.6,percent of total billed charges ,,,,,638.93,percent of total billed charges ,,,,,606.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,276.23,percent of total billed charges,,,276.23,percent of total billed charges,,,276.23,percent of total billed charges,,,276.23,percent of total billed charges,,,276.23,percent of total billed charges,,,276.23,percent of total billed charges,,,276.23,percent of total billed charges,,,276.23,percent of total billed charges,,,276.23,percent of total billed charges,,,276.23,percent of total billed charges,,,276.23,percent of total billed charges,
**ER-MANIPFINGER/OPEN DO NOT USE,Local ,Local ,,,,both,,,374,374,86.02,374,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,269.28,percent of total billed charges,269.28,percent of total billed charges,269.28,percent of total billed charges,269.28,percent of total billed charges,269.28,percent of total billed charges,269.28,percent of total billed charges,295.46,percent of total billed charges,295.46,percent of total billed charges,299.2,percent of total billed charges,299.2,percent of total billed charges,,,269.28,percent of total billed charges ,,,299.2,percent of total billed charges ,295.46,percent of total billed charges ,295.46,percent of total billed charges ,317.9,percent of total billed charges ,317.9,percent of total billed charges ,299.2,percent of total billed charges ,299.2,percent of total billed charges ,261.8,percent of total billed charges ,261.8,percent of total billed charges ,224.4,percent of total billed charges ,224.4,percent of total billed charges ,224.4,percent of total billed charges ,224.4,percent of total billed charges ,,,,,198.97,percent of total billed charges ,,,,,189.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,
ER-CARDIO RESUSCITATION,92950,CDM,,,GF,both,,,"1,356.00","1,356.00",311.88,"1,356.00","1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,976.32,percent of total billed charges,976.32,percent of total billed charges,976.32,percent of total billed charges,976.32,percent of total billed charges,976.32,percent of total billed charges,976.32,percent of total billed charges,"1,071.24",percent of total billed charges,"1,071.24",percent of total billed charges,"1,084.80",percent of total billed charges,"1,084.80",percent of total billed charges,,,976.32,percent of total billed charges ,,,"1,084.80",percent of total billed charges ,"1,071.24",percent of total billed charges ,"1,071.24",percent of total billed charges ,"1,152.60",percent of total billed charges ,"1,152.60",percent of total billed charges ,"1,084.80",percent of total billed charges ,"1,084.80",percent of total billed charges ,949.2,percent of total billed charges ,949.2,percent of total billed charges ,813.6,percent of total billed charges ,813.6,percent of total billed charges ,813.6,percent of total billed charges ,813.6,percent of total billed charges ,,,,,721.39,percent of total billed charges ,,,,,685.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,
**ER-MANIP KNEE/CLOSED,27550,CDM,,,,both,,,348,348,80.04,348,348,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,274.92,percent of total billed charges,274.92,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 ,274.92,percent of total billed charges ,274.92,percent of total billed charges ,295.8,percent of total billed charges ,295.8,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 ,,,,,,,,,,,,,,,,,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,
ER-MANIP SHOULDER/CLOSE,23545,CDM,,,,both,,,348,348,80.04,348,348,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,274.92,percent of total billed charges,274.92,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 ,274.92,percent of total billed charges ,274.92,percent of total billed charges ,295.8,percent of total billed charges ,295.8,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 ,,,,,,,,,,,,,,,,,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,
**PACEMAKER/EXTERNAL DO NOT USE,92960,CDM,,,,both,,,"1,459.00","1,459.00",335.57,"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,"1,152.61",percent of total billed charges,"1,152.61",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 ,"1,152.61",percent of total billed charges ,"1,152.61",percent of total billed charges ,"1,240.15",percent of total billed charges ,"1,240.15",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 ,,,,,,,,,,,,,,,,,,,335.57,percent of total billed charges,,,335.57,percent of total billed charges,,,335.57,percent of total billed charges,,,335.57,percent of total billed charges,,,335.57,percent of total billed charges,,,335.57,percent of total billed charges,,,335.57,percent of total billed charges,,,335.57,percent of total billed charges,,,335.57,percent of total billed charges,,,335.57,percent of total billed charges,,,335.57,percent of total billed charges,
ER-APP SHORT ARM SPLINT,29125,CDM,,,GF,both,,,514,514,118.22,514,514,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,406.06,percent of total billed charges,406.06,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 ,406.06,percent of total billed charges ,406.06,percent of total billed charges ,436.9,percent of total billed charges ,436.9,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 ,,,,,,,,,,,,,,,,,,,118.22,percent of total billed charges,,,118.22,percent of total billed charges,,,118.22,percent of total billed charges,,,118.22,percent of total billed charges,,,118.22,percent of total billed charges,,,118.22,percent of total billed charges,,,118.22,percent of total billed charges,,,118.22,percent of total billed charges,,,118.22,percent of total billed charges,,,118.22,percent of total billed charges,,,118.22,percent of total billed charges,
ER-APP FINGER SPLINT,29130,CDM,,,GF,both,,,438,438,100.74,438,438,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,346.02,percent of total billed charges,346.02,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 ,346.02,percent of total billed charges ,346.02,percent of total billed charges ,372.3,percent of total billed charges ,372.3,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 ,,,,,,,,,,,,,,,,,,,100.74,percent of total billed charges,,,100.74,percent of total billed charges,,,100.74,percent of total billed charges,,,100.74,percent of total billed charges,,,100.74,percent of total billed charges,,,100.74,percent of total billed charges,,,100.74,percent of total billed charges,,,100.74,percent of total billed charges,,,100.74,percent of total billed charges,,,100.74,percent of total billed charges,,,100.74,percent of total billed charges,
**ER-EXPLORATION/WOUND DO NOT USE,Local ,Local ,,,,both,,,"1,003.00","1,003.00",230.69,"1,003.00","1,003.00",percent of total billed charges,"1,003.00",percent of total billed charges,"1,003.00",percent of total billed charges,"1,003.00",percent of total billed charges,"1,003.00",percent of total billed charges,"1,003.00",percent of total billed charges,"1,003.00",percent of total billed charges,"1,003.00",percent of total billed charges,722.16,percent of total billed charges,722.16,percent of total billed charges,722.16,percent of total billed charges,722.16,percent of total billed charges,722.16,percent of total billed charges,722.16,percent of total billed charges,792.37,percent of total billed charges,792.37,percent of total billed charges,802.4,percent of total billed charges,802.4,percent of total billed charges,,,722.16,percent of total billed charges ,,,802.4,percent of total billed charges ,792.37,percent of total billed charges ,792.37,percent of total billed charges ,852.55,percent of total billed charges ,852.55,percent of total billed charges ,802.4,percent of total billed charges ,802.4,percent of total billed charges ,702.1,percent of total billed charges ,702.1,percent of total billed charges ,601.8,percent of total billed charges ,601.8,percent of total billed charges ,601.8,percent of total billed charges ,601.8,percent of total billed charges ,,,,,533.6,percent of total billed charges ,,,,,506.92,percent of total billed charges ,,,,,,,,,,,,,,,,,,,230.69,percent of total billed charges,,,230.69,percent of total billed charges,,,230.69,percent of total billed charges,,,230.69,percent of total billed charges,,,230.69,percent of total billed charges,,,230.69,percent of total billed charges,,,230.69,percent of total billed charges,,,230.69,percent of total billed charges,,,230.69,percent of total billed charges,,,230.69,percent of total billed charges,,,230.69,percent of total billed charges,
ER-APP LONG ARM SPLINT,29105,CDM,,,GF,both,,,540,540,124.2,540,540,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,426.6,percent of total billed charges,426.6,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 ,426.6,percent of total billed charges ,426.6,percent of total billed charges ,459,percent of total billed charges ,459,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,124.2,percent of total billed charges,,,124.2,percent of total billed charges,,,124.2,percent of total billed charges,
ER-F/B REMOVAL NOSE,30300,CDM,,,GF,both,,,540,540,124.2,540,540,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,426.6,percent of total billed charges,426.6,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 ,426.6,percent of total billed charges ,426.6,percent of total billed charges ,459,percent of total billed charges ,459,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,124.2,percent of total billed charges,,,124.2,percent of total billed charges,,,124.2,percent of total billed charges,
**ER-NASAL POST PACK/MIN DO NOT USE,Local ,Local ,,,,both,,,682,682,156.86,682,682,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,538.78,percent of total billed charges,538.78,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 ,538.78,percent of total billed charges ,538.78,percent of total billed charges ,579.7,percent of total billed charges ,579.7,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 ,,,,,,,,,,,,,,,,,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,
**ER-IRRIGATION/EAR,69210,CDM,,,GF,both,,,384,384,88.32,384,384,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,303.36,percent of total billed charges,303.36,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 ,303.36,percent of total billed charges ,303.36,percent of total billed charges ,326.4,percent of total billed charges ,326.4,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 ,,,,,,,,,,,,,,,,,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,
ER-F/B REMOVAL EAR,69200,CDM,,,GF,both,,,324,324,74.52,324,324,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,255.96,percent of total billed charges,255.96,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 ,255.96,percent of total billed charges ,255.96,percent of total billed charges ,275.4,percent of total billed charges ,275.4,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**ER-LARYNGOVIEW DO NOT USE,Local ,Local ,,,,both,,,348,348,80.04,348,348,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,274.92,percent of total billed charges,274.92,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 ,274.92,percent of total billed charges ,274.92,percent of total billed charges ,295.8,percent of total billed charges ,295.8,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 ,,,,,,,,,,,,,,,,,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,
**ER-TRACHEOSTOMY PROC DO NOT USE,Local ,Local ,,,,both,,,"1,223.00","1,223.00",281.29,"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,966.17,percent of total billed charges,966.17,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 ,966.17,percent of total billed charges ,966.17,percent of total billed charges ,"1,039.55",percent of total billed charges ,"1,039.55",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 ,,,,,,,,,,,,,,,,,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,
ER-THORACENTESIS PROC W/O IMAGING GUIDAN,32554,CDM,,,,both,,,"1,456.00","1,456.00",334.88,"1,456.00","1,456.00",percent of total billed charges,"1,456.00",percent of total billed charges,"1,456.00",percent of total billed charges,"1,456.00",percent of total billed charges,"1,456.00",percent of total billed charges,"1,456.00",percent of total billed charges,"1,456.00",percent of total billed charges,"1,456.00",percent of total billed charges,"1,048.32",percent of total billed charges,"1,048.32",percent of total billed charges,"1,048.32",percent of total billed charges,"1,048.32",percent of total billed charges,"1,048.32",percent of total billed charges,"1,048.32",percent of total billed charges,"1,150.24",percent of total billed charges,"1,150.24",percent of total billed charges,"1,164.80",percent of total billed charges,"1,164.80",percent of total billed charges,,,"1,048.32",percent of total billed charges ,,,"1,164.80",percent of total billed charges ,"1,150.24",percent of total billed charges ,"1,150.24",percent of total billed charges ,"1,237.60",percent of total billed charges ,"1,237.60",percent of total billed charges ,"1,164.80",percent of total billed charges ,"1,164.80",percent of total billed charges ,"1,019.20",percent of total billed charges ,"1,019.20",percent of total billed charges ,873.6,percent of total billed charges ,873.6,percent of total billed charges ,873.6,percent of total billed charges ,873.6,percent of total billed charges ,,,,,774.59,percent of total billed charges ,,,,,735.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,334.88,percent of total billed charges,,,334.88,percent of total billed charges,,,334.88,percent of total billed charges,,,334.88,percent of total billed charges,,,334.88,percent of total billed charges,,,334.88,percent of total billed charges,,,334.88,percent of total billed charges,,,334.88,percent of total billed charges,,,334.88,percent of total billed charges,,,334.88,percent of total billed charges,,,334.88,percent of total billed charges,
**ER-THORACENTESIS PROC DO NOT USE,Local ,Local ,,,,both,,,"1,020.00","1,020.00",234.6,"1,020.00","1,020.00",percent of total billed charges,"1,020.00",percent of total billed charges,"1,020.00",percent of total billed charges,"1,020.00",percent of total billed charges,"1,020.00",percent of total billed charges,"1,020.00",percent of total billed charges,"1,020.00",percent of total billed charges,"1,020.00",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,734.4,percent of total billed charges,734.4,percent of total billed charges,805.8,percent of total billed charges,805.8,percent of total billed charges,816,percent of total billed charges,816,percent of total billed charges,,,734.4,percent of total billed charges ,,,816,percent of total billed charges ,805.8,percent of total billed charges ,805.8,percent of total billed charges ,867,percent of total billed charges ,867,percent of total billed charges ,816,percent of total billed charges ,816,percent of total billed charges ,714,percent of total billed charges ,714,percent of total billed charges ,612,percent of total billed charges ,612,percent of total billed charges ,612,percent of total billed charges ,612,percent of total billed charges ,,,,,542.64,percent of total billed charges ,,,,,515.51,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,,,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,,,234.6,percent of total billed charges,,,234.6,percent of total billed charges,,,234.6,percent of total billed charges,
**ER-NASAL POST PACK/MAJ DO NOT USE,Local ,Local ,,,,both,,,"1,034.00","1,034.00",237.82,"1,034.00","1,034.00",percent of total billed charges,"1,034.00",percent of total billed charges,"1,034.00",percent of total billed charges,"1,034.00",percent of total billed charges,"1,034.00",percent of total billed charges,"1,034.00",percent of total billed charges,"1,034.00",percent of total billed charges,"1,034.00",percent of total billed charges,744.48,percent of total billed charges,744.48,percent of total billed charges,744.48,percent of total billed charges,744.48,percent of total billed charges,744.48,percent of total billed charges,744.48,percent of total billed charges,816.86,percent of total billed charges,816.86,percent of total billed charges,827.2,percent of total billed charges,827.2,percent of total billed charges,,,744.48,percent of total billed charges ,,,827.2,percent of total billed charges ,816.86,percent of total billed charges ,816.86,percent of total billed charges ,878.9,percent of total billed charges ,878.9,percent of total billed charges ,827.2,percent of total billed charges ,827.2,percent of total billed charges ,723.8,percent of total billed charges ,723.8,percent of total billed charges ,620.4,percent of total billed charges ,620.4,percent of total billed charges ,620.4,percent of total billed charges ,620.4,percent of total billed charges ,,,,,550.09,percent of total billed charges ,,,,,522.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,237.82,percent of total billed charges,,,237.82,percent of total billed charges,,,237.82,percent of total billed charges,,,237.82,percent of total billed charges,,,237.82,percent of total billed charges,,,237.82,percent of total billed charges,,,237.82,percent of total billed charges,,,237.82,percent of total billed charges,,,237.82,percent of total billed charges,,,237.82,percent of total billed charges,,,237.82,percent of total billed charges,
ER-INTUBATION ENDOTRACH,31500,CDM,,,,both,,,"1,141.00","1,141.00",262.43,"1,141.00","1,141.00",percent of total billed charges,"1,141.00",percent of total billed charges,"1,141.00",percent of total billed charges,"1,141.00",percent of total billed charges,"1,141.00",percent of total billed charges,"1,141.00",percent of total billed charges,"1,141.00",percent of total billed charges,"1,141.00",percent of total billed charges,821.52,percent of total billed charges,821.52,percent of total billed charges,821.52,percent of total billed charges,821.52,percent of total billed charges,821.52,percent of total billed charges,821.52,percent of total billed charges,901.39,percent of total billed charges,901.39,percent of total billed charges,912.8,percent of total billed charges,912.8,percent of total billed charges,,,821.52,percent of total billed charges ,,,912.8,percent of total billed charges ,901.39,percent of total billed charges ,901.39,percent of total billed charges ,969.85,percent of total billed charges ,969.85,percent of total billed charges ,912.8,percent of total billed charges ,912.8,percent of total billed charges ,798.7,percent of total billed charges ,798.7,percent of total billed charges ,684.6,percent of total billed charges ,684.6,percent of total billed charges ,684.6,percent of total billed charges ,684.6,percent of total billed charges ,,,,,607.01,percent of total billed charges ,,,,,576.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,262.43,percent of total billed charges,,,262.43,percent of total billed charges,,,262.43,percent of total billed charges,,,262.43,percent of total billed charges,,,262.43,percent of total billed charges,,,262.43,percent of total billed charges,,,262.43,percent of total billed charges,,,262.43,percent of total billed charges,,,262.43,percent of total billed charges,,,262.43,percent of total billed charges,,,262.43,percent of total billed charges,
ER-LUMBAR SPINAL PUNCT,62270,CDM,,,,both,,,"1,271.00","1,271.00",292.33,"1,271.00","1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,915.12,percent of total billed charges,915.12,percent of total billed charges,915.12,percent of total billed charges,915.12,percent of total billed charges,915.12,percent of total billed charges,915.12,percent of total billed charges,"1,004.09",percent of total billed charges,"1,004.09",percent of total billed charges,"1,016.80",percent of total billed charges,"1,016.80",percent of total billed charges,,,915.12,percent of total billed charges ,,,"1,016.80",percent of total billed charges ,"1,004.09",percent of total billed charges ,"1,004.09",percent of total billed charges ,"1,080.35",percent of total billed charges ,"1,080.35",percent of total billed charges ,"1,016.80",percent of total billed charges ,"1,016.80",percent of total billed charges ,889.7,percent of total billed charges ,889.7,percent of total billed charges ,762.6,percent of total billed charges ,762.6,percent of total billed charges ,762.6,percent of total billed charges ,762.6,percent of total billed charges ,,,,,676.17,percent of total billed charges ,,,,,642.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,
ER-IRRIGATION/EYE W/FB,65205,CDM,,,GF,both,,,545,545,125.35,545,545,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,430.55,percent of total billed charges,430.55,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 ,430.55,percent of total billed charges ,430.55,percent of total billed charges ,463.25,percent of total billed charges ,463.25,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 ,,,,,,,,,,,,,,,,,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,
**ER-F/B REMOVAL EYE,65205,CDM,,,GF,both,,,545,545,125.35,545,545,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,430.55,percent of total billed charges,430.55,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 ,430.55,percent of total billed charges ,430.55,percent of total billed charges ,463.25,percent of total billed charges ,463.25,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 ,,,,,,,,,,,,,,,,,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,
**ER-PACEMAKER/INSERT DO NOT USE,Local ,Local ,,,,both,,,"1,517.00","1,517.00",348.91,"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,"1,198.43",percent of total billed charges,"1,198.43",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 ,"1,198.43",percent of total billed charges ,"1,198.43",percent of total billed charges ,"1,289.45",percent of total billed charges ,"1,289.45",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 ,,,,,,,,,,,,,,,,,,,348.91,percent of total billed charges,,,348.91,percent of total billed charges,,,348.91,percent of total billed charges,,,348.91,percent of total billed charges,,,348.91,percent of total billed charges,,,348.91,percent of total billed charges,,,348.91,percent of total billed charges,,,348.91,percent of total billed charges,,,348.91,percent of total billed charges,,,348.91,percent of total billed charges,,,348.91,percent of total billed charges,
**ER-NAIL BED REPAIR DO NOT USE,Local ,Local ,,,,both,,,631,631,145.13,631,631,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,498.49,percent of total billed charges,498.49,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 ,498.49,percent of total billed charges ,498.49,percent of total billed charges ,536.35,percent of total billed charges ,536.35,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 ,,,,,,,,,,,,,,,,,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,
ER-GASTRIC INTUBATION,43753,CDM,,,,both,,,430,430,98.9,430,430,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,339.7,percent of total billed charges,339.7,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 ,339.7,percent of total billed charges ,339.7,percent of total billed charges ,365.5,percent of total billed charges ,365.5,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 ,,,,,,,,,,,,,,,,,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,
**ER-GASTRIC LAVAGE,43753,CDM,,,,both,,,430,430,98.9,430,430,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,339.7,percent of total billed charges,339.7,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 ,339.7,percent of total billed charges ,339.7,percent of total billed charges ,365.5,percent of total billed charges ,365.5,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 ,,,,,,,,,,,,,,,,,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,
**ER-GASTRIC GAVAGE DO NOT USE,91105,CDM,,,,both,,,430,430,98.9,430,430,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,339.7,percent of total billed charges,339.7,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 ,339.7,percent of total billed charges ,339.7,percent of total billed charges ,365.5,percent of total billed charges ,365.5,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 ,,,,,,,,,,,,,,,,,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,
**ER-DEFIB EXTERNAL DO NOT USE,92960,CDM,,,,both,,,"1,459.00","1,459.00",335.57,"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,"1,152.61",percent of total billed charges,"1,152.61",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 ,"1,152.61",percent of total billed charges ,"1,152.61",percent of total billed charges ,"1,240.15",percent of total billed charges ,"1,240.15",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 ,,,,,,,,,,,,,,,,,,,335.57,percent of total billed charges,,,335.57,percent of total billed charges,,,335.57,percent of total billed charges,,,335.57,percent of total billed charges,,,335.57,percent of total billed charges,,,335.57,percent of total billed charges,,,335.57,percent of total billed charges,,,335.57,percent of total billed charges,,,335.57,percent of total billed charges,,,335.57,percent of total billed charges,,,335.57,percent of total billed charges,
ER-IRRIGATION/BLADDER,51700,CDM,,,,both,,,820,820,188.6,820,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,647.8,percent of total billed charges,647.8,percent of total billed charges,656,percent of total billed charges,656,percent of total billed charges,,,590.4,percent of total billed charges ,,,656,percent of total billed charges ,647.8,percent of total billed charges ,647.8,percent of total billed charges ,697,percent of total billed charges ,697,percent of total billed charges ,656,percent of total billed charges ,656,percent of total billed charges ,574,percent of total billed charges ,574,percent of total billed charges ,492,percent of total billed charges ,492,percent of total billed charges ,492,percent of total billed charges ,492,percent of total billed charges ,,,,,436.24,percent of total billed charges ,,,,,414.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,
ER-CATHETERIZATION/SMPL,51702,CDM,,,,both,,,430,430,98.9,430,430,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,339.7,percent of total billed charges,339.7,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 ,339.7,percent of total billed charges ,339.7,percent of total billed charges ,365.5,percent of total billed charges ,365.5,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 ,,,,,,,,,,,,,,,,,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,
ER-EMERGENCY LEVEL III,99283,CDM,,,GF,both,,,950,950,218.5,"2,400.00",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,750.5,percent of total billed charges,750.5,percent of total billed charges,760,percent of total billed charges,760,percent of total billed charges,,,"2,400.00",ER Case Rate,,,760,percent of total billed charges ,750.5,percent of total billed charges ,750.5,percent of total billed charges ,807.5,percent of total billed charges ,807.5,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 ,,,,,,,,,,,,,,,,,,,218.5,percent of total billed charges,,,218.5,percent of total billed charges,,,218.5,percent of total billed charges,,,218.5,percent of total billed charges,,,218.5,percent of total billed charges,,,218.5,percent of total billed charges,,,218.5,percent of total billed charges,,,218.5,percent of total billed charges,,,218.5,percent of total billed charges,,,218.5,percent of total billed charges,,,218.5,percent of total billed charges,
ER-EMERGENCY LEVEL IV,99284,CDM,,,GF,both,,,"1,350.00","1,350.00",310.5,"4,550.00","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,"1,066.50",percent of total billed charges,"1,066.50",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,,,"4,550.00",ER Case Rate,,,"1,080.00",percent of total billed charges ,"1,066.50",percent of total billed charges ,"1,066.50",percent of total billed charges ,"1,147.50",percent of total billed charges ,"1,147.50",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 ,,,,,,,,,,,,,,,,,,,310.5,percent of total billed charges,,,310.5,percent of total billed charges,,,310.5,percent of total billed charges,,,310.5,percent of total billed charges,,,310.5,percent of total billed charges,,,310.5,percent of total billed charges,,,310.5,percent of total billed charges,,,310.5,percent of total billed charges,,,310.5,percent of total billed charges,,,310.5,percent of total billed charges,,,310.5,percent of total billed charges,
ER-EMERGENCY LEVEL V,99285,CDM,,,GF,both,,,"1,750.00","1,750.00",402.5,"6,600.00","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,"1,382.50",percent of total billed charges,"1,382.50",percent of total billed charges,"1,400.00",percent of total billed charges,"1,400.00",percent of total billed charges,,,"6,600.00",ER Case Rate,,,"1,400.00",percent of total billed charges ,"1,382.50",percent of total billed charges ,"1,382.50",percent of total billed charges ,"1,487.50",percent of total billed charges ,"1,487.50",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 ,,,,,,,,,,,,,,,,,,,402.5,percent of total billed charges,,,402.5,percent of total billed charges,,,402.5,percent of total billed charges,,,402.5,percent of total billed charges,,,402.5,percent of total billed charges,,,402.5,percent of total billed charges,,,402.5,percent of total billed charges,,,402.5,percent of total billed charges,,,402.5,percent of total billed charges,,,402.5,percent of total billed charges,,,402.5,percent of total billed charges,
ER-EMERGENCY LEVEL II,99282,CDM,,,GF,both,,,450,450,103.5,"1,350.00",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,355.5,percent of total billed charges,355.5,percent of total billed charges,360,percent of total billed charges,360,percent of total billed charges,,,"1,350.00",ER Case Rate,,,360,percent of total billed charges ,355.5,percent of total billed charges ,355.5,percent of total billed charges ,382.5,percent of total billed charges ,382.5,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 ,,,,,,,,,,,,,,,,,,,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,,,103.5,percent of total billed charges,,,103.5,percent of total billed charges,,,103.5,percent of total billed charges,
ER-EMERGENCY LEVEL I,99281,CDM,,,GF,both,,,250,250,57.5,925,250,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,197.5,percent of total billed charges,197.5,percent of total billed charges,200,percent of total billed charges,200,percent of total billed charges,,,925,ER Case Rate,,,200,percent of total billed charges ,197.5,percent of total billed charges ,197.5,percent of total billed charges ,212.5,percent of total billed charges ,212.5,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 ,,,,,,,,,,,,,,,,,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,
ER-APP SHORT LEG SPLINT,29515,CDM,,,GF,both,,,222,222,51.06,222,222,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,175.38,percent of total billed charges,175.38,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 ,175.38,percent of total billed charges ,175.38,percent of total billed charges ,188.7,percent of total billed charges ,188.7,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
ER-CHEST TUBE PROC W/IMAGING GUIDANCE,32555,CDM,,,,both,,,"1,413.00","1,413.00",324.99,"1,413.00","1,413.00",percent of total billed charges,"1,413.00",percent of total billed charges,"1,413.00",percent of total billed charges,"1,413.00",percent of total billed charges,"1,413.00",percent of total billed charges,"1,413.00",percent of total billed charges,"1,413.00",percent of total billed charges,"1,413.00",percent of total billed charges,"1,017.36",percent of total billed charges,"1,017.36",percent of total billed charges,"1,017.36",percent of total billed charges,"1,017.36",percent of total billed charges,"1,017.36",percent of total billed charges,"1,017.36",percent of total billed charges,"1,116.27",percent of total billed charges,"1,116.27",percent of total billed charges,"1,130.40",percent of total billed charges,"1,130.40",percent of total billed charges,,,"1,017.36",percent of total billed charges ,,,"1,130.40",percent of total billed charges ,"1,116.27",percent of total billed charges ,"1,116.27",percent of total billed charges ,"1,201.05",percent of total billed charges ,"1,201.05",percent of total billed charges ,"1,130.40",percent of total billed charges ,"1,130.40",percent of total billed charges ,989.1,percent of total billed charges ,989.1,percent of total billed charges ,847.8,percent of total billed charges ,847.8,percent of total billed charges ,847.8,percent of total billed charges ,847.8,percent of total billed charges ,,,,,751.72,percent of total billed charges ,,,,,714.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,324.99,percent of total billed charges,,,324.99,percent of total billed charges,,,324.99,percent of total billed charges,,,324.99,percent of total billed charges,,,324.99,percent of total billed charges,,,324.99,percent of total billed charges,,,324.99,percent of total billed charges,,,324.99,percent of total billed charges,,,324.99,percent of total billed charges,,,324.99,percent of total billed charges,,,324.99,percent of total billed charges,
ER-I & D REMOVAL FB,10120,CDM,,,GF,both,,,865,865,198.95,865,865,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,683.35,percent of total billed charges,683.35,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 ,683.35,percent of total billed charges ,683.35,percent of total billed charges ,735.25,percent of total billed charges ,735.25,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 ,,,,,,,,,,,,,,,,,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,
ER-WOUND 7.6CM-12.5CM,12034,CDM,,,GF,both,,,"1,228.00","1,228.00",282.44,"1,228.00","1,228.00",percent of total billed charges,"1,228.00",percent of total billed charges,"1,228.00",percent of total billed charges,"1,228.00",percent of total billed charges,"1,228.00",percent of total billed charges,"1,228.00",percent of total billed charges,"1,228.00",percent of total billed charges,"1,228.00",percent of total billed charges,884.16,percent of total billed charges,884.16,percent of total billed charges,884.16,percent of total billed charges,884.16,percent of total billed charges,884.16,percent of total billed charges,884.16,percent of total billed charges,970.12,percent of total billed charges,970.12,percent of total billed charges,982.4,percent of total billed charges,982.4,percent of total billed charges,,,884.16,percent of total billed charges ,,,982.4,percent of total billed charges ,970.12,percent of total billed charges ,970.12,percent of total billed charges ,"1,043.80",percent of total billed charges ,"1,043.80",percent of total billed charges ,982.4,percent of total billed charges ,982.4,percent of total billed charges ,859.6,percent of total billed charges ,859.6,percent of total billed charges ,736.8,percent of total billed charges ,736.8,percent of total billed charges ,736.8,percent of total billed charges ,736.8,percent of total billed charges ,,,,,653.3,percent of total billed charges ,,,,,620.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,282.44,percent of total billed charges,,,282.44,percent of total billed charges,,,282.44,percent of total billed charges,,,282.44,percent of total billed charges,,,282.44,percent of total billed charges,,,282.44,percent of total billed charges,,,282.44,percent of total billed charges,,,282.44,percent of total billed charges,,,282.44,percent of total billed charges,,,282.44,percent of total billed charges,,,282.44,percent of total billed charges,
ER-WOUND 2.6CM-7.5CM,12032,CDM,,,GF,both,,,"1,171.00","1,171.00",269.33,"1,171.00","1,171.00",percent of total billed charges,"1,171.00",percent of total billed charges,"1,171.00",percent of total billed charges,"1,171.00",percent of total billed charges,"1,171.00",percent of total billed charges,"1,171.00",percent of total billed charges,"1,171.00",percent of total billed charges,"1,171.00",percent of total billed charges,843.12,percent of total billed charges,843.12,percent of total billed charges,843.12,percent of total billed charges,843.12,percent of total billed charges,843.12,percent of total billed charges,843.12,percent of total billed charges,925.09,percent of total billed charges,925.09,percent of total billed charges,936.8,percent of total billed charges,936.8,percent of total billed charges,,,843.12,percent of total billed charges ,,,936.8,percent of total billed charges ,925.09,percent of total billed charges ,925.09,percent of total billed charges ,995.35,percent of total billed charges ,995.35,percent of total billed charges ,936.8,percent of total billed charges ,936.8,percent of total billed charges ,819.7,percent of total billed charges ,819.7,percent of total billed charges ,702.6,percent of total billed charges ,702.6,percent of total billed charges ,702.6,percent of total billed charges ,702.6,percent of total billed charges ,,,,,622.97,percent of total billed charges ,,,,,591.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,269.33,percent of total billed charges,,,269.33,percent of total billed charges,,,269.33,percent of total billed charges,,,269.33,percent of total billed charges,,,269.33,percent of total billed charges,,,269.33,percent of total billed charges,,,269.33,percent of total billed charges,,,269.33,percent of total billed charges,,,269.33,percent of total billed charges,,,269.33,percent of total billed charges,,,269.33,percent of total billed charges,
ER-WOUND 5.1CM-7.5CM,12014,CDM,,,GF,both,,,755,755,173.65,755,755,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,596.45,percent of total billed charges,596.45,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 ,596.45,percent of total billed charges ,596.45,percent of total billed charges ,641.75,percent of total billed charges ,641.75,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 ,,,,,,,,,,,,,,,,,,,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,
ER-WOUND 2.6CM-5.0CM,12013,CDM,,,GF,both,,,562,562,129.26,562,562,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,443.98,percent of total billed charges,443.98,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 ,443.98,percent of total billed charges ,443.98,percent of total billed charges ,477.7,percent of total billed charges ,477.7,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 ,,,,,,,,,,,,,,,,,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,
ER-WOUND INTERMEDIATE 2.6CM-5.0CM,12052,CDM,,,GF,both,,,901,901,207.23,901,901,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,711.79,percent of total billed charges,711.79,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 ,711.79,percent of total billed charges ,711.79,percent of total billed charges ,765.85,percent of total billed charges ,765.85,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 ,,,,,,,,,,,,,,,,,,,207.23,percent of total billed charges,,,207.23,percent of total billed charges,,,207.23,percent of total billed charges,,,207.23,percent of total billed charges,,,207.23,percent of total billed charges,,,207.23,percent of total billed charges,,,207.23,percent of total billed charges,,,207.23,percent of total billed charges,,,207.23,percent of total billed charges,,,207.23,percent of total billed charges,,,207.23,percent of total billed charges,
ER-I & D ABCESS/SIMPLE,10060,CDM,,,GF,both,,,906,906,208.38,906,906,percent of total billed charges,906,percent of total billed charges,906,percent of total billed charges,906,percent of total billed charges,906,percent of total billed charges,906,percent of total billed charges,906,percent of total billed charges,906,percent of total billed charges,652.32,percent of total billed charges,652.32,percent of total billed charges,652.32,percent of total billed charges,652.32,percent of total billed charges,652.32,percent of total billed charges,652.32,percent of total billed charges,715.74,percent of total billed charges,715.74,percent of total billed charges,724.8,percent of total billed charges,724.8,percent of total billed charges,,,652.32,percent of total billed charges ,,,724.8,percent of total billed charges ,715.74,percent of total billed charges ,715.74,percent of total billed charges ,770.1,percent of total billed charges ,770.1,percent of total billed charges ,724.8,percent of total billed charges ,724.8,percent of total billed charges ,634.2,percent of total billed charges ,634.2,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 ,,,,,481.99,percent of total billed charges ,,,,,457.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,208.38,percent of total billed charges,,,208.38,percent of total billed charges,,,208.38,percent of total billed charges,,,208.38,percent of total billed charges,,,208.38,percent of total billed charges,,,208.38,percent of total billed charges,,,208.38,percent of total billed charges,,,208.38,percent of total billed charges,,,208.38,percent of total billed charges,,,208.38,percent of total billed charges,,,208.38,percent of total billed charges,
ER-WOUND 2.5CM OR LESS,12011,CDM,,,GF,both,,,639,639,146.97,639,639,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,639,percent of total billed charges,639,percent of total billed charges,639,percent of total billed charges,460.08,percent of total billed charges,460.08,percent of total billed charges,460.08,percent of total billed charges,460.08,percent of total billed charges,460.08,percent of total billed charges,460.08,percent of total billed charges,504.81,percent of total billed charges,504.81,percent of total billed charges,511.2,percent of total billed charges,511.2,percent of total billed charges,,,460.08,percent of total billed charges ,,,511.2,percent of total billed charges ,504.81,percent of total billed charges ,504.81,percent of total billed charges ,543.15,percent of total billed charges ,543.15,percent of total billed charges ,511.2,percent of total billed charges ,511.2,percent of total billed charges ,447.3,percent of total billed charges ,447.3,percent of total billed charges ,383.4,percent of total billed charges ,383.4,percent of total billed charges ,383.4,percent of total billed charges ,383.4,percent of total billed charges ,,,,,339.95,percent of total billed charges ,,,,,322.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,146.97,percent of total billed charges,,,146.97,percent of total billed charges,,,146.97,percent of total billed charges,,,146.97,percent of total billed charges,,,146.97,percent of total billed charges,,,146.97,percent of total billed charges,,,146.97,percent of total billed charges,,,146.97,percent of total billed charges,,,146.97,percent of total billed charges,,,146.97,percent of total billed charges,,,146.97,percent of total billed charges,
**ER-WOUND 2.6CM-5.0CM DO NOT USE,Local ,Local ,,,,both,,,"1,277.00","1,277.00",293.71,"1,277.00","1,277.00",percent of total billed charges,"1,277.00",percent of total billed charges,"1,277.00",percent of total billed charges,"1,277.00",percent of total billed charges,"1,277.00",percent of total billed charges,"1,277.00",percent of total billed charges,"1,277.00",percent of total billed charges,"1,277.00",percent of total billed charges,919.44,percent of total billed charges,919.44,percent of total billed charges,919.44,percent of total billed charges,919.44,percent of total billed charges,919.44,percent of total billed charges,919.44,percent of total billed charges,"1,008.83",percent of total billed charges,"1,008.83",percent of total billed charges,"1,021.60",percent of total billed charges,"1,021.60",percent of total billed charges,,,919.44,percent of total billed charges ,,,"1,021.60",percent of total billed charges ,"1,008.83",percent of total billed charges ,"1,008.83",percent of total billed charges ,"1,085.45",percent of total billed charges ,"1,085.45",percent of total billed charges ,"1,021.60",percent of total billed charges ,"1,021.60",percent of total billed charges ,893.9,percent of total billed charges ,893.9,percent of total billed charges ,766.2,percent of total billed charges ,766.2,percent of total billed charges ,766.2,percent of total billed charges ,766.2,percent of total billed charges ,,,,,679.36,percent of total billed charges ,,,,,645.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,
**ER-WOUND 2.6CM-7.5CM DO NOT USE,Local ,Local ,,,,both,,,"1,277.00","1,277.00",293.71,"1,277.00","1,277.00",percent of total billed charges,"1,277.00",percent of total billed charges,"1,277.00",percent of total billed charges,"1,277.00",percent of total billed charges,"1,277.00",percent of total billed charges,"1,277.00",percent of total billed charges,"1,277.00",percent of total billed charges,"1,277.00",percent of total billed charges,919.44,percent of total billed charges,919.44,percent of total billed charges,919.44,percent of total billed charges,919.44,percent of total billed charges,919.44,percent of total billed charges,919.44,percent of total billed charges,"1,008.83",percent of total billed charges,"1,008.83",percent of total billed charges,"1,021.60",percent of total billed charges,"1,021.60",percent of total billed charges,,,919.44,percent of total billed charges ,,,"1,021.60",percent of total billed charges ,"1,008.83",percent of total billed charges ,"1,008.83",percent of total billed charges ,"1,085.45",percent of total billed charges ,"1,085.45",percent of total billed charges ,"1,021.60",percent of total billed charges ,"1,021.60",percent of total billed charges ,893.9,percent of total billed charges ,893.9,percent of total billed charges ,766.2,percent of total billed charges ,766.2,percent of total billed charges ,766.2,percent of total billed charges ,766.2,percent of total billed charges ,,,,,679.36,percent of total billed charges ,,,,,645.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,
ER-SUBCLAV LINE PROC 5 YRS OR OLDER,36556,CDM,,,,both,,,"3,757.00","3,757.00",864.11,"3,757.00","3,757.00",percent of total billed charges,"3,757.00",percent of total billed charges,"3,757.00",percent of total billed charges,"3,757.00",percent of total billed charges,"3,757.00",percent of total billed charges,"3,757.00",percent of total billed charges,"3,757.00",percent of total billed charges,"3,757.00",percent of total billed charges,"2,705.04",percent of total billed charges,"2,705.04",percent of total billed charges,"2,705.04",percent of total billed charges,"2,705.04",percent of total billed charges,"2,705.04",percent of total billed charges,"2,705.04",percent of total billed charges,"2,968.03",percent of total billed charges,"2,968.03",percent of total billed charges,"3,005.60",percent of total billed charges,"3,005.60",percent of total billed charges,,,"2,705.04",percent of total billed charges ,,,"3,005.60",percent of total billed charges ,"2,968.03",percent of total billed charges ,"2,968.03",percent of total billed charges ,"3,193.45",percent of total billed charges ,"3,193.45",percent of total billed charges ,"3,005.60",percent of total billed charges ,"3,005.60",percent of total billed charges ,"2,629.90",percent of total billed charges ,"2,629.90",percent of total billed charges ,"2,254.20",percent of total billed charges ,"2,254.20",percent of total billed charges ,"2,254.20",percent of total billed charges ,"2,254.20",percent of total billed charges ,,,,,"1,998.72",percent of total billed charges ,,,,,"1,898.79",percent of total billed charges ,,,,,,,,,,,,,,,,,,,864.11,percent of total billed charges,,,864.11,percent of total billed charges,,,864.11,percent of total billed charges,,,864.11,percent of total billed charges,,,864.11,percent of total billed charges,,,864.11,percent of total billed charges,,,864.11,percent of total billed charges,,,864.11,percent of total billed charges,,,864.11,percent of total billed charges,,,864.11,percent of total billed charges,,,864.11,percent of total billed charges,
**ER-TR INTRAVENOUS/PORT FL DO NOT USE,Local ,Local ,,,,both,,,184,184,42.32,184,184,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,145.36,percent of total billed charges,145.36,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 ,145.36,percent of total billed charges ,145.36,percent of total billed charges ,156.4,percent of total billed charges ,156.4,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 ,,,,,,,,,,,,,,,,,,,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,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,
ER-DEBRIDE/DSG SMALL,16020,CDM,,,GF,both,,,239,239,54.97,239,239,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,188.81,percent of total billed charges,188.81,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 ,188.81,percent of total billed charges ,188.81,percent of total billed charges ,203.15,percent of total billed charges ,203.15,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 ,,,,,,,,,,,,,,,,,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,
ER-THERMOLANCE,11740,CDM,,,GF,both,,,109,109,25.07,109,109,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,86.11,percent of total billed charges,86.11,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 ,86.11,percent of total billed charges ,86.11,percent of total billed charges ,92.65,percent of total billed charges ,92.65,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 ,,,,,,,,,,,,,,,,,,,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,
ER-DEBRIDE/DSG MEDIUM,16025,CDM,,,,both,,,467,467,107.41,467,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,336.24,percent of total billed charges,336.24,percent of total billed charges,336.24,percent of total billed charges,336.24,percent of total billed charges,336.24,percent of total billed charges,336.24,percent of total billed charges,368.93,percent of total billed charges,368.93,percent of total billed charges,373.6,percent of total billed charges,373.6,percent of total billed charges,,,336.24,percent of total billed charges ,,,373.6,percent of total billed charges ,368.93,percent of total billed charges ,368.93,percent of total billed charges ,396.95,percent of total billed charges ,396.95,percent of total billed charges ,373.6,percent of total billed charges ,373.6,percent of total billed charges ,326.9,percent of total billed charges ,326.9,percent of total billed charges ,280.2,percent of total billed charges ,280.2,percent of total billed charges ,280.2,percent of total billed charges ,280.2,percent of total billed charges ,,,,,248.44,percent of total billed charges ,,,,,236.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,
**ER-DEBRIDE/SUBCUTANEOUS DO NOT USE,Local ,Local ,,,,both,,,175,175,40.25,175,175,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,138.25,percent of total billed charges,138.25,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 ,138.25,percent of total billed charges ,138.25,percent of total billed charges ,148.75,percent of total billed charges ,148.75,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 ,,,,,,,,,,,,,,,,,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,
ER-I & D HEMATOMA,10140,CDM,,,GF,both,,,316,316,72.68,316,316,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,249.64,percent of total billed charges,249.64,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 ,249.64,percent of total billed charges ,249.64,percent of total billed charges ,268.6,percent of total billed charges ,268.6,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,72.68,percent of total billed charges,,,72.68,percent of total billed charges,,,72.68,percent of total billed charges,
ER-WOUND 7.6CM-12.5,12004,CDM,,,GF,both,,,946,946,217.58,946,946,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,747.34,percent of total billed charges,747.34,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 ,747.34,percent of total billed charges ,747.34,percent of total billed charges ,804.1,percent of total billed charges ,804.1,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 ,,,,,,,,,,,,,,,,,,,217.58,percent of total billed charges,,,217.58,percent of total billed charges,,,217.58,percent of total billed charges,,,217.58,percent of total billed charges,,,217.58,percent of total billed charges,,,217.58,percent of total billed charges,,,217.58,percent of total billed charges,,,217.58,percent of total billed charges,,,217.58,percent of total billed charges,,,217.58,percent of total billed charges,,,217.58,percent of total billed charges,
**ER-NG TUBE INSERT,43753,CDM,,,,both,,,430,430,98.9,430,430,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,339.7,percent of total billed charges,339.7,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 ,339.7,percent of total billed charges ,339.7,percent of total billed charges ,365.5,percent of total billed charges ,365.5,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 ,,,,,,,,,,,,,,,,,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,
ER-NAIL REMOVAL,11730,CDM,,,GF,both,,,222,222,51.06,222,222,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,175.38,percent of total billed charges,175.38,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 ,175.38,percent of total billed charges ,175.38,percent of total billed charges ,188.7,percent of total billed charges ,188.7,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
ER-WOUND 2.6CM-7.5CM,12002,CDM,,,GF,both,,,630,630,144.9,630,630,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,497.7,percent of total billed charges,497.7,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 ,497.7,percent of total billed charges ,497.7,percent of total billed charges ,535.5,percent of total billed charges ,535.5,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 ,,,,,,,,,,,,,,,,,,,144.9,percent of total billed charges,,,144.9,percent of total billed charges,,,144.9,percent of total billed charges,,,144.9,percent of total billed charges,,,144.9,percent of total billed charges,,,144.9,percent of total billed charges,,,144.9,percent of total billed charges,,,144.9,percent of total billed charges,,,144.9,percent of total billed charges,,,144.9,percent of total billed charges,,,144.9,percent of total billed charges,
**ER-NAIL EXCISION DO NOT USE,Local ,Local ,,,,both,,,"1,403.00","1,403.00",322.69,"1,403.00","1,403.00",percent of total billed charges,"1,403.00",percent of total billed charges,"1,403.00",percent of total billed charges,"1,403.00",percent of total billed charges,"1,403.00",percent of total billed charges,"1,403.00",percent of total billed charges,"1,403.00",percent of total billed charges,"1,403.00",percent of total billed charges,"1,010.16",percent of total billed charges,"1,010.16",percent of total billed charges,"1,010.16",percent of total billed charges,"1,010.16",percent of total billed charges,"1,010.16",percent of total billed charges,"1,010.16",percent of total billed charges,"1,108.37",percent of total billed charges,"1,108.37",percent of total billed charges,"1,122.40",percent of total billed charges,"1,122.40",percent of total billed charges,,,"1,010.16",percent of total billed charges ,,,"1,122.40",percent of total billed charges ,"1,108.37",percent of total billed charges ,"1,108.37",percent of total billed charges ,"1,192.55",percent of total billed charges ,"1,192.55",percent of total billed charges ,"1,122.40",percent of total billed charges ,"1,122.40",percent of total billed charges ,982.1,percent of total billed charges ,982.1,percent of total billed charges ,841.8,percent of total billed charges ,841.8,percent of total billed charges ,841.8,percent of total billed charges ,841.8,percent of total billed charges ,,,,,746.4,percent of total billed charges ,,,,,709.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,322.69,percent of total billed charges,,,322.69,percent of total billed charges,,,322.69,percent of total billed charges,,,322.69,percent of total billed charges,,,322.69,percent of total billed charges,,,322.69,percent of total billed charges,,,322.69,percent of total billed charges,,,322.69,percent of total billed charges,,,322.69,percent of total billed charges,,,322.69,percent of total billed charges,,,322.69,percent of total billed charges,
ER-MANIP FINGER/CLOSED,26770,CDM,,,,both,,,348,348,80.04,348,348,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,274.92,percent of total billed charges,274.92,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 ,274.92,percent of total billed charges ,274.92,percent of total billed charges ,295.8,percent of total billed charges ,295.8,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 ,,,,,,,,,,,,,,,,,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,
ER-WOUND 2.5CM OR LESS,12001,CDM,,,GF,both,,,650,650,149.5,650,650,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,513.5,percent of total billed charges,513.5,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 ,513.5,percent of total billed charges ,513.5,percent of total billed charges ,552.5,percent of total billed charges ,552.5,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 ,,,,,,,,,,,,,,,,,,,149.5,percent of total billed charges,,,149.5,percent of total billed charges,,,149.5,percent of total billed charges,,,149.5,percent of total billed charges,,,149.5,percent of total billed charges,,,149.5,percent of total billed charges,,,149.5,percent of total billed charges,,,149.5,percent of total billed charges,,,149.5,percent of total billed charges,,,149.5,percent of total billed charges,,,149.5,percent of total billed charges,
**ER-EMERGENCY LEVEL III,99283,CDM,,,GF,both,,,592,592,136.16,"2,400.00",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,467.68,percent of total billed charges,467.68,percent of total billed charges,473.6,percent of total billed charges,473.6,percent of total billed charges,,,"2,400.00",ER Case Rate,,,473.6,percent of total billed charges ,467.68,percent of total billed charges ,467.68,percent of total billed charges ,503.2,percent of total billed charges ,503.2,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,136.16,percent of total billed charges,,,136.16,percent of total billed charges,,,136.16,percent of total billed charges,
**ER-EMERGENCY LEVEL I,99281,CDM,,,GF,both,,,247,247,56.81,925,247,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,195.13,percent of total billed charges,195.13,percent of total billed charges,197.6,percent of total billed charges,197.6,percent of total billed charges,,,925,ER Case Rate,,,197.6,percent of total billed charges ,195.13,percent of total billed charges ,195.13,percent of total billed charges ,209.95,percent of total billed charges ,209.95,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 ,,,,,,,,,,,,,,,,,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,
**ER-EMERGENCY LEVEL II,99282,CDM,,,GF,both,,,436,436,100.28,"1,350.00",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,344.44,percent of total billed charges,344.44,percent of total billed charges,348.8,percent of total billed charges,348.8,percent of total billed charges,,,"1,350.00",ER Case Rate,,,348.8,percent of total billed charges ,344.44,percent of total billed charges ,344.44,percent of total billed charges ,370.6,percent of total billed charges ,370.6,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 ,,,,,,,,,,,,,,,,,,,100.28,percent of total billed charges,,,100.28,percent of total billed charges,,,100.28,percent of total billed charges,,,100.28,percent of total billed charges,,,100.28,percent of total billed charges,,,100.28,percent of total billed charges,,,100.28,percent of total billed charges,,,100.28,percent of total billed charges,,,100.28,percent of total billed charges,,,100.28,percent of total billed charges,,,100.28,percent of total billed charges,
**ER-DEBRIDE/UP TO 10% DO NOT USE,Local ,Local ,,,,both,,,109,109,25.07,109,109,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,86.11,percent of total billed charges,86.11,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 ,86.11,percent of total billed charges ,86.11,percent of total billed charges ,92.65,percent of total billed charges ,92.65,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 ,,,,,,,,,,,,,,,,,,,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,
**ER-IRRIGATION/EAR,Local ,Local ,,,,both,,,318,318,73.14,318,318,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,251.22,percent of total billed charges,251.22,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 ,251.22,percent of total billed charges ,251.22,percent of total billed charges ,270.3,percent of total billed charges ,270.3,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 ,,,,,,,,,,,,,,,,,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,
**ER-F/B REMOVAL EAR,Local ,Local ,,,,both,,,324,324,74.52,324,324,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,255.96,percent of total billed charges,255.96,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 ,255.96,percent of total billed charges ,255.96,percent of total billed charges ,275.4,percent of total billed charges ,275.4,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**ER-WOUND 7.5CM-2.5CM DO NOT USE,Local ,Local ,,,,both,,,"1,228.00","1,228.00",282.44,"1,228.00","1,228.00",percent of total billed charges,"1,228.00",percent of total billed charges,"1,228.00",percent of total billed charges,"1,228.00",percent of total billed charges,"1,228.00",percent of total billed charges,"1,228.00",percent of total billed charges,"1,228.00",percent of total billed charges,"1,228.00",percent of total billed charges,884.16,percent of total billed charges,884.16,percent of total billed charges,884.16,percent of total billed charges,884.16,percent of total billed charges,884.16,percent of total billed charges,884.16,percent of total billed charges,970.12,percent of total billed charges,970.12,percent of total billed charges,982.4,percent of total billed charges,982.4,percent of total billed charges,,,884.16,percent of total billed charges ,,,982.4,percent of total billed charges ,970.12,percent of total billed charges ,970.12,percent of total billed charges ,"1,043.80",percent of total billed charges ,"1,043.80",percent of total billed charges ,982.4,percent of total billed charges ,982.4,percent of total billed charges ,859.6,percent of total billed charges ,859.6,percent of total billed charges ,736.8,percent of total billed charges ,736.8,percent of total billed charges ,736.8,percent of total billed charges ,736.8,percent of total billed charges ,,,,,653.3,percent of total billed charges ,,,,,620.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,282.44,percent of total billed charges,,,282.44,percent of total billed charges,,,282.44,percent of total billed charges,,,282.44,percent of total billed charges,,,282.44,percent of total billed charges,,,282.44,percent of total billed charges,,,282.44,percent of total billed charges,,,282.44,percent of total billed charges,,,282.44,percent of total billed charges,,,282.44,percent of total billed charges,,,282.44,percent of total billed charges,
**ER-WOUND 2.6CM-5.0CM,Local ,Local ,,,,both,,,901,901,207.23,901,901,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,711.79,percent of total billed charges,711.79,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 ,711.79,percent of total billed charges ,711.79,percent of total billed charges ,765.85,percent of total billed charges ,765.85,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 ,,,,,,,,,,,,,,,,,,,207.23,percent of total billed charges,,,207.23,percent of total billed charges,,,207.23,percent of total billed charges,,,207.23,percent of total billed charges,,,207.23,percent of total billed charges,,,207.23,percent of total billed charges,,,207.23,percent of total billed charges,,,207.23,percent of total billed charges,,,207.23,percent of total billed charges,,,207.23,percent of total billed charges,,,207.23,percent of total billed charges,
**ER-NG TUBE INSERT,91105,CDM,,,,both,,,430,430,98.9,430,430,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,339.7,percent of total billed charges,339.7,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 ,339.7,percent of total billed charges ,339.7,percent of total billed charges ,365.5,percent of total billed charges ,365.5,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 ,,,,,,,,,,,,,,,,,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,
**ER-NASAL POST PACK/MAJ,Local ,Local ,,,,both,,,"1,293.00","1,293.00",297.39,"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,"1,021.47",percent of total billed charges,"1,021.47",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 ,"1,021.47",percent of total billed charges ,"1,021.47",percent of total billed charges ,"1,099.05",percent of total billed charges ,"1,099.05",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 ,,,,,,,,,,,,,,,,,,,297.39,percent of total billed charges,,,297.39,percent of total billed charges,,,297.39,percent of total billed charges,,,297.39,percent of total billed charges,,,297.39,percent of total billed charges,,,297.39,percent of total billed charges,,,297.39,percent of total billed charges,,,297.39,percent of total billed charges,,,297.39,percent of total billed charges,,,297.39,percent of total billed charges,,,297.39,percent of total billed charges,
**ER-I&D HEMATOMA,Local ,Local ,,,,both,,,316,316,72.68,316,316,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,249.64,percent of total billed charges,249.64,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 ,249.64,percent of total billed charges ,249.64,percent of total billed charges ,268.6,percent of total billed charges ,268.6,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,72.68,percent of total billed charges,,,72.68,percent of total billed charges,,,72.68,percent of total billed charges,
**ER-I&D REMOVAL FB,Local ,Local ,,,,both,,,865,865,198.95,865,865,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,683.35,percent of total billed charges,683.35,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 ,683.35,percent of total billed charges ,683.35,percent of total billed charges ,735.25,percent of total billed charges ,735.25,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 ,,,,,,,,,,,,,,,,,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,
**ER-I&D ABSCESS/SIMPLE,Local ,Local ,,,,both,,,325,325,74.75,325,325,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,256.75,percent of total billed charges,256.75,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 ,256.75,percent of total billed charges ,256.75,percent of total billed charges ,276.25,percent of total billed charges ,276.25,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 ,,,,,,,,,,,,,,,,,,,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,
**ER-NASA POST PACK/MIN DO NOT USE,Local ,Local ,,,,both,,,682,682,156.86,682,682,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,538.78,percent of total billed charges,538.78,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 ,538.78,percent of total billed charges ,538.78,percent of total billed charges ,579.7,percent of total billed charges ,579.7,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 ,,,,,,,,,,,,,,,,,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,
**ER-IRRIGATE/REMOVE BLOCK,Local ,Local ,,,,both,,,699,699,160.77,699,699,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,552.21,percent of total billed charges,552.21,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 ,552.21,percent of total billed charges ,552.21,percent of total billed charges ,594.15,percent of total billed charges ,594.15,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 ,,,,,,,,,,,,,,,,,,,160.77,percent of total billed charges,,,160.77,percent of total billed charges,,,160.77,percent of total billed charges,,,160.77,percent of total billed charges,,,160.77,percent of total billed charges,,,160.77,percent of total billed charges,,,160.77,percent of total billed charges,,,160.77,percent of total billed charges,,,160.77,percent of total billed charges,,,160.77,percent of total billed charges,,,160.77,percent of total billed charges,
**ER-G TUBE INSERT,91105,CDM,,,,both,,,430,430,98.9,430,430,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,339.7,percent of total billed charges,339.7,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 ,339.7,percent of total billed charges ,339.7,percent of total billed charges ,365.5,percent of total billed charges ,365.5,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 ,,,,,,,,,,,,,,,,,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,
**ER-F/B REMOVAL NOSE,Local ,Local ,,,,both,,,540,540,124.2,540,540,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,426.6,percent of total billed charges,426.6,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 ,426.6,percent of total billed charges ,426.6,percent of total billed charges ,459,percent of total billed charges ,459,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,124.2,percent of total billed charges,,,124.2,percent of total billed charges,,,124.2,percent of total billed charges,
**ER-WOUND 2.5CM OR LESS,Local ,Local ,,,,both,,,530,530,121.9,530,530,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,418.7,percent of total billed charges,418.7,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 ,418.7,percent of total billed charges ,418.7,percent of total billed charges ,450.5,percent of total billed charges ,450.5,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 ,,,,,,,,,,,,,,,,,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,
**ER-WOUND 7.6CM-12.5CM,Local ,Local ,,,,both,,,946,946,217.58,946,946,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,747.34,percent of total billed charges,747.34,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 ,747.34,percent of total billed charges ,747.34,percent of total billed charges ,804.1,percent of total billed charges ,804.1,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 ,,,,,,,,,,,,,,,,,,,217.58,percent of total billed charges,,,217.58,percent of total billed charges,,,217.58,percent of total billed charges,,,217.58,percent of total billed charges,,,217.58,percent of total billed charges,,,217.58,percent of total billed charges,,,217.58,percent of total billed charges,,,217.58,percent of total billed charges,,,217.58,percent of total billed charges,,,217.58,percent of total billed charges,,,217.58,percent of total billed charges,
**ER-IRRIGATION/BLADDER,Local ,Local ,,,,both,,,228,228,52.44,228,228,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,180.12,percent of total billed charges,180.12,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 ,180.12,percent of total billed charges ,180.12,percent of total billed charges ,193.8,percent of total billed charges ,193.8,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 ,,,,,,,,,,,,,,,,,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,
**ER-WOUND 2.5CM OR LESS,Local ,Local ,,,,both,,,496,496,114.08,496,496,percent of total billed charges,496,percent of total billed charges,496,percent of total billed charges,496,percent of total billed charges,496,percent of total billed charges,496,percent of total billed charges,496,percent of total billed charges,496,percent of total billed charges,357.12,percent of total billed charges,357.12,percent of total billed charges,357.12,percent of total billed charges,357.12,percent of total billed charges,357.12,percent of total billed charges,357.12,percent of total billed charges,391.84,percent of total billed charges,391.84,percent of total billed charges,396.8,percent of total billed charges,396.8,percent of total billed charges,,,357.12,percent of total billed charges ,,,396.8,percent of total billed charges ,391.84,percent of total billed charges ,391.84,percent of total billed charges ,421.6,percent of total billed charges ,421.6,percent of total billed charges ,396.8,percent of total billed charges ,396.8,percent of total billed charges ,347.2,percent of total billed charges ,347.2,percent of total billed charges ,297.6,percent of total billed charges ,297.6,percent of total billed charges ,297.6,percent of total billed charges ,297.6,percent of total billed charges ,,,,,263.87,percent of total billed charges ,,,,,250.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,
**ER-WOUND 2.6CM-5CM,Local ,Local ,,,,both,,,562,562,129.26,562,562,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,443.98,percent of total billed charges,443.98,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 ,443.98,percent of total billed charges ,443.98,percent of total billed charges ,477.7,percent of total billed charges ,477.7,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 ,,,,,,,,,,,,,,,,,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,
**ER-WOUND 5.1CM- 7.5CM,Local ,Local ,,,,both,,,755,755,173.65,755,755,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,596.45,percent of total billed charges,596.45,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 ,596.45,percent of total billed charges ,596.45,percent of total billed charges ,641.75,percent of total billed charges ,641.75,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 ,,,,,,,,,,,,,,,,,,,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,
**ER-NAIL BED REPAIR,Local ,Local ,,,,both,,,631,631,145.13,631,631,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,498.49,percent of total billed charges,498.49,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 ,498.49,percent of total billed charges ,498.49,percent of total billed charges ,536.35,percent of total billed charges ,536.35,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 ,,,,,,,,,,,,,,,,,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,
**ER-DEBRIDGE/DSG MED,Local ,Local ,,,,both,,,467,467,107.41,467,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,336.24,percent of total billed charges,336.24,percent of total billed charges,336.24,percent of total billed charges,336.24,percent of total billed charges,336.24,percent of total billed charges,336.24,percent of total billed charges,368.93,percent of total billed charges,368.93,percent of total billed charges,373.6,percent of total billed charges,373.6,percent of total billed charges,,,336.24,percent of total billed charges ,,,373.6,percent of total billed charges ,368.93,percent of total billed charges ,368.93,percent of total billed charges ,396.95,percent of total billed charges ,396.95,percent of total billed charges ,373.6,percent of total billed charges ,373.6,percent of total billed charges ,326.9,percent of total billed charges ,326.9,percent of total billed charges ,280.2,percent of total billed charges ,280.2,percent of total billed charges ,280.2,percent of total billed charges ,280.2,percent of total billed charges ,,,,,248.44,percent of total billed charges ,,,,,236.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,
**ER-TR PORT REMOVAL DO NOT USE,Local ,Local ,,,,both,,,184,184,42.32,184,184,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,145.36,percent of total billed charges,145.36,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 ,145.36,percent of total billed charges ,145.36,percent of total billed charges ,156.4,percent of total billed charges ,156.4,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 ,,,,,,,,,,,,,,,,,,,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,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,
**ER-DEBRIDE/DRG SMALL,Local ,Local ,,,,both,,,239,239,54.97,239,239,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,188.81,percent of total billed charges,188.81,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 ,188.81,percent of total billed charges ,188.81,percent of total billed charges ,203.15,percent of total billed charges ,203.15,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 ,,,,,,,,,,,,,,,,,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,
**ER-NAIL EXCISION,Local ,Local ,,,,both,,,"1,403.00","1,403.00",322.69,"1,403.00","1,403.00",percent of total billed charges,"1,403.00",percent of total billed charges,"1,403.00",percent of total billed charges,"1,403.00",percent of total billed charges,"1,403.00",percent of total billed charges,"1,403.00",percent of total billed charges,"1,403.00",percent of total billed charges,"1,403.00",percent of total billed charges,"1,010.16",percent of total billed charges,"1,010.16",percent of total billed charges,"1,010.16",percent of total billed charges,"1,010.16",percent of total billed charges,"1,010.16",percent of total billed charges,"1,010.16",percent of total billed charges,"1,108.37",percent of total billed charges,"1,108.37",percent of total billed charges,"1,122.40",percent of total billed charges,"1,122.40",percent of total billed charges,,,"1,010.16",percent of total billed charges ,,,"1,122.40",percent of total billed charges ,"1,108.37",percent of total billed charges ,"1,108.37",percent of total billed charges ,"1,192.55",percent of total billed charges ,"1,192.55",percent of total billed charges ,"1,122.40",percent of total billed charges ,"1,122.40",percent of total billed charges ,982.1,percent of total billed charges ,982.1,percent of total billed charges ,841.8,percent of total billed charges ,841.8,percent of total billed charges ,841.8,percent of total billed charges ,841.8,percent of total billed charges ,,,,,746.4,percent of total billed charges ,,,,,709.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,322.69,percent of total billed charges,,,322.69,percent of total billed charges,,,322.69,percent of total billed charges,,,322.69,percent of total billed charges,,,322.69,percent of total billed charges,,,322.69,percent of total billed charges,,,322.69,percent of total billed charges,,,322.69,percent of total billed charges,,,322.69,percent of total billed charges,,,322.69,percent of total billed charges,,,322.69,percent of total billed charges,
**ER-EXPLORATION/WOUND,Local ,Local ,,,,both,,,"1,003.00","1,003.00",230.69,"1,003.00","1,003.00",percent of total billed charges,"1,003.00",percent of total billed charges,"1,003.00",percent of total billed charges,"1,003.00",percent of total billed charges,"1,003.00",percent of total billed charges,"1,003.00",percent of total billed charges,"1,003.00",percent of total billed charges,"1,003.00",percent of total billed charges,722.16,percent of total billed charges,722.16,percent of total billed charges,722.16,percent of total billed charges,722.16,percent of total billed charges,722.16,percent of total billed charges,722.16,percent of total billed charges,792.37,percent of total billed charges,792.37,percent of total billed charges,802.4,percent of total billed charges,802.4,percent of total billed charges,,,722.16,percent of total billed charges ,,,802.4,percent of total billed charges ,792.37,percent of total billed charges ,792.37,percent of total billed charges ,852.55,percent of total billed charges ,852.55,percent of total billed charges ,802.4,percent of total billed charges ,802.4,percent of total billed charges ,702.1,percent of total billed charges ,702.1,percent of total billed charges ,601.8,percent of total billed charges ,601.8,percent of total billed charges ,601.8,percent of total billed charges ,601.8,percent of total billed charges ,,,,,533.6,percent of total billed charges ,,,,,506.92,percent of total billed charges ,,,,,,,,,,,,,,,,,,,230.69,percent of total billed charges,,,230.69,percent of total billed charges,,,230.69,percent of total billed charges,,,230.69,percent of total billed charges,,,230.69,percent of total billed charges,,,230.69,percent of total billed charges,,,230.69,percent of total billed charges,,,230.69,percent of total billed charges,,,230.69,percent of total billed charges,,,230.69,percent of total billed charges,,,230.69,percent of total billed charges,
**UC-THERMOLANCE,Local ,Local ,,,,both,,,109,109,25.07,109,109,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,86.11,percent of total billed charges,86.11,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 ,86.11,percent of total billed charges ,86.11,percent of total billed charges ,92.65,percent of total billed charges ,92.65,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 ,,,,,,,,,,,,,,,,,,,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,
**ER-ASPIRATION MAJ JOINT,20610,CDM,,,GF,both,,,298,298,68.54,298,298,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,235.42,percent of total billed charges,235.42,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 ,235.42,percent of total billed charges ,235.42,percent of total billed charges ,253.3,percent of total billed charges ,253.3,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 ,,,,,,,,,,,,,,,,,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,
**ER-MANIP SHOULDER/CLOSED,Local ,Local ,,,,both,,,348,348,80.04,348,348,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,274.92,percent of total billed charges,274.92,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 ,274.92,percent of total billed charges ,274.92,percent of total billed charges ,295.8,percent of total billed charges ,295.8,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 ,,,,,,,,,,,,,,,,,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,
**ER-NAIL REMOVAL,Local ,Local ,,,,both,,,222,222,51.06,222,222,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,175.38,percent of total billed charges,175.38,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 ,175.38,percent of total billed charges ,175.38,percent of total billed charges ,188.7,percent of total billed charges ,188.7,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**ER-MANIP FINGER/OPEN,Local ,Local ,,,,both,,,374,374,86.02,374,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,269.28,percent of total billed charges,269.28,percent of total billed charges,269.28,percent of total billed charges,269.28,percent of total billed charges,269.28,percent of total billed charges,269.28,percent of total billed charges,295.46,percent of total billed charges,295.46,percent of total billed charges,299.2,percent of total billed charges,299.2,percent of total billed charges,,,269.28,percent of total billed charges ,,,299.2,percent of total billed charges ,295.46,percent of total billed charges ,295.46,percent of total billed charges ,317.9,percent of total billed charges ,317.9,percent of total billed charges ,299.2,percent of total billed charges ,299.2,percent of total billed charges ,261.8,percent of total billed charges ,261.8,percent of total billed charges ,224.4,percent of total billed charges ,224.4,percent of total billed charges ,224.4,percent of total billed charges ,224.4,percent of total billed charges ,,,,,198.97,percent of total billed charges ,,,,,189.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,
**ER-MANIP FINGER/CLOSED,Local ,Local ,,,,both,,,348,348,80.04,348,348,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,274.92,percent of total billed charges,274.92,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 ,274.92,percent of total billed charges ,274.92,percent of total billed charges ,295.8,percent of total billed charges ,295.8,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 ,,,,,,,,,,,,,,,,,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,
**ER-WOUND 7.6CM-12.5CM,Local ,Local ,,,,both,,,"1,171.00","1,171.00",269.33,"1,171.00","1,171.00",percent of total billed charges,"1,171.00",percent of total billed charges,"1,171.00",percent of total billed charges,"1,171.00",percent of total billed charges,"1,171.00",percent of total billed charges,"1,171.00",percent of total billed charges,"1,171.00",percent of total billed charges,"1,171.00",percent of total billed charges,843.12,percent of total billed charges,843.12,percent of total billed charges,843.12,percent of total billed charges,843.12,percent of total billed charges,843.12,percent of total billed charges,843.12,percent of total billed charges,925.09,percent of total billed charges,925.09,percent of total billed charges,936.8,percent of total billed charges,936.8,percent of total billed charges,,,843.12,percent of total billed charges ,,,936.8,percent of total billed charges ,925.09,percent of total billed charges ,925.09,percent of total billed charges ,995.35,percent of total billed charges ,995.35,percent of total billed charges ,936.8,percent of total billed charges ,936.8,percent of total billed charges ,819.7,percent of total billed charges ,819.7,percent of total billed charges ,702.6,percent of total billed charges ,702.6,percent of total billed charges ,702.6,percent of total billed charges ,702.6,percent of total billed charges ,,,,,622.97,percent of total billed charges ,,,,,591.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,269.33,percent of total billed charges,,,269.33,percent of total billed charges,,,269.33,percent of total billed charges,,,269.33,percent of total billed charges,,,269.33,percent of total billed charges,,,269.33,percent of total billed charges,,,269.33,percent of total billed charges,,,269.33,percent of total billed charges,,,269.33,percent of total billed charges,,,269.33,percent of total billed charges,,,269.33,percent of total billed charges,
**ER-APP LONG ARM SPLINT,Local ,Local ,,,,both,,,222,222,51.06,222,222,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,175.38,percent of total billed charges,175.38,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 ,175.38,percent of total billed charges ,175.38,percent of total billed charges ,188.7,percent of total billed charges ,188.7,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**ER-APP FINGER SPLINT,Local ,Local ,,,,both,,,109,109,25.07,109,109,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,86.11,percent of total billed charges,86.11,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 ,86.11,percent of total billed charges ,86.11,percent of total billed charges ,92.65,percent of total billed charges ,92.65,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 ,,,,,,,,,,,,,,,,,,,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,
ER-DEBRIDE/SKIN,11042,CDM,,,,both,,,175,175,40.25,175,175,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,138.25,percent of total billed charges,138.25,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 ,138.25,percent of total billed charges ,138.25,percent of total billed charges ,148.75,percent of total billed charges ,148.75,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 ,,,,,,,,,,,,,,,,,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,
ER-DEBE EPDERMIS &/OR DEMIS 20SQ CM OR >,97598,CDM,,,GP,both,,,109,109,25.07,109,109,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,86.11,percent of total billed charges,86.11,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 ,86.11,percent of total billed charges ,86.11,percent of total billed charges ,92.65,percent of total billed charges ,92.65,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 ,,,,,,,,,,,,,,,,,,,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,
ER-MANIP KNEE/CLOSED,27550,CDM,,,,both,,,348,348,80.04,348,348,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,274.92,percent of total billed charges,274.92,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 ,274.92,percent of total billed charges ,274.92,percent of total billed charges ,295.8,percent of total billed charges ,295.8,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 ,,,,,,,,,,,,,,,,,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,
**ER-WOUND 2.6CM-7.5CM,Local ,Local ,,,,both,,,"1,277.00","1,277.00",293.71,"1,277.00","1,277.00",percent of total billed charges,"1,277.00",percent of total billed charges,"1,277.00",percent of total billed charges,"1,277.00",percent of total billed charges,"1,277.00",percent of total billed charges,"1,277.00",percent of total billed charges,"1,277.00",percent of total billed charges,"1,277.00",percent of total billed charges,919.44,percent of total billed charges,919.44,percent of total billed charges,919.44,percent of total billed charges,919.44,percent of total billed charges,919.44,percent of total billed charges,919.44,percent of total billed charges,"1,008.83",percent of total billed charges,"1,008.83",percent of total billed charges,"1,021.60",percent of total billed charges,"1,021.60",percent of total billed charges,,,919.44,percent of total billed charges ,,,"1,021.60",percent of total billed charges ,"1,008.83",percent of total billed charges ,"1,008.83",percent of total billed charges ,"1,085.45",percent of total billed charges ,"1,085.45",percent of total billed charges ,"1,021.60",percent of total billed charges ,"1,021.60",percent of total billed charges ,893.9,percent of total billed charges ,893.9,percent of total billed charges ,766.2,percent of total billed charges ,766.2,percent of total billed charges ,766.2,percent of total billed charges ,766.2,percent of total billed charges ,,,,,679.36,percent of total billed charges ,,,,,645.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,
**ER-WOUND 2.6CM-5.0CM,Local ,Local ,,,,both,,,"1,277.00","1,277.00",293.71,"1,277.00","1,277.00",percent of total billed charges,"1,277.00",percent of total billed charges,"1,277.00",percent of total billed charges,"1,277.00",percent of total billed charges,"1,277.00",percent of total billed charges,"1,277.00",percent of total billed charges,"1,277.00",percent of total billed charges,"1,277.00",percent of total billed charges,919.44,percent of total billed charges,919.44,percent of total billed charges,919.44,percent of total billed charges,919.44,percent of total billed charges,919.44,percent of total billed charges,919.44,percent of total billed charges,"1,008.83",percent of total billed charges,"1,008.83",percent of total billed charges,"1,021.60",percent of total billed charges,"1,021.60",percent of total billed charges,,,919.44,percent of total billed charges ,,,"1,021.60",percent of total billed charges ,"1,008.83",percent of total billed charges ,"1,008.83",percent of total billed charges ,"1,085.45",percent of total billed charges ,"1,085.45",percent of total billed charges ,"1,021.60",percent of total billed charges ,"1,021.60",percent of total billed charges ,893.9,percent of total billed charges ,893.9,percent of total billed charges ,766.2,percent of total billed charges ,766.2,percent of total billed charges ,766.2,percent of total billed charges ,766.2,percent of total billed charges ,,,,,679.36,percent of total billed charges ,,,,,645.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,
**ER-APP SHORT ARM SPLINT,Local ,Local ,,,,both,,,146,146,33.58,146,146,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,115.34,percent of total billed charges,115.34,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 ,115.34,percent of total billed charges ,115.34,percent of total billed charges ,124.1,percent of total billed charges ,124.1,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 ,,,,,,,,,,,,,,,,,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,
**ER-WOUND 2.6CM-7.5CM,Local ,Local ,,,,both,,,630,630,144.9,630,630,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,497.7,percent of total billed charges,497.7,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 ,497.7,percent of total billed charges ,497.7,percent of total billed charges ,535.5,percent of total billed charges ,535.5,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 ,,,,,,,,,,,,,,,,,,,144.9,percent of total billed charges,,,144.9,percent of total billed charges,,,144.9,percent of total billed charges,,,144.9,percent of total billed charges,,,144.9,percent of total billed charges,,,144.9,percent of total billed charges,,,144.9,percent of total billed charges,,,144.9,percent of total billed charges,,,144.9,percent of total billed charges,,,144.9,percent of total billed charges,,,144.9,percent of total billed charges,
**ER-CATHERIZATION/SIMPLE,51702,CDM,,,,both,,,453,453,104.19,453,453,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,357.87,percent of total billed charges,357.87,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 ,357.87,percent of total billed charges ,357.87,percent of total billed charges ,385.05,percent of total billed charges ,385.05,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 ,,,,,,,,,,,,,,,,,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,
**ER-F/B REMOVAL EYE,Local ,Local ,,,,both,,,475,475,109.25,475,475,percent of total billed charges,475,percent of total billed charges,475,percent of total billed charges,475,percent of total billed charges,475,percent of total billed charges,475,percent of total billed charges,475,percent of total billed charges,475,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,375.25,percent of total billed charges,375.25,percent of total billed charges,380,percent of total billed charges,380,percent of total billed charges,,,342,percent of total billed charges ,,,380,percent of total billed charges ,375.25,percent of total billed charges ,375.25,percent of total billed charges ,403.75,percent of total billed charges ,403.75,percent of total billed charges ,380,percent of total billed charges ,380,percent of total billed charges ,332.5,percent of total billed charges ,332.5,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 ,,,,,252.7,percent of total billed charges ,,,,,240.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,109.25,percent of total billed charges,,,109.25,percent of total billed charges,,,109.25,percent of total billed charges,,,109.25,percent of total billed charges,,,109.25,percent of total billed charges,,,109.25,percent of total billed charges,,,109.25,percent of total billed charges,,,109.25,percent of total billed charges,,,109.25,percent of total billed charges,,,109.25,percent of total billed charges,,,109.25,percent of total billed charges,
**ER-APP SHORT LEG SPLINT,Local ,Local ,,,,both,,,222,222,51.06,222,222,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,175.38,percent of total billed charges,175.38,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 ,175.38,percent of total billed charges ,175.38,percent of total billed charges ,188.7,percent of total billed charges ,188.7,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
ER-NASAL ANTERIOR PACK,30901,CDM,,,GF,both,,,363,363,83.49,363,363,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,286.77,percent of total billed charges,286.77,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 ,286.77,percent of total billed charges ,286.77,percent of total billed charges ,308.55,percent of total billed charges ,308.55,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 ,,,,,,,,,,,,,,,,,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,
**ER-IRRIGATION/EYE W FB,Local ,Local ,,,,both,,,545,545,125.35,545,545,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,430.55,percent of total billed charges,430.55,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 ,430.55,percent of total billed charges ,430.55,percent of total billed charges ,463.25,percent of total billed charges ,463.25,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 ,,,,,,,,,,,,,,,,,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,
**PEAK FLOW,94010,CDM,,,,both,,,504,504,115.92,504,504,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,398.16,percent of total billed charges,398.16,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 ,398.16,percent of total billed charges ,398.16,percent of total billed charges ,428.4,percent of total billed charges ,428.4,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 ,,,,,,,,,,,,,,,,,,,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,
ER ELECTROCARDIOGRAM W/0 INTERPRETATION,93005,CDM,,,,both,,,388,388,89.24,388,388,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,306.52,percent of total billed charges,306.52,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 ,306.52,percent of total billed charges ,306.52,percent of total billed charges ,329.8,percent of total billed charges ,329.8,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 ,,,,,,,,,,,,,,,,,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,
**CARDIAC/MONITOR ADD 1/2H DO NOT USE,93012,CDM,,,,both,,,262,262,60.26,262,262,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,206.98,percent of total billed charges,206.98,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 ,206.98,percent of total billed charges ,206.98,percent of total billed charges ,222.7,percent of total billed charges ,222.7,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,60.26,percent of total billed charges,,,60.26,percent of total billed charges,,,60.26,percent of total billed charges,
**CARDIAC/MONITOR 1ST 1/2H DO NOT USE,93012,CDM,,,,both,,,262,262,60.26,262,262,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,206.98,percent of total billed charges,206.98,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 ,206.98,percent of total billed charges ,206.98,percent of total billed charges ,222.7,percent of total billed charges ,222.7,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,60.26,percent of total billed charges,,,60.26,percent of total billed charges,,,60.26,percent of total billed charges,
PHY-CHEST TUBE PROC W/ IMAGING GUIDANCE,32555,CDM,,,,both,,,"1,546.00","1,546.00",355.58,"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,"1,221.34",percent of total billed charges,"1,221.34",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 ,"1,221.34",percent of total billed charges ,"1,221.34",percent of total billed charges ,"1,314.10",percent of total billed charges ,"1,314.10",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 ,,,,,,,,,,,,,,,,,,,355.58,percent of total billed charges,,,355.58,percent of total billed charges,,,355.58,percent of total billed charges,,,355.58,percent of total billed charges,,,355.58,percent of total billed charges,,,355.58,percent of total billed charges,,,355.58,percent of total billed charges,,,355.58,percent of total billed charges,,,355.58,percent of total billed charges,,,355.58,percent of total billed charges,,,355.58,percent of total billed charges,
PHY-SubClavLine Proc. 5 yo or <,36556,CDM,,,,both,,,"1,565.00","1,565.00",359.95,"1,565.00","1,565.00",percent of total billed charges,"1,565.00",percent of total billed charges,"1,565.00",percent of total billed charges,"1,565.00",percent of total billed charges,"1,565.00",percent of total billed charges,"1,565.00",percent of total billed charges,"1,565.00",percent of total billed charges,"1,565.00",percent of total billed charges,"1,126.80",percent of total billed charges,"1,126.80",percent of total billed charges,"1,126.80",percent of total billed charges,"1,126.80",percent of total billed charges,"1,126.80",percent of total billed charges,"1,126.80",percent of total billed charges,"1,236.35",percent of total billed charges,"1,236.35",percent of total billed charges,"1,252.00",percent of total billed charges,"1,252.00",percent of total billed charges,,,"1,126.80",percent of total billed charges ,,,"1,252.00",percent of total billed charges ,"1,236.35",percent of total billed charges ,"1,236.35",percent of total billed charges ,"1,330.25",percent of total billed charges ,"1,330.25",percent of total billed charges ,"1,252.00",percent of total billed charges ,"1,252.00",percent of total billed charges ,"1,095.50",percent of total billed charges ,"1,095.50",percent of total billed charges ,939,percent of total billed charges ,939,percent of total billed charges ,939,percent of total billed charges ,939,percent of total billed charges ,,,,,832.58,percent of total billed charges ,,,,,790.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,359.95,percent of total billed charges,,,359.95,percent of total billed charges,,,359.95,percent of total billed charges,,,359.95,percent of total billed charges,,,359.95,percent of total billed charges,,,359.95,percent of total billed charges,,,359.95,percent of total billed charges,,,359.95,percent of total billed charges,,,359.95,percent of total billed charges,,,359.95,percent of total billed charges,,,359.95,percent of total billed charges,
**PHY-EMERGENCY LEVEL 1 DO NOT USE,99281,CDM,,,GF,both,,,154,154,35.42,925,154,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,121.66,percent of total billed charges,121.66,percent of total billed charges,123.2,percent of total billed charges,123.2,percent of total billed charges,,,925,ER Case Rate,,,123.2,percent of total billed charges ,121.66,percent of total billed charges ,121.66,percent of total billed charges ,130.9,percent of total billed charges ,130.9,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 ,,,,,,,,,,,,,,,,,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,
PHY-CARDIOVERSION ELECTIVE,92960,CDM,,,,both,,,"1,637.00","1,637.00",376.51,"1,637.00","1,637.00",percent of total billed charges,"1,637.00",percent of total billed charges,"1,637.00",percent of total billed charges,"1,637.00",percent of total billed charges,"1,637.00",percent of total billed charges,"1,637.00",percent of total billed charges,"1,637.00",percent of total billed charges,"1,637.00",percent of total billed charges,"1,178.64",percent of total billed charges,"1,178.64",percent of total billed charges,"1,178.64",percent of total billed charges,"1,178.64",percent of total billed charges,"1,178.64",percent of total billed charges,"1,178.64",percent of total billed charges,"1,293.23",percent of total billed charges,"1,293.23",percent of total billed charges,"1,309.60",percent of total billed charges,"1,309.60",percent of total billed charges,,,"1,178.64",percent of total billed charges ,,,"1,309.60",percent of total billed charges ,"1,293.23",percent of total billed charges ,"1,293.23",percent of total billed charges ,"1,391.45",percent of total billed charges ,"1,391.45",percent of total billed charges ,"1,309.60",percent of total billed charges ,"1,309.60",percent of total billed charges ,"1,145.90",percent of total billed charges ,"1,145.90",percent of total billed charges ,982.2,percent of total billed charges ,982.2,percent of total billed charges ,982.2,percent of total billed charges ,982.2,percent of total billed charges ,,,,,870.88,percent of total billed charges ,,,,,827.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,376.51,percent of total billed charges,,,376.51,percent of total billed charges,,,376.51,percent of total billed charges,,,376.51,percent of total billed charges,,,376.51,percent of total billed charges,,,376.51,percent of total billed charges,,,376.51,percent of total billed charges,,,376.51,percent of total billed charges,,,376.51,percent of total billed charges,,,376.51,percent of total billed charges,,,376.51,percent of total billed charges,
"PHY-Wnd 2.5cm or > fce,ers,eyld,mm,ns,lp",12011,CDM,,,GF,both,,,963,963,221.49,963,963,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,760.77,percent of total billed charges,760.77,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 ,760.77,percent of total billed charges ,760.77,percent of total billed charges ,818.55,percent of total billed charges ,818.55,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 ,,,,,,,,,,,,,,,,,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,
PHY-Aspiration/Maj Joint,20610,CDM,,,GF,both,,,553,553,127.19,553,553,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,436.87,percent of total billed charges,436.87,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 ,436.87,percent of total billed charges ,436.87,percent of total billed charges ,470.05,percent of total billed charges ,470.05,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 ,,,,,,,,,,,,,,,,,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,
PHY-GASTRIC INTUBATION,43753,CDM,,,,both,,,"1,023.00","1,023.00",235.29,"1,023.00","1,023.00",percent of total billed charges,"1,023.00",percent of total billed charges,"1,023.00",percent of total billed charges,"1,023.00",percent of total billed charges,"1,023.00",percent of total billed charges,"1,023.00",percent of total billed charges,"1,023.00",percent of total billed charges,"1,023.00",percent of total billed charges,736.56,percent of total billed charges,736.56,percent of total billed charges,736.56,percent of total billed charges,736.56,percent of total billed charges,736.56,percent of total billed charges,736.56,percent of total billed charges,808.17,percent of total billed charges,808.17,percent of total billed charges,818.4,percent of total billed charges,818.4,percent of total billed charges,,,736.56,percent of total billed charges ,,,818.4,percent of total billed charges ,808.17,percent of total billed charges ,808.17,percent of total billed charges ,869.55,percent of total billed charges ,869.55,percent of total billed charges ,818.4,percent of total billed charges ,818.4,percent of total billed charges ,716.1,percent of total billed charges ,716.1,percent of total billed charges ,613.8,percent of total billed charges ,613.8,percent of total billed charges ,613.8,percent of total billed charges ,613.8,percent of total billed charges ,,,,,544.24,percent of total billed charges ,,,,,517.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,
**PHY-DEFIB EXTERNAL DO NOTUSE,92960,CDM,,,,both,,,"1,263.00","1,263.00",290.49,"1,263.00","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,"1,263.00",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,909.36,percent of total billed charges,909.36,percent of total billed charges,909.36,percent of total billed charges,909.36,percent of total billed charges,909.36,percent of total billed charges,909.36,percent of total billed charges,997.77,percent of total billed charges,997.77,percent of total billed charges,"1,010.40",percent of total billed charges,"1,010.40",percent of total billed charges,,,909.36,percent of total billed charges ,,,"1,010.40",percent of total billed charges ,997.77,percent of total billed charges ,997.77,percent of total billed charges ,"1,073.55",percent of total billed charges ,"1,073.55",percent of total billed charges ,"1,010.40",percent of total billed charges ,"1,010.40",percent of total billed charges ,884.1,percent of total billed charges ,884.1,percent of total billed charges ,757.8,percent of total billed charges ,757.8,percent of total billed charges ,757.8,percent of total billed charges ,757.8,percent of total billed charges ,,,,,671.92,percent of total billed charges ,,,,,638.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,
**PHY-GASTRIC GAVAGE DO NOT USE,91105,CDM,,,,both,,,"1,099.00","1,099.00",252.77,"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,868.21,percent of total billed charges,868.21,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 ,868.21,percent of total billed charges ,868.21,percent of total billed charges ,934.15,percent of total billed charges ,934.15,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 ,,,,,,,,,,,,,,,,,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,
**PHY-Gastric Lavage,43753,CDM,,,,both,,,681,681,156.63,681,681,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,537.99,percent of total billed charges,537.99,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 ,537.99,percent of total billed charges ,537.99,percent of total billed charges ,578.85,percent of total billed charges ,578.85,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 ,,,,,,,,,,,,,,,,,,,156.63,percent of total billed charges,,,156.63,percent of total billed charges,,,156.63,percent of total billed charges,,,156.63,percent of total billed charges,,,156.63,percent of total billed charges,,,156.63,percent of total billed charges,,,156.63,percent of total billed charges,,,156.63,percent of total billed charges,,,156.63,percent of total billed charges,,,156.63,percent of total billed charges,,,156.63,percent of total billed charges,
PHY-Intubations/Endotrach,31500,CDM,,,,both,,,"1,790.00","1,790.00",411.7,"1,790.00","1,790.00",percent of total billed charges,"1,790.00",percent of total billed charges,"1,790.00",percent of total billed charges,"1,790.00",percent of total billed charges,"1,790.00",percent of total billed charges,"1,790.00",percent of total billed charges,"1,790.00",percent of total billed charges,"1,790.00",percent of total billed charges,"1,288.80",percent of total billed charges,"1,288.80",percent of total billed charges,"1,288.80",percent of total billed charges,"1,288.80",percent of total billed charges,"1,288.80",percent of total billed charges,"1,288.80",percent of total billed charges,"1,414.10",percent of total billed charges,"1,414.10",percent of total billed charges,"1,432.00",percent of total billed charges,"1,432.00",percent of total billed charges,,,"1,288.80",percent of total billed charges ,,,"1,432.00",percent of total billed charges ,"1,414.10",percent of total billed charges ,"1,414.10",percent of total billed charges ,"1,521.50",percent of total billed charges ,"1,521.50",percent of total billed charges ,"1,432.00",percent of total billed charges ,"1,432.00",percent of total billed charges ,"1,253.00",percent of total billed charges ,"1,253.00",percent of total billed charges ,"1,074.00",percent of total billed charges ,"1,074.00",percent of total billed charges ,"1,074.00",percent of total billed charges ,"1,074.00",percent of total billed charges ,,,,,952.28,percent of total billed charges ,,,,,904.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,411.7,percent of total billed charges,,,411.7,percent of total billed charges,,,411.7,percent of total billed charges,,,411.7,percent of total billed charges,,,411.7,percent of total billed charges,,,411.7,percent of total billed charges,,,411.7,percent of total billed charges,,,411.7,percent of total billed charges,,,411.7,percent of total billed charges,,,411.7,percent of total billed charges,,,411.7,percent of total billed charges,
PHY-Nasal Post Pack,30905,CDM,,,GF,both,,,"1,876.00","1,876.00",431.48,"1,876.00","1,876.00",percent of total billed charges,"1,876.00",percent of total billed charges,"1,876.00",percent of total billed charges,"1,876.00",percent of total billed charges,"1,876.00",percent of total billed charges,"1,876.00",percent of total billed charges,"1,876.00",percent of total billed charges,"1,876.00",percent of total billed charges,"1,350.72",percent of total billed charges,"1,350.72",percent of total billed charges,"1,350.72",percent of total billed charges,"1,350.72",percent of total billed charges,"1,350.72",percent of total billed charges,"1,350.72",percent of total billed charges,"1,482.04",percent of total billed charges,"1,482.04",percent of total billed charges,"1,500.80",percent of total billed charges,"1,500.80",percent of total billed charges,,,"1,350.72",percent of total billed charges ,,,"1,500.80",percent of total billed charges ,"1,482.04",percent of total billed charges ,"1,482.04",percent of total billed charges ,"1,594.60",percent of total billed charges ,"1,594.60",percent of total billed charges ,"1,500.80",percent of total billed charges ,"1,500.80",percent of total billed charges ,"1,313.20",percent of total billed charges ,"1,313.20",percent of total billed charges ,"1,125.60",percent of total billed charges ,"1,125.60",percent of total billed charges ,"1,125.60",percent of total billed charges ,"1,125.60",percent of total billed charges ,,,,,998.03,percent of total billed charges ,,,,,948.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,431.48,percent of total billed charges,,,431.48,percent of total billed charges,,,431.48,percent of total billed charges,,,431.48,percent of total billed charges,,,431.48,percent of total billed charges,,,431.48,percent of total billed charges,,,431.48,percent of total billed charges,,,431.48,percent of total billed charges,,,431.48,percent of total billed charges,,,431.48,percent of total billed charges,,,431.48,percent of total billed charges,
PHY-EMERGENCY LEVEL 1,99281,CDM,,,GF,both,,,293,293,67.39,925,293,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,231.47,percent of total billed charges,231.47,percent of total billed charges,234.4,percent of total billed charges,234.4,percent of total billed charges,,,925,ER Case Rate,,,234.4,percent of total billed charges ,231.47,percent of total billed charges ,231.47,percent of total billed charges ,249.05,percent of total billed charges ,249.05,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 ,,,,,,,,,,,,,,,,,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,
PHY-TEMPTRANS PACING,92953,CDM,,,,both,,,"1,099.00","1,099.00",252.77,"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,868.21,percent of total billed charges,868.21,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 ,868.21,percent of total billed charges ,868.21,percent of total billed charges ,934.15,percent of total billed charges ,934.15,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 ,,,,,,,,,,,,,,,,,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,
PHY-Thermolance,11740,CDM,,,GF,both,,,608,608,139.84,608,608,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,480.32,percent of total billed charges,480.32,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 ,480.32,percent of total billed charges ,480.32,percent of total billed charges ,516.8,percent of total billed charges ,516.8,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 ,,,,,,,,,,,,,,,,,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,
**PHY-NG Tube Insert,43753,CDM,,,,both,,,999,999,229.77,999,999,percent of total billed charges,999,percent of total billed charges,999,percent of total billed charges,999,percent of total billed charges,999,percent of total billed charges,999,percent of total billed charges,999,percent of total billed charges,999,percent of total billed charges,719.28,percent of total billed charges,719.28,percent of total billed charges,719.28,percent of total billed charges,719.28,percent of total billed charges,719.28,percent of total billed charges,719.28,percent of total billed charges,789.21,percent of total billed charges,789.21,percent of total billed charges,799.2,percent of total billed charges,799.2,percent of total billed charges,,,719.28,percent of total billed charges ,,,799.2,percent of total billed charges ,789.21,percent of total billed charges ,789.21,percent of total billed charges ,849.15,percent of total billed charges ,849.15,percent of total billed charges ,799.2,percent of total billed charges ,799.2,percent of total billed charges ,699.3,percent of total billed charges ,699.3,percent of total billed charges ,599.4,percent of total billed charges ,599.4,percent of total billed charges ,599.4,percent of total billed charges ,599.4,percent of total billed charges ,,,,,531.47,percent of total billed charges ,,,,,504.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,
PHY-Wd 7.6- 12.5cm SCLP/AXIL/TRNK/EXTR,12034,CDM,,,GF,both,,,952,952,218.96,952,952,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,752.08,percent of total billed charges,752.08,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 ,752.08,percent of total billed charges ,752.08,percent of total billed charges ,809.2,percent of total billed charges ,809.2,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 ,,,,,,,,,,,,,,,,,,,218.96,percent of total billed charges,,,218.96,percent of total billed charges,,,218.96,percent of total billed charges,,,218.96,percent of total billed charges,,,218.96,percent of total billed charges,,,218.96,percent of total billed charges,,,218.96,percent of total billed charges,,,218.96,percent of total billed charges,,,218.96,percent of total billed charges,,,218.96,percent of total billed charges,,,218.96,percent of total billed charges,
PHY-Wd 2.65.0cm fce/ers/eylds/nse/lps/mm,12052,CDM,,,GF,both,,,908,908,208.84,908,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,717.32,percent of total billed charges,717.32,percent of total billed charges,726.4,percent of total billed charges,726.4,percent of total billed charges,,,653.76,percent of total billed charges ,,,726.4,percent of total billed charges ,717.32,percent of total billed charges ,717.32,percent of total billed charges ,771.8,percent of total billed charges ,771.8,percent of total billed charges ,726.4,percent of total billed charges ,726.4,percent of total billed charges ,635.6,percent of total billed charges ,635.6,percent of total billed charges ,544.8,percent of total billed charges ,544.8,percent of total billed charges ,544.8,percent of total billed charges ,544.8,percent of total billed charges ,,,,,483.06,percent of total billed charges ,,,,,458.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,
PHY-Wound 5.1cm - 7.5cm,12014,CDM,,,GF,both,,,963,963,221.49,963,963,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,760.77,percent of total billed charges,760.77,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 ,760.77,percent of total billed charges ,760.77,percent of total billed charges ,818.55,percent of total billed charges ,818.55,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 ,,,,,,,,,,,,,,,,,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,
"PHY-Wnd 2.6- 5.0cm fce,ers,eyeld, nse,lp",12013,CDM,,,GF,both,,,963,963,221.49,963,963,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,760.77,percent of total billed charges,760.77,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 ,760.77,percent of total billed charges ,760.77,percent of total billed charges ,818.55,percent of total billed charges ,818.55,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 ,,,,,,,,,,,,,,,,,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,
PHY-Wd 7.6- 12.5cm SP/NCK/AX/EXT GNT/NK,12004,CDM,,,GF,both,,,761,761,175.03,761,761,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,601.19,percent of total billed charges,601.19,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 ,601.19,percent of total billed charges ,601.19,percent of total billed charges ,646.85,percent of total billed charges ,646.85,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 ,,,,,,,,,,,,,,,,,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,
"PHY-WND 2.6-7.5cm sclp,nk,axl,ex gnt,ext",12002,CDM,,,GF,both,,,761,761,175.03,761,761,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,601.19,percent of total billed charges,601.19,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 ,601.19,percent of total billed charges ,601.19,percent of total billed charges ,646.85,percent of total billed charges ,646.85,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 ,,,,,,,,,,,,,,,,,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,
"PHY-WND 2.5cm or > sclp,nk,axl,ext gn,ex",12001,CDM,,,GF,both,,,691,691,158.93,691,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,545.89,percent of total billed charges,545.89,percent of total billed charges,552.8,percent of total billed charges,552.8,percent of total billed charges,,,497.52,percent of total billed charges ,,,552.8,percent of total billed charges ,545.89,percent of total billed charges ,545.89,percent of total billed charges ,587.35,percent of total billed charges ,587.35,percent of total billed charges ,552.8,percent of total billed charges ,552.8,percent of total billed charges ,483.7,percent of total billed charges ,483.7,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,,,,,367.61,percent of total billed charges ,,,,,349.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,
PHY-Nail Bed Repair,11760,CDM,,,,both,,,691,691,158.93,691,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,545.89,percent of total billed charges,545.89,percent of total billed charges,552.8,percent of total billed charges,552.8,percent of total billed charges,,,497.52,percent of total billed charges ,,,552.8,percent of total billed charges ,545.89,percent of total billed charges ,545.89,percent of total billed charges ,587.35,percent of total billed charges ,587.35,percent of total billed charges ,552.8,percent of total billed charges ,552.8,percent of total billed charges ,483.7,percent of total billed charges ,483.7,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,,,,,367.61,percent of total billed charges ,,,,,349.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,
PHY-Catheterization/Simple URINARY,51702,CDM,,,,both,,,580,580,133.4,580,580,percent of total billed charges,580,percent of total billed charges,580,percent of total billed charges,580,percent of total billed charges,580,percent of total billed charges,580,percent of total billed charges,580,percent of total billed charges,580,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,417.6,percent of total billed charges,417.6,percent of total billed charges,458.2,percent of total billed charges,458.2,percent of total billed charges,464,percent of total billed charges,464,percent of total billed charges,,,417.6,percent of total billed charges ,,,464,percent of total billed charges ,458.2,percent of total billed charges ,458.2,percent of total billed charges ,493,percent of total billed charges ,493,percent of total billed charges ,464,percent of total billed charges ,464,percent of total billed charges ,406,percent of total billed charges ,406,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 ,,,,,308.56,percent of total billed charges ,,,,,293.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,133.4,percent of total billed charges,,,133.4,percent of total billed charges,,,133.4,percent of total billed charges,,,133.4,percent of total billed charges,,,133.4,percent of total billed charges,,,133.4,percent of total billed charges,,,133.4,percent of total billed charges,,,133.4,percent of total billed charges,,,133.4,percent of total billed charges,,,133.4,percent of total billed charges,,,133.4,percent of total billed charges,
**PHY-NAIL EXCISION DO NOT USE,11750,CDM,,,,both,,,908,908,208.84,908,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,717.32,percent of total billed charges,717.32,percent of total billed charges,726.4,percent of total billed charges,726.4,percent of total billed charges,,,653.76,percent of total billed charges ,,,726.4,percent of total billed charges ,717.32,percent of total billed charges ,717.32,percent of total billed charges ,771.8,percent of total billed charges ,771.8,percent of total billed charges ,726.4,percent of total billed charges ,726.4,percent of total billed charges ,635.6,percent of total billed charges ,635.6,percent of total billed charges ,544.8,percent of total billed charges ,544.8,percent of total billed charges ,544.8,percent of total billed charges ,544.8,percent of total billed charges ,,,,,483.06,percent of total billed charges ,,,,,458.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,
PHY-Nail Removal,11730,CDM,,,GF,both,,,871,871,200.33,871,871,percent of total billed charges,871,percent of total billed charges,871,percent of total billed charges,871,percent of total billed charges,871,percent of total billed charges,871,percent of total billed charges,871,percent of total billed charges,871,percent of total billed charges,627.12,percent of total billed charges,627.12,percent of total billed charges,627.12,percent of total billed charges,627.12,percent of total billed charges,627.12,percent of total billed charges,627.12,percent of total billed charges,688.09,percent of total billed charges,688.09,percent of total billed charges,696.8,percent of total billed charges,696.8,percent of total billed charges,,,627.12,percent of total billed charges ,,,696.8,percent of total billed charges ,688.09,percent of total billed charges ,688.09,percent of total billed charges ,740.35,percent of total billed charges ,740.35,percent of total billed charges ,696.8,percent of total billed charges ,696.8,percent of total billed charges ,609.7,percent of total billed charges ,609.7,percent of total billed charges ,522.6,percent of total billed charges ,522.6,percent of total billed charges ,522.6,percent of total billed charges ,522.6,percent of total billed charges ,,,,,463.37,percent of total billed charges ,,,,,440.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,200.33,percent of total billed charges,,,200.33,percent of total billed charges,,,200.33,percent of total billed charges,,,200.33,percent of total billed charges,,,200.33,percent of total billed charges,,,200.33,percent of total billed charges,,,200.33,percent of total billed charges,,,200.33,percent of total billed charges,,,200.33,percent of total billed charges,,,200.33,percent of total billed charges,,,200.33,percent of total billed charges,
**PHY-PRO FEE,13132,CDM,,,GF,both,,,"1,600.00","1,600.00",368,"1,600.00","1,600.00",percent of total billed charges,"1,600.00",percent of total billed charges,"1,600.00",percent of total billed charges,"1,600.00",percent of total billed charges,"1,600.00",percent of total billed charges,"1,600.00",percent of total billed charges,"1,600.00",percent of total billed charges,"1,600.00",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,"1,264.00",percent of total billed charges,"1,264.00",percent of total billed charges,"1,280.00",percent of total billed charges,"1,280.00",percent of total billed charges,,,"1,152.00",percent of total billed charges ,,,"1,280.00",percent of total billed charges ,"1,264.00",percent of total billed charges ,"1,264.00",percent of total billed charges ,"1,360.00",percent of total billed charges ,"1,360.00",percent of total billed charges ,"1,280.00",percent of total billed charges ,"1,280.00",percent of total billed charges ,"1,120.00",percent of total billed charges ,"1,120.00",percent of total billed charges ,960,percent of total billed charges ,960,percent of total billed charges ,960,percent of total billed charges ,960,percent of total billed charges ,,,,,851.2,percent of total billed charges ,,,,,808.64,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,,,368,percent of total billed charges,,,368,percent of total billed charges,,,368,percent of total billed charges,,,368,percent of total billed charges,
**PHY-PRO FEE DO NOT USE,13152,CDM,,,GF,both,,,"1,600.00","1,600.00",368,"1,600.00","1,600.00",percent of total billed charges,"1,600.00",percent of total billed charges,"1,600.00",percent of total billed charges,"1,600.00",percent of total billed charges,"1,600.00",percent of total billed charges,"1,600.00",percent of total billed charges,"1,600.00",percent of total billed charges,"1,600.00",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,"1,264.00",percent of total billed charges,"1,264.00",percent of total billed charges,"1,280.00",percent of total billed charges,"1,280.00",percent of total billed charges,,,"1,152.00",percent of total billed charges ,,,"1,280.00",percent of total billed charges ,"1,264.00",percent of total billed charges ,"1,264.00",percent of total billed charges ,"1,360.00",percent of total billed charges ,"1,360.00",percent of total billed charges ,"1,280.00",percent of total billed charges ,"1,280.00",percent of total billed charges ,"1,120.00",percent of total billed charges ,"1,120.00",percent of total billed charges ,960,percent of total billed charges ,960,percent of total billed charges ,960,percent of total billed charges ,960,percent of total billed charges ,,,,,851.2,percent of total billed charges ,,,,,808.64,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,,,368,percent of total billed charges,,,368,percent of total billed charges,,,368,percent of total billed charges,,,368,percent of total billed charges,
PHY-Lumbar spinal punc,62270,CDM,,,,both,,,"1,099.00","1,099.00",252.77,"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,868.21,percent of total billed charges,868.21,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 ,868.21,percent of total billed charges ,868.21,percent of total billed charges ,934.15,percent of total billed charges ,934.15,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 ,,,,,,,,,,,,,,,,,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,
**PHY-PRO FEE  DO NOT USE,Local ,Local ,,,,both,,,"2,188.00","2,188.00",503.24,"2,188.00","2,188.00",percent of total billed charges,"2,188.00",percent of total billed charges,"2,188.00",percent of total billed charges,"2,188.00",percent of total billed charges,"2,188.00",percent of total billed charges,"2,188.00",percent of total billed charges,"2,188.00",percent of total billed charges,"2,188.00",percent of total billed charges,"1,575.36",percent of total billed charges,"1,575.36",percent of total billed charges,"1,575.36",percent of total billed charges,"1,575.36",percent of total billed charges,"1,575.36",percent of total billed charges,"1,575.36",percent of total billed charges,"1,728.52",percent of total billed charges,"1,728.52",percent of total billed charges,"1,750.40",percent of total billed charges,"1,750.40",percent of total billed charges,,,"1,575.36",percent of total billed charges ,,,"1,750.40",percent of total billed charges ,"1,728.52",percent of total billed charges ,"1,728.52",percent of total billed charges ,"1,859.80",percent of total billed charges ,"1,859.80",percent of total billed charges ,"1,750.40",percent of total billed charges ,"1,750.40",percent of total billed charges ,"1,531.60",percent of total billed charges ,"1,531.60",percent of total billed charges ,"1,312.80",percent of total billed charges ,"1,312.80",percent of total billed charges ,"1,312.80",percent of total billed charges ,"1,312.80",percent of total billed charges ,,,,,"1,164.02",percent of total billed charges ,,,,,"1,105.82",percent of total billed charges ,,,,,,,,,,,,,,,,,,,503.24,percent of total billed charges,,,503.24,percent of total billed charges,,,503.24,percent of total billed charges,,,503.24,percent of total billed charges,,,503.24,percent of total billed charges,,,503.24,percent of total billed charges,,,503.24,percent of total billed charges,,,503.24,percent of total billed charges,,,503.24,percent of total billed charges,,,503.24,percent of total billed charges,,,503.24,percent of total billed charges,
PHY-Irrigation/Bladder,51700,CDM,,,,both,,,908,908,208.84,908,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,717.32,percent of total billed charges,717.32,percent of total billed charges,726.4,percent of total billed charges,726.4,percent of total billed charges,,,653.76,percent of total billed charges ,,,726.4,percent of total billed charges ,717.32,percent of total billed charges ,717.32,percent of total billed charges ,771.8,percent of total billed charges ,771.8,percent of total billed charges ,726.4,percent of total billed charges ,726.4,percent of total billed charges ,635.6,percent of total billed charges ,635.6,percent of total billed charges ,544.8,percent of total billed charges ,544.8,percent of total billed charges ,544.8,percent of total billed charges ,544.8,percent of total billed charges ,,,,,483.06,percent of total billed charges ,,,,,458.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,
PHY-F/B Removal Eye,65205,CDM,,,GF,both,,,908,908,208.84,908,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,717.32,percent of total billed charges,717.32,percent of total billed charges,726.4,percent of total billed charges,726.4,percent of total billed charges,,,653.76,percent of total billed charges ,,,726.4,percent of total billed charges ,717.32,percent of total billed charges ,717.32,percent of total billed charges ,771.8,percent of total billed charges ,771.8,percent of total billed charges ,726.4,percent of total billed charges ,726.4,percent of total billed charges ,635.6,percent of total billed charges ,635.6,percent of total billed charges ,544.8,percent of total billed charges ,544.8,percent of total billed charges ,544.8,percent of total billed charges ,544.8,percent of total billed charges ,,,,,483.06,percent of total billed charges ,,,,,458.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,
PHY-Debride/Subcutaneous,11042,CDM,,,,both,,,826,826,189.98,826,826,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,652.54,percent of total billed charges,652.54,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 ,652.54,percent of total billed charges ,652.54,percent of total billed charges ,702.1,percent of total billed charges ,702.1,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 ,,,,,,,,,,,,,,,,,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,
PHY-DEB EPDERMIS &/OR DEMIS 20SQ CM OR >,97598,CDM,,,GP,both,,,826,826,189.98,826,826,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,652.54,percent of total billed charges,652.54,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 ,652.54,percent of total billed charges ,652.54,percent of total billed charges ,702.1,percent of total billed charges ,702.1,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 ,,,,,,,,,,,,,,,,,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,
PHY-Debride/10% skin layer,11000,CDM,,,,both,,,934,934,214.82,934,934,percent of total billed charges,934,percent of total billed charges,934,percent of total billed charges,934,percent of total billed charges,934,percent of total billed charges,934,percent of total billed charges,934,percent of total billed charges,934,percent of total billed charges,672.48,percent of total billed charges,672.48,percent of total billed charges,672.48,percent of total billed charges,672.48,percent of total billed charges,672.48,percent of total billed charges,672.48,percent of total billed charges,737.86,percent of total billed charges,737.86,percent of total billed charges,747.2,percent of total billed charges,747.2,percent of total billed charges,,,672.48,percent of total billed charges ,,,747.2,percent of total billed charges ,737.86,percent of total billed charges ,737.86,percent of total billed charges ,793.9,percent of total billed charges ,793.9,percent of total billed charges ,747.2,percent of total billed charges ,747.2,percent of total billed charges ,653.8,percent of total billed charges ,653.8,percent of total billed charges ,560.4,percent of total billed charges ,560.4,percent of total billed charges ,560.4,percent of total billed charges ,560.4,percent of total billed charges ,,,,,496.89,percent of total billed charges ,,,,,472.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,214.82,percent of total billed charges,,,214.82,percent of total billed charges,,,214.82,percent of total billed charges,,,214.82,percent of total billed charges,,,214.82,percent of total billed charges,,,214.82,percent of total billed charges,,,214.82,percent of total billed charges,,,214.82,percent of total billed charges,,,214.82,percent of total billed charges,,,214.82,percent of total billed charges,,,214.82,percent of total billed charges,
PHY-I&D Hematoma,10140,CDM,,,GF,both,,,691,691,158.93,691,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,545.89,percent of total billed charges,545.89,percent of total billed charges,552.8,percent of total billed charges,552.8,percent of total billed charges,,,497.52,percent of total billed charges ,,,552.8,percent of total billed charges ,545.89,percent of total billed charges ,545.89,percent of total billed charges ,587.35,percent of total billed charges ,587.35,percent of total billed charges ,552.8,percent of total billed charges ,552.8,percent of total billed charges ,483.7,percent of total billed charges ,483.7,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,,,,,367.61,percent of total billed charges ,,,,,349.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,
PHY-I&D Removal FB,10120,CDM,,,GF,both,,,691,691,158.93,691,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,545.89,percent of total billed charges,545.89,percent of total billed charges,552.8,percent of total billed charges,552.8,percent of total billed charges,,,497.52,percent of total billed charges ,,,552.8,percent of total billed charges ,545.89,percent of total billed charges ,545.89,percent of total billed charges ,587.35,percent of total billed charges ,587.35,percent of total billed charges ,552.8,percent of total billed charges ,552.8,percent of total billed charges ,483.7,percent of total billed charges ,483.7,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,,,,,367.61,percent of total billed charges ,,,,,349.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,
PHY-I&D Abscess/Simple,10060,CDM,,,GF,both,,,691,691,158.93,691,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,545.89,percent of total billed charges,545.89,percent of total billed charges,552.8,percent of total billed charges,552.8,percent of total billed charges,,,497.52,percent of total billed charges ,,,552.8,percent of total billed charges ,545.89,percent of total billed charges ,545.89,percent of total billed charges ,587.35,percent of total billed charges ,587.35,percent of total billed charges ,552.8,percent of total billed charges ,552.8,percent of total billed charges ,483.7,percent of total billed charges ,483.7,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,,,,,367.61,percent of total billed charges ,,,,,349.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,
**PHY-Irrigation/Eye w F.B.,65205,CDM,,,GF,both,,,608,608,139.84,608,608,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,480.32,percent of total billed charges,480.32,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 ,480.32,percent of total billed charges ,480.32,percent of total billed charges ,516.8,percent of total billed charges ,516.8,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 ,,,,,,,,,,,,,,,,,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,
PHY-Wd 2.6- 7.5cm slp/ax/trnk/extrem,12032,CDM,,,GF,both,,,963,963,221.49,963,963,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,760.77,percent of total billed charges,760.77,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 ,760.77,percent of total billed charges ,760.77,percent of total billed charges ,818.55,percent of total billed charges ,818.55,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 ,,,,,,,,,,,,,,,,,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,
PHY-Debride/Drsng Small,16020,CDM,,,GF,both,,,608,608,139.84,608,608,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,480.32,percent of total billed charges,480.32,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 ,480.32,percent of total billed charges ,480.32,percent of total billed charges ,516.8,percent of total billed charges ,516.8,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 ,,,,,,,,,,,,,,,,,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,
PHY-App Finger Splint,29130,CDM,,,GF,both,,,608,608,139.84,608,608,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,480.32,percent of total billed charges,480.32,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 ,480.32,percent of total billed charges ,480.32,percent of total billed charges ,516.8,percent of total billed charges ,516.8,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 ,,,,,,,,,,,,,,,,,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,
PHY-EMERGENCY LEVEL II,99282,CDM,,,GF,both,,,382,382,87.86,"1,350.00",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,301.78,percent of total billed charges,301.78,percent of total billed charges,305.6,percent of total billed charges,305.6,percent of total billed charges,,,"1,350.00",ER Case Rate,,,305.6,percent of total billed charges ,301.78,percent of total billed charges ,301.78,percent of total billed charges ,324.7,percent of total billed charges ,324.7,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 ,,,,,,,,,,,,,,,,,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,
PHY-EMERGENCY LEVEL V,99285,CDM,,,GF,both,,,"1,263.00","1,263.00",290.49,"6,600.00","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,"1,263.00",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,909.36,percent of total billed charges,909.36,percent of total billed charges,909.36,percent of total billed charges,909.36,percent of total billed charges,909.36,percent of total billed charges,909.36,percent of total billed charges,997.77,percent of total billed charges,997.77,percent of total billed charges,"1,010.40",percent of total billed charges,"1,010.40",percent of total billed charges,,,"6,600.00",ER Case Rate,,,"1,010.40",percent of total billed charges ,997.77,percent of total billed charges ,997.77,percent of total billed charges ,"1,073.55",percent of total billed charges ,"1,073.55",percent of total billed charges ,"1,010.40",percent of total billed charges ,"1,010.40",percent of total billed charges ,884.1,percent of total billed charges ,884.1,percent of total billed charges ,757.8,percent of total billed charges ,757.8,percent of total billed charges ,757.8,percent of total billed charges ,757.8,percent of total billed charges ,,,,,671.92,percent of total billed charges ,,,,,638.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,
PHY-EMERGENCY LEVEL IV,99284,CDM,,,GF,both,,,963,963,221.49,"4,550.00",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,760.77,percent of total billed charges,760.77,percent of total billed charges,770.4,percent of total billed charges,770.4,percent of total billed charges,,,"4,550.00",ER Case Rate,,,770.4,percent of total billed charges ,760.77,percent of total billed charges ,760.77,percent of total billed charges ,818.55,percent of total billed charges ,818.55,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 ,,,,,,,,,,,,,,,,,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,
PHY-EMERGENCY LVL III,99283,CDM,,,GF,both,,,691,691,158.93,"2,400.00",691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,545.89,percent of total billed charges,545.89,percent of total billed charges,552.8,percent of total billed charges,552.8,percent of total billed charges,,,"2,400.00",ER Case Rate,,,552.8,percent of total billed charges ,545.89,percent of total billed charges ,545.89,percent of total billed charges ,587.35,percent of total billed charges ,587.35,percent of total billed charges ,552.8,percent of total billed charges ,552.8,percent of total billed charges ,483.7,percent of total billed charges ,483.7,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,,,,,367.61,percent of total billed charges ,,,,,349.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,
PHY-IRRIGATION/EAR W/INSTRUMENTATION,69210,CDM,,,GF,both,,,553,553,127.19,553,553,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,436.87,percent of total billed charges,436.87,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 ,436.87,percent of total billed charges ,436.87,percent of total billed charges ,470.05,percent of total billed charges ,470.05,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 ,,,,,,,,,,,,,,,,,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,
PHY-F/B Removal Ear w/o general anesth,69200,CDM,,,GF,both,,,580,580,133.4,580,580,percent of total billed charges,580,percent of total billed charges,580,percent of total billed charges,580,percent of total billed charges,580,percent of total billed charges,580,percent of total billed charges,580,percent of total billed charges,580,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,417.6,percent of total billed charges,417.6,percent of total billed charges,458.2,percent of total billed charges,458.2,percent of total billed charges,464,percent of total billed charges,464,percent of total billed charges,,,417.6,percent of total billed charges ,,,464,percent of total billed charges ,458.2,percent of total billed charges ,458.2,percent of total billed charges ,493,percent of total billed charges ,493,percent of total billed charges ,464,percent of total billed charges ,464,percent of total billed charges ,406,percent of total billed charges ,406,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 ,,,,,308.56,percent of total billed charges ,,,,,293.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,133.4,percent of total billed charges,,,133.4,percent of total billed charges,,,133.4,percent of total billed charges,,,133.4,percent of total billed charges,,,133.4,percent of total billed charges,,,133.4,percent of total billed charges,,,133.4,percent of total billed charges,,,133.4,percent of total billed charges,,,133.4,percent of total billed charges,,,133.4,percent of total billed charges,,,133.4,percent of total billed charges,
**PHY-PACEMAKER/INSERT DO NOT USE,33210,CDM,,,,both,,,"2,519.00","2,519.00",579.37,"2,519.00","2,519.00",percent of total billed charges,"2,519.00",percent of total billed charges,"2,519.00",percent of total billed charges,"2,519.00",percent of total billed charges,"2,519.00",percent of total billed charges,"2,519.00",percent of total billed charges,"2,519.00",percent of total billed charges,"2,519.00",percent of total billed charges,"1,813.68",percent of total billed charges,"1,813.68",percent of total billed charges,"1,813.68",percent of total billed charges,"1,813.68",percent of total billed charges,"1,813.68",percent of total billed charges,"1,813.68",percent of total billed charges,"1,990.01",percent of total billed charges,"1,990.01",percent of total billed charges,"2,015.20",percent of total billed charges,"2,015.20",percent of total billed charges,,,"1,813.68",percent of total billed charges ,,,"2,015.20",percent of total billed charges ,"1,990.01",percent of total billed charges ,"1,990.01",percent of total billed charges ,"2,141.15",percent of total billed charges ,"2,141.15",percent of total billed charges ,"2,015.20",percent of total billed charges ,"2,015.20",percent of total billed charges ,"1,763.30",percent of total billed charges ,"1,763.30",percent of total billed charges ,"1,511.40",percent of total billed charges ,"1,511.40",percent of total billed charges ,"1,511.40",percent of total billed charges ,"1,511.40",percent of total billed charges ,,,,,"1,340.11",percent of total billed charges ,,,,,"1,273.10",percent of total billed charges ,,,,,,,,,,,,,,,,,,,579.37,percent of total billed charges,,,579.37,percent of total billed charges,,,579.37,percent of total billed charges,,,579.37,percent of total billed charges,,,579.37,percent of total billed charges,,,579.37,percent of total billed charges,,,579.37,percent of total billed charges,,,579.37,percent of total billed charges,,,579.37,percent of total billed charges,,,579.37,percent of total billed charges,,,579.37,percent of total billed charges,
**PHY-OTHORACEN/W OR WO SEAL DO NOT USE,32002,CDM,,,,both,,,"1,263.00","1,263.00",290.49,"1,263.00","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,"1,263.00",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,909.36,percent of total billed charges,909.36,percent of total billed charges,909.36,percent of total billed charges,909.36,percent of total billed charges,909.36,percent of total billed charges,909.36,percent of total billed charges,997.77,percent of total billed charges,997.77,percent of total billed charges,"1,010.40",percent of total billed charges,"1,010.40",percent of total billed charges,,,909.36,percent of total billed charges ,,,"1,010.40",percent of total billed charges ,997.77,percent of total billed charges ,997.77,percent of total billed charges ,"1,073.55",percent of total billed charges ,"1,073.55",percent of total billed charges ,"1,010.40",percent of total billed charges ,"1,010.40",percent of total billed charges ,884.1,percent of total billed charges ,884.1,percent of total billed charges ,757.8,percent of total billed charges ,757.8,percent of total billed charges ,757.8,percent of total billed charges ,757.8,percent of total billed charges ,,,,,671.92,percent of total billed charges ,,,,,638.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,
PHY-THORACENTESIS PROC W/O IMAGING GUIDA,32554,CDM,,,,both,,,"1,212.00","1,212.00",278.76,"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,957.48,percent of total billed charges,957.48,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 ,957.48,percent of total billed charges ,957.48,percent of total billed charges ,"1,030.20",percent of total billed charges ,"1,030.20",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 ,,,,,,,,,,,,,,,,,,,278.76,percent of total billed charges,,,278.76,percent of total billed charges,,,278.76,percent of total billed charges,,,278.76,percent of total billed charges,,,278.76,percent of total billed charges,,,278.76,percent of total billed charges,,,278.76,percent of total billed charges,,,278.76,percent of total billed charges,,,278.76,percent of total billed charges,,,278.76,percent of total billed charges,,,278.76,percent of total billed charges,
PHY-TRACHEOSTOMY PROC,31603,CDM,,,,both,,,"1,099.00","1,099.00",252.77,"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,868.21,percent of total billed charges,868.21,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 ,868.21,percent of total billed charges ,868.21,percent of total billed charges ,934.15,percent of total billed charges ,934.15,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 ,,,,,,,,,,,,,,,,,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,
**PHY-LARYNGOVIEW DO NOT USE,31511,CDM,,,,both,,,963,963,221.49,963,963,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,760.77,percent of total billed charges,760.77,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 ,760.77,percent of total billed charges ,760.77,percent of total billed charges ,818.55,percent of total billed charges ,818.55,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 ,,,,,,,,,,,,,,,,,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,
**PHY-NASAL POST PACK/MINOR DO NOT USE,30905,CDM,,,GF,both,,,"1,763.00","1,763.00",405.49,"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,"1,392.77",percent of total billed charges,"1,392.77",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 ,"1,392.77",percent of total billed charges ,"1,392.77",percent of total billed charges ,"1,498.55",percent of total billed charges ,"1,498.55",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 ,,,,,,,,,,,,,,,,,,,405.49,percent of total billed charges,,,405.49,percent of total billed charges,,,405.49,percent of total billed charges,,,405.49,percent of total billed charges,,,405.49,percent of total billed charges,,,405.49,percent of total billed charges,,,405.49,percent of total billed charges,,,405.49,percent of total billed charges,,,405.49,percent of total billed charges,,,405.49,percent of total billed charges,,,405.49,percent of total billed charges,
PHY-Nasal Anterior Pack,30901,CDM,,,GF,both,,,869,869,199.87,869,869,percent of total billed charges,869,percent of total billed charges,869,percent of total billed charges,869,percent of total billed charges,869,percent of total billed charges,869,percent of total billed charges,869,percent of total billed charges,869,percent of total billed charges,625.68,percent of total billed charges,625.68,percent of total billed charges,625.68,percent of total billed charges,625.68,percent of total billed charges,625.68,percent of total billed charges,625.68,percent of total billed charges,686.51,percent of total billed charges,686.51,percent of total billed charges,695.2,percent of total billed charges,695.2,percent of total billed charges,,,625.68,percent of total billed charges ,,,695.2,percent of total billed charges ,686.51,percent of total billed charges ,686.51,percent of total billed charges ,738.65,percent of total billed charges ,738.65,percent of total billed charges ,695.2,percent of total billed charges ,695.2,percent of total billed charges ,608.3,percent of total billed charges ,608.3,percent of total billed charges ,521.4,percent of total billed charges ,521.4,percent of total billed charges ,521.4,percent of total billed charges ,521.4,percent of total billed charges ,,,,,462.31,percent of total billed charges ,,,,,439.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,199.87,percent of total billed charges,,,199.87,percent of total billed charges,,,199.87,percent of total billed charges,,,199.87,percent of total billed charges,,,199.87,percent of total billed charges,,,199.87,percent of total billed charges,,,199.87,percent of total billed charges,,,199.87,percent of total billed charges,,,199.87,percent of total billed charges,,,199.87,percent of total billed charges,,,199.87,percent of total billed charges,
PHY-F/B Removal Nose,30300,CDM,,,GF,both,,,691,691,158.93,691,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,545.89,percent of total billed charges,545.89,percent of total billed charges,552.8,percent of total billed charges,552.8,percent of total billed charges,,,497.52,percent of total billed charges ,,,552.8,percent of total billed charges ,545.89,percent of total billed charges ,545.89,percent of total billed charges ,587.35,percent of total billed charges ,587.35,percent of total billed charges ,552.8,percent of total billed charges ,552.8,percent of total billed charges ,483.7,percent of total billed charges ,483.7,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,,,,,367.61,percent of total billed charges ,,,,,349.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,
PHY-App Short Leg Splint,29515,CDM,,,GF,both,,,311,311,71.53,311,311,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,245.69,percent of total billed charges,245.69,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 ,245.69,percent of total billed charges ,245.69,percent of total billed charges ,264.35,percent of total billed charges ,264.35,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 ,,,,,,,,,,,,,,,,,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,
PHY-App Short Arm Splint,29125,CDM,,,GF,both,,,608,608,139.84,608,608,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,480.32,percent of total billed charges,480.32,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 ,480.32,percent of total billed charges ,480.32,percent of total billed charges ,516.8,percent of total billed charges ,516.8,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 ,,,,,,,,,,,,,,,,,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,
**PHY-APPLONG ARM SPLINT DO NOT USE,29105,CDM,,,GF,both,,,826,826,189.98,826,826,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,652.54,percent of total billed charges,652.54,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 ,652.54,percent of total billed charges ,652.54,percent of total billed charges ,702.1,percent of total billed charges ,702.1,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 ,,,,,,,,,,,,,,,,,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,
PHY-MANIP KNEE/CLOSED,27550,CDM,,,,both,,,908,908,208.84,908,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,717.32,percent of total billed charges,717.32,percent of total billed charges,726.4,percent of total billed charges,726.4,percent of total billed charges,,,653.76,percent of total billed charges ,,,726.4,percent of total billed charges ,717.32,percent of total billed charges ,717.32,percent of total billed charges ,771.8,percent of total billed charges ,771.8,percent of total billed charges ,726.4,percent of total billed charges ,726.4,percent of total billed charges ,635.6,percent of total billed charges ,635.6,percent of total billed charges ,544.8,percent of total billed charges ,544.8,percent of total billed charges ,544.8,percent of total billed charges ,544.8,percent of total billed charges ,,,,,483.06,percent of total billed charges ,,,,,458.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,
PHY-Manip Finger/Closed w/o anesth,26770,CDM,,,,both,,,"1,134.00","1,134.00",260.82,"1,134.00","1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,816.48,percent of total billed charges,816.48,percent of total billed charges,816.48,percent of total billed charges,816.48,percent of total billed charges,816.48,percent of total billed charges,816.48,percent of total billed charges,895.86,percent of total billed charges,895.86,percent of total billed charges,907.2,percent of total billed charges,907.2,percent of total billed charges,,,816.48,percent of total billed charges ,,,907.2,percent of total billed charges ,895.86,percent of total billed charges ,895.86,percent of total billed charges ,963.9,percent of total billed charges ,963.9,percent of total billed charges ,907.2,percent of total billed charges ,907.2,percent of total billed charges ,793.8,percent of total billed charges ,793.8,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 ,,,,,603.29,percent of total billed charges ,,,,,573.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,
**PHY-MANIP FINGER/OPEN DO NOT USE,26765,CDM,,,,both,,,"1,099.00","1,099.00",252.77,"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,868.21,percent of total billed charges,868.21,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 ,868.21,percent of total billed charges ,868.21,percent of total billed charges ,934.15,percent of total billed charges ,934.15,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 ,,,,,,,,,,,,,,,,,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,,,252.77,percent of total billed charges,
PHY-Manip Shoulder/Closed,23545,CDM,,,,both,,,"1,134.00","1,134.00",260.82,"1,134.00","1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,816.48,percent of total billed charges,816.48,percent of total billed charges,816.48,percent of total billed charges,816.48,percent of total billed charges,816.48,percent of total billed charges,816.48,percent of total billed charges,895.86,percent of total billed charges,895.86,percent of total billed charges,907.2,percent of total billed charges,907.2,percent of total billed charges,,,816.48,percent of total billed charges ,,,907.2,percent of total billed charges ,895.86,percent of total billed charges ,895.86,percent of total billed charges ,963.9,percent of total billed charges ,963.9,percent of total billed charges ,907.2,percent of total billed charges ,907.2,percent of total billed charges ,793.8,percent of total billed charges ,793.8,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 ,,,,,603.29,percent of total billed charges ,,,,,573.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,
**PHY-EXPLORATION/WOUND DO NOT USE,Local ,Local ,,,,both,,,"2,188.00","2,188.00",503.24,"2,188.00","2,188.00",percent of total billed charges,"2,188.00",percent of total billed charges,"2,188.00",percent of total billed charges,"2,188.00",percent of total billed charges,"2,188.00",percent of total billed charges,"2,188.00",percent of total billed charges,"2,188.00",percent of total billed charges,"2,188.00",percent of total billed charges,"1,575.36",percent of total billed charges,"1,575.36",percent of total billed charges,"1,575.36",percent of total billed charges,"1,575.36",percent of total billed charges,"1,575.36",percent of total billed charges,"1,575.36",percent of total billed charges,"1,728.52",percent of total billed charges,"1,728.52",percent of total billed charges,"1,750.40",percent of total billed charges,"1,750.40",percent of total billed charges,,,"1,575.36",percent of total billed charges ,,,"1,750.40",percent of total billed charges ,"1,728.52",percent of total billed charges ,"1,728.52",percent of total billed charges ,"1,859.80",percent of total billed charges ,"1,859.80",percent of total billed charges ,"1,750.40",percent of total billed charges ,"1,750.40",percent of total billed charges ,"1,531.60",percent of total billed charges ,"1,531.60",percent of total billed charges ,"1,312.80",percent of total billed charges ,"1,312.80",percent of total billed charges ,"1,312.80",percent of total billed charges ,"1,312.80",percent of total billed charges ,,,,,"1,164.02",percent of total billed charges ,,,,,"1,105.82",percent of total billed charges ,,,,,,,,,,,,,,,,,,,503.24,percent of total billed charges,,,503.24,percent of total billed charges,,,503.24,percent of total billed charges,,,503.24,percent of total billed charges,,,503.24,percent of total billed charges,,,503.24,percent of total billed charges,,,503.24,percent of total billed charges,,,503.24,percent of total billed charges,,,503.24,percent of total billed charges,,,503.24,percent of total billed charges,,,503.24,percent of total billed charges,
PHY-Debride/Drsng Med,16025,CDM,,,,both,,,908,908,208.84,908,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,717.32,percent of total billed charges,717.32,percent of total billed charges,726.4,percent of total billed charges,726.4,percent of total billed charges,,,653.76,percent of total billed charges ,,,726.4,percent of total billed charges ,717.32,percent of total billed charges ,717.32,percent of total billed charges ,771.8,percent of total billed charges ,771.8,percent of total billed charges ,726.4,percent of total billed charges ,726.4,percent of total billed charges ,635.6,percent of total billed charges ,635.6,percent of total billed charges ,544.8,percent of total billed charges ,544.8,percent of total billed charges ,544.8,percent of total billed charges ,544.8,percent of total billed charges ,,,,,483.06,percent of total billed charges ,,,,,458.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,
PHY-Cardio Resuscitation,92950,CDM,,,GF,both,,,"1,263.00","1,263.00",290.49,"1,263.00","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,"1,263.00",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,909.36,percent of total billed charges,909.36,percent of total billed charges,909.36,percent of total billed charges,909.36,percent of total billed charges,909.36,percent of total billed charges,909.36,percent of total billed charges,997.77,percent of total billed charges,997.77,percent of total billed charges,"1,010.40",percent of total billed charges,"1,010.40",percent of total billed charges,,,909.36,percent of total billed charges ,,,"1,010.40",percent of total billed charges ,997.77,percent of total billed charges ,997.77,percent of total billed charges ,"1,073.55",percent of total billed charges ,"1,073.55",percent of total billed charges ,"1,010.40",percent of total billed charges ,"1,010.40",percent of total billed charges ,884.1,percent of total billed charges ,884.1,percent of total billed charges ,757.8,percent of total billed charges ,757.8,percent of total billed charges ,757.8,percent of total billed charges ,757.8,percent of total billed charges ,,,,,671.92,percent of total billed charges ,,,,,638.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,
ER-CRITICAL CARE FIRST 30-74 MINUTES,99291,CDM,,,,both,,,"3,883.00","3,883.00",893.09,"9,500.00","3,883.00",percent of total billed charges,"3,883.00",percent of total billed charges,"3,883.00",percent of total billed charges,"3,883.00",percent of total billed charges,"3,883.00",percent of total billed charges,"3,883.00",percent of total billed charges,"3,883.00",percent of total billed charges,"3,883.00",percent of total billed charges,"2,795.76",percent of total billed charges,"2,795.76",percent of total billed charges,"2,795.76",percent of total billed charges,"2,795.76",percent of total billed charges,"2,795.76",percent of total billed charges,"2,795.76",percent of total billed charges,"3,067.57",percent of total billed charges,"3,067.57",percent of total billed charges,"3,106.40",percent of total billed charges,"3,106.40",percent of total billed charges,,,"9,500.00",ER Case Rate,,,"3,106.40",percent of total billed charges ,"3,067.57",percent of total billed charges ,"3,067.57",percent of total billed charges ,"3,300.55",percent of total billed charges ,"3,300.55",percent of total billed charges ,"3,106.40",percent of total billed charges ,"3,106.40",percent of total billed charges ,"2,718.10",percent of total billed charges ,"2,718.10",percent of total billed charges ,"2,329.80",percent of total billed charges ,"2,329.80",percent of total billed charges ,"2,329.80",percent of total billed charges ,"2,329.80",percent of total billed charges ,,,,,"2,065.76",percent of total billed charges ,,,,,"1,962.47",percent of total billed charges ,,,,,,,,,,,,,,,,,,,893.09,percent of total billed charges,,,893.09,percent of total billed charges,,,893.09,percent of total billed charges,,,893.09,percent of total billed charges,,,893.09,percent of total billed charges,,,893.09,percent of total billed charges,,,893.09,percent of total billed charges,,,893.09,percent of total billed charges,,,893.09,percent of total billed charges,,,893.09,percent of total billed charges,,,893.09,percent of total billed charges,
**NEBULIZER TREATMENT ER x2,94640,CDM,,,76,both,,,400,400,92,400,400,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,400,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,316,percent of total billed charges,316,percent of total billed charges,320,percent of total billed charges,320,percent of total billed charges,,,288,percent of total billed charges ,,,320,percent of total billed charges ,316,percent of total billed charges ,316,percent of total billed charges ,340,percent of total billed charges ,340,percent of total billed charges ,320,percent of total billed charges ,320,percent of total billed charges ,280,percent of total billed charges ,280,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 ,,,,,212.8,percent of total billed charges ,,,,,202.16,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,,,92,percent of total billed charges,,,92,percent of total billed charges,,,92,percent of total billed charges,,,92,percent of total billed charges,
PHY-CRITICAL CARE CARE 1ST 30-74 MINUTES,99291,CDM,,,,both,,,"1,533.00","1,533.00",352.59,"9,500.00","1,533.00",percent of total billed charges,"1,533.00",percent of total billed charges,"1,533.00",percent of total billed charges,"1,533.00",percent of total billed charges,"1,533.00",percent of total billed charges,"1,533.00",percent of total billed charges,"1,533.00",percent of total billed charges,"1,533.00",percent of total billed charges,"1,103.76",percent of total billed charges,"1,103.76",percent of total billed charges,"1,103.76",percent of total billed charges,"1,103.76",percent of total billed charges,"1,103.76",percent of total billed charges,"1,103.76",percent of total billed charges,"1,211.07",percent of total billed charges,"1,211.07",percent of total billed charges,"1,226.40",percent of total billed charges,"1,226.40",percent of total billed charges,,,"9,500.00",ER Case Rate,,,"1,226.40",percent of total billed charges ,"1,211.07",percent of total billed charges ,"1,211.07",percent of total billed charges ,"1,303.05",percent of total billed charges ,"1,303.05",percent of total billed charges ,"1,226.40",percent of total billed charges ,"1,226.40",percent of total billed charges ,"1,073.10",percent of total billed charges ,"1,073.10",percent of total billed charges ,919.8,percent of total billed charges ,919.8,percent of total billed charges ,919.8,percent of total billed charges ,919.8,percent of total billed charges ,,,,,815.56,percent of total billed charges ,,,,,774.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,352.59,percent of total billed charges,,,352.59,percent of total billed charges,,,352.59,percent of total billed charges,,,352.59,percent of total billed charges,,,352.59,percent of total billed charges,,,352.59,percent of total billed charges,,,352.59,percent of total billed charges,,,352.59,percent of total billed charges,,,352.59,percent of total billed charges,,,352.59,percent of total billed charges,,,352.59,percent of total billed charges,
PHY-Critical Care Add'l 1/2 Hr,99292,CDM,,,,both,,,661,661,152.03,661,661,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,522.19,percent of total billed charges,522.19,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 ,522.19,percent of total billed charges ,522.19,percent of total billed charges ,561.85,percent of total billed charges ,561.85,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 ,,,,,,,,,,,,,,,,,,,152.03,percent of total billed charges,,,152.03,percent of total billed charges,,,152.03,percent of total billed charges,,,152.03,percent of total billed charges,,,152.03,percent of total billed charges,,,152.03,percent of total billed charges,,,152.03,percent of total billed charges,,,152.03,percent of total billed charges,,,152.03,percent of total billed charges,,,152.03,percent of total billed charges,,,152.03,percent of total billed charges,
ER-APP LONG LEG SPLINT,29505,CDM,,,GF,both,,,470,470,108.1,470,470,percent of total billed charges,470,percent of total billed charges,470,percent of total billed charges,470,percent of total billed charges,470,percent of total billed charges,470,percent of total billed charges,470,percent of total billed charges,470,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,338.4,percent of total billed charges,338.4,percent of total billed charges,371.3,percent of total billed charges,371.3,percent of total billed charges,376,percent of total billed charges,376,percent of total billed charges,,,338.4,percent of total billed charges ,,,376,percent of total billed charges ,371.3,percent of total billed charges ,371.3,percent of total billed charges ,399.5,percent of total billed charges ,399.5,percent of total billed charges ,376,percent of total billed charges ,376,percent of total billed charges ,329,percent of total billed charges ,329,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 ,,,,,250.04,percent of total billed charges ,,,,,237.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,
ER-WOUND INTERMEDIATE 2.5CM OR LESS,12051,CDM,,,GF,both,,,865,865,198.95,865,865,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,683.35,percent of total billed charges,683.35,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 ,683.35,percent of total billed charges ,683.35,percent of total billed charges ,735.25,percent of total billed charges ,735.25,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 ,,,,,,,,,,,,,,,,,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,
PHY-WOUND 2.5CM OR LESS INTERMEDIATE,12051,CDM,,,GF,both,,,"1,007.00","1,007.00",231.61,"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,795.53,percent of total billed charges,795.53,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 ,795.53,percent of total billed charges ,795.53,percent of total billed charges ,855.95,percent of total billed charges ,855.95,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 ,,,,,,,,,,,,,,,,,,,231.61,percent of total billed charges,,,231.61,percent of total billed charges,,,231.61,percent of total billed charges,,,231.61,percent of total billed charges,,,231.61,percent of total billed charges,,,231.61,percent of total billed charges,,,231.61,percent of total billed charges,,,231.61,percent of total billed charges,,,231.61,percent of total billed charges,,,231.61,percent of total billed charges,,,231.61,percent of total billed charges,
**ER-CLOSED ELBOS DILOCATION DO NOT USE,24600,CDM,,,,both,,,770,770,177.1,770,770,percent of total billed charges,770,percent of total billed charges,770,percent of total billed charges,770,percent of total billed charges,770,percent of total billed charges,770,percent of total billed charges,770,percent of total billed charges,770,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,554.4,percent of total billed charges,554.4,percent of total billed charges,608.3,percent of total billed charges,608.3,percent of total billed charges,616,percent of total billed charges,616,percent of total billed charges,,,554.4,percent of total billed charges ,,,616,percent of total billed charges ,608.3,percent of total billed charges ,608.3,percent of total billed charges ,654.5,percent of total billed charges ,654.5,percent of total billed charges ,616,percent of total billed charges ,616,percent of total billed charges ,539,percent of total billed charges ,539,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 ,,,,,409.64,percent of total billed charges ,,,,,389.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,
PHY-CLOSED ELBOW DISL W/O ANES,24600,CDM,,,,both,,,"2,337.00","2,337.00",537.51,"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,"1,846.23",percent of total billed charges,"1,846.23",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 ,"1,846.23",percent of total billed charges ,"1,846.23",percent of total billed charges ,"1,986.45",percent of total billed charges ,"1,986.45",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 ,,,,,,,,,,,,,,,,,,,537.51,percent of total billed charges,,,537.51,percent of total billed charges,,,537.51,percent of total billed charges,,,537.51,percent of total billed charges,,,537.51,percent of total billed charges,,,537.51,percent of total billed charges,,,537.51,percent of total billed charges,,,537.51,percent of total billed charges,,,537.51,percent of total billed charges,,,537.51,percent of total billed charges,,,537.51,percent of total billed charges,
ER-CLOSED RADIAL HEAD SUBLU,24640,CDM,,,GF,both,,,770,770,177.1,770,770,percent of total billed charges,770,percent of total billed charges,770,percent of total billed charges,770,percent of total billed charges,770,percent of total billed charges,770,percent of total billed charges,770,percent of total billed charges,770,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,554.4,percent of total billed charges,554.4,percent of total billed charges,608.3,percent of total billed charges,608.3,percent of total billed charges,616,percent of total billed charges,616,percent of total billed charges,,,554.4,percent of total billed charges ,,,616,percent of total billed charges ,608.3,percent of total billed charges ,608.3,percent of total billed charges ,654.5,percent of total billed charges ,654.5,percent of total billed charges ,616,percent of total billed charges ,616,percent of total billed charges ,539,percent of total billed charges ,539,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 ,,,,,409.64,percent of total billed charges ,,,,,389.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,
PHY-CLOSED RADIAL HEAD SUBLUXATION CHILD,24640,CDM,,,GF,both,,,757,757,174.11,757,757,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,598.03,percent of total billed charges,598.03,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 ,598.03,percent of total billed charges ,598.03,percent of total billed charges ,643.45,percent of total billed charges ,643.45,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 ,,,,,,,,,,,,,,,,,,,174.11,percent of total billed charges,,,174.11,percent of total billed charges,,,174.11,percent of total billed charges,,,174.11,percent of total billed charges,,,174.11,percent of total billed charges,,,174.11,percent of total billed charges,,,174.11,percent of total billed charges,,,174.11,percent of total billed charges,,,174.11,percent of total billed charges,,,174.11,percent of total billed charges,,,174.11,percent of total billed charges,
**ER-INCISION DRAINAGE ISSCHIOR DO NOT U,Local ,Local ,,,,both,,,830,830,190.9,830,830,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,655.7,percent of total billed charges,655.7,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 ,655.7,percent of total billed charges ,655.7,percent of total billed charges ,705.5,percent of total billed charges ,705.5,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 ,,,,,,,,,,,,,,,,,,,190.9,percent of total billed charges,,,190.9,percent of total billed charges,,,190.9,percent of total billed charges,,,190.9,percent of total billed charges,,,190.9,percent of total billed charges,,,190.9,percent of total billed charges,,,190.9,percent of total billed charges,,,190.9,percent of total billed charges,,,190.9,percent of total billed charges,,,190.9,percent of total billed charges,,,190.9,percent of total billed charges,
**PHY-INCISION DRAINAGE ISCHIO,46040,CDM,,,,both,,,"2,163.00","2,163.00",497.49,"2,163.00","2,163.00",percent of total billed charges,"2,163.00",percent of total billed charges,"2,163.00",percent of total billed charges,"2,163.00",percent of total billed charges,"2,163.00",percent of total billed charges,"2,163.00",percent of total billed charges,"2,163.00",percent of total billed charges,"2,163.00",percent of total billed charges,"1,557.36",percent of total billed charges,"1,557.36",percent of total billed charges,"1,557.36",percent of total billed charges,"1,557.36",percent of total billed charges,"1,557.36",percent of total billed charges,"1,557.36",percent of total billed charges,"1,708.77",percent of total billed charges,"1,708.77",percent of total billed charges,"1,730.40",percent of total billed charges,"1,730.40",percent of total billed charges,,,"1,557.36",percent of total billed charges ,,,"1,730.40",percent of total billed charges ,"1,708.77",percent of total billed charges ,"1,708.77",percent of total billed charges ,"1,838.55",percent of total billed charges ,"1,838.55",percent of total billed charges ,"1,730.40",percent of total billed charges ,"1,730.40",percent of total billed charges ,"1,514.10",percent of total billed charges ,"1,514.10",percent of total billed charges ,"1,297.80",percent of total billed charges ,"1,297.80",percent of total billed charges ,"1,297.80",percent of total billed charges ,"1,297.80",percent of total billed charges ,,,,,"1,150.72",percent of total billed charges ,,,,,"1,093.18",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,,,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,,,497.49,percent of total billed charges,,,497.49,percent of total billed charges,,,497.49,percent of total billed charges,
PHY-DRAINAGE OF GLAND ABSCESS,56420,CDM,,,GF,both,,,"1,080.00","1,080.00",248.4,"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,853.2,percent of total billed charges,853.2,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 ,853.2,percent of total billed charges ,853.2,percent of total billed charges ,918,percent of total billed charges ,918,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**ER-WOUND 12-6CM-20.0CM (SCALP) DO NOT,12005,CDM,,,GF,both,,,756,756,173.88,756,756,percent of total billed charges,756,percent of total billed charges,756,percent of total billed charges,756,percent of total billed charges,756,percent of total billed charges,756,percent of total billed charges,756,percent of total billed charges,756,percent of total billed charges,544.32,percent of total billed charges,544.32,percent of total billed charges,544.32,percent of total billed charges,544.32,percent of total billed charges,544.32,percent of total billed charges,544.32,percent of total billed charges,597.24,percent of total billed charges,597.24,percent of total billed charges,604.8,percent of total billed charges,604.8,percent of total billed charges,,,544.32,percent of total billed charges ,,,604.8,percent of total billed charges ,597.24,percent of total billed charges ,597.24,percent of total billed charges ,642.6,percent of total billed charges ,642.6,percent of total billed charges ,604.8,percent of total billed charges ,604.8,percent of total billed charges ,529.2,percent of total billed charges ,529.2,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 ,,,,,402.19,percent of total billed charges ,,,,,382.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,173.88,percent of total billed charges,,,173.88,percent of total billed charges,,,173.88,percent of total billed charges,,,173.88,percent of total billed charges,,,173.88,percent of total billed charges,,,173.88,percent of total billed charges,,,173.88,percent of total billed charges,,,173.88,percent of total billed charges,,,173.88,percent of total billed charges,,,173.88,percent of total billed charges,,,173.88,percent of total billed charges,
"PHY-WD 12.6CM - 20.0CM(SCLP,AXILAE SIMPL",12005,CDM,,,GF,both,,,"1,157.00","1,157.00",266.11,"1,157.00","1,157.00",percent of total billed charges,"1,157.00",percent of total billed charges,"1,157.00",percent of total billed charges,"1,157.00",percent of total billed charges,"1,157.00",percent of total billed charges,"1,157.00",percent of total billed charges,"1,157.00",percent of total billed charges,"1,157.00",percent of total billed charges,833.04,percent of total billed charges,833.04,percent of total billed charges,833.04,percent of total billed charges,833.04,percent of total billed charges,833.04,percent of total billed charges,833.04,percent of total billed charges,914.03,percent of total billed charges,914.03,percent of total billed charges,925.6,percent of total billed charges,925.6,percent of total billed charges,,,833.04,percent of total billed charges ,,,925.6,percent of total billed charges ,914.03,percent of total billed charges ,914.03,percent of total billed charges ,983.45,percent of total billed charges ,983.45,percent of total billed charges ,925.6,percent of total billed charges ,925.6,percent of total billed charges ,809.9,percent of total billed charges ,809.9,percent of total billed charges ,694.2,percent of total billed charges ,694.2,percent of total billed charges ,694.2,percent of total billed charges ,694.2,percent of total billed charges ,,,,,615.52,percent of total billed charges ,,,,,584.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,
"PHY-I&D OF PILONIDAL CYST, SIMPLE",10080,CDM,,,GF,both,,,527,527,121.21,527,527,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,416.33,percent of total billed charges,416.33,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 ,416.33,percent of total billed charges ,416.33,percent of total billed charges ,447.95,percent of total billed charges ,447.95,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**PHY-EXCISION BENIGEN LESION DO NOT USE,11421,CDM,,,,both,,,691,691,158.93,691,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,545.89,percent of total billed charges,545.89,percent of total billed charges,552.8,percent of total billed charges,552.8,percent of total billed charges,,,497.52,percent of total billed charges ,,,552.8,percent of total billed charges ,545.89,percent of total billed charges ,545.89,percent of total billed charges ,587.35,percent of total billed charges ,587.35,percent of total billed charges ,552.8,percent of total billed charges ,552.8,percent of total billed charges ,483.7,percent of total billed charges ,483.7,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,,,,,367.61,percent of total billed charges ,,,,,349.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,
**PHY-DORSAL/LATERAL SLIT DO NOT USE,54001,CDM,,,,both,,,691,691,158.93,691,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,545.89,percent of total billed charges,545.89,percent of total billed charges,552.8,percent of total billed charges,552.8,percent of total billed charges,,,497.52,percent of total billed charges ,,,552.8,percent of total billed charges ,545.89,percent of total billed charges ,545.89,percent of total billed charges ,587.35,percent of total billed charges ,587.35,percent of total billed charges ,552.8,percent of total billed charges ,552.8,percent of total billed charges ,483.7,percent of total billed charges ,483.7,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,,,,,367.61,percent of total billed charges ,,,,,349.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,
**PHY-LACERATION REPAIR TONGUE DO NOT US,41252,CDM,,,,both,,,"1,600.00","1,600.00",368,"1,600.00","1,600.00",percent of total billed charges,"1,600.00",percent of total billed charges,"1,600.00",percent of total billed charges,"1,600.00",percent of total billed charges,"1,600.00",percent of total billed charges,"1,600.00",percent of total billed charges,"1,600.00",percent of total billed charges,"1,600.00",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,"1,264.00",percent of total billed charges,"1,264.00",percent of total billed charges,"1,280.00",percent of total billed charges,"1,280.00",percent of total billed charges,,,"1,152.00",percent of total billed charges ,,,"1,280.00",percent of total billed charges ,"1,264.00",percent of total billed charges ,"1,264.00",percent of total billed charges ,"1,360.00",percent of total billed charges ,"1,360.00",percent of total billed charges ,"1,280.00",percent of total billed charges ,"1,280.00",percent of total billed charges ,"1,120.00",percent of total billed charges ,"1,120.00",percent of total billed charges ,960,percent of total billed charges ,960,percent of total billed charges ,960,percent of total billed charges ,960,percent of total billed charges ,,,,,851.2,percent of total billed charges ,,,,,808.64,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,,,368,percent of total billed charges,,,368,percent of total billed charges,,,368,percent of total billed charges,,,368,percent of total billed charges,
**PHY-REMOVAL F/B FROM PHARNX DO NOT USE,42809,CDM,,,,both,,,691,691,158.93,691,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,545.89,percent of total billed charges,545.89,percent of total billed charges,552.8,percent of total billed charges,552.8,percent of total billed charges,,,497.52,percent of total billed charges ,,,552.8,percent of total billed charges ,545.89,percent of total billed charges ,545.89,percent of total billed charges ,587.35,percent of total billed charges ,587.35,percent of total billed charges ,552.8,percent of total billed charges ,552.8,percent of total billed charges ,483.7,percent of total billed charges ,483.7,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,,,,,367.61,percent of total billed charges ,,,,,349.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,
**PHY-TRANFUSION PRC,36430,CDM,,,GF,both,,,"1,023.00","1,023.00",235.29,"1,023.00","1,023.00",percent of total billed charges,"1,023.00",percent of total billed charges,"1,023.00",percent of total billed charges,"1,023.00",percent of total billed charges,"1,023.00",percent of total billed charges,"1,023.00",percent of total billed charges,"1,023.00",percent of total billed charges,"1,023.00",percent of total billed charges,736.56,percent of total billed charges,736.56,percent of total billed charges,736.56,percent of total billed charges,736.56,percent of total billed charges,736.56,percent of total billed charges,736.56,percent of total billed charges,808.17,percent of total billed charges,808.17,percent of total billed charges,818.4,percent of total billed charges,818.4,percent of total billed charges,,,736.56,percent of total billed charges ,,,818.4,percent of total billed charges ,808.17,percent of total billed charges ,808.17,percent of total billed charges ,869.55,percent of total billed charges ,869.55,percent of total billed charges ,818.4,percent of total billed charges ,818.4,percent of total billed charges ,716.1,percent of total billed charges ,716.1,percent of total billed charges ,613.8,percent of total billed charges ,613.8,percent of total billed charges ,613.8,percent of total billed charges ,613.8,percent of total billed charges ,,,,,544.24,percent of total billed charges ,,,,,517.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,
PHY-ARTHROCENTESIS ASPIRATION INT JOINT,20605,CDM,,,,both,,,293,293,67.39,293,293,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,231.47,percent of total billed charges,231.47,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 ,231.47,percent of total billed charges ,231.47,percent of total billed charges ,249.05,percent of total billed charges ,249.05,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 ,,,,,,,,,,,,,,,,,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,
PHY-CLOSED TREATMENT OF POST HIP,27266,CDM,,,,both,,,"1,816.00","1,816.00",417.68,"1,816.00","1,816.00",percent of total billed charges,"1,816.00",percent of total billed charges,"1,816.00",percent of total billed charges,"1,816.00",percent of total billed charges,"1,816.00",percent of total billed charges,"1,816.00",percent of total billed charges,"1,816.00",percent of total billed charges,"1,816.00",percent of total billed charges,"1,307.52",percent of total billed charges,"1,307.52",percent of total billed charges,"1,307.52",percent of total billed charges,"1,307.52",percent of total billed charges,"1,307.52",percent of total billed charges,"1,307.52",percent of total billed charges,"1,434.64",percent of total billed charges,"1,434.64",percent of total billed charges,"1,452.80",percent of total billed charges,"1,452.80",percent of total billed charges,,,"1,307.52",percent of total billed charges ,,,"1,452.80",percent of total billed charges ,"1,434.64",percent of total billed charges ,"1,434.64",percent of total billed charges ,"1,543.60",percent of total billed charges ,"1,543.60",percent of total billed charges ,"1,452.80",percent of total billed charges ,"1,452.80",percent of total billed charges ,"1,271.20",percent of total billed charges ,"1,271.20",percent of total billed charges ,"1,089.60",percent of total billed charges ,"1,089.60",percent of total billed charges ,"1,089.60",percent of total billed charges ,"1,089.60",percent of total billed charges ,,,,,966.11,percent of total billed charges ,,,,,917.81,percent of total billed charges ,,,,,,,,,,,,,,,,,,,417.68,percent of total billed charges,,,417.68,percent of total billed charges,,,417.68,percent of total billed charges,,,417.68,percent of total billed charges,,,417.68,percent of total billed charges,,,417.68,percent of total billed charges,,,417.68,percent of total billed charges,,,417.68,percent of total billed charges,,,417.68,percent of total billed charges,,,417.68,percent of total billed charges,,,417.68,percent of total billed charges,
PHY-COMPLEX REPAIR 2.6-7.5CM,13121,CDM,,,GF,both,,,"1,730.00","1,730.00",397.9,"1,730.00","1,730.00",percent of total billed charges,"1,730.00",percent of total billed charges,"1,730.00",percent of total billed charges,"1,730.00",percent of total billed charges,"1,730.00",percent of total billed charges,"1,730.00",percent of total billed charges,"1,730.00",percent of total billed charges,"1,730.00",percent of total billed charges,"1,245.60",percent of total billed charges,"1,245.60",percent of total billed charges,"1,245.60",percent of total billed charges,"1,245.60",percent of total billed charges,"1,245.60",percent of total billed charges,"1,245.60",percent of total billed charges,"1,366.70",percent of total billed charges,"1,366.70",percent of total billed charges,"1,384.00",percent of total billed charges,"1,384.00",percent of total billed charges,,,"1,245.60",percent of total billed charges ,,,"1,384.00",percent of total billed charges ,"1,366.70",percent of total billed charges ,"1,366.70",percent of total billed charges ,"1,470.50",percent of total billed charges ,"1,470.50",percent of total billed charges ,"1,384.00",percent of total billed charges ,"1,384.00",percent of total billed charges ,"1,211.00",percent of total billed charges ,"1,211.00",percent of total billed charges ,"1,038.00",percent of total billed charges ,"1,038.00",percent of total billed charges ,"1,038.00",percent of total billed charges ,"1,038.00",percent of total billed charges ,,,,,920.36,percent of total billed charges ,,,,,874.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,397.9,percent of total billed charges,,,397.9,percent of total billed charges,,,397.9,percent of total billed charges,,,397.9,percent of total billed charges,,,397.9,percent of total billed charges,,,397.9,percent of total billed charges,,,397.9,percent of total billed charges,,,397.9,percent of total billed charges,,,397.9,percent of total billed charges,,,397.9,percent of total billed charges,,,397.9,percent of total billed charges,
PHY-NEEDLE ASPIRATION CYST-PILONIDAL,10160,CDM,,,GF,both,,,545,545,125.35,545,545,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,430.55,percent of total billed charges,430.55,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 ,430.55,percent of total billed charges ,430.55,percent of total billed charges ,463.25,percent of total billed charges ,463.25,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 ,,,,,,,,,,,,,,,,,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,
PHY-INCISION OF THROMBOSED HEMORRHOID EX,46083,CDM,,,,both,,,691,691,158.93,691,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,545.89,percent of total billed charges,545.89,percent of total billed charges,552.8,percent of total billed charges,552.8,percent of total billed charges,,,497.52,percent of total billed charges ,,,552.8,percent of total billed charges ,545.89,percent of total billed charges ,545.89,percent of total billed charges ,587.35,percent of total billed charges ,587.35,percent of total billed charges ,552.8,percent of total billed charges ,552.8,percent of total billed charges ,483.7,percent of total billed charges ,483.7,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,,,,,367.61,percent of total billed charges ,,,,,349.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,
PHY-REMOVAL F/B EXTREMITY,20103,CDM,,,GF,both,,,"2,472.00","2,472.00",568.56,"2,472.00","2,472.00",percent of total billed charges,"2,472.00",percent of total billed charges,"2,472.00",percent of total billed charges,"2,472.00",percent of total billed charges,"2,472.00",percent of total billed charges,"2,472.00",percent of total billed charges,"2,472.00",percent of total billed charges,"2,472.00",percent of total billed charges,"1,779.84",percent of total billed charges,"1,779.84",percent of total billed charges,"1,779.84",percent of total billed charges,"1,779.84",percent of total billed charges,"1,779.84",percent of total billed charges,"1,779.84",percent of total billed charges,"1,952.88",percent of total billed charges,"1,952.88",percent of total billed charges,"1,977.60",percent of total billed charges,"1,977.60",percent of total billed charges,,,"1,779.84",percent of total billed charges ,,,"1,977.60",percent of total billed charges ,"1,952.88",percent of total billed charges ,"1,952.88",percent of total billed charges ,"2,101.20",percent of total billed charges ,"2,101.20",percent of total billed charges ,"1,977.60",percent of total billed charges ,"1,977.60",percent of total billed charges ,"1,730.40",percent of total billed charges ,"1,730.40",percent of total billed charges ,"1,483.20",percent of total billed charges ,"1,483.20",percent of total billed charges ,"1,483.20",percent of total billed charges ,"1,483.20",percent of total billed charges ,,,,,"1,315.10",percent of total billed charges ,,,,,"1,249.35",percent of total billed charges ,,,,,,,,,,,,,,,,,,,568.56,percent of total billed charges,,,568.56,percent of total billed charges,,,568.56,percent of total billed charges,,,568.56,percent of total billed charges,,,568.56,percent of total billed charges,,,568.56,percent of total billed charges,,,568.56,percent of total billed charges,,,568.56,percent of total billed charges,,,568.56,percent of total billed charges,,,568.56,percent of total billed charges,,,568.56,percent of total billed charges,
PHY-REDUCTION OF RT ANKLE,27818,CDM,,,,both,,,"3,354.00","3,354.00",771.42,"3,354.00","3,354.00",percent of total billed charges,"3,354.00",percent of total billed charges,"3,354.00",percent of total billed charges,"3,354.00",percent of total billed charges,"3,354.00",percent of total billed charges,"3,354.00",percent of total billed charges,"3,354.00",percent of total billed charges,"3,354.00",percent of total billed charges,"2,414.88",percent of total billed charges,"2,414.88",percent of total billed charges,"2,414.88",percent of total billed charges,"2,414.88",percent of total billed charges,"2,414.88",percent of total billed charges,"2,414.88",percent of total billed charges,"2,649.66",percent of total billed charges,"2,649.66",percent of total billed charges,"2,683.20",percent of total billed charges,"2,683.20",percent of total billed charges,,,"2,414.88",percent of total billed charges ,,,"2,683.20",percent of total billed charges ,"2,649.66",percent of total billed charges ,"2,649.66",percent of total billed charges ,"2,850.90",percent of total billed charges ,"2,850.90",percent of total billed charges ,"2,683.20",percent of total billed charges ,"2,683.20",percent of total billed charges ,"2,347.80",percent of total billed charges ,"2,347.80",percent of total billed charges ,"2,012.40",percent of total billed charges ,"2,012.40",percent of total billed charges ,"2,012.40",percent of total billed charges ,"2,012.40",percent of total billed charges ,,,,,"1,784.33",percent of total billed charges ,,,,,"1,695.11",percent of total billed charges ,,,,,,,,,,,,,,,,,,,771.42,percent of total billed charges,,,771.42,percent of total billed charges,,,771.42,percent of total billed charges,,,771.42,percent of total billed charges,,,771.42,percent of total billed charges,,,771.42,percent of total billed charges,,,771.42,percent of total billed charges,,,771.42,percent of total billed charges,,,771.42,percent of total billed charges,,,771.42,percent of total billed charges,,,771.42,percent of total billed charges,
**PHY-CLOSED REDUCTION FX DISTAL,25605,CDM,,,,both,,,"3,364.00","3,364.00",773.72,"3,364.00","3,364.00",percent of total billed charges,"3,364.00",percent of total billed charges,"3,364.00",percent of total billed charges,"3,364.00",percent of total billed charges,"3,364.00",percent of total billed charges,"3,364.00",percent of total billed charges,"3,364.00",percent of total billed charges,"3,364.00",percent of total billed charges,"2,422.08",percent of total billed charges,"2,422.08",percent of total billed charges,"2,422.08",percent of total billed charges,"2,422.08",percent of total billed charges,"2,422.08",percent of total billed charges,"2,422.08",percent of total billed charges,"2,657.56",percent of total billed charges,"2,657.56",percent of total billed charges,"2,691.20",percent of total billed charges,"2,691.20",percent of total billed charges,,,"2,422.08",percent of total billed charges ,,,"2,691.20",percent of total billed charges ,"2,657.56",percent of total billed charges ,"2,657.56",percent of total billed charges ,"2,859.40",percent of total billed charges ,"2,859.40",percent of total billed charges ,"2,691.20",percent of total billed charges ,"2,691.20",percent of total billed charges ,"2,354.80",percent of total billed charges ,"2,354.80",percent of total billed charges ,"2,018.40",percent of total billed charges ,"2,018.40",percent of total billed charges ,"2,018.40",percent of total billed charges ,"2,018.40",percent of total billed charges ,,,,,"1,789.65",percent of total billed charges ,,,,,"1,700.17",percent of total billed charges ,,,,,,,,,,,,,,,,,,,773.72,percent of total billed charges,,,773.72,percent of total billed charges,,,773.72,percent of total billed charges,,,773.72,percent of total billed charges,,,773.72,percent of total billed charges,,,773.72,percent of total billed charges,,,773.72,percent of total billed charges,,,773.72,percent of total billed charges,,,773.72,percent of total billed charges,,,773.72,percent of total billed charges,,,773.72,percent of total billed charges,
**PHY-INCISION & REMOVAL F/B SUBCUTANEO,10120,CDM,,,GF,both,,,622,622,143.06,622,622,percent of total billed charges,622,percent of total billed charges,622,percent of total billed charges,622,percent of total billed charges,622,percent of total billed charges,622,percent of total billed charges,622,percent of total billed charges,622,percent of total billed charges,447.84,percent of total billed charges,447.84,percent of total billed charges,447.84,percent of total billed charges,447.84,percent of total billed charges,447.84,percent of total billed charges,447.84,percent of total billed charges,491.38,percent of total billed charges,491.38,percent of total billed charges,497.6,percent of total billed charges,497.6,percent of total billed charges,,,447.84,percent of total billed charges ,,,497.6,percent of total billed charges ,491.38,percent of total billed charges ,491.38,percent of total billed charges ,528.7,percent of total billed charges ,528.7,percent of total billed charges ,497.6,percent of total billed charges ,497.6,percent of total billed charges ,435.4,percent of total billed charges ,435.4,percent of total billed charges ,373.2,percent of total billed charges ,373.2,percent of total billed charges ,373.2,percent of total billed charges ,373.2,percent of total billed charges ,,,,,330.9,percent of total billed charges ,,,,,314.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,143.06,percent of total billed charges,,,143.06,percent of total billed charges,,,143.06,percent of total billed charges,,,143.06,percent of total billed charges,,,143.06,percent of total billed charges,,,143.06,percent of total billed charges,,,143.06,percent of total billed charges,,,143.06,percent of total billed charges,,,143.06,percent of total billed charges,,,143.06,percent of total billed charges,,,143.06,percent of total billed charges,
**PHY-CLS ELBOW DISCLOC,24600,CDM,,,,both,,,"2,480.00","2,480.00",570.4,"2,480.00","2,480.00",percent of total billed charges,"2,480.00",percent of total billed charges,"2,480.00",percent of total billed charges,"2,480.00",percent of total billed charges,"2,480.00",percent of total billed charges,"2,480.00",percent of total billed charges,"2,480.00",percent of total billed charges,"2,480.00",percent of total billed charges,"1,785.60",percent of total billed charges,"1,785.60",percent of total billed charges,"1,785.60",percent of total billed charges,"1,785.60",percent of total billed charges,"1,785.60",percent of total billed charges,"1,785.60",percent of total billed charges,"1,959.20",percent of total billed charges,"1,959.20",percent of total billed charges,"1,984.00",percent of total billed charges,"1,984.00",percent of total billed charges,,,"1,785.60",percent of total billed charges ,,,"1,984.00",percent of total billed charges ,"1,959.20",percent of total billed charges ,"1,959.20",percent of total billed charges ,"2,108.00",percent of total billed charges ,"2,108.00",percent of total billed charges ,"1,984.00",percent of total billed charges ,"1,984.00",percent of total billed charges ,"1,736.00",percent of total billed charges ,"1,736.00",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 ,,,,,"1,319.36",percent of total billed charges ,,,,,"1,253.39",percent of total billed charges ,,,,,,,,,,,,,,,,,,,570.4,percent of total billed charges,,,570.4,percent of total billed charges,,,570.4,percent of total billed charges,,,570.4,percent of total billed charges,,,570.4,percent of total billed charges,,,570.4,percent of total billed charges,,,570.4,percent of total billed charges,,,570.4,percent of total billed charges,,,570.4,percent of total billed charges,,,570.4,percent of total billed charges,,,570.4,percent of total billed charges,
PHY-APP LONG LEG SPLINT,29505,CDM,,,GF,both,,,311,311,71.53,311,311,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,245.69,percent of total billed charges,245.69,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 ,245.69,percent of total billed charges ,245.69,percent of total billed charges ,264.35,percent of total billed charges ,264.35,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 ,,,,,,,,,,,,,,,,,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,
**PHY-CLS RAD HEAD SUB CHILD W/MANIPULAT,24640,CDM,,,GF,both,,,908,908,208.84,908,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,717.32,percent of total billed charges,717.32,percent of total billed charges,726.4,percent of total billed charges,726.4,percent of total billed charges,,,653.76,percent of total billed charges ,,,726.4,percent of total billed charges ,717.32,percent of total billed charges ,717.32,percent of total billed charges ,771.8,percent of total billed charges ,771.8,percent of total billed charges ,726.4,percent of total billed charges ,726.4,percent of total billed charges ,635.6,percent of total billed charges ,635.6,percent of total billed charges ,544.8,percent of total billed charges ,544.8,percent of total billed charges ,544.8,percent of total billed charges ,544.8,percent of total billed charges ,,,,,483.06,percent of total billed charges ,,,,,458.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,
**PHY-INS C VENOUS CATH 5YRS OLDER,36556,CDM,,,,both,,,"1,546.00","1,546.00",355.58,"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,"1,221.34",percent of total billed charges,"1,221.34",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 ,"1,221.34",percent of total billed charges ,"1,221.34",percent of total billed charges ,"1,314.10",percent of total billed charges ,"1,314.10",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 ,,,,,,,,,,,,,,,,,,,355.58,percent of total billed charges,,,355.58,percent of total billed charges,,,355.58,percent of total billed charges,,,355.58,percent of total billed charges,,,355.58,percent of total billed charges,,,355.58,percent of total billed charges,,,355.58,percent of total billed charges,,,355.58,percent of total billed charges,,,355.58,percent of total billed charges,,,355.58,percent of total billed charges,,,355.58,percent of total billed charges,
PHY-I&d VULVE OR PERNIEAL,56405,CDM,,,GF,both,,,691,691,158.93,691,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,545.89,percent of total billed charges,545.89,percent of total billed charges,552.8,percent of total billed charges,552.8,percent of total billed charges,,,497.52,percent of total billed charges ,,,552.8,percent of total billed charges ,545.89,percent of total billed charges ,545.89,percent of total billed charges ,587.35,percent of total billed charges ,587.35,percent of total billed charges ,552.8,percent of total billed charges ,552.8,percent of total billed charges ,483.7,percent of total billed charges ,483.7,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,,,,,367.61,percent of total billed charges ,,,,,349.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,
PHY-CLOSED TRMNT OF METACARPAL FX SINGLE,26605,CDM,,,,both,,,"1,134.00","1,134.00",260.82,"1,134.00","1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,816.48,percent of total billed charges,816.48,percent of total billed charges,816.48,percent of total billed charges,816.48,percent of total billed charges,816.48,percent of total billed charges,816.48,percent of total billed charges,895.86,percent of total billed charges,895.86,percent of total billed charges,907.2,percent of total billed charges,907.2,percent of total billed charges,,,816.48,percent of total billed charges ,,,907.2,percent of total billed charges ,895.86,percent of total billed charges ,895.86,percent of total billed charges ,963.9,percent of total billed charges ,963.9,percent of total billed charges ,907.2,percent of total billed charges ,907.2,percent of total billed charges ,793.8,percent of total billed charges ,793.8,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 ,,,,,603.29,percent of total billed charges ,,,,,573.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,
**PHY-DEB EPIDERMIS &/OR DERMIS < 21 SQ,97597,CDM,,,GP,both,,,223,223,51.29,223,223,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,176.17,percent of total billed charges,176.17,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 ,176.17,percent of total billed charges ,176.17,percent of total billed charges ,189.55,percent of total billed charges ,189.55,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 ,,,,,,,,,,,,,,,,,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,
PHY-INJ ANESTHETIC FACIAL NERVE,64999,CDM,,,GF,both,,,490,490,112.7,490,490,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,387.1,percent of total billed charges,387.1,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 ,387.1,percent of total billed charges ,387.1,percent of total billed charges ,416.5,percent of total billed charges ,416.5,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 ,,,,,,,,,,,,,,,,,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,
"PHY-WOUND 2.5CM OR LESS NK,HDS,FT,EX GEN",12041,CDM,,,GF,both,,,"1,015.00","1,015.00",233.45,"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,801.85,percent of total billed charges,801.85,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 ,801.85,percent of total billed charges ,801.85,percent of total billed charges ,862.75,percent of total billed charges ,862.75,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 ,,,,,,,,,,,,,,,,,,,233.45,percent of total billed charges,,,233.45,percent of total billed charges,,,233.45,percent of total billed charges,,,233.45,percent of total billed charges,,,233.45,percent of total billed charges,,,233.45,percent of total billed charges,,,233.45,percent of total billed charges,,,233.45,percent of total billed charges,,,233.45,percent of total billed charges,,,233.45,percent of total billed charges,,,233.45,percent of total billed charges,
PHY-CLOSURE OF SURG WOUND-SIMPLE,12020,CDM,,,GF,both,,,"1,201.00","1,201.00",276.23,"1,201.00","1,201.00",percent of total billed charges,"1,201.00",percent of total billed charges,"1,201.00",percent of total billed charges,"1,201.00",percent of total billed charges,"1,201.00",percent of total billed charges,"1,201.00",percent of total billed charges,"1,201.00",percent of total billed charges,"1,201.00",percent of total billed charges,864.72,percent of total billed charges,864.72,percent of total billed charges,864.72,percent of total billed charges,864.72,percent of total billed charges,864.72,percent of total billed charges,864.72,percent of total billed charges,948.79,percent of total billed charges,948.79,percent of total billed charges,960.8,percent of total billed charges,960.8,percent of total billed charges,,,864.72,percent of total billed charges ,,,960.8,percent of total billed charges ,948.79,percent of total billed charges ,948.79,percent of total billed charges ,"1,020.85",percent of total billed charges ,"1,020.85",percent of total billed charges ,960.8,percent of total billed charges ,960.8,percent of total billed charges ,840.7,percent of total billed charges ,840.7,percent of total billed charges ,720.6,percent of total billed charges ,720.6,percent of total billed charges ,720.6,percent of total billed charges ,720.6,percent of total billed charges ,,,,,638.93,percent of total billed charges ,,,,,606.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,276.23,percent of total billed charges,,,276.23,percent of total billed charges,,,276.23,percent of total billed charges,,,276.23,percent of total billed charges,,,276.23,percent of total billed charges,,,276.23,percent of total billed charges,,,276.23,percent of total billed charges,,,276.23,percent of total billed charges,,,276.23,percent of total billed charges,,,276.23,percent of total billed charges,,,276.23,percent of total billed charges,
PHY-I&D OF ABSCESS COMPLICATED/MUTLIPLE,10061,CDM,,,GF,both,,,993,993,228.39,993,993,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,784.47,percent of total billed charges,784.47,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 ,784.47,percent of total billed charges ,784.47,percent of total billed charges ,844.05,percent of total billed charges ,844.05,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 ,,,,,,,,,,,,,,,,,,,228.39,percent of total billed charges,,,228.39,percent of total billed charges,,,228.39,percent of total billed charges,,,228.39,percent of total billed charges,,,228.39,percent of total billed charges,,,228.39,percent of total billed charges,,,228.39,percent of total billed charges,,,228.39,percent of total billed charges,,,228.39,percent of total billed charges,,,228.39,percent of total billed charges,,,228.39,percent of total billed charges,
PHY-LAYERED CLOSURE OF WOUNDS 7.6CM-12.5,12054,CDM,,,GF,both,,,"1,577.00","1,577.00",362.71,"1,577.00","1,577.00",percent of total billed charges,"1,577.00",percent of total billed charges,"1,577.00",percent of total billed charges,"1,577.00",percent of total billed charges,"1,577.00",percent of total billed charges,"1,577.00",percent of total billed charges,"1,577.00",percent of total billed charges,"1,577.00",percent of total billed charges,"1,135.44",percent of total billed charges,"1,135.44",percent of total billed charges,"1,135.44",percent of total billed charges,"1,135.44",percent of total billed charges,"1,135.44",percent of total billed charges,"1,135.44",percent of total billed charges,"1,245.83",percent of total billed charges,"1,245.83",percent of total billed charges,"1,261.60",percent of total billed charges,"1,261.60",percent of total billed charges,,,"1,135.44",percent of total billed charges ,,,"1,261.60",percent of total billed charges ,"1,245.83",percent of total billed charges ,"1,245.83",percent of total billed charges ,"1,340.45",percent of total billed charges ,"1,340.45",percent of total billed charges ,"1,261.60",percent of total billed charges ,"1,261.60",percent of total billed charges ,"1,103.90",percent of total billed charges ,"1,103.90",percent of total billed charges ,946.2,percent of total billed charges ,946.2,percent of total billed charges ,946.2,percent of total billed charges ,946.2,percent of total billed charges ,,,,,838.96,percent of total billed charges ,,,,,797.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,
PHY-CLSD TRETMT OF SHLDR DISLOC W/O ANES,23650,CDM,,,GF,both,,,"1,868.00","1,868.00",429.64,"1,868.00","1,868.00",percent of total billed charges,"1,868.00",percent of total billed charges,"1,868.00",percent of total billed charges,"1,868.00",percent of total billed charges,"1,868.00",percent of total billed charges,"1,868.00",percent of total billed charges,"1,868.00",percent of total billed charges,"1,868.00",percent of total billed charges,"1,344.96",percent of total billed charges,"1,344.96",percent of total billed charges,"1,344.96",percent of total billed charges,"1,344.96",percent of total billed charges,"1,344.96",percent of total billed charges,"1,344.96",percent of total billed charges,"1,475.72",percent of total billed charges,"1,475.72",percent of total billed charges,"1,494.40",percent of total billed charges,"1,494.40",percent of total billed charges,,,"1,344.96",percent of total billed charges ,,,"1,494.40",percent of total billed charges ,"1,475.72",percent of total billed charges ,"1,475.72",percent of total billed charges ,"1,587.80",percent of total billed charges ,"1,587.80",percent of total billed charges ,"1,494.40",percent of total billed charges ,"1,494.40",percent of total billed charges ,"1,307.60",percent of total billed charges ,"1,307.60",percent of total billed charges ,"1,120.80",percent of total billed charges ,"1,120.80",percent of total billed charges ,"1,120.80",percent of total billed charges ,"1,120.80",percent of total billed charges ,,,,,993.78,percent of total billed charges ,,,,,944.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,429.64,percent of total billed charges,,,429.64,percent of total billed charges,,,429.64,percent of total billed charges,,,429.64,percent of total billed charges,,,429.64,percent of total billed charges,,,429.64,percent of total billed charges,,,429.64,percent of total billed charges,,,429.64,percent of total billed charges,,,429.64,percent of total billed charges,,,429.64,percent of total billed charges,,,429.64,percent of total billed charges,
PHY-DRAIN OF ABS/HEMA/DENTOAVEOLAR,41800,CDM,,,GF,both,,,691,691,158.93,691,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,545.89,percent of total billed charges,545.89,percent of total billed charges,552.8,percent of total billed charges,552.8,percent of total billed charges,,,497.52,percent of total billed charges ,,,552.8,percent of total billed charges ,545.89,percent of total billed charges ,545.89,percent of total billed charges ,587.35,percent of total billed charges ,587.35,percent of total billed charges ,552.8,percent of total billed charges ,552.8,percent of total billed charges ,483.7,percent of total billed charges ,483.7,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,,,,,367.61,percent of total billed charges ,,,,,349.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,
PHY-CLOSED TREATMENT OF POST HIP ARTHRO,27265,CDM,,,,both,,,"1,134.00","1,134.00",260.82,"1,134.00","1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,816.48,percent of total billed charges,816.48,percent of total billed charges,816.48,percent of total billed charges,816.48,percent of total billed charges,816.48,percent of total billed charges,816.48,percent of total billed charges,895.86,percent of total billed charges,895.86,percent of total billed charges,907.2,percent of total billed charges,907.2,percent of total billed charges,,,816.48,percent of total billed charges ,,,907.2,percent of total billed charges ,895.86,percent of total billed charges ,895.86,percent of total billed charges ,963.9,percent of total billed charges ,963.9,percent of total billed charges ,907.2,percent of total billed charges ,907.2,percent of total billed charges ,793.8,percent of total billed charges ,793.8,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 ,,,,,603.29,percent of total billed charges ,,,,,573.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,
PHY-DRAINAGE OF FINGER,26010,CDM,,,GF,both,,,691,691,158.93,691,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,545.89,percent of total billed charges,545.89,percent of total billed charges,552.8,percent of total billed charges,552.8,percent of total billed charges,,,497.52,percent of total billed charges ,,,552.8,percent of total billed charges ,545.89,percent of total billed charges ,545.89,percent of total billed charges ,587.35,percent of total billed charges ,587.35,percent of total billed charges ,552.8,percent of total billed charges ,552.8,percent of total billed charges ,483.7,percent of total billed charges ,483.7,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,,,,,367.61,percent of total billed charges ,,,,,349.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,
IV THERAPY ADD'L HOURS,96366,CDM,,,59,both,,,274,274,63.02,274,274,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,216.46,percent of total billed charges,216.46,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 ,216.46,percent of total billed charges ,216.46,percent of total billed charges ,232.9,percent of total billed charges ,232.9,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 ,,,,,,,,,,,,,,,,,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,
IV HYDRATYION 31 MIN TO 1 HOUR,96360,CDM,,,59,both,,,653,653,150.19,653,653,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,515.87,percent of total billed charges,515.87,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 ,515.87,percent of total billed charges ,515.87,percent of total billed charges ,555.05,percent of total billed charges ,555.05,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 ,,,,,,,,,,,,,,,,,,,150.19,percent of total billed charges,,,150.19,percent of total billed charges,,,150.19,percent of total billed charges,,,150.19,percent of total billed charges,,,150.19,percent of total billed charges,,,150.19,percent of total billed charges,,,150.19,percent of total billed charges,,,150.19,percent of total billed charges,,,150.19,percent of total billed charges,,,150.19,percent of total billed charges,,,150.19,percent of total billed charges,
IV HYDRATION ADD'L HOURS,96361,CDM,,,59,both,,,252,252,57.96,252,252,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,199.08,percent of total billed charges,199.08,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 ,199.08,percent of total billed charges ,199.08,percent of total billed charges ,214.2,percent of total billed charges ,214.2,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 ,,,,,,,,,,,,,,,,,,,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,
**PHY-DEBRIDEMENT SKIN,11042,CDM,,,,both,,,476,476,109.48,476,476,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,376.04,percent of total billed charges,376.04,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 ,376.04,percent of total billed charges ,376.04,percent of total billed charges ,404.6,percent of total billed charges ,404.6,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 ,,,,,,,,,,,,,,,,,,,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,
PHY-CLOSED ELBOW DISLOCATION W/ ANESTH,24605,CDM,,,GF,both,,,"2,862.00","2,862.00",658.26,"2,862.00","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,"2,862.00",percent of total billed charges,"2,862.00",percent of total billed charges,"2,060.64",percent of total billed charges,"2,060.64",percent of total billed charges,"2,060.64",percent of total billed charges,"2,060.64",percent of total billed charges,"2,060.64",percent of total billed charges,"2,060.64",percent of total billed charges,"2,260.98",percent of total billed charges,"2,260.98",percent of total billed charges,"2,289.60",percent of total billed charges,"2,289.60",percent of total billed charges,,,"2,060.64",percent of total billed charges ,,,"2,289.60",percent of total billed charges ,"2,260.98",percent of total billed charges ,"2,260.98",percent of total billed charges ,"2,432.70",percent of total billed charges ,"2,432.70",percent of total billed charges ,"2,289.60",percent of total billed charges ,"2,289.60",percent of total billed charges ,"2,003.40",percent of total billed charges ,"2,003.40",percent of total billed charges ,"1,717.20",percent of total billed charges ,"1,717.20",percent of total billed charges ,"1,717.20",percent of total billed charges ,"1,717.20",percent of total billed charges ,,,,,"1,522.58",percent of total billed charges ,,,,,"1,446.45",percent of total billed charges ,,,,,,,,,,,,,,,,,,,658.26,percent of total billed charges,,,658.26,percent of total billed charges,,,658.26,percent of total billed charges,,,658.26,percent of total billed charges,,,658.26,percent of total billed charges,,,658.26,percent of total billed charges,,,658.26,percent of total billed charges,,,658.26,percent of total billed charges,,,658.26,percent of total billed charges,,,658.26,percent of total billed charges,,,658.26,percent of total billed charges,
PHY-CLOSED TR OF HUMERAL SHAFT FX,24505,CDM,,,,both,,,"3,331.00","3,331.00",766.13,"3,331.00","3,331.00",percent of total billed charges,"3,331.00",percent of total billed charges,"3,331.00",percent of total billed charges,"3,331.00",percent of total billed charges,"3,331.00",percent of total billed charges,"3,331.00",percent of total billed charges,"3,331.00",percent of total billed charges,"3,331.00",percent of total billed charges,"2,398.32",percent of total billed charges,"2,398.32",percent of total billed charges,"2,398.32",percent of total billed charges,"2,398.32",percent of total billed charges,"2,398.32",percent of total billed charges,"2,398.32",percent of total billed charges,"2,631.49",percent of total billed charges,"2,631.49",percent of total billed charges,"2,664.80",percent of total billed charges,"2,664.80",percent of total billed charges,,,"2,398.32",percent of total billed charges ,,,"2,664.80",percent of total billed charges ,"2,631.49",percent of total billed charges ,"2,631.49",percent of total billed charges ,"2,831.35",percent of total billed charges ,"2,831.35",percent of total billed charges ,"2,664.80",percent of total billed charges ,"2,664.80",percent of total billed charges ,"2,331.70",percent of total billed charges ,"2,331.70",percent of total billed charges ,"1,998.60",percent of total billed charges ,"1,998.60",percent of total billed charges ,"1,998.60",percent of total billed charges ,"1,998.60",percent of total billed charges ,,,,,"1,772.09",percent of total billed charges ,,,,,"1,683.49",percent of total billed charges ,,,,,,,,,,,,,,,,,,,766.13,percent of total billed charges,,,766.13,percent of total billed charges,,,766.13,percent of total billed charges,,,766.13,percent of total billed charges,,,766.13,percent of total billed charges,,,766.13,percent of total billed charges,,,766.13,percent of total billed charges,,,766.13,percent of total billed charges,,,766.13,percent of total billed charges,,,766.13,percent of total billed charges,,,766.13,percent of total billed charges,
PHY-TUBE THORACOSTOMY W/WO WATER SEAL,32551,CDM,,,,both,,,"1,745.00","1,745.00",401.35,"1,745.00","1,745.00",percent of total billed charges,"1,745.00",percent of total billed charges,"1,745.00",percent of total billed charges,"1,745.00",percent of total billed charges,"1,745.00",percent of total billed charges,"1,745.00",percent of total billed charges,"1,745.00",percent of total billed charges,"1,745.00",percent of total billed charges,"1,256.40",percent of total billed charges,"1,256.40",percent of total billed charges,"1,256.40",percent of total billed charges,"1,256.40",percent of total billed charges,"1,256.40",percent of total billed charges,"1,256.40",percent of total billed charges,"1,378.55",percent of total billed charges,"1,378.55",percent of total billed charges,"1,396.00",percent of total billed charges,"1,396.00",percent of total billed charges,,,"1,256.40",percent of total billed charges ,,,"1,396.00",percent of total billed charges ,"1,378.55",percent of total billed charges ,"1,378.55",percent of total billed charges ,"1,483.25",percent of total billed charges ,"1,483.25",percent of total billed charges ,"1,396.00",percent of total billed charges ,"1,396.00",percent of total billed charges ,"1,221.50",percent of total billed charges ,"1,221.50",percent of total billed charges ,"1,047.00",percent of total billed charges ,"1,047.00",percent of total billed charges ,"1,047.00",percent of total billed charges ,"1,047.00",percent of total billed charges ,,,,,928.34,percent of total billed charges ,,,,,881.92,percent of total billed charges ,,,,,,,,,,,,,,,,,,,401.35,percent of total billed charges,,,401.35,percent of total billed charges,,,401.35,percent of total billed charges,,,401.35,percent of total billed charges,,,401.35,percent of total billed charges,,,401.35,percent of total billed charges,,,401.35,percent of total billed charges,,,401.35,percent of total billed charges,,,401.35,percent of total billed charges,,,401.35,percent of total billed charges,,,401.35,percent of total billed charges,
"PHY-FOREIGN BODY REMOVAL W/INCISION, FOO",28190,CDM,,,GF,both,,,691,691,158.93,691,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,545.89,percent of total billed charges,545.89,percent of total billed charges,552.8,percent of total billed charges,552.8,percent of total billed charges,,,497.52,percent of total billed charges ,,,552.8,percent of total billed charges ,545.89,percent of total billed charges ,545.89,percent of total billed charges ,587.35,percent of total billed charges ,587.35,percent of total billed charges ,552.8,percent of total billed charges ,552.8,percent of total billed charges ,483.7,percent of total billed charges ,483.7,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,,,,,367.61,percent of total billed charges ,,,,,349.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,
PHY-EXCISION BENGIN LESION 0.5CM OR LESS,11400,CDM,,,,both,,,691,691,158.93,691,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,545.89,percent of total billed charges,545.89,percent of total billed charges,552.8,percent of total billed charges,552.8,percent of total billed charges,,,497.52,percent of total billed charges ,,,552.8,percent of total billed charges ,545.89,percent of total billed charges ,545.89,percent of total billed charges ,587.35,percent of total billed charges ,587.35,percent of total billed charges ,552.8,percent of total billed charges ,552.8,percent of total billed charges ,483.7,percent of total billed charges ,483.7,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,,,,,367.61,percent of total billed charges ,,,,,349.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,
PHY-INCISION & DRAINAGE PERIANAL ABCESS,46050,CDM,,,GF,both,,,691,691,158.93,691,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,545.89,percent of total billed charges,545.89,percent of total billed charges,552.8,percent of total billed charges,552.8,percent of total billed charges,,,497.52,percent of total billed charges ,,,552.8,percent of total billed charges ,545.89,percent of total billed charges ,545.89,percent of total billed charges ,587.35,percent of total billed charges ,587.35,percent of total billed charges ,552.8,percent of total billed charges ,552.8,percent of total billed charges ,483.7,percent of total billed charges ,483.7,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,,,,,367.61,percent of total billed charges ,,,,,349.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,
PHY-SIMPLE REPAIR WOUNDS 7.6CM-12.5CM,12015,CDM,,,GF,both,,,"1,356.00","1,356.00",311.88,"1,356.00","1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,976.32,percent of total billed charges,976.32,percent of total billed charges,976.32,percent of total billed charges,976.32,percent of total billed charges,976.32,percent of total billed charges,976.32,percent of total billed charges,"1,071.24",percent of total billed charges,"1,071.24",percent of total billed charges,"1,084.80",percent of total billed charges,"1,084.80",percent of total billed charges,,,976.32,percent of total billed charges ,,,"1,084.80",percent of total billed charges ,"1,071.24",percent of total billed charges ,"1,071.24",percent of total billed charges ,"1,152.60",percent of total billed charges ,"1,152.60",percent of total billed charges ,"1,084.80",percent of total billed charges ,"1,084.80",percent of total billed charges ,949.2,percent of total billed charges ,949.2,percent of total billed charges ,813.6,percent of total billed charges ,813.6,percent of total billed charges ,813.6,percent of total billed charges ,813.6,percent of total billed charges ,,,,,721.39,percent of total billed charges ,,,,,685.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,
PHY-PLACEMENT OF NEEDLE FOR INTRAOSSEOUS,36680,CDM,,,,both,,,262,262,60.26,262,262,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,206.98,percent of total billed charges,206.98,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 ,206.98,percent of total billed charges ,206.98,percent of total billed charges ,222.7,percent of total billed charges ,222.7,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,60.26,percent of total billed charges,,,60.26,percent of total billed charges,,,60.26,percent of total billed charges,
ER-IMMUNIZATION ADMIN 1 VACCINE,90471,CDM,,,,both,,,136,136,31.28,136,136,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,107.44,percent of total billed charges,107.44,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 ,107.44,percent of total billed charges ,107.44,percent of total billed charges ,115.6,percent of total billed charges ,115.6,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 ,,,,,,,,,,,,,,,,,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,
"PHY-BLEPHAROTOMY DRAINAGE OF ABCESS, EYE",67700,CDM,,,,both,,,691,691,158.93,691,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,545.89,percent of total billed charges,545.89,percent of total billed charges,552.8,percent of total billed charges,552.8,percent of total billed charges,,,497.52,percent of total billed charges ,,,552.8,percent of total billed charges ,545.89,percent of total billed charges ,545.89,percent of total billed charges ,587.35,percent of total billed charges ,587.35,percent of total billed charges ,552.8,percent of total billed charges ,552.8,percent of total billed charges ,483.7,percent of total billed charges ,483.7,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,,,,,367.61,percent of total billed charges ,,,,,349.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,
PHY-REMOVAL FOREIGN BODY FROM PHARYNX,42809,CDM,,,,both,,,691,691,158.93,691,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,545.89,percent of total billed charges,545.89,percent of total billed charges,552.8,percent of total billed charges,552.8,percent of total billed charges,,,497.52,percent of total billed charges ,,,552.8,percent of total billed charges ,545.89,percent of total billed charges ,545.89,percent of total billed charges ,587.35,percent of total billed charges ,587.35,percent of total billed charges ,552.8,percent of total billed charges ,552.8,percent of total billed charges ,483.7,percent of total billed charges ,483.7,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,,,,,367.61,percent of total billed charges ,,,,,349.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,
PHY-INSRTN PIC W/O SUB PORT OR PUMP 5YO<,36569,CDM,,,,both,,,"1,565.00","1,565.00",359.95,"1,565.00","1,565.00",percent of total billed charges,"1,565.00",percent of total billed charges,"1,565.00",percent of total billed charges,"1,565.00",percent of total billed charges,"1,565.00",percent of total billed charges,"1,565.00",percent of total billed charges,"1,565.00",percent of total billed charges,"1,565.00",percent of total billed charges,"1,126.80",percent of total billed charges,"1,126.80",percent of total billed charges,"1,126.80",percent of total billed charges,"1,126.80",percent of total billed charges,"1,126.80",percent of total billed charges,"1,126.80",percent of total billed charges,"1,236.35",percent of total billed charges,"1,236.35",percent of total billed charges,"1,252.00",percent of total billed charges,"1,252.00",percent of total billed charges,,,"1,126.80",percent of total billed charges ,,,"1,252.00",percent of total billed charges ,"1,236.35",percent of total billed charges ,"1,236.35",percent of total billed charges ,"1,330.25",percent of total billed charges ,"1,330.25",percent of total billed charges ,"1,252.00",percent of total billed charges ,"1,252.00",percent of total billed charges ,"1,095.50",percent of total billed charges ,"1,095.50",percent of total billed charges ,939,percent of total billed charges ,939,percent of total billed charges ,939,percent of total billed charges ,939,percent of total billed charges ,,,,,832.58,percent of total billed charges ,,,,,790.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,359.95,percent of total billed charges,,,359.95,percent of total billed charges,,,359.95,percent of total billed charges,,,359.95,percent of total billed charges,,,359.95,percent of total billed charges,,,359.95,percent of total billed charges,,,359.95,percent of total billed charges,,,359.95,percent of total billed charges,,,359.95,percent of total billed charges,,,359.95,percent of total billed charges,,,359.95,percent of total billed charges,
**PHY-ASPIRATION MAJOR JOINT,20610,CDM,,,GF,both,,,293,293,67.39,293,293,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,231.47,percent of total billed charges,231.47,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 ,231.47,percent of total billed charges ,231.47,percent of total billed charges ,249.05,percent of total billed charges ,249.05,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 ,,,,,,,,,,,,,,,,,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,
BLOOD ADMINISTRATION < 2 HRS,36430,CDM,,,GF,both,,,"1,498.00","1,498.00",344.54,"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,"1,183.42",percent of total billed charges,"1,183.42",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 ,"1,183.42",percent of total billed charges ,"1,183.42",percent of total billed charges ,"1,273.30",percent of total billed charges ,"1,273.30",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 ,,,,,,,,,,,,,,,,,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,
PHY-TRACHEOSTOMY EMERGENT PROCDURE,31605,CDM,,,,both,,,"1,676.00","1,676.00",385.48,"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,"1,324.04",percent of total billed charges,"1,324.04",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 ,"1,324.04",percent of total billed charges ,"1,324.04",percent of total billed charges ,"1,424.60",percent of total billed charges ,"1,424.60",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 ,,,,,,,,,,,,,,,,,,,385.48,percent of total billed charges,,,385.48,percent of total billed charges,,,385.48,percent of total billed charges,,,385.48,percent of total billed charges,,,385.48,percent of total billed charges,,,385.48,percent of total billed charges,,,385.48,percent of total billed charges,,,385.48,percent of total billed charges,,,385.48,percent of total billed charges,,,385.48,percent of total billed charges,,,385.48,percent of total billed charges,
ER-ADD'L (DIFF MED)INJ BY IV,96375,CDM,,,59,both,,,307,307,70.61,307,307,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,242.53,percent of total billed charges,242.53,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 ,242.53,percent of total billed charges ,242.53,percent of total billed charges ,260.95,percent of total billed charges ,260.95,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 ,,,,,,,,,,,,,,,,,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,
PHY-FRN BDY REMVL W/O INCSN PENTRATNG WD,20102,CDM,,,GF,both,,,"1,771.00","1,771.00",407.33,"1,771.00","1,771.00",percent of total billed charges,"1,771.00",percent of total billed charges,"1,771.00",percent of total billed charges,"1,771.00",percent of total billed charges,"1,771.00",percent of total billed charges,"1,771.00",percent of total billed charges,"1,771.00",percent of total billed charges,"1,771.00",percent of total billed charges,"1,275.12",percent of total billed charges,"1,275.12",percent of total billed charges,"1,275.12",percent of total billed charges,"1,275.12",percent of total billed charges,"1,275.12",percent of total billed charges,"1,275.12",percent of total billed charges,"1,399.09",percent of total billed charges,"1,399.09",percent of total billed charges,"1,416.80",percent of total billed charges,"1,416.80",percent of total billed charges,,,"1,275.12",percent of total billed charges ,,,"1,416.80",percent of total billed charges ,"1,399.09",percent of total billed charges ,"1,399.09",percent of total billed charges ,"1,505.35",percent of total billed charges ,"1,505.35",percent of total billed charges ,"1,416.80",percent of total billed charges ,"1,416.80",percent of total billed charges ,"1,239.70",percent of total billed charges ,"1,239.70",percent of total billed charges ,"1,062.60",percent of total billed charges ,"1,062.60",percent of total billed charges ,"1,062.60",percent of total billed charges ,"1,062.60",percent of total billed charges ,,,,,942.17,percent of total billed charges ,,,,,895.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,407.33,percent of total billed charges,,,407.33,percent of total billed charges,,,407.33,percent of total billed charges,,,407.33,percent of total billed charges,,,407.33,percent of total billed charges,,,407.33,percent of total billed charges,,,407.33,percent of total billed charges,,,407.33,percent of total billed charges,,,407.33,percent of total billed charges,,,407.33,percent of total billed charges,,,407.33,percent of total billed charges,
PHY-TENDON SHEATH REPAIR,20999,CDM,,,,both,,,"3,972.00","3,972.00",913.56,"3,972.00","3,972.00",percent of total billed charges,"3,972.00",percent of total billed charges,"3,972.00",percent of total billed charges,"3,972.00",percent of total billed charges,"3,972.00",percent of total billed charges,"3,972.00",percent of total billed charges,"3,972.00",percent of total billed charges,"3,972.00",percent of total billed charges,"2,859.84",percent of total billed charges,"2,859.84",percent of total billed charges,"2,859.84",percent of total billed charges,"2,859.84",percent of total billed charges,"2,859.84",percent of total billed charges,"2,859.84",percent of total billed charges,"3,137.88",percent of total billed charges,"3,137.88",percent of total billed charges,"3,177.60",percent of total billed charges,"3,177.60",percent of total billed charges,,,"2,859.84",percent of total billed charges ,,,"3,177.60",percent of total billed charges ,"3,137.88",percent of total billed charges ,"3,137.88",percent of total billed charges ,"3,376.20",percent of total billed charges ,"3,376.20",percent of total billed charges ,"3,177.60",percent of total billed charges ,"3,177.60",percent of total billed charges ,"2,780.40",percent of total billed charges ,"2,780.40",percent of total billed charges ,"2,383.20",percent of total billed charges ,"2,383.20",percent of total billed charges ,"2,383.20",percent of total billed charges ,"2,383.20",percent of total billed charges ,,,,,"2,113.10",percent of total billed charges ,,,,,"2,007.45",percent of total billed charges ,,,,,,,,,,,,,,,,,,,913.56,percent of total billed charges,,,913.56,percent of total billed charges,,,913.56,percent of total billed charges,,,913.56,percent of total billed charges,,,913.56,percent of total billed charges,,,913.56,percent of total billed charges,,,913.56,percent of total billed charges,,,913.56,percent of total billed charges,,,913.56,percent of total billed charges,,,913.56,percent of total billed charges,,,913.56,percent of total billed charges,
**PHY-EVAC SUBUNGEAL HEMATOMA,11740,CDM,,,GF,both,,,185,185,42.55,185,185,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,146.15,percent of total billed charges,146.15,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 ,146.15,percent of total billed charges ,146.15,percent of total billed charges ,157.25,percent of total billed charges ,157.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,42.55,percent of total billed charges,,,42.55,percent of total billed charges,,,42.55,percent of total billed charges,
PHY-INSERT CENT CATH W/O PORT >5,36558,CDM,,,,both,,,"1,565.00","1,565.00",359.95,"1,565.00","1,565.00",percent of total billed charges,"1,565.00",percent of total billed charges,"1,565.00",percent of total billed charges,"1,565.00",percent of total billed charges,"1,565.00",percent of total billed charges,"1,565.00",percent of total billed charges,"1,565.00",percent of total billed charges,"1,565.00",percent of total billed charges,"1,126.80",percent of total billed charges,"1,126.80",percent of total billed charges,"1,126.80",percent of total billed charges,"1,126.80",percent of total billed charges,"1,126.80",percent of total billed charges,"1,126.80",percent of total billed charges,"1,236.35",percent of total billed charges,"1,236.35",percent of total billed charges,"1,252.00",percent of total billed charges,"1,252.00",percent of total billed charges,,,"1,126.80",percent of total billed charges ,,,"1,252.00",percent of total billed charges ,"1,236.35",percent of total billed charges ,"1,236.35",percent of total billed charges ,"1,330.25",percent of total billed charges ,"1,330.25",percent of total billed charges ,"1,252.00",percent of total billed charges ,"1,252.00",percent of total billed charges ,"1,095.50",percent of total billed charges ,"1,095.50",percent of total billed charges ,939,percent of total billed charges ,939,percent of total billed charges ,939,percent of total billed charges ,939,percent of total billed charges ,,,,,832.58,percent of total billed charges ,,,,,790.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,359.95,percent of total billed charges,,,359.95,percent of total billed charges,,,359.95,percent of total billed charges,,,359.95,percent of total billed charges,,,359.95,percent of total billed charges,,,359.95,percent of total billed charges,,,359.95,percent of total billed charges,,,359.95,percent of total billed charges,,,359.95,percent of total billed charges,,,359.95,percent of total billed charges,,,359.95,percent of total billed charges,
ER-CRITICAL CARE ADD'L 30MIN,99292,CDM,,,,both,,,"1,332.00","1,332.00",306.36,"1,332.00","1,332.00",percent of total billed charges,"1,332.00",percent of total billed charges,"1,332.00",percent of total billed charges,"1,332.00",percent of total billed charges,"1,332.00",percent of total billed charges,"1,332.00",percent of total billed charges,"1,332.00",percent of total billed charges,"1,332.00",percent of total billed charges,959.04,percent of total billed charges,959.04,percent of total billed charges,959.04,percent of total billed charges,959.04,percent of total billed charges,959.04,percent of total billed charges,959.04,percent of total billed charges,"1,052.28",percent of total billed charges,"1,052.28",percent of total billed charges,"1,065.60",percent of total billed charges,"1,065.60",percent of total billed charges,,,959.04,percent of total billed charges ,,,"1,065.60",percent of total billed charges ,"1,052.28",percent of total billed charges ,"1,052.28",percent of total billed charges ,"1,132.20",percent of total billed charges ,"1,132.20",percent of total billed charges ,"1,065.60",percent of total billed charges ,"1,065.60",percent of total billed charges ,932.4,percent of total billed charges ,932.4,percent of total billed charges ,799.2,percent of total billed charges ,799.2,percent of total billed charges ,799.2,percent of total billed charges ,799.2,percent of total billed charges ,,,,,708.62,percent of total billed charges ,,,,,673.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,306.36,percent of total billed charges,,,306.36,percent of total billed charges,,,306.36,percent of total billed charges,,,306.36,percent of total billed charges,,,306.36,percent of total billed charges,,,306.36,percent of total billed charges,,,306.36,percent of total billed charges,,,306.36,percent of total billed charges,,,306.36,percent of total billed charges,,,306.36,percent of total billed charges,,,306.36,percent of total billed charges,
PHY-CLOSED TREATMENT TOE W/MANIPULATION,28515,CDM,,,,both,,,"1,134.00","1,134.00",260.82,"1,134.00","1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,816.48,percent of total billed charges,816.48,percent of total billed charges,816.48,percent of total billed charges,816.48,percent of total billed charges,816.48,percent of total billed charges,816.48,percent of total billed charges,895.86,percent of total billed charges,895.86,percent of total billed charges,907.2,percent of total billed charges,907.2,percent of total billed charges,,,816.48,percent of total billed charges ,,,907.2,percent of total billed charges ,895.86,percent of total billed charges ,895.86,percent of total billed charges ,963.9,percent of total billed charges ,963.9,percent of total billed charges ,907.2,percent of total billed charges ,907.2,percent of total billed charges ,793.8,percent of total billed charges ,793.8,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 ,,,,,603.29,percent of total billed charges ,,,,,573.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,
PHY-APP LONG ARM SPLINT,29105,CDM,,,GF,both,,,608,608,139.84,608,608,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,480.32,percent of total billed charges,480.32,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 ,480.32,percent of total billed charges ,480.32,percent of total billed charges ,516.8,percent of total billed charges ,516.8,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 ,,,,,,,,,,,,,,,,,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,
"PHY-WOUND REPAIR =<2.5CM, MOUTH OR TONG",41250,CDM,,,,both,,,893,893,205.39,893,893,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,705.47,percent of total billed charges,705.47,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 ,705.47,percent of total billed charges ,705.47,percent of total billed charges ,759.05,percent of total billed charges ,759.05,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 ,,,,,,,,,,,,,,,,,,,205.39,percent of total billed charges,,,205.39,percent of total billed charges,,,205.39,percent of total billed charges,,,205.39,percent of total billed charges,,,205.39,percent of total billed charges,,,205.39,percent of total billed charges,,,205.39,percent of total billed charges,,,205.39,percent of total billed charges,,,205.39,percent of total billed charges,,,205.39,percent of total billed charges,,,205.39,percent of total billed charges,
PHY-CLD TRMT INTERPHAYANGEAL JT W/O ANES,28660,CDM,,,,both,,,"1,134.00","1,134.00",260.82,"1,134.00","1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,816.48,percent of total billed charges,816.48,percent of total billed charges,816.48,percent of total billed charges,816.48,percent of total billed charges,816.48,percent of total billed charges,816.48,percent of total billed charges,895.86,percent of total billed charges,895.86,percent of total billed charges,907.2,percent of total billed charges,907.2,percent of total billed charges,,,816.48,percent of total billed charges ,,,907.2,percent of total billed charges ,895.86,percent of total billed charges ,895.86,percent of total billed charges ,963.9,percent of total billed charges ,963.9,percent of total billed charges ,907.2,percent of total billed charges ,907.2,percent of total billed charges ,793.8,percent of total billed charges ,793.8,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 ,,,,,603.29,percent of total billed charges ,,,,,573.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,
PHY-INJ ANESTHETIC AGENT AXILLARY NERVE,64417,CDM,,,,both,,,"1,127.00","1,127.00",259.21,"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,890.33,percent of total billed charges,890.33,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 ,890.33,percent of total billed charges ,890.33,percent of total billed charges ,957.95,percent of total billed charges ,957.95,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 ,,,,,,,,,,,,,,,,,,,259.21,percent of total billed charges,,,259.21,percent of total billed charges,,,259.21,percent of total billed charges,,,259.21,percent of total billed charges,,,259.21,percent of total billed charges,,,259.21,percent of total billed charges,,,259.21,percent of total billed charges,,,259.21,percent of total billed charges,,,259.21,percent of total billed charges,,,259.21,percent of total billed charges,,,259.21,percent of total billed charges,
PHY-CLSD TRMT PATELLAR DISCOCATION W/O A,27560,CDM,,,,both,,,"2,171.00","2,171.00",499.33,"2,171.00","2,171.00",percent of total billed charges,"2,171.00",percent of total billed charges,"2,171.00",percent of total billed charges,"2,171.00",percent of total billed charges,"2,171.00",percent of total billed charges,"2,171.00",percent of total billed charges,"2,171.00",percent of total billed charges,"2,171.00",percent of total billed charges,"1,563.12",percent of total billed charges,"1,563.12",percent of total billed charges,"1,563.12",percent of total billed charges,"1,563.12",percent of total billed charges,"1,563.12",percent of total billed charges,"1,563.12",percent of total billed charges,"1,715.09",percent of total billed charges,"1,715.09",percent of total billed charges,"1,736.80",percent of total billed charges,"1,736.80",percent of total billed charges,,,"1,563.12",percent of total billed charges ,,,"1,736.80",percent of total billed charges ,"1,715.09",percent of total billed charges ,"1,715.09",percent of total billed charges ,"1,845.35",percent of total billed charges ,"1,845.35",percent of total billed charges ,"1,736.80",percent of total billed charges ,"1,736.80",percent of total billed charges ,"1,519.70",percent of total billed charges ,"1,519.70",percent of total billed charges ,"1,302.60",percent of total billed charges ,"1,302.60",percent of total billed charges ,"1,302.60",percent of total billed charges ,"1,302.60",percent of total billed charges ,,,,,"1,154.97",percent of total billed charges ,,,,,"1,097.22",percent of total billed charges ,,,,,,,,,,,,,,,,,,,499.33,percent of total billed charges,,,499.33,percent of total billed charges,,,499.33,percent of total billed charges,,,499.33,percent of total billed charges,,,499.33,percent of total billed charges,,,499.33,percent of total billed charges,,,499.33,percent of total billed charges,,,499.33,percent of total billed charges,,,499.33,percent of total billed charges,,,499.33,percent of total billed charges,,,499.33,percent of total billed charges,
PHY-I&D ISCHORECTA/PERIRECTAL ABSCESS,46040,CDM,,,,both,,,691,691,158.93,691,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,545.89,percent of total billed charges,545.89,percent of total billed charges,552.8,percent of total billed charges,552.8,percent of total billed charges,,,497.52,percent of total billed charges ,,,552.8,percent of total billed charges ,545.89,percent of total billed charges ,545.89,percent of total billed charges ,587.35,percent of total billed charges ,587.35,percent of total billed charges ,552.8,percent of total billed charges ,552.8,percent of total billed charges ,483.7,percent of total billed charges ,483.7,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,,,,,367.61,percent of total billed charges ,,,,,349.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,
PHY-TRIMMING OF NAIL,11719,CDM,,,GF,both,,,691,691,158.93,691,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,545.89,percent of total billed charges,545.89,percent of total billed charges,552.8,percent of total billed charges,552.8,percent of total billed charges,,,497.52,percent of total billed charges ,,,552.8,percent of total billed charges ,545.89,percent of total billed charges ,545.89,percent of total billed charges ,587.35,percent of total billed charges ,587.35,percent of total billed charges ,552.8,percent of total billed charges ,552.8,percent of total billed charges ,483.7,percent of total billed charges ,483.7,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,,,,,367.61,percent of total billed charges ,,,,,349.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,
PHY-WOUND FACE ETC 12.6 TO 20.0CM,12016,CDM,,,GF,both,,,"1,747.00","1,747.00",401.81,"1,747.00","1,747.00",percent of total billed charges,"1,747.00",percent of total billed charges,"1,747.00",percent of total billed charges,"1,747.00",percent of total billed charges,"1,747.00",percent of total billed charges,"1,747.00",percent of total billed charges,"1,747.00",percent of total billed charges,"1,747.00",percent of total billed charges,"1,257.84",percent of total billed charges,"1,257.84",percent of total billed charges,"1,257.84",percent of total billed charges,"1,257.84",percent of total billed charges,"1,257.84",percent of total billed charges,"1,257.84",percent of total billed charges,"1,380.13",percent of total billed charges,"1,380.13",percent of total billed charges,"1,397.60",percent of total billed charges,"1,397.60",percent of total billed charges,,,"1,257.84",percent of total billed charges ,,,"1,397.60",percent of total billed charges ,"1,380.13",percent of total billed charges ,"1,380.13",percent of total billed charges ,"1,484.95",percent of total billed charges ,"1,484.95",percent of total billed charges ,"1,397.60",percent of total billed charges ,"1,397.60",percent of total billed charges ,"1,222.90",percent of total billed charges ,"1,222.90",percent of total billed charges ,"1,048.20",percent of total billed charges ,"1,048.20",percent of total billed charges ,"1,048.20",percent of total billed charges ,"1,048.20",percent of total billed charges ,,,,,929.4,percent of total billed charges ,,,,,882.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,401.81,percent of total billed charges,,,401.81,percent of total billed charges,,,401.81,percent of total billed charges,,,401.81,percent of total billed charges,,,401.81,percent of total billed charges,,,401.81,percent of total billed charges,,,401.81,percent of total billed charges,,,401.81,percent of total billed charges,,,401.81,percent of total billed charges,,,401.81,percent of total billed charges,,,401.81,percent of total billed charges,
ER-WOUND 12.6-20CM,12005,CDM,,,GF,both,,,756,756,173.88,756,756,percent of total billed charges,756,percent of total billed charges,756,percent of total billed charges,756,percent of total billed charges,756,percent of total billed charges,756,percent of total billed charges,756,percent of total billed charges,756,percent of total billed charges,544.32,percent of total billed charges,544.32,percent of total billed charges,544.32,percent of total billed charges,544.32,percent of total billed charges,544.32,percent of total billed charges,544.32,percent of total billed charges,597.24,percent of total billed charges,597.24,percent of total billed charges,604.8,percent of total billed charges,604.8,percent of total billed charges,,,544.32,percent of total billed charges ,,,604.8,percent of total billed charges ,597.24,percent of total billed charges ,597.24,percent of total billed charges ,642.6,percent of total billed charges ,642.6,percent of total billed charges ,604.8,percent of total billed charges ,604.8,percent of total billed charges ,529.2,percent of total billed charges ,529.2,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 ,,,,,402.19,percent of total billed charges ,,,,,382.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,173.88,percent of total billed charges,,,173.88,percent of total billed charges,,,173.88,percent of total billed charges,,,173.88,percent of total billed charges,,,173.88,percent of total billed charges,,,173.88,percent of total billed charges,,,173.88,percent of total billed charges,,,173.88,percent of total billed charges,,,173.88,percent of total billed charges,,,173.88,percent of total billed charges,,,173.88,percent of total billed charges,
"**PHY-REPAIR ARTERIOVENOUS FISTULA,",46040,CDM,,,,both,,,761,761,175.03,761,761,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,601.19,percent of total billed charges,601.19,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 ,601.19,percent of total billed charges ,601.19,percent of total billed charges ,646.85,percent of total billed charges ,646.85,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 ,,,,,,,,,,,,,,,,,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,
PHY-CLOSED TREATMENT OF HIP DISLOCATION,27250,CDM,,,,both,,,"3,738.00","3,738.00",859.74,"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,"2,953.02",percent of total billed charges,"2,953.02",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 ,"2,953.02",percent of total billed charges ,"2,953.02",percent of total billed charges ,"3,177.30",percent of total billed charges ,"3,177.30",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 ,,,,,,,,,,,,,,,,,,,859.74,percent of total billed charges,,,859.74,percent of total billed charges,,,859.74,percent of total billed charges,,,859.74,percent of total billed charges,,,859.74,percent of total billed charges,,,859.74,percent of total billed charges,,,859.74,percent of total billed charges,,,859.74,percent of total billed charges,,,859.74,percent of total billed charges,,,859.74,percent of total billed charges,,,859.74,percent of total billed charges,
**PHY-CHANGE OF GASTROSTOMY TUBE,43760,CDM,,,,both,,,"1,024.00","1,024.00",235.52,"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,808.96,percent of total billed charges,808.96,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 ,808.96,percent of total billed charges ,808.96,percent of total billed charges ,870.4,percent of total billed charges ,870.4,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 ,,,,,,,,,,,,,,,,,,,235.52,percent of total billed charges,,,235.52,percent of total billed charges,,,235.52,percent of total billed charges,,,235.52,percent of total billed charges,,,235.52,percent of total billed charges,,,235.52,percent of total billed charges,,,235.52,percent of total billed charges,,,235.52,percent of total billed charges,,,235.52,percent of total billed charges,,,235.52,percent of total billed charges,,,235.52,percent of total billed charges,
"PHY-APP OF CAST, HAND TO LOWER FOREARM",29085,CDM,,,,both,,,415,415,95.45,415,415,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,327.85,percent of total billed charges,327.85,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 ,327.85,percent of total billed charges ,327.85,percent of total billed charges ,352.75,percent of total billed charges ,352.75,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 ,,,,,,,,,,,,,,,,,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,
ER-APPLICATION ELBOW TO FINGER CAST,29075,CDM,,,GF,both,,,564,564,129.72,564,564,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,445.56,percent of total billed charges,445.56,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 ,445.56,percent of total billed charges ,445.56,percent of total billed charges ,479.4,percent of total billed charges ,479.4,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 ,,,,,,,,,,,,,,,,,,,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,,,129.72,percent of total billed charges,,,129.72,percent of total billed charges,,,129.72,percent of total billed charges,
PHY-CAST APPLICATION ELBOW TO FINGER,29075,CDM,,,GF,both,,,388,388,89.24,388,388,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,306.52,percent of total billed charges,306.52,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 ,306.52,percent of total billed charges ,306.52,percent of total billed charges ,329.8,percent of total billed charges ,329.8,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 ,,,,,,,,,,,,,,,,,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,
PHY-REMOVAL FOREIGN BODY IN MUSCLE/TENDO,20520,CDM,,,,both,,,"1,318.00","1,318.00",303.14,"1,318.00","1,318.00",percent of total billed charges,"1,318.00",percent of total billed charges,"1,318.00",percent of total billed charges,"1,318.00",percent of total billed charges,"1,318.00",percent of total billed charges,"1,318.00",percent of total billed charges,"1,318.00",percent of total billed charges,"1,318.00",percent of total billed charges,948.96,percent of total billed charges,948.96,percent of total billed charges,948.96,percent of total billed charges,948.96,percent of total billed charges,948.96,percent of total billed charges,948.96,percent of total billed charges,"1,041.22",percent of total billed charges,"1,041.22",percent of total billed charges,"1,054.40",percent of total billed charges,"1,054.40",percent of total billed charges,,,948.96,percent of total billed charges ,,,"1,054.40",percent of total billed charges ,"1,041.22",percent of total billed charges ,"1,041.22",percent of total billed charges ,"1,120.30",percent of total billed charges ,"1,120.30",percent of total billed charges ,"1,054.40",percent of total billed charges ,"1,054.40",percent of total billed charges ,922.6,percent of total billed charges ,922.6,percent of total billed charges ,790.8,percent of total billed charges ,790.8,percent of total billed charges ,790.8,percent of total billed charges ,790.8,percent of total billed charges ,,,,,701.18,percent of total billed charges ,,,,,666.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,303.14,percent of total billed charges,,,303.14,percent of total billed charges,,,303.14,percent of total billed charges,,,303.14,percent of total billed charges,,,303.14,percent of total billed charges,,,303.14,percent of total billed charges,,,303.14,percent of total billed charges,,,303.14,percent of total billed charges,,,303.14,percent of total billed charges,,,303.14,percent of total billed charges,,,303.14,percent of total billed charges,
ER-PACK SPONTANEOUS/TRAUMATIC HEMORRHAGE,57180,CDM,,,,both,,,929,929,213.67,929,929,percent of total billed charges,929,percent of total billed charges,929,percent of total billed charges,929,percent of total billed charges,929,percent of total billed charges,929,percent of total billed charges,929,percent of total billed charges,929,percent of total billed charges,668.88,percent of total billed charges,668.88,percent of total billed charges,668.88,percent of total billed charges,668.88,percent of total billed charges,668.88,percent of total billed charges,668.88,percent of total billed charges,733.91,percent of total billed charges,733.91,percent of total billed charges,743.2,percent of total billed charges,743.2,percent of total billed charges,,,668.88,percent of total billed charges ,,,743.2,percent of total billed charges ,733.91,percent of total billed charges ,733.91,percent of total billed charges ,789.65,percent of total billed charges ,789.65,percent of total billed charges ,743.2,percent of total billed charges ,743.2,percent of total billed charges ,650.3,percent of total billed charges ,650.3,percent of total billed charges ,557.4,percent of total billed charges ,557.4,percent of total billed charges ,557.4,percent of total billed charges ,557.4,percent of total billed charges ,,,,,494.23,percent of total billed charges ,,,,,469.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,213.67,percent of total billed charges,,,213.67,percent of total billed charges,,,213.67,percent of total billed charges,,,213.67,percent of total billed charges,,,213.67,percent of total billed charges,,,213.67,percent of total billed charges,,,213.67,percent of total billed charges,,,213.67,percent of total billed charges,,,213.67,percent of total billed charges,,,213.67,percent of total billed charges,,,213.67,percent of total billed charges,
PHY-BIVALIVING ARM CAST,29705,CDM,,,,both,,,285,285,65.55,285,285,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,225.15,percent of total billed charges,225.15,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 ,225.15,percent of total billed charges ,225.15,percent of total billed charges ,242.25,percent of total billed charges ,242.25,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 ,,,,,,,,,,,,,,,,,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,
PHY-ANOSCOPY,46600,CDM,,,,both,,,209,209,48.07,209,209,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,165.11,percent of total billed charges,165.11,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 ,165.11,percent of total billed charges ,165.11,percent of total billed charges ,177.65,percent of total billed charges ,177.65,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 ,,,,,,,,,,,,,,,,,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,
PHY-LAC CLSRE 12.6CM TO 20 CM INTRMEDATE,12035,CDM,,,GF,both,,,"1,598.00","1,598.00",367.54,"1,598.00","1,598.00",percent of total billed charges,"1,598.00",percent of total billed charges,"1,598.00",percent of total billed charges,"1,598.00",percent of total billed charges,"1,598.00",percent of total billed charges,"1,598.00",percent of total billed charges,"1,598.00",percent of total billed charges,"1,598.00",percent of total billed charges,"1,150.56",percent of total billed charges,"1,150.56",percent of total billed charges,"1,150.56",percent of total billed charges,"1,150.56",percent of total billed charges,"1,150.56",percent of total billed charges,"1,150.56",percent of total billed charges,"1,262.42",percent of total billed charges,"1,262.42",percent of total billed charges,"1,278.40",percent of total billed charges,"1,278.40",percent of total billed charges,,,"1,150.56",percent of total billed charges ,,,"1,278.40",percent of total billed charges ,"1,262.42",percent of total billed charges ,"1,262.42",percent of total billed charges ,"1,358.30",percent of total billed charges ,"1,358.30",percent of total billed charges ,"1,278.40",percent of total billed charges ,"1,278.40",percent of total billed charges ,"1,118.60",percent of total billed charges ,"1,118.60",percent of total billed charges ,958.8,percent of total billed charges ,958.8,percent of total billed charges ,958.8,percent of total billed charges ,958.8,percent of total billed charges ,,,,,850.14,percent of total billed charges ,,,,,807.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,367.54,percent of total billed charges,,,367.54,percent of total billed charges,,,367.54,percent of total billed charges,,,367.54,percent of total billed charges,,,367.54,percent of total billed charges,,,367.54,percent of total billed charges,,,367.54,percent of total billed charges,,,367.54,percent of total billed charges,,,367.54,percent of total billed charges,,,367.54,percent of total billed charges,,,367.54,percent of total billed charges,
PHY-OSTEOPATHIC MANIPULATIVE TREATMENT,98925,CDM,,,,both,,,334,334,76.82,334,334,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,263.86,percent of total billed charges,263.86,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 ,263.86,percent of total billed charges ,263.86,percent of total billed charges ,283.9,percent of total billed charges ,283.9,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 ,,,,,,,,,,,,,,,,,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,
ER-APPLICATION SHORT CAST,29405,CDM,,,GF,both,,,625,625,143.75,625,625,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,493.75,percent of total billed charges,493.75,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 ,493.75,percent of total billed charges ,493.75,percent of total billed charges ,531.25,percent of total billed charges ,531.25,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 ,,,,,,,,,,,,,,,,,,,143.75,percent of total billed charges,,,143.75,percent of total billed charges,,,143.75,percent of total billed charges,,,143.75,percent of total billed charges,,,143.75,percent of total billed charges,,,143.75,percent of total billed charges,,,143.75,percent of total billed charges,,,143.75,percent of total billed charges,,,143.75,percent of total billed charges,,,143.75,percent of total billed charges,,,143.75,percent of total billed charges,
PHY-APPLICATION SHORT CAST,29405,CDM,,,GF,both,,,485,485,111.55,485,485,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,383.15,percent of total billed charges,383.15,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 ,383.15,percent of total billed charges ,383.15,percent of total billed charges ,412.25,percent of total billed charges ,412.25,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 ,,,,,,,,,,,,,,,,,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,
PHY-MANUAL REDUCTION OF RECTUM,45900,CDM,,,,both,,,946,946,217.58,946,946,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,747.34,percent of total billed charges,747.34,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 ,747.34,percent of total billed charges ,747.34,percent of total billed charges ,804.1,percent of total billed charges ,804.1,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 ,,,,,,,,,,,,,,,,,,,217.58,percent of total billed charges,,,217.58,percent of total billed charges,,,217.58,percent of total billed charges,,,217.58,percent of total billed charges,,,217.58,percent of total billed charges,,,217.58,percent of total billed charges,,,217.58,percent of total billed charges,,,217.58,percent of total billed charges,,,217.58,percent of total billed charges,,,217.58,percent of total billed charges,,,217.58,percent of total billed charges,
PHY-LONG CAST APPLICATION,29065,CDM,,,GF,both,,,689,689,158.47,689,689,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,544.31,percent of total billed charges,544.31,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 ,544.31,percent of total billed charges ,544.31,percent of total billed charges ,585.65,percent of total billed charges ,585.65,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 ,,,,,,,,,,,,,,,,,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,
PHY-DIGITAL BLOCK,64450,CDM,,,GF,both,,,785,785,180.55,785,785,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,620.15,percent of total billed charges,620.15,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 ,620.15,percent of total billed charges ,620.15,percent of total billed charges ,667.25,percent of total billed charges ,667.25,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 ,,,,,,,,,,,,,,,,,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,
**ER-LONG CAST APPLICATION,29405,CDM,,,GF,both,,,602,602,138.46,602,602,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,475.58,percent of total billed charges,475.58,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 ,475.58,percent of total billed charges ,475.58,percent of total billed charges ,511.7,percent of total billed charges ,511.7,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 ,,,,,,,,,,,,,,,,,,,138.46,percent of total billed charges,,,138.46,percent of total billed charges,,,138.46,percent of total billed charges,,,138.46,percent of total billed charges,,,138.46,percent of total billed charges,,,138.46,percent of total billed charges,,,138.46,percent of total billed charges,,,138.46,percent of total billed charges,,,138.46,percent of total billed charges,,,138.46,percent of total billed charges,,,138.46,percent of total billed charges,
PHY-DEBRIDEMENT W/OPEN FRACTURE,11012,CDM,,,,both,,,"3,321.00","3,321.00",763.83,"3,321.00","3,321.00",percent of total billed charges,"3,321.00",percent of total billed charges,"3,321.00",percent of total billed charges,"3,321.00",percent of total billed charges,"3,321.00",percent of total billed charges,"3,321.00",percent of total billed charges,"3,321.00",percent of total billed charges,"3,321.00",percent of total billed charges,"2,391.12",percent of total billed charges,"2,391.12",percent of total billed charges,"2,391.12",percent of total billed charges,"2,391.12",percent of total billed charges,"2,391.12",percent of total billed charges,"2,391.12",percent of total billed charges,"2,623.59",percent of total billed charges,"2,623.59",percent of total billed charges,"2,656.80",percent of total billed charges,"2,656.80",percent of total billed charges,,,"2,391.12",percent of total billed charges ,,,"2,656.80",percent of total billed charges ,"2,623.59",percent of total billed charges ,"2,623.59",percent of total billed charges ,"2,822.85",percent of total billed charges ,"2,822.85",percent of total billed charges ,"2,656.80",percent of total billed charges ,"2,656.80",percent of total billed charges ,"2,324.70",percent of total billed charges ,"2,324.70",percent of total billed charges ,"1,992.60",percent of total billed charges ,"1,992.60",percent of total billed charges ,"1,992.60",percent of total billed charges ,"1,992.60",percent of total billed charges ,,,,,"1,766.77",percent of total billed charges ,,,,,"1,678.43",percent of total billed charges ,,,,,,,,,,,,,,,,,,,763.83,percent of total billed charges,,,763.83,percent of total billed charges,,,763.83,percent of total billed charges,,,763.83,percent of total billed charges,,,763.83,percent of total billed charges,,,763.83,percent of total billed charges,,,763.83,percent of total billed charges,,,763.83,percent of total billed charges,,,763.83,percent of total billed charges,,,763.83,percent of total billed charges,,,763.83,percent of total billed charges,
"ER-NEEDLE ASPIRATION ABCESS, HEMATOMA",10160,CDM,,,GF,both,,,671,671,154.33,671,671,percent of total billed charges,671,percent of total billed charges,671,percent of total billed charges,671,percent of total billed charges,671,percent of total billed charges,671,percent of total billed charges,671,percent of total billed charges,671,percent of total billed charges,483.12,percent of total billed charges,483.12,percent of total billed charges,483.12,percent of total billed charges,483.12,percent of total billed charges,483.12,percent of total billed charges,483.12,percent of total billed charges,530.09,percent of total billed charges,530.09,percent of total billed charges,536.8,percent of total billed charges,536.8,percent of total billed charges,,,483.12,percent of total billed charges ,,,536.8,percent of total billed charges ,530.09,percent of total billed charges ,530.09,percent of total billed charges ,570.35,percent of total billed charges ,570.35,percent of total billed charges ,536.8,percent of total billed charges ,536.8,percent of total billed charges ,469.7,percent of total billed charges ,469.7,percent of total billed charges ,402.6,percent of total billed charges ,402.6,percent of total billed charges ,402.6,percent of total billed charges ,402.6,percent of total billed charges ,,,,,356.97,percent of total billed charges ,,,,,339.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,
PHY-DESTCTN OF BEGN LESNS UP TO 14 LESNS,17110,CDM,,,,both,,,500,500,115,500,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,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,395,percent of total billed charges,395,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,,,360,percent of total billed charges ,,,400,percent of total billed charges ,395,percent of total billed charges ,395,percent of total billed charges ,425,percent of total billed charges ,425,percent of total billed charges ,400,percent of total billed charges ,400,percent of total billed charges ,350,percent of total billed charges ,350,percent of total billed charges ,300,percent of total billed charges ,300,percent of total billed charges ,300,percent of total billed charges ,300,percent of total billed charges ,,,,,266,percent of total billed charges ,,,,,252.7,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,,,115,percent of total billed charges,,,115,percent of total billed charges,,,115,percent of total billed charges,,,115,percent of total billed charges,
ER-CLD TR RADIAL & ULNAR SHAFT FX W/MANI,25565,CDM,,,,both,,,"1,262.00","1,262.00",290.26,"1,262.00","1,262.00",percent of total billed charges,"1,262.00",percent of total billed charges,"1,262.00",percent of total billed charges,"1,262.00",percent of total billed charges,"1,262.00",percent of total billed charges,"1,262.00",percent of total billed charges,"1,262.00",percent of total billed charges,"1,262.00",percent of total billed charges,908.64,percent of total billed charges,908.64,percent of total billed charges,908.64,percent of total billed charges,908.64,percent of total billed charges,908.64,percent of total billed charges,908.64,percent of total billed charges,996.98,percent of total billed charges,996.98,percent of total billed charges,"1,009.60",percent of total billed charges,"1,009.60",percent of total billed charges,,,908.64,percent of total billed charges ,,,"1,009.60",percent of total billed charges ,996.98,percent of total billed charges ,996.98,percent of total billed charges ,"1,072.70",percent of total billed charges ,"1,072.70",percent of total billed charges ,"1,009.60",percent of total billed charges ,"1,009.60",percent of total billed charges ,883.4,percent of total billed charges ,883.4,percent of total billed charges ,757.2,percent of total billed charges ,757.2,percent of total billed charges ,757.2,percent of total billed charges ,757.2,percent of total billed charges ,,,,,671.38,percent of total billed charges ,,,,,637.81,percent of total billed charges ,,,,,,,,,,,,,,,,,,,290.26,percent of total billed charges,,,290.26,percent of total billed charges,,,290.26,percent of total billed charges,,,290.26,percent of total billed charges,,,290.26,percent of total billed charges,,,290.26,percent of total billed charges,,,290.26,percent of total billed charges,,,290.26,percent of total billed charges,,,290.26,percent of total billed charges,,,290.26,percent of total billed charges,,,290.26,percent of total billed charges,
PHY-CLD TR RADIAL & ULNAR SHAFT W/MANIP,25565,CDM,,,,both,,,"3,832.00","3,832.00",881.36,"3,832.00","3,832.00",percent of total billed charges,"3,832.00",percent of total billed charges,"3,832.00",percent of total billed charges,"3,832.00",percent of total billed charges,"3,832.00",percent of total billed charges,"3,832.00",percent of total billed charges,"3,832.00",percent of total billed charges,"3,832.00",percent of total billed charges,"2,759.04",percent of total billed charges,"2,759.04",percent of total billed charges,"2,759.04",percent of total billed charges,"2,759.04",percent of total billed charges,"2,759.04",percent of total billed charges,"2,759.04",percent of total billed charges,"3,027.28",percent of total billed charges,"3,027.28",percent of total billed charges,"3,065.60",percent of total billed charges,"3,065.60",percent of total billed charges,,,"2,759.04",percent of total billed charges ,,,"3,065.60",percent of total billed charges ,"3,027.28",percent of total billed charges ,"3,027.28",percent of total billed charges ,"3,257.20",percent of total billed charges ,"3,257.20",percent of total billed charges ,"3,065.60",percent of total billed charges ,"3,065.60",percent of total billed charges ,"2,682.40",percent of total billed charges ,"2,682.40",percent of total billed charges ,"2,299.20",percent of total billed charges ,"2,299.20",percent of total billed charges ,"2,299.20",percent of total billed charges ,"2,299.20",percent of total billed charges ,,,,,"2,038.62",percent of total billed charges ,,,,,"1,936.69",percent of total billed charges ,,,,,,,,,,,,,,,,,,,881.36,percent of total billed charges,,,881.36,percent of total billed charges,,,881.36,percent of total billed charges,,,881.36,percent of total billed charges,,,881.36,percent of total billed charges,,,881.36,percent of total billed charges,,,881.36,percent of total billed charges,,,881.36,percent of total billed charges,,,881.36,percent of total billed charges,,,881.36,percent of total billed charges,,,881.36,percent of total billed charges,
ER-WOUND REPAIR =<2.5CM,41250,CDM,,,,both,,,775,775,178.25,775,775,percent of total billed charges,775,percent of total billed charges,775,percent of total billed charges,775,percent of total billed charges,775,percent of total billed charges,775,percent of total billed charges,775,percent of total billed charges,775,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,612.25,percent of total billed charges,612.25,percent of total billed charges,620,percent of total billed charges,620,percent of total billed charges,,,558,percent of total billed charges ,,,620,percent of total billed charges ,612.25,percent of total billed charges ,612.25,percent of total billed charges ,658.75,percent of total billed charges ,658.75,percent of total billed charges ,620,percent of total billed charges ,620,percent of total billed charges ,542.5,percent of total billed charges ,542.5,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 ,,,,,412.3,percent of total billed charges ,,,,,391.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,178.25,percent of total billed charges,,,178.25,percent of total billed charges,,,178.25,percent of total billed charges,,,178.25,percent of total billed charges,,,178.25,percent of total billed charges,,,178.25,percent of total billed charges,,,178.25,percent of total billed charges,,,178.25,percent of total billed charges,,,178.25,percent of total billed charges,,,178.25,percent of total billed charges,,,178.25,percent of total billed charges,
ER-APPLICATION LONG CAST THIGH TO TOE,29345,CDM,,,,both,,,886,886,203.78,886,886,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,699.94,percent of total billed charges,699.94,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 ,699.94,percent of total billed charges ,699.94,percent of total billed charges ,753.1,percent of total billed charges ,753.1,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 ,,,,,,,,,,,,,,,,,,,203.78,percent of total billed charges,,,203.78,percent of total billed charges,,,203.78,percent of total billed charges,,,203.78,percent of total billed charges,,,203.78,percent of total billed charges,,,203.78,percent of total billed charges,,,203.78,percent of total billed charges,,,203.78,percent of total billed charges,,,203.78,percent of total billed charges,,,203.78,percent of total billed charges,,,203.78,percent of total billed charges,
ER-CLOSED TRTMENT FX W/ MANIPULATION,28515,CDM,,,,both,,,804,804,184.92,804,804,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,635.16,percent of total billed charges,635.16,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 ,635.16,percent of total billed charges ,635.16,percent of total billed charges ,683.4,percent of total billed charges ,683.4,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 ,,,,,,,,,,,,,,,,,,,184.92,percent of total billed charges,,,184.92,percent of total billed charges,,,184.92,percent of total billed charges,,,184.92,percent of total billed charges,,,184.92,percent of total billed charges,,,184.92,percent of total billed charges,,,184.92,percent of total billed charges,,,184.92,percent of total billed charges,,,184.92,percent of total billed charges,,,184.92,percent of total billed charges,,,184.92,percent of total billed charges,
**ER-CLOSED TRTMENT HUMERAL EPICODYLAR,28515,CDM,,,,both,,,"1,223.00","1,223.00",281.29,"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,966.17,percent of total billed charges,966.17,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 ,966.17,percent of total billed charges ,966.17,percent of total billed charges ,"1,039.55",percent of total billed charges ,"1,039.55",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 ,,,,,,,,,,,,,,,,,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,
PHY-CLD TREATMENT HUMERAL EPICODYLAR,24565,CDM,,,,both,,,"3,470.00","3,470.00",798.1,"3,470.00","3,470.00",percent of total billed charges,"3,470.00",percent of total billed charges,"3,470.00",percent of total billed charges,"3,470.00",percent of total billed charges,"3,470.00",percent of total billed charges,"3,470.00",percent of total billed charges,"3,470.00",percent of total billed charges,"3,470.00",percent of total billed charges,"2,498.40",percent of total billed charges,"2,498.40",percent of total billed charges,"2,498.40",percent of total billed charges,"2,498.40",percent of total billed charges,"2,498.40",percent of total billed charges,"2,498.40",percent of total billed charges,"2,741.30",percent of total billed charges,"2,741.30",percent of total billed charges,"2,776.00",percent of total billed charges,"2,776.00",percent of total billed charges,,,"2,498.40",percent of total billed charges ,,,"2,776.00",percent of total billed charges ,"2,741.30",percent of total billed charges ,"2,741.30",percent of total billed charges ,"2,949.50",percent of total billed charges ,"2,949.50",percent of total billed charges ,"2,776.00",percent of total billed charges ,"2,776.00",percent of total billed charges ,"2,429.00",percent of total billed charges ,"2,429.00",percent of total billed charges ,"2,082.00",percent of total billed charges ,"2,082.00",percent of total billed charges ,"2,082.00",percent of total billed charges ,"2,082.00",percent of total billed charges ,,,,,"1,846.04",percent of total billed charges ,,,,,"1,753.74",percent of total billed charges ,,,,,,,,,,,,,,,,,,,798.1,percent of total billed charges,,,798.1,percent of total billed charges,,,798.1,percent of total billed charges,,,798.1,percent of total billed charges,,,798.1,percent of total billed charges,,,798.1,percent of total billed charges,,,798.1,percent of total billed charges,,,798.1,percent of total billed charges,,,798.1,percent of total billed charges,,,798.1,percent of total billed charges,,,798.1,percent of total billed charges,
IV THERAPY UP TO 1 HR,96365,CDM,,,59,both,,,747,747,171.81,747,747,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,747,percent of total billed charges,747,percent of total billed charges,747,percent of total billed charges,537.84,percent of total billed charges,537.84,percent of total billed charges,537.84,percent of total billed charges,537.84,percent of total billed charges,537.84,percent of total billed charges,537.84,percent of total billed charges,590.13,percent of total billed charges,590.13,percent of total billed charges,597.6,percent of total billed charges,597.6,percent of total billed charges,,,537.84,percent of total billed charges ,,,597.6,percent of total billed charges ,590.13,percent of total billed charges ,590.13,percent of total billed charges ,634.95,percent of total billed charges ,634.95,percent of total billed charges ,597.6,percent of total billed charges ,597.6,percent of total billed charges ,522.9,percent of total billed charges ,522.9,percent of total billed charges ,448.2,percent of total billed charges ,448.2,percent of total billed charges ,448.2,percent of total billed charges ,448.2,percent of total billed charges ,,,,,397.4,percent of total billed charges ,,,,,377.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,
ER-THERA PROPH/DIAG INJ BY IV SINGLE,96374,CDM,,,59,both,,,385,385,88.55,385,385,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,304.15,percent of total billed charges,304.15,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 ,304.15,percent of total billed charges ,304.15,percent of total billed charges ,327.25,percent of total billed charges ,327.25,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 ,,,,,,,,,,,,,,,,,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,
IV HYDRATION 31 MIN TO 1 HR,96360,CDM,,,59,both,,,653,653,150.19,653,653,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,515.87,percent of total billed charges,515.87,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 ,515.87,percent of total billed charges ,515.87,percent of total billed charges ,555.05,percent of total billed charges ,555.05,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 ,,,,,,,,,,,,,,,,,,,150.19,percent of total billed charges,,,150.19,percent of total billed charges,,,150.19,percent of total billed charges,,,150.19,percent of total billed charges,,,150.19,percent of total billed charges,,,150.19,percent of total billed charges,,,150.19,percent of total billed charges,,,150.19,percent of total billed charges,,,150.19,percent of total billed charges,,,150.19,percent of total billed charges,,,150.19,percent of total billed charges,
IV THERAPY SEQ DRUG UP TO 1 HOUR,96367,CDM,,,59,both,,,352,352,80.96,352,352,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,278.08,percent of total billed charges,278.08,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 ,278.08,percent of total billed charges ,278.08,percent of total billed charges ,299.2,percent of total billed charges ,299.2,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 ,,,,,,,,,,,,,,,,,,,80.96,percent of total billed charges,,,80.96,percent of total billed charges,,,80.96,percent of total billed charges,,,80.96,percent of total billed charges,,,80.96,percent of total billed charges,,,80.96,percent of total billed charges,,,80.96,percent of total billed charges,,,80.96,percent of total billed charges,,,80.96,percent of total billed charges,,,80.96,percent of total billed charges,,,80.96,percent of total billed charges,
IV THERAPY CONCURRENT NEW DRUG,96368,CDM,,,59,both,,,305,305,70.15,305,305,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,240.95,percent of total billed charges,240.95,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 ,240.95,percent of total billed charges ,240.95,percent of total billed charges ,259.25,percent of total billed charges ,259.25,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 ,,,,,,,,,,,,,,,,,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,
IV PUSH SEQUENTIAL SAME DRUG,96376,CDM,,,59,both,,,254,254,58.42,254,254,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,200.66,percent of total billed charges,200.66,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 ,200.66,percent of total billed charges ,200.66,percent of total billed charges ,215.9,percent of total billed charges ,215.9,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 ,,,,,,,,,,,,,,,,,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,
ER-REPAIR FACIAL LACERATION 5.1CM-7.5CM,12053,CDM,,,GF,both,,,841,841,193.43,841,841,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,664.39,percent of total billed charges,664.39,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 ,664.39,percent of total billed charges ,664.39,percent of total billed charges ,714.85,percent of total billed charges ,714.85,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 ,,,,,,,,,,,,,,,,,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,
**PHY-REPAIR FACIAL LACERATION,64450,CDM,,,GF,both,,,"1,517.00","1,517.00",348.91,"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,"1,198.43",percent of total billed charges,"1,198.43",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 ,"1,198.43",percent of total billed charges ,"1,198.43",percent of total billed charges ,"1,289.45",percent of total billed charges ,"1,289.45",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 ,,,,,,,,,,,,,,,,,,,348.91,percent of total billed charges,,,348.91,percent of total billed charges,,,348.91,percent of total billed charges,,,348.91,percent of total billed charges,,,348.91,percent of total billed charges,,,348.91,percent of total billed charges,,,348.91,percent of total billed charges,,,348.91,percent of total billed charges,,,348.91,percent of total billed charges,,,348.91,percent of total billed charges,,,348.91,percent of total billed charges,
PHY-REMOVAL OF IUD,58301,CDM,,,,both,,,682,682,156.86,682,682,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,538.78,percent of total billed charges,538.78,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 ,538.78,percent of total billed charges ,538.78,percent of total billed charges ,579.7,percent of total billed charges ,579.7,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 ,,,,,,,,,,,,,,,,,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,
PHY-DESTRUCTION ONE BENIGN LESION,17000,CDM,,,,both,,,505,505,116.15,505,505,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,398.95,percent of total billed charges,398.95,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 ,398.95,percent of total billed charges ,398.95,percent of total billed charges ,429.25,percent of total billed charges ,429.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
PHY-INJECTION GREATER OCCIPITAL NER,64405,CDM,,,,both,,,217,217,49.91,217,217,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,171.43,percent of total billed charges,171.43,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 ,171.43,percent of total billed charges ,171.43,percent of total billed charges ,184.45,percent of total billed charges ,184.45,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 ,,,,,,,,,,,,,,,,,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,
PHY-I & D EXTERNAL EAR,69000,CDM,,,GF,both,,,898,898,206.54,898,898,percent of total billed charges,898,percent of total billed charges,898,percent of total billed charges,898,percent of total billed charges,898,percent of total billed charges,898,percent of total billed charges,898,percent of total billed charges,898,percent of total billed charges,646.56,percent of total billed charges,646.56,percent of total billed charges,646.56,percent of total billed charges,646.56,percent of total billed charges,646.56,percent of total billed charges,646.56,percent of total billed charges,709.42,percent of total billed charges,709.42,percent of total billed charges,718.4,percent of total billed charges,718.4,percent of total billed charges,,,646.56,percent of total billed charges ,,,718.4,percent of total billed charges ,709.42,percent of total billed charges ,709.42,percent of total billed charges ,763.3,percent of total billed charges ,763.3,percent of total billed charges ,718.4,percent of total billed charges ,718.4,percent of total billed charges ,628.6,percent of total billed charges ,628.6,percent of total billed charges ,538.8,percent of total billed charges ,538.8,percent of total billed charges ,538.8,percent of total billed charges ,538.8,percent of total billed charges ,,,,,477.74,percent of total billed charges ,,,,,453.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,206.54,percent of total billed charges,,,206.54,percent of total billed charges,,,206.54,percent of total billed charges,,,206.54,percent of total billed charges,,,206.54,percent of total billed charges,,,206.54,percent of total billed charges,,,206.54,percent of total billed charges,,,206.54,percent of total billed charges,,,206.54,percent of total billed charges,,,206.54,percent of total billed charges,,,206.54,percent of total billed charges,
PHY-CLSD RED SHOULDER DISLOC W/ ANESTH,23655,CDM,,,GF,both,,,"3,722.00","3,722.00",856.06,"3,722.00","3,722.00",percent of total billed charges,"3,722.00",percent of total billed charges,"3,722.00",percent of total billed charges,"3,722.00",percent of total billed charges,"3,722.00",percent of total billed charges,"3,722.00",percent of total billed charges,"3,722.00",percent of total billed charges,"3,722.00",percent of total billed charges,"2,679.84",percent of total billed charges,"2,679.84",percent of total billed charges,"2,679.84",percent of total billed charges,"2,679.84",percent of total billed charges,"2,679.84",percent of total billed charges,"2,679.84",percent of total billed charges,"2,940.38",percent of total billed charges,"2,940.38",percent of total billed charges,"2,977.60",percent of total billed charges,"2,977.60",percent of total billed charges,,,"2,679.84",percent of total billed charges ,,,"2,977.60",percent of total billed charges ,"2,940.38",percent of total billed charges ,"2,940.38",percent of total billed charges ,"3,163.70",percent of total billed charges ,"3,163.70",percent of total billed charges ,"2,977.60",percent of total billed charges ,"2,977.60",percent of total billed charges ,"2,605.40",percent of total billed charges ,"2,605.40",percent of total billed charges ,"2,233.20",percent of total billed charges ,"2,233.20",percent of total billed charges ,"2,233.20",percent of total billed charges ,"2,233.20",percent of total billed charges ,,,,,"1,980.10",percent of total billed charges ,,,,,"1,881.10",percent of total billed charges ,,,,,,,,,,,,,,,,,,,856.06,percent of total billed charges,,,856.06,percent of total billed charges,,,856.06,percent of total billed charges,,,856.06,percent of total billed charges,,,856.06,percent of total billed charges,,,856.06,percent of total billed charges,,,856.06,percent of total billed charges,,,856.06,percent of total billed charges,,,856.06,percent of total billed charges,,,856.06,percent of total billed charges,,,856.06,percent of total billed charges,
ER-THERA PROPH/DIAG INJ-SQ OR INTR (59),96372,CDM,,,59,both,,,205,205,47.15,205,205,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,161.95,percent of total billed charges,161.95,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 ,161.95,percent of total billed charges ,161.95,percent of total billed charges ,174.25,percent of total billed charges ,174.25,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 ,,,,,,,,,,,,,,,,,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,
PHY-CLSD TRMNT TEMPOROMANDIBULAR JOINT,21480,CDM,,,GF,both,,,665,665,152.95,665,665,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,525.35,percent of total billed charges,525.35,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 ,525.35,percent of total billed charges ,525.35,percent of total billed charges ,565.25,percent of total billed charges ,565.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,152.95,percent of total billed charges,,,152.95,percent of total billed charges,,,152.95,percent of total billed charges,
ER-ADD'L (DIFF MED)INJ BY IV (59),96375,CDM,,,59,both,,,307,307,70.61,307,307,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,242.53,percent of total billed charges,242.53,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 ,242.53,percent of total billed charges ,242.53,percent of total billed charges ,260.95,percent of total billed charges ,260.95,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 ,,,,,,,,,,,,,,,,,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,
PHY-CLSD TRMNT METACARPOPHALANGEAL,26700,CDM,,,GF,both,,,"1,966.00","1,966.00",452.18,"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,"1,553.14",percent of total billed charges,"1,553.14",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 ,"1,553.14",percent of total billed charges ,"1,553.14",percent of total billed charges ,"1,671.10",percent of total billed charges ,"1,671.10",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 ,,,,,,,,,,,,,,,,,,,452.18,percent of total billed charges,,,452.18,percent of total billed charges,,,452.18,percent of total billed charges,,,452.18,percent of total billed charges,,,452.18,percent of total billed charges,,,452.18,percent of total billed charges,,,452.18,percent of total billed charges,,,452.18,percent of total billed charges,,,452.18,percent of total billed charges,,,452.18,percent of total billed charges,,,452.18,percent of total billed charges,
"PHY-LARYNGOSCOPY, DIRECT W/WO TRACH",31525,CDM,,,,both,,,"1,621.00","1,621.00",372.83,"1,621.00","1,621.00",percent of total billed charges,"1,621.00",percent of total billed charges,"1,621.00",percent of total billed charges,"1,621.00",percent of total billed charges,"1,621.00",percent of total billed charges,"1,621.00",percent of total billed charges,"1,621.00",percent of total billed charges,"1,621.00",percent of total billed charges,"1,167.12",percent of total billed charges,"1,167.12",percent of total billed charges,"1,167.12",percent of total billed charges,"1,167.12",percent of total billed charges,"1,167.12",percent of total billed charges,"1,167.12",percent of total billed charges,"1,280.59",percent of total billed charges,"1,280.59",percent of total billed charges,"1,296.80",percent of total billed charges,"1,296.80",percent of total billed charges,,,"1,167.12",percent of total billed charges ,,,"1,296.80",percent of total billed charges ,"1,280.59",percent of total billed charges ,"1,280.59",percent of total billed charges ,"1,377.85",percent of total billed charges ,"1,377.85",percent of total billed charges ,"1,296.80",percent of total billed charges ,"1,296.80",percent of total billed charges ,"1,134.70",percent of total billed charges ,"1,134.70",percent of total billed charges ,972.6,percent of total billed charges ,972.6,percent of total billed charges ,972.6,percent of total billed charges ,972.6,percent of total billed charges ,,,,,862.37,percent of total billed charges ,,,,,819.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,372.83,percent of total billed charges,,,372.83,percent of total billed charges,,,372.83,percent of total billed charges,,,372.83,percent of total billed charges,,,372.83,percent of total billed charges,,,372.83,percent of total billed charges,,,372.83,percent of total billed charges,,,372.83,percent of total billed charges,,,372.83,percent of total billed charges,,,372.83,percent of total billed charges,,,372.83,percent of total billed charges,
PHY-DESTR CUTANEOUS VASCULAR LESION<10CM,17106,CDM,,,,both,,,"1,879.00","1,879.00",432.17,"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,"1,484.41",percent of total billed charges,"1,484.41",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 ,"1,484.41",percent of total billed charges ,"1,484.41",percent of total billed charges ,"1,597.15",percent of total billed charges ,"1,597.15",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 ,,,,,,,,,,,,,,,,,,,432.17,percent of total billed charges,,,432.17,percent of total billed charges,,,432.17,percent of total billed charges,,,432.17,percent of total billed charges,,,432.17,percent of total billed charges,,,432.17,percent of total billed charges,,,432.17,percent of total billed charges,,,432.17,percent of total billed charges,,,432.17,percent of total billed charges,,,432.17,percent of total billed charges,,,432.17,percent of total billed charges,
PHY-DEBRIDEMENT INCL FB REMOVAL,11010,CDM,,,GF,both,,,"1,925.00","1,925.00",442.75,"1,925.00","1,925.00",percent of total billed charges,"1,925.00",percent of total billed charges,"1,925.00",percent of total billed charges,"1,925.00",percent of total billed charges,"1,925.00",percent of total billed charges,"1,925.00",percent of total billed charges,"1,925.00",percent of total billed charges,"1,925.00",percent of total billed charges,"1,386.00",percent of total billed charges,"1,386.00",percent of total billed charges,"1,386.00",percent of total billed charges,"1,386.00",percent of total billed charges,"1,386.00",percent of total billed charges,"1,386.00",percent of total billed charges,"1,520.75",percent of total billed charges,"1,520.75",percent of total billed charges,"1,540.00",percent of total billed charges,"1,540.00",percent of total billed charges,,,"1,386.00",percent of total billed charges ,,,"1,540.00",percent of total billed charges ,"1,520.75",percent of total billed charges ,"1,520.75",percent of total billed charges ,"1,636.25",percent of total billed charges ,"1,636.25",percent of total billed charges ,"1,540.00",percent of total billed charges ,"1,540.00",percent of total billed charges ,"1,347.50",percent of total billed charges ,"1,347.50",percent of total billed charges ,"1,155.00",percent of total billed charges ,"1,155.00",percent of total billed charges ,"1,155.00",percent of total billed charges ,"1,155.00",percent of total billed charges ,,,,,"1,024.10",percent of total billed charges ,,,,,972.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,442.75,percent of total billed charges,,,442.75,percent of total billed charges,,,442.75,percent of total billed charges,,,442.75,percent of total billed charges,,,442.75,percent of total billed charges,,,442.75,percent of total billed charges,,,442.75,percent of total billed charges,,,442.75,percent of total billed charges,,,442.75,percent of total billed charges,,,442.75,percent of total billed charges,,,442.75,percent of total billed charges,
PHY-INJ THERAPEUTIC SUBSTANCE LUMBAR SAC,62322,CDM,,,,both,,,681,681,156.63,681,681,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,537.99,percent of total billed charges,537.99,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 ,537.99,percent of total billed charges ,537.99,percent of total billed charges ,578.85,percent of total billed charges ,578.85,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 ,,,,,,,,,,,,,,,,,,,156.63,percent of total billed charges,,,156.63,percent of total billed charges,,,156.63,percent of total billed charges,,,156.63,percent of total billed charges,,,156.63,percent of total billed charges,,,156.63,percent of total billed charges,,,156.63,percent of total billed charges,,,156.63,percent of total billed charges,,,156.63,percent of total billed charges,,,156.63,percent of total billed charges,,,156.63,percent of total billed charges,
ER-CLSED TR BIMALLEOLAR ANKLE W/ MANIPUL,27810,CDM,,,,both,,,"1,196.00","1,196.00",275.08,"1,196.00","1,196.00",percent of total billed charges,"1,196.00",percent of total billed charges,"1,196.00",percent of total billed charges,"1,196.00",percent of total billed charges,"1,196.00",percent of total billed charges,"1,196.00",percent of total billed charges,"1,196.00",percent of total billed charges,"1,196.00",percent of total billed charges,861.12,percent of total billed charges,861.12,percent of total billed charges,861.12,percent of total billed charges,861.12,percent of total billed charges,861.12,percent of total billed charges,861.12,percent of total billed charges,944.84,percent of total billed charges,944.84,percent of total billed charges,956.8,percent of total billed charges,956.8,percent of total billed charges,,,861.12,percent of total billed charges ,,,956.8,percent of total billed charges ,944.84,percent of total billed charges ,944.84,percent of total billed charges ,"1,016.60",percent of total billed charges ,"1,016.60",percent of total billed charges ,956.8,percent of total billed charges ,956.8,percent of total billed charges ,837.2,percent of total billed charges ,837.2,percent of total billed charges ,717.6,percent of total billed charges ,717.6,percent of total billed charges ,717.6,percent of total billed charges ,717.6,percent of total billed charges ,,,,,636.27,percent of total billed charges ,,,,,604.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,275.08,percent of total billed charges,,,275.08,percent of total billed charges,,,275.08,percent of total billed charges,,,275.08,percent of total billed charges,,,275.08,percent of total billed charges,,,275.08,percent of total billed charges,,,275.08,percent of total billed charges,,,275.08,percent of total billed charges,,,275.08,percent of total billed charges,,,275.08,percent of total billed charges,,,275.08,percent of total billed charges,
PHY-CLSED TR BIMALLEOLAR ANKLE W/ MANIPA,27810,CDM,,,,both,,,"2,850.00","2,850.00",655.5,"2,850.00","2,850.00",percent of total billed charges,"2,850.00",percent of total billed charges,"2,850.00",percent of total billed charges,"2,850.00",percent of total billed charges,"2,850.00",percent of total billed charges,"2,850.00",percent of total billed charges,"2,850.00",percent of total billed charges,"2,850.00",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,"2,052.00",percent of total billed charges,"2,052.00",percent of total billed charges,"2,251.50",percent of total billed charges,"2,251.50",percent of total billed charges,"2,280.00",percent of total billed charges,"2,280.00",percent of total billed charges,,,"2,052.00",percent of total billed charges ,,,"2,280.00",percent of total billed charges ,"2,251.50",percent of total billed charges ,"2,251.50",percent of total billed charges ,"2,422.50",percent of total billed charges ,"2,422.50",percent of total billed charges ,"2,280.00",percent of total billed charges ,"2,280.00",percent of total billed charges ,"1,995.00",percent of total billed charges ,"1,995.00",percent of total billed charges ,"1,710.00",percent of total billed charges ,"1,710.00",percent of total billed charges ,"1,710.00",percent of total billed charges ,"1,710.00",percent of total billed charges ,,,,,"1,516.20",percent of total billed charges ,,,,,"1,440.39",percent of total billed charges ,,,,,,,,,,,,,,,,,,,655.5,percent of total billed charges,,,655.5,percent of total billed charges,,,655.5,percent of total billed charges,,,655.5,percent of total billed charges,,,655.5,percent of total billed charges,,,655.5,percent of total billed charges,,,655.5,percent of total billed charges,,,655.5,percent of total billed charges,,,655.5,percent of total billed charges,,,655.5,percent of total billed charges,,,655.5,percent of total billed charges,
PHY-CLSED TR NASAL BONE FRACTURE,21315,CDM,,,,both,,,"1,245.00","1,245.00",286.35,"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,983.55,percent of total billed charges,983.55,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 ,983.55,percent of total billed charges ,983.55,percent of total billed charges ,"1,058.25",percent of total billed charges ,"1,058.25",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 ,,,,,,,,,,,,,,,,,,,286.35,percent of total billed charges,,,286.35,percent of total billed charges,,,286.35,percent of total billed charges,,,286.35,percent of total billed charges,,,286.35,percent of total billed charges,,,286.35,percent of total billed charges,,,286.35,percent of total billed charges,,,286.35,percent of total billed charges,,,286.35,percent of total billed charges,,,286.35,percent of total billed charges,,,286.35,percent of total billed charges,
PHY-CLSED RED PHALANGEAL SHAFT W/MANIPUL,26725,CDM,,,,both,,,"2,419.00","2,419.00",556.37,"2,419.00","2,419.00",percent of total billed charges,"2,419.00",percent of total billed charges,"2,419.00",percent of total billed charges,"2,419.00",percent of total billed charges,"2,419.00",percent of total billed charges,"2,419.00",percent of total billed charges,"2,419.00",percent of total billed charges,"2,419.00",percent of total billed charges,"1,741.68",percent of total billed charges,"1,741.68",percent of total billed charges,"1,741.68",percent of total billed charges,"1,741.68",percent of total billed charges,"1,741.68",percent of total billed charges,"1,741.68",percent of total billed charges,"1,911.01",percent of total billed charges,"1,911.01",percent of total billed charges,"1,935.20",percent of total billed charges,"1,935.20",percent of total billed charges,,,"1,741.68",percent of total billed charges ,,,"1,935.20",percent of total billed charges ,"1,911.01",percent of total billed charges ,"1,911.01",percent of total billed charges ,"2,056.15",percent of total billed charges ,"2,056.15",percent of total billed charges ,"1,935.20",percent of total billed charges ,"1,935.20",percent of total billed charges ,"1,693.30",percent of total billed charges ,"1,693.30",percent of total billed charges ,"1,451.40",percent of total billed charges ,"1,451.40",percent of total billed charges ,"1,451.40",percent of total billed charges ,"1,451.40",percent of total billed charges ,,,,,"1,286.91",percent of total billed charges ,,,,,"1,222.56",percent of total billed charges ,,,,,,,,,,,,,,,,,,,556.37,percent of total billed charges,,,556.37,percent of total billed charges,,,556.37,percent of total billed charges,,,556.37,percent of total billed charges,,,556.37,percent of total billed charges,,,556.37,percent of total billed charges,,,556.37,percent of total billed charges,,,556.37,percent of total billed charges,,,556.37,percent of total billed charges,,,556.37,percent of total billed charges,,,556.37,percent of total billed charges,
ER-SIMPLE REPAIR WOUNDS 7.6CM-12.5CM,12015,CDM,,,GF,both,,,826,826,189.98,826,826,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,652.54,percent of total billed charges,652.54,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 ,652.54,percent of total billed charges ,652.54,percent of total billed charges ,702.1,percent of total billed charges ,702.1,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 ,,,,,,,,,,,,,,,,,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,
PHY-CHEMICAL CAUTERY TISSUE,17250,CDM,,,GF,both,,,265,265,60.95,265,265,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,209.35,percent of total billed charges,209.35,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 ,209.35,percent of total billed charges ,209.35,percent of total billed charges ,225.25,percent of total billed charges ,225.25,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 ,,,,,,,,,,,,,,,,,,,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,,,60.95,percent of total billed charges,,,60.95,percent of total billed charges,,,60.95,percent of total billed charges,
IV HYDRATION ADD'L HOURS (59),96361,CDM,,,59,both,,,252,252,57.96,252,252,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,199.08,percent of total billed charges,199.08,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 ,199.08,percent of total billed charges ,199.08,percent of total billed charges ,214.2,percent of total billed charges ,214.2,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 ,,,,,,,,,,,,,,,,,,,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,
PHY-EXCISIONAL DEBRIDEMENT <20CM,97597,CDM,,,GP,both,,,510,510,117.3,510,510,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,402.9,percent of total billed charges,402.9,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 ,402.9,percent of total billed charges ,402.9,percent of total billed charges ,433.5,percent of total billed charges ,433.5,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 ,,,,,,,,,,,,,,,,,,,117.3,percent of total billed charges,,,117.3,percent of total billed charges,,,117.3,percent of total billed charges,,,117.3,percent of total billed charges,,,117.3,percent of total billed charges,,,117.3,percent of total billed charges,,,117.3,percent of total billed charges,,,117.3,percent of total billed charges,,,117.3,percent of total billed charges,,,117.3,percent of total billed charges,,,117.3,percent of total billed charges,
PHY-PARING/CUTTING BENIGN HYPERKERATOTIC,11055,CDM,,,,both,,,343,343,78.89,343,343,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,270.97,percent of total billed charges,270.97,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 ,270.97,percent of total billed charges ,270.97,percent of total billed charges ,291.55,percent of total billed charges ,291.55,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 ,,,,,,,,,,,,,,,,,,,78.89,percent of total billed charges,,,78.89,percent of total billed charges,,,78.89,percent of total billed charges,,,78.89,percent of total billed charges,,,78.89,percent of total billed charges,,,78.89,percent of total billed charges,,,78.89,percent of total billed charges,,,78.89,percent of total billed charges,,,78.89,percent of total billed charges,,,78.89,percent of total billed charges,,,78.89,percent of total billed charges,
PHY-CATHERIZATION OF UMIBILICAL VEIN,36510,CDM,,,,both,,,527,527,121.21,527,527,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,416.33,percent of total billed charges,416.33,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 ,416.33,percent of total billed charges ,416.33,percent of total billed charges ,447.95,percent of total billed charges ,447.95,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
PHY-EXCISION BENIGEN LESION 0.5CM OR LES,11420,CDM,,,,both,,,804,804,184.92,804,804,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,635.16,percent of total billed charges,635.16,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 ,635.16,percent of total billed charges ,635.16,percent of total billed charges ,683.4,percent of total billed charges ,683.4,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 ,,,,,,,,,,,,,,,,,,,184.92,percent of total billed charges,,,184.92,percent of total billed charges,,,184.92,percent of total billed charges,,,184.92,percent of total billed charges,,,184.92,percent of total billed charges,,,184.92,percent of total billed charges,,,184.92,percent of total billed charges,,,184.92,percent of total billed charges,,,184.92,percent of total billed charges,,,184.92,percent of total billed charges,,,184.92,percent of total billed charges,
"ER-REMOVAL SKIN TAGS, MULTIPLE UP TO 15",11200,CDM,,,GF,both,,,605,605,139.15,605,605,percent of total billed charges,605,percent of total billed charges,605,percent of total billed charges,605,percent of total billed charges,605,percent of total billed charges,605,percent of total billed charges,605,percent of total billed charges,605,percent of total billed charges,435.6,percent of total billed charges,435.6,percent of total billed charges,435.6,percent of total billed charges,435.6,percent of total billed charges,435.6,percent of total billed charges,435.6,percent of total billed charges,477.95,percent of total billed charges,477.95,percent of total billed charges,484,percent of total billed charges,484,percent of total billed charges,,,435.6,percent of total billed charges ,,,484,percent of total billed charges ,477.95,percent of total billed charges ,477.95,percent of total billed charges ,514.25,percent of total billed charges ,514.25,percent of total billed charges ,484,percent of total billed charges ,484,percent of total billed charges ,423.5,percent of total billed charges ,423.5,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 ,,,,,321.86,percent of total billed charges ,,,,,305.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,
"PHY-REMOVAL SKIN TAGS, MULTIPLE UP TO 15",11200,CDM,,,GF,both,,,647,647,148.81,647,647,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,511.13,percent of total billed charges,511.13,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 ,511.13,percent of total billed charges ,511.13,percent of total billed charges ,549.95,percent of total billed charges ,549.95,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 ,,,,,,,,,,,,,,,,,,,148.81,percent of total billed charges,,,148.81,percent of total billed charges,,,148.81,percent of total billed charges,,,148.81,percent of total billed charges,,,148.81,percent of total billed charges,,,148.81,percent of total billed charges,,,148.81,percent of total billed charges,,,148.81,percent of total billed charges,,,148.81,percent of total billed charges,,,148.81,percent of total billed charges,,,148.81,percent of total billed charges,
PHY-ARTHROCENTESIS/ASP/INJ:SMALL JOINT,20600,CDM,,,,both,,,415,415,95.45,415,415,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,327.85,percent of total billed charges,327.85,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 ,327.85,percent of total billed charges ,327.85,percent of total billed charges ,352.75,percent of total billed charges ,352.75,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 ,,,,,,,,,,,,,,,,,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,
PHY-REPAIR OR ADVANCEMENT FLEXOR TENDON,26350,CDM,,,,both,,,"4,641.00","4,641.00","1,067.43","4,641.00","4,641.00",percent of total billed charges,"4,641.00",percent of total billed charges,"4,641.00",percent of total billed charges,"4,641.00",percent of total billed charges,"4,641.00",percent of total billed charges,"4,641.00",percent of total billed charges,"4,641.00",percent of total billed charges,"4,641.00",percent of total billed charges,"3,341.52",percent of total billed charges,"3,341.52",percent of total billed charges,"3,341.52",percent of total billed charges,"3,341.52",percent of total billed charges,"3,341.52",percent of total billed charges,"3,341.52",percent of total billed charges,"3,666.39",percent of total billed charges,"3,666.39",percent of total billed charges,"3,712.80",percent of total billed charges,"3,712.80",percent of total billed charges,,,"3,341.52",percent of total billed charges ,,,"3,712.80",percent of total billed charges ,"3,666.39",percent of total billed charges ,"3,666.39",percent of total billed charges ,"3,944.85",percent of total billed charges ,"3,944.85",percent of total billed charges ,"3,712.80",percent of total billed charges ,"3,712.80",percent of total billed charges ,"3,248.70",percent of total billed charges ,"3,248.70",percent of total billed charges ,"2,784.60",percent of total billed charges ,"2,784.60",percent of total billed charges ,"2,784.60",percent of total billed charges ,"2,784.60",percent of total billed charges ,,,,,"2,469.01",percent of total billed charges ,,,,,"2,345.56",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,067.43",percent of total billed charges,,,"1,067.43",percent of total billed charges,,,"1,067.43",percent of total billed charges,,,"1,067.43",percent of total billed charges,,,"1,067.43",percent of total billed charges,,,"1,067.43",percent of total billed charges,,,"1,067.43",percent of total billed charges,,,"1,067.43",percent of total billed charges,,,"1,067.43",percent of total billed charges,,,"1,067.43",percent of total billed charges,,,"1,067.43",percent of total billed charges,
ER-IMMUNIZATION ADMIN THROUGH 18 YRS,90460,CDM,,,,both,,,184,184,42.32,184,184,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,145.36,percent of total billed charges,145.36,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 ,145.36,percent of total billed charges ,145.36,percent of total billed charges ,156.4,percent of total billed charges ,156.4,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 ,,,,,,,,,,,,,,,,,,,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,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,
"ER-CLSED TR DISTAL PHALANGEAL FR, FINGER",26755,CDM,,,,both,,,835,835,192.05,835,835,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,659.65,percent of total billed charges,659.65,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 ,659.65,percent of total billed charges ,659.65,percent of total billed charges ,709.75,percent of total billed charges ,709.75,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 ,,,,,,,,,,,,,,,,,,,192.05,percent of total billed charges,,,192.05,percent of total billed charges,,,192.05,percent of total billed charges,,,192.05,percent of total billed charges,,,192.05,percent of total billed charges,,,192.05,percent of total billed charges,,,192.05,percent of total billed charges,,,192.05,percent of total billed charges,,,192.05,percent of total billed charges,,,192.05,percent of total billed charges,,,192.05,percent of total billed charges,
PHY-CLOSED TREATMENT TOE W/MANIPULATION,28495,CDM,,,,both,,,"1,292.00","1,292.00",297.16,"1,292.00","1,292.00",percent of total billed charges,"1,292.00",percent of total billed charges,"1,292.00",percent of total billed charges,"1,292.00",percent of total billed charges,"1,292.00",percent of total billed charges,"1,292.00",percent of total billed charges,"1,292.00",percent of total billed charges,"1,292.00",percent of total billed charges,930.24,percent of total billed charges,930.24,percent of total billed charges,930.24,percent of total billed charges,930.24,percent of total billed charges,930.24,percent of total billed charges,930.24,percent of total billed charges,"1,020.68",percent of total billed charges,"1,020.68",percent of total billed charges,"1,033.60",percent of total billed charges,"1,033.60",percent of total billed charges,,,930.24,percent of total billed charges ,,,"1,033.60",percent of total billed charges ,"1,020.68",percent of total billed charges ,"1,020.68",percent of total billed charges ,"1,098.20",percent of total billed charges ,"1,098.20",percent of total billed charges ,"1,033.60",percent of total billed charges ,"1,033.60",percent of total billed charges ,904.4,percent of total billed charges ,904.4,percent of total billed charges ,775.2,percent of total billed charges ,775.2,percent of total billed charges ,775.2,percent of total billed charges ,775.2,percent of total billed charges ,,,,,687.34,percent of total billed charges ,,,,,652.98,percent of total billed charges ,,,,,,,,,,,,,,,,,,,297.16,percent of total billed charges,,,297.16,percent of total billed charges,,,297.16,percent of total billed charges,,,297.16,percent of total billed charges,,,297.16,percent of total billed charges,,,297.16,percent of total billed charges,,,297.16,percent of total billed charges,,,297.16,percent of total billed charges,,,297.16,percent of total billed charges,,,297.16,percent of total billed charges,,,297.16,percent of total billed charges,
"PHY-I & D PALAGE, UVULA",42000,CDM,,,,both,,,"1,048.00","1,048.00",241.04,"1,048.00","1,048.00",percent of total billed charges,"1,048.00",percent of total billed charges,"1,048.00",percent of total billed charges,"1,048.00",percent of total billed charges,"1,048.00",percent of total billed charges,"1,048.00",percent of total billed charges,"1,048.00",percent of total billed charges,"1,048.00",percent of total billed charges,754.56,percent of total billed charges,754.56,percent of total billed charges,754.56,percent of total billed charges,754.56,percent of total billed charges,754.56,percent of total billed charges,754.56,percent of total billed charges,827.92,percent of total billed charges,827.92,percent of total billed charges,838.4,percent of total billed charges,838.4,percent of total billed charges,,,754.56,percent of total billed charges ,,,838.4,percent of total billed charges ,827.92,percent of total billed charges ,827.92,percent of total billed charges ,890.8,percent of total billed charges ,890.8,percent of total billed charges ,838.4,percent of total billed charges ,838.4,percent of total billed charges ,733.6,percent of total billed charges ,733.6,percent of total billed charges ,628.8,percent of total billed charges ,628.8,percent of total billed charges ,628.8,percent of total billed charges ,628.8,percent of total billed charges ,,,,,557.54,percent of total billed charges ,,,,,529.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,241.04,percent of total billed charges,,,241.04,percent of total billed charges,,,241.04,percent of total billed charges,,,241.04,percent of total billed charges,,,241.04,percent of total billed charges,,,241.04,percent of total billed charges,,,241.04,percent of total billed charges,,,241.04,percent of total billed charges,,,241.04,percent of total billed charges,,,241.04,percent of total billed charges,,,241.04,percent of total billed charges,
PHY-INJ SINGLE OR MULTI TRIGGER POINT,20552,CDM,,,,both,,,296,296,68.08,296,296,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,233.84,percent of total billed charges,233.84,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 ,233.84,percent of total billed charges ,233.84,percent of total billed charges ,251.6,percent of total billed charges ,251.6,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 ,,,,,,,,,,,,,,,,,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,
PHY-DENTOALVEOLAR STRUCTURES,41899,CDM,,,,both,,,"1,408.00","1,408.00",323.84,"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,"1,112.32",percent of total billed charges,"1,112.32",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 ,"1,112.32",percent of total billed charges ,"1,112.32",percent of total billed charges ,"1,196.80",percent of total billed charges ,"1,196.80",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 ,,,,,,,,,,,,,,,,,,,323.84,percent of total billed charges,,,323.84,percent of total billed charges,,,323.84,percent of total billed charges,,,323.84,percent of total billed charges,,,323.84,percent of total billed charges,,,323.84,percent of total billed charges,,,323.84,percent of total billed charges,,,323.84,percent of total billed charges,,,323.84,percent of total billed charges,,,323.84,percent of total billed charges,,,323.84,percent of total billed charges,
AHP-EMERGENCY LEVEL 1,99281,CDM,,,GF,both,,,293,293,67.39,925,293,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,231.47,percent of total billed charges,231.47,percent of total billed charges,234.4,percent of total billed charges,234.4,percent of total billed charges,,,925,ER Case Rate,,,234.4,percent of total billed charges ,231.47,percent of total billed charges ,231.47,percent of total billed charges ,249.05,percent of total billed charges ,249.05,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 ,,,,,,,,,,,,,,,,,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,
AHP-EMERGENCY LEVEL II,99282,CDM,,,GF,both,,,382,382,87.86,"1,350.00",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,301.78,percent of total billed charges,301.78,percent of total billed charges,305.6,percent of total billed charges,305.6,percent of total billed charges,,,"1,350.00",ER Case Rate,,,305.6,percent of total billed charges ,301.78,percent of total billed charges ,301.78,percent of total billed charges ,324.7,percent of total billed charges ,324.7,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 ,,,,,,,,,,,,,,,,,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,
AHP-EMERGENCY LEVEL III,99283,CDM,,,GF,both,,,691,691,158.93,"2,400.00",691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,545.89,percent of total billed charges,545.89,percent of total billed charges,552.8,percent of total billed charges,552.8,percent of total billed charges,,,"2,400.00",ER Case Rate,,,552.8,percent of total billed charges ,545.89,percent of total billed charges ,545.89,percent of total billed charges ,587.35,percent of total billed charges ,587.35,percent of total billed charges ,552.8,percent of total billed charges ,552.8,percent of total billed charges ,483.7,percent of total billed charges ,483.7,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,,,,,367.61,percent of total billed charges ,,,,,349.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,
"AHP-Wnd 2.5cm or > fce,ers,eyld,ns,lp,mm",12011,CDM,,,GF,both,,,963,963,221.49,963,963,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,760.77,percent of total billed charges,760.77,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 ,760.77,percent of total billed charges ,760.77,percent of total billed charges ,818.55,percent of total billed charges ,818.55,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 ,,,,,,,,,,,,,,,,,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,
PHY-INJECTION INTO TENDON,20551,CDM,,,,both,,,452,452,103.96,452,452,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,357.08,percent of total billed charges,357.08,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 ,357.08,percent of total billed charges ,357.08,percent of total billed charges ,384.2,percent of total billed charges ,384.2,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 ,,,,,,,,,,,,,,,,,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,
AHP-I&D Abscess/Simple,10060,CDM,,,GF,both,,,691,691,158.93,691,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,545.89,percent of total billed charges,545.89,percent of total billed charges,552.8,percent of total billed charges,552.8,percent of total billed charges,,,497.52,percent of total billed charges ,,,552.8,percent of total billed charges ,545.89,percent of total billed charges ,545.89,percent of total billed charges ,587.35,percent of total billed charges ,587.35,percent of total billed charges ,552.8,percent of total billed charges ,552.8,percent of total billed charges ,483.7,percent of total billed charges ,483.7,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,,,,,367.61,percent of total billed charges ,,,,,349.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,
AHP-F/B Removal Nose,30300,CDM,,,GF,both,,,691,691,158.93,691,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,545.89,percent of total billed charges,545.89,percent of total billed charges,552.8,percent of total billed charges,552.8,percent of total billed charges,,,497.52,percent of total billed charges ,,,552.8,percent of total billed charges ,545.89,percent of total billed charges ,545.89,percent of total billed charges ,587.35,percent of total billed charges ,587.35,percent of total billed charges ,552.8,percent of total billed charges ,552.8,percent of total billed charges ,483.7,percent of total billed charges ,483.7,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,,,,,367.61,percent of total billed charges ,,,,,349.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,
"AHP-WND 2.5cm or> sclp,nk,axl,ext ge,trk",12001,CDM,,,GF,both,,,691,691,158.93,691,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,545.89,percent of total billed charges,545.89,percent of total billed charges,552.8,percent of total billed charges,552.8,percent of total billed charges,,,497.52,percent of total billed charges ,,,552.8,percent of total billed charges ,545.89,percent of total billed charges ,545.89,percent of total billed charges ,587.35,percent of total billed charges ,587.35,percent of total billed charges ,552.8,percent of total billed charges ,552.8,percent of total billed charges ,483.7,percent of total billed charges ,483.7,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,,,,,367.61,percent of total billed charges ,,,,,349.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,
ER-CHANGE OF BLADDER TUBE,51705,CDM,,,,both,,,"1,258.00","1,258.00",289.34,"1,258.00","1,258.00",percent of total billed charges,"1,258.00",percent of total billed charges,"1,258.00",percent of total billed charges,"1,258.00",percent of total billed charges,"1,258.00",percent of total billed charges,"1,258.00",percent of total billed charges,"1,258.00",percent of total billed charges,"1,258.00",percent of total billed charges,905.76,percent of total billed charges,905.76,percent of total billed charges,905.76,percent of total billed charges,905.76,percent of total billed charges,905.76,percent of total billed charges,905.76,percent of total billed charges,993.82,percent of total billed charges,993.82,percent of total billed charges,"1,006.40",percent of total billed charges,"1,006.40",percent of total billed charges,,,905.76,percent of total billed charges ,,,"1,006.40",percent of total billed charges ,993.82,percent of total billed charges ,993.82,percent of total billed charges ,"1,069.30",percent of total billed charges ,"1,069.30",percent of total billed charges ,"1,006.40",percent of total billed charges ,"1,006.40",percent of total billed charges ,880.6,percent of total billed charges ,880.6,percent of total billed charges ,754.8,percent of total billed charges ,754.8,percent of total billed charges ,754.8,percent of total billed charges ,754.8,percent of total billed charges ,,,,,669.26,percent of total billed charges ,,,,,635.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,
"AHP-Wd 2.6-5.0cm fce,ers,eyld,nse,lps,mm",12013,CDM,,,GF,both,,,963,963,221.49,963,963,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,760.77,percent of total billed charges,760.77,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 ,760.77,percent of total billed charges ,760.77,percent of total billed charges ,818.55,percent of total billed charges ,818.55,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 ,,,,,,,,,,,,,,,,,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,
AHP-DIGITAL BLOCK,64450,CDM,,,GF,both,,,785,785,180.55,785,785,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,620.15,percent of total billed charges,620.15,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 ,620.15,percent of total billed charges ,620.15,percent of total billed charges ,667.25,percent of total billed charges ,667.25,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 ,,,,,,,,,,,,,,,,,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,
"AHP-WND 2.6-7.5cm sclp, nk,axl,ex gen,ex",12002,CDM,,,GF,both,,,761,761,175.03,761,761,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,601.19,percent of total billed charges,601.19,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 ,601.19,percent of total billed charges ,601.19,percent of total billed charges ,646.85,percent of total billed charges ,646.85,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 ,,,,,,,,,,,,,,,,,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,
ER- REP LIDS /NOSE /EARS /LIP2.6CM-7.5CM,13152,CDM,,,GF,both,,,"2,010.00","2,010.00",462.3,"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,"1,587.90",percent of total billed charges,"1,587.90",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 ,"1,587.90",percent of total billed charges ,"1,587.90",percent of total billed charges ,"1,708.50",percent of total billed charges ,"1,708.50",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 ,,,,,,,,,,,,,,,,,,,462.3,percent of total billed charges,,,462.3,percent of total billed charges,,,462.3,percent of total billed charges,,,462.3,percent of total billed charges,,,462.3,percent of total billed charges,,,462.3,percent of total billed charges,,,462.3,percent of total billed charges,,,462.3,percent of total billed charges,,,462.3,percent of total billed charges,,,462.3,percent of total billed charges,,,462.3,percent of total billed charges,
PHY-REP LIDS/ NOSE/ EARS/ LIP 2.6-7.5CM,13152,CDM,,,GF,both,,,"3,115.00","3,115.00",716.45,"3,115.00","3,115.00",percent of total billed charges,"3,115.00",percent of total billed charges,"3,115.00",percent of total billed charges,"3,115.00",percent of total billed charges,"3,115.00",percent of total billed charges,"3,115.00",percent of total billed charges,"3,115.00",percent of total billed charges,"3,115.00",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,"2,242.80",percent of total billed charges,"2,242.80",percent of total billed charges,"2,460.85",percent of total billed charges,"2,460.85",percent of total billed charges,"2,492.00",percent of total billed charges,"2,492.00",percent of total billed charges,,,"2,242.80",percent of total billed charges ,,,"2,492.00",percent of total billed charges ,"2,460.85",percent of total billed charges ,"2,460.85",percent of total billed charges ,"2,647.75",percent of total billed charges ,"2,647.75",percent of total billed charges ,"2,492.00",percent of total billed charges ,"2,492.00",percent of total billed charges ,"2,180.50",percent of total billed charges ,"2,180.50",percent of total billed charges ,"1,869.00",percent of total billed charges ,"1,869.00",percent of total billed charges ,"1,869.00",percent of total billed charges ,"1,869.00",percent of total billed charges ,,,,,"1,657.18",percent of total billed charges ,,,,,"1,574.32",percent of total billed charges ,,,,,,,,,,,,,,,,,,,716.45,percent of total billed charges,,,716.45,percent of total billed charges,,,716.45,percent of total billed charges,,,716.45,percent of total billed charges,,,716.45,percent of total billed charges,,,716.45,percent of total billed charges,,,716.45,percent of total billed charges,,,716.45,percent of total billed charges,,,716.45,percent of total billed charges,,,716.45,percent of total billed charges,,,716.45,percent of total billed charges,
PHY-REPAIR OF EXTENSOR TENDON,26418,CDM,,,,both,,,"3,531.00","3,531.00",812.13,"3,531.00","3,531.00",percent of total billed charges,"3,531.00",percent of total billed charges,"3,531.00",percent of total billed charges,"3,531.00",percent of total billed charges,"3,531.00",percent of total billed charges,"3,531.00",percent of total billed charges,"3,531.00",percent of total billed charges,"3,531.00",percent of total billed charges,"2,542.32",percent of total billed charges,"2,542.32",percent of total billed charges,"2,542.32",percent of total billed charges,"2,542.32",percent of total billed charges,"2,542.32",percent of total billed charges,"2,542.32",percent of total billed charges,"2,789.49",percent of total billed charges,"2,789.49",percent of total billed charges,"2,824.80",percent of total billed charges,"2,824.80",percent of total billed charges,,,"2,542.32",percent of total billed charges ,,,"2,824.80",percent of total billed charges ,"2,789.49",percent of total billed charges ,"2,789.49",percent of total billed charges ,"3,001.35",percent of total billed charges ,"3,001.35",percent of total billed charges ,"2,824.80",percent of total billed charges ,"2,824.80",percent of total billed charges ,"2,471.70",percent of total billed charges ,"2,471.70",percent of total billed charges ,"2,118.60",percent of total billed charges ,"2,118.60",percent of total billed charges ,"2,118.60",percent of total billed charges ,"2,118.60",percent of total billed charges ,,,,,"1,878.49",percent of total billed charges ,,,,,"1,784.57",percent of total billed charges ,,,,,,,,,,,,,,,,,,,812.13,percent of total billed charges,,,812.13,percent of total billed charges,,,812.13,percent of total billed charges,,,812.13,percent of total billed charges,,,812.13,percent of total billed charges,,,812.13,percent of total billed charges,,,812.13,percent of total billed charges,,,812.13,percent of total billed charges,,,812.13,percent of total billed charges,,,812.13,percent of total billed charges,,,812.13,percent of total billed charges,
AHP-NEEDLE ASPIRATION CYST-PILONIDAL,10160,CDM,,,GF,both,,,545,545,125.35,545,545,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,430.55,percent of total billed charges,430.55,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 ,430.55,percent of total billed charges ,430.55,percent of total billed charges ,463.25,percent of total billed charges ,463.25,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 ,,,,,,,,,,,,,,,,,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,
AHP-DRAINAGE OF ABSCESS/HEMATOMA,41800,CDM,,,GF,both,,,691,691,158.93,691,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,545.89,percent of total billed charges,545.89,percent of total billed charges,552.8,percent of total billed charges,552.8,percent of total billed charges,,,497.52,percent of total billed charges ,,,552.8,percent of total billed charges ,545.89,percent of total billed charges ,545.89,percent of total billed charges ,587.35,percent of total billed charges ,587.35,percent of total billed charges ,552.8,percent of total billed charges ,552.8,percent of total billed charges ,483.7,percent of total billed charges ,483.7,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,,,,,367.61,percent of total billed charges ,,,,,349.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,
ER- FB REMOVAL EYE,65220,CDM,,,GF,both,,,612,612,140.76,612,612,percent of total billed charges,612,percent of total billed charges,612,percent of total billed charges,612,percent of total billed charges,612,percent of total billed charges,612,percent of total billed charges,612,percent of total billed charges,612,percent of total billed charges,440.64,percent of total billed charges,440.64,percent of total billed charges,440.64,percent of total billed charges,440.64,percent of total billed charges,440.64,percent of total billed charges,440.64,percent of total billed charges,483.48,percent of total billed charges,483.48,percent of total billed charges,489.6,percent of total billed charges,489.6,percent of total billed charges,,,440.64,percent of total billed charges ,,,489.6,percent of total billed charges ,483.48,percent of total billed charges ,483.48,percent of total billed charges ,520.2,percent of total billed charges ,520.2,percent of total billed charges ,489.6,percent of total billed charges ,489.6,percent of total billed charges ,428.4,percent of total billed charges ,428.4,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 ,,,,,325.58,percent of total billed charges ,,,,,309.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,140.76,percent of total billed charges,,,140.76,percent of total billed charges,,,140.76,percent of total billed charges,,,140.76,percent of total billed charges,,,140.76,percent of total billed charges,,,140.76,percent of total billed charges,,,140.76,percent of total billed charges,,,140.76,percent of total billed charges,,,140.76,percent of total billed charges,,,140.76,percent of total billed charges,,,140.76,percent of total billed charges,
PHY-FRB REMOVAL EYE,65220,CDM,,,GF,both,,,318,318,73.14,318,318,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,251.22,percent of total billed charges,251.22,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 ,251.22,percent of total billed charges ,251.22,percent of total billed charges ,270.3,percent of total billed charges ,270.3,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 ,,,,,,,,,,,,,,,,,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,
ER-REPAIR WOUND 20.1 CM-30.OCM,12006,CDM,,,GF,both,,,861,861,198.03,861,861,percent of total billed charges,861,percent of total billed charges,861,percent of total billed charges,861,percent of total billed charges,861,percent of total billed charges,861,percent of total billed charges,861,percent of total billed charges,861,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,680.19,percent of total billed charges,680.19,percent of total billed charges,688.8,percent of total billed charges,688.8,percent of total billed charges,,,619.92,percent of total billed charges ,,,688.8,percent of total billed charges ,680.19,percent of total billed charges ,680.19,percent of total billed charges ,731.85,percent of total billed charges ,731.85,percent of total billed charges ,688.8,percent of total billed charges ,688.8,percent of total billed charges ,602.7,percent of total billed charges ,602.7,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 ,,,,,458.05,percent of total billed charges ,,,,,435.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,198.03,percent of total billed charges,,,198.03,percent of total billed charges,,,198.03,percent of total billed charges,,,198.03,percent of total billed charges,,,198.03,percent of total billed charges,,,198.03,percent of total billed charges,,,198.03,percent of total billed charges,,,198.03,percent of total billed charges,,,198.03,percent of total billed charges,,,198.03,percent of total billed charges,,,198.03,percent of total billed charges,
PHY-REPAIR Wound 20.1 CM -30.0 CM,12006,CDM,,,GF,both,,,846,846,194.58,846,846,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,846,percent of total billed charges,846,percent of total billed charges,609.12,percent of total billed charges,609.12,percent of total billed charges,609.12,percent of total billed charges,609.12,percent of total billed charges,609.12,percent of total billed charges,609.12,percent of total billed charges,668.34,percent of total billed charges,668.34,percent of total billed charges,676.8,percent of total billed charges,676.8,percent of total billed charges,,,609.12,percent of total billed charges ,,,676.8,percent of total billed charges ,668.34,percent of total billed charges ,668.34,percent of total billed charges ,719.1,percent of total billed charges ,719.1,percent of total billed charges ,676.8,percent of total billed charges ,676.8,percent of total billed charges ,592.2,percent of total billed charges ,592.2,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 ,,,,,450.07,percent of total billed charges ,,,,,427.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,194.58,percent of total billed charges,,,194.58,percent of total billed charges,,,194.58,percent of total billed charges,,,194.58,percent of total billed charges,,,194.58,percent of total billed charges,,,194.58,percent of total billed charges,,,194.58,percent of total billed charges,,,194.58,percent of total billed charges,,,194.58,percent of total billed charges,,,194.58,percent of total billed charges,,,194.58,percent of total billed charges,
PHY-SUPRAPUBLIC CATHETER CHANGE,51705,CDM,,,,both,,,516,516,118.68,516,516,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,407.64,percent of total billed charges,407.64,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 ,407.64,percent of total billed charges ,407.64,percent of total billed charges ,438.6,percent of total billed charges ,438.6,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 ,,,,,,,,,,,,,,,,,,,118.68,percent of total billed charges,,,118.68,percent of total billed charges,,,118.68,percent of total billed charges,,,118.68,percent of total billed charges,,,118.68,percent of total billed charges,,,118.68,percent of total billed charges,,,118.68,percent of total billed charges,,,118.68,percent of total billed charges,,,118.68,percent of total billed charges,,,118.68,percent of total billed charges,,,118.68,percent of total billed charges,
PHY-SIMPLE REPAIR > 30CM,12007,CDM,,,GF,both,,,"1,004.00","1,004.00",230.92,"1,004.00","1,004.00",percent of total billed charges,"1,004.00",percent of total billed charges,"1,004.00",percent of total billed charges,"1,004.00",percent of total billed charges,"1,004.00",percent of total billed charges,"1,004.00",percent of total billed charges,"1,004.00",percent of total billed charges,"1,004.00",percent of total billed charges,722.88,percent of total billed charges,722.88,percent of total billed charges,722.88,percent of total billed charges,722.88,percent of total billed charges,722.88,percent of total billed charges,722.88,percent of total billed charges,793.16,percent of total billed charges,793.16,percent of total billed charges,803.2,percent of total billed charges,803.2,percent of total billed charges,,,722.88,percent of total billed charges ,,,803.2,percent of total billed charges ,793.16,percent of total billed charges ,793.16,percent of total billed charges ,853.4,percent of total billed charges ,853.4,percent of total billed charges ,803.2,percent of total billed charges ,803.2,percent of total billed charges ,702.8,percent of total billed charges ,702.8,percent of total billed charges ,602.4,percent of total billed charges ,602.4,percent of total billed charges ,602.4,percent of total billed charges ,602.4,percent of total billed charges ,,,,,534.13,percent of total billed charges ,,,,,507.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,230.92,percent of total billed charges,,,230.92,percent of total billed charges,,,230.92,percent of total billed charges,,,230.92,percent of total billed charges,,,230.92,percent of total billed charges,,,230.92,percent of total billed charges,,,230.92,percent of total billed charges,,,230.92,percent of total billed charges,,,230.92,percent of total billed charges,,,230.92,percent of total billed charges,,,230.92,percent of total billed charges,
ER- SIMPLE REPAIR > 30CM,12007,CDM,,,GF,both,,,810,810,186.3,810,810,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,810,percent of total billed charges,810,percent of total billed charges,810,percent of total billed charges,583.2,percent of total billed charges,583.2,percent of total billed charges,583.2,percent of total billed charges,583.2,percent of total billed charges,583.2,percent of total billed charges,583.2,percent of total billed charges,639.9,percent of total billed charges,639.9,percent of total billed charges,648,percent of total billed charges,648,percent of total billed charges,,,583.2,percent of total billed charges ,,,648,percent of total billed charges ,639.9,percent of total billed charges ,639.9,percent of total billed charges ,688.5,percent of total billed charges ,688.5,percent of total billed charges ,648,percent of total billed charges ,648,percent of total billed charges ,567,percent of total billed charges ,567,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 ,,,,,430.92,percent of total billed charges ,,,,,409.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,186.3,percent of total billed charges,,,186.3,percent of total billed charges,,,186.3,percent of total billed charges,,,186.3,percent of total billed charges,,,186.3,percent of total billed charges,,,186.3,percent of total billed charges,,,186.3,percent of total billed charges,,,186.3,percent of total billed charges,,,186.3,percent of total billed charges,,,186.3,percent of total billed charges,,,186.3,percent of total billed charges,
PHY-FINE NEEDLE ASPIRATION W/O IMAGE GUI,10021,CDM,,,GF,both,,,468,468,107.64,468,468,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,369.72,percent of total billed charges,369.72,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 ,369.72,percent of total billed charges ,369.72,percent of total billed charges ,397.8,percent of total billed charges ,397.8,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 ,,,,,,,,,,,,,,,,,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,
AHP-Aspiration/Maj Joint,20610,CDM,,,GF,both,,,553,553,127.19,553,553,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,436.87,percent of total billed charges,436.87,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 ,436.87,percent of total billed charges ,436.87,percent of total billed charges ,470.05,percent of total billed charges ,470.05,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 ,,,,,,,,,,,,,,,,,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,
ER- DRAINAGE OF GLAND ABSCESS,56420,CDM,,,GF,both,,,901,901,207.23,901,901,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,711.79,percent of total billed charges,711.79,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 ,711.79,percent of total billed charges ,711.79,percent of total billed charges ,765.85,percent of total billed charges ,765.85,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 ,,,,,,,,,,,,,,,,,,,207.23,percent of total billed charges,,,207.23,percent of total billed charges,,,207.23,percent of total billed charges,,,207.23,percent of total billed charges,,,207.23,percent of total billed charges,,,207.23,percent of total billed charges,,,207.23,percent of total billed charges,,,207.23,percent of total billed charges,,,207.23,percent of total billed charges,,,207.23,percent of total billed charges,,,207.23,percent of total billed charges,
PHY-CLD TRT JT DISLATE W/ ANEST IP JOINT,28665,CDM,,,,both,,,998,998,229.54,998,998,percent of total billed charges,998,percent of total billed charges,998,percent of total billed charges,998,percent of total billed charges,998,percent of total billed charges,998,percent of total billed charges,998,percent of total billed charges,998,percent of total billed charges,718.56,percent of total billed charges,718.56,percent of total billed charges,718.56,percent of total billed charges,718.56,percent of total billed charges,718.56,percent of total billed charges,718.56,percent of total billed charges,788.42,percent of total billed charges,788.42,percent of total billed charges,798.4,percent of total billed charges,798.4,percent of total billed charges,,,718.56,percent of total billed charges ,,,798.4,percent of total billed charges ,788.42,percent of total billed charges ,788.42,percent of total billed charges ,848.3,percent of total billed charges ,848.3,percent of total billed charges ,798.4,percent of total billed charges ,798.4,percent of total billed charges ,698.6,percent of total billed charges ,698.6,percent of total billed charges ,598.8,percent of total billed charges ,598.8,percent of total billed charges ,598.8,percent of total billed charges ,598.8,percent of total billed charges ,,,,,530.94,percent of total billed charges ,,,,,504.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,229.54,percent of total billed charges,,,229.54,percent of total billed charges,,,229.54,percent of total billed charges,,,229.54,percent of total billed charges,,,229.54,percent of total billed charges,,,229.54,percent of total billed charges,,,229.54,percent of total billed charges,,,229.54,percent of total billed charges,,,229.54,percent of total billed charges,,,229.54,percent of total billed charges,,,229.54,percent of total billed charges,
PHY-COMPLEX REPAIR ADD'L 5CM,13122,CDM,,,GF,both,,,565,565,129.95,565,565,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,446.35,percent of total billed charges,446.35,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 ,446.35,percent of total billed charges ,446.35,percent of total billed charges ,480.25,percent of total billed charges ,480.25,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 ,,,,,,,,,,,,,,,,,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,
ER- COMPLEX REPAIR 2.6 - 7.5 CM,13121,CDM,,,GF,both,,,"2,231.00","2,231.00",513.13,"2,231.00","2,231.00",percent of total billed charges,"2,231.00",percent of total billed charges,"2,231.00",percent of total billed charges,"2,231.00",percent of total billed charges,"2,231.00",percent of total billed charges,"2,231.00",percent of total billed charges,"2,231.00",percent of total billed charges,"2,231.00",percent of total billed charges,"1,606.32",percent of total billed charges,"1,606.32",percent of total billed charges,"1,606.32",percent of total billed charges,"1,606.32",percent of total billed charges,"1,606.32",percent of total billed charges,"1,606.32",percent of total billed charges,"1,762.49",percent of total billed charges,"1,762.49",percent of total billed charges,"1,784.80",percent of total billed charges,"1,784.80",percent of total billed charges,,,"1,606.32",percent of total billed charges ,,,"1,784.80",percent of total billed charges ,"1,762.49",percent of total billed charges ,"1,762.49",percent of total billed charges ,"1,896.35",percent of total billed charges ,"1,896.35",percent of total billed charges ,"1,784.80",percent of total billed charges ,"1,784.80",percent of total billed charges ,"1,561.70",percent of total billed charges ,"1,561.70",percent of total billed charges ,"1,338.60",percent of total billed charges ,"1,338.60",percent of total billed charges ,"1,338.60",percent of total billed charges ,"1,338.60",percent of total billed charges ,,,,,"1,186.89",percent of total billed charges ,,,,,"1,127.55",percent of total billed charges ,,,,,,,,,,,,,,,,,,,513.13,percent of total billed charges,,,513.13,percent of total billed charges,,,513.13,percent of total billed charges,,,513.13,percent of total billed charges,,,513.13,percent of total billed charges,,,513.13,percent of total billed charges,,,513.13,percent of total billed charges,,,513.13,percent of total billed charges,,,513.13,percent of total billed charges,,,513.13,percent of total billed charges,,,513.13,percent of total billed charges,
ER- COMPLEX REPAIR ADD'L 5CM,13122,CDM,,,GF,both,,,841,841,193.43,841,841,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,664.39,percent of total billed charges,664.39,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 ,664.39,percent of total billed charges ,664.39,percent of total billed charges ,714.85,percent of total billed charges ,714.85,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 ,,,,,,,,,,,,,,,,,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,
IV PUSH SEQUENTIAL SAME DRUG (59),96376,CDM,,,59,both,,,254,254,58.42,254,254,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,200.66,percent of total billed charges,200.66,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 ,200.66,percent of total billed charges ,200.66,percent of total billed charges ,215.9,percent of total billed charges ,215.9,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 ,,,,,,,,,,,,,,,,,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,
ER- REP LIDS /NOSE /EARS /LIP 1.1-2.5 CM,13151,CDM,,,GF,both,,,"1,941.00","1,941.00",446.43,"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,"1,533.39",percent of total billed charges,"1,533.39",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 ,"1,533.39",percent of total billed charges ,"1,533.39",percent of total billed charges ,"1,649.85",percent of total billed charges ,"1,649.85",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 ,,,,,,,,,,,,,,,,,,,446.43,percent of total billed charges,,,446.43,percent of total billed charges,,,446.43,percent of total billed charges,,,446.43,percent of total billed charges,,,446.43,percent of total billed charges,,,446.43,percent of total billed charges,,,446.43,percent of total billed charges,,,446.43,percent of total billed charges,,,446.43,percent of total billed charges,,,446.43,percent of total billed charges,,,446.43,percent of total billed charges,
PHY-REP LIDS/ NOSE/ EARS/ LIP 1.1-2.5 CM,13151,CDM,,,GF,both,,,"2,920.00","2,920.00",671.6,"2,920.00","2,920.00",percent of total billed charges,"2,920.00",percent of total billed charges,"2,920.00",percent of total billed charges,"2,920.00",percent of total billed charges,"2,920.00",percent of total billed charges,"2,920.00",percent of total billed charges,"2,920.00",percent of total billed charges,"2,920.00",percent of total billed charges,"2,102.40",percent of total billed charges,"2,102.40",percent of total billed charges,"2,102.40",percent of total billed charges,"2,102.40",percent of total billed charges,"2,102.40",percent of total billed charges,"2,102.40",percent of total billed charges,"2,306.80",percent of total billed charges,"2,306.80",percent of total billed charges,"2,336.00",percent of total billed charges,"2,336.00",percent of total billed charges,,,"2,102.40",percent of total billed charges ,,,"2,336.00",percent of total billed charges ,"2,306.80",percent of total billed charges ,"2,306.80",percent of total billed charges ,"2,482.00",percent of total billed charges ,"2,482.00",percent of total billed charges ,"2,336.00",percent of total billed charges ,"2,336.00",percent of total billed charges ,"2,044.00",percent of total billed charges ,"2,044.00",percent of total billed charges ,"1,752.00",percent of total billed charges ,"1,752.00",percent of total billed charges ,"1,752.00",percent of total billed charges ,"1,752.00",percent of total billed charges ,,,,,"1,553.44",percent of total billed charges ,,,,,"1,475.77",percent of total billed charges ,,,,,,,,,,,,,,,,,,,671.6,percent of total billed charges,,,671.6,percent of total billed charges,,,671.6,percent of total billed charges,,,671.6,percent of total billed charges,,,671.6,percent of total billed charges,,,671.6,percent of total billed charges,,,671.6,percent of total billed charges,,,671.6,percent of total billed charges,,,671.6,percent of total billed charges,,,671.6,percent of total billed charges,,,671.6,percent of total billed charges,
ER-SIMPLE REPAIR WOUNDS > 30 CM,12018,CDM,,,GF,both,,,710,710,163.3,710,710,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,560.9,percent of total billed charges,560.9,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 ,560.9,percent of total billed charges ,560.9,percent of total billed charges ,603.5,percent of total billed charges ,603.5,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 ,,,,,,,,,,,,,,,,,,,163.3,percent of total billed charges,,,163.3,percent of total billed charges,,,163.3,percent of total billed charges,,,163.3,percent of total billed charges,,,163.3,percent of total billed charges,,,163.3,percent of total billed charges,,,163.3,percent of total billed charges,,,163.3,percent of total billed charges,,,163.3,percent of total billed charges,,,163.3,percent of total billed charges,,,163.3,percent of total billed charges,
PHY-SIMPLE REPAIR WOUNDS > 30 CM,12018,CDM,,,GF,both,,,"1,333.00","1,333.00",306.59,"1,333.00","1,333.00",percent of total billed charges,"1,333.00",percent of total billed charges,"1,333.00",percent of total billed charges,"1,333.00",percent of total billed charges,"1,333.00",percent of total billed charges,"1,333.00",percent of total billed charges,"1,333.00",percent of total billed charges,"1,333.00",percent of total billed charges,959.76,percent of total billed charges,959.76,percent of total billed charges,959.76,percent of total billed charges,959.76,percent of total billed charges,959.76,percent of total billed charges,959.76,percent of total billed charges,"1,053.07",percent of total billed charges,"1,053.07",percent of total billed charges,"1,066.40",percent of total billed charges,"1,066.40",percent of total billed charges,,,959.76,percent of total billed charges ,,,"1,066.40",percent of total billed charges ,"1,053.07",percent of total billed charges ,"1,053.07",percent of total billed charges ,"1,133.05",percent of total billed charges ,"1,133.05",percent of total billed charges ,"1,066.40",percent of total billed charges ,"1,066.40",percent of total billed charges ,933.1,percent of total billed charges ,933.1,percent of total billed charges ,799.8,percent of total billed charges ,799.8,percent of total billed charges ,799.8,percent of total billed charges ,799.8,percent of total billed charges ,,,,,709.16,percent of total billed charges ,,,,,673.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,306.59,percent of total billed charges,,,306.59,percent of total billed charges,,,306.59,percent of total billed charges,,,306.59,percent of total billed charges,,,306.59,percent of total billed charges,,,306.59,percent of total billed charges,,,306.59,percent of total billed charges,,,306.59,percent of total billed charges,,,306.59,percent of total billed charges,,,306.59,percent of total billed charges,,,306.59,percent of total billed charges,
IV THERAPY CONCURRENT NEW DRUG (59),96368,CDM,,,59,both,,,184,184,42.32,184,184,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,145.36,percent of total billed charges,145.36,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 ,145.36,percent of total billed charges ,145.36,percent of total billed charges ,156.4,percent of total billed charges ,156.4,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 ,,,,,,,,,,,,,,,,,,,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,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,
ER- I & D OF VULVA AND PERINEAL ABCESS,56405,CDM,,,GF,both,,,"1,177.00","1,177.00",270.71,"1,177.00","1,177.00",percent of total billed charges,"1,177.00",percent of total billed charges,"1,177.00",percent of total billed charges,"1,177.00",percent of total billed charges,"1,177.00",percent of total billed charges,"1,177.00",percent of total billed charges,"1,177.00",percent of total billed charges,"1,177.00",percent of total billed charges,847.44,percent of total billed charges,847.44,percent of total billed charges,847.44,percent of total billed charges,847.44,percent of total billed charges,847.44,percent of total billed charges,847.44,percent of total billed charges,929.83,percent of total billed charges,929.83,percent of total billed charges,941.6,percent of total billed charges,941.6,percent of total billed charges,,,847.44,percent of total billed charges ,,,941.6,percent of total billed charges ,929.83,percent of total billed charges ,929.83,percent of total billed charges ,"1,000.45",percent of total billed charges ,"1,000.45",percent of total billed charges ,941.6,percent of total billed charges ,941.6,percent of total billed charges ,823.9,percent of total billed charges ,823.9,percent of total billed charges ,706.2,percent of total billed charges ,706.2,percent of total billed charges ,706.2,percent of total billed charges ,706.2,percent of total billed charges ,,,,,626.16,percent of total billed charges ,,,,,594.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,270.71,percent of total billed charges,,,270.71,percent of total billed charges,,,270.71,percent of total billed charges,,,270.71,percent of total billed charges,,,270.71,percent of total billed charges,,,270.71,percent of total billed charges,,,270.71,percent of total billed charges,,,270.71,percent of total billed charges,,,270.71,percent of total billed charges,,,270.71,percent of total billed charges,,,270.71,percent of total billed charges,
IV THERAPY SEQ DRUG UP TO 1 HOUR,96367,CDM,,,59,both,,,352,352,80.96,352,352,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,278.08,percent of total billed charges,278.08,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 ,278.08,percent of total billed charges ,278.08,percent of total billed charges ,299.2,percent of total billed charges ,299.2,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 ,,,,,,,,,,,,,,,,,,,80.96,percent of total billed charges,,,80.96,percent of total billed charges,,,80.96,percent of total billed charges,,,80.96,percent of total billed charges,,,80.96,percent of total billed charges,,,80.96,percent of total billed charges,,,80.96,percent of total billed charges,,,80.96,percent of total billed charges,,,80.96,percent of total billed charges,,,80.96,percent of total billed charges,,,80.96,percent of total billed charges,
IV THERAPY ADD'L HOURS (59),96366,CDM,,,59,both,,,377,377,86.71,377,377,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,297.83,percent of total billed charges,297.83,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 ,297.83,percent of total billed charges ,297.83,percent of total billed charges ,320.45,percent of total billed charges ,320.45,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 ,,,,,,,,,,,,,,,,,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,
ER- TRIMMING NONDYSTROPHIC NAILS,11719,CDM,,,GF,both,,,278,278,63.94,278,278,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,219.62,percent of total billed charges,219.62,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 ,219.62,percent of total billed charges ,219.62,percent of total billed charges ,236.3,percent of total billed charges ,236.3,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
ER-PLACEMENT NEEDLE INTRAOSSEOUS INFU,36680,CDM,,,,both,,,648,648,149.04,648,648,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,648,percent of total billed charges,648,percent of total billed charges,648,percent of total billed charges,466.56,percent of total billed charges,466.56,percent of total billed charges,466.56,percent of total billed charges,466.56,percent of total billed charges,466.56,percent of total billed charges,466.56,percent of total billed charges,511.92,percent of total billed charges,511.92,percent of total billed charges,518.4,percent of total billed charges,518.4,percent of total billed charges,,,466.56,percent of total billed charges ,,,518.4,percent of total billed charges ,511.92,percent of total billed charges ,511.92,percent of total billed charges ,550.8,percent of total billed charges ,550.8,percent of total billed charges ,518.4,percent of total billed charges ,518.4,percent of total billed charges ,453.6,percent of total billed charges ,453.6,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 ,,,,,344.74,percent of total billed charges ,,,,,327.5,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,,,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,
**NEBULIZER TREATMENT ER x3,94640,CDM,,,76,both,,,597,597,137.31,597,597,percent of total billed charges,597,percent of total billed charges,597,percent of total billed charges,597,percent of total billed charges,597,percent of total billed charges,597,percent of total billed charges,597,percent of total billed charges,597,percent of total billed charges,429.84,percent of total billed charges,429.84,percent of total billed charges,429.84,percent of total billed charges,429.84,percent of total billed charges,429.84,percent of total billed charges,429.84,percent of total billed charges,471.63,percent of total billed charges,471.63,percent of total billed charges,477.6,percent of total billed charges,477.6,percent of total billed charges,,,429.84,percent of total billed charges ,,,477.6,percent of total billed charges ,471.63,percent of total billed charges ,471.63,percent of total billed charges ,507.45,percent of total billed charges ,507.45,percent of total billed charges ,477.6,percent of total billed charges ,477.6,percent of total billed charges ,417.9,percent of total billed charges ,417.9,percent of total billed charges ,358.2,percent of total billed charges ,358.2,percent of total billed charges ,358.2,percent of total billed charges ,358.2,percent of total billed charges ,,,,,317.6,percent of total billed charges ,,,,,301.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,137.31,percent of total billed charges,,,137.31,percent of total billed charges,,,137.31,percent of total billed charges,,,137.31,percent of total billed charges,,,137.31,percent of total billed charges,,,137.31,percent of total billed charges,,,137.31,percent of total billed charges,,,137.31,percent of total billed charges,,,137.31,percent of total billed charges,,,137.31,percent of total billed charges,,,137.31,percent of total billed charges,
**NEBULIZER TREATMENT ER x4,94640,CDM,,,76,both,,,795,795,182.85,795,795,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,628.05,percent of total billed charges,628.05,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 ,628.05,percent of total billed charges ,628.05,percent of total billed charges ,675.75,percent of total billed charges ,675.75,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 ,,,,,,,,,,,,,,,,,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,
**NEBULIZER TREATMENT ER x5,94640,CDM,,,76,both,,,992,992,228.16,992,992,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,783.68,percent of total billed charges,783.68,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 ,783.68,percent of total billed charges ,783.68,percent of total billed charges ,843.2,percent of total billed charges ,843.2,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 ,,,,,,,,,,,,,,,,,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,
AHP-Wd 7.6- 12.5cm SMPL NK/AX/TRK/EXTGEN,12004,CDM,,,GF,both,,,761,761,175.03,761,761,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,601.19,percent of total billed charges,601.19,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 ,601.19,percent of total billed charges ,601.19,percent of total billed charges ,646.85,percent of total billed charges ,646.85,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 ,,,,,,,,,,,,,,,,,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,
**AHP-WOUND 12.6CM - 20.0CM,12005,CDM,,,GF,both,,,"1,157.00","1,157.00",266.11,"1,157.00","1,157.00",percent of total billed charges,"1,157.00",percent of total billed charges,"1,157.00",percent of total billed charges,"1,157.00",percent of total billed charges,"1,157.00",percent of total billed charges,"1,157.00",percent of total billed charges,"1,157.00",percent of total billed charges,"1,157.00",percent of total billed charges,833.04,percent of total billed charges,833.04,percent of total billed charges,833.04,percent of total billed charges,833.04,percent of total billed charges,833.04,percent of total billed charges,833.04,percent of total billed charges,914.03,percent of total billed charges,914.03,percent of total billed charges,925.6,percent of total billed charges,925.6,percent of total billed charges,,,833.04,percent of total billed charges ,,,925.6,percent of total billed charges ,914.03,percent of total billed charges ,914.03,percent of total billed charges ,983.45,percent of total billed charges ,983.45,percent of total billed charges ,925.6,percent of total billed charges ,925.6,percent of total billed charges ,809.9,percent of total billed charges ,809.9,percent of total billed charges ,694.2,percent of total billed charges ,694.2,percent of total billed charges ,694.2,percent of total billed charges ,694.2,percent of total billed charges ,,,,,615.52,percent of total billed charges ,,,,,584.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,
"PHY-INJ, ANEST AGENT; TRIGEMINAL  NERVE,",64400,CDM,,,GF,both,,,445,445,102.35,445,445,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,351.55,percent of total billed charges,351.55,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 ,351.55,percent of total billed charges ,351.55,percent of total billed charges ,378.25,percent of total billed charges ,378.25,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 ,,,,,,,,,,,,,,,,,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,
AHP-Wd 7.6-12.5cm sclp/axl/trnk/extrem,12034,CDM,,,GF,both,,,952,952,218.96,952,952,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,752.08,percent of total billed charges,752.08,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 ,752.08,percent of total billed charges ,752.08,percent of total billed charges ,809.2,percent of total billed charges ,809.2,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 ,,,,,,,,,,,,,,,,,,,218.96,percent of total billed charges,,,218.96,percent of total billed charges,,,218.96,percent of total billed charges,,,218.96,percent of total billed charges,,,218.96,percent of total billed charges,,,218.96,percent of total billed charges,,,218.96,percent of total billed charges,,,218.96,percent of total billed charges,,,218.96,percent of total billed charges,,,218.96,percent of total billed charges,,,218.96,percent of total billed charges,
ER-INTERMEDIATE REPAIR OF WOUND 2.5 OR,12041,CDM,,,GF,both,,,"1,048.00","1,048.00",241.04,"1,048.00","1,048.00",percent of total billed charges,"1,048.00",percent of total billed charges,"1,048.00",percent of total billed charges,"1,048.00",percent of total billed charges,"1,048.00",percent of total billed charges,"1,048.00",percent of total billed charges,"1,048.00",percent of total billed charges,"1,048.00",percent of total billed charges,754.56,percent of total billed charges,754.56,percent of total billed charges,754.56,percent of total billed charges,754.56,percent of total billed charges,754.56,percent of total billed charges,754.56,percent of total billed charges,827.92,percent of total billed charges,827.92,percent of total billed charges,838.4,percent of total billed charges,838.4,percent of total billed charges,,,754.56,percent of total billed charges ,,,838.4,percent of total billed charges ,827.92,percent of total billed charges ,827.92,percent of total billed charges ,890.8,percent of total billed charges ,890.8,percent of total billed charges ,838.4,percent of total billed charges ,838.4,percent of total billed charges ,733.6,percent of total billed charges ,733.6,percent of total billed charges ,628.8,percent of total billed charges ,628.8,percent of total billed charges ,628.8,percent of total billed charges ,628.8,percent of total billed charges ,,,,,557.54,percent of total billed charges ,,,,,529.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,241.04,percent of total billed charges,,,241.04,percent of total billed charges,,,241.04,percent of total billed charges,,,241.04,percent of total billed charges,,,241.04,percent of total billed charges,,,241.04,percent of total billed charges,,,241.04,percent of total billed charges,,,241.04,percent of total billed charges,,,241.04,percent of total billed charges,,,241.04,percent of total billed charges,,,241.04,percent of total billed charges,
ER-TUBE THORACOSTOMY,32551,CDM,,,,both,,,"2,045.00","2,045.00",470.35,"2,045.00","2,045.00",percent of total billed charges,"2,045.00",percent of total billed charges,"2,045.00",percent of total billed charges,"2,045.00",percent of total billed charges,"2,045.00",percent of total billed charges,"2,045.00",percent of total billed charges,"2,045.00",percent of total billed charges,"2,045.00",percent of total billed charges,"1,472.40",percent of total billed charges,"1,472.40",percent of total billed charges,"1,472.40",percent of total billed charges,"1,472.40",percent of total billed charges,"1,472.40",percent of total billed charges,"1,472.40",percent of total billed charges,"1,615.55",percent of total billed charges,"1,615.55",percent of total billed charges,"1,636.00",percent of total billed charges,"1,636.00",percent of total billed charges,,,"1,472.40",percent of total billed charges ,,,"1,636.00",percent of total billed charges ,"1,615.55",percent of total billed charges ,"1,615.55",percent of total billed charges ,"1,738.25",percent of total billed charges ,"1,738.25",percent of total billed charges ,"1,636.00",percent of total billed charges ,"1,636.00",percent of total billed charges ,"1,431.50",percent of total billed charges ,"1,431.50",percent of total billed charges ,"1,227.00",percent of total billed charges ,"1,227.00",percent of total billed charges ,"1,227.00",percent of total billed charges ,"1,227.00",percent of total billed charges ,,,,,"1,087.94",percent of total billed charges ,,,,,"1,033.54",percent of total billed charges ,,,,,,,,,,,,,,,,,,,470.35,percent of total billed charges,,,470.35,percent of total billed charges,,,470.35,percent of total billed charges,,,470.35,percent of total billed charges,,,470.35,percent of total billed charges,,,470.35,percent of total billed charges,,,470.35,percent of total billed charges,,,470.35,percent of total billed charges,,,470.35,percent of total billed charges,,,470.35,percent of total billed charges,,,470.35,percent of total billed charges,
PHY-ABDOMINAL PARACENTESIS W/O IMAGING,49082,CDM,,,,both,,,483,483,111.09,483,483,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,381.57,percent of total billed charges,381.57,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 ,381.57,percent of total billed charges ,381.57,percent of total billed charges ,410.55,percent of total billed charges ,410.55,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 ,,,,,,,,,,,,,,,,,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,
ER-ABDOMINAL PARACENTESIS W/O IMAGING,49082,CDM,,,,both,,,"2,394.00","2,394.00",550.62,"2,394.00","2,394.00",percent of total billed charges,"2,394.00",percent of total billed charges,"2,394.00",percent of total billed charges,"2,394.00",percent of total billed charges,"2,394.00",percent of total billed charges,"2,394.00",percent of total billed charges,"2,394.00",percent of total billed charges,"2,394.00",percent of total billed charges,"1,723.68",percent of total billed charges,"1,723.68",percent of total billed charges,"1,723.68",percent of total billed charges,"1,723.68",percent of total billed charges,"1,723.68",percent of total billed charges,"1,723.68",percent of total billed charges,"1,891.26",percent of total billed charges,"1,891.26",percent of total billed charges,"1,915.20",percent of total billed charges,"1,915.20",percent of total billed charges,,,"1,723.68",percent of total billed charges ,,,"1,915.20",percent of total billed charges ,"1,891.26",percent of total billed charges ,"1,891.26",percent of total billed charges ,"2,034.90",percent of total billed charges ,"2,034.90",percent of total billed charges ,"1,915.20",percent of total billed charges ,"1,915.20",percent of total billed charges ,"1,675.80",percent of total billed charges ,"1,675.80",percent of total billed charges ,"1,436.40",percent of total billed charges ,"1,436.40",percent of total billed charges ,"1,436.40",percent of total billed charges ,"1,436.40",percent of total billed charges ,,,,,"1,273.61",percent of total billed charges ,,,,,"1,209.93",percent of total billed charges ,,,,,,,,,,,,,,,,,,,550.62,percent of total billed charges,,,550.62,percent of total billed charges,,,550.62,percent of total billed charges,,,550.62,percent of total billed charges,,,550.62,percent of total billed charges,,,550.62,percent of total billed charges,,,550.62,percent of total billed charges,,,550.62,percent of total billed charges,,,550.62,percent of total billed charges,,,550.62,percent of total billed charges,,,550.62,percent of total billed charges,
PHY-REM FOREIGN BODY UPPR ARM ELB,24200,CDM,,,GF,both,,,"1,654.00","1,654.00",380.42,"1,654.00","1,654.00",percent of total billed charges,"1,654.00",percent of total billed charges,"1,654.00",percent of total billed charges,"1,654.00",percent of total billed charges,"1,654.00",percent of total billed charges,"1,654.00",percent of total billed charges,"1,654.00",percent of total billed charges,"1,654.00",percent of total billed charges,"1,190.88",percent of total billed charges,"1,190.88",percent of total billed charges,"1,190.88",percent of total billed charges,"1,190.88",percent of total billed charges,"1,190.88",percent of total billed charges,"1,190.88",percent of total billed charges,"1,306.66",percent of total billed charges,"1,306.66",percent of total billed charges,"1,323.20",percent of total billed charges,"1,323.20",percent of total billed charges,,,"1,190.88",percent of total billed charges ,,,"1,323.20",percent of total billed charges ,"1,306.66",percent of total billed charges ,"1,306.66",percent of total billed charges ,"1,405.90",percent of total billed charges ,"1,405.90",percent of total billed charges ,"1,323.20",percent of total billed charges ,"1,323.20",percent of total billed charges ,"1,157.80",percent of total billed charges ,"1,157.80",percent of total billed charges ,992.4,percent of total billed charges ,992.4,percent of total billed charges ,992.4,percent of total billed charges ,992.4,percent of total billed charges ,,,,,879.93,percent of total billed charges ,,,,,835.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,380.42,percent of total billed charges,,,380.42,percent of total billed charges,,,380.42,percent of total billed charges,,,380.42,percent of total billed charges,,,380.42,percent of total billed charges,,,380.42,percent of total billed charges,,,380.42,percent of total billed charges,,,380.42,percent of total billed charges,,,380.42,percent of total billed charges,,,380.42,percent of total billed charges,,,380.42,percent of total billed charges,
ER-REM FOREIGN BODY UPPER ARM ELB SUBC,24200,CDM,,,GF,both,,,"4,466.00","4,466.00","1,027.18","4,466.00","4,466.00",percent of total billed charges,"4,466.00",percent of total billed charges,"4,466.00",percent of total billed charges,"4,466.00",percent of total billed charges,"4,466.00",percent of total billed charges,"4,466.00",percent of total billed charges,"4,466.00",percent of total billed charges,"4,466.00",percent of total billed charges,"3,215.52",percent of total billed charges,"3,215.52",percent of total billed charges,"3,215.52",percent of total billed charges,"3,215.52",percent of total billed charges,"3,215.52",percent of total billed charges,"3,215.52",percent of total billed charges,"3,528.14",percent of total billed charges,"3,528.14",percent of total billed charges,"3,572.80",percent of total billed charges,"3,572.80",percent of total billed charges,,,"3,215.52",percent of total billed charges ,,,"3,572.80",percent of total billed charges ,"3,528.14",percent of total billed charges ,"3,528.14",percent of total billed charges ,"3,796.10",percent of total billed charges ,"3,796.10",percent of total billed charges ,"3,572.80",percent of total billed charges ,"3,572.80",percent of total billed charges ,"3,126.20",percent of total billed charges ,"3,126.20",percent of total billed charges ,"2,679.60",percent of total billed charges ,"2,679.60",percent of total billed charges ,"2,679.60",percent of total billed charges ,"2,679.60",percent of total billed charges ,,,,,"2,375.91",percent of total billed charges ,,,,,"2,257.12",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,027.18",percent of total billed charges,,,"1,027.18",percent of total billed charges,,,"1,027.18",percent of total billed charges,,,"1,027.18",percent of total billed charges,,,"1,027.18",percent of total billed charges,,,"1,027.18",percent of total billed charges,,,"1,027.18",percent of total billed charges,,,"1,027.18",percent of total billed charges,,,"1,027.18",percent of total billed charges,,,"1,027.18",percent of total billed charges,,,"1,027.18",percent of total billed charges,
PHY-REPAIR INTERM WOUND 2.5CM OR LESS,12031,CDM,,,GF,both,,,980,980,225.4,980,980,percent of total billed charges,980,percent of total billed charges,980,percent of total billed charges,980,percent of total billed charges,980,percent of total billed charges,980,percent of total billed charges,980,percent of total billed charges,980,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,774.2,percent of total billed charges,774.2,percent of total billed charges,784,percent of total billed charges,784,percent of total billed charges,,,705.6,percent of total billed charges ,,,784,percent of total billed charges ,774.2,percent of total billed charges ,774.2,percent of total billed charges ,833,percent of total billed charges ,833,percent of total billed charges ,784,percent of total billed charges ,784,percent of total billed charges ,686,percent of total billed charges ,686,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 ,,,,,521.36,percent of total billed charges ,,,,,495.29,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,
ER-REPAIR INTERMEDIATE 2.5CM OR LESS,12031,CDM,,,GF,both,,,"1,526.00","1,526.00",350.98,"1,526.00","1,526.00",percent of total billed charges,"1,526.00",percent of total billed charges,"1,526.00",percent of total billed charges,"1,526.00",percent of total billed charges,"1,526.00",percent of total billed charges,"1,526.00",percent of total billed charges,"1,526.00",percent of total billed charges,"1,526.00",percent of total billed charges,"1,098.72",percent of total billed charges,"1,098.72",percent of total billed charges,"1,098.72",percent of total billed charges,"1,098.72",percent of total billed charges,"1,098.72",percent of total billed charges,"1,098.72",percent of total billed charges,"1,205.54",percent of total billed charges,"1,205.54",percent of total billed charges,"1,220.80",percent of total billed charges,"1,220.80",percent of total billed charges,,,"1,098.72",percent of total billed charges ,,,"1,220.80",percent of total billed charges ,"1,205.54",percent of total billed charges ,"1,205.54",percent of total billed charges ,"1,297.10",percent of total billed charges ,"1,297.10",percent of total billed charges ,"1,220.80",percent of total billed charges ,"1,220.80",percent of total billed charges ,"1,068.20",percent of total billed charges ,"1,068.20",percent of total billed charges ,915.6,percent of total billed charges ,915.6,percent of total billed charges ,915.6,percent of total billed charges ,915.6,percent of total billed charges ,,,,,811.83,percent of total billed charges ,,,,,771.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,350.98,percent of total billed charges,,,350.98,percent of total billed charges,,,350.98,percent of total billed charges,,,350.98,percent of total billed charges,,,350.98,percent of total billed charges,,,350.98,percent of total billed charges,,,350.98,percent of total billed charges,,,350.98,percent of total billed charges,,,350.98,percent of total billed charges,,,350.98,percent of total billed charges,,,350.98,percent of total billed charges,
PHY-REPAIR COMPLEX 2.6CM TO 7.5CM,13132,CDM,,,GF,both,,,"2,030.00","2,030.00",466.9,"2,030.00","2,030.00",percent of total billed charges,"2,030.00",percent of total billed charges,"2,030.00",percent of total billed charges,"2,030.00",percent of total billed charges,"2,030.00",percent of total billed charges,"2,030.00",percent of total billed charges,"2,030.00",percent of total billed charges,"2,030.00",percent of total billed charges,"1,461.60",percent of total billed charges,"1,461.60",percent of total billed charges,"1,461.60",percent of total billed charges,"1,461.60",percent of total billed charges,"1,461.60",percent of total billed charges,"1,461.60",percent of total billed charges,"1,603.70",percent of total billed charges,"1,603.70",percent of total billed charges,"1,624.00",percent of total billed charges,"1,624.00",percent of total billed charges,,,"1,461.60",percent of total billed charges ,,,"1,624.00",percent of total billed charges ,"1,603.70",percent of total billed charges ,"1,603.70",percent of total billed charges ,"1,725.50",percent of total billed charges ,"1,725.50",percent of total billed charges ,"1,624.00",percent of total billed charges ,"1,624.00",percent of total billed charges ,"1,421.00",percent of total billed charges ,"1,421.00",percent of total billed charges ,"1,218.00",percent of total billed charges ,"1,218.00",percent of total billed charges ,"1,218.00",percent of total billed charges ,"1,218.00",percent of total billed charges ,,,,,"1,079.96",percent of total billed charges ,,,,,"1,025.96",percent of total billed charges ,,,,,,,,,,,,,,,,,,,466.9,percent of total billed charges,,,466.9,percent of total billed charges,,,466.9,percent of total billed charges,,,466.9,percent of total billed charges,,,466.9,percent of total billed charges,,,466.9,percent of total billed charges,,,466.9,percent of total billed charges,,,466.9,percent of total billed charges,,,466.9,percent of total billed charges,,,466.9,percent of total billed charges,,,466.9,percent of total billed charges,
ER-REPAIR COMPLEX 2.6CM TO 7.5 CM,13132,CDM,,,GF,both,,,"2,142.00","2,142.00",492.66,"2,142.00","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,"1,542.24",percent of total billed charges,"1,542.24",percent of total billed charges,"1,542.24",percent of total billed charges,"1,542.24",percent of total billed charges,"1,542.24",percent of total billed charges,"1,542.24",percent of total billed charges,"1,692.18",percent of total billed charges,"1,692.18",percent of total billed charges,"1,713.60",percent of total billed charges,"1,713.60",percent of total billed charges,,,"1,542.24",percent of total billed charges ,,,"1,713.60",percent of total billed charges ,"1,692.18",percent of total billed charges ,"1,692.18",percent of total billed charges ,"1,820.70",percent of total billed charges ,"1,820.70",percent of total billed charges ,"1,713.60",percent of total billed charges ,"1,713.60",percent of total billed charges ,"1,499.40",percent of total billed charges ,"1,499.40",percent of total billed charges ,"1,285.20",percent of total billed charges ,"1,285.20",percent of total billed charges ,"1,285.20",percent of total billed charges ,"1,285.20",percent of total billed charges ,,,,,"1,139.54",percent of total billed charges ,,,,,"1,082.57",percent of total billed charges ,,,,,,,,,,,,,,,,,,,492.66,percent of total billed charges,,,492.66,percent of total billed charges,,,492.66,percent of total billed charges,,,492.66,percent of total billed charges,,,492.66,percent of total billed charges,,,492.66,percent of total billed charges,,,492.66,percent of total billed charges,,,492.66,percent of total billed charges,,,492.66,percent of total billed charges,,,492.66,percent of total billed charges,,,492.66,percent of total billed charges,
PHY-DELIVERY/BIRTHING ROOM RESUCIATION,99465,CDM,,,,both,,,944,944,217.12,944,944,percent of total billed charges,944,percent of total billed charges,944,percent of total billed charges,944,percent of total billed charges,944,percent of total billed charges,944,percent of total billed charges,944,percent of total billed charges,944,percent of total billed charges,679.68,percent of total billed charges,679.68,percent of total billed charges,679.68,percent of total billed charges,679.68,percent of total billed charges,679.68,percent of total billed charges,679.68,percent of total billed charges,745.76,percent of total billed charges,745.76,percent of total billed charges,755.2,percent of total billed charges,755.2,percent of total billed charges,,,679.68,percent of total billed charges ,,,755.2,percent of total billed charges ,745.76,percent of total billed charges ,745.76,percent of total billed charges ,802.4,percent of total billed charges ,802.4,percent of total billed charges ,755.2,percent of total billed charges ,755.2,percent of total billed charges ,660.8,percent of total billed charges ,660.8,percent of total billed charges ,566.4,percent of total billed charges ,566.4,percent of total billed charges ,566.4,percent of total billed charges ,566.4,percent of total billed charges ,,,,,502.21,percent of total billed charges ,,,,,477.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,217.12,percent of total billed charges,,,217.12,percent of total billed charges,,,217.12,percent of total billed charges,,,217.12,percent of total billed charges,,,217.12,percent of total billed charges,,,217.12,percent of total billed charges,,,217.12,percent of total billed charges,,,217.12,percent of total billed charges,,,217.12,percent of total billed charges,,,217.12,percent of total billed charges,,,217.12,percent of total billed charges,
ER-DELIVERY/BIRTHING ROOM RESUCIATION,99465,CDM,,,,both,,,"1,056.00","1,056.00",242.88,"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,834.24,percent of total billed charges,834.24,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 ,834.24,percent of total billed charges ,834.24,percent of total billed charges ,897.6,percent of total billed charges ,897.6,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 ,,,,,,,,,,,,,,,,,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,
"PHY-REP WD NCK, HNDS, FEET 2.6-7.5 INTMD",12042,CDM,,,GF,both,,,"1,280.00","1,280.00",294.4,"1,280.00","1,280.00",percent of total billed charges,"1,280.00",percent of total billed charges,"1,280.00",percent of total billed charges,"1,280.00",percent of total billed charges,"1,280.00",percent of total billed charges,"1,280.00",percent of total billed charges,"1,280.00",percent of total billed charges,"1,280.00",percent of total billed charges,921.6,percent of total billed charges,921.6,percent of total billed charges,921.6,percent of total billed charges,921.6,percent of total billed charges,921.6,percent of total billed charges,921.6,percent of total billed charges,"1,011.20",percent of total billed charges,"1,011.20",percent of total billed charges,"1,024.00",percent of total billed charges,"1,024.00",percent of total billed charges,,,921.6,percent of total billed charges ,,,"1,024.00",percent of total billed charges ,"1,011.20",percent of total billed charges ,"1,011.20",percent of total billed charges ,"1,088.00",percent of total billed charges ,"1,088.00",percent of total billed charges ,"1,024.00",percent of total billed charges ,"1,024.00",percent of total billed charges ,896,percent of total billed charges ,896,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 ,,,,,680.96,percent of total billed charges ,,,,,646.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,294.4,percent of total billed charges,,,294.4,percent of total billed charges,,,294.4,percent of total billed charges,,,294.4,percent of total billed charges,,,294.4,percent of total billed charges,,,294.4,percent of total billed charges,,,294.4,percent of total billed charges,,,294.4,percent of total billed charges,,,294.4,percent of total billed charges,,,294.4,percent of total billed charges,,,294.4,percent of total billed charges,
"ER-REP WOUND NECK, HANDS FEET 2.5-7.6CM",12042,CDM,,,GF,both,,,"1,235.00","1,235.00",284.05,"1,235.00","1,235.00",percent of total billed charges,"1,235.00",percent of total billed charges,"1,235.00",percent of total billed charges,"1,235.00",percent of total billed charges,"1,235.00",percent of total billed charges,"1,235.00",percent of total billed charges,"1,235.00",percent of total billed charges,"1,235.00",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,889.2,percent of total billed charges,889.2,percent of total billed charges,975.65,percent of total billed charges,975.65,percent of total billed charges,988,percent of total billed charges,988,percent of total billed charges,,,889.2,percent of total billed charges ,,,988,percent of total billed charges ,975.65,percent of total billed charges ,975.65,percent of total billed charges ,"1,049.75",percent of total billed charges ,"1,049.75",percent of total billed charges ,988,percent of total billed charges ,988,percent of total billed charges ,864.5,percent of total billed charges ,864.5,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 ,,,,,657.02,percent of total billed charges ,,,,,624.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,284.05,percent of total billed charges,,,284.05,percent of total billed charges,,,284.05,percent of total billed charges,,,284.05,percent of total billed charges,,,284.05,percent of total billed charges,,,284.05,percent of total billed charges,,,284.05,percent of total billed charges,,,284.05,percent of total billed charges,,,284.05,percent of total billed charges,,,284.05,percent of total billed charges,,,284.05,percent of total billed charges,
ER-REPAIR EXTENSOR TENDON HAND W/O GRAFT,26410,CDM,,,,both,,,"6,065.00","6,065.00","1,394.95","6,065.00","6,065.00",percent of total billed charges,"6,065.00",percent of total billed charges,"6,065.00",percent of total billed charges,"6,065.00",percent of total billed charges,"6,065.00",percent of total billed charges,"6,065.00",percent of total billed charges,"6,065.00",percent of total billed charges,"6,065.00",percent of total billed charges,"4,366.80",percent of total billed charges,"4,366.80",percent of total billed charges,"4,366.80",percent of total billed charges,"4,366.80",percent of total billed charges,"4,366.80",percent of total billed charges,"4,366.80",percent of total billed charges,"4,791.35",percent of total billed charges,"4,791.35",percent of total billed charges,"4,852.00",percent of total billed charges,"4,852.00",percent of total billed charges,,,"4,366.80",percent of total billed charges ,,,"4,852.00",percent of total billed charges ,"4,791.35",percent of total billed charges ,"4,791.35",percent of total billed charges ,"5,155.25",percent of total billed charges ,"5,155.25",percent of total billed charges ,"4,852.00",percent of total billed charges ,"4,852.00",percent of total billed charges ,"4,245.50",percent of total billed charges ,"4,245.50",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 ,,,,,"3,226.58",percent of total billed charges ,,,,,"3,065.25",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,394.95",percent of total billed charges,,,"1,394.95",percent of total billed charges,,,"1,394.95",percent of total billed charges,,,"1,394.95",percent of total billed charges,,,"1,394.95",percent of total billed charges,,,"1,394.95",percent of total billed charges,,,"1,394.95",percent of total billed charges,,,"1,394.95",percent of total billed charges,,,"1,394.95",percent of total billed charges,,,"1,394.95",percent of total billed charges,,,"1,394.95",percent of total billed charges,
ER-CLS TREATMENT OF HIP DSLC WO ANES,27250,CDM,,,,both,,,"1,180.00","1,180.00",271.4,"1,180.00","1,180.00",percent of total billed charges,"1,180.00",percent of total billed charges,"1,180.00",percent of total billed charges,"1,180.00",percent of total billed charges,"1,180.00",percent of total billed charges,"1,180.00",percent of total billed charges,"1,180.00",percent of total billed charges,"1,180.00",percent of total billed charges,849.6,percent of total billed charges,849.6,percent of total billed charges,849.6,percent of total billed charges,849.6,percent of total billed charges,849.6,percent of total billed charges,849.6,percent of total billed charges,932.2,percent of total billed charges,932.2,percent of total billed charges,944,percent of total billed charges,944,percent of total billed charges,,,849.6,percent of total billed charges ,,,944,percent of total billed charges ,932.2,percent of total billed charges ,932.2,percent of total billed charges ,"1,003.00",percent of total billed charges ,"1,003.00",percent of total billed charges ,944,percent of total billed charges ,944,percent of total billed charges ,826,percent of total billed charges ,826,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 ,,,,,627.76,percent of total billed charges ,,,,,596.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,271.4,percent of total billed charges,,,271.4,percent of total billed charges,,,271.4,percent of total billed charges,,,271.4,percent of total billed charges,,,271.4,percent of total billed charges,,,271.4,percent of total billed charges,,,271.4,percent of total billed charges,,,271.4,percent of total billed charges,,,271.4,percent of total billed charges,,,271.4,percent of total billed charges,,,271.4,percent of total billed charges,
PHY-REPAIR COMPLEX 1.1CM TO 2.5CM,13131,CDM,,,GF,both,,,"2,367.00","2,367.00",544.41,"2,367.00","2,367.00",percent of total billed charges,"2,367.00",percent of total billed charges,"2,367.00",percent of total billed charges,"2,367.00",percent of total billed charges,"2,367.00",percent of total billed charges,"2,367.00",percent of total billed charges,"2,367.00",percent of total billed charges,"2,367.00",percent of total billed charges,"1,704.24",percent of total billed charges,"1,704.24",percent of total billed charges,"1,704.24",percent of total billed charges,"1,704.24",percent of total billed charges,"1,704.24",percent of total billed charges,"1,704.24",percent of total billed charges,"1,869.93",percent of total billed charges,"1,869.93",percent of total billed charges,"1,893.60",percent of total billed charges,"1,893.60",percent of total billed charges,,,"1,704.24",percent of total billed charges ,,,"1,893.60",percent of total billed charges ,"1,869.93",percent of total billed charges ,"1,869.93",percent of total billed charges ,"2,011.95",percent of total billed charges ,"2,011.95",percent of total billed charges ,"1,893.60",percent of total billed charges ,"1,893.60",percent of total billed charges ,"1,656.90",percent of total billed charges ,"1,656.90",percent of total billed charges ,"1,420.20",percent of total billed charges ,"1,420.20",percent of total billed charges ,"1,420.20",percent of total billed charges ,"1,420.20",percent of total billed charges ,,,,,"1,259.24",percent of total billed charges ,,,,,"1,196.28",percent of total billed charges ,,,,,,,,,,,,,,,,,,,544.41,percent of total billed charges,,,544.41,percent of total billed charges,,,544.41,percent of total billed charges,,,544.41,percent of total billed charges,,,544.41,percent of total billed charges,,,544.41,percent of total billed charges,,,544.41,percent of total billed charges,,,544.41,percent of total billed charges,,,544.41,percent of total billed charges,,,544.41,percent of total billed charges,,,544.41,percent of total billed charges,
ER-REPAIR COMPLEX 1.1 CM TO 2.5 CM,13131,CDM,,,GF,both,,,"1,781.00","1,781.00",409.63,"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,"1,406.99",percent of total billed charges,"1,406.99",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 ,"1,406.99",percent of total billed charges ,"1,406.99",percent of total billed charges ,"1,513.85",percent of total billed charges ,"1,513.85",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 ,,,,,,,,,,,,,,,,,,,409.63,percent of total billed charges,,,409.63,percent of total billed charges,,,409.63,percent of total billed charges,,,409.63,percent of total billed charges,,,409.63,percent of total billed charges,,,409.63,percent of total billed charges,,,409.63,percent of total billed charges,,,409.63,percent of total billed charges,,,409.63,percent of total billed charges,,,409.63,percent of total billed charges,,,409.63,percent of total billed charges,
ER-LACERATION CLOSURE 12.6CM TO 20 CM,12035,CDM,,,GF,both,,,"1,446.00","1,446.00",332.58,"1,446.00","1,446.00",percent of total billed charges,"1,446.00",percent of total billed charges,"1,446.00",percent of total billed charges,"1,446.00",percent of total billed charges,"1,446.00",percent of total billed charges,"1,446.00",percent of total billed charges,"1,446.00",percent of total billed charges,"1,446.00",percent of total billed charges,"1,041.12",percent of total billed charges,"1,041.12",percent of total billed charges,"1,041.12",percent of total billed charges,"1,041.12",percent of total billed charges,"1,041.12",percent of total billed charges,"1,041.12",percent of total billed charges,"1,142.34",percent of total billed charges,"1,142.34",percent of total billed charges,"1,156.80",percent of total billed charges,"1,156.80",percent of total billed charges,,,"1,041.12",percent of total billed charges ,,,"1,156.80",percent of total billed charges ,"1,142.34",percent of total billed charges ,"1,142.34",percent of total billed charges ,"1,229.10",percent of total billed charges ,"1,229.10",percent of total billed charges ,"1,156.80",percent of total billed charges ,"1,156.80",percent of total billed charges ,"1,012.20",percent of total billed charges ,"1,012.20",percent of total billed charges ,867.6,percent of total billed charges ,867.6,percent of total billed charges ,867.6,percent of total billed charges ,867.6,percent of total billed charges ,,,,,769.27,percent of total billed charges ,,,,,730.81,percent of total billed charges ,,,,,,,,,,,,,,,,,,,332.58,percent of total billed charges,,,332.58,percent of total billed charges,,,332.58,percent of total billed charges,,,332.58,percent of total billed charges,,,332.58,percent of total billed charges,,,332.58,percent of total billed charges,,,332.58,percent of total billed charges,,,332.58,percent of total billed charges,,,332.58,percent of total billed charges,,,332.58,percent of total billed charges,,,332.58,percent of total billed charges,
AHP Nail Removal,11730,CDM,,,GF,both,,,871,871,200.33,871,871,percent of total billed charges,871,percent of total billed charges,871,percent of total billed charges,871,percent of total billed charges,871,percent of total billed charges,871,percent of total billed charges,871,percent of total billed charges,871,percent of total billed charges,627.12,percent of total billed charges,627.12,percent of total billed charges,627.12,percent of total billed charges,627.12,percent of total billed charges,627.12,percent of total billed charges,627.12,percent of total billed charges,688.09,percent of total billed charges,688.09,percent of total billed charges,696.8,percent of total billed charges,696.8,percent of total billed charges,,,627.12,percent of total billed charges ,,,696.8,percent of total billed charges ,688.09,percent of total billed charges ,688.09,percent of total billed charges ,740.35,percent of total billed charges ,740.35,percent of total billed charges ,696.8,percent of total billed charges ,696.8,percent of total billed charges ,609.7,percent of total billed charges ,609.7,percent of total billed charges ,522.6,percent of total billed charges ,522.6,percent of total billed charges ,522.6,percent of total billed charges ,522.6,percent of total billed charges ,,,,,463.37,percent of total billed charges ,,,,,440.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,200.33,percent of total billed charges,,,200.33,percent of total billed charges,,,200.33,percent of total billed charges,,,200.33,percent of total billed charges,,,200.33,percent of total billed charges,,,200.33,percent of total billed charges,,,200.33,percent of total billed charges,,,200.33,percent of total billed charges,,,200.33,percent of total billed charges,,,200.33,percent of total billed charges,,,200.33,percent of total billed charges,
PHY-ASPIRATION GANGLION CYST ANY LOCATIO,20612,CDM,,,,both,,,274,274,63.02,274,274,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,216.46,percent of total billed charges,216.46,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 ,216.46,percent of total billed charges ,216.46,percent of total billed charges ,232.9,percent of total billed charges ,232.9,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 ,,,,,,,,,,,,,,,,,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,
ER-ASPIRATION GANGLION CYST ANY LOCATION,20612,CDM,,,,both,,,728,728,167.44,728,728,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,575.12,percent of total billed charges,575.12,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 ,575.12,percent of total billed charges ,575.12,percent of total billed charges ,618.8,percent of total billed charges ,618.8,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 ,,,,,,,,,,,,,,,,,,,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,
AHP-I&D OF ABSCESS COMPLICATED/MUTLIPLE,10061,CDM,,,GF,both,,,993,993,228.39,993,993,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,784.47,percent of total billed charges,784.47,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 ,784.47,percent of total billed charges ,784.47,percent of total billed charges ,844.05,percent of total billed charges ,844.05,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 ,,,,,,,,,,,,,,,,,,,228.39,percent of total billed charges,,,228.39,percent of total billed charges,,,228.39,percent of total billed charges,,,228.39,percent of total billed charges,,,228.39,percent of total billed charges,,,228.39,percent of total billed charges,,,228.39,percent of total billed charges,,,228.39,percent of total billed charges,,,228.39,percent of total billed charges,,,228.39,percent of total billed charges,,,228.39,percent of total billed charges,
"AHP-I&D OF PILONIDAL CYST, SIMPLE",10080,CDM,,,GF,both,,,527,527,121.21,527,527,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,416.33,percent of total billed charges,416.33,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 ,416.33,percent of total billed charges ,416.33,percent of total billed charges ,447.95,percent of total billed charges ,447.95,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
AHP-I&D Removal FB simple,10120,CDM,,,GF,both,,,691,691,158.93,691,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,545.89,percent of total billed charges,545.89,percent of total billed charges,552.8,percent of total billed charges,552.8,percent of total billed charges,,,497.52,percent of total billed charges ,,,552.8,percent of total billed charges ,545.89,percent of total billed charges ,545.89,percent of total billed charges ,587.35,percent of total billed charges ,587.35,percent of total billed charges ,552.8,percent of total billed charges ,552.8,percent of total billed charges ,483.7,percent of total billed charges ,483.7,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,,,,,367.61,percent of total billed charges ,,,,,349.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,
AHP-I&D Hematoma,10140,CDM,,,GF,both,,,691,691,158.93,691,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,545.89,percent of total billed charges,545.89,percent of total billed charges,552.8,percent of total billed charges,552.8,percent of total billed charges,,,497.52,percent of total billed charges ,,,552.8,percent of total billed charges ,545.89,percent of total billed charges ,545.89,percent of total billed charges ,587.35,percent of total billed charges ,587.35,percent of total billed charges ,552.8,percent of total billed charges ,552.8,percent of total billed charges ,483.7,percent of total billed charges ,483.7,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,,,,,367.61,percent of total billed charges ,,,,,349.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,
AHP-DEBRIDEMENT INCL FB REMOVAL,11010,CDM,,,GF,both,,,"1,925.00","1,925.00",442.75,"1,925.00","1,925.00",percent of total billed charges,"1,925.00",percent of total billed charges,"1,925.00",percent of total billed charges,"1,925.00",percent of total billed charges,"1,925.00",percent of total billed charges,"1,925.00",percent of total billed charges,"1,925.00",percent of total billed charges,"1,925.00",percent of total billed charges,"1,386.00",percent of total billed charges,"1,386.00",percent of total billed charges,"1,386.00",percent of total billed charges,"1,386.00",percent of total billed charges,"1,386.00",percent of total billed charges,"1,386.00",percent of total billed charges,"1,520.75",percent of total billed charges,"1,520.75",percent of total billed charges,"1,540.00",percent of total billed charges,"1,540.00",percent of total billed charges,,,"1,386.00",percent of total billed charges ,,,"1,540.00",percent of total billed charges ,"1,520.75",percent of total billed charges ,"1,520.75",percent of total billed charges ,"1,636.25",percent of total billed charges ,"1,636.25",percent of total billed charges ,"1,540.00",percent of total billed charges ,"1,540.00",percent of total billed charges ,"1,347.50",percent of total billed charges ,"1,347.50",percent of total billed charges ,"1,155.00",percent of total billed charges ,"1,155.00",percent of total billed charges ,"1,155.00",percent of total billed charges ,"1,155.00",percent of total billed charges ,,,,,"1,024.10",percent of total billed charges ,,,,,972.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,442.75,percent of total billed charges,,,442.75,percent of total billed charges,,,442.75,percent of total billed charges,,,442.75,percent of total billed charges,,,442.75,percent of total billed charges,,,442.75,percent of total billed charges,,,442.75,percent of total billed charges,,,442.75,percent of total billed charges,,,442.75,percent of total billed charges,,,442.75,percent of total billed charges,,,442.75,percent of total billed charges,
AHP-TRIMMING OF NAIL,11719,CDM,,,GF,both,,,691,691,158.93,691,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,545.89,percent of total billed charges,545.89,percent of total billed charges,552.8,percent of total billed charges,552.8,percent of total billed charges,,,497.52,percent of total billed charges ,,,552.8,percent of total billed charges ,545.89,percent of total billed charges ,545.89,percent of total billed charges ,587.35,percent of total billed charges ,587.35,percent of total billed charges ,552.8,percent of total billed charges ,552.8,percent of total billed charges ,483.7,percent of total billed charges ,483.7,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,,,,,367.61,percent of total billed charges ,,,,,349.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,
**AHP-Wound 7.6cm - 12.5cm,12004,CDM,,,GF,both,,,761,761,175.03,761,761,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,601.19,percent of total billed charges,601.19,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 ,601.19,percent of total billed charges ,601.19,percent of total billed charges ,646.85,percent of total billed charges ,646.85,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 ,,,,,,,,,,,,,,,,,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,
"AHP-WND 12.6CM - 20CM(SCLP,AXILE SIMPLE",12005,CDM,,,GF,both,,,"1,157.00","1,157.00",266.11,"1,157.00","1,157.00",percent of total billed charges,"1,157.00",percent of total billed charges,"1,157.00",percent of total billed charges,"1,157.00",percent of total billed charges,"1,157.00",percent of total billed charges,"1,157.00",percent of total billed charges,"1,157.00",percent of total billed charges,"1,157.00",percent of total billed charges,833.04,percent of total billed charges,833.04,percent of total billed charges,833.04,percent of total billed charges,833.04,percent of total billed charges,833.04,percent of total billed charges,833.04,percent of total billed charges,914.03,percent of total billed charges,914.03,percent of total billed charges,925.6,percent of total billed charges,925.6,percent of total billed charges,,,833.04,percent of total billed charges ,,,925.6,percent of total billed charges ,914.03,percent of total billed charges ,914.03,percent of total billed charges ,983.45,percent of total billed charges ,983.45,percent of total billed charges ,925.6,percent of total billed charges ,925.6,percent of total billed charges ,809.9,percent of total billed charges ,809.9,percent of total billed charges ,694.2,percent of total billed charges ,694.2,percent of total billed charges ,694.2,percent of total billed charges ,694.2,percent of total billed charges ,,,,,615.52,percent of total billed charges ,,,,,584.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,
AHP-REPAIR Wound 20.1 CM -30.0 CM,12006,CDM,,,GF,both,,,846,846,194.58,846,846,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,846,percent of total billed charges,846,percent of total billed charges,609.12,percent of total billed charges,609.12,percent of total billed charges,609.12,percent of total billed charges,609.12,percent of total billed charges,609.12,percent of total billed charges,609.12,percent of total billed charges,668.34,percent of total billed charges,668.34,percent of total billed charges,676.8,percent of total billed charges,676.8,percent of total billed charges,,,609.12,percent of total billed charges ,,,676.8,percent of total billed charges ,668.34,percent of total billed charges ,668.34,percent of total billed charges ,719.1,percent of total billed charges ,719.1,percent of total billed charges ,676.8,percent of total billed charges ,676.8,percent of total billed charges ,592.2,percent of total billed charges ,592.2,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 ,,,,,450.07,percent of total billed charges ,,,,,427.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,194.58,percent of total billed charges,,,194.58,percent of total billed charges,,,194.58,percent of total billed charges,,,194.58,percent of total billed charges,,,194.58,percent of total billed charges,,,194.58,percent of total billed charges,,,194.58,percent of total billed charges,,,194.58,percent of total billed charges,,,194.58,percent of total billed charges,,,194.58,percent of total billed charges,,,194.58,percent of total billed charges,
AHP-Wound 5.1cm - 7.5cm,12014,CDM,,,GF,both,,,963,963,221.49,963,963,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,760.77,percent of total billed charges,760.77,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 ,760.77,percent of total billed charges ,760.77,percent of total billed charges ,818.55,percent of total billed charges ,818.55,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 ,,,,,,,,,,,,,,,,,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,
AHP-SIMPLE REPAIR WOUNDS 7.6CM-12.5CM,12015,CDM,,,GF,both,,,"1,356.00","1,356.00",311.88,"1,356.00","1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,976.32,percent of total billed charges,976.32,percent of total billed charges,976.32,percent of total billed charges,976.32,percent of total billed charges,976.32,percent of total billed charges,976.32,percent of total billed charges,"1,071.24",percent of total billed charges,"1,071.24",percent of total billed charges,"1,084.80",percent of total billed charges,"1,084.80",percent of total billed charges,,,976.32,percent of total billed charges ,,,"1,084.80",percent of total billed charges ,"1,071.24",percent of total billed charges ,"1,071.24",percent of total billed charges ,"1,152.60",percent of total billed charges ,"1,152.60",percent of total billed charges ,"1,084.80",percent of total billed charges ,"1,084.80",percent of total billed charges ,949.2,percent of total billed charges ,949.2,percent of total billed charges ,813.6,percent of total billed charges ,813.6,percent of total billed charges ,813.6,percent of total billed charges ,813.6,percent of total billed charges ,,,,,721.39,percent of total billed charges ,,,,,685.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,
AHP-SIMPLE REPAIR WOUNDS > 30 CM,12018,CDM,,,GF,both,,,"1,333.00","1,333.00",306.59,"1,333.00","1,333.00",percent of total billed charges,"1,333.00",percent of total billed charges,"1,333.00",percent of total billed charges,"1,333.00",percent of total billed charges,"1,333.00",percent of total billed charges,"1,333.00",percent of total billed charges,"1,333.00",percent of total billed charges,"1,333.00",percent of total billed charges,959.76,percent of total billed charges,959.76,percent of total billed charges,959.76,percent of total billed charges,959.76,percent of total billed charges,959.76,percent of total billed charges,959.76,percent of total billed charges,"1,053.07",percent of total billed charges,"1,053.07",percent of total billed charges,"1,066.40",percent of total billed charges,"1,066.40",percent of total billed charges,,,959.76,percent of total billed charges ,,,"1,066.40",percent of total billed charges ,"1,053.07",percent of total billed charges ,"1,053.07",percent of total billed charges ,"1,133.05",percent of total billed charges ,"1,133.05",percent of total billed charges ,"1,066.40",percent of total billed charges ,"1,066.40",percent of total billed charges ,933.1,percent of total billed charges ,933.1,percent of total billed charges ,799.8,percent of total billed charges ,799.8,percent of total billed charges ,799.8,percent of total billed charges ,799.8,percent of total billed charges ,,,,,709.16,percent of total billed charges ,,,,,673.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,306.59,percent of total billed charges,,,306.59,percent of total billed charges,,,306.59,percent of total billed charges,,,306.59,percent of total billed charges,,,306.59,percent of total billed charges,,,306.59,percent of total billed charges,,,306.59,percent of total billed charges,,,306.59,percent of total billed charges,,,306.59,percent of total billed charges,,,306.59,percent of total billed charges,,,306.59,percent of total billed charges,
AHP-LAC CLSR 12.6CM-20 CM AXIL/TRNK/EXTR,12035,CDM,,,GF,both,,,"1,598.00","1,598.00",367.54,"1,598.00","1,598.00",percent of total billed charges,"1,598.00",percent of total billed charges,"1,598.00",percent of total billed charges,"1,598.00",percent of total billed charges,"1,598.00",percent of total billed charges,"1,598.00",percent of total billed charges,"1,598.00",percent of total billed charges,"1,598.00",percent of total billed charges,"1,150.56",percent of total billed charges,"1,150.56",percent of total billed charges,"1,150.56",percent of total billed charges,"1,150.56",percent of total billed charges,"1,150.56",percent of total billed charges,"1,150.56",percent of total billed charges,"1,262.42",percent of total billed charges,"1,262.42",percent of total billed charges,"1,278.40",percent of total billed charges,"1,278.40",percent of total billed charges,,,"1,150.56",percent of total billed charges ,,,"1,278.40",percent of total billed charges ,"1,262.42",percent of total billed charges ,"1,262.42",percent of total billed charges ,"1,358.30",percent of total billed charges ,"1,358.30",percent of total billed charges ,"1,278.40",percent of total billed charges ,"1,278.40",percent of total billed charges ,"1,118.60",percent of total billed charges ,"1,118.60",percent of total billed charges ,958.8,percent of total billed charges ,958.8,percent of total billed charges ,958.8,percent of total billed charges ,958.8,percent of total billed charges ,,,,,850.14,percent of total billed charges ,,,,,807.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,367.54,percent of total billed charges,,,367.54,percent of total billed charges,,,367.54,percent of total billed charges,,,367.54,percent of total billed charges,,,367.54,percent of total billed charges,,,367.54,percent of total billed charges,,,367.54,percent of total billed charges,,,367.54,percent of total billed charges,,,367.54,percent of total billed charges,,,367.54,percent of total billed charges,,,367.54,percent of total billed charges,
"AHP-WND 2.5CM OR > nk, hds,ft, ext gent",12041,CDM,,,GF,both,,,"1,015.00","1,015.00",233.45,"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,801.85,percent of total billed charges,801.85,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 ,801.85,percent of total billed charges ,801.85,percent of total billed charges ,862.75,percent of total billed charges ,862.75,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 ,,,,,,,,,,,,,,,,,,,233.45,percent of total billed charges,,,233.45,percent of total billed charges,,,233.45,percent of total billed charges,,,233.45,percent of total billed charges,,,233.45,percent of total billed charges,,,233.45,percent of total billed charges,,,233.45,percent of total billed charges,,,233.45,percent of total billed charges,,,233.45,percent of total billed charges,,,233.45,percent of total billed charges,,,233.45,percent of total billed charges,
AHP-WD 2.5CM OR > FCE/ERS/EYELDS/NSE/LPS,12051,CDM,,,GF,both,,,"1,007.00","1,007.00",231.61,"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,795.53,percent of total billed charges,795.53,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 ,795.53,percent of total billed charges ,795.53,percent of total billed charges ,855.95,percent of total billed charges ,855.95,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 ,,,,,,,,,,,,,,,,,,,231.61,percent of total billed charges,,,231.61,percent of total billed charges,,,231.61,percent of total billed charges,,,231.61,percent of total billed charges,,,231.61,percent of total billed charges,,,231.61,percent of total billed charges,,,231.61,percent of total billed charges,,,231.61,percent of total billed charges,,,231.61,percent of total billed charges,,,231.61,percent of total billed charges,,,231.61,percent of total billed charges,
AHP-RP LS/ NSE/ ERS/ LP1.1-2.5 CM COMPLX,13151,CDM,,,GF,both,,,"2,920.00","2,920.00",671.6,"2,920.00","2,920.00",percent of total billed charges,"2,920.00",percent of total billed charges,"2,920.00",percent of total billed charges,"2,920.00",percent of total billed charges,"2,920.00",percent of total billed charges,"2,920.00",percent of total billed charges,"2,920.00",percent of total billed charges,"2,920.00",percent of total billed charges,"2,102.40",percent of total billed charges,"2,102.40",percent of total billed charges,"2,102.40",percent of total billed charges,"2,102.40",percent of total billed charges,"2,102.40",percent of total billed charges,"2,102.40",percent of total billed charges,"2,306.80",percent of total billed charges,"2,306.80",percent of total billed charges,"2,336.00",percent of total billed charges,"2,336.00",percent of total billed charges,,,"2,102.40",percent of total billed charges ,,,"2,336.00",percent of total billed charges ,"2,306.80",percent of total billed charges ,"2,306.80",percent of total billed charges ,"2,482.00",percent of total billed charges ,"2,482.00",percent of total billed charges ,"2,336.00",percent of total billed charges ,"2,336.00",percent of total billed charges ,"2,044.00",percent of total billed charges ,"2,044.00",percent of total billed charges ,"1,752.00",percent of total billed charges ,"1,752.00",percent of total billed charges ,"1,752.00",percent of total billed charges ,"1,752.00",percent of total billed charges ,,,,,"1,553.44",percent of total billed charges ,,,,,"1,475.77",percent of total billed charges ,,,,,,,,,,,,,,,,,,,671.6,percent of total billed charges,,,671.6,percent of total billed charges,,,671.6,percent of total billed charges,,,671.6,percent of total billed charges,,,671.6,percent of total billed charges,,,671.6,percent of total billed charges,,,671.6,percent of total billed charges,,,671.6,percent of total billed charges,,,671.6,percent of total billed charges,,,671.6,percent of total billed charges,,,671.6,percent of total billed charges,
AHP-FOREIGN BODY REMOVAL W/O INCISION,20102,CDM,,,GF,both,,,"1,771.00","1,771.00",407.33,"1,771.00","1,771.00",percent of total billed charges,"1,771.00",percent of total billed charges,"1,771.00",percent of total billed charges,"1,771.00",percent of total billed charges,"1,771.00",percent of total billed charges,"1,771.00",percent of total billed charges,"1,771.00",percent of total billed charges,"1,771.00",percent of total billed charges,"1,275.12",percent of total billed charges,"1,275.12",percent of total billed charges,"1,275.12",percent of total billed charges,"1,275.12",percent of total billed charges,"1,275.12",percent of total billed charges,"1,275.12",percent of total billed charges,"1,399.09",percent of total billed charges,"1,399.09",percent of total billed charges,"1,416.80",percent of total billed charges,"1,416.80",percent of total billed charges,,,"1,275.12",percent of total billed charges ,,,"1,416.80",percent of total billed charges ,"1,399.09",percent of total billed charges ,"1,399.09",percent of total billed charges ,"1,505.35",percent of total billed charges ,"1,505.35",percent of total billed charges ,"1,416.80",percent of total billed charges ,"1,416.80",percent of total billed charges ,"1,239.70",percent of total billed charges ,"1,239.70",percent of total billed charges ,"1,062.60",percent of total billed charges ,"1,062.60",percent of total billed charges ,"1,062.60",percent of total billed charges ,"1,062.60",percent of total billed charges ,,,,,942.17,percent of total billed charges ,,,,,895.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,407.33,percent of total billed charges,,,407.33,percent of total billed charges,,,407.33,percent of total billed charges,,,407.33,percent of total billed charges,,,407.33,percent of total billed charges,,,407.33,percent of total billed charges,,,407.33,percent of total billed charges,,,407.33,percent of total billed charges,,,407.33,percent of total billed charges,,,407.33,percent of total billed charges,,,407.33,percent of total billed charges,
AHP-REMOVAL F/B EXTREMITY,20103,CDM,,,GF,both,,,"2,472.00","2,472.00",568.56,"2,472.00","2,472.00",percent of total billed charges,"2,472.00",percent of total billed charges,"2,472.00",percent of total billed charges,"2,472.00",percent of total billed charges,"2,472.00",percent of total billed charges,"2,472.00",percent of total billed charges,"2,472.00",percent of total billed charges,"2,472.00",percent of total billed charges,"1,779.84",percent of total billed charges,"1,779.84",percent of total billed charges,"1,779.84",percent of total billed charges,"1,779.84",percent of total billed charges,"1,779.84",percent of total billed charges,"1,779.84",percent of total billed charges,"1,952.88",percent of total billed charges,"1,952.88",percent of total billed charges,"1,977.60",percent of total billed charges,"1,977.60",percent of total billed charges,,,"1,779.84",percent of total billed charges ,,,"1,977.60",percent of total billed charges ,"1,952.88",percent of total billed charges ,"1,952.88",percent of total billed charges ,"2,101.20",percent of total billed charges ,"2,101.20",percent of total billed charges ,"1,977.60",percent of total billed charges ,"1,977.60",percent of total billed charges ,"1,730.40",percent of total billed charges ,"1,730.40",percent of total billed charges ,"1,483.20",percent of total billed charges ,"1,483.20",percent of total billed charges ,"1,483.20",percent of total billed charges ,"1,483.20",percent of total billed charges ,,,,,"1,315.10",percent of total billed charges ,,,,,"1,249.35",percent of total billed charges ,,,,,,,,,,,,,,,,,,,568.56,percent of total billed charges,,,568.56,percent of total billed charges,,,568.56,percent of total billed charges,,,568.56,percent of total billed charges,,,568.56,percent of total billed charges,,,568.56,percent of total billed charges,,,568.56,percent of total billed charges,,,568.56,percent of total billed charges,,,568.56,percent of total billed charges,,,568.56,percent of total billed charges,,,568.56,percent of total billed charges,
AHP-DRAINAGE OF FINGER,26010,CDM,,,GF,both,,,691,691,158.93,691,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,545.89,percent of total billed charges,545.89,percent of total billed charges,552.8,percent of total billed charges,552.8,percent of total billed charges,,,497.52,percent of total billed charges ,,,552.8,percent of total billed charges ,545.89,percent of total billed charges ,545.89,percent of total billed charges ,587.35,percent of total billed charges ,587.35,percent of total billed charges ,552.8,percent of total billed charges ,552.8,percent of total billed charges ,483.7,percent of total billed charges ,483.7,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,,,,,367.61,percent of total billed charges ,,,,,349.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,
"AHP-FOREIGN BODY REMOVAL FOOT, SQ",28190,CDM,,,GF,both,,,691,691,158.93,691,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,545.89,percent of total billed charges,545.89,percent of total billed charges,552.8,percent of total billed charges,552.8,percent of total billed charges,,,497.52,percent of total billed charges ,,,552.8,percent of total billed charges ,545.89,percent of total billed charges ,545.89,percent of total billed charges ,587.35,percent of total billed charges ,587.35,percent of total billed charges ,552.8,percent of total billed charges ,552.8,percent of total billed charges ,483.7,percent of total billed charges ,483.7,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,,,,,367.61,percent of total billed charges ,,,,,349.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,
AHP-LONG CAST APPLICATION,29065,CDM,,,GF,both,,,689,689,158.47,689,689,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,544.31,percent of total billed charges,544.31,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 ,544.31,percent of total billed charges ,544.31,percent of total billed charges ,585.65,percent of total billed charges ,585.65,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 ,,,,,,,,,,,,,,,,,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,
AHP-CAST APPLICATION ELBOW TO FINGER,29075,CDM,,,GF,both,,,388,388,89.24,388,388,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,306.52,percent of total billed charges,306.52,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 ,306.52,percent of total billed charges ,306.52,percent of total billed charges ,329.8,percent of total billed charges ,329.8,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 ,,,,,,,,,,,,,,,,,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,
AHP-APP LONG ARM SPLINT,29105,CDM,,,GF,both,,,608,608,139.84,608,608,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,480.32,percent of total billed charges,480.32,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 ,480.32,percent of total billed charges ,480.32,percent of total billed charges ,516.8,percent of total billed charges ,516.8,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 ,,,,,,,,,,,,,,,,,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,
**AHP-App Short Arm Splint,29125,CDM,,,GF,both,,,608,608,139.84,608,608,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,480.32,percent of total billed charges,480.32,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 ,480.32,percent of total billed charges ,480.32,percent of total billed charges ,516.8,percent of total billed charges ,516.8,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 ,,,,,,,,,,,,,,,,,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,
AHP-App Finger Splint,29130,CDM,,,GF,both,,,608,608,139.84,608,608,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,480.32,percent of total billed charges,480.32,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 ,480.32,percent of total billed charges ,480.32,percent of total billed charges ,516.8,percent of total billed charges ,516.8,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 ,,,,,,,,,,,,,,,,,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,
AHP-APPLICATION SHORT CAST,29405,CDM,,,GF,both,,,485,485,111.55,485,485,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,383.15,percent of total billed charges,383.15,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 ,383.15,percent of total billed charges ,383.15,percent of total billed charges ,412.25,percent of total billed charges ,412.25,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 ,,,,,,,,,,,,,,,,,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,
AHP-APP LONG LEG SPLINT,29505,CDM,,,GF,both,,,908,908,208.84,908,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,717.32,percent of total billed charges,717.32,percent of total billed charges,726.4,percent of total billed charges,726.4,percent of total billed charges,,,653.76,percent of total billed charges ,,,726.4,percent of total billed charges ,717.32,percent of total billed charges ,717.32,percent of total billed charges ,771.8,percent of total billed charges ,771.8,percent of total billed charges ,726.4,percent of total billed charges ,726.4,percent of total billed charges ,635.6,percent of total billed charges ,635.6,percent of total billed charges ,544.8,percent of total billed charges ,544.8,percent of total billed charges ,544.8,percent of total billed charges ,544.8,percent of total billed charges ,,,,,483.06,percent of total billed charges ,,,,,458.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,
AHP-App Short Leg Splint,29515,CDM,,,GF,both,,,311,311,71.53,311,311,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,245.69,percent of total billed charges,245.69,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 ,245.69,percent of total billed charges ,245.69,percent of total billed charges ,264.35,percent of total billed charges ,264.35,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 ,,,,,,,,,,,,,,,,,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,
AHP-Nasal Anterior Pack,30901,CDM,,,GF,both,,,869,869,199.87,869,869,percent of total billed charges,869,percent of total billed charges,869,percent of total billed charges,869,percent of total billed charges,869,percent of total billed charges,869,percent of total billed charges,869,percent of total billed charges,869,percent of total billed charges,625.68,percent of total billed charges,625.68,percent of total billed charges,625.68,percent of total billed charges,625.68,percent of total billed charges,625.68,percent of total billed charges,625.68,percent of total billed charges,686.51,percent of total billed charges,686.51,percent of total billed charges,695.2,percent of total billed charges,695.2,percent of total billed charges,,,625.68,percent of total billed charges ,,,695.2,percent of total billed charges ,686.51,percent of total billed charges ,686.51,percent of total billed charges ,738.65,percent of total billed charges ,738.65,percent of total billed charges ,695.2,percent of total billed charges ,695.2,percent of total billed charges ,608.3,percent of total billed charges ,608.3,percent of total billed charges ,521.4,percent of total billed charges ,521.4,percent of total billed charges ,521.4,percent of total billed charges ,521.4,percent of total billed charges ,,,,,462.31,percent of total billed charges ,,,,,439.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,199.87,percent of total billed charges,,,199.87,percent of total billed charges,,,199.87,percent of total billed charges,,,199.87,percent of total billed charges,,,199.87,percent of total billed charges,,,199.87,percent of total billed charges,,,199.87,percent of total billed charges,,,199.87,percent of total billed charges,,,199.87,percent of total billed charges,,,199.87,percent of total billed charges,,,199.87,percent of total billed charges,
AHP-Nasal Post Pack,30905,CDM,,,GF,both,,,"1,876.00","1,876.00",431.48,"1,876.00","1,876.00",percent of total billed charges,"1,876.00",percent of total billed charges,"1,876.00",percent of total billed charges,"1,876.00",percent of total billed charges,"1,876.00",percent of total billed charges,"1,876.00",percent of total billed charges,"1,876.00",percent of total billed charges,"1,876.00",percent of total billed charges,"1,350.72",percent of total billed charges,"1,350.72",percent of total billed charges,"1,350.72",percent of total billed charges,"1,350.72",percent of total billed charges,"1,350.72",percent of total billed charges,"1,350.72",percent of total billed charges,"1,482.04",percent of total billed charges,"1,482.04",percent of total billed charges,"1,500.80",percent of total billed charges,"1,500.80",percent of total billed charges,,,"1,350.72",percent of total billed charges ,,,"1,500.80",percent of total billed charges ,"1,482.04",percent of total billed charges ,"1,482.04",percent of total billed charges ,"1,594.60",percent of total billed charges ,"1,594.60",percent of total billed charges ,"1,500.80",percent of total billed charges ,"1,500.80",percent of total billed charges ,"1,313.20",percent of total billed charges ,"1,313.20",percent of total billed charges ,"1,125.60",percent of total billed charges ,"1,125.60",percent of total billed charges ,"1,125.60",percent of total billed charges ,"1,125.60",percent of total billed charges ,,,,,998.03,percent of total billed charges ,,,,,948.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,431.48,percent of total billed charges,,,431.48,percent of total billed charges,,,431.48,percent of total billed charges,,,431.48,percent of total billed charges,,,431.48,percent of total billed charges,,,431.48,percent of total billed charges,,,431.48,percent of total billed charges,,,431.48,percent of total billed charges,,,431.48,percent of total billed charges,,,431.48,percent of total billed charges,,,431.48,percent of total billed charges,
AHP-TRANFUSION PRC,36430,CDM,,,GF,both,,,"1,023.00","1,023.00",235.29,"1,023.00","1,023.00",percent of total billed charges,"1,023.00",percent of total billed charges,"1,023.00",percent of total billed charges,"1,023.00",percent of total billed charges,"1,023.00",percent of total billed charges,"1,023.00",percent of total billed charges,"1,023.00",percent of total billed charges,"1,023.00",percent of total billed charges,736.56,percent of total billed charges,736.56,percent of total billed charges,736.56,percent of total billed charges,736.56,percent of total billed charges,736.56,percent of total billed charges,736.56,percent of total billed charges,808.17,percent of total billed charges,808.17,percent of total billed charges,818.4,percent of total billed charges,818.4,percent of total billed charges,,,736.56,percent of total billed charges ,,,818.4,percent of total billed charges ,808.17,percent of total billed charges ,808.17,percent of total billed charges ,869.55,percent of total billed charges ,869.55,percent of total billed charges ,818.4,percent of total billed charges ,818.4,percent of total billed charges ,716.1,percent of total billed charges ,716.1,percent of total billed charges ,613.8,percent of total billed charges ,613.8,percent of total billed charges ,613.8,percent of total billed charges ,613.8,percent of total billed charges ,,,,,544.24,percent of total billed charges ,,,,,517.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,
AHP-INCISION & DRAINAGE PERIANAL ABCESS,46050,CDM,,,GF,both,,,691,691,158.93,691,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,545.89,percent of total billed charges,545.89,percent of total billed charges,552.8,percent of total billed charges,552.8,percent of total billed charges,,,497.52,percent of total billed charges ,,,552.8,percent of total billed charges ,545.89,percent of total billed charges ,545.89,percent of total billed charges ,587.35,percent of total billed charges ,587.35,percent of total billed charges ,552.8,percent of total billed charges ,552.8,percent of total billed charges ,483.7,percent of total billed charges ,483.7,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,,,,,367.61,percent of total billed charges ,,,,,349.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,
AHP-I&d VULVE OR PERNIEAL,56405,CDM,,,GF,both,,,691,691,158.93,691,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,545.89,percent of total billed charges,545.89,percent of total billed charges,552.8,percent of total billed charges,552.8,percent of total billed charges,,,497.52,percent of total billed charges ,,,552.8,percent of total billed charges ,545.89,percent of total billed charges ,545.89,percent of total billed charges ,587.35,percent of total billed charges ,587.35,percent of total billed charges ,552.8,percent of total billed charges ,552.8,percent of total billed charges ,483.7,percent of total billed charges ,483.7,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,,,,,367.61,percent of total billed charges ,,,,,349.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,
AHP-F/B Removal Eye,65205,CDM,,,GF,both,,,908,908,208.84,908,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,717.32,percent of total billed charges,717.32,percent of total billed charges,726.4,percent of total billed charges,726.4,percent of total billed charges,,,653.76,percent of total billed charges ,,,726.4,percent of total billed charges ,717.32,percent of total billed charges ,717.32,percent of total billed charges ,771.8,percent of total billed charges ,771.8,percent of total billed charges ,726.4,percent of total billed charges ,726.4,percent of total billed charges ,635.6,percent of total billed charges ,635.6,percent of total billed charges ,544.8,percent of total billed charges ,544.8,percent of total billed charges ,544.8,percent of total billed charges ,544.8,percent of total billed charges ,,,,,483.06,percent of total billed charges ,,,,,458.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,
AHP-FRB REMOVAL EYE,65220,CDM,,,GF,both,,,318,318,73.14,318,318,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,251.22,percent of total billed charges,251.22,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 ,251.22,percent of total billed charges ,251.22,percent of total billed charges ,270.3,percent of total billed charges ,270.3,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 ,,,,,,,,,,,,,,,,,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,
AHP-I & D EXTERNAL EAR,69000,CDM,,,GF,both,,,898,898,206.54,898,898,percent of total billed charges,898,percent of total billed charges,898,percent of total billed charges,898,percent of total billed charges,898,percent of total billed charges,898,percent of total billed charges,898,percent of total billed charges,898,percent of total billed charges,646.56,percent of total billed charges,646.56,percent of total billed charges,646.56,percent of total billed charges,646.56,percent of total billed charges,646.56,percent of total billed charges,646.56,percent of total billed charges,709.42,percent of total billed charges,709.42,percent of total billed charges,718.4,percent of total billed charges,718.4,percent of total billed charges,,,646.56,percent of total billed charges ,,,718.4,percent of total billed charges ,709.42,percent of total billed charges ,709.42,percent of total billed charges ,763.3,percent of total billed charges ,763.3,percent of total billed charges ,718.4,percent of total billed charges ,718.4,percent of total billed charges ,628.6,percent of total billed charges ,628.6,percent of total billed charges ,538.8,percent of total billed charges ,538.8,percent of total billed charges ,538.8,percent of total billed charges ,538.8,percent of total billed charges ,,,,,477.74,percent of total billed charges ,,,,,453.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,206.54,percent of total billed charges,,,206.54,percent of total billed charges,,,206.54,percent of total billed charges,,,206.54,percent of total billed charges,,,206.54,percent of total billed charges,,,206.54,percent of total billed charges,,,206.54,percent of total billed charges,,,206.54,percent of total billed charges,,,206.54,percent of total billed charges,,,206.54,percent of total billed charges,,,206.54,percent of total billed charges,
**AHP-F/B Removal Ear w/o general anesth,69200,CDM,,,GF,both,,,580,580,133.4,580,580,percent of total billed charges,580,percent of total billed charges,580,percent of total billed charges,580,percent of total billed charges,580,percent of total billed charges,580,percent of total billed charges,580,percent of total billed charges,580,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,417.6,percent of total billed charges,417.6,percent of total billed charges,458.2,percent of total billed charges,458.2,percent of total billed charges,464,percent of total billed charges,464,percent of total billed charges,,,417.6,percent of total billed charges ,,,464,percent of total billed charges ,458.2,percent of total billed charges ,458.2,percent of total billed charges ,493,percent of total billed charges ,493,percent of total billed charges ,464,percent of total billed charges ,464,percent of total billed charges ,406,percent of total billed charges ,406,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 ,,,,,308.56,percent of total billed charges ,,,,,293.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,133.4,percent of total billed charges,,,133.4,percent of total billed charges,,,133.4,percent of total billed charges,,,133.4,percent of total billed charges,,,133.4,percent of total billed charges,,,133.4,percent of total billed charges,,,133.4,percent of total billed charges,,,133.4,percent of total billed charges,,,133.4,percent of total billed charges,,,133.4,percent of total billed charges,,,133.4,percent of total billed charges,
AHP-Irrigation/Ear,69210,CDM,,,GF,both,,,553,553,127.19,553,553,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,436.87,percent of total billed charges,436.87,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 ,436.87,percent of total billed charges ,436.87,percent of total billed charges ,470.05,percent of total billed charges ,470.05,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 ,,,,,,,,,,,,,,,,,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,,,127.19,percent of total billed charges,
ER-INCISION/DRAIN OF ABS/HEMA DENTOALVEO,41800,CDM,,,GF,both,,,768,768,176.64,768,768,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,606.72,percent of total billed charges,606.72,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 ,606.72,percent of total billed charges ,606.72,percent of total billed charges ,652.8,percent of total billed charges ,652.8,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 ,,,,,,,,,,,,,,,,,,,176.64,percent of total billed charges,,,176.64,percent of total billed charges,,,176.64,percent of total billed charges,,,176.64,percent of total billed charges,,,176.64,percent of total billed charges,,,176.64,percent of total billed charges,,,176.64,percent of total billed charges,,,176.64,percent of total billed charges,,,176.64,percent of total billed charges,,,176.64,percent of total billed charges,,,176.64,percent of total billed charges,
"AHP-Wnd 2.6-7.5cm sclp, axle, trnk, extr",12032,CDM,,,GF,both,,,963,963,221.49,963,963,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,760.77,percent of total billed charges,760.77,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 ,760.77,percent of total billed charges ,760.77,percent of total billed charges ,818.55,percent of total billed charges ,818.55,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 ,,,,,,,,,,,,,,,,,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,
"AHP-REP WND NCK, HNDS, FT 2.6-7.5 INTRME",12042,CDM,,,GF,both,,,"1,280.00","1,280.00",294.4,"1,280.00","1,280.00",percent of total billed charges,"1,280.00",percent of total billed charges,"1,280.00",percent of total billed charges,"1,280.00",percent of total billed charges,"1,280.00",percent of total billed charges,"1,280.00",percent of total billed charges,"1,280.00",percent of total billed charges,"1,280.00",percent of total billed charges,921.6,percent of total billed charges,921.6,percent of total billed charges,921.6,percent of total billed charges,921.6,percent of total billed charges,921.6,percent of total billed charges,921.6,percent of total billed charges,"1,011.20",percent of total billed charges,"1,011.20",percent of total billed charges,"1,024.00",percent of total billed charges,"1,024.00",percent of total billed charges,,,921.6,percent of total billed charges ,,,"1,024.00",percent of total billed charges ,"1,011.20",percent of total billed charges ,"1,011.20",percent of total billed charges ,"1,088.00",percent of total billed charges ,"1,088.00",percent of total billed charges ,"1,024.00",percent of total billed charges ,"1,024.00",percent of total billed charges ,896,percent of total billed charges ,896,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 ,,,,,680.96,percent of total billed charges ,,,,,646.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,294.4,percent of total billed charges,,,294.4,percent of total billed charges,,,294.4,percent of total billed charges,,,294.4,percent of total billed charges,,,294.4,percent of total billed charges,,,294.4,percent of total billed charges,,,294.4,percent of total billed charges,,,294.4,percent of total billed charges,,,294.4,percent of total billed charges,,,294.4,percent of total billed charges,,,294.4,percent of total billed charges,
PHY-2NDARY CLS SURG WND EXT/COMPL,13160,CDM,,,,both,,,"4,957.00","4,957.00","1,140.11","4,957.00","4,957.00",percent of total billed charges,"4,957.00",percent of total billed charges,"4,957.00",percent of total billed charges,"4,957.00",percent of total billed charges,"4,957.00",percent of total billed charges,"4,957.00",percent of total billed charges,"4,957.00",percent of total billed charges,"4,957.00",percent of total billed charges,"3,569.04",percent of total billed charges,"3,569.04",percent of total billed charges,"3,569.04",percent of total billed charges,"3,569.04",percent of total billed charges,"3,569.04",percent of total billed charges,"3,569.04",percent of total billed charges,"3,916.03",percent of total billed charges,"3,916.03",percent of total billed charges,"3,965.60",percent of total billed charges,"3,965.60",percent of total billed charges,,,"3,569.04",percent of total billed charges ,,,"3,965.60",percent of total billed charges ,"3,916.03",percent of total billed charges ,"3,916.03",percent of total billed charges ,"4,213.45",percent of total billed charges ,"4,213.45",percent of total billed charges ,"3,965.60",percent of total billed charges ,"3,965.60",percent of total billed charges ,"3,469.90",percent of total billed charges ,"3,469.90",percent of total billed charges ,"2,974.20",percent of total billed charges ,"2,974.20",percent of total billed charges ,"2,974.20",percent of total billed charges ,"2,974.20",percent of total billed charges ,,,,,"2,637.12",percent of total billed charges ,,,,,"2,505.27",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,140.11",percent of total billed charges,,,"1,140.11",percent of total billed charges,,,"1,140.11",percent of total billed charges,,,"1,140.11",percent of total billed charges,,,"1,140.11",percent of total billed charges,,,"1,140.11",percent of total billed charges,,,"1,140.11",percent of total billed charges,,,"1,140.11",percent of total billed charges,,,"1,140.11",percent of total billed charges,,,"1,140.11",percent of total billed charges,,,"1,140.11",percent of total billed charges,
ER-DRAINAGE OF FINGER ABCESS; SIMPLE,26010,CDM,,,GF,both,,,828,828,190.44,828,828,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,828,percent of total billed charges,828,percent of total billed charges,596.16,percent of total billed charges,596.16,percent of total billed charges,596.16,percent of total billed charges,596.16,percent of total billed charges,596.16,percent of total billed charges,596.16,percent of total billed charges,654.12,percent of total billed charges,654.12,percent of total billed charges,662.4,percent of total billed charges,662.4,percent of total billed charges,,,596.16,percent of total billed charges ,,,662.4,percent of total billed charges ,654.12,percent of total billed charges ,654.12,percent of total billed charges ,703.8,percent of total billed charges ,703.8,percent of total billed charges ,662.4,percent of total billed charges ,662.4,percent of total billed charges ,579.6,percent of total billed charges ,579.6,percent of total billed charges ,496.8,percent of total billed charges ,496.8,percent of total billed charges ,496.8,percent of total billed charges ,496.8,percent of total billed charges ,,,,,440.5,percent of total billed charges ,,,,,418.47,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,,,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,,,190.44,percent of total billed charges,,,190.44,percent of total billed charges,,,190.44,percent of total billed charges,
PHY-REDUCTION OF DISLOCATION OF ANKLE,27840,CDM,,,,both,,,"2,235.00","2,235.00",514.05,"2,235.00","2,235.00",percent of total billed charges,"2,235.00",percent of total billed charges,"2,235.00",percent of total billed charges,"2,235.00",percent of total billed charges,"2,235.00",percent of total billed charges,"2,235.00",percent of total billed charges,"2,235.00",percent of total billed charges,"2,235.00",percent of total billed charges,"1,609.20",percent of total billed charges,"1,609.20",percent of total billed charges,"1,609.20",percent of total billed charges,"1,609.20",percent of total billed charges,"1,609.20",percent of total billed charges,"1,609.20",percent of total billed charges,"1,765.65",percent of total billed charges,"1,765.65",percent of total billed charges,"1,788.00",percent of total billed charges,"1,788.00",percent of total billed charges,,,"1,609.20",percent of total billed charges ,,,"1,788.00",percent of total billed charges ,"1,765.65",percent of total billed charges ,"1,765.65",percent of total billed charges ,"1,899.75",percent of total billed charges ,"1,899.75",percent of total billed charges ,"1,788.00",percent of total billed charges ,"1,788.00",percent of total billed charges ,"1,564.50",percent of total billed charges ,"1,564.50",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 ,,,,,"1,189.02",percent of total billed charges ,,,,,"1,129.57",percent of total billed charges ,,,,,,,,,,,,,,,,,,,514.05,percent of total billed charges,,,514.05,percent of total billed charges,,,514.05,percent of total billed charges,,,514.05,percent of total billed charges,,,514.05,percent of total billed charges,,,514.05,percent of total billed charges,,,514.05,percent of total billed charges,,,514.05,percent of total billed charges,,,514.05,percent of total billed charges,,,514.05,percent of total billed charges,,,514.05,percent of total billed charges,
ER-REDUCTION OF DISLOCATION OF ANKLE,27840,CDM,,,,both,,,"1,147.00","1,147.00",263.81,"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,906.13,percent of total billed charges,906.13,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 ,906.13,percent of total billed charges ,906.13,percent of total billed charges ,974.95,percent of total billed charges ,974.95,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 ,,,,,,,,,,,,,,,,,,,263.81,percent of total billed charges,,,263.81,percent of total billed charges,,,263.81,percent of total billed charges,,,263.81,percent of total billed charges,,,263.81,percent of total billed charges,,,263.81,percent of total billed charges,,,263.81,percent of total billed charges,,,263.81,percent of total billed charges,,,263.81,percent of total billed charges,,,263.81,percent of total billed charges,,,263.81,percent of total billed charges,
AHP-INJ ANESTHETIC FACIAL NERVE,64999,CDM,,,GF,both,,,490,490,112.7,490,490,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,387.1,percent of total billed charges,387.1,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 ,387.1,percent of total billed charges ,387.1,percent of total billed charges ,416.5,percent of total billed charges ,416.5,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 ,,,,,,,,,,,,,,,,,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,
AHP-App Short Arm Splint,29125,CDM,,,GF,both,,,608,608,139.84,608,608,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,480.32,percent of total billed charges,480.32,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 ,480.32,percent of total billed charges ,480.32,percent of total billed charges ,516.8,percent of total billed charges ,516.8,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 ,,,,,,,,,,,,,,,,,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,
"**PHY-AVULSION NAIL PLATE PARTL/COM,SIN",11730,CDM,,,GF,both,,,314,314,72.22,314,314,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,248.06,percent of total billed charges,248.06,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 ,248.06,percent of total billed charges ,248.06,percent of total billed charges ,266.9,percent of total billed charges ,266.9,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 ,,,,,,,,,,,,,,,,,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,
**AHP-WOUND 2.5CM OR LESS,12051,CDM,,,GF,both,,,"1,007.00","1,007.00",231.61,"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,795.53,percent of total billed charges,795.53,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 ,795.53,percent of total billed charges ,795.53,percent of total billed charges ,855.95,percent of total billed charges ,855.95,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 ,,,,,,,,,,,,,,,,,,,231.61,percent of total billed charges,,,231.61,percent of total billed charges,,,231.61,percent of total billed charges,,,231.61,percent of total billed charges,,,231.61,percent of total billed charges,,,231.61,percent of total billed charges,,,231.61,percent of total billed charges,,,231.61,percent of total billed charges,,,231.61,percent of total billed charges,,,231.61,percent of total billed charges,,,231.61,percent of total billed charges,
**AHP-I&d VULVE OR PERNIEAL,56405,CDM,,,GF,both,,,691,691,158.93,691,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,545.89,percent of total billed charges,545.89,percent of total billed charges,552.8,percent of total billed charges,552.8,percent of total billed charges,,,497.52,percent of total billed charges ,,,552.8,percent of total billed charges ,545.89,percent of total billed charges ,545.89,percent of total billed charges ,587.35,percent of total billed charges ,587.35,percent of total billed charges ,552.8,percent of total billed charges ,552.8,percent of total billed charges ,483.7,percent of total billed charges ,483.7,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,,,,,367.61,percent of total billed charges ,,,,,349.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,
PHY-CLSD TRTMNT DISTAL FIB FX W/MAN,27788,CDM,,,,both,,,"2,313.00","2,313.00",531.99,"2,313.00","2,313.00",percent of total billed charges,"2,313.00",percent of total billed charges,"2,313.00",percent of total billed charges,"2,313.00",percent of total billed charges,"2,313.00",percent of total billed charges,"2,313.00",percent of total billed charges,"2,313.00",percent of total billed charges,"2,313.00",percent of total billed charges,"1,665.36",percent of total billed charges,"1,665.36",percent of total billed charges,"1,665.36",percent of total billed charges,"1,665.36",percent of total billed charges,"1,665.36",percent of total billed charges,"1,665.36",percent of total billed charges,"1,827.27",percent of total billed charges,"1,827.27",percent of total billed charges,"1,850.40",percent of total billed charges,"1,850.40",percent of total billed charges,,,"1,665.36",percent of total billed charges ,,,"1,850.40",percent of total billed charges ,"1,827.27",percent of total billed charges ,"1,827.27",percent of total billed charges ,"1,966.05",percent of total billed charges ,"1,966.05",percent of total billed charges ,"1,850.40",percent of total billed charges ,"1,850.40",percent of total billed charges ,"1,619.10",percent of total billed charges ,"1,619.10",percent of total billed charges ,"1,387.80",percent of total billed charges ,"1,387.80",percent of total billed charges ,"1,387.80",percent of total billed charges ,"1,387.80",percent of total billed charges ,,,,,"1,230.52",percent of total billed charges ,,,,,"1,168.99",percent of total billed charges ,,,,,,,,,,,,,,,,,,,531.99,percent of total billed charges,,,531.99,percent of total billed charges,,,531.99,percent of total billed charges,,,531.99,percent of total billed charges,,,531.99,percent of total billed charges,,,531.99,percent of total billed charges,,,531.99,percent of total billed charges,,,531.99,percent of total billed charges,,,531.99,percent of total billed charges,,,531.99,percent of total billed charges,,,531.99,percent of total billed charges,
ER-CARDIOVERSION ELECTIVE,92960,CDM,,,,both,,,"2,523.00","2,523.00",580.29,"2,523.00","2,523.00",percent of total billed charges,"2,523.00",percent of total billed charges,"2,523.00",percent of total billed charges,"2,523.00",percent of total billed charges,"2,523.00",percent of total billed charges,"2,523.00",percent of total billed charges,"2,523.00",percent of total billed charges,"2,523.00",percent of total billed charges,"1,816.56",percent of total billed charges,"1,816.56",percent of total billed charges,"1,816.56",percent of total billed charges,"1,816.56",percent of total billed charges,"1,816.56",percent of total billed charges,"1,816.56",percent of total billed charges,"1,993.17",percent of total billed charges,"1,993.17",percent of total billed charges,"2,018.40",percent of total billed charges,"2,018.40",percent of total billed charges,,,"1,816.56",percent of total billed charges ,,,"2,018.40",percent of total billed charges ,"1,993.17",percent of total billed charges ,"1,993.17",percent of total billed charges ,"2,144.55",percent of total billed charges ,"2,144.55",percent of total billed charges ,"2,018.40",percent of total billed charges ,"2,018.40",percent of total billed charges ,"1,766.10",percent of total billed charges ,"1,766.10",percent of total billed charges ,"1,513.80",percent of total billed charges ,"1,513.80",percent of total billed charges ,"1,513.80",percent of total billed charges ,"1,513.80",percent of total billed charges ,,,,,"1,342.24",percent of total billed charges ,,,,,"1,275.12",percent of total billed charges ,,,,,,,,,,,,,,,,,,,580.29,percent of total billed charges,,,580.29,percent of total billed charges,,,580.29,percent of total billed charges,,,580.29,percent of total billed charges,,,580.29,percent of total billed charges,,,580.29,percent of total billed charges,,,580.29,percent of total billed charges,,,580.29,percent of total billed charges,,,580.29,percent of total billed charges,,,580.29,percent of total billed charges,,,580.29,percent of total billed charges,
AHP-EVAC SUBUNGEAL HEMATOMA,11740,CDM,,,GF,both,,,196,196,45.08,196,196,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,154.84,percent of total billed charges,154.84,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 ,154.84,percent of total billed charges ,154.84,percent of total billed charges ,166.6,percent of total billed charges ,166.6,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 ,,,,,,,,,,,,,,,,,,,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,
"AHP-RP INT WD SCLP,AXL,TRNK,EX 2.5cm or>",12031,CDM,,,GF,both,,,925,925,212.75,925,925,percent of total billed charges,925,percent of total billed charges,925,percent of total billed charges,925,percent of total billed charges,925,percent of total billed charges,925,percent of total billed charges,925,percent of total billed charges,925,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,730.75,percent of total billed charges,730.75,percent of total billed charges,740,percent of total billed charges,740,percent of total billed charges,,,666,percent of total billed charges ,,,740,percent of total billed charges ,730.75,percent of total billed charges ,730.75,percent of total billed charges ,786.25,percent of total billed charges ,786.25,percent of total billed charges ,740,percent of total billed charges ,740,percent of total billed charges ,647.5,percent of total billed charges ,647.5,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 ,,,,,492.1,percent of total billed charges ,,,,,467.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,
AHP-F/B REMOVAL EAR W/O GEN ANESTH,69200,CDM,,,GF,both,,,353,353,81.19,353,353,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,278.87,percent of total billed charges,278.87,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 ,278.87,percent of total billed charges ,278.87,percent of total billed charges ,300.05,percent of total billed charges ,300.05,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 ,,,,,,,,,,,,,,,,,,,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,,,81.19,percent of total billed charges,,,81.19,percent of total billed charges,,,81.19,percent of total billed charges,
**AHP-I & R F/B SUBCUTANEOS TISSUE; S,10120,CDM,,,GF,both,,,622,622,143.06,622,622,percent of total billed charges,622,percent of total billed charges,622,percent of total billed charges,622,percent of total billed charges,622,percent of total billed charges,622,percent of total billed charges,622,percent of total billed charges,622,percent of total billed charges,447.84,percent of total billed charges,447.84,percent of total billed charges,447.84,percent of total billed charges,447.84,percent of total billed charges,447.84,percent of total billed charges,447.84,percent of total billed charges,491.38,percent of total billed charges,491.38,percent of total billed charges,497.6,percent of total billed charges,497.6,percent of total billed charges,,,447.84,percent of total billed charges ,,,497.6,percent of total billed charges ,491.38,percent of total billed charges ,491.38,percent of total billed charges ,528.7,percent of total billed charges ,528.7,percent of total billed charges ,497.6,percent of total billed charges ,497.6,percent of total billed charges ,435.4,percent of total billed charges ,435.4,percent of total billed charges ,373.2,percent of total billed charges ,373.2,percent of total billed charges ,373.2,percent of total billed charges ,373.2,percent of total billed charges ,,,,,330.9,percent of total billed charges ,,,,,314.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,143.06,percent of total billed charges,,,143.06,percent of total billed charges,,,143.06,percent of total billed charges,,,143.06,percent of total billed charges,,,143.06,percent of total billed charges,,,143.06,percent of total billed charges,,,143.06,percent of total billed charges,,,143.06,percent of total billed charges,,,143.06,percent of total billed charges,,,143.06,percent of total billed charges,,,143.06,percent of total billed charges,
AHP-CMPLX RPR S/A/L 2.6-7.5CM,13121,CDM,,,GF,both,,,"1,730.00","1,730.00",397.9,"1,730.00","1,730.00",percent of total billed charges,"1,730.00",percent of total billed charges,"1,730.00",percent of total billed charges,"1,730.00",percent of total billed charges,"1,730.00",percent of total billed charges,"1,730.00",percent of total billed charges,"1,730.00",percent of total billed charges,"1,730.00",percent of total billed charges,"1,245.60",percent of total billed charges,"1,245.60",percent of total billed charges,"1,245.60",percent of total billed charges,"1,245.60",percent of total billed charges,"1,245.60",percent of total billed charges,"1,245.60",percent of total billed charges,"1,366.70",percent of total billed charges,"1,366.70",percent of total billed charges,"1,384.00",percent of total billed charges,"1,384.00",percent of total billed charges,,,"1,245.60",percent of total billed charges ,,,"1,384.00",percent of total billed charges ,"1,366.70",percent of total billed charges ,"1,366.70",percent of total billed charges ,"1,470.50",percent of total billed charges ,"1,470.50",percent of total billed charges ,"1,384.00",percent of total billed charges ,"1,384.00",percent of total billed charges ,"1,211.00",percent of total billed charges ,"1,211.00",percent of total billed charges ,"1,038.00",percent of total billed charges ,"1,038.00",percent of total billed charges ,"1,038.00",percent of total billed charges ,"1,038.00",percent of total billed charges ,,,,,920.36,percent of total billed charges ,,,,,874.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,397.9,percent of total billed charges,,,397.9,percent of total billed charges,,,397.9,percent of total billed charges,,,397.9,percent of total billed charges,,,397.9,percent of total billed charges,,,397.9,percent of total billed charges,,,397.9,percent of total billed charges,,,397.9,percent of total billed charges,,,397.9,percent of total billed charges,,,397.9,percent of total billed charges,,,397.9,percent of total billed charges,
AHP-COMPLEX REPAIR ADD'L 5CM,13122,CDM,,,GF,both,,,565,565,129.95,565,565,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,446.35,percent of total billed charges,446.35,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 ,446.35,percent of total billed charges ,446.35,percent of total billed charges ,480.25,percent of total billed charges ,480.25,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 ,,,,,,,,,,,,,,,,,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,
"AHP-INJ, ANEST AGENT; TRIGEMINAL  NERVE,",64400,CDM,,,GF,both,,,445,445,102.35,445,445,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,351.55,percent of total billed charges,351.55,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 ,351.55,percent of total billed charges ,351.55,percent of total billed charges ,378.25,percent of total billed charges ,378.25,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 ,,,,,,,,,,,,,,,,,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,
PHY-CLD TR RADIAL HEAD FX W/MANI,24655,CDM,,,,both,,,"2,365.00","2,365.00",543.95,"2,365.00","2,365.00",percent of total billed charges,"2,365.00",percent of total billed charges,"2,365.00",percent of total billed charges,"2,365.00",percent of total billed charges,"2,365.00",percent of total billed charges,"2,365.00",percent of total billed charges,"2,365.00",percent of total billed charges,"2,365.00",percent of total billed charges,"1,702.80",percent of total billed charges,"1,702.80",percent of total billed charges,"1,702.80",percent of total billed charges,"1,702.80",percent of total billed charges,"1,702.80",percent of total billed charges,"1,702.80",percent of total billed charges,"1,868.35",percent of total billed charges,"1,868.35",percent of total billed charges,"1,892.00",percent of total billed charges,"1,892.00",percent of total billed charges,,,"1,702.80",percent of total billed charges ,,,"1,892.00",percent of total billed charges ,"1,868.35",percent of total billed charges ,"1,868.35",percent of total billed charges ,"2,010.25",percent of total billed charges ,"2,010.25",percent of total billed charges ,"1,892.00",percent of total billed charges ,"1,892.00",percent of total billed charges ,"1,655.50",percent of total billed charges ,"1,655.50",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 ,,,,,"1,258.18",percent of total billed charges ,,,,,"1,195.27",percent of total billed charges ,,,,,,,,,,,,,,,,,,,543.95,percent of total billed charges,,,543.95,percent of total billed charges,,,543.95,percent of total billed charges,,,543.95,percent of total billed charges,,,543.95,percent of total billed charges,,,543.95,percent of total billed charges,,,543.95,percent of total billed charges,,,543.95,percent of total billed charges,,,543.95,percent of total billed charges,,,543.95,percent of total billed charges,,,543.95,percent of total billed charges,
ER-CLD TR RADIAL HEAD FX W/MANI,24655,CDM,,,,both,,,"1,704.00","1,704.00",391.92,"1,704.00","1,704.00",percent of total billed charges,"1,704.00",percent of total billed charges,"1,704.00",percent of total billed charges,"1,704.00",percent of total billed charges,"1,704.00",percent of total billed charges,"1,704.00",percent of total billed charges,"1,704.00",percent of total billed charges,"1,704.00",percent of total billed charges,"1,226.88",percent of total billed charges,"1,226.88",percent of total billed charges,"1,226.88",percent of total billed charges,"1,226.88",percent of total billed charges,"1,226.88",percent of total billed charges,"1,226.88",percent of total billed charges,"1,346.16",percent of total billed charges,"1,346.16",percent of total billed charges,"1,363.20",percent of total billed charges,"1,363.20",percent of total billed charges,,,"1,226.88",percent of total billed charges ,,,"1,363.20",percent of total billed charges ,"1,346.16",percent of total billed charges ,"1,346.16",percent of total billed charges ,"1,448.40",percent of total billed charges ,"1,448.40",percent of total billed charges ,"1,363.20",percent of total billed charges ,"1,363.20",percent of total billed charges ,"1,192.80",percent of total billed charges ,"1,192.80",percent of total billed charges ,"1,022.40",percent of total billed charges ,"1,022.40",percent of total billed charges ,"1,022.40",percent of total billed charges ,"1,022.40",percent of total billed charges ,,,,,906.53,percent of total billed charges ,,,,,861.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,391.92,percent of total billed charges,,,391.92,percent of total billed charges,,,391.92,percent of total billed charges,,,391.92,percent of total billed charges,,,391.92,percent of total billed charges,,,391.92,percent of total billed charges,,,391.92,percent of total billed charges,,,391.92,percent of total billed charges,,,391.92,percent of total billed charges,,,391.92,percent of total billed charges,,,391.92,percent of total billed charges,
AHP-CLOSED TREATMENT OF SHOULDER DISCLOC,23650,CDM,,,GF,both,,,"1,868.00","1,868.00",429.64,"1,868.00","1,868.00",percent of total billed charges,"1,868.00",percent of total billed charges,"1,868.00",percent of total billed charges,"1,868.00",percent of total billed charges,"1,868.00",percent of total billed charges,"1,868.00",percent of total billed charges,"1,868.00",percent of total billed charges,"1,868.00",percent of total billed charges,"1,344.96",percent of total billed charges,"1,344.96",percent of total billed charges,"1,344.96",percent of total billed charges,"1,344.96",percent of total billed charges,"1,344.96",percent of total billed charges,"1,344.96",percent of total billed charges,"1,475.72",percent of total billed charges,"1,475.72",percent of total billed charges,"1,494.40",percent of total billed charges,"1,494.40",percent of total billed charges,,,"1,344.96",percent of total billed charges ,,,"1,494.40",percent of total billed charges ,"1,475.72",percent of total billed charges ,"1,475.72",percent of total billed charges ,"1,587.80",percent of total billed charges ,"1,587.80",percent of total billed charges ,"1,494.40",percent of total billed charges ,"1,494.40",percent of total billed charges ,"1,307.60",percent of total billed charges ,"1,307.60",percent of total billed charges ,"1,120.80",percent of total billed charges ,"1,120.80",percent of total billed charges ,"1,120.80",percent of total billed charges ,"1,120.80",percent of total billed charges ,,,,,993.78,percent of total billed charges ,,,,,944.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,429.64,percent of total billed charges,,,429.64,percent of total billed charges,,,429.64,percent of total billed charges,,,429.64,percent of total billed charges,,,429.64,percent of total billed charges,,,429.64,percent of total billed charges,,,429.64,percent of total billed charges,,,429.64,percent of total billed charges,,,429.64,percent of total billed charges,,,429.64,percent of total billed charges,,,429.64,percent of total billed charges,
AHP-CLSD RED SHOULDER DISLOC W/ ANESTH,23655,CDM,,,GF,both,,,"3,722.00","3,722.00",856.06,"3,722.00","3,722.00",percent of total billed charges,"3,722.00",percent of total billed charges,"3,722.00",percent of total billed charges,"3,722.00",percent of total billed charges,"3,722.00",percent of total billed charges,"3,722.00",percent of total billed charges,"3,722.00",percent of total billed charges,"3,722.00",percent of total billed charges,"2,679.84",percent of total billed charges,"2,679.84",percent of total billed charges,"2,679.84",percent of total billed charges,"2,679.84",percent of total billed charges,"2,679.84",percent of total billed charges,"2,679.84",percent of total billed charges,"2,940.38",percent of total billed charges,"2,940.38",percent of total billed charges,"2,977.60",percent of total billed charges,"2,977.60",percent of total billed charges,,,"2,679.84",percent of total billed charges ,,,"2,977.60",percent of total billed charges ,"2,940.38",percent of total billed charges ,"2,940.38",percent of total billed charges ,"3,163.70",percent of total billed charges ,"3,163.70",percent of total billed charges ,"2,977.60",percent of total billed charges ,"2,977.60",percent of total billed charges ,"2,605.40",percent of total billed charges ,"2,605.40",percent of total billed charges ,"2,233.20",percent of total billed charges ,"2,233.20",percent of total billed charges ,"2,233.20",percent of total billed charges ,"2,233.20",percent of total billed charges ,,,,,"1,980.10",percent of total billed charges ,,,,,"1,881.10",percent of total billed charges ,,,,,,,,,,,,,,,,,,,856.06,percent of total billed charges,,,856.06,percent of total billed charges,,,856.06,percent of total billed charges,,,856.06,percent of total billed charges,,,856.06,percent of total billed charges,,,856.06,percent of total billed charges,,,856.06,percent of total billed charges,,,856.06,percent of total billed charges,,,856.06,percent of total billed charges,,,856.06,percent of total billed charges,,,856.06,percent of total billed charges,
AHP-CLSD TRMNT TEMPOROMANDIBULAR JOINT,21480,CDM,,,GF,both,,,665,665,152.95,665,665,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,525.35,percent of total billed charges,525.35,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 ,525.35,percent of total billed charges ,525.35,percent of total billed charges ,565.25,percent of total billed charges ,565.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,152.95,percent of total billed charges,,,152.95,percent of total billed charges,,,152.95,percent of total billed charges,
PHY-PICC LINE REMOVAL,36589,CDM,,,GF,both,,,865,865,198.95,865,865,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,683.35,percent of total billed charges,683.35,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 ,683.35,percent of total billed charges ,683.35,percent of total billed charges ,735.25,percent of total billed charges ,735.25,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 ,,,,,,,,,,,,,,,,,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,
ER-PICC LINE REMOVAL,36589,CDM,,,GF,both,,,"3,339.00","3,339.00",767.97,"3,339.00","3,339.00",percent of total billed charges,"3,339.00",percent of total billed charges,"3,339.00",percent of total billed charges,"3,339.00",percent of total billed charges,"3,339.00",percent of total billed charges,"3,339.00",percent of total billed charges,"3,339.00",percent of total billed charges,"3,339.00",percent of total billed charges,"2,404.08",percent of total billed charges,"2,404.08",percent of total billed charges,"2,404.08",percent of total billed charges,"2,404.08",percent of total billed charges,"2,404.08",percent of total billed charges,"2,404.08",percent of total billed charges,"2,637.81",percent of total billed charges,"2,637.81",percent of total billed charges,"2,671.20",percent of total billed charges,"2,671.20",percent of total billed charges,,,"2,404.08",percent of total billed charges ,,,"2,671.20",percent of total billed charges ,"2,637.81",percent of total billed charges ,"2,637.81",percent of total billed charges ,"2,838.15",percent of total billed charges ,"2,838.15",percent of total billed charges ,"2,671.20",percent of total billed charges ,"2,671.20",percent of total billed charges ,"2,337.30",percent of total billed charges ,"2,337.30",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 ,,,,,"1,776.35",percent of total billed charges ,,,,,"1,687.53",percent of total billed charges ,,,,,,,,,,,,,,,,,,,767.97,percent of total billed charges,,,767.97,percent of total billed charges,,,767.97,percent of total billed charges,,,767.97,percent of total billed charges,,,767.97,percent of total billed charges,,,767.97,percent of total billed charges,,,767.97,percent of total billed charges,,,767.97,percent of total billed charges,,,767.97,percent of total billed charges,,,767.97,percent of total billed charges,,,767.97,percent of total billed charges,
AHP-PICC LINE REMOVAL,36589,CDM,,,GF,both,,,865,865,198.95,865,865,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,683.35,percent of total billed charges,683.35,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 ,683.35,percent of total billed charges ,683.35,percent of total billed charges ,735.25,percent of total billed charges ,735.25,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 ,,,,,,,,,,,,,,,,,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,
ER- COMPLEX REPAIR 1.1-2.5 CM,13120,CDM,,,GF,both,,,"1,744.00","1,744.00",401.12,"1,744.00","1,744.00",percent of total billed charges,"1,744.00",percent of total billed charges,"1,744.00",percent of total billed charges,"1,744.00",percent of total billed charges,"1,744.00",percent of total billed charges,"1,744.00",percent of total billed charges,"1,744.00",percent of total billed charges,"1,744.00",percent of total billed charges,"1,255.68",percent of total billed charges,"1,255.68",percent of total billed charges,"1,255.68",percent of total billed charges,"1,255.68",percent of total billed charges,"1,255.68",percent of total billed charges,"1,255.68",percent of total billed charges,"1,377.76",percent of total billed charges,"1,377.76",percent of total billed charges,"1,395.20",percent of total billed charges,"1,395.20",percent of total billed charges,,,"1,255.68",percent of total billed charges ,,,"1,395.20",percent of total billed charges ,"1,377.76",percent of total billed charges ,"1,377.76",percent of total billed charges ,"1,482.40",percent of total billed charges ,"1,482.40",percent of total billed charges ,"1,395.20",percent of total billed charges ,"1,395.20",percent of total billed charges ,"1,220.80",percent of total billed charges ,"1,220.80",percent of total billed charges ,"1,046.40",percent of total billed charges ,"1,046.40",percent of total billed charges ,"1,046.40",percent of total billed charges ,"1,046.40",percent of total billed charges ,,,,,927.81,percent of total billed charges ,,,,,881.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,401.12,percent of total billed charges,,,401.12,percent of total billed charges,,,401.12,percent of total billed charges,,,401.12,percent of total billed charges,,,401.12,percent of total billed charges,,,401.12,percent of total billed charges,,,401.12,percent of total billed charges,,,401.12,percent of total billed charges,,,401.12,percent of total billed charges,,,401.12,percent of total billed charges,,,401.12,percent of total billed charges,
**PHY-COMPLEX REPAIR 1.1-2.5CM,13121,CDM,,,GF,both,,,"1,634.00","1,634.00",375.82,"1,634.00","1,634.00",percent of total billed charges,"1,634.00",percent of total billed charges,"1,634.00",percent of total billed charges,"1,634.00",percent of total billed charges,"1,634.00",percent of total billed charges,"1,634.00",percent of total billed charges,"1,634.00",percent of total billed charges,"1,634.00",percent of total billed charges,"1,176.48",percent of total billed charges,"1,176.48",percent of total billed charges,"1,176.48",percent of total billed charges,"1,176.48",percent of total billed charges,"1,176.48",percent of total billed charges,"1,176.48",percent of total billed charges,"1,290.86",percent of total billed charges,"1,290.86",percent of total billed charges,"1,307.20",percent of total billed charges,"1,307.20",percent of total billed charges,,,"1,176.48",percent of total billed charges ,,,"1,307.20",percent of total billed charges ,"1,290.86",percent of total billed charges ,"1,290.86",percent of total billed charges ,"1,388.90",percent of total billed charges ,"1,388.90",percent of total billed charges ,"1,307.20",percent of total billed charges ,"1,307.20",percent of total billed charges ,"1,143.80",percent of total billed charges ,"1,143.80",percent of total billed charges ,980.4,percent of total billed charges ,980.4,percent of total billed charges ,980.4,percent of total billed charges ,980.4,percent of total billed charges ,,,,,869.29,percent of total billed charges ,,,,,825.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,375.82,percent of total billed charges,,,375.82,percent of total billed charges,,,375.82,percent of total billed charges,,,375.82,percent of total billed charges,,,375.82,percent of total billed charges,,,375.82,percent of total billed charges,,,375.82,percent of total billed charges,,,375.82,percent of total billed charges,,,375.82,percent of total billed charges,,,375.82,percent of total billed charges,,,375.82,percent of total billed charges,
PHY-EXCISION BENIGN LESION 0.6 TO 1.0,11401,CDM,,,GF,both,,,625,625,143.75,625,625,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,493.75,percent of total billed charges,493.75,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 ,493.75,percent of total billed charges ,493.75,percent of total billed charges ,531.25,percent of total billed charges ,531.25,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 ,,,,,,,,,,,,,,,,,,,143.75,percent of total billed charges,,,143.75,percent of total billed charges,,,143.75,percent of total billed charges,,,143.75,percent of total billed charges,,,143.75,percent of total billed charges,,,143.75,percent of total billed charges,,,143.75,percent of total billed charges,,,143.75,percent of total billed charges,,,143.75,percent of total billed charges,,,143.75,percent of total billed charges,,,143.75,percent of total billed charges,
AHP-EXCISION BENIGN LESION 0.6 TO 1.0,11401,CDM,,,GF,both,,,625,625,143.75,625,625,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,493.75,percent of total billed charges,493.75,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 ,493.75,percent of total billed charges ,493.75,percent of total billed charges ,531.25,percent of total billed charges ,531.25,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 ,,,,,,,,,,,,,,,,,,,143.75,percent of total billed charges,,,143.75,percent of total billed charges,,,143.75,percent of total billed charges,,,143.75,percent of total billed charges,,,143.75,percent of total billed charges,,,143.75,percent of total billed charges,,,143.75,percent of total billed charges,,,143.75,percent of total billed charges,,,143.75,percent of total billed charges,,,143.75,percent of total billed charges,,,143.75,percent of total billed charges,
ER-EXCISION BENIGN LESION,11401,CDM,,,GF,both,,,"2,641.00","2,641.00",607.43,"2,641.00","2,641.00",percent of total billed charges,"2,641.00",percent of total billed charges,"2,641.00",percent of total billed charges,"2,641.00",percent of total billed charges,"2,641.00",percent of total billed charges,"2,641.00",percent of total billed charges,"2,641.00",percent of total billed charges,"2,641.00",percent of total billed charges,"1,901.52",percent of total billed charges,"1,901.52",percent of total billed charges,"1,901.52",percent of total billed charges,"1,901.52",percent of total billed charges,"1,901.52",percent of total billed charges,"1,901.52",percent of total billed charges,"2,086.39",percent of total billed charges,"2,086.39",percent of total billed charges,"2,112.80",percent of total billed charges,"2,112.80",percent of total billed charges,,,"1,901.52",percent of total billed charges ,,,"2,112.80",percent of total billed charges ,"2,086.39",percent of total billed charges ,"2,086.39",percent of total billed charges ,"2,244.85",percent of total billed charges ,"2,244.85",percent of total billed charges ,"2,112.80",percent of total billed charges ,"2,112.80",percent of total billed charges ,"1,848.70",percent of total billed charges ,"1,848.70",percent of total billed charges ,"1,584.60",percent of total billed charges ,"1,584.60",percent of total billed charges ,"1,584.60",percent of total billed charges ,"1,584.60",percent of total billed charges ,,,,,"1,405.01",percent of total billed charges ,,,,,"1,334.76",percent of total billed charges ,,,,,,,,,,,,,,,,,,,607.43,percent of total billed charges,,,607.43,percent of total billed charges,,,607.43,percent of total billed charges,,,607.43,percent of total billed charges,,,607.43,percent of total billed charges,,,607.43,percent of total billed charges,,,607.43,percent of total billed charges,,,607.43,percent of total billed charges,,,607.43,percent of total billed charges,,,607.43,percent of total billed charges,,,607.43,percent of total billed charges,
PHY-REPAIR INTER FACE 12.6CM TO 20.0CM,12055,CDM,,,GF,both,,,"1,745.00","1,745.00",401.35,"1,745.00","1,745.00",percent of total billed charges,"1,745.00",percent of total billed charges,"1,745.00",percent of total billed charges,"1,745.00",percent of total billed charges,"1,745.00",percent of total billed charges,"1,745.00",percent of total billed charges,"1,745.00",percent of total billed charges,"1,745.00",percent of total billed charges,"1,256.40",percent of total billed charges,"1,256.40",percent of total billed charges,"1,256.40",percent of total billed charges,"1,256.40",percent of total billed charges,"1,256.40",percent of total billed charges,"1,256.40",percent of total billed charges,"1,378.55",percent of total billed charges,"1,378.55",percent of total billed charges,"1,396.00",percent of total billed charges,"1,396.00",percent of total billed charges,,,"1,256.40",percent of total billed charges ,,,"1,396.00",percent of total billed charges ,"1,378.55",percent of total billed charges ,"1,378.55",percent of total billed charges ,"1,483.25",percent of total billed charges ,"1,483.25",percent of total billed charges ,"1,396.00",percent of total billed charges ,"1,396.00",percent of total billed charges ,"1,221.50",percent of total billed charges ,"1,221.50",percent of total billed charges ,"1,047.00",percent of total billed charges ,"1,047.00",percent of total billed charges ,"1,047.00",percent of total billed charges ,"1,047.00",percent of total billed charges ,,,,,928.34,percent of total billed charges ,,,,,881.92,percent of total billed charges ,,,,,,,,,,,,,,,,,,,401.35,percent of total billed charges,,,401.35,percent of total billed charges,,,401.35,percent of total billed charges,,,401.35,percent of total billed charges,,,401.35,percent of total billed charges,,,401.35,percent of total billed charges,,,401.35,percent of total billed charges,,,401.35,percent of total billed charges,,,401.35,percent of total billed charges,,,401.35,percent of total billed charges,,,401.35,percent of total billed charges,
AHP-REPAIR INTER FACE 12.6CM TO 20.0 CM,12055,CDM,,,GF,both,,,"1,745.00","1,745.00",401.35,"1,745.00","1,745.00",percent of total billed charges,"1,745.00",percent of total billed charges,"1,745.00",percent of total billed charges,"1,745.00",percent of total billed charges,"1,745.00",percent of total billed charges,"1,745.00",percent of total billed charges,"1,745.00",percent of total billed charges,"1,745.00",percent of total billed charges,"1,256.40",percent of total billed charges,"1,256.40",percent of total billed charges,"1,256.40",percent of total billed charges,"1,256.40",percent of total billed charges,"1,256.40",percent of total billed charges,"1,256.40",percent of total billed charges,"1,378.55",percent of total billed charges,"1,378.55",percent of total billed charges,"1,396.00",percent of total billed charges,"1,396.00",percent of total billed charges,,,"1,256.40",percent of total billed charges ,,,"1,396.00",percent of total billed charges ,"1,378.55",percent of total billed charges ,"1,378.55",percent of total billed charges ,"1,483.25",percent of total billed charges ,"1,483.25",percent of total billed charges ,"1,396.00",percent of total billed charges ,"1,396.00",percent of total billed charges ,"1,221.50",percent of total billed charges ,"1,221.50",percent of total billed charges ,"1,047.00",percent of total billed charges ,"1,047.00",percent of total billed charges ,"1,047.00",percent of total billed charges ,"1,047.00",percent of total billed charges ,,,,,928.34,percent of total billed charges ,,,,,881.92,percent of total billed charges ,,,,,,,,,,,,,,,,,,,401.35,percent of total billed charges,,,401.35,percent of total billed charges,,,401.35,percent of total billed charges,,,401.35,percent of total billed charges,,,401.35,percent of total billed charges,,,401.35,percent of total billed charges,,,401.35,percent of total billed charges,,,401.35,percent of total billed charges,,,401.35,percent of total billed charges,,,401.35,percent of total billed charges,,,401.35,percent of total billed charges,
ER- REPAIR INTER FACE 12.6CM TO 20.0 CM,12055,CDM,,,GF,both,,,"1,192.00","1,192.00",274.16,"1,192.00","1,192.00",percent of total billed charges,"1,192.00",percent of total billed charges,"1,192.00",percent of total billed charges,"1,192.00",percent of total billed charges,"1,192.00",percent of total billed charges,"1,192.00",percent of total billed charges,"1,192.00",percent of total billed charges,"1,192.00",percent of total billed charges,858.24,percent of total billed charges,858.24,percent of total billed charges,858.24,percent of total billed charges,858.24,percent of total billed charges,858.24,percent of total billed charges,858.24,percent of total billed charges,941.68,percent of total billed charges,941.68,percent of total billed charges,953.6,percent of total billed charges,953.6,percent of total billed charges,,,858.24,percent of total billed charges ,,,953.6,percent of total billed charges ,941.68,percent of total billed charges ,941.68,percent of total billed charges ,"1,013.20",percent of total billed charges ,"1,013.20",percent of total billed charges ,953.6,percent of total billed charges ,953.6,percent of total billed charges ,834.4,percent of total billed charges ,834.4,percent of total billed charges ,715.2,percent of total billed charges ,715.2,percent of total billed charges ,715.2,percent of total billed charges ,715.2,percent of total billed charges ,,,,,634.14,percent of total billed charges ,,,,,602.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,274.16,percent of total billed charges,,,274.16,percent of total billed charges,,,274.16,percent of total billed charges,,,274.16,percent of total billed charges,,,274.16,percent of total billed charges,,,274.16,percent of total billed charges,,,274.16,percent of total billed charges,,,274.16,percent of total billed charges,,,274.16,percent of total billed charges,,,274.16,percent of total billed charges,,,274.16,percent of total billed charges,
PHY-CLSD TR DISTAL RADIAL FX W/MANIPULAT,25605,CDM,,,,both,,,"2,920.00","2,920.00",671.6,"2,920.00","2,920.00",percent of total billed charges,"2,920.00",percent of total billed charges,"2,920.00",percent of total billed charges,"2,920.00",percent of total billed charges,"2,920.00",percent of total billed charges,"2,920.00",percent of total billed charges,"2,920.00",percent of total billed charges,"2,920.00",percent of total billed charges,"2,102.40",percent of total billed charges,"2,102.40",percent of total billed charges,"2,102.40",percent of total billed charges,"2,102.40",percent of total billed charges,"2,102.40",percent of total billed charges,"2,102.40",percent of total billed charges,"2,306.80",percent of total billed charges,"2,306.80",percent of total billed charges,"2,336.00",percent of total billed charges,"2,336.00",percent of total billed charges,,,"2,102.40",percent of total billed charges ,,,"2,336.00",percent of total billed charges ,"2,306.80",percent of total billed charges ,"2,306.80",percent of total billed charges ,"2,482.00",percent of total billed charges ,"2,482.00",percent of total billed charges ,"2,336.00",percent of total billed charges ,"2,336.00",percent of total billed charges ,"2,044.00",percent of total billed charges ,"2,044.00",percent of total billed charges ,"1,752.00",percent of total billed charges ,"1,752.00",percent of total billed charges ,"1,752.00",percent of total billed charges ,"1,752.00",percent of total billed charges ,,,,,"1,553.44",percent of total billed charges ,,,,,"1,475.77",percent of total billed charges ,,,,,,,,,,,,,,,,,,,671.6,percent of total billed charges,,,671.6,percent of total billed charges,,,671.6,percent of total billed charges,,,671.6,percent of total billed charges,,,671.6,percent of total billed charges,,,671.6,percent of total billed charges,,,671.6,percent of total billed charges,,,671.6,percent of total billed charges,,,671.6,percent of total billed charges,,,671.6,percent of total billed charges,,,671.6,percent of total billed charges,
BLOOD ADMINISTRATION 2 - 4 HRS,36430,CDM,,,GF,both,,,"1,498.00","1,498.00",344.54,"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,"1,183.42",percent of total billed charges,"1,183.42",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 ,"1,183.42",percent of total billed charges ,"1,183.42",percent of total billed charges ,"1,273.30",percent of total billed charges ,"1,273.30",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 ,,,,,,,,,,,,,,,,,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,,,344.54,percent of total billed charges,
BLOOD ADMINISTRATION > 4 HRS,36430,CDM,,,GF,both,,,"2,442.00","2,442.00",561.66,"2,442.00","2,442.00",percent of total billed charges,"2,442.00",percent of total billed charges,"2,442.00",percent of total billed charges,"2,442.00",percent of total billed charges,"2,442.00",percent of total billed charges,"2,442.00",percent of total billed charges,"2,442.00",percent of total billed charges,"2,442.00",percent of total billed charges,"1,758.24",percent of total billed charges,"1,758.24",percent of total billed charges,"1,758.24",percent of total billed charges,"1,758.24",percent of total billed charges,"1,758.24",percent of total billed charges,"1,758.24",percent of total billed charges,"1,929.18",percent of total billed charges,"1,929.18",percent of total billed charges,"1,953.60",percent of total billed charges,"1,953.60",percent of total billed charges,,,"1,758.24",percent of total billed charges ,,,"1,953.60",percent of total billed charges ,"1,929.18",percent of total billed charges ,"1,929.18",percent of total billed charges ,"2,075.70",percent of total billed charges ,"2,075.70",percent of total billed charges ,"1,953.60",percent of total billed charges ,"1,953.60",percent of total billed charges ,"1,709.40",percent of total billed charges ,"1,709.40",percent of total billed charges ,"1,465.20",percent of total billed charges ,"1,465.20",percent of total billed charges ,"1,465.20",percent of total billed charges ,"1,465.20",percent of total billed charges ,,,,,"1,299.14",percent of total billed charges ,,,,,"1,234.19",percent of total billed charges ,,,,,,,,,,,,,,,,,,,561.66,percent of total billed charges,,,561.66,percent of total billed charges,,,561.66,percent of total billed charges,,,561.66,percent of total billed charges,,,561.66,percent of total billed charges,,,561.66,percent of total billed charges,,,561.66,percent of total billed charges,,,561.66,percent of total billed charges,,,561.66,percent of total billed charges,,,561.66,percent of total billed charges,,,561.66,percent of total billed charges,
CONT INHALATION TR W/ AEROSAL 1ST HR,94644,CDM,,,,both,,,428,428,98.44,428,428,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,338.12,percent of total billed charges,338.12,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 ,338.12,percent of total billed charges ,338.12,percent of total billed charges ,363.8,percent of total billed charges ,363.8,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 ,,,,,,,,,,,,,,,,,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,
ER-INITIAL TREATMENT 1ST DEGREE BURN,16000,CDM,,,GF,both,,,468,468,107.64,468,468,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,369.72,percent of total billed charges,369.72,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 ,369.72,percent of total billed charges ,369.72,percent of total billed charges ,397.8,percent of total billed charges ,397.8,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 ,,,,,,,,,,,,,,,,,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,
**ER-EPISTAXIS CONTROL ANTERIOR SIMP,30901,CDM,,,GF,both,,,667,667,153.41,667,667,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,526.93,percent of total billed charges,526.93,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 ,526.93,percent of total billed charges ,526.93,percent of total billed charges ,566.95,percent of total billed charges ,566.95,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 ,,,,,,,,,,,,,,,,,,,153.41,percent of total billed charges,,,153.41,percent of total billed charges,,,153.41,percent of total billed charges,,,153.41,percent of total billed charges,,,153.41,percent of total billed charges,,,153.41,percent of total billed charges,,,153.41,percent of total billed charges,,,153.41,percent of total billed charges,,,153.41,percent of total billed charges,,,153.41,percent of total billed charges,,,153.41,percent of total billed charges,
ER-EPISTAXIS CONTROL ANTERIOR COMPLEX,30903,CDM,,,,both,,,755,755,173.65,755,755,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,596.45,percent of total billed charges,596.45,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 ,596.45,percent of total billed charges ,596.45,percent of total billed charges ,641.75,percent of total billed charges ,641.75,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 ,,,,,,,,,,,,,,,,,,,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,
ER-EPISTAXIS CONTROL POST CAUTERY INT,30905,CDM,,,GF,both,,,752,752,172.96,752,752,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,594.08,percent of total billed charges,594.08,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 ,594.08,percent of total billed charges ,594.08,percent of total billed charges ,639.2,percent of total billed charges ,639.2,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 ,,,,,,,,,,,,,,,,,,,172.96,percent of total billed charges,,,172.96,percent of total billed charges,,,172.96,percent of total billed charges,,,172.96,percent of total billed charges,,,172.96,percent of total billed charges,,,172.96,percent of total billed charges,,,172.96,percent of total billed charges,,,172.96,percent of total billed charges,,,172.96,percent of total billed charges,,,172.96,percent of total billed charges,,,172.96,percent of total billed charges,
ER-EPISTAXIS CONTROL POST CAUTERY SUBQ,30906,CDM,,,,both,,,740,740,170.2,740,740,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,584.6,percent of total billed charges,584.6,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 ,584.6,percent of total billed charges ,584.6,percent of total billed charges ,629,percent of total billed charges ,629,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 ,,,,,,,,,,,,,,,,,,,170.2,percent of total billed charges,,,170.2,percent of total billed charges,,,170.2,percent of total billed charges,,,170.2,percent of total billed charges,,,170.2,percent of total billed charges,,,170.2,percent of total billed charges,,,170.2,percent of total billed charges,,,170.2,percent of total billed charges,,,170.2,percent of total billed charges,,,170.2,percent of total billed charges,,,170.2,percent of total billed charges,
ER-STRAIGHT CATH FOR RESIDUAL URINE,51701,CDM,,,,both,,,338,338,77.74,338,338,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,267.02,percent of total billed charges,267.02,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 ,267.02,percent of total billed charges ,267.02,percent of total billed charges ,287.3,percent of total billed charges ,287.3,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 ,,,,,,,,,,,,,,,,,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,
ER-INDWELLING CATH INSERTION COMPLICATED,51703,CDM,,,,both,,,656,656,150.88,656,656,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,518.24,percent of total billed charges,518.24,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 ,518.24,percent of total billed charges ,518.24,percent of total billed charges ,557.6,percent of total billed charges ,557.6,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 ,,,,,,,,,,,,,,,,,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,
ER-BLADDER SCAN URINE MEASUREMENT,51798,CDM,,,,both,,,280,280,64.4,280,280,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,221.2,percent of total billed charges,221.2,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 ,221.2,percent of total billed charges ,221.2,percent of total billed charges ,238,percent of total billed charges ,238,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 ,,,,,,,,,,,,,,,,,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,
ER-STRAIGHT CATH URINE SPECIMEN ONLY,P9612,CDM,,,,both,,,134,134,30.82,134,134,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,105.86,percent of total billed charges,105.86,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 ,105.86,percent of total billed charges ,105.86,percent of total billed charges ,113.9,percent of total billed charges ,113.9,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,30.82,percent of total billed charges,,,30.82,percent of total billed charges,,,30.82,percent of total billed charges,
ER-REMOVAL CERUMEN IRRIG/LAVAGE UNILAT,69209,CDM,,,,both,,,353,353,81.19,353,353,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,278.87,percent of total billed charges,278.87,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 ,278.87,percent of total billed charges ,278.87,percent of total billed charges ,300.05,percent of total billed charges ,300.05,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 ,,,,,,,,,,,,,,,,,,,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,,,81.19,percent of total billed charges,,,81.19,percent of total billed charges,,,81.19,percent of total billed charges,
ER-IMMUNIZATION ADMIN EA ADD'L VACCINE,90472,CDM,,,,both,,,90,90,20.7,90,90,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,71.1,percent of total billed charges,71.1,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 ,71.1,percent of total billed charges ,71.1,percent of total billed charges ,76.5,percent of total billed charges ,76.5,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
ER-CONSCIOUS SEDATIN < 5YR 1ST 30 MIN,99155,CDM,,,,both,,,475,475,109.25,475,475,percent of total billed charges,475,percent of total billed charges,475,percent of total billed charges,475,percent of total billed charges,475,percent of total billed charges,475,percent of total billed charges,475,percent of total billed charges,475,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,375.25,percent of total billed charges,375.25,percent of total billed charges,380,percent of total billed charges,380,percent of total billed charges,,,342,percent of total billed charges ,,,380,percent of total billed charges ,375.25,percent of total billed charges ,375.25,percent of total billed charges ,403.75,percent of total billed charges ,403.75,percent of total billed charges ,380,percent of total billed charges ,380,percent of total billed charges ,332.5,percent of total billed charges ,332.5,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 ,,,,,252.7,percent of total billed charges ,,,,,240.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,109.25,percent of total billed charges,,,109.25,percent of total billed charges,,,109.25,percent of total billed charges,,,109.25,percent of total billed charges,,,109.25,percent of total billed charges,,,109.25,percent of total billed charges,,,109.25,percent of total billed charges,,,109.25,percent of total billed charges,,,109.25,percent of total billed charges,,,109.25,percent of total billed charges,,,109.25,percent of total billed charges,
ER-CONSCIOUS SEDATIN > 5YR 1ST 30 MIN,99155,CDM,,,,both,,,656,656,150.88,656,656,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,518.24,percent of total billed charges,518.24,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 ,518.24,percent of total billed charges ,518.24,percent of total billed charges ,557.6,percent of total billed charges ,557.6,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 ,,,,,,,,,,,,,,,,,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,
ER-CONSCIOUS SEDATIN EA ADD'L 30 MIN,99155,CDM,,,,both,,,298,298,68.54,298,298,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,235.42,percent of total billed charges,235.42,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 ,235.42,percent of total billed charges ,235.42,percent of total billed charges ,253.3,percent of total billed charges ,253.3,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 ,,,,,,,,,,,,,,,,,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,
PHY-REPAIR COMPLEX 1.1-2.5CM,13120,CDM,,,GF,both,,,"1,540.00","1,540.00",354.2,"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,"1,216.60",percent of total billed charges,"1,216.60",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 ,"1,216.60",percent of total billed charges ,"1,216.60",percent of total billed charges ,"1,309.00",percent of total billed charges ,"1,309.00",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 ,,,,,,,,,,,,,,,,,,,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,,,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,
PHY-CLSD TR IP JOINT DISLOC W/ ANESTH,26775,CDM,,,GF,both,,,"1,946.00","1,946.00",447.58,"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,"1,537.34",percent of total billed charges,"1,537.34",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 ,"1,537.34",percent of total billed charges ,"1,537.34",percent of total billed charges ,"1,654.10",percent of total billed charges ,"1,654.10",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 ,,,,,,,,,,,,,,,,,,,447.58,percent of total billed charges,,,447.58,percent of total billed charges,,,447.58,percent of total billed charges,,,447.58,percent of total billed charges,,,447.58,percent of total billed charges,,,447.58,percent of total billed charges,,,447.58,percent of total billed charges,,,447.58,percent of total billed charges,,,447.58,percent of total billed charges,,,447.58,percent of total billed charges,,,447.58,percent of total billed charges,
ER-CLS TREAT OF FINGER DISLOCATION W ANE,26775,CDM,,,GF,both,,,"1,795.00","1,795.00",412.85,"1,795.00","1,795.00",percent of total billed charges,"1,795.00",percent of total billed charges,"1,795.00",percent of total billed charges,"1,795.00",percent of total billed charges,"1,795.00",percent of total billed charges,"1,795.00",percent of total billed charges,"1,795.00",percent of total billed charges,"1,795.00",percent of total billed charges,"1,292.40",percent of total billed charges,"1,292.40",percent of total billed charges,"1,292.40",percent of total billed charges,"1,292.40",percent of total billed charges,"1,292.40",percent of total billed charges,"1,292.40",percent of total billed charges,"1,418.05",percent of total billed charges,"1,418.05",percent of total billed charges,"1,436.00",percent of total billed charges,"1,436.00",percent of total billed charges,,,"1,292.40",percent of total billed charges ,,,"1,436.00",percent of total billed charges ,"1,418.05",percent of total billed charges ,"1,418.05",percent of total billed charges ,"1,525.75",percent of total billed charges ,"1,525.75",percent of total billed charges ,"1,436.00",percent of total billed charges ,"1,436.00",percent of total billed charges ,"1,256.50",percent of total billed charges ,"1,256.50",percent of total billed charges ,"1,077.00",percent of total billed charges ,"1,077.00",percent of total billed charges ,"1,077.00",percent of total billed charges ,"1,077.00",percent of total billed charges ,,,,,954.94,percent of total billed charges ,,,,,907.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,412.85,percent of total billed charges,,,412.85,percent of total billed charges,,,412.85,percent of total billed charges,,,412.85,percent of total billed charges,,,412.85,percent of total billed charges,,,412.85,percent of total billed charges,,,412.85,percent of total billed charges,,,412.85,percent of total billed charges,,,412.85,percent of total billed charges,,,412.85,percent of total billed charges,,,412.85,percent of total billed charges,
AHP-CLSD TR INTERPHALAGEAL JOINT,26775,CDM,,,GF,both,,,"1,946.00","1,946.00",447.58,"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,"1,537.34",percent of total billed charges,"1,537.34",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 ,"1,537.34",percent of total billed charges ,"1,537.34",percent of total billed charges ,"1,654.10",percent of total billed charges ,"1,654.10",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 ,,,,,,,,,,,,,,,,,,,447.58,percent of total billed charges,,,447.58,percent of total billed charges,,,447.58,percent of total billed charges,,,447.58,percent of total billed charges,,,447.58,percent of total billed charges,,,447.58,percent of total billed charges,,,447.58,percent of total billed charges,,,447.58,percent of total billed charges,,,447.58,percent of total billed charges,,,447.58,percent of total billed charges,,,447.58,percent of total billed charges,
AHP-CMPLX REPR SCALP/ARM/LEG 1.1-2.5CM,13120,CDM,,,GF,both,,,"1,933.00","1,933.00",444.59,"1,933.00","1,933.00",percent of total billed charges,"1,933.00",percent of total billed charges,"1,933.00",percent of total billed charges,"1,933.00",percent of total billed charges,"1,933.00",percent of total billed charges,"1,933.00",percent of total billed charges,"1,933.00",percent of total billed charges,"1,933.00",percent of total billed charges,"1,391.76",percent of total billed charges,"1,391.76",percent of total billed charges,"1,391.76",percent of total billed charges,"1,391.76",percent of total billed charges,"1,391.76",percent of total billed charges,"1,391.76",percent of total billed charges,"1,527.07",percent of total billed charges,"1,527.07",percent of total billed charges,"1,546.40",percent of total billed charges,"1,546.40",percent of total billed charges,,,"1,391.76",percent of total billed charges ,,,"1,546.40",percent of total billed charges ,"1,527.07",percent of total billed charges ,"1,527.07",percent of total billed charges ,"1,643.05",percent of total billed charges ,"1,643.05",percent of total billed charges ,"1,546.40",percent of total billed charges ,"1,546.40",percent of total billed charges ,"1,353.10",percent of total billed charges ,"1,353.10",percent of total billed charges ,"1,159.80",percent of total billed charges ,"1,159.80",percent of total billed charges ,"1,159.80",percent of total billed charges ,"1,159.80",percent of total billed charges ,,,,,"1,028.36",percent of total billed charges ,,,,,976.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,444.59,percent of total billed charges,,,444.59,percent of total billed charges,,,444.59,percent of total billed charges,,,444.59,percent of total billed charges,,,444.59,percent of total billed charges,,,444.59,percent of total billed charges,,,444.59,percent of total billed charges,,,444.59,percent of total billed charges,,,444.59,percent of total billed charges,,,444.59,percent of total billed charges,,,444.59,percent of total billed charges,
ER-DEBE EACH ADD 20SQ CM OR PART OF,11045,CDM,,,,both,,,"1,428.00","1,428.00",328.44,"1,428.00","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,"1,428.00",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,"1,028.16",percent of total billed charges,"1,028.16",percent of total billed charges,"1,028.16",percent of total billed charges,"1,028.16",percent of total billed charges,"1,028.16",percent of total billed charges,"1,028.16",percent of total billed charges,"1,128.12",percent of total billed charges,"1,128.12",percent of total billed charges,"1,142.40",percent of total billed charges,"1,142.40",percent of total billed charges,,,"1,028.16",percent of total billed charges ,,,"1,142.40",percent of total billed charges ,"1,128.12",percent of total billed charges ,"1,128.12",percent of total billed charges ,"1,213.80",percent of total billed charges ,"1,213.80",percent of total billed charges ,"1,142.40",percent of total billed charges ,"1,142.40",percent of total billed charges ,999.6,percent of total billed charges ,999.6,percent of total billed charges ,856.8,percent of total billed charges ,856.8,percent of total billed charges ,856.8,percent of total billed charges ,856.8,percent of total billed charges ,,,,,759.7,percent of total billed charges ,,,,,721.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,328.44,percent of total billed charges,,,328.44,percent of total billed charges,,,328.44,percent of total billed charges,,,328.44,percent of total billed charges,,,328.44,percent of total billed charges,,,328.44,percent of total billed charges,,,328.44,percent of total billed charges,,,328.44,percent of total billed charges,,,328.44,percent of total billed charges,,,328.44,percent of total billed charges,,,328.44,percent of total billed charges,
AHP-CLOSED RADIAL HEAD SUBLU/CHILD W/MAN,24640,CDM,,,GF,both,,,529,529,121.67,529,529,percent of total billed charges,529,percent of total billed charges,529,percent of total billed charges,529,percent of total billed charges,529,percent of total billed charges,529,percent of total billed charges,529,percent of total billed charges,529,percent of total billed charges,380.88,percent of total billed charges,380.88,percent of total billed charges,380.88,percent of total billed charges,380.88,percent of total billed charges,380.88,percent of total billed charges,380.88,percent of total billed charges,417.91,percent of total billed charges,417.91,percent of total billed charges,423.2,percent of total billed charges,423.2,percent of total billed charges,,,380.88,percent of total billed charges ,,,423.2,percent of total billed charges ,417.91,percent of total billed charges ,417.91,percent of total billed charges ,449.65,percent of total billed charges ,449.65,percent of total billed charges ,423.2,percent of total billed charges ,423.2,percent of total billed charges ,370.3,percent of total billed charges ,370.3,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 ,,,,,281.43,percent of total billed charges ,,,,,267.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,121.67,percent of total billed charges,,,121.67,percent of total billed charges,,,121.67,percent of total billed charges,,,121.67,percent of total billed charges,,,121.67,percent of total billed charges,,,121.67,percent of total billed charges,,,121.67,percent of total billed charges,,,121.67,percent of total billed charges,,,121.67,percent of total billed charges,,,121.67,percent of total billed charges,,,121.67,percent of total billed charges,
ER-FTG & INSERT OF PESSARY OR OTHER INTR,57160,CDM,,,,both,,,433,433,99.59,433,433,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,342.07,percent of total billed charges,342.07,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 ,342.07,percent of total billed charges ,342.07,percent of total billed charges ,368.05,percent of total billed charges ,368.05,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 ,,,,,,,,,,,,,,,,,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,
AHP-CHEMICAL CAUTERY TISSUE,17250,CDM,,,GF,both,,,265,265,60.95,265,265,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,209.35,percent of total billed charges,209.35,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 ,209.35,percent of total billed charges ,209.35,percent of total billed charges ,225.25,percent of total billed charges ,225.25,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 ,,,,,,,,,,,,,,,,,,,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,,,60.95,percent of total billed charges,,,60.95,percent of total billed charges,,,60.95,percent of total billed charges,
PHY-REMOVAL FB EXT EYE W/SLIT LAMP,65222,CDM,,,GF,both,,,277,277,63.71,277,277,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,218.83,percent of total billed charges,218.83,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 ,218.83,percent of total billed charges ,218.83,percent of total billed charges ,235.45,percent of total billed charges ,235.45,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 ,,,,,,,,,,,,,,,,,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,
AHP-REMOVAL FB EXT EYE W/SLIT LAMP,65222,CDM,,,GF,both,,,277,277,63.71,277,277,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,218.83,percent of total billed charges,218.83,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 ,218.83,percent of total billed charges ,218.83,percent of total billed charges ,235.45,percent of total billed charges ,235.45,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 ,,,,,,,,,,,,,,,,,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,
ER-REMOVAL FB EXT EYE W/SLIT LAMP,65222,CDM,,,GF,both,,,603,603,138.69,603,603,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,476.37,percent of total billed charges,476.37,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 ,476.37,percent of total billed charges ,476.37,percent of total billed charges ,512.55,percent of total billed charges ,512.55,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 ,,,,,,,,,,,,,,,,,,,138.69,percent of total billed charges,,,138.69,percent of total billed charges,,,138.69,percent of total billed charges,,,138.69,percent of total billed charges,,,138.69,percent of total billed charges,,,138.69,percent of total billed charges,,,138.69,percent of total billed charges,,,138.69,percent of total billed charges,,,138.69,percent of total billed charges,,,138.69,percent of total billed charges,,,138.69,percent of total billed charges,
AHP-EMERGENCY LEVEL IV,99284,CDM,,,GF,both,,,963,963,221.49,"4,550.00",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,760.77,percent of total billed charges,760.77,percent of total billed charges,770.4,percent of total billed charges,770.4,percent of total billed charges,,,"4,550.00",ER Case Rate,,,770.4,percent of total billed charges ,760.77,percent of total billed charges ,760.77,percent of total billed charges ,818.55,percent of total billed charges ,818.55,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 ,,,,,,,,,,,,,,,,,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,
AHP-EMERGENCY LEVEL V,99285,CDM,,,GF,both,,,"1,263.00","1,263.00",290.49,"6,600.00","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,"1,263.00",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,909.36,percent of total billed charges,909.36,percent of total billed charges,909.36,percent of total billed charges,909.36,percent of total billed charges,909.36,percent of total billed charges,909.36,percent of total billed charges,997.77,percent of total billed charges,997.77,percent of total billed charges,"1,010.40",percent of total billed charges,"1,010.40",percent of total billed charges,,,"6,600.00",ER Case Rate,,,"1,010.40",percent of total billed charges ,997.77,percent of total billed charges ,997.77,percent of total billed charges ,"1,073.55",percent of total billed charges ,"1,073.55",percent of total billed charges ,"1,010.40",percent of total billed charges ,"1,010.40",percent of total billed charges ,884.1,percent of total billed charges ,884.1,percent of total billed charges ,757.8,percent of total billed charges ,757.8,percent of total billed charges ,757.8,percent of total billed charges ,757.8,percent of total billed charges ,,,,,671.92,percent of total billed charges ,,,,,638.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,
PHY-REPAIR INTERM WNDS-FACE 5.1CM -7.5CM,12053,CDM,,,GF,both,,,"1,177.00","1,177.00",270.71,"1,177.00","1,177.00",percent of total billed charges,"1,177.00",percent of total billed charges,"1,177.00",percent of total billed charges,"1,177.00",percent of total billed charges,"1,177.00",percent of total billed charges,"1,177.00",percent of total billed charges,"1,177.00",percent of total billed charges,"1,177.00",percent of total billed charges,847.44,percent of total billed charges,847.44,percent of total billed charges,847.44,percent of total billed charges,847.44,percent of total billed charges,847.44,percent of total billed charges,847.44,percent of total billed charges,929.83,percent of total billed charges,929.83,percent of total billed charges,941.6,percent of total billed charges,941.6,percent of total billed charges,,,847.44,percent of total billed charges ,,,941.6,percent of total billed charges ,929.83,percent of total billed charges ,929.83,percent of total billed charges ,"1,000.45",percent of total billed charges ,"1,000.45",percent of total billed charges ,941.6,percent of total billed charges ,941.6,percent of total billed charges ,823.9,percent of total billed charges ,823.9,percent of total billed charges ,706.2,percent of total billed charges ,706.2,percent of total billed charges ,706.2,percent of total billed charges ,706.2,percent of total billed charges ,,,,,626.16,percent of total billed charges ,,,,,594.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,270.71,percent of total billed charges,,,270.71,percent of total billed charges,,,270.71,percent of total billed charges,,,270.71,percent of total billed charges,,,270.71,percent of total billed charges,,,270.71,percent of total billed charges,,,270.71,percent of total billed charges,,,270.71,percent of total billed charges,,,270.71,percent of total billed charges,,,270.71,percent of total billed charges,,,270.71,percent of total billed charges,
ER-I&D ABCESS COMPLICATED OR MULT,10061,CDM,,,GF,both,,,"1,415.00","1,415.00",325.45,"1,415.00","1,415.00",percent of total billed charges,"1,415.00",percent of total billed charges,"1,415.00",percent of total billed charges,"1,415.00",percent of total billed charges,"1,415.00",percent of total billed charges,"1,415.00",percent of total billed charges,"1,415.00",percent of total billed charges,"1,415.00",percent of total billed charges,"1,018.80",percent of total billed charges,"1,018.80",percent of total billed charges,"1,018.80",percent of total billed charges,"1,018.80",percent of total billed charges,"1,018.80",percent of total billed charges,"1,018.80",percent of total billed charges,"1,117.85",percent of total billed charges,"1,117.85",percent of total billed charges,"1,132.00",percent of total billed charges,"1,132.00",percent of total billed charges,,,"1,018.80",percent of total billed charges ,,,"1,132.00",percent of total billed charges ,"1,117.85",percent of total billed charges ,"1,117.85",percent of total billed charges ,"1,202.75",percent of total billed charges ,"1,202.75",percent of total billed charges ,"1,132.00",percent of total billed charges ,"1,132.00",percent of total billed charges ,990.5,percent of total billed charges ,990.5,percent of total billed charges ,849,percent of total billed charges ,849,percent of total billed charges ,849,percent of total billed charges ,849,percent of total billed charges ,,,,,752.78,percent of total billed charges ,,,,,715.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,325.45,percent of total billed charges,,,325.45,percent of total billed charges,,,325.45,percent of total billed charges,,,325.45,percent of total billed charges,,,325.45,percent of total billed charges,,,325.45,percent of total billed charges,,,325.45,percent of total billed charges,,,325.45,percent of total billed charges,,,325.45,percent of total billed charges,,,325.45,percent of total billed charges,,,325.45,percent of total billed charges,
AHP-CLSD TX INTRPHLGL JT DISCOLCATION,26700,CDM,,,GF,both,,,"1,342.00","1,342.00",308.66,"1,342.00","1,342.00",percent of total billed charges,"1,342.00",percent of total billed charges,"1,342.00",percent of total billed charges,"1,342.00",percent of total billed charges,"1,342.00",percent of total billed charges,"1,342.00",percent of total billed charges,"1,342.00",percent of total billed charges,"1,342.00",percent of total billed charges,966.24,percent of total billed charges,966.24,percent of total billed charges,966.24,percent of total billed charges,966.24,percent of total billed charges,966.24,percent of total billed charges,966.24,percent of total billed charges,"1,060.18",percent of total billed charges,"1,060.18",percent of total billed charges,"1,073.60",percent of total billed charges,"1,073.60",percent of total billed charges,,,966.24,percent of total billed charges ,,,"1,073.60",percent of total billed charges ,"1,060.18",percent of total billed charges ,"1,060.18",percent of total billed charges ,"1,140.70",percent of total billed charges ,"1,140.70",percent of total billed charges ,"1,073.60",percent of total billed charges ,"1,073.60",percent of total billed charges ,939.4,percent of total billed charges ,939.4,percent of total billed charges ,805.2,percent of total billed charges ,805.2,percent of total billed charges ,805.2,percent of total billed charges ,805.2,percent of total billed charges ,,,,,713.94,percent of total billed charges ,,,,,678.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,308.66,percent of total billed charges,,,308.66,percent of total billed charges,,,308.66,percent of total billed charges,,,308.66,percent of total billed charges,,,308.66,percent of total billed charges,,,308.66,percent of total billed charges,,,308.66,percent of total billed charges,,,308.66,percent of total billed charges,,,308.66,percent of total billed charges,,,308.66,percent of total billed charges,,,308.66,percent of total billed charges,
**CLS TREAT-METERSOPLNGL JT DISLOC,28630,CDM,,,,both,,,595,595,136.85,595,595,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,470.05,percent of total billed charges,470.05,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 ,470.05,percent of total billed charges ,470.05,percent of total billed charges ,505.75,percent of total billed charges ,505.75,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 ,,,,,,,,,,,,,,,,,,,136.85,percent of total billed charges,,,136.85,percent of total billed charges,,,136.85,percent of total billed charges,,,136.85,percent of total billed charges,,,136.85,percent of total billed charges,,,136.85,percent of total billed charges,,,136.85,percent of total billed charges,,,136.85,percent of total billed charges,,,136.85,percent of total billed charges,,,136.85,percent of total billed charges,,,136.85,percent of total billed charges,
AHP-REM FOREIGN BODY UPPR ARM ELB,24200,CDM,,,GF,both,,,752,752,172.96,752,752,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,594.08,percent of total billed charges,594.08,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 ,594.08,percent of total billed charges ,594.08,percent of total billed charges ,639.2,percent of total billed charges ,639.2,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 ,,,,,,,,,,,,,,,,,,,172.96,percent of total billed charges,,,172.96,percent of total billed charges,,,172.96,percent of total billed charges,,,172.96,percent of total billed charges,,,172.96,percent of total billed charges,,,172.96,percent of total billed charges,,,172.96,percent of total billed charges,,,172.96,percent of total billed charges,,,172.96,percent of total billed charges,,,172.96,percent of total billed charges,,,172.96,percent of total billed charges,
EXTENDED ED VISIT DAILY CHARGE,99499,CDM,,,GN,both,,,985,985,226.55,985,985,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,778.15,percent of total billed charges,778.15,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 ,778.15,percent of total billed charges ,778.15,percent of total billed charges ,837.25,percent of total billed charges ,837.25,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 ,,,,,,,,,,,,,,,,,,,226.55,percent of total billed charges,,,226.55,percent of total billed charges,,,226.55,percent of total billed charges,,,226.55,percent of total billed charges,,,226.55,percent of total billed charges,,,226.55,percent of total billed charges,,,226.55,percent of total billed charges,,,226.55,percent of total billed charges,,,226.55,percent of total billed charges,,,226.55,percent of total billed charges,,,226.55,percent of total billed charges,
AHP-EJ LINE PLACEMENT,36000,CDM,,,GF,both,,,"1,565.00","1,565.00",359.95,"1,565.00","1,565.00",percent of total billed charges,"1,565.00",percent of total billed charges,"1,565.00",percent of total billed charges,"1,565.00",percent of total billed charges,"1,565.00",percent of total billed charges,"1,565.00",percent of total billed charges,"1,565.00",percent of total billed charges,"1,565.00",percent of total billed charges,"1,126.80",percent of total billed charges,"1,126.80",percent of total billed charges,"1,126.80",percent of total billed charges,"1,126.80",percent of total billed charges,"1,126.80",percent of total billed charges,"1,126.80",percent of total billed charges,"1,236.35",percent of total billed charges,"1,236.35",percent of total billed charges,"1,252.00",percent of total billed charges,"1,252.00",percent of total billed charges,,,"1,126.80",percent of total billed charges ,,,"1,252.00",percent of total billed charges ,"1,236.35",percent of total billed charges ,"1,236.35",percent of total billed charges ,"1,330.25",percent of total billed charges ,"1,330.25",percent of total billed charges ,"1,252.00",percent of total billed charges ,"1,252.00",percent of total billed charges ,"1,095.50",percent of total billed charges ,"1,095.50",percent of total billed charges ,939,percent of total billed charges ,939,percent of total billed charges ,939,percent of total billed charges ,939,percent of total billed charges ,,,,,832.58,percent of total billed charges ,,,,,790.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,359.95,percent of total billed charges,,,359.95,percent of total billed charges,,,359.95,percent of total billed charges,,,359.95,percent of total billed charges,,,359.95,percent of total billed charges,,,359.95,percent of total billed charges,,,359.95,percent of total billed charges,,,359.95,percent of total billed charges,,,359.95,percent of total billed charges,,,359.95,percent of total billed charges,,,359.95,percent of total billed charges,
ER-EJ LINE PLACEMENT,36000,CDM,,,GF,both,,,465,465,106.95,465,465,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,367.35,percent of total billed charges,367.35,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 ,367.35,percent of total billed charges ,367.35,percent of total billed charges ,395.25,percent of total billed charges ,395.25,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 ,,,,,,,,,,,,,,,,,,,106.95,percent of total billed charges,,,106.95,percent of total billed charges,,,106.95,percent of total billed charges,,,106.95,percent of total billed charges,,,106.95,percent of total billed charges,,,106.95,percent of total billed charges,,,106.95,percent of total billed charges,,,106.95,percent of total billed charges,,,106.95,percent of total billed charges,,,106.95,percent of total billed charges,,,106.95,percent of total billed charges,
PHY-EJ LINE PLACEMENT,64405,CDM,,,,both,,,348,348,80.04,348,348,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,274.92,percent of total billed charges,274.92,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 ,274.92,percent of total billed charges ,274.92,percent of total billed charges ,295.8,percent of total billed charges ,295.8,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 ,,,,,,,,,,,,,,,,,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,
PHY-REPAIR TENDON/MUSCLE/EXTENSOR/FOREAR,25270,CDM,,,GF,both,,,"2,625.00","2,625.00",603.75,"2,625.00","2,625.00",percent of total billed charges,"2,625.00",percent of total billed charges,"2,625.00",percent of total billed charges,"2,625.00",percent of total billed charges,"2,625.00",percent of total billed charges,"2,625.00",percent of total billed charges,"2,625.00",percent of total billed charges,"2,625.00",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,"2,073.75",percent of total billed charges,"2,073.75",percent of total billed charges,"2,100.00",percent of total billed charges,"2,100.00",percent of total billed charges,,,"1,890.00",percent of total billed charges ,,,"2,100.00",percent of total billed charges ,"2,073.75",percent of total billed charges ,"2,073.75",percent of total billed charges ,"2,231.25",percent of total billed charges ,"2,231.25",percent of total billed charges ,"2,100.00",percent of total billed charges ,"2,100.00",percent of total billed charges ,"1,837.50",percent of total billed charges ,"1,837.50",percent of total billed charges ,"1,575.00",percent of total billed charges ,"1,575.00",percent of total billed charges ,"1,575.00",percent of total billed charges ,"1,575.00",percent of total billed charges ,,,,,"1,396.50",percent of total billed charges ,,,,,"1,326.68",percent of total billed charges ,,,,,,,,,,,,,,,,,,,603.75,percent of total billed charges,,,603.75,percent of total billed charges,,,603.75,percent of total billed charges,,,603.75,percent of total billed charges,,,603.75,percent of total billed charges,,,603.75,percent of total billed charges,,,603.75,percent of total billed charges,,,603.75,percent of total billed charges,,,603.75,percent of total billed charges,,,603.75,percent of total billed charges,,,603.75,percent of total billed charges,
AHP-REPAIR TENDON/MUSCLE/EXTENSOR/FOREAR,25270,CDM,,,GF,both,,,"2,625.00","2,625.00",603.75,"2,625.00","2,625.00",percent of total billed charges,"2,625.00",percent of total billed charges,"2,625.00",percent of total billed charges,"2,625.00",percent of total billed charges,"2,625.00",percent of total billed charges,"2,625.00",percent of total billed charges,"2,625.00",percent of total billed charges,"2,625.00",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,"2,073.75",percent of total billed charges,"2,073.75",percent of total billed charges,"2,100.00",percent of total billed charges,"2,100.00",percent of total billed charges,,,"1,890.00",percent of total billed charges ,,,"2,100.00",percent of total billed charges ,"2,073.75",percent of total billed charges ,"2,073.75",percent of total billed charges ,"2,231.25",percent of total billed charges ,"2,231.25",percent of total billed charges ,"2,100.00",percent of total billed charges ,"2,100.00",percent of total billed charges ,"1,837.50",percent of total billed charges ,"1,837.50",percent of total billed charges ,"1,575.00",percent of total billed charges ,"1,575.00",percent of total billed charges ,"1,575.00",percent of total billed charges ,"1,575.00",percent of total billed charges ,,,,,"1,396.50",percent of total billed charges ,,,,,"1,326.68",percent of total billed charges ,,,,,,,,,,,,,,,,,,,603.75,percent of total billed charges,,,603.75,percent of total billed charges,,,603.75,percent of total billed charges,,,603.75,percent of total billed charges,,,603.75,percent of total billed charges,,,603.75,percent of total billed charges,,,603.75,percent of total billed charges,,,603.75,percent of total billed charges,,,603.75,percent of total billed charges,,,603.75,percent of total billed charges,,,603.75,percent of total billed charges,
"ER-REPAIR TEND/MUSC EXTENSOR/FOREARM,WRI",25270,CDM,,,GF,both,,,739,739,169.97,739,739,percent of total billed charges,739,percent of total billed charges,739,percent of total billed charges,739,percent of total billed charges,739,percent of total billed charges,739,percent of total billed charges,739,percent of total billed charges,739,percent of total billed charges,532.08,percent of total billed charges,532.08,percent of total billed charges,532.08,percent of total billed charges,532.08,percent of total billed charges,532.08,percent of total billed charges,532.08,percent of total billed charges,583.81,percent of total billed charges,583.81,percent of total billed charges,591.2,percent of total billed charges,591.2,percent of total billed charges,,,532.08,percent of total billed charges ,,,591.2,percent of total billed charges ,583.81,percent of total billed charges ,583.81,percent of total billed charges ,628.15,percent of total billed charges ,628.15,percent of total billed charges ,591.2,percent of total billed charges ,591.2,percent of total billed charges ,517.3,percent of total billed charges ,517.3,percent of total billed charges ,443.4,percent of total billed charges ,443.4,percent of total billed charges ,443.4,percent of total billed charges ,443.4,percent of total billed charges ,,,,,393.15,percent of total billed charges ,,,,,373.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,169.97,percent of total billed charges,,,169.97,percent of total billed charges,,,169.97,percent of total billed charges,,,169.97,percent of total billed charges,,,169.97,percent of total billed charges,,,169.97,percent of total billed charges,,,169.97,percent of total billed charges,,,169.97,percent of total billed charges,,,169.97,percent of total billed charges,,,169.97,percent of total billed charges,,,169.97,percent of total billed charges,
"PHY-REM FB, CONJ EMB, SUBCONJ, SCLER NON",65210,CDM,,,,both,,,340,340,78.2,340,340,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,268.6,percent of total billed charges,268.6,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 ,268.6,percent of total billed charges ,268.6,percent of total billed charges ,289,percent of total billed charges ,289,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 ,,,,,,,,,,,,,,,,,,,78.2,percent of total billed charges,,,78.2,percent of total billed charges,,,78.2,percent of total billed charges,,,78.2,percent of total billed charges,,,78.2,percent of total billed charges,,,78.2,percent of total billed charges,,,78.2,percent of total billed charges,,,78.2,percent of total billed charges,,,78.2,percent of total billed charges,,,78.2,percent of total billed charges,,,78.2,percent of total billed charges,
ER-REMOVAL OF FB CONJUNCTIVAL EMBEDDED,65210,CDM,,,,both,,,577,577,132.71,577,577,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,455.83,percent of total billed charges,455.83,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 ,455.83,percent of total billed charges ,455.83,percent of total billed charges ,490.45,percent of total billed charges ,490.45,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 ,,,,,,,,,,,,,,,,,,,132.71,percent of total billed charges,,,132.71,percent of total billed charges,,,132.71,percent of total billed charges,,,132.71,percent of total billed charges,,,132.71,percent of total billed charges,,,132.71,percent of total billed charges,,,132.71,percent of total billed charges,,,132.71,percent of total billed charges,,,132.71,percent of total billed charges,,,132.71,percent of total billed charges,,,132.71,percent of total billed charges,
AHP-FINE NEEDLE ASPIRATION W/O IMAGE GUI,10021,CDM,,,GF,both,,,468,468,107.64,468,468,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,369.72,percent of total billed charges,369.72,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 ,369.72,percent of total billed charges ,369.72,percent of total billed charges ,397.8,percent of total billed charges ,397.8,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 ,,,,,,,,,,,,,,,,,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,
"AHP-REMOVAL SKIN TAGS, MULTIPLE UP TO 15",11200,CDM,,,GF,both,,,647,647,148.81,647,647,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,511.13,percent of total billed charges,511.13,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 ,511.13,percent of total billed charges ,511.13,percent of total billed charges ,549.95,percent of total billed charges ,549.95,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 ,,,,,,,,,,,,,,,,,,,148.81,percent of total billed charges,,,148.81,percent of total billed charges,,,148.81,percent of total billed charges,,,148.81,percent of total billed charges,,,148.81,percent of total billed charges,,,148.81,percent of total billed charges,,,148.81,percent of total billed charges,,,148.81,percent of total billed charges,,,148.81,percent of total billed charges,,,148.81,percent of total billed charges,,,148.81,percent of total billed charges,
AHP-CLOSURE OF SURG WOUND-SIMPLE,12020,CDM,,,GF,both,,,"1,201.00","1,201.00",276.23,"1,201.00","1,201.00",percent of total billed charges,"1,201.00",percent of total billed charges,"1,201.00",percent of total billed charges,"1,201.00",percent of total billed charges,"1,201.00",percent of total billed charges,"1,201.00",percent of total billed charges,"1,201.00",percent of total billed charges,"1,201.00",percent of total billed charges,864.72,percent of total billed charges,864.72,percent of total billed charges,864.72,percent of total billed charges,864.72,percent of total billed charges,864.72,percent of total billed charges,864.72,percent of total billed charges,948.79,percent of total billed charges,948.79,percent of total billed charges,960.8,percent of total billed charges,960.8,percent of total billed charges,,,864.72,percent of total billed charges ,,,960.8,percent of total billed charges ,948.79,percent of total billed charges ,948.79,percent of total billed charges ,"1,020.85",percent of total billed charges ,"1,020.85",percent of total billed charges ,960.8,percent of total billed charges ,960.8,percent of total billed charges ,840.7,percent of total billed charges ,840.7,percent of total billed charges ,720.6,percent of total billed charges ,720.6,percent of total billed charges ,720.6,percent of total billed charges ,720.6,percent of total billed charges ,,,,,638.93,percent of total billed charges ,,,,,606.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,276.23,percent of total billed charges,,,276.23,percent of total billed charges,,,276.23,percent of total billed charges,,,276.23,percent of total billed charges,,,276.23,percent of total billed charges,,,276.23,percent of total billed charges,,,276.23,percent of total billed charges,,,276.23,percent of total billed charges,,,276.23,percent of total billed charges,,,276.23,percent of total billed charges,,,276.23,percent of total billed charges,
**PHY-SOFT TISSUE FB REMOVAL-SUBCUT CO,10121,CDM,,,,both,,,"1,223.00","1,223.00",281.29,"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,966.17,percent of total billed charges,966.17,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 ,966.17,percent of total billed charges ,966.17,percent of total billed charges ,"1,039.55",percent of total billed charges ,"1,039.55",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 ,,,,,,,,,,,,,,,,,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,
ER-SOFT TISSUE FB REMOVAL-SUBCUTANEOUS-C,10121,CDM,,,,both,,,"6,680.00","6,680.00","1,536.40","6,680.00","6,680.00",percent of total billed charges,"6,680.00",percent of total billed charges,"6,680.00",percent of total billed charges,"6,680.00",percent of total billed charges,"6,680.00",percent of total billed charges,"6,680.00",percent of total billed charges,"6,680.00",percent of total billed charges,"6,680.00",percent of total billed charges,"4,809.60",percent of total billed charges,"4,809.60",percent of total billed charges,"4,809.60",percent of total billed charges,"4,809.60",percent of total billed charges,"4,809.60",percent of total billed charges,"4,809.60",percent of total billed charges,"5,277.20",percent of total billed charges,"5,277.20",percent of total billed charges,"5,344.00",percent of total billed charges,"5,344.00",percent of total billed charges,,,"4,809.60",percent of total billed charges ,,,"5,344.00",percent of total billed charges ,"5,277.20",percent of total billed charges ,"5,277.20",percent of total billed charges ,"5,678.00",percent of total billed charges ,"5,678.00",percent of total billed charges ,"5,344.00",percent of total billed charges ,"5,344.00",percent of total billed charges ,"4,676.00",percent of total billed charges ,"4,676.00",percent of total billed charges ,"4,008.00",percent of total billed charges ,"4,008.00",percent of total billed charges ,"4,008.00",percent of total billed charges ,"4,008.00",percent of total billed charges ,,,,,"3,553.76",percent of total billed charges ,,,,,"3,376.07",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,536.40",percent of total billed charges,,,"1,536.40",percent of total billed charges,,,"1,536.40",percent of total billed charges,,,"1,536.40",percent of total billed charges,,,"1,536.40",percent of total billed charges,,,"1,536.40",percent of total billed charges,,,"1,536.40",percent of total billed charges,,,"1,536.40",percent of total billed charges,,,"1,536.40",percent of total billed charges,,,"1,536.40",percent of total billed charges,,,"1,536.40",percent of total billed charges,
AHP-Debride/Drsng Small,16020,CDM,,,GF,both,,,608,608,139.84,608,608,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,480.32,percent of total billed charges,480.32,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 ,480.32,percent of total billed charges ,480.32,percent of total billed charges ,516.8,percent of total billed charges ,516.8,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 ,,,,,,,,,,,,,,,,,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,
AHP LAYERED CLOSURE WOUNDS 7.6CM-12.5 CM,12054,CDM,,,GF,both,,,"1,130.00","1,130.00",259.9,"1,130.00","1,130.00",percent of total billed charges,"1,130.00",percent of total billed charges,"1,130.00",percent of total billed charges,"1,130.00",percent of total billed charges,"1,130.00",percent of total billed charges,"1,130.00",percent of total billed charges,"1,130.00",percent of total billed charges,"1,130.00",percent of total billed charges,813.6,percent of total billed charges,813.6,percent of total billed charges,813.6,percent of total billed charges,813.6,percent of total billed charges,813.6,percent of total billed charges,813.6,percent of total billed charges,892.7,percent of total billed charges,892.7,percent of total billed charges,904,percent of total billed charges,904,percent of total billed charges,,,813.6,percent of total billed charges ,,,904,percent of total billed charges ,892.7,percent of total billed charges ,892.7,percent of total billed charges ,960.5,percent of total billed charges ,960.5,percent of total billed charges ,904,percent of total billed charges ,904,percent of total billed charges ,791,percent of total billed charges ,791,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 ,,,,,601.16,percent of total billed charges ,,,,,571.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,259.9,percent of total billed charges,,,259.9,percent of total billed charges,,,259.9,percent of total billed charges,,,259.9,percent of total billed charges,,,259.9,percent of total billed charges,,,259.9,percent of total billed charges,,,259.9,percent of total billed charges,,,259.9,percent of total billed charges,,,259.9,percent of total billed charges,,,259.9,percent of total billed charges,,,259.9,percent of total billed charges,
PHY-COMPLEX REPAIR ADD 5CM,13133,CDM,,,GF,both,,,671,671,154.33,671,671,percent of total billed charges,671,percent of total billed charges,671,percent of total billed charges,671,percent of total billed charges,671,percent of total billed charges,671,percent of total billed charges,671,percent of total billed charges,671,percent of total billed charges,483.12,percent of total billed charges,483.12,percent of total billed charges,483.12,percent of total billed charges,483.12,percent of total billed charges,483.12,percent of total billed charges,483.12,percent of total billed charges,530.09,percent of total billed charges,530.09,percent of total billed charges,536.8,percent of total billed charges,536.8,percent of total billed charges,,,483.12,percent of total billed charges ,,,536.8,percent of total billed charges ,530.09,percent of total billed charges ,530.09,percent of total billed charges ,570.35,percent of total billed charges ,570.35,percent of total billed charges ,536.8,percent of total billed charges ,536.8,percent of total billed charges ,469.7,percent of total billed charges ,469.7,percent of total billed charges ,402.6,percent of total billed charges ,402.6,percent of total billed charges ,402.6,percent of total billed charges ,402.6,percent of total billed charges ,,,,,356.97,percent of total billed charges ,,,,,339.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,
ER-LAYERED CLOSURE OF WOUNDS 7.6 CM-12.,12054,CDM,,,GF,both,,,"1,410.00","1,410.00",324.3,"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,"1,113.90",percent of total billed charges,"1,113.90",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 ,"1,113.90",percent of total billed charges ,"1,113.90",percent of total billed charges ,"1,198.50",percent of total billed charges ,"1,198.50",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 ,,,,,,,,,,,,,,,,,,,324.3,percent of total billed charges,,,324.3,percent of total billed charges,,,324.3,percent of total billed charges,,,324.3,percent of total billed charges,,,324.3,percent of total billed charges,,,324.3,percent of total billed charges,,,324.3,percent of total billed charges,,,324.3,percent of total billed charges,,,324.3,percent of total billed charges,,,324.3,percent of total billed charges,,,324.3,percent of total billed charges,
PHY-COMPLEX REPAIR OF TRUNK 2.6-7.5CM,13101,CDM,,,GF,both,,,"1,223.00","1,223.00",281.29,"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,966.17,percent of total billed charges,966.17,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 ,966.17,percent of total billed charges ,966.17,percent of total billed charges ,"1,039.55",percent of total billed charges ,"1,039.55",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 ,,,,,,,,,,,,,,,,,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,
ER-COMPLEX REPAIR OF TRUNK 2.6-7.5CM,13101,CDM,,,GF,both,,,"3,253.00","3,253.00",748.19,"3,253.00","3,253.00",percent of total billed charges,"3,253.00",percent of total billed charges,"3,253.00",percent of total billed charges,"3,253.00",percent of total billed charges,"3,253.00",percent of total billed charges,"3,253.00",percent of total billed charges,"3,253.00",percent of total billed charges,"3,253.00",percent of total billed charges,"2,342.16",percent of total billed charges,"2,342.16",percent of total billed charges,"2,342.16",percent of total billed charges,"2,342.16",percent of total billed charges,"2,342.16",percent of total billed charges,"2,342.16",percent of total billed charges,"2,569.87",percent of total billed charges,"2,569.87",percent of total billed charges,"2,602.40",percent of total billed charges,"2,602.40",percent of total billed charges,,,"2,342.16",percent of total billed charges ,,,"2,602.40",percent of total billed charges ,"2,569.87",percent of total billed charges ,"2,569.87",percent of total billed charges ,"2,765.05",percent of total billed charges ,"2,765.05",percent of total billed charges ,"2,602.40",percent of total billed charges ,"2,602.40",percent of total billed charges ,"2,277.10",percent of total billed charges ,"2,277.10",percent of total billed charges ,"1,951.80",percent of total billed charges ,"1,951.80",percent of total billed charges ,"1,951.80",percent of total billed charges ,"1,951.80",percent of total billed charges ,,,,,"1,730.60",percent of total billed charges ,,,,,"1,644.07",percent of total billed charges ,,,,,,,,,,,,,,,,,,,748.19,percent of total billed charges,,,748.19,percent of total billed charges,,,748.19,percent of total billed charges,,,748.19,percent of total billed charges,,,748.19,percent of total billed charges,,,748.19,percent of total billed charges,,,748.19,percent of total billed charges,,,748.19,percent of total billed charges,,,748.19,percent of total billed charges,,,748.19,percent of total billed charges,,,748.19,percent of total billed charges,
AHP-COMPLEX REPAIR OF TRUNK 2.6-7.5CM,13101,CDM,,,GF,both,,,"1,223.00","1,223.00",281.29,"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,966.17,percent of total billed charges,966.17,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 ,966.17,percent of total billed charges ,966.17,percent of total billed charges ,"1,039.55",percent of total billed charges ,"1,039.55",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 ,,,,,,,,,,,,,,,,,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,,,281.29,percent of total billed charges,
ER-COMPLEX REPAIR EACH ADD'L 5CM,13102,CDM,,,GF,both,,,"2,457.00","2,457.00",565.11,"2,457.00","2,457.00",percent of total billed charges,"2,457.00",percent of total billed charges,"2,457.00",percent of total billed charges,"2,457.00",percent of total billed charges,"2,457.00",percent of total billed charges,"2,457.00",percent of total billed charges,"2,457.00",percent of total billed charges,"2,457.00",percent of total billed charges,"1,769.04",percent of total billed charges,"1,769.04",percent of total billed charges,"1,769.04",percent of total billed charges,"1,769.04",percent of total billed charges,"1,769.04",percent of total billed charges,"1,769.04",percent of total billed charges,"1,941.03",percent of total billed charges,"1,941.03",percent of total billed charges,"1,965.60",percent of total billed charges,"1,965.60",percent of total billed charges,,,"1,769.04",percent of total billed charges ,,,"1,965.60",percent of total billed charges ,"1,941.03",percent of total billed charges ,"1,941.03",percent of total billed charges ,"2,088.45",percent of total billed charges ,"2,088.45",percent of total billed charges ,"1,965.60",percent of total billed charges ,"1,965.60",percent of total billed charges ,"1,719.90",percent of total billed charges ,"1,719.90",percent of total billed charges ,"1,474.20",percent of total billed charges ,"1,474.20",percent of total billed charges ,"1,474.20",percent of total billed charges ,"1,474.20",percent of total billed charges ,,,,,"1,307.12",percent of total billed charges ,,,,,"1,241.77",percent of total billed charges ,,,,,,,,,,,,,,,,,,,565.11,percent of total billed charges,,,565.11,percent of total billed charges,,,565.11,percent of total billed charges,,,565.11,percent of total billed charges,,,565.11,percent of total billed charges,,,565.11,percent of total billed charges,,,565.11,percent of total billed charges,,,565.11,percent of total billed charges,,,565.11,percent of total billed charges,,,565.11,percent of total billed charges,,,565.11,percent of total billed charges,
PHY-COMPLEX REPAIR ADD'L 5CM,13102,CDM,,,GF,both,,,367,367,84.41,367,367,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,289.93,percent of total billed charges,289.93,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 ,289.93,percent of total billed charges ,289.93,percent of total billed charges ,311.95,percent of total billed charges ,311.95,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 ,,,,,,,,,,,,,,,,,,,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,,,84.41,percent of total billed charges,,,84.41,percent of total billed charges,,,84.41,percent of total billed charges,
AHP-COMPLEX REPAIR ADD'L 5CM,13102,CDM,,,GF,both,,,367,367,84.41,367,367,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,289.93,percent of total billed charges,289.93,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 ,289.93,percent of total billed charges ,289.93,percent of total billed charges ,311.95,percent of total billed charges ,311.95,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 ,,,,,,,,,,,,,,,,,,,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,,,84.41,percent of total billed charges,,,84.41,percent of total billed charges,,,84.41,percent of total billed charges,
ER-DEBRIDEMENT OF NAIL,11720,CDM,,,,both,,,329,329,75.67,329,329,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,259.91,percent of total billed charges,259.91,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 ,259.91,percent of total billed charges ,259.91,percent of total billed charges ,279.65,percent of total billed charges ,279.65,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 ,,,,,,,,,,,,,,,,,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,
PHY-DEBRIDEMENT-BONE <20CM,11044,CDM,,,,both,,,"1,132.00","1,132.00",260.36,"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,894.28,percent of total billed charges,894.28,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 ,894.28,percent of total billed charges ,894.28,percent of total billed charges ,962.2,percent of total billed charges ,962.2,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 ,,,,,,,,,,,,,,,,,,,260.36,percent of total billed charges,,,260.36,percent of total billed charges,,,260.36,percent of total billed charges,,,260.36,percent of total billed charges,,,260.36,percent of total billed charges,,,260.36,percent of total billed charges,,,260.36,percent of total billed charges,,,260.36,percent of total billed charges,,,260.36,percent of total billed charges,,,260.36,percent of total billed charges,,,260.36,percent of total billed charges,
PHY-DEBRIDEMENT-BONE<20CM,11043,CDM,,,,both,,,762,762,175.26,762,762,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,601.98,percent of total billed charges,601.98,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 ,601.98,percent of total billed charges ,601.98,percent of total billed charges ,647.7,percent of total billed charges ,647.7,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 ,,,,,,,,,,,,,,,,,,,175.26,percent of total billed charges,,,175.26,percent of total billed charges,,,175.26,percent of total billed charges,,,175.26,percent of total billed charges,,,175.26,percent of total billed charges,,,175.26,percent of total billed charges,,,175.26,percent of total billed charges,,,175.26,percent of total billed charges,,,175.26,percent of total billed charges,,,175.26,percent of total billed charges,,,175.26,percent of total billed charges,
ER-DEBRIDEMENT-MUSCLE OR FASCIA <20CM OR,11043,CDM,,,,both,,,"3,423.00","3,423.00",787.29,"3,423.00","3,423.00",percent of total billed charges,"3,423.00",percent of total billed charges,"3,423.00",percent of total billed charges,"3,423.00",percent of total billed charges,"3,423.00",percent of total billed charges,"3,423.00",percent of total billed charges,"3,423.00",percent of total billed charges,"3,423.00",percent of total billed charges,"2,464.56",percent of total billed charges,"2,464.56",percent of total billed charges,"2,464.56",percent of total billed charges,"2,464.56",percent of total billed charges,"2,464.56",percent of total billed charges,"2,464.56",percent of total billed charges,"2,704.17",percent of total billed charges,"2,704.17",percent of total billed charges,"2,738.40",percent of total billed charges,"2,738.40",percent of total billed charges,,,"2,464.56",percent of total billed charges ,,,"2,738.40",percent of total billed charges ,"2,704.17",percent of total billed charges ,"2,704.17",percent of total billed charges ,"2,909.55",percent of total billed charges ,"2,909.55",percent of total billed charges ,"2,738.40",percent of total billed charges ,"2,738.40",percent of total billed charges ,"2,396.10",percent of total billed charges ,"2,396.10",percent of total billed charges ,"2,053.80",percent of total billed charges ,"2,053.80",percent of total billed charges ,"2,053.80",percent of total billed charges ,"2,053.80",percent of total billed charges ,,,,,"1,821.04",percent of total billed charges ,,,,,"1,729.98",percent of total billed charges ,,,,,,,,,,,,,,,,,,,787.29,percent of total billed charges,,,787.29,percent of total billed charges,,,787.29,percent of total billed charges,,,787.29,percent of total billed charges,,,787.29,percent of total billed charges,,,787.29,percent of total billed charges,,,787.29,percent of total billed charges,,,787.29,percent of total billed charges,,,787.29,percent of total billed charges,,,787.29,percent of total billed charges,,,787.29,percent of total billed charges,
ER-WOUND REPAIR INTERMEDIATE S/A/T/E 20.,12036,CDM,,,GF,both,,,"2,682.00","2,682.00",616.86,"2,682.00","2,682.00",percent of total billed charges,"2,682.00",percent of total billed charges,"2,682.00",percent of total billed charges,"2,682.00",percent of total billed charges,"2,682.00",percent of total billed charges,"2,682.00",percent of total billed charges,"2,682.00",percent of total billed charges,"2,682.00",percent of total billed charges,"1,931.04",percent of total billed charges,"1,931.04",percent of total billed charges,"1,931.04",percent of total billed charges,"1,931.04",percent of total billed charges,"1,931.04",percent of total billed charges,"1,931.04",percent of total billed charges,"2,118.78",percent of total billed charges,"2,118.78",percent of total billed charges,"2,145.60",percent of total billed charges,"2,145.60",percent of total billed charges,,,"1,931.04",percent of total billed charges ,,,"2,145.60",percent of total billed charges ,"2,118.78",percent of total billed charges ,"2,118.78",percent of total billed charges ,"2,279.70",percent of total billed charges ,"2,279.70",percent of total billed charges ,"2,145.60",percent of total billed charges ,"2,145.60",percent of total billed charges ,"1,877.40",percent of total billed charges ,"1,877.40",percent of total billed charges ,"1,609.20",percent of total billed charges ,"1,609.20",percent of total billed charges ,"1,609.20",percent of total billed charges ,"1,609.20",percent of total billed charges ,,,,,"1,426.82",percent of total billed charges ,,,,,"1,355.48",percent of total billed charges ,,,,,,,,,,,,,,,,,,,616.86,percent of total billed charges,,,616.86,percent of total billed charges,,,616.86,percent of total billed charges,,,616.86,percent of total billed charges,,,616.86,percent of total billed charges,,,616.86,percent of total billed charges,,,616.86,percent of total billed charges,,,616.86,percent of total billed charges,,,616.86,percent of total billed charges,,,616.86,percent of total billed charges,,,616.86,percent of total billed charges,
PHY-REPAIR INTERMEDIATE S/A/T/E 20.1-30.,12036,CDM,,,GF,both,,,"1,365.00","1,365.00",313.95,"1,365.00","1,365.00",percent of total billed charges,"1,365.00",percent of total billed charges,"1,365.00",percent of total billed charges,"1,365.00",percent of total billed charges,"1,365.00",percent of total billed charges,"1,365.00",percent of total billed charges,"1,365.00",percent of total billed charges,"1,365.00",percent of total billed charges,982.8,percent of total billed charges,982.8,percent of total billed charges,982.8,percent of total billed charges,982.8,percent of total billed charges,982.8,percent of total billed charges,982.8,percent of total billed charges,"1,078.35",percent of total billed charges,"1,078.35",percent of total billed charges,"1,092.00",percent of total billed charges,"1,092.00",percent of total billed charges,,,982.8,percent of total billed charges ,,,"1,092.00",percent of total billed charges ,"1,078.35",percent of total billed charges ,"1,078.35",percent of total billed charges ,"1,160.25",percent of total billed charges ,"1,160.25",percent of total billed charges ,"1,092.00",percent of total billed charges ,"1,092.00",percent of total billed charges ,955.5,percent of total billed charges ,955.5,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 ,,,,,726.18,percent of total billed charges ,,,,,689.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,313.95,percent of total billed charges,,,313.95,percent of total billed charges,,,313.95,percent of total billed charges,,,313.95,percent of total billed charges,,,313.95,percent of total billed charges,,,313.95,percent of total billed charges,,,313.95,percent of total billed charges,,,313.95,percent of total billed charges,,,313.95,percent of total billed charges,,,313.95,percent of total billed charges,,,313.95,percent of total billed charges,
ER-WOUND REPAIR INTERMEDIATE S/A/T/E > 3,12037,CDM,,,GF,both,,,"4,441.00","4,441.00","1,021.43","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,"3,508.39",percent of total billed charges,"3,508.39",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 ,"3,508.39",percent of total billed charges ,"3,508.39",percent of total billed charges ,"3,774.85",percent of total billed charges ,"3,774.85",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 ,,,,,,,,,,,,,,,,,,,"1,021.43",percent of total billed charges,,,"1,021.43",percent of total billed charges,,,"1,021.43",percent of total billed charges,,,"1,021.43",percent of total billed charges,,,"1,021.43",percent of total billed charges,,,"1,021.43",percent of total billed charges,,,"1,021.43",percent of total billed charges,,,"1,021.43",percent of total billed charges,,,"1,021.43",percent of total billed charges,,,"1,021.43",percent of total billed charges,,,"1,021.43",percent of total billed charges,
PHY-WOUND REPAIR INTERMEDIATE S/A/T/E>30,12037,CDM,,,GF,both,,,"1,604.00","1,604.00",368.92,"1,604.00","1,604.00",percent of total billed charges,"1,604.00",percent of total billed charges,"1,604.00",percent of total billed charges,"1,604.00",percent of total billed charges,"1,604.00",percent of total billed charges,"1,604.00",percent of total billed charges,"1,604.00",percent of total billed charges,"1,604.00",percent of total billed charges,"1,154.88",percent of total billed charges,"1,154.88",percent of total billed charges,"1,154.88",percent of total billed charges,"1,154.88",percent of total billed charges,"1,154.88",percent of total billed charges,"1,154.88",percent of total billed charges,"1,267.16",percent of total billed charges,"1,267.16",percent of total billed charges,"1,283.20",percent of total billed charges,"1,283.20",percent of total billed charges,,,"1,154.88",percent of total billed charges ,,,"1,283.20",percent of total billed charges ,"1,267.16",percent of total billed charges ,"1,267.16",percent of total billed charges ,"1,363.40",percent of total billed charges ,"1,363.40",percent of total billed charges ,"1,283.20",percent of total billed charges ,"1,283.20",percent of total billed charges ,"1,122.80",percent of total billed charges ,"1,122.80",percent of total billed charges ,962.4,percent of total billed charges ,962.4,percent of total billed charges ,962.4,percent of total billed charges ,962.4,percent of total billed charges ,,,,,853.33,percent of total billed charges ,,,,,810.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,368.92,percent of total billed charges,,,368.92,percent of total billed charges,,,368.92,percent of total billed charges,,,368.92,percent of total billed charges,,,368.92,percent of total billed charges,,,368.92,percent of total billed charges,,,368.92,percent of total billed charges,,,368.92,percent of total billed charges,,,368.92,percent of total billed charges,,,368.92,percent of total billed charges,,,368.92,percent of total billed charges,
ER-WOUND REPAIR INTERMEDIATE 7.6-12.5CM,12044,CDM,,,GF,both,,,"1,570.00","1,570.00",361.1,"1,570.00","1,570.00",percent of total billed charges,"1,570.00",percent of total billed charges,"1,570.00",percent of total billed charges,"1,570.00",percent of total billed charges,"1,570.00",percent of total billed charges,"1,570.00",percent of total billed charges,"1,570.00",percent of total billed charges,"1,570.00",percent of total billed charges,"1,130.40",percent of total billed charges,"1,130.40",percent of total billed charges,"1,130.40",percent of total billed charges,"1,130.40",percent of total billed charges,"1,130.40",percent of total billed charges,"1,130.40",percent of total billed charges,"1,240.30",percent of total billed charges,"1,240.30",percent of total billed charges,"1,256.00",percent of total billed charges,"1,256.00",percent of total billed charges,,,"1,130.40",percent of total billed charges ,,,"1,256.00",percent of total billed charges ,"1,240.30",percent of total billed charges ,"1,240.30",percent of total billed charges ,"1,334.50",percent of total billed charges ,"1,334.50",percent of total billed charges ,"1,256.00",percent of total billed charges ,"1,256.00",percent of total billed charges ,"1,099.00",percent of total billed charges ,"1,099.00",percent of total billed charges ,942,percent of total billed charges ,942,percent of total billed charges ,942,percent of total billed charges ,942,percent of total billed charges ,,,,,835.24,percent of total billed charges ,,,,,793.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,361.1,percent of total billed charges,,,361.1,percent of total billed charges,,,361.1,percent of total billed charges,,,361.1,percent of total billed charges,,,361.1,percent of total billed charges,,,361.1,percent of total billed charges,,,361.1,percent of total billed charges,,,361.1,percent of total billed charges,,,361.1,percent of total billed charges,,,361.1,percent of total billed charges,,,361.1,percent of total billed charges,
PHY-WD REP INTRMDT N/H/F/XTRN 7.6-12.5CM,12044,CDM,,,GF,both,,,"1,044.00","1,044.00",240.12,"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,824.76,percent of total billed charges,824.76,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 ,824.76,percent of total billed charges ,824.76,percent of total billed charges ,887.4,percent of total billed charges ,887.4,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 ,,,,,,,,,,,,,,,,,,,240.12,percent of total billed charges,,,240.12,percent of total billed charges,,,240.12,percent of total billed charges,,,240.12,percent of total billed charges,,,240.12,percent of total billed charges,,,240.12,percent of total billed charges,,,240.12,percent of total billed charges,,,240.12,percent of total billed charges,,,240.12,percent of total billed charges,,,240.12,percent of total billed charges,,,240.12,percent of total billed charges,
ER-WOUND REPAIR INTERMEDIATE N/H/F/XTRNL,12045,CDM,,,GF,both,,,"1,630.00","1,630.00",374.9,"1,630.00","1,630.00",percent of total billed charges,"1,630.00",percent of total billed charges,"1,630.00",percent of total billed charges,"1,630.00",percent of total billed charges,"1,630.00",percent of total billed charges,"1,630.00",percent of total billed charges,"1,630.00",percent of total billed charges,"1,630.00",percent of total billed charges,"1,173.60",percent of total billed charges,"1,173.60",percent of total billed charges,"1,173.60",percent of total billed charges,"1,173.60",percent of total billed charges,"1,173.60",percent of total billed charges,"1,173.60",percent of total billed charges,"1,287.70",percent of total billed charges,"1,287.70",percent of total billed charges,"1,304.00",percent of total billed charges,"1,304.00",percent of total billed charges,,,"1,173.60",percent of total billed charges ,,,"1,304.00",percent of total billed charges ,"1,287.70",percent of total billed charges ,"1,287.70",percent of total billed charges ,"1,385.50",percent of total billed charges ,"1,385.50",percent of total billed charges ,"1,304.00",percent of total billed charges ,"1,304.00",percent of total billed charges ,"1,141.00",percent of total billed charges ,"1,141.00",percent of total billed charges ,978,percent of total billed charges ,978,percent of total billed charges ,978,percent of total billed charges ,978,percent of total billed charges ,,,,,867.16,percent of total billed charges ,,,,,823.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,374.9,percent of total billed charges,,,374.9,percent of total billed charges,,,374.9,percent of total billed charges,,,374.9,percent of total billed charges,,,374.9,percent of total billed charges,,,374.9,percent of total billed charges,,,374.9,percent of total billed charges,,,374.9,percent of total billed charges,,,374.9,percent of total billed charges,,,374.9,percent of total billed charges,,,374.9,percent of total billed charges,
PHY-REPAIR INTERMEDIATE N/H/F/XTRNL GENT,12045,CDM,,,GF,both,,,"1,301.00","1,301.00",299.23,"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,"1,027.79",percent of total billed charges,"1,027.79",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 ,"1,027.79",percent of total billed charges ,"1,027.79",percent of total billed charges ,"1,105.85",percent of total billed charges ,"1,105.85",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 ,,,,,,,,,,,,,,,,,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,
ER-WOUND REPAIR-RPR INTERMEDIATE N/H/F/X,12046,CDM,,,GF,both,,,"1,974.00","1,974.00",454.02,"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,"1,559.46",percent of total billed charges,"1,559.46",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 ,"1,559.46",percent of total billed charges ,"1,559.46",percent of total billed charges ,"1,677.90",percent of total billed charges ,"1,677.90",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 ,,,,,,,,,,,,,,,,,,,454.02,percent of total billed charges,,,454.02,percent of total billed charges,,,454.02,percent of total billed charges,,,454.02,percent of total billed charges,,,454.02,percent of total billed charges,,,454.02,percent of total billed charges,,,454.02,percent of total billed charges,,,454.02,percent of total billed charges,,,454.02,percent of total billed charges,,,454.02,percent of total billed charges,,,454.02,percent of total billed charges,
PHY-WOUND REPAIR,11046,CDM,,,,both,,,280,280,64.4,280,280,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,221.2,percent of total billed charges,221.2,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 ,221.2,percent of total billed charges ,221.2,percent of total billed charges ,238,percent of total billed charges ,238,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 ,,,,,,,,,,,,,,,,,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,
ER-CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL,27752,CDM,,,,both,,,"3,617.00","3,617.00",831.91,"3,617.00","3,617.00",percent of total billed charges,"3,617.00",percent of total billed charges,"3,617.00",percent of total billed charges,"3,617.00",percent of total billed charges,"3,617.00",percent of total billed charges,"3,617.00",percent of total billed charges,"3,617.00",percent of total billed charges,"3,617.00",percent of total billed charges,"2,604.24",percent of total billed charges,"2,604.24",percent of total billed charges,"2,604.24",percent of total billed charges,"2,604.24",percent of total billed charges,"2,604.24",percent of total billed charges,"2,604.24",percent of total billed charges,"2,857.43",percent of total billed charges,"2,857.43",percent of total billed charges,"2,893.60",percent of total billed charges,"2,893.60",percent of total billed charges,,,"2,604.24",percent of total billed charges ,,,"2,893.60",percent of total billed charges ,"2,857.43",percent of total billed charges ,"2,857.43",percent of total billed charges ,"3,074.45",percent of total billed charges ,"3,074.45",percent of total billed charges ,"2,893.60",percent of total billed charges ,"2,893.60",percent of total billed charges ,"2,531.90",percent of total billed charges ,"2,531.90",percent of total billed charges ,"2,170.20",percent of total billed charges ,"2,170.20",percent of total billed charges ,"2,170.20",percent of total billed charges ,"2,170.20",percent of total billed charges ,,,,,"1,924.24",percent of total billed charges ,,,,,"1,828.03",percent of total billed charges ,,,,,,,,,,,,,,,,,,,831.91,percent of total billed charges,,,831.91,percent of total billed charges,,,831.91,percent of total billed charges,,,831.91,percent of total billed charges,,,831.91,percent of total billed charges,,,831.91,percent of total billed charges,,,831.91,percent of total billed charges,,,831.91,percent of total billed charges,,,831.91,percent of total billed charges,,,831.91,percent of total billed charges,,,831.91,percent of total billed charges,
PHY-REPAIR INTERMEDIATE N/H/F/XTRNL GENT,12047,CDM,,,GF,both,,,"1,704.00","1,704.00",391.92,"1,704.00","1,704.00",percent of total billed charges,"1,704.00",percent of total billed charges,"1,704.00",percent of total billed charges,"1,704.00",percent of total billed charges,"1,704.00",percent of total billed charges,"1,704.00",percent of total billed charges,"1,704.00",percent of total billed charges,"1,704.00",percent of total billed charges,"1,226.88",percent of total billed charges,"1,226.88",percent of total billed charges,"1,226.88",percent of total billed charges,"1,226.88",percent of total billed charges,"1,226.88",percent of total billed charges,"1,226.88",percent of total billed charges,"1,346.16",percent of total billed charges,"1,346.16",percent of total billed charges,"1,363.20",percent of total billed charges,"1,363.20",percent of total billed charges,,,"1,226.88",percent of total billed charges ,,,"1,363.20",percent of total billed charges ,"1,346.16",percent of total billed charges ,"1,346.16",percent of total billed charges ,"1,448.40",percent of total billed charges ,"1,448.40",percent of total billed charges ,"1,363.20",percent of total billed charges ,"1,363.20",percent of total billed charges ,"1,192.80",percent of total billed charges ,"1,192.80",percent of total billed charges ,"1,022.40",percent of total billed charges ,"1,022.40",percent of total billed charges ,"1,022.40",percent of total billed charges ,"1,022.40",percent of total billed charges ,,,,,906.53,percent of total billed charges ,,,,,861.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,391.92,percent of total billed charges,,,391.92,percent of total billed charges,,,391.92,percent of total billed charges,,,391.92,percent of total billed charges,,,391.92,percent of total billed charges,,,391.92,percent of total billed charges,,,391.92,percent of total billed charges,,,391.92,percent of total billed charges,,,391.92,percent of total billed charges,,,391.92,percent of total billed charges,,,391.92,percent of total billed charges,
PHY-REPAIR INTERMEDIATE F/E/E/N/L&/MUC 2,12056,CDM,,,GF,both,,,"1,859.00","1,859.00",427.57,"1,859.00","1,859.00",percent of total billed charges,"1,859.00",percent of total billed charges,"1,859.00",percent of total billed charges,"1,859.00",percent of total billed charges,"1,859.00",percent of total billed charges,"1,859.00",percent of total billed charges,"1,859.00",percent of total billed charges,"1,859.00",percent of total billed charges,"1,338.48",percent of total billed charges,"1,338.48",percent of total billed charges,"1,338.48",percent of total billed charges,"1,338.48",percent of total billed charges,"1,338.48",percent of total billed charges,"1,338.48",percent of total billed charges,"1,468.61",percent of total billed charges,"1,468.61",percent of total billed charges,"1,487.20",percent of total billed charges,"1,487.20",percent of total billed charges,,,"1,338.48",percent of total billed charges ,,,"1,487.20",percent of total billed charges ,"1,468.61",percent of total billed charges ,"1,468.61",percent of total billed charges ,"1,580.15",percent of total billed charges ,"1,580.15",percent of total billed charges ,"1,487.20",percent of total billed charges ,"1,487.20",percent of total billed charges ,"1,301.30",percent of total billed charges ,"1,301.30",percent of total billed charges ,"1,115.40",percent of total billed charges ,"1,115.40",percent of total billed charges ,"1,115.40",percent of total billed charges ,"1,115.40",percent of total billed charges ,,,,,988.99,percent of total billed charges ,,,,,939.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,427.57,percent of total billed charges,,,427.57,percent of total billed charges,,,427.57,percent of total billed charges,,,427.57,percent of total billed charges,,,427.57,percent of total billed charges,,,427.57,percent of total billed charges,,,427.57,percent of total billed charges,,,427.57,percent of total billed charges,,,427.57,percent of total billed charges,,,427.57,percent of total billed charges,,,427.57,percent of total billed charges,
ER-REPAIR INTERMEDIATE F/E/E/N/L&/MUC >,12057,CDM,,,GF,both,,,"2,073.00","2,073.00",476.79,"2,073.00","2,073.00",percent of total billed charges,"2,073.00",percent of total billed charges,"2,073.00",percent of total billed charges,"2,073.00",percent of total billed charges,"2,073.00",percent of total billed charges,"2,073.00",percent of total billed charges,"2,073.00",percent of total billed charges,"2,073.00",percent of total billed charges,"1,492.56",percent of total billed charges,"1,492.56",percent of total billed charges,"1,492.56",percent of total billed charges,"1,492.56",percent of total billed charges,"1,492.56",percent of total billed charges,"1,492.56",percent of total billed charges,"1,637.67",percent of total billed charges,"1,637.67",percent of total billed charges,"1,658.40",percent of total billed charges,"1,658.40",percent of total billed charges,,,"1,492.56",percent of total billed charges ,,,"1,658.40",percent of total billed charges ,"1,637.67",percent of total billed charges ,"1,637.67",percent of total billed charges ,"1,762.05",percent of total billed charges ,"1,762.05",percent of total billed charges ,"1,658.40",percent of total billed charges ,"1,658.40",percent of total billed charges ,"1,451.10",percent of total billed charges ,"1,451.10",percent of total billed charges ,"1,243.80",percent of total billed charges ,"1,243.80",percent of total billed charges ,"1,243.80",percent of total billed charges ,"1,243.80",percent of total billed charges ,,,,,"1,102.84",percent of total billed charges ,,,,,"1,047.69",percent of total billed charges ,,,,,,,,,,,,,,,,,,,476.79,percent of total billed charges,,,476.79,percent of total billed charges,,,476.79,percent of total billed charges,,,476.79,percent of total billed charges,,,476.79,percent of total billed charges,,,476.79,percent of total billed charges,,,476.79,percent of total billed charges,,,476.79,percent of total billed charges,,,476.79,percent of total billed charges,,,476.79,percent of total billed charges,,,476.79,percent of total billed charges,
PHY-REPAIR INTERMEDIATE F/E/E/N/L&/MUC >,12057,CDM,,,GF,both,,,"2,086.00","2,086.00",479.78,"2,086.00","2,086.00",percent of total billed charges,"2,086.00",percent of total billed charges,"2,086.00",percent of total billed charges,"2,086.00",percent of total billed charges,"2,086.00",percent of total billed charges,"2,086.00",percent of total billed charges,"2,086.00",percent of total billed charges,"2,086.00",percent of total billed charges,"1,501.92",percent of total billed charges,"1,501.92",percent of total billed charges,"1,501.92",percent of total billed charges,"1,501.92",percent of total billed charges,"1,501.92",percent of total billed charges,"1,501.92",percent of total billed charges,"1,647.94",percent of total billed charges,"1,647.94",percent of total billed charges,"1,668.80",percent of total billed charges,"1,668.80",percent of total billed charges,,,"1,501.92",percent of total billed charges ,,,"1,668.80",percent of total billed charges ,"1,647.94",percent of total billed charges ,"1,647.94",percent of total billed charges ,"1,773.10",percent of total billed charges ,"1,773.10",percent of total billed charges ,"1,668.80",percent of total billed charges ,"1,668.80",percent of total billed charges ,"1,460.20",percent of total billed charges ,"1,460.20",percent of total billed charges ,"1,251.60",percent of total billed charges ,"1,251.60",percent of total billed charges ,"1,251.60",percent of total billed charges ,"1,251.60",percent of total billed charges ,,,,,"1,109.75",percent of total billed charges ,,,,,"1,054.26",percent of total billed charges ,,,,,,,,,,,,,,,,,,,479.78,percent of total billed charges,,,479.78,percent of total billed charges,,,479.78,percent of total billed charges,,,479.78,percent of total billed charges,,,479.78,percent of total billed charges,,,479.78,percent of total billed charges,,,479.78,percent of total billed charges,,,479.78,percent of total billed charges,,,479.78,percent of total billed charges,,,479.78,percent of total billed charges,,,479.78,percent of total billed charges,
ER-REPAIR COMPLEX TRUNK 1.1-2.5 CM,13100,CDM,,,GF,both,,,"3,770.00","3,770.00",867.1,"3,770.00","3,770.00",percent of total billed charges,"3,770.00",percent of total billed charges,"3,770.00",percent of total billed charges,"3,770.00",percent of total billed charges,"3,770.00",percent of total billed charges,"3,770.00",percent of total billed charges,"3,770.00",percent of total billed charges,"3,770.00",percent of total billed charges,"2,714.40",percent of total billed charges,"2,714.40",percent of total billed charges,"2,714.40",percent of total billed charges,"2,714.40",percent of total billed charges,"2,714.40",percent of total billed charges,"2,714.40",percent of total billed charges,"2,978.30",percent of total billed charges,"2,978.30",percent of total billed charges,"3,016.00",percent of total billed charges,"3,016.00",percent of total billed charges,,,"2,714.40",percent of total billed charges ,,,"3,016.00",percent of total billed charges ,"2,978.30",percent of total billed charges ,"2,978.30",percent of total billed charges ,"3,204.50",percent of total billed charges ,"3,204.50",percent of total billed charges ,"3,016.00",percent of total billed charges ,"3,016.00",percent of total billed charges ,"2,639.00",percent of total billed charges ,"2,639.00",percent of total billed charges ,"2,262.00",percent of total billed charges ,"2,262.00",percent of total billed charges ,"2,262.00",percent of total billed charges ,"2,262.00",percent of total billed charges ,,,,,"2,005.64",percent of total billed charges ,,,,,"1,905.36",percent of total billed charges ,,,,,,,,,,,,,,,,,,,867.1,percent of total billed charges,,,867.1,percent of total billed charges,,,867.1,percent of total billed charges,,,867.1,percent of total billed charges,,,867.1,percent of total billed charges,,,867.1,percent of total billed charges,,,867.1,percent of total billed charges,,,867.1,percent of total billed charges,,,867.1,percent of total billed charges,,,867.1,percent of total billed charges,,,867.1,percent of total billed charges,
PHY-REPAIR TRUNK 1.1-2.5 CM,13100,CDM,,,GF,both,,,999,999,229.77,999,999,percent of total billed charges,999,percent of total billed charges,999,percent of total billed charges,999,percent of total billed charges,999,percent of total billed charges,999,percent of total billed charges,999,percent of total billed charges,999,percent of total billed charges,719.28,percent of total billed charges,719.28,percent of total billed charges,719.28,percent of total billed charges,719.28,percent of total billed charges,719.28,percent of total billed charges,719.28,percent of total billed charges,789.21,percent of total billed charges,789.21,percent of total billed charges,799.2,percent of total billed charges,799.2,percent of total billed charges,,,719.28,percent of total billed charges ,,,799.2,percent of total billed charges ,789.21,percent of total billed charges ,789.21,percent of total billed charges ,849.15,percent of total billed charges ,849.15,percent of total billed charges ,799.2,percent of total billed charges ,799.2,percent of total billed charges ,699.3,percent of total billed charges ,699.3,percent of total billed charges ,599.4,percent of total billed charges ,599.4,percent of total billed charges ,599.4,percent of total billed charges ,599.4,percent of total billed charges ,,,,,531.47,percent of total billed charges ,,,,,504.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,
**ER-REPAIR COMPLEX TRUNK 2.6-7.5,13101,CDM,,,GF,both,,,"3,253.00","3,253.00",748.19,"3,253.00","3,253.00",percent of total billed charges,"3,253.00",percent of total billed charges,"3,253.00",percent of total billed charges,"3,253.00",percent of total billed charges,"3,253.00",percent of total billed charges,"3,253.00",percent of total billed charges,"3,253.00",percent of total billed charges,"3,253.00",percent of total billed charges,"2,342.16",percent of total billed charges,"2,342.16",percent of total billed charges,"2,342.16",percent of total billed charges,"2,342.16",percent of total billed charges,"2,342.16",percent of total billed charges,"2,342.16",percent of total billed charges,"2,569.87",percent of total billed charges,"2,569.87",percent of total billed charges,"2,602.40",percent of total billed charges,"2,602.40",percent of total billed charges,,,"2,342.16",percent of total billed charges ,,,"2,602.40",percent of total billed charges ,"2,569.87",percent of total billed charges ,"2,569.87",percent of total billed charges ,"2,765.05",percent of total billed charges ,"2,765.05",percent of total billed charges ,"2,602.40",percent of total billed charges ,"2,602.40",percent of total billed charges ,"2,277.10",percent of total billed charges ,"2,277.10",percent of total billed charges ,"1,951.80",percent of total billed charges ,"1,951.80",percent of total billed charges ,"1,951.80",percent of total billed charges ,"1,951.80",percent of total billed charges ,,,,,"1,730.60",percent of total billed charges ,,,,,"1,644.07",percent of total billed charges ,,,,,,,,,,,,,,,,,,,748.19,percent of total billed charges,,,748.19,percent of total billed charges,,,748.19,percent of total billed charges,,,748.19,percent of total billed charges,,,748.19,percent of total billed charges,,,748.19,percent of total billed charges,,,748.19,percent of total billed charges,,,748.19,percent of total billed charges,,,748.19,percent of total billed charges,,,748.19,percent of total billed charges,,,748.19,percent of total billed charges,
ER-REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA,13133,CDM,,,GF,both,,,"1,742.00","1,742.00",400.66,"1,742.00","1,742.00",percent of total billed charges,"1,742.00",percent of total billed charges,"1,742.00",percent of total billed charges,"1,742.00",percent of total billed charges,"1,742.00",percent of total billed charges,"1,742.00",percent of total billed charges,"1,742.00",percent of total billed charges,"1,742.00",percent of total billed charges,"1,254.24",percent of total billed charges,"1,254.24",percent of total billed charges,"1,254.24",percent of total billed charges,"1,254.24",percent of total billed charges,"1,254.24",percent of total billed charges,"1,254.24",percent of total billed charges,"1,376.18",percent of total billed charges,"1,376.18",percent of total billed charges,"1,393.60",percent of total billed charges,"1,393.60",percent of total billed charges,,,"1,254.24",percent of total billed charges ,,,"1,393.60",percent of total billed charges ,"1,376.18",percent of total billed charges ,"1,376.18",percent of total billed charges ,"1,480.70",percent of total billed charges ,"1,480.70",percent of total billed charges ,"1,393.60",percent of total billed charges ,"1,393.60",percent of total billed charges ,"1,219.40",percent of total billed charges ,"1,219.40",percent of total billed charges ,"1,045.20",percent of total billed charges ,"1,045.20",percent of total billed charges ,"1,045.20",percent of total billed charges ,"1,045.20",percent of total billed charges ,,,,,926.74,percent of total billed charges ,,,,,880.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,400.66,percent of total billed charges,,,400.66,percent of total billed charges,,,400.66,percent of total billed charges,,,400.66,percent of total billed charges,,,400.66,percent of total billed charges,,,400.66,percent of total billed charges,,,400.66,percent of total billed charges,,,400.66,percent of total billed charges,,,400.66,percent of total billed charges,,,400.66,percent of total billed charges,,,400.66,percent of total billed charges,
AHP-REPAIR INTERMEDIATE F/E/E/N/L&/MUC 2,12052,CDM,,,GF,both,,,908,908,208.84,908,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,908,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,653.76,percent of total billed charges,717.32,percent of total billed charges,717.32,percent of total billed charges,726.4,percent of total billed charges,726.4,percent of total billed charges,,,653.76,percent of total billed charges ,,,726.4,percent of total billed charges ,717.32,percent of total billed charges ,717.32,percent of total billed charges ,771.8,percent of total billed charges ,771.8,percent of total billed charges ,726.4,percent of total billed charges ,726.4,percent of total billed charges ,635.6,percent of total billed charges ,635.6,percent of total billed charges ,544.8,percent of total billed charges ,544.8,percent of total billed charges ,544.8,percent of total billed charges ,544.8,percent of total billed charges ,,,,,483.06,percent of total billed charges ,,,,,458.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,,,208.84,percent of total billed charges,
ER-REPAIR COMPLX EYELID/NOSE/EAR/LIP EA,13153,CDM,,,GF,both,,,"2,046.00","2,046.00",470.58,"2,046.00","2,046.00",percent of total billed charges,"2,046.00",percent of total billed charges,"2,046.00",percent of total billed charges,"2,046.00",percent of total billed charges,"2,046.00",percent of total billed charges,"2,046.00",percent of total billed charges,"2,046.00",percent of total billed charges,"2,046.00",percent of total billed charges,"1,473.12",percent of total billed charges,"1,473.12",percent of total billed charges,"1,473.12",percent of total billed charges,"1,473.12",percent of total billed charges,"1,473.12",percent of total billed charges,"1,473.12",percent of total billed charges,"1,616.34",percent of total billed charges,"1,616.34",percent of total billed charges,"1,636.80",percent of total billed charges,"1,636.80",percent of total billed charges,,,"1,473.12",percent of total billed charges ,,,"1,636.80",percent of total billed charges ,"1,616.34",percent of total billed charges ,"1,616.34",percent of total billed charges ,"1,739.10",percent of total billed charges ,"1,739.10",percent of total billed charges ,"1,636.80",percent of total billed charges ,"1,636.80",percent of total billed charges ,"1,432.20",percent of total billed charges ,"1,432.20",percent of total billed charges ,"1,227.60",percent of total billed charges ,"1,227.60",percent of total billed charges ,"1,227.60",percent of total billed charges ,"1,227.60",percent of total billed charges ,,,,,"1,088.47",percent of total billed charges ,,,,,"1,034.05",percent of total billed charges ,,,,,,,,,,,,,,,,,,,470.58,percent of total billed charges,,,470.58,percent of total billed charges,,,470.58,percent of total billed charges,,,470.58,percent of total billed charges,,,470.58,percent of total billed charges,,,470.58,percent of total billed charges,,,470.58,percent of total billed charges,,,470.58,percent of total billed charges,,,470.58,percent of total billed charges,,,470.58,percent of total billed charges,,,470.58,percent of total billed charges,
PHY-REPAIR COMPLX EYELID/NOSE/EARL/LIP E,13153,CDM,,,GF,both,,,695,695,159.85,695,695,percent of total billed charges,695,percent of total billed charges,695,percent of total billed charges,695,percent of total billed charges,695,percent of total billed charges,695,percent of total billed charges,695,percent of total billed charges,695,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,500.4,percent of total billed charges,500.4,percent of total billed charges,549.05,percent of total billed charges,549.05,percent of total billed charges,556,percent of total billed charges,556,percent of total billed charges,,,500.4,percent of total billed charges ,,,556,percent of total billed charges ,549.05,percent of total billed charges ,549.05,percent of total billed charges ,590.75,percent of total billed charges ,590.75,percent of total billed charges ,556,percent of total billed charges ,556,percent of total billed charges ,486.5,percent of total billed charges ,486.5,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 ,,,,,369.74,percent of total billed charges ,,,,,351.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,159.85,percent of total billed charges,,,159.85,percent of total billed charges,,,159.85,percent of total billed charges,,,159.85,percent of total billed charges,,,159.85,percent of total billed charges,,,159.85,percent of total billed charges,,,159.85,percent of total billed charges,,,159.85,percent of total billed charges,,,159.85,percent of total billed charges,,,159.85,percent of total billed charges,,,159.85,percent of total billed charges,
ER-DRS&DBRDMT PRTL-THKNS BURNS 1ST/SBSQ,16030,CDM,,,,both,,,989,989,227.47,989,989,percent of total billed charges,989,percent of total billed charges,989,percent of total billed charges,989,percent of total billed charges,989,percent of total billed charges,989,percent of total billed charges,989,percent of total billed charges,989,percent of total billed charges,712.08,percent of total billed charges,712.08,percent of total billed charges,712.08,percent of total billed charges,712.08,percent of total billed charges,712.08,percent of total billed charges,712.08,percent of total billed charges,781.31,percent of total billed charges,781.31,percent of total billed charges,791.2,percent of total billed charges,791.2,percent of total billed charges,,,712.08,percent of total billed charges ,,,791.2,percent of total billed charges ,781.31,percent of total billed charges ,781.31,percent of total billed charges ,840.65,percent of total billed charges ,840.65,percent of total billed charges ,791.2,percent of total billed charges ,791.2,percent of total billed charges ,692.3,percent of total billed charges ,692.3,percent of total billed charges ,593.4,percent of total billed charges ,593.4,percent of total billed charges ,593.4,percent of total billed charges ,593.4,percent of total billed charges ,,,,,526.15,percent of total billed charges ,,,,,499.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,227.47,percent of total billed charges,,,227.47,percent of total billed charges,,,227.47,percent of total billed charges,,,227.47,percent of total billed charges,,,227.47,percent of total billed charges,,,227.47,percent of total billed charges,,,227.47,percent of total billed charges,,,227.47,percent of total billed charges,,,227.47,percent of total billed charges,,,227.47,percent of total billed charges,,,227.47,percent of total billed charges,
PHY-DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SB,16030,CDM,,,,both,,,658,658,151.34,658,658,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,519.82,percent of total billed charges,519.82,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 ,519.82,percent of total billed charges ,519.82,percent of total billed charges ,559.3,percent of total billed charges ,559.3,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 ,,,,,,,,,,,,,,,,,,,151.34,percent of total billed charges,,,151.34,percent of total billed charges,,,151.34,percent of total billed charges,,,151.34,percent of total billed charges,,,151.34,percent of total billed charges,,,151.34,percent of total billed charges,,,151.34,percent of total billed charges,,,151.34,percent of total billed charges,,,151.34,percent of total billed charges,,,151.34,percent of total billed charges,,,151.34,percent of total billed charges,
ER-INJECTION SINGLE/MLT TRIGGER POINT 3/,20553,CDM,,,,both,,,"1,035.00","1,035.00",238.05,"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,817.65,percent of total billed charges,817.65,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 ,817.65,percent of total billed charges ,817.65,percent of total billed charges ,879.75,percent of total billed charges ,879.75,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 ,,,,,,,,,,,,,,,,,,,238.05,percent of total billed charges,,,238.05,percent of total billed charges,,,238.05,percent of total billed charges,,,238.05,percent of total billed charges,,,238.05,percent of total billed charges,,,238.05,percent of total billed charges,,,238.05,percent of total billed charges,,,238.05,percent of total billed charges,,,238.05,percent of total billed charges,,,238.05,percent of total billed charges,,,238.05,percent of total billed charges,
PHY-INJECTION SINGLE/MLT TRIGGER POINT 3,20553,CDM,,,,both,,,212,212,48.76,212,212,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,167.48,percent of total billed charges,167.48,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 ,167.48,percent of total billed charges ,167.48,percent of total billed charges ,180.2,percent of total billed charges ,180.2,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 ,,,,,,,,,,,,,,,,,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,
ER-ARTHROCNT ASPIR&INJ SMALL JT/BURSAW/U,20604,CDM,,,,both,,,"1,356.00","1,356.00",311.88,"1,356.00","1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,976.32,percent of total billed charges,976.32,percent of total billed charges,976.32,percent of total billed charges,976.32,percent of total billed charges,976.32,percent of total billed charges,976.32,percent of total billed charges,"1,071.24",percent of total billed charges,"1,071.24",percent of total billed charges,"1,084.80",percent of total billed charges,"1,084.80",percent of total billed charges,,,976.32,percent of total billed charges ,,,"1,084.80",percent of total billed charges ,"1,071.24",percent of total billed charges ,"1,071.24",percent of total billed charges ,"1,152.60",percent of total billed charges ,"1,152.60",percent of total billed charges ,"1,084.80",percent of total billed charges ,"1,084.80",percent of total billed charges ,949.2,percent of total billed charges ,949.2,percent of total billed charges ,813.6,percent of total billed charges ,813.6,percent of total billed charges ,813.6,percent of total billed charges ,813.6,percent of total billed charges ,,,,,721.39,percent of total billed charges ,,,,,685.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,
PHY-ARTHROCNT ASPIR&/INJ SMALL JT/BURSAW,20604,CDM,,,,both,,,229,229,52.67,229,229,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,180.91,percent of total billed charges,180.91,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 ,180.91,percent of total billed charges ,180.91,percent of total billed charges ,194.65,percent of total billed charges ,194.65,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 ,,,,,,,,,,,,,,,,,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,
ER-ARTHROCENTESIS ASPIR&/INJ INTERM JT/B,20605,CDM,,,,both,,,"1,074.00","1,074.00",247.02,"1,074.00","1,074.00",percent of total billed charges,"1,074.00",percent of total billed charges,"1,074.00",percent of total billed charges,"1,074.00",percent of total billed charges,"1,074.00",percent of total billed charges,"1,074.00",percent of total billed charges,"1,074.00",percent of total billed charges,"1,074.00",percent of total billed charges,773.28,percent of total billed charges,773.28,percent of total billed charges,773.28,percent of total billed charges,773.28,percent of total billed charges,773.28,percent of total billed charges,773.28,percent of total billed charges,848.46,percent of total billed charges,848.46,percent of total billed charges,859.2,percent of total billed charges,859.2,percent of total billed charges,,,773.28,percent of total billed charges ,,,859.2,percent of total billed charges ,848.46,percent of total billed charges ,848.46,percent of total billed charges ,912.9,percent of total billed charges ,912.9,percent of total billed charges ,859.2,percent of total billed charges ,859.2,percent of total billed charges ,751.8,percent of total billed charges ,751.8,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 ,,,,,571.37,percent of total billed charges ,,,,,542.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,247.02,percent of total billed charges,,,247.02,percent of total billed charges,,,247.02,percent of total billed charges,,,247.02,percent of total billed charges,,,247.02,percent of total billed charges,,,247.02,percent of total billed charges,,,247.02,percent of total billed charges,,,247.02,percent of total billed charges,,,247.02,percent of total billed charges,,,247.02,percent of total billed charges,,,247.02,percent of total billed charges,
PHY-ARTHROCENTESIS ASPIR&/INJ INTERM JT/,20606,CDM,,,,both,,,264,264,60.72,264,264,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,208.56,percent of total billed charges,208.56,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 ,208.56,percent of total billed charges ,208.56,percent of total billed charges ,224.4,percent of total billed charges ,224.4,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 ,,,,,,,,,,,,,,,,,,,60.72,percent of total billed charges,,,60.72,percent of total billed charges,,,60.72,percent of total billed charges,,,60.72,percent of total billed charges,,,60.72,percent of total billed charges,,,60.72,percent of total billed charges,,,60.72,percent of total billed charges,,,60.72,percent of total billed charges,,,60.72,percent of total billed charges,,,60.72,percent of total billed charges,,,60.72,percent of total billed charges,
ER-ARTHROCENTESIS ASPIR&INJ MAJOR JT/BUR,20611,CDM,,,,both,,,"1,749.00","1,749.00",402.27,"1,749.00","1,749.00",percent of total billed charges,"1,749.00",percent of total billed charges,"1,749.00",percent of total billed charges,"1,749.00",percent of total billed charges,"1,749.00",percent of total billed charges,"1,749.00",percent of total billed charges,"1,749.00",percent of total billed charges,"1,749.00",percent of total billed charges,"1,259.28",percent of total billed charges,"1,259.28",percent of total billed charges,"1,259.28",percent of total billed charges,"1,259.28",percent of total billed charges,"1,259.28",percent of total billed charges,"1,259.28",percent of total billed charges,"1,381.71",percent of total billed charges,"1,381.71",percent of total billed charges,"1,399.20",percent of total billed charges,"1,399.20",percent of total billed charges,,,"1,259.28",percent of total billed charges ,,,"1,399.20",percent of total billed charges ,"1,381.71",percent of total billed charges ,"1,381.71",percent of total billed charges ,"1,486.65",percent of total billed charges ,"1,486.65",percent of total billed charges ,"1,399.20",percent of total billed charges ,"1,399.20",percent of total billed charges ,"1,224.30",percent of total billed charges ,"1,224.30",percent of total billed charges ,"1,049.40",percent of total billed charges ,"1,049.40",percent of total billed charges ,"1,049.40",percent of total billed charges ,"1,049.40",percent of total billed charges ,,,,,930.47,percent of total billed charges ,,,,,883.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,402.27,percent of total billed charges,,,402.27,percent of total billed charges,,,402.27,percent of total billed charges,,,402.27,percent of total billed charges,,,402.27,percent of total billed charges,,,402.27,percent of total billed charges,,,402.27,percent of total billed charges,,,402.27,percent of total billed charges,,,402.27,percent of total billed charges,,,402.27,percent of total billed charges,,,402.27,percent of total billed charges,
PHY-ARTHROCENTESIS ASPIR&/INJ MAJOR JT/B,20611,CDM,,,,both,,,303,303,69.69,303,303,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,303,percent of total billed charges,303,percent of total billed charges,303,percent of total billed charges,218.16,percent of total billed charges,218.16,percent of total billed charges,218.16,percent of total billed charges,218.16,percent of total billed charges,218.16,percent of total billed charges,218.16,percent of total billed charges,239.37,percent of total billed charges,239.37,percent of total billed charges,242.4,percent of total billed charges,242.4,percent of total billed charges,,,218.16,percent of total billed charges ,,,242.4,percent of total billed charges ,239.37,percent of total billed charges ,239.37,percent of total billed charges ,257.55,percent of total billed charges ,257.55,percent of total billed charges ,242.4,percent of total billed charges ,242.4,percent of total billed charges ,212.1,percent of total billed charges ,212.1,percent of total billed charges ,181.8,percent of total billed charges ,181.8,percent of total billed charges ,181.8,percent of total billed charges ,181.8,percent of total billed charges ,,,,,161.2,percent of total billed charges ,,,,,153.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,
ER-REMOVAL SHOULDER FOREIGN BODY DEEP SU,23333,CDM,,,,both,,,"6,271.00","6,271.00","1,442.33","6,271.00","6,271.00",percent of total billed charges,"6,271.00",percent of total billed charges,"6,271.00",percent of total billed charges,"6,271.00",percent of total billed charges,"6,271.00",percent of total billed charges,"6,271.00",percent of total billed charges,"6,271.00",percent of total billed charges,"6,271.00",percent of total billed charges,"4,515.12",percent of total billed charges,"4,515.12",percent of total billed charges,"4,515.12",percent of total billed charges,"4,515.12",percent of total billed charges,"4,515.12",percent of total billed charges,"4,515.12",percent of total billed charges,"4,954.09",percent of total billed charges,"4,954.09",percent of total billed charges,"5,016.80",percent of total billed charges,"5,016.80",percent of total billed charges,,,"4,515.12",percent of total billed charges ,,,"5,016.80",percent of total billed charges ,"4,954.09",percent of total billed charges ,"4,954.09",percent of total billed charges ,"5,330.35",percent of total billed charges ,"5,330.35",percent of total billed charges ,"5,016.80",percent of total billed charges ,"5,016.80",percent of total billed charges ,"4,389.70",percent of total billed charges ,"4,389.70",percent of total billed charges ,"3,762.60",percent of total billed charges ,"3,762.60",percent of total billed charges ,"3,762.60",percent of total billed charges ,"3,762.60",percent of total billed charges ,,,,,"3,336.17",percent of total billed charges ,,,,,"3,169.36",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,442.33",percent of total billed charges,,,"1,442.33",percent of total billed charges,,,"1,442.33",percent of total billed charges,,,"1,442.33",percent of total billed charges,,,"1,442.33",percent of total billed charges,,,"1,442.33",percent of total billed charges,,,"1,442.33",percent of total billed charges,,,"1,442.33",percent of total billed charges,,,"1,442.33",percent of total billed charges,,,"1,442.33",percent of total billed charges,,,"1,442.33",percent of total billed charges,
PHY-REMOVAL SHOULDER FOREIGN BODY DEEP S,23333,CDM,,,,both,,,"2,241.00","2,241.00",515.43,"2,241.00","2,241.00",percent of total billed charges,"2,241.00",percent of total billed charges,"2,241.00",percent of total billed charges,"2,241.00",percent of total billed charges,"2,241.00",percent of total billed charges,"2,241.00",percent of total billed charges,"2,241.00",percent of total billed charges,"2,241.00",percent of total billed charges,"1,613.52",percent of total billed charges,"1,613.52",percent of total billed charges,"1,613.52",percent of total billed charges,"1,613.52",percent of total billed charges,"1,613.52",percent of total billed charges,"1,613.52",percent of total billed charges,"1,770.39",percent of total billed charges,"1,770.39",percent of total billed charges,"1,792.80",percent of total billed charges,"1,792.80",percent of total billed charges,,,"1,613.52",percent of total billed charges ,,,"1,792.80",percent of total billed charges ,"1,770.39",percent of total billed charges ,"1,770.39",percent of total billed charges ,"1,904.85",percent of total billed charges ,"1,904.85",percent of total billed charges ,"1,792.80",percent of total billed charges ,"1,792.80",percent of total billed charges ,"1,568.70",percent of total billed charges ,"1,568.70",percent of total billed charges ,"1,344.60",percent of total billed charges ,"1,344.60",percent of total billed charges ,"1,344.60",percent of total billed charges ,"1,344.60",percent of total billed charges ,,,,,"1,192.21",percent of total billed charges ,,,,,"1,132.60",percent of total billed charges ,,,,,,,,,,,,,,,,,,,515.43,percent of total billed charges,,,515.43,percent of total billed charges,,,515.43,percent of total billed charges,,,515.43,percent of total billed charges,,,515.43,percent of total billed charges,,,515.43,percent of total billed charges,,,515.43,percent of total billed charges,,,515.43,percent of total billed charges,,,515.43,percent of total billed charges,,,515.43,percent of total billed charges,,,515.43,percent of total billed charges,
ER-CLSD TX CLAVICULAR FRACTURE W/MANIPU,23505,CDM,,,,both,,,"2,471.00","2,471.00",568.33,"2,471.00","2,471.00",percent of total billed charges,"2,471.00",percent of total billed charges,"2,471.00",percent of total billed charges,"2,471.00",percent of total billed charges,"2,471.00",percent of total billed charges,"2,471.00",percent of total billed charges,"2,471.00",percent of total billed charges,"2,471.00",percent of total billed charges,"1,779.12",percent of total billed charges,"1,779.12",percent of total billed charges,"1,779.12",percent of total billed charges,"1,779.12",percent of total billed charges,"1,779.12",percent of total billed charges,"1,779.12",percent of total billed charges,"1,952.09",percent of total billed charges,"1,952.09",percent of total billed charges,"1,976.80",percent of total billed charges,"1,976.80",percent of total billed charges,,,"1,779.12",percent of total billed charges ,,,"1,976.80",percent of total billed charges ,"1,952.09",percent of total billed charges ,"1,952.09",percent of total billed charges ,"2,100.35",percent of total billed charges ,"2,100.35",percent of total billed charges ,"1,976.80",percent of total billed charges ,"1,976.80",percent of total billed charges ,"1,729.70",percent of total billed charges ,"1,729.70",percent of total billed charges ,"1,482.60",percent of total billed charges ,"1,482.60",percent of total billed charges ,"1,482.60",percent of total billed charges ,"1,482.60",percent of total billed charges ,,,,,"1,314.57",percent of total billed charges ,,,,,"1,248.84",percent of total billed charges ,,,,,,,,,,,,,,,,,,,568.33,percent of total billed charges,,,568.33,percent of total billed charges,,,568.33,percent of total billed charges,,,568.33,percent of total billed charges,,,568.33,percent of total billed charges,,,568.33,percent of total billed charges,,,568.33,percent of total billed charges,,,568.33,percent of total billed charges,,,568.33,percent of total billed charges,,,568.33,percent of total billed charges,,,568.33,percent of total billed charges,
PHY-CLSD TX CLAVICULAR FRACTURE W/MANIPU,23505,CDM,,,,both,,,"1,581.00","1,581.00",363.63,"1,581.00","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,"1,581.00",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,"1,138.32",percent of total billed charges,"1,138.32",percent of total billed charges,"1,138.32",percent of total billed charges,"1,138.32",percent of total billed charges,"1,138.32",percent of total billed charges,"1,138.32",percent of total billed charges,"1,248.99",percent of total billed charges,"1,248.99",percent of total billed charges,"1,264.80",percent of total billed charges,"1,264.80",percent of total billed charges,,,"1,138.32",percent of total billed charges ,,,"1,264.80",percent of total billed charges ,"1,248.99",percent of total billed charges ,"1,248.99",percent of total billed charges ,"1,343.85",percent of total billed charges ,"1,343.85",percent of total billed charges ,"1,264.80",percent of total billed charges ,"1,264.80",percent of total billed charges ,"1,106.70",percent of total billed charges ,"1,106.70",percent of total billed charges ,948.6,percent of total billed charges ,948.6,percent of total billed charges ,948.6,percent of total billed charges ,948.6,percent of total billed charges ,,,,,841.09,percent of total billed charges ,,,,,799.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,363.63,percent of total billed charges,,,363.63,percent of total billed charges,,,363.63,percent of total billed charges,,,363.63,percent of total billed charges,,,363.63,percent of total billed charges,,,363.63,percent of total billed charges,,,363.63,percent of total billed charges,,,363.63,percent of total billed charges,,,363.63,percent of total billed charges,,,363.63,percent of total billed charges,,,363.63,percent of total billed charges,
ER-CLTX PROX HUMRL FX W/MANJ W/WO SKELET,23605,CDM,,,,both,,,"4,209.00","4,209.00",968.07,"4,209.00","4,209.00",percent of total billed charges,"4,209.00",percent of total billed charges,"4,209.00",percent of total billed charges,"4,209.00",percent of total billed charges,"4,209.00",percent of total billed charges,"4,209.00",percent of total billed charges,"4,209.00",percent of total billed charges,"4,209.00",percent of total billed charges,"3,030.48",percent of total billed charges,"3,030.48",percent of total billed charges,"3,030.48",percent of total billed charges,"3,030.48",percent of total billed charges,"3,030.48",percent of total billed charges,"3,030.48",percent of total billed charges,"3,325.11",percent of total billed charges,"3,325.11",percent of total billed charges,"3,367.20",percent of total billed charges,"3,367.20",percent of total billed charges,,,"3,030.48",percent of total billed charges ,,,"3,367.20",percent of total billed charges ,"3,325.11",percent of total billed charges ,"3,325.11",percent of total billed charges ,"3,577.65",percent of total billed charges ,"3,577.65",percent of total billed charges ,"3,367.20",percent of total billed charges ,"3,367.20",percent of total billed charges ,"2,946.30",percent of total billed charges ,"2,946.30",percent of total billed charges ,"2,525.40",percent of total billed charges ,"2,525.40",percent of total billed charges ,"2,525.40",percent of total billed charges ,"2,525.40",percent of total billed charges ,,,,,"2,239.19",percent of total billed charges ,,,,,"2,127.23",percent of total billed charges ,,,,,,,,,,,,,,,,,,,968.07,percent of total billed charges,,,968.07,percent of total billed charges,,,968.07,percent of total billed charges,,,968.07,percent of total billed charges,,,968.07,percent of total billed charges,,,968.07,percent of total billed charges,,,968.07,percent of total billed charges,,,968.07,percent of total billed charges,,,968.07,percent of total billed charges,,,968.07,percent of total billed charges,,,968.07,percent of total billed charges,
PHY-CLTX PROX HUMRL FX W/MANJ W/WO SKELE,23605,CDM,,,,both,,,"2,023.00","2,023.00",465.29,"2,023.00","2,023.00",percent of total billed charges,"2,023.00",percent of total billed charges,"2,023.00",percent of total billed charges,"2,023.00",percent of total billed charges,"2,023.00",percent of total billed charges,"2,023.00",percent of total billed charges,"2,023.00",percent of total billed charges,"2,023.00",percent of total billed charges,"1,456.56",percent of total billed charges,"1,456.56",percent of total billed charges,"1,456.56",percent of total billed charges,"1,456.56",percent of total billed charges,"1,456.56",percent of total billed charges,"1,456.56",percent of total billed charges,"1,598.17",percent of total billed charges,"1,598.17",percent of total billed charges,"1,618.40",percent of total billed charges,"1,618.40",percent of total billed charges,,,"1,456.56",percent of total billed charges ,,,"1,618.40",percent of total billed charges ,"1,598.17",percent of total billed charges ,"1,598.17",percent of total billed charges ,"1,719.55",percent of total billed charges ,"1,719.55",percent of total billed charges ,"1,618.40",percent of total billed charges ,"1,618.40",percent of total billed charges ,"1,416.10",percent of total billed charges ,"1,416.10",percent of total billed charges ,"1,213.80",percent of total billed charges ,"1,213.80",percent of total billed charges ,"1,213.80",percent of total billed charges ,"1,213.80",percent of total billed charges ,,,,,"1,076.24",percent of total billed charges ,,,,,"1,022.42",percent of total billed charges ,,,,,,,,,,,,,,,,,,,465.29,percent of total billed charges,,,465.29,percent of total billed charges,,,465.29,percent of total billed charges,,,465.29,percent of total billed charges,,,465.29,percent of total billed charges,,,465.29,percent of total billed charges,,,465.29,percent of total billed charges,,,465.29,percent of total billed charges,,,465.29,percent of total billed charges,,,465.29,percent of total billed charges,,,465.29,percent of total billed charges,
ER-REMOVAL FOREIGN BODY UPPER ARM W/ELBO,24201,CDM,,,GF,both,,,"8,073.00","8,073.00","1,856.79","8,073.00","8,073.00",percent of total billed charges,"8,073.00",percent of total billed charges,"8,073.00",percent of total billed charges,"8,073.00",percent of total billed charges,"8,073.00",percent of total billed charges,"8,073.00",percent of total billed charges,"8,073.00",percent of total billed charges,"8,073.00",percent of total billed charges,"5,812.56",percent of total billed charges,"5,812.56",percent of total billed charges,"5,812.56",percent of total billed charges,"5,812.56",percent of total billed charges,"5,812.56",percent of total billed charges,"5,812.56",percent of total billed charges,"6,377.67",percent of total billed charges,"6,377.67",percent of total billed charges,"6,458.40",percent of total billed charges,"6,458.40",percent of total billed charges,,,"5,812.56",percent of total billed charges ,,,"6,458.40",percent of total billed charges ,"6,377.67",percent of total billed charges ,"6,377.67",percent of total billed charges ,"6,862.05",percent of total billed charges ,"6,862.05",percent of total billed charges ,"6,458.40",percent of total billed charges ,"6,458.40",percent of total billed charges ,"5,651.10",percent of total billed charges ,"5,651.10",percent of total billed charges ,"4,843.80",percent of total billed charges ,"4,843.80",percent of total billed charges ,"4,843.80",percent of total billed charges ,"4,843.80",percent of total billed charges ,,,,,"4,294.84",percent of total billed charges ,,,,,"4,080.09",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,856.79",percent of total billed charges,,,"1,856.79",percent of total billed charges,,,"1,856.79",percent of total billed charges,,,"1,856.79",percent of total billed charges,,,"1,856.79",percent of total billed charges,,,"1,856.79",percent of total billed charges,,,"1,856.79",percent of total billed charges,,,"1,856.79",percent of total billed charges,,,"1,856.79",percent of total billed charges,,,"1,856.79",percent of total billed charges,,,"1,856.79",percent of total billed charges,
PHY-REMOVAL FOREIGN BODY UPPER ARM/ELBOW,24201,CDM,,,GF,both,,,"1,757.00","1,757.00",404.11,"1,757.00","1,757.00",percent of total billed charges,"1,757.00",percent of total billed charges,"1,757.00",percent of total billed charges,"1,757.00",percent of total billed charges,"1,757.00",percent of total billed charges,"1,757.00",percent of total billed charges,"1,757.00",percent of total billed charges,"1,757.00",percent of total billed charges,"1,265.04",percent of total billed charges,"1,265.04",percent of total billed charges,"1,265.04",percent of total billed charges,"1,265.04",percent of total billed charges,"1,265.04",percent of total billed charges,"1,265.04",percent of total billed charges,"1,388.03",percent of total billed charges,"1,388.03",percent of total billed charges,"1,405.60",percent of total billed charges,"1,405.60",percent of total billed charges,,,"1,265.04",percent of total billed charges ,,,"1,405.60",percent of total billed charges ,"1,388.03",percent of total billed charges ,"1,388.03",percent of total billed charges ,"1,493.45",percent of total billed charges ,"1,493.45",percent of total billed charges ,"1,405.60",percent of total billed charges ,"1,405.60",percent of total billed charges ,"1,229.90",percent of total billed charges ,"1,229.90",percent of total billed charges ,"1,054.20",percent of total billed charges ,"1,054.20",percent of total billed charges ,"1,054.20",percent of total billed charges ,"1,054.20",percent of total billed charges ,,,,,934.72,percent of total billed charges ,,,,,887.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,404.11,percent of total billed charges,,,404.11,percent of total billed charges,,,404.11,percent of total billed charges,,,404.11,percent of total billed charges,,,404.11,percent of total billed charges,,,404.11,percent of total billed charges,,,404.11,percent of total billed charges,,,404.11,percent of total billed charges,,,404.11,percent of total billed charges,,,404.11,percent of total billed charges,,,404.11,percent of total billed charges,
ER-CLTX SPRCNDYLR/TRANSCNDYLER HUMERAL W,24535,CDM,,,,both,,,"2,543.00","2,543.00",584.89,"2,543.00","2,543.00",percent of total billed charges,"2,543.00",percent of total billed charges,"2,543.00",percent of total billed charges,"2,543.00",percent of total billed charges,"2,543.00",percent of total billed charges,"2,543.00",percent of total billed charges,"2,543.00",percent of total billed charges,"2,543.00",percent of total billed charges,"1,830.96",percent of total billed charges,"1,830.96",percent of total billed charges,"1,830.96",percent of total billed charges,"1,830.96",percent of total billed charges,"1,830.96",percent of total billed charges,"1,830.96",percent of total billed charges,"2,008.97",percent of total billed charges,"2,008.97",percent of total billed charges,"2,034.40",percent of total billed charges,"2,034.40",percent of total billed charges,,,"1,830.96",percent of total billed charges ,,,"2,034.40",percent of total billed charges ,"2,008.97",percent of total billed charges ,"2,008.97",percent of total billed charges ,"2,161.55",percent of total billed charges ,"2,161.55",percent of total billed charges ,"2,034.40",percent of total billed charges ,"2,034.40",percent of total billed charges ,"1,780.10",percent of total billed charges ,"1,780.10",percent of total billed charges ,"1,525.80",percent of total billed charges ,"1,525.80",percent of total billed charges ,"1,525.80",percent of total billed charges ,"1,525.80",percent of total billed charges ,,,,,"1,352.88",percent of total billed charges ,,,,,"1,285.23",percent of total billed charges ,,,,,,,,,,,,,,,,,,,584.89,percent of total billed charges,,,584.89,percent of total billed charges,,,584.89,percent of total billed charges,,,584.89,percent of total billed charges,,,584.89,percent of total billed charges,,,584.89,percent of total billed charges,,,584.89,percent of total billed charges,,,584.89,percent of total billed charges,,,584.89,percent of total billed charges,,,584.89,percent of total billed charges,,,584.89,percent of total billed charges,
PHY-CLTX SPRCNDYLR/TRANSCNDYLER HUMERAL,24535,CDM,,,,both,,,"2,729.00","2,729.00",627.67,"2,729.00","2,729.00",percent of total billed charges,"2,729.00",percent of total billed charges,"2,729.00",percent of total billed charges,"2,729.00",percent of total billed charges,"2,729.00",percent of total billed charges,"2,729.00",percent of total billed charges,"2,729.00",percent of total billed charges,"2,729.00",percent of total billed charges,"1,964.88",percent of total billed charges,"1,964.88",percent of total billed charges,"1,964.88",percent of total billed charges,"1,964.88",percent of total billed charges,"1,964.88",percent of total billed charges,"1,964.88",percent of total billed charges,"2,155.91",percent of total billed charges,"2,155.91",percent of total billed charges,"2,183.20",percent of total billed charges,"2,183.20",percent of total billed charges,,,"1,964.88",percent of total billed charges ,,,"2,183.20",percent of total billed charges ,"2,155.91",percent of total billed charges ,"2,155.91",percent of total billed charges ,"2,319.65",percent of total billed charges ,"2,319.65",percent of total billed charges ,"2,183.20",percent of total billed charges ,"2,183.20",percent of total billed charges ,"1,910.30",percent of total billed charges ,"1,910.30",percent of total billed charges ,"1,637.40",percent of total billed charges ,"1,637.40",percent of total billed charges ,"1,637.40",percent of total billed charges ,"1,637.40",percent of total billed charges ,,,,,"1,451.83",percent of total billed charges ,,,,,"1,379.24",percent of total billed charges ,,,,,,,,,,,,,,,,,,,627.67,percent of total billed charges,,,627.67,percent of total billed charges,,,627.67,percent of total billed charges,,,627.67,percent of total billed charges,,,627.67,percent of total billed charges,,,627.67,percent of total billed charges,,,627.67,percent of total billed charges,,,627.67,percent of total billed charges,,,627.67,percent of total billed charges,,,627.67,percent of total billed charges,,,627.67,percent of total billed charges,
ER-CLOSED FRACTURE REDUCTION-ULNAR,24675,CDM,,,,both,,,"1,981.00","1,981.00",455.63,"1,981.00","1,981.00",percent of total billed charges,"1,981.00",percent of total billed charges,"1,981.00",percent of total billed charges,"1,981.00",percent of total billed charges,"1,981.00",percent of total billed charges,"1,981.00",percent of total billed charges,"1,981.00",percent of total billed charges,"1,981.00",percent of total billed charges,"1,426.32",percent of total billed charges,"1,426.32",percent of total billed charges,"1,426.32",percent of total billed charges,"1,426.32",percent of total billed charges,"1,426.32",percent of total billed charges,"1,426.32",percent of total billed charges,"1,564.99",percent of total billed charges,"1,564.99",percent of total billed charges,"1,584.80",percent of total billed charges,"1,584.80",percent of total billed charges,,,"1,426.32",percent of total billed charges ,,,"1,584.80",percent of total billed charges ,"1,564.99",percent of total billed charges ,"1,564.99",percent of total billed charges ,"1,683.85",percent of total billed charges ,"1,683.85",percent of total billed charges ,"1,584.80",percent of total billed charges ,"1,584.80",percent of total billed charges ,"1,386.70",percent of total billed charges ,"1,386.70",percent of total billed charges ,"1,188.60",percent of total billed charges ,"1,188.60",percent of total billed charges ,"1,188.60",percent of total billed charges ,"1,188.60",percent of total billed charges ,,,,,"1,053.89",percent of total billed charges ,,,,,"1,001.20",percent of total billed charges ,,,,,,,,,,,,,,,,,,,455.63,percent of total billed charges,,,455.63,percent of total billed charges,,,455.63,percent of total billed charges,,,455.63,percent of total billed charges,,,455.63,percent of total billed charges,,,455.63,percent of total billed charges,,,455.63,percent of total billed charges,,,455.63,percent of total billed charges,,,455.63,percent of total billed charges,,,455.63,percent of total billed charges,,,455.63,percent of total billed charges,
**PHY-CLOSED FX REDUCTION - ULNAR,24675,CDM,,,,both,,,"1,975.00","1,975.00",454.25,"1,975.00","1,975.00",percent of total billed charges,"1,975.00",percent of total billed charges,"1,975.00",percent of total billed charges,"1,975.00",percent of total billed charges,"1,975.00",percent of total billed charges,"1,975.00",percent of total billed charges,"1,975.00",percent of total billed charges,"1,975.00",percent of total billed charges,"1,422.00",percent of total billed charges,"1,422.00",percent of total billed charges,"1,422.00",percent of total billed charges,"1,422.00",percent of total billed charges,"1,422.00",percent of total billed charges,"1,422.00",percent of total billed charges,"1,560.25",percent of total billed charges,"1,560.25",percent of total billed charges,"1,580.00",percent of total billed charges,"1,580.00",percent of total billed charges,,,"1,422.00",percent of total billed charges ,,,"1,580.00",percent of total billed charges ,"1,560.25",percent of total billed charges ,"1,560.25",percent of total billed charges ,"1,678.75",percent of total billed charges ,"1,678.75",percent of total billed charges ,"1,580.00",percent of total billed charges ,"1,580.00",percent of total billed charges ,"1,382.50",percent of total billed charges ,"1,382.50",percent of total billed charges ,"1,185.00",percent of total billed charges ,"1,185.00",percent of total billed charges ,"1,185.00",percent of total billed charges ,"1,185.00",percent of total billed charges ,,,,,"1,050.70",percent of total billed charges ,,,,,998.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,454.25,percent of total billed charges,,,454.25,percent of total billed charges,,,454.25,percent of total billed charges,,,454.25,percent of total billed charges,,,454.25,percent of total billed charges,,,454.25,percent of total billed charges,,,454.25,percent of total billed charges,,,454.25,percent of total billed charges,,,454.25,percent of total billed charges,,,454.25,percent of total billed charges,,,454.25,percent of total billed charges,
ER-CLSED TX RADIAL SHAFT FRACTURE W/MANI,25505,CDM,,,,both,,,"1,800.00","1,800.00",414,"1,800.00","1,800.00",percent of total billed charges,"1,800.00",percent of total billed charges,"1,800.00",percent of total billed charges,"1,800.00",percent of total billed charges,"1,800.00",percent of total billed charges,"1,800.00",percent of total billed charges,"1,800.00",percent of total billed charges,"1,800.00",percent of total billed charges,"1,296.00",percent of total billed charges,"1,296.00",percent of total billed charges,"1,296.00",percent of total billed charges,"1,296.00",percent of total billed charges,"1,296.00",percent of total billed charges,"1,296.00",percent of total billed charges,"1,422.00",percent of total billed charges,"1,422.00",percent of total billed charges,"1,440.00",percent of total billed charges,"1,440.00",percent of total billed charges,,,"1,296.00",percent of total billed charges ,,,"1,440.00",percent of total billed charges ,"1,422.00",percent of total billed charges ,"1,422.00",percent of total billed charges ,"1,530.00",percent of total billed charges ,"1,530.00",percent of total billed charges ,"1,440.00",percent of total billed charges ,"1,440.00",percent of total billed charges ,"1,260.00",percent of total billed charges ,"1,260.00",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 ,,,,,957.6,percent of total billed charges ,,,,,909.72,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,,,414,percent of total billed charges,,,414,percent of total billed charges,,,414,percent of total billed charges,,,414,percent of total billed charges,
PHY-CLOSED TX RADIAL SHAFT FRACTURE W/MA,25505,CDM,,,,both,,,"2,165.00","2,165.00",497.95,"2,165.00","2,165.00",percent of total billed charges,"2,165.00",percent of total billed charges,"2,165.00",percent of total billed charges,"2,165.00",percent of total billed charges,"2,165.00",percent of total billed charges,"2,165.00",percent of total billed charges,"2,165.00",percent of total billed charges,"2,165.00",percent of total billed charges,"1,558.80",percent of total billed charges,"1,558.80",percent of total billed charges,"1,558.80",percent of total billed charges,"1,558.80",percent of total billed charges,"1,558.80",percent of total billed charges,"1,558.80",percent of total billed charges,"1,710.35",percent of total billed charges,"1,710.35",percent of total billed charges,"1,732.00",percent of total billed charges,"1,732.00",percent of total billed charges,,,"1,558.80",percent of total billed charges ,,,"1,732.00",percent of total billed charges ,"1,710.35",percent of total billed charges ,"1,710.35",percent of total billed charges ,"1,840.25",percent of total billed charges ,"1,840.25",percent of total billed charges ,"1,732.00",percent of total billed charges ,"1,732.00",percent of total billed charges ,"1,515.50",percent of total billed charges ,"1,515.50",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 ,,,,,"1,151.78",percent of total billed charges ,,,,,"1,094.19",percent of total billed charges ,,,,,,,,,,,,,,,,,,,497.95,percent of total billed charges,,,497.95,percent of total billed charges,,,497.95,percent of total billed charges,,,497.95,percent of total billed charges,,,497.95,percent of total billed charges,,,497.95,percent of total billed charges,,,497.95,percent of total billed charges,,,497.95,percent of total billed charges,,,497.95,percent of total billed charges,,,497.95,percent of total billed charges,,,497.95,percent of total billed charges,
ER-CLOSED TX ULNAR SHAFT FRACTURE W/ MAN,25535,CDM,,,,both,,,"4,023.00","4,023.00",925.29,"4,023.00","4,023.00",percent of total billed charges,"4,023.00",percent of total billed charges,"4,023.00",percent of total billed charges,"4,023.00",percent of total billed charges,"4,023.00",percent of total billed charges,"4,023.00",percent of total billed charges,"4,023.00",percent of total billed charges,"4,023.00",percent of total billed charges,"2,896.56",percent of total billed charges,"2,896.56",percent of total billed charges,"2,896.56",percent of total billed charges,"2,896.56",percent of total billed charges,"2,896.56",percent of total billed charges,"2,896.56",percent of total billed charges,"3,178.17",percent of total billed charges,"3,178.17",percent of total billed charges,"3,218.40",percent of total billed charges,"3,218.40",percent of total billed charges,,,"2,896.56",percent of total billed charges ,,,"3,218.40",percent of total billed charges ,"3,178.17",percent of total billed charges ,"3,178.17",percent of total billed charges ,"3,419.55",percent of total billed charges ,"3,419.55",percent of total billed charges ,"3,218.40",percent of total billed charges ,"3,218.40",percent of total billed charges ,"2,816.10",percent of total billed charges ,"2,816.10",percent of total billed charges ,"2,413.80",percent of total billed charges ,"2,413.80",percent of total billed charges ,"2,413.80",percent of total billed charges ,"2,413.80",percent of total billed charges ,,,,,"2,140.24",percent of total billed charges ,,,,,"2,033.22",percent of total billed charges ,,,,,,,,,,,,,,,,,,,925.29,percent of total billed charges,,,925.29,percent of total billed charges,,,925.29,percent of total billed charges,,,925.29,percent of total billed charges,,,925.29,percent of total billed charges,,,925.29,percent of total billed charges,,,925.29,percent of total billed charges,,,925.29,percent of total billed charges,,,925.29,percent of total billed charges,,,925.29,percent of total billed charges,,,925.29,percent of total billed charges,
PHY-CLOSED TX ULNAR SHAFT FRACTURE W/MAN,25535,CDM,,,,both,,,"1,075.00","1,075.00",247.25,"1,075.00","1,075.00",percent of total billed charges,"1,075.00",percent of total billed charges,"1,075.00",percent of total billed charges,"1,075.00",percent of total billed charges,"1,075.00",percent of total billed charges,"1,075.00",percent of total billed charges,"1,075.00",percent of total billed charges,"1,075.00",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,849.25,percent of total billed charges,849.25,percent of total billed charges,860,percent of total billed charges,860,percent of total billed charges,,,774,percent of total billed charges ,,,860,percent of total billed charges ,849.25,percent of total billed charges ,849.25,percent of total billed charges ,913.75,percent of total billed charges ,913.75,percent of total billed charges ,860,percent of total billed charges ,860,percent of total billed charges ,752.5,percent of total billed charges ,752.5,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 ,,,,,571.9,percent of total billed charges ,,,,,543.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,247.25,percent of total billed charges,,,247.25,percent of total billed charges,,,247.25,percent of total billed charges,,,247.25,percent of total billed charges,,,247.25,percent of total billed charges,,,247.25,percent of total billed charges,,,247.25,percent of total billed charges,,,247.25,percent of total billed charges,,,247.25,percent of total billed charges,,,247.25,percent of total billed charges,,,247.25,percent of total billed charges,
PHY-REPAIR EXTENSOR TENDON HAND W/O GRAF,26410,CDM,,,,both,,,"2,625.00","2,625.00",603.75,"2,625.00","2,625.00",percent of total billed charges,"2,625.00",percent of total billed charges,"2,625.00",percent of total billed charges,"2,625.00",percent of total billed charges,"2,625.00",percent of total billed charges,"2,625.00",percent of total billed charges,"2,625.00",percent of total billed charges,"2,625.00",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,"2,073.75",percent of total billed charges,"2,073.75",percent of total billed charges,"2,100.00",percent of total billed charges,"2,100.00",percent of total billed charges,,,"1,890.00",percent of total billed charges ,,,"2,100.00",percent of total billed charges ,"2,073.75",percent of total billed charges ,"2,073.75",percent of total billed charges ,"2,231.25",percent of total billed charges ,"2,231.25",percent of total billed charges ,"2,100.00",percent of total billed charges ,"2,100.00",percent of total billed charges ,"1,837.50",percent of total billed charges ,"1,837.50",percent of total billed charges ,"1,575.00",percent of total billed charges ,"1,575.00",percent of total billed charges ,"1,575.00",percent of total billed charges ,"1,575.00",percent of total billed charges ,,,,,"1,396.50",percent of total billed charges ,,,,,"1,326.68",percent of total billed charges ,,,,,,,,,,,,,,,,,,,603.75,percent of total billed charges,,,603.75,percent of total billed charges,,,603.75,percent of total billed charges,,,603.75,percent of total billed charges,,,603.75,percent of total billed charges,,,603.75,percent of total billed charges,,,603.75,percent of total billed charges,,,603.75,percent of total billed charges,,,603.75,percent of total billed charges,,,603.75,percent of total billed charges,,,603.75,percent of total billed charges,
ER-RMVL FOREIGN BODY PELVIS/HIP SUBCUT,27086,CDM,,,GF,both,,,"5,933.00","5,933.00","1,364.59","5,933.00","5,933.00",percent of total billed charges,"5,933.00",percent of total billed charges,"5,933.00",percent of total billed charges,"5,933.00",percent of total billed charges,"5,933.00",percent of total billed charges,"5,933.00",percent of total billed charges,"5,933.00",percent of total billed charges,"5,933.00",percent of total billed charges,"4,271.76",percent of total billed charges,"4,271.76",percent of total billed charges,"4,271.76",percent of total billed charges,"4,271.76",percent of total billed charges,"4,271.76",percent of total billed charges,"4,271.76",percent of total billed charges,"4,687.07",percent of total billed charges,"4,687.07",percent of total billed charges,"4,746.40",percent of total billed charges,"4,746.40",percent of total billed charges,,,"4,271.76",percent of total billed charges ,,,"4,746.40",percent of total billed charges ,"4,687.07",percent of total billed charges ,"4,687.07",percent of total billed charges ,"5,043.05",percent of total billed charges ,"5,043.05",percent of total billed charges ,"4,746.40",percent of total billed charges ,"4,746.40",percent of total billed charges ,"4,153.10",percent of total billed charges ,"4,153.10",percent of total billed charges ,"3,559.80",percent of total billed charges ,"3,559.80",percent of total billed charges ,"3,559.80",percent of total billed charges ,"3,559.80",percent of total billed charges ,,,,,"3,156.36",percent of total billed charges ,,,,,"2,998.54",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,364.59",percent of total billed charges,,,"1,364.59",percent of total billed charges,,,"1,364.59",percent of total billed charges,,,"1,364.59",percent of total billed charges,,,"1,364.59",percent of total billed charges,,,"1,364.59",percent of total billed charges,,,"1,364.59",percent of total billed charges,,,"1,364.59",percent of total billed charges,,,"1,364.59",percent of total billed charges,,,"1,364.59",percent of total billed charges,,,"1,364.59",percent of total billed charges,
PHY-RMVL FOREIGN BODY PELVIS/HIP SUB,27086,CDM,,,GF,both,,,807,807,185.61,807,807,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,637.53,percent of total billed charges,637.53,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 ,637.53,percent of total billed charges ,637.53,percent of total billed charges ,685.95,percent of total billed charges ,685.95,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 ,,,,,,,,,,,,,,,,,,,185.61,percent of total billed charges,,,185.61,percent of total billed charges,,,185.61,percent of total billed charges,,,185.61,percent of total billed charges,,,185.61,percent of total billed charges,,,185.61,percent of total billed charges,,,185.61,percent of total billed charges,,,185.61,percent of total billed charges,,,185.61,percent of total billed charges,,,185.61,percent of total billed charges,,,185.61,percent of total billed charges,
ER-REMOVAL FOREIGN BODY PELVIS/HIP DEEP,27087,CDM,,,GF,both,,,"9,004.00","9,004.00","2,070.92","9,004.00","9,004.00",percent of total billed charges,"9,004.00",percent of total billed charges,"9,004.00",percent of total billed charges,"9,004.00",percent of total billed charges,"9,004.00",percent of total billed charges,"9,004.00",percent of total billed charges,"9,004.00",percent of total billed charges,"9,004.00",percent of total billed charges,"6,482.88",percent of total billed charges,"6,482.88",percent of total billed charges,"6,482.88",percent of total billed charges,"6,482.88",percent of total billed charges,"6,482.88",percent of total billed charges,"6,482.88",percent of total billed charges,"7,113.16",percent of total billed charges,"7,113.16",percent of total billed charges,"7,203.20",percent of total billed charges,"7,203.20",percent of total billed charges,,,"6,482.88",percent of total billed charges ,,,"7,203.20",percent of total billed charges ,"7,113.16",percent of total billed charges ,"7,113.16",percent of total billed charges ,"7,653.40",percent of total billed charges ,"7,653.40",percent of total billed charges ,"7,203.20",percent of total billed charges ,"7,203.20",percent of total billed charges ,"6,302.80",percent of total billed charges ,"6,302.80",percent of total billed charges ,"5,402.40",percent of total billed charges ,"5,402.40",percent of total billed charges ,"5,402.40",percent of total billed charges ,"5,402.40",percent of total billed charges ,,,,,"4,790.13",percent of total billed charges ,,,,,"4,550.62",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,070.92",percent of total billed charges,,,"2,070.92",percent of total billed charges,,,"2,070.92",percent of total billed charges,,,"2,070.92",percent of total billed charges,,,"2,070.92",percent of total billed charges,,,"2,070.92",percent of total billed charges,,,"2,070.92",percent of total billed charges,,,"2,070.92",percent of total billed charges,,,"2,070.92",percent of total billed charges,,,"2,070.92",percent of total billed charges,,,"2,070.92",percent of total billed charges,
PHY-REMOVAL FOREIGN BODY PELVIS/HIP DEEP,27087,CDM,,,GF,both,,,"2,966.00","2,966.00",682.18,"2,966.00","2,966.00",percent of total billed charges,"2,966.00",percent of total billed charges,"2,966.00",percent of total billed charges,"2,966.00",percent of total billed charges,"2,966.00",percent of total billed charges,"2,966.00",percent of total billed charges,"2,966.00",percent of total billed charges,"2,966.00",percent of total billed charges,"2,135.52",percent of total billed charges,"2,135.52",percent of total billed charges,"2,135.52",percent of total billed charges,"2,135.52",percent of total billed charges,"2,135.52",percent of total billed charges,"2,135.52",percent of total billed charges,"2,343.14",percent of total billed charges,"2,343.14",percent of total billed charges,"2,372.80",percent of total billed charges,"2,372.80",percent of total billed charges,,,"2,135.52",percent of total billed charges ,,,"2,372.80",percent of total billed charges ,"2,343.14",percent of total billed charges ,"2,343.14",percent of total billed charges ,"2,521.10",percent of total billed charges ,"2,521.10",percent of total billed charges ,"2,372.80",percent of total billed charges ,"2,372.80",percent of total billed charges ,"2,076.20",percent of total billed charges ,"2,076.20",percent of total billed charges ,"1,779.60",percent of total billed charges ,"1,779.60",percent of total billed charges ,"1,779.60",percent of total billed charges ,"1,779.60",percent of total billed charges ,,,,,"1,577.91",percent of total billed charges ,,,,,"1,499.02",percent of total billed charges ,,,,,,,,,,,,,,,,,,,682.18,percent of total billed charges,,,682.18,percent of total billed charges,,,682.18,percent of total billed charges,,,682.18,percent of total billed charges,,,682.18,percent of total billed charges,,,682.18,percent of total billed charges,,,682.18,percent of total billed charges,,,682.18,percent of total billed charges,,,682.18,percent of total billed charges,,,682.18,percent of total billed charges,,,682.18,percent of total billed charges,
ER-TX SPONTAN HIP DISLC ABDCT SPLNT/TRCJ,27256,CDM,,,,both,,,895,895,205.85,895,895,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,707.05,percent of total billed charges,707.05,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 ,707.05,percent of total billed charges ,707.05,percent of total billed charges ,760.75,percent of total billed charges ,760.75,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 ,,,,,,,,,,,,,,,,,,,205.85,percent of total billed charges,,,205.85,percent of total billed charges,,,205.85,percent of total billed charges,,,205.85,percent of total billed charges,,,205.85,percent of total billed charges,,,205.85,percent of total billed charges,,,205.85,percent of total billed charges,,,205.85,percent of total billed charges,,,205.85,percent of total billed charges,,,205.85,percent of total billed charges,,,205.85,percent of total billed charges,
PHY-TX SPONTAN HIP DISLC ABDCT SPLNT/TRC,27256,CDM,,,,both,,,999,999,229.77,999,999,percent of total billed charges,999,percent of total billed charges,999,percent of total billed charges,999,percent of total billed charges,999,percent of total billed charges,999,percent of total billed charges,999,percent of total billed charges,999,percent of total billed charges,719.28,percent of total billed charges,719.28,percent of total billed charges,719.28,percent of total billed charges,719.28,percent of total billed charges,719.28,percent of total billed charges,719.28,percent of total billed charges,789.21,percent of total billed charges,789.21,percent of total billed charges,799.2,percent of total billed charges,799.2,percent of total billed charges,,,719.28,percent of total billed charges ,,,799.2,percent of total billed charges ,789.21,percent of total billed charges ,789.21,percent of total billed charges ,849.15,percent of total billed charges ,849.15,percent of total billed charges ,799.2,percent of total billed charges ,799.2,percent of total billed charges ,699.3,percent of total billed charges ,699.3,percent of total billed charges ,599.4,percent of total billed charges ,599.4,percent of total billed charges ,599.4,percent of total billed charges ,599.4,percent of total billed charges ,,,,,531.47,percent of total billed charges ,,,,,504.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,
ER-CLTX FEM SHIFT FX W/MANJ W/WO SKIN/SK,27502,CDM,,,,both,,,"3,155.00","3,155.00",725.65,"3,155.00","3,155.00",percent of total billed charges,"3,155.00",percent of total billed charges,"3,155.00",percent of total billed charges,"3,155.00",percent of total billed charges,"3,155.00",percent of total billed charges,"3,155.00",percent of total billed charges,"3,155.00",percent of total billed charges,"3,155.00",percent of total billed charges,"2,271.60",percent of total billed charges,"2,271.60",percent of total billed charges,"2,271.60",percent of total billed charges,"2,271.60",percent of total billed charges,"2,271.60",percent of total billed charges,"2,271.60",percent of total billed charges,"2,492.45",percent of total billed charges,"2,492.45",percent of total billed charges,"2,524.00",percent of total billed charges,"2,524.00",percent of total billed charges,,,"2,271.60",percent of total billed charges ,,,"2,524.00",percent of total billed charges ,"2,492.45",percent of total billed charges ,"2,492.45",percent of total billed charges ,"2,681.75",percent of total billed charges ,"2,681.75",percent of total billed charges ,"2,524.00",percent of total billed charges ,"2,524.00",percent of total billed charges ,"2,208.50",percent of total billed charges ,"2,208.50",percent of total billed charges ,"1,893.00",percent of total billed charges ,"1,893.00",percent of total billed charges ,"1,893.00",percent of total billed charges ,"1,893.00",percent of total billed charges ,,,,,"1,678.46",percent of total billed charges ,,,,,"1,594.54",percent of total billed charges ,,,,,,,,,,,,,,,,,,,725.65,percent of total billed charges,,,725.65,percent of total billed charges,,,725.65,percent of total billed charges,,,725.65,percent of total billed charges,,,725.65,percent of total billed charges,,,725.65,percent of total billed charges,,,725.65,percent of total billed charges,,,725.65,percent of total billed charges,,,725.65,percent of total billed charges,,,725.65,percent of total billed charges,,,725.65,percent of total billed charges,
PHY-CLTX FEM SHIFT FX W/MANJ W/WO SKIN/S,27502,CDM,,,,both,,,"3,691.00","3,691.00",848.93,"3,691.00","3,691.00",percent of total billed charges,"3,691.00",percent of total billed charges,"3,691.00",percent of total billed charges,"3,691.00",percent of total billed charges,"3,691.00",percent of total billed charges,"3,691.00",percent of total billed charges,"3,691.00",percent of total billed charges,"3,691.00",percent of total billed charges,"2,657.52",percent of total billed charges,"2,657.52",percent of total billed charges,"2,657.52",percent of total billed charges,"2,657.52",percent of total billed charges,"2,657.52",percent of total billed charges,"2,657.52",percent of total billed charges,"2,915.89",percent of total billed charges,"2,915.89",percent of total billed charges,"2,952.80",percent of total billed charges,"2,952.80",percent of total billed charges,,,"2,657.52",percent of total billed charges ,,,"2,952.80",percent of total billed charges ,"2,915.89",percent of total billed charges ,"2,915.89",percent of total billed charges ,"3,137.35",percent of total billed charges ,"3,137.35",percent of total billed charges ,"2,952.80",percent of total billed charges ,"2,952.80",percent of total billed charges ,"2,583.70",percent of total billed charges ,"2,583.70",percent of total billed charges ,"2,214.60",percent of total billed charges ,"2,214.60",percent of total billed charges ,"2,214.60",percent of total billed charges ,"2,214.60",percent of total billed charges ,,,,,"1,963.61",percent of total billed charges ,,,,,"1,865.43",percent of total billed charges ,,,,,,,,,,,,,,,,,,,848.93,percent of total billed charges,,,848.93,percent of total billed charges,,,848.93,percent of total billed charges,,,848.93,percent of total billed charges,,,848.93,percent of total billed charges,,,848.93,percent of total billed charges,,,848.93,percent of total billed charges,,,848.93,percent of total billed charges,,,848.93,percent of total billed charges,,,848.93,percent of total billed charges,,,848.93,percent of total billed charges,
ER-CLTX SPRCNDYLR/TRNSCNDYLER FEM FX W/M,27503,CDM,,,,both,,,"4,917.00","4,917.00","1,130.91","4,917.00","4,917.00",percent of total billed charges,"4,917.00",percent of total billed charges,"4,917.00",percent of total billed charges,"4,917.00",percent of total billed charges,"4,917.00",percent of total billed charges,"4,917.00",percent of total billed charges,"4,917.00",percent of total billed charges,"4,917.00",percent of total billed charges,"3,540.24",percent of total billed charges,"3,540.24",percent of total billed charges,"3,540.24",percent of total billed charges,"3,540.24",percent of total billed charges,"3,540.24",percent of total billed charges,"3,540.24",percent of total billed charges,"3,884.43",percent of total billed charges,"3,884.43",percent of total billed charges,"3,933.60",percent of total billed charges,"3,933.60",percent of total billed charges,,,"3,540.24",percent of total billed charges ,,,"3,933.60",percent of total billed charges ,"3,884.43",percent of total billed charges ,"3,884.43",percent of total billed charges ,"4,179.45",percent of total billed charges ,"4,179.45",percent of total billed charges ,"3,933.60",percent of total billed charges ,"3,933.60",percent of total billed charges ,"3,441.90",percent of total billed charges ,"3,441.90",percent of total billed charges ,"2,950.20",percent of total billed charges ,"2,950.20",percent of total billed charges ,"2,950.20",percent of total billed charges ,"2,950.20",percent of total billed charges ,,,,,"2,615.84",percent of total billed charges ,,,,,"2,485.05",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,130.91",percent of total billed charges,,,"1,130.91",percent of total billed charges,,,"1,130.91",percent of total billed charges,,,"1,130.91",percent of total billed charges,,,"1,130.91",percent of total billed charges,,,"1,130.91",percent of total billed charges,,,"1,130.91",percent of total billed charges,,,"1,130.91",percent of total billed charges,,,"1,130.91",percent of total billed charges,,,"1,130.91",percent of total billed charges,,,"1,130.91",percent of total billed charges,
PHY-CLTX SPRCNDYLR/TRNSCNDYLER FEM FX W/,27503,CDM,,,,both,,,"3,891.00","3,891.00",894.93,"3,891.00","3,891.00",percent of total billed charges,"3,891.00",percent of total billed charges,"3,891.00",percent of total billed charges,"3,891.00",percent of total billed charges,"3,891.00",percent of total billed charges,"3,891.00",percent of total billed charges,"3,891.00",percent of total billed charges,"3,891.00",percent of total billed charges,"2,801.52",percent of total billed charges,"2,801.52",percent of total billed charges,"2,801.52",percent of total billed charges,"2,801.52",percent of total billed charges,"2,801.52",percent of total billed charges,"2,801.52",percent of total billed charges,"3,073.89",percent of total billed charges,"3,073.89",percent of total billed charges,"3,112.80",percent of total billed charges,"3,112.80",percent of total billed charges,,,"2,801.52",percent of total billed charges ,,,"3,112.80",percent of total billed charges ,"3,073.89",percent of total billed charges ,"3,073.89",percent of total billed charges ,"3,307.35",percent of total billed charges ,"3,307.35",percent of total billed charges ,"3,112.80",percent of total billed charges ,"3,112.80",percent of total billed charges ,"2,723.70",percent of total billed charges ,"2,723.70",percent of total billed charges ,"2,334.60",percent of total billed charges ,"2,334.60",percent of total billed charges ,"2,334.60",percent of total billed charges ,"2,334.60",percent of total billed charges ,,,,,"2,070.01",percent of total billed charges ,,,,,"1,966.51",percent of total billed charges ,,,,,,,,,,,,,,,,,,,894.93,percent of total billed charges,,,894.93,percent of total billed charges,,,894.93,percent of total billed charges,,,894.93,percent of total billed charges,,,894.93,percent of total billed charges,,,894.93,percent of total billed charges,,,894.93,percent of total billed charges,,,894.93,percent of total billed charges,,,894.93,percent of total billed charges,,,894.93,percent of total billed charges,,,894.93,percent of total billed charges,
ER-CLTX FEM FX DSTL END MEDIAL/LAT CONDY,27510,CDM,,,,both,,,"1,715.00","1,715.00",394.45,"1,715.00","1,715.00",percent of total billed charges,"1,715.00",percent of total billed charges,"1,715.00",percent of total billed charges,"1,715.00",percent of total billed charges,"1,715.00",percent of total billed charges,"1,715.00",percent of total billed charges,"1,715.00",percent of total billed charges,"1,715.00",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,"1,354.85",percent of total billed charges,"1,354.85",percent of total billed charges,"1,372.00",percent of total billed charges,"1,372.00",percent of total billed charges,,,"1,234.80",percent of total billed charges ,,,"1,372.00",percent of total billed charges ,"1,354.85",percent of total billed charges ,"1,354.85",percent of total billed charges ,"1,457.75",percent of total billed charges ,"1,457.75",percent of total billed charges ,"1,372.00",percent of total billed charges ,"1,372.00",percent of total billed charges ,"1,200.50",percent of total billed charges ,"1,200.50",percent of total billed charges ,"1,029.00",percent of total billed charges ,"1,029.00",percent of total billed charges ,"1,029.00",percent of total billed charges ,"1,029.00",percent of total billed charges ,,,,,912.38,percent of total billed charges ,,,,,866.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,394.45,percent of total billed charges,,,394.45,percent of total billed charges,,,394.45,percent of total billed charges,,,394.45,percent of total billed charges,,,394.45,percent of total billed charges,,,394.45,percent of total billed charges,,,394.45,percent of total billed charges,,,394.45,percent of total billed charges,,,394.45,percent of total billed charges,,,394.45,percent of total billed charges,,,394.45,percent of total billed charges,
PHY-CLTX FEM FX DSTL END MEDIAL/LAT COND,27510,CDM,,,,both,,,"3,312.00","3,312.00",761.76,"3,312.00","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,"3,312.00",percent of total billed charges,"3,312.00",percent of total billed charges,"2,384.64",percent of total billed charges,"2,384.64",percent of total billed charges,"2,384.64",percent of total billed charges,"2,384.64",percent of total billed charges,"2,384.64",percent of total billed charges,"2,384.64",percent of total billed charges,"2,616.48",percent of total billed charges,"2,616.48",percent of total billed charges,"2,649.60",percent of total billed charges,"2,649.60",percent of total billed charges,,,"2,384.64",percent of total billed charges ,,,"2,649.60",percent of total billed charges ,"2,616.48",percent of total billed charges ,"2,616.48",percent of total billed charges ,"2,815.20",percent of total billed charges ,"2,815.20",percent of total billed charges ,"2,649.60",percent of total billed charges ,"2,649.60",percent of total billed charges ,"2,318.40",percent of total billed charges ,"2,318.40",percent of total billed charges ,"1,987.20",percent of total billed charges ,"1,987.20",percent of total billed charges ,"1,987.20",percent of total billed charges ,"1,987.20",percent of total billed charges ,,,,,"1,761.98",percent of total billed charges ,,,,,"1,673.88",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,,,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,
ER-CLTX PROX FIBULA/SHIFT FX W/MANJ,27781,CDM,,,,both,,,"4,077.00","4,077.00",937.71,"4,077.00","4,077.00",percent of total billed charges,"4,077.00",percent of total billed charges,"4,077.00",percent of total billed charges,"4,077.00",percent of total billed charges,"4,077.00",percent of total billed charges,"4,077.00",percent of total billed charges,"4,077.00",percent of total billed charges,"4,077.00",percent of total billed charges,"2,935.44",percent of total billed charges,"2,935.44",percent of total billed charges,"2,935.44",percent of total billed charges,"2,935.44",percent of total billed charges,"2,935.44",percent of total billed charges,"2,935.44",percent of total billed charges,"3,220.83",percent of total billed charges,"3,220.83",percent of total billed charges,"3,261.60",percent of total billed charges,"3,261.60",percent of total billed charges,,,"2,935.44",percent of total billed charges ,,,"3,261.60",percent of total billed charges ,"3,220.83",percent of total billed charges ,"3,220.83",percent of total billed charges ,"3,465.45",percent of total billed charges ,"3,465.45",percent of total billed charges ,"3,261.60",percent of total billed charges ,"3,261.60",percent of total billed charges ,"2,853.90",percent of total billed charges ,"2,853.90",percent of total billed charges ,"2,446.20",percent of total billed charges ,"2,446.20",percent of total billed charges ,"2,446.20",percent of total billed charges ,"2,446.20",percent of total billed charges ,,,,,"2,168.96",percent of total billed charges ,,,,,"2,060.52",percent of total billed charges ,,,,,,,,,,,,,,,,,,,937.71,percent of total billed charges,,,937.71,percent of total billed charges,,,937.71,percent of total billed charges,,,937.71,percent of total billed charges,,,937.71,percent of total billed charges,,,937.71,percent of total billed charges,,,937.71,percent of total billed charges,,,937.71,percent of total billed charges,,,937.71,percent of total billed charges,,,937.71,percent of total billed charges,,,937.71,percent of total billed charges,
PHY-CLTX PROX FIBULA/SHIFT FX W/MANJ,27781,CDM,,,,both,,,"1,890.00","1,890.00",434.7,"1,890.00","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,"1,360.80",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,"1,493.10",percent of total billed charges,"1,493.10",percent of total billed charges,"1,512.00",percent of total billed charges,"1,512.00",percent of total billed charges,,,"1,360.80",percent of total billed charges ,,,"1,512.00",percent of total billed charges ,"1,493.10",percent of total billed charges ,"1,493.10",percent of total billed charges ,"1,606.50",percent of total billed charges ,"1,606.50",percent of total billed charges ,"1,512.00",percent of total billed charges ,"1,512.00",percent of total billed charges ,"1,323.00",percent of total billed charges ,"1,323.00",percent of total billed charges ,"1,134.00",percent of total billed charges ,"1,134.00",percent of total billed charges ,"1,134.00",percent of total billed charges ,"1,134.00",percent of total billed charges ,,,,,"1,005.48",percent of total billed charges ,,,,,955.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,434.7,percent of total billed charges,,,434.7,percent of total billed charges,,,434.7,percent of total billed charges,,,434.7,percent of total billed charges,,,434.7,percent of total billed charges,,,434.7,percent of total billed charges,,,434.7,percent of total billed charges,,,434.7,percent of total billed charges,,,434.7,percent of total billed charges,,,434.7,percent of total billed charges,,,434.7,percent of total billed charges,
AHP-RMVL FOREIGN BODY PELVIS/HIP SUB,27086,CDM,,,GF,both,,,807,807,185.61,807,807,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,637.53,percent of total billed charges,637.53,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 ,637.53,percent of total billed charges ,637.53,percent of total billed charges ,685.95,percent of total billed charges ,685.95,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 ,,,,,,,,,,,,,,,,,,,185.61,percent of total billed charges,,,185.61,percent of total billed charges,,,185.61,percent of total billed charges,,,185.61,percent of total billed charges,,,185.61,percent of total billed charges,,,185.61,percent of total billed charges,,,185.61,percent of total billed charges,,,185.61,percent of total billed charges,,,185.61,percent of total billed charges,,,185.61,percent of total billed charges,,,185.61,percent of total billed charges,
PHY-CLTX FX W8 BRG ARTCLR PRTN DSTL TIB,27825,CDM,,,,both,,,"2,392.00","2,392.00",550.16,"2,392.00","2,392.00",percent of total billed charges,"2,392.00",percent of total billed charges,"2,392.00",percent of total billed charges,"2,392.00",percent of total billed charges,"2,392.00",percent of total billed charges,"2,392.00",percent of total billed charges,"2,392.00",percent of total billed charges,"2,392.00",percent of total billed charges,"1,722.24",percent of total billed charges,"1,722.24",percent of total billed charges,"1,722.24",percent of total billed charges,"1,722.24",percent of total billed charges,"1,722.24",percent of total billed charges,"1,722.24",percent of total billed charges,"1,889.68",percent of total billed charges,"1,889.68",percent of total billed charges,"1,913.60",percent of total billed charges,"1,913.60",percent of total billed charges,,,"1,722.24",percent of total billed charges ,,,"1,913.60",percent of total billed charges ,"1,889.68",percent of total billed charges ,"1,889.68",percent of total billed charges ,"2,033.20",percent of total billed charges ,"2,033.20",percent of total billed charges ,"1,913.60",percent of total billed charges ,"1,913.60",percent of total billed charges ,"1,674.40",percent of total billed charges ,"1,674.40",percent of total billed charges ,"1,435.20",percent of total billed charges ,"1,435.20",percent of total billed charges ,"1,435.20",percent of total billed charges ,"1,435.20",percent of total billed charges ,,,,,"1,272.54",percent of total billed charges ,,,,,"1,208.92",percent of total billed charges ,,,,,,,,,,,,,,,,,,,550.16,percent of total billed charges,,,550.16,percent of total billed charges,,,550.16,percent of total billed charges,,,550.16,percent of total billed charges,,,550.16,percent of total billed charges,,,550.16,percent of total billed charges,,,550.16,percent of total billed charges,,,550.16,percent of total billed charges,,,550.16,percent of total billed charges,,,550.16,percent of total billed charges,,,550.16,percent of total billed charges,
ER-REMOVAL FOREIGN BODY FOOT DEEP,28192,CDM,,,GF,both,,,"7,058.00","7,058.00","1,623.34","7,058.00","7,058.00",percent of total billed charges,"7,058.00",percent of total billed charges,"7,058.00",percent of total billed charges,"7,058.00",percent of total billed charges,"7,058.00",percent of total billed charges,"7,058.00",percent of total billed charges,"7,058.00",percent of total billed charges,"7,058.00",percent of total billed charges,"5,081.76",percent of total billed charges,"5,081.76",percent of total billed charges,"5,081.76",percent of total billed charges,"5,081.76",percent of total billed charges,"5,081.76",percent of total billed charges,"5,081.76",percent of total billed charges,"5,575.82",percent of total billed charges,"5,575.82",percent of total billed charges,"5,646.40",percent of total billed charges,"5,646.40",percent of total billed charges,,,"5,081.76",percent of total billed charges ,,,"5,646.40",percent of total billed charges ,"5,575.82",percent of total billed charges ,"5,575.82",percent of total billed charges ,"5,999.30",percent of total billed charges ,"5,999.30",percent of total billed charges ,"5,646.40",percent of total billed charges ,"5,646.40",percent of total billed charges ,"4,940.60",percent of total billed charges ,"4,940.60",percent of total billed charges ,"4,234.80",percent of total billed charges ,"4,234.80",percent of total billed charges ,"4,234.80",percent of total billed charges ,"4,234.80",percent of total billed charges ,,,,,"3,754.86",percent of total billed charges ,,,,,"3,567.11",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,623.34",percent of total billed charges,,,"1,623.34",percent of total billed charges,,,"1,623.34",percent of total billed charges,,,"1,623.34",percent of total billed charges,,,"1,623.34",percent of total billed charges,,,"1,623.34",percent of total billed charges,,,"1,623.34",percent of total billed charges,,,"1,623.34",percent of total billed charges,,,"1,623.34",percent of total billed charges,,,"1,623.34",percent of total billed charges,,,"1,623.34",percent of total billed charges,
ER-CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W,27825,CDM,,,,both,,,"4,250.00","4,250.00",977.5,"4,250.00","4,250.00",percent of total billed charges,"4,250.00",percent of total billed charges,"4,250.00",percent of total billed charges,"4,250.00",percent of total billed charges,"4,250.00",percent of total billed charges,"4,250.00",percent of total billed charges,"4,250.00",percent of total billed charges,"4,250.00",percent of total billed charges,"3,060.00",percent of total billed charges,"3,060.00",percent of total billed charges,"3,060.00",percent of total billed charges,"3,060.00",percent of total billed charges,"3,060.00",percent of total billed charges,"3,060.00",percent of total billed charges,"3,357.50",percent of total billed charges,"3,357.50",percent of total billed charges,"3,400.00",percent of total billed charges,"3,400.00",percent of total billed charges,,,"3,060.00",percent of total billed charges ,,,"3,400.00",percent of total billed charges ,"3,357.50",percent of total billed charges ,"3,357.50",percent of total billed charges ,"3,612.50",percent of total billed charges ,"3,612.50",percent of total billed charges ,"3,400.00",percent of total billed charges ,"3,400.00",percent of total billed charges ,"2,975.00",percent of total billed charges ,"2,975.00",percent of total billed charges ,"2,550.00",percent of total billed charges ,"2,550.00",percent of total billed charges ,"2,550.00",percent of total billed charges ,"2,550.00",percent of total billed charges ,,,,,"2,261.00",percent of total billed charges ,,,,,"2,147.95",percent of total billed charges ,,,,,,,,,,,,,,,,,,,977.5,percent of total billed charges,,,977.5,percent of total billed charges,,,977.5,percent of total billed charges,,,977.5,percent of total billed charges,,,977.5,percent of total billed charges,,,977.5,percent of total billed charges,,,977.5,percent of total billed charges,,,977.5,percent of total billed charges,,,977.5,percent of total billed charges,,,977.5,percent of total billed charges,,,977.5,percent of total billed charges,
ER-REMOVAL FOREIGN BODY FOOT COMPLICATED,28193,CDM,,,GF,both,,,"7,404.00","7,404.00","1,702.92","7,404.00","7,404.00",percent of total billed charges,"7,404.00",percent of total billed charges,"7,404.00",percent of total billed charges,"7,404.00",percent of total billed charges,"7,404.00",percent of total billed charges,"7,404.00",percent of total billed charges,"7,404.00",percent of total billed charges,"7,404.00",percent of total billed charges,"5,330.88",percent of total billed charges,"5,330.88",percent of total billed charges,"5,330.88",percent of total billed charges,"5,330.88",percent of total billed charges,"5,330.88",percent of total billed charges,"5,330.88",percent of total billed charges,"5,849.16",percent of total billed charges,"5,849.16",percent of total billed charges,"5,923.20",percent of total billed charges,"5,923.20",percent of total billed charges,,,"5,330.88",percent of total billed charges ,,,"5,923.20",percent of total billed charges ,"5,849.16",percent of total billed charges ,"5,849.16",percent of total billed charges ,"6,293.40",percent of total billed charges ,"6,293.40",percent of total billed charges ,"5,923.20",percent of total billed charges ,"5,923.20",percent of total billed charges ,"5,182.80",percent of total billed charges ,"5,182.80",percent of total billed charges ,"4,442.40",percent of total billed charges ,"4,442.40",percent of total billed charges ,"4,442.40",percent of total billed charges ,"4,442.40",percent of total billed charges ,,,,,"3,938.93",percent of total billed charges ,,,,,"3,741.98",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,702.92",percent of total billed charges,,,"1,702.92",percent of total billed charges,,,"1,702.92",percent of total billed charges,,,"1,702.92",percent of total billed charges,,,"1,702.92",percent of total billed charges,,,"1,702.92",percent of total billed charges,,,"1,702.92",percent of total billed charges,,,"1,702.92",percent of total billed charges,,,"1,702.92",percent of total billed charges,,,"1,702.92",percent of total billed charges,,,"1,702.92",percent of total billed charges,
PHY-REMOVAL FOREIGN BODY FOOT COMPLICATE,28193,CDM,,,GF,both,,,"1,773.00","1,773.00",407.79,"1,773.00","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,"1,773.00",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,"1,276.56",percent of total billed charges,"1,276.56",percent of total billed charges,"1,276.56",percent of total billed charges,"1,276.56",percent of total billed charges,"1,276.56",percent of total billed charges,"1,276.56",percent of total billed charges,"1,400.67",percent of total billed charges,"1,400.67",percent of total billed charges,"1,418.40",percent of total billed charges,"1,418.40",percent of total billed charges,,,"1,276.56",percent of total billed charges ,,,"1,418.40",percent of total billed charges ,"1,400.67",percent of total billed charges ,"1,400.67",percent of total billed charges ,"1,507.05",percent of total billed charges ,"1,507.05",percent of total billed charges ,"1,418.40",percent of total billed charges ,"1,418.40",percent of total billed charges ,"1,241.10",percent of total billed charges ,"1,241.10",percent of total billed charges ,"1,063.80",percent of total billed charges ,"1,063.80",percent of total billed charges ,"1,063.80",percent of total billed charges ,"1,063.80",percent of total billed charges ,,,,,943.24,percent of total billed charges ,,,,,896.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,407.79,percent of total billed charges,,,407.79,percent of total billed charges,,,407.79,percent of total billed charges,,,407.79,percent of total billed charges,,,407.79,percent of total billed charges,,,407.79,percent of total billed charges,,,407.79,percent of total billed charges,,,407.79,percent of total billed charges,,,407.79,percent of total billed charges,,,407.79,percent of total billed charges,,,407.79,percent of total billed charges,
ER-CLTX METAR FX W/MANJ,28475,CDM,,,,both,,,"1,659.00","1,659.00",381.57,"1,659.00","1,659.00",percent of total billed charges,"1,659.00",percent of total billed charges,"1,659.00",percent of total billed charges,"1,659.00",percent of total billed charges,"1,659.00",percent of total billed charges,"1,659.00",percent of total billed charges,"1,659.00",percent of total billed charges,"1,659.00",percent of total billed charges,"1,194.48",percent of total billed charges,"1,194.48",percent of total billed charges,"1,194.48",percent of total billed charges,"1,194.48",percent of total billed charges,"1,194.48",percent of total billed charges,"1,194.48",percent of total billed charges,"1,310.61",percent of total billed charges,"1,310.61",percent of total billed charges,"1,327.20",percent of total billed charges,"1,327.20",percent of total billed charges,,,"1,194.48",percent of total billed charges ,,,"1,327.20",percent of total billed charges ,"1,310.61",percent of total billed charges ,"1,310.61",percent of total billed charges ,"1,410.15",percent of total billed charges ,"1,410.15",percent of total billed charges ,"1,327.20",percent of total billed charges ,"1,327.20",percent of total billed charges ,"1,161.30",percent of total billed charges ,"1,161.30",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 ,,,,,882.59,percent of total billed charges ,,,,,838.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,381.57,percent of total billed charges,,,381.57,percent of total billed charges,,,381.57,percent of total billed charges,,,381.57,percent of total billed charges,,,381.57,percent of total billed charges,,,381.57,percent of total billed charges,,,381.57,percent of total billed charges,,,381.57,percent of total billed charges,,,381.57,percent of total billed charges,,,381.57,percent of total billed charges,,,381.57,percent of total billed charges,
PHY-REMOVAL FOREIGN BODY FOOT DEEP,28192,CDM,,,GF,both,,,"1,504.00","1,504.00",345.92,"1,504.00","1,504.00",percent of total billed charges,"1,504.00",percent of total billed charges,"1,504.00",percent of total billed charges,"1,504.00",percent of total billed charges,"1,504.00",percent of total billed charges,"1,504.00",percent of total billed charges,"1,504.00",percent of total billed charges,"1,504.00",percent of total billed charges,"1,082.88",percent of total billed charges,"1,082.88",percent of total billed charges,"1,082.88",percent of total billed charges,"1,082.88",percent of total billed charges,"1,082.88",percent of total billed charges,"1,082.88",percent of total billed charges,"1,188.16",percent of total billed charges,"1,188.16",percent of total billed charges,"1,203.20",percent of total billed charges,"1,203.20",percent of total billed charges,,,"1,082.88",percent of total billed charges ,,,"1,203.20",percent of total billed charges ,"1,188.16",percent of total billed charges ,"1,188.16",percent of total billed charges ,"1,278.40",percent of total billed charges ,"1,278.40",percent of total billed charges ,"1,203.20",percent of total billed charges ,"1,203.20",percent of total billed charges ,"1,052.80",percent of total billed charges ,"1,052.80",percent of total billed charges ,902.4,percent of total billed charges ,902.4,percent of total billed charges ,902.4,percent of total billed charges ,902.4,percent of total billed charges ,,,,,800.13,percent of total billed charges ,,,,,760.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,345.92,percent of total billed charges,,,345.92,percent of total billed charges,,,345.92,percent of total billed charges,,,345.92,percent of total billed charges,,,345.92,percent of total billed charges,,,345.92,percent of total billed charges,,,345.92,percent of total billed charges,,,345.92,percent of total billed charges,,,345.92,percent of total billed charges,,,345.92,percent of total billed charges,,,345.92,percent of total billed charges,
ER-STRAPPING THORAX,29200,CDM,,,,both,,,321,321,73.83,321,321,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,253.59,percent of total billed charges,253.59,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 ,253.59,percent of total billed charges ,253.59,percent of total billed charges ,272.85,percent of total billed charges ,272.85,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 ,,,,,,,,,,,,,,,,,,,73.83,percent of total billed charges,,,73.83,percent of total billed charges,,,73.83,percent of total billed charges,,,73.83,percent of total billed charges,,,73.83,percent of total billed charges,,,73.83,percent of total billed charges,,,73.83,percent of total billed charges,,,73.83,percent of total billed charges,,,73.83,percent of total billed charges,,,73.83,percent of total billed charges,,,73.83,percent of total billed charges,
PHY-STRAPPING THORAX,29200,CDM,,,,both,,,93,93,21.39,93,93,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,73.47,percent of total billed charges,73.47,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 ,73.47,percent of total billed charges ,73.47,percent of total billed charges ,79.05,percent of total billed charges ,79.05,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 ,,,,,,,,,,,,,,,,,,,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,,,21.39,percent of total billed charges,,,21.39,percent of total billed charges,,,21.39,percent of total billed charges,
ER-STRAPPING SHOULDER,29240,CDM,,,,both,,,463,463,106.49,463,463,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,365.77,percent of total billed charges,365.77,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 ,365.77,percent of total billed charges ,365.77,percent of total billed charges ,393.55,percent of total billed charges ,393.55,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 ,,,,,,,,,,,,,,,,,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,
PHY-STRAPPING SHOULDER,29240,CDM,,,,both,,,93,93,21.39,93,93,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,73.47,percent of total billed charges,73.47,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 ,73.47,percent of total billed charges ,73.47,percent of total billed charges ,79.05,percent of total billed charges ,79.05,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 ,,,,,,,,,,,,,,,,,,,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,,,21.39,percent of total billed charges,,,21.39,percent of total billed charges,,,21.39,percent of total billed charges,
ER-STRAPPING ELBOW/WRIST,29260,CDM,,,GP,both,,,393,393,90.39,393,393,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,310.47,percent of total billed charges,310.47,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 ,310.47,percent of total billed charges ,310.47,percent of total billed charges ,334.05,percent of total billed charges ,334.05,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 ,,,,,,,,,,,,,,,,,,,90.39,percent of total billed charges,,,90.39,percent of total billed charges,,,90.39,percent of total billed charges,,,90.39,percent of total billed charges,,,90.39,percent of total billed charges,,,90.39,percent of total billed charges,,,90.39,percent of total billed charges,,,90.39,percent of total billed charges,,,90.39,percent of total billed charges,,,90.39,percent of total billed charges,,,90.39,percent of total billed charges,
PHY-STRAPPING ELBOW/WRIST,29260,CDM,,,GP,both,,,99,99,22.77,99,99,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,78.21,percent of total billed charges,78.21,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 ,78.21,percent of total billed charges ,78.21,percent of total billed charges ,84.15,percent of total billed charges ,84.15,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 ,,,,,,,,,,,,,,,,,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,
ER-STRAPPING HAND/FINGER,29280,CDM,,,GP,both,,,364,364,83.72,364,364,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,287.56,percent of total billed charges,287.56,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 ,287.56,percent of total billed charges ,287.56,percent of total billed charges ,309.4,percent of total billed charges ,309.4,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 ,,,,,,,,,,,,,,,,,,,83.72,percent of total billed charges,,,83.72,percent of total billed charges,,,83.72,percent of total billed charges,,,83.72,percent of total billed charges,,,83.72,percent of total billed charges,,,83.72,percent of total billed charges,,,83.72,percent of total billed charges,,,83.72,percent of total billed charges,,,83.72,percent of total billed charges,,,83.72,percent of total billed charges,,,83.72,percent of total billed charges,
PHY-STRAPPING HAND/FINGER,29280,CDM,,,GP,both,,,101,101,23.23,101,101,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,79.79,percent of total billed charges,79.79,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 ,79.79,percent of total billed charges ,79.79,percent of total billed charges ,85.85,percent of total billed charges ,85.85,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 ,,,,,,,,,,,,,,,,,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,
ER-STRAPPING KNEE,29530,CDM,,,,both,,,440,440,101.2,440,440,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,347.6,percent of total billed charges,347.6,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 ,347.6,percent of total billed charges ,347.6,percent of total billed charges ,374,percent of total billed charges ,374,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
PHY-STRAPPING KNEE,29530,CDM,,,,both,,,93,93,21.39,93,93,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,73.47,percent of total billed charges,73.47,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 ,73.47,percent of total billed charges ,73.47,percent of total billed charges ,79.05,percent of total billed charges ,79.05,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 ,,,,,,,,,,,,,,,,,,,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,,,21.39,percent of total billed charges,,,21.39,percent of total billed charges,,,21.39,percent of total billed charges,
ER-STRAPPING ANKLE &/FOOT,29540,CDM,,,,both,,,366,366,84.18,366,366,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,289.14,percent of total billed charges,289.14,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 ,289.14,percent of total billed charges ,289.14,percent of total billed charges ,311.1,percent of total billed charges ,311.1,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 ,,,,,,,,,,,,,,,,,,,84.18,percent of total billed charges,,,84.18,percent of total billed charges,,,84.18,percent of total billed charges,,,84.18,percent of total billed charges,,,84.18,percent of total billed charges,,,84.18,percent of total billed charges,,,84.18,percent of total billed charges,,,84.18,percent of total billed charges,,,84.18,percent of total billed charges,,,84.18,percent of total billed charges,,,84.18,percent of total billed charges,
PHY-STRAPPING ANKLE &/FOOT,29540,CDM,,,,both,,,90,90,20.7,90,90,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,71.1,percent of total billed charges,71.1,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 ,71.1,percent of total billed charges ,71.1,percent of total billed charges ,76.5,percent of total billed charges ,76.5,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
ER-STRAPPING TOES,29550,CDM,,,,both,,,352,352,80.96,352,352,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,278.08,percent of total billed charges,278.08,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 ,278.08,percent of total billed charges ,278.08,percent of total billed charges ,299.2,percent of total billed charges ,299.2,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 ,,,,,,,,,,,,,,,,,,,80.96,percent of total billed charges,,,80.96,percent of total billed charges,,,80.96,percent of total billed charges,,,80.96,percent of total billed charges,,,80.96,percent of total billed charges,,,80.96,percent of total billed charges,,,80.96,percent of total billed charges,,,80.96,percent of total billed charges,,,80.96,percent of total billed charges,,,80.96,percent of total billed charges,,,80.96,percent of total billed charges,
PHY-STRAPPING TOES,29550,CDM,,,,both,,,59,59,13.57,59,59,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,46.61,percent of total billed charges,46.61,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 ,46.61,percent of total billed charges ,46.61,percent of total billed charges ,50.15,percent of total billed charges ,50.15,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 ,,,,,,,,,,,,,,,,,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,
ER-STRAPPING UNNA BOOT,29580,CDM,,,,both,,,572,572,131.56,572,572,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,451.88,percent of total billed charges,451.88,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 ,451.88,percent of total billed charges ,451.88,percent of total billed charges ,486.2,percent of total billed charges ,486.2,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,131.56,percent of total billed charges,,,131.56,percent of total billed charges,,,131.56,percent of total billed charges,
PHY-STRAPPING UNNA BOOT,29580,CDM,,,,both,,,145,145,33.35,145,145,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,114.55,percent of total billed charges,114.55,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 ,114.55,percent of total billed charges ,114.55,percent of total billed charges ,123.25,percent of total billed charges ,123.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,33.35,percent of total billed charges,,,33.35,percent of total billed charges,,,33.35,percent of total billed charges,
PHY-CLTX METAR FX W/MANJ,28475,CDM,,,,both,,,"1,659.00","1,659.00",381.57,"1,659.00","1,659.00",percent of total billed charges,"1,659.00",percent of total billed charges,"1,659.00",percent of total billed charges,"1,659.00",percent of total billed charges,"1,659.00",percent of total billed charges,"1,659.00",percent of total billed charges,"1,659.00",percent of total billed charges,"1,659.00",percent of total billed charges,"1,194.48",percent of total billed charges,"1,194.48",percent of total billed charges,"1,194.48",percent of total billed charges,"1,194.48",percent of total billed charges,"1,194.48",percent of total billed charges,"1,194.48",percent of total billed charges,"1,310.61",percent of total billed charges,"1,310.61",percent of total billed charges,"1,327.20",percent of total billed charges,"1,327.20",percent of total billed charges,,,"1,194.48",percent of total billed charges ,,,"1,327.20",percent of total billed charges ,"1,310.61",percent of total billed charges ,"1,310.61",percent of total billed charges ,"1,410.15",percent of total billed charges ,"1,410.15",percent of total billed charges ,"1,327.20",percent of total billed charges ,"1,327.20",percent of total billed charges ,"1,161.30",percent of total billed charges ,"1,161.30",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 ,,,,,882.59,percent of total billed charges ,,,,,838.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,381.57,percent of total billed charges,,,381.57,percent of total billed charges,,,381.57,percent of total billed charges,,,381.57,percent of total billed charges,,,381.57,percent of total billed charges,,,381.57,percent of total billed charges,,,381.57,percent of total billed charges,,,381.57,percent of total billed charges,,,381.57,percent of total billed charges,,,381.57,percent of total billed charges,,,381.57,percent of total billed charges,
PHY-THORACOTOMY WITH EXPLORATION,32100,CDM,,,,both,,,"4,016.00","4,016.00",923.68,"4,016.00","4,016.00",percent of total billed charges,"4,016.00",percent of total billed charges,"4,016.00",percent of total billed charges,"4,016.00",percent of total billed charges,"4,016.00",percent of total billed charges,"4,016.00",percent of total billed charges,"4,016.00",percent of total billed charges,"4,016.00",percent of total billed charges,"2,891.52",percent of total billed charges,"2,891.52",percent of total billed charges,"2,891.52",percent of total billed charges,"2,891.52",percent of total billed charges,"2,891.52",percent of total billed charges,"2,891.52",percent of total billed charges,"3,172.64",percent of total billed charges,"3,172.64",percent of total billed charges,"3,212.80",percent of total billed charges,"3,212.80",percent of total billed charges,,,"2,891.52",percent of total billed charges ,,,"3,212.80",percent of total billed charges ,"3,172.64",percent of total billed charges ,"3,172.64",percent of total billed charges ,"3,413.60",percent of total billed charges ,"3,413.60",percent of total billed charges ,"3,212.80",percent of total billed charges ,"3,212.80",percent of total billed charges ,"2,811.20",percent of total billed charges ,"2,811.20",percent of total billed charges ,"2,409.60",percent of total billed charges ,"2,409.60",percent of total billed charges ,"2,409.60",percent of total billed charges ,"2,409.60",percent of total billed charges ,,,,,"2,136.51",percent of total billed charges ,,,,,"2,029.69",percent of total billed charges ,,,,,,,,,,,,,,,,,,,923.68,percent of total billed charges,,,923.68,percent of total billed charges,,,923.68,percent of total billed charges,,,923.68,percent of total billed charges,,,923.68,percent of total billed charges,,,923.68,percent of total billed charges,,,923.68,percent of total billed charges,,,923.68,percent of total billed charges,,,923.68,percent of total billed charges,,,923.68,percent of total billed charges,,,923.68,percent of total billed charges,
AHP-REMOVAL FOREIGN BODY FOOT COMPLICATE,28193,CDM,,,GF,both,,,"1,773.00","1,773.00",407.79,"1,773.00","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,"1,773.00",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,"1,276.56",percent of total billed charges,"1,276.56",percent of total billed charges,"1,276.56",percent of total billed charges,"1,276.56",percent of total billed charges,"1,276.56",percent of total billed charges,"1,276.56",percent of total billed charges,"1,400.67",percent of total billed charges,"1,400.67",percent of total billed charges,"1,418.40",percent of total billed charges,"1,418.40",percent of total billed charges,,,"1,276.56",percent of total billed charges ,,,"1,418.40",percent of total billed charges ,"1,400.67",percent of total billed charges ,"1,400.67",percent of total billed charges ,"1,507.05",percent of total billed charges ,"1,507.05",percent of total billed charges ,"1,418.40",percent of total billed charges ,"1,418.40",percent of total billed charges ,"1,241.10",percent of total billed charges ,"1,241.10",percent of total billed charges ,"1,063.80",percent of total billed charges ,"1,063.80",percent of total billed charges ,"1,063.80",percent of total billed charges ,"1,063.80",percent of total billed charges ,,,,,943.24,percent of total billed charges ,,,,,896.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,407.79,percent of total billed charges,,,407.79,percent of total billed charges,,,407.79,percent of total billed charges,,,407.79,percent of total billed charges,,,407.79,percent of total billed charges,,,407.79,percent of total billed charges,,,407.79,percent of total billed charges,,,407.79,percent of total billed charges,,,407.79,percent of total billed charges,,,407.79,percent of total billed charges,,,407.79,percent of total billed charges,
PHY-THORACTOMY W/CONTROL TRAUMATIC HEMOR,32110,CDM,,,,both,,,"7,281.00","7,281.00","1,674.63","7,281.00","7,281.00",percent of total billed charges,"7,281.00",percent of total billed charges,"7,281.00",percent of total billed charges,"7,281.00",percent of total billed charges,"7,281.00",percent of total billed charges,"7,281.00",percent of total billed charges,"7,281.00",percent of total billed charges,"7,281.00",percent of total billed charges,"5,242.32",percent of total billed charges,"5,242.32",percent of total billed charges,"5,242.32",percent of total billed charges,"5,242.32",percent of total billed charges,"5,242.32",percent of total billed charges,"5,242.32",percent of total billed charges,"5,751.99",percent of total billed charges,"5,751.99",percent of total billed charges,"5,824.80",percent of total billed charges,"5,824.80",percent of total billed charges,,,"5,242.32",percent of total billed charges ,,,"5,824.80",percent of total billed charges ,"5,751.99",percent of total billed charges ,"5,751.99",percent of total billed charges ,"6,188.85",percent of total billed charges ,"6,188.85",percent of total billed charges ,"5,824.80",percent of total billed charges ,"5,824.80",percent of total billed charges ,"5,096.70",percent of total billed charges ,"5,096.70",percent of total billed charges ,"4,368.60",percent of total billed charges ,"4,368.60",percent of total billed charges ,"4,368.60",percent of total billed charges ,"4,368.60",percent of total billed charges ,,,,,"3,873.49",percent of total billed charges ,,,,,"3,679.82",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,674.63",percent of total billed charges,,,"1,674.63",percent of total billed charges,,,"1,674.63",percent of total billed charges,,,"1,674.63",percent of total billed charges,,,"1,674.63",percent of total billed charges,,,"1,674.63",percent of total billed charges,,,"1,674.63",percent of total billed charges,,,"1,674.63",percent of total billed charges,,,"1,674.63",percent of total billed charges,,,"1,674.63",percent of total billed charges,,,"1,674.63",percent of total billed charges,
ER-THORACTOMY W/CARDIAC MASSAGE,32160,CDM,,,,both,,,"7,270.00","7,270.00","1,672.10","7,270.00","7,270.00",percent of total billed charges,"7,270.00",percent of total billed charges,"7,270.00",percent of total billed charges,"7,270.00",percent of total billed charges,"7,270.00",percent of total billed charges,"7,270.00",percent of total billed charges,"7,270.00",percent of total billed charges,"7,270.00",percent of total billed charges,"5,234.40",percent of total billed charges,"5,234.40",percent of total billed charges,"5,234.40",percent of total billed charges,"5,234.40",percent of total billed charges,"5,234.40",percent of total billed charges,"5,234.40",percent of total billed charges,"5,743.30",percent of total billed charges,"5,743.30",percent of total billed charges,"5,816.00",percent of total billed charges,"5,816.00",percent of total billed charges,,,"5,234.40",percent of total billed charges ,,,"5,816.00",percent of total billed charges ,"5,743.30",percent of total billed charges ,"5,743.30",percent of total billed charges ,"6,179.50",percent of total billed charges ,"6,179.50",percent of total billed charges ,"5,816.00",percent of total billed charges ,"5,816.00",percent of total billed charges ,"5,089.00",percent of total billed charges ,"5,089.00",percent of total billed charges ,"4,362.00",percent of total billed charges ,"4,362.00",percent of total billed charges ,"4,362.00",percent of total billed charges ,"4,362.00",percent of total billed charges ,,,,,"3,867.64",percent of total billed charges ,,,,,"3,674.26",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,672.10",percent of total billed charges,,,"1,672.10",percent of total billed charges,,,"1,672.10",percent of total billed charges,,,"1,672.10",percent of total billed charges,,,"1,672.10",percent of total billed charges,,,"1,672.10",percent of total billed charges,,,"1,672.10",percent of total billed charges,,,"1,672.10",percent of total billed charges,,,"1,672.10",percent of total billed charges,,,"1,672.10",percent of total billed charges,,,"1,672.10",percent of total billed charges,
PHY-THORACTOMY W/CARDIAC MASSAGE,32160,CDM,,,,both,,,"3,906.00","3,906.00",898.38,"3,906.00","3,906.00",percent of total billed charges,"3,906.00",percent of total billed charges,"3,906.00",percent of total billed charges,"3,906.00",percent of total billed charges,"3,906.00",percent of total billed charges,"3,906.00",percent of total billed charges,"3,906.00",percent of total billed charges,"3,906.00",percent of total billed charges,"2,812.32",percent of total billed charges,"2,812.32",percent of total billed charges,"2,812.32",percent of total billed charges,"2,812.32",percent of total billed charges,"2,812.32",percent of total billed charges,"2,812.32",percent of total billed charges,"3,085.74",percent of total billed charges,"3,085.74",percent of total billed charges,"3,124.80",percent of total billed charges,"3,124.80",percent of total billed charges,,,"2,812.32",percent of total billed charges ,,,"3,124.80",percent of total billed charges ,"3,085.74",percent of total billed charges ,"3,085.74",percent of total billed charges ,"3,320.10",percent of total billed charges ,"3,320.10",percent of total billed charges ,"3,124.80",percent of total billed charges ,"3,124.80",percent of total billed charges ,"2,734.20",percent of total billed charges ,"2,734.20",percent of total billed charges ,"2,343.60",percent of total billed charges ,"2,343.60",percent of total billed charges ,"2,343.60",percent of total billed charges ,"2,343.60",percent of total billed charges ,,,,,"2,077.99",percent of total billed charges ,,,,,"1,974.09",percent of total billed charges ,,,,,,,,,,,,,,,,,,,898.38,percent of total billed charges,,,898.38,percent of total billed charges,,,898.38,percent of total billed charges,,,898.38,percent of total billed charges,,,898.38,percent of total billed charges,,,898.38,percent of total billed charges,,,898.38,percent of total billed charges,,,898.38,percent of total billed charges,,,898.38,percent of total billed charges,,,898.38,percent of total billed charges,,,898.38,percent of total billed charges,
ER-PERICARDIOCENTESIS,33016,CDM,,,,both,,,"2,585.00","2,585.00",594.55,"2,585.00","2,585.00",percent of total billed charges,"2,585.00",percent of total billed charges,"2,585.00",percent of total billed charges,"2,585.00",percent of total billed charges,"2,585.00",percent of total billed charges,"2,585.00",percent of total billed charges,"2,585.00",percent of total billed charges,"2,585.00",percent of total billed charges,"1,861.20",percent of total billed charges,"1,861.20",percent of total billed charges,"1,861.20",percent of total billed charges,"1,861.20",percent of total billed charges,"1,861.20",percent of total billed charges,"1,861.20",percent of total billed charges,"2,042.15",percent of total billed charges,"2,042.15",percent of total billed charges,"2,068.00",percent of total billed charges,"2,068.00",percent of total billed charges,,,"1,861.20",percent of total billed charges ,,,"2,068.00",percent of total billed charges ,"2,042.15",percent of total billed charges ,"2,042.15",percent of total billed charges ,"2,197.25",percent of total billed charges ,"2,197.25",percent of total billed charges ,"2,068.00",percent of total billed charges ,"2,068.00",percent of total billed charges ,"1,809.50",percent of total billed charges ,"1,809.50",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 ,,,,,"1,375.22",percent of total billed charges ,,,,,"1,306.46",percent of total billed charges ,,,,,,,,,,,,,,,,,,,594.55,percent of total billed charges,,,594.55,percent of total billed charges,,,594.55,percent of total billed charges,,,594.55,percent of total billed charges,,,594.55,percent of total billed charges,,,594.55,percent of total billed charges,,,594.55,percent of total billed charges,,,594.55,percent of total billed charges,,,594.55,percent of total billed charges,,,594.55,percent of total billed charges,,,594.55,percent of total billed charges,
PHY-PERICARDIOCENTESIS INITIAL,33016,CDM,,,,both,,,542,542,124.66,542,542,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,428.18,percent of total billed charges,428.18,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 ,428.18,percent of total billed charges ,428.18,percent of total billed charges ,460.7,percent of total billed charges ,460.7,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 ,,,,,,,,,,,,,,,,,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,
PHY-PERICARDIOTOMY REMOVAL OF CLOT,33020,CDM,,,,both,,,"4,370.00","4,370.00","1,005.10","4,370.00","4,370.00",percent of total billed charges,"4,370.00",percent of total billed charges,"4,370.00",percent of total billed charges,"4,370.00",percent of total billed charges,"4,370.00",percent of total billed charges,"4,370.00",percent of total billed charges,"4,370.00",percent of total billed charges,"4,370.00",percent of total billed charges,"3,146.40",percent of total billed charges,"3,146.40",percent of total billed charges,"3,146.40",percent of total billed charges,"3,146.40",percent of total billed charges,"3,146.40",percent of total billed charges,"3,146.40",percent of total billed charges,"3,452.30",percent of total billed charges,"3,452.30",percent of total billed charges,"3,496.00",percent of total billed charges,"3,496.00",percent of total billed charges,,,"3,146.40",percent of total billed charges ,,,"3,496.00",percent of total billed charges ,"3,452.30",percent of total billed charges ,"3,452.30",percent of total billed charges ,"3,714.50",percent of total billed charges ,"3,714.50",percent of total billed charges ,"3,496.00",percent of total billed charges ,"3,496.00",percent of total billed charges ,"3,059.00",percent of total billed charges ,"3,059.00",percent of total billed charges ,"2,622.00",percent of total billed charges ,"2,622.00",percent of total billed charges ,"2,622.00",percent of total billed charges ,"2,622.00",percent of total billed charges ,,,,,"2,324.84",percent of total billed charges ,,,,,"2,208.60",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,005.10",percent of total billed charges,,,"1,005.10",percent of total billed charges,,,"1,005.10",percent of total billed charges,,,"1,005.10",percent of total billed charges,,,"1,005.10",percent of total billed charges,,,"1,005.10",percent of total billed charges,,,"1,005.10",percent of total billed charges,,,"1,005.10",percent of total billed charges,,,"1,005.10",percent of total billed charges,,,"1,005.10",percent of total billed charges,,,"1,005.10",percent of total billed charges,
PHY-REPAIR CARDIAC WOUND W/O BYPASS,33300,CDM,,,,both,,,"12,254.00","12,254.00","2,818.42","12,254.00","12,254.00",percent of total billed charges,"12,254.00",percent of total billed charges,"12,254.00",percent of total billed charges,"12,254.00",percent of total billed charges,"12,254.00",percent of total billed charges,"12,254.00",percent of total billed charges,"12,254.00",percent of total billed charges,"12,254.00",percent of total billed charges,"8,822.88",percent of total billed charges,"8,822.88",percent of total billed charges,"8,822.88",percent of total billed charges,"8,822.88",percent of total billed charges,"8,822.88",percent of total billed charges,"8,822.88",percent of total billed charges,"9,680.66",percent of total billed charges,"9,680.66",percent of total billed charges,"9,803.20",percent of total billed charges,"9,803.20",percent of total billed charges,,,"8,822.88",percent of total billed charges ,,,"9,803.20",percent of total billed charges ,"9,680.66",percent of total billed charges ,"9,680.66",percent of total billed charges ,"10,415.90",percent of total billed charges ,"10,415.90",percent of total billed charges ,"9,803.20",percent of total billed charges ,"9,803.20",percent of total billed charges ,"8,577.80",percent of total billed charges ,"8,577.80",percent of total billed charges ,"7,352.40",percent of total billed charges ,"7,352.40",percent of total billed charges ,"7,352.40",percent of total billed charges ,"7,352.40",percent of total billed charges ,,,,,"6,519.13",percent of total billed charges ,,,,,"6,193.17",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,818.42",percent of total billed charges,,,"2,818.42",percent of total billed charges,,,"2,818.42",percent of total billed charges,,,"2,818.42",percent of total billed charges,,,"2,818.42",percent of total billed charges,,,"2,818.42",percent of total billed charges,,,"2,818.42",percent of total billed charges,,,"2,818.42",percent of total billed charges,,,"2,818.42",percent of total billed charges,,,"2,818.42",percent of total billed charges,,,"2,818.42",percent of total billed charges,
ER-VENIPUNCTURE - <3 YEARS,36400,CDM,,,,both,,,52,52,11.96,52,52,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,41.08,percent of total billed charges,41.08,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 ,41.08,percent of total billed charges ,41.08,percent of total billed charges ,44.2,percent of total billed charges ,44.2,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 ,,,,,,,,,,,,,,,,,,,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,
ER-VENIPUNCTURE->3 YEARS,36410,CDM,,,,both,,,270,270,62.1,270,270,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,270,percent of total billed charges,270,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,194.4,percent of total billed charges,194.4,percent of total billed charges,213.3,percent of total billed charges,213.3,percent of total billed charges,216,percent of total billed charges,216,percent of total billed charges,,,194.4,percent of total billed charges ,,,216,percent of total billed charges ,213.3,percent of total billed charges ,213.3,percent of total billed charges ,229.5,percent of total billed charges ,229.5,percent of total billed charges ,216,percent of total billed charges ,216,percent of total billed charges ,189,percent of total billed charges ,189,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 ,,,,,143.64,percent of total billed charges ,,,,,136.46,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,,,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,,,62.1,percent of total billed charges,,,62.1,percent of total billed charges,,,62.1,percent of total billed charges,
PHY-VENIPUNCTURE ->3 YEARS,36410,CDM,,,,both,,,50,50,11.5,50,50,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,39.5,percent of total billed charges,39.5,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 ,39.5,percent of total billed charges ,39.5,percent of total billed charges ,42.5,percent of total billed charges ,42.5,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 ,,,,,,,,,,,,,,,,,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,
"PHY-VENIPUNCTURE, CUTDOWN <1 YEAR",36420,CDM,,,,both,,,236,236,54.28,236,236,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,186.44,percent of total billed charges,186.44,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 ,186.44,percent of total billed charges ,186.44,percent of total billed charges ,200.6,percent of total billed charges ,200.6,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 ,,,,,,,,,,,,,,,,,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,
"ER-VENIPUNCTURE, CUTDOWN >1 YEAR",36425,CDM,,,,both,,,"3,224.00","3,224.00",741.52,"3,224.00","3,224.00",percent of total billed charges,"3,224.00",percent of total billed charges,"3,224.00",percent of total billed charges,"3,224.00",percent of total billed charges,"3,224.00",percent of total billed charges,"3,224.00",percent of total billed charges,"3,224.00",percent of total billed charges,"3,224.00",percent of total billed charges,"2,321.28",percent of total billed charges,"2,321.28",percent of total billed charges,"2,321.28",percent of total billed charges,"2,321.28",percent of total billed charges,"2,321.28",percent of total billed charges,"2,321.28",percent of total billed charges,"2,546.96",percent of total billed charges,"2,546.96",percent of total billed charges,"2,579.20",percent of total billed charges,"2,579.20",percent of total billed charges,,,"2,321.28",percent of total billed charges ,,,"2,579.20",percent of total billed charges ,"2,546.96",percent of total billed charges ,"2,546.96",percent of total billed charges ,"2,740.40",percent of total billed charges ,"2,740.40",percent of total billed charges ,"2,579.20",percent of total billed charges ,"2,579.20",percent of total billed charges ,"2,256.80",percent of total billed charges ,"2,256.80",percent of total billed charges ,"1,934.40",percent of total billed charges ,"1,934.40",percent of total billed charges ,"1,934.40",percent of total billed charges ,"1,934.40",percent of total billed charges ,,,,,"1,715.17",percent of total billed charges ,,,,,"1,629.41",percent of total billed charges ,,,,,,,,,,,,,,,,,,,741.52,percent of total billed charges,,,741.52,percent of total billed charges,,,741.52,percent of total billed charges,,,741.52,percent of total billed charges,,,741.52,percent of total billed charges,,,741.52,percent of total billed charges,,,741.52,percent of total billed charges,,,741.52,percent of total billed charges,,,741.52,percent of total billed charges,,,741.52,percent of total billed charges,,,741.52,percent of total billed charges,
"PHY-VENIPUNCTURE, CUTDOWN >1 YEAR",36425,CDM,,,,both,,,201,201,46.23,201,201,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,158.79,percent of total billed charges,158.79,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 ,158.79,percent of total billed charges ,158.79,percent of total billed charges ,170.85,percent of total billed charges ,170.85,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 ,,,,,,,,,,,,,,,,,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,
ER-CENTRAL LINE-LESS THAN 5 YEARS,36555,CDM,,,QZ,both,,,"3,582.00","3,582.00",823.86,"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,"2,829.78",percent of total billed charges,"2,829.78",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 ,"2,829.78",percent of total billed charges ,"2,829.78",percent of total billed charges ,"3,044.70",percent of total billed charges ,"3,044.70",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 ,,,,,,,,,,,,,,,,,,,823.86,percent of total billed charges,,,823.86,percent of total billed charges,,,823.86,percent of total billed charges,,,823.86,percent of total billed charges,,,823.86,percent of total billed charges,,,823.86,percent of total billed charges,,,823.86,percent of total billed charges,,,823.86,percent of total billed charges,,,823.86,percent of total billed charges,,,823.86,percent of total billed charges,,,823.86,percent of total billed charges,
PHY-CENTRAL LINE-LESS THAN 5 YEARS,36555,CDM,,,QZ,both,,,429,429,98.67,429,429,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,338.91,percent of total billed charges,338.91,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 ,338.91,percent of total billed charges ,338.91,percent of total billed charges ,364.65,percent of total billed charges ,364.65,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 ,,,,,,,,,,,,,,,,,,,98.67,percent of total billed charges,,,98.67,percent of total billed charges,,,98.67,percent of total billed charges,,,98.67,percent of total billed charges,,,98.67,percent of total billed charges,,,98.67,percent of total billed charges,,,98.67,percent of total billed charges,,,98.67,percent of total billed charges,,,98.67,percent of total billed charges,,,98.67,percent of total billed charges,,,98.67,percent of total billed charges,
ER-ARTERIAL LINE,36620,CDM,,,,both,,,"1,403.00","1,403.00",322.69,"1,403.00","1,403.00",percent of total billed charges,"1,403.00",percent of total billed charges,"1,403.00",percent of total billed charges,"1,403.00",percent of total billed charges,"1,403.00",percent of total billed charges,"1,403.00",percent of total billed charges,"1,403.00",percent of total billed charges,"1,403.00",percent of total billed charges,"1,010.16",percent of total billed charges,"1,010.16",percent of total billed charges,"1,010.16",percent of total billed charges,"1,010.16",percent of total billed charges,"1,010.16",percent of total billed charges,"1,010.16",percent of total billed charges,"1,108.37",percent of total billed charges,"1,108.37",percent of total billed charges,"1,122.40",percent of total billed charges,"1,122.40",percent of total billed charges,,,"1,010.16",percent of total billed charges ,,,"1,122.40",percent of total billed charges ,"1,108.37",percent of total billed charges ,"1,108.37",percent of total billed charges ,"1,192.55",percent of total billed charges ,"1,192.55",percent of total billed charges ,"1,122.40",percent of total billed charges ,"1,122.40",percent of total billed charges ,982.1,percent of total billed charges ,982.1,percent of total billed charges ,841.8,percent of total billed charges ,841.8,percent of total billed charges ,841.8,percent of total billed charges ,841.8,percent of total billed charges ,,,,,746.4,percent of total billed charges ,,,,,709.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,322.69,percent of total billed charges,,,322.69,percent of total billed charges,,,322.69,percent of total billed charges,,,322.69,percent of total billed charges,,,322.69,percent of total billed charges,,,322.69,percent of total billed charges,,,322.69,percent of total billed charges,,,322.69,percent of total billed charges,,,322.69,percent of total billed charges,,,322.69,percent of total billed charges,,,322.69,percent of total billed charges,
PHY-ARTERIAL LINE,36620,CDM,,,,both,,,220,220,50.6,220,220,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,173.8,percent of total billed charges,173.8,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 ,173.8,percent of total billed charges ,173.8,percent of total billed charges ,187,percent of total billed charges ,187,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
ER-THROMBOLYSIS CEREBRAL IV INFUSION,37195,CDM,,,,both,,,"1,210.00","1,210.00",278.3,"1,210.00","1,210.00",percent of total billed charges,"1,210.00",percent of total billed charges,"1,210.00",percent of total billed charges,"1,210.00",percent of total billed charges,"1,210.00",percent of total billed charges,"1,210.00",percent of total billed charges,"1,210.00",percent of total billed charges,"1,210.00",percent of total billed charges,871.2,percent of total billed charges,871.2,percent of total billed charges,871.2,percent of total billed charges,871.2,percent of total billed charges,871.2,percent of total billed charges,871.2,percent of total billed charges,955.9,percent of total billed charges,955.9,percent of total billed charges,968,percent of total billed charges,968,percent of total billed charges,,,871.2,percent of total billed charges ,,,968,percent of total billed charges ,955.9,percent of total billed charges ,955.9,percent of total billed charges ,"1,028.50",percent of total billed charges ,"1,028.50",percent of total billed charges ,968,percent of total billed charges ,968,percent of total billed charges ,847,percent of total billed charges ,847,percent of total billed charges ,726,percent of total billed charges ,726,percent of total billed charges ,726,percent of total billed charges ,726,percent of total billed charges ,,,,,643.72,percent of total billed charges ,,,,,611.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,278.3,percent of total billed charges,,,278.3,percent of total billed charges,,,278.3,percent of total billed charges,,,278.3,percent of total billed charges,,,278.3,percent of total billed charges,,,278.3,percent of total billed charges,,,278.3,percent of total billed charges,,,278.3,percent of total billed charges,,,278.3,percent of total billed charges,,,278.3,percent of total billed charges,,,278.3,percent of total billed charges,
ER-SOFT TISSUE FB REMOVAL -VESTIBUTE OF,40804,CDM,,,,both,,,916,916,210.68,916,916,percent of total billed charges,916,percent of total billed charges,916,percent of total billed charges,916,percent of total billed charges,916,percent of total billed charges,916,percent of total billed charges,916,percent of total billed charges,916,percent of total billed charges,659.52,percent of total billed charges,659.52,percent of total billed charges,659.52,percent of total billed charges,659.52,percent of total billed charges,659.52,percent of total billed charges,659.52,percent of total billed charges,723.64,percent of total billed charges,723.64,percent of total billed charges,732.8,percent of total billed charges,732.8,percent of total billed charges,,,659.52,percent of total billed charges ,,,732.8,percent of total billed charges ,723.64,percent of total billed charges ,723.64,percent of total billed charges ,778.6,percent of total billed charges ,778.6,percent of total billed charges ,732.8,percent of total billed charges ,732.8,percent of total billed charges ,641.2,percent of total billed charges ,641.2,percent of total billed charges ,549.6,percent of total billed charges ,549.6,percent of total billed charges ,549.6,percent of total billed charges ,549.6,percent of total billed charges ,,,,,487.31,percent of total billed charges ,,,,,462.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,210.68,percent of total billed charges,,,210.68,percent of total billed charges,,,210.68,percent of total billed charges,,,210.68,percent of total billed charges,,,210.68,percent of total billed charges,,,210.68,percent of total billed charges,,,210.68,percent of total billed charges,,,210.68,percent of total billed charges,,,210.68,percent of total billed charges,,,210.68,percent of total billed charges,,,210.68,percent of total billed charges,
PHY-SOFT TISSUE FB REMOVAL-VESTIBULE OF,40804,CDM,,,,both,,,549,549,126.27,549,549,percent of total billed charges,549,percent of total billed charges,549,percent of total billed charges,549,percent of total billed charges,549,percent of total billed charges,549,percent of total billed charges,549,percent of total billed charges,549,percent of total billed charges,395.28,percent of total billed charges,395.28,percent of total billed charges,395.28,percent of total billed charges,395.28,percent of total billed charges,395.28,percent of total billed charges,395.28,percent of total billed charges,433.71,percent of total billed charges,433.71,percent of total billed charges,439.2,percent of total billed charges,439.2,percent of total billed charges,,,395.28,percent of total billed charges ,,,439.2,percent of total billed charges ,433.71,percent of total billed charges ,433.71,percent of total billed charges ,466.65,percent of total billed charges ,466.65,percent of total billed charges ,439.2,percent of total billed charges ,439.2,percent of total billed charges ,384.3,percent of total billed charges ,384.3,percent of total billed charges ,329.4,percent of total billed charges ,329.4,percent of total billed charges ,329.4,percent of total billed charges ,329.4,percent of total billed charges ,,,,,292.07,percent of total billed charges ,,,,,277.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,126.27,percent of total billed charges,,,126.27,percent of total billed charges,,,126.27,percent of total billed charges,,,126.27,percent of total billed charges,,,126.27,percent of total billed charges,,,126.27,percent of total billed charges,,,126.27,percent of total billed charges,,,126.27,percent of total billed charges,,,126.27,percent of total billed charges,,,126.27,percent of total billed charges,,,126.27,percent of total billed charges,
PHY-SOFT TISSUE FB REMOVAL-VESTIBULE-COM,40805,CDM,,,,both,,,"1,117.00","1,117.00",256.91,"1,117.00","1,117.00",percent of total billed charges,"1,117.00",percent of total billed charges,"1,117.00",percent of total billed charges,"1,117.00",percent of total billed charges,"1,117.00",percent of total billed charges,"1,117.00",percent of total billed charges,"1,117.00",percent of total billed charges,"1,117.00",percent of total billed charges,804.24,percent of total billed charges,804.24,percent of total billed charges,804.24,percent of total billed charges,804.24,percent of total billed charges,804.24,percent of total billed charges,804.24,percent of total billed charges,882.43,percent of total billed charges,882.43,percent of total billed charges,893.6,percent of total billed charges,893.6,percent of total billed charges,,,804.24,percent of total billed charges ,,,893.6,percent of total billed charges ,882.43,percent of total billed charges ,882.43,percent of total billed charges ,949.45,percent of total billed charges ,949.45,percent of total billed charges ,893.6,percent of total billed charges ,893.6,percent of total billed charges ,781.9,percent of total billed charges ,781.9,percent of total billed charges ,670.2,percent of total billed charges ,670.2,percent of total billed charges ,670.2,percent of total billed charges ,670.2,percent of total billed charges ,,,,,594.24,percent of total billed charges ,,,,,564.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,256.91,percent of total billed charges,,,256.91,percent of total billed charges,,,256.91,percent of total billed charges,,,256.91,percent of total billed charges,,,256.91,percent of total billed charges,,,256.91,percent of total billed charges,,,256.91,percent of total billed charges,,,256.91,percent of total billed charges,,,256.91,percent of total billed charges,,,256.91,percent of total billed charges,,,256.91,percent of total billed charges,
ER-WOUND REPAIR-POSTERIOR TONGUE,41251,CDM,,,,both,,,945,945,217.35,945,945,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,746.55,percent of total billed charges,746.55,percent of total billed charges,756,percent of total billed charges,756,percent of total billed charges,,,680.4,percent of total billed charges ,,,756,percent of total billed charges ,746.55,percent of total billed charges ,746.55,percent of total billed charges ,803.25,percent of total billed charges ,803.25,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 ,,,,,,,,,,,,,,,,,,,217.35,percent of total billed charges,,,217.35,percent of total billed charges,,,217.35,percent of total billed charges,,,217.35,percent of total billed charges,,,217.35,percent of total billed charges,,,217.35,percent of total billed charges,,,217.35,percent of total billed charges,,,217.35,percent of total billed charges,,,217.35,percent of total billed charges,,,217.35,percent of total billed charges,,,217.35,percent of total billed charges,
PHY-WOUND REPAIR-POSTERIOR TONGUE,41251,CDM,,,,both,,,895,895,205.85,895,895,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,707.05,percent of total billed charges,707.05,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 ,707.05,percent of total billed charges ,707.05,percent of total billed charges ,760.75,percent of total billed charges ,760.75,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 ,,,,,,,,,,,,,,,,,,,205.85,percent of total billed charges,,,205.85,percent of total billed charges,,,205.85,percent of total billed charges,,,205.85,percent of total billed charges,,,205.85,percent of total billed charges,,,205.85,percent of total billed charges,,,205.85,percent of total billed charges,,,205.85,percent of total billed charges,,,205.85,percent of total billed charges,,,205.85,percent of total billed charges,,,205.85,percent of total billed charges,
"PHY-WOUND REPAIR-MOUTH, TONGUE >2.6 CM",41252,CDM,,,,both,,,"1,026.00","1,026.00",235.98,"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,810.54,percent of total billed charges,810.54,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 ,810.54,percent of total billed charges ,810.54,percent of total billed charges ,872.1,percent of total billed charges ,872.1,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 ,,,,,,,,,,,,,,,,,,,235.98,percent of total billed charges,,,235.98,percent of total billed charges,,,235.98,percent of total billed charges,,,235.98,percent of total billed charges,,,235.98,percent of total billed charges,,,235.98,percent of total billed charges,,,235.98,percent of total billed charges,,,235.98,percent of total billed charges,,,235.98,percent of total billed charges,,,235.98,percent of total billed charges,,,235.98,percent of total billed charges,
"ER-WOUND REPAIR-MOUTH, TONGUE >2.6 CM",41252,CDM,,,,both,,,"1,994.00","1,994.00",458.62,"1,994.00","1,994.00",percent of total billed charges,"1,994.00",percent of total billed charges,"1,994.00",percent of total billed charges,"1,994.00",percent of total billed charges,"1,994.00",percent of total billed charges,"1,994.00",percent of total billed charges,"1,994.00",percent of total billed charges,"1,994.00",percent of total billed charges,"1,435.68",percent of total billed charges,"1,435.68",percent of total billed charges,"1,435.68",percent of total billed charges,"1,435.68",percent of total billed charges,"1,435.68",percent of total billed charges,"1,435.68",percent of total billed charges,"1,575.26",percent of total billed charges,"1,575.26",percent of total billed charges,"1,595.20",percent of total billed charges,"1,595.20",percent of total billed charges,,,"1,435.68",percent of total billed charges ,,,"1,595.20",percent of total billed charges ,"1,575.26",percent of total billed charges ,"1,575.26",percent of total billed charges ,"1,694.90",percent of total billed charges ,"1,694.90",percent of total billed charges ,"1,595.20",percent of total billed charges ,"1,595.20",percent of total billed charges ,"1,395.80",percent of total billed charges ,"1,395.80",percent of total billed charges ,"1,196.40",percent of total billed charges ,"1,196.40",percent of total billed charges ,"1,196.40",percent of total billed charges ,"1,196.40",percent of total billed charges ,,,,,"1,060.81",percent of total billed charges ,,,,,"1,007.77",percent of total billed charges ,,,,,,,,,,,,,,,,,,,458.62,percent of total billed charges,,,458.62,percent of total billed charges,,,458.62,percent of total billed charges,,,458.62,percent of total billed charges,,,458.62,percent of total billed charges,,,458.62,percent of total billed charges,,,458.62,percent of total billed charges,,,458.62,percent of total billed charges,,,458.62,percent of total billed charges,,,458.62,percent of total billed charges,,,458.62,percent of total billed charges,
ER-HEMORRHOID THROMBECTOMY,46320,CDM,,,,both,,,"5,864.00","5,864.00","1,348.72","5,864.00","5,864.00",percent of total billed charges,"5,864.00",percent of total billed charges,"5,864.00",percent of total billed charges,"5,864.00",percent of total billed charges,"5,864.00",percent of total billed charges,"5,864.00",percent of total billed charges,"5,864.00",percent of total billed charges,"5,864.00",percent of total billed charges,"4,222.08",percent of total billed charges,"4,222.08",percent of total billed charges,"4,222.08",percent of total billed charges,"4,222.08",percent of total billed charges,"4,222.08",percent of total billed charges,"4,222.08",percent of total billed charges,"4,632.56",percent of total billed charges,"4,632.56",percent of total billed charges,"4,691.20",percent of total billed charges,"4,691.20",percent of total billed charges,,,"4,222.08",percent of total billed charges ,,,"4,691.20",percent of total billed charges ,"4,632.56",percent of total billed charges ,"4,632.56",percent of total billed charges ,"4,984.40",percent of total billed charges ,"4,984.40",percent of total billed charges ,"4,691.20",percent of total billed charges ,"4,691.20",percent of total billed charges ,"4,104.80",percent of total billed charges ,"4,104.80",percent of total billed charges ,"3,518.40",percent of total billed charges ,"3,518.40",percent of total billed charges ,"3,518.40",percent of total billed charges ,"3,518.40",percent of total billed charges ,,,,,"3,119.65",percent of total billed charges ,,,,,"2,963.67",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,348.72",percent of total billed charges,,,"1,348.72",percent of total billed charges,,,"1,348.72",percent of total billed charges,,,"1,348.72",percent of total billed charges,,,"1,348.72",percent of total billed charges,,,"1,348.72",percent of total billed charges,,,"1,348.72",percent of total billed charges,,,"1,348.72",percent of total billed charges,,,"1,348.72",percent of total billed charges,,,"1,348.72",percent of total billed charges,,,"1,348.72",percent of total billed charges,
PHY-HEMORRHOID THROMBECTOMY,46320,CDM,,,,both,,,542,542,124.66,542,542,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,428.18,percent of total billed charges,428.18,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 ,428.18,percent of total billed charges ,428.18,percent of total billed charges ,460.7,percent of total billed charges ,460.7,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 ,,,,,,,,,,,,,,,,,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,
ER-ANOSCOPY-WITH REMOVAL FB,46608,CDM,,,,both,,,"3,571.00","3,571.00",821.33,"3,571.00","3,571.00",percent of total billed charges,"3,571.00",percent of total billed charges,"3,571.00",percent of total billed charges,"3,571.00",percent of total billed charges,"3,571.00",percent of total billed charges,"3,571.00",percent of total billed charges,"3,571.00",percent of total billed charges,"3,571.00",percent of total billed charges,"2,571.12",percent of total billed charges,"2,571.12",percent of total billed charges,"2,571.12",percent of total billed charges,"2,571.12",percent of total billed charges,"2,571.12",percent of total billed charges,"2,571.12",percent of total billed charges,"2,821.09",percent of total billed charges,"2,821.09",percent of total billed charges,"2,856.80",percent of total billed charges,"2,856.80",percent of total billed charges,,,"2,571.12",percent of total billed charges ,,,"2,856.80",percent of total billed charges ,"2,821.09",percent of total billed charges ,"2,821.09",percent of total billed charges ,"3,035.35",percent of total billed charges ,"3,035.35",percent of total billed charges ,"2,856.80",percent of total billed charges ,"2,856.80",percent of total billed charges ,"2,499.70",percent of total billed charges ,"2,499.70",percent of total billed charges ,"2,142.60",percent of total billed charges ,"2,142.60",percent of total billed charges ,"2,142.60",percent of total billed charges ,"2,142.60",percent of total billed charges ,,,,,"1,899.77",percent of total billed charges ,,,,,"1,804.78",percent of total billed charges ,,,,,,,,,,,,,,,,,,,821.33,percent of total billed charges,,,821.33,percent of total billed charges,,,821.33,percent of total billed charges,,,821.33,percent of total billed charges,,,821.33,percent of total billed charges,,,821.33,percent of total billed charges,,,821.33,percent of total billed charges,,,821.33,percent of total billed charges,,,821.33,percent of total billed charges,,,821.33,percent of total billed charges,,,821.33,percent of total billed charges,
PHY-ANOSCOPY-WITH REMOVAL FB,46608,CDM,,,,both,,,417,417,95.91,417,417,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,329.43,percent of total billed charges,329.43,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 ,329.43,percent of total billed charges ,329.43,percent of total billed charges ,354.45,percent of total billed charges ,354.45,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 ,,,,,,,,,,,,,,,,,,,95.91,percent of total billed charges,,,95.91,percent of total billed charges,,,95.91,percent of total billed charges,,,95.91,percent of total billed charges,,,95.91,percent of total billed charges,,,95.91,percent of total billed charges,,,95.91,percent of total billed charges,,,95.91,percent of total billed charges,,,95.91,percent of total billed charges,,,95.91,percent of total billed charges,,,95.91,percent of total billed charges,
ER-ABDOMINAL PARACENTESIS WITH IMAGING G,49083,CDM,,,,both,,,"2,639.00","2,639.00",606.97,"2,639.00","2,639.00",percent of total billed charges,"2,639.00",percent of total billed charges,"2,639.00",percent of total billed charges,"2,639.00",percent of total billed charges,"2,639.00",percent of total billed charges,"2,639.00",percent of total billed charges,"2,639.00",percent of total billed charges,"2,639.00",percent of total billed charges,"1,900.08",percent of total billed charges,"1,900.08",percent of total billed charges,"1,900.08",percent of total billed charges,"1,900.08",percent of total billed charges,"1,900.08",percent of total billed charges,"1,900.08",percent of total billed charges,"2,084.81",percent of total billed charges,"2,084.81",percent of total billed charges,"2,111.20",percent of total billed charges,"2,111.20",percent of total billed charges,,,"1,900.08",percent of total billed charges ,,,"2,111.20",percent of total billed charges ,"2,084.81",percent of total billed charges ,"2,084.81",percent of total billed charges ,"2,243.15",percent of total billed charges ,"2,243.15",percent of total billed charges ,"2,111.20",percent of total billed charges ,"2,111.20",percent of total billed charges ,"1,847.30",percent of total billed charges ,"1,847.30",percent of total billed charges ,"1,583.40",percent of total billed charges ,"1,583.40",percent of total billed charges ,"1,583.40",percent of total billed charges ,"1,583.40",percent of total billed charges ,,,,,"1,403.95",percent of total billed charges ,,,,,"1,333.75",percent of total billed charges ,,,,,,,,,,,,,,,,,,,606.97,percent of total billed charges,,,606.97,percent of total billed charges,,,606.97,percent of total billed charges,,,606.97,percent of total billed charges,,,606.97,percent of total billed charges,,,606.97,percent of total billed charges,,,606.97,percent of total billed charges,,,606.97,percent of total billed charges,,,606.97,percent of total billed charges,,,606.97,percent of total billed charges,,,606.97,percent of total billed charges,
PHY-ABDOMINAL PARACENTESIS WITH IMAGING,49083,CDM,,,,both,,,530,530,121.9,530,530,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,418.7,percent of total billed charges,418.7,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 ,418.7,percent of total billed charges ,418.7,percent of total billed charges ,450.5,percent of total billed charges ,450.5,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 ,,,,,,,,,,,,,,,,,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,
ER-PERITONEAL LAVAGE W/WO IMAGING GUIDAN,49084,CDM,,,,both,,,"3,869.00","3,869.00",889.87,"3,869.00","3,869.00",percent of total billed charges,"3,869.00",percent of total billed charges,"3,869.00",percent of total billed charges,"3,869.00",percent of total billed charges,"3,869.00",percent of total billed charges,"3,869.00",percent of total billed charges,"3,869.00",percent of total billed charges,"3,869.00",percent of total billed charges,"2,785.68",percent of total billed charges,"2,785.68",percent of total billed charges,"2,785.68",percent of total billed charges,"2,785.68",percent of total billed charges,"2,785.68",percent of total billed charges,"2,785.68",percent of total billed charges,"3,056.51",percent of total billed charges,"3,056.51",percent of total billed charges,"3,095.20",percent of total billed charges,"3,095.20",percent of total billed charges,,,"2,785.68",percent of total billed charges ,,,"3,095.20",percent of total billed charges ,"3,056.51",percent of total billed charges ,"3,056.51",percent of total billed charges ,"3,288.65",percent of total billed charges ,"3,288.65",percent of total billed charges ,"3,095.20",percent of total billed charges ,"3,095.20",percent of total billed charges ,"2,708.30",percent of total billed charges ,"2,708.30",percent of total billed charges ,"2,321.40",percent of total billed charges ,"2,321.40",percent of total billed charges ,"2,321.40",percent of total billed charges ,"2,321.40",percent of total billed charges ,,,,,"2,058.31",percent of total billed charges ,,,,,"1,955.39",percent of total billed charges ,,,,,,,,,,,,,,,,,,,889.87,percent of total billed charges,,,889.87,percent of total billed charges,,,889.87,percent of total billed charges,,,889.87,percent of total billed charges,,,889.87,percent of total billed charges,,,889.87,percent of total billed charges,,,889.87,percent of total billed charges,,,889.87,percent of total billed charges,,,889.87,percent of total billed charges,,,889.87,percent of total billed charges,,,889.87,percent of total billed charges,
PHY-PERITONEAL LAVAGE W/WO IMAGING GUIDA,49084,CDM,,,,both,,,547,547,125.81,547,547,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,432.13,percent of total billed charges,432.13,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 ,432.13,percent of total billed charges ,432.13,percent of total billed charges ,464.95,percent of total billed charges ,464.95,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 ,,,,,,,,,,,,,,,,,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,
PHY-INCISION & DRAINAGE-SCROTAL,55100,CDM,,,GF,both,,,807,807,185.61,807,807,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,637.53,percent of total billed charges,637.53,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 ,637.53,percent of total billed charges ,637.53,percent of total billed charges ,685.95,percent of total billed charges ,685.95,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 ,,,,,,,,,,,,,,,,,,,185.61,percent of total billed charges,,,185.61,percent of total billed charges,,,185.61,percent of total billed charges,,,185.61,percent of total billed charges,,,185.61,percent of total billed charges,,,185.61,percent of total billed charges,,,185.61,percent of total billed charges,,,185.61,percent of total billed charges,,,185.61,percent of total billed charges,,,185.61,percent of total billed charges,,,185.61,percent of total billed charges,
ER-VAGINAL DELIVERY,59409,CDM,,,,both,,,"6,300.00","6,300.00","1,449.00","6,300.00","6,300.00",percent of total billed charges,"6,300.00",percent of total billed charges,"6,300.00",percent of total billed charges,"6,300.00",percent of total billed charges,"6,300.00",percent of total billed charges,"6,300.00",percent of total billed charges,"6,300.00",percent of total billed charges,"6,300.00",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,"4,536.00",percent of total billed charges,"4,536.00",percent of total billed charges,"4,977.00",percent of total billed charges,"4,977.00",percent of total billed charges,"5,040.00",percent of total billed charges,"5,040.00",percent of total billed charges,,,"4,536.00",percent of total billed charges ,,,"5,040.00",percent of total billed charges ,"4,977.00",percent of total billed charges ,"4,977.00",percent of total billed charges ,"5,355.00",percent of total billed charges ,"5,355.00",percent of total billed charges ,"5,040.00",percent of total billed charges ,"5,040.00",percent of total billed charges ,"4,410.00",percent of total billed charges ,"4,410.00",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 ,,,,,"3,351.60",percent of total billed charges ,,,,,"3,184.02",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,449.00",percent of total billed charges,,,"1,449.00",percent of total billed charges,,,"1,449.00",percent of total billed charges,,,"1,449.00",percent of total billed charges,,,"1,449.00",percent of total billed charges,,,"1,449.00",percent of total billed charges,,,"1,449.00",percent of total billed charges,,,"1,449.00",percent of total billed charges,,,"1,449.00",percent of total billed charges,,,"1,449.00",percent of total billed charges,,,"1,449.00",percent of total billed charges,
PHY-VAGINAL DELIVERY,59409,CDM,,,,both,,,"4,050.00","4,050.00",931.5,"4,050.00","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,"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,"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,"2,916.00",percent of total billed charges,"2,916.00",percent of total billed charges,"3,199.50",percent of total billed charges,"3,199.50",percent of total billed charges,"3,240.00",percent of total billed charges,"3,240.00",percent of total billed charges,,,"2,916.00",percent of total billed charges ,,,"3,240.00",percent of total billed charges ,"3,199.50",percent of total billed charges ,"3,199.50",percent of total billed charges ,"3,442.50",percent of total billed charges ,"3,442.50",percent of total billed charges ,"3,240.00",percent of total billed charges ,"3,240.00",percent of total billed charges ,"2,835.00",percent of total billed charges ,"2,835.00",percent of total billed charges ,"2,430.00",percent of total billed charges ,"2,430.00",percent of total billed charges ,"2,430.00",percent of total billed charges ,"2,430.00",percent of total billed charges ,,,,,"2,154.60",percent of total billed charges ,,,,,"2,046.87",percent of total billed charges ,,,,,,,,,,,,,,,,,,,931.5,percent of total billed charges,,,931.5,percent of total billed charges,,,931.5,percent of total billed charges,,,931.5,percent of total billed charges,,,931.5,percent of total billed charges,,,931.5,percent of total billed charges,,,931.5,percent of total billed charges,,,931.5,percent of total billed charges,,,931.5,percent of total billed charges,,,931.5,percent of total billed charges,,,931.5,percent of total billed charges,
AHP-DRAINAGE SCROTAL WALL ABSCESS,55100,CDM,,,GF,both,,,807,807,185.61,807,807,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,637.53,percent of total billed charges,637.53,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 ,637.53,percent of total billed charges ,637.53,percent of total billed charges ,685.95,percent of total billed charges ,685.95,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 ,,,,,,,,,,,,,,,,,,,185.61,percent of total billed charges,,,185.61,percent of total billed charges,,,185.61,percent of total billed charges,,,185.61,percent of total billed charges,,,185.61,percent of total billed charges,,,185.61,percent of total billed charges,,,185.61,percent of total billed charges,,,185.61,percent of total billed charges,,,185.61,percent of total billed charges,,,185.61,percent of total billed charges,,,185.61,percent of total billed charges,
PHY-DELIVERY PLACENTA SEPARATE PROCEDURE,59414,CDM,,,,both,,,461,461,106.03,461,461,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,364.19,percent of total billed charges,364.19,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 ,364.19,percent of total billed charges ,364.19,percent of total billed charges ,391.85,percent of total billed charges ,391.85,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 ,,,,,,,,,,,,,,,,,,,106.03,percent of total billed charges,,,106.03,percent of total billed charges,,,106.03,percent of total billed charges,,,106.03,percent of total billed charges,,,106.03,percent of total billed charges,,,106.03,percent of total billed charges,,,106.03,percent of total billed charges,,,106.03,percent of total billed charges,,,106.03,percent of total billed charges,,,106.03,percent of total billed charges,,,106.03,percent of total billed charges,
ER-FOREIGN BODY REMOVAL-EYE EPITHELIUM,65435,CDM,,,,both,,,"2,771.00","2,771.00",637.33,"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,"2,189.09",percent of total billed charges,"2,189.09",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 ,"2,189.09",percent of total billed charges ,"2,189.09",percent of total billed charges ,"2,355.35",percent of total billed charges ,"2,355.35",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 ,,,,,,,,,,,,,,,,,,,637.33,percent of total billed charges,,,637.33,percent of total billed charges,,,637.33,percent of total billed charges,,,637.33,percent of total billed charges,,,637.33,percent of total billed charges,,,637.33,percent of total billed charges,,,637.33,percent of total billed charges,,,637.33,percent of total billed charges,,,637.33,percent of total billed charges,,,637.33,percent of total billed charges,,,637.33,percent of total billed charges,
PHY-FOREIGN BODY REMOVAL-EYE EPITHELIUM,65435,CDM,,,,both,,,331,331,76.13,331,331,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,261.49,percent of total billed charges,261.49,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 ,261.49,percent of total billed charges ,261.49,percent of total billed charges ,281.35,percent of total billed charges ,281.35,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 ,,,,,,,,,,,,,,,,,,,76.13,percent of total billed charges,,,76.13,percent of total billed charges,,,76.13,percent of total billed charges,,,76.13,percent of total billed charges,,,76.13,percent of total billed charges,,,76.13,percent of total billed charges,,,76.13,percent of total billed charges,,,76.13,percent of total billed charges,,,76.13,percent of total billed charges,,,76.13,percent of total billed charges,,,76.13,percent of total billed charges,
ER-SOFT TISSUE FB REMOVAL-EYELID,67938,CDM,,,,both,,,"1,358.00","1,358.00",312.34,"1,358.00","1,358.00",percent of total billed charges,"1,358.00",percent of total billed charges,"1,358.00",percent of total billed charges,"1,358.00",percent of total billed charges,"1,358.00",percent of total billed charges,"1,358.00",percent of total billed charges,"1,358.00",percent of total billed charges,"1,358.00",percent of total billed charges,977.76,percent of total billed charges,977.76,percent of total billed charges,977.76,percent of total billed charges,977.76,percent of total billed charges,977.76,percent of total billed charges,977.76,percent of total billed charges,"1,072.82",percent of total billed charges,"1,072.82",percent of total billed charges,"1,086.40",percent of total billed charges,"1,086.40",percent of total billed charges,,,977.76,percent of total billed charges ,,,"1,086.40",percent of total billed charges ,"1,072.82",percent of total billed charges ,"1,072.82",percent of total billed charges ,"1,154.30",percent of total billed charges ,"1,154.30",percent of total billed charges ,"1,086.40",percent of total billed charges ,"1,086.40",percent of total billed charges ,950.6,percent of total billed charges ,950.6,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 ,,,,,722.46,percent of total billed charges ,,,,,686.33,percent of total billed charges ,,,,,,,,,,,,,,,,,,,312.34,percent of total billed charges,,,312.34,percent of total billed charges,,,312.34,percent of total billed charges,,,312.34,percent of total billed charges,,,312.34,percent of total billed charges,,,312.34,percent of total billed charges,,,312.34,percent of total billed charges,,,312.34,percent of total billed charges,,,312.34,percent of total billed charges,,,312.34,percent of total billed charges,,,312.34,percent of total billed charges,
PHY-SOFT TISSUE FB REMOVAL-EYELID,67938,CDM,,,,both,,,550,550,126.5,550,550,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,434.5,percent of total billed charges,434.5,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 ,434.5,percent of total billed charges ,434.5,percent of total billed charges ,467.5,percent of total billed charges ,467.5,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 ,,,,,,,,,,,,,,,,,,,126.5,percent of total billed charges,,,126.5,percent of total billed charges,,,126.5,percent of total billed charges,,,126.5,percent of total billed charges,,,126.5,percent of total billed charges,,,126.5,percent of total billed charges,,,126.5,percent of total billed charges,,,126.5,percent of total billed charges,,,126.5,percent of total billed charges,,,126.5,percent of total billed charges,,,126.5,percent of total billed charges,
ER-CARDIOVERSION ELECTIVE ARRHYTHMIA INT,92961,CDM,,,,both,,,"2,802.00","2,802.00",644.46,"2,802.00","2,802.00",percent of total billed charges,"2,802.00",percent of total billed charges,"2,802.00",percent of total billed charges,"2,802.00",percent of total billed charges,"2,802.00",percent of total billed charges,"2,802.00",percent of total billed charges,"2,802.00",percent of total billed charges,"2,802.00",percent of total billed charges,"2,017.44",percent of total billed charges,"2,017.44",percent of total billed charges,"2,017.44",percent of total billed charges,"2,017.44",percent of total billed charges,"2,017.44",percent of total billed charges,"2,017.44",percent of total billed charges,"2,213.58",percent of total billed charges,"2,213.58",percent of total billed charges,"2,241.60",percent of total billed charges,"2,241.60",percent of total billed charges,,,"2,017.44",percent of total billed charges ,,,"2,241.60",percent of total billed charges ,"2,213.58",percent of total billed charges ,"2,213.58",percent of total billed charges ,"2,381.70",percent of total billed charges ,"2,381.70",percent of total billed charges ,"2,241.60",percent of total billed charges ,"2,241.60",percent of total billed charges ,"1,961.40",percent of total billed charges ,"1,961.40",percent of total billed charges ,"1,681.20",percent of total billed charges ,"1,681.20",percent of total billed charges ,"1,681.20",percent of total billed charges ,"1,681.20",percent of total billed charges ,,,,,"1,490.66",percent of total billed charges ,,,,,"1,416.13",percent of total billed charges ,,,,,,,,,,,,,,,,,,,644.46,percent of total billed charges,,,644.46,percent of total billed charges,,,644.46,percent of total billed charges,,,644.46,percent of total billed charges,,,644.46,percent of total billed charges,,,644.46,percent of total billed charges,,,644.46,percent of total billed charges,,,644.46,percent of total billed charges,,,644.46,percent of total billed charges,,,644.46,percent of total billed charges,,,644.46,percent of total billed charges,
PHY-CARDIOVERSION ELECTIVE ARRHTHMIA INT,92961,CDM,,,,both,,,"1,249.00","1,249.00",287.27,"1,249.00","1,249.00",percent of total billed charges,"1,249.00",percent of total billed charges,"1,249.00",percent of total billed charges,"1,249.00",percent of total billed charges,"1,249.00",percent of total billed charges,"1,249.00",percent of total billed charges,"1,249.00",percent of total billed charges,"1,249.00",percent of total billed charges,899.28,percent of total billed charges,899.28,percent of total billed charges,899.28,percent of total billed charges,899.28,percent of total billed charges,899.28,percent of total billed charges,899.28,percent of total billed charges,986.71,percent of total billed charges,986.71,percent of total billed charges,999.2,percent of total billed charges,999.2,percent of total billed charges,,,899.28,percent of total billed charges ,,,999.2,percent of total billed charges ,986.71,percent of total billed charges ,986.71,percent of total billed charges ,"1,061.65",percent of total billed charges ,"1,061.65",percent of total billed charges ,999.2,percent of total billed charges ,999.2,percent of total billed charges ,874.3,percent of total billed charges ,874.3,percent of total billed charges ,749.4,percent of total billed charges ,749.4,percent of total billed charges ,749.4,percent of total billed charges ,749.4,percent of total billed charges ,,,,,664.47,percent of total billed charges ,,,,,631.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,287.27,percent of total billed charges,,,287.27,percent of total billed charges,,,287.27,percent of total billed charges,,,287.27,percent of total billed charges,,,287.27,percent of total billed charges,,,287.27,percent of total billed charges,,,287.27,percent of total billed charges,,,287.27,percent of total billed charges,,,287.27,percent of total billed charges,,,287.27,percent of total billed charges,,,287.27,percent of total billed charges,
ER-CORONARY THROMBOLYSIS-BY INTRAVENOUS,92977,CDM,,,,both,,,"1,329.00","1,329.00",305.67,"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,"1,049.91",percent of total billed charges,"1,049.91",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 ,"1,049.91",percent of total billed charges ,"1,049.91",percent of total billed charges ,"1,129.65",percent of total billed charges ,"1,129.65",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 ,,,,,,,,,,,,,,,,,,,305.67,percent of total billed charges,,,305.67,percent of total billed charges,,,305.67,percent of total billed charges,,,305.67,percent of total billed charges,,,305.67,percent of total billed charges,,,305.67,percent of total billed charges,,,305.67,percent of total billed charges,,,305.67,percent of total billed charges,,,305.67,percent of total billed charges,,,305.67,percent of total billed charges,,,305.67,percent of total billed charges,
PHY-CORONARY THROMBOLYSIS-BY INTRAVENOUS,92977,CDM,,,,both,,,267,267,61.41,267,267,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,210.93,percent of total billed charges,210.93,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 ,210.93,percent of total billed charges ,210.93,percent of total billed charges ,226.95,percent of total billed charges ,226.95,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 ,,,,,,,,,,,,,,,,,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,
PHY-MOD SED SAME PHYS/QHP INITIAL 15 MIN,99151,CDM,,,,both,,,123,123,28.29,123,123,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,97.17,percent of total billed charges,97.17,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 ,97.17,percent of total billed charges ,97.17,percent of total billed charges ,104.55,percent of total billed charges ,104.55,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 ,,,,,,,,,,,,,,,,,,,28.29,percent of total billed charges,,,28.29,percent of total billed charges,,,28.29,percent of total billed charges,,,28.29,percent of total billed charges,,,28.29,percent of total billed charges,,,28.29,percent of total billed charges,,,28.29,percent of total billed charges,,,28.29,percent of total billed charges,,,28.29,percent of total billed charges,,,28.29,percent of total billed charges,,,28.29,percent of total billed charges,
PHY-MOD SED SAME PHYS/QHP INITIAL 15 MIN,99152,CDM,,,,both,,,64,64,14.72,64,64,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,50.56,percent of total billed charges,50.56,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 ,50.56,percent of total billed charges ,50.56,percent of total billed charges ,54.4,percent of total billed charges ,54.4,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
PHY-MODERATE SEDATION - EACH ADDITIONAL,99153,CDM,,,,both,,,52,52,11.96,52,52,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,41.08,percent of total billed charges,41.08,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 ,41.08,percent of total billed charges ,41.08,percent of total billed charges ,44.2,percent of total billed charges ,44.2,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 ,,,,,,,,,,,,,,,,,,,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,
PHY-MOD SED OTHER PHYS/QHP INITIAL 15 MI,99155,CDM,,,,both,,,467,467,107.41,467,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,336.24,percent of total billed charges,336.24,percent of total billed charges,336.24,percent of total billed charges,336.24,percent of total billed charges,336.24,percent of total billed charges,336.24,percent of total billed charges,368.93,percent of total billed charges,368.93,percent of total billed charges,373.6,percent of total billed charges,373.6,percent of total billed charges,,,336.24,percent of total billed charges ,,,373.6,percent of total billed charges ,368.93,percent of total billed charges ,368.93,percent of total billed charges ,396.95,percent of total billed charges ,396.95,percent of total billed charges ,373.6,percent of total billed charges ,373.6,percent of total billed charges ,326.9,percent of total billed charges ,326.9,percent of total billed charges ,280.2,percent of total billed charges ,280.2,percent of total billed charges ,280.2,percent of total billed charges ,280.2,percent of total billed charges ,,,,,248.44,percent of total billed charges ,,,,,236.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,
PHY-MOD SED OTHER PHYS/QHP INTITIAL 15 M,99156,CDM,,,,both,,,369,369,84.87,369,369,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,291.51,percent of total billed charges,291.51,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 ,291.51,percent of total billed charges ,291.51,percent of total billed charges ,313.65,percent of total billed charges ,313.65,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 ,,,,,,,,,,,,,,,,,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,
PHY-MOD SED OTHER PHYS/QHP EACH ADDL 15,99157,CDM,,,,both,,,284,284,65.32,284,284,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,224.36,percent of total billed charges,224.36,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 ,224.36,percent of total billed charges ,224.36,percent of total billed charges ,241.4,percent of total billed charges ,241.4,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 ,,,,,,,,,,,,,,,,,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,
ER-INCISION & DRAINAGE PILONIDAL CYST SI,10080,CDM,,,GF,both,,,858,858,197.34,858,858,percent of total billed charges,858,percent of total billed charges,858,percent of total billed charges,858,percent of total billed charges,858,percent of total billed charges,858,percent of total billed charges,858,percent of total billed charges,858,percent of total billed charges,617.76,percent of total billed charges,617.76,percent of total billed charges,617.76,percent of total billed charges,617.76,percent of total billed charges,617.76,percent of total billed charges,617.76,percent of total billed charges,677.82,percent of total billed charges,677.82,percent of total billed charges,686.4,percent of total billed charges,686.4,percent of total billed charges,,,617.76,percent of total billed charges ,,,686.4,percent of total billed charges ,677.82,percent of total billed charges ,677.82,percent of total billed charges ,729.3,percent of total billed charges ,729.3,percent of total billed charges ,686.4,percent of total billed charges ,686.4,percent of total billed charges ,600.6,percent of total billed charges ,600.6,percent of total billed charges ,514.8,percent of total billed charges ,514.8,percent of total billed charges ,514.8,percent of total billed charges ,514.8,percent of total billed charges ,,,,,456.46,percent of total billed charges ,,,,,433.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,197.34,percent of total billed charges,,,197.34,percent of total billed charges,,,197.34,percent of total billed charges,,,197.34,percent of total billed charges,,,197.34,percent of total billed charges,,,197.34,percent of total billed charges,,,197.34,percent of total billed charges,,,197.34,percent of total billed charges,,,197.34,percent of total billed charges,,,197.34,percent of total billed charges,,,197.34,percent of total billed charges,
PHY-INCISION & REMOVAL FOREIGN BODY SUBQ,10121,CDM,,,,both,,,893,893,205.39,893,893,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,705.47,percent of total billed charges,705.47,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 ,705.47,percent of total billed charges ,705.47,percent of total billed charges ,759.05,percent of total billed charges ,759.05,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 ,,,,,,,,,,,,,,,,,,,205.39,percent of total billed charges,,,205.39,percent of total billed charges,,,205.39,percent of total billed charges,,,205.39,percent of total billed charges,,,205.39,percent of total billed charges,,,205.39,percent of total billed charges,,,205.39,percent of total billed charges,,,205.39,percent of total billed charges,,,205.39,percent of total billed charges,,,205.39,percent of total billed charges,,,205.39,percent of total billed charges,
PHY-DBRDMT SUBCUTANEOUS TISSUE EA ADDL 2,11045,CDM,,,,both,,,133,133,30.59,133,133,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,105.07,percent of total billed charges,105.07,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 ,105.07,percent of total billed charges ,105.07,percent of total billed charges ,113.05,percent of total billed charges ,113.05,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 ,,,,,,,,,,,,,,,,,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,
PHY-SIMPLE REPAIR F/E/E/N/L/M 20.1CM-30.,12017,CDM,,,GF,both,,,761,761,175.03,761,761,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,601.19,percent of total billed charges,601.19,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 ,601.19,percent of total billed charges ,601.19,percent of total billed charges ,646.85,percent of total billed charges ,646.85,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 ,,,,,,,,,,,,,,,,,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,
PHY-RPR INTERMEDIATE N/H/F/XTRNL GENT 20,12046,CDM,,,GF,both,,,"1,522.00","1,522.00",350.06,"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,"1,202.38",percent of total billed charges,"1,202.38",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 ,"1,202.38",percent of total billed charges ,"1,202.38",percent of total billed charges ,"1,293.70",percent of total billed charges ,"1,293.70",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 ,,,,,,,,,,,,,,,,,,,350.06,percent of total billed charges,,,350.06,percent of total billed charges,,,350.06,percent of total billed charges,,,350.06,percent of total billed charges,,,350.06,percent of total billed charges,,,350.06,percent of total billed charges,,,350.06,percent of total billed charges,,,350.06,percent of total billed charges,,,350.06,percent of total billed charges,,,350.06,percent of total billed charges,,,350.06,percent of total billed charges,
PHY-DEBRIDEMENT-ADDITIONAL 20 CM-BONE,11047,CDM,,,,both,,,493,493,113.39,493,493,percent of total billed charges,493,percent of total billed charges,493,percent of total billed charges,493,percent of total billed charges,493,percent of total billed charges,493,percent of total billed charges,493,percent of total billed charges,493,percent of total billed charges,354.96,percent of total billed charges,354.96,percent of total billed charges,354.96,percent of total billed charges,354.96,percent of total billed charges,354.96,percent of total billed charges,354.96,percent of total billed charges,389.47,percent of total billed charges,389.47,percent of total billed charges,394.4,percent of total billed charges,394.4,percent of total billed charges,,,354.96,percent of total billed charges ,,,394.4,percent of total billed charges ,389.47,percent of total billed charges ,389.47,percent of total billed charges ,419.05,percent of total billed charges ,419.05,percent of total billed charges ,394.4,percent of total billed charges ,394.4,percent of total billed charges ,345.1,percent of total billed charges ,345.1,percent of total billed charges ,295.8,percent of total billed charges ,295.8,percent of total billed charges ,295.8,percent of total billed charges ,295.8,percent of total billed charges ,,,,,262.28,percent of total billed charges ,,,,,249.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,113.39,percent of total billed charges,,,113.39,percent of total billed charges,,,113.39,percent of total billed charges,,,113.39,percent of total billed charges,,,113.39,percent of total billed charges,,,113.39,percent of total billed charges,,,113.39,percent of total billed charges,,,113.39,percent of total billed charges,,,113.39,percent of total billed charges,,,113.39,percent of total billed charges,,,113.39,percent of total billed charges,
PHY-INITIAL TX 1ST DEGREE BURN LOCAL TX,16000,CDM,,,GF,both,,,229,229,52.67,229,229,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,180.91,percent of total billed charges,180.91,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 ,180.91,percent of total billed charges ,180.91,percent of total billed charges ,194.65,percent of total billed charges ,194.65,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 ,,,,,,,,,,,,,,,,,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,
PHY-UNLISTED PROCEDURE MUSCKELETAL SYSTE,20999,CDM,,,,both,,,"1,403.00","1,403.00",322.69,"1,403.00","1,403.00",percent of total billed charges,"1,403.00",percent of total billed charges,"1,403.00",percent of total billed charges,"1,403.00",percent of total billed charges,"1,403.00",percent of total billed charges,"1,403.00",percent of total billed charges,"1,403.00",percent of total billed charges,"1,403.00",percent of total billed charges,"1,010.16",percent of total billed charges,"1,010.16",percent of total billed charges,"1,010.16",percent of total billed charges,"1,010.16",percent of total billed charges,"1,010.16",percent of total billed charges,"1,010.16",percent of total billed charges,"1,108.37",percent of total billed charges,"1,108.37",percent of total billed charges,"1,122.40",percent of total billed charges,"1,122.40",percent of total billed charges,,,"1,010.16",percent of total billed charges ,,,"1,122.40",percent of total billed charges ,"1,108.37",percent of total billed charges ,"1,108.37",percent of total billed charges ,"1,192.55",percent of total billed charges ,"1,192.55",percent of total billed charges ,"1,122.40",percent of total billed charges ,"1,122.40",percent of total billed charges ,982.1,percent of total billed charges ,982.1,percent of total billed charges ,841.8,percent of total billed charges ,841.8,percent of total billed charges ,841.8,percent of total billed charges ,841.8,percent of total billed charges ,,,,,746.4,percent of total billed charges ,,,,,709.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,322.69,percent of total billed charges,,,322.69,percent of total billed charges,,,322.69,percent of total billed charges,,,322.69,percent of total billed charges,,,322.69,percent of total billed charges,,,322.69,percent of total billed charges,,,322.69,percent of total billed charges,,,322.69,percent of total billed charges,,,322.69,percent of total billed charges,,,322.69,percent of total billed charges,,,322.69,percent of total billed charges,
PHY-CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ,26755,CDM,,,,both,,,"1,295.00","1,295.00",297.85,"1,295.00","1,295.00",percent of total billed charges,"1,295.00",percent of total billed charges,"1,295.00",percent of total billed charges,"1,295.00",percent of total billed charges,"1,295.00",percent of total billed charges,"1,295.00",percent of total billed charges,"1,295.00",percent of total billed charges,"1,295.00",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,932.4,percent of total billed charges,932.4,percent of total billed charges,"1,023.05",percent of total billed charges,"1,023.05",percent of total billed charges,"1,036.00",percent of total billed charges,"1,036.00",percent of total billed charges,,,932.4,percent of total billed charges ,,,"1,036.00",percent of total billed charges ,"1,023.05",percent of total billed charges ,"1,023.05",percent of total billed charges ,"1,100.75",percent of total billed charges ,"1,100.75",percent of total billed charges ,"1,036.00",percent of total billed charges ,"1,036.00",percent of total billed charges ,906.5,percent of total billed charges ,906.5,percent of total billed charges ,777,percent of total billed charges ,777,percent of total billed charges ,777,percent of total billed charges ,777,percent of total billed charges ,,,,,688.94,percent of total billed charges ,,,,,654.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,297.85,percent of total billed charges,,,297.85,percent of total billed charges,,,297.85,percent of total billed charges,,,297.85,percent of total billed charges,,,297.85,percent of total billed charges,,,297.85,percent of total billed charges,,,297.85,percent of total billed charges,,,297.85,percent of total billed charges,,,297.85,percent of total billed charges,,,297.85,percent of total billed charges,,,297.85,percent of total billed charges,
PHY-CLTX TIBIAL SHAFT FX W/MANJ W/WO SKE,27752,CDM,,,,both,,,"2,371.00","2,371.00",545.33,"2,371.00","2,371.00",percent of total billed charges,"2,371.00",percent of total billed charges,"2,371.00",percent of total billed charges,"2,371.00",percent of total billed charges,"2,371.00",percent of total billed charges,"2,371.00",percent of total billed charges,"2,371.00",percent of total billed charges,"2,371.00",percent of total billed charges,"1,707.12",percent of total billed charges,"1,707.12",percent of total billed charges,"1,707.12",percent of total billed charges,"1,707.12",percent of total billed charges,"1,707.12",percent of total billed charges,"1,707.12",percent of total billed charges,"1,873.09",percent of total billed charges,"1,873.09",percent of total billed charges,"1,896.80",percent of total billed charges,"1,896.80",percent of total billed charges,,,"1,707.12",percent of total billed charges ,,,"1,896.80",percent of total billed charges ,"1,873.09",percent of total billed charges ,"1,873.09",percent of total billed charges ,"2,015.35",percent of total billed charges ,"2,015.35",percent of total billed charges ,"1,896.80",percent of total billed charges ,"1,896.80",percent of total billed charges ,"1,659.70",percent of total billed charges ,"1,659.70",percent of total billed charges ,"1,422.60",percent of total billed charges ,"1,422.60",percent of total billed charges ,"1,422.60",percent of total billed charges ,"1,422.60",percent of total billed charges ,,,,,"1,261.37",percent of total billed charges ,,,,,"1,198.30",percent of total billed charges ,,,,,,,,,,,,,,,,,,,545.33,percent of total billed charges,,,545.33,percent of total billed charges,,,545.33,percent of total billed charges,,,545.33,percent of total billed charges,,,545.33,percent of total billed charges,,,545.33,percent of total billed charges,,,545.33,percent of total billed charges,,,545.33,percent of total billed charges,,,545.33,percent of total billed charges,,,545.33,percent of total billed charges,,,545.33,percent of total billed charges,
PHY-CLTX MEDIAL MALS FX W/MANJ W/WO SKN/,27762,CDM,,,,both,,,"2,046.00","2,046.00",470.58,"2,046.00","2,046.00",percent of total billed charges,"2,046.00",percent of total billed charges,"2,046.00",percent of total billed charges,"2,046.00",percent of total billed charges,"2,046.00",percent of total billed charges,"2,046.00",percent of total billed charges,"2,046.00",percent of total billed charges,"2,046.00",percent of total billed charges,"1,473.12",percent of total billed charges,"1,473.12",percent of total billed charges,"1,473.12",percent of total billed charges,"1,473.12",percent of total billed charges,"1,473.12",percent of total billed charges,"1,473.12",percent of total billed charges,"1,616.34",percent of total billed charges,"1,616.34",percent of total billed charges,"1,636.80",percent of total billed charges,"1,636.80",percent of total billed charges,,,"1,473.12",percent of total billed charges ,,,"1,636.80",percent of total billed charges ,"1,616.34",percent of total billed charges ,"1,616.34",percent of total billed charges ,"1,739.10",percent of total billed charges ,"1,739.10",percent of total billed charges ,"1,636.80",percent of total billed charges ,"1,636.80",percent of total billed charges ,"1,432.20",percent of total billed charges ,"1,432.20",percent of total billed charges ,"1,227.60",percent of total billed charges ,"1,227.60",percent of total billed charges ,"1,227.60",percent of total billed charges ,"1,227.60",percent of total billed charges ,,,,,"1,088.47",percent of total billed charges ,,,,,"1,034.05",percent of total billed charges ,,,,,,,,,,,,,,,,,,,470.58,percent of total billed charges,,,470.58,percent of total billed charges,,,470.58,percent of total billed charges,,,470.58,percent of total billed charges,,,470.58,percent of total billed charges,,,470.58,percent of total billed charges,,,470.58,percent of total billed charges,,,470.58,percent of total billed charges,,,470.58,percent of total billed charges,,,470.58,percent of total billed charges,,,470.58,percent of total billed charges,
PHY-CLOSED TREATMENT PST MALLEOLUS FRACT,27768,CDM,,,,both,,,"2,114.00","2,114.00",486.22,"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,"1,670.06",percent of total billed charges,"1,670.06",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 ,"1,670.06",percent of total billed charges ,"1,670.06",percent of total billed charges ,"1,796.90",percent of total billed charges ,"1,796.90",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 ,,,,,,,,,,,,,,,,,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,,,486.22,percent of total billed charges,
PHY-CLTX METATARSOPHLNGL JT DISLC W/O AN,28630,CDM,,,,both,,,530,530,121.9,530,530,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,418.7,percent of total billed charges,418.7,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 ,418.7,percent of total billed charges ,418.7,percent of total billed charges ,450.5,percent of total billed charges ,450.5,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 ,,,,,,,,,,,,,,,,,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,
PHY-APPLICATION LONG LEG CAST THIGH-TOE,29345,CDM,,,,both,,,490,490,112.7,490,490,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,387.1,percent of total billed charges,387.1,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 ,387.1,percent of total billed charges ,387.1,percent of total billed charges ,416.5,percent of total billed charges ,416.5,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 ,,,,,,,,,,,,,,,,,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,
PHY-CONTROL NASAL HEMORRHAGE ANTERIOR CO,30903,CDM,,,,both,,,387,387,89.01,387,387,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,305.73,percent of total billed charges,305.73,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 ,305.73,percent of total billed charges ,305.73,percent of total billed charges ,328.95,percent of total billed charges ,328.95,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 ,,,,,,,,,,,,,,,,,,,89.01,percent of total billed charges,,,89.01,percent of total billed charges,,,89.01,percent of total billed charges,,,89.01,percent of total billed charges,,,89.01,percent of total billed charges,,,89.01,percent of total billed charges,,,89.01,percent of total billed charges,,,89.01,percent of total billed charges,,,89.01,percent of total billed charges,,,89.01,percent of total billed charges,,,89.01,percent of total billed charges,
PHY-INTRODUCTION NEEDLE/INTRACATHETER VE,36000,CDM,,,GF,both,,,243,243,55.89,243,243,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,191.97,percent of total billed charges,191.97,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 ,191.97,percent of total billed charges ,191.97,percent of total billed charges ,206.55,percent of total billed charges ,206.55,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 ,,,,,,,,,,,,,,,,,,,55.89,percent of total billed charges,,,55.89,percent of total billed charges,,,55.89,percent of total billed charges,,,55.89,percent of total billed charges,,,55.89,percent of total billed charges,,,55.89,percent of total billed charges,,,55.89,percent of total billed charges,,,55.89,percent of total billed charges,,,55.89,percent of total billed charges,,,55.89,percent of total billed charges,,,55.89,percent of total billed charges,
PHY-VNPNXR <3 YEARS PHY/QHP SKILL FEMRAL,36400,CDM,,,,both,,,92,92,21.16,92,92,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,72.68,percent of total billed charges,72.68,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 ,72.68,percent of total billed charges ,72.68,percent of total billed charges ,78.2,percent of total billed charges ,78.2,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 ,,,,,,,,,,,,,,,,,,,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,
PHY-THROMBOLYSIS CEREBRAL IV INFUSION,37195,CDM,,,,both,,,"1,383.00","1,383.00",318.09,"1,383.00","1,383.00",percent of total billed charges,"1,383.00",percent of total billed charges,"1,383.00",percent of total billed charges,"1,383.00",percent of total billed charges,"1,383.00",percent of total billed charges,"1,383.00",percent of total billed charges,"1,383.00",percent of total billed charges,"1,383.00",percent of total billed charges,995.76,percent of total billed charges,995.76,percent of total billed charges,995.76,percent of total billed charges,995.76,percent of total billed charges,995.76,percent of total billed charges,995.76,percent of total billed charges,"1,092.57",percent of total billed charges,"1,092.57",percent of total billed charges,"1,106.40",percent of total billed charges,"1,106.40",percent of total billed charges,,,995.76,percent of total billed charges ,,,"1,106.40",percent of total billed charges ,"1,092.57",percent of total billed charges ,"1,092.57",percent of total billed charges ,"1,175.55",percent of total billed charges ,"1,175.55",percent of total billed charges ,"1,106.40",percent of total billed charges ,"1,106.40",percent of total billed charges ,968.1,percent of total billed charges ,968.1,percent of total billed charges ,829.8,percent of total billed charges ,829.8,percent of total billed charges ,829.8,percent of total billed charges ,829.8,percent of total billed charges ,,,,,735.76,percent of total billed charges ,,,,,698.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,318.09,percent of total billed charges,,,318.09,percent of total billed charges,,,318.09,percent of total billed charges,,,318.09,percent of total billed charges,,,318.09,percent of total billed charges,,,318.09,percent of total billed charges,,,318.09,percent of total billed charges,,,318.09,percent of total billed charges,,,318.09,percent of total billed charges,,,318.09,percent of total billed charges,,,318.09,percent of total billed charges,
PHY-MEAS POST-VOIDING RESIDUAL URINE&BLA,51798,CDM,,,,both,,,74,74,17.02,74,74,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,58.46,percent of total billed charges,58.46,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 ,58.46,percent of total billed charges ,58.46,percent of total billed charges ,62.9,percent of total billed charges ,62.9,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 ,,,,,,,,,,,,,,,,,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,
PHY-REMOVAL IMPACTED CERUMEN IRRIGATION,69209,CDM,,,,both,,,66,66,15.18,66,66,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,52.14,percent of total billed charges,52.14,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 ,52.14,percent of total billed charges ,52.14,percent of total billed charges ,56.1,percent of total billed charges ,56.1,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 ,,,,,,,,,,,,,,,,,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,
ER-DEBRIDEMENT MUSCLE &/FASCIA EA ADDL 2,11046,CDM,,,,both,,,"1,658.00","1,658.00",381.34,"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,"1,309.82",percent of total billed charges,"1,309.82",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 ,"1,309.82",percent of total billed charges ,"1,309.82",percent of total billed charges ,"1,409.30",percent of total billed charges ,"1,409.30",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 ,,,,,,,,,,,,,,,,,,,381.34,percent of total billed charges,,,381.34,percent of total billed charges,,,381.34,percent of total billed charges,,,381.34,percent of total billed charges,,,381.34,percent of total billed charges,,,381.34,percent of total billed charges,,,381.34,percent of total billed charges,,,381.34,percent of total billed charges,,,381.34,percent of total billed charges,,,381.34,percent of total billed charges,,,381.34,percent of total billed charges,
ER-AVULSION NAIL PLATE PARTIAL/COMP SIMP,11732,CDM,,,GF,both,,,795,795,182.85,795,795,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,628.05,percent of total billed charges,628.05,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 ,628.05,percent of total billed charges ,628.05,percent of total billed charges ,675.75,percent of total billed charges ,675.75,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 ,,,,,,,,,,,,,,,,,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,
ER-REPAIR NAIL BED,11760,CDM,,,,both,,,"1,684.00","1,684.00",387.32,"1,684.00","1,684.00",percent of total billed charges,"1,684.00",percent of total billed charges,"1,684.00",percent of total billed charges,"1,684.00",percent of total billed charges,"1,684.00",percent of total billed charges,"1,684.00",percent of total billed charges,"1,684.00",percent of total billed charges,"1,684.00",percent of total billed charges,"1,212.48",percent of total billed charges,"1,212.48",percent of total billed charges,"1,212.48",percent of total billed charges,"1,212.48",percent of total billed charges,"1,212.48",percent of total billed charges,"1,212.48",percent of total billed charges,"1,330.36",percent of total billed charges,"1,330.36",percent of total billed charges,"1,347.20",percent of total billed charges,"1,347.20",percent of total billed charges,,,"1,212.48",percent of total billed charges ,,,"1,347.20",percent of total billed charges ,"1,330.36",percent of total billed charges ,"1,330.36",percent of total billed charges ,"1,431.40",percent of total billed charges ,"1,431.40",percent of total billed charges ,"1,347.20",percent of total billed charges ,"1,347.20",percent of total billed charges ,"1,178.80",percent of total billed charges ,"1,178.80",percent of total billed charges ,"1,010.40",percent of total billed charges ,"1,010.40",percent of total billed charges ,"1,010.40",percent of total billed charges ,"1,010.40",percent of total billed charges ,,,,,895.89,percent of total billed charges ,,,,,851.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,387.32,percent of total billed charges,,,387.32,percent of total billed charges,,,387.32,percent of total billed charges,,,387.32,percent of total billed charges,,,387.32,percent of total billed charges,,,387.32,percent of total billed charges,,,387.32,percent of total billed charges,,,387.32,percent of total billed charges,,,387.32,percent of total billed charges,,,387.32,percent of total billed charges,,,387.32,percent of total billed charges,
ER-SIMPLE REPAIR F/E/E/N/L/M 12.6CM-20.0,12016,CDM,,,GF,both,,,915,915,210.45,915,915,percent of total billed charges,915,percent of total billed charges,915,percent of total billed charges,915,percent of total billed charges,915,percent of total billed charges,915,percent of total billed charges,915,percent of total billed charges,915,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,658.8,percent of total billed charges,658.8,percent of total billed charges,722.85,percent of total billed charges,722.85,percent of total billed charges,732,percent of total billed charges,732,percent of total billed charges,,,658.8,percent of total billed charges ,,,732,percent of total billed charges ,722.85,percent of total billed charges ,722.85,percent of total billed charges ,777.75,percent of total billed charges ,777.75,percent of total billed charges ,732,percent of total billed charges ,732,percent of total billed charges ,640.5,percent of total billed charges ,640.5,percent of total billed charges ,549,percent of total billed charges ,549,percent of total billed charges ,549,percent of total billed charges ,549,percent of total billed charges ,,,,,486.78,percent of total billed charges ,,,,,462.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,210.45,percent of total billed charges,,,210.45,percent of total billed charges,,,210.45,percent of total billed charges,,,210.45,percent of total billed charges,,,210.45,percent of total billed charges,,,210.45,percent of total billed charges,,,210.45,percent of total billed charges,,,210.45,percent of total billed charges,,,210.45,percent of total billed charges,,,210.45,percent of total billed charges,,,210.45,percent of total billed charges,
ER-SIMPLE REPAIR F/E/E/N/L/M 20.1 CM-30.,12017,CDM,,,GF,both,,,508,508,116.84,508,508,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,401.32,percent of total billed charges,401.32,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 ,401.32,percent of total billed charges ,401.32,percent of total billed charges ,431.8,percent of total billed charges ,431.8,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 ,,,,,,,,,,,,,,,,,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,
ER-REPAIR INTERMEDIATE N/H/F/XTRNL GENT,12047,CDM,,,GF,both,,,"1,115.00","1,115.00",256.45,"1,115.00","1,115.00",percent of total billed charges,"1,115.00",percent of total billed charges,"1,115.00",percent of total billed charges,"1,115.00",percent of total billed charges,"1,115.00",percent of total billed charges,"1,115.00",percent of total billed charges,"1,115.00",percent of total billed charges,"1,115.00",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,802.8,percent of total billed charges,802.8,percent of total billed charges,880.85,percent of total billed charges,880.85,percent of total billed charges,892,percent of total billed charges,892,percent of total billed charges,,,802.8,percent of total billed charges ,,,892,percent of total billed charges ,880.85,percent of total billed charges ,880.85,percent of total billed charges ,947.75,percent of total billed charges ,947.75,percent of total billed charges ,892,percent of total billed charges ,892,percent of total billed charges ,780.5,percent of total billed charges ,780.5,percent of total billed charges ,669,percent of total billed charges ,669,percent of total billed charges ,669,percent of total billed charges ,669,percent of total billed charges ,,,,,593.18,percent of total billed charges ,,,,,563.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,256.45,percent of total billed charges,,,256.45,percent of total billed charges,,,256.45,percent of total billed charges,,,256.45,percent of total billed charges,,,256.45,percent of total billed charges,,,256.45,percent of total billed charges,,,256.45,percent of total billed charges,,,256.45,percent of total billed charges,,,256.45,percent of total billed charges,,,256.45,percent of total billed charges,,,256.45,percent of total billed charges,
**ER-REPAIR INTERMEDIATE F/E/E/N/L&MUC,12054,CDM,,,GF,both,,,"1,352.00","1,352.00",310.96,"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,"1,068.08",percent of total billed charges,"1,068.08",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 ,"1,068.08",percent of total billed charges ,"1,068.08",percent of total billed charges ,"1,149.20",percent of total billed charges ,"1,149.20",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 ,,,,,,,,,,,,,,,,,,,310.96,percent of total billed charges,,,310.96,percent of total billed charges,,,310.96,percent of total billed charges,,,310.96,percent of total billed charges,,,310.96,percent of total billed charges,,,310.96,percent of total billed charges,,,310.96,percent of total billed charges,,,310.96,percent of total billed charges,,,310.96,percent of total billed charges,,,310.96,percent of total billed charges,,,310.96,percent of total billed charges,
ER-INJECTION SINGLE/MLT TRIGGER POINT 1/,20552,CDM,,,,both,,,"1,075.00","1,075.00",247.25,"1,075.00","1,075.00",percent of total billed charges,"1,075.00",percent of total billed charges,"1,075.00",percent of total billed charges,"1,075.00",percent of total billed charges,"1,075.00",percent of total billed charges,"1,075.00",percent of total billed charges,"1,075.00",percent of total billed charges,"1,075.00",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,849.25,percent of total billed charges,849.25,percent of total billed charges,860,percent of total billed charges,860,percent of total billed charges,,,774,percent of total billed charges ,,,860,percent of total billed charges ,849.25,percent of total billed charges ,849.25,percent of total billed charges ,913.75,percent of total billed charges ,913.75,percent of total billed charges ,860,percent of total billed charges ,860,percent of total billed charges ,752.5,percent of total billed charges ,752.5,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 ,,,,,571.9,percent of total billed charges ,,,,,543.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,247.25,percent of total billed charges,,,247.25,percent of total billed charges,,,247.25,percent of total billed charges,,,247.25,percent of total billed charges,,,247.25,percent of total billed charges,,,247.25,percent of total billed charges,,,247.25,percent of total billed charges,,,247.25,percent of total billed charges,,,247.25,percent of total billed charges,,,247.25,percent of total billed charges,,,247.25,percent of total billed charges,
ER-ARTHROCENTESIS ASPIR&/INJ SMALL JT/BU,20600,CDM,,,,both,,,"1,213.00","1,213.00",278.99,"1,213.00","1,213.00",percent of total billed charges,"1,213.00",percent of total billed charges,"1,213.00",percent of total billed charges,"1,213.00",percent of total billed charges,"1,213.00",percent of total billed charges,"1,213.00",percent of total billed charges,"1,213.00",percent of total billed charges,"1,213.00",percent of total billed charges,873.36,percent of total billed charges,873.36,percent of total billed charges,873.36,percent of total billed charges,873.36,percent of total billed charges,873.36,percent of total billed charges,873.36,percent of total billed charges,958.27,percent of total billed charges,958.27,percent of total billed charges,970.4,percent of total billed charges,970.4,percent of total billed charges,,,873.36,percent of total billed charges ,,,970.4,percent of total billed charges ,958.27,percent of total billed charges ,958.27,percent of total billed charges ,"1,031.05",percent of total billed charges ,"1,031.05",percent of total billed charges ,970.4,percent of total billed charges ,970.4,percent of total billed charges ,849.1,percent of total billed charges ,849.1,percent of total billed charges ,727.8,percent of total billed charges ,727.8,percent of total billed charges ,727.8,percent of total billed charges ,727.8,percent of total billed charges ,,,,,645.32,percent of total billed charges ,,,,,613.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,278.99,percent of total billed charges,,,278.99,percent of total billed charges,,,278.99,percent of total billed charges,,,278.99,percent of total billed charges,,,278.99,percent of total billed charges,,,278.99,percent of total billed charges,,,278.99,percent of total billed charges,,,278.99,percent of total billed charges,,,278.99,percent of total billed charges,,,278.99,percent of total billed charges,,,278.99,percent of total billed charges,
ER-ARTHROCENTESIS ASPIR&/INJ INTERM JT/B,20606,CDM,,,,both,,,"1,333.00","1,333.00",306.59,"1,333.00","1,333.00",percent of total billed charges,"1,333.00",percent of total billed charges,"1,333.00",percent of total billed charges,"1,333.00",percent of total billed charges,"1,333.00",percent of total billed charges,"1,333.00",percent of total billed charges,"1,333.00",percent of total billed charges,"1,333.00",percent of total billed charges,959.76,percent of total billed charges,959.76,percent of total billed charges,959.76,percent of total billed charges,959.76,percent of total billed charges,959.76,percent of total billed charges,959.76,percent of total billed charges,"1,053.07",percent of total billed charges,"1,053.07",percent of total billed charges,"1,066.40",percent of total billed charges,"1,066.40",percent of total billed charges,,,959.76,percent of total billed charges ,,,"1,066.40",percent of total billed charges ,"1,053.07",percent of total billed charges ,"1,053.07",percent of total billed charges ,"1,133.05",percent of total billed charges ,"1,133.05",percent of total billed charges ,"1,066.40",percent of total billed charges ,"1,066.40",percent of total billed charges ,933.1,percent of total billed charges ,933.1,percent of total billed charges ,799.8,percent of total billed charges ,799.8,percent of total billed charges ,799.8,percent of total billed charges ,799.8,percent of total billed charges ,,,,,709.16,percent of total billed charges ,,,,,673.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,306.59,percent of total billed charges,,,306.59,percent of total billed charges,,,306.59,percent of total billed charges,,,306.59,percent of total billed charges,,,306.59,percent of total billed charges,,,306.59,percent of total billed charges,,,306.59,percent of total billed charges,,,306.59,percent of total billed charges,,,306.59,percent of total billed charges,,,306.59,percent of total billed charges,,,306.59,percent of total billed charges,
ER-CLOSED TX TEMPOROMANDIBULAR DISLOCATI,21480,CDM,,,GF,both,,,928,928,213.44,928,928,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,733.12,percent of total billed charges,733.12,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 ,733.12,percent of total billed charges ,733.12,percent of total billed charges ,788.8,percent of total billed charges ,788.8,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 ,,,,,,,,,,,,,,,,,,,213.44,percent of total billed charges,,,213.44,percent of total billed charges,,,213.44,percent of total billed charges,,,213.44,percent of total billed charges,,,213.44,percent of total billed charges,,,213.44,percent of total billed charges,,,213.44,percent of total billed charges,,,213.44,percent of total billed charges,,,213.44,percent of total billed charges,,,213.44,percent of total billed charges,,,213.44,percent of total billed charges,
ER-CLSD TX SHOULDER DISLC W/MANIPULATION,23650,CDM,,,GF,both,,,"1,178.00","1,178.00",270.94,"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,930.62,percent of total billed charges,930.62,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 ,930.62,percent of total billed charges ,930.62,percent of total billed charges ,"1,001.30",percent of total billed charges ,"1,001.30",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 ,,,,,,,,,,,,,,,,,,,270.94,percent of total billed charges,,,270.94,percent of total billed charges,,,270.94,percent of total billed charges,,,270.94,percent of total billed charges,,,270.94,percent of total billed charges,,,270.94,percent of total billed charges,,,270.94,percent of total billed charges,,,270.94,percent of total billed charges,,,270.94,percent of total billed charges,,,270.94,percent of total billed charges,,,270.94,percent of total billed charges,
ER-CLTX HUMERAL SHIFT FX W/MANJ W/WO SKE,24505,CDM,,,,both,,,"1,693.00","1,693.00",389.39,"1,693.00","1,693.00",percent of total billed charges,"1,693.00",percent of total billed charges,"1,693.00",percent of total billed charges,"1,693.00",percent of total billed charges,"1,693.00",percent of total billed charges,"1,693.00",percent of total billed charges,"1,693.00",percent of total billed charges,"1,693.00",percent of total billed charges,"1,218.96",percent of total billed charges,"1,218.96",percent of total billed charges,"1,218.96",percent of total billed charges,"1,218.96",percent of total billed charges,"1,218.96",percent of total billed charges,"1,218.96",percent of total billed charges,"1,337.47",percent of total billed charges,"1,337.47",percent of total billed charges,"1,354.40",percent of total billed charges,"1,354.40",percent of total billed charges,,,"1,218.96",percent of total billed charges ,,,"1,354.40",percent of total billed charges ,"1,337.47",percent of total billed charges ,"1,337.47",percent of total billed charges ,"1,439.05",percent of total billed charges ,"1,439.05",percent of total billed charges ,"1,354.40",percent of total billed charges ,"1,354.40",percent of total billed charges ,"1,185.10",percent of total billed charges ,"1,185.10",percent of total billed charges ,"1,015.80",percent of total billed charges ,"1,015.80",percent of total billed charges ,"1,015.80",percent of total billed charges ,"1,015.80",percent of total billed charges ,,,,,900.68,percent of total billed charges ,,,,,855.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,389.39,percent of total billed charges,,,389.39,percent of total billed charges,,,389.39,percent of total billed charges,,,389.39,percent of total billed charges,,,389.39,percent of total billed charges,,,389.39,percent of total billed charges,,,389.39,percent of total billed charges,,,389.39,percent of total billed charges,,,389.39,percent of total billed charges,,,389.39,percent of total billed charges,,,389.39,percent of total billed charges,
ER-TREATMENT CLOSED ELBOW DISLOCATION W/,24600,CDM,,,,both,,,"1,081.00","1,081.00",248.63,"1,081.00","1,081.00",percent of total billed charges,"1,081.00",percent of total billed charges,"1,081.00",percent of total billed charges,"1,081.00",percent of total billed charges,"1,081.00",percent of total billed charges,"1,081.00",percent of total billed charges,"1,081.00",percent of total billed charges,"1,081.00",percent of total billed charges,778.32,percent of total billed charges,778.32,percent of total billed charges,778.32,percent of total billed charges,778.32,percent of total billed charges,778.32,percent of total billed charges,778.32,percent of total billed charges,853.99,percent of total billed charges,853.99,percent of total billed charges,864.8,percent of total billed charges,864.8,percent of total billed charges,,,778.32,percent of total billed charges ,,,864.8,percent of total billed charges ,853.99,percent of total billed charges ,853.99,percent of total billed charges ,918.85,percent of total billed charges ,918.85,percent of total billed charges ,864.8,percent of total billed charges ,864.8,percent of total billed charges ,756.7,percent of total billed charges ,756.7,percent of total billed charges ,648.6,percent of total billed charges ,648.6,percent of total billed charges ,648.6,percent of total billed charges ,648.6,percent of total billed charges ,,,,,575.09,percent of total billed charges ,,,,,546.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,248.63,percent of total billed charges,,,248.63,percent of total billed charges,,,248.63,percent of total billed charges,,,248.63,percent of total billed charges,,,248.63,percent of total billed charges,,,248.63,percent of total billed charges,,,248.63,percent of total billed charges,,,248.63,percent of total billed charges,,,248.63,percent of total billed charges,,,248.63,percent of total billed charges,,,248.63,percent of total billed charges,
ER-CLTX DSTL RDL FX/EPIPHYSL SET W/MANJ,25605,CDM,,,,both,,,"2,218.00","2,218.00",510.14,"2,218.00","2,218.00",percent of total billed charges,"2,218.00",percent of total billed charges,"2,218.00",percent of total billed charges,"2,218.00",percent of total billed charges,"2,218.00",percent of total billed charges,"2,218.00",percent of total billed charges,"2,218.00",percent of total billed charges,"2,218.00",percent of total billed charges,"1,596.96",percent of total billed charges,"1,596.96",percent of total billed charges,"1,596.96",percent of total billed charges,"1,596.96",percent of total billed charges,"1,596.96",percent of total billed charges,"1,596.96",percent of total billed charges,"1,752.22",percent of total billed charges,"1,752.22",percent of total billed charges,"1,774.40",percent of total billed charges,"1,774.40",percent of total billed charges,,,"1,596.96",percent of total billed charges ,,,"1,774.40",percent of total billed charges ,"1,752.22",percent of total billed charges ,"1,752.22",percent of total billed charges ,"1,885.30",percent of total billed charges ,"1,885.30",percent of total billed charges ,"1,774.40",percent of total billed charges ,"1,774.40",percent of total billed charges ,"1,552.60",percent of total billed charges ,"1,552.60",percent of total billed charges ,"1,330.80",percent of total billed charges ,"1,330.80",percent of total billed charges ,"1,330.80",percent of total billed charges ,"1,330.80",percent of total billed charges ,,,,,"1,179.98",percent of total billed charges ,,,,,"1,120.98",percent of total billed charges ,,,,,,,,,,,,,,,,,,,510.14,percent of total billed charges,,,510.14,percent of total billed charges,,,510.14,percent of total billed charges,,,510.14,percent of total billed charges,,,510.14,percent of total billed charges,,,510.14,percent of total billed charges,,,510.14,percent of total billed charges,,,510.14,percent of total billed charges,,,510.14,percent of total billed charges,,,510.14,percent of total billed charges,,,510.14,percent of total billed charges,
ER-REPAIR EXTENSOR TENDON FINGER W/O GRA,26418,CDM,,,,both,,,"5,946.00","5,946.00","1,367.58","5,946.00","5,946.00",percent of total billed charges,"5,946.00",percent of total billed charges,"5,946.00",percent of total billed charges,"5,946.00",percent of total billed charges,"5,946.00",percent of total billed charges,"5,946.00",percent of total billed charges,"5,946.00",percent of total billed charges,"5,946.00",percent of total billed charges,"4,281.12",percent of total billed charges,"4,281.12",percent of total billed charges,"4,281.12",percent of total billed charges,"4,281.12",percent of total billed charges,"4,281.12",percent of total billed charges,"4,281.12",percent of total billed charges,"4,697.34",percent of total billed charges,"4,697.34",percent of total billed charges,"4,756.80",percent of total billed charges,"4,756.80",percent of total billed charges,,,"4,281.12",percent of total billed charges ,,,"4,756.80",percent of total billed charges ,"4,697.34",percent of total billed charges ,"4,697.34",percent of total billed charges ,"5,054.10",percent of total billed charges ,"5,054.10",percent of total billed charges ,"4,756.80",percent of total billed charges ,"4,756.80",percent of total billed charges ,"4,162.20",percent of total billed charges ,"4,162.20",percent of total billed charges ,"3,567.60",percent of total billed charges ,"3,567.60",percent of total billed charges ,"3,567.60",percent of total billed charges ,"3,567.60",percent of total billed charges ,,,,,"3,163.27",percent of total billed charges ,,,,,"3,005.11",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,367.58",percent of total billed charges,,,"1,367.58",percent of total billed charges,,,"1,367.58",percent of total billed charges,,,"1,367.58",percent of total billed charges,,,"1,367.58",percent of total billed charges,,,"1,367.58",percent of total billed charges,,,"1,367.58",percent of total billed charges,,,"1,367.58",percent of total billed charges,,,"1,367.58",percent of total billed charges,,,"1,367.58",percent of total billed charges,,,"1,367.58",percent of total billed charges,
ER-CLTX METACARPAL FX W/MANIPULATION EAC,26605,CDM,,,,both,,,"1,234.00","1,234.00",283.82,"1,234.00","1,234.00",percent of total billed charges,"1,234.00",percent of total billed charges,"1,234.00",percent of total billed charges,"1,234.00",percent of total billed charges,"1,234.00",percent of total billed charges,"1,234.00",percent of total billed charges,"1,234.00",percent of total billed charges,"1,234.00",percent of total billed charges,888.48,percent of total billed charges,888.48,percent of total billed charges,888.48,percent of total billed charges,888.48,percent of total billed charges,888.48,percent of total billed charges,888.48,percent of total billed charges,974.86,percent of total billed charges,974.86,percent of total billed charges,987.2,percent of total billed charges,987.2,percent of total billed charges,,,888.48,percent of total billed charges ,,,987.2,percent of total billed charges ,974.86,percent of total billed charges ,974.86,percent of total billed charges ,"1,048.90",percent of total billed charges ,"1,048.90",percent of total billed charges ,987.2,percent of total billed charges ,987.2,percent of total billed charges ,863.8,percent of total billed charges ,863.8,percent of total billed charges ,740.4,percent of total billed charges ,740.4,percent of total billed charges ,740.4,percent of total billed charges ,740.4,percent of total billed charges ,,,,,656.49,percent of total billed charges ,,,,,623.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,283.82,percent of total billed charges,,,283.82,percent of total billed charges,,,283.82,percent of total billed charges,,,283.82,percent of total billed charges,,,283.82,percent of total billed charges,,,283.82,percent of total billed charges,,,283.82,percent of total billed charges,,,283.82,percent of total billed charges,,,283.82,percent of total billed charges,,,283.82,percent of total billed charges,,,283.82,percent of total billed charges,
ER-CLTX METACARPOPHALANGEAL DISLC W/MANJ,26700,CDM,,,GF,both,,,842,842,193.66,842,842,percent of total billed charges,842,percent of total billed charges,842,percent of total billed charges,842,percent of total billed charges,842,percent of total billed charges,842,percent of total billed charges,842,percent of total billed charges,842,percent of total billed charges,606.24,percent of total billed charges,606.24,percent of total billed charges,606.24,percent of total billed charges,606.24,percent of total billed charges,606.24,percent of total billed charges,606.24,percent of total billed charges,665.18,percent of total billed charges,665.18,percent of total billed charges,673.6,percent of total billed charges,673.6,percent of total billed charges,,,606.24,percent of total billed charges ,,,673.6,percent of total billed charges ,665.18,percent of total billed charges ,665.18,percent of total billed charges ,715.7,percent of total billed charges ,715.7,percent of total billed charges ,673.6,percent of total billed charges ,673.6,percent of total billed charges ,589.4,percent of total billed charges ,589.4,percent of total billed charges ,505.2,percent of total billed charges ,505.2,percent of total billed charges ,505.2,percent of total billed charges ,505.2,percent of total billed charges ,,,,,447.94,percent of total billed charges ,,,,,425.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,193.66,percent of total billed charges,,,193.66,percent of total billed charges,,,193.66,percent of total billed charges,,,193.66,percent of total billed charges,,,193.66,percent of total billed charges,,,193.66,percent of total billed charges,,,193.66,percent of total billed charges,,,193.66,percent of total billed charges,,,193.66,percent of total billed charges,,,193.66,percent of total billed charges,,,193.66,percent of total billed charges,
ER-CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/M,26725,CDM,,,,both,,,"1,020.00","1,020.00",234.6,"1,020.00","1,020.00",percent of total billed charges,"1,020.00",percent of total billed charges,"1,020.00",percent of total billed charges,"1,020.00",percent of total billed charges,"1,020.00",percent of total billed charges,"1,020.00",percent of total billed charges,"1,020.00",percent of total billed charges,"1,020.00",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,734.4,percent of total billed charges,734.4,percent of total billed charges,805.8,percent of total billed charges,805.8,percent of total billed charges,816,percent of total billed charges,816,percent of total billed charges,,,734.4,percent of total billed charges ,,,816,percent of total billed charges ,805.8,percent of total billed charges ,805.8,percent of total billed charges ,867,percent of total billed charges ,867,percent of total billed charges ,816,percent of total billed charges ,816,percent of total billed charges ,714,percent of total billed charges ,714,percent of total billed charges ,612,percent of total billed charges ,612,percent of total billed charges ,612,percent of total billed charges ,612,percent of total billed charges ,,,,,542.64,percent of total billed charges ,,,,,515.51,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,,,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,,,234.6,percent of total billed charges,,,234.6,percent of total billed charges,,,234.6,percent of total billed charges,
ER-CLOSED TX PATELLAR DISLOCATION W/O AN,27560,CDM,,,,both,,,931,931,214.13,931,931,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,735.49,percent of total billed charges,735.49,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 ,735.49,percent of total billed charges ,735.49,percent of total billed charges ,791.35,percent of total billed charges ,791.35,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 ,,,,,,,,,,,,,,,,,,,214.13,percent of total billed charges,,,214.13,percent of total billed charges,,,214.13,percent of total billed charges,,,214.13,percent of total billed charges,,,214.13,percent of total billed charges,,,214.13,percent of total billed charges,,,214.13,percent of total billed charges,,,214.13,percent of total billed charges,,,214.13,percent of total billed charges,,,214.13,percent of total billed charges,,,214.13,percent of total billed charges,
ER-CLSED TR BIMALLEOLAR ANKLE W/ MANIPUL,27265,CDM,,,,both,,,"1,280.00","1,280.00",294.4,"1,280.00","1,280.00",percent of total billed charges,"1,280.00",percent of total billed charges,"1,280.00",percent of total billed charges,"1,280.00",percent of total billed charges,"1,280.00",percent of total billed charges,"1,280.00",percent of total billed charges,"1,280.00",percent of total billed charges,"1,280.00",percent of total billed charges,921.6,percent of total billed charges,921.6,percent of total billed charges,921.6,percent of total billed charges,921.6,percent of total billed charges,921.6,percent of total billed charges,921.6,percent of total billed charges,"1,011.20",percent of total billed charges,"1,011.20",percent of total billed charges,"1,024.00",percent of total billed charges,"1,024.00",percent of total billed charges,,,921.6,percent of total billed charges ,,,"1,024.00",percent of total billed charges ,"1,011.20",percent of total billed charges ,"1,011.20",percent of total billed charges ,"1,088.00",percent of total billed charges ,"1,088.00",percent of total billed charges ,"1,024.00",percent of total billed charges ,"1,024.00",percent of total billed charges ,896,percent of total billed charges ,896,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 ,,,,,680.96,percent of total billed charges ,,,,,646.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,294.4,percent of total billed charges,,,294.4,percent of total billed charges,,,294.4,percent of total billed charges,,,294.4,percent of total billed charges,,,294.4,percent of total billed charges,,,294.4,percent of total billed charges,,,294.4,percent of total billed charges,,,294.4,percent of total billed charges,,,294.4,percent of total billed charges,,,294.4,percent of total billed charges,,,294.4,percent of total billed charges,
ER-CLTX MEDIAL MALLS FX W/MANJ W/WO SKN/,27762,CDM,,,,both,,,"3,010.00","3,010.00",692.3,"3,010.00","3,010.00",percent of total billed charges,"3,010.00",percent of total billed charges,"3,010.00",percent of total billed charges,"3,010.00",percent of total billed charges,"3,010.00",percent of total billed charges,"3,010.00",percent of total billed charges,"3,010.00",percent of total billed charges,"3,010.00",percent of total billed charges,"2,167.20",percent of total billed charges,"2,167.20",percent of total billed charges,"2,167.20",percent of total billed charges,"2,167.20",percent of total billed charges,"2,167.20",percent of total billed charges,"2,167.20",percent of total billed charges,"2,377.90",percent of total billed charges,"2,377.90",percent of total billed charges,"2,408.00",percent of total billed charges,"2,408.00",percent of total billed charges,,,"2,167.20",percent of total billed charges ,,,"2,408.00",percent of total billed charges ,"2,377.90",percent of total billed charges ,"2,377.90",percent of total billed charges ,"2,558.50",percent of total billed charges ,"2,558.50",percent of total billed charges ,"2,408.00",percent of total billed charges ,"2,408.00",percent of total billed charges ,"2,107.00",percent of total billed charges ,"2,107.00",percent of total billed charges ,"1,806.00",percent of total billed charges ,"1,806.00",percent of total billed charges ,"1,806.00",percent of total billed charges ,"1,806.00",percent of total billed charges ,,,,,"1,601.32",percent of total billed charges ,,,,,"1,521.25",percent of total billed charges ,,,,,,,,,,,,,,,,,,,692.3,percent of total billed charges,,,692.3,percent of total billed charges,,,692.3,percent of total billed charges,,,692.3,percent of total billed charges,,,692.3,percent of total billed charges,,,692.3,percent of total billed charges,,,692.3,percent of total billed charges,,,692.3,percent of total billed charges,,,692.3,percent of total billed charges,,,692.3,percent of total billed charges,,,692.3,percent of total billed charges,
ER-CLOSED TREATMENT PST MALLEOLUS FRACTU,27768,CDM,,,,both,,,"3,608.00","3,608.00",829.84,"3,608.00","3,608.00",percent of total billed charges,"3,608.00",percent of total billed charges,"3,608.00",percent of total billed charges,"3,608.00",percent of total billed charges,"3,608.00",percent of total billed charges,"3,608.00",percent of total billed charges,"3,608.00",percent of total billed charges,"3,608.00",percent of total billed charges,"2,597.76",percent of total billed charges,"2,597.76",percent of total billed charges,"2,597.76",percent of total billed charges,"2,597.76",percent of total billed charges,"2,597.76",percent of total billed charges,"2,597.76",percent of total billed charges,"2,850.32",percent of total billed charges,"2,850.32",percent of total billed charges,"2,886.40",percent of total billed charges,"2,886.40",percent of total billed charges,,,"2,597.76",percent of total billed charges ,,,"2,886.40",percent of total billed charges ,"2,850.32",percent of total billed charges ,"2,850.32",percent of total billed charges ,"3,066.80",percent of total billed charges ,"3,066.80",percent of total billed charges ,"2,886.40",percent of total billed charges ,"2,886.40",percent of total billed charges ,"2,525.60",percent of total billed charges ,"2,525.60",percent of total billed charges ,"2,164.80",percent of total billed charges ,"2,164.80",percent of total billed charges ,"2,164.80",percent of total billed charges ,"2,164.80",percent of total billed charges ,,,,,"1,919.46",percent of total billed charges ,,,,,"1,823.48",percent of total billed charges ,,,,,,,,,,,,,,,,,,,829.84,percent of total billed charges,,,829.84,percent of total billed charges,,,829.84,percent of total billed charges,,,829.84,percent of total billed charges,,,829.84,percent of total billed charges,,,829.84,percent of total billed charges,,,829.84,percent of total billed charges,,,829.84,percent of total billed charges,,,829.84,percent of total billed charges,,,829.84,percent of total billed charges,,,829.84,percent of total billed charges,
ER-CLTX DSTL FIBULAR FX LAT MALLS W/MANJ,27788,CDM,,,,both,,,"1,402.00","1,402.00",322.46,"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,"1,107.58",percent of total billed charges,"1,107.58",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 ,"1,107.58",percent of total billed charges ,"1,107.58",percent of total billed charges ,"1,191.70",percent of total billed charges ,"1,191.70",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 ,,,,,,,,,,,,,,,,,,,322.46,percent of total billed charges,,,322.46,percent of total billed charges,,,322.46,percent of total billed charges,,,322.46,percent of total billed charges,,,322.46,percent of total billed charges,,,322.46,percent of total billed charges,,,322.46,percent of total billed charges,,,322.46,percent of total billed charges,,,322.46,percent of total billed charges,,,322.46,percent of total billed charges,,,322.46,percent of total billed charges,
ER-CLTX TRIMALLEOLAR ANKLE FX W/MANIPULA,27818,CDM,,,,both,,,"1,907.00","1,907.00",438.61,"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,"1,506.53",percent of total billed charges,"1,506.53",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 ,"1,506.53",percent of total billed charges ,"1,506.53",percent of total billed charges ,"1,620.95",percent of total billed charges ,"1,620.95",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 ,,,,,,,,,,,,,,,,,,,438.61,percent of total billed charges,,,438.61,percent of total billed charges,,,438.61,percent of total billed charges,,,438.61,percent of total billed charges,,,438.61,percent of total billed charges,,,438.61,percent of total billed charges,,,438.61,percent of total billed charges,,,438.61,percent of total billed charges,,,438.61,percent of total billed charges,,,438.61,percent of total billed charges,,,438.61,percent of total billed charges,
ER-REMOVAL FOREIGN BODY FOOT SUBCUTANEOU,28190,CDM,,,GF,both,,,"2,906.00","2,906.00",668.38,"2,906.00","2,906.00",percent of total billed charges,"2,906.00",percent of total billed charges,"2,906.00",percent of total billed charges,"2,906.00",percent of total billed charges,"2,906.00",percent of total billed charges,"2,906.00",percent of total billed charges,"2,906.00",percent of total billed charges,"2,906.00",percent of total billed charges,"2,092.32",percent of total billed charges,"2,092.32",percent of total billed charges,"2,092.32",percent of total billed charges,"2,092.32",percent of total billed charges,"2,092.32",percent of total billed charges,"2,092.32",percent of total billed charges,"2,295.74",percent of total billed charges,"2,295.74",percent of total billed charges,"2,324.80",percent of total billed charges,"2,324.80",percent of total billed charges,,,"2,092.32",percent of total billed charges ,,,"2,324.80",percent of total billed charges ,"2,295.74",percent of total billed charges ,"2,295.74",percent of total billed charges ,"2,470.10",percent of total billed charges ,"2,470.10",percent of total billed charges ,"2,324.80",percent of total billed charges ,"2,324.80",percent of total billed charges ,"2,034.20",percent of total billed charges ,"2,034.20",percent of total billed charges ,"1,743.60",percent of total billed charges ,"1,743.60",percent of total billed charges ,"1,743.60",percent of total billed charges ,"1,743.60",percent of total billed charges ,,,,,"1,545.99",percent of total billed charges ,,,,,"1,468.69",percent of total billed charges ,,,,,,,,,,,,,,,,,,,668.38,percent of total billed charges,,,668.38,percent of total billed charges,,,668.38,percent of total billed charges,,,668.38,percent of total billed charges,,,668.38,percent of total billed charges,,,668.38,percent of total billed charges,,,668.38,percent of total billed charges,,,668.38,percent of total billed charges,,,668.38,percent of total billed charges,,,668.38,percent of total billed charges,,,668.38,percent of total billed charges,
ER-CLTX FX GRT TOE PHLX/PHLG W/MANJ,28495,CDM,,,,both,,,770,770,177.1,770,770,percent of total billed charges,770,percent of total billed charges,770,percent of total billed charges,770,percent of total billed charges,770,percent of total billed charges,770,percent of total billed charges,770,percent of total billed charges,770,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,554.4,percent of total billed charges,554.4,percent of total billed charges,608.3,percent of total billed charges,608.3,percent of total billed charges,616,percent of total billed charges,616,percent of total billed charges,,,554.4,percent of total billed charges ,,,616,percent of total billed charges ,608.3,percent of total billed charges ,608.3,percent of total billed charges ,654.5,percent of total billed charges ,654.5,percent of total billed charges ,616,percent of total billed charges ,616,percent of total billed charges ,539,percent of total billed charges ,539,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 ,,,,,409.64,percent of total billed charges ,,,,,389.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,
ER-CLTX INTERPHALANGEAL JOINT DISLOCATIO,28660,CDM,,,,both,,,757,757,174.11,757,757,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,598.03,percent of total billed charges,598.03,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 ,598.03,percent of total billed charges ,598.03,percent of total billed charges ,643.45,percent of total billed charges ,643.45,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 ,,,,,,,,,,,,,,,,,,,174.11,percent of total billed charges,,,174.11,percent of total billed charges,,,174.11,percent of total billed charges,,,174.11,percent of total billed charges,,,174.11,percent of total billed charges,,,174.11,percent of total billed charges,,,174.11,percent of total billed charges,,,174.11,percent of total billed charges,,,174.11,percent of total billed charges,,,174.11,percent of total billed charges,,,174.11,percent of total billed charges,
ER-APPLICATION CAST SHOULDER HAND LONG A,29065,CDM,,,GF,both,,,605,605,139.15,605,605,percent of total billed charges,605,percent of total billed charges,605,percent of total billed charges,605,percent of total billed charges,605,percent of total billed charges,605,percent of total billed charges,605,percent of total billed charges,605,percent of total billed charges,435.6,percent of total billed charges,435.6,percent of total billed charges,435.6,percent of total billed charges,435.6,percent of total billed charges,435.6,percent of total billed charges,435.6,percent of total billed charges,477.95,percent of total billed charges,477.95,percent of total billed charges,484,percent of total billed charges,484,percent of total billed charges,,,435.6,percent of total billed charges ,,,484,percent of total billed charges ,477.95,percent of total billed charges ,477.95,percent of total billed charges ,514.25,percent of total billed charges ,514.25,percent of total billed charges ,484,percent of total billed charges ,484,percent of total billed charges ,423.5,percent of total billed charges ,423.5,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 ,,,,,321.86,percent of total billed charges ,,,,,305.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,
ER-APPLICATION CAST HAND & LOWER FOREARM,29085,CDM,,,,both,,,511,511,117.53,511,511,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,403.69,percent of total billed charges,403.69,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 ,403.69,percent of total billed charges ,403.69,percent of total billed charges ,434.35,percent of total billed charges ,434.35,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 ,,,,,,,,,,,,,,,,,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,
ER-TRACHEOSTOMY EMERGENCY CRICOTHYROID M,31605,CDM,,,,both,,,"2,678.00","2,678.00",615.94,"2,678.00","2,678.00",percent of total billed charges,"2,678.00",percent of total billed charges,"2,678.00",percent of total billed charges,"2,678.00",percent of total billed charges,"2,678.00",percent of total billed charges,"2,678.00",percent of total billed charges,"2,678.00",percent of total billed charges,"2,678.00",percent of total billed charges,"1,928.16",percent of total billed charges,"1,928.16",percent of total billed charges,"1,928.16",percent of total billed charges,"1,928.16",percent of total billed charges,"1,928.16",percent of total billed charges,"1,928.16",percent of total billed charges,"2,115.62",percent of total billed charges,"2,115.62",percent of total billed charges,"2,142.40",percent of total billed charges,"2,142.40",percent of total billed charges,,,"1,928.16",percent of total billed charges ,,,"2,142.40",percent of total billed charges ,"2,115.62",percent of total billed charges ,"2,115.62",percent of total billed charges ,"2,276.30",percent of total billed charges ,"2,276.30",percent of total billed charges ,"2,142.40",percent of total billed charges ,"2,142.40",percent of total billed charges ,"1,874.60",percent of total billed charges ,"1,874.60",percent of total billed charges ,"1,606.80",percent of total billed charges ,"1,606.80",percent of total billed charges ,"1,606.80",percent of total billed charges ,"1,606.80",percent of total billed charges ,,,,,"1,424.70",percent of total billed charges ,,,,,"1,353.46",percent of total billed charges ,,,,,,,,,,,,,,,,,,,615.94,percent of total billed charges,,,615.94,percent of total billed charges,,,615.94,percent of total billed charges,,,615.94,percent of total billed charges,,,615.94,percent of total billed charges,,,615.94,percent of total billed charges,,,615.94,percent of total billed charges,,,615.94,percent of total billed charges,,,615.94,percent of total billed charges,,,615.94,percent of total billed charges,,,615.94,percent of total billed charges,
ER-THORACOTOMY WITH EXPLORATION,32100,CDM,,,,both,,,"3,533.00","3,533.00",812.59,"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,"2,791.07",percent of total billed charges,"2,791.07",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 ,"2,791.07",percent of total billed charges ,"2,791.07",percent of total billed charges ,"3,003.05",percent of total billed charges ,"3,003.05",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 ,,,,,,,,,,,,,,,,,,,812.59,percent of total billed charges,,,812.59,percent of total billed charges,,,812.59,percent of total billed charges,,,812.59,percent of total billed charges,,,812.59,percent of total billed charges,,,812.59,percent of total billed charges,,,812.59,percent of total billed charges,,,812.59,percent of total billed charges,,,812.59,percent of total billed charges,,,812.59,percent of total billed charges,,,812.59,percent of total billed charges,
ER-THORCOM CTRL TRAUMTC HEMRRG&RPR LUNG,32110,CDM,,,,both,,,"3,533.00","3,533.00",812.59,"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,"2,791.07",percent of total billed charges,"2,791.07",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 ,"2,791.07",percent of total billed charges ,"2,791.07",percent of total billed charges ,"3,003.05",percent of total billed charges ,"3,003.05",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 ,,,,,,,,,,,,,,,,,,,812.59,percent of total billed charges,,,812.59,percent of total billed charges,,,812.59,percent of total billed charges,,,812.59,percent of total billed charges,,,812.59,percent of total billed charges,,,812.59,percent of total billed charges,,,812.59,percent of total billed charges,,,812.59,percent of total billed charges,,,812.59,percent of total billed charges,,,812.59,percent of total billed charges,,,812.59,percent of total billed charges,
ER-PERICARDIOTOMY REMOVAL CLOT/FOREIGN B,33020,CDM,,,,both,,,"2,585.00","2,585.00",594.55,"2,585.00","2,585.00",percent of total billed charges,"2,585.00",percent of total billed charges,"2,585.00",percent of total billed charges,"2,585.00",percent of total billed charges,"2,585.00",percent of total billed charges,"2,585.00",percent of total billed charges,"2,585.00",percent of total billed charges,"2,585.00",percent of total billed charges,"1,861.20",percent of total billed charges,"1,861.20",percent of total billed charges,"1,861.20",percent of total billed charges,"1,861.20",percent of total billed charges,"1,861.20",percent of total billed charges,"1,861.20",percent of total billed charges,"2,042.15",percent of total billed charges,"2,042.15",percent of total billed charges,"2,068.00",percent of total billed charges,"2,068.00",percent of total billed charges,,,"1,861.20",percent of total billed charges ,,,"2,068.00",percent of total billed charges ,"2,042.15",percent of total billed charges ,"2,042.15",percent of total billed charges ,"2,197.25",percent of total billed charges ,"2,197.25",percent of total billed charges ,"2,068.00",percent of total billed charges ,"2,068.00",percent of total billed charges ,"1,809.50",percent of total billed charges ,"1,809.50",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 ,,,,,"1,375.22",percent of total billed charges ,,,,,"1,306.46",percent of total billed charges ,,,,,,,,,,,,,,,,,,,594.55,percent of total billed charges,,,594.55,percent of total billed charges,,,594.55,percent of total billed charges,,,594.55,percent of total billed charges,,,594.55,percent of total billed charges,,,594.55,percent of total billed charges,,,594.55,percent of total billed charges,,,594.55,percent of total billed charges,,,594.55,percent of total billed charges,,,594.55,percent of total billed charges,,,594.55,percent of total billed charges,
ER-REPAIR CARDIAC WOUND W/O BYPASS,33300,CDM,,,,both,,,"1,784.00","1,784.00",410.32,"1,784.00","1,784.00",percent of total billed charges,"1,784.00",percent of total billed charges,"1,784.00",percent of total billed charges,"1,784.00",percent of total billed charges,"1,784.00",percent of total billed charges,"1,784.00",percent of total billed charges,"1,784.00",percent of total billed charges,"1,784.00",percent of total billed charges,"1,284.48",percent of total billed charges,"1,284.48",percent of total billed charges,"1,284.48",percent of total billed charges,"1,284.48",percent of total billed charges,"1,284.48",percent of total billed charges,"1,284.48",percent of total billed charges,"1,409.36",percent of total billed charges,"1,409.36",percent of total billed charges,"1,427.20",percent of total billed charges,"1,427.20",percent of total billed charges,,,"1,284.48",percent of total billed charges ,,,"1,427.20",percent of total billed charges ,"1,409.36",percent of total billed charges ,"1,409.36",percent of total billed charges ,"1,516.40",percent of total billed charges ,"1,516.40",percent of total billed charges ,"1,427.20",percent of total billed charges ,"1,427.20",percent of total billed charges ,"1,248.80",percent of total billed charges ,"1,248.80",percent of total billed charges ,"1,070.40",percent of total billed charges ,"1,070.40",percent of total billed charges ,"1,070.40",percent of total billed charges ,"1,070.40",percent of total billed charges ,,,,,949.09,percent of total billed charges ,,,,,901.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,410.32,percent of total billed charges,,,410.32,percent of total billed charges,,,410.32,percent of total billed charges,,,410.32,percent of total billed charges,,,410.32,percent of total billed charges,,,410.32,percent of total billed charges,,,410.32,percent of total billed charges,,,410.32,percent of total billed charges,,,410.32,percent of total billed charges,,,410.32,percent of total billed charges,,,410.32,percent of total billed charges,
"ER-VENIPUNCTURE, CUTDOWN <1 YEAR",36420,CDM,,,,both,,,"3,224.00","3,224.00",741.52,"3,224.00","3,224.00",percent of total billed charges,"3,224.00",percent of total billed charges,"3,224.00",percent of total billed charges,"3,224.00",percent of total billed charges,"3,224.00",percent of total billed charges,"3,224.00",percent of total billed charges,"3,224.00",percent of total billed charges,"3,224.00",percent of total billed charges,"2,321.28",percent of total billed charges,"2,321.28",percent of total billed charges,"2,321.28",percent of total billed charges,"2,321.28",percent of total billed charges,"2,321.28",percent of total billed charges,"2,321.28",percent of total billed charges,"2,546.96",percent of total billed charges,"2,546.96",percent of total billed charges,"2,579.20",percent of total billed charges,"2,579.20",percent of total billed charges,,,"2,321.28",percent of total billed charges ,,,"2,579.20",percent of total billed charges ,"2,546.96",percent of total billed charges ,"2,546.96",percent of total billed charges ,"2,740.40",percent of total billed charges ,"2,740.40",percent of total billed charges ,"2,579.20",percent of total billed charges ,"2,579.20",percent of total billed charges ,"2,256.80",percent of total billed charges ,"2,256.80",percent of total billed charges ,"1,934.40",percent of total billed charges ,"1,934.40",percent of total billed charges ,"1,934.40",percent of total billed charges ,"1,934.40",percent of total billed charges ,,,,,"1,715.17",percent of total billed charges ,,,,,"1,629.41",percent of total billed charges ,,,,,,,,,,,,,,,,,,,741.52,percent of total billed charges,,,741.52,percent of total billed charges,,,741.52,percent of total billed charges,,,741.52,percent of total billed charges,,,741.52,percent of total billed charges,,,741.52,percent of total billed charges,,,741.52,percent of total billed charges,,,741.52,percent of total billed charges,,,741.52,percent of total billed charges,,,741.52,percent of total billed charges,,,741.52,percent of total billed charges,
ER-RMVL EMBEDDED FB VESTIBUE MOUTH COMP,40805,CDM,,,,both,,,"2,771.00","2,771.00",637.33,"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,"2,189.09",percent of total billed charges,"2,189.09",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 ,"2,189.09",percent of total billed charges ,"2,189.09",percent of total billed charges ,"2,355.35",percent of total billed charges ,"2,355.35",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 ,,,,,,,,,,,,,,,,,,,637.33,percent of total billed charges,,,637.33,percent of total billed charges,,,637.33,percent of total billed charges,,,637.33,percent of total billed charges,,,637.33,percent of total billed charges,,,637.33,percent of total billed charges,,,637.33,percent of total billed charges,,,637.33,percent of total billed charges,,,637.33,percent of total billed charges,,,637.33,percent of total billed charges,,,637.33,percent of total billed charges,
ER-REMOVAL FOREIGN BODY PHARYNX,42809,CDM,,,,both,,,752,752,172.96,752,752,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,594.08,percent of total billed charges,594.08,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 ,594.08,percent of total billed charges ,594.08,percent of total billed charges ,639.2,percent of total billed charges ,639.2,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 ,,,,,,,,,,,,,,,,,,,172.96,percent of total billed charges,,,172.96,percent of total billed charges,,,172.96,percent of total billed charges,,,172.96,percent of total billed charges,,,172.96,percent of total billed charges,,,172.96,percent of total billed charges,,,172.96,percent of total billed charges,,,172.96,percent of total billed charges,,,172.96,percent of total billed charges,,,172.96,percent of total billed charges,,,172.96,percent of total billed charges,
**ER-CHANGE GASTROSTOMY TUBE PERCUTANEO,43760,CDM,,,,both,,,"1,258.00","1,258.00",289.34,"1,258.00","1,258.00",percent of total billed charges,"1,258.00",percent of total billed charges,"1,258.00",percent of total billed charges,"1,258.00",percent of total billed charges,"1,258.00",percent of total billed charges,"1,258.00",percent of total billed charges,"1,258.00",percent of total billed charges,"1,258.00",percent of total billed charges,905.76,percent of total billed charges,905.76,percent of total billed charges,905.76,percent of total billed charges,905.76,percent of total billed charges,905.76,percent of total billed charges,905.76,percent of total billed charges,993.82,percent of total billed charges,993.82,percent of total billed charges,"1,006.40",percent of total billed charges,"1,006.40",percent of total billed charges,,,905.76,percent of total billed charges ,,,"1,006.40",percent of total billed charges ,993.82,percent of total billed charges ,993.82,percent of total billed charges ,"1,069.30",percent of total billed charges ,"1,069.30",percent of total billed charges ,"1,006.40",percent of total billed charges ,"1,006.40",percent of total billed charges ,880.6,percent of total billed charges ,880.6,percent of total billed charges ,754.8,percent of total billed charges ,754.8,percent of total billed charges ,754.8,percent of total billed charges ,754.8,percent of total billed charges ,,,,,669.26,percent of total billed charges ,,,,,635.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,
ER-I&D ISCHIORECTAL&/PERIRECTAL ABSCESS,46040,CDM,,,,both,,,"6,205.00","6,205.00","1,427.15","6,205.00","6,205.00",percent of total billed charges,"6,205.00",percent of total billed charges,"6,205.00",percent of total billed charges,"6,205.00",percent of total billed charges,"6,205.00",percent of total billed charges,"6,205.00",percent of total billed charges,"6,205.00",percent of total billed charges,"6,205.00",percent of total billed charges,"4,467.60",percent of total billed charges,"4,467.60",percent of total billed charges,"4,467.60",percent of total billed charges,"4,467.60",percent of total billed charges,"4,467.60",percent of total billed charges,"4,467.60",percent of total billed charges,"4,901.95",percent of total billed charges,"4,901.95",percent of total billed charges,"4,964.00",percent of total billed charges,"4,964.00",percent of total billed charges,,,"4,467.60",percent of total billed charges ,,,"4,964.00",percent of total billed charges ,"4,901.95",percent of total billed charges ,"4,901.95",percent of total billed charges ,"5,274.25",percent of total billed charges ,"5,274.25",percent of total billed charges ,"4,964.00",percent of total billed charges ,"4,964.00",percent of total billed charges ,"4,343.50",percent of total billed charges ,"4,343.50",percent of total billed charges ,"3,723.00",percent of total billed charges ,"3,723.00",percent of total billed charges ,"3,723.00",percent of total billed charges ,"3,723.00",percent of total billed charges ,,,,,"3,301.06",percent of total billed charges ,,,,,"3,136.01",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,427.15",percent of total billed charges,,,"1,427.15",percent of total billed charges,,,"1,427.15",percent of total billed charges,,,"1,427.15",percent of total billed charges,,,"1,427.15",percent of total billed charges,,,"1,427.15",percent of total billed charges,,,"1,427.15",percent of total billed charges,,,"1,427.15",percent of total billed charges,,,"1,427.15",percent of total billed charges,,,"1,427.15",percent of total billed charges,,,"1,427.15",percent of total billed charges,
ER-I&D PERIANAL ABSCESS SUPERFICIAL,46050,CDM,,,GF,both,,,"3,261.00","3,261.00",750.03,"3,261.00","3,261.00",percent of total billed charges,"3,261.00",percent of total billed charges,"3,261.00",percent of total billed charges,"3,261.00",percent of total billed charges,"3,261.00",percent of total billed charges,"3,261.00",percent of total billed charges,"3,261.00",percent of total billed charges,"3,261.00",percent of total billed charges,"2,347.92",percent of total billed charges,"2,347.92",percent of total billed charges,"2,347.92",percent of total billed charges,"2,347.92",percent of total billed charges,"2,347.92",percent of total billed charges,"2,347.92",percent of total billed charges,"2,576.19",percent of total billed charges,"2,576.19",percent of total billed charges,"2,608.80",percent of total billed charges,"2,608.80",percent of total billed charges,,,"2,347.92",percent of total billed charges ,,,"2,608.80",percent of total billed charges ,"2,576.19",percent of total billed charges ,"2,576.19",percent of total billed charges ,"2,771.85",percent of total billed charges ,"2,771.85",percent of total billed charges ,"2,608.80",percent of total billed charges ,"2,608.80",percent of total billed charges ,"2,282.70",percent of total billed charges ,"2,282.70",percent of total billed charges ,"1,956.60",percent of total billed charges ,"1,956.60",percent of total billed charges ,"1,956.60",percent of total billed charges ,"1,956.60",percent of total billed charges ,,,,,"1,734.85",percent of total billed charges ,,,,,"1,648.11",percent of total billed charges ,,,,,,,,,,,,,,,,,,,750.03,percent of total billed charges,,,750.03,percent of total billed charges,,,750.03,percent of total billed charges,,,750.03,percent of total billed charges,,,750.03,percent of total billed charges,,,750.03,percent of total billed charges,,,750.03,percent of total billed charges,,,750.03,percent of total billed charges,,,750.03,percent of total billed charges,,,750.03,percent of total billed charges,,,750.03,percent of total billed charges,
ER-ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WH,46600,CDM,,,,both,,,753,753,173.19,753,753,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,594.87,percent of total billed charges,594.87,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 ,594.87,percent of total billed charges ,594.87,percent of total billed charges ,640.05,percent of total billed charges ,640.05,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 ,,,,,,,,,,,,,,,,,,,173.19,percent of total billed charges,,,173.19,percent of total billed charges,,,173.19,percent of total billed charges,,,173.19,percent of total billed charges,,,173.19,percent of total billed charges,,,173.19,percent of total billed charges,,,173.19,percent of total billed charges,,,173.19,percent of total billed charges,,,173.19,percent of total billed charges,,,173.19,percent of total billed charges,,,173.19,percent of total billed charges,
ER-DELIVERY PLACENTA SEPARATE PROCEDURE,59414,CDM,,,,both,,,"4,270.00","4,270.00",982.1,"4,270.00","4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"3,074.40",percent of total billed charges,"3,074.40",percent of total billed charges,"3,074.40",percent of total billed charges,"3,074.40",percent of total billed charges,"3,074.40",percent of total billed charges,"3,074.40",percent of total billed charges,"3,373.30",percent of total billed charges,"3,373.30",percent of total billed charges,"3,416.00",percent of total billed charges,"3,416.00",percent of total billed charges,,,"3,074.40",percent of total billed charges ,,,"3,416.00",percent of total billed charges ,"3,373.30",percent of total billed charges ,"3,373.30",percent of total billed charges ,"3,629.50",percent of total billed charges ,"3,629.50",percent of total billed charges ,"3,416.00",percent of total billed charges ,"3,416.00",percent of total billed charges ,"2,989.00",percent of total billed charges ,"2,989.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,,,,,"2,271.64",percent of total billed charges ,,,,,"2,158.06",percent of total billed charges ,,,,,,,,,,,,,,,,,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,
ER-NJX/ANES TRIGEMINAL NRV ANY DIV/BRANC,64400,CDM,,,GF,both,,,"1,079.00","1,079.00",248.17,"1,079.00","1,079.00",percent of total billed charges,"1,079.00",percent of total billed charges,"1,079.00",percent of total billed charges,"1,079.00",percent of total billed charges,"1,079.00",percent of total billed charges,"1,079.00",percent of total billed charges,"1,079.00",percent of total billed charges,"1,079.00",percent of total billed charges,776.88,percent of total billed charges,776.88,percent of total billed charges,776.88,percent of total billed charges,776.88,percent of total billed charges,776.88,percent of total billed charges,776.88,percent of total billed charges,852.41,percent of total billed charges,852.41,percent of total billed charges,863.2,percent of total billed charges,863.2,percent of total billed charges,,,776.88,percent of total billed charges ,,,863.2,percent of total billed charges ,852.41,percent of total billed charges ,852.41,percent of total billed charges ,917.15,percent of total billed charges ,917.15,percent of total billed charges ,863.2,percent of total billed charges ,863.2,percent of total billed charges ,755.3,percent of total billed charges ,755.3,percent of total billed charges ,647.4,percent of total billed charges ,647.4,percent of total billed charges ,647.4,percent of total billed charges ,647.4,percent of total billed charges ,,,,,574.03,percent of total billed charges ,,,,,545.33,percent of total billed charges ,,,,,,,,,,,,,,,,,,,248.17,percent of total billed charges,,,248.17,percent of total billed charges,,,248.17,percent of total billed charges,,,248.17,percent of total billed charges,,,248.17,percent of total billed charges,,,248.17,percent of total billed charges,,,248.17,percent of total billed charges,,,248.17,percent of total billed charges,,,248.17,percent of total billed charges,,,248.17,percent of total billed charges,,,248.17,percent of total billed charges,
ER-INJECTION ANES OTHER PERIPHERAL NERVE,64450,CDM,,,GF,both,,,"1,696.00","1,696.00",390.08,"1,696.00","1,696.00",percent of total billed charges,"1,696.00",percent of total billed charges,"1,696.00",percent of total billed charges,"1,696.00",percent of total billed charges,"1,696.00",percent of total billed charges,"1,696.00",percent of total billed charges,"1,696.00",percent of total billed charges,"1,696.00",percent of total billed charges,"1,221.12",percent of total billed charges,"1,221.12",percent of total billed charges,"1,221.12",percent of total billed charges,"1,221.12",percent of total billed charges,"1,221.12",percent of total billed charges,"1,221.12",percent of total billed charges,"1,339.84",percent of total billed charges,"1,339.84",percent of total billed charges,"1,356.80",percent of total billed charges,"1,356.80",percent of total billed charges,,,"1,221.12",percent of total billed charges ,,,"1,356.80",percent of total billed charges ,"1,339.84",percent of total billed charges ,"1,339.84",percent of total billed charges ,"1,441.60",percent of total billed charges ,"1,441.60",percent of total billed charges ,"1,356.80",percent of total billed charges ,"1,356.80",percent of total billed charges ,"1,187.20",percent of total billed charges ,"1,187.20",percent of total billed charges ,"1,017.60",percent of total billed charges ,"1,017.60",percent of total billed charges ,"1,017.60",percent of total billed charges ,"1,017.60",percent of total billed charges ,,,,,902.27,percent of total billed charges ,,,,,857.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,390.08,percent of total billed charges,,,390.08,percent of total billed charges,,,390.08,percent of total billed charges,,,390.08,percent of total billed charges,,,390.08,percent of total billed charges,,,390.08,percent of total billed charges,,,390.08,percent of total billed charges,,,390.08,percent of total billed charges,,,390.08,percent of total billed charges,,,390.08,percent of total billed charges,,,390.08,percent of total billed charges,
ER-TEMPORARY TRANSCUTANEOUS PACING,92953,CDM,,,,both,,,"1,385.00","1,385.00",318.55,"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,"1,094.15",percent of total billed charges,"1,094.15",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 ,"1,094.15",percent of total billed charges ,"1,094.15",percent of total billed charges ,"1,177.25",percent of total billed charges ,"1,177.25",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 ,,,,,,,,,,,,,,,,,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,
ER-MOD SED SAME PHYS/QHP INITIAL 15 MINS,99151,CDM,,,,both,,,709,709,163.07,709,709,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,560.11,percent of total billed charges,560.11,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 ,560.11,percent of total billed charges ,560.11,percent of total billed charges ,602.65,percent of total billed charges ,602.65,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 ,,,,,,,,,,,,,,,,,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,
ER-MOD SED SAME PHYS/QHP INITIAL 15 MINS,99152,CDM,,,,both,,,709,709,163.07,709,709,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,560.11,percent of total billed charges,560.11,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 ,560.11,percent of total billed charges ,560.11,percent of total billed charges ,602.65,percent of total billed charges ,602.65,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 ,,,,,,,,,,,,,,,,,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,
ER-MOD SED SAME PHYS/QHP EACH ADDL 15 MI,99153,CDM,,,,both,,,303,303,69.69,303,303,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,303,percent of total billed charges,303,percent of total billed charges,303,percent of total billed charges,218.16,percent of total billed charges,218.16,percent of total billed charges,218.16,percent of total billed charges,218.16,percent of total billed charges,218.16,percent of total billed charges,218.16,percent of total billed charges,239.37,percent of total billed charges,239.37,percent of total billed charges,242.4,percent of total billed charges,242.4,percent of total billed charges,,,218.16,percent of total billed charges ,,,242.4,percent of total billed charges ,239.37,percent of total billed charges ,239.37,percent of total billed charges ,257.55,percent of total billed charges ,257.55,percent of total billed charges ,242.4,percent of total billed charges ,242.4,percent of total billed charges ,212.1,percent of total billed charges ,212.1,percent of total billed charges ,181.8,percent of total billed charges ,181.8,percent of total billed charges ,181.8,percent of total billed charges ,181.8,percent of total billed charges ,,,,,161.2,percent of total billed charges ,,,,,153.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,
ER-MOD SED OTHER PHYS/QHP INITIAL 15 MIN,99155,CDM,,,,both,,,709,709,163.07,709,709,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,560.11,percent of total billed charges,560.11,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 ,560.11,percent of total billed charges ,560.11,percent of total billed charges ,602.65,percent of total billed charges ,602.65,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 ,,,,,,,,,,,,,,,,,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,
ER-MOD SED OTHER PHY/QHP INITIAL 15 MINS,99156,CDM,,,,both,,,709,709,163.07,709,709,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,560.11,percent of total billed charges,560.11,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 ,560.11,percent of total billed charges ,560.11,percent of total billed charges ,602.65,percent of total billed charges ,602.65,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 ,,,,,,,,,,,,,,,,,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,
ER-MOD SED OTHER PHY/QHP EACH ADDL 15 MI,99157,CDM,,,,both,,,709,709,163.07,709,709,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,560.11,percent of total billed charges,560.11,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 ,560.11,percent of total billed charges ,560.11,percent of total billed charges ,602.65,percent of total billed charges ,602.65,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 ,,,,,,,,,,,,,,,,,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,
ER-DESTRUCTION CUTANEOUS VASC PROLIFERAT,17106,CDM,,,,both,,,"2,576.00","2,576.00",592.48,"2,576.00","2,576.00",percent of total billed charges,"2,576.00",percent of total billed charges,"2,576.00",percent of total billed charges,"2,576.00",percent of total billed charges,"2,576.00",percent of total billed charges,"2,576.00",percent of total billed charges,"2,576.00",percent of total billed charges,"2,576.00",percent of total billed charges,"1,854.72",percent of total billed charges,"1,854.72",percent of total billed charges,"1,854.72",percent of total billed charges,"1,854.72",percent of total billed charges,"1,854.72",percent of total billed charges,"1,854.72",percent of total billed charges,"2,035.04",percent of total billed charges,"2,035.04",percent of total billed charges,"2,060.80",percent of total billed charges,"2,060.80",percent of total billed charges,,,"1,854.72",percent of total billed charges ,,,"2,060.80",percent of total billed charges ,"2,035.04",percent of total billed charges ,"2,035.04",percent of total billed charges ,"2,189.60",percent of total billed charges ,"2,189.60",percent of total billed charges ,"2,060.80",percent of total billed charges ,"2,060.80",percent of total billed charges ,"1,803.20",percent of total billed charges ,"1,803.20",percent of total billed charges ,"1,545.60",percent of total billed charges ,"1,545.60",percent of total billed charges ,"1,545.60",percent of total billed charges ,"1,545.60",percent of total billed charges ,,,,,"1,370.43",percent of total billed charges ,,,,,"1,301.91",percent of total billed charges ,,,,,,,,,,,,,,,,,,,592.48,percent of total billed charges,,,592.48,percent of total billed charges,,,592.48,percent of total billed charges,,,592.48,percent of total billed charges,,,592.48,percent of total billed charges,,,592.48,percent of total billed charges,,,592.48,percent of total billed charges,,,592.48,percent of total billed charges,,,592.48,percent of total billed charges,,,592.48,percent of total billed charges,,,592.48,percent of total billed charges,
ER-DESTRUCTION BENIGN LESIONS UP TO 14,17110,CDM,,,,both,,,"1,576.00","1,576.00",362.48,"1,576.00","1,576.00",percent of total billed charges,"1,576.00",percent of total billed charges,"1,576.00",percent of total billed charges,"1,576.00",percent of total billed charges,"1,576.00",percent of total billed charges,"1,576.00",percent of total billed charges,"1,576.00",percent of total billed charges,"1,576.00",percent of total billed charges,"1,134.72",percent of total billed charges,"1,134.72",percent of total billed charges,"1,134.72",percent of total billed charges,"1,134.72",percent of total billed charges,"1,134.72",percent of total billed charges,"1,134.72",percent of total billed charges,"1,245.04",percent of total billed charges,"1,245.04",percent of total billed charges,"1,260.80",percent of total billed charges,"1,260.80",percent of total billed charges,,,"1,134.72",percent of total billed charges ,,,"1,260.80",percent of total billed charges ,"1,245.04",percent of total billed charges ,"1,245.04",percent of total billed charges ,"1,339.60",percent of total billed charges ,"1,339.60",percent of total billed charges ,"1,260.80",percent of total billed charges ,"1,260.80",percent of total billed charges ,"1,103.20",percent of total billed charges ,"1,103.20",percent of total billed charges ,945.6,percent of total billed charges ,945.6,percent of total billed charges ,945.6,percent of total billed charges ,945.6,percent of total billed charges ,,,,,838.43,percent of total billed charges ,,,,,796.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,362.48,percent of total billed charges,,,362.48,percent of total billed charges,,,362.48,percent of total billed charges,,,362.48,percent of total billed charges,,,362.48,percent of total billed charges,,,362.48,percent of total billed charges,,,362.48,percent of total billed charges,,,362.48,percent of total billed charges,,,362.48,percent of total billed charges,,,362.48,percent of total billed charges,,,362.48,percent of total billed charges,
ER-CHEMICAL CAUTERIZATION OF GRANULATION,17250,CDM,,,GF,both,,,624,624,143.52,624,624,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,492.96,percent of total billed charges,492.96,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 ,492.96,percent of total billed charges ,492.96,percent of total billed charges ,530.4,percent of total billed charges ,530.4,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 ,,,,,,,,,,,,,,,,,,,143.52,percent of total billed charges,,,143.52,percent of total billed charges,,,143.52,percent of total billed charges,,,143.52,percent of total billed charges,,,143.52,percent of total billed charges,,,143.52,percent of total billed charges,,,143.52,percent of total billed charges,,,143.52,percent of total billed charges,,,143.52,percent of total billed charges,,,143.52,percent of total billed charges,,,143.52,percent of total billed charges,
ER-REMOVAL FOREIGN BODY MUSCLE/TENDON SH,20520,CDM,,,,both,,,"4,603.00","4,603.00","1,058.69","4,603.00","4,603.00",percent of total billed charges,"4,603.00",percent of total billed charges,"4,603.00",percent of total billed charges,"4,603.00",percent of total billed charges,"4,603.00",percent of total billed charges,"4,603.00",percent of total billed charges,"4,603.00",percent of total billed charges,"4,603.00",percent of total billed charges,"3,314.16",percent of total billed charges,"3,314.16",percent of total billed charges,"3,314.16",percent of total billed charges,"3,314.16",percent of total billed charges,"3,314.16",percent of total billed charges,"3,314.16",percent of total billed charges,"3,636.37",percent of total billed charges,"3,636.37",percent of total billed charges,"3,682.40",percent of total billed charges,"3,682.40",percent of total billed charges,,,"3,314.16",percent of total billed charges ,,,"3,682.40",percent of total billed charges ,"3,636.37",percent of total billed charges ,"3,636.37",percent of total billed charges ,"3,912.55",percent of total billed charges ,"3,912.55",percent of total billed charges ,"3,682.40",percent of total billed charges ,"3,682.40",percent of total billed charges ,"3,222.10",percent of total billed charges ,"3,222.10",percent of total billed charges ,"2,761.80",percent of total billed charges ,"2,761.80",percent of total billed charges ,"2,761.80",percent of total billed charges ,"2,761.80",percent of total billed charges ,,,,,"2,448.80",percent of total billed charges ,,,,,"2,326.36",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,058.69",percent of total billed charges,,,"1,058.69",percent of total billed charges,,,"1,058.69",percent of total billed charges,,,"1,058.69",percent of total billed charges,,,"1,058.69",percent of total billed charges,,,"1,058.69",percent of total billed charges,,,"1,058.69",percent of total billed charges,,,"1,058.69",percent of total billed charges,,,"1,058.69",percent of total billed charges,,,"1,058.69",percent of total billed charges,,,"1,058.69",percent of total billed charges,
ER-INJECTION SINGLE TENDON ORIGIN/INSERT,20551,CDM,,,,both,,,810,810,186.3,810,810,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,810,percent of total billed charges,810,percent of total billed charges,810,percent of total billed charges,583.2,percent of total billed charges,583.2,percent of total billed charges,583.2,percent of total billed charges,583.2,percent of total billed charges,583.2,percent of total billed charges,583.2,percent of total billed charges,639.9,percent of total billed charges,639.9,percent of total billed charges,648,percent of total billed charges,648,percent of total billed charges,,,583.2,percent of total billed charges ,,,648,percent of total billed charges ,639.9,percent of total billed charges ,639.9,percent of total billed charges ,688.5,percent of total billed charges ,688.5,percent of total billed charges ,648,percent of total billed charges ,648,percent of total billed charges ,567,percent of total billed charges ,567,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 ,,,,,430.92,percent of total billed charges ,,,,,409.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,186.3,percent of total billed charges,,,186.3,percent of total billed charges,,,186.3,percent of total billed charges,,,186.3,percent of total billed charges,,,186.3,percent of total billed charges,,,186.3,percent of total billed charges,,,186.3,percent of total billed charges,,,186.3,percent of total billed charges,,,186.3,percent of total billed charges,,,186.3,percent of total billed charges,,,186.3,percent of total billed charges,
ER-UNLISTED PROCEDURE MUSCSKELETAL SYSTE,20999,CDM,,,,both,,,"8,609.00","8,609.00","1,980.07","8,609.00","8,609.00",percent of total billed charges,"8,609.00",percent of total billed charges,"8,609.00",percent of total billed charges,"8,609.00",percent of total billed charges,"8,609.00",percent of total billed charges,"8,609.00",percent of total billed charges,"8,609.00",percent of total billed charges,"8,609.00",percent of total billed charges,"6,198.48",percent of total billed charges,"6,198.48",percent of total billed charges,"6,198.48",percent of total billed charges,"6,198.48",percent of total billed charges,"6,198.48",percent of total billed charges,"6,198.48",percent of total billed charges,"6,801.11",percent of total billed charges,"6,801.11",percent of total billed charges,"6,887.20",percent of total billed charges,"6,887.20",percent of total billed charges,,,"6,198.48",percent of total billed charges ,,,"6,887.20",percent of total billed charges ,"6,801.11",percent of total billed charges ,"6,801.11",percent of total billed charges ,"7,317.65",percent of total billed charges ,"7,317.65",percent of total billed charges ,"6,887.20",percent of total billed charges ,"6,887.20",percent of total billed charges ,"6,026.30",percent of total billed charges ,"6,026.30",percent of total billed charges ,"5,165.40",percent of total billed charges ,"5,165.40",percent of total billed charges ,"5,165.40",percent of total billed charges ,"5,165.40",percent of total billed charges ,,,,,"4,579.99",percent of total billed charges ,,,,,"4,350.99",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,980.07",percent of total billed charges,,,"1,980.07",percent of total billed charges,,,"1,980.07",percent of total billed charges,,,"1,980.07",percent of total billed charges,,,"1,980.07",percent of total billed charges,,,"1,980.07",percent of total billed charges,,,"1,980.07",percent of total billed charges,,,"1,980.07",percent of total billed charges,,,"1,980.07",percent of total billed charges,,,"1,980.07",percent of total billed charges,,,"1,980.07",percent of total billed charges,
ER-CLSD TX SHOULDER DISLC W/MANIPULATION,23655,CDM,,,GF,both,,,"3,594.00","3,594.00",826.62,"3,594.00","3,594.00",percent of total billed charges,"3,594.00",percent of total billed charges,"3,594.00",percent of total billed charges,"3,594.00",percent of total billed charges,"3,594.00",percent of total billed charges,"3,594.00",percent of total billed charges,"3,594.00",percent of total billed charges,"3,594.00",percent of total billed charges,"2,587.68",percent of total billed charges,"2,587.68",percent of total billed charges,"2,587.68",percent of total billed charges,"2,587.68",percent of total billed charges,"2,587.68",percent of total billed charges,"2,587.68",percent of total billed charges,"2,839.26",percent of total billed charges,"2,839.26",percent of total billed charges,"2,875.20",percent of total billed charges,"2,875.20",percent of total billed charges,,,"2,587.68",percent of total billed charges ,,,"2,875.20",percent of total billed charges ,"2,839.26",percent of total billed charges ,"2,839.26",percent of total billed charges ,"3,054.90",percent of total billed charges ,"3,054.90",percent of total billed charges ,"2,875.20",percent of total billed charges ,"2,875.20",percent of total billed charges ,"2,515.80",percent of total billed charges ,"2,515.80",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 ,,,,,"1,912.01",percent of total billed charges ,,,,,"1,816.41",percent of total billed charges ,,,,,,,,,,,,,,,,,,,826.62,percent of total billed charges,,,826.62,percent of total billed charges,,,826.62,percent of total billed charges,,,826.62,percent of total billed charges,,,826.62,percent of total billed charges,,,826.62,percent of total billed charges,,,826.62,percent of total billed charges,,,826.62,percent of total billed charges,,,826.62,percent of total billed charges,,,826.62,percent of total billed charges,,,826.62,percent of total billed charges,
ER-CLTX HUMERAL EPICONDYLAR FX MEDIAL/LA,24565,CDM,,,,both,,,"2,176.00","2,176.00",500.48,"2,176.00","2,176.00",percent of total billed charges,"2,176.00",percent of total billed charges,"2,176.00",percent of total billed charges,"2,176.00",percent of total billed charges,"2,176.00",percent of total billed charges,"2,176.00",percent of total billed charges,"2,176.00",percent of total billed charges,"2,176.00",percent of total billed charges,"1,566.72",percent of total billed charges,"1,566.72",percent of total billed charges,"1,566.72",percent of total billed charges,"1,566.72",percent of total billed charges,"1,566.72",percent of total billed charges,"1,566.72",percent of total billed charges,"1,719.04",percent of total billed charges,"1,719.04",percent of total billed charges,"1,740.80",percent of total billed charges,"1,740.80",percent of total billed charges,,,"1,566.72",percent of total billed charges ,,,"1,740.80",percent of total billed charges ,"1,719.04",percent of total billed charges ,"1,719.04",percent of total billed charges ,"1,849.60",percent of total billed charges ,"1,849.60",percent of total billed charges ,"1,740.80",percent of total billed charges ,"1,740.80",percent of total billed charges ,"1,523.20",percent of total billed charges ,"1,523.20",percent of total billed charges ,"1,305.60",percent of total billed charges ,"1,305.60",percent of total billed charges ,"1,305.60",percent of total billed charges ,"1,305.60",percent of total billed charges ,,,,,"1,157.63",percent of total billed charges ,,,,,"1,099.75",percent of total billed charges ,,,,,,,,,,,,,,,,,,,500.48,percent of total billed charges,,,500.48,percent of total billed charges,,,500.48,percent of total billed charges,,,500.48,percent of total billed charges,,,500.48,percent of total billed charges,,,500.48,percent of total billed charges,,,500.48,percent of total billed charges,,,500.48,percent of total billed charges,,,500.48,percent of total billed charges,,,500.48,percent of total billed charges,,,500.48,percent of total billed charges,
ER-TREATMENT CLOSED ELBOW DISLOCATION RE,24605,CDM,,,GF,both,,,"3,178.00","3,178.00",730.94,"3,178.00","3,178.00",percent of total billed charges,"3,178.00",percent of total billed charges,"3,178.00",percent of total billed charges,"3,178.00",percent of total billed charges,"3,178.00",percent of total billed charges,"3,178.00",percent of total billed charges,"3,178.00",percent of total billed charges,"3,178.00",percent of total billed charges,"2,288.16",percent of total billed charges,"2,288.16",percent of total billed charges,"2,288.16",percent of total billed charges,"2,288.16",percent of total billed charges,"2,288.16",percent of total billed charges,"2,288.16",percent of total billed charges,"2,510.62",percent of total billed charges,"2,510.62",percent of total billed charges,"2,542.40",percent of total billed charges,"2,542.40",percent of total billed charges,,,"2,288.16",percent of total billed charges ,,,"2,542.40",percent of total billed charges ,"2,510.62",percent of total billed charges ,"2,510.62",percent of total billed charges ,"2,701.30",percent of total billed charges ,"2,701.30",percent of total billed charges ,"2,542.40",percent of total billed charges ,"2,542.40",percent of total billed charges ,"2,224.60",percent of total billed charges ,"2,224.60",percent of total billed charges ,"1,906.80",percent of total billed charges ,"1,906.80",percent of total billed charges ,"1,906.80",percent of total billed charges ,"1,906.80",percent of total billed charges ,,,,,"1,690.70",percent of total billed charges ,,,,,"1,606.16",percent of total billed charges ,,,,,,,,,,,,,,,,,,,730.94,percent of total billed charges,,,730.94,percent of total billed charges,,,730.94,percent of total billed charges,,,730.94,percent of total billed charges,,,730.94,percent of total billed charges,,,730.94,percent of total billed charges,,,730.94,percent of total billed charges,,,730.94,percent of total billed charges,,,730.94,percent of total billed charges,,,730.94,percent of total billed charges,,,730.94,percent of total billed charges,
ER-RPR/ADVMNT FLXR TDN N/Z/2 W/O FR GRAF,26350,CDM,,,,both,,,"7,039.00","7,039.00","1,618.97","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,"5,560.81",percent of total billed charges,"5,560.81",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 ,"5,560.81",percent of total billed charges ,"5,560.81",percent of total billed charges ,"5,983.15",percent of total billed charges ,"5,983.15",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 ,,,,,,,,,,,,,,,,,,,"1,618.97",percent of total billed charges,,,"1,618.97",percent of total billed charges,,,"1,618.97",percent of total billed charges,,,"1,618.97",percent of total billed charges,,,"1,618.97",percent of total billed charges,,,"1,618.97",percent of total billed charges,,,"1,618.97",percent of total billed charges,,,"1,618.97",percent of total billed charges,,,"1,618.97",percent of total billed charges,,,"1,618.97",percent of total billed charges,,,"1,618.97",percent of total billed charges,
ER-CLTX POST HIP ARTHRP DISLC REQ ANES,27266,CDM,,,,both,,,"4,485.00","4,485.00","1,031.55","4,485.00","4,485.00",percent of total billed charges,"4,485.00",percent of total billed charges,"4,485.00",percent of total billed charges,"4,485.00",percent of total billed charges,"4,485.00",percent of total billed charges,"4,485.00",percent of total billed charges,"4,485.00",percent of total billed charges,"4,485.00",percent of total billed charges,"3,229.20",percent of total billed charges,"3,229.20",percent of total billed charges,"3,229.20",percent of total billed charges,"3,229.20",percent of total billed charges,"3,229.20",percent of total billed charges,"3,229.20",percent of total billed charges,"3,543.15",percent of total billed charges,"3,543.15",percent of total billed charges,"3,588.00",percent of total billed charges,"3,588.00",percent of total billed charges,,,"3,229.20",percent of total billed charges ,,,"3,588.00",percent of total billed charges ,"3,543.15",percent of total billed charges ,"3,543.15",percent of total billed charges ,"3,812.25",percent of total billed charges ,"3,812.25",percent of total billed charges ,"3,588.00",percent of total billed charges ,"3,588.00",percent of total billed charges ,"3,139.50",percent of total billed charges ,"3,139.50",percent of total billed charges ,"2,691.00",percent of total billed charges ,"2,691.00",percent of total billed charges ,"2,691.00",percent of total billed charges ,"2,691.00",percent of total billed charges ,,,,,"2,386.02",percent of total billed charges ,,,,,"2,266.72",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,031.55",percent of total billed charges,,,"1,031.55",percent of total billed charges,,,"1,031.55",percent of total billed charges,,,"1,031.55",percent of total billed charges,,,"1,031.55",percent of total billed charges,,,"1,031.55",percent of total billed charges,,,"1,031.55",percent of total billed charges,,,"1,031.55",percent of total billed charges,,,"1,031.55",percent of total billed charges,,,"1,031.55",percent of total billed charges,,,"1,031.55",percent of total billed charges,
ER-CLTX INTERPHALANGEAL JOINT DISLOCATIO,28665,CDM,,,,both,,,"1,460.00","1,460.00",335.8,"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,"1,153.40",percent of total billed charges,"1,153.40",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 ,"1,153.40",percent of total billed charges ,"1,153.40",percent of total billed charges ,"1,241.00",percent of total billed charges ,"1,241.00",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 ,,,,,,,,,,,,,,,,,,,335.8,percent of total billed charges,,,335.8,percent of total billed charges,,,335.8,percent of total billed charges,,,335.8,percent of total billed charges,,,335.8,percent of total billed charges,,,335.8,percent of total billed charges,,,335.8,percent of total billed charges,,,335.8,percent of total billed charges,,,335.8,percent of total billed charges,,,335.8,percent of total billed charges,,,335.8,percent of total billed charges,
ER-REMOVAL/BIVALVING FULL ARM/FULL LEG C,29705,CDM,,,,both,,,486,486,111.78,486,486,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,383.94,percent of total billed charges,383.94,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 ,383.94,percent of total billed charges ,383.94,percent of total billed charges ,413.1,percent of total billed charges ,413.1,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 ,,,,,,,,,,,,,,,,,,,111.78,percent of total billed charges,,,111.78,percent of total billed charges,,,111.78,percent of total billed charges,,,111.78,percent of total billed charges,,,111.78,percent of total billed charges,,,111.78,percent of total billed charges,,,111.78,percent of total billed charges,,,111.78,percent of total billed charges,,,111.78,percent of total billed charges,,,111.78,percent of total billed charges,,,111.78,percent of total billed charges,
ER-LARYNGOSCOPY W/WO TRACHEOSCOPY DX EXC,31525,CDM,,,,both,,,"5,281.00","5,281.00","1,214.63","5,281.00","5,281.00",percent of total billed charges,"5,281.00",percent of total billed charges,"5,281.00",percent of total billed charges,"5,281.00",percent of total billed charges,"5,281.00",percent of total billed charges,"5,281.00",percent of total billed charges,"5,281.00",percent of total billed charges,"5,281.00",percent of total billed charges,"3,802.32",percent of total billed charges,"3,802.32",percent of total billed charges,"3,802.32",percent of total billed charges,"3,802.32",percent of total billed charges,"3,802.32",percent of total billed charges,"3,802.32",percent of total billed charges,"4,171.99",percent of total billed charges,"4,171.99",percent of total billed charges,"4,224.80",percent of total billed charges,"4,224.80",percent of total billed charges,,,"3,802.32",percent of total billed charges ,,,"4,224.80",percent of total billed charges ,"4,171.99",percent of total billed charges ,"4,171.99",percent of total billed charges ,"4,488.85",percent of total billed charges ,"4,488.85",percent of total billed charges ,"4,224.80",percent of total billed charges ,"4,224.80",percent of total billed charges ,"3,696.70",percent of total billed charges ,"3,696.70",percent of total billed charges ,"3,168.60",percent of total billed charges ,"3,168.60",percent of total billed charges ,"3,168.60",percent of total billed charges ,"3,168.60",percent of total billed charges ,,,,,"2,809.49",percent of total billed charges ,,,,,"2,669.02",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,214.63",percent of total billed charges,,,"1,214.63",percent of total billed charges,,,"1,214.63",percent of total billed charges,,,"1,214.63",percent of total billed charges,,,"1,214.63",percent of total billed charges,,,"1,214.63",percent of total billed charges,,,"1,214.63",percent of total billed charges,,,"1,214.63",percent of total billed charges,,,"1,214.63",percent of total billed charges,,,"1,214.63",percent of total billed charges,,,"1,214.63",percent of total billed charges,
ER-TRACHEOSTOMY EMERGENCY PROCEDURE TRAN,31603,CDM,,,,both,,,"2,664.00","2,664.00",612.72,"2,664.00","2,664.00",percent of total billed charges,"2,664.00",percent of total billed charges,"2,664.00",percent of total billed charges,"2,664.00",percent of total billed charges,"2,664.00",percent of total billed charges,"2,664.00",percent of total billed charges,"2,664.00",percent of total billed charges,"2,664.00",percent of total billed charges,"1,918.08",percent of total billed charges,"1,918.08",percent of total billed charges,"1,918.08",percent of total billed charges,"1,918.08",percent of total billed charges,"1,918.08",percent of total billed charges,"1,918.08",percent of total billed charges,"2,104.56",percent of total billed charges,"2,104.56",percent of total billed charges,"2,131.20",percent of total billed charges,"2,131.20",percent of total billed charges,,,"1,918.08",percent of total billed charges ,,,"2,131.20",percent of total billed charges ,"2,104.56",percent of total billed charges ,"2,104.56",percent of total billed charges ,"2,264.40",percent of total billed charges ,"2,264.40",percent of total billed charges ,"2,131.20",percent of total billed charges ,"2,131.20",percent of total billed charges ,"1,864.80",percent of total billed charges ,"1,864.80",percent of total billed charges ,"1,598.40",percent of total billed charges ,"1,598.40",percent of total billed charges ,"1,598.40",percent of total billed charges ,"1,598.40",percent of total billed charges ,,,,,"1,417.25",percent of total billed charges ,,,,,"1,346.39",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,,,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,
ER-CATHJ UMBILICAL VEIN DX/THER NB,36510,CDM,,,,both,,,453,453,104.19,453,453,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,357.87,percent of total billed charges,357.87,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 ,357.87,percent of total billed charges ,357.87,percent of total billed charges ,385.05,percent of total billed charges ,385.05,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 ,,,,,,,,,,,,,,,,,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,
ER-INSJ TUNNELED CVC W/O SUBQ PORT/PMP A,36558,CDM,,,,both,,,"7,150.00","7,150.00","1,644.50","7,150.00","7,150.00",percent of total billed charges,"7,150.00",percent of total billed charges,"7,150.00",percent of total billed charges,"7,150.00",percent of total billed charges,"7,150.00",percent of total billed charges,"7,150.00",percent of total billed charges,"7,150.00",percent of total billed charges,"7,150.00",percent of total billed charges,"5,148.00",percent of total billed charges,"5,148.00",percent of total billed charges,"5,148.00",percent of total billed charges,"5,148.00",percent of total billed charges,"5,148.00",percent of total billed charges,"5,148.00",percent of total billed charges,"5,648.50",percent of total billed charges,"5,648.50",percent of total billed charges,"5,720.00",percent of total billed charges,"5,720.00",percent of total billed charges,,,"5,148.00",percent of total billed charges ,,,"5,720.00",percent of total billed charges ,"5,648.50",percent of total billed charges ,"5,648.50",percent of total billed charges ,"6,077.50",percent of total billed charges ,"6,077.50",percent of total billed charges ,"5,720.00",percent of total billed charges ,"5,720.00",percent of total billed charges ,"5,005.00",percent of total billed charges ,"5,005.00",percent of total billed charges ,"4,290.00",percent of total billed charges ,"4,290.00",percent of total billed charges ,"4,290.00",percent of total billed charges ,"4,290.00",percent of total billed charges ,,,,,"3,803.80",percent of total billed charges ,,,,,"3,613.61",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,644.50",percent of total billed charges,,,"1,644.50",percent of total billed charges,,,"1,644.50",percent of total billed charges,,,"1,644.50",percent of total billed charges,,,"1,644.50",percent of total billed charges,,,"1,644.50",percent of total billed charges,,,"1,644.50",percent of total billed charges,,,"1,644.50",percent of total billed charges,,,"1,644.50",percent of total billed charges,,,"1,644.50",percent of total billed charges,,,"1,644.50",percent of total billed charges,
ER-INSJ PRPH CVC W/O SUBQ PORT/PMP AGE 5,36569,CDM,,,,both,,,"3,408.00","3,408.00",783.84,"3,408.00","3,408.00",percent of total billed charges,"3,408.00",percent of total billed charges,"3,408.00",percent of total billed charges,"3,408.00",percent of total billed charges,"3,408.00",percent of total billed charges,"3,408.00",percent of total billed charges,"3,408.00",percent of total billed charges,"3,408.00",percent of total billed charges,"2,453.76",percent of total billed charges,"2,453.76",percent of total billed charges,"2,453.76",percent of total billed charges,"2,453.76",percent of total billed charges,"2,453.76",percent of total billed charges,"2,453.76",percent of total billed charges,"2,692.32",percent of total billed charges,"2,692.32",percent of total billed charges,"2,726.40",percent of total billed charges,"2,726.40",percent of total billed charges,,,"2,453.76",percent of total billed charges ,,,"2,726.40",percent of total billed charges ,"2,692.32",percent of total billed charges ,"2,692.32",percent of total billed charges ,"2,896.80",percent of total billed charges ,"2,896.80",percent of total billed charges ,"2,726.40",percent of total billed charges ,"2,726.40",percent of total billed charges ,"2,385.60",percent of total billed charges ,"2,385.60",percent of total billed charges ,"2,044.80",percent of total billed charges ,"2,044.80",percent of total billed charges ,"2,044.80",percent of total billed charges ,"2,044.80",percent of total billed charges ,,,,,"1,813.06",percent of total billed charges ,,,,,"1,722.40",percent of total billed charges ,,,,,,,,,,,,,,,,,,,783.84,percent of total billed charges,,,783.84,percent of total billed charges,,,783.84,percent of total billed charges,,,783.84,percent of total billed charges,,,783.84,percent of total billed charges,,,783.84,percent of total billed charges,,,783.84,percent of total billed charges,,,783.84,percent of total billed charges,,,783.84,percent of total billed charges,,,783.84,percent of total billed charges,,,783.84,percent of total billed charges,
ER-DRAINAGE ABSCESS PALATE UVULA,42000,CDM,,,,both,,,858,858,197.34,858,858,percent of total billed charges,858,percent of total billed charges,858,percent of total billed charges,858,percent of total billed charges,858,percent of total billed charges,858,percent of total billed charges,858,percent of total billed charges,858,percent of total billed charges,617.76,percent of total billed charges,617.76,percent of total billed charges,617.76,percent of total billed charges,617.76,percent of total billed charges,617.76,percent of total billed charges,617.76,percent of total billed charges,677.82,percent of total billed charges,677.82,percent of total billed charges,686.4,percent of total billed charges,686.4,percent of total billed charges,,,617.76,percent of total billed charges ,,,686.4,percent of total billed charges ,677.82,percent of total billed charges ,677.82,percent of total billed charges ,729.3,percent of total billed charges ,729.3,percent of total billed charges ,686.4,percent of total billed charges ,686.4,percent of total billed charges ,600.6,percent of total billed charges ,600.6,percent of total billed charges ,514.8,percent of total billed charges ,514.8,percent of total billed charges ,514.8,percent of total billed charges ,514.8,percent of total billed charges ,,,,,456.46,percent of total billed charges ,,,,,433.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,197.34,percent of total billed charges,,,197.34,percent of total billed charges,,,197.34,percent of total billed charges,,,197.34,percent of total billed charges,,,197.34,percent of total billed charges,,,197.34,percent of total billed charges,,,197.34,percent of total billed charges,,,197.34,percent of total billed charges,,,197.34,percent of total billed charges,,,197.34,percent of total billed charges,,,197.34,percent of total billed charges,
ER-RDCTJ PROCIDENTIA UNDER ANES SEPARATE,45900,CDM,,,,both,,,"2,420.00","2,420.00",556.6,"2,420.00","2,420.00",percent of total billed charges,"2,420.00",percent of total billed charges,"2,420.00",percent of total billed charges,"2,420.00",percent of total billed charges,"2,420.00",percent of total billed charges,"2,420.00",percent of total billed charges,"2,420.00",percent of total billed charges,"2,420.00",percent of total billed charges,"1,742.40",percent of total billed charges,"1,742.40",percent of total billed charges,"1,742.40",percent of total billed charges,"1,742.40",percent of total billed charges,"1,742.40",percent of total billed charges,"1,742.40",percent of total billed charges,"1,911.80",percent of total billed charges,"1,911.80",percent of total billed charges,"1,936.00",percent of total billed charges,"1,936.00",percent of total billed charges,,,"1,742.40",percent of total billed charges ,,,"1,936.00",percent of total billed charges ,"1,911.80",percent of total billed charges ,"1,911.80",percent of total billed charges ,"2,057.00",percent of total billed charges ,"2,057.00",percent of total billed charges ,"1,936.00",percent of total billed charges ,"1,936.00",percent of total billed charges ,"1,694.00",percent of total billed charges ,"1,694.00",percent of total billed charges ,"1,452.00",percent of total billed charges ,"1,452.00",percent of total billed charges ,"1,452.00",percent of total billed charges ,"1,452.00",percent of total billed charges ,,,,,"1,287.44",percent of total billed charges ,,,,,"1,223.07",percent of total billed charges ,,,,,,,,,,,,,,,,,,,556.6,percent of total billed charges,,,556.6,percent of total billed charges,,,556.6,percent of total billed charges,,,556.6,percent of total billed charges,,,556.6,percent of total billed charges,,,556.6,percent of total billed charges,,,556.6,percent of total billed charges,,,556.6,percent of total billed charges,,,556.6,percent of total billed charges,,,556.6,percent of total billed charges,,,556.6,percent of total billed charges,
ER-INCISION THROMBOSED HEMORRHOID EXTERN,46083,CDM,,,,both,,,978,978,224.94,978,978,percent of total billed charges,978,percent of total billed charges,978,percent of total billed charges,978,percent of total billed charges,978,percent of total billed charges,978,percent of total billed charges,978,percent of total billed charges,978,percent of total billed charges,704.16,percent of total billed charges,704.16,percent of total billed charges,704.16,percent of total billed charges,704.16,percent of total billed charges,704.16,percent of total billed charges,704.16,percent of total billed charges,772.62,percent of total billed charges,772.62,percent of total billed charges,782.4,percent of total billed charges,782.4,percent of total billed charges,,,704.16,percent of total billed charges ,,,782.4,percent of total billed charges ,772.62,percent of total billed charges ,772.62,percent of total billed charges ,831.3,percent of total billed charges ,831.3,percent of total billed charges ,782.4,percent of total billed charges ,782.4,percent of total billed charges ,684.6,percent of total billed charges ,684.6,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 ,,,,,520.3,percent of total billed charges ,,,,,494.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,224.94,percent of total billed charges,,,224.94,percent of total billed charges,,,224.94,percent of total billed charges,,,224.94,percent of total billed charges,,,224.94,percent of total billed charges,,,224.94,percent of total billed charges,,,224.94,percent of total billed charges,,,224.94,percent of total billed charges,,,224.94,percent of total billed charges,,,224.94,percent of total billed charges,,,224.94,percent of total billed charges,
ER-REMOVAL INTRAUTERINE DEVICE IUD,58301,CDM,,,,both,,,"1,681.00","1,681.00",386.63,"1,681.00","1,681.00",percent of total billed charges,"1,681.00",percent of total billed charges,"1,681.00",percent of total billed charges,"1,681.00",percent of total billed charges,"1,681.00",percent of total billed charges,"1,681.00",percent of total billed charges,"1,681.00",percent of total billed charges,"1,681.00",percent of total billed charges,"1,210.32",percent of total billed charges,"1,210.32",percent of total billed charges,"1,210.32",percent of total billed charges,"1,210.32",percent of total billed charges,"1,210.32",percent of total billed charges,"1,210.32",percent of total billed charges,"1,327.99",percent of total billed charges,"1,327.99",percent of total billed charges,"1,344.80",percent of total billed charges,"1,344.80",percent of total billed charges,,,"1,210.32",percent of total billed charges ,,,"1,344.80",percent of total billed charges ,"1,327.99",percent of total billed charges ,"1,327.99",percent of total billed charges ,"1,428.85",percent of total billed charges ,"1,428.85",percent of total billed charges ,"1,344.80",percent of total billed charges ,"1,344.80",percent of total billed charges ,"1,176.70",percent of total billed charges ,"1,176.70",percent of total billed charges ,"1,008.60",percent of total billed charges ,"1,008.60",percent of total billed charges ,"1,008.60",percent of total billed charges ,"1,008.60",percent of total billed charges ,,,,,894.29,percent of total billed charges ,,,,,849.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,386.63,percent of total billed charges,,,386.63,percent of total billed charges,,,386.63,percent of total billed charges,,,386.63,percent of total billed charges,,,386.63,percent of total billed charges,,,386.63,percent of total billed charges,,,386.63,percent of total billed charges,,,386.63,percent of total billed charges,,,386.63,percent of total billed charges,,,386.63,percent of total billed charges,,,386.63,percent of total billed charges,
ER-NJX DX/THER SBST INTRLMNR LMBR/SAC W/,62322,CDM,,,,both,,,"1,324.00","1,324.00",304.52,"1,324.00","1,324.00",percent of total billed charges,"1,324.00",percent of total billed charges,"1,324.00",percent of total billed charges,"1,324.00",percent of total billed charges,"1,324.00",percent of total billed charges,"1,324.00",percent of total billed charges,"1,324.00",percent of total billed charges,"1,324.00",percent of total billed charges,953.28,percent of total billed charges,953.28,percent of total billed charges,953.28,percent of total billed charges,953.28,percent of total billed charges,953.28,percent of total billed charges,953.28,percent of total billed charges,"1,045.96",percent of total billed charges,"1,045.96",percent of total billed charges,"1,059.20",percent of total billed charges,"1,059.20",percent of total billed charges,,,953.28,percent of total billed charges ,,,"1,059.20",percent of total billed charges ,"1,045.96",percent of total billed charges ,"1,045.96",percent of total billed charges ,"1,125.40",percent of total billed charges ,"1,125.40",percent of total billed charges ,"1,059.20",percent of total billed charges ,"1,059.20",percent of total billed charges ,926.8,percent of total billed charges ,926.8,percent of total billed charges ,794.4,percent of total billed charges ,794.4,percent of total billed charges ,794.4,percent of total billed charges ,794.4,percent of total billed charges ,,,,,704.37,percent of total billed charges ,,,,,669.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,304.52,percent of total billed charges,,,304.52,percent of total billed charges,,,304.52,percent of total billed charges,,,304.52,percent of total billed charges,,,304.52,percent of total billed charges,,,304.52,percent of total billed charges,,,304.52,percent of total billed charges,,,304.52,percent of total billed charges,,,304.52,percent of total billed charges,,,304.52,percent of total billed charges,,,304.52,percent of total billed charges,
ER-INJECTION ANESTHETIC AGENT FACIAL NER,64999,CDM,,,GF,both,,,950,950,218.5,950,950,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,750.5,percent of total billed charges,750.5,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 ,750.5,percent of total billed charges ,750.5,percent of total billed charges ,807.5,percent of total billed charges ,807.5,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 ,,,,,,,,,,,,,,,,,,,218.5,percent of total billed charges,,,218.5,percent of total billed charges,,,218.5,percent of total billed charges,,,218.5,percent of total billed charges,,,218.5,percent of total billed charges,,,218.5,percent of total billed charges,,,218.5,percent of total billed charges,,,218.5,percent of total billed charges,,,218.5,percent of total billed charges,,,218.5,percent of total billed charges,,,218.5,percent of total billed charges,
ER-INJECTION ANESTHETIC AGENT GREATER OC,64405,CDM,,,,both,,,"1,531.00","1,531.00",352.13,"1,531.00","1,531.00",percent of total billed charges,"1,531.00",percent of total billed charges,"1,531.00",percent of total billed charges,"1,531.00",percent of total billed charges,"1,531.00",percent of total billed charges,"1,531.00",percent of total billed charges,"1,531.00",percent of total billed charges,"1,531.00",percent of total billed charges,"1,102.32",percent of total billed charges,"1,102.32",percent of total billed charges,"1,102.32",percent of total billed charges,"1,102.32",percent of total billed charges,"1,102.32",percent of total billed charges,"1,102.32",percent of total billed charges,"1,209.49",percent of total billed charges,"1,209.49",percent of total billed charges,"1,224.80",percent of total billed charges,"1,224.80",percent of total billed charges,,,"1,102.32",percent of total billed charges ,,,"1,224.80",percent of total billed charges ,"1,209.49",percent of total billed charges ,"1,209.49",percent of total billed charges ,"1,301.35",percent of total billed charges ,"1,301.35",percent of total billed charges ,"1,224.80",percent of total billed charges ,"1,224.80",percent of total billed charges ,"1,071.70",percent of total billed charges ,"1,071.70",percent of total billed charges ,918.6,percent of total billed charges ,918.6,percent of total billed charges ,918.6,percent of total billed charges ,918.6,percent of total billed charges ,,,,,814.49,percent of total billed charges ,,,,,773.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,352.13,percent of total billed charges,,,352.13,percent of total billed charges,,,352.13,percent of total billed charges,,,352.13,percent of total billed charges,,,352.13,percent of total billed charges,,,352.13,percent of total billed charges,,,352.13,percent of total billed charges,,,352.13,percent of total billed charges,,,352.13,percent of total billed charges,,,352.13,percent of total billed charges,,,352.13,percent of total billed charges,
ER-INJECTION ANESTHETIC AGENT AXILLARY N,64417,CDM,,,,both,,,"2,835.00","2,835.00",652.05,"2,835.00","2,835.00",percent of total billed charges,"2,835.00",percent of total billed charges,"2,835.00",percent of total billed charges,"2,835.00",percent of total billed charges,"2,835.00",percent of total billed charges,"2,835.00",percent of total billed charges,"2,835.00",percent of total billed charges,"2,835.00",percent of total billed charges,"2,041.20",percent of total billed charges,"2,041.20",percent of total billed charges,"2,041.20",percent of total billed charges,"2,041.20",percent of total billed charges,"2,041.20",percent of total billed charges,"2,041.20",percent of total billed charges,"2,239.65",percent of total billed charges,"2,239.65",percent of total billed charges,"2,268.00",percent of total billed charges,"2,268.00",percent of total billed charges,,,"2,041.20",percent of total billed charges ,,,"2,268.00",percent of total billed charges ,"2,239.65",percent of total billed charges ,"2,239.65",percent of total billed charges ,"2,409.75",percent of total billed charges ,"2,409.75",percent of total billed charges ,"2,268.00",percent of total billed charges ,"2,268.00",percent of total billed charges ,"1,984.50",percent of total billed charges ,"1,984.50",percent of total billed charges ,"1,701.00",percent of total billed charges ,"1,701.00",percent of total billed charges ,"1,701.00",percent of total billed charges ,"1,701.00",percent of total billed charges ,,,,,"1,508.22",percent of total billed charges ,,,,,"1,432.81",percent of total billed charges ,,,,,,,,,,,,,,,,,,,652.05,percent of total billed charges,,,652.05,percent of total billed charges,,,652.05,percent of total billed charges,,,652.05,percent of total billed charges,,,652.05,percent of total billed charges,,,652.05,percent of total billed charges,,,652.05,percent of total billed charges,,,652.05,percent of total billed charges,,,652.05,percent of total billed charges,,,652.05,percent of total billed charges,,,652.05,percent of total billed charges,
ER-BLEPHAROTOMY DRAINAGE ABSCESS EYELID,67700,CDM,,,,both,,,"1,150.00","1,150.00",264.5,"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,908.5,percent of total billed charges,908.5,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 ,908.5,percent of total billed charges ,908.5,percent of total billed charges ,977.5,percent of total billed charges ,977.5,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 ,,,,,,,,,,,,,,,,,,,264.5,percent of total billed charges,,,264.5,percent of total billed charges,,,264.5,percent of total billed charges,,,264.5,percent of total billed charges,,,264.5,percent of total billed charges,,,264.5,percent of total billed charges,,,264.5,percent of total billed charges,,,264.5,percent of total billed charges,,,264.5,percent of total billed charges,,,264.5,percent of total billed charges,,,264.5,percent of total billed charges,
ER-DRAINAGE EXTERNAL EAR ABCESS/HEMATOMA,69000,CDM,,,GF,both,,,898,898,206.54,898,898,percent of total billed charges,898,percent of total billed charges,898,percent of total billed charges,898,percent of total billed charges,898,percent of total billed charges,898,percent of total billed charges,898,percent of total billed charges,898,percent of total billed charges,646.56,percent of total billed charges,646.56,percent of total billed charges,646.56,percent of total billed charges,646.56,percent of total billed charges,646.56,percent of total billed charges,646.56,percent of total billed charges,709.42,percent of total billed charges,709.42,percent of total billed charges,718.4,percent of total billed charges,718.4,percent of total billed charges,,,646.56,percent of total billed charges ,,,718.4,percent of total billed charges ,709.42,percent of total billed charges ,709.42,percent of total billed charges ,763.3,percent of total billed charges ,763.3,percent of total billed charges ,718.4,percent of total billed charges ,718.4,percent of total billed charges ,628.6,percent of total billed charges ,628.6,percent of total billed charges ,538.8,percent of total billed charges ,538.8,percent of total billed charges ,538.8,percent of total billed charges ,538.8,percent of total billed charges ,,,,,477.74,percent of total billed charges ,,,,,453.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,206.54,percent of total billed charges,,,206.54,percent of total billed charges,,,206.54,percent of total billed charges,,,206.54,percent of total billed charges,,,206.54,percent of total billed charges,,,206.54,percent of total billed charges,,,206.54,percent of total billed charges,,,206.54,percent of total billed charges,,,206.54,percent of total billed charges,,,206.54,percent of total billed charges,,,206.54,percent of total billed charges,
PHY-CTRL NSL HEMRRG PST NASAL PACKS&/CAU,30906,CDM,,,,both,,,663,663,152.49,663,663,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,523.77,percent of total billed charges,523.77,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 ,523.77,percent of total billed charges ,523.77,percent of total billed charges ,563.55,percent of total billed charges ,563.55,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 ,,,,,,,,,,,,,,,,,,,152.49,percent of total billed charges,,,152.49,percent of total billed charges,,,152.49,percent of total billed charges,,,152.49,percent of total billed charges,,,152.49,percent of total billed charges,,,152.49,percent of total billed charges,,,152.49,percent of total billed charges,,,152.49,percent of total billed charges,,,152.49,percent of total billed charges,,,152.49,percent of total billed charges,,,152.49,percent of total billed charges,
PHY-TRANSFUSION BLOOD/BLOOD COMPONENTS,36430,CDM,,,GF,both,,,161,161,37.03,161,161,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,127.19,percent of total billed charges,127.19,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 ,127.19,percent of total billed charges ,127.19,percent of total billed charges ,136.85,percent of total billed charges ,136.85,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 ,,,,,,,,,,,,,,,,,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,
PHY-INSJ NON-NDWELLG BLADDER CATHETER,51701,CDM,,,,both,,,129,129,29.67,129,129,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,101.91,percent of total billed charges,101.91,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 ,101.91,percent of total billed charges ,101.91,percent of total billed charges ,109.65,percent of total billed charges ,109.65,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 ,,,,,,,,,,,,,,,,,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,
PHY-INSJ TEMP NDWELLG BLADDER CATHETER C,51703,CDM,,,,both,,,382,382,87.86,382,382,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,301.78,percent of total billed charges,301.78,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 ,301.78,percent of total billed charges ,301.78,percent of total billed charges ,324.7,percent of total billed charges ,324.7,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 ,,,,,,,,,,,,,,,,,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,
PHY-FIT&INSJ PESSARY/OTH INTRAVAGINAL SU,57160,CDM,,,,both,,,229,229,52.67,229,229,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,180.91,percent of total billed charges,180.91,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 ,180.91,percent of total billed charges ,180.91,percent of total billed charges ,194.65,percent of total billed charges ,194.65,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 ,,,,,,,,,,,,,,,,,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,
PHY-INTRO ANY HEMOSTATIC AGENT/PACK VAG,57180,CDM,,,,both,,,503,503,115.69,503,503,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,397.37,percent of total billed charges,397.37,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 ,397.37,percent of total billed charges ,397.37,percent of total billed charges ,427.55,percent of total billed charges ,427.55,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 ,,,,,,,,,,,,,,,,,,,115.69,percent of total billed charges,,,115.69,percent of total billed charges,,,115.69,percent of total billed charges,,,115.69,percent of total billed charges,,,115.69,percent of total billed charges,,,115.69,percent of total billed charges,,,115.69,percent of total billed charges,,,115.69,percent of total billed charges,,,115.69,percent of total billed charges,,,115.69,percent of total billed charges,,,115.69,percent of total billed charges,
ER-PERCUTANEOUS TRANSCATHETER SEPTAL RED,93583,CDM,,,,both,,,"2,046.00","2,046.00",470.58,"2,046.00","2,046.00",percent of total billed charges,"2,046.00",percent of total billed charges,"2,046.00",percent of total billed charges,"2,046.00",percent of total billed charges,"2,046.00",percent of total billed charges,"2,046.00",percent of total billed charges,"2,046.00",percent of total billed charges,"2,046.00",percent of total billed charges,"1,473.12",percent of total billed charges,"1,473.12",percent of total billed charges,"1,473.12",percent of total billed charges,"1,473.12",percent of total billed charges,"1,473.12",percent of total billed charges,"1,473.12",percent of total billed charges,"1,616.34",percent of total billed charges,"1,616.34",percent of total billed charges,"1,636.80",percent of total billed charges,"1,636.80",percent of total billed charges,,,"1,473.12",percent of total billed charges ,,,"1,636.80",percent of total billed charges ,"1,616.34",percent of total billed charges ,"1,616.34",percent of total billed charges ,"1,739.10",percent of total billed charges ,"1,739.10",percent of total billed charges ,"1,636.80",percent of total billed charges ,"1,636.80",percent of total billed charges ,"1,432.20",percent of total billed charges ,"1,432.20",percent of total billed charges ,"1,227.60",percent of total billed charges ,"1,227.60",percent of total billed charges ,"1,227.60",percent of total billed charges ,"1,227.60",percent of total billed charges ,,,,,"1,088.47",percent of total billed charges ,,,,,"1,034.05",percent of total billed charges ,,,,,,,,,,,,,,,,,,,470.58,percent of total billed charges,,,470.58,percent of total billed charges,,,470.58,percent of total billed charges,,,470.58,percent of total billed charges,,,470.58,percent of total billed charges,,,470.58,percent of total billed charges,,,470.58,percent of total billed charges,,,470.58,percent of total billed charges,,,470.58,percent of total billed charges,,,470.58,percent of total billed charges,,,470.58,percent of total billed charges,
PHY-PERCUTANEOUS TRANSCATHETER SEPTAL RE,93583,CDM,,,,both,,,"3,739.00","3,739.00",859.97,"3,739.00","3,739.00",percent of total billed charges,"3,739.00",percent of total billed charges,"3,739.00",percent of total billed charges,"3,739.00",percent of total billed charges,"3,739.00",percent of total billed charges,"3,739.00",percent of total billed charges,"3,739.00",percent of total billed charges,"3,739.00",percent of total billed charges,"2,692.08",percent of total billed charges,"2,692.08",percent of total billed charges,"2,692.08",percent of total billed charges,"2,692.08",percent of total billed charges,"2,692.08",percent of total billed charges,"2,692.08",percent of total billed charges,"2,953.81",percent of total billed charges,"2,953.81",percent of total billed charges,"2,991.20",percent of total billed charges,"2,991.20",percent of total billed charges,,,"2,692.08",percent of total billed charges ,,,"2,991.20",percent of total billed charges ,"2,953.81",percent of total billed charges ,"2,953.81",percent of total billed charges ,"3,178.15",percent of total billed charges ,"3,178.15",percent of total billed charges ,"2,991.20",percent of total billed charges ,"2,991.20",percent of total billed charges ,"2,617.30",percent of total billed charges ,"2,617.30",percent of total billed charges ,"2,243.40",percent of total billed charges ,"2,243.40",percent of total billed charges ,"2,243.40",percent of total billed charges ,"2,243.40",percent of total billed charges ,,,,,"1,989.15",percent of total billed charges ,,,,,"1,889.69",percent of total billed charges ,,,,,,,,,,,,,,,,,,,859.97,percent of total billed charges,,,859.97,percent of total billed charges,,,859.97,percent of total billed charges,,,859.97,percent of total billed charges,,,859.97,percent of total billed charges,,,859.97,percent of total billed charges,,,859.97,percent of total billed charges,,,859.97,percent of total billed charges,,,859.97,percent of total billed charges,,,859.97,percent of total billed charges,,,859.97,percent of total billed charges,
PHY-CANALITH REPOSITIONING PROCEDURE,95992,CDM,,,GP,both,,,183,183,42.09,183,183,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,144.57,percent of total billed charges,144.57,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 ,144.57,percent of total billed charges ,144.57,percent of total billed charges ,155.55,percent of total billed charges ,155.55,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 ,,,,,,,,,,,,,,,,,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,
ER-THERAPEUTIC PROPHLYACTIC /DX NJX INTR,96373,CDM,,,,both,,,384,384,88.32,384,384,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,303.36,percent of total billed charges,303.36,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 ,303.36,percent of total billed charges ,303.36,percent of total billed charges ,326.4,percent of total billed charges ,326.4,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 ,,,,,,,,,,,,,,,,,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,
**ER-REPAIR INTERMEDIATE S/A/T/E 2.5 CM/,12031,CDM,,,GF,both,,,"1,665.00","1,665.00",382.95,"1,665.00","1,665.00",percent of total billed charges,"1,665.00",percent of total billed charges,"1,665.00",percent of total billed charges,"1,665.00",percent of total billed charges,"1,665.00",percent of total billed charges,"1,665.00",percent of total billed charges,"1,665.00",percent of total billed charges,"1,665.00",percent of total billed charges,"1,198.80",percent of total billed charges,"1,198.80",percent of total billed charges,"1,198.80",percent of total billed charges,"1,198.80",percent of total billed charges,"1,198.80",percent of total billed charges,"1,198.80",percent of total billed charges,"1,315.35",percent of total billed charges,"1,315.35",percent of total billed charges,"1,332.00",percent of total billed charges,"1,332.00",percent of total billed charges,,,"1,198.80",percent of total billed charges ,,,"1,332.00",percent of total billed charges ,"1,315.35",percent of total billed charges ,"1,315.35",percent of total billed charges ,"1,415.25",percent of total billed charges ,"1,415.25",percent of total billed charges ,"1,332.00",percent of total billed charges ,"1,332.00",percent of total billed charges ,"1,165.50",percent of total billed charges ,"1,165.50",percent of total billed charges ,999,percent of total billed charges ,999,percent of total billed charges ,999,percent of total billed charges ,999,percent of total billed charges ,,,,,885.78,percent of total billed charges ,,,,,841.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,382.95,percent of total billed charges,,,382.95,percent of total billed charges,,,382.95,percent of total billed charges,,,382.95,percent of total billed charges,,,382.95,percent of total billed charges,,,382.95,percent of total billed charges,,,382.95,percent of total billed charges,,,382.95,percent of total billed charges,,,382.95,percent of total billed charges,,,382.95,percent of total billed charges,,,382.95,percent of total billed charges,
ER-REMOVAL FOREIGN BODY SHOULDER SUBCUTA,23330,CDM,,,GF,both,,,"4,625.00","4,625.00","1,063.75","4,625.00","4,625.00",percent of total billed charges,"4,625.00",percent of total billed charges,"4,625.00",percent of total billed charges,"4,625.00",percent of total billed charges,"4,625.00",percent of total billed charges,"4,625.00",percent of total billed charges,"4,625.00",percent of total billed charges,"4,625.00",percent of total billed charges,"3,330.00",percent of total billed charges,"3,330.00",percent of total billed charges,"3,330.00",percent of total billed charges,"3,330.00",percent of total billed charges,"3,330.00",percent of total billed charges,"3,330.00",percent of total billed charges,"3,653.75",percent of total billed charges,"3,653.75",percent of total billed charges,"3,700.00",percent of total billed charges,"3,700.00",percent of total billed charges,,,"3,330.00",percent of total billed charges ,,,"3,700.00",percent of total billed charges ,"3,653.75",percent of total billed charges ,"3,653.75",percent of total billed charges ,"3,931.25",percent of total billed charges ,"3,931.25",percent of total billed charges ,"3,700.00",percent of total billed charges ,"3,700.00",percent of total billed charges ,"3,237.50",percent of total billed charges ,"3,237.50",percent of total billed charges ,"2,775.00",percent of total billed charges ,"2,775.00",percent of total billed charges ,"2,775.00",percent of total billed charges ,"2,775.00",percent of total billed charges ,,,,,"2,460.50",percent of total billed charges ,,,,,"2,337.48",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,063.75",percent of total billed charges,,,"1,063.75",percent of total billed charges,,,"1,063.75",percent of total billed charges,,,"1,063.75",percent of total billed charges,,,"1,063.75",percent of total billed charges,,,"1,063.75",percent of total billed charges,,,"1,063.75",percent of total billed charges,,,"1,063.75",percent of total billed charges,,,"1,063.75",percent of total billed charges,,,"1,063.75",percent of total billed charges,,,"1,063.75",percent of total billed charges,
PHY-REMOVAL FOREIGN BODY SHOULDER SUBCUT,23330,CDM,,,GF,both,,,800,800,184,800,800,percent of total billed charges,800,percent of total billed charges,800,percent of total billed charges,800,percent of total billed charges,800,percent of total billed charges,800,percent of total billed charges,800,percent of total billed charges,800,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,632,percent of total billed charges,632,percent of total billed charges,640,percent of total billed charges,640,percent of total billed charges,,,576,percent of total billed charges ,,,640,percent of total billed charges ,632,percent of total billed charges ,632,percent of total billed charges ,680,percent of total billed charges ,680,percent of total billed charges ,640,percent of total billed charges ,640,percent of total billed charges ,560,percent of total billed charges ,560,percent of total billed charges ,480,percent of total billed charges ,480,percent of total billed charges ,480,percent of total billed charges ,480,percent of total billed charges ,,,,,425.6,percent of total billed charges ,,,,,404.32,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,,,184,percent of total billed charges,,,184,percent of total billed charges,,,184,percent of total billed charges,,,184,percent of total billed charges,
ER-CLTX METATARSOPHLNGL JT DISLC W/O ANE,28630,CDM,,,,both,,,780,780,179.4,780,780,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,616.2,percent of total billed charges,616.2,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 ,616.2,percent of total billed charges ,616.2,percent of total billed charges ,663,percent of total billed charges ,663,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 ,,,,,,,,,,,,,,,,,,,179.4,percent of total billed charges,,,179.4,percent of total billed charges,,,179.4,percent of total billed charges,,,179.4,percent of total billed charges,,,179.4,percent of total billed charges,,,179.4,percent of total billed charges,,,179.4,percent of total billed charges,,,179.4,percent of total billed charges,,,179.4,percent of total billed charges,,,179.4,percent of total billed charges,,,179.4,percent of total billed charges,
PHY-AVULSION NAIL PLATE PARTIAL/COMP SIM,11732,CDM,,,GF,both,,,88,88,20.24,88,88,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,69.52,percent of total billed charges,69.52,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 ,69.52,percent of total billed charges ,69.52,percent of total billed charges ,74.8,percent of total billed charges ,74.8,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 ,,,,,,,,,,,,,,,,,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,
AHP-AVULSION OF NAIL PLATE - EACH ADDITI,11732,CDM,,,GF,both,,,88,88,20.24,88,88,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,69.52,percent of total billed charges,69.52,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 ,69.52,percent of total billed charges ,69.52,percent of total billed charges ,74.8,percent of total billed charges ,74.8,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 ,,,,,,,,,,,,,,,,,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,
AHP-SIMPLE REPAIR SCALP/NECK/AX/GENIT/TR,12007,CDM,,,GF,both,,,"1,100.00","1,100.00",253,"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,869,percent of total billed charges,869,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 ,869,percent of total billed charges ,869,percent of total billed charges ,935,percent of total billed charges ,935,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 ,,,,,,,,,,,,,,,,,,,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,,,253,percent of total billed charges,,,253,percent of total billed charges,,,253,percent of total billed charges,
AHP-SIMPLE REPAIR F/E/E/N/L/M 12.CM-20.0,12016,CDM,,,GF,both,,,633,633,145.59,633,633,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,500.07,percent of total billed charges,500.07,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 ,500.07,percent of total billed charges ,500.07,percent of total billed charges ,538.05,percent of total billed charges ,538.05,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 ,,,,,,,,,,,,,,,,,,,145.59,percent of total billed charges,,,145.59,percent of total billed charges,,,145.59,percent of total billed charges,,,145.59,percent of total billed charges,,,145.59,percent of total billed charges,,,145.59,percent of total billed charges,,,145.59,percent of total billed charges,,,145.59,percent of total billed charges,,,145.59,percent of total billed charges,,,145.59,percent of total billed charges,,,145.59,percent of total billed charges,
AHP-SIMPLE REPAIR F/E/E/N/L/M 20.1CM-30.,12017,CDM,,,GF,both,,,761,761,175.03,761,761,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,601.19,percent of total billed charges,601.19,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 ,601.19,percent of total billed charges ,601.19,percent of total billed charges ,646.85,percent of total billed charges ,646.85,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 ,,,,,,,,,,,,,,,,,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,
AHP-REPAIR INTERMEDIATE S/A/T/E 20.01-30,12036,CDM,,,GF,both,,,"1,367.00","1,367.00",314.41,"1,367.00","1,367.00",percent of total billed charges,"1,367.00",percent of total billed charges,"1,367.00",percent of total billed charges,"1,367.00",percent of total billed charges,"1,367.00",percent of total billed charges,"1,367.00",percent of total billed charges,"1,367.00",percent of total billed charges,"1,367.00",percent of total billed charges,984.24,percent of total billed charges,984.24,percent of total billed charges,984.24,percent of total billed charges,984.24,percent of total billed charges,984.24,percent of total billed charges,984.24,percent of total billed charges,"1,079.93",percent of total billed charges,"1,079.93",percent of total billed charges,"1,093.60",percent of total billed charges,"1,093.60",percent of total billed charges,,,984.24,percent of total billed charges ,,,"1,093.60",percent of total billed charges ,"1,079.93",percent of total billed charges ,"1,079.93",percent of total billed charges ,"1,161.95",percent of total billed charges ,"1,161.95",percent of total billed charges ,"1,093.60",percent of total billed charges ,"1,093.60",percent of total billed charges ,956.9,percent of total billed charges ,956.9,percent of total billed charges ,820.2,percent of total billed charges ,820.2,percent of total billed charges ,820.2,percent of total billed charges ,820.2,percent of total billed charges ,,,,,727.24,percent of total billed charges ,,,,,690.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,314.41,percent of total billed charges,,,314.41,percent of total billed charges,,,314.41,percent of total billed charges,,,314.41,percent of total billed charges,,,314.41,percent of total billed charges,,,314.41,percent of total billed charges,,,314.41,percent of total billed charges,,,314.41,percent of total billed charges,,,314.41,percent of total billed charges,,,314.41,percent of total billed charges,,,314.41,percent of total billed charges,
AHP-WOUND REPAIR INTERMEDIATE S/A/T/E>30,12037,CDM,,,GF,both,,,"1,604.00","1,604.00",368.92,"1,604.00","1,604.00",percent of total billed charges,"1,604.00",percent of total billed charges,"1,604.00",percent of total billed charges,"1,604.00",percent of total billed charges,"1,604.00",percent of total billed charges,"1,604.00",percent of total billed charges,"1,604.00",percent of total billed charges,"1,604.00",percent of total billed charges,"1,154.88",percent of total billed charges,"1,154.88",percent of total billed charges,"1,154.88",percent of total billed charges,"1,154.88",percent of total billed charges,"1,154.88",percent of total billed charges,"1,154.88",percent of total billed charges,"1,267.16",percent of total billed charges,"1,267.16",percent of total billed charges,"1,283.20",percent of total billed charges,"1,283.20",percent of total billed charges,,,"1,154.88",percent of total billed charges ,,,"1,283.20",percent of total billed charges ,"1,267.16",percent of total billed charges ,"1,267.16",percent of total billed charges ,"1,363.40",percent of total billed charges ,"1,363.40",percent of total billed charges ,"1,283.20",percent of total billed charges ,"1,283.20",percent of total billed charges ,"1,122.80",percent of total billed charges ,"1,122.80",percent of total billed charges ,962.4,percent of total billed charges ,962.4,percent of total billed charges ,962.4,percent of total billed charges ,962.4,percent of total billed charges ,,,,,853.33,percent of total billed charges ,,,,,810.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,368.92,percent of total billed charges,,,368.92,percent of total billed charges,,,368.92,percent of total billed charges,,,368.92,percent of total billed charges,,,368.92,percent of total billed charges,,,368.92,percent of total billed charges,,,368.92,percent of total billed charges,,,368.92,percent of total billed charges,,,368.92,percent of total billed charges,,,368.92,percent of total billed charges,,,368.92,percent of total billed charges,
AHP-REPAIR INTERMEDIATE N/H/F/XTRNL GENT,12045,CDM,,,GF,both,,,"1,301.00","1,301.00",299.23,"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,"1,027.79",percent of total billed charges,"1,027.79",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 ,"1,027.79",percent of total billed charges ,"1,027.79",percent of total billed charges ,"1,105.85",percent of total billed charges ,"1,105.85",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 ,,,,,,,,,,,,,,,,,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,
AHP-RPR INTERMEDIATE N/H/F/XTRNL GENT 20,12046,CDM,,,GF,both,,,"1,522.00","1,522.00",350.06,"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,"1,202.38",percent of total billed charges,"1,202.38",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 ,"1,202.38",percent of total billed charges ,"1,202.38",percent of total billed charges ,"1,293.70",percent of total billed charges ,"1,293.70",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 ,,,,,,,,,,,,,,,,,,,350.06,percent of total billed charges,,,350.06,percent of total billed charges,,,350.06,percent of total billed charges,,,350.06,percent of total billed charges,,,350.06,percent of total billed charges,,,350.06,percent of total billed charges,,,350.06,percent of total billed charges,,,350.06,percent of total billed charges,,,350.06,percent of total billed charges,,,350.06,percent of total billed charges,,,350.06,percent of total billed charges,
AHP-REPAIR INTERMEDIATE N/H/F/XTRNL GENT,12047,CDM,,,GF,both,,,"1,704.00","1,704.00",391.92,"1,704.00","1,704.00",percent of total billed charges,"1,704.00",percent of total billed charges,"1,704.00",percent of total billed charges,"1,704.00",percent of total billed charges,"1,704.00",percent of total billed charges,"1,704.00",percent of total billed charges,"1,704.00",percent of total billed charges,"1,704.00",percent of total billed charges,"1,226.88",percent of total billed charges,"1,226.88",percent of total billed charges,"1,226.88",percent of total billed charges,"1,226.88",percent of total billed charges,"1,226.88",percent of total billed charges,"1,226.88",percent of total billed charges,"1,346.16",percent of total billed charges,"1,346.16",percent of total billed charges,"1,363.20",percent of total billed charges,"1,363.20",percent of total billed charges,,,"1,226.88",percent of total billed charges ,,,"1,363.20",percent of total billed charges ,"1,346.16",percent of total billed charges ,"1,346.16",percent of total billed charges ,"1,448.40",percent of total billed charges ,"1,448.40",percent of total billed charges ,"1,363.20",percent of total billed charges ,"1,363.20",percent of total billed charges ,"1,192.80",percent of total billed charges ,"1,192.80",percent of total billed charges ,"1,022.40",percent of total billed charges ,"1,022.40",percent of total billed charges ,"1,022.40",percent of total billed charges ,"1,022.40",percent of total billed charges ,,,,,906.53,percent of total billed charges ,,,,,861.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,391.92,percent of total billed charges,,,391.92,percent of total billed charges,,,391.92,percent of total billed charges,,,391.92,percent of total billed charges,,,391.92,percent of total billed charges,,,391.92,percent of total billed charges,,,391.92,percent of total billed charges,,,391.92,percent of total billed charges,,,391.92,percent of total billed charges,,,391.92,percent of total billed charges,,,391.92,percent of total billed charges,
AHP-REPAIR INTERM WNDS-FACE 5.1CM -7.5CM,12053,CDM,,,GF,both,,,"1,177.00","1,177.00",270.71,"1,177.00","1,177.00",percent of total billed charges,"1,177.00",percent of total billed charges,"1,177.00",percent of total billed charges,"1,177.00",percent of total billed charges,"1,177.00",percent of total billed charges,"1,177.00",percent of total billed charges,"1,177.00",percent of total billed charges,"1,177.00",percent of total billed charges,847.44,percent of total billed charges,847.44,percent of total billed charges,847.44,percent of total billed charges,847.44,percent of total billed charges,847.44,percent of total billed charges,847.44,percent of total billed charges,929.83,percent of total billed charges,929.83,percent of total billed charges,941.6,percent of total billed charges,941.6,percent of total billed charges,,,847.44,percent of total billed charges ,,,941.6,percent of total billed charges ,929.83,percent of total billed charges ,929.83,percent of total billed charges ,"1,000.45",percent of total billed charges ,"1,000.45",percent of total billed charges ,941.6,percent of total billed charges ,941.6,percent of total billed charges ,823.9,percent of total billed charges ,823.9,percent of total billed charges ,706.2,percent of total billed charges ,706.2,percent of total billed charges ,706.2,percent of total billed charges ,706.2,percent of total billed charges ,,,,,626.16,percent of total billed charges ,,,,,594.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,270.71,percent of total billed charges,,,270.71,percent of total billed charges,,,270.71,percent of total billed charges,,,270.71,percent of total billed charges,,,270.71,percent of total billed charges,,,270.71,percent of total billed charges,,,270.71,percent of total billed charges,,,270.71,percent of total billed charges,,,270.71,percent of total billed charges,,,270.71,percent of total billed charges,,,270.71,percent of total billed charges,
AHP-REPAIR INTERMEDIATE F/E/E/N/L&/MUC 2,12056,CDM,,,GF,both,,,"1,859.00","1,859.00",427.57,"1,859.00","1,859.00",percent of total billed charges,"1,859.00",percent of total billed charges,"1,859.00",percent of total billed charges,"1,859.00",percent of total billed charges,"1,859.00",percent of total billed charges,"1,859.00",percent of total billed charges,"1,859.00",percent of total billed charges,"1,859.00",percent of total billed charges,"1,338.48",percent of total billed charges,"1,338.48",percent of total billed charges,"1,338.48",percent of total billed charges,"1,338.48",percent of total billed charges,"1,338.48",percent of total billed charges,"1,338.48",percent of total billed charges,"1,468.61",percent of total billed charges,"1,468.61",percent of total billed charges,"1,487.20",percent of total billed charges,"1,487.20",percent of total billed charges,,,"1,338.48",percent of total billed charges ,,,"1,487.20",percent of total billed charges ,"1,468.61",percent of total billed charges ,"1,468.61",percent of total billed charges ,"1,580.15",percent of total billed charges ,"1,580.15",percent of total billed charges ,"1,487.20",percent of total billed charges ,"1,487.20",percent of total billed charges ,"1,301.30",percent of total billed charges ,"1,301.30",percent of total billed charges ,"1,115.40",percent of total billed charges ,"1,115.40",percent of total billed charges ,"1,115.40",percent of total billed charges ,"1,115.40",percent of total billed charges ,,,,,988.99,percent of total billed charges ,,,,,939.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,427.57,percent of total billed charges,,,427.57,percent of total billed charges,,,427.57,percent of total billed charges,,,427.57,percent of total billed charges,,,427.57,percent of total billed charges,,,427.57,percent of total billed charges,,,427.57,percent of total billed charges,,,427.57,percent of total billed charges,,,427.57,percent of total billed charges,,,427.57,percent of total billed charges,,,427.57,percent of total billed charges,
AHP-REPAIR INTERMEDIATE F/E/E/N/L&/MUC >,12057,CDM,,,GF,both,,,"2,086.00","2,086.00",479.78,"2,086.00","2,086.00",percent of total billed charges,"2,086.00",percent of total billed charges,"2,086.00",percent of total billed charges,"2,086.00",percent of total billed charges,"2,086.00",percent of total billed charges,"2,086.00",percent of total billed charges,"2,086.00",percent of total billed charges,"2,086.00",percent of total billed charges,"1,501.92",percent of total billed charges,"1,501.92",percent of total billed charges,"1,501.92",percent of total billed charges,"1,501.92",percent of total billed charges,"1,501.92",percent of total billed charges,"1,501.92",percent of total billed charges,"1,647.94",percent of total billed charges,"1,647.94",percent of total billed charges,"1,668.80",percent of total billed charges,"1,668.80",percent of total billed charges,,,"1,501.92",percent of total billed charges ,,,"1,668.80",percent of total billed charges ,"1,647.94",percent of total billed charges ,"1,647.94",percent of total billed charges ,"1,773.10",percent of total billed charges ,"1,773.10",percent of total billed charges ,"1,668.80",percent of total billed charges ,"1,668.80",percent of total billed charges ,"1,460.20",percent of total billed charges ,"1,460.20",percent of total billed charges ,"1,251.60",percent of total billed charges ,"1,251.60",percent of total billed charges ,"1,251.60",percent of total billed charges ,"1,251.60",percent of total billed charges ,,,,,"1,109.75",percent of total billed charges ,,,,,"1,054.26",percent of total billed charges ,,,,,,,,,,,,,,,,,,,479.78,percent of total billed charges,,,479.78,percent of total billed charges,,,479.78,percent of total billed charges,,,479.78,percent of total billed charges,,,479.78,percent of total billed charges,,,479.78,percent of total billed charges,,,479.78,percent of total billed charges,,,479.78,percent of total billed charges,,,479.78,percent of total billed charges,,,479.78,percent of total billed charges,,,479.78,percent of total billed charges,
AHP-REPAIR TRUNK 1.1-2.5 CM,13100,CDM,,,GF,both,,,999,999,229.77,999,999,percent of total billed charges,999,percent of total billed charges,999,percent of total billed charges,999,percent of total billed charges,999,percent of total billed charges,999,percent of total billed charges,999,percent of total billed charges,999,percent of total billed charges,719.28,percent of total billed charges,719.28,percent of total billed charges,719.28,percent of total billed charges,719.28,percent of total billed charges,719.28,percent of total billed charges,719.28,percent of total billed charges,789.21,percent of total billed charges,789.21,percent of total billed charges,799.2,percent of total billed charges,799.2,percent of total billed charges,,,719.28,percent of total billed charges ,,,799.2,percent of total billed charges ,789.21,percent of total billed charges ,789.21,percent of total billed charges ,849.15,percent of total billed charges ,849.15,percent of total billed charges ,799.2,percent of total billed charges ,799.2,percent of total billed charges ,699.3,percent of total billed charges ,699.3,percent of total billed charges ,599.4,percent of total billed charges ,599.4,percent of total billed charges ,599.4,percent of total billed charges ,599.4,percent of total billed charges ,,,,,531.47,percent of total billed charges ,,,,,504.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,,,229.77,percent of total billed charges,
AHP-REPAIR COMPLEX 1.1CM TO 2.5CM,13131,CDM,,,GF,both,,,"2,367.00","2,367.00",544.41,"2,367.00","2,367.00",percent of total billed charges,"2,367.00",percent of total billed charges,"2,367.00",percent of total billed charges,"2,367.00",percent of total billed charges,"2,367.00",percent of total billed charges,"2,367.00",percent of total billed charges,"2,367.00",percent of total billed charges,"2,367.00",percent of total billed charges,"1,704.24",percent of total billed charges,"1,704.24",percent of total billed charges,"1,704.24",percent of total billed charges,"1,704.24",percent of total billed charges,"1,704.24",percent of total billed charges,"1,704.24",percent of total billed charges,"1,869.93",percent of total billed charges,"1,869.93",percent of total billed charges,"1,893.60",percent of total billed charges,"1,893.60",percent of total billed charges,,,"1,704.24",percent of total billed charges ,,,"1,893.60",percent of total billed charges ,"1,869.93",percent of total billed charges ,"1,869.93",percent of total billed charges ,"2,011.95",percent of total billed charges ,"2,011.95",percent of total billed charges ,"1,893.60",percent of total billed charges ,"1,893.60",percent of total billed charges ,"1,656.90",percent of total billed charges ,"1,656.90",percent of total billed charges ,"1,420.20",percent of total billed charges ,"1,420.20",percent of total billed charges ,"1,420.20",percent of total billed charges ,"1,420.20",percent of total billed charges ,,,,,"1,259.24",percent of total billed charges ,,,,,"1,196.28",percent of total billed charges ,,,,,,,,,,,,,,,,,,,544.41,percent of total billed charges,,,544.41,percent of total billed charges,,,544.41,percent of total billed charges,,,544.41,percent of total billed charges,,,544.41,percent of total billed charges,,,544.41,percent of total billed charges,,,544.41,percent of total billed charges,,,544.41,percent of total billed charges,,,544.41,percent of total billed charges,,,544.41,percent of total billed charges,,,544.41,percent of total billed charges,
AHP-REPAIR COMPLEX 2.6CM TO 7.5CM,13132,CDM,,,GF,both,,,"2,030.00","2,030.00",466.9,"2,030.00","2,030.00",percent of total billed charges,"2,030.00",percent of total billed charges,"2,030.00",percent of total billed charges,"2,030.00",percent of total billed charges,"2,030.00",percent of total billed charges,"2,030.00",percent of total billed charges,"2,030.00",percent of total billed charges,"2,030.00",percent of total billed charges,"1,461.60",percent of total billed charges,"1,461.60",percent of total billed charges,"1,461.60",percent of total billed charges,"1,461.60",percent of total billed charges,"1,461.60",percent of total billed charges,"1,461.60",percent of total billed charges,"1,603.70",percent of total billed charges,"1,603.70",percent of total billed charges,"1,624.00",percent of total billed charges,"1,624.00",percent of total billed charges,,,"1,461.60",percent of total billed charges ,,,"1,624.00",percent of total billed charges ,"1,603.70",percent of total billed charges ,"1,603.70",percent of total billed charges ,"1,725.50",percent of total billed charges ,"1,725.50",percent of total billed charges ,"1,624.00",percent of total billed charges ,"1,624.00",percent of total billed charges ,"1,421.00",percent of total billed charges ,"1,421.00",percent of total billed charges ,"1,218.00",percent of total billed charges ,"1,218.00",percent of total billed charges ,"1,218.00",percent of total billed charges ,"1,218.00",percent of total billed charges ,,,,,"1,079.96",percent of total billed charges ,,,,,"1,025.96",percent of total billed charges ,,,,,,,,,,,,,,,,,,,466.9,percent of total billed charges,,,466.9,percent of total billed charges,,,466.9,percent of total billed charges,,,466.9,percent of total billed charges,,,466.9,percent of total billed charges,,,466.9,percent of total billed charges,,,466.9,percent of total billed charges,,,466.9,percent of total billed charges,,,466.9,percent of total billed charges,,,466.9,percent of total billed charges,,,466.9,percent of total billed charges,
AHP-REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA,13133,CDM,,,GF,both,,,671,671,154.33,671,671,percent of total billed charges,671,percent of total billed charges,671,percent of total billed charges,671,percent of total billed charges,671,percent of total billed charges,671,percent of total billed charges,671,percent of total billed charges,671,percent of total billed charges,483.12,percent of total billed charges,483.12,percent of total billed charges,483.12,percent of total billed charges,483.12,percent of total billed charges,483.12,percent of total billed charges,483.12,percent of total billed charges,530.09,percent of total billed charges,530.09,percent of total billed charges,536.8,percent of total billed charges,536.8,percent of total billed charges,,,483.12,percent of total billed charges ,,,536.8,percent of total billed charges ,530.09,percent of total billed charges ,530.09,percent of total billed charges ,570.35,percent of total billed charges ,570.35,percent of total billed charges ,536.8,percent of total billed charges ,536.8,percent of total billed charges ,469.7,percent of total billed charges ,469.7,percent of total billed charges ,402.6,percent of total billed charges ,402.6,percent of total billed charges ,402.6,percent of total billed charges ,402.6,percent of total billed charges ,,,,,356.97,percent of total billed charges ,,,,,339.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,
AHP-REPAIR COMPLX EYELID/NOSE/EARL/LIP E,13153,CDM,,,GF,both,,,695,695,159.85,695,695,percent of total billed charges,695,percent of total billed charges,695,percent of total billed charges,695,percent of total billed charges,695,percent of total billed charges,695,percent of total billed charges,695,percent of total billed charges,695,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,500.4,percent of total billed charges,500.4,percent of total billed charges,549.05,percent of total billed charges,549.05,percent of total billed charges,556,percent of total billed charges,556,percent of total billed charges,,,500.4,percent of total billed charges ,,,556,percent of total billed charges ,549.05,percent of total billed charges ,549.05,percent of total billed charges ,590.75,percent of total billed charges ,590.75,percent of total billed charges ,556,percent of total billed charges ,556,percent of total billed charges ,486.5,percent of total billed charges ,486.5,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 ,,,,,369.74,percent of total billed charges ,,,,,351.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,159.85,percent of total billed charges,,,159.85,percent of total billed charges,,,159.85,percent of total billed charges,,,159.85,percent of total billed charges,,,159.85,percent of total billed charges,,,159.85,percent of total billed charges,,,159.85,percent of total billed charges,,,159.85,percent of total billed charges,,,159.85,percent of total billed charges,,,159.85,percent of total billed charges,,,159.85,percent of total billed charges,
AHP-INITIAL TX 1ST DEGREE BURN LOCAL TX,16000,CDM,,,GF,both,,,229,229,52.67,229,229,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,180.91,percent of total billed charges,180.91,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 ,180.91,percent of total billed charges ,180.91,percent of total billed charges ,194.65,percent of total billed charges ,194.65,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 ,,,,,,,,,,,,,,,,,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,
AHP-REMOVAL FOREIGN BODY SHOULDER SUBCUT,23330,CDM,,,GF,both,,,800,800,184,800,800,percent of total billed charges,800,percent of total billed charges,800,percent of total billed charges,800,percent of total billed charges,800,percent of total billed charges,800,percent of total billed charges,800,percent of total billed charges,800,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,632,percent of total billed charges,632,percent of total billed charges,640,percent of total billed charges,640,percent of total billed charges,,,576,percent of total billed charges ,,,640,percent of total billed charges ,632,percent of total billed charges ,632,percent of total billed charges ,680,percent of total billed charges ,680,percent of total billed charges ,640,percent of total billed charges ,640,percent of total billed charges ,560,percent of total billed charges ,560,percent of total billed charges ,480,percent of total billed charges ,480,percent of total billed charges ,480,percent of total billed charges ,480,percent of total billed charges ,,,,,425.6,percent of total billed charges ,,,,,404.32,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,,,184,percent of total billed charges,,,184,percent of total billed charges,,,184,percent of total billed charges,,,184,percent of total billed charges,
AHP-REMOVAL FOREIGN BODY UPPER ARM/ELBOW,24201,CDM,,,GF,both,,,"1,757.00","1,757.00",404.11,"1,757.00","1,757.00",percent of total billed charges,"1,757.00",percent of total billed charges,"1,757.00",percent of total billed charges,"1,757.00",percent of total billed charges,"1,757.00",percent of total billed charges,"1,757.00",percent of total billed charges,"1,757.00",percent of total billed charges,"1,757.00",percent of total billed charges,"1,265.04",percent of total billed charges,"1,265.04",percent of total billed charges,"1,265.04",percent of total billed charges,"1,265.04",percent of total billed charges,"1,265.04",percent of total billed charges,"1,265.04",percent of total billed charges,"1,388.03",percent of total billed charges,"1,388.03",percent of total billed charges,"1,405.60",percent of total billed charges,"1,405.60",percent of total billed charges,,,"1,265.04",percent of total billed charges ,,,"1,405.60",percent of total billed charges ,"1,388.03",percent of total billed charges ,"1,388.03",percent of total billed charges ,"1,493.45",percent of total billed charges ,"1,493.45",percent of total billed charges ,"1,405.60",percent of total billed charges ,"1,405.60",percent of total billed charges ,"1,229.90",percent of total billed charges ,"1,229.90",percent of total billed charges ,"1,054.20",percent of total billed charges ,"1,054.20",percent of total billed charges ,"1,054.20",percent of total billed charges ,"1,054.20",percent of total billed charges ,,,,,934.72,percent of total billed charges ,,,,,887.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,404.11,percent of total billed charges,,,404.11,percent of total billed charges,,,404.11,percent of total billed charges,,,404.11,percent of total billed charges,,,404.11,percent of total billed charges,,,404.11,percent of total billed charges,,,404.11,percent of total billed charges,,,404.11,percent of total billed charges,,,404.11,percent of total billed charges,,,404.11,percent of total billed charges,,,404.11,percent of total billed charges,
AHP-REMOVAL FOREIGN BODY PELVIS/HIP DEEP,27087,CDM,,,GF,both,,,"2,966.00","2,966.00",682.18,"2,966.00","2,966.00",percent of total billed charges,"2,966.00",percent of total billed charges,"2,966.00",percent of total billed charges,"2,966.00",percent of total billed charges,"2,966.00",percent of total billed charges,"2,966.00",percent of total billed charges,"2,966.00",percent of total billed charges,"2,966.00",percent of total billed charges,"2,135.52",percent of total billed charges,"2,135.52",percent of total billed charges,"2,135.52",percent of total billed charges,"2,135.52",percent of total billed charges,"2,135.52",percent of total billed charges,"2,135.52",percent of total billed charges,"2,343.14",percent of total billed charges,"2,343.14",percent of total billed charges,"2,372.80",percent of total billed charges,"2,372.80",percent of total billed charges,,,"2,135.52",percent of total billed charges ,,,"2,372.80",percent of total billed charges ,"2,343.14",percent of total billed charges ,"2,343.14",percent of total billed charges ,"2,521.10",percent of total billed charges ,"2,521.10",percent of total billed charges ,"2,372.80",percent of total billed charges ,"2,372.80",percent of total billed charges ,"2,076.20",percent of total billed charges ,"2,076.20",percent of total billed charges ,"1,779.60",percent of total billed charges ,"1,779.60",percent of total billed charges ,"1,779.60",percent of total billed charges ,"1,779.60",percent of total billed charges ,,,,,"1,577.91",percent of total billed charges ,,,,,"1,499.02",percent of total billed charges ,,,,,,,,,,,,,,,,,,,682.18,percent of total billed charges,,,682.18,percent of total billed charges,,,682.18,percent of total billed charges,,,682.18,percent of total billed charges,,,682.18,percent of total billed charges,,,682.18,percent of total billed charges,,,682.18,percent of total billed charges,,,682.18,percent of total billed charges,,,682.18,percent of total billed charges,,,682.18,percent of total billed charges,,,682.18,percent of total billed charges,
AHP-REMOVAL FOREIGN BODY FOOT DEEP,28192,CDM,,,GF,both,,,"1,504.00","1,504.00",345.92,"1,504.00","1,504.00",percent of total billed charges,"1,504.00",percent of total billed charges,"1,504.00",percent of total billed charges,"1,504.00",percent of total billed charges,"1,504.00",percent of total billed charges,"1,504.00",percent of total billed charges,"1,504.00",percent of total billed charges,"1,504.00",percent of total billed charges,"1,082.88",percent of total billed charges,"1,082.88",percent of total billed charges,"1,082.88",percent of total billed charges,"1,082.88",percent of total billed charges,"1,082.88",percent of total billed charges,"1,082.88",percent of total billed charges,"1,188.16",percent of total billed charges,"1,188.16",percent of total billed charges,"1,203.20",percent of total billed charges,"1,203.20",percent of total billed charges,,,"1,082.88",percent of total billed charges ,,,"1,203.20",percent of total billed charges ,"1,188.16",percent of total billed charges ,"1,188.16",percent of total billed charges ,"1,278.40",percent of total billed charges ,"1,278.40",percent of total billed charges ,"1,203.20",percent of total billed charges ,"1,203.20",percent of total billed charges ,"1,052.80",percent of total billed charges ,"1,052.80",percent of total billed charges ,902.4,percent of total billed charges ,902.4,percent of total billed charges ,902.4,percent of total billed charges ,902.4,percent of total billed charges ,,,,,800.13,percent of total billed charges ,,,,,760.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,345.92,percent of total billed charges,,,345.92,percent of total billed charges,,,345.92,percent of total billed charges,,,345.92,percent of total billed charges,,,345.92,percent of total billed charges,,,345.92,percent of total billed charges,,,345.92,percent of total billed charges,,,345.92,percent of total billed charges,,,345.92,percent of total billed charges,,,345.92,percent of total billed charges,,,345.92,percent of total billed charges,
**AHP-REMOVAL FOREIGN BODY FOOT DEEP,28192,CDM,,,GF,both,,,"1,504.00","1,504.00",345.92,"1,504.00","1,504.00",percent of total billed charges,"1,504.00",percent of total billed charges,"1,504.00",percent of total billed charges,"1,504.00",percent of total billed charges,"1,504.00",percent of total billed charges,"1,504.00",percent of total billed charges,"1,504.00",percent of total billed charges,"1,504.00",percent of total billed charges,"1,082.88",percent of total billed charges,"1,082.88",percent of total billed charges,"1,082.88",percent of total billed charges,"1,082.88",percent of total billed charges,"1,082.88",percent of total billed charges,"1,082.88",percent of total billed charges,"1,188.16",percent of total billed charges,"1,188.16",percent of total billed charges,"1,203.20",percent of total billed charges,"1,203.20",percent of total billed charges,,,"1,082.88",percent of total billed charges ,,,"1,203.20",percent of total billed charges ,"1,188.16",percent of total billed charges ,"1,188.16",percent of total billed charges ,"1,278.40",percent of total billed charges ,"1,278.40",percent of total billed charges ,"1,203.20",percent of total billed charges ,"1,203.20",percent of total billed charges ,"1,052.80",percent of total billed charges ,"1,052.80",percent of total billed charges ,902.4,percent of total billed charges ,902.4,percent of total billed charges ,902.4,percent of total billed charges ,902.4,percent of total billed charges ,,,,,800.13,percent of total billed charges ,,,,,760.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,345.92,percent of total billed charges,,,345.92,percent of total billed charges,,,345.92,percent of total billed charges,,,345.92,percent of total billed charges,,,345.92,percent of total billed charges,,,345.92,percent of total billed charges,,,345.92,percent of total billed charges,,,345.92,percent of total billed charges,,,345.92,percent of total billed charges,,,345.92,percent of total billed charges,,,345.92,percent of total billed charges,
AHP-I&D OF BARHOLINS GLAND ABSCESS,56420,CDM,,,GF,both,,,"1,080.00","1,080.00",248.4,"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,853.2,percent of total billed charges,853.2,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 ,853.2,percent of total billed charges ,853.2,percent of total billed charges ,918,percent of total billed charges ,918,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
AHP-CARDIOPULMONARY RESUSCITATION,92950,CDM,,,GF,both,,,"1,263.00","1,263.00",290.49,"1,263.00","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,"1,263.00",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,909.36,percent of total billed charges,909.36,percent of total billed charges,909.36,percent of total billed charges,909.36,percent of total billed charges,909.36,percent of total billed charges,909.36,percent of total billed charges,997.77,percent of total billed charges,997.77,percent of total billed charges,"1,010.40",percent of total billed charges,"1,010.40",percent of total billed charges,,,909.36,percent of total billed charges ,,,"1,010.40",percent of total billed charges ,997.77,percent of total billed charges ,997.77,percent of total billed charges ,"1,073.55",percent of total billed charges ,"1,073.55",percent of total billed charges ,"1,010.40",percent of total billed charges ,"1,010.40",percent of total billed charges ,884.1,percent of total billed charges ,884.1,percent of total billed charges ,757.8,percent of total billed charges ,757.8,percent of total billed charges ,757.8,percent of total billed charges ,757.8,percent of total billed charges ,,,,,671.92,percent of total billed charges ,,,,,638.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,,,290.49,percent of total billed charges,
ER-PERQ REPLACEMENT GTUBE NOT REQ REVJ,43762,CDM,,,GF,both,,,726,726,166.98,726,726,percent of total billed charges,726,percent of total billed charges,726,percent of total billed charges,726,percent of total billed charges,726,percent of total billed charges,726,percent of total billed charges,726,percent of total billed charges,726,percent of total billed charges,522.72,percent of total billed charges,522.72,percent of total billed charges,522.72,percent of total billed charges,522.72,percent of total billed charges,522.72,percent of total billed charges,522.72,percent of total billed charges,573.54,percent of total billed charges,573.54,percent of total billed charges,580.8,percent of total billed charges,580.8,percent of total billed charges,,,522.72,percent of total billed charges ,,,580.8,percent of total billed charges ,573.54,percent of total billed charges ,573.54,percent of total billed charges ,617.1,percent of total billed charges ,617.1,percent of total billed charges ,580.8,percent of total billed charges ,580.8,percent of total billed charges ,508.2,percent of total billed charges ,508.2,percent of total billed charges ,435.6,percent of total billed charges ,435.6,percent of total billed charges ,435.6,percent of total billed charges ,435.6,percent of total billed charges ,,,,,386.23,percent of total billed charges ,,,,,366.92,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.98,percent of total billed charges,,,166.98,percent of total billed charges,,,166.98,percent of total billed charges,,,166.98,percent of total billed charges,,,166.98,percent of total billed charges,,,166.98,percent of total billed charges,,,166.98,percent of total billed charges,,,166.98,percent of total billed charges,,,166.98,percent of total billed charges,,,166.98,percent of total billed charges,,,166.98,percent of total billed charges,
PHY-PERQ REPLACEMENT GTUBE NOT REQ REVJ,43762,CDM,,,GF,both,,,411,411,94.53,411,411,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,324.69,percent of total billed charges,324.69,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 ,324.69,percent of total billed charges ,324.69,percent of total billed charges ,349.35,percent of total billed charges ,349.35,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 ,,,,,,,,,,,,,,,,,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,
AHP-PERQ REPLACEMENT GTUBE NOT REQ REVJ,43762,CDM,,,GF,both,,,411,411,94.53,411,411,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,324.69,percent of total billed charges,324.69,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 ,324.69,percent of total billed charges ,324.69,percent of total billed charges ,349.35,percent of total billed charges ,349.35,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 ,,,,,,,,,,,,,,,,,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,
ER-PERQ REPLACEMENT GTUBE REQ REVJ,43763,CDM,,,GF,both,,,726,726,166.98,726,726,percent of total billed charges,726,percent of total billed charges,726,percent of total billed charges,726,percent of total billed charges,726,percent of total billed charges,726,percent of total billed charges,726,percent of total billed charges,726,percent of total billed charges,522.72,percent of total billed charges,522.72,percent of total billed charges,522.72,percent of total billed charges,522.72,percent of total billed charges,522.72,percent of total billed charges,522.72,percent of total billed charges,573.54,percent of total billed charges,573.54,percent of total billed charges,580.8,percent of total billed charges,580.8,percent of total billed charges,,,522.72,percent of total billed charges ,,,580.8,percent of total billed charges ,573.54,percent of total billed charges ,573.54,percent of total billed charges ,617.1,percent of total billed charges ,617.1,percent of total billed charges ,580.8,percent of total billed charges ,580.8,percent of total billed charges ,508.2,percent of total billed charges ,508.2,percent of total billed charges ,435.6,percent of total billed charges ,435.6,percent of total billed charges ,435.6,percent of total billed charges ,435.6,percent of total billed charges ,,,,,386.23,percent of total billed charges ,,,,,366.92,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.98,percent of total billed charges,,,166.98,percent of total billed charges,,,166.98,percent of total billed charges,,,166.98,percent of total billed charges,,,166.98,percent of total billed charges,,,166.98,percent of total billed charges,,,166.98,percent of total billed charges,,,166.98,percent of total billed charges,,,166.98,percent of total billed charges,,,166.98,percent of total billed charges,,,166.98,percent of total billed charges,
PHY-PERQ REPLACEMENT GTUBE REQ REVJ,43763,CDM,,,GF,both,,,411,411,94.53,411,411,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,324.69,percent of total billed charges,324.69,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 ,324.69,percent of total billed charges ,324.69,percent of total billed charges ,349.35,percent of total billed charges ,349.35,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 ,,,,,,,,,,,,,,,,,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,
AHP-PERQ REPLACEMENT GTUBE REQ REVJ,43763,CDM,,,GF,both,,,411,411,94.53,411,411,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,324.69,percent of total billed charges,324.69,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 ,324.69,percent of total billed charges ,324.69,percent of total billed charges ,349.35,percent of total billed charges ,349.35,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 ,,,,,,,,,,,,,,,,,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,
"AHP-CYSTOURETHROSCOPY, SIMPLE",52310,CDM,,,GF,both,,,747,747,171.81,747,747,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,747,percent of total billed charges,747,percent of total billed charges,747,percent of total billed charges,537.84,percent of total billed charges,537.84,percent of total billed charges,537.84,percent of total billed charges,537.84,percent of total billed charges,537.84,percent of total billed charges,537.84,percent of total billed charges,590.13,percent of total billed charges,590.13,percent of total billed charges,597.6,percent of total billed charges,597.6,percent of total billed charges,,,537.84,percent of total billed charges ,,,597.6,percent of total billed charges ,590.13,percent of total billed charges ,590.13,percent of total billed charges ,634.95,percent of total billed charges ,634.95,percent of total billed charges ,597.6,percent of total billed charges ,597.6,percent of total billed charges ,522.9,percent of total billed charges ,522.9,percent of total billed charges ,448.2,percent of total billed charges ,448.2,percent of total billed charges ,448.2,percent of total billed charges ,448.2,percent of total billed charges ,,,,,397.4,percent of total billed charges ,,,,,377.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,
PHY-CYSTOURETHROSCOPY SIMPLE,52310,CDM,,,GF,both,,,747,747,171.81,747,747,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,747,percent of total billed charges,747,percent of total billed charges,747,percent of total billed charges,537.84,percent of total billed charges,537.84,percent of total billed charges,537.84,percent of total billed charges,537.84,percent of total billed charges,537.84,percent of total billed charges,537.84,percent of total billed charges,590.13,percent of total billed charges,590.13,percent of total billed charges,597.6,percent of total billed charges,597.6,percent of total billed charges,,,537.84,percent of total billed charges ,,,597.6,percent of total billed charges ,590.13,percent of total billed charges ,590.13,percent of total billed charges ,634.95,percent of total billed charges ,634.95,percent of total billed charges ,597.6,percent of total billed charges ,597.6,percent of total billed charges ,522.9,percent of total billed charges ,522.9,percent of total billed charges ,448.2,percent of total billed charges ,448.2,percent of total billed charges ,448.2,percent of total billed charges ,448.2,percent of total billed charges ,,,,,397.4,percent of total billed charges ,,,,,377.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,,,171.81,percent of total billed charges,
ER-CYSTOURETHROSCOPY SIMPLE,52310,CDM,,,GF,both,,,"7,250.00","7,250.00","1,667.50","7,250.00","7,250.00",percent of total billed charges,"7,250.00",percent of total billed charges,"7,250.00",percent of total billed charges,"7,250.00",percent of total billed charges,"7,250.00",percent of total billed charges,"7,250.00",percent of total billed charges,"7,250.00",percent of total billed charges,"7,250.00",percent of total billed charges,"5,220.00",percent of total billed charges,"5,220.00",percent of total billed charges,"5,220.00",percent of total billed charges,"5,220.00",percent of total billed charges,"5,220.00",percent of total billed charges,"5,220.00",percent of total billed charges,"5,727.50",percent of total billed charges,"5,727.50",percent of total billed charges,"5,800.00",percent of total billed charges,"5,800.00",percent of total billed charges,,,"5,220.00",percent of total billed charges ,,,"5,800.00",percent of total billed charges ,"5,727.50",percent of total billed charges ,"5,727.50",percent of total billed charges ,"6,162.50",percent of total billed charges ,"6,162.50",percent of total billed charges ,"5,800.00",percent of total billed charges ,"5,800.00",percent of total billed charges ,"5,075.00",percent of total billed charges ,"5,075.00",percent of total billed charges ,"4,350.00",percent of total billed charges ,"4,350.00",percent of total billed charges ,"4,350.00",percent of total billed charges ,"4,350.00",percent of total billed charges ,,,,,"3,857.00",percent of total billed charges ,,,,,"3,664.15",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,667.50",percent of total billed charges,,,"1,667.50",percent of total billed charges,,,"1,667.50",percent of total billed charges,,,"1,667.50",percent of total billed charges,,,"1,667.50",percent of total billed charges,,,"1,667.50",percent of total billed charges,,,"1,667.50",percent of total billed charges,,,"1,667.50",percent of total billed charges,,,"1,667.50",percent of total billed charges,,,"1,667.50",percent of total billed charges,,,"1,667.50",percent of total billed charges,
AHP-EXCISION BENIGN LESION TRUNK ARMS OR,11402,CDM,,,GF,both,,,552,552,126.96,552,552,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,436.08,percent of total billed charges,436.08,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 ,436.08,percent of total billed charges ,436.08,percent of total billed charges ,469.2,percent of total billed charges ,469.2,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 ,,,,,,,,,,,,,,,,,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,
PHY-EXCISION BENIGH LESSION TRUNK ARMS O,11402,CDM,,,GF,both,,,552,552,126.96,552,552,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,436.08,percent of total billed charges,436.08,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 ,436.08,percent of total billed charges ,436.08,percent of total billed charges ,469.2,percent of total billed charges ,469.2,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 ,,,,,,,,,,,,,,,,,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,
ER-EXCISION BENIGH LESION TRUCK ARMS OR,11402,CDM,,,GF,both,,,"3,472.00","3,472.00",798.56,"3,472.00","3,472.00",percent of total billed charges,"3,472.00",percent of total billed charges,"3,472.00",percent of total billed charges,"3,472.00",percent of total billed charges,"3,472.00",percent of total billed charges,"3,472.00",percent of total billed charges,"3,472.00",percent of total billed charges,"3,472.00",percent of total billed charges,"2,499.84",percent of total billed charges,"2,499.84",percent of total billed charges,"2,499.84",percent of total billed charges,"2,499.84",percent of total billed charges,"2,499.84",percent of total billed charges,"2,499.84",percent of total billed charges,"2,742.88",percent of total billed charges,"2,742.88",percent of total billed charges,"2,777.60",percent of total billed charges,"2,777.60",percent of total billed charges,,,"2,499.84",percent of total billed charges ,,,"2,777.60",percent of total billed charges ,"2,742.88",percent of total billed charges ,"2,742.88",percent of total billed charges ,"2,951.20",percent of total billed charges ,"2,951.20",percent of total billed charges ,"2,777.60",percent of total billed charges ,"2,777.60",percent of total billed charges ,"2,430.40",percent of total billed charges ,"2,430.40",percent of total billed charges ,"2,083.20",percent of total billed charges ,"2,083.20",percent of total billed charges ,"2,083.20",percent of total billed charges ,"2,083.20",percent of total billed charges ,,,,,"1,847.10",percent of total billed charges ,,,,,"1,754.75",percent of total billed charges ,,,,,,,,,,,,,,,,,,,798.56,percent of total billed charges,,,798.56,percent of total billed charges,,,798.56,percent of total billed charges,,,798.56,percent of total billed charges,,,798.56,percent of total billed charges,,,798.56,percent of total billed charges,,,798.56,percent of total billed charges,,,798.56,percent of total billed charges,,,798.56,percent of total billed charges,,,798.56,percent of total billed charges,,,798.56,percent of total billed charges,
AHP-WOUND REPAIR INTERMEDIATE N/H/F/XTRN,12044,CDM,,,GF,both,,,"1,039.00","1,039.00",238.97,"1,039.00","1,039.00",percent of total billed charges,"1,039.00",percent of total billed charges,"1,039.00",percent of total billed charges,"1,039.00",percent of total billed charges,"1,039.00",percent of total billed charges,"1,039.00",percent of total billed charges,"1,039.00",percent of total billed charges,"1,039.00",percent of total billed charges,748.08,percent of total billed charges,748.08,percent of total billed charges,748.08,percent of total billed charges,748.08,percent of total billed charges,748.08,percent of total billed charges,748.08,percent of total billed charges,820.81,percent of total billed charges,820.81,percent of total billed charges,831.2,percent of total billed charges,831.2,percent of total billed charges,,,748.08,percent of total billed charges ,,,831.2,percent of total billed charges ,820.81,percent of total billed charges ,820.81,percent of total billed charges ,883.15,percent of total billed charges ,883.15,percent of total billed charges ,831.2,percent of total billed charges ,831.2,percent of total billed charges ,727.3,percent of total billed charges ,727.3,percent of total billed charges ,623.4,percent of total billed charges ,623.4,percent of total billed charges ,623.4,percent of total billed charges ,623.4,percent of total billed charges ,,,,,552.75,percent of total billed charges ,,,,,525.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,238.97,percent of total billed charges,,,238.97,percent of total billed charges,,,238.97,percent of total billed charges,,,238.97,percent of total billed charges,,,238.97,percent of total billed charges,,,238.97,percent of total billed charges,,,238.97,percent of total billed charges,,,238.97,percent of total billed charges,,,238.97,percent of total billed charges,,,238.97,percent of total billed charges,,,238.97,percent of total billed charges,
AHP-REPAIR COMPLEX EYELID/NOSE/EARL/LIP,13152,CDM,,,GF,both,,,"1,688.00","1,688.00",388.24,"1,688.00","1,688.00",percent of total billed charges,"1,688.00",percent of total billed charges,"1,688.00",percent of total billed charges,"1,688.00",percent of total billed charges,"1,688.00",percent of total billed charges,"1,688.00",percent of total billed charges,"1,688.00",percent of total billed charges,"1,688.00",percent of total billed charges,"1,215.36",percent of total billed charges,"1,215.36",percent of total billed charges,"1,215.36",percent of total billed charges,"1,215.36",percent of total billed charges,"1,215.36",percent of total billed charges,"1,215.36",percent of total billed charges,"1,333.52",percent of total billed charges,"1,333.52",percent of total billed charges,"1,350.40",percent of total billed charges,"1,350.40",percent of total billed charges,,,"1,215.36",percent of total billed charges ,,,"1,350.40",percent of total billed charges ,"1,333.52",percent of total billed charges ,"1,333.52",percent of total billed charges ,"1,434.80",percent of total billed charges ,"1,434.80",percent of total billed charges ,"1,350.40",percent of total billed charges ,"1,350.40",percent of total billed charges ,"1,181.60",percent of total billed charges ,"1,181.60",percent of total billed charges ,"1,012.80",percent of total billed charges ,"1,012.80",percent of total billed charges ,"1,012.80",percent of total billed charges ,"1,012.80",percent of total billed charges ,,,,,898.02,percent of total billed charges ,,,,,853.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,388.24,percent of total billed charges,,,388.24,percent of total billed charges,,,388.24,percent of total billed charges,,,388.24,percent of total billed charges,,,388.24,percent of total billed charges,,,388.24,percent of total billed charges,,,388.24,percent of total billed charges,,,388.24,percent of total billed charges,,,388.24,percent of total billed charges,,,388.24,percent of total billed charges,,,388.24,percent of total billed charges,
RN TRANSPORT FOR AMBULANCE TRANSFER,G0463,CDM,,,,both,,,348,348,80.04,348,348,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,274.92,percent of total billed charges,274.92,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 ,274.92,percent of total billed charges ,274.92,percent of total billed charges ,295.8,percent of total billed charges ,295.8,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 ,,,,,,,,,,,,,,,,,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,
TRAUMA RESPONSE TEAM ACTIVATION,G0390,CDM,,,,both,,,"8,274.00","8,274.00","1,903.02","8,274.00","8,274.00",percent of total billed charges,"8,274.00",percent of total billed charges,"8,274.00",percent of total billed charges,"8,274.00",percent of total billed charges,"8,274.00",percent of total billed charges,"8,274.00",percent of total billed charges,"8,274.00",percent of total billed charges,"8,274.00",percent of total billed charges,"5,957.28",percent of total billed charges,"5,957.28",percent of total billed charges,"5,957.28",percent of total billed charges,"5,957.28",percent of total billed charges,"5,957.28",percent of total billed charges,"5,957.28",percent of total billed charges,"6,536.46",percent of total billed charges,"6,536.46",percent of total billed charges,"6,619.20",percent of total billed charges,"6,619.20",percent of total billed charges,,,"5,957.28",percent of total billed charges ,,,"6,619.20",percent of total billed charges ,"6,536.46",percent of total billed charges ,"6,536.46",percent of total billed charges ,"7,032.90",percent of total billed charges ,"7,032.90",percent of total billed charges ,"6,619.20",percent of total billed charges ,"6,619.20",percent of total billed charges ,"5,791.80",percent of total billed charges ,"5,791.80",percent of total billed charges ,"4,964.40",percent of total billed charges ,"4,964.40",percent of total billed charges ,"4,964.40",percent of total billed charges ,"4,964.40",percent of total billed charges ,,,,,"4,401.77",percent of total billed charges ,,,,,"4,181.68",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,903.02",percent of total billed charges,,,"1,903.02",percent of total billed charges,,,"1,903.02",percent of total billed charges,,,"1,903.02",percent of total billed charges,,,"1,903.02",percent of total billed charges,,,"1,903.02",percent of total billed charges,,,"1,903.02",percent of total billed charges,,,"1,903.02",percent of total billed charges,,,"1,903.02",percent of total billed charges,,,"1,903.02",percent of total billed charges,,,"1,903.02",percent of total billed charges,
SPECIMEN COLLECTION FOR ESTABLISHED PICC,36592,CDM,,,,both,,,237,237,54.51,237,237,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,187.23,percent of total billed charges,187.23,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 ,187.23,percent of total billed charges ,187.23,percent of total billed charges ,201.45,percent of total billed charges ,201.45,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 ,,,,,,,,,,,,,,,,,,,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,,,54.51,percent of total billed charges,,,54.51,percent of total billed charges,,,54.51,percent of total billed charges,
SPECIMEN COLLECTION FROM PORT,36591,CDM,,,,both,,,258,258,59.34,258,258,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,203.82,percent of total billed charges,203.82,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 ,203.82,percent of total billed charges ,203.82,percent of total billed charges ,219.3,percent of total billed charges ,219.3,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 ,,,,,,,,,,,,,,,,,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,
URINARY IN/OUT CATH-MEDICAL NON-INDWELLI,51701,CDM,,,,both,,,383,383,88.09,383,383,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,302.57,percent of total billed charges,302.57,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 ,302.57,percent of total billed charges ,302.57,percent of total billed charges ,325.55,percent of total billed charges ,325.55,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 ,,,,,,,,,,,,,,,,,,,88.09,percent of total billed charges,,,88.09,percent of total billed charges,,,88.09,percent of total billed charges,,,88.09,percent of total billed charges,,,88.09,percent of total billed charges,,,88.09,percent of total billed charges,,,88.09,percent of total billed charges,,,88.09,percent of total billed charges,,,88.09,percent of total billed charges,,,88.09,percent of total billed charges,,,88.09,percent of total billed charges,
AHP-INCISION OF THROMBOSED HEMORROID,46083,CDM,,,,both,,,519,519,119.37,519,519,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,410.01,percent of total billed charges,410.01,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 ,410.01,percent of total billed charges ,410.01,percent of total billed charges ,441.15,percent of total billed charges ,441.15,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 ,,,,,,,,,,,,,,,,,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,
"AHP-I & D PALAGE, UVULA",42000,CDM,,,,both,,,"1,048.00","1,048.00",241.04,"1,048.00","1,048.00",percent of total billed charges,"1,048.00",percent of total billed charges,"1,048.00",percent of total billed charges,"1,048.00",percent of total billed charges,"1,048.00",percent of total billed charges,"1,048.00",percent of total billed charges,"1,048.00",percent of total billed charges,"1,048.00",percent of total billed charges,754.56,percent of total billed charges,754.56,percent of total billed charges,754.56,percent of total billed charges,754.56,percent of total billed charges,754.56,percent of total billed charges,754.56,percent of total billed charges,827.92,percent of total billed charges,827.92,percent of total billed charges,838.4,percent of total billed charges,838.4,percent of total billed charges,,,754.56,percent of total billed charges ,,,838.4,percent of total billed charges ,827.92,percent of total billed charges ,827.92,percent of total billed charges ,890.8,percent of total billed charges ,890.8,percent of total billed charges ,838.4,percent of total billed charges ,838.4,percent of total billed charges ,733.6,percent of total billed charges ,733.6,percent of total billed charges ,628.8,percent of total billed charges ,628.8,percent of total billed charges ,628.8,percent of total billed charges ,628.8,percent of total billed charges ,,,,,557.54,percent of total billed charges ,,,,,529.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,241.04,percent of total billed charges,,,241.04,percent of total billed charges,,,241.04,percent of total billed charges,,,241.04,percent of total billed charges,,,241.04,percent of total billed charges,,,241.04,percent of total billed charges,,,241.04,percent of total billed charges,,,241.04,percent of total billed charges,,,241.04,percent of total billed charges,,,241.04,percent of total billed charges,,,241.04,percent of total billed charges,
ER- CLSD TX CLAVICULAR FRACTURE W/O MANI,23500,CDM,,,GF,both,,,748,748,172.04,748,748,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,590.92,percent of total billed charges,590.92,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 ,590.92,percent of total billed charges ,590.92,percent of total billed charges ,635.8,percent of total billed charges ,635.8,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 ,,,,,,,,,,,,,,,,,,,172.04,percent of total billed charges,,,172.04,percent of total billed charges,,,172.04,percent of total billed charges,,,172.04,percent of total billed charges,,,172.04,percent of total billed charges,,,172.04,percent of total billed charges,,,172.04,percent of total billed charges,,,172.04,percent of total billed charges,,,172.04,percent of total billed charges,,,172.04,percent of total billed charges,,,172.04,percent of total billed charges,
PHY- CLSD TX CLAVICULAR FRACTURE W/O MAN,23500,CDM,,,GF,both,,,965,965,221.95,965,965,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,762.35,percent of total billed charges,762.35,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 ,762.35,percent of total billed charges ,762.35,percent of total billed charges ,820.25,percent of total billed charges ,820.25,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 ,,,,,,,,,,,,,,,,,,,221.95,percent of total billed charges,,,221.95,percent of total billed charges,,,221.95,percent of total billed charges,,,221.95,percent of total billed charges,,,221.95,percent of total billed charges,,,221.95,percent of total billed charges,,,221.95,percent of total billed charges,,,221.95,percent of total billed charges,,,221.95,percent of total billed charges,,,221.95,percent of total billed charges,,,221.95,percent of total billed charges,
AHP-CLSD TX CLAVICULAR FRACTURE W/O MANI,23500,CDM,,,GF,both,,,965,965,221.95,965,965,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,762.35,percent of total billed charges,762.35,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 ,762.35,percent of total billed charges ,762.35,percent of total billed charges ,820.25,percent of total billed charges ,820.25,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 ,,,,,,,,,,,,,,,,,,,221.95,percent of total billed charges,,,221.95,percent of total billed charges,,,221.95,percent of total billed charges,,,221.95,percent of total billed charges,,,221.95,percent of total billed charges,,,221.95,percent of total billed charges,,,221.95,percent of total billed charges,,,221.95,percent of total billed charges,,,221.95,percent of total billed charges,,,221.95,percent of total billed charges,,,221.95,percent of total billed charges,
ER-CLTX PROXIMAL HUMERAL FRACTURE W/O MA,23600,CDM,,,GF,both,,,828,828,190.44,828,828,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,828,percent of total billed charges,828,percent of total billed charges,596.16,percent of total billed charges,596.16,percent of total billed charges,596.16,percent of total billed charges,596.16,percent of total billed charges,596.16,percent of total billed charges,596.16,percent of total billed charges,654.12,percent of total billed charges,654.12,percent of total billed charges,662.4,percent of total billed charges,662.4,percent of total billed charges,,,596.16,percent of total billed charges ,,,662.4,percent of total billed charges ,654.12,percent of total billed charges ,654.12,percent of total billed charges ,703.8,percent of total billed charges ,703.8,percent of total billed charges ,662.4,percent of total billed charges ,662.4,percent of total billed charges ,579.6,percent of total billed charges ,579.6,percent of total billed charges ,496.8,percent of total billed charges ,496.8,percent of total billed charges ,496.8,percent of total billed charges ,496.8,percent of total billed charges ,,,,,440.5,percent of total billed charges ,,,,,418.47,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,,,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,,,190.44,percent of total billed charges,,,190.44,percent of total billed charges,,,190.44,percent of total billed charges,
PHY-CLTX PROXIMAL HUMERAL FRACTURE W/O M,23600,CDM,,,GF,both,,,"1,336.00","1,336.00",307.28,"1,336.00","1,336.00",percent of total billed charges,"1,336.00",percent of total billed charges,"1,336.00",percent of total billed charges,"1,336.00",percent of total billed charges,"1,336.00",percent of total billed charges,"1,336.00",percent of total billed charges,"1,336.00",percent of total billed charges,"1,336.00",percent of total billed charges,961.92,percent of total billed charges,961.92,percent of total billed charges,961.92,percent of total billed charges,961.92,percent of total billed charges,961.92,percent of total billed charges,961.92,percent of total billed charges,"1,055.44",percent of total billed charges,"1,055.44",percent of total billed charges,"1,068.80",percent of total billed charges,"1,068.80",percent of total billed charges,,,961.92,percent of total billed charges ,,,"1,068.80",percent of total billed charges ,"1,055.44",percent of total billed charges ,"1,055.44",percent of total billed charges ,"1,135.60",percent of total billed charges ,"1,135.60",percent of total billed charges ,"1,068.80",percent of total billed charges ,"1,068.80",percent of total billed charges ,935.2,percent of total billed charges ,935.2,percent of total billed charges ,801.6,percent of total billed charges ,801.6,percent of total billed charges ,801.6,percent of total billed charges ,801.6,percent of total billed charges ,,,,,710.75,percent of total billed charges ,,,,,675.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,307.28,percent of total billed charges,,,307.28,percent of total billed charges,,,307.28,percent of total billed charges,,,307.28,percent of total billed charges,,,307.28,percent of total billed charges,,,307.28,percent of total billed charges,,,307.28,percent of total billed charges,,,307.28,percent of total billed charges,,,307.28,percent of total billed charges,,,307.28,percent of total billed charges,,,307.28,percent of total billed charges,
AHP-CLTX PROXIMAL HUMERAL FRACTURE W/O M,23600,CDM,,,GF,both,,,"1,336.00","1,336.00",307.28,"1,336.00","1,336.00",percent of total billed charges,"1,336.00",percent of total billed charges,"1,336.00",percent of total billed charges,"1,336.00",percent of total billed charges,"1,336.00",percent of total billed charges,"1,336.00",percent of total billed charges,"1,336.00",percent of total billed charges,"1,336.00",percent of total billed charges,961.92,percent of total billed charges,961.92,percent of total billed charges,961.92,percent of total billed charges,961.92,percent of total billed charges,961.92,percent of total billed charges,961.92,percent of total billed charges,"1,055.44",percent of total billed charges,"1,055.44",percent of total billed charges,"1,068.80",percent of total billed charges,"1,068.80",percent of total billed charges,,,961.92,percent of total billed charges ,,,"1,068.80",percent of total billed charges ,"1,055.44",percent of total billed charges ,"1,055.44",percent of total billed charges ,"1,135.60",percent of total billed charges ,"1,135.60",percent of total billed charges ,"1,068.80",percent of total billed charges ,"1,068.80",percent of total billed charges ,935.2,percent of total billed charges ,935.2,percent of total billed charges ,801.6,percent of total billed charges ,801.6,percent of total billed charges ,801.6,percent of total billed charges ,801.6,percent of total billed charges ,,,,,710.75,percent of total billed charges ,,,,,675.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,307.28,percent of total billed charges,,,307.28,percent of total billed charges,,,307.28,percent of total billed charges,,,307.28,percent of total billed charges,,,307.28,percent of total billed charges,,,307.28,percent of total billed charges,,,307.28,percent of total billed charges,,,307.28,percent of total billed charges,,,307.28,percent of total billed charges,,,307.28,percent of total billed charges,,,307.28,percent of total billed charges,
ER- CLSD TX HUMERAL SHAFT FRACTURE W/O M,24500,CDM,,,GF,both,,,801,801,184.23,801,801,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,801,percent of total billed charges,801,percent of total billed charges,801,percent of total billed charges,576.72,percent of total billed charges,576.72,percent of total billed charges,576.72,percent of total billed charges,576.72,percent of total billed charges,576.72,percent of total billed charges,576.72,percent of total billed charges,632.79,percent of total billed charges,632.79,percent of total billed charges,640.8,percent of total billed charges,640.8,percent of total billed charges,,,576.72,percent of total billed charges ,,,640.8,percent of total billed charges ,632.79,percent of total billed charges ,632.79,percent of total billed charges ,680.85,percent of total billed charges ,680.85,percent of total billed charges ,640.8,percent of total billed charges ,640.8,percent of total billed charges ,560.7,percent of total billed charges ,560.7,percent of total billed charges ,480.6,percent of total billed charges ,480.6,percent of total billed charges ,480.6,percent of total billed charges ,480.6,percent of total billed charges ,,,,,426.13,percent of total billed charges ,,,,,404.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,184.23,percent of total billed charges,,,184.23,percent of total billed charges,,,184.23,percent of total billed charges,,,184.23,percent of total billed charges,,,184.23,percent of total billed charges,,,184.23,percent of total billed charges,,,184.23,percent of total billed charges,,,184.23,percent of total billed charges,,,184.23,percent of total billed charges,,,184.23,percent of total billed charges,,,184.23,percent of total billed charges,
PHY- CLSD TX HUMERAL SHAFT FRACTURE W/O,24500,CDM,,,GF,both,,,"1,421.00","1,421.00",326.83,"1,421.00","1,421.00",percent of total billed charges,"1,421.00",percent of total billed charges,"1,421.00",percent of total billed charges,"1,421.00",percent of total billed charges,"1,421.00",percent of total billed charges,"1,421.00",percent of total billed charges,"1,421.00",percent of total billed charges,"1,421.00",percent of total billed charges,"1,023.12",percent of total billed charges,"1,023.12",percent of total billed charges,"1,023.12",percent of total billed charges,"1,023.12",percent of total billed charges,"1,023.12",percent of total billed charges,"1,023.12",percent of total billed charges,"1,122.59",percent of total billed charges,"1,122.59",percent of total billed charges,"1,136.80",percent of total billed charges,"1,136.80",percent of total billed charges,,,"1,023.12",percent of total billed charges ,,,"1,136.80",percent of total billed charges ,"1,122.59",percent of total billed charges ,"1,122.59",percent of total billed charges ,"1,207.85",percent of total billed charges ,"1,207.85",percent of total billed charges ,"1,136.80",percent of total billed charges ,"1,136.80",percent of total billed charges ,994.7,percent of total billed charges ,994.7,percent of total billed charges ,852.6,percent of total billed charges ,852.6,percent of total billed charges ,852.6,percent of total billed charges ,852.6,percent of total billed charges ,,,,,755.97,percent of total billed charges ,,,,,718.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,326.83,percent of total billed charges,,,326.83,percent of total billed charges,,,326.83,percent of total billed charges,,,326.83,percent of total billed charges,,,326.83,percent of total billed charges,,,326.83,percent of total billed charges,,,326.83,percent of total billed charges,,,326.83,percent of total billed charges,,,326.83,percent of total billed charges,,,326.83,percent of total billed charges,,,326.83,percent of total billed charges,
AHP-CLSD TX HUMERAL SHAFT FRACTURE W/O,24500,CDM,,,GF,both,,,"1,421.00","1,421.00",326.83,"1,421.00","1,421.00",percent of total billed charges,"1,421.00",percent of total billed charges,"1,421.00",percent of total billed charges,"1,421.00",percent of total billed charges,"1,421.00",percent of total billed charges,"1,421.00",percent of total billed charges,"1,421.00",percent of total billed charges,"1,421.00",percent of total billed charges,"1,023.12",percent of total billed charges,"1,023.12",percent of total billed charges,"1,023.12",percent of total billed charges,"1,023.12",percent of total billed charges,"1,023.12",percent of total billed charges,"1,023.12",percent of total billed charges,"1,122.59",percent of total billed charges,"1,122.59",percent of total billed charges,"1,136.80",percent of total billed charges,"1,136.80",percent of total billed charges,,,"1,023.12",percent of total billed charges ,,,"1,136.80",percent of total billed charges ,"1,122.59",percent of total billed charges ,"1,122.59",percent of total billed charges ,"1,207.85",percent of total billed charges ,"1,207.85",percent of total billed charges ,"1,136.80",percent of total billed charges ,"1,136.80",percent of total billed charges ,994.7,percent of total billed charges ,994.7,percent of total billed charges ,852.6,percent of total billed charges ,852.6,percent of total billed charges ,852.6,percent of total billed charges ,852.6,percent of total billed charges ,,,,,755.97,percent of total billed charges ,,,,,718.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,326.83,percent of total billed charges,,,326.83,percent of total billed charges,,,326.83,percent of total billed charges,,,326.83,percent of total billed charges,,,326.83,percent of total billed charges,,,326.83,percent of total billed charges,,,326.83,percent of total billed charges,,,326.83,percent of total billed charges,,,326.83,percent of total billed charges,,,326.83,percent of total billed charges,,,326.83,percent of total billed charges,
ER- CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL F,24530,CDM,,,GF,both,,,894,894,205.62,894,894,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,706.26,percent of total billed charges,706.26,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 ,706.26,percent of total billed charges ,706.26,percent of total billed charges ,759.9,percent of total billed charges ,759.9,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 ,,,,,,,,,,,,,,,,,,,205.62,percent of total billed charges,,,205.62,percent of total billed charges,,,205.62,percent of total billed charges,,,205.62,percent of total billed charges,,,205.62,percent of total billed charges,,,205.62,percent of total billed charges,,,205.62,percent of total billed charges,,,205.62,percent of total billed charges,,,205.62,percent of total billed charges,,,205.62,percent of total billed charges,,,205.62,percent of total billed charges,
PHY- CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL,24530,CDM,,,GF,both,,,"1,505.00","1,505.00",346.15,"1,505.00","1,505.00",percent of total billed charges,"1,505.00",percent of total billed charges,"1,505.00",percent of total billed charges,"1,505.00",percent of total billed charges,"1,505.00",percent of total billed charges,"1,505.00",percent of total billed charges,"1,505.00",percent of total billed charges,"1,505.00",percent of total billed charges,"1,083.60",percent of total billed charges,"1,083.60",percent of total billed charges,"1,083.60",percent of total billed charges,"1,083.60",percent of total billed charges,"1,083.60",percent of total billed charges,"1,083.60",percent of total billed charges,"1,188.95",percent of total billed charges,"1,188.95",percent of total billed charges,"1,204.00",percent of total billed charges,"1,204.00",percent of total billed charges,,,"1,083.60",percent of total billed charges ,,,"1,204.00",percent of total billed charges ,"1,188.95",percent of total billed charges ,"1,188.95",percent of total billed charges ,"1,279.25",percent of total billed charges ,"1,279.25",percent of total billed charges ,"1,204.00",percent of total billed charges ,"1,204.00",percent of total billed charges ,"1,053.50",percent of total billed charges ,"1,053.50",percent of total billed charges ,903,percent of total billed charges ,903,percent of total billed charges ,903,percent of total billed charges ,903,percent of total billed charges ,,,,,800.66,percent of total billed charges ,,,,,760.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,346.15,percent of total billed charges,,,346.15,percent of total billed charges,,,346.15,percent of total billed charges,,,346.15,percent of total billed charges,,,346.15,percent of total billed charges,,,346.15,percent of total billed charges,,,346.15,percent of total billed charges,,,346.15,percent of total billed charges,,,346.15,percent of total billed charges,,,346.15,percent of total billed charges,,,346.15,percent of total billed charges,
AHP-CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL,24530,CDM,,,GF,both,,,"1,505.00","1,505.00",346.15,"1,505.00","1,505.00",percent of total billed charges,"1,505.00",percent of total billed charges,"1,505.00",percent of total billed charges,"1,505.00",percent of total billed charges,"1,505.00",percent of total billed charges,"1,505.00",percent of total billed charges,"1,505.00",percent of total billed charges,"1,505.00",percent of total billed charges,"1,083.60",percent of total billed charges,"1,083.60",percent of total billed charges,"1,083.60",percent of total billed charges,"1,083.60",percent of total billed charges,"1,083.60",percent of total billed charges,"1,083.60",percent of total billed charges,"1,188.95",percent of total billed charges,"1,188.95",percent of total billed charges,"1,204.00",percent of total billed charges,"1,204.00",percent of total billed charges,,,"1,083.60",percent of total billed charges ,,,"1,204.00",percent of total billed charges ,"1,188.95",percent of total billed charges ,"1,188.95",percent of total billed charges ,"1,279.25",percent of total billed charges ,"1,279.25",percent of total billed charges ,"1,204.00",percent of total billed charges ,"1,204.00",percent of total billed charges ,"1,053.50",percent of total billed charges ,"1,053.50",percent of total billed charges ,903,percent of total billed charges ,903,percent of total billed charges ,903,percent of total billed charges ,903,percent of total billed charges ,,,,,800.66,percent of total billed charges ,,,,,760.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,346.15,percent of total billed charges,,,346.15,percent of total billed charges,,,346.15,percent of total billed charges,,,346.15,percent of total billed charges,,,346.15,percent of total billed charges,,,346.15,percent of total billed charges,,,346.15,percent of total billed charges,,,346.15,percent of total billed charges,,,346.15,percent of total billed charges,,,346.15,percent of total billed charges,,,346.15,percent of total billed charges,
ER-CLD TR RADIAL HEAD FX W/MANI,24650,CDM,,,GF,both,,,719,719,165.37,719,719,percent of total billed charges,719,percent of total billed charges,719,percent of total billed charges,719,percent of total billed charges,719,percent of total billed charges,719,percent of total billed charges,719,percent of total billed charges,719,percent of total billed charges,517.68,percent of total billed charges,517.68,percent of total billed charges,517.68,percent of total billed charges,517.68,percent of total billed charges,517.68,percent of total billed charges,517.68,percent of total billed charges,568.01,percent of total billed charges,568.01,percent of total billed charges,575.2,percent of total billed charges,575.2,percent of total billed charges,,,517.68,percent of total billed charges ,,,575.2,percent of total billed charges ,568.01,percent of total billed charges ,568.01,percent of total billed charges ,611.15,percent of total billed charges ,611.15,percent of total billed charges ,575.2,percent of total billed charges ,575.2,percent of total billed charges ,503.3,percent of total billed charges ,503.3,percent of total billed charges ,431.4,percent of total billed charges ,431.4,percent of total billed charges ,431.4,percent of total billed charges ,431.4,percent of total billed charges ,,,,,382.51,percent of total billed charges ,,,,,363.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,
PHY- CLOSED TX RADIAL HEAD/NECK FX W/O M,24650,CDM,,,GF,both,,,"1,042.00","1,042.00",239.66,"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,823.18,percent of total billed charges,823.18,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 ,823.18,percent of total billed charges ,823.18,percent of total billed charges ,885.7,percent of total billed charges ,885.7,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 ,,,,,,,,,,,,,,,,,,,239.66,percent of total billed charges,,,239.66,percent of total billed charges,,,239.66,percent of total billed charges,,,239.66,percent of total billed charges,,,239.66,percent of total billed charges,,,239.66,percent of total billed charges,,,239.66,percent of total billed charges,,,239.66,percent of total billed charges,,,239.66,percent of total billed charges,,,239.66,percent of total billed charges,,,239.66,percent of total billed charges,
AHP- CLOSED TX RADIAL HEAD/NECK FX W/O M,24650,CDM,,,GF,both,,,"1,042.00","1,042.00",239.66,"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,823.18,percent of total billed charges,823.18,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 ,823.18,percent of total billed charges ,823.18,percent of total billed charges ,885.7,percent of total billed charges ,885.7,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 ,,,,,,,,,,,,,,,,,,,239.66,percent of total billed charges,,,239.66,percent of total billed charges,,,239.66,percent of total billed charges,,,239.66,percent of total billed charges,,,239.66,percent of total billed charges,,,239.66,percent of total billed charges,,,239.66,percent of total billed charges,,,239.66,percent of total billed charges,,,239.66,percent of total billed charges,,,239.66,percent of total billed charges,,,239.66,percent of total billed charges,
ER- CLOSED TX ULNAR FRACTURE PROXIMAL EN,24670,CDM,,,GF,both,,,840,840,193.2,840,840,percent of total billed charges,840,percent of total billed charges,840,percent of total billed charges,840,percent of total billed charges,840,percent of total billed charges,840,percent of total billed charges,840,percent of total billed charges,840,percent of total billed charges,604.8,percent of total billed charges,604.8,percent of total billed charges,604.8,percent of total billed charges,604.8,percent of total billed charges,604.8,percent of total billed charges,604.8,percent of total billed charges,663.6,percent of total billed charges,663.6,percent of total billed charges,672,percent of total billed charges,672,percent of total billed charges,,,604.8,percent of total billed charges ,,,672,percent of total billed charges ,663.6,percent of total billed charges ,663.6,percent of total billed charges ,714,percent of total billed charges ,714,percent of total billed charges ,672,percent of total billed charges ,672,percent of total billed charges ,588,percent of total billed charges ,588,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 ,,,,,446.88,percent of total billed charges ,,,,,424.54,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,,,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,,,193.2,percent of total billed charges,,,193.2,percent of total billed charges,,,193.2,percent of total billed charges,
PHY- CLOSED TX ULNAR FRACTURE PROXIMAL E,24670,CDM,,,GF,both,,,"1,144.00","1,144.00",263.12,"1,144.00","1,144.00",percent of total billed charges,"1,144.00",percent of total billed charges,"1,144.00",percent of total billed charges,"1,144.00",percent of total billed charges,"1,144.00",percent of total billed charges,"1,144.00",percent of total billed charges,"1,144.00",percent of total billed charges,"1,144.00",percent of total billed charges,823.68,percent of total billed charges,823.68,percent of total billed charges,823.68,percent of total billed charges,823.68,percent of total billed charges,823.68,percent of total billed charges,823.68,percent of total billed charges,903.76,percent of total billed charges,903.76,percent of total billed charges,915.2,percent of total billed charges,915.2,percent of total billed charges,,,823.68,percent of total billed charges ,,,915.2,percent of total billed charges ,903.76,percent of total billed charges ,903.76,percent of total billed charges ,972.4,percent of total billed charges ,972.4,percent of total billed charges ,915.2,percent of total billed charges ,915.2,percent of total billed charges ,800.8,percent of total billed charges ,800.8,percent of total billed charges ,686.4,percent of total billed charges ,686.4,percent of total billed charges ,686.4,percent of total billed charges ,686.4,percent of total billed charges ,,,,,608.61,percent of total billed charges ,,,,,578.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,263.12,percent of total billed charges,,,263.12,percent of total billed charges,,,263.12,percent of total billed charges,,,263.12,percent of total billed charges,,,263.12,percent of total billed charges,,,263.12,percent of total billed charges,,,263.12,percent of total billed charges,,,263.12,percent of total billed charges,,,263.12,percent of total billed charges,,,263.12,percent of total billed charges,,,263.12,percent of total billed charges,
AHP-CLOSED TX ULNAR FRACTURE PROXIMAL E,24670,CDM,,,GF,both,,,"1,144.00","1,144.00",263.12,"1,144.00","1,144.00",percent of total billed charges,"1,144.00",percent of total billed charges,"1,144.00",percent of total billed charges,"1,144.00",percent of total billed charges,"1,144.00",percent of total billed charges,"1,144.00",percent of total billed charges,"1,144.00",percent of total billed charges,"1,144.00",percent of total billed charges,823.68,percent of total billed charges,823.68,percent of total billed charges,823.68,percent of total billed charges,823.68,percent of total billed charges,823.68,percent of total billed charges,823.68,percent of total billed charges,903.76,percent of total billed charges,903.76,percent of total billed charges,915.2,percent of total billed charges,915.2,percent of total billed charges,,,823.68,percent of total billed charges ,,,915.2,percent of total billed charges ,903.76,percent of total billed charges ,903.76,percent of total billed charges ,972.4,percent of total billed charges ,972.4,percent of total billed charges ,915.2,percent of total billed charges ,915.2,percent of total billed charges ,800.8,percent of total billed charges ,800.8,percent of total billed charges ,686.4,percent of total billed charges ,686.4,percent of total billed charges ,686.4,percent of total billed charges ,686.4,percent of total billed charges ,,,,,608.61,percent of total billed charges ,,,,,578.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,263.12,percent of total billed charges,,,263.12,percent of total billed charges,,,263.12,percent of total billed charges,,,263.12,percent of total billed charges,,,263.12,percent of total billed charges,,,263.12,percent of total billed charges,,,263.12,percent of total billed charges,,,263.12,percent of total billed charges,,,263.12,percent of total billed charges,,,263.12,percent of total billed charges,,,263.12,percent of total billed charges,
ER- CLOSED TX RADIAL SHAFT FRACTURE W/O,25500,CDM,,,GF,both,,,529,529,121.67,529,529,percent of total billed charges,529,percent of total billed charges,529,percent of total billed charges,529,percent of total billed charges,529,percent of total billed charges,529,percent of total billed charges,529,percent of total billed charges,529,percent of total billed charges,380.88,percent of total billed charges,380.88,percent of total billed charges,380.88,percent of total billed charges,380.88,percent of total billed charges,380.88,percent of total billed charges,380.88,percent of total billed charges,417.91,percent of total billed charges,417.91,percent of total billed charges,423.2,percent of total billed charges,423.2,percent of total billed charges,,,380.88,percent of total billed charges ,,,423.2,percent of total billed charges ,417.91,percent of total billed charges ,417.91,percent of total billed charges ,449.65,percent of total billed charges ,449.65,percent of total billed charges ,423.2,percent of total billed charges ,423.2,percent of total billed charges ,370.3,percent of total billed charges ,370.3,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 ,,,,,281.43,percent of total billed charges ,,,,,267.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,121.67,percent of total billed charges,,,121.67,percent of total billed charges,,,121.67,percent of total billed charges,,,121.67,percent of total billed charges,,,121.67,percent of total billed charges,,,121.67,percent of total billed charges,,,121.67,percent of total billed charges,,,121.67,percent of total billed charges,,,121.67,percent of total billed charges,,,121.67,percent of total billed charges,,,121.67,percent of total billed charges,
AHP- CLOSED TX RADIAL SHAFT FRACTURE W/O,25500,CDM,,,GF,both,,,"1,085.00","1,085.00",249.55,"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,857.15,percent of total billed charges,857.15,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 ,857.15,percent of total billed charges ,857.15,percent of total billed charges ,922.25,percent of total billed charges ,922.25,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 ,,,,,,,,,,,,,,,,,,,249.55,percent of total billed charges,,,249.55,percent of total billed charges,,,249.55,percent of total billed charges,,,249.55,percent of total billed charges,,,249.55,percent of total billed charges,,,249.55,percent of total billed charges,,,249.55,percent of total billed charges,,,249.55,percent of total billed charges,,,249.55,percent of total billed charges,,,249.55,percent of total billed charges,,,249.55,percent of total billed charges,
ER- CLOSED TX ULNAR SHAFT FRACTURE W/O M,25530,CDM,,,GF,both,,,729,729,167.67,729,729,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,729,percent of total billed charges,729,percent of total billed charges,729,percent of total billed charges,524.88,percent of total billed charges,524.88,percent of total billed charges,524.88,percent of total billed charges,524.88,percent of total billed charges,524.88,percent of total billed charges,524.88,percent of total billed charges,575.91,percent of total billed charges,575.91,percent of total billed charges,583.2,percent of total billed charges,583.2,percent of total billed charges,,,524.88,percent of total billed charges ,,,583.2,percent of total billed charges ,575.91,percent of total billed charges ,575.91,percent of total billed charges ,619.65,percent of total billed charges ,619.65,percent of total billed charges ,583.2,percent of total billed charges ,583.2,percent of total billed charges ,510.3,percent of total billed charges ,510.3,percent of total billed charges ,437.4,percent of total billed charges ,437.4,percent of total billed charges ,437.4,percent of total billed charges ,437.4,percent of total billed charges ,,,,,387.83,percent of total billed charges ,,,,,368.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,167.67,percent of total billed charges,,,167.67,percent of total billed charges,,,167.67,percent of total billed charges,,,167.67,percent of total billed charges,,,167.67,percent of total billed charges,,,167.67,percent of total billed charges,,,167.67,percent of total billed charges,,,167.67,percent of total billed charges,,,167.67,percent of total billed charges,,,167.67,percent of total billed charges,,,167.67,percent of total billed charges,
PHY- CLOSED TX ULNAR SHAFT FRACTURE W/O,25530,CDM,,,GF,both,,,"1,029.00","1,029.00",236.67,"1,029.00","1,029.00",percent of total billed charges,"1,029.00",percent of total billed charges,"1,029.00",percent of total billed charges,"1,029.00",percent of total billed charges,"1,029.00",percent of total billed charges,"1,029.00",percent of total billed charges,"1,029.00",percent of total billed charges,"1,029.00",percent of total billed charges,740.88,percent of total billed charges,740.88,percent of total billed charges,740.88,percent of total billed charges,740.88,percent of total billed charges,740.88,percent of total billed charges,740.88,percent of total billed charges,812.91,percent of total billed charges,812.91,percent of total billed charges,823.2,percent of total billed charges,823.2,percent of total billed charges,,,740.88,percent of total billed charges ,,,823.2,percent of total billed charges ,812.91,percent of total billed charges ,812.91,percent of total billed charges ,874.65,percent of total billed charges ,874.65,percent of total billed charges ,823.2,percent of total billed charges ,823.2,percent of total billed charges ,720.3,percent of total billed charges ,720.3,percent of total billed charges ,617.4,percent of total billed charges ,617.4,percent of total billed charges ,617.4,percent of total billed charges ,617.4,percent of total billed charges ,,,,,547.43,percent of total billed charges ,,,,,520.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,236.67,percent of total billed charges,,,236.67,percent of total billed charges,,,236.67,percent of total billed charges,,,236.67,percent of total billed charges,,,236.67,percent of total billed charges,,,236.67,percent of total billed charges,,,236.67,percent of total billed charges,,,236.67,percent of total billed charges,,,236.67,percent of total billed charges,,,236.67,percent of total billed charges,,,236.67,percent of total billed charges,
AHP- CLOSED TX ULNAR SHAFT FRACTURE W/O,25530,CDM,,,GF,both,,,"1,029.00","1,029.00",236.67,"1,029.00","1,029.00",percent of total billed charges,"1,029.00",percent of total billed charges,"1,029.00",percent of total billed charges,"1,029.00",percent of total billed charges,"1,029.00",percent of total billed charges,"1,029.00",percent of total billed charges,"1,029.00",percent of total billed charges,"1,029.00",percent of total billed charges,740.88,percent of total billed charges,740.88,percent of total billed charges,740.88,percent of total billed charges,740.88,percent of total billed charges,740.88,percent of total billed charges,740.88,percent of total billed charges,812.91,percent of total billed charges,812.91,percent of total billed charges,823.2,percent of total billed charges,823.2,percent of total billed charges,,,740.88,percent of total billed charges ,,,823.2,percent of total billed charges ,812.91,percent of total billed charges ,812.91,percent of total billed charges ,874.65,percent of total billed charges ,874.65,percent of total billed charges ,823.2,percent of total billed charges ,823.2,percent of total billed charges ,720.3,percent of total billed charges ,720.3,percent of total billed charges ,617.4,percent of total billed charges ,617.4,percent of total billed charges ,617.4,percent of total billed charges ,617.4,percent of total billed charges ,,,,,547.43,percent of total billed charges ,,,,,520.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,236.67,percent of total billed charges,,,236.67,percent of total billed charges,,,236.67,percent of total billed charges,,,236.67,percent of total billed charges,,,236.67,percent of total billed charges,,,236.67,percent of total billed charges,,,236.67,percent of total billed charges,,,236.67,percent of total billed charges,,,236.67,percent of total billed charges,,,236.67,percent of total billed charges,,,236.67,percent of total billed charges,
ER- CLOSED TX RADIAL&ULNAR SHAFT FRACTUR,25560,CDM,,,GF,both,,,"1,030.00","1,030.00",236.9,"1,030.00","1,030.00",percent of total billed charges,"1,030.00",percent of total billed charges,"1,030.00",percent of total billed charges,"1,030.00",percent of total billed charges,"1,030.00",percent of total billed charges,"1,030.00",percent of total billed charges,"1,030.00",percent of total billed charges,"1,030.00",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,741.6,percent of total billed charges,741.6,percent of total billed charges,813.7,percent of total billed charges,813.7,percent of total billed charges,824,percent of total billed charges,824,percent of total billed charges,,,741.6,percent of total billed charges ,,,824,percent of total billed charges ,813.7,percent of total billed charges ,813.7,percent of total billed charges ,875.5,percent of total billed charges ,875.5,percent of total billed charges ,824,percent of total billed charges ,824,percent of total billed charges ,721,percent of total billed charges ,721,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 ,,,,,547.96,percent of total billed charges ,,,,,520.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,236.9,percent of total billed charges,,,236.9,percent of total billed charges,,,236.9,percent of total billed charges,,,236.9,percent of total billed charges,,,236.9,percent of total billed charges,,,236.9,percent of total billed charges,,,236.9,percent of total billed charges,,,236.9,percent of total billed charges,,,236.9,percent of total billed charges,,,236.9,percent of total billed charges,,,236.9,percent of total billed charges,
PHY- CLOSED TX RADIAL&ULNAR SHAFT FRACTU,25560,CDM,,,GF,both,,,"1,095.00","1,095.00",251.85,"1,095.00","1,095.00",percent of total billed charges,"1,095.00",percent of total billed charges,"1,095.00",percent of total billed charges,"1,095.00",percent of total billed charges,"1,095.00",percent of total billed charges,"1,095.00",percent of total billed charges,"1,095.00",percent of total billed charges,"1,095.00",percent of total billed charges,788.4,percent of total billed charges,788.4,percent of total billed charges,788.4,percent of total billed charges,788.4,percent of total billed charges,788.4,percent of total billed charges,788.4,percent of total billed charges,865.05,percent of total billed charges,865.05,percent of total billed charges,876,percent of total billed charges,876,percent of total billed charges,,,788.4,percent of total billed charges ,,,876,percent of total billed charges ,865.05,percent of total billed charges ,865.05,percent of total billed charges ,930.75,percent of total billed charges ,930.75,percent of total billed charges ,876,percent of total billed charges ,876,percent of total billed charges ,766.5,percent of total billed charges ,766.5,percent of total billed charges ,657,percent of total billed charges ,657,percent of total billed charges ,657,percent of total billed charges ,657,percent of total billed charges ,,,,,582.54,percent of total billed charges ,,,,,553.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,251.85,percent of total billed charges,,,251.85,percent of total billed charges,,,251.85,percent of total billed charges,,,251.85,percent of total billed charges,,,251.85,percent of total billed charges,,,251.85,percent of total billed charges,,,251.85,percent of total billed charges,,,251.85,percent of total billed charges,,,251.85,percent of total billed charges,,,251.85,percent of total billed charges,,,251.85,percent of total billed charges,
AHP- CLOSED TX RADIAL&ULNAR SHAFT FRACTU,25560,CDM,,,GF,both,,,"1,095.00","1,095.00",251.85,"1,095.00","1,095.00",percent of total billed charges,"1,095.00",percent of total billed charges,"1,095.00",percent of total billed charges,"1,095.00",percent of total billed charges,"1,095.00",percent of total billed charges,"1,095.00",percent of total billed charges,"1,095.00",percent of total billed charges,"1,095.00",percent of total billed charges,788.4,percent of total billed charges,788.4,percent of total billed charges,788.4,percent of total billed charges,788.4,percent of total billed charges,788.4,percent of total billed charges,788.4,percent of total billed charges,865.05,percent of total billed charges,865.05,percent of total billed charges,876,percent of total billed charges,876,percent of total billed charges,,,788.4,percent of total billed charges ,,,876,percent of total billed charges ,865.05,percent of total billed charges ,865.05,percent of total billed charges ,930.75,percent of total billed charges ,930.75,percent of total billed charges ,876,percent of total billed charges ,876,percent of total billed charges ,766.5,percent of total billed charges ,766.5,percent of total billed charges ,657,percent of total billed charges ,657,percent of total billed charges ,657,percent of total billed charges ,657,percent of total billed charges ,,,,,582.54,percent of total billed charges ,,,,,553.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,251.85,percent of total billed charges,,,251.85,percent of total billed charges,,,251.85,percent of total billed charges,,,251.85,percent of total billed charges,,,251.85,percent of total billed charges,,,251.85,percent of total billed charges,,,251.85,percent of total billed charges,,,251.85,percent of total billed charges,,,251.85,percent of total billed charges,,,251.85,percent of total billed charges,,,251.85,percent of total billed charges,
ER- CLTX METACARPAL FX W/O MANIPULATION,26600,CDM,,,GF,both,,,730,730,167.9,730,730,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,576.7,percent of total billed charges,576.7,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 ,576.7,percent of total billed charges ,576.7,percent of total billed charges ,620.5,percent of total billed charges ,620.5,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 ,,,,,,,,,,,,,,,,,,,167.9,percent of total billed charges,,,167.9,percent of total billed charges,,,167.9,percent of total billed charges,,,167.9,percent of total billed charges,,,167.9,percent of total billed charges,,,167.9,percent of total billed charges,,,167.9,percent of total billed charges,,,167.9,percent of total billed charges,,,167.9,percent of total billed charges,,,167.9,percent of total billed charges,,,167.9,percent of total billed charges,
PHY- CLTX METACARPAL FX W/O MANIPULATION,26600,CDM,,,GF,both,,,"1,198.00","1,198.00",275.54,"1,198.00","1,198.00",percent of total billed charges,"1,198.00",percent of total billed charges,"1,198.00",percent of total billed charges,"1,198.00",percent of total billed charges,"1,198.00",percent of total billed charges,"1,198.00",percent of total billed charges,"1,198.00",percent of total billed charges,"1,198.00",percent of total billed charges,862.56,percent of total billed charges,862.56,percent of total billed charges,862.56,percent of total billed charges,862.56,percent of total billed charges,862.56,percent of total billed charges,862.56,percent of total billed charges,946.42,percent of total billed charges,946.42,percent of total billed charges,958.4,percent of total billed charges,958.4,percent of total billed charges,,,862.56,percent of total billed charges ,,,958.4,percent of total billed charges ,946.42,percent of total billed charges ,946.42,percent of total billed charges ,"1,018.30",percent of total billed charges ,"1,018.30",percent of total billed charges ,958.4,percent of total billed charges ,958.4,percent of total billed charges ,838.6,percent of total billed charges ,838.6,percent of total billed charges ,718.8,percent of total billed charges ,718.8,percent of total billed charges ,718.8,percent of total billed charges ,718.8,percent of total billed charges ,,,,,637.34,percent of total billed charges ,,,,,605.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,275.54,percent of total billed charges,,,275.54,percent of total billed charges,,,275.54,percent of total billed charges,,,275.54,percent of total billed charges,,,275.54,percent of total billed charges,,,275.54,percent of total billed charges,,,275.54,percent of total billed charges,,,275.54,percent of total billed charges,,,275.54,percent of total billed charges,,,275.54,percent of total billed charges,,,275.54,percent of total billed charges,
AHP- CLTX METACARPAL FX W/O MANIPULATION,26600,CDM,,,GF,both,,,"1,198.00","1,198.00",275.54,"1,198.00","1,198.00",percent of total billed charges,"1,198.00",percent of total billed charges,"1,198.00",percent of total billed charges,"1,198.00",percent of total billed charges,"1,198.00",percent of total billed charges,"1,198.00",percent of total billed charges,"1,198.00",percent of total billed charges,"1,198.00",percent of total billed charges,862.56,percent of total billed charges,862.56,percent of total billed charges,862.56,percent of total billed charges,862.56,percent of total billed charges,862.56,percent of total billed charges,862.56,percent of total billed charges,946.42,percent of total billed charges,946.42,percent of total billed charges,958.4,percent of total billed charges,958.4,percent of total billed charges,,,862.56,percent of total billed charges ,,,958.4,percent of total billed charges ,946.42,percent of total billed charges ,946.42,percent of total billed charges ,"1,018.30",percent of total billed charges ,"1,018.30",percent of total billed charges ,958.4,percent of total billed charges ,958.4,percent of total billed charges ,838.6,percent of total billed charges ,838.6,percent of total billed charges ,718.8,percent of total billed charges ,718.8,percent of total billed charges ,718.8,percent of total billed charges ,718.8,percent of total billed charges ,,,,,637.34,percent of total billed charges ,,,,,605.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,275.54,percent of total billed charges,,,275.54,percent of total billed charges,,,275.54,percent of total billed charges,,,275.54,percent of total billed charges,,,275.54,percent of total billed charges,,,275.54,percent of total billed charges,,,275.54,percent of total billed charges,,,275.54,percent of total billed charges,,,275.54,percent of total billed charges,,,275.54,percent of total billed charges,,,275.54,percent of total billed charges,
ER- CLTX METACARPOPHALANGEAL DISLC W/MAN,26705,CDM,,,GF,both,,,"2,613.00","2,613.00",600.99,"2,613.00","2,613.00",percent of total billed charges,"2,613.00",percent of total billed charges,"2,613.00",percent of total billed charges,"2,613.00",percent of total billed charges,"2,613.00",percent of total billed charges,"2,613.00",percent of total billed charges,"2,613.00",percent of total billed charges,"2,613.00",percent of total billed charges,"1,881.36",percent of total billed charges,"1,881.36",percent of total billed charges,"1,881.36",percent of total billed charges,"1,881.36",percent of total billed charges,"1,881.36",percent of total billed charges,"1,881.36",percent of total billed charges,"2,064.27",percent of total billed charges,"2,064.27",percent of total billed charges,"2,090.40",percent of total billed charges,"2,090.40",percent of total billed charges,,,"1,881.36",percent of total billed charges ,,,"2,090.40",percent of total billed charges ,"2,064.27",percent of total billed charges ,"2,064.27",percent of total billed charges ,"2,221.05",percent of total billed charges ,"2,221.05",percent of total billed charges ,"2,090.40",percent of total billed charges ,"2,090.40",percent of total billed charges ,"1,829.10",percent of total billed charges ,"1,829.10",percent of total billed charges ,"1,567.80",percent of total billed charges ,"1,567.80",percent of total billed charges ,"1,567.80",percent of total billed charges ,"1,567.80",percent of total billed charges ,,,,,"1,390.12",percent of total billed charges ,,,,,"1,320.61",percent of total billed charges ,,,,,,,,,,,,,,,,,,,600.99,percent of total billed charges,,,600.99,percent of total billed charges,,,600.99,percent of total billed charges,,,600.99,percent of total billed charges,,,600.99,percent of total billed charges,,,600.99,percent of total billed charges,,,600.99,percent of total billed charges,,,600.99,percent of total billed charges,,,600.99,percent of total billed charges,,,600.99,percent of total billed charges,,,600.99,percent of total billed charges,
PHY- CLTX METACARPOPHALANGEAL DISLC W/MA,26705,CDM,,,GF,both,,,"1,667.00","1,667.00",383.41,"1,667.00","1,667.00",percent of total billed charges,"1,667.00",percent of total billed charges,"1,667.00",percent of total billed charges,"1,667.00",percent of total billed charges,"1,667.00",percent of total billed charges,"1,667.00",percent of total billed charges,"1,667.00",percent of total billed charges,"1,667.00",percent of total billed charges,"1,200.24",percent of total billed charges,"1,200.24",percent of total billed charges,"1,200.24",percent of total billed charges,"1,200.24",percent of total billed charges,"1,200.24",percent of total billed charges,"1,200.24",percent of total billed charges,"1,316.93",percent of total billed charges,"1,316.93",percent of total billed charges,"1,333.60",percent of total billed charges,"1,333.60",percent of total billed charges,,,"1,200.24",percent of total billed charges ,,,"1,333.60",percent of total billed charges ,"1,316.93",percent of total billed charges ,"1,316.93",percent of total billed charges ,"1,416.95",percent of total billed charges ,"1,416.95",percent of total billed charges ,"1,333.60",percent of total billed charges ,"1,333.60",percent of total billed charges ,"1,166.90",percent of total billed charges ,"1,166.90",percent of total billed charges ,"1,000.20",percent of total billed charges ,"1,000.20",percent of total billed charges ,"1,000.20",percent of total billed charges ,"1,000.20",percent of total billed charges ,,,,,886.84,percent of total billed charges ,,,,,842.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,383.41,percent of total billed charges,,,383.41,percent of total billed charges,,,383.41,percent of total billed charges,,,383.41,percent of total billed charges,,,383.41,percent of total billed charges,,,383.41,percent of total billed charges,,,383.41,percent of total billed charges,,,383.41,percent of total billed charges,,,383.41,percent of total billed charges,,,383.41,percent of total billed charges,,,383.41,percent of total billed charges,
AHP- CLTX METACARPOPHALANGEAL DISLC W/MA,26705,CDM,,,GF,both,,,"1,667.00","1,667.00",383.41,"1,667.00","1,667.00",percent of total billed charges,"1,667.00",percent of total billed charges,"1,667.00",percent of total billed charges,"1,667.00",percent of total billed charges,"1,667.00",percent of total billed charges,"1,667.00",percent of total billed charges,"1,667.00",percent of total billed charges,"1,667.00",percent of total billed charges,"1,200.24",percent of total billed charges,"1,200.24",percent of total billed charges,"1,200.24",percent of total billed charges,"1,200.24",percent of total billed charges,"1,200.24",percent of total billed charges,"1,200.24",percent of total billed charges,"1,316.93",percent of total billed charges,"1,316.93",percent of total billed charges,"1,333.60",percent of total billed charges,"1,333.60",percent of total billed charges,,,"1,200.24",percent of total billed charges ,,,"1,333.60",percent of total billed charges ,"1,316.93",percent of total billed charges ,"1,316.93",percent of total billed charges ,"1,416.95",percent of total billed charges ,"1,416.95",percent of total billed charges ,"1,333.60",percent of total billed charges ,"1,333.60",percent of total billed charges ,"1,166.90",percent of total billed charges ,"1,166.90",percent of total billed charges ,"1,000.20",percent of total billed charges ,"1,000.20",percent of total billed charges ,"1,000.20",percent of total billed charges ,"1,000.20",percent of total billed charges ,,,,,886.84,percent of total billed charges ,,,,,842.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,383.41,percent of total billed charges,,,383.41,percent of total billed charges,,,383.41,percent of total billed charges,,,383.41,percent of total billed charges,,,383.41,percent of total billed charges,,,383.41,percent of total billed charges,,,383.41,percent of total billed charges,,,383.41,percent of total billed charges,,,383.41,percent of total billed charges,,,383.41,percent of total billed charges,,,383.41,percent of total billed charges,
ER- CLTX PHLNGL FX PROX/MIDDLE PX/F/T WO,26720,CDM,,,GF,both,,,761,761,175.03,761,761,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,601.19,percent of total billed charges,601.19,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 ,601.19,percent of total billed charges ,601.19,percent of total billed charges ,646.85,percent of total billed charges ,646.85,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 ,,,,,,,,,,,,,,,,,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,
PHY- CLTX PHLNGL FX PROX/MIDDLE PX/F/T W,26720,CDM,,,GF,both,,,795,795,182.85,795,795,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,628.05,percent of total billed charges,628.05,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 ,628.05,percent of total billed charges ,628.05,percent of total billed charges ,675.75,percent of total billed charges ,675.75,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 ,,,,,,,,,,,,,,,,,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,
AHP-CLTX PHLNGL FX PROX/MIDDLE PX/F/T W,26720,CDM,,,GF,both,,,795,795,182.85,795,795,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,628.05,percent of total billed charges,628.05,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 ,628.05,percent of total billed charges ,628.05,percent of total billed charges ,675.75,percent of total billed charges ,675.75,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 ,,,,,,,,,,,,,,,,,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,
ER- CLTX DSTL PHLNGL FX FNGR/THMB W/O MA,26750,CDM,,,GF,both,,,660,660,151.8,660,660,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,521.4,percent of total billed charges,521.4,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 ,521.4,percent of total billed charges ,521.4,percent of total billed charges ,561,percent of total billed charges ,561,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,151.8,percent of total billed charges,,,151.8,percent of total billed charges,,,151.8,percent of total billed charges,
PHY- CLTX DSTL PHLNGL FX FNGR/THMB W/O M,26750,CDM,,,GF,both,,,799,799,183.77,799,799,percent of total billed charges,799,percent of total billed charges,799,percent of total billed charges,799,percent of total billed charges,799,percent of total billed charges,799,percent of total billed charges,799,percent of total billed charges,799,percent of total billed charges,575.28,percent of total billed charges,575.28,percent of total billed charges,575.28,percent of total billed charges,575.28,percent of total billed charges,575.28,percent of total billed charges,575.28,percent of total billed charges,631.21,percent of total billed charges,631.21,percent of total billed charges,639.2,percent of total billed charges,639.2,percent of total billed charges,,,575.28,percent of total billed charges ,,,639.2,percent of total billed charges ,631.21,percent of total billed charges ,631.21,percent of total billed charges ,679.15,percent of total billed charges ,679.15,percent of total billed charges ,639.2,percent of total billed charges ,639.2,percent of total billed charges ,559.3,percent of total billed charges ,559.3,percent of total billed charges ,479.4,percent of total billed charges ,479.4,percent of total billed charges ,479.4,percent of total billed charges ,479.4,percent of total billed charges ,,,,,425.07,percent of total billed charges ,,,,,403.81,percent of total billed charges ,,,,,,,,,,,,,,,,,,,183.77,percent of total billed charges,,,183.77,percent of total billed charges,,,183.77,percent of total billed charges,,,183.77,percent of total billed charges,,,183.77,percent of total billed charges,,,183.77,percent of total billed charges,,,183.77,percent of total billed charges,,,183.77,percent of total billed charges,,,183.77,percent of total billed charges,,,183.77,percent of total billed charges,,,183.77,percent of total billed charges,
AHP- CLTX DSTL PHLNGL FX FNGR/THMB W/O M,26750,CDM,,,GF,both,,,799,799,183.77,799,799,percent of total billed charges,799,percent of total billed charges,799,percent of total billed charges,799,percent of total billed charges,799,percent of total billed charges,799,percent of total billed charges,799,percent of total billed charges,799,percent of total billed charges,575.28,percent of total billed charges,575.28,percent of total billed charges,575.28,percent of total billed charges,575.28,percent of total billed charges,575.28,percent of total billed charges,575.28,percent of total billed charges,631.21,percent of total billed charges,631.21,percent of total billed charges,639.2,percent of total billed charges,639.2,percent of total billed charges,,,575.28,percent of total billed charges ,,,639.2,percent of total billed charges ,631.21,percent of total billed charges ,631.21,percent of total billed charges ,679.15,percent of total billed charges ,679.15,percent of total billed charges ,639.2,percent of total billed charges ,639.2,percent of total billed charges ,559.3,percent of total billed charges ,559.3,percent of total billed charges ,479.4,percent of total billed charges ,479.4,percent of total billed charges ,479.4,percent of total billed charges ,479.4,percent of total billed charges ,,,,,425.07,percent of total billed charges ,,,,,403.81,percent of total billed charges ,,,,,,,,,,,,,,,,,,,183.77,percent of total billed charges,,,183.77,percent of total billed charges,,,183.77,percent of total billed charges,,,183.77,percent of total billed charges,,,183.77,percent of total billed charges,,,183.77,percent of total billed charges,,,183.77,percent of total billed charges,,,183.77,percent of total billed charges,,,183.77,percent of total billed charges,,,183.77,percent of total billed charges,,,183.77,percent of total billed charges,
ER- CLOSED TX FEMORAL SHAFT FX W/O MANIP,27500,CDM,,,GF,both,,,933,933,214.59,933,933,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,737.07,percent of total billed charges,737.07,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 ,737.07,percent of total billed charges ,737.07,percent of total billed charges ,793.05,percent of total billed charges ,793.05,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 ,,,,,,,,,,,,,,,,,,,214.59,percent of total billed charges,,,214.59,percent of total billed charges,,,214.59,percent of total billed charges,,,214.59,percent of total billed charges,,,214.59,percent of total billed charges,,,214.59,percent of total billed charges,,,214.59,percent of total billed charges,,,214.59,percent of total billed charges,,,214.59,percent of total billed charges,,,214.59,percent of total billed charges,,,214.59,percent of total billed charges,
PHY- CLOSED TX FEMORAL SHAFT FX W/O MANI,27500,CDM,,,GF,both,,,"2,122.00","2,122.00",488.06,"2,122.00","2,122.00",percent of total billed charges,"2,122.00",percent of total billed charges,"2,122.00",percent of total billed charges,"2,122.00",percent of total billed charges,"2,122.00",percent of total billed charges,"2,122.00",percent of total billed charges,"2,122.00",percent of total billed charges,"2,122.00",percent of total billed charges,"1,527.84",percent of total billed charges,"1,527.84",percent of total billed charges,"1,527.84",percent of total billed charges,"1,527.84",percent of total billed charges,"1,527.84",percent of total billed charges,"1,527.84",percent of total billed charges,"1,676.38",percent of total billed charges,"1,676.38",percent of total billed charges,"1,697.60",percent of total billed charges,"1,697.60",percent of total billed charges,,,"1,527.84",percent of total billed charges ,,,"1,697.60",percent of total billed charges ,"1,676.38",percent of total billed charges ,"1,676.38",percent of total billed charges ,"1,803.70",percent of total billed charges ,"1,803.70",percent of total billed charges ,"1,697.60",percent of total billed charges ,"1,697.60",percent of total billed charges ,"1,485.40",percent of total billed charges ,"1,485.40",percent of total billed charges ,"1,273.20",percent of total billed charges ,"1,273.20",percent of total billed charges ,"1,273.20",percent of total billed charges ,"1,273.20",percent of total billed charges ,,,,,"1,128.90",percent of total billed charges ,,,,,"1,072.46",percent of total billed charges ,,,,,,,,,,,,,,,,,,,488.06,percent of total billed charges,,,488.06,percent of total billed charges,,,488.06,percent of total billed charges,,,488.06,percent of total billed charges,,,488.06,percent of total billed charges,,,488.06,percent of total billed charges,,,488.06,percent of total billed charges,,,488.06,percent of total billed charges,,,488.06,percent of total billed charges,,,488.06,percent of total billed charges,,,488.06,percent of total billed charges,
AHP- CLOSED TX FEMORAL SHAFT FX W/O MANI,27500,CDM,,,GF,both,,,"2,122.00","2,122.00",488.06,"2,122.00","2,122.00",percent of total billed charges,"2,122.00",percent of total billed charges,"2,122.00",percent of total billed charges,"2,122.00",percent of total billed charges,"2,122.00",percent of total billed charges,"2,122.00",percent of total billed charges,"2,122.00",percent of total billed charges,"2,122.00",percent of total billed charges,"1,527.84",percent of total billed charges,"1,527.84",percent of total billed charges,"1,527.84",percent of total billed charges,"1,527.84",percent of total billed charges,"1,527.84",percent of total billed charges,"1,527.84",percent of total billed charges,"1,676.38",percent of total billed charges,"1,676.38",percent of total billed charges,"1,697.60",percent of total billed charges,"1,697.60",percent of total billed charges,,,"1,527.84",percent of total billed charges ,,,"1,697.60",percent of total billed charges ,"1,676.38",percent of total billed charges ,"1,676.38",percent of total billed charges ,"1,803.70",percent of total billed charges ,"1,803.70",percent of total billed charges ,"1,697.60",percent of total billed charges ,"1,697.60",percent of total billed charges ,"1,485.40",percent of total billed charges ,"1,485.40",percent of total billed charges ,"1,273.20",percent of total billed charges ,"1,273.20",percent of total billed charges ,"1,273.20",percent of total billed charges ,"1,273.20",percent of total billed charges ,,,,,"1,128.90",percent of total billed charges ,,,,,"1,072.46",percent of total billed charges ,,,,,,,,,,,,,,,,,,,488.06,percent of total billed charges,,,488.06,percent of total billed charges,,,488.06,percent of total billed charges,,,488.06,percent of total billed charges,,,488.06,percent of total billed charges,,,488.06,percent of total billed charges,,,488.06,percent of total billed charges,,,488.06,percent of total billed charges,,,488.06,percent of total billed charges,,,488.06,percent of total billed charges,,,488.06,percent of total billed charges,
PHY- CLTX SPRCNDYLR/TRNSCNDYLR FEM FX WO,27501,CDM,,,GF,both,,,"2,203.00","2,203.00",506.69,"2,203.00","2,203.00",percent of total billed charges,"2,203.00",percent of total billed charges,"2,203.00",percent of total billed charges,"2,203.00",percent of total billed charges,"2,203.00",percent of total billed charges,"2,203.00",percent of total billed charges,"2,203.00",percent of total billed charges,"2,203.00",percent of total billed charges,"1,586.16",percent of total billed charges,"1,586.16",percent of total billed charges,"1,586.16",percent of total billed charges,"1,586.16",percent of total billed charges,"1,586.16",percent of total billed charges,"1,586.16",percent of total billed charges,"1,740.37",percent of total billed charges,"1,740.37",percent of total billed charges,"1,762.40",percent of total billed charges,"1,762.40",percent of total billed charges,,,"1,586.16",percent of total billed charges ,,,"1,762.40",percent of total billed charges ,"1,740.37",percent of total billed charges ,"1,740.37",percent of total billed charges ,"1,872.55",percent of total billed charges ,"1,872.55",percent of total billed charges ,"1,762.40",percent of total billed charges ,"1,762.40",percent of total billed charges ,"1,542.10",percent of total billed charges ,"1,542.10",percent of total billed charges ,"1,321.80",percent of total billed charges ,"1,321.80",percent of total billed charges ,"1,321.80",percent of total billed charges ,"1,321.80",percent of total billed charges ,,,,,"1,172.00",percent of total billed charges ,,,,,"1,113.40",percent of total billed charges ,,,,,,,,,,,,,,,,,,,506.69,percent of total billed charges,,,506.69,percent of total billed charges,,,506.69,percent of total billed charges,,,506.69,percent of total billed charges,,,506.69,percent of total billed charges,,,506.69,percent of total billed charges,,,506.69,percent of total billed charges,,,506.69,percent of total billed charges,,,506.69,percent of total billed charges,,,506.69,percent of total billed charges,,,506.69,percent of total billed charges,
AHP-CLTX SPRCNDYLR/TRNSCNDYLR FEM FX WO,27501,CDM,,,GF,both,,,"2,203.00","2,203.00",506.69,"2,203.00","2,203.00",percent of total billed charges,"2,203.00",percent of total billed charges,"2,203.00",percent of total billed charges,"2,203.00",percent of total billed charges,"2,203.00",percent of total billed charges,"2,203.00",percent of total billed charges,"2,203.00",percent of total billed charges,"2,203.00",percent of total billed charges,"1,586.16",percent of total billed charges,"1,586.16",percent of total billed charges,"1,586.16",percent of total billed charges,"1,586.16",percent of total billed charges,"1,586.16",percent of total billed charges,"1,586.16",percent of total billed charges,"1,740.37",percent of total billed charges,"1,740.37",percent of total billed charges,"1,762.40",percent of total billed charges,"1,762.40",percent of total billed charges,,,"1,586.16",percent of total billed charges ,,,"1,762.40",percent of total billed charges ,"1,740.37",percent of total billed charges ,"1,740.37",percent of total billed charges ,"1,872.55",percent of total billed charges ,"1,872.55",percent of total billed charges ,"1,762.40",percent of total billed charges ,"1,762.40",percent of total billed charges ,"1,542.10",percent of total billed charges ,"1,542.10",percent of total billed charges ,"1,321.80",percent of total billed charges ,"1,321.80",percent of total billed charges ,"1,321.80",percent of total billed charges ,"1,321.80",percent of total billed charges ,,,,,"1,172.00",percent of total billed charges ,,,,,"1,113.40",percent of total billed charges ,,,,,,,,,,,,,,,,,,,506.69,percent of total billed charges,,,506.69,percent of total billed charges,,,506.69,percent of total billed charges,,,506.69,percent of total billed charges,,,506.69,percent of total billed charges,,,506.69,percent of total billed charges,,,506.69,percent of total billed charges,,,506.69,percent of total billed charges,,,506.69,percent of total billed charges,,,506.69,percent of total billed charges,,,506.69,percent of total billed charges,
ER- CLTX FEM FX DSTL END MEDIAL/LAT COND,27508,CDM,,,GF,both,,,842,842,193.66,842,842,percent of total billed charges,842,percent of total billed charges,842,percent of total billed charges,842,percent of total billed charges,842,percent of total billed charges,842,percent of total billed charges,842,percent of total billed charges,842,percent of total billed charges,606.24,percent of total billed charges,606.24,percent of total billed charges,606.24,percent of total billed charges,606.24,percent of total billed charges,606.24,percent of total billed charges,606.24,percent of total billed charges,665.18,percent of total billed charges,665.18,percent of total billed charges,673.6,percent of total billed charges,673.6,percent of total billed charges,,,606.24,percent of total billed charges ,,,673.6,percent of total billed charges ,665.18,percent of total billed charges ,665.18,percent of total billed charges ,715.7,percent of total billed charges ,715.7,percent of total billed charges ,673.6,percent of total billed charges ,673.6,percent of total billed charges ,589.4,percent of total billed charges ,589.4,percent of total billed charges ,505.2,percent of total billed charges ,505.2,percent of total billed charges ,505.2,percent of total billed charges ,505.2,percent of total billed charges ,,,,,447.94,percent of total billed charges ,,,,,425.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,193.66,percent of total billed charges,,,193.66,percent of total billed charges,,,193.66,percent of total billed charges,,,193.66,percent of total billed charges,,,193.66,percent of total billed charges,,,193.66,percent of total billed charges,,,193.66,percent of total billed charges,,,193.66,percent of total billed charges,,,193.66,percent of total billed charges,,,193.66,percent of total billed charges,,,193.66,percent of total billed charges,
PHY- CLTX FEM FX DSTL END MEDIAL/LAT CON,27508,CDM,,,GF,both,,,"2,175.00","2,175.00",500.25,"2,175.00","2,175.00",percent of total billed charges,"2,175.00",percent of total billed charges,"2,175.00",percent of total billed charges,"2,175.00",percent of total billed charges,"2,175.00",percent of total billed charges,"2,175.00",percent of total billed charges,"2,175.00",percent of total billed charges,"2,175.00",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,"1,566.00",percent of total billed charges,"1,566.00",percent of total billed charges,"1,718.25",percent of total billed charges,"1,718.25",percent of total billed charges,"1,740.00",percent of total billed charges,"1,740.00",percent of total billed charges,,,"1,566.00",percent of total billed charges ,,,"1,740.00",percent of total billed charges ,"1,718.25",percent of total billed charges ,"1,718.25",percent of total billed charges ,"1,848.75",percent of total billed charges ,"1,848.75",percent of total billed charges ,"1,740.00",percent of total billed charges ,"1,740.00",percent of total billed charges ,"1,522.50",percent of total billed charges ,"1,522.50",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 ,,,,,"1,157.10",percent of total billed charges ,,,,,"1,099.25",percent of total billed charges ,,,,,,,,,,,,,,,,,,,500.25,percent of total billed charges,,,500.25,percent of total billed charges,,,500.25,percent of total billed charges,,,500.25,percent of total billed charges,,,500.25,percent of total billed charges,,,500.25,percent of total billed charges,,,500.25,percent of total billed charges,,,500.25,percent of total billed charges,,,500.25,percent of total billed charges,,,500.25,percent of total billed charges,,,500.25,percent of total billed charges,
AHP- CLTX FEM FX DSTL END MEDIAL/LAT CON,27508,CDM,,,GF,both,,,"2,175.00","2,175.00",500.25,"2,175.00","2,175.00",percent of total billed charges,"2,175.00",percent of total billed charges,"2,175.00",percent of total billed charges,"2,175.00",percent of total billed charges,"2,175.00",percent of total billed charges,"2,175.00",percent of total billed charges,"2,175.00",percent of total billed charges,"2,175.00",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,"1,566.00",percent of total billed charges,"1,566.00",percent of total billed charges,"1,718.25",percent of total billed charges,"1,718.25",percent of total billed charges,"1,740.00",percent of total billed charges,"1,740.00",percent of total billed charges,,,"1,566.00",percent of total billed charges ,,,"1,740.00",percent of total billed charges ,"1,718.25",percent of total billed charges ,"1,718.25",percent of total billed charges ,"1,848.75",percent of total billed charges ,"1,848.75",percent of total billed charges ,"1,740.00",percent of total billed charges ,"1,740.00",percent of total billed charges ,"1,522.50",percent of total billed charges ,"1,522.50",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 ,,,,,"1,157.10",percent of total billed charges ,,,,,"1,099.25",percent of total billed charges ,,,,,,,,,,,,,,,,,,,500.25,percent of total billed charges,,,500.25,percent of total billed charges,,,500.25,percent of total billed charges,,,500.25,percent of total billed charges,,,500.25,percent of total billed charges,,,500.25,percent of total billed charges,,,500.25,percent of total billed charges,,,500.25,percent of total billed charges,,,500.25,percent of total billed charges,,,500.25,percent of total billed charges,,,500.25,percent of total billed charges,
ER- CLOSED TX KNEE DISLOCATION W/ANESTHE,27552,CDM,,,GF,both,,,"3,984.00","3,984.00",916.32,"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,"3,147.36",percent of total billed charges,"3,147.36",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 ,"3,147.36",percent of total billed charges ,"3,147.36",percent of total billed charges ,"3,386.40",percent of total billed charges ,"3,386.40",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 ,,,,,,,,,,,,,,,,,,,916.32,percent of total billed charges,,,916.32,percent of total billed charges,,,916.32,percent of total billed charges,,,916.32,percent of total billed charges,,,916.32,percent of total billed charges,,,916.32,percent of total billed charges,,,916.32,percent of total billed charges,,,916.32,percent of total billed charges,,,916.32,percent of total billed charges,,,916.32,percent of total billed charges,,,916.32,percent of total billed charges,
PHY- CLOSED TX KNEE DISLOCATION W/ANESTH,27552,CDM,,,GF,both,,,"2,780.00","2,780.00",639.4,"2,780.00","2,780.00",percent of total billed charges,"2,780.00",percent of total billed charges,"2,780.00",percent of total billed charges,"2,780.00",percent of total billed charges,"2,780.00",percent of total billed charges,"2,780.00",percent of total billed charges,"2,780.00",percent of total billed charges,"2,780.00",percent of total billed charges,"2,001.60",percent of total billed charges,"2,001.60",percent of total billed charges,"2,001.60",percent of total billed charges,"2,001.60",percent of total billed charges,"2,001.60",percent of total billed charges,"2,001.60",percent of total billed charges,"2,196.20",percent of total billed charges,"2,196.20",percent of total billed charges,"2,224.00",percent of total billed charges,"2,224.00",percent of total billed charges,,,"2,001.60",percent of total billed charges ,,,"2,224.00",percent of total billed charges ,"2,196.20",percent of total billed charges ,"2,196.20",percent of total billed charges ,"2,363.00",percent of total billed charges ,"2,363.00",percent of total billed charges ,"2,224.00",percent of total billed charges ,"2,224.00",percent of total billed charges ,"1,946.00",percent of total billed charges ,"1,946.00",percent of total billed charges ,"1,668.00",percent of total billed charges ,"1,668.00",percent of total billed charges ,"1,668.00",percent of total billed charges ,"1,668.00",percent of total billed charges ,,,,,"1,478.96",percent of total billed charges ,,,,,"1,405.01",percent of total billed charges ,,,,,,,,,,,,,,,,,,,639.4,percent of total billed charges,,,639.4,percent of total billed charges,,,639.4,percent of total billed charges,,,639.4,percent of total billed charges,,,639.4,percent of total billed charges,,,639.4,percent of total billed charges,,,639.4,percent of total billed charges,,,639.4,percent of total billed charges,,,639.4,percent of total billed charges,,,639.4,percent of total billed charges,,,639.4,percent of total billed charges,
AHP- CLOSED TX KNEE DISLOCATION W/ANESTH,27552,CDM,,,GF,both,,,"2,780.00","2,780.00",639.4,"2,780.00","2,780.00",percent of total billed charges,"2,780.00",percent of total billed charges,"2,780.00",percent of total billed charges,"2,780.00",percent of total billed charges,"2,780.00",percent of total billed charges,"2,780.00",percent of total billed charges,"2,780.00",percent of total billed charges,"2,780.00",percent of total billed charges,"2,001.60",percent of total billed charges,"2,001.60",percent of total billed charges,"2,001.60",percent of total billed charges,"2,001.60",percent of total billed charges,"2,001.60",percent of total billed charges,"2,001.60",percent of total billed charges,"2,196.20",percent of total billed charges,"2,196.20",percent of total billed charges,"2,224.00",percent of total billed charges,"2,224.00",percent of total billed charges,,,"2,001.60",percent of total billed charges ,,,"2,224.00",percent of total billed charges ,"2,196.20",percent of total billed charges ,"2,196.20",percent of total billed charges ,"2,363.00",percent of total billed charges ,"2,363.00",percent of total billed charges ,"2,224.00",percent of total billed charges ,"2,224.00",percent of total billed charges ,"1,946.00",percent of total billed charges ,"1,946.00",percent of total billed charges ,"1,668.00",percent of total billed charges ,"1,668.00",percent of total billed charges ,"1,668.00",percent of total billed charges ,"1,668.00",percent of total billed charges ,,,,,"1,478.96",percent of total billed charges ,,,,,"1,405.01",percent of total billed charges ,,,,,,,,,,,,,,,,,,,639.4,percent of total billed charges,,,639.4,percent of total billed charges,,,639.4,percent of total billed charges,,,639.4,percent of total billed charges,,,639.4,percent of total billed charges,,,639.4,percent of total billed charges,,,639.4,percent of total billed charges,,,639.4,percent of total billed charges,,,639.4,percent of total billed charges,,,639.4,percent of total billed charges,,,639.4,percent of total billed charges,
ER- CLOSED TX PATELLAR DISLOCATION W/ANE,27562,CDM,,,GF,both,,,"2,514.00","2,514.00",578.22,"2,514.00","2,514.00",percent of total billed charges,"2,514.00",percent of total billed charges,"2,514.00",percent of total billed charges,"2,514.00",percent of total billed charges,"2,514.00",percent of total billed charges,"2,514.00",percent of total billed charges,"2,514.00",percent of total billed charges,"2,514.00",percent of total billed charges,"1,810.08",percent of total billed charges,"1,810.08",percent of total billed charges,"1,810.08",percent of total billed charges,"1,810.08",percent of total billed charges,"1,810.08",percent of total billed charges,"1,810.08",percent of total billed charges,"1,986.06",percent of total billed charges,"1,986.06",percent of total billed charges,"2,011.20",percent of total billed charges,"2,011.20",percent of total billed charges,,,"1,810.08",percent of total billed charges ,,,"2,011.20",percent of total billed charges ,"1,986.06",percent of total billed charges ,"1,986.06",percent of total billed charges ,"2,136.90",percent of total billed charges ,"2,136.90",percent of total billed charges ,"2,011.20",percent of total billed charges ,"2,011.20",percent of total billed charges ,"1,759.80",percent of total billed charges ,"1,759.80",percent of total billed charges ,"1,508.40",percent of total billed charges ,"1,508.40",percent of total billed charges ,"1,508.40",percent of total billed charges ,"1,508.40",percent of total billed charges ,,,,,"1,337.45",percent of total billed charges ,,,,,"1,270.58",percent of total billed charges ,,,,,,,,,,,,,,,,,,,578.22,percent of total billed charges,,,578.22,percent of total billed charges,,,578.22,percent of total billed charges,,,578.22,percent of total billed charges,,,578.22,percent of total billed charges,,,578.22,percent of total billed charges,,,578.22,percent of total billed charges,,,578.22,percent of total billed charges,,,578.22,percent of total billed charges,,,578.22,percent of total billed charges,,,578.22,percent of total billed charges,
PHY- CLOSED TX PATELLAR DISLOCATION W/AN,27562,CDM,,,GF,both,,,"2,146.00","2,146.00",493.58,"2,146.00","2,146.00",percent of total billed charges,"2,146.00",percent of total billed charges,"2,146.00",percent of total billed charges,"2,146.00",percent of total billed charges,"2,146.00",percent of total billed charges,"2,146.00",percent of total billed charges,"2,146.00",percent of total billed charges,"2,146.00",percent of total billed charges,"1,545.12",percent of total billed charges,"1,545.12",percent of total billed charges,"1,545.12",percent of total billed charges,"1,545.12",percent of total billed charges,"1,545.12",percent of total billed charges,"1,545.12",percent of total billed charges,"1,695.34",percent of total billed charges,"1,695.34",percent of total billed charges,"1,716.80",percent of total billed charges,"1,716.80",percent of total billed charges,,,"1,545.12",percent of total billed charges ,,,"1,716.80",percent of total billed charges ,"1,695.34",percent of total billed charges ,"1,695.34",percent of total billed charges ,"1,824.10",percent of total billed charges ,"1,824.10",percent of total billed charges ,"1,716.80",percent of total billed charges ,"1,716.80",percent of total billed charges ,"1,502.20",percent of total billed charges ,"1,502.20",percent of total billed charges ,"1,287.60",percent of total billed charges ,"1,287.60",percent of total billed charges ,"1,287.60",percent of total billed charges ,"1,287.60",percent of total billed charges ,,,,,"1,141.67",percent of total billed charges ,,,,,"1,084.59",percent of total billed charges ,,,,,,,,,,,,,,,,,,,493.58,percent of total billed charges,,,493.58,percent of total billed charges,,,493.58,percent of total billed charges,,,493.58,percent of total billed charges,,,493.58,percent of total billed charges,,,493.58,percent of total billed charges,,,493.58,percent of total billed charges,,,493.58,percent of total billed charges,,,493.58,percent of total billed charges,,,493.58,percent of total billed charges,,,493.58,percent of total billed charges,
AHP- CLOSED TX PATELLAR DISLOCATION W/AN,27562,CDM,,,GF,both,,,"2,146.00","2,146.00",493.58,"2,146.00","2,146.00",percent of total billed charges,"2,146.00",percent of total billed charges,"2,146.00",percent of total billed charges,"2,146.00",percent of total billed charges,"2,146.00",percent of total billed charges,"2,146.00",percent of total billed charges,"2,146.00",percent of total billed charges,"2,146.00",percent of total billed charges,"1,545.12",percent of total billed charges,"1,545.12",percent of total billed charges,"1,545.12",percent of total billed charges,"1,545.12",percent of total billed charges,"1,545.12",percent of total billed charges,"1,545.12",percent of total billed charges,"1,695.34",percent of total billed charges,"1,695.34",percent of total billed charges,"1,716.80",percent of total billed charges,"1,716.80",percent of total billed charges,,,"1,545.12",percent of total billed charges ,,,"1,716.80",percent of total billed charges ,"1,695.34",percent of total billed charges ,"1,695.34",percent of total billed charges ,"1,824.10",percent of total billed charges ,"1,824.10",percent of total billed charges ,"1,716.80",percent of total billed charges ,"1,716.80",percent of total billed charges ,"1,502.20",percent of total billed charges ,"1,502.20",percent of total billed charges ,"1,287.60",percent of total billed charges ,"1,287.60",percent of total billed charges ,"1,287.60",percent of total billed charges ,"1,287.60",percent of total billed charges ,,,,,"1,141.67",percent of total billed charges ,,,,,"1,084.59",percent of total billed charges ,,,,,,,,,,,,,,,,,,,493.58,percent of total billed charges,,,493.58,percent of total billed charges,,,493.58,percent of total billed charges,,,493.58,percent of total billed charges,,,493.58,percent of total billed charges,,,493.58,percent of total billed charges,,,493.58,percent of total billed charges,,,493.58,percent of total billed charges,,,493.58,percent of total billed charges,,,493.58,percent of total billed charges,,,493.58,percent of total billed charges,
ER- CLTX TIBIAL SHAFT FX W/O MANIPULATIO,27750,CDM,,,GF,both,,,910,910,209.3,910,910,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,718.9,percent of total billed charges,718.9,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 ,718.9,percent of total billed charges ,718.9,percent of total billed charges ,773.5,percent of total billed charges ,773.5,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 ,,,,,,,,,,,,,,,,,,,209.3,percent of total billed charges,,,209.3,percent of total billed charges,,,209.3,percent of total billed charges,,,209.3,percent of total billed charges,,,209.3,percent of total billed charges,,,209.3,percent of total billed charges,,,209.3,percent of total billed charges,,,209.3,percent of total billed charges,,,209.3,percent of total billed charges,,,209.3,percent of total billed charges,,,209.3,percent of total billed charges,
PHY- CLTX TIBIAL SHAFT FX W/O MANIPULATI,27750,CDM,,,GF,both,,,"1,385.00","1,385.00",318.55,"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,"1,094.15",percent of total billed charges,"1,094.15",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 ,"1,094.15",percent of total billed charges ,"1,094.15",percent of total billed charges ,"1,177.25",percent of total billed charges ,"1,177.25",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 ,,,,,,,,,,,,,,,,,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,
AHP- CLTX TIBIAL SHAFT FX W/O MANIPULATI,27750,CDM,,,GF,both,,,"1,385.00","1,385.00",318.55,"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,"1,094.15",percent of total billed charges,"1,094.15",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 ,"1,094.15",percent of total billed charges ,"1,094.15",percent of total billed charges ,"1,177.25",percent of total billed charges ,"1,177.25",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 ,,,,,,,,,,,,,,,,,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,
ER- CLTX MEDIAL MALLEOLUS FX W/O MANIPUL,27760,CDM,,,GF,both,,,792,792,182.16,792,792,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,792,percent of total billed charges,792,percent of total billed charges,570.24,percent of total billed charges,570.24,percent of total billed charges,570.24,percent of total billed charges,570.24,percent of total billed charges,570.24,percent of total billed charges,570.24,percent of total billed charges,625.68,percent of total billed charges,625.68,percent of total billed charges,633.6,percent of total billed charges,633.6,percent of total billed charges,,,570.24,percent of total billed charges ,,,633.6,percent of total billed charges ,625.68,percent of total billed charges ,625.68,percent of total billed charges ,673.2,percent of total billed charges ,673.2,percent of total billed charges ,633.6,percent of total billed charges ,633.6,percent of total billed charges ,554.4,percent of total billed charges ,554.4,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 ,,,,,421.34,percent of total billed charges ,,,,,400.28,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,,,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,
PHY- CLTX MEDIAL MALLEOLUS FX W/O MANIPU,27760,CDM,,,GF,both,,,"1,322.00","1,322.00",304.06,"1,322.00","1,322.00",percent of total billed charges,"1,322.00",percent of total billed charges,"1,322.00",percent of total billed charges,"1,322.00",percent of total billed charges,"1,322.00",percent of total billed charges,"1,322.00",percent of total billed charges,"1,322.00",percent of total billed charges,"1,322.00",percent of total billed charges,951.84,percent of total billed charges,951.84,percent of total billed charges,951.84,percent of total billed charges,951.84,percent of total billed charges,951.84,percent of total billed charges,951.84,percent of total billed charges,"1,044.38",percent of total billed charges,"1,044.38",percent of total billed charges,"1,057.60",percent of total billed charges,"1,057.60",percent of total billed charges,,,951.84,percent of total billed charges ,,,"1,057.60",percent of total billed charges ,"1,044.38",percent of total billed charges ,"1,044.38",percent of total billed charges ,"1,123.70",percent of total billed charges ,"1,123.70",percent of total billed charges ,"1,057.60",percent of total billed charges ,"1,057.60",percent of total billed charges ,925.4,percent of total billed charges ,925.4,percent of total billed charges ,793.2,percent of total billed charges ,793.2,percent of total billed charges ,793.2,percent of total billed charges ,793.2,percent of total billed charges ,,,,,703.3,percent of total billed charges ,,,,,668.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,304.06,percent of total billed charges,,,304.06,percent of total billed charges,,,304.06,percent of total billed charges,,,304.06,percent of total billed charges,,,304.06,percent of total billed charges,,,304.06,percent of total billed charges,,,304.06,percent of total billed charges,,,304.06,percent of total billed charges,,,304.06,percent of total billed charges,,,304.06,percent of total billed charges,,,304.06,percent of total billed charges,
AHP- CLTX MEDIAL MALLEOLUS FX W/O MANIPU,27760,CDM,,,GF,both,,,"1,322.00","1,322.00",304.06,"1,322.00","1,322.00",percent of total billed charges,"1,322.00",percent of total billed charges,"1,322.00",percent of total billed charges,"1,322.00",percent of total billed charges,"1,322.00",percent of total billed charges,"1,322.00",percent of total billed charges,"1,322.00",percent of total billed charges,"1,322.00",percent of total billed charges,951.84,percent of total billed charges,951.84,percent of total billed charges,951.84,percent of total billed charges,951.84,percent of total billed charges,951.84,percent of total billed charges,951.84,percent of total billed charges,"1,044.38",percent of total billed charges,"1,044.38",percent of total billed charges,"1,057.60",percent of total billed charges,"1,057.60",percent of total billed charges,,,951.84,percent of total billed charges ,,,"1,057.60",percent of total billed charges ,"1,044.38",percent of total billed charges ,"1,044.38",percent of total billed charges ,"1,123.70",percent of total billed charges ,"1,123.70",percent of total billed charges ,"1,057.60",percent of total billed charges ,"1,057.60",percent of total billed charges ,925.4,percent of total billed charges ,925.4,percent of total billed charges ,793.2,percent of total billed charges ,793.2,percent of total billed charges ,793.2,percent of total billed charges ,793.2,percent of total billed charges ,,,,,703.3,percent of total billed charges ,,,,,668.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,304.06,percent of total billed charges,,,304.06,percent of total billed charges,,,304.06,percent of total billed charges,,,304.06,percent of total billed charges,,,304.06,percent of total billed charges,,,304.06,percent of total billed charges,,,304.06,percent of total billed charges,,,304.06,percent of total billed charges,,,304.06,percent of total billed charges,,,304.06,percent of total billed charges,,,304.06,percent of total billed charges,
PHY- CLOSED TREATMENT PST MALLEOLUS FRAC,27767,CDM,,,GF,both,,,"1,221.00","1,221.00",280.83,"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,964.59,percent of total billed charges,964.59,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 ,964.59,percent of total billed charges ,964.59,percent of total billed charges ,"1,037.85",percent of total billed charges ,"1,037.85",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 ,,,,,,,,,,,,,,,,,,,280.83,percent of total billed charges,,,280.83,percent of total billed charges,,,280.83,percent of total billed charges,,,280.83,percent of total billed charges,,,280.83,percent of total billed charges,,,280.83,percent of total billed charges,,,280.83,percent of total billed charges,,,280.83,percent of total billed charges,,,280.83,percent of total billed charges,,,280.83,percent of total billed charges,,,280.83,percent of total billed charges,
AHP-CLOSED TREATMENT PST MALLEOLUS FRACT,27767,CDM,,,GF,both,,,"1,221.00","1,221.00",280.83,"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,964.59,percent of total billed charges,964.59,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 ,964.59,percent of total billed charges ,964.59,percent of total billed charges ,"1,037.85",percent of total billed charges ,"1,037.85",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 ,,,,,,,,,,,,,,,,,,,280.83,percent of total billed charges,,,280.83,percent of total billed charges,,,280.83,percent of total billed charges,,,280.83,percent of total billed charges,,,280.83,percent of total billed charges,,,280.83,percent of total billed charges,,,280.83,percent of total billed charges,,,280.83,percent of total billed charges,,,280.83,percent of total billed charges,,,280.83,percent of total billed charges,,,280.83,percent of total billed charges,
ER- CLTX PROX FIBULA/SHFT FX W/O MANJ,27780,CDM,,,GF,both,,,779,779,179.17,779,779,percent of total billed charges,779,percent of total billed charges,779,percent of total billed charges,779,percent of total billed charges,779,percent of total billed charges,779,percent of total billed charges,779,percent of total billed charges,779,percent of total billed charges,560.88,percent of total billed charges,560.88,percent of total billed charges,560.88,percent of total billed charges,560.88,percent of total billed charges,560.88,percent of total billed charges,560.88,percent of total billed charges,615.41,percent of total billed charges,615.41,percent of total billed charges,623.2,percent of total billed charges,623.2,percent of total billed charges,,,560.88,percent of total billed charges ,,,623.2,percent of total billed charges ,615.41,percent of total billed charges ,615.41,percent of total billed charges ,662.15,percent of total billed charges ,662.15,percent of total billed charges ,623.2,percent of total billed charges ,623.2,percent of total billed charges ,545.3,percent of total billed charges ,545.3,percent of total billed charges ,467.4,percent of total billed charges ,467.4,percent of total billed charges ,467.4,percent of total billed charges ,467.4,percent of total billed charges ,,,,,414.43,percent of total billed charges ,,,,,393.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,179.17,percent of total billed charges,,,179.17,percent of total billed charges,,,179.17,percent of total billed charges,,,179.17,percent of total billed charges,,,179.17,percent of total billed charges,,,179.17,percent of total billed charges,,,179.17,percent of total billed charges,,,179.17,percent of total billed charges,,,179.17,percent of total billed charges,,,179.17,percent of total billed charges,,,179.17,percent of total billed charges,
PHY- CLTX PROX FIBULA/SHFT FX W/O MANJ,27780,CDM,,,GF,both,,,"1,211.00","1,211.00",278.53,"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,956.69,percent of total billed charges,956.69,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 ,956.69,percent of total billed charges ,956.69,percent of total billed charges ,"1,029.35",percent of total billed charges ,"1,029.35",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 ,,,,,,,,,,,,,,,,,,,278.53,percent of total billed charges,,,278.53,percent of total billed charges,,,278.53,percent of total billed charges,,,278.53,percent of total billed charges,,,278.53,percent of total billed charges,,,278.53,percent of total billed charges,,,278.53,percent of total billed charges,,,278.53,percent of total billed charges,,,278.53,percent of total billed charges,,,278.53,percent of total billed charges,,,278.53,percent of total billed charges,
AHP- CLTX PROX FIBULA/SHFT FX W/O MANJ,27780,CDM,,,GF,both,,,"1,211.00","1,211.00",278.53,"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,956.69,percent of total billed charges,956.69,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 ,956.69,percent of total billed charges ,956.69,percent of total billed charges ,"1,029.35",percent of total billed charges ,"1,029.35",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 ,,,,,,,,,,,,,,,,,,,278.53,percent of total billed charges,,,278.53,percent of total billed charges,,,278.53,percent of total billed charges,,,278.53,percent of total billed charges,,,278.53,percent of total billed charges,,,278.53,percent of total billed charges,,,278.53,percent of total billed charges,,,278.53,percent of total billed charges,,,278.53,percent of total billed charges,,,278.53,percent of total billed charges,,,278.53,percent of total billed charges,
ER- CLTX DSTL FIBULAR FX LAT MALLS W/O M,27786,CDM,,,GF,both,,,809,809,186.07,809,809,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,639.11,percent of total billed charges,639.11,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 ,639.11,percent of total billed charges ,639.11,percent of total billed charges ,687.65,percent of total billed charges ,687.65,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 ,,,,,,,,,,,,,,,,,,,186.07,percent of total billed charges,,,186.07,percent of total billed charges,,,186.07,percent of total billed charges,,,186.07,percent of total billed charges,,,186.07,percent of total billed charges,,,186.07,percent of total billed charges,,,186.07,percent of total billed charges,,,186.07,percent of total billed charges,,,186.07,percent of total billed charges,,,186.07,percent of total billed charges,,,186.07,percent of total billed charges,
PHY- CLTX DSTL FIBULAR FX LAT MALLS W/O,27786,CDM,,,GF,both,,,"1,242.00","1,242.00",285.66,"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,981.18,percent of total billed charges,981.18,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 ,981.18,percent of total billed charges ,981.18,percent of total billed charges ,"1,055.70",percent of total billed charges ,"1,055.70",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 ,,,,,,,,,,,,,,,,,,,285.66,percent of total billed charges,,,285.66,percent of total billed charges,,,285.66,percent of total billed charges,,,285.66,percent of total billed charges,,,285.66,percent of total billed charges,,,285.66,percent of total billed charges,,,285.66,percent of total billed charges,,,285.66,percent of total billed charges,,,285.66,percent of total billed charges,,,285.66,percent of total billed charges,,,285.66,percent of total billed charges,
AHP- CLTX DSTL FIBULAR FX LAT MALLS W/O,27786,CDM,,,GF,both,,,"1,242.00","1,242.00",285.66,"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,981.18,percent of total billed charges,981.18,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 ,981.18,percent of total billed charges ,981.18,percent of total billed charges ,"1,055.70",percent of total billed charges ,"1,055.70",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 ,,,,,,,,,,,,,,,,,,,285.66,percent of total billed charges,,,285.66,percent of total billed charges,,,285.66,percent of total billed charges,,,285.66,percent of total billed charges,,,285.66,percent of total billed charges,,,285.66,percent of total billed charges,,,285.66,percent of total billed charges,,,285.66,percent of total billed charges,,,285.66,percent of total billed charges,,,285.66,percent of total billed charges,,,285.66,percent of total billed charges,
ER- CLOSED TX BIMALLEOLAR ANKLE FRACTURE,27808,CDM,,,GF,both,,,871,871,200.33,871,871,percent of total billed charges,871,percent of total billed charges,871,percent of total billed charges,871,percent of total billed charges,871,percent of total billed charges,871,percent of total billed charges,871,percent of total billed charges,871,percent of total billed charges,627.12,percent of total billed charges,627.12,percent of total billed charges,627.12,percent of total billed charges,627.12,percent of total billed charges,627.12,percent of total billed charges,627.12,percent of total billed charges,688.09,percent of total billed charges,688.09,percent of total billed charges,696.8,percent of total billed charges,696.8,percent of total billed charges,,,627.12,percent of total billed charges ,,,696.8,percent of total billed charges ,688.09,percent of total billed charges ,688.09,percent of total billed charges ,740.35,percent of total billed charges ,740.35,percent of total billed charges ,696.8,percent of total billed charges ,696.8,percent of total billed charges ,609.7,percent of total billed charges ,609.7,percent of total billed charges ,522.6,percent of total billed charges ,522.6,percent of total billed charges ,522.6,percent of total billed charges ,522.6,percent of total billed charges ,,,,,463.37,percent of total billed charges ,,,,,440.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,200.33,percent of total billed charges,,,200.33,percent of total billed charges,,,200.33,percent of total billed charges,,,200.33,percent of total billed charges,,,200.33,percent of total billed charges,,,200.33,percent of total billed charges,,,200.33,percent of total billed charges,,,200.33,percent of total billed charges,,,200.33,percent of total billed charges,,,200.33,percent of total billed charges,,,200.33,percent of total billed charges,
PHY- CLOSED TX BIMALLEOLAR ANKLE FRACTUR,27808,CDM,,,GF,both,,,"1,307.00","1,307.00",300.61,"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,"1,032.53",percent of total billed charges,"1,032.53",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 ,"1,032.53",percent of total billed charges ,"1,032.53",percent of total billed charges ,"1,110.95",percent of total billed charges ,"1,110.95",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 ,,,,,,,,,,,,,,,,,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,
AHP- CLOSED TX BIMALLEOLAR ANKLE FRACTUR,27808,CDM,,,GF,both,,,"1,307.00","1,307.00",300.61,"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,"1,032.53",percent of total billed charges,"1,032.53",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 ,"1,032.53",percent of total billed charges ,"1,032.53",percent of total billed charges ,"1,110.95",percent of total billed charges ,"1,110.95",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 ,,,,,,,,,,,,,,,,,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,
ER- CLTX TRIMALLEOLAR ANKLE FX W/O MANIP,27816,CDM,,,GF,both,,,"1,052.00","1,052.00",241.96,"1,052.00","1,052.00",percent of total billed charges,"1,052.00",percent of total billed charges,"1,052.00",percent of total billed charges,"1,052.00",percent of total billed charges,"1,052.00",percent of total billed charges,"1,052.00",percent of total billed charges,"1,052.00",percent of total billed charges,"1,052.00",percent of total billed charges,757.44,percent of total billed charges,757.44,percent of total billed charges,757.44,percent of total billed charges,757.44,percent of total billed charges,757.44,percent of total billed charges,757.44,percent of total billed charges,831.08,percent of total billed charges,831.08,percent of total billed charges,841.6,percent of total billed charges,841.6,percent of total billed charges,,,757.44,percent of total billed charges ,,,841.6,percent of total billed charges ,831.08,percent of total billed charges ,831.08,percent of total billed charges ,894.2,percent of total billed charges ,894.2,percent of total billed charges ,841.6,percent of total billed charges ,841.6,percent of total billed charges ,736.4,percent of total billed charges ,736.4,percent of total billed charges ,631.2,percent of total billed charges ,631.2,percent of total billed charges ,631.2,percent of total billed charges ,631.2,percent of total billed charges ,,,,,559.66,percent of total billed charges ,,,,,531.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,241.96,percent of total billed charges,,,241.96,percent of total billed charges,,,241.96,percent of total billed charges,,,241.96,percent of total billed charges,,,241.96,percent of total billed charges,,,241.96,percent of total billed charges,,,241.96,percent of total billed charges,,,241.96,percent of total billed charges,,,241.96,percent of total billed charges,,,241.96,percent of total billed charges,,,241.96,percent of total billed charges,
PHY- CLTX TRIMALLEOLAR ANKLE FX W/O MANI,27816,CDM,,,GF,both,,,"1,259.00","1,259.00",289.57,"1,259.00","1,259.00",percent of total billed charges,"1,259.00",percent of total billed charges,"1,259.00",percent of total billed charges,"1,259.00",percent of total billed charges,"1,259.00",percent of total billed charges,"1,259.00",percent of total billed charges,"1,259.00",percent of total billed charges,"1,259.00",percent of total billed charges,906.48,percent of total billed charges,906.48,percent of total billed charges,906.48,percent of total billed charges,906.48,percent of total billed charges,906.48,percent of total billed charges,906.48,percent of total billed charges,994.61,percent of total billed charges,994.61,percent of total billed charges,"1,007.20",percent of total billed charges,"1,007.20",percent of total billed charges,,,906.48,percent of total billed charges ,,,"1,007.20",percent of total billed charges ,994.61,percent of total billed charges ,994.61,percent of total billed charges ,"1,070.15",percent of total billed charges ,"1,070.15",percent of total billed charges ,"1,007.20",percent of total billed charges ,"1,007.20",percent of total billed charges ,881.3,percent of total billed charges ,881.3,percent of total billed charges ,755.4,percent of total billed charges ,755.4,percent of total billed charges ,755.4,percent of total billed charges ,755.4,percent of total billed charges ,,,,,669.79,percent of total billed charges ,,,,,636.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,289.57,percent of total billed charges,,,289.57,percent of total billed charges,,,289.57,percent of total billed charges,,,289.57,percent of total billed charges,,,289.57,percent of total billed charges,,,289.57,percent of total billed charges,,,289.57,percent of total billed charges,,,289.57,percent of total billed charges,,,289.57,percent of total billed charges,,,289.57,percent of total billed charges,,,289.57,percent of total billed charges,
AHP- CLTX TRIMALLEOLAR ANKLE FX W/O MANI,27816,CDM,,,GF,both,,,"1,259.00","1,259.00",289.57,"1,259.00","1,259.00",percent of total billed charges,"1,259.00",percent of total billed charges,"1,259.00",percent of total billed charges,"1,259.00",percent of total billed charges,"1,259.00",percent of total billed charges,"1,259.00",percent of total billed charges,"1,259.00",percent of total billed charges,"1,259.00",percent of total billed charges,906.48,percent of total billed charges,906.48,percent of total billed charges,906.48,percent of total billed charges,906.48,percent of total billed charges,906.48,percent of total billed charges,906.48,percent of total billed charges,994.61,percent of total billed charges,994.61,percent of total billed charges,"1,007.20",percent of total billed charges,"1,007.20",percent of total billed charges,,,906.48,percent of total billed charges ,,,"1,007.20",percent of total billed charges ,994.61,percent of total billed charges ,994.61,percent of total billed charges ,"1,070.15",percent of total billed charges ,"1,070.15",percent of total billed charges ,"1,007.20",percent of total billed charges ,"1,007.20",percent of total billed charges ,881.3,percent of total billed charges ,881.3,percent of total billed charges ,755.4,percent of total billed charges ,755.4,percent of total billed charges ,755.4,percent of total billed charges ,755.4,percent of total billed charges ,,,,,669.79,percent of total billed charges ,,,,,636.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,289.57,percent of total billed charges,,,289.57,percent of total billed charges,,,289.57,percent of total billed charges,,,289.57,percent of total billed charges,,,289.57,percent of total billed charges,,,289.57,percent of total billed charges,,,289.57,percent of total billed charges,,,289.57,percent of total billed charges,,,289.57,percent of total billed charges,,,289.57,percent of total billed charges,,,289.57,percent of total billed charges,
ER- CLTX FX W8 BRG ARTCLR PRTN DSTL TIBI,27824,CDM,,,GF,both,,,749,749,172.27,749,749,percent of total billed charges,749,percent of total billed charges,749,percent of total billed charges,749,percent of total billed charges,749,percent of total billed charges,749,percent of total billed charges,749,percent of total billed charges,749,percent of total billed charges,539.28,percent of total billed charges,539.28,percent of total billed charges,539.28,percent of total billed charges,539.28,percent of total billed charges,539.28,percent of total billed charges,539.28,percent of total billed charges,591.71,percent of total billed charges,591.71,percent of total billed charges,599.2,percent of total billed charges,599.2,percent of total billed charges,,,539.28,percent of total billed charges ,,,599.2,percent of total billed charges ,591.71,percent of total billed charges ,591.71,percent of total billed charges ,636.65,percent of total billed charges ,636.65,percent of total billed charges ,599.2,percent of total billed charges ,599.2,percent of total billed charges ,524.3,percent of total billed charges ,524.3,percent of total billed charges ,449.4,percent of total billed charges ,449.4,percent of total billed charges ,449.4,percent of total billed charges ,449.4,percent of total billed charges ,,,,,398.47,percent of total billed charges ,,,,,378.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,172.27,percent of total billed charges,,,172.27,percent of total billed charges,,,172.27,percent of total billed charges,,,172.27,percent of total billed charges,,,172.27,percent of total billed charges,,,172.27,percent of total billed charges,,,172.27,percent of total billed charges,,,172.27,percent of total billed charges,,,172.27,percent of total billed charges,,,172.27,percent of total billed charges,,,172.27,percent of total billed charges,
PHY- CLTX FX W8 BRG ARTCLR PRTN DSTL TIB,27824,CDM,,,GF,both,,,"1,327.00","1,327.00",305.21,"1,327.00","1,327.00",percent of total billed charges,"1,327.00",percent of total billed charges,"1,327.00",percent of total billed charges,"1,327.00",percent of total billed charges,"1,327.00",percent of total billed charges,"1,327.00",percent of total billed charges,"1,327.00",percent of total billed charges,"1,327.00",percent of total billed charges,955.44,percent of total billed charges,955.44,percent of total billed charges,955.44,percent of total billed charges,955.44,percent of total billed charges,955.44,percent of total billed charges,955.44,percent of total billed charges,"1,048.33",percent of total billed charges,"1,048.33",percent of total billed charges,"1,061.60",percent of total billed charges,"1,061.60",percent of total billed charges,,,955.44,percent of total billed charges ,,,"1,061.60",percent of total billed charges ,"1,048.33",percent of total billed charges ,"1,048.33",percent of total billed charges ,"1,127.95",percent of total billed charges ,"1,127.95",percent of total billed charges ,"1,061.60",percent of total billed charges ,"1,061.60",percent of total billed charges ,928.9,percent of total billed charges ,928.9,percent of total billed charges ,796.2,percent of total billed charges ,796.2,percent of total billed charges ,796.2,percent of total billed charges ,796.2,percent of total billed charges ,,,,,705.96,percent of total billed charges ,,,,,670.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,305.21,percent of total billed charges,,,305.21,percent of total billed charges,,,305.21,percent of total billed charges,,,305.21,percent of total billed charges,,,305.21,percent of total billed charges,,,305.21,percent of total billed charges,,,305.21,percent of total billed charges,,,305.21,percent of total billed charges,,,305.21,percent of total billed charges,,,305.21,percent of total billed charges,,,305.21,percent of total billed charges,
AHP- CLTX FX W8 BRG ARTCLR PRTN DSTL TIB,27824,CDM,,,GF,both,,,"1,327.00","1,327.00",305.21,"1,327.00","1,327.00",percent of total billed charges,"1,327.00",percent of total billed charges,"1,327.00",percent of total billed charges,"1,327.00",percent of total billed charges,"1,327.00",percent of total billed charges,"1,327.00",percent of total billed charges,"1,327.00",percent of total billed charges,"1,327.00",percent of total billed charges,955.44,percent of total billed charges,955.44,percent of total billed charges,955.44,percent of total billed charges,955.44,percent of total billed charges,955.44,percent of total billed charges,955.44,percent of total billed charges,"1,048.33",percent of total billed charges,"1,048.33",percent of total billed charges,"1,061.60",percent of total billed charges,"1,061.60",percent of total billed charges,,,955.44,percent of total billed charges ,,,"1,061.60",percent of total billed charges ,"1,048.33",percent of total billed charges ,"1,048.33",percent of total billed charges ,"1,127.95",percent of total billed charges ,"1,127.95",percent of total billed charges ,"1,061.60",percent of total billed charges ,"1,061.60",percent of total billed charges ,928.9,percent of total billed charges ,928.9,percent of total billed charges ,796.2,percent of total billed charges ,796.2,percent of total billed charges ,796.2,percent of total billed charges ,796.2,percent of total billed charges ,,,,,705.96,percent of total billed charges ,,,,,670.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,305.21,percent of total billed charges,,,305.21,percent of total billed charges,,,305.21,percent of total billed charges,,,305.21,percent of total billed charges,,,305.21,percent of total billed charges,,,305.21,percent of total billed charges,,,305.21,percent of total billed charges,,,305.21,percent of total billed charges,,,305.21,percent of total billed charges,,,305.21,percent of total billed charges,,,305.21,percent of total billed charges,
ER- CLOSED TX METATARSAL FRACTURE W/O MA,28470,CDM,,,GF,both,,,708,708,162.84,708,708,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,559.32,percent of total billed charges,559.32,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 ,559.32,percent of total billed charges ,559.32,percent of total billed charges ,601.8,percent of total billed charges ,601.8,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 ,,,,,,,,,,,,,,,,,,,162.84,percent of total billed charges,,,162.84,percent of total billed charges,,,162.84,percent of total billed charges,,,162.84,percent of total billed charges,,,162.84,percent of total billed charges,,,162.84,percent of total billed charges,,,162.84,percent of total billed charges,,,162.84,percent of total billed charges,,,162.84,percent of total billed charges,,,162.84,percent of total billed charges,,,162.84,percent of total billed charges,
PHY- CLOSED TX METATARSAL FRACTURE W/O M,28470,CDM,,,GF,both,,,880,880,202.4,880,880,percent of total billed charges,880,percent of total billed charges,880,percent of total billed charges,880,percent of total billed charges,880,percent of total billed charges,880,percent of total billed charges,880,percent of total billed charges,880,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,633.6,percent of total billed charges,633.6,percent of total billed charges,695.2,percent of total billed charges,695.2,percent of total billed charges,704,percent of total billed charges,704,percent of total billed charges,,,633.6,percent of total billed charges ,,,704,percent of total billed charges ,695.2,percent of total billed charges ,695.2,percent of total billed charges ,748,percent of total billed charges ,748,percent of total billed charges ,704,percent of total billed charges ,704,percent of total billed charges ,616,percent of total billed charges ,616,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 ,,,,,468.16,percent of total billed charges ,,,,,444.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,202.4,percent of total billed charges,,,202.4,percent of total billed charges,,,202.4,percent of total billed charges,,,202.4,percent of total billed charges,,,202.4,percent of total billed charges,,,202.4,percent of total billed charges,,,202.4,percent of total billed charges,,,202.4,percent of total billed charges,,,202.4,percent of total billed charges,,,202.4,percent of total billed charges,,,202.4,percent of total billed charges,
AHP- CLOSED TX METATARSAL FRACTURE W/O M,28470,CDM,,,GF,both,,,880,880,202.4,880,880,percent of total billed charges,880,percent of total billed charges,880,percent of total billed charges,880,percent of total billed charges,880,percent of total billed charges,880,percent of total billed charges,880,percent of total billed charges,880,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,633.6,percent of total billed charges,633.6,percent of total billed charges,695.2,percent of total billed charges,695.2,percent of total billed charges,704,percent of total billed charges,704,percent of total billed charges,,,633.6,percent of total billed charges ,,,704,percent of total billed charges ,695.2,percent of total billed charges ,695.2,percent of total billed charges ,748,percent of total billed charges ,748,percent of total billed charges ,704,percent of total billed charges ,704,percent of total billed charges ,616,percent of total billed charges ,616,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 ,,,,,468.16,percent of total billed charges ,,,,,444.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,202.4,percent of total billed charges,,,202.4,percent of total billed charges,,,202.4,percent of total billed charges,,,202.4,percent of total billed charges,,,202.4,percent of total billed charges,,,202.4,percent of total billed charges,,,202.4,percent of total billed charges,,,202.4,percent of total billed charges,,,202.4,percent of total billed charges,,,202.4,percent of total billed charges,,,202.4,percent of total billed charges,
ER- CLTX FX GRT TOE PHLX/PHLG W/O MANJ,28490,CDM,,,GF,both,,,627,627,144.21,627,627,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,495.33,percent of total billed charges,495.33,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 ,495.33,percent of total billed charges ,495.33,percent of total billed charges ,532.95,percent of total billed charges ,532.95,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 ,,,,,,,,,,,,,,,,,,,144.21,percent of total billed charges,,,144.21,percent of total billed charges,,,144.21,percent of total billed charges,,,144.21,percent of total billed charges,,,144.21,percent of total billed charges,,,144.21,percent of total billed charges,,,144.21,percent of total billed charges,,,144.21,percent of total billed charges,,,144.21,percent of total billed charges,,,144.21,percent of total billed charges,,,144.21,percent of total billed charges,
PHY- CLTX FX GRT TOE PHLX/PHLG W/O MANJ,28490,CDM,,,GF,both,,,539,539,123.97,539,539,percent of total billed charges,539,percent of total billed charges,539,percent of total billed charges,539,percent of total billed charges,539,percent of total billed charges,539,percent of total billed charges,539,percent of total billed charges,539,percent of total billed charges,388.08,percent of total billed charges,388.08,percent of total billed charges,388.08,percent of total billed charges,388.08,percent of total billed charges,388.08,percent of total billed charges,388.08,percent of total billed charges,425.81,percent of total billed charges,425.81,percent of total billed charges,431.2,percent of total billed charges,431.2,percent of total billed charges,,,388.08,percent of total billed charges ,,,431.2,percent of total billed charges ,425.81,percent of total billed charges ,425.81,percent of total billed charges ,458.15,percent of total billed charges ,458.15,percent of total billed charges ,431.2,percent of total billed charges ,431.2,percent of total billed charges ,377.3,percent of total billed charges ,377.3,percent of total billed charges ,323.4,percent of total billed charges ,323.4,percent of total billed charges ,323.4,percent of total billed charges ,323.4,percent of total billed charges ,,,,,286.75,percent of total billed charges ,,,,,272.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,
AHP- CLTX FX GRT TOE PHLX/PHLG W/O MANJ,28490,CDM,,,GF,both,,,539,539,123.97,539,539,percent of total billed charges,539,percent of total billed charges,539,percent of total billed charges,539,percent of total billed charges,539,percent of total billed charges,539,percent of total billed charges,539,percent of total billed charges,539,percent of total billed charges,388.08,percent of total billed charges,388.08,percent of total billed charges,388.08,percent of total billed charges,388.08,percent of total billed charges,388.08,percent of total billed charges,388.08,percent of total billed charges,425.81,percent of total billed charges,425.81,percent of total billed charges,431.2,percent of total billed charges,431.2,percent of total billed charges,,,388.08,percent of total billed charges ,,,431.2,percent of total billed charges ,425.81,percent of total billed charges ,425.81,percent of total billed charges ,458.15,percent of total billed charges ,458.15,percent of total billed charges ,431.2,percent of total billed charges ,431.2,percent of total billed charges ,377.3,percent of total billed charges ,377.3,percent of total billed charges ,323.4,percent of total billed charges ,323.4,percent of total billed charges ,323.4,percent of total billed charges ,323.4,percent of total billed charges ,,,,,286.75,percent of total billed charges ,,,,,272.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,
ER- CLTX FX PHLX/PHLG OTH/THN GRT TOE W/,28510,CDM,,,GF,both,,,646,646,148.58,646,646,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,510.34,percent of total billed charges,510.34,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 ,510.34,percent of total billed charges ,510.34,percent of total billed charges ,549.1,percent of total billed charges ,549.1,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 ,,,,,,,,,,,,,,,,,,,148.58,percent of total billed charges,,,148.58,percent of total billed charges,,,148.58,percent of total billed charges,,,148.58,percent of total billed charges,,,148.58,percent of total billed charges,,,148.58,percent of total billed charges,,,148.58,percent of total billed charges,,,148.58,percent of total billed charges,,,148.58,percent of total billed charges,,,148.58,percent of total billed charges,,,148.58,percent of total billed charges,
PHY- CLTX FX PHLX/PHLG OTH/THN GRT TOE W,28510,CDM,,,GF,both,,,518,518,119.14,518,518,percent of total billed charges,518,percent of total billed charges,518,percent of total billed charges,518,percent of total billed charges,518,percent of total billed charges,518,percent of total billed charges,518,percent of total billed charges,518,percent of total billed charges,372.96,percent of total billed charges,372.96,percent of total billed charges,372.96,percent of total billed charges,372.96,percent of total billed charges,372.96,percent of total billed charges,372.96,percent of total billed charges,409.22,percent of total billed charges,409.22,percent of total billed charges,414.4,percent of total billed charges,414.4,percent of total billed charges,,,372.96,percent of total billed charges ,,,414.4,percent of total billed charges ,409.22,percent of total billed charges ,409.22,percent of total billed charges ,440.3,percent of total billed charges ,440.3,percent of total billed charges ,414.4,percent of total billed charges ,414.4,percent of total billed charges ,362.6,percent of total billed charges ,362.6,percent of total billed charges ,310.8,percent of total billed charges ,310.8,percent of total billed charges ,310.8,percent of total billed charges ,310.8,percent of total billed charges ,,,,,275.58,percent of total billed charges ,,,,,261.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,119.14,percent of total billed charges,,,119.14,percent of total billed charges,,,119.14,percent of total billed charges,,,119.14,percent of total billed charges,,,119.14,percent of total billed charges,,,119.14,percent of total billed charges,,,119.14,percent of total billed charges,,,119.14,percent of total billed charges,,,119.14,percent of total billed charges,,,119.14,percent of total billed charges,,,119.14,percent of total billed charges,
AHP- CLTX FX PHLX/PHLG OTH/THN GRT TOE W,28510,CDM,,,GF,both,,,518,518,119.14,518,518,percent of total billed charges,518,percent of total billed charges,518,percent of total billed charges,518,percent of total billed charges,518,percent of total billed charges,518,percent of total billed charges,518,percent of total billed charges,518,percent of total billed charges,372.96,percent of total billed charges,372.96,percent of total billed charges,372.96,percent of total billed charges,372.96,percent of total billed charges,372.96,percent of total billed charges,372.96,percent of total billed charges,409.22,percent of total billed charges,409.22,percent of total billed charges,414.4,percent of total billed charges,414.4,percent of total billed charges,,,372.96,percent of total billed charges ,,,414.4,percent of total billed charges ,409.22,percent of total billed charges ,409.22,percent of total billed charges ,440.3,percent of total billed charges ,440.3,percent of total billed charges ,414.4,percent of total billed charges ,414.4,percent of total billed charges ,362.6,percent of total billed charges ,362.6,percent of total billed charges ,310.8,percent of total billed charges ,310.8,percent of total billed charges ,310.8,percent of total billed charges ,310.8,percent of total billed charges ,,,,,275.58,percent of total billed charges ,,,,,261.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,119.14,percent of total billed charges,,,119.14,percent of total billed charges,,,119.14,percent of total billed charges,,,119.14,percent of total billed charges,,,119.14,percent of total billed charges,,,119.14,percent of total billed charges,,,119.14,percent of total billed charges,,,119.14,percent of total billed charges,,,119.14,percent of total billed charges,,,119.14,percent of total billed charges,,,119.14,percent of total billed charges,
PHY- CLTX METATARSOPHLNGL JT DISLC REQ A,28635,CDM,,,GF,both,,,588,588,135.24,588,588,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,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,464.52,percent of total billed charges,464.52,percent of total billed charges,470.4,percent of total billed charges,470.4,percent of total billed charges,,,423.36,percent of total billed charges ,,,470.4,percent of total billed charges ,464.52,percent of total billed charges ,464.52,percent of total billed charges ,499.8,percent of total billed charges ,499.8,percent of total billed charges ,470.4,percent of total billed charges ,470.4,percent of total billed charges ,411.6,percent of total billed charges ,411.6,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 ,,,,,312.82,percent of total billed charges ,,,,,297.18,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,
AHP- CLTX METATARSOPHLNGL JT DISLC REQ A,28635,CDM,,,GF,both,,,588,588,135.24,588,588,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,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,464.52,percent of total billed charges,464.52,percent of total billed charges,470.4,percent of total billed charges,470.4,percent of total billed charges,,,423.36,percent of total billed charges ,,,470.4,percent of total billed charges ,464.52,percent of total billed charges ,464.52,percent of total billed charges ,499.8,percent of total billed charges ,499.8,percent of total billed charges ,470.4,percent of total billed charges ,470.4,percent of total billed charges ,411.6,percent of total billed charges ,411.6,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 ,,,,,312.82,percent of total billed charges ,,,,,297.18,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,
PHY- CLOSED TX RADIAL SHAFT FRACTURE W/O,25500,CDM,,,GF,both,,,"1,085.00","1,085.00",249.55,"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,857.15,percent of total billed charges,857.15,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 ,857.15,percent of total billed charges ,857.15,percent of total billed charges ,922.25,percent of total billed charges ,922.25,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 ,,,,,,,,,,,,,,,,,,,249.55,percent of total billed charges,,,249.55,percent of total billed charges,,,249.55,percent of total billed charges,,,249.55,percent of total billed charges,,,249.55,percent of total billed charges,,,249.55,percent of total billed charges,,,249.55,percent of total billed charges,,,249.55,percent of total billed charges,,,249.55,percent of total billed charges,,,249.55,percent of total billed charges,,,249.55,percent of total billed charges,
"DRESSINGS AND/OR DEBRIDMENT, LESS THAN 5",16020,CDM,,,GF,both,,,241,241,55.43,241,241,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,190.39,percent of total billed charges,190.39,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 ,190.39,percent of total billed charges ,190.39,percent of total billed charges ,204.85,percent of total billed charges ,204.85,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 ,,,,,,,,,,,,,,,,,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,
AHP-REMOVAL FOREIGN BODY FROM PHARYNX,42809,CDM,,,,both,,,691,691,158.93,691,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,545.89,percent of total billed charges,545.89,percent of total billed charges,552.8,percent of total billed charges,552.8,percent of total billed charges,,,497.52,percent of total billed charges ,,,552.8,percent of total billed charges ,545.89,percent of total billed charges ,545.89,percent of total billed charges ,587.35,percent of total billed charges ,587.35,percent of total billed charges ,552.8,percent of total billed charges ,552.8,percent of total billed charges ,483.7,percent of total billed charges ,483.7,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,,,,,367.61,percent of total billed charges ,,,,,349.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,
AHP-Manip Finger/Closed w/o anesth,26770,CDM,,,,both,,,"1,134.00","1,134.00",260.82,"1,134.00","1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,816.48,percent of total billed charges,816.48,percent of total billed charges,816.48,percent of total billed charges,816.48,percent of total billed charges,816.48,percent of total billed charges,816.48,percent of total billed charges,895.86,percent of total billed charges,895.86,percent of total billed charges,907.2,percent of total billed charges,907.2,percent of total billed charges,,,816.48,percent of total billed charges ,,,907.2,percent of total billed charges ,895.86,percent of total billed charges ,895.86,percent of total billed charges ,963.9,percent of total billed charges ,963.9,percent of total billed charges ,907.2,percent of total billed charges ,907.2,percent of total billed charges ,793.8,percent of total billed charges ,793.8,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 ,,,,,603.29,percent of total billed charges ,,,,,573.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,
AHP-REDUCTION OF DISLOCATION OF ANKLE,27840,CDM,,,,both,,,"2,235.00","2,235.00",514.05,"2,235.00","2,235.00",percent of total billed charges,"2,235.00",percent of total billed charges,"2,235.00",percent of total billed charges,"2,235.00",percent of total billed charges,"2,235.00",percent of total billed charges,"2,235.00",percent of total billed charges,"2,235.00",percent of total billed charges,"2,235.00",percent of total billed charges,"1,609.20",percent of total billed charges,"1,609.20",percent of total billed charges,"1,609.20",percent of total billed charges,"1,609.20",percent of total billed charges,"1,609.20",percent of total billed charges,"1,609.20",percent of total billed charges,"1,765.65",percent of total billed charges,"1,765.65",percent of total billed charges,"1,788.00",percent of total billed charges,"1,788.00",percent of total billed charges,,,"1,609.20",percent of total billed charges ,,,"1,788.00",percent of total billed charges ,"1,765.65",percent of total billed charges ,"1,765.65",percent of total billed charges ,"1,899.75",percent of total billed charges ,"1,899.75",percent of total billed charges ,"1,788.00",percent of total billed charges ,"1,788.00",percent of total billed charges ,"1,564.50",percent of total billed charges ,"1,564.50",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 ,,,,,"1,189.02",percent of total billed charges ,,,,,"1,129.57",percent of total billed charges ,,,,,,,,,,,,,,,,,,,514.05,percent of total billed charges,,,514.05,percent of total billed charges,,,514.05,percent of total billed charges,,,514.05,percent of total billed charges,,,514.05,percent of total billed charges,,,514.05,percent of total billed charges,,,514.05,percent of total billed charges,,,514.05,percent of total billed charges,,,514.05,percent of total billed charges,,,514.05,percent of total billed charges,,,514.05,percent of total billed charges,
AHP-INJECTION GREATER OCCIPITAL NER,64405,CDM,,,,both,,,217,217,49.91,217,217,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,171.43,percent of total billed charges,171.43,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 ,171.43,percent of total billed charges ,171.43,percent of total billed charges ,184.45,percent of total billed charges ,184.45,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 ,,,,,,,,,,,,,,,,,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,
AHP-HEMORRHOID THROMBECTOMY,46320,CDM,,,,both,,,542,542,124.66,542,542,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,428.18,percent of total billed charges,428.18,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 ,428.18,percent of total billed charges ,428.18,percent of total billed charges ,460.7,percent of total billed charges ,460.7,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 ,,,,,,,,,,,,,,,,,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,
ER-IRRIGATION OF CORPORA FOR PRIAPISM,54220,CDM,,,,both,,,"1,093.00","1,093.00",251.39,"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,863.47,percent of total billed charges,863.47,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 ,863.47,percent of total billed charges ,863.47,percent of total billed charges ,929.05,percent of total billed charges ,929.05,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 ,,,,,,,,,,,,,,,,,,,251.39,percent of total billed charges,,,251.39,percent of total billed charges,,,251.39,percent of total billed charges,,,251.39,percent of total billed charges,,,251.39,percent of total billed charges,,,251.39,percent of total billed charges,,,251.39,percent of total billed charges,,,251.39,percent of total billed charges,,,251.39,percent of total billed charges,,,251.39,percent of total billed charges,,,251.39,percent of total billed charges,
PHY-IRRIGATION OF CORPORA FOR PRIAPISM,54220,CDM,,,,both,,,528,528,121.44,528,528,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,417.12,percent of total billed charges,417.12,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 ,417.12,percent of total billed charges ,417.12,percent of total billed charges ,448.8,percent of total billed charges ,448.8,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
AHP-IRRIGATION OF CORPORA FOR PRIAPISM,54220,CDM,,,,both,,,528,528,121.44,528,528,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,417.12,percent of total billed charges,417.12,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 ,417.12,percent of total billed charges ,417.12,percent of total billed charges ,448.8,percent of total billed charges ,448.8,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
AHP-CLOSED ELBOW DISLOCATION W/ ANESTH,24605,CDM,,,GF,both,,,"2,862.00","2,862.00",658.26,"2,862.00","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,"2,862.00",percent of total billed charges,"2,862.00",percent of total billed charges,"2,060.64",percent of total billed charges,"2,060.64",percent of total billed charges,"2,060.64",percent of total billed charges,"2,060.64",percent of total billed charges,"2,060.64",percent of total billed charges,"2,060.64",percent of total billed charges,"2,260.98",percent of total billed charges,"2,260.98",percent of total billed charges,"2,289.60",percent of total billed charges,"2,289.60",percent of total billed charges,,,"2,060.64",percent of total billed charges ,,,"2,289.60",percent of total billed charges ,"2,260.98",percent of total billed charges ,"2,260.98",percent of total billed charges ,"2,432.70",percent of total billed charges ,"2,432.70",percent of total billed charges ,"2,289.60",percent of total billed charges ,"2,289.60",percent of total billed charges ,"2,003.40",percent of total billed charges ,"2,003.40",percent of total billed charges ,"1,717.20",percent of total billed charges ,"1,717.20",percent of total billed charges ,"1,717.20",percent of total billed charges ,"1,717.20",percent of total billed charges ,,,,,"1,522.58",percent of total billed charges ,,,,,"1,446.45",percent of total billed charges ,,,,,,,,,,,,,,,,,,,658.26,percent of total billed charges,,,658.26,percent of total billed charges,,,658.26,percent of total billed charges,,,658.26,percent of total billed charges,,,658.26,percent of total billed charges,,,658.26,percent of total billed charges,,,658.26,percent of total billed charges,,,658.26,percent of total billed charges,,,658.26,percent of total billed charges,,,658.26,percent of total billed charges,,,658.26,percent of total billed charges,
AHP-Debride/Subcutaneous,11042,CDM,,,,both,,,826,826,189.98,826,826,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,652.54,percent of total billed charges,652.54,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 ,652.54,percent of total billed charges ,652.54,percent of total billed charges ,702.1,percent of total billed charges ,702.1,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 ,,,,,,,,,,,,,,,,,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,,,189.98,percent of total billed charges,
ANTITHROMBIN III ANTIGEN CLOTTING INHIBI,85300,CDM,,,,both,,,268,268,61.64,268,268,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,211.72,percent of total billed charges,211.72,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 ,211.72,percent of total billed charges ,211.72,percent of total billed charges ,227.8,percent of total billed charges ,227.8,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 ,,,,,,,,,,,,,,,,,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,
CONGENTAL ECHO,93303,CDM,,,,both,,,"2,074.00","2,074.00",477.02,"2,074.00","2,074.00",percent of total billed charges,"2,074.00",percent of total billed charges,"2,074.00",percent of total billed charges,"2,074.00",percent of total billed charges,"2,074.00",percent of total billed charges,"2,074.00",percent of total billed charges,"2,074.00",percent of total billed charges,"2,074.00",percent of total billed charges,"1,493.28",percent of total billed charges,"1,493.28",percent of total billed charges,"1,493.28",percent of total billed charges,"1,493.28",percent of total billed charges,"1,493.28",percent of total billed charges,"1,493.28",percent of total billed charges,"1,638.46",percent of total billed charges,"1,638.46",percent of total billed charges,"1,659.20",percent of total billed charges,"1,659.20",percent of total billed charges,,,"1,493.28",percent of total billed charges ,,,"1,659.20",percent of total billed charges ,"1,638.46",percent of total billed charges ,"1,638.46",percent of total billed charges ,"1,762.90",percent of total billed charges ,"1,762.90",percent of total billed charges ,"1,659.20",percent of total billed charges ,"1,659.20",percent of total billed charges ,"1,451.80",percent of total billed charges ,"1,451.80",percent of total billed charges ,"1,244.40",percent of total billed charges ,"1,244.40",percent of total billed charges ,"1,244.40",percent of total billed charges ,"1,244.40",percent of total billed charges ,,,,,"1,103.37",percent of total billed charges ,,,,,"1,048.20",percent of total billed charges ,,,,,,,,,,,,,,,,,,,477.02,percent of total billed charges,,,477.02,percent of total billed charges,,,477.02,percent of total billed charges,,,477.02,percent of total billed charges,,,477.02,percent of total billed charges,,,477.02,percent of total billed charges,,,477.02,percent of total billed charges,,,477.02,percent of total billed charges,,,477.02,percent of total billed charges,,,477.02,percent of total billed charges,,,477.02,percent of total billed charges,
**COLOR FLO STAT,93325,CDM,,,,both,,,496,496,114.08,496,496,percent of total billed charges,496,percent of total billed charges,496,percent of total billed charges,496,percent of total billed charges,496,percent of total billed charges,496,percent of total billed charges,496,percent of total billed charges,496,percent of total billed charges,357.12,percent of total billed charges,357.12,percent of total billed charges,357.12,percent of total billed charges,357.12,percent of total billed charges,357.12,percent of total billed charges,357.12,percent of total billed charges,391.84,percent of total billed charges,391.84,percent of total billed charges,396.8,percent of total billed charges,396.8,percent of total billed charges,,,357.12,percent of total billed charges ,,,396.8,percent of total billed charges ,391.84,percent of total billed charges ,391.84,percent of total billed charges ,421.6,percent of total billed charges ,421.6,percent of total billed charges ,396.8,percent of total billed charges ,396.8,percent of total billed charges ,347.2,percent of total billed charges ,347.2,percent of total billed charges ,297.6,percent of total billed charges ,297.6,percent of total billed charges ,297.6,percent of total billed charges ,297.6,percent of total billed charges ,,,,,263.87,percent of total billed charges ,,,,,250.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,
ECHO FOLLOW-UP LIMITED STUDY,93308,CDM,,,,both,,,"1,120.00","1,120.00",257.6,"1,120.00","1,120.00",percent of total billed charges,"1,120.00",percent of total billed charges,"1,120.00",percent of total billed charges,"1,120.00",percent of total billed charges,"1,120.00",percent of total billed charges,"1,120.00",percent of total billed charges,"1,120.00",percent of total billed charges,"1,120.00",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,806.4,percent of total billed charges,806.4,percent of total billed charges,884.8,percent of total billed charges,884.8,percent of total billed charges,896,percent of total billed charges,896,percent of total billed charges,,,806.4,percent of total billed charges ,,,896,percent of total billed charges ,884.8,percent of total billed charges ,884.8,percent of total billed charges ,952,percent of total billed charges ,952,percent of total billed charges ,896,percent of total billed charges ,896,percent of total billed charges ,784,percent of total billed charges ,784,percent of total billed charges ,672,percent of total billed charges ,672,percent of total billed charges ,672,percent of total billed charges ,672,percent of total billed charges ,,,,,595.84,percent of total billed charges ,,,,,566.05,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,
**ECHO,93307,CDM,,,,both,,,"2,278.00","2,278.00",523.94,"2,278.00","2,278.00",percent of total billed charges,"2,278.00",percent of total billed charges,"2,278.00",percent of total billed charges,"2,278.00",percent of total billed charges,"2,278.00",percent of total billed charges,"2,278.00",percent of total billed charges,"2,278.00",percent of total billed charges,"2,278.00",percent of total billed charges,"1,640.16",percent of total billed charges,"1,640.16",percent of total billed charges,"1,640.16",percent of total billed charges,"1,640.16",percent of total billed charges,"1,640.16",percent of total billed charges,"1,640.16",percent of total billed charges,"1,799.62",percent of total billed charges,"1,799.62",percent of total billed charges,"1,822.40",percent of total billed charges,"1,822.40",percent of total billed charges,,,"1,640.16",percent of total billed charges ,,,"1,822.40",percent of total billed charges ,"1,799.62",percent of total billed charges ,"1,799.62",percent of total billed charges ,"1,936.30",percent of total billed charges ,"1,936.30",percent of total billed charges ,"1,822.40",percent of total billed charges ,"1,822.40",percent of total billed charges ,"1,594.60",percent of total billed charges ,"1,594.60",percent of total billed charges ,"1,366.80",percent of total billed charges ,"1,366.80",percent of total billed charges ,"1,366.80",percent of total billed charges ,"1,366.80",percent of total billed charges ,,,,,"1,211.90",percent of total billed charges ,,,,,"1,151.30",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,,,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,
**DOPPLER,93320,CDM,,,,both,,,"1,130.00","1,130.00",259.9,"1,130.00","1,130.00",percent of total billed charges,"1,130.00",percent of total billed charges,"1,130.00",percent of total billed charges,"1,130.00",percent of total billed charges,"1,130.00",percent of total billed charges,"1,130.00",percent of total billed charges,"1,130.00",percent of total billed charges,"1,130.00",percent of total billed charges,813.6,percent of total billed charges,813.6,percent of total billed charges,813.6,percent of total billed charges,813.6,percent of total billed charges,813.6,percent of total billed charges,813.6,percent of total billed charges,892.7,percent of total billed charges,892.7,percent of total billed charges,904,percent of total billed charges,904,percent of total billed charges,,,813.6,percent of total billed charges ,,,904,percent of total billed charges ,892.7,percent of total billed charges ,892.7,percent of total billed charges ,960.5,percent of total billed charges ,960.5,percent of total billed charges ,904,percent of total billed charges ,904,percent of total billed charges ,791,percent of total billed charges ,791,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 ,,,,,601.16,percent of total billed charges ,,,,,571.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,259.9,percent of total billed charges,,,259.9,percent of total billed charges,,,259.9,percent of total billed charges,,,259.9,percent of total billed charges,,,259.9,percent of total billed charges,,,259.9,percent of total billed charges,,,259.9,percent of total billed charges,,,259.9,percent of total billed charges,,,259.9,percent of total billed charges,,,259.9,percent of total billed charges,,,259.9,percent of total billed charges,
DOPPLER ADD-ON,93325,CDM,,,,both,,,928,928,213.44,928,928,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,733.12,percent of total billed charges,733.12,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 ,733.12,percent of total billed charges ,733.12,percent of total billed charges ,788.8,percent of total billed charges ,788.8,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 ,,,,,,,,,,,,,,,,,,,213.44,percent of total billed charges,,,213.44,percent of total billed charges,,,213.44,percent of total billed charges,,,213.44,percent of total billed charges,,,213.44,percent of total billed charges,,,213.44,percent of total billed charges,,,213.44,percent of total billed charges,,,213.44,percent of total billed charges,,,213.44,percent of total billed charges,,,213.44,percent of total billed charges,,,213.44,percent of total billed charges,
CARDIO STRESS TEST B W/O INTERPRETATION,93017,CDM,,,,both,,,"1,552.00","1,552.00",356.96,"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,"1,226.08",percent of total billed charges,"1,226.08",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 ,"1,226.08",percent of total billed charges ,"1,226.08",percent of total billed charges ,"1,319.20",percent of total billed charges ,"1,319.20",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 ,,,,,,,,,,,,,,,,,,,356.96,percent of total billed charges,,,356.96,percent of total billed charges,,,356.96,percent of total billed charges,,,356.96,percent of total billed charges,,,356.96,percent of total billed charges,,,356.96,percent of total billed charges,,,356.96,percent of total billed charges,,,356.96,percent of total billed charges,,,356.96,percent of total billed charges,,,356.96,percent of total billed charges,,,356.96,percent of total billed charges,
CARDIO STRESS TEST T/NUCLEAR W/O INTERP,93017,CDM,,,,both,,,"1,552.00","1,552.00",356.96,"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,"1,226.08",percent of total billed charges,"1,226.08",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 ,"1,226.08",percent of total billed charges ,"1,226.08",percent of total billed charges ,"1,319.20",percent of total billed charges ,"1,319.20",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 ,,,,,,,,,,,,,,,,,,,356.96,percent of total billed charges,,,356.96,percent of total billed charges,,,356.96,percent of total billed charges,,,356.96,percent of total billed charges,,,356.96,percent of total billed charges,,,356.96,percent of total billed charges,,,356.96,percent of total billed charges,,,356.96,percent of total billed charges,,,356.96,percent of total billed charges,,,356.96,percent of total billed charges,,,356.96,percent of total billed charges,
EKG W/O INTERPRETATION,93005,CDM,,,,both,,,388,388,89.24,388,388,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,306.52,percent of total billed charges,306.52,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 ,306.52,percent of total billed charges ,306.52,percent of total billed charges ,329.8,percent of total billed charges ,329.8,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 ,,,,,,,,,,,,,,,,,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,
HOLTER MONITOR W/O INTERPRETATION,93225,CDM,,,,both,,,991,991,227.93,991,991,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,782.89,percent of total billed charges,782.89,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 ,782.89,percent of total billed charges ,782.89,percent of total billed charges ,842.35,percent of total billed charges ,842.35,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 ,,,,,,,,,,,,,,,,,,,227.93,percent of total billed charges,,,227.93,percent of total billed charges,,,227.93,percent of total billed charges,,,227.93,percent of total billed charges,,,227.93,percent of total billed charges,,,227.93,percent of total billed charges,,,227.93,percent of total billed charges,,,227.93,percent of total billed charges,,,227.93,percent of total billed charges,,,227.93,percent of total billed charges,,,227.93,percent of total billed charges,
**TREATMENT ROOM DO NOT USE,Local ,Local ,,,,both,,,176,176,40.48,176,176,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,139.04,percent of total billed charges,139.04,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 ,139.04,percent of total billed charges ,139.04,percent of total billed charges ,149.6,percent of total billed charges ,149.6,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 ,,,,,,,,,,,,,,,,,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,
EKG W/O INTERPRETATION  (COPD),93005,CDM,,,,both,,,318,318,73.14,318,318,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,251.22,percent of total billed charges,251.22,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 ,251.22,percent of total billed charges ,251.22,percent of total billed charges ,270.3,percent of total billed charges ,270.3,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 ,,,,,,,,,,,,,,,,,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,
EKG W/O INTERPRETATION (CHF),93005,CDM,,,,both,,,456,456,104.88,456,456,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,360.24,percent of total billed charges,360.24,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 ,360.24,percent of total billed charges ,360.24,percent of total billed charges ,387.6,percent of total billed charges ,387.6,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 ,,,,,,,,,,,,,,,,,,,104.88,percent of total billed charges,,,104.88,percent of total billed charges,,,104.88,percent of total billed charges,,,104.88,percent of total billed charges,,,104.88,percent of total billed charges,,,104.88,percent of total billed charges,,,104.88,percent of total billed charges,,,104.88,percent of total billed charges,,,104.88,percent of total billed charges,,,104.88,percent of total billed charges,,,104.88,percent of total billed charges,
**ECHO (CHF),93307,CDM,,,,both,,,"2,278.00","2,278.00",523.94,"2,278.00","2,278.00",percent of total billed charges,"2,278.00",percent of total billed charges,"2,278.00",percent of total billed charges,"2,278.00",percent of total billed charges,"2,278.00",percent of total billed charges,"2,278.00",percent of total billed charges,"2,278.00",percent of total billed charges,"2,278.00",percent of total billed charges,"1,640.16",percent of total billed charges,"1,640.16",percent of total billed charges,"1,640.16",percent of total billed charges,"1,640.16",percent of total billed charges,"1,640.16",percent of total billed charges,"1,640.16",percent of total billed charges,"1,799.62",percent of total billed charges,"1,799.62",percent of total billed charges,"1,822.40",percent of total billed charges,"1,822.40",percent of total billed charges,,,"1,640.16",percent of total billed charges ,,,"1,822.40",percent of total billed charges ,"1,799.62",percent of total billed charges ,"1,799.62",percent of total billed charges ,"1,936.30",percent of total billed charges ,"1,936.30",percent of total billed charges ,"1,822.40",percent of total billed charges ,"1,822.40",percent of total billed charges ,"1,594.60",percent of total billed charges ,"1,594.60",percent of total billed charges ,"1,366.80",percent of total billed charges ,"1,366.80",percent of total billed charges ,"1,366.80",percent of total billed charges ,"1,366.80",percent of total billed charges ,,,,,"1,211.90",percent of total billed charges ,,,,,"1,151.30",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,,,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,
EKG W/O INTERPRETATION (SURGICAL),93005,CDM,,,,both,,,456,456,104.88,456,456,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,360.24,percent of total billed charges,360.24,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 ,360.24,percent of total billed charges ,360.24,percent of total billed charges ,387.6,percent of total billed charges ,387.6,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 ,,,,,,,,,,,,,,,,,,,104.88,percent of total billed charges,,,104.88,percent of total billed charges,,,104.88,percent of total billed charges,,,104.88,percent of total billed charges,,,104.88,percent of total billed charges,,,104.88,percent of total billed charges,,,104.88,percent of total billed charges,,,104.88,percent of total billed charges,,,104.88,percent of total billed charges,,,104.88,percent of total billed charges,,,104.88,percent of total billed charges,
30 DAY EVENT MONITOR HOOK UP,93270,CDM,,,,both,,,597,597,137.31,597,597,percent of total billed charges,597,percent of total billed charges,597,percent of total billed charges,597,percent of total billed charges,597,percent of total billed charges,597,percent of total billed charges,597,percent of total billed charges,597,percent of total billed charges,429.84,percent of total billed charges,429.84,percent of total billed charges,429.84,percent of total billed charges,429.84,percent of total billed charges,429.84,percent of total billed charges,429.84,percent of total billed charges,471.63,percent of total billed charges,471.63,percent of total billed charges,477.6,percent of total billed charges,477.6,percent of total billed charges,,,429.84,percent of total billed charges ,,,477.6,percent of total billed charges ,471.63,percent of total billed charges ,471.63,percent of total billed charges ,507.45,percent of total billed charges ,507.45,percent of total billed charges ,477.6,percent of total billed charges ,477.6,percent of total billed charges ,417.9,percent of total billed charges ,417.9,percent of total billed charges ,358.2,percent of total billed charges ,358.2,percent of total billed charges ,358.2,percent of total billed charges ,358.2,percent of total billed charges ,,,,,317.6,percent of total billed charges ,,,,,301.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,137.31,percent of total billed charges,,,137.31,percent of total billed charges,,,137.31,percent of total billed charges,,,137.31,percent of total billed charges,,,137.31,percent of total billed charges,,,137.31,percent of total billed charges,,,137.31,percent of total billed charges,,,137.31,percent of total billed charges,,,137.31,percent of total billed charges,,,137.31,percent of total billed charges,,,137.31,percent of total billed charges,
ECHO COMPLETE,93306,CDM,,,,both,,,"3,734.00","3,734.00",858.82,"3,734.00","3,734.00",percent of total billed charges,"3,734.00",percent of total billed charges,"3,734.00",percent of total billed charges,"3,734.00",percent of total billed charges,"3,734.00",percent of total billed charges,"3,734.00",percent of total billed charges,"3,734.00",percent of total billed charges,"3,734.00",percent of total billed charges,"2,688.48",percent of total billed charges,"2,688.48",percent of total billed charges,"2,688.48",percent of total billed charges,"2,688.48",percent of total billed charges,"2,688.48",percent of total billed charges,"2,688.48",percent of total billed charges,"2,949.86",percent of total billed charges,"2,949.86",percent of total billed charges,"2,987.20",percent of total billed charges,"2,987.20",percent of total billed charges,,,"2,688.48",percent of total billed charges ,,,"2,987.20",percent of total billed charges ,"2,949.86",percent of total billed charges ,"2,949.86",percent of total billed charges ,"3,173.90",percent of total billed charges ,"3,173.90",percent of total billed charges ,"2,987.20",percent of total billed charges ,"2,987.20",percent of total billed charges ,"2,613.80",percent of total billed charges ,"2,613.80",percent of total billed charges ,"2,240.40",percent of total billed charges ,"2,240.40",percent of total billed charges ,"2,240.40",percent of total billed charges ,"2,240.40",percent of total billed charges ,,,,,"1,986.49",percent of total billed charges ,,,,,"1,887.16",percent of total billed charges ,,,,,,,,,,,,,,,,,,,858.82,percent of total billed charges,,,858.82,percent of total billed charges,,,858.82,percent of total billed charges,,,858.82,percent of total billed charges,,,858.82,percent of total billed charges,,,858.82,percent of total billed charges,,,858.82,percent of total billed charges,,,858.82,percent of total billed charges,,,858.82,percent of total billed charges,,,858.82,percent of total billed charges,,,858.82,percent of total billed charges,
**ECHO W/DOPPPLER & COLOR FLOW (CHF),93306,CDM,,,,both,,,"3,871.00","3,871.00",890.33,"3,871.00","3,871.00",percent of total billed charges,"3,871.00",percent of total billed charges,"3,871.00",percent of total billed charges,"3,871.00",percent of total billed charges,"3,871.00",percent of total billed charges,"3,871.00",percent of total billed charges,"3,871.00",percent of total billed charges,"3,871.00",percent of total billed charges,"2,787.12",percent of total billed charges,"2,787.12",percent of total billed charges,"2,787.12",percent of total billed charges,"2,787.12",percent of total billed charges,"2,787.12",percent of total billed charges,"2,787.12",percent of total billed charges,"3,058.09",percent of total billed charges,"3,058.09",percent of total billed charges,"3,096.80",percent of total billed charges,"3,096.80",percent of total billed charges,,,"2,787.12",percent of total billed charges ,,,"3,096.80",percent of total billed charges ,"3,058.09",percent of total billed charges ,"3,058.09",percent of total billed charges ,"3,290.35",percent of total billed charges ,"3,290.35",percent of total billed charges ,"3,096.80",percent of total billed charges ,"3,096.80",percent of total billed charges ,"2,709.70",percent of total billed charges ,"2,709.70",percent of total billed charges ,"2,322.60",percent of total billed charges ,"2,322.60",percent of total billed charges ,"2,322.60",percent of total billed charges ,"2,322.60",percent of total billed charges ,,,,,"2,059.37",percent of total billed charges ,,,,,"1,956.40",percent of total billed charges ,,,,,,,,,,,,,,,,,,,890.33,percent of total billed charges,,,890.33,percent of total billed charges,,,890.33,percent of total billed charges,,,890.33,percent of total billed charges,,,890.33,percent of total billed charges,,,890.33,percent of total billed charges,,,890.33,percent of total billed charges,,,890.33,percent of total billed charges,,,890.33,percent of total billed charges,,,890.33,percent of total billed charges,,,890.33,percent of total billed charges,
**CARD-HLTR MNTR 24HR ANALYSIS RPT,93226,CDM,,,,both,,,"1,221.00","1,221.00",280.83,"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,964.59,percent of total billed charges,964.59,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 ,964.59,percent of total billed charges ,964.59,percent of total billed charges ,"1,037.85",percent of total billed charges ,"1,037.85",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 ,,,,,,,,,,,,,,,,,,,280.83,percent of total billed charges,,,280.83,percent of total billed charges,,,280.83,percent of total billed charges,,,280.83,percent of total billed charges,,,280.83,percent of total billed charges,,,280.83,percent of total billed charges,,,280.83,percent of total billed charges,,,280.83,percent of total billed charges,,,280.83,percent of total billed charges,,,280.83,percent of total billed charges,,,280.83,percent of total billed charges,
**CARD-EVENT RECORD 30DAY ANALYSIS,93271,CDM,,,,both,,,"1,250.00","1,250.00",287.5,"1,250.00","1,250.00",percent of total billed charges,"1,250.00",percent of total billed charges,"1,250.00",percent of total billed charges,"1,250.00",percent of total billed charges,"1,250.00",percent of total billed charges,"1,250.00",percent of total billed charges,"1,250.00",percent of total billed charges,"1,250.00",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,900,percent of total billed charges,900,percent of total billed charges,987.5,percent of total billed charges,987.5,percent of total billed charges,"1,000.00",percent of total billed charges,"1,000.00",percent of total billed charges,,,900,percent of total billed charges ,,,"1,000.00",percent of total billed charges ,987.5,percent of total billed charges ,987.5,percent of total billed charges ,"1,062.50",percent of total billed charges ,"1,062.50",percent of total billed charges ,"1,000.00",percent of total billed charges ,"1,000.00",percent of total billed charges ,875,percent of total billed charges ,875,percent of total billed charges ,750,percent of total billed charges ,750,percent of total billed charges ,750,percent of total billed charges ,750,percent of total billed charges ,,,,,665,percent of total billed charges ,,,,,631.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,287.5,percent of total billed charges,,,287.5,percent of total billed charges,,,287.5,percent of total billed charges,,,287.5,percent of total billed charges,,,287.5,percent of total billed charges,,,287.5,percent of total billed charges,,,287.5,percent of total billed charges,,,287.5,percent of total billed charges,,,287.5,percent of total billed charges,,,287.5,percent of total billed charges,,,287.5,percent of total billed charges,
**HIV RAPID TEST,86701,CDM,,,,both,,,237,237,54.51,237,237,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,187.23,percent of total billed charges,187.23,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 ,187.23,percent of total billed charges ,187.23,percent of total billed charges ,201.45,percent of total billed charges ,201.45,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 ,,,,,,,,,,,,,,,,,,,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,,,54.51,percent of total billed charges,,,54.51,percent of total billed charges,,,54.51,percent of total billed charges,
**CHF LEVEL 3 NEW,99203,CDM,,,,both,,,448,448,103.04,448,448,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,353.92,percent of total billed charges,353.92,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 ,353.92,percent of total billed charges ,353.92,percent of total billed charges ,380.8,percent of total billed charges ,380.8,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 ,,,,,,,,,,,,,,,,,,,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,
**CHF LEVEL 3 ESTABLISHED,99213,CDM,,,25,both,,,369,369,84.87,369,369,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,291.51,percent of total billed charges,291.51,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 ,291.51,percent of total billed charges ,291.51,percent of total billed charges ,313.65,percent of total billed charges ,313.65,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 ,,,,,,,,,,,,,,,,,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,
CHF SIX MINUTE WALK TEST,94618,CDM,,,,both,,,258,258,59.34,258,258,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,203.82,percent of total billed charges,203.82,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 ,203.82,percent of total billed charges ,203.82,percent of total billed charges ,219.3,percent of total billed charges ,219.3,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 ,,,,,,,,,,,,,,,,,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,
IV PUSH DRUG INITIAL,96374,CDM,,,59,both,,,385,385,88.55,385,385,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,304.15,percent of total billed charges,304.15,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 ,304.15,percent of total billed charges ,304.15,percent of total billed charges ,327.25,percent of total billed charges ,327.25,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 ,,,,,,,,,,,,,,,,,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,
ECHO W CONTRAST,93306,CDM,,,,both,,,"3,734.00","3,734.00",858.82,"3,734.00","3,734.00",percent of total billed charges,"3,734.00",percent of total billed charges,"3,734.00",percent of total billed charges,"3,734.00",percent of total billed charges,"3,734.00",percent of total billed charges,"3,734.00",percent of total billed charges,"3,734.00",percent of total billed charges,"3,734.00",percent of total billed charges,"2,688.48",percent of total billed charges,"2,688.48",percent of total billed charges,"2,688.48",percent of total billed charges,"2,688.48",percent of total billed charges,"2,688.48",percent of total billed charges,"2,688.48",percent of total billed charges,"2,949.86",percent of total billed charges,"2,949.86",percent of total billed charges,"2,987.20",percent of total billed charges,"2,987.20",percent of total billed charges,,,"2,688.48",percent of total billed charges ,,,"2,987.20",percent of total billed charges ,"2,949.86",percent of total billed charges ,"2,949.86",percent of total billed charges ,"3,173.90",percent of total billed charges ,"3,173.90",percent of total billed charges ,"2,987.20",percent of total billed charges ,"2,987.20",percent of total billed charges ,"2,613.80",percent of total billed charges ,"2,613.80",percent of total billed charges ,"2,240.40",percent of total billed charges ,"2,240.40",percent of total billed charges ,"2,240.40",percent of total billed charges ,"2,240.40",percent of total billed charges ,,,,,"1,986.49",percent of total billed charges ,,,,,"1,887.16",percent of total billed charges ,,,,,,,,,,,,,,,,,,,858.82,percent of total billed charges,,,858.82,percent of total billed charges,,,858.82,percent of total billed charges,,,858.82,percent of total billed charges,,,858.82,percent of total billed charges,,,858.82,percent of total billed charges,,,858.82,percent of total billed charges,,,858.82,percent of total billed charges,,,858.82,percent of total billed charges,,,858.82,percent of total billed charges,,,858.82,percent of total billed charges,
STRESS ECHO W/CONTRAST,93350,CDM,,,,both,,,"3,081.00","3,081.00",708.63,"3,081.00","3,081.00",percent of total billed charges,"3,081.00",percent of total billed charges,"3,081.00",percent of total billed charges,"3,081.00",percent of total billed charges,"3,081.00",percent of total billed charges,"3,081.00",percent of total billed charges,"3,081.00",percent of total billed charges,"3,081.00",percent of total billed charges,"2,218.32",percent of total billed charges,"2,218.32",percent of total billed charges,"2,218.32",percent of total billed charges,"2,218.32",percent of total billed charges,"2,218.32",percent of total billed charges,"2,218.32",percent of total billed charges,"2,433.99",percent of total billed charges,"2,433.99",percent of total billed charges,"2,464.80",percent of total billed charges,"2,464.80",percent of total billed charges,,,"2,218.32",percent of total billed charges ,,,"2,464.80",percent of total billed charges ,"2,433.99",percent of total billed charges ,"2,433.99",percent of total billed charges ,"2,618.85",percent of total billed charges ,"2,618.85",percent of total billed charges ,"2,464.80",percent of total billed charges ,"2,464.80",percent of total billed charges ,"2,156.70",percent of total billed charges ,"2,156.70",percent of total billed charges ,"1,848.60",percent of total billed charges ,"1,848.60",percent of total billed charges ,"1,848.60",percent of total billed charges ,"1,848.60",percent of total billed charges ,,,,,"1,639.09",percent of total billed charges ,,,,,"1,557.14",percent of total billed charges ,,,,,,,,,,,,,,,,,,,708.63,percent of total billed charges,,,708.63,percent of total billed charges,,,708.63,percent of total billed charges,,,708.63,percent of total billed charges,,,708.63,percent of total billed charges,,,708.63,percent of total billed charges,,,708.63,percent of total billed charges,,,708.63,percent of total billed charges,,,708.63,percent of total billed charges,,,708.63,percent of total billed charges,,,708.63,percent of total billed charges,
**ECHO DOBUTAMINE STRESS,C8930,CDM,,,,both,,,"4,067.00","4,067.00",935.41,"4,067.00","4,067.00",percent of total billed charges,"4,067.00",percent of total billed charges,"4,067.00",percent of total billed charges,"4,067.00",percent of total billed charges,"4,067.00",percent of total billed charges,"4,067.00",percent of total billed charges,"4,067.00",percent of total billed charges,"4,067.00",percent of total billed charges,"2,928.24",percent of total billed charges,"2,928.24",percent of total billed charges,"2,928.24",percent of total billed charges,"2,928.24",percent of total billed charges,"2,928.24",percent of total billed charges,"2,928.24",percent of total billed charges,"3,212.93",percent of total billed charges,"3,212.93",percent of total billed charges,"3,253.60",percent of total billed charges,"3,253.60",percent of total billed charges,,,"2,928.24",percent of total billed charges ,,,"3,253.60",percent of total billed charges ,"3,212.93",percent of total billed charges ,"3,212.93",percent of total billed charges ,"3,456.95",percent of total billed charges ,"3,456.95",percent of total billed charges ,"3,253.60",percent of total billed charges ,"3,253.60",percent of total billed charges ,"2,846.90",percent of total billed charges ,"2,846.90",percent of total billed charges ,"2,440.20",percent of total billed charges ,"2,440.20",percent of total billed charges ,"2,440.20",percent of total billed charges ,"2,440.20",percent of total billed charges ,,,,,"2,163.64",percent of total billed charges ,,,,,"2,055.46",percent of total billed charges ,,,,,,,,,,,,,,,,,,,935.41,percent of total billed charges,,,935.41,percent of total billed charges,,,935.41,percent of total billed charges,,,935.41,percent of total billed charges,,,935.41,percent of total billed charges,,,935.41,percent of total billed charges,,,935.41,percent of total billed charges,,,935.41,percent of total billed charges,,,935.41,percent of total billed charges,,,935.41,percent of total billed charges,,,935.41,percent of total billed charges,
ECHO LIMITED W CONTRAST,C8924,CDM,,,,both,,,"1,871.00","1,871.00",430.33,"1,871.00","1,871.00",percent of total billed charges,"1,871.00",percent of total billed charges,"1,871.00",percent of total billed charges,"1,871.00",percent of total billed charges,"1,871.00",percent of total billed charges,"1,871.00",percent of total billed charges,"1,871.00",percent of total billed charges,"1,871.00",percent of total billed charges,"1,347.12",percent of total billed charges,"1,347.12",percent of total billed charges,"1,347.12",percent of total billed charges,"1,347.12",percent of total billed charges,"1,347.12",percent of total billed charges,"1,347.12",percent of total billed charges,"1,478.09",percent of total billed charges,"1,478.09",percent of total billed charges,"1,496.80",percent of total billed charges,"1,496.80",percent of total billed charges,,,"1,347.12",percent of total billed charges ,,,"1,496.80",percent of total billed charges ,"1,478.09",percent of total billed charges ,"1,478.09",percent of total billed charges ,"1,590.35",percent of total billed charges ,"1,590.35",percent of total billed charges ,"1,496.80",percent of total billed charges ,"1,496.80",percent of total billed charges ,"1,309.70",percent of total billed charges ,"1,309.70",percent of total billed charges ,"1,122.60",percent of total billed charges ,"1,122.60",percent of total billed charges ,"1,122.60",percent of total billed charges ,"1,122.60",percent of total billed charges ,,,,,995.37,percent of total billed charges ,,,,,945.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,430.33,percent of total billed charges,,,430.33,percent of total billed charges,,,430.33,percent of total billed charges,,,430.33,percent of total billed charges,,,430.33,percent of total billed charges,,,430.33,percent of total billed charges,,,430.33,percent of total billed charges,,,430.33,percent of total billed charges,,,430.33,percent of total billed charges,,,430.33,percent of total billed charges,,,430.33,percent of total billed charges,
STRESS ECHO,93350,CDM,,,,both,,,"2,842.00","2,842.00",653.66,"2,842.00","2,842.00",percent of total billed charges,"2,842.00",percent of total billed charges,"2,842.00",percent of total billed charges,"2,842.00",percent of total billed charges,"2,842.00",percent of total billed charges,"2,842.00",percent of total billed charges,"2,842.00",percent of total billed charges,"2,842.00",percent of total billed charges,"2,046.24",percent of total billed charges,"2,046.24",percent of total billed charges,"2,046.24",percent of total billed charges,"2,046.24",percent of total billed charges,"2,046.24",percent of total billed charges,"2,046.24",percent of total billed charges,"2,245.18",percent of total billed charges,"2,245.18",percent of total billed charges,"2,273.60",percent of total billed charges,"2,273.60",percent of total billed charges,,,"2,046.24",percent of total billed charges ,,,"2,273.60",percent of total billed charges ,"2,245.18",percent of total billed charges ,"2,245.18",percent of total billed charges ,"2,415.70",percent of total billed charges ,"2,415.70",percent of total billed charges ,"2,273.60",percent of total billed charges ,"2,273.60",percent of total billed charges ,"1,989.40",percent of total billed charges ,"1,989.40",percent of total billed charges ,"1,705.20",percent of total billed charges ,"1,705.20",percent of total billed charges ,"1,705.20",percent of total billed charges ,"1,705.20",percent of total billed charges ,,,,,"1,511.94",percent of total billed charges ,,,,,"1,436.35",percent of total billed charges ,,,,,,,,,,,,,,,,,,,653.66,percent of total billed charges,,,653.66,percent of total billed charges,,,653.66,percent of total billed charges,,,653.66,percent of total billed charges,,,653.66,percent of total billed charges,,,653.66,percent of total billed charges,,,653.66,percent of total billed charges,,,653.66,percent of total billed charges,,,653.66,percent of total billed charges,,,653.66,percent of total billed charges,,,653.66,percent of total billed charges,
ECHO STRAIN,93356,CDM,,,,both,,,770,770,177.1,770,770,percent of total billed charges,770,percent of total billed charges,770,percent of total billed charges,770,percent of total billed charges,770,percent of total billed charges,770,percent of total billed charges,770,percent of total billed charges,770,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,554.4,percent of total billed charges,554.4,percent of total billed charges,608.3,percent of total billed charges,608.3,percent of total billed charges,616,percent of total billed charges,616,percent of total billed charges,,,554.4,percent of total billed charges ,,,616,percent of total billed charges ,608.3,percent of total billed charges ,608.3,percent of total billed charges ,654.5,percent of total billed charges ,654.5,percent of total billed charges ,616,percent of total billed charges ,616,percent of total billed charges ,539,percent of total billed charges ,539,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 ,,,,,409.64,percent of total billed charges ,,,,,389.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,
**EPOETIN INJ : 2000 UN/ML,J0885,CDM,,,,both,1,each,120,120,27.6,120,120,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,94.8,percent of total billed charges,94.8,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 ,94.8,percent of total billed charges ,94.8,percent of total billed charges ,102,percent of total billed charges ,102,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
ENDOSCOPIES UPPER,370,RC,55513-01-2610,NDC,,both,,,"2,638.00","2,638.00",606.74,"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,"2,084.02",percent of total billed charges,"2,084.02",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 ,"2,084.02",percent of total billed charges ,"2,084.02",percent of total billed charges ,"2,242.30",percent of total billed charges ,"2,242.30",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 ,,,,,,,,,,,,,,,,,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,
URETEROLITHOTOMY,370,RC,55513-01-2610,NDC,,both,,,"2,037.00","2,037.00",468.51,"2,037.00","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,"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,"1,466.64",percent of total billed charges,"1,466.64",percent of total billed charges,"1,466.64",percent of total billed charges,"1,466.64",percent of total billed charges,"1,466.64",percent of total billed charges,"1,466.64",percent of total billed charges,"1,609.23",percent of total billed charges,"1,609.23",percent of total billed charges,"1,629.60",percent of total billed charges,"1,629.60",percent of total billed charges,,,"1,466.64",percent of total billed charges ,,,"1,629.60",percent of total billed charges ,"1,609.23",percent of total billed charges ,"1,609.23",percent of total billed charges ,"1,731.45",percent of total billed charges ,"1,731.45",percent of total billed charges ,"1,629.60",percent of total billed charges ,"1,629.60",percent of total billed charges ,"1,425.90",percent of total billed charges ,"1,425.90",percent of total billed charges ,"1,222.20",percent of total billed charges ,"1,222.20",percent of total billed charges ,"1,222.20",percent of total billed charges ,"1,222.20",percent of total billed charges ,,,,,"1,083.68",percent of total billed charges ,,,,,"1,029.50",percent of total billed charges ,,,,,,,,,,,,,,,,,,,468.51,percent of total billed charges,,,468.51,percent of total billed charges,,,468.51,percent of total billed charges,,,468.51,percent of total billed charges,,,468.51,percent of total billed charges,,,468.51,percent of total billed charges,,,468.51,percent of total billed charges,,,468.51,percent of total billed charges,,,468.51,percent of total billed charges,,,468.51,percent of total billed charges,,,468.51,percent of total billed charges,
TOTAL HIP,370,RC,55513-01-2610,NDC,,both,,,"7,447.00","7,447.00","1,712.81","7,447.00","7,447.00",percent of total billed charges,"7,447.00",percent of total billed charges,"7,447.00",percent of total billed charges,"7,447.00",percent of total billed charges,"7,447.00",percent of total billed charges,"7,447.00",percent of total billed charges,"7,447.00",percent of total billed charges,"7,447.00",percent of total billed charges,"5,361.84",percent of total billed charges,"5,361.84",percent of total billed charges,"5,361.84",percent of total billed charges,"5,361.84",percent of total billed charges,"5,361.84",percent of total billed charges,"5,361.84",percent of total billed charges,"5,883.13",percent of total billed charges,"5,883.13",percent of total billed charges,"5,957.60",percent of total billed charges,"5,957.60",percent of total billed charges,,,"5,361.84",percent of total billed charges ,,,"5,957.60",percent of total billed charges ,"5,883.13",percent of total billed charges ,"5,883.13",percent of total billed charges ,"6,329.95",percent of total billed charges ,"6,329.95",percent of total billed charges ,"5,957.60",percent of total billed charges ,"5,957.60",percent of total billed charges ,"5,212.90",percent of total billed charges ,"5,212.90",percent of total billed charges ,"4,468.20",percent of total billed charges ,"4,468.20",percent of total billed charges ,"4,468.20",percent of total billed charges ,"4,468.20",percent of total billed charges ,,,,,"3,961.80",percent of total billed charges ,,,,,"3,763.71",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,712.81",percent of total billed charges,,,"1,712.81",percent of total billed charges,,,"1,712.81",percent of total billed charges,,,"1,712.81",percent of total billed charges,,,"1,712.81",percent of total billed charges,,,"1,712.81",percent of total billed charges,,,"1,712.81",percent of total billed charges,,,"1,712.81",percent of total billed charges,,,"1,712.81",percent of total billed charges,,,"1,712.81",percent of total billed charges,,,"1,712.81",percent of total billed charges,
ABDOM - IP LOWER,370,RC,55513-01-2610,NDC,,both,,,"4,442.00","4,442.00","1,021.66","4,442.00","4,442.00",percent of total billed charges,"4,442.00",percent of total billed charges,"4,442.00",percent of total billed charges,"4,442.00",percent of total billed charges,"4,442.00",percent of total billed charges,"4,442.00",percent of total billed charges,"4,442.00",percent of total billed charges,"4,442.00",percent of total billed charges,"3,198.24",percent of total billed charges,"3,198.24",percent of total billed charges,"3,198.24",percent of total billed charges,"3,198.24",percent of total billed charges,"3,198.24",percent of total billed charges,"3,198.24",percent of total billed charges,"3,509.18",percent of total billed charges,"3,509.18",percent of total billed charges,"3,553.60",percent of total billed charges,"3,553.60",percent of total billed charges,,,"3,198.24",percent of total billed charges ,,,"3,553.60",percent of total billed charges ,"3,509.18",percent of total billed charges ,"3,509.18",percent of total billed charges ,"3,775.70",percent of total billed charges ,"3,775.70",percent of total billed charges ,"3,553.60",percent of total billed charges ,"3,553.60",percent of total billed charges ,"3,109.40",percent of total billed charges ,"3,109.40",percent of total billed charges ,"2,665.20",percent of total billed charges ,"2,665.20",percent of total billed charges ,"2,665.20",percent of total billed charges ,"2,665.20",percent of total billed charges ,,,,,"2,363.14",percent of total billed charges ,,,,,"2,244.99",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,
HERNIA VENTRAL OR INCISIONAL,370,RC,55513-01-2610,NDC,,both,,,"3,841.00","3,841.00",883.43,"3,841.00","3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"3,034.39",percent of total billed charges,"3,034.39",percent of total billed charges,"3,072.80",percent of total billed charges,"3,072.80",percent of total billed charges,,,"2,765.52",percent of total billed charges ,,,"3,072.80",percent of total billed charges ,"3,034.39",percent of total billed charges ,"3,034.39",percent of total billed charges ,"3,264.85",percent of total billed charges ,"3,264.85",percent of total billed charges ,"3,072.80",percent of total billed charges ,"3,072.80",percent of total billed charges ,"2,688.70",percent of total billed charges ,"2,688.70",percent of total billed charges ,"2,304.60",percent of total billed charges ,"2,304.60",percent of total billed charges ,"2,304.60",percent of total billed charges ,"2,304.60",percent of total billed charges ,,,,,"2,043.41",percent of total billed charges ,,,,,"1,941.24",percent of total billed charges ,,,,,,,,,,,,,,,,,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,
ANORECTAL PROC,370,RC,55513-01-2610,NDC,,both,,,"2,638.00","2,638.00",606.74,"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,"2,084.02",percent of total billed charges,"2,084.02",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 ,"2,084.02",percent of total billed charges ,"2,084.02",percent of total billed charges ,"2,242.30",percent of total billed charges ,"2,242.30",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 ,,,,,,,,,,,,,,,,,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,
MALE EXTERNAL GEN,370,RC,55513-01-2610,NDC,,both,,,"3,242.00","3,242.00",745.66,"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,"2,561.18",percent of total billed charges,"2,561.18",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 ,"2,561.18",percent of total billed charges ,"2,561.18",percent of total billed charges ,"2,755.70",percent of total billed charges ,"2,755.70",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 ,,,,,,,,,,,,,,,,,,,745.66,percent of total billed charges,,,745.66,percent of total billed charges,,,745.66,percent of total billed charges,,,745.66,percent of total billed charges,,,745.66,percent of total billed charges,,,745.66,percent of total billed charges,,,745.66,percent of total billed charges,,,745.66,percent of total billed charges,,,745.66,percent of total billed charges,,,745.66,percent of total billed charges,,,745.66,percent of total billed charges,
ENDOSCOPIES LOWER,370,RC,55513-01-2610,NDC,,both,,,"2,931.00","2,931.00",674.13,"2,931.00","2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,315.49",percent of total billed charges,"2,315.49",percent of total billed charges,"2,344.80",percent of total billed charges,"2,344.80",percent of total billed charges,,,"2,110.32",percent of total billed charges ,,,"2,344.80",percent of total billed charges ,"2,315.49",percent of total billed charges ,"2,315.49",percent of total billed charges ,"2,491.35",percent of total billed charges ,"2,491.35",percent of total billed charges ,"2,344.80",percent of total billed charges ,"2,344.80",percent of total billed charges ,"2,051.70",percent of total billed charges ,"2,051.70",percent of total billed charges ,"1,758.60",percent of total billed charges ,"1,758.60",percent of total billed charges ,"1,758.60",percent of total billed charges ,"1,758.60",percent of total billed charges ,,,,,"1,559.29",percent of total billed charges ,,,,,"1,481.33",percent of total billed charges ,,,,,,,,,,,,,,,,,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,
ABDOM- IP UPPER,370,RC,55513-01-2610,NDC,,both,,,"5,045.00","5,045.00","1,160.35","5,045.00","5,045.00",percent of total billed charges,"5,045.00",percent of total billed charges,"5,045.00",percent of total billed charges,"5,045.00",percent of total billed charges,"5,045.00",percent of total billed charges,"5,045.00",percent of total billed charges,"5,045.00",percent of total billed charges,"5,045.00",percent of total billed charges,"3,632.40",percent of total billed charges,"3,632.40",percent of total billed charges,"3,632.40",percent of total billed charges,"3,632.40",percent of total billed charges,"3,632.40",percent of total billed charges,"3,632.40",percent of total billed charges,"3,985.55",percent of total billed charges,"3,985.55",percent of total billed charges,"4,036.00",percent of total billed charges,"4,036.00",percent of total billed charges,,,"3,632.40",percent of total billed charges ,,,"4,036.00",percent of total billed charges ,"3,985.55",percent of total billed charges ,"3,985.55",percent of total billed charges ,"4,288.25",percent of total billed charges ,"4,288.25",percent of total billed charges ,"4,036.00",percent of total billed charges ,"4,036.00",percent of total billed charges ,"3,531.50",percent of total billed charges ,"3,531.50",percent of total billed charges ,"3,027.00",percent of total billed charges ,"3,027.00",percent of total billed charges ,"3,027.00",percent of total billed charges ,"3,027.00",percent of total billed charges ,,,,,"2,683.94",percent of total billed charges ,,,,,"2,549.74",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,160.35",percent of total billed charges,,,"1,160.35",percent of total billed charges,,,"1,160.35",percent of total billed charges,,,"1,160.35",percent of total billed charges,,,"1,160.35",percent of total billed charges,,,"1,160.35",percent of total billed charges,,,"1,160.35",percent of total billed charges,,,"1,160.35",percent of total billed charges,,,"1,160.35",percent of total billed charges,,,"1,160.35",percent of total billed charges,,,"1,160.35",percent of total billed charges,
SPERMATOCELE,370,RC,55513-01-2610,NDC,,both,,,"2,931.00","2,931.00",674.13,"2,931.00","2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,315.49",percent of total billed charges,"2,315.49",percent of total billed charges,"2,344.80",percent of total billed charges,"2,344.80",percent of total billed charges,,,"2,110.32",percent of total billed charges ,,,"2,344.80",percent of total billed charges ,"2,315.49",percent of total billed charges ,"2,315.49",percent of total billed charges ,"2,491.35",percent of total billed charges ,"2,491.35",percent of total billed charges ,"2,344.80",percent of total billed charges ,"2,344.80",percent of total billed charges ,"2,051.70",percent of total billed charges ,"2,051.70",percent of total billed charges ,"1,758.60",percent of total billed charges ,"1,758.60",percent of total billed charges ,"1,758.60",percent of total billed charges ,"1,758.60",percent of total billed charges ,,,,,"1,559.29",percent of total billed charges ,,,,,"1,481.33",percent of total billed charges ,,,,,,,,,,,,,,,,,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,
UNDESCENDED TESTICLE,370,RC,55513-01-2610,NDC,,both,,,"2,931.00","2,931.00",674.13,"2,931.00","2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,315.49",percent of total billed charges,"2,315.49",percent of total billed charges,"2,344.80",percent of total billed charges,"2,344.80",percent of total billed charges,,,"2,110.32",percent of total billed charges ,,,"2,344.80",percent of total billed charges ,"2,315.49",percent of total billed charges ,"2,315.49",percent of total billed charges ,"2,491.35",percent of total billed charges ,"2,491.35",percent of total billed charges ,"2,344.80",percent of total billed charges ,"2,344.80",percent of total billed charges ,"2,051.70",percent of total billed charges ,"2,051.70",percent of total billed charges ,"1,758.60",percent of total billed charges ,"1,758.60",percent of total billed charges ,"1,758.60",percent of total billed charges ,"1,758.60",percent of total billed charges ,,,,,"1,559.29",percent of total billed charges ,,,,,"1,481.33",percent of total billed charges ,,,,,,,,,,,,,,,,,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,
**CYSTECTOMY DO NOT USE,370,RC,55513-01-2610,NDC,,both,,,"4,270.00","4,270.00",982.1,"4,270.00","4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"3,074.40",percent of total billed charges,"3,074.40",percent of total billed charges,"3,074.40",percent of total billed charges,"3,074.40",percent of total billed charges,"3,074.40",percent of total billed charges,"3,074.40",percent of total billed charges,"3,373.30",percent of total billed charges,"3,373.30",percent of total billed charges,"3,416.00",percent of total billed charges,"3,416.00",percent of total billed charges,,,"3,074.40",percent of total billed charges ,,,"3,416.00",percent of total billed charges ,"3,373.30",percent of total billed charges ,"3,373.30",percent of total billed charges ,"3,629.50",percent of total billed charges ,"3,629.50",percent of total billed charges ,"3,416.00",percent of total billed charges ,"3,416.00",percent of total billed charges ,"2,989.00",percent of total billed charges ,"2,989.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,,,,,"2,271.64",percent of total billed charges ,,,,,"2,158.06",percent of total billed charges ,,,,,,,,,,,,,,,,,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,
C-SECTION,59514,CDM,,,,both,,,"3,841.00","3,841.00",883.43,"3,841.00","3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"3,034.39",percent of total billed charges,"3,034.39",percent of total billed charges,"3,072.80",percent of total billed charges,"3,072.80",percent of total billed charges,,,"2,765.52",percent of total billed charges ,,,"3,072.80",percent of total billed charges ,"3,034.39",percent of total billed charges ,"3,034.39",percent of total billed charges ,"3,264.85",percent of total billed charges ,"3,264.85",percent of total billed charges ,"3,072.80",percent of total billed charges ,"3,072.80",percent of total billed charges ,"2,688.70",percent of total billed charges ,"2,688.70",percent of total billed charges ,"2,304.60",percent of total billed charges ,"2,304.60",percent of total billed charges ,"2,304.60",percent of total billed charges ,"2,304.60",percent of total billed charges ,,,,,"2,043.41",percent of total billed charges ,,,,,"1,941.24",percent of total billed charges ,,,,,,,,,,,,,,,,,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,
HERNIA UPPER ABD,370,RC,55513-01-2610,NDC,,both,,,"3,841.00","3,841.00",883.43,"3,841.00","3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"3,034.39",percent of total billed charges,"3,034.39",percent of total billed charges,"3,072.80",percent of total billed charges,"3,072.80",percent of total billed charges,,,"2,765.52",percent of total billed charges ,,,"3,072.80",percent of total billed charges ,"3,034.39",percent of total billed charges ,"3,034.39",percent of total billed charges ,"3,264.85",percent of total billed charges ,"3,264.85",percent of total billed charges ,"3,072.80",percent of total billed charges ,"3,072.80",percent of total billed charges ,"2,688.70",percent of total billed charges ,"2,688.70",percent of total billed charges ,"2,304.60",percent of total billed charges ,"2,304.60",percent of total billed charges ,"2,304.60",percent of total billed charges ,"2,304.60",percent of total billed charges ,,,,,"2,043.41",percent of total billed charges ,,,,,"1,941.24",percent of total billed charges ,,,,,,,,,,,,,,,,,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,
HIP JOINT OPEN,370,RC,55513-01-2610,NDC,,both,,,"4,442.00","4,442.00","1,021.66","4,442.00","4,442.00",percent of total billed charges,"4,442.00",percent of total billed charges,"4,442.00",percent of total billed charges,"4,442.00",percent of total billed charges,"4,442.00",percent of total billed charges,"4,442.00",percent of total billed charges,"4,442.00",percent of total billed charges,"4,442.00",percent of total billed charges,"3,198.24",percent of total billed charges,"3,198.24",percent of total billed charges,"3,198.24",percent of total billed charges,"3,198.24",percent of total billed charges,"3,198.24",percent of total billed charges,"3,198.24",percent of total billed charges,"3,509.18",percent of total billed charges,"3,509.18",percent of total billed charges,"3,553.60",percent of total billed charges,"3,553.60",percent of total billed charges,,,"3,198.24",percent of total billed charges ,,,"3,553.60",percent of total billed charges ,"3,509.18",percent of total billed charges ,"3,509.18",percent of total billed charges ,"3,775.70",percent of total billed charges ,"3,775.70",percent of total billed charges ,"3,553.60",percent of total billed charges ,"3,553.60",percent of total billed charges ,"3,109.40",percent of total billed charges ,"3,109.40",percent of total billed charges ,"2,665.20",percent of total billed charges ,"2,665.20",percent of total billed charges ,"2,665.20",percent of total billed charges ,"2,665.20",percent of total billed charges ,,,,,"2,363.14",percent of total billed charges ,,,,,"2,244.99",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,
BLADDER TUMOR,370,RC,55513-01-2610,NDC,,both,,,"1,925.00","1,925.00",442.75,"1,925.00","1,925.00",percent of total billed charges,"1,925.00",percent of total billed charges,"1,925.00",percent of total billed charges,"1,925.00",percent of total billed charges,"1,925.00",percent of total billed charges,"1,925.00",percent of total billed charges,"1,925.00",percent of total billed charges,"1,925.00",percent of total billed charges,"1,386.00",percent of total billed charges,"1,386.00",percent of total billed charges,"1,386.00",percent of total billed charges,"1,386.00",percent of total billed charges,"1,386.00",percent of total billed charges,"1,386.00",percent of total billed charges,"1,520.75",percent of total billed charges,"1,520.75",percent of total billed charges,"1,540.00",percent of total billed charges,"1,540.00",percent of total billed charges,,,"1,386.00",percent of total billed charges ,,,"1,540.00",percent of total billed charges ,"1,520.75",percent of total billed charges ,"1,520.75",percent of total billed charges ,"1,636.25",percent of total billed charges ,"1,636.25",percent of total billed charges ,"1,540.00",percent of total billed charges ,"1,540.00",percent of total billed charges ,"1,347.50",percent of total billed charges ,"1,347.50",percent of total billed charges ,"1,155.00",percent of total billed charges ,"1,155.00",percent of total billed charges ,"1,155.00",percent of total billed charges ,"1,155.00",percent of total billed charges ,,,,,"1,024.10",percent of total billed charges ,,,,,972.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,442.75,percent of total billed charges,,,442.75,percent of total billed charges,,,442.75,percent of total billed charges,,,442.75,percent of total billed charges,,,442.75,percent of total billed charges,,,442.75,percent of total billed charges,,,442.75,percent of total billed charges,,,442.75,percent of total billed charges,,,442.75,percent of total billed charges,,,442.75,percent of total billed charges,,,442.75,percent of total billed charges,
ACHILLES TENDON,370,RC,55513-01-2610,NDC,,both,,,"4,933.00","4,933.00","1,134.59","4,933.00","4,933.00",percent of total billed charges,"4,933.00",percent of total billed charges,"4,933.00",percent of total billed charges,"4,933.00",percent of total billed charges,"4,933.00",percent of total billed charges,"4,933.00",percent of total billed charges,"4,933.00",percent of total billed charges,"4,933.00",percent of total billed charges,"3,551.76",percent of total billed charges,"3,551.76",percent of total billed charges,"3,551.76",percent of total billed charges,"3,551.76",percent of total billed charges,"3,551.76",percent of total billed charges,"3,551.76",percent of total billed charges,"3,897.07",percent of total billed charges,"3,897.07",percent of total billed charges,"3,946.40",percent of total billed charges,"3,946.40",percent of total billed charges,,,"3,551.76",percent of total billed charges ,,,"3,946.40",percent of total billed charges ,"3,897.07",percent of total billed charges ,"3,897.07",percent of total billed charges ,"4,193.05",percent of total billed charges ,"4,193.05",percent of total billed charges ,"3,946.40",percent of total billed charges ,"3,946.40",percent of total billed charges ,"3,453.10",percent of total billed charges ,"3,453.10",percent of total billed charges ,"2,959.80",percent of total billed charges ,"2,959.80",percent of total billed charges ,"2,959.80",percent of total billed charges ,"2,959.80",percent of total billed charges ,,,,,"2,624.36",percent of total billed charges ,,,,,"2,493.14",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,134.59",percent of total billed charges,,,"1,134.59",percent of total billed charges,,,"1,134.59",percent of total billed charges,,,"1,134.59",percent of total billed charges,,,"1,134.59",percent of total billed charges,,,"1,134.59",percent of total billed charges,,,"1,134.59",percent of total billed charges,,,"1,134.59",percent of total billed charges,,,"1,134.59",percent of total billed charges,,,"1,134.59",percent of total billed charges,,,"1,134.59",percent of total billed charges,
OPEN PROC LEG/FOOT,370,RC,55513-01-2610,NDC,,both,,,"4,442.00","4,442.00","1,021.66","4,442.00","4,442.00",percent of total billed charges,"4,442.00",percent of total billed charges,"4,442.00",percent of total billed charges,"4,442.00",percent of total billed charges,"4,442.00",percent of total billed charges,"4,442.00",percent of total billed charges,"4,442.00",percent of total billed charges,"4,442.00",percent of total billed charges,"3,198.24",percent of total billed charges,"3,198.24",percent of total billed charges,"3,198.24",percent of total billed charges,"3,198.24",percent of total billed charges,"3,198.24",percent of total billed charges,"3,198.24",percent of total billed charges,"3,509.18",percent of total billed charges,"3,509.18",percent of total billed charges,"3,553.60",percent of total billed charges,"3,553.60",percent of total billed charges,,,"3,198.24",percent of total billed charges ,,,"3,553.60",percent of total billed charges ,"3,509.18",percent of total billed charges ,"3,509.18",percent of total billed charges ,"3,775.70",percent of total billed charges ,"3,775.70",percent of total billed charges ,"3,553.60",percent of total billed charges ,"3,553.60",percent of total billed charges ,"3,109.40",percent of total billed charges ,"3,109.40",percent of total billed charges ,"2,665.20",percent of total billed charges ,"2,665.20",percent of total billed charges ,"2,665.20",percent of total billed charges ,"2,665.20",percent of total billed charges ,,,,,"2,363.14",percent of total billed charges ,,,,,"2,244.99",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,
AMPUTATION-BELOW THE KNEE,370,RC,55513-01-2610,NDC,,both,,,"2,931.00","2,931.00",674.13,"2,931.00","2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,315.49",percent of total billed charges,"2,315.49",percent of total billed charges,"2,344.80",percent of total billed charges,"2,344.80",percent of total billed charges,,,"2,110.32",percent of total billed charges ,,,"2,344.80",percent of total billed charges ,"2,315.49",percent of total billed charges ,"2,315.49",percent of total billed charges ,"2,491.35",percent of total billed charges ,"2,491.35",percent of total billed charges ,"2,344.80",percent of total billed charges ,"2,344.80",percent of total billed charges ,"2,051.70",percent of total billed charges ,"2,051.70",percent of total billed charges ,"1,758.60",percent of total billed charges ,"1,758.60",percent of total billed charges ,"1,758.60",percent of total billed charges ,"1,758.60",percent of total billed charges ,,,,,"1,559.29",percent of total billed charges ,,,,,"1,481.33",percent of total billed charges ,,,,,,,,,,,,,,,,,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,
VEIN LIGATION LOWER,370,RC,55513-01-2610,NDC,,both,,,"2,931.00","2,931.00",674.13,"2,931.00","2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,315.49",percent of total billed charges,"2,315.49",percent of total billed charges,"2,344.80",percent of total billed charges,"2,344.80",percent of total billed charges,,,"2,110.32",percent of total billed charges ,,,"2,344.80",percent of total billed charges ,"2,315.49",percent of total billed charges ,"2,315.49",percent of total billed charges ,"2,491.35",percent of total billed charges ,"2,491.35",percent of total billed charges ,"2,344.80",percent of total billed charges ,"2,344.80",percent of total billed charges ,"2,051.70",percent of total billed charges ,"2,051.70",percent of total billed charges ,"1,758.60",percent of total billed charges ,"1,758.60",percent of total billed charges ,"1,758.60",percent of total billed charges ,"1,758.60",percent of total billed charges ,,,,,"1,559.29",percent of total billed charges ,,,,,"1,481.33",percent of total billed charges ,,,,,,,,,,,,,,,,,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,
ARTHROSCOPY-KNEE,370,RC,55513-01-2610,NDC,,both,,,"5,045.00","5,045.00","1,160.35","5,045.00","5,045.00",percent of total billed charges,"5,045.00",percent of total billed charges,"5,045.00",percent of total billed charges,"5,045.00",percent of total billed charges,"5,045.00",percent of total billed charges,"5,045.00",percent of total billed charges,"5,045.00",percent of total billed charges,"5,045.00",percent of total billed charges,"3,632.40",percent of total billed charges,"3,632.40",percent of total billed charges,"3,632.40",percent of total billed charges,"3,632.40",percent of total billed charges,"3,632.40",percent of total billed charges,"3,632.40",percent of total billed charges,"3,985.55",percent of total billed charges,"3,985.55",percent of total billed charges,"4,036.00",percent of total billed charges,"4,036.00",percent of total billed charges,,,"3,632.40",percent of total billed charges ,,,"4,036.00",percent of total billed charges ,"3,985.55",percent of total billed charges ,"3,985.55",percent of total billed charges ,"4,288.25",percent of total billed charges ,"4,288.25",percent of total billed charges ,"4,036.00",percent of total billed charges ,"4,036.00",percent of total billed charges ,"3,531.50",percent of total billed charges ,"3,531.50",percent of total billed charges ,"3,027.00",percent of total billed charges ,"3,027.00",percent of total billed charges ,"3,027.00",percent of total billed charges ,"3,027.00",percent of total billed charges ,,,,,"2,683.94",percent of total billed charges ,,,,,"2,549.74",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,160.35",percent of total billed charges,,,"1,160.35",percent of total billed charges,,,"1,160.35",percent of total billed charges,,,"1,160.35",percent of total billed charges,,,"1,160.35",percent of total billed charges,,,"1,160.35",percent of total billed charges,,,"1,160.35",percent of total billed charges,,,"1,160.35",percent of total billed charges,,,"1,160.35",percent of total billed charges,,,"1,160.35",percent of total billed charges,,,"1,160.35",percent of total billed charges,
CLOSED REDUCT SHOULDER,370,RC,55513-01-2610,NDC,,both,,,"4,270.00","4,270.00",982.1,"4,270.00","4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"3,074.40",percent of total billed charges,"3,074.40",percent of total billed charges,"3,074.40",percent of total billed charges,"3,074.40",percent of total billed charges,"3,074.40",percent of total billed charges,"3,074.40",percent of total billed charges,"3,373.30",percent of total billed charges,"3,373.30",percent of total billed charges,"3,416.00",percent of total billed charges,"3,416.00",percent of total billed charges,,,"3,074.40",percent of total billed charges ,,,"3,416.00",percent of total billed charges ,"3,373.30",percent of total billed charges ,"3,373.30",percent of total billed charges ,"3,629.50",percent of total billed charges ,"3,629.50",percent of total billed charges ,"3,416.00",percent of total billed charges ,"3,416.00",percent of total billed charges ,"2,989.00",percent of total billed charges ,"2,989.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,,,,,"2,271.64",percent of total billed charges ,,,,,"2,158.06",percent of total billed charges ,,,,,,,,,,,,,,,,,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,
ARTHROSCOPY - SHOULDER,370,RC,55513-01-2610,NDC,,both,,,"6,246.00","6,246.00","1,436.58","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,"4,934.34",percent of total billed charges,"4,934.34",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 ,"4,934.34",percent of total billed charges ,"4,934.34",percent of total billed charges ,"5,309.10",percent of total billed charges ,"5,309.10",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 ,,,,,,,,,,,,,,,,,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,
OPEN SHOULDER,370,RC,55513-01-2610,NDC,,both,,,"3,841.00","3,841.00",883.43,"3,841.00","3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"3,034.39",percent of total billed charges,"3,034.39",percent of total billed charges,"3,072.80",percent of total billed charges,"3,072.80",percent of total billed charges,,,"2,765.52",percent of total billed charges ,,,"3,072.80",percent of total billed charges ,"3,034.39",percent of total billed charges ,"3,034.39",percent of total billed charges ,"3,264.85",percent of total billed charges ,"3,264.85",percent of total billed charges ,"3,072.80",percent of total billed charges ,"3,072.80",percent of total billed charges ,"2,688.70",percent of total billed charges ,"2,688.70",percent of total billed charges ,"2,304.60",percent of total billed charges ,"2,304.60",percent of total billed charges ,"2,304.60",percent of total billed charges ,"2,304.60",percent of total billed charges ,,,,,"2,043.41",percent of total billed charges ,,,,,"1,941.24",percent of total billed charges ,,,,,,,,,,,,,,,,,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,
NOSE & SINUSES,370,RC,55513-01-2610,NDC,,both,,,"2,931.00","2,931.00",674.13,"2,931.00","2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,315.49",percent of total billed charges,"2,315.49",percent of total billed charges,"2,344.80",percent of total billed charges,"2,344.80",percent of total billed charges,,,"2,110.32",percent of total billed charges ,,,"2,344.80",percent of total billed charges ,"2,315.49",percent of total billed charges ,"2,315.49",percent of total billed charges ,"2,491.35",percent of total billed charges ,"2,491.35",percent of total billed charges ,"2,344.80",percent of total billed charges ,"2,344.80",percent of total billed charges ,"2,051.70",percent of total billed charges ,"2,051.70",percent of total billed charges ,"1,758.60",percent of total billed charges ,"1,758.60",percent of total billed charges ,"1,758.60",percent of total billed charges ,"1,758.60",percent of total billed charges ,,,,,"1,559.29",percent of total billed charges ,,,,,"1,481.33",percent of total billed charges ,,,,,,,,,,,,,,,,,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,
**TOTAL SHOULDER DO NOT USE,370,RC,55513-01-2610,NDC,,both,,,"6,939.00","6,939.00","1,595.97","6,939.00","6,939.00",percent of total billed charges,"6,939.00",percent of total billed charges,"6,939.00",percent of total billed charges,"6,939.00",percent of total billed charges,"6,939.00",percent of total billed charges,"6,939.00",percent of total billed charges,"6,939.00",percent of total billed charges,"6,939.00",percent of total billed charges,"4,996.08",percent of total billed charges,"4,996.08",percent of total billed charges,"4,996.08",percent of total billed charges,"4,996.08",percent of total billed charges,"4,996.08",percent of total billed charges,"4,996.08",percent of total billed charges,"5,481.81",percent of total billed charges,"5,481.81",percent of total billed charges,"5,551.20",percent of total billed charges,"5,551.20",percent of total billed charges,,,"4,996.08",percent of total billed charges ,,,"5,551.20",percent of total billed charges ,"5,481.81",percent of total billed charges ,"5,481.81",percent of total billed charges ,"5,898.15",percent of total billed charges ,"5,898.15",percent of total billed charges ,"5,551.20",percent of total billed charges ,"5,551.20",percent of total billed charges ,"4,857.30",percent of total billed charges ,"4,857.30",percent of total billed charges ,"4,163.40",percent of total billed charges ,"4,163.40",percent of total billed charges ,"4,163.40",percent of total billed charges ,"4,163.40",percent of total billed charges ,,,,,"3,691.55",percent of total billed charges ,,,,,"3,506.97",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,595.97",percent of total billed charges,,,"1,595.97",percent of total billed charges,,,"1,595.97",percent of total billed charges,,,"1,595.97",percent of total billed charges,,,"1,595.97",percent of total billed charges,,,"1,595.97",percent of total billed charges,,,"1,595.97",percent of total billed charges,,,"1,595.97",percent of total billed charges,,,"1,595.97",percent of total billed charges,,,"1,595.97",percent of total billed charges,,,"1,595.97",percent of total billed charges,
INTEG/NERV/MUSC ARM OR ELBOW,370,RC,55513-01-2610,NDC,,both,,,"3,841.00","3,841.00",883.43,"3,841.00","3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"3,034.39",percent of total billed charges,"3,034.39",percent of total billed charges,"3,072.80",percent of total billed charges,"3,072.80",percent of total billed charges,,,"2,765.52",percent of total billed charges ,,,"3,072.80",percent of total billed charges ,"3,034.39",percent of total billed charges ,"3,034.39",percent of total billed charges ,"3,264.85",percent of total billed charges ,"3,264.85",percent of total billed charges ,"3,072.80",percent of total billed charges ,"3,072.80",percent of total billed charges ,"2,688.70",percent of total billed charges ,"2,688.70",percent of total billed charges ,"2,304.60",percent of total billed charges ,"2,304.60",percent of total billed charges ,"2,304.60",percent of total billed charges ,"2,304.60",percent of total billed charges ,,,,,"2,043.41",percent of total billed charges ,,,,,"1,941.24",percent of total billed charges ,,,,,,,,,,,,,,,,,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,
**ARTHROSCOPY -ELBOW DO NOT USE,370,RC,55513-01-2610,NDC,,both,,,"5,603.00","5,603.00","1,288.69","5,603.00","5,603.00",percent of total billed charges,"5,603.00",percent of total billed charges,"5,603.00",percent of total billed charges,"5,603.00",percent of total billed charges,"5,603.00",percent of total billed charges,"5,603.00",percent of total billed charges,"5,603.00",percent of total billed charges,"5,603.00",percent of total billed charges,"4,034.16",percent of total billed charges,"4,034.16",percent of total billed charges,"4,034.16",percent of total billed charges,"4,034.16",percent of total billed charges,"4,034.16",percent of total billed charges,"4,034.16",percent of total billed charges,"4,426.37",percent of total billed charges,"4,426.37",percent of total billed charges,"4,482.40",percent of total billed charges,"4,482.40",percent of total billed charges,,,"4,034.16",percent of total billed charges ,,,"4,482.40",percent of total billed charges ,"4,426.37",percent of total billed charges ,"4,426.37",percent of total billed charges ,"4,762.55",percent of total billed charges ,"4,762.55",percent of total billed charges ,"4,482.40",percent of total billed charges ,"4,482.40",percent of total billed charges ,"3,922.10",percent of total billed charges ,"3,922.10",percent of total billed charges ,"3,361.80",percent of total billed charges ,"3,361.80",percent of total billed charges ,"3,361.80",percent of total billed charges ,"3,361.80",percent of total billed charges ,,,,,"2,980.80",percent of total billed charges ,,,,,"2,831.76",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,
INTRAORAL PROC,370,RC,55513-01-2610,NDC,,both,,,"2,638.00","2,638.00",606.74,"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,"2,084.02",percent of total billed charges,"2,084.02",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 ,"2,084.02",percent of total billed charges ,"2,084.02",percent of total billed charges ,"2,242.30",percent of total billed charges ,"2,242.30",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 ,,,,,,,,,,,,,,,,,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,
OPEN PROC HUMER,370,RC,55513-01-2610,NDC,,both,,,"3,841.00","3,841.00",883.43,"3,841.00","3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"3,034.39",percent of total billed charges,"3,034.39",percent of total billed charges,"3,072.80",percent of total billed charges,"3,072.80",percent of total billed charges,,,"2,765.52",percent of total billed charges ,,,"3,072.80",percent of total billed charges ,"3,034.39",percent of total billed charges ,"3,034.39",percent of total billed charges ,"3,264.85",percent of total billed charges ,"3,264.85",percent of total billed charges ,"3,072.80",percent of total billed charges ,"3,072.80",percent of total billed charges ,"2,688.70",percent of total billed charges ,"2,688.70",percent of total billed charges ,"2,304.60",percent of total billed charges ,"2,304.60",percent of total billed charges ,"2,304.60",percent of total billed charges ,"2,304.60",percent of total billed charges ,,,,,"2,043.41",percent of total billed charges ,,,,,"1,941.24",percent of total billed charges ,,,,,,,,,,,,,,,,,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,
CLOSED PROC KNEE,370,RC,55513-01-2610,NDC,,both,,,"3,841.00","3,841.00",883.43,"3,841.00","3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"3,034.39",percent of total billed charges,"3,034.39",percent of total billed charges,"3,072.80",percent of total billed charges,"3,072.80",percent of total billed charges,,,"2,765.52",percent of total billed charges ,,,"3,072.80",percent of total billed charges ,"3,034.39",percent of total billed charges ,"3,034.39",percent of total billed charges ,"3,264.85",percent of total billed charges ,"3,264.85",percent of total billed charges ,"3,072.80",percent of total billed charges ,"3,072.80",percent of total billed charges ,"2,688.70",percent of total billed charges ,"2,688.70",percent of total billed charges ,"2,304.60",percent of total billed charges ,"2,304.60",percent of total billed charges ,"2,304.60",percent of total billed charges ,"2,304.60",percent of total billed charges ,,,,,"2,043.41",percent of total billed charges ,,,,,"1,941.24",percent of total billed charges ,,,,,,,,,,,,,,,,,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,
OPEN PROC LOWER FEMUR,370,RC,55513-01-2610,NDC,,both,,,"3,841.00","3,841.00",883.43,"3,841.00","3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"3,034.39",percent of total billed charges,"3,034.39",percent of total billed charges,"3,072.80",percent of total billed charges,"3,072.80",percent of total billed charges,,,"2,765.52",percent of total billed charges ,,,"3,072.80",percent of total billed charges ,"3,034.39",percent of total billed charges ,"3,034.39",percent of total billed charges ,"3,264.85",percent of total billed charges ,"3,264.85",percent of total billed charges ,"3,072.80",percent of total billed charges ,"3,072.80",percent of total billed charges ,"2,688.70",percent of total billed charges ,"2,688.70",percent of total billed charges ,"2,304.60",percent of total billed charges ,"2,304.60",percent of total billed charges ,"2,304.60",percent of total billed charges ,"2,304.60",percent of total billed charges ,,,,,"2,043.41",percent of total billed charges ,,,,,"1,941.24",percent of total billed charges ,,,,,,,,,,,,,,,,,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,
ARTHROTOMY - KNEE,370,RC,55513-01-2610,NDC,,both,,,"3,841.00","3,841.00",883.43,"3,841.00","3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"3,034.39",percent of total billed charges,"3,034.39",percent of total billed charges,"3,072.80",percent of total billed charges,"3,072.80",percent of total billed charges,,,"2,765.52",percent of total billed charges ,,,"3,072.80",percent of total billed charges ,"3,034.39",percent of total billed charges ,"3,034.39",percent of total billed charges ,"3,264.85",percent of total billed charges ,"3,264.85",percent of total billed charges ,"3,072.80",percent of total billed charges ,"3,072.80",percent of total billed charges ,"2,688.70",percent of total billed charges ,"2,688.70",percent of total billed charges ,"2,304.60",percent of total billed charges ,"2,304.60",percent of total billed charges ,"2,304.60",percent of total billed charges ,"2,304.60",percent of total billed charges ,,,,,"2,043.41",percent of total billed charges ,,,,,"1,941.24",percent of total billed charges ,,,,,,,,,,,,,,,,,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,
INTEG/NERV/MUSC HAND,370,RC,55513-01-2610,NDC,,both,,,"2,931.00","2,931.00",674.13,"2,931.00","2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,315.49",percent of total billed charges,"2,315.49",percent of total billed charges,"2,344.80",percent of total billed charges,"2,344.80",percent of total billed charges,,,"2,110.32",percent of total billed charges ,,,"2,344.80",percent of total billed charges ,"2,315.49",percent of total billed charges ,"2,315.49",percent of total billed charges ,"2,491.35",percent of total billed charges ,"2,491.35",percent of total billed charges ,"2,344.80",percent of total billed charges ,"2,344.80",percent of total billed charges ,"2,051.70",percent of total billed charges ,"2,051.70",percent of total billed charges ,"1,758.60",percent of total billed charges ,"1,758.60",percent of total billed charges ,"1,758.60",percent of total billed charges ,"1,758.60",percent of total billed charges ,,,,,"1,559.29",percent of total billed charges ,,,,,"1,481.33",percent of total billed charges ,,,,,,,,,,,,,,,,,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,
CLOSED REDUCTION LEG,370,RC,55513-01-2610,NDC,,both,,,"3,841.00","3,841.00",883.43,"3,841.00","3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"3,034.39",percent of total billed charges,"3,034.39",percent of total billed charges,"3,072.80",percent of total billed charges,"3,072.80",percent of total billed charges,,,"2,765.52",percent of total billed charges ,,,"3,072.80",percent of total billed charges ,"3,034.39",percent of total billed charges ,"3,034.39",percent of total billed charges ,"3,264.85",percent of total billed charges ,"3,264.85",percent of total billed charges ,"3,072.80",percent of total billed charges ,"3,072.80",percent of total billed charges ,"2,688.70",percent of total billed charges ,"2,688.70",percent of total billed charges ,"2,304.60",percent of total billed charges ,"2,304.60",percent of total billed charges ,"2,304.60",percent of total billed charges ,"2,304.60",percent of total billed charges ,,,,,"2,043.41",percent of total billed charges ,,,,,"1,941.24",percent of total billed charges ,,,,,,,,,,,,,,,,,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,
OPEN PROC LOWER ARM/HAND,370,RC,55513-01-2610,NDC,,both,,,"5,645.00","5,645.00","1,298.35","5,645.00","5,645.00",percent of total billed charges,"5,645.00",percent of total billed charges,"5,645.00",percent of total billed charges,"5,645.00",percent of total billed charges,"5,645.00",percent of total billed charges,"5,645.00",percent of total billed charges,"5,645.00",percent of total billed charges,"5,645.00",percent of total billed charges,"4,064.40",percent of total billed charges,"4,064.40",percent of total billed charges,"4,064.40",percent of total billed charges,"4,064.40",percent of total billed charges,"4,064.40",percent of total billed charges,"4,064.40",percent of total billed charges,"4,459.55",percent of total billed charges,"4,459.55",percent of total billed charges,"4,516.00",percent of total billed charges,"4,516.00",percent of total billed charges,,,"4,064.40",percent of total billed charges ,,,"4,516.00",percent of total billed charges ,"4,459.55",percent of total billed charges ,"4,459.55",percent of total billed charges ,"4,798.25",percent of total billed charges ,"4,798.25",percent of total billed charges ,"4,516.00",percent of total billed charges ,"4,516.00",percent of total billed charges ,"3,951.50",percent of total billed charges ,"3,951.50",percent of total billed charges ,"3,387.00",percent of total billed charges ,"3,387.00",percent of total billed charges ,"3,387.00",percent of total billed charges ,"3,387.00",percent of total billed charges ,,,,,"3,003.14",percent of total billed charges ,,,,,"2,852.98",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,298.35",percent of total billed charges,,,"1,298.35",percent of total billed charges,,,"1,298.35",percent of total billed charges,,,"1,298.35",percent of total billed charges,,,"1,298.35",percent of total billed charges,,,"1,298.35",percent of total billed charges,,,"1,298.35",percent of total billed charges,,,"1,298.35",percent of total billed charges,,,"1,298.35",percent of total billed charges,,,"1,298.35",percent of total billed charges,,,"1,298.35",percent of total billed charges,
HERNIA LOWER ABD,370,RC,55513-01-2610,NDC,,both,,,"3,841.00","3,841.00",883.43,"3,841.00","3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"3,034.39",percent of total billed charges,"3,034.39",percent of total billed charges,"3,072.80",percent of total billed charges,"3,072.80",percent of total billed charges,,,"2,765.52",percent of total billed charges ,,,"3,072.80",percent of total billed charges ,"3,034.39",percent of total billed charges ,"3,034.39",percent of total billed charges ,"3,264.85",percent of total billed charges ,"3,264.85",percent of total billed charges ,"3,072.80",percent of total billed charges ,"3,072.80",percent of total billed charges ,"2,688.70",percent of total billed charges ,"2,688.70",percent of total billed charges ,"2,304.60",percent of total billed charges ,"2,304.60",percent of total billed charges ,"2,304.60",percent of total billed charges ,"2,304.60",percent of total billed charges ,,,,,"2,043.41",percent of total billed charges ,,,,,"1,941.24",percent of total billed charges ,,,,,,,,,,,,,,,,,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,
INTEG/NERV/MUSC KNEE,370,RC,55513-01-2610,NDC,,both,,,"5,603.00","5,603.00","1,288.69","5,603.00","5,603.00",percent of total billed charges,"5,603.00",percent of total billed charges,"5,603.00",percent of total billed charges,"5,603.00",percent of total billed charges,"5,603.00",percent of total billed charges,"5,603.00",percent of total billed charges,"5,603.00",percent of total billed charges,"5,603.00",percent of total billed charges,"4,034.16",percent of total billed charges,"4,034.16",percent of total billed charges,"4,034.16",percent of total billed charges,"4,034.16",percent of total billed charges,"4,034.16",percent of total billed charges,"4,034.16",percent of total billed charges,"4,426.37",percent of total billed charges,"4,426.37",percent of total billed charges,"4,482.40",percent of total billed charges,"4,482.40",percent of total billed charges,,,"4,034.16",percent of total billed charges ,,,"4,482.40",percent of total billed charges ,"4,426.37",percent of total billed charges ,"4,426.37",percent of total billed charges ,"4,762.55",percent of total billed charges ,"4,762.55",percent of total billed charges ,"4,482.40",percent of total billed charges ,"4,482.40",percent of total billed charges ,"3,922.10",percent of total billed charges ,"3,922.10",percent of total billed charges ,"3,361.80",percent of total billed charges ,"3,361.80",percent of total billed charges ,"3,361.80",percent of total billed charges ,"3,361.80",percent of total billed charges ,,,,,"2,980.80",percent of total billed charges ,,,,,"2,831.76",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,
ARTHROSCOPY - ANKLE,370,RC,55513-01-2610,NDC,,both,,,"5,603.00","5,603.00","1,288.69","5,603.00","5,603.00",percent of total billed charges,"5,603.00",percent of total billed charges,"5,603.00",percent of total billed charges,"5,603.00",percent of total billed charges,"5,603.00",percent of total billed charges,"5,603.00",percent of total billed charges,"5,603.00",percent of total billed charges,"5,603.00",percent of total billed charges,"4,034.16",percent of total billed charges,"4,034.16",percent of total billed charges,"4,034.16",percent of total billed charges,"4,034.16",percent of total billed charges,"4,034.16",percent of total billed charges,"4,034.16",percent of total billed charges,"4,426.37",percent of total billed charges,"4,426.37",percent of total billed charges,"4,482.40",percent of total billed charges,"4,482.40",percent of total billed charges,,,"4,034.16",percent of total billed charges ,,,"4,482.40",percent of total billed charges ,"4,426.37",percent of total billed charges ,"4,426.37",percent of total billed charges ,"4,762.55",percent of total billed charges ,"4,762.55",percent of total billed charges ,"4,482.40",percent of total billed charges ,"4,482.40",percent of total billed charges ,"3,922.10",percent of total billed charges ,"3,922.10",percent of total billed charges ,"3,361.80",percent of total billed charges ,"3,361.80",percent of total billed charges ,"3,361.80",percent of total billed charges ,"3,361.80",percent of total billed charges ,,,,,"2,980.80",percent of total billed charges ,,,,,"2,831.76",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,
INTEG/NERV/MUSC LOWER LEG,370,RC,55513-01-2610,NDC,,both,,,"3,841.00","3,841.00",883.43,"3,841.00","3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"3,034.39",percent of total billed charges,"3,034.39",percent of total billed charges,"3,072.80",percent of total billed charges,"3,072.80",percent of total billed charges,,,"2,765.52",percent of total billed charges ,,,"3,072.80",percent of total billed charges ,"3,034.39",percent of total billed charges ,"3,034.39",percent of total billed charges ,"3,264.85",percent of total billed charges ,"3,264.85",percent of total billed charges ,"3,072.80",percent of total billed charges ,"3,072.80",percent of total billed charges ,"2,688.70",percent of total billed charges ,"2,688.70",percent of total billed charges ,"2,304.60",percent of total billed charges ,"2,304.60",percent of total billed charges ,"2,304.60",percent of total billed charges ,"2,304.60",percent of total billed charges ,,,,,"2,043.41",percent of total billed charges ,,,,,"1,941.24",percent of total billed charges ,,,,,,,,,,,,,,,,,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,
**INHAL 1ST 1/2 HR,370,RC,55513-01-2610,NDC,,both,,,571,571,131.33,571,571,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,451.09,percent of total billed charges,451.09,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 ,451.09,percent of total billed charges ,451.09,percent of total billed charges ,485.35,percent of total billed charges ,485.35,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 ,,,,,,,,,,,,,,,,,,,131.33,percent of total billed charges,,,131.33,percent of total billed charges,,,131.33,percent of total billed charges,,,131.33,percent of total billed charges,,,131.33,percent of total billed charges,,,131.33,percent of total billed charges,,,131.33,percent of total billed charges,,,131.33,percent of total billed charges,,,131.33,percent of total billed charges,,,131.33,percent of total billed charges,,,131.33,percent of total billed charges,
INTEG/NERV/MUSC- HEAD OR NECK,370,RC,55513-01-2610,NDC,,both,,,"4,270.00","4,270.00",982.1,"4,270.00","4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"3,074.40",percent of total billed charges,"3,074.40",percent of total billed charges,"3,074.40",percent of total billed charges,"3,074.40",percent of total billed charges,"3,074.40",percent of total billed charges,"3,074.40",percent of total billed charges,"3,373.30",percent of total billed charges,"3,373.30",percent of total billed charges,"3,416.00",percent of total billed charges,"3,416.00",percent of total billed charges,,,"3,074.40",percent of total billed charges ,,,"3,416.00",percent of total billed charges ,"3,373.30",percent of total billed charges ,"3,373.30",percent of total billed charges ,"3,629.50",percent of total billed charges ,"3,629.50",percent of total billed charges ,"3,416.00",percent of total billed charges ,"3,416.00",percent of total billed charges ,"2,989.00",percent of total billed charges ,"2,989.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,,,,,"2,271.64",percent of total billed charges ,,,,,"2,158.06",percent of total billed charges ,,,,,,,,,,,,,,,,,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,
INTEG/NERV/MUSC SHOULDER,370,RC,55513-01-2610,NDC,,both,,,"5,603.00","5,603.00","1,288.69","5,603.00","5,603.00",percent of total billed charges,"5,603.00",percent of total billed charges,"5,603.00",percent of total billed charges,"5,603.00",percent of total billed charges,"5,603.00",percent of total billed charges,"5,603.00",percent of total billed charges,"5,603.00",percent of total billed charges,"5,603.00",percent of total billed charges,"4,034.16",percent of total billed charges,"4,034.16",percent of total billed charges,"4,034.16",percent of total billed charges,"4,034.16",percent of total billed charges,"4,034.16",percent of total billed charges,"4,034.16",percent of total billed charges,"4,426.37",percent of total billed charges,"4,426.37",percent of total billed charges,"4,482.40",percent of total billed charges,"4,482.40",percent of total billed charges,,,"4,034.16",percent of total billed charges ,,,"4,482.40",percent of total billed charges ,"4,426.37",percent of total billed charges ,"4,426.37",percent of total billed charges ,"4,762.55",percent of total billed charges ,"4,762.55",percent of total billed charges ,"4,482.40",percent of total billed charges ,"4,482.40",percent of total billed charges ,"3,922.10",percent of total billed charges ,"3,922.10",percent of total billed charges ,"3,361.80",percent of total billed charges ,"3,361.80",percent of total billed charges ,"3,361.80",percent of total billed charges ,"3,361.80",percent of total billed charges ,,,,,"2,980.80",percent of total billed charges ,,,,,"2,831.76",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,
**INHALE ADDTL 15 MIN,370,RC,55513-01-2610,NDC,,both,,,290,290,66.7,290,290,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,229.1,percent of total billed charges,229.1,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 ,229.1,percent of total billed charges ,229.1,percent of total billed charges ,246.5,percent of total billed charges ,246.5,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 ,,,,,,,,,,,,,,,,,,,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,,,66.7,percent of total billed charges,,,66.7,percent of total billed charges,,,66.7,percent of total billed charges,
INFUSA PORT,370,RC,55513-01-2610,NDC,,both,,,"2,931.00","2,931.00",674.13,"2,931.00","2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,315.49",percent of total billed charges,"2,315.49",percent of total billed charges,"2,344.80",percent of total billed charges,"2,344.80",percent of total billed charges,,,"2,110.32",percent of total billed charges ,,,"2,344.80",percent of total billed charges ,"2,315.49",percent of total billed charges ,"2,315.49",percent of total billed charges ,"2,491.35",percent of total billed charges ,"2,491.35",percent of total billed charges ,"2,344.80",percent of total billed charges ,"2,344.80",percent of total billed charges ,"2,051.70",percent of total billed charges ,"2,051.70",percent of total billed charges ,"1,758.60",percent of total billed charges ,"1,758.60",percent of total billed charges ,"1,758.60",percent of total billed charges ,"1,758.60",percent of total billed charges ,,,,,"1,559.29",percent of total billed charges ,,,,,"1,481.33",percent of total billed charges ,,,,,,,,,,,,,,,,,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,
CLOSED CHEST PROC (BRONCHOSC,370,RC,55513-01-2610,NDC,,both,,,"3,601.00","3,601.00",828.23,"3,601.00","3,601.00",percent of total billed charges,"3,601.00",percent of total billed charges,"3,601.00",percent of total billed charges,"3,601.00",percent of total billed charges,"3,601.00",percent of total billed charges,"3,601.00",percent of total billed charges,"3,601.00",percent of total billed charges,"3,601.00",percent of total billed charges,"2,592.72",percent of total billed charges,"2,592.72",percent of total billed charges,"2,592.72",percent of total billed charges,"2,592.72",percent of total billed charges,"2,592.72",percent of total billed charges,"2,592.72",percent of total billed charges,"2,844.79",percent of total billed charges,"2,844.79",percent of total billed charges,"2,880.80",percent of total billed charges,"2,880.80",percent of total billed charges,,,"2,592.72",percent of total billed charges ,,,"2,880.80",percent of total billed charges ,"2,844.79",percent of total billed charges ,"2,844.79",percent of total billed charges ,"3,060.85",percent of total billed charges ,"3,060.85",percent of total billed charges ,"2,880.80",percent of total billed charges ,"2,880.80",percent of total billed charges ,"2,520.70",percent of total billed charges ,"2,520.70",percent of total billed charges ,"2,160.60",percent of total billed charges ,"2,160.60",percent of total billed charges ,"2,160.60",percent of total billed charges ,"2,160.60",percent of total billed charges ,,,,,"1,915.73",percent of total billed charges ,,,,,"1,819.95",percent of total billed charges ,,,,,,,,,,,,,,,,,,,828.23,percent of total billed charges,,,828.23,percent of total billed charges,,,828.23,percent of total billed charges,,,828.23,percent of total billed charges,,,828.23,percent of total billed charges,,,828.23,percent of total billed charges,,,828.23,percent of total billed charges,,,828.23,percent of total billed charges,,,828.23,percent of total billed charges,,,828.23,percent of total billed charges,,,828.23,percent of total billed charges,
TOTAL KNEE,370,RC,55513-01-2610,NDC,,both,,,"8,047.00","8,047.00","1,850.81","8,047.00","8,047.00",percent of total billed charges,"8,047.00",percent of total billed charges,"8,047.00",percent of total billed charges,"8,047.00",percent of total billed charges,"8,047.00",percent of total billed charges,"8,047.00",percent of total billed charges,"8,047.00",percent of total billed charges,"8,047.00",percent of total billed charges,"5,793.84",percent of total billed charges,"5,793.84",percent of total billed charges,"5,793.84",percent of total billed charges,"5,793.84",percent of total billed charges,"5,793.84",percent of total billed charges,"5,793.84",percent of total billed charges,"6,357.13",percent of total billed charges,"6,357.13",percent of total billed charges,"6,437.60",percent of total billed charges,"6,437.60",percent of total billed charges,,,"5,793.84",percent of total billed charges ,,,"6,437.60",percent of total billed charges ,"6,357.13",percent of total billed charges ,"6,357.13",percent of total billed charges ,"6,839.95",percent of total billed charges ,"6,839.95",percent of total billed charges ,"6,437.60",percent of total billed charges ,"6,437.60",percent of total billed charges ,"5,632.90",percent of total billed charges ,"5,632.90",percent of total billed charges ,"4,828.20",percent of total billed charges ,"4,828.20",percent of total billed charges ,"4,828.20",percent of total billed charges ,"4,828.20",percent of total billed charges ,,,,,"4,281.00",percent of total billed charges ,,,,,"4,066.95",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,850.81",percent of total billed charges,,,"1,850.81",percent of total billed charges,,,"1,850.81",percent of total billed charges,,,"1,850.81",percent of total billed charges,,,"1,850.81",percent of total billed charges,,,"1,850.81",percent of total billed charges,,,"1,850.81",percent of total billed charges,,,"1,850.81",percent of total billed charges,,,"1,850.81",percent of total billed charges,,,"1,850.81",percent of total billed charges,,,"1,850.81",percent of total billed charges,
CLAVICAL & SCAPULA,370,RC,55513-01-2610,NDC,,both,,,"4,270.00","4,270.00",982.1,"4,270.00","4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"3,074.40",percent of total billed charges,"3,074.40",percent of total billed charges,"3,074.40",percent of total billed charges,"3,074.40",percent of total billed charges,"3,074.40",percent of total billed charges,"3,074.40",percent of total billed charges,"3,373.30",percent of total billed charges,"3,373.30",percent of total billed charges,"3,416.00",percent of total billed charges,"3,416.00",percent of total billed charges,,,"3,074.40",percent of total billed charges ,,,"3,416.00",percent of total billed charges ,"3,373.30",percent of total billed charges ,"3,373.30",percent of total billed charges ,"3,629.50",percent of total billed charges ,"3,629.50",percent of total billed charges ,"3,416.00",percent of total billed charges ,"3,416.00",percent of total billed charges ,"2,989.00",percent of total billed charges ,"2,989.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,,,,,"2,271.64",percent of total billed charges ,,,,,"2,158.06",percent of total billed charges ,,,,,,,,,,,,,,,,,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,
MASTECTOMY,370,RC,55513-01-2610,NDC,,both,,,"4,442.00","4,442.00","1,021.66","4,442.00","4,442.00",percent of total billed charges,"4,442.00",percent of total billed charges,"4,442.00",percent of total billed charges,"4,442.00",percent of total billed charges,"4,442.00",percent of total billed charges,"4,442.00",percent of total billed charges,"4,442.00",percent of total billed charges,"4,442.00",percent of total billed charges,"3,198.24",percent of total billed charges,"3,198.24",percent of total billed charges,"3,198.24",percent of total billed charges,"3,198.24",percent of total billed charges,"3,198.24",percent of total billed charges,"3,198.24",percent of total billed charges,"3,509.18",percent of total billed charges,"3,509.18",percent of total billed charges,"3,553.60",percent of total billed charges,"3,553.60",percent of total billed charges,,,"3,198.24",percent of total billed charges ,,,"3,553.60",percent of total billed charges ,"3,509.18",percent of total billed charges ,"3,509.18",percent of total billed charges ,"3,775.70",percent of total billed charges ,"3,775.70",percent of total billed charges ,"3,553.60",percent of total billed charges ,"3,553.60",percent of total billed charges ,"3,109.40",percent of total billed charges ,"3,109.40",percent of total billed charges ,"2,665.20",percent of total billed charges ,"2,665.20",percent of total billed charges ,"2,665.20",percent of total billed charges ,"2,665.20",percent of total billed charges ,,,,,"2,363.14",percent of total billed charges ,,,,,"2,244.99",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,
EXC HEAD NK/BRST LUMPECTOMY,370,RC,55513-01-2610,NDC,,both,,,"2,638.00","2,638.00",606.74,"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,"2,084.02",percent of total billed charges,"2,084.02",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 ,"2,084.02",percent of total billed charges ,"2,084.02",percent of total billed charges ,"2,242.30",percent of total billed charges ,"2,242.30",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 ,,,,,,,,,,,,,,,,,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,
ANES BASIC FEE/15 MIN,370,RC,55513-01-2610,NDC,,both,,,326,326,74.98,326,326,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,257.54,percent of total billed charges,257.54,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 ,257.54,percent of total billed charges ,257.54,percent of total billed charges ,277.1,percent of total billed charges ,277.1,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 ,,,,,,,,,,,,,,,,,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,
OPEN PROC UP FEMUR,370,RC,55513-01-2610,NDC,,both,,,"4,442.00","4,442.00","1,021.66","4,442.00","4,442.00",percent of total billed charges,"4,442.00",percent of total billed charges,"4,442.00",percent of total billed charges,"4,442.00",percent of total billed charges,"4,442.00",percent of total billed charges,"4,442.00",percent of total billed charges,"4,442.00",percent of total billed charges,"4,442.00",percent of total billed charges,"3,198.24",percent of total billed charges,"3,198.24",percent of total billed charges,"3,198.24",percent of total billed charges,"3,198.24",percent of total billed charges,"3,198.24",percent of total billed charges,"3,198.24",percent of total billed charges,"3,509.18",percent of total billed charges,"3,509.18",percent of total billed charges,"3,553.60",percent of total billed charges,"3,553.60",percent of total billed charges,,,"3,198.24",percent of total billed charges ,,,"3,553.60",percent of total billed charges ,"3,509.18",percent of total billed charges ,"3,509.18",percent of total billed charges ,"3,775.70",percent of total billed charges ,"3,775.70",percent of total billed charges ,"3,553.60",percent of total billed charges ,"3,553.60",percent of total billed charges ,"3,109.40",percent of total billed charges ,"3,109.40",percent of total billed charges ,"2,665.20",percent of total billed charges ,"2,665.20",percent of total billed charges ,"2,665.20",percent of total billed charges ,"2,665.20",percent of total billed charges ,,,,,"2,363.14",percent of total billed charges ,,,,,"2,244.99",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,,,"1,021.66",percent of total billed charges,
TEMPORAL ARTERY BX,370,RC,55513-01-2610,NDC,,both,,,"2,931.00","2,931.00",674.13,"2,931.00","2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,315.49",percent of total billed charges,"2,315.49",percent of total billed charges,"2,344.80",percent of total billed charges,"2,344.80",percent of total billed charges,,,"2,110.32",percent of total billed charges ,,,"2,344.80",percent of total billed charges ,"2,315.49",percent of total billed charges ,"2,315.49",percent of total billed charges ,"2,491.35",percent of total billed charges ,"2,491.35",percent of total billed charges ,"2,344.80",percent of total billed charges ,"2,344.80",percent of total billed charges ,"2,051.70",percent of total billed charges ,"2,051.70",percent of total billed charges ,"1,758.60",percent of total billed charges ,"1,758.60",percent of total billed charges ,"1,758.60",percent of total billed charges ,"1,758.60",percent of total billed charges ,,,,,"1,559.29",percent of total billed charges ,,,,,"1,481.33",percent of total billed charges ,,,,,,,,,,,,,,,,,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,
AMPUTATION-ABOVE THE KNEE,370,RC,55513-01-2610,NDC,,both,,,"5,603.00","5,603.00","1,288.69","5,603.00","5,603.00",percent of total billed charges,"5,603.00",percent of total billed charges,"5,603.00",percent of total billed charges,"5,603.00",percent of total billed charges,"5,603.00",percent of total billed charges,"5,603.00",percent of total billed charges,"5,603.00",percent of total billed charges,"5,603.00",percent of total billed charges,"4,034.16",percent of total billed charges,"4,034.16",percent of total billed charges,"4,034.16",percent of total billed charges,"4,034.16",percent of total billed charges,"4,034.16",percent of total billed charges,"4,034.16",percent of total billed charges,"4,426.37",percent of total billed charges,"4,426.37",percent of total billed charges,"4,482.40",percent of total billed charges,"4,482.40",percent of total billed charges,,,"4,034.16",percent of total billed charges ,,,"4,482.40",percent of total billed charges ,"4,426.37",percent of total billed charges ,"4,426.37",percent of total billed charges ,"4,762.55",percent of total billed charges ,"4,762.55",percent of total billed charges ,"4,482.40",percent of total billed charges ,"4,482.40",percent of total billed charges ,"3,922.10",percent of total billed charges ,"3,922.10",percent of total billed charges ,"3,361.80",percent of total billed charges ,"3,361.80",percent of total billed charges ,"3,361.80",percent of total billed charges ,"3,361.80",percent of total billed charges ,,,,,"2,980.80",percent of total billed charges ,,,,,"2,831.76",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,,,"1,288.69",percent of total billed charges,
**LAMINECTOMY-CERV DO NOT USE,370,RC,55513-01-2610,NDC,,both,,,"6,939.00","6,939.00","1,595.97","6,939.00","6,939.00",percent of total billed charges,"6,939.00",percent of total billed charges,"6,939.00",percent of total billed charges,"6,939.00",percent of total billed charges,"6,939.00",percent of total billed charges,"6,939.00",percent of total billed charges,"6,939.00",percent of total billed charges,"6,939.00",percent of total billed charges,"4,996.08",percent of total billed charges,"4,996.08",percent of total billed charges,"4,996.08",percent of total billed charges,"4,996.08",percent of total billed charges,"4,996.08",percent of total billed charges,"4,996.08",percent of total billed charges,"5,481.81",percent of total billed charges,"5,481.81",percent of total billed charges,"5,551.20",percent of total billed charges,"5,551.20",percent of total billed charges,,,"4,996.08",percent of total billed charges ,,,"5,551.20",percent of total billed charges ,"5,481.81",percent of total billed charges ,"5,481.81",percent of total billed charges ,"5,898.15",percent of total billed charges ,"5,898.15",percent of total billed charges ,"5,551.20",percent of total billed charges ,"5,551.20",percent of total billed charges ,"4,857.30",percent of total billed charges ,"4,857.30",percent of total billed charges ,"4,163.40",percent of total billed charges ,"4,163.40",percent of total billed charges ,"4,163.40",percent of total billed charges ,"4,163.40",percent of total billed charges ,,,,,"3,691.55",percent of total billed charges ,,,,,"3,506.97",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,595.97",percent of total billed charges,,,"1,595.97",percent of total billed charges,,,"1,595.97",percent of total billed charges,,,"1,595.97",percent of total billed charges,,,"1,595.97",percent of total billed charges,,,"1,595.97",percent of total billed charges,,,"1,595.97",percent of total billed charges,,,"1,595.97",percent of total billed charges,,,"1,595.97",percent of total billed charges,,,"1,595.97",percent of total billed charges,,,"1,595.97",percent of total billed charges,
INTEG/NERV/MUSC UPPER LEG,370,RC,55513-01-2610,NDC,,both,,,"4,270.00","4,270.00",982.1,"4,270.00","4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"3,074.40",percent of total billed charges,"3,074.40",percent of total billed charges,"3,074.40",percent of total billed charges,"3,074.40",percent of total billed charges,"3,074.40",percent of total billed charges,"3,074.40",percent of total billed charges,"3,373.30",percent of total billed charges,"3,373.30",percent of total billed charges,"3,416.00",percent of total billed charges,"3,416.00",percent of total billed charges,,,"3,074.40",percent of total billed charges ,,,"3,416.00",percent of total billed charges ,"3,373.30",percent of total billed charges ,"3,373.30",percent of total billed charges ,"3,629.50",percent of total billed charges ,"3,629.50",percent of total billed charges ,"3,416.00",percent of total billed charges ,"3,416.00",percent of total billed charges ,"2,989.00",percent of total billed charges ,"2,989.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,,,,,"2,271.64",percent of total billed charges ,,,,,"2,158.06",percent of total billed charges ,,,,,,,,,,,,,,,,,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,
CLOSED REDUCTION ARM,370,RC,55513-01-2610,NDC,,both,,,"2,264.00","2,264.00",520.72,"2,264.00","2,264.00",percent of total billed charges,"2,264.00",percent of total billed charges,"2,264.00",percent of total billed charges,"2,264.00",percent of total billed charges,"2,264.00",percent of total billed charges,"2,264.00",percent of total billed charges,"2,264.00",percent of total billed charges,"2,264.00",percent of total billed charges,"1,630.08",percent of total billed charges,"1,630.08",percent of total billed charges,"1,630.08",percent of total billed charges,"1,630.08",percent of total billed charges,"1,630.08",percent of total billed charges,"1,630.08",percent of total billed charges,"1,788.56",percent of total billed charges,"1,788.56",percent of total billed charges,"1,811.20",percent of total billed charges,"1,811.20",percent of total billed charges,,,"1,630.08",percent of total billed charges ,,,"1,811.20",percent of total billed charges ,"1,788.56",percent of total billed charges ,"1,788.56",percent of total billed charges ,"1,924.40",percent of total billed charges ,"1,924.40",percent of total billed charges ,"1,811.20",percent of total billed charges ,"1,811.20",percent of total billed charges ,"1,584.80",percent of total billed charges ,"1,584.80",percent of total billed charges ,"1,358.40",percent of total billed charges ,"1,358.40",percent of total billed charges ,"1,358.40",percent of total billed charges ,"1,358.40",percent of total billed charges ,,,,,"1,204.45",percent of total billed charges ,,,,,"1,144.23",percent of total billed charges ,,,,,,,,,,,,,,,,,,,520.72,percent of total billed charges,,,520.72,percent of total billed charges,,,520.72,percent of total billed charges,,,520.72,percent of total billed charges,,,520.72,percent of total billed charges,,,520.72,percent of total billed charges,,,520.72,percent of total billed charges,,,520.72,percent of total billed charges,,,520.72,percent of total billed charges,,,520.72,percent of total billed charges,,,520.72,percent of total billed charges,
TRACH/THYROID/LARYNX,370,RC,55513-01-2610,NDC,,both,,,"6,939.00","6,939.00","1,595.97","6,939.00","6,939.00",percent of total billed charges,"6,939.00",percent of total billed charges,"6,939.00",percent of total billed charges,"6,939.00",percent of total billed charges,"6,939.00",percent of total billed charges,"6,939.00",percent of total billed charges,"6,939.00",percent of total billed charges,"6,939.00",percent of total billed charges,"4,996.08",percent of total billed charges,"4,996.08",percent of total billed charges,"4,996.08",percent of total billed charges,"4,996.08",percent of total billed charges,"4,996.08",percent of total billed charges,"4,996.08",percent of total billed charges,"5,481.81",percent of total billed charges,"5,481.81",percent of total billed charges,"5,551.20",percent of total billed charges,"5,551.20",percent of total billed charges,,,"4,996.08",percent of total billed charges ,,,"5,551.20",percent of total billed charges ,"5,481.81",percent of total billed charges ,"5,481.81",percent of total billed charges ,"5,898.15",percent of total billed charges ,"5,898.15",percent of total billed charges ,"5,551.20",percent of total billed charges ,"5,551.20",percent of total billed charges ,"4,857.30",percent of total billed charges ,"4,857.30",percent of total billed charges ,"4,163.40",percent of total billed charges ,"4,163.40",percent of total billed charges ,"4,163.40",percent of total billed charges ,"4,163.40",percent of total billed charges ,,,,,"3,691.55",percent of total billed charges ,,,,,"3,506.97",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,595.97",percent of total billed charges,,,"1,595.97",percent of total billed charges,,,"1,595.97",percent of total billed charges,,,"1,595.97",percent of total billed charges,,,"1,595.97",percent of total billed charges,,,"1,595.97",percent of total billed charges,,,"1,595.97",percent of total billed charges,,,"1,595.97",percent of total billed charges,,,"1,595.97",percent of total billed charges,,,"1,595.97",percent of total billed charges,,,"1,595.97",percent of total billed charges,
LENS SURGERY,370,RC,55513-01-2610,NDC,,both,,,"2,037.00","2,037.00",468.51,"2,037.00","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,"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,"1,466.64",percent of total billed charges,"1,466.64",percent of total billed charges,"1,466.64",percent of total billed charges,"1,466.64",percent of total billed charges,"1,466.64",percent of total billed charges,"1,466.64",percent of total billed charges,"1,609.23",percent of total billed charges,"1,609.23",percent of total billed charges,"1,629.60",percent of total billed charges,"1,629.60",percent of total billed charges,,,"1,466.64",percent of total billed charges ,,,"1,629.60",percent of total billed charges ,"1,609.23",percent of total billed charges ,"1,609.23",percent of total billed charges ,"1,731.45",percent of total billed charges ,"1,731.45",percent of total billed charges ,"1,629.60",percent of total billed charges ,"1,629.60",percent of total billed charges ,"1,425.90",percent of total billed charges ,"1,425.90",percent of total billed charges ,"1,222.20",percent of total billed charges ,"1,222.20",percent of total billed charges ,"1,222.20",percent of total billed charges ,"1,222.20",percent of total billed charges ,,,,,"1,083.68",percent of total billed charges ,,,,,"1,029.50",percent of total billed charges ,,,,,,,,,,,,,,,,,,,468.51,percent of total billed charges,,,468.51,percent of total billed charges,,,468.51,percent of total billed charges,,,468.51,percent of total billed charges,,,468.51,percent of total billed charges,,,468.51,percent of total billed charges,,,468.51,percent of total billed charges,,,468.51,percent of total billed charges,,,468.51,percent of total billed charges,,,468.51,percent of total billed charges,,,468.51,percent of total billed charges,
PATELLA - OPEN,370,RC,55513-01-2610,NDC,,both,,,"1,437.00","1,437.00",330.51,"1,437.00","1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,034.64",percent of total billed charges,"1,034.64",percent of total billed charges,"1,034.64",percent of total billed charges,"1,034.64",percent of total billed charges,"1,034.64",percent of total billed charges,"1,034.64",percent of total billed charges,"1,135.23",percent of total billed charges,"1,135.23",percent of total billed charges,"1,149.60",percent of total billed charges,"1,149.60",percent of total billed charges,,,"1,034.64",percent of total billed charges ,,,"1,149.60",percent of total billed charges ,"1,135.23",percent of total billed charges ,"1,135.23",percent of total billed charges ,"1,221.45",percent of total billed charges ,"1,221.45",percent of total billed charges ,"1,149.60",percent of total billed charges ,"1,149.60",percent of total billed charges ,"1,005.90",percent of total billed charges ,"1,005.90",percent of total billed charges ,862.2,percent of total billed charges ,862.2,percent of total billed charges ,862.2,percent of total billed charges ,862.2,percent of total billed charges ,,,,,764.48,percent of total billed charges ,,,,,726.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,
MYRINGOTOMY,370,RC,55513-01-2610,NDC,,both,,,"1,437.00","1,437.00",330.51,"1,437.00","1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,034.64",percent of total billed charges,"1,034.64",percent of total billed charges,"1,034.64",percent of total billed charges,"1,034.64",percent of total billed charges,"1,034.64",percent of total billed charges,"1,034.64",percent of total billed charges,"1,135.23",percent of total billed charges,"1,135.23",percent of total billed charges,"1,149.60",percent of total billed charges,"1,149.60",percent of total billed charges,,,"1,034.64",percent of total billed charges ,,,"1,149.60",percent of total billed charges ,"1,135.23",percent of total billed charges ,"1,135.23",percent of total billed charges ,"1,221.45",percent of total billed charges ,"1,221.45",percent of total billed charges ,"1,149.60",percent of total billed charges ,"1,149.60",percent of total billed charges ,"1,005.90",percent of total billed charges ,"1,005.90",percent of total billed charges ,862.2,percent of total billed charges ,862.2,percent of total billed charges ,862.2,percent of total billed charges ,862.2,percent of total billed charges ,,,,,764.48,percent of total billed charges ,,,,,726.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,
BLEPHAROPLASTY,370,RC,55513-01-2610,NDC,,both,,,"1,596.00","1,596.00",367.08,"1,596.00","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,"1,149.12",percent of total billed charges,"1,149.12",percent of total billed charges,"1,149.12",percent of total billed charges,"1,149.12",percent of total billed charges,"1,149.12",percent of total billed charges,"1,149.12",percent of total billed charges,"1,260.84",percent of total billed charges,"1,260.84",percent of total billed charges,"1,276.80",percent of total billed charges,"1,276.80",percent of total billed charges,,,"1,149.12",percent of total billed charges ,,,"1,276.80",percent of total billed charges ,"1,260.84",percent of total billed charges ,"1,260.84",percent of total billed charges ,"1,356.60",percent of total billed charges ,"1,356.60",percent of total billed charges ,"1,276.80",percent of total billed charges ,"1,276.80",percent of total billed charges ,"1,117.20",percent of total billed charges ,"1,117.20",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 ,,,,,849.07,percent of total billed charges ,,,,,806.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,367.08,percent of total billed charges,,,367.08,percent of total billed charges,,,367.08,percent of total billed charges,,,367.08,percent of total billed charges,,,367.08,percent of total billed charges,,,367.08,percent of total billed charges,,,367.08,percent of total billed charges,,,367.08,percent of total billed charges,,,367.08,percent of total billed charges,,,367.08,percent of total billed charges,,,367.08,percent of total billed charges,
HERNIA VENTRAL,752,CDM,,,,both,,,"1,578.00","1,578.00",362.94,"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,"1,246.62",percent of total billed charges,"1,246.62",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 ,"1,246.62",percent of total billed charges ,"1,246.62",percent of total billed charges ,"1,341.30",percent of total billed charges ,"1,341.30",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 ,,,,,,,,,,,,,,,,,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,
ABDOM - IP UPPER,790,CDM,,,,both,,,"1,841.00","1,841.00",423.43,"1,841.00","1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,454.39",percent of total billed charges,"1,454.39",percent of total billed charges,"1,472.80",percent of total billed charges,"1,472.80",percent of total billed charges,,,"1,325.52",percent of total billed charges ,,,"1,472.80",percent of total billed charges ,"1,454.39",percent of total billed charges ,"1,454.39",percent of total billed charges ,"1,564.85",percent of total billed charges ,"1,564.85",percent of total billed charges ,"1,472.80",percent of total billed charges ,"1,472.80",percent of total billed charges ,"1,288.70",percent of total billed charges ,"1,288.70",percent of total billed charges ,"1,104.60",percent of total billed charges ,"1,104.60",percent of total billed charges ,"1,104.60",percent of total billed charges ,"1,104.60",percent of total billed charges ,,,,,979.41,percent of total billed charges ,,,,,930.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,
**LAMINECTOMY-CERV DO NOT USE,600,CDM,,,,both,,,"2,388.00","2,388.00",549.24,"2,388.00","2,388.00",percent of total billed charges,"2,388.00",percent of total billed charges,"2,388.00",percent of total billed charges,"2,388.00",percent of total billed charges,"2,388.00",percent of total billed charges,"2,388.00",percent of total billed charges,"2,388.00",percent of total billed charges,"2,388.00",percent of total billed charges,"1,719.36",percent of total billed charges,"1,719.36",percent of total billed charges,"1,719.36",percent of total billed charges,"1,719.36",percent of total billed charges,"1,719.36",percent of total billed charges,"1,719.36",percent of total billed charges,"1,886.52",percent of total billed charges,"1,886.52",percent of total billed charges,"1,910.40",percent of total billed charges,"1,910.40",percent of total billed charges,,,"1,719.36",percent of total billed charges ,,,"1,910.40",percent of total billed charges ,"1,886.52",percent of total billed charges ,"1,886.52",percent of total billed charges ,"2,029.80",percent of total billed charges ,"2,029.80",percent of total billed charges ,"1,910.40",percent of total billed charges ,"1,910.40",percent of total billed charges ,"1,671.60",percent of total billed charges ,"1,671.60",percent of total billed charges ,"1,432.80",percent of total billed charges ,"1,432.80",percent of total billed charges ,"1,432.80",percent of total billed charges ,"1,432.80",percent of total billed charges ,,,,,"1,270.42",percent of total billed charges ,,,,,"1,206.90",percent of total billed charges ,,,,,,,,,,,,,,,,,,,549.24,percent of total billed charges,,,549.24,percent of total billed charges,,,549.24,percent of total billed charges,,,549.24,percent of total billed charges,,,549.24,percent of total billed charges,,,549.24,percent of total billed charges,,,549.24,percent of total billed charges,,,549.24,percent of total billed charges,,,549.24,percent of total billed charges,,,549.24,percent of total billed charges,,,549.24,percent of total billed charges,
INFUSA PORT,532,CDM,,,,both,,,"1,056.00","1,056.00",242.88,"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,834.24,percent of total billed charges,834.24,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 ,834.24,percent of total billed charges ,834.24,percent of total billed charges ,897.6,percent of total billed charges ,897.6,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 ,,,,,,,,,,,,,,,,,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,
HYSTERECTOMY ABDOMINAL,846,CDM,,,,both,,,"2,105.00","2,105.00",484.15,"2,105.00","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,"1,662.95",percent of total billed charges,"1,662.95",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 ,,,"1,684.00",percent of total billed charges ,"1,662.95",percent of total billed charges ,"1,662.95",percent of total billed charges ,"1,789.25",percent of total billed charges ,"1,789.25",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 ,,,,,,,,,,,,,,,,,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,
LAMINECTOMY - LUMBAR,630,CDM,,,,both,,,"2,105.00","2,105.00",484.15,"2,105.00","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,"1,662.95",percent of total billed charges,"1,662.95",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 ,,,"1,684.00",percent of total billed charges ,"1,662.95",percent of total billed charges ,"1,662.95",percent of total billed charges ,"1,789.25",percent of total billed charges ,"1,789.25",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 ,,,,,,,,,,,,,,,,,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,
C-SECTION,1961,CDM,,,,both,,,"1,841.00","1,841.00",423.43,"1,841.00","1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,454.39",percent of total billed charges,"1,454.39",percent of total billed charges,"1,472.80",percent of total billed charges,"1,472.80",percent of total billed charges,,,"1,325.52",percent of total billed charges ,,,"1,472.80",percent of total billed charges ,"1,454.39",percent of total billed charges ,"1,454.39",percent of total billed charges ,"1,564.85",percent of total billed charges ,"1,564.85",percent of total billed charges ,"1,472.80",percent of total billed charges ,"1,472.80",percent of total billed charges ,"1,288.70",percent of total billed charges ,"1,288.70",percent of total billed charges ,"1,104.60",percent of total billed charges ,"1,104.60",percent of total billed charges ,"1,104.60",percent of total billed charges ,"1,104.60",percent of total billed charges ,,,,,979.41,percent of total billed charges ,,,,,930.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,
CLOSED CHEST PROC (BRONCHOSC,520,CDM,,,,both,,,"1,437.00","1,437.00",330.51,"1,437.00","1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,034.64",percent of total billed charges,"1,034.64",percent of total billed charges,"1,034.64",percent of total billed charges,"1,034.64",percent of total billed charges,"1,034.64",percent of total billed charges,"1,034.64",percent of total billed charges,"1,135.23",percent of total billed charges,"1,135.23",percent of total billed charges,"1,149.60",percent of total billed charges,"1,149.60",percent of total billed charges,,,"1,034.64",percent of total billed charges ,,,"1,149.60",percent of total billed charges ,"1,135.23",percent of total billed charges ,"1,135.23",percent of total billed charges ,"1,221.45",percent of total billed charges ,"1,221.45",percent of total billed charges ,"1,149.60",percent of total billed charges ,"1,149.60",percent of total billed charges ,"1,005.90",percent of total billed charges ,"1,005.90",percent of total billed charges ,862.2,percent of total billed charges ,862.2,percent of total billed charges ,862.2,percent of total billed charges ,862.2,percent of total billed charges ,,,,,764.48,percent of total billed charges ,,,,,726.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,
ABDOM IP LOWER,840,CDM,,,,both,,,"1,578.00","1,578.00",362.94,"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,"1,246.62",percent of total billed charges,"1,246.62",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 ,"1,246.62",percent of total billed charges ,"1,246.62",percent of total billed charges ,"1,341.30",percent of total billed charges ,"1,341.30",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 ,,,,,,,,,,,,,,,,,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,
**LUMBAR PUNCTURE THERAPY DO NOT USE,964,RC,55513-01-2610,NDC,,both,,,"1,056.00","1,056.00",242.88,"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,834.24,percent of total billed charges,834.24,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 ,834.24,percent of total billed charges ,834.24,percent of total billed charges ,897.6,percent of total billed charges ,897.6,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 ,,,,,,,,,,,,,,,,,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,
ENDOSCOPIES UPPER,731,CDM,,,,both,,,"1,317.00","1,317.00",302.91,"1,317.00","1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,"1,040.43",percent of total billed charges,"1,040.43",percent of total billed charges,"1,053.60",percent of total billed charges,"1,053.60",percent of total billed charges,,,948.24,percent of total billed charges ,,,"1,053.60",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,053.60",percent of total billed charges ,"1,053.60",percent of total billed charges ,921.9,percent of total billed charges ,921.9,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,,,,,700.64,percent of total billed charges ,,,,,665.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,
HERNIA VENTRAL OR INCISIONAL,832,CDM,,,,both,,,"1,578.00","1,578.00",362.94,"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,"1,246.62",percent of total billed charges,"1,246.62",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 ,"1,246.62",percent of total billed charges ,"1,246.62",percent of total billed charges ,"1,341.30",percent of total billed charges ,"1,341.30",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 ,,,,,,,,,,,,,,,,,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,
HERNIA UPPER ABD,750,CDM,,,,both,,,"1,056.00","1,056.00",242.88,"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,834.24,percent of total billed charges,834.24,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 ,834.24,percent of total billed charges ,834.24,percent of total billed charges ,897.6,percent of total billed charges ,897.6,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 ,,,,,,,,,,,,,,,,,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,
**ABDOMEN LOWER POSTERIOR,820,CDM,,,,both,,,"1,197.00","1,197.00",275.31,"1,197.00","1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,945.63,percent of total billed charges,945.63,percent of total billed charges,957.6,percent of total billed charges,957.6,percent of total billed charges,,,861.84,percent of total billed charges ,,,957.6,percent of total billed charges ,945.63,percent of total billed charges ,945.63,percent of total billed charges ,"1,017.45",percent of total billed charges ,"1,017.45",percent of total billed charges ,957.6,percent of total billed charges ,957.6,percent of total billed charges ,837.9,percent of total billed charges ,837.9,percent of total billed charges ,718.2,percent of total billed charges ,718.2,percent of total billed charges ,718.2,percent of total billed charges ,718.2,percent of total billed charges ,,,,,636.8,percent of total billed charges ,,,,,604.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,
ENDOSCOPIES LOWER,812,CDM,,,,both,,,"1,317.00","1,317.00",302.91,"1,317.00","1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,"1,040.43",percent of total billed charges,"1,040.43",percent of total billed charges,"1,053.60",percent of total billed charges,"1,053.60",percent of total billed charges,,,948.24,percent of total billed charges ,,,"1,053.60",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,053.60",percent of total billed charges ,"1,053.60",percent of total billed charges ,921.9,percent of total billed charges ,921.9,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,,,,,700.64,percent of total billed charges ,,,,,665.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,
A & P RESECTION,844,CDM,,,,both,,,"1,841.00","1,841.00",423.43,"1,841.00","1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,454.39",percent of total billed charges,"1,454.39",percent of total billed charges,"1,472.80",percent of total billed charges,"1,472.80",percent of total billed charges,,,"1,325.52",percent of total billed charges ,,,"1,472.80",percent of total billed charges ,"1,454.39",percent of total billed charges ,"1,454.39",percent of total billed charges ,"1,564.85",percent of total billed charges ,"1,564.85",percent of total billed charges ,"1,472.80",percent of total billed charges ,"1,472.80",percent of total billed charges ,"1,288.70",percent of total billed charges ,"1,288.70",percent of total billed charges ,"1,104.60",percent of total billed charges ,"1,104.60",percent of total billed charges ,"1,104.60",percent of total billed charges ,"1,104.60",percent of total billed charges ,,,,,979.41,percent of total billed charges ,,,,,930.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,
ABDOMEN LOWER ANTERIOR,800,CDM,,,,both,,,683,683,157.09,683,683,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,539.57,percent of total billed charges,539.57,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 ,539.57,percent of total billed charges ,539.57,percent of total billed charges ,580.55,percent of total billed charges ,580.55,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 ,,,,,,,,,,,,,,,,,,,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,
HERNIA LOWER ABD,830,CDM,,,,both,,,"1,056.00","1,056.00",242.88,"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,834.24,percent of total billed charges,834.24,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 ,834.24,percent of total billed charges ,834.24,percent of total billed charges ,897.6,percent of total billed charges ,897.6,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 ,,,,,,,,,,,,,,,,,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,
MASECTOMY,404,CDM,,,,both,,,"1,317.00","1,317.00",302.91,"1,317.00","1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,"1,040.43",percent of total billed charges,"1,040.43",percent of total billed charges,"1,053.60",percent of total billed charges,"1,053.60",percent of total billed charges,,,948.24,percent of total billed charges ,,,"1,053.60",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,053.60",percent of total billed charges ,"1,053.60",percent of total billed charges ,921.9,percent of total billed charges ,921.9,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,,,,,700.64,percent of total billed charges ,,,,,665.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,
EXC HEAD NK/BRST LUMPECTOMY,400,CDM,,,,both,,,795,795,182.85,795,795,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,628.05,percent of total billed charges,628.05,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 ,628.05,percent of total billed charges ,628.05,percent of total billed charges ,675.75,percent of total billed charges ,675.75,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 ,,,,,,,,,,,,,,,,,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,
EPIDURAL CONT C-SECTION,1968,CDM,,,,both,,,"1,841.00","1,841.00",423.43,"1,841.00","1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,454.39",percent of total billed charges,"1,454.39",percent of total billed charges,"1,472.80",percent of total billed charges,"1,472.80",percent of total billed charges,,,"1,325.52",percent of total billed charges ,,,"1,472.80",percent of total billed charges ,"1,454.39",percent of total billed charges ,"1,454.39",percent of total billed charges ,"1,564.85",percent of total billed charges ,"1,564.85",percent of total billed charges ,"1,472.80",percent of total billed charges ,"1,472.80",percent of total billed charges ,"1,288.70",percent of total billed charges ,"1,288.70",percent of total billed charges ,"1,104.60",percent of total billed charges ,"1,104.60",percent of total billed charges ,"1,104.60",percent of total billed charges ,"1,104.60",percent of total billed charges ,,,,,979.41,percent of total billed charges ,,,,,930.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,
TRACH/THYROID/LARYNX,320,CDM,,,,both,,,"1,437.00","1,437.00",330.51,"1,437.00","1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,034.64",percent of total billed charges,"1,034.64",percent of total billed charges,"1,034.64",percent of total billed charges,"1,034.64",percent of total billed charges,"1,034.64",percent of total billed charges,"1,034.64",percent of total billed charges,"1,135.23",percent of total billed charges,"1,135.23",percent of total billed charges,"1,149.60",percent of total billed charges,"1,149.60",percent of total billed charges,,,"1,034.64",percent of total billed charges ,,,"1,149.60",percent of total billed charges ,"1,135.23",percent of total billed charges ,"1,135.23",percent of total billed charges ,"1,221.45",percent of total billed charges ,"1,221.45",percent of total billed charges ,"1,149.60",percent of total billed charges ,"1,149.60",percent of total billed charges ,"1,005.90",percent of total billed charges ,"1,005.90",percent of total billed charges ,862.2,percent of total billed charges ,862.2,percent of total billed charges ,862.2,percent of total billed charges ,862.2,percent of total billed charges ,,,,,764.48,percent of total billed charges ,,,,,726.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,
INTEG/NERV/MUSC-HEAD OR NECK,300,CDM,,,,both,,,"1,317.00","1,317.00",302.91,"1,317.00","1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,"1,040.43",percent of total billed charges,"1,040.43",percent of total billed charges,"1,053.60",percent of total billed charges,"1,053.60",percent of total billed charges,,,948.24,percent of total billed charges ,,,"1,053.60",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,053.60",percent of total billed charges ,"1,053.60",percent of total billed charges ,921.9,percent of total billed charges ,921.9,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,,,,,700.64,percent of total billed charges ,,,,,665.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,
NEWBORN RESUS 15 MINUTES,99465,CDM,,,,both,,,"1,913.00","1,913.00",439.99,"1,913.00","1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,377.36",percent of total billed charges,"1,377.36",percent of total billed charges,"1,377.36",percent of total billed charges,"1,377.36",percent of total billed charges,"1,377.36",percent of total billed charges,"1,377.36",percent of total billed charges,"1,511.27",percent of total billed charges,"1,511.27",percent of total billed charges,"1,530.40",percent of total billed charges,"1,530.40",percent of total billed charges,,,"1,377.36",percent of total billed charges ,,,"1,530.40",percent of total billed charges ,"1,511.27",percent of total billed charges ,"1,511.27",percent of total billed charges ,"1,626.05",percent of total billed charges ,"1,626.05",percent of total billed charges ,"1,530.40",percent of total billed charges ,"1,530.40",percent of total billed charges ,"1,339.10",percent of total billed charges ,"1,339.10",percent of total billed charges ,"1,147.80",percent of total billed charges ,"1,147.80",percent of total billed charges ,"1,147.80",percent of total billed charges ,"1,147.80",percent of total billed charges ,,,,,"1,017.72",percent of total billed charges ,,,,,966.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,
NERV/MUSC/TEND SHOULDER,1610,CDM,,,,both,,,"1,197.00","1,197.00",275.31,"1,197.00","1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,945.63,percent of total billed charges,945.63,percent of total billed charges,957.6,percent of total billed charges,957.6,percent of total billed charges,,,861.84,percent of total billed charges ,,,957.6,percent of total billed charges ,945.63,percent of total billed charges ,945.63,percent of total billed charges ,"1,017.45",percent of total billed charges ,"1,017.45",percent of total billed charges ,957.6,percent of total billed charges ,957.6,percent of total billed charges ,837.9,percent of total billed charges ,837.9,percent of total billed charges ,718.2,percent of total billed charges ,718.2,percent of total billed charges ,718.2,percent of total billed charges ,718.2,percent of total billed charges ,,,,,636.8,percent of total billed charges ,,,,,604.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,
ANES EVAL EXAM,99201,CDM,,,,both,,,"1,056.00","1,056.00",242.88,"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,834.24,percent of total billed charges,834.24,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 ,834.24,percent of total billed charges ,834.24,percent of total billed charges ,897.6,percent of total billed charges ,897.6,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 ,,,,,,,,,,,,,,,,,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,
INTRAORAL PROC,170,CDM,,,,both,,,"1,317.00","1,317.00",302.91,"1,317.00","1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,"1,040.43",percent of total billed charges,"1,040.43",percent of total billed charges,"1,053.60",percent of total billed charges,"1,053.60",percent of total billed charges,,,948.24,percent of total billed charges ,,,"1,053.60",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,053.60",percent of total billed charges ,"1,053.60",percent of total billed charges ,921.9,percent of total billed charges ,921.9,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,,,,,700.64,percent of total billed charges ,,,,,665.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,
INTUBATION EMERGENCY,31500,CDM,,,,both,,,"1,578.00","1,578.00",362.94,"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,"1,246.62",percent of total billed charges,"1,246.62",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 ,"1,246.62",percent of total billed charges ,"1,246.62",percent of total billed charges ,"1,341.30",percent of total billed charges ,"1,341.30",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 ,,,,,,,,,,,,,,,,,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,
LENS SURGERY,142,CDM,,,,both,,,"1,578.00","1,578.00",362.94,"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,"1,246.62",percent of total billed charges,"1,246.62",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 ,"1,246.62",percent of total billed charges ,"1,246.62",percent of total billed charges ,"1,341.30",percent of total billed charges ,"1,341.30",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 ,,,,,,,,,,,,,,,,,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,
**EYE PROCEDURE,140,CDM,,,,both,,,"1,093.00","1,093.00",251.39,"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,863.47,percent of total billed charges,863.47,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 ,863.47,percent of total billed charges ,863.47,percent of total billed charges ,929.05,percent of total billed charges ,929.05,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 ,,,,,,,,,,,,,,,,,,,251.39,percent of total billed charges,,,251.39,percent of total billed charges,,,251.39,percent of total billed charges,,,251.39,percent of total billed charges,,,251.39,percent of total billed charges,,,251.39,percent of total billed charges,,,251.39,percent of total billed charges,,,251.39,percent of total billed charges,,,251.39,percent of total billed charges,,,251.39,percent of total billed charges,,,251.39,percent of total billed charges,
MYRINGOTOMY,120,CDM,,,,both,,,"1,317.00","1,317.00",302.91,"1,317.00","1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,"1,040.43",percent of total billed charges,"1,040.43",percent of total billed charges,"1,053.60",percent of total billed charges,"1,053.60",percent of total billed charges,,,948.24,percent of total billed charges ,,,"1,053.60",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,053.60",percent of total billed charges ,"1,053.60",percent of total billed charges ,921.9,percent of total billed charges ,921.9,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,,,,,700.64,percent of total billed charges ,,,,,665.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,
BLEPHAROPLASTY,103,CDM,,,,both,,,"1,197.00","1,197.00",275.31,"1,197.00","1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,945.63,percent of total billed charges,945.63,percent of total billed charges,957.6,percent of total billed charges,957.6,percent of total billed charges,,,861.84,percent of total billed charges ,,,957.6,percent of total billed charges ,945.63,percent of total billed charges ,945.63,percent of total billed charges ,"1,017.45",percent of total billed charges ,"1,017.45",percent of total billed charges ,957.6,percent of total billed charges ,957.6,percent of total billed charges ,837.9,percent of total billed charges ,837.9,percent of total billed charges ,718.2,percent of total billed charges ,718.2,percent of total billed charges ,718.2,percent of total billed charges ,718.2,percent of total billed charges ,,,,,636.8,percent of total billed charges ,,,,,604.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,
TEMPORAL ARTERY BX,352,CDM,,,,both,,,"1,317.00","1,317.00",302.91,"1,317.00","1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,"1,040.43",percent of total billed charges,"1,040.43",percent of total billed charges,"1,053.60",percent of total billed charges,"1,053.60",percent of total billed charges,,,948.24,percent of total billed charges ,,,"1,053.60",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,053.60",percent of total billed charges ,"1,053.60",percent of total billed charges ,921.9,percent of total billed charges ,921.9,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,,,,,700.64,percent of total billed charges ,,,,,665.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,
SINGLE STEROID INJ LUMBAR,62323,CDM,,,,both,,,"2,326.00","2,326.00",534.98,"2,326.00","2,326.00",percent of total billed charges,"2,326.00",percent of total billed charges,"2,326.00",percent of total billed charges,"2,326.00",percent of total billed charges,"2,326.00",percent of total billed charges,"2,326.00",percent of total billed charges,"2,326.00",percent of total billed charges,"2,326.00",percent of total billed charges,"1,674.72",percent of total billed charges,"1,674.72",percent of total billed charges,"1,674.72",percent of total billed charges,"1,674.72",percent of total billed charges,"1,674.72",percent of total billed charges,"1,674.72",percent of total billed charges,"1,837.54",percent of total billed charges,"1,837.54",percent of total billed charges,"1,860.80",percent of total billed charges,"1,860.80",percent of total billed charges,,,"1,674.72",percent of total billed charges ,,,"1,860.80",percent of total billed charges ,"1,837.54",percent of total billed charges ,"1,837.54",percent of total billed charges ,"1,977.10",percent of total billed charges ,"1,977.10",percent of total billed charges ,"1,860.80",percent of total billed charges ,"1,860.80",percent of total billed charges ,"1,628.20",percent of total billed charges ,"1,628.20",percent of total billed charges ,"1,395.60",percent of total billed charges ,"1,395.60",percent of total billed charges ,"1,395.60",percent of total billed charges ,"1,395.60",percent of total billed charges ,,,,,"1,237.43",percent of total billed charges ,,,,,"1,175.56",percent of total billed charges ,,,,,,,,,,,,,,,,,,,534.98,percent of total billed charges,,,534.98,percent of total billed charges,,,534.98,percent of total billed charges,,,534.98,percent of total billed charges,,,534.98,percent of total billed charges,,,534.98,percent of total billed charges,,,534.98,percent of total billed charges,,,534.98,percent of total billed charges,,,534.98,percent of total billed charges,,,534.98,percent of total billed charges,,,534.98,percent of total billed charges,
CLAVICAL & SCAPULA,450,CDM,,,,both,,,"1,197.00","1,197.00",275.31,"1,197.00","1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,945.63,percent of total billed charges,945.63,percent of total billed charges,957.6,percent of total billed charges,957.6,percent of total billed charges,,,861.84,percent of total billed charges ,,,957.6,percent of total billed charges ,945.63,percent of total billed charges ,945.63,percent of total billed charges ,"1,017.45",percent of total billed charges ,"1,017.45",percent of total billed charges ,957.6,percent of total billed charges ,957.6,percent of total billed charges ,837.9,percent of total billed charges ,837.9,percent of total billed charges ,718.2,percent of total billed charges ,718.2,percent of total billed charges ,718.2,percent of total billed charges ,718.2,percent of total billed charges ,,,,,636.8,percent of total billed charges ,,,,,604.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,
**PULMONARY ART CATH DO NOT USE,93503,CDM,,,QZ,both,,,"2,579.00","2,579.00",593.17,"2,579.00","2,579.00",percent of total billed charges,"2,579.00",percent of total billed charges,"2,579.00",percent of total billed charges,"2,579.00",percent of total billed charges,"2,579.00",percent of total billed charges,"2,579.00",percent of total billed charges,"2,579.00",percent of total billed charges,"2,579.00",percent of total billed charges,"1,856.88",percent of total billed charges,"1,856.88",percent of total billed charges,"1,856.88",percent of total billed charges,"1,856.88",percent of total billed charges,"1,856.88",percent of total billed charges,"1,856.88",percent of total billed charges,"2,037.41",percent of total billed charges,"2,037.41",percent of total billed charges,"2,063.20",percent of total billed charges,"2,063.20",percent of total billed charges,,,"1,856.88",percent of total billed charges ,,,"2,063.20",percent of total billed charges ,"2,037.41",percent of total billed charges ,"2,037.41",percent of total billed charges ,"2,192.15",percent of total billed charges ,"2,192.15",percent of total billed charges ,"2,063.20",percent of total billed charges ,"2,063.20",percent of total billed charges ,"1,805.30",percent of total billed charges ,"1,805.30",percent of total billed charges ,"1,547.40",percent of total billed charges ,"1,547.40",percent of total billed charges ,"1,547.40",percent of total billed charges ,"1,547.40",percent of total billed charges ,,,,,"1,372.03",percent of total billed charges ,,,,,"1,303.43",percent of total billed charges ,,,,,,,,,,,,,,,,,,,593.17,percent of total billed charges,,,593.17,percent of total billed charges,,,593.17,percent of total billed charges,,,593.17,percent of total billed charges,,,593.17,percent of total billed charges,,,593.17,percent of total billed charges,,,593.17,percent of total billed charges,,,593.17,percent of total billed charges,,,593.17,percent of total billed charges,,,593.17,percent of total billed charges,,,593.17,percent of total billed charges,
ELECTRICAL CARDIOVERSION OF ARRHYTHMIA,410,CDM,,,,both,,,648,648,149.04,648,648,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,648,percent of total billed charges,648,percent of total billed charges,648,percent of total billed charges,466.56,percent of total billed charges,466.56,percent of total billed charges,466.56,percent of total billed charges,466.56,percent of total billed charges,466.56,percent of total billed charges,466.56,percent of total billed charges,511.92,percent of total billed charges,511.92,percent of total billed charges,518.4,percent of total billed charges,518.4,percent of total billed charges,,,466.56,percent of total billed charges ,,,518.4,percent of total billed charges ,511.92,percent of total billed charges ,511.92,percent of total billed charges ,550.8,percent of total billed charges ,550.8,percent of total billed charges ,518.4,percent of total billed charges ,518.4,percent of total billed charges ,453.6,percent of total billed charges ,453.6,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 ,,,,,344.74,percent of total billed charges ,,,,,327.5,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,,,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,
**CENTRAL LINE PERC UNDER 2 DO NOT USE,36555,CDM,,,QZ,both,,,962,962,221.26,962,962,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,759.98,percent of total billed charges,759.98,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 ,759.98,percent of total billed charges ,759.98,percent of total billed charges ,817.7,percent of total billed charges ,817.7,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 ,,,,,,,,,,,,,,,,,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,
NOSE & SINUSES,160,CDM,,,,both,,,"1,197.00","1,197.00",275.31,"1,197.00","1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,945.63,percent of total billed charges,945.63,percent of total billed charges,957.6,percent of total billed charges,957.6,percent of total billed charges,,,861.84,percent of total billed charges ,,,957.6,percent of total billed charges ,945.63,percent of total billed charges ,945.63,percent of total billed charges ,"1,017.45",percent of total billed charges ,"1,017.45",percent of total billed charges ,957.6,percent of total billed charges ,957.6,percent of total billed charges ,837.9,percent of total billed charges ,837.9,percent of total billed charges ,718.2,percent of total billed charges ,718.2,percent of total billed charges ,718.2,percent of total billed charges ,718.2,percent of total billed charges ,,,,,636.8,percent of total billed charges ,,,,,604.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,
**CYSTECTOMY DO NOT USE,864,CDM,,,QZ,both,,,"1,913.00","1,913.00",439.99,"1,913.00","1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,377.36",percent of total billed charges,"1,377.36",percent of total billed charges,"1,377.36",percent of total billed charges,"1,377.36",percent of total billed charges,"1,377.36",percent of total billed charges,"1,377.36",percent of total billed charges,"1,511.27",percent of total billed charges,"1,511.27",percent of total billed charges,"1,530.40",percent of total billed charges,"1,530.40",percent of total billed charges,,,"1,377.36",percent of total billed charges ,,,"1,530.40",percent of total billed charges ,"1,511.27",percent of total billed charges ,"1,511.27",percent of total billed charges ,"1,626.05",percent of total billed charges ,"1,626.05",percent of total billed charges ,"1,530.40",percent of total billed charges ,"1,530.40",percent of total billed charges ,"1,339.10",percent of total billed charges ,"1,339.10",percent of total billed charges ,"1,147.80",percent of total billed charges ,"1,147.80",percent of total billed charges ,"1,147.80",percent of total billed charges ,"1,147.80",percent of total billed charges ,,,,,"1,017.72",percent of total billed charges ,,,,,966.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,
OPEN PROC UP FEMUR,1230,CDM,,,,both,,,"1,578.00","1,578.00",362.94,"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,"1,246.62",percent of total billed charges,"1,246.62",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 ,"1,246.62",percent of total billed charges ,"1,246.62",percent of total billed charges ,"1,341.30",percent of total billed charges ,"1,341.30",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 ,,,,,,,,,,,,,,,,,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,
NERV/MUSC/TEND ARM OR ELBOW,1710,CDM,,,,both,,,795,795,182.85,795,795,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,628.05,percent of total billed charges,628.05,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 ,628.05,percent of total billed charges ,628.05,percent of total billed charges ,675.75,percent of total billed charges ,675.75,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 ,,,,,,,,,,,,,,,,,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,
HIP JOINT OPEN,1210,CDM,,,,both,,,"1,578.00","1,578.00",362.94,"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,"1,246.62",percent of total billed charges,"1,246.62",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 ,"1,246.62",percent of total billed charges ,"1,246.62",percent of total billed charges ,"1,341.30",percent of total billed charges ,"1,341.30",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 ,,,,,,,,,,,,,,,,,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,
ARTHROSCOPY - HIP,1202,CDM,,,,both,,,962,962,221.26,962,962,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,759.98,percent of total billed charges,759.98,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 ,759.98,percent of total billed charges ,759.98,percent of total billed charges ,817.7,percent of total billed charges ,817.7,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 ,,,,,,,,,,,,,,,,,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,
TOTAL SHOULDER,1638,CDM,,,QZ,both,,,"2,637.00","2,637.00",606.51,"2,637.00","2,637.00",percent of total billed charges,"2,637.00",percent of total billed charges,"2,637.00",percent of total billed charges,"2,637.00",percent of total billed charges,"2,637.00",percent of total billed charges,"2,637.00",percent of total billed charges,"2,637.00",percent of total billed charges,"2,637.00",percent of total billed charges,"1,898.64",percent of total billed charges,"1,898.64",percent of total billed charges,"1,898.64",percent of total billed charges,"1,898.64",percent of total billed charges,"1,898.64",percent of total billed charges,"1,898.64",percent of total billed charges,"2,083.23",percent of total billed charges,"2,083.23",percent of total billed charges,"2,109.60",percent of total billed charges,"2,109.60",percent of total billed charges,,,"1,898.64",percent of total billed charges ,,,"2,109.60",percent of total billed charges ,"2,083.23",percent of total billed charges ,"2,083.23",percent of total billed charges ,"2,241.45",percent of total billed charges ,"2,241.45",percent of total billed charges ,"2,109.60",percent of total billed charges ,"2,109.60",percent of total billed charges ,"1,845.90",percent of total billed charges ,"1,845.90",percent of total billed charges ,"1,582.20",percent of total billed charges ,"1,582.20",percent of total billed charges ,"1,582.20",percent of total billed charges ,"1,582.20",percent of total billed charges ,,,,,"1,402.88",percent of total billed charges ,,,,,"1,332.74",percent of total billed charges ,,,,,,,,,,,,,,,,,,,606.51,percent of total billed charges,,,606.51,percent of total billed charges,,,606.51,percent of total billed charges,,,606.51,percent of total billed charges,,,606.51,percent of total billed charges,,,606.51,percent of total billed charges,,,606.51,percent of total billed charges,,,606.51,percent of total billed charges,,,606.51,percent of total billed charges,,,606.51,percent of total billed charges,,,606.51,percent of total billed charges,
HIP JOINT CLOSED,1200,CDM,,,,both,,,"1,056.00","1,056.00",242.88,"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,834.24,percent of total billed charges,834.24,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 ,834.24,percent of total billed charges ,834.24,percent of total billed charges ,897.6,percent of total billed charges ,897.6,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 ,,,,,,,,,,,,,,,,,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,
**ARTHROSCOPY-ELBOW DO NOT USE,1732,CDM,,,QZ,both,,,724,724,166.52,724,724,percent of total billed charges,724,percent of total billed charges,724,percent of total billed charges,724,percent of total billed charges,724,percent of total billed charges,724,percent of total billed charges,724,percent of total billed charges,724,percent of total billed charges,521.28,percent of total billed charges,521.28,percent of total billed charges,521.28,percent of total billed charges,521.28,percent of total billed charges,521.28,percent of total billed charges,521.28,percent of total billed charges,571.96,percent of total billed charges,571.96,percent of total billed charges,579.2,percent of total billed charges,579.2,percent of total billed charges,,,521.28,percent of total billed charges ,,,579.2,percent of total billed charges ,571.96,percent of total billed charges ,571.96,percent of total billed charges ,615.4,percent of total billed charges ,615.4,percent of total billed charges ,579.2,percent of total billed charges ,579.2,percent of total billed charges ,506.8,percent of total billed charges ,506.8,percent of total billed charges ,434.4,percent of total billed charges ,434.4,percent of total billed charges ,434.4,percent of total billed charges ,434.4,percent of total billed charges ,,,,,385.17,percent of total billed charges ,,,,,365.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,
VEIN LIGATION LOWER,1520,CDM,,,,both,,,724,724,166.52,724,724,percent of total billed charges,724,percent of total billed charges,724,percent of total billed charges,724,percent of total billed charges,724,percent of total billed charges,724,percent of total billed charges,724,percent of total billed charges,724,percent of total billed charges,521.28,percent of total billed charges,521.28,percent of total billed charges,521.28,percent of total billed charges,521.28,percent of total billed charges,521.28,percent of total billed charges,521.28,percent of total billed charges,571.96,percent of total billed charges,571.96,percent of total billed charges,579.2,percent of total billed charges,579.2,percent of total billed charges,,,521.28,percent of total billed charges ,,,579.2,percent of total billed charges ,571.96,percent of total billed charges ,571.96,percent of total billed charges ,615.4,percent of total billed charges ,615.4,percent of total billed charges ,579.2,percent of total billed charges ,579.2,percent of total billed charges ,506.8,percent of total billed charges ,506.8,percent of total billed charges ,434.4,percent of total billed charges ,434.4,percent of total billed charges ,434.4,percent of total billed charges ,434.4,percent of total billed charges ,,,,,385.17,percent of total billed charges ,,,,,365.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,
NERV/MUSC/TEND HAND,1810,CDM,,,,both,,,795,795,182.85,795,795,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,628.05,percent of total billed charges,628.05,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 ,628.05,percent of total billed charges ,628.05,percent of total billed charges ,675.75,percent of total billed charges ,675.75,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 ,,,,,,,,,,,,,,,,,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,
NERVE/MUSC/TEND KNEE,1320,CDM,,,,both,,,"1,056.00","1,056.00",242.88,"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,834.24,percent of total billed charges,834.24,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 ,834.24,percent of total billed charges ,834.24,percent of total billed charges ,897.6,percent of total billed charges ,897.6,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 ,,,,,,,,,,,,,,,,,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,
CLOSED REDUCT ARM,1820,CDM,,,,both,,,795,795,182.85,795,795,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,628.05,percent of total billed charges,628.05,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 ,628.05,percent of total billed charges ,628.05,percent of total billed charges ,675.75,percent of total billed charges ,675.75,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 ,,,,,,,,,,,,,,,,,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,
OPEN PROC LOWER ARM/HAND,1830,CDM,,,,both,,,795,795,182.85,795,795,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,628.05,percent of total billed charges,628.05,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 ,628.05,percent of total billed charges ,628.05,percent of total billed charges ,675.75,percent of total billed charges ,675.75,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 ,,,,,,,,,,,,,,,,,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,
PAIN MNGMNT EPIDURAL,1996,CDM,,,,both,,,795,795,182.85,795,795,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,628.05,percent of total billed charges,628.05,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 ,628.05,percent of total billed charges ,628.05,percent of total billed charges ,675.75,percent of total billed charges ,675.75,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 ,,,,,,,,,,,,,,,,,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,
CLOSED PROC KNEE,1380,CDM,,,,both,,,795,795,182.85,795,795,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,628.05,percent of total billed charges,628.05,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 ,628.05,percent of total billed charges ,628.05,percent of total billed charges ,675.75,percent of total billed charges ,675.75,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 ,,,,,,,,,,,,,,,,,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,
ARTHROSCOPY - KNEE,1382,CDM,,,,both,,,795,795,182.85,795,795,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,628.05,percent of total billed charges,628.05,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 ,628.05,percent of total billed charges ,628.05,percent of total billed charges ,675.75,percent of total billed charges ,675.75,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 ,,,,,,,,,,,,,,,,,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,
AMPUTATION-ABOVE THE KNEE,1232,CDM,,,,both,,,"1,317.00","1,317.00",302.91,"1,317.00","1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,"1,040.43",percent of total billed charges,"1,040.43",percent of total billed charges,"1,053.60",percent of total billed charges,"1,053.60",percent of total billed charges,,,948.24,percent of total billed charges ,,,"1,053.60",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,053.60",percent of total billed charges ,"1,053.60",percent of total billed charges ,921.9,percent of total billed charges ,921.9,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,,,,,700.64,percent of total billed charges ,,,,,665.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,
PATELLA - OPEN,1392,CDM,,,,both,,,"1,056.00","1,056.00",242.88,"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,834.24,percent of total billed charges,834.24,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 ,834.24,percent of total billed charges ,834.24,percent of total billed charges ,897.6,percent of total billed charges ,897.6,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 ,,,,,,,,,,,,,,,,,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,
ARTHROTOMY - KNEE,1400,CDM,,,,both,,,"1,056.00","1,056.00",242.88,"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,834.24,percent of total billed charges,834.24,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 ,834.24,percent of total billed charges ,834.24,percent of total billed charges ,897.6,percent of total billed charges ,897.6,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 ,,,,,,,,,,,,,,,,,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,
#111111TIME REPORT 1MIN,964,RC,55513-01-2610,NDC,,both,,,23,23,5.29,23,23,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,18.17,percent of total billed charges,18.17,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 ,18.17,percent of total billed charges ,18.17,percent of total billed charges ,19.55,percent of total billed charges ,19.55,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 ,,,,,,,,,,,,,,,,,,,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,
TOTAL KNEE,1402,CDM,,,,both,,,"1,841.00","1,841.00",423.43,"1,841.00","1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,454.39",percent of total billed charges,"1,454.39",percent of total billed charges,"1,472.80",percent of total billed charges,"1,472.80",percent of total billed charges,,,"1,325.52",percent of total billed charges ,,,"1,472.80",percent of total billed charges ,"1,454.39",percent of total billed charges ,"1,454.39",percent of total billed charges ,"1,564.85",percent of total billed charges ,"1,564.85",percent of total billed charges ,"1,472.80",percent of total billed charges ,"1,472.80",percent of total billed charges ,"1,288.70",percent of total billed charges ,"1,288.70",percent of total billed charges ,"1,104.60",percent of total billed charges ,"1,104.60",percent of total billed charges ,"1,104.60",percent of total billed charges ,"1,104.60",percent of total billed charges ,,,,,979.41,percent of total billed charges ,,,,,930.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,
CLOSED REDUCTION LEG,1462,CDM,,,,both,,,795,795,182.85,795,795,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,628.05,percent of total billed charges,628.05,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 ,628.05,percent of total billed charges ,628.05,percent of total billed charges ,675.75,percent of total billed charges ,675.75,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 ,,,,,,,,,,,,,,,,,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,
TOTAL HIP,1214,CDM,,,,both,,,"2,105.00","2,105.00",484.15,"2,105.00","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,"1,662.95",percent of total billed charges,"1,662.95",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 ,,,"1,684.00",percent of total billed charges ,"1,662.95",percent of total billed charges ,"1,662.95",percent of total billed charges ,"1,789.25",percent of total billed charges ,"1,789.25",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 ,,,,,,,,,,,,,,,,,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,
OPEN SHOULDER,1630,CDM,,,,both,,,"1,317.00","1,317.00",302.91,"1,317.00","1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,"1,040.43",percent of total billed charges,"1,040.43",percent of total billed charges,"1,053.60",percent of total billed charges,"1,053.60",percent of total billed charges,,,948.24,percent of total billed charges ,,,"1,053.60",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,053.60",percent of total billed charges ,"1,053.60",percent of total billed charges ,921.9,percent of total billed charges ,921.9,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,,,,,700.64,percent of total billed charges ,,,,,665.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,
OPEN PROC LOWER FEMUR,1360,CDM,,,,both,,,"1,244.00","1,244.00",286.12,"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,982.76,percent of total billed charges,982.76,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 ,982.76,percent of total billed charges ,982.76,percent of total billed charges ,"1,057.40",percent of total billed charges ,"1,057.40",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 ,,,,,,,,,,,,,,,,,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,
VENIPUNCTURE UNDER 3,36400,CDM,,,,both,,,533,533,122.59,533,533,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,421.07,percent of total billed charges,421.07,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 ,421.07,percent of total billed charges ,421.07,percent of total billed charges ,453.05,percent of total billed charges ,453.05,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 ,,,,,,,,,,,,,,,,,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,
ABDOM - EP LOWER,860,CDM,,,,both,,,"1,578.00","1,578.00",362.94,"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,"1,246.62",percent of total billed charges,"1,246.62",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 ,"1,246.62",percent of total billed charges ,"1,246.62",percent of total billed charges ,"1,341.30",percent of total billed charges ,"1,341.30",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 ,,,,,,,,,,,,,,,,,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,
VENIPUNCTURE 3 YRS OR OLDER,36410,CDM,,,,both,,,272,272,62.56,272,272,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,214.88,percent of total billed charges,214.88,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 ,214.88,percent of total billed charges ,214.88,percent of total billed charges ,231.2,percent of total billed charges ,231.2,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 ,,,,,,,,,,,,,,,,,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,
AMPUTATION-BELOW THE KNEE,1482,CDM,,,,both,,,"1,056.00","1,056.00",242.88,"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,834.24,percent of total billed charges,834.24,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 ,834.24,percent of total billed charges ,834.24,percent of total billed charges ,897.6,percent of total billed charges ,897.6,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 ,,,,,,,,,,,,,,,,,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,
NERVE/MUSC/TEND UPPER LEG,1250,CDM,,,,both,,,"1,056.00","1,056.00",242.88,"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,834.24,percent of total billed charges,834.24,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 ,834.24,percent of total billed charges ,834.24,percent of total billed charges ,897.6,percent of total billed charges ,897.6,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 ,,,,,,,,,,,,,,,,,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,
ARTHROSCOPY - SHOULDER,1622,CDM,,,,both,,,"1,056.00","1,056.00",242.88,"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,834.24,percent of total billed charges,834.24,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 ,834.24,percent of total billed charges ,834.24,percent of total billed charges ,897.6,percent of total billed charges ,897.6,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 ,,,,,,,,,,,,,,,,,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,
**PENTOTHL 400ML,250,RC,55513-01-2610,NDC,,both,,,125,125,28.75,125,125,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,98.75,percent of total billed charges,98.75,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 ,98.75,percent of total billed charges ,98.75,percent of total billed charges ,106.25,percent of total billed charges ,106.25,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 ,,,,,,,,,,,,,,,,,,,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,,,28.75,percent of total billed charges,,,28.75,percent of total billed charges,,,28.75,percent of total billed charges,
**AIRWAY LARYNGEAL,272,RC,55513-01-2610,NDC,,both,,,79,79,18.17,79,79,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,62.41,percent of total billed charges,62.41,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 ,62.41,percent of total billed charges ,62.41,percent of total billed charges ,67.15,percent of total billed charges ,67.15,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 ,,,,,,,,,,,,,,,,,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,
VAGINAL PROCEDURE,370,RC,55513-01-2610,NDC,,both,,,"2,638.00","2,638.00",606.74,"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,"2,084.02",percent of total billed charges,"2,084.02",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 ,"2,084.02",percent of total billed charges ,"2,084.02",percent of total billed charges ,"2,242.30",percent of total billed charges ,"2,242.30",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 ,,,,,,,,,,,,,,,,,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,
HYSTEROSCOPY,370,RC,55513-01-2610,NDC,,both,,,"2,638.00","2,638.00",606.74,"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,"2,084.02",percent of total billed charges,"2,084.02",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 ,"2,084.02",percent of total billed charges ,"2,084.02",percent of total billed charges ,"2,242.30",percent of total billed charges ,"2,242.30",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 ,,,,,,,,,,,,,,,,,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,
ORCHIECTOMY-ING,370,RC,55513-01-2610,NDC,,both,,,"2,931.00","2,931.00",674.13,"2,931.00","2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,315.49",percent of total billed charges,"2,315.49",percent of total billed charges,"2,344.80",percent of total billed charges,"2,344.80",percent of total billed charges,,,"2,110.32",percent of total billed charges ,,,"2,344.80",percent of total billed charges ,"2,315.49",percent of total billed charges ,"2,315.49",percent of total billed charges ,"2,491.35",percent of total billed charges ,"2,491.35",percent of total billed charges ,"2,344.80",percent of total billed charges ,"2,344.80",percent of total billed charges ,"2,051.70",percent of total billed charges ,"2,051.70",percent of total billed charges ,"1,758.60",percent of total billed charges ,"1,758.60",percent of total billed charges ,"1,758.60",percent of total billed charges ,"1,758.60",percent of total billed charges ,,,,,"1,559.29",percent of total billed charges ,,,,,"1,481.33",percent of total billed charges ,,,,,,,,,,,,,,,,,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,
HYSTERECTOMY ABDOMINAL,370,RC,55513-01-2610,NDC,,both,,,"6,246.00","6,246.00","1,436.58","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,"4,934.34",percent of total billed charges,"4,934.34",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 ,"4,934.34",percent of total billed charges ,"4,934.34",percent of total billed charges ,"5,309.10",percent of total billed charges ,"5,309.10",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 ,,,,,,,,,,,,,,,,,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,
LAMINECTOMY-LUMBAR,370,RC,55513-01-2610,NDC,,both,,,"6,246.00","6,246.00","1,436.58","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,"4,934.34",percent of total billed charges,"4,934.34",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 ,"4,934.34",percent of total billed charges ,"4,934.34",percent of total billed charges ,"5,309.10",percent of total billed charges ,"5,309.10",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 ,,,,,,,,,,,,,,,,,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,
HERNIA VENTRAL,370,RC,55513-01-2610,NDC,,both,,,"3,841.00","3,841.00",883.43,"3,841.00","3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"3,034.39",percent of total billed charges,"3,034.39",percent of total billed charges,"3,072.80",percent of total billed charges,"3,072.80",percent of total billed charges,,,"2,765.52",percent of total billed charges ,,,"3,072.80",percent of total billed charges ,"3,034.39",percent of total billed charges ,"3,034.39",percent of total billed charges ,"3,264.85",percent of total billed charges ,"3,264.85",percent of total billed charges ,"3,072.80",percent of total billed charges ,"3,072.80",percent of total billed charges ,"2,688.70",percent of total billed charges ,"2,688.70",percent of total billed charges ,"2,304.60",percent of total billed charges ,"2,304.60",percent of total billed charges ,"2,304.60",percent of total billed charges ,"2,304.60",percent of total billed charges ,,,,,"2,043.41",percent of total billed charges ,,,,,"1,941.24",percent of total billed charges ,,,,,,,,,,,,,,,,,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,
ORCHIOPEXY,370,RC,55513-01-2610,NDC,,both,,,"4,270.00","4,270.00",982.1,"4,270.00","4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"3,074.40",percent of total billed charges,"3,074.40",percent of total billed charges,"3,074.40",percent of total billed charges,"3,074.40",percent of total billed charges,"3,074.40",percent of total billed charges,"3,074.40",percent of total billed charges,"3,373.30",percent of total billed charges,"3,373.30",percent of total billed charges,"3,416.00",percent of total billed charges,"3,416.00",percent of total billed charges,,,"3,074.40",percent of total billed charges ,,,"3,416.00",percent of total billed charges ,"3,373.30",percent of total billed charges ,"3,373.30",percent of total billed charges ,"3,629.50",percent of total billed charges ,"3,629.50",percent of total billed charges ,"3,416.00",percent of total billed charges ,"3,416.00",percent of total billed charges ,"2,989.00",percent of total billed charges ,"2,989.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,,,,,"2,271.64",percent of total billed charges ,,,,,"2,158.06",percent of total billed charges ,,,,,,,,,,,,,,,,,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,
VAGINAL DELIVERY,370,RC,55513-01-2610,NDC,,both,,,"6,273.00","6,273.00","1,442.79","6,273.00","6,273.00",percent of total billed charges,"6,273.00",percent of total billed charges,"6,273.00",percent of total billed charges,"6,273.00",percent of total billed charges,"6,273.00",percent of total billed charges,"6,273.00",percent of total billed charges,"6,273.00",percent of total billed charges,"6,273.00",percent of total billed charges,"4,516.56",percent of total billed charges,"4,516.56",percent of total billed charges,"4,516.56",percent of total billed charges,"4,516.56",percent of total billed charges,"4,516.56",percent of total billed charges,"4,516.56",percent of total billed charges,"4,955.67",percent of total billed charges,"4,955.67",percent of total billed charges,"5,018.40",percent of total billed charges,"5,018.40",percent of total billed charges,,,"4,516.56",percent of total billed charges ,,,"5,018.40",percent of total billed charges ,"4,955.67",percent of total billed charges ,"4,955.67",percent of total billed charges ,"5,332.05",percent of total billed charges ,"5,332.05",percent of total billed charges ,"5,018.40",percent of total billed charges ,"5,018.40",percent of total billed charges ,"4,391.10",percent of total billed charges ,"4,391.10",percent of total billed charges ,"3,763.80",percent of total billed charges ,"3,763.80",percent of total billed charges ,"3,763.80",percent of total billed charges ,"3,763.80",percent of total billed charges ,,,,,"3,337.24",percent of total billed charges ,,,,,"3,170.37",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,442.79",percent of total billed charges,,,"1,442.79",percent of total billed charges,,,"1,442.79",percent of total billed charges,,,"1,442.79",percent of total billed charges,,,"1,442.79",percent of total billed charges,,,"1,442.79",percent of total billed charges,,,"1,442.79",percent of total billed charges,,,"1,442.79",percent of total billed charges,,,"1,442.79",percent of total billed charges,,,"1,442.79",percent of total billed charges,,,"1,442.79",percent of total billed charges,
HYSTERECTOMY VAGINAL,370,RC,55513-01-2610,NDC,,both,,,"6,246.00","6,246.00","1,436.58","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,"4,934.34",percent of total billed charges,"4,934.34",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 ,"4,934.34",percent of total billed charges ,"4,934.34",percent of total billed charges ,"5,309.10",percent of total billed charges ,"5,309.10",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 ,,,,,,,,,,,,,,,,,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,
TRANSURETHRAL,370,RC,55513-01-2610,NDC,,both,,,"2,037.00","2,037.00",468.51,"2,037.00","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,"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,"1,466.64",percent of total billed charges,"1,466.64",percent of total billed charges,"1,466.64",percent of total billed charges,"1,466.64",percent of total billed charges,"1,466.64",percent of total billed charges,"1,466.64",percent of total billed charges,"1,609.23",percent of total billed charges,"1,609.23",percent of total billed charges,"1,629.60",percent of total billed charges,"1,629.60",percent of total billed charges,,,"1,466.64",percent of total billed charges ,,,"1,629.60",percent of total billed charges ,"1,609.23",percent of total billed charges ,"1,609.23",percent of total billed charges ,"1,731.45",percent of total billed charges ,"1,731.45",percent of total billed charges ,"1,629.60",percent of total billed charges ,"1,629.60",percent of total billed charges ,"1,425.90",percent of total billed charges ,"1,425.90",percent of total billed charges ,"1,222.20",percent of total billed charges ,"1,222.20",percent of total billed charges ,"1,222.20",percent of total billed charges ,"1,222.20",percent of total billed charges ,,,,,"1,083.68",percent of total billed charges ,,,,,"1,029.50",percent of total billed charges ,,,,,,,,,,,,,,,,,,,468.51,percent of total billed charges,,,468.51,percent of total billed charges,,,468.51,percent of total billed charges,,,468.51,percent of total billed charges,,,468.51,percent of total billed charges,,,468.51,percent of total billed charges,,,468.51,percent of total billed charges,,,468.51,percent of total billed charges,,,468.51,percent of total billed charges,,,468.51,percent of total billed charges,,,468.51,percent of total billed charges,
ORCHIECTOMY-ABD,370,RC,55513-01-2610,NDC,,both,,,"4,270.00","4,270.00",982.1,"4,270.00","4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"3,074.40",percent of total billed charges,"3,074.40",percent of total billed charges,"3,074.40",percent of total billed charges,"3,074.40",percent of total billed charges,"3,074.40",percent of total billed charges,"3,074.40",percent of total billed charges,"3,373.30",percent of total billed charges,"3,373.30",percent of total billed charges,"3,416.00",percent of total billed charges,"3,416.00",percent of total billed charges,,,"3,074.40",percent of total billed charges ,,,"3,416.00",percent of total billed charges ,"3,373.30",percent of total billed charges ,"3,373.30",percent of total billed charges ,"3,629.50",percent of total billed charges ,"3,629.50",percent of total billed charges ,"3,416.00",percent of total billed charges ,"3,416.00",percent of total billed charges ,"2,989.00",percent of total billed charges ,"2,989.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,,,,,"2,271.64",percent of total billed charges ,,,,,"2,158.06",percent of total billed charges ,,,,,,,,,,,,,,,,,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,
ARTHROSCOPY - HIP,370,RC,55513-01-2610,NDC,,both,,,"6,939.00","6,939.00","1,595.97","6,939.00","6,939.00",percent of total billed charges,"6,939.00",percent of total billed charges,"6,939.00",percent of total billed charges,"6,939.00",percent of total billed charges,"6,939.00",percent of total billed charges,"6,939.00",percent of total billed charges,"6,939.00",percent of total billed charges,"6,939.00",percent of total billed charges,"4,996.08",percent of total billed charges,"4,996.08",percent of total billed charges,"4,996.08",percent of total billed charges,"4,996.08",percent of total billed charges,"4,996.08",percent of total billed charges,"4,996.08",percent of total billed charges,"5,481.81",percent of total billed charges,"5,481.81",percent of total billed charges,"5,551.20",percent of total billed charges,"5,551.20",percent of total billed charges,,,"4,996.08",percent of total billed charges ,,,"5,551.20",percent of total billed charges ,"5,481.81",percent of total billed charges ,"5,481.81",percent of total billed charges ,"5,898.15",percent of total billed charges ,"5,898.15",percent of total billed charges ,"5,551.20",percent of total billed charges ,"5,551.20",percent of total billed charges ,"4,857.30",percent of total billed charges ,"4,857.30",percent of total billed charges ,"4,163.40",percent of total billed charges ,"4,163.40",percent of total billed charges ,"4,163.40",percent of total billed charges ,"4,163.40",percent of total billed charges ,,,,,"3,691.55",percent of total billed charges ,,,,,"3,506.97",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,595.97",percent of total billed charges,,,"1,595.97",percent of total billed charges,,,"1,595.97",percent of total billed charges,,,"1,595.97",percent of total billed charges,,,"1,595.97",percent of total billed charges,,,"1,595.97",percent of total billed charges,,,"1,595.97",percent of total billed charges,,,"1,595.97",percent of total billed charges,,,"1,595.97",percent of total billed charges,,,"1,595.97",percent of total billed charges,,,"1,595.97",percent of total billed charges,
A & P RESECTION,370,RC,55513-01-2610,NDC,,both,,,"7,447.00","7,447.00","1,712.81","7,447.00","7,447.00",percent of total billed charges,"7,447.00",percent of total billed charges,"7,447.00",percent of total billed charges,"7,447.00",percent of total billed charges,"7,447.00",percent of total billed charges,"7,447.00",percent of total billed charges,"7,447.00",percent of total billed charges,"7,447.00",percent of total billed charges,"5,361.84",percent of total billed charges,"5,361.84",percent of total billed charges,"5,361.84",percent of total billed charges,"5,361.84",percent of total billed charges,"5,361.84",percent of total billed charges,"5,361.84",percent of total billed charges,"5,883.13",percent of total billed charges,"5,883.13",percent of total billed charges,"5,957.60",percent of total billed charges,"5,957.60",percent of total billed charges,,,"5,361.84",percent of total billed charges ,,,"5,957.60",percent of total billed charges ,"5,883.13",percent of total billed charges ,"5,883.13",percent of total billed charges ,"6,329.95",percent of total billed charges ,"6,329.95",percent of total billed charges ,"5,957.60",percent of total billed charges ,"5,957.60",percent of total billed charges ,"5,212.90",percent of total billed charges ,"5,212.90",percent of total billed charges ,"4,468.20",percent of total billed charges ,"4,468.20",percent of total billed charges ,"4,468.20",percent of total billed charges ,"4,468.20",percent of total billed charges ,,,,,"3,961.80",percent of total billed charges ,,,,,"3,763.71",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,712.81",percent of total billed charges,,,"1,712.81",percent of total billed charges,,,"1,712.81",percent of total billed charges,,,"1,712.81",percent of total billed charges,,,"1,712.81",percent of total billed charges,,,"1,712.81",percent of total billed charges,,,"1,712.81",percent of total billed charges,,,"1,712.81",percent of total billed charges,,,"1,712.81",percent of total billed charges,,,"1,712.81",percent of total billed charges,,,"1,712.81",percent of total billed charges,
HIP JOINT CLOSED,370,RC,55513-01-2610,NDC,,both,,,"2,264.00","2,264.00",520.72,"2,264.00","2,264.00",percent of total billed charges,"2,264.00",percent of total billed charges,"2,264.00",percent of total billed charges,"2,264.00",percent of total billed charges,"2,264.00",percent of total billed charges,"2,264.00",percent of total billed charges,"2,264.00",percent of total billed charges,"2,264.00",percent of total billed charges,"1,630.08",percent of total billed charges,"1,630.08",percent of total billed charges,"1,630.08",percent of total billed charges,"1,630.08",percent of total billed charges,"1,630.08",percent of total billed charges,"1,630.08",percent of total billed charges,"1,788.56",percent of total billed charges,"1,788.56",percent of total billed charges,"1,811.20",percent of total billed charges,"1,811.20",percent of total billed charges,,,"1,630.08",percent of total billed charges ,,,"1,811.20",percent of total billed charges ,"1,788.56",percent of total billed charges ,"1,788.56",percent of total billed charges ,"1,924.40",percent of total billed charges ,"1,924.40",percent of total billed charges ,"1,811.20",percent of total billed charges ,"1,811.20",percent of total billed charges ,"1,584.80",percent of total billed charges ,"1,584.80",percent of total billed charges ,"1,358.40",percent of total billed charges ,"1,358.40",percent of total billed charges ,"1,358.40",percent of total billed charges ,"1,358.40",percent of total billed charges ,,,,,"1,204.45",percent of total billed charges ,,,,,"1,144.23",percent of total billed charges ,,,,,,,,,,,,,,,,,,,520.72,percent of total billed charges,,,520.72,percent of total billed charges,,,520.72,percent of total billed charges,,,520.72,percent of total billed charges,,,520.72,percent of total billed charges,,,520.72,percent of total billed charges,,,520.72,percent of total billed charges,,,520.72,percent of total billed charges,,,520.72,percent of total billed charges,,,520.72,percent of total billed charges,,,520.72,percent of total billed charges,
ABDOM - EP LOWER,370,RC,55513-01-2610,NDC,,both,,,"2,638.00","2,638.00",606.74,"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,"2,084.02",percent of total billed charges,"2,084.02",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 ,"2,084.02",percent of total billed charges ,"2,084.02",percent of total billed charges ,"2,242.30",percent of total billed charges ,"2,242.30",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 ,,,,,,,,,,,,,,,,,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,
TUR OF PROSTATE,370,RC,55513-01-2610,NDC,,both,,,"3,841.00","3,841.00",883.43,"3,841.00","3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"3,034.39",percent of total billed charges,"3,034.39",percent of total billed charges,"3,072.80",percent of total billed charges,"3,072.80",percent of total billed charges,,,"2,765.52",percent of total billed charges ,,,"3,072.80",percent of total billed charges ,"3,034.39",percent of total billed charges ,"3,034.39",percent of total billed charges ,"3,264.85",percent of total billed charges ,"3,264.85",percent of total billed charges ,"3,072.80",percent of total billed charges ,"3,072.80",percent of total billed charges ,"2,688.70",percent of total billed charges ,"2,688.70",percent of total billed charges ,"2,304.60",percent of total billed charges ,"2,304.60",percent of total billed charges ,"2,304.60",percent of total billed charges ,"2,304.60",percent of total billed charges ,,,,,"2,043.41",percent of total billed charges ,,,,,"1,941.24",percent of total billed charges ,,,,,,,,,,,,,,,,,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,
ANORECTAL PROC,902,CDM,,,,both,,,"1,317.00","1,317.00",302.91,"1,317.00","1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,"1,040.43",percent of total billed charges,"1,040.43",percent of total billed charges,"1,053.60",percent of total billed charges,"1,053.60",percent of total billed charges,,,948.24,percent of total billed charges ,,,"1,053.60",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,053.60",percent of total billed charges ,"1,053.60",percent of total billed charges ,921.9,percent of total billed charges ,921.9,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,,,,,700.64,percent of total billed charges ,,,,,665.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,
TRANSURETHRAL,910,CDM,,,,both,,,795,795,182.85,795,795,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,628.05,percent of total billed charges,628.05,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 ,628.05,percent of total billed charges ,628.05,percent of total billed charges ,675.75,percent of total billed charges ,675.75,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 ,,,,,,,,,,,,,,,,,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,
BLADDER TUMOR,912,CDM,,,,both,,,"1,317.00","1,317.00",302.91,"1,317.00","1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,"1,040.43",percent of total billed charges,"1,040.43",percent of total billed charges,"1,053.60",percent of total billed charges,"1,053.60",percent of total billed charges,,,948.24,percent of total billed charges ,,,"1,053.60",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,053.60",percent of total billed charges ,"1,053.60",percent of total billed charges ,921.9,percent of total billed charges ,921.9,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,,,,,700.64,percent of total billed charges ,,,,,665.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,
TUR OF PROSTATE,914,CDM,,,,both,,,"1,317.00","1,317.00",302.91,"1,317.00","1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,"1,040.43",percent of total billed charges,"1,040.43",percent of total billed charges,"1,053.60",percent of total billed charges,"1,053.60",percent of total billed charges,,,948.24,percent of total billed charges ,,,"1,053.60",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,053.60",percent of total billed charges ,"1,053.60",percent of total billed charges ,921.9,percent of total billed charges ,921.9,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,,,,,700.64,percent of total billed charges ,,,,,665.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,
URETEROLITHOTOMY,918,CDM,,,,both,,,"1,317.00","1,317.00",302.91,"1,317.00","1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,"1,040.43",percent of total billed charges,"1,040.43",percent of total billed charges,"1,053.60",percent of total billed charges,"1,053.60",percent of total billed charges,,,948.24,percent of total billed charges ,,,"1,053.60",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,053.60",percent of total billed charges ,"1,053.60",percent of total billed charges ,921.9,percent of total billed charges ,921.9,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,,,,,700.64,percent of total billed charges ,,,,,665.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,
MALE EXTERNAL GEN,920,CDM,,,,both,,,795,795,182.85,795,795,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,628.05,percent of total billed charges,628.05,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 ,628.05,percent of total billed charges ,628.05,percent of total billed charges ,675.75,percent of total billed charges ,675.75,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 ,,,,,,,,,,,,,,,,,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,
SPERMATOCELE,922,CDM,,,,both,,,"1,578.00","1,578.00",362.94,"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,"1,246.62",percent of total billed charges,"1,246.62",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 ,"1,246.62",percent of total billed charges ,"1,246.62",percent of total billed charges ,"1,341.30",percent of total billed charges ,"1,341.30",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 ,,,,,,,,,,,,,,,,,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,
UNDESCENDED TESTICAL,924,CDM,,,,both,,,962,962,221.26,962,962,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,759.98,percent of total billed charges,759.98,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 ,759.98,percent of total billed charges ,759.98,percent of total billed charges ,817.7,percent of total billed charges ,817.7,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 ,,,,,,,,,,,,,,,,,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,
ORCHIECTOMY-ING,926,CDM,,,,both,,,962,962,221.26,962,962,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,759.98,percent of total billed charges,759.98,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 ,759.98,percent of total billed charges ,759.98,percent of total billed charges ,817.7,percent of total billed charges ,817.7,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 ,,,,,,,,,,,,,,,,,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,
ORCHIECTOMY-ABD,928,CDM,,,,both,,,"1,437.00","1,437.00",330.51,"1,437.00","1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,034.64",percent of total billed charges,"1,034.64",percent of total billed charges,"1,034.64",percent of total billed charges,"1,034.64",percent of total billed charges,"1,034.64",percent of total billed charges,"1,034.64",percent of total billed charges,"1,135.23",percent of total billed charges,"1,135.23",percent of total billed charges,"1,149.60",percent of total billed charges,"1,149.60",percent of total billed charges,,,"1,034.64",percent of total billed charges ,,,"1,149.60",percent of total billed charges ,"1,135.23",percent of total billed charges ,"1,135.23",percent of total billed charges ,"1,221.45",percent of total billed charges ,"1,221.45",percent of total billed charges ,"1,149.60",percent of total billed charges ,"1,149.60",percent of total billed charges ,"1,005.90",percent of total billed charges ,"1,005.90",percent of total billed charges ,862.2,percent of total billed charges ,862.2,percent of total billed charges ,862.2,percent of total billed charges ,862.2,percent of total billed charges ,,,,,764.48,percent of total billed charges ,,,,,726.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,
ORCHIOPEXY,930,CDM,,,,both,,,962,962,221.26,962,962,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,759.98,percent of total billed charges,759.98,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 ,759.98,percent of total billed charges ,759.98,percent of total billed charges ,817.7,percent of total billed charges ,817.7,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 ,,,,,,,,,,,,,,,,,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,
CLOSED REDUCT SHOULDER,1620,CDM,,,,both,,,"1,056.00","1,056.00",242.88,"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,834.24,percent of total billed charges,834.24,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 ,834.24,percent of total billed charges ,834.24,percent of total billed charges ,897.6,percent of total billed charges ,897.6,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 ,,,,,,,,,,,,,,,,,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,
HYSTERECTOMY VAGINAL,944,CDM,,,,both,,,"1,578.00","1,578.00",362.94,"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,"1,246.62",percent of total billed charges,"1,246.62",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 ,"1,246.62",percent of total billed charges ,"1,246.62",percent of total billed charges ,"1,341.30",percent of total billed charges ,"1,341.30",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 ,,,,,,,,,,,,,,,,,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,
VAGINAL DELIVERY,1960,CDM,,,,both,,,"1,317.00","1,317.00",302.91,"1,317.00","1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,"1,040.43",percent of total billed charges,"1,040.43",percent of total billed charges,"1,053.60",percent of total billed charges,"1,053.60",percent of total billed charges,,,948.24,percent of total billed charges ,,,"1,053.60",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,053.60",percent of total billed charges ,"1,053.60",percent of total billed charges ,921.9,percent of total billed charges ,921.9,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,,,,,700.64,percent of total billed charges ,,,,,665.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,
HYSTEROSCOPY,952,CDM,,,,both,,,"1,056.00","1,056.00",242.88,"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,834.24,percent of total billed charges,834.24,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 ,834.24,percent of total billed charges ,834.24,percent of total billed charges ,897.6,percent of total billed charges ,897.6,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 ,,,,,,,,,,,,,,,,,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,
EPIDURAL CONT VAG,1967,CDM,,,,both,,,"1,317.00","1,317.00",302.91,"1,317.00","1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,"1,040.43",percent of total billed charges,"1,040.43",percent of total billed charges,"1,053.60",percent of total billed charges,"1,053.60",percent of total billed charges,,,948.24,percent of total billed charges ,,,"1,053.60",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,053.60",percent of total billed charges ,"1,053.60",percent of total billed charges ,921.9,percent of total billed charges ,921.9,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,,,,,700.64,percent of total billed charges ,,,,,665.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,
VAGINAL PROCEDURE,940,CDM,,,,both,,,795,795,182.85,795,795,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,628.05,percent of total billed charges,628.05,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 ,628.05,percent of total billed charges ,628.05,percent of total billed charges ,675.75,percent of total billed charges ,675.75,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 ,,,,,,,,,,,,,,,,,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,
ARTHROSCOPY-ANKLE,1464,CDM,,,,both,,,724,724,166.52,724,724,percent of total billed charges,724,percent of total billed charges,724,percent of total billed charges,724,percent of total billed charges,724,percent of total billed charges,724,percent of total billed charges,724,percent of total billed charges,724,percent of total billed charges,521.28,percent of total billed charges,521.28,percent of total billed charges,521.28,percent of total billed charges,521.28,percent of total billed charges,521.28,percent of total billed charges,521.28,percent of total billed charges,571.96,percent of total billed charges,571.96,percent of total billed charges,579.2,percent of total billed charges,579.2,percent of total billed charges,,,521.28,percent of total billed charges ,,,579.2,percent of total billed charges ,571.96,percent of total billed charges ,571.96,percent of total billed charges ,615.4,percent of total billed charges ,615.4,percent of total billed charges ,579.2,percent of total billed charges ,579.2,percent of total billed charges ,506.8,percent of total billed charges ,506.8,percent of total billed charges ,434.4,percent of total billed charges ,434.4,percent of total billed charges ,434.4,percent of total billed charges ,434.4,percent of total billed charges ,,,,,385.17,percent of total billed charges ,,,,,365.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,
OPEN PROC HUMER,1740,CDM,,,,both,,,"1,056.00","1,056.00",242.88,"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,834.24,percent of total billed charges,834.24,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 ,834.24,percent of total billed charges ,834.24,percent of total billed charges ,897.6,percent of total billed charges ,897.6,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 ,,,,,,,,,,,,,,,,,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,
CENTRAL LINE-PERCUTAN 5YRS OR OLDER,36556,CDM,,,,both,,,"1,056.00","1,056.00",242.88,"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,834.24,percent of total billed charges,834.24,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 ,834.24,percent of total billed charges ,834.24,percent of total billed charges ,897.6,percent of total billed charges ,897.6,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 ,,,,,,,,,,,,,,,,,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,
NERV/MUSC/TEND LOWER LEG,1470,CDM,,,,both,,,795,795,182.85,795,795,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,628.05,percent of total billed charges,628.05,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 ,628.05,percent of total billed charges ,628.05,percent of total billed charges ,675.75,percent of total billed charges ,675.75,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 ,,,,,,,,,,,,,,,,,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,
NONINVASIVE IMAGING,1922,CDM,,,,both,,,"1,367.00","1,367.00",314.41,"1,367.00","1,367.00",percent of total billed charges,"1,367.00",percent of total billed charges,"1,367.00",percent of total billed charges,"1,367.00",percent of total billed charges,"1,367.00",percent of total billed charges,"1,367.00",percent of total billed charges,"1,367.00",percent of total billed charges,"1,367.00",percent of total billed charges,984.24,percent of total billed charges,984.24,percent of total billed charges,984.24,percent of total billed charges,984.24,percent of total billed charges,984.24,percent of total billed charges,984.24,percent of total billed charges,"1,079.93",percent of total billed charges,"1,079.93",percent of total billed charges,"1,093.60",percent of total billed charges,"1,093.60",percent of total billed charges,,,984.24,percent of total billed charges ,,,"1,093.60",percent of total billed charges ,"1,079.93",percent of total billed charges ,"1,079.93",percent of total billed charges ,"1,161.95",percent of total billed charges ,"1,161.95",percent of total billed charges ,"1,093.60",percent of total billed charges ,"1,093.60",percent of total billed charges ,956.9,percent of total billed charges ,956.9,percent of total billed charges ,820.2,percent of total billed charges ,820.2,percent of total billed charges ,820.2,percent of total billed charges ,820.2,percent of total billed charges ,,,,,727.24,percent of total billed charges ,,,,,690.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,314.41,percent of total billed charges,,,314.41,percent of total billed charges,,,314.41,percent of total billed charges,,,314.41,percent of total billed charges,,,314.41,percent of total billed charges,,,314.41,percent of total billed charges,,,314.41,percent of total billed charges,,,314.41,percent of total billed charges,,,314.41,percent of total billed charges,,,314.41,percent of total billed charges,,,314.41,percent of total billed charges,
NERVE INTERSCALINE BRACHIAL PLEX,64415,CDM,,,,both,,,"1,913.00","1,913.00",439.99,"1,913.00","1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,377.36",percent of total billed charges,"1,377.36",percent of total billed charges,"1,377.36",percent of total billed charges,"1,377.36",percent of total billed charges,"1,377.36",percent of total billed charges,"1,377.36",percent of total billed charges,"1,511.27",percent of total billed charges,"1,511.27",percent of total billed charges,"1,530.40",percent of total billed charges,"1,530.40",percent of total billed charges,,,"1,377.36",percent of total billed charges ,,,"1,530.40",percent of total billed charges ,"1,511.27",percent of total billed charges ,"1,511.27",percent of total billed charges ,"1,626.05",percent of total billed charges ,"1,626.05",percent of total billed charges ,"1,530.40",percent of total billed charges ,"1,530.40",percent of total billed charges ,"1,339.10",percent of total billed charges ,"1,339.10",percent of total billed charges ,"1,147.80",percent of total billed charges ,"1,147.80",percent of total billed charges ,"1,147.80",percent of total billed charges ,"1,147.80",percent of total billed charges ,,,,,"1,017.72",percent of total billed charges ,,,,,966.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,
ACHILLES TENDON,1472,CDM,,,,both,,,"1,317.00","1,317.00",302.91,"1,317.00","1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,"1,040.43",percent of total billed charges,"1,040.43",percent of total billed charges,"1,053.60",percent of total billed charges,"1,053.60",percent of total billed charges,,,948.24,percent of total billed charges ,,,"1,053.60",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,053.60",percent of total billed charges ,"1,053.60",percent of total billed charges ,921.9,percent of total billed charges ,921.9,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,,,,,700.64,percent of total billed charges ,,,,,665.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,
OPEN PROC LEG/FOOT,1480,CDM,,,,both,,,795,795,182.85,795,795,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,628.05,percent of total billed charges,628.05,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 ,628.05,percent of total billed charges ,628.05,percent of total billed charges ,675.75,percent of total billed charges ,675.75,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 ,,,,,,,,,,,,,,,,,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,
ARTERIAL LINE,36620,CDM,,,,both,,,795,795,182.85,795,795,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,628.05,percent of total billed charges,628.05,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 ,628.05,percent of total billed charges ,628.05,percent of total billed charges ,675.75,percent of total billed charges ,675.75,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 ,,,,,,,,,,,,,,,,,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,
BLOOD PATCH,62273,CDM,,,,both,,,"2,105.00","2,105.00",484.15,"2,105.00","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,"1,662.95",percent of total billed charges,"1,662.95",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 ,,,"1,684.00",percent of total billed charges ,"1,662.95",percent of total billed charges ,"1,662.95",percent of total billed charges ,"1,789.25",percent of total billed charges ,"1,789.25",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 ,,,,,,,,,,,,,,,,,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,
SPINAL PUNCTURE,62270,CDM,,,,both,,,"1,317.00","1,317.00",302.91,"1,317.00","1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,"1,040.43",percent of total billed charges,"1,040.43",percent of total billed charges,"1,053.60",percent of total billed charges,"1,053.60",percent of total billed charges,,,948.24,percent of total billed charges ,,,"1,053.60",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,053.60",percent of total billed charges ,"1,053.60",percent of total billed charges ,921.9,percent of total billed charges ,921.9,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,,,,,700.64,percent of total billed charges ,,,,,665.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,
BIOPSY SOFT TISSUE FACE,164,CDM,,,,both,,,795,795,182.85,795,795,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,628.05,percent of total billed charges,628.05,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 ,628.05,percent of total billed charges ,628.05,percent of total billed charges ,675.75,percent of total billed charges ,675.75,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 ,,,,,,,,,,,,,,,,,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,
BIOPSY SOFT TISSUE FACE,370,RC,55513-01-2610,NDC,,both,,,"2,931.00","2,931.00",674.13,"2,931.00","2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,931.00",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,110.32",percent of total billed charges,"2,315.49",percent of total billed charges,"2,315.49",percent of total billed charges,"2,344.80",percent of total billed charges,"2,344.80",percent of total billed charges,,,"2,110.32",percent of total billed charges ,,,"2,344.80",percent of total billed charges ,"2,315.49",percent of total billed charges ,"2,315.49",percent of total billed charges ,"2,491.35",percent of total billed charges ,"2,491.35",percent of total billed charges ,"2,344.80",percent of total billed charges ,"2,344.80",percent of total billed charges ,"2,051.70",percent of total billed charges ,"2,051.70",percent of total billed charges ,"1,758.60",percent of total billed charges ,"1,758.60",percent of total billed charges ,"1,758.60",percent of total billed charges ,"1,758.60",percent of total billed charges ,,,,,"1,559.29",percent of total billed charges ,,,,,"1,481.33",percent of total billed charges ,,,,,,,,,,,,,,,,,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,,,674.13,percent of total billed charges,
**RADICAL PERONEAL PROCEDURE,370,RC,55513-01-2610,NDC,,both,,,"6,246.00","6,246.00","1,436.58","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,"4,934.34",percent of total billed charges,"4,934.34",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 ,"4,934.34",percent of total billed charges ,"4,934.34",percent of total billed charges ,"5,309.10",percent of total billed charges ,"5,309.10",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 ,,,,,,,,,,,,,,,,,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,
**RADICAL PERONEAL PROCEDURE,904,CDM,,,,both,,,"2,105.00","2,105.00",484.15,"2,105.00","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,"1,662.95",percent of total billed charges,"1,662.95",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 ,,,"1,684.00",percent of total billed charges ,"1,662.95",percent of total billed charges ,"1,662.95",percent of total billed charges ,"1,789.25",percent of total billed charges ,"1,789.25",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 ,,,,,,,,,,,,,,,,,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,
NON SPECIFIED EYE PROCEDURE,140,CDM,,,,both,,,"1,578.00","1,578.00",362.94,"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,"1,246.62",percent of total billed charges,"1,246.62",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 ,"1,246.62",percent of total billed charges ,"1,246.62",percent of total billed charges ,"1,341.30",percent of total billed charges ,"1,341.30",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 ,,,,,,,,,,,,,,,,,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,
**ABDOMINAPLASTY,964,RC,55513-01-2610,NDC,,both,,,"1,429.00","1,429.00",328.67,"1,429.00","1,429.00",percent of total billed charges,"1,429.00",percent of total billed charges,"1,429.00",percent of total billed charges,"1,429.00",percent of total billed charges,"1,429.00",percent of total billed charges,"1,429.00",percent of total billed charges,"1,429.00",percent of total billed charges,"1,429.00",percent of total billed charges,"1,028.88",percent of total billed charges,"1,028.88",percent of total billed charges,"1,028.88",percent of total billed charges,"1,028.88",percent of total billed charges,"1,028.88",percent of total billed charges,"1,028.88",percent of total billed charges,"1,128.91",percent of total billed charges,"1,128.91",percent of total billed charges,"1,143.20",percent of total billed charges,"1,143.20",percent of total billed charges,,,"1,028.88",percent of total billed charges ,,,"1,143.20",percent of total billed charges ,"1,128.91",percent of total billed charges ,"1,128.91",percent of total billed charges ,"1,214.65",percent of total billed charges ,"1,214.65",percent of total billed charges ,"1,143.20",percent of total billed charges ,"1,143.20",percent of total billed charges ,"1,000.30",percent of total billed charges ,"1,000.30",percent of total billed charges ,857.4,percent of total billed charges ,857.4,percent of total billed charges ,857.4,percent of total billed charges ,857.4,percent of total billed charges ,,,,,760.23,percent of total billed charges ,,,,,722.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,328.67,percent of total billed charges,,,328.67,percent of total billed charges,,,328.67,percent of total billed charges,,,328.67,percent of total billed charges,,,328.67,percent of total billed charges,,,328.67,percent of total billed charges,,,328.67,percent of total billed charges,,,328.67,percent of total billed charges,,,328.67,percent of total billed charges,,,328.67,percent of total billed charges,,,328.67,percent of total billed charges,
VAGINAL INCOMP ABT,1965,CDM,,,,both,,,795,795,182.85,795,795,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,628.05,percent of total billed charges,628.05,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 ,628.05,percent of total billed charges ,628.05,percent of total billed charges ,675.75,percent of total billed charges ,675.75,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 ,,,,,,,,,,,,,,,,,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,
ANESTHESIA FOR EXTREME AGE,99100,CDM,,,,both,,,272,272,62.56,272,272,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,214.88,percent of total billed charges,214.88,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 ,214.88,percent of total billed charges ,214.88,percent of total billed charges ,231.2,percent of total billed charges ,231.2,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 ,,,,,,,,,,,,,,,,,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,
ANESTHESIA EMERGENCY CONDITION,99140,CDM,,,,both,,,533,533,122.59,533,533,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,421.07,percent of total billed charges,421.07,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 ,421.07,percent of total billed charges ,421.07,percent of total billed charges ,453.05,percent of total billed charges ,453.05,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 ,,,,,,,,,,,,,,,,,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,
UPPER ANTERIOR ABDOMINAL WALL-PF,700,CDM,,,,both,,,"1,056.00","1,056.00",242.88,"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,834.24,percent of total billed charges,834.24,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 ,834.24,percent of total billed charges ,834.24,percent of total billed charges ,897.6,percent of total billed charges ,897.6,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 ,,,,,,,,,,,,,,,,,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,
PERIPHERAL NERVE,64450,CDM,,,GF,both,,,"1,317.00","1,317.00",302.91,"1,317.00","1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,"1,040.43",percent of total billed charges,"1,040.43",percent of total billed charges,"1,053.60",percent of total billed charges,"1,053.60",percent of total billed charges,,,948.24,percent of total billed charges ,,,"1,053.60",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,053.60",percent of total billed charges ,"1,053.60",percent of total billed charges ,921.9,percent of total billed charges ,921.9,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,,,,,700.64,percent of total billed charges ,,,,,665.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,
"**WRIST, ELBOW BLOCK",20605,CDM,,,,both,,,795,795,182.85,795,795,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,628.05,percent of total billed charges,628.05,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 ,628.05,percent of total billed charges ,628.05,percent of total billed charges ,675.75,percent of total billed charges ,675.75,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 ,,,,,,,,,,,,,,,,,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,
**INTRAORAL NOS,170,CDM,,,,both,,,"1,317.00","1,317.00",302.91,"1,317.00","1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,"1,040.43",percent of total billed charges,"1,040.43",percent of total billed charges,"1,053.60",percent of total billed charges,"1,053.60",percent of total billed charges,,,948.24,percent of total billed charges ,,,"1,053.60",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,053.60",percent of total billed charges ,"1,053.60",percent of total billed charges ,921.9,percent of total billed charges ,921.9,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,,,,,700.64,percent of total billed charges ,,,,,665.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,
ABDOMEN LOWER ANTERIOR,370,RC,55513-01-2610,NDC,,both,,,"1,356.00","1,356.00",311.88,"1,356.00","1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,976.32,percent of total billed charges,976.32,percent of total billed charges,976.32,percent of total billed charges,976.32,percent of total billed charges,976.32,percent of total billed charges,976.32,percent of total billed charges,"1,071.24",percent of total billed charges,"1,071.24",percent of total billed charges,"1,084.80",percent of total billed charges,"1,084.80",percent of total billed charges,,,976.32,percent of total billed charges ,,,"1,084.80",percent of total billed charges ,"1,071.24",percent of total billed charges ,"1,071.24",percent of total billed charges ,"1,152.60",percent of total billed charges ,"1,152.60",percent of total billed charges ,"1,084.80",percent of total billed charges ,"1,084.80",percent of total billed charges ,949.2,percent of total billed charges ,949.2,percent of total billed charges ,813.6,percent of total billed charges ,813.6,percent of total billed charges ,813.6,percent of total billed charges ,813.6,percent of total billed charges ,,,,,721.39,percent of total billed charges ,,,,,685.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,
FEMORAL NERVE BLOCK,64447,CDM,,,,both,,,"1,841.00","1,841.00",423.43,"1,841.00","1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,454.39",percent of total billed charges,"1,454.39",percent of total billed charges,"1,472.80",percent of total billed charges,"1,472.80",percent of total billed charges,,,"1,325.52",percent of total billed charges ,,,"1,472.80",percent of total billed charges ,"1,454.39",percent of total billed charges ,"1,454.39",percent of total billed charges ,"1,564.85",percent of total billed charges ,"1,564.85",percent of total billed charges ,"1,472.80",percent of total billed charges ,"1,472.80",percent of total billed charges ,"1,288.70",percent of total billed charges ,"1,288.70",percent of total billed charges ,"1,104.60",percent of total billed charges ,"1,104.60",percent of total billed charges ,"1,104.60",percent of total billed charges ,"1,104.60",percent of total billed charges ,,,,,979.41,percent of total billed charges ,,,,,930.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,
SCIATIC NERVE BLOCK,64445,CDM,,,,both,,,"1,841.00","1,841.00",423.43,"1,841.00","1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,454.39",percent of total billed charges,"1,454.39",percent of total billed charges,"1,472.80",percent of total billed charges,"1,472.80",percent of total billed charges,,,"1,325.52",percent of total billed charges ,,,"1,472.80",percent of total billed charges ,"1,454.39",percent of total billed charges ,"1,454.39",percent of total billed charges ,"1,564.85",percent of total billed charges ,"1,564.85",percent of total billed charges ,"1,472.80",percent of total billed charges ,"1,472.80",percent of total billed charges ,"1,288.70",percent of total billed charges ,"1,288.70",percent of total billed charges ,"1,104.60",percent of total billed charges ,"1,104.60",percent of total billed charges ,"1,104.60",percent of total billed charges ,"1,104.60",percent of total billed charges ,,,,,979.41,percent of total billed charges ,,,,,930.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,
PICC LINE 5YRS OR OLDER,36556,CDM,,,,both,,,"1,056.00","1,056.00",242.88,"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,834.24,percent of total billed charges,834.24,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 ,834.24,percent of total billed charges ,834.24,percent of total billed charges ,897.6,percent of total billed charges ,897.6,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 ,,,,,,,,,,,,,,,,,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,
ANES ULTRASOUND GUIDANCE,76942,CDM,,,,both,,,"1,244.00","1,244.00",286.12,"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,982.76,percent of total billed charges,982.76,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 ,982.76,percent of total billed charges ,982.76,percent of total billed charges ,"1,057.40",percent of total billed charges ,"1,057.40",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 ,,,,,,,,,,,,,,,,,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,
**ARTHROSCOPY - HIP,1202,CDM,,,,both,,,962,962,221.26,962,962,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,759.98,percent of total billed charges,759.98,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 ,759.98,percent of total billed charges ,759.98,percent of total billed charges ,817.7,percent of total billed charges ,817.7,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 ,,,,,,,,,,,,,,,,,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,
**#111111TIME REPORT 1MIN,963,RC,55513-01-2610,NDC,,both,,,23,23,5.29,23,23,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,18.17,percent of total billed charges,18.17,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 ,18.17,percent of total billed charges ,18.17,percent of total billed charges ,19.55,percent of total billed charges ,19.55,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 ,,,,,,,,,,,,,,,,,,,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,
**ARTHROSCOPY - KNEE,1382,CDM,,,,both,,,795,795,182.85,795,795,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,628.05,percent of total billed charges,628.05,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 ,628.05,percent of total billed charges ,628.05,percent of total billed charges ,675.75,percent of total billed charges ,675.75,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 ,,,,,,,,,,,,,,,,,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,
**ARTHROSCOPY-ANKLE,1464,CDM,,,,both,,,724,724,166.52,724,724,percent of total billed charges,724,percent of total billed charges,724,percent of total billed charges,724,percent of total billed charges,724,percent of total billed charges,724,percent of total billed charges,724,percent of total billed charges,724,percent of total billed charges,521.28,percent of total billed charges,521.28,percent of total billed charges,521.28,percent of total billed charges,521.28,percent of total billed charges,521.28,percent of total billed charges,521.28,percent of total billed charges,571.96,percent of total billed charges,571.96,percent of total billed charges,579.2,percent of total billed charges,579.2,percent of total billed charges,,,521.28,percent of total billed charges ,,,579.2,percent of total billed charges ,571.96,percent of total billed charges ,571.96,percent of total billed charges ,615.4,percent of total billed charges ,615.4,percent of total billed charges ,579.2,percent of total billed charges ,579.2,percent of total billed charges ,506.8,percent of total billed charges ,506.8,percent of total billed charges ,434.4,percent of total billed charges ,434.4,percent of total billed charges ,434.4,percent of total billed charges ,434.4,percent of total billed charges ,,,,,385.17,percent of total billed charges ,,,,,365.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,
**ARTHROSCOPY - SHOULDER,1622,CDM,,,,both,,,"1,056.00","1,056.00",242.88,"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,834.24,percent of total billed charges,834.24,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 ,834.24,percent of total billed charges ,834.24,percent of total billed charges ,897.6,percent of total billed charges ,897.6,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 ,,,,,,,,,,,,,,,,,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,
**CLAVICAL & SCAPULA,450,CDM,,,,both,,,"1,197.00","1,197.00",275.31,"1,197.00","1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,945.63,percent of total billed charges,945.63,percent of total billed charges,957.6,percent of total billed charges,957.6,percent of total billed charges,,,861.84,percent of total billed charges ,,,957.6,percent of total billed charges ,945.63,percent of total billed charges ,945.63,percent of total billed charges ,"1,017.45",percent of total billed charges ,"1,017.45",percent of total billed charges ,957.6,percent of total billed charges ,957.6,percent of total billed charges ,837.9,percent of total billed charges ,837.9,percent of total billed charges ,718.2,percent of total billed charges ,718.2,percent of total billed charges ,718.2,percent of total billed charges ,718.2,percent of total billed charges ,,,,,636.8,percent of total billed charges ,,,,,604.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,
**LAMINECTOMY - LUMBAR,630,CDM,,,,both,,,"2,105.00","2,105.00",484.15,"2,105.00","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,"1,662.95",percent of total billed charges,"1,662.95",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 ,,,"1,684.00",percent of total billed charges ,"1,662.95",percent of total billed charges ,"1,662.95",percent of total billed charges ,"1,789.25",percent of total billed charges ,"1,789.25",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 ,,,,,,,,,,,,,,,,,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,
**HIP JOINT CLOSED,1200,CDM,,,,both,,,"1,056.00","1,056.00",242.88,"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,834.24,percent of total billed charges,834.24,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 ,834.24,percent of total billed charges ,834.24,percent of total billed charges ,897.6,percent of total billed charges ,897.6,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 ,,,,,,,,,,,,,,,,,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,
**HIP JOINT OPEN,1210,CDM,,,,both,,,"1,578.00","1,578.00",362.94,"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,"1,246.62",percent of total billed charges,"1,246.62",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 ,"1,246.62",percent of total billed charges ,"1,246.62",percent of total billed charges ,"1,341.30",percent of total billed charges ,"1,341.30",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 ,,,,,,,,,,,,,,,,,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,
**OPEN PROC UP FEMUR,1230,CDM,,,,both,,,"1,578.00","1,578.00",362.94,"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,"1,246.62",percent of total billed charges,"1,246.62",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 ,"1,246.62",percent of total billed charges ,"1,246.62",percent of total billed charges ,"1,341.30",percent of total billed charges ,"1,341.30",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 ,,,,,,,,,,,,,,,,,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,
**AMPUTATION-ABOVE THE KNEE,1232,CDM,,,,both,,,"1,317.00","1,317.00",302.91,"1,317.00","1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,"1,040.43",percent of total billed charges,"1,040.43",percent of total billed charges,"1,053.60",percent of total billed charges,"1,053.60",percent of total billed charges,,,948.24,percent of total billed charges ,,,"1,053.60",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,053.60",percent of total billed charges ,"1,053.60",percent of total billed charges ,921.9,percent of total billed charges ,921.9,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,,,,,700.64,percent of total billed charges ,,,,,665.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,
**OPEN PROC LOWER FEMUR,1360,CDM,,,,both,,,"1,244.00","1,244.00",286.12,"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,982.76,percent of total billed charges,982.76,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 ,982.76,percent of total billed charges ,982.76,percent of total billed charges ,"1,057.40",percent of total billed charges ,"1,057.40",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 ,,,,,,,,,,,,,,,,,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,
**CLOSED PROC KNEE,1380,CDM,,,,both,,,795,795,182.85,795,795,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,628.05,percent of total billed charges,628.05,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 ,628.05,percent of total billed charges ,628.05,percent of total billed charges ,675.75,percent of total billed charges ,675.75,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 ,,,,,,,,,,,,,,,,,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,
**PATELLA - OPEN,1392,CDM,,,,both,,,"1,056.00","1,056.00",242.88,"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,834.24,percent of total billed charges,834.24,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 ,834.24,percent of total billed charges ,834.24,percent of total billed charges ,897.6,percent of total billed charges ,897.6,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 ,,,,,,,,,,,,,,,,,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,
**ARTHROTOMY - KNEE,1400,CDM,,,,both,,,"1,056.00","1,056.00",242.88,"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,834.24,percent of total billed charges,834.24,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 ,834.24,percent of total billed charges ,834.24,percent of total billed charges ,897.6,percent of total billed charges ,897.6,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 ,,,,,,,,,,,,,,,,,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,
**CLOSED REDUCTION LEG,1462,CDM,,,,both,,,795,795,182.85,795,795,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,628.05,percent of total billed charges,628.05,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 ,628.05,percent of total billed charges ,628.05,percent of total billed charges ,675.75,percent of total billed charges ,675.75,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 ,,,,,,,,,,,,,,,,,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,
**OPEN PROC LEG/FOOT,1480,CDM,,,,both,,,795,795,182.85,795,795,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,628.05,percent of total billed charges,628.05,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 ,628.05,percent of total billed charges ,628.05,percent of total billed charges ,675.75,percent of total billed charges ,675.75,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 ,,,,,,,,,,,,,,,,,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,
**AMPUTATION-BELOW THE KNEE,1482,CDM,,,,both,,,"1,056.00","1,056.00",242.88,"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,834.24,percent of total billed charges,834.24,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 ,834.24,percent of total billed charges ,834.24,percent of total billed charges ,897.6,percent of total billed charges ,897.6,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 ,,,,,,,,,,,,,,,,,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,
**CLOSED REDUCT SHOULDER,1620,CDM,,,,both,,,"1,056.00","1,056.00",242.88,"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,834.24,percent of total billed charges,834.24,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 ,834.24,percent of total billed charges ,834.24,percent of total billed charges ,897.6,percent of total billed charges ,897.6,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 ,,,,,,,,,,,,,,,,,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,
**OPEN SHOULDER,1630,CDM,,,,both,,,"1,317.00","1,317.00",302.91,"1,317.00","1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,"1,040.43",percent of total billed charges,"1,040.43",percent of total billed charges,"1,053.60",percent of total billed charges,"1,053.60",percent of total billed charges,,,948.24,percent of total billed charges ,,,"1,053.60",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,053.60",percent of total billed charges ,"1,053.60",percent of total billed charges ,921.9,percent of total billed charges ,921.9,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,,,,,700.64,percent of total billed charges ,,,,,665.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,
**OPEN PROC HUMER,1740,CDM,,,,both,,,"1,056.00","1,056.00",242.88,"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,834.24,percent of total billed charges,834.24,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 ,834.24,percent of total billed charges ,834.24,percent of total billed charges ,897.6,percent of total billed charges ,897.6,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 ,,,,,,,,,,,,,,,,,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,
**CLOSED REDUCT ARM,1820,CDM,,,,both,,,795,795,182.85,795,795,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,628.05,percent of total billed charges,628.05,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 ,628.05,percent of total billed charges ,628.05,percent of total billed charges ,675.75,percent of total billed charges ,675.75,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 ,,,,,,,,,,,,,,,,,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,
**OPEN PROC LOWER ARM/HAND,1830,CDM,,,,both,,,795,795,182.85,795,795,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,628.05,percent of total billed charges,628.05,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 ,628.05,percent of total billed charges ,628.05,percent of total billed charges ,675.75,percent of total billed charges ,675.75,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 ,,,,,,,,,,,,,,,,,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,
**TOTAL HIP,1214,CDM,,,,both,,,"2,105.00","2,105.00",484.15,"2,105.00","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,"1,662.95",percent of total billed charges,"1,662.95",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 ,,,"1,684.00",percent of total billed charges ,"1,662.95",percent of total billed charges ,"1,662.95",percent of total billed charges ,"1,789.25",percent of total billed charges ,"1,789.25",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 ,,,,,,,,,,,,,,,,,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,
**TOTAL KNEE,1402,CDM,,,,both,,,"1,841.00","1,841.00",423.43,"1,841.00","1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,454.39",percent of total billed charges,"1,454.39",percent of total billed charges,"1,472.80",percent of total billed charges,"1,472.80",percent of total billed charges,,,"1,325.52",percent of total billed charges ,,,"1,472.80",percent of total billed charges ,"1,454.39",percent of total billed charges ,"1,454.39",percent of total billed charges ,"1,564.85",percent of total billed charges ,"1,564.85",percent of total billed charges ,"1,472.80",percent of total billed charges ,"1,472.80",percent of total billed charges ,"1,288.70",percent of total billed charges ,"1,288.70",percent of total billed charges ,"1,104.60",percent of total billed charges ,"1,104.60",percent of total billed charges ,"1,104.60",percent of total billed charges ,"1,104.60",percent of total billed charges ,,,,,979.41,percent of total billed charges ,,,,,930.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,
**MYRINGOTOMY,120,CDM,,,,both,,,"1,317.00","1,317.00",302.91,"1,317.00","1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,"1,040.43",percent of total billed charges,"1,040.43",percent of total billed charges,"1,053.60",percent of total billed charges,"1,053.60",percent of total billed charges,,,948.24,percent of total billed charges ,,,"1,053.60",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,053.60",percent of total billed charges ,"1,053.60",percent of total billed charges ,921.9,percent of total billed charges ,921.9,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,,,,,700.64,percent of total billed charges ,,,,,665.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,
**NOSE & SINUSES,160,CDM,,,,both,,,"1,197.00","1,197.00",275.31,"1,197.00","1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,945.63,percent of total billed charges,945.63,percent of total billed charges,957.6,percent of total billed charges,957.6,percent of total billed charges,,,861.84,percent of total billed charges ,,,957.6,percent of total billed charges ,945.63,percent of total billed charges ,945.63,percent of total billed charges ,"1,017.45",percent of total billed charges ,"1,017.45",percent of total billed charges ,957.6,percent of total billed charges ,957.6,percent of total billed charges ,837.9,percent of total billed charges ,837.9,percent of total billed charges ,718.2,percent of total billed charges ,718.2,percent of total billed charges ,718.2,percent of total billed charges ,718.2,percent of total billed charges ,,,,,636.8,percent of total billed charges ,,,,,604.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,
**INTRAORAL PROC,170,CDM,,,,both,,,"1,317.00","1,317.00",302.91,"1,317.00","1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,"1,040.43",percent of total billed charges,"1,040.43",percent of total billed charges,"1,053.60",percent of total billed charges,"1,053.60",percent of total billed charges,,,948.24,percent of total billed charges ,,,"1,053.60",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,053.60",percent of total billed charges ,"1,053.60",percent of total billed charges ,921.9,percent of total billed charges ,921.9,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,,,,,700.64,percent of total billed charges ,,,,,665.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,
**CLOSED CHEST PROC (BRONCHOSC,520,CDM,,,,both,,,"1,437.00","1,437.00",330.51,"1,437.00","1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,034.64",percent of total billed charges,"1,034.64",percent of total billed charges,"1,034.64",percent of total billed charges,"1,034.64",percent of total billed charges,"1,034.64",percent of total billed charges,"1,034.64",percent of total billed charges,"1,135.23",percent of total billed charges,"1,135.23",percent of total billed charges,"1,149.60",percent of total billed charges,"1,149.60",percent of total billed charges,,,"1,034.64",percent of total billed charges ,,,"1,149.60",percent of total billed charges ,"1,135.23",percent of total billed charges ,"1,135.23",percent of total billed charges ,"1,221.45",percent of total billed charges ,"1,221.45",percent of total billed charges ,"1,149.60",percent of total billed charges ,"1,149.60",percent of total billed charges ,"1,005.90",percent of total billed charges ,"1,005.90",percent of total billed charges ,862.2,percent of total billed charges ,862.2,percent of total billed charges ,862.2,percent of total billed charges ,862.2,percent of total billed charges ,,,,,764.48,percent of total billed charges ,,,,,726.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,
**ENDOSCOPIES UPPER,740,CDM,,,,both,,,"1,317.00","1,317.00",302.91,"1,317.00","1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,"1,040.43",percent of total billed charges,"1,040.43",percent of total billed charges,"1,053.60",percent of total billed charges,"1,053.60",percent of total billed charges,,,948.24,percent of total billed charges ,,,"1,053.60",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,053.60",percent of total billed charges ,"1,053.60",percent of total billed charges ,921.9,percent of total billed charges ,921.9,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,,,,,700.64,percent of total billed charges ,,,,,665.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,
**ABDOM - IP UPPER,790,CDM,,,,both,,,"1,841.00","1,841.00",423.43,"1,841.00","1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,454.39",percent of total billed charges,"1,454.39",percent of total billed charges,"1,472.80",percent of total billed charges,"1,472.80",percent of total billed charges,,,"1,325.52",percent of total billed charges ,,,"1,472.80",percent of total billed charges ,"1,454.39",percent of total billed charges ,"1,454.39",percent of total billed charges ,"1,564.85",percent of total billed charges ,"1,564.85",percent of total billed charges ,"1,472.80",percent of total billed charges ,"1,472.80",percent of total billed charges ,"1,288.70",percent of total billed charges ,"1,288.70",percent of total billed charges ,"1,104.60",percent of total billed charges ,"1,104.60",percent of total billed charges ,"1,104.60",percent of total billed charges ,"1,104.60",percent of total billed charges ,,,,,979.41,percent of total billed charges ,,,,,930.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,
**ENDOSCOPIES LOWER,810,CDM,,,,both,,,"1,317.00","1,317.00",302.91,"1,317.00","1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,"1,040.43",percent of total billed charges,"1,040.43",percent of total billed charges,"1,053.60",percent of total billed charges,"1,053.60",percent of total billed charges,,,948.24,percent of total billed charges ,,,"1,053.60",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,053.60",percent of total billed charges ,"1,053.60",percent of total billed charges ,921.9,percent of total billed charges ,921.9,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,,,,,700.64,percent of total billed charges ,,,,,665.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,
**ABDOM IP LOWER,840,CDM,,,,both,,,"1,578.00","1,578.00",362.94,"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,"1,246.62",percent of total billed charges,"1,246.62",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 ,"1,246.62",percent of total billed charges ,"1,246.62",percent of total billed charges ,"1,341.30",percent of total billed charges ,"1,341.30",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 ,,,,,,,,,,,,,,,,,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,
**A & P RESECTION,844,CDM,,,,both,,,"1,841.00","1,841.00",423.43,"1,841.00","1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,454.39",percent of total billed charges,"1,454.39",percent of total billed charges,"1,472.80",percent of total billed charges,"1,472.80",percent of total billed charges,,,"1,325.52",percent of total billed charges ,,,"1,472.80",percent of total billed charges ,"1,454.39",percent of total billed charges ,"1,454.39",percent of total billed charges ,"1,564.85",percent of total billed charges ,"1,564.85",percent of total billed charges ,"1,472.80",percent of total billed charges ,"1,472.80",percent of total billed charges ,"1,288.70",percent of total billed charges ,"1,288.70",percent of total billed charges ,"1,104.60",percent of total billed charges ,"1,104.60",percent of total billed charges ,"1,104.60",percent of total billed charges ,"1,104.60",percent of total billed charges ,,,,,979.41,percent of total billed charges ,,,,,930.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,
**ANORECTAL PROC,902,CDM,,,,both,,,"1,317.00","1,317.00",302.91,"1,317.00","1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,"1,040.43",percent of total billed charges,"1,040.43",percent of total billed charges,"1,053.60",percent of total billed charges,"1,053.60",percent of total billed charges,,,948.24,percent of total billed charges ,,,"1,053.60",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,053.60",percent of total billed charges ,"1,053.60",percent of total billed charges ,921.9,percent of total billed charges ,921.9,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,,,,,700.64,percent of total billed charges ,,,,,665.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,
**HERNIA UPPER ABD,750,CDM,,,,both,,,"1,056.00","1,056.00",242.88,"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,834.24,percent of total billed charges,834.24,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 ,834.24,percent of total billed charges ,834.24,percent of total billed charges ,897.6,percent of total billed charges ,897.6,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 ,,,,,,,,,,,,,,,,,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,
**HERNIA VENTRAL,752,CDM,,,,both,,,"1,578.00","1,578.00",362.94,"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,"1,246.62",percent of total billed charges,"1,246.62",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 ,"1,246.62",percent of total billed charges ,"1,246.62",percent of total billed charges ,"1,341.30",percent of total billed charges ,"1,341.30",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 ,,,,,,,,,,,,,,,,,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,
**HERNIA LOWER ABD,830,CDM,,,,both,,,"1,056.00","1,056.00",242.88,"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,834.24,percent of total billed charges,834.24,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 ,834.24,percent of total billed charges ,834.24,percent of total billed charges ,897.6,percent of total billed charges ,897.6,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 ,,,,,,,,,,,,,,,,,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,
**HERNIA UMBILICAL,832,CDM,,,,both,,,"1,578.00","1,578.00",362.94,"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,"1,246.62",percent of total billed charges,"1,246.62",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 ,"1,246.62",percent of total billed charges ,"1,246.62",percent of total billed charges ,"1,341.30",percent of total billed charges ,"1,341.30",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 ,,,,,,,,,,,,,,,,,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,
**INFUSA PORT,532,CDM,,,,both,,,"1,056.00","1,056.00",242.88,"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,834.24,percent of total billed charges,834.24,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 ,834.24,percent of total billed charges ,834.24,percent of total billed charges ,897.6,percent of total billed charges ,897.6,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 ,,,,,,,,,,,,,,,,,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,
**VEIN LIGATION LOWER,1520,CDM,,,,both,,,724,724,166.52,724,724,percent of total billed charges,724,percent of total billed charges,724,percent of total billed charges,724,percent of total billed charges,724,percent of total billed charges,724,percent of total billed charges,724,percent of total billed charges,724,percent of total billed charges,521.28,percent of total billed charges,521.28,percent of total billed charges,521.28,percent of total billed charges,521.28,percent of total billed charges,521.28,percent of total billed charges,521.28,percent of total billed charges,571.96,percent of total billed charges,571.96,percent of total billed charges,579.2,percent of total billed charges,579.2,percent of total billed charges,,,521.28,percent of total billed charges ,,,579.2,percent of total billed charges ,571.96,percent of total billed charges ,571.96,percent of total billed charges ,615.4,percent of total billed charges ,615.4,percent of total billed charges ,579.2,percent of total billed charges ,579.2,percent of total billed charges ,506.8,percent of total billed charges ,506.8,percent of total billed charges ,434.4,percent of total billed charges ,434.4,percent of total billed charges ,434.4,percent of total billed charges ,434.4,percent of total billed charges ,,,,,385.17,percent of total billed charges ,,,,,365.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,,,166.52,percent of total billed charges,
**BLEPHAROPLASTY,103,CDM,,,,both,,,"1,197.00","1,197.00",275.31,"1,197.00","1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,945.63,percent of total billed charges,945.63,percent of total billed charges,957.6,percent of total billed charges,957.6,percent of total billed charges,,,861.84,percent of total billed charges ,,,957.6,percent of total billed charges ,945.63,percent of total billed charges ,945.63,percent of total billed charges ,"1,017.45",percent of total billed charges ,"1,017.45",percent of total billed charges ,957.6,percent of total billed charges ,957.6,percent of total billed charges ,837.9,percent of total billed charges ,837.9,percent of total billed charges ,718.2,percent of total billed charges ,718.2,percent of total billed charges ,718.2,percent of total billed charges ,718.2,percent of total billed charges ,,,,,636.8,percent of total billed charges ,,,,,604.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,
**LENS SURGERY,142,CDM,,,,both,,,"1,578.00","1,578.00",362.94,"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,"1,246.62",percent of total billed charges,"1,246.62",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 ,"1,246.62",percent of total billed charges ,"1,246.62",percent of total billed charges ,"1,341.30",percent of total billed charges ,"1,341.30",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 ,,,,,,,,,,,,,,,,,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,
**NON SPECIFIED EYE PROCEDURE,140,CDM,,,,both,,,"1,578.00","1,578.00",362.94,"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,"1,246.62",percent of total billed charges,"1,246.62",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 ,"1,246.62",percent of total billed charges ,"1,246.62",percent of total billed charges ,"1,341.30",percent of total billed charges ,"1,341.30",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 ,,,,,,,,,,,,,,,,,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,
**HYSTERECTOMY ABDOMINAL,846,CDM,,,,both,,,"2,105.00","2,105.00",484.15,"2,105.00","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,"1,662.95",percent of total billed charges,"1,662.95",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 ,,,"1,684.00",percent of total billed charges ,"1,662.95",percent of total billed charges ,"1,662.95",percent of total billed charges ,"1,789.25",percent of total billed charges ,"1,789.25",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 ,,,,,,,,,,,,,,,,,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,
**C-SECTION,1961,CDM,,,,both,,,"1,841.00","1,841.00",423.43,"1,841.00","1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,454.39",percent of total billed charges,"1,454.39",percent of total billed charges,"1,472.80",percent of total billed charges,"1,472.80",percent of total billed charges,,,"1,325.52",percent of total billed charges ,,,"1,472.80",percent of total billed charges ,"1,454.39",percent of total billed charges ,"1,454.39",percent of total billed charges ,"1,564.85",percent of total billed charges ,"1,564.85",percent of total billed charges ,"1,472.80",percent of total billed charges ,"1,472.80",percent of total billed charges ,"1,288.70",percent of total billed charges ,"1,288.70",percent of total billed charges ,"1,104.60",percent of total billed charges ,"1,104.60",percent of total billed charges ,"1,104.60",percent of total billed charges ,"1,104.60",percent of total billed charges ,,,,,979.41,percent of total billed charges ,,,,,930.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,
**VAGINAL PROCEDURE,940,CDM,,,,both,,,795,795,182.85,795,795,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,628.05,percent of total billed charges,628.05,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 ,628.05,percent of total billed charges ,628.05,percent of total billed charges ,675.75,percent of total billed charges ,675.75,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 ,,,,,,,,,,,,,,,,,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,
**VAGINAL INCOMP ABT,1965,CDM,,,,both,,,795,795,182.85,795,795,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,628.05,percent of total billed charges,628.05,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 ,628.05,percent of total billed charges ,628.05,percent of total billed charges ,675.75,percent of total billed charges ,675.75,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 ,,,,,,,,,,,,,,,,,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,
**HYSTERECTOMY VAGINAL,944,CDM,,,,both,,,"1,578.00","1,578.00",362.94,"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,"1,246.62",percent of total billed charges,"1,246.62",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 ,"1,246.62",percent of total billed charges ,"1,246.62",percent of total billed charges ,"1,341.30",percent of total billed charges ,"1,341.30",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 ,,,,,,,,,,,,,,,,,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,
**VAGINAL DELIVERY,1960,CDM,,,,both,,,"1,317.00","1,317.00",302.91,"1,317.00","1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,"1,040.43",percent of total billed charges,"1,040.43",percent of total billed charges,"1,053.60",percent of total billed charges,"1,053.60",percent of total billed charges,,,948.24,percent of total billed charges ,,,"1,053.60",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,053.60",percent of total billed charges ,"1,053.60",percent of total billed charges ,921.9,percent of total billed charges ,921.9,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,,,,,700.64,percent of total billed charges ,,,,,665.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,
**HYSTEROSCOPY,952,CDM,,,,both,,,"1,056.00","1,056.00",242.88,"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,834.24,percent of total billed charges,834.24,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 ,834.24,percent of total billed charges ,834.24,percent of total billed charges ,897.6,percent of total billed charges ,897.6,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 ,,,,,,,,,,,,,,,,,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,
**INTEG/NERV/MUSC-HEAD OR NECK,300,CDM,,,,both,,,"1,317.00","1,317.00",302.91,"1,317.00","1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,"1,040.43",percent of total billed charges,"1,040.43",percent of total billed charges,"1,053.60",percent of total billed charges,"1,053.60",percent of total billed charges,,,948.24,percent of total billed charges ,,,"1,053.60",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,053.60",percent of total billed charges ,"1,053.60",percent of total billed charges ,921.9,percent of total billed charges ,921.9,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,,,,,700.64,percent of total billed charges ,,,,,665.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,
**NERVE/MUSC/TEND UPPER LEG,1250,CDM,,,,both,,,"1,056.00","1,056.00",242.88,"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,834.24,percent of total billed charges,834.24,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 ,834.24,percent of total billed charges ,834.24,percent of total billed charges ,897.6,percent of total billed charges ,897.6,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 ,,,,,,,,,,,,,,,,,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,
**NERVE/MUSC/TEND KNEE,1320,CDM,,,,both,,,"1,056.00","1,056.00",242.88,"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,834.24,percent of total billed charges,834.24,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 ,834.24,percent of total billed charges ,834.24,percent of total billed charges ,897.6,percent of total billed charges ,897.6,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 ,,,,,,,,,,,,,,,,,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,
**NERV/MUSC/TEND LOWER LEG,1470,CDM,,,,both,,,795,795,182.85,795,795,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,628.05,percent of total billed charges,628.05,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 ,628.05,percent of total billed charges ,628.05,percent of total billed charges ,675.75,percent of total billed charges ,675.75,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 ,,,,,,,,,,,,,,,,,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,
**ACHILLES TENDON,1472,CDM,,,,both,,,"1,317.00","1,317.00",302.91,"1,317.00","1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,"1,040.43",percent of total billed charges,"1,040.43",percent of total billed charges,"1,053.60",percent of total billed charges,"1,053.60",percent of total billed charges,,,948.24,percent of total billed charges ,,,"1,053.60",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,053.60",percent of total billed charges ,"1,053.60",percent of total billed charges ,921.9,percent of total billed charges ,921.9,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,,,,,700.64,percent of total billed charges ,,,,,665.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,
**NERV/MUSC/TEND SHOULDER,1610,CDM,,,,both,,,"1,197.00","1,197.00",275.31,"1,197.00","1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,945.63,percent of total billed charges,945.63,percent of total billed charges,957.6,percent of total billed charges,957.6,percent of total billed charges,,,861.84,percent of total billed charges ,,,957.6,percent of total billed charges ,945.63,percent of total billed charges ,945.63,percent of total billed charges ,"1,017.45",percent of total billed charges ,"1,017.45",percent of total billed charges ,957.6,percent of total billed charges ,957.6,percent of total billed charges ,837.9,percent of total billed charges ,837.9,percent of total billed charges ,718.2,percent of total billed charges ,718.2,percent of total billed charges ,718.2,percent of total billed charges ,718.2,percent of total billed charges ,,,,,636.8,percent of total billed charges ,,,,,604.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,
**NERV/MUSC/TEND ARM OR ELBOW,1710,CDM,,,,both,,,795,795,182.85,795,795,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,628.05,percent of total billed charges,628.05,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 ,628.05,percent of total billed charges ,628.05,percent of total billed charges ,675.75,percent of total billed charges ,675.75,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 ,,,,,,,,,,,,,,,,,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,
**NERV/MUSC/TEND HAND,1810,CDM,,,,both,,,795,795,182.85,795,795,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,628.05,percent of total billed charges,628.05,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 ,628.05,percent of total billed charges ,628.05,percent of total billed charges ,675.75,percent of total billed charges ,675.75,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 ,,,,,,,,,,,,,,,,,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,
**TEMPORAL ARTERY BX,100,CDM,,,,both,,,"1,317.00","1,317.00",302.91,"1,317.00","1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,"1,040.43",percent of total billed charges,"1,040.43",percent of total billed charges,"1,053.60",percent of total billed charges,"1,053.60",percent of total billed charges,,,948.24,percent of total billed charges ,,,"1,053.60",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,053.60",percent of total billed charges ,"1,053.60",percent of total billed charges ,921.9,percent of total billed charges ,921.9,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,,,,,700.64,percent of total billed charges ,,,,,665.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,
**TRACH/THYROID/LARYNX,320,CDM,,,,both,,,"1,437.00","1,437.00",330.51,"1,437.00","1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,034.64",percent of total billed charges,"1,034.64",percent of total billed charges,"1,034.64",percent of total billed charges,"1,034.64",percent of total billed charges,"1,034.64",percent of total billed charges,"1,034.64",percent of total billed charges,"1,135.23",percent of total billed charges,"1,135.23",percent of total billed charges,"1,149.60",percent of total billed charges,"1,149.60",percent of total billed charges,,,"1,034.64",percent of total billed charges ,,,"1,149.60",percent of total billed charges ,"1,135.23",percent of total billed charges ,"1,135.23",percent of total billed charges ,"1,221.45",percent of total billed charges ,"1,221.45",percent of total billed charges ,"1,149.60",percent of total billed charges ,"1,149.60",percent of total billed charges ,"1,005.90",percent of total billed charges ,"1,005.90",percent of total billed charges ,862.2,percent of total billed charges ,862.2,percent of total billed charges ,862.2,percent of total billed charges ,862.2,percent of total billed charges ,,,,,764.48,percent of total billed charges ,,,,,726.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,
**INTEGUMENT EXCLUDING HEAD/NE,400,CDM,,,,both,,,795,795,182.85,795,795,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,628.05,percent of total billed charges,628.05,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 ,628.05,percent of total billed charges ,628.05,percent of total billed charges ,675.75,percent of total billed charges ,675.75,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 ,,,,,,,,,,,,,,,,,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,
**MASECTOMY,404,CDM,,,,both,,,"1,317.00","1,317.00",302.91,"1,317.00","1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,"1,040.43",percent of total billed charges,"1,040.43",percent of total billed charges,"1,053.60",percent of total billed charges,"1,053.60",percent of total billed charges,,,948.24,percent of total billed charges ,,,"1,053.60",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,053.60",percent of total billed charges ,"1,053.60",percent of total billed charges ,921.9,percent of total billed charges ,921.9,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,,,,,700.64,percent of total billed charges ,,,,,665.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,
**BIOPSY SOFT TISSUE FACE,164,CDM,,,,both,,,795,795,182.85,795,795,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,628.05,percent of total billed charges,628.05,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 ,628.05,percent of total billed charges ,628.05,percent of total billed charges ,675.75,percent of total billed charges ,675.75,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 ,,,,,,,,,,,,,,,,,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,
**ABDOM - EP LOWER,860,CDM,,,,both,,,"1,578.00","1,578.00",362.94,"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,"1,246.62",percent of total billed charges,"1,246.62",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 ,"1,246.62",percent of total billed charges ,"1,246.62",percent of total billed charges ,"1,341.30",percent of total billed charges ,"1,341.30",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 ,,,,,,,,,,,,,,,,,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,
**TRANSURETHRAL,910,CDM,,,,both,,,795,795,182.85,795,795,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,628.05,percent of total billed charges,628.05,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 ,628.05,percent of total billed charges ,628.05,percent of total billed charges ,675.75,percent of total billed charges ,675.75,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 ,,,,,,,,,,,,,,,,,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,
**BLADDER TUMOR,912,CDM,,,,both,,,"1,317.00","1,317.00",302.91,"1,317.00","1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,"1,040.43",percent of total billed charges,"1,040.43",percent of total billed charges,"1,053.60",percent of total billed charges,"1,053.60",percent of total billed charges,,,948.24,percent of total billed charges ,,,"1,053.60",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,053.60",percent of total billed charges ,"1,053.60",percent of total billed charges ,921.9,percent of total billed charges ,921.9,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,,,,,700.64,percent of total billed charges ,,,,,665.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,
**TUR OF PROSTATE,914,CDM,,,,both,,,"1,317.00","1,317.00",302.91,"1,317.00","1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,"1,040.43",percent of total billed charges,"1,040.43",percent of total billed charges,"1,053.60",percent of total billed charges,"1,053.60",percent of total billed charges,,,948.24,percent of total billed charges ,,,"1,053.60",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,053.60",percent of total billed charges ,"1,053.60",percent of total billed charges ,921.9,percent of total billed charges ,921.9,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,,,,,700.64,percent of total billed charges ,,,,,665.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,
**URETEROLITHOTOMY,918,CDM,,,,both,,,"1,317.00","1,317.00",302.91,"1,317.00","1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,"1,040.43",percent of total billed charges,"1,040.43",percent of total billed charges,"1,053.60",percent of total billed charges,"1,053.60",percent of total billed charges,,,948.24,percent of total billed charges ,,,"1,053.60",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,053.60",percent of total billed charges ,"1,053.60",percent of total billed charges ,921.9,percent of total billed charges ,921.9,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,,,,,700.64,percent of total billed charges ,,,,,665.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,
**MALE EXTERNAL GEN,920,CDM,,,,both,,,795,795,182.85,795,795,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,628.05,percent of total billed charges,628.05,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 ,628.05,percent of total billed charges ,628.05,percent of total billed charges ,675.75,percent of total billed charges ,675.75,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 ,,,,,,,,,,,,,,,,,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,
**SPERMATOCELE,922,CDM,,,,both,,,"1,578.00","1,578.00",362.94,"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,"1,246.62",percent of total billed charges,"1,246.62",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 ,"1,246.62",percent of total billed charges ,"1,246.62",percent of total billed charges ,"1,341.30",percent of total billed charges ,"1,341.30",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 ,,,,,,,,,,,,,,,,,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,
**UNDESCENDED TESTICAL,924,CDM,,,,both,,,962,962,221.26,962,962,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,759.98,percent of total billed charges,759.98,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 ,759.98,percent of total billed charges ,759.98,percent of total billed charges ,817.7,percent of total billed charges ,817.7,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 ,,,,,,,,,,,,,,,,,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,
**ORCHIECTOMY-ING,926,CDM,,,,both,,,962,962,221.26,962,962,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,759.98,percent of total billed charges,759.98,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 ,759.98,percent of total billed charges ,759.98,percent of total billed charges ,817.7,percent of total billed charges ,817.7,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 ,,,,,,,,,,,,,,,,,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,
**ORCHIECTOMY-ABD,928,CDM,,,,both,,,"1,437.00","1,437.00",330.51,"1,437.00","1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,034.64",percent of total billed charges,"1,034.64",percent of total billed charges,"1,034.64",percent of total billed charges,"1,034.64",percent of total billed charges,"1,034.64",percent of total billed charges,"1,034.64",percent of total billed charges,"1,135.23",percent of total billed charges,"1,135.23",percent of total billed charges,"1,149.60",percent of total billed charges,"1,149.60",percent of total billed charges,,,"1,034.64",percent of total billed charges ,,,"1,149.60",percent of total billed charges ,"1,135.23",percent of total billed charges ,"1,135.23",percent of total billed charges ,"1,221.45",percent of total billed charges ,"1,221.45",percent of total billed charges ,"1,149.60",percent of total billed charges ,"1,149.60",percent of total billed charges ,"1,005.90",percent of total billed charges ,"1,005.90",percent of total billed charges ,862.2,percent of total billed charges ,862.2,percent of total billed charges ,862.2,percent of total billed charges ,862.2,percent of total billed charges ,,,,,764.48,percent of total billed charges ,,,,,726.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,
**ORCHIOPEXY,930,CDM,,,,both,,,962,962,221.26,962,962,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,759.98,percent of total billed charges,759.98,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 ,759.98,percent of total billed charges ,759.98,percent of total billed charges ,817.7,percent of total billed charges ,817.7,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 ,,,,,,,,,,,,,,,,,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,
HEMOGLOBIN,85018,CDM,,,QW,both,,,82,82,18.86,82,82,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,64.78,percent of total billed charges,64.78,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 ,64.78,percent of total billed charges ,64.78,percent of total billed charges ,69.7,percent of total billed charges ,69.7,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**UPPER POSTERIOR ABD WALL,730,CDM,,,,both,,,"1,317.00","1,317.00",302.91,"1,317.00","1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,"1,040.43",percent of total billed charges,"1,040.43",percent of total billed charges,"1,053.60",percent of total billed charges,"1,053.60",percent of total billed charges,,,948.24,percent of total billed charges ,,,"1,053.60",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,053.60",percent of total billed charges ,"1,053.60",percent of total billed charges ,921.9,percent of total billed charges ,921.9,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,,,,,700.64,percent of total billed charges ,,,,,665.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,
**EPIDURAL CONT VAG,1967,CDM,,,,both,,,"1,317.00","1,317.00",302.91,"1,317.00","1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,"1,040.43",percent of total billed charges,"1,040.43",percent of total billed charges,"1,053.60",percent of total billed charges,"1,053.60",percent of total billed charges,,,948.24,percent of total billed charges ,,,"1,053.60",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,053.60",percent of total billed charges ,"1,053.60",percent of total billed charges ,921.9,percent of total billed charges ,921.9,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,,,,,700.64,percent of total billed charges ,,,,,665.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,
**EPIDURAL CONT C-SECTION,1968,CDM,,,,both,,,"1,841.00","1,841.00",423.43,"1,841.00","1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,454.39",percent of total billed charges,"1,454.39",percent of total billed charges,"1,472.80",percent of total billed charges,"1,472.80",percent of total billed charges,,,"1,325.52",percent of total billed charges ,,,"1,472.80",percent of total billed charges ,"1,454.39",percent of total billed charges ,"1,454.39",percent of total billed charges ,"1,564.85",percent of total billed charges ,"1,564.85",percent of total billed charges ,"1,472.80",percent of total billed charges ,"1,472.80",percent of total billed charges ,"1,288.70",percent of total billed charges ,"1,288.70",percent of total billed charges ,"1,104.60",percent of total billed charges ,"1,104.60",percent of total billed charges ,"1,104.60",percent of total billed charges ,"1,104.60",percent of total billed charges ,,,,,979.41,percent of total billed charges ,,,,,930.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,
**NERVE INTERSCALINE BRACHIAL PLEX,64415,CDM,,,,both,,,"1,913.00","1,913.00",439.99,"1,913.00","1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,377.36",percent of total billed charges,"1,377.36",percent of total billed charges,"1,377.36",percent of total billed charges,"1,377.36",percent of total billed charges,"1,377.36",percent of total billed charges,"1,377.36",percent of total billed charges,"1,511.27",percent of total billed charges,"1,511.27",percent of total billed charges,"1,530.40",percent of total billed charges,"1,530.40",percent of total billed charges,,,"1,377.36",percent of total billed charges ,,,"1,530.40",percent of total billed charges ,"1,511.27",percent of total billed charges ,"1,511.27",percent of total billed charges ,"1,626.05",percent of total billed charges ,"1,626.05",percent of total billed charges ,"1,530.40",percent of total billed charges ,"1,530.40",percent of total billed charges ,"1,339.10",percent of total billed charges ,"1,339.10",percent of total billed charges ,"1,147.80",percent of total billed charges ,"1,147.80",percent of total billed charges ,"1,147.80",percent of total billed charges ,"1,147.80",percent of total billed charges ,,,,,"1,017.72",percent of total billed charges ,,,,,966.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,
**FEMORAL NERVE BLOCK,64447,CDM,,,,both,,,"1,841.00","1,841.00",423.43,"1,841.00","1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,454.39",percent of total billed charges,"1,454.39",percent of total billed charges,"1,472.80",percent of total billed charges,"1,472.80",percent of total billed charges,,,"1,325.52",percent of total billed charges ,,,"1,472.80",percent of total billed charges ,"1,454.39",percent of total billed charges ,"1,454.39",percent of total billed charges ,"1,564.85",percent of total billed charges ,"1,564.85",percent of total billed charges ,"1,472.80",percent of total billed charges ,"1,472.80",percent of total billed charges ,"1,288.70",percent of total billed charges ,"1,288.70",percent of total billed charges ,"1,104.60",percent of total billed charges ,"1,104.60",percent of total billed charges ,"1,104.60",percent of total billed charges ,"1,104.60",percent of total billed charges ,,,,,979.41,percent of total billed charges ,,,,,930.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,
**FACIAL BONES/SKULL,190,CDM,,,,both,,,"1,320.00","1,320.00",303.6,"1,320.00","1,320.00",percent of total billed charges,"1,320.00",percent of total billed charges,"1,320.00",percent of total billed charges,"1,320.00",percent of total billed charges,"1,320.00",percent of total billed charges,"1,320.00",percent of total billed charges,"1,320.00",percent of total billed charges,"1,320.00",percent of total billed charges,950.4,percent of total billed charges,950.4,percent of total billed charges,950.4,percent of total billed charges,950.4,percent of total billed charges,950.4,percent of total billed charges,950.4,percent of total billed charges,"1,042.80",percent of total billed charges,"1,042.80",percent of total billed charges,"1,056.00",percent of total billed charges,"1,056.00",percent of total billed charges,,,950.4,percent of total billed charges ,,,"1,056.00",percent of total billed charges ,"1,042.80",percent of total billed charges ,"1,042.80",percent of total billed charges ,"1,122.00",percent of total billed charges ,"1,122.00",percent of total billed charges ,"1,056.00",percent of total billed charges ,"1,056.00",percent of total billed charges ,924,percent of total billed charges ,924,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 ,,,,,702.24,percent of total billed charges ,,,,,667.13,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,,,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,,,303.6,percent of total billed charges,,,303.6,percent of total billed charges,,,303.6,percent of total billed charges,
AXILLARY NERVE BLOCK,64417,CDM,,,,both,,,"1,913.00","1,913.00",439.99,"1,913.00","1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,377.36",percent of total billed charges,"1,377.36",percent of total billed charges,"1,377.36",percent of total billed charges,"1,377.36",percent of total billed charges,"1,377.36",percent of total billed charges,"1,377.36",percent of total billed charges,"1,511.27",percent of total billed charges,"1,511.27",percent of total billed charges,"1,530.40",percent of total billed charges,"1,530.40",percent of total billed charges,,,"1,377.36",percent of total billed charges ,,,"1,530.40",percent of total billed charges ,"1,511.27",percent of total billed charges ,"1,511.27",percent of total billed charges ,"1,626.05",percent of total billed charges ,"1,626.05",percent of total billed charges ,"1,530.40",percent of total billed charges ,"1,530.40",percent of total billed charges ,"1,339.10",percent of total billed charges ,"1,339.10",percent of total billed charges ,"1,147.80",percent of total billed charges ,"1,147.80",percent of total billed charges ,"1,147.80",percent of total billed charges ,"1,147.80",percent of total billed charges ,,,,,"1,017.72",percent of total billed charges ,,,,,966.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,
**AXILLARY NERVE BLOCK,64417,CDM,,,,both,,,"1,913.00","1,913.00",439.99,"1,913.00","1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,377.36",percent of total billed charges,"1,377.36",percent of total billed charges,"1,377.36",percent of total billed charges,"1,377.36",percent of total billed charges,"1,377.36",percent of total billed charges,"1,377.36",percent of total billed charges,"1,511.27",percent of total billed charges,"1,511.27",percent of total billed charges,"1,530.40",percent of total billed charges,"1,530.40",percent of total billed charges,,,"1,377.36",percent of total billed charges ,,,"1,530.40",percent of total billed charges ,"1,511.27",percent of total billed charges ,"1,511.27",percent of total billed charges ,"1,626.05",percent of total billed charges ,"1,626.05",percent of total billed charges ,"1,530.40",percent of total billed charges ,"1,530.40",percent of total billed charges ,"1,339.10",percent of total billed charges ,"1,339.10",percent of total billed charges ,"1,147.80",percent of total billed charges ,"1,147.80",percent of total billed charges ,"1,147.80",percent of total billed charges ,"1,147.80",percent of total billed charges ,,,,,"1,017.72",percent of total billed charges ,,,,,966.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,
**SCIATIC NERVE BLOCK,64445,CDM,,,,both,,,"1,841.00","1,841.00",423.43,"1,841.00","1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,841.00",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,325.52",percent of total billed charges,"1,454.39",percent of total billed charges,"1,454.39",percent of total billed charges,"1,472.80",percent of total billed charges,"1,472.80",percent of total billed charges,,,"1,325.52",percent of total billed charges ,,,"1,472.80",percent of total billed charges ,"1,454.39",percent of total billed charges ,"1,454.39",percent of total billed charges ,"1,564.85",percent of total billed charges ,"1,564.85",percent of total billed charges ,"1,472.80",percent of total billed charges ,"1,472.80",percent of total billed charges ,"1,288.70",percent of total billed charges ,"1,288.70",percent of total billed charges ,"1,104.60",percent of total billed charges ,"1,104.60",percent of total billed charges ,"1,104.60",percent of total billed charges ,"1,104.60",percent of total billed charges ,,,,,979.41,percent of total billed charges ,,,,,930.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,,,423.43,percent of total billed charges,
**PERIPHERAL NERVE,64450,CDM,,,GF,both,,,"1,317.00","1,317.00",302.91,"1,317.00","1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,"1,040.43",percent of total billed charges,"1,040.43",percent of total billed charges,"1,053.60",percent of total billed charges,"1,053.60",percent of total billed charges,,,948.24,percent of total billed charges ,,,"1,053.60",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,053.60",percent of total billed charges ,"1,053.60",percent of total billed charges ,921.9,percent of total billed charges ,921.9,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,,,,,700.64,percent of total billed charges ,,,,,665.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,
TOTAL SHOULDER,370,RC,55513-01-2610,NDC,,both,,,"8,047.00","8,047.00","1,850.81","8,047.00","8,047.00",percent of total billed charges,"8,047.00",percent of total billed charges,"8,047.00",percent of total billed charges,"8,047.00",percent of total billed charges,"8,047.00",percent of total billed charges,"8,047.00",percent of total billed charges,"8,047.00",percent of total billed charges,"8,047.00",percent of total billed charges,"5,793.84",percent of total billed charges,"5,793.84",percent of total billed charges,"5,793.84",percent of total billed charges,"5,793.84",percent of total billed charges,"5,793.84",percent of total billed charges,"5,793.84",percent of total billed charges,"6,357.13",percent of total billed charges,"6,357.13",percent of total billed charges,"6,437.60",percent of total billed charges,"6,437.60",percent of total billed charges,,,"5,793.84",percent of total billed charges ,,,"6,437.60",percent of total billed charges ,"6,357.13",percent of total billed charges ,"6,357.13",percent of total billed charges ,"6,839.95",percent of total billed charges ,"6,839.95",percent of total billed charges ,"6,437.60",percent of total billed charges ,"6,437.60",percent of total billed charges ,"5,632.90",percent of total billed charges ,"5,632.90",percent of total billed charges ,"4,828.20",percent of total billed charges ,"4,828.20",percent of total billed charges ,"4,828.20",percent of total billed charges ,"4,828.20",percent of total billed charges ,,,,,"4,281.00",percent of total billed charges ,,,,,"4,066.95",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,850.81",percent of total billed charges,,,"1,850.81",percent of total billed charges,,,"1,850.81",percent of total billed charges,,,"1,850.81",percent of total billed charges,,,"1,850.81",percent of total billed charges,,,"1,850.81",percent of total billed charges,,,"1,850.81",percent of total billed charges,,,"1,850.81",percent of total billed charges,,,"1,850.81",percent of total billed charges,,,"1,850.81",percent of total billed charges,,,"1,850.81",percent of total billed charges,
**TOTAL SHOULDER,1638,CDM,,,QZ,both,,,"2,637.00","2,637.00",606.51,"2,637.00","2,637.00",percent of total billed charges,"2,637.00",percent of total billed charges,"2,637.00",percent of total billed charges,"2,637.00",percent of total billed charges,"2,637.00",percent of total billed charges,"2,637.00",percent of total billed charges,"2,637.00",percent of total billed charges,"2,637.00",percent of total billed charges,"1,898.64",percent of total billed charges,"1,898.64",percent of total billed charges,"1,898.64",percent of total billed charges,"1,898.64",percent of total billed charges,"1,898.64",percent of total billed charges,"1,898.64",percent of total billed charges,"2,083.23",percent of total billed charges,"2,083.23",percent of total billed charges,"2,109.60",percent of total billed charges,"2,109.60",percent of total billed charges,,,"1,898.64",percent of total billed charges ,,,"2,109.60",percent of total billed charges ,"2,083.23",percent of total billed charges ,"2,083.23",percent of total billed charges ,"2,241.45",percent of total billed charges ,"2,241.45",percent of total billed charges ,"2,109.60",percent of total billed charges ,"2,109.60",percent of total billed charges ,"1,845.90",percent of total billed charges ,"1,845.90",percent of total billed charges ,"1,582.20",percent of total billed charges ,"1,582.20",percent of total billed charges ,"1,582.20",percent of total billed charges ,"1,582.20",percent of total billed charges ,,,,,"1,402.88",percent of total billed charges ,,,,,"1,332.74",percent of total billed charges ,,,,,,,,,,,,,,,,,,,606.51,percent of total billed charges,,,606.51,percent of total billed charges,,,606.51,percent of total billed charges,,,606.51,percent of total billed charges,,,606.51,percent of total billed charges,,,606.51,percent of total billed charges,,,606.51,percent of total billed charges,,,606.51,percent of total billed charges,,,606.51,percent of total billed charges,,,606.51,percent of total billed charges,,,606.51,percent of total billed charges,
**NONINVASIVE IMAGING,1922,CDM,,,,both,,,"1,367.00","1,367.00",314.41,"1,367.00","1,367.00",percent of total billed charges,"1,367.00",percent of total billed charges,"1,367.00",percent of total billed charges,"1,367.00",percent of total billed charges,"1,367.00",percent of total billed charges,"1,367.00",percent of total billed charges,"1,367.00",percent of total billed charges,"1,367.00",percent of total billed charges,984.24,percent of total billed charges,984.24,percent of total billed charges,984.24,percent of total billed charges,984.24,percent of total billed charges,984.24,percent of total billed charges,984.24,percent of total billed charges,"1,079.93",percent of total billed charges,"1,079.93",percent of total billed charges,"1,093.60",percent of total billed charges,"1,093.60",percent of total billed charges,,,984.24,percent of total billed charges ,,,"1,093.60",percent of total billed charges ,"1,079.93",percent of total billed charges ,"1,079.93",percent of total billed charges ,"1,161.95",percent of total billed charges ,"1,161.95",percent of total billed charges ,"1,093.60",percent of total billed charges ,"1,093.60",percent of total billed charges ,956.9,percent of total billed charges ,956.9,percent of total billed charges ,820.2,percent of total billed charges ,820.2,percent of total billed charges ,820.2,percent of total billed charges ,820.2,percent of total billed charges ,,,,,727.24,percent of total billed charges ,,,,,690.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,314.41,percent of total billed charges,,,314.41,percent of total billed charges,,,314.41,percent of total billed charges,,,314.41,percent of total billed charges,,,314.41,percent of total billed charges,,,314.41,percent of total billed charges,,,314.41,percent of total billed charges,,,314.41,percent of total billed charges,,,314.41,percent of total billed charges,,,314.41,percent of total billed charges,,,314.41,percent of total billed charges,
LIVER BIOPSY (PERCUTANEOUS),702,CDM,,,,both,,,"1,056.00","1,056.00",242.88,"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,834.24,percent of total billed charges,834.24,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 ,834.24,percent of total billed charges ,834.24,percent of total billed charges ,897.6,percent of total billed charges ,897.6,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 ,,,,,,,,,,,,,,,,,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,
ANESTH FACE/SKULL,190,CDM,,,,both,,,"1,378.00","1,378.00",316.94,"1,378.00","1,378.00",percent of total billed charges,"1,378.00",percent of total billed charges,"1,378.00",percent of total billed charges,"1,378.00",percent of total billed charges,"1,378.00",percent of total billed charges,"1,378.00",percent of total billed charges,"1,378.00",percent of total billed charges,"1,378.00",percent of total billed charges,992.16,percent of total billed charges,992.16,percent of total billed charges,992.16,percent of total billed charges,992.16,percent of total billed charges,992.16,percent of total billed charges,992.16,percent of total billed charges,"1,088.62",percent of total billed charges,"1,088.62",percent of total billed charges,"1,102.40",percent of total billed charges,"1,102.40",percent of total billed charges,,,992.16,percent of total billed charges ,,,"1,102.40",percent of total billed charges ,"1,088.62",percent of total billed charges ,"1,088.62",percent of total billed charges ,"1,171.30",percent of total billed charges ,"1,171.30",percent of total billed charges ,"1,102.40",percent of total billed charges ,"1,102.40",percent of total billed charges ,964.6,percent of total billed charges ,964.6,percent of total billed charges ,826.8,percent of total billed charges ,826.8,percent of total billed charges ,826.8,percent of total billed charges ,826.8,percent of total billed charges ,,,,,733.1,percent of total billed charges ,,,,,696.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,316.94,percent of total billed charges,,,316.94,percent of total billed charges,,,316.94,percent of total billed charges,,,316.94,percent of total billed charges,,,316.94,percent of total billed charges,,,316.94,percent of total billed charges,,,316.94,percent of total billed charges,,,316.94,percent of total billed charges,,,316.94,percent of total billed charges,,,316.94,percent of total billed charges,,,316.94,percent of total billed charges,
INTEG/NERV/MUSC- HEAD OR NECK,370,RC,55513-01-2610,NDC,,both,,,"4,270.00","4,270.00",982.1,"4,270.00","4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"4,270.00",percent of total billed charges,"3,074.40",percent of total billed charges,"3,074.40",percent of total billed charges,"3,074.40",percent of total billed charges,"3,074.40",percent of total billed charges,"3,074.40",percent of total billed charges,"3,074.40",percent of total billed charges,"3,373.30",percent of total billed charges,"3,373.30",percent of total billed charges,"3,416.00",percent of total billed charges,"3,416.00",percent of total billed charges,,,"3,074.40",percent of total billed charges ,,,"3,416.00",percent of total billed charges ,"3,373.30",percent of total billed charges ,"3,373.30",percent of total billed charges ,"3,629.50",percent of total billed charges ,"3,629.50",percent of total billed charges ,"3,416.00",percent of total billed charges ,"3,416.00",percent of total billed charges ,"2,989.00",percent of total billed charges ,"2,989.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,,,,,"2,271.64",percent of total billed charges ,,,,,"2,158.06",percent of total billed charges ,,,,,,,,,,,,,,,,,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,,,982.1,percent of total billed charges,
ULTRASOUND GUIDANCE-NEDDLE PLACEMENT/BLO,76942,CDM,,,,both,,,"1,244.00","1,244.00",286.12,"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,982.76,percent of total billed charges,982.76,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 ,982.76,percent of total billed charges ,982.76,percent of total billed charges ,"1,057.40",percent of total billed charges ,"1,057.40",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 ,,,,,,,,,,,,,,,,,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,
ANES COMBINED UPPER/LOWER ENDOSCOPY,813,CDM,,,,both,,,"1,317.00","1,317.00",302.91,"1,317.00","1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,"1,040.43",percent of total billed charges,"1,040.43",percent of total billed charges,"1,053.60",percent of total billed charges,"1,053.60",percent of total billed charges,,,948.24,percent of total billed charges ,,,"1,053.60",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,053.60",percent of total billed charges ,"1,053.60",percent of total billed charges ,921.9,percent of total billed charges ,921.9,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,,,,,700.64,percent of total billed charges ,,,,,665.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,
COLPORRAPHY,942,CDM,,,,both,,,943,943,216.89,943,943,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,744.97,percent of total billed charges,744.97,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 ,744.97,percent of total billed charges ,744.97,percent of total billed charges ,801.55,percent of total billed charges ,801.55,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 ,,,,,,,,,,,,,,,,,,,216.89,percent of total billed charges,,,216.89,percent of total billed charges,,,216.89,percent of total billed charges,,,216.89,percent of total billed charges,,,216.89,percent of total billed charges,,,216.89,percent of total billed charges,,,216.89,percent of total billed charges,,,216.89,percent of total billed charges,,,216.89,percent of total billed charges,,,216.89,percent of total billed charges,,,216.89,percent of total billed charges,
REMOVAL ABDOMINAL WALL MASS PRO FEE,820,CDM,,,,both,,,"1,172.00","1,172.00",269.56,"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,925.88,percent of total billed charges,925.88,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 ,925.88,percent of total billed charges ,925.88,percent of total billed charges ,996.2,percent of total billed charges ,996.2,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 ,,,,,,,,,,,,,,,,,,,269.56,percent of total billed charges,,,269.56,percent of total billed charges,,,269.56,percent of total billed charges,,,269.56,percent of total billed charges,,,269.56,percent of total billed charges,,,269.56,percent of total billed charges,,,269.56,percent of total billed charges,,,269.56,percent of total billed charges,,,269.56,percent of total billed charges,,,269.56,percent of total billed charges,,,269.56,percent of total billed charges,
COLPORRAPHY-FAC,942,CDM,,,,both,,,"1,183.00","1,183.00",272.09,"1,183.00","1,183.00",percent of total billed charges,"1,183.00",percent of total billed charges,"1,183.00",percent of total billed charges,"1,183.00",percent of total billed charges,"1,183.00",percent of total billed charges,"1,183.00",percent of total billed charges,"1,183.00",percent of total billed charges,"1,183.00",percent of total billed charges,851.76,percent of total billed charges,851.76,percent of total billed charges,851.76,percent of total billed charges,851.76,percent of total billed charges,851.76,percent of total billed charges,851.76,percent of total billed charges,934.57,percent of total billed charges,934.57,percent of total billed charges,946.4,percent of total billed charges,946.4,percent of total billed charges,,,851.76,percent of total billed charges ,,,946.4,percent of total billed charges ,934.57,percent of total billed charges ,934.57,percent of total billed charges ,"1,005.55",percent of total billed charges ,"1,005.55",percent of total billed charges ,946.4,percent of total billed charges ,946.4,percent of total billed charges ,828.1,percent of total billed charges ,828.1,percent of total billed charges ,709.8,percent of total billed charges ,709.8,percent of total billed charges ,709.8,percent of total billed charges ,709.8,percent of total billed charges ,,,,,629.36,percent of total billed charges ,,,,,597.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,272.09,percent of total billed charges,,,272.09,percent of total billed charges,,,272.09,percent of total billed charges,,,272.09,percent of total billed charges,,,272.09,percent of total billed charges,,,272.09,percent of total billed charges,,,272.09,percent of total billed charges,,,272.09,percent of total billed charges,,,272.09,percent of total billed charges,,,272.09,percent of total billed charges,,,272.09,percent of total billed charges,
ABDOMINAL WALL MASS REMOVAL TECH FEE,820,CDM,,,,both,,,"1,059.00","1,059.00",243.57,"1,059.00","1,059.00",percent of total billed charges,"1,059.00",percent of total billed charges,"1,059.00",percent of total billed charges,"1,059.00",percent of total billed charges,"1,059.00",percent of total billed charges,"1,059.00",percent of total billed charges,"1,059.00",percent of total billed charges,"1,059.00",percent of total billed charges,762.48,percent of total billed charges,762.48,percent of total billed charges,762.48,percent of total billed charges,762.48,percent of total billed charges,762.48,percent of total billed charges,762.48,percent of total billed charges,836.61,percent of total billed charges,836.61,percent of total billed charges,847.2,percent of total billed charges,847.2,percent of total billed charges,,,762.48,percent of total billed charges ,,,847.2,percent of total billed charges ,836.61,percent of total billed charges ,836.61,percent of total billed charges ,900.15,percent of total billed charges ,900.15,percent of total billed charges ,847.2,percent of total billed charges ,847.2,percent of total billed charges ,741.3,percent of total billed charges ,741.3,percent of total billed charges ,635.4,percent of total billed charges ,635.4,percent of total billed charges ,635.4,percent of total billed charges ,635.4,percent of total billed charges ,,,,,563.39,percent of total billed charges ,,,,,535.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,243.57,percent of total billed charges,,,243.57,percent of total billed charges,,,243.57,percent of total billed charges,,,243.57,percent of total billed charges,,,243.57,percent of total billed charges,,,243.57,percent of total billed charges,,,243.57,percent of total billed charges,,,243.57,percent of total billed charges,,,243.57,percent of total billed charges,,,243.57,percent of total billed charges,,,243.57,percent of total billed charges,
UPPER ANTERIOR ABDOMINAL WALL-FAC,700,CDM,,,,both,,,980,980,225.4,980,980,percent of total billed charges,980,percent of total billed charges,980,percent of total billed charges,980,percent of total billed charges,980,percent of total billed charges,980,percent of total billed charges,980,percent of total billed charges,980,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,774.2,percent of total billed charges,774.2,percent of total billed charges,784,percent of total billed charges,784,percent of total billed charges,,,705.6,percent of total billed charges ,,,784,percent of total billed charges ,774.2,percent of total billed charges ,774.2,percent of total billed charges ,833,percent of total billed charges ,833,percent of total billed charges ,784,percent of total billed charges ,784,percent of total billed charges ,686,percent of total billed charges ,686,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 ,,,,,521.36,percent of total billed charges ,,,,,495.29,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,
TYMPANOTOMY-PF,126,CDM,,,,both,,,"1,056.00","1,056.00",242.88,"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,834.24,percent of total billed charges,834.24,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 ,834.24,percent of total billed charges ,834.24,percent of total billed charges ,897.6,percent of total billed charges ,897.6,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 ,,,,,,,,,,,,,,,,,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,
TYMPANOTOMY-FAC,126,CDM,,,,both,,,"1,437.00","1,437.00",330.51,"1,437.00","1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,437.00",percent of total billed charges,"1,034.64",percent of total billed charges,"1,034.64",percent of total billed charges,"1,034.64",percent of total billed charges,"1,034.64",percent of total billed charges,"1,034.64",percent of total billed charges,"1,034.64",percent of total billed charges,"1,135.23",percent of total billed charges,"1,135.23",percent of total billed charges,"1,149.60",percent of total billed charges,"1,149.60",percent of total billed charges,,,"1,034.64",percent of total billed charges ,,,"1,149.60",percent of total billed charges ,"1,135.23",percent of total billed charges ,"1,135.23",percent of total billed charges ,"1,221.45",percent of total billed charges ,"1,221.45",percent of total billed charges ,"1,149.60",percent of total billed charges ,"1,149.60",percent of total billed charges ,"1,005.90",percent of total billed charges ,"1,005.90",percent of total billed charges ,862.2,percent of total billed charges ,862.2,percent of total billed charges ,862.2,percent of total billed charges ,862.2,percent of total billed charges ,,,,,764.48,percent of total billed charges ,,,,,726.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,,,330.51,percent of total billed charges,
CERCLAGE-PF,948,CDM,,,,both,,,"1,056.00","1,056.00",242.88,"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,834.24,percent of total billed charges,834.24,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 ,834.24,percent of total billed charges ,834.24,percent of total billed charges ,897.6,percent of total billed charges ,897.6,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 ,,,,,,,,,,,,,,,,,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,,,242.88,percent of total billed charges,
CERCLAGE-FAC,948,CDM,,,,both,,,"2,638.00","2,638.00",606.74,"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,"2,084.02",percent of total billed charges,"2,084.02",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 ,"2,084.02",percent of total billed charges ,"2,084.02",percent of total billed charges ,"2,242.30",percent of total billed charges ,"2,242.30",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 ,,,,,,,,,,,,,,,,,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,,,606.74,percent of total billed charges,
VASECTOMY-PF,921,CDM,,,,both,,,795,795,182.85,795,795,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,628.05,percent of total billed charges,628.05,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 ,628.05,percent of total billed charges ,628.05,percent of total billed charges ,675.75,percent of total billed charges ,675.75,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 ,,,,,,,,,,,,,,,,,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,
VASECTOMY-FAC,921,CDM,,,,both,,,"3,242.00","3,242.00",745.66,"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,"2,561.18",percent of total billed charges,"2,561.18",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 ,"2,561.18",percent of total billed charges ,"2,561.18",percent of total billed charges ,"2,755.70",percent of total billed charges ,"2,755.70",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 ,,,,,,,,,,,,,,,,,,,745.66,percent of total billed charges,,,745.66,percent of total billed charges,,,745.66,percent of total billed charges,,,745.66,percent of total billed charges,,,745.66,percent of total billed charges,,,745.66,percent of total billed charges,,,745.66,percent of total billed charges,,,745.66,percent of total billed charges,,,745.66,percent of total billed charges,,,745.66,percent of total billed charges,,,745.66,percent of total billed charges,
TUBAL LIGATION-PF,851,CDM,,,,both,,,"1,578.00","1,578.00",362.94,"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,"1,246.62",percent of total billed charges,"1,246.62",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 ,"1,246.62",percent of total billed charges ,"1,246.62",percent of total billed charges ,"1,341.30",percent of total billed charges ,"1,341.30",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 ,,,,,,,,,,,,,,,,,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,
TUBAL LIGATION-FAC,851,CDM,,,,both,,,"3,841.00","3,841.00",883.43,"3,841.00","3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"3,841.00",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"2,765.52",percent of total billed charges,"3,034.39",percent of total billed charges,"3,034.39",percent of total billed charges,"3,072.80",percent of total billed charges,"3,072.80",percent of total billed charges,,,"2,765.52",percent of total billed charges ,,,"3,072.80",percent of total billed charges ,"3,034.39",percent of total billed charges ,"3,034.39",percent of total billed charges ,"3,264.85",percent of total billed charges ,"3,264.85",percent of total billed charges ,"3,072.80",percent of total billed charges ,"3,072.80",percent of total billed charges ,"2,688.70",percent of total billed charges ,"2,688.70",percent of total billed charges ,"2,304.60",percent of total billed charges ,"2,304.60",percent of total billed charges ,"2,304.60",percent of total billed charges ,"2,304.60",percent of total billed charges ,,,,,"2,043.41",percent of total billed charges ,,,,,"1,941.24",percent of total billed charges ,,,,,,,,,,,,,,,,,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,,,883.43,percent of total billed charges,
VERSION EXTERNAL CEPHALIC-PF,1958,CDM,,,,both,,,"1,317.00","1,317.00",302.91,"1,317.00","1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,"1,040.43",percent of total billed charges,"1,040.43",percent of total billed charges,"1,053.60",percent of total billed charges,"1,053.60",percent of total billed charges,,,948.24,percent of total billed charges ,,,"1,053.60",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,053.60",percent of total billed charges ,"1,053.60",percent of total billed charges ,921.9,percent of total billed charges ,921.9,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,,,,,700.64,percent of total billed charges ,,,,,665.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,
VERSION EXTERNAL CEPHALIC-FAC,1958,CDM,,,,both,,,"3,523.00","3,523.00",810.29,"3,523.00","3,523.00",percent of total billed charges,"3,523.00",percent of total billed charges,"3,523.00",percent of total billed charges,"3,523.00",percent of total billed charges,"3,523.00",percent of total billed charges,"3,523.00",percent of total billed charges,"3,523.00",percent of total billed charges,"3,523.00",percent of total billed charges,"2,536.56",percent of total billed charges,"2,536.56",percent of total billed charges,"2,536.56",percent of total billed charges,"2,536.56",percent of total billed charges,"2,536.56",percent of total billed charges,"2,536.56",percent of total billed charges,"2,783.17",percent of total billed charges,"2,783.17",percent of total billed charges,"2,818.40",percent of total billed charges,"2,818.40",percent of total billed charges,,,"2,536.56",percent of total billed charges ,,,"2,818.40",percent of total billed charges ,"2,783.17",percent of total billed charges ,"2,783.17",percent of total billed charges ,"2,994.55",percent of total billed charges ,"2,994.55",percent of total billed charges ,"2,818.40",percent of total billed charges ,"2,818.40",percent of total billed charges ,"2,466.10",percent of total billed charges ,"2,466.10",percent of total billed charges ,"2,113.80",percent of total billed charges ,"2,113.80",percent of total billed charges ,"2,113.80",percent of total billed charges ,"2,113.80",percent of total billed charges ,,,,,"1,874.24",percent of total billed charges ,,,,,"1,780.52",percent of total billed charges ,,,,,,,,,,,,,,,,,,,810.29,percent of total billed charges,,,810.29,percent of total billed charges,,,810.29,percent of total billed charges,,,810.29,percent of total billed charges,,,810.29,percent of total billed charges,,,810.29,percent of total billed charges,,,810.29,percent of total billed charges,,,810.29,percent of total billed charges,,,810.29,percent of total billed charges,,,810.29,percent of total billed charges,,,810.29,percent of total billed charges,
URGENT HYSTERECTOMY AFTER DELIV-PF,1962,CDM,,,,both,,,"2,105.00","2,105.00",484.15,"2,105.00","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,"1,662.95",percent of total billed charges,"1,662.95",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 ,,,"1,684.00",percent of total billed charges ,"1,662.95",percent of total billed charges ,"1,662.95",percent of total billed charges ,"1,789.25",percent of total billed charges ,"1,789.25",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 ,,,,,,,,,,,,,,,,,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,,,484.15,percent of total billed charges,
URGENT HYSTERECTOMY AFTER DELIV-FAC,1962,CDM,,,,both,,,"6,246.00","6,246.00","1,436.58","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,"4,934.34",percent of total billed charges,"4,934.34",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 ,"4,934.34",percent of total billed charges ,"4,934.34",percent of total billed charges ,"5,309.10",percent of total billed charges ,"5,309.10",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 ,,,,,,,,,,,,,,,,,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,,,"1,436.58",percent of total billed charges,
ANES FOR THERAPEUTIC NERVE INJECTION-PF,1992,CDM,,,,both,,,"1,317.00","1,317.00",302.91,"1,317.00","1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,"1,317.00",percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,948.24,percent of total billed charges,"1,040.43",percent of total billed charges,"1,040.43",percent of total billed charges,"1,053.60",percent of total billed charges,"1,053.60",percent of total billed charges,,,948.24,percent of total billed charges ,,,"1,053.60",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,040.43",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,119.45",percent of total billed charges ,"1,053.60",percent of total billed charges ,"1,053.60",percent of total billed charges ,921.9,percent of total billed charges ,921.9,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,790.2,percent of total billed charges ,,,,,700.64,percent of total billed charges ,,,,,665.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,,,302.91,percent of total billed charges,
ANES FOR THERAPEUTIC NERVE INJECTION-FAC,1992,CDM,,,,both,,,665,665,152.95,665,665,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,525.35,percent of total billed charges,525.35,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 ,525.35,percent of total billed charges ,525.35,percent of total billed charges ,565.25,percent of total billed charges ,565.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,152.95,percent of total billed charges,,,152.95,percent of total billed charges,,,152.95,percent of total billed charges,
BRONCHO ENDO 4 REG DISP. SINGL  ASCOPETM,272,RC,55513-01-2610,NDC,,both,,,"2,645.00","2,645.00",608.35,"2,645.00","2,645.00",percent of total billed charges,"2,645.00",percent of total billed charges,"2,645.00",percent of total billed charges,"2,645.00",percent of total billed charges,"2,645.00",percent of total billed charges,"2,645.00",percent of total billed charges,"2,645.00",percent of total billed charges,"2,645.00",percent of total billed charges,"1,904.40",percent of total billed charges,"1,904.40",percent of total billed charges,"1,904.40",percent of total billed charges,"1,904.40",percent of total billed charges,"1,904.40",percent of total billed charges,"1,904.40",percent of total billed charges,"2,089.55",percent of total billed charges,"2,089.55",percent of total billed charges,"2,116.00",percent of total billed charges,"2,116.00",percent of total billed charges,,,"1,904.40",percent of total billed charges ,,,"2,116.00",percent of total billed charges ,"2,089.55",percent of total billed charges ,"2,089.55",percent of total billed charges ,"2,248.25",percent of total billed charges ,"2,248.25",percent of total billed charges ,"2,116.00",percent of total billed charges ,"2,116.00",percent of total billed charges ,"1,851.50",percent of total billed charges ,"1,851.50",percent of total billed charges ,"1,587.00",percent of total billed charges ,"1,587.00",percent of total billed charges ,"1,587.00",percent of total billed charges ,"1,587.00",percent of total billed charges ,,,,,"1,407.14",percent of total billed charges ,,,,,"1,336.78",percent of total billed charges ,,,,,,,,,,,,,,,,,,,608.35,percent of total billed charges,,,608.35,percent of total billed charges,,,608.35,percent of total billed charges,,,608.35,percent of total billed charges,,,608.35,percent of total billed charges,,,608.35,percent of total billed charges,,,608.35,percent of total billed charges,,,608.35,percent of total billed charges,,,608.35,percent of total billed charges,,,608.35,percent of total billed charges,,,608.35,percent of total billed charges,
"ANES FOR PROC IN LUMBAR REG,DX/THERAP-PF",635,CDM,,,,both,,,"1,016.00","1,016.00",233.68,"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,802.64,percent of total billed charges,802.64,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 ,802.64,percent of total billed charges ,802.64,percent of total billed charges ,863.6,percent of total billed charges ,863.6,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 ,,,,,,,,,,,,,,,,,,,233.68,percent of total billed charges,,,233.68,percent of total billed charges,,,233.68,percent of total billed charges,,,233.68,percent of total billed charges,,,233.68,percent of total billed charges,,,233.68,percent of total billed charges,,,233.68,percent of total billed charges,,,233.68,percent of total billed charges,,,233.68,percent of total billed charges,,,233.68,percent of total billed charges,,,233.68,percent of total billed charges,
"ANES FOR PROC IN LUMBAR REG,DX/THERA-FAC",635,CDM,,,,both,,,593,593,136.39,593,593,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,468.47,percent of total billed charges,468.47,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 ,468.47,percent of total billed charges ,468.47,percent of total billed charges ,504.05,percent of total billed charges ,504.05,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 ,,,,,,,,,,,,,,,,,,,136.39,percent of total billed charges,,,136.39,percent of total billed charges,,,136.39,percent of total billed charges,,,136.39,percent of total billed charges,,,136.39,percent of total billed charges,,,136.39,percent of total billed charges,,,136.39,percent of total billed charges,,,136.39,percent of total billed charges,,,136.39,percent of total billed charges,,,136.39,percent of total billed charges,,,136.39,percent of total billed charges,
**XR RIBS/BILAT,71110,CDM,,,,both,,,310,310,71.3,310,310,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,244.9,percent of total billed charges,244.9,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 ,244.9,percent of total billed charges ,244.9,percent of total billed charges ,263.5,percent of total billed charges ,263.5,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 ,,,,,,,,,,,,,,,,,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,
NM XENON,A9558,CDM,,,,both,,,308,308,70.84,308,308,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,243.32,percent of total billed charges,243.32,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 ,243.32,percent of total billed charges ,243.32,percent of total billed charges ,261.8,percent of total billed charges ,261.8,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 ,,,,,,,,,,,,,,,,,,,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,
**AIRWAY BERMAN 80MM DO NOT USE,271,RC,55513-01-2610,NDC,,both,,,6,6,1.38,6,6,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,4.74,percent of total billed charges,4.74,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 ,4.74,percent of total billed charges ,4.74,percent of total billed charges ,5.1,percent of total billed charges ,5.1,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 ,,,,,,,,,,,,,,,,,,,1.38,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,
NM BREATHTEST ANALYSIS,78268,CDM,,,,both,,,318,318,73.14,318,318,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,251.22,percent of total billed charges,251.22,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 ,251.22,percent of total billed charges ,251.22,percent of total billed charges ,270.3,percent of total billed charges ,270.3,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 ,,,,,,,,,,,,,,,,,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,
NM BREATHTEST AQUISITION,78267,CDM,,,,both,,,422,422,97.06,422,422,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,333.38,percent of total billed charges,333.38,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 ,333.38,percent of total billed charges ,333.38,percent of total billed charges ,358.7,percent of total billed charges ,358.7,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 ,,,,,,,,,,,,,,,,,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,
INFANT UP EXT RT MIN 2V (29DAYS TO 2YRS),73092,CDM,,,RT,both,,,270,270,62.1,270,270,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,270,percent of total billed charges,270,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,194.4,percent of total billed charges,194.4,percent of total billed charges,213.3,percent of total billed charges,213.3,percent of total billed charges,216,percent of total billed charges,216,percent of total billed charges,,,194.4,percent of total billed charges ,,,216,percent of total billed charges ,213.3,percent of total billed charges ,213.3,percent of total billed charges ,229.5,percent of total billed charges ,229.5,percent of total billed charges ,216,percent of total billed charges ,216,percent of total billed charges ,189,percent of total billed charges ,189,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 ,,,,,143.64,percent of total billed charges ,,,,,136.46,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,,,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,,,62.1,percent of total billed charges,,,62.1,percent of total billed charges,,,62.1,percent of total billed charges,
PELVIS 1 OR 2 VIEWS,72170,CDM,,,,both,,,487,487,112.01,487,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,350.64,percent of total billed charges,350.64,percent of total billed charges,350.64,percent of total billed charges,350.64,percent of total billed charges,350.64,percent of total billed charges,350.64,percent of total billed charges,384.73,percent of total billed charges,384.73,percent of total billed charges,389.6,percent of total billed charges,389.6,percent of total billed charges,,,350.64,percent of total billed charges ,,,389.6,percent of total billed charges ,384.73,percent of total billed charges ,384.73,percent of total billed charges ,413.95,percent of total billed charges ,413.95,percent of total billed charges ,389.6,percent of total billed charges ,389.6,percent of total billed charges ,340.9,percent of total billed charges ,340.9,percent of total billed charges ,292.2,percent of total billed charges ,292.2,percent of total billed charges ,292.2,percent of total billed charges ,292.2,percent of total billed charges ,,,,,259.08,percent of total billed charges ,,,,,246.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,
KNEE 4 OR MORE V RT,73564,CDM,,,RT,both,,,701,701,161.23,701,701,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,553.79,percent of total billed charges,553.79,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 ,553.79,percent of total billed charges ,553.79,percent of total billed charges ,595.85,percent of total billed charges ,595.85,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 ,,,,,,,,,,,,,,,,,,,161.23,percent of total billed charges,,,161.23,percent of total billed charges,,,161.23,percent of total billed charges,,,161.23,percent of total billed charges,,,161.23,percent of total billed charges,,,161.23,percent of total billed charges,,,161.23,percent of total billed charges,,,161.23,percent of total billed charges,,,161.23,percent of total billed charges,,,161.23,percent of total billed charges,,,161.23,percent of total billed charges,
ABDOMEN 2 V,74019,CDM,,,,both,,,755,755,173.65,755,755,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,596.45,percent of total billed charges,596.45,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 ,596.45,percent of total billed charges ,596.45,percent of total billed charges ,641.75,percent of total billed charges ,641.75,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 ,,,,,,,,,,,,,,,,,,,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,
**UNLISTED DIAGNOSTIC RAD/PROC DO NOT US,76499,CDM,,,,both,,,180,180,41.4,180,180,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,142.2,percent of total billed charges,142.2,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 ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,153,percent of total billed charges ,153,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,41.4,percent of total billed charges,,,41.4,percent of total billed charges,,,41.4,percent of total billed charges,
**IVP W/DRIP NEPHROTOM DO NOT USE,74415,CDM,,,,both,,,853,853,196.19,853,853,percent of total billed charges,853,percent of total billed charges,853,percent of total billed charges,853,percent of total billed charges,853,percent of total billed charges,853,percent of total billed charges,853,percent of total billed charges,853,percent of total billed charges,614.16,percent of total billed charges,614.16,percent of total billed charges,614.16,percent of total billed charges,614.16,percent of total billed charges,614.16,percent of total billed charges,614.16,percent of total billed charges,673.87,percent of total billed charges,673.87,percent of total billed charges,682.4,percent of total billed charges,682.4,percent of total billed charges,,,614.16,percent of total billed charges ,,,682.4,percent of total billed charges ,673.87,percent of total billed charges ,673.87,percent of total billed charges ,725.05,percent of total billed charges ,725.05,percent of total billed charges ,682.4,percent of total billed charges ,682.4,percent of total billed charges ,597.1,percent of total billed charges ,597.1,percent of total billed charges ,511.8,percent of total billed charges ,511.8,percent of total billed charges ,511.8,percent of total billed charges ,511.8,percent of total billed charges ,,,,,453.8,percent of total billed charges ,,,,,431.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,196.19,percent of total billed charges,,,196.19,percent of total billed charges,,,196.19,percent of total billed charges,,,196.19,percent of total billed charges,,,196.19,percent of total billed charges,,,196.19,percent of total billed charges,,,196.19,percent of total billed charges,,,196.19,percent of total billed charges,,,196.19,percent of total billed charges,,,196.19,percent of total billed charges,,,196.19,percent of total billed charges,
FOREARM 2 V RT,73090,CDM,,,RT,both,,,502,502,115.46,502,502,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,396.58,percent of total billed charges,396.58,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 ,396.58,percent of total billed charges ,396.58,percent of total billed charges ,426.7,percent of total billed charges ,426.7,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 ,,,,,,,,,,,,,,,,,,,115.46,percent of total billed charges,,,115.46,percent of total billed charges,,,115.46,percent of total billed charges,,,115.46,percent of total billed charges,,,115.46,percent of total billed charges,,,115.46,percent of total billed charges,,,115.46,percent of total billed charges,,,115.46,percent of total billed charges,,,115.46,percent of total billed charges,,,115.46,percent of total billed charges,,,115.46,percent of total billed charges,
KNEE 3 V RT,73562,CDM,,,RT,both,,,594,594,136.62,594,594,percent of total billed charges,594,percent of total billed charges,594,percent of total billed charges,594,percent of total billed charges,594,percent of total billed charges,594,percent of total billed charges,594,percent of total billed charges,594,percent of total billed charges,427.68,percent of total billed charges,427.68,percent of total billed charges,427.68,percent of total billed charges,427.68,percent of total billed charges,427.68,percent of total billed charges,427.68,percent of total billed charges,469.26,percent of total billed charges,469.26,percent of total billed charges,475.2,percent of total billed charges,475.2,percent of total billed charges,,,427.68,percent of total billed charges ,,,475.2,percent of total billed charges ,469.26,percent of total billed charges ,469.26,percent of total billed charges ,504.9,percent of total billed charges ,504.9,percent of total billed charges ,475.2,percent of total billed charges ,475.2,percent of total billed charges ,415.8,percent of total billed charges ,415.8,percent of total billed charges ,356.4,percent of total billed charges ,356.4,percent of total billed charges ,356.4,percent of total billed charges ,356.4,percent of total billed charges ,,,,,316.01,percent of total billed charges ,,,,,300.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,136.62,percent of total billed charges,,,136.62,percent of total billed charges,,,136.62,percent of total billed charges,,,136.62,percent of total billed charges,,,136.62,percent of total billed charges,,,136.62,percent of total billed charges,,,136.62,percent of total billed charges,,,136.62,percent of total billed charges,,,136.62,percent of total billed charges,,,136.62,percent of total billed charges,,,136.62,percent of total billed charges,
SCAPULA RT,73010,CDM,,,RT,both,,,519,519,119.37,519,519,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,410.01,percent of total billed charges,410.01,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 ,410.01,percent of total billed charges ,410.01,percent of total billed charges ,441.15,percent of total billed charges ,441.15,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 ,,,,,,,,,,,,,,,,,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,
SHOULDER 1 V RT,73020,CDM,,,RT,both,,,424,424,97.52,424,424,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,334.96,percent of total billed charges,334.96,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 ,334.96,percent of total billed charges ,334.96,percent of total billed charges ,360.4,percent of total billed charges ,360.4,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 ,,,,,,,,,,,,,,,,,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,
SHOULDER RT COMPLETE MIN 2V,73030,CDM,,,RT,both,,,569,569,130.87,569,569,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,449.51,percent of total billed charges,449.51,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 ,449.51,percent of total billed charges ,449.51,percent of total billed charges ,483.65,percent of total billed charges ,483.65,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 ,,,,,,,,,,,,,,,,,,,130.87,percent of total billed charges,,,130.87,percent of total billed charges,,,130.87,percent of total billed charges,,,130.87,percent of total billed charges,,,130.87,percent of total billed charges,,,130.87,percent of total billed charges,,,130.87,percent of total billed charges,,,130.87,percent of total billed charges,,,130.87,percent of total billed charges,,,130.87,percent of total billed charges,,,130.87,percent of total billed charges,
UPPER GI/SM BOWEL,74240,CDM,,,,both,,,"1,895.00","1,895.00",435.85,"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,"1,497.05",percent of total billed charges,"1,497.05",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 ,"1,497.05",percent of total billed charges ,"1,497.05",percent of total billed charges ,"1,610.75",percent of total billed charges ,"1,610.75",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 ,,,,,,,,,,,,,,,,,,,435.85,percent of total billed charges,,,435.85,percent of total billed charges,,,435.85,percent of total billed charges,,,435.85,percent of total billed charges,,,435.85,percent of total billed charges,,,435.85,percent of total billed charges,,,435.85,percent of total billed charges,,,435.85,percent of total billed charges,,,435.85,percent of total billed charges,,,435.85,percent of total billed charges,,,435.85,percent of total billed charges,
KNEE 1 OR 2 V RT,73560,CDM,,,RT,both,,,491,491,112.93,491,491,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,387.89,percent of total billed charges,387.89,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 ,387.89,percent of total billed charges ,387.89,percent of total billed charges ,417.35,percent of total billed charges ,417.35,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
HUMERUS RT 2V,73060,CDM,,,RT,both,,,508,508,116.84,508,508,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,401.32,percent of total billed charges,401.32,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 ,401.32,percent of total billed charges ,401.32,percent of total billed charges ,431.8,percent of total billed charges ,431.8,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 ,,,,,,,,,,,,,,,,,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,
**ACUTE ABD SERIES DO NOT USE,74022,CDM,,,,both,,,604,604,138.92,604,604,percent of total billed charges,604,percent of total billed charges,604,percent of total billed charges,604,percent of total billed charges,604,percent of total billed charges,604,percent of total billed charges,604,percent of total billed charges,604,percent of total billed charges,434.88,percent of total billed charges,434.88,percent of total billed charges,434.88,percent of total billed charges,434.88,percent of total billed charges,434.88,percent of total billed charges,434.88,percent of total billed charges,477.16,percent of total billed charges,477.16,percent of total billed charges,483.2,percent of total billed charges,483.2,percent of total billed charges,,,434.88,percent of total billed charges ,,,483.2,percent of total billed charges ,477.16,percent of total billed charges ,477.16,percent of total billed charges ,513.4,percent of total billed charges ,513.4,percent of total billed charges ,483.2,percent of total billed charges ,483.2,percent of total billed charges ,422.8,percent of total billed charges ,422.8,percent of total billed charges ,362.4,percent of total billed charges ,362.4,percent of total billed charges ,362.4,percent of total billed charges ,362.4,percent of total billed charges ,,,,,321.33,percent of total billed charges ,,,,,305.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,,,138.92,percent of total billed charges,
**INF/ CHILD PEL & HIPS MIN 2V (5WK - 1,73540,CDM,,,,both,,,447,447,102.81,447,447,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,353.13,percent of total billed charges,353.13,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 ,353.13,percent of total billed charges ,353.13,percent of total billed charges ,379.95,percent of total billed charges ,379.95,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 ,,,,,,,,,,,,,,,,,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,
ELBOW 2 V RT,73070,CDM,,,RT,both,,,463,463,106.49,463,463,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,365.77,percent of total billed charges,365.77,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 ,365.77,percent of total billed charges ,365.77,percent of total billed charges ,393.55,percent of total billed charges ,393.55,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 ,,,,,,,,,,,,,,,,,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,
ELBOW MIN 3V RT,73080,CDM,,,RT,both,,,560,560,128.8,560,560,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,442.4,percent of total billed charges,442.4,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 ,442.4,percent of total billed charges ,442.4,percent of total billed charges ,476,percent of total billed charges ,476,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 ,,,,,,,,,,,,,,,,,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,
**HIP OPERATIVE RT,73530,CDM,,,RT,both,,,485,485,111.55,485,485,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,383.15,percent of total billed charges,383.15,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 ,383.15,percent of total billed charges ,383.15,percent of total billed charges ,412.25,percent of total billed charges ,412.25,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 ,,,,,,,,,,,,,,,,,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,
**SCOLIOSIS 2 V,72010,CDM,,,,both,,,746,746,171.58,746,746,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,589.34,percent of total billed charges,589.34,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 ,589.34,percent of total billed charges ,589.34,percent of total billed charges ,634.1,percent of total billed charges ,634.1,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 ,,,,,,,,,,,,,,,,,,,171.58,percent of total billed charges,,,171.58,percent of total billed charges,,,171.58,percent of total billed charges,,,171.58,percent of total billed charges,,,171.58,percent of total billed charges,,,171.58,percent of total billed charges,,,171.58,percent of total billed charges,,,171.58,percent of total billed charges,,,171.58,percent of total billed charges,,,171.58,percent of total billed charges,,,171.58,percent of total billed charges,
**HIPS BILAT DO NOT USE,73520,CDM,,,,both,,,525,525,120.75,525,525,percent of total billed charges,525,percent of total billed charges,525,percent of total billed charges,525,percent of total billed charges,525,percent of total billed charges,525,percent of total billed charges,525,percent of total billed charges,525,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,414.75,percent of total billed charges,414.75,percent of total billed charges,420,percent of total billed charges,420,percent of total billed charges,,,378,percent of total billed charges ,,,420,percent of total billed charges ,414.75,percent of total billed charges ,414.75,percent of total billed charges ,446.25,percent of total billed charges ,446.25,percent of total billed charges ,420,percent of total billed charges ,420,percent of total billed charges ,367.5,percent of total billed charges ,367.5,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 ,,,,,279.3,percent of total billed charges ,,,,,265.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,120.75,percent of total billed charges,,,120.75,percent of total billed charges,,,120.75,percent of total billed charges,,,120.75,percent of total billed charges,,,120.75,percent of total billed charges,,,120.75,percent of total billed charges,,,120.75,percent of total billed charges,,,120.75,percent of total billed charges,,,120.75,percent of total billed charges,,,120.75,percent of total billed charges,,,120.75,percent of total billed charges,
**HIP 2 V RT,73502,CDM,,,RT,both,,,533,533,122.59,533,533,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,421.07,percent of total billed charges,421.07,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 ,421.07,percent of total billed charges ,421.07,percent of total billed charges ,453.05,percent of total billed charges ,453.05,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 ,,,,,,,,,,,,,,,,,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,
**HIP 1 V RT,73501,CDM,,,RT,both,,,428,428,98.44,428,428,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,338.12,percent of total billed charges,338.12,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 ,338.12,percent of total billed charges ,338.12,percent of total billed charges ,363.8,percent of total billed charges ,363.8,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 ,,,,,,,,,,,,,,,,,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,
FINGER THUMB RT MIN 2V,73140,CDM,,,F5,both,,,424,424,97.52,424,424,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,334.96,percent of total billed charges,334.96,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 ,334.96,percent of total billed charges ,334.96,percent of total billed charges ,360.4,percent of total billed charges ,360.4,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 ,,,,,,,,,,,,,,,,,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,
HAND MIN 3V RT,73130,CDM,,,RT,both,,,552,552,126.96,552,552,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,436.08,percent of total billed charges,436.08,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 ,436.08,percent of total billed charges ,436.08,percent of total billed charges ,469.2,percent of total billed charges ,469.2,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 ,,,,,,,,,,,,,,,,,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,
HAND 2 V RT,73120,CDM,,,RT,both,,,490,490,112.7,490,490,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,387.1,percent of total billed charges,387.1,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 ,387.1,percent of total billed charges ,387.1,percent of total billed charges ,416.5,percent of total billed charges ,416.5,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 ,,,,,,,,,,,,,,,,,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,
WRIST MIN 3V RT,73110,CDM,,,RT,both,,,547,547,125.81,547,547,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,432.13,percent of total billed charges,432.13,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 ,432.13,percent of total billed charges ,432.13,percent of total billed charges ,464.95,percent of total billed charges ,464.95,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 ,,,,,,,,,,,,,,,,,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,
KNEES STANDING AP,73565,CDM,,,,both,,,468,468,107.64,468,468,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,369.72,percent of total billed charges,369.72,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 ,369.72,percent of total billed charges ,369.72,percent of total billed charges ,397.8,percent of total billed charges ,397.8,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 ,,,,,,,,,,,,,,,,,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,
FEMUR 2 V RT,73552,CDM,,,RT,both,,,509,509,117.07,509,509,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,402.11,percent of total billed charges,402.11,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 ,402.11,percent of total billed charges ,402.11,percent of total billed charges ,432.65,percent of total billed charges ,432.65,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 ,,,,,,,,,,,,,,,,,,,117.07,percent of total billed charges,,,117.07,percent of total billed charges,,,117.07,percent of total billed charges,,,117.07,percent of total billed charges,,,117.07,percent of total billed charges,,,117.07,percent of total billed charges,,,117.07,percent of total billed charges,,,117.07,percent of total billed charges,,,117.07,percent of total billed charges,,,117.07,percent of total billed charges,,,117.07,percent of total billed charges,
WRIST 2 V RT,73100,CDM,,,RT,both,,,459,459,105.57,459,459,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,362.61,percent of total billed charges,362.61,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 ,362.61,percent of total billed charges ,362.61,percent of total billed charges ,390.15,percent of total billed charges ,390.15,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 ,,,,,,,,,,,,,,,,,,,105.57,percent of total billed charges,,,105.57,percent of total billed charges,,,105.57,percent of total billed charges,,,105.57,percent of total billed charges,,,105.57,percent of total billed charges,,,105.57,percent of total billed charges,,,105.57,percent of total billed charges,,,105.57,percent of total billed charges,,,105.57,percent of total billed charges,,,105.57,percent of total billed charges,,,105.57,percent of total billed charges,
STRESS VIEW ANY JT RT,77071,CDM,,,RT,both,,,299,299,68.77,299,299,percent of total billed charges,299,percent of total billed charges,299,percent of total billed charges,299,percent of total billed charges,299,percent of total billed charges,299,percent of total billed charges,299,percent of total billed charges,299,percent of total billed charges,215.28,percent of total billed charges,215.28,percent of total billed charges,215.28,percent of total billed charges,215.28,percent of total billed charges,215.28,percent of total billed charges,215.28,percent of total billed charges,236.21,percent of total billed charges,236.21,percent of total billed charges,239.2,percent of total billed charges,239.2,percent of total billed charges,,,215.28,percent of total billed charges ,,,239.2,percent of total billed charges ,236.21,percent of total billed charges ,236.21,percent of total billed charges ,254.15,percent of total billed charges ,254.15,percent of total billed charges ,239.2,percent of total billed charges ,239.2,percent of total billed charges ,209.3,percent of total billed charges ,209.3,percent of total billed charges ,179.4,percent of total billed charges ,179.4,percent of total billed charges ,179.4,percent of total billed charges ,179.4,percent of total billed charges ,,,,,159.07,percent of total billed charges ,,,,,151.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,
CALCANEUS RT MIN 2 VWS,73650,CDM,,,TC,both,,,449,449,103.27,449,449,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,354.71,percent of total billed charges,354.71,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 ,354.71,percent of total billed charges ,354.71,percent of total billed charges ,381.65,percent of total billed charges ,381.65,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 ,,,,,,,,,,,,,,,,,,,103.27,percent of total billed charges,,,103.27,percent of total billed charges,,,103.27,percent of total billed charges,,,103.27,percent of total billed charges,,,103.27,percent of total billed charges,,,103.27,percent of total billed charges,,,103.27,percent of total billed charges,,,103.27,percent of total billed charges,,,103.27,percent of total billed charges,,,103.27,percent of total billed charges,,,103.27,percent of total billed charges,
INFANT BONE SURVEY (29DAYS TO 2YRS),77076,CDM,,,,both,,,961,961,221.03,961,961,percent of total billed charges,961,percent of total billed charges,961,percent of total billed charges,961,percent of total billed charges,961,percent of total billed charges,961,percent of total billed charges,961,percent of total billed charges,961,percent of total billed charges,691.92,percent of total billed charges,691.92,percent of total billed charges,691.92,percent of total billed charges,691.92,percent of total billed charges,691.92,percent of total billed charges,691.92,percent of total billed charges,759.19,percent of total billed charges,759.19,percent of total billed charges,768.8,percent of total billed charges,768.8,percent of total billed charges,,,691.92,percent of total billed charges ,,,768.8,percent of total billed charges ,759.19,percent of total billed charges ,759.19,percent of total billed charges ,816.85,percent of total billed charges ,816.85,percent of total billed charges ,768.8,percent of total billed charges ,768.8,percent of total billed charges ,672.7,percent of total billed charges ,672.7,percent of total billed charges ,576.6,percent of total billed charges ,576.6,percent of total billed charges ,576.6,percent of total billed charges ,576.6,percent of total billed charges ,,,,,511.25,percent of total billed charges ,,,,,485.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,221.03,percent of total billed charges,,,221.03,percent of total billed charges,,,221.03,percent of total billed charges,,,221.03,percent of total billed charges,,,221.03,percent of total billed charges,,,221.03,percent of total billed charges,,,221.03,percent of total billed charges,,,221.03,percent of total billed charges,,,221.03,percent of total billed charges,,,221.03,percent of total billed charges,,,221.03,percent of total billed charges,
BONE SURVEY COMPLETE,77075,CDM,,,,both,,,"1,534.00","1,534.00",352.82,"1,534.00","1,534.00",percent of total billed charges,"1,534.00",percent of total billed charges,"1,534.00",percent of total billed charges,"1,534.00",percent of total billed charges,"1,534.00",percent of total billed charges,"1,534.00",percent of total billed charges,"1,534.00",percent of total billed charges,"1,534.00",percent of total billed charges,"1,104.48",percent of total billed charges,"1,104.48",percent of total billed charges,"1,104.48",percent of total billed charges,"1,104.48",percent of total billed charges,"1,104.48",percent of total billed charges,"1,104.48",percent of total billed charges,"1,211.86",percent of total billed charges,"1,211.86",percent of total billed charges,"1,227.20",percent of total billed charges,"1,227.20",percent of total billed charges,,,"1,104.48",percent of total billed charges ,,,"1,227.20",percent of total billed charges ,"1,211.86",percent of total billed charges ,"1,211.86",percent of total billed charges ,"1,303.90",percent of total billed charges ,"1,303.90",percent of total billed charges ,"1,227.20",percent of total billed charges ,"1,227.20",percent of total billed charges ,"1,073.80",percent of total billed charges ,"1,073.80",percent of total billed charges ,920.4,percent of total billed charges ,920.4,percent of total billed charges ,920.4,percent of total billed charges ,920.4,percent of total billed charges ,,,,,816.09,percent of total billed charges ,,,,,775.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,352.82,percent of total billed charges,,,352.82,percent of total billed charges,,,352.82,percent of total billed charges,,,352.82,percent of total billed charges,,,352.82,percent of total billed charges,,,352.82,percent of total billed charges,,,352.82,percent of total billed charges,,,352.82,percent of total billed charges,,,352.82,percent of total billed charges,,,352.82,percent of total billed charges,,,352.82,percent of total billed charges,
BONE SURVEY LMTD,77074,CDM,,,,both,,,"1,316.00","1,316.00",302.68,"1,316.00","1,316.00",percent of total billed charges,"1,316.00",percent of total billed charges,"1,316.00",percent of total billed charges,"1,316.00",percent of total billed charges,"1,316.00",percent of total billed charges,"1,316.00",percent of total billed charges,"1,316.00",percent of total billed charges,"1,316.00",percent of total billed charges,947.52,percent of total billed charges,947.52,percent of total billed charges,947.52,percent of total billed charges,947.52,percent of total billed charges,947.52,percent of total billed charges,947.52,percent of total billed charges,"1,039.64",percent of total billed charges,"1,039.64",percent of total billed charges,"1,052.80",percent of total billed charges,"1,052.80",percent of total billed charges,,,947.52,percent of total billed charges ,,,"1,052.80",percent of total billed charges ,"1,039.64",percent of total billed charges ,"1,039.64",percent of total billed charges ,"1,118.60",percent of total billed charges ,"1,118.60",percent of total billed charges ,"1,052.80",percent of total billed charges ,"1,052.80",percent of total billed charges ,921.2,percent of total billed charges ,921.2,percent of total billed charges ,789.6,percent of total billed charges ,789.6,percent of total billed charges ,789.6,percent of total billed charges ,789.6,percent of total billed charges ,,,,,700.11,percent of total billed charges ,,,,,665.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.68,percent of total billed charges,,,302.68,percent of total billed charges,,,302.68,percent of total billed charges,,,302.68,percent of total billed charges,,,302.68,percent of total billed charges,,,302.68,percent of total billed charges,,,302.68,percent of total billed charges,,,302.68,percent of total billed charges,,,302.68,percent of total billed charges,,,302.68,percent of total billed charges,,,302.68,percent of total billed charges,
BONE LENGTH STUDY,77073,CDM,,,,both,,,877,877,201.71,877,877,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,692.83,percent of total billed charges,692.83,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 ,692.83,percent of total billed charges ,692.83,percent of total billed charges ,745.45,percent of total billed charges ,745.45,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 ,,,,,,,,,,,,,,,,,,,201.71,percent of total billed charges,,,201.71,percent of total billed charges,,,201.71,percent of total billed charges,,,201.71,percent of total billed charges,,,201.71,percent of total billed charges,,,201.71,percent of total billed charges,,,201.71,percent of total billed charges,,,201.71,percent of total billed charges,,,201.71,percent of total billed charges,,,201.71,percent of total billed charges,,,201.71,percent of total billed charges,
BONE AGE STUDIES,77072,CDM,,,,both,,,658,658,151.34,658,658,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,519.82,percent of total billed charges,519.82,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 ,519.82,percent of total billed charges ,519.82,percent of total billed charges ,559.3,percent of total billed charges ,559.3,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 ,,,,,,,,,,,,,,,,,,,151.34,percent of total billed charges,,,151.34,percent of total billed charges,,,151.34,percent of total billed charges,,,151.34,percent of total billed charges,,,151.34,percent of total billed charges,,,151.34,percent of total billed charges,,,151.34,percent of total billed charges,,,151.34,percent of total billed charges,,,151.34,percent of total billed charges,,,151.34,percent of total billed charges,,,151.34,percent of total billed charges,
INFANT BODYGRAM FOR FB ONLY-1VW 76010,76010,CDM,,,,both,,,505,505,116.15,505,505,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,398.95,percent of total billed charges,398.95,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 ,398.95,percent of total billed charges ,398.95,percent of total billed charges ,429.25,percent of total billed charges ,429.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
FLUORO GUIDANCE NEEDLE PLACEMENT,77002,CDM,,,,both,,,979,979,225.17,979,979,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,773.41,percent of total billed charges,773.41,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 ,773.41,percent of total billed charges ,773.41,percent of total billed charges ,832.15,percent of total billed charges ,832.15,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 ,,,,,,,,,,,,,,,,,,,225.17,percent of total billed charges,,,225.17,percent of total billed charges,,,225.17,percent of total billed charges,,,225.17,percent of total billed charges,,,225.17,percent of total billed charges,,,225.17,percent of total billed charges,,,225.17,percent of total billed charges,,,225.17,percent of total billed charges,,,225.17,percent of total billed charges,,,225.17,percent of total billed charges,,,225.17,percent of total billed charges,
INFANT LOW EXT RT MIN 2V -29DAYS TO 2YRS,73592,CDM,,,RT,both,,,482,482,110.86,482,482,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,380.78,percent of total billed charges,380.78,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 ,380.78,percent of total billed charges ,380.78,percent of total billed charges ,409.7,percent of total billed charges ,409.7,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**SALIVARY GLAND/CALCUL,70380,CDM,,,,both,,,565,565,129.95,565,565,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,446.35,percent of total billed charges,446.35,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 ,446.35,percent of total billed charges ,446.35,percent of total billed charges ,480.25,percent of total billed charges ,480.25,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 ,,,,,,,,,,,,,,,,,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,
ANKLE COMPLETE RT MIN 3V,73610,CDM,,,RT,both,,,562,562,129.26,562,562,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,443.98,percent of total billed charges,443.98,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 ,443.98,percent of total billed charges ,443.98,percent of total billed charges ,477.7,percent of total billed charges ,477.7,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 ,,,,,,,,,,,,,,,,,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,
**DRAINAGE CATH INSERT DO NOT USE,75989,CDM,,,,both,,,938,938,215.74,938,938,percent of total billed charges,938,percent of total billed charges,938,percent of total billed charges,938,percent of total billed charges,938,percent of total billed charges,938,percent of total billed charges,938,percent of total billed charges,938,percent of total billed charges,675.36,percent of total billed charges,675.36,percent of total billed charges,675.36,percent of total billed charges,675.36,percent of total billed charges,675.36,percent of total billed charges,675.36,percent of total billed charges,741.02,percent of total billed charges,741.02,percent of total billed charges,750.4,percent of total billed charges,750.4,percent of total billed charges,,,675.36,percent of total billed charges ,,,750.4,percent of total billed charges ,741.02,percent of total billed charges ,741.02,percent of total billed charges ,797.3,percent of total billed charges ,797.3,percent of total billed charges ,750.4,percent of total billed charges ,750.4,percent of total billed charges ,656.6,percent of total billed charges ,656.6,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 ,,,,,499.02,percent of total billed charges ,,,,,474.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,215.74,percent of total billed charges,,,215.74,percent of total billed charges,,,215.74,percent of total billed charges,,,215.74,percent of total billed charges,,,215.74,percent of total billed charges,,,215.74,percent of total billed charges,,,215.74,percent of total billed charges,,,215.74,percent of total billed charges,,,215.74,percent of total billed charges,,,215.74,percent of total billed charges,,,215.74,percent of total billed charges,
**INFERIOR VENOGRAM DO NOT USE,75825,CDM,,,,both,,,"3,482.00","3,482.00",800.86,"3,482.00","3,482.00",percent of total billed charges,"3,482.00",percent of total billed charges,"3,482.00",percent of total billed charges,"3,482.00",percent of total billed charges,"3,482.00",percent of total billed charges,"3,482.00",percent of total billed charges,"3,482.00",percent of total billed charges,"3,482.00",percent of total billed charges,"2,507.04",percent of total billed charges,"2,507.04",percent of total billed charges,"2,507.04",percent of total billed charges,"2,507.04",percent of total billed charges,"2,507.04",percent of total billed charges,"2,507.04",percent of total billed charges,"2,750.78",percent of total billed charges,"2,750.78",percent of total billed charges,"2,785.60",percent of total billed charges,"2,785.60",percent of total billed charges,,,"2,507.04",percent of total billed charges ,,,"2,785.60",percent of total billed charges ,"2,750.78",percent of total billed charges ,"2,750.78",percent of total billed charges ,"2,959.70",percent of total billed charges ,"2,959.70",percent of total billed charges ,"2,785.60",percent of total billed charges ,"2,785.60",percent of total billed charges ,"2,437.40",percent of total billed charges ,"2,437.40",percent of total billed charges ,"2,089.20",percent of total billed charges ,"2,089.20",percent of total billed charges ,"2,089.20",percent of total billed charges ,"2,089.20",percent of total billed charges ,,,,,"1,852.42",percent of total billed charges ,,,,,"1,759.80",percent of total billed charges ,,,,,,,,,,,,,,,,,,,800.86,percent of total billed charges,,,800.86,percent of total billed charges,,,800.86,percent of total billed charges,,,800.86,percent of total billed charges,,,800.86,percent of total billed charges,,,800.86,percent of total billed charges,,,800.86,percent of total billed charges,,,800.86,percent of total billed charges,,,800.86,percent of total billed charges,,,800.86,percent of total billed charges,,,800.86,percent of total billed charges,
**ANOGIOGRAPHY PULMON DO NOT USE,75741,CDM,,,,both,,,"6,694.00","6,694.00","1,539.62","6,694.00","6,694.00",percent of total billed charges,"6,694.00",percent of total billed charges,"6,694.00",percent of total billed charges,"6,694.00",percent of total billed charges,"6,694.00",percent of total billed charges,"6,694.00",percent of total billed charges,"6,694.00",percent of total billed charges,"6,694.00",percent of total billed charges,"4,819.68",percent of total billed charges,"4,819.68",percent of total billed charges,"4,819.68",percent of total billed charges,"4,819.68",percent of total billed charges,"4,819.68",percent of total billed charges,"4,819.68",percent of total billed charges,"5,288.26",percent of total billed charges,"5,288.26",percent of total billed charges,"5,355.20",percent of total billed charges,"5,355.20",percent of total billed charges,,,"4,819.68",percent of total billed charges ,,,"5,355.20",percent of total billed charges ,"5,288.26",percent of total billed charges ,"5,288.26",percent of total billed charges ,"5,689.90",percent of total billed charges ,"5,689.90",percent of total billed charges ,"5,355.20",percent of total billed charges ,"5,355.20",percent of total billed charges ,"4,685.80",percent of total billed charges ,"4,685.80",percent of total billed charges ,"4,016.40",percent of total billed charges ,"4,016.40",percent of total billed charges ,"4,016.40",percent of total billed charges ,"4,016.40",percent of total billed charges ,,,,,"3,561.21",percent of total billed charges ,,,,,"3,383.15",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,539.62",percent of total billed charges,,,"1,539.62",percent of total billed charges,,,"1,539.62",percent of total billed charges,,,"1,539.62",percent of total billed charges,,,"1,539.62",percent of total billed charges,,,"1,539.62",percent of total billed charges,,,"1,539.62",percent of total billed charges,,,"1,539.62",percent of total billed charges,,,"1,539.62",percent of total billed charges,,,"1,539.62",percent of total billed charges,,,"1,539.62",percent of total billed charges,
**ANGIO PELVIC DO NOT USE,75736,CDM,,,,both,,,"2,268.00","2,268.00",521.64,"2,268.00","2,268.00",percent of total billed charges,"2,268.00",percent of total billed charges,"2,268.00",percent of total billed charges,"2,268.00",percent of total billed charges,"2,268.00",percent of total billed charges,"2,268.00",percent of total billed charges,"2,268.00",percent of total billed charges,"2,268.00",percent of total billed charges,"1,632.96",percent of total billed charges,"1,632.96",percent of total billed charges,"1,632.96",percent of total billed charges,"1,632.96",percent of total billed charges,"1,632.96",percent of total billed charges,"1,632.96",percent of total billed charges,"1,791.72",percent of total billed charges,"1,791.72",percent of total billed charges,"1,814.40",percent of total billed charges,"1,814.40",percent of total billed charges,,,"1,632.96",percent of total billed charges ,,,"1,814.40",percent of total billed charges ,"1,791.72",percent of total billed charges ,"1,791.72",percent of total billed charges ,"1,927.80",percent of total billed charges ,"1,927.80",percent of total billed charges ,"1,814.40",percent of total billed charges ,"1,814.40",percent of total billed charges ,"1,587.60",percent of total billed charges ,"1,587.60",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 ,,,,,"1,206.58",percent of total billed charges ,,,,,"1,146.25",percent of total billed charges ,,,,,,,,,,,,,,,,,,,521.64,percent of total billed charges,,,521.64,percent of total billed charges,,,521.64,percent of total billed charges,,,521.64,percent of total billed charges,,,521.64,percent of total billed charges,,,521.64,percent of total billed charges,,,521.64,percent of total billed charges,,,521.64,percent of total billed charges,,,521.64,percent of total billed charges,,,521.64,percent of total billed charges,,,521.64,percent of total billed charges,
**ANGIO EXTREMITY DO NOT USE,75710,CDM,,,,both,,,"2,268.00","2,268.00",521.64,"2,268.00","2,268.00",percent of total billed charges,"2,268.00",percent of total billed charges,"2,268.00",percent of total billed charges,"2,268.00",percent of total billed charges,"2,268.00",percent of total billed charges,"2,268.00",percent of total billed charges,"2,268.00",percent of total billed charges,"2,268.00",percent of total billed charges,"1,632.96",percent of total billed charges,"1,632.96",percent of total billed charges,"1,632.96",percent of total billed charges,"1,632.96",percent of total billed charges,"1,632.96",percent of total billed charges,"1,632.96",percent of total billed charges,"1,791.72",percent of total billed charges,"1,791.72",percent of total billed charges,"1,814.40",percent of total billed charges,"1,814.40",percent of total billed charges,,,"1,632.96",percent of total billed charges ,,,"1,814.40",percent of total billed charges ,"1,791.72",percent of total billed charges ,"1,791.72",percent of total billed charges ,"1,927.80",percent of total billed charges ,"1,927.80",percent of total billed charges ,"1,814.40",percent of total billed charges ,"1,814.40",percent of total billed charges ,"1,587.60",percent of total billed charges ,"1,587.60",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 ,,,,,"1,206.58",percent of total billed charges ,,,,,"1,146.25",percent of total billed charges ,,,,,,,,,,,,,,,,,,,521.64,percent of total billed charges,,,521.64,percent of total billed charges,,,521.64,percent of total billed charges,,,521.64,percent of total billed charges,,,521.64,percent of total billed charges,,,521.64,percent of total billed charges,,,521.64,percent of total billed charges,,,521.64,percent of total billed charges,,,521.64,percent of total billed charges,,,521.64,percent of total billed charges,,,521.64,percent of total billed charges,
FOOT 2 V RT,73620,CDM,,,RT,both,,,463,463,106.49,463,463,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,365.77,percent of total billed charges,365.77,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 ,365.77,percent of total billed charges ,365.77,percent of total billed charges ,393.55,percent of total billed charges ,393.55,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 ,,,,,,,,,,,,,,,,,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,
ABDOMEN 3 V,74021,CDM,,,,both,,,720,720,165.6,720,720,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,568.8,percent of total billed charges,568.8,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 ,568.8,percent of total billed charges ,568.8,percent of total billed charges ,612,percent of total billed charges ,612,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,165.6,percent of total billed charges,,,165.6,percent of total billed charges,,,165.6,percent of total billed charges,
**NEPHROSTOMY/STENT DO NOT USE,74475,CDM,,,,both,,,"4,212.00","4,212.00",968.76,"4,212.00","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,"4,212.00",percent of total billed charges,"4,212.00",percent of total billed charges,"3,032.64",percent of total billed charges,"3,032.64",percent of total billed charges,"3,032.64",percent of total billed charges,"3,032.64",percent of total billed charges,"3,032.64",percent of total billed charges,"3,032.64",percent of total billed charges,"3,327.48",percent of total billed charges,"3,327.48",percent of total billed charges,"3,369.60",percent of total billed charges,"3,369.60",percent of total billed charges,,,"3,032.64",percent of total billed charges ,,,"3,369.60",percent of total billed charges ,"3,327.48",percent of total billed charges ,"3,327.48",percent of total billed charges ,"3,580.20",percent of total billed charges ,"3,580.20",percent of total billed charges ,"3,369.60",percent of total billed charges ,"3,369.60",percent of total billed charges ,"2,948.40",percent of total billed charges ,"2,948.40",percent of total billed charges ,"2,527.20",percent of total billed charges ,"2,527.20",percent of total billed charges ,"2,527.20",percent of total billed charges ,"2,527.20",percent of total billed charges ,,,,,"2,240.78",percent of total billed charges ,,,,,"2,128.74",percent of total billed charges ,,,,,,,,,,,,,,,,,,,968.76,percent of total billed charges,,,968.76,percent of total billed charges,,,968.76,percent of total billed charges,,,968.76,percent of total billed charges,,,968.76,percent of total billed charges,,,968.76,percent of total billed charges,,,968.76,percent of total billed charges,,,968.76,percent of total billed charges,,,968.76,percent of total billed charges,,,968.76,percent of total billed charges,,,968.76,percent of total billed charges,
**NEPHROSTOMGRAM DO NOT USE,74425,CDM,,,,both,,,"1,071.00","1,071.00",246.33,"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,846.09,percent of total billed charges,846.09,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 ,846.09,percent of total billed charges ,846.09,percent of total billed charges ,910.35,percent of total billed charges ,910.35,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 ,,,,,,,,,,,,,,,,,,,246.33,percent of total billed charges,,,246.33,percent of total billed charges,,,246.33,percent of total billed charges,,,246.33,percent of total billed charges,,,246.33,percent of total billed charges,,,246.33,percent of total billed charges,,,246.33,percent of total billed charges,,,246.33,percent of total billed charges,,,246.33,percent of total billed charges,,,246.33,percent of total billed charges,,,246.33,percent of total billed charges,
RETROGRADE UROGRAPHY 74420,74420,CDM,,,,both,,,"1,470.00","1,470.00",338.1,"1,470.00","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,"1,470.00",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,"1,058.40",percent of total billed charges,"1,058.40",percent of total billed charges,"1,058.40",percent of total billed charges,"1,058.40",percent of total billed charges,"1,058.40",percent of total billed charges,"1,058.40",percent of total billed charges,"1,161.30",percent of total billed charges,"1,161.30",percent of total billed charges,"1,176.00",percent of total billed charges,"1,176.00",percent of total billed charges,,,"1,058.40",percent of total billed charges ,,,"1,176.00",percent of total billed charges ,"1,161.30",percent of total billed charges ,"1,161.30",percent of total billed charges ,"1,249.50",percent of total billed charges ,"1,249.50",percent of total billed charges ,"1,176.00",percent of total billed charges ,"1,176.00",percent of total billed charges ,"1,029.00",percent of total billed charges ,"1,029.00",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 ,,,,,782.04,percent of total billed charges ,,,,,742.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,338.1,percent of total billed charges,,,338.1,percent of total billed charges,,,338.1,percent of total billed charges,,,338.1,percent of total billed charges,,,338.1,percent of total billed charges,,,338.1,percent of total billed charges,,,338.1,percent of total billed charges,,,338.1,percent of total billed charges,,,338.1,percent of total billed charges,,,338.1,percent of total billed charges,,,338.1,percent of total billed charges,
**IVP W/WO TOMOGRAMS,74400,CDM,,,,both,,,"1,025.00","1,025.00",235.75,"1,025.00","1,025.00",percent of total billed charges,"1,025.00",percent of total billed charges,"1,025.00",percent of total billed charges,"1,025.00",percent of total billed charges,"1,025.00",percent of total billed charges,"1,025.00",percent of total billed charges,"1,025.00",percent of total billed charges,"1,025.00",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,809.75,percent of total billed charges,809.75,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,,,738,percent of total billed charges ,,,820,percent of total billed charges ,809.75,percent of total billed charges ,809.75,percent of total billed charges ,871.25,percent of total billed charges ,871.25,percent of total billed charges ,820,percent of total billed charges ,820,percent of total billed charges ,717.5,percent of total billed charges ,717.5,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 ,,,,,545.3,percent of total billed charges ,,,,,518.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,235.75,percent of total billed charges,,,235.75,percent of total billed charges,,,235.75,percent of total billed charges,,,235.75,percent of total billed charges,,,235.75,percent of total billed charges,,,235.75,percent of total billed charges,,,235.75,percent of total billed charges,,,235.75,percent of total billed charges,,,235.75,percent of total billed charges,,,235.75,percent of total billed charges,,,235.75,percent of total billed charges,
CHOLANG T TUBE,47531,CDM,,,,both,,,"1,054.00","1,054.00",242.42,"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,832.66,percent of total billed charges,832.66,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 ,832.66,percent of total billed charges ,832.66,percent of total billed charges ,895.9,percent of total billed charges ,895.9,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 ,,,,,,,,,,,,,,,,,,,242.42,percent of total billed charges,,,242.42,percent of total billed charges,,,242.42,percent of total billed charges,,,242.42,percent of total billed charges,,,242.42,percent of total billed charges,,,242.42,percent of total billed charges,,,242.42,percent of total billed charges,,,242.42,percent of total billed charges,,,242.42,percent of total billed charges,,,242.42,percent of total billed charges,,,242.42,percent of total billed charges,
**GALLBLADDER REPEAT DO NOT USE,74291,CDM,,,,both,,,236,236,54.28,236,236,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,186.44,percent of total billed charges,186.44,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 ,186.44,percent of total billed charges ,186.44,percent of total billed charges ,200.6,percent of total billed charges ,200.6,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 ,,,,,,,,,,,,,,,,,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,
**GALLBLADDER DO NOT USE,74290,CDM,,,,both,,,476,476,109.48,476,476,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,376.04,percent of total billed charges,376.04,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 ,376.04,percent of total billed charges ,376.04,percent of total billed charges ,404.6,percent of total billed charges ,404.6,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 ,,,,,,,,,,,,,,,,,,,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,
COLON - DOUBLE CONTRAST 74280,74280,CDM,,,,both,,,"1,726.00","1,726.00",396.98,"1,726.00","1,726.00",percent of total billed charges,"1,726.00",percent of total billed charges,"1,726.00",percent of total billed charges,"1,726.00",percent of total billed charges,"1,726.00",percent of total billed charges,"1,726.00",percent of total billed charges,"1,726.00",percent of total billed charges,"1,726.00",percent of total billed charges,"1,242.72",percent of total billed charges,"1,242.72",percent of total billed charges,"1,242.72",percent of total billed charges,"1,242.72",percent of total billed charges,"1,242.72",percent of total billed charges,"1,242.72",percent of total billed charges,"1,363.54",percent of total billed charges,"1,363.54",percent of total billed charges,"1,380.80",percent of total billed charges,"1,380.80",percent of total billed charges,,,"1,242.72",percent of total billed charges ,,,"1,380.80",percent of total billed charges ,"1,363.54",percent of total billed charges ,"1,363.54",percent of total billed charges ,"1,467.10",percent of total billed charges ,"1,467.10",percent of total billed charges ,"1,380.80",percent of total billed charges ,"1,380.80",percent of total billed charges ,"1,208.20",percent of total billed charges ,"1,208.20",percent of total billed charges ,"1,035.60",percent of total billed charges ,"1,035.60",percent of total billed charges ,"1,035.60",percent of total billed charges ,"1,035.60",percent of total billed charges ,,,,,918.23,percent of total billed charges ,,,,,872.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,396.98,percent of total billed charges,,,396.98,percent of total billed charges,,,396.98,percent of total billed charges,,,396.98,percent of total billed charges,,,396.98,percent of total billed charges,,,396.98,percent of total billed charges,,,396.98,percent of total billed charges,,,396.98,percent of total billed charges,,,396.98,percent of total billed charges,,,396.98,percent of total billed charges,,,396.98,percent of total billed charges,
COLON - SINGLE CONTRAST 74270,74270,CDM,,,,both,,,"1,374.00","1,374.00",316.02,"1,374.00","1,374.00",percent of total billed charges,"1,374.00",percent of total billed charges,"1,374.00",percent of total billed charges,"1,374.00",percent of total billed charges,"1,374.00",percent of total billed charges,"1,374.00",percent of total billed charges,"1,374.00",percent of total billed charges,"1,374.00",percent of total billed charges,989.28,percent of total billed charges,989.28,percent of total billed charges,989.28,percent of total billed charges,989.28,percent of total billed charges,989.28,percent of total billed charges,989.28,percent of total billed charges,"1,085.46",percent of total billed charges,"1,085.46",percent of total billed charges,"1,099.20",percent of total billed charges,"1,099.20",percent of total billed charges,,,989.28,percent of total billed charges ,,,"1,099.20",percent of total billed charges ,"1,085.46",percent of total billed charges ,"1,085.46",percent of total billed charges ,"1,167.90",percent of total billed charges ,"1,167.90",percent of total billed charges ,"1,099.20",percent of total billed charges ,"1,099.20",percent of total billed charges ,961.8,percent of total billed charges ,961.8,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 ,,,,,730.97,percent of total billed charges ,,,,,694.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,316.02,percent of total billed charges,,,316.02,percent of total billed charges,,,316.02,percent of total billed charges,,,316.02,percent of total billed charges,,,316.02,percent of total billed charges,,,316.02,percent of total billed charges,,,316.02,percent of total billed charges,,,316.02,percent of total billed charges,,,316.02,percent of total billed charges,,,316.02,percent of total billed charges,,,316.02,percent of total billed charges,
SMALL BOWEL SERIES,74250,CDM,,,,both,,,"1,192.00","1,192.00",274.16,"1,192.00","1,192.00",percent of total billed charges,"1,192.00",percent of total billed charges,"1,192.00",percent of total billed charges,"1,192.00",percent of total billed charges,"1,192.00",percent of total billed charges,"1,192.00",percent of total billed charges,"1,192.00",percent of total billed charges,"1,192.00",percent of total billed charges,858.24,percent of total billed charges,858.24,percent of total billed charges,858.24,percent of total billed charges,858.24,percent of total billed charges,858.24,percent of total billed charges,858.24,percent of total billed charges,941.68,percent of total billed charges,941.68,percent of total billed charges,953.6,percent of total billed charges,953.6,percent of total billed charges,,,858.24,percent of total billed charges ,,,953.6,percent of total billed charges ,941.68,percent of total billed charges ,941.68,percent of total billed charges ,"1,013.20",percent of total billed charges ,"1,013.20",percent of total billed charges ,953.6,percent of total billed charges ,953.6,percent of total billed charges ,834.4,percent of total billed charges ,834.4,percent of total billed charges ,715.2,percent of total billed charges ,715.2,percent of total billed charges ,715.2,percent of total billed charges ,715.2,percent of total billed charges ,,,,,634.14,percent of total billed charges ,,,,,602.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,274.16,percent of total billed charges,,,274.16,percent of total billed charges,,,274.16,percent of total billed charges,,,274.16,percent of total billed charges,,,274.16,percent of total billed charges,,,274.16,percent of total billed charges,,,274.16,percent of total billed charges,,,274.16,percent of total billed charges,,,274.16,percent of total billed charges,,,274.16,percent of total billed charges,,,274.16,percent of total billed charges,
UPPER GIW/AIRW/SBS,74246,CDM,,,,both,,,"1,992.00","1,992.00",458.16,"1,992.00","1,992.00",percent of total billed charges,"1,992.00",percent of total billed charges,"1,992.00",percent of total billed charges,"1,992.00",percent of total billed charges,"1,992.00",percent of total billed charges,"1,992.00",percent of total billed charges,"1,992.00",percent of total billed charges,"1,992.00",percent of total billed charges,"1,434.24",percent of total billed charges,"1,434.24",percent of total billed charges,"1,434.24",percent of total billed charges,"1,434.24",percent of total billed charges,"1,434.24",percent of total billed charges,"1,434.24",percent of total billed charges,"1,573.68",percent of total billed charges,"1,573.68",percent of total billed charges,"1,593.60",percent of total billed charges,"1,593.60",percent of total billed charges,,,"1,434.24",percent of total billed charges ,,,"1,593.60",percent of total billed charges ,"1,573.68",percent of total billed charges ,"1,573.68",percent of total billed charges ,"1,693.20",percent of total billed charges ,"1,693.20",percent of total billed charges ,"1,593.60",percent of total billed charges ,"1,593.60",percent of total billed charges ,"1,394.40",percent of total billed charges ,"1,394.40",percent of total billed charges ,"1,195.20",percent of total billed charges ,"1,195.20",percent of total billed charges ,"1,195.20",percent of total billed charges ,"1,195.20",percent of total billed charges ,,,,,"1,059.74",percent of total billed charges ,,,,,"1,006.76",percent of total billed charges ,,,,,,,,,,,,,,,,,,,458.16,percent of total billed charges,,,458.16,percent of total billed charges,,,458.16,percent of total billed charges,,,458.16,percent of total billed charges,,,458.16,percent of total billed charges,,,458.16,percent of total billed charges,,,458.16,percent of total billed charges,,,458.16,percent of total billed charges,,,458.16,percent of total billed charges,,,458.16,percent of total billed charges,,,458.16,percent of total billed charges,
**UPPER GI W/AIRW/KUB,74247,CDM,,,,both,,,"1,515.00","1,515.00",348.45,"1,515.00","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,"1,515.00",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,"1,090.80",percent of total billed charges,"1,090.80",percent of total billed charges,"1,090.80",percent of total billed charges,"1,090.80",percent of total billed charges,"1,090.80",percent of total billed charges,"1,090.80",percent of total billed charges,"1,196.85",percent of total billed charges,"1,196.85",percent of total billed charges,"1,212.00",percent of total billed charges,"1,212.00",percent of total billed charges,,,"1,090.80",percent of total billed charges ,,,"1,212.00",percent of total billed charges ,"1,196.85",percent of total billed charges ,"1,196.85",percent of total billed charges ,"1,287.75",percent of total billed charges ,"1,287.75",percent of total billed charges ,"1,212.00",percent of total billed charges ,"1,212.00",percent of total billed charges ,"1,060.50",percent of total billed charges ,"1,060.50",percent of total billed charges ,909,percent of total billed charges ,909,percent of total billed charges ,909,percent of total billed charges ,909,percent of total billed charges ,,,,,805.98,percent of total billed charges ,,,,,765.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,348.45,percent of total billed charges,,,348.45,percent of total billed charges,,,348.45,percent of total billed charges,,,348.45,percent of total billed charges,,,348.45,percent of total billed charges,,,348.45,percent of total billed charges,,,348.45,percent of total billed charges,,,348.45,percent of total billed charges,,,348.45,percent of total billed charges,,,348.45,percent of total billed charges,,,348.45,percent of total billed charges,
UPPER GI - DOUBLE CONTRAST 74246,74246,CDM,,,,both,,,"1,367.00","1,367.00",314.41,"1,367.00","1,367.00",percent of total billed charges,"1,367.00",percent of total billed charges,"1,367.00",percent of total billed charges,"1,367.00",percent of total billed charges,"1,367.00",percent of total billed charges,"1,367.00",percent of total billed charges,"1,367.00",percent of total billed charges,"1,367.00",percent of total billed charges,984.24,percent of total billed charges,984.24,percent of total billed charges,984.24,percent of total billed charges,984.24,percent of total billed charges,984.24,percent of total billed charges,984.24,percent of total billed charges,"1,079.93",percent of total billed charges,"1,079.93",percent of total billed charges,"1,093.60",percent of total billed charges,"1,093.60",percent of total billed charges,,,984.24,percent of total billed charges ,,,"1,093.60",percent of total billed charges ,"1,079.93",percent of total billed charges ,"1,079.93",percent of total billed charges ,"1,161.95",percent of total billed charges ,"1,161.95",percent of total billed charges ,"1,093.60",percent of total billed charges ,"1,093.60",percent of total billed charges ,956.9,percent of total billed charges ,956.9,percent of total billed charges ,820.2,percent of total billed charges ,820.2,percent of total billed charges ,820.2,percent of total billed charges ,820.2,percent of total billed charges ,,,,,727.24,percent of total billed charges ,,,,,690.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,314.41,percent of total billed charges,,,314.41,percent of total billed charges,,,314.41,percent of total billed charges,,,314.41,percent of total billed charges,,,314.41,percent of total billed charges,,,314.41,percent of total billed charges,,,314.41,percent of total billed charges,,,314.41,percent of total billed charges,,,314.41,percent of total billed charges,,,314.41,percent of total billed charges,,,314.41,percent of total billed charges,
**UPPER GI W/KUB,74241,CDM,,,,both,,,"1,369.00","1,369.00",314.87,"1,369.00","1,369.00",percent of total billed charges,"1,369.00",percent of total billed charges,"1,369.00",percent of total billed charges,"1,369.00",percent of total billed charges,"1,369.00",percent of total billed charges,"1,369.00",percent of total billed charges,"1,369.00",percent of total billed charges,"1,369.00",percent of total billed charges,985.68,percent of total billed charges,985.68,percent of total billed charges,985.68,percent of total billed charges,985.68,percent of total billed charges,985.68,percent of total billed charges,985.68,percent of total billed charges,"1,081.51",percent of total billed charges,"1,081.51",percent of total billed charges,"1,095.20",percent of total billed charges,"1,095.20",percent of total billed charges,,,985.68,percent of total billed charges ,,,"1,095.20",percent of total billed charges ,"1,081.51",percent of total billed charges ,"1,081.51",percent of total billed charges ,"1,163.65",percent of total billed charges ,"1,163.65",percent of total billed charges ,"1,095.20",percent of total billed charges ,"1,095.20",percent of total billed charges ,958.3,percent of total billed charges ,958.3,percent of total billed charges ,821.4,percent of total billed charges ,821.4,percent of total billed charges ,821.4,percent of total billed charges ,821.4,percent of total billed charges ,,,,,728.31,percent of total billed charges ,,,,,691.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,314.87,percent of total billed charges,,,314.87,percent of total billed charges,,,314.87,percent of total billed charges,,,314.87,percent of total billed charges,,,314.87,percent of total billed charges,,,314.87,percent of total billed charges,,,314.87,percent of total billed charges,,,314.87,percent of total billed charges,,,314.87,percent of total billed charges,,,314.87,percent of total billed charges,,,314.87,percent of total billed charges,
UPPER GI - SINGLE CONTRAST 74240,74240,CDM,,,,both,,,"1,271.00","1,271.00",292.33,"1,271.00","1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,915.12,percent of total billed charges,915.12,percent of total billed charges,915.12,percent of total billed charges,915.12,percent of total billed charges,915.12,percent of total billed charges,915.12,percent of total billed charges,"1,004.09",percent of total billed charges,"1,004.09",percent of total billed charges,"1,016.80",percent of total billed charges,"1,016.80",percent of total billed charges,,,915.12,percent of total billed charges ,,,"1,016.80",percent of total billed charges ,"1,004.09",percent of total billed charges ,"1,004.09",percent of total billed charges ,"1,080.35",percent of total billed charges ,"1,080.35",percent of total billed charges ,"1,016.80",percent of total billed charges ,"1,016.80",percent of total billed charges ,889.7,percent of total billed charges ,889.7,percent of total billed charges ,762.6,percent of total billed charges ,762.6,percent of total billed charges ,762.6,percent of total billed charges ,762.6,percent of total billed charges ,,,,,676.17,percent of total billed charges ,,,,,642.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,
ORAL PHARYNGEAL STUDY 74230,74230,CDM,,,,both,,,"1,090.00","1,090.00",250.7,"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,861.1,percent of total billed charges,861.1,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 ,861.1,percent of total billed charges ,861.1,percent of total billed charges ,926.5,percent of total billed charges ,926.5,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 ,,,,,,,,,,,,,,,,,,,250.7,percent of total billed charges,,,250.7,percent of total billed charges,,,250.7,percent of total billed charges,,,250.7,percent of total billed charges,,,250.7,percent of total billed charges,,,250.7,percent of total billed charges,,,250.7,percent of total billed charges,,,250.7,percent of total billed charges,,,250.7,percent of total billed charges,,,250.7,percent of total billed charges,,,250.7,percent of total billed charges,
ESOPHAGUS,74220,CDM,,,,both,,,962,962,221.26,962,962,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,759.98,percent of total billed charges,759.98,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 ,759.98,percent of total billed charges ,759.98,percent of total billed charges ,817.7,percent of total billed charges ,817.7,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 ,,,,,,,,,,,,,,,,,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,
FOOT COMPLETE RT MIN 3V,73630,CDM,,,RT,both,,,550,550,126.5,550,550,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,434.5,percent of total billed charges,434.5,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 ,434.5,percent of total billed charges ,434.5,percent of total billed charges ,467.5,percent of total billed charges ,467.5,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 ,,,,,,,,,,,,,,,,,,,126.5,percent of total billed charges,,,126.5,percent of total billed charges,,,126.5,percent of total billed charges,,,126.5,percent of total billed charges,,,126.5,percent of total billed charges,,,126.5,percent of total billed charges,,,126.5,percent of total billed charges,,,126.5,percent of total billed charges,,,126.5,percent of total billed charges,,,126.5,percent of total billed charges,,,126.5,percent of total billed charges,
**A/C JOINTS RT,73050,CDM,,,,both,,,384,384,88.32,384,384,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,303.36,percent of total billed charges,303.36,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 ,303.36,percent of total billed charges ,303.36,percent of total billed charges ,326.4,percent of total billed charges ,326.4,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 ,,,,,,,,,,,,,,,,,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,
TOE GREAT RT MIN 2VWS,73660,CDM,,,T5,both,,,416,416,95.68,416,416,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,328.64,percent of total billed charges,328.64,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 ,328.64,percent of total billed charges ,328.64,percent of total billed charges ,353.6,percent of total billed charges ,353.6,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 ,,,,,,,,,,,,,,,,,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,
ABDOMEN 1 V,74018,CDM,,,,both,,,535,535,123.05,535,535,percent of total billed charges,535,percent of total billed charges,535,percent of total billed charges,535,percent of total billed charges,535,percent of total billed charges,535,percent of total billed charges,535,percent of total billed charges,535,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,385.2,percent of total billed charges,385.2,percent of total billed charges,422.65,percent of total billed charges,422.65,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,,,385.2,percent of total billed charges ,,,428,percent of total billed charges ,422.65,percent of total billed charges ,422.65,percent of total billed charges ,454.75,percent of total billed charges ,454.75,percent of total billed charges ,428,percent of total billed charges ,428,percent of total billed charges ,374.5,percent of total billed charges ,374.5,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 ,,,,,284.62,percent of total billed charges ,,,,,270.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,
TOMOGRAPHY (1-5),76100,CDM,,,,both,,,"1,188.00","1,188.00",273.24,"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,938.52,percent of total billed charges,938.52,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 ,938.52,percent of total billed charges ,938.52,percent of total billed charges ,"1,009.80",percent of total billed charges ,"1,009.80",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 ,,,,,,,,,,,,,,,,,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,
**SCOLIOSIS 4 VIEWS,72090,CDM,,,,both,,,810,810,186.3,810,810,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,810,percent of total billed charges,810,percent of total billed charges,810,percent of total billed charges,583.2,percent of total billed charges,583.2,percent of total billed charges,583.2,percent of total billed charges,583.2,percent of total billed charges,583.2,percent of total billed charges,583.2,percent of total billed charges,639.9,percent of total billed charges,639.9,percent of total billed charges,648,percent of total billed charges,648,percent of total billed charges,,,583.2,percent of total billed charges ,,,648,percent of total billed charges ,639.9,percent of total billed charges ,639.9,percent of total billed charges ,688.5,percent of total billed charges ,688.5,percent of total billed charges ,648,percent of total billed charges ,648,percent of total billed charges ,567,percent of total billed charges ,567,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 ,,,,,430.92,percent of total billed charges ,,,,,409.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,186.3,percent of total billed charges,,,186.3,percent of total billed charges,,,186.3,percent of total billed charges,,,186.3,percent of total billed charges,,,186.3,percent of total billed charges,,,186.3,percent of total billed charges,,,186.3,percent of total billed charges,,,186.3,percent of total billed charges,,,186.3,percent of total billed charges,,,186.3,percent of total billed charges,,,186.3,percent of total billed charges,
TIBIA AND FIBULA RT 2V,73590,CDM,,,RT,both,,,523,523,120.29,523,523,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,413.17,percent of total billed charges,413.17,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 ,413.17,percent of total billed charges ,413.17,percent of total billed charges ,444.55,percent of total billed charges ,444.55,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 ,,,,,,,,,,,,,,,,,,,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,,,120.29,percent of total billed charges,,,120.29,percent of total billed charges,,,120.29,percent of total billed charges,
**MYELOGRAM CERVICAL,72240,CDM,,,,both,,,"1,413.00","1,413.00",324.99,"1,413.00","1,413.00",percent of total billed charges,"1,413.00",percent of total billed charges,"1,413.00",percent of total billed charges,"1,413.00",percent of total billed charges,"1,413.00",percent of total billed charges,"1,413.00",percent of total billed charges,"1,413.00",percent of total billed charges,"1,413.00",percent of total billed charges,"1,017.36",percent of total billed charges,"1,017.36",percent of total billed charges,"1,017.36",percent of total billed charges,"1,017.36",percent of total billed charges,"1,017.36",percent of total billed charges,"1,017.36",percent of total billed charges,"1,116.27",percent of total billed charges,"1,116.27",percent of total billed charges,"1,130.40",percent of total billed charges,"1,130.40",percent of total billed charges,,,"1,017.36",percent of total billed charges ,,,"1,130.40",percent of total billed charges ,"1,116.27",percent of total billed charges ,"1,116.27",percent of total billed charges ,"1,201.05",percent of total billed charges ,"1,201.05",percent of total billed charges ,"1,130.40",percent of total billed charges ,"1,130.40",percent of total billed charges ,989.1,percent of total billed charges ,989.1,percent of total billed charges ,847.8,percent of total billed charges ,847.8,percent of total billed charges ,847.8,percent of total billed charges ,847.8,percent of total billed charges ,,,,,751.72,percent of total billed charges ,,,,,714.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,324.99,percent of total billed charges,,,324.99,percent of total billed charges,,,324.99,percent of total billed charges,,,324.99,percent of total billed charges,,,324.99,percent of total billed charges,,,324.99,percent of total billed charges,,,324.99,percent of total billed charges,,,324.99,percent of total billed charges,,,324.99,percent of total billed charges,,,324.99,percent of total billed charges,,,324.99,percent of total billed charges,
**CHOLANG T TUBE DO NOT USE,74305,CDM,,,,both,,,"1,054.00","1,054.00",242.42,"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,832.66,percent of total billed charges,832.66,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 ,832.66,percent of total billed charges ,832.66,percent of total billed charges ,895.9,percent of total billed charges ,895.9,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 ,,,,,,,,,,,,,,,,,,,242.42,percent of total billed charges,,,242.42,percent of total billed charges,,,242.42,percent of total billed charges,,,242.42,percent of total billed charges,,,242.42,percent of total billed charges,,,242.42,percent of total billed charges,,,242.42,percent of total billed charges,,,242.42,percent of total billed charges,,,242.42,percent of total billed charges,,,242.42,percent of total billed charges,,,242.42,percent of total billed charges,
RIBS RT UNI,71100,CDM,,,RT,both,,,541,541,124.43,541,541,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,427.39,percent of total billed charges,427.39,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 ,427.39,percent of total billed charges ,427.39,percent of total billed charges ,459.85,percent of total billed charges ,459.85,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 ,,,,,,,,,,,,,,,,,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,
RIBS RT W/PA CHEST MIN 3V,71101,CDM,,,RT,both,,,685,685,157.55,685,685,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,541.15,percent of total billed charges,541.15,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 ,541.15,percent of total billed charges ,541.15,percent of total billed charges ,582.25,percent of total billed charges ,582.25,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 ,,,,,,,,,,,,,,,,,,,157.55,percent of total billed charges,,,157.55,percent of total billed charges,,,157.55,percent of total billed charges,,,157.55,percent of total billed charges,,,157.55,percent of total billed charges,,,157.55,percent of total billed charges,,,157.55,percent of total billed charges,,,157.55,percent of total billed charges,,,157.55,percent of total billed charges,,,157.55,percent of total billed charges,,,157.55,percent of total billed charges,
RIBS BILAT 3V,71110,CDM,,,,both,,,820,820,188.6,820,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,647.8,percent of total billed charges,647.8,percent of total billed charges,656,percent of total billed charges,656,percent of total billed charges,,,590.4,percent of total billed charges ,,,656,percent of total billed charges ,647.8,percent of total billed charges ,647.8,percent of total billed charges ,697,percent of total billed charges ,697,percent of total billed charges ,656,percent of total billed charges ,656,percent of total billed charges ,574,percent of total billed charges ,574,percent of total billed charges ,492,percent of total billed charges ,492,percent of total billed charges ,492,percent of total billed charges ,492,percent of total billed charges ,,,,,436.24,percent of total billed charges ,,,,,414.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,
RIBS BILAT/PA CHEST MIN 4V,71111,CDM,,,,both,,,935,935,215.05,935,935,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,738.65,percent of total billed charges,738.65,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 ,738.65,percent of total billed charges ,738.65,percent of total billed charges ,794.75,percent of total billed charges ,794.75,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 ,,,,,,,,,,,,,,,,,,,215.05,percent of total billed charges,,,215.05,percent of total billed charges,,,215.05,percent of total billed charges,,,215.05,percent of total billed charges,,,215.05,percent of total billed charges,,,215.05,percent of total billed charges,,,215.05,percent of total billed charges,,,215.05,percent of total billed charges,,,215.05,percent of total billed charges,,,215.05,percent of total billed charges,,,215.05,percent of total billed charges,
STERNUM MIN 2V,71120,CDM,,,,both,,,630,630,144.9,630,630,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,497.7,percent of total billed charges,497.7,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 ,497.7,percent of total billed charges ,497.7,percent of total billed charges ,535.5,percent of total billed charges ,535.5,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 ,,,,,,,,,,,,,,,,,,,144.9,percent of total billed charges,,,144.9,percent of total billed charges,,,144.9,percent of total billed charges,,,144.9,percent of total billed charges,,,144.9,percent of total billed charges,,,144.9,percent of total billed charges,,,144.9,percent of total billed charges,,,144.9,percent of total billed charges,,,144.9,percent of total billed charges,,,144.9,percent of total billed charges,,,144.9,percent of total billed charges,
STERNOCLAVICULAR MIN 3V,71130,CDM,,,,both,,,662,662,152.26,662,662,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,522.98,percent of total billed charges,522.98,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 ,522.98,percent of total billed charges ,522.98,percent of total billed charges ,562.7,percent of total billed charges ,562.7,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 ,,,,,,,,,,,,,,,,,,,152.26,percent of total billed charges,,,152.26,percent of total billed charges,,,152.26,percent of total billed charges,,,152.26,percent of total billed charges,,,152.26,percent of total billed charges,,,152.26,percent of total billed charges,,,152.26,percent of total billed charges,,,152.26,percent of total billed charges,,,152.26,percent of total billed charges,,,152.26,percent of total billed charges,,,152.26,percent of total billed charges,
SPINE 1 VIEW,72020,CDM,,,,both,,,511,511,117.53,511,511,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,403.69,percent of total billed charges,403.69,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 ,403.69,percent of total billed charges ,403.69,percent of total billed charges ,434.35,percent of total billed charges ,434.35,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 ,,,,,,,,,,,,,,,,,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,
CERVICAL SPINE 2 0R 3 VIEWS,72040,CDM,,,,both,,,700,700,161,700,700,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,553,percent of total billed charges,553,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 ,553,percent of total billed charges ,553,percent of total billed charges ,595,percent of total billed charges ,595,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 ,,,,,,,,,,,,,,,,,,,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,
NECK SOFT TISSUE,70360,CDM,,,,both,,,535,535,123.05,535,535,percent of total billed charges,535,percent of total billed charges,535,percent of total billed charges,535,percent of total billed charges,535,percent of total billed charges,535,percent of total billed charges,535,percent of total billed charges,535,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,385.2,percent of total billed charges,385.2,percent of total billed charges,422.65,percent of total billed charges,422.65,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,,,385.2,percent of total billed charges ,,,428,percent of total billed charges ,422.65,percent of total billed charges ,422.65,percent of total billed charges ,454.75,percent of total billed charges ,454.75,percent of total billed charges ,428,percent of total billed charges ,428,percent of total billed charges ,374.5,percent of total billed charges ,374.5,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 ,,,,,284.62,percent of total billed charges ,,,,,270.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,
CERV SPINE ROUT 4 OR 5 VIEWS,72050,CDM,,,,both,,,973,973,223.79,973,973,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,768.67,percent of total billed charges,768.67,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 ,768.67,percent of total billed charges ,768.67,percent of total billed charges ,827.05,percent of total billed charges ,827.05,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 ,,,,,,,,,,,,,,,,,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,
TMJ BILAT OPEN & CLOSED MOUTH,70330,CDM,,,,both,,,792,792,182.16,792,792,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,792,percent of total billed charges,792,percent of total billed charges,570.24,percent of total billed charges,570.24,percent of total billed charges,570.24,percent of total billed charges,570.24,percent of total billed charges,570.24,percent of total billed charges,570.24,percent of total billed charges,625.68,percent of total billed charges,625.68,percent of total billed charges,633.6,percent of total billed charges,633.6,percent of total billed charges,,,570.24,percent of total billed charges ,,,633.6,percent of total billed charges ,625.68,percent of total billed charges ,625.68,percent of total billed charges ,673.2,percent of total billed charges ,673.2,percent of total billed charges ,633.6,percent of total billed charges ,633.6,percent of total billed charges ,554.4,percent of total billed charges ,554.4,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 ,,,,,421.34,percent of total billed charges ,,,,,400.28,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,,,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,
CERV SPINE ROUT 6 OR MORE VIEWS,72052,CDM,,,,both,,,"1,062.00","1,062.00",244.26,"1,062.00","1,062.00",percent of total billed charges,"1,062.00",percent of total billed charges,"1,062.00",percent of total billed charges,"1,062.00",percent of total billed charges,"1,062.00",percent of total billed charges,"1,062.00",percent of total billed charges,"1,062.00",percent of total billed charges,"1,062.00",percent of total billed charges,764.64,percent of total billed charges,764.64,percent of total billed charges,764.64,percent of total billed charges,764.64,percent of total billed charges,764.64,percent of total billed charges,764.64,percent of total billed charges,838.98,percent of total billed charges,838.98,percent of total billed charges,849.6,percent of total billed charges,849.6,percent of total billed charges,,,764.64,percent of total billed charges ,,,849.6,percent of total billed charges ,838.98,percent of total billed charges ,838.98,percent of total billed charges ,902.7,percent of total billed charges ,902.7,percent of total billed charges ,849.6,percent of total billed charges ,849.6,percent of total billed charges ,743.4,percent of total billed charges ,743.4,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 ,,,,,564.98,percent of total billed charges ,,,,,536.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,244.26,percent of total billed charges,,,244.26,percent of total billed charges,,,244.26,percent of total billed charges,,,244.26,percent of total billed charges,,,244.26,percent of total billed charges,,,244.26,percent of total billed charges,,,244.26,percent of total billed charges,,,244.26,percent of total billed charges,,,244.26,percent of total billed charges,,,244.26,percent of total billed charges,,,244.26,percent of total billed charges,
**SCOLIOSIS SCREENING,72069,CDM,,,,both,,,632,632,145.36,632,632,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,499.28,percent of total billed charges,499.28,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 ,499.28,percent of total billed charges ,499.28,percent of total billed charges ,537.2,percent of total billed charges ,537.2,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 ,,,,,,,,,,,,,,,,,,,145.36,percent of total billed charges,,,145.36,percent of total billed charges,,,145.36,percent of total billed charges,,,145.36,percent of total billed charges,,,145.36,percent of total billed charges,,,145.36,percent of total billed charges,,,145.36,percent of total billed charges,,,145.36,percent of total billed charges,,,145.36,percent of total billed charges,,,145.36,percent of total billed charges,,,145.36,percent of total billed charges,
SKULL MIN 4 V,70260,CDM,,,,both,,,891,891,204.93,891,891,percent of total billed charges,891,percent of total billed charges,891,percent of total billed charges,891,percent of total billed charges,891,percent of total billed charges,891,percent of total billed charges,891,percent of total billed charges,891,percent of total billed charges,641.52,percent of total billed charges,641.52,percent of total billed charges,641.52,percent of total billed charges,641.52,percent of total billed charges,641.52,percent of total billed charges,641.52,percent of total billed charges,703.89,percent of total billed charges,703.89,percent of total billed charges,712.8,percent of total billed charges,712.8,percent of total billed charges,,,641.52,percent of total billed charges ,,,712.8,percent of total billed charges ,703.89,percent of total billed charges ,703.89,percent of total billed charges ,757.35,percent of total billed charges ,757.35,percent of total billed charges ,712.8,percent of total billed charges ,712.8,percent of total billed charges ,623.7,percent of total billed charges ,623.7,percent of total billed charges ,534.6,percent of total billed charges ,534.6,percent of total billed charges ,534.6,percent of total billed charges ,534.6,percent of total billed charges ,,,,,474.01,percent of total billed charges ,,,,,450.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,204.93,percent of total billed charges,,,204.93,percent of total billed charges,,,204.93,percent of total billed charges,,,204.93,percent of total billed charges,,,204.93,percent of total billed charges,,,204.93,percent of total billed charges,,,204.93,percent of total billed charges,,,204.93,percent of total billed charges,,,204.93,percent of total billed charges,,,204.93,percent of total billed charges,,,204.93,percent of total billed charges,
THORACIC SPINE 2 V,72070,CDM,,,,both,,,689,689,158.47,689,689,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,544.31,percent of total billed charges,544.31,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 ,544.31,percent of total billed charges ,544.31,percent of total billed charges ,585.65,percent of total billed charges ,585.65,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 ,,,,,,,,,,,,,,,,,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,,,158.47,percent of total billed charges,
THORACIC SPINE 3 V,72072,CDM,,,,both,,,775,775,178.25,775,775,percent of total billed charges,775,percent of total billed charges,775,percent of total billed charges,775,percent of total billed charges,775,percent of total billed charges,775,percent of total billed charges,775,percent of total billed charges,775,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,612.25,percent of total billed charges,612.25,percent of total billed charges,620,percent of total billed charges,620,percent of total billed charges,,,558,percent of total billed charges ,,,620,percent of total billed charges ,612.25,percent of total billed charges ,612.25,percent of total billed charges ,658.75,percent of total billed charges ,658.75,percent of total billed charges ,620,percent of total billed charges ,620,percent of total billed charges ,542.5,percent of total billed charges ,542.5,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 ,,,,,412.3,percent of total billed charges ,,,,,391.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,178.25,percent of total billed charges,,,178.25,percent of total billed charges,,,178.25,percent of total billed charges,,,178.25,percent of total billed charges,,,178.25,percent of total billed charges,,,178.25,percent of total billed charges,,,178.25,percent of total billed charges,,,178.25,percent of total billed charges,,,178.25,percent of total billed charges,,,178.25,percent of total billed charges,,,178.25,percent of total billed charges,
ANKLE 2 V RT,73600,CDM,,,RT,both,,,470,470,108.1,470,470,percent of total billed charges,470,percent of total billed charges,470,percent of total billed charges,470,percent of total billed charges,470,percent of total billed charges,470,percent of total billed charges,470,percent of total billed charges,470,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,338.4,percent of total billed charges,338.4,percent of total billed charges,371.3,percent of total billed charges,371.3,percent of total billed charges,376,percent of total billed charges,376,percent of total billed charges,,,338.4,percent of total billed charges ,,,376,percent of total billed charges ,371.3,percent of total billed charges ,371.3,percent of total billed charges ,399.5,percent of total billed charges ,399.5,percent of total billed charges ,376,percent of total billed charges ,376,percent of total billed charges ,329,percent of total billed charges ,329,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 ,,,,,250.04,percent of total billed charges ,,,,,237.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,
THORACOLUMBAR 2V,72080,CDM,,,,both,,,669,669,153.87,669,669,percent of total billed charges,669,percent of total billed charges,669,percent of total billed charges,669,percent of total billed charges,669,percent of total billed charges,669,percent of total billed charges,669,percent of total billed charges,669,percent of total billed charges,481.68,percent of total billed charges,481.68,percent of total billed charges,481.68,percent of total billed charges,481.68,percent of total billed charges,481.68,percent of total billed charges,481.68,percent of total billed charges,528.51,percent of total billed charges,528.51,percent of total billed charges,535.2,percent of total billed charges,535.2,percent of total billed charges,,,481.68,percent of total billed charges ,,,535.2,percent of total billed charges ,528.51,percent of total billed charges ,528.51,percent of total billed charges ,568.65,percent of total billed charges ,568.65,percent of total billed charges ,535.2,percent of total billed charges ,535.2,percent of total billed charges ,468.3,percent of total billed charges ,468.3,percent of total billed charges ,401.4,percent of total billed charges ,401.4,percent of total billed charges ,401.4,percent of total billed charges ,401.4,percent of total billed charges ,,,,,355.91,percent of total billed charges ,,,,,338.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,153.87,percent of total billed charges,,,153.87,percent of total billed charges,,,153.87,percent of total billed charges,,,153.87,percent of total billed charges,,,153.87,percent of total billed charges,,,153.87,percent of total billed charges,,,153.87,percent of total billed charges,,,153.87,percent of total billed charges,,,153.87,percent of total billed charges,,,153.87,percent of total billed charges,,,153.87,percent of total billed charges,
LUMBAR SPINE 2 OR 3 VIEWS,72100,CDM,,,,both,,,636,636,146.28,636,636,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,502.44,percent of total billed charges,502.44,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 ,502.44,percent of total billed charges ,502.44,percent of total billed charges ,540.6,percent of total billed charges ,540.6,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 ,,,,,,,,,,,,,,,,,,,146.28,percent of total billed charges,,,146.28,percent of total billed charges,,,146.28,percent of total billed charges,,,146.28,percent of total billed charges,,,146.28,percent of total billed charges,,,146.28,percent of total billed charges,,,146.28,percent of total billed charges,,,146.28,percent of total billed charges,,,146.28,percent of total billed charges,,,146.28,percent of total billed charges,,,146.28,percent of total billed charges,
LUMBAR MIN 4V,72110,CDM,,,,both,,,"1,057.00","1,057.00",243.11,"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,835.03,percent of total billed charges,835.03,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 ,835.03,percent of total billed charges ,835.03,percent of total billed charges ,898.45,percent of total billed charges ,898.45,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 ,,,,,,,,,,,,,,,,,,,243.11,percent of total billed charges,,,243.11,percent of total billed charges,,,243.11,percent of total billed charges,,,243.11,percent of total billed charges,,,243.11,percent of total billed charges,,,243.11,percent of total billed charges,,,243.11,percent of total billed charges,,,243.11,percent of total billed charges,,,243.11,percent of total billed charges,,,243.11,percent of total billed charges,,,243.11,percent of total billed charges,
SKULL LESS THAN 4 V,70250,CDM,,,,both,,,583,583,134.09,583,583,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,460.57,percent of total billed charges,460.57,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 ,460.57,percent of total billed charges ,460.57,percent of total billed charges ,495.55,percent of total billed charges ,495.55,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 ,,,,,,,,,,,,,,,,,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,
LUMBAR SPINE W/FL&EXT MIN 6 VIEWS,72114,CDM,,,,both,,,"1,171.00","1,171.00",269.33,"1,171.00","1,171.00",percent of total billed charges,"1,171.00",percent of total billed charges,"1,171.00",percent of total billed charges,"1,171.00",percent of total billed charges,"1,171.00",percent of total billed charges,"1,171.00",percent of total billed charges,"1,171.00",percent of total billed charges,"1,171.00",percent of total billed charges,843.12,percent of total billed charges,843.12,percent of total billed charges,843.12,percent of total billed charges,843.12,percent of total billed charges,843.12,percent of total billed charges,843.12,percent of total billed charges,925.09,percent of total billed charges,925.09,percent of total billed charges,936.8,percent of total billed charges,936.8,percent of total billed charges,,,843.12,percent of total billed charges ,,,936.8,percent of total billed charges ,925.09,percent of total billed charges ,925.09,percent of total billed charges ,995.35,percent of total billed charges ,995.35,percent of total billed charges ,936.8,percent of total billed charges ,936.8,percent of total billed charges ,819.7,percent of total billed charges ,819.7,percent of total billed charges ,702.6,percent of total billed charges ,702.6,percent of total billed charges ,702.6,percent of total billed charges ,702.6,percent of total billed charges ,,,,,622.97,percent of total billed charges ,,,,,591.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,269.33,percent of total billed charges,,,269.33,percent of total billed charges,,,269.33,percent of total billed charges,,,269.33,percent of total billed charges,,,269.33,percent of total billed charges,,,269.33,percent of total billed charges,,,269.33,percent of total billed charges,,,269.33,percent of total billed charges,,,269.33,percent of total billed charges,,,269.33,percent of total billed charges,,,269.33,percent of total billed charges,
LUMBAR FLEX/EXT ONLY 2V,72100,CDM,,,,both,,,636,636,146.28,636,636,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,502.44,percent of total billed charges,502.44,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 ,502.44,percent of total billed charges ,502.44,percent of total billed charges ,540.6,percent of total billed charges ,540.6,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 ,,,,,,,,,,,,,,,,,,,146.28,percent of total billed charges,,,146.28,percent of total billed charges,,,146.28,percent of total billed charges,,,146.28,percent of total billed charges,,,146.28,percent of total billed charges,,,146.28,percent of total billed charges,,,146.28,percent of total billed charges,,,146.28,percent of total billed charges,,,146.28,percent of total billed charges,,,146.28,percent of total billed charges,,,146.28,percent of total billed charges,
INFANT PELVIS 1 OR 2 VW (29DAYS TO 2YRS),72170,CDM,,,,both,,,541,541,124.43,541,541,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,427.39,percent of total billed charges,427.39,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 ,427.39,percent of total billed charges ,427.39,percent of total billed charges ,459.85,percent of total billed charges ,459.85,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 ,,,,,,,,,,,,,,,,,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,
PELVIS MIN 3V,72190,CDM,,,,both,,,669,669,153.87,669,669,percent of total billed charges,669,percent of total billed charges,669,percent of total billed charges,669,percent of total billed charges,669,percent of total billed charges,669,percent of total billed charges,669,percent of total billed charges,669,percent of total billed charges,481.68,percent of total billed charges,481.68,percent of total billed charges,481.68,percent of total billed charges,481.68,percent of total billed charges,481.68,percent of total billed charges,481.68,percent of total billed charges,528.51,percent of total billed charges,528.51,percent of total billed charges,535.2,percent of total billed charges,535.2,percent of total billed charges,,,481.68,percent of total billed charges ,,,535.2,percent of total billed charges ,528.51,percent of total billed charges ,528.51,percent of total billed charges ,568.65,percent of total billed charges ,568.65,percent of total billed charges ,535.2,percent of total billed charges ,535.2,percent of total billed charges ,468.3,percent of total billed charges ,468.3,percent of total billed charges ,401.4,percent of total billed charges ,401.4,percent of total billed charges ,401.4,percent of total billed charges ,401.4,percent of total billed charges ,,,,,355.91,percent of total billed charges ,,,,,338.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,153.87,percent of total billed charges,,,153.87,percent of total billed charges,,,153.87,percent of total billed charges,,,153.87,percent of total billed charges,,,153.87,percent of total billed charges,,,153.87,percent of total billed charges,,,153.87,percent of total billed charges,,,153.87,percent of total billed charges,,,153.87,percent of total billed charges,,,153.87,percent of total billed charges,,,153.87,percent of total billed charges,
SACROILIAC JTS 3 OR MORE VIEWS,72202,CDM,,,,both,,,633,633,145.59,633,633,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,500.07,percent of total billed charges,500.07,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 ,500.07,percent of total billed charges ,500.07,percent of total billed charges ,538.05,percent of total billed charges ,538.05,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 ,,,,,,,,,,,,,,,,,,,145.59,percent of total billed charges,,,145.59,percent of total billed charges,,,145.59,percent of total billed charges,,,145.59,percent of total billed charges,,,145.59,percent of total billed charges,,,145.59,percent of total billed charges,,,145.59,percent of total billed charges,,,145.59,percent of total billed charges,,,145.59,percent of total billed charges,,,145.59,percent of total billed charges,,,145.59,percent of total billed charges,
SINUSES MIN 3 V,70220,CDM,,,,both,,,792,792,182.16,792,792,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,792,percent of total billed charges,792,percent of total billed charges,570.24,percent of total billed charges,570.24,percent of total billed charges,570.24,percent of total billed charges,570.24,percent of total billed charges,570.24,percent of total billed charges,570.24,percent of total billed charges,625.68,percent of total billed charges,625.68,percent of total billed charges,633.6,percent of total billed charges,633.6,percent of total billed charges,,,570.24,percent of total billed charges ,,,633.6,percent of total billed charges ,625.68,percent of total billed charges ,625.68,percent of total billed charges ,673.2,percent of total billed charges ,673.2,percent of total billed charges ,633.6,percent of total billed charges ,633.6,percent of total billed charges ,554.4,percent of total billed charges ,554.4,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 ,,,,,421.34,percent of total billed charges ,,,,,400.28,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,,,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,
SINUSES LESS THAN 3 VIEWS,70210,CDM,,,,both,,,506,506,116.38,506,506,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,399.74,percent of total billed charges,399.74,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 ,399.74,percent of total billed charges ,399.74,percent of total billed charges ,430.1,percent of total billed charges ,430.1,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 ,,,,,,,,,,,,,,,,,,,116.38,percent of total billed charges,,,116.38,percent of total billed charges,,,116.38,percent of total billed charges,,,116.38,percent of total billed charges,,,116.38,percent of total billed charges,,,116.38,percent of total billed charges,,,116.38,percent of total billed charges,,,116.38,percent of total billed charges,,,116.38,percent of total billed charges,,,116.38,percent of total billed charges,,,116.38,percent of total billed charges,
ORBITS MIN 4 V,70200,CDM,,,,both,,,795,795,182.85,795,795,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,628.05,percent of total billed charges,628.05,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 ,628.05,percent of total billed charges ,628.05,percent of total billed charges ,675.75,percent of total billed charges ,675.75,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 ,,,,,,,,,,,,,,,,,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,,,182.85,percent of total billed charges,
NASAL BONES MIN 3 V,70160,CDM,,,,both,,,626,626,143.98,626,626,percent of total billed charges,626,percent of total billed charges,626,percent of total billed charges,626,percent of total billed charges,626,percent of total billed charges,626,percent of total billed charges,626,percent of total billed charges,626,percent of total billed charges,450.72,percent of total billed charges,450.72,percent of total billed charges,450.72,percent of total billed charges,450.72,percent of total billed charges,450.72,percent of total billed charges,450.72,percent of total billed charges,494.54,percent of total billed charges,494.54,percent of total billed charges,500.8,percent of total billed charges,500.8,percent of total billed charges,,,450.72,percent of total billed charges ,,,500.8,percent of total billed charges ,494.54,percent of total billed charges ,494.54,percent of total billed charges ,532.1,percent of total billed charges ,532.1,percent of total billed charges ,500.8,percent of total billed charges ,500.8,percent of total billed charges ,438.2,percent of total billed charges ,438.2,percent of total billed charges ,375.6,percent of total billed charges ,375.6,percent of total billed charges ,375.6,percent of total billed charges ,375.6,percent of total billed charges ,,,,,333.03,percent of total billed charges ,,,,,316.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,143.98,percent of total billed charges,,,143.98,percent of total billed charges,,,143.98,percent of total billed charges,,,143.98,percent of total billed charges,,,143.98,percent of total billed charges,,,143.98,percent of total billed charges,,,143.98,percent of total billed charges,,,143.98,percent of total billed charges,,,143.98,percent of total billed charges,,,143.98,percent of total billed charges,,,143.98,percent of total billed charges,
FACIAL BONES MIN 3 V,70150,CDM,,,,both,,,832,832,191.36,832,832,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,657.28,percent of total billed charges,657.28,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 ,657.28,percent of total billed charges ,657.28,percent of total billed charges ,707.2,percent of total billed charges ,707.2,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 ,,,,,,,,,,,,,,,,,,,191.36,percent of total billed charges,,,191.36,percent of total billed charges,,,191.36,percent of total billed charges,,,191.36,percent of total billed charges,,,191.36,percent of total billed charges,,,191.36,percent of total billed charges,,,191.36,percent of total billed charges,,,191.36,percent of total billed charges,,,191.36,percent of total billed charges,,,191.36,percent of total billed charges,,,191.36,percent of total billed charges,
MASTOIDS MIN 3 V PER SIDE,70130,CDM,,,,both,,,678,678,155.94,678,678,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,535.62,percent of total billed charges,535.62,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 ,535.62,percent of total billed charges ,535.62,percent of total billed charges ,576.3,percent of total billed charges ,576.3,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 ,,,,,,,,,,,,,,,,,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,
**SIALOGRAPHY DO NOT USE,70390,CDM,,,,both,,,444,444,102.12,444,444,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,350.76,percent of total billed charges,350.76,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 ,350.76,percent of total billed charges ,350.76,percent of total billed charges ,377.4,percent of total billed charges ,377.4,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 ,,,,,,,,,,,,,,,,,,,102.12,percent of total billed charges,,,102.12,percent of total billed charges,,,102.12,percent of total billed charges,,,102.12,percent of total billed charges,,,102.12,percent of total billed charges,,,102.12,percent of total billed charges,,,102.12,percent of total billed charges,,,102.12,percent of total billed charges,,,102.12,percent of total billed charges,,,102.12,percent of total billed charges,,,102.12,percent of total billed charges,
MANDIBLE < 4 V,70100,CDM,,,,both,,,435,435,100.05,435,435,percent of total billed charges,435,percent of total billed charges,435,percent of total billed charges,435,percent of total billed charges,435,percent of total billed charges,435,percent of total billed charges,435,percent of total billed charges,435,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,313.2,percent of total billed charges,313.2,percent of total billed charges,343.65,percent of total billed charges,343.65,percent of total billed charges,348,percent of total billed charges,348,percent of total billed charges,,,313.2,percent of total billed charges ,,,348,percent of total billed charges ,343.65,percent of total billed charges ,343.65,percent of total billed charges ,369.75,percent of total billed charges ,369.75,percent of total billed charges ,348,percent of total billed charges ,348,percent of total billed charges ,304.5,percent of total billed charges ,304.5,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 ,,,,,231.42,percent of total billed charges ,,,,,219.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,100.05,percent of total billed charges,,,100.05,percent of total billed charges,,,100.05,percent of total billed charges,,,100.05,percent of total billed charges,,,100.05,percent of total billed charges,,,100.05,percent of total billed charges,,,100.05,percent of total billed charges,,,100.05,percent of total billed charges,,,100.05,percent of total billed charges,,,100.05,percent of total billed charges,,,100.05,percent of total billed charges,
**MYELOGRAM THORACIC,72255,CDM,,,,both,,,"1,057.00","1,057.00",243.11,"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,835.03,percent of total billed charges,835.03,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 ,835.03,percent of total billed charges ,835.03,percent of total billed charges ,898.45,percent of total billed charges ,898.45,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 ,,,,,,,,,,,,,,,,,,,243.11,percent of total billed charges,,,243.11,percent of total billed charges,,,243.11,percent of total billed charges,,,243.11,percent of total billed charges,,,243.11,percent of total billed charges,,,243.11,percent of total billed charges,,,243.11,percent of total billed charges,,,243.11,percent of total billed charges,,,243.11,percent of total billed charges,,,243.11,percent of total billed charges,,,243.11,percent of total billed charges,
MANDIBLE MIN 4 V,70110,CDM,,,,both,,,832,832,191.36,832,832,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,657.28,percent of total billed charges,657.28,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 ,657.28,percent of total billed charges ,657.28,percent of total billed charges ,707.2,percent of total billed charges ,707.2,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 ,,,,,,,,,,,,,,,,,,,191.36,percent of total billed charges,,,191.36,percent of total billed charges,,,191.36,percent of total billed charges,,,191.36,percent of total billed charges,,,191.36,percent of total billed charges,,,191.36,percent of total billed charges,,,191.36,percent of total billed charges,,,191.36,percent of total billed charges,,,191.36,percent of total billed charges,,,191.36,percent of total billed charges,,,191.36,percent of total billed charges,
**MYELOGRAM LUMBAR,72265,CDM,,,,both,,,"1,356.00","1,356.00",311.88,"1,356.00","1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,976.32,percent of total billed charges,976.32,percent of total billed charges,976.32,percent of total billed charges,976.32,percent of total billed charges,976.32,percent of total billed charges,976.32,percent of total billed charges,"1,071.24",percent of total billed charges,"1,071.24",percent of total billed charges,"1,084.80",percent of total billed charges,"1,084.80",percent of total billed charges,,,976.32,percent of total billed charges ,,,"1,084.80",percent of total billed charges ,"1,071.24",percent of total billed charges ,"1,071.24",percent of total billed charges ,"1,152.60",percent of total billed charges ,"1,152.60",percent of total billed charges ,"1,084.80",percent of total billed charges ,"1,084.80",percent of total billed charges ,949.2,percent of total billed charges ,949.2,percent of total billed charges ,813.6,percent of total billed charges ,813.6,percent of total billed charges ,813.6,percent of total billed charges ,813.6,percent of total billed charges ,,,,,721.39,percent of total billed charges ,,,,,685.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,
MYELOGRAM 2 OR MORE REGIONS,72270,CDM,,,,both,,,"3,532.00","3,532.00",812.36,"3,532.00","3,532.00",percent of total billed charges,"3,532.00",percent of total billed charges,"3,532.00",percent of total billed charges,"3,532.00",percent of total billed charges,"3,532.00",percent of total billed charges,"3,532.00",percent of total billed charges,"3,532.00",percent of total billed charges,"3,532.00",percent of total billed charges,"2,543.04",percent of total billed charges,"2,543.04",percent of total billed charges,"2,543.04",percent of total billed charges,"2,543.04",percent of total billed charges,"2,543.04",percent of total billed charges,"2,543.04",percent of total billed charges,"2,790.28",percent of total billed charges,"2,790.28",percent of total billed charges,"2,825.60",percent of total billed charges,"2,825.60",percent of total billed charges,,,"2,543.04",percent of total billed charges ,,,"2,825.60",percent of total billed charges ,"2,790.28",percent of total billed charges ,"2,790.28",percent of total billed charges ,"3,002.20",percent of total billed charges ,"3,002.20",percent of total billed charges ,"2,825.60",percent of total billed charges ,"2,825.60",percent of total billed charges ,"2,472.40",percent of total billed charges ,"2,472.40",percent of total billed charges ,"2,119.20",percent of total billed charges ,"2,119.20",percent of total billed charges ,"2,119.20",percent of total billed charges ,"2,119.20",percent of total billed charges ,,,,,"1,879.02",percent of total billed charges ,,,,,"1,785.07",percent of total billed charges ,,,,,,,,,,,,,,,,,,,812.36,percent of total billed charges,,,812.36,percent of total billed charges,,,812.36,percent of total billed charges,,,812.36,percent of total billed charges,,,812.36,percent of total billed charges,,,812.36,percent of total billed charges,,,812.36,percent of total billed charges,,,812.36,percent of total billed charges,,,812.36,percent of total billed charges,,,812.36,percent of total billed charges,,,812.36,percent of total billed charges,
ARTHROGRAM SHOULDER RT,73040,CDM,,,RT,both,,,"1,431.00","1,431.00",329.13,"1,431.00","1,431.00",percent of total billed charges,"1,431.00",percent of total billed charges,"1,431.00",percent of total billed charges,"1,431.00",percent of total billed charges,"1,431.00",percent of total billed charges,"1,431.00",percent of total billed charges,"1,431.00",percent of total billed charges,"1,431.00",percent of total billed charges,"1,030.32",percent of total billed charges,"1,030.32",percent of total billed charges,"1,030.32",percent of total billed charges,"1,030.32",percent of total billed charges,"1,030.32",percent of total billed charges,"1,030.32",percent of total billed charges,"1,130.49",percent of total billed charges,"1,130.49",percent of total billed charges,"1,144.80",percent of total billed charges,"1,144.80",percent of total billed charges,,,"1,030.32",percent of total billed charges ,,,"1,144.80",percent of total billed charges ,"1,130.49",percent of total billed charges ,"1,130.49",percent of total billed charges ,"1,216.35",percent of total billed charges ,"1,216.35",percent of total billed charges ,"1,144.80",percent of total billed charges ,"1,144.80",percent of total billed charges ,"1,001.70",percent of total billed charges ,"1,001.70",percent of total billed charges ,858.6,percent of total billed charges ,858.6,percent of total billed charges ,858.6,percent of total billed charges ,858.6,percent of total billed charges ,,,,,761.29,percent of total billed charges ,,,,,723.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,329.13,percent of total billed charges,,,329.13,percent of total billed charges,,,329.13,percent of total billed charges,,,329.13,percent of total billed charges,,,329.13,percent of total billed charges,,,329.13,percent of total billed charges,,,329.13,percent of total billed charges,,,329.13,percent of total billed charges,,,329.13,percent of total billed charges,,,329.13,percent of total billed charges,,,329.13,percent of total billed charges,
FACIAL BONES < 3 V,70140,CDM,,,,both,,,424,424,97.52,424,424,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,334.96,percent of total billed charges,334.96,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 ,334.96,percent of total billed charges ,334.96,percent of total billed charges ,360.4,percent of total billed charges ,360.4,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 ,,,,,,,,,,,,,,,,,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,
ARTHROGRAM HIP RT,73525,CDM,,,RT,both,,,"1,142.00","1,142.00",262.66,"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,902.18,percent of total billed charges,902.18,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 ,902.18,percent of total billed charges ,902.18,percent of total billed charges ,970.7,percent of total billed charges ,970.7,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 ,,,,,,,,,,,,,,,,,,,262.66,percent of total billed charges,,,262.66,percent of total billed charges,,,262.66,percent of total billed charges,,,262.66,percent of total billed charges,,,262.66,percent of total billed charges,,,262.66,percent of total billed charges,,,262.66,percent of total billed charges,,,262.66,percent of total billed charges,,,262.66,percent of total billed charges,,,262.66,percent of total billed charges,,,262.66,percent of total billed charges,
ARTHROGRAM KNEE RT,73580,CDM,,,RT,both,,,"1,702.00","1,702.00",391.46,"1,702.00","1,702.00",percent of total billed charges,"1,702.00",percent of total billed charges,"1,702.00",percent of total billed charges,"1,702.00",percent of total billed charges,"1,702.00",percent of total billed charges,"1,702.00",percent of total billed charges,"1,702.00",percent of total billed charges,"1,702.00",percent of total billed charges,"1,225.44",percent of total billed charges,"1,225.44",percent of total billed charges,"1,225.44",percent of total billed charges,"1,225.44",percent of total billed charges,"1,225.44",percent of total billed charges,"1,225.44",percent of total billed charges,"1,344.58",percent of total billed charges,"1,344.58",percent of total billed charges,"1,361.60",percent of total billed charges,"1,361.60",percent of total billed charges,,,"1,225.44",percent of total billed charges ,,,"1,361.60",percent of total billed charges ,"1,344.58",percent of total billed charges ,"1,344.58",percent of total billed charges ,"1,446.70",percent of total billed charges ,"1,446.70",percent of total billed charges ,"1,361.60",percent of total billed charges ,"1,361.60",percent of total billed charges ,"1,191.40",percent of total billed charges ,"1,191.40",percent of total billed charges ,"1,021.20",percent of total billed charges ,"1,021.20",percent of total billed charges ,"1,021.20",percent of total billed charges ,"1,021.20",percent of total billed charges ,,,,,905.46,percent of total billed charges ,,,,,860.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,391.46,percent of total billed charges,,,391.46,percent of total billed charges,,,391.46,percent of total billed charges,,,391.46,percent of total billed charges,,,391.46,percent of total billed charges,,,391.46,percent of total billed charges,,,391.46,percent of total billed charges,,,391.46,percent of total billed charges,,,391.46,percent of total billed charges,,,391.46,percent of total billed charges,,,391.46,percent of total billed charges,
COLON THERAPEUTIC 74283,74283,CDM,,,,both,,,"1,473.00","1,473.00",338.79,"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,"1,163.67",percent of total billed charges,"1,163.67",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 ,"1,163.67",percent of total billed charges ,"1,163.67",percent of total billed charges ,"1,252.05",percent of total billed charges ,"1,252.05",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 ,,,,,,,,,,,,,,,,,,,338.79,percent of total billed charges,,,338.79,percent of total billed charges,,,338.79,percent of total billed charges,,,338.79,percent of total billed charges,,,338.79,percent of total billed charges,,,338.79,percent of total billed charges,,,338.79,percent of total billed charges,,,338.79,percent of total billed charges,,,338.79,percent of total billed charges,,,338.79,percent of total billed charges,,,338.79,percent of total billed charges,
FILM COPIES (LEGAL),320,RC,55513-01-2610,NDC,,both,,,109,109,25.07,109,109,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,86.11,percent of total billed charges,86.11,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 ,86.11,percent of total billed charges ,86.11,percent of total billed charges ,92.65,percent of total billed charges ,92.65,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 ,,,,,,,,,,,,,,,,,,,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,
FL FEED TUBE INSERT,74340,CDM,,,,both,,,453,453,104.19,453,453,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,357.87,percent of total billed charges,357.87,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 ,357.87,percent of total billed charges ,357.87,percent of total billed charges ,385.05,percent of total billed charges ,385.05,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 ,,,,,,,,,,,,,,,,,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,
LOOPOGRAM,74425,CDM,,,,both,,,"1,259.00","1,259.00",289.57,"1,259.00","1,259.00",percent of total billed charges,"1,259.00",percent of total billed charges,"1,259.00",percent of total billed charges,"1,259.00",percent of total billed charges,"1,259.00",percent of total billed charges,"1,259.00",percent of total billed charges,"1,259.00",percent of total billed charges,"1,259.00",percent of total billed charges,906.48,percent of total billed charges,906.48,percent of total billed charges,906.48,percent of total billed charges,906.48,percent of total billed charges,906.48,percent of total billed charges,906.48,percent of total billed charges,994.61,percent of total billed charges,994.61,percent of total billed charges,"1,007.20",percent of total billed charges,"1,007.20",percent of total billed charges,,,906.48,percent of total billed charges ,,,"1,007.20",percent of total billed charges ,994.61,percent of total billed charges ,994.61,percent of total billed charges ,"1,070.15",percent of total billed charges ,"1,070.15",percent of total billed charges ,"1,007.20",percent of total billed charges ,"1,007.20",percent of total billed charges ,881.3,percent of total billed charges ,881.3,percent of total billed charges ,755.4,percent of total billed charges ,755.4,percent of total billed charges ,755.4,percent of total billed charges ,755.4,percent of total billed charges ,,,,,669.79,percent of total billed charges ,,,,,636.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,289.57,percent of total billed charges,,,289.57,percent of total billed charges,,,289.57,percent of total billed charges,,,289.57,percent of total billed charges,,,289.57,percent of total billed charges,,,289.57,percent of total billed charges,,,289.57,percent of total billed charges,,,289.57,percent of total billed charges,,,289.57,percent of total billed charges,,,289.57,percent of total billed charges,,,289.57,percent of total billed charges,
CYSTOGRAM 74430,74430,CDM,,,,both,,,"1,221.00","1,221.00",280.83,"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,964.59,percent of total billed charges,964.59,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 ,964.59,percent of total billed charges ,964.59,percent of total billed charges ,"1,037.85",percent of total billed charges ,"1,037.85",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 ,,,,,,,,,,,,,,,,,,,280.83,percent of total billed charges,,,280.83,percent of total billed charges,,,280.83,percent of total billed charges,,,280.83,percent of total billed charges,,,280.83,percent of total billed charges,,,280.83,percent of total billed charges,,,280.83,percent of total billed charges,,,280.83,percent of total billed charges,,,280.83,percent of total billed charges,,,280.83,percent of total billed charges,,,280.83,percent of total billed charges,
XR COST MAILING FILM,320,RC,55513-01-2610,NDC,,both,,,92,92,21.16,92,92,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,72.68,percent of total billed charges,72.68,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 ,72.68,percent of total billed charges ,72.68,percent of total billed charges ,78.2,percent of total billed charges ,78.2,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 ,,,,,,,,,,,,,,,,,,,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,
VCUG 74455,74455,CDM,,,,both,,,"1,197.00","1,197.00",275.31,"1,197.00","1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,"1,197.00",percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,861.84,percent of total billed charges,945.63,percent of total billed charges,945.63,percent of total billed charges,957.6,percent of total billed charges,957.6,percent of total billed charges,,,861.84,percent of total billed charges ,,,957.6,percent of total billed charges ,945.63,percent of total billed charges ,945.63,percent of total billed charges ,"1,017.45",percent of total billed charges ,"1,017.45",percent of total billed charges ,957.6,percent of total billed charges ,957.6,percent of total billed charges ,837.9,percent of total billed charges ,837.9,percent of total billed charges ,718.2,percent of total billed charges ,718.2,percent of total billed charges ,718.2,percent of total billed charges ,718.2,percent of total billed charges ,,,,,636.8,percent of total billed charges ,,,,,604.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,,,275.31,percent of total billed charges,
CLAVICLE RT,73000,CDM,,,RT,both,,,501,501,115.23,501,501,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,395.79,percent of total billed charges,395.79,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 ,395.79,percent of total billed charges ,395.79,percent of total billed charges ,425.85,percent of total billed charges ,425.85,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 ,,,,,,,,,,,,,,,,,,,115.23,percent of total billed charges,,,115.23,percent of total billed charges,,,115.23,percent of total billed charges,,,115.23,percent of total billed charges,,,115.23,percent of total billed charges,,,115.23,percent of total billed charges,,,115.23,percent of total billed charges,,,115.23,percent of total billed charges,,,115.23,percent of total billed charges,,,115.23,percent of total billed charges,,,115.23,percent of total billed charges,
**TOMOGRAPHY (16+) DO NOT USE,76100,CDM,,,,both,,,"1,188.00","1,188.00",273.24,"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,938.52,percent of total billed charges,938.52,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 ,938.52,percent of total billed charges ,938.52,percent of total billed charges ,"1,009.80",percent of total billed charges ,"1,009.80",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 ,,,,,,,,,,,,,,,,,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,
**TOMOGRAPHY (11-15) DO NOT USE,76100,CDM,,,,both,,,"1,188.00","1,188.00",273.24,"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,938.52,percent of total billed charges,938.52,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 ,938.52,percent of total billed charges ,938.52,percent of total billed charges ,"1,009.80",percent of total billed charges ,"1,009.80",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 ,,,,,,,,,,,,,,,,,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,
**TOMOGRAPHY (6-10),76100,CDM,,,,both,,,"1,188.00","1,188.00",273.24,"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,938.52,percent of total billed charges,938.52,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 ,938.52,percent of total billed charges ,938.52,percent of total billed charges ,"1,009.80",percent of total billed charges ,"1,009.80",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 ,,,,,,,,,,,,,,,,,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,,,273.24,percent of total billed charges,
**RETRO URETHROCYSTOGRAPH,74450,CDM,,,,both,,,"1,219.00","1,219.00",280.37,"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,963.01,percent of total billed charges,963.01,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 ,963.01,percent of total billed charges ,963.01,percent of total billed charges ,"1,036.15",percent of total billed charges ,"1,036.15",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 ,,,,,,,,,,,,,,,,,,,280.37,percent of total billed charges,,,280.37,percent of total billed charges,,,280.37,percent of total billed charges,,,280.37,percent of total billed charges,,,280.37,percent of total billed charges,,,280.37,percent of total billed charges,,,280.37,percent of total billed charges,,,280.37,percent of total billed charges,,,280.37,percent of total billed charges,,,280.37,percent of total billed charges,,,280.37,percent of total billed charges,
**MM EA ADD LOALIZATION RT DO NOT USE,76096,CDM,,,RT,both,,,253,253,58.19,253,253,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,199.87,percent of total billed charges,199.87,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 ,199.87,percent of total billed charges ,199.87,percent of total billed charges ,215.05,percent of total billed charges ,215.05,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 ,,,,,,,,,,,,,,,,,,,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,,,58.19,percent of total billed charges,,,58.19,percent of total billed charges,,,58.19,percent of total billed charges,
**BREAST NEEDLE LOCALIZATION RT,77032,CDM,,,RT,both,,,415,415,95.45,415,415,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,327.85,percent of total billed charges,327.85,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 ,327.85,percent of total billed charges ,327.85,percent of total billed charges ,352.75,percent of total billed charges ,352.75,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 ,,,,,,,,,,,,,,,,,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,
**FILM COPIES (PATIENT),320,RC,55513-01-2610,NDC,,both,,,27,27,6.21,27,27,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,21.33,percent of total billed charges,21.33,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 ,21.33,percent of total billed charges ,21.33,percent of total billed charges ,22.95,percent of total billed charges ,22.95,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 ,,,,,,,,,,,,,,,,,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,,,6.21,percent of total billed charges,
SINOGRAM,76080,CDM,,,,both,,,"1,240.00","1,240.00",285.2,"1,240.00","1,240.00",percent of total billed charges,"1,240.00",percent of total billed charges,"1,240.00",percent of total billed charges,"1,240.00",percent of total billed charges,"1,240.00",percent of total billed charges,"1,240.00",percent of total billed charges,"1,240.00",percent of total billed charges,"1,240.00",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,892.8,percent of total billed charges,892.8,percent of total billed charges,979.6,percent of total billed charges,979.6,percent of total billed charges,992,percent of total billed charges,992,percent of total billed charges,,,892.8,percent of total billed charges ,,,992,percent of total billed charges ,979.6,percent of total billed charges ,979.6,percent of total billed charges ,"1,054.00",percent of total billed charges ,"1,054.00",percent of total billed charges ,992,percent of total billed charges ,992,percent of total billed charges ,868,percent of total billed charges ,868,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 ,,,,,659.68,percent of total billed charges ,,,,,626.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,285.2,percent of total billed charges,,,285.2,percent of total billed charges,,,285.2,percent of total billed charges,,,285.2,percent of total billed charges,,,285.2,percent of total billed charges,,,285.2,percent of total billed charges,,,285.2,percent of total billed charges,,,285.2,percent of total billed charges,,,285.2,percent of total billed charges,,,285.2,percent of total billed charges,,,285.2,percent of total billed charges,
**TRIPANEL RT,77073,CDM,,,,both,,,546,546,125.58,546,546,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,431.34,percent of total billed charges,431.34,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 ,431.34,percent of total billed charges ,431.34,percent of total billed charges ,464.1,percent of total billed charges ,464.1,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 ,,,,,,,,,,,,,,,,,,,125.58,percent of total billed charges,,,125.58,percent of total billed charges,,,125.58,percent of total billed charges,,,125.58,percent of total billed charges,,,125.58,percent of total billed charges,,,125.58,percent of total billed charges,,,125.58,percent of total billed charges,,,125.58,percent of total billed charges,,,125.58,percent of total billed charges,,,125.58,percent of total billed charges,,,125.58,percent of total billed charges,
SACRUM/COCCYX MIN 2V,72220,CDM,,,,both,,,639,639,146.97,639,639,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,639,percent of total billed charges,639,percent of total billed charges,639,percent of total billed charges,460.08,percent of total billed charges,460.08,percent of total billed charges,460.08,percent of total billed charges,460.08,percent of total billed charges,460.08,percent of total billed charges,460.08,percent of total billed charges,504.81,percent of total billed charges,504.81,percent of total billed charges,511.2,percent of total billed charges,511.2,percent of total billed charges,,,460.08,percent of total billed charges ,,,511.2,percent of total billed charges ,504.81,percent of total billed charges ,504.81,percent of total billed charges ,543.15,percent of total billed charges ,543.15,percent of total billed charges ,511.2,percent of total billed charges ,511.2,percent of total billed charges ,447.3,percent of total billed charges ,447.3,percent of total billed charges ,383.4,percent of total billed charges ,383.4,percent of total billed charges ,383.4,percent of total billed charges ,383.4,percent of total billed charges ,,,,,339.95,percent of total billed charges ,,,,,322.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,146.97,percent of total billed charges,,,146.97,percent of total billed charges,,,146.97,percent of total billed charges,,,146.97,percent of total billed charges,,,146.97,percent of total billed charges,,,146.97,percent of total billed charges,,,146.97,percent of total billed charges,,,146.97,percent of total billed charges,,,146.97,percent of total billed charges,,,146.97,percent of total billed charges,,,146.97,percent of total billed charges,
PERCUTAN TUBE CHANGE,75984,CDM,,,,both,,,"1,707.00","1,707.00",392.61,"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,"1,348.53",percent of total billed charges,"1,348.53",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 ,"1,348.53",percent of total billed charges ,"1,348.53",percent of total billed charges ,"1,450.95",percent of total billed charges ,"1,450.95",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 ,,,,,,,,,,,,,,,,,,,392.61,percent of total billed charges,,,392.61,percent of total billed charges,,,392.61,percent of total billed charges,,,392.61,percent of total billed charges,,,392.61,percent of total billed charges,,,392.61,percent of total billed charges,,,392.61,percent of total billed charges,,,392.61,percent of total billed charges,,,392.61,percent of total billed charges,,,392.61,percent of total billed charges,,,392.61,percent of total billed charges,
VENOGRAM RT,75820,CDM,,,RT,both,,,"1,991.00","1,991.00",457.93,"1,991.00","1,991.00",percent of total billed charges,"1,991.00",percent of total billed charges,"1,991.00",percent of total billed charges,"1,991.00",percent of total billed charges,"1,991.00",percent of total billed charges,"1,991.00",percent of total billed charges,"1,991.00",percent of total billed charges,"1,991.00",percent of total billed charges,"1,433.52",percent of total billed charges,"1,433.52",percent of total billed charges,"1,433.52",percent of total billed charges,"1,433.52",percent of total billed charges,"1,433.52",percent of total billed charges,"1,433.52",percent of total billed charges,"1,572.89",percent of total billed charges,"1,572.89",percent of total billed charges,"1,592.80",percent of total billed charges,"1,592.80",percent of total billed charges,,,"1,433.52",percent of total billed charges ,,,"1,592.80",percent of total billed charges ,"1,572.89",percent of total billed charges ,"1,572.89",percent of total billed charges ,"1,692.35",percent of total billed charges ,"1,692.35",percent of total billed charges ,"1,592.80",percent of total billed charges ,"1,592.80",percent of total billed charges ,"1,393.70",percent of total billed charges ,"1,393.70",percent of total billed charges ,"1,194.60",percent of total billed charges ,"1,194.60",percent of total billed charges ,"1,194.60",percent of total billed charges ,"1,194.60",percent of total billed charges ,,,,,"1,059.21",percent of total billed charges ,,,,,"1,006.25",percent of total billed charges ,,,,,,,,,,,,,,,,,,,457.93,percent of total billed charges,,,457.93,percent of total billed charges,,,457.93,percent of total billed charges,,,457.93,percent of total billed charges,,,457.93,percent of total billed charges,,,457.93,percent of total billed charges,,,457.93,percent of total billed charges,,,457.93,percent of total billed charges,,,457.93,percent of total billed charges,,,457.93,percent of total billed charges,,,457.93,percent of total billed charges,
HYSTEROSALPINGOGRAM,74740,CDM,,,,both,,,"1,341.00","1,341.00",308.43,"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,"1,059.39",percent of total billed charges,"1,059.39",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 ,"1,059.39",percent of total billed charges ,"1,059.39",percent of total billed charges ,"1,139.85",percent of total billed charges ,"1,139.85",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 ,,,,,,,,,,,,,,,,,,,308.43,percent of total billed charges,,,308.43,percent of total billed charges,,,308.43,percent of total billed charges,,,308.43,percent of total billed charges,,,308.43,percent of total billed charges,,,308.43,percent of total billed charges,,,308.43,percent of total billed charges,,,308.43,percent of total billed charges,,,308.43,percent of total billed charges,,,308.43,percent of total billed charges,,,308.43,percent of total billed charges,
ARTHROGRAM ELBOW RT,73085,CDM,,,RT,both,,,588,588,135.24,588,588,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,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,464.52,percent of total billed charges,464.52,percent of total billed charges,470.4,percent of total billed charges,470.4,percent of total billed charges,,,423.36,percent of total billed charges ,,,470.4,percent of total billed charges ,464.52,percent of total billed charges ,464.52,percent of total billed charges ,499.8,percent of total billed charges ,499.8,percent of total billed charges ,470.4,percent of total billed charges ,470.4,percent of total billed charges ,411.6,percent of total billed charges ,411.6,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 ,,,,,312.82,percent of total billed charges ,,,,,297.18,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,
CHEST 2 V,71046,CDM,,,,both,,,592,592,136.16,592,592,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,467.68,percent of total billed charges,467.68,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 ,467.68,percent of total billed charges ,467.68,percent of total billed charges ,503.2,percent of total billed charges ,503.2,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,136.16,percent of total billed charges,,,136.16,percent of total billed charges,,,136.16,percent of total billed charges,
**CHEST 1 V,71010,CDM,,,,both,,,527,527,121.21,527,527,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,416.33,percent of total billed charges,416.33,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 ,416.33,percent of total billed charges ,416.33,percent of total billed charges ,447.95,percent of total billed charges ,447.95,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**CHEST BLACK LUNG DO NOT USE,71010,CDM,,,,both,,,527,527,121.21,527,527,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,416.33,percent of total billed charges,416.33,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 ,416.33,percent of total billed charges ,416.33,percent of total billed charges ,447.95,percent of total billed charges ,447.95,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
CHEST 4 V,71048,CDM,,,,both,,,797,797,183.31,797,797,percent of total billed charges,797,percent of total billed charges,797,percent of total billed charges,797,percent of total billed charges,797,percent of total billed charges,797,percent of total billed charges,797,percent of total billed charges,797,percent of total billed charges,573.84,percent of total billed charges,573.84,percent of total billed charges,573.84,percent of total billed charges,573.84,percent of total billed charges,573.84,percent of total billed charges,573.84,percent of total billed charges,629.63,percent of total billed charges,629.63,percent of total billed charges,637.6,percent of total billed charges,637.6,percent of total billed charges,,,573.84,percent of total billed charges ,,,637.6,percent of total billed charges ,629.63,percent of total billed charges ,629.63,percent of total billed charges ,677.45,percent of total billed charges ,677.45,percent of total billed charges ,637.6,percent of total billed charges ,637.6,percent of total billed charges ,557.9,percent of total billed charges ,557.9,percent of total billed charges ,478.2,percent of total billed charges ,478.2,percent of total billed charges ,478.2,percent of total billed charges ,478.2,percent of total billed charges ,,,,,424,percent of total billed charges ,,,,,402.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,183.31,percent of total billed charges,,,183.31,percent of total billed charges,,,183.31,percent of total billed charges,,,183.31,percent of total billed charges,,,183.31,percent of total billed charges,,,183.31,percent of total billed charges,,,183.31,percent of total billed charges,,,183.31,percent of total billed charges,,,183.31,percent of total billed charges,,,183.31,percent of total billed charges,,,183.31,percent of total billed charges,
CHEST 2 V WITH OBLS,71048,CDM,,,,both,,,603,603,138.69,603,603,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,476.37,percent of total billed charges,476.37,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 ,476.37,percent of total billed charges ,476.37,percent of total billed charges ,512.55,percent of total billed charges ,512.55,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 ,,,,,,,,,,,,,,,,,,,138.69,percent of total billed charges,,,138.69,percent of total billed charges,,,138.69,percent of total billed charges,,,138.69,percent of total billed charges,,,138.69,percent of total billed charges,,,138.69,percent of total billed charges,,,138.69,percent of total billed charges,,,138.69,percent of total billed charges,,,138.69,percent of total billed charges,,,138.69,percent of total billed charges,,,138.69,percent of total billed charges,
CHEST 4 V& FLUOR,76000,CDM,,,,both,,,519,519,119.37,519,519,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,410.01,percent of total billed charges,410.01,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 ,410.01,percent of total billed charges ,410.01,percent of total billed charges ,441.15,percent of total billed charges ,441.15,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 ,,,,,,,,,,,,,,,,,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,
**CHEST SPECIAL VIEWS,71035,CDM,,,,both,,,327,327,75.21,327,327,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,258.33,percent of total billed charges,258.33,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 ,258.33,percent of total billed charges ,258.33,percent of total billed charges ,277.95,percent of total billed charges ,277.95,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 ,,,,,,,,,,,,,,,,,,,75.21,percent of total billed charges,,,75.21,percent of total billed charges,,,75.21,percent of total billed charges,,,75.21,percent of total billed charges,,,75.21,percent of total billed charges,,,75.21,percent of total billed charges,,,75.21,percent of total billed charges,,,75.21,percent of total billed charges,,,75.21,percent of total billed charges,,,75.21,percent of total billed charges,,,75.21,percent of total billed charges,
**CHEST PORT 2 V,71020,CDM,,,,both,,,368,368,84.64,368,368,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,290.72,percent of total billed charges,290.72,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 ,290.72,percent of total billed charges ,290.72,percent of total billed charges ,312.8,percent of total billed charges ,312.8,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 ,,,,,,,,,,,,,,,,,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,
**CHEST 2 V,71020,CDM,,,,both,,,368,368,84.64,368,368,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,290.72,percent of total billed charges,290.72,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 ,290.72,percent of total billed charges ,290.72,percent of total billed charges ,312.8,percent of total billed charges ,312.8,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 ,,,,,,,,,,,,,,,,,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,
CHEST 1V PORT,71045,CDM,,,,both,,,527,527,121.21,527,527,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,416.33,percent of total billed charges,416.33,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 ,416.33,percent of total billed charges ,416.33,percent of total billed charges ,447.95,percent of total billed charges ,447.95,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**CHEST LAT DECUB,71035,CDM,,,,both,,,497,497,114.31,497,497,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,392.63,percent of total billed charges,392.63,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 ,392.63,percent of total billed charges ,392.63,percent of total billed charges ,422.45,percent of total billed charges ,422.45,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 ,,,,,,,,,,,,,,,,,,,114.31,percent of total billed charges,,,114.31,percent of total billed charges,,,114.31,percent of total billed charges,,,114.31,percent of total billed charges,,,114.31,percent of total billed charges,,,114.31,percent of total billed charges,,,114.31,percent of total billed charges,,,114.31,percent of total billed charges,,,114.31,percent of total billed charges,,,114.31,percent of total billed charges,,,114.31,percent of total billed charges,
CHEST 3 VIEWS,71047,CDM,,,,both,,,605,605,139.15,605,605,percent of total billed charges,605,percent of total billed charges,605,percent of total billed charges,605,percent of total billed charges,605,percent of total billed charges,605,percent of total billed charges,605,percent of total billed charges,605,percent of total billed charges,435.6,percent of total billed charges,435.6,percent of total billed charges,435.6,percent of total billed charges,435.6,percent of total billed charges,435.6,percent of total billed charges,435.6,percent of total billed charges,477.95,percent of total billed charges,477.95,percent of total billed charges,484,percent of total billed charges,484,percent of total billed charges,,,435.6,percent of total billed charges ,,,484,percent of total billed charges ,477.95,percent of total billed charges ,477.95,percent of total billed charges ,514.25,percent of total billed charges ,514.25,percent of total billed charges ,484,percent of total billed charges ,484,percent of total billed charges ,423.5,percent of total billed charges ,423.5,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 ,,,,,321.86,percent of total billed charges ,,,,,305.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,
CHEST FLUOROSCOPY,76000,CDM,,,,both,,,927,927,213.21,927,927,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,732.33,percent of total billed charges,732.33,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 ,732.33,percent of total billed charges ,732.33,percent of total billed charges ,787.95,percent of total billed charges ,787.95,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 ,,,,,,,,,,,,,,,,,,,213.21,percent of total billed charges,,,213.21,percent of total billed charges,,,213.21,percent of total billed charges,,,213.21,percent of total billed charges,,,213.21,percent of total billed charges,,,213.21,percent of total billed charges,,,213.21,percent of total billed charges,,,213.21,percent of total billed charges,,,213.21,percent of total billed charges,,,213.21,percent of total billed charges,,,213.21,percent of total billed charges,
**NM PARA IMAGE PLANAR ONLY,78070,CDM,,,,both,,,"2,306.00","2,306.00",530.38,"2,306.00","2,306.00",percent of total billed charges,"2,306.00",percent of total billed charges,"2,306.00",percent of total billed charges,"2,306.00",percent of total billed charges,"2,306.00",percent of total billed charges,"2,306.00",percent of total billed charges,"2,306.00",percent of total billed charges,"2,306.00",percent of total billed charges,"1,660.32",percent of total billed charges,"1,660.32",percent of total billed charges,"1,660.32",percent of total billed charges,"1,660.32",percent of total billed charges,"1,660.32",percent of total billed charges,"1,660.32",percent of total billed charges,"1,821.74",percent of total billed charges,"1,821.74",percent of total billed charges,"1,844.80",percent of total billed charges,"1,844.80",percent of total billed charges,,,"1,660.32",percent of total billed charges ,,,"1,844.80",percent of total billed charges ,"1,821.74",percent of total billed charges ,"1,821.74",percent of total billed charges ,"1,960.10",percent of total billed charges ,"1,960.10",percent of total billed charges ,"1,844.80",percent of total billed charges ,"1,844.80",percent of total billed charges ,"1,614.20",percent of total billed charges ,"1,614.20",percent of total billed charges ,"1,383.60",percent of total billed charges ,"1,383.60",percent of total billed charges ,"1,383.60",percent of total billed charges ,"1,383.60",percent of total billed charges ,,,,,"1,226.79",percent of total billed charges ,,,,,"1,165.45",percent of total billed charges ,,,,,,,,,,,,,,,,,,,530.38,percent of total billed charges,,,530.38,percent of total billed charges,,,530.38,percent of total billed charges,,,530.38,percent of total billed charges,,,530.38,percent of total billed charges,,,530.38,percent of total billed charges,,,530.38,percent of total billed charges,,,530.38,percent of total billed charges,,,530.38,percent of total billed charges,,,530.38,percent of total billed charges,,,530.38,percent of total billed charges,
NM MYOCARD MULT REST/STRESS,78452,CDM,,,,both,,,"6,208.00","6,208.00","1,427.84","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,"4,904.32",percent of total billed charges,"4,904.32",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 ,"4,904.32",percent of total billed charges ,"4,904.32",percent of total billed charges ,"5,276.80",percent of total billed charges ,"5,276.80",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 ,,,,,,,,,,,,,,,,,,,"1,427.84",percent of total billed charges,,,"1,427.84",percent of total billed charges,,,"1,427.84",percent of total billed charges,,,"1,427.84",percent of total billed charges,,,"1,427.84",percent of total billed charges,,,"1,427.84",percent of total billed charges,,,"1,427.84",percent of total billed charges,,,"1,427.84",percent of total billed charges,,,"1,427.84",percent of total billed charges,,,"1,427.84",percent of total billed charges,,,"1,427.84",percent of total billed charges,
NM WBC/INDIUM WHOLE BODY,78802,CDM,,,,both,,,"3,913.00","3,913.00",899.99,"3,913.00","3,913.00",percent of total billed charges,"3,913.00",percent of total billed charges,"3,913.00",percent of total billed charges,"3,913.00",percent of total billed charges,"3,913.00",percent of total billed charges,"3,913.00",percent of total billed charges,"3,913.00",percent of total billed charges,"3,913.00",percent of total billed charges,"2,817.36",percent of total billed charges,"2,817.36",percent of total billed charges,"2,817.36",percent of total billed charges,"2,817.36",percent of total billed charges,"2,817.36",percent of total billed charges,"2,817.36",percent of total billed charges,"3,091.27",percent of total billed charges,"3,091.27",percent of total billed charges,"3,130.40",percent of total billed charges,"3,130.40",percent of total billed charges,,,"2,817.36",percent of total billed charges ,,,"3,130.40",percent of total billed charges ,"3,091.27",percent of total billed charges ,"3,091.27",percent of total billed charges ,"3,326.05",percent of total billed charges ,"3,326.05",percent of total billed charges ,"3,130.40",percent of total billed charges ,"3,130.40",percent of total billed charges ,"2,739.10",percent of total billed charges ,"2,739.10",percent of total billed charges ,"2,347.80",percent of total billed charges ,"2,347.80",percent of total billed charges ,"2,347.80",percent of total billed charges ,"2,347.80",percent of total billed charges ,,,,,"2,081.72",percent of total billed charges ,,,,,"1,977.63",percent of total billed charges ,,,,,,,,,,,,,,,,,,,899.99,percent of total billed charges,,,899.99,percent of total billed charges,,,899.99,percent of total billed charges,,,899.99,percent of total billed charges,,,899.99,percent of total billed charges,,,899.99,percent of total billed charges,,,899.99,percent of total billed charges,,,899.99,percent of total billed charges,,,899.99,percent of total billed charges,,,899.99,percent of total billed charges,,,899.99,percent of total billed charges,
NM SPECT,78830,CDM,,,,both,,,"3,402.00","3,402.00",782.46,"3,402.00","3,402.00",percent of total billed charges,"3,402.00",percent of total billed charges,"3,402.00",percent of total billed charges,"3,402.00",percent of total billed charges,"3,402.00",percent of total billed charges,"3,402.00",percent of total billed charges,"3,402.00",percent of total billed charges,"3,402.00",percent of total billed charges,"2,449.44",percent of total billed charges,"2,449.44",percent of total billed charges,"2,449.44",percent of total billed charges,"2,449.44",percent of total billed charges,"2,449.44",percent of total billed charges,"2,449.44",percent of total billed charges,"2,687.58",percent of total billed charges,"2,687.58",percent of total billed charges,"2,721.60",percent of total billed charges,"2,721.60",percent of total billed charges,,,"2,449.44",percent of total billed charges ,,,"2,721.60",percent of total billed charges ,"2,687.58",percent of total billed charges ,"2,687.58",percent of total billed charges ,"2,891.70",percent of total billed charges ,"2,891.70",percent of total billed charges ,"2,721.60",percent of total billed charges ,"2,721.60",percent of total billed charges ,"2,381.40",percent of total billed charges ,"2,381.40",percent of total billed charges ,"2,041.20",percent of total billed charges ,"2,041.20",percent of total billed charges ,"2,041.20",percent of total billed charges ,"2,041.20",percent of total billed charges ,,,,,"1,809.86",percent of total billed charges ,,,,,"1,719.37",percent of total billed charges ,,,,,,,,,,,,,,,,,,,782.46,percent of total billed charges,,,782.46,percent of total billed charges,,,782.46,percent of total billed charges,,,782.46,percent of total billed charges,,,782.46,percent of total billed charges,,,782.46,percent of total billed charges,,,782.46,percent of total billed charges,,,782.46,percent of total billed charges,,,782.46,percent of total billed charges,,,782.46,percent of total billed charges,,,782.46,percent of total billed charges,
**NM URETERAL REFLUX STUDY DO NOT USE,78740,CDM,,,,both,,,"1,164.00","1,164.00",267.72,"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,919.56,percent of total billed charges,919.56,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 ,919.56,percent of total billed charges ,919.56,percent of total billed charges ,989.4,percent of total billed charges ,989.4,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 ,,,,,,,,,,,,,,,,,,,267.72,percent of total billed charges,,,267.72,percent of total billed charges,,,267.72,percent of total billed charges,,,267.72,percent of total billed charges,,,267.72,percent of total billed charges,,,267.72,percent of total billed charges,,,267.72,percent of total billed charges,,,267.72,percent of total billed charges,,,267.72,percent of total billed charges,,,267.72,percent of total billed charges,,,267.72,percent of total billed charges,
**NM EJECTION FRACTION,78451,CDM,,,,both,,,"1,277.00","1,277.00",293.71,"1,277.00","1,277.00",percent of total billed charges,"1,277.00",percent of total billed charges,"1,277.00",percent of total billed charges,"1,277.00",percent of total billed charges,"1,277.00",percent of total billed charges,"1,277.00",percent of total billed charges,"1,277.00",percent of total billed charges,"1,277.00",percent of total billed charges,919.44,percent of total billed charges,919.44,percent of total billed charges,919.44,percent of total billed charges,919.44,percent of total billed charges,919.44,percent of total billed charges,919.44,percent of total billed charges,"1,008.83",percent of total billed charges,"1,008.83",percent of total billed charges,"1,021.60",percent of total billed charges,"1,021.60",percent of total billed charges,,,919.44,percent of total billed charges ,,,"1,021.60",percent of total billed charges ,"1,008.83",percent of total billed charges ,"1,008.83",percent of total billed charges ,"1,085.45",percent of total billed charges ,"1,085.45",percent of total billed charges ,"1,021.60",percent of total billed charges ,"1,021.60",percent of total billed charges ,893.9,percent of total billed charges ,893.9,percent of total billed charges ,766.2,percent of total billed charges ,766.2,percent of total billed charges ,766.2,percent of total billed charges ,766.2,percent of total billed charges ,,,,,679.36,percent of total billed charges ,,,,,645.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,,,293.71,percent of total billed charges,
**NM BOWEL IMAGING DO NOT USE,78290,CDM,,,,both,,,"2,727.00","2,727.00",627.21,"2,727.00","2,727.00",percent of total billed charges,"2,727.00",percent of total billed charges,"2,727.00",percent of total billed charges,"2,727.00",percent of total billed charges,"2,727.00",percent of total billed charges,"2,727.00",percent of total billed charges,"2,727.00",percent of total billed charges,"2,727.00",percent of total billed charges,"1,963.44",percent of total billed charges,"1,963.44",percent of total billed charges,"1,963.44",percent of total billed charges,"1,963.44",percent of total billed charges,"1,963.44",percent of total billed charges,"1,963.44",percent of total billed charges,"2,154.33",percent of total billed charges,"2,154.33",percent of total billed charges,"2,181.60",percent of total billed charges,"2,181.60",percent of total billed charges,,,"1,963.44",percent of total billed charges ,,,"2,181.60",percent of total billed charges ,"2,154.33",percent of total billed charges ,"2,154.33",percent of total billed charges ,"2,317.95",percent of total billed charges ,"2,317.95",percent of total billed charges ,"2,181.60",percent of total billed charges ,"2,181.60",percent of total billed charges ,"1,908.90",percent of total billed charges ,"1,908.90",percent of total billed charges ,"1,636.20",percent of total billed charges ,"1,636.20",percent of total billed charges ,"1,636.20",percent of total billed charges ,"1,636.20",percent of total billed charges ,,,,,"1,450.76",percent of total billed charges ,,,,,"1,378.23",percent of total billed charges ,,,,,,,,,,,,,,,,,,,627.21,percent of total billed charges,,,627.21,percent of total billed charges,,,627.21,percent of total billed charges,,,627.21,percent of total billed charges,,,627.21,percent of total billed charges,,,627.21,percent of total billed charges,,,627.21,percent of total billed charges,,,627.21,percent of total billed charges,,,627.21,percent of total billed charges,,,627.21,percent of total billed charges,,,627.21,percent of total billed charges,
NM LIVER SPECT,78803,CDM,,,,both,,,"2,144.00","2,144.00",493.12,"2,144.00","2,144.00",percent of total billed charges,"2,144.00",percent of total billed charges,"2,144.00",percent of total billed charges,"2,144.00",percent of total billed charges,"2,144.00",percent of total billed charges,"2,144.00",percent of total billed charges,"2,144.00",percent of total billed charges,"2,144.00",percent of total billed charges,"1,543.68",percent of total billed charges,"1,543.68",percent of total billed charges,"1,543.68",percent of total billed charges,"1,543.68",percent of total billed charges,"1,543.68",percent of total billed charges,"1,543.68",percent of total billed charges,"1,693.76",percent of total billed charges,"1,693.76",percent of total billed charges,"1,715.20",percent of total billed charges,"1,715.20",percent of total billed charges,,,"1,543.68",percent of total billed charges ,,,"1,715.20",percent of total billed charges ,"1,693.76",percent of total billed charges ,"1,693.76",percent of total billed charges ,"1,822.40",percent of total billed charges ,"1,822.40",percent of total billed charges ,"1,715.20",percent of total billed charges ,"1,715.20",percent of total billed charges ,"1,500.80",percent of total billed charges ,"1,500.80",percent of total billed charges ,"1,286.40",percent of total billed charges ,"1,286.40",percent of total billed charges ,"1,286.40",percent of total billed charges ,"1,286.40",percent of total billed charges ,,,,,"1,140.61",percent of total billed charges ,,,,,"1,083.58",percent of total billed charges ,,,,,,,,,,,,,,,,,,,493.12,percent of total billed charges,,,493.12,percent of total billed charges,,,493.12,percent of total billed charges,,,493.12,percent of total billed charges,,,493.12,percent of total billed charges,,,493.12,percent of total billed charges,,,493.12,percent of total billed charges,,,493.12,percent of total billed charges,,,493.12,percent of total billed charges,,,493.12,percent of total billed charges,,,493.12,percent of total billed charges,
NM WBC/INDIUM LIMITED,78300,CDM,,,,both,,,"2,427.00","2,427.00",558.21,"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,"1,917.33",percent of total billed charges,"1,917.33",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 ,"1,917.33",percent of total billed charges ,"1,917.33",percent of total billed charges ,"2,062.95",percent of total billed charges ,"2,062.95",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 ,,,,,,,,,,,,,,,,,,,558.21,percent of total billed charges,,,558.21,percent of total billed charges,,,558.21,percent of total billed charges,,,558.21,percent of total billed charges,,,558.21,percent of total billed charges,,,558.21,percent of total billed charges,,,558.21,percent of total billed charges,,,558.21,percent of total billed charges,,,558.21,percent of total billed charges,,,558.21,percent of total billed charges,,,558.21,percent of total billed charges,
NM TESTICULAR W/FLO,78761,CDM,,,,both,,,"2,078.00","2,078.00",477.94,"2,078.00","2,078.00",percent of total billed charges,"2,078.00",percent of total billed charges,"2,078.00",percent of total billed charges,"2,078.00",percent of total billed charges,"2,078.00",percent of total billed charges,"2,078.00",percent of total billed charges,"2,078.00",percent of total billed charges,"2,078.00",percent of total billed charges,"1,496.16",percent of total billed charges,"1,496.16",percent of total billed charges,"1,496.16",percent of total billed charges,"1,496.16",percent of total billed charges,"1,496.16",percent of total billed charges,"1,496.16",percent of total billed charges,"1,641.62",percent of total billed charges,"1,641.62",percent of total billed charges,"1,662.40",percent of total billed charges,"1,662.40",percent of total billed charges,,,"1,496.16",percent of total billed charges ,,,"1,662.40",percent of total billed charges ,"1,641.62",percent of total billed charges ,"1,641.62",percent of total billed charges ,"1,766.30",percent of total billed charges ,"1,766.30",percent of total billed charges ,"1,662.40",percent of total billed charges ,"1,662.40",percent of total billed charges ,"1,454.60",percent of total billed charges ,"1,454.60",percent of total billed charges ,"1,246.80",percent of total billed charges ,"1,246.80",percent of total billed charges ,"1,246.80",percent of total billed charges ,"1,246.80",percent of total billed charges ,,,,,"1,105.50",percent of total billed charges ,,,,,"1,050.22",percent of total billed charges ,,,,,,,,,,,,,,,,,,,477.94,percent of total billed charges,,,477.94,percent of total billed charges,,,477.94,percent of total billed charges,,,477.94,percent of total billed charges,,,477.94,percent of total billed charges,,,477.94,percent of total billed charges,,,477.94,percent of total billed charges,,,477.94,percent of total billed charges,,,477.94,percent of total billed charges,,,477.94,percent of total billed charges,,,477.94,percent of total billed charges,
**NM TESTICULAR IMAGE,78761,CDM,,,,both,,,"2,078.00","2,078.00",477.94,"2,078.00","2,078.00",percent of total billed charges,"2,078.00",percent of total billed charges,"2,078.00",percent of total billed charges,"2,078.00",percent of total billed charges,"2,078.00",percent of total billed charges,"2,078.00",percent of total billed charges,"2,078.00",percent of total billed charges,"2,078.00",percent of total billed charges,"1,496.16",percent of total billed charges,"1,496.16",percent of total billed charges,"1,496.16",percent of total billed charges,"1,496.16",percent of total billed charges,"1,496.16",percent of total billed charges,"1,496.16",percent of total billed charges,"1,641.62",percent of total billed charges,"1,641.62",percent of total billed charges,"1,662.40",percent of total billed charges,"1,662.40",percent of total billed charges,,,"1,496.16",percent of total billed charges ,,,"1,662.40",percent of total billed charges ,"1,641.62",percent of total billed charges ,"1,641.62",percent of total billed charges ,"1,766.30",percent of total billed charges ,"1,766.30",percent of total billed charges ,"1,662.40",percent of total billed charges ,"1,662.40",percent of total billed charges ,"1,454.60",percent of total billed charges ,"1,454.60",percent of total billed charges ,"1,246.80",percent of total billed charges ,"1,246.80",percent of total billed charges ,"1,246.80",percent of total billed charges ,"1,246.80",percent of total billed charges ,,,,,"1,105.50",percent of total billed charges ,,,,,"1,050.22",percent of total billed charges ,,,,,,,,,,,,,,,,,,,477.94,percent of total billed charges,,,477.94,percent of total billed charges,,,477.94,percent of total billed charges,,,477.94,percent of total billed charges,,,477.94,percent of total billed charges,,,477.94,percent of total billed charges,,,477.94,percent of total billed charges,,,477.94,percent of total billed charges,,,477.94,percent of total billed charges,,,477.94,percent of total billed charges,,,477.94,percent of total billed charges,
NM RENOGRAM W/LASIX 78708,78708,CDM,,,,both,,,"2,552.00","2,552.00",586.96,"2,552.00","2,552.00",percent of total billed charges,"2,552.00",percent of total billed charges,"2,552.00",percent of total billed charges,"2,552.00",percent of total billed charges,"2,552.00",percent of total billed charges,"2,552.00",percent of total billed charges,"2,552.00",percent of total billed charges,"2,552.00",percent of total billed charges,"1,837.44",percent of total billed charges,"1,837.44",percent of total billed charges,"1,837.44",percent of total billed charges,"1,837.44",percent of total billed charges,"1,837.44",percent of total billed charges,"1,837.44",percent of total billed charges,"2,016.08",percent of total billed charges,"2,016.08",percent of total billed charges,"2,041.60",percent of total billed charges,"2,041.60",percent of total billed charges,,,"1,837.44",percent of total billed charges ,,,"2,041.60",percent of total billed charges ,"2,016.08",percent of total billed charges ,"2,016.08",percent of total billed charges ,"2,169.20",percent of total billed charges ,"2,169.20",percent of total billed charges ,"2,041.60",percent of total billed charges ,"2,041.60",percent of total billed charges ,"1,786.40",percent of total billed charges ,"1,786.40",percent of total billed charges ,"1,531.20",percent of total billed charges ,"1,531.20",percent of total billed charges ,"1,531.20",percent of total billed charges ,"1,531.20",percent of total billed charges ,,,,,"1,357.66",percent of total billed charges ,,,,,"1,289.78",percent of total billed charges ,,,,,,,,,,,,,,,,,,,586.96,percent of total billed charges,,,586.96,percent of total billed charges,,,586.96,percent of total billed charges,,,586.96,percent of total billed charges,,,586.96,percent of total billed charges,,,586.96,percent of total billed charges,,,586.96,percent of total billed charges,,,586.96,percent of total billed charges,,,586.96,percent of total billed charges,,,586.96,percent of total billed charges,,,586.96,percent of total billed charges,
NM RENOGRAM W/CAPTOPRIL 78709,78709,CDM,,,,both,,,"3,228.00","3,228.00",742.44,"3,228.00","3,228.00",percent of total billed charges,"3,228.00",percent of total billed charges,"3,228.00",percent of total billed charges,"3,228.00",percent of total billed charges,"3,228.00",percent of total billed charges,"3,228.00",percent of total billed charges,"3,228.00",percent of total billed charges,"3,228.00",percent of total billed charges,"2,324.16",percent of total billed charges,"2,324.16",percent of total billed charges,"2,324.16",percent of total billed charges,"2,324.16",percent of total billed charges,"2,324.16",percent of total billed charges,"2,324.16",percent of total billed charges,"2,550.12",percent of total billed charges,"2,550.12",percent of total billed charges,"2,582.40",percent of total billed charges,"2,582.40",percent of total billed charges,,,"2,324.16",percent of total billed charges ,,,"2,582.40",percent of total billed charges ,"2,550.12",percent of total billed charges ,"2,550.12",percent of total billed charges ,"2,743.80",percent of total billed charges ,"2,743.80",percent of total billed charges ,"2,582.40",percent of total billed charges ,"2,582.40",percent of total billed charges ,"2,259.60",percent of total billed charges ,"2,259.60",percent of total billed charges ,"1,936.80",percent of total billed charges ,"1,936.80",percent of total billed charges ,"1,936.80",percent of total billed charges ,"1,936.80",percent of total billed charges ,,,,,"1,717.30",percent of total billed charges ,,,,,"1,631.43",percent of total billed charges ,,,,,,,,,,,,,,,,,,,742.44,percent of total billed charges,,,742.44,percent of total billed charges,,,742.44,percent of total billed charges,,,742.44,percent of total billed charges,,,742.44,percent of total billed charges,,,742.44,percent of total billed charges,,,742.44,percent of total billed charges,,,742.44,percent of total billed charges,,,742.44,percent of total billed charges,,,742.44,percent of total billed charges,,,742.44,percent of total billed charges,
NM RENOGRAM 78707,78707,CDM,,,,both,,,"3,257.00","3,257.00",749.11,"3,257.00","3,257.00",percent of total billed charges,"3,257.00",percent of total billed charges,"3,257.00",percent of total billed charges,"3,257.00",percent of total billed charges,"3,257.00",percent of total billed charges,"3,257.00",percent of total billed charges,"3,257.00",percent of total billed charges,"3,257.00",percent of total billed charges,"2,345.04",percent of total billed charges,"2,345.04",percent of total billed charges,"2,345.04",percent of total billed charges,"2,345.04",percent of total billed charges,"2,345.04",percent of total billed charges,"2,345.04",percent of total billed charges,"2,573.03",percent of total billed charges,"2,573.03",percent of total billed charges,"2,605.60",percent of total billed charges,"2,605.60",percent of total billed charges,,,"2,345.04",percent of total billed charges ,,,"2,605.60",percent of total billed charges ,"2,573.03",percent of total billed charges ,"2,573.03",percent of total billed charges ,"2,768.45",percent of total billed charges ,"2,768.45",percent of total billed charges ,"2,605.60",percent of total billed charges ,"2,605.60",percent of total billed charges ,"2,279.90",percent of total billed charges ,"2,279.90",percent of total billed charges ,"1,954.20",percent of total billed charges ,"1,954.20",percent of total billed charges ,"1,954.20",percent of total billed charges ,"1,954.20",percent of total billed charges ,,,,,"1,732.72",percent of total billed charges ,,,,,"1,646.09",percent of total billed charges ,,,,,,,,,,,,,,,,,,,749.11,percent of total billed charges,,,749.11,percent of total billed charges,,,749.11,percent of total billed charges,,,749.11,percent of total billed charges,,,749.11,percent of total billed charges,,,749.11,percent of total billed charges,,,749.11,percent of total billed charges,,,749.11,percent of total billed charges,,,749.11,percent of total billed charges,,,749.11,percent of total billed charges,,,749.11,percent of total billed charges,
NM CISTERNOGRAPHY,78630,CDM,,,,both,,,"2,992.00","2,992.00",688.16,"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,"2,363.68",percent of total billed charges,"2,363.68",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 ,"2,363.68",percent of total billed charges ,"2,363.68",percent of total billed charges ,"2,543.20",percent of total billed charges ,"2,543.20",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 ,,,,,,,,,,,,,,,,,,,688.16,percent of total billed charges,,,688.16,percent of total billed charges,,,688.16,percent of total billed charges,,,688.16,percent of total billed charges,,,688.16,percent of total billed charges,,,688.16,percent of total billed charges,,,688.16,percent of total billed charges,,,688.16,percent of total billed charges,,,688.16,percent of total billed charges,,,688.16,percent of total billed charges,,,688.16,percent of total billed charges,
NM VQ VENTILATION ONLY,78579,CDM,,,,both,,,"1,605.00","1,605.00",369.15,"1,605.00","1,605.00",percent of total billed charges,"1,605.00",percent of total billed charges,"1,605.00",percent of total billed charges,"1,605.00",percent of total billed charges,"1,605.00",percent of total billed charges,"1,605.00",percent of total billed charges,"1,605.00",percent of total billed charges,"1,605.00",percent of total billed charges,"1,155.60",percent of total billed charges,"1,155.60",percent of total billed charges,"1,155.60",percent of total billed charges,"1,155.60",percent of total billed charges,"1,155.60",percent of total billed charges,"1,155.60",percent of total billed charges,"1,267.95",percent of total billed charges,"1,267.95",percent of total billed charges,"1,284.00",percent of total billed charges,"1,284.00",percent of total billed charges,,,"1,155.60",percent of total billed charges ,,,"1,284.00",percent of total billed charges ,"1,267.95",percent of total billed charges ,"1,267.95",percent of total billed charges ,"1,364.25",percent of total billed charges ,"1,364.25",percent of total billed charges ,"1,284.00",percent of total billed charges ,"1,284.00",percent of total billed charges ,"1,123.50",percent of total billed charges ,"1,123.50",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 ,,,,,853.86,percent of total billed charges ,,,,,811.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,369.15,percent of total billed charges,,,369.15,percent of total billed charges,,,369.15,percent of total billed charges,,,369.15,percent of total billed charges,,,369.15,percent of total billed charges,,,369.15,percent of total billed charges,,,369.15,percent of total billed charges,,,369.15,percent of total billed charges,,,369.15,percent of total billed charges,,,369.15,percent of total billed charges,,,369.15,percent of total billed charges,
NM VQ PERFUSION ONLY,78580,CDM,,,,both,,,"2,433.00","2,433.00",559.59,"2,433.00","2,433.00",percent of total billed charges,"2,433.00",percent of total billed charges,"2,433.00",percent of total billed charges,"2,433.00",percent of total billed charges,"2,433.00",percent of total billed charges,"2,433.00",percent of total billed charges,"2,433.00",percent of total billed charges,"2,433.00",percent of total billed charges,"1,751.76",percent of total billed charges,"1,751.76",percent of total billed charges,"1,751.76",percent of total billed charges,"1,751.76",percent of total billed charges,"1,751.76",percent of total billed charges,"1,751.76",percent of total billed charges,"1,922.07",percent of total billed charges,"1,922.07",percent of total billed charges,"1,946.40",percent of total billed charges,"1,946.40",percent of total billed charges,,,"1,751.76",percent of total billed charges ,,,"1,946.40",percent of total billed charges ,"1,922.07",percent of total billed charges ,"1,922.07",percent of total billed charges ,"2,068.05",percent of total billed charges ,"2,068.05",percent of total billed charges ,"1,946.40",percent of total billed charges ,"1,946.40",percent of total billed charges ,"1,703.10",percent of total billed charges ,"1,703.10",percent of total billed charges ,"1,459.80",percent of total billed charges ,"1,459.80",percent of total billed charges ,"1,459.80",percent of total billed charges ,"1,459.80",percent of total billed charges ,,,,,"1,294.36",percent of total billed charges ,,,,,"1,229.64",percent of total billed charges ,,,,,,,,,,,,,,,,,,,559.59,percent of total billed charges,,,559.59,percent of total billed charges,,,559.59,percent of total billed charges,,,559.59,percent of total billed charges,,,559.59,percent of total billed charges,,,559.59,percent of total billed charges,,,559.59,percent of total billed charges,,,559.59,percent of total billed charges,,,559.59,percent of total billed charges,,,559.59,percent of total billed charges,,,559.59,percent of total billed charges,
NM MUGA W/1ST PASS,78481,CDM,,,,both,,,"2,479.00","2,479.00",570.17,"2,479.00","2,479.00",percent of total billed charges,"2,479.00",percent of total billed charges,"2,479.00",percent of total billed charges,"2,479.00",percent of total billed charges,"2,479.00",percent of total billed charges,"2,479.00",percent of total billed charges,"2,479.00",percent of total billed charges,"2,479.00",percent of total billed charges,"1,784.88",percent of total billed charges,"1,784.88",percent of total billed charges,"1,784.88",percent of total billed charges,"1,784.88",percent of total billed charges,"1,784.88",percent of total billed charges,"1,784.88",percent of total billed charges,"1,958.41",percent of total billed charges,"1,958.41",percent of total billed charges,"1,983.20",percent of total billed charges,"1,983.20",percent of total billed charges,,,"1,784.88",percent of total billed charges ,,,"1,983.20",percent of total billed charges ,"1,958.41",percent of total billed charges ,"1,958.41",percent of total billed charges ,"2,107.15",percent of total billed charges ,"2,107.15",percent of total billed charges ,"1,983.20",percent of total billed charges ,"1,983.20",percent of total billed charges ,"1,735.30",percent of total billed charges ,"1,735.30",percent of total billed charges ,"1,487.40",percent of total billed charges ,"1,487.40",percent of total billed charges ,"1,487.40",percent of total billed charges ,"1,487.40",percent of total billed charges ,,,,,"1,318.83",percent of total billed charges ,,,,,"1,252.89",percent of total billed charges ,,,,,,,,,,,,,,,,,,,570.17,percent of total billed charges,,,570.17,percent of total billed charges,,,570.17,percent of total billed charges,,,570.17,percent of total billed charges,,,570.17,percent of total billed charges,,,570.17,percent of total billed charges,,,570.17,percent of total billed charges,,,570.17,percent of total billed charges,,,570.17,percent of total billed charges,,,570.17,percent of total billed charges,,,570.17,percent of total billed charges,
**NM MYOCARDIAL WALL MOT,78451,CDM,,,,both,,,"1,307.00","1,307.00",300.61,"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,"1,032.53",percent of total billed charges,"1,032.53",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 ,"1,032.53",percent of total billed charges ,"1,032.53",percent of total billed charges ,"1,110.95",percent of total billed charges ,"1,110.95",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 ,,,,,,,,,,,,,,,,,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,
NM MUGA ROUTINE,78472,CDM,,,,both,,,"2,939.00","2,939.00",675.97,"2,939.00","2,939.00",percent of total billed charges,"2,939.00",percent of total billed charges,"2,939.00",percent of total billed charges,"2,939.00",percent of total billed charges,"2,939.00",percent of total billed charges,"2,939.00",percent of total billed charges,"2,939.00",percent of total billed charges,"2,939.00",percent of total billed charges,"2,116.08",percent of total billed charges,"2,116.08",percent of total billed charges,"2,116.08",percent of total billed charges,"2,116.08",percent of total billed charges,"2,116.08",percent of total billed charges,"2,116.08",percent of total billed charges,"2,321.81",percent of total billed charges,"2,321.81",percent of total billed charges,"2,351.20",percent of total billed charges,"2,351.20",percent of total billed charges,,,"2,116.08",percent of total billed charges ,,,"2,351.20",percent of total billed charges ,"2,321.81",percent of total billed charges ,"2,321.81",percent of total billed charges ,"2,498.15",percent of total billed charges ,"2,498.15",percent of total billed charges ,"2,351.20",percent of total billed charges ,"2,351.20",percent of total billed charges ,"2,057.30",percent of total billed charges ,"2,057.30",percent of total billed charges ,"1,763.40",percent of total billed charges ,"1,763.40",percent of total billed charges ,"1,763.40",percent of total billed charges ,"1,763.40",percent of total billed charges ,,,,,"1,563.55",percent of total billed charges ,,,,,"1,485.37",percent of total billed charges ,,,,,,,,,,,,,,,,,,,675.97,percent of total billed charges,,,675.97,percent of total billed charges,,,675.97,percent of total billed charges,,,675.97,percent of total billed charges,,,675.97,percent of total billed charges,,,675.97,percent of total billed charges,,,675.97,percent of total billed charges,,,675.97,percent of total billed charges,,,675.97,percent of total billed charges,,,675.97,percent of total billed charges,,,675.97,percent of total billed charges,
NM BONE IMAGE 3 PHASE,78315,CDM,,,,both,,,"3,097.00","3,097.00",712.31,"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,"2,446.63",percent of total billed charges,"2,446.63",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 ,"2,446.63",percent of total billed charges ,"2,446.63",percent of total billed charges ,"2,632.45",percent of total billed charges ,"2,632.45",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 ,,,,,,,,,,,,,,,,,,,712.31,percent of total billed charges,,,712.31,percent of total billed charges,,,712.31,percent of total billed charges,,,712.31,percent of total billed charges,,,712.31,percent of total billed charges,,,712.31,percent of total billed charges,,,712.31,percent of total billed charges,,,712.31,percent of total billed charges,,,712.31,percent of total billed charges,,,712.31,percent of total billed charges,,,712.31,percent of total billed charges,
NM BONE WHOLE BODY,78306,CDM,,,,both,,,"3,000.00","3,000.00",690,"3,000.00","3,000.00",percent of total billed charges,"3,000.00",percent of total billed charges,"3,000.00",percent of total billed charges,"3,000.00",percent of total billed charges,"3,000.00",percent of total billed charges,"3,000.00",percent of total billed charges,"3,000.00",percent of total billed charges,"3,000.00",percent of total billed charges,"2,160.00",percent of total billed charges,"2,160.00",percent of total billed charges,"2,160.00",percent of total billed charges,"2,160.00",percent of total billed charges,"2,160.00",percent of total billed charges,"2,160.00",percent of total billed charges,"2,370.00",percent of total billed charges,"2,370.00",percent of total billed charges,"2,400.00",percent of total billed charges,"2,400.00",percent of total billed charges,,,"2,160.00",percent of total billed charges ,,,"2,400.00",percent of total billed charges ,"2,370.00",percent of total billed charges ,"2,370.00",percent of total billed charges ,"2,550.00",percent of total billed charges ,"2,550.00",percent of total billed charges ,"2,400.00",percent of total billed charges ,"2,400.00",percent of total billed charges ,"2,100.00",percent of total billed charges ,"2,100.00",percent of total billed charges ,"1,800.00",percent of total billed charges ,"1,800.00",percent of total billed charges ,"1,800.00",percent of total billed charges ,"1,800.00",percent of total billed charges ,,,,,"1,596.00",percent of total billed charges ,,,,,"1,516.20",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,,,690,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,,,690,percent of total billed charges,,,690,percent of total billed charges,
NM BONE SCAN JT/LIMIT,78300,CDM,,,,both,,,"1,864.00","1,864.00",428.72,"1,864.00","1,864.00",percent of total billed charges,"1,864.00",percent of total billed charges,"1,864.00",percent of total billed charges,"1,864.00",percent of total billed charges,"1,864.00",percent of total billed charges,"1,864.00",percent of total billed charges,"1,864.00",percent of total billed charges,"1,864.00",percent of total billed charges,"1,342.08",percent of total billed charges,"1,342.08",percent of total billed charges,"1,342.08",percent of total billed charges,"1,342.08",percent of total billed charges,"1,342.08",percent of total billed charges,"1,342.08",percent of total billed charges,"1,472.56",percent of total billed charges,"1,472.56",percent of total billed charges,"1,491.20",percent of total billed charges,"1,491.20",percent of total billed charges,,,"1,342.08",percent of total billed charges ,,,"1,491.20",percent of total billed charges ,"1,472.56",percent of total billed charges ,"1,472.56",percent of total billed charges ,"1,584.40",percent of total billed charges ,"1,584.40",percent of total billed charges ,"1,491.20",percent of total billed charges ,"1,491.20",percent of total billed charges ,"1,304.80",percent of total billed charges ,"1,304.80",percent of total billed charges ,"1,118.40",percent of total billed charges ,"1,118.40",percent of total billed charges ,"1,118.40",percent of total billed charges ,"1,118.40",percent of total billed charges ,,,,,991.65,percent of total billed charges ,,,,,942.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,428.72,percent of total billed charges,,,428.72,percent of total billed charges,,,428.72,percent of total billed charges,,,428.72,percent of total billed charges,,,428.72,percent of total billed charges,,,428.72,percent of total billed charges,,,428.72,percent of total billed charges,,,428.72,percent of total billed charges,,,428.72,percent of total billed charges,,,428.72,percent of total billed charges,,,428.72,percent of total billed charges,
NM BONE SPECT 3 PHASE 78803,78803,CDM,,,,both,,,"3,307.00","3,307.00",760.61,"3,307.00","3,307.00",percent of total billed charges,"3,307.00",percent of total billed charges,"3,307.00",percent of total billed charges,"3,307.00",percent of total billed charges,"3,307.00",percent of total billed charges,"3,307.00",percent of total billed charges,"3,307.00",percent of total billed charges,"3,307.00",percent of total billed charges,"2,381.04",percent of total billed charges,"2,381.04",percent of total billed charges,"2,381.04",percent of total billed charges,"2,381.04",percent of total billed charges,"2,381.04",percent of total billed charges,"2,381.04",percent of total billed charges,"2,612.53",percent of total billed charges,"2,612.53",percent of total billed charges,"2,645.60",percent of total billed charges,"2,645.60",percent of total billed charges,,,"2,381.04",percent of total billed charges ,,,"2,645.60",percent of total billed charges ,"2,612.53",percent of total billed charges ,"2,612.53",percent of total billed charges ,"2,810.95",percent of total billed charges ,"2,810.95",percent of total billed charges ,"2,645.60",percent of total billed charges ,"2,645.60",percent of total billed charges ,"2,314.90",percent of total billed charges ,"2,314.90",percent of total billed charges ,"1,984.20",percent of total billed charges ,"1,984.20",percent of total billed charges ,"1,984.20",percent of total billed charges ,"1,984.20",percent of total billed charges ,,,,,"1,759.32",percent of total billed charges ,,,,,"1,671.36",percent of total billed charges ,,,,,,,,,,,,,,,,,,,760.61,percent of total billed charges,,,760.61,percent of total billed charges,,,760.61,percent of total billed charges,,,760.61,percent of total billed charges,,,760.61,percent of total billed charges,,,760.61,percent of total billed charges,,,760.61,percent of total billed charges,,,760.61,percent of total billed charges,,,760.61,percent of total billed charges,,,760.61,percent of total billed charges,,,760.61,percent of total billed charges,
NM GASTRIC EMPTY STUDY,78264,CDM,,,,both,,,"2,773.00","2,773.00",637.79,"2,773.00","2,773.00",percent of total billed charges,"2,773.00",percent of total billed charges,"2,773.00",percent of total billed charges,"2,773.00",percent of total billed charges,"2,773.00",percent of total billed charges,"2,773.00",percent of total billed charges,"2,773.00",percent of total billed charges,"2,773.00",percent of total billed charges,"1,996.56",percent of total billed charges,"1,996.56",percent of total billed charges,"1,996.56",percent of total billed charges,"1,996.56",percent of total billed charges,"1,996.56",percent of total billed charges,"1,996.56",percent of total billed charges,"2,190.67",percent of total billed charges,"2,190.67",percent of total billed charges,"2,218.40",percent of total billed charges,"2,218.40",percent of total billed charges,,,"1,996.56",percent of total billed charges ,,,"2,218.40",percent of total billed charges ,"2,190.67",percent of total billed charges ,"2,190.67",percent of total billed charges ,"2,357.05",percent of total billed charges ,"2,357.05",percent of total billed charges ,"2,218.40",percent of total billed charges ,"2,218.40",percent of total billed charges ,"1,941.10",percent of total billed charges ,"1,941.10",percent of total billed charges ,"1,663.80",percent of total billed charges ,"1,663.80",percent of total billed charges ,"1,663.80",percent of total billed charges ,"1,663.80",percent of total billed charges ,,,,,"1,475.24",percent of total billed charges ,,,,,"1,401.47",percent of total billed charges ,,,,,,,,,,,,,,,,,,,637.79,percent of total billed charges,,,637.79,percent of total billed charges,,,637.79,percent of total billed charges,,,637.79,percent of total billed charges,,,637.79,percent of total billed charges,,,637.79,percent of total billed charges,,,637.79,percent of total billed charges,,,637.79,percent of total billed charges,,,637.79,percent of total billed charges,,,637.79,percent of total billed charges,,,637.79,percent of total billed charges,
NM HIDA W CCK,78227,CDM,,,,both,,,"2,919.00","2,919.00",671.37,"2,919.00","2,919.00",percent of total billed charges,"2,919.00",percent of total billed charges,"2,919.00",percent of total billed charges,"2,919.00",percent of total billed charges,"2,919.00",percent of total billed charges,"2,919.00",percent of total billed charges,"2,919.00",percent of total billed charges,"2,919.00",percent of total billed charges,"2,101.68",percent of total billed charges,"2,101.68",percent of total billed charges,"2,101.68",percent of total billed charges,"2,101.68",percent of total billed charges,"2,101.68",percent of total billed charges,"2,101.68",percent of total billed charges,"2,306.01",percent of total billed charges,"2,306.01",percent of total billed charges,"2,335.20",percent of total billed charges,"2,335.20",percent of total billed charges,,,"2,101.68",percent of total billed charges ,,,"2,335.20",percent of total billed charges ,"2,306.01",percent of total billed charges ,"2,306.01",percent of total billed charges ,"2,481.15",percent of total billed charges ,"2,481.15",percent of total billed charges ,"2,335.20",percent of total billed charges ,"2,335.20",percent of total billed charges ,"2,043.30",percent of total billed charges ,"2,043.30",percent of total billed charges ,"1,751.40",percent of total billed charges ,"1,751.40",percent of total billed charges ,"1,751.40",percent of total billed charges ,"1,751.40",percent of total billed charges ,,,,,"1,552.91",percent of total billed charges ,,,,,"1,475.26",percent of total billed charges ,,,,,,,,,,,,,,,,,,,671.37,percent of total billed charges,,,671.37,percent of total billed charges,,,671.37,percent of total billed charges,,,671.37,percent of total billed charges,,,671.37,percent of total billed charges,,,671.37,percent of total billed charges,,,671.37,percent of total billed charges,,,671.37,percent of total billed charges,,,671.37,percent of total billed charges,,,671.37,percent of total billed charges,,,671.37,percent of total billed charges,
NM LIVER & SPLEEN,78215,CDM,,,,both,,,"2,480.00","2,480.00",570.4,"2,480.00","2,480.00",percent of total billed charges,"2,480.00",percent of total billed charges,"2,480.00",percent of total billed charges,"2,480.00",percent of total billed charges,"2,480.00",percent of total billed charges,"2,480.00",percent of total billed charges,"2,480.00",percent of total billed charges,"2,480.00",percent of total billed charges,"1,785.60",percent of total billed charges,"1,785.60",percent of total billed charges,"1,785.60",percent of total billed charges,"1,785.60",percent of total billed charges,"1,785.60",percent of total billed charges,"1,785.60",percent of total billed charges,"1,959.20",percent of total billed charges,"1,959.20",percent of total billed charges,"1,984.00",percent of total billed charges,"1,984.00",percent of total billed charges,,,"1,785.60",percent of total billed charges ,,,"1,984.00",percent of total billed charges ,"1,959.20",percent of total billed charges ,"1,959.20",percent of total billed charges ,"2,108.00",percent of total billed charges ,"2,108.00",percent of total billed charges ,"1,984.00",percent of total billed charges ,"1,984.00",percent of total billed charges ,"1,736.00",percent of total billed charges ,"1,736.00",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 ,,,,,"1,319.36",percent of total billed charges ,,,,,"1,253.39",percent of total billed charges ,,,,,,,,,,,,,,,,,,,570.4,percent of total billed charges,,,570.4,percent of total billed charges,,,570.4,percent of total billed charges,,,570.4,percent of total billed charges,,,570.4,percent of total billed charges,,,570.4,percent of total billed charges,,,570.4,percent of total billed charges,,,570.4,percent of total billed charges,,,570.4,percent of total billed charges,,,570.4,percent of total billed charges,,,570.4,percent of total billed charges,
NM STATIC LIVER,78201,CDM,,,,both,,,"1,428.00","1,428.00",328.44,"1,428.00","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,"1,428.00",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,"1,028.16",percent of total billed charges,"1,028.16",percent of total billed charges,"1,028.16",percent of total billed charges,"1,028.16",percent of total billed charges,"1,028.16",percent of total billed charges,"1,028.16",percent of total billed charges,"1,128.12",percent of total billed charges,"1,128.12",percent of total billed charges,"1,142.40",percent of total billed charges,"1,142.40",percent of total billed charges,,,"1,028.16",percent of total billed charges ,,,"1,142.40",percent of total billed charges ,"1,128.12",percent of total billed charges ,"1,128.12",percent of total billed charges ,"1,213.80",percent of total billed charges ,"1,213.80",percent of total billed charges ,"1,142.40",percent of total billed charges ,"1,142.40",percent of total billed charges ,999.6,percent of total billed charges ,999.6,percent of total billed charges ,856.8,percent of total billed charges ,856.8,percent of total billed charges ,856.8,percent of total billed charges ,856.8,percent of total billed charges ,,,,,759.7,percent of total billed charges ,,,,,721.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,328.44,percent of total billed charges,,,328.44,percent of total billed charges,,,328.44,percent of total billed charges,,,328.44,percent of total billed charges,,,328.44,percent of total billed charges,,,328.44,percent of total billed charges,,,328.44,percent of total billed charges,,,328.44,percent of total billed charges,,,328.44,percent of total billed charges,,,328.44,percent of total billed charges,,,328.44,percent of total billed charges,
NM MYOCARD SINGLE STU REST OR STRESS,78451,CDM,,,,both,,,"3,700.00","3,700.00",851,"3,700.00","3,700.00",percent of total billed charges,"3,700.00",percent of total billed charges,"3,700.00",percent of total billed charges,"3,700.00",percent of total billed charges,"3,700.00",percent of total billed charges,"3,700.00",percent of total billed charges,"3,700.00",percent of total billed charges,"3,700.00",percent of total billed charges,"2,664.00",percent of total billed charges,"2,664.00",percent of total billed charges,"2,664.00",percent of total billed charges,"2,664.00",percent of total billed charges,"2,664.00",percent of total billed charges,"2,664.00",percent of total billed charges,"2,923.00",percent of total billed charges,"2,923.00",percent of total billed charges,"2,960.00",percent of total billed charges,"2,960.00",percent of total billed charges,,,"2,664.00",percent of total billed charges ,,,"2,960.00",percent of total billed charges ,"2,923.00",percent of total billed charges ,"2,923.00",percent of total billed charges ,"3,145.00",percent of total billed charges ,"3,145.00",percent of total billed charges ,"2,960.00",percent of total billed charges ,"2,960.00",percent of total billed charges ,"2,590.00",percent of total billed charges ,"2,590.00",percent of total billed charges ,"2,220.00",percent of total billed charges ,"2,220.00",percent of total billed charges ,"2,220.00",percent of total billed charges ,"2,220.00",percent of total billed charges ,,,,,"1,968.40",percent of total billed charges ,,,,,"1,869.98",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,,,851,percent of total billed charges,,,851,percent of total billed charges,,,851,percent of total billed charges,,,851,percent of total billed charges,
**NM THYROID IMAGING,78013,CDM,,,,both,,,"1,883.00","1,883.00",433.09,"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,"1,487.57",percent of total billed charges,"1,487.57",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 ,"1,487.57",percent of total billed charges ,"1,487.57",percent of total billed charges ,"1,600.55",percent of total billed charges ,"1,600.55",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 ,,,,,,,,,,,,,,,,,,,433.09,percent of total billed charges,,,433.09,percent of total billed charges,,,433.09,percent of total billed charges,,,433.09,percent of total billed charges,,,433.09,percent of total billed charges,,,433.09,percent of total billed charges,,,433.09,percent of total billed charges,,,433.09,percent of total billed charges,,,433.09,percent of total billed charges,,,433.09,percent of total billed charges,,,433.09,percent of total billed charges,
NM THYROID W/UPTAKE,78014,CDM,,,,both,,,"1,980.00","1,980.00",455.4,"1,980.00","1,980.00",percent of total billed charges,"1,980.00",percent of total billed charges,"1,980.00",percent of total billed charges,"1,980.00",percent of total billed charges,"1,980.00",percent of total billed charges,"1,980.00",percent of total billed charges,"1,980.00",percent of total billed charges,"1,980.00",percent of total billed charges,"1,425.60",percent of total billed charges,"1,425.60",percent of total billed charges,"1,425.60",percent of total billed charges,"1,425.60",percent of total billed charges,"1,425.60",percent of total billed charges,"1,425.60",percent of total billed charges,"1,564.20",percent of total billed charges,"1,564.20",percent of total billed charges,"1,584.00",percent of total billed charges,"1,584.00",percent of total billed charges,,,"1,425.60",percent of total billed charges ,,,"1,584.00",percent of total billed charges ,"1,564.20",percent of total billed charges ,"1,564.20",percent of total billed charges ,"1,683.00",percent of total billed charges ,"1,683.00",percent of total billed charges ,"1,584.00",percent of total billed charges ,"1,584.00",percent of total billed charges ,"1,386.00",percent of total billed charges ,"1,386.00",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 ,,,,,"1,053.36",percent of total billed charges ,,,,,"1,000.69",percent of total billed charges ,,,,,,,,,,,,,,,,,,,455.4,percent of total billed charges,,,455.4,percent of total billed charges,,,455.4,percent of total billed charges,,,455.4,percent of total billed charges,,,455.4,percent of total billed charges,,,455.4,percent of total billed charges,,,455.4,percent of total billed charges,,,455.4,percent of total billed charges,,,455.4,percent of total billed charges,,,455.4,percent of total billed charges,,,455.4,percent of total billed charges,
**NM THYROID WHOLE BODY,78018,CDM,,,,both,,,"3,500.00","3,500.00",805,"3,500.00","3,500.00",percent of total billed charges,"3,500.00",percent of total billed charges,"3,500.00",percent of total billed charges,"3,500.00",percent of total billed charges,"3,500.00",percent of total billed charges,"3,500.00",percent of total billed charges,"3,500.00",percent of total billed charges,"3,500.00",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,"2,765.00",percent of total billed charges,"2,765.00",percent of total billed charges,"2,800.00",percent of total billed charges,"2,800.00",percent of total billed charges,,,"2,520.00",percent of total billed charges ,,,"2,800.00",percent of total billed charges ,"2,765.00",percent of total billed charges ,"2,765.00",percent of total billed charges ,"2,975.00",percent of total billed charges ,"2,975.00",percent of total billed charges ,"2,800.00",percent of total billed charges ,"2,800.00",percent of total billed charges ,"2,450.00",percent of total billed charges ,"2,450.00",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 ,,,,,"1,862.00",percent of total billed charges ,,,,,"1,768.90",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,,,805,percent of total billed charges,,,805,percent of total billed charges,,,805,percent of total billed charges,,,805,percent of total billed charges,
NM G I BLEED,78278,CDM,,,,both,,,"3,327.00","3,327.00",765.21,"3,327.00","3,327.00",percent of total billed charges,"3,327.00",percent of total billed charges,"3,327.00",percent of total billed charges,"3,327.00",percent of total billed charges,"3,327.00",percent of total billed charges,"3,327.00",percent of total billed charges,"3,327.00",percent of total billed charges,"3,327.00",percent of total billed charges,"2,395.44",percent of total billed charges,"2,395.44",percent of total billed charges,"2,395.44",percent of total billed charges,"2,395.44",percent of total billed charges,"2,395.44",percent of total billed charges,"2,395.44",percent of total billed charges,"2,628.33",percent of total billed charges,"2,628.33",percent of total billed charges,"2,661.60",percent of total billed charges,"2,661.60",percent of total billed charges,,,"2,395.44",percent of total billed charges ,,,"2,661.60",percent of total billed charges ,"2,628.33",percent of total billed charges ,"2,628.33",percent of total billed charges ,"2,827.95",percent of total billed charges ,"2,827.95",percent of total billed charges ,"2,661.60",percent of total billed charges ,"2,661.60",percent of total billed charges ,"2,328.90",percent of total billed charges ,"2,328.90",percent of total billed charges ,"1,996.20",percent of total billed charges ,"1,996.20",percent of total billed charges ,"1,996.20",percent of total billed charges ,"1,996.20",percent of total billed charges ,,,,,"1,769.96",percent of total billed charges ,,,,,"1,681.47",percent of total billed charges ,,,,,,,,,,,,,,,,,,,765.21,percent of total billed charges,,,765.21,percent of total billed charges,,,765.21,percent of total billed charges,,,765.21,percent of total billed charges,,,765.21,percent of total billed charges,,,765.21,percent of total billed charges,,,765.21,percent of total billed charges,,,765.21,percent of total billed charges,,,765.21,percent of total billed charges,,,765.21,percent of total billed charges,,,765.21,percent of total billed charges,
CT ORBITS/IAC W CON,70481,CDM,,,,both,,,"3,797.00","3,797.00",873.31,"3,797.00","3,797.00",percent of total billed charges,"3,797.00",percent of total billed charges,"3,797.00",percent of total billed charges,"3,797.00",percent of total billed charges,"3,797.00",percent of total billed charges,"3,797.00",percent of total billed charges,"3,797.00",percent of total billed charges,"3,797.00",percent of total billed charges,"2,733.84",percent of total billed charges,"2,733.84",percent of total billed charges,"2,733.84",percent of total billed charges,"2,733.84",percent of total billed charges,"2,733.84",percent of total billed charges,"2,733.84",percent of total billed charges,"2,999.63",percent of total billed charges,"2,999.63",percent of total billed charges,"3,037.60",percent of total billed charges,"3,037.60",percent of total billed charges,,,"2,733.84",percent of total billed charges ,,,"3,037.60",percent of total billed charges ,"2,999.63",percent of total billed charges ,"2,999.63",percent of total billed charges ,"3,227.45",percent of total billed charges ,"3,227.45",percent of total billed charges ,"3,037.60",percent of total billed charges ,"3,037.60",percent of total billed charges ,"2,657.90",percent of total billed charges ,"2,657.90",percent of total billed charges ,"2,278.20",percent of total billed charges ,"2,278.20",percent of total billed charges ,"2,278.20",percent of total billed charges ,"2,278.20",percent of total billed charges ,,,,,"2,020.00",percent of total billed charges ,,,,,"1,919.00",percent of total billed charges ,,,,,,,,,,,,,,,,,,,873.31,percent of total billed charges,,,873.31,percent of total billed charges,,,873.31,percent of total billed charges,,,873.31,percent of total billed charges,,,873.31,percent of total billed charges,,,873.31,percent of total billed charges,,,873.31,percent of total billed charges,,,873.31,percent of total billed charges,,,873.31,percent of total billed charges,,,873.31,percent of total billed charges,,,873.31,percent of total billed charges,
CT HEAD W/WO,70470,CDM,,,,both,,,"3,741.00","3,741.00",860.43,"3,741.00","3,741.00",percent of total billed charges,"3,741.00",percent of total billed charges,"3,741.00",percent of total billed charges,"3,741.00",percent of total billed charges,"3,741.00",percent of total billed charges,"3,741.00",percent of total billed charges,"3,741.00",percent of total billed charges,"3,741.00",percent of total billed charges,"2,693.52",percent of total billed charges,"2,693.52",percent of total billed charges,"2,693.52",percent of total billed charges,"2,693.52",percent of total billed charges,"2,693.52",percent of total billed charges,"2,693.52",percent of total billed charges,"2,955.39",percent of total billed charges,"2,955.39",percent of total billed charges,"2,992.80",percent of total billed charges,"2,992.80",percent of total billed charges,,,"2,693.52",percent of total billed charges ,,,"2,992.80",percent of total billed charges ,"2,955.39",percent of total billed charges ,"2,955.39",percent of total billed charges ,"3,179.85",percent of total billed charges ,"3,179.85",percent of total billed charges ,"2,992.80",percent of total billed charges ,"2,992.80",percent of total billed charges ,"2,618.70",percent of total billed charges ,"2,618.70",percent of total billed charges ,"2,244.60",percent of total billed charges ,"2,244.60",percent of total billed charges ,"2,244.60",percent of total billed charges ,"2,244.60",percent of total billed charges ,,,,,"1,990.21",percent of total billed charges ,,,,,"1,890.70",percent of total billed charges ,,,,,,,,,,,,,,,,,,,860.43,percent of total billed charges,,,860.43,percent of total billed charges,,,860.43,percent of total billed charges,,,860.43,percent of total billed charges,,,860.43,percent of total billed charges,,,860.43,percent of total billed charges,,,860.43,percent of total billed charges,,,860.43,percent of total billed charges,,,860.43,percent of total billed charges,,,860.43,percent of total billed charges,,,860.43,percent of total billed charges,
CT NECK TISSUE W CON 70491,70491,CDM,,,,both,,,"3,856.00","3,856.00",886.88,"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,"3,046.24",percent of total billed charges,"3,046.24",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 ,"3,046.24",percent of total billed charges ,"3,046.24",percent of total billed charges ,"3,277.60",percent of total billed charges ,"3,277.60",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 ,,,,,,,,,,,,,,,,,,,886.88,percent of total billed charges,,,886.88,percent of total billed charges,,,886.88,percent of total billed charges,,,886.88,percent of total billed charges,,,886.88,percent of total billed charges,,,886.88,percent of total billed charges,,,886.88,percent of total billed charges,,,886.88,percent of total billed charges,,,886.88,percent of total billed charges,,,886.88,percent of total billed charges,,,886.88,percent of total billed charges,
CT NECK TISSUE WO,70490,CDM,,,,both,,,"3,563.00","3,563.00",819.49,"3,563.00","3,563.00",percent of total billed charges,"3,563.00",percent of total billed charges,"3,563.00",percent of total billed charges,"3,563.00",percent of total billed charges,"3,563.00",percent of total billed charges,"3,563.00",percent of total billed charges,"3,563.00",percent of total billed charges,"3,563.00",percent of total billed charges,"2,565.36",percent of total billed charges,"2,565.36",percent of total billed charges,"2,565.36",percent of total billed charges,"2,565.36",percent of total billed charges,"2,565.36",percent of total billed charges,"2,565.36",percent of total billed charges,"2,814.77",percent of total billed charges,"2,814.77",percent of total billed charges,"2,850.40",percent of total billed charges,"2,850.40",percent of total billed charges,,,"2,565.36",percent of total billed charges ,,,"2,850.40",percent of total billed charges ,"2,814.77",percent of total billed charges ,"2,814.77",percent of total billed charges ,"3,028.55",percent of total billed charges ,"3,028.55",percent of total billed charges ,"2,850.40",percent of total billed charges ,"2,850.40",percent of total billed charges ,"2,494.10",percent of total billed charges ,"2,494.10",percent of total billed charges ,"2,137.80",percent of total billed charges ,"2,137.80",percent of total billed charges ,"2,137.80",percent of total billed charges ,"2,137.80",percent of total billed charges ,,,,,"1,895.52",percent of total billed charges ,,,,,"1,800.74",percent of total billed charges ,,,,,,,,,,,,,,,,,,,819.49,percent of total billed charges,,,819.49,percent of total billed charges,,,819.49,percent of total billed charges,,,819.49,percent of total billed charges,,,819.49,percent of total billed charges,,,819.49,percent of total billed charges,,,819.49,percent of total billed charges,,,819.49,percent of total billed charges,,,819.49,percent of total billed charges,,,819.49,percent of total billed charges,,,819.49,percent of total billed charges,
CT FAC/JAW W/WO  70488,70488,CDM,,,,both,,,"4,437.00","4,437.00","1,020.51","4,437.00","4,437.00",percent of total billed charges,"4,437.00",percent of total billed charges,"4,437.00",percent of total billed charges,"4,437.00",percent of total billed charges,"4,437.00",percent of total billed charges,"4,437.00",percent of total billed charges,"4,437.00",percent of total billed charges,"4,437.00",percent of total billed charges,"3,194.64",percent of total billed charges,"3,194.64",percent of total billed charges,"3,194.64",percent of total billed charges,"3,194.64",percent of total billed charges,"3,194.64",percent of total billed charges,"3,194.64",percent of total billed charges,"3,505.23",percent of total billed charges,"3,505.23",percent of total billed charges,"3,549.60",percent of total billed charges,"3,549.60",percent of total billed charges,,,"3,194.64",percent of total billed charges ,,,"3,549.60",percent of total billed charges ,"3,505.23",percent of total billed charges ,"3,505.23",percent of total billed charges ,"3,771.45",percent of total billed charges ,"3,771.45",percent of total billed charges ,"3,549.60",percent of total billed charges ,"3,549.60",percent of total billed charges ,"3,105.90",percent of total billed charges ,"3,105.90",percent of total billed charges ,"2,662.20",percent of total billed charges ,"2,662.20",percent of total billed charges ,"2,662.20",percent of total billed charges ,"2,662.20",percent of total billed charges ,,,,,"2,360.48",percent of total billed charges ,,,,,"2,242.46",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,020.51",percent of total billed charges,,,"1,020.51",percent of total billed charges,,,"1,020.51",percent of total billed charges,,,"1,020.51",percent of total billed charges,,,"1,020.51",percent of total billed charges,,,"1,020.51",percent of total billed charges,,,"1,020.51",percent of total billed charges,,,"1,020.51",percent of total billed charges,,,"1,020.51",percent of total billed charges,,,"1,020.51",percent of total billed charges,,,"1,020.51",percent of total billed charges,
CT ORBITS/IAC WO,70480,CDM,,,,both,,,"3,576.00","3,576.00",822.48,"3,576.00","3,576.00",percent of total billed charges,"3,576.00",percent of total billed charges,"3,576.00",percent of total billed charges,"3,576.00",percent of total billed charges,"3,576.00",percent of total billed charges,"3,576.00",percent of total billed charges,"3,576.00",percent of total billed charges,"3,576.00",percent of total billed charges,"2,574.72",percent of total billed charges,"2,574.72",percent of total billed charges,"2,574.72",percent of total billed charges,"2,574.72",percent of total billed charges,"2,574.72",percent of total billed charges,"2,574.72",percent of total billed charges,"2,825.04",percent of total billed charges,"2,825.04",percent of total billed charges,"2,860.80",percent of total billed charges,"2,860.80",percent of total billed charges,,,"2,574.72",percent of total billed charges ,,,"2,860.80",percent of total billed charges ,"2,825.04",percent of total billed charges ,"2,825.04",percent of total billed charges ,"3,039.60",percent of total billed charges ,"3,039.60",percent of total billed charges ,"2,860.80",percent of total billed charges ,"2,860.80",percent of total billed charges ,"2,503.20",percent of total billed charges ,"2,503.20",percent of total billed charges ,"2,145.60",percent of total billed charges ,"2,145.60",percent of total billed charges ,"2,145.60",percent of total billed charges ,"2,145.60",percent of total billed charges ,,,,,"1,902.43",percent of total billed charges ,,,,,"1,807.31",percent of total billed charges ,,,,,,,,,,,,,,,,,,,822.48,percent of total billed charges,,,822.48,percent of total billed charges,,,822.48,percent of total billed charges,,,822.48,percent of total billed charges,,,822.48,percent of total billed charges,,,822.48,percent of total billed charges,,,822.48,percent of total billed charges,,,822.48,percent of total billed charges,,,822.48,percent of total billed charges,,,822.48,percent of total billed charges,,,822.48,percent of total billed charges,
CT UP EXT W CON,73201,CDM,,,,both,,,"3,701.00","3,701.00",851.23,"3,701.00","3,701.00",percent of total billed charges,"3,701.00",percent of total billed charges,"3,701.00",percent of total billed charges,"3,701.00",percent of total billed charges,"3,701.00",percent of total billed charges,"3,701.00",percent of total billed charges,"3,701.00",percent of total billed charges,"3,701.00",percent of total billed charges,"2,664.72",percent of total billed charges,"2,664.72",percent of total billed charges,"2,664.72",percent of total billed charges,"2,664.72",percent of total billed charges,"2,664.72",percent of total billed charges,"2,664.72",percent of total billed charges,"2,923.79",percent of total billed charges,"2,923.79",percent of total billed charges,"2,960.80",percent of total billed charges,"2,960.80",percent of total billed charges,,,"2,664.72",percent of total billed charges ,,,"2,960.80",percent of total billed charges ,"2,923.79",percent of total billed charges ,"2,923.79",percent of total billed charges ,"3,145.85",percent of total billed charges ,"3,145.85",percent of total billed charges ,"2,960.80",percent of total billed charges ,"2,960.80",percent of total billed charges ,"2,590.70",percent of total billed charges ,"2,590.70",percent of total billed charges ,"2,220.60",percent of total billed charges ,"2,220.60",percent of total billed charges ,"2,220.60",percent of total billed charges ,"2,220.60",percent of total billed charges ,,,,,"1,968.93",percent of total billed charges ,,,,,"1,870.49",percent of total billed charges ,,,,,,,,,,,,,,,,,,,851.23,percent of total billed charges,,,851.23,percent of total billed charges,,,851.23,percent of total billed charges,,,851.23,percent of total billed charges,,,851.23,percent of total billed charges,,,851.23,percent of total billed charges,,,851.23,percent of total billed charges,,,851.23,percent of total billed charges,,,851.23,percent of total billed charges,,,851.23,percent of total billed charges,,,851.23,percent of total billed charges,
CT HEAD W CON,70460,CDM,,,,both,,,"3,628.00","3,628.00",834.44,"3,628.00","3,628.00",percent of total billed charges,"3,628.00",percent of total billed charges,"3,628.00",percent of total billed charges,"3,628.00",percent of total billed charges,"3,628.00",percent of total billed charges,"3,628.00",percent of total billed charges,"3,628.00",percent of total billed charges,"3,628.00",percent of total billed charges,"2,612.16",percent of total billed charges,"2,612.16",percent of total billed charges,"2,612.16",percent of total billed charges,"2,612.16",percent of total billed charges,"2,612.16",percent of total billed charges,"2,612.16",percent of total billed charges,"2,866.12",percent of total billed charges,"2,866.12",percent of total billed charges,"2,902.40",percent of total billed charges,"2,902.40",percent of total billed charges,,,"2,612.16",percent of total billed charges ,,,"2,902.40",percent of total billed charges ,"2,866.12",percent of total billed charges ,"2,866.12",percent of total billed charges ,"3,083.80",percent of total billed charges ,"3,083.80",percent of total billed charges ,"2,902.40",percent of total billed charges ,"2,902.40",percent of total billed charges ,"2,539.60",percent of total billed charges ,"2,539.60",percent of total billed charges ,"2,176.80",percent of total billed charges ,"2,176.80",percent of total billed charges ,"2,176.80",percent of total billed charges ,"2,176.80",percent of total billed charges ,,,,,"1,930.10",percent of total billed charges ,,,,,"1,833.59",percent of total billed charges ,,,,,,,,,,,,,,,,,,,834.44,percent of total billed charges,,,834.44,percent of total billed charges,,,834.44,percent of total billed charges,,,834.44,percent of total billed charges,,,834.44,percent of total billed charges,,,834.44,percent of total billed charges,,,834.44,percent of total billed charges,,,834.44,percent of total billed charges,,,834.44,percent of total billed charges,,,834.44,percent of total billed charges,,,834.44,percent of total billed charges,
CT FACE/JAW W CON,70487,CDM,,,,both,,,"3,629.00","3,629.00",834.67,"3,629.00","3,629.00",percent of total billed charges,"3,629.00",percent of total billed charges,"3,629.00",percent of total billed charges,"3,629.00",percent of total billed charges,"3,629.00",percent of total billed charges,"3,629.00",percent of total billed charges,"3,629.00",percent of total billed charges,"3,629.00",percent of total billed charges,"2,612.88",percent of total billed charges,"2,612.88",percent of total billed charges,"2,612.88",percent of total billed charges,"2,612.88",percent of total billed charges,"2,612.88",percent of total billed charges,"2,612.88",percent of total billed charges,"2,866.91",percent of total billed charges,"2,866.91",percent of total billed charges,"2,903.20",percent of total billed charges,"2,903.20",percent of total billed charges,,,"2,612.88",percent of total billed charges ,,,"2,903.20",percent of total billed charges ,"2,866.91",percent of total billed charges ,"2,866.91",percent of total billed charges ,"3,084.65",percent of total billed charges ,"3,084.65",percent of total billed charges ,"2,903.20",percent of total billed charges ,"2,903.20",percent of total billed charges ,"2,540.30",percent of total billed charges ,"2,540.30",percent of total billed charges ,"2,177.40",percent of total billed charges ,"2,177.40",percent of total billed charges ,"2,177.40",percent of total billed charges ,"2,177.40",percent of total billed charges ,,,,,"1,930.63",percent of total billed charges ,,,,,"1,834.10",percent of total billed charges ,,,,,,,,,,,,,,,,,,,834.67,percent of total billed charges,,,834.67,percent of total billed charges,,,834.67,percent of total billed charges,,,834.67,percent of total billed charges,,,834.67,percent of total billed charges,,,834.67,percent of total billed charges,,,834.67,percent of total billed charges,,,834.67,percent of total billed charges,,,834.67,percent of total billed charges,,,834.67,percent of total billed charges,,,834.67,percent of total billed charges,
CT SINUS W/O,70486,CDM,,,,both,,,"2,611.00","2,611.00",600.53,"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,"2,062.69",percent of total billed charges,"2,062.69",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 ,"2,062.69",percent of total billed charges ,"2,062.69",percent of total billed charges ,"2,219.35",percent of total billed charges ,"2,219.35",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 ,,,,,,,,,,,,,,,,,,,600.53,percent of total billed charges,,,600.53,percent of total billed charges,,,600.53,percent of total billed charges,,,600.53,percent of total billed charges,,,600.53,percent of total billed charges,,,600.53,percent of total billed charges,,,600.53,percent of total billed charges,,,600.53,percent of total billed charges,,,600.53,percent of total billed charges,,,600.53,percent of total billed charges,,,600.53,percent of total billed charges,
CT HEAD WO,70450,CDM,,,,both,,,"3,386.00","3,386.00",778.78,"3,386.00","3,386.00",percent of total billed charges,"3,386.00",percent of total billed charges,"3,386.00",percent of total billed charges,"3,386.00",percent of total billed charges,"3,386.00",percent of total billed charges,"3,386.00",percent of total billed charges,"3,386.00",percent of total billed charges,"3,386.00",percent of total billed charges,"2,437.92",percent of total billed charges,"2,437.92",percent of total billed charges,"2,437.92",percent of total billed charges,"2,437.92",percent of total billed charges,"2,437.92",percent of total billed charges,"2,437.92",percent of total billed charges,"2,674.94",percent of total billed charges,"2,674.94",percent of total billed charges,"2,708.80",percent of total billed charges,"2,708.80",percent of total billed charges,,,"2,437.92",percent of total billed charges ,,,"2,708.80",percent of total billed charges ,"2,674.94",percent of total billed charges ,"2,674.94",percent of total billed charges ,"2,878.10",percent of total billed charges ,"2,878.10",percent of total billed charges ,"2,708.80",percent of total billed charges ,"2,708.80",percent of total billed charges ,"2,370.20",percent of total billed charges ,"2,370.20",percent of total billed charges ,"2,031.60",percent of total billed charges ,"2,031.60",percent of total billed charges ,"2,031.60",percent of total billed charges ,"2,031.60",percent of total billed charges ,,,,,"1,801.35",percent of total billed charges ,,,,,"1,711.28",percent of total billed charges ,,,,,,,,,,,,,,,,,,,778.78,percent of total billed charges,,,778.78,percent of total billed charges,,,778.78,percent of total billed charges,,,778.78,percent of total billed charges,,,778.78,percent of total billed charges,,,778.78,percent of total billed charges,,,778.78,percent of total billed charges,,,778.78,percent of total billed charges,,,778.78,percent of total billed charges,,,778.78,percent of total billed charges,,,778.78,percent of total billed charges,
CT FACE/JAW WO,70486,CDM,,,,both,,,"2,611.00","2,611.00",600.53,"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,"2,062.69",percent of total billed charges,"2,062.69",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 ,"2,062.69",percent of total billed charges ,"2,062.69",percent of total billed charges ,"2,219.35",percent of total billed charges ,"2,219.35",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 ,,,,,,,,,,,,,,,,,,,600.53,percent of total billed charges,,,600.53,percent of total billed charges,,,600.53,percent of total billed charges,,,600.53,percent of total billed charges,,,600.53,percent of total billed charges,,,600.53,percent of total billed charges,,,600.53,percent of total billed charges,,,600.53,percent of total billed charges,,,600.53,percent of total billed charges,,,600.53,percent of total billed charges,,,600.53,percent of total billed charges,
CT ORBITS/IAC W/WO,70482,CDM,,,,both,,,"4,451.00","4,451.00","1,023.73","4,451.00","4,451.00",percent of total billed charges,"4,451.00",percent of total billed charges,"4,451.00",percent of total billed charges,"4,451.00",percent of total billed charges,"4,451.00",percent of total billed charges,"4,451.00",percent of total billed charges,"4,451.00",percent of total billed charges,"4,451.00",percent of total billed charges,"3,204.72",percent of total billed charges,"3,204.72",percent of total billed charges,"3,204.72",percent of total billed charges,"3,204.72",percent of total billed charges,"3,204.72",percent of total billed charges,"3,204.72",percent of total billed charges,"3,516.29",percent of total billed charges,"3,516.29",percent of total billed charges,"3,560.80",percent of total billed charges,"3,560.80",percent of total billed charges,,,"3,204.72",percent of total billed charges ,,,"3,560.80",percent of total billed charges ,"3,516.29",percent of total billed charges ,"3,516.29",percent of total billed charges ,"3,783.35",percent of total billed charges ,"3,783.35",percent of total billed charges ,"3,560.80",percent of total billed charges ,"3,560.80",percent of total billed charges ,"3,115.70",percent of total billed charges ,"3,115.70",percent of total billed charges ,"2,670.60",percent of total billed charges ,"2,670.60",percent of total billed charges ,"2,670.60",percent of total billed charges ,"2,670.60",percent of total billed charges ,,,,,"2,367.93",percent of total billed charges ,,,,,"2,249.54",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,023.73",percent of total billed charges,,,"1,023.73",percent of total billed charges,,,"1,023.73",percent of total billed charges,,,"1,023.73",percent of total billed charges,,,"1,023.73",percent of total billed charges,,,"1,023.73",percent of total billed charges,,,"1,023.73",percent of total billed charges,,,"1,023.73",percent of total billed charges,,,"1,023.73",percent of total billed charges,,,"1,023.73",percent of total billed charges,,,"1,023.73",percent of total billed charges,
CT ABDOMEN W/WO,74170,CDM,,,,both,,,"5,206.00","5,206.00","1,197.38","5,206.00","5,206.00",percent of total billed charges,"5,206.00",percent of total billed charges,"5,206.00",percent of total billed charges,"5,206.00",percent of total billed charges,"5,206.00",percent of total billed charges,"5,206.00",percent of total billed charges,"5,206.00",percent of total billed charges,"5,206.00",percent of total billed charges,"3,748.32",percent of total billed charges,"3,748.32",percent of total billed charges,"3,748.32",percent of total billed charges,"3,748.32",percent of total billed charges,"3,748.32",percent of total billed charges,"3,748.32",percent of total billed charges,"4,112.74",percent of total billed charges,"4,112.74",percent of total billed charges,"4,164.80",percent of total billed charges,"4,164.80",percent of total billed charges,,,"3,748.32",percent of total billed charges ,,,"4,164.80",percent of total billed charges ,"4,112.74",percent of total billed charges ,"4,112.74",percent of total billed charges ,"4,425.10",percent of total billed charges ,"4,425.10",percent of total billed charges ,"4,164.80",percent of total billed charges ,"4,164.80",percent of total billed charges ,"3,644.20",percent of total billed charges ,"3,644.20",percent of total billed charges ,"3,123.60",percent of total billed charges ,"3,123.60",percent of total billed charges ,"3,123.60",percent of total billed charges ,"3,123.60",percent of total billed charges ,,,,,"2,769.59",percent of total billed charges ,,,,,"2,631.11",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,197.38",percent of total billed charges,,,"1,197.38",percent of total billed charges,,,"1,197.38",percent of total billed charges,,,"1,197.38",percent of total billed charges,,,"1,197.38",percent of total billed charges,,,"1,197.38",percent of total billed charges,,,"1,197.38",percent of total billed charges,,,"1,197.38",percent of total billed charges,,,"1,197.38",percent of total billed charges,,,"1,197.38",percent of total billed charges,,,"1,197.38",percent of total billed charges,
CT ABDOMEN W CON,74160,CDM,,,,both,,,"4,677.00","4,677.00","1,075.71","4,677.00","4,677.00",percent of total billed charges,"4,677.00",percent of total billed charges,"4,677.00",percent of total billed charges,"4,677.00",percent of total billed charges,"4,677.00",percent of total billed charges,"4,677.00",percent of total billed charges,"4,677.00",percent of total billed charges,"4,677.00",percent of total billed charges,"3,367.44",percent of total billed charges,"3,367.44",percent of total billed charges,"3,367.44",percent of total billed charges,"3,367.44",percent of total billed charges,"3,367.44",percent of total billed charges,"3,367.44",percent of total billed charges,"3,694.83",percent of total billed charges,"3,694.83",percent of total billed charges,"3,741.60",percent of total billed charges,"3,741.60",percent of total billed charges,,,"3,367.44",percent of total billed charges ,,,"3,741.60",percent of total billed charges ,"3,694.83",percent of total billed charges ,"3,694.83",percent of total billed charges ,"3,975.45",percent of total billed charges ,"3,975.45",percent of total billed charges ,"3,741.60",percent of total billed charges ,"3,741.60",percent of total billed charges ,"3,273.90",percent of total billed charges ,"3,273.90",percent of total billed charges ,"2,806.20",percent of total billed charges ,"2,806.20",percent of total billed charges ,"2,806.20",percent of total billed charges ,"2,806.20",percent of total billed charges ,,,,,"2,488.16",percent of total billed charges ,,,,,"2,363.76",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,075.71",percent of total billed charges,,,"1,075.71",percent of total billed charges,,,"1,075.71",percent of total billed charges,,,"1,075.71",percent of total billed charges,,,"1,075.71",percent of total billed charges,,,"1,075.71",percent of total billed charges,,,"1,075.71",percent of total billed charges,,,"1,075.71",percent of total billed charges,,,"1,075.71",percent of total billed charges,,,"1,075.71",percent of total billed charges,,,"1,075.71",percent of total billed charges,
CT PELVIS W/WO,72194,CDM,,,,both,,,"5,216.00","5,216.00","1,199.68","5,216.00","5,216.00",percent of total billed charges,"5,216.00",percent of total billed charges,"5,216.00",percent of total billed charges,"5,216.00",percent of total billed charges,"5,216.00",percent of total billed charges,"5,216.00",percent of total billed charges,"5,216.00",percent of total billed charges,"5,216.00",percent of total billed charges,"3,755.52",percent of total billed charges,"3,755.52",percent of total billed charges,"3,755.52",percent of total billed charges,"3,755.52",percent of total billed charges,"3,755.52",percent of total billed charges,"3,755.52",percent of total billed charges,"4,120.64",percent of total billed charges,"4,120.64",percent of total billed charges,"4,172.80",percent of total billed charges,"4,172.80",percent of total billed charges,,,"3,755.52",percent of total billed charges ,,,"4,172.80",percent of total billed charges ,"4,120.64",percent of total billed charges ,"4,120.64",percent of total billed charges ,"4,433.60",percent of total billed charges ,"4,433.60",percent of total billed charges ,"4,172.80",percent of total billed charges ,"4,172.80",percent of total billed charges ,"3,651.20",percent of total billed charges ,"3,651.20",percent of total billed charges ,"3,129.60",percent of total billed charges ,"3,129.60",percent of total billed charges ,"3,129.60",percent of total billed charges ,"3,129.60",percent of total billed charges ,,,,,"2,774.91",percent of total billed charges ,,,,,"2,636.17",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,199.68",percent of total billed charges,,,"1,199.68",percent of total billed charges,,,"1,199.68",percent of total billed charges,,,"1,199.68",percent of total billed charges,,,"1,199.68",percent of total billed charges,,,"1,199.68",percent of total billed charges,,,"1,199.68",percent of total billed charges,,,"1,199.68",percent of total billed charges,,,"1,199.68",percent of total billed charges,,,"1,199.68",percent of total billed charges,,,"1,199.68",percent of total billed charges,
CT PELVIS W CON,72193,CDM,,,,both,,,"4,389.00","4,389.00","1,009.47","4,389.00","4,389.00",percent of total billed charges,"4,389.00",percent of total billed charges,"4,389.00",percent of total billed charges,"4,389.00",percent of total billed charges,"4,389.00",percent of total billed charges,"4,389.00",percent of total billed charges,"4,389.00",percent of total billed charges,"4,389.00",percent of total billed charges,"3,160.08",percent of total billed charges,"3,160.08",percent of total billed charges,"3,160.08",percent of total billed charges,"3,160.08",percent of total billed charges,"3,160.08",percent of total billed charges,"3,160.08",percent of total billed charges,"3,467.31",percent of total billed charges,"3,467.31",percent of total billed charges,"3,511.20",percent of total billed charges,"3,511.20",percent of total billed charges,,,"3,160.08",percent of total billed charges ,,,"3,511.20",percent of total billed charges ,"3,467.31",percent of total billed charges ,"3,467.31",percent of total billed charges ,"3,730.65",percent of total billed charges ,"3,730.65",percent of total billed charges ,"3,511.20",percent of total billed charges ,"3,511.20",percent of total billed charges ,"3,072.30",percent of total billed charges ,"3,072.30",percent of total billed charges ,"2,633.40",percent of total billed charges ,"2,633.40",percent of total billed charges ,"2,633.40",percent of total billed charges ,"2,633.40",percent of total billed charges ,,,,,"2,334.95",percent of total billed charges ,,,,,"2,218.20",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,009.47",percent of total billed charges,,,"1,009.47",percent of total billed charges,,,"1,009.47",percent of total billed charges,,,"1,009.47",percent of total billed charges,,,"1,009.47",percent of total billed charges,,,"1,009.47",percent of total billed charges,,,"1,009.47",percent of total billed charges,,,"1,009.47",percent of total billed charges,,,"1,009.47",percent of total billed charges,,,"1,009.47",percent of total billed charges,,,"1,009.47",percent of total billed charges,
CT PELVIS WO,72192,CDM,,,,both,,,"3,656.00","3,656.00",840.88,"3,656.00","3,656.00",percent of total billed charges,"3,656.00",percent of total billed charges,"3,656.00",percent of total billed charges,"3,656.00",percent of total billed charges,"3,656.00",percent of total billed charges,"3,656.00",percent of total billed charges,"3,656.00",percent of total billed charges,"3,656.00",percent of total billed charges,"2,632.32",percent of total billed charges,"2,632.32",percent of total billed charges,"2,632.32",percent of total billed charges,"2,632.32",percent of total billed charges,"2,632.32",percent of total billed charges,"2,632.32",percent of total billed charges,"2,888.24",percent of total billed charges,"2,888.24",percent of total billed charges,"2,924.80",percent of total billed charges,"2,924.80",percent of total billed charges,,,"2,632.32",percent of total billed charges ,,,"2,924.80",percent of total billed charges ,"2,888.24",percent of total billed charges ,"2,888.24",percent of total billed charges ,"3,107.60",percent of total billed charges ,"3,107.60",percent of total billed charges ,"2,924.80",percent of total billed charges ,"2,924.80",percent of total billed charges ,"2,559.20",percent of total billed charges ,"2,559.20",percent of total billed charges ,"2,193.60",percent of total billed charges ,"2,193.60",percent of total billed charges ,"2,193.60",percent of total billed charges ,"2,193.60",percent of total billed charges ,,,,,"1,944.99",percent of total billed charges ,,,,,"1,847.74",percent of total billed charges ,,,,,,,,,,,,,,,,,,,840.88,percent of total billed charges,,,840.88,percent of total billed charges,,,840.88,percent of total billed charges,,,840.88,percent of total billed charges,,,840.88,percent of total billed charges,,,840.88,percent of total billed charges,,,840.88,percent of total billed charges,,,840.88,percent of total billed charges,,,840.88,percent of total billed charges,,,840.88,percent of total billed charges,,,840.88,percent of total billed charges,
CT LOW EXT WO LT,73700,CDM,,,LT,both,,,"2,610.00","2,610.00",600.3,"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,"2,061.90",percent of total billed charges,"2,061.90",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 ,"2,061.90",percent of total billed charges ,"2,061.90",percent of total billed charges ,"2,218.50",percent of total billed charges ,"2,218.50",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 ,,,,,,,,,,,,,,,,,,,600.3,percent of total billed charges,,,600.3,percent of total billed charges,,,600.3,percent of total billed charges,,,600.3,percent of total billed charges,,,600.3,percent of total billed charges,,,600.3,percent of total billed charges,,,600.3,percent of total billed charges,,,600.3,percent of total billed charges,,,600.3,percent of total billed charges,,,600.3,percent of total billed charges,,,600.3,percent of total billed charges,
CT CHEST WO,71250,CDM,,,,both,,,"2,763.00","2,763.00",635.49,"2,763.00","2,763.00",percent of total billed charges,"2,763.00",percent of total billed charges,"2,763.00",percent of total billed charges,"2,763.00",percent of total billed charges,"2,763.00",percent of total billed charges,"2,763.00",percent of total billed charges,"2,763.00",percent of total billed charges,"2,763.00",percent of total billed charges,"1,989.36",percent of total billed charges,"1,989.36",percent of total billed charges,"1,989.36",percent of total billed charges,"1,989.36",percent of total billed charges,"1,989.36",percent of total billed charges,"1,989.36",percent of total billed charges,"2,182.77",percent of total billed charges,"2,182.77",percent of total billed charges,"2,210.40",percent of total billed charges,"2,210.40",percent of total billed charges,,,"1,989.36",percent of total billed charges ,,,"2,210.40",percent of total billed charges ,"2,182.77",percent of total billed charges ,"2,182.77",percent of total billed charges ,"2,348.55",percent of total billed charges ,"2,348.55",percent of total billed charges ,"2,210.40",percent of total billed charges ,"2,210.40",percent of total billed charges ,"1,934.10",percent of total billed charges ,"1,934.10",percent of total billed charges ,"1,657.80",percent of total billed charges ,"1,657.80",percent of total billed charges ,"1,657.80",percent of total billed charges ,"1,657.80",percent of total billed charges ,,,,,"1,469.92",percent of total billed charges ,,,,,"1,396.42",percent of total billed charges ,,,,,,,,,,,,,,,,,,,635.49,percent of total billed charges,,,635.49,percent of total billed charges,,,635.49,percent of total billed charges,,,635.49,percent of total billed charges,,,635.49,percent of total billed charges,,,635.49,percent of total billed charges,,,635.49,percent of total billed charges,,,635.49,percent of total billed charges,,,635.49,percent of total billed charges,,,635.49,percent of total billed charges,,,635.49,percent of total billed charges,
CT THORACIC SP WO,72128,CDM,,,,both,,,"3,925.00","3,925.00",902.75,"3,925.00","3,925.00",percent of total billed charges,"3,925.00",percent of total billed charges,"3,925.00",percent of total billed charges,"3,925.00",percent of total billed charges,"3,925.00",percent of total billed charges,"3,925.00",percent of total billed charges,"3,925.00",percent of total billed charges,"3,925.00",percent of total billed charges,"2,826.00",percent of total billed charges,"2,826.00",percent of total billed charges,"2,826.00",percent of total billed charges,"2,826.00",percent of total billed charges,"2,826.00",percent of total billed charges,"2,826.00",percent of total billed charges,"3,100.75",percent of total billed charges,"3,100.75",percent of total billed charges,"3,140.00",percent of total billed charges,"3,140.00",percent of total billed charges,,,"2,826.00",percent of total billed charges ,,,"3,140.00",percent of total billed charges ,"3,100.75",percent of total billed charges ,"3,100.75",percent of total billed charges ,"3,336.25",percent of total billed charges ,"3,336.25",percent of total billed charges ,"3,140.00",percent of total billed charges ,"3,140.00",percent of total billed charges ,"2,747.50",percent of total billed charges ,"2,747.50",percent of total billed charges ,"2,355.00",percent of total billed charges ,"2,355.00",percent of total billed charges ,"2,355.00",percent of total billed charges ,"2,355.00",percent of total billed charges ,,,,,"2,088.10",percent of total billed charges ,,,,,"1,983.70",percent of total billed charges ,,,,,,,,,,,,,,,,,,,902.75,percent of total billed charges,,,902.75,percent of total billed charges,,,902.75,percent of total billed charges,,,902.75,percent of total billed charges,,,902.75,percent of total billed charges,,,902.75,percent of total billed charges,,,902.75,percent of total billed charges,,,902.75,percent of total billed charges,,,902.75,percent of total billed charges,,,902.75,percent of total billed charges,,,902.75,percent of total billed charges,
CT CERV SP W CON,72126,CDM,,,,both,,,"4,577.00","4,577.00","1,052.71","4,577.00","4,577.00",percent of total billed charges,"4,577.00",percent of total billed charges,"4,577.00",percent of total billed charges,"4,577.00",percent of total billed charges,"4,577.00",percent of total billed charges,"4,577.00",percent of total billed charges,"4,577.00",percent of total billed charges,"4,577.00",percent of total billed charges,"3,295.44",percent of total billed charges,"3,295.44",percent of total billed charges,"3,295.44",percent of total billed charges,"3,295.44",percent of total billed charges,"3,295.44",percent of total billed charges,"3,295.44",percent of total billed charges,"3,615.83",percent of total billed charges,"3,615.83",percent of total billed charges,"3,661.60",percent of total billed charges,"3,661.60",percent of total billed charges,,,"3,295.44",percent of total billed charges ,,,"3,661.60",percent of total billed charges ,"3,615.83",percent of total billed charges ,"3,615.83",percent of total billed charges ,"3,890.45",percent of total billed charges ,"3,890.45",percent of total billed charges ,"3,661.60",percent of total billed charges ,"3,661.60",percent of total billed charges ,"3,203.90",percent of total billed charges ,"3,203.90",percent of total billed charges ,"2,746.20",percent of total billed charges ,"2,746.20",percent of total billed charges ,"2,746.20",percent of total billed charges ,"2,746.20",percent of total billed charges ,,,,,"2,434.96",percent of total billed charges ,,,,,"2,313.22",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,052.71",percent of total billed charges,,,"1,052.71",percent of total billed charges,,,"1,052.71",percent of total billed charges,,,"1,052.71",percent of total billed charges,,,"1,052.71",percent of total billed charges,,,"1,052.71",percent of total billed charges,,,"1,052.71",percent of total billed charges,,,"1,052.71",percent of total billed charges,,,"1,052.71",percent of total billed charges,,,"1,052.71",percent of total billed charges,,,"1,052.71",percent of total billed charges,
CT LOW EXT W/WO,73702,CDM,,,,both,,,"4,520.00","4,520.00","1,039.60","4,520.00","4,520.00",percent of total billed charges,"4,520.00",percent of total billed charges,"4,520.00",percent of total billed charges,"4,520.00",percent of total billed charges,"4,520.00",percent of total billed charges,"4,520.00",percent of total billed charges,"4,520.00",percent of total billed charges,"4,520.00",percent of total billed charges,"3,254.40",percent of total billed charges,"3,254.40",percent of total billed charges,"3,254.40",percent of total billed charges,"3,254.40",percent of total billed charges,"3,254.40",percent of total billed charges,"3,254.40",percent of total billed charges,"3,570.80",percent of total billed charges,"3,570.80",percent of total billed charges,"3,616.00",percent of total billed charges,"3,616.00",percent of total billed charges,,,"3,254.40",percent of total billed charges ,,,"3,616.00",percent of total billed charges ,"3,570.80",percent of total billed charges ,"3,570.80",percent of total billed charges ,"3,842.00",percent of total billed charges ,"3,842.00",percent of total billed charges ,"3,616.00",percent of total billed charges ,"3,616.00",percent of total billed charges ,"3,164.00",percent of total billed charges ,"3,164.00",percent of total billed charges ,"2,712.00",percent of total billed charges ,"2,712.00",percent of total billed charges ,"2,712.00",percent of total billed charges ,"2,712.00",percent of total billed charges ,,,,,"2,404.64",percent of total billed charges ,,,,,"2,284.41",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,039.60",percent of total billed charges,,,"1,039.60",percent of total billed charges,,,"1,039.60",percent of total billed charges,,,"1,039.60",percent of total billed charges,,,"1,039.60",percent of total billed charges,,,"1,039.60",percent of total billed charges,,,"1,039.60",percent of total billed charges,,,"1,039.60",percent of total billed charges,,,"1,039.60",percent of total billed charges,,,"1,039.60",percent of total billed charges,,,"1,039.60",percent of total billed charges,
CT CERV SP WO,72125,CDM,,,,both,,,"3,546.00","3,546.00",815.58,"3,546.00","3,546.00",percent of total billed charges,"3,546.00",percent of total billed charges,"3,546.00",percent of total billed charges,"3,546.00",percent of total billed charges,"3,546.00",percent of total billed charges,"3,546.00",percent of total billed charges,"3,546.00",percent of total billed charges,"3,546.00",percent of total billed charges,"2,553.12",percent of total billed charges,"2,553.12",percent of total billed charges,"2,553.12",percent of total billed charges,"2,553.12",percent of total billed charges,"2,553.12",percent of total billed charges,"2,553.12",percent of total billed charges,"2,801.34",percent of total billed charges,"2,801.34",percent of total billed charges,"2,836.80",percent of total billed charges,"2,836.80",percent of total billed charges,,,"2,553.12",percent of total billed charges ,,,"2,836.80",percent of total billed charges ,"2,801.34",percent of total billed charges ,"2,801.34",percent of total billed charges ,"3,014.10",percent of total billed charges ,"3,014.10",percent of total billed charges ,"2,836.80",percent of total billed charges ,"2,836.80",percent of total billed charges ,"2,482.20",percent of total billed charges ,"2,482.20",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 ,,,,,"1,886.47",percent of total billed charges ,,,,,"1,792.15",percent of total billed charges ,,,,,,,,,,,,,,,,,,,815.58,percent of total billed charges,,,815.58,percent of total billed charges,,,815.58,percent of total billed charges,,,815.58,percent of total billed charges,,,815.58,percent of total billed charges,,,815.58,percent of total billed charges,,,815.58,percent of total billed charges,,,815.58,percent of total billed charges,,,815.58,percent of total billed charges,,,815.58,percent of total billed charges,,,815.58,percent of total billed charges,
CT LOW EXT W CON,73701,CDM,,,,both,,,"3,104.00","3,104.00",713.92,"3,104.00","3,104.00",percent of total billed charges,"3,104.00",percent of total billed charges,"3,104.00",percent of total billed charges,"3,104.00",percent of total billed charges,"3,104.00",percent of total billed charges,"3,104.00",percent of total billed charges,"3,104.00",percent of total billed charges,"3,104.00",percent of total billed charges,"2,234.88",percent of total billed charges,"2,234.88",percent of total billed charges,"2,234.88",percent of total billed charges,"2,234.88",percent of total billed charges,"2,234.88",percent of total billed charges,"2,234.88",percent of total billed charges,"2,452.16",percent of total billed charges,"2,452.16",percent of total billed charges,"2,483.20",percent of total billed charges,"2,483.20",percent of total billed charges,,,"2,234.88",percent of total billed charges ,,,"2,483.20",percent of total billed charges ,"2,452.16",percent of total billed charges ,"2,452.16",percent of total billed charges ,"2,638.40",percent of total billed charges ,"2,638.40",percent of total billed charges ,"2,483.20",percent of total billed charges ,"2,483.20",percent of total billed charges ,"2,172.80",percent of total billed charges ,"2,172.80",percent of total billed charges ,"1,862.40",percent of total billed charges ,"1,862.40",percent of total billed charges ,"1,862.40",percent of total billed charges ,"1,862.40",percent of total billed charges ,,,,,"1,651.33",percent of total billed charges ,,,,,"1,568.76",percent of total billed charges ,,,,,,,,,,,,,,,,,,,713.92,percent of total billed charges,,,713.92,percent of total billed charges,,,713.92,percent of total billed charges,,,713.92,percent of total billed charges,,,713.92,percent of total billed charges,,,713.92,percent of total billed charges,,,713.92,percent of total billed charges,,,713.92,percent of total billed charges,,,713.92,percent of total billed charges,,,713.92,percent of total billed charges,,,713.92,percent of total billed charges,
CT ABD WO,74150,CDM,,,,both,,,"3,636.00","3,636.00",836.28,"3,636.00","3,636.00",percent of total billed charges,"3,636.00",percent of total billed charges,"3,636.00",percent of total billed charges,"3,636.00",percent of total billed charges,"3,636.00",percent of total billed charges,"3,636.00",percent of total billed charges,"3,636.00",percent of total billed charges,"3,636.00",percent of total billed charges,"2,617.92",percent of total billed charges,"2,617.92",percent of total billed charges,"2,617.92",percent of total billed charges,"2,617.92",percent of total billed charges,"2,617.92",percent of total billed charges,"2,617.92",percent of total billed charges,"2,872.44",percent of total billed charges,"2,872.44",percent of total billed charges,"2,908.80",percent of total billed charges,"2,908.80",percent of total billed charges,,,"2,617.92",percent of total billed charges ,,,"2,908.80",percent of total billed charges ,"2,872.44",percent of total billed charges ,"2,872.44",percent of total billed charges ,"3,090.60",percent of total billed charges ,"3,090.60",percent of total billed charges ,"2,908.80",percent of total billed charges ,"2,908.80",percent of total billed charges ,"2,545.20",percent of total billed charges ,"2,545.20",percent of total billed charges ,"2,181.60",percent of total billed charges ,"2,181.60",percent of total billed charges ,"2,181.60",percent of total billed charges ,"2,181.60",percent of total billed charges ,,,,,"1,934.35",percent of total billed charges ,,,,,"1,837.63",percent of total billed charges ,,,,,,,,,,,,,,,,,,,836.28,percent of total billed charges,,,836.28,percent of total billed charges,,,836.28,percent of total billed charges,,,836.28,percent of total billed charges,,,836.28,percent of total billed charges,,,836.28,percent of total billed charges,,,836.28,percent of total billed charges,,,836.28,percent of total billed charges,,,836.28,percent of total billed charges,,,836.28,percent of total billed charges,,,836.28,percent of total billed charges,
CT CHEST W CON,71260,CDM,,,,both,,,"3,404.00","3,404.00",782.92,"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,"2,689.16",percent of total billed charges,"2,689.16",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 ,"2,689.16",percent of total billed charges ,"2,689.16",percent of total billed charges ,"2,893.40",percent of total billed charges ,"2,893.40",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 ,,,,,,,,,,,,,,,,,,,782.92,percent of total billed charges,,,782.92,percent of total billed charges,,,782.92,percent of total billed charges,,,782.92,percent of total billed charges,,,782.92,percent of total billed charges,,,782.92,percent of total billed charges,,,782.92,percent of total billed charges,,,782.92,percent of total billed charges,,,782.92,percent of total billed charges,,,782.92,percent of total billed charges,,,782.92,percent of total billed charges,
CT CHEST W/WO,71270,CDM,,,,both,,,"4,925.00","4,925.00","1,132.75","4,925.00","4,925.00",percent of total billed charges,"4,925.00",percent of total billed charges,"4,925.00",percent of total billed charges,"4,925.00",percent of total billed charges,"4,925.00",percent of total billed charges,"4,925.00",percent of total billed charges,"4,925.00",percent of total billed charges,"4,925.00",percent of total billed charges,"3,546.00",percent of total billed charges,"3,546.00",percent of total billed charges,"3,546.00",percent of total billed charges,"3,546.00",percent of total billed charges,"3,546.00",percent of total billed charges,"3,546.00",percent of total billed charges,"3,890.75",percent of total billed charges,"3,890.75",percent of total billed charges,"3,940.00",percent of total billed charges,"3,940.00",percent of total billed charges,,,"3,546.00",percent of total billed charges ,,,"3,940.00",percent of total billed charges ,"3,890.75",percent of total billed charges ,"3,890.75",percent of total billed charges ,"4,186.25",percent of total billed charges ,"4,186.25",percent of total billed charges ,"3,940.00",percent of total billed charges ,"3,940.00",percent of total billed charges ,"3,447.50",percent of total billed charges ,"3,447.50",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 ,,,,,"2,620.10",percent of total billed charges ,,,,,"2,489.10",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,132.75",percent of total billed charges,,,"1,132.75",percent of total billed charges,,,"1,132.75",percent of total billed charges,,,"1,132.75",percent of total billed charges,,,"1,132.75",percent of total billed charges,,,"1,132.75",percent of total billed charges,,,"1,132.75",percent of total billed charges,,,"1,132.75",percent of total billed charges,,,"1,132.75",percent of total billed charges,,,"1,132.75",percent of total billed charges,,,"1,132.75",percent of total billed charges,
CT LUMBAR WO,72131,CDM,,,,both,,,"3,502.00","3,502.00",805.46,"3,502.00","3,502.00",percent of total billed charges,"3,502.00",percent of total billed charges,"3,502.00",percent of total billed charges,"3,502.00",percent of total billed charges,"3,502.00",percent of total billed charges,"3,502.00",percent of total billed charges,"3,502.00",percent of total billed charges,"3,502.00",percent of total billed charges,"2,521.44",percent of total billed charges,"2,521.44",percent of total billed charges,"2,521.44",percent of total billed charges,"2,521.44",percent of total billed charges,"2,521.44",percent of total billed charges,"2,521.44",percent of total billed charges,"2,766.58",percent of total billed charges,"2,766.58",percent of total billed charges,"2,801.60",percent of total billed charges,"2,801.60",percent of total billed charges,,,"2,521.44",percent of total billed charges ,,,"2,801.60",percent of total billed charges ,"2,766.58",percent of total billed charges ,"2,766.58",percent of total billed charges ,"2,976.70",percent of total billed charges ,"2,976.70",percent of total billed charges ,"2,801.60",percent of total billed charges ,"2,801.60",percent of total billed charges ,"2,451.40",percent of total billed charges ,"2,451.40",percent of total billed charges ,"2,101.20",percent of total billed charges ,"2,101.20",percent of total billed charges ,"2,101.20",percent of total billed charges ,"2,101.20",percent of total billed charges ,,,,,"1,863.06",percent of total billed charges ,,,,,"1,769.91",percent of total billed charges ,,,,,,,,,,,,,,,,,,,805.46,percent of total billed charges,,,805.46,percent of total billed charges,,,805.46,percent of total billed charges,,,805.46,percent of total billed charges,,,805.46,percent of total billed charges,,,805.46,percent of total billed charges,,,805.46,percent of total billed charges,,,805.46,percent of total billed charges,,,805.46,percent of total billed charges,,,805.46,percent of total billed charges,,,805.46,percent of total billed charges,
CT LMTD/LOCALIZE,76380,CDM,,,,both,,,"1,721.00","1,721.00",395.83,"1,721.00","1,721.00",percent of total billed charges,"1,721.00",percent of total billed charges,"1,721.00",percent of total billed charges,"1,721.00",percent of total billed charges,"1,721.00",percent of total billed charges,"1,721.00",percent of total billed charges,"1,721.00",percent of total billed charges,"1,721.00",percent of total billed charges,"1,239.12",percent of total billed charges,"1,239.12",percent of total billed charges,"1,239.12",percent of total billed charges,"1,239.12",percent of total billed charges,"1,239.12",percent of total billed charges,"1,239.12",percent of total billed charges,"1,359.59",percent of total billed charges,"1,359.59",percent of total billed charges,"1,376.80",percent of total billed charges,"1,376.80",percent of total billed charges,,,"1,239.12",percent of total billed charges ,,,"1,376.80",percent of total billed charges ,"1,359.59",percent of total billed charges ,"1,359.59",percent of total billed charges ,"1,462.85",percent of total billed charges ,"1,462.85",percent of total billed charges ,"1,376.80",percent of total billed charges ,"1,376.80",percent of total billed charges ,"1,204.70",percent of total billed charges ,"1,204.70",percent of total billed charges ,"1,032.60",percent of total billed charges ,"1,032.60",percent of total billed charges ,"1,032.60",percent of total billed charges ,"1,032.60",percent of total billed charges ,,,,,915.57,percent of total billed charges ,,,,,869.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,395.83,percent of total billed charges,,,395.83,percent of total billed charges,,,395.83,percent of total billed charges,,,395.83,percent of total billed charges,,,395.83,percent of total billed charges,,,395.83,percent of total billed charges,,,395.83,percent of total billed charges,,,395.83,percent of total billed charges,,,395.83,percent of total billed charges,,,395.83,percent of total billed charges,,,395.83,percent of total billed charges,
**CT RECONSTRUCT OTHER,76376,CDM,,,,both,,,944,944,217.12,944,944,percent of total billed charges,944,percent of total billed charges,944,percent of total billed charges,944,percent of total billed charges,944,percent of total billed charges,944,percent of total billed charges,944,percent of total billed charges,944,percent of total billed charges,679.68,percent of total billed charges,679.68,percent of total billed charges,679.68,percent of total billed charges,679.68,percent of total billed charges,679.68,percent of total billed charges,679.68,percent of total billed charges,745.76,percent of total billed charges,745.76,percent of total billed charges,755.2,percent of total billed charges,755.2,percent of total billed charges,,,679.68,percent of total billed charges ,,,755.2,percent of total billed charges ,745.76,percent of total billed charges ,745.76,percent of total billed charges ,802.4,percent of total billed charges ,802.4,percent of total billed charges ,755.2,percent of total billed charges ,755.2,percent of total billed charges ,660.8,percent of total billed charges ,660.8,percent of total billed charges ,566.4,percent of total billed charges ,566.4,percent of total billed charges ,566.4,percent of total billed charges ,566.4,percent of total billed charges ,,,,,502.21,percent of total billed charges ,,,,,477.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,217.12,percent of total billed charges,,,217.12,percent of total billed charges,,,217.12,percent of total billed charges,,,217.12,percent of total billed charges,,,217.12,percent of total billed charges,,,217.12,percent of total billed charges,,,217.12,percent of total billed charges,,,217.12,percent of total billed charges,,,217.12,percent of total billed charges,,,217.12,percent of total billed charges,,,217.12,percent of total billed charges,
CT UP EXT WO,73200,CDM,,,,both,,,"3,306.00","3,306.00",760.38,"3,306.00","3,306.00",percent of total billed charges,"3,306.00",percent of total billed charges,"3,306.00",percent of total billed charges,"3,306.00",percent of total billed charges,"3,306.00",percent of total billed charges,"3,306.00",percent of total billed charges,"3,306.00",percent of total billed charges,"3,306.00",percent of total billed charges,"2,380.32",percent of total billed charges,"2,380.32",percent of total billed charges,"2,380.32",percent of total billed charges,"2,380.32",percent of total billed charges,"2,380.32",percent of total billed charges,"2,380.32",percent of total billed charges,"2,611.74",percent of total billed charges,"2,611.74",percent of total billed charges,"2,644.80",percent of total billed charges,"2,644.80",percent of total billed charges,,,"2,380.32",percent of total billed charges ,,,"2,644.80",percent of total billed charges ,"2,611.74",percent of total billed charges ,"2,611.74",percent of total billed charges ,"2,810.10",percent of total billed charges ,"2,810.10",percent of total billed charges ,"2,644.80",percent of total billed charges ,"2,644.80",percent of total billed charges ,"2,314.20",percent of total billed charges ,"2,314.20",percent of total billed charges ,"1,983.60",percent of total billed charges ,"1,983.60",percent of total billed charges ,"1,983.60",percent of total billed charges ,"1,983.60",percent of total billed charges ,,,,,"1,758.79",percent of total billed charges ,,,,,"1,670.85",percent of total billed charges ,,,,,,,,,,,,,,,,,,,760.38,percent of total billed charges,,,760.38,percent of total billed charges,,,760.38,percent of total billed charges,,,760.38,percent of total billed charges,,,760.38,percent of total billed charges,,,760.38,percent of total billed charges,,,760.38,percent of total billed charges,,,760.38,percent of total billed charges,,,760.38,percent of total billed charges,,,760.38,percent of total billed charges,,,760.38,percent of total billed charges,
CT GUIDED BIOPSY,77012,CDM,,,,both,,,"3,681.00","3,681.00",846.63,"3,681.00","3,681.00",percent of total billed charges,"3,681.00",percent of total billed charges,"3,681.00",percent of total billed charges,"3,681.00",percent of total billed charges,"3,681.00",percent of total billed charges,"3,681.00",percent of total billed charges,"3,681.00",percent of total billed charges,"3,681.00",percent of total billed charges,"2,650.32",percent of total billed charges,"2,650.32",percent of total billed charges,"2,650.32",percent of total billed charges,"2,650.32",percent of total billed charges,"2,650.32",percent of total billed charges,"2,650.32",percent of total billed charges,"2,907.99",percent of total billed charges,"2,907.99",percent of total billed charges,"2,944.80",percent of total billed charges,"2,944.80",percent of total billed charges,,,"2,650.32",percent of total billed charges ,,,"2,944.80",percent of total billed charges ,"2,907.99",percent of total billed charges ,"2,907.99",percent of total billed charges ,"3,128.85",percent of total billed charges ,"3,128.85",percent of total billed charges ,"2,944.80",percent of total billed charges ,"2,944.80",percent of total billed charges ,"2,576.70",percent of total billed charges ,"2,576.70",percent of total billed charges ,"2,208.60",percent of total billed charges ,"2,208.60",percent of total billed charges ,"2,208.60",percent of total billed charges ,"2,208.60",percent of total billed charges ,,,,,"1,958.29",percent of total billed charges ,,,,,"1,860.38",percent of total billed charges ,,,,,,,,,,,,,,,,,,,846.63,percent of total billed charges,,,846.63,percent of total billed charges,,,846.63,percent of total billed charges,,,846.63,percent of total billed charges,,,846.63,percent of total billed charges,,,846.63,percent of total billed charges,,,846.63,percent of total billed charges,,,846.63,percent of total billed charges,,,846.63,percent of total billed charges,,,846.63,percent of total billed charges,,,846.63,percent of total billed charges,
**CT NEEDLE BIO COMPLETE DO NOT USE,76360,CDM,,,,both,,,"2,531.00","2,531.00",582.13,"2,531.00","2,531.00",percent of total billed charges,"2,531.00",percent of total billed charges,"2,531.00",percent of total billed charges,"2,531.00",percent of total billed charges,"2,531.00",percent of total billed charges,"2,531.00",percent of total billed charges,"2,531.00",percent of total billed charges,"2,531.00",percent of total billed charges,"1,822.32",percent of total billed charges,"1,822.32",percent of total billed charges,"1,822.32",percent of total billed charges,"1,822.32",percent of total billed charges,"1,822.32",percent of total billed charges,"1,822.32",percent of total billed charges,"1,999.49",percent of total billed charges,"1,999.49",percent of total billed charges,"2,024.80",percent of total billed charges,"2,024.80",percent of total billed charges,,,"1,822.32",percent of total billed charges ,,,"2,024.80",percent of total billed charges ,"1,999.49",percent of total billed charges ,"1,999.49",percent of total billed charges ,"2,151.35",percent of total billed charges ,"2,151.35",percent of total billed charges ,"2,024.80",percent of total billed charges ,"2,024.80",percent of total billed charges ,"1,771.70",percent of total billed charges ,"1,771.70",percent of total billed charges ,"1,518.60",percent of total billed charges ,"1,518.60",percent of total billed charges ,"1,518.60",percent of total billed charges ,"1,518.60",percent of total billed charges ,,,,,"1,346.49",percent of total billed charges ,,,,,"1,279.17",percent of total billed charges ,,,,,,,,,,,,,,,,,,,582.13,percent of total billed charges,,,582.13,percent of total billed charges,,,582.13,percent of total billed charges,,,582.13,percent of total billed charges,,,582.13,percent of total billed charges,,,582.13,percent of total billed charges,,,582.13,percent of total billed charges,,,582.13,percent of total billed charges,,,582.13,percent of total billed charges,,,582.13,percent of total billed charges,,,582.13,percent of total billed charges,
CT LUMBAR W CON,72132,CDM,,,,both,,,"4,853.00","4,853.00","1,116.19","4,853.00","4,853.00",percent of total billed charges,"4,853.00",percent of total billed charges,"4,853.00",percent of total billed charges,"4,853.00",percent of total billed charges,"4,853.00",percent of total billed charges,"4,853.00",percent of total billed charges,"4,853.00",percent of total billed charges,"4,853.00",percent of total billed charges,"3,494.16",percent of total billed charges,"3,494.16",percent of total billed charges,"3,494.16",percent of total billed charges,"3,494.16",percent of total billed charges,"3,494.16",percent of total billed charges,"3,494.16",percent of total billed charges,"3,833.87",percent of total billed charges,"3,833.87",percent of total billed charges,"3,882.40",percent of total billed charges,"3,882.40",percent of total billed charges,,,"3,494.16",percent of total billed charges ,,,"3,882.40",percent of total billed charges ,"3,833.87",percent of total billed charges ,"3,833.87",percent of total billed charges ,"4,125.05",percent of total billed charges ,"4,125.05",percent of total billed charges ,"3,882.40",percent of total billed charges ,"3,882.40",percent of total billed charges ,"3,397.10",percent of total billed charges ,"3,397.10",percent of total billed charges ,"2,911.80",percent of total billed charges ,"2,911.80",percent of total billed charges ,"2,911.80",percent of total billed charges ,"2,911.80",percent of total billed charges ,,,,,"2,581.80",percent of total billed charges ,,,,,"2,452.71",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,116.19",percent of total billed charges,,,"1,116.19",percent of total billed charges,,,"1,116.19",percent of total billed charges,,,"1,116.19",percent of total billed charges,,,"1,116.19",percent of total billed charges,,,"1,116.19",percent of total billed charges,,,"1,116.19",percent of total billed charges,,,"1,116.19",percent of total billed charges,,,"1,116.19",percent of total billed charges,,,"1,116.19",percent of total billed charges,,,"1,116.19",percent of total billed charges,
CT THORACIC SP W CON,72129,CDM,,,,both,,,"1,807.00","1,807.00",415.61,"1,807.00","1,807.00",percent of total billed charges,"1,807.00",percent of total billed charges,"1,807.00",percent of total billed charges,"1,807.00",percent of total billed charges,"1,807.00",percent of total billed charges,"1,807.00",percent of total billed charges,"1,807.00",percent of total billed charges,"1,807.00",percent of total billed charges,"1,301.04",percent of total billed charges,"1,301.04",percent of total billed charges,"1,301.04",percent of total billed charges,"1,301.04",percent of total billed charges,"1,301.04",percent of total billed charges,"1,301.04",percent of total billed charges,"1,427.53",percent of total billed charges,"1,427.53",percent of total billed charges,"1,445.60",percent of total billed charges,"1,445.60",percent of total billed charges,,,"1,301.04",percent of total billed charges ,,,"1,445.60",percent of total billed charges ,"1,427.53",percent of total billed charges ,"1,427.53",percent of total billed charges ,"1,535.95",percent of total billed charges ,"1,535.95",percent of total billed charges ,"1,445.60",percent of total billed charges ,"1,445.60",percent of total billed charges ,"1,264.90",percent of total billed charges ,"1,264.90",percent of total billed charges ,"1,084.20",percent of total billed charges ,"1,084.20",percent of total billed charges ,"1,084.20",percent of total billed charges ,"1,084.20",percent of total billed charges ,,,,,961.32,percent of total billed charges ,,,,,913.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,415.61,percent of total billed charges,,,415.61,percent of total billed charges,,,415.61,percent of total billed charges,,,415.61,percent of total billed charges,,,415.61,percent of total billed charges,,,415.61,percent of total billed charges,,,415.61,percent of total billed charges,,,415.61,percent of total billed charges,,,415.61,percent of total billed charges,,,415.61,percent of total billed charges,,,415.61,percent of total billed charges,
US AMNIOCEN/RADIOLOGIST 59000,59000,CDM,,,,both,,,"1,024.00","1,024.00",235.52,"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,808.96,percent of total billed charges,808.96,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 ,808.96,percent of total billed charges ,808.96,percent of total billed charges ,870.4,percent of total billed charges ,870.4,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 ,,,,,,,,,,,,,,,,,,,235.52,percent of total billed charges,,,235.52,percent of total billed charges,,,235.52,percent of total billed charges,,,235.52,percent of total billed charges,,,235.52,percent of total billed charges,,,235.52,percent of total billed charges,,,235.52,percent of total billed charges,,,235.52,percent of total billed charges,,,235.52,percent of total billed charges,,,235.52,percent of total billed charges,,,235.52,percent of total billed charges,
**MM NEEDLE LOCAL/ADD,19282,CDM,,,,both,,,"1,042.00","1,042.00",239.66,"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,823.18,percent of total billed charges,823.18,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 ,823.18,percent of total billed charges ,823.18,percent of total billed charges ,885.7,percent of total billed charges ,885.7,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 ,,,,,,,,,,,,,,,,,,,239.66,percent of total billed charges,,,239.66,percent of total billed charges,,,239.66,percent of total billed charges,,,239.66,percent of total billed charges,,,239.66,percent of total billed charges,,,239.66,percent of total billed charges,,,239.66,percent of total billed charges,,,239.66,percent of total billed charges,,,239.66,percent of total billed charges,,,239.66,percent of total billed charges,,,239.66,percent of total billed charges,
US THORACENTESIS 32555,32555,CDM,,,,both,,,"3,607.00","3,607.00",829.61,"3,607.00","3,607.00",percent of total billed charges,"3,607.00",percent of total billed charges,"3,607.00",percent of total billed charges,"3,607.00",percent of total billed charges,"3,607.00",percent of total billed charges,"3,607.00",percent of total billed charges,"3,607.00",percent of total billed charges,"3,607.00",percent of total billed charges,"2,597.04",percent of total billed charges,"2,597.04",percent of total billed charges,"2,597.04",percent of total billed charges,"2,597.04",percent of total billed charges,"2,597.04",percent of total billed charges,"2,597.04",percent of total billed charges,"2,849.53",percent of total billed charges,"2,849.53",percent of total billed charges,"2,885.60",percent of total billed charges,"2,885.60",percent of total billed charges,,,"2,597.04",percent of total billed charges ,,,"2,885.60",percent of total billed charges ,"2,849.53",percent of total billed charges ,"2,849.53",percent of total billed charges ,"3,065.95",percent of total billed charges ,"3,065.95",percent of total billed charges ,"2,885.60",percent of total billed charges ,"2,885.60",percent of total billed charges ,"2,524.90",percent of total billed charges ,"2,524.90",percent of total billed charges ,"2,164.20",percent of total billed charges ,"2,164.20",percent of total billed charges ,"2,164.20",percent of total billed charges ,"2,164.20",percent of total billed charges ,,,,,"1,918.92",percent of total billed charges ,,,,,"1,822.98",percent of total billed charges ,,,,,,,,,,,,,,,,,,,829.61,percent of total billed charges,,,829.61,percent of total billed charges,,,829.61,percent of total billed charges,,,829.61,percent of total billed charges,,,829.61,percent of total billed charges,,,829.61,percent of total billed charges,,,829.61,percent of total billed charges,,,829.61,percent of total billed charges,,,829.61,percent of total billed charges,,,829.61,percent of total billed charges,,,829.61,percent of total billed charges,
**INJ FACET LUMBAR DO NOT USE,64475,CDM,,,,both,,,"2,340.00","2,340.00",538.2,"2,340.00","2,340.00",percent of total billed charges,"2,340.00",percent of total billed charges,"2,340.00",percent of total billed charges,"2,340.00",percent of total billed charges,"2,340.00",percent of total billed charges,"2,340.00",percent of total billed charges,"2,340.00",percent of total billed charges,"2,340.00",percent of total billed charges,"1,684.80",percent of total billed charges,"1,684.80",percent of total billed charges,"1,684.80",percent of total billed charges,"1,684.80",percent of total billed charges,"1,684.80",percent of total billed charges,"1,684.80",percent of total billed charges,"1,848.60",percent of total billed charges,"1,848.60",percent of total billed charges,"1,872.00",percent of total billed charges,"1,872.00",percent of total billed charges,,,"1,684.80",percent of total billed charges ,,,"1,872.00",percent of total billed charges ,"1,848.60",percent of total billed charges ,"1,848.60",percent of total billed charges ,"1,989.00",percent of total billed charges ,"1,989.00",percent of total billed charges ,"1,872.00",percent of total billed charges ,"1,872.00",percent of total billed charges ,"1,638.00",percent of total billed charges ,"1,638.00",percent of total billed charges ,"1,404.00",percent of total billed charges ,"1,404.00",percent of total billed charges ,"1,404.00",percent of total billed charges ,"1,404.00",percent of total billed charges ,,,,,"1,244.88",percent of total billed charges ,,,,,"1,182.64",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,,,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,,,538.2,percent of total billed charges,,,538.2,percent of total billed charges,,,538.2,percent of total billed charges,
**INJ FACET ADD'L LUMB DO NOT USE,64476,CDM,,,,both,,,259,259,59.57,259,259,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,204.61,percent of total billed charges,204.61,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 ,204.61,percent of total billed charges ,204.61,percent of total billed charges ,220.15,percent of total billed charges ,220.15,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 ,,,,,,,,,,,,,,,,,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,
**INJ PROC FOR SIALOGRAPHY DO NOT USE,42550,CDM,,,,both,,,959,959,220.57,959,959,percent of total billed charges,959,percent of total billed charges,959,percent of total billed charges,959,percent of total billed charges,959,percent of total billed charges,959,percent of total billed charges,959,percent of total billed charges,959,percent of total billed charges,690.48,percent of total billed charges,690.48,percent of total billed charges,690.48,percent of total billed charges,690.48,percent of total billed charges,690.48,percent of total billed charges,690.48,percent of total billed charges,757.61,percent of total billed charges,757.61,percent of total billed charges,767.2,percent of total billed charges,767.2,percent of total billed charges,,,690.48,percent of total billed charges ,,,767.2,percent of total billed charges ,757.61,percent of total billed charges ,757.61,percent of total billed charges ,815.15,percent of total billed charges ,815.15,percent of total billed charges ,767.2,percent of total billed charges ,767.2,percent of total billed charges ,671.3,percent of total billed charges ,671.3,percent of total billed charges ,575.4,percent of total billed charges ,575.4,percent of total billed charges ,575.4,percent of total billed charges ,575.4,percent of total billed charges ,,,,,510.19,percent of total billed charges ,,,,,484.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,
INJ PROC MYELO W/CON,62284,CDM,,,,both,,,"1,577.00","1,577.00",362.71,"1,577.00","1,577.00",percent of total billed charges,"1,577.00",percent of total billed charges,"1,577.00",percent of total billed charges,"1,577.00",percent of total billed charges,"1,577.00",percent of total billed charges,"1,577.00",percent of total billed charges,"1,577.00",percent of total billed charges,"1,577.00",percent of total billed charges,"1,135.44",percent of total billed charges,"1,135.44",percent of total billed charges,"1,135.44",percent of total billed charges,"1,135.44",percent of total billed charges,"1,135.44",percent of total billed charges,"1,135.44",percent of total billed charges,"1,245.83",percent of total billed charges,"1,245.83",percent of total billed charges,"1,261.60",percent of total billed charges,"1,261.60",percent of total billed charges,,,"1,135.44",percent of total billed charges ,,,"1,261.60",percent of total billed charges ,"1,245.83",percent of total billed charges ,"1,245.83",percent of total billed charges ,"1,340.45",percent of total billed charges ,"1,340.45",percent of total billed charges ,"1,261.60",percent of total billed charges ,"1,261.60",percent of total billed charges ,"1,103.90",percent of total billed charges ,"1,103.90",percent of total billed charges ,946.2,percent of total billed charges ,946.2,percent of total billed charges ,946.2,percent of total billed charges ,946.2,percent of total billed charges ,,,,,838.96,percent of total billed charges ,,,,,797.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,
MYELOGRAM CERVICAL,62302,CDM,,,,both,,,"3,628.00","3,628.00",834.44,"3,628.00","3,628.00",percent of total billed charges,"3,628.00",percent of total billed charges,"3,628.00",percent of total billed charges,"3,628.00",percent of total billed charges,"3,628.00",percent of total billed charges,"3,628.00",percent of total billed charges,"3,628.00",percent of total billed charges,"3,628.00",percent of total billed charges,"2,612.16",percent of total billed charges,"2,612.16",percent of total billed charges,"2,612.16",percent of total billed charges,"2,612.16",percent of total billed charges,"2,612.16",percent of total billed charges,"2,612.16",percent of total billed charges,"2,866.12",percent of total billed charges,"2,866.12",percent of total billed charges,"2,902.40",percent of total billed charges,"2,902.40",percent of total billed charges,,,"2,612.16",percent of total billed charges ,,,"2,902.40",percent of total billed charges ,"2,866.12",percent of total billed charges ,"2,866.12",percent of total billed charges ,"3,083.80",percent of total billed charges ,"3,083.80",percent of total billed charges ,"2,902.40",percent of total billed charges ,"2,902.40",percent of total billed charges ,"2,539.60",percent of total billed charges ,"2,539.60",percent of total billed charges ,"2,176.80",percent of total billed charges ,"2,176.80",percent of total billed charges ,"2,176.80",percent of total billed charges ,"2,176.80",percent of total billed charges ,,,,,"1,930.10",percent of total billed charges ,,,,,"1,833.59",percent of total billed charges ,,,,,,,,,,,,,,,,,,,834.44,percent of total billed charges,,,834.44,percent of total billed charges,,,834.44,percent of total billed charges,,,834.44,percent of total billed charges,,,834.44,percent of total billed charges,,,834.44,percent of total billed charges,,,834.44,percent of total billed charges,,,834.44,percent of total billed charges,,,834.44,percent of total billed charges,,,834.44,percent of total billed charges,,,834.44,percent of total billed charges,
FL TUBE INSERT PNEUM,32555,CDM,,,,both,,,960,960,220.8,960,960,percent of total billed charges,960,percent of total billed charges,960,percent of total billed charges,960,percent of total billed charges,960,percent of total billed charges,960,percent of total billed charges,960,percent of total billed charges,960,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,691.2,percent of total billed charges,691.2,percent of total billed charges,758.4,percent of total billed charges,758.4,percent of total billed charges,768,percent of total billed charges,768,percent of total billed charges,,,691.2,percent of total billed charges ,,,768,percent of total billed charges ,758.4,percent of total billed charges ,758.4,percent of total billed charges ,816,percent of total billed charges ,816,percent of total billed charges ,768,percent of total billed charges ,768,percent of total billed charges ,672,percent of total billed charges ,672,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 ,,,,,510.72,percent of total billed charges ,,,,,485.18,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,,,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,,,220.8,percent of total billed charges,,,220.8,percent of total billed charges,,,220.8,percent of total billed charges,
**INJ PROCEDURE DO NOT USE,62284,CDM,,,,both,,,"1,577.00","1,577.00",362.71,"1,577.00","1,577.00",percent of total billed charges,"1,577.00",percent of total billed charges,"1,577.00",percent of total billed charges,"1,577.00",percent of total billed charges,"1,577.00",percent of total billed charges,"1,577.00",percent of total billed charges,"1,577.00",percent of total billed charges,"1,577.00",percent of total billed charges,"1,135.44",percent of total billed charges,"1,135.44",percent of total billed charges,"1,135.44",percent of total billed charges,"1,135.44",percent of total billed charges,"1,135.44",percent of total billed charges,"1,135.44",percent of total billed charges,"1,245.83",percent of total billed charges,"1,245.83",percent of total billed charges,"1,261.60",percent of total billed charges,"1,261.60",percent of total billed charges,,,"1,135.44",percent of total billed charges ,,,"1,261.60",percent of total billed charges ,"1,245.83",percent of total billed charges ,"1,245.83",percent of total billed charges ,"1,340.45",percent of total billed charges ,"1,340.45",percent of total billed charges ,"1,261.60",percent of total billed charges ,"1,261.60",percent of total billed charges ,"1,103.90",percent of total billed charges ,"1,103.90",percent of total billed charges ,946.2,percent of total billed charges ,946.2,percent of total billed charges ,946.2,percent of total billed charges ,946.2,percent of total billed charges ,,,,,838.96,percent of total billed charges ,,,,,797.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,
MYELOGRAM THORACIC,62303,CDM,,,,both,,,"3,397.00","3,397.00",781.31,"3,397.00","3,397.00",percent of total billed charges,"3,397.00",percent of total billed charges,"3,397.00",percent of total billed charges,"3,397.00",percent of total billed charges,"3,397.00",percent of total billed charges,"3,397.00",percent of total billed charges,"3,397.00",percent of total billed charges,"3,397.00",percent of total billed charges,"2,445.84",percent of total billed charges,"2,445.84",percent of total billed charges,"2,445.84",percent of total billed charges,"2,445.84",percent of total billed charges,"2,445.84",percent of total billed charges,"2,445.84",percent of total billed charges,"2,683.63",percent of total billed charges,"2,683.63",percent of total billed charges,"2,717.60",percent of total billed charges,"2,717.60",percent of total billed charges,,,"2,445.84",percent of total billed charges ,,,"2,717.60",percent of total billed charges ,"2,683.63",percent of total billed charges ,"2,683.63",percent of total billed charges ,"2,887.45",percent of total billed charges ,"2,887.45",percent of total billed charges ,"2,717.60",percent of total billed charges ,"2,717.60",percent of total billed charges ,"2,377.90",percent of total billed charges ,"2,377.90",percent of total billed charges ,"2,038.20",percent of total billed charges ,"2,038.20",percent of total billed charges ,"2,038.20",percent of total billed charges ,"2,038.20",percent of total billed charges ,,,,,"1,807.20",percent of total billed charges ,,,,,"1,716.84",percent of total billed charges ,,,,,,,,,,,,,,,,,,,781.31,percent of total billed charges,,,781.31,percent of total billed charges,,,781.31,percent of total billed charges,,,781.31,percent of total billed charges,,,781.31,percent of total billed charges,,,781.31,percent of total billed charges,,,781.31,percent of total billed charges,,,781.31,percent of total billed charges,,,781.31,percent of total billed charges,,,781.31,percent of total billed charges,,,781.31,percent of total billed charges,
MYELOGRAM LUMBAR,62304,CDM,,,,both,,,"3,662.00","3,662.00",842.26,"3,662.00","3,662.00",percent of total billed charges,"3,662.00",percent of total billed charges,"3,662.00",percent of total billed charges,"3,662.00",percent of total billed charges,"3,662.00",percent of total billed charges,"3,662.00",percent of total billed charges,"3,662.00",percent of total billed charges,"3,662.00",percent of total billed charges,"2,636.64",percent of total billed charges,"2,636.64",percent of total billed charges,"2,636.64",percent of total billed charges,"2,636.64",percent of total billed charges,"2,636.64",percent of total billed charges,"2,636.64",percent of total billed charges,"2,892.98",percent of total billed charges,"2,892.98",percent of total billed charges,"2,929.60",percent of total billed charges,"2,929.60",percent of total billed charges,,,"2,636.64",percent of total billed charges ,,,"2,929.60",percent of total billed charges ,"2,892.98",percent of total billed charges ,"2,892.98",percent of total billed charges ,"3,112.70",percent of total billed charges ,"3,112.70",percent of total billed charges ,"2,929.60",percent of total billed charges ,"2,929.60",percent of total billed charges ,"2,563.40",percent of total billed charges ,"2,563.40",percent of total billed charges ,"2,197.20",percent of total billed charges ,"2,197.20",percent of total billed charges ,"2,197.20",percent of total billed charges ,"2,197.20",percent of total billed charges ,,,,,"1,948.18",percent of total billed charges ,,,,,"1,850.77",percent of total billed charges ,,,,,,,,,,,,,,,,,,,842.26,percent of total billed charges,,,842.26,percent of total billed charges,,,842.26,percent of total billed charges,,,842.26,percent of total billed charges,,,842.26,percent of total billed charges,,,842.26,percent of total billed charges,,,842.26,percent of total billed charges,,,842.26,percent of total billed charges,,,842.26,percent of total billed charges,,,842.26,percent of total billed charges,,,842.26,percent of total billed charges,
INJ PROC ENTIRE SPINE MYELO,62284,CDM,,,,both,,,"1,577.00","1,577.00",362.71,"1,577.00","1,577.00",percent of total billed charges,"1,577.00",percent of total billed charges,"1,577.00",percent of total billed charges,"1,577.00",percent of total billed charges,"1,577.00",percent of total billed charges,"1,577.00",percent of total billed charges,"1,577.00",percent of total billed charges,"1,577.00",percent of total billed charges,"1,135.44",percent of total billed charges,"1,135.44",percent of total billed charges,"1,135.44",percent of total billed charges,"1,135.44",percent of total billed charges,"1,135.44",percent of total billed charges,"1,135.44",percent of total billed charges,"1,245.83",percent of total billed charges,"1,245.83",percent of total billed charges,"1,261.60",percent of total billed charges,"1,261.60",percent of total billed charges,,,"1,135.44",percent of total billed charges ,,,"1,261.60",percent of total billed charges ,"1,245.83",percent of total billed charges ,"1,245.83",percent of total billed charges ,"1,340.45",percent of total billed charges ,"1,340.45",percent of total billed charges ,"1,261.60",percent of total billed charges ,"1,261.60",percent of total billed charges ,"1,103.90",percent of total billed charges ,"1,103.90",percent of total billed charges ,946.2,percent of total billed charges ,946.2,percent of total billed charges ,946.2,percent of total billed charges ,946.2,percent of total billed charges ,,,,,838.96,percent of total billed charges ,,,,,797.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,,,362.71,percent of total billed charges,
INJ PROC ARTHRO SHOULDER,23350,CDM,,,,both,,,861,861,198.03,861,861,percent of total billed charges,861,percent of total billed charges,861,percent of total billed charges,861,percent of total billed charges,861,percent of total billed charges,861,percent of total billed charges,861,percent of total billed charges,861,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,680.19,percent of total billed charges,680.19,percent of total billed charges,688.8,percent of total billed charges,688.8,percent of total billed charges,,,619.92,percent of total billed charges ,,,688.8,percent of total billed charges ,680.19,percent of total billed charges ,680.19,percent of total billed charges ,731.85,percent of total billed charges ,731.85,percent of total billed charges ,688.8,percent of total billed charges ,688.8,percent of total billed charges ,602.7,percent of total billed charges ,602.7,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 ,,,,,458.05,percent of total billed charges ,,,,,435.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,198.03,percent of total billed charges,,,198.03,percent of total billed charges,,,198.03,percent of total billed charges,,,198.03,percent of total billed charges,,,198.03,percent of total billed charges,,,198.03,percent of total billed charges,,,198.03,percent of total billed charges,,,198.03,percent of total billed charges,,,198.03,percent of total billed charges,,,198.03,percent of total billed charges,,,198.03,percent of total billed charges,
INJ PROC ELBOW ARTHRO,24220,CDM,,,,both,,,363,363,83.49,363,363,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,286.77,percent of total billed charges,286.77,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 ,286.77,percent of total billed charges ,286.77,percent of total billed charges ,308.55,percent of total billed charges ,308.55,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 ,,,,,,,,,,,,,,,,,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,
INJ PROC ARTHRO HIP 27093,27093,CDM,,,,both,,,"1,072.00","1,072.00",246.56,"1,072.00","1,072.00",percent of total billed charges,"1,072.00",percent of total billed charges,"1,072.00",percent of total billed charges,"1,072.00",percent of total billed charges,"1,072.00",percent of total billed charges,"1,072.00",percent of total billed charges,"1,072.00",percent of total billed charges,"1,072.00",percent of total billed charges,771.84,percent of total billed charges,771.84,percent of total billed charges,771.84,percent of total billed charges,771.84,percent of total billed charges,771.84,percent of total billed charges,771.84,percent of total billed charges,846.88,percent of total billed charges,846.88,percent of total billed charges,857.6,percent of total billed charges,857.6,percent of total billed charges,,,771.84,percent of total billed charges ,,,857.6,percent of total billed charges ,846.88,percent of total billed charges ,846.88,percent of total billed charges ,911.2,percent of total billed charges ,911.2,percent of total billed charges ,857.6,percent of total billed charges ,857.6,percent of total billed charges ,750.4,percent of total billed charges ,750.4,percent of total billed charges ,643.2,percent of total billed charges ,643.2,percent of total billed charges ,643.2,percent of total billed charges ,643.2,percent of total billed charges ,,,,,570.3,percent of total billed charges ,,,,,541.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,246.56,percent of total billed charges,,,246.56,percent of total billed charges,,,246.56,percent of total billed charges,,,246.56,percent of total billed charges,,,246.56,percent of total billed charges,,,246.56,percent of total billed charges,,,246.56,percent of total billed charges,,,246.56,percent of total billed charges,,,246.56,percent of total billed charges,,,246.56,percent of total billed charges,,,246.56,percent of total billed charges,
**INJ PROC ARTHRO KNEE,27370,CDM,,,,both,,,996,996,229.08,996,996,percent of total billed charges,996,percent of total billed charges,996,percent of total billed charges,996,percent of total billed charges,996,percent of total billed charges,996,percent of total billed charges,996,percent of total billed charges,996,percent of total billed charges,717.12,percent of total billed charges,717.12,percent of total billed charges,717.12,percent of total billed charges,717.12,percent of total billed charges,717.12,percent of total billed charges,717.12,percent of total billed charges,786.84,percent of total billed charges,786.84,percent of total billed charges,796.8,percent of total billed charges,796.8,percent of total billed charges,,,717.12,percent of total billed charges ,,,796.8,percent of total billed charges ,786.84,percent of total billed charges ,786.84,percent of total billed charges ,846.6,percent of total billed charges ,846.6,percent of total billed charges ,796.8,percent of total billed charges ,796.8,percent of total billed charges ,697.2,percent of total billed charges ,697.2,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 ,,,,,529.87,percent of total billed charges ,,,,,503.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,229.08,percent of total billed charges,,,229.08,percent of total billed charges,,,229.08,percent of total billed charges,,,229.08,percent of total billed charges,,,229.08,percent of total billed charges,,,229.08,percent of total billed charges,,,229.08,percent of total billed charges,,,229.08,percent of total billed charges,,,229.08,percent of total billed charges,,,229.08,percent of total billed charges,,,229.08,percent of total billed charges,
**CHOLE W/ CHOLANIGRAM DO NOT USE,47563,CDM,,,,both,,,"1,307.00","1,307.00",300.61,"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,"1,032.53",percent of total billed charges,"1,032.53",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 ,"1,032.53",percent of total billed charges ,"1,032.53",percent of total billed charges ,"1,110.95",percent of total billed charges ,"1,110.95",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 ,,,,,,,,,,,,,,,,,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,
**INTRO GASTRO TUBE DO NOT USE,44500,CDM,,,,both,,,476,476,109.48,476,476,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,376.04,percent of total billed charges,376.04,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 ,376.04,percent of total billed charges ,376.04,percent of total billed charges ,404.6,percent of total billed charges ,404.6,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 ,,,,,,,,,,,,,,,,,,,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,
INJ FOR PYELOGRAPHY,50431,CDM,,,,both,,,"1,337.00","1,337.00",307.51,"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,"1,056.23",percent of total billed charges,"1,056.23",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 ,"1,056.23",percent of total billed charges ,"1,056.23",percent of total billed charges ,"1,136.45",percent of total billed charges ,"1,136.45",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 ,,,,,,,,,,,,,,,,,,,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,,,307.51,percent of total billed charges,,,307.51,percent of total billed charges,,,307.51,percent of total billed charges,
INJ FOR URETEROPYELO,50684,CDM,,,,both,,,"1,371.00","1,371.00",315.33,"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,"1,083.09",percent of total billed charges,"1,083.09",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 ,"1,083.09",percent of total billed charges ,"1,083.09",percent of total billed charges ,"1,165.35",percent of total billed charges ,"1,165.35",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 ,,,,,,,,,,,,,,,,,,,315.33,percent of total billed charges,,,315.33,percent of total billed charges,,,315.33,percent of total billed charges,,,315.33,percent of total billed charges,,,315.33,percent of total billed charges,,,315.33,percent of total billed charges,,,315.33,percent of total billed charges,,,315.33,percent of total billed charges,,,315.33,percent of total billed charges,,,315.33,percent of total billed charges,,,315.33,percent of total billed charges,
INJ THRU CONDUIT,50690,CDM,,,,both,,,"1,258.00","1,258.00",289.34,"1,258.00","1,258.00",percent of total billed charges,"1,258.00",percent of total billed charges,"1,258.00",percent of total billed charges,"1,258.00",percent of total billed charges,"1,258.00",percent of total billed charges,"1,258.00",percent of total billed charges,"1,258.00",percent of total billed charges,"1,258.00",percent of total billed charges,905.76,percent of total billed charges,905.76,percent of total billed charges,905.76,percent of total billed charges,905.76,percent of total billed charges,905.76,percent of total billed charges,905.76,percent of total billed charges,993.82,percent of total billed charges,993.82,percent of total billed charges,"1,006.40",percent of total billed charges,"1,006.40",percent of total billed charges,,,905.76,percent of total billed charges ,,,"1,006.40",percent of total billed charges ,993.82,percent of total billed charges ,993.82,percent of total billed charges ,"1,069.30",percent of total billed charges ,"1,069.30",percent of total billed charges ,"1,006.40",percent of total billed charges ,"1,006.40",percent of total billed charges ,880.6,percent of total billed charges ,880.6,percent of total billed charges ,754.8,percent of total billed charges ,754.8,percent of total billed charges ,754.8,percent of total billed charges ,754.8,percent of total billed charges ,,,,,669.26,percent of total billed charges ,,,,,635.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,,,289.34,percent of total billed charges,
INJ FOR CYSTOGRAPHY,51600,CDM,,,,both,,,"1,115.00","1,115.00",256.45,"1,115.00","1,115.00",percent of total billed charges,"1,115.00",percent of total billed charges,"1,115.00",percent of total billed charges,"1,115.00",percent of total billed charges,"1,115.00",percent of total billed charges,"1,115.00",percent of total billed charges,"1,115.00",percent of total billed charges,"1,115.00",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,802.8,percent of total billed charges,802.8,percent of total billed charges,880.85,percent of total billed charges,880.85,percent of total billed charges,892,percent of total billed charges,892,percent of total billed charges,,,802.8,percent of total billed charges ,,,892,percent of total billed charges ,880.85,percent of total billed charges ,880.85,percent of total billed charges ,947.75,percent of total billed charges ,947.75,percent of total billed charges ,892,percent of total billed charges ,892,percent of total billed charges ,780.5,percent of total billed charges ,780.5,percent of total billed charges ,669,percent of total billed charges ,669,percent of total billed charges ,669,percent of total billed charges ,669,percent of total billed charges ,,,,,593.18,percent of total billed charges ,,,,,563.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,256.45,percent of total billed charges,,,256.45,percent of total billed charges,,,256.45,percent of total billed charges,,,256.45,percent of total billed charges,,,256.45,percent of total billed charges,,,256.45,percent of total billed charges,,,256.45,percent of total billed charges,,,256.45,percent of total billed charges,,,256.45,percent of total billed charges,,,256.45,percent of total billed charges,,,256.45,percent of total billed charges,
**INJ SINUS TRACT DO NOT USE,20501,CDM,,,,both,,,660,660,151.8,660,660,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,521.4,percent of total billed charges,521.4,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 ,521.4,percent of total billed charges ,521.4,percent of total billed charges ,561,percent of total billed charges ,561,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,151.8,percent of total billed charges,,,151.8,percent of total billed charges,,,151.8,percent of total billed charges,
**INTRO NEEDLE INTRACA DO NOT USE,36000,CDM,,,GF,both,,,274,274,63.02,274,274,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,216.46,percent of total billed charges,216.46,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 ,216.46,percent of total billed charges ,216.46,percent of total billed charges ,232.9,percent of total billed charges ,232.9,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 ,,,,,,,,,,,,,,,,,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,
INJ FOR HYSTEROSALPI,58340,CDM,,,,both,,,762,762,175.26,762,762,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,601.98,percent of total billed charges,601.98,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 ,601.98,percent of total billed charges ,601.98,percent of total billed charges ,647.7,percent of total billed charges ,647.7,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 ,,,,,,,,,,,,,,,,,,,175.26,percent of total billed charges,,,175.26,percent of total billed charges,,,175.26,percent of total billed charges,,,175.26,percent of total billed charges,,,175.26,percent of total billed charges,,,175.26,percent of total billed charges,,,175.26,percent of total billed charges,,,175.26,percent of total billed charges,,,175.26,percent of total billed charges,,,175.26,percent of total billed charges,,,175.26,percent of total billed charges,
INJ FOR VCUG,51600,CDM,,,,both,,,"1,115.00","1,115.00",256.45,"1,115.00","1,115.00",percent of total billed charges,"1,115.00",percent of total billed charges,"1,115.00",percent of total billed charges,"1,115.00",percent of total billed charges,"1,115.00",percent of total billed charges,"1,115.00",percent of total billed charges,"1,115.00",percent of total billed charges,"1,115.00",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,802.8,percent of total billed charges,802.8,percent of total billed charges,880.85,percent of total billed charges,880.85,percent of total billed charges,892,percent of total billed charges,892,percent of total billed charges,,,802.8,percent of total billed charges ,,,892,percent of total billed charges ,880.85,percent of total billed charges ,880.85,percent of total billed charges ,947.75,percent of total billed charges ,947.75,percent of total billed charges ,892,percent of total billed charges ,892,percent of total billed charges ,780.5,percent of total billed charges ,780.5,percent of total billed charges ,669,percent of total billed charges ,669,percent of total billed charges ,669,percent of total billed charges ,669,percent of total billed charges ,,,,,593.18,percent of total billed charges ,,,,,563.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,256.45,percent of total billed charges,,,256.45,percent of total billed charges,,,256.45,percent of total billed charges,,,256.45,percent of total billed charges,,,256.45,percent of total billed charges,,,256.45,percent of total billed charges,,,256.45,percent of total billed charges,,,256.45,percent of total billed charges,,,256.45,percent of total billed charges,,,256.45,percent of total billed charges,,,256.45,percent of total billed charges,
**CHANGE BILIARY DRAIN DO NOT USE,47525,CDM,,,,both,,,"2,131.00","2,131.00",490.13,"2,131.00","2,131.00",percent of total billed charges,"2,131.00",percent of total billed charges,"2,131.00",percent of total billed charges,"2,131.00",percent of total billed charges,"2,131.00",percent of total billed charges,"2,131.00",percent of total billed charges,"2,131.00",percent of total billed charges,"2,131.00",percent of total billed charges,"1,534.32",percent of total billed charges,"1,534.32",percent of total billed charges,"1,534.32",percent of total billed charges,"1,534.32",percent of total billed charges,"1,534.32",percent of total billed charges,"1,534.32",percent of total billed charges,"1,683.49",percent of total billed charges,"1,683.49",percent of total billed charges,"1,704.80",percent of total billed charges,"1,704.80",percent of total billed charges,,,"1,534.32",percent of total billed charges ,,,"1,704.80",percent of total billed charges ,"1,683.49",percent of total billed charges ,"1,683.49",percent of total billed charges ,"1,811.35",percent of total billed charges ,"1,811.35",percent of total billed charges ,"1,704.80",percent of total billed charges ,"1,704.80",percent of total billed charges ,"1,491.70",percent of total billed charges ,"1,491.70",percent of total billed charges ,"1,278.60",percent of total billed charges ,"1,278.60",percent of total billed charges ,"1,278.60",percent of total billed charges ,"1,278.60",percent of total billed charges ,,,,,"1,133.69",percent of total billed charges ,,,,,"1,077.01",percent of total billed charges ,,,,,,,,,,,,,,,,,,,490.13,percent of total billed charges,,,490.13,percent of total billed charges,,,490.13,percent of total billed charges,,,490.13,percent of total billed charges,,,490.13,percent of total billed charges,,,490.13,percent of total billed charges,,,490.13,percent of total billed charges,,,490.13,percent of total billed charges,,,490.13,percent of total billed charges,,,490.13,percent of total billed charges,,,490.13,percent of total billed charges,
**INJ FOR URETHROCYSTO DO NOT USE,51610,CDM,,,,both,,,"1,235.00","1,235.00",284.05,"1,235.00","1,235.00",percent of total billed charges,"1,235.00",percent of total billed charges,"1,235.00",percent of total billed charges,"1,235.00",percent of total billed charges,"1,235.00",percent of total billed charges,"1,235.00",percent of total billed charges,"1,235.00",percent of total billed charges,"1,235.00",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,889.2,percent of total billed charges,889.2,percent of total billed charges,975.65,percent of total billed charges,975.65,percent of total billed charges,988,percent of total billed charges,988,percent of total billed charges,,,889.2,percent of total billed charges ,,,988,percent of total billed charges ,975.65,percent of total billed charges ,975.65,percent of total billed charges ,"1,049.75",percent of total billed charges ,"1,049.75",percent of total billed charges ,988,percent of total billed charges ,988,percent of total billed charges ,864.5,percent of total billed charges ,864.5,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 ,,,,,657.02,percent of total billed charges ,,,,,624.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,284.05,percent of total billed charges,,,284.05,percent of total billed charges,,,284.05,percent of total billed charges,,,284.05,percent of total billed charges,,,284.05,percent of total billed charges,,,284.05,percent of total billed charges,,,284.05,percent of total billed charges,,,284.05,percent of total billed charges,,,284.05,percent of total billed charges,,,284.05,percent of total billed charges,,,284.05,percent of total billed charges,
US BREAST NDL LOC BX LT 19285,19285,CDM,,,,both,,,"3,942.00","3,942.00",906.66,"3,942.00","3,942.00",percent of total billed charges,"3,942.00",percent of total billed charges,"3,942.00",percent of total billed charges,"3,942.00",percent of total billed charges,"3,942.00",percent of total billed charges,"3,942.00",percent of total billed charges,"3,942.00",percent of total billed charges,"3,942.00",percent of total billed charges,"2,838.24",percent of total billed charges,"2,838.24",percent of total billed charges,"2,838.24",percent of total billed charges,"2,838.24",percent of total billed charges,"2,838.24",percent of total billed charges,"2,838.24",percent of total billed charges,"3,114.18",percent of total billed charges,"3,114.18",percent of total billed charges,"3,153.60",percent of total billed charges,"3,153.60",percent of total billed charges,,,"2,838.24",percent of total billed charges ,,,"3,153.60",percent of total billed charges ,"3,114.18",percent of total billed charges ,"3,114.18",percent of total billed charges ,"3,350.70",percent of total billed charges ,"3,350.70",percent of total billed charges ,"3,153.60",percent of total billed charges ,"3,153.60",percent of total billed charges ,"2,759.40",percent of total billed charges ,"2,759.40",percent of total billed charges ,"2,365.20",percent of total billed charges ,"2,365.20",percent of total billed charges ,"2,365.20",percent of total billed charges ,"2,365.20",percent of total billed charges ,,,,,"2,097.14",percent of total billed charges ,,,,,"1,992.29",percent of total billed charges ,,,,,,,,,,,,,,,,,,,906.66,percent of total billed charges,,,906.66,percent of total billed charges,,,906.66,percent of total billed charges,,,906.66,percent of total billed charges,,,906.66,percent of total billed charges,,,906.66,percent of total billed charges,,,906.66,percent of total billed charges,,,906.66,percent of total billed charges,,,906.66,percent of total billed charges,,,906.66,percent of total billed charges,,,906.66,percent of total billed charges,
**INJ PROC T-TUBE,47505,CDM,,,,both,,,"1,111.00","1,111.00",255.53,"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,877.69,percent of total billed charges,877.69,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 ,877.69,percent of total billed charges ,877.69,percent of total billed charges ,944.35,percent of total billed charges ,944.35,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 ,,,,,,,,,,,,,,,,,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,
INJ PROC CERV PUNCTU,61055,CDM,,,,both,,,"2,449.00","2,449.00",563.27,"2,449.00","2,449.00",percent of total billed charges,"2,449.00",percent of total billed charges,"2,449.00",percent of total billed charges,"2,449.00",percent of total billed charges,"2,449.00",percent of total billed charges,"2,449.00",percent of total billed charges,"2,449.00",percent of total billed charges,"2,449.00",percent of total billed charges,"1,763.28",percent of total billed charges,"1,763.28",percent of total billed charges,"1,763.28",percent of total billed charges,"1,763.28",percent of total billed charges,"1,763.28",percent of total billed charges,"1,763.28",percent of total billed charges,"1,934.71",percent of total billed charges,"1,934.71",percent of total billed charges,"1,959.20",percent of total billed charges,"1,959.20",percent of total billed charges,,,"1,763.28",percent of total billed charges ,,,"1,959.20",percent of total billed charges ,"1,934.71",percent of total billed charges ,"1,934.71",percent of total billed charges ,"2,081.65",percent of total billed charges ,"2,081.65",percent of total billed charges ,"1,959.20",percent of total billed charges ,"1,959.20",percent of total billed charges ,"1,714.30",percent of total billed charges ,"1,714.30",percent of total billed charges ,"1,469.40",percent of total billed charges ,"1,469.40",percent of total billed charges ,"1,469.40",percent of total billed charges ,"1,469.40",percent of total billed charges ,,,,,"1,302.87",percent of total billed charges ,,,,,"1,237.72",percent of total billed charges ,,,,,,,,,,,,,,,,,,,563.27,percent of total billed charges,,,563.27,percent of total billed charges,,,563.27,percent of total billed charges,,,563.27,percent of total billed charges,,,563.27,percent of total billed charges,,,563.27,percent of total billed charges,,,563.27,percent of total billed charges,,,563.27,percent of total billed charges,,,563.27,percent of total billed charges,,,563.27,percent of total billed charges,,,563.27,percent of total billed charges,
**MM MAMMO DX BILAT,77056,CDM,,,,both,,,542,542,124.66,542,542,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,428.18,percent of total billed charges,428.18,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 ,428.18,percent of total billed charges ,428.18,percent of total billed charges ,460.7,percent of total billed charges ,460.7,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 ,,,,,,,,,,,,,,,,,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,
**MM MAMMO UNILATERAL LT DX,77055,CDM,,,LT,both,,,415,415,95.45,415,415,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,327.85,percent of total billed charges,327.85,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 ,327.85,percent of total billed charges ,327.85,percent of total billed charges ,352.75,percent of total billed charges ,352.75,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 ,,,,,,,,,,,,,,,,,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,
MM SURGICAL SPECIMEN RT 76098,76098,CDM,,,,both,,,890,890,204.7,890,890,percent of total billed charges,890,percent of total billed charges,890,percent of total billed charges,890,percent of total billed charges,890,percent of total billed charges,890,percent of total billed charges,890,percent of total billed charges,890,percent of total billed charges,640.8,percent of total billed charges,640.8,percent of total billed charges,640.8,percent of total billed charges,640.8,percent of total billed charges,640.8,percent of total billed charges,640.8,percent of total billed charges,703.1,percent of total billed charges,703.1,percent of total billed charges,712,percent of total billed charges,712,percent of total billed charges,,,640.8,percent of total billed charges ,,,712,percent of total billed charges ,703.1,percent of total billed charges ,703.1,percent of total billed charges ,756.5,percent of total billed charges ,756.5,percent of total billed charges ,712,percent of total billed charges ,712,percent of total billed charges ,623,percent of total billed charges ,623,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 ,,,,,473.48,percent of total billed charges ,,,,,449.81,percent of total billed charges ,,,,,,,,,,,,,,,,,,,204.7,percent of total billed charges,,,204.7,percent of total billed charges,,,204.7,percent of total billed charges,,,204.7,percent of total billed charges,,,204.7,percent of total billed charges,,,204.7,percent of total billed charges,,,204.7,percent of total billed charges,,,204.7,percent of total billed charges,,,204.7,percent of total billed charges,,,204.7,percent of total billed charges,,,204.7,percent of total billed charges,
US OB PREG G/E 14 WKS FIRST GEST 76805,76805,CDM,,,,both,,,"1,363.00","1,363.00",313.49,"1,363.00","1,363.00",percent of total billed charges,"1,363.00",percent of total billed charges,"1,363.00",percent of total billed charges,"1,363.00",percent of total billed charges,"1,363.00",percent of total billed charges,"1,363.00",percent of total billed charges,"1,363.00",percent of total billed charges,"1,363.00",percent of total billed charges,981.36,percent of total billed charges,981.36,percent of total billed charges,981.36,percent of total billed charges,981.36,percent of total billed charges,981.36,percent of total billed charges,981.36,percent of total billed charges,"1,076.77",percent of total billed charges,"1,076.77",percent of total billed charges,"1,090.40",percent of total billed charges,"1,090.40",percent of total billed charges,,,981.36,percent of total billed charges ,,,"1,090.40",percent of total billed charges ,"1,076.77",percent of total billed charges ,"1,076.77",percent of total billed charges ,"1,158.55",percent of total billed charges ,"1,158.55",percent of total billed charges ,"1,090.40",percent of total billed charges ,"1,090.40",percent of total billed charges ,954.1,percent of total billed charges ,954.1,percent of total billed charges ,817.8,percent of total billed charges ,817.8,percent of total billed charges ,817.8,percent of total billed charges ,817.8,percent of total billed charges ,,,,,725.12,percent of total billed charges ,,,,,688.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,313.49,percent of total billed charges,,,313.49,percent of total billed charges,,,313.49,percent of total billed charges,,,313.49,percent of total billed charges,,,313.49,percent of total billed charges,,,313.49,percent of total billed charges,,,313.49,percent of total billed charges,,,313.49,percent of total billed charges,,,313.49,percent of total billed charges,,,313.49,percent of total billed charges,,,313.49,percent of total billed charges,
US ARTERIAL ARM BIL 93930,93930,CDM,,,,both,,,"2,093.00","2,093.00",481.39,"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,"1,653.47",percent of total billed charges,"1,653.47",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 ,"1,653.47",percent of total billed charges ,"1,653.47",percent of total billed charges ,"1,779.05",percent of total billed charges ,"1,779.05",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 ,,,,,,,,,,,,,,,,,,,481.39,percent of total billed charges,,,481.39,percent of total billed charges,,,481.39,percent of total billed charges,,,481.39,percent of total billed charges,,,481.39,percent of total billed charges,,,481.39,percent of total billed charges,,,481.39,percent of total billed charges,,,481.39,percent of total billed charges,,,481.39,percent of total billed charges,,,481.39,percent of total billed charges,,,481.39,percent of total billed charges,
US BREAST RT LIMITED 76642,76642,CDM,,,RT,both,,,655,655,150.65,655,655,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,517.45,percent of total billed charges,517.45,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 ,517.45,percent of total billed charges ,517.45,percent of total billed charges ,556.75,percent of total billed charges ,556.75,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 ,,,,,,,,,,,,,,,,,,,150.65,percent of total billed charges,,,150.65,percent of total billed charges,,,150.65,percent of total billed charges,,,150.65,percent of total billed charges,,,150.65,percent of total billed charges,,,150.65,percent of total billed charges,,,150.65,percent of total billed charges,,,150.65,percent of total billed charges,,,150.65,percent of total billed charges,,,150.65,percent of total billed charges,,,150.65,percent of total billed charges,
US ABDOMEN LMTD 76705,76705,CDM,,,,both,,,"1,394.00","1,394.00",320.62,"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,"1,101.26",percent of total billed charges,"1,101.26",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 ,"1,101.26",percent of total billed charges ,"1,101.26",percent of total billed charges ,"1,184.90",percent of total billed charges ,"1,184.90",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 ,,,,,,,,,,,,,,,,,,,320.62,percent of total billed charges,,,320.62,percent of total billed charges,,,320.62,percent of total billed charges,,,320.62,percent of total billed charges,,,320.62,percent of total billed charges,,,320.62,percent of total billed charges,,,320.62,percent of total billed charges,,,320.62,percent of total billed charges,,,320.62,percent of total billed charges,,,320.62,percent of total billed charges,,,320.62,percent of total billed charges,
US GUIDANCE ONLY 76942,76942,CDM,,,,both,,,"1,244.00","1,244.00",286.12,"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,982.76,percent of total billed charges,982.76,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 ,982.76,percent of total billed charges ,982.76,percent of total billed charges ,"1,057.40",percent of total billed charges ,"1,057.40",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 ,,,,,,,,,,,,,,,,,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,
US EXT NON VASC/SOFT TISSUE RT 76882,76882,CDM,,,RT,both,,,693,693,159.39,693,693,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,547.47,percent of total billed charges,547.47,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 ,547.47,percent of total billed charges ,547.47,percent of total billed charges ,589.05,percent of total billed charges ,589.05,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 ,,,,,,,,,,,,,,,,,,,159.39,percent of total billed charges,,,159.39,percent of total billed charges,,,159.39,percent of total billed charges,,,159.39,percent of total billed charges,,,159.39,percent of total billed charges,,,159.39,percent of total billed charges,,,159.39,percent of total billed charges,,,159.39,percent of total billed charges,,,159.39,percent of total billed charges,,,159.39,percent of total billed charges,,,159.39,percent of total billed charges,
US SCROTUM 76870/93975,76870,CDM,,,,both,,,"1,288.00","1,288.00",296.24,"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,"1,017.52",percent of total billed charges,"1,017.52",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 ,"1,017.52",percent of total billed charges ,"1,017.52",percent of total billed charges ,"1,094.80",percent of total billed charges ,"1,094.80",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 ,,,,,,,,,,,,,,,,,,,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,
US RENAL/AORTA COMP 76770,76770,CDM,,,,both,,,"1,175.00","1,175.00",270.25,"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,928.25,percent of total billed charges,928.25,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 ,928.25,percent of total billed charges ,928.25,percent of total billed charges ,998.75,percent of total billed charges ,998.75,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 ,,,,,,,,,,,,,,,,,,,270.25,percent of total billed charges,,,270.25,percent of total billed charges,,,270.25,percent of total billed charges,,,270.25,percent of total billed charges,,,270.25,percent of total billed charges,,,270.25,percent of total billed charges,,,270.25,percent of total billed charges,,,270.25,percent of total billed charges,,,270.25,percent of total billed charges,,,270.25,percent of total billed charges,,,270.25,percent of total billed charges,
US PELVIC 76856,76856,CDM,,,,both,,,"1,205.00","1,205.00",277.15,"1,205.00","1,205.00",percent of total billed charges,"1,205.00",percent of total billed charges,"1,205.00",percent of total billed charges,"1,205.00",percent of total billed charges,"1,205.00",percent of total billed charges,"1,205.00",percent of total billed charges,"1,205.00",percent of total billed charges,"1,205.00",percent of total billed charges,867.6,percent of total billed charges,867.6,percent of total billed charges,867.6,percent of total billed charges,867.6,percent of total billed charges,867.6,percent of total billed charges,867.6,percent of total billed charges,951.95,percent of total billed charges,951.95,percent of total billed charges,964,percent of total billed charges,964,percent of total billed charges,,,867.6,percent of total billed charges ,,,964,percent of total billed charges ,951.95,percent of total billed charges ,951.95,percent of total billed charges ,"1,024.25",percent of total billed charges ,"1,024.25",percent of total billed charges ,964,percent of total billed charges ,964,percent of total billed charges ,843.5,percent of total billed charges ,843.5,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 ,,,,,641.06,percent of total billed charges ,,,,,609.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,277.15,percent of total billed charges,,,277.15,percent of total billed charges,,,277.15,percent of total billed charges,,,277.15,percent of total billed charges,,,277.15,percent of total billed charges,,,277.15,percent of total billed charges,,,277.15,percent of total billed charges,,,277.15,percent of total billed charges,,,277.15,percent of total billed charges,,,277.15,percent of total billed charges,,,277.15,percent of total billed charges,
US TRANSVAG GYNE 76830,76830,CDM,,,,both,,,"1,205.00","1,205.00",277.15,"1,205.00","1,205.00",percent of total billed charges,"1,205.00",percent of total billed charges,"1,205.00",percent of total billed charges,"1,205.00",percent of total billed charges,"1,205.00",percent of total billed charges,"1,205.00",percent of total billed charges,"1,205.00",percent of total billed charges,"1,205.00",percent of total billed charges,867.6,percent of total billed charges,867.6,percent of total billed charges,867.6,percent of total billed charges,867.6,percent of total billed charges,867.6,percent of total billed charges,867.6,percent of total billed charges,951.95,percent of total billed charges,951.95,percent of total billed charges,964,percent of total billed charges,964,percent of total billed charges,,,867.6,percent of total billed charges ,,,964,percent of total billed charges ,951.95,percent of total billed charges ,951.95,percent of total billed charges ,"1,024.25",percent of total billed charges ,"1,024.25",percent of total billed charges ,964,percent of total billed charges ,964,percent of total billed charges ,843.5,percent of total billed charges ,843.5,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 ,,,,,641.06,percent of total billed charges ,,,,,609.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,277.15,percent of total billed charges,,,277.15,percent of total billed charges,,,277.15,percent of total billed charges,,,277.15,percent of total billed charges,,,277.15,percent of total billed charges,,,277.15,percent of total billed charges,,,277.15,percent of total billed charges,,,277.15,percent of total billed charges,,,277.15,percent of total billed charges,,,277.15,percent of total billed charges,,,277.15,percent of total billed charges,
US FETAL BIOPHYSICAL PROFILE>28WKS 76819,76819,CDM,,,,both,,,"1,605.00","1,605.00",369.15,"1,605.00","1,605.00",percent of total billed charges,"1,605.00",percent of total billed charges,"1,605.00",percent of total billed charges,"1,605.00",percent of total billed charges,"1,605.00",percent of total billed charges,"1,605.00",percent of total billed charges,"1,605.00",percent of total billed charges,"1,605.00",percent of total billed charges,"1,155.60",percent of total billed charges,"1,155.60",percent of total billed charges,"1,155.60",percent of total billed charges,"1,155.60",percent of total billed charges,"1,155.60",percent of total billed charges,"1,155.60",percent of total billed charges,"1,267.95",percent of total billed charges,"1,267.95",percent of total billed charges,"1,284.00",percent of total billed charges,"1,284.00",percent of total billed charges,,,"1,155.60",percent of total billed charges ,,,"1,284.00",percent of total billed charges ,"1,267.95",percent of total billed charges ,"1,267.95",percent of total billed charges ,"1,364.25",percent of total billed charges ,"1,364.25",percent of total billed charges ,"1,284.00",percent of total billed charges ,"1,284.00",percent of total billed charges ,"1,123.50",percent of total billed charges ,"1,123.50",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 ,,,,,853.86,percent of total billed charges ,,,,,811.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,369.15,percent of total billed charges,,,369.15,percent of total billed charges,,,369.15,percent of total billed charges,,,369.15,percent of total billed charges,,,369.15,percent of total billed charges,,,369.15,percent of total billed charges,,,369.15,percent of total billed charges,,,369.15,percent of total billed charges,,,369.15,percent of total billed charges,,,369.15,percent of total billed charges,,,369.15,percent of total billed charges,
US OB LIMITED 76815,76815,CDM,,,,both,,,843,843,193.89,843,843,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,665.97,percent of total billed charges,665.97,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 ,665.97,percent of total billed charges ,665.97,percent of total billed charges ,716.55,percent of total billed charges ,716.55,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 ,,,,,,,,,,,,,,,,,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,
US ECHOENCEPHALOGRAM 76506,76506,CDM,,,,both,,,"1,382.00","1,382.00",317.86,"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,"1,091.78",percent of total billed charges,"1,091.78",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 ,"1,091.78",percent of total billed charges ,"1,091.78",percent of total billed charges ,"1,174.70",percent of total billed charges ,"1,174.70",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 ,,,,,,,,,,,,,,,,,,,317.86,percent of total billed charges,,,317.86,percent of total billed charges,,,317.86,percent of total billed charges,,,317.86,percent of total billed charges,,,317.86,percent of total billed charges,,,317.86,percent of total billed charges,,,317.86,percent of total billed charges,,,317.86,percent of total billed charges,,,317.86,percent of total billed charges,,,317.86,percent of total billed charges,,,317.86,percent of total billed charges,
US CHEST 76604,76604,CDM,,,,both,,,"1,049.00","1,049.00",241.27,"1,049.00","1,049.00",percent of total billed charges,"1,049.00",percent of total billed charges,"1,049.00",percent of total billed charges,"1,049.00",percent of total billed charges,"1,049.00",percent of total billed charges,"1,049.00",percent of total billed charges,"1,049.00",percent of total billed charges,"1,049.00",percent of total billed charges,755.28,percent of total billed charges,755.28,percent of total billed charges,755.28,percent of total billed charges,755.28,percent of total billed charges,755.28,percent of total billed charges,755.28,percent of total billed charges,828.71,percent of total billed charges,828.71,percent of total billed charges,839.2,percent of total billed charges,839.2,percent of total billed charges,,,755.28,percent of total billed charges ,,,839.2,percent of total billed charges ,828.71,percent of total billed charges ,828.71,percent of total billed charges ,891.65,percent of total billed charges ,891.65,percent of total billed charges ,839.2,percent of total billed charges ,839.2,percent of total billed charges ,734.3,percent of total billed charges ,734.3,percent of total billed charges ,629.4,percent of total billed charges ,629.4,percent of total billed charges ,629.4,percent of total billed charges ,629.4,percent of total billed charges ,,,,,558.07,percent of total billed charges ,,,,,530.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,241.27,percent of total billed charges,,,241.27,percent of total billed charges,,,241.27,percent of total billed charges,,,241.27,percent of total billed charges,,,241.27,percent of total billed charges,,,241.27,percent of total billed charges,,,241.27,percent of total billed charges,,,241.27,percent of total billed charges,,,241.27,percent of total billed charges,,,241.27,percent of total billed charges,,,241.27,percent of total billed charges,
US ABDOMEN COMPLETE 76700,76700,CDM,,,,both,,,"1,753.00","1,753.00",403.19,"1,753.00","1,753.00",percent of total billed charges,"1,753.00",percent of total billed charges,"1,753.00",percent of total billed charges,"1,753.00",percent of total billed charges,"1,753.00",percent of total billed charges,"1,753.00",percent of total billed charges,"1,753.00",percent of total billed charges,"1,753.00",percent of total billed charges,"1,262.16",percent of total billed charges,"1,262.16",percent of total billed charges,"1,262.16",percent of total billed charges,"1,262.16",percent of total billed charges,"1,262.16",percent of total billed charges,"1,262.16",percent of total billed charges,"1,384.87",percent of total billed charges,"1,384.87",percent of total billed charges,"1,402.40",percent of total billed charges,"1,402.40",percent of total billed charges,,,"1,262.16",percent of total billed charges ,,,"1,402.40",percent of total billed charges ,"1,384.87",percent of total billed charges ,"1,384.87",percent of total billed charges ,"1,490.05",percent of total billed charges ,"1,490.05",percent of total billed charges ,"1,402.40",percent of total billed charges ,"1,402.40",percent of total billed charges ,"1,227.10",percent of total billed charges ,"1,227.10",percent of total billed charges ,"1,051.80",percent of total billed charges ,"1,051.80",percent of total billed charges ,"1,051.80",percent of total billed charges ,"1,051.80",percent of total billed charges ,,,,,932.6,percent of total billed charges ,,,,,885.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,403.19,percent of total billed charges,,,403.19,percent of total billed charges,,,403.19,percent of total billed charges,,,403.19,percent of total billed charges,,,403.19,percent of total billed charges,,,403.19,percent of total billed charges,,,403.19,percent of total billed charges,,,403.19,percent of total billed charges,,,403.19,percent of total billed charges,,,403.19,percent of total billed charges,,,403.19,percent of total billed charges,
US THYROID SONOGRAM 76536,76536,CDM,,,,both,,,"1,313.00","1,313.00",301.99,"1,313.00","1,313.00",percent of total billed charges,"1,313.00",percent of total billed charges,"1,313.00",percent of total billed charges,"1,313.00",percent of total billed charges,"1,313.00",percent of total billed charges,"1,313.00",percent of total billed charges,"1,313.00",percent of total billed charges,"1,313.00",percent of total billed charges,945.36,percent of total billed charges,945.36,percent of total billed charges,945.36,percent of total billed charges,945.36,percent of total billed charges,945.36,percent of total billed charges,945.36,percent of total billed charges,"1,037.27",percent of total billed charges,"1,037.27",percent of total billed charges,"1,050.40",percent of total billed charges,"1,050.40",percent of total billed charges,,,945.36,percent of total billed charges ,,,"1,050.40",percent of total billed charges ,"1,037.27",percent of total billed charges ,"1,037.27",percent of total billed charges ,"1,116.05",percent of total billed charges ,"1,116.05",percent of total billed charges ,"1,050.40",percent of total billed charges ,"1,050.40",percent of total billed charges ,919.1,percent of total billed charges ,919.1,percent of total billed charges ,787.8,percent of total billed charges ,787.8,percent of total billed charges ,787.8,percent of total billed charges ,787.8,percent of total billed charges ,,,,,698.52,percent of total billed charges ,,,,,663.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,301.99,percent of total billed charges,,,301.99,percent of total billed charges,,,301.99,percent of total billed charges,,,301.99,percent of total billed charges,,,301.99,percent of total billed charges,,,301.99,percent of total billed charges,,,301.99,percent of total billed charges,,,301.99,percent of total billed charges,,,301.99,percent of total billed charges,,,301.99,percent of total billed charges,,,301.99,percent of total billed charges,
US AMNIOCENTESIS,76946,CDM,,,,both,,,276,276,63.48,276,276,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,218.04,percent of total billed charges,218.04,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 ,218.04,percent of total billed charges ,218.04,percent of total billed charges ,234.6,percent of total billed charges ,234.6,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 ,,,,,,,,,,,,,,,,,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,
DEXA SCAN AXIAL,77080,CDM,,,,both,,,883,883,203.09,883,883,percent of total billed charges,883,percent of total billed charges,883,percent of total billed charges,883,percent of total billed charges,883,percent of total billed charges,883,percent of total billed charges,883,percent of total billed charges,883,percent of total billed charges,635.76,percent of total billed charges,635.76,percent of total billed charges,635.76,percent of total billed charges,635.76,percent of total billed charges,635.76,percent of total billed charges,635.76,percent of total billed charges,697.57,percent of total billed charges,697.57,percent of total billed charges,706.4,percent of total billed charges,706.4,percent of total billed charges,,,635.76,percent of total billed charges ,,,706.4,percent of total billed charges ,697.57,percent of total billed charges ,697.57,percent of total billed charges ,750.55,percent of total billed charges ,750.55,percent of total billed charges ,706.4,percent of total billed charges ,706.4,percent of total billed charges ,618.1,percent of total billed charges ,618.1,percent of total billed charges ,529.8,percent of total billed charges ,529.8,percent of total billed charges ,529.8,percent of total billed charges ,529.8,percent of total billed charges ,,,,,469.76,percent of total billed charges ,,,,,446.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,203.09,percent of total billed charges,,,203.09,percent of total billed charges,,,203.09,percent of total billed charges,,,203.09,percent of total billed charges,,,203.09,percent of total billed charges,,,203.09,percent of total billed charges,,,203.09,percent of total billed charges,,,203.09,percent of total billed charges,,,203.09,percent of total billed charges,,,203.09,percent of total billed charges,,,203.09,percent of total billed charges,
US KIDNEY/AORTA LMTD 76775,76775,CDM,,,,both,,,956,956,219.88,956,956,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,755.24,percent of total billed charges,755.24,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 ,755.24,percent of total billed charges ,755.24,percent of total billed charges ,812.6,percent of total billed charges ,812.6,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 ,,,,,,,,,,,,,,,,,,,219.88,percent of total billed charges,,,219.88,percent of total billed charges,,,219.88,percent of total billed charges,,,219.88,percent of total billed charges,,,219.88,percent of total billed charges,,,219.88,percent of total billed charges,,,219.88,percent of total billed charges,,,219.88,percent of total billed charges,,,219.88,percent of total billed charges,,,219.88,percent of total billed charges,,,219.88,percent of total billed charges,
US ULTRASOUND GUIDANCE 76942,76942,CDM,,,,both,,,"1,244.00","1,244.00",286.12,"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,982.76,percent of total billed charges,982.76,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 ,982.76,percent of total billed charges ,982.76,percent of total billed charges ,"1,057.40",percent of total billed charges ,"1,057.40",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 ,,,,,,,,,,,,,,,,,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,
**MM SCREENING BILAT,77057,CDM,,,,both,,,384,384,88.32,384,384,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,303.36,percent of total billed charges,303.36,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 ,303.36,percent of total billed charges ,303.36,percent of total billed charges ,326.4,percent of total billed charges ,326.4,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 ,,,,,,,,,,,,,,,,,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,
MRI BRAIN W/WO,70553,CDM,,,,both,,,"5,838.00","5,838.00","1,342.74","5,838.00","5,838.00",percent of total billed charges,"5,838.00",percent of total billed charges,"5,838.00",percent of total billed charges,"5,838.00",percent of total billed charges,"5,838.00",percent of total billed charges,"5,838.00",percent of total billed charges,"5,838.00",percent of total billed charges,"5,838.00",percent of total billed charges,"4,203.36",percent of total billed charges,"4,203.36",percent of total billed charges,"4,203.36",percent of total billed charges,"4,203.36",percent of total billed charges,"4,203.36",percent of total billed charges,"4,203.36",percent of total billed charges,"4,612.02",percent of total billed charges,"4,612.02",percent of total billed charges,"4,670.40",percent of total billed charges,"4,670.40",percent of total billed charges,,,"4,203.36",percent of total billed charges ,,,"4,670.40",percent of total billed charges ,"4,612.02",percent of total billed charges ,"4,612.02",percent of total billed charges ,"4,962.30",percent of total billed charges ,"4,962.30",percent of total billed charges ,"4,670.40",percent of total billed charges ,"4,670.40",percent of total billed charges ,"4,086.60",percent of total billed charges ,"4,086.60",percent of total billed charges ,"3,502.80",percent of total billed charges ,"3,502.80",percent of total billed charges ,"3,502.80",percent of total billed charges ,"3,502.80",percent of total billed charges ,,,,,"3,105.82",percent of total billed charges ,,,,,"2,950.53",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,342.74",percent of total billed charges,,,"1,342.74",percent of total billed charges,,,"1,342.74",percent of total billed charges,,,"1,342.74",percent of total billed charges,,,"1,342.74",percent of total billed charges,,,"1,342.74",percent of total billed charges,,,"1,342.74",percent of total billed charges,,,"1,342.74",percent of total billed charges,,,"1,342.74",percent of total billed charges,,,"1,342.74",percent of total billed charges,,,"1,342.74",percent of total billed charges,
MRI ABDOMEN W/WO,74183,CDM,,,,both,,,"5,550.00","5,550.00","1,276.50","5,550.00","5,550.00",percent of total billed charges,"5,550.00",percent of total billed charges,"5,550.00",percent of total billed charges,"5,550.00",percent of total billed charges,"5,550.00",percent of total billed charges,"5,550.00",percent of total billed charges,"5,550.00",percent of total billed charges,"5,550.00",percent of total billed charges,"3,996.00",percent of total billed charges,"3,996.00",percent of total billed charges,"3,996.00",percent of total billed charges,"3,996.00",percent of total billed charges,"3,996.00",percent of total billed charges,"3,996.00",percent of total billed charges,"4,384.50",percent of total billed charges,"4,384.50",percent of total billed charges,"4,440.00",percent of total billed charges,"4,440.00",percent of total billed charges,,,"3,996.00",percent of total billed charges ,,,"4,440.00",percent of total billed charges ,"4,384.50",percent of total billed charges ,"4,384.50",percent of total billed charges ,"4,717.50",percent of total billed charges ,"4,717.50",percent of total billed charges ,"4,440.00",percent of total billed charges ,"4,440.00",percent of total billed charges ,"3,885.00",percent of total billed charges ,"3,885.00",percent of total billed charges ,"3,330.00",percent of total billed charges ,"3,330.00",percent of total billed charges ,"3,330.00",percent of total billed charges ,"3,330.00",percent of total billed charges ,,,,,"2,952.60",percent of total billed charges ,,,,,"2,804.97",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,276.50",percent of total billed charges,,,"1,276.50",percent of total billed charges,,,"1,276.50",percent of total billed charges,,,"1,276.50",percent of total billed charges,,,"1,276.50",percent of total billed charges,,,"1,276.50",percent of total billed charges,,,"1,276.50",percent of total billed charges,,,"1,276.50",percent of total billed charges,,,"1,276.50",percent of total billed charges,,,"1,276.50",percent of total billed charges,,,"1,276.50",percent of total billed charges,
**MRI ABDOMEN W CON,74182,CDM,,,,both,,,"5,624.00","5,624.00","1,293.52","5,624.00","5,624.00",percent of total billed charges,"5,624.00",percent of total billed charges,"5,624.00",percent of total billed charges,"5,624.00",percent of total billed charges,"5,624.00",percent of total billed charges,"5,624.00",percent of total billed charges,"5,624.00",percent of total billed charges,"5,624.00",percent of total billed charges,"4,049.28",percent of total billed charges,"4,049.28",percent of total billed charges,"4,049.28",percent of total billed charges,"4,049.28",percent of total billed charges,"4,049.28",percent of total billed charges,"4,049.28",percent of total billed charges,"4,442.96",percent of total billed charges,"4,442.96",percent of total billed charges,"4,499.20",percent of total billed charges,"4,499.20",percent of total billed charges,,,"4,049.28",percent of total billed charges ,,,"4,499.20",percent of total billed charges ,"4,442.96",percent of total billed charges ,"4,442.96",percent of total billed charges ,"4,780.40",percent of total billed charges ,"4,780.40",percent of total billed charges ,"4,499.20",percent of total billed charges ,"4,499.20",percent of total billed charges ,"3,936.80",percent of total billed charges ,"3,936.80",percent of total billed charges ,"3,374.40",percent of total billed charges ,"3,374.40",percent of total billed charges ,"3,374.40",percent of total billed charges ,"3,374.40",percent of total billed charges ,,,,,"2,991.97",percent of total billed charges ,,,,,"2,842.37",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,293.52",percent of total billed charges,,,"1,293.52",percent of total billed charges,,,"1,293.52",percent of total billed charges,,,"1,293.52",percent of total billed charges,,,"1,293.52",percent of total billed charges,,,"1,293.52",percent of total billed charges,,,"1,293.52",percent of total billed charges,,,"1,293.52",percent of total billed charges,,,"1,293.52",percent of total billed charges,,,"1,293.52",percent of total billed charges,,,"1,293.52",percent of total billed charges,
MRI ORB/FACE OR NECK W/WO,70543,CDM,,,,both,,,"6,736.00","6,736.00","1,549.28","6,736.00","6,736.00",percent of total billed charges,"6,736.00",percent of total billed charges,"6,736.00",percent of total billed charges,"6,736.00",percent of total billed charges,"6,736.00",percent of total billed charges,"6,736.00",percent of total billed charges,"6,736.00",percent of total billed charges,"6,736.00",percent of total billed charges,"4,849.92",percent of total billed charges,"4,849.92",percent of total billed charges,"4,849.92",percent of total billed charges,"4,849.92",percent of total billed charges,"4,849.92",percent of total billed charges,"4,849.92",percent of total billed charges,"5,321.44",percent of total billed charges,"5,321.44",percent of total billed charges,"5,388.80",percent of total billed charges,"5,388.80",percent of total billed charges,,,"4,849.92",percent of total billed charges ,,,"5,388.80",percent of total billed charges ,"5,321.44",percent of total billed charges ,"5,321.44",percent of total billed charges ,"5,725.60",percent of total billed charges ,"5,725.60",percent of total billed charges ,"5,388.80",percent of total billed charges ,"5,388.80",percent of total billed charges ,"4,715.20",percent of total billed charges ,"4,715.20",percent of total billed charges ,"4,041.60",percent of total billed charges ,"4,041.60",percent of total billed charges ,"4,041.60",percent of total billed charges ,"4,041.60",percent of total billed charges ,,,,,"3,583.55",percent of total billed charges ,,,,,"3,404.37",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,549.28",percent of total billed charges,,,"1,549.28",percent of total billed charges,,,"1,549.28",percent of total billed charges,,,"1,549.28",percent of total billed charges,,,"1,549.28",percent of total billed charges,,,"1,549.28",percent of total billed charges,,,"1,549.28",percent of total billed charges,,,"1,549.28",percent of total billed charges,,,"1,549.28",percent of total billed charges,,,"1,549.28",percent of total billed charges,,,"1,549.28",percent of total billed charges,
MRI ORB/FACE OR NECK W CON,70542,CDM,,,,both,,,"5,712.00","5,712.00","1,313.76","5,712.00","5,712.00",percent of total billed charges,"5,712.00",percent of total billed charges,"5,712.00",percent of total billed charges,"5,712.00",percent of total billed charges,"5,712.00",percent of total billed charges,"5,712.00",percent of total billed charges,"5,712.00",percent of total billed charges,"5,712.00",percent of total billed charges,"4,112.64",percent of total billed charges,"4,112.64",percent of total billed charges,"4,112.64",percent of total billed charges,"4,112.64",percent of total billed charges,"4,112.64",percent of total billed charges,"4,112.64",percent of total billed charges,"4,512.48",percent of total billed charges,"4,512.48",percent of total billed charges,"4,569.60",percent of total billed charges,"4,569.60",percent of total billed charges,,,"4,112.64",percent of total billed charges ,,,"4,569.60",percent of total billed charges ,"4,512.48",percent of total billed charges ,"4,512.48",percent of total billed charges ,"4,855.20",percent of total billed charges ,"4,855.20",percent of total billed charges ,"4,569.60",percent of total billed charges ,"4,569.60",percent of total billed charges ,"3,998.40",percent of total billed charges ,"3,998.40",percent of total billed charges ,"3,427.20",percent of total billed charges ,"3,427.20",percent of total billed charges ,"3,427.20",percent of total billed charges ,"3,427.20",percent of total billed charges ,,,,,"3,038.78",percent of total billed charges ,,,,,"2,886.84",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,313.76",percent of total billed charges,,,"1,313.76",percent of total billed charges,,,"1,313.76",percent of total billed charges,,,"1,313.76",percent of total billed charges,,,"1,313.76",percent of total billed charges,,,"1,313.76",percent of total billed charges,,,"1,313.76",percent of total billed charges,,,"1,313.76",percent of total billed charges,,,"1,313.76",percent of total billed charges,,,"1,313.76",percent of total billed charges,,,"1,313.76",percent of total billed charges,
MRI LUMBAR W CON,72149,CDM,,,,both,,,"5,930.00","5,930.00","1,363.90","5,930.00","5,930.00",percent of total billed charges,"5,930.00",percent of total billed charges,"5,930.00",percent of total billed charges,"5,930.00",percent of total billed charges,"5,930.00",percent of total billed charges,"5,930.00",percent of total billed charges,"5,930.00",percent of total billed charges,"5,930.00",percent of total billed charges,"4,269.60",percent of total billed charges,"4,269.60",percent of total billed charges,"4,269.60",percent of total billed charges,"4,269.60",percent of total billed charges,"4,269.60",percent of total billed charges,"4,269.60",percent of total billed charges,"4,684.70",percent of total billed charges,"4,684.70",percent of total billed charges,"4,744.00",percent of total billed charges,"4,744.00",percent of total billed charges,,,"4,269.60",percent of total billed charges ,,,"4,744.00",percent of total billed charges ,"4,684.70",percent of total billed charges ,"4,684.70",percent of total billed charges ,"5,040.50",percent of total billed charges ,"5,040.50",percent of total billed charges ,"4,744.00",percent of total billed charges ,"4,744.00",percent of total billed charges ,"4,151.00",percent of total billed charges ,"4,151.00",percent of total billed charges ,"3,558.00",percent of total billed charges ,"3,558.00",percent of total billed charges ,"3,558.00",percent of total billed charges ,"3,558.00",percent of total billed charges ,,,,,"3,154.76",percent of total billed charges ,,,,,"2,997.02",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,363.90",percent of total billed charges,,,"1,363.90",percent of total billed charges,,,"1,363.90",percent of total billed charges,,,"1,363.90",percent of total billed charges,,,"1,363.90",percent of total billed charges,,,"1,363.90",percent of total billed charges,,,"1,363.90",percent of total billed charges,,,"1,363.90",percent of total billed charges,,,"1,363.90",percent of total billed charges,,,"1,363.90",percent of total billed charges,,,"1,363.90",percent of total billed charges,
MRI LUMBAR SPINE WO,72148,CDM,,,,both,,,"4,842.00","4,842.00","1,113.66","4,842.00","4,842.00",percent of total billed charges,"4,842.00",percent of total billed charges,"4,842.00",percent of total billed charges,"4,842.00",percent of total billed charges,"4,842.00",percent of total billed charges,"4,842.00",percent of total billed charges,"4,842.00",percent of total billed charges,"4,842.00",percent of total billed charges,"3,486.24",percent of total billed charges,"3,486.24",percent of total billed charges,"3,486.24",percent of total billed charges,"3,486.24",percent of total billed charges,"3,486.24",percent of total billed charges,"3,486.24",percent of total billed charges,"3,825.18",percent of total billed charges,"3,825.18",percent of total billed charges,"3,873.60",percent of total billed charges,"3,873.60",percent of total billed charges,,,"3,486.24",percent of total billed charges ,,,"3,873.60",percent of total billed charges ,"3,825.18",percent of total billed charges ,"3,825.18",percent of total billed charges ,"4,115.70",percent of total billed charges ,"4,115.70",percent of total billed charges ,"3,873.60",percent of total billed charges ,"3,873.60",percent of total billed charges ,"3,389.40",percent of total billed charges ,"3,389.40",percent of total billed charges ,"2,905.20",percent of total billed charges ,"2,905.20",percent of total billed charges ,"2,905.20",percent of total billed charges ,"2,905.20",percent of total billed charges ,,,,,"2,575.94",percent of total billed charges ,,,,,"2,447.15",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,113.66",percent of total billed charges,,,"1,113.66",percent of total billed charges,,,"1,113.66",percent of total billed charges,,,"1,113.66",percent of total billed charges,,,"1,113.66",percent of total billed charges,,,"1,113.66",percent of total billed charges,,,"1,113.66",percent of total billed charges,,,"1,113.66",percent of total billed charges,,,"1,113.66",percent of total billed charges,,,"1,113.66",percent of total billed charges,,,"1,113.66",percent of total billed charges,
MRI THORACI SP W CON,72147,CDM,,,,both,,,"6,020.00","6,020.00","1,384.60","6,020.00","6,020.00",percent of total billed charges,"6,020.00",percent of total billed charges,"6,020.00",percent of total billed charges,"6,020.00",percent of total billed charges,"6,020.00",percent of total billed charges,"6,020.00",percent of total billed charges,"6,020.00",percent of total billed charges,"6,020.00",percent of total billed charges,"4,334.40",percent of total billed charges,"4,334.40",percent of total billed charges,"4,334.40",percent of total billed charges,"4,334.40",percent of total billed charges,"4,334.40",percent of total billed charges,"4,334.40",percent of total billed charges,"4,755.80",percent of total billed charges,"4,755.80",percent of total billed charges,"4,816.00",percent of total billed charges,"4,816.00",percent of total billed charges,,,"4,334.40",percent of total billed charges ,,,"4,816.00",percent of total billed charges ,"4,755.80",percent of total billed charges ,"4,755.80",percent of total billed charges ,"5,117.00",percent of total billed charges ,"5,117.00",percent of total billed charges ,"4,816.00",percent of total billed charges ,"4,816.00",percent of total billed charges ,"4,214.00",percent of total billed charges ,"4,214.00",percent of total billed charges ,"3,612.00",percent of total billed charges ,"3,612.00",percent of total billed charges ,"3,612.00",percent of total billed charges ,"3,612.00",percent of total billed charges ,,,,,"3,202.64",percent of total billed charges ,,,,,"3,042.51",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,384.60",percent of total billed charges,,,"1,384.60",percent of total billed charges,,,"1,384.60",percent of total billed charges,,,"1,384.60",percent of total billed charges,,,"1,384.60",percent of total billed charges,,,"1,384.60",percent of total billed charges,,,"1,384.60",percent of total billed charges,,,"1,384.60",percent of total billed charges,,,"1,384.60",percent of total billed charges,,,"1,384.60",percent of total billed charges,,,"1,384.60",percent of total billed charges,
MRI THORACI SP WO,72146,CDM,,,,both,,,"4,776.00","4,776.00","1,098.48","4,776.00","4,776.00",percent of total billed charges,"4,776.00",percent of total billed charges,"4,776.00",percent of total billed charges,"4,776.00",percent of total billed charges,"4,776.00",percent of total billed charges,"4,776.00",percent of total billed charges,"4,776.00",percent of total billed charges,"4,776.00",percent of total billed charges,"3,438.72",percent of total billed charges,"3,438.72",percent of total billed charges,"3,438.72",percent of total billed charges,"3,438.72",percent of total billed charges,"3,438.72",percent of total billed charges,"3,438.72",percent of total billed charges,"3,773.04",percent of total billed charges,"3,773.04",percent of total billed charges,"3,820.80",percent of total billed charges,"3,820.80",percent of total billed charges,,,"3,438.72",percent of total billed charges ,,,"3,820.80",percent of total billed charges ,"3,773.04",percent of total billed charges ,"3,773.04",percent of total billed charges ,"4,059.60",percent of total billed charges ,"4,059.60",percent of total billed charges ,"3,820.80",percent of total billed charges ,"3,820.80",percent of total billed charges ,"3,343.20",percent of total billed charges ,"3,343.20",percent of total billed charges ,"2,865.60",percent of total billed charges ,"2,865.60",percent of total billed charges ,"2,865.60",percent of total billed charges ,"2,865.60",percent of total billed charges ,,,,,"2,540.83",percent of total billed charges ,,,,,"2,413.79",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,098.48",percent of total billed charges,,,"1,098.48",percent of total billed charges,,,"1,098.48",percent of total billed charges,,,"1,098.48",percent of total billed charges,,,"1,098.48",percent of total billed charges,,,"1,098.48",percent of total billed charges,,,"1,098.48",percent of total billed charges,,,"1,098.48",percent of total billed charges,,,"1,098.48",percent of total billed charges,,,"1,098.48",percent of total billed charges,,,"1,098.48",percent of total billed charges,
MRI CERV SPIN W CON,72142,CDM,,,,both,,,"5,998.00","5,998.00","1,379.54","5,998.00","5,998.00",percent of total billed charges,"5,998.00",percent of total billed charges,"5,998.00",percent of total billed charges,"5,998.00",percent of total billed charges,"5,998.00",percent of total billed charges,"5,998.00",percent of total billed charges,"5,998.00",percent of total billed charges,"5,998.00",percent of total billed charges,"4,318.56",percent of total billed charges,"4,318.56",percent of total billed charges,"4,318.56",percent of total billed charges,"4,318.56",percent of total billed charges,"4,318.56",percent of total billed charges,"4,318.56",percent of total billed charges,"4,738.42",percent of total billed charges,"4,738.42",percent of total billed charges,"4,798.40",percent of total billed charges,"4,798.40",percent of total billed charges,,,"4,318.56",percent of total billed charges ,,,"4,798.40",percent of total billed charges ,"4,738.42",percent of total billed charges ,"4,738.42",percent of total billed charges ,"5,098.30",percent of total billed charges ,"5,098.30",percent of total billed charges ,"4,798.40",percent of total billed charges ,"4,798.40",percent of total billed charges ,"4,198.60",percent of total billed charges ,"4,198.60",percent of total billed charges ,"3,598.80",percent of total billed charges ,"3,598.80",percent of total billed charges ,"3,598.80",percent of total billed charges ,"3,598.80",percent of total billed charges ,,,,,"3,190.94",percent of total billed charges ,,,,,"3,031.39",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,379.54",percent of total billed charges,,,"1,379.54",percent of total billed charges,,,"1,379.54",percent of total billed charges,,,"1,379.54",percent of total billed charges,,,"1,379.54",percent of total billed charges,,,"1,379.54",percent of total billed charges,,,"1,379.54",percent of total billed charges,,,"1,379.54",percent of total billed charges,,,"1,379.54",percent of total billed charges,,,"1,379.54",percent of total billed charges,,,"1,379.54",percent of total billed charges,
MRI CHEST W/WO,71552,CDM,,,,both,,,"4,845.00","4,845.00","1,114.35","4,845.00","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,"4,845.00",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,"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,"3,488.40",percent of total billed charges,"3,488.40",percent of total billed charges,"3,827.55",percent of total billed charges,"3,827.55",percent of total billed charges,"3,876.00",percent of total billed charges,"3,876.00",percent of total billed charges,,,"3,488.40",percent of total billed charges ,,,"3,876.00",percent of total billed charges ,"3,827.55",percent of total billed charges ,"3,827.55",percent of total billed charges ,"4,118.25",percent of total billed charges ,"4,118.25",percent of total billed charges ,"3,876.00",percent of total billed charges ,"3,876.00",percent of total billed charges ,"3,391.50",percent of total billed charges ,"3,391.50",percent of total billed charges ,"2,907.00",percent of total billed charges ,"2,907.00",percent of total billed charges ,"2,907.00",percent of total billed charges ,"2,907.00",percent of total billed charges ,,,,,"2,577.54",percent of total billed charges ,,,,,"2,448.66",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,114.35",percent of total billed charges,,,"1,114.35",percent of total billed charges,,,"1,114.35",percent of total billed charges,,,"1,114.35",percent of total billed charges,,,"1,114.35",percent of total billed charges,,,"1,114.35",percent of total billed charges,,,"1,114.35",percent of total billed charges,,,"1,114.35",percent of total billed charges,,,"1,114.35",percent of total billed charges,,,"1,114.35",percent of total billed charges,,,"1,114.35",percent of total billed charges,
MRI CHEST W CON,71551,CDM,,,,both,,,"3,973.00","3,973.00",913.79,"3,973.00","3,973.00",percent of total billed charges,"3,973.00",percent of total billed charges,"3,973.00",percent of total billed charges,"3,973.00",percent of total billed charges,"3,973.00",percent of total billed charges,"3,973.00",percent of total billed charges,"3,973.00",percent of total billed charges,"3,973.00",percent of total billed charges,"2,860.56",percent of total billed charges,"2,860.56",percent of total billed charges,"2,860.56",percent of total billed charges,"2,860.56",percent of total billed charges,"2,860.56",percent of total billed charges,"2,860.56",percent of total billed charges,"3,138.67",percent of total billed charges,"3,138.67",percent of total billed charges,"3,178.40",percent of total billed charges,"3,178.40",percent of total billed charges,,,"2,860.56",percent of total billed charges ,,,"3,178.40",percent of total billed charges ,"3,138.67",percent of total billed charges ,"3,138.67",percent of total billed charges ,"3,377.05",percent of total billed charges ,"3,377.05",percent of total billed charges ,"3,178.40",percent of total billed charges ,"3,178.40",percent of total billed charges ,"2,781.10",percent of total billed charges ,"2,781.10",percent of total billed charges ,"2,383.80",percent of total billed charges ,"2,383.80",percent of total billed charges ,"2,383.80",percent of total billed charges ,"2,383.80",percent of total billed charges ,,,,,"2,113.64",percent of total billed charges ,,,,,"2,007.95",percent of total billed charges ,,,,,,,,,,,,,,,,,,,913.79,percent of total billed charges,,,913.79,percent of total billed charges,,,913.79,percent of total billed charges,,,913.79,percent of total billed charges,,,913.79,percent of total billed charges,,,913.79,percent of total billed charges,,,913.79,percent of total billed charges,,,913.79,percent of total billed charges,,,913.79,percent of total billed charges,,,913.79,percent of total billed charges,,,913.79,percent of total billed charges,
MRI CHEST WO,71550,CDM,,,,both,,,"4,557.00","4,557.00","1,048.11","4,557.00","4,557.00",percent of total billed charges,"4,557.00",percent of total billed charges,"4,557.00",percent of total billed charges,"4,557.00",percent of total billed charges,"4,557.00",percent of total billed charges,"4,557.00",percent of total billed charges,"4,557.00",percent of total billed charges,"4,557.00",percent of total billed charges,"3,281.04",percent of total billed charges,"3,281.04",percent of total billed charges,"3,281.04",percent of total billed charges,"3,281.04",percent of total billed charges,"3,281.04",percent of total billed charges,"3,281.04",percent of total billed charges,"3,600.03",percent of total billed charges,"3,600.03",percent of total billed charges,"3,645.60",percent of total billed charges,"3,645.60",percent of total billed charges,,,"3,281.04",percent of total billed charges ,,,"3,645.60",percent of total billed charges ,"3,600.03",percent of total billed charges ,"3,600.03",percent of total billed charges ,"3,873.45",percent of total billed charges ,"3,873.45",percent of total billed charges ,"3,645.60",percent of total billed charges ,"3,645.60",percent of total billed charges ,"3,189.90",percent of total billed charges ,"3,189.90",percent of total billed charges ,"2,734.20",percent of total billed charges ,"2,734.20",percent of total billed charges ,"2,734.20",percent of total billed charges ,"2,734.20",percent of total billed charges ,,,,,"2,424.32",percent of total billed charges ,,,,,"2,303.11",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,048.11",percent of total billed charges,,,"1,048.11",percent of total billed charges,,,"1,048.11",percent of total billed charges,,,"1,048.11",percent of total billed charges,,,"1,048.11",percent of total billed charges,,,"1,048.11",percent of total billed charges,,,"1,048.11",percent of total billed charges,,,"1,048.11",percent of total billed charges,,,"1,048.11",percent of total billed charges,,,"1,048.11",percent of total billed charges,,,"1,048.11",percent of total billed charges,
MRI ORB/FACE OR NECK WO,70540,CDM,,,,both,,,"5,091.00","5,091.00","1,170.93","5,091.00","5,091.00",percent of total billed charges,"5,091.00",percent of total billed charges,"5,091.00",percent of total billed charges,"5,091.00",percent of total billed charges,"5,091.00",percent of total billed charges,"5,091.00",percent of total billed charges,"5,091.00",percent of total billed charges,"5,091.00",percent of total billed charges,"3,665.52",percent of total billed charges,"3,665.52",percent of total billed charges,"3,665.52",percent of total billed charges,"3,665.52",percent of total billed charges,"3,665.52",percent of total billed charges,"3,665.52",percent of total billed charges,"4,021.89",percent of total billed charges,"4,021.89",percent of total billed charges,"4,072.80",percent of total billed charges,"4,072.80",percent of total billed charges,,,"3,665.52",percent of total billed charges ,,,"4,072.80",percent of total billed charges ,"4,021.89",percent of total billed charges ,"4,021.89",percent of total billed charges ,"4,327.35",percent of total billed charges ,"4,327.35",percent of total billed charges ,"4,072.80",percent of total billed charges ,"4,072.80",percent of total billed charges ,"3,563.70",percent of total billed charges ,"3,563.70",percent of total billed charges ,"3,054.60",percent of total billed charges ,"3,054.60",percent of total billed charges ,"3,054.60",percent of total billed charges ,"3,054.60",percent of total billed charges ,,,,,"2,708.41",percent of total billed charges ,,,,,"2,572.99",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,170.93",percent of total billed charges,,,"1,170.93",percent of total billed charges,,,"1,170.93",percent of total billed charges,,,"1,170.93",percent of total billed charges,,,"1,170.93",percent of total billed charges,,,"1,170.93",percent of total billed charges,,,"1,170.93",percent of total billed charges,,,"1,170.93",percent of total billed charges,,,"1,170.93",percent of total billed charges,,,"1,170.93",percent of total billed charges,,,"1,170.93",percent of total billed charges,
MRI PELVIS W CON,72196,CDM,,,,both,,,"5,105.00","5,105.00","1,174.15","5,105.00","5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"3,675.60",percent of total billed charges,"3,675.60",percent of total billed charges,"3,675.60",percent of total billed charges,"3,675.60",percent of total billed charges,"3,675.60",percent of total billed charges,"3,675.60",percent of total billed charges,"4,032.95",percent of total billed charges,"4,032.95",percent of total billed charges,"4,084.00",percent of total billed charges,"4,084.00",percent of total billed charges,,,"3,675.60",percent of total billed charges ,,,"4,084.00",percent of total billed charges ,"4,032.95",percent of total billed charges ,"4,032.95",percent of total billed charges ,"4,339.25",percent of total billed charges ,"4,339.25",percent of total billed charges ,"4,084.00",percent of total billed charges ,"4,084.00",percent of total billed charges ,"3,573.50",percent of total billed charges ,"3,573.50",percent of total billed charges ,"3,063.00",percent of total billed charges ,"3,063.00",percent of total billed charges ,"3,063.00",percent of total billed charges ,"3,063.00",percent of total billed charges ,,,,,"2,715.86",percent of total billed charges ,,,,,"2,580.07",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,
**MRA EXT CAROTID LT DO NOT USE,75660,CDM,,,,both,,,"2,672.00","2,672.00",614.56,"2,672.00","2,672.00",percent of total billed charges,"2,672.00",percent of total billed charges,"2,672.00",percent of total billed charges,"2,672.00",percent of total billed charges,"2,672.00",percent of total billed charges,"2,672.00",percent of total billed charges,"2,672.00",percent of total billed charges,"2,672.00",percent of total billed charges,"1,923.84",percent of total billed charges,"1,923.84",percent of total billed charges,"1,923.84",percent of total billed charges,"1,923.84",percent of total billed charges,"1,923.84",percent of total billed charges,"1,923.84",percent of total billed charges,"2,110.88",percent of total billed charges,"2,110.88",percent of total billed charges,"2,137.60",percent of total billed charges,"2,137.60",percent of total billed charges,,,"1,923.84",percent of total billed charges ,,,"2,137.60",percent of total billed charges ,"2,110.88",percent of total billed charges ,"2,110.88",percent of total billed charges ,"2,271.20",percent of total billed charges ,"2,271.20",percent of total billed charges ,"2,137.60",percent of total billed charges ,"2,137.60",percent of total billed charges ,"1,870.40",percent of total billed charges ,"1,870.40",percent of total billed charges ,"1,603.20",percent of total billed charges ,"1,603.20",percent of total billed charges ,"1,603.20",percent of total billed charges ,"1,603.20",percent of total billed charges ,,,,,"1,421.50",percent of total billed charges ,,,,,"1,350.43",percent of total billed charges ,,,,,,,,,,,,,,,,,,,614.56,percent of total billed charges,,,614.56,percent of total billed charges,,,614.56,percent of total billed charges,,,614.56,percent of total billed charges,,,614.56,percent of total billed charges,,,614.56,percent of total billed charges,,,614.56,percent of total billed charges,,,614.56,percent of total billed charges,,,614.56,percent of total billed charges,,,614.56,percent of total billed charges,,,614.56,percent of total billed charges,
**MRI BREAST BILAT W/WO DO NOT USE,76094,CDM,,,,both,,,"4,233.00","4,233.00",973.59,"4,233.00","4,233.00",percent of total billed charges,"4,233.00",percent of total billed charges,"4,233.00",percent of total billed charges,"4,233.00",percent of total billed charges,"4,233.00",percent of total billed charges,"4,233.00",percent of total billed charges,"4,233.00",percent of total billed charges,"4,233.00",percent of total billed charges,"3,047.76",percent of total billed charges,"3,047.76",percent of total billed charges,"3,047.76",percent of total billed charges,"3,047.76",percent of total billed charges,"3,047.76",percent of total billed charges,"3,047.76",percent of total billed charges,"3,344.07",percent of total billed charges,"3,344.07",percent of total billed charges,"3,386.40",percent of total billed charges,"3,386.40",percent of total billed charges,,,"3,047.76",percent of total billed charges ,,,"3,386.40",percent of total billed charges ,"3,344.07",percent of total billed charges ,"3,344.07",percent of total billed charges ,"3,598.05",percent of total billed charges ,"3,598.05",percent of total billed charges ,"3,386.40",percent of total billed charges ,"3,386.40",percent of total billed charges ,"2,963.10",percent of total billed charges ,"2,963.10",percent of total billed charges ,"2,539.80",percent of total billed charges ,"2,539.80",percent of total billed charges ,"2,539.80",percent of total billed charges ,"2,539.80",percent of total billed charges ,,,,,"2,251.96",percent of total billed charges ,,,,,"2,139.36",percent of total billed charges ,,,,,,,,,,,,,,,,,,,973.59,percent of total billed charges,,,973.59,percent of total billed charges,,,973.59,percent of total billed charges,,,973.59,percent of total billed charges,,,973.59,percent of total billed charges,,,973.59,percent of total billed charges,,,973.59,percent of total billed charges,,,973.59,percent of total billed charges,,,973.59,percent of total billed charges,,,973.59,percent of total billed charges,,,973.59,percent of total billed charges,
MRI LOW EXT JT LT W CON,73722,CDM,,,LT,both,,,"4,264.00","4,264.00",980.72,"4,264.00","4,264.00",percent of total billed charges,"4,264.00",percent of total billed charges,"4,264.00",percent of total billed charges,"4,264.00",percent of total billed charges,"4,264.00",percent of total billed charges,"4,264.00",percent of total billed charges,"4,264.00",percent of total billed charges,"4,264.00",percent of total billed charges,"3,070.08",percent of total billed charges,"3,070.08",percent of total billed charges,"3,070.08",percent of total billed charges,"3,070.08",percent of total billed charges,"3,070.08",percent of total billed charges,"3,070.08",percent of total billed charges,"3,368.56",percent of total billed charges,"3,368.56",percent of total billed charges,"3,411.20",percent of total billed charges,"3,411.20",percent of total billed charges,,,"3,070.08",percent of total billed charges ,,,"3,411.20",percent of total billed charges ,"3,368.56",percent of total billed charges ,"3,368.56",percent of total billed charges ,"3,624.40",percent of total billed charges ,"3,624.40",percent of total billed charges ,"3,411.20",percent of total billed charges ,"3,411.20",percent of total billed charges ,"2,984.80",percent of total billed charges ,"2,984.80",percent of total billed charges ,"2,558.40",percent of total billed charges ,"2,558.40",percent of total billed charges ,"2,558.40",percent of total billed charges ,"2,558.40",percent of total billed charges ,,,,,"2,268.45",percent of total billed charges ,,,,,"2,155.03",percent of total billed charges ,,,,,,,,,,,,,,,,,,,980.72,percent of total billed charges,,,980.72,percent of total billed charges,,,980.72,percent of total billed charges,,,980.72,percent of total billed charges,,,980.72,percent of total billed charges,,,980.72,percent of total billed charges,,,980.72,percent of total billed charges,,,980.72,percent of total billed charges,,,980.72,percent of total billed charges,,,980.72,percent of total billed charges,,,980.72,percent of total billed charges,
MRI LOW EXT RT W/WO,73720,CDM,,,RT,both,,,"5,234.00","5,234.00","1,203.82","5,234.00","5,234.00",percent of total billed charges,"5,234.00",percent of total billed charges,"5,234.00",percent of total billed charges,"5,234.00",percent of total billed charges,"5,234.00",percent of total billed charges,"5,234.00",percent of total billed charges,"5,234.00",percent of total billed charges,"5,234.00",percent of total billed charges,"3,768.48",percent of total billed charges,"3,768.48",percent of total billed charges,"3,768.48",percent of total billed charges,"3,768.48",percent of total billed charges,"3,768.48",percent of total billed charges,"3,768.48",percent of total billed charges,"4,134.86",percent of total billed charges,"4,134.86",percent of total billed charges,"4,187.20",percent of total billed charges,"4,187.20",percent of total billed charges,,,"3,768.48",percent of total billed charges ,,,"4,187.20",percent of total billed charges ,"4,134.86",percent of total billed charges ,"4,134.86",percent of total billed charges ,"4,448.90",percent of total billed charges ,"4,448.90",percent of total billed charges ,"4,187.20",percent of total billed charges ,"4,187.20",percent of total billed charges ,"3,663.80",percent of total billed charges ,"3,663.80",percent of total billed charges ,"3,140.40",percent of total billed charges ,"3,140.40",percent of total billed charges ,"3,140.40",percent of total billed charges ,"3,140.40",percent of total billed charges ,,,,,"2,784.49",percent of total billed charges ,,,,,"2,645.26",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,203.82",percent of total billed charges,,,"1,203.82",percent of total billed charges,,,"1,203.82",percent of total billed charges,,,"1,203.82",percent of total billed charges,,,"1,203.82",percent of total billed charges,,,"1,203.82",percent of total billed charges,,,"1,203.82",percent of total billed charges,,,"1,203.82",percent of total billed charges,,,"1,203.82",percent of total billed charges,,,"1,203.82",percent of total billed charges,,,"1,203.82",percent of total billed charges,
MRI LOW EXT RT WO,73718,CDM,,,RT,both,,,"3,904.00","3,904.00",897.92,"3,904.00","3,904.00",percent of total billed charges,"3,904.00",percent of total billed charges,"3,904.00",percent of total billed charges,"3,904.00",percent of total billed charges,"3,904.00",percent of total billed charges,"3,904.00",percent of total billed charges,"3,904.00",percent of total billed charges,"3,904.00",percent of total billed charges,"2,810.88",percent of total billed charges,"2,810.88",percent of total billed charges,"2,810.88",percent of total billed charges,"2,810.88",percent of total billed charges,"2,810.88",percent of total billed charges,"2,810.88",percent of total billed charges,"3,084.16",percent of total billed charges,"3,084.16",percent of total billed charges,"3,123.20",percent of total billed charges,"3,123.20",percent of total billed charges,,,"2,810.88",percent of total billed charges ,,,"3,123.20",percent of total billed charges ,"3,084.16",percent of total billed charges ,"3,084.16",percent of total billed charges ,"3,318.40",percent of total billed charges ,"3,318.40",percent of total billed charges ,"3,123.20",percent of total billed charges ,"3,123.20",percent of total billed charges ,"2,732.80",percent of total billed charges ,"2,732.80",percent of total billed charges ,"2,342.40",percent of total billed charges ,"2,342.40",percent of total billed charges ,"2,342.40",percent of total billed charges ,"2,342.40",percent of total billed charges ,,,,,"2,076.93",percent of total billed charges ,,,,,"1,973.08",percent of total billed charges ,,,,,,,,,,,,,,,,,,,897.92,percent of total billed charges,,,897.92,percent of total billed charges,,,897.92,percent of total billed charges,,,897.92,percent of total billed charges,,,897.92,percent of total billed charges,,,897.92,percent of total billed charges,,,897.92,percent of total billed charges,,,897.92,percent of total billed charges,,,897.92,percent of total billed charges,,,897.92,percent of total billed charges,,,897.92,percent of total billed charges,
MRI BRAIN W CON,70552,CDM,,,,both,,,"4,622.00","4,622.00","1,063.06","4,622.00","4,622.00",percent of total billed charges,"4,622.00",percent of total billed charges,"4,622.00",percent of total billed charges,"4,622.00",percent of total billed charges,"4,622.00",percent of total billed charges,"4,622.00",percent of total billed charges,"4,622.00",percent of total billed charges,"4,622.00",percent of total billed charges,"3,327.84",percent of total billed charges,"3,327.84",percent of total billed charges,"3,327.84",percent of total billed charges,"3,327.84",percent of total billed charges,"3,327.84",percent of total billed charges,"3,327.84",percent of total billed charges,"3,651.38",percent of total billed charges,"3,651.38",percent of total billed charges,"3,697.60",percent of total billed charges,"3,697.60",percent of total billed charges,,,"3,327.84",percent of total billed charges ,,,"3,697.60",percent of total billed charges ,"3,651.38",percent of total billed charges ,"3,651.38",percent of total billed charges ,"3,928.70",percent of total billed charges ,"3,928.70",percent of total billed charges ,"3,697.60",percent of total billed charges ,"3,697.60",percent of total billed charges ,"3,235.40",percent of total billed charges ,"3,235.40",percent of total billed charges ,"2,773.20",percent of total billed charges ,"2,773.20",percent of total billed charges ,"2,773.20",percent of total billed charges ,"2,773.20",percent of total billed charges ,,,,,"2,458.90",percent of total billed charges ,,,,,"2,335.96",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,063.06",percent of total billed charges,,,"1,063.06",percent of total billed charges,,,"1,063.06",percent of total billed charges,,,"1,063.06",percent of total billed charges,,,"1,063.06",percent of total billed charges,,,"1,063.06",percent of total billed charges,,,"1,063.06",percent of total billed charges,,,"1,063.06",percent of total billed charges,,,"1,063.06",percent of total billed charges,,,"1,063.06",percent of total billed charges,,,"1,063.06",percent of total billed charges,
**MRA UPPER EXT RT,73225,CDM,,,RT,both,,,"4,791.00","4,791.00","1,101.93","4,791.00","4,791.00",percent of total billed charges,"4,791.00",percent of total billed charges,"4,791.00",percent of total billed charges,"4,791.00",percent of total billed charges,"4,791.00",percent of total billed charges,"4,791.00",percent of total billed charges,"4,791.00",percent of total billed charges,"4,791.00",percent of total billed charges,"3,449.52",percent of total billed charges,"3,449.52",percent of total billed charges,"3,449.52",percent of total billed charges,"3,449.52",percent of total billed charges,"3,449.52",percent of total billed charges,"3,449.52",percent of total billed charges,"3,784.89",percent of total billed charges,"3,784.89",percent of total billed charges,"3,832.80",percent of total billed charges,"3,832.80",percent of total billed charges,,,"3,449.52",percent of total billed charges ,,,"3,832.80",percent of total billed charges ,"3,784.89",percent of total billed charges ,"3,784.89",percent of total billed charges ,"4,072.35",percent of total billed charges ,"4,072.35",percent of total billed charges ,"3,832.80",percent of total billed charges ,"3,832.80",percent of total billed charges ,"3,353.70",percent of total billed charges ,"3,353.70",percent of total billed charges ,"2,874.60",percent of total billed charges ,"2,874.60",percent of total billed charges ,"2,874.60",percent of total billed charges ,"2,874.60",percent of total billed charges ,,,,,"2,548.81",percent of total billed charges ,,,,,"2,421.37",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,101.93",percent of total billed charges,,,"1,101.93",percent of total billed charges,,,"1,101.93",percent of total billed charges,,,"1,101.93",percent of total billed charges,,,"1,101.93",percent of total billed charges,,,"1,101.93",percent of total billed charges,,,"1,101.93",percent of total billed charges,,,"1,101.93",percent of total billed charges,,,"1,101.93",percent of total billed charges,,,"1,101.93",percent of total billed charges,,,"1,101.93",percent of total billed charges,
MRI UP EXT JT RT W/WO,73223,CDM,,,RT,both,,,"5,934.00","5,934.00","1,364.82","5,934.00","5,934.00",percent of total billed charges,"5,934.00",percent of total billed charges,"5,934.00",percent of total billed charges,"5,934.00",percent of total billed charges,"5,934.00",percent of total billed charges,"5,934.00",percent of total billed charges,"5,934.00",percent of total billed charges,"5,934.00",percent of total billed charges,"4,272.48",percent of total billed charges,"4,272.48",percent of total billed charges,"4,272.48",percent of total billed charges,"4,272.48",percent of total billed charges,"4,272.48",percent of total billed charges,"4,272.48",percent of total billed charges,"4,687.86",percent of total billed charges,"4,687.86",percent of total billed charges,"4,747.20",percent of total billed charges,"4,747.20",percent of total billed charges,,,"4,272.48",percent of total billed charges ,,,"4,747.20",percent of total billed charges ,"4,687.86",percent of total billed charges ,"4,687.86",percent of total billed charges ,"5,043.90",percent of total billed charges ,"5,043.90",percent of total billed charges ,"4,747.20",percent of total billed charges ,"4,747.20",percent of total billed charges ,"4,153.80",percent of total billed charges ,"4,153.80",percent of total billed charges ,"3,560.40",percent of total billed charges ,"3,560.40",percent of total billed charges ,"3,560.40",percent of total billed charges ,"3,560.40",percent of total billed charges ,,,,,"3,156.89",percent of total billed charges ,,,,,"2,999.04",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,364.82",percent of total billed charges,,,"1,364.82",percent of total billed charges,,,"1,364.82",percent of total billed charges,,,"1,364.82",percent of total billed charges,,,"1,364.82",percent of total billed charges,,,"1,364.82",percent of total billed charges,,,"1,364.82",percent of total billed charges,,,"1,364.82",percent of total billed charges,,,"1,364.82",percent of total billed charges,,,"1,364.82",percent of total billed charges,,,"1,364.82",percent of total billed charges,
MRI UP EXT JT RT W CON,73222,CDM,,,RT,both,,,"4,236.00","4,236.00",974.28,"4,236.00","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,"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,"3,049.92",percent of total billed charges,"3,049.92",percent of total billed charges,"3,049.92",percent of total billed charges,"3,049.92",percent of total billed charges,"3,049.92",percent of total billed charges,"3,049.92",percent of total billed charges,"3,346.44",percent of total billed charges,"3,346.44",percent of total billed charges,"3,388.80",percent of total billed charges,"3,388.80",percent of total billed charges,,,"3,049.92",percent of total billed charges ,,,"3,388.80",percent of total billed charges ,"3,346.44",percent of total billed charges ,"3,346.44",percent of total billed charges ,"3,600.60",percent of total billed charges ,"3,600.60",percent of total billed charges ,"3,388.80",percent of total billed charges ,"3,388.80",percent of total billed charges ,"2,965.20",percent of total billed charges ,"2,965.20",percent of total billed charges ,"2,541.60",percent of total billed charges ,"2,541.60",percent of total billed charges ,"2,541.60",percent of total billed charges ,"2,541.60",percent of total billed charges ,,,,,"2,253.55",percent of total billed charges ,,,,,"2,140.87",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,,,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,
MRI UP EXT JT RT WO,73221,CDM,,,RT,both,,,"3,985.00","3,985.00",916.55,"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,"3,148.15",percent of total billed charges,"3,148.15",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 ,"3,148.15",percent of total billed charges ,"3,148.15",percent of total billed charges ,"3,387.25",percent of total billed charges ,"3,387.25",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 ,,,,,,,,,,,,,,,,,,,916.55,percent of total billed charges,,,916.55,percent of total billed charges,,,916.55,percent of total billed charges,,,916.55,percent of total billed charges,,,916.55,percent of total billed charges,,,916.55,percent of total billed charges,,,916.55,percent of total billed charges,,,916.55,percent of total billed charges,,,916.55,percent of total billed charges,,,916.55,percent of total billed charges,,,916.55,percent of total billed charges,
"MRI UP EXT RT OTHER THAN JT, W/WO",73220,CDM,,,RT,both,,,"5,027.00","5,027.00","1,156.21","5,027.00","5,027.00",percent of total billed charges,"5,027.00",percent of total billed charges,"5,027.00",percent of total billed charges,"5,027.00",percent of total billed charges,"5,027.00",percent of total billed charges,"5,027.00",percent of total billed charges,"5,027.00",percent of total billed charges,"5,027.00",percent of total billed charges,"3,619.44",percent of total billed charges,"3,619.44",percent of total billed charges,"3,619.44",percent of total billed charges,"3,619.44",percent of total billed charges,"3,619.44",percent of total billed charges,"3,619.44",percent of total billed charges,"3,971.33",percent of total billed charges,"3,971.33",percent of total billed charges,"4,021.60",percent of total billed charges,"4,021.60",percent of total billed charges,,,"3,619.44",percent of total billed charges ,,,"4,021.60",percent of total billed charges ,"3,971.33",percent of total billed charges ,"3,971.33",percent of total billed charges ,"4,272.95",percent of total billed charges ,"4,272.95",percent of total billed charges ,"4,021.60",percent of total billed charges ,"4,021.60",percent of total billed charges ,"3,518.90",percent of total billed charges ,"3,518.90",percent of total billed charges ,"3,016.20",percent of total billed charges ,"3,016.20",percent of total billed charges ,"3,016.20",percent of total billed charges ,"3,016.20",percent of total billed charges ,,,,,"2,674.36",percent of total billed charges ,,,,,"2,540.65",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,156.21",percent of total billed charges,,,"1,156.21",percent of total billed charges,,,"1,156.21",percent of total billed charges,,,"1,156.21",percent of total billed charges,,,"1,156.21",percent of total billed charges,,,"1,156.21",percent of total billed charges,,,"1,156.21",percent of total billed charges,,,"1,156.21",percent of total billed charges,,,"1,156.21",percent of total billed charges,,,"1,156.21",percent of total billed charges,,,"1,156.21",percent of total billed charges,
"MRI UP EXT RT OTHER THAN JT, W CON",73219,CDM,,,RT,both,,,"5,105.00","5,105.00","1,174.15","5,105.00","5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"3,675.60",percent of total billed charges,"3,675.60",percent of total billed charges,"3,675.60",percent of total billed charges,"3,675.60",percent of total billed charges,"3,675.60",percent of total billed charges,"3,675.60",percent of total billed charges,"4,032.95",percent of total billed charges,"4,032.95",percent of total billed charges,"4,084.00",percent of total billed charges,"4,084.00",percent of total billed charges,,,"3,675.60",percent of total billed charges ,,,"4,084.00",percent of total billed charges ,"4,032.95",percent of total billed charges ,"4,032.95",percent of total billed charges ,"4,339.25",percent of total billed charges ,"4,339.25",percent of total billed charges ,"4,084.00",percent of total billed charges ,"4,084.00",percent of total billed charges ,"3,573.50",percent of total billed charges ,"3,573.50",percent of total billed charges ,"3,063.00",percent of total billed charges ,"3,063.00",percent of total billed charges ,"3,063.00",percent of total billed charges ,"3,063.00",percent of total billed charges ,,,,,"2,715.86",percent of total billed charges ,,,,,"2,580.07",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,
MRI LOW EXT RT W CON,73719,CDM,,,RT,both,,,"5,105.00","5,105.00","1,174.15","5,105.00","5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"3,675.60",percent of total billed charges,"3,675.60",percent of total billed charges,"3,675.60",percent of total billed charges,"3,675.60",percent of total billed charges,"3,675.60",percent of total billed charges,"3,675.60",percent of total billed charges,"4,032.95",percent of total billed charges,"4,032.95",percent of total billed charges,"4,084.00",percent of total billed charges,"4,084.00",percent of total billed charges,,,"3,675.60",percent of total billed charges ,,,"4,084.00",percent of total billed charges ,"4,032.95",percent of total billed charges ,"4,032.95",percent of total billed charges ,"4,339.25",percent of total billed charges ,"4,339.25",percent of total billed charges ,"4,084.00",percent of total billed charges ,"4,084.00",percent of total billed charges ,"3,573.50",percent of total billed charges ,"3,573.50",percent of total billed charges ,"3,063.00",percent of total billed charges ,"3,063.00",percent of total billed charges ,"3,063.00",percent of total billed charges ,"3,063.00",percent of total billed charges ,,,,,"2,715.86",percent of total billed charges ,,,,,"2,580.07",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,
"MRI UP EXT RT OTHER THAN JT, WO",73218,CDM,,,RT,both,,,"3,795.00","3,795.00",872.85,"3,795.00","3,795.00",percent of total billed charges,"3,795.00",percent of total billed charges,"3,795.00",percent of total billed charges,"3,795.00",percent of total billed charges,"3,795.00",percent of total billed charges,"3,795.00",percent of total billed charges,"3,795.00",percent of total billed charges,"3,795.00",percent of total billed charges,"2,732.40",percent of total billed charges,"2,732.40",percent of total billed charges,"2,732.40",percent of total billed charges,"2,732.40",percent of total billed charges,"2,732.40",percent of total billed charges,"2,732.40",percent of total billed charges,"2,998.05",percent of total billed charges,"2,998.05",percent of total billed charges,"3,036.00",percent of total billed charges,"3,036.00",percent of total billed charges,,,"2,732.40",percent of total billed charges ,,,"3,036.00",percent of total billed charges ,"2,998.05",percent of total billed charges ,"2,998.05",percent of total billed charges ,"3,225.75",percent of total billed charges ,"3,225.75",percent of total billed charges ,"3,036.00",percent of total billed charges ,"3,036.00",percent of total billed charges ,"2,656.50",percent of total billed charges ,"2,656.50",percent of total billed charges ,"2,277.00",percent of total billed charges ,"2,277.00",percent of total billed charges ,"2,277.00",percent of total billed charges ,"2,277.00",percent of total billed charges ,,,,,"2,018.94",percent of total billed charges ,,,,,"1,917.99",percent of total billed charges ,,,,,,,,,,,,,,,,,,,872.85,percent of total billed charges,,,872.85,percent of total billed charges,,,872.85,percent of total billed charges,,,872.85,percent of total billed charges,,,872.85,percent of total billed charges,,,872.85,percent of total billed charges,,,872.85,percent of total billed charges,,,872.85,percent of total billed charges,,,872.85,percent of total billed charges,,,872.85,percent of total billed charges,,,872.85,percent of total billed charges,
MRI BRAIN WO,70551,CDM,,,,both,,,"5,152.00","5,152.00","1,184.96","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,"4,070.08",percent of total billed charges,"4,070.08",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 ,"4,070.08",percent of total billed charges ,"4,070.08",percent of total billed charges ,"4,379.20",percent of total billed charges ,"4,379.20",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 ,,,,,,,,,,,,,,,,,,,"1,184.96",percent of total billed charges,,,"1,184.96",percent of total billed charges,,,"1,184.96",percent of total billed charges,,,"1,184.96",percent of total billed charges,,,"1,184.96",percent of total billed charges,,,"1,184.96",percent of total billed charges,,,"1,184.96",percent of total billed charges,,,"1,184.96",percent of total billed charges,,,"1,184.96",percent of total billed charges,,,"1,184.96",percent of total billed charges,,,"1,184.96",percent of total billed charges,
MRI ABDOMEN WO,74181,CDM,,,,both,,,"4,026.00","4,026.00",925.98,"4,026.00","4,026.00",percent of total billed charges,"4,026.00",percent of total billed charges,"4,026.00",percent of total billed charges,"4,026.00",percent of total billed charges,"4,026.00",percent of total billed charges,"4,026.00",percent of total billed charges,"4,026.00",percent of total billed charges,"4,026.00",percent of total billed charges,"2,898.72",percent of total billed charges,"2,898.72",percent of total billed charges,"2,898.72",percent of total billed charges,"2,898.72",percent of total billed charges,"2,898.72",percent of total billed charges,"2,898.72",percent of total billed charges,"3,180.54",percent of total billed charges,"3,180.54",percent of total billed charges,"3,220.80",percent of total billed charges,"3,220.80",percent of total billed charges,,,"2,898.72",percent of total billed charges ,,,"3,220.80",percent of total billed charges ,"3,180.54",percent of total billed charges ,"3,180.54",percent of total billed charges ,"3,422.10",percent of total billed charges ,"3,422.10",percent of total billed charges ,"3,220.80",percent of total billed charges ,"3,220.80",percent of total billed charges ,"2,818.20",percent of total billed charges ,"2,818.20",percent of total billed charges ,"2,415.60",percent of total billed charges ,"2,415.60",percent of total billed charges ,"2,415.60",percent of total billed charges ,"2,415.60",percent of total billed charges ,,,,,"2,141.83",percent of total billed charges ,,,,,"2,034.74",percent of total billed charges ,,,,,,,,,,,,,,,,,,,925.98,percent of total billed charges,,,925.98,percent of total billed charges,,,925.98,percent of total billed charges,,,925.98,percent of total billed charges,,,925.98,percent of total billed charges,,,925.98,percent of total billed charges,,,925.98,percent of total billed charges,,,925.98,percent of total billed charges,,,925.98,percent of total billed charges,,,925.98,percent of total billed charges,,,925.98,percent of total billed charges,
**MRA PELVIS DO NOT USE,72198,CDM,,,,both,,,"4,274.00","4,274.00",983.02,"4,274.00","4,274.00",percent of total billed charges,"4,274.00",percent of total billed charges,"4,274.00",percent of total billed charges,"4,274.00",percent of total billed charges,"4,274.00",percent of total billed charges,"4,274.00",percent of total billed charges,"4,274.00",percent of total billed charges,"4,274.00",percent of total billed charges,"3,077.28",percent of total billed charges,"3,077.28",percent of total billed charges,"3,077.28",percent of total billed charges,"3,077.28",percent of total billed charges,"3,077.28",percent of total billed charges,"3,077.28",percent of total billed charges,"3,376.46",percent of total billed charges,"3,376.46",percent of total billed charges,"3,419.20",percent of total billed charges,"3,419.20",percent of total billed charges,,,"3,077.28",percent of total billed charges ,,,"3,419.20",percent of total billed charges ,"3,376.46",percent of total billed charges ,"3,376.46",percent of total billed charges ,"3,632.90",percent of total billed charges ,"3,632.90",percent of total billed charges ,"3,419.20",percent of total billed charges ,"3,419.20",percent of total billed charges ,"2,991.80",percent of total billed charges ,"2,991.80",percent of total billed charges ,"2,564.40",percent of total billed charges ,"2,564.40",percent of total billed charges ,"2,564.40",percent of total billed charges ,"2,564.40",percent of total billed charges ,,,,,"2,273.77",percent of total billed charges ,,,,,"2,160.08",percent of total billed charges ,,,,,,,,,,,,,,,,,,,983.02,percent of total billed charges,,,983.02,percent of total billed charges,,,983.02,percent of total billed charges,,,983.02,percent of total billed charges,,,983.02,percent of total billed charges,,,983.02,percent of total billed charges,,,983.02,percent of total billed charges,,,983.02,percent of total billed charges,,,983.02,percent of total billed charges,,,983.02,percent of total billed charges,,,983.02,percent of total billed charges,
MRI PELVIS W/WO,72197,CDM,,,,both,,,"6,044.00","6,044.00","1,390.12","6,044.00","6,044.00",percent of total billed charges,"6,044.00",percent of total billed charges,"6,044.00",percent of total billed charges,"6,044.00",percent of total billed charges,"6,044.00",percent of total billed charges,"6,044.00",percent of total billed charges,"6,044.00",percent of total billed charges,"6,044.00",percent of total billed charges,"4,351.68",percent of total billed charges,"4,351.68",percent of total billed charges,"4,351.68",percent of total billed charges,"4,351.68",percent of total billed charges,"4,351.68",percent of total billed charges,"4,351.68",percent of total billed charges,"4,774.76",percent of total billed charges,"4,774.76",percent of total billed charges,"4,835.20",percent of total billed charges,"4,835.20",percent of total billed charges,,,"4,351.68",percent of total billed charges ,,,"4,835.20",percent of total billed charges ,"4,774.76",percent of total billed charges ,"4,774.76",percent of total billed charges ,"5,137.40",percent of total billed charges ,"5,137.40",percent of total billed charges ,"4,835.20",percent of total billed charges ,"4,835.20",percent of total billed charges ,"4,230.80",percent of total billed charges ,"4,230.80",percent of total billed charges ,"3,626.40",percent of total billed charges ,"3,626.40",percent of total billed charges ,"3,626.40",percent of total billed charges ,"3,626.40",percent of total billed charges ,,,,,"3,215.41",percent of total billed charges ,,,,,"3,054.64",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,390.12",percent of total billed charges,,,"1,390.12",percent of total billed charges,,,"1,390.12",percent of total billed charges,,,"1,390.12",percent of total billed charges,,,"1,390.12",percent of total billed charges,,,"1,390.12",percent of total billed charges,,,"1,390.12",percent of total billed charges,,,"1,390.12",percent of total billed charges,,,"1,390.12",percent of total billed charges,,,"1,390.12",percent of total billed charges,,,"1,390.12",percent of total billed charges,
MRI CERV SPIN WO,72141,CDM,,,,both,,,"4,850.00","4,850.00","1,115.50","4,850.00","4,850.00",percent of total billed charges,"4,850.00",percent of total billed charges,"4,850.00",percent of total billed charges,"4,850.00",percent of total billed charges,"4,850.00",percent of total billed charges,"4,850.00",percent of total billed charges,"4,850.00",percent of total billed charges,"4,850.00",percent of total billed charges,"3,492.00",percent of total billed charges,"3,492.00",percent of total billed charges,"3,492.00",percent of total billed charges,"3,492.00",percent of total billed charges,"3,492.00",percent of total billed charges,"3,492.00",percent of total billed charges,"3,831.50",percent of total billed charges,"3,831.50",percent of total billed charges,"3,880.00",percent of total billed charges,"3,880.00",percent of total billed charges,,,"3,492.00",percent of total billed charges ,,,"3,880.00",percent of total billed charges ,"3,831.50",percent of total billed charges ,"3,831.50",percent of total billed charges ,"4,122.50",percent of total billed charges ,"4,122.50",percent of total billed charges ,"3,880.00",percent of total billed charges ,"3,880.00",percent of total billed charges ,"3,395.00",percent of total billed charges ,"3,395.00",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 ,,,,,"2,580.20",percent of total billed charges ,,,,,"2,451.19",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,115.50",percent of total billed charges,,,"1,115.50",percent of total billed charges,,,"1,115.50",percent of total billed charges,,,"1,115.50",percent of total billed charges,,,"1,115.50",percent of total billed charges,,,"1,115.50",percent of total billed charges,,,"1,115.50",percent of total billed charges,,,"1,115.50",percent of total billed charges,,,"1,115.50",percent of total billed charges,,,"1,115.50",percent of total billed charges,,,"1,115.50",percent of total billed charges,
MRI PELVIS WO,72195,CDM,,,,both,,,"5,200.00","5,200.00","1,196.00","5,200.00","5,200.00",percent of total billed charges,"5,200.00",percent of total billed charges,"5,200.00",percent of total billed charges,"5,200.00",percent of total billed charges,"5,200.00",percent of total billed charges,"5,200.00",percent of total billed charges,"5,200.00",percent of total billed charges,"5,200.00",percent of total billed charges,"3,744.00",percent of total billed charges,"3,744.00",percent of total billed charges,"3,744.00",percent of total billed charges,"3,744.00",percent of total billed charges,"3,744.00",percent of total billed charges,"3,744.00",percent of total billed charges,"4,108.00",percent of total billed charges,"4,108.00",percent of total billed charges,"4,160.00",percent of total billed charges,"4,160.00",percent of total billed charges,,,"3,744.00",percent of total billed charges ,,,"4,160.00",percent of total billed charges ,"4,108.00",percent of total billed charges ,"4,108.00",percent of total billed charges ,"4,420.00",percent of total billed charges ,"4,420.00",percent of total billed charges ,"4,160.00",percent of total billed charges ,"4,160.00",percent of total billed charges ,"3,640.00",percent of total billed charges ,"3,640.00",percent of total billed charges ,"3,120.00",percent of total billed charges ,"3,120.00",percent of total billed charges ,"3,120.00",percent of total billed charges ,"3,120.00",percent of total billed charges ,,,,,"2,766.40",percent of total billed charges ,,,,,"2,628.08",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,196.00",percent of total billed charges,,,"1,196.00",percent of total billed charges,,,"1,196.00",percent of total billed charges,,,"1,196.00",percent of total billed charges,,,"1,196.00",percent of total billed charges,,,"1,196.00",percent of total billed charges,,,"1,196.00",percent of total billed charges,,,"1,196.00",percent of total billed charges,,,"1,196.00",percent of total billed charges,,,"1,196.00",percent of total billed charges,,,"1,196.00",percent of total billed charges,
MRA SPINAL CANAL,72159,CDM,,,,both,,,"2,752.00","2,752.00",632.96,"2,752.00","2,752.00",percent of total billed charges,"2,752.00",percent of total billed charges,"2,752.00",percent of total billed charges,"2,752.00",percent of total billed charges,"2,752.00",percent of total billed charges,"2,752.00",percent of total billed charges,"2,752.00",percent of total billed charges,"2,752.00",percent of total billed charges,"1,981.44",percent of total billed charges,"1,981.44",percent of total billed charges,"1,981.44",percent of total billed charges,"1,981.44",percent of total billed charges,"1,981.44",percent of total billed charges,"1,981.44",percent of total billed charges,"2,174.08",percent of total billed charges,"2,174.08",percent of total billed charges,"2,201.60",percent of total billed charges,"2,201.60",percent of total billed charges,,,"1,981.44",percent of total billed charges ,,,"2,201.60",percent of total billed charges ,"2,174.08",percent of total billed charges ,"2,174.08",percent of total billed charges ,"2,339.20",percent of total billed charges ,"2,339.20",percent of total billed charges ,"2,201.60",percent of total billed charges ,"2,201.60",percent of total billed charges ,"1,926.40",percent of total billed charges ,"1,926.40",percent of total billed charges ,"1,651.20",percent of total billed charges ,"1,651.20",percent of total billed charges ,"1,651.20",percent of total billed charges ,"1,651.20",percent of total billed charges ,,,,,"1,464.06",percent of total billed charges ,,,,,"1,390.86",percent of total billed charges ,,,,,,,,,,,,,,,,,,,632.96,percent of total billed charges,,,632.96,percent of total billed charges,,,632.96,percent of total billed charges,,,632.96,percent of total billed charges,,,632.96,percent of total billed charges,,,632.96,percent of total billed charges,,,632.96,percent of total billed charges,,,632.96,percent of total billed charges,,,632.96,percent of total billed charges,,,632.96,percent of total billed charges,,,632.96,percent of total billed charges,
MRI LOW EXT JT RT W/WO,73723,CDM,,,RT,both,,,"5,410.00","5,410.00","1,244.30","5,410.00","5,410.00",percent of total billed charges,"5,410.00",percent of total billed charges,"5,410.00",percent of total billed charges,"5,410.00",percent of total billed charges,"5,410.00",percent of total billed charges,"5,410.00",percent of total billed charges,"5,410.00",percent of total billed charges,"5,410.00",percent of total billed charges,"3,895.20",percent of total billed charges,"3,895.20",percent of total billed charges,"3,895.20",percent of total billed charges,"3,895.20",percent of total billed charges,"3,895.20",percent of total billed charges,"3,895.20",percent of total billed charges,"4,273.90",percent of total billed charges,"4,273.90",percent of total billed charges,"4,328.00",percent of total billed charges,"4,328.00",percent of total billed charges,,,"3,895.20",percent of total billed charges ,,,"4,328.00",percent of total billed charges ,"4,273.90",percent of total billed charges ,"4,273.90",percent of total billed charges ,"4,598.50",percent of total billed charges ,"4,598.50",percent of total billed charges ,"4,328.00",percent of total billed charges ,"4,328.00",percent of total billed charges ,"3,787.00",percent of total billed charges ,"3,787.00",percent of total billed charges ,"3,246.00",percent of total billed charges ,"3,246.00",percent of total billed charges ,"3,246.00",percent of total billed charges ,"3,246.00",percent of total billed charges ,,,,,"2,878.12",percent of total billed charges ,,,,,"2,734.21",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,244.30",percent of total billed charges,,,"1,244.30",percent of total billed charges,,,"1,244.30",percent of total billed charges,,,"1,244.30",percent of total billed charges,,,"1,244.30",percent of total billed charges,,,"1,244.30",percent of total billed charges,,,"1,244.30",percent of total billed charges,,,"1,244.30",percent of total billed charges,,,"1,244.30",percent of total billed charges,,,"1,244.30",percent of total billed charges,,,"1,244.30",percent of total billed charges,
MRI LOW EXT JT RT WO,73721,CDM,,,RT,both,,,"4,016.00","4,016.00",923.68,"4,016.00","4,016.00",percent of total billed charges,"4,016.00",percent of total billed charges,"4,016.00",percent of total billed charges,"4,016.00",percent of total billed charges,"4,016.00",percent of total billed charges,"4,016.00",percent of total billed charges,"4,016.00",percent of total billed charges,"4,016.00",percent of total billed charges,"2,891.52",percent of total billed charges,"2,891.52",percent of total billed charges,"2,891.52",percent of total billed charges,"2,891.52",percent of total billed charges,"2,891.52",percent of total billed charges,"2,891.52",percent of total billed charges,"3,172.64",percent of total billed charges,"3,172.64",percent of total billed charges,"3,212.80",percent of total billed charges,"3,212.80",percent of total billed charges,,,"2,891.52",percent of total billed charges ,,,"3,212.80",percent of total billed charges ,"3,172.64",percent of total billed charges ,"3,172.64",percent of total billed charges ,"3,413.60",percent of total billed charges ,"3,413.60",percent of total billed charges ,"3,212.80",percent of total billed charges ,"3,212.80",percent of total billed charges ,"2,811.20",percent of total billed charges ,"2,811.20",percent of total billed charges ,"2,409.60",percent of total billed charges ,"2,409.60",percent of total billed charges ,"2,409.60",percent of total billed charges ,"2,409.60",percent of total billed charges ,,,,,"2,136.51",percent of total billed charges ,,,,,"2,029.69",percent of total billed charges ,,,,,,,,,,,,,,,,,,,923.68,percent of total billed charges,,,923.68,percent of total billed charges,,,923.68,percent of total billed charges,,,923.68,percent of total billed charges,,,923.68,percent of total billed charges,,,923.68,percent of total billed charges,,,923.68,percent of total billed charges,,,923.68,percent of total billed charges,,,923.68,percent of total billed charges,,,923.68,percent of total billed charges,,,923.68,percent of total billed charges,
MRI TMJ JOINT(S),70336,CDM,,,,both,,,"4,701.00","4,701.00","1,081.23","4,701.00","4,701.00",percent of total billed charges,"4,701.00",percent of total billed charges,"4,701.00",percent of total billed charges,"4,701.00",percent of total billed charges,"4,701.00",percent of total billed charges,"4,701.00",percent of total billed charges,"4,701.00",percent of total billed charges,"4,701.00",percent of total billed charges,"3,384.72",percent of total billed charges,"3,384.72",percent of total billed charges,"3,384.72",percent of total billed charges,"3,384.72",percent of total billed charges,"3,384.72",percent of total billed charges,"3,384.72",percent of total billed charges,"3,713.79",percent of total billed charges,"3,713.79",percent of total billed charges,"3,760.80",percent of total billed charges,"3,760.80",percent of total billed charges,,,"3,384.72",percent of total billed charges ,,,"3,760.80",percent of total billed charges ,"3,713.79",percent of total billed charges ,"3,713.79",percent of total billed charges ,"3,995.85",percent of total billed charges ,"3,995.85",percent of total billed charges ,"3,760.80",percent of total billed charges ,"3,760.80",percent of total billed charges ,"3,290.70",percent of total billed charges ,"3,290.70",percent of total billed charges ,"2,820.60",percent of total billed charges ,"2,820.60",percent of total billed charges ,"2,820.60",percent of total billed charges ,"2,820.60",percent of total billed charges ,,,,,"2,500.93",percent of total billed charges ,,,,,"2,375.89",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,081.23",percent of total billed charges,,,"1,081.23",percent of total billed charges,,,"1,081.23",percent of total billed charges,,,"1,081.23",percent of total billed charges,,,"1,081.23",percent of total billed charges,,,"1,081.23",percent of total billed charges,,,"1,081.23",percent of total billed charges,,,"1,081.23",percent of total billed charges,,,"1,081.23",percent of total billed charges,,,"1,081.23",percent of total billed charges,,,"1,081.23",percent of total billed charges,
MRI LUMBAR W/WO,72158,CDM,,,,both,,,"6,301.00","6,301.00","1,449.23","6,301.00","6,301.00",percent of total billed charges,"6,301.00",percent of total billed charges,"6,301.00",percent of total billed charges,"6,301.00",percent of total billed charges,"6,301.00",percent of total billed charges,"6,301.00",percent of total billed charges,"6,301.00",percent of total billed charges,"6,301.00",percent of total billed charges,"4,536.72",percent of total billed charges,"4,536.72",percent of total billed charges,"4,536.72",percent of total billed charges,"4,536.72",percent of total billed charges,"4,536.72",percent of total billed charges,"4,536.72",percent of total billed charges,"4,977.79",percent of total billed charges,"4,977.79",percent of total billed charges,"5,040.80",percent of total billed charges,"5,040.80",percent of total billed charges,,,"4,536.72",percent of total billed charges ,,,"5,040.80",percent of total billed charges ,"4,977.79",percent of total billed charges ,"4,977.79",percent of total billed charges ,"5,355.85",percent of total billed charges ,"5,355.85",percent of total billed charges ,"5,040.80",percent of total billed charges ,"5,040.80",percent of total billed charges ,"4,410.70",percent of total billed charges ,"4,410.70",percent of total billed charges ,"3,780.60",percent of total billed charges ,"3,780.60",percent of total billed charges ,"3,780.60",percent of total billed charges ,"3,780.60",percent of total billed charges ,,,,,"3,352.13",percent of total billed charges ,,,,,"3,184.53",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,449.23",percent of total billed charges,,,"1,449.23",percent of total billed charges,,,"1,449.23",percent of total billed charges,,,"1,449.23",percent of total billed charges,,,"1,449.23",percent of total billed charges,,,"1,449.23",percent of total billed charges,,,"1,449.23",percent of total billed charges,,,"1,449.23",percent of total billed charges,,,"1,449.23",percent of total billed charges,,,"1,449.23",percent of total billed charges,,,"1,449.23",percent of total billed charges,
MRI CERV SPIN W/WO,72156,CDM,,,,both,,,"5,910.00","5,910.00","1,359.30","5,910.00","5,910.00",percent of total billed charges,"5,910.00",percent of total billed charges,"5,910.00",percent of total billed charges,"5,910.00",percent of total billed charges,"5,910.00",percent of total billed charges,"5,910.00",percent of total billed charges,"5,910.00",percent of total billed charges,"5,910.00",percent of total billed charges,"4,255.20",percent of total billed charges,"4,255.20",percent of total billed charges,"4,255.20",percent of total billed charges,"4,255.20",percent of total billed charges,"4,255.20",percent of total billed charges,"4,255.20",percent of total billed charges,"4,668.90",percent of total billed charges,"4,668.90",percent of total billed charges,"4,728.00",percent of total billed charges,"4,728.00",percent of total billed charges,,,"4,255.20",percent of total billed charges ,,,"4,728.00",percent of total billed charges ,"4,668.90",percent of total billed charges ,"4,668.90",percent of total billed charges ,"5,023.50",percent of total billed charges ,"5,023.50",percent of total billed charges ,"4,728.00",percent of total billed charges ,"4,728.00",percent of total billed charges ,"4,137.00",percent of total billed charges ,"4,137.00",percent of total billed charges ,"3,546.00",percent of total billed charges ,"3,546.00",percent of total billed charges ,"3,546.00",percent of total billed charges ,"3,546.00",percent of total billed charges ,,,,,"3,144.12",percent of total billed charges ,,,,,"2,986.91",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,359.30",percent of total billed charges,,,"1,359.30",percent of total billed charges,,,"1,359.30",percent of total billed charges,,,"1,359.30",percent of total billed charges,,,"1,359.30",percent of total billed charges,,,"1,359.30",percent of total billed charges,,,"1,359.30",percent of total billed charges,,,"1,359.30",percent of total billed charges,,,"1,359.30",percent of total billed charges,,,"1,359.30",percent of total billed charges,,,"1,359.30",percent of total billed charges,
MRI THORACIC W/WO,72157,CDM,,,,both,,,"7,861.00","7,861.00","1,808.03","7,861.00","7,861.00",percent of total billed charges,"7,861.00",percent of total billed charges,"7,861.00",percent of total billed charges,"7,861.00",percent of total billed charges,"7,861.00",percent of total billed charges,"7,861.00",percent of total billed charges,"7,861.00",percent of total billed charges,"7,861.00",percent of total billed charges,"5,659.92",percent of total billed charges,"5,659.92",percent of total billed charges,"5,659.92",percent of total billed charges,"5,659.92",percent of total billed charges,"5,659.92",percent of total billed charges,"5,659.92",percent of total billed charges,"6,210.19",percent of total billed charges,"6,210.19",percent of total billed charges,"6,288.80",percent of total billed charges,"6,288.80",percent of total billed charges,,,"5,659.92",percent of total billed charges ,,,"6,288.80",percent of total billed charges ,"6,210.19",percent of total billed charges ,"6,210.19",percent of total billed charges ,"6,681.85",percent of total billed charges ,"6,681.85",percent of total billed charges ,"6,288.80",percent of total billed charges ,"6,288.80",percent of total billed charges ,"5,502.70",percent of total billed charges ,"5,502.70",percent of total billed charges ,"4,716.60",percent of total billed charges ,"4,716.60",percent of total billed charges ,"4,716.60",percent of total billed charges ,"4,716.60",percent of total billed charges ,,,,,"4,182.05",percent of total billed charges ,,,,,"3,972.95",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,808.03",percent of total billed charges,,,"1,808.03",percent of total billed charges,,,"1,808.03",percent of total billed charges,,,"1,808.03",percent of total billed charges,,,"1,808.03",percent of total billed charges,,,"1,808.03",percent of total billed charges,,,"1,808.03",percent of total billed charges,,,"1,808.03",percent of total billed charges,,,"1,808.03",percent of total billed charges,,,"1,808.03",percent of total billed charges,,,"1,808.03",percent of total billed charges,
MRA HEAD W CON,70545,CDM,,,,both,,,"5,105.00","5,105.00","1,174.15","5,105.00","5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"3,675.60",percent of total billed charges,"3,675.60",percent of total billed charges,"3,675.60",percent of total billed charges,"3,675.60",percent of total billed charges,"3,675.60",percent of total billed charges,"3,675.60",percent of total billed charges,"4,032.95",percent of total billed charges,"4,032.95",percent of total billed charges,"4,084.00",percent of total billed charges,"4,084.00",percent of total billed charges,,,"3,675.60",percent of total billed charges ,,,"4,084.00",percent of total billed charges ,"4,032.95",percent of total billed charges ,"4,032.95",percent of total billed charges ,"4,339.25",percent of total billed charges ,"4,339.25",percent of total billed charges ,"4,084.00",percent of total billed charges ,"4,084.00",percent of total billed charges ,"3,573.50",percent of total billed charges ,"3,573.50",percent of total billed charges ,"3,063.00",percent of total billed charges ,"3,063.00",percent of total billed charges ,"3,063.00",percent of total billed charges ,"3,063.00",percent of total billed charges ,,,,,"2,715.86",percent of total billed charges ,,,,,"2,580.07",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,
MRA NECK W/WO,70549,CDM,,,,both,,,"6,637.00","6,637.00","1,526.51","6,637.00","6,637.00",percent of total billed charges,"6,637.00",percent of total billed charges,"6,637.00",percent of total billed charges,"6,637.00",percent of total billed charges,"6,637.00",percent of total billed charges,"6,637.00",percent of total billed charges,"6,637.00",percent of total billed charges,"6,637.00",percent of total billed charges,"4,778.64",percent of total billed charges,"4,778.64",percent of total billed charges,"4,778.64",percent of total billed charges,"4,778.64",percent of total billed charges,"4,778.64",percent of total billed charges,"4,778.64",percent of total billed charges,"5,243.23",percent of total billed charges,"5,243.23",percent of total billed charges,"5,309.60",percent of total billed charges,"5,309.60",percent of total billed charges,,,"4,778.64",percent of total billed charges ,,,"5,309.60",percent of total billed charges ,"5,243.23",percent of total billed charges ,"5,243.23",percent of total billed charges ,"5,641.45",percent of total billed charges ,"5,641.45",percent of total billed charges ,"5,309.60",percent of total billed charges ,"5,309.60",percent of total billed charges ,"4,645.90",percent of total billed charges ,"4,645.90",percent of total billed charges ,"3,982.20",percent of total billed charges ,"3,982.20",percent of total billed charges ,"3,982.20",percent of total billed charges ,"3,982.20",percent of total billed charges ,,,,,"3,530.88",percent of total billed charges ,,,,,"3,354.34",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,526.51",percent of total billed charges,,,"1,526.51",percent of total billed charges,,,"1,526.51",percent of total billed charges,,,"1,526.51",percent of total billed charges,,,"1,526.51",percent of total billed charges,,,"1,526.51",percent of total billed charges,,,"1,526.51",percent of total billed charges,,,"1,526.51",percent of total billed charges,,,"1,526.51",percent of total billed charges,,,"1,526.51",percent of total billed charges,,,"1,526.51",percent of total billed charges,
MRA HEAD W/WO,70546,CDM,,,,both,,,"6,412.00","6,412.00","1,474.76","6,412.00","6,412.00",percent of total billed charges,"6,412.00",percent of total billed charges,"6,412.00",percent of total billed charges,"6,412.00",percent of total billed charges,"6,412.00",percent of total billed charges,"6,412.00",percent of total billed charges,"6,412.00",percent of total billed charges,"6,412.00",percent of total billed charges,"4,616.64",percent of total billed charges,"4,616.64",percent of total billed charges,"4,616.64",percent of total billed charges,"4,616.64",percent of total billed charges,"4,616.64",percent of total billed charges,"4,616.64",percent of total billed charges,"5,065.48",percent of total billed charges,"5,065.48",percent of total billed charges,"5,129.60",percent of total billed charges,"5,129.60",percent of total billed charges,,,"4,616.64",percent of total billed charges ,,,"5,129.60",percent of total billed charges ,"5,065.48",percent of total billed charges ,"5,065.48",percent of total billed charges ,"5,450.20",percent of total billed charges ,"5,450.20",percent of total billed charges ,"5,129.60",percent of total billed charges ,"5,129.60",percent of total billed charges ,"4,488.40",percent of total billed charges ,"4,488.40",percent of total billed charges ,"3,847.20",percent of total billed charges ,"3,847.20",percent of total billed charges ,"3,847.20",percent of total billed charges ,"3,847.20",percent of total billed charges ,,,,,"3,411.18",percent of total billed charges ,,,,,"3,240.62",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,474.76",percent of total billed charges,,,"1,474.76",percent of total billed charges,,,"1,474.76",percent of total billed charges,,,"1,474.76",percent of total billed charges,,,"1,474.76",percent of total billed charges,,,"1,474.76",percent of total billed charges,,,"1,474.76",percent of total billed charges,,,"1,474.76",percent of total billed charges,,,"1,474.76",percent of total billed charges,,,"1,474.76",percent of total billed charges,,,"1,474.76",percent of total billed charges,
MRA HEAD WO,70544,CDM,,,,both,,,"4,748.00","4,748.00","1,092.04","4,748.00","4,748.00",percent of total billed charges,"4,748.00",percent of total billed charges,"4,748.00",percent of total billed charges,"4,748.00",percent of total billed charges,"4,748.00",percent of total billed charges,"4,748.00",percent of total billed charges,"4,748.00",percent of total billed charges,"4,748.00",percent of total billed charges,"3,418.56",percent of total billed charges,"3,418.56",percent of total billed charges,"3,418.56",percent of total billed charges,"3,418.56",percent of total billed charges,"3,418.56",percent of total billed charges,"3,418.56",percent of total billed charges,"3,750.92",percent of total billed charges,"3,750.92",percent of total billed charges,"3,798.40",percent of total billed charges,"3,798.40",percent of total billed charges,,,"3,418.56",percent of total billed charges ,,,"3,798.40",percent of total billed charges ,"3,750.92",percent of total billed charges ,"3,750.92",percent of total billed charges ,"4,035.80",percent of total billed charges ,"4,035.80",percent of total billed charges ,"3,798.40",percent of total billed charges ,"3,798.40",percent of total billed charges ,"3,323.60",percent of total billed charges ,"3,323.60",percent of total billed charges ,"2,848.80",percent of total billed charges ,"2,848.80",percent of total billed charges ,"2,848.80",percent of total billed charges ,"2,848.80",percent of total billed charges ,,,,,"2,525.94",percent of total billed charges ,,,,,"2,399.64",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,092.04",percent of total billed charges,,,"1,092.04",percent of total billed charges,,,"1,092.04",percent of total billed charges,,,"1,092.04",percent of total billed charges,,,"1,092.04",percent of total billed charges,,,"1,092.04",percent of total billed charges,,,"1,092.04",percent of total billed charges,,,"1,092.04",percent of total billed charges,,,"1,092.04",percent of total billed charges,,,"1,092.04",percent of total billed charges,,,"1,092.04",percent of total billed charges,
MRA NECK WO,70547,CDM,,,,both,,,"4,671.00","4,671.00","1,074.33","4,671.00","4,671.00",percent of total billed charges,"4,671.00",percent of total billed charges,"4,671.00",percent of total billed charges,"4,671.00",percent of total billed charges,"4,671.00",percent of total billed charges,"4,671.00",percent of total billed charges,"4,671.00",percent of total billed charges,"4,671.00",percent of total billed charges,"3,363.12",percent of total billed charges,"3,363.12",percent of total billed charges,"3,363.12",percent of total billed charges,"3,363.12",percent of total billed charges,"3,363.12",percent of total billed charges,"3,363.12",percent of total billed charges,"3,690.09",percent of total billed charges,"3,690.09",percent of total billed charges,"3,736.80",percent of total billed charges,"3,736.80",percent of total billed charges,,,"3,363.12",percent of total billed charges ,,,"3,736.80",percent of total billed charges ,"3,690.09",percent of total billed charges ,"3,690.09",percent of total billed charges ,"3,970.35",percent of total billed charges ,"3,970.35",percent of total billed charges ,"3,736.80",percent of total billed charges ,"3,736.80",percent of total billed charges ,"3,269.70",percent of total billed charges ,"3,269.70",percent of total billed charges ,"2,802.60",percent of total billed charges ,"2,802.60",percent of total billed charges ,"2,802.60",percent of total billed charges ,"2,802.60",percent of total billed charges ,,,,,"2,484.97",percent of total billed charges ,,,,,"2,360.72",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,074.33",percent of total billed charges,,,"1,074.33",percent of total billed charges,,,"1,074.33",percent of total billed charges,,,"1,074.33",percent of total billed charges,,,"1,074.33",percent of total billed charges,,,"1,074.33",percent of total billed charges,,,"1,074.33",percent of total billed charges,,,"1,074.33",percent of total billed charges,,,"1,074.33",percent of total billed charges,,,"1,074.33",percent of total billed charges,,,"1,074.33",percent of total billed charges,
MRA NECK W CON,70548,CDM,,,,both,,,"5,105.00","5,105.00","1,174.15","5,105.00","5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"3,675.60",percent of total billed charges,"3,675.60",percent of total billed charges,"3,675.60",percent of total billed charges,"3,675.60",percent of total billed charges,"3,675.60",percent of total billed charges,"3,675.60",percent of total billed charges,"4,032.95",percent of total billed charges,"4,032.95",percent of total billed charges,"4,084.00",percent of total billed charges,"4,084.00",percent of total billed charges,,,"3,675.60",percent of total billed charges ,,,"4,084.00",percent of total billed charges ,"4,032.95",percent of total billed charges ,"4,032.95",percent of total billed charges ,"4,339.25",percent of total billed charges ,"4,339.25",percent of total billed charges ,"4,084.00",percent of total billed charges ,"4,084.00",percent of total billed charges ,"3,573.50",percent of total billed charges ,"3,573.50",percent of total billed charges ,"3,063.00",percent of total billed charges ,"3,063.00",percent of total billed charges ,"3,063.00",percent of total billed charges ,"3,063.00",percent of total billed charges ,,,,,"2,715.86",percent of total billed charges ,,,,,"2,580.07",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,
NM ULTRATAG RBC,A9560,CDM,,,,both,,,"1,720.00","1,720.00",395.6,"1,720.00","1,720.00",percent of total billed charges,"1,720.00",percent of total billed charges,"1,720.00",percent of total billed charges,"1,720.00",percent of total billed charges,"1,720.00",percent of total billed charges,"1,720.00",percent of total billed charges,"1,720.00",percent of total billed charges,"1,720.00",percent of total billed charges,"1,238.40",percent of total billed charges,"1,238.40",percent of total billed charges,"1,238.40",percent of total billed charges,"1,238.40",percent of total billed charges,"1,238.40",percent of total billed charges,"1,238.40",percent of total billed charges,"1,358.80",percent of total billed charges,"1,358.80",percent of total billed charges,"1,376.00",percent of total billed charges,"1,376.00",percent of total billed charges,,,"1,238.40",percent of total billed charges ,,,"1,376.00",percent of total billed charges ,"1,358.80",percent of total billed charges ,"1,358.80",percent of total billed charges ,"1,462.00",percent of total billed charges ,"1,462.00",percent of total billed charges ,"1,376.00",percent of total billed charges ,"1,376.00",percent of total billed charges ,"1,204.00",percent of total billed charges ,"1,204.00",percent of total billed charges ,"1,032.00",percent of total billed charges ,"1,032.00",percent of total billed charges ,"1,032.00",percent of total billed charges ,"1,032.00",percent of total billed charges ,,,,,915.04,percent of total billed charges ,,,,,869.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,395.6,percent of total billed charges,,,395.6,percent of total billed charges,,,395.6,percent of total billed charges,,,395.6,percent of total billed charges,,,395.6,percent of total billed charges,,,395.6,percent of total billed charges,,,395.6,percent of total billed charges,,,395.6,percent of total billed charges,,,395.6,percent of total billed charges,,,395.6,percent of total billed charges,,,395.6,percent of total billed charges,
CATHETER HICKMAN 9.6,621,RC,55513-01-2610,NDC,,both,,,"1,246.00","1,246.00",286.58,"1,246.00","1,246.00",percent of total billed charges,"1,246.00",percent of total billed charges,"1,246.00",percent of total billed charges,"1,246.00",percent of total billed charges,"1,246.00",percent of total billed charges,"1,246.00",percent of total billed charges,"1,246.00",percent of total billed charges,"1,246.00",percent of total billed charges,897.12,percent of total billed charges,897.12,percent of total billed charges,897.12,percent of total billed charges,897.12,percent of total billed charges,897.12,percent of total billed charges,897.12,percent of total billed charges,984.34,percent of total billed charges,984.34,percent of total billed charges,996.8,percent of total billed charges,996.8,percent of total billed charges,,,897.12,percent of total billed charges ,,,996.8,percent of total billed charges ,984.34,percent of total billed charges ,984.34,percent of total billed charges ,"1,059.10",percent of total billed charges ,"1,059.10",percent of total billed charges ,996.8,percent of total billed charges ,996.8,percent of total billed charges ,872.2,percent of total billed charges ,872.2,percent of total billed charges ,747.6,percent of total billed charges ,747.6,percent of total billed charges ,747.6,percent of total billed charges ,747.6,percent of total billed charges ,,,,,662.87,percent of total billed charges ,,,,,629.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,286.58,percent of total billed charges,,,286.58,percent of total billed charges,,,286.58,percent of total billed charges,,,286.58,percent of total billed charges,,,286.58,percent of total billed charges,,,286.58,percent of total billed charges,,,286.58,percent of total billed charges,,,286.58,percent of total billed charges,,,286.58,percent of total billed charges,,,286.58,percent of total billed charges,,,286.58,percent of total billed charges,
CATHETER STANDARD,621,RC,55513-01-2610,NDC,,both,,,169,169,38.87,169,169,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,133.51,percent of total billed charges,133.51,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 ,133.51,percent of total billed charges ,133.51,percent of total billed charges ,143.65,percent of total billed charges ,143.65,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 ,,,,,,,,,,,,,,,,,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,
NM VENTILATION KIT,621,RC,55513-01-2610,NDC,,both,,,305,305,70.15,305,305,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,240.95,percent of total billed charges,240.95,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 ,240.95,percent of total billed charges ,240.95,percent of total billed charges ,259.25,percent of total billed charges ,259.25,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 ,,,,,,,,,,,,,,,,,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,
**NM TC 04 MUGA/MECKELES,A4641,CDM,,,,both,,,595,595,136.85,595,595,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,470.05,percent of total billed charges,470.05,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 ,470.05,percent of total billed charges ,470.05,percent of total billed charges ,505.75,percent of total billed charges ,505.75,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 ,,,,,,,,,,,,,,,,,,,136.85,percent of total billed charges,,,136.85,percent of total billed charges,,,136.85,percent of total billed charges,,,136.85,percent of total billed charges,,,136.85,percent of total billed charges,,,136.85,percent of total billed charges,,,136.85,percent of total billed charges,,,136.85,percent of total billed charges,,,136.85,percent of total billed charges,,,136.85,percent of total billed charges,,,136.85,percent of total billed charges,
**OMNIPAQUE 300/125ML,Q9967,CDM,,,,both,,,787,787,181.01,787,787,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,621.73,percent of total billed charges,621.73,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 ,621.73,percent of total billed charges ,621.73,percent of total billed charges ,668.95,percent of total billed charges ,668.95,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 ,,,,,,,,,,,,,,,,,,,181.01,percent of total billed charges,,,181.01,percent of total billed charges,,,181.01,percent of total billed charges,,,181.01,percent of total billed charges,,,181.01,percent of total billed charges,,,181.01,percent of total billed charges,,,181.01,percent of total billed charges,,,181.01,percent of total billed charges,,,181.01,percent of total billed charges,,,181.01,percent of total billed charges,,,181.01,percent of total billed charges,
**OMNIPAQUE 240/20CC,Q9966,CDM,,,,both,,,293,293,67.39,293,293,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,231.47,percent of total billed charges,231.47,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 ,231.47,percent of total billed charges ,231.47,percent of total billed charges ,249.05,percent of total billed charges ,249.05,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 ,,,,,,,,,,,,,,,,,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,
**VISIPAQUE 320/50ML,Q9967,CDM,,,,both,,,281,281,64.63,281,281,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,221.99,percent of total billed charges,221.99,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 ,221.99,percent of total billed charges ,221.99,percent of total billed charges ,238.85,percent of total billed charges ,238.85,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 ,,,,,,,,,,,,,,,,,,,64.63,percent of total billed charges,,,64.63,percent of total billed charges,,,64.63,percent of total billed charges,,,64.63,percent of total billed charges,,,64.63,percent of total billed charges,,,64.63,percent of total billed charges,,,64.63,percent of total billed charges,,,64.63,percent of total billed charges,,,64.63,percent of total billed charges,,,64.63,percent of total billed charges,,,64.63,percent of total billed charges,
NM TC99M SULFUR COLL/DOSE UP TO 20 MCI,A9541,CDM,,,,both,,,"1,075.00","1,075.00",247.25,"1,075.00","1,075.00",percent of total billed charges,"1,075.00",percent of total billed charges,"1,075.00",percent of total billed charges,"1,075.00",percent of total billed charges,"1,075.00",percent of total billed charges,"1,075.00",percent of total billed charges,"1,075.00",percent of total billed charges,"1,075.00",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,849.25,percent of total billed charges,849.25,percent of total billed charges,860,percent of total billed charges,860,percent of total billed charges,,,774,percent of total billed charges ,,,860,percent of total billed charges ,849.25,percent of total billed charges ,849.25,percent of total billed charges ,913.75,percent of total billed charges ,913.75,percent of total billed charges ,860,percent of total billed charges ,860,percent of total billed charges ,752.5,percent of total billed charges ,752.5,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 ,,,,,571.9,percent of total billed charges ,,,,,543.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,247.25,percent of total billed charges,,,247.25,percent of total billed charges,,,247.25,percent of total billed charges,,,247.25,percent of total billed charges,,,247.25,percent of total billed charges,,,247.25,percent of total billed charges,,,247.25,percent of total billed charges,,,247.25,percent of total billed charges,,,247.25,percent of total billed charges,,,247.25,percent of total billed charges,,,247.25,percent of total billed charges,
**NM INDIUM DTPA,A4641,CDM,,,,both,,,595,595,136.85,595,595,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,470.05,percent of total billed charges,470.05,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 ,470.05,percent of total billed charges ,470.05,percent of total billed charges ,505.75,percent of total billed charges ,505.75,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 ,,,,,,,,,,,,,,,,,,,136.85,percent of total billed charges,,,136.85,percent of total billed charges,,,136.85,percent of total billed charges,,,136.85,percent of total billed charges,,,136.85,percent of total billed charges,,,136.85,percent of total billed charges,,,136.85,percent of total billed charges,,,136.85,percent of total billed charges,,,136.85,percent of total billed charges,,,136.85,percent of total billed charges,,,136.85,percent of total billed charges,
**OMNIPAQUE 240/100CC,Q9966,CDM,,,,both,,,312,312,71.76,312,312,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,246.48,percent of total billed charges,246.48,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 ,246.48,percent of total billed charges ,246.48,percent of total billed charges ,265.2,percent of total billed charges ,265.2,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
OMNIPAQUE 350/100ML,Q9967,CDM,,,,both,,,110,110,25.3,110,110,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,86.9,percent of total billed charges,86.9,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 ,86.9,percent of total billed charges ,86.9,percent of total billed charges ,93.5,percent of total billed charges ,93.5,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 ,,,,,,,,,,,,,,,,,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,
NM INDIUM OXYQUINOLINE PER 0.5MCI,A9547,CDM,,,,both,,,"4,855.00","4,855.00","1,116.65","4,855.00","4,855.00",percent of total billed charges,"4,855.00",percent of total billed charges,"4,855.00",percent of total billed charges,"4,855.00",percent of total billed charges,"4,855.00",percent of total billed charges,"4,855.00",percent of total billed charges,"4,855.00",percent of total billed charges,"4,855.00",percent of total billed charges,"3,495.60",percent of total billed charges,"3,495.60",percent of total billed charges,"3,495.60",percent of total billed charges,"3,495.60",percent of total billed charges,"3,495.60",percent of total billed charges,"3,495.60",percent of total billed charges,"3,835.45",percent of total billed charges,"3,835.45",percent of total billed charges,"3,884.00",percent of total billed charges,"3,884.00",percent of total billed charges,,,"3,495.60",percent of total billed charges ,,,"3,884.00",percent of total billed charges ,"3,835.45",percent of total billed charges ,"3,835.45",percent of total billed charges ,"4,126.75",percent of total billed charges ,"4,126.75",percent of total billed charges ,"3,884.00",percent of total billed charges ,"3,884.00",percent of total billed charges ,"3,398.50",percent of total billed charges ,"3,398.50",percent of total billed charges ,"2,913.00",percent of total billed charges ,"2,913.00",percent of total billed charges ,"2,913.00",percent of total billed charges ,"2,913.00",percent of total billed charges ,,,,,"2,582.86",percent of total billed charges ,,,,,"2,453.72",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,116.65",percent of total billed charges,,,"1,116.65",percent of total billed charges,,,"1,116.65",percent of total billed charges,,,"1,116.65",percent of total billed charges,,,"1,116.65",percent of total billed charges,,,"1,116.65",percent of total billed charges,,,"1,116.65",percent of total billed charges,,,"1,116.65",percent of total billed charges,,,"1,116.65",percent of total billed charges,,,"1,116.65",percent of total billed charges,,,"1,116.65",percent of total billed charges,
**OMNIPAQUE 300/50CC,Q9967,CDM,,,,both,,,276,276,63.48,276,276,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,218.04,percent of total billed charges,218.04,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 ,218.04,percent of total billed charges ,218.04,percent of total billed charges ,234.6,percent of total billed charges ,234.6,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 ,,,,,,,,,,,,,,,,,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,
**VISIPAQUE 320/100ML,Q9967,CDM,,,,both,,,578,578,132.94,578,578,percent of total billed charges,578,percent of total billed charges,578,percent of total billed charges,578,percent of total billed charges,578,percent of total billed charges,578,percent of total billed charges,578,percent of total billed charges,578,percent of total billed charges,416.16,percent of total billed charges,416.16,percent of total billed charges,416.16,percent of total billed charges,416.16,percent of total billed charges,416.16,percent of total billed charges,416.16,percent of total billed charges,456.62,percent of total billed charges,456.62,percent of total billed charges,462.4,percent of total billed charges,462.4,percent of total billed charges,,,416.16,percent of total billed charges ,,,462.4,percent of total billed charges ,456.62,percent of total billed charges ,456.62,percent of total billed charges ,491.3,percent of total billed charges ,491.3,percent of total billed charges ,462.4,percent of total billed charges ,462.4,percent of total billed charges ,404.6,percent of total billed charges ,404.6,percent of total billed charges ,346.8,percent of total billed charges ,346.8,percent of total billed charges ,346.8,percent of total billed charges ,346.8,percent of total billed charges ,,,,,307.5,percent of total billed charges ,,,,,292.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,
NM TC 99M MDP/BONE,A9503,CDM,,,,both,,,396,396,91.08,396,396,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,312.84,percent of total billed charges,312.84,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 ,312.84,percent of total billed charges ,312.84,percent of total billed charges ,336.6,percent of total billed charges ,336.6,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 ,,,,,,,,,,,,,,,,,,,91.08,percent of total billed charges,,,91.08,percent of total billed charges,,,91.08,percent of total billed charges,,,91.08,percent of total billed charges,,,91.08,percent of total billed charges,,,91.08,percent of total billed charges,,,91.08,percent of total billed charges,,,91.08,percent of total billed charges,,,91.08,percent of total billed charges,,,91.08,percent of total billed charges,,,91.08,percent of total billed charges,
**NM TC 99M DTPA/LUNGVENT,A9567,CDM,,,,both,,,447,447,102.81,447,447,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,353.13,percent of total billed charges,353.13,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 ,353.13,percent of total billed charges ,353.13,percent of total billed charges ,379.95,percent of total billed charges ,379.95,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 ,,,,,,,,,,,,,,,,,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,
NM TC 99M MEBROFENIN,A9537,CDM,,,,both,,,360,360,82.8,360,360,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,284.4,percent of total billed charges,284.4,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 ,284.4,percent of total billed charges ,284.4,percent of total billed charges ,306,percent of total billed charges ,306,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
NM I 123 FOR THYROID,A9516,CDM,,,,both,,,"1,066.00","1,066.00",245.18,"1,066.00","1,066.00",percent of total billed charges,"1,066.00",percent of total billed charges,"1,066.00",percent of total billed charges,"1,066.00",percent of total billed charges,"1,066.00",percent of total billed charges,"1,066.00",percent of total billed charges,"1,066.00",percent of total billed charges,"1,066.00",percent of total billed charges,767.52,percent of total billed charges,767.52,percent of total billed charges,767.52,percent of total billed charges,767.52,percent of total billed charges,767.52,percent of total billed charges,767.52,percent of total billed charges,842.14,percent of total billed charges,842.14,percent of total billed charges,852.8,percent of total billed charges,852.8,percent of total billed charges,,,767.52,percent of total billed charges ,,,852.8,percent of total billed charges ,842.14,percent of total billed charges ,842.14,percent of total billed charges ,906.1,percent of total billed charges ,906.1,percent of total billed charges ,852.8,percent of total billed charges ,852.8,percent of total billed charges ,746.2,percent of total billed charges ,746.2,percent of total billed charges ,639.6,percent of total billed charges ,639.6,percent of total billed charges ,639.6,percent of total billed charges ,639.6,percent of total billed charges ,,,,,567.11,percent of total billed charges ,,,,,538.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,245.18,percent of total billed charges,,,245.18,percent of total billed charges,,,245.18,percent of total billed charges,,,245.18,percent of total billed charges,,,245.18,percent of total billed charges,,,245.18,percent of total billed charges,,,245.18,percent of total billed charges,,,245.18,percent of total billed charges,,,245.18,percent of total billed charges,,,245.18,percent of total billed charges,,,245.18,percent of total billed charges,
NM TC 99M MAG RENAL,A9562,CDM,,,,both,,,"1,288.00","1,288.00",296.24,"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,"1,017.52",percent of total billed charges,"1,017.52",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 ,"1,017.52",percent of total billed charges ,"1,017.52",percent of total billed charges ,"1,094.80",percent of total billed charges ,"1,094.80",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 ,,,,,,,,,,,,,,,,,,,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,
**NM PERSANTINE,J1245,CDM,,,,both,,,269,269,61.87,269,269,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,212.51,percent of total billed charges,212.51,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 ,212.51,percent of total billed charges ,212.51,percent of total billed charges ,228.65,percent of total billed charges ,228.65,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,61.87,percent of total billed charges,,,61.87,percent of total billed charges,,,61.87,percent of total billed charges,
NM SESTAMIBI TC99M UP TO 40 MCI,A9500,CDM,,,,both,,,598,598,137.54,598,598,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,472.42,percent of total billed charges,472.42,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 ,472.42,percent of total billed charges ,472.42,percent of total billed charges ,508.3,percent of total billed charges ,508.3,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 ,,,,,,,,,,,,,,,,,,,137.54,percent of total billed charges,,,137.54,percent of total billed charges,,,137.54,percent of total billed charges,,,137.54,percent of total billed charges,,,137.54,percent of total billed charges,,,137.54,percent of total billed charges,,,137.54,percent of total billed charges,,,137.54,percent of total billed charges,,,137.54,percent of total billed charges,,,137.54,percent of total billed charges,,,137.54,percent of total billed charges,
NM THALLIUM DOSE,A9505,CDM,,,,both,,,176,176,40.48,176,176,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,139.04,percent of total billed charges,139.04,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 ,139.04,percent of total billed charges ,139.04,percent of total billed charges ,149.6,percent of total billed charges ,149.6,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 ,,,,,,,,,,,,,,,,,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,
**GLUCAGON INJECTIONS DO NOT USE,J1610,CDM,,,,both,,,357,357,82.11,357,357,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,357,percent of total billed charges,357,percent of total billed charges,357,percent of total billed charges,257.04,percent of total billed charges,257.04,percent of total billed charges,257.04,percent of total billed charges,257.04,percent of total billed charges,257.04,percent of total billed charges,257.04,percent of total billed charges,282.03,percent of total billed charges,282.03,percent of total billed charges,285.6,percent of total billed charges,285.6,percent of total billed charges,,,257.04,percent of total billed charges ,,,285.6,percent of total billed charges ,282.03,percent of total billed charges ,282.03,percent of total billed charges ,303.45,percent of total billed charges ,303.45,percent of total billed charges ,285.6,percent of total billed charges ,285.6,percent of total billed charges ,249.9,percent of total billed charges ,249.9,percent of total billed charges ,214.2,percent of total billed charges ,214.2,percent of total billed charges ,214.2,percent of total billed charges ,214.2,percent of total billed charges ,,,,,189.92,percent of total billed charges ,,,,,180.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,82.11,percent of total billed charges,,,82.11,percent of total billed charges,,,82.11,percent of total billed charges,,,82.11,percent of total billed charges,,,82.11,percent of total billed charges,,,82.11,percent of total billed charges,,,82.11,percent of total billed charges,,,82.11,percent of total billed charges,,,82.11,percent of total billed charges,,,82.11,percent of total billed charges,,,82.11,percent of total billed charges,
ISOVUE 200/10ML,Q9965,CDM,,,,both,,,156,156,35.88,156,156,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,123.24,percent of total billed charges,123.24,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 ,123.24,percent of total billed charges ,123.24,percent of total billed charges ,132.6,percent of total billed charges ,132.6,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 ,,,,,,,,,,,,,,,,,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,
NM TC99M MAA UP TO 10 MCI,A9540,CDM,,,,both,,,298,298,68.54,298,298,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,235.42,percent of total billed charges,235.42,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 ,235.42,percent of total billed charges ,235.42,percent of total billed charges ,253.3,percent of total billed charges ,253.3,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 ,,,,,,,,,,,,,,,,,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,
**OMNIPAQUE 300/150ML,Q9967,CDM,,,,both,,,588,588,135.24,588,588,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,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,464.52,percent of total billed charges,464.52,percent of total billed charges,470.4,percent of total billed charges,470.4,percent of total billed charges,,,423.36,percent of total billed charges ,,,470.4,percent of total billed charges ,464.52,percent of total billed charges ,464.52,percent of total billed charges ,499.8,percent of total billed charges ,499.8,percent of total billed charges ,470.4,percent of total billed charges ,470.4,percent of total billed charges ,411.6,percent of total billed charges ,411.6,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 ,,,,,312.82,percent of total billed charges ,,,,,297.18,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,
NM GALLIUM,A9556,CDM,,,,both,,,500,500,115,500,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,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,395,percent of total billed charges,395,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,,,360,percent of total billed charges ,,,400,percent of total billed charges ,395,percent of total billed charges ,395,percent of total billed charges ,425,percent of total billed charges ,425,percent of total billed charges ,400,percent of total billed charges ,400,percent of total billed charges ,350,percent of total billed charges ,350,percent of total billed charges ,300,percent of total billed charges ,300,percent of total billed charges ,300,percent of total billed charges ,300,percent of total billed charges ,,,,,266,percent of total billed charges ,,,,,252.7,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,,,115,percent of total billed charges,,,115,percent of total billed charges,,,115,percent of total billed charges,,,115,percent of total billed charges,
US CAROTID DOPPLER BILAT 93880,93880,CDM,,,,both,,,"2,064.00","2,064.00",474.72,"2,064.00","2,064.00",percent of total billed charges,"2,064.00",percent of total billed charges,"2,064.00",percent of total billed charges,"2,064.00",percent of total billed charges,"2,064.00",percent of total billed charges,"2,064.00",percent of total billed charges,"2,064.00",percent of total billed charges,"2,064.00",percent of total billed charges,"1,486.08",percent of total billed charges,"1,486.08",percent of total billed charges,"1,486.08",percent of total billed charges,"1,486.08",percent of total billed charges,"1,486.08",percent of total billed charges,"1,486.08",percent of total billed charges,"1,630.56",percent of total billed charges,"1,630.56",percent of total billed charges,"1,651.20",percent of total billed charges,"1,651.20",percent of total billed charges,,,"1,486.08",percent of total billed charges ,,,"1,651.20",percent of total billed charges ,"1,630.56",percent of total billed charges ,"1,630.56",percent of total billed charges ,"1,754.40",percent of total billed charges ,"1,754.40",percent of total billed charges ,"1,651.20",percent of total billed charges ,"1,651.20",percent of total billed charges ,"1,444.80",percent of total billed charges ,"1,444.80",percent of total billed charges ,"1,238.40",percent of total billed charges ,"1,238.40",percent of total billed charges ,"1,238.40",percent of total billed charges ,"1,238.40",percent of total billed charges ,,,,,"1,098.05",percent of total billed charges ,,,,,"1,043.15",percent of total billed charges ,,,,,,,,,,,,,,,,,,,474.72,percent of total billed charges,,,474.72,percent of total billed charges,,,474.72,percent of total billed charges,,,474.72,percent of total billed charges,,,474.72,percent of total billed charges,,,474.72,percent of total billed charges,,,474.72,percent of total billed charges,,,474.72,percent of total billed charges,,,474.72,percent of total billed charges,,,474.72,percent of total billed charges,,,474.72,percent of total billed charges,
US RENAL ARTERY DOPPLER 93975,93975,CDM,,,,both,,,"1,897.00","1,897.00",436.31,"1,897.00","1,897.00",percent of total billed charges,"1,897.00",percent of total billed charges,"1,897.00",percent of total billed charges,"1,897.00",percent of total billed charges,"1,897.00",percent of total billed charges,"1,897.00",percent of total billed charges,"1,897.00",percent of total billed charges,"1,897.00",percent of total billed charges,"1,365.84",percent of total billed charges,"1,365.84",percent of total billed charges,"1,365.84",percent of total billed charges,"1,365.84",percent of total billed charges,"1,365.84",percent of total billed charges,"1,365.84",percent of total billed charges,"1,498.63",percent of total billed charges,"1,498.63",percent of total billed charges,"1,517.60",percent of total billed charges,"1,517.60",percent of total billed charges,,,"1,365.84",percent of total billed charges ,,,"1,517.60",percent of total billed charges ,"1,498.63",percent of total billed charges ,"1,498.63",percent of total billed charges ,"1,612.45",percent of total billed charges ,"1,612.45",percent of total billed charges ,"1,517.60",percent of total billed charges ,"1,517.60",percent of total billed charges ,"1,327.90",percent of total billed charges ,"1,327.90",percent of total billed charges ,"1,138.20",percent of total billed charges ,"1,138.20",percent of total billed charges ,"1,138.20",percent of total billed charges ,"1,138.20",percent of total billed charges ,,,,,"1,009.20",percent of total billed charges ,,,,,958.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,436.31,percent of total billed charges,,,436.31,percent of total billed charges,,,436.31,percent of total billed charges,,,436.31,percent of total billed charges,,,436.31,percent of total billed charges,,,436.31,percent of total billed charges,,,436.31,percent of total billed charges,,,436.31,percent of total billed charges,,,436.31,percent of total billed charges,,,436.31,percent of total billed charges,,,436.31,percent of total billed charges,
**US ARTERIAL LEG BILAT,93925,CDM,,,,both,,,"2,101.00","2,101.00",483.23,"2,101.00","2,101.00",percent of total billed charges,"2,101.00",percent of total billed charges,"2,101.00",percent of total billed charges,"2,101.00",percent of total billed charges,"2,101.00",percent of total billed charges,"2,101.00",percent of total billed charges,"2,101.00",percent of total billed charges,"2,101.00",percent of total billed charges,"1,512.72",percent of total billed charges,"1,512.72",percent of total billed charges,"1,512.72",percent of total billed charges,"1,512.72",percent of total billed charges,"1,512.72",percent of total billed charges,"1,512.72",percent of total billed charges,"1,659.79",percent of total billed charges,"1,659.79",percent of total billed charges,"1,680.80",percent of total billed charges,"1,680.80",percent of total billed charges,,,"1,512.72",percent of total billed charges ,,,"1,680.80",percent of total billed charges ,"1,659.79",percent of total billed charges ,"1,659.79",percent of total billed charges ,"1,785.85",percent of total billed charges ,"1,785.85",percent of total billed charges ,"1,680.80",percent of total billed charges ,"1,680.80",percent of total billed charges ,"1,470.70",percent of total billed charges ,"1,470.70",percent of total billed charges ,"1,260.60",percent of total billed charges ,"1,260.60",percent of total billed charges ,"1,260.60",percent of total billed charges ,"1,260.60",percent of total billed charges ,,,,,"1,117.73",percent of total billed charges ,,,,,"1,061.85",percent of total billed charges ,,,,,,,,,,,,,,,,,,,483.23,percent of total billed charges,,,483.23,percent of total billed charges,,,483.23,percent of total billed charges,,,483.23,percent of total billed charges,,,483.23,percent of total billed charges,,,483.23,percent of total billed charges,,,483.23,percent of total billed charges,,,483.23,percent of total billed charges,,,483.23,percent of total billed charges,,,483.23,percent of total billed charges,,,483.23,percent of total billed charges,
US ABI 93922,93922,CDM,,,,both,,,959,959,220.57,959,959,percent of total billed charges,959,percent of total billed charges,959,percent of total billed charges,959,percent of total billed charges,959,percent of total billed charges,959,percent of total billed charges,959,percent of total billed charges,959,percent of total billed charges,690.48,percent of total billed charges,690.48,percent of total billed charges,690.48,percent of total billed charges,690.48,percent of total billed charges,690.48,percent of total billed charges,690.48,percent of total billed charges,757.61,percent of total billed charges,757.61,percent of total billed charges,767.2,percent of total billed charges,767.2,percent of total billed charges,,,690.48,percent of total billed charges ,,,767.2,percent of total billed charges ,757.61,percent of total billed charges ,757.61,percent of total billed charges ,815.15,percent of total billed charges ,815.15,percent of total billed charges ,767.2,percent of total billed charges ,767.2,percent of total billed charges ,671.3,percent of total billed charges ,671.3,percent of total billed charges ,575.4,percent of total billed charges ,575.4,percent of total billed charges ,575.4,percent of total billed charges ,575.4,percent of total billed charges ,,,,,510.19,percent of total billed charges ,,,,,484.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,
US ARTERIAL LEG RT 93926,93926,CDM,,,RT,both,,,"1,136.00","1,136.00",261.28,"1,136.00","1,136.00",percent of total billed charges,"1,136.00",percent of total billed charges,"1,136.00",percent of total billed charges,"1,136.00",percent of total billed charges,"1,136.00",percent of total billed charges,"1,136.00",percent of total billed charges,"1,136.00",percent of total billed charges,"1,136.00",percent of total billed charges,817.92,percent of total billed charges,817.92,percent of total billed charges,817.92,percent of total billed charges,817.92,percent of total billed charges,817.92,percent of total billed charges,817.92,percent of total billed charges,897.44,percent of total billed charges,897.44,percent of total billed charges,908.8,percent of total billed charges,908.8,percent of total billed charges,,,817.92,percent of total billed charges ,,,908.8,percent of total billed charges ,897.44,percent of total billed charges ,897.44,percent of total billed charges ,965.6,percent of total billed charges ,965.6,percent of total billed charges ,908.8,percent of total billed charges ,908.8,percent of total billed charges ,795.2,percent of total billed charges ,795.2,percent of total billed charges ,681.6,percent of total billed charges ,681.6,percent of total billed charges ,681.6,percent of total billed charges ,681.6,percent of total billed charges ,,,,,604.35,percent of total billed charges ,,,,,574.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,261.28,percent of total billed charges,,,261.28,percent of total billed charges,,,261.28,percent of total billed charges,,,261.28,percent of total billed charges,,,261.28,percent of total billed charges,,,261.28,percent of total billed charges,,,261.28,percent of total billed charges,,,261.28,percent of total billed charges,,,261.28,percent of total billed charges,,,261.28,percent of total billed charges,,,261.28,percent of total billed charges,
US ARTERIAL ARM RT 93931,93931,CDM,,,RT,both,,,"1,077.00","1,077.00",247.71,"1,077.00","1,077.00",percent of total billed charges,"1,077.00",percent of total billed charges,"1,077.00",percent of total billed charges,"1,077.00",percent of total billed charges,"1,077.00",percent of total billed charges,"1,077.00",percent of total billed charges,"1,077.00",percent of total billed charges,"1,077.00",percent of total billed charges,775.44,percent of total billed charges,775.44,percent of total billed charges,775.44,percent of total billed charges,775.44,percent of total billed charges,775.44,percent of total billed charges,775.44,percent of total billed charges,850.83,percent of total billed charges,850.83,percent of total billed charges,861.6,percent of total billed charges,861.6,percent of total billed charges,,,775.44,percent of total billed charges ,,,861.6,percent of total billed charges ,850.83,percent of total billed charges ,850.83,percent of total billed charges ,915.45,percent of total billed charges ,915.45,percent of total billed charges ,861.6,percent of total billed charges ,861.6,percent of total billed charges ,753.9,percent of total billed charges ,753.9,percent of total billed charges ,646.2,percent of total billed charges ,646.2,percent of total billed charges ,646.2,percent of total billed charges ,646.2,percent of total billed charges ,,,,,572.96,percent of total billed charges ,,,,,544.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,247.71,percent of total billed charges,,,247.71,percent of total billed charges,,,247.71,percent of total billed charges,,,247.71,percent of total billed charges,,,247.71,percent of total billed charges,,,247.71,percent of total billed charges,,,247.71,percent of total billed charges,,,247.71,percent of total billed charges,,,247.71,percent of total billed charges,,,247.71,percent of total billed charges,,,247.71,percent of total billed charges,
US VENOUS DOP RT 93971,93971,CDM,,,RT,both,,,"1,244.00","1,244.00",286.12,"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,982.76,percent of total billed charges,982.76,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 ,982.76,percent of total billed charges ,982.76,percent of total billed charges ,"1,057.40",percent of total billed charges ,"1,057.40",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 ,,,,,,,,,,,,,,,,,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,
US VENOUS DOP BILAT 93970,93970,CDM,,,,both,,,"1,812.00","1,812.00",416.76,"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,"1,431.48",percent of total billed charges,"1,431.48",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 ,"1,431.48",percent of total billed charges ,"1,431.48",percent of total billed charges ,"1,540.20",percent of total billed charges ,"1,540.20",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 ,,,,,,,,,,,,,,,,,,,416.76,percent of total billed charges,,,416.76,percent of total billed charges,,,416.76,percent of total billed charges,,,416.76,percent of total billed charges,,,416.76,percent of total billed charges,,,416.76,percent of total billed charges,,,416.76,percent of total billed charges,,,416.76,percent of total billed charges,,,416.76,percent of total billed charges,,,416.76,percent of total billed charges,,,416.76,percent of total billed charges,
US ART MULT SEG PRESSUR BILAT 93923,93923,CDM,,,,both,,,"1,460.00","1,460.00",335.8,"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,"1,153.40",percent of total billed charges,"1,153.40",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 ,"1,153.40",percent of total billed charges ,"1,153.40",percent of total billed charges ,"1,241.00",percent of total billed charges ,"1,241.00",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 ,,,,,,,,,,,,,,,,,,,335.8,percent of total billed charges,,,335.8,percent of total billed charges,,,335.8,percent of total billed charges,,,335.8,percent of total billed charges,,,335.8,percent of total billed charges,,,335.8,percent of total billed charges,,,335.8,percent of total billed charges,,,335.8,percent of total billed charges,,,335.8,percent of total billed charges,,,335.8,percent of total billed charges,,,335.8,percent of total billed charges,
MRI LOW EXT JT RT W CON,73722,CDM,,,LT,both,,,"4,264.00","4,264.00",980.72,"4,264.00","4,264.00",percent of total billed charges,"4,264.00",percent of total billed charges,"4,264.00",percent of total billed charges,"4,264.00",percent of total billed charges,"4,264.00",percent of total billed charges,"4,264.00",percent of total billed charges,"4,264.00",percent of total billed charges,"4,264.00",percent of total billed charges,"3,070.08",percent of total billed charges,"3,070.08",percent of total billed charges,"3,070.08",percent of total billed charges,"3,070.08",percent of total billed charges,"3,070.08",percent of total billed charges,"3,070.08",percent of total billed charges,"3,368.56",percent of total billed charges,"3,368.56",percent of total billed charges,"3,411.20",percent of total billed charges,"3,411.20",percent of total billed charges,,,"3,070.08",percent of total billed charges ,,,"3,411.20",percent of total billed charges ,"3,368.56",percent of total billed charges ,"3,368.56",percent of total billed charges ,"3,624.40",percent of total billed charges ,"3,624.40",percent of total billed charges ,"3,411.20",percent of total billed charges ,"3,411.20",percent of total billed charges ,"2,984.80",percent of total billed charges ,"2,984.80",percent of total billed charges ,"2,558.40",percent of total billed charges ,"2,558.40",percent of total billed charges ,"2,558.40",percent of total billed charges ,"2,558.40",percent of total billed charges ,,,,,"2,268.45",percent of total billed charges ,,,,,"2,155.03",percent of total billed charges ,,,,,,,,,,,,,,,,,,,980.72,percent of total billed charges,,,980.72,percent of total billed charges,,,980.72,percent of total billed charges,,,980.72,percent of total billed charges,,,980.72,percent of total billed charges,,,980.72,percent of total billed charges,,,980.72,percent of total billed charges,,,980.72,percent of total billed charges,,,980.72,percent of total billed charges,,,980.72,percent of total billed charges,,,980.72,percent of total billed charges,
MRI LOW EXT JT LT WO,73721,CDM,,,RT,both,,,"4,016.00","4,016.00",923.68,"4,016.00","4,016.00",percent of total billed charges,"4,016.00",percent of total billed charges,"4,016.00",percent of total billed charges,"4,016.00",percent of total billed charges,"4,016.00",percent of total billed charges,"4,016.00",percent of total billed charges,"4,016.00",percent of total billed charges,"4,016.00",percent of total billed charges,"2,891.52",percent of total billed charges,"2,891.52",percent of total billed charges,"2,891.52",percent of total billed charges,"2,891.52",percent of total billed charges,"2,891.52",percent of total billed charges,"2,891.52",percent of total billed charges,"3,172.64",percent of total billed charges,"3,172.64",percent of total billed charges,"3,212.80",percent of total billed charges,"3,212.80",percent of total billed charges,,,"2,891.52",percent of total billed charges ,,,"3,212.80",percent of total billed charges ,"3,172.64",percent of total billed charges ,"3,172.64",percent of total billed charges ,"3,413.60",percent of total billed charges ,"3,413.60",percent of total billed charges ,"3,212.80",percent of total billed charges ,"3,212.80",percent of total billed charges ,"2,811.20",percent of total billed charges ,"2,811.20",percent of total billed charges ,"2,409.60",percent of total billed charges ,"2,409.60",percent of total billed charges ,"2,409.60",percent of total billed charges ,"2,409.60",percent of total billed charges ,,,,,"2,136.51",percent of total billed charges ,,,,,"2,029.69",percent of total billed charges ,,,,,,,,,,,,,,,,,,,923.68,percent of total billed charges,,,923.68,percent of total billed charges,,,923.68,percent of total billed charges,,,923.68,percent of total billed charges,,,923.68,percent of total billed charges,,,923.68,percent of total billed charges,,,923.68,percent of total billed charges,,,923.68,percent of total billed charges,,,923.68,percent of total billed charges,,,923.68,percent of total billed charges,,,923.68,percent of total billed charges,
MRI LOW EXT JT LT W/WO,73723,CDM,,,RT,both,,,"5,410.00","5,410.00","1,244.30","5,410.00","5,410.00",percent of total billed charges,"5,410.00",percent of total billed charges,"5,410.00",percent of total billed charges,"5,410.00",percent of total billed charges,"5,410.00",percent of total billed charges,"5,410.00",percent of total billed charges,"5,410.00",percent of total billed charges,"5,410.00",percent of total billed charges,"3,895.20",percent of total billed charges,"3,895.20",percent of total billed charges,"3,895.20",percent of total billed charges,"3,895.20",percent of total billed charges,"3,895.20",percent of total billed charges,"3,895.20",percent of total billed charges,"4,273.90",percent of total billed charges,"4,273.90",percent of total billed charges,"4,328.00",percent of total billed charges,"4,328.00",percent of total billed charges,,,"3,895.20",percent of total billed charges ,,,"4,328.00",percent of total billed charges ,"4,273.90",percent of total billed charges ,"4,273.90",percent of total billed charges ,"4,598.50",percent of total billed charges ,"4,598.50",percent of total billed charges ,"4,328.00",percent of total billed charges ,"4,328.00",percent of total billed charges ,"3,787.00",percent of total billed charges ,"3,787.00",percent of total billed charges ,"3,246.00",percent of total billed charges ,"3,246.00",percent of total billed charges ,"3,246.00",percent of total billed charges ,"3,246.00",percent of total billed charges ,,,,,"2,878.12",percent of total billed charges ,,,,,"2,734.21",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,244.30",percent of total billed charges,,,"1,244.30",percent of total billed charges,,,"1,244.30",percent of total billed charges,,,"1,244.30",percent of total billed charges,,,"1,244.30",percent of total billed charges,,,"1,244.30",percent of total billed charges,,,"1,244.30",percent of total billed charges,,,"1,244.30",percent of total billed charges,,,"1,244.30",percent of total billed charges,,,"1,244.30",percent of total billed charges,,,"1,244.30",percent of total billed charges,
MRI LT LOW EXT W,73719,CDM,,,RT,both,,,"5,105.00","5,105.00","1,174.15","5,105.00","5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"3,675.60",percent of total billed charges,"3,675.60",percent of total billed charges,"3,675.60",percent of total billed charges,"3,675.60",percent of total billed charges,"3,675.60",percent of total billed charges,"3,675.60",percent of total billed charges,"4,032.95",percent of total billed charges,"4,032.95",percent of total billed charges,"4,084.00",percent of total billed charges,"4,084.00",percent of total billed charges,,,"3,675.60",percent of total billed charges ,,,"4,084.00",percent of total billed charges ,"4,032.95",percent of total billed charges ,"4,032.95",percent of total billed charges ,"4,339.25",percent of total billed charges ,"4,339.25",percent of total billed charges ,"4,084.00",percent of total billed charges ,"4,084.00",percent of total billed charges ,"3,573.50",percent of total billed charges ,"3,573.50",percent of total billed charges ,"3,063.00",percent of total billed charges ,"3,063.00",percent of total billed charges ,"3,063.00",percent of total billed charges ,"3,063.00",percent of total billed charges ,,,,,"2,715.86",percent of total billed charges ,,,,,"2,580.07",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,
MRI LT LOW EXT WO,73718,CDM,,,RT,both,,,"3,904.00","3,904.00",897.92,"3,904.00","3,904.00",percent of total billed charges,"3,904.00",percent of total billed charges,"3,904.00",percent of total billed charges,"3,904.00",percent of total billed charges,"3,904.00",percent of total billed charges,"3,904.00",percent of total billed charges,"3,904.00",percent of total billed charges,"3,904.00",percent of total billed charges,"2,810.88",percent of total billed charges,"2,810.88",percent of total billed charges,"2,810.88",percent of total billed charges,"2,810.88",percent of total billed charges,"2,810.88",percent of total billed charges,"2,810.88",percent of total billed charges,"3,084.16",percent of total billed charges,"3,084.16",percent of total billed charges,"3,123.20",percent of total billed charges,"3,123.20",percent of total billed charges,,,"2,810.88",percent of total billed charges ,,,"3,123.20",percent of total billed charges ,"3,084.16",percent of total billed charges ,"3,084.16",percent of total billed charges ,"3,318.40",percent of total billed charges ,"3,318.40",percent of total billed charges ,"3,123.20",percent of total billed charges ,"3,123.20",percent of total billed charges ,"2,732.80",percent of total billed charges ,"2,732.80",percent of total billed charges ,"2,342.40",percent of total billed charges ,"2,342.40",percent of total billed charges ,"2,342.40",percent of total billed charges ,"2,342.40",percent of total billed charges ,,,,,"2,076.93",percent of total billed charges ,,,,,"1,973.08",percent of total billed charges ,,,,,,,,,,,,,,,,,,,897.92,percent of total billed charges,,,897.92,percent of total billed charges,,,897.92,percent of total billed charges,,,897.92,percent of total billed charges,,,897.92,percent of total billed charges,,,897.92,percent of total billed charges,,,897.92,percent of total billed charges,,,897.92,percent of total billed charges,,,897.92,percent of total billed charges,,,897.92,percent of total billed charges,,,897.92,percent of total billed charges,
MRI LT LOW EXT  W/WO,73720,CDM,,,RT,both,,,"5,234.00","5,234.00","1,203.82","5,234.00","5,234.00",percent of total billed charges,"5,234.00",percent of total billed charges,"5,234.00",percent of total billed charges,"5,234.00",percent of total billed charges,"5,234.00",percent of total billed charges,"5,234.00",percent of total billed charges,"5,234.00",percent of total billed charges,"5,234.00",percent of total billed charges,"3,768.48",percent of total billed charges,"3,768.48",percent of total billed charges,"3,768.48",percent of total billed charges,"3,768.48",percent of total billed charges,"3,768.48",percent of total billed charges,"3,768.48",percent of total billed charges,"4,134.86",percent of total billed charges,"4,134.86",percent of total billed charges,"4,187.20",percent of total billed charges,"4,187.20",percent of total billed charges,,,"3,768.48",percent of total billed charges ,,,"4,187.20",percent of total billed charges ,"4,134.86",percent of total billed charges ,"4,134.86",percent of total billed charges ,"4,448.90",percent of total billed charges ,"4,448.90",percent of total billed charges ,"4,187.20",percent of total billed charges ,"4,187.20",percent of total billed charges ,"3,663.80",percent of total billed charges ,"3,663.80",percent of total billed charges ,"3,140.40",percent of total billed charges ,"3,140.40",percent of total billed charges ,"3,140.40",percent of total billed charges ,"3,140.40",percent of total billed charges ,,,,,"2,784.49",percent of total billed charges ,,,,,"2,645.26",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,203.82",percent of total billed charges,,,"1,203.82",percent of total billed charges,,,"1,203.82",percent of total billed charges,,,"1,203.82",percent of total billed charges,,,"1,203.82",percent of total billed charges,,,"1,203.82",percent of total billed charges,,,"1,203.82",percent of total billed charges,,,"1,203.82",percent of total billed charges,,,"1,203.82",percent of total billed charges,,,"1,203.82",percent of total billed charges,,,"1,203.82",percent of total billed charges,
MRI UP EXT JT LT W CON,73222,CDM,,,RT,both,,,"4,236.00","4,236.00",974.28,"4,236.00","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,"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,"3,049.92",percent of total billed charges,"3,049.92",percent of total billed charges,"3,049.92",percent of total billed charges,"3,049.92",percent of total billed charges,"3,049.92",percent of total billed charges,"3,049.92",percent of total billed charges,"3,346.44",percent of total billed charges,"3,346.44",percent of total billed charges,"3,388.80",percent of total billed charges,"3,388.80",percent of total billed charges,,,"3,049.92",percent of total billed charges ,,,"3,388.80",percent of total billed charges ,"3,346.44",percent of total billed charges ,"3,346.44",percent of total billed charges ,"3,600.60",percent of total billed charges ,"3,600.60",percent of total billed charges ,"3,388.80",percent of total billed charges ,"3,388.80",percent of total billed charges ,"2,965.20",percent of total billed charges ,"2,965.20",percent of total billed charges ,"2,541.60",percent of total billed charges ,"2,541.60",percent of total billed charges ,"2,541.60",percent of total billed charges ,"2,541.60",percent of total billed charges ,,,,,"2,253.55",percent of total billed charges ,,,,,"2,140.87",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,,,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,
MRI UP EXT JT LT WO,73221,CDM,,,RT,both,,,"3,985.00","3,985.00",916.55,"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,"3,148.15",percent of total billed charges,"3,148.15",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 ,"3,148.15",percent of total billed charges ,"3,148.15",percent of total billed charges ,"3,387.25",percent of total billed charges ,"3,387.25",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 ,,,,,,,,,,,,,,,,,,,916.55,percent of total billed charges,,,916.55,percent of total billed charges,,,916.55,percent of total billed charges,,,916.55,percent of total billed charges,,,916.55,percent of total billed charges,,,916.55,percent of total billed charges,,,916.55,percent of total billed charges,,,916.55,percent of total billed charges,,,916.55,percent of total billed charges,,,916.55,percent of total billed charges,,,916.55,percent of total billed charges,
MRI UP EXT JT LT W/WO,73223,CDM,,,RT,both,,,"6,353.00","6,353.00","1,461.19","6,353.00","6,353.00",percent of total billed charges,"6,353.00",percent of total billed charges,"6,353.00",percent of total billed charges,"6,353.00",percent of total billed charges,"6,353.00",percent of total billed charges,"6,353.00",percent of total billed charges,"6,353.00",percent of total billed charges,"6,353.00",percent of total billed charges,"4,574.16",percent of total billed charges,"4,574.16",percent of total billed charges,"4,574.16",percent of total billed charges,"4,574.16",percent of total billed charges,"4,574.16",percent of total billed charges,"4,574.16",percent of total billed charges,"5,018.87",percent of total billed charges,"5,018.87",percent of total billed charges,"5,082.40",percent of total billed charges,"5,082.40",percent of total billed charges,,,"4,574.16",percent of total billed charges ,,,"5,082.40",percent of total billed charges ,"5,018.87",percent of total billed charges ,"5,018.87",percent of total billed charges ,"5,400.05",percent of total billed charges ,"5,400.05",percent of total billed charges ,"5,082.40",percent of total billed charges ,"5,082.40",percent of total billed charges ,"4,447.10",percent of total billed charges ,"4,447.10",percent of total billed charges ,"3,811.80",percent of total billed charges ,"3,811.80",percent of total billed charges ,"3,811.80",percent of total billed charges ,"3,811.80",percent of total billed charges ,,,,,"3,379.80",percent of total billed charges ,,,,,"3,210.81",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,461.19",percent of total billed charges,,,"1,461.19",percent of total billed charges,,,"1,461.19",percent of total billed charges,,,"1,461.19",percent of total billed charges,,,"1,461.19",percent of total billed charges,,,"1,461.19",percent of total billed charges,,,"1,461.19",percent of total billed charges,,,"1,461.19",percent of total billed charges,,,"1,461.19",percent of total billed charges,,,"1,461.19",percent of total billed charges,,,"1,461.19",percent of total billed charges,
"MRI UP EXT LT OTHER THAN JT, W CON",73219,CDM,,,RT,both,,,"5,105.00","5,105.00","1,174.15","5,105.00","5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"5,105.00",percent of total billed charges,"3,675.60",percent of total billed charges,"3,675.60",percent of total billed charges,"3,675.60",percent of total billed charges,"3,675.60",percent of total billed charges,"3,675.60",percent of total billed charges,"3,675.60",percent of total billed charges,"4,032.95",percent of total billed charges,"4,032.95",percent of total billed charges,"4,084.00",percent of total billed charges,"4,084.00",percent of total billed charges,,,"3,675.60",percent of total billed charges ,,,"4,084.00",percent of total billed charges ,"4,032.95",percent of total billed charges ,"4,032.95",percent of total billed charges ,"4,339.25",percent of total billed charges ,"4,339.25",percent of total billed charges ,"4,084.00",percent of total billed charges ,"4,084.00",percent of total billed charges ,"3,573.50",percent of total billed charges ,"3,573.50",percent of total billed charges ,"3,063.00",percent of total billed charges ,"3,063.00",percent of total billed charges ,"3,063.00",percent of total billed charges ,"3,063.00",percent of total billed charges ,,,,,"2,715.86",percent of total billed charges ,,,,,"2,580.07",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,,,"1,174.15",percent of total billed charges,
"MRI UP EXT LT OTHER THAN JT, W/WO",73220,CDM,,,RT,both,,,"5,027.00","5,027.00","1,156.21","5,027.00","5,027.00",percent of total billed charges,"5,027.00",percent of total billed charges,"5,027.00",percent of total billed charges,"5,027.00",percent of total billed charges,"5,027.00",percent of total billed charges,"5,027.00",percent of total billed charges,"5,027.00",percent of total billed charges,"5,027.00",percent of total billed charges,"3,619.44",percent of total billed charges,"3,619.44",percent of total billed charges,"3,619.44",percent of total billed charges,"3,619.44",percent of total billed charges,"3,619.44",percent of total billed charges,"3,619.44",percent of total billed charges,"3,971.33",percent of total billed charges,"3,971.33",percent of total billed charges,"4,021.60",percent of total billed charges,"4,021.60",percent of total billed charges,,,"3,619.44",percent of total billed charges ,,,"4,021.60",percent of total billed charges ,"3,971.33",percent of total billed charges ,"3,971.33",percent of total billed charges ,"4,272.95",percent of total billed charges ,"4,272.95",percent of total billed charges ,"4,021.60",percent of total billed charges ,"4,021.60",percent of total billed charges ,"3,518.90",percent of total billed charges ,"3,518.90",percent of total billed charges ,"3,016.20",percent of total billed charges ,"3,016.20",percent of total billed charges ,"3,016.20",percent of total billed charges ,"3,016.20",percent of total billed charges ,,,,,"2,674.36",percent of total billed charges ,,,,,"2,540.65",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,156.21",percent of total billed charges,,,"1,156.21",percent of total billed charges,,,"1,156.21",percent of total billed charges,,,"1,156.21",percent of total billed charges,,,"1,156.21",percent of total billed charges,,,"1,156.21",percent of total billed charges,,,"1,156.21",percent of total billed charges,,,"1,156.21",percent of total billed charges,,,"1,156.21",percent of total billed charges,,,"1,156.21",percent of total billed charges,,,"1,156.21",percent of total billed charges,
"MRI UP EXT OTHER THAN JT, LT WO",73218,CDM,,,RT,both,,,"3,795.00","3,795.00",872.85,"3,795.00","3,795.00",percent of total billed charges,"3,795.00",percent of total billed charges,"3,795.00",percent of total billed charges,"3,795.00",percent of total billed charges,"3,795.00",percent of total billed charges,"3,795.00",percent of total billed charges,"3,795.00",percent of total billed charges,"3,795.00",percent of total billed charges,"2,732.40",percent of total billed charges,"2,732.40",percent of total billed charges,"2,732.40",percent of total billed charges,"2,732.40",percent of total billed charges,"2,732.40",percent of total billed charges,"2,732.40",percent of total billed charges,"2,998.05",percent of total billed charges,"2,998.05",percent of total billed charges,"3,036.00",percent of total billed charges,"3,036.00",percent of total billed charges,,,"2,732.40",percent of total billed charges ,,,"3,036.00",percent of total billed charges ,"2,998.05",percent of total billed charges ,"2,998.05",percent of total billed charges ,"3,225.75",percent of total billed charges ,"3,225.75",percent of total billed charges ,"3,036.00",percent of total billed charges ,"3,036.00",percent of total billed charges ,"2,656.50",percent of total billed charges ,"2,656.50",percent of total billed charges ,"2,277.00",percent of total billed charges ,"2,277.00",percent of total billed charges ,"2,277.00",percent of total billed charges ,"2,277.00",percent of total billed charges ,,,,,"2,018.94",percent of total billed charges ,,,,,"1,917.99",percent of total billed charges ,,,,,,,,,,,,,,,,,,,872.85,percent of total billed charges,,,872.85,percent of total billed charges,,,872.85,percent of total billed charges,,,872.85,percent of total billed charges,,,872.85,percent of total billed charges,,,872.85,percent of total billed charges,,,872.85,percent of total billed charges,,,872.85,percent of total billed charges,,,872.85,percent of total billed charges,,,872.85,percent of total billed charges,,,872.85,percent of total billed charges,
US ARTERIAL ARM LT 93931,93931,CDM,,,RT,both,,,"1,077.00","1,077.00",247.71,"1,077.00","1,077.00",percent of total billed charges,"1,077.00",percent of total billed charges,"1,077.00",percent of total billed charges,"1,077.00",percent of total billed charges,"1,077.00",percent of total billed charges,"1,077.00",percent of total billed charges,"1,077.00",percent of total billed charges,"1,077.00",percent of total billed charges,775.44,percent of total billed charges,775.44,percent of total billed charges,775.44,percent of total billed charges,775.44,percent of total billed charges,775.44,percent of total billed charges,775.44,percent of total billed charges,850.83,percent of total billed charges,850.83,percent of total billed charges,861.6,percent of total billed charges,861.6,percent of total billed charges,,,775.44,percent of total billed charges ,,,861.6,percent of total billed charges ,850.83,percent of total billed charges ,850.83,percent of total billed charges ,915.45,percent of total billed charges ,915.45,percent of total billed charges ,861.6,percent of total billed charges ,861.6,percent of total billed charges ,753.9,percent of total billed charges ,753.9,percent of total billed charges ,646.2,percent of total billed charges ,646.2,percent of total billed charges ,646.2,percent of total billed charges ,646.2,percent of total billed charges ,,,,,572.96,percent of total billed charges ,,,,,544.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,247.71,percent of total billed charges,,,247.71,percent of total billed charges,,,247.71,percent of total billed charges,,,247.71,percent of total billed charges,,,247.71,percent of total billed charges,,,247.71,percent of total billed charges,,,247.71,percent of total billed charges,,,247.71,percent of total billed charges,,,247.71,percent of total billed charges,,,247.71,percent of total billed charges,,,247.71,percent of total billed charges,
US ARTERIAL LEG LT 93926,93926,CDM,,,RT,both,,,"1,136.00","1,136.00",261.28,"1,136.00","1,136.00",percent of total billed charges,"1,136.00",percent of total billed charges,"1,136.00",percent of total billed charges,"1,136.00",percent of total billed charges,"1,136.00",percent of total billed charges,"1,136.00",percent of total billed charges,"1,136.00",percent of total billed charges,"1,136.00",percent of total billed charges,817.92,percent of total billed charges,817.92,percent of total billed charges,817.92,percent of total billed charges,817.92,percent of total billed charges,817.92,percent of total billed charges,817.92,percent of total billed charges,897.44,percent of total billed charges,897.44,percent of total billed charges,908.8,percent of total billed charges,908.8,percent of total billed charges,,,817.92,percent of total billed charges ,,,908.8,percent of total billed charges ,897.44,percent of total billed charges ,897.44,percent of total billed charges ,965.6,percent of total billed charges ,965.6,percent of total billed charges ,908.8,percent of total billed charges ,908.8,percent of total billed charges ,795.2,percent of total billed charges ,795.2,percent of total billed charges ,681.6,percent of total billed charges ,681.6,percent of total billed charges ,681.6,percent of total billed charges ,681.6,percent of total billed charges ,,,,,604.35,percent of total billed charges ,,,,,574.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,261.28,percent of total billed charges,,,261.28,percent of total billed charges,,,261.28,percent of total billed charges,,,261.28,percent of total billed charges,,,261.28,percent of total billed charges,,,261.28,percent of total billed charges,,,261.28,percent of total billed charges,,,261.28,percent of total billed charges,,,261.28,percent of total billed charges,,,261.28,percent of total billed charges,,,261.28,percent of total billed charges,
US BREAST LT LIMITED 76642,76642,CDM,,,RT,both,,,655,655,150.65,655,655,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,517.45,percent of total billed charges,517.45,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 ,517.45,percent of total billed charges ,517.45,percent of total billed charges ,556.75,percent of total billed charges ,556.75,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 ,,,,,,,,,,,,,,,,,,,150.65,percent of total billed charges,,,150.65,percent of total billed charges,,,150.65,percent of total billed charges,,,150.65,percent of total billed charges,,,150.65,percent of total billed charges,,,150.65,percent of total billed charges,,,150.65,percent of total billed charges,,,150.65,percent of total billed charges,,,150.65,percent of total billed charges,,,150.65,percent of total billed charges,,,150.65,percent of total billed charges,
US EXT NON VASC/SOFT TISSUE LT 76882,76882,CDM,,,RT,both,,,693,693,159.39,693,693,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,547.47,percent of total billed charges,547.47,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 ,547.47,percent of total billed charges ,547.47,percent of total billed charges ,589.05,percent of total billed charges ,589.05,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 ,,,,,,,,,,,,,,,,,,,159.39,percent of total billed charges,,,159.39,percent of total billed charges,,,159.39,percent of total billed charges,,,159.39,percent of total billed charges,,,159.39,percent of total billed charges,,,159.39,percent of total billed charges,,,159.39,percent of total billed charges,,,159.39,percent of total billed charges,,,159.39,percent of total billed charges,,,159.39,percent of total billed charges,,,159.39,percent of total billed charges,
US VENOUS DOP LT 93971,93971,CDM,,,RT,both,,,"1,244.00","1,244.00",286.12,"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,982.76,percent of total billed charges,982.76,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 ,982.76,percent of total billed charges ,982.76,percent of total billed charges ,"1,057.40",percent of total billed charges ,"1,057.40",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 ,,,,,,,,,,,,,,,,,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,
VENOGRAM LT,75820,CDM,,,RT,both,,,"1,991.00","1,991.00",457.93,"1,991.00","1,991.00",percent of total billed charges,"1,991.00",percent of total billed charges,"1,991.00",percent of total billed charges,"1,991.00",percent of total billed charges,"1,991.00",percent of total billed charges,"1,991.00",percent of total billed charges,"1,991.00",percent of total billed charges,"1,991.00",percent of total billed charges,"1,433.52",percent of total billed charges,"1,433.52",percent of total billed charges,"1,433.52",percent of total billed charges,"1,433.52",percent of total billed charges,"1,433.52",percent of total billed charges,"1,433.52",percent of total billed charges,"1,572.89",percent of total billed charges,"1,572.89",percent of total billed charges,"1,592.80",percent of total billed charges,"1,592.80",percent of total billed charges,,,"1,433.52",percent of total billed charges ,,,"1,592.80",percent of total billed charges ,"1,572.89",percent of total billed charges ,"1,572.89",percent of total billed charges ,"1,692.35",percent of total billed charges ,"1,692.35",percent of total billed charges ,"1,592.80",percent of total billed charges ,"1,592.80",percent of total billed charges ,"1,393.70",percent of total billed charges ,"1,393.70",percent of total billed charges ,"1,194.60",percent of total billed charges ,"1,194.60",percent of total billed charges ,"1,194.60",percent of total billed charges ,"1,194.60",percent of total billed charges ,,,,,"1,059.21",percent of total billed charges ,,,,,"1,006.25",percent of total billed charges ,,,,,,,,,,,,,,,,,,,457.93,percent of total billed charges,,,457.93,percent of total billed charges,,,457.93,percent of total billed charges,,,457.93,percent of total billed charges,,,457.93,percent of total billed charges,,,457.93,percent of total billed charges,,,457.93,percent of total billed charges,,,457.93,percent of total billed charges,,,457.93,percent of total billed charges,,,457.93,percent of total billed charges,,,457.93,percent of total billed charges,
A/C JOINTS W & W/O WEIGHTS,73050,CDM,,,,both,,,618,618,142.14,618,618,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,488.22,percent of total billed charges,488.22,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 ,488.22,percent of total billed charges ,488.22,percent of total billed charges ,525.3,percent of total billed charges ,525.3,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 ,,,,,,,,,,,,,,,,,,,142.14,percent of total billed charges,,,142.14,percent of total billed charges,,,142.14,percent of total billed charges,,,142.14,percent of total billed charges,,,142.14,percent of total billed charges,,,142.14,percent of total billed charges,,,142.14,percent of total billed charges,,,142.14,percent of total billed charges,,,142.14,percent of total billed charges,,,142.14,percent of total billed charges,,,142.14,percent of total billed charges,
ANKLE 2 V LT,73600,CDM,,,RT,both,,,470,470,108.1,470,470,percent of total billed charges,470,percent of total billed charges,470,percent of total billed charges,470,percent of total billed charges,470,percent of total billed charges,470,percent of total billed charges,470,percent of total billed charges,470,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,338.4,percent of total billed charges,338.4,percent of total billed charges,371.3,percent of total billed charges,371.3,percent of total billed charges,376,percent of total billed charges,376,percent of total billed charges,,,338.4,percent of total billed charges ,,,376,percent of total billed charges ,371.3,percent of total billed charges ,371.3,percent of total billed charges ,399.5,percent of total billed charges ,399.5,percent of total billed charges ,376,percent of total billed charges ,376,percent of total billed charges ,329,percent of total billed charges ,329,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 ,,,,,250.04,percent of total billed charges ,,,,,237.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,
ANKLE COMPLETE LT MIN 3V,73610,CDM,,,RT,both,,,562,562,129.26,562,562,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,443.98,percent of total billed charges,443.98,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 ,443.98,percent of total billed charges ,443.98,percent of total billed charges ,477.7,percent of total billed charges ,477.7,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 ,,,,,,,,,,,,,,,,,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,
ARTHROGRAM ELBOW LT,73085,CDM,,,RT,both,,,588,588,135.24,588,588,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,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,464.52,percent of total billed charges,464.52,percent of total billed charges,470.4,percent of total billed charges,470.4,percent of total billed charges,,,423.36,percent of total billed charges ,,,470.4,percent of total billed charges ,464.52,percent of total billed charges ,464.52,percent of total billed charges ,499.8,percent of total billed charges ,499.8,percent of total billed charges ,470.4,percent of total billed charges ,470.4,percent of total billed charges ,411.6,percent of total billed charges ,411.6,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 ,,,,,312.82,percent of total billed charges ,,,,,297.18,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,
ARTHROGRAM HIP LT,73525,CDM,,,RT,both,,,453,453,104.19,453,453,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,357.87,percent of total billed charges,357.87,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 ,357.87,percent of total billed charges ,357.87,percent of total billed charges ,385.05,percent of total billed charges ,385.05,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 ,,,,,,,,,,,,,,,,,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,,,104.19,percent of total billed charges,
CALCANEUS LT MIN 2 VWS,73650,CDM,,,TC,both,,,449,449,103.27,449,449,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,354.71,percent of total billed charges,354.71,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 ,354.71,percent of total billed charges ,354.71,percent of total billed charges ,381.65,percent of total billed charges ,381.65,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 ,,,,,,,,,,,,,,,,,,,103.27,percent of total billed charges,,,103.27,percent of total billed charges,,,103.27,percent of total billed charges,,,103.27,percent of total billed charges,,,103.27,percent of total billed charges,,,103.27,percent of total billed charges,,,103.27,percent of total billed charges,,,103.27,percent of total billed charges,,,103.27,percent of total billed charges,,,103.27,percent of total billed charges,,,103.27,percent of total billed charges,
CLAVICLE LT,73000,CDM,,,RT,both,,,501,501,115.23,501,501,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,395.79,percent of total billed charges,395.79,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 ,395.79,percent of total billed charges ,395.79,percent of total billed charges ,425.85,percent of total billed charges ,425.85,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 ,,,,,,,,,,,,,,,,,,,115.23,percent of total billed charges,,,115.23,percent of total billed charges,,,115.23,percent of total billed charges,,,115.23,percent of total billed charges,,,115.23,percent of total billed charges,,,115.23,percent of total billed charges,,,115.23,percent of total billed charges,,,115.23,percent of total billed charges,,,115.23,percent of total billed charges,,,115.23,percent of total billed charges,,,115.23,percent of total billed charges,
**MM EA ADD LOCIALIZATION LT DO NOT USE,76096,CDM,,,RT,both,,,253,253,58.19,253,253,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,199.87,percent of total billed charges,199.87,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 ,199.87,percent of total billed charges ,199.87,percent of total billed charges ,215.05,percent of total billed charges ,215.05,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 ,,,,,,,,,,,,,,,,,,,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,,,58.19,percent of total billed charges,,,58.19,percent of total billed charges,,,58.19,percent of total billed charges,
ELBOW 2 V LT,73070,CDM,,,RT,both,,,463,463,106.49,463,463,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,365.77,percent of total billed charges,365.77,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 ,365.77,percent of total billed charges ,365.77,percent of total billed charges ,393.55,percent of total billed charges ,393.55,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 ,,,,,,,,,,,,,,,,,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,
ELBOW MIN 3V LT,73080,CDM,,,RT,both,,,560,560,128.8,560,560,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,442.4,percent of total billed charges,442.4,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 ,442.4,percent of total billed charges ,442.4,percent of total billed charges ,476,percent of total billed charges ,476,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 ,,,,,,,,,,,,,,,,,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,
FEMUR 2 V LT,73552,CDM,,,RT,both,,,509,509,117.07,509,509,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,402.11,percent of total billed charges,402.11,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 ,402.11,percent of total billed charges ,402.11,percent of total billed charges ,432.65,percent of total billed charges ,432.65,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 ,,,,,,,,,,,,,,,,,,,117.07,percent of total billed charges,,,117.07,percent of total billed charges,,,117.07,percent of total billed charges,,,117.07,percent of total billed charges,,,117.07,percent of total billed charges,,,117.07,percent of total billed charges,,,117.07,percent of total billed charges,,,117.07,percent of total billed charges,,,117.07,percent of total billed charges,,,117.07,percent of total billed charges,,,117.07,percent of total billed charges,
FOOT 2 V LT,73620,CDM,,,RT,both,,,463,463,106.49,463,463,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,365.77,percent of total billed charges,365.77,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 ,365.77,percent of total billed charges ,365.77,percent of total billed charges ,393.55,percent of total billed charges ,393.55,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 ,,,,,,,,,,,,,,,,,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,
FOOT COMPLETE LT MIN 3V,73630,CDM,,,RT,both,,,550,550,126.5,550,550,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,434.5,percent of total billed charges,434.5,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 ,434.5,percent of total billed charges ,434.5,percent of total billed charges ,467.5,percent of total billed charges ,467.5,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 ,,,,,,,,,,,,,,,,,,,126.5,percent of total billed charges,,,126.5,percent of total billed charges,,,126.5,percent of total billed charges,,,126.5,percent of total billed charges,,,126.5,percent of total billed charges,,,126.5,percent of total billed charges,,,126.5,percent of total billed charges,,,126.5,percent of total billed charges,,,126.5,percent of total billed charges,,,126.5,percent of total billed charges,,,126.5,percent of total billed charges,
FOREARM 2 V LT,73090,CDM,,,RT,both,,,502,502,115.46,502,502,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,396.58,percent of total billed charges,396.58,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 ,396.58,percent of total billed charges ,396.58,percent of total billed charges ,426.7,percent of total billed charges ,426.7,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 ,,,,,,,,,,,,,,,,,,,115.46,percent of total billed charges,,,115.46,percent of total billed charges,,,115.46,percent of total billed charges,,,115.46,percent of total billed charges,,,115.46,percent of total billed charges,,,115.46,percent of total billed charges,,,115.46,percent of total billed charges,,,115.46,percent of total billed charges,,,115.46,percent of total billed charges,,,115.46,percent of total billed charges,,,115.46,percent of total billed charges,
HAND 2 V LT,73120,CDM,,,RT,both,,,490,490,112.7,490,490,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,387.1,percent of total billed charges,387.1,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 ,387.1,percent of total billed charges ,387.1,percent of total billed charges ,416.5,percent of total billed charges ,416.5,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 ,,,,,,,,,,,,,,,,,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,
HAND MIN 3V LT,73130,CDM,,,RT,both,,,552,552,126.96,552,552,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,436.08,percent of total billed charges,436.08,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 ,436.08,percent of total billed charges ,436.08,percent of total billed charges ,469.2,percent of total billed charges ,469.2,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 ,,,,,,,,,,,,,,,,,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,,,126.96,percent of total billed charges,
**HIP 2 V LT,73502,CDM,,,RT,both,,,533,533,122.59,533,533,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,421.07,percent of total billed charges,421.07,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 ,421.07,percent of total billed charges ,421.07,percent of total billed charges ,453.05,percent of total billed charges ,453.05,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 ,,,,,,,,,,,,,,,,,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,,,122.59,percent of total billed charges,
**HIP 1 V LT,73501,CDM,,,RT,both,,,428,428,98.44,428,428,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,338.12,percent of total billed charges,338.12,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 ,338.12,percent of total billed charges ,338.12,percent of total billed charges ,363.8,percent of total billed charges ,363.8,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 ,,,,,,,,,,,,,,,,,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,
HIPS BILAT & PELVIS 2V,73521,CDM,,,,both,,,843,843,193.89,843,843,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,665.97,percent of total billed charges,665.97,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 ,665.97,percent of total billed charges ,665.97,percent of total billed charges ,716.55,percent of total billed charges ,716.55,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 ,,,,,,,,,,,,,,,,,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,
**HIP OPERATIVE LT,73530,CDM,,,RT,both,,,485,485,111.55,485,485,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,383.15,percent of total billed charges,383.15,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 ,383.15,percent of total billed charges ,383.15,percent of total billed charges ,412.25,percent of total billed charges ,412.25,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 ,,,,,,,,,,,,,,,,,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,
HUMERUS LT 2V,73060,CDM,,,RT,both,,,508,508,116.84,508,508,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,401.32,percent of total billed charges,401.32,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 ,401.32,percent of total billed charges ,401.32,percent of total billed charges ,431.8,percent of total billed charges ,431.8,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 ,,,,,,,,,,,,,,,,,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,
INFANT LOW EXT LT MIN 2V -29DAYS TO 2YRS,73592,CDM,,,RT,both,,,482,482,110.86,482,482,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,380.78,percent of total billed charges,380.78,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 ,380.78,percent of total billed charges ,380.78,percent of total billed charges ,409.7,percent of total billed charges ,409.7,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**INFANT UP EXT LT DO NOT USE,73092,CDM,,,RT,both,,,270,270,62.1,270,270,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,270,percent of total billed charges,270,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,194.4,percent of total billed charges,194.4,percent of total billed charges,213.3,percent of total billed charges,213.3,percent of total billed charges,216,percent of total billed charges,216,percent of total billed charges,,,194.4,percent of total billed charges ,,,216,percent of total billed charges ,213.3,percent of total billed charges ,213.3,percent of total billed charges ,229.5,percent of total billed charges ,229.5,percent of total billed charges ,216,percent of total billed charges ,216,percent of total billed charges ,189,percent of total billed charges ,189,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 ,,,,,143.64,percent of total billed charges ,,,,,136.46,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,,,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,,,62.1,percent of total billed charges,,,62.1,percent of total billed charges,,,62.1,percent of total billed charges,
KNEE 1 OR 2 V LT,73560,CDM,,,RT,both,,,491,491,112.93,491,491,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,387.89,percent of total billed charges,387.89,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 ,387.89,percent of total billed charges ,387.89,percent of total billed charges ,417.35,percent of total billed charges ,417.35,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
KNEE 3 V LT,73562,CDM,,,RT,both,,,594,594,136.62,594,594,percent of total billed charges,594,percent of total billed charges,594,percent of total billed charges,594,percent of total billed charges,594,percent of total billed charges,594,percent of total billed charges,594,percent of total billed charges,594,percent of total billed charges,427.68,percent of total billed charges,427.68,percent of total billed charges,427.68,percent of total billed charges,427.68,percent of total billed charges,427.68,percent of total billed charges,427.68,percent of total billed charges,469.26,percent of total billed charges,469.26,percent of total billed charges,475.2,percent of total billed charges,475.2,percent of total billed charges,,,427.68,percent of total billed charges ,,,475.2,percent of total billed charges ,469.26,percent of total billed charges ,469.26,percent of total billed charges ,504.9,percent of total billed charges ,504.9,percent of total billed charges ,475.2,percent of total billed charges ,475.2,percent of total billed charges ,415.8,percent of total billed charges ,415.8,percent of total billed charges ,356.4,percent of total billed charges ,356.4,percent of total billed charges ,356.4,percent of total billed charges ,356.4,percent of total billed charges ,,,,,316.01,percent of total billed charges ,,,,,300.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,136.62,percent of total billed charges,,,136.62,percent of total billed charges,,,136.62,percent of total billed charges,,,136.62,percent of total billed charges,,,136.62,percent of total billed charges,,,136.62,percent of total billed charges,,,136.62,percent of total billed charges,,,136.62,percent of total billed charges,,,136.62,percent of total billed charges,,,136.62,percent of total billed charges,,,136.62,percent of total billed charges,
KNEE 4 OR MORE V LT,73564,CDM,,,RT,both,,,701,701,161.23,701,701,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,553.79,percent of total billed charges,553.79,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 ,553.79,percent of total billed charges ,553.79,percent of total billed charges ,595.85,percent of total billed charges ,595.85,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 ,,,,,,,,,,,,,,,,,,,161.23,percent of total billed charges,,,161.23,percent of total billed charges,,,161.23,percent of total billed charges,,,161.23,percent of total billed charges,,,161.23,percent of total billed charges,,,161.23,percent of total billed charges,,,161.23,percent of total billed charges,,,161.23,percent of total billed charges,,,161.23,percent of total billed charges,,,161.23,percent of total billed charges,,,161.23,percent of total billed charges,
ARTHROGRAM KNEE LT,73580,CDM,,,RT,both,,,"1,702.00","1,702.00",391.46,"1,702.00","1,702.00",percent of total billed charges,"1,702.00",percent of total billed charges,"1,702.00",percent of total billed charges,"1,702.00",percent of total billed charges,"1,702.00",percent of total billed charges,"1,702.00",percent of total billed charges,"1,702.00",percent of total billed charges,"1,702.00",percent of total billed charges,"1,225.44",percent of total billed charges,"1,225.44",percent of total billed charges,"1,225.44",percent of total billed charges,"1,225.44",percent of total billed charges,"1,225.44",percent of total billed charges,"1,225.44",percent of total billed charges,"1,344.58",percent of total billed charges,"1,344.58",percent of total billed charges,"1,361.60",percent of total billed charges,"1,361.60",percent of total billed charges,,,"1,225.44",percent of total billed charges ,,,"1,361.60",percent of total billed charges ,"1,344.58",percent of total billed charges ,"1,344.58",percent of total billed charges ,"1,446.70",percent of total billed charges ,"1,446.70",percent of total billed charges ,"1,361.60",percent of total billed charges ,"1,361.60",percent of total billed charges ,"1,191.40",percent of total billed charges ,"1,191.40",percent of total billed charges ,"1,021.20",percent of total billed charges ,"1,021.20",percent of total billed charges ,"1,021.20",percent of total billed charges ,"1,021.20",percent of total billed charges ,,,,,905.46,percent of total billed charges ,,,,,860.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,391.46,percent of total billed charges,,,391.46,percent of total billed charges,,,391.46,percent of total billed charges,,,391.46,percent of total billed charges,,,391.46,percent of total billed charges,,,391.46,percent of total billed charges,,,391.46,percent of total billed charges,,,391.46,percent of total billed charges,,,391.46,percent of total billed charges,,,391.46,percent of total billed charges,,,391.46,percent of total billed charges,
**BREAST NEEDLE LOCALIZATION LT,77032,CDM,,,RT,both,,,415,415,95.45,415,415,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,327.85,percent of total billed charges,327.85,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 ,327.85,percent of total billed charges ,327.85,percent of total billed charges ,352.75,percent of total billed charges ,352.75,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 ,,,,,,,,,,,,,,,,,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,
RIBS LT W/ PA CHEST MIN 3V,71101,CDM,,,RT,both,,,685,685,157.55,685,685,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,541.15,percent of total billed charges,541.15,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 ,541.15,percent of total billed charges ,541.15,percent of total billed charges ,582.25,percent of total billed charges ,582.25,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 ,,,,,,,,,,,,,,,,,,,157.55,percent of total billed charges,,,157.55,percent of total billed charges,,,157.55,percent of total billed charges,,,157.55,percent of total billed charges,,,157.55,percent of total billed charges,,,157.55,percent of total billed charges,,,157.55,percent of total billed charges,,,157.55,percent of total billed charges,,,157.55,percent of total billed charges,,,157.55,percent of total billed charges,,,157.55,percent of total billed charges,
RIBS LT UNI,71100,CDM,,,RT,both,,,541,541,124.43,541,541,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,427.39,percent of total billed charges,427.39,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 ,427.39,percent of total billed charges ,427.39,percent of total billed charges ,459.85,percent of total billed charges ,459.85,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 ,,,,,,,,,,,,,,,,,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,
SCAPULA LT,73010,CDM,,,RT,both,,,519,519,119.37,519,519,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,410.01,percent of total billed charges,410.01,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 ,410.01,percent of total billed charges ,410.01,percent of total billed charges ,441.15,percent of total billed charges ,441.15,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 ,,,,,,,,,,,,,,,,,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,
SHOULDER 1 V LT,73020,CDM,,,RT,both,,,424,424,97.52,424,424,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,334.96,percent of total billed charges,334.96,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 ,334.96,percent of total billed charges ,334.96,percent of total billed charges ,360.4,percent of total billed charges ,360.4,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 ,,,,,,,,,,,,,,,,,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,
ARTHROGRAM SHOULDER LT,73040,CDM,,,RT,both,,,"1,431.00","1,431.00",329.13,"1,431.00","1,431.00",percent of total billed charges,"1,431.00",percent of total billed charges,"1,431.00",percent of total billed charges,"1,431.00",percent of total billed charges,"1,431.00",percent of total billed charges,"1,431.00",percent of total billed charges,"1,431.00",percent of total billed charges,"1,431.00",percent of total billed charges,"1,030.32",percent of total billed charges,"1,030.32",percent of total billed charges,"1,030.32",percent of total billed charges,"1,030.32",percent of total billed charges,"1,030.32",percent of total billed charges,"1,030.32",percent of total billed charges,"1,130.49",percent of total billed charges,"1,130.49",percent of total billed charges,"1,144.80",percent of total billed charges,"1,144.80",percent of total billed charges,,,"1,030.32",percent of total billed charges ,,,"1,144.80",percent of total billed charges ,"1,130.49",percent of total billed charges ,"1,130.49",percent of total billed charges ,"1,216.35",percent of total billed charges ,"1,216.35",percent of total billed charges ,"1,144.80",percent of total billed charges ,"1,144.80",percent of total billed charges ,"1,001.70",percent of total billed charges ,"1,001.70",percent of total billed charges ,858.6,percent of total billed charges ,858.6,percent of total billed charges ,858.6,percent of total billed charges ,858.6,percent of total billed charges ,,,,,761.29,percent of total billed charges ,,,,,723.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,329.13,percent of total billed charges,,,329.13,percent of total billed charges,,,329.13,percent of total billed charges,,,329.13,percent of total billed charges,,,329.13,percent of total billed charges,,,329.13,percent of total billed charges,,,329.13,percent of total billed charges,,,329.13,percent of total billed charges,,,329.13,percent of total billed charges,,,329.13,percent of total billed charges,,,329.13,percent of total billed charges,
SHOULDER LT COMPLETE MIN 2V,73030,CDM,,,RT,both,,,569,569,130.87,569,569,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,449.51,percent of total billed charges,449.51,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 ,449.51,percent of total billed charges ,449.51,percent of total billed charges ,483.65,percent of total billed charges ,483.65,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 ,,,,,,,,,,,,,,,,,,,130.87,percent of total billed charges,,,130.87,percent of total billed charges,,,130.87,percent of total billed charges,,,130.87,percent of total billed charges,,,130.87,percent of total billed charges,,,130.87,percent of total billed charges,,,130.87,percent of total billed charges,,,130.87,percent of total billed charges,,,130.87,percent of total billed charges,,,130.87,percent of total billed charges,,,130.87,percent of total billed charges,
STRESS VIEW ANY JOINT LT,77071,CDM,,,RT,both,,,299,299,68.77,299,299,percent of total billed charges,299,percent of total billed charges,299,percent of total billed charges,299,percent of total billed charges,299,percent of total billed charges,299,percent of total billed charges,299,percent of total billed charges,299,percent of total billed charges,215.28,percent of total billed charges,215.28,percent of total billed charges,215.28,percent of total billed charges,215.28,percent of total billed charges,215.28,percent of total billed charges,215.28,percent of total billed charges,236.21,percent of total billed charges,236.21,percent of total billed charges,239.2,percent of total billed charges,239.2,percent of total billed charges,,,215.28,percent of total billed charges ,,,239.2,percent of total billed charges ,236.21,percent of total billed charges ,236.21,percent of total billed charges ,254.15,percent of total billed charges ,254.15,percent of total billed charges ,239.2,percent of total billed charges ,239.2,percent of total billed charges ,209.3,percent of total billed charges ,209.3,percent of total billed charges ,179.4,percent of total billed charges ,179.4,percent of total billed charges ,179.4,percent of total billed charges ,179.4,percent of total billed charges ,,,,,159.07,percent of total billed charges ,,,,,151.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,
TIBIA AND FIBULA LT 2V,73590,CDM,,,RT,both,,,523,523,120.29,523,523,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,413.17,percent of total billed charges,413.17,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 ,413.17,percent of total billed charges ,413.17,percent of total billed charges ,444.55,percent of total billed charges ,444.55,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 ,,,,,,,,,,,,,,,,,,,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,,,120.29,percent of total billed charges,,,120.29,percent of total billed charges,,,120.29,percent of total billed charges,
WRIST 2 V LT,73100,CDM,,,RT,both,,,459,459,105.57,459,459,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,362.61,percent of total billed charges,362.61,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 ,362.61,percent of total billed charges ,362.61,percent of total billed charges ,390.15,percent of total billed charges ,390.15,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 ,,,,,,,,,,,,,,,,,,,105.57,percent of total billed charges,,,105.57,percent of total billed charges,,,105.57,percent of total billed charges,,,105.57,percent of total billed charges,,,105.57,percent of total billed charges,,,105.57,percent of total billed charges,,,105.57,percent of total billed charges,,,105.57,percent of total billed charges,,,105.57,percent of total billed charges,,,105.57,percent of total billed charges,,,105.57,percent of total billed charges,
WRIST MIN 3V LT,73110,CDM,,,RT,both,,,547,547,125.81,547,547,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,432.13,percent of total billed charges,432.13,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 ,432.13,percent of total billed charges ,432.13,percent of total billed charges ,464.95,percent of total billed charges ,464.95,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 ,,,,,,,,,,,,,,,,,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,
FINGER THUMB LT MIN 2V,73140,CDM,,,F5,both,,,424,424,97.52,424,424,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,334.96,percent of total billed charges,334.96,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 ,334.96,percent of total billed charges ,334.96,percent of total billed charges ,360.4,percent of total billed charges ,360.4,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 ,,,,,,,,,,,,,,,,,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,
FINGER 2ND DIG RT MIN 2 VWS,73140,CDM,,,F5,both,,,424,424,97.52,424,424,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,334.96,percent of total billed charges,334.96,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 ,334.96,percent of total billed charges ,334.96,percent of total billed charges ,360.4,percent of total billed charges ,360.4,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 ,,,,,,,,,,,,,,,,,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,
FINGER 3RD DIG RT MIN 2 VWS,73140,CDM,,,F5,both,,,424,424,97.52,424,424,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,334.96,percent of total billed charges,334.96,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 ,334.96,percent of total billed charges ,334.96,percent of total billed charges ,360.4,percent of total billed charges ,360.4,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 ,,,,,,,,,,,,,,,,,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,
FINGER 4TH DIG RT MIN 2VWS,73140,CDM,,,F5,both,,,424,424,97.52,424,424,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,334.96,percent of total billed charges,334.96,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 ,334.96,percent of total billed charges ,334.96,percent of total billed charges ,360.4,percent of total billed charges ,360.4,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 ,,,,,,,,,,,,,,,,,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,
FINGER 5TH DIG RT MIN 2VWS,73140,CDM,,,F5,both,,,424,424,97.52,424,424,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,334.96,percent of total billed charges,334.96,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 ,334.96,percent of total billed charges ,334.96,percent of total billed charges ,360.4,percent of total billed charges ,360.4,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 ,,,,,,,,,,,,,,,,,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,
FINGER 2ND DIG LT MIN 2VWS,73140,CDM,,,F5,both,,,447,447,102.81,447,447,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,353.13,percent of total billed charges,353.13,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 ,353.13,percent of total billed charges ,353.13,percent of total billed charges ,379.95,percent of total billed charges ,379.95,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 ,,,,,,,,,,,,,,,,,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,
FINGER 3RD DIG LT MIN 2VWS,73140,CDM,,,F5,both,,,424,424,97.52,424,424,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,334.96,percent of total billed charges,334.96,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 ,334.96,percent of total billed charges ,334.96,percent of total billed charges ,360.4,percent of total billed charges ,360.4,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 ,,,,,,,,,,,,,,,,,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,
FINGER 4TH DIG LT MIN 2VWS,73140,CDM,,,F5,both,,,424,424,97.52,424,424,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,334.96,percent of total billed charges,334.96,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 ,334.96,percent of total billed charges ,334.96,percent of total billed charges ,360.4,percent of total billed charges ,360.4,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 ,,,,,,,,,,,,,,,,,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,
FINGER 5TH DIG LT MIN 2VWS,73140,CDM,,,F5,both,,,424,424,97.52,424,424,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,334.96,percent of total billed charges,334.96,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 ,334.96,percent of total billed charges ,334.96,percent of total billed charges ,360.4,percent of total billed charges ,360.4,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 ,,,,,,,,,,,,,,,,,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,,,97.52,percent of total billed charges,
TOE GREAT LT MIN 2VWS,73660,CDM,,,T5,both,,,416,416,95.68,416,416,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,328.64,percent of total billed charges,328.64,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 ,328.64,percent of total billed charges ,328.64,percent of total billed charges ,353.6,percent of total billed charges ,353.6,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 ,,,,,,,,,,,,,,,,,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,
TOE 2ND DIGIT RT MIN 2VWS,73660,CDM,,,T5,both,,,416,416,95.68,416,416,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,328.64,percent of total billed charges,328.64,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 ,328.64,percent of total billed charges ,328.64,percent of total billed charges ,353.6,percent of total billed charges ,353.6,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 ,,,,,,,,,,,,,,,,,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,
TOE 3RD DIGIT RT MIN 2VWS,73660,CDM,,,T5,both,,,416,416,95.68,416,416,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,328.64,percent of total billed charges,328.64,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 ,328.64,percent of total billed charges ,328.64,percent of total billed charges ,353.6,percent of total billed charges ,353.6,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 ,,,,,,,,,,,,,,,,,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,
TOE 4TH DIGIT RT MIN 2VWS,73660,CDM,,,T5,both,,,416,416,95.68,416,416,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,328.64,percent of total billed charges,328.64,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 ,328.64,percent of total billed charges ,328.64,percent of total billed charges ,353.6,percent of total billed charges ,353.6,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 ,,,,,,,,,,,,,,,,,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,
TOE 5TH DIGIT RT MIN 2VWS,73660,CDM,,,T5,both,,,416,416,95.68,416,416,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,328.64,percent of total billed charges,328.64,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 ,328.64,percent of total billed charges ,328.64,percent of total billed charges ,353.6,percent of total billed charges ,353.6,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 ,,,,,,,,,,,,,,,,,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,
TOE 2ND DIGIT LT MIN 2VWS,73660,CDM,,,T5,both,,,416,416,95.68,416,416,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,328.64,percent of total billed charges,328.64,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 ,328.64,percent of total billed charges ,328.64,percent of total billed charges ,353.6,percent of total billed charges ,353.6,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 ,,,,,,,,,,,,,,,,,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,
TOE 3RD DIGIT LT MIN 2VWS,73660,CDM,,,T5,both,,,416,416,95.68,416,416,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,328.64,percent of total billed charges,328.64,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 ,328.64,percent of total billed charges ,328.64,percent of total billed charges ,353.6,percent of total billed charges ,353.6,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 ,,,,,,,,,,,,,,,,,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,
TOE 4TH DIGIT LT MIN 2VWS,73660,CDM,,,T5,both,,,446,446,102.58,446,446,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,352.34,percent of total billed charges,352.34,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 ,352.34,percent of total billed charges ,352.34,percent of total billed charges ,379.1,percent of total billed charges ,379.1,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 ,,,,,,,,,,,,,,,,,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,
TOE 5TH DIGIT LT MIN 2VWS,73660,CDM,,,T5,both,,,416,416,95.68,416,416,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,328.64,percent of total billed charges,328.64,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 ,328.64,percent of total billed charges ,328.64,percent of total billed charges ,353.6,percent of total billed charges ,353.6,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 ,,,,,,,,,,,,,,,,,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,
**TRIPANEL LT,77073,CDM,,,,both,,,546,546,125.58,546,546,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,431.34,percent of total billed charges,431.34,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 ,431.34,percent of total billed charges ,431.34,percent of total billed charges ,464.1,percent of total billed charges ,464.1,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 ,,,,,,,,,,,,,,,,,,,125.58,percent of total billed charges,,,125.58,percent of total billed charges,,,125.58,percent of total billed charges,,,125.58,percent of total billed charges,,,125.58,percent of total billed charges,,,125.58,percent of total billed charges,,,125.58,percent of total billed charges,,,125.58,percent of total billed charges,,,125.58,percent of total billed charges,,,125.58,percent of total billed charges,,,125.58,percent of total billed charges,
**MM MAMMO UNILATERAL RT DX,77055,CDM,,,LT,both,,,415,415,95.45,415,415,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,327.85,percent of total billed charges,327.85,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 ,327.85,percent of total billed charges ,327.85,percent of total billed charges ,352.75,percent of total billed charges ,352.75,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 ,,,,,,,,,,,,,,,,,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,
US BREAST COMPLETE RT 76641,76641,CDM,,,RT,both,,,940,940,216.2,940,940,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,742.6,percent of total billed charges,742.6,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 ,742.6,percent of total billed charges ,742.6,percent of total billed charges ,799,percent of total billed charges ,799,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 ,,,,,,,,,,,,,,,,,,,216.2,percent of total billed charges,,,216.2,percent of total billed charges,,,216.2,percent of total billed charges,,,216.2,percent of total billed charges,,,216.2,percent of total billed charges,,,216.2,percent of total billed charges,,,216.2,percent of total billed charges,,,216.2,percent of total billed charges,,,216.2,percent of total billed charges,,,216.2,percent of total billed charges,,,216.2,percent of total billed charges,
**ANKLE BILAT 2V,73600,CDM,,,RT,both,,,928,928,213.44,928,928,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,733.12,percent of total billed charges,733.12,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 ,733.12,percent of total billed charges ,733.12,percent of total billed charges ,788.8,percent of total billed charges ,788.8,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 ,,,,,,,,,,,,,,,,,,,213.44,percent of total billed charges,,,213.44,percent of total billed charges,,,213.44,percent of total billed charges,,,213.44,percent of total billed charges,,,213.44,percent of total billed charges,,,213.44,percent of total billed charges,,,213.44,percent of total billed charges,,,213.44,percent of total billed charges,,,213.44,percent of total billed charges,,,213.44,percent of total billed charges,,,213.44,percent of total billed charges,
**ANKLE BILAT 3 V,73610,CDM,,,RT,both,,,"1,174.00","1,174.00",270.02,"1,174.00","1,174.00",percent of total billed charges,"1,174.00",percent of total billed charges,"1,174.00",percent of total billed charges,"1,174.00",percent of total billed charges,"1,174.00",percent of total billed charges,"1,174.00",percent of total billed charges,"1,174.00",percent of total billed charges,"1,174.00",percent of total billed charges,845.28,percent of total billed charges,845.28,percent of total billed charges,845.28,percent of total billed charges,845.28,percent of total billed charges,845.28,percent of total billed charges,845.28,percent of total billed charges,927.46,percent of total billed charges,927.46,percent of total billed charges,939.2,percent of total billed charges,939.2,percent of total billed charges,,,845.28,percent of total billed charges ,,,939.2,percent of total billed charges ,927.46,percent of total billed charges ,927.46,percent of total billed charges ,997.9,percent of total billed charges ,997.9,percent of total billed charges ,939.2,percent of total billed charges ,939.2,percent of total billed charges ,821.8,percent of total billed charges ,821.8,percent of total billed charges ,704.4,percent of total billed charges ,704.4,percent of total billed charges ,704.4,percent of total billed charges ,704.4,percent of total billed charges ,,,,,624.57,percent of total billed charges ,,,,,593.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,270.02,percent of total billed charges,,,270.02,percent of total billed charges,,,270.02,percent of total billed charges,,,270.02,percent of total billed charges,,,270.02,percent of total billed charges,,,270.02,percent of total billed charges,,,270.02,percent of total billed charges,,,270.02,percent of total billed charges,,,270.02,percent of total billed charges,,,270.02,percent of total billed charges,,,270.02,percent of total billed charges,
**CALCANEUS BILAT,73650,CDM,,,TC,both,,,973,973,223.79,973,973,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,768.67,percent of total billed charges,768.67,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 ,768.67,percent of total billed charges ,768.67,percent of total billed charges ,827.05,percent of total billed charges ,827.05,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 ,,,,,,,,,,,,,,,,,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,
**CLAVICLE BILAT,73000,CDM,,,RT,both,,,"1,062.00","1,062.00",244.26,"1,062.00","1,062.00",percent of total billed charges,"1,062.00",percent of total billed charges,"1,062.00",percent of total billed charges,"1,062.00",percent of total billed charges,"1,062.00",percent of total billed charges,"1,062.00",percent of total billed charges,"1,062.00",percent of total billed charges,"1,062.00",percent of total billed charges,764.64,percent of total billed charges,764.64,percent of total billed charges,764.64,percent of total billed charges,764.64,percent of total billed charges,764.64,percent of total billed charges,764.64,percent of total billed charges,838.98,percent of total billed charges,838.98,percent of total billed charges,849.6,percent of total billed charges,849.6,percent of total billed charges,,,764.64,percent of total billed charges ,,,849.6,percent of total billed charges ,838.98,percent of total billed charges ,838.98,percent of total billed charges ,902.7,percent of total billed charges ,902.7,percent of total billed charges ,849.6,percent of total billed charges ,849.6,percent of total billed charges ,743.4,percent of total billed charges ,743.4,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 ,,,,,564.98,percent of total billed charges ,,,,,536.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,244.26,percent of total billed charges,,,244.26,percent of total billed charges,,,244.26,percent of total billed charges,,,244.26,percent of total billed charges,,,244.26,percent of total billed charges,,,244.26,percent of total billed charges,,,244.26,percent of total billed charges,,,244.26,percent of total billed charges,,,244.26,percent of total billed charges,,,244.26,percent of total billed charges,,,244.26,percent of total billed charges,
**ELBOW BILAT 2V,73070,CDM,,,RT,both,,,987,987,227.01,987,987,percent of total billed charges,987,percent of total billed charges,987,percent of total billed charges,987,percent of total billed charges,987,percent of total billed charges,987,percent of total billed charges,987,percent of total billed charges,987,percent of total billed charges,710.64,percent of total billed charges,710.64,percent of total billed charges,710.64,percent of total billed charges,710.64,percent of total billed charges,710.64,percent of total billed charges,710.64,percent of total billed charges,779.73,percent of total billed charges,779.73,percent of total billed charges,789.6,percent of total billed charges,789.6,percent of total billed charges,,,710.64,percent of total billed charges ,,,789.6,percent of total billed charges ,779.73,percent of total billed charges ,779.73,percent of total billed charges ,838.95,percent of total billed charges ,838.95,percent of total billed charges ,789.6,percent of total billed charges ,789.6,percent of total billed charges ,690.9,percent of total billed charges ,690.9,percent of total billed charges ,592.2,percent of total billed charges ,592.2,percent of total billed charges ,592.2,percent of total billed charges ,592.2,percent of total billed charges ,,,,,525.08,percent of total billed charges ,,,,,498.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,227.01,percent of total billed charges,,,227.01,percent of total billed charges,,,227.01,percent of total billed charges,,,227.01,percent of total billed charges,,,227.01,percent of total billed charges,,,227.01,percent of total billed charges,,,227.01,percent of total billed charges,,,227.01,percent of total billed charges,,,227.01,percent of total billed charges,,,227.01,percent of total billed charges,,,227.01,percent of total billed charges,
**ELBOW BILAT 3V,73080,CDM,,,RT,both,,,"1,212.00","1,212.00",278.76,"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,957.48,percent of total billed charges,957.48,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 ,957.48,percent of total billed charges ,957.48,percent of total billed charges ,"1,030.20",percent of total billed charges ,"1,030.20",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 ,,,,,,,,,,,,,,,,,,,278.76,percent of total billed charges,,,278.76,percent of total billed charges,,,278.76,percent of total billed charges,,,278.76,percent of total billed charges,,,278.76,percent of total billed charges,,,278.76,percent of total billed charges,,,278.76,percent of total billed charges,,,278.76,percent of total billed charges,,,278.76,percent of total billed charges,,,278.76,percent of total billed charges,,,278.76,percent of total billed charges,
**FEMUR BILAT,73550,CDM,,,50,both,,,"1,206.00","1,206.00",277.38,"1,206.00","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,"1,206.00",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,868.32,percent of total billed charges,868.32,percent of total billed charges,868.32,percent of total billed charges,868.32,percent of total billed charges,868.32,percent of total billed charges,868.32,percent of total billed charges,952.74,percent of total billed charges,952.74,percent of total billed charges,964.8,percent of total billed charges,964.8,percent of total billed charges,,,868.32,percent of total billed charges ,,,964.8,percent of total billed charges ,952.74,percent of total billed charges ,952.74,percent of total billed charges ,"1,025.10",percent of total billed charges ,"1,025.10",percent of total billed charges ,964.8,percent of total billed charges ,964.8,percent of total billed charges ,844.2,percent of total billed charges ,844.2,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 ,,,,,641.59,percent of total billed charges ,,,,,609.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,277.38,percent of total billed charges,,,277.38,percent of total billed charges,,,277.38,percent of total billed charges,,,277.38,percent of total billed charges,,,277.38,percent of total billed charges,,,277.38,percent of total billed charges,,,277.38,percent of total billed charges,,,277.38,percent of total billed charges,,,277.38,percent of total billed charges,,,277.38,percent of total billed charges,,,277.38,percent of total billed charges,
**FINGER 2ND DIG BILAT DO NOT USE,73140,CDM,,,F5,both,,,447,447,102.81,447,447,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,353.13,percent of total billed charges,353.13,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 ,353.13,percent of total billed charges ,353.13,percent of total billed charges ,379.95,percent of total billed charges ,379.95,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 ,,,,,,,,,,,,,,,,,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,
**FINGER 3RD DIG BILAT DO NOT USE,73140,CDM,,,F5,both,,,447,447,102.81,447,447,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,353.13,percent of total billed charges,353.13,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 ,353.13,percent of total billed charges ,353.13,percent of total billed charges ,379.95,percent of total billed charges ,379.95,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 ,,,,,,,,,,,,,,,,,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,
**FINGER 4TH DIG BILAT DO NOT USE,73140,CDM,,,F5,both,,,447,447,102.81,447,447,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,353.13,percent of total billed charges,353.13,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 ,353.13,percent of total billed charges ,353.13,percent of total billed charges ,379.95,percent of total billed charges ,379.95,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 ,,,,,,,,,,,,,,,,,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,
**FINGER 5TH DIG BILAT DO NOT USE,73140,CDM,,,F5,both,,,447,447,102.81,447,447,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,353.13,percent of total billed charges,353.13,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 ,353.13,percent of total billed charges ,353.13,percent of total billed charges ,379.95,percent of total billed charges ,379.95,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 ,,,,,,,,,,,,,,,,,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,
**FINGER THUMB BILAT DO NOT USE,73140,CDM,,,F5,both,,,447,447,102.81,447,447,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,353.13,percent of total billed charges,353.13,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 ,353.13,percent of total billed charges ,353.13,percent of total billed charges ,379.95,percent of total billed charges ,379.95,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 ,,,,,,,,,,,,,,,,,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,
**FOOT BILAT 2V,73620,CDM,,,RT,both,,,939,939,215.97,939,939,percent of total billed charges,939,percent of total billed charges,939,percent of total billed charges,939,percent of total billed charges,939,percent of total billed charges,939,percent of total billed charges,939,percent of total billed charges,939,percent of total billed charges,676.08,percent of total billed charges,676.08,percent of total billed charges,676.08,percent of total billed charges,676.08,percent of total billed charges,676.08,percent of total billed charges,676.08,percent of total billed charges,741.81,percent of total billed charges,741.81,percent of total billed charges,751.2,percent of total billed charges,751.2,percent of total billed charges,,,676.08,percent of total billed charges ,,,751.2,percent of total billed charges ,741.81,percent of total billed charges ,741.81,percent of total billed charges ,798.15,percent of total billed charges ,798.15,percent of total billed charges ,751.2,percent of total billed charges ,751.2,percent of total billed charges ,657.3,percent of total billed charges ,657.3,percent of total billed charges ,563.4,percent of total billed charges ,563.4,percent of total billed charges ,563.4,percent of total billed charges ,563.4,percent of total billed charges ,,,,,499.55,percent of total billed charges ,,,,,474.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,215.97,percent of total billed charges,,,215.97,percent of total billed charges,,,215.97,percent of total billed charges,,,215.97,percent of total billed charges,,,215.97,percent of total billed charges,,,215.97,percent of total billed charges,,,215.97,percent of total billed charges,,,215.97,percent of total billed charges,,,215.97,percent of total billed charges,,,215.97,percent of total billed charges,,,215.97,percent of total billed charges,
**FOOT BILAT 3V,73630,CDM,,,RT,both,,,"1,156.00","1,156.00",265.88,"1,156.00","1,156.00",percent of total billed charges,"1,156.00",percent of total billed charges,"1,156.00",percent of total billed charges,"1,156.00",percent of total billed charges,"1,156.00",percent of total billed charges,"1,156.00",percent of total billed charges,"1,156.00",percent of total billed charges,"1,156.00",percent of total billed charges,832.32,percent of total billed charges,832.32,percent of total billed charges,832.32,percent of total billed charges,832.32,percent of total billed charges,832.32,percent of total billed charges,832.32,percent of total billed charges,913.24,percent of total billed charges,913.24,percent of total billed charges,924.8,percent of total billed charges,924.8,percent of total billed charges,,,832.32,percent of total billed charges ,,,924.8,percent of total billed charges ,913.24,percent of total billed charges ,913.24,percent of total billed charges ,982.6,percent of total billed charges ,982.6,percent of total billed charges ,924.8,percent of total billed charges ,924.8,percent of total billed charges ,809.2,percent of total billed charges ,809.2,percent of total billed charges ,693.6,percent of total billed charges ,693.6,percent of total billed charges ,693.6,percent of total billed charges ,693.6,percent of total billed charges ,,,,,614.99,percent of total billed charges ,,,,,584.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,265.88,percent of total billed charges,,,265.88,percent of total billed charges,,,265.88,percent of total billed charges,,,265.88,percent of total billed charges,,,265.88,percent of total billed charges,,,265.88,percent of total billed charges,,,265.88,percent of total billed charges,,,265.88,percent of total billed charges,,,265.88,percent of total billed charges,,,265.88,percent of total billed charges,,,265.88,percent of total billed charges,
**FOREARM BILAT,73090,CDM,,,RT,both,,,"1,081.00","1,081.00",248.63,"1,081.00","1,081.00",percent of total billed charges,"1,081.00",percent of total billed charges,"1,081.00",percent of total billed charges,"1,081.00",percent of total billed charges,"1,081.00",percent of total billed charges,"1,081.00",percent of total billed charges,"1,081.00",percent of total billed charges,"1,081.00",percent of total billed charges,778.32,percent of total billed charges,778.32,percent of total billed charges,778.32,percent of total billed charges,778.32,percent of total billed charges,778.32,percent of total billed charges,778.32,percent of total billed charges,853.99,percent of total billed charges,853.99,percent of total billed charges,864.8,percent of total billed charges,864.8,percent of total billed charges,,,778.32,percent of total billed charges ,,,864.8,percent of total billed charges ,853.99,percent of total billed charges ,853.99,percent of total billed charges ,918.85,percent of total billed charges ,918.85,percent of total billed charges ,864.8,percent of total billed charges ,864.8,percent of total billed charges ,756.7,percent of total billed charges ,756.7,percent of total billed charges ,648.6,percent of total billed charges ,648.6,percent of total billed charges ,648.6,percent of total billed charges ,648.6,percent of total billed charges ,,,,,575.09,percent of total billed charges ,,,,,546.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,248.63,percent of total billed charges,,,248.63,percent of total billed charges,,,248.63,percent of total billed charges,,,248.63,percent of total billed charges,,,248.63,percent of total billed charges,,,248.63,percent of total billed charges,,,248.63,percent of total billed charges,,,248.63,percent of total billed charges,,,248.63,percent of total billed charges,,,248.63,percent of total billed charges,,,248.63,percent of total billed charges,
**HAND BILAT 2V,73120,CDM,,,RT,both,,,931,931,214.13,931,931,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,735.49,percent of total billed charges,735.49,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 ,735.49,percent of total billed charges ,735.49,percent of total billed charges ,791.35,percent of total billed charges ,791.35,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 ,,,,,,,,,,,,,,,,,,,214.13,percent of total billed charges,,,214.13,percent of total billed charges,,,214.13,percent of total billed charges,,,214.13,percent of total billed charges,,,214.13,percent of total billed charges,,,214.13,percent of total billed charges,,,214.13,percent of total billed charges,,,214.13,percent of total billed charges,,,214.13,percent of total billed charges,,,214.13,percent of total billed charges,,,214.13,percent of total billed charges,
**HAND BILAT 3V,73130,CDM,,,RT,both,,,"1,174.00","1,174.00",270.02,"1,174.00","1,174.00",percent of total billed charges,"1,174.00",percent of total billed charges,"1,174.00",percent of total billed charges,"1,174.00",percent of total billed charges,"1,174.00",percent of total billed charges,"1,174.00",percent of total billed charges,"1,174.00",percent of total billed charges,"1,174.00",percent of total billed charges,845.28,percent of total billed charges,845.28,percent of total billed charges,845.28,percent of total billed charges,845.28,percent of total billed charges,845.28,percent of total billed charges,845.28,percent of total billed charges,927.46,percent of total billed charges,927.46,percent of total billed charges,939.2,percent of total billed charges,939.2,percent of total billed charges,,,845.28,percent of total billed charges ,,,939.2,percent of total billed charges ,927.46,percent of total billed charges ,927.46,percent of total billed charges ,997.9,percent of total billed charges ,997.9,percent of total billed charges ,939.2,percent of total billed charges ,939.2,percent of total billed charges ,821.8,percent of total billed charges ,821.8,percent of total billed charges ,704.4,percent of total billed charges ,704.4,percent of total billed charges ,704.4,percent of total billed charges ,704.4,percent of total billed charges ,,,,,624.57,percent of total billed charges ,,,,,593.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,270.02,percent of total billed charges,,,270.02,percent of total billed charges,,,270.02,percent of total billed charges,,,270.02,percent of total billed charges,,,270.02,percent of total billed charges,,,270.02,percent of total billed charges,,,270.02,percent of total billed charges,,,270.02,percent of total billed charges,,,270.02,percent of total billed charges,,,270.02,percent of total billed charges,,,270.02,percent of total billed charges,
**HIPS BILAT,73510,CDM,,,50,both,,,861,861,198.03,861,861,percent of total billed charges,861,percent of total billed charges,861,percent of total billed charges,861,percent of total billed charges,861,percent of total billed charges,861,percent of total billed charges,861,percent of total billed charges,861,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,680.19,percent of total billed charges,680.19,percent of total billed charges,688.8,percent of total billed charges,688.8,percent of total billed charges,,,619.92,percent of total billed charges ,,,688.8,percent of total billed charges ,680.19,percent of total billed charges ,680.19,percent of total billed charges ,731.85,percent of total billed charges ,731.85,percent of total billed charges ,688.8,percent of total billed charges ,688.8,percent of total billed charges ,602.7,percent of total billed charges ,602.7,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 ,,,,,458.05,percent of total billed charges ,,,,,435.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,198.03,percent of total billed charges,,,198.03,percent of total billed charges,,,198.03,percent of total billed charges,,,198.03,percent of total billed charges,,,198.03,percent of total billed charges,,,198.03,percent of total billed charges,,,198.03,percent of total billed charges,,,198.03,percent of total billed charges,,,198.03,percent of total billed charges,,,198.03,percent of total billed charges,,,198.03,percent of total billed charges,
**HIP 2V BILAT DO NOT USE,73510,CDM,,,50,both,,,386,386,88.78,386,386,percent of total billed charges,386,percent of total billed charges,386,percent of total billed charges,386,percent of total billed charges,386,percent of total billed charges,386,percent of total billed charges,386,percent of total billed charges,386,percent of total billed charges,277.92,percent of total billed charges,277.92,percent of total billed charges,277.92,percent of total billed charges,277.92,percent of total billed charges,277.92,percent of total billed charges,277.92,percent of total billed charges,304.94,percent of total billed charges,304.94,percent of total billed charges,308.8,percent of total billed charges,308.8,percent of total billed charges,,,277.92,percent of total billed charges ,,,308.8,percent of total billed charges ,304.94,percent of total billed charges ,304.94,percent of total billed charges ,328.1,percent of total billed charges ,328.1,percent of total billed charges ,308.8,percent of total billed charges ,308.8,percent of total billed charges ,270.2,percent of total billed charges ,270.2,percent of total billed charges ,231.6,percent of total billed charges ,231.6,percent of total billed charges ,231.6,percent of total billed charges ,231.6,percent of total billed charges ,,,,,205.35,percent of total billed charges ,,,,,195.08,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,,,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,
**HUMERUS BILAT,73060,CDM,,,RT,both,,,"1,122.00","1,122.00",258.06,"1,122.00","1,122.00",percent of total billed charges,"1,122.00",percent of total billed charges,"1,122.00",percent of total billed charges,"1,122.00",percent of total billed charges,"1,122.00",percent of total billed charges,"1,122.00",percent of total billed charges,"1,122.00",percent of total billed charges,"1,122.00",percent of total billed charges,807.84,percent of total billed charges,807.84,percent of total billed charges,807.84,percent of total billed charges,807.84,percent of total billed charges,807.84,percent of total billed charges,807.84,percent of total billed charges,886.38,percent of total billed charges,886.38,percent of total billed charges,897.6,percent of total billed charges,897.6,percent of total billed charges,,,807.84,percent of total billed charges ,,,897.6,percent of total billed charges ,886.38,percent of total billed charges ,886.38,percent of total billed charges ,953.7,percent of total billed charges ,953.7,percent of total billed charges ,897.6,percent of total billed charges ,897.6,percent of total billed charges ,785.4,percent of total billed charges ,785.4,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 ,,,,,596.9,percent of total billed charges ,,,,,567.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,258.06,percent of total billed charges,,,258.06,percent of total billed charges,,,258.06,percent of total billed charges,,,258.06,percent of total billed charges,,,258.06,percent of total billed charges,,,258.06,percent of total billed charges,,,258.06,percent of total billed charges,,,258.06,percent of total billed charges,,,258.06,percent of total billed charges,,,258.06,percent of total billed charges,,,258.06,percent of total billed charges,
**INFANT BILAT LOWER EXT (5WKS TO 12M),73592,CDM,,,RT,both,,,959,959,220.57,959,959,percent of total billed charges,959,percent of total billed charges,959,percent of total billed charges,959,percent of total billed charges,959,percent of total billed charges,959,percent of total billed charges,959,percent of total billed charges,959,percent of total billed charges,690.48,percent of total billed charges,690.48,percent of total billed charges,690.48,percent of total billed charges,690.48,percent of total billed charges,690.48,percent of total billed charges,690.48,percent of total billed charges,757.61,percent of total billed charges,757.61,percent of total billed charges,767.2,percent of total billed charges,767.2,percent of total billed charges,,,690.48,percent of total billed charges ,,,767.2,percent of total billed charges ,757.61,percent of total billed charges ,757.61,percent of total billed charges ,815.15,percent of total billed charges ,815.15,percent of total billed charges ,767.2,percent of total billed charges ,767.2,percent of total billed charges ,671.3,percent of total billed charges ,671.3,percent of total billed charges ,575.4,percent of total billed charges ,575.4,percent of total billed charges ,575.4,percent of total billed charges ,575.4,percent of total billed charges ,,,,,510.19,percent of total billed charges ,,,,,484.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,
**INFANT BILAT UPPER EXT (5WKS TO 12M),73092,CDM,,,RT,both,,,532,532,122.36,532,532,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,420.28,percent of total billed charges,420.28,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 ,420.28,percent of total billed charges ,420.28,percent of total billed charges ,452.2,percent of total billed charges ,452.2,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 ,,,,,,,,,,,,,,,,,,,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,
**KNEE BILAT 1 OR 2 V,73560,CDM,,,RT,both,,,"1,040.00","1,040.00",239.2,"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,821.6,percent of total billed charges,821.6,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 ,821.6,percent of total billed charges ,821.6,percent of total billed charges ,884,percent of total billed charges ,884,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 ,,,,,,,,,,,,,,,,,,,239.2,percent of total billed charges,,,239.2,percent of total billed charges,,,239.2,percent of total billed charges,,,239.2,percent of total billed charges,,,239.2,percent of total billed charges,,,239.2,percent of total billed charges,,,239.2,percent of total billed charges,,,239.2,percent of total billed charges,,,239.2,percent of total billed charges,,,239.2,percent of total billed charges,,,239.2,percent of total billed charges,
**KNEE BILAT 3V,73562,CDM,,,RT,both,,,"1,297.00","1,297.00",298.31,"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,"1,024.63",percent of total billed charges,"1,024.63",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 ,"1,024.63",percent of total billed charges ,"1,024.63",percent of total billed charges ,"1,102.45",percent of total billed charges ,"1,102.45",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 ,,,,,,,,,,,,,,,,,,,298.31,percent of total billed charges,,,298.31,percent of total billed charges,,,298.31,percent of total billed charges,,,298.31,percent of total billed charges,,,298.31,percent of total billed charges,,,298.31,percent of total billed charges,,,298.31,percent of total billed charges,,,298.31,percent of total billed charges,,,298.31,percent of total billed charges,,,298.31,percent of total billed charges,,,298.31,percent of total billed charges,
**KNEE BILAT 4 OR MORE V,73564,CDM,,,RT,both,,,"1,545.00","1,545.00",355.35,"1,545.00","1,545.00",percent of total billed charges,"1,545.00",percent of total billed charges,"1,545.00",percent of total billed charges,"1,545.00",percent of total billed charges,"1,545.00",percent of total billed charges,"1,545.00",percent of total billed charges,"1,545.00",percent of total billed charges,"1,545.00",percent of total billed charges,"1,112.40",percent of total billed charges,"1,112.40",percent of total billed charges,"1,112.40",percent of total billed charges,"1,112.40",percent of total billed charges,"1,112.40",percent of total billed charges,"1,112.40",percent of total billed charges,"1,220.55",percent of total billed charges,"1,220.55",percent of total billed charges,"1,236.00",percent of total billed charges,"1,236.00",percent of total billed charges,,,"1,112.40",percent of total billed charges ,,,"1,236.00",percent of total billed charges ,"1,220.55",percent of total billed charges ,"1,220.55",percent of total billed charges ,"1,313.25",percent of total billed charges ,"1,313.25",percent of total billed charges ,"1,236.00",percent of total billed charges ,"1,236.00",percent of total billed charges ,"1,081.50",percent of total billed charges ,"1,081.50",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 ,,,,,821.94,percent of total billed charges ,,,,,780.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,355.35,percent of total billed charges,,,355.35,percent of total billed charges,,,355.35,percent of total billed charges,,,355.35,percent of total billed charges,,,355.35,percent of total billed charges,,,355.35,percent of total billed charges,,,355.35,percent of total billed charges,,,355.35,percent of total billed charges,,,355.35,percent of total billed charges,,,355.35,percent of total billed charges,,,355.35,percent of total billed charges,
**TRIPANEL BILAT DO NOT USE,76040,CDM,,,50,both,,,877,877,201.71,877,877,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,692.83,percent of total billed charges,692.83,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 ,692.83,percent of total billed charges ,692.83,percent of total billed charges ,745.45,percent of total billed charges ,745.45,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 ,,,,,,,,,,,,,,,,,,,201.71,percent of total billed charges,,,201.71,percent of total billed charges,,,201.71,percent of total billed charges,,,201.71,percent of total billed charges,,,201.71,percent of total billed charges,,,201.71,percent of total billed charges,,,201.71,percent of total billed charges,,,201.71,percent of total billed charges,,,201.71,percent of total billed charges,,,201.71,percent of total billed charges,,,201.71,percent of total billed charges,
**MRA UP EXT LT DO NOT USE,73225,CDM,,,RT,both,,,"4,791.00","4,791.00","1,101.93","4,791.00","4,791.00",percent of total billed charges,"4,791.00",percent of total billed charges,"4,791.00",percent of total billed charges,"4,791.00",percent of total billed charges,"4,791.00",percent of total billed charges,"4,791.00",percent of total billed charges,"4,791.00",percent of total billed charges,"4,791.00",percent of total billed charges,"3,449.52",percent of total billed charges,"3,449.52",percent of total billed charges,"3,449.52",percent of total billed charges,"3,449.52",percent of total billed charges,"3,449.52",percent of total billed charges,"3,449.52",percent of total billed charges,"3,784.89",percent of total billed charges,"3,784.89",percent of total billed charges,"3,832.80",percent of total billed charges,"3,832.80",percent of total billed charges,,,"3,449.52",percent of total billed charges ,,,"3,832.80",percent of total billed charges ,"3,784.89",percent of total billed charges ,"3,784.89",percent of total billed charges ,"4,072.35",percent of total billed charges ,"4,072.35",percent of total billed charges ,"3,832.80",percent of total billed charges ,"3,832.80",percent of total billed charges ,"3,353.70",percent of total billed charges ,"3,353.70",percent of total billed charges ,"2,874.60",percent of total billed charges ,"2,874.60",percent of total billed charges ,"2,874.60",percent of total billed charges ,"2,874.60",percent of total billed charges ,,,,,"2,548.81",percent of total billed charges ,,,,,"2,421.37",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,101.93",percent of total billed charges,,,"1,101.93",percent of total billed charges,,,"1,101.93",percent of total billed charges,,,"1,101.93",percent of total billed charges,,,"1,101.93",percent of total billed charges,,,"1,101.93",percent of total billed charges,,,"1,101.93",percent of total billed charges,,,"1,101.93",percent of total billed charges,,,"1,101.93",percent of total billed charges,,,"1,101.93",percent of total billed charges,,,"1,101.93",percent of total billed charges,
**MRA UP EXT BILAT DO NOT USE,73225,CDM,,,RT,both,,,"4,791.00","4,791.00","1,101.93","4,791.00","4,791.00",percent of total billed charges,"4,791.00",percent of total billed charges,"4,791.00",percent of total billed charges,"4,791.00",percent of total billed charges,"4,791.00",percent of total billed charges,"4,791.00",percent of total billed charges,"4,791.00",percent of total billed charges,"4,791.00",percent of total billed charges,"3,449.52",percent of total billed charges,"3,449.52",percent of total billed charges,"3,449.52",percent of total billed charges,"3,449.52",percent of total billed charges,"3,449.52",percent of total billed charges,"3,449.52",percent of total billed charges,"3,784.89",percent of total billed charges,"3,784.89",percent of total billed charges,"3,832.80",percent of total billed charges,"3,832.80",percent of total billed charges,,,"3,449.52",percent of total billed charges ,,,"3,832.80",percent of total billed charges ,"3,784.89",percent of total billed charges ,"3,784.89",percent of total billed charges ,"4,072.35",percent of total billed charges ,"4,072.35",percent of total billed charges ,"3,832.80",percent of total billed charges ,"3,832.80",percent of total billed charges ,"3,353.70",percent of total billed charges ,"3,353.70",percent of total billed charges ,"2,874.60",percent of total billed charges ,"2,874.60",percent of total billed charges ,"2,874.60",percent of total billed charges ,"2,874.60",percent of total billed charges ,,,,,"2,548.81",percent of total billed charges ,,,,,"2,421.37",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,101.93",percent of total billed charges,,,"1,101.93",percent of total billed charges,,,"1,101.93",percent of total billed charges,,,"1,101.93",percent of total billed charges,,,"1,101.93",percent of total billed charges,,,"1,101.93",percent of total billed charges,,,"1,101.93",percent of total billed charges,,,"1,101.93",percent of total billed charges,,,"1,101.93",percent of total billed charges,,,"1,101.93",percent of total billed charges,,,"1,101.93",percent of total billed charges,
**SCAPULA BILAT,73010,CDM,,,RT,both,,,"1,144.00","1,144.00",263.12,"1,144.00","1,144.00",percent of total billed charges,"1,144.00",percent of total billed charges,"1,144.00",percent of total billed charges,"1,144.00",percent of total billed charges,"1,144.00",percent of total billed charges,"1,144.00",percent of total billed charges,"1,144.00",percent of total billed charges,"1,144.00",percent of total billed charges,823.68,percent of total billed charges,823.68,percent of total billed charges,823.68,percent of total billed charges,823.68,percent of total billed charges,823.68,percent of total billed charges,823.68,percent of total billed charges,903.76,percent of total billed charges,903.76,percent of total billed charges,915.2,percent of total billed charges,915.2,percent of total billed charges,,,823.68,percent of total billed charges ,,,915.2,percent of total billed charges ,903.76,percent of total billed charges ,903.76,percent of total billed charges ,972.4,percent of total billed charges ,972.4,percent of total billed charges ,915.2,percent of total billed charges ,915.2,percent of total billed charges ,800.8,percent of total billed charges ,800.8,percent of total billed charges ,686.4,percent of total billed charges ,686.4,percent of total billed charges ,686.4,percent of total billed charges ,686.4,percent of total billed charges ,,,,,608.61,percent of total billed charges ,,,,,578.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,263.12,percent of total billed charges,,,263.12,percent of total billed charges,,,263.12,percent of total billed charges,,,263.12,percent of total billed charges,,,263.12,percent of total billed charges,,,263.12,percent of total billed charges,,,263.12,percent of total billed charges,,,263.12,percent of total billed charges,,,263.12,percent of total billed charges,,,263.12,percent of total billed charges,,,263.12,percent of total billed charges,
**SHOULDER BILAT 1 V,73020,CDM,,,RT,both,,,921,921,211.83,921,921,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,727.59,percent of total billed charges,727.59,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 ,727.59,percent of total billed charges ,727.59,percent of total billed charges ,782.85,percent of total billed charges ,782.85,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 ,,,,,,,,,,,,,,,,,,,211.83,percent of total billed charges,,,211.83,percent of total billed charges,,,211.83,percent of total billed charges,,,211.83,percent of total billed charges,,,211.83,percent of total billed charges,,,211.83,percent of total billed charges,,,211.83,percent of total billed charges,,,211.83,percent of total billed charges,,,211.83,percent of total billed charges,,,211.83,percent of total billed charges,,,211.83,percent of total billed charges,
**SHOULDER BILAT MIN 2V,73030,CDM,,,RT,both,,,"1,251.00","1,251.00",287.73,"1,251.00","1,251.00",percent of total billed charges,"1,251.00",percent of total billed charges,"1,251.00",percent of total billed charges,"1,251.00",percent of total billed charges,"1,251.00",percent of total billed charges,"1,251.00",percent of total billed charges,"1,251.00",percent of total billed charges,"1,251.00",percent of total billed charges,900.72,percent of total billed charges,900.72,percent of total billed charges,900.72,percent of total billed charges,900.72,percent of total billed charges,900.72,percent of total billed charges,900.72,percent of total billed charges,988.29,percent of total billed charges,988.29,percent of total billed charges,"1,000.80",percent of total billed charges,"1,000.80",percent of total billed charges,,,900.72,percent of total billed charges ,,,"1,000.80",percent of total billed charges ,988.29,percent of total billed charges ,988.29,percent of total billed charges ,"1,063.35",percent of total billed charges ,"1,063.35",percent of total billed charges ,"1,000.80",percent of total billed charges ,"1,000.80",percent of total billed charges ,875.7,percent of total billed charges ,875.7,percent of total billed charges ,750.6,percent of total billed charges ,750.6,percent of total billed charges ,750.6,percent of total billed charges ,750.6,percent of total billed charges ,,,,,665.53,percent of total billed charges ,,,,,632.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,287.73,percent of total billed charges,,,287.73,percent of total billed charges,,,287.73,percent of total billed charges,,,287.73,percent of total billed charges,,,287.73,percent of total billed charges,,,287.73,percent of total billed charges,,,287.73,percent of total billed charges,,,287.73,percent of total billed charges,,,287.73,percent of total billed charges,,,287.73,percent of total billed charges,,,287.73,percent of total billed charges,
**STRESS VIEW ANY JT BILAT DO NOT USE,76006,CDM,,,50,both,,,848,848,195.04,848,848,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,669.92,percent of total billed charges,669.92,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 ,669.92,percent of total billed charges ,669.92,percent of total billed charges ,720.8,percent of total billed charges ,720.8,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 ,,,,,,,,,,,,,,,,,,,195.04,percent of total billed charges,,,195.04,percent of total billed charges,,,195.04,percent of total billed charges,,,195.04,percent of total billed charges,,,195.04,percent of total billed charges,,,195.04,percent of total billed charges,,,195.04,percent of total billed charges,,,195.04,percent of total billed charges,,,195.04,percent of total billed charges,,,195.04,percent of total billed charges,,,195.04,percent of total billed charges,
**TIBIA & FIBULA BILAT,73590,CDM,,,RT,both,,,"1,142.00","1,142.00",262.66,"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,902.18,percent of total billed charges,902.18,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 ,902.18,percent of total billed charges ,902.18,percent of total billed charges ,970.7,percent of total billed charges ,970.7,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 ,,,,,,,,,,,,,,,,,,,262.66,percent of total billed charges,,,262.66,percent of total billed charges,,,262.66,percent of total billed charges,,,262.66,percent of total billed charges,,,262.66,percent of total billed charges,,,262.66,percent of total billed charges,,,262.66,percent of total billed charges,,,262.66,percent of total billed charges,,,262.66,percent of total billed charges,,,262.66,percent of total billed charges,,,262.66,percent of total billed charges,
**TOE 2ND DIGIT BILAT DO NOT USE,73660,CDM,,,T5,both,,,446,446,102.58,446,446,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,352.34,percent of total billed charges,352.34,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 ,352.34,percent of total billed charges ,352.34,percent of total billed charges ,379.1,percent of total billed charges ,379.1,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 ,,,,,,,,,,,,,,,,,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,
**TOE 3RD DIGIT BILAT DO NOT USE,73660,CDM,,,T5,both,,,446,446,102.58,446,446,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,352.34,percent of total billed charges,352.34,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 ,352.34,percent of total billed charges ,352.34,percent of total billed charges ,379.1,percent of total billed charges ,379.1,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 ,,,,,,,,,,,,,,,,,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,
**TOE 4TH DIGIT BILAT DO NOT USE,73660,CDM,,,T5,both,,,446,446,102.58,446,446,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,352.34,percent of total billed charges,352.34,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 ,352.34,percent of total billed charges ,352.34,percent of total billed charges ,379.1,percent of total billed charges ,379.1,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 ,,,,,,,,,,,,,,,,,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,
**TOE 5TH DIGIT BILAT DO NOT USE,73660,CDM,,,T5,both,,,446,446,102.58,446,446,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,352.34,percent of total billed charges,352.34,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 ,352.34,percent of total billed charges ,352.34,percent of total billed charges ,379.1,percent of total billed charges ,379.1,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 ,,,,,,,,,,,,,,,,,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,
**TOE GREAT BILAT DO NOT USE,73660,CDM,,,T5,both,,,446,446,102.58,446,446,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,352.34,percent of total billed charges,352.34,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 ,352.34,percent of total billed charges ,352.34,percent of total billed charges ,379.1,percent of total billed charges ,379.1,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 ,,,,,,,,,,,,,,,,,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,,,102.58,percent of total billed charges,
**US EXT NON VASC BILAT DO NOT USE,76880,CDM,,,50,both,,,"1,144.00","1,144.00",263.12,"1,144.00","1,144.00",percent of total billed charges,"1,144.00",percent of total billed charges,"1,144.00",percent of total billed charges,"1,144.00",percent of total billed charges,"1,144.00",percent of total billed charges,"1,144.00",percent of total billed charges,"1,144.00",percent of total billed charges,"1,144.00",percent of total billed charges,823.68,percent of total billed charges,823.68,percent of total billed charges,823.68,percent of total billed charges,823.68,percent of total billed charges,823.68,percent of total billed charges,823.68,percent of total billed charges,903.76,percent of total billed charges,903.76,percent of total billed charges,915.2,percent of total billed charges,915.2,percent of total billed charges,,,823.68,percent of total billed charges ,,,915.2,percent of total billed charges ,903.76,percent of total billed charges ,903.76,percent of total billed charges ,972.4,percent of total billed charges ,972.4,percent of total billed charges ,915.2,percent of total billed charges ,915.2,percent of total billed charges ,800.8,percent of total billed charges ,800.8,percent of total billed charges ,686.4,percent of total billed charges ,686.4,percent of total billed charges ,686.4,percent of total billed charges ,686.4,percent of total billed charges ,,,,,608.61,percent of total billed charges ,,,,,578.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,263.12,percent of total billed charges,,,263.12,percent of total billed charges,,,263.12,percent of total billed charges,,,263.12,percent of total billed charges,,,263.12,percent of total billed charges,,,263.12,percent of total billed charges,,,263.12,percent of total billed charges,,,263.12,percent of total billed charges,,,263.12,percent of total billed charges,,,263.12,percent of total billed charges,,,263.12,percent of total billed charges,
VENOGRAM BILAT,75822,CDM,,,,both,,,834,834,191.82,834,834,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,658.86,percent of total billed charges,658.86,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 ,658.86,percent of total billed charges ,658.86,percent of total billed charges ,708.9,percent of total billed charges ,708.9,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 ,,,,,,,,,,,,,,,,,,,191.82,percent of total billed charges,,,191.82,percent of total billed charges,,,191.82,percent of total billed charges,,,191.82,percent of total billed charges,,,191.82,percent of total billed charges,,,191.82,percent of total billed charges,,,191.82,percent of total billed charges,,,191.82,percent of total billed charges,,,191.82,percent of total billed charges,,,191.82,percent of total billed charges,,,191.82,percent of total billed charges,
**WRIST BILAT 2V,73100,CDM,,,RT,both,,,925,925,212.75,925,925,percent of total billed charges,925,percent of total billed charges,925,percent of total billed charges,925,percent of total billed charges,925,percent of total billed charges,925,percent of total billed charges,925,percent of total billed charges,925,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,730.75,percent of total billed charges,730.75,percent of total billed charges,740,percent of total billed charges,740,percent of total billed charges,,,666,percent of total billed charges ,,,740,percent of total billed charges ,730.75,percent of total billed charges ,730.75,percent of total billed charges ,786.25,percent of total billed charges ,786.25,percent of total billed charges ,740,percent of total billed charges ,740,percent of total billed charges ,647.5,percent of total billed charges ,647.5,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 ,,,,,492.1,percent of total billed charges ,,,,,467.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,
**WRIST BILAT 3 V,73110,CDM,,,RT,both,,,"1,157.00","1,157.00",266.11,"1,157.00","1,157.00",percent of total billed charges,"1,157.00",percent of total billed charges,"1,157.00",percent of total billed charges,"1,157.00",percent of total billed charges,"1,157.00",percent of total billed charges,"1,157.00",percent of total billed charges,"1,157.00",percent of total billed charges,"1,157.00",percent of total billed charges,833.04,percent of total billed charges,833.04,percent of total billed charges,833.04,percent of total billed charges,833.04,percent of total billed charges,833.04,percent of total billed charges,833.04,percent of total billed charges,914.03,percent of total billed charges,914.03,percent of total billed charges,925.6,percent of total billed charges,925.6,percent of total billed charges,,,833.04,percent of total billed charges ,,,925.6,percent of total billed charges ,914.03,percent of total billed charges ,914.03,percent of total billed charges ,983.45,percent of total billed charges ,983.45,percent of total billed charges ,925.6,percent of total billed charges ,925.6,percent of total billed charges ,809.9,percent of total billed charges ,809.9,percent of total billed charges ,694.2,percent of total billed charges ,694.2,percent of total billed charges ,694.2,percent of total billed charges ,694.2,percent of total billed charges ,,,,,615.52,percent of total billed charges ,,,,,584.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,
**MM MAMMO ADD'L VIEWS LT,77055,CDM,,,LT,both,,,257,257,59.11,257,257,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,203.03,percent of total billed charges,203.03,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 ,203.03,percent of total billed charges ,203.03,percent of total billed charges ,218.45,percent of total billed charges ,218.45,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,59.11,percent of total billed charges,,,59.11,percent of total billed charges,,,59.11,percent of total billed charges,
**MM MAMMO ADD'L VIEWS,77055,CDM,,,LT,both,,,257,257,59.11,257,257,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,203.03,percent of total billed charges,203.03,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 ,203.03,percent of total billed charges ,203.03,percent of total billed charges ,218.45,percent of total billed charges ,218.45,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,59.11,percent of total billed charges,,,59.11,percent of total billed charges,,,59.11,percent of total billed charges,
**MM MAMMO DX BIL ADD'L VIEWS,77056,CDM,,,,both,,,337,337,77.51,337,337,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,266.23,percent of total billed charges,266.23,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 ,266.23,percent of total billed charges ,266.23,percent of total billed charges ,286.45,percent of total billed charges ,286.45,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 ,,,,,,,,,,,,,,,,,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,
US OB PREG LESS 14WKS FIRST GEST 76801,76801,CDM,,,,both,,,"1,153.00","1,153.00",265.19,"1,153.00","1,153.00",percent of total billed charges,"1,153.00",percent of total billed charges,"1,153.00",percent of total billed charges,"1,153.00",percent of total billed charges,"1,153.00",percent of total billed charges,"1,153.00",percent of total billed charges,"1,153.00",percent of total billed charges,"1,153.00",percent of total billed charges,830.16,percent of total billed charges,830.16,percent of total billed charges,830.16,percent of total billed charges,830.16,percent of total billed charges,830.16,percent of total billed charges,830.16,percent of total billed charges,910.87,percent of total billed charges,910.87,percent of total billed charges,922.4,percent of total billed charges,922.4,percent of total billed charges,,,830.16,percent of total billed charges ,,,922.4,percent of total billed charges ,910.87,percent of total billed charges ,910.87,percent of total billed charges ,980.05,percent of total billed charges ,980.05,percent of total billed charges ,922.4,percent of total billed charges ,922.4,percent of total billed charges ,807.1,percent of total billed charges ,807.1,percent of total billed charges ,691.8,percent of total billed charges ,691.8,percent of total billed charges ,691.8,percent of total billed charges ,691.8,percent of total billed charges ,,,,,613.4,percent of total billed charges ,,,,,582.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,265.19,percent of total billed charges,,,265.19,percent of total billed charges,,,265.19,percent of total billed charges,,,265.19,percent of total billed charges,,,265.19,percent of total billed charges,,,265.19,percent of total billed charges,,,265.19,percent of total billed charges,,,265.19,percent of total billed charges,,,265.19,percent of total billed charges,,,265.19,percent of total billed charges,,,265.19,percent of total billed charges,
US OB PREG LESS 14 WKS ADDL GEST 76802,76802,CDM,,,,both,,,348,348,80.04,348,348,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,274.92,percent of total billed charges,274.92,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 ,274.92,percent of total billed charges ,274.92,percent of total billed charges ,295.8,percent of total billed charges ,295.8,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 ,,,,,,,,,,,,,,,,,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,
US OB TRANSVAG 76817,76817,CDM,,,,both,,,996,996,229.08,996,996,percent of total billed charges,996,percent of total billed charges,996,percent of total billed charges,996,percent of total billed charges,996,percent of total billed charges,996,percent of total billed charges,996,percent of total billed charges,996,percent of total billed charges,717.12,percent of total billed charges,717.12,percent of total billed charges,717.12,percent of total billed charges,717.12,percent of total billed charges,717.12,percent of total billed charges,717.12,percent of total billed charges,786.84,percent of total billed charges,786.84,percent of total billed charges,796.8,percent of total billed charges,796.8,percent of total billed charges,,,717.12,percent of total billed charges ,,,796.8,percent of total billed charges ,786.84,percent of total billed charges ,786.84,percent of total billed charges ,846.6,percent of total billed charges ,846.6,percent of total billed charges ,796.8,percent of total billed charges ,796.8,percent of total billed charges ,697.2,percent of total billed charges ,697.2,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 ,,,,,529.87,percent of total billed charges ,,,,,503.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,229.08,percent of total billed charges,,,229.08,percent of total billed charges,,,229.08,percent of total billed charges,,,229.08,percent of total billed charges,,,229.08,percent of total billed charges,,,229.08,percent of total billed charges,,,229.08,percent of total billed charges,,,229.08,percent of total billed charges,,,229.08,percent of total billed charges,,,229.08,percent of total billed charges,,,229.08,percent of total billed charges,
US OB PREG G/E 14WKS ADDL GEST 76810,76810,CDM,,,,both,,,770,770,177.1,770,770,percent of total billed charges,770,percent of total billed charges,770,percent of total billed charges,770,percent of total billed charges,770,percent of total billed charges,770,percent of total billed charges,770,percent of total billed charges,770,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,554.4,percent of total billed charges,554.4,percent of total billed charges,608.3,percent of total billed charges,608.3,percent of total billed charges,616,percent of total billed charges,616,percent of total billed charges,,,554.4,percent of total billed charges ,,,616,percent of total billed charges ,608.3,percent of total billed charges ,608.3,percent of total billed charges ,654.5,percent of total billed charges ,654.5,percent of total billed charges ,616,percent of total billed charges ,616,percent of total billed charges ,539,percent of total billed charges ,539,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 ,,,,,409.64,percent of total billed charges ,,,,,389.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,
US OB RECHECK  76816,76816,CDM,,,,both,,,718,718,165.14,718,718,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,567.22,percent of total billed charges,567.22,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 ,567.22,percent of total billed charges ,567.22,percent of total billed charges ,610.3,percent of total billed charges ,610.3,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 ,,,,,,,,,,,,,,,,,,,165.14,percent of total billed charges,,,165.14,percent of total billed charges,,,165.14,percent of total billed charges,,,165.14,percent of total billed charges,,,165.14,percent of total billed charges,,,165.14,percent of total billed charges,,,165.14,percent of total billed charges,,,165.14,percent of total billed charges,,,165.14,percent of total billed charges,,,165.14,percent of total billed charges,,,165.14,percent of total billed charges,
CHOLANG IN OR,74300,CDM,,,,both,,,"1,307.00","1,307.00",300.61,"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,"1,032.53",percent of total billed charges,"1,032.53",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 ,"1,032.53",percent of total billed charges ,"1,032.53",percent of total billed charges ,"1,110.95",percent of total billed charges ,"1,110.95",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 ,,,,,,,,,,,,,,,,,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,,,300.61,percent of total billed charges,
**CHOLANG OR EA ADD'L DO NOT USE,74301,CDM,,,,both,,,441,441,101.43,441,441,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,348.39,percent of total billed charges,348.39,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 ,348.39,percent of total billed charges ,348.39,percent of total billed charges ,374.85,percent of total billed charges ,374.85,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
US SPINAL CANAL CONTENTS 76800,76800,CDM,,,,both,,,774,774,178.02,774,774,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,611.46,percent of total billed charges,611.46,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 ,611.46,percent of total billed charges ,611.46,percent of total billed charges ,657.9,percent of total billed charges ,657.9,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 ,,,,,,,,,,,,,,,,,,,178.02,percent of total billed charges,,,178.02,percent of total billed charges,,,178.02,percent of total billed charges,,,178.02,percent of total billed charges,,,178.02,percent of total billed charges,,,178.02,percent of total billed charges,,,178.02,percent of total billed charges,,,178.02,percent of total billed charges,,,178.02,percent of total billed charges,,,178.02,percent of total billed charges,,,178.02,percent of total billed charges,
US CAROTID UNILAT LT 93882,93882,CDM,,,LT,both,,,"1,053.00","1,053.00",242.19,"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,831.87,percent of total billed charges,831.87,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 ,831.87,percent of total billed charges ,831.87,percent of total billed charges ,895.05,percent of total billed charges ,895.05,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 ,,,,,,,,,,,,,,,,,,,242.19,percent of total billed charges,,,242.19,percent of total billed charges,,,242.19,percent of total billed charges,,,242.19,percent of total billed charges,,,242.19,percent of total billed charges,,,242.19,percent of total billed charges,,,242.19,percent of total billed charges,,,242.19,percent of total billed charges,,,242.19,percent of total billed charges,,,242.19,percent of total billed charges,,,242.19,percent of total billed charges,
US CAROTID UNILAT RT 93882,93882,CDM,,,LT,both,,,"1,053.00","1,053.00",242.19,"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,831.87,percent of total billed charges,831.87,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 ,831.87,percent of total billed charges ,831.87,percent of total billed charges ,895.05,percent of total billed charges ,895.05,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 ,,,,,,,,,,,,,,,,,,,242.19,percent of total billed charges,,,242.19,percent of total billed charges,,,242.19,percent of total billed charges,,,242.19,percent of total billed charges,,,242.19,percent of total billed charges,,,242.19,percent of total billed charges,,,242.19,percent of total billed charges,,,242.19,percent of total billed charges,,,242.19,percent of total billed charges,,,242.19,percent of total billed charges,,,242.19,percent of total billed charges,
FLUORO LOC SPINE,77003,CDM,,,,both,,,"1,142.00","1,142.00",262.66,"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,902.18,percent of total billed charges,902.18,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 ,902.18,percent of total billed charges ,902.18,percent of total billed charges ,970.7,percent of total billed charges ,970.7,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 ,,,,,,,,,,,,,,,,,,,262.66,percent of total billed charges,,,262.66,percent of total billed charges,,,262.66,percent of total billed charges,,,262.66,percent of total billed charges,,,262.66,percent of total billed charges,,,262.66,percent of total billed charges,,,262.66,percent of total billed charges,,,262.66,percent of total billed charges,,,262.66,percent of total billed charges,,,262.66,percent of total billed charges,,,262.66,percent of total billed charges,
CT ABD/PELVIS W/O,74176,CDM,,,,both,,,"5,085.00","5,085.00","1,169.55","5,085.00","5,085.00",percent of total billed charges,"5,085.00",percent of total billed charges,"5,085.00",percent of total billed charges,"5,085.00",percent of total billed charges,"5,085.00",percent of total billed charges,"5,085.00",percent of total billed charges,"5,085.00",percent of total billed charges,"5,085.00",percent of total billed charges,"3,661.20",percent of total billed charges,"3,661.20",percent of total billed charges,"3,661.20",percent of total billed charges,"3,661.20",percent of total billed charges,"3,661.20",percent of total billed charges,"3,661.20",percent of total billed charges,"4,017.15",percent of total billed charges,"4,017.15",percent of total billed charges,"4,068.00",percent of total billed charges,"4,068.00",percent of total billed charges,,,"3,661.20",percent of total billed charges ,,,"4,068.00",percent of total billed charges ,"4,017.15",percent of total billed charges ,"4,017.15",percent of total billed charges ,"4,322.25",percent of total billed charges ,"4,322.25",percent of total billed charges ,"4,068.00",percent of total billed charges ,"4,068.00",percent of total billed charges ,"3,559.50",percent of total billed charges ,"3,559.50",percent of total billed charges ,"3,051.00",percent of total billed charges ,"3,051.00",percent of total billed charges ,"3,051.00",percent of total billed charges ,"3,051.00",percent of total billed charges ,,,,,"2,705.22",percent of total billed charges ,,,,,"2,569.96",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,169.55",percent of total billed charges,,,"1,169.55",percent of total billed charges,,,"1,169.55",percent of total billed charges,,,"1,169.55",percent of total billed charges,,,"1,169.55",percent of total billed charges,,,"1,169.55",percent of total billed charges,,,"1,169.55",percent of total billed charges,,,"1,169.55",percent of total billed charges,,,"1,169.55",percent of total billed charges,,,"1,169.55",percent of total billed charges,,,"1,169.55",percent of total billed charges,
CT CHEST/ABD/PELVIS W,71260,CDM,,,,both,,,"3,404.00","3,404.00",782.92,"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,"2,689.16",percent of total billed charges,"2,689.16",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 ,"2,689.16",percent of total billed charges ,"2,689.16",percent of total billed charges ,"2,893.40",percent of total billed charges ,"2,893.40",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 ,,,,,,,,,,,,,,,,,,,782.92,percent of total billed charges,,,782.92,percent of total billed charges,,,782.92,percent of total billed charges,,,782.92,percent of total billed charges,,,782.92,percent of total billed charges,,,782.92,percent of total billed charges,,,782.92,percent of total billed charges,,,782.92,percent of total billed charges,,,782.92,percent of total billed charges,,,782.92,percent of total billed charges,,,782.92,percent of total billed charges,
CT KIDNEY STONE PROTOCOL,74176,CDM,,,,both,,,"5,085.00","5,085.00","1,169.55","5,085.00","5,085.00",percent of total billed charges,"5,085.00",percent of total billed charges,"5,085.00",percent of total billed charges,"5,085.00",percent of total billed charges,"5,085.00",percent of total billed charges,"5,085.00",percent of total billed charges,"5,085.00",percent of total billed charges,"5,085.00",percent of total billed charges,"3,661.20",percent of total billed charges,"3,661.20",percent of total billed charges,"3,661.20",percent of total billed charges,"3,661.20",percent of total billed charges,"3,661.20",percent of total billed charges,"3,661.20",percent of total billed charges,"4,017.15",percent of total billed charges,"4,017.15",percent of total billed charges,"4,068.00",percent of total billed charges,"4,068.00",percent of total billed charges,,,"3,661.20",percent of total billed charges ,,,"4,068.00",percent of total billed charges ,"4,017.15",percent of total billed charges ,"4,017.15",percent of total billed charges ,"4,322.25",percent of total billed charges ,"4,322.25",percent of total billed charges ,"4,068.00",percent of total billed charges ,"4,068.00",percent of total billed charges ,"3,559.50",percent of total billed charges ,"3,559.50",percent of total billed charges ,"3,051.00",percent of total billed charges ,"3,051.00",percent of total billed charges ,"3,051.00",percent of total billed charges ,"3,051.00",percent of total billed charges ,,,,,"2,705.22",percent of total billed charges ,,,,,"2,569.96",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,169.55",percent of total billed charges,,,"1,169.55",percent of total billed charges,,,"1,169.55",percent of total billed charges,,,"1,169.55",percent of total billed charges,,,"1,169.55",percent of total billed charges,,,"1,169.55",percent of total billed charges,,,"1,169.55",percent of total billed charges,,,"1,169.55",percent of total billed charges,,,"1,169.55",percent of total billed charges,,,"1,169.55",percent of total billed charges,,,"1,169.55",percent of total billed charges,
CT ABD/PELVIS W,74177,CDM,,,,both,,,"6,133.00","6,133.00","1,410.59","6,133.00","6,133.00",percent of total billed charges,"6,133.00",percent of total billed charges,"6,133.00",percent of total billed charges,"6,133.00",percent of total billed charges,"6,133.00",percent of total billed charges,"6,133.00",percent of total billed charges,"6,133.00",percent of total billed charges,"6,133.00",percent of total billed charges,"4,415.76",percent of total billed charges,"4,415.76",percent of total billed charges,"4,415.76",percent of total billed charges,"4,415.76",percent of total billed charges,"4,415.76",percent of total billed charges,"4,415.76",percent of total billed charges,"4,845.07",percent of total billed charges,"4,845.07",percent of total billed charges,"4,906.40",percent of total billed charges,"4,906.40",percent of total billed charges,,,"4,415.76",percent of total billed charges ,,,"4,906.40",percent of total billed charges ,"4,845.07",percent of total billed charges ,"4,845.07",percent of total billed charges ,"5,213.05",percent of total billed charges ,"5,213.05",percent of total billed charges ,"4,906.40",percent of total billed charges ,"4,906.40",percent of total billed charges ,"4,293.10",percent of total billed charges ,"4,293.10",percent of total billed charges ,"3,679.80",percent of total billed charges ,"3,679.80",percent of total billed charges ,"3,679.80",percent of total billed charges ,"3,679.80",percent of total billed charges ,,,,,"3,262.76",percent of total billed charges ,,,,,"3,099.62",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,410.59",percent of total billed charges,,,"1,410.59",percent of total billed charges,,,"1,410.59",percent of total billed charges,,,"1,410.59",percent of total billed charges,,,"1,410.59",percent of total billed charges,,,"1,410.59",percent of total billed charges,,,"1,410.59",percent of total billed charges,,,"1,410.59",percent of total billed charges,,,"1,410.59",percent of total billed charges,,,"1,410.59",percent of total billed charges,,,"1,410.59",percent of total billed charges,
CT ABD W/WO/PELVIS W,74178,CDM,,,,both,,,"6,941.00","6,941.00","1,596.43","6,941.00","6,941.00",percent of total billed charges,"6,941.00",percent of total billed charges,"6,941.00",percent of total billed charges,"6,941.00",percent of total billed charges,"6,941.00",percent of total billed charges,"6,941.00",percent of total billed charges,"6,941.00",percent of total billed charges,"6,941.00",percent of total billed charges,"4,997.52",percent of total billed charges,"4,997.52",percent of total billed charges,"4,997.52",percent of total billed charges,"4,997.52",percent of total billed charges,"4,997.52",percent of total billed charges,"4,997.52",percent of total billed charges,"5,483.39",percent of total billed charges,"5,483.39",percent of total billed charges,"5,552.80",percent of total billed charges,"5,552.80",percent of total billed charges,,,"4,997.52",percent of total billed charges ,,,"5,552.80",percent of total billed charges ,"5,483.39",percent of total billed charges ,"5,483.39",percent of total billed charges ,"5,899.85",percent of total billed charges ,"5,899.85",percent of total billed charges ,"5,552.80",percent of total billed charges ,"5,552.80",percent of total billed charges ,"4,858.70",percent of total billed charges ,"4,858.70",percent of total billed charges ,"4,164.60",percent of total billed charges ,"4,164.60",percent of total billed charges ,"4,164.60",percent of total billed charges ,"4,164.60",percent of total billed charges ,,,,,"3,692.61",percent of total billed charges ,,,,,"3,507.98",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,596.43",percent of total billed charges,,,"1,596.43",percent of total billed charges,,,"1,596.43",percent of total billed charges,,,"1,596.43",percent of total billed charges,,,"1,596.43",percent of total billed charges,,,"1,596.43",percent of total billed charges,,,"1,596.43",percent of total billed charges,,,"1,596.43",percent of total billed charges,,,"1,596.43",percent of total billed charges,,,"1,596.43",percent of total billed charges,,,"1,596.43",percent of total billed charges,
US PELVIC/TRANSVAGINAL 76856/76830,76856,CDM,,,,both,,,"1,205.00","1,205.00",277.15,"1,205.00","1,205.00",percent of total billed charges,"1,205.00",percent of total billed charges,"1,205.00",percent of total billed charges,"1,205.00",percent of total billed charges,"1,205.00",percent of total billed charges,"1,205.00",percent of total billed charges,"1,205.00",percent of total billed charges,"1,205.00",percent of total billed charges,867.6,percent of total billed charges,867.6,percent of total billed charges,867.6,percent of total billed charges,867.6,percent of total billed charges,867.6,percent of total billed charges,867.6,percent of total billed charges,951.95,percent of total billed charges,951.95,percent of total billed charges,964,percent of total billed charges,964,percent of total billed charges,,,867.6,percent of total billed charges ,,,964,percent of total billed charges ,951.95,percent of total billed charges ,951.95,percent of total billed charges ,"1,024.25",percent of total billed charges ,"1,024.25",percent of total billed charges ,964,percent of total billed charges ,964,percent of total billed charges ,843.5,percent of total billed charges ,843.5,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 ,,,,,641.06,percent of total billed charges ,,,,,609.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,277.15,percent of total billed charges,,,277.15,percent of total billed charges,,,277.15,percent of total billed charges,,,277.15,percent of total billed charges,,,277.15,percent of total billed charges,,,277.15,percent of total billed charges,,,277.15,percent of total billed charges,,,277.15,percent of total billed charges,,,277.15,percent of total billed charges,,,277.15,percent of total billed charges,,,277.15,percent of total billed charges,
CT ABD/PELVIS W/WO,74178,CDM,,,,both,,,"6,941.00","6,941.00","1,596.43","6,941.00","6,941.00",percent of total billed charges,"6,941.00",percent of total billed charges,"6,941.00",percent of total billed charges,"6,941.00",percent of total billed charges,"6,941.00",percent of total billed charges,"6,941.00",percent of total billed charges,"6,941.00",percent of total billed charges,"6,941.00",percent of total billed charges,"4,997.52",percent of total billed charges,"4,997.52",percent of total billed charges,"4,997.52",percent of total billed charges,"4,997.52",percent of total billed charges,"4,997.52",percent of total billed charges,"4,997.52",percent of total billed charges,"5,483.39",percent of total billed charges,"5,483.39",percent of total billed charges,"5,552.80",percent of total billed charges,"5,552.80",percent of total billed charges,,,"4,997.52",percent of total billed charges ,,,"5,552.80",percent of total billed charges ,"5,483.39",percent of total billed charges ,"5,483.39",percent of total billed charges ,"5,899.85",percent of total billed charges ,"5,899.85",percent of total billed charges ,"5,552.80",percent of total billed charges ,"5,552.80",percent of total billed charges ,"4,858.70",percent of total billed charges ,"4,858.70",percent of total billed charges ,"4,164.60",percent of total billed charges ,"4,164.60",percent of total billed charges ,"4,164.60",percent of total billed charges ,"4,164.60",percent of total billed charges ,,,,,"3,692.61",percent of total billed charges ,,,,,"3,507.98",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,596.43",percent of total billed charges,,,"1,596.43",percent of total billed charges,,,"1,596.43",percent of total billed charges,,,"1,596.43",percent of total billed charges,,,"1,596.43",percent of total billed charges,,,"1,596.43",percent of total billed charges,,,"1,596.43",percent of total billed charges,,,"1,596.43",percent of total billed charges,,,"1,596.43",percent of total billed charges,,,"1,596.43",percent of total billed charges,,,"1,596.43",percent of total billed charges,
US PARACENTESIS INITIAL 49083,49083,CDM,,,,both,,,"2,420.00","2,420.00",556.6,"2,420.00","2,420.00",percent of total billed charges,"2,420.00",percent of total billed charges,"2,420.00",percent of total billed charges,"2,420.00",percent of total billed charges,"2,420.00",percent of total billed charges,"2,420.00",percent of total billed charges,"2,420.00",percent of total billed charges,"2,420.00",percent of total billed charges,"1,742.40",percent of total billed charges,"1,742.40",percent of total billed charges,"1,742.40",percent of total billed charges,"1,742.40",percent of total billed charges,"1,742.40",percent of total billed charges,"1,742.40",percent of total billed charges,"1,911.80",percent of total billed charges,"1,911.80",percent of total billed charges,"1,936.00",percent of total billed charges,"1,936.00",percent of total billed charges,,,"1,742.40",percent of total billed charges ,,,"1,936.00",percent of total billed charges ,"1,911.80",percent of total billed charges ,"1,911.80",percent of total billed charges ,"2,057.00",percent of total billed charges ,"2,057.00",percent of total billed charges ,"1,936.00",percent of total billed charges ,"1,936.00",percent of total billed charges ,"1,694.00",percent of total billed charges ,"1,694.00",percent of total billed charges ,"1,452.00",percent of total billed charges ,"1,452.00",percent of total billed charges ,"1,452.00",percent of total billed charges ,"1,452.00",percent of total billed charges ,,,,,"1,287.44",percent of total billed charges ,,,,,"1,223.07",percent of total billed charges ,,,,,,,,,,,,,,,,,,,556.6,percent of total billed charges,,,556.6,percent of total billed charges,,,556.6,percent of total billed charges,,,556.6,percent of total billed charges,,,556.6,percent of total billed charges,,,556.6,percent of total billed charges,,,556.6,percent of total billed charges,,,556.6,percent of total billed charges,,,556.6,percent of total billed charges,,,556.6,percent of total billed charges,,,556.6,percent of total billed charges,
CT NECK TISSUE W/WO,70492,CDM,,,,both,,,"3,886.00","3,886.00",893.78,"3,886.00","3,886.00",percent of total billed charges,"3,886.00",percent of total billed charges,"3,886.00",percent of total billed charges,"3,886.00",percent of total billed charges,"3,886.00",percent of total billed charges,"3,886.00",percent of total billed charges,"3,886.00",percent of total billed charges,"3,886.00",percent of total billed charges,"2,797.92",percent of total billed charges,"2,797.92",percent of total billed charges,"2,797.92",percent of total billed charges,"2,797.92",percent of total billed charges,"2,797.92",percent of total billed charges,"2,797.92",percent of total billed charges,"3,069.94",percent of total billed charges,"3,069.94",percent of total billed charges,"3,108.80",percent of total billed charges,"3,108.80",percent of total billed charges,,,"2,797.92",percent of total billed charges ,,,"3,108.80",percent of total billed charges ,"3,069.94",percent of total billed charges ,"3,069.94",percent of total billed charges ,"3,303.10",percent of total billed charges ,"3,303.10",percent of total billed charges ,"3,108.80",percent of total billed charges ,"3,108.80",percent of total billed charges ,"2,720.20",percent of total billed charges ,"2,720.20",percent of total billed charges ,"2,331.60",percent of total billed charges ,"2,331.60",percent of total billed charges ,"2,331.60",percent of total billed charges ,"2,331.60",percent of total billed charges ,,,,,"2,067.35",percent of total billed charges ,,,,,"1,963.98",percent of total billed charges ,,,,,,,,,,,,,,,,,,,893.78,percent of total billed charges,,,893.78,percent of total billed charges,,,893.78,percent of total billed charges,,,893.78,percent of total billed charges,,,893.78,percent of total billed charges,,,893.78,percent of total billed charges,,,893.78,percent of total billed charges,,,893.78,percent of total billed charges,,,893.78,percent of total billed charges,,,893.78,percent of total billed charges,,,893.78,percent of total billed charges,
**CT S.T. NECK W/CONTRAST,70491,CDM,,,,both,,,"4,024.00","4,024.00",925.52,"4,024.00","4,024.00",percent of total billed charges,"4,024.00",percent of total billed charges,"4,024.00",percent of total billed charges,"4,024.00",percent of total billed charges,"4,024.00",percent of total billed charges,"4,024.00",percent of total billed charges,"4,024.00",percent of total billed charges,"4,024.00",percent of total billed charges,"2,897.28",percent of total billed charges,"2,897.28",percent of total billed charges,"2,897.28",percent of total billed charges,"2,897.28",percent of total billed charges,"2,897.28",percent of total billed charges,"2,897.28",percent of total billed charges,"3,178.96",percent of total billed charges,"3,178.96",percent of total billed charges,"3,219.20",percent of total billed charges,"3,219.20",percent of total billed charges,,,"2,897.28",percent of total billed charges ,,,"3,219.20",percent of total billed charges ,"3,178.96",percent of total billed charges ,"3,178.96",percent of total billed charges ,"3,420.40",percent of total billed charges ,"3,420.40",percent of total billed charges ,"3,219.20",percent of total billed charges ,"3,219.20",percent of total billed charges ,"2,816.80",percent of total billed charges ,"2,816.80",percent of total billed charges ,"2,414.40",percent of total billed charges ,"2,414.40",percent of total billed charges ,"2,414.40",percent of total billed charges ,"2,414.40",percent of total billed charges ,,,,,"2,140.77",percent of total billed charges ,,,,,"2,033.73",percent of total billed charges ,,,,,,,,,,,,,,,,,,,925.52,percent of total billed charges,,,925.52,percent of total billed charges,,,925.52,percent of total billed charges,,,925.52,percent of total billed charges,,,925.52,percent of total billed charges,,,925.52,percent of total billed charges,,,925.52,percent of total billed charges,,,925.52,percent of total billed charges,,,925.52,percent of total billed charges,,,925.52,percent of total billed charges,,,925.52,percent of total billed charges,
**US OB PREG/OB TRANSVAG FIRST GEST,76813,CDM,,,,both,,,"1,533.00","1,533.00",352.59,"1,533.00","1,533.00",percent of total billed charges,"1,533.00",percent of total billed charges,"1,533.00",percent of total billed charges,"1,533.00",percent of total billed charges,"1,533.00",percent of total billed charges,"1,533.00",percent of total billed charges,"1,533.00",percent of total billed charges,"1,533.00",percent of total billed charges,"1,103.76",percent of total billed charges,"1,103.76",percent of total billed charges,"1,103.76",percent of total billed charges,"1,103.76",percent of total billed charges,"1,103.76",percent of total billed charges,"1,103.76",percent of total billed charges,"1,211.07",percent of total billed charges,"1,211.07",percent of total billed charges,"1,226.40",percent of total billed charges,"1,226.40",percent of total billed charges,,,"1,103.76",percent of total billed charges ,,,"1,226.40",percent of total billed charges ,"1,211.07",percent of total billed charges ,"1,211.07",percent of total billed charges ,"1,303.05",percent of total billed charges ,"1,303.05",percent of total billed charges ,"1,226.40",percent of total billed charges ,"1,226.40",percent of total billed charges ,"1,073.10",percent of total billed charges ,"1,073.10",percent of total billed charges ,919.8,percent of total billed charges ,919.8,percent of total billed charges ,919.8,percent of total billed charges ,919.8,percent of total billed charges ,,,,,815.56,percent of total billed charges ,,,,,774.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,352.59,percent of total billed charges,,,352.59,percent of total billed charges,,,352.59,percent of total billed charges,,,352.59,percent of total billed charges,,,352.59,percent of total billed charges,,,352.59,percent of total billed charges,,,352.59,percent of total billed charges,,,352.59,percent of total billed charges,,,352.59,percent of total billed charges,,,352.59,percent of total billed charges,,,352.59,percent of total billed charges,
US BLADDER 76857,76857,CDM,,,,both,,,"1,093.00","1,093.00",251.39,"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,863.47,percent of total billed charges,863.47,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 ,863.47,percent of total billed charges ,863.47,percent of total billed charges ,929.05,percent of total billed charges ,929.05,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 ,,,,,,,,,,,,,,,,,,,251.39,percent of total billed charges,,,251.39,percent of total billed charges,,,251.39,percent of total billed charges,,,251.39,percent of total billed charges,,,251.39,percent of total billed charges,,,251.39,percent of total billed charges,,,251.39,percent of total billed charges,,,251.39,percent of total billed charges,,,251.39,percent of total billed charges,,,251.39,percent of total billed charges,,,251.39,percent of total billed charges,
**NM DMSA DOSE UP TO 10 MCI,A9551,CDM,,,,both,,,803,803,184.69,803,803,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,634.37,percent of total billed charges,634.37,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 ,634.37,percent of total billed charges ,634.37,percent of total billed charges ,682.55,percent of total billed charges ,682.55,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 ,,,,,,,,,,,,,,,,,,,184.69,percent of total billed charges,,,184.69,percent of total billed charges,,,184.69,percent of total billed charges,,,184.69,percent of total billed charges,,,184.69,percent of total billed charges,,,184.69,percent of total billed charges,,,184.69,percent of total billed charges,,,184.69,percent of total billed charges,,,184.69,percent of total billed charges,,,184.69,percent of total billed charges,,,184.69,percent of total billed charges,
"**FLUOROSCOPY, 1 HOUR",76000,CDM,,,,both,,,984,984,226.32,984,984,percent of total billed charges,984,percent of total billed charges,984,percent of total billed charges,984,percent of total billed charges,984,percent of total billed charges,984,percent of total billed charges,984,percent of total billed charges,984,percent of total billed charges,708.48,percent of total billed charges,708.48,percent of total billed charges,708.48,percent of total billed charges,708.48,percent of total billed charges,708.48,percent of total billed charges,708.48,percent of total billed charges,777.36,percent of total billed charges,777.36,percent of total billed charges,787.2,percent of total billed charges,787.2,percent of total billed charges,,,708.48,percent of total billed charges ,,,787.2,percent of total billed charges ,777.36,percent of total billed charges ,777.36,percent of total billed charges ,836.4,percent of total billed charges ,836.4,percent of total billed charges ,787.2,percent of total billed charges ,787.2,percent of total billed charges ,688.8,percent of total billed charges ,688.8,percent of total billed charges ,590.4,percent of total billed charges ,590.4,percent of total billed charges ,590.4,percent of total billed charges ,590.4,percent of total billed charges ,,,,,523.49,percent of total billed charges ,,,,,497.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,226.32,percent of total billed charges,,,226.32,percent of total billed charges,,,226.32,percent of total billed charges,,,226.32,percent of total billed charges,,,226.32,percent of total billed charges,,,226.32,percent of total billed charges,,,226.32,percent of total billed charges,,,226.32,percent of total billed charges,,,226.32,percent of total billed charges,,,226.32,percent of total billed charges,,,226.32,percent of total billed charges,
**INJ FOR LOCALIZATION,62318,CDM,,,,both,,,"1,611.00","1,611.00",370.53,"1,611.00","1,611.00",percent of total billed charges,"1,611.00",percent of total billed charges,"1,611.00",percent of total billed charges,"1,611.00",percent of total billed charges,"1,611.00",percent of total billed charges,"1,611.00",percent of total billed charges,"1,611.00",percent of total billed charges,"1,611.00",percent of total billed charges,"1,159.92",percent of total billed charges,"1,159.92",percent of total billed charges,"1,159.92",percent of total billed charges,"1,159.92",percent of total billed charges,"1,159.92",percent of total billed charges,"1,159.92",percent of total billed charges,"1,272.69",percent of total billed charges,"1,272.69",percent of total billed charges,"1,288.80",percent of total billed charges,"1,288.80",percent of total billed charges,,,"1,159.92",percent of total billed charges ,,,"1,288.80",percent of total billed charges ,"1,272.69",percent of total billed charges ,"1,272.69",percent of total billed charges ,"1,369.35",percent of total billed charges ,"1,369.35",percent of total billed charges ,"1,288.80",percent of total billed charges ,"1,288.80",percent of total billed charges ,"1,127.70",percent of total billed charges ,"1,127.70",percent of total billed charges ,966.6,percent of total billed charges ,966.6,percent of total billed charges ,966.6,percent of total billed charges ,966.6,percent of total billed charges ,,,,,857.05,percent of total billed charges ,,,,,814.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,370.53,percent of total billed charges,,,370.53,percent of total billed charges,,,370.53,percent of total billed charges,,,370.53,percent of total billed charges,,,370.53,percent of total billed charges,,,370.53,percent of total billed charges,,,370.53,percent of total billed charges,,,370.53,percent of total billed charges,,,370.53,percent of total billed charges,,,370.53,percent of total billed charges,,,370.53,percent of total billed charges,
CT CHEST/ABD W/CONTRAST,71260,CDM,,,,both,,,"3,404.00","3,404.00",782.92,"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,"2,689.16",percent of total billed charges,"2,689.16",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 ,"2,689.16",percent of total billed charges ,"2,689.16",percent of total billed charges ,"2,893.40",percent of total billed charges ,"2,893.40",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 ,,,,,,,,,,,,,,,,,,,782.92,percent of total billed charges,,,782.92,percent of total billed charges,,,782.92,percent of total billed charges,,,782.92,percent of total billed charges,,,782.92,percent of total billed charges,,,782.92,percent of total billed charges,,,782.92,percent of total billed charges,,,782.92,percent of total billed charges,,,782.92,percent of total billed charges,,,782.92,percent of total billed charges,,,782.92,percent of total billed charges,
CT CHEST/ABD/PELVIS W/O,71250,CDM,,,,both,,,"2,763.00","2,763.00",635.49,"2,763.00","2,763.00",percent of total billed charges,"2,763.00",percent of total billed charges,"2,763.00",percent of total billed charges,"2,763.00",percent of total billed charges,"2,763.00",percent of total billed charges,"2,763.00",percent of total billed charges,"2,763.00",percent of total billed charges,"2,763.00",percent of total billed charges,"1,989.36",percent of total billed charges,"1,989.36",percent of total billed charges,"1,989.36",percent of total billed charges,"1,989.36",percent of total billed charges,"1,989.36",percent of total billed charges,"1,989.36",percent of total billed charges,"2,182.77",percent of total billed charges,"2,182.77",percent of total billed charges,"2,210.40",percent of total billed charges,"2,210.40",percent of total billed charges,,,"1,989.36",percent of total billed charges ,,,"2,210.40",percent of total billed charges ,"2,182.77",percent of total billed charges ,"2,182.77",percent of total billed charges ,"2,348.55",percent of total billed charges ,"2,348.55",percent of total billed charges ,"2,210.40",percent of total billed charges ,"2,210.40",percent of total billed charges ,"1,934.10",percent of total billed charges ,"1,934.10",percent of total billed charges ,"1,657.80",percent of total billed charges ,"1,657.80",percent of total billed charges ,"1,657.80",percent of total billed charges ,"1,657.80",percent of total billed charges ,,,,,"1,469.92",percent of total billed charges ,,,,,"1,396.42",percent of total billed charges ,,,,,,,,,,,,,,,,,,,635.49,percent of total billed charges,,,635.49,percent of total billed charges,,,635.49,percent of total billed charges,,,635.49,percent of total billed charges,,,635.49,percent of total billed charges,,,635.49,percent of total billed charges,,,635.49,percent of total billed charges,,,635.49,percent of total billed charges,,,635.49,percent of total billed charges,,,635.49,percent of total billed charges,,,635.49,percent of total billed charges,
NM OCTREOTIDE SCAN,78804,CDM,,,,both,,,"5,126.00","5,126.00","1,178.98","5,126.00","5,126.00",percent of total billed charges,"5,126.00",percent of total billed charges,"5,126.00",percent of total billed charges,"5,126.00",percent of total billed charges,"5,126.00",percent of total billed charges,"5,126.00",percent of total billed charges,"5,126.00",percent of total billed charges,"5,126.00",percent of total billed charges,"3,690.72",percent of total billed charges,"3,690.72",percent of total billed charges,"3,690.72",percent of total billed charges,"3,690.72",percent of total billed charges,"3,690.72",percent of total billed charges,"3,690.72",percent of total billed charges,"4,049.54",percent of total billed charges,"4,049.54",percent of total billed charges,"4,100.80",percent of total billed charges,"4,100.80",percent of total billed charges,,,"3,690.72",percent of total billed charges ,,,"4,100.80",percent of total billed charges ,"4,049.54",percent of total billed charges ,"4,049.54",percent of total billed charges ,"4,357.10",percent of total billed charges ,"4,357.10",percent of total billed charges ,"4,100.80",percent of total billed charges ,"4,100.80",percent of total billed charges ,"3,588.20",percent of total billed charges ,"3,588.20",percent of total billed charges ,"3,075.60",percent of total billed charges ,"3,075.60",percent of total billed charges ,"3,075.60",percent of total billed charges ,"3,075.60",percent of total billed charges ,,,,,"2,727.03",percent of total billed charges ,,,,,"2,590.68",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,178.98",percent of total billed charges,,,"1,178.98",percent of total billed charges,,,"1,178.98",percent of total billed charges,,,"1,178.98",percent of total billed charges,,,"1,178.98",percent of total billed charges,,,"1,178.98",percent of total billed charges,,,"1,178.98",percent of total billed charges,,,"1,178.98",percent of total billed charges,,,"1,178.98",percent of total billed charges,,,"1,178.98",percent of total billed charges,,,"1,178.98",percent of total billed charges,
**NM OCTREOTIDE SPECT,78803,CDM,,,,both,,,"3,107.00","3,107.00",714.61,"3,107.00","3,107.00",percent of total billed charges,"3,107.00",percent of total billed charges,"3,107.00",percent of total billed charges,"3,107.00",percent of total billed charges,"3,107.00",percent of total billed charges,"3,107.00",percent of total billed charges,"3,107.00",percent of total billed charges,"3,107.00",percent of total billed charges,"2,237.04",percent of total billed charges,"2,237.04",percent of total billed charges,"2,237.04",percent of total billed charges,"2,237.04",percent of total billed charges,"2,237.04",percent of total billed charges,"2,237.04",percent of total billed charges,"2,454.53",percent of total billed charges,"2,454.53",percent of total billed charges,"2,485.60",percent of total billed charges,"2,485.60",percent of total billed charges,,,"2,237.04",percent of total billed charges ,,,"2,485.60",percent of total billed charges ,"2,454.53",percent of total billed charges ,"2,454.53",percent of total billed charges ,"2,640.95",percent of total billed charges ,"2,640.95",percent of total billed charges ,"2,485.60",percent of total billed charges ,"2,485.60",percent of total billed charges ,"2,174.90",percent of total billed charges ,"2,174.90",percent of total billed charges ,"1,864.20",percent of total billed charges ,"1,864.20",percent of total billed charges ,"1,864.20",percent of total billed charges ,"1,864.20",percent of total billed charges ,,,,,"1,652.92",percent of total billed charges ,,,,,"1,570.28",percent of total billed charges ,,,,,,,,,,,,,,,,,,,714.61,percent of total billed charges,,,714.61,percent of total billed charges,,,714.61,percent of total billed charges,,,714.61,percent of total billed charges,,,714.61,percent of total billed charges,,,714.61,percent of total billed charges,,,714.61,percent of total billed charges,,,714.61,percent of total billed charges,,,714.61,percent of total billed charges,,,714.61,percent of total billed charges,,,714.61,percent of total billed charges,
NM INDIU PENETREOTICE PER MCI,A9572,CDM,,,,both,,,"30,146.00","30,146.00","6,933.58","30,146.00","30,146.00",percent of total billed charges,"30,146.00",percent of total billed charges,"30,146.00",percent of total billed charges,"30,146.00",percent of total billed charges,"30,146.00",percent of total billed charges,"30,146.00",percent of total billed charges,"30,146.00",percent of total billed charges,"30,146.00",percent of total billed charges,"21,705.12",percent of total billed charges,"21,705.12",percent of total billed charges,"21,705.12",percent of total billed charges,"21,705.12",percent of total billed charges,"21,705.12",percent of total billed charges,"21,705.12",percent of total billed charges,"23,815.34",percent of total billed charges,"23,815.34",percent of total billed charges,"24,116.80",percent of total billed charges,"24,116.80",percent of total billed charges,,,"21,705.12",percent of total billed charges ,,,"24,116.80",percent of total billed charges ,"23,815.34",percent of total billed charges ,"23,815.34",percent of total billed charges ,"25,624.10",percent of total billed charges ,"25,624.10",percent of total billed charges ,"24,116.80",percent of total billed charges ,"24,116.80",percent of total billed charges ,"21,102.20",percent of total billed charges ,"21,102.20",percent of total billed charges ,"18,087.60",percent of total billed charges ,"18,087.60",percent of total billed charges ,"18,087.60",percent of total billed charges ,"18,087.60",percent of total billed charges ,,,,,"16,037.67",percent of total billed charges ,,,,,"15,235.79",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"6,933.58",percent of total billed charges,,,"6,933.58",percent of total billed charges,,,"6,933.58",percent of total billed charges,,,"6,933.58",percent of total billed charges,,,"6,933.58",percent of total billed charges,,,"6,933.58",percent of total billed charges,,,"6,933.58",percent of total billed charges,,,"6,933.58",percent of total billed charges,,,"6,933.58",percent of total billed charges,,,"6,933.58",percent of total billed charges,,,"6,933.58",percent of total billed charges,
SINUSES 1 or 2 VIEWS,70210,CDM,,,,both,,,429,429,98.67,429,429,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,338.91,percent of total billed charges,338.91,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 ,338.91,percent of total billed charges ,338.91,percent of total billed charges ,364.65,percent of total billed charges ,364.65,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 ,,,,,,,,,,,,,,,,,,,98.67,percent of total billed charges,,,98.67,percent of total billed charges,,,98.67,percent of total billed charges,,,98.67,percent of total billed charges,,,98.67,percent of total billed charges,,,98.67,percent of total billed charges,,,98.67,percent of total billed charges,,,98.67,percent of total billed charges,,,98.67,percent of total billed charges,,,98.67,percent of total billed charges,,,98.67,percent of total billed charges,
NM RENOGRAM W/DRUG 78708,78708,CDM,,,,both,,,"2,915.00","2,915.00",670.45,"2,915.00","2,915.00",percent of total billed charges,"2,915.00",percent of total billed charges,"2,915.00",percent of total billed charges,"2,915.00",percent of total billed charges,"2,915.00",percent of total billed charges,"2,915.00",percent of total billed charges,"2,915.00",percent of total billed charges,"2,915.00",percent of total billed charges,"2,098.80",percent of total billed charges,"2,098.80",percent of total billed charges,"2,098.80",percent of total billed charges,"2,098.80",percent of total billed charges,"2,098.80",percent of total billed charges,"2,098.80",percent of total billed charges,"2,302.85",percent of total billed charges,"2,302.85",percent of total billed charges,"2,332.00",percent of total billed charges,"2,332.00",percent of total billed charges,,,"2,098.80",percent of total billed charges ,,,"2,332.00",percent of total billed charges ,"2,302.85",percent of total billed charges ,"2,302.85",percent of total billed charges ,"2,477.75",percent of total billed charges ,"2,477.75",percent of total billed charges ,"2,332.00",percent of total billed charges ,"2,332.00",percent of total billed charges ,"2,040.50",percent of total billed charges ,"2,040.50",percent of total billed charges ,"1,749.00",percent of total billed charges ,"1,749.00",percent of total billed charges ,"1,749.00",percent of total billed charges ,"1,749.00",percent of total billed charges ,,,,,"1,550.78",percent of total billed charges ,,,,,"1,473.24",percent of total billed charges ,,,,,,,,,,,,,,,,,,,670.45,percent of total billed charges,,,670.45,percent of total billed charges,,,670.45,percent of total billed charges,,,670.45,percent of total billed charges,,,670.45,percent of total billed charges,,,670.45,percent of total billed charges,,,670.45,percent of total billed charges,,,670.45,percent of total billed charges,,,670.45,percent of total billed charges,,,670.45,percent of total billed charges,,,670.45,percent of total billed charges,
**HANDS PA 1 VIEW,73120,CDM,,,RT,both,,,471,471,108.33,471,471,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,372.09,percent of total billed charges,372.09,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 ,372.09,percent of total billed charges ,372.09,percent of total billed charges ,400.35,percent of total billed charges ,400.35,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 ,,,,,,,,,,,,,,,,,,,108.33,percent of total billed charges,,,108.33,percent of total billed charges,,,108.33,percent of total billed charges,,,108.33,percent of total billed charges,,,108.33,percent of total billed charges,,,108.33,percent of total billed charges,,,108.33,percent of total billed charges,,,108.33,percent of total billed charges,,,108.33,percent of total billed charges,,,108.33,percent of total billed charges,,,108.33,percent of total billed charges,
**FOOT (FEET) AP 1 VIEW,73620,CDM,,,RT,both,,,473,473,108.79,473,473,percent of total billed charges,473,percent of total billed charges,473,percent of total billed charges,473,percent of total billed charges,473,percent of total billed charges,473,percent of total billed charges,473,percent of total billed charges,473,percent of total billed charges,340.56,percent of total billed charges,340.56,percent of total billed charges,340.56,percent of total billed charges,340.56,percent of total billed charges,340.56,percent of total billed charges,340.56,percent of total billed charges,373.67,percent of total billed charges,373.67,percent of total billed charges,378.4,percent of total billed charges,378.4,percent of total billed charges,,,340.56,percent of total billed charges ,,,378.4,percent of total billed charges ,373.67,percent of total billed charges ,373.67,percent of total billed charges ,402.05,percent of total billed charges ,402.05,percent of total billed charges ,378.4,percent of total billed charges ,378.4,percent of total billed charges ,331.1,percent of total billed charges ,331.1,percent of total billed charges ,283.8,percent of total billed charges ,283.8,percent of total billed charges ,283.8,percent of total billed charges ,283.8,percent of total billed charges ,,,,,251.64,percent of total billed charges ,,,,,239.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,108.79,percent of total billed charges,,,108.79,percent of total billed charges,,,108.79,percent of total billed charges,,,108.79,percent of total billed charges,,,108.79,percent of total billed charges,,,108.79,percent of total billed charges,,,108.79,percent of total billed charges,,,108.79,percent of total billed charges,,,108.79,percent of total billed charges,,,108.79,percent of total billed charges,,,108.79,percent of total billed charges,
**OMNIPAQUE 350/60CC,Q9967,CDM,,,,both,,,428,428,98.44,428,428,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,338.12,percent of total billed charges,338.12,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 ,338.12,percent of total billed charges ,338.12,percent of total billed charges ,363.8,percent of total billed charges ,363.8,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 ,,,,,,,,,,,,,,,,,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,
**OMNIPAQUE 350/100CC,Q9967,CDM,,,,both,,,708,708,162.84,708,708,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,559.32,percent of total billed charges,559.32,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 ,559.32,percent of total billed charges ,559.32,percent of total billed charges ,601.8,percent of total billed charges ,601.8,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 ,,,,,,,,,,,,,,,,,,,162.84,percent of total billed charges,,,162.84,percent of total billed charges,,,162.84,percent of total billed charges,,,162.84,percent of total billed charges,,,162.84,percent of total billed charges,,,162.84,percent of total billed charges,,,162.84,percent of total billed charges,,,162.84,percent of total billed charges,,,162.84,percent of total billed charges,,,162.84,percent of total billed charges,,,162.84,percent of total billed charges,
MAGNEVIST 15ML,A9579,CDM,,,,both,,,471,471,108.33,471,471,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,372.09,percent of total billed charges,372.09,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 ,372.09,percent of total billed charges ,372.09,percent of total billed charges ,400.35,percent of total billed charges ,400.35,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 ,,,,,,,,,,,,,,,,,,,108.33,percent of total billed charges,,,108.33,percent of total billed charges,,,108.33,percent of total billed charges,,,108.33,percent of total billed charges,,,108.33,percent of total billed charges,,,108.33,percent of total billed charges,,,108.33,percent of total billed charges,,,108.33,percent of total billed charges,,,108.33,percent of total billed charges,,,108.33,percent of total billed charges,,,108.33,percent of total billed charges,
**OMNISCAN 20 ML,A9579,CDM,,,,both,,,770,770,177.1,770,770,percent of total billed charges,770,percent of total billed charges,770,percent of total billed charges,770,percent of total billed charges,770,percent of total billed charges,770,percent of total billed charges,770,percent of total billed charges,770,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,554.4,percent of total billed charges,554.4,percent of total billed charges,608.3,percent of total billed charges,608.3,percent of total billed charges,616,percent of total billed charges,616,percent of total billed charges,,,554.4,percent of total billed charges ,,,616,percent of total billed charges ,608.3,percent of total billed charges ,608.3,percent of total billed charges ,654.5,percent of total billed charges ,654.5,percent of total billed charges ,616,percent of total billed charges ,616,percent of total billed charges ,539,percent of total billed charges ,539,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 ,,,,,409.64,percent of total billed charges ,,,,,389.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,,,177.1,percent of total billed charges,
CTA PELVIS W/WO,72191,CDM,,,,both,,,"5,239.00","5,239.00","1,204.97","5,239.00","5,239.00",percent of total billed charges,"5,239.00",percent of total billed charges,"5,239.00",percent of total billed charges,"5,239.00",percent of total billed charges,"5,239.00",percent of total billed charges,"5,239.00",percent of total billed charges,"5,239.00",percent of total billed charges,"5,239.00",percent of total billed charges,"3,772.08",percent of total billed charges,"3,772.08",percent of total billed charges,"3,772.08",percent of total billed charges,"3,772.08",percent of total billed charges,"3,772.08",percent of total billed charges,"3,772.08",percent of total billed charges,"4,138.81",percent of total billed charges,"4,138.81",percent of total billed charges,"4,191.20",percent of total billed charges,"4,191.20",percent of total billed charges,,,"3,772.08",percent of total billed charges ,,,"4,191.20",percent of total billed charges ,"4,138.81",percent of total billed charges ,"4,138.81",percent of total billed charges ,"4,453.15",percent of total billed charges ,"4,453.15",percent of total billed charges ,"4,191.20",percent of total billed charges ,"4,191.20",percent of total billed charges ,"3,667.30",percent of total billed charges ,"3,667.30",percent of total billed charges ,"3,143.40",percent of total billed charges ,"3,143.40",percent of total billed charges ,"3,143.40",percent of total billed charges ,"3,143.40",percent of total billed charges ,,,,,"2,787.15",percent of total billed charges ,,,,,"2,647.79",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,204.97",percent of total billed charges,,,"1,204.97",percent of total billed charges,,,"1,204.97",percent of total billed charges,,,"1,204.97",percent of total billed charges,,,"1,204.97",percent of total billed charges,,,"1,204.97",percent of total billed charges,,,"1,204.97",percent of total billed charges,,,"1,204.97",percent of total billed charges,,,"1,204.97",percent of total billed charges,,,"1,204.97",percent of total billed charges,,,"1,204.97",percent of total billed charges,
CTA ABDOMEN W/WO,74175,CDM,,,,both,,,"5,415.00","5,415.00","1,245.45","5,415.00","5,415.00",percent of total billed charges,"5,415.00",percent of total billed charges,"5,415.00",percent of total billed charges,"5,415.00",percent of total billed charges,"5,415.00",percent of total billed charges,"5,415.00",percent of total billed charges,"5,415.00",percent of total billed charges,"5,415.00",percent of total billed charges,"3,898.80",percent of total billed charges,"3,898.80",percent of total billed charges,"3,898.80",percent of total billed charges,"3,898.80",percent of total billed charges,"3,898.80",percent of total billed charges,"3,898.80",percent of total billed charges,"4,277.85",percent of total billed charges,"4,277.85",percent of total billed charges,"4,332.00",percent of total billed charges,"4,332.00",percent of total billed charges,,,"3,898.80",percent of total billed charges ,,,"4,332.00",percent of total billed charges ,"4,277.85",percent of total billed charges ,"4,277.85",percent of total billed charges ,"4,602.75",percent of total billed charges ,"4,602.75",percent of total billed charges ,"4,332.00",percent of total billed charges ,"4,332.00",percent of total billed charges ,"3,790.50",percent of total billed charges ,"3,790.50",percent of total billed charges ,"3,249.00",percent of total billed charges ,"3,249.00",percent of total billed charges ,"3,249.00",percent of total billed charges ,"3,249.00",percent of total billed charges ,,,,,"2,880.78",percent of total billed charges ,,,,,"2,736.74",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,245.45",percent of total billed charges,,,"1,245.45",percent of total billed charges,,,"1,245.45",percent of total billed charges,,,"1,245.45",percent of total billed charges,,,"1,245.45",percent of total billed charges,,,"1,245.45",percent of total billed charges,,,"1,245.45",percent of total billed charges,,,"1,245.45",percent of total billed charges,,,"1,245.45",percent of total billed charges,,,"1,245.45",percent of total billed charges,,,"1,245.45",percent of total billed charges,
CTA CHEST FOR PE,71275,CDM,,,,both,,,"4,052.00","4,052.00",931.96,"4,052.00","4,052.00",percent of total billed charges,"4,052.00",percent of total billed charges,"4,052.00",percent of total billed charges,"4,052.00",percent of total billed charges,"4,052.00",percent of total billed charges,"4,052.00",percent of total billed charges,"4,052.00",percent of total billed charges,"4,052.00",percent of total billed charges,"2,917.44",percent of total billed charges,"2,917.44",percent of total billed charges,"2,917.44",percent of total billed charges,"2,917.44",percent of total billed charges,"2,917.44",percent of total billed charges,"2,917.44",percent of total billed charges,"3,201.08",percent of total billed charges,"3,201.08",percent of total billed charges,"3,241.60",percent of total billed charges,"3,241.60",percent of total billed charges,,,"2,917.44",percent of total billed charges ,,,"3,241.60",percent of total billed charges ,"3,201.08",percent of total billed charges ,"3,201.08",percent of total billed charges ,"3,444.20",percent of total billed charges ,"3,444.20",percent of total billed charges ,"3,241.60",percent of total billed charges ,"3,241.60",percent of total billed charges ,"2,836.40",percent of total billed charges ,"2,836.40",percent of total billed charges ,"2,431.20",percent of total billed charges ,"2,431.20",percent of total billed charges ,"2,431.20",percent of total billed charges ,"2,431.20",percent of total billed charges ,,,,,"2,155.66",percent of total billed charges ,,,,,"2,047.88",percent of total billed charges ,,,,,,,,,,,,,,,,,,,931.96,percent of total billed charges,,,931.96,percent of total billed charges,,,931.96,percent of total billed charges,,,931.96,percent of total billed charges,,,931.96,percent of total billed charges,,,931.96,percent of total billed charges,,,931.96,percent of total billed charges,,,931.96,percent of total billed charges,,,931.96,percent of total billed charges,,,931.96,percent of total billed charges,,,931.96,percent of total billed charges,
CTA AORTO-ILIOFEMORAL RUNOFF,75635,CDM,,,,both,,,"5,418.00","5,418.00","1,246.14","5,418.00","5,418.00",percent of total billed charges,"5,418.00",percent of total billed charges,"5,418.00",percent of total billed charges,"5,418.00",percent of total billed charges,"5,418.00",percent of total billed charges,"5,418.00",percent of total billed charges,"5,418.00",percent of total billed charges,"5,418.00",percent of total billed charges,"3,900.96",percent of total billed charges,"3,900.96",percent of total billed charges,"3,900.96",percent of total billed charges,"3,900.96",percent of total billed charges,"3,900.96",percent of total billed charges,"3,900.96",percent of total billed charges,"4,280.22",percent of total billed charges,"4,280.22",percent of total billed charges,"4,334.40",percent of total billed charges,"4,334.40",percent of total billed charges,,,"3,900.96",percent of total billed charges ,,,"4,334.40",percent of total billed charges ,"4,280.22",percent of total billed charges ,"4,280.22",percent of total billed charges ,"4,605.30",percent of total billed charges ,"4,605.30",percent of total billed charges ,"4,334.40",percent of total billed charges ,"4,334.40",percent of total billed charges ,"3,792.60",percent of total billed charges ,"3,792.60",percent of total billed charges ,"3,250.80",percent of total billed charges ,"3,250.80",percent of total billed charges ,"3,250.80",percent of total billed charges ,"3,250.80",percent of total billed charges ,,,,,"2,882.38",percent of total billed charges ,,,,,"2,738.26",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,246.14",percent of total billed charges,,,"1,246.14",percent of total billed charges,,,"1,246.14",percent of total billed charges,,,"1,246.14",percent of total billed charges,,,"1,246.14",percent of total billed charges,,,"1,246.14",percent of total billed charges,,,"1,246.14",percent of total billed charges,,,"1,246.14",percent of total billed charges,,,"1,246.14",percent of total billed charges,,,"1,246.14",percent of total billed charges,,,"1,246.14",percent of total billed charges,
CTA HEAD W/WO,70496,CDM,,,52,both,,,"4,524.00","4,524.00","1,040.52","4,524.00","4,524.00",percent of total billed charges,"4,524.00",percent of total billed charges,"4,524.00",percent of total billed charges,"4,524.00",percent of total billed charges,"4,524.00",percent of total billed charges,"4,524.00",percent of total billed charges,"4,524.00",percent of total billed charges,"4,524.00",percent of total billed charges,"3,257.28",percent of total billed charges,"3,257.28",percent of total billed charges,"3,257.28",percent of total billed charges,"3,257.28",percent of total billed charges,"3,257.28",percent of total billed charges,"3,257.28",percent of total billed charges,"3,573.96",percent of total billed charges,"3,573.96",percent of total billed charges,"3,619.20",percent of total billed charges,"3,619.20",percent of total billed charges,,,"3,257.28",percent of total billed charges ,,,"3,619.20",percent of total billed charges ,"3,573.96",percent of total billed charges ,"3,573.96",percent of total billed charges ,"3,845.40",percent of total billed charges ,"3,845.40",percent of total billed charges ,"3,619.20",percent of total billed charges ,"3,619.20",percent of total billed charges ,"3,166.80",percent of total billed charges ,"3,166.80",percent of total billed charges ,"2,714.40",percent of total billed charges ,"2,714.40",percent of total billed charges ,"2,714.40",percent of total billed charges ,"2,714.40",percent of total billed charges ,,,,,"2,406.77",percent of total billed charges ,,,,,"2,286.43",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,040.52",percent of total billed charges,,,"1,040.52",percent of total billed charges,,,"1,040.52",percent of total billed charges,,,"1,040.52",percent of total billed charges,,,"1,040.52",percent of total billed charges,,,"1,040.52",percent of total billed charges,,,"1,040.52",percent of total billed charges,,,"1,040.52",percent of total billed charges,,,"1,040.52",percent of total billed charges,,,"1,040.52",percent of total billed charges,,,"1,040.52",percent of total billed charges,
CTA NECK W/CON,70498,CDM,,,52,both,,,"4,414.00","4,414.00","1,015.22","4,414.00","4,414.00",percent of total billed charges,"4,414.00",percent of total billed charges,"4,414.00",percent of total billed charges,"4,414.00",percent of total billed charges,"4,414.00",percent of total billed charges,"4,414.00",percent of total billed charges,"4,414.00",percent of total billed charges,"4,414.00",percent of total billed charges,"3,178.08",percent of total billed charges,"3,178.08",percent of total billed charges,"3,178.08",percent of total billed charges,"3,178.08",percent of total billed charges,"3,178.08",percent of total billed charges,"3,178.08",percent of total billed charges,"3,487.06",percent of total billed charges,"3,487.06",percent of total billed charges,"3,531.20",percent of total billed charges,"3,531.20",percent of total billed charges,,,"3,178.08",percent of total billed charges ,,,"3,531.20",percent of total billed charges ,"3,487.06",percent of total billed charges ,"3,487.06",percent of total billed charges ,"3,751.90",percent of total billed charges ,"3,751.90",percent of total billed charges ,"3,531.20",percent of total billed charges ,"3,531.20",percent of total billed charges ,"3,089.80",percent of total billed charges ,"3,089.80",percent of total billed charges ,"2,648.40",percent of total billed charges ,"2,648.40",percent of total billed charges ,"2,648.40",percent of total billed charges ,"2,648.40",percent of total billed charges ,,,,,"2,348.25",percent of total billed charges ,,,,,"2,230.84",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,015.22",percent of total billed charges,,,"1,015.22",percent of total billed charges,,,"1,015.22",percent of total billed charges,,,"1,015.22",percent of total billed charges,,,"1,015.22",percent of total billed charges,,,"1,015.22",percent of total billed charges,,,"1,015.22",percent of total billed charges,,,"1,015.22",percent of total billed charges,,,"1,015.22",percent of total billed charges,,,"1,015.22",percent of total billed charges,,,"1,015.22",percent of total billed charges,
CTA UPPER EXTREMITY,73206,CDM,,,,both,,,"4,769.00","4,769.00","1,096.87","4,769.00","4,769.00",percent of total billed charges,"4,769.00",percent of total billed charges,"4,769.00",percent of total billed charges,"4,769.00",percent of total billed charges,"4,769.00",percent of total billed charges,"4,769.00",percent of total billed charges,"4,769.00",percent of total billed charges,"4,769.00",percent of total billed charges,"3,433.68",percent of total billed charges,"3,433.68",percent of total billed charges,"3,433.68",percent of total billed charges,"3,433.68",percent of total billed charges,"3,433.68",percent of total billed charges,"3,433.68",percent of total billed charges,"3,767.51",percent of total billed charges,"3,767.51",percent of total billed charges,"3,815.20",percent of total billed charges,"3,815.20",percent of total billed charges,,,"3,433.68",percent of total billed charges ,,,"3,815.20",percent of total billed charges ,"3,767.51",percent of total billed charges ,"3,767.51",percent of total billed charges ,"4,053.65",percent of total billed charges ,"4,053.65",percent of total billed charges ,"3,815.20",percent of total billed charges ,"3,815.20",percent of total billed charges ,"3,338.30",percent of total billed charges ,"3,338.30",percent of total billed charges ,"2,861.40",percent of total billed charges ,"2,861.40",percent of total billed charges ,"2,861.40",percent of total billed charges ,"2,861.40",percent of total billed charges ,,,,,"2,537.11",percent of total billed charges ,,,,,"2,410.25",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,096.87",percent of total billed charges,,,"1,096.87",percent of total billed charges,,,"1,096.87",percent of total billed charges,,,"1,096.87",percent of total billed charges,,,"1,096.87",percent of total billed charges,,,"1,096.87",percent of total billed charges,,,"1,096.87",percent of total billed charges,,,"1,096.87",percent of total billed charges,,,"1,096.87",percent of total billed charges,,,"1,096.87",percent of total billed charges,,,"1,096.87",percent of total billed charges,
CTA LOWER EXTREMITY,73706,CDM,,,,both,,,"5,140.00","5,140.00","1,182.20","5,140.00","5,140.00",percent of total billed charges,"5,140.00",percent of total billed charges,"5,140.00",percent of total billed charges,"5,140.00",percent of total billed charges,"5,140.00",percent of total billed charges,"5,140.00",percent of total billed charges,"5,140.00",percent of total billed charges,"5,140.00",percent of total billed charges,"3,700.80",percent of total billed charges,"3,700.80",percent of total billed charges,"3,700.80",percent of total billed charges,"3,700.80",percent of total billed charges,"3,700.80",percent of total billed charges,"3,700.80",percent of total billed charges,"4,060.60",percent of total billed charges,"4,060.60",percent of total billed charges,"4,112.00",percent of total billed charges,"4,112.00",percent of total billed charges,,,"3,700.80",percent of total billed charges ,,,"4,112.00",percent of total billed charges ,"4,060.60",percent of total billed charges ,"4,060.60",percent of total billed charges ,"4,369.00",percent of total billed charges ,"4,369.00",percent of total billed charges ,"4,112.00",percent of total billed charges ,"4,112.00",percent of total billed charges ,"3,598.00",percent of total billed charges ,"3,598.00",percent of total billed charges ,"3,084.00",percent of total billed charges ,"3,084.00",percent of total billed charges ,"3,084.00",percent of total billed charges ,"3,084.00",percent of total billed charges ,,,,,"2,734.48",percent of total billed charges ,,,,,"2,597.76",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,182.20",percent of total billed charges,,,"1,182.20",percent of total billed charges,,,"1,182.20",percent of total billed charges,,,"1,182.20",percent of total billed charges,,,"1,182.20",percent of total billed charges,,,"1,182.20",percent of total billed charges,,,"1,182.20",percent of total billed charges,,,"1,182.20",percent of total billed charges,,,"1,182.20",percent of total billed charges,,,"1,182.20",percent of total billed charges,,,"1,182.20",percent of total billed charges,
**COLON AIR CONTRAST,74280,CDM,,,,both,,,"1,077.00","1,077.00",247.71,"1,077.00","1,077.00",percent of total billed charges,"1,077.00",percent of total billed charges,"1,077.00",percent of total billed charges,"1,077.00",percent of total billed charges,"1,077.00",percent of total billed charges,"1,077.00",percent of total billed charges,"1,077.00",percent of total billed charges,"1,077.00",percent of total billed charges,775.44,percent of total billed charges,775.44,percent of total billed charges,775.44,percent of total billed charges,775.44,percent of total billed charges,775.44,percent of total billed charges,775.44,percent of total billed charges,850.83,percent of total billed charges,850.83,percent of total billed charges,861.6,percent of total billed charges,861.6,percent of total billed charges,,,775.44,percent of total billed charges ,,,861.6,percent of total billed charges ,850.83,percent of total billed charges ,850.83,percent of total billed charges ,915.45,percent of total billed charges ,915.45,percent of total billed charges ,861.6,percent of total billed charges ,861.6,percent of total billed charges ,753.9,percent of total billed charges ,753.9,percent of total billed charges ,646.2,percent of total billed charges ,646.2,percent of total billed charges ,646.2,percent of total billed charges ,646.2,percent of total billed charges ,,,,,572.96,percent of total billed charges ,,,,,544.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,247.71,percent of total billed charges,,,247.71,percent of total billed charges,,,247.71,percent of total billed charges,,,247.71,percent of total billed charges,,,247.71,percent of total billed charges,,,247.71,percent of total billed charges,,,247.71,percent of total billed charges,,,247.71,percent of total billed charges,,,247.71,percent of total billed charges,,,247.71,percent of total billed charges,,,247.71,percent of total billed charges,
**T-TUBE CHOLANGIOGRAM,74305,CDM,,,,both,,,"1,054.00","1,054.00",242.42,"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,832.66,percent of total billed charges,832.66,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 ,832.66,percent of total billed charges ,832.66,percent of total billed charges ,895.9,percent of total billed charges ,895.9,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 ,,,,,,,,,,,,,,,,,,,242.42,percent of total billed charges,,,242.42,percent of total billed charges,,,242.42,percent of total billed charges,,,242.42,percent of total billed charges,,,242.42,percent of total billed charges,,,242.42,percent of total billed charges,,,242.42,percent of total billed charges,,,242.42,percent of total billed charges,,,242.42,percent of total billed charges,,,242.42,percent of total billed charges,,,242.42,percent of total billed charges,
**INJECTION CHOLANGIOGRAM,47505,CDM,,,,both,,,"1,111.00","1,111.00",255.53,"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,877.69,percent of total billed charges,877.69,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 ,877.69,percent of total billed charges ,877.69,percent of total billed charges ,944.35,percent of total billed charges ,944.35,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 ,,,,,,,,,,,,,,,,,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,
**CTA HEAD W/O CONTRAST,70496,CDM,,,52,both,,,"3,301.00","3,301.00",759.23,"3,301.00","3,301.00",percent of total billed charges,"3,301.00",percent of total billed charges,"3,301.00",percent of total billed charges,"3,301.00",percent of total billed charges,"3,301.00",percent of total billed charges,"3,301.00",percent of total billed charges,"3,301.00",percent of total billed charges,"3,301.00",percent of total billed charges,"2,376.72",percent of total billed charges,"2,376.72",percent of total billed charges,"2,376.72",percent of total billed charges,"2,376.72",percent of total billed charges,"2,376.72",percent of total billed charges,"2,376.72",percent of total billed charges,"2,607.79",percent of total billed charges,"2,607.79",percent of total billed charges,"2,640.80",percent of total billed charges,"2,640.80",percent of total billed charges,,,"2,376.72",percent of total billed charges ,,,"2,640.80",percent of total billed charges ,"2,607.79",percent of total billed charges ,"2,607.79",percent of total billed charges ,"2,805.85",percent of total billed charges ,"2,805.85",percent of total billed charges ,"2,640.80",percent of total billed charges ,"2,640.80",percent of total billed charges ,"2,310.70",percent of total billed charges ,"2,310.70",percent of total billed charges ,"1,980.60",percent of total billed charges ,"1,980.60",percent of total billed charges ,"1,980.60",percent of total billed charges ,"1,980.60",percent of total billed charges ,,,,,"1,756.13",percent of total billed charges ,,,,,"1,668.33",percent of total billed charges ,,,,,,,,,,,,,,,,,,,759.23,percent of total billed charges,,,759.23,percent of total billed charges,,,759.23,percent of total billed charges,,,759.23,percent of total billed charges,,,759.23,percent of total billed charges,,,759.23,percent of total billed charges,,,759.23,percent of total billed charges,,,759.23,percent of total billed charges,,,759.23,percent of total billed charges,,,759.23,percent of total billed charges,,,759.23,percent of total billed charges,
**CTA HEAD W/CONTRAST,70496,CDM,,,52,both,,,"3,301.00","3,301.00",759.23,"3,301.00","3,301.00",percent of total billed charges,"3,301.00",percent of total billed charges,"3,301.00",percent of total billed charges,"3,301.00",percent of total billed charges,"3,301.00",percent of total billed charges,"3,301.00",percent of total billed charges,"3,301.00",percent of total billed charges,"3,301.00",percent of total billed charges,"2,376.72",percent of total billed charges,"2,376.72",percent of total billed charges,"2,376.72",percent of total billed charges,"2,376.72",percent of total billed charges,"2,376.72",percent of total billed charges,"2,376.72",percent of total billed charges,"2,607.79",percent of total billed charges,"2,607.79",percent of total billed charges,"2,640.80",percent of total billed charges,"2,640.80",percent of total billed charges,,,"2,376.72",percent of total billed charges ,,,"2,640.80",percent of total billed charges ,"2,607.79",percent of total billed charges ,"2,607.79",percent of total billed charges ,"2,805.85",percent of total billed charges ,"2,805.85",percent of total billed charges ,"2,640.80",percent of total billed charges ,"2,640.80",percent of total billed charges ,"2,310.70",percent of total billed charges ,"2,310.70",percent of total billed charges ,"1,980.60",percent of total billed charges ,"1,980.60",percent of total billed charges ,"1,980.60",percent of total billed charges ,"1,980.60",percent of total billed charges ,,,,,"1,756.13",percent of total billed charges ,,,,,"1,668.33",percent of total billed charges ,,,,,,,,,,,,,,,,,,,759.23,percent of total billed charges,,,759.23,percent of total billed charges,,,759.23,percent of total billed charges,,,759.23,percent of total billed charges,,,759.23,percent of total billed charges,,,759.23,percent of total billed charges,,,759.23,percent of total billed charges,,,759.23,percent of total billed charges,,,759.23,percent of total billed charges,,,759.23,percent of total billed charges,,,759.23,percent of total billed charges,
**RENO 60 50ML,Q9961,CDM,,,,both,,,82,82,18.86,82,82,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,64.78,percent of total billed charges,64.78,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 ,64.78,percent of total billed charges ,64.78,percent of total billed charges ,69.7,percent of total billed charges ,69.7,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
CYSTOGRAFIN 300 ML,Q9958,CDM,,,,both,,,232,232,53.36,232,232,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,183.28,percent of total billed charges,183.28,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 ,183.28,percent of total billed charges ,183.28,percent of total billed charges ,197.2,percent of total billed charges ,197.2,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 ,,,,,,,,,,,,,,,,,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,
**ISOVUE 200 /20ML,Q9966,CDM,,,,both,,,185,185,42.55,185,185,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,146.15,percent of total billed charges,146.15,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 ,146.15,percent of total billed charges ,146.15,percent of total billed charges ,157.25,percent of total billed charges ,157.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,42.55,percent of total billed charges,,,42.55,percent of total billed charges,,,42.55,percent of total billed charges,
**ISOVUE 250 50ML,Q9966,CDM,,,,both,,,172,172,39.56,172,172,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,135.88,percent of total billed charges,135.88,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 ,135.88,percent of total billed charges ,135.88,percent of total billed charges ,146.2,percent of total billed charges ,146.2,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 ,,,,,,,,,,,,,,,,,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,
ISOVUE 300 /50ML,Q9967,CDM,,,,both,,,61,61,14.03,61,61,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,48.19,percent of total billed charges,48.19,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 ,48.19,percent of total billed charges ,48.19,percent of total billed charges ,51.85,percent of total billed charges ,51.85,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 ,,,,,,,,,,,,,,,,,,,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,,,14.03,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,
**ISOVUE 300 /100ML,Q9967,CDM,,,,both,,,337,337,77.51,337,337,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,266.23,percent of total billed charges,266.23,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 ,266.23,percent of total billed charges ,266.23,percent of total billed charges ,286.45,percent of total billed charges ,286.45,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 ,,,,,,,,,,,,,,,,,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,
ISOVUE 370 /50ML,Q9967,CDM,,,,both,,,135,135,31.05,135,135,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,106.65,percent of total billed charges,106.65,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 ,106.65,percent of total billed charges ,106.65,percent of total billed charges ,114.75,percent of total billed charges ,114.75,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 ,,,,,,,,,,,,,,,,,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,
ISOVUE 370/ 100ML,Q9967,CDM,,,,both,,,95,95,21.85,95,95,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,75.05,percent of total billed charges,75.05,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 ,75.05,percent of total billed charges ,75.05,percent of total billed charges ,80.75,percent of total billed charges ,80.75,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,21.85,percent of total billed charges,,,21.85,percent of total billed charges,,,21.85,percent of total billed charges,
MULTIHANCE 15 ML,A9577,CDM,,,,both,,,317,317,72.91,317,317,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,250.43,percent of total billed charges,250.43,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 ,250.43,percent of total billed charges ,250.43,percent of total billed charges ,269.45,percent of total billed charges ,269.45,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 ,,,,,,,,,,,,,,,,,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,
MULTIHANCE 10 ML,A9577,CDM,,,,both,,,110,110,25.3,110,110,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,86.9,percent of total billed charges,86.9,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 ,86.9,percent of total billed charges ,86.9,percent of total billed charges ,93.5,percent of total billed charges ,93.5,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 ,,,,,,,,,,,,,,,,,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,
MRI SELLA W/O CONTRAST,70551,CDM,,,,both,,,"5,474.00","5,474.00","1,259.02","5,474.00","5,474.00",percent of total billed charges,"5,474.00",percent of total billed charges,"5,474.00",percent of total billed charges,"5,474.00",percent of total billed charges,"5,474.00",percent of total billed charges,"5,474.00",percent of total billed charges,"5,474.00",percent of total billed charges,"5,474.00",percent of total billed charges,"3,941.28",percent of total billed charges,"3,941.28",percent of total billed charges,"3,941.28",percent of total billed charges,"3,941.28",percent of total billed charges,"3,941.28",percent of total billed charges,"3,941.28",percent of total billed charges,"4,324.46",percent of total billed charges,"4,324.46",percent of total billed charges,"4,379.20",percent of total billed charges,"4,379.20",percent of total billed charges,,,"3,941.28",percent of total billed charges ,,,"4,379.20",percent of total billed charges ,"4,324.46",percent of total billed charges ,"4,324.46",percent of total billed charges ,"4,652.90",percent of total billed charges ,"4,652.90",percent of total billed charges ,"4,379.20",percent of total billed charges ,"4,379.20",percent of total billed charges ,"3,831.80",percent of total billed charges ,"3,831.80",percent of total billed charges ,"3,284.40",percent of total billed charges ,"3,284.40",percent of total billed charges ,"3,284.40",percent of total billed charges ,"3,284.40",percent of total billed charges ,,,,,"2,912.17",percent of total billed charges ,,,,,"2,766.56",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,259.02",percent of total billed charges,,,"1,259.02",percent of total billed charges,,,"1,259.02",percent of total billed charges,,,"1,259.02",percent of total billed charges,,,"1,259.02",percent of total billed charges,,,"1,259.02",percent of total billed charges,,,"1,259.02",percent of total billed charges,,,"1,259.02",percent of total billed charges,,,"1,259.02",percent of total billed charges,,,"1,259.02",percent of total billed charges,,,"1,259.02",percent of total billed charges,
MRI SELLA W/CONTRAST,70552,CDM,,,,both,,,"6,468.00","6,468.00","1,487.64","6,468.00","6,468.00",percent of total billed charges,"6,468.00",percent of total billed charges,"6,468.00",percent of total billed charges,"6,468.00",percent of total billed charges,"6,468.00",percent of total billed charges,"6,468.00",percent of total billed charges,"6,468.00",percent of total billed charges,"6,468.00",percent of total billed charges,"4,656.96",percent of total billed charges,"4,656.96",percent of total billed charges,"4,656.96",percent of total billed charges,"4,656.96",percent of total billed charges,"4,656.96",percent of total billed charges,"4,656.96",percent of total billed charges,"5,109.72",percent of total billed charges,"5,109.72",percent of total billed charges,"5,174.40",percent of total billed charges,"5,174.40",percent of total billed charges,,,"4,656.96",percent of total billed charges ,,,"5,174.40",percent of total billed charges ,"5,109.72",percent of total billed charges ,"5,109.72",percent of total billed charges ,"5,497.80",percent of total billed charges ,"5,497.80",percent of total billed charges ,"5,174.40",percent of total billed charges ,"5,174.40",percent of total billed charges ,"4,527.60",percent of total billed charges ,"4,527.60",percent of total billed charges ,"3,880.80",percent of total billed charges ,"3,880.80",percent of total billed charges ,"3,880.80",percent of total billed charges ,"3,880.80",percent of total billed charges ,,,,,"3,440.98",percent of total billed charges ,,,,,"3,268.93",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,487.64",percent of total billed charges,,,"1,487.64",percent of total billed charges,,,"1,487.64",percent of total billed charges,,,"1,487.64",percent of total billed charges,,,"1,487.64",percent of total billed charges,,,"1,487.64",percent of total billed charges,,,"1,487.64",percent of total billed charges,,,"1,487.64",percent of total billed charges,,,"1,487.64",percent of total billed charges,,,"1,487.64",percent of total billed charges,,,"1,487.64",percent of total billed charges,
MRI SELLA W/WO CONTRAST,70553,CDM,,,,both,,,"5,838.00","5,838.00","1,342.74","5,838.00","5,838.00",percent of total billed charges,"5,838.00",percent of total billed charges,"5,838.00",percent of total billed charges,"5,838.00",percent of total billed charges,"5,838.00",percent of total billed charges,"5,838.00",percent of total billed charges,"5,838.00",percent of total billed charges,"5,838.00",percent of total billed charges,"4,203.36",percent of total billed charges,"4,203.36",percent of total billed charges,"4,203.36",percent of total billed charges,"4,203.36",percent of total billed charges,"4,203.36",percent of total billed charges,"4,203.36",percent of total billed charges,"4,612.02",percent of total billed charges,"4,612.02",percent of total billed charges,"4,670.40",percent of total billed charges,"4,670.40",percent of total billed charges,,,"4,203.36",percent of total billed charges ,,,"4,670.40",percent of total billed charges ,"4,612.02",percent of total billed charges ,"4,612.02",percent of total billed charges ,"4,962.30",percent of total billed charges ,"4,962.30",percent of total billed charges ,"4,670.40",percent of total billed charges ,"4,670.40",percent of total billed charges ,"4,086.60",percent of total billed charges ,"4,086.60",percent of total billed charges ,"3,502.80",percent of total billed charges ,"3,502.80",percent of total billed charges ,"3,502.80",percent of total billed charges ,"3,502.80",percent of total billed charges ,,,,,"3,105.82",percent of total billed charges ,,,,,"2,950.53",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,342.74",percent of total billed charges,,,"1,342.74",percent of total billed charges,,,"1,342.74",percent of total billed charges,,,"1,342.74",percent of total billed charges,,,"1,342.74",percent of total billed charges,,,"1,342.74",percent of total billed charges,,,"1,342.74",percent of total billed charges,,,"1,342.74",percent of total billed charges,,,"1,342.74",percent of total billed charges,,,"1,342.74",percent of total billed charges,,,"1,342.74",percent of total billed charges,
MRI IAC W/O CONTRAST,70551,CDM,,,,both,,,"4,090.00","4,090.00",940.7,"4,090.00","4,090.00",percent of total billed charges,"4,090.00",percent of total billed charges,"4,090.00",percent of total billed charges,"4,090.00",percent of total billed charges,"4,090.00",percent of total billed charges,"4,090.00",percent of total billed charges,"4,090.00",percent of total billed charges,"4,090.00",percent of total billed charges,"2,944.80",percent of total billed charges,"2,944.80",percent of total billed charges,"2,944.80",percent of total billed charges,"2,944.80",percent of total billed charges,"2,944.80",percent of total billed charges,"2,944.80",percent of total billed charges,"3,231.10",percent of total billed charges,"3,231.10",percent of total billed charges,"3,272.00",percent of total billed charges,"3,272.00",percent of total billed charges,,,"2,944.80",percent of total billed charges ,,,"3,272.00",percent of total billed charges ,"3,231.10",percent of total billed charges ,"3,231.10",percent of total billed charges ,"3,476.50",percent of total billed charges ,"3,476.50",percent of total billed charges ,"3,272.00",percent of total billed charges ,"3,272.00",percent of total billed charges ,"2,863.00",percent of total billed charges ,"2,863.00",percent of total billed charges ,"2,454.00",percent of total billed charges ,"2,454.00",percent of total billed charges ,"2,454.00",percent of total billed charges ,"2,454.00",percent of total billed charges ,,,,,"2,175.88",percent of total billed charges ,,,,,"2,067.09",percent of total billed charges ,,,,,,,,,,,,,,,,,,,940.7,percent of total billed charges,,,940.7,percent of total billed charges,,,940.7,percent of total billed charges,,,940.7,percent of total billed charges,,,940.7,percent of total billed charges,,,940.7,percent of total billed charges,,,940.7,percent of total billed charges,,,940.7,percent of total billed charges,,,940.7,percent of total billed charges,,,940.7,percent of total billed charges,,,940.7,percent of total billed charges,
MRI IAC W/CONTRAST,70552,CDM,,,,both,,,"6,468.00","6,468.00","1,487.64","6,468.00","6,468.00",percent of total billed charges,"6,468.00",percent of total billed charges,"6,468.00",percent of total billed charges,"6,468.00",percent of total billed charges,"6,468.00",percent of total billed charges,"6,468.00",percent of total billed charges,"6,468.00",percent of total billed charges,"6,468.00",percent of total billed charges,"4,656.96",percent of total billed charges,"4,656.96",percent of total billed charges,"4,656.96",percent of total billed charges,"4,656.96",percent of total billed charges,"4,656.96",percent of total billed charges,"4,656.96",percent of total billed charges,"5,109.72",percent of total billed charges,"5,109.72",percent of total billed charges,"5,174.40",percent of total billed charges,"5,174.40",percent of total billed charges,,,"4,656.96",percent of total billed charges ,,,"5,174.40",percent of total billed charges ,"5,109.72",percent of total billed charges ,"5,109.72",percent of total billed charges ,"5,497.80",percent of total billed charges ,"5,497.80",percent of total billed charges ,"5,174.40",percent of total billed charges ,"5,174.40",percent of total billed charges ,"4,527.60",percent of total billed charges ,"4,527.60",percent of total billed charges ,"3,880.80",percent of total billed charges ,"3,880.80",percent of total billed charges ,"3,880.80",percent of total billed charges ,"3,880.80",percent of total billed charges ,,,,,"3,440.98",percent of total billed charges ,,,,,"3,268.93",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,487.64",percent of total billed charges,,,"1,487.64",percent of total billed charges,,,"1,487.64",percent of total billed charges,,,"1,487.64",percent of total billed charges,,,"1,487.64",percent of total billed charges,,,"1,487.64",percent of total billed charges,,,"1,487.64",percent of total billed charges,,,"1,487.64",percent of total billed charges,,,"1,487.64",percent of total billed charges,,,"1,487.64",percent of total billed charges,,,"1,487.64",percent of total billed charges,
MRI IAC W/WO CONTRAST,70553,CDM,,,,both,,,"5,838.00","5,838.00","1,342.74","5,838.00","5,838.00",percent of total billed charges,"5,838.00",percent of total billed charges,"5,838.00",percent of total billed charges,"5,838.00",percent of total billed charges,"5,838.00",percent of total billed charges,"5,838.00",percent of total billed charges,"5,838.00",percent of total billed charges,"5,838.00",percent of total billed charges,"4,203.36",percent of total billed charges,"4,203.36",percent of total billed charges,"4,203.36",percent of total billed charges,"4,203.36",percent of total billed charges,"4,203.36",percent of total billed charges,"4,203.36",percent of total billed charges,"4,612.02",percent of total billed charges,"4,612.02",percent of total billed charges,"4,670.40",percent of total billed charges,"4,670.40",percent of total billed charges,,,"4,203.36",percent of total billed charges ,,,"4,670.40",percent of total billed charges ,"4,612.02",percent of total billed charges ,"4,612.02",percent of total billed charges ,"4,962.30",percent of total billed charges ,"4,962.30",percent of total billed charges ,"4,670.40",percent of total billed charges ,"4,670.40",percent of total billed charges ,"4,086.60",percent of total billed charges ,"4,086.60",percent of total billed charges ,"3,502.80",percent of total billed charges ,"3,502.80",percent of total billed charges ,"3,502.80",percent of total billed charges ,"3,502.80",percent of total billed charges ,,,,,"3,105.82",percent of total billed charges ,,,,,"2,950.53",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,342.74",percent of total billed charges,,,"1,342.74",percent of total billed charges,,,"1,342.74",percent of total billed charges,,,"1,342.74",percent of total billed charges,,,"1,342.74",percent of total billed charges,,,"1,342.74",percent of total billed charges,,,"1,342.74",percent of total billed charges,,,"1,342.74",percent of total billed charges,,,"1,342.74",percent of total billed charges,,,"1,342.74",percent of total billed charges,,,"1,342.74",percent of total billed charges,
MRI ABD W/CONTRAST,74182,CDM,,,,both,,,"4,479.00","4,479.00","1,030.17","4,479.00","4,479.00",percent of total billed charges,"4,479.00",percent of total billed charges,"4,479.00",percent of total billed charges,"4,479.00",percent of total billed charges,"4,479.00",percent of total billed charges,"4,479.00",percent of total billed charges,"4,479.00",percent of total billed charges,"4,479.00",percent of total billed charges,"3,224.88",percent of total billed charges,"3,224.88",percent of total billed charges,"3,224.88",percent of total billed charges,"3,224.88",percent of total billed charges,"3,224.88",percent of total billed charges,"3,224.88",percent of total billed charges,"3,538.41",percent of total billed charges,"3,538.41",percent of total billed charges,"3,583.20",percent of total billed charges,"3,583.20",percent of total billed charges,,,"3,224.88",percent of total billed charges ,,,"3,583.20",percent of total billed charges ,"3,538.41",percent of total billed charges ,"3,538.41",percent of total billed charges ,"3,807.15",percent of total billed charges ,"3,807.15",percent of total billed charges ,"3,583.20",percent of total billed charges ,"3,583.20",percent of total billed charges ,"3,135.30",percent of total billed charges ,"3,135.30",percent of total billed charges ,"2,687.40",percent of total billed charges ,"2,687.40",percent of total billed charges ,"2,687.40",percent of total billed charges ,"2,687.40",percent of total billed charges ,,,,,"2,382.83",percent of total billed charges ,,,,,"2,263.69",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,030.17",percent of total billed charges,,,"1,030.17",percent of total billed charges,,,"1,030.17",percent of total billed charges,,,"1,030.17",percent of total billed charges,,,"1,030.17",percent of total billed charges,,,"1,030.17",percent of total billed charges,,,"1,030.17",percent of total billed charges,,,"1,030.17",percent of total billed charges,,,"1,030.17",percent of total billed charges,,,"1,030.17",percent of total billed charges,,,"1,030.17",percent of total billed charges,
MRI ABD W/WO CONTRAST,74183,CDM,,,,both,,,"5,079.00","5,079.00","1,168.17","5,079.00","5,079.00",percent of total billed charges,"5,079.00",percent of total billed charges,"5,079.00",percent of total billed charges,"5,079.00",percent of total billed charges,"5,079.00",percent of total billed charges,"5,079.00",percent of total billed charges,"5,079.00",percent of total billed charges,"5,079.00",percent of total billed charges,"3,656.88",percent of total billed charges,"3,656.88",percent of total billed charges,"3,656.88",percent of total billed charges,"3,656.88",percent of total billed charges,"3,656.88",percent of total billed charges,"3,656.88",percent of total billed charges,"4,012.41",percent of total billed charges,"4,012.41",percent of total billed charges,"4,063.20",percent of total billed charges,"4,063.20",percent of total billed charges,,,"3,656.88",percent of total billed charges ,,,"4,063.20",percent of total billed charges ,"4,012.41",percent of total billed charges ,"4,012.41",percent of total billed charges ,"4,317.15",percent of total billed charges ,"4,317.15",percent of total billed charges ,"4,063.20",percent of total billed charges ,"4,063.20",percent of total billed charges ,"3,555.30",percent of total billed charges ,"3,555.30",percent of total billed charges ,"3,047.40",percent of total billed charges ,"3,047.40",percent of total billed charges ,"3,047.40",percent of total billed charges ,"3,047.40",percent of total billed charges ,,,,,"2,702.03",percent of total billed charges ,,,,,"2,566.93",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,168.17",percent of total billed charges,,,"1,168.17",percent of total billed charges,,,"1,168.17",percent of total billed charges,,,"1,168.17",percent of total billed charges,,,"1,168.17",percent of total billed charges,,,"1,168.17",percent of total billed charges,,,"1,168.17",percent of total billed charges,,,"1,168.17",percent of total billed charges,,,"1,168.17",percent of total billed charges,,,"1,168.17",percent of total billed charges,,,"1,168.17",percent of total billed charges,
MRI CHEST W/CONTRAST,71551,CDM,,,,both,,,"5,655.00","5,655.00","1,300.65","5,655.00","5,655.00",percent of total billed charges,"5,655.00",percent of total billed charges,"5,655.00",percent of total billed charges,"5,655.00",percent of total billed charges,"5,655.00",percent of total billed charges,"5,655.00",percent of total billed charges,"5,655.00",percent of total billed charges,"5,655.00",percent of total billed charges,"4,071.60",percent of total billed charges,"4,071.60",percent of total billed charges,"4,071.60",percent of total billed charges,"4,071.60",percent of total billed charges,"4,071.60",percent of total billed charges,"4,071.60",percent of total billed charges,"4,467.45",percent of total billed charges,"4,467.45",percent of total billed charges,"4,524.00",percent of total billed charges,"4,524.00",percent of total billed charges,,,"4,071.60",percent of total billed charges ,,,"4,524.00",percent of total billed charges ,"4,467.45",percent of total billed charges ,"4,467.45",percent of total billed charges ,"4,806.75",percent of total billed charges ,"4,806.75",percent of total billed charges ,"4,524.00",percent of total billed charges ,"4,524.00",percent of total billed charges ,"3,958.50",percent of total billed charges ,"3,958.50",percent of total billed charges ,"3,393.00",percent of total billed charges ,"3,393.00",percent of total billed charges ,"3,393.00",percent of total billed charges ,"3,393.00",percent of total billed charges ,,,,,"3,008.46",percent of total billed charges ,,,,,"2,858.04",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,300.65",percent of total billed charges,,,"1,300.65",percent of total billed charges,,,"1,300.65",percent of total billed charges,,,"1,300.65",percent of total billed charges,,,"1,300.65",percent of total billed charges,,,"1,300.65",percent of total billed charges,,,"1,300.65",percent of total billed charges,,,"1,300.65",percent of total billed charges,,,"1,300.65",percent of total billed charges,,,"1,300.65",percent of total billed charges,,,"1,300.65",percent of total billed charges,
MRI CHOLANGIOGRAM W/O CONTRAST,74181,CDM,,,,both,,,"4,026.00","4,026.00",925.98,"4,026.00","4,026.00",percent of total billed charges,"4,026.00",percent of total billed charges,"4,026.00",percent of total billed charges,"4,026.00",percent of total billed charges,"4,026.00",percent of total billed charges,"4,026.00",percent of total billed charges,"4,026.00",percent of total billed charges,"4,026.00",percent of total billed charges,"2,898.72",percent of total billed charges,"2,898.72",percent of total billed charges,"2,898.72",percent of total billed charges,"2,898.72",percent of total billed charges,"2,898.72",percent of total billed charges,"2,898.72",percent of total billed charges,"3,180.54",percent of total billed charges,"3,180.54",percent of total billed charges,"3,220.80",percent of total billed charges,"3,220.80",percent of total billed charges,,,"2,898.72",percent of total billed charges ,,,"3,220.80",percent of total billed charges ,"3,180.54",percent of total billed charges ,"3,180.54",percent of total billed charges ,"3,422.10",percent of total billed charges ,"3,422.10",percent of total billed charges ,"3,220.80",percent of total billed charges ,"3,220.80",percent of total billed charges ,"2,818.20",percent of total billed charges ,"2,818.20",percent of total billed charges ,"2,415.60",percent of total billed charges ,"2,415.60",percent of total billed charges ,"2,415.60",percent of total billed charges ,"2,415.60",percent of total billed charges ,,,,,"2,141.83",percent of total billed charges ,,,,,"2,034.74",percent of total billed charges ,,,,,,,,,,,,,,,,,,,925.98,percent of total billed charges,,,925.98,percent of total billed charges,,,925.98,percent of total billed charges,,,925.98,percent of total billed charges,,,925.98,percent of total billed charges,,,925.98,percent of total billed charges,,,925.98,percent of total billed charges,,,925.98,percent of total billed charges,,,925.98,percent of total billed charges,,,925.98,percent of total billed charges,,,925.98,percent of total billed charges,
MRI CHEST W/WO CONTRAST,71552,CDM,,,,both,,,"6,895.00","6,895.00","1,585.85","6,895.00","6,895.00",percent of total billed charges,"6,895.00",percent of total billed charges,"6,895.00",percent of total billed charges,"6,895.00",percent of total billed charges,"6,895.00",percent of total billed charges,"6,895.00",percent of total billed charges,"6,895.00",percent of total billed charges,"6,895.00",percent of total billed charges,"4,964.40",percent of total billed charges,"4,964.40",percent of total billed charges,"4,964.40",percent of total billed charges,"4,964.40",percent of total billed charges,"4,964.40",percent of total billed charges,"4,964.40",percent of total billed charges,"5,447.05",percent of total billed charges,"5,447.05",percent of total billed charges,"5,516.00",percent of total billed charges,"5,516.00",percent of total billed charges,,,"4,964.40",percent of total billed charges ,,,"5,516.00",percent of total billed charges ,"5,447.05",percent of total billed charges ,"5,447.05",percent of total billed charges ,"5,860.75",percent of total billed charges ,"5,860.75",percent of total billed charges ,"5,516.00",percent of total billed charges ,"5,516.00",percent of total billed charges ,"4,826.50",percent of total billed charges ,"4,826.50",percent of total billed charges ,"4,137.00",percent of total billed charges ,"4,137.00",percent of total billed charges ,"4,137.00",percent of total billed charges ,"4,137.00",percent of total billed charges ,,,,,"3,668.14",percent of total billed charges ,,,,,"3,484.73",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,585.85",percent of total billed charges,,,"1,585.85",percent of total billed charges,,,"1,585.85",percent of total billed charges,,,"1,585.85",percent of total billed charges,,,"1,585.85",percent of total billed charges,,,"1,585.85",percent of total billed charges,,,"1,585.85",percent of total billed charges,,,"1,585.85",percent of total billed charges,,,"1,585.85",percent of total billed charges,,,"1,585.85",percent of total billed charges,,,"1,585.85",percent of total billed charges,
**CT CHEST/NECK WO,71250,CDM,,,,both,,,"3,629.00","3,629.00",834.67,"3,629.00","3,629.00",percent of total billed charges,"3,629.00",percent of total billed charges,"3,629.00",percent of total billed charges,"3,629.00",percent of total billed charges,"3,629.00",percent of total billed charges,"3,629.00",percent of total billed charges,"3,629.00",percent of total billed charges,"3,629.00",percent of total billed charges,"2,612.88",percent of total billed charges,"2,612.88",percent of total billed charges,"2,612.88",percent of total billed charges,"2,612.88",percent of total billed charges,"2,612.88",percent of total billed charges,"2,612.88",percent of total billed charges,"2,866.91",percent of total billed charges,"2,866.91",percent of total billed charges,"2,903.20",percent of total billed charges,"2,903.20",percent of total billed charges,,,"2,612.88",percent of total billed charges ,,,"2,903.20",percent of total billed charges ,"2,866.91",percent of total billed charges ,"2,866.91",percent of total billed charges ,"3,084.65",percent of total billed charges ,"3,084.65",percent of total billed charges ,"2,903.20",percent of total billed charges ,"2,903.20",percent of total billed charges ,"2,540.30",percent of total billed charges ,"2,540.30",percent of total billed charges ,"2,177.40",percent of total billed charges ,"2,177.40",percent of total billed charges ,"2,177.40",percent of total billed charges ,"2,177.40",percent of total billed charges ,,,,,"1,930.63",percent of total billed charges ,,,,,"1,834.10",percent of total billed charges ,,,,,,,,,,,,,,,,,,,834.67,percent of total billed charges,,,834.67,percent of total billed charges,,,834.67,percent of total billed charges,,,834.67,percent of total billed charges,,,834.67,percent of total billed charges,,,834.67,percent of total billed charges,,,834.67,percent of total billed charges,,,834.67,percent of total billed charges,,,834.67,percent of total billed charges,,,834.67,percent of total billed charges,,,834.67,percent of total billed charges,
**CT CHEST W/WO/NECK W/WO,71270,CDM,,,,both,,,"4,925.00","4,925.00","1,132.75","4,925.00","4,925.00",percent of total billed charges,"4,925.00",percent of total billed charges,"4,925.00",percent of total billed charges,"4,925.00",percent of total billed charges,"4,925.00",percent of total billed charges,"4,925.00",percent of total billed charges,"4,925.00",percent of total billed charges,"4,925.00",percent of total billed charges,"3,546.00",percent of total billed charges,"3,546.00",percent of total billed charges,"3,546.00",percent of total billed charges,"3,546.00",percent of total billed charges,"3,546.00",percent of total billed charges,"3,546.00",percent of total billed charges,"3,890.75",percent of total billed charges,"3,890.75",percent of total billed charges,"3,940.00",percent of total billed charges,"3,940.00",percent of total billed charges,,,"3,546.00",percent of total billed charges ,,,"3,940.00",percent of total billed charges ,"3,890.75",percent of total billed charges ,"3,890.75",percent of total billed charges ,"4,186.25",percent of total billed charges ,"4,186.25",percent of total billed charges ,"3,940.00",percent of total billed charges ,"3,940.00",percent of total billed charges ,"3,447.50",percent of total billed charges ,"3,447.50",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 ,,,,,"2,620.10",percent of total billed charges ,,,,,"2,489.10",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,132.75",percent of total billed charges,,,"1,132.75",percent of total billed charges,,,"1,132.75",percent of total billed charges,,,"1,132.75",percent of total billed charges,,,"1,132.75",percent of total billed charges,,,"1,132.75",percent of total billed charges,,,"1,132.75",percent of total billed charges,,,"1,132.75",percent of total billed charges,,,"1,132.75",percent of total billed charges,,,"1,132.75",percent of total billed charges,,,"1,132.75",percent of total billed charges,
CT CHEST W/WO/ABD/PELVIS W/WO,71270,CDM,,,,both,,,"4,925.00","4,925.00","1,132.75","4,925.00","4,925.00",percent of total billed charges,"4,925.00",percent of total billed charges,"4,925.00",percent of total billed charges,"4,925.00",percent of total billed charges,"4,925.00",percent of total billed charges,"4,925.00",percent of total billed charges,"4,925.00",percent of total billed charges,"4,925.00",percent of total billed charges,"3,546.00",percent of total billed charges,"3,546.00",percent of total billed charges,"3,546.00",percent of total billed charges,"3,546.00",percent of total billed charges,"3,546.00",percent of total billed charges,"3,546.00",percent of total billed charges,"3,890.75",percent of total billed charges,"3,890.75",percent of total billed charges,"3,940.00",percent of total billed charges,"3,940.00",percent of total billed charges,,,"3,546.00",percent of total billed charges ,,,"3,940.00",percent of total billed charges ,"3,890.75",percent of total billed charges ,"3,890.75",percent of total billed charges ,"4,186.25",percent of total billed charges ,"4,186.25",percent of total billed charges ,"3,940.00",percent of total billed charges ,"3,940.00",percent of total billed charges ,"3,447.50",percent of total billed charges ,"3,447.50",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 ,,,,,"2,620.10",percent of total billed charges ,,,,,"2,489.10",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,132.75",percent of total billed charges,,,"1,132.75",percent of total billed charges,,,"1,132.75",percent of total billed charges,,,"1,132.75",percent of total billed charges,,,"1,132.75",percent of total billed charges,,,"1,132.75",percent of total billed charges,,,"1,132.75",percent of total billed charges,,,"1,132.75",percent of total billed charges,,,"1,132.75",percent of total billed charges,,,"1,132.75",percent of total billed charges,,,"1,132.75",percent of total billed charges,
**CT CHEST/NECK W CONTRAST,71260,CDM,,,,both,,,"4,243.00","4,243.00",975.89,"4,243.00","4,243.00",percent of total billed charges,"4,243.00",percent of total billed charges,"4,243.00",percent of total billed charges,"4,243.00",percent of total billed charges,"4,243.00",percent of total billed charges,"4,243.00",percent of total billed charges,"4,243.00",percent of total billed charges,"4,243.00",percent of total billed charges,"3,054.96",percent of total billed charges,"3,054.96",percent of total billed charges,"3,054.96",percent of total billed charges,"3,054.96",percent of total billed charges,"3,054.96",percent of total billed charges,"3,054.96",percent of total billed charges,"3,351.97",percent of total billed charges,"3,351.97",percent of total billed charges,"3,394.40",percent of total billed charges,"3,394.40",percent of total billed charges,,,"3,054.96",percent of total billed charges ,,,"3,394.40",percent of total billed charges ,"3,351.97",percent of total billed charges ,"3,351.97",percent of total billed charges ,"3,606.55",percent of total billed charges ,"3,606.55",percent of total billed charges ,"3,394.40",percent of total billed charges ,"3,394.40",percent of total billed charges ,"2,970.10",percent of total billed charges ,"2,970.10",percent of total billed charges ,"2,545.80",percent of total billed charges ,"2,545.80",percent of total billed charges ,"2,545.80",percent of total billed charges ,"2,545.80",percent of total billed charges ,,,,,"2,257.28",percent of total billed charges ,,,,,"2,144.41",percent of total billed charges ,,,,,,,,,,,,,,,,,,,975.89,percent of total billed charges,,,975.89,percent of total billed charges,,,975.89,percent of total billed charges,,,975.89,percent of total billed charges,,,975.89,percent of total billed charges,,,975.89,percent of total billed charges,,,975.89,percent of total billed charges,,,975.89,percent of total billed charges,,,975.89,percent of total billed charges,,,975.89,percent of total billed charges,,,975.89,percent of total billed charges,
**CTA NECK W/O CONTRAST,70498,CDM,,,52,both,,,"3,192.00","3,192.00",734.16,"3,192.00","3,192.00",percent of total billed charges,"3,192.00",percent of total billed charges,"3,192.00",percent of total billed charges,"3,192.00",percent of total billed charges,"3,192.00",percent of total billed charges,"3,192.00",percent of total billed charges,"3,192.00",percent of total billed charges,"3,192.00",percent of total billed charges,"2,298.24",percent of total billed charges,"2,298.24",percent of total billed charges,"2,298.24",percent of total billed charges,"2,298.24",percent of total billed charges,"2,298.24",percent of total billed charges,"2,298.24",percent of total billed charges,"2,521.68",percent of total billed charges,"2,521.68",percent of total billed charges,"2,553.60",percent of total billed charges,"2,553.60",percent of total billed charges,,,"2,298.24",percent of total billed charges ,,,"2,553.60",percent of total billed charges ,"2,521.68",percent of total billed charges ,"2,521.68",percent of total billed charges ,"2,713.20",percent of total billed charges ,"2,713.20",percent of total billed charges ,"2,553.60",percent of total billed charges ,"2,553.60",percent of total billed charges ,"2,234.40",percent of total billed charges ,"2,234.40",percent of total billed charges ,"1,915.20",percent of total billed charges ,"1,915.20",percent of total billed charges ,"1,915.20",percent of total billed charges ,"1,915.20",percent of total billed charges ,,,,,"1,698.14",percent of total billed charges ,,,,,"1,613.24",percent of total billed charges ,,,,,,,,,,,,,,,,,,,734.16,percent of total billed charges,,,734.16,percent of total billed charges,,,734.16,percent of total billed charges,,,734.16,percent of total billed charges,,,734.16,percent of total billed charges,,,734.16,percent of total billed charges,,,734.16,percent of total billed charges,,,734.16,percent of total billed charges,,,734.16,percent of total billed charges,,,734.16,percent of total billed charges,,,734.16,percent of total billed charges,
**CTA NECK W/CONTRAST,70498,CDM,,,52,both,,,"3,192.00","3,192.00",734.16,"3,192.00","3,192.00",percent of total billed charges,"3,192.00",percent of total billed charges,"3,192.00",percent of total billed charges,"3,192.00",percent of total billed charges,"3,192.00",percent of total billed charges,"3,192.00",percent of total billed charges,"3,192.00",percent of total billed charges,"3,192.00",percent of total billed charges,"2,298.24",percent of total billed charges,"2,298.24",percent of total billed charges,"2,298.24",percent of total billed charges,"2,298.24",percent of total billed charges,"2,298.24",percent of total billed charges,"2,298.24",percent of total billed charges,"2,521.68",percent of total billed charges,"2,521.68",percent of total billed charges,"2,553.60",percent of total billed charges,"2,553.60",percent of total billed charges,,,"2,298.24",percent of total billed charges ,,,"2,553.60",percent of total billed charges ,"2,521.68",percent of total billed charges ,"2,521.68",percent of total billed charges ,"2,713.20",percent of total billed charges ,"2,713.20",percent of total billed charges ,"2,553.60",percent of total billed charges ,"2,553.60",percent of total billed charges ,"2,234.40",percent of total billed charges ,"2,234.40",percent of total billed charges ,"1,915.20",percent of total billed charges ,"1,915.20",percent of total billed charges ,"1,915.20",percent of total billed charges ,"1,915.20",percent of total billed charges ,,,,,"1,698.14",percent of total billed charges ,,,,,"1,613.24",percent of total billed charges ,,,,,,,,,,,,,,,,,,,734.16,percent of total billed charges,,,734.16,percent of total billed charges,,,734.16,percent of total billed charges,,,734.16,percent of total billed charges,,,734.16,percent of total billed charges,,,734.16,percent of total billed charges,,,734.16,percent of total billed charges,,,734.16,percent of total billed charges,,,734.16,percent of total billed charges,,,734.16,percent of total billed charges,,,734.16,percent of total billed charges,
INFANT UP EXT LT MIN 2V (29DAYS TO 2YRS),73092,CDM,,,RT,both,,,270,270,62.1,270,270,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,270,percent of total billed charges,270,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,194.4,percent of total billed charges,194.4,percent of total billed charges,213.3,percent of total billed charges,213.3,percent of total billed charges,216,percent of total billed charges,216,percent of total billed charges,,,194.4,percent of total billed charges ,,,216,percent of total billed charges ,213.3,percent of total billed charges ,213.3,percent of total billed charges ,229.5,percent of total billed charges ,229.5,percent of total billed charges ,216,percent of total billed charges ,216,percent of total billed charges ,189,percent of total billed charges ,189,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 ,,,,,143.64,percent of total billed charges ,,,,,136.46,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,,,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,,,62.1,percent of total billed charges,,,62.1,percent of total billed charges,,,62.1,percent of total billed charges,
CT IVP,74178,CDM,,,,both,,,"6,941.00","6,941.00","1,596.43","6,941.00","6,941.00",percent of total billed charges,"6,941.00",percent of total billed charges,"6,941.00",percent of total billed charges,"6,941.00",percent of total billed charges,"6,941.00",percent of total billed charges,"6,941.00",percent of total billed charges,"6,941.00",percent of total billed charges,"6,941.00",percent of total billed charges,"4,997.52",percent of total billed charges,"4,997.52",percent of total billed charges,"4,997.52",percent of total billed charges,"4,997.52",percent of total billed charges,"4,997.52",percent of total billed charges,"4,997.52",percent of total billed charges,"5,483.39",percent of total billed charges,"5,483.39",percent of total billed charges,"5,552.80",percent of total billed charges,"5,552.80",percent of total billed charges,,,"4,997.52",percent of total billed charges ,,,"5,552.80",percent of total billed charges ,"5,483.39",percent of total billed charges ,"5,483.39",percent of total billed charges ,"5,899.85",percent of total billed charges ,"5,899.85",percent of total billed charges ,"5,552.80",percent of total billed charges ,"5,552.80",percent of total billed charges ,"4,858.70",percent of total billed charges ,"4,858.70",percent of total billed charges ,"4,164.60",percent of total billed charges ,"4,164.60",percent of total billed charges ,"4,164.60",percent of total billed charges ,"4,164.60",percent of total billed charges ,,,,,"3,692.61",percent of total billed charges ,,,,,"3,507.98",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,596.43",percent of total billed charges,,,"1,596.43",percent of total billed charges,,,"1,596.43",percent of total billed charges,,,"1,596.43",percent of total billed charges,,,"1,596.43",percent of total billed charges,,,"1,596.43",percent of total billed charges,,,"1,596.43",percent of total billed charges,,,"1,596.43",percent of total billed charges,,,"1,596.43",percent of total billed charges,,,"1,596.43",percent of total billed charges,,,"1,596.43",percent of total billed charges,
**ABDOMEN 3V (CT IVP),74020,CDM,,,,both,,,720,720,165.6,720,720,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,568.8,percent of total billed charges,568.8,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 ,568.8,percent of total billed charges ,568.8,percent of total billed charges ,612,percent of total billed charges ,612,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,165.6,percent of total billed charges,,,165.6,percent of total billed charges,,,165.6,percent of total billed charges,
**CD COPY (LEGAL),320,RC,00270-13-1635,NDC,,both,,,32,32,7.36,32,32,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,25.28,percent of total billed charges,25.28,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 ,25.28,percent of total billed charges ,25.28,percent of total billed charges ,27.2,percent of total billed charges ,27.2,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 ,,,,,,,,,,,,,,,,,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,
US POST VOID RESIDUAL,51798,CDM,,,,both,,,176,176,40.48,176,176,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,139.04,percent of total billed charges,139.04,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 ,139.04,percent of total billed charges ,139.04,percent of total billed charges ,149.6,percent of total billed charges ,149.6,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 ,,,,,,,,,,,,,,,,,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,
US RENAL COMP W/POST VOID RESIDUAL,76770,CDM,,,,both,,,"1,004.00","1,004.00",230.92,"1,004.00","1,004.00",percent of total billed charges,"1,004.00",percent of total billed charges,"1,004.00",percent of total billed charges,"1,004.00",percent of total billed charges,"1,004.00",percent of total billed charges,"1,004.00",percent of total billed charges,"1,004.00",percent of total billed charges,"1,004.00",percent of total billed charges,722.88,percent of total billed charges,722.88,percent of total billed charges,722.88,percent of total billed charges,722.88,percent of total billed charges,722.88,percent of total billed charges,722.88,percent of total billed charges,793.16,percent of total billed charges,793.16,percent of total billed charges,803.2,percent of total billed charges,803.2,percent of total billed charges,,,722.88,percent of total billed charges ,,,803.2,percent of total billed charges ,793.16,percent of total billed charges ,793.16,percent of total billed charges ,853.4,percent of total billed charges ,853.4,percent of total billed charges ,803.2,percent of total billed charges ,803.2,percent of total billed charges ,702.8,percent of total billed charges ,702.8,percent of total billed charges ,602.4,percent of total billed charges ,602.4,percent of total billed charges ,602.4,percent of total billed charges ,602.4,percent of total billed charges ,,,,,534.13,percent of total billed charges ,,,,,507.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,230.92,percent of total billed charges,,,230.92,percent of total billed charges,,,230.92,percent of total billed charges,,,230.92,percent of total billed charges,,,230.92,percent of total billed charges,,,230.92,percent of total billed charges,,,230.92,percent of total billed charges,,,230.92,percent of total billed charges,,,230.92,percent of total billed charges,,,230.92,percent of total billed charges,,,230.92,percent of total billed charges,
US RENAL LIMITED W/POST VOID RESIDUAL,76775,CDM,,,,both,,,880,880,202.4,880,880,percent of total billed charges,880,percent of total billed charges,880,percent of total billed charges,880,percent of total billed charges,880,percent of total billed charges,880,percent of total billed charges,880,percent of total billed charges,880,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,633.6,percent of total billed charges,633.6,percent of total billed charges,695.2,percent of total billed charges,695.2,percent of total billed charges,704,percent of total billed charges,704,percent of total billed charges,,,633.6,percent of total billed charges ,,,704,percent of total billed charges ,695.2,percent of total billed charges ,695.2,percent of total billed charges ,748,percent of total billed charges ,748,percent of total billed charges ,704,percent of total billed charges ,704,percent of total billed charges ,616,percent of total billed charges ,616,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 ,,,,,468.16,percent of total billed charges ,,,,,444.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,202.4,percent of total billed charges,,,202.4,percent of total billed charges,,,202.4,percent of total billed charges,,,202.4,percent of total billed charges,,,202.4,percent of total billed charges,,,202.4,percent of total billed charges,,,202.4,percent of total billed charges,,,202.4,percent of total billed charges,,,202.4,percent of total billed charges,,,202.4,percent of total billed charges,,,202.4,percent of total billed charges,
**LASIX 10MG,J1940,CDM,,,,both,1,each,66,66,15.18,66,66,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,52.14,percent of total billed charges,52.14,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 ,52.14,percent of total billed charges ,52.14,percent of total billed charges ,56.1,percent of total billed charges ,56.1,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 ,,,,,,,,,,,,,,,,,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,
CTA ABD/PEL W/WO CONTRAST,74174,CDM,,,,both,,,"7,004.00","7,004.00","1,610.92","7,004.00","7,004.00",percent of total billed charges,"7,004.00",percent of total billed charges,"7,004.00",percent of total billed charges,"7,004.00",percent of total billed charges,"7,004.00",percent of total billed charges,"7,004.00",percent of total billed charges,"7,004.00",percent of total billed charges,"7,004.00",percent of total billed charges,"5,042.88",percent of total billed charges,"5,042.88",percent of total billed charges,"5,042.88",percent of total billed charges,"5,042.88",percent of total billed charges,"5,042.88",percent of total billed charges,"5,042.88",percent of total billed charges,"5,533.16",percent of total billed charges,"5,533.16",percent of total billed charges,"5,603.20",percent of total billed charges,"5,603.20",percent of total billed charges,,,"5,042.88",percent of total billed charges ,,,"5,603.20",percent of total billed charges ,"5,533.16",percent of total billed charges ,"5,533.16",percent of total billed charges ,"5,953.40",percent of total billed charges ,"5,953.40",percent of total billed charges ,"5,603.20",percent of total billed charges ,"5,603.20",percent of total billed charges ,"4,902.80",percent of total billed charges ,"4,902.80",percent of total billed charges ,"4,202.40",percent of total billed charges ,"4,202.40",percent of total billed charges ,"4,202.40",percent of total billed charges ,"4,202.40",percent of total billed charges ,,,,,"3,726.13",percent of total billed charges ,,,,,"3,539.82",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,610.92",percent of total billed charges,,,"1,610.92",percent of total billed charges,,,"1,610.92",percent of total billed charges,,,"1,610.92",percent of total billed charges,,,"1,610.92",percent of total billed charges,,,"1,610.92",percent of total billed charges,,,"1,610.92",percent of total billed charges,,,"1,610.92",percent of total billed charges,,,"1,610.92",percent of total billed charges,,,"1,610.92",percent of total billed charges,,,"1,610.92",percent of total billed charges,
**CTA HEAD/NECK,70496,CDM,,,52,both,,,"4,524.00","4,524.00","1,040.52","4,524.00","4,524.00",percent of total billed charges,"4,524.00",percent of total billed charges,"4,524.00",percent of total billed charges,"4,524.00",percent of total billed charges,"4,524.00",percent of total billed charges,"4,524.00",percent of total billed charges,"4,524.00",percent of total billed charges,"4,524.00",percent of total billed charges,"3,257.28",percent of total billed charges,"3,257.28",percent of total billed charges,"3,257.28",percent of total billed charges,"3,257.28",percent of total billed charges,"3,257.28",percent of total billed charges,"3,257.28",percent of total billed charges,"3,573.96",percent of total billed charges,"3,573.96",percent of total billed charges,"3,619.20",percent of total billed charges,"3,619.20",percent of total billed charges,,,"3,257.28",percent of total billed charges ,,,"3,619.20",percent of total billed charges ,"3,573.96",percent of total billed charges ,"3,573.96",percent of total billed charges ,"3,845.40",percent of total billed charges ,"3,845.40",percent of total billed charges ,"3,619.20",percent of total billed charges ,"3,619.20",percent of total billed charges ,"3,166.80",percent of total billed charges ,"3,166.80",percent of total billed charges ,"2,714.40",percent of total billed charges ,"2,714.40",percent of total billed charges ,"2,714.40",percent of total billed charges ,"2,714.40",percent of total billed charges ,,,,,"2,406.77",percent of total billed charges ,,,,,"2,286.43",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,040.52",percent of total billed charges,,,"1,040.52",percent of total billed charges,,,"1,040.52",percent of total billed charges,,,"1,040.52",percent of total billed charges,,,"1,040.52",percent of total billed charges,,,"1,040.52",percent of total billed charges,,,"1,040.52",percent of total billed charges,,,"1,040.52",percent of total billed charges,,,"1,040.52",percent of total billed charges,,,"1,040.52",percent of total billed charges,,,"1,040.52",percent of total billed charges,
CTA CHEST/ABD/PEL W/WO CONTRAST,71275,CDM,,,,both,,,"4,052.00","4,052.00",931.96,"4,052.00","4,052.00",percent of total billed charges,"4,052.00",percent of total billed charges,"4,052.00",percent of total billed charges,"4,052.00",percent of total billed charges,"4,052.00",percent of total billed charges,"4,052.00",percent of total billed charges,"4,052.00",percent of total billed charges,"4,052.00",percent of total billed charges,"2,917.44",percent of total billed charges,"2,917.44",percent of total billed charges,"2,917.44",percent of total billed charges,"2,917.44",percent of total billed charges,"2,917.44",percent of total billed charges,"2,917.44",percent of total billed charges,"3,201.08",percent of total billed charges,"3,201.08",percent of total billed charges,"3,241.60",percent of total billed charges,"3,241.60",percent of total billed charges,,,"2,917.44",percent of total billed charges ,,,"3,241.60",percent of total billed charges ,"3,201.08",percent of total billed charges ,"3,201.08",percent of total billed charges ,"3,444.20",percent of total billed charges ,"3,444.20",percent of total billed charges ,"3,241.60",percent of total billed charges ,"3,241.60",percent of total billed charges ,"2,836.40",percent of total billed charges ,"2,836.40",percent of total billed charges ,"2,431.20",percent of total billed charges ,"2,431.20",percent of total billed charges ,"2,431.20",percent of total billed charges ,"2,431.20",percent of total billed charges ,,,,,"2,155.66",percent of total billed charges ,,,,,"2,047.88",percent of total billed charges ,,,,,,,,,,,,,,,,,,,931.96,percent of total billed charges,,,931.96,percent of total billed charges,,,931.96,percent of total billed charges,,,931.96,percent of total billed charges,,,931.96,percent of total billed charges,,,931.96,percent of total billed charges,,,931.96,percent of total billed charges,,,931.96,percent of total billed charges,,,931.96,percent of total billed charges,,,931.96,percent of total billed charges,,,931.96,percent of total billed charges,
ISOVUE 370 /60ML,Q9967,CDM,,,,both,,,180,180,41.4,180,180,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,142.2,percent of total billed charges,142.2,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 ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,153,percent of total billed charges ,153,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,41.4,percent of total billed charges,,,41.4,percent of total billed charges,,,41.4,percent of total billed charges,
US SOFT TISSUE HEAD/NECK,76536,CDM,,,,both,,,854,854,196.42,854,854,percent of total billed charges,854,percent of total billed charges,854,percent of total billed charges,854,percent of total billed charges,854,percent of total billed charges,854,percent of total billed charges,854,percent of total billed charges,854,percent of total billed charges,614.88,percent of total billed charges,614.88,percent of total billed charges,614.88,percent of total billed charges,614.88,percent of total billed charges,614.88,percent of total billed charges,614.88,percent of total billed charges,674.66,percent of total billed charges,674.66,percent of total billed charges,683.2,percent of total billed charges,683.2,percent of total billed charges,,,614.88,percent of total billed charges ,,,683.2,percent of total billed charges ,674.66,percent of total billed charges ,674.66,percent of total billed charges ,725.9,percent of total billed charges ,725.9,percent of total billed charges ,683.2,percent of total billed charges ,683.2,percent of total billed charges ,597.8,percent of total billed charges ,597.8,percent of total billed charges ,512.4,percent of total billed charges ,512.4,percent of total billed charges ,512.4,percent of total billed charges ,512.4,percent of total billed charges ,,,,,454.33,percent of total billed charges ,,,,,431.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,196.42,percent of total billed charges,,,196.42,percent of total billed charges,,,196.42,percent of total billed charges,,,196.42,percent of total billed charges,,,196.42,percent of total billed charges,,,196.42,percent of total billed charges,,,196.42,percent of total billed charges,,,196.42,percent of total billed charges,,,196.42,percent of total billed charges,,,196.42,percent of total billed charges,,,196.42,percent of total billed charges,
**MRI ENTIRE SPINE W/O CONTRAST,72141,CDM,,,,both,,,"3,651.00","3,651.00",839.73,"3,651.00","3,651.00",percent of total billed charges,"3,651.00",percent of total billed charges,"3,651.00",percent of total billed charges,"3,651.00",percent of total billed charges,"3,651.00",percent of total billed charges,"3,651.00",percent of total billed charges,"3,651.00",percent of total billed charges,"3,651.00",percent of total billed charges,"2,628.72",percent of total billed charges,"2,628.72",percent of total billed charges,"2,628.72",percent of total billed charges,"2,628.72",percent of total billed charges,"2,628.72",percent of total billed charges,"2,628.72",percent of total billed charges,"2,884.29",percent of total billed charges,"2,884.29",percent of total billed charges,"2,920.80",percent of total billed charges,"2,920.80",percent of total billed charges,,,"2,628.72",percent of total billed charges ,,,"2,920.80",percent of total billed charges ,"2,884.29",percent of total billed charges ,"2,884.29",percent of total billed charges ,"3,103.35",percent of total billed charges ,"3,103.35",percent of total billed charges ,"2,920.80",percent of total billed charges ,"2,920.80",percent of total billed charges ,"2,555.70",percent of total billed charges ,"2,555.70",percent of total billed charges ,"2,190.60",percent of total billed charges ,"2,190.60",percent of total billed charges ,"2,190.60",percent of total billed charges ,"2,190.60",percent of total billed charges ,,,,,"1,942.33",percent of total billed charges ,,,,,"1,845.22",percent of total billed charges ,,,,,,,,,,,,,,,,,,,839.73,percent of total billed charges,,,839.73,percent of total billed charges,,,839.73,percent of total billed charges,,,839.73,percent of total billed charges,,,839.73,percent of total billed charges,,,839.73,percent of total billed charges,,,839.73,percent of total billed charges,,,839.73,percent of total billed charges,,,839.73,percent of total billed charges,,,839.73,percent of total billed charges,,,839.73,percent of total billed charges,
**MRI ENTIRE SPINE W/CONTRAST,72142,CDM,,,,both,,,"3,977.00","3,977.00",914.71,"3,977.00","3,977.00",percent of total billed charges,"3,977.00",percent of total billed charges,"3,977.00",percent of total billed charges,"3,977.00",percent of total billed charges,"3,977.00",percent of total billed charges,"3,977.00",percent of total billed charges,"3,977.00",percent of total billed charges,"3,977.00",percent of total billed charges,"2,863.44",percent of total billed charges,"2,863.44",percent of total billed charges,"2,863.44",percent of total billed charges,"2,863.44",percent of total billed charges,"2,863.44",percent of total billed charges,"2,863.44",percent of total billed charges,"3,141.83",percent of total billed charges,"3,141.83",percent of total billed charges,"3,181.60",percent of total billed charges,"3,181.60",percent of total billed charges,,,"2,863.44",percent of total billed charges ,,,"3,181.60",percent of total billed charges ,"3,141.83",percent of total billed charges ,"3,141.83",percent of total billed charges ,"3,380.45",percent of total billed charges ,"3,380.45",percent of total billed charges ,"3,181.60",percent of total billed charges ,"3,181.60",percent of total billed charges ,"2,783.90",percent of total billed charges ,"2,783.90",percent of total billed charges ,"2,386.20",percent of total billed charges ,"2,386.20",percent of total billed charges ,"2,386.20",percent of total billed charges ,"2,386.20",percent of total billed charges ,,,,,"2,115.76",percent of total billed charges ,,,,,"2,009.98",percent of total billed charges ,,,,,,,,,,,,,,,,,,,914.71,percent of total billed charges,,,914.71,percent of total billed charges,,,914.71,percent of total billed charges,,,914.71,percent of total billed charges,,,914.71,percent of total billed charges,,,914.71,percent of total billed charges,,,914.71,percent of total billed charges,,,914.71,percent of total billed charges,,,914.71,percent of total billed charges,,,914.71,percent of total billed charges,,,914.71,percent of total billed charges,
**MRI BRAIN W CON MRA HEAD/NECK,70552,CDM,,,,both,,,"4,288.00","4,288.00",986.24,"4,288.00","4,288.00",percent of total billed charges,"4,288.00",percent of total billed charges,"4,288.00",percent of total billed charges,"4,288.00",percent of total billed charges,"4,288.00",percent of total billed charges,"4,288.00",percent of total billed charges,"4,288.00",percent of total billed charges,"4,288.00",percent of total billed charges,"3,087.36",percent of total billed charges,"3,087.36",percent of total billed charges,"3,087.36",percent of total billed charges,"3,087.36",percent of total billed charges,"3,087.36",percent of total billed charges,"3,087.36",percent of total billed charges,"3,387.52",percent of total billed charges,"3,387.52",percent of total billed charges,"3,430.40",percent of total billed charges,"3,430.40",percent of total billed charges,,,"3,087.36",percent of total billed charges ,,,"3,430.40",percent of total billed charges ,"3,387.52",percent of total billed charges ,"3,387.52",percent of total billed charges ,"3,644.80",percent of total billed charges ,"3,644.80",percent of total billed charges ,"3,430.40",percent of total billed charges ,"3,430.40",percent of total billed charges ,"3,001.60",percent of total billed charges ,"3,001.60",percent of total billed charges ,"2,572.80",percent of total billed charges ,"2,572.80",percent of total billed charges ,"2,572.80",percent of total billed charges ,"2,572.80",percent of total billed charges ,,,,,"2,281.22",percent of total billed charges ,,,,,"2,167.16",percent of total billed charges ,,,,,,,,,,,,,,,,,,,986.24,percent of total billed charges,,,986.24,percent of total billed charges,,,986.24,percent of total billed charges,,,986.24,percent of total billed charges,,,986.24,percent of total billed charges,,,986.24,percent of total billed charges,,,986.24,percent of total billed charges,,,986.24,percent of total billed charges,,,986.24,percent of total billed charges,,,986.24,percent of total billed charges,,,986.24,percent of total billed charges,
**MRI BRAIN WO MRA HEAD/NECK,70551,CDM,,,,both,,,"3,629.00","3,629.00",834.67,"3,629.00","3,629.00",percent of total billed charges,"3,629.00",percent of total billed charges,"3,629.00",percent of total billed charges,"3,629.00",percent of total billed charges,"3,629.00",percent of total billed charges,"3,629.00",percent of total billed charges,"3,629.00",percent of total billed charges,"3,629.00",percent of total billed charges,"2,612.88",percent of total billed charges,"2,612.88",percent of total billed charges,"2,612.88",percent of total billed charges,"2,612.88",percent of total billed charges,"2,612.88",percent of total billed charges,"2,612.88",percent of total billed charges,"2,866.91",percent of total billed charges,"2,866.91",percent of total billed charges,"2,903.20",percent of total billed charges,"2,903.20",percent of total billed charges,,,"2,612.88",percent of total billed charges ,,,"2,903.20",percent of total billed charges ,"2,866.91",percent of total billed charges ,"2,866.91",percent of total billed charges ,"3,084.65",percent of total billed charges ,"3,084.65",percent of total billed charges ,"2,903.20",percent of total billed charges ,"2,903.20",percent of total billed charges ,"2,540.30",percent of total billed charges ,"2,540.30",percent of total billed charges ,"2,177.40",percent of total billed charges ,"2,177.40",percent of total billed charges ,"2,177.40",percent of total billed charges ,"2,177.40",percent of total billed charges ,,,,,"1,930.63",percent of total billed charges ,,,,,"1,834.10",percent of total billed charges ,,,,,,,,,,,,,,,,,,,834.67,percent of total billed charges,,,834.67,percent of total billed charges,,,834.67,percent of total billed charges,,,834.67,percent of total billed charges,,,834.67,percent of total billed charges,,,834.67,percent of total billed charges,,,834.67,percent of total billed charges,,,834.67,percent of total billed charges,,,834.67,percent of total billed charges,,,834.67,percent of total billed charges,,,834.67,percent of total billed charges,
**MM DIAGNOSTIC COMPUTER AIDED DETECTION,77051,CDM,,,,both,,,126,126,28.98,126,126,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,99.54,percent of total billed charges,99.54,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 ,99.54,percent of total billed charges ,99.54,percent of total billed charges ,107.1,percent of total billed charges ,107.1,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 ,,,,,,,,,,,,,,,,,,,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,
**MM SCREENING COMPUTER AIDED DETECTION,77052,CDM,,,,both,,,80,80,18.4,80,80,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,63.2,percent of total billed charges,63.2,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 ,63.2,percent of total billed charges ,63.2,percent of total billed charges ,68,percent of total billed charges ,68,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 ,,,,,,,,,,,,,,,,,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,
MM DIGITAL SCREENING BILAT 2D ONLY,77067,CDM,,,52,both,,,617,617,141.91,617,617,percent of total billed charges,617,percent of total billed charges,617,percent of total billed charges,617,percent of total billed charges,617,percent of total billed charges,617,percent of total billed charges,617,percent of total billed charges,617,percent of total billed charges,444.24,percent of total billed charges,444.24,percent of total billed charges,444.24,percent of total billed charges,444.24,percent of total billed charges,444.24,percent of total billed charges,444.24,percent of total billed charges,487.43,percent of total billed charges,487.43,percent of total billed charges,493.6,percent of total billed charges,493.6,percent of total billed charges,,,444.24,percent of total billed charges ,,,493.6,percent of total billed charges ,487.43,percent of total billed charges ,487.43,percent of total billed charges ,524.45,percent of total billed charges ,524.45,percent of total billed charges ,493.6,percent of total billed charges ,493.6,percent of total billed charges ,431.9,percent of total billed charges ,431.9,percent of total billed charges ,370.2,percent of total billed charges ,370.2,percent of total billed charges ,370.2,percent of total billed charges ,370.2,percent of total billed charges ,,,,,328.24,percent of total billed charges ,,,,,311.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,
MM DIGITAL DIAGNOSTIC UNILAT LT,77065,CDM,,,LT,both,,,682,682,156.86,682,682,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,538.78,percent of total billed charges,538.78,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 ,538.78,percent of total billed charges ,538.78,percent of total billed charges ,579.7,percent of total billed charges ,579.7,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 ,,,,,,,,,,,,,,,,,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,
MM DIGITAL DIAGNOSTIC UNILAT RT,77065,CDM,,,LT,both,,,562,562,129.26,562,562,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,443.98,percent of total billed charges,443.98,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 ,443.98,percent of total billed charges ,443.98,percent of total billed charges ,477.7,percent of total billed charges ,477.7,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 ,,,,,,,,,,,,,,,,,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,,,129.26,percent of total billed charges,
MM DIGITAL DIAGNOSTIC BILAT,77066,CDM,,,,both,,,832,832,191.36,832,832,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,657.28,percent of total billed charges,657.28,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 ,657.28,percent of total billed charges ,657.28,percent of total billed charges ,707.2,percent of total billed charges ,707.2,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 ,,,,,,,,,,,,,,,,,,,191.36,percent of total billed charges,,,191.36,percent of total billed charges,,,191.36,percent of total billed charges,,,191.36,percent of total billed charges,,,191.36,percent of total billed charges,,,191.36,percent of total billed charges,,,191.36,percent of total billed charges,,,191.36,percent of total billed charges,,,191.36,percent of total billed charges,,,191.36,percent of total billed charges,,,191.36,percent of total billed charges,
NM TECHNETIUM Tc-99m,A9512,CDM,,,,both,,,303,303,69.69,303,303,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,303,percent of total billed charges,303,percent of total billed charges,303,percent of total billed charges,218.16,percent of total billed charges,218.16,percent of total billed charges,218.16,percent of total billed charges,218.16,percent of total billed charges,218.16,percent of total billed charges,218.16,percent of total billed charges,239.37,percent of total billed charges,239.37,percent of total billed charges,242.4,percent of total billed charges,242.4,percent of total billed charges,,,218.16,percent of total billed charges ,,,242.4,percent of total billed charges ,239.37,percent of total billed charges ,239.37,percent of total billed charges ,257.55,percent of total billed charges ,257.55,percent of total billed charges ,242.4,percent of total billed charges ,242.4,percent of total billed charges ,212.1,percent of total billed charges ,212.1,percent of total billed charges ,181.8,percent of total billed charges ,181.8,percent of total billed charges ,181.8,percent of total billed charges ,181.8,percent of total billed charges ,,,,,161.2,percent of total billed charges ,,,,,153.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,
US VENOUS REFLEX 93970,93970,CDM,,,,both,,,"1,422.00","1,422.00",327.06,"1,422.00","1,422.00",percent of total billed charges,"1,422.00",percent of total billed charges,"1,422.00",percent of total billed charges,"1,422.00",percent of total billed charges,"1,422.00",percent of total billed charges,"1,422.00",percent of total billed charges,"1,422.00",percent of total billed charges,"1,422.00",percent of total billed charges,"1,023.84",percent of total billed charges,"1,023.84",percent of total billed charges,"1,023.84",percent of total billed charges,"1,023.84",percent of total billed charges,"1,023.84",percent of total billed charges,"1,023.84",percent of total billed charges,"1,123.38",percent of total billed charges,"1,123.38",percent of total billed charges,"1,137.60",percent of total billed charges,"1,137.60",percent of total billed charges,,,"1,023.84",percent of total billed charges ,,,"1,137.60",percent of total billed charges ,"1,123.38",percent of total billed charges ,"1,123.38",percent of total billed charges ,"1,208.70",percent of total billed charges ,"1,208.70",percent of total billed charges ,"1,137.60",percent of total billed charges ,"1,137.60",percent of total billed charges ,995.4,percent of total billed charges ,995.4,percent of total billed charges ,853.2,percent of total billed charges ,853.2,percent of total billed charges ,853.2,percent of total billed charges ,853.2,percent of total billed charges ,,,,,756.5,percent of total billed charges ,,,,,718.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,327.06,percent of total billed charges,,,327.06,percent of total billed charges,,,327.06,percent of total billed charges,,,327.06,percent of total billed charges,,,327.06,percent of total billed charges,,,327.06,percent of total billed charges,,,327.06,percent of total billed charges,,,327.06,percent of total billed charges,,,327.06,percent of total billed charges,,,327.06,percent of total billed charges,,,327.06,percent of total billed charges,
CHEST 2 V (CHF),71046,CDM,,,,both,,,592,592,136.16,592,592,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,467.68,percent of total billed charges,467.68,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 ,467.68,percent of total billed charges ,467.68,percent of total billed charges ,503.2,percent of total billed charges ,503.2,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,136.16,percent of total billed charges,,,136.16,percent of total billed charges,,,136.16,percent of total billed charges,
CHEST 2 V (TUBE),71046,CDM,,,,both,,,592,592,136.16,592,592,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,467.68,percent of total billed charges,467.68,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 ,467.68,percent of total billed charges ,467.68,percent of total billed charges ,503.2,percent of total billed charges ,503.2,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,136.16,percent of total billed charges,,,136.16,percent of total billed charges,,,136.16,percent of total billed charges,
CHEST 2 V (COPD),71046,CDM,,,,both,,,592,592,136.16,592,592,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,467.68,percent of total billed charges,467.68,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 ,467.68,percent of total billed charges ,467.68,percent of total billed charges ,503.2,percent of total billed charges ,503.2,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,136.16,percent of total billed charges,,,136.16,percent of total billed charges,,,136.16,percent of total billed charges,
CHEST 1 V (COPD),71045,CDM,,,,both,,,527,527,121.21,527,527,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,416.33,percent of total billed charges,416.33,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 ,416.33,percent of total billed charges ,416.33,percent of total billed charges ,447.95,percent of total billed charges ,447.95,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
CHEST 2 V (PNEUMONIA),71046,CDM,,,,both,,,592,592,136.16,592,592,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,467.68,percent of total billed charges,467.68,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 ,467.68,percent of total billed charges ,467.68,percent of total billed charges ,503.2,percent of total billed charges ,503.2,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,136.16,percent of total billed charges,,,136.16,percent of total billed charges,,,136.16,percent of total billed charges,
CHEST 1 V (INTUBATION),71045,CDM,,,,both,,,527,527,121.21,527,527,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,416.33,percent of total billed charges,416.33,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 ,416.33,percent of total billed charges ,416.33,percent of total billed charges ,447.95,percent of total billed charges ,447.95,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
CHEST 2 V (SURGICAL),71046,CDM,,,,both,,,592,592,136.16,592,592,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,467.68,percent of total billed charges,467.68,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 ,467.68,percent of total billed charges ,467.68,percent of total billed charges ,503.2,percent of total billed charges ,503.2,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,136.16,percent of total billed charges,,,136.16,percent of total billed charges,,,136.16,percent of total billed charges,
"**INJ, ASPIR OR ARTHRO OF MAJ JOINT BIL",20610,CDM,,,GF,both,,,"2,300.00","2,300.00",529,"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,"1,817.00",percent of total billed charges,"1,817.00",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 ,"1,817.00",percent of total billed charges ,"1,817.00",percent of total billed charges ,"1,955.00",percent of total billed charges ,"1,955.00",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 ,,,,,,,,,,,,,,,,,,,529,percent of total billed charges,,,529,percent of total billed charges,,,529,percent of total billed charges,,,529,percent of total billed charges,,,529,percent of total billed charges,,,529,percent of total billed charges,,,529,percent of total billed charges,,,529,percent of total billed charges,,,529,percent of total billed charges,,,529,percent of total billed charges,,,529,percent of total billed charges,
"INJ, ASPIR OR ARTHRO OF MAJ JOINT RT",20610,CDM,,,GF,both,,,"1,301.00","1,301.00",299.23,"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,"1,027.79",percent of total billed charges,"1,027.79",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 ,"1,027.79",percent of total billed charges ,"1,027.79",percent of total billed charges ,"1,105.85",percent of total billed charges ,"1,105.85",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 ,,,,,,,,,,,,,,,,,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,
"INJ, ASPIR OR ARTHRO OF MAJ JOINT LT",20610,CDM,,,GF,both,,,"1,301.00","1,301.00",299.23,"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,"1,027.79",percent of total billed charges,"1,027.79",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 ,"1,027.79",percent of total billed charges ,"1,027.79",percent of total billed charges ,"1,105.85",percent of total billed charges ,"1,105.85",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 ,,,,,,,,,,,,,,,,,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,
**US EXT NON VASC BILAT,76881,CDM,,,50,both,,,"2,279.00","2,279.00",524.17,"2,279.00","2,279.00",percent of total billed charges,"2,279.00",percent of total billed charges,"2,279.00",percent of total billed charges,"2,279.00",percent of total billed charges,"2,279.00",percent of total billed charges,"2,279.00",percent of total billed charges,"2,279.00",percent of total billed charges,"2,279.00",percent of total billed charges,"1,640.88",percent of total billed charges,"1,640.88",percent of total billed charges,"1,640.88",percent of total billed charges,"1,640.88",percent of total billed charges,"1,640.88",percent of total billed charges,"1,640.88",percent of total billed charges,"1,800.41",percent of total billed charges,"1,800.41",percent of total billed charges,"1,823.20",percent of total billed charges,"1,823.20",percent of total billed charges,,,"1,640.88",percent of total billed charges ,,,"1,823.20",percent of total billed charges ,"1,800.41",percent of total billed charges ,"1,800.41",percent of total billed charges ,"1,937.15",percent of total billed charges ,"1,937.15",percent of total billed charges ,"1,823.20",percent of total billed charges ,"1,823.20",percent of total billed charges ,"1,595.30",percent of total billed charges ,"1,595.30",percent of total billed charges ,"1,367.40",percent of total billed charges ,"1,367.40",percent of total billed charges ,"1,367.40",percent of total billed charges ,"1,367.40",percent of total billed charges ,,,,,"1,212.43",percent of total billed charges ,,,,,"1,151.81",percent of total billed charges ,,,,,,,,,,,,,,,,,,,524.17,percent of total billed charges,,,524.17,percent of total billed charges,,,524.17,percent of total billed charges,,,524.17,percent of total billed charges,,,524.17,percent of total billed charges,,,524.17,percent of total billed charges,,,524.17,percent of total billed charges,,,524.17,percent of total billed charges,,,524.17,percent of total billed charges,,,524.17,percent of total billed charges,,,524.17,percent of total billed charges,
MM DIGITAL SCREENING UNILATERAL RT 2D,77067,CDM,,,52,both,,,561,561,129.03,561,561,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,443.19,percent of total billed charges,443.19,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 ,443.19,percent of total billed charges ,443.19,percent of total billed charges ,476.85,percent of total billed charges ,476.85,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 ,,,,,,,,,,,,,,,,,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,
MM DIGITAL SCREENING UNILATERAL LT 2D,77067,CDM,,,52,both,,,561,561,129.03,561,561,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,443.19,percent of total billed charges,443.19,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 ,443.19,percent of total billed charges ,443.19,percent of total billed charges ,476.85,percent of total billed charges ,476.85,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 ,,,,,,,,,,,,,,,,,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,
CT ENTEROGRAPHY,74177,CDM,,,,both,,,"6,133.00","6,133.00","1,410.59","6,133.00","6,133.00",percent of total billed charges,"6,133.00",percent of total billed charges,"6,133.00",percent of total billed charges,"6,133.00",percent of total billed charges,"6,133.00",percent of total billed charges,"6,133.00",percent of total billed charges,"6,133.00",percent of total billed charges,"6,133.00",percent of total billed charges,"4,415.76",percent of total billed charges,"4,415.76",percent of total billed charges,"4,415.76",percent of total billed charges,"4,415.76",percent of total billed charges,"4,415.76",percent of total billed charges,"4,415.76",percent of total billed charges,"4,845.07",percent of total billed charges,"4,845.07",percent of total billed charges,"4,906.40",percent of total billed charges,"4,906.40",percent of total billed charges,,,"4,415.76",percent of total billed charges ,,,"4,906.40",percent of total billed charges ,"4,845.07",percent of total billed charges ,"4,845.07",percent of total billed charges ,"5,213.05",percent of total billed charges ,"5,213.05",percent of total billed charges ,"4,906.40",percent of total billed charges ,"4,906.40",percent of total billed charges ,"4,293.10",percent of total billed charges ,"4,293.10",percent of total billed charges ,"3,679.80",percent of total billed charges ,"3,679.80",percent of total billed charges ,"3,679.80",percent of total billed charges ,"3,679.80",percent of total billed charges ,,,,,"3,262.76",percent of total billed charges ,,,,,"3,099.62",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,410.59",percent of total billed charges,,,"1,410.59",percent of total billed charges,,,"1,410.59",percent of total billed charges,,,"1,410.59",percent of total billed charges,,,"1,410.59",percent of total billed charges,,,"1,410.59",percent of total billed charges,,,"1,410.59",percent of total billed charges,,,"1,410.59",percent of total billed charges,,,"1,410.59",percent of total billed charges,,,"1,410.59",percent of total billed charges,,,"1,410.59",percent of total billed charges,
MRA UP EXT LT WO,73225,CDM,,,RT,both,,,"4,974.00","4,974.00","1,144.02","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,"3,929.46",percent of total billed charges,"3,929.46",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 ,"3,929.46",percent of total billed charges ,"3,929.46",percent of total billed charges ,"4,227.90",percent of total billed charges ,"4,227.90",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 ,,,,,,,,,,,,,,,,,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,
MRA UP EXT LT W CON,73225,CDM,,,RT,both,,,"4,974.00","4,974.00","1,144.02","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,"3,929.46",percent of total billed charges,"3,929.46",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 ,"3,929.46",percent of total billed charges ,"3,929.46",percent of total billed charges ,"4,227.90",percent of total billed charges ,"4,227.90",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 ,,,,,,,,,,,,,,,,,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,
MRA UP EXT LT W/WO,73225,CDM,,,RT,both,,,"4,974.00","4,974.00","1,144.02","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,"3,929.46",percent of total billed charges,"3,929.46",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 ,"3,929.46",percent of total billed charges ,"3,929.46",percent of total billed charges ,"4,227.90",percent of total billed charges ,"4,227.90",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 ,,,,,,,,,,,,,,,,,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,
MRA UP EXT RT WO,73225,CDM,,,RT,both,,,"4,974.00","4,974.00","1,144.02","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,"3,929.46",percent of total billed charges,"3,929.46",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 ,"3,929.46",percent of total billed charges ,"3,929.46",percent of total billed charges ,"4,227.90",percent of total billed charges ,"4,227.90",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 ,,,,,,,,,,,,,,,,,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,
MRA UP EXT RT W CON,73225,CDM,,,RT,both,,,"4,974.00","4,974.00","1,144.02","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,"3,929.46",percent of total billed charges,"3,929.46",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 ,"3,929.46",percent of total billed charges ,"3,929.46",percent of total billed charges ,"4,227.90",percent of total billed charges ,"4,227.90",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 ,,,,,,,,,,,,,,,,,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,
MRA UP EXT RT W/WO,73225,CDM,,,RT,both,,,"4,974.00","4,974.00","1,144.02","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,"3,929.46",percent of total billed charges,"3,929.46",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 ,"3,929.46",percent of total billed charges ,"3,929.46",percent of total billed charges ,"4,227.90",percent of total billed charges ,"4,227.90",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 ,,,,,,,,,,,,,,,,,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,,,"1,144.02",percent of total billed charges,
MRA ABD WO CON,74185,CDM,,,,both,,,"4,209.00","4,209.00",968.07,"4,209.00","4,209.00",percent of total billed charges,"4,209.00",percent of total billed charges,"4,209.00",percent of total billed charges,"4,209.00",percent of total billed charges,"4,209.00",percent of total billed charges,"4,209.00",percent of total billed charges,"4,209.00",percent of total billed charges,"4,209.00",percent of total billed charges,"3,030.48",percent of total billed charges,"3,030.48",percent of total billed charges,"3,030.48",percent of total billed charges,"3,030.48",percent of total billed charges,"3,030.48",percent of total billed charges,"3,030.48",percent of total billed charges,"3,325.11",percent of total billed charges,"3,325.11",percent of total billed charges,"3,367.20",percent of total billed charges,"3,367.20",percent of total billed charges,,,"3,030.48",percent of total billed charges ,,,"3,367.20",percent of total billed charges ,"3,325.11",percent of total billed charges ,"3,325.11",percent of total billed charges ,"3,577.65",percent of total billed charges ,"3,577.65",percent of total billed charges ,"3,367.20",percent of total billed charges ,"3,367.20",percent of total billed charges ,"2,946.30",percent of total billed charges ,"2,946.30",percent of total billed charges ,"2,525.40",percent of total billed charges ,"2,525.40",percent of total billed charges ,"2,525.40",percent of total billed charges ,"2,525.40",percent of total billed charges ,,,,,"2,239.19",percent of total billed charges ,,,,,"2,127.23",percent of total billed charges ,,,,,,,,,,,,,,,,,,,968.07,percent of total billed charges,,,968.07,percent of total billed charges,,,968.07,percent of total billed charges,,,968.07,percent of total billed charges,,,968.07,percent of total billed charges,,,968.07,percent of total billed charges,,,968.07,percent of total billed charges,,,968.07,percent of total billed charges,,,968.07,percent of total billed charges,,,968.07,percent of total billed charges,,,968.07,percent of total billed charges,
MRA ABD W CON,74185,CDM,,,,both,,,"4,209.00","4,209.00",968.07,"4,209.00","4,209.00",percent of total billed charges,"4,209.00",percent of total billed charges,"4,209.00",percent of total billed charges,"4,209.00",percent of total billed charges,"4,209.00",percent of total billed charges,"4,209.00",percent of total billed charges,"4,209.00",percent of total billed charges,"4,209.00",percent of total billed charges,"3,030.48",percent of total billed charges,"3,030.48",percent of total billed charges,"3,030.48",percent of total billed charges,"3,030.48",percent of total billed charges,"3,030.48",percent of total billed charges,"3,030.48",percent of total billed charges,"3,325.11",percent of total billed charges,"3,325.11",percent of total billed charges,"3,367.20",percent of total billed charges,"3,367.20",percent of total billed charges,,,"3,030.48",percent of total billed charges ,,,"3,367.20",percent of total billed charges ,"3,325.11",percent of total billed charges ,"3,325.11",percent of total billed charges ,"3,577.65",percent of total billed charges ,"3,577.65",percent of total billed charges ,"3,367.20",percent of total billed charges ,"3,367.20",percent of total billed charges ,"2,946.30",percent of total billed charges ,"2,946.30",percent of total billed charges ,"2,525.40",percent of total billed charges ,"2,525.40",percent of total billed charges ,"2,525.40",percent of total billed charges ,"2,525.40",percent of total billed charges ,,,,,"2,239.19",percent of total billed charges ,,,,,"2,127.23",percent of total billed charges ,,,,,,,,,,,,,,,,,,,968.07,percent of total billed charges,,,968.07,percent of total billed charges,,,968.07,percent of total billed charges,,,968.07,percent of total billed charges,,,968.07,percent of total billed charges,,,968.07,percent of total billed charges,,,968.07,percent of total billed charges,,,968.07,percent of total billed charges,,,968.07,percent of total billed charges,,,968.07,percent of total billed charges,,,968.07,percent of total billed charges,
MRA ABD W/WO,74185,CDM,,,,both,,,"4,209.00","4,209.00",968.07,"4,209.00","4,209.00",percent of total billed charges,"4,209.00",percent of total billed charges,"4,209.00",percent of total billed charges,"4,209.00",percent of total billed charges,"4,209.00",percent of total billed charges,"4,209.00",percent of total billed charges,"4,209.00",percent of total billed charges,"4,209.00",percent of total billed charges,"3,030.48",percent of total billed charges,"3,030.48",percent of total billed charges,"3,030.48",percent of total billed charges,"3,030.48",percent of total billed charges,"3,030.48",percent of total billed charges,"3,030.48",percent of total billed charges,"3,325.11",percent of total billed charges,"3,325.11",percent of total billed charges,"3,367.20",percent of total billed charges,"3,367.20",percent of total billed charges,,,"3,030.48",percent of total billed charges ,,,"3,367.20",percent of total billed charges ,"3,325.11",percent of total billed charges ,"3,325.11",percent of total billed charges ,"3,577.65",percent of total billed charges ,"3,577.65",percent of total billed charges ,"3,367.20",percent of total billed charges ,"3,367.20",percent of total billed charges ,"2,946.30",percent of total billed charges ,"2,946.30",percent of total billed charges ,"2,525.40",percent of total billed charges ,"2,525.40",percent of total billed charges ,"2,525.40",percent of total billed charges ,"2,525.40",percent of total billed charges ,,,,,"2,239.19",percent of total billed charges ,,,,,"2,127.23",percent of total billed charges ,,,,,,,,,,,,,,,,,,,968.07,percent of total billed charges,,,968.07,percent of total billed charges,,,968.07,percent of total billed charges,,,968.07,percent of total billed charges,,,968.07,percent of total billed charges,,,968.07,percent of total billed charges,,,968.07,percent of total billed charges,,,968.07,percent of total billed charges,,,968.07,percent of total billed charges,,,968.07,percent of total billed charges,,,968.07,percent of total billed charges,
MRA CHEST W CON,71555,CDM,,,,both,,,"3,089.00","3,089.00",710.47,"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,"2,440.31",percent of total billed charges,"2,440.31",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 ,"2,440.31",percent of total billed charges ,"2,440.31",percent of total billed charges ,"2,625.65",percent of total billed charges ,"2,625.65",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 ,,,,,,,,,,,,,,,,,,,710.47,percent of total billed charges,,,710.47,percent of total billed charges,,,710.47,percent of total billed charges,,,710.47,percent of total billed charges,,,710.47,percent of total billed charges,,,710.47,percent of total billed charges,,,710.47,percent of total billed charges,,,710.47,percent of total billed charges,,,710.47,percent of total billed charges,,,710.47,percent of total billed charges,,,710.47,percent of total billed charges,
MRA CHEST WO,71555,CDM,,,,both,,,"3,089.00","3,089.00",710.47,"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,"2,440.31",percent of total billed charges,"2,440.31",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 ,"2,440.31",percent of total billed charges ,"2,440.31",percent of total billed charges ,"2,625.65",percent of total billed charges ,"2,625.65",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 ,,,,,,,,,,,,,,,,,,,710.47,percent of total billed charges,,,710.47,percent of total billed charges,,,710.47,percent of total billed charges,,,710.47,percent of total billed charges,,,710.47,percent of total billed charges,,,710.47,percent of total billed charges,,,710.47,percent of total billed charges,,,710.47,percent of total billed charges,,,710.47,percent of total billed charges,,,710.47,percent of total billed charges,,,710.47,percent of total billed charges,
MRA CHEST W/WO,71555,CDM,,,,both,,,"3,089.00","3,089.00",710.47,"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,"2,440.31",percent of total billed charges,"2,440.31",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 ,"2,440.31",percent of total billed charges ,"2,440.31",percent of total billed charges ,"2,625.65",percent of total billed charges ,"2,625.65",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 ,,,,,,,,,,,,,,,,,,,710.47,percent of total billed charges,,,710.47,percent of total billed charges,,,710.47,percent of total billed charges,,,710.47,percent of total billed charges,,,710.47,percent of total billed charges,,,710.47,percent of total billed charges,,,710.47,percent of total billed charges,,,710.47,percent of total billed charges,,,710.47,percent of total billed charges,,,710.47,percent of total billed charges,,,710.47,percent of total billed charges,
MRA LOW EXT LT WO,73725,CDM,,,LT,both,,,"3,089.00","3,089.00",710.47,"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,"2,440.31",percent of total billed charges,"2,440.31",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 ,"2,440.31",percent of total billed charges ,"2,440.31",percent of total billed charges ,"2,625.65",percent of total billed charges ,"2,625.65",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 ,,,,,,,,,,,,,,,,,,,710.47,percent of total billed charges,,,710.47,percent of total billed charges,,,710.47,percent of total billed charges,,,710.47,percent of total billed charges,,,710.47,percent of total billed charges,,,710.47,percent of total billed charges,,,710.47,percent of total billed charges,,,710.47,percent of total billed charges,,,710.47,percent of total billed charges,,,710.47,percent of total billed charges,,,710.47,percent of total billed charges,
MRA LOW EXT LT W CON,73725,CDM,,,LT,both,,,"2,756.00","2,756.00",633.88,"2,756.00","2,756.00",percent of total billed charges,"2,756.00",percent of total billed charges,"2,756.00",percent of total billed charges,"2,756.00",percent of total billed charges,"2,756.00",percent of total billed charges,"2,756.00",percent of total billed charges,"2,756.00",percent of total billed charges,"2,756.00",percent of total billed charges,"1,984.32",percent of total billed charges,"1,984.32",percent of total billed charges,"1,984.32",percent of total billed charges,"1,984.32",percent of total billed charges,"1,984.32",percent of total billed charges,"1,984.32",percent of total billed charges,"2,177.24",percent of total billed charges,"2,177.24",percent of total billed charges,"2,204.80",percent of total billed charges,"2,204.80",percent of total billed charges,,,"1,984.32",percent of total billed charges ,,,"2,204.80",percent of total billed charges ,"2,177.24",percent of total billed charges ,"2,177.24",percent of total billed charges ,"2,342.60",percent of total billed charges ,"2,342.60",percent of total billed charges ,"2,204.80",percent of total billed charges ,"2,204.80",percent of total billed charges ,"1,929.20",percent of total billed charges ,"1,929.20",percent of total billed charges ,"1,653.60",percent of total billed charges ,"1,653.60",percent of total billed charges ,"1,653.60",percent of total billed charges ,"1,653.60",percent of total billed charges ,,,,,"1,466.19",percent of total billed charges ,,,,,"1,392.88",percent of total billed charges ,,,,,,,,,,,,,,,,,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,
MRA LOW EXT LT W W/O,73725,CDM,,,LT,both,,,"2,756.00","2,756.00",633.88,"2,756.00","2,756.00",percent of total billed charges,"2,756.00",percent of total billed charges,"2,756.00",percent of total billed charges,"2,756.00",percent of total billed charges,"2,756.00",percent of total billed charges,"2,756.00",percent of total billed charges,"2,756.00",percent of total billed charges,"2,756.00",percent of total billed charges,"1,984.32",percent of total billed charges,"1,984.32",percent of total billed charges,"1,984.32",percent of total billed charges,"1,984.32",percent of total billed charges,"1,984.32",percent of total billed charges,"1,984.32",percent of total billed charges,"2,177.24",percent of total billed charges,"2,177.24",percent of total billed charges,"2,204.80",percent of total billed charges,"2,204.80",percent of total billed charges,,,"1,984.32",percent of total billed charges ,,,"2,204.80",percent of total billed charges ,"2,177.24",percent of total billed charges ,"2,177.24",percent of total billed charges ,"2,342.60",percent of total billed charges ,"2,342.60",percent of total billed charges ,"2,204.80",percent of total billed charges ,"2,204.80",percent of total billed charges ,"1,929.20",percent of total billed charges ,"1,929.20",percent of total billed charges ,"1,653.60",percent of total billed charges ,"1,653.60",percent of total billed charges ,"1,653.60",percent of total billed charges ,"1,653.60",percent of total billed charges ,,,,,"1,466.19",percent of total billed charges ,,,,,"1,392.88",percent of total billed charges ,,,,,,,,,,,,,,,,,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,
MRA LOW EXT RT WO,73725,CDM,,,LT,both,,,"2,756.00","2,756.00",633.88,"2,756.00","2,756.00",percent of total billed charges,"2,756.00",percent of total billed charges,"2,756.00",percent of total billed charges,"2,756.00",percent of total billed charges,"2,756.00",percent of total billed charges,"2,756.00",percent of total billed charges,"2,756.00",percent of total billed charges,"2,756.00",percent of total billed charges,"1,984.32",percent of total billed charges,"1,984.32",percent of total billed charges,"1,984.32",percent of total billed charges,"1,984.32",percent of total billed charges,"1,984.32",percent of total billed charges,"1,984.32",percent of total billed charges,"2,177.24",percent of total billed charges,"2,177.24",percent of total billed charges,"2,204.80",percent of total billed charges,"2,204.80",percent of total billed charges,,,"1,984.32",percent of total billed charges ,,,"2,204.80",percent of total billed charges ,"2,177.24",percent of total billed charges ,"2,177.24",percent of total billed charges ,"2,342.60",percent of total billed charges ,"2,342.60",percent of total billed charges ,"2,204.80",percent of total billed charges ,"2,204.80",percent of total billed charges ,"1,929.20",percent of total billed charges ,"1,929.20",percent of total billed charges ,"1,653.60",percent of total billed charges ,"1,653.60",percent of total billed charges ,"1,653.60",percent of total billed charges ,"1,653.60",percent of total billed charges ,,,,,"1,466.19",percent of total billed charges ,,,,,"1,392.88",percent of total billed charges ,,,,,,,,,,,,,,,,,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,
MRA LOW EXT RT W CON,73725,CDM,,,LT,both,,,"2,756.00","2,756.00",633.88,"2,756.00","2,756.00",percent of total billed charges,"2,756.00",percent of total billed charges,"2,756.00",percent of total billed charges,"2,756.00",percent of total billed charges,"2,756.00",percent of total billed charges,"2,756.00",percent of total billed charges,"2,756.00",percent of total billed charges,"2,756.00",percent of total billed charges,"1,984.32",percent of total billed charges,"1,984.32",percent of total billed charges,"1,984.32",percent of total billed charges,"1,984.32",percent of total billed charges,"1,984.32",percent of total billed charges,"1,984.32",percent of total billed charges,"2,177.24",percent of total billed charges,"2,177.24",percent of total billed charges,"2,204.80",percent of total billed charges,"2,204.80",percent of total billed charges,,,"1,984.32",percent of total billed charges ,,,"2,204.80",percent of total billed charges ,"2,177.24",percent of total billed charges ,"2,177.24",percent of total billed charges ,"2,342.60",percent of total billed charges ,"2,342.60",percent of total billed charges ,"2,204.80",percent of total billed charges ,"2,204.80",percent of total billed charges ,"1,929.20",percent of total billed charges ,"1,929.20",percent of total billed charges ,"1,653.60",percent of total billed charges ,"1,653.60",percent of total billed charges ,"1,653.60",percent of total billed charges ,"1,653.60",percent of total billed charges ,,,,,"1,466.19",percent of total billed charges ,,,,,"1,392.88",percent of total billed charges ,,,,,,,,,,,,,,,,,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,
MRA LOW EXT RT W W/O,73725,CDM,,,LT,both,,,"2,756.00","2,756.00",633.88,"2,756.00","2,756.00",percent of total billed charges,"2,756.00",percent of total billed charges,"2,756.00",percent of total billed charges,"2,756.00",percent of total billed charges,"2,756.00",percent of total billed charges,"2,756.00",percent of total billed charges,"2,756.00",percent of total billed charges,"2,756.00",percent of total billed charges,"1,984.32",percent of total billed charges,"1,984.32",percent of total billed charges,"1,984.32",percent of total billed charges,"1,984.32",percent of total billed charges,"1,984.32",percent of total billed charges,"1,984.32",percent of total billed charges,"2,177.24",percent of total billed charges,"2,177.24",percent of total billed charges,"2,204.80",percent of total billed charges,"2,204.80",percent of total billed charges,,,"1,984.32",percent of total billed charges ,,,"2,204.80",percent of total billed charges ,"2,177.24",percent of total billed charges ,"2,177.24",percent of total billed charges ,"2,342.60",percent of total billed charges ,"2,342.60",percent of total billed charges ,"2,204.80",percent of total billed charges ,"2,204.80",percent of total billed charges ,"1,929.20",percent of total billed charges ,"1,929.20",percent of total billed charges ,"1,653.60",percent of total billed charges ,"1,653.60",percent of total billed charges ,"1,653.60",percent of total billed charges ,"1,653.60",percent of total billed charges ,,,,,"1,466.19",percent of total billed charges ,,,,,"1,392.88",percent of total billed charges ,,,,,,,,,,,,,,,,,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,,,633.88,percent of total billed charges,
MRA PELVIS WO,72198,CDM,,,,both,,,"2,828.00","2,828.00",650.44,"2,828.00","2,828.00",percent of total billed charges,"2,828.00",percent of total billed charges,"2,828.00",percent of total billed charges,"2,828.00",percent of total billed charges,"2,828.00",percent of total billed charges,"2,828.00",percent of total billed charges,"2,828.00",percent of total billed charges,"2,828.00",percent of total billed charges,"2,036.16",percent of total billed charges,"2,036.16",percent of total billed charges,"2,036.16",percent of total billed charges,"2,036.16",percent of total billed charges,"2,036.16",percent of total billed charges,"2,036.16",percent of total billed charges,"2,234.12",percent of total billed charges,"2,234.12",percent of total billed charges,"2,262.40",percent of total billed charges,"2,262.40",percent of total billed charges,,,"2,036.16",percent of total billed charges ,,,"2,262.40",percent of total billed charges ,"2,234.12",percent of total billed charges ,"2,234.12",percent of total billed charges ,"2,403.80",percent of total billed charges ,"2,403.80",percent of total billed charges ,"2,262.40",percent of total billed charges ,"2,262.40",percent of total billed charges ,"1,979.60",percent of total billed charges ,"1,979.60",percent of total billed charges ,"1,696.80",percent of total billed charges ,"1,696.80",percent of total billed charges ,"1,696.80",percent of total billed charges ,"1,696.80",percent of total billed charges ,,,,,"1,504.50",percent of total billed charges ,,,,,"1,429.27",percent of total billed charges ,,,,,,,,,,,,,,,,,,,650.44,percent of total billed charges,,,650.44,percent of total billed charges,,,650.44,percent of total billed charges,,,650.44,percent of total billed charges,,,650.44,percent of total billed charges,,,650.44,percent of total billed charges,,,650.44,percent of total billed charges,,,650.44,percent of total billed charges,,,650.44,percent of total billed charges,,,650.44,percent of total billed charges,,,650.44,percent of total billed charges,
MRA PELVIS W CON,72198,CDM,,,,both,,,"2,828.00","2,828.00",650.44,"2,828.00","2,828.00",percent of total billed charges,"2,828.00",percent of total billed charges,"2,828.00",percent of total billed charges,"2,828.00",percent of total billed charges,"2,828.00",percent of total billed charges,"2,828.00",percent of total billed charges,"2,828.00",percent of total billed charges,"2,828.00",percent of total billed charges,"2,036.16",percent of total billed charges,"2,036.16",percent of total billed charges,"2,036.16",percent of total billed charges,"2,036.16",percent of total billed charges,"2,036.16",percent of total billed charges,"2,036.16",percent of total billed charges,"2,234.12",percent of total billed charges,"2,234.12",percent of total billed charges,"2,262.40",percent of total billed charges,"2,262.40",percent of total billed charges,,,"2,036.16",percent of total billed charges ,,,"2,262.40",percent of total billed charges ,"2,234.12",percent of total billed charges ,"2,234.12",percent of total billed charges ,"2,403.80",percent of total billed charges ,"2,403.80",percent of total billed charges ,"2,262.40",percent of total billed charges ,"2,262.40",percent of total billed charges ,"1,979.60",percent of total billed charges ,"1,979.60",percent of total billed charges ,"1,696.80",percent of total billed charges ,"1,696.80",percent of total billed charges ,"1,696.80",percent of total billed charges ,"1,696.80",percent of total billed charges ,,,,,"1,504.50",percent of total billed charges ,,,,,"1,429.27",percent of total billed charges ,,,,,,,,,,,,,,,,,,,650.44,percent of total billed charges,,,650.44,percent of total billed charges,,,650.44,percent of total billed charges,,,650.44,percent of total billed charges,,,650.44,percent of total billed charges,,,650.44,percent of total billed charges,,,650.44,percent of total billed charges,,,650.44,percent of total billed charges,,,650.44,percent of total billed charges,,,650.44,percent of total billed charges,,,650.44,percent of total billed charges,
MRA PELVIS W W/O,72198,CDM,,,,both,,,"2,828.00","2,828.00",650.44,"2,828.00","2,828.00",percent of total billed charges,"2,828.00",percent of total billed charges,"2,828.00",percent of total billed charges,"2,828.00",percent of total billed charges,"2,828.00",percent of total billed charges,"2,828.00",percent of total billed charges,"2,828.00",percent of total billed charges,"2,828.00",percent of total billed charges,"2,036.16",percent of total billed charges,"2,036.16",percent of total billed charges,"2,036.16",percent of total billed charges,"2,036.16",percent of total billed charges,"2,036.16",percent of total billed charges,"2,036.16",percent of total billed charges,"2,234.12",percent of total billed charges,"2,234.12",percent of total billed charges,"2,262.40",percent of total billed charges,"2,262.40",percent of total billed charges,,,"2,036.16",percent of total billed charges ,,,"2,262.40",percent of total billed charges ,"2,234.12",percent of total billed charges ,"2,234.12",percent of total billed charges ,"2,403.80",percent of total billed charges ,"2,403.80",percent of total billed charges ,"2,262.40",percent of total billed charges ,"2,262.40",percent of total billed charges ,"1,979.60",percent of total billed charges ,"1,979.60",percent of total billed charges ,"1,696.80",percent of total billed charges ,"1,696.80",percent of total billed charges ,"1,696.80",percent of total billed charges ,"1,696.80",percent of total billed charges ,,,,,"1,504.50",percent of total billed charges ,,,,,"1,429.27",percent of total billed charges ,,,,,,,,,,,,,,,,,,,650.44,percent of total billed charges,,,650.44,percent of total billed charges,,,650.44,percent of total billed charges,,,650.44,percent of total billed charges,,,650.44,percent of total billed charges,,,650.44,percent of total billed charges,,,650.44,percent of total billed charges,,,650.44,percent of total billed charges,,,650.44,percent of total billed charges,,,650.44,percent of total billed charges,,,650.44,percent of total billed charges,
ARTHROGRAM WRIST,73115,CDM,,,,both,,,"1,442.00","1,442.00",331.66,"1,442.00","1,442.00",percent of total billed charges,"1,442.00",percent of total billed charges,"1,442.00",percent of total billed charges,"1,442.00",percent of total billed charges,"1,442.00",percent of total billed charges,"1,442.00",percent of total billed charges,"1,442.00",percent of total billed charges,"1,442.00",percent of total billed charges,"1,038.24",percent of total billed charges,"1,038.24",percent of total billed charges,"1,038.24",percent of total billed charges,"1,038.24",percent of total billed charges,"1,038.24",percent of total billed charges,"1,038.24",percent of total billed charges,"1,139.18",percent of total billed charges,"1,139.18",percent of total billed charges,"1,153.60",percent of total billed charges,"1,153.60",percent of total billed charges,,,"1,038.24",percent of total billed charges ,,,"1,153.60",percent of total billed charges ,"1,139.18",percent of total billed charges ,"1,139.18",percent of total billed charges ,"1,225.70",percent of total billed charges ,"1,225.70",percent of total billed charges ,"1,153.60",percent of total billed charges ,"1,153.60",percent of total billed charges ,"1,009.40",percent of total billed charges ,"1,009.40",percent of total billed charges ,865.2,percent of total billed charges ,865.2,percent of total billed charges ,865.2,percent of total billed charges ,865.2,percent of total billed charges ,,,,,767.14,percent of total billed charges ,,,,,728.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,331.66,percent of total billed charges,,,331.66,percent of total billed charges,,,331.66,percent of total billed charges,,,331.66,percent of total billed charges,,,331.66,percent of total billed charges,,,331.66,percent of total billed charges,,,331.66,percent of total billed charges,,,331.66,percent of total billed charges,,,331.66,percent of total billed charges,,,331.66,percent of total billed charges,,,331.66,percent of total billed charges,
CT LOW EXT WO RT,73700,CDM,,,LT,both,,,"2,610.00","2,610.00",600.3,"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,"2,061.90",percent of total billed charges,"2,061.90",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 ,"2,061.90",percent of total billed charges ,"2,061.90",percent of total billed charges ,"2,218.50",percent of total billed charges ,"2,218.50",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 ,,,,,,,,,,,,,,,,,,,600.3,percent of total billed charges,,,600.3,percent of total billed charges,,,600.3,percent of total billed charges,,,600.3,percent of total billed charges,,,600.3,percent of total billed charges,,,600.3,percent of total billed charges,,,600.3,percent of total billed charges,,,600.3,percent of total billed charges,,,600.3,percent of total billed charges,,,600.3,percent of total billed charges,,,600.3,percent of total billed charges,
US LIMITED RETROPERITONEAL ORGANS 93976,93976,CDM,,,,both,,,"1,385.00","1,385.00",318.55,"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,"1,094.15",percent of total billed charges,"1,094.15",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 ,"1,094.15",percent of total billed charges ,"1,094.15",percent of total billed charges ,"1,177.25",percent of total billed charges ,"1,177.25",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 ,,,,,,,,,,,,,,,,,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,
US NECK / MASS 76536,76536,CDM,,,,both,,,"1,023.00","1,023.00",235.29,"1,023.00","1,023.00",percent of total billed charges,"1,023.00",percent of total billed charges,"1,023.00",percent of total billed charges,"1,023.00",percent of total billed charges,"1,023.00",percent of total billed charges,"1,023.00",percent of total billed charges,"1,023.00",percent of total billed charges,"1,023.00",percent of total billed charges,736.56,percent of total billed charges,736.56,percent of total billed charges,736.56,percent of total billed charges,736.56,percent of total billed charges,736.56,percent of total billed charges,736.56,percent of total billed charges,808.17,percent of total billed charges,808.17,percent of total billed charges,818.4,percent of total billed charges,818.4,percent of total billed charges,,,736.56,percent of total billed charges ,,,818.4,percent of total billed charges ,808.17,percent of total billed charges ,808.17,percent of total billed charges ,869.55,percent of total billed charges ,869.55,percent of total billed charges ,818.4,percent of total billed charges ,818.4,percent of total billed charges ,716.1,percent of total billed charges ,716.1,percent of total billed charges ,613.8,percent of total billed charges ,613.8,percent of total billed charges ,613.8,percent of total billed charges ,613.8,percent of total billed charges ,,,,,544.24,percent of total billed charges ,,,,,517.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,
US PYLORIC STENOSIS 76705,76705,CDM,,,,both,,,"1,080.00","1,080.00",248.4,"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,853.2,percent of total billed charges,853.2,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 ,853.2,percent of total billed charges ,853.2,percent of total billed charges ,918,percent of total billed charges ,918,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
MULTIHANCE 5 ML,A9577,CDM,,,,both,,,112,112,25.76,112,112,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,88.48,percent of total billed charges,88.48,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 ,88.48,percent of total billed charges ,88.48,percent of total billed charges ,95.2,percent of total billed charges ,95.2,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 ,,,,,,,,,,,,,,,,,,,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,
CT CERV SP W WO,72127,CDM,,,,both,,,"5,104.00","5,104.00","1,173.92","5,104.00","5,104.00",percent of total billed charges,"5,104.00",percent of total billed charges,"5,104.00",percent of total billed charges,"5,104.00",percent of total billed charges,"5,104.00",percent of total billed charges,"5,104.00",percent of total billed charges,"5,104.00",percent of total billed charges,"5,104.00",percent of total billed charges,"3,674.88",percent of total billed charges,"3,674.88",percent of total billed charges,"3,674.88",percent of total billed charges,"3,674.88",percent of total billed charges,"3,674.88",percent of total billed charges,"3,674.88",percent of total billed charges,"4,032.16",percent of total billed charges,"4,032.16",percent of total billed charges,"4,083.20",percent of total billed charges,"4,083.20",percent of total billed charges,,,"3,674.88",percent of total billed charges ,,,"4,083.20",percent of total billed charges ,"4,032.16",percent of total billed charges ,"4,032.16",percent of total billed charges ,"4,338.40",percent of total billed charges ,"4,338.40",percent of total billed charges ,"4,083.20",percent of total billed charges ,"4,083.20",percent of total billed charges ,"3,572.80",percent of total billed charges ,"3,572.80",percent of total billed charges ,"3,062.40",percent of total billed charges ,"3,062.40",percent of total billed charges ,"3,062.40",percent of total billed charges ,"3,062.40",percent of total billed charges ,,,,,"2,715.33",percent of total billed charges ,,,,,"2,579.56",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,173.92",percent of total billed charges,,,"1,173.92",percent of total billed charges,,,"1,173.92",percent of total billed charges,,,"1,173.92",percent of total billed charges,,,"1,173.92",percent of total billed charges,,,"1,173.92",percent of total billed charges,,,"1,173.92",percent of total billed charges,,,"1,173.92",percent of total billed charges,,,"1,173.92",percent of total billed charges,,,"1,173.92",percent of total billed charges,,,"1,173.92",percent of total billed charges,
**US EXT NON VASC/SOFT TISSUE LIMITED,76882,CDM,,,RT,both,,,"1,482.00","1,482.00",340.86,"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,"1,170.78",percent of total billed charges,"1,170.78",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 ,"1,170.78",percent of total billed charges ,"1,170.78",percent of total billed charges ,"1,259.70",percent of total billed charges ,"1,259.70",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 ,,,,,,,,,,,,,,,,,,,340.86,percent of total billed charges,,,340.86,percent of total billed charges,,,340.86,percent of total billed charges,,,340.86,percent of total billed charges,,,340.86,percent of total billed charges,,,340.86,percent of total billed charges,,,340.86,percent of total billed charges,,,340.86,percent of total billed charges,,,340.86,percent of total billed charges,,,340.86,percent of total billed charges,,,340.86,percent of total billed charges,
US ARTERIAL LEG BILAT 93925,93925,CDM,,,,both,,,"2,557.00","2,557.00",588.11,"2,557.00","2,557.00",percent of total billed charges,"2,557.00",percent of total billed charges,"2,557.00",percent of total billed charges,"2,557.00",percent of total billed charges,"2,557.00",percent of total billed charges,"2,557.00",percent of total billed charges,"2,557.00",percent of total billed charges,"2,557.00",percent of total billed charges,"1,841.04",percent of total billed charges,"1,841.04",percent of total billed charges,"1,841.04",percent of total billed charges,"1,841.04",percent of total billed charges,"1,841.04",percent of total billed charges,"1,841.04",percent of total billed charges,"2,020.03",percent of total billed charges,"2,020.03",percent of total billed charges,"2,045.60",percent of total billed charges,"2,045.60",percent of total billed charges,,,"1,841.04",percent of total billed charges ,,,"2,045.60",percent of total billed charges ,"2,020.03",percent of total billed charges ,"2,020.03",percent of total billed charges ,"2,173.45",percent of total billed charges ,"2,173.45",percent of total billed charges ,"2,045.60",percent of total billed charges ,"2,045.60",percent of total billed charges ,"1,789.90",percent of total billed charges ,"1,789.90",percent of total billed charges ,"1,534.20",percent of total billed charges ,"1,534.20",percent of total billed charges ,"1,534.20",percent of total billed charges ,"1,534.20",percent of total billed charges ,,,,,"1,360.32",percent of total billed charges ,,,,,"1,292.31",percent of total billed charges ,,,,,,,,,,,,,,,,,,,588.11,percent of total billed charges,,,588.11,percent of total billed charges,,,588.11,percent of total billed charges,,,588.11,percent of total billed charges,,,588.11,percent of total billed charges,,,588.11,percent of total billed charges,,,588.11,percent of total billed charges,,,588.11,percent of total billed charges,,,588.11,percent of total billed charges,,,588.11,percent of total billed charges,,,588.11,percent of total billed charges,
US INFANT HIPS 76885,76885,CDM,,,,both,,,"1,340.00","1,340.00",308.2,"1,340.00","1,340.00",percent of total billed charges,"1,340.00",percent of total billed charges,"1,340.00",percent of total billed charges,"1,340.00",percent of total billed charges,"1,340.00",percent of total billed charges,"1,340.00",percent of total billed charges,"1,340.00",percent of total billed charges,"1,340.00",percent of total billed charges,964.8,percent of total billed charges,964.8,percent of total billed charges,964.8,percent of total billed charges,964.8,percent of total billed charges,964.8,percent of total billed charges,964.8,percent of total billed charges,"1,058.60",percent of total billed charges,"1,058.60",percent of total billed charges,"1,072.00",percent of total billed charges,"1,072.00",percent of total billed charges,,,964.8,percent of total billed charges ,,,"1,072.00",percent of total billed charges ,"1,058.60",percent of total billed charges ,"1,058.60",percent of total billed charges ,"1,139.00",percent of total billed charges ,"1,139.00",percent of total billed charges ,"1,072.00",percent of total billed charges ,"1,072.00",percent of total billed charges ,938,percent of total billed charges ,938,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 ,,,,,712.88,percent of total billed charges ,,,,,677.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,308.2,percent of total billed charges,,,308.2,percent of total billed charges,,,308.2,percent of total billed charges,,,308.2,percent of total billed charges,,,308.2,percent of total billed charges,,,308.2,percent of total billed charges,,,308.2,percent of total billed charges,,,308.2,percent of total billed charges,,,308.2,percent of total billed charges,,,308.2,percent of total billed charges,,,308.2,percent of total billed charges,
US BREAST BIOPSY LT 19083,19083,CDM,,,,both,,,"5,158.00","5,158.00","1,186.34","5,158.00","5,158.00",percent of total billed charges,"5,158.00",percent of total billed charges,"5,158.00",percent of total billed charges,"5,158.00",percent of total billed charges,"5,158.00",percent of total billed charges,"5,158.00",percent of total billed charges,"5,158.00",percent of total billed charges,"5,158.00",percent of total billed charges,"3,713.76",percent of total billed charges,"3,713.76",percent of total billed charges,"3,713.76",percent of total billed charges,"3,713.76",percent of total billed charges,"3,713.76",percent of total billed charges,"3,713.76",percent of total billed charges,"4,074.82",percent of total billed charges,"4,074.82",percent of total billed charges,"4,126.40",percent of total billed charges,"4,126.40",percent of total billed charges,,,"3,713.76",percent of total billed charges ,,,"4,126.40",percent of total billed charges ,"4,074.82",percent of total billed charges ,"4,074.82",percent of total billed charges ,"4,384.30",percent of total billed charges ,"4,384.30",percent of total billed charges ,"4,126.40",percent of total billed charges ,"4,126.40",percent of total billed charges ,"3,610.60",percent of total billed charges ,"3,610.60",percent of total billed charges ,"3,094.80",percent of total billed charges ,"3,094.80",percent of total billed charges ,"3,094.80",percent of total billed charges ,"3,094.80",percent of total billed charges ,,,,,"2,744.06",percent of total billed charges ,,,,,"2,606.85",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,186.34",percent of total billed charges,,,"1,186.34",percent of total billed charges,,,"1,186.34",percent of total billed charges,,,"1,186.34",percent of total billed charges,,,"1,186.34",percent of total billed charges,,,"1,186.34",percent of total billed charges,,,"1,186.34",percent of total billed charges,,,"1,186.34",percent of total billed charges,,,"1,186.34",percent of total billed charges,,,"1,186.34",percent of total billed charges,,,"1,186.34",percent of total billed charges,
**PLACEMENT OF CLIP,19295,CDM,,,,both,,,"1,119.00","1,119.00",257.37,"1,119.00","1,119.00",percent of total billed charges,"1,119.00",percent of total billed charges,"1,119.00",percent of total billed charges,"1,119.00",percent of total billed charges,"1,119.00",percent of total billed charges,"1,119.00",percent of total billed charges,"1,119.00",percent of total billed charges,"1,119.00",percent of total billed charges,805.68,percent of total billed charges,805.68,percent of total billed charges,805.68,percent of total billed charges,805.68,percent of total billed charges,805.68,percent of total billed charges,805.68,percent of total billed charges,884.01,percent of total billed charges,884.01,percent of total billed charges,895.2,percent of total billed charges,895.2,percent of total billed charges,,,805.68,percent of total billed charges ,,,895.2,percent of total billed charges ,884.01,percent of total billed charges ,884.01,percent of total billed charges ,951.15,percent of total billed charges ,951.15,percent of total billed charges ,895.2,percent of total billed charges ,895.2,percent of total billed charges ,783.3,percent of total billed charges ,783.3,percent of total billed charges ,671.4,percent of total billed charges ,671.4,percent of total billed charges ,671.4,percent of total billed charges ,671.4,percent of total billed charges ,,,,,595.31,percent of total billed charges ,,,,,565.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,257.37,percent of total billed charges,,,257.37,percent of total billed charges,,,257.37,percent of total billed charges,,,257.37,percent of total billed charges,,,257.37,percent of total billed charges,,,257.37,percent of total billed charges,,,257.37,percent of total billed charges,,,257.37,percent of total billed charges,,,257.37,percent of total billed charges,,,257.37,percent of total billed charges,,,257.37,percent of total billed charges,
US FINE NEEDLE ASPIRATION 10005,10005,CDM,,,,both,,,"3,083.00","3,083.00",709.09,"3,083.00","3,083.00",percent of total billed charges,"3,083.00",percent of total billed charges,"3,083.00",percent of total billed charges,"3,083.00",percent of total billed charges,"3,083.00",percent of total billed charges,"3,083.00",percent of total billed charges,"3,083.00",percent of total billed charges,"3,083.00",percent of total billed charges,"2,219.76",percent of total billed charges,"2,219.76",percent of total billed charges,"2,219.76",percent of total billed charges,"2,219.76",percent of total billed charges,"2,219.76",percent of total billed charges,"2,219.76",percent of total billed charges,"2,435.57",percent of total billed charges,"2,435.57",percent of total billed charges,"2,466.40",percent of total billed charges,"2,466.40",percent of total billed charges,,,"2,219.76",percent of total billed charges ,,,"2,466.40",percent of total billed charges ,"2,435.57",percent of total billed charges ,"2,435.57",percent of total billed charges ,"2,620.55",percent of total billed charges ,"2,620.55",percent of total billed charges ,"2,466.40",percent of total billed charges ,"2,466.40",percent of total billed charges ,"2,158.10",percent of total billed charges ,"2,158.10",percent of total billed charges ,"1,849.80",percent of total billed charges ,"1,849.80",percent of total billed charges ,"1,849.80",percent of total billed charges ,"1,849.80",percent of total billed charges ,,,,,"1,640.16",percent of total billed charges ,,,,,"1,558.15",percent of total billed charges ,,,,,,,,,,,,,,,,,,,709.09,percent of total billed charges,,,709.09,percent of total billed charges,,,709.09,percent of total billed charges,,,709.09,percent of total billed charges,,,709.09,percent of total billed charges,,,709.09,percent of total billed charges,,,709.09,percent of total billed charges,,,709.09,percent of total billed charges,,,709.09,percent of total billed charges,,,709.09,percent of total billed charges,,,709.09,percent of total billed charges,
US THYROID BIOPSY 10005,10005,CDM,,,,both,,,"3,036.00","3,036.00",698.28,"3,036.00","3,036.00",percent of total billed charges,"3,036.00",percent of total billed charges,"3,036.00",percent of total billed charges,"3,036.00",percent of total billed charges,"3,036.00",percent of total billed charges,"3,036.00",percent of total billed charges,"3,036.00",percent of total billed charges,"3,036.00",percent of total billed charges,"2,185.92",percent of total billed charges,"2,185.92",percent of total billed charges,"2,185.92",percent of total billed charges,"2,185.92",percent of total billed charges,"2,185.92",percent of total billed charges,"2,185.92",percent of total billed charges,"2,398.44",percent of total billed charges,"2,398.44",percent of total billed charges,"2,428.80",percent of total billed charges,"2,428.80",percent of total billed charges,,,"2,185.92",percent of total billed charges ,,,"2,428.80",percent of total billed charges ,"2,398.44",percent of total billed charges ,"2,398.44",percent of total billed charges ,"2,580.60",percent of total billed charges ,"2,580.60",percent of total billed charges ,"2,428.80",percent of total billed charges ,"2,428.80",percent of total billed charges ,"2,125.20",percent of total billed charges ,"2,125.20",percent of total billed charges ,"1,821.60",percent of total billed charges ,"1,821.60",percent of total billed charges ,"1,821.60",percent of total billed charges ,"1,821.60",percent of total billed charges ,,,,,"1,615.15",percent of total billed charges ,,,,,"1,534.39",percent of total billed charges ,,,,,,,,,,,,,,,,,,,698.28,percent of total billed charges,,,698.28,percent of total billed charges,,,698.28,percent of total billed charges,,,698.28,percent of total billed charges,,,698.28,percent of total billed charges,,,698.28,percent of total billed charges,,,698.28,percent of total billed charges,,,698.28,percent of total billed charges,,,698.28,percent of total billed charges,,,698.28,percent of total billed charges,,,698.28,percent of total billed charges,
US LYMPH BX LT 38505,38505,CDM,,,,both,,,"2,476.00","2,476.00",569.48,"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,"1,956.04",percent of total billed charges,"1,956.04",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 ,"1,956.04",percent of total billed charges ,"1,956.04",percent of total billed charges ,"2,104.60",percent of total billed charges ,"2,104.60",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 ,,,,,,,,,,,,,,,,,,,569.48,percent of total billed charges,,,569.48,percent of total billed charges,,,569.48,percent of total billed charges,,,569.48,percent of total billed charges,,,569.48,percent of total billed charges,,,569.48,percent of total billed charges,,,569.48,percent of total billed charges,,,569.48,percent of total billed charges,,,569.48,percent of total billed charges,,,569.48,percent of total billed charges,,,569.48,percent of total billed charges,
US BREAST CYST ASPIRATION LT 19000,19000,CDM,,,,both,,,"1,428.00","1,428.00",328.44,"1,428.00","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,"1,428.00",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,"1,028.16",percent of total billed charges,"1,028.16",percent of total billed charges,"1,028.16",percent of total billed charges,"1,028.16",percent of total billed charges,"1,028.16",percent of total billed charges,"1,028.16",percent of total billed charges,"1,128.12",percent of total billed charges,"1,128.12",percent of total billed charges,"1,142.40",percent of total billed charges,"1,142.40",percent of total billed charges,,,"1,028.16",percent of total billed charges ,,,"1,142.40",percent of total billed charges ,"1,128.12",percent of total billed charges ,"1,128.12",percent of total billed charges ,"1,213.80",percent of total billed charges ,"1,213.80",percent of total billed charges ,"1,142.40",percent of total billed charges ,"1,142.40",percent of total billed charges ,999.6,percent of total billed charges ,999.6,percent of total billed charges ,856.8,percent of total billed charges ,856.8,percent of total billed charges ,856.8,percent of total billed charges ,856.8,percent of total billed charges ,,,,,759.7,percent of total billed charges ,,,,,721.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,328.44,percent of total billed charges,,,328.44,percent of total billed charges,,,328.44,percent of total billed charges,,,328.44,percent of total billed charges,,,328.44,percent of total billed charges,,,328.44,percent of total billed charges,,,328.44,percent of total billed charges,,,328.44,percent of total billed charges,,,328.44,percent of total billed charges,,,328.44,percent of total billed charges,,,328.44,percent of total billed charges,
US BREAST CYST ASP ADD'L SITE LT 19001,19001,CDM,,,,both,,,737,737,169.51,737,737,percent of total billed charges,737,percent of total billed charges,737,percent of total billed charges,737,percent of total billed charges,737,percent of total billed charges,737,percent of total billed charges,737,percent of total billed charges,737,percent of total billed charges,530.64,percent of total billed charges,530.64,percent of total billed charges,530.64,percent of total billed charges,530.64,percent of total billed charges,530.64,percent of total billed charges,530.64,percent of total billed charges,582.23,percent of total billed charges,582.23,percent of total billed charges,589.6,percent of total billed charges,589.6,percent of total billed charges,,,530.64,percent of total billed charges ,,,589.6,percent of total billed charges ,582.23,percent of total billed charges ,582.23,percent of total billed charges ,626.45,percent of total billed charges ,626.45,percent of total billed charges ,589.6,percent of total billed charges ,589.6,percent of total billed charges ,515.9,percent of total billed charges ,515.9,percent of total billed charges ,442.2,percent of total billed charges ,442.2,percent of total billed charges ,442.2,percent of total billed charges ,442.2,percent of total billed charges ,,,,,392.08,percent of total billed charges ,,,,,372.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,169.51,percent of total billed charges,,,169.51,percent of total billed charges,,,169.51,percent of total billed charges,,,169.51,percent of total billed charges,,,169.51,percent of total billed charges,,,169.51,percent of total billed charges,,,169.51,percent of total billed charges,,,169.51,percent of total billed charges,,,169.51,percent of total billed charges,,,169.51,percent of total billed charges,,,169.51,percent of total billed charges,
**NM PARATHYROID SPECT SCAN,78071,CDM,,,,both,,,"2,219.00","2,219.00",510.37,"2,219.00","2,219.00",percent of total billed charges,"2,219.00",percent of total billed charges,"2,219.00",percent of total billed charges,"2,219.00",percent of total billed charges,"2,219.00",percent of total billed charges,"2,219.00",percent of total billed charges,"2,219.00",percent of total billed charges,"2,219.00",percent of total billed charges,"1,597.68",percent of total billed charges,"1,597.68",percent of total billed charges,"1,597.68",percent of total billed charges,"1,597.68",percent of total billed charges,"1,597.68",percent of total billed charges,"1,597.68",percent of total billed charges,"1,753.01",percent of total billed charges,"1,753.01",percent of total billed charges,"1,775.20",percent of total billed charges,"1,775.20",percent of total billed charges,,,"1,597.68",percent of total billed charges ,,,"1,775.20",percent of total billed charges ,"1,753.01",percent of total billed charges ,"1,753.01",percent of total billed charges ,"1,886.15",percent of total billed charges ,"1,886.15",percent of total billed charges ,"1,775.20",percent of total billed charges ,"1,775.20",percent of total billed charges ,"1,553.30",percent of total billed charges ,"1,553.30",percent of total billed charges ,"1,331.40",percent of total billed charges ,"1,331.40",percent of total billed charges ,"1,331.40",percent of total billed charges ,"1,331.40",percent of total billed charges ,,,,,"1,180.51",percent of total billed charges ,,,,,"1,121.48",percent of total billed charges ,,,,,,,,,,,,,,,,,,,510.37,percent of total billed charges,,,510.37,percent of total billed charges,,,510.37,percent of total billed charges,,,510.37,percent of total billed charges,,,510.37,percent of total billed charges,,,510.37,percent of total billed charges,,,510.37,percent of total billed charges,,,510.37,percent of total billed charges,,,510.37,percent of total billed charges,,,510.37,percent of total billed charges,,,510.37,percent of total billed charges,
US BX MUSCLE/SOFT TISSUE 20206,20206,CDM,,,,both,,,"2,255.00","2,255.00",518.65,"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,"1,781.45",percent of total billed charges,"1,781.45",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 ,"1,781.45",percent of total billed charges ,"1,781.45",percent of total billed charges ,"1,916.75",percent of total billed charges ,"1,916.75",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 ,,,,,,,,,,,,,,,,,,,518.65,percent of total billed charges,,,518.65,percent of total billed charges,,,518.65,percent of total billed charges,,,518.65,percent of total billed charges,,,518.65,percent of total billed charges,,,518.65,percent of total billed charges,,,518.65,percent of total billed charges,,,518.65,percent of total billed charges,,,518.65,percent of total billed charges,,,518.65,percent of total billed charges,,,518.65,percent of total billed charges,
NM MYOVIEW,A9502,CDM,,,,both,,,673,673,154.79,673,673,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,531.67,percent of total billed charges,531.67,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 ,531.67,percent of total billed charges ,531.67,percent of total billed charges ,572.05,percent of total billed charges ,572.05,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 ,,,,,,,,,,,,,,,,,,,154.79,percent of total billed charges,,,154.79,percent of total billed charges,,,154.79,percent of total billed charges,,,154.79,percent of total billed charges,,,154.79,percent of total billed charges,,,154.79,percent of total billed charges,,,154.79,percent of total billed charges,,,154.79,percent of total billed charges,,,154.79,percent of total billed charges,,,154.79,percent of total billed charges,,,154.79,percent of total billed charges,
RETROPERITONEAL BODY PART,49180,CDM,,,,both,,,"2,579.00","2,579.00",593.17,"2,579.00","2,579.00",percent of total billed charges,"2,579.00",percent of total billed charges,"2,579.00",percent of total billed charges,"2,579.00",percent of total billed charges,"2,579.00",percent of total billed charges,"2,579.00",percent of total billed charges,"2,579.00",percent of total billed charges,"2,579.00",percent of total billed charges,"1,856.88",percent of total billed charges,"1,856.88",percent of total billed charges,"1,856.88",percent of total billed charges,"1,856.88",percent of total billed charges,"1,856.88",percent of total billed charges,"1,856.88",percent of total billed charges,"2,037.41",percent of total billed charges,"2,037.41",percent of total billed charges,"2,063.20",percent of total billed charges,"2,063.20",percent of total billed charges,,,"1,856.88",percent of total billed charges ,,,"2,063.20",percent of total billed charges ,"2,037.41",percent of total billed charges ,"2,037.41",percent of total billed charges ,"2,192.15",percent of total billed charges ,"2,192.15",percent of total billed charges ,"2,063.20",percent of total billed charges ,"2,063.20",percent of total billed charges ,"1,805.30",percent of total billed charges ,"1,805.30",percent of total billed charges ,"1,547.40",percent of total billed charges ,"1,547.40",percent of total billed charges ,"1,547.40",percent of total billed charges ,"1,547.40",percent of total billed charges ,,,,,"1,372.03",percent of total billed charges ,,,,,"1,303.43",percent of total billed charges ,,,,,,,,,,,,,,,,,,,593.17,percent of total billed charges,,,593.17,percent of total billed charges,,,593.17,percent of total billed charges,,,593.17,percent of total billed charges,,,593.17,percent of total billed charges,,,593.17,percent of total billed charges,,,593.17,percent of total billed charges,,,593.17,percent of total billed charges,,,593.17,percent of total billed charges,,,593.17,percent of total billed charges,,,593.17,percent of total billed charges,
NM SENTINEL NODE,78195,CDM,,,,both,,,"2,785.00","2,785.00",640.55,"2,785.00","2,785.00",percent of total billed charges,"2,785.00",percent of total billed charges,"2,785.00",percent of total billed charges,"2,785.00",percent of total billed charges,"2,785.00",percent of total billed charges,"2,785.00",percent of total billed charges,"2,785.00",percent of total billed charges,"2,785.00",percent of total billed charges,"2,005.20",percent of total billed charges,"2,005.20",percent of total billed charges,"2,005.20",percent of total billed charges,"2,005.20",percent of total billed charges,"2,005.20",percent of total billed charges,"2,005.20",percent of total billed charges,"2,200.15",percent of total billed charges,"2,200.15",percent of total billed charges,"2,228.00",percent of total billed charges,"2,228.00",percent of total billed charges,,,"2,005.20",percent of total billed charges ,,,"2,228.00",percent of total billed charges ,"2,200.15",percent of total billed charges ,"2,200.15",percent of total billed charges ,"2,367.25",percent of total billed charges ,"2,367.25",percent of total billed charges ,"2,228.00",percent of total billed charges ,"2,228.00",percent of total billed charges ,"1,949.50",percent of total billed charges ,"1,949.50",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 ,,,,,"1,481.62",percent of total billed charges ,,,,,"1,407.54",percent of total billed charges ,,,,,,,,,,,,,,,,,,,640.55,percent of total billed charges,,,640.55,percent of total billed charges,,,640.55,percent of total billed charges,,,640.55,percent of total billed charges,,,640.55,percent of total billed charges,,,640.55,percent of total billed charges,,,640.55,percent of total billed charges,,,640.55,percent of total billed charges,,,640.55,percent of total billed charges,,,640.55,percent of total billed charges,,,640.55,percent of total billed charges,
NM SULFUR COLLOID-FILTERED,A9541,CDM,,,,both,,,"1,203.00","1,203.00",276.69,"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,950.37,percent of total billed charges,950.37,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 ,950.37,percent of total billed charges ,950.37,percent of total billed charges ,"1,022.55",percent of total billed charges ,"1,022.55",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 ,,,,,,,,,,,,,,,,,,,276.69,percent of total billed charges,,,276.69,percent of total billed charges,,,276.69,percent of total billed charges,,,276.69,percent of total billed charges,,,276.69,percent of total billed charges,,,276.69,percent of total billed charges,,,276.69,percent of total billed charges,,,276.69,percent of total billed charges,,,276.69,percent of total billed charges,,,276.69,percent of total billed charges,,,276.69,percent of total billed charges,
SACRAL ILIAC INJ -RAD,27096,CDM,,,,both,,,"2,051.00","2,051.00",471.73,"2,051.00","2,051.00",percent of total billed charges,"2,051.00",percent of total billed charges,"2,051.00",percent of total billed charges,"2,051.00",percent of total billed charges,"2,051.00",percent of total billed charges,"2,051.00",percent of total billed charges,"2,051.00",percent of total billed charges,"2,051.00",percent of total billed charges,"1,476.72",percent of total billed charges,"1,476.72",percent of total billed charges,"1,476.72",percent of total billed charges,"1,476.72",percent of total billed charges,"1,476.72",percent of total billed charges,"1,476.72",percent of total billed charges,"1,620.29",percent of total billed charges,"1,620.29",percent of total billed charges,"1,640.80",percent of total billed charges,"1,640.80",percent of total billed charges,,,"1,476.72",percent of total billed charges ,,,"1,640.80",percent of total billed charges ,"1,620.29",percent of total billed charges ,"1,620.29",percent of total billed charges ,"1,743.35",percent of total billed charges ,"1,743.35",percent of total billed charges ,"1,640.80",percent of total billed charges ,"1,640.80",percent of total billed charges ,"1,435.70",percent of total billed charges ,"1,435.70",percent of total billed charges ,"1,230.60",percent of total billed charges ,"1,230.60",percent of total billed charges ,"1,230.60",percent of total billed charges ,"1,230.60",percent of total billed charges ,,,,,"1,091.13",percent of total billed charges ,,,,,"1,036.58",percent of total billed charges ,,,,,,,,,,,,,,,,,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,
"MM DUCTOGRAM OR GALACTOGRAM, LT SINGLE D",77053,CDM,,,LT,both,,,950,950,218.5,950,950,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,750.5,percent of total billed charges,750.5,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 ,750.5,percent of total billed charges ,750.5,percent of total billed charges ,807.5,percent of total billed charges ,807.5,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 ,,,,,,,,,,,,,,,,,,,218.5,percent of total billed charges,,,218.5,percent of total billed charges,,,218.5,percent of total billed charges,,,218.5,percent of total billed charges,,,218.5,percent of total billed charges,,,218.5,percent of total billed charges,,,218.5,percent of total billed charges,,,218.5,percent of total billed charges,,,218.5,percent of total billed charges,,,218.5,percent of total billed charges,,,218.5,percent of total billed charges,
INJ FOR MM DUCTOGRAM OR GALACTOGRAM,19030,CDM,,,,both,,,909,909,209.07,909,909,percent of total billed charges,909,percent of total billed charges,909,percent of total billed charges,909,percent of total billed charges,909,percent of total billed charges,909,percent of total billed charges,909,percent of total billed charges,909,percent of total billed charges,654.48,percent of total billed charges,654.48,percent of total billed charges,654.48,percent of total billed charges,654.48,percent of total billed charges,654.48,percent of total billed charges,654.48,percent of total billed charges,718.11,percent of total billed charges,718.11,percent of total billed charges,727.2,percent of total billed charges,727.2,percent of total billed charges,,,654.48,percent of total billed charges ,,,727.2,percent of total billed charges ,718.11,percent of total billed charges ,718.11,percent of total billed charges ,772.65,percent of total billed charges ,772.65,percent of total billed charges ,727.2,percent of total billed charges ,727.2,percent of total billed charges ,636.3,percent of total billed charges ,636.3,percent of total billed charges ,545.4,percent of total billed charges ,545.4,percent of total billed charges ,545.4,percent of total billed charges ,545.4,percent of total billed charges ,,,,,483.59,percent of total billed charges ,,,,,459.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,209.07,percent of total billed charges,,,209.07,percent of total billed charges,,,209.07,percent of total billed charges,,,209.07,percent of total billed charges,,,209.07,percent of total billed charges,,,209.07,percent of total billed charges,,,209.07,percent of total billed charges,,,209.07,percent of total billed charges,,,209.07,percent of total billed charges,,,209.07,percent of total billed charges,,,209.07,percent of total billed charges,
LUMBAR PUNCTURE,62270,CDM,,,,both,,,"1,550.00","1,550.00",356.5,"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,"1,224.50",percent of total billed charges,"1,224.50",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 ,"1,224.50",percent of total billed charges ,"1,224.50",percent of total billed charges ,"1,317.50",percent of total billed charges ,"1,317.50",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 ,,,,,,,,,,,,,,,,,,,356.5,percent of total billed charges,,,356.5,percent of total billed charges,,,356.5,percent of total billed charges,,,356.5,percent of total billed charges,,,356.5,percent of total billed charges,,,356.5,percent of total billed charges,,,356.5,percent of total billed charges,,,356.5,percent of total billed charges,,,356.5,percent of total billed charges,,,356.5,percent of total billed charges,,,356.5,percent of total billed charges,
CT LUNG SCREENING 71271,71271,CDM,,,,both,,,"1,222.00","1,222.00",281.06,"1,222.00","1,222.00",percent of total billed charges,"1,222.00",percent of total billed charges,"1,222.00",percent of total billed charges,"1,222.00",percent of total billed charges,"1,222.00",percent of total billed charges,"1,222.00",percent of total billed charges,"1,222.00",percent of total billed charges,"1,222.00",percent of total billed charges,879.84,percent of total billed charges,879.84,percent of total billed charges,879.84,percent of total billed charges,879.84,percent of total billed charges,879.84,percent of total billed charges,879.84,percent of total billed charges,965.38,percent of total billed charges,965.38,percent of total billed charges,977.6,percent of total billed charges,977.6,percent of total billed charges,,,879.84,percent of total billed charges ,,,977.6,percent of total billed charges ,965.38,percent of total billed charges ,965.38,percent of total billed charges ,"1,038.70",percent of total billed charges ,"1,038.70",percent of total billed charges ,977.6,percent of total billed charges ,977.6,percent of total billed charges ,855.4,percent of total billed charges ,855.4,percent of total billed charges ,733.2,percent of total billed charges ,733.2,percent of total billed charges ,733.2,percent of total billed charges ,733.2,percent of total billed charges ,,,,,650.1,percent of total billed charges ,,,,,617.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,281.06,percent of total billed charges,,,281.06,percent of total billed charges,,,281.06,percent of total billed charges,,,281.06,percent of total billed charges,,,281.06,percent of total billed charges,,,281.06,percent of total billed charges,,,281.06,percent of total billed charges,,,281.06,percent of total billed charges,,,281.06,percent of total billed charges,,,281.06,percent of total billed charges,,,281.06,percent of total billed charges,
"**BIOPSY, LUNG/MEDIASTINUM, PERCUTAN NEE",32405,CDM,,,,both,,,"1,877.00","1,877.00",431.71,"1,877.00","1,877.00",percent of total billed charges,"1,877.00",percent of total billed charges,"1,877.00",percent of total billed charges,"1,877.00",percent of total billed charges,"1,877.00",percent of total billed charges,"1,877.00",percent of total billed charges,"1,877.00",percent of total billed charges,"1,877.00",percent of total billed charges,"1,351.44",percent of total billed charges,"1,351.44",percent of total billed charges,"1,351.44",percent of total billed charges,"1,351.44",percent of total billed charges,"1,351.44",percent of total billed charges,"1,351.44",percent of total billed charges,"1,482.83",percent of total billed charges,"1,482.83",percent of total billed charges,"1,501.60",percent of total billed charges,"1,501.60",percent of total billed charges,,,"1,351.44",percent of total billed charges ,,,"1,501.60",percent of total billed charges ,"1,482.83",percent of total billed charges ,"1,482.83",percent of total billed charges ,"1,595.45",percent of total billed charges ,"1,595.45",percent of total billed charges ,"1,501.60",percent of total billed charges ,"1,501.60",percent of total billed charges ,"1,313.90",percent of total billed charges ,"1,313.90",percent of total billed charges ,"1,126.20",percent of total billed charges ,"1,126.20",percent of total billed charges ,"1,126.20",percent of total billed charges ,"1,126.20",percent of total billed charges ,,,,,998.56,percent of total billed charges ,,,,,948.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,431.71,percent of total billed charges,,,431.71,percent of total billed charges,,,431.71,percent of total billed charges,,,431.71,percent of total billed charges,,,431.71,percent of total billed charges,,,431.71,percent of total billed charges,,,431.71,percent of total billed charges,,,431.71,percent of total billed charges,,,431.71,percent of total billed charges,,,431.71,percent of total billed charges,,,431.71,percent of total billed charges,
REPLACEMENT OF G TUBE 49450,49450,CDM,,,,both,,,"2,277.00","2,277.00",523.71,"2,277.00","2,277.00",percent of total billed charges,"2,277.00",percent of total billed charges,"2,277.00",percent of total billed charges,"2,277.00",percent of total billed charges,"2,277.00",percent of total billed charges,"2,277.00",percent of total billed charges,"2,277.00",percent of total billed charges,"2,277.00",percent of total billed charges,"1,639.44",percent of total billed charges,"1,639.44",percent of total billed charges,"1,639.44",percent of total billed charges,"1,639.44",percent of total billed charges,"1,639.44",percent of total billed charges,"1,639.44",percent of total billed charges,"1,798.83",percent of total billed charges,"1,798.83",percent of total billed charges,"1,821.60",percent of total billed charges,"1,821.60",percent of total billed charges,,,"1,639.44",percent of total billed charges ,,,"1,821.60",percent of total billed charges ,"1,798.83",percent of total billed charges ,"1,798.83",percent of total billed charges ,"1,935.45",percent of total billed charges ,"1,935.45",percent of total billed charges ,"1,821.60",percent of total billed charges ,"1,821.60",percent of total billed charges ,"1,593.90",percent of total billed charges ,"1,593.90",percent of total billed charges ,"1,366.20",percent of total billed charges ,"1,366.20",percent of total billed charges ,"1,366.20",percent of total billed charges ,"1,366.20",percent of total billed charges ,,,,,"1,211.36",percent of total billed charges ,,,,,"1,150.80",percent of total billed charges ,,,,,,,,,,,,,,,,,,,523.71,percent of total billed charges,,,523.71,percent of total billed charges,,,523.71,percent of total billed charges,,,523.71,percent of total billed charges,,,523.71,percent of total billed charges,,,523.71,percent of total billed charges,,,523.71,percent of total billed charges,,,523.71,percent of total billed charges,,,523.71,percent of total billed charges,,,523.71,percent of total billed charges,,,523.71,percent of total billed charges,
CHEST TUBE PLACEMENT RADIOLOGY,32551,CDM,,,,both,,,"2,293.00","2,293.00",527.39,"2,293.00","2,293.00",percent of total billed charges,"2,293.00",percent of total billed charges,"2,293.00",percent of total billed charges,"2,293.00",percent of total billed charges,"2,293.00",percent of total billed charges,"2,293.00",percent of total billed charges,"2,293.00",percent of total billed charges,"2,293.00",percent of total billed charges,"1,650.96",percent of total billed charges,"1,650.96",percent of total billed charges,"1,650.96",percent of total billed charges,"1,650.96",percent of total billed charges,"1,650.96",percent of total billed charges,"1,650.96",percent of total billed charges,"1,811.47",percent of total billed charges,"1,811.47",percent of total billed charges,"1,834.40",percent of total billed charges,"1,834.40",percent of total billed charges,,,"1,650.96",percent of total billed charges ,,,"1,834.40",percent of total billed charges ,"1,811.47",percent of total billed charges ,"1,811.47",percent of total billed charges ,"1,949.05",percent of total billed charges ,"1,949.05",percent of total billed charges ,"1,834.40",percent of total billed charges ,"1,834.40",percent of total billed charges ,"1,605.10",percent of total billed charges ,"1,605.10",percent of total billed charges ,"1,375.80",percent of total billed charges ,"1,375.80",percent of total billed charges ,"1,375.80",percent of total billed charges ,"1,375.80",percent of total billed charges ,,,,,"1,219.88",percent of total billed charges ,,,,,"1,158.88",percent of total billed charges ,,,,,,,,,,,,,,,,,,,527.39,percent of total billed charges,,,527.39,percent of total billed charges,,,527.39,percent of total billed charges,,,527.39,percent of total billed charges,,,527.39,percent of total billed charges,,,527.39,percent of total billed charges,,,527.39,percent of total billed charges,,,527.39,percent of total billed charges,,,527.39,percent of total billed charges,,,527.39,percent of total billed charges,,,527.39,percent of total billed charges,
LIVER BIOPSY,47000,CDM,,,,both,,,"2,965.00","2,965.00",681.95,"2,965.00","2,965.00",percent of total billed charges,"2,965.00",percent of total billed charges,"2,965.00",percent of total billed charges,"2,965.00",percent of total billed charges,"2,965.00",percent of total billed charges,"2,965.00",percent of total billed charges,"2,965.00",percent of total billed charges,"2,965.00",percent of total billed charges,"2,134.80",percent of total billed charges,"2,134.80",percent of total billed charges,"2,134.80",percent of total billed charges,"2,134.80",percent of total billed charges,"2,134.80",percent of total billed charges,"2,134.80",percent of total billed charges,"2,342.35",percent of total billed charges,"2,342.35",percent of total billed charges,"2,372.00",percent of total billed charges,"2,372.00",percent of total billed charges,,,"2,134.80",percent of total billed charges ,,,"2,372.00",percent of total billed charges ,"2,342.35",percent of total billed charges ,"2,342.35",percent of total billed charges ,"2,520.25",percent of total billed charges ,"2,520.25",percent of total billed charges ,"2,372.00",percent of total billed charges ,"2,372.00",percent of total billed charges ,"2,075.50",percent of total billed charges ,"2,075.50",percent of total billed charges ,"1,779.00",percent of total billed charges ,"1,779.00",percent of total billed charges ,"1,779.00",percent of total billed charges ,"1,779.00",percent of total billed charges ,,,,,"1,577.38",percent of total billed charges ,,,,,"1,498.51",percent of total billed charges ,,,,,,,,,,,,,,,,,,,681.95,percent of total billed charges,,,681.95,percent of total billed charges,,,681.95,percent of total billed charges,,,681.95,percent of total billed charges,,,681.95,percent of total billed charges,,,681.95,percent of total billed charges,,,681.95,percent of total billed charges,,,681.95,percent of total billed charges,,,681.95,percent of total billed charges,,,681.95,percent of total billed charges,,,681.95,percent of total billed charges,
US ABI WITH EXERCISE 93924,93924,CDM,,,,both,,,"1,578.00","1,578.00",362.94,"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,"1,246.62",percent of total billed charges,"1,246.62",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 ,"1,246.62",percent of total billed charges ,"1,246.62",percent of total billed charges ,"1,341.30",percent of total billed charges ,"1,341.30",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 ,,,,,,,,,,,,,,,,,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,,,362.94,percent of total billed charges,
US BREAST BIOPSY ADD SITE LT 19084,19084,CDM,,,,both,,,"3,530.00","3,530.00",811.9,"3,530.00","3,530.00",percent of total billed charges,"3,530.00",percent of total billed charges,"3,530.00",percent of total billed charges,"3,530.00",percent of total billed charges,"3,530.00",percent of total billed charges,"3,530.00",percent of total billed charges,"3,530.00",percent of total billed charges,"3,530.00",percent of total billed charges,"2,541.60",percent of total billed charges,"2,541.60",percent of total billed charges,"2,541.60",percent of total billed charges,"2,541.60",percent of total billed charges,"2,541.60",percent of total billed charges,"2,541.60",percent of total billed charges,"2,788.70",percent of total billed charges,"2,788.70",percent of total billed charges,"2,824.00",percent of total billed charges,"2,824.00",percent of total billed charges,,,"2,541.60",percent of total billed charges ,,,"2,824.00",percent of total billed charges ,"2,788.70",percent of total billed charges ,"2,788.70",percent of total billed charges ,"3,000.50",percent of total billed charges ,"3,000.50",percent of total billed charges ,"2,824.00",percent of total billed charges ,"2,824.00",percent of total billed charges ,"2,471.00",percent of total billed charges ,"2,471.00",percent of total billed charges ,"2,118.00",percent of total billed charges ,"2,118.00",percent of total billed charges ,"2,118.00",percent of total billed charges ,"2,118.00",percent of total billed charges ,,,,,"1,877.96",percent of total billed charges ,,,,,"1,784.06",percent of total billed charges ,,,,,,,,,,,,,,,,,,,811.9,percent of total billed charges,,,811.9,percent of total billed charges,,,811.9,percent of total billed charges,,,811.9,percent of total billed charges,,,811.9,percent of total billed charges,,,811.9,percent of total billed charges,,,811.9,percent of total billed charges,,,811.9,percent of total billed charges,,,811.9,percent of total billed charges,,,811.9,percent of total billed charges,,,811.9,percent of total billed charges,
MM BREAST NDL LOC BX LT 19281,19281,CDM,,,,both,,,"3,942.00","3,942.00",906.66,"3,942.00","3,942.00",percent of total billed charges,"3,942.00",percent of total billed charges,"3,942.00",percent of total billed charges,"3,942.00",percent of total billed charges,"3,942.00",percent of total billed charges,"3,942.00",percent of total billed charges,"3,942.00",percent of total billed charges,"3,942.00",percent of total billed charges,"2,838.24",percent of total billed charges,"2,838.24",percent of total billed charges,"2,838.24",percent of total billed charges,"2,838.24",percent of total billed charges,"2,838.24",percent of total billed charges,"2,838.24",percent of total billed charges,"3,114.18",percent of total billed charges,"3,114.18",percent of total billed charges,"3,153.60",percent of total billed charges,"3,153.60",percent of total billed charges,,,"2,838.24",percent of total billed charges ,,,"3,153.60",percent of total billed charges ,"3,114.18",percent of total billed charges ,"3,114.18",percent of total billed charges ,"3,350.70",percent of total billed charges ,"3,350.70",percent of total billed charges ,"3,153.60",percent of total billed charges ,"3,153.60",percent of total billed charges ,"2,759.40",percent of total billed charges ,"2,759.40",percent of total billed charges ,"2,365.20",percent of total billed charges ,"2,365.20",percent of total billed charges ,"2,365.20",percent of total billed charges ,"2,365.20",percent of total billed charges ,,,,,"2,097.14",percent of total billed charges ,,,,,"1,992.29",percent of total billed charges ,,,,,,,,,,,,,,,,,,,906.66,percent of total billed charges,,,906.66,percent of total billed charges,,,906.66,percent of total billed charges,,,906.66,percent of total billed charges,,,906.66,percent of total billed charges,,,906.66,percent of total billed charges,,,906.66,percent of total billed charges,,,906.66,percent of total billed charges,,,906.66,percent of total billed charges,,,906.66,percent of total billed charges,,,906.66,percent of total billed charges,
NM SENTINEL NODE INJECTION,38792,CDM,,,,both,,,"2,094.00","2,094.00",481.62,"2,094.00","2,094.00",percent of total billed charges,"2,094.00",percent of total billed charges,"2,094.00",percent of total billed charges,"2,094.00",percent of total billed charges,"2,094.00",percent of total billed charges,"2,094.00",percent of total billed charges,"2,094.00",percent of total billed charges,"2,094.00",percent of total billed charges,"1,507.68",percent of total billed charges,"1,507.68",percent of total billed charges,"1,507.68",percent of total billed charges,"1,507.68",percent of total billed charges,"1,507.68",percent of total billed charges,"1,507.68",percent of total billed charges,"1,654.26",percent of total billed charges,"1,654.26",percent of total billed charges,"1,675.20",percent of total billed charges,"1,675.20",percent of total billed charges,,,"1,507.68",percent of total billed charges ,,,"1,675.20",percent of total billed charges ,"1,654.26",percent of total billed charges ,"1,654.26",percent of total billed charges ,"1,779.90",percent of total billed charges ,"1,779.90",percent of total billed charges ,"1,675.20",percent of total billed charges ,"1,675.20",percent of total billed charges ,"1,465.80",percent of total billed charges ,"1,465.80",percent of total billed charges ,"1,256.40",percent of total billed charges ,"1,256.40",percent of total billed charges ,"1,256.40",percent of total billed charges ,"1,256.40",percent of total billed charges ,,,,,"1,114.01",percent of total billed charges ,,,,,"1,058.31",percent of total billed charges ,,,,,,,,,,,,,,,,,,,481.62,percent of total billed charges,,,481.62,percent of total billed charges,,,481.62,percent of total billed charges,,,481.62,percent of total billed charges,,,481.62,percent of total billed charges,,,481.62,percent of total billed charges,,,481.62,percent of total billed charges,,,481.62,percent of total billed charges,,,481.62,percent of total billed charges,,,481.62,percent of total billed charges,,,481.62,percent of total billed charges,
US BREAST COMPLETE LT 76641,76641,CDM,,,RT,both,,,940,940,216.2,940,940,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,742.6,percent of total billed charges,742.6,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 ,742.6,percent of total billed charges ,742.6,percent of total billed charges ,799,percent of total billed charges ,799,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 ,,,,,,,,,,,,,,,,,,,216.2,percent of total billed charges,,,216.2,percent of total billed charges,,,216.2,percent of total billed charges,,,216.2,percent of total billed charges,,,216.2,percent of total billed charges,,,216.2,percent of total billed charges,,,216.2,percent of total billed charges,,,216.2,percent of total billed charges,,,216.2,percent of total billed charges,,,216.2,percent of total billed charges,,,216.2,percent of total billed charges,
"MM DUCTOGRAM OR GALACTOGRAM, RT SINGLE D",77053,CDM,,,LT,both,,,"1,083.00","1,083.00",249.09,"1,083.00","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,"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,779.76,percent of total billed charges,779.76,percent of total billed charges,779.76,percent of total billed charges,779.76,percent of total billed charges,779.76,percent of total billed charges,779.76,percent of total billed charges,855.57,percent of total billed charges,855.57,percent of total billed charges,866.4,percent of total billed charges,866.4,percent of total billed charges,,,779.76,percent of total billed charges ,,,866.4,percent of total billed charges ,855.57,percent of total billed charges ,855.57,percent of total billed charges ,920.55,percent of total billed charges ,920.55,percent of total billed charges ,866.4,percent of total billed charges ,866.4,percent of total billed charges ,758.1,percent of total billed charges ,758.1,percent of total billed charges ,649.8,percent of total billed charges ,649.8,percent of total billed charges ,649.8,percent of total billed charges ,649.8,percent of total billed charges ,,,,,576.16,percent of total billed charges ,,,,,547.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,249.09,percent of total billed charges,,,249.09,percent of total billed charges,,,249.09,percent of total billed charges,,,249.09,percent of total billed charges,,,249.09,percent of total billed charges,,,249.09,percent of total billed charges,,,249.09,percent of total billed charges,,,249.09,percent of total billed charges,,,249.09,percent of total billed charges,,,249.09,percent of total billed charges,,,249.09,percent of total billed charges,
FEMUR 1 V LT,73551,CDM,,,LT,both,,,420,420,96.6,420,420,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,331.8,percent of total billed charges,331.8,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 ,331.8,percent of total billed charges ,331.8,percent of total billed charges ,357,percent of total billed charges ,357,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 ,,,,,,,,,,,,,,,,,,,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,
FEMUR 1 V RT,73551,CDM,,,LT,both,,,572,572,131.56,572,572,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,451.88,percent of total billed charges,451.88,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 ,451.88,percent of total billed charges ,451.88,percent of total billed charges ,486.2,percent of total billed charges ,486.2,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,131.56,percent of total billed charges,,,131.56,percent of total billed charges,,,131.56,percent of total billed charges,
HIP MIN 4 VWS RT,73503,CDM,,,RT,both,,,843,843,193.89,843,843,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,665.97,percent of total billed charges,665.97,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 ,665.97,percent of total billed charges ,665.97,percent of total billed charges ,716.55,percent of total billed charges ,716.55,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 ,,,,,,,,,,,,,,,,,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,
HIP MIN 4 VWS LT,73503,CDM,,,RT,both,,,843,843,193.89,843,843,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,665.97,percent of total billed charges,665.97,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 ,665.97,percent of total billed charges ,665.97,percent of total billed charges ,716.55,percent of total billed charges ,716.55,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 ,,,,,,,,,,,,,,,,,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,,,193.89,percent of total billed charges,
NEPHROSTOMY TUBE CHANGE 50435,50435,CDM,,,,both,,,"4,260.00","4,260.00",979.8,"4,260.00","4,260.00",percent of total billed charges,"4,260.00",percent of total billed charges,"4,260.00",percent of total billed charges,"4,260.00",percent of total billed charges,"4,260.00",percent of total billed charges,"4,260.00",percent of total billed charges,"4,260.00",percent of total billed charges,"4,260.00",percent of total billed charges,"3,067.20",percent of total billed charges,"3,067.20",percent of total billed charges,"3,067.20",percent of total billed charges,"3,067.20",percent of total billed charges,"3,067.20",percent of total billed charges,"3,067.20",percent of total billed charges,"3,365.40",percent of total billed charges,"3,365.40",percent of total billed charges,"3,408.00",percent of total billed charges,"3,408.00",percent of total billed charges,,,"3,067.20",percent of total billed charges ,,,"3,408.00",percent of total billed charges ,"3,365.40",percent of total billed charges ,"3,365.40",percent of total billed charges ,"3,621.00",percent of total billed charges ,"3,621.00",percent of total billed charges ,"3,408.00",percent of total billed charges ,"3,408.00",percent of total billed charges ,"2,982.00",percent of total billed charges ,"2,982.00",percent of total billed charges ,"2,556.00",percent of total billed charges ,"2,556.00",percent of total billed charges ,"2,556.00",percent of total billed charges ,"2,556.00",percent of total billed charges ,,,,,"2,266.32",percent of total billed charges ,,,,,"2,153.00",percent of total billed charges ,,,,,,,,,,,,,,,,,,,979.8,percent of total billed charges,,,979.8,percent of total billed charges,,,979.8,percent of total billed charges,,,979.8,percent of total billed charges,,,979.8,percent of total billed charges,,,979.8,percent of total billed charges,,,979.8,percent of total billed charges,,,979.8,percent of total billed charges,,,979.8,percent of total billed charges,,,979.8,percent of total billed charges,,,979.8,percent of total billed charges,
NM VQ SCAN-VENT & PERF IMAGING,78582,CDM,,,,both,,,"3,283.00","3,283.00",755.09,"3,283.00","3,283.00",percent of total billed charges,"3,283.00",percent of total billed charges,"3,283.00",percent of total billed charges,"3,283.00",percent of total billed charges,"3,283.00",percent of total billed charges,"3,283.00",percent of total billed charges,"3,283.00",percent of total billed charges,"3,283.00",percent of total billed charges,"2,363.76",percent of total billed charges,"2,363.76",percent of total billed charges,"2,363.76",percent of total billed charges,"2,363.76",percent of total billed charges,"2,363.76",percent of total billed charges,"2,363.76",percent of total billed charges,"2,593.57",percent of total billed charges,"2,593.57",percent of total billed charges,"2,626.40",percent of total billed charges,"2,626.40",percent of total billed charges,,,"2,363.76",percent of total billed charges ,,,"2,626.40",percent of total billed charges ,"2,593.57",percent of total billed charges ,"2,593.57",percent of total billed charges ,"2,790.55",percent of total billed charges ,"2,790.55",percent of total billed charges ,"2,626.40",percent of total billed charges ,"2,626.40",percent of total billed charges ,"2,298.10",percent of total billed charges ,"2,298.10",percent of total billed charges ,"1,969.80",percent of total billed charges ,"1,969.80",percent of total billed charges ,"1,969.80",percent of total billed charges ,"1,969.80",percent of total billed charges ,,,,,"1,746.56",percent of total billed charges ,,,,,"1,659.23",percent of total billed charges ,,,,,,,,,,,,,,,,,,,755.09,percent of total billed charges,,,755.09,percent of total billed charges,,,755.09,percent of total billed charges,,,755.09,percent of total billed charges,,,755.09,percent of total billed charges,,,755.09,percent of total billed charges,,,755.09,percent of total billed charges,,,755.09,percent of total billed charges,,,755.09,percent of total billed charges,,,755.09,percent of total billed charges,,,755.09,percent of total billed charges,
GASTRIC TUBE CHECK,49465,CDM,,,,both,,,"1,033.00","1,033.00",237.59,"1,033.00","1,033.00",percent of total billed charges,"1,033.00",percent of total billed charges,"1,033.00",percent of total billed charges,"1,033.00",percent of total billed charges,"1,033.00",percent of total billed charges,"1,033.00",percent of total billed charges,"1,033.00",percent of total billed charges,"1,033.00",percent of total billed charges,743.76,percent of total billed charges,743.76,percent of total billed charges,743.76,percent of total billed charges,743.76,percent of total billed charges,743.76,percent of total billed charges,743.76,percent of total billed charges,816.07,percent of total billed charges,816.07,percent of total billed charges,826.4,percent of total billed charges,826.4,percent of total billed charges,,,743.76,percent of total billed charges ,,,826.4,percent of total billed charges ,816.07,percent of total billed charges ,816.07,percent of total billed charges ,878.05,percent of total billed charges ,878.05,percent of total billed charges ,826.4,percent of total billed charges ,826.4,percent of total billed charges ,723.1,percent of total billed charges ,723.1,percent of total billed charges ,619.8,percent of total billed charges ,619.8,percent of total billed charges ,619.8,percent of total billed charges ,619.8,percent of total billed charges ,,,,,549.56,percent of total billed charges ,,,,,522.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,237.59,percent of total billed charges,,,237.59,percent of total billed charges,,,237.59,percent of total billed charges,,,237.59,percent of total billed charges,,,237.59,percent of total billed charges,,,237.59,percent of total billed charges,,,237.59,percent of total billed charges,,,237.59,percent of total billed charges,,,237.59,percent of total billed charges,,,237.59,percent of total billed charges,,,237.59,percent of total billed charges,
MM SCREENING BILAT TOMO HD,77063,CDM,,,LT,both,,,126,126,28.98,126,126,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,99.54,percent of total billed charges,99.54,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 ,99.54,percent of total billed charges ,99.54,percent of total billed charges ,107.1,percent of total billed charges ,107.1,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 ,,,,,,,,,,,,,,,,,,,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,
HIP RT 1 VW WITH PELVIS(IF PERFORMED),73501,CDM,,,RT,both,,,969,969,222.87,969,969,percent of total billed charges,969,percent of total billed charges,969,percent of total billed charges,969,percent of total billed charges,969,percent of total billed charges,969,percent of total billed charges,969,percent of total billed charges,969,percent of total billed charges,697.68,percent of total billed charges,697.68,percent of total billed charges,697.68,percent of total billed charges,697.68,percent of total billed charges,697.68,percent of total billed charges,697.68,percent of total billed charges,765.51,percent of total billed charges,765.51,percent of total billed charges,775.2,percent of total billed charges,775.2,percent of total billed charges,,,697.68,percent of total billed charges ,,,775.2,percent of total billed charges ,765.51,percent of total billed charges ,765.51,percent of total billed charges ,823.65,percent of total billed charges ,823.65,percent of total billed charges ,775.2,percent of total billed charges ,775.2,percent of total billed charges ,678.3,percent of total billed charges ,678.3,percent of total billed charges ,581.4,percent of total billed charges ,581.4,percent of total billed charges ,581.4,percent of total billed charges ,581.4,percent of total billed charges ,,,,,515.51,percent of total billed charges ,,,,,489.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,
HIP LT 1 VW WITH PELVIS(IF PERFORMED),73501,CDM,,,RT,both,,,969,969,222.87,969,969,percent of total billed charges,969,percent of total billed charges,969,percent of total billed charges,969,percent of total billed charges,969,percent of total billed charges,969,percent of total billed charges,969,percent of total billed charges,969,percent of total billed charges,697.68,percent of total billed charges,697.68,percent of total billed charges,697.68,percent of total billed charges,697.68,percent of total billed charges,697.68,percent of total billed charges,697.68,percent of total billed charges,765.51,percent of total billed charges,765.51,percent of total billed charges,775.2,percent of total billed charges,775.2,percent of total billed charges,,,697.68,percent of total billed charges ,,,775.2,percent of total billed charges ,765.51,percent of total billed charges ,765.51,percent of total billed charges ,823.65,percent of total billed charges ,823.65,percent of total billed charges ,775.2,percent of total billed charges ,775.2,percent of total billed charges ,678.3,percent of total billed charges ,678.3,percent of total billed charges ,581.4,percent of total billed charges ,581.4,percent of total billed charges ,581.4,percent of total billed charges ,581.4,percent of total billed charges ,,,,,515.51,percent of total billed charges ,,,,,489.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,
HIP RT 2 VWS WITH PELVIS(IF PERFORMED),73502,CDM,,,RT,both,,,969,969,222.87,969,969,percent of total billed charges,969,percent of total billed charges,969,percent of total billed charges,969,percent of total billed charges,969,percent of total billed charges,969,percent of total billed charges,969,percent of total billed charges,969,percent of total billed charges,697.68,percent of total billed charges,697.68,percent of total billed charges,697.68,percent of total billed charges,697.68,percent of total billed charges,697.68,percent of total billed charges,697.68,percent of total billed charges,765.51,percent of total billed charges,765.51,percent of total billed charges,775.2,percent of total billed charges,775.2,percent of total billed charges,,,697.68,percent of total billed charges ,,,775.2,percent of total billed charges ,765.51,percent of total billed charges ,765.51,percent of total billed charges ,823.65,percent of total billed charges ,823.65,percent of total billed charges ,775.2,percent of total billed charges ,775.2,percent of total billed charges ,678.3,percent of total billed charges ,678.3,percent of total billed charges ,581.4,percent of total billed charges ,581.4,percent of total billed charges ,581.4,percent of total billed charges ,581.4,percent of total billed charges ,,,,,515.51,percent of total billed charges ,,,,,489.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,
HIP LT 2 VWS WITH PELVIS(IF PERFORMED),73502,CDM,,,RT,both,,,969,969,222.87,969,969,percent of total billed charges,969,percent of total billed charges,969,percent of total billed charges,969,percent of total billed charges,969,percent of total billed charges,969,percent of total billed charges,969,percent of total billed charges,969,percent of total billed charges,697.68,percent of total billed charges,697.68,percent of total billed charges,697.68,percent of total billed charges,697.68,percent of total billed charges,697.68,percent of total billed charges,697.68,percent of total billed charges,765.51,percent of total billed charges,765.51,percent of total billed charges,775.2,percent of total billed charges,775.2,percent of total billed charges,,,697.68,percent of total billed charges ,,,775.2,percent of total billed charges ,765.51,percent of total billed charges ,765.51,percent of total billed charges ,823.65,percent of total billed charges ,823.65,percent of total billed charges ,775.2,percent of total billed charges ,775.2,percent of total billed charges ,678.3,percent of total billed charges ,678.3,percent of total billed charges ,581.4,percent of total billed charges ,581.4,percent of total billed charges ,581.4,percent of total billed charges ,581.4,percent of total billed charges ,,,,,515.51,percent of total billed charges ,,,,,489.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,
HIPS BILAT W PELVIS MIN 5 VWS,73523,CDM,,,,both,,,"1,402.00","1,402.00",322.46,"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,"1,107.58",percent of total billed charges,"1,107.58",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 ,"1,107.58",percent of total billed charges ,"1,107.58",percent of total billed charges ,"1,191.70",percent of total billed charges ,"1,191.70",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 ,,,,,,,,,,,,,,,,,,,322.46,percent of total billed charges,,,322.46,percent of total billed charges,,,322.46,percent of total billed charges,,,322.46,percent of total billed charges,,,322.46,percent of total billed charges,,,322.46,percent of total billed charges,,,322.46,percent of total billed charges,,,322.46,percent of total billed charges,,,322.46,percent of total billed charges,,,322.46,percent of total billed charges,,,322.46,percent of total billed charges,
LUMBAR EPIDURAL INJECTION-RADIOLOGY,62323,CDM,,,,both,,,"7,166.00","7,166.00","1,648.18","7,166.00","7,166.00",percent of total billed charges,"7,166.00",percent of total billed charges,"7,166.00",percent of total billed charges,"7,166.00",percent of total billed charges,"7,166.00",percent of total billed charges,"7,166.00",percent of total billed charges,"7,166.00",percent of total billed charges,"7,166.00",percent of total billed charges,"5,159.52",percent of total billed charges,"5,159.52",percent of total billed charges,"5,159.52",percent of total billed charges,"5,159.52",percent of total billed charges,"5,159.52",percent of total billed charges,"5,159.52",percent of total billed charges,"5,661.14",percent of total billed charges,"5,661.14",percent of total billed charges,"5,732.80",percent of total billed charges,"5,732.80",percent of total billed charges,,,"5,159.52",percent of total billed charges ,,,"5,732.80",percent of total billed charges ,"5,661.14",percent of total billed charges ,"5,661.14",percent of total billed charges ,"6,091.10",percent of total billed charges ,"6,091.10",percent of total billed charges ,"5,732.80",percent of total billed charges ,"5,732.80",percent of total billed charges ,"5,016.20",percent of total billed charges ,"5,016.20",percent of total billed charges ,"4,299.60",percent of total billed charges ,"4,299.60",percent of total billed charges ,"4,299.60",percent of total billed charges ,"4,299.60",percent of total billed charges ,,,,,"3,812.31",percent of total billed charges ,,,,,"3,621.70",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,648.18",percent of total billed charges,,,"1,648.18",percent of total billed charges,,,"1,648.18",percent of total billed charges,,,"1,648.18",percent of total billed charges,,,"1,648.18",percent of total billed charges,,,"1,648.18",percent of total billed charges,,,"1,648.18",percent of total billed charges,,,"1,648.18",percent of total billed charges,,,"1,648.18",percent of total billed charges,,,"1,648.18",percent of total billed charges,,,"1,648.18",percent of total billed charges,
LINE PLACEMENT FLUORO GUIDANCE,77001,CDM,,,,both,,,"1,203.00","1,203.00",276.69,"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,950.37,percent of total billed charges,950.37,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 ,950.37,percent of total billed charges ,950.37,percent of total billed charges ,"1,022.55",percent of total billed charges ,"1,022.55",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 ,,,,,,,,,,,,,,,,,,,276.69,percent of total billed charges,,,276.69,percent of total billed charges,,,276.69,percent of total billed charges,,,276.69,percent of total billed charges,,,276.69,percent of total billed charges,,,276.69,percent of total billed charges,,,276.69,percent of total billed charges,,,276.69,percent of total billed charges,,,276.69,percent of total billed charges,,,276.69,percent of total billed charges,,,276.69,percent of total billed charges,
MM DIAG BILAT TOMO HD,G0279,CDM,,,LT,both,,,130,130,29.9,130,130,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,102.7,percent of total billed charges,102.7,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 ,102.7,percent of total billed charges ,102.7,percent of total billed charges ,110.5,percent of total billed charges ,110.5,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 ,,,,,,,,,,,,,,,,,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,
MM DIAG UNILAT LT TOMO HD,G0279,CDM,,,LT,both,,,130,130,29.9,130,130,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,102.7,percent of total billed charges,102.7,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 ,102.7,percent of total billed charges ,102.7,percent of total billed charges ,110.5,percent of total billed charges ,110.5,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 ,,,,,,,,,,,,,,,,,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,
MM DIAG UNILAT RT TOMO HD,G0279,CDM,,,LT,both,,,130,130,29.9,130,130,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,102.7,percent of total billed charges,102.7,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 ,102.7,percent of total billed charges ,102.7,percent of total billed charges ,110.5,percent of total billed charges ,110.5,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 ,,,,,,,,,,,,,,,,,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,
MM SCREENING LT TOMO HD,77063,CDM,,,LT,both,,,126,126,28.98,126,126,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,99.54,percent of total billed charges,99.54,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 ,99.54,percent of total billed charges ,99.54,percent of total billed charges ,107.1,percent of total billed charges ,107.1,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 ,,,,,,,,,,,,,,,,,,,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,
MM SCREENING RT TOMO HD,77063,CDM,,,LT,both,,,126,126,28.98,126,126,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,99.54,percent of total billed charges,99.54,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 ,99.54,percent of total billed charges ,99.54,percent of total billed charges ,107.1,percent of total billed charges ,107.1,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 ,,,,,,,,,,,,,,,,,,,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,
LUNG BIOPSY,32408,CDM,,,,both,,,"2,709.00","2,709.00",623.07,"2,709.00","2,709.00",percent of total billed charges,"2,709.00",percent of total billed charges,"2,709.00",percent of total billed charges,"2,709.00",percent of total billed charges,"2,709.00",percent of total billed charges,"2,709.00",percent of total billed charges,"2,709.00",percent of total billed charges,"2,709.00",percent of total billed charges,"1,950.48",percent of total billed charges,"1,950.48",percent of total billed charges,"1,950.48",percent of total billed charges,"1,950.48",percent of total billed charges,"1,950.48",percent of total billed charges,"1,950.48",percent of total billed charges,"2,140.11",percent of total billed charges,"2,140.11",percent of total billed charges,"2,167.20",percent of total billed charges,"2,167.20",percent of total billed charges,,,"1,950.48",percent of total billed charges ,,,"2,167.20",percent of total billed charges ,"2,140.11",percent of total billed charges ,"2,140.11",percent of total billed charges ,"2,302.65",percent of total billed charges ,"2,302.65",percent of total billed charges ,"2,167.20",percent of total billed charges ,"2,167.20",percent of total billed charges ,"1,896.30",percent of total billed charges ,"1,896.30",percent of total billed charges ,"1,625.40",percent of total billed charges ,"1,625.40",percent of total billed charges ,"1,625.40",percent of total billed charges ,"1,625.40",percent of total billed charges ,,,,,"1,441.19",percent of total billed charges ,,,,,"1,369.13",percent of total billed charges ,,,,,,,,,,,,,,,,,,,623.07,percent of total billed charges,,,623.07,percent of total billed charges,,,623.07,percent of total billed charges,,,623.07,percent of total billed charges,,,623.07,percent of total billed charges,,,623.07,percent of total billed charges,,,623.07,percent of total billed charges,,,623.07,percent of total billed charges,,,623.07,percent of total billed charges,,,623.07,percent of total billed charges,,,623.07,percent of total billed charges,
NM PARATHYROID W/SPECT CT,78072,CDM,,,,both,,,"3,265.00","3,265.00",750.95,"3,265.00","3,265.00",percent of total billed charges,"3,265.00",percent of total billed charges,"3,265.00",percent of total billed charges,"3,265.00",percent of total billed charges,"3,265.00",percent of total billed charges,"3,265.00",percent of total billed charges,"3,265.00",percent of total billed charges,"3,265.00",percent of total billed charges,"2,350.80",percent of total billed charges,"2,350.80",percent of total billed charges,"2,350.80",percent of total billed charges,"2,350.80",percent of total billed charges,"2,350.80",percent of total billed charges,"2,350.80",percent of total billed charges,"2,579.35",percent of total billed charges,"2,579.35",percent of total billed charges,"2,612.00",percent of total billed charges,"2,612.00",percent of total billed charges,,,"2,350.80",percent of total billed charges ,,,"2,612.00",percent of total billed charges ,"2,579.35",percent of total billed charges ,"2,579.35",percent of total billed charges ,"2,775.25",percent of total billed charges ,"2,775.25",percent of total billed charges ,"2,612.00",percent of total billed charges ,"2,612.00",percent of total billed charges ,"2,285.50",percent of total billed charges ,"2,285.50",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 ,,,,,"1,736.98",percent of total billed charges ,,,,,"1,650.13",percent of total billed charges ,,,,,,,,,,,,,,,,,,,750.95,percent of total billed charges,,,750.95,percent of total billed charges,,,750.95,percent of total billed charges,,,750.95,percent of total billed charges,,,750.95,percent of total billed charges,,,750.95,percent of total billed charges,,,750.95,percent of total billed charges,,,750.95,percent of total billed charges,,,750.95,percent of total billed charges,,,750.95,percent of total billed charges,,,750.95,percent of total billed charges,
US INTRAOPERATIVE 76998,76998,CDM,,,,both,,,"1,435.00","1,435.00",330.05,"1,435.00","1,435.00",percent of total billed charges,"1,435.00",percent of total billed charges,"1,435.00",percent of total billed charges,"1,435.00",percent of total billed charges,"1,435.00",percent of total billed charges,"1,435.00",percent of total billed charges,"1,435.00",percent of total billed charges,"1,435.00",percent of total billed charges,"1,033.20",percent of total billed charges,"1,033.20",percent of total billed charges,"1,033.20",percent of total billed charges,"1,033.20",percent of total billed charges,"1,033.20",percent of total billed charges,"1,033.20",percent of total billed charges,"1,133.65",percent of total billed charges,"1,133.65",percent of total billed charges,"1,148.00",percent of total billed charges,"1,148.00",percent of total billed charges,,,"1,033.20",percent of total billed charges ,,,"1,148.00",percent of total billed charges ,"1,133.65",percent of total billed charges ,"1,133.65",percent of total billed charges ,"1,219.75",percent of total billed charges ,"1,219.75",percent of total billed charges ,"1,148.00",percent of total billed charges ,"1,148.00",percent of total billed charges ,"1,004.50",percent of total billed charges ,"1,004.50",percent of total billed charges ,861,percent of total billed charges ,861,percent of total billed charges ,861,percent of total billed charges ,861,percent of total billed charges ,,,,,763.42,percent of total billed charges ,,,,,725.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,330.05,percent of total billed charges,,,330.05,percent of total billed charges,,,330.05,percent of total billed charges,,,330.05,percent of total billed charges,,,330.05,percent of total billed charges,,,330.05,percent of total billed charges,,,330.05,percent of total billed charges,,,330.05,percent of total billed charges,,,330.05,percent of total billed charges,,,330.05,percent of total billed charges,,,330.05,percent of total billed charges,
US ABD AORTA SCREENING 76706,76706,CDM,,,,both,,,"1,434.00","1,434.00",329.82,"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,"1,132.86",percent of total billed charges,"1,132.86",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 ,"1,132.86",percent of total billed charges ,"1,132.86",percent of total billed charges ,"1,218.90",percent of total billed charges ,"1,218.90",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 ,,,,,,,,,,,,,,,,,,,329.82,percent of total billed charges,,,329.82,percent of total billed charges,,,329.82,percent of total billed charges,,,329.82,percent of total billed charges,,,329.82,percent of total billed charges,,,329.82,percent of total billed charges,,,329.82,percent of total billed charges,,,329.82,percent of total billed charges,,,329.82,percent of total billed charges,,,329.82,percent of total billed charges,,,329.82,percent of total billed charges,
MM SURGICAL SPECIMEN LT 76098,76098,CDM,,,,both,,,890,890,204.7,890,890,percent of total billed charges,890,percent of total billed charges,890,percent of total billed charges,890,percent of total billed charges,890,percent of total billed charges,890,percent of total billed charges,890,percent of total billed charges,890,percent of total billed charges,640.8,percent of total billed charges,640.8,percent of total billed charges,640.8,percent of total billed charges,640.8,percent of total billed charges,640.8,percent of total billed charges,640.8,percent of total billed charges,703.1,percent of total billed charges,703.1,percent of total billed charges,712,percent of total billed charges,712,percent of total billed charges,,,640.8,percent of total billed charges ,,,712,percent of total billed charges ,703.1,percent of total billed charges ,703.1,percent of total billed charges ,756.5,percent of total billed charges ,756.5,percent of total billed charges ,712,percent of total billed charges ,712,percent of total billed charges ,623,percent of total billed charges ,623,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 ,,,,,473.48,percent of total billed charges ,,,,,449.81,percent of total billed charges ,,,,,,,,,,,,,,,,,,,204.7,percent of total billed charges,,,204.7,percent of total billed charges,,,204.7,percent of total billed charges,,,204.7,percent of total billed charges,,,204.7,percent of total billed charges,,,204.7,percent of total billed charges,,,204.7,percent of total billed charges,,,204.7,percent of total billed charges,,,204.7,percent of total billed charges,,,204.7,percent of total billed charges,,,204.7,percent of total billed charges,
NM INDIUM DPTA,A9548,CDM,,,,both,,,"12,388.00","12,388.00","2,849.24","12,388.00","12,388.00",percent of total billed charges,"12,388.00",percent of total billed charges,"12,388.00",percent of total billed charges,"12,388.00",percent of total billed charges,"12,388.00",percent of total billed charges,"12,388.00",percent of total billed charges,"12,388.00",percent of total billed charges,"12,388.00",percent of total billed charges,"8,919.36",percent of total billed charges,"8,919.36",percent of total billed charges,"8,919.36",percent of total billed charges,"8,919.36",percent of total billed charges,"8,919.36",percent of total billed charges,"8,919.36",percent of total billed charges,"9,786.52",percent of total billed charges,"9,786.52",percent of total billed charges,"9,910.40",percent of total billed charges,"9,910.40",percent of total billed charges,,,"8,919.36",percent of total billed charges ,,,"9,910.40",percent of total billed charges ,"9,786.52",percent of total billed charges ,"9,786.52",percent of total billed charges ,"10,529.80",percent of total billed charges ,"10,529.80",percent of total billed charges ,"9,910.40",percent of total billed charges ,"9,910.40",percent of total billed charges ,"8,671.60",percent of total billed charges ,"8,671.60",percent of total billed charges ,"7,432.80",percent of total billed charges ,"7,432.80",percent of total billed charges ,"7,432.80",percent of total billed charges ,"7,432.80",percent of total billed charges ,,,,,"6,590.42",percent of total billed charges ,,,,,"6,260.90",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,849.24",percent of total billed charges,,,"2,849.24",percent of total billed charges,,,"2,849.24",percent of total billed charges,,,"2,849.24",percent of total billed charges,,,"2,849.24",percent of total billed charges,,,"2,849.24",percent of total billed charges,,,"2,849.24",percent of total billed charges,,,"2,849.24",percent of total billed charges,,,"2,849.24",percent of total billed charges,,,"2,849.24",percent of total billed charges,,,"2,849.24",percent of total billed charges,
US AORTA COMPLETE 93978,93978,CDM,,,,both,,,"1,549.00","1,549.00",356.27,"1,549.00","1,549.00",percent of total billed charges,"1,549.00",percent of total billed charges,"1,549.00",percent of total billed charges,"1,549.00",percent of total billed charges,"1,549.00",percent of total billed charges,"1,549.00",percent of total billed charges,"1,549.00",percent of total billed charges,"1,549.00",percent of total billed charges,"1,115.28",percent of total billed charges,"1,115.28",percent of total billed charges,"1,115.28",percent of total billed charges,"1,115.28",percent of total billed charges,"1,115.28",percent of total billed charges,"1,115.28",percent of total billed charges,"1,223.71",percent of total billed charges,"1,223.71",percent of total billed charges,"1,239.20",percent of total billed charges,"1,239.20",percent of total billed charges,,,"1,115.28",percent of total billed charges ,,,"1,239.20",percent of total billed charges ,"1,223.71",percent of total billed charges ,"1,223.71",percent of total billed charges ,"1,316.65",percent of total billed charges ,"1,316.65",percent of total billed charges ,"1,239.20",percent of total billed charges ,"1,239.20",percent of total billed charges ,"1,084.30",percent of total billed charges ,"1,084.30",percent of total billed charges ,929.4,percent of total billed charges ,929.4,percent of total billed charges ,929.4,percent of total billed charges ,929.4,percent of total billed charges ,,,,,824.07,percent of total billed charges ,,,,,782.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,356.27,percent of total billed charges,,,356.27,percent of total billed charges,,,356.27,percent of total billed charges,,,356.27,percent of total billed charges,,,356.27,percent of total billed charges,,,356.27,percent of total billed charges,,,356.27,percent of total billed charges,,,356.27,percent of total billed charges,,,356.27,percent of total billed charges,,,356.27,percent of total billed charges,,,356.27,percent of total billed charges,
US AORTA LIMITED 93979,93979,CDM,,,,both,,,"1,090.00","1,090.00",250.7,"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,861.1,percent of total billed charges,861.1,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 ,861.1,percent of total billed charges ,861.1,percent of total billed charges ,926.5,percent of total billed charges ,926.5,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 ,,,,,,,,,,,,,,,,,,,250.7,percent of total billed charges,,,250.7,percent of total billed charges,,,250.7,percent of total billed charges,,,250.7,percent of total billed charges,,,250.7,percent of total billed charges,,,250.7,percent of total billed charges,,,250.7,percent of total billed charges,,,250.7,percent of total billed charges,,,250.7,percent of total billed charges,,,250.7,percent of total billed charges,,,250.7,percent of total billed charges,
CT CHEST/ABD WO,71250,CDM,,,,both,,,"3,021.00","3,021.00",694.83,"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,"2,386.59",percent of total billed charges,"2,386.59",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 ,"2,386.59",percent of total billed charges ,"2,386.59",percent of total billed charges ,"2,567.85",percent of total billed charges ,"2,567.85",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 ,,,,,,,,,,,,,,,,,,,694.83,percent of total billed charges,,,694.83,percent of total billed charges,,,694.83,percent of total billed charges,,,694.83,percent of total billed charges,,,694.83,percent of total billed charges,,,694.83,percent of total billed charges,,,694.83,percent of total billed charges,,,694.83,percent of total billed charges,,,694.83,percent of total billed charges,,,694.83,percent of total billed charges,,,694.83,percent of total billed charges,
US BREAST NDL LOC BX ADD'L SITE LT 19286,19286,CDM,,,,both,,,"2,033.00","2,033.00",467.59,"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,"1,606.07",percent of total billed charges,"1,606.07",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 ,"1,606.07",percent of total billed charges ,"1,606.07",percent of total billed charges ,"1,728.05",percent of total billed charges ,"1,728.05",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 ,,,,,,,,,,,,,,,,,,,467.59,percent of total billed charges,,,467.59,percent of total billed charges,,,467.59,percent of total billed charges,,,467.59,percent of total billed charges,,,467.59,percent of total billed charges,,,467.59,percent of total billed charges,,,467.59,percent of total billed charges,,,467.59,percent of total billed charges,,,467.59,percent of total billed charges,,,467.59,percent of total billed charges,,,467.59,percent of total billed charges,
"ASPIRATION OF ABSCESS, HEMATOMA OR CYST",10160,CDM,,,GF,both,,,848,848,195.04,848,848,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,669.92,percent of total billed charges,669.92,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 ,669.92,percent of total billed charges ,669.92,percent of total billed charges ,720.8,percent of total billed charges ,720.8,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 ,,,,,,,,,,,,,,,,,,,195.04,percent of total billed charges,,,195.04,percent of total billed charges,,,195.04,percent of total billed charges,,,195.04,percent of total billed charges,,,195.04,percent of total billed charges,,,195.04,percent of total billed charges,,,195.04,percent of total billed charges,,,195.04,percent of total billed charges,,,195.04,percent of total billed charges,,,195.04,percent of total billed charges,,,195.04,percent of total billed charges,
CONTRAST INJECTION THROUGH A TUBE,49424,CDM,,,,both,,,"1,216.00","1,216.00",279.68,"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,960.64,percent of total billed charges,960.64,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 ,960.64,percent of total billed charges ,960.64,percent of total billed charges ,"1,033.60",percent of total billed charges ,"1,033.60",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 ,,,,,,,,,,,,,,,,,,,279.68,percent of total billed charges,,,279.68,percent of total billed charges,,,279.68,percent of total billed charges,,,279.68,percent of total billed charges,,,279.68,percent of total billed charges,,,279.68,percent of total billed charges,,,279.68,percent of total billed charges,,,279.68,percent of total billed charges,,,279.68,percent of total billed charges,,,279.68,percent of total billed charges,,,279.68,percent of total billed charges,
VISIPAQUE 320MG BOTLE 150 IN 200M,Q9967,CDM,,,,both,,,473,473,108.79,473,473,percent of total billed charges,473,percent of total billed charges,473,percent of total billed charges,473,percent of total billed charges,473,percent of total billed charges,473,percent of total billed charges,473,percent of total billed charges,473,percent of total billed charges,340.56,percent of total billed charges,340.56,percent of total billed charges,340.56,percent of total billed charges,340.56,percent of total billed charges,340.56,percent of total billed charges,340.56,percent of total billed charges,373.67,percent of total billed charges,373.67,percent of total billed charges,378.4,percent of total billed charges,378.4,percent of total billed charges,,,340.56,percent of total billed charges ,,,378.4,percent of total billed charges ,373.67,percent of total billed charges ,373.67,percent of total billed charges ,402.05,percent of total billed charges ,402.05,percent of total billed charges ,378.4,percent of total billed charges ,378.4,percent of total billed charges ,331.1,percent of total billed charges ,331.1,percent of total billed charges ,283.8,percent of total billed charges ,283.8,percent of total billed charges ,283.8,percent of total billed charges ,283.8,percent of total billed charges ,,,,,251.64,percent of total billed charges ,,,,,239.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,108.79,percent of total billed charges,,,108.79,percent of total billed charges,,,108.79,percent of total billed charges,,,108.79,percent of total billed charges,,,108.79,percent of total billed charges,,,108.79,percent of total billed charges,,,108.79,percent of total billed charges,,,108.79,percent of total billed charges,,,108.79,percent of total billed charges,,,108.79,percent of total billed charges,,,108.79,percent of total billed charges,
CTA CHEST W/WO & ABD W,71275,CDM,,,,both,,,"4,052.00","4,052.00",931.96,"4,052.00","4,052.00",percent of total billed charges,"4,052.00",percent of total billed charges,"4,052.00",percent of total billed charges,"4,052.00",percent of total billed charges,"4,052.00",percent of total billed charges,"4,052.00",percent of total billed charges,"4,052.00",percent of total billed charges,"4,052.00",percent of total billed charges,"2,917.44",percent of total billed charges,"2,917.44",percent of total billed charges,"2,917.44",percent of total billed charges,"2,917.44",percent of total billed charges,"2,917.44",percent of total billed charges,"2,917.44",percent of total billed charges,"3,201.08",percent of total billed charges,"3,201.08",percent of total billed charges,"3,241.60",percent of total billed charges,"3,241.60",percent of total billed charges,,,"2,917.44",percent of total billed charges ,,,"3,241.60",percent of total billed charges ,"3,201.08",percent of total billed charges ,"3,201.08",percent of total billed charges ,"3,444.20",percent of total billed charges ,"3,444.20",percent of total billed charges ,"3,241.60",percent of total billed charges ,"3,241.60",percent of total billed charges ,"2,836.40",percent of total billed charges ,"2,836.40",percent of total billed charges ,"2,431.20",percent of total billed charges ,"2,431.20",percent of total billed charges ,"2,431.20",percent of total billed charges ,"2,431.20",percent of total billed charges ,,,,,"2,155.66",percent of total billed charges ,,,,,"2,047.88",percent of total billed charges ,,,,,,,,,,,,,,,,,,,931.96,percent of total billed charges,,,931.96,percent of total billed charges,,,931.96,percent of total billed charges,,,931.96,percent of total billed charges,,,931.96,percent of total billed charges,,,931.96,percent of total billed charges,,,931.96,percent of total billed charges,,,931.96,percent of total billed charges,,,931.96,percent of total billed charges,,,931.96,percent of total billed charges,,,931.96,percent of total billed charges,
NM LYMPHOSEEK,A9520,CDM,,,,both,,,"4,999.00","4,999.00","1,149.77","4,999.00","4,999.00",percent of total billed charges,"4,999.00",percent of total billed charges,"4,999.00",percent of total billed charges,"4,999.00",percent of total billed charges,"4,999.00",percent of total billed charges,"4,999.00",percent of total billed charges,"4,999.00",percent of total billed charges,"4,999.00",percent of total billed charges,"3,599.28",percent of total billed charges,"3,599.28",percent of total billed charges,"3,599.28",percent of total billed charges,"3,599.28",percent of total billed charges,"3,599.28",percent of total billed charges,"3,599.28",percent of total billed charges,"3,949.21",percent of total billed charges,"3,949.21",percent of total billed charges,"3,999.20",percent of total billed charges,"3,999.20",percent of total billed charges,,,"3,599.28",percent of total billed charges ,,,"3,999.20",percent of total billed charges ,"3,949.21",percent of total billed charges ,"3,949.21",percent of total billed charges ,"4,249.15",percent of total billed charges ,"4,249.15",percent of total billed charges ,"3,999.20",percent of total billed charges ,"3,999.20",percent of total billed charges ,"3,499.30",percent of total billed charges ,"3,499.30",percent of total billed charges ,"2,999.40",percent of total billed charges ,"2,999.40",percent of total billed charges ,"2,999.40",percent of total billed charges ,"2,999.40",percent of total billed charges ,,,,,"2,659.47",percent of total billed charges ,,,,,"2,526.49",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,149.77",percent of total billed charges,,,"1,149.77",percent of total billed charges,,,"1,149.77",percent of total billed charges,,,"1,149.77",percent of total billed charges,,,"1,149.77",percent of total billed charges,,,"1,149.77",percent of total billed charges,,,"1,149.77",percent of total billed charges,,,"1,149.77",percent of total billed charges,,,"1,149.77",percent of total billed charges,,,"1,149.77",percent of total billed charges,,,"1,149.77",percent of total billed charges,
CTA CHEST W/WO,71275,CDM,,,,both,,,"4,052.00","4,052.00",931.96,"4,052.00","4,052.00",percent of total billed charges,"4,052.00",percent of total billed charges,"4,052.00",percent of total billed charges,"4,052.00",percent of total billed charges,"4,052.00",percent of total billed charges,"4,052.00",percent of total billed charges,"4,052.00",percent of total billed charges,"4,052.00",percent of total billed charges,"2,917.44",percent of total billed charges,"2,917.44",percent of total billed charges,"2,917.44",percent of total billed charges,"2,917.44",percent of total billed charges,"2,917.44",percent of total billed charges,"2,917.44",percent of total billed charges,"3,201.08",percent of total billed charges,"3,201.08",percent of total billed charges,"3,241.60",percent of total billed charges,"3,241.60",percent of total billed charges,,,"2,917.44",percent of total billed charges ,,,"3,241.60",percent of total billed charges ,"3,201.08",percent of total billed charges ,"3,201.08",percent of total billed charges ,"3,444.20",percent of total billed charges ,"3,444.20",percent of total billed charges ,"3,241.60",percent of total billed charges ,"3,241.60",percent of total billed charges ,"2,836.40",percent of total billed charges ,"2,836.40",percent of total billed charges ,"2,431.20",percent of total billed charges ,"2,431.20",percent of total billed charges ,"2,431.20",percent of total billed charges ,"2,431.20",percent of total billed charges ,,,,,"2,155.66",percent of total billed charges ,,,,,"2,047.88",percent of total billed charges ,,,,,,,,,,,,,,,,,,,931.96,percent of total billed charges,,,931.96,percent of total billed charges,,,931.96,percent of total billed charges,,,931.96,percent of total billed charges,,,931.96,percent of total billed charges,,,931.96,percent of total billed charges,,,931.96,percent of total billed charges,,,931.96,percent of total billed charges,,,931.96,percent of total billed charges,,,931.96,percent of total billed charges,,,931.96,percent of total billed charges,
NM HIDA W/OUT PHARM,78226,CDM,,,,both,,,"2,688.00","2,688.00",618.24,"2,688.00","2,688.00",percent of total billed charges,"2,688.00",percent of total billed charges,"2,688.00",percent of total billed charges,"2,688.00",percent of total billed charges,"2,688.00",percent of total billed charges,"2,688.00",percent of total billed charges,"2,688.00",percent of total billed charges,"2,688.00",percent of total billed charges,"1,935.36",percent of total billed charges,"1,935.36",percent of total billed charges,"1,935.36",percent of total billed charges,"1,935.36",percent of total billed charges,"1,935.36",percent of total billed charges,"1,935.36",percent of total billed charges,"2,123.52",percent of total billed charges,"2,123.52",percent of total billed charges,"2,150.40",percent of total billed charges,"2,150.40",percent of total billed charges,,,"1,935.36",percent of total billed charges ,,,"2,150.40",percent of total billed charges ,"2,123.52",percent of total billed charges ,"2,123.52",percent of total billed charges ,"2,284.80",percent of total billed charges ,"2,284.80",percent of total billed charges ,"2,150.40",percent of total billed charges ,"2,150.40",percent of total billed charges ,"1,881.60",percent of total billed charges ,"1,881.60",percent of total billed charges ,"1,612.80",percent of total billed charges ,"1,612.80",percent of total billed charges ,"1,612.80",percent of total billed charges ,"1,612.80",percent of total billed charges ,,,,,"1,430.02",percent of total billed charges ,,,,,"1,358.52",percent of total billed charges ,,,,,,,,,,,,,,,,,,,618.24,percent of total billed charges,,,618.24,percent of total billed charges,,,618.24,percent of total billed charges,,,618.24,percent of total billed charges,,,618.24,percent of total billed charges,,,618.24,percent of total billed charges,,,618.24,percent of total billed charges,,,618.24,percent of total billed charges,,,618.24,percent of total billed charges,,,618.24,percent of total billed charges,,,618.24,percent of total billed charges,
DOTAREM 10ML,A9575,CDM,,,,both,,,179,179,41.17,179,179,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,141.41,percent of total billed charges,141.41,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 ,141.41,percent of total billed charges ,141.41,percent of total billed charges ,152.15,percent of total billed charges ,152.15,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 ,,,,,,,,,,,,,,,,,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,
DOTAREM 15ML,A9575,CDM,,,,both,,,268,268,61.64,268,268,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,211.72,percent of total billed charges,211.72,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 ,211.72,percent of total billed charges ,211.72,percent of total billed charges ,227.8,percent of total billed charges ,227.8,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 ,,,,,,,,,,,,,,,,,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,,,61.64,percent of total billed charges,
NM NON-HEU TC-99M ADD-ON DOSE,Q9969,CDM,,,,both,,,14,14,3.22,14,14,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,11.06,percent of total billed charges,11.06,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 ,11.06,percent of total billed charges ,11.06,percent of total billed charges ,11.9,percent of total billed charges ,11.9,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 ,,,,,,,,,,,,,,,,,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,
OMNIPAQUE 300MG/50ML,Q9967,CDM,,,,both,,,47,47,10.81,47,47,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,37.13,percent of total billed charges,37.13,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 ,37.13,percent of total billed charges ,37.13,percent of total billed charges ,39.95,percent of total billed charges ,39.95,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
OMNIPAQUE 180MG/10ML,Q9965,CDM,,,,both,,,141,141,32.43,141,141,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,111.39,percent of total billed charges,111.39,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 ,111.39,percent of total billed charges ,111.39,percent of total billed charges ,119.85,percent of total billed charges ,119.85,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 ,,,,,,,,,,,,,,,,,,,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,
OMNIPAQUE 300MG/10ML,Q9967,CDM,,,,both,,,143,143,32.89,143,143,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,112.97,percent of total billed charges,112.97,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 ,112.97,percent of total billed charges ,112.97,percent of total billed charges ,121.55,percent of total billed charges ,121.55,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 ,,,,,,,,,,,,,,,,,,,32.89,percent of total billed charges,,,32.89,percent of total billed charges,,,32.89,percent of total billed charges,,,32.89,percent of total billed charges,,,32.89,percent of total billed charges,,,32.89,percent of total billed charges,,,32.89,percent of total billed charges,,,32.89,percent of total billed charges,,,32.89,percent of total billed charges,,,32.89,percent of total billed charges,,,32.89,percent of total billed charges,
OMNIPAQUE 240MG/50ML,Q9966,CDM,,,,both,,,34,34,7.82,34,34,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,26.86,percent of total billed charges,26.86,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 ,26.86,percent of total billed charges ,26.86,percent of total billed charges ,28.9,percent of total billed charges ,28.9,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 ,,,,,,,,,,,,,,,,,,,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,,,7.82,percent of total billed charges,,,7.82,percent of total billed charges,,,7.82,percent of total billed charges,
OMNIPAQUE 240MG/200ML,Q9966,CDM,,,,both,,,187,187,43.01,187,187,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,147.73,percent of total billed charges,147.73,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 ,147.73,percent of total billed charges ,147.73,percent of total billed charges ,158.95,percent of total billed charges ,158.95,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 ,,,,,,,,,,,,,,,,,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,
CT LUNG SCREENING NODULE FOLLOW UP 71250,71250,CDM,,,,both,,,"3,021.00","3,021.00",694.83,"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,"2,386.59",percent of total billed charges,"2,386.59",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 ,"2,386.59",percent of total billed charges ,"2,386.59",percent of total billed charges ,"2,567.85",percent of total billed charges ,"2,567.85",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 ,,,,,,,,,,,,,,,,,,,694.83,percent of total billed charges,,,694.83,percent of total billed charges,,,694.83,percent of total billed charges,,,694.83,percent of total billed charges,,,694.83,percent of total billed charges,,,694.83,percent of total billed charges,,,694.83,percent of total billed charges,,,694.83,percent of total billed charges,,,694.83,percent of total billed charges,,,694.83,percent of total billed charges,,,694.83,percent of total billed charges,
CT CHEST NODULE FOLLOW UP,71250,CDM,,,,both,,,"3,021.00","3,021.00",694.83,"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,"2,386.59",percent of total billed charges,"2,386.59",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 ,"2,386.59",percent of total billed charges ,"2,386.59",percent of total billed charges ,"2,567.85",percent of total billed charges ,"2,567.85",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 ,,,,,,,,,,,,,,,,,,,694.83,percent of total billed charges,,,694.83,percent of total billed charges,,,694.83,percent of total billed charges,,,694.83,percent of total billed charges,,,694.83,percent of total billed charges,,,694.83,percent of total billed charges,,,694.83,percent of total billed charges,,,694.83,percent of total billed charges,,,694.83,percent of total billed charges,,,694.83,percent of total billed charges,,,694.83,percent of total billed charges,
NM BONE MARROW IMAGING LIMITED,78102,CDM,,,,both,,,"1,737.00","1,737.00",399.51,"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,"1,372.23",percent of total billed charges,"1,372.23",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 ,"1,372.23",percent of total billed charges ,"1,372.23",percent of total billed charges ,"1,476.45",percent of total billed charges ,"1,476.45",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 ,,,,,,,,,,,,,,,,,,,399.51,percent of total billed charges,,,399.51,percent of total billed charges,,,399.51,percent of total billed charges,,,399.51,percent of total billed charges,,,399.51,percent of total billed charges,,,399.51,percent of total billed charges,,,399.51,percent of total billed charges,,,399.51,percent of total billed charges,,,399.51,percent of total billed charges,,,399.51,percent of total billed charges,,,399.51,percent of total billed charges,
US DIALYSIS GRAFT 93990,93990,CDM,,,,both,,,"1,083.00","1,083.00",249.09,"1,083.00","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,"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,779.76,percent of total billed charges,779.76,percent of total billed charges,779.76,percent of total billed charges,779.76,percent of total billed charges,779.76,percent of total billed charges,779.76,percent of total billed charges,855.57,percent of total billed charges,855.57,percent of total billed charges,866.4,percent of total billed charges,866.4,percent of total billed charges,,,779.76,percent of total billed charges ,,,866.4,percent of total billed charges ,855.57,percent of total billed charges ,855.57,percent of total billed charges ,920.55,percent of total billed charges ,920.55,percent of total billed charges ,866.4,percent of total billed charges ,866.4,percent of total billed charges ,758.1,percent of total billed charges ,758.1,percent of total billed charges ,649.8,percent of total billed charges ,649.8,percent of total billed charges ,649.8,percent of total billed charges ,649.8,percent of total billed charges ,,,,,576.16,percent of total billed charges ,,,,,547.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,249.09,percent of total billed charges,,,249.09,percent of total billed charges,,,249.09,percent of total billed charges,,,249.09,percent of total billed charges,,,249.09,percent of total billed charges,,,249.09,percent of total billed charges,,,249.09,percent of total billed charges,,,249.09,percent of total billed charges,,,249.09,percent of total billed charges,,,249.09,percent of total billed charges,,,249.09,percent of total billed charges,
US TRANSPLANT KIDNEY 76776,76776,CDM,,,,both,,,"1,211.00","1,211.00",278.53,"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,956.69,percent of total billed charges,956.69,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 ,956.69,percent of total billed charges ,956.69,percent of total billed charges ,"1,029.35",percent of total billed charges ,"1,029.35",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 ,,,,,,,,,,,,,,,,,,,278.53,percent of total billed charges,,,278.53,percent of total billed charges,,,278.53,percent of total billed charges,,,278.53,percent of total billed charges,,,278.53,percent of total billed charges,,,278.53,percent of total billed charges,,,278.53,percent of total billed charges,,,278.53,percent of total billed charges,,,278.53,percent of total billed charges,,,278.53,percent of total billed charges,,,278.53,percent of total billed charges,
US BREAST NDL LOC BX RT 19285,19285,CDM,,,,both,,,"3,942.00","3,942.00",906.66,"3,942.00","3,942.00",percent of total billed charges,"3,942.00",percent of total billed charges,"3,942.00",percent of total billed charges,"3,942.00",percent of total billed charges,"3,942.00",percent of total billed charges,"3,942.00",percent of total billed charges,"3,942.00",percent of total billed charges,"3,942.00",percent of total billed charges,"2,838.24",percent of total billed charges,"2,838.24",percent of total billed charges,"2,838.24",percent of total billed charges,"2,838.24",percent of total billed charges,"2,838.24",percent of total billed charges,"2,838.24",percent of total billed charges,"3,114.18",percent of total billed charges,"3,114.18",percent of total billed charges,"3,153.60",percent of total billed charges,"3,153.60",percent of total billed charges,,,"2,838.24",percent of total billed charges ,,,"3,153.60",percent of total billed charges ,"3,114.18",percent of total billed charges ,"3,114.18",percent of total billed charges ,"3,350.70",percent of total billed charges ,"3,350.70",percent of total billed charges ,"3,153.60",percent of total billed charges ,"3,153.60",percent of total billed charges ,"2,759.40",percent of total billed charges ,"2,759.40",percent of total billed charges ,"2,365.20",percent of total billed charges ,"2,365.20",percent of total billed charges ,"2,365.20",percent of total billed charges ,"2,365.20",percent of total billed charges ,,,,,"2,097.14",percent of total billed charges ,,,,,"1,992.29",percent of total billed charges ,,,,,,,,,,,,,,,,,,,906.66,percent of total billed charges,,,906.66,percent of total billed charges,,,906.66,percent of total billed charges,,,906.66,percent of total billed charges,,,906.66,percent of total billed charges,,,906.66,percent of total billed charges,,,906.66,percent of total billed charges,,,906.66,percent of total billed charges,,,906.66,percent of total billed charges,,,906.66,percent of total billed charges,,,906.66,percent of total billed charges,
MM BREAST NDL LOC BX RT 19281,19281,CDM,,,,both,,,"3,942.00","3,942.00",906.66,"3,942.00","3,942.00",percent of total billed charges,"3,942.00",percent of total billed charges,"3,942.00",percent of total billed charges,"3,942.00",percent of total billed charges,"3,942.00",percent of total billed charges,"3,942.00",percent of total billed charges,"3,942.00",percent of total billed charges,"3,942.00",percent of total billed charges,"2,838.24",percent of total billed charges,"2,838.24",percent of total billed charges,"2,838.24",percent of total billed charges,"2,838.24",percent of total billed charges,"2,838.24",percent of total billed charges,"2,838.24",percent of total billed charges,"3,114.18",percent of total billed charges,"3,114.18",percent of total billed charges,"3,153.60",percent of total billed charges,"3,153.60",percent of total billed charges,,,"2,838.24",percent of total billed charges ,,,"3,153.60",percent of total billed charges ,"3,114.18",percent of total billed charges ,"3,114.18",percent of total billed charges ,"3,350.70",percent of total billed charges ,"3,350.70",percent of total billed charges ,"3,153.60",percent of total billed charges ,"3,153.60",percent of total billed charges ,"2,759.40",percent of total billed charges ,"2,759.40",percent of total billed charges ,"2,365.20",percent of total billed charges ,"2,365.20",percent of total billed charges ,"2,365.20",percent of total billed charges ,"2,365.20",percent of total billed charges ,,,,,"2,097.14",percent of total billed charges ,,,,,"1,992.29",percent of total billed charges ,,,,,,,,,,,,,,,,,,,906.66,percent of total billed charges,,,906.66,percent of total billed charges,,,906.66,percent of total billed charges,,,906.66,percent of total billed charges,,,906.66,percent of total billed charges,,,906.66,percent of total billed charges,,,906.66,percent of total billed charges,,,906.66,percent of total billed charges,,,906.66,percent of total billed charges,,,906.66,percent of total billed charges,,,906.66,percent of total billed charges,
US BREAST NDL LOC BX ADD'L SITE RT 19286,19286,CDM,,,,both,,,"2,033.00","2,033.00",467.59,"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,"1,606.07",percent of total billed charges,"1,606.07",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 ,"1,606.07",percent of total billed charges ,"1,606.07",percent of total billed charges ,"1,728.05",percent of total billed charges ,"1,728.05",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 ,,,,,,,,,,,,,,,,,,,467.59,percent of total billed charges,,,467.59,percent of total billed charges,,,467.59,percent of total billed charges,,,467.59,percent of total billed charges,,,467.59,percent of total billed charges,,,467.59,percent of total billed charges,,,467.59,percent of total billed charges,,,467.59,percent of total billed charges,,,467.59,percent of total billed charges,,,467.59,percent of total billed charges,,,467.59,percent of total billed charges,
US BREAST CYST ASPIRATION RT 19000,19000,CDM,,,,both,,,"1,428.00","1,428.00",328.44,"1,428.00","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,"1,428.00",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,"1,028.16",percent of total billed charges,"1,028.16",percent of total billed charges,"1,028.16",percent of total billed charges,"1,028.16",percent of total billed charges,"1,028.16",percent of total billed charges,"1,028.16",percent of total billed charges,"1,128.12",percent of total billed charges,"1,128.12",percent of total billed charges,"1,142.40",percent of total billed charges,"1,142.40",percent of total billed charges,,,"1,028.16",percent of total billed charges ,,,"1,142.40",percent of total billed charges ,"1,128.12",percent of total billed charges ,"1,128.12",percent of total billed charges ,"1,213.80",percent of total billed charges ,"1,213.80",percent of total billed charges ,"1,142.40",percent of total billed charges ,"1,142.40",percent of total billed charges ,999.6,percent of total billed charges ,999.6,percent of total billed charges ,856.8,percent of total billed charges ,856.8,percent of total billed charges ,856.8,percent of total billed charges ,856.8,percent of total billed charges ,,,,,759.7,percent of total billed charges ,,,,,721.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,328.44,percent of total billed charges,,,328.44,percent of total billed charges,,,328.44,percent of total billed charges,,,328.44,percent of total billed charges,,,328.44,percent of total billed charges,,,328.44,percent of total billed charges,,,328.44,percent of total billed charges,,,328.44,percent of total billed charges,,,328.44,percent of total billed charges,,,328.44,percent of total billed charges,,,328.44,percent of total billed charges,
US BREAST CYST ASP ADD'L SITE RT 19001,19001,CDM,,,,both,,,737,737,169.51,737,737,percent of total billed charges,737,percent of total billed charges,737,percent of total billed charges,737,percent of total billed charges,737,percent of total billed charges,737,percent of total billed charges,737,percent of total billed charges,737,percent of total billed charges,530.64,percent of total billed charges,530.64,percent of total billed charges,530.64,percent of total billed charges,530.64,percent of total billed charges,530.64,percent of total billed charges,530.64,percent of total billed charges,582.23,percent of total billed charges,582.23,percent of total billed charges,589.6,percent of total billed charges,589.6,percent of total billed charges,,,530.64,percent of total billed charges ,,,589.6,percent of total billed charges ,582.23,percent of total billed charges ,582.23,percent of total billed charges ,626.45,percent of total billed charges ,626.45,percent of total billed charges ,589.6,percent of total billed charges ,589.6,percent of total billed charges ,515.9,percent of total billed charges ,515.9,percent of total billed charges ,442.2,percent of total billed charges ,442.2,percent of total billed charges ,442.2,percent of total billed charges ,442.2,percent of total billed charges ,,,,,392.08,percent of total billed charges ,,,,,372.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,169.51,percent of total billed charges,,,169.51,percent of total billed charges,,,169.51,percent of total billed charges,,,169.51,percent of total billed charges,,,169.51,percent of total billed charges,,,169.51,percent of total billed charges,,,169.51,percent of total billed charges,,,169.51,percent of total billed charges,,,169.51,percent of total billed charges,,,169.51,percent of total billed charges,,,169.51,percent of total billed charges,
US BREAST BIOPSY RT 19083,19083,CDM,,,,both,,,"5,158.00","5,158.00","1,186.34","5,158.00","5,158.00",percent of total billed charges,"5,158.00",percent of total billed charges,"5,158.00",percent of total billed charges,"5,158.00",percent of total billed charges,"5,158.00",percent of total billed charges,"5,158.00",percent of total billed charges,"5,158.00",percent of total billed charges,"5,158.00",percent of total billed charges,"3,713.76",percent of total billed charges,"3,713.76",percent of total billed charges,"3,713.76",percent of total billed charges,"3,713.76",percent of total billed charges,"3,713.76",percent of total billed charges,"3,713.76",percent of total billed charges,"4,074.82",percent of total billed charges,"4,074.82",percent of total billed charges,"4,126.40",percent of total billed charges,"4,126.40",percent of total billed charges,,,"3,713.76",percent of total billed charges ,,,"4,126.40",percent of total billed charges ,"4,074.82",percent of total billed charges ,"4,074.82",percent of total billed charges ,"4,384.30",percent of total billed charges ,"4,384.30",percent of total billed charges ,"4,126.40",percent of total billed charges ,"4,126.40",percent of total billed charges ,"3,610.60",percent of total billed charges ,"3,610.60",percent of total billed charges ,"3,094.80",percent of total billed charges ,"3,094.80",percent of total billed charges ,"3,094.80",percent of total billed charges ,"3,094.80",percent of total billed charges ,,,,,"2,744.06",percent of total billed charges ,,,,,"2,606.85",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,186.34",percent of total billed charges,,,"1,186.34",percent of total billed charges,,,"1,186.34",percent of total billed charges,,,"1,186.34",percent of total billed charges,,,"1,186.34",percent of total billed charges,,,"1,186.34",percent of total billed charges,,,"1,186.34",percent of total billed charges,,,"1,186.34",percent of total billed charges,,,"1,186.34",percent of total billed charges,,,"1,186.34",percent of total billed charges,,,"1,186.34",percent of total billed charges,
US BREAST BIOPSY ADD SITE RT 19084,19084,CDM,,,,both,,,"3,530.00","3,530.00",811.9,"3,530.00","3,530.00",percent of total billed charges,"3,530.00",percent of total billed charges,"3,530.00",percent of total billed charges,"3,530.00",percent of total billed charges,"3,530.00",percent of total billed charges,"3,530.00",percent of total billed charges,"3,530.00",percent of total billed charges,"3,530.00",percent of total billed charges,"2,541.60",percent of total billed charges,"2,541.60",percent of total billed charges,"2,541.60",percent of total billed charges,"2,541.60",percent of total billed charges,"2,541.60",percent of total billed charges,"2,541.60",percent of total billed charges,"2,788.70",percent of total billed charges,"2,788.70",percent of total billed charges,"2,824.00",percent of total billed charges,"2,824.00",percent of total billed charges,,,"2,541.60",percent of total billed charges ,,,"2,824.00",percent of total billed charges ,"2,788.70",percent of total billed charges ,"2,788.70",percent of total billed charges ,"3,000.50",percent of total billed charges ,"3,000.50",percent of total billed charges ,"2,824.00",percent of total billed charges ,"2,824.00",percent of total billed charges ,"2,471.00",percent of total billed charges ,"2,471.00",percent of total billed charges ,"2,118.00",percent of total billed charges ,"2,118.00",percent of total billed charges ,"2,118.00",percent of total billed charges ,"2,118.00",percent of total billed charges ,,,,,"1,877.96",percent of total billed charges ,,,,,"1,784.06",percent of total billed charges ,,,,,,,,,,,,,,,,,,,811.9,percent of total billed charges,,,811.9,percent of total billed charges,,,811.9,percent of total billed charges,,,811.9,percent of total billed charges,,,811.9,percent of total billed charges,,,811.9,percent of total billed charges,,,811.9,percent of total billed charges,,,811.9,percent of total billed charges,,,811.9,percent of total billed charges,,,811.9,percent of total billed charges,,,811.9,percent of total billed charges,
CT SINUS W CON,70487,CDM,,,,both,,,"3,629.00","3,629.00",834.67,"3,629.00","3,629.00",percent of total billed charges,"3,629.00",percent of total billed charges,"3,629.00",percent of total billed charges,"3,629.00",percent of total billed charges,"3,629.00",percent of total billed charges,"3,629.00",percent of total billed charges,"3,629.00",percent of total billed charges,"3,629.00",percent of total billed charges,"2,612.88",percent of total billed charges,"2,612.88",percent of total billed charges,"2,612.88",percent of total billed charges,"2,612.88",percent of total billed charges,"2,612.88",percent of total billed charges,"2,612.88",percent of total billed charges,"2,866.91",percent of total billed charges,"2,866.91",percent of total billed charges,"2,903.20",percent of total billed charges,"2,903.20",percent of total billed charges,,,"2,612.88",percent of total billed charges ,,,"2,903.20",percent of total billed charges ,"2,866.91",percent of total billed charges ,"2,866.91",percent of total billed charges ,"3,084.65",percent of total billed charges ,"3,084.65",percent of total billed charges ,"2,903.20",percent of total billed charges ,"2,903.20",percent of total billed charges ,"2,540.30",percent of total billed charges ,"2,540.30",percent of total billed charges ,"2,177.40",percent of total billed charges ,"2,177.40",percent of total billed charges ,"2,177.40",percent of total billed charges ,"2,177.40",percent of total billed charges ,,,,,"1,930.63",percent of total billed charges ,,,,,"1,834.10",percent of total billed charges ,,,,,,,,,,,,,,,,,,,834.67,percent of total billed charges,,,834.67,percent of total billed charges,,,834.67,percent of total billed charges,,,834.67,percent of total billed charges,,,834.67,percent of total billed charges,,,834.67,percent of total billed charges,,,834.67,percent of total billed charges,,,834.67,percent of total billed charges,,,834.67,percent of total billed charges,,,834.67,percent of total billed charges,,,834.67,percent of total billed charges,
INJ PROC ARTHRO KNEE CT/MRI,27369,CDM,,,,both,,,940,940,216.2,940,940,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,742.6,percent of total billed charges,742.6,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 ,742.6,percent of total billed charges ,742.6,percent of total billed charges ,799,percent of total billed charges ,799,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 ,,,,,,,,,,,,,,,,,,,216.2,percent of total billed charges,,,216.2,percent of total billed charges,,,216.2,percent of total billed charges,,,216.2,percent of total billed charges,,,216.2,percent of total billed charges,,,216.2,percent of total billed charges,,,216.2,percent of total billed charges,,,216.2,percent of total billed charges,,,216.2,percent of total billed charges,,,216.2,percent of total billed charges,,,216.2,percent of total billed charges,
CT LUMBAR W/WO,72133,CDM,,,,both,,,"4,843.00","4,843.00","1,113.89","4,843.00","4,843.00",percent of total billed charges,"4,843.00",percent of total billed charges,"4,843.00",percent of total billed charges,"4,843.00",percent of total billed charges,"4,843.00",percent of total billed charges,"4,843.00",percent of total billed charges,"4,843.00",percent of total billed charges,"4,843.00",percent of total billed charges,"3,486.96",percent of total billed charges,"3,486.96",percent of total billed charges,"3,486.96",percent of total billed charges,"3,486.96",percent of total billed charges,"3,486.96",percent of total billed charges,"3,486.96",percent of total billed charges,"3,825.97",percent of total billed charges,"3,825.97",percent of total billed charges,"3,874.40",percent of total billed charges,"3,874.40",percent of total billed charges,,,"3,486.96",percent of total billed charges ,,,"3,874.40",percent of total billed charges ,"3,825.97",percent of total billed charges ,"3,825.97",percent of total billed charges ,"4,116.55",percent of total billed charges ,"4,116.55",percent of total billed charges ,"3,874.40",percent of total billed charges ,"3,874.40",percent of total billed charges ,"3,390.10",percent of total billed charges ,"3,390.10",percent of total billed charges ,"2,905.80",percent of total billed charges ,"2,905.80",percent of total billed charges ,"2,905.80",percent of total billed charges ,"2,905.80",percent of total billed charges ,,,,,"2,576.48",percent of total billed charges ,,,,,"2,447.65",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,113.89",percent of total billed charges,,,"1,113.89",percent of total billed charges,,,"1,113.89",percent of total billed charges,,,"1,113.89",percent of total billed charges,,,"1,113.89",percent of total billed charges,,,"1,113.89",percent of total billed charges,,,"1,113.89",percent of total billed charges,,,"1,113.89",percent of total billed charges,,,"1,113.89",percent of total billed charges,,,"1,113.89",percent of total billed charges,,,"1,113.89",percent of total billed charges,
US ANATOMIC SURVEY 76811,76811,CDM,,,,both,,,"1,321.00","1,321.00",303.83,"1,321.00","1,321.00",percent of total billed charges,"1,321.00",percent of total billed charges,"1,321.00",percent of total billed charges,"1,321.00",percent of total billed charges,"1,321.00",percent of total billed charges,"1,321.00",percent of total billed charges,"1,321.00",percent of total billed charges,"1,321.00",percent of total billed charges,951.12,percent of total billed charges,951.12,percent of total billed charges,951.12,percent of total billed charges,951.12,percent of total billed charges,951.12,percent of total billed charges,951.12,percent of total billed charges,"1,043.59",percent of total billed charges,"1,043.59",percent of total billed charges,"1,056.80",percent of total billed charges,"1,056.80",percent of total billed charges,,,951.12,percent of total billed charges ,,,"1,056.80",percent of total billed charges ,"1,043.59",percent of total billed charges ,"1,043.59",percent of total billed charges ,"1,122.85",percent of total billed charges ,"1,122.85",percent of total billed charges ,"1,056.80",percent of total billed charges ,"1,056.80",percent of total billed charges ,924.7,percent of total billed charges ,924.7,percent of total billed charges ,792.6,percent of total billed charges ,792.6,percent of total billed charges ,792.6,percent of total billed charges ,792.6,percent of total billed charges ,,,,,702.77,percent of total billed charges ,,,,,667.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,303.83,percent of total billed charges,,,303.83,percent of total billed charges,,,303.83,percent of total billed charges,,,303.83,percent of total billed charges,,,303.83,percent of total billed charges,,,303.83,percent of total billed charges,,,303.83,percent of total billed charges,,,303.83,percent of total billed charges,,,303.83,percent of total billed charges,,,303.83,percent of total billed charges,,,303.83,percent of total billed charges,
US ANATOMIC SURVEY ADD GESTATION 76812,76812,CDM,,,,both,,,816,816,187.68,816,816,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,816,percent of total billed charges,816,percent of total billed charges,816,percent of total billed charges,587.52,percent of total billed charges,587.52,percent of total billed charges,587.52,percent of total billed charges,587.52,percent of total billed charges,587.52,percent of total billed charges,587.52,percent of total billed charges,644.64,percent of total billed charges,644.64,percent of total billed charges,652.8,percent of total billed charges,652.8,percent of total billed charges,,,587.52,percent of total billed charges ,,,652.8,percent of total billed charges ,644.64,percent of total billed charges ,644.64,percent of total billed charges ,693.6,percent of total billed charges ,693.6,percent of total billed charges ,652.8,percent of total billed charges ,652.8,percent of total billed charges ,571.2,percent of total billed charges ,571.2,percent of total billed charges ,489.6,percent of total billed charges ,489.6,percent of total billed charges ,489.6,percent of total billed charges ,489.6,percent of total billed charges ,,,,,434.11,percent of total billed charges ,,,,,412.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,187.68,percent of total billed charges,,,187.68,percent of total billed charges,,,187.68,percent of total billed charges,,,187.68,percent of total billed charges,,,187.68,percent of total billed charges,,,187.68,percent of total billed charges,,,187.68,percent of total billed charges,,,187.68,percent of total billed charges,,,187.68,percent of total billed charges,,,187.68,percent of total billed charges,,,187.68,percent of total billed charges,
CT SINUS W/WO 70488,70488,CDM,,,,both,,,"4,437.00","4,437.00","1,020.51","4,437.00","4,437.00",percent of total billed charges,"4,437.00",percent of total billed charges,"4,437.00",percent of total billed charges,"4,437.00",percent of total billed charges,"4,437.00",percent of total billed charges,"4,437.00",percent of total billed charges,"4,437.00",percent of total billed charges,"4,437.00",percent of total billed charges,"3,194.64",percent of total billed charges,"3,194.64",percent of total billed charges,"3,194.64",percent of total billed charges,"3,194.64",percent of total billed charges,"3,194.64",percent of total billed charges,"3,194.64",percent of total billed charges,"3,505.23",percent of total billed charges,"3,505.23",percent of total billed charges,"3,549.60",percent of total billed charges,"3,549.60",percent of total billed charges,,,"3,194.64",percent of total billed charges ,,,"3,549.60",percent of total billed charges ,"3,505.23",percent of total billed charges ,"3,505.23",percent of total billed charges ,"3,771.45",percent of total billed charges ,"3,771.45",percent of total billed charges ,"3,549.60",percent of total billed charges ,"3,549.60",percent of total billed charges ,"3,105.90",percent of total billed charges ,"3,105.90",percent of total billed charges ,"2,662.20",percent of total billed charges ,"2,662.20",percent of total billed charges ,"2,662.20",percent of total billed charges ,"2,662.20",percent of total billed charges ,,,,,"2,360.48",percent of total billed charges ,,,,,"2,242.46",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,020.51",percent of total billed charges,,,"1,020.51",percent of total billed charges,,,"1,020.51",percent of total billed charges,,,"1,020.51",percent of total billed charges,,,"1,020.51",percent of total billed charges,,,"1,020.51",percent of total billed charges,,,"1,020.51",percent of total billed charges,,,"1,020.51",percent of total billed charges,,,"1,020.51",percent of total billed charges,,,"1,020.51",percent of total billed charges,,,"1,020.51",percent of total billed charges,
INJ PROC ARTHRO WRIST,25246,CDM,,,,both,,,868,868,199.64,868,868,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,624.96,percent of total billed charges,624.96,percent of total billed charges,624.96,percent of total billed charges,624.96,percent of total billed charges,624.96,percent of total billed charges,624.96,percent of total billed charges,685.72,percent of total billed charges,685.72,percent of total billed charges,694.4,percent of total billed charges,694.4,percent of total billed charges,,,624.96,percent of total billed charges ,,,694.4,percent of total billed charges ,685.72,percent of total billed charges ,685.72,percent of total billed charges ,737.8,percent of total billed charges ,737.8,percent of total billed charges ,694.4,percent of total billed charges ,694.4,percent of total billed charges ,607.6,percent of total billed charges ,607.6,percent of total billed charges ,520.8,percent of total billed charges ,520.8,percent of total billed charges ,520.8,percent of total billed charges ,520.8,percent of total billed charges ,,,,,461.78,percent of total billed charges ,,,,,438.69,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,,,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,
OMNIPAQUE 350 75ML,Q9967,CDM,,,,both,,,110,110,25.3,110,110,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,86.9,percent of total billed charges,86.9,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 ,86.9,percent of total billed charges ,86.9,percent of total billed charges ,93.5,percent of total billed charges ,93.5,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 ,,,,,,,,,,,,,,,,,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,
DEXA SCAN LIMITED,77081,CDM,,,,both,,,394,394,90.62,394,394,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,311.26,percent of total billed charges,311.26,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 ,311.26,percent of total billed charges ,311.26,percent of total billed charges ,334.9,percent of total billed charges ,334.9,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 ,,,,,,,,,,,,,,,,,,,90.62,percent of total billed charges,,,90.62,percent of total billed charges,,,90.62,percent of total billed charges,,,90.62,percent of total billed charges,,,90.62,percent of total billed charges,,,90.62,percent of total billed charges,,,90.62,percent of total billed charges,,,90.62,percent of total billed charges,,,90.62,percent of total billed charges,,,90.62,percent of total billed charges,,,90.62,percent of total billed charges,
US ELASTOGRAPHY ORGAN 76981,76981,CDM,,,,both,,,628,628,144.44,628,628,percent of total billed charges,628,percent of total billed charges,628,percent of total billed charges,628,percent of total billed charges,628,percent of total billed charges,628,percent of total billed charges,628,percent of total billed charges,628,percent of total billed charges,452.16,percent of total billed charges,452.16,percent of total billed charges,452.16,percent of total billed charges,452.16,percent of total billed charges,452.16,percent of total billed charges,452.16,percent of total billed charges,496.12,percent of total billed charges,496.12,percent of total billed charges,502.4,percent of total billed charges,502.4,percent of total billed charges,,,452.16,percent of total billed charges ,,,502.4,percent of total billed charges ,496.12,percent of total billed charges ,496.12,percent of total billed charges ,533.8,percent of total billed charges ,533.8,percent of total billed charges ,502.4,percent of total billed charges ,502.4,percent of total billed charges ,439.6,percent of total billed charges ,439.6,percent of total billed charges ,376.8,percent of total billed charges ,376.8,percent of total billed charges ,376.8,percent of total billed charges ,376.8,percent of total billed charges ,,,,,334.1,percent of total billed charges ,,,,,317.39,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,
DEXA W VERTEBRAL ASSESSMENT 77085,77085,CDM,,,,both,,,678,678,155.94,678,678,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,535.62,percent of total billed charges,535.62,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 ,535.62,percent of total billed charges ,535.62,percent of total billed charges ,576.3,percent of total billed charges ,576.3,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 ,,,,,,,,,,,,,,,,,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,,,155.94,percent of total billed charges,
DEXA VERTEBRAL ASSESSMENT ONLY 77086,77086,CDM,,,,both,,,294,294,67.62,294,294,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,232.26,percent of total billed charges,232.26,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 ,232.26,percent of total billed charges ,232.26,percent of total billed charges ,249.9,percent of total billed charges ,249.9,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
US BIOPSY THYROID PERC CORE NEEDLE 60100,60100,CDM,,,,both,,,"1,831.00","1,831.00",421.13,"1,831.00","1,831.00",percent of total billed charges,"1,831.00",percent of total billed charges,"1,831.00",percent of total billed charges,"1,831.00",percent of total billed charges,"1,831.00",percent of total billed charges,"1,831.00",percent of total billed charges,"1,831.00",percent of total billed charges,"1,831.00",percent of total billed charges,"1,318.32",percent of total billed charges,"1,318.32",percent of total billed charges,"1,318.32",percent of total billed charges,"1,318.32",percent of total billed charges,"1,318.32",percent of total billed charges,"1,318.32",percent of total billed charges,"1,446.49",percent of total billed charges,"1,446.49",percent of total billed charges,"1,464.80",percent of total billed charges,"1,464.80",percent of total billed charges,,,"1,318.32",percent of total billed charges ,,,"1,464.80",percent of total billed charges ,"1,446.49",percent of total billed charges ,"1,446.49",percent of total billed charges ,"1,556.35",percent of total billed charges ,"1,556.35",percent of total billed charges ,"1,464.80",percent of total billed charges ,"1,464.80",percent of total billed charges ,"1,281.70",percent of total billed charges ,"1,281.70",percent of total billed charges ,"1,098.60",percent of total billed charges ,"1,098.60",percent of total billed charges ,"1,098.60",percent of total billed charges ,"1,098.60",percent of total billed charges ,,,,,974.09,percent of total billed charges ,,,,,925.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,421.13,percent of total billed charges,,,421.13,percent of total billed charges,,,421.13,percent of total billed charges,,,421.13,percent of total billed charges,,,421.13,percent of total billed charges,,,421.13,percent of total billed charges,,,421.13,percent of total billed charges,,,421.13,percent of total billed charges,,,421.13,percent of total billed charges,,,421.13,percent of total billed charges,,,421.13,percent of total billed charges,
US LYMPH BX RT 38505,38505,CDM,,,,both,,,"2,476.00","2,476.00",569.48,"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,"1,956.04",percent of total billed charges,"1,956.04",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 ,"1,956.04",percent of total billed charges ,"1,956.04",percent of total billed charges ,"2,104.60",percent of total billed charges ,"2,104.60",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 ,,,,,,,,,,,,,,,,,,,569.48,percent of total billed charges,,,569.48,percent of total billed charges,,,569.48,percent of total billed charges,,,569.48,percent of total billed charges,,,569.48,percent of total billed charges,,,569.48,percent of total billed charges,,,569.48,percent of total billed charges,,,569.48,percent of total billed charges,,,569.48,percent of total billed charges,,,569.48,percent of total billed charges,,,569.48,percent of total billed charges,
NM Myocard SCard,78452,CDM,,,,both,,,"6,208.00","6,208.00","1,427.84","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,"4,904.32",percent of total billed charges,"4,904.32",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 ,"4,904.32",percent of total billed charges ,"4,904.32",percent of total billed charges ,"5,276.80",percent of total billed charges ,"5,276.80",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 ,,,,,,,,,,,,,,,,,,,"1,427.84",percent of total billed charges,,,"1,427.84",percent of total billed charges,,,"1,427.84",percent of total billed charges,,,"1,427.84",percent of total billed charges,,,"1,427.84",percent of total billed charges,,,"1,427.84",percent of total billed charges,,,"1,427.84",percent of total billed charges,,,"1,427.84",percent of total billed charges,,,"1,427.84",percent of total billed charges,,,"1,427.84",percent of total billed charges,,,"1,427.84",percent of total billed charges,
US BX PLEURA,32400,CDM,,,,both,,,"2,650.00","2,650.00",609.5,"2,650.00","2,650.00",percent of total billed charges,"2,650.00",percent of total billed charges,"2,650.00",percent of total billed charges,"2,650.00",percent of total billed charges,"2,650.00",percent of total billed charges,"2,650.00",percent of total billed charges,"2,650.00",percent of total billed charges,"2,650.00",percent of total billed charges,"1,908.00",percent of total billed charges,"1,908.00",percent of total billed charges,"1,908.00",percent of total billed charges,"1,908.00",percent of total billed charges,"1,908.00",percent of total billed charges,"1,908.00",percent of total billed charges,"2,093.50",percent of total billed charges,"2,093.50",percent of total billed charges,"2,120.00",percent of total billed charges,"2,120.00",percent of total billed charges,,,"1,908.00",percent of total billed charges ,,,"2,120.00",percent of total billed charges ,"2,093.50",percent of total billed charges ,"2,093.50",percent of total billed charges ,"2,252.50",percent of total billed charges ,"2,252.50",percent of total billed charges ,"2,120.00",percent of total billed charges ,"2,120.00",percent of total billed charges ,"1,855.00",percent of total billed charges ,"1,855.00",percent of total billed charges ,"1,590.00",percent of total billed charges ,"1,590.00",percent of total billed charges ,"1,590.00",percent of total billed charges ,"1,590.00",percent of total billed charges ,,,,,"1,409.80",percent of total billed charges ,,,,,"1,339.31",percent of total billed charges ,,,,,,,,,,,,,,,,,,,609.5,percent of total billed charges,,,609.5,percent of total billed charges,,,609.5,percent of total billed charges,,,609.5,percent of total billed charges,,,609.5,percent of total billed charges,,,609.5,percent of total billed charges,,,609.5,percent of total billed charges,,,609.5,percent of total billed charges,,,609.5,percent of total billed charges,,,609.5,percent of total billed charges,,,609.5,percent of total billed charges,
**PORPHYRN SERIES DO NOT USE,84120,CDM,,,,both,,,195,195,44.85,195,195,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,154.05,percent of total billed charges,154.05,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 ,154.05,percent of total billed charges ,154.05,percent of total billed charges ,165.75,percent of total billed charges ,165.75,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 ,,,,,,,,,,,,,,,,,,,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,,,44.85,percent of total billed charges,,,44.85,percent of total billed charges,,,44.85,percent of total billed charges,
**ZINC DO NOT USE,84630,CDM,,,,both,,,114,114,26.22,114,114,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,90.06,percent of total billed charges,90.06,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 ,90.06,percent of total billed charges ,90.06,percent of total billed charges ,96.9,percent of total billed charges ,96.9,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 ,,,,,,,,,,,,,,,,,,,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,,,26.22,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,
**MOHA URINE COLL DRUG SCREEN,Local ,Local ,,,,both,,,59,59,13.57,59,59,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,46.61,percent of total billed charges,46.61,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 ,46.61,percent of total billed charges ,46.61,percent of total billed charges ,50.15,percent of total billed charges ,50.15,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 ,,,,,,,,,,,,,,,,,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,
ONE-WAY ALLOW PRORATED TRIP,P9604,CDM,,,,both,,,22,22,5.06,22,22,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,17.38,percent of total billed charges,17.38,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 ,17.38,percent of total billed charges ,17.38,percent of total billed charges ,18.7,percent of total billed charges ,18.7,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 ,,,,,,,,,,,,,,,,,,,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,,,5.06,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,
DRAWING FEE VP CHARGE,36415,CDM,,,,both,,,38,38,8.74,38,38,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,30.02,percent of total billed charges,30.02,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 ,30.02,percent of total billed charges ,30.02,percent of total billed charges ,32.3,percent of total billed charges ,32.3,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 ,,,,,,,,,,,,,,,,,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,,,8.74,percent of total billed charges,
COLLECTION URINE DRUG SCRN,99001,CDM,,,,both,,,65,65,14.95,65,65,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,51.35,percent of total billed charges,51.35,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 ,51.35,percent of total billed charges ,51.35,percent of total billed charges ,55.25,percent of total billed charges ,55.25,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 ,,,,,,,,,,,,,,,,,,,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,,,14.95,percent of total billed charges,,,14.95,percent of total billed charges,,,14.95,percent of total billed charges,
**PARTERNITY COLLECTION DO NOT USE,36415,CDM,,,,both,,,35,35,8.05,35,35,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,27.65,percent of total billed charges,27.65,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 ,27.65,percent of total billed charges ,27.65,percent of total billed charges ,29.75,percent of total billed charges ,29.75,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 ,,,,,,,,,,,,,,,,,,,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,
**ALDOLASE,82085,CDM,,,,both,,,121,121,27.83,121,121,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,95.59,percent of total billed charges,95.59,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 ,95.59,percent of total billed charges ,95.59,percent of total billed charges ,102.85,percent of total billed charges ,102.85,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,27.83,percent of total billed charges,,,27.83,percent of total billed charges,,,27.83,percent of total billed charges,
**LIPOPROTEIN B DO NOT USE,82172,CDM,,,91,both,,,130,130,29.9,130,130,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,102.7,percent of total billed charges,102.7,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 ,102.7,percent of total billed charges ,102.7,percent of total billed charges ,110.5,percent of total billed charges ,110.5,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 ,,,,,,,,,,,,,,,,,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,
**CERULOPLASMIN DO NOT USE,82390,CDM,,,,both,,,92,92,21.16,92,92,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,72.68,percent of total billed charges,72.68,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 ,72.68,percent of total billed charges ,72.68,percent of total billed charges ,78.2,percent of total billed charges ,78.2,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 ,,,,,,,,,,,,,,,,,,,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,
RANDOM UR POTASSIUM,84133,CDM,,,,both,,,93,93,21.39,93,93,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,73.47,percent of total billed charges,73.47,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 ,73.47,percent of total billed charges ,73.47,percent of total billed charges ,79.05,percent of total billed charges ,79.05,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 ,,,,,,,,,,,,,,,,,,,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,,,21.39,percent of total billed charges,,,21.39,percent of total billed charges,,,21.39,percent of total billed charges,
**HEAVY METALS QL DO NOT USE,83015,CDM,,,,both,,,207,207,47.61,207,207,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,163.53,percent of total billed charges,163.53,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 ,163.53,percent of total billed charges ,163.53,percent of total billed charges ,175.95,percent of total billed charges ,175.95,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 ,,,,,,,,,,,,,,,,,,,47.61,percent of total billed charges,,,47.61,percent of total billed charges,,,47.61,percent of total billed charges,,,47.61,percent of total billed charges,,,47.61,percent of total billed charges,,,47.61,percent of total billed charges,,,47.61,percent of total billed charges,,,47.61,percent of total billed charges,,,47.61,percent of total billed charges,,,47.61,percent of total billed charges,,,47.61,percent of total billed charges,
VALPROIC ACID,80164,CDM,,,,both,,,224,224,51.52,224,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,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,176.96,percent of total billed charges,176.96,percent of total billed charges,179.2,percent of total billed charges,179.2,percent of total billed charges,,,161.28,percent of total billed charges ,,,179.2,percent of total billed charges ,176.96,percent of total billed charges ,176.96,percent of total billed charges ,190.4,percent of total billed charges ,190.4,percent of total billed charges ,179.2,percent of total billed charges ,179.2,percent of total billed charges ,156.8,percent of total billed charges ,156.8,percent of total billed charges ,134.4,percent of total billed charges ,134.4,percent of total billed charges ,134.4,percent of total billed charges ,134.4,percent of total billed charges ,,,,,119.17,percent of total billed charges ,,,,,113.21,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,
**AMIKACIN,80150,CDM,,,,both,,,99,99,22.77,99,99,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,78.21,percent of total billed charges,78.21,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 ,78.21,percent of total billed charges ,78.21,percent of total billed charges ,84.15,percent of total billed charges ,84.15,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 ,,,,,,,,,,,,,,,,,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,
PHENOBARBITAL,80184,CDM,,,,both,,,310,310,71.3,310,310,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,244.9,percent of total billed charges,244.9,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 ,244.9,percent of total billed charges ,244.9,percent of total billed charges ,263.5,percent of total billed charges ,263.5,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 ,,,,,,,,,,,,,,,,,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,
**QUANTITATIVE DRUG LEVEL DO NOT USE,82491,CDM,,,,both,,,425,425,97.75,425,425,percent of total billed charges,425,percent of total billed charges,425,percent of total billed charges,425,percent of total billed charges,425,percent of total billed charges,425,percent of total billed charges,425,percent of total billed charges,425,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,335.75,percent of total billed charges,335.75,percent of total billed charges,340,percent of total billed charges,340,percent of total billed charges,,,306,percent of total billed charges ,,,340,percent of total billed charges ,335.75,percent of total billed charges ,335.75,percent of total billed charges ,361.25,percent of total billed charges ,361.25,percent of total billed charges ,340,percent of total billed charges ,340,percent of total billed charges ,297.5,percent of total billed charges ,297.5,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 ,,,,,226.1,percent of total billed charges ,,,,,214.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,
BETA HCG QUANT,84702,CDM,,,,both,,,280,280,64.4,280,280,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,221.2,percent of total billed charges,221.2,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 ,221.2,percent of total billed charges ,221.2,percent of total billed charges ,238,percent of total billed charges ,238,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 ,,,,,,,,,,,,,,,,,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,
CREATININE CLEARANCE,82575,CDM,,,,both,,,256,256,58.88,256,256,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,202.24,percent of total billed charges,202.24,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 ,202.24,percent of total billed charges ,202.24,percent of total billed charges ,217.6,percent of total billed charges ,217.6,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 ,,,,,,,,,,,,,,,,,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,
**URINE CHLORIDE DO NOT USE,82436,CDM,,,,both,,,86,86,19.78,86,86,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,67.94,percent of total billed charges,67.94,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 ,67.94,percent of total billed charges ,67.94,percent of total billed charges ,73.1,percent of total billed charges ,73.1,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
ACETAMINOPHEN,80307,CDM,,,,both,,,428,428,98.44,428,428,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,338.12,percent of total billed charges,338.12,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 ,338.12,percent of total billed charges ,338.12,percent of total billed charges ,363.8,percent of total billed charges ,363.8,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 ,,,,,,,,,,,,,,,,,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,
**URINE PHOSPHORUS DO NOT USE,84105,CDM,,,,both,,,94,94,21.62,94,94,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,74.26,percent of total billed charges,74.26,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 ,74.26,percent of total billed charges ,74.26,percent of total billed charges ,79.9,percent of total billed charges ,79.9,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 ,,,,,,,,,,,,,,,,,,,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,
RANDOM UR CREATININE,82570,CDM,,,,both,,,100,100,23,100,100,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,79,percent of total billed charges,79,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 ,79,percent of total billed charges ,79,percent of total billed charges ,85,percent of total billed charges ,85,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 ,,,,,,,,,,,,,,,,,,,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,,,23,percent of total billed charges,,,23,percent of total billed charges,,,23,percent of total billed charges,
**AMITRIPTYLINE DO NOT USE,80152,CDM,,,,both,,,180,180,41.4,180,180,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,142.2,percent of total billed charges,142.2,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 ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,153,percent of total billed charges ,153,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,41.4,percent of total billed charges,,,41.4,percent of total billed charges,,,41.4,percent of total billed charges,
**TESTOSTERONE TOTAL DO NOT USE,84403,CDM,,,,both,,,298,298,68.54,298,298,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,235.42,percent of total billed charges,235.42,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 ,235.42,percent of total billed charges ,235.42,percent of total billed charges ,253.3,percent of total billed charges ,253.3,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 ,,,,,,,,,,,,,,,,,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,
TEGRETOL,80156,CDM,,,,both,,,308,308,70.84,308,308,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,243.32,percent of total billed charges,243.32,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 ,243.32,percent of total billed charges ,243.32,percent of total billed charges ,261.8,percent of total billed charges ,261.8,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 ,,,,,,,,,,,,,,,,,,,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,
AMMONIA,82140,CDM,,,,both,,,220,220,50.6,220,220,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,173.8,percent of total billed charges,173.8,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 ,173.8,percent of total billed charges ,173.8,percent of total billed charges ,187,percent of total billed charges ,187,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**TAD DO NOT USE,83516,CDM,,,,both,,,193,193,44.39,193,193,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,152.47,percent of total billed charges,152.47,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 ,152.47,percent of total billed charges ,152.47,percent of total billed charges ,164.05,percent of total billed charges ,164.05,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 ,,,,,,,,,,,,,,,,,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,
**DRUG SCREEN (MMC BLOOD & URINE) DO NOT,80100,CDM,,,,both,,,253,253,58.19,253,253,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,199.87,percent of total billed charges,199.87,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 ,199.87,percent of total billed charges ,199.87,percent of total billed charges ,215.05,percent of total billed charges ,215.05,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 ,,,,,,,,,,,,,,,,,,,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,,,58.19,percent of total billed charges,,,58.19,percent of total billed charges,,,58.19,percent of total billed charges,
ALCOHOL BLOOD,80307,CDM,,,,both,,,224,224,51.52,224,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,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,176.96,percent of total billed charges,176.96,percent of total billed charges,179.2,percent of total billed charges,179.2,percent of total billed charges,,,161.28,percent of total billed charges ,,,179.2,percent of total billed charges ,176.96,percent of total billed charges ,176.96,percent of total billed charges ,190.4,percent of total billed charges ,190.4,percent of total billed charges ,179.2,percent of total billed charges ,179.2,percent of total billed charges ,156.8,percent of total billed charges ,156.8,percent of total billed charges ,134.4,percent of total billed charges ,134.4,percent of total billed charges ,134.4,percent of total billed charges ,134.4,percent of total billed charges ,,,,,119.17,percent of total billed charges ,,,,,113.21,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,
RANDOM UR SODIUM,84300,CDM,,,,both,,,99,99,22.77,99,99,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,78.21,percent of total billed charges,78.21,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 ,78.21,percent of total billed charges ,78.21,percent of total billed charges ,84.15,percent of total billed charges ,84.15,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 ,,,,,,,,,,,,,,,,,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,
**URINE URIC ACID DO NOT USE,84560,CDM,,,,both,,,95,95,21.85,95,95,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,75.05,percent of total billed charges,75.05,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 ,75.05,percent of total billed charges ,75.05,percent of total billed charges ,80.75,percent of total billed charges ,80.75,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,21.85,percent of total billed charges,,,21.85,percent of total billed charges,,,21.85,percent of total billed charges,
**FLECAINIDE DO NOT USE,80299,CDM,,,,both,,,99,99,22.77,99,99,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,78.21,percent of total billed charges,78.21,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 ,78.21,percent of total billed charges ,78.21,percent of total billed charges ,84.15,percent of total billed charges ,84.15,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 ,,,,,,,,,,,,,,,,,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,
"KETONES,BETA blood",82009,CDM,,,,both,,,119,119,27.37,119,119,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,94.01,percent of total billed charges,94.01,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 ,94.01,percent of total billed charges ,94.01,percent of total billed charges ,101.15,percent of total billed charges ,101.15,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 ,,,,,,,,,,,,,,,,,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,
DIRECT BILIRUBIN,82248,CDM,,,,both,,,96,96,22.08,96,96,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,75.84,percent of total billed charges,75.84,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 ,75.84,percent of total billed charges ,75.84,percent of total billed charges ,81.6,percent of total billed charges ,81.6,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 ,,,,,,,,,,,,,,,,,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,
**URINE OSMOLALITY DO NOT USE,83935,CDM,,,,both,,,161,161,37.03,161,161,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,127.19,percent of total billed charges,127.19,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 ,127.19,percent of total billed charges ,127.19,percent of total billed charges ,136.85,percent of total billed charges ,136.85,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 ,,,,,,,,,,,,,,,,,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,
**DRUG CONFIRMATION LEVEL 1 DO NOT USE,80102,CDM,,,,both,,,174,174,40.02,174,174,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,137.46,percent of total billed charges,137.46,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 ,137.46,percent of total billed charges ,137.46,percent of total billed charges ,147.9,percent of total billed charges ,147.9,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**AMNIO CREATINE,82570,CDM,,,,both,,,88,88,20.24,88,88,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,69.52,percent of total billed charges,69.52,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 ,69.52,percent of total billed charges ,69.52,percent of total billed charges ,74.8,percent of total billed charges ,74.8,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 ,,,,,,,,,,,,,,,,,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,
**LIDOCAINE DO NOT USE,80176,CDM,,,,both,,,234,234,53.82,234,234,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,184.86,percent of total billed charges,184.86,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 ,184.86,percent of total billed charges ,184.86,percent of total billed charges ,198.9,percent of total billed charges ,198.9,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 ,,,,,,,,,,,,,,,,,,,53.82,percent of total billed charges,,,53.82,percent of total billed charges,,,53.82,percent of total billed charges,,,53.82,percent of total billed charges,,,53.82,percent of total billed charges,,,53.82,percent of total billed charges,,,53.82,percent of total billed charges,,,53.82,percent of total billed charges,,,53.82,percent of total billed charges,,,53.82,percent of total billed charges,,,53.82,percent of total billed charges,
**NORTIPTYLINE DO NOT USE,80182,CDM,,,,both,,,202,202,46.46,202,202,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,159.58,percent of total billed charges,159.58,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 ,159.58,percent of total billed charges ,159.58,percent of total billed charges ,171.7,percent of total billed charges ,171.7,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 ,,,,,,,,,,,,,,,,,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,
**PHOSPHATIDYL GLYCEROL DO NOT USE,84081,CDM,,,,both,,,194,194,44.62,194,194,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,153.26,percent of total billed charges,153.26,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 ,153.26,percent of total billed charges ,153.26,percent of total billed charges ,164.9,percent of total billed charges ,164.9,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 ,,,,,,,,,,,,,,,,,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,
**QUINIDINE DO NOT USE,80194,CDM,,,,both,,,242,242,55.66,242,242,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,191.18,percent of total billed charges,191.18,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 ,191.18,percent of total billed charges ,191.18,percent of total billed charges ,205.7,percent of total billed charges ,205.7,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 ,,,,,,,,,,,,,,,,,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,
**PRIMIDONE MYSOLINE DO NOT USE,80188,CDM,,,,both,,,275,275,63.25,275,275,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,217.25,percent of total billed charges,217.25,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 ,217.25,percent of total billed charges ,217.25,percent of total billed charges ,233.75,percent of total billed charges ,233.75,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 ,,,,,,,,,,,,,,,,,,,63.25,percent of total billed charges,,,63.25,percent of total billed charges,,,63.25,percent of total billed charges,,,63.25,percent of total billed charges,,,63.25,percent of total billed charges,,,63.25,percent of total billed charges,,,63.25,percent of total billed charges,,,63.25,percent of total billed charges,,,63.25,percent of total billed charges,,,63.25,percent of total billed charges,,,63.25,percent of total billed charges,
**LACTIC ACID DO NOT USE,83605,CDM,,,,both,,,178,178,40.94,178,178,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,140.62,percent of total billed charges,140.62,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 ,140.62,percent of total billed charges ,140.62,percent of total billed charges ,151.3,percent of total billed charges ,151.3,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 ,,,,,,,,,,,,,,,,,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,
SALICYLATE,80307,CDM,,,,both,,,272,272,62.56,272,272,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,214.88,percent of total billed charges,214.88,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 ,214.88,percent of total billed charges ,214.88,percent of total billed charges ,231.2,percent of total billed charges ,231.2,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 ,,,,,,,,,,,,,,,,,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,
AMYLASE,82150,CDM,,,,both,,,158,158,36.34,158,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,113.76,percent of total billed charges,113.76,percent of total billed charges,113.76,percent of total billed charges,113.76,percent of total billed charges,113.76,percent of total billed charges,113.76,percent of total billed charges,124.82,percent of total billed charges,124.82,percent of total billed charges,126.4,percent of total billed charges,126.4,percent of total billed charges,,,113.76,percent of total billed charges ,,,126.4,percent of total billed charges ,124.82,percent of total billed charges ,124.82,percent of total billed charges ,134.3,percent of total billed charges ,134.3,percent of total billed charges ,126.4,percent of total billed charges ,126.4,percent of total billed charges ,110.6,percent of total billed charges ,110.6,percent of total billed charges ,94.8,percent of total billed charges ,94.8,percent of total billed charges ,94.8,percent of total billed charges ,94.8,percent of total billed charges ,,,,,84.06,percent of total billed charges ,,,,,79.85,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,
POTASSIUM,84132,CDM,,,,both,,,90,90,20.7,90,90,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,71.1,percent of total billed charges,71.1,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 ,71.1,percent of total billed charges ,71.1,percent of total billed charges ,76.5,percent of total billed charges ,76.5,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**DRUG ABUSE SCREEN DO NOT USE,80101,CDM,,,,both,,,101,101,23.23,101,101,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,79.79,percent of total billed charges,79.79,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 ,79.79,percent of total billed charges ,79.79,percent of total billed charges ,85.85,percent of total billed charges ,85.85,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 ,,,,,,,,,,,,,,,,,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,
BUN,84520,CDM,,,,both,,,87,87,20.01,87,87,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,68.73,percent of total billed charges,68.73,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 ,68.73,percent of total billed charges ,68.73,percent of total billed charges ,73.95,percent of total billed charges ,73.95,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 ,,,,,,,,,,,,,,,,,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,
CHLORIDE,82435,CDM,,,,both,,,130,130,29.9,130,130,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,102.7,percent of total billed charges,102.7,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 ,102.7,percent of total billed charges ,102.7,percent of total billed charges ,110.5,percent of total billed charges ,110.5,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 ,,,,,,,,,,,,,,,,,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,
CHOLESTEROL,84311,CDM,,,,both,,,67,67,15.41,67,67,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,52.93,percent of total billed charges,52.93,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 ,52.93,percent of total billed charges ,52.93,percent of total billed charges ,56.95,percent of total billed charges ,56.95,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 ,,,,,,,,,,,,,,,,,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,
CO2,82374,CDM,,,,both,,,138,138,31.74,138,138,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,109.02,percent of total billed charges,109.02,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 ,109.02,percent of total billed charges ,109.02,percent of total billed charges ,117.3,percent of total billed charges ,117.3,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 ,,,,,,,,,,,,,,,,,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,
CALCIUM,82310,CDM,,,,both,,,146,146,33.58,146,146,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,115.34,percent of total billed charges,115.34,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 ,115.34,percent of total billed charges ,115.34,percent of total billed charges ,124.1,percent of total billed charges ,124.1,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 ,,,,,,,,,,,,,,,,,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,
**IONIZED CALCIUM DO NOT USE,82330,CDM,,,,both,,,227,227,52.21,227,227,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,179.33,percent of total billed charges,179.33,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 ,179.33,percent of total billed charges ,179.33,percent of total billed charges ,192.95,percent of total billed charges ,192.95,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 ,,,,,,,,,,,,,,,,,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,
CREATININE,82565,CDM,,,,both,,,90,90,20.7,90,90,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,71.1,percent of total billed charges,71.1,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 ,71.1,percent of total billed charges ,71.1,percent of total billed charges ,76.5,percent of total billed charges ,76.5,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**LITHIUM SERUM DO NOT USE,80178,CDM,,,,both,,,104,104,23.92,104,104,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,82.16,percent of total billed charges,82.16,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 ,82.16,percent of total billed charges ,82.16,percent of total billed charges ,88.4,percent of total billed charges ,88.4,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 ,,,,,,,,,,,,,,,,,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,
CPK WITH REFLEX,82550,CDM,,,,both,,,175,175,40.25,175,175,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,138.25,percent of total billed charges,138.25,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 ,138.25,percent of total billed charges ,138.25,percent of total billed charges ,148.75,percent of total billed charges ,148.75,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 ,,,,,,,,,,,,,,,,,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,
**CRYOGLOBULIN QUAL/SEMI-QUANT DO NOT US,82595,CDM,,,,both,,,61,61,14.03,61,61,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,48.19,percent of total billed charges,48.19,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 ,48.19,percent of total billed charges ,48.19,percent of total billed charges ,51.85,percent of total billed charges ,51.85,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 ,,,,,,,,,,,,,,,,,,,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,,,14.03,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,
**D-XYLOSE ABSORPTION DO NOT USE,84620,CDM,,,,both,,,286,286,65.78,286,286,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,225.94,percent of total billed charges,225.94,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 ,225.94,percent of total billed charges ,225.94,percent of total billed charges ,243.1,percent of total billed charges ,243.1,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 ,,,,,,,,,,,,,,,,,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,
**METANEPHRINES URINE DO NOT USE,83835,CDM,,,,both,,,228,228,52.44,228,228,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,180.12,percent of total billed charges,180.12,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 ,180.12,percent of total billed charges ,180.12,percent of total billed charges ,193.8,percent of total billed charges ,193.8,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 ,,,,,,,,,,,,,,,,,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,
**CATECHOLAMINE DO NOT USE,82382,CDM,,,,both,,,286,286,65.78,286,286,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,225.94,percent of total billed charges,225.94,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 ,225.94,percent of total billed charges ,225.94,percent of total billed charges ,243.1,percent of total billed charges ,243.1,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 ,,,,,,,,,,,,,,,,,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,
**DRUG CONFIRMATION LEVEL 2 DO NOT USE,80102,CDM,,,,both,,,220,220,50.6,220,220,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,173.8,percent of total billed charges,173.8,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 ,173.8,percent of total billed charges ,173.8,percent of total billed charges ,187,percent of total billed charges ,187,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
GLUCOSE,82947,CDM,,,,both,,,86,86,19.78,86,86,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,67.94,percent of total billed charges,67.94,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 ,67.94,percent of total billed charges ,67.94,percent of total billed charges ,73.1,percent of total billed charges ,73.1,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
GLUCOSE 1 HR PP,82950,CDM,,,,both,,,84,84,19.32,84,84,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,66.36,percent of total billed charges,66.36,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 ,66.36,percent of total billed charges ,66.36,percent of total billed charges ,71.4,percent of total billed charges ,71.4,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 ,,,,,,,,,,,,,,,,,,,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,
**PROTEIN ELECTROPHORESIS DO NOT USE,84165,CDM,,,,both,,,158,158,36.34,158,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,113.76,percent of total billed charges,113.76,percent of total billed charges,113.76,percent of total billed charges,113.76,percent of total billed charges,113.76,percent of total billed charges,113.76,percent of total billed charges,124.82,percent of total billed charges,124.82,percent of total billed charges,126.4,percent of total billed charges,126.4,percent of total billed charges,,,113.76,percent of total billed charges ,,,126.4,percent of total billed charges ,124.82,percent of total billed charges ,124.82,percent of total billed charges ,134.3,percent of total billed charges ,134.3,percent of total billed charges ,126.4,percent of total billed charges ,126.4,percent of total billed charges ,110.6,percent of total billed charges ,110.6,percent of total billed charges ,94.8,percent of total billed charges ,94.8,percent of total billed charges ,94.8,percent of total billed charges ,94.8,percent of total billed charges ,,,,,84.06,percent of total billed charges ,,,,,79.85,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,
**HEMOGLOBIN ELECTROPHORESIS DO NOT USE,83020,CDM,,,,both,,,165,165,37.95,165,165,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,130.35,percent of total billed charges,130.35,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 ,130.35,percent of total billed charges ,130.35,percent of total billed charges ,140.25,percent of total billed charges ,140.25,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 ,,,,,,,,,,,,,,,,,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,
TROPONIN I,84484,CDM,,,,both,,,253,253,58.19,253,253,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,199.87,percent of total billed charges,199.87,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 ,199.87,percent of total billed charges ,199.87,percent of total billed charges ,215.05,percent of total billed charges ,215.05,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 ,,,,,,,,,,,,,,,,,,,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,,,58.19,percent of total billed charges,,,58.19,percent of total billed charges,,,58.19,percent of total billed charges,
TOTAL PROTEIN,84155,CDM,,,,both,,,81,81,18.63,81,81,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,63.99,percent of total billed charges,63.99,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 ,63.99,percent of total billed charges ,63.99,percent of total billed charges ,68.85,percent of total billed charges ,68.85,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 ,,,,,,,,,,,,,,,,,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,
ALBUMIN,82040,CDM,,,,both,,,83,83,19.09,83,83,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,65.57,percent of total billed charges,65.57,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 ,65.57,percent of total billed charges ,65.57,percent of total billed charges ,70.55,percent of total billed charges ,70.55,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 ,,,,,,,,,,,,,,,,,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,
**IGA DO NOT USE,82784,CDM,,,,both,,,156,156,35.88,156,156,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,123.24,percent of total billed charges,123.24,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 ,123.24,percent of total billed charges ,123.24,percent of total billed charges ,132.6,percent of total billed charges ,132.6,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 ,,,,,,,,,,,,,,,,,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,
**URINE CALCIUM 24HR DO NOT USE,82340,CDM,,,,both,,,141,141,32.43,141,141,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,111.39,percent of total billed charges,111.39,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 ,111.39,percent of total billed charges ,111.39,percent of total billed charges ,119.85,percent of total billed charges ,119.85,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 ,,,,,,,,,,,,,,,,,,,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,
LDH,83615,CDM,,,,both,,,110,110,25.3,110,110,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,86.9,percent of total billed charges,86.9,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 ,86.9,percent of total billed charges ,86.9,percent of total billed charges ,93.5,percent of total billed charges ,93.5,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 ,,,,,,,,,,,,,,,,,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,
**IGG DO NOT USE,82784,CDM,,,,both,,,156,156,35.88,156,156,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,123.24,percent of total billed charges,123.24,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 ,123.24,percent of total billed charges ,123.24,percent of total billed charges ,132.6,percent of total billed charges ,132.6,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 ,,,,,,,,,,,,,,,,,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,
**IGM DO NOT USE,82784,CDM,,,,both,,,156,156,35.88,156,156,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,123.24,percent of total billed charges,123.24,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 ,123.24,percent of total billed charges ,123.24,percent of total billed charges ,132.6,percent of total billed charges ,132.6,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 ,,,,,,,,,,,,,,,,,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,
**CSF ALBUMIN DO NOT USE,83883,CDM,,,,both,,,135,135,31.05,135,135,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,106.65,percent of total billed charges,106.65,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 ,106.65,percent of total billed charges ,106.65,percent of total billed charges ,114.75,percent of total billed charges ,114.75,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 ,,,,,,,,,,,,,,,,,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,
URIC ACID,84550,CDM,,,,both,,,96,96,22.08,96,96,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,75.84,percent of total billed charges,75.84,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 ,75.84,percent of total billed charges ,75.84,percent of total billed charges ,81.6,percent of total billed charges ,81.6,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 ,,,,,,,,,,,,,,,,,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,
TRIGLYCERIDES,84478,CDM,,,,both,,,110,110,25.3,110,110,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,86.9,percent of total billed charges,86.9,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 ,86.9,percent of total billed charges ,86.9,percent of total billed charges ,93.5,percent of total billed charges ,93.5,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 ,,,,,,,,,,,,,,,,,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,
ALT,84460,CDM,,,,both,,,96,96,22.08,96,96,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,75.84,percent of total billed charges,75.84,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 ,75.84,percent of total billed charges ,75.84,percent of total billed charges ,81.6,percent of total billed charges ,81.6,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 ,,,,,,,,,,,,,,,,,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,
AST,84450,CDM,,,,both,,,96,96,22.08,96,96,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,75.84,percent of total billed charges,75.84,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 ,75.84,percent of total billed charges ,75.84,percent of total billed charges ,81.6,percent of total billed charges ,81.6,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 ,,,,,,,,,,,,,,,,,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,
SODIUM,84295,CDM,,,,both,,,117,117,26.91,117,117,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,92.43,percent of total billed charges,92.43,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 ,92.43,percent of total billed charges ,92.43,percent of total billed charges ,99.45,percent of total billed charges ,99.45,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 ,,,,,,,,,,,,,,,,,,,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,
IRON,83540,CDM,,,,both,,,111,111,25.53,111,111,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,87.69,percent of total billed charges,87.69,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 ,87.69,percent of total billed charges ,87.69,percent of total billed charges ,94.35,percent of total billed charges ,94.35,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 ,,,,,,,,,,,,,,,,,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,
PHOSPHORUS,84100,CDM,,,,both,,,92,92,21.16,92,92,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,72.68,percent of total billed charges,72.68,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 ,72.68,percent of total billed charges ,72.68,percent of total billed charges ,78.2,percent of total billed charges ,78.2,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 ,,,,,,,,,,,,,,,,,,,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,
ALKALINE PHOSPHATASE,84075,CDM,,,,both,,,146,146,33.58,146,146,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,115.34,percent of total billed charges,115.34,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 ,115.34,percent of total billed charges ,115.34,percent of total billed charges ,124.1,percent of total billed charges ,124.1,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 ,,,,,,,,,,,,,,,,,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,
**LEAD LEVEL DO NOT USE,83655,CDM,,,,both,,,102,102,23.46,102,102,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,80.58,percent of total billed charges,80.58,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 ,80.58,percent of total billed charges ,80.58,percent of total billed charges ,86.7,percent of total billed charges ,86.7,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 ,,,,,,,,,,,,,,,,,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,
**IGE DO NOT USE,82785,CDM,,,,both,,,274,274,63.02,274,274,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,216.46,percent of total billed charges,216.46,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 ,216.46,percent of total billed charges ,216.46,percent of total billed charges ,232.9,percent of total billed charges ,232.9,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 ,,,,,,,,,,,,,,,,,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,
**OSMOLALITY DO NOT USE,83930,CDM,,,,both,,,108,108,24.84,108,108,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,85.32,percent of total billed charges,85.32,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 ,85.32,percent of total billed charges ,85.32,percent of total billed charges ,91.8,percent of total billed charges ,91.8,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 ,,,,,,,,,,,,,,,,,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,
METHEMOGLOBIN,83050,CDM,,,,both,,,150,150,34.5,150,150,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,118.5,percent of total billed charges,118.5,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 ,118.5,percent of total billed charges ,118.5,percent of total billed charges ,127.5,percent of total billed charges ,127.5,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 ,,,,,,,,,,,,,,,,,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,
LIPID PROFILE W/ LDL-DIRECT,80061,CDM,,,,both,,,235,235,54.05,235,235,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,185.65,percent of total billed charges,185.65,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 ,185.65,percent of total billed charges ,185.65,percent of total billed charges ,199.75,percent of total billed charges ,199.75,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 ,,,,,,,,,,,,,,,,,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,
MAGNESIUM LEVEL,83735,CDM,,,,both,,,128,128,29.44,128,128,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,101.12,percent of total billed charges,101.12,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 ,101.12,percent of total billed charges ,101.12,percent of total billed charges ,108.8,percent of total billed charges ,108.8,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
LIPASE,83690,CDM,,,,both,,,173,173,39.79,173,173,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,136.67,percent of total billed charges,136.67,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 ,136.67,percent of total billed charges ,136.67,percent of total billed charges ,147.05,percent of total billed charges ,147.05,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 ,,,,,,,,,,,,,,,,,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,
**ALBUMIN NEPHOLOMETRY SERUM DO NOT USE,83883,CDM,,,,both,,,135,135,31.05,135,135,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,106.65,percent of total billed charges,106.65,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 ,106.65,percent of total billed charges ,106.65,percent of total billed charges ,114.75,percent of total billed charges ,114.75,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 ,,,,,,,,,,,,,,,,,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,
**LDH ISOENZYMES DO NOT USE,83625,CDM,,,,both,,,192,192,44.16,192,192,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,151.68,percent of total billed charges,151.68,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 ,151.68,percent of total billed charges ,151.68,percent of total billed charges ,163.2,percent of total billed charges ,163.2,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 ,,,,,,,,,,,,,,,,,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,
**DESIPRAMINE DO NOT USE,80160,CDM,,,,both,,,228,228,52.44,228,228,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,180.12,percent of total billed charges,180.12,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 ,180.12,percent of total billed charges ,180.12,percent of total billed charges ,193.8,percent of total billed charges ,193.8,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 ,,,,,,,,,,,,,,,,,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,
**URINE AMYLASE DO NOT USE,82150,CDM,,,,both,,,131,131,30.13,131,131,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,103.49,percent of total billed charges,103.49,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 ,103.49,percent of total billed charges ,103.49,percent of total billed charges ,111.35,percent of total billed charges ,111.35,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 ,,,,,,,,,,,,,,,,,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,
**URINE MAGNESIUM DO NOT USE,83735,CDM,,,,both,,,97,97,22.31,97,97,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,76.63,percent of total billed charges,76.63,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 ,76.63,percent of total billed charges ,76.63,percent of total billed charges ,82.45,percent of total billed charges ,82.45,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 ,,,,,,,,,,,,,,,,,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,
"OCC.BLD,DIAG-PEROX,FECAL",82272,CDM,,,,both,,,93,93,21.39,93,93,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,73.47,percent of total billed charges,73.47,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 ,73.47,percent of total billed charges ,73.47,percent of total billed charges ,79.05,percent of total billed charges ,79.05,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 ,,,,,,,,,,,,,,,,,,,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,,,21.39,percent of total billed charges,,,21.39,percent of total billed charges,,,21.39,percent of total billed charges,
**HAPTOGLOBIN DO NOT USE,83010,CDM,,,,both,,,209,209,48.07,209,209,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,165.11,percent of total billed charges,165.11,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 ,165.11,percent of total billed charges ,165.11,percent of total billed charges ,177.65,percent of total billed charges ,177.65,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 ,,,,,,,,,,,,,,,,,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,
**PROGESTERONE RECEPTOR AS DO NOT USE,84234,CDM,,,,both,,,338,338,77.74,338,338,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,267.02,percent of total billed charges,267.02,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 ,267.02,percent of total billed charges ,267.02,percent of total billed charges ,287.3,percent of total billed charges ,287.3,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 ,,,,,,,,,,,,,,,,,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,
**ESTROGEN RECEPTOR ASSAY DO NOT USE,84233,CDM,,,,both,,,338,338,77.74,338,338,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,267.02,percent of total billed charges,267.02,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 ,267.02,percent of total billed charges ,267.02,percent of total billed charges ,287.3,percent of total billed charges ,287.3,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 ,,,,,,,,,,,,,,,,,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,
CSF GLUCOSE,82945,CDM,,,,both,,,112,112,25.76,112,112,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,88.48,percent of total billed charges,88.48,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 ,88.48,percent of total billed charges ,88.48,percent of total billed charges ,95.2,percent of total billed charges ,95.2,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 ,,,,,,,,,,,,,,,,,,,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,
**OLIGOCLONAL BANDING DO NOT USE,83916,CDM,,,,both,,,333,333,76.59,333,333,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,263.07,percent of total billed charges,263.07,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 ,263.07,percent of total billed charges ,263.07,percent of total billed charges ,283.05,percent of total billed charges ,283.05,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 ,,,,,,,,,,,,,,,,,,,76.59,percent of total billed charges,,,76.59,percent of total billed charges,,,76.59,percent of total billed charges,,,76.59,percent of total billed charges,,,76.59,percent of total billed charges,,,76.59,percent of total billed charges,,,76.59,percent of total billed charges,,,76.59,percent of total billed charges,,,76.59,percent of total billed charges,,,76.59,percent of total billed charges,,,76.59,percent of total billed charges,
"**BLOOD GAS, ARTERIAL",82805,CDM,,,,both,,,347,347,79.81,347,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,274.13,percent of total billed charges,274.13,percent of total billed charges,277.6,percent of total billed charges,277.6,percent of total billed charges,,,249.84,percent of total billed charges ,,,277.6,percent of total billed charges ,274.13,percent of total billed charges ,274.13,percent of total billed charges ,294.95,percent of total billed charges ,294.95,percent of total billed charges ,277.6,percent of total billed charges ,277.6,percent of total billed charges ,242.9,percent of total billed charges ,242.9,percent of total billed charges ,208.2,percent of total billed charges ,208.2,percent of total billed charges ,208.2,percent of total billed charges ,208.2,percent of total billed charges ,,,,,184.6,percent of total billed charges ,,,,,175.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,
GENTAMICIN PEAK,80170,CDM,,,,both,,,241,241,55.43,241,241,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,190.39,percent of total billed charges,190.39,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 ,190.39,percent of total billed charges ,190.39,percent of total billed charges ,204.85,percent of total billed charges ,204.85,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 ,,,,,,,,,,,,,,,,,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,
**TORCH PROFILE DO NOT USE,Local ,Local ,,,,both,,,765,765,175.95,765,765,percent of total billed charges,765,percent of total billed charges,765,percent of total billed charges,765,percent of total billed charges,765,percent of total billed charges,765,percent of total billed charges,765,percent of total billed charges,765,percent of total billed charges,550.8,percent of total billed charges,550.8,percent of total billed charges,550.8,percent of total billed charges,550.8,percent of total billed charges,550.8,percent of total billed charges,550.8,percent of total billed charges,604.35,percent of total billed charges,604.35,percent of total billed charges,612,percent of total billed charges,612,percent of total billed charges,,,550.8,percent of total billed charges ,,,612,percent of total billed charges ,604.35,percent of total billed charges ,604.35,percent of total billed charges ,650.25,percent of total billed charges ,650.25,percent of total billed charges ,612,percent of total billed charges ,612,percent of total billed charges ,535.5,percent of total billed charges ,535.5,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 ,,,,,406.98,percent of total billed charges ,,,,,386.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,175.95,percent of total billed charges,,,175.95,percent of total billed charges,,,175.95,percent of total billed charges,,,175.95,percent of total billed charges,,,175.95,percent of total billed charges,,,175.95,percent of total billed charges,,,175.95,percent of total billed charges,,,175.95,percent of total billed charges,,,175.95,percent of total billed charges,,,175.95,percent of total billed charges,,,175.95,percent of total billed charges,
TRANSFERRIN,84466,CDM,,,,both,,,166,166,38.18,166,166,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,131.14,percent of total billed charges,131.14,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 ,131.14,percent of total billed charges ,131.14,percent of total billed charges ,141.1,percent of total billed charges ,141.1,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 ,,,,,,,,,,,,,,,,,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,
**B NATRIURETIC PEPTIDE DO NOT USE,83520,CDM,,,,both,,,122,122,28.06,122,122,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,96.38,percent of total billed charges,96.38,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 ,96.38,percent of total billed charges ,96.38,percent of total billed charges ,103.7,percent of total billed charges ,103.7,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 ,,,,,,,,,,,,,,,,,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,
**PSEUDOCHOLINESTERASE DO NOT USE,82480,CDM,,,,both,,,65,65,14.95,65,65,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,51.35,percent of total billed charges,51.35,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 ,51.35,percent of total billed charges ,51.35,percent of total billed charges ,55.25,percent of total billed charges ,55.25,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 ,,,,,,,,,,,,,,,,,,,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,,,14.95,percent of total billed charges,,,14.95,percent of total billed charges,,,14.95,percent of total billed charges,
**URINE UREA NITROGEN DO NOT USE,84540,CDM,,,,both,,,108,108,24.84,108,108,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,85.32,percent of total billed charges,85.32,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 ,85.32,percent of total billed charges ,85.32,percent of total billed charges ,91.8,percent of total billed charges ,91.8,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 ,,,,,,,,,,,,,,,,,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,
NEONATAL SCREENING,84030,CDM,,,,both,,,153,153,35.19,153,153,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,120.87,percent of total billed charges,120.87,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 ,120.87,percent of total billed charges ,120.87,percent of total billed charges ,130.05,percent of total billed charges ,130.05,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 ,,,,,,,,,,,,,,,,,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,
OCCULT BLOOD GASTRIC,82271,CDM,,,,both,,,93,93,21.39,93,93,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,73.47,percent of total billed charges,73.47,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 ,73.47,percent of total billed charges ,73.47,percent of total billed charges ,79.05,percent of total billed charges ,79.05,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 ,,,,,,,,,,,,,,,,,,,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,,,21.39,percent of total billed charges,,,21.39,percent of total billed charges,,,21.39,percent of total billed charges,
**HOMOCYSTEINE DO NOT USE,83090,CDM,,,,both,,,220,220,50.6,220,220,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,173.8,percent of total billed charges,173.8,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 ,173.8,percent of total billed charges ,173.8,percent of total billed charges ,187,percent of total billed charges ,187,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
TOTAL BILIRUBIN,82247,CDM,,,,both,,,91,91,20.93,91,91,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,71.89,percent of total billed charges,71.89,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 ,71.89,percent of total billed charges ,71.89,percent of total billed charges ,77.35,percent of total billed charges ,77.35,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 ,,,,,,,,,,,,,,,,,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,
**@HCG,84702,CDM,,,,both,,,80,80,18.4,80,80,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,63.2,percent of total billed charges,63.2,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 ,63.2,percent of total billed charges ,63.2,percent of total billed charges ,68,percent of total billed charges ,68,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 ,,,,,,,,,,,,,,,,,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,
**CORTISOL SERUM DO NOT USE,82533,CDM,,,,both,,,125,125,28.75,125,125,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,98.75,percent of total billed charges,98.75,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 ,98.75,percent of total billed charges ,98.75,percent of total billed charges ,106.25,percent of total billed charges ,106.25,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 ,,,,,,,,,,,,,,,,,,,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,,,28.75,percent of total billed charges,,,28.75,percent of total billed charges,,,28.75,percent of total billed charges,
**AFP (ALPHA FETOPROTEIN),82105,CDM,,,,both,,,278,278,63.94,278,278,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,219.62,percent of total billed charges,219.62,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 ,219.62,percent of total billed charges ,219.62,percent of total billed charges ,236.3,percent of total billed charges ,236.3,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**@ALPHA FETOPROTEIN,82105,CDM,,,,both,,,80,80,18.4,80,80,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,63.2,percent of total billed charges,63.2,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 ,63.2,percent of total billed charges ,63.2,percent of total billed charges ,68,percent of total billed charges ,68,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 ,,,,,,,,,,,,,,,,,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,
PREG QUAL URINE,84703,CDM,,,,both,,,193,193,44.39,193,193,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,152.47,percent of total billed charges,152.47,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 ,152.47,percent of total billed charges ,152.47,percent of total billed charges ,164.05,percent of total billed charges ,164.05,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 ,,,,,,,,,,,,,,,,,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,
**FSH DO NOT USE,83001,CDM,,,,both,,,221,221,50.83,221,221,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,174.59,percent of total billed charges,174.59,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 ,174.59,percent of total billed charges ,174.59,percent of total billed charges ,187.85,percent of total billed charges ,187.85,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 ,,,,,,,,,,,,,,,,,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,
MYOGLOBIN,83874,CDM,,,,both,,,202,202,46.46,202,202,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,159.58,percent of total billed charges,159.58,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 ,159.58,percent of total billed charges ,159.58,percent of total billed charges ,171.7,percent of total billed charges ,171.7,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 ,,,,,,,,,,,,,,,,,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,
RANDOM UR T PROTEIN,84156,CDM,,,,both,,,102,102,23.46,102,102,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,80.58,percent of total billed charges,80.58,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 ,80.58,percent of total billed charges ,80.58,percent of total billed charges ,86.7,percent of total billed charges ,86.7,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 ,,,,,,,,,,,,,,,,,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,
**ALPHA 1 ANTRITRY PHEONOTYPE,82104,CDM,,,,both,,,81,81,18.63,81,81,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,63.99,percent of total billed charges,63.99,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 ,63.99,percent of total billed charges ,63.99,percent of total billed charges ,68.85,percent of total billed charges ,68.85,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 ,,,,,,,,,,,,,,,,,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,
**PSA FREE DO NOT USE,84154,CDM,,,,both,,,185,185,42.55,185,185,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,146.15,percent of total billed charges,146.15,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 ,146.15,percent of total billed charges ,146.15,percent of total billed charges ,157.25,percent of total billed charges ,157.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,42.55,percent of total billed charges,,,42.55,percent of total billed charges,,,42.55,percent of total billed charges,
**LIPOPROTEIN A DO NOT USE,83695,CDM,,,,both,,,147,147,33.81,147,147,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,116.13,percent of total billed charges,116.13,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 ,116.13,percent of total billed charges ,116.13,percent of total billed charges ,124.95,percent of total billed charges ,124.95,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 ,,,,,,,,,,,,,,,,,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,
**T3 FREE,84481,CDM,,,,both,,,62,62,14.26,62,62,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,48.98,percent of total billed charges,48.98,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 ,48.98,percent of total billed charges ,48.98,percent of total billed charges ,52.7,percent of total billed charges ,52.7,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 ,,,,,,,,,,,,,,,,,,,14.26,percent of total billed charges,,,14.26,percent of total billed charges,,,14.26,percent of total billed charges,,,14.26,percent of total billed charges,,,14.26,percent of total billed charges,,,14.26,percent of total billed charges,,,14.26,percent of total billed charges,,,14.26,percent of total billed charges,,,14.26,percent of total billed charges,,,14.26,percent of total billed charges,,,14.26,percent of total billed charges,
HEPATIC FUNCTION PANEL,80076,CDM,,,,both,,,247,247,56.81,247,247,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,195.13,percent of total billed charges,195.13,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 ,195.13,percent of total billed charges ,195.13,percent of total billed charges ,209.95,percent of total billed charges ,209.95,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 ,,,,,,,,,,,,,,,,,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,
**VITAMIN B6 DO NOT USE,84207,CDM,,,,both,,,47,47,10.81,47,47,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,37.13,percent of total billed charges,37.13,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 ,37.13,percent of total billed charges ,37.13,percent of total billed charges ,39.95,percent of total billed charges ,39.95,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**FOLATE LEVEL RBC DO NOT USE,82747,CDM,,,,both,,,233,233,53.59,233,233,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,184.07,percent of total billed charges,184.07,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 ,184.07,percent of total billed charges ,184.07,percent of total billed charges ,198.05,percent of total billed charges ,198.05,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 ,,,,,,,,,,,,,,,,,,,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,
**DIPHENYLHYDANTOIN/PHENYT DO NOT USE,80185,CDM,,,,both,,,174,174,40.02,174,174,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,137.46,percent of total billed charges,137.46,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 ,137.46,percent of total billed charges ,137.46,percent of total billed charges ,147.9,percent of total billed charges ,147.9,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
CARBOXYHEMOGLOBIN,82375,CDM,,,,both,,,159,159,36.57,159,159,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,125.61,percent of total billed charges,125.61,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 ,125.61,percent of total billed charges ,125.61,percent of total billed charges ,135.15,percent of total billed charges ,135.15,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,36.57,percent of total billed charges,,,36.57,percent of total billed charges,,,36.57,percent of total billed charges,
**CYCLOSPORINE DO NOT USE,80158,CDM,,,,both,,,139,139,31.97,139,139,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,109.81,percent of total billed charges,109.81,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 ,109.81,percent of total billed charges ,109.81,percent of total billed charges ,118.15,percent of total billed charges ,118.15,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 ,,,,,,,,,,,,,,,,,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,
**ROEXPIN (SINEQUAN) DO NOT USE,80166,CDM,,,,both,,,267,267,61.41,267,267,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,210.93,percent of total billed charges,210.93,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 ,210.93,percent of total billed charges ,210.93,percent of total billed charges ,226.95,percent of total billed charges ,226.95,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 ,,,,,,,,,,,,,,,,,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,
**IMPIRAMINE DO NOT USE,80174,CDM,,,,both,,,228,228,52.44,228,228,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,180.12,percent of total billed charges,180.12,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 ,180.12,percent of total billed charges ,180.12,percent of total billed charges ,193.8,percent of total billed charges ,193.8,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 ,,,,,,,,,,,,,,,,,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,
**SULFA LEVEL FREE DO NOT USE,84311,CDM,,,,both,,,118,118,27.14,118,118,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,93.22,percent of total billed charges,93.22,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 ,93.22,percent of total billed charges ,93.22,percent of total billed charges ,100.3,percent of total billed charges ,100.3,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 ,,,,,,,,,,,,,,,,,,,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,,,27.14,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,
**PROCAINAMIDE  NAPA DO NOT USE,80192,CDM,,,,both,,,336,336,77.28,336,336,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,336,percent of total billed charges,336,percent of total billed charges,336,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,265.44,percent of total billed charges,265.44,percent of total billed charges,268.8,percent of total billed charges,268.8,percent of total billed charges,,,241.92,percent of total billed charges ,,,268.8,percent of total billed charges ,265.44,percent of total billed charges ,265.44,percent of total billed charges ,285.6,percent of total billed charges ,285.6,percent of total billed charges ,268.8,percent of total billed charges ,268.8,percent of total billed charges ,235.2,percent of total billed charges ,235.2,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 ,,,,,178.75,percent of total billed charges ,,,,,169.81,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,
**ETHYLENE GLYCOL DO NOT USE,82693,CDM,,,,both,,,162,162,37.26,162,162,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,127.98,percent of total billed charges,127.98,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 ,127.98,percent of total billed charges ,127.98,percent of total billed charges ,137.7,percent of total billed charges ,137.7,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 ,,,,,,,,,,,,,,,,,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,
**ACUTE HEPATITIS PANEL,80074,CDM,,,,both,,,472,472,108.56,472,472,percent of total billed charges,472,percent of total billed charges,472,percent of total billed charges,472,percent of total billed charges,472,percent of total billed charges,472,percent of total billed charges,472,percent of total billed charges,472,percent of total billed charges,339.84,percent of total billed charges,339.84,percent of total billed charges,339.84,percent of total billed charges,339.84,percent of total billed charges,339.84,percent of total billed charges,339.84,percent of total billed charges,372.88,percent of total billed charges,372.88,percent of total billed charges,377.6,percent of total billed charges,377.6,percent of total billed charges,,,339.84,percent of total billed charges ,,,377.6,percent of total billed charges ,372.88,percent of total billed charges ,372.88,percent of total billed charges ,401.2,percent of total billed charges ,401.2,percent of total billed charges ,377.6,percent of total billed charges ,377.6,percent of total billed charges ,330.4,percent of total billed charges ,330.4,percent of total billed charges ,283.2,percent of total billed charges ,283.2,percent of total billed charges ,283.2,percent of total billed charges ,283.2,percent of total billed charges ,,,,,251.1,percent of total billed charges ,,,,,238.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,
HDL,83718,CDM,,,,both,,,150,150,34.5,150,150,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,118.5,percent of total billed charges,118.5,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 ,118.5,percent of total billed charges ,118.5,percent of total billed charges ,127.5,percent of total billed charges ,127.5,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 ,,,,,,,,,,,,,,,,,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,
**PREALBUMIN DO NOT USE,84134,CDM,,,,both,,,138,138,31.74,138,138,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,109.02,percent of total billed charges,109.02,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 ,109.02,percent of total billed charges ,109.02,percent of total billed charges ,117.3,percent of total billed charges ,117.3,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 ,,,,,,,,,,,,,,,,,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,
**PROLACTIN DO NOT USE,84146,CDM,,,,both,,,221,221,50.83,221,221,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,174.59,percent of total billed charges,174.59,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 ,174.59,percent of total billed charges ,174.59,percent of total billed charges ,187.85,percent of total billed charges ,187.85,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 ,,,,,,,,,,,,,,,,,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,
**LUTENIZING HORMONE DO NOT USE,83002,CDM,,,,both,,,178,178,40.94,178,178,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,140.62,percent of total billed charges,140.62,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 ,140.62,percent of total billed charges ,140.62,percent of total billed charges ,151.3,percent of total billed charges ,151.3,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 ,,,,,,,,,,,,,,,,,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,
**COPPER LEVEL DO NOT USE,82525,CDM,,,,both,,,128,128,29.44,128,128,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,101.12,percent of total billed charges,101.12,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 ,101.12,percent of total billed charges ,101.12,percent of total billed charges ,108.8,percent of total billed charges ,108.8,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
CKMB,82553,CDM,,,,both,,,231,231,53.13,231,231,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,182.49,percent of total billed charges,182.49,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 ,182.49,percent of total billed charges ,182.49,percent of total billed charges ,196.35,percent of total billed charges ,196.35,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 ,,,,,,,,,,,,,,,,,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,
**TOBRAMYCIN DO NOT USE,80200,CDM,,,,both,,,189,189,43.47,189,189,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,149.31,percent of total billed charges,149.31,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 ,149.31,percent of total billed charges ,149.31,percent of total billed charges ,160.65,percent of total billed charges ,160.65,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 ,,,,,,,,,,,,,,,,,,,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,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,
VANCOMYCIN PEAK,80202,CDM,,,,both,,,246,246,56.58,246,246,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,194.34,percent of total billed charges,194.34,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 ,194.34,percent of total billed charges ,194.34,percent of total billed charges ,209.1,percent of total billed charges ,209.1,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 ,,,,,,,,,,,,,,,,,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,
**MOLECULAR DIAG INTERPRETATION & REPORT,83912,CDM,,,,both,,,68,68,15.64,68,68,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,53.72,percent of total billed charges,53.72,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 ,53.72,percent of total billed charges ,53.72,percent of total billed charges ,57.8,percent of total billed charges ,57.8,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 ,,,,,,,,,,,,,,,,,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,
COMPREHENSIVE METABOLIC PANEL,80053,CDM,,,,both,,,338,338,77.74,338,338,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,267.02,percent of total billed charges,267.02,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 ,267.02,percent of total billed charges ,267.02,percent of total billed charges ,287.3,percent of total billed charges ,287.3,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 ,,,,,,,,,,,,,,,,,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,
**MOL DOT BLOT PRODUCTION DO NOT USE,83893,CDM,,,,both,,,68,68,15.64,68,68,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,53.72,percent of total billed charges,53.72,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 ,53.72,percent of total billed charges ,53.72,percent of total billed charges ,57.8,percent of total billed charges ,57.8,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 ,,,,,,,,,,,,,,,,,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,
GTT 3 SPECIMENS,82951,CDM,,,,both,,,200,200,46,200,200,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,158,percent of total billed charges,158,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 ,158,percent of total billed charges ,158,percent of total billed charges ,170,percent of total billed charges ,170,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 ,,,,,,,,,,,,,,,,,,,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,,,46,percent of total billed charges,,,46,percent of total billed charges,,,46,percent of total billed charges,
GTT ADD'L HR,82952,CDM,,,,both,,,64,64,14.72,64,64,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,50.56,percent of total billed charges,50.56,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 ,50.56,percent of total billed charges ,50.56,percent of total billed charges ,54.4,percent of total billed charges ,54.4,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**FETAL FIBRONECTIN DO NOT USE,82731,CDM,,,,both,,,675,675,155.25,675,675,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,533.25,percent of total billed charges,533.25,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 ,533.25,percent of total billed charges ,533.25,percent of total billed charges ,573.75,percent of total billed charges ,573.75,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 ,,,,,,,,,,,,,,,,,,,155.25,percent of total billed charges,,,155.25,percent of total billed charges,,,155.25,percent of total billed charges,,,155.25,percent of total billed charges,,,155.25,percent of total billed charges,,,155.25,percent of total billed charges,,,155.25,percent of total billed charges,,,155.25,percent of total billed charges,,,155.25,percent of total billed charges,,,155.25,percent of total billed charges,,,155.25,percent of total billed charges,
**PH BODY FLUID DO NOT USE,83986,CDM,,,,both,,,61,61,14.03,61,61,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,48.19,percent of total billed charges,48.19,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 ,48.19,percent of total billed charges ,48.19,percent of total billed charges ,51.85,percent of total billed charges ,51.85,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 ,,,,,,,,,,,,,,,,,,,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,,,14.03,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,
HBA1C,83036,CDM,,,,both,,,149,149,34.27,149,149,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,117.71,percent of total billed charges,117.71,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 ,117.71,percent of total billed charges ,117.71,percent of total billed charges ,126.65,percent of total billed charges ,126.65,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 ,,,,,,,,,,,,,,,,,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,
**MICROALBUMIN URINE DO NOT USE,82043,CDM,,,,both,,,109,109,25.07,109,109,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,86.11,percent of total billed charges,86.11,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 ,86.11,percent of total billed charges ,86.11,percent of total billed charges ,92.65,percent of total billed charges ,92.65,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 ,,,,,,,,,,,,,,,,,,,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,
**THYROGLOBULIN DO NOT USE,84432,CDM,,,,both,,,93,93,21.39,93,93,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,73.47,percent of total billed charges,73.47,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 ,73.47,percent of total billed charges ,73.47,percent of total billed charges ,79.05,percent of total billed charges ,79.05,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 ,,,,,,,,,,,,,,,,,,,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,,,21.39,percent of total billed charges,,,21.39,percent of total billed charges,,,21.39,percent of total billed charges,
RENAL FUNCTION PANEL,80069,CDM,,,,both,,,284,284,65.32,284,284,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,224.36,percent of total billed charges,224.36,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 ,224.36,percent of total billed charges ,224.36,percent of total billed charges ,241.4,percent of total billed charges ,241.4,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 ,,,,,,,,,,,,,,,,,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,
**GGT,82977,CDM,,,,both,,,121,121,27.83,121,121,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,95.59,percent of total billed charges,95.59,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 ,95.59,percent of total billed charges ,95.59,percent of total billed charges ,102.85,percent of total billed charges ,102.85,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,27.83,percent of total billed charges,,,27.83,percent of total billed charges,,,27.83,percent of total billed charges,
ELECTROLYTE PANEL,80051,CDM,,,,both,,,205,205,47.15,205,205,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,161.95,percent of total billed charges,161.95,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 ,161.95,percent of total billed charges ,161.95,percent of total billed charges ,174.25,percent of total billed charges ,174.25,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 ,,,,,,,,,,,,,,,,,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,
**MEASURED LDL DO NOT USE,83721,CDM,,,,both,,,88,88,20.24,88,88,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,69.52,percent of total billed charges,69.52,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 ,69.52,percent of total billed charges ,69.52,percent of total billed charges ,74.8,percent of total billed charges ,74.8,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 ,,,,,,,,,,,,,,,,,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,
**ALPHA 1 ANTITRYPSIN,82103,CDM,,,,both,,,93,93,21.39,93,93,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,73.47,percent of total billed charges,73.47,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 ,73.47,percent of total billed charges ,73.47,percent of total billed charges ,79.05,percent of total billed charges ,79.05,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 ,,,,,,,,,,,,,,,,,,,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,,,21.39,percent of total billed charges,,,21.39,percent of total billed charges,,,21.39,percent of total billed charges,
T4,84436,CDM,,,,both,,,173,173,39.79,173,173,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,136.67,percent of total billed charges,136.67,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 ,136.67,percent of total billed charges ,136.67,percent of total billed charges ,147.05,percent of total billed charges ,147.05,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 ,,,,,,,,,,,,,,,,,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,
**CLOZAPINE DO NOT USE,80299,CDM,,,,both,,,299,299,68.77,299,299,percent of total billed charges,299,percent of total billed charges,299,percent of total billed charges,299,percent of total billed charges,299,percent of total billed charges,299,percent of total billed charges,299,percent of total billed charges,299,percent of total billed charges,215.28,percent of total billed charges,215.28,percent of total billed charges,215.28,percent of total billed charges,215.28,percent of total billed charges,215.28,percent of total billed charges,215.28,percent of total billed charges,236.21,percent of total billed charges,236.21,percent of total billed charges,239.2,percent of total billed charges,239.2,percent of total billed charges,,,215.28,percent of total billed charges ,,,239.2,percent of total billed charges ,236.21,percent of total billed charges ,236.21,percent of total billed charges ,254.15,percent of total billed charges ,254.15,percent of total billed charges ,239.2,percent of total billed charges ,239.2,percent of total billed charges ,209.3,percent of total billed charges ,209.3,percent of total billed charges ,179.4,percent of total billed charges ,179.4,percent of total billed charges ,179.4,percent of total billed charges ,179.4,percent of total billed charges ,,,,,159.07,percent of total billed charges ,,,,,151.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,
**VITAMIN D 25 HYDROXY DO NOT USE,82306,CDM,,,,both,,,490,490,112.7,490,490,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,387.1,percent of total billed charges,387.1,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 ,387.1,percent of total billed charges ,387.1,percent of total billed charges ,416.5,percent of total billed charges ,416.5,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 ,,,,,,,,,,,,,,,,,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,,,112.7,percent of total billed charges,
TSH,84443,CDM,,,,both,,,229,229,52.67,229,229,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,180.91,percent of total billed charges,180.91,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 ,180.91,percent of total billed charges ,180.91,percent of total billed charges ,194.65,percent of total billed charges ,194.65,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 ,,,,,,,,,,,,,,,,,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,
**SOMATOMEDIN C PLASMA DO NOT USE,84305,CDM,,,,both,,,353,353,81.19,353,353,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,278.87,percent of total billed charges,278.87,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 ,278.87,percent of total billed charges ,278.87,percent of total billed charges ,300.05,percent of total billed charges ,300.05,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 ,,,,,,,,,,,,,,,,,,,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,,,81.19,percent of total billed charges,,,81.19,percent of total billed charges,,,81.19,percent of total billed charges,
**OXALATE URINE DO NOT USE,83945,CDM,,,,both,,,118,118,27.14,118,118,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,93.22,percent of total billed charges,93.22,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 ,93.22,percent of total billed charges ,93.22,percent of total billed charges ,100.3,percent of total billed charges ,100.3,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 ,,,,,,,,,,,,,,,,,,,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,,,27.14,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,
**MYELIN BASIC PROTEIN DO NOT USE,83873,CDM,,,,both,,,130,130,29.9,130,130,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,102.7,percent of total billed charges,102.7,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 ,102.7,percent of total billed charges ,102.7,percent of total billed charges ,110.5,percent of total billed charges ,110.5,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 ,,,,,,,,,,,,,,,,,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,
**INSULIN SERUM DO NOT USE,83525,CDM,,,,both,,,75,75,17.25,75,75,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,59.25,percent of total billed charges,59.25,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 ,59.25,percent of total billed charges ,59.25,percent of total billed charges ,63.75,percent of total billed charges ,63.75,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 ,,,,,,,,,,,,,,,,,,,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,,,17.25,percent of total billed charges,,,17.25,percent of total billed charges,,,17.25,percent of total billed charges,
**CALCITONIN DO NOT USE,82308,CDM,,,,both,,,443,443,101.89,443,443,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,349.97,percent of total billed charges,349.97,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 ,349.97,percent of total billed charges ,349.97,percent of total billed charges ,376.55,percent of total billed charges ,376.55,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 ,,,,,,,,,,,,,,,,,,,101.89,percent of total billed charges,,,101.89,percent of total billed charges,,,101.89,percent of total billed charges,,,101.89,percent of total billed charges,,,101.89,percent of total billed charges,,,101.89,percent of total billed charges,,,101.89,percent of total billed charges,,,101.89,percent of total billed charges,,,101.89,percent of total billed charges,,,101.89,percent of total billed charges,,,101.89,percent of total billed charges,
**ANGIOTENSIN COV ENZ,82164,CDM,,,,both,,,124,124,28.52,124,124,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,97.96,percent of total billed charges,97.96,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 ,97.96,percent of total billed charges ,97.96,percent of total billed charges ,105.4,percent of total billed charges ,105.4,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 ,,,,,,,,,,,,,,,,,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,
**GROWTH HORMONE HUMAN DO NOT USE,83003,CDM,,,,both,,,271,271,62.33,271,271,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,214.09,percent of total billed charges,214.09,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 ,214.09,percent of total billed charges ,214.09,percent of total billed charges ,230.35,percent of total billed charges ,230.35,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 ,,,,,,,,,,,,,,,,,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,
**GASTRIN DO NOT USE,82941,CDM,,,,both,,,195,195,44.85,195,195,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,154.05,percent of total billed charges,154.05,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 ,154.05,percent of total billed charges ,154.05,percent of total billed charges ,165.75,percent of total billed charges ,165.75,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 ,,,,,,,,,,,,,,,,,,,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,,,44.85,percent of total billed charges,,,44.85,percent of total billed charges,,,44.85,percent of total billed charges,
**FAT QUANTITATIVE STOOL DO NOT USE,82710,CDM,,,,both,,,60,60,13.8,60,60,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,47.4,percent of total billed charges,47.4,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 ,47.4,percent of total billed charges ,47.4,percent of total billed charges ,51,percent of total billed charges ,51,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 ,,,,,,,,,,,,,,,,,,,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,,,13.8,percent of total billed charges,,,13.8,percent of total billed charges,,,13.8,percent of total billed charges,
**ERYTHROPOIETIN DO NOT USE,82668,CDM,,,,both,,,312,312,71.76,312,312,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,246.48,percent of total billed charges,246.48,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 ,246.48,percent of total billed charges ,246.48,percent of total billed charges ,265.2,percent of total billed charges ,265.2,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**AMIODARONE LEVEL,82491,CDM,,,,both,,,425,425,97.75,425,425,percent of total billed charges,425,percent of total billed charges,425,percent of total billed charges,425,percent of total billed charges,425,percent of total billed charges,425,percent of total billed charges,425,percent of total billed charges,425,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,335.75,percent of total billed charges,335.75,percent of total billed charges,340,percent of total billed charges,340,percent of total billed charges,,,306,percent of total billed charges ,,,340,percent of total billed charges ,335.75,percent of total billed charges ,335.75,percent of total billed charges ,361.25,percent of total billed charges ,361.25,percent of total billed charges ,340,percent of total billed charges ,340,percent of total billed charges ,297.5,percent of total billed charges ,297.5,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 ,,,,,226.1,percent of total billed charges ,,,,,214.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,
**LAMOTRIGINE DO NOT USE,82491,CDM,,,,both,,,425,425,97.75,425,425,percent of total billed charges,425,percent of total billed charges,425,percent of total billed charges,425,percent of total billed charges,425,percent of total billed charges,425,percent of total billed charges,425,percent of total billed charges,425,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,335.75,percent of total billed charges,335.75,percent of total billed charges,340,percent of total billed charges,340,percent of total billed charges,,,306,percent of total billed charges ,,,340,percent of total billed charges ,335.75,percent of total billed charges ,335.75,percent of total billed charges ,361.25,percent of total billed charges ,361.25,percent of total billed charges ,340,percent of total billed charges ,340,percent of total billed charges ,297.5,percent of total billed charges ,297.5,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 ,,,,,226.1,percent of total billed charges ,,,,,214.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,
FREE T4,84439,CDM,,,,both,,,222,222,51.06,222,222,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,175.38,percent of total billed charges,175.38,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 ,175.38,percent of total billed charges ,175.38,percent of total billed charges ,188.7,percent of total billed charges ,188.7,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
BLOOD PH,82800,CDM,,,,both,,,50,50,11.5,50,50,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,39.5,percent of total billed charges,39.5,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 ,39.5,percent of total billed charges ,39.5,percent of total billed charges ,42.5,percent of total billed charges ,42.5,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 ,,,,,,,,,,,,,,,,,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,
PREG. QUAL SERUM,84703,CDM,,,,both,,,193,193,44.39,193,193,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,152.47,percent of total billed charges,152.47,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 ,152.47,percent of total billed charges ,152.47,percent of total billed charges ,164.05,percent of total billed charges ,164.05,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 ,,,,,,,,,,,,,,,,,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,
**CORTISOL FREE URINE DO NOT USE,82530,CDM,,,,both,,,142,142,32.66,142,142,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,112.18,percent of total billed charges,112.18,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 ,112.18,percent of total billed charges ,112.18,percent of total billed charges ,120.7,percent of total billed charges ,120.7,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 ,,,,,,,,,,,,,,,,,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,
**CITRATE EXCRETION URINE DO NOT USE,82507,CDM,,,,both,,,55,55,12.65,55,55,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,43.45,percent of total billed charges,43.45,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 ,43.45,percent of total billed charges ,43.45,percent of total billed charges ,46.75,percent of total billed charges ,46.75,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 ,,,,,,,,,,,,,,,,,,,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,
**DHEA DO NOT USE,82626,CDM,,,,both,,,254,254,58.42,254,254,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,200.66,percent of total billed charges,200.66,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 ,200.66,percent of total billed charges ,200.66,percent of total billed charges ,215.9,percent of total billed charges ,215.9,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 ,,,,,,,,,,,,,,,,,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,
**CATECHOL FRACTION URINE DO NOT USE,82384,CDM,,,,both,,,235,235,54.05,235,235,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,185.65,percent of total billed charges,185.65,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 ,185.65,percent of total billed charges ,185.65,percent of total billed charges ,199.75,percent of total billed charges ,199.75,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 ,,,,,,,,,,,,,,,,,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,
**CLOMIPRAMINE DO NOT USE,82491,CDM,,,,both,,,425,425,97.75,425,425,percent of total billed charges,425,percent of total billed charges,425,percent of total billed charges,425,percent of total billed charges,425,percent of total billed charges,425,percent of total billed charges,425,percent of total billed charges,425,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,335.75,percent of total billed charges,335.75,percent of total billed charges,340,percent of total billed charges,340,percent of total billed charges,,,306,percent of total billed charges ,,,340,percent of total billed charges ,335.75,percent of total billed charges ,335.75,percent of total billed charges ,361.25,percent of total billed charges ,361.25,percent of total billed charges ,340,percent of total billed charges ,340,percent of total billed charges ,297.5,percent of total billed charges ,297.5,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 ,,,,,226.1,percent of total billed charges ,,,,,214.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,
**CATECHOL FRACTION PLASMA DO NOT USE,82384,CDM,,,,both,,,235,235,54.05,235,235,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,185.65,percent of total billed charges,185.65,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 ,185.65,percent of total billed charges ,185.65,percent of total billed charges ,199.75,percent of total billed charges ,199.75,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 ,,,,,,,,,,,,,,,,,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,
**CAROTENE DO NOT USE,82380,CDM,,,,both,,,72,72,16.56,72,72,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,56.88,percent of total billed charges,56.88,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 ,56.88,percent of total billed charges ,56.88,percent of total billed charges ,61.2,percent of total billed charges ,61.2,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**IMMUNOASSAY ANTIBODY/QUAL DO NOT USE,83516,CDM,,,,both,,,66,66,15.18,66,66,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,52.14,percent of total billed charges,52.14,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 ,52.14,percent of total billed charges ,52.14,percent of total billed charges ,56.1,percent of total billed charges ,56.1,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 ,,,,,,,,,,,,,,,,,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,
**C-PEPTIDE DO NOT USE,84681,CDM,,,,both,,,135,135,31.05,135,135,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,106.65,percent of total billed charges,106.65,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 ,106.65,percent of total billed charges ,106.65,percent of total billed charges ,114.75,percent of total billed charges ,114.75,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 ,,,,,,,,,,,,,,,,,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,
**PANCREATIC POLYPEPTIDES DO NOT USE,83519,CDM,,,,both,,,225,225,51.75,225,225,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,177.75,percent of total billed charges,177.75,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 ,177.75,percent of total billed charges ,177.75,percent of total billed charges ,191.25,percent of total billed charges ,191.25,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 ,,,,,,,,,,,,,,,,,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,
**PYRUVIC ACID DO NOT USE,84210,CDM,,,,both,,,180,180,41.4,180,180,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,142.2,percent of total billed charges,142.2,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 ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,153,percent of total billed charges ,153,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,41.4,percent of total billed charges,,,41.4,percent of total billed charges,,,41.4,percent of total billed charges,
**SELENIUM DO NOT USE,84255,CDM,,,,both,,,142,142,32.66,142,142,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,112.18,percent of total billed charges,112.18,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 ,112.18,percent of total billed charges ,112.18,percent of total billed charges ,120.7,percent of total billed charges ,120.7,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 ,,,,,,,,,,,,,,,,,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,
**STRIATED MUSCLE AB DO NOT USE,86255,CDM,,,,both,,,179,179,41.17,179,179,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,141.41,percent of total billed charges,141.41,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 ,141.41,percent of total billed charges ,141.41,percent of total billed charges ,152.15,percent of total billed charges ,152.15,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 ,,,,,,,,,,,,,,,,,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,
**ANDROSTENNEDIONE SERUM,82157,CDM,,,,both,,,190,190,43.7,190,190,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,150.1,percent of total billed charges,150.1,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 ,150.1,percent of total billed charges ,150.1,percent of total billed charges ,161.5,percent of total billed charges ,161.5,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 ,,,,,,,,,,,,,,,,,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,
**ALKALINE PHOS ISOENZYMES,84080,CDM,,,,both,,,246,246,56.58,246,246,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,194.34,percent of total billed charges,194.34,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 ,194.34,percent of total billed charges ,194.34,percent of total billed charges ,209.1,percent of total billed charges ,209.1,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 ,,,,,,,,,,,,,,,,,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,
**TBG DO NOT USE,84442,CDM,,,,both,,,144,144,33.12,144,144,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,113.76,percent of total billed charges,113.76,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 ,113.76,percent of total billed charges ,113.76,percent of total billed charges ,122.4,percent of total billed charges ,122.4,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**THIAMINE DO NOT USE,84425,CDM,,,,both,,,119,119,27.37,119,119,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,94.01,percent of total billed charges,94.01,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 ,94.01,percent of total billed charges ,94.01,percent of total billed charges ,101.15,percent of total billed charges ,101.15,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 ,,,,,,,,,,,,,,,,,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,
**VITAMIN A DO NOT USE,84590,CDM,,,,both,,,193,193,44.39,193,193,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,152.47,percent of total billed charges,152.47,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 ,152.47,percent of total billed charges ,152.47,percent of total billed charges ,164.05,percent of total billed charges ,164.05,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 ,,,,,,,,,,,,,,,,,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,
**ALDOSTERONE SERUM,82088,CDM,,,,both,,,674,674,155.02,674,674,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,532.46,percent of total billed charges,532.46,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 ,532.46,percent of total billed charges ,532.46,percent of total billed charges ,572.9,percent of total billed charges ,572.9,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 ,,,,,,,,,,,,,,,,,,,155.02,percent of total billed charges,,,155.02,percent of total billed charges,,,155.02,percent of total billed charges,,,155.02,percent of total billed charges,,,155.02,percent of total billed charges,,,155.02,percent of total billed charges,,,155.02,percent of total billed charges,,,155.02,percent of total billed charges,,,155.02,percent of total billed charges,,,155.02,percent of total billed charges,,,155.02,percent of total billed charges,
**ETHOSUXIMIDE DO NOT USE,80168,CDM,,,,both,,,273,273,62.79,273,273,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,215.67,percent of total billed charges,215.67,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 ,215.67,percent of total billed charges ,215.67,percent of total billed charges ,232.05,percent of total billed charges ,232.05,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**ACTH,82024,CDM,,,,both,,,218,218,50.14,218,218,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,172.22,percent of total billed charges,172.22,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 ,172.22,percent of total billed charges ,172.22,percent of total billed charges ,185.3,percent of total billed charges ,185.3,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 ,,,,,,,,,,,,,,,,,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,
**ACETYLCHOLINE REC BLOCKING AB,84238,CDM,,,,both,,,309,309,71.07,309,309,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,244.11,percent of total billed charges,244.11,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 ,244.11,percent of total billed charges ,244.11,percent of total billed charges ,262.65,percent of total billed charges ,262.65,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 ,,,,,,,,,,,,,,,,,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,
**NUCLEOTIDASE 5 DO NOT USE,83915,CDM,,,,both,,,93,93,21.39,93,93,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,73.47,percent of total billed charges,73.47,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 ,73.47,percent of total billed charges ,73.47,percent of total billed charges ,79.05,percent of total billed charges ,79.05,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 ,,,,,,,,,,,,,,,,,,,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,,,21.39,percent of total billed charges,,,21.39,percent of total billed charges,,,21.39,percent of total billed charges,
**HYDRO-PRO 17 DO NOT USE,83498,CDM,,,,both,,,156,156,35.88,156,156,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,123.24,percent of total billed charges,123.24,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 ,123.24,percent of total billed charges ,123.24,percent of total billed charges ,132.6,percent of total billed charges ,132.6,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 ,,,,,,,,,,,,,,,,,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,
**AMINO ACIDS PLASMA,82136,CDM,,,,both,,,425,425,97.75,425,425,percent of total billed charges,425,percent of total billed charges,425,percent of total billed charges,425,percent of total billed charges,425,percent of total billed charges,425,percent of total billed charges,425,percent of total billed charges,425,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,335.75,percent of total billed charges,335.75,percent of total billed charges,340,percent of total billed charges,340,percent of total billed charges,,,306,percent of total billed charges ,,,340,percent of total billed charges ,335.75,percent of total billed charges ,335.75,percent of total billed charges ,361.25,percent of total billed charges ,361.25,percent of total billed charges ,340,percent of total billed charges ,340,percent of total billed charges ,297.5,percent of total billed charges ,297.5,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 ,,,,,226.1,percent of total billed charges ,,,,,214.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,
**AMINO ACIDS URINE,82136,CDM,,,,both,,,280,280,64.4,280,280,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,221.2,percent of total billed charges,221.2,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 ,221.2,percent of total billed charges ,221.2,percent of total billed charges ,238,percent of total billed charges ,238,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 ,,,,,,,,,,,,,,,,,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,
**CARNITINE DO NOT USE,82486,CDM,,,,both,,,299,299,68.77,299,299,percent of total billed charges,299,percent of total billed charges,299,percent of total billed charges,299,percent of total billed charges,299,percent of total billed charges,299,percent of total billed charges,299,percent of total billed charges,299,percent of total billed charges,215.28,percent of total billed charges,215.28,percent of total billed charges,215.28,percent of total billed charges,215.28,percent of total billed charges,215.28,percent of total billed charges,215.28,percent of total billed charges,236.21,percent of total billed charges,236.21,percent of total billed charges,239.2,percent of total billed charges,239.2,percent of total billed charges,,,215.28,percent of total billed charges ,,,239.2,percent of total billed charges ,236.21,percent of total billed charges ,236.21,percent of total billed charges ,254.15,percent of total billed charges ,254.15,percent of total billed charges ,239.2,percent of total billed charges ,239.2,percent of total billed charges ,209.3,percent of total billed charges ,209.3,percent of total billed charges ,179.4,percent of total billed charges ,179.4,percent of total billed charges ,179.4,percent of total billed charges ,179.4,percent of total billed charges ,,,,,159.07,percent of total billed charges ,,,,,151.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,
**STONE ANALYSIS DO NOT USE,82365,CDM,,,,both,,,178,178,40.94,178,178,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,140.62,percent of total billed charges,140.62,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 ,140.62,percent of total billed charges ,140.62,percent of total billed charges ,151.3,percent of total billed charges ,151.3,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 ,,,,,,,,,,,,,,,,,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,
**G6PD DO NOT USE,82955,CDM,,,,both,,,162,162,37.26,162,162,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,127.98,percent of total billed charges,127.98,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 ,127.98,percent of total billed charges ,127.98,percent of total billed charges ,137.7,percent of total billed charges ,137.7,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 ,,,,,,,,,,,,,,,,,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,
**AMYLASE ISOENZYMES,82150,CDM,,,,both,,,131,131,30.13,131,131,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,103.49,percent of total billed charges,103.49,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 ,103.49,percent of total billed charges ,103.49,percent of total billed charges ,111.35,percent of total billed charges ,111.35,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 ,,,,,,,,,,,,,,,,,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,
**HIAA 5 24HR URINE DO NOT USE,83497,CDM,,,,both,,,215,215,49.45,215,215,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,169.85,percent of total billed charges,169.85,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 ,169.85,percent of total billed charges ,169.85,percent of total billed charges ,182.75,percent of total billed charges ,182.75,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 ,,,,,,,,,,,,,,,,,,,49.45,percent of total billed charges,,,49.45,percent of total billed charges,,,49.45,percent of total billed charges,,,49.45,percent of total billed charges,,,49.45,percent of total billed charges,,,49.45,percent of total billed charges,,,49.45,percent of total billed charges,,,49.45,percent of total billed charges,,,49.45,percent of total billed charges,,,49.45,percent of total billed charges,,,49.45,percent of total billed charges,
**AMINOLEVULNIC UR,82135,CDM,,,,both,,,256,256,58.88,256,256,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,202.24,percent of total billed charges,202.24,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 ,202.24,percent of total billed charges ,202.24,percent of total billed charges ,217.6,percent of total billed charges ,217.6,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 ,,,,,,,,,,,,,,,,,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,
**FK506/TACROLIMUS DO NOT USE,80197,CDM,,,,both,,,228,228,52.44,228,228,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,180.12,percent of total billed charges,180.12,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 ,180.12,percent of total billed charges ,180.12,percent of total billed charges ,193.8,percent of total billed charges ,193.8,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 ,,,,,,,,,,,,,,,,,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,
DILANTIN,80185,CDM,,,,both,,,284,284,65.32,284,284,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,224.36,percent of total billed charges,224.36,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 ,224.36,percent of total billed charges ,224.36,percent of total billed charges ,241.4,percent of total billed charges ,241.4,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 ,,,,,,,,,,,,,,,,,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,
**AMOXAPINE,80299,CDM,,,,both,,,322,322,74.06,322,322,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,254.38,percent of total billed charges,254.38,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 ,254.38,percent of total billed charges ,254.38,percent of total billed charges ,273.7,percent of total billed charges ,273.7,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 ,,,,,,,,,,,,,,,,,,,74.06,percent of total billed charges,,,74.06,percent of total billed charges,,,74.06,percent of total billed charges,,,74.06,percent of total billed charges,,,74.06,percent of total billed charges,,,74.06,percent of total billed charges,,,74.06,percent of total billed charges,,,74.06,percent of total billed charges,,,74.06,percent of total billed charges,,,74.06,percent of total billed charges,,,74.06,percent of total billed charges,
**C1 ESTERASE DO NOT USE,83883,CDM,,,,both,,,135,135,31.05,135,135,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,106.65,percent of total billed charges,106.65,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 ,106.65,percent of total billed charges ,106.65,percent of total billed charges ,114.75,percent of total billed charges ,114.75,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 ,,,,,,,,,,,,,,,,,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,
**SEROTONIN DO NOT USE,84260,CDM,,,,both,,,97,97,22.31,97,97,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,76.63,percent of total billed charges,76.63,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 ,76.63,percent of total billed charges ,76.63,percent of total billed charges ,82.45,percent of total billed charges ,82.45,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 ,,,,,,,,,,,,,,,,,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,
**IBUPROFEN SERUM DO NOT USE,82486,CDM,,,,both,,,299,299,68.77,299,299,percent of total billed charges,299,percent of total billed charges,299,percent of total billed charges,299,percent of total billed charges,299,percent of total billed charges,299,percent of total billed charges,299,percent of total billed charges,299,percent of total billed charges,215.28,percent of total billed charges,215.28,percent of total billed charges,215.28,percent of total billed charges,215.28,percent of total billed charges,215.28,percent of total billed charges,215.28,percent of total billed charges,236.21,percent of total billed charges,236.21,percent of total billed charges,239.2,percent of total billed charges,239.2,percent of total billed charges,,,215.28,percent of total billed charges ,,,239.2,percent of total billed charges ,236.21,percent of total billed charges ,236.21,percent of total billed charges ,254.15,percent of total billed charges ,254.15,percent of total billed charges ,239.2,percent of total billed charges ,239.2,percent of total billed charges ,209.3,percent of total billed charges ,209.3,percent of total billed charges ,179.4,percent of total billed charges ,179.4,percent of total billed charges ,179.4,percent of total billed charges ,179.4,percent of total billed charges ,,,,,159.07,percent of total billed charges ,,,,,151.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,
**VMA URINE DO NOT USE,84585,CDM,,,,both,,,258,258,59.34,258,258,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,203.82,percent of total billed charges,203.82,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 ,203.82,percent of total billed charges ,203.82,percent of total billed charges ,219.3,percent of total billed charges ,219.3,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 ,,,,,,,,,,,,,,,,,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,
**TOPIRAMATE TOPOMAX DO NOT USE,80201,CDM,,,,both,,,199,199,45.77,199,199,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,157.21,percent of total billed charges,157.21,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 ,157.21,percent of total billed charges ,157.21,percent of total billed charges ,169.15,percent of total billed charges ,169.15,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 ,,,,,,,,,,,,,,,,,,,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,,,45.77,percent of total billed charges,,,45.77,percent of total billed charges,,,45.77,percent of total billed charges,
**FAT QUALITATIVE-STOOL DO NOT USE,82705,CDM,,,,both,,,49,49,11.27,49,49,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,38.71,percent of total billed charges,38.71,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 ,38.71,percent of total billed charges ,38.71,percent of total billed charges ,41.65,percent of total billed charges ,41.65,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 ,,,,,,,,,,,,,,,,,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,
**GLIADEN IGA DO NOT USE,83516,CDM,,,,both,,,58,58,13.34,58,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,45.82,percent of total billed charges,45.82,percent of total billed charges,46.4,percent of total billed charges,46.4,percent of total billed charges,,,41.76,percent of total billed charges ,,,46.4,percent of total billed charges ,45.82,percent of total billed charges ,45.82,percent of total billed charges ,49.3,percent of total billed charges ,49.3,percent of total billed charges ,46.4,percent of total billed charges ,46.4,percent of total billed charges ,40.6,percent of total billed charges ,40.6,percent of total billed charges ,34.8,percent of total billed charges ,34.8,percent of total billed charges ,34.8,percent of total billed charges ,34.8,percent of total billed charges ,,,,,30.86,percent of total billed charges ,,,,,29.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,
**GLIADIN IGG DO NOT USE,83516,CDM,,,,both,,,58,58,13.34,58,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,45.82,percent of total billed charges,45.82,percent of total billed charges,46.4,percent of total billed charges,46.4,percent of total billed charges,,,41.76,percent of total billed charges ,,,46.4,percent of total billed charges ,45.82,percent of total billed charges ,45.82,percent of total billed charges ,49.3,percent of total billed charges ,49.3,percent of total billed charges ,46.4,percent of total billed charges ,46.4,percent of total billed charges ,40.6,percent of total billed charges ,40.6,percent of total billed charges ,34.8,percent of total billed charges ,34.8,percent of total billed charges ,34.8,percent of total billed charges ,34.8,percent of total billed charges ,,,,,30.86,percent of total billed charges ,,,,,29.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,
**RENIN PLASMA DO NOT USE,84244,CDM,,,,both,,,365,365,83.95,365,365,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,288.35,percent of total billed charges,288.35,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 ,288.35,percent of total billed charges ,288.35,percent of total billed charges ,310.25,percent of total billed charges ,310.25,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 ,,,,,,,,,,,,,,,,,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,
FOLATE,82746,CDM,,,,both,,,249,249,57.27,249,249,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,196.71,percent of total billed charges,196.71,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 ,196.71,percent of total billed charges ,196.71,percent of total billed charges ,211.65,percent of total billed charges ,211.65,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 ,,,,,,,,,,,,,,,,,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,
**@FACTOR 5 LEIDEN-MAT SCN-SGL DO NOT US,83903,CDM,,,,both,,,91,91,20.93,91,91,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,71.89,percent of total billed charges,71.89,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 ,71.89,percent of total billed charges ,71.89,percent of total billed charges ,77.35,percent of total billed charges ,77.35,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 ,,,,,,,,,,,,,,,,,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,
THEOPHYLLINE,80198,CDM,,,,both,,,201,201,46.23,201,201,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,158.79,percent of total billed charges,158.79,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 ,158.79,percent of total billed charges ,158.79,percent of total billed charges ,170.85,percent of total billed charges ,170.85,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 ,,,,,,,,,,,,,,,,,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,
**GABAPENTIN PLASMA DO NOT USE,82486,CDM,,,,both,,,299,299,68.77,299,299,percent of total billed charges,299,percent of total billed charges,299,percent of total billed charges,299,percent of total billed charges,299,percent of total billed charges,299,percent of total billed charges,299,percent of total billed charges,299,percent of total billed charges,215.28,percent of total billed charges,215.28,percent of total billed charges,215.28,percent of total billed charges,215.28,percent of total billed charges,215.28,percent of total billed charges,215.28,percent of total billed charges,236.21,percent of total billed charges,236.21,percent of total billed charges,239.2,percent of total billed charges,239.2,percent of total billed charges,,,215.28,percent of total billed charges ,,,239.2,percent of total billed charges ,236.21,percent of total billed charges ,236.21,percent of total billed charges ,254.15,percent of total billed charges ,254.15,percent of total billed charges ,239.2,percent of total billed charges ,239.2,percent of total billed charges ,209.3,percent of total billed charges ,209.3,percent of total billed charges ,179.4,percent of total billed charges ,179.4,percent of total billed charges ,179.4,percent of total billed charges ,179.4,percent of total billed charges ,,,,,159.07,percent of total billed charges ,,,,,151.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,,,68.77,percent of total billed charges,
**TOTAL T3,84480,CDM,,,,both,,,274,274,63.02,274,274,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,216.46,percent of total billed charges,216.46,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 ,216.46,percent of total billed charges ,216.46,percent of total billed charges ,232.9,percent of total billed charges ,232.9,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 ,,,,,,,,,,,,,,,,,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,
FERRITIN,82728,CDM,,,,both,,,252,252,57.96,252,252,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,199.08,percent of total billed charges,199.08,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 ,199.08,percent of total billed charges ,199.08,percent of total billed charges ,214.2,percent of total billed charges ,214.2,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 ,,,,,,,,,,,,,,,,,,,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,
**PARATHYROID HORMONE DO NOT USE,83970,CDM,,,,both,,,326,326,74.98,326,326,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,257.54,percent of total billed charges,257.54,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 ,257.54,percent of total billed charges ,257.54,percent of total billed charges ,277.1,percent of total billed charges ,277.1,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 ,,,,,,,,,,,,,,,,,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,
**CARCINOGENIC EMB AG DO NOT USE,82378,CDM,,,,both,,,315,315,72.45,315,315,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,248.85,percent of total billed charges,248.85,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 ,248.85,percent of total billed charges ,248.85,percent of total billed charges ,267.75,percent of total billed charges ,267.75,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 ,,,,,,,,,,,,,,,,,,,72.45,percent of total billed charges,,,72.45,percent of total billed charges,,,72.45,percent of total billed charges,,,72.45,percent of total billed charges,,,72.45,percent of total billed charges,,,72.45,percent of total billed charges,,,72.45,percent of total billed charges,,,72.45,percent of total billed charges,,,72.45,percent of total billed charges,,,72.45,percent of total billed charges,,,72.45,percent of total billed charges,
VITAMIN B12 LEVEL,82607,CDM,,,,both,,,196,196,45.08,196,196,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,154.84,percent of total billed charges,154.84,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 ,154.84,percent of total billed charges ,154.84,percent of total billed charges ,166.6,percent of total billed charges ,166.6,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 ,,,,,,,,,,,,,,,,,,,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,
**ESTRADIOL DO NOT USE,82670,CDM,,,,both,,,288,288,66.24,288,288,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,227.52,percent of total billed charges,227.52,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 ,227.52,percent of total billed charges ,227.52,percent of total billed charges ,244.8,percent of total billed charges ,244.8,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**PROGESTERONE DO NOT USE,84144,CDM,,,,both,,,312,312,71.76,312,312,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,246.48,percent of total billed charges,246.48,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 ,246.48,percent of total billed charges ,246.48,percent of total billed charges ,265.2,percent of total billed charges ,265.2,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**@ESTRIOL,82677,CDM,,,,both,,,141,141,32.43,141,141,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,111.39,percent of total billed charges,111.39,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 ,111.39,percent of total billed charges ,111.39,percent of total billed charges ,119.85,percent of total billed charges ,119.85,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 ,,,,,,,,,,,,,,,,,,,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,
**ESTRIOL DO NOT USE,82677,CDM,,,,both,,,141,141,32.43,141,141,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,111.39,percent of total billed charges,111.39,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 ,111.39,percent of total billed charges ,111.39,percent of total billed charges ,119.85,percent of total billed charges ,119.85,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 ,,,,,,,,,,,,,,,,,,,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,
**THYROID STIM IMMUG DO NOT USE,84445,CDM,,,,both,,,841,841,193.43,841,841,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,664.39,percent of total billed charges,664.39,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 ,664.39,percent of total billed charges ,664.39,percent of total billed charges ,714.85,percent of total billed charges ,714.85,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 ,,,,,,,,,,,,,,,,,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,
BASIC METABOLIC PROFILE,80048,CDM,,,,both,,,237,237,54.51,237,237,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,187.23,percent of total billed charges,187.23,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 ,187.23,percent of total billed charges ,187.23,percent of total billed charges ,201.45,percent of total billed charges ,201.45,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 ,,,,,,,,,,,,,,,,,,,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,,,54.51,percent of total billed charges,,,54.51,percent of total billed charges,,,54.51,percent of total billed charges,
**VOLATILES (MEOH) DO NOT USE,84600,CDM,,,,both,,,161,161,37.03,161,161,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,127.19,percent of total billed charges,127.19,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 ,127.19,percent of total billed charges ,127.19,percent of total billed charges ,136.85,percent of total billed charges ,136.85,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 ,,,,,,,,,,,,,,,,,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,
**DHEA-S DO NOT USE,82627,CDM,,,,both,,,254,254,58.42,254,254,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,200.66,percent of total billed charges,200.66,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 ,200.66,percent of total billed charges ,200.66,percent of total billed charges ,215.9,percent of total billed charges ,215.9,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 ,,,,,,,,,,,,,,,,,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,
**T3 UPTAKE DO NOT USE,84479,CDM,,,,both,,,66,66,15.18,66,66,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,52.14,percent of total billed charges,52.14,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 ,52.14,percent of total billed charges ,52.14,percent of total billed charges ,56.1,percent of total billed charges ,56.1,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 ,,,,,,,,,,,,,,,,,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,
**MOLECULAR DIAG ISOL/EXT DO NOT USE,83891,CDM,,,,both,,,115,115,26.45,115,115,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,90.85,percent of total billed charges,90.85,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 ,90.85,percent of total billed charges ,90.85,percent of total billed charges ,97.75,percent of total billed charges ,97.75,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 ,,,,,,,,,,,,,,,,,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,
**MICROGLOBULIN BETA II DO NOT USE,82232,CDM,,,,both,,,178,178,40.94,178,178,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,140.62,percent of total billed charges,140.62,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 ,140.62,percent of total billed charges ,140.62,percent of total billed charges ,151.3,percent of total billed charges ,151.3,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 ,,,,,,,,,,,,,,,,,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,
**RAPAMINE DO NOT USE,80299,CDM,,,,both,,,351,351,80.73,351,351,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,277.29,percent of total billed charges,277.29,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 ,277.29,percent of total billed charges ,277.29,percent of total billed charges ,298.35,percent of total billed charges ,298.35,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 ,,,,,,,,,,,,,,,,,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,
**CHROMATOGRAPH QUANTITATIVE DO NOT USE,82491,CDM,,,,both,,,425,425,97.75,425,425,percent of total billed charges,425,percent of total billed charges,425,percent of total billed charges,425,percent of total billed charges,425,percent of total billed charges,425,percent of total billed charges,425,percent of total billed charges,425,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,335.75,percent of total billed charges,335.75,percent of total billed charges,340,percent of total billed charges,340,percent of total billed charges,,,306,percent of total billed charges ,,,340,percent of total billed charges ,335.75,percent of total billed charges ,335.75,percent of total billed charges ,361.25,percent of total billed charges ,361.25,percent of total billed charges ,340,percent of total billed charges ,340,percent of total billed charges ,297.5,percent of total billed charges ,297.5,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 ,,,,,226.1,percent of total billed charges ,,,,,214.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,,,97.75,percent of total billed charges,
**FETAL SCREEN,85461,CDM,,,,both,,,227,227,52.21,227,227,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,179.33,percent of total billed charges,179.33,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 ,179.33,percent of total billed charges ,179.33,percent of total billed charges ,192.95,percent of total billed charges ,192.95,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 ,,,,,,,,,,,,,,,,,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,
**VLDL FATS DO NOT USE,83719,CDM,,,,both,,,60,60,13.8,60,60,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,47.4,percent of total billed charges,47.4,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 ,47.4,percent of total billed charges ,47.4,percent of total billed charges ,51,percent of total billed charges ,51,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 ,,,,,,,,,,,,,,,,,,,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,,,13.8,percent of total billed charges,,,13.8,percent of total billed charges,,,13.8,percent of total billed charges,
**ARSENIC DO NOT USE,82175,CDM,,,,both,,,132,132,30.36,132,132,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,104.28,percent of total billed charges,104.28,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 ,104.28,percent of total billed charges ,104.28,percent of total billed charges ,112.2,percent of total billed charges ,112.2,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 ,,,,,,,,,,,,,,,,,,,30.36,percent of total billed charges,,,30.36,percent of total billed charges,,,30.36,percent of total billed charges,,,30.36,percent of total billed charges,,,30.36,percent of total billed charges,,,30.36,percent of total billed charges,,,30.36,percent of total billed charges,,,30.36,percent of total billed charges,,,30.36,percent of total billed charges,,,30.36,percent of total billed charges,,,30.36,percent of total billed charges,
**HEPA C GENOTYPING REVERSE TRANSCRIPTAS,87902,CDM,,,,both,,,682,682,156.86,682,682,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,538.78,percent of total billed charges,538.78,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 ,538.78,percent of total billed charges ,538.78,percent of total billed charges ,579.7,percent of total billed charges ,579.7,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 ,,,,,,,,,,,,,,,,,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,
**ACETYLCHOLINESTERASE DO NOT USE,82013,CDM,,,,both,,,107,107,24.61,107,107,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,84.53,percent of total billed charges,84.53,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 ,84.53,percent of total billed charges ,84.53,percent of total billed charges ,90.95,percent of total billed charges ,90.95,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 ,,,,,,,,,,,,,,,,,,,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,
"PSA, TOTAL (DIAGNOSTIC)",84153,CDM,,,,both,,,210,210,48.3,210,210,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,165.9,percent of total billed charges,165.9,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 ,165.9,percent of total billed charges ,165.9,percent of total billed charges ,178.5,percent of total billed charges ,178.5,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 ,,,,,,,,,,,,,,,,,,,48.3,percent of total billed charges,,,48.3,percent of total billed charges,,,48.3,percent of total billed charges,,,48.3,percent of total billed charges,,,48.3,percent of total billed charges,,,48.3,percent of total billed charges,,,48.3,percent of total billed charges,,,48.3,percent of total billed charges,,,48.3,percent of total billed charges,,,48.3,percent of total billed charges,,,48.3,percent of total billed charges,
**MOLECULAR DX MUTATION ID DO NOT USE,83904,CDM,,,,both,,,51,51,11.73,51,51,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,40.29,percent of total billed charges,40.29,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 ,40.29,percent of total billed charges ,40.29,percent of total billed charges ,43.35,percent of total billed charges ,43.35,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 ,,,,,,,,,,,,,,,,,,,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,
DIGOXIN LEVEL,80162,CDM,,,,both,,,198,198,45.54,198,198,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,156.42,percent of total billed charges,156.42,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 ,156.42,percent of total billed charges ,156.42,percent of total billed charges ,168.3,percent of total billed charges ,168.3,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 ,,,,,,,,,,,,,,,,,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,
ALCOHOL BREATH,82075,CDM,,,,both,,,66,66,15.18,66,66,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,52.14,percent of total billed charges,52.14,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 ,52.14,percent of total billed charges ,52.14,percent of total billed charges ,56.1,percent of total billed charges ,56.1,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 ,,,,,,,,,,,,,,,,,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,
**VITAMIN K DO NOT USE,84597,CDM,,,,both,,,160,160,36.8,160,160,percent of total billed charges,160,percent of total billed charges,160,percent of total billed charges,160,percent of total billed charges,160,percent of total billed charges,160,percent of total billed charges,160,percent of total billed charges,160,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,115.2,percent of total billed charges,115.2,percent of total billed charges,126.4,percent of total billed charges,126.4,percent of total billed charges,128,percent of total billed charges,128,percent of total billed charges,,,115.2,percent of total billed charges ,,,128,percent of total billed charges ,126.4,percent of total billed charges ,126.4,percent of total billed charges ,136,percent of total billed charges ,136,percent of total billed charges ,128,percent of total billed charges ,128,percent of total billed charges ,112,percent of total billed charges ,112,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 ,,,,,85.12,percent of total billed charges ,,,,,80.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,36.8,percent of total billed charges,,,36.8,percent of total billed charges,,,36.8,percent of total billed charges,,,36.8,percent of total billed charges,,,36.8,percent of total billed charges,,,36.8,percent of total billed charges,,,36.8,percent of total billed charges,,,36.8,percent of total billed charges,,,36.8,percent of total billed charges,,,36.8,percent of total billed charges,,,36.8,percent of total billed charges,
**MOLECULAR DIAG ENZYMEN DIGE DO NOT USE,83892,CDM,,,,both,,,155,155,35.65,155,155,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,122.45,percent of total billed charges,122.45,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 ,122.45,percent of total billed charges ,122.45,percent of total billed charges ,131.75,percent of total billed charges ,131.75,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 ,,,,,,,,,,,,,,,,,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,
**SEX HORMONE BIND GLOBULIN DO NOT USE,84270,CDM,,,,both,,,342,342,78.66,342,342,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,270.18,percent of total billed charges,270.18,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 ,270.18,percent of total billed charges ,270.18,percent of total billed charges ,290.7,percent of total billed charges ,290.7,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 ,,,,,,,,,,,,,,,,,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,
**HEPA C GENO-MUT ID SEQ-SNGL DO NOT USE,83904,CDM,,,,both,,,132,132,30.36,132,132,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,104.28,percent of total billed charges,104.28,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 ,104.28,percent of total billed charges ,104.28,percent of total billed charges ,112.2,percent of total billed charges ,112.2,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 ,,,,,,,,,,,,,,,,,,,30.36,percent of total billed charges,,,30.36,percent of total billed charges,,,30.36,percent of total billed charges,,,30.36,percent of total billed charges,,,30.36,percent of total billed charges,,,30.36,percent of total billed charges,,,30.36,percent of total billed charges,,,30.36,percent of total billed charges,,,30.36,percent of total billed charges,,,30.36,percent of total billed charges,,,30.36,percent of total billed charges,
**MOLECULAR DX MUTATION SCA DO NOT USE,83903,CDM,,,,both,,,91,91,20.93,91,91,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,71.89,percent of total billed charges,71.89,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 ,71.89,percent of total billed charges ,71.89,percent of total billed charges ,77.35,percent of total billed charges ,77.35,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 ,,,,,,,,,,,,,,,,,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,
**LEVEL 2 ANTIGEN TYPING DO NOT USE,86903,CDM,,,,both,,,117,117,26.91,117,117,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,92.43,percent of total billed charges,92.43,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 ,92.43,percent of total billed charges ,92.43,percent of total billed charges ,99.45,percent of total billed charges ,99.45,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 ,,,,,,,,,,,,,,,,,,,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,
**TETANUS ANTIBODY DO NOT USE,86317,CDM,,,,both,,,246,246,56.58,246,246,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,194.34,percent of total billed charges,194.34,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 ,194.34,percent of total billed charges ,194.34,percent of total billed charges ,209.1,percent of total billed charges ,209.1,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 ,,,,,,,,,,,,,,,,,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,
**BARTONELLA IGG DO NOT USE,86611,CDM,,,,both,,,86,86,19.78,86,86,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,67.94,percent of total billed charges,67.94,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 ,67.94,percent of total billed charges ,67.94,percent of total billed charges ,73.1,percent of total billed charges ,73.1,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**H INFLUENZA AB IGG DO NOT USE,86317,CDM,,,,both,,,250,250,57.5,250,250,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,197.5,percent of total billed charges,197.5,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 ,197.5,percent of total billed charges ,197.5,percent of total billed charges ,212.5,percent of total billed charges ,212.5,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 ,,,,,,,,,,,,,,,,,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,
**ANTIBODY VIRUS UNSPECIFIED,86790,CDM,,,,both,,,137,137,31.51,137,137,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,108.23,percent of total billed charges,108.23,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 ,108.23,percent of total billed charges ,108.23,percent of total billed charges ,116.45,percent of total billed charges ,116.45,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 ,,,,,,,,,,,,,,,,,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,
**CA 125 DO NOT USE,86304,CDM,,,,both,,,346,346,79.58,346,346,percent of total billed charges,346,percent of total billed charges,346,percent of total billed charges,346,percent of total billed charges,346,percent of total billed charges,346,percent of total billed charges,346,percent of total billed charges,346,percent of total billed charges,249.12,percent of total billed charges,249.12,percent of total billed charges,249.12,percent of total billed charges,249.12,percent of total billed charges,249.12,percent of total billed charges,249.12,percent of total billed charges,273.34,percent of total billed charges,273.34,percent of total billed charges,276.8,percent of total billed charges,276.8,percent of total billed charges,,,249.12,percent of total billed charges ,,,276.8,percent of total billed charges ,273.34,percent of total billed charges ,273.34,percent of total billed charges ,294.1,percent of total billed charges ,294.1,percent of total billed charges ,276.8,percent of total billed charges ,276.8,percent of total billed charges ,242.2,percent of total billed charges ,242.2,percent of total billed charges ,207.6,percent of total billed charges ,207.6,percent of total billed charges ,207.6,percent of total billed charges ,207.6,percent of total billed charges ,,,,,184.07,percent of total billed charges ,,,,,174.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,79.58,percent of total billed charges,,,79.58,percent of total billed charges,,,79.58,percent of total billed charges,,,79.58,percent of total billed charges,,,79.58,percent of total billed charges,,,79.58,percent of total billed charges,,,79.58,percent of total billed charges,,,79.58,percent of total billed charges,,,79.58,percent of total billed charges,,,79.58,percent of total billed charges,,,79.58,percent of total billed charges,
**PARIETAL CELL DO NOT USE,86255,CDM,,,,both,,,179,179,41.17,179,179,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,141.41,percent of total billed charges,141.41,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 ,141.41,percent of total billed charges ,141.41,percent of total billed charges ,152.15,percent of total billed charges ,152.15,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 ,,,,,,,,,,,,,,,,,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,
**ROCKY MOUNTAIN SF DO NOT USE,86000,CDM,,,,both,,,159,159,36.57,159,159,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,125.61,percent of total billed charges,125.61,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 ,125.61,percent of total billed charges ,125.61,percent of total billed charges ,135.15,percent of total billed charges ,135.15,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,36.57,percent of total billed charges,,,36.57,percent of total billed charges,,,36.57,percent of total billed charges,
**LYME DISEASE ANTIBODIES DO NOT USE,86618,CDM,,,,both,,,282,282,64.86,282,282,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,222.78,percent of total billed charges,222.78,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 ,222.78,percent of total billed charges ,222.78,percent of total billed charges ,239.7,percent of total billed charges ,239.7,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 ,,,,,,,,,,,,,,,,,,,64.86,percent of total billed charges,,,64.86,percent of total billed charges,,,64.86,percent of total billed charges,,,64.86,percent of total billed charges,,,64.86,percent of total billed charges,,,64.86,percent of total billed charges,,,64.86,percent of total billed charges,,,64.86,percent of total billed charges,,,64.86,percent of total billed charges,,,64.86,percent of total billed charges,,,64.86,percent of total billed charges,
**HEPA A AB DO NOT USE,86708,CDM,,,,both,,,87,87,20.01,87,87,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,68.73,percent of total billed charges,68.73,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 ,68.73,percent of total billed charges ,68.73,percent of total billed charges ,73.95,percent of total billed charges ,73.95,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 ,,,,,,,,,,,,,,,,,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,
"**Q FEVER AB, IGG DO NOT USE",86638,CDM,,,,both,,,148,148,34.04,148,148,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,116.92,percent of total billed charges,116.92,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 ,116.92,percent of total billed charges ,116.92,percent of total billed charges ,125.8,percent of total billed charges ,125.8,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 ,,,,,,,,,,,,,,,,,,,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,,,34.04,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,
**HEPA C RIBA DO NOT USE,86804,CDM,,,,both,,,275,275,63.25,275,275,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,217.25,percent of total billed charges,217.25,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 ,217.25,percent of total billed charges ,217.25,percent of total billed charges ,233.75,percent of total billed charges ,233.75,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 ,,,,,,,,,,,,,,,,,,,63.25,percent of total billed charges,,,63.25,percent of total billed charges,,,63.25,percent of total billed charges,,,63.25,percent of total billed charges,,,63.25,percent of total billed charges,,,63.25,percent of total billed charges,,,63.25,percent of total billed charges,,,63.25,percent of total billed charges,,,63.25,percent of total billed charges,,,63.25,percent of total billed charges,,,63.25,percent of total billed charges,
"**HISTONE AUTO AB, IGG DO NOT USE",83516,CDM,,,,both,,,201,201,46.23,201,201,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,158.79,percent of total billed charges,158.79,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 ,158.79,percent of total billed charges ,158.79,percent of total billed charges ,170.85,percent of total billed charges ,170.85,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 ,,,,,,,,,,,,,,,,,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,
**CA 19-9 DO NOT USE,86301,CDM,,,,both,,,209,209,48.07,209,209,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,165.11,percent of total billed charges,165.11,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 ,165.11,percent of total billed charges ,165.11,percent of total billed charges ,177.65,percent of total billed charges ,177.65,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 ,,,,,,,,,,,,,,,,,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,
**LEVEL 1 ANTIGEN TYPING DO NOT USE,86903,CDM,,,,both,,,65,65,14.95,65,65,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,51.35,percent of total billed charges,51.35,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 ,51.35,percent of total billed charges ,51.35,percent of total billed charges ,55.25,percent of total billed charges ,55.25,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 ,,,,,,,,,,,,,,,,,,,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,,,14.95,percent of total billed charges,,,14.95,percent of total billed charges,,,14.95,percent of total billed charges,
**CENTROMERE ANTIBODY DO NOT USE,86255,CDM,,,,both,,,179,179,41.17,179,179,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,141.41,percent of total billed charges,141.41,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 ,141.41,percent of total billed charges ,141.41,percent of total billed charges ,152.15,percent of total billed charges ,152.15,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 ,,,,,,,,,,,,,,,,,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,
**LEVEL 3 ANTIGEN TYPING DO NOT USE,86903,CDM,,,,both,,,165,165,37.95,165,165,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,130.35,percent of total billed charges,130.35,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 ,130.35,percent of total billed charges ,130.35,percent of total billed charges ,140.25,percent of total billed charges ,140.25,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 ,,,,,,,,,,,,,,,,,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,
**ELUTION DO NOT USE,86860,CDM,,,,both,,,180,180,41.4,180,180,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,142.2,percent of total billed charges,142.2,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 ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,153,percent of total billed charges ,153,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,41.4,percent of total billed charges,,,41.4,percent of total billed charges,,,41.4,percent of total billed charges,
**IMMUNOELECTROPHORESIS DO NOT USE,86320,CDM,,,,both,,,222,222,51.06,222,222,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,175.38,percent of total billed charges,175.38,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 ,175.38,percent of total billed charges ,175.38,percent of total billed charges ,188.7,percent of total billed charges ,188.7,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**FTA-ABS-IGM DO NOT USE,86781,CDM,,,,both,,,220,220,50.6,220,220,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,173.8,percent of total billed charges,173.8,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 ,173.8,percent of total billed charges ,173.8,percent of total billed charges ,187,percent of total billed charges ,187,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**SMOOTH MUSCLE AB TITER DO NOT USE,86256,CDM,,,,both,,,434,434,99.82,434,434,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,342.86,percent of total billed charges,342.86,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 ,342.86,percent of total billed charges ,342.86,percent of total billed charges ,368.9,percent of total billed charges ,368.9,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 ,,,,,,,,,,,,,,,,,,,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,,,99.82,percent of total billed charges,,,99.82,percent of total billed charges,,,99.82,percent of total billed charges,
**COMPLEMENT TOTAL CH50 DO NOT USE,86162,CDM,,,,both,,,337,337,77.51,337,337,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,266.23,percent of total billed charges,266.23,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 ,266.23,percent of total billed charges ,266.23,percent of total billed charges ,286.45,percent of total billed charges ,286.45,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 ,,,,,,,,,,,,,,,,,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,
**COMPLEMENT C4 DO NOT USE,86160,CDM,,,,both,,,200,200,46,200,200,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,158,percent of total billed charges,158,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 ,158,percent of total billed charges ,158,percent of total billed charges ,170,percent of total billed charges ,170,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 ,,,,,,,,,,,,,,,,,,,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,,,46,percent of total billed charges,,,46,percent of total billed charges,,,46,percent of total billed charges,
**COMPLEMENT C3 DO NOT USE,86160,CDM,,,,both,,,200,200,46,200,200,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,158,percent of total billed charges,158,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 ,158,percent of total billed charges ,158,percent of total billed charges ,170,percent of total billed charges ,170,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 ,,,,,,,,,,,,,,,,,,,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,,,46,percent of total billed charges,,,46,percent of total billed charges,,,46,percent of total billed charges,
**P24 ANTIGEN DO NOT USE,87390,CDM,,,,both,,,166,166,38.18,166,166,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,131.14,percent of total billed charges,131.14,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 ,131.14,percent of total billed charges ,131.14,percent of total billed charges ,141.1,percent of total billed charges ,141.1,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 ,,,,,,,,,,,,,,,,,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,
**HEPATITIS DELTA AB DO NOT USE,86692,CDM,,,,both,,,596,596,137.08,596,596,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,470.84,percent of total billed charges,470.84,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 ,470.84,percent of total billed charges ,470.84,percent of total billed charges ,506.6,percent of total billed charges ,506.6,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 ,,,,,,,,,,,,,,,,,,,137.08,percent of total billed charges,,,137.08,percent of total billed charges,,,137.08,percent of total billed charges,,,137.08,percent of total billed charges,,,137.08,percent of total billed charges,,,137.08,percent of total billed charges,,,137.08,percent of total billed charges,,,137.08,percent of total billed charges,,,137.08,percent of total billed charges,,,137.08,percent of total billed charges,,,137.08,percent of total billed charges,
**RAST SINBLE/MULTIPLE,86003,CDM,,,,both,,,67,67,15.41,67,67,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,52.93,percent of total billed charges,52.93,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 ,52.93,percent of total billed charges ,52.93,percent of total billed charges ,56.95,percent of total billed charges ,56.95,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 ,,,,,,,,,,,,,,,,,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,
**BENCE JONES PROT-IEP DO NOT USE,86325,CDM,,,,both,,,152,152,34.96,152,152,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,120.08,percent of total billed charges,120.08,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 ,120.08,percent of total billed charges ,120.08,percent of total billed charges ,129.2,percent of total billed charges ,129.2,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 ,,,,,,,,,,,,,,,,,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,
"**PLATELET ANTIBODY,INDIRET DO NOT USE",86022,CDM,,,,both,,,242,242,55.66,242,242,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,191.18,percent of total billed charges,191.18,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 ,191.18,percent of total billed charges ,191.18,percent of total billed charges ,205.7,percent of total billed charges ,205.7,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 ,,,,,,,,,,,,,,,,,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,
**LYME IGM DO NOT USE,86617,CDM,,,,both,,,74,74,17.02,74,74,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,58.46,percent of total billed charges,58.46,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 ,58.46,percent of total billed charges ,58.46,percent of total billed charges ,62.9,percent of total billed charges ,62.9,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 ,,,,,,,,,,,,,,,,,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,
**LYME IGG DO NOT USE,86617,CDM,,,,both,,,74,74,17.02,74,74,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,58.46,percent of total billed charges,58.46,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 ,58.46,percent of total billed charges ,58.46,percent of total billed charges ,62.9,percent of total billed charges ,62.9,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 ,,,,,,,,,,,,,,,,,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,
**INTRINSIC FACTOR ANTIBODY DO NOT USE,86340,CDM,,,,both,,,149,149,34.27,149,149,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,117.71,percent of total billed charges,117.71,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 ,117.71,percent of total billed charges ,117.71,percent of total billed charges ,126.65,percent of total billed charges ,126.65,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 ,,,,,,,,,,,,,,,,,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,
**JO1 ENA DO NOT USE,86235,CDM,,,,both,,,162,162,37.26,162,162,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,127.98,percent of total billed charges,127.98,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 ,127.98,percent of total billed charges ,127.98,percent of total billed charges ,137.7,percent of total billed charges ,137.7,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 ,,,,,,,,,,,,,,,,,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,
**STRONGYLOIDES AB DO NOT USE,86682,CDM,,,,both,,,270,270,62.1,270,270,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,270,percent of total billed charges,270,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,194.4,percent of total billed charges,194.4,percent of total billed charges,213.3,percent of total billed charges,213.3,percent of total billed charges,216,percent of total billed charges,216,percent of total billed charges,,,194.4,percent of total billed charges ,,,216,percent of total billed charges ,213.3,percent of total billed charges ,213.3,percent of total billed charges ,229.5,percent of total billed charges ,229.5,percent of total billed charges ,216,percent of total billed charges ,216,percent of total billed charges ,189,percent of total billed charges ,189,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 ,,,,,143.64,percent of total billed charges ,,,,,136.46,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,,,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,,,62.1,percent of total billed charges,,,62.1,percent of total billed charges,,,62.1,percent of total billed charges,
**HLA-B27 DO NOT USE,86812,CDM,,,,both,,,164,164,37.72,164,164,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,129.56,percent of total billed charges,129.56,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 ,129.56,percent of total billed charges ,129.56,percent of total billed charges ,139.4,percent of total billed charges ,139.4,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 ,,,,,,,,,,,,,,,,,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,
**PNEUMOCOCCAL IGG DO NOT USE,86317,CDM,,,,both,,,26,26,5.98,26,26,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,20.54,percent of total billed charges,20.54,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 ,20.54,percent of total billed charges ,20.54,percent of total billed charges ,22.1,percent of total billed charges ,22.1,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 ,,,,,,,,,,,,,,,,,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,,,5.98,percent of total billed charges,
**SCLERODERMA AB (ANTI SCL-70) DO NOT US,86235,CDM,,,,both,,,162,162,37.26,162,162,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,127.98,percent of total billed charges,127.98,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 ,127.98,percent of total billed charges ,127.98,percent of total billed charges ,137.7,percent of total billed charges ,137.7,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 ,,,,,,,,,,,,,,,,,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,
**HEPA Be ANTIGEN DO NOT USE,86707,CDM,,,,both,,,390,390,89.7,390,390,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,308.1,percent of total billed charges,308.1,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 ,308.1,percent of total billed charges ,308.1,percent of total billed charges ,331.5,percent of total billed charges ,331.5,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 ,,,,,,,,,,,,,,,,,,,89.7,percent of total billed charges,,,89.7,percent of total billed charges,,,89.7,percent of total billed charges,,,89.7,percent of total billed charges,,,89.7,percent of total billed charges,,,89.7,percent of total billed charges,,,89.7,percent of total billed charges,,,89.7,percent of total billed charges,,,89.7,percent of total billed charges,,,89.7,percent of total billed charges,,,89.7,percent of total billed charges,
**BARTONELLA IGM DO NOT USE,86611,CDM,,,,both,,,86,86,19.78,86,86,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,67.94,percent of total billed charges,67.94,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 ,67.94,percent of total billed charges ,67.94,percent of total billed charges ,73.1,percent of total billed charges ,73.1,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**EBV AB TO EARLY AG EA-D IGG DO NOT USE,86663,CDM,,,,both,,,68,68,15.64,68,68,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,53.72,percent of total billed charges,53.72,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 ,53.72,percent of total billed charges ,53.72,percent of total billed charges ,57.8,percent of total billed charges ,57.8,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 ,,,,,,,,,,,,,,,,,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,
**@OLD EBV NOC AB,86664,CDM,,,,both,,,270,270,62.1,270,270,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,270,percent of total billed charges,270,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,194.4,percent of total billed charges,194.4,percent of total billed charges,213.3,percent of total billed charges,213.3,percent of total billed charges,216,percent of total billed charges,216,percent of total billed charges,,,194.4,percent of total billed charges ,,,216,percent of total billed charges ,213.3,percent of total billed charges ,213.3,percent of total billed charges ,229.5,percent of total billed charges ,229.5,percent of total billed charges ,216,percent of total billed charges ,216,percent of total billed charges ,189,percent of total billed charges ,189,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 ,,,,,143.64,percent of total billed charges ,,,,,136.46,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,,,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,,,62.1,percent of total billed charges,,,62.1,percent of total billed charges,,,62.1,percent of total billed charges,
**EBV CAPSID AB IGG DO NOT USE,86665,CDM,,,,both,,,73,73,16.79,73,73,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,57.67,percent of total billed charges,57.67,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 ,57.67,percent of total billed charges ,57.67,percent of total billed charges ,62.05,percent of total billed charges ,62.05,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 ,,,,,,,,,,,,,,,,,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,
**PARVOVIRUS IGM DO NOT USE,86747,CDM,,,,both,,,108,108,24.84,108,108,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,85.32,percent of total billed charges,85.32,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 ,85.32,percent of total billed charges ,85.32,percent of total billed charges ,91.8,percent of total billed charges ,91.8,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 ,,,,,,,,,,,,,,,,,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,
**PARVOVIRUS IGG DO NOT USE,86747,CDM,,,,both,,,108,108,24.84,108,108,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,85.32,percent of total billed charges,85.32,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 ,85.32,percent of total billed charges ,85.32,percent of total billed charges ,91.8,percent of total billed charges ,91.8,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 ,,,,,,,,,,,,,,,,,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,
**CA 15-3 DO NOT USE,86300,CDM,,,,both,,,238,238,54.74,238,238,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,188.02,percent of total billed charges,188.02,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 ,188.02,percent of total billed charges ,188.02,percent of total billed charges ,202.3,percent of total billed charges ,202.3,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 ,,,,,,,,,,,,,,,,,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,
**HEPA B SURF AB DO NOT USE,86706,CDM,,,,both,,,136,136,31.28,136,136,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,107.44,percent of total billed charges,107.44,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 ,107.44,percent of total billed charges ,107.44,percent of total billed charges ,115.6,percent of total billed charges ,115.6,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 ,,,,,,,,,,,,,,,,,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,
**DNA SINGLE STRANDED ANTIBODY DO NOT US,86226,CDM,,,,both,,,201,201,46.23,201,201,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,158.79,percent of total billed charges,158.79,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 ,158.79,percent of total billed charges ,158.79,percent of total billed charges ,170.85,percent of total billed charges ,170.85,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 ,,,,,,,,,,,,,,,,,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,
**MYCOPLASMA PNEUMONIAE DO NOT USE,86738,CDM,,,,both,,,137,137,31.51,137,137,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,108.23,percent of total billed charges,108.23,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 ,108.23,percent of total billed charges ,108.23,percent of total billed charges ,116.45,percent of total billed charges ,116.45,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 ,,,,,,,,,,,,,,,,,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,
**ROTAVIRUS DO NOT USE,86759,CDM,,,,both,,,202,202,46.46,202,202,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,159.58,percent of total billed charges,159.58,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 ,159.58,percent of total billed charges ,159.58,percent of total billed charges ,171.7,percent of total billed charges ,171.7,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 ,,,,,,,,,,,,,,,,,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,
**MEASLES IGG AB DO NOT USE,86765,CDM,,,,both,,,141,141,32.43,141,141,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,111.39,percent of total billed charges,111.39,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 ,111.39,percent of total billed charges ,111.39,percent of total billed charges ,119.85,percent of total billed charges ,119.85,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 ,,,,,,,,,,,,,,,,,,,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,
**RPR,86592,CDM,,,,both,,,121,121,27.83,121,121,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,95.59,percent of total billed charges,95.59,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 ,95.59,percent of total billed charges ,95.59,percent of total billed charges ,102.85,percent of total billed charges ,102.85,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,27.83,percent of total billed charges,,,27.83,percent of total billed charges,,,27.83,percent of total billed charges,
**ANA,86038,CDM,,,,both,,,141,141,32.43,141,141,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,111.39,percent of total billed charges,111.39,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 ,111.39,percent of total billed charges ,111.39,percent of total billed charges ,119.85,percent of total billed charges ,119.85,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 ,,,,,,,,,,,,,,,,,,,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,
RHEUMATOID FACTOR,86430,CDM,,,,both,,,157,157,36.11,157,157,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,124.03,percent of total billed charges,124.03,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 ,124.03,percent of total billed charges ,124.03,percent of total billed charges ,133.45,percent of total billed charges ,133.45,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 ,,,,,,,,,,,,,,,,,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,
MONO TEST,86308,CDM,,,,both,,,157,157,36.11,157,157,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,124.03,percent of total billed charges,124.03,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 ,124.03,percent of total billed charges ,124.03,percent of total billed charges ,133.45,percent of total billed charges ,133.45,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 ,,,,,,,,,,,,,,,,,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,
**FEBRILE AGGLUT EACH DO NOT USE,86000,CDM,,,,both,,,159,159,36.57,159,159,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,125.61,percent of total billed charges,125.61,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 ,125.61,percent of total billed charges ,125.61,percent of total billed charges ,135.15,percent of total billed charges ,135.15,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,36.57,percent of total billed charges,,,36.57,percent of total billed charges,,,36.57,percent of total billed charges,
**CRP C-REACTIVE PROTEIN DO NOT USE,86140,CDM,,,,both,,,88,88,20.24,88,88,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,69.52,percent of total billed charges,69.52,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 ,69.52,percent of total billed charges ,69.52,percent of total billed charges ,74.8,percent of total billed charges ,74.8,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 ,,,,,,,,,,,,,,,,,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,
**CYTOPLASMIC NEUTROPHIL DO NOT USE,86021,CDM,,,,both,,,229,229,52.67,229,229,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,180.91,percent of total billed charges,180.91,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 ,180.91,percent of total billed charges ,180.91,percent of total billed charges ,194.65,percent of total billed charges ,194.65,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 ,,,,,,,,,,,,,,,,,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,
**HIV I+II SCREENING,86703,CDM,,,,both,,,158,158,36.34,158,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,113.76,percent of total billed charges,113.76,percent of total billed charges,113.76,percent of total billed charges,113.76,percent of total billed charges,113.76,percent of total billed charges,113.76,percent of total billed charges,124.82,percent of total billed charges,124.82,percent of total billed charges,126.4,percent of total billed charges,126.4,percent of total billed charges,,,113.76,percent of total billed charges ,,,126.4,percent of total billed charges ,124.82,percent of total billed charges ,124.82,percent of total billed charges ,134.3,percent of total billed charges ,134.3,percent of total billed charges ,126.4,percent of total billed charges ,126.4,percent of total billed charges ,110.6,percent of total billed charges ,110.6,percent of total billed charges ,94.8,percent of total billed charges ,94.8,percent of total billed charges ,94.8,percent of total billed charges ,94.8,percent of total billed charges ,,,,,84.06,percent of total billed charges ,,,,,79.85,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,
**COLD AGGLUTIN TITER DO NOT USE,86157,CDM,,,,both,,,99,99,22.77,99,99,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,78.21,percent of total billed charges,78.21,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 ,78.21,percent of total billed charges ,78.21,percent of total billed charges ,84.15,percent of total billed charges ,84.15,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 ,,,,,,,,,,,,,,,,,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,
**ASO TITER DO NOT USE,86060,CDM,,,,both,,,118,118,27.14,118,118,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,93.22,percent of total billed charges,93.22,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 ,93.22,percent of total billed charges ,93.22,percent of total billed charges ,100.3,percent of total billed charges ,100.3,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 ,,,,,,,,,,,,,,,,,,,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,,,27.14,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,
**CRYPTOCOCCAL AG DO NOT USE,86641,CDM,,,,both,,,240,240,55.2,240,240,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,189.6,percent of total billed charges,189.6,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 ,189.6,percent of total billed charges ,189.6,percent of total billed charges ,204,percent of total billed charges ,204,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,55.2,percent of total billed charges,,,55.2,percent of total billed charges,,,55.2,percent of total billed charges,
**CRYPTOCOCCAL AB TITER DO NOT USE,86406,CDM,,,,both,,,253,253,58.19,253,253,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,199.87,percent of total billed charges,199.87,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 ,199.87,percent of total billed charges ,199.87,percent of total billed charges ,215.05,percent of total billed charges ,215.05,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 ,,,,,,,,,,,,,,,,,,,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,,,58.19,percent of total billed charges,,,58.19,percent of total billed charges,,,58.19,percent of total billed charges,
**BACTERIAL ANTIGEN DO NOT USE,86403,CDM,,,,both,,,608,608,139.84,608,608,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,480.32,percent of total billed charges,480.32,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 ,480.32,percent of total billed charges ,480.32,percent of total billed charges ,516.8,percent of total billed charges ,516.8,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 ,,,,,,,,,,,,,,,,,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,,,139.84,percent of total billed charges,
**ASPERGILLOSIS IMMUNODIF DO NOT USE,86606,CDM,,,,both,,,52,52,11.96,52,52,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,41.08,percent of total billed charges,41.08,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 ,41.08,percent of total billed charges ,41.08,percent of total billed charges ,44.2,percent of total billed charges ,44.2,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 ,,,,,,,,,,,,,,,,,,,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,
**CMV-IGG DO NOT USE,86644,CDM,,,,both,,,129,129,29.67,129,129,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,101.91,percent of total billed charges,101.91,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 ,101.91,percent of total billed charges ,101.91,percent of total billed charges ,109.65,percent of total billed charges ,109.65,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 ,,,,,,,,,,,,,,,,,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,
**CMV-IGM DO NOT USE,86645,CDM,,,,both,,,129,129,29.67,129,129,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,101.91,percent of total billed charges,101.91,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 ,101.91,percent of total billed charges ,101.91,percent of total billed charges ,109.65,percent of total billed charges ,109.65,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 ,,,,,,,,,,,,,,,,,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,
**HERPES SIMPLEX II IGM AB DO NOT USE,86696,CDM,,,,both,,,122,122,28.06,122,122,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,96.38,percent of total billed charges,96.38,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 ,96.38,percent of total billed charges ,96.38,percent of total billed charges ,103.7,percent of total billed charges ,103.7,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 ,,,,,,,,,,,,,,,,,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,
**HERPES SIMPLEX I IGM AB DO NOT USE,86695,CDM,,,,both,,,146,146,33.58,146,146,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,115.34,percent of total billed charges,115.34,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 ,115.34,percent of total billed charges ,115.34,percent of total billed charges ,124.1,percent of total billed charges ,124.1,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 ,,,,,,,,,,,,,,,,,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,
**MEASLES IGM AB DO NOT USE,86765,CDM,,,,both,,,141,141,32.43,141,141,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,111.39,percent of total billed charges,111.39,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 ,111.39,percent of total billed charges ,111.39,percent of total billed charges ,119.85,percent of total billed charges ,119.85,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 ,,,,,,,,,,,,,,,,,,,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,
**RUBELLA ANTIBODY DO NOT USE,86762,CDM,,,,both,,,119,119,27.37,119,119,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,94.01,percent of total billed charges,94.01,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 ,94.01,percent of total billed charges ,94.01,percent of total billed charges ,101.15,percent of total billed charges ,101.15,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 ,,,,,,,,,,,,,,,,,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,
**DNA ANTIBODY DOUBLE STRANDED DO NOT US,86225,CDM,,,,both,,,229,229,52.67,229,229,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,180.91,percent of total billed charges,180.91,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 ,180.91,percent of total billed charges ,180.91,percent of total billed charges ,194.65,percent of total billed charges ,194.65,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 ,,,,,,,,,,,,,,,,,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,
**TOXOPLASMOSIS IGG AB DO NOT USE,86777,CDM,,,,both,,,187,187,43.01,187,187,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,147.73,percent of total billed charges,147.73,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 ,147.73,percent of total billed charges ,147.73,percent of total billed charges ,158.95,percent of total billed charges ,158.95,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 ,,,,,,,,,,,,,,,,,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,,,43.01,percent of total billed charges,
**VARICELLA ZOSTER IGG AB DO NOT USE,86787,CDM,,,,both,,,162,162,37.26,162,162,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,127.98,percent of total billed charges,127.98,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 ,127.98,percent of total billed charges ,127.98,percent of total billed charges ,137.7,percent of total billed charges ,137.7,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 ,,,,,,,,,,,,,,,,,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,
**VARICELLA ZOSTER IGM AB DO NOT USE,86787,CDM,,,,both,,,94,94,21.62,94,94,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,74.26,percent of total billed charges,74.26,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 ,74.26,percent of total billed charges ,74.26,percent of total billed charges ,79.9,percent of total billed charges ,79.9,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 ,,,,,,,,,,,,,,,,,,,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,
**H PYLORI IGG ANTIBODY DO NOT USE,86677,CDM,,,,both,,,178,178,40.94,178,178,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,140.62,percent of total billed charges,140.62,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 ,140.62,percent of total billed charges ,140.62,percent of total billed charges ,151.3,percent of total billed charges ,151.3,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 ,,,,,,,,,,,,,,,,,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,
**HIV ANTI WEST BLOT ASSAY DO NOT USE,86689,CDM,,,,both,,,138,138,31.74,138,138,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,109.02,percent of total billed charges,109.02,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 ,109.02,percent of total billed charges ,109.02,percent of total billed charges ,117.3,percent of total billed charges ,117.3,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 ,,,,,,,,,,,,,,,,,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,
**THYROID AB PEROXIDASE DO NOT USE,86376,CDM,,,,both,,,89,89,20.47,89,89,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,70.31,percent of total billed charges,70.31,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 ,70.31,percent of total billed charges ,70.31,percent of total billed charges ,75.65,percent of total billed charges ,75.65,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 ,,,,,,,,,,,,,,,,,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,
**MUMPS IGG DO NOT USE,86735,CDM,,,,both,,,76,76,17.48,76,76,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,60.04,percent of total billed charges,60.04,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 ,60.04,percent of total billed charges ,60.04,percent of total billed charges ,64.6,percent of total billed charges ,64.6,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 ,,,,,,,,,,,,,,,,,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,
PSA SCREENING,G0103,CDM,,,,both,,,273,273,62.79,273,273,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,215.67,percent of total billed charges,215.67,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 ,215.67,percent of total billed charges ,215.67,percent of total billed charges ,232.05,percent of total billed charges ,232.05,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**THYROGLOBULIN ANTIBODY DO NOT USE,86800,CDM,,,,both,,,152,152,34.96,152,152,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,120.08,percent of total billed charges,120.08,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 ,120.08,percent of total billed charges ,120.08,percent of total billed charges ,129.2,percent of total billed charges ,129.2,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 ,,,,,,,,,,,,,,,,,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,
**CA 27.29 DO NOT USE,86300,CDM,,,,both,,,238,238,54.74,238,238,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,188.02,percent of total billed charges,188.02,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 ,188.02,percent of total billed charges ,188.02,percent of total billed charges ,202.3,percent of total billed charges ,202.3,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 ,,,,,,,,,,,,,,,,,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,
**EBV AB TO NUCLEAR AG IGG DO NOT USE,86664,CDM,,,,both,,,270,270,62.1,270,270,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,270,percent of total billed charges,270,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,194.4,percent of total billed charges,194.4,percent of total billed charges,213.3,percent of total billed charges,213.3,percent of total billed charges,216,percent of total billed charges,216,percent of total billed charges,,,194.4,percent of total billed charges ,,,216,percent of total billed charges ,213.3,percent of total billed charges ,213.3,percent of total billed charges ,229.5,percent of total billed charges ,229.5,percent of total billed charges ,216,percent of total billed charges ,216,percent of total billed charges ,189,percent of total billed charges ,189,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 ,,,,,143.64,percent of total billed charges ,,,,,136.46,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,,,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,,,62.1,percent of total billed charges,,,62.1,percent of total billed charges,,,62.1,percent of total billed charges,
**HEPA C AB DO NOT USE,86803,CDM,,,,both,,,234,234,53.82,234,234,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,184.86,percent of total billed charges,184.86,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 ,184.86,percent of total billed charges ,184.86,percent of total billed charges ,198.9,percent of total billed charges ,198.9,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 ,,,,,,,,,,,,,,,,,,,53.82,percent of total billed charges,,,53.82,percent of total billed charges,,,53.82,percent of total billed charges,,,53.82,percent of total billed charges,,,53.82,percent of total billed charges,,,53.82,percent of total billed charges,,,53.82,percent of total billed charges,,,53.82,percent of total billed charges,,,53.82,percent of total billed charges,,,53.82,percent of total billed charges,,,53.82,percent of total billed charges,
**ANITBODY FOR CHLAMYDIA DO NOT USE,86631,CDM,,,,both,,,115,115,26.45,115,115,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,90.85,percent of total billed charges,90.85,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 ,90.85,percent of total billed charges ,90.85,percent of total billed charges ,97.75,percent of total billed charges ,97.75,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 ,,,,,,,,,,,,,,,,,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,
**HEPA B CORE AB DO NOT USE,86704,CDM,,,,both,,,189,189,43.47,189,189,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,149.31,percent of total billed charges,149.31,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 ,149.31,percent of total billed charges ,149.31,percent of total billed charges ,160.65,percent of total billed charges ,160.65,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 ,,,,,,,,,,,,,,,,,,,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,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,
**EXTRACTABLE NUCLEAR AB DO NOT USE,86235,CDM,,,,both,,,162,162,37.26,162,162,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,127.98,percent of total billed charges,127.98,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 ,127.98,percent of total billed charges ,127.98,percent of total billed charges ,137.7,percent of total billed charges ,137.7,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 ,,,,,,,,,,,,,,,,,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,
**ASO SCREEN DO NOT USE,86063,CDM,,,,both,,,118,118,27.14,118,118,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,93.22,percent of total billed charges,93.22,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 ,93.22,percent of total billed charges ,93.22,percent of total billed charges ,100.3,percent of total billed charges ,100.3,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 ,,,,,,,,,,,,,,,,,,,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,,,27.14,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,
CLO TEST,86677,CDM,,,,both,,,190,190,43.7,190,190,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,150.1,percent of total billed charges,150.1,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 ,150.1,percent of total billed charges ,150.1,percent of total billed charges ,161.5,percent of total billed charges ,161.5,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 ,,,,,,,,,,,,,,,,,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,
**MUMPS IGM DO NOT USE,86735,CDM,,,,both,,,76,76,17.48,76,76,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,60.04,percent of total billed charges,60.04,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 ,60.04,percent of total billed charges ,60.04,percent of total billed charges ,64.6,percent of total billed charges ,64.6,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 ,,,,,,,,,,,,,,,,,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,
**CARDIOLIPIN AB IGG DO NOT USE,86147,CDM,,,,both,,,286,286,65.78,286,286,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,225.94,percent of total billed charges,225.94,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 ,225.94,percent of total billed charges ,225.94,percent of total billed charges ,243.1,percent of total billed charges ,243.1,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 ,,,,,,,,,,,,,,,,,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,
**SPINAL VDRL DO NOT USE,86592,CDM,,,,both,,,73,73,16.79,73,73,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,57.67,percent of total billed charges,57.67,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 ,57.67,percent of total billed charges ,57.67,percent of total billed charges ,62.05,percent of total billed charges ,62.05,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 ,,,,,,,,,,,,,,,,,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,
WBC COUNT,85048,CDM,,,,both,,,65,65,14.95,65,65,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,51.35,percent of total billed charges,51.35,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 ,51.35,percent of total billed charges ,51.35,percent of total billed charges ,55.25,percent of total billed charges ,55.25,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 ,,,,,,,,,,,,,,,,,,,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,,,14.95,percent of total billed charges,,,14.95,percent of total billed charges,,,14.95,percent of total billed charges,
**VON WILLIBRAND RISTO COFACTOR DO NOT U,85245,CDM,,,,both,,,159,159,36.57,159,159,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,125.61,percent of total billed charges,125.61,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 ,125.61,percent of total billed charges ,125.61,percent of total billed charges ,135.15,percent of total billed charges ,135.15,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,36.57,percent of total billed charges,,,36.57,percent of total billed charges,,,36.57,percent of total billed charges,
**RETIC COUNT DO NOT USE,85045,CDM,,,,both,,,74,74,17.02,74,74,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,58.46,percent of total billed charges,58.46,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 ,58.46,percent of total billed charges ,58.46,percent of total billed charges ,62.9,percent of total billed charges ,62.9,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 ,,,,,,,,,,,,,,,,,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,,,17.02,percent of total billed charges,
WESTERGREN SED RATE,85652,CDM,,,,both,,,121,121,27.83,121,121,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,95.59,percent of total billed charges,95.59,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 ,95.59,percent of total billed charges ,95.59,percent of total billed charges ,102.85,percent of total billed charges ,102.85,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,27.83,percent of total billed charges,,,27.83,percent of total billed charges,,,27.83,percent of total billed charges,
**SICKLE CELL PREP DO NOT USE,85660,CDM,,,,both,,,105,105,24.15,105,105,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,82.95,percent of total billed charges,82.95,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 ,82.95,percent of total billed charges ,82.95,percent of total billed charges ,89.25,percent of total billed charges ,89.25,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 ,,,,,,,,,,,,,,,,,,,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,
**FACTOR 8 DO NOT USE,85240,CDM,,,,both,,,297,297,68.31,297,297,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,234.63,percent of total billed charges,234.63,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 ,234.63,percent of total billed charges ,234.63,percent of total billed charges ,252.45,percent of total billed charges ,252.45,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 ,,,,,,,,,,,,,,,,,,,68.31,percent of total billed charges,,,68.31,percent of total billed charges,,,68.31,percent of total billed charges,,,68.31,percent of total billed charges,,,68.31,percent of total billed charges,,,68.31,percent of total billed charges,,,68.31,percent of total billed charges,,,68.31,percent of total billed charges,,,68.31,percent of total billed charges,,,68.31,percent of total billed charges,,,68.31,percent of total billed charges,
**ANTITHROMBIN 3**DO NOT USE,85300,CDM,,,,both,,,434,434,99.82,434,434,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,342.86,percent of total billed charges,342.86,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 ,342.86,percent of total billed charges ,342.86,percent of total billed charges ,368.9,percent of total billed charges ,368.9,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 ,,,,,,,,,,,,,,,,,,,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,,,99.82,percent of total billed charges,,,99.82,percent of total billed charges,,,99.82,percent of total billed charges,
PTT,85730,CDM,,,,both,,,135,135,31.05,135,135,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,106.65,percent of total billed charges,106.65,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 ,106.65,percent of total billed charges ,106.65,percent of total billed charges ,114.75,percent of total billed charges ,114.75,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 ,,,,,,,,,,,,,,,,,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,
**FACTOR 5 DO NOT USE,85220,CDM,,,,both,,,111,111,25.53,111,111,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,87.69,percent of total billed charges,87.69,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 ,87.69,percent of total billed charges ,87.69,percent of total billed charges ,94.35,percent of total billed charges ,94.35,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 ,,,,,,,,,,,,,,,,,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,
**THROMBIN TIME DO NOT USE,85670,CDM,,,,both,,,164,164,37.72,164,164,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,129.56,percent of total billed charges,129.56,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 ,129.56,percent of total billed charges ,129.56,percent of total billed charges ,139.4,percent of total billed charges ,139.4,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 ,,,,,,,,,,,,,,,,,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,
PLATELET COUNT,85049,CDM,,,,both,,,93,93,21.39,93,93,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,73.47,percent of total billed charges,73.47,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 ,73.47,percent of total billed charges ,73.47,percent of total billed charges ,79.05,percent of total billed charges ,79.05,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 ,,,,,,,,,,,,,,,,,,,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,,,21.39,percent of total billed charges,,,21.39,percent of total billed charges,,,21.39,percent of total billed charges,
**DILUTE VIPER VENOM TIME DO NOT USE,85613,CDM,,,,both,,,152,152,34.96,152,152,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,120.08,percent of total billed charges,120.08,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 ,120.08,percent of total billed charges ,120.08,percent of total billed charges ,129.2,percent of total billed charges ,129.2,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 ,,,,,,,,,,,,,,,,,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,
**LEUKOCYTE ALKALINE PHOSPHATASE,85540,CDM,,,,both,,,57,57,13.11,57,57,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,45.03,percent of total billed charges,45.03,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 ,45.03,percent of total billed charges ,45.03,percent of total billed charges ,48.45,percent of total billed charges ,48.45,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 ,,,,,,,,,,,,,,,,,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,
**ACTIVATED PROTEIN C,85307,CDM,,,,both,,,118,118,27.14,118,118,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,93.22,percent of total billed charges,93.22,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 ,93.22,percent of total billed charges ,93.22,percent of total billed charges ,100.3,percent of total billed charges ,100.3,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 ,,,,,,,,,,,,,,,,,,,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,,,27.14,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,
**FDP DO NOT USE,85362,CDM,,,,both,,,115,115,26.45,115,115,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,90.85,percent of total billed charges,90.85,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 ,90.85,percent of total billed charges ,90.85,percent of total billed charges ,97.75,percent of total billed charges ,97.75,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 ,,,,,,,,,,,,,,,,,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,
HEMOGLOBIN,85018,CDM,,,QW,both,,,60,60,13.8,60,60,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,47.4,percent of total billed charges,47.4,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 ,47.4,percent of total billed charges ,47.4,percent of total billed charges ,51,percent of total billed charges ,51,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 ,,,,,,,,,,,,,,,,,,,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,,,13.8,percent of total billed charges,,,13.8,percent of total billed charges,,,13.8,percent of total billed charges,
**FIBRINOGEN DO NOT USE,85384,CDM,,,,both,,,142,142,32.66,142,142,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,112.18,percent of total billed charges,112.18,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 ,112.18,percent of total billed charges ,112.18,percent of total billed charges ,120.7,percent of total billed charges ,120.7,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 ,,,,,,,,,,,,,,,,,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,
**PROTEIN C DO NOT USE,85303,CDM,,,,both,,,785,785,180.55,785,785,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,620.15,percent of total billed charges,620.15,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 ,620.15,percent of total billed charges ,620.15,percent of total billed charges ,667.25,percent of total billed charges ,667.25,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 ,,,,,,,,,,,,,,,,,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,
HEMATOCRIT,85014,CDM,,,,both,,,80,80,18.4,80,80,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,63.2,percent of total billed charges,63.2,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 ,63.2,percent of total billed charges ,63.2,percent of total billed charges ,68,percent of total billed charges ,68,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 ,,,,,,,,,,,,,,,,,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,
**D-DIMER DO NOT USE,85378,CDM,,,,both,,,166,166,38.18,166,166,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,131.14,percent of total billed charges,131.14,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 ,131.14,percent of total billed charges ,131.14,percent of total billed charges ,141.1,percent of total billed charges ,141.1,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 ,,,,,,,,,,,,,,,,,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,
**PROTEIN C FUNCTIONAL DO NOT USE,85303,CDM,,,,both,,,308,308,70.84,308,308,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,243.32,percent of total billed charges,243.32,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 ,243.32,percent of total billed charges ,243.32,percent of total billed charges ,261.8,percent of total billed charges ,261.8,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 ,,,,,,,,,,,,,,,,,,,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,
**PROTEIN S FUNCTIONAL DO NOT USE,85306,CDM,,,,both,,,286,286,65.78,286,286,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,225.94,percent of total billed charges,225.94,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 ,225.94,percent of total billed charges ,225.94,percent of total billed charges ,243.1,percent of total billed charges ,243.1,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 ,,,,,,,,,,,,,,,,,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,
**SMEAR REVIEW DO NOT USE,85060,CDM,,,,both,,,150,150,34.5,150,150,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,118.5,percent of total billed charges,118.5,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 ,118.5,percent of total billed charges ,118.5,percent of total billed charges ,127.5,percent of total billed charges ,127.5,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 ,,,,,,,,,,,,,,,,,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,
**VON WILLIBRAND FACTOR AG DO NOT USE,85246,CDM,,,,both,,,235,235,54.05,235,235,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,185.65,percent of total billed charges,185.65,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 ,185.65,percent of total billed charges ,185.65,percent of total billed charges ,199.75,percent of total billed charges ,199.75,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 ,,,,,,,,,,,,,,,,,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,
**FIBRINOGEN ANTIGEN DO NOT USE,85385,CDM,,,,both,,,69,69,15.87,69,69,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,54.51,percent of total billed charges,54.51,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 ,54.51,percent of total billed charges ,54.51,percent of total billed charges ,58.65,percent of total billed charges ,58.65,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 ,,,,,,,,,,,,,,,,,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,
**HEMOGRAM W/PLATLET CT,85027,CDM,,,,both,,,148,148,34.04,148,148,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,116.92,percent of total billed charges,116.92,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 ,116.92,percent of total billed charges ,116.92,percent of total billed charges ,125.8,percent of total billed charges ,125.8,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 ,,,,,,,,,,,,,,,,,,,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,,,34.04,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,
**LAB-DIFF DO NOT USE,85007,CDM,,,,both,,,58,58,13.34,58,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,45.82,percent of total billed charges,45.82,percent of total billed charges,46.4,percent of total billed charges,46.4,percent of total billed charges,,,41.76,percent of total billed charges ,,,46.4,percent of total billed charges ,45.82,percent of total billed charges ,45.82,percent of total billed charges ,49.3,percent of total billed charges ,49.3,percent of total billed charges ,46.4,percent of total billed charges ,46.4,percent of total billed charges ,40.6,percent of total billed charges ,40.6,percent of total billed charges ,34.8,percent of total billed charges ,34.8,percent of total billed charges ,34.8,percent of total billed charges ,34.8,percent of total billed charges ,,,,,30.86,percent of total billed charges ,,,,,29.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,
**EOSINOPHIL CNT DO NOT USE,85048,CDM,,,,both,,,72,72,16.56,72,72,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,56.88,percent of total billed charges,56.88,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 ,56.88,percent of total billed charges ,56.88,percent of total billed charges ,61.2,percent of total billed charges ,61.2,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
PROTIME,85610,CDM,,,,both,,,98,98,22.54,98,98,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,77.42,percent of total billed charges,77.42,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 ,77.42,percent of total billed charges ,77.42,percent of total billed charges ,83.3,percent of total billed charges ,83.3,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 ,,,,,,,,,,,,,,,,,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,
**AT3 FUNCTIONAL DO NOT USE,85300,CDM,,,,both,,,400,400,92,400,400,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,400,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,316,percent of total billed charges,316,percent of total billed charges,320,percent of total billed charges,320,percent of total billed charges,,,288,percent of total billed charges ,,,320,percent of total billed charges ,316,percent of total billed charges ,316,percent of total billed charges ,340,percent of total billed charges ,340,percent of total billed charges ,320,percent of total billed charges ,320,percent of total billed charges ,280,percent of total billed charges ,280,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 ,,,,,212.8,percent of total billed charges ,,,,,202.16,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,,,92,percent of total billed charges,,,92,percent of total billed charges,,,92,percent of total billed charges,,,92,percent of total billed charges,
**INHIBITOR STUDY DO NOT USE,85300,CDM,,,,both,,,198,198,45.54,198,198,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,156.42,percent of total billed charges,156.42,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 ,156.42,percent of total billed charges ,156.42,percent of total billed charges ,168.3,percent of total billed charges ,168.3,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 ,,,,,,,,,,,,,,,,,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,
**PROTEIN S DO NOT USE,85305,CDM,,,,both,,,110,110,25.3,110,110,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,86.9,percent of total billed charges,86.9,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 ,86.9,percent of total billed charges ,86.9,percent of total billed charges ,93.5,percent of total billed charges ,93.5,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 ,,,,,,,,,,,,,,,,,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,
**VISCOSITY DO NOT USE,85810,CDM,,,,both,,,107,107,24.61,107,107,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,84.53,percent of total billed charges,84.53,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 ,84.53,percent of total billed charges ,84.53,percent of total billed charges ,90.95,percent of total billed charges ,90.95,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 ,,,,,,,,,,,,,,,,,,,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,
**VIRAL LOAD HIV DO NOT USE,87536,CDM,,,,both,,,336,336,77.28,336,336,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,336,percent of total billed charges,336,percent of total billed charges,336,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,265.44,percent of total billed charges,265.44,percent of total billed charges,268.8,percent of total billed charges,268.8,percent of total billed charges,,,241.92,percent of total billed charges ,,,268.8,percent of total billed charges ,265.44,percent of total billed charges ,265.44,percent of total billed charges ,285.6,percent of total billed charges ,285.6,percent of total billed charges ,268.8,percent of total billed charges ,268.8,percent of total billed charges ,235.2,percent of total billed charges ,235.2,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 ,,,,,178.75,percent of total billed charges ,,,,,169.81,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,
PINWORM PREP,87172,CDM,,,,both,,,147,147,33.81,147,147,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,116.13,percent of total billed charges,116.13,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 ,116.13,percent of total billed charges ,116.13,percent of total billed charges ,124.95,percent of total billed charges ,124.95,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 ,,,,,,,,,,,,,,,,,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,
SUSCEPTIBILITY (MIC),87186,CDM,,,,both,,,179,179,41.17,179,179,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,141.41,percent of total billed charges,141.41,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 ,141.41,percent of total billed charges ,141.41,percent of total billed charges ,152.15,percent of total billed charges ,152.15,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 ,,,,,,,,,,,,,,,,,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,
WET MOUNT (SALINE ),87210,CDM,,,,both,,,131,131,30.13,131,131,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,103.49,percent of total billed charges,103.49,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 ,103.49,percent of total billed charges ,103.49,percent of total billed charges ,111.35,percent of total billed charges ,111.35,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 ,,,,,,,,,,,,,,,,,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,
**CULTURE TB DO NOT USE,87116,CDM,,,,both,,,188,188,43.24,188,188,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,148.52,percent of total billed charges,148.52,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 ,148.52,percent of total billed charges ,148.52,percent of total billed charges ,159.8,percent of total billed charges ,159.8,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 ,,,,,,,,,,,,,,,,,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,,,43.24,percent of total billed charges,
**GC PROBE DO NOT USE,87591,CDM,,,,both,,,193,193,44.39,193,193,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,152.47,percent of total billed charges,152.47,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 ,152.47,percent of total billed charges ,152.47,percent of total billed charges ,164.05,percent of total billed charges ,164.05,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 ,,,,,,,,,,,,,,,,,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,
**ANAEROBIC SUSCEPTIBILITY,87181,CDM,,,,both,,,68,68,15.64,68,68,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,53.72,percent of total billed charges,53.72,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 ,53.72,percent of total billed charges ,53.72,percent of total billed charges ,57.8,percent of total billed charges ,57.8,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 ,,,,,,,,,,,,,,,,,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,
**STAIN ACID FAST DO NOT USE,87206,CDM,,,,both,,,91,91,20.93,91,91,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,71.89,percent of total billed charges,71.89,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 ,71.89,percent of total billed charges ,71.89,percent of total billed charges ,77.35,percent of total billed charges ,77.35,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 ,,,,,,,,,,,,,,,,,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,
**SCHLICHTER TEST DO NOT USE,87197,CDM,,,,both,,,193,193,44.39,193,193,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,152.47,percent of total billed charges,152.47,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 ,152.47,percent of total billed charges ,152.47,percent of total billed charges ,164.05,percent of total billed charges ,164.05,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 ,,,,,,,,,,,,,,,,,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,
CULTURE ANAEROBIC,87075,CDM,,,,both,,,249,249,57.27,249,249,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,196.71,percent of total billed charges,196.71,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 ,196.71,percent of total billed charges ,196.71,percent of total billed charges ,211.65,percent of total billed charges ,211.65,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 ,,,,,,,,,,,,,,,,,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,
**GIARDIA/CRYPTOSPORIDIUM ANTIGEN,87272,CDM,,,,both,,,200,200,46,200,200,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,158,percent of total billed charges,158,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 ,158,percent of total billed charges ,158,percent of total billed charges ,170,percent of total billed charges ,170,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 ,,,,,,,,,,,,,,,,,,,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,,,46,percent of total billed charges,,,46,percent of total billed charges,,,46,percent of total billed charges,
**IMMUNOCAID TEST DO NOT USE,87449,CDM,,,,both,,,167,167,38.41,167,167,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,131.93,percent of total billed charges,131.93,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 ,131.93,percent of total billed charges ,131.93,percent of total billed charges ,141.95,percent of total billed charges ,141.95,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 ,,,,,,,,,,,,,,,,,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,
BODY FLUID GLUCOSE,82945,CDM,,,,both,,,112,112,25.76,112,112,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,88.48,percent of total billed charges,88.48,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 ,88.48,percent of total billed charges ,88.48,percent of total billed charges ,95.2,percent of total billed charges ,95.2,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 ,,,,,,,,,,,,,,,,,,,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,
**O&P CONCENTRATION,87177,CDM,,,,both,,,139,139,31.97,139,139,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,109.81,percent of total billed charges,109.81,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 ,109.81,percent of total billed charges ,109.81,percent of total billed charges ,118.15,percent of total billed charges ,118.15,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 ,,,,,,,,,,,,,,,,,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,
"CULTURE, BACTERIA OTHER",87070,CDM,,,,both,,,189,189,43.47,189,189,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,149.31,percent of total billed charges,149.31,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 ,149.31,percent of total billed charges ,149.31,percent of total billed charges ,160.65,percent of total billed charges ,160.65,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 ,,,,,,,,,,,,,,,,,,,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,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,
**MALARIA SMEAR DO NOT USE,87207,CDM,,,,both,,,155,155,35.65,155,155,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,122.45,percent of total billed charges,122.45,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 ,122.45,percent of total billed charges ,122.45,percent of total billed charges ,131.75,percent of total billed charges ,131.75,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 ,,,,,,,,,,,,,,,,,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,
**IGG SUBCLASSES DO NOT USE,82787,CDM,,,,both,,,241,241,55.43,241,241,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,190.39,percent of total billed charges,190.39,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 ,190.39,percent of total billed charges ,190.39,percent of total billed charges ,204.85,percent of total billed charges ,204.85,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 ,,,,,,,,,,,,,,,,,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,
**LEGIONELLA ANTIGEN UR DO NOT USE,87449,CDM,,,,both,,,167,167,38.41,167,167,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,131.93,percent of total billed charges,131.93,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 ,131.93,percent of total billed charges ,131.93,percent of total billed charges ,141.95,percent of total billed charges ,141.95,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 ,,,,,,,,,,,,,,,,,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,
**HEPA Be AB DO NOT USE,87350,CDM,,,,both,,,57,57,13.11,57,57,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,45.03,percent of total billed charges,45.03,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 ,45.03,percent of total billed charges ,45.03,percent of total billed charges ,48.45,percent of total billed charges ,48.45,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 ,,,,,,,,,,,,,,,,,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,
CULTURE FECES,87045,CDM,,,,both,,,265,265,60.95,265,265,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,209.35,percent of total billed charges,209.35,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 ,209.35,percent of total billed charges ,209.35,percent of total billed charges ,225.25,percent of total billed charges ,225.25,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 ,,,,,,,,,,,,,,,,,,,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,,,60.95,percent of total billed charges,,,60.95,percent of total billed charges,,,60.95,percent of total billed charges,
CULTURE STREP B GENITAL,87070,CDM,,,,both,,,205,205,47.15,205,205,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,161.95,percent of total billed charges,161.95,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 ,161.95,percent of total billed charges ,161.95,percent of total billed charges ,174.25,percent of total billed charges ,174.25,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 ,,,,,,,,,,,,,,,,,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,
**HEPA C RNA QUAL DO NOT USE,87521,CDM,,,,both,,,571,571,131.33,571,571,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,451.09,percent of total billed charges,451.09,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 ,451.09,percent of total billed charges ,451.09,percent of total billed charges ,485.35,percent of total billed charges ,485.35,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 ,,,,,,,,,,,,,,,,,,,131.33,percent of total billed charges,,,131.33,percent of total billed charges,,,131.33,percent of total billed charges,,,131.33,percent of total billed charges,,,131.33,percent of total billed charges,,,131.33,percent of total billed charges,,,131.33,percent of total billed charges,,,131.33,percent of total billed charges,,,131.33,percent of total billed charges,,,131.33,percent of total billed charges,,,131.33,percent of total billed charges,
**RSV BY DFA DO NOT USE,87280,CDM,,,,both,,,64,64,14.72,64,64,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,50.56,percent of total billed charges,50.56,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 ,50.56,percent of total billed charges ,50.56,percent of total billed charges ,54.4,percent of total billed charges ,54.4,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
RSV BY RIA,87807,CDM,,,,both,,,174,174,40.02,174,174,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,137.46,percent of total billed charges,137.46,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 ,137.46,percent of total billed charges ,137.46,percent of total billed charges ,147.9,percent of total billed charges ,147.9,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
"ORGANISM ID, PRESUMPTIVE",87088,CDM,,,,both,,,186,186,42.78,186,186,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,146.94,percent of total billed charges,146.94,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 ,146.94,percent of total billed charges ,146.94,percent of total billed charges ,158.1,percent of total billed charges ,158.1,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 ,,,,,,,,,,,,,,,,,,,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,
ANTIBIOTIC SENS BY DISK,87184,CDM,,,,both,,,159,159,36.57,159,159,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,125.61,percent of total billed charges,125.61,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 ,125.61,percent of total billed charges ,125.61,percent of total billed charges ,135.15,percent of total billed charges ,135.15,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,36.57,percent of total billed charges,,,36.57,percent of total billed charges,,,36.57,percent of total billed charges,
**HSV TYPE 1/2 DNA PCR CSF DO NOT USE,87529,CDM,,,,both,,,407,407,93.61,407,407,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,321.53,percent of total billed charges,321.53,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 ,321.53,percent of total billed charges ,321.53,percent of total billed charges ,345.95,percent of total billed charges ,345.95,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 ,,,,,,,,,,,,,,,,,,,93.61,percent of total billed charges,,,93.61,percent of total billed charges,,,93.61,percent of total billed charges,,,93.61,percent of total billed charges,,,93.61,percent of total billed charges,,,93.61,percent of total billed charges,,,93.61,percent of total billed charges,,,93.61,percent of total billed charges,,,93.61,percent of total billed charges,,,93.61,percent of total billed charges,,,93.61,percent of total billed charges,
**HEPA C RNA QUANT DO NOT USE,87522,CDM,,,,both,,,709,709,163.07,709,709,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,560.11,percent of total billed charges,560.11,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 ,560.11,percent of total billed charges ,560.11,percent of total billed charges ,602.65,percent of total billed charges ,602.65,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 ,,,,,,,,,,,,,,,,,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,
ORGANISM ID DEFINITIVE AEROBIC,87077,CDM,,,,both,,,117,117,26.91,117,117,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,92.43,percent of total billed charges,92.43,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 ,92.43,percent of total billed charges ,92.43,percent of total billed charges ,99.45,percent of total billed charges ,99.45,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 ,,,,,,,,,,,,,,,,,,,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,
**CULTURE FUNGUS DO NOT USE,87102,CDM,,,,both,,,141,141,32.43,141,141,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,111.39,percent of total billed charges,111.39,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 ,111.39,percent of total billed charges ,111.39,percent of total billed charges ,119.85,percent of total billed charges ,119.85,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 ,,,,,,,,,,,,,,,,,,,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,
"CULTURE GENITAL, AEROBIC",87070,CDM,,,,both,,,205,205,47.15,205,205,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,161.95,percent of total billed charges,161.95,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 ,161.95,percent of total billed charges ,161.95,percent of total billed charges ,174.25,percent of total billed charges ,174.25,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 ,,,,,,,,,,,,,,,,,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,
**CHLAMYDIA PROBE DO NOT USE,87491,CDM,,,,both,,,197,197,45.31,197,197,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,155.63,percent of total billed charges,155.63,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 ,155.63,percent of total billed charges ,155.63,percent of total billed charges ,167.45,percent of total billed charges ,167.45,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**CHLAMYDIA BY HYBRIDIZATION DO NOT USE,87490,CDM,,,,both,,,128,128,29.44,128,128,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,101.12,percent of total billed charges,101.12,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 ,101.12,percent of total billed charges ,101.12,percent of total billed charges ,108.8,percent of total billed charges ,108.8,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
"CULTURE NOSE, AEROBIC",87070,CDM,,,,both,,,205,205,47.15,205,205,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,161.95,percent of total billed charges,161.95,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 ,161.95,percent of total billed charges ,161.95,percent of total billed charges ,174.25,percent of total billed charges ,174.25,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 ,,,,,,,,,,,,,,,,,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,
"CULTURE THROAT, AEROBIC",87070,CDM,,,,both,,,205,205,47.15,205,205,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,161.95,percent of total billed charges,161.95,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 ,161.95,percent of total billed charges ,161.95,percent of total billed charges ,174.25,percent of total billed charges ,174.25,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 ,,,,,,,,,,,,,,,,,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,
"CULTURE SPUTUM, AEROBIC",87070,CDM,,,,both,,,205,205,47.15,205,205,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,161.95,percent of total billed charges,161.95,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 ,161.95,percent of total billed charges ,161.95,percent of total billed charges ,174.25,percent of total billed charges ,174.25,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 ,,,,,,,,,,,,,,,,,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,
"CULTURE EAR, AEROBIC",87070,CDM,,,,both,,,205,205,47.15,205,205,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,161.95,percent of total billed charges,161.95,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 ,161.95,percent of total billed charges ,161.95,percent of total billed charges ,174.25,percent of total billed charges ,174.25,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 ,,,,,,,,,,,,,,,,,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,
"CULTURE EYE, AEROBIC",87070,CDM,,,,both,,,205,205,47.15,205,205,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,161.95,percent of total billed charges,161.95,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 ,161.95,percent of total billed charges ,161.95,percent of total billed charges ,174.25,percent of total billed charges ,174.25,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 ,,,,,,,,,,,,,,,,,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,
GRAM STAIN,87205,CDM,,,,both,,,99,99,22.77,99,99,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,78.21,percent of total billed charges,78.21,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 ,78.21,percent of total billed charges ,78.21,percent of total billed charges ,84.15,percent of total billed charges ,84.15,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 ,,,,,,,,,,,,,,,,,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,
CULTURE WOUND,87070,CDM,,,,both,,,205,205,47.15,205,205,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,161.95,percent of total billed charges,161.95,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 ,161.95,percent of total billed charges ,161.95,percent of total billed charges ,174.25,percent of total billed charges ,174.25,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 ,,,,,,,,,,,,,,,,,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,
CULTURE GC,87081,CDM,,,,both,,,139,139,31.97,139,139,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,109.81,percent of total billed charges,109.81,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 ,109.81,percent of total billed charges ,109.81,percent of total billed charges ,118.15,percent of total billed charges ,118.15,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 ,,,,,,,,,,,,,,,,,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,
**CULTURE BETA STREP DO NOT USE,87070,CDM,,,,both,,,167,167,38.41,167,167,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,131.93,percent of total billed charges,131.93,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 ,131.93,percent of total billed charges ,131.93,percent of total billed charges ,141.95,percent of total billed charges ,141.95,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 ,,,,,,,,,,,,,,,,,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,
CULTURE CSF,87070,CDM,,,,both,,,205,205,47.15,205,205,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,161.95,percent of total billed charges,161.95,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 ,161.95,percent of total billed charges ,161.95,percent of total billed charges ,174.25,percent of total billed charges ,174.25,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 ,,,,,,,,,,,,,,,,,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,
CULTURE BLOOD,87040,CDM,,,,both,,,392,392,90.16,392,392,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,309.68,percent of total billed charges,309.68,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 ,309.68,percent of total billed charges ,309.68,percent of total billed charges ,333.2,percent of total billed charges ,333.2,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 ,,,,,,,,,,,,,,,,,,,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,
**YEAST IDENTIFICATION DO NOT USE,87106,CDM,,,,both,,,61,61,14.03,61,61,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,48.19,percent of total billed charges,48.19,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 ,48.19,percent of total billed charges ,48.19,percent of total billed charges ,51.85,percent of total billed charges ,51.85,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 ,,,,,,,,,,,,,,,,,,,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,,,14.03,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,
.FECAL WBC,89055,CDM,,,,both,,,127,127,29.21,127,127,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,100.33,percent of total billed charges,100.33,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 ,100.33,percent of total billed charges ,100.33,percent of total billed charges ,107.95,percent of total billed charges ,107.95,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 ,,,,,,,,,,,,,,,,,,,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,
**CULTURE YERSINIA DO NOT USE,87046,CDM,,,,both,,,76,76,17.48,76,76,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,60.04,percent of total billed charges,60.04,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 ,60.04,percent of total billed charges ,60.04,percent of total billed charges ,64.6,percent of total billed charges ,64.6,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 ,,,,,,,,,,,,,,,,,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,
**CULTURE VIRUS DO NOT USE,87252,CDM,,,,both,,,386,386,88.78,386,386,percent of total billed charges,386,percent of total billed charges,386,percent of total billed charges,386,percent of total billed charges,386,percent of total billed charges,386,percent of total billed charges,386,percent of total billed charges,386,percent of total billed charges,277.92,percent of total billed charges,277.92,percent of total billed charges,277.92,percent of total billed charges,277.92,percent of total billed charges,277.92,percent of total billed charges,277.92,percent of total billed charges,304.94,percent of total billed charges,304.94,percent of total billed charges,308.8,percent of total billed charges,308.8,percent of total billed charges,,,277.92,percent of total billed charges ,,,308.8,percent of total billed charges ,304.94,percent of total billed charges ,304.94,percent of total billed charges ,328.1,percent of total billed charges ,328.1,percent of total billed charges ,308.8,percent of total billed charges ,308.8,percent of total billed charges ,270.2,percent of total billed charges ,270.2,percent of total billed charges ,231.6,percent of total billed charges ,231.6,percent of total billed charges ,231.6,percent of total billed charges ,231.6,percent of total billed charges ,,,,,205.35,percent of total billed charges ,,,,,195.08,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,,,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,
**CULTURE CHLAMYDIA DO NOT USE,87110,CDM,,,,both,,,392,392,90.16,392,392,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,309.68,percent of total billed charges,309.68,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 ,309.68,percent of total billed charges ,309.68,percent of total billed charges ,333.2,percent of total billed charges ,333.2,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 ,,,,,,,,,,,,,,,,,,,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,
**CULTURE URINE DO NOT USE,87086,CDM,,,,both,,,125,125,28.75,125,125,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,98.75,percent of total billed charges,98.75,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 ,98.75,percent of total billed charges ,98.75,percent of total billed charges ,106.25,percent of total billed charges ,106.25,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 ,,,,,,,,,,,,,,,,,,,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,,,28.75,percent of total billed charges,,,28.75,percent of total billed charges,,,28.75,percent of total billed charges,
**CULTURE LEGIONELLA DO NOT USE,87075,CDM,,,,both,,,599,599,137.77,599,599,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,473.21,percent of total billed charges,473.21,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 ,473.21,percent of total billed charges ,473.21,percent of total billed charges ,509.15,percent of total billed charges ,509.15,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,137.77,percent of total billed charges,,,137.77,percent of total billed charges,,,137.77,percent of total billed charges,
**C DIFFICILE TOXIN #1,87324,CDM,,,,both,,,307,307,70.61,307,307,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,242.53,percent of total billed charges,242.53,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 ,242.53,percent of total billed charges ,242.53,percent of total billed charges ,260.95,percent of total billed charges ,260.95,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 ,,,,,,,,,,,,,,,,,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,
CULTURE MRSA,87081,CDM,,,,both,,,139,139,31.97,139,139,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,109.81,percent of total billed charges,109.81,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 ,109.81,percent of total billed charges ,109.81,percent of total billed charges ,118.15,percent of total billed charges ,118.15,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 ,,,,,,,,,,,,,,,,,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,
**HEPATITIS B ANTIGEN DO NOT USE,87340,CDM,,,,both,,,200,200,46,200,200,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,158,percent of total billed charges,158,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 ,158,percent of total billed charges ,158,percent of total billed charges ,170,percent of total billed charges ,170,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 ,,,,,,,,,,,,,,,,,,,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,,,46,percent of total billed charges,,,46,percent of total billed charges,,,46,percent of total billed charges,
**NEISSERIA GC PROBE DO NOT USE,87591,CDM,,,,both,,,193,193,44.39,193,193,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,152.47,percent of total billed charges,152.47,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 ,152.47,percent of total billed charges ,152.47,percent of total billed charges ,164.05,percent of total billed charges ,164.05,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 ,,,,,,,,,,,,,,,,,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,
STREP RAPID SCREENING,87430,CDM,,,,both,,,169,169,38.87,169,169,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,133.51,percent of total billed charges,133.51,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 ,133.51,percent of total billed charges ,133.51,percent of total billed charges ,143.65,percent of total billed charges ,143.65,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 ,,,,,,,,,,,,,,,,,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,
**KOH PREPARATION TISSUE DO NOT USE,87220,CDM,,,,both,,,92,92,21.16,92,92,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,72.68,percent of total billed charges,72.68,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 ,72.68,percent of total billed charges ,72.68,percent of total billed charges ,78.2,percent of total billed charges ,78.2,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 ,,,,,,,,,,,,,,,,,,,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,
**REDUCING SUBSTANCES FECAL DO NOT USE,84376,CDM,,,,both,,,45,45,10.35,45,45,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,35.55,percent of total billed charges,35.55,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 ,35.55,percent of total billed charges ,35.55,percent of total billed charges ,38.25,percent of total billed charges ,38.25,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 ,,,,,,,,,,,,,,,,,,,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,
URINE MICROSCOPIC ONLY,81015,CDM,,,,both,,,55,55,12.65,55,55,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,43.45,percent of total billed charges,43.45,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 ,43.45,percent of total billed charges ,43.45,percent of total billed charges ,46.75,percent of total billed charges ,46.75,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 ,,,,,,,,,,,,,,,,,,,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,
URINALYSIS W/O MICRO,81003,CDM,,,,both,,,66,66,15.18,66,66,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,52.14,percent of total billed charges,52.14,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 ,52.14,percent of total billed charges ,52.14,percent of total billed charges ,56.1,percent of total billed charges ,56.1,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 ,,,,,,,,,,,,,,,,,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,
**URINE EOSINOPHIL DO NOT USE,81015,CDM,,,,both,,,61,61,14.03,61,61,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,48.19,percent of total billed charges,48.19,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 ,48.19,percent of total billed charges ,48.19,percent of total billed charges ,51.85,percent of total billed charges ,51.85,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 ,,,,,,,,,,,,,,,,,,,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,,,14.03,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,
URINALYSIS W/MICRO,81001,CDM,,,,both,,,116,116,26.68,116,116,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,91.64,percent of total billed charges,91.64,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 ,91.64,percent of total billed charges ,91.64,percent of total billed charges ,98.6,percent of total billed charges ,98.6,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 ,,,,,,,,,,,,,,,,,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,
SPECIFIC GRAVITY,81002,CDM,,,,both,,,70,70,16.1,70,70,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,55.3,percent of total billed charges,55.3,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 ,55.3,percent of total billed charges ,55.3,percent of total billed charges ,59.5,percent of total billed charges ,59.5,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 ,,,,,,,,,,,,,,,,,,,16.1,percent of total billed charges,,,16.1,percent of total billed charges,,,16.1,percent of total billed charges,,,16.1,percent of total billed charges,,,16.1,percent of total billed charges,,,16.1,percent of total billed charges,,,16.1,percent of total billed charges,,,16.1,percent of total billed charges,,,16.1,percent of total billed charges,,,16.1,percent of total billed charges,,,16.1,percent of total billed charges,
URINE VOLUME MEASURE,81050,CDM,,,,both,,,42,42,9.66,42,42,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,33.18,percent of total billed charges,33.18,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 ,33.18,percent of total billed charges ,33.18,percent of total billed charges ,35.7,percent of total billed charges ,35.7,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 ,,,,,,,,,,,,,,,,,,,9.66,percent of total billed charges,,,9.66,percent of total billed charges,,,9.66,percent of total billed charges,,,9.66,percent of total billed charges,,,9.66,percent of total billed charges,,,9.66,percent of total billed charges,,,9.66,percent of total billed charges,,,9.66,percent of total billed charges,,,9.66,percent of total billed charges,,,9.66,percent of total billed charges,,,9.66,percent of total billed charges,
**EOSIN SMEAR DO NOT USE,89190,CDM,,,,both,,,45,45,10.35,45,45,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,35.55,percent of total billed charges,35.55,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 ,35.55,percent of total billed charges ,35.55,percent of total billed charges ,38.25,percent of total billed charges ,38.25,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 ,,,,,,,,,,,,,,,,,,,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,
BODY FLUID CELL COUNT W/DIFF,89051,CDM,,,,both,,,180,180,41.4,180,180,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,142.2,percent of total billed charges,142.2,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 ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,153,percent of total billed charges ,153,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,41.4,percent of total billed charges,,,41.4,percent of total billed charges,,,41.4,percent of total billed charges,
**FLUID CRYSTALS DO NOT USE,89060,CDM,,,,both,,,120,120,27.6,120,120,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,94.8,percent of total billed charges,94.8,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 ,94.8,percent of total billed charges ,94.8,percent of total billed charges ,102,percent of total billed charges ,102,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**GMS SMEAR DO NOT USE,88312,CDM,,,26,both,,,176,176,40.48,176,176,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,139.04,percent of total billed charges,139.04,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 ,139.04,percent of total billed charges ,139.04,percent of total billed charges ,149.6,percent of total billed charges ,149.6,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 ,,,,,,,,,,,,,,,,,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,
**SURG PATH 88309 DO NOT USE,88309,CDM,,,26,both,,,"1,043.00","1,043.00",239.89,"1,043.00","1,043.00",percent of total billed charges,"1,043.00",percent of total billed charges,"1,043.00",percent of total billed charges,"1,043.00",percent of total billed charges,"1,043.00",percent of total billed charges,"1,043.00",percent of total billed charges,"1,043.00",percent of total billed charges,"1,043.00",percent of total billed charges,750.96,percent of total billed charges,750.96,percent of total billed charges,750.96,percent of total billed charges,750.96,percent of total billed charges,750.96,percent of total billed charges,750.96,percent of total billed charges,823.97,percent of total billed charges,823.97,percent of total billed charges,834.4,percent of total billed charges,834.4,percent of total billed charges,,,750.96,percent of total billed charges ,,,834.4,percent of total billed charges ,823.97,percent of total billed charges ,823.97,percent of total billed charges ,886.55,percent of total billed charges ,886.55,percent of total billed charges ,834.4,percent of total billed charges ,834.4,percent of total billed charges ,730.1,percent of total billed charges ,730.1,percent of total billed charges ,625.8,percent of total billed charges ,625.8,percent of total billed charges ,625.8,percent of total billed charges ,625.8,percent of total billed charges ,,,,,554.88,percent of total billed charges ,,,,,527.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,239.89,percent of total billed charges,,,239.89,percent of total billed charges,,,239.89,percent of total billed charges,,,239.89,percent of total billed charges,,,239.89,percent of total billed charges,,,239.89,percent of total billed charges,,,239.89,percent of total billed charges,,,239.89,percent of total billed charges,,,239.89,percent of total billed charges,,,239.89,percent of total billed charges,,,239.89,percent of total billed charges,
**SURG PATH 88348 DO NOT USE,88348,CDM,,,26,both,,,707,707,162.61,707,707,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,509.04,percent of total billed charges,509.04,percent of total billed charges,509.04,percent of total billed charges,509.04,percent of total billed charges,509.04,percent of total billed charges,509.04,percent of total billed charges,558.53,percent of total billed charges,558.53,percent of total billed charges,565.6,percent of total billed charges,565.6,percent of total billed charges,,,509.04,percent of total billed charges ,,,565.6,percent of total billed charges ,558.53,percent of total billed charges ,558.53,percent of total billed charges ,600.95,percent of total billed charges ,600.95,percent of total billed charges ,565.6,percent of total billed charges ,565.6,percent of total billed charges ,494.9,percent of total billed charges ,494.9,percent of total billed charges ,424.2,percent of total billed charges ,424.2,percent of total billed charges ,424.2,percent of total billed charges ,424.2,percent of total billed charges ,,,,,376.12,percent of total billed charges ,,,,,357.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,162.61,percent of total billed charges,,,162.61,percent of total billed charges,,,162.61,percent of total billed charges,,,162.61,percent of total billed charges,,,162.61,percent of total billed charges,,,162.61,percent of total billed charges,,,162.61,percent of total billed charges,,,162.61,percent of total billed charges,,,162.61,percent of total billed charges,,,162.61,percent of total billed charges,,,162.61,percent of total billed charges,
**SURG PATH 88305 DO NOT USE,88305,CDM,,,26,both,,,312,312,71.76,312,312,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,246.48,percent of total billed charges,246.48,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 ,246.48,percent of total billed charges ,246.48,percent of total billed charges ,265.2,percent of total billed charges ,265.2,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**SURG PATH 88331 DO NOT USE,88331,CDM,,,26,both,,,498,498,114.54,498,498,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,393.42,percent of total billed charges,393.42,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 ,393.42,percent of total billed charges ,393.42,percent of total billed charges ,423.3,percent of total billed charges ,423.3,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 ,,,,,,,,,,,,,,,,,,,114.54,percent of total billed charges,,,114.54,percent of total billed charges,,,114.54,percent of total billed charges,,,114.54,percent of total billed charges,,,114.54,percent of total billed charges,,,114.54,percent of total billed charges,,,114.54,percent of total billed charges,,,114.54,percent of total billed charges,,,114.54,percent of total billed charges,,,114.54,percent of total billed charges,,,114.54,percent of total billed charges,
**SURG PATH 88313 DO NOT USE,88313,CDM,,,26,both,,,347,347,79.81,347,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,274.13,percent of total billed charges,274.13,percent of total billed charges,277.6,percent of total billed charges,277.6,percent of total billed charges,,,249.84,percent of total billed charges ,,,277.6,percent of total billed charges ,274.13,percent of total billed charges ,274.13,percent of total billed charges ,294.95,percent of total billed charges ,294.95,percent of total billed charges ,277.6,percent of total billed charges ,277.6,percent of total billed charges ,242.9,percent of total billed charges ,242.9,percent of total billed charges ,208.2,percent of total billed charges ,208.2,percent of total billed charges ,208.2,percent of total billed charges ,208.2,percent of total billed charges ,,,,,184.6,percent of total billed charges ,,,,,175.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,
**SURG PATH 88332 DO NOT USE,88332,CDM,,,26,both,,,215,215,49.45,215,215,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,169.85,percent of total billed charges,169.85,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 ,169.85,percent of total billed charges ,169.85,percent of total billed charges ,182.75,percent of total billed charges ,182.75,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 ,,,,,,,,,,,,,,,,,,,49.45,percent of total billed charges,,,49.45,percent of total billed charges,,,49.45,percent of total billed charges,,,49.45,percent of total billed charges,,,49.45,percent of total billed charges,,,49.45,percent of total billed charges,,,49.45,percent of total billed charges,,,49.45,percent of total billed charges,,,49.45,percent of total billed charges,,,49.45,percent of total billed charges,,,49.45,percent of total billed charges,
**MITOCHONDRIAL AB DO NOT USE,88347,CDM,,,,both,,,270,270,62.1,270,270,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,270,percent of total billed charges,270,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,194.4,percent of total billed charges,194.4,percent of total billed charges,213.3,percent of total billed charges,213.3,percent of total billed charges,216,percent of total billed charges,216,percent of total billed charges,,,194.4,percent of total billed charges ,,,216,percent of total billed charges ,213.3,percent of total billed charges ,213.3,percent of total billed charges ,229.5,percent of total billed charges ,229.5,percent of total billed charges ,216,percent of total billed charges ,216,percent of total billed charges ,189,percent of total billed charges ,189,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 ,,,,,143.64,percent of total billed charges ,,,,,136.46,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,,,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,,,62.1,percent of total billed charges,,,62.1,percent of total billed charges,,,62.1,percent of total billed charges,
**SURG PATH 88307 DO NOT USE,88307,CDM,,,26,both,,,500,500,115,500,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,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,395,percent of total billed charges,395,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,,,360,percent of total billed charges ,,,400,percent of total billed charges ,395,percent of total billed charges ,395,percent of total billed charges ,425,percent of total billed charges ,425,percent of total billed charges ,400,percent of total billed charges ,400,percent of total billed charges ,350,percent of total billed charges ,350,percent of total billed charges ,300,percent of total billed charges ,300,percent of total billed charges ,300,percent of total billed charges ,300,percent of total billed charges ,,,,,266,percent of total billed charges ,,,,,252.7,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,,,115,percent of total billed charges,,,115,percent of total billed charges,,,115,percent of total billed charges,,,115,percent of total billed charges,
**SURG PATH 80500 DO NOT USE,80500,CDM,,,26,both,,,95,95,21.85,95,95,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,75.05,percent of total billed charges,75.05,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 ,75.05,percent of total billed charges ,75.05,percent of total billed charges ,80.75,percent of total billed charges ,80.75,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,21.85,percent of total billed charges,,,21.85,percent of total billed charges,,,21.85,percent of total billed charges,
**SURG PATH 88300 DO NOT USE,88300,CDM,,,26,both,,,102,102,23.46,102,102,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,80.58,percent of total billed charges,80.58,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 ,80.58,percent of total billed charges ,80.58,percent of total billed charges ,86.7,percent of total billed charges ,86.7,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 ,,,,,,,,,,,,,,,,,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,
**SURG PATH 88311 DECAL DO NOT USE,88311,CDM,,,,both,,,92,92,21.16,92,92,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,72.68,percent of total billed charges,72.68,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 ,72.68,percent of total billed charges ,72.68,percent of total billed charges ,78.2,percent of total billed charges ,78.2,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 ,,,,,,,,,,,,,,,,,,,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,
**SURG PATH 88342 DO NOT USE,88342,CDM,,,26,both,,,285,285,65.55,285,285,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,225.15,percent of total billed charges,225.15,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 ,225.15,percent of total billed charges ,225.15,percent of total billed charges ,242.25,percent of total billed charges ,242.25,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 ,,,,,,,,,,,,,,,,,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,
**SURG PATH 88346 DO NOT USE,88346,CDM,,,26,both,,,"1,109.00","1,109.00",255.07,"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,876.11,percent of total billed charges,876.11,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 ,876.11,percent of total billed charges ,876.11,percent of total billed charges ,942.65,percent of total billed charges ,942.65,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 ,,,,,,,,,,,,,,,,,,,255.07,percent of total billed charges,,,255.07,percent of total billed charges,,,255.07,percent of total billed charges,,,255.07,percent of total billed charges,,,255.07,percent of total billed charges,,,255.07,percent of total billed charges,,,255.07,percent of total billed charges,,,255.07,percent of total billed charges,,,255.07,percent of total billed charges,,,255.07,percent of total billed charges,,,255.07,percent of total billed charges,
**SURG PATH 88312 DO NOT USE,88312,CDM,,,26,both,,,176,176,40.48,176,176,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,139.04,percent of total billed charges,139.04,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 ,139.04,percent of total billed charges ,139.04,percent of total billed charges ,149.6,percent of total billed charges ,149.6,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 ,,,,,,,,,,,,,,,,,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,
**MARROW INTERPRETATION DO NOT USE,85097,CDM,,,,both,,,156,156,35.88,156,156,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,123.24,percent of total billed charges,123.24,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 ,123.24,percent of total billed charges ,123.24,percent of total billed charges ,132.6,percent of total billed charges ,132.6,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 ,,,,,,,,,,,,,,,,,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,
**LAB-HIGH RES CHROMOSOME DO NOT USE,88289,CDM,,,,both,,,138,138,31.74,138,138,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,109.02,percent of total billed charges,109.02,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 ,109.02,percent of total billed charges ,109.02,percent of total billed charges ,117.3,percent of total billed charges ,117.3,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 ,,,,,,,,,,,,,,,,,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,
**HIGH RESOLUTION CHROMOSOME DO NOT USE,88262,CDM,,,,both,,,971,971,223.33,971,971,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,767.09,percent of total billed charges,767.09,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 ,767.09,percent of total billed charges ,767.09,percent of total billed charges ,825.35,percent of total billed charges ,825.35,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 ,,,,,,,,,,,,,,,,,,,223.33,percent of total billed charges,,,223.33,percent of total billed charges,,,223.33,percent of total billed charges,,,223.33,percent of total billed charges,,,223.33,percent of total billed charges,,,223.33,percent of total billed charges,,,223.33,percent of total billed charges,,,223.33,percent of total billed charges,,,223.33,percent of total billed charges,,,223.33,percent of total billed charges,,,223.33,percent of total billed charges,
**HPV DNA HYBRIDIZATION DO NOT USE,88365,CDM,,,,both,,,483,483,111.09,483,483,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,381.57,percent of total billed charges,381.57,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 ,381.57,percent of total billed charges ,381.57,percent of total billed charges ,410.55,percent of total billed charges ,410.55,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 ,,,,,,,,,,,,,,,,,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,
**IMMUNOCYTOCHEM CAT 12 DO NOT USE,88342,CDM,,,26,both,,,285,285,65.55,285,285,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,225.15,percent of total billed charges,225.15,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 ,225.15,percent of total billed charges ,225.15,percent of total billed charges ,242.25,percent of total billed charges ,242.25,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 ,,,,,,,,,,,,,,,,,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,
**VIRUS SMEAR DFA DO NOT USE,88346,CDM,,,26,both,,,232,232,53.36,232,232,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,183.28,percent of total billed charges,183.28,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 ,183.28,percent of total billed charges ,183.28,percent of total billed charges ,197.2,percent of total billed charges ,197.2,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 ,,,,,,,,,,,,,,,,,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,
**SPERM ID DO NOT USE,88300,CDM,,,26,both,,,102,102,23.46,102,102,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,80.58,percent of total billed charges,80.58,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 ,80.58,percent of total billed charges ,80.58,percent of total billed charges ,86.7,percent of total billed charges ,86.7,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 ,,,,,,,,,,,,,,,,,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,
**AUTOCYTE MONOLAYER CYTO DO NOT USE,88142,CDM,,,,both,,,105,105,24.15,105,105,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,82.95,percent of total billed charges,82.95,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 ,82.95,percent of total billed charges ,82.95,percent of total billed charges ,89.25,percent of total billed charges ,89.25,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 ,,,,,,,,,,,,,,,,,,,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,
**PRODUCTS OF CONCEPTION DO NOT USE,88233,CDM,,,,both,,,812,812,186.76,812,812,percent of total billed charges,812,percent of total billed charges,812,percent of total billed charges,812,percent of total billed charges,812,percent of total billed charges,812,percent of total billed charges,812,percent of total billed charges,812,percent of total billed charges,584.64,percent of total billed charges,584.64,percent of total billed charges,584.64,percent of total billed charges,584.64,percent of total billed charges,584.64,percent of total billed charges,584.64,percent of total billed charges,641.48,percent of total billed charges,641.48,percent of total billed charges,649.6,percent of total billed charges,649.6,percent of total billed charges,,,584.64,percent of total billed charges ,,,649.6,percent of total billed charges ,641.48,percent of total billed charges ,641.48,percent of total billed charges ,690.2,percent of total billed charges ,690.2,percent of total billed charges ,649.6,percent of total billed charges ,649.6,percent of total billed charges ,568.4,percent of total billed charges ,568.4,percent of total billed charges ,487.2,percent of total billed charges ,487.2,percent of total billed charges ,487.2,percent of total billed charges ,487.2,percent of total billed charges ,,,,,431.98,percent of total billed charges ,,,,,410.38,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,
**HI RES CHROMOSOME TISSUE CULT DO NOT U,88230,CDM,,,,both,,,636,636,146.28,636,636,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,502.44,percent of total billed charges,502.44,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 ,502.44,percent of total billed charges ,502.44,percent of total billed charges ,540.6,percent of total billed charges ,540.6,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 ,,,,,,,,,,,,,,,,,,,146.28,percent of total billed charges,,,146.28,percent of total billed charges,,,146.28,percent of total billed charges,,,146.28,percent of total billed charges,,,146.28,percent of total billed charges,,,146.28,percent of total billed charges,,,146.28,percent of total billed charges,,,146.28,percent of total billed charges,,,146.28,percent of total billed charges,,,146.28,percent of total billed charges,,,146.28,percent of total billed charges,
**SURG PATH 88302 DO NOT USE,88302,CDM,,,26,both,,,172,172,39.56,172,172,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,135.88,percent of total billed charges,135.88,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 ,135.88,percent of total billed charges ,135.88,percent of total billed charges ,146.2,percent of total billed charges ,146.2,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 ,,,,,,,,,,,,,,,,,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,
**SURG PATH 88304 DO NOT USE,88304,CDM,,,26,both,,,238,238,54.74,238,238,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,188.02,percent of total billed charges,188.02,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 ,188.02,percent of total billed charges ,188.02,percent of total billed charges ,202.3,percent of total billed charges ,202.3,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 ,,,,,,,,,,,,,,,,,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,
**FINE NEEDLE ASPIRATE INTERPRETATION,88173,CDM,,,,both,,,298,298,68.54,298,298,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,235.42,percent of total billed charges,235.42,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 ,235.42,percent of total billed charges ,235.42,percent of total billed charges ,253.3,percent of total billed charges ,253.3,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 ,,,,,,,,,,,,,,,,,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,
**@FINE NDLE ASP BASIC,88172,CDM,,,,both,,,303,303,69.69,303,303,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,303,percent of total billed charges,303,percent of total billed charges,303,percent of total billed charges,218.16,percent of total billed charges,218.16,percent of total billed charges,218.16,percent of total billed charges,218.16,percent of total billed charges,218.16,percent of total billed charges,218.16,percent of total billed charges,239.37,percent of total billed charges,239.37,percent of total billed charges,242.4,percent of total billed charges,242.4,percent of total billed charges,,,218.16,percent of total billed charges ,,,242.4,percent of total billed charges ,239.37,percent of total billed charges ,239.37,percent of total billed charges ,257.55,percent of total billed charges ,257.55,percent of total billed charges ,242.4,percent of total billed charges ,242.4,percent of total billed charges ,212.1,percent of total billed charges ,212.1,percent of total billed charges ,181.8,percent of total billed charges ,181.8,percent of total billed charges ,181.8,percent of total billed charges ,181.8,percent of total billed charges ,,,,,161.2,percent of total billed charges ,,,,,153.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,
**PAP SMEAR 88147 DO NOT USE,88147,CDM,,,,both,,,67,67,15.41,67,67,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,52.93,percent of total billed charges,52.93,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 ,52.93,percent of total billed charges ,52.93,percent of total billed charges ,56.95,percent of total billed charges ,56.95,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 ,,,,,,,,,,,,,,,,,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,
**PAP SMEAR 88148 DO NOT USE,88148,CDM,,,,both,,,67,67,15.41,67,67,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,52.93,percent of total billed charges,52.93,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 ,52.93,percent of total billed charges ,52.93,percent of total billed charges ,56.95,percent of total billed charges ,56.95,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 ,,,,,,,,,,,,,,,,,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,
**PAP SMEAR 88164 DO NOT USE,88164,CDM,,,,both,,,67,67,15.41,67,67,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,52.93,percent of total billed charges,52.93,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 ,52.93,percent of total billed charges ,52.93,percent of total billed charges ,56.95,percent of total billed charges ,56.95,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 ,,,,,,,,,,,,,,,,,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,
**NONGYN CYT-L (P14179) DO NOT USE,88161,CDM,,,26,both,,,149,149,34.27,149,149,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,117.71,percent of total billed charges,117.71,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 ,117.71,percent of total billed charges ,117.71,percent of total billed charges ,126.65,percent of total billed charges ,126.65,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 ,,,,,,,,,,,,,,,,,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,
**NONGYN CYT-E (P14179) DO NOT USE,88162,CDM,,,26,both,,,124,124,28.52,124,124,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,97.96,percent of total billed charges,97.96,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 ,97.96,percent of total billed charges ,97.96,percent of total billed charges ,105.4,percent of total billed charges ,105.4,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 ,,,,,,,,,,,,,,,,,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,
**NEEDLE ASPIRATE DO NOT USE,10022,CDM,,,,both,,,209,209,48.07,209,209,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,165.11,percent of total billed charges,165.11,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 ,165.11,percent of total billed charges ,165.11,percent of total billed charges ,177.65,percent of total billed charges ,177.65,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 ,,,,,,,,,,,,,,,,,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,
**CELL SURFACE 1ST MARKER FL. CYT. DO NO,88184,CDM,,,,both,,,199,199,45.77,199,199,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,157.21,percent of total billed charges,157.21,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 ,157.21,percent of total billed charges ,157.21,percent of total billed charges ,169.15,percent of total billed charges ,169.15,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 ,,,,,,,,,,,,,,,,,,,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,,,45.77,percent of total billed charges,,,45.77,percent of total billed charges,,,45.77,percent of total billed charges,
ARTERIAL PUNCTURE CHARGE,36600,CDM,,,,both,,,176,176,40.48,176,176,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,139.04,percent of total billed charges,139.04,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 ,139.04,percent of total billed charges ,139.04,percent of total billed charges ,149.6,percent of total billed charges ,149.6,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 ,,,,,,,,,,,,,,,,,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,
**SURG PATH 88313 PF DO NOT USE,88313,CDM,,,26,both,,,85,85,19.55,85,85,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,67.15,percent of total billed charges,67.15,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 ,67.15,percent of total billed charges ,67.15,percent of total billed charges ,72.25,percent of total billed charges ,72.25,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 ,,,,,,,,,,,,,,,,,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,
**SURG PATH 80500 PF DO NOT USE,80500,CDM,,,26,both,,,194,194,44.62,194,194,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,153.26,percent of total billed charges,153.26,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 ,153.26,percent of total billed charges ,153.26,percent of total billed charges ,164.9,percent of total billed charges ,164.9,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 ,,,,,,,,,,,,,,,,,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,
**SURG PATH 88332 PF DO NOT USE,88332,CDM,,,26,both,,,295,295,67.85,295,295,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,233.05,percent of total billed charges,233.05,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 ,233.05,percent of total billed charges ,233.05,percent of total billed charges ,250.75,percent of total billed charges ,250.75,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 ,,,,,,,,,,,,,,,,,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,
**SURG PATH 88331 PF DO NOT USE,88331,CDM,,,26,both,,,216,216,49.68,216,216,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,216,percent of total billed charges,216,percent of total billed charges,216,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,172.8,percent of total billed charges,172.8,percent of total billed charges,,,155.52,percent of total billed charges ,,,172.8,percent of total billed charges ,170.64,percent of total billed charges ,170.64,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,172.8,percent of total billed charges ,172.8,percent of total billed charges ,151.2,percent of total billed charges ,151.2,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 ,,,,,114.91,percent of total billed charges ,,,,,109.17,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,,,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,
**CSF CYTOHEMO(P14181)PF DO NOT USE,88161,CDM,,,26,both,,,150,150,34.5,150,150,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,118.5,percent of total billed charges,118.5,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 ,118.5,percent of total billed charges ,118.5,percent of total billed charges ,127.5,percent of total billed charges ,127.5,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 ,,,,,,,,,,,,,,,,,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,
**NONGYN CYT-E (P14179)PF DO NOT USE,88162,CDM,,,26,both,,,267,267,61.41,267,267,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,210.93,percent of total billed charges,210.93,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 ,210.93,percent of total billed charges ,210.93,percent of total billed charges ,226.95,percent of total billed charges ,226.95,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 ,,,,,,,,,,,,,,,,,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,
**NONGYN CYT-L (P14179)PF DO NOT USE,88161,CDM,,,26,both,,,150,150,34.5,150,150,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,118.5,percent of total billed charges,118.5,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 ,118.5,percent of total billed charges ,118.5,percent of total billed charges ,127.5,percent of total billed charges ,127.5,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 ,,,,,,,,,,,,,,,,,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,
**SURG PATH 88348 PF DO NOT USE,88348,CDM,,,26,both,,,291,291,66.93,291,291,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,229.89,percent of total billed charges,229.89,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 ,229.89,percent of total billed charges ,229.89,percent of total billed charges ,247.35,percent of total billed charges ,247.35,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 ,,,,,,,,,,,,,,,,,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,
**SURG PATH 88312 PF DO NOT USE,88312,CDM,,,26,both,,,117,117,26.91,117,117,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,92.43,percent of total billed charges,92.43,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 ,92.43,percent of total billed charges ,92.43,percent of total billed charges ,99.45,percent of total billed charges ,99.45,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 ,,,,,,,,,,,,,,,,,,,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,
**SURG PATH 88346 PF DO NOT USE,88346,CDM,,,26,both,,,269,269,61.87,269,269,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,212.51,percent of total billed charges,212.51,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 ,212.51,percent of total billed charges ,212.51,percent of total billed charges ,228.65,percent of total billed charges ,228.65,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,61.87,percent of total billed charges,,,61.87,percent of total billed charges,,,61.87,percent of total billed charges,
**SURG PATH 88342 PF DO NOT USE,88342,CDM,,,26,both,,,147,147,33.81,147,147,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,116.13,percent of total billed charges,116.13,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 ,116.13,percent of total billed charges ,116.13,percent of total billed charges ,124.95,percent of total billed charges ,124.95,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 ,,,,,,,,,,,,,,,,,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,
**GRSS MICRO PRF CAT 6P DO NOT USE,88309,CDM,,,26,both,,,487,487,112.01,487,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,350.64,percent of total billed charges,350.64,percent of total billed charges,350.64,percent of total billed charges,350.64,percent of total billed charges,350.64,percent of total billed charges,350.64,percent of total billed charges,384.73,percent of total billed charges,384.73,percent of total billed charges,389.6,percent of total billed charges,389.6,percent of total billed charges,,,350.64,percent of total billed charges ,,,389.6,percent of total billed charges ,384.73,percent of total billed charges ,384.73,percent of total billed charges ,413.95,percent of total billed charges ,413.95,percent of total billed charges ,389.6,percent of total billed charges ,389.6,percent of total billed charges ,340.9,percent of total billed charges ,340.9,percent of total billed charges ,292.2,percent of total billed charges ,292.2,percent of total billed charges ,292.2,percent of total billed charges ,292.2,percent of total billed charges ,,,,,259.08,percent of total billed charges ,,,,,246.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,
**SURG PATH 88302 PF DO NOT USE,88302,CDM,,,26,both,,,172,172,39.56,172,172,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,135.88,percent of total billed charges,135.88,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 ,135.88,percent of total billed charges ,135.88,percent of total billed charges ,146.2,percent of total billed charges ,146.2,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 ,,,,,,,,,,,,,,,,,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,
**SURG PATH 88304 PF DO NOT USE,88304,CDM,,,26,both,,,238,238,54.74,238,238,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,188.02,percent of total billed charges,188.02,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 ,188.02,percent of total billed charges ,188.02,percent of total billed charges ,202.3,percent of total billed charges ,202.3,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 ,,,,,,,,,,,,,,,,,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,
**SURG PATH 88307 PF DO NOT USE,88307,CDM,,,26,both,,,500,500,115,500,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,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,395,percent of total billed charges,395,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,,,360,percent of total billed charges ,,,400,percent of total billed charges ,395,percent of total billed charges ,395,percent of total billed charges ,425,percent of total billed charges ,425,percent of total billed charges ,400,percent of total billed charges ,400,percent of total billed charges ,350,percent of total billed charges ,350,percent of total billed charges ,300,percent of total billed charges ,300,percent of total billed charges ,300,percent of total billed charges ,300,percent of total billed charges ,,,,,266,percent of total billed charges ,,,,,252.7,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,,,115,percent of total billed charges,,,115,percent of total billed charges,,,115,percent of total billed charges,,,115,percent of total billed charges,
**CAT 12 HT/HER 2 NEU DO NOT USE,88342,CDM,,,26,both,,,285,285,65.55,285,285,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,225.15,percent of total billed charges,225.15,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 ,225.15,percent of total billed charges ,225.15,percent of total billed charges ,242.25,percent of total billed charges ,242.25,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 ,,,,,,,,,,,,,,,,,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,
**CSF CYTOHEMO (P14181) DO NOT USE,88161,CDM,,,26,both,,,149,149,34.27,149,149,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,117.71,percent of total billed charges,117.71,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 ,117.71,percent of total billed charges ,117.71,percent of total billed charges ,126.65,percent of total billed charges ,126.65,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 ,,,,,,,,,,,,,,,,,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,
**CELL SURF MARKER FLOW CYT LV2 DO NOT U,88184,CDM,,,,both,,,199,199,45.77,199,199,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,157.21,percent of total billed charges,157.21,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 ,157.21,percent of total billed charges ,157.21,percent of total billed charges ,169.15,percent of total billed charges ,169.15,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 ,,,,,,,,,,,,,,,,,,,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,,,45.77,percent of total billed charges,,,45.77,percent of total billed charges,,,45.77,percent of total billed charges,
FECAL LACTOFERRIN,83630,CDM,,,,both,,,203,203,46.69,203,203,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,160.37,percent of total billed charges,160.37,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 ,160.37,percent of total billed charges ,160.37,percent of total billed charges ,172.55,percent of total billed charges ,172.55,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 ,,,,,,,,,,,,,,,,,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,
GIARDIA BY EIA,87329,CDM,,,,both,,,118,118,27.14,118,118,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,93.22,percent of total billed charges,93.22,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 ,93.22,percent of total billed charges ,93.22,percent of total billed charges ,100.3,percent of total billed charges ,100.3,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 ,,,,,,,,,,,,,,,,,,,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,,,27.14,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,
CRYPTOSPORIDIUM BY EIA,87328,CDM,,,,both,,,121,121,27.83,121,121,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,95.59,percent of total billed charges,95.59,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 ,95.59,percent of total billed charges ,95.59,percent of total billed charges ,102.85,percent of total billed charges ,102.85,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,27.83,percent of total billed charges,,,27.83,percent of total billed charges,,,27.83,percent of total billed charges,
**SURG PATH 88300 PF DO NOT USE,88300,CDM,,,26,both,,,67,67,15.41,67,67,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,52.93,percent of total billed charges,52.93,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 ,52.93,percent of total billed charges ,52.93,percent of total billed charges ,56.95,percent of total billed charges ,56.95,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 ,,,,,,,,,,,,,,,,,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,
**SURG PATH 88305 PF DO NOT USE,88305,CDM,,,26,both,,,312,312,71.76,312,312,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,246.48,percent of total billed charges,246.48,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 ,246.48,percent of total billed charges ,246.48,percent of total billed charges ,265.2,percent of total billed charges ,265.2,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
CBC WITH DIFFERENTIAL AND REFLEX,85025,CDM,,,,both,,,148,148,34.04,148,148,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,116.92,percent of total billed charges,116.92,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 ,116.92,percent of total billed charges ,116.92,percent of total billed charges ,125.8,percent of total billed charges ,125.8,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 ,,,,,,,,,,,,,,,,,,,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,,,34.04,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,
*CBC W/MANUAL DIFF DO NOT USE,Local ,Local ,,,,both,,,145,145,33.35,145,145,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,114.55,percent of total billed charges,114.55,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 ,114.55,percent of total billed charges ,114.55,percent of total billed charges ,123.25,percent of total billed charges ,123.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,33.35,percent of total billed charges,,,33.35,percent of total billed charges,,,33.35,percent of total billed charges,
POST VAS CHECK,89321,CDM,,,,both,,,135,135,31.05,135,135,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,106.65,percent of total billed charges,106.65,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 ,106.65,percent of total billed charges ,106.65,percent of total billed charges ,114.75,percent of total billed charges ,114.75,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 ,,,,,,,,,,,,,,,,,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,
CSF CELL COUNT W/DIFF,89051,CDM,,,,both,,,180,180,41.4,180,180,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,142.2,percent of total billed charges,142.2,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 ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,153,percent of total billed charges ,153,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,41.4,percent of total billed charges,,,41.4,percent of total billed charges,,,41.4,percent of total billed charges,
REDUCING SUBSTA URINE,81002,CDM,,,,both,,,70,70,16.1,70,70,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,55.3,percent of total billed charges,55.3,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 ,55.3,percent of total billed charges ,55.3,percent of total billed charges ,59.5,percent of total billed charges ,59.5,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 ,,,,,,,,,,,,,,,,,,,16.1,percent of total billed charges,,,16.1,percent of total billed charges,,,16.1,percent of total billed charges,,,16.1,percent of total billed charges,,,16.1,percent of total billed charges,,,16.1,percent of total billed charges,,,16.1,percent of total billed charges,,,16.1,percent of total billed charges,,,16.1,percent of total billed charges,,,16.1,percent of total billed charges,,,16.1,percent of total billed charges,
URINE POTASSIUM 24 HR,84133,CDM,,,,both,,,130,130,29.9,130,130,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,102.7,percent of total billed charges,102.7,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 ,102.7,percent of total billed charges ,102.7,percent of total billed charges ,110.5,percent of total billed charges ,110.5,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 ,,,,,,,,,,,,,,,,,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,
URINE CREATININE 24HR,82570,CDM,,,,both,,,100,100,23,100,100,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,79,percent of total billed charges,79,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 ,79,percent of total billed charges ,79,percent of total billed charges ,85,percent of total billed charges ,85,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 ,,,,,,,,,,,,,,,,,,,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,,,23,percent of total billed charges,,,23,percent of total billed charges,,,23,percent of total billed charges,
URINE SODIUM 24 HR,84300,CDM,,,,both,,,99,99,22.77,99,99,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,78.21,percent of total billed charges,78.21,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 ,78.21,percent of total billed charges ,78.21,percent of total billed charges ,84.15,percent of total billed charges ,84.15,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 ,,,,,,,,,,,,,,,,,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,
URINE PROTEIN 24HR,84156,CDM,,,,both,,,102,102,23.46,102,102,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,80.58,percent of total billed charges,80.58,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 ,80.58,percent of total billed charges ,80.58,percent of total billed charges ,86.7,percent of total billed charges ,86.7,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 ,,,,,,,,,,,,,,,,,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,
GLUCOSE 2HR PP,82950,CDM,,,,both,,,131,131,30.13,131,131,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,103.49,percent of total billed charges,103.49,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 ,103.49,percent of total billed charges ,103.49,percent of total billed charges ,111.35,percent of total billed charges ,111.35,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 ,,,,,,,,,,,,,,,,,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,
VANCOMYCIN TROUGH,80202,CDM,,,,both,,,246,246,56.58,246,246,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,194.34,percent of total billed charges,194.34,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 ,194.34,percent of total billed charges ,194.34,percent of total billed charges ,209.1,percent of total billed charges ,209.1,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 ,,,,,,,,,,,,,,,,,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,
GENTAMICIN TROUGH,80170,CDM,,,,both,,,241,241,55.43,241,241,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,190.39,percent of total billed charges,190.39,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 ,190.39,percent of total billed charges ,190.39,percent of total billed charges ,204.85,percent of total billed charges ,204.85,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 ,,,,,,,,,,,,,,,,,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,
BODY FLUID PROTEIN,84157,CDM,,,,both,,,123,123,28.29,123,123,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,97.17,percent of total billed charges,97.17,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 ,97.17,percent of total billed charges ,97.17,percent of total billed charges ,104.55,percent of total billed charges ,104.55,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 ,,,,,,,,,,,,,,,,,,,28.29,percent of total billed charges,,,28.29,percent of total billed charges,,,28.29,percent of total billed charges,,,28.29,percent of total billed charges,,,28.29,percent of total billed charges,,,28.29,percent of total billed charges,,,28.29,percent of total billed charges,,,28.29,percent of total billed charges,,,28.29,percent of total billed charges,,,28.29,percent of total billed charges,,,28.29,percent of total billed charges,
**FREQ PROTIME DO NOT USE,85610,CDM,,,,both,,,71,71,16.33,71,71,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,56.09,percent of total billed charges,56.09,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 ,56.09,percent of total billed charges ,56.09,percent of total billed charges ,60.35,percent of total billed charges ,60.35,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 ,,,,,,,,,,,,,,,,,,,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,,,16.33,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,
**FREQ PTT DO NOT USE,85730,CDM,,,,both,,,118,118,27.14,118,118,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,93.22,percent of total billed charges,93.22,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 ,93.22,percent of total billed charges ,93.22,percent of total billed charges ,100.3,percent of total billed charges ,100.3,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 ,,,,,,,,,,,,,,,,,,,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,,,27.14,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,
**FREQ BASIC METABOLIC PROFILE DO NOT US,80048,CDM,,,,both,,,181,181,41.63,181,181,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,142.99,percent of total billed charges,142.99,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 ,142.99,percent of total billed charges ,142.99,percent of total billed charges ,153.85,percent of total billed charges ,153.85,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,41.63,percent of total billed charges,,,41.63,percent of total billed charges,,,41.63,percent of total billed charges,
**FREQ MAGNESIUM DO NOT USE,83735,CDM,,,,both,,,97,97,22.31,97,97,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,76.63,percent of total billed charges,76.63,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 ,76.63,percent of total billed charges ,76.63,percent of total billed charges ,82.45,percent of total billed charges ,82.45,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 ,,,,,,,,,,,,,,,,,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,
**FREQ HEMOGLOBIN/HEMATROCRIT DO NOT USE,85025,CDM,,,,both,,,118,118,27.14,118,118,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,93.22,percent of total billed charges,93.22,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 ,93.22,percent of total billed charges ,93.22,percent of total billed charges ,100.3,percent of total billed charges ,100.3,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 ,,,,,,,,,,,,,,,,,,,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,,,27.14,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,
**FREQ CREATININE DO NOT USE,82565,CDM,,,,both,,,58,58,13.34,58,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,58,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,41.76,percent of total billed charges,45.82,percent of total billed charges,45.82,percent of total billed charges,46.4,percent of total billed charges,46.4,percent of total billed charges,,,41.76,percent of total billed charges ,,,46.4,percent of total billed charges ,45.82,percent of total billed charges ,45.82,percent of total billed charges ,49.3,percent of total billed charges ,49.3,percent of total billed charges ,46.4,percent of total billed charges ,46.4,percent of total billed charges ,40.6,percent of total billed charges ,40.6,percent of total billed charges ,34.8,percent of total billed charges ,34.8,percent of total billed charges ,34.8,percent of total billed charges ,34.8,percent of total billed charges ,,,,,30.86,percent of total billed charges ,,,,,29.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,,,13.34,percent of total billed charges,
**HIV I+II EXPOSURE,86703,CDM,,,,both,,,158,158,36.34,158,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,113.76,percent of total billed charges,113.76,percent of total billed charges,113.76,percent of total billed charges,113.76,percent of total billed charges,113.76,percent of total billed charges,113.76,percent of total billed charges,124.82,percent of total billed charges,124.82,percent of total billed charges,126.4,percent of total billed charges,126.4,percent of total billed charges,,,113.76,percent of total billed charges ,,,126.4,percent of total billed charges ,124.82,percent of total billed charges ,124.82,percent of total billed charges ,134.3,percent of total billed charges ,134.3,percent of total billed charges ,126.4,percent of total billed charges ,126.4,percent of total billed charges ,110.6,percent of total billed charges ,110.6,percent of total billed charges ,94.8,percent of total billed charges ,94.8,percent of total billed charges ,94.8,percent of total billed charges ,94.8,percent of total billed charges ,,,,,84.06,percent of total billed charges ,,,,,79.85,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,
**VITAMIN D 1-25 DIHYDROXY DO NOT USE,82652,CDM,,,,both,,,636,636,146.28,636,636,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,502.44,percent of total billed charges,502.44,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 ,502.44,percent of total billed charges ,502.44,percent of total billed charges ,540.6,percent of total billed charges ,540.6,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 ,,,,,,,,,,,,,,,,,,,146.28,percent of total billed charges,,,146.28,percent of total billed charges,,,146.28,percent of total billed charges,,,146.28,percent of total billed charges,,,146.28,percent of total billed charges,,,146.28,percent of total billed charges,,,146.28,percent of total billed charges,,,146.28,percent of total billed charges,,,146.28,percent of total billed charges,,,146.28,percent of total billed charges,,,146.28,percent of total billed charges,
**HIV I+II MEDICAL DO NOT USE,86703,CDM,,,,both,,,158,158,36.34,158,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,113.76,percent of total billed charges,113.76,percent of total billed charges,113.76,percent of total billed charges,113.76,percent of total billed charges,113.76,percent of total billed charges,113.76,percent of total billed charges,124.82,percent of total billed charges,124.82,percent of total billed charges,126.4,percent of total billed charges,126.4,percent of total billed charges,,,113.76,percent of total billed charges ,,,126.4,percent of total billed charges ,124.82,percent of total billed charges ,124.82,percent of total billed charges ,134.3,percent of total billed charges ,134.3,percent of total billed charges ,126.4,percent of total billed charges ,126.4,percent of total billed charges ,110.6,percent of total billed charges ,110.6,percent of total billed charges ,94.8,percent of total billed charges ,94.8,percent of total billed charges ,94.8,percent of total billed charges ,94.8,percent of total billed charges ,,,,,84.06,percent of total billed charges ,,,,,79.85,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,
**CHARGE OB PANEL,80055,CDM,,,,both,,,847,847,194.81,847,847,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,669.13,percent of total billed charges,669.13,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 ,669.13,percent of total billed charges ,669.13,percent of total billed charges ,719.95,percent of total billed charges ,719.95,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 ,,,,,,,,,,,,,,,,,,,194.81,percent of total billed charges,,,194.81,percent of total billed charges,,,194.81,percent of total billed charges,,,194.81,percent of total billed charges,,,194.81,percent of total billed charges,,,194.81,percent of total billed charges,,,194.81,percent of total billed charges,,,194.81,percent of total billed charges,,,194.81,percent of total billed charges,,,194.81,percent of total billed charges,,,194.81,percent of total billed charges,
**TRILEPTAL/OXCARBAZEPINE DO NOT USE,80299,CDM,,,,both,,,142,142,32.66,142,142,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,112.18,percent of total billed charges,112.18,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 ,112.18,percent of total billed charges ,112.18,percent of total billed charges ,120.7,percent of total billed charges ,120.7,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 ,,,,,,,,,,,,,,,,,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,
**SOLUBLE TRANSFERRIN RECEPTOR DO NOT US,82397,CDM,,,,both,,,131,131,30.13,131,131,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,103.49,percent of total billed charges,103.49,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 ,103.49,percent of total billed charges ,103.49,percent of total billed charges ,111.35,percent of total billed charges ,111.35,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 ,,,,,,,,,,,,,,,,,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,
**ESTERONE DO NOT USE,82679,CDM,,,,both,,,160,160,36.8,160,160,percent of total billed charges,160,percent of total billed charges,160,percent of total billed charges,160,percent of total billed charges,160,percent of total billed charges,160,percent of total billed charges,160,percent of total billed charges,160,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,115.2,percent of total billed charges,115.2,percent of total billed charges,126.4,percent of total billed charges,126.4,percent of total billed charges,128,percent of total billed charges,128,percent of total billed charges,,,115.2,percent of total billed charges ,,,128,percent of total billed charges ,126.4,percent of total billed charges ,126.4,percent of total billed charges ,136,percent of total billed charges ,136,percent of total billed charges ,128,percent of total billed charges ,128,percent of total billed charges ,112,percent of total billed charges ,112,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 ,,,,,85.12,percent of total billed charges ,,,,,80.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,36.8,percent of total billed charges,,,36.8,percent of total billed charges,,,36.8,percent of total billed charges,,,36.8,percent of total billed charges,,,36.8,percent of total billed charges,,,36.8,percent of total billed charges,,,36.8,percent of total billed charges,,,36.8,percent of total billed charges,,,36.8,percent of total billed charges,,,36.8,percent of total billed charges,,,36.8,percent of total billed charges,
**TISSUE TRANSGLUTAMINASE AB IGA DO NO,83516,CDM,,,,both,,,198,198,45.54,198,198,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,156.42,percent of total billed charges,156.42,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 ,156.42,percent of total billed charges ,156.42,percent of total billed charges ,168.3,percent of total billed charges ,168.3,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 ,,,,,,,,,,,,,,,,,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,
**EBV CAPSID AB IGM DO NOT USE,86665,CDM,,,,both,,,73,73,16.79,73,73,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,57.67,percent of total billed charges,57.67,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 ,57.67,percent of total billed charges ,57.67,percent of total billed charges ,62.05,percent of total billed charges ,62.05,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 ,,,,,,,,,,,,,,,,,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,,,16.79,percent of total billed charges,
**FELBAMATE/FELBATOL DO NOT USE,80299,CDM,,,,both,,,75,75,17.25,75,75,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,59.25,percent of total billed charges,59.25,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 ,59.25,percent of total billed charges ,59.25,percent of total billed charges ,63.75,percent of total billed charges ,63.75,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 ,,,,,,,,,,,,,,,,,,,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,,,17.25,percent of total billed charges,,,17.25,percent of total billed charges,,,17.25,percent of total billed charges,
**SURG PATH 88309 PF DO NOT USE,88309,CDM,,,26,both,,,719,719,165.37,719,719,percent of total billed charges,719,percent of total billed charges,719,percent of total billed charges,719,percent of total billed charges,719,percent of total billed charges,719,percent of total billed charges,719,percent of total billed charges,719,percent of total billed charges,517.68,percent of total billed charges,517.68,percent of total billed charges,517.68,percent of total billed charges,517.68,percent of total billed charges,517.68,percent of total billed charges,517.68,percent of total billed charges,568.01,percent of total billed charges,568.01,percent of total billed charges,575.2,percent of total billed charges,575.2,percent of total billed charges,,,517.68,percent of total billed charges ,,,575.2,percent of total billed charges ,568.01,percent of total billed charges ,568.01,percent of total billed charges ,611.15,percent of total billed charges ,611.15,percent of total billed charges ,575.2,percent of total billed charges ,575.2,percent of total billed charges ,503.3,percent of total billed charges ,503.3,percent of total billed charges ,431.4,percent of total billed charges ,431.4,percent of total billed charges ,431.4,percent of total billed charges ,431.4,percent of total billed charges ,,,,,382.51,percent of total billed charges ,,,,,363.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,
**@MECONIUM DRUG AMPHET,80101,CDM,,,,both,,,65,65,14.95,65,65,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,51.35,percent of total billed charges,51.35,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 ,51.35,percent of total billed charges ,51.35,percent of total billed charges ,55.25,percent of total billed charges ,55.25,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 ,,,,,,,,,,,,,,,,,,,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,,,14.95,percent of total billed charges,,,14.95,percent of total billed charges,,,14.95,percent of total billed charges,
**@MECONIUM DRUG COCAINE,80101,CDM,,,,both,,,65,65,14.95,65,65,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,51.35,percent of total billed charges,51.35,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 ,51.35,percent of total billed charges ,51.35,percent of total billed charges ,55.25,percent of total billed charges ,55.25,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 ,,,,,,,,,,,,,,,,,,,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,,,14.95,percent of total billed charges,,,14.95,percent of total billed charges,,,14.95,percent of total billed charges,
**@MECONIUM DRUG OPI,80101,CDM,,,,both,,,65,65,14.95,65,65,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,51.35,percent of total billed charges,51.35,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 ,51.35,percent of total billed charges ,51.35,percent of total billed charges ,55.25,percent of total billed charges ,55.25,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 ,,,,,,,,,,,,,,,,,,,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,,,14.95,percent of total billed charges,,,14.95,percent of total billed charges,,,14.95,percent of total billed charges,
**@MECONIUM DRUG PCP,80101,CDM,,,,both,,,65,65,14.95,65,65,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,51.35,percent of total billed charges,51.35,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 ,51.35,percent of total billed charges ,51.35,percent of total billed charges ,55.25,percent of total billed charges ,55.25,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 ,,,,,,,,,,,,,,,,,,,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,,,14.95,percent of total billed charges,,,14.95,percent of total billed charges,,,14.95,percent of total billed charges,
**@MECONIUM THC,80101,CDM,,,,both,,,65,65,14.95,65,65,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,51.35,percent of total billed charges,51.35,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 ,51.35,percent of total billed charges ,51.35,percent of total billed charges ,55.25,percent of total billed charges ,55.25,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 ,,,,,,,,,,,,,,,,,,,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,,,14.95,percent of total billed charges,,,14.95,percent of total billed charges,,,14.95,percent of total billed charges,
**ANCA ANTI NEUTROPHIL CYTOPLASMIC AB,86255,CDM,,,,both,,,179,179,41.17,179,179,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,141.41,percent of total billed charges,141.41,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 ,141.41,percent of total billed charges ,141.41,percent of total billed charges ,152.15,percent of total billed charges ,152.15,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 ,,,,,,,,,,,,,,,,,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,
**ANCA TITER,86256,CDM,,,,both,,,129,129,29.67,129,129,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,101.91,percent of total billed charges,101.91,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 ,101.91,percent of total billed charges ,101.91,percent of total billed charges ,109.65,percent of total billed charges ,109.65,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 ,,,,,,,,,,,,,,,,,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,
**HEMOGLOBIN CHROMATOGRAPHY DO NOT USE,83021,CDM,,,,both,,,136,136,31.28,136,136,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,107.44,percent of total billed charges,107.44,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 ,107.44,percent of total billed charges ,107.44,percent of total billed charges ,115.6,percent of total billed charges ,115.6,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 ,,,,,,,,,,,,,,,,,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,
**HEMOGLOBIN FRACTIONATION AND QUANTIFIC,83020,CDM,,,,both,,,165,165,37.95,165,165,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,130.35,percent of total billed charges,130.35,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 ,130.35,percent of total billed charges ,130.35,percent of total billed charges ,140.25,percent of total billed charges ,140.25,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 ,,,,,,,,,,,,,,,,,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,
**HISTOPLASMA AB (MYCELIAL) CF DO NOT US,86698,CDM,,,,both,,,108,108,24.84,108,108,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,85.32,percent of total billed charges,85.32,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 ,85.32,percent of total billed charges ,85.32,percent of total billed charges ,91.8,percent of total billed charges ,91.8,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 ,,,,,,,,,,,,,,,,,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,
**BLASTOMYCOSIS BY CF DO NOT USE,86612,CDM,,,,both,,,92,92,21.16,92,92,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,72.68,percent of total billed charges,72.68,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 ,72.68,percent of total billed charges ,72.68,percent of total billed charges ,78.2,percent of total billed charges ,78.2,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 ,,,,,,,,,,,,,,,,,,,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,
**COCCIDIODES BY CF DO NOT USE,86635,CDM,,,,both,,,104,104,23.92,104,104,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,82.16,percent of total billed charges,82.16,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 ,82.16,percent of total billed charges ,82.16,percent of total billed charges ,88.4,percent of total billed charges ,88.4,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 ,,,,,,,,,,,,,,,,,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,
CAPILLARY DRAW FEE,36416,CDM,,,,both,,,42,42,9.66,42,42,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,33.18,percent of total billed charges,33.18,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 ,33.18,percent of total billed charges ,33.18,percent of total billed charges ,35.7,percent of total billed charges ,35.7,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 ,,,,,,,,,,,,,,,,,,,9.66,percent of total billed charges,,,9.66,percent of total billed charges,,,9.66,percent of total billed charges,,,9.66,percent of total billed charges,,,9.66,percent of total billed charges,,,9.66,percent of total billed charges,,,9.66,percent of total billed charges,,,9.66,percent of total billed charges,,,9.66,percent of total billed charges,,,9.66,percent of total billed charges,,,9.66,percent of total billed charges,
**DOXEPIN DO NOT USE,80166,CDM,,,,both,,,267,267,61.41,267,267,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,210.93,percent of total billed charges,210.93,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 ,210.93,percent of total billed charges ,210.93,percent of total billed charges ,226.95,percent of total billed charges ,226.95,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 ,,,,,,,,,,,,,,,,,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,
**INHIBIN A DO NOT USE,86336,CDM,,,,both,,,175,175,40.25,175,175,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,138.25,percent of total billed charges,138.25,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 ,138.25,percent of total billed charges ,138.25,percent of total billed charges ,148.75,percent of total billed charges ,148.75,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 ,,,,,,,,,,,,,,,,,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,
**@GEL DIFFUSION QUANT,86331,CDM,,,,both,,,142,142,32.66,142,142,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,112.18,percent of total billed charges,112.18,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 ,112.18,percent of total billed charges ,112.18,percent of total billed charges ,120.7,percent of total billed charges ,120.7,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 ,,,,,,,,,,,,,,,,,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,
**SURG PATH 88329 DO NOT USE,88329,CDM,,,26,both,,,253,253,58.19,253,253,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,199.87,percent of total billed charges,199.87,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 ,199.87,percent of total billed charges ,199.87,percent of total billed charges ,215.05,percent of total billed charges ,215.05,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 ,,,,,,,,,,,,,,,,,,,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,,,58.19,percent of total billed charges,,,58.19,percent of total billed charges,,,58.19,percent of total billed charges,
**SURG PATH 88329 PF DO NOT USE,88329,CDM,,,26,both,,,323,323,74.29,323,323,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,255.17,percent of total billed charges,255.17,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 ,255.17,percent of total billed charges ,255.17,percent of total billed charges ,274.55,percent of total billed charges ,274.55,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 ,,,,,,,,,,,,,,,,,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,
LDL DIRECT,83721,CDM,,,,both,,,108,108,24.84,108,108,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,85.32,percent of total billed charges,85.32,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 ,85.32,percent of total billed charges ,85.32,percent of total billed charges ,91.8,percent of total billed charges ,91.8,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 ,,,,,,,,,,,,,,,,,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,
"**CHLAMYDIA ANTIBODY,IgG DO NOT USE",86631,CDM,,,,both,,,115,115,26.45,115,115,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,90.85,percent of total billed charges,90.85,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 ,90.85,percent of total billed charges ,90.85,percent of total billed charges ,97.75,percent of total billed charges ,97.75,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 ,,,,,,,,,,,,,,,,,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,
OXY HEMOGLOBIN,82805,CDM,,,,both,,,214,214,49.22,214,214,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,169.06,percent of total billed charges,169.06,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 ,169.06,percent of total billed charges ,169.06,percent of total billed charges ,181.9,percent of total billed charges ,181.9,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 ,,,,,,,,,,,,,,,,,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,
**BRUCELLA ANTIBODY DO NOT USE,86622,CDM,,,,both,,,44,44,10.12,44,44,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,34.76,percent of total billed charges,34.76,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 ,34.76,percent of total billed charges ,34.76,percent of total billed charges ,37.4,percent of total billed charges ,37.4,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 ,,,,,,,,,,,,,,,,,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,
**DIBUCAINE DO NOT USE,82638,CDM,,,,both,,,66,66,15.18,66,66,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,52.14,percent of total billed charges,52.14,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 ,52.14,percent of total billed charges ,52.14,percent of total billed charges ,56.1,percent of total billed charges ,56.1,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 ,,,,,,,,,,,,,,,,,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,
**LEVETIRACETAM DO NOT USE,80299,CDM,,,,both,,,209,209,48.07,209,209,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,165.11,percent of total billed charges,165.11,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 ,165.11,percent of total billed charges ,165.11,percent of total billed charges ,177.65,percent of total billed charges ,177.65,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 ,,,,,,,,,,,,,,,,,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,
**URINE SULFITE DO NOT USE,84392,CDM,,,,both,,,67,67,15.41,67,67,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,52.93,percent of total billed charges,52.93,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 ,52.93,percent of total billed charges ,52.93,percent of total billed charges ,56.95,percent of total billed charges ,56.95,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 ,,,,,,,,,,,,,,,,,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,
**BUPROPRION DO NOT USE,80299,CDM,,,,both,,,146,146,33.58,146,146,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,115.34,percent of total billed charges,115.34,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 ,115.34,percent of total billed charges ,115.34,percent of total billed charges ,124.1,percent of total billed charges ,124.1,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 ,,,,,,,,,,,,,,,,,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,
**METANEPHRINES PLASMA DO NOT USE,83835,CDM,,,,both,,,228,228,52.44,228,228,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,180.12,percent of total billed charges,180.12,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 ,180.12,percent of total billed charges ,180.12,percent of total billed charges ,193.8,percent of total billed charges ,193.8,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 ,,,,,,,,,,,,,,,,,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,
**HISTOPLASMA AG URINE DO NOT USE,87385,CDM,,,,both,,,295,295,67.85,295,295,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,233.05,percent of total billed charges,233.05,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 ,233.05,percent of total billed charges ,233.05,percent of total billed charges ,250.75,percent of total billed charges ,250.75,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 ,,,,,,,,,,,,,,,,,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,
**FRUCTOSAMINE DO NOT USE,82985,CDM,,,,both,,,213,213,48.99,213,213,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,168.27,percent of total billed charges,168.27,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 ,168.27,percent of total billed charges ,168.27,percent of total billed charges ,181.05,percent of total billed charges ,181.05,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 ,,,,,,,,,,,,,,,,,,,48.99,percent of total billed charges,,,48.99,percent of total billed charges,,,48.99,percent of total billed charges,,,48.99,percent of total billed charges,,,48.99,percent of total billed charges,,,48.99,percent of total billed charges,,,48.99,percent of total billed charges,,,48.99,percent of total billed charges,,,48.99,percent of total billed charges,,,48.99,percent of total billed charges,,,48.99,percent of total billed charges,
**RI ANTIBODY DO NOT USE,86255,CDM,,,,both,,,179,179,41.17,179,179,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,141.41,percent of total billed charges,141.41,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 ,141.41,percent of total billed charges ,141.41,percent of total billed charges ,152.15,percent of total billed charges ,152.15,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 ,,,,,,,,,,,,,,,,,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,
**RI ANTIBODY TITER DO NOT USE,86256,CDM,,,,both,,,164,164,37.72,164,164,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,129.56,percent of total billed charges,129.56,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 ,129.56,percent of total billed charges ,129.56,percent of total billed charges ,139.4,percent of total billed charges ,139.4,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 ,,,,,,,,,,,,,,,,,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,
**MOL AMPLIC OF PT DNA DO NOT USE,83901,CDM,,,,both,,,278,278,63.94,278,278,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,219.62,percent of total billed charges,219.62,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 ,219.62,percent of total billed charges ,219.62,percent of total billed charges ,236.3,percent of total billed charges ,236.3,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**IMMUNOASSAY FOR IBD DO NOT USE,83520,CDM,,,,both,,,317,317,72.91,317,317,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,250.43,percent of total billed charges,250.43,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 ,250.43,percent of total billed charges ,250.43,percent of total billed charges ,269.45,percent of total billed charges ,269.45,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 ,,,,,,,,,,,,,,,,,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,
**INDIRECT FLUOR. IBD DO NOT USE,88347,CDM,,,,both,,,415,415,95.45,415,415,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,327.85,percent of total billed charges,327.85,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 ,327.85,percent of total billed charges ,327.85,percent of total billed charges ,352.75,percent of total billed charges ,352.75,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 ,,,,,,,,,,,,,,,,,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,,,95.45,percent of total billed charges,
**ACETYLCHOLINE REC BINDING AB,84238,CDM,,,,both,,,309,309,71.07,309,309,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,244.11,percent of total billed charges,244.11,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 ,244.11,percent of total billed charges ,244.11,percent of total billed charges ,262.65,percent of total billed charges ,262.65,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 ,,,,,,,,,,,,,,,,,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,
**HEPA A AB IGM ONLY DO NOT USE,86709,CDM,,,,both,,,99,99,22.77,99,99,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,78.21,percent of total billed charges,78.21,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 ,78.21,percent of total billed charges ,78.21,percent of total billed charges ,84.15,percent of total billed charges ,84.15,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 ,,,,,,,,,,,,,,,,,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,
**ZONISAMIDE DO NOT USE,80299,CDM,,,,both,,,276,276,63.48,276,276,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,218.04,percent of total billed charges,218.04,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 ,218.04,percent of total billed charges ,218.04,percent of total billed charges ,234.6,percent of total billed charges ,234.6,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 ,,,,,,,,,,,,,,,,,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,
**METHYLMALONIC ACID DO NOT USE,83921,CDM,,,,both,,,178,178,40.94,178,178,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,140.62,percent of total billed charges,140.62,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 ,140.62,percent of total billed charges ,140.62,percent of total billed charges ,151.3,percent of total billed charges ,151.3,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 ,,,,,,,,,,,,,,,,,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,
**BN PEPTIDE,83880,CDM,,,,both,,,428,428,98.44,428,428,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,338.12,percent of total billed charges,338.12,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 ,338.12,percent of total billed charges ,338.12,percent of total billed charges ,363.8,percent of total billed charges ,363.8,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 ,,,,,,,,,,,,,,,,,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,
**THIOPURINE METHYL TRANSFERASE DO NOT U,83789,CDM,,,,both,,,733,733,168.59,733,733,percent of total billed charges,733,percent of total billed charges,733,percent of total billed charges,733,percent of total billed charges,733,percent of total billed charges,733,percent of total billed charges,733,percent of total billed charges,733,percent of total billed charges,527.76,percent of total billed charges,527.76,percent of total billed charges,527.76,percent of total billed charges,527.76,percent of total billed charges,527.76,percent of total billed charges,527.76,percent of total billed charges,579.07,percent of total billed charges,579.07,percent of total billed charges,586.4,percent of total billed charges,586.4,percent of total billed charges,,,527.76,percent of total billed charges ,,,586.4,percent of total billed charges ,579.07,percent of total billed charges ,579.07,percent of total billed charges ,623.05,percent of total billed charges ,623.05,percent of total billed charges ,586.4,percent of total billed charges ,586.4,percent of total billed charges ,513.1,percent of total billed charges ,513.1,percent of total billed charges ,439.8,percent of total billed charges ,439.8,percent of total billed charges ,439.8,percent of total billed charges ,439.8,percent of total billed charges ,,,,,389.96,percent of total billed charges ,,,,,370.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,168.59,percent of total billed charges,,,168.59,percent of total billed charges,,,168.59,percent of total billed charges,,,168.59,percent of total billed charges,,,168.59,percent of total billed charges,,,168.59,percent of total billed charges,,,168.59,percent of total billed charges,,,168.59,percent of total billed charges,,,168.59,percent of total billed charges,,,168.59,percent of total billed charges,,,168.59,percent of total billed charges,
**HERPES SIMPLEX II IGG AB DO NOT USE,86696,CDM,,,,both,,,289,289,66.47,289,289,percent of total billed charges,289,percent of total billed charges,289,percent of total billed charges,289,percent of total billed charges,289,percent of total billed charges,289,percent of total billed charges,289,percent of total billed charges,289,percent of total billed charges,208.08,percent of total billed charges,208.08,percent of total billed charges,208.08,percent of total billed charges,208.08,percent of total billed charges,208.08,percent of total billed charges,208.08,percent of total billed charges,228.31,percent of total billed charges,228.31,percent of total billed charges,231.2,percent of total billed charges,231.2,percent of total billed charges,,,208.08,percent of total billed charges ,,,231.2,percent of total billed charges ,228.31,percent of total billed charges ,228.31,percent of total billed charges ,245.65,percent of total billed charges ,245.65,percent of total billed charges ,231.2,percent of total billed charges ,231.2,percent of total billed charges ,202.3,percent of total billed charges ,202.3,percent of total billed charges ,173.4,percent of total billed charges ,173.4,percent of total billed charges ,173.4,percent of total billed charges ,173.4,percent of total billed charges ,,,,,153.75,percent of total billed charges ,,,,,146.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,66.47,percent of total billed charges,,,66.47,percent of total billed charges,,,66.47,percent of total billed charges,,,66.47,percent of total billed charges,,,66.47,percent of total billed charges,,,66.47,percent of total billed charges,,,66.47,percent of total billed charges,,,66.47,percent of total billed charges,,,66.47,percent of total billed charges,,,66.47,percent of total billed charges,,,66.47,percent of total billed charges,
**HERPES SIMPLEX I IGG AB DO NOT USE,86695,CDM,,,,both,,,146,146,33.58,146,146,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,115.34,percent of total billed charges,115.34,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 ,115.34,percent of total billed charges ,115.34,percent of total billed charges ,124.1,percent of total billed charges ,124.1,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 ,,,,,,,,,,,,,,,,,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,
**ANTI A TITER,86941,CDM,,,,both,,,148,148,34.04,148,148,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,116.92,percent of total billed charges,116.92,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 ,116.92,percent of total billed charges ,116.92,percent of total billed charges ,125.8,percent of total billed charges ,125.8,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 ,,,,,,,,,,,,,,,,,,,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,,,34.04,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,
**ANTI B TITER,86941,CDM,,,,both,,,148,148,34.04,148,148,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,116.92,percent of total billed charges,116.92,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 ,116.92,percent of total billed charges ,116.92,percent of total billed charges ,125.8,percent of total billed charges ,125.8,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 ,,,,,,,,,,,,,,,,,,,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,,,34.04,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,
NICOTINE/COTININE BLD/UR,G0480,CDM,,,,both,,,382,382,87.86,382,382,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,301.78,percent of total billed charges,301.78,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 ,301.78,percent of total billed charges ,301.78,percent of total billed charges ,324.7,percent of total billed charges ,324.7,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 ,,,,,,,,,,,,,,,,,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,
**GHRELIN DO NOT USE,83519,CDM,,,,both,,,721,721,165.83,721,721,percent of total billed charges,721,percent of total billed charges,721,percent of total billed charges,721,percent of total billed charges,721,percent of total billed charges,721,percent of total billed charges,721,percent of total billed charges,721,percent of total billed charges,519.12,percent of total billed charges,519.12,percent of total billed charges,519.12,percent of total billed charges,519.12,percent of total billed charges,519.12,percent of total billed charges,519.12,percent of total billed charges,569.59,percent of total billed charges,569.59,percent of total billed charges,576.8,percent of total billed charges,576.8,percent of total billed charges,,,519.12,percent of total billed charges ,,,576.8,percent of total billed charges ,569.59,percent of total billed charges ,569.59,percent of total billed charges ,612.85,percent of total billed charges ,612.85,percent of total billed charges ,576.8,percent of total billed charges ,576.8,percent of total billed charges ,504.7,percent of total billed charges ,504.7,percent of total billed charges ,432.6,percent of total billed charges ,432.6,percent of total billed charges ,432.6,percent of total billed charges ,432.6,percent of total billed charges ,,,,,383.57,percent of total billed charges ,,,,,364.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,165.83,percent of total billed charges,,,165.83,percent of total billed charges,,,165.83,percent of total billed charges,,,165.83,percent of total billed charges,,,165.83,percent of total billed charges,,,165.83,percent of total billed charges,,,165.83,percent of total billed charges,,,165.83,percent of total billed charges,,,165.83,percent of total billed charges,,,165.83,percent of total billed charges,,,165.83,percent of total billed charges,
**LEPTIN DO NOT USE,86720,CDM,,,,both,,,332,332,76.36,332,332,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,262.28,percent of total billed charges,262.28,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 ,262.28,percent of total billed charges ,262.28,percent of total billed charges ,282.2,percent of total billed charges ,282.2,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 ,,,,,,,,,,,,,,,,,,,76.36,percent of total billed charges,,,76.36,percent of total billed charges,,,76.36,percent of total billed charges,,,76.36,percent of total billed charges,,,76.36,percent of total billed charges,,,76.36,percent of total billed charges,,,76.36,percent of total billed charges,,,76.36,percent of total billed charges,,,76.36,percent of total billed charges,,,76.36,percent of total billed charges,,,76.36,percent of total billed charges,
**TNF-ALPHA SERUM DO NOT USE,83520,CDM,,,,both,,,376,376,86.48,376,376,percent of total billed charges,376,percent of total billed charges,376,percent of total billed charges,376,percent of total billed charges,376,percent of total billed charges,376,percent of total billed charges,376,percent of total billed charges,376,percent of total billed charges,270.72,percent of total billed charges,270.72,percent of total billed charges,270.72,percent of total billed charges,270.72,percent of total billed charges,270.72,percent of total billed charges,270.72,percent of total billed charges,297.04,percent of total billed charges,297.04,percent of total billed charges,300.8,percent of total billed charges,300.8,percent of total billed charges,,,270.72,percent of total billed charges ,,,300.8,percent of total billed charges ,297.04,percent of total billed charges ,297.04,percent of total billed charges ,319.6,percent of total billed charges ,319.6,percent of total billed charges ,300.8,percent of total billed charges ,300.8,percent of total billed charges ,263.2,percent of total billed charges ,263.2,percent of total billed charges ,225.6,percent of total billed charges ,225.6,percent of total billed charges ,225.6,percent of total billed charges ,225.6,percent of total billed charges ,,,,,200.03,percent of total billed charges ,,,,,190.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,86.48,percent of total billed charges,,,86.48,percent of total billed charges,,,86.48,percent of total billed charges,,,86.48,percent of total billed charges,,,86.48,percent of total billed charges,,,86.48,percent of total billed charges,,,86.48,percent of total billed charges,,,86.48,percent of total billed charges,,,86.48,percent of total billed charges,,,86.48,percent of total billed charges,,,86.48,percent of total billed charges,
**SULFONYLUREA HYPOGLYCEMICS DO NOT USE,80299,CDM,,,,both,,,280,280,64.4,280,280,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,221.2,percent of total billed charges,221.2,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 ,221.2,percent of total billed charges ,221.2,percent of total billed charges ,238,percent of total billed charges ,238,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 ,,,,,,,,,,,,,,,,,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,,,64.4,percent of total billed charges,
**H PYLORI AG ON STOOL DO NOT USE,87338,CDM,,,,both,,,214,214,49.22,214,214,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,169.06,percent of total billed charges,169.06,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 ,169.06,percent of total billed charges ,169.06,percent of total billed charges ,181.9,percent of total billed charges ,181.9,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 ,,,,,,,,,,,,,,,,,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,
**24HR UR FOR HISTAMINE,83088,CDM,,,,both,,,309,309,71.07,309,309,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,244.11,percent of total billed charges,244.11,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 ,244.11,percent of total billed charges ,244.11,percent of total billed charges ,262.65,percent of total billed charges ,262.65,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 ,,,,,,,,,,,,,,,,,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,
**ANTI SSA,86235,CDM,,,,both,,,162,162,37.26,162,162,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,127.98,percent of total billed charges,127.98,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 ,127.98,percent of total billed charges ,127.98,percent of total billed charges ,137.7,percent of total billed charges ,137.7,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 ,,,,,,,,,,,,,,,,,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,
**ANTI SSB,86235,CDM,,,,both,,,162,162,37.26,162,162,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,127.98,percent of total billed charges,127.98,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 ,127.98,percent of total billed charges ,127.98,percent of total billed charges ,137.7,percent of total billed charges ,137.7,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 ,,,,,,,,,,,,,,,,,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,
**ANTI SMITH AB,86235,CDM,,,,both,,,162,162,37.26,162,162,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,127.98,percent of total billed charges,127.98,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 ,127.98,percent of total billed charges ,127.98,percent of total billed charges ,137.7,percent of total billed charges ,137.7,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 ,,,,,,,,,,,,,,,,,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,
**ANTI RNP,86235,CDM,,,,both,,,162,162,37.26,162,162,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,127.98,percent of total billed charges,127.98,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 ,127.98,percent of total billed charges ,127.98,percent of total billed charges ,137.7,percent of total billed charges ,137.7,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 ,,,,,,,,,,,,,,,,,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,
**ANTI SPERM ANTIBODY DO NOT USE,89325,CDM,,,,both,,,104,104,23.92,104,104,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,82.16,percent of total billed charges,82.16,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 ,82.16,percent of total billed charges ,82.16,percent of total billed charges ,88.4,percent of total billed charges ,88.4,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 ,,,,,,,,,,,,,,,,,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,
**LYSOZYME DO NOT USE,85549,CDM,,,,both,,,68,68,15.64,68,68,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,53.72,percent of total billed charges,53.72,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 ,53.72,percent of total billed charges ,53.72,percent of total billed charges ,57.8,percent of total billed charges ,57.8,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 ,,,,,,,,,,,,,,,,,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,
**VASO INTESTINAL POLYPEPTIDE DO NOT USE,84586,CDM,,,,both,,,269,269,61.87,269,269,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,212.51,percent of total billed charges,212.51,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 ,212.51,percent of total billed charges ,212.51,percent of total billed charges ,228.65,percent of total billed charges ,228.65,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,61.87,percent of total billed charges,,,61.87,percent of total billed charges,,,61.87,percent of total billed charges,
**ACETYLCHOLINE REC MODULATING AB,84238,CDM,,,,both,,,309,309,71.07,309,309,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,244.11,percent of total billed charges,244.11,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 ,244.11,percent of total billed charges ,244.11,percent of total billed charges ,262.65,percent of total billed charges ,262.65,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 ,,,,,,,,,,,,,,,,,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,
**THYROIDTROPIN INHIBITORY ASSAY,83519,CDM,,,,both,,,492,492,113.16,492,492,percent of total billed charges,492,percent of total billed charges,492,percent of total billed charges,492,percent of total billed charges,492,percent of total billed charges,492,percent of total billed charges,492,percent of total billed charges,492,percent of total billed charges,354.24,percent of total billed charges,354.24,percent of total billed charges,354.24,percent of total billed charges,354.24,percent of total billed charges,354.24,percent of total billed charges,354.24,percent of total billed charges,388.68,percent of total billed charges,388.68,percent of total billed charges,393.6,percent of total billed charges,393.6,percent of total billed charges,,,354.24,percent of total billed charges ,,,393.6,percent of total billed charges ,388.68,percent of total billed charges ,388.68,percent of total billed charges ,418.2,percent of total billed charges ,418.2,percent of total billed charges ,393.6,percent of total billed charges ,393.6,percent of total billed charges ,344.4,percent of total billed charges ,344.4,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 ,,,,,261.74,percent of total billed charges ,,,,,248.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,113.16,percent of total billed charges,,,113.16,percent of total billed charges,,,113.16,percent of total billed charges,,,113.16,percent of total billed charges,,,113.16,percent of total billed charges,,,113.16,percent of total billed charges,,,113.16,percent of total billed charges,,,113.16,percent of total billed charges,,,113.16,percent of total billed charges,,,113.16,percent of total billed charges,,,113.16,percent of total billed charges,
"**CHLAMYDIA AB, IGM DO NOT USE",86632,CDM,,,,both,,,135,135,31.05,135,135,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,106.65,percent of total billed charges,106.65,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 ,106.65,percent of total billed charges ,106.65,percent of total billed charges ,114.75,percent of total billed charges ,114.75,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 ,,,,,,,,,,,,,,,,,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,
VANCOMYCIN RANDOM,80202,CDM,,,,both,,,246,246,56.58,246,246,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,194.34,percent of total billed charges,194.34,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 ,194.34,percent of total billed charges ,194.34,percent of total billed charges ,209.1,percent of total billed charges ,209.1,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 ,,,,,,,,,,,,,,,,,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,
**TAU PROTEIN AMYLOID B42 DO NOT USE,83520,CDM,,,,both,,,122,122,28.06,122,122,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,96.38,percent of total billed charges,96.38,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 ,96.38,percent of total billed charges ,96.38,percent of total billed charges ,103.7,percent of total billed charges ,103.7,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 ,,,,,,,,,,,,,,,,,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,
**PROINSULIN DO NOT USE,84206,CDM,,,,both,,,76,76,17.48,76,76,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,60.04,percent of total billed charges,60.04,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 ,60.04,percent of total billed charges ,60.04,percent of total billed charges ,64.6,percent of total billed charges ,64.6,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 ,,,,,,,,,,,,,,,,,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,,,17.48,percent of total billed charges,
**REPORT INTERPRETATION DO NOT USE,83912,CDM,,,,both,,,51,51,11.73,51,51,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,40.29,percent of total billed charges,40.29,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 ,40.29,percent of total billed charges ,40.29,percent of total billed charges ,43.35,percent of total billed charges ,43.35,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 ,,,,,,,,,,,,,,,,,,,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,
**VITAMIN E DO NOT USE,84446,CDM,,,,both,,,162,162,37.26,162,162,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,127.98,percent of total billed charges,127.98,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 ,127.98,percent of total billed charges ,127.98,percent of total billed charges ,137.7,percent of total billed charges ,137.7,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 ,,,,,,,,,,,,,,,,,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,
**TOXOPLASMOSIS IGM AB DO NOT USE,86778,CDM,,,,both,,,46,46,10.58,46,46,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,36.34,percent of total billed charges,36.34,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 ,36.34,percent of total billed charges ,36.34,percent of total billed charges ,39.1,percent of total billed charges ,39.1,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,10.58,percent of total billed charges,,,10.58,percent of total billed charges,,,10.58,percent of total billed charges,
**ORGANIC ACID URINE DO NOT USE,83918,CDM,,,,both,,,473,473,108.79,473,473,percent of total billed charges,473,percent of total billed charges,473,percent of total billed charges,473,percent of total billed charges,473,percent of total billed charges,473,percent of total billed charges,473,percent of total billed charges,473,percent of total billed charges,340.56,percent of total billed charges,340.56,percent of total billed charges,340.56,percent of total billed charges,340.56,percent of total billed charges,340.56,percent of total billed charges,340.56,percent of total billed charges,373.67,percent of total billed charges,373.67,percent of total billed charges,378.4,percent of total billed charges,378.4,percent of total billed charges,,,340.56,percent of total billed charges ,,,378.4,percent of total billed charges ,373.67,percent of total billed charges ,373.67,percent of total billed charges ,402.05,percent of total billed charges ,402.05,percent of total billed charges ,378.4,percent of total billed charges ,378.4,percent of total billed charges ,331.1,percent of total billed charges ,331.1,percent of total billed charges ,283.8,percent of total billed charges ,283.8,percent of total billed charges ,283.8,percent of total billed charges ,283.8,percent of total billed charges ,,,,,251.64,percent of total billed charges ,,,,,239.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,108.79,percent of total billed charges,,,108.79,percent of total billed charges,,,108.79,percent of total billed charges,,,108.79,percent of total billed charges,,,108.79,percent of total billed charges,,,108.79,percent of total billed charges,,,108.79,percent of total billed charges,,,108.79,percent of total billed charges,,,108.79,percent of total billed charges,,,108.79,percent of total billed charges,,,108.79,percent of total billed charges,
**ALDOCTONE,80299,CDM,,,,both,,,351,351,80.73,351,351,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,277.29,percent of total billed charges,277.29,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 ,277.29,percent of total billed charges ,277.29,percent of total billed charges ,298.35,percent of total billed charges ,298.35,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 ,,,,,,,,,,,,,,,,,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,
**VOLTAGE GATED CALCIUM CHANNEL AB,83519,CDM,,,,both,,,621,621,142.83,621,621,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,621,percent of total billed charges,621,percent of total billed charges,621,percent of total billed charges,447.12,percent of total billed charges,447.12,percent of total billed charges,447.12,percent of total billed charges,447.12,percent of total billed charges,447.12,percent of total billed charges,447.12,percent of total billed charges,490.59,percent of total billed charges,490.59,percent of total billed charges,496.8,percent of total billed charges,496.8,percent of total billed charges,,,447.12,percent of total billed charges ,,,496.8,percent of total billed charges ,490.59,percent of total billed charges ,490.59,percent of total billed charges ,527.85,percent of total billed charges ,527.85,percent of total billed charges ,496.8,percent of total billed charges ,496.8,percent of total billed charges ,434.7,percent of total billed charges ,434.7,percent of total billed charges ,372.6,percent of total billed charges ,372.6,percent of total billed charges ,372.6,percent of total billed charges ,372.6,percent of total billed charges ,,,,,330.37,percent of total billed charges ,,,,,313.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,142.83,percent of total billed charges,,,142.83,percent of total billed charges,,,142.83,percent of total billed charges,,,142.83,percent of total billed charges,,,142.83,percent of total billed charges,,,142.83,percent of total billed charges,,,142.83,percent of total billed charges,,,142.83,percent of total billed charges,,,142.83,percent of total billed charges,,,142.83,percent of total billed charges,,,142.83,percent of total billed charges,
**CARDIOLIPIN AB IGM DO NOT USE,86147,CDM,,,,both,,,286,286,65.78,286,286,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,225.94,percent of total billed charges,225.94,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 ,225.94,percent of total billed charges ,225.94,percent of total billed charges ,243.1,percent of total billed charges ,243.1,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 ,,,,,,,,,,,,,,,,,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,,,65.78,percent of total billed charges,
**BORDETELLA PERTUSIS BY PCR DO NOT USE,87798,CDM,,,,both,,,374,374,86.02,374,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,269.28,percent of total billed charges,269.28,percent of total billed charges,269.28,percent of total billed charges,269.28,percent of total billed charges,269.28,percent of total billed charges,269.28,percent of total billed charges,295.46,percent of total billed charges,295.46,percent of total billed charges,299.2,percent of total billed charges,299.2,percent of total billed charges,,,269.28,percent of total billed charges ,,,299.2,percent of total billed charges ,295.46,percent of total billed charges ,295.46,percent of total billed charges ,317.9,percent of total billed charges ,317.9,percent of total billed charges ,299.2,percent of total billed charges ,299.2,percent of total billed charges ,261.8,percent of total billed charges ,261.8,percent of total billed charges ,224.4,percent of total billed charges ,224.4,percent of total billed charges ,224.4,percent of total billed charges ,224.4,percent of total billed charges ,,,,,198.97,percent of total billed charges ,,,,,189.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,
**SIROLIMUS DO NOT USE,80195,CDM,,,,both,,,241,241,55.43,241,241,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,190.39,percent of total billed charges,190.39,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 ,190.39,percent of total billed charges ,190.39,percent of total billed charges ,204.85,percent of total billed charges ,204.85,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 ,,,,,,,,,,,,,,,,,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,
**GENERAL HEALTH PANEL,80050,CDM,,,,both,,,632,632,145.36,632,632,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,499.28,percent of total billed charges,499.28,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 ,499.28,percent of total billed charges ,499.28,percent of total billed charges ,537.2,percent of total billed charges ,537.2,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 ,,,,,,,,,,,,,,,,,,,145.36,percent of total billed charges,,,145.36,percent of total billed charges,,,145.36,percent of total billed charges,,,145.36,percent of total billed charges,,,145.36,percent of total billed charges,,,145.36,percent of total billed charges,,,145.36,percent of total billed charges,,,145.36,percent of total billed charges,,,145.36,percent of total billed charges,,,145.36,percent of total billed charges,,,145.36,percent of total billed charges,
**MRSA SCR W/O KB DO NOT USE,87181,CDM,,,,both,,,68,68,15.64,68,68,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,53.72,percent of total billed charges,53.72,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 ,53.72,percent of total billed charges ,53.72,percent of total billed charges ,57.8,percent of total billed charges ,57.8,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 ,,,,,,,,,,,,,,,,,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,
*PAP TEST INTERPRETATION DO NOT USE,88141,CDM,,,,both,,,150,150,34.5,150,150,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,118.5,percent of total billed charges,118.5,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 ,118.5,percent of total billed charges ,118.5,percent of total billed charges ,127.5,percent of total billed charges ,127.5,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 ,,,,,,,,,,,,,,,,,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,
**LACTOSE TOLERANCE TEST 3 SPECIMEN,82951,CDM,,,,both,,,215,215,49.45,215,215,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,169.85,percent of total billed charges,169.85,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 ,169.85,percent of total billed charges ,169.85,percent of total billed charges ,182.75,percent of total billed charges ,182.75,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 ,,,,,,,,,,,,,,,,,,,49.45,percent of total billed charges,,,49.45,percent of total billed charges,,,49.45,percent of total billed charges,,,49.45,percent of total billed charges,,,49.45,percent of total billed charges,,,49.45,percent of total billed charges,,,49.45,percent of total billed charges,,,49.45,percent of total billed charges,,,49.45,percent of total billed charges,,,49.45,percent of total billed charges,,,49.45,percent of total billed charges,
**LACTOSE TOLERANCE ADD'L HOUR DO NOT US,82952,CDM,,,,both,,,65,65,14.95,65,65,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,51.35,percent of total billed charges,51.35,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 ,51.35,percent of total billed charges ,51.35,percent of total billed charges ,55.25,percent of total billed charges ,55.25,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 ,,,,,,,,,,,,,,,,,,,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,,,14.95,percent of total billed charges,,,14.95,percent of total billed charges,,,14.95,percent of total billed charges,
**PM1 AUTO ANTIBODY DO NOT USE,86235,CDM,,,,both,,,162,162,37.26,162,162,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,127.98,percent of total billed charges,127.98,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 ,127.98,percent of total billed charges ,127.98,percent of total billed charges ,137.7,percent of total billed charges ,137.7,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 ,,,,,,,,,,,,,,,,,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,
**Jo-1 AUTO ANTIBODY DO NOT USE,86235,CDM,,,,both,,,162,162,37.26,162,162,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,127.98,percent of total billed charges,127.98,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 ,127.98,percent of total billed charges ,127.98,percent of total billed charges ,137.7,percent of total billed charges ,137.7,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 ,,,,,,,,,,,,,,,,,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,
**TEICHOIC ACID DO NOT USE,86329,CDM,,,,both,,,152,152,34.96,152,152,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,120.08,percent of total billed charges,120.08,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 ,120.08,percent of total billed charges ,120.08,percent of total billed charges ,129.2,percent of total billed charges ,129.2,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 ,,,,,,,,,,,,,,,,,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,
**ENDOMYSIAL ANTIBODY DO NOT USE,83516,CDM,,,,both,,,152,152,34.96,152,152,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,120.08,percent of total billed charges,120.08,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 ,120.08,percent of total billed charges ,120.08,percent of total billed charges ,129.2,percent of total billed charges ,129.2,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 ,,,,,,,,,,,,,,,,,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,
**ANTITRANSAMINASE ANTIBODY DO NOT USE,83516,CDM,,,,both,,,152,152,34.96,152,152,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,120.08,percent of total billed charges,120.08,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 ,120.08,percent of total billed charges ,120.08,percent of total billed charges ,129.2,percent of total billed charges ,129.2,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 ,,,,,,,,,,,,,,,,,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,
**VERY LONG CHAIN FATTY ACIDS DO NOT USE,82726,CDM,,,,both,,,342,342,78.66,342,342,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,270.18,percent of total billed charges,270.18,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 ,270.18,percent of total billed charges ,270.18,percent of total billed charges ,290.7,percent of total billed charges ,290.7,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 ,,,,,,,,,,,,,,,,,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,
"**HIV 1/2, RAPID WITH REFLEX",86703,CDM,,,,both,,,256,256,58.88,256,256,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,202.24,percent of total billed charges,202.24,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 ,202.24,percent of total billed charges ,202.24,percent of total billed charges ,217.6,percent of total billed charges ,217.6,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 ,,,,,,,,,,,,,,,,,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,
**GAMMA-HYDROXYBUTYRIC ACID DO NOT USE,80100,CDM,,,,both,,,253,253,58.19,253,253,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,199.87,percent of total billed charges,199.87,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 ,199.87,percent of total billed charges ,199.87,percent of total billed charges ,215.05,percent of total billed charges ,215.05,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 ,,,,,,,,,,,,,,,,,,,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,,,58.19,percent of total billed charges,,,58.19,percent of total billed charges,,,58.19,percent of total billed charges,
**CYCLIC CITRULLINATED PEPTIDE ANTIBOYD,86200,CDM,,,,both,,,124,124,28.52,124,124,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,97.96,percent of total billed charges,97.96,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 ,97.96,percent of total billed charges ,97.96,percent of total billed charges ,105.4,percent of total billed charges ,105.4,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 ,,,,,,,,,,,,,,,,,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,
**PERTUSSIS (SWAB) DETECTION DO NOT USE,87798,CDM,,,,both,,,374,374,86.02,374,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,269.28,percent of total billed charges,269.28,percent of total billed charges,269.28,percent of total billed charges,269.28,percent of total billed charges,269.28,percent of total billed charges,269.28,percent of total billed charges,295.46,percent of total billed charges,295.46,percent of total billed charges,299.2,percent of total billed charges,299.2,percent of total billed charges,,,269.28,percent of total billed charges ,,,299.2,percent of total billed charges ,295.46,percent of total billed charges ,295.46,percent of total billed charges ,317.9,percent of total billed charges ,317.9,percent of total billed charges ,299.2,percent of total billed charges ,299.2,percent of total billed charges ,261.8,percent of total billed charges ,261.8,percent of total billed charges ,224.4,percent of total billed charges ,224.4,percent of total billed charges ,224.4,percent of total billed charges ,224.4,percent of total billed charges ,,,,,198.97,percent of total billed charges ,,,,,189.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,
"**Organic Acid, serum DO NOT USE",83918,CDM,,,,both,,,601,601,138.23,601,601,percent of total billed charges,601,percent of total billed charges,601,percent of total billed charges,601,percent of total billed charges,601,percent of total billed charges,601,percent of total billed charges,601,percent of total billed charges,601,percent of total billed charges,432.72,percent of total billed charges,432.72,percent of total billed charges,432.72,percent of total billed charges,432.72,percent of total billed charges,432.72,percent of total billed charges,432.72,percent of total billed charges,474.79,percent of total billed charges,474.79,percent of total billed charges,480.8,percent of total billed charges,480.8,percent of total billed charges,,,432.72,percent of total billed charges ,,,480.8,percent of total billed charges ,474.79,percent of total billed charges ,474.79,percent of total billed charges ,510.85,percent of total billed charges ,510.85,percent of total billed charges ,480.8,percent of total billed charges ,480.8,percent of total billed charges ,420.7,percent of total billed charges ,420.7,percent of total billed charges ,360.6,percent of total billed charges ,360.6,percent of total billed charges ,360.6,percent of total billed charges ,360.6,percent of total billed charges ,,,,,319.73,percent of total billed charges ,,,,,303.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,138.23,percent of total billed charges,,,138.23,percent of total billed charges,,,138.23,percent of total billed charges,,,138.23,percent of total billed charges,,,138.23,percent of total billed charges,,,138.23,percent of total billed charges,,,138.23,percent of total billed charges,,,138.23,percent of total billed charges,,,138.23,percent of total billed charges,,,138.23,percent of total billed charges,,,138.23,percent of total billed charges,
**AFB CONCENTRATION,87015,CDM,,,,both,,,49,49,11.27,49,49,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,38.71,percent of total billed charges,38.71,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 ,38.71,percent of total billed charges ,38.71,percent of total billed charges ,41.65,percent of total billed charges ,41.65,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 ,,,,,,,,,,,,,,,,,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,
**HELITECH DRUG SCREEN DO NOT USE,80101,CDM,,,,both,,,64,64,14.72,64,64,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,50.56,percent of total billed charges,50.56,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 ,50.56,percent of total billed charges ,50.56,percent of total billed charges ,54.4,percent of total billed charges ,54.4,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**CBC DAILY WITH DIFFERENTIAL AND,85025,CDM,,,,both,,,193,193,44.39,193,193,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,152.47,percent of total billed charges,152.47,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 ,152.47,percent of total billed charges ,152.47,percent of total billed charges ,164.05,percent of total billed charges ,164.05,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 ,,,,,,,,,,,,,,,,,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,
PROTIME DAILY,85610,CDM,,,,both,,,98,98,22.54,98,98,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,77.42,percent of total billed charges,77.42,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 ,77.42,percent of total billed charges ,77.42,percent of total billed charges ,83.3,percent of total billed charges ,83.3,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 ,,,,,,,,,,,,,,,,,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,
**PTT DAILY,85730,CDM,,,,both,,,117,117,26.91,117,117,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,92.43,percent of total billed charges,92.43,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 ,92.43,percent of total billed charges ,92.43,percent of total billed charges ,99.45,percent of total billed charges ,99.45,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 ,,,,,,,,,,,,,,,,,,,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,
BMP FREQUENCY,80048,CDM,,,,both,,,237,237,54.51,237,237,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,187.23,percent of total billed charges,187.23,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 ,187.23,percent of total billed charges ,187.23,percent of total billed charges ,201.45,percent of total billed charges ,201.45,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 ,,,,,,,,,,,,,,,,,,,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,,,54.51,percent of total billed charges,,,54.51,percent of total billed charges,,,54.51,percent of total billed charges,
NEO TOTAL BILI,82247,CDM,,,,both,,,91,91,20.93,91,91,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,71.89,percent of total billed charges,71.89,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 ,71.89,percent of total billed charges ,71.89,percent of total billed charges ,77.35,percent of total billed charges ,77.35,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 ,,,,,,,,,,,,,,,,,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,
**URINE FOR RITALIN DO NOT USE,80299,CDM,,,,both,,,216,216,49.68,216,216,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,216,percent of total billed charges,216,percent of total billed charges,216,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,172.8,percent of total billed charges,172.8,percent of total billed charges,,,155.52,percent of total billed charges ,,,172.8,percent of total billed charges ,170.64,percent of total billed charges ,170.64,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,172.8,percent of total billed charges ,172.8,percent of total billed charges ,151.2,percent of total billed charges ,151.2,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 ,,,,,114.91,percent of total billed charges ,,,,,109.17,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,,,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,
**DRUG IDENTIFICATION DO NOT USE,80102,CDM,,,,both,,,152,152,34.96,152,152,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,120.08,percent of total billed charges,120.08,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 ,120.08,percent of total billed charges ,120.08,percent of total billed charges ,129.2,percent of total billed charges ,129.2,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 ,,,,,,,,,,,,,,,,,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,
**PHADIOTOP INHALANT MULTIALLERGEN ASSAY,83516,CDM,,,,both,,,72,72,16.56,72,72,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,56.88,percent of total billed charges,56.88,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 ,56.88,percent of total billed charges ,56.88,percent of total billed charges ,61.2,percent of total billed charges ,61.2,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**NASAL VIRAL CULTURE DO NOT USE,87252,CDM,,,,both,,,386,386,88.78,386,386,percent of total billed charges,386,percent of total billed charges,386,percent of total billed charges,386,percent of total billed charges,386,percent of total billed charges,386,percent of total billed charges,386,percent of total billed charges,386,percent of total billed charges,277.92,percent of total billed charges,277.92,percent of total billed charges,277.92,percent of total billed charges,277.92,percent of total billed charges,277.92,percent of total billed charges,277.92,percent of total billed charges,304.94,percent of total billed charges,304.94,percent of total billed charges,308.8,percent of total billed charges,308.8,percent of total billed charges,,,277.92,percent of total billed charges ,,,308.8,percent of total billed charges ,304.94,percent of total billed charges ,304.94,percent of total billed charges ,328.1,percent of total billed charges ,328.1,percent of total billed charges ,308.8,percent of total billed charges ,308.8,percent of total billed charges ,270.2,percent of total billed charges ,270.2,percent of total billed charges ,231.6,percent of total billed charges ,231.6,percent of total billed charges ,231.6,percent of total billed charges ,231.6,percent of total billed charges ,,,,,205.35,percent of total billed charges ,,,,,195.08,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,,,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,
**DIPHTHERIA ANTIBODY TITER DO NOT USE,86317,CDM,,,,both,,,115,115,26.45,115,115,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,90.85,percent of total billed charges,90.85,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 ,90.85,percent of total billed charges ,90.85,percent of total billed charges ,97.75,percent of total billed charges ,97.75,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 ,,,,,,,,,,,,,,,,,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,
**MYCOPHENOLIC ACID DO NOT USE,80299,CDM,,,,both,,,144,144,33.12,144,144,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,113.76,percent of total billed charges,113.76,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 ,113.76,percent of total billed charges ,113.76,percent of total billed charges ,122.4,percent of total billed charges ,122.4,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**TOTAL T CELLS (CD3+) DO NOT USE,86359,CDM,,,,both,,,102,102,23.46,102,102,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,80.58,percent of total billed charges,80.58,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 ,80.58,percent of total billed charges ,80.58,percent of total billed charges ,86.7,percent of total billed charges ,86.7,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 ,,,,,,,,,,,,,,,,,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,
**ABSOLUTE DC4 & CD8,86360,CDM,,,,both,,,129,129,29.67,129,129,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,101.91,percent of total billed charges,101.91,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 ,101.91,percent of total billed charges ,101.91,percent of total billed charges ,109.65,percent of total billed charges ,109.65,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 ,,,,,,,,,,,,,,,,,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,
**TOTAL B CELLS (CD19+) DO NOT USE,86355,CDM,,,,both,,,102,102,23.46,102,102,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,80.58,percent of total billed charges,80.58,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 ,80.58,percent of total billed charges ,80.58,percent of total billed charges ,86.7,percent of total billed charges ,86.7,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 ,,,,,,,,,,,,,,,,,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,
"**NATURAL KILLER CELLS, TOTAL COUNT",86357,CDM,,,,both,,,102,102,23.46,102,102,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,80.58,percent of total billed charges,80.58,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 ,80.58,percent of total billed charges ,80.58,percent of total billed charges ,86.7,percent of total billed charges ,86.7,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 ,,,,,,,,,,,,,,,,,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,
**MOL. DX. CMT DO NOT USE,83891,CDM,,,,both,,,115,115,26.45,115,115,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,90.85,percent of total billed charges,90.85,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 ,90.85,percent of total billed charges ,90.85,percent of total billed charges ,97.75,percent of total billed charges ,97.75,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 ,,,,,,,,,,,,,,,,,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,
**MOL. DX. AMPL CMT DO NOT USE,83898,CDM,,,,both,,,278,278,63.94,278,278,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,219.62,percent of total billed charges,219.62,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 ,219.62,percent of total billed charges ,219.62,percent of total billed charges ,236.3,percent of total billed charges ,236.3,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**MOL. DX. MUT CMT DO NOT USE,83904,CDM,,,,both,,,149,149,34.27,149,149,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,117.71,percent of total billed charges,117.71,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 ,117.71,percent of total billed charges ,117.71,percent of total billed charges ,126.65,percent of total billed charges ,126.65,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 ,,,,,,,,,,,,,,,,,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,
**MOL. DX. INTERP CMT DO NOT USE,83912,CDM,,,,both,,,149,149,34.27,149,149,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,117.71,percent of total billed charges,117.71,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 ,117.71,percent of total billed charges ,117.71,percent of total billed charges ,126.65,percent of total billed charges ,126.65,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 ,,,,,,,,,,,,,,,,,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,
**MOL. DX. DIGEST CMT DO NOT USE,83892,CDM,,,,both,,,155,155,35.65,155,155,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,122.45,percent of total billed charges,122.45,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 ,122.45,percent of total billed charges ,122.45,percent of total billed charges ,131.75,percent of total billed charges ,131.75,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 ,,,,,,,,,,,,,,,,,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,
**SEP ELEC CMT DO NOT USE,83894,CDM,,,,both,,,149,149,34.27,149,149,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,117.71,percent of total billed charges,117.71,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 ,117.71,percent of total billed charges ,117.71,percent of total billed charges ,126.65,percent of total billed charges ,126.65,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 ,,,,,,,,,,,,,,,,,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,
**NUC ACID CMT DO NOT USE,83896,CDM,,,,both,,,149,149,34.27,149,149,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,117.71,percent of total billed charges,117.71,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 ,117.71,percent of total billed charges ,117.71,percent of total billed charges ,126.65,percent of total billed charges ,126.65,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 ,,,,,,,,,,,,,,,,,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,
**NUC ACID TRANS CMT DO NOT USE,83897,CDM,,,,both,,,149,149,34.27,149,149,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,117.71,percent of total billed charges,117.71,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 ,117.71,percent of total billed charges ,117.71,percent of total billed charges ,126.65,percent of total billed charges ,126.65,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 ,,,,,,,,,,,,,,,,,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,
**ITRACONAZOLE DO NOT USE,80299,CDM,,,,both,,,105,105,24.15,105,105,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,82.95,percent of total billed charges,82.95,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 ,82.95,percent of total billed charges ,82.95,percent of total billed charges ,89.25,percent of total billed charges ,89.25,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 ,,,,,,,,,,,,,,,,,,,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,
COLLECTION OF BLOOD FROM VAD PORTACATH,36591,CDM,,,,both,,,326,326,74.98,326,326,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,257.54,percent of total billed charges,257.54,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 ,257.54,percent of total billed charges ,257.54,percent of total billed charges ,277.1,percent of total billed charges ,277.1,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 ,,,,,,,,,,,,,,,,,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,
MEDTOX URINE DRUG SCREEN,80306,CDM,,,,both,,,"1,747.00","1,747.00",401.81,"1,747.00","1,747.00",percent of total billed charges,"1,747.00",percent of total billed charges,"1,747.00",percent of total billed charges,"1,747.00",percent of total billed charges,"1,747.00",percent of total billed charges,"1,747.00",percent of total billed charges,"1,747.00",percent of total billed charges,"1,747.00",percent of total billed charges,"1,257.84",percent of total billed charges,"1,257.84",percent of total billed charges,"1,257.84",percent of total billed charges,"1,257.84",percent of total billed charges,"1,257.84",percent of total billed charges,"1,257.84",percent of total billed charges,"1,380.13",percent of total billed charges,"1,380.13",percent of total billed charges,"1,397.60",percent of total billed charges,"1,397.60",percent of total billed charges,,,"1,257.84",percent of total billed charges ,,,"1,397.60",percent of total billed charges ,"1,380.13",percent of total billed charges ,"1,380.13",percent of total billed charges ,"1,484.95",percent of total billed charges ,"1,484.95",percent of total billed charges ,"1,397.60",percent of total billed charges ,"1,397.60",percent of total billed charges ,"1,222.90",percent of total billed charges ,"1,222.90",percent of total billed charges ,"1,048.20",percent of total billed charges ,"1,048.20",percent of total billed charges ,"1,048.20",percent of total billed charges ,"1,048.20",percent of total billed charges ,,,,,929.4,percent of total billed charges ,,,,,882.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,401.81,percent of total billed charges,,,401.81,percent of total billed charges,,,401.81,percent of total billed charges,,,401.81,percent of total billed charges,,,401.81,percent of total billed charges,,,401.81,percent of total billed charges,,,401.81,percent of total billed charges,,,401.81,percent of total billed charges,,,401.81,percent of total billed charges,,,401.81,percent of total billed charges,,,401.81,percent of total billed charges,
**TCA MEDTOX,80101,CDM,,,,both,,,101,101,23.23,101,101,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,79.79,percent of total billed charges,79.79,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 ,79.79,percent of total billed charges ,79.79,percent of total billed charges ,85.85,percent of total billed charges ,85.85,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 ,,,,,,,,,,,,,,,,,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,
**BARBITURATES MEDTOX,80101,CDM,,,,both,,,101,101,23.23,101,101,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,79.79,percent of total billed charges,79.79,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 ,79.79,percent of total billed charges ,79.79,percent of total billed charges ,85.85,percent of total billed charges ,85.85,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 ,,,,,,,,,,,,,,,,,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,
NEO DIRECT BILIRUBIN,82248,CDM,,,,both,,,96,96,22.08,96,96,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,75.84,percent of total billed charges,75.84,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 ,75.84,percent of total billed charges ,75.84,percent of total billed charges ,81.6,percent of total billed charges ,81.6,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 ,,,,,,,,,,,,,,,,,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,
**METHOADONE MEDTOX,80101,CDM,,,,both,,,101,101,23.23,101,101,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,79.79,percent of total billed charges,79.79,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 ,79.79,percent of total billed charges ,79.79,percent of total billed charges ,85.85,percent of total billed charges ,85.85,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 ,,,,,,,,,,,,,,,,,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,
**BENZODAZEPIN MEDTOX,80101,CDM,,,,both,,,101,101,23.23,101,101,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,79.79,percent of total billed charges,79.79,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 ,79.79,percent of total billed charges ,79.79,percent of total billed charges ,85.85,percent of total billed charges ,85.85,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 ,,,,,,,,,,,,,,,,,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,
**CANNABINOIDS MEDTOX,80101,CDM,,,,both,,,101,101,23.23,101,101,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,79.79,percent of total billed charges,79.79,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 ,79.79,percent of total billed charges ,79.79,percent of total billed charges ,85.85,percent of total billed charges ,85.85,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 ,,,,,,,,,,,,,,,,,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,
**OPIATES MEDTOX,80101,CDM,,,,both,,,101,101,23.23,101,101,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,79.79,percent of total billed charges,79.79,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 ,79.79,percent of total billed charges ,79.79,percent of total billed charges ,85.85,percent of total billed charges ,85.85,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 ,,,,,,,,,,,,,,,,,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,
**AMPHETAMINES MEDTOX,80101,CDM,,,,both,,,101,101,23.23,101,101,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,79.79,percent of total billed charges,79.79,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 ,79.79,percent of total billed charges ,79.79,percent of total billed charges ,85.85,percent of total billed charges ,85.85,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 ,,,,,,,,,,,,,,,,,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,
**COCAINE MEDTOX,80101,CDM,,,,both,,,101,101,23.23,101,101,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,79.79,percent of total billed charges,79.79,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 ,79.79,percent of total billed charges ,79.79,percent of total billed charges ,85.85,percent of total billed charges ,85.85,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 ,,,,,,,,,,,,,,,,,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,
**PPX MEDTOX,80101,CDM,,,,both,,,101,101,23.23,101,101,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,79.79,percent of total billed charges,79.79,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 ,79.79,percent of total billed charges ,79.79,percent of total billed charges ,85.85,percent of total billed charges ,85.85,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 ,,,,,,,,,,,,,,,,,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,
**MAMP MEDTOX,80101,CDM,,,,both,,,101,101,23.23,101,101,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,79.79,percent of total billed charges,79.79,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 ,79.79,percent of total billed charges ,79.79,percent of total billed charges ,85.85,percent of total billed charges ,85.85,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 ,,,,,,,,,,,,,,,,,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,
NICOTINE/COTININE UR,80305,CDM,,,,both,,,111,111,25.53,111,111,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,87.69,percent of total billed charges,87.69,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 ,87.69,percent of total billed charges ,87.69,percent of total billed charges ,94.35,percent of total billed charges ,94.35,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 ,,,,,,,,,,,,,,,,,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,
**HEPATITIS C GENOTYPING DO NOT USE,87902,CDM,,,,both,,,682,682,156.86,682,682,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,538.78,percent of total billed charges,538.78,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 ,538.78,percent of total billed charges ,538.78,percent of total billed charges ,579.7,percent of total billed charges ,579.7,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 ,,,,,,,,,,,,,,,,,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,
**BORDETELLA PERTUSSIS ANTIBODY IgM,86615,CDM,,,,both,,,79,79,18.17,79,79,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,62.41,percent of total billed charges,62.41,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 ,62.41,percent of total billed charges ,62.41,percent of total billed charges ,67.15,percent of total billed charges ,67.15,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 ,,,,,,,,,,,,,,,,,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,
**BORDETELLA PERTUSSIS ANTIBODY IgG,86615,CDM,,,,both,,,79,79,18.17,79,79,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,62.41,percent of total billed charges,62.41,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 ,62.41,percent of total billed charges ,62.41,percent of total billed charges ,67.15,percent of total billed charges ,67.15,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 ,,,,,,,,,,,,,,,,,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,
**DRUG SCREEN URINE LCPA,80101,CDM,,,,both,,,55,55,12.65,55,55,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,43.45,percent of total billed charges,43.45,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 ,43.45,percent of total billed charges ,43.45,percent of total billed charges ,46.75,percent of total billed charges ,46.75,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 ,,,,,,,,,,,,,,,,,,,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,
**URINE COLLECTION LCPA,Local ,Local ,,,,both,,,66,66,15.18,66,66,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,52.14,percent of total billed charges,52.14,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 ,52.14,percent of total billed charges ,52.14,percent of total billed charges ,56.1,percent of total billed charges ,56.1,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 ,,,,,,,,,,,,,,,,,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,
**BREATH ALCOHOL LCPA,82075,CDM,,,,both,,,90,90,20.7,90,90,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,71.1,percent of total billed charges,71.1,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 ,71.1,percent of total billed charges ,71.1,percent of total billed charges ,76.5,percent of total billed charges ,76.5,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
"**MYEOPEROXIDASE ABS, IgG DO NOT USE",83516,CDM,,,,both,,,87,87,20.01,87,87,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,68.73,percent of total billed charges,68.73,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 ,68.73,percent of total billed charges ,68.73,percent of total billed charges ,73.95,percent of total billed charges ,73.95,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 ,,,,,,,,,,,,,,,,,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,
"**SERINE PROTEASES, IgG DO NOT USE",83516,CDM,,,,both,,,87,87,20.01,87,87,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,68.73,percent of total billed charges,68.73,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 ,68.73,percent of total billed charges ,68.73,percent of total billed charges ,73.95,percent of total billed charges ,73.95,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 ,,,,,,,,,,,,,,,,,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,
**ISOLATION MTHSR DO NOT USE,83890,CDM,,,,both,,,131,131,30.13,131,131,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,103.49,percent of total billed charges,103.49,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 ,103.49,percent of total billed charges ,103.49,percent of total billed charges ,111.35,percent of total billed charges ,111.35,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 ,,,,,,,,,,,,,,,,,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,
**AMPLIFICATION MTHSR,83898,CDM,,,,both,,,49,49,11.27,49,49,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,38.71,percent of total billed charges,38.71,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 ,38.71,percent of total billed charges ,38.71,percent of total billed charges ,41.65,percent of total billed charges ,41.65,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 ,,,,,,,,,,,,,,,,,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,
**NUC PROBE MTHSR DO NOT USE,83896,CDM,,,,both,,,49,49,11.27,49,49,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,38.71,percent of total billed charges,38.71,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 ,38.71,percent of total billed charges ,38.71,percent of total billed charges ,41.65,percent of total billed charges ,41.65,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 ,,,,,,,,,,,,,,,,,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,
**INTERP/REPORT MTHSR DO NOT USE,83912,CDM,,,,both,,,49,49,11.27,49,49,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,38.71,percent of total billed charges,38.71,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 ,38.71,percent of total billed charges ,38.71,percent of total billed charges ,41.65,percent of total billed charges ,41.65,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 ,,,,,,,,,,,,,,,,,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,,,11.27,percent of total billed charges,
"**AMNIO, FLUID, CHROSMOSOME ANALYSIS",Local ,Local ,,,,both,,,107,107,24.61,107,107,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,84.53,percent of total billed charges,84.53,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 ,84.53,percent of total billed charges ,84.53,percent of total billed charges ,90.95,percent of total billed charges ,90.95,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 ,,,,,,,,,,,,,,,,,,,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,
"**TISSUE CULTURE, AMN DO NOT USE",88235,CDM,,,,both,,,361,361,83.03,361,361,percent of total billed charges,361,percent of total billed charges,361,percent of total billed charges,361,percent of total billed charges,361,percent of total billed charges,361,percent of total billed charges,361,percent of total billed charges,361,percent of total billed charges,259.92,percent of total billed charges,259.92,percent of total billed charges,259.92,percent of total billed charges,259.92,percent of total billed charges,259.92,percent of total billed charges,259.92,percent of total billed charges,285.19,percent of total billed charges,285.19,percent of total billed charges,288.8,percent of total billed charges,288.8,percent of total billed charges,,,259.92,percent of total billed charges ,,,288.8,percent of total billed charges ,285.19,percent of total billed charges ,285.19,percent of total billed charges ,306.85,percent of total billed charges ,306.85,percent of total billed charges ,288.8,percent of total billed charges ,288.8,percent of total billed charges ,252.7,percent of total billed charges ,252.7,percent of total billed charges ,216.6,percent of total billed charges ,216.6,percent of total billed charges ,216.6,percent of total billed charges ,216.6,percent of total billed charges ,,,,,192.05,percent of total billed charges ,,,,,182.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,83.03,percent of total billed charges,,,83.03,percent of total billed charges,,,83.03,percent of total billed charges,,,83.03,percent of total billed charges,,,83.03,percent of total billed charges,,,83.03,percent of total billed charges,,,83.03,percent of total billed charges,,,83.03,percent of total billed charges,,,83.03,percent of total billed charges,,,83.03,percent of total billed charges,,,83.03,percent of total billed charges,
**CHROMOSOME ANALYSIS DO NOT USE,88267,CDM,,,,both,,,361,361,83.03,361,361,percent of total billed charges,361,percent of total billed charges,361,percent of total billed charges,361,percent of total billed charges,361,percent of total billed charges,361,percent of total billed charges,361,percent of total billed charges,361,percent of total billed charges,259.92,percent of total billed charges,259.92,percent of total billed charges,259.92,percent of total billed charges,259.92,percent of total billed charges,259.92,percent of total billed charges,259.92,percent of total billed charges,285.19,percent of total billed charges,285.19,percent of total billed charges,288.8,percent of total billed charges,288.8,percent of total billed charges,,,259.92,percent of total billed charges ,,,288.8,percent of total billed charges ,285.19,percent of total billed charges ,285.19,percent of total billed charges ,306.85,percent of total billed charges ,306.85,percent of total billed charges ,288.8,percent of total billed charges ,288.8,percent of total billed charges ,252.7,percent of total billed charges ,252.7,percent of total billed charges ,216.6,percent of total billed charges ,216.6,percent of total billed charges ,216.6,percent of total billed charges ,216.6,percent of total billed charges ,,,,,192.05,percent of total billed charges ,,,,,182.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,83.03,percent of total billed charges,,,83.03,percent of total billed charges,,,83.03,percent of total billed charges,,,83.03,percent of total billed charges,,,83.03,percent of total billed charges,,,83.03,percent of total billed charges,,,83.03,percent of total billed charges,,,83.03,percent of total billed charges,,,83.03,percent of total billed charges,,,83.03,percent of total billed charges,,,83.03,percent of total billed charges,
**CHROMOSOME ANYLYSIS ADD DO NOT USE,88280,CDM,,,,both,,,361,361,83.03,361,361,percent of total billed charges,361,percent of total billed charges,361,percent of total billed charges,361,percent of total billed charges,361,percent of total billed charges,361,percent of total billed charges,361,percent of total billed charges,361,percent of total billed charges,259.92,percent of total billed charges,259.92,percent of total billed charges,259.92,percent of total billed charges,259.92,percent of total billed charges,259.92,percent of total billed charges,259.92,percent of total billed charges,285.19,percent of total billed charges,285.19,percent of total billed charges,288.8,percent of total billed charges,288.8,percent of total billed charges,,,259.92,percent of total billed charges ,,,288.8,percent of total billed charges ,285.19,percent of total billed charges ,285.19,percent of total billed charges ,306.85,percent of total billed charges ,306.85,percent of total billed charges ,288.8,percent of total billed charges ,288.8,percent of total billed charges ,252.7,percent of total billed charges ,252.7,percent of total billed charges ,216.6,percent of total billed charges ,216.6,percent of total billed charges ,216.6,percent of total billed charges ,216.6,percent of total billed charges ,,,,,192.05,percent of total billed charges ,,,,,182.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,83.03,percent of total billed charges,,,83.03,percent of total billed charges,,,83.03,percent of total billed charges,,,83.03,percent of total billed charges,,,83.03,percent of total billed charges,,,83.03,percent of total billed charges,,,83.03,percent of total billed charges,,,83.03,percent of total billed charges,,,83.03,percent of total billed charges,,,83.03,percent of total billed charges,,,83.03,percent of total billed charges,
**CYTO INTERP REPORT DO NOT USE,88291,CDM,,,,both,,,194,194,44.62,194,194,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,153.26,percent of total billed charges,153.26,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 ,153.26,percent of total billed charges ,153.26,percent of total billed charges ,164.9,percent of total billed charges ,164.9,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 ,,,,,,,,,,,,,,,,,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,
**EXTRACTION FX DO NOT USE,83891,CDM,,,,both,,,115,115,26.45,115,115,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,90.85,percent of total billed charges,90.85,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 ,90.85,percent of total billed charges ,90.85,percent of total billed charges ,97.75,percent of total billed charges ,97.75,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 ,,,,,,,,,,,,,,,,,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,
**ENZ OIG FX DO NOT USE,83892,CDM,,,,both,,,155,155,35.65,155,155,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,122.45,percent of total billed charges,122.45,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 ,122.45,percent of total billed charges ,122.45,percent of total billed charges ,131.75,percent of total billed charges ,131.75,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 ,,,,,,,,,,,,,,,,,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,
**SEPARATION FX DO NOT USE,83894,CDM,,,,both,,,155,155,35.65,155,155,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,122.45,percent of total billed charges,122.45,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 ,122.45,percent of total billed charges ,122.45,percent of total billed charges ,131.75,percent of total billed charges ,131.75,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 ,,,,,,,,,,,,,,,,,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,
**NUCLEIC ACID FX DO NOT USE,83896,CDM,,,,both,,,155,155,35.65,155,155,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,122.45,percent of total billed charges,122.45,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 ,122.45,percent of total billed charges ,122.45,percent of total billed charges ,131.75,percent of total billed charges ,131.75,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 ,,,,,,,,,,,,,,,,,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,
**NUC ACID TRANSFER FX DO NOT USE,83897,CDM,,,,both,,,155,155,35.65,155,155,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,122.45,percent of total billed charges,122.45,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 ,122.45,percent of total billed charges ,122.45,percent of total billed charges ,131.75,percent of total billed charges ,131.75,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 ,,,,,,,,,,,,,,,,,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,
**AMPLIFICATION FX,83898,CDM,,,,both,,,155,155,35.65,155,155,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,122.45,percent of total billed charges,122.45,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 ,122.45,percent of total billed charges ,122.45,percent of total billed charges ,131.75,percent of total billed charges ,131.75,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 ,,,,,,,,,,,,,,,,,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,
**INTERP REPORT FX DO NOT USE,83912,CDM,,,,both,,,155,155,35.65,155,155,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,122.45,percent of total billed charges,122.45,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 ,122.45,percent of total billed charges ,122.45,percent of total billed charges ,131.75,percent of total billed charges ,131.75,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 ,,,,,,,,,,,,,,,,,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,,,35.65,percent of total billed charges,
**CAFFEINE DO NOT USE,80299,CDM,,,,both,,,101,101,23.23,101,101,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,79.79,percent of total billed charges,79.79,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 ,79.79,percent of total billed charges ,79.79,percent of total billed charges ,85.85,percent of total billed charges ,85.85,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 ,,,,,,,,,,,,,,,,,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,
**IMMUNOGLOBULINS CSFI DO NOT USE,82784,CDM,,,,both,,,105,105,24.15,105,105,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,82.95,percent of total billed charges,82.95,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 ,82.95,percent of total billed charges ,82.95,percent of total billed charges ,89.25,percent of total billed charges ,89.25,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 ,,,,,,,,,,,,,,,,,,,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,
"**ALBUMIN, CSF, CSFI",82042,CDM,,,,both,,,52,52,11.96,52,52,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,41.08,percent of total billed charges,41.08,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 ,41.08,percent of total billed charges ,41.08,percent of total billed charges ,44.2,percent of total billed charges ,44.2,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 ,,,,,,,,,,,,,,,,,,,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,
**TBII TSH RECEPTOR ANTIBODY DO NOT USE,83519,CDM,,,,both,,,149,149,34.27,149,149,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,117.71,percent of total billed charges,117.71,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 ,117.71,percent of total billed charges ,117.71,percent of total billed charges ,126.65,percent of total billed charges ,126.65,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 ,,,,,,,,,,,,,,,,,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,
**CYTOLOGY CSF DO NOT USE,88108,CDM,,,,both,,,85,85,19.55,85,85,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,67.15,percent of total billed charges,67.15,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 ,67.15,percent of total billed charges ,67.15,percent of total billed charges ,72.25,percent of total billed charges ,72.25,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 ,,,,,,,,,,,,,,,,,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,
**AUTOCYTE REVIEW DO NOT USE,88175,CDM,,,,both,,,146,146,33.58,146,146,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,115.34,percent of total billed charges,115.34,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 ,115.34,percent of total billed charges ,115.34,percent of total billed charges ,124.1,percent of total billed charges ,124.1,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 ,,,,,,,,,,,,,,,,,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,
"**SURGICAL FROZEN, ADD DO NOT USE",88332,CDM,,,26,both,,,215,215,49.45,215,215,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,169.85,percent of total billed charges,169.85,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 ,169.85,percent of total billed charges ,169.85,percent of total billed charges ,182.75,percent of total billed charges ,182.75,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 ,,,,,,,,,,,,,,,,,,,49.45,percent of total billed charges,,,49.45,percent of total billed charges,,,49.45,percent of total billed charges,,,49.45,percent of total billed charges,,,49.45,percent of total billed charges,,,49.45,percent of total billed charges,,,49.45,percent of total billed charges,,,49.45,percent of total billed charges,,,49.45,percent of total billed charges,,,49.45,percent of total billed charges,,,49.45,percent of total billed charges,
**GRINDING TISSUE DO NOT USE,87176,CDM,,,,both,,,18,18,4.14,18,18,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,14.22,percent of total billed charges,14.22,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 ,14.22,percent of total billed charges ,14.22,percent of total billed charges ,15.3,percent of total billed charges ,15.3,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 ,,,,,,,,,,,,,,,,,,,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,,,4.14,percent of total billed charges,,,4.14,percent of total billed charges,,,4.14,percent of total billed charges,
CULTURE TISSUE,87070,CDM,,,,both,,,205,205,47.15,205,205,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,161.95,percent of total billed charges,161.95,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 ,161.95,percent of total billed charges ,161.95,percent of total billed charges ,174.25,percent of total billed charges ,174.25,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 ,,,,,,,,,,,,,,,,,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,
"**TISSUE TRANSGLUT, IGG DO NOT USE",83516,CDM,,,,both,,,157,157,36.11,157,157,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,124.03,percent of total billed charges,124.03,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 ,124.03,percent of total billed charges ,124.03,percent of total billed charges ,133.45,percent of total billed charges ,133.45,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 ,,,,,,,,,,,,,,,,,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,
"**WEST NILE ANTIBODY, IgG DO NOT USE",86790,CDM,,,,both,,,88,88,20.24,88,88,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,69.52,percent of total billed charges,69.52,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 ,69.52,percent of total billed charges ,69.52,percent of total billed charges ,74.8,percent of total billed charges ,74.8,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 ,,,,,,,,,,,,,,,,,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,
"**WEST NILE ANTIBODY, IgM DO NOT USE",86790,CDM,,,,both,,,88,88,20.24,88,88,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,69.52,percent of total billed charges,69.52,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 ,69.52,percent of total billed charges ,69.52,percent of total billed charges ,74.8,percent of total billed charges ,74.8,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 ,,,,,,,,,,,,,,,,,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,
**DRUG SCREEN-QUEST (5),80300,CDM,,,,both,,,104,104,23.92,104,104,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,82.16,percent of total billed charges,82.16,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 ,82.16,percent of total billed charges ,82.16,percent of total billed charges ,88.4,percent of total billed charges ,88.4,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 ,,,,,,,,,,,,,,,,,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,
**DRUG SCREEN-QUEST (10),80300,CDM,,,,both,,,134,134,30.82,134,134,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,105.86,percent of total billed charges,105.86,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 ,105.86,percent of total billed charges ,105.86,percent of total billed charges ,113.9,percent of total billed charges ,113.9,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,30.82,percent of total billed charges,,,30.82,percent of total billed charges,,,30.82,percent of total billed charges,
**RETICULIN AB W/REFL DO NOT USE,86256,CDM,,,,both,,,128,128,29.44,128,128,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,101.12,percent of total billed charges,101.12,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 ,101.12,percent of total billed charges ,101.12,percent of total billed charges ,108.8,percent of total billed charges ,108.8,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
"**CYTOLOGY, MISCELLANEOUS FLUID DO NOT U",88108,CDM,,,,both,,,290,290,66.7,290,290,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,229.1,percent of total billed charges,229.1,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 ,229.1,percent of total billed charges ,229.1,percent of total billed charges ,246.5,percent of total billed charges ,246.5,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 ,,,,,,,,,,,,,,,,,,,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,,,66.7,percent of total billed charges,,,66.7,percent of total billed charges,,,66.7,percent of total billed charges,
ADDITIONAL ORGANISMS,87046,CDM,,,,both,,,101,101,23.23,101,101,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,79.79,percent of total billed charges,79.79,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 ,79.79,percent of total billed charges ,79.79,percent of total billed charges ,85.85,percent of total billed charges ,85.85,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 ,,,,,,,,,,,,,,,,,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,
**HIV VIRAL LOAD DO NOT USE,87536,CDM,,,,both,,,336,336,77.28,336,336,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,336,percent of total billed charges,336,percent of total billed charges,336,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,265.44,percent of total billed charges,265.44,percent of total billed charges,268.8,percent of total billed charges,268.8,percent of total billed charges,,,241.92,percent of total billed charges ,,,268.8,percent of total billed charges ,265.44,percent of total billed charges ,265.44,percent of total billed charges ,285.6,percent of total billed charges ,285.6,percent of total billed charges ,268.8,percent of total billed charges ,268.8,percent of total billed charges ,235.2,percent of total billed charges ,235.2,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 ,,,,,178.75,percent of total billed charges ,,,,,169.81,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,
**AMNITOIC FLUID PG,84081,CDM,,,,both,,,194,194,44.62,194,194,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,153.26,percent of total billed charges,153.26,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 ,153.26,percent of total billed charges ,153.26,percent of total billed charges ,164.9,percent of total billed charges ,164.9,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 ,,,,,,,,,,,,,,,,,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,
**AMN. FETAL LUNG MATURITY,80299,CDM,,,,both,,,61,61,14.03,61,61,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,48.19,percent of total billed charges,48.19,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 ,48.19,percent of total billed charges ,48.19,percent of total billed charges ,51.85,percent of total billed charges ,51.85,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 ,,,,,,,,,,,,,,,,,,,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,,,14.03,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,
**EHRLICHIA IGG DO NOT USE,86666,CDM,,,,both,,,75,75,17.25,75,75,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,59.25,percent of total billed charges,59.25,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 ,59.25,percent of total billed charges ,59.25,percent of total billed charges ,63.75,percent of total billed charges ,63.75,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 ,,,,,,,,,,,,,,,,,,,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,,,17.25,percent of total billed charges,,,17.25,percent of total billed charges,,,17.25,percent of total billed charges,
**EHRLICHIA IGM DO NOT USE,86666,CDM,,,,both,,,75,75,17.25,75,75,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,59.25,percent of total billed charges,59.25,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 ,59.25,percent of total billed charges ,59.25,percent of total billed charges ,63.75,percent of total billed charges ,63.75,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 ,,,,,,,,,,,,,,,,,,,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,,,17.25,percent of total billed charges,,,17.25,percent of total billed charges,,,17.25,percent of total billed charges,
**CMV BY PCR DO NOT USE,87496,CDM,,,,both,,,218,218,50.14,218,218,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,172.22,percent of total billed charges,172.22,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 ,172.22,percent of total billed charges ,172.22,percent of total billed charges ,185.3,percent of total billed charges ,185.3,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 ,,,,,,,,,,,,,,,,,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,
**CYTO. CELL. ENHANCEMENT DO NOT USE,88112,CDM,,,,both,,,319,319,73.37,319,319,percent of total billed charges,319,percent of total billed charges,319,percent of total billed charges,319,percent of total billed charges,319,percent of total billed charges,319,percent of total billed charges,319,percent of total billed charges,319,percent of total billed charges,229.68,percent of total billed charges,229.68,percent of total billed charges,229.68,percent of total billed charges,229.68,percent of total billed charges,229.68,percent of total billed charges,229.68,percent of total billed charges,252.01,percent of total billed charges,252.01,percent of total billed charges,255.2,percent of total billed charges,255.2,percent of total billed charges,,,229.68,percent of total billed charges ,,,255.2,percent of total billed charges ,252.01,percent of total billed charges ,252.01,percent of total billed charges ,271.15,percent of total billed charges ,271.15,percent of total billed charges ,255.2,percent of total billed charges ,255.2,percent of total billed charges ,223.3,percent of total billed charges ,223.3,percent of total billed charges ,191.4,percent of total billed charges ,191.4,percent of total billed charges ,191.4,percent of total billed charges ,191.4,percent of total billed charges ,,,,,169.71,percent of total billed charges ,,,,,161.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,73.37,percent of total billed charges,,,73.37,percent of total billed charges,,,73.37,percent of total billed charges,,,73.37,percent of total billed charges,,,73.37,percent of total billed charges,,,73.37,percent of total billed charges,,,73.37,percent of total billed charges,,,73.37,percent of total billed charges,,,73.37,percent of total billed charges,,,73.37,percent of total billed charges,,,73.37,percent of total billed charges,
**PAP IN PRES. 88175 DO NOT USE,88175,CDM,,,,both,,,146,146,33.58,146,146,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,115.34,percent of total billed charges,115.34,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 ,115.34,percent of total billed charges ,115.34,percent of total billed charges ,124.1,percent of total billed charges ,124.1,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 ,,,,,,,,,,,,,,,,,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,
IN HOUSE URINE COLLECTION,99001,CDM,,,,both,,,31,31,7.13,31,31,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,24.49,percent of total billed charges,24.49,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 ,24.49,percent of total billed charges ,24.49,percent of total billed charges ,26.35,percent of total billed charges ,26.35,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 ,,,,,,,,,,,,,,,,,,,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,
IN HOUSE DRUG SCREEN WITH REFLEX,80307,CDM,,,,both,,,40,40,9.2,40,40,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,31.6,percent of total billed charges,31.6,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 ,31.6,percent of total billed charges ,31.6,percent of total billed charges ,34,percent of total billed charges ,34,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 ,,,,,,,,,,,,,,,,,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,
IN HOUSE MRO CONFIRM.,Local ,Local ,,,,both,,,53,53,12.19,53,53,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,41.87,percent of total billed charges,41.87,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 ,41.87,percent of total billed charges ,41.87,percent of total billed charges ,45.05,percent of total billed charges ,45.05,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 ,,,,,,,,,,,,,,,,,,,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,
**CELL SURF EA ADD. MARKER DO NOT USE,88185,CDM,,,,both,,,142,142,32.66,142,142,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,112.18,percent of total billed charges,112.18,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 ,112.18,percent of total billed charges ,112.18,percent of total billed charges ,120.7,percent of total billed charges ,120.7,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 ,,,,,,,,,,,,,,,,,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,
**BK VIRUS PCR. QUANT DO NOT USE,87799,CDM,,,,both,,,788,788,181.24,788,788,percent of total billed charges,788,percent of total billed charges,788,percent of total billed charges,788,percent of total billed charges,788,percent of total billed charges,788,percent of total billed charges,788,percent of total billed charges,788,percent of total billed charges,567.36,percent of total billed charges,567.36,percent of total billed charges,567.36,percent of total billed charges,567.36,percent of total billed charges,567.36,percent of total billed charges,567.36,percent of total billed charges,622.52,percent of total billed charges,622.52,percent of total billed charges,630.4,percent of total billed charges,630.4,percent of total billed charges,,,567.36,percent of total billed charges ,,,630.4,percent of total billed charges ,622.52,percent of total billed charges ,622.52,percent of total billed charges ,669.8,percent of total billed charges ,669.8,percent of total billed charges ,630.4,percent of total billed charges ,630.4,percent of total billed charges ,551.6,percent of total billed charges ,551.6,percent of total billed charges ,472.8,percent of total billed charges ,472.8,percent of total billed charges ,472.8,percent of total billed charges ,472.8,percent of total billed charges ,,,,,419.22,percent of total billed charges ,,,,,398.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,181.24,percent of total billed charges,,,181.24,percent of total billed charges,,,181.24,percent of total billed charges,,,181.24,percent of total billed charges,,,181.24,percent of total billed charges,,,181.24,percent of total billed charges,,,181.24,percent of total billed charges,,,181.24,percent of total billed charges,,,181.24,percent of total billed charges,,,181.24,percent of total billed charges,,,181.24,percent of total billed charges,
**EXTRACTION TAU DO NOT USE,83891,CDM,,,,both,,,115,115,26.45,115,115,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,90.85,percent of total billed charges,90.85,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 ,90.85,percent of total billed charges ,90.85,percent of total billed charges ,97.75,percent of total billed charges ,97.75,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 ,,,,,,,,,,,,,,,,,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,
**AMPLIFICATION TAU,83898,CDM,,,,both,,,259,259,59.57,259,259,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,204.61,percent of total billed charges,204.61,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 ,204.61,percent of total billed charges ,204.61,percent of total billed charges ,220.15,percent of total billed charges ,220.15,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 ,,,,,,,,,,,,,,,,,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,
**REV TRANSCRIPTION TAU DO NOT USE,83898,CDM,,,,both,,,259,259,59.57,259,259,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,204.61,percent of total billed charges,204.61,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 ,204.61,percent of total billed charges ,204.61,percent of total billed charges ,220.15,percent of total billed charges ,220.15,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 ,,,,,,,,,,,,,,,,,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,
**MUTATION ID BY SEQ TAU DO NOT USE,83904,CDM,,,,both,,,259,259,59.57,259,259,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,204.61,percent of total billed charges,204.61,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 ,204.61,percent of total billed charges ,204.61,percent of total billed charges ,220.15,percent of total billed charges ,220.15,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 ,,,,,,,,,,,,,,,,,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,
**INTERP REPORT TAU DO NOT USE,83912,CDM,,,,both,,,259,259,59.57,259,259,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,204.61,percent of total billed charges,204.61,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 ,204.61,percent of total billed charges ,204.61,percent of total billed charges ,220.15,percent of total billed charges ,220.15,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 ,,,,,,,,,,,,,,,,,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,
**HISTOPLASMA AB(YEAST) CF DO NOT USE,86698,CDM,,,,both,,,108,108,24.84,108,108,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,85.32,percent of total billed charges,85.32,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 ,85.32,percent of total billed charges ,85.32,percent of total billed charges ,91.8,percent of total billed charges ,91.8,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 ,,,,,,,,,,,,,,,,,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,
**ASPERGILLOSIS BY ID DO NOT USE,86606,CDM,,,,both,,,52,52,11.96,52,52,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,41.08,percent of total billed charges,41.08,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 ,41.08,percent of total billed charges ,41.08,percent of total billed charges ,44.2,percent of total billed charges ,44.2,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 ,,,,,,,,,,,,,,,,,,,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,
**HISTOBLASTOSIS BY ID DO NOT USE,86698,CDM,,,,both,,,108,108,24.84,108,108,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,85.32,percent of total billed charges,85.32,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 ,85.32,percent of total billed charges ,85.32,percent of total billed charges ,91.8,percent of total billed charges ,91.8,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 ,,,,,,,,,,,,,,,,,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,
**BLASTOMYCOSIS BY ID DO NOT USE,86612,CDM,,,,both,,,92,92,21.16,92,92,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,72.68,percent of total billed charges,72.68,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 ,72.68,percent of total billed charges ,72.68,percent of total billed charges ,78.2,percent of total billed charges ,78.2,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 ,,,,,,,,,,,,,,,,,,,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,
**COCCIDIOMYCOSIS BY ID DO NOT USE,86635,CDM,,,,both,,,104,104,23.92,104,104,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,82.16,percent of total billed charges,82.16,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 ,82.16,percent of total billed charges ,82.16,percent of total billed charges ,88.4,percent of total billed charges ,88.4,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 ,,,,,,,,,,,,,,,,,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,
**BONE SPECIFIC ALK. PHOS.** DO NOT USE,84080,CDM,,,,both,,,179,179,41.17,179,179,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,141.41,percent of total billed charges,141.41,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 ,141.41,percent of total billed charges ,141.41,percent of total billed charges ,152.15,percent of total billed charges ,152.15,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 ,,,,,,,,,,,,,,,,,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,
"**ANTI SMOOTH MUSCLE AB, IGG",86255,CDM,,,,both,,,179,179,41.17,179,179,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,141.41,percent of total billed charges,141.41,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 ,141.41,percent of total billed charges ,141.41,percent of total billed charges ,152.15,percent of total billed charges ,152.15,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 ,,,,,,,,,,,,,,,,,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,
**MIC DO NOT USE,87186,CDM,,,,both,,,129,129,29.67,129,129,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,101.91,percent of total billed charges,101.91,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 ,101.91,percent of total billed charges ,101.91,percent of total billed charges ,109.65,percent of total billed charges ,109.65,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 ,,,,,,,,,,,,,,,,,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,
**URINE PROTEIN ELECTROPHORESIS DO NOT U,84166,CDM,,,,both,,,282,282,64.86,282,282,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,222.78,percent of total billed charges,222.78,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 ,222.78,percent of total billed charges ,222.78,percent of total billed charges ,239.7,percent of total billed charges ,239.7,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 ,,,,,,,,,,,,,,,,,,,64.86,percent of total billed charges,,,64.86,percent of total billed charges,,,64.86,percent of total billed charges,,,64.86,percent of total billed charges,,,64.86,percent of total billed charges,,,64.86,percent of total billed charges,,,64.86,percent of total billed charges,,,64.86,percent of total billed charges,,,64.86,percent of total billed charges,,,64.86,percent of total billed charges,,,64.86,percent of total billed charges,
**BORDETELLA PERTUSSIS IgA DO NOT USE,86615,CDM,,,,both,,,79,79,18.17,79,79,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,62.41,percent of total billed charges,62.41,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 ,62.41,percent of total billed charges ,62.41,percent of total billed charges ,67.15,percent of total billed charges ,67.15,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 ,,,,,,,,,,,,,,,,,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,
.INFLUENZA A BY RIA,87804,CDM,,,,both,,,239,239,54.97,239,239,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,188.81,percent of total billed charges,188.81,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 ,188.81,percent of total billed charges ,188.81,percent of total billed charges ,203.15,percent of total billed charges ,203.15,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 ,,,,,,,,,,,,,,,,,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,
.INFLUENZA B BY RIA,87804,CDM,,,,both,,,239,239,54.97,239,239,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,188.81,percent of total billed charges,188.81,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 ,188.81,percent of total billed charges ,188.81,percent of total billed charges ,203.15,percent of total billed charges ,203.15,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 ,,,,,,,,,,,,,,,,,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,
AUTOMATED DIFFERENTIAL WBC COUNT,85004,CDM,,,,both,,,148,148,34.04,148,148,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,116.92,percent of total billed charges,116.92,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 ,116.92,percent of total billed charges ,116.92,percent of total billed charges ,125.8,percent of total billed charges ,125.8,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 ,,,,,,,,,,,,,,,,,,,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,,,34.04,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,
**TISSUE CULT SKIN/TISSUE DO NOT USE,88233,CDM,,,,both,,,812,812,186.76,812,812,percent of total billed charges,812,percent of total billed charges,812,percent of total billed charges,812,percent of total billed charges,812,percent of total billed charges,812,percent of total billed charges,812,percent of total billed charges,812,percent of total billed charges,584.64,percent of total billed charges,584.64,percent of total billed charges,584.64,percent of total billed charges,584.64,percent of total billed charges,584.64,percent of total billed charges,584.64,percent of total billed charges,641.48,percent of total billed charges,641.48,percent of total billed charges,649.6,percent of total billed charges,649.6,percent of total billed charges,,,584.64,percent of total billed charges ,,,649.6,percent of total billed charges ,641.48,percent of total billed charges ,641.48,percent of total billed charges ,690.2,percent of total billed charges ,690.2,percent of total billed charges ,649.6,percent of total billed charges ,649.6,percent of total billed charges ,568.4,percent of total billed charges ,568.4,percent of total billed charges ,487.2,percent of total billed charges ,487.2,percent of total billed charges ,487.2,percent of total billed charges ,487.2,percent of total billed charges ,,,,,431.98,percent of total billed charges ,,,,,410.38,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,
**COMPLEMENT 2 DO NOT USE,86160,CDM,,,,both,,,200,200,46,200,200,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,158,percent of total billed charges,158,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 ,158,percent of total billed charges ,158,percent of total billed charges ,170,percent of total billed charges ,170,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 ,,,,,,,,,,,,,,,,,,,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,,,46,percent of total billed charges,,,46,percent of total billed charges,,,46,percent of total billed charges,
"**COMPLEMENT 1, FUNCTIONAL DO NOT USE",86161,CDM,,,,both,,,368,368,84.64,368,368,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,290.72,percent of total billed charges,290.72,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 ,290.72,percent of total billed charges ,290.72,percent of total billed charges ,312.8,percent of total billed charges ,312.8,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 ,,,,,,,,,,,,,,,,,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,
**HDL SUBCLASSES DO NOT USE,82664,CDM,,,,both,,,605,605,139.15,605,605,percent of total billed charges,605,percent of total billed charges,605,percent of total billed charges,605,percent of total billed charges,605,percent of total billed charges,605,percent of total billed charges,605,percent of total billed charges,605,percent of total billed charges,435.6,percent of total billed charges,435.6,percent of total billed charges,435.6,percent of total billed charges,435.6,percent of total billed charges,435.6,percent of total billed charges,435.6,percent of total billed charges,477.95,percent of total billed charges,477.95,percent of total billed charges,484,percent of total billed charges,484,percent of total billed charges,,,435.6,percent of total billed charges ,,,484,percent of total billed charges ,477.95,percent of total billed charges ,477.95,percent of total billed charges ,514.25,percent of total billed charges ,514.25,percent of total billed charges ,484,percent of total billed charges ,484,percent of total billed charges ,423.5,percent of total billed charges ,423.5,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 ,,,,,321.86,percent of total billed charges ,,,,,305.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,,,139.15,percent of total billed charges,
"PROTEIN, TOTAL; CSF",84157,CDM,,,,both,,,123,123,28.29,123,123,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,97.17,percent of total billed charges,97.17,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 ,97.17,percent of total billed charges ,97.17,percent of total billed charges ,104.55,percent of total billed charges ,104.55,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 ,,,,,,,,,,,,,,,,,,,28.29,percent of total billed charges,,,28.29,percent of total billed charges,,,28.29,percent of total billed charges,,,28.29,percent of total billed charges,,,28.29,percent of total billed charges,,,28.29,percent of total billed charges,,,28.29,percent of total billed charges,,,28.29,percent of total billed charges,,,28.29,percent of total billed charges,,,28.29,percent of total billed charges,,,28.29,percent of total billed charges,
"**N-TELOPEPTIDE, URINE DO NOT USE",82523,CDM,,,,both,,,271,271,62.33,271,271,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,214.09,percent of total billed charges,214.09,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 ,214.09,percent of total billed charges ,214.09,percent of total billed charges ,230.35,percent of total billed charges ,230.35,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 ,,,,,,,,,,,,,,,,,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,
**HSV BY PCR DO NOT USE,87529,CDM,,,,both,,,407,407,93.61,407,407,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,321.53,percent of total billed charges,321.53,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 ,321.53,percent of total billed charges ,321.53,percent of total billed charges ,345.95,percent of total billed charges ,345.95,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 ,,,,,,,,,,,,,,,,,,,93.61,percent of total billed charges,,,93.61,percent of total billed charges,,,93.61,percent of total billed charges,,,93.61,percent of total billed charges,,,93.61,percent of total billed charges,,,93.61,percent of total billed charges,,,93.61,percent of total billed charges,,,93.61,percent of total billed charges,,,93.61,percent of total billed charges,,,93.61,percent of total billed charges,,,93.61,percent of total billed charges,
**LIPOPROTEIN SUBCLASSESS DO NOT USE,83701,CDM,,,,both,,,144,144,33.12,144,144,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,113.76,percent of total billed charges,113.76,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 ,113.76,percent of total billed charges ,113.76,percent of total billed charges ,122.4,percent of total billed charges ,122.4,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**LEGIONELLA BY PCR DO NOT USE,87541,CDM,,,,both,,,232,232,53.36,232,232,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,183.28,percent of total billed charges,183.28,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 ,183.28,percent of total billed charges ,183.28,percent of total billed charges ,197.2,percent of total billed charges ,197.2,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 ,,,,,,,,,,,,,,,,,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,
"**ROHYPNOL, SERUM DO NOT USE",80101,CDM,,,,both,,,360,360,82.8,360,360,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,284.4,percent of total billed charges,284.4,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 ,284.4,percent of total billed charges ,284.4,percent of total billed charges ,306,percent of total billed charges ,306,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**ISOLATION PGM DO NOT USE,83891,CDM,,,,both,,,115,115,26.45,115,115,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,90.85,percent of total billed charges,90.85,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 ,90.85,percent of total billed charges ,90.85,percent of total billed charges ,97.75,percent of total billed charges ,97.75,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 ,,,,,,,,,,,,,,,,,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,
**AMPLIFICATION PGM,83898,CDM,,,,both,,,91,91,20.93,91,91,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,71.89,percent of total billed charges,71.89,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 ,71.89,percent of total billed charges ,71.89,percent of total billed charges ,77.35,percent of total billed charges ,77.35,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 ,,,,,,,,,,,,,,,,,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,
**NUCLEIC ACID PROBE 1 PGM DO NOT USE,83896,CDM,,,,both,,,24,24,5.52,24,24,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,18.96,percent of total billed charges,18.96,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 ,18.96,percent of total billed charges ,18.96,percent of total billed charges ,20.4,percent of total billed charges ,20.4,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 ,,,,,,,,,,,,,,,,,,,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,
**NUC ACID PROBE 2 PGM DO NOT USE,83896,CDM,,,,both,,,24,24,5.52,24,24,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,18.96,percent of total billed charges,18.96,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 ,18.96,percent of total billed charges ,18.96,percent of total billed charges ,20.4,percent of total billed charges ,20.4,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 ,,,,,,,,,,,,,,,,,,,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,
**SCANNING PGM DO NOT USE,83903,CDM,,,,both,,,91,91,20.93,91,91,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,71.89,percent of total billed charges,71.89,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 ,71.89,percent of total billed charges ,71.89,percent of total billed charges ,77.35,percent of total billed charges ,77.35,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 ,,,,,,,,,,,,,,,,,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,
**INTERP & REPORT PGM DO NOT USE,83912,CDM,,,,both,,,24,24,5.52,24,24,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,18.96,percent of total billed charges,18.96,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 ,18.96,percent of total billed charges ,18.96,percent of total billed charges ,20.4,percent of total billed charges ,20.4,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 ,,,,,,,,,,,,,,,,,,,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,
"**ESTROGENS, FRACTIONATED DO NOT USE",82671,CDM,,,,both,,,109,109,25.07,109,109,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,86.11,percent of total billed charges,86.11,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 ,86.11,percent of total billed charges ,86.11,percent of total billed charges ,92.65,percent of total billed charges ,92.65,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 ,,,,,,,,,,,,,,,,,,,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,
**ISOLATION FVL DO NOT USE,83891,CDM,,,,both,,,115,115,26.45,115,115,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,90.85,percent of total billed charges,90.85,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 ,90.85,percent of total billed charges ,90.85,percent of total billed charges ,97.75,percent of total billed charges ,97.75,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 ,,,,,,,,,,,,,,,,,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,
**AMPLIFICATION FVL,83898,CDM,,,,both,,,91,91,20.93,91,91,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,71.89,percent of total billed charges,71.89,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 ,71.89,percent of total billed charges ,71.89,percent of total billed charges ,77.35,percent of total billed charges ,77.35,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 ,,,,,,,,,,,,,,,,,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,
**NUCLEIC ACID PROBE 1 FVL DO NOT USE,83896,CDM,,,,both,,,24,24,5.52,24,24,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,18.96,percent of total billed charges,18.96,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 ,18.96,percent of total billed charges ,18.96,percent of total billed charges ,20.4,percent of total billed charges ,20.4,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 ,,,,,,,,,,,,,,,,,,,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,
**NUCLEIC ACID PROBE 2 FVL DO NOT USE,83896,CDM,,,,both,,,24,24,5.52,24,24,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,18.96,percent of total billed charges,18.96,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 ,18.96,percent of total billed charges ,18.96,percent of total billed charges ,20.4,percent of total billed charges ,20.4,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 ,,,,,,,,,,,,,,,,,,,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,
**SCANNING FVL DO NOT USE,83903,CDM,,,,both,,,91,91,20.93,91,91,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,71.89,percent of total billed charges,71.89,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 ,71.89,percent of total billed charges ,71.89,percent of total billed charges ,77.35,percent of total billed charges ,77.35,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 ,,,,,,,,,,,,,,,,,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,
**INTERP & REPORT FVL DO NOT USE,83912,CDM,,,,both,,,24,24,5.52,24,24,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,18.96,percent of total billed charges,18.96,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 ,18.96,percent of total billed charges ,18.96,percent of total billed charges ,20.4,percent of total billed charges ,20.4,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 ,,,,,,,,,,,,,,,,,,,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,
**MMC PTT DO NOT USE,85730,CDM,,,,both,,,101,101,23.23,101,101,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,79.79,percent of total billed charges,79.79,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 ,79.79,percent of total billed charges ,79.79,percent of total billed charges ,85.85,percent of total billed charges ,85.85,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 ,,,,,,,,,,,,,,,,,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,,,23.23,percent of total billed charges,
**MMC PROTIME DO NOT USE,85610,CDM,,,,both,,,71,71,16.33,71,71,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,56.09,percent of total billed charges,56.09,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 ,56.09,percent of total billed charges ,56.09,percent of total billed charges ,60.35,percent of total billed charges ,60.35,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 ,,,,,,,,,,,,,,,,,,,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,,,16.33,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,
**CK ISOENZYMES DO NOT USE,82552,CDM,,,,both,,,87,87,20.01,87,87,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,68.73,percent of total billed charges,68.73,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 ,68.73,percent of total billed charges ,68.73,percent of total billed charges ,73.95,percent of total billed charges ,73.95,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 ,,,,,,,,,,,,,,,,,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,
**CORTISOL; 60 MIN. POST,82533,CDM,,,,both,,,125,125,28.75,125,125,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,98.75,percent of total billed charges,98.75,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 ,98.75,percent of total billed charges ,98.75,percent of total billed charges ,106.25,percent of total billed charges ,106.25,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 ,,,,,,,,,,,,,,,,,,,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,,,28.75,percent of total billed charges,,,28.75,percent of total billed charges,,,28.75,percent of total billed charges,
**CORTISOL-BASELINE,82533,CDM,,,,both,,,125,125,28.75,125,125,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,98.75,percent of total billed charges,98.75,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 ,98.75,percent of total billed charges ,98.75,percent of total billed charges ,106.25,percent of total billed charges ,106.25,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 ,,,,,,,,,,,,,,,,,,,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,,,28.75,percent of total billed charges,,,28.75,percent of total billed charges,,,28.75,percent of total billed charges,
**CORTISOL; 30 MIN. POST DO NOT USE,82533,CDM,,,,both,,,125,125,28.75,125,125,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,98.75,percent of total billed charges,98.75,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 ,98.75,percent of total billed charges ,98.75,percent of total billed charges ,106.25,percent of total billed charges ,106.25,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 ,,,,,,,,,,,,,,,,,,,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,,,28.75,percent of total billed charges,,,28.75,percent of total billed charges,,,28.75,percent of total billed charges,
**CRP-NON HIGH SENS DO NOT USE,86140,CDM,,,,both,,,88,88,20.24,88,88,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,69.52,percent of total billed charges,69.52,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 ,69.52,percent of total billed charges ,69.52,percent of total billed charges ,74.8,percent of total billed charges ,74.8,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 ,,,,,,,,,,,,,,,,,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,
**FACTOR X ASSAY DO NOT USE,85260,CDM,,,,both,,,283,283,65.09,283,283,percent of total billed charges,283,percent of total billed charges,283,percent of total billed charges,283,percent of total billed charges,283,percent of total billed charges,283,percent of total billed charges,283,percent of total billed charges,283,percent of total billed charges,203.76,percent of total billed charges,203.76,percent of total billed charges,203.76,percent of total billed charges,203.76,percent of total billed charges,203.76,percent of total billed charges,203.76,percent of total billed charges,223.57,percent of total billed charges,223.57,percent of total billed charges,226.4,percent of total billed charges,226.4,percent of total billed charges,,,203.76,percent of total billed charges ,,,226.4,percent of total billed charges ,223.57,percent of total billed charges ,223.57,percent of total billed charges ,240.55,percent of total billed charges ,240.55,percent of total billed charges ,226.4,percent of total billed charges ,226.4,percent of total billed charges ,198.1,percent of total billed charges ,198.1,percent of total billed charges ,169.8,percent of total billed charges ,169.8,percent of total billed charges ,169.8,percent of total billed charges ,169.8,percent of total billed charges ,,,,,150.56,percent of total billed charges ,,,,,143.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.09,percent of total billed charges,,,65.09,percent of total billed charges,,,65.09,percent of total billed charges,,,65.09,percent of total billed charges,,,65.09,percent of total billed charges,,,65.09,percent of total billed charges,,,65.09,percent of total billed charges,,,65.09,percent of total billed charges,,,65.09,percent of total billed charges,,,65.09,percent of total billed charges,,,65.09,percent of total billed charges,
"**BHCG, TUMOR MARKER DO NOT USE",84702,CDM,,,,both,,,250,250,57.5,250,250,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,197.5,percent of total billed charges,197.5,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 ,197.5,percent of total billed charges ,197.5,percent of total billed charges ,212.5,percent of total billed charges ,212.5,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 ,,,,,,,,,,,,,,,,,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,
**ISOL/EXTR N ACID CF DO NOT USE,83891,CDM,,,,both,,,115,115,26.45,115,115,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,90.85,percent of total billed charges,90.85,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 ,90.85,percent of total billed charges ,90.85,percent of total billed charges ,97.75,percent of total billed charges ,97.75,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 ,,,,,,,,,,,,,,,,,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,
**N ACID PROBE CF DO NOT USE,83896,CDM,,,,both,,,65,65,14.95,65,65,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,51.35,percent of total billed charges,51.35,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 ,51.35,percent of total billed charges ,51.35,percent of total billed charges ,55.25,percent of total billed charges ,55.25,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 ,,,,,,,,,,,,,,,,,,,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,,,14.95,percent of total billed charges,,,14.95,percent of total billed charges,,,14.95,percent of total billed charges,
"**AMPLIFICATION,N ACID CF",83901,CDM,,,,both,,,266,266,61.18,266,266,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,210.14,percent of total billed charges,210.14,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 ,210.14,percent of total billed charges ,210.14,percent of total billed charges ,226.1,percent of total billed charges ,226.1,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 ,,,,,,,,,,,,,,,,,,,61.18,percent of total billed charges,,,61.18,percent of total billed charges,,,61.18,percent of total billed charges,,,61.18,percent of total billed charges,,,61.18,percent of total billed charges,,,61.18,percent of total billed charges,,,61.18,percent of total billed charges,,,61.18,percent of total billed charges,,,61.18,percent of total billed charges,,,61.18,percent of total billed charges,,,61.18,percent of total billed charges,
**DOT/SLOT/BLOT N ACID CF DO NOT USE,83893,CDM,,,,both,,,68,68,15.64,68,68,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,53.72,percent of total billed charges,53.72,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 ,53.72,percent of total billed charges ,53.72,percent of total billed charges ,57.8,percent of total billed charges ,57.8,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 ,,,,,,,,,,,,,,,,,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,
**SEPARATION BY GEL CF DO NOT USE,83894,CDM,,,,both,,,65,65,14.95,65,65,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,51.35,percent of total billed charges,51.35,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 ,51.35,percent of total billed charges ,51.35,percent of total billed charges ,55.25,percent of total billed charges ,55.25,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 ,,,,,,,,,,,,,,,,,,,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,,,14.95,percent of total billed charges,,,14.95,percent of total billed charges,,,14.95,percent of total billed charges,
"**MOLECULAR INTERP, N ACID CF DO NOT USE",83912,CDM,,,,both,,,65,65,14.95,65,65,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,51.35,percent of total billed charges,51.35,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 ,51.35,percent of total billed charges ,51.35,percent of total billed charges ,55.25,percent of total billed charges ,55.25,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 ,,,,,,,,,,,,,,,,,,,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,,,14.95,percent of total billed charges,,,14.95,percent of total billed charges,,,14.95,percent of total billed charges,
**VARICELLA ZOSTER DFA DO NOT USE,87290,CDM,,,,both,,,190,190,43.7,190,190,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,150.1,percent of total billed charges,150.1,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 ,150.1,percent of total billed charges ,150.1,percent of total billed charges ,161.5,percent of total billed charges ,161.5,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 ,,,,,,,,,,,,,,,,,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,
88HERPES SIMPLEX 1 DFA DO NOT USE,87274,CDM,,,,both,,,310,310,71.3,310,310,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,244.9,percent of total billed charges,244.9,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 ,244.9,percent of total billed charges ,244.9,percent of total billed charges ,263.5,percent of total billed charges ,263.5,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 ,,,,,,,,,,,,,,,,,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,
**HERPES SIMPLEX 2 DFA DO NOT USE,87273,CDM,,,,both,,,190,190,43.7,190,190,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,150.1,percent of total billed charges,150.1,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 ,150.1,percent of total billed charges ,150.1,percent of total billed charges ,161.5,percent of total billed charges ,161.5,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 ,,,,,,,,,,,,,,,,,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,
**VIRUS INOC SHELL VIAL DO NOT USE,87254,CDM,,,,both,,,310,310,71.3,310,310,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,244.9,percent of total billed charges,244.9,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 ,244.9,percent of total billed charges ,244.9,percent of total billed charges ,263.5,percent of total billed charges ,263.5,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 ,,,,,,,,,,,,,,,,,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,
**IMMUNO CYTO CHEMISTRY DO NOT USE,88342,CDM,,,26,both,,,285,285,65.55,285,285,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,225.15,percent of total billed charges,225.15,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 ,225.15,percent of total billed charges ,225.15,percent of total billed charges ,242.25,percent of total billed charges ,242.25,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 ,,,,,,,,,,,,,,,,,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,
**HCV QUANT BY B DNA DO NOT USE,87522,CDM,,,,both,,,709,709,163.07,709,709,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,560.11,percent of total billed charges,560.11,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 ,560.11,percent of total billed charges ,560.11,percent of total billed charges ,602.65,percent of total billed charges ,602.65,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 ,,,,,,,,,,,,,,,,,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,,,163.07,percent of total billed charges,
**NOROVIRUS EIA (STOOL) DO NOT USE,86790,CDM,,,,both,,,205,205,47.15,205,205,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,161.95,percent of total billed charges,161.95,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 ,161.95,percent of total billed charges ,161.95,percent of total billed charges ,174.25,percent of total billed charges ,174.25,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 ,,,,,,,,,,,,,,,,,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,
**FACTOR II ASSAY DO NOT USE,85210,CDM,,,,both,,,206,206,47.38,206,206,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,162.74,percent of total billed charges,162.74,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 ,162.74,percent of total billed charges ,162.74,percent of total billed charges ,175.1,percent of total billed charges ,175.1,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 ,,,,,,,,,,,,,,,,,,,47.38,percent of total billed charges,,,47.38,percent of total billed charges,,,47.38,percent of total billed charges,,,47.38,percent of total billed charges,,,47.38,percent of total billed charges,,,47.38,percent of total billed charges,,,47.38,percent of total billed charges,,,47.38,percent of total billed charges,,,47.38,percent of total billed charges,,,47.38,percent of total billed charges,,,47.38,percent of total billed charges,
**FRANCISELLA TULARENSIS AB DO NOT USE,86668,CDM,,,,both,,,165,165,37.95,165,165,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,130.35,percent of total billed charges,130.35,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 ,130.35,percent of total billed charges ,130.35,percent of total billed charges ,140.25,percent of total billed charges ,140.25,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 ,,,,,,,,,,,,,,,,,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,
**SPOROTHRIX AB DO NOT USE,86671,CDM,,,,both,,,326,326,74.98,326,326,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,257.54,percent of total billed charges,257.54,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 ,257.54,percent of total billed charges ,257.54,percent of total billed charges ,277.1,percent of total billed charges ,277.1,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 ,,,,,,,,,,,,,,,,,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,
**CYTO. MANUAL SCREEN DO NOT USE,88143,CDM,,,,both,,,319,319,73.37,319,319,percent of total billed charges,319,percent of total billed charges,319,percent of total billed charges,319,percent of total billed charges,319,percent of total billed charges,319,percent of total billed charges,319,percent of total billed charges,319,percent of total billed charges,229.68,percent of total billed charges,229.68,percent of total billed charges,229.68,percent of total billed charges,229.68,percent of total billed charges,229.68,percent of total billed charges,229.68,percent of total billed charges,252.01,percent of total billed charges,252.01,percent of total billed charges,255.2,percent of total billed charges,255.2,percent of total billed charges,,,229.68,percent of total billed charges ,,,255.2,percent of total billed charges ,252.01,percent of total billed charges ,252.01,percent of total billed charges ,271.15,percent of total billed charges ,271.15,percent of total billed charges ,255.2,percent of total billed charges ,255.2,percent of total billed charges ,223.3,percent of total billed charges ,223.3,percent of total billed charges ,191.4,percent of total billed charges ,191.4,percent of total billed charges ,191.4,percent of total billed charges ,191.4,percent of total billed charges ,,,,,169.71,percent of total billed charges ,,,,,161.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,73.37,percent of total billed charges,,,73.37,percent of total billed charges,,,73.37,percent of total billed charges,,,73.37,percent of total billed charges,,,73.37,percent of total billed charges,,,73.37,percent of total billed charges,,,73.37,percent of total billed charges,,,73.37,percent of total billed charges,,,73.37,percent of total billed charges,,,73.37,percent of total billed charges,,,73.37,percent of total billed charges,
**LEPTOSPIRA ANTIBODY DO NOT USE,86720,CDM,,,,both,,,209,209,48.07,209,209,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,165.11,percent of total billed charges,165.11,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 ,165.11,percent of total billed charges ,165.11,percent of total billed charges ,177.65,percent of total billed charges ,177.65,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 ,,,,,,,,,,,,,,,,,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,
**LIVER-KIDNEY MICROSOME-1 Ab DO NOT USE,86376,CDM,,,,both,,,231,231,53.13,231,231,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,182.49,percent of total billed charges,182.49,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 ,182.49,percent of total billed charges ,182.49,percent of total billed charges ,196.35,percent of total billed charges ,196.35,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 ,,,,,,,,,,,,,,,,,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,,,53.13,percent of total billed charges,
**CSF PROTEIN ELECTROPHORESIS DO NOT USE,84166,CDM,,,,both,,,282,282,64.86,282,282,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,222.78,percent of total billed charges,222.78,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 ,222.78,percent of total billed charges ,222.78,percent of total billed charges ,239.7,percent of total billed charges ,239.7,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 ,,,,,,,,,,,,,,,,,,,64.86,percent of total billed charges,,,64.86,percent of total billed charges,,,64.86,percent of total billed charges,,,64.86,percent of total billed charges,,,64.86,percent of total billed charges,,,64.86,percent of total billed charges,,,64.86,percent of total billed charges,,,64.86,percent of total billed charges,,,64.86,percent of total billed charges,,,64.86,percent of total billed charges,,,64.86,percent of total billed charges,
**PORPHOBILINOGEN DEAMINASE DO NOT USE,82657,CDM,,,,both,,,347,347,79.81,347,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,274.13,percent of total billed charges,274.13,percent of total billed charges,277.6,percent of total billed charges,277.6,percent of total billed charges,,,249.84,percent of total billed charges ,,,277.6,percent of total billed charges ,274.13,percent of total billed charges ,274.13,percent of total billed charges ,294.95,percent of total billed charges ,294.95,percent of total billed charges ,277.6,percent of total billed charges ,277.6,percent of total billed charges ,242.9,percent of total billed charges ,242.9,percent of total billed charges ,208.2,percent of total billed charges ,208.2,percent of total billed charges ,208.2,percent of total billed charges ,208.2,percent of total billed charges ,,,,,184.6,percent of total billed charges ,,,,,175.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,
**PARASITE MACROSCOPIC EXAM DO NOT USE,87169,CDM,,,,both,,,79,79,18.17,79,79,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,62.41,percent of total billed charges,62.41,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 ,62.41,percent of total billed charges ,62.41,percent of total billed charges ,67.15,percent of total billed charges ,67.15,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 ,,,,,,,,,,,,,,,,,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,
**TISSUE IHC (PRA) DO NOT USE,88360,CDM,,,,both,,,199,199,45.77,199,199,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,157.21,percent of total billed charges,157.21,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 ,157.21,percent of total billed charges ,157.21,percent of total billed charges ,169.15,percent of total billed charges ,169.15,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 ,,,,,,,,,,,,,,,,,,,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,,,45.77,percent of total billed charges,,,45.77,percent of total billed charges,,,45.77,percent of total billed charges,
**TISSUE IHC (ERA) DO NOT USE,88360,CDM,,,,both,,,199,199,45.77,199,199,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,157.21,percent of total billed charges,157.21,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 ,157.21,percent of total billed charges ,157.21,percent of total billed charges ,169.15,percent of total billed charges ,169.15,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 ,,,,,,,,,,,,,,,,,,,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,,,45.77,percent of total billed charges,,,45.77,percent of total billed charges,,,45.77,percent of total billed charges,
**HER-2-NEUTO CHEMISTRY DO NOT USE,88361,CDM,,,,both,,,309,309,71.07,309,309,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,244.11,percent of total billed charges,244.11,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 ,244.11,percent of total billed charges ,244.11,percent of total billed charges ,262.65,percent of total billed charges ,262.65,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 ,,,,,,,,,,,,,,,,,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,,,71.07,percent of total billed charges,
**CSF ENTEROVIRAL STUDY DO NOT USE,87798,CDM,,,,both,,,374,374,86.02,374,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,269.28,percent of total billed charges,269.28,percent of total billed charges,269.28,percent of total billed charges,269.28,percent of total billed charges,269.28,percent of total billed charges,269.28,percent of total billed charges,295.46,percent of total billed charges,295.46,percent of total billed charges,299.2,percent of total billed charges,299.2,percent of total billed charges,,,269.28,percent of total billed charges ,,,299.2,percent of total billed charges ,295.46,percent of total billed charges ,295.46,percent of total billed charges ,317.9,percent of total billed charges ,317.9,percent of total billed charges ,299.2,percent of total billed charges ,299.2,percent of total billed charges ,261.8,percent of total billed charges ,261.8,percent of total billed charges ,224.4,percent of total billed charges ,224.4,percent of total billed charges ,224.4,percent of total billed charges ,224.4,percent of total billed charges ,,,,,198.97,percent of total billed charges ,,,,,189.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,
"**CALCIUM, URINE QUANT. DO NOT USE",82340,CDM,,,,both,,,97,97,22.31,97,97,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,76.63,percent of total billed charges,76.63,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 ,76.63,percent of total billed charges ,76.63,percent of total billed charges ,82.45,percent of total billed charges ,82.45,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 ,,,,,,,,,,,,,,,,,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,,,22.31,percent of total billed charges,
**ISOL/EXT TPMT,83891,CDM,,,,both,,,115,115,26.45,115,115,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,90.85,percent of total billed charges,90.85,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 ,90.85,percent of total billed charges ,90.85,percent of total billed charges ,97.75,percent of total billed charges ,97.75,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 ,,,,,,,,,,,,,,,,,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,
**AMPLIFICATION TPMT,83898,CDM,,,,both,,,249,249,57.27,249,249,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,196.71,percent of total billed charges,196.71,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 ,196.71,percent of total billed charges ,196.71,percent of total billed charges ,211.65,percent of total billed charges ,211.65,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 ,,,,,,,,,,,,,,,,,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,
**NUCLEIC ACID PROBE TPMT,83896,CDM,,,,both,,,118,118,27.14,118,118,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,93.22,percent of total billed charges,93.22,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 ,93.22,percent of total billed charges ,93.22,percent of total billed charges ,100.3,percent of total billed charges ,100.3,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 ,,,,,,,,,,,,,,,,,,,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,,,27.14,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,
**INTERP/REPORT TPMT,83896,CDM,,,,both,,,114,114,26.22,114,114,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,90.06,percent of total billed charges,90.06,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 ,90.06,percent of total billed charges ,90.06,percent of total billed charges ,96.9,percent of total billed charges ,96.9,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 ,,,,,,,,,,,,,,,,,,,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,,,26.22,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,
"**HCV RNA QUAL, BY PCR",87521,CDM,,,,both,,,571,571,131.33,571,571,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,451.09,percent of total billed charges,451.09,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 ,451.09,percent of total billed charges ,451.09,percent of total billed charges ,485.35,percent of total billed charges ,485.35,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 ,,,,,,,,,,,,,,,,,,,131.33,percent of total billed charges,,,131.33,percent of total billed charges,,,131.33,percent of total billed charges,,,131.33,percent of total billed charges,,,131.33,percent of total billed charges,,,131.33,percent of total billed charges,,,131.33,percent of total billed charges,,,131.33,percent of total billed charges,,,131.33,percent of total billed charges,,,131.33,percent of total billed charges,,,131.33,percent of total billed charges,
"GENTAMICIN, RANDOM",80170,CDM,,,,both,,,241,241,55.43,241,241,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,190.39,percent of total billed charges,190.39,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 ,190.39,percent of total billed charges ,190.39,percent of total billed charges ,204.85,percent of total billed charges ,204.85,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 ,,,,,,,,,,,,,,,,,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,,,55.43,percent of total billed charges,
.CULTURE URINE REFLEX,87086,CDM,,,,both,,,163,163,37.49,163,163,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,128.77,percent of total billed charges,128.77,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 ,128.77,percent of total billed charges ,128.77,percent of total billed charges ,138.55,percent of total billed charges ,138.55,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 ,,,,,,,,,,,,,,,,,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,
**OXYCODONE MEDTOX,80101,CDM,,,,both,,,156,156,35.88,156,156,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,123.24,percent of total billed charges,123.24,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 ,123.24,percent of total billed charges ,123.24,percent of total billed charges ,132.6,percent of total billed charges ,132.6,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 ,,,,,,,,,,,,,,,,,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,
**PHENCYCLIDINE MEDTOX,80101,CDM,,,,both,,,156,156,35.88,156,156,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,123.24,percent of total billed charges,123.24,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 ,123.24,percent of total billed charges ,123.24,percent of total billed charges ,132.6,percent of total billed charges ,132.6,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 ,,,,,,,,,,,,,,,,,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,
OCC BLD SCREEN-IMMUNO FECAL,G0328,CDM,,,,both,,,134,134,30.82,134,134,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,105.86,percent of total billed charges,105.86,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 ,105.86,percent of total billed charges ,105.86,percent of total billed charges ,113.9,percent of total billed charges ,113.9,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,30.82,percent of total billed charges,,,30.82,percent of total billed charges,,,30.82,percent of total billed charges,
OCC  BLD DIAG-IMMUNO FECAL,82274,CDM,,,,both,,,157,157,36.11,157,157,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,124.03,percent of total billed charges,124.03,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 ,124.03,percent of total billed charges ,124.03,percent of total billed charges ,133.45,percent of total billed charges ,133.45,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 ,,,,,,,,,,,,,,,,,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,
"**RUBELLA ANTIBODY, IgG",86762,CDM,,,,both,,,194,194,44.62,194,194,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,153.26,percent of total billed charges,153.26,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 ,153.26,percent of total billed charges ,153.26,percent of total billed charges ,164.9,percent of total billed charges ,164.9,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 ,,,,,,,,,,,,,,,,,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,
"LEGIONELLA PNEUMOPHILA ANTIGEN, URINE",87449,CDM,,,,both,,,189,189,43.47,189,189,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,149.31,percent of total billed charges,149.31,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 ,149.31,percent of total billed charges ,149.31,percent of total billed charges ,160.65,percent of total billed charges ,160.65,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 ,,,,,,,,,,,,,,,,,,,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,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,
"STREP PNEUMONIAE ANTIGEN, URINE",87449,CDM,,,,both,,,189,189,43.47,189,189,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,149.31,percent of total billed charges,149.31,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 ,149.31,percent of total billed charges ,149.31,percent of total billed charges ,160.65,percent of total billed charges ,160.65,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 ,,,,,,,,,,,,,,,,,,,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,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,
"**OCC.BLD,SCREEN-PEROX,FECAL",82270,CDM,,,,both,,,54,54,12.42,54,54,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,42.66,percent of total billed charges,42.66,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 ,42.66,percent of total billed charges ,42.66,percent of total billed charges ,45.9,percent of total billed charges ,45.9,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 ,,,,,,,,,,,,,,,,,,,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,,,12.42,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,
CSF CELL COUNT W/O DIFF,89050,CDM,,,,both,,,185,185,42.55,185,185,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,146.15,percent of total billed charges,146.15,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 ,146.15,percent of total billed charges ,146.15,percent of total billed charges ,157.25,percent of total billed charges ,157.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,42.55,percent of total billed charges,,,42.55,percent of total billed charges,,,42.55,percent of total billed charges,
COLLECTION FOR DNA DIAGNOSTICS,Local ,Local ,,,,both,,,45,45,10.35,45,45,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,35.55,percent of total billed charges,35.55,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 ,35.55,percent of total billed charges ,35.55,percent of total billed charges ,38.25,percent of total billed charges ,38.25,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 ,,,,,,,,,,,,,,,,,,,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,
FIBRINOGEN,85384,CDM,,,,both,,,183,183,42.09,183,183,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,144.57,percent of total billed charges,144.57,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 ,144.57,percent of total billed charges ,144.57,percent of total billed charges ,155.55,percent of total billed charges ,155.55,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 ,,,,,,,,,,,,,,,,,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,
D-DIMER,85378,CDM,,,,both,,,201,201,46.23,201,201,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,158.79,percent of total billed charges,158.79,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 ,158.79,percent of total billed charges ,158.79,percent of total billed charges ,170.85,percent of total billed charges ,170.85,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 ,,,,,,,,,,,,,,,,,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,
ALMH DOT MTOX,80305,CDM,,,,both,,,81,81,18.63,81,81,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,63.99,percent of total billed charges,63.99,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 ,63.99,percent of total billed charges ,63.99,percent of total billed charges ,68.85,percent of total billed charges ,68.85,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 ,,,,,,,,,,,,,,,,,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,
IRON/IRON STUDY,83540,CDM,,,,both,,,111,111,25.53,111,111,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,87.69,percent of total billed charges,87.69,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 ,87.69,percent of total billed charges ,87.69,percent of total billed charges ,94.35,percent of total billed charges ,94.35,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 ,,,,,,,,,,,,,,,,,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,
TRANSFERRIN/IRON STUDY,84466,CDM,,,,both,,,166,166,38.18,166,166,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,131.14,percent of total billed charges,131.14,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 ,131.14,percent of total billed charges ,131.14,percent of total billed charges ,141.1,percent of total billed charges ,141.1,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 ,,,,,,,,,,,,,,,,,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,
BROTH ENRICHMENT,87015,CDM,,,,both,,,85,85,19.55,85,85,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,67.15,percent of total billed charges,67.15,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 ,67.15,percent of total billed charges ,67.15,percent of total billed charges ,72.25,percent of total billed charges ,72.25,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 ,,,,,,,,,,,,,,,,,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,
INFECTIOUS AGENT (TOXIN 1),87899,CDM,,,TC,both,,,122,122,28.06,122,122,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,96.38,percent of total billed charges,96.38,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 ,96.38,percent of total billed charges ,96.38,percent of total billed charges ,103.7,percent of total billed charges ,103.7,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 ,,,,,,,,,,,,,,,,,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,
INFECTIOUS AGENT (TOXIN 2),87899,CDM,,,TC,both,,,122,122,28.06,122,122,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,96.38,percent of total billed charges,96.38,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 ,96.38,percent of total billed charges ,96.38,percent of total billed charges ,103.7,percent of total billed charges ,103.7,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 ,,,,,,,,,,,,,,,,,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,
**MRSA SCREEN DISCHARGE,87081,CDM,,,,both,,,189,189,43.47,189,189,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,149.31,percent of total billed charges,149.31,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 ,149.31,percent of total billed charges ,149.31,percent of total billed charges ,160.65,percent of total billed charges ,160.65,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 ,,,,,,,,,,,,,,,,,,,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,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,
"OCC.BLD,SCREEN,PEROX,FECAL",82270,CDM,,,,both,,,90,90,20.7,90,90,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,71.1,percent of total billed charges,71.1,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 ,71.1,percent of total billed charges ,71.1,percent of total billed charges ,76.5,percent of total billed charges ,76.5,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
BASIC METABOLIC PROFILE (ETOH),80048,CDM,,,,both,,,294,294,67.62,294,294,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,232.26,percent of total billed charges,232.26,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 ,232.26,percent of total billed charges ,232.26,percent of total billed charges ,249.9,percent of total billed charges ,249.9,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
DIGOXIN LEVEL (CHF),80162,CDM,,,,both,,,265,265,60.95,265,265,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,209.35,percent of total billed charges,209.35,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 ,209.35,percent of total billed charges ,209.35,percent of total billed charges ,225.25,percent of total billed charges ,225.25,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 ,,,,,,,,,,,,,,,,,,,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,,,60.95,percent of total billed charges,,,60.95,percent of total billed charges,,,60.95,percent of total billed charges,
**CBC (CHF) WITH DIFERENTIAL AND REFLEXE,85025,CDM,,,,both,,,193,193,44.39,193,193,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,152.47,percent of total billed charges,152.47,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 ,152.47,percent of total billed charges ,152.47,percent of total billed charges ,164.05,percent of total billed charges ,164.05,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 ,,,,,,,,,,,,,,,,,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,
COMPREHENSIVE METABOLIC PANEL(CHF),80053,CDM,,,,both,,,382,382,87.86,382,382,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,301.78,percent of total billed charges,301.78,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 ,301.78,percent of total billed charges ,301.78,percent of total billed charges ,324.7,percent of total billed charges ,324.7,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 ,,,,,,,,,,,,,,,,,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,
**BN PEPTIDE (CHF),83880,CDM,,,,both,,,428,428,98.44,428,428,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,338.12,percent of total billed charges,338.12,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 ,338.12,percent of total billed charges ,338.12,percent of total billed charges ,363.8,percent of total billed charges ,363.8,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 ,,,,,,,,,,,,,,,,,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,
PROTIME (CHF),85610,CDM,,,,both,,,116,116,26.68,116,116,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,91.64,percent of total billed charges,91.64,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 ,91.64,percent of total billed charges ,91.64,percent of total billed charges ,98.6,percent of total billed charges ,98.6,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 ,,,,,,,,,,,,,,,,,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,
MAGNESIUM LEVEL (CHF),83735,CDM,,,,both,,,159,159,36.57,159,159,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,125.61,percent of total billed charges,125.61,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 ,125.61,percent of total billed charges ,125.61,percent of total billed charges ,135.15,percent of total billed charges ,135.15,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,36.57,percent of total billed charges,,,36.57,percent of total billed charges,,,36.57,percent of total billed charges,
TSH (CHF),84443,CDM,,,,both,,,285,285,65.55,285,285,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,225.15,percent of total billed charges,225.15,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 ,225.15,percent of total billed charges ,225.15,percent of total billed charges ,242.25,percent of total billed charges ,242.25,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 ,,,,,,,,,,,,,,,,,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,
IRON STUDY (CHF),83550,CDM,,,,both,,,128,128,29.44,128,128,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,101.12,percent of total billed charges,101.12,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 ,101.12,percent of total billed charges ,101.12,percent of total billed charges ,108.8,percent of total billed charges ,108.8,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**BLOOD GAS ANALYSIS (COPD),82805,CDM,,,,both,,,528,528,121.44,528,528,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,417.12,percent of total billed charges,417.12,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 ,417.12,percent of total billed charges ,417.12,percent of total billed charges ,448.8,percent of total billed charges ,448.8,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
BASIC METABOLIC PROFILE (COPD),80048,CDM,,,,both,,,294,294,67.62,294,294,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,232.26,percent of total billed charges,232.26,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 ,232.26,percent of total billed charges ,232.26,percent of total billed charges ,249.9,percent of total billed charges ,249.9,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**CBC (COPD) WITH DIFFERENTIAL AND,85025,CDM,,,,both,,,193,193,44.39,193,193,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,152.47,percent of total billed charges,152.47,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 ,152.47,percent of total billed charges ,152.47,percent of total billed charges ,164.05,percent of total billed charges ,164.05,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 ,,,,,,,,,,,,,,,,,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,
THEOPHYLLINE(COPD),80198,CDM,,,,both,,,273,273,62.79,273,273,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,215.67,percent of total billed charges,215.67,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 ,215.67,percent of total billed charges ,215.67,percent of total billed charges ,232.05,percent of total billed charges ,232.05,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
CULTURE SPUTUM (COPD),87070,CDM,,,,both,,,205,205,47.15,205,205,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,161.95,percent of total billed charges,161.95,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 ,161.95,percent of total billed charges ,161.95,percent of total billed charges ,174.25,percent of total billed charges ,174.25,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 ,,,,,,,,,,,,,,,,,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,
"STREP PNEUMONIAE ANTIGEN, URINE (COPD)",87449,CDM,,,,both,,,273,273,62.79,273,273,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,215.67,percent of total billed charges,215.67,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 ,215.67,percent of total billed charges ,215.67,percent of total billed charges ,232.05,percent of total billed charges ,232.05,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
"LEGIONELLA PNEU ANTI, URINE (COPD)",87449,CDM,,,,both,,,273,273,62.79,273,273,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,215.67,percent of total billed charges,215.67,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 ,215.67,percent of total billed charges ,215.67,percent of total billed charges ,232.05,percent of total billed charges ,232.05,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**CBC (PNEUMONIA) W/ DIFFERENTIAL &,85025,CDM,,,,both,,,193,193,44.39,193,193,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,152.47,percent of total billed charges,152.47,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 ,152.47,percent of total billed charges ,152.47,percent of total billed charges ,164.05,percent of total billed charges ,164.05,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 ,,,,,,,,,,,,,,,,,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,
CULTURE BLOOD (PNEUMONIA),87040,CDM,,,,both,,,392,392,90.16,392,392,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,309.68,percent of total billed charges,309.68,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 ,309.68,percent of total billed charges ,309.68,percent of total billed charges ,333.2,percent of total billed charges ,333.2,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 ,,,,,,,,,,,,,,,,,,,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,
COMPREHENSIVE METABOLIC PANEL(PNEUMONIA),80053,CDM,,,,both,,,382,382,87.86,382,382,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,301.78,percent of total billed charges,301.78,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 ,301.78,percent of total billed charges ,301.78,percent of total billed charges ,324.7,percent of total billed charges ,324.7,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 ,,,,,,,,,,,,,,,,,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,
CULTURE SPUTUM (PNEUMONIA),87070,CDM,,,,both,,,273,273,62.79,273,273,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,215.67,percent of total billed charges,215.67,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 ,215.67,percent of total billed charges ,215.67,percent of total billed charges ,232.05,percent of total billed charges ,232.05,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
"LEGIONELLA PNEUMOPHILA  AG, URINE(PNEU)",87449,CDM,,,,both,,,273,273,62.79,273,273,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,215.67,percent of total billed charges,215.67,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 ,215.67,percent of total billed charges ,215.67,percent of total billed charges ,232.05,percent of total billed charges ,232.05,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
"STREP PNEUMONIAE ANTIGEN, URINE (PNEUMON",87449,CDM,,,,both,,,189,189,43.47,189,189,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,149.31,percent of total billed charges,149.31,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 ,149.31,percent of total billed charges ,149.31,percent of total billed charges ,160.65,percent of total billed charges ,160.65,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 ,,,,,,,,,,,,,,,,,,,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,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,
PROTIME(POST OP),85610,CDM,,,,both,,,116,116,26.68,116,116,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,91.64,percent of total billed charges,91.64,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 ,91.64,percent of total billed charges ,91.64,percent of total billed charges ,98.6,percent of total billed charges ,98.6,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 ,,,,,,,,,,,,,,,,,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,
BASIC METABOLIC PROFILE (POST OP),80048,CDM,,,,both,,,294,294,67.62,294,294,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,232.26,percent of total billed charges,232.26,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 ,232.26,percent of total billed charges ,232.26,percent of total billed charges ,249.9,percent of total billed charges ,249.9,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**CBC (L & D) W/ DIFFERENTIAL AND,85025,CDM,,,,both,,,193,193,44.39,193,193,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,152.47,percent of total billed charges,152.47,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 ,152.47,percent of total billed charges ,152.47,percent of total billed charges ,164.05,percent of total billed charges ,164.05,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 ,,,,,,,,,,,,,,,,,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,
CREATININE (PIH),82565,CDM,,,,both,,,98,98,22.54,98,98,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,77.42,percent of total billed charges,77.42,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 ,77.42,percent of total billed charges ,77.42,percent of total billed charges ,83.3,percent of total billed charges ,83.3,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 ,,,,,,,,,,,,,,,,,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,
**RPR (L & D),86592,CDM,,,,both,,,121,121,27.83,121,121,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,95.59,percent of total billed charges,95.59,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 ,95.59,percent of total billed charges ,95.59,percent of total billed charges ,102.85,percent of total billed charges ,102.85,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,27.83,percent of total billed charges,,,27.83,percent of total billed charges,,,27.83,percent of total billed charges,
URIC ACID (PIH),84550,CDM,,,,both,,,135,135,31.05,135,135,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,106.65,percent of total billed charges,106.65,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 ,106.65,percent of total billed charges ,106.65,percent of total billed charges ,114.75,percent of total billed charges ,114.75,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 ,,,,,,,,,,,,,,,,,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,
HEPATIC FUNCTION PANEL (PIH),80076,CDM,,,,both,,,273,273,62.79,273,273,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,215.67,percent of total billed charges,215.67,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 ,215.67,percent of total billed charges ,215.67,percent of total billed charges ,232.05,percent of total billed charges ,232.05,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**CBC (HEMORRHAGE) W/ DIFFERENTIAL &,85025,CDM,,,,both,,,193,193,44.39,193,193,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,152.47,percent of total billed charges,152.47,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 ,152.47,percent of total billed charges ,152.47,percent of total billed charges ,164.05,percent of total billed charges ,164.05,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 ,,,,,,,,,,,,,,,,,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,
PROTIME (HEMORRHAGE),85610,CDM,,,,both,,,116,116,26.68,116,116,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,91.64,percent of total billed charges,91.64,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 ,91.64,percent of total billed charges ,91.64,percent of total billed charges ,98.6,percent of total billed charges ,98.6,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 ,,,,,,,,,,,,,,,,,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,
PTT (HEMORRHAGE),85730,CDM,,,,both,,,186,186,42.78,186,186,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,146.94,percent of total billed charges,146.94,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 ,146.94,percent of total billed charges ,146.94,percent of total billed charges ,158.1,percent of total billed charges ,158.1,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 ,,,,,,,,,,,,,,,,,,,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,
FIBRINOGEN (HEMORRHAGE),85384,CDM,,,,both,,,232,232,53.36,232,232,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,183.28,percent of total billed charges,183.28,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 ,183.28,percent of total billed charges ,183.28,percent of total billed charges ,197.2,percent of total billed charges ,197.2,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 ,,,,,,,,,,,,,,,,,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,
D-DIMER (HEMORRHAGE),85378,CDM,,,,both,,,272,272,62.56,272,272,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,214.88,percent of total billed charges,214.88,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 ,214.88,percent of total billed charges ,214.88,percent of total billed charges ,231.2,percent of total billed charges ,231.2,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 ,,,,,,,,,,,,,,,,,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,
FDP (HEMORRHAGE),85362,CDM,,,,both,,,199,199,45.77,199,199,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,157.21,percent of total billed charges,157.21,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 ,157.21,percent of total billed charges ,157.21,percent of total billed charges ,169.15,percent of total billed charges ,169.15,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 ,,,,,,,,,,,,,,,,,,,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,,,45.77,percent of total billed charges,,,45.77,percent of total billed charges,,,45.77,percent of total billed charges,
**CBC (POST OP) W/DIFFERENTIAL &,85025,CDM,,,,both,,,193,193,44.39,193,193,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,152.47,percent of total billed charges,152.47,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 ,152.47,percent of total billed charges ,152.47,percent of total billed charges ,164.05,percent of total billed charges ,164.05,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 ,,,,,,,,,,,,,,,,,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,
**BN PEPTIDE DAILY,83880,CDM,,,,both,,,428,428,98.44,428,428,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,338.12,percent of total billed charges,338.12,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 ,338.12,percent of total billed charges ,338.12,percent of total billed charges ,363.8,percent of total billed charges ,363.8,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 ,,,,,,,,,,,,,,,,,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,,,98.44,percent of total billed charges,
CHARGE GENERAL HEALTH PANEL,80050,CDM,,,,both,,,560,560,128.8,560,560,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,442.4,percent of total billed charges,442.4,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 ,442.4,percent of total billed charges ,442.4,percent of total billed charges ,476,percent of total billed charges ,476,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 ,,,,,,,,,,,,,,,,,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,
COMPREHENSIVE METABOLIC PANEL DAILY,80053,CDM,,,,both,,,338,338,77.74,338,338,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,267.02,percent of total billed charges,267.02,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 ,267.02,percent of total billed charges ,267.02,percent of total billed charges ,287.3,percent of total billed charges ,287.3,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 ,,,,,,,,,,,,,,,,,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,,,77.74,percent of total billed charges,
AMYLASE DAILY,82150,CDM,,,,both,,,216,216,49.68,216,216,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,216,percent of total billed charges,216,percent of total billed charges,216,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,172.8,percent of total billed charges,172.8,percent of total billed charges,,,155.52,percent of total billed charges ,,,172.8,percent of total billed charges ,170.64,percent of total billed charges ,170.64,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,172.8,percent of total billed charges ,172.8,percent of total billed charges ,151.2,percent of total billed charges ,151.2,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 ,,,,,114.91,percent of total billed charges ,,,,,109.17,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,,,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,
LIPASE DAILY,83690,CDM,,,,both,,,173,173,39.79,173,173,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,136.67,percent of total billed charges,136.67,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 ,136.67,percent of total billed charges ,136.67,percent of total billed charges ,147.05,percent of total billed charges ,147.05,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 ,,,,,,,,,,,,,,,,,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,
BASIC METABOLIC PROFILE (SURGICAL),80048,CDM,,,,both,,,294,294,67.62,294,294,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,232.26,percent of total billed charges,232.26,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 ,232.26,percent of total billed charges ,232.26,percent of total billed charges ,249.9,percent of total billed charges ,249.9,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
CULTURE VRE,87081,CDM,,,,both,,,184,184,42.32,184,184,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,145.36,percent of total billed charges,145.36,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 ,145.36,percent of total billed charges ,145.36,percent of total billed charges ,156.4,percent of total billed charges ,156.4,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 ,,,,,,,,,,,,,,,,,,,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,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,
**C DIFFICILE TOXIN #2,87324,CDM,,,,both,,,307,307,70.61,307,307,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,242.53,percent of total billed charges,242.53,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 ,242.53,percent of total billed charges ,242.53,percent of total billed charges ,260.95,percent of total billed charges ,260.95,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 ,,,,,,,,,,,,,,,,,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,
CULTURE IV CATHETER TIP,87070,CDM,,,,both,,,205,205,47.15,205,205,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,161.95,percent of total billed charges,161.95,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 ,161.95,percent of total billed charges ,161.95,percent of total billed charges ,174.25,percent of total billed charges ,174.25,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 ,,,,,,,,,,,,,,,,,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,
LITHIUM SERUM,80178,CDM,,,,both,,,174,174,40.02,174,174,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,137.46,percent of total billed charges,137.46,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 ,137.46,percent of total billed charges ,137.46,percent of total billed charges ,147.9,percent of total billed charges ,147.9,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**HOMOCYSTEINE,83090,CDM,,,,both,,,358,358,82.34,358,358,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,282.82,percent of total billed charges,282.82,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 ,282.82,percent of total billed charges ,282.82,percent of total billed charges ,304.3,percent of total billed charges ,304.3,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 ,,,,,,,,,,,,,,,,,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,
CORTISOL SERUM TOTAL  AM,82533,CDM,,,,both,,,228,228,52.44,228,228,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,180.12,percent of total billed charges,180.12,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 ,180.12,percent of total billed charges ,180.12,percent of total billed charges ,193.8,percent of total billed charges ,193.8,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 ,,,,,,,,,,,,,,,,,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,
FSH,83001,CDM,,,,both,,,291,291,66.93,291,291,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,229.89,percent of total billed charges,229.89,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 ,229.89,percent of total billed charges ,229.89,percent of total billed charges ,247.35,percent of total billed charges ,247.35,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 ,,,,,,,,,,,,,,,,,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,
CYCLOSPORINE,80158,CDM,,,,both,,,347,347,79.81,347,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,274.13,percent of total billed charges,274.13,percent of total billed charges,277.6,percent of total billed charges,277.6,percent of total billed charges,,,249.84,percent of total billed charges ,,,277.6,percent of total billed charges ,274.13,percent of total billed charges ,274.13,percent of total billed charges ,294.95,percent of total billed charges ,294.95,percent of total billed charges ,277.6,percent of total billed charges ,277.6,percent of total billed charges ,242.9,percent of total billed charges ,242.9,percent of total billed charges ,208.2,percent of total billed charges ,208.2,percent of total billed charges ,208.2,percent of total billed charges ,208.2,percent of total billed charges ,,,,,184.6,percent of total billed charges ,,,,,175.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,
PREALBUMIN,84134,CDM,,,,both,,,209,209,48.07,209,209,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,165.11,percent of total billed charges,165.11,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 ,165.11,percent of total billed charges ,165.11,percent of total billed charges ,177.65,percent of total billed charges ,177.65,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 ,,,,,,,,,,,,,,,,,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,
PROLACTIN,84146,CDM,,,,both,,,258,258,59.34,258,258,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,203.82,percent of total billed charges,203.82,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 ,203.82,percent of total billed charges ,203.82,percent of total billed charges ,219.3,percent of total billed charges ,219.3,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 ,,,,,,,,,,,,,,,,,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,
LH,83002,CDM,,,,both,,,291,291,66.93,291,291,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,229.89,percent of total billed charges,229.89,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 ,229.89,percent of total billed charges ,229.89,percent of total billed charges ,247.35,percent of total billed charges ,247.35,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 ,,,,,,,,,,,,,,,,,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,
MICROALBUMIN URINE,82043,CDM,,,,both,,,162,162,37.26,162,162,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,127.98,percent of total billed charges,127.98,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 ,127.98,percent of total billed charges ,127.98,percent of total billed charges ,137.7,percent of total billed charges ,137.7,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 ,,,,,,,,,,,,,,,,,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,
INSULIN SERUM TOTAL,83525,CDM,,,,both,,,192,192,44.16,192,192,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,151.68,percent of total billed charges,151.68,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 ,151.68,percent of total billed charges ,151.68,percent of total billed charges ,163.2,percent of total billed charges ,163.2,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 ,,,,,,,,,,,,,,,,,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,
TACROLIMUS,80197,CDM,,,,both,,,385,385,88.55,385,385,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,304.15,percent of total billed charges,304.15,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 ,304.15,percent of total billed charges ,304.15,percent of total billed charges ,327.25,percent of total billed charges ,327.25,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 ,,,,,,,,,,,,,,,,,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,
PTH,83970,CDM,,,,both,,,473,473,108.79,473,473,percent of total billed charges,473,percent of total billed charges,473,percent of total billed charges,473,percent of total billed charges,473,percent of total billed charges,473,percent of total billed charges,473,percent of total billed charges,473,percent of total billed charges,340.56,percent of total billed charges,340.56,percent of total billed charges,340.56,percent of total billed charges,340.56,percent of total billed charges,340.56,percent of total billed charges,340.56,percent of total billed charges,373.67,percent of total billed charges,373.67,percent of total billed charges,378.4,percent of total billed charges,378.4,percent of total billed charges,,,340.56,percent of total billed charges ,,,378.4,percent of total billed charges ,373.67,percent of total billed charges ,373.67,percent of total billed charges ,402.05,percent of total billed charges ,402.05,percent of total billed charges ,378.4,percent of total billed charges ,378.4,percent of total billed charges ,331.1,percent of total billed charges ,331.1,percent of total billed charges ,283.8,percent of total billed charges ,283.8,percent of total billed charges ,283.8,percent of total billed charges ,283.8,percent of total billed charges ,,,,,251.64,percent of total billed charges ,,,,,239.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,108.79,percent of total billed charges,,,108.79,percent of total billed charges,,,108.79,percent of total billed charges,,,108.79,percent of total billed charges,,,108.79,percent of total billed charges,,,108.79,percent of total billed charges,,,108.79,percent of total billed charges,,,108.79,percent of total billed charges,,,108.79,percent of total billed charges,,,108.79,percent of total billed charges,,,108.79,percent of total billed charges,
PROGESTERONE,84144,CDM,,,,both,,,288,288,66.24,288,288,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,227.52,percent of total billed charges,227.52,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 ,227.52,percent of total billed charges ,227.52,percent of total billed charges ,244.8,percent of total billed charges ,244.8,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**CA 125,86304,CDM,,,,both,,,316,316,72.68,316,316,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,249.64,percent of total billed charges,249.64,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 ,249.64,percent of total billed charges ,249.64,percent of total billed charges ,268.6,percent of total billed charges ,268.6,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,72.68,percent of total billed charges,,,72.68,percent of total billed charges,,,72.68,percent of total billed charges,
**CA 15-3,86300,CDM,,,,both,,,290,290,66.7,290,290,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,229.1,percent of total billed charges,229.1,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 ,229.1,percent of total billed charges ,229.1,percent of total billed charges ,246.5,percent of total billed charges ,246.5,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 ,,,,,,,,,,,,,,,,,,,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,,,66.7,percent of total billed charges,,,66.7,percent of total billed charges,,,66.7,percent of total billed charges,
CEA,82378,CDM,,,,both,,,318,318,73.14,318,318,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,251.22,percent of total billed charges,251.22,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 ,251.22,percent of total billed charges ,251.22,percent of total billed charges ,270.3,percent of total billed charges ,270.3,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 ,,,,,,,,,,,,,,,,,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,
"TRICYCLIC ANTIDEPRESSANTS, QUAL",80307,CDM,,,,both,,,157,157,36.11,157,157,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,124.03,percent of total billed charges,124.03,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 ,124.03,percent of total billed charges ,124.03,percent of total billed charges ,133.45,percent of total billed charges ,133.45,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 ,,,,,,,,,,,,,,,,,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,
HA AB IgM,86709,CDM,,,,both,,,158,158,36.34,158,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,113.76,percent of total billed charges,113.76,percent of total billed charges,113.76,percent of total billed charges,113.76,percent of total billed charges,113.76,percent of total billed charges,113.76,percent of total billed charges,124.82,percent of total billed charges,124.82,percent of total billed charges,126.4,percent of total billed charges,126.4,percent of total billed charges,,,113.76,percent of total billed charges ,,,126.4,percent of total billed charges ,124.82,percent of total billed charges ,124.82,percent of total billed charges ,134.3,percent of total billed charges ,134.3,percent of total billed charges ,126.4,percent of total billed charges ,126.4,percent of total billed charges ,110.6,percent of total billed charges ,110.6,percent of total billed charges ,94.8,percent of total billed charges ,94.8,percent of total billed charges ,94.8,percent of total billed charges ,94.8,percent of total billed charges ,,,,,84.06,percent of total billed charges ,,,,,79.85,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,
HEPATITIS B SURFACE AG WITH REFLEX,87340,CDM,,,,both,,,156,156,35.88,156,156,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,123.24,percent of total billed charges,123.24,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 ,123.24,percent of total billed charges ,123.24,percent of total billed charges ,132.6,percent of total billed charges ,132.6,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 ,,,,,,,,,,,,,,,,,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,
HEPATITIS C VIRUS ANTIBODY,86803,CDM,,,,both,,,200,200,46,200,200,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,158,percent of total billed charges,158,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 ,158,percent of total billed charges ,158,percent of total billed charges ,170,percent of total billed charges ,170,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 ,,,,,,,,,,,,,,,,,,,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,,,46,percent of total billed charges,,,46,percent of total billed charges,,,46,percent of total billed charges,
HBcAB IGG/IGM,86704,CDM,,,,both,,,157,157,36.11,157,157,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,124.03,percent of total billed charges,124.03,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 ,124.03,percent of total billed charges ,124.03,percent of total billed charges ,133.45,percent of total billed charges ,133.45,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 ,,,,,,,,,,,,,,,,,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,
"T3, TOTAL",84480,CDM,,,,both,,,251,251,57.73,251,251,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,198.29,percent of total billed charges,198.29,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 ,198.29,percent of total billed charges ,198.29,percent of total billed charges ,213.35,percent of total billed charges ,213.35,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 ,,,,,,,,,,,,,,,,,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,
CRP-NON HIGH SENS,86140,CDM,,,,both,,,125,125,28.75,125,125,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,98.75,percent of total billed charges,98.75,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 ,98.75,percent of total billed charges ,98.75,percent of total billed charges ,106.25,percent of total billed charges ,106.25,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 ,,,,,,,,,,,,,,,,,,,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,,,28.75,percent of total billed charges,,,28.75,percent of total billed charges,,,28.75,percent of total billed charges,
GGT,82977,CDM,,,,both,,,116,116,26.68,116,116,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,91.64,percent of total billed charges,91.64,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 ,91.64,percent of total billed charges ,91.64,percent of total billed charges ,98.6,percent of total billed charges ,98.6,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 ,,,,,,,,,,,,,,,,,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,
CRP-HIGH SENSITIVITY,86141,CDM,,,,both,,,212,212,48.76,212,212,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,167.48,percent of total billed charges,167.48,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 ,167.48,percent of total billed charges ,167.48,percent of total billed charges ,180.2,percent of total billed charges ,180.2,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 ,,,,,,,,,,,,,,,,,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,
T3 FREE,84481,CDM,,,,both,,,305,305,70.15,305,305,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,240.95,percent of total billed charges,240.95,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 ,240.95,percent of total billed charges ,240.95,percent of total billed charges ,259.25,percent of total billed charges ,259.25,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 ,,,,,,,,,,,,,,,,,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,
I-STAT CK-B,82553,CDM,,,,both,,,289,289,66.47,289,289,percent of total billed charges,289,percent of total billed charges,289,percent of total billed charges,289,percent of total billed charges,289,percent of total billed charges,289,percent of total billed charges,289,percent of total billed charges,289,percent of total billed charges,208.08,percent of total billed charges,208.08,percent of total billed charges,208.08,percent of total billed charges,208.08,percent of total billed charges,208.08,percent of total billed charges,208.08,percent of total billed charges,228.31,percent of total billed charges,228.31,percent of total billed charges,231.2,percent of total billed charges,231.2,percent of total billed charges,,,208.08,percent of total billed charges ,,,231.2,percent of total billed charges ,228.31,percent of total billed charges ,228.31,percent of total billed charges ,245.65,percent of total billed charges ,245.65,percent of total billed charges ,231.2,percent of total billed charges ,231.2,percent of total billed charges ,202.3,percent of total billed charges ,202.3,percent of total billed charges ,173.4,percent of total billed charges ,173.4,percent of total billed charges ,173.4,percent of total billed charges ,173.4,percent of total billed charges ,,,,,153.75,percent of total billed charges ,,,,,146.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,66.47,percent of total billed charges,,,66.47,percent of total billed charges,,,66.47,percent of total billed charges,,,66.47,percent of total billed charges,,,66.47,percent of total billed charges,,,66.47,percent of total billed charges,,,66.47,percent of total billed charges,,,66.47,percent of total billed charges,,,66.47,percent of total billed charges,,,66.47,percent of total billed charges,,,66.47,percent of total billed charges,
I-STAT TROPONIN,84484,CDM,,,,both,,,351,351,80.73,351,351,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,277.29,percent of total billed charges,277.29,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 ,277.29,percent of total billed charges ,277.29,percent of total billed charges ,298.35,percent of total billed charges ,298.35,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 ,,,,,,,,,,,,,,,,,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,
I-STAT CHEM8,80047,CDM,,,,both,,,437,437,100.51,437,437,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,345.23,percent of total billed charges,345.23,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 ,345.23,percent of total billed charges ,345.23,percent of total billed charges ,371.45,percent of total billed charges ,371.45,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 ,,,,,,,,,,,,,,,,,,,100.51,percent of total billed charges,,,100.51,percent of total billed charges,,,100.51,percent of total billed charges,,,100.51,percent of total billed charges,,,100.51,percent of total billed charges,,,100.51,percent of total billed charges,,,100.51,percent of total billed charges,,,100.51,percent of total billed charges,,,100.51,percent of total billed charges,,,100.51,percent of total billed charges,,,100.51,percent of total billed charges,
ACUTE HEPATITIS PANEL,80074,CDM,,,,both,,,691,691,158.93,691,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,691,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,497.52,percent of total billed charges,545.89,percent of total billed charges,545.89,percent of total billed charges,552.8,percent of total billed charges,552.8,percent of total billed charges,,,497.52,percent of total billed charges ,,,552.8,percent of total billed charges ,545.89,percent of total billed charges ,545.89,percent of total billed charges ,587.35,percent of total billed charges ,587.35,percent of total billed charges ,552.8,percent of total billed charges ,552.8,percent of total billed charges ,483.7,percent of total billed charges ,483.7,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,414.6,percent of total billed charges ,,,,,367.61,percent of total billed charges ,,,,,349.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,,,158.93,percent of total billed charges,
CORTISOL SERUM TOTAL  PM,82533,CDM,,,,both,,,228,228,52.44,228,228,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,180.12,percent of total billed charges,180.12,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 ,180.12,percent of total billed charges ,180.12,percent of total billed charges ,193.8,percent of total billed charges ,193.8,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 ,,,,,,,,,,,,,,,,,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,
FIBRINOGEN (DIC),85384,CDM,,,,both,,,183,183,42.09,183,183,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,144.57,percent of total billed charges,144.57,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 ,144.57,percent of total billed charges ,144.57,percent of total billed charges ,155.55,percent of total billed charges ,155.55,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 ,,,,,,,,,,,,,,,,,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,
PLATELET COUNT (DIC),85049,CDM,,,,both,,,126,126,28.98,126,126,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,99.54,percent of total billed charges,99.54,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 ,99.54,percent of total billed charges ,99.54,percent of total billed charges ,107.1,percent of total billed charges ,107.1,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 ,,,,,,,,,,,,,,,,,,,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,
PTT (DIC),85730,CDM,,,,both,,,135,135,31.05,135,135,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,106.65,percent of total billed charges,106.65,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 ,106.65,percent of total billed charges ,106.65,percent of total billed charges ,114.75,percent of total billed charges ,114.75,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 ,,,,,,,,,,,,,,,,,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,
PROTIME (DIC),85610,CDM,,,,both,,,98,98,22.54,98,98,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,77.42,percent of total billed charges,77.42,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 ,77.42,percent of total billed charges ,77.42,percent of total billed charges ,83.3,percent of total billed charges ,83.3,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 ,,,,,,,,,,,,,,,,,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,
VITAMIN D 25 HYDROXY,82306,CDM,,,,both,,,281,281,64.63,281,281,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,221.99,percent of total billed charges,221.99,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 ,221.99,percent of total billed charges ,221.99,percent of total billed charges ,238.85,percent of total billed charges ,238.85,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 ,,,,,,,,,,,,,,,,,,,64.63,percent of total billed charges,,,64.63,percent of total billed charges,,,64.63,percent of total billed charges,,,64.63,percent of total billed charges,,,64.63,percent of total billed charges,,,64.63,percent of total billed charges,,,64.63,percent of total billed charges,,,64.63,percent of total billed charges,,,64.63,percent of total billed charges,,,64.63,percent of total billed charges,,,64.63,percent of total billed charges,
LACTIC ACID,83605,CDM,,,,both,,,196,196,45.08,196,196,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,154.84,percent of total billed charges,154.84,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 ,154.84,percent of total billed charges ,154.84,percent of total billed charges ,166.6,percent of total billed charges ,166.6,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 ,,,,,,,,,,,,,,,,,,,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,
BETA HYDROXYBUTYRATE,82010,CDM,,,,both,,,193,193,44.39,193,193,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,152.47,percent of total billed charges,152.47,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 ,152.47,percent of total billed charges ,152.47,percent of total billed charges ,164.05,percent of total billed charges ,164.05,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 ,,,,,,,,,,,,,,,,,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,
BN PEPTIDE,83880,CDM,,,,both,,,342,342,78.66,342,342,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,270.18,percent of total billed charges,270.18,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 ,270.18,percent of total billed charges ,270.18,percent of total billed charges ,290.7,percent of total billed charges ,290.7,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 ,,,,,,,,,,,,,,,,,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,
BNP DAILY,83880,CDM,,,,both,,,342,342,78.66,342,342,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,270.18,percent of total billed charges,270.18,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 ,270.18,percent of total billed charges ,270.18,percent of total billed charges ,290.7,percent of total billed charges ,290.7,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 ,,,,,,,,,,,,,,,,,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,
RETICULOCYTE COUNT,85045,CDM,,,,both,,,134,134,30.82,134,134,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,105.86,percent of total billed charges,105.86,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 ,105.86,percent of total billed charges ,105.86,percent of total billed charges ,113.9,percent of total billed charges ,113.9,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,30.82,percent of total billed charges,,,30.82,percent of total billed charges,,,30.82,percent of total billed charges,
BN PEPTIDE (CHF),83880,CDM,,,,both,,,342,342,78.66,342,342,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,270.18,percent of total billed charges,270.18,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 ,270.18,percent of total billed charges ,270.18,percent of total billed charges ,290.7,percent of total billed charges ,290.7,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 ,,,,,,,,,,,,,,,,,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,
I-STAT CAPILLARY BLOOD GAS,82803,CDM,,,,both,,,365,365,83.95,365,365,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,288.35,percent of total billed charges,288.35,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 ,288.35,percent of total billed charges ,288.35,percent of total billed charges ,310.25,percent of total billed charges ,310.25,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 ,,,,,,,,,,,,,,,,,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,
GROUP A STREP MOLECULAR,87651,CDM,,,,both,,,190,190,43.7,190,190,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,150.1,percent of total billed charges,150.1,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 ,150.1,percent of total billed charges ,150.1,percent of total billed charges ,161.5,percent of total billed charges ,161.5,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 ,,,,,,,,,,,,,,,,,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,
**C DIFFICILE MOLECULAR,87493,CDM,,,,both,,,377,377,86.71,377,377,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,297.83,percent of total billed charges,297.83,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 ,297.83,percent of total billed charges ,297.83,percent of total billed charges ,320.45,percent of total billed charges ,320.45,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 ,,,,,,,,,,,,,,,,,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,
**COLLECTION EDPM URINE DRUG SCRN,99001,CDM,,,,both,,,65,65,14.95,65,65,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,51.35,percent of total billed charges,51.35,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 ,51.35,percent of total billed charges ,51.35,percent of total billed charges ,55.25,percent of total billed charges ,55.25,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 ,,,,,,,,,,,,,,,,,,,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,,,14.95,percent of total billed charges,,,14.95,percent of total billed charges,,,14.95,percent of total billed charges,
**ALCOHOL BREATH EDPM,82075,CDM,,,,both,,,40,40,9.2,40,40,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,31.6,percent of total billed charges,31.6,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 ,31.6,percent of total billed charges ,31.6,percent of total billed charges ,34,percent of total billed charges ,34,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 ,,,,,,,,,,,,,,,,,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,,,9.2,percent of total billed charges,
IONIZED CALCIUM I-STAT,82330,CDM,,,,both,,,224,224,51.52,224,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,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,176.96,percent of total billed charges,176.96,percent of total billed charges,179.2,percent of total billed charges,179.2,percent of total billed charges,,,161.28,percent of total billed charges ,,,179.2,percent of total billed charges ,176.96,percent of total billed charges ,176.96,percent of total billed charges ,190.4,percent of total billed charges ,190.4,percent of total billed charges ,179.2,percent of total billed charges ,179.2,percent of total billed charges ,156.8,percent of total billed charges ,156.8,percent of total billed charges ,134.4,percent of total billed charges ,134.4,percent of total billed charges ,134.4,percent of total billed charges ,134.4,percent of total billed charges ,,,,,119.17,percent of total billed charges ,,,,,113.21,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,
*HBA1C,83036,CDM,,,,both,,,125,125,28.75,125,125,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,98.75,percent of total billed charges,98.75,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 ,98.75,percent of total billed charges ,98.75,percent of total billed charges ,106.25,percent of total billed charges ,106.25,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 ,,,,,,,,,,,,,,,,,,,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,,,28.75,percent of total billed charges,,,28.75,percent of total billed charges,,,28.75,percent of total billed charges,
CBC WITHOUT DIFFERENTIAL,85027,CDM,,,,both,,,125,125,28.75,125,125,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,98.75,percent of total billed charges,98.75,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 ,98.75,percent of total billed charges ,98.75,percent of total billed charges ,106.25,percent of total billed charges ,106.25,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 ,,,,,,,,,,,,,,,,,,,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,,,28.75,percent of total billed charges,,,28.75,percent of total billed charges,,,28.75,percent of total billed charges,
HGB POST TRANSFUSION #1,85018,CDM,,,QW,both,,,60,60,13.8,60,60,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,47.4,percent of total billed charges,47.4,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 ,47.4,percent of total billed charges ,47.4,percent of total billed charges ,51,percent of total billed charges ,51,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 ,,,,,,,,,,,,,,,,,,,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,,,13.8,percent of total billed charges,,,13.8,percent of total billed charges,,,13.8,percent of total billed charges,
HGB POST TRANSFUSION #2,85018,CDM,,,QW,both,,,60,60,13.8,60,60,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,47.4,percent of total billed charges,47.4,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 ,47.4,percent of total billed charges ,47.4,percent of total billed charges ,51,percent of total billed charges ,51,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 ,,,,,,,,,,,,,,,,,,,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,,,13.8,percent of total billed charges,,,13.8,percent of total billed charges,,,13.8,percent of total billed charges,
HGB POST TRANSFUSION #3,85018,CDM,,,QW,both,,,82,82,18.86,82,82,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,64.78,percent of total billed charges,64.78,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 ,64.78,percent of total billed charges ,64.78,percent of total billed charges ,69.7,percent of total billed charges ,69.7,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
HGB POST TRANSFUSION #4,85018,CDM,,,QW,both,,,82,82,18.86,82,82,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,64.78,percent of total billed charges,64.78,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 ,64.78,percent of total billed charges ,64.78,percent of total billed charges ,69.7,percent of total billed charges ,69.7,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
CORD BLOOD GAS-ARTERIAL,82803,CDM,,,,both,,,365,365,83.95,365,365,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,288.35,percent of total billed charges,288.35,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 ,288.35,percent of total billed charges ,288.35,percent of total billed charges ,310.25,percent of total billed charges ,310.25,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 ,,,,,,,,,,,,,,,,,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,
CORD BLOOD GAS-VENOUS,82803,CDM,,,,both,,,365,365,83.95,365,365,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,288.35,percent of total billed charges,288.35,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 ,288.35,percent of total billed charges ,288.35,percent of total billed charges ,310.25,percent of total billed charges ,310.25,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 ,,,,,,,,,,,,,,,,,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,
MAGNESIUM LEVEL DAILY,83735,CDM,,,,both,,,128,128,29.44,128,128,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,101.12,percent of total billed charges,101.12,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 ,101.12,percent of total billed charges ,101.12,percent of total billed charges ,108.8,percent of total billed charges ,108.8,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
PHOSPHORUS DAILY,84100,CDM,,,,both,,,92,92,21.16,92,92,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,72.68,percent of total billed charges,72.68,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 ,72.68,percent of total billed charges ,72.68,percent of total billed charges ,78.2,percent of total billed charges ,78.2,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 ,,,,,,,,,,,,,,,,,,,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,
TSH WITH REFLEX TO FT4,84443,CDM,,,,both,,,229,229,52.67,229,229,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,180.91,percent of total billed charges,180.91,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 ,180.91,percent of total billed charges ,180.91,percent of total billed charges ,194.65,percent of total billed charges ,194.65,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 ,,,,,,,,,,,,,,,,,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,
CULTURE URINE,87086,CDM,,,,both,,,163,163,37.49,163,163,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,128.77,percent of total billed charges,128.77,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 ,128.77,percent of total billed charges ,128.77,percent of total billed charges ,138.55,percent of total billed charges ,138.55,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 ,,,,,,,,,,,,,,,,,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,
"**BLOOD GAS ,VENOUS",82805,CDM,,,,both,,,347,347,79.81,347,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,274.13,percent of total billed charges,274.13,percent of total billed charges,277.6,percent of total billed charges,277.6,percent of total billed charges,,,249.84,percent of total billed charges ,,,277.6,percent of total billed charges ,274.13,percent of total billed charges ,274.13,percent of total billed charges ,294.95,percent of total billed charges ,294.95,percent of total billed charges ,277.6,percent of total billed charges ,277.6,percent of total billed charges ,242.9,percent of total billed charges ,242.9,percent of total billed charges ,208.2,percent of total billed charges ,208.2,percent of total billed charges ,208.2,percent of total billed charges ,208.2,percent of total billed charges ,,,,,184.6,percent of total billed charges ,,,,,175.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,
HIV 1/2 AG/AB COMBO w/REFLEX-SCREENING,87389,CDM,,,TC,both,,,174,174,40.02,174,174,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,137.46,percent of total billed charges,137.46,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 ,137.46,percent of total billed charges ,137.46,percent of total billed charges ,147.9,percent of total billed charges ,147.9,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
GLUCOSE POCT,82962,CDM,,,,both,,,69,69,15.87,69,69,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,54.51,percent of total billed charges,54.51,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 ,54.51,percent of total billed charges ,54.51,percent of total billed charges ,58.65,percent of total billed charges ,58.65,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 ,,,,,,,,,,,,,,,,,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,
INFLUENZA A and B MOLECULAR,87502,CDM,,,,both,,,463,463,106.49,463,463,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,365.77,percent of total billed charges,365.77,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 ,365.77,percent of total billed charges ,365.77,percent of total billed charges ,393.55,percent of total billed charges ,393.55,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 ,,,,,,,,,,,,,,,,,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,,,106.49,percent of total billed charges,
.INFLUENZA A MOLECULAR,87502,CDM,,,,both,,,369,369,84.87,369,369,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,291.51,percent of total billed charges,291.51,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 ,291.51,percent of total billed charges ,291.51,percent of total billed charges ,313.65,percent of total billed charges ,313.65,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 ,,,,,,,,,,,,,,,,,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,
*GROUP B STREP MOLECULAR,87653,CDM,,,,both,,,290,290,66.7,290,290,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,229.1,percent of total billed charges,229.1,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 ,229.1,percent of total billed charges ,229.1,percent of total billed charges ,246.5,percent of total billed charges ,246.5,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 ,,,,,,,,,,,,,,,,,,,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,,,66.7,percent of total billed charges,,,66.7,percent of total billed charges,,,66.7,percent of total billed charges,
.LIM BROTH,87081,CDM,,,,both,,,139,139,31.97,139,139,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,109.81,percent of total billed charges,109.81,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 ,109.81,percent of total billed charges ,109.81,percent of total billed charges ,118.15,percent of total billed charges ,118.15,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 ,,,,,,,,,,,,,,,,,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,
CHARGE OB PANEL W/HIV,80081,CDM,,,,both,,,467,467,107.41,467,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,336.24,percent of total billed charges,336.24,percent of total billed charges,336.24,percent of total billed charges,336.24,percent of total billed charges,336.24,percent of total billed charges,336.24,percent of total billed charges,368.93,percent of total billed charges,368.93,percent of total billed charges,373.6,percent of total billed charges,373.6,percent of total billed charges,,,336.24,percent of total billed charges ,,,373.6,percent of total billed charges ,368.93,percent of total billed charges ,368.93,percent of total billed charges ,396.95,percent of total billed charges ,396.95,percent of total billed charges ,373.6,percent of total billed charges ,373.6,percent of total billed charges ,326.9,percent of total billed charges ,326.9,percent of total billed charges ,280.2,percent of total billed charges ,280.2,percent of total billed charges ,280.2,percent of total billed charges ,280.2,percent of total billed charges ,,,,,248.44,percent of total billed charges ,,,,,236.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,
HIV 1/2 AG/AB COMBO W/REFLEX-EXPOSURE,87389,CDM,,,TC,both,,,174,174,40.02,174,174,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,137.46,percent of total billed charges,137.46,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 ,137.46,percent of total billed charges ,137.46,percent of total billed charges ,147.9,percent of total billed charges ,147.9,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
HIV 1/2 AG/AB COMBO w/REFLEX MEDICAL,87389,CDM,,,TC,both,,,174,174,40.02,174,174,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,137.46,percent of total billed charges,137.46,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 ,137.46,percent of total billed charges ,137.46,percent of total billed charges ,147.9,percent of total billed charges ,147.9,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
CBC WITH DIFFERENTIAL AND REFLEXES,85025,CDM,,,,both,,,148,148,34.04,148,148,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,116.92,percent of total billed charges,116.92,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 ,116.92,percent of total billed charges ,116.92,percent of total billed charges ,125.8,percent of total billed charges ,125.8,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 ,,,,,,,,,,,,,,,,,,,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,,,34.04,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,
CBC (CHF) WITH DIFFERENTIAL AND REFLEXES,85025,CDM,,,,both,,,148,148,34.04,148,148,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,116.92,percent of total billed charges,116.92,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 ,116.92,percent of total billed charges ,116.92,percent of total billed charges ,125.8,percent of total billed charges ,125.8,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 ,,,,,,,,,,,,,,,,,,,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,,,34.04,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,
CBC (COPD) WITH DIFERENTIAL AND REFLEX,85025,CDM,,,,both,,,193,193,44.39,193,193,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,152.47,percent of total billed charges,152.47,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 ,152.47,percent of total billed charges ,152.47,percent of total billed charges ,164.05,percent of total billed charges ,164.05,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 ,,,,,,,,,,,,,,,,,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,
CBC (HEMORRHAGE) W/ DIFFERENTIAL & REFLE,85025,CDM,,,,both,,,193,193,44.39,193,193,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,152.47,percent of total billed charges,152.47,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 ,152.47,percent of total billed charges ,152.47,percent of total billed charges ,164.05,percent of total billed charges ,164.05,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 ,,,,,,,,,,,,,,,,,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,
CBC (L & D) W/ DIFFERENTIAL AND REFLEXES,85025,CDM,,,,both,,,148,148,34.04,148,148,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,116.92,percent of total billed charges,116.92,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 ,116.92,percent of total billed charges ,116.92,percent of total billed charges ,125.8,percent of total billed charges ,125.8,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 ,,,,,,,,,,,,,,,,,,,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,,,34.04,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,
CBC (PNEUMONIA) W/ DIFFERENTIAL & REFLEX,85025,CDM,,,,both,,,193,193,44.39,193,193,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,152.47,percent of total billed charges,152.47,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 ,152.47,percent of total billed charges ,152.47,percent of total billed charges ,164.05,percent of total billed charges ,164.05,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 ,,,,,,,,,,,,,,,,,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,
CBC (POST OP) W/DIFFERENTIAL & REFLEXES,85025,CDM,,,,both,,,193,193,44.39,193,193,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,152.47,percent of total billed charges,152.47,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 ,152.47,percent of total billed charges ,152.47,percent of total billed charges ,164.05,percent of total billed charges ,164.05,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 ,,,,,,,,,,,,,,,,,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,
CBC FREQUENCY WITH DIFF AND REFLEXES,85025,CDM,,,,both,,,148,148,34.04,148,148,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,116.92,percent of total billed charges,116.92,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 ,116.92,percent of total billed charges ,116.92,percent of total billed charges ,125.8,percent of total billed charges ,125.8,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 ,,,,,,,,,,,,,,,,,,,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,,,34.04,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,
CBC WITH DIFFERENTIAL AND REFLEXES (DIC),85025,CDM,,,,both,,,148,148,34.04,148,148,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,116.92,percent of total billed charges,116.92,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 ,116.92,percent of total billed charges ,116.92,percent of total billed charges ,125.8,percent of total billed charges ,125.8,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 ,,,,,,,,,,,,,,,,,,,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,,,34.04,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,
CHARGE OB PANEL W/OUT/HIV,80055,CDM,,,,both,,,467,467,107.41,467,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,336.24,percent of total billed charges,336.24,percent of total billed charges,336.24,percent of total billed charges,336.24,percent of total billed charges,336.24,percent of total billed charges,336.24,percent of total billed charges,368.93,percent of total billed charges,368.93,percent of total billed charges,373.6,percent of total billed charges,373.6,percent of total billed charges,,,336.24,percent of total billed charges ,,,373.6,percent of total billed charges ,368.93,percent of total billed charges ,368.93,percent of total billed charges ,396.95,percent of total billed charges ,396.95,percent of total billed charges ,373.6,percent of total billed charges ,373.6,percent of total billed charges ,326.9,percent of total billed charges ,326.9,percent of total billed charges ,280.2,percent of total billed charges ,280.2,percent of total billed charges ,280.2,percent of total billed charges ,280.2,percent of total billed charges ,,,,,248.44,percent of total billed charges ,,,,,236.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,
LIPID PROFILE W/CALCULATED LDL,80061,CDM,,,,both,,,235,235,54.05,235,235,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,185.65,percent of total billed charges,185.65,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 ,185.65,percent of total billed charges ,185.65,percent of total billed charges ,199.75,percent of total billed charges ,199.75,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 ,,,,,,,,,,,,,,,,,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,
.CHARGE DIRECT LDL,83721,CDM,,,,both,,,108,108,24.84,108,108,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,85.32,percent of total billed charges,85.32,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 ,85.32,percent of total billed charges ,85.32,percent of total billed charges ,91.8,percent of total billed charges ,91.8,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 ,,,,,,,,,,,,,,,,,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,
BLOOD GAS ARTERIAL,82805,CDM,,,,both,,,404,404,92.92,404,404,percent of total billed charges,404,percent of total billed charges,404,percent of total billed charges,404,percent of total billed charges,404,percent of total billed charges,404,percent of total billed charges,404,percent of total billed charges,404,percent of total billed charges,290.88,percent of total billed charges,290.88,percent of total billed charges,290.88,percent of total billed charges,290.88,percent of total billed charges,290.88,percent of total billed charges,290.88,percent of total billed charges,319.16,percent of total billed charges,319.16,percent of total billed charges,323.2,percent of total billed charges,323.2,percent of total billed charges,,,290.88,percent of total billed charges ,,,323.2,percent of total billed charges ,319.16,percent of total billed charges ,319.16,percent of total billed charges ,343.4,percent of total billed charges ,343.4,percent of total billed charges ,323.2,percent of total billed charges ,323.2,percent of total billed charges ,282.8,percent of total billed charges ,282.8,percent of total billed charges ,242.4,percent of total billed charges ,242.4,percent of total billed charges ,242.4,percent of total billed charges ,242.4,percent of total billed charges ,,,,,214.93,percent of total billed charges ,,,,,204.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,
BLOOD GAS VENOUS,82805,CDM,,,,both,,,404,404,92.92,404,404,percent of total billed charges,404,percent of total billed charges,404,percent of total billed charges,404,percent of total billed charges,404,percent of total billed charges,404,percent of total billed charges,404,percent of total billed charges,404,percent of total billed charges,290.88,percent of total billed charges,290.88,percent of total billed charges,290.88,percent of total billed charges,290.88,percent of total billed charges,290.88,percent of total billed charges,290.88,percent of total billed charges,319.16,percent of total billed charges,319.16,percent of total billed charges,323.2,percent of total billed charges,323.2,percent of total billed charges,,,290.88,percent of total billed charges ,,,323.2,percent of total billed charges ,319.16,percent of total billed charges ,319.16,percent of total billed charges ,343.4,percent of total billed charges ,343.4,percent of total billed charges ,323.2,percent of total billed charges ,323.2,percent of total billed charges ,282.8,percent of total billed charges ,282.8,percent of total billed charges ,242.4,percent of total billed charges ,242.4,percent of total billed charges ,242.4,percent of total billed charges ,242.4,percent of total billed charges ,,,,,214.93,percent of total billed charges ,,,,,204.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,
BLOOD GAS ANALYSIS (COPD),82805,CDM,,,,both,,,404,404,92.92,404,404,percent of total billed charges,404,percent of total billed charges,404,percent of total billed charges,404,percent of total billed charges,404,percent of total billed charges,404,percent of total billed charges,404,percent of total billed charges,404,percent of total billed charges,290.88,percent of total billed charges,290.88,percent of total billed charges,290.88,percent of total billed charges,290.88,percent of total billed charges,290.88,percent of total billed charges,290.88,percent of total billed charges,319.16,percent of total billed charges,319.16,percent of total billed charges,323.2,percent of total billed charges,323.2,percent of total billed charges,,,290.88,percent of total billed charges ,,,323.2,percent of total billed charges ,319.16,percent of total billed charges ,319.16,percent of total billed charges ,343.4,percent of total billed charges ,343.4,percent of total billed charges ,323.2,percent of total billed charges ,323.2,percent of total billed charges ,282.8,percent of total billed charges ,282.8,percent of total billed charges ,242.4,percent of total billed charges ,242.4,percent of total billed charges ,242.4,percent of total billed charges ,242.4,percent of total billed charges ,,,,,214.93,percent of total billed charges ,,,,,204.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,
**CHARGE LACTIC ACID (ED),83605,CDM,,,,both,,,290,290,66.7,290,290,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,229.1,percent of total billed charges,229.1,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 ,229.1,percent of total billed charges ,229.1,percent of total billed charges ,246.5,percent of total billed charges ,246.5,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 ,,,,,,,,,,,,,,,,,,,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,,,66.7,percent of total billed charges,,,66.7,percent of total billed charges,,,66.7,percent of total billed charges,
IONIZED CALCIUM,82330,CDM,,,,both,,,182,182,41.86,182,182,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,143.78,percent of total billed charges,143.78,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 ,143.78,percent of total billed charges ,143.78,percent of total billed charges ,154.7,percent of total billed charges ,154.7,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 ,,,,,,,,,,,,,,,,,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,
**.LDL MEASURED REFLEXED,83721,CDM,,,,both,,,146,146,33.58,146,146,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,115.34,percent of total billed charges,115.34,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 ,115.34,percent of total billed charges ,115.34,percent of total billed charges ,124.1,percent of total billed charges ,124.1,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 ,,,,,,,,,,,,,,,,,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,
**CHARGE ABG (ED),82805,CDM,,,,both,,,528,528,121.44,528,528,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,417.12,percent of total billed charges,417.12,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 ,417.12,percent of total billed charges ,417.12,percent of total billed charges ,448.8,percent of total billed charges ,448.8,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
GEM LACTIC ACID,83605,CDM,,,,both,,,196,196,45.08,196,196,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,154.84,percent of total billed charges,154.84,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 ,154.84,percent of total billed charges ,154.84,percent of total billed charges ,166.6,percent of total billed charges ,166.6,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 ,,,,,,,,,,,,,,,,,,,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,
"**ABG, TEMP CORRECTED",82805,CDM,,,,both,,,496,496,114.08,496,496,percent of total billed charges,496,percent of total billed charges,496,percent of total billed charges,496,percent of total billed charges,496,percent of total billed charges,496,percent of total billed charges,496,percent of total billed charges,496,percent of total billed charges,357.12,percent of total billed charges,357.12,percent of total billed charges,357.12,percent of total billed charges,357.12,percent of total billed charges,357.12,percent of total billed charges,357.12,percent of total billed charges,391.84,percent of total billed charges,391.84,percent of total billed charges,396.8,percent of total billed charges,396.8,percent of total billed charges,,,357.12,percent of total billed charges ,,,396.8,percent of total billed charges ,391.84,percent of total billed charges ,391.84,percent of total billed charges ,421.6,percent of total billed charges ,421.6,percent of total billed charges ,396.8,percent of total billed charges ,396.8,percent of total billed charges ,347.2,percent of total billed charges ,347.2,percent of total billed charges ,297.6,percent of total billed charges ,297.6,percent of total billed charges ,297.6,percent of total billed charges ,297.6,percent of total billed charges ,,,,,263.87,percent of total billed charges ,,,,,250.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,
SYPHILIS TP ANTIBODY,86780,CDM,,,,both,,,129,129,29.67,129,129,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,101.91,percent of total billed charges,101.91,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 ,101.91,percent of total billed charges ,101.91,percent of total billed charges ,109.65,percent of total billed charges ,109.65,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 ,,,,,,,,,,,,,,,,,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,
GROUP A STREP MOLECULAR (LAB),87651,CDM,,,,both,,,190,190,43.7,190,190,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,150.1,percent of total billed charges,150.1,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 ,150.1,percent of total billed charges ,150.1,percent of total billed charges ,161.5,percent of total billed charges ,161.5,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 ,,,,,,,,,,,,,,,,,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,
INFECTIOUS AGENT (CAMPY),87899,CDM,,,TC,both,,,122,122,28.06,122,122,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,96.38,percent of total billed charges,96.38,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 ,96.38,percent of total billed charges ,96.38,percent of total billed charges ,103.7,percent of total billed charges ,103.7,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 ,,,,,,,,,,,,,,,,,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,,,28.06,percent of total billed charges,
"CHLAMYDIA BY PCR, SWAB",87491,CDM,,,,both,,,239,239,54.97,239,239,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,188.81,percent of total billed charges,188.81,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 ,188.81,percent of total billed charges ,188.81,percent of total billed charges ,203.15,percent of total billed charges ,203.15,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 ,,,,,,,,,,,,,,,,,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,
"CHLAMYDIA BY PCR, URINE",87491,CDM,,,,both,,,239,239,54.97,239,239,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,188.81,percent of total billed charges,188.81,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 ,188.81,percent of total billed charges ,188.81,percent of total billed charges ,203.15,percent of total billed charges ,203.15,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 ,,,,,,,,,,,,,,,,,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,
LEVETIRACETAM,80177,CDM,,,,both,,,240,240,55.2,240,240,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,189.6,percent of total billed charges,189.6,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 ,189.6,percent of total billed charges ,189.6,percent of total billed charges ,204,percent of total billed charges ,204,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,55.2,percent of total billed charges,,,55.2,percent of total billed charges,,,55.2,percent of total billed charges,
CLOSTRIDIUM DIFFICILE ON CEPHEID,87493,CDM,,,,both,,,329,329,75.67,329,329,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,259.91,percent of total billed charges,259.91,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 ,259.91,percent of total billed charges ,259.91,percent of total billed charges ,279.65,percent of total billed charges ,279.65,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 ,,,,,,,,,,,,,,,,,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,
MRSA ON CEPHEID,87641,CDM,,,,both,,,324,324,74.52,324,324,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,255.96,percent of total billed charges,255.96,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 ,255.96,percent of total billed charges ,255.96,percent of total billed charges ,275.4,percent of total billed charges ,275.4,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
RSV MOLECULAR,87634,CDM,,,,both,,,479,479,110.17,479,479,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,378.41,percent of total billed charges,378.41,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 ,378.41,percent of total billed charges ,378.41,percent of total billed charges ,407.15,percent of total billed charges ,407.15,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 ,,,,,,,,,,,,,,,,,,,110.17,percent of total billed charges,,,110.17,percent of total billed charges,,,110.17,percent of total billed charges,,,110.17,percent of total billed charges,,,110.17,percent of total billed charges,,,110.17,percent of total billed charges,,,110.17,percent of total billed charges,,,110.17,percent of total billed charges,,,110.17,percent of total billed charges,,,110.17,percent of total billed charges,,,110.17,percent of total billed charges,
"N GONORRHOEAE BY PCR,SWAB",87591,CDM,,,,both,,,235,235,54.05,235,235,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,185.65,percent of total billed charges,185.65,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 ,185.65,percent of total billed charges ,185.65,percent of total billed charges ,199.75,percent of total billed charges ,199.75,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 ,,,,,,,,,,,,,,,,,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,
"N GONORRHOEAE BY PCR, URINE",87591,CDM,,,,both,,,235,235,54.05,235,235,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,185.65,percent of total billed charges,185.65,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 ,185.65,percent of total billed charges ,185.65,percent of total billed charges ,199.75,percent of total billed charges ,199.75,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 ,,,,,,,,,,,,,,,,,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,
PROCALCITONIN,84145,CDM,,,,both,,,331,331,76.13,331,331,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,261.49,percent of total billed charges,261.49,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 ,261.49,percent of total billed charges ,261.49,percent of total billed charges ,281.35,percent of total billed charges ,281.35,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 ,,,,,,,,,,,,,,,,,,,76.13,percent of total billed charges,,,76.13,percent of total billed charges,,,76.13,percent of total billed charges,,,76.13,percent of total billed charges,,,76.13,percent of total billed charges,,,76.13,percent of total billed charges,,,76.13,percent of total billed charges,,,76.13,percent of total billed charges,,,76.13,percent of total billed charges,,,76.13,percent of total billed charges,,,76.13,percent of total billed charges,
"URINE DRUG SCREEN, ARCHITECT",80307,CDM,,,,both,,,423,423,97.29,423,423,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,423,percent of total billed charges,423,percent of total billed charges,423,percent of total billed charges,304.56,percent of total billed charges,304.56,percent of total billed charges,304.56,percent of total billed charges,304.56,percent of total billed charges,304.56,percent of total billed charges,304.56,percent of total billed charges,334.17,percent of total billed charges,334.17,percent of total billed charges,338.4,percent of total billed charges,338.4,percent of total billed charges,,,304.56,percent of total billed charges ,,,338.4,percent of total billed charges ,334.17,percent of total billed charges ,334.17,percent of total billed charges ,359.55,percent of total billed charges ,359.55,percent of total billed charges ,338.4,percent of total billed charges ,338.4,percent of total billed charges ,296.1,percent of total billed charges ,296.1,percent of total billed charges ,253.8,percent of total billed charges ,253.8,percent of total billed charges ,253.8,percent of total billed charges ,253.8,percent of total billed charges ,,,,,225.04,percent of total billed charges ,,,,,213.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,
GROUP B STREP MOLECULAR,87150,CDM,,,,both,,,262,262,60.26,262,262,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,206.98,percent of total billed charges,206.98,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 ,206.98,percent of total billed charges ,206.98,percent of total billed charges ,222.7,percent of total billed charges ,222.7,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,60.26,percent of total billed charges,,,60.26,percent of total billed charges,,,60.26,percent of total billed charges,
HIV 1/2 AG/AB SIU,87389,CDM,,,TC,both,,,190,190,43.7,190,190,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,150.1,percent of total billed charges,150.1,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 ,150.1,percent of total billed charges ,150.1,percent of total billed charges ,161.5,percent of total billed charges ,161.5,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 ,,,,,,,,,,,,,,,,,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,
HEP B SURFACE AG SIU,87340,CDM,,,,both,,,172,172,39.56,172,172,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,135.88,percent of total billed charges,135.88,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 ,135.88,percent of total billed charges ,135.88,percent of total billed charges ,146.2,percent of total billed charges ,146.2,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 ,,,,,,,,,,,,,,,,,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,
HEP C ANTIBODY SIU,86803,CDM,,,,both,,,200,200,46,200,200,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,158,percent of total billed charges,158,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 ,158,percent of total billed charges ,158,percent of total billed charges ,170,percent of total billed charges ,170,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 ,,,,,,,,,,,,,,,,,,,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,,,46,percent of total billed charges,,,46,percent of total billed charges,,,46,percent of total billed charges,
DRAW FEE SIU,36415,CDM,,,,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
"ISTAT BLOOD GAS, ARTERIAL",82803,CDM,,,,both,,,399,399,91.77,399,399,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,315.21,percent of total billed charges,315.21,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 ,315.21,percent of total billed charges ,315.21,percent of total billed charges ,339.15,percent of total billed charges ,339.15,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 ,,,,,,,,,,,,,,,,,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,
"ISTAT BLOOD GAS, VENOUS",82803,CDM,,,,both,,,399,399,91.77,399,399,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,315.21,percent of total billed charges,315.21,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 ,315.21,percent of total billed charges ,315.21,percent of total billed charges ,339.15,percent of total billed charges ,339.15,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 ,,,,,,,,,,,,,,,,,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,,,91.77,percent of total billed charges,
METABOLIC ON GEM,80048,CDM,,,,both,,,251,251,57.73,251,251,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,198.29,percent of total billed charges,198.29,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 ,198.29,percent of total billed charges ,198.29,percent of total billed charges ,213.35,percent of total billed charges ,213.35,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 ,,,,,,,,,,,,,,,,,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,
COVID-19 (IN HOUSE),87635,CDM,,,,both,,,161,161,37.03,161,161,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,127.19,percent of total billed charges,127.19,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 ,127.19,percent of total billed charges ,127.19,percent of total billed charges ,136.85,percent of total billed charges ,136.85,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 ,,,,,,,,,,,,,,,,,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,
.SWAB COVID 19,G2023,CDM,,,,both,,,31,31,7.13,31,31,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,24.49,percent of total billed charges,24.49,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 ,24.49,percent of total billed charges ,24.49,percent of total billed charges ,26.35,percent of total billed charges ,26.35,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 ,,,,,,,,,,,,,,,,,,,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,
.CHARGE CDIFF TOXIN BY IA,87324,CDM,,,,both,,,192,192,44.16,192,192,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,151.68,percent of total billed charges,151.68,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 ,151.68,percent of total billed charges ,151.68,percent of total billed charges ,163.2,percent of total billed charges ,163.2,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 ,,,,,,,,,,,,,,,,,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,
.CHARGE CDIFF AG BY IA,87449,CDM,,,,both,,,198,198,45.54,198,198,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,156.42,percent of total billed charges,156.42,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 ,156.42,percent of total billed charges ,156.42,percent of total billed charges ,168.3,percent of total billed charges ,168.3,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 ,,,,,,,,,,,,,,,,,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,
COVID-19 ID NOW,87635,CDM,,,,both,,,161,161,37.03,161,161,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,127.19,percent of total billed charges,127.19,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 ,127.19,percent of total billed charges ,127.19,percent of total billed charges ,136.85,percent of total billed charges ,136.85,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 ,,,,,,,,,,,,,,,,,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,
COVID-19/FLU/RSV,0241U,CDM,,,,both,,,221,221,50.83,221,221,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,174.59,percent of total billed charges,174.59,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 ,174.59,percent of total billed charges ,174.59,percent of total billed charges ,187.85,percent of total billed charges ,187.85,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 ,,,,,,,,,,,,,,,,,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,
COVID-19/FLU,0240U,CDM,,,,both,,,221,221,50.83,221,221,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,174.59,percent of total billed charges,174.59,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 ,174.59,percent of total billed charges ,174.59,percent of total billed charges ,187.85,percent of total billed charges ,187.85,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 ,,,,,,,,,,,,,,,,,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,
.CBC WITH DIFFERENTIAL AND REFLEXES,85025,CDM,,,,both,,,148,148,34.04,148,148,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,116.92,percent of total billed charges,116.92,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 ,116.92,percent of total billed charges ,116.92,percent of total billed charges ,125.8,percent of total billed charges ,125.8,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 ,,,,,,,,,,,,,,,,,,,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,,,34.04,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,
RETICULOCYTE COUNT,85045,CDM,,,,both,,,134,134,30.82,134,134,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,105.86,percent of total billed charges,105.86,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 ,105.86,percent of total billed charges ,105.86,percent of total billed charges ,113.9,percent of total billed charges ,113.9,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,30.82,percent of total billed charges,,,30.82,percent of total billed charges,,,30.82,percent of total billed charges,
POC CREATININE,82565,CDM,,,,both,,,89,89,20.47,89,89,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,70.31,percent of total billed charges,70.31,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 ,70.31,percent of total billed charges ,70.31,percent of total billed charges ,75.65,percent of total billed charges ,75.65,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 ,,,,,,,,,,,,,,,,,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,,,20.47,percent of total billed charges,
ZINC,84630,CDM,,,,both,,,131,131,30.13,131,131,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,103.49,percent of total billed charges,103.49,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 ,103.49,percent of total billed charges ,103.49,percent of total billed charges ,111.35,percent of total billed charges ,111.35,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 ,,,,,,,,,,,,,,,,,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,
ALDOLASE,82085,CDM,,,,both,,,198,198,45.54,198,198,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,156.42,percent of total billed charges,156.42,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 ,156.42,percent of total billed charges ,156.42,percent of total billed charges ,168.3,percent of total billed charges ,168.3,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 ,,,,,,,,,,,,,,,,,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,,,45.54,percent of total billed charges,
LIPOPROTEIN B,82172,CDM,,,91,both,,,133,133,30.59,133,133,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,105.07,percent of total billed charges,105.07,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 ,105.07,percent of total billed charges ,105.07,percent of total billed charges ,113.05,percent of total billed charges ,113.05,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 ,,,,,,,,,,,,,,,,,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,
CERULOPLASMIN,82390,CDM,,,,both,,,153,153,35.19,153,153,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,120.87,percent of total billed charges,120.87,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 ,120.87,percent of total billed charges ,120.87,percent of total billed charges ,130.05,percent of total billed charges ,130.05,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 ,,,,,,,,,,,,,,,,,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,
HEAVY METALS QL,83015,CDM,,,,both,,,337,337,77.51,337,337,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,266.23,percent of total billed charges,266.23,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 ,266.23,percent of total billed charges ,266.23,percent of total billed charges ,286.45,percent of total billed charges ,286.45,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 ,,,,,,,,,,,,,,,,,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,
**VALPROIC ACID,80164,CDM,,,,both,,,180,180,41.4,180,180,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,142.2,percent of total billed charges,142.2,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 ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,153,percent of total billed charges ,153,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,41.4,percent of total billed charges,,,41.4,percent of total billed charges,,,41.4,percent of total billed charges,
AMIKACIN RANDOM,80150,CDM,,,,both,,,162,162,37.26,162,162,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,127.98,percent of total billed charges,127.98,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 ,127.98,percent of total billed charges ,127.98,percent of total billed charges ,137.7,percent of total billed charges ,137.7,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 ,,,,,,,,,,,,,,,,,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,
**PHENOBARBITAL,80184,CDM,,,,both,,,190,190,43.7,190,190,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,150.1,percent of total billed charges,150.1,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 ,150.1,percent of total billed charges ,150.1,percent of total billed charges ,161.5,percent of total billed charges ,161.5,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 ,,,,,,,,,,,,,,,,,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,
URINE CHLORIDE,82436,CDM,,,,both,,,140,140,32.2,140,140,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,110.6,percent of total billed charges,110.6,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 ,110.6,percent of total billed charges ,110.6,percent of total billed charges ,119,percent of total billed charges ,119,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 ,,,,,,,,,,,,,,,,,,,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 PHOSPHORUS,84105,CDM,,,,both,,,78,78,17.94,78,78,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,61.62,percent of total billed charges,61.62,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 ,61.62,percent of total billed charges ,61.62,percent of total billed charges ,66.3,percent of total billed charges ,66.3,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 ,,,,,,,,,,,,,,,,,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,
AMITRIPTYLINE,80335,CDM,,,,both,,,293,293,67.39,293,293,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,231.47,percent of total billed charges,231.47,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 ,231.47,percent of total billed charges ,231.47,percent of total billed charges ,249.05,percent of total billed charges ,249.05,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 ,,,,,,,,,,,,,,,,,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,
TESTOSTERONE TOTAL,84403,CDM,,,,both,,,482,482,110.86,482,482,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,380.78,percent of total billed charges,380.78,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 ,380.78,percent of total billed charges ,380.78,percent of total billed charges ,409.7,percent of total billed charges ,409.7,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**TEGRETOL DO NOT USE,80156,CDM,,,,both,,,189,189,43.47,189,189,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,149.31,percent of total billed charges,149.31,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 ,149.31,percent of total billed charges ,149.31,percent of total billed charges ,160.65,percent of total billed charges ,160.65,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 ,,,,,,,,,,,,,,,,,,,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,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,
"**TRICYCLIC ANTIDEPRESSANTS, QUANT",83516,CDM,,,,both,,,313,313,71.99,313,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,247.27,percent of total billed charges,247.27,percent of total billed charges,250.4,percent of total billed charges,250.4,percent of total billed charges,,,225.36,percent of total billed charges ,,,250.4,percent of total billed charges ,247.27,percent of total billed charges ,247.27,percent of total billed charges ,266.05,percent of total billed charges ,266.05,percent of total billed charges ,250.4,percent of total billed charges ,250.4,percent of total billed charges ,219.1,percent of total billed charges ,219.1,percent of total billed charges ,187.8,percent of total billed charges ,187.8,percent of total billed charges ,187.8,percent of total billed charges ,187.8,percent of total billed charges ,,,,,166.52,percent of total billed charges ,,,,,158.19,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,,,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,
**DRUG SCREEN (MMC BLOOD & URINE),80100,CDM,,,,both,,,410,410,94.3,410,410,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,323.9,percent of total billed charges,323.9,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 ,323.9,percent of total billed charges ,323.9,percent of total billed charges ,348.5,percent of total billed charges ,348.5,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 ,,,,,,,,,,,,,,,,,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,
URINE URIC ACID,84560,CDM,,,,both,,,83,83,19.09,83,83,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,65.57,percent of total billed charges,65.57,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 ,65.57,percent of total billed charges ,65.57,percent of total billed charges ,70.55,percent of total billed charges ,70.55,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 ,,,,,,,,,,,,,,,,,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,
FLECAINIDE,80299,CDM,,,,both,,,162,162,37.26,162,162,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,127.98,percent of total billed charges,127.98,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 ,127.98,percent of total billed charges ,127.98,percent of total billed charges ,137.7,percent of total billed charges ,137.7,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 ,,,,,,,,,,,,,,,,,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,
"**ACETONE, SERUM, QUAL",82009,CDM,,,,both,,,127,127,29.21,127,127,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,100.33,percent of total billed charges,100.33,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 ,100.33,percent of total billed charges ,100.33,percent of total billed charges ,107.95,percent of total billed charges ,107.95,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 ,,,,,,,,,,,,,,,,,,,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,
URINE OSMOLALITY,83935,CDM,,,,both,,,262,262,60.26,262,262,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,206.98,percent of total billed charges,206.98,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 ,206.98,percent of total billed charges ,206.98,percent of total billed charges ,222.7,percent of total billed charges ,222.7,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,60.26,percent of total billed charges,,,60.26,percent of total billed charges,,,60.26,percent of total billed charges,
AMPHETAMINE CONFIRMATION,80325,CDM,,,,both,,,284,284,65.32,284,284,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,224.36,percent of total billed charges,224.36,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 ,224.36,percent of total billed charges ,224.36,percent of total billed charges ,241.4,percent of total billed charges ,241.4,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 ,,,,,,,,,,,,,,,,,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,
AMNIOTIC FLUID CREATININE,82570,CDM,,,,both,,,146,146,33.58,146,146,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,115.34,percent of total billed charges,115.34,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 ,115.34,percent of total billed charges ,115.34,percent of total billed charges ,124.1,percent of total billed charges ,124.1,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 ,,,,,,,,,,,,,,,,,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,
LIDOCAINE,80176,CDM,,,,both,,,382,382,87.86,382,382,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,301.78,percent of total billed charges,301.78,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 ,301.78,percent of total billed charges ,301.78,percent of total billed charges ,324.7,percent of total billed charges ,324.7,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 ,,,,,,,,,,,,,,,,,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,
NORTRIPTYLINE,80335,CDM,,,,both,,,326,326,74.98,326,326,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,257.54,percent of total billed charges,257.54,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 ,257.54,percent of total billed charges ,257.54,percent of total billed charges ,277.1,percent of total billed charges ,277.1,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 ,,,,,,,,,,,,,,,,,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,
**PHOSPHATIDYL GLYCEROL,84081,CDM,,,,both,,,314,314,72.22,314,314,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,248.06,percent of total billed charges,248.06,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 ,248.06,percent of total billed charges ,248.06,percent of total billed charges ,266.9,percent of total billed charges ,266.9,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 ,,,,,,,,,,,,,,,,,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,
QUINIDINE,80194,CDM,,,,both,,,391,391,89.93,391,391,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,308.89,percent of total billed charges,308.89,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 ,308.89,percent of total billed charges ,308.89,percent of total billed charges ,332.35,percent of total billed charges ,332.35,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 ,,,,,,,,,,,,,,,,,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,
PRIMIDONE MYSOLINE,80188,CDM,,,,both,,,445,445,102.35,445,445,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,351.55,percent of total billed charges,351.55,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 ,351.55,percent of total billed charges ,351.55,percent of total billed charges ,378.25,percent of total billed charges ,378.25,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 ,,,,,,,,,,,,,,,,,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,
**LACTIC ACID,83605,CDM,,,,both,,,290,290,66.7,290,290,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,229.1,percent of total billed charges,229.1,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 ,229.1,percent of total billed charges ,229.1,percent of total billed charges ,246.5,percent of total billed charges ,246.5,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 ,,,,,,,,,,,,,,,,,,,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,,,66.7,percent of total billed charges,,,66.7,percent of total billed charges,,,66.7,percent of total billed charges,
DRUG ABUSE SCREEN-MMC,80307,CDM,,,,both,,,848,848,195.04,848,848,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,669.92,percent of total billed charges,669.92,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 ,669.92,percent of total billed charges ,669.92,percent of total billed charges ,720.8,percent of total billed charges ,720.8,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 ,,,,,,,,,,,,,,,,,,,195.04,percent of total billed charges,,,195.04,percent of total billed charges,,,195.04,percent of total billed charges,,,195.04,percent of total billed charges,,,195.04,percent of total billed charges,,,195.04,percent of total billed charges,,,195.04,percent of total billed charges,,,195.04,percent of total billed charges,,,195.04,percent of total billed charges,,,195.04,percent of total billed charges,,,195.04,percent of total billed charges,
**IONIZED CALCIUM,82330,CDM,,,,both,,,227,227,52.21,227,227,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,179.33,percent of total billed charges,179.33,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 ,179.33,percent of total billed charges ,179.33,percent of total billed charges ,192.95,percent of total billed charges ,192.95,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 ,,,,,,,,,,,,,,,,,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,
**LITHIUM SERUM,80178,CDM,,,,both,,,104,104,23.92,104,104,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,82.16,percent of total billed charges,82.16,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 ,82.16,percent of total billed charges ,82.16,percent of total billed charges ,88.4,percent of total billed charges ,88.4,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 ,,,,,,,,,,,,,,,,,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,
CRYOGLOBULIN QUANT,82595,CDM,,,,both,,,102,102,23.46,102,102,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,80.58,percent of total billed charges,80.58,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 ,80.58,percent of total billed charges ,80.58,percent of total billed charges ,86.7,percent of total billed charges ,86.7,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 ,,,,,,,,,,,,,,,,,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,
D-XYLOSE ABSORPTION,84620,CDM,,,,both,,,462,462,106.26,462,462,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,364.98,percent of total billed charges,364.98,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 ,364.98,percent of total billed charges ,364.98,percent of total billed charges ,392.7,percent of total billed charges ,392.7,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 ,,,,,,,,,,,,,,,,,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,
METANEPHRINES URINE,83835,CDM,,,,both,,,267,267,61.41,267,267,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,210.93,percent of total billed charges,210.93,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 ,210.93,percent of total billed charges ,210.93,percent of total billed charges ,226.95,percent of total billed charges ,226.95,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 ,,,,,,,,,,,,,,,,,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,
"CATECHOLAMINE, URINE",82382,CDM,,,,both,,,462,462,106.26,462,462,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,364.98,percent of total billed charges,364.98,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 ,364.98,percent of total billed charges ,364.98,percent of total billed charges ,392.7,percent of total billed charges ,392.7,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 ,,,,,,,,,,,,,,,,,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,
BARBITURATE CONFIRMATION,80345,CDM,,,,both,,,358,358,82.34,358,358,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,282.82,percent of total billed charges,282.82,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 ,282.82,percent of total billed charges ,282.82,percent of total billed charges ,304.3,percent of total billed charges ,304.3,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 ,,,,,,,,,,,,,,,,,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,
PROTEIN ELECTROPHORESIS SERUM,84165,CDM,,,,both,,,256,256,58.88,256,256,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,202.24,percent of total billed charges,202.24,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 ,202.24,percent of total billed charges ,202.24,percent of total billed charges ,217.6,percent of total billed charges ,217.6,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 ,,,,,,,,,,,,,,,,,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,
HEMOGLOBIN ELECTROPHORESIS,83020,CDM,,,,both,,,270,270,62.1,270,270,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,270,percent of total billed charges,270,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,194.4,percent of total billed charges,194.4,percent of total billed charges,213.3,percent of total billed charges,213.3,percent of total billed charges,216,percent of total billed charges,216,percent of total billed charges,,,194.4,percent of total billed charges ,,,216,percent of total billed charges ,213.3,percent of total billed charges ,213.3,percent of total billed charges ,229.5,percent of total billed charges ,229.5,percent of total billed charges ,216,percent of total billed charges ,216,percent of total billed charges ,189,percent of total billed charges ,189,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 ,,,,,143.64,percent of total billed charges ,,,,,136.46,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,,,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,,,62.1,percent of total billed charges,,,62.1,percent of total billed charges,,,62.1,percent of total billed charges,
IGA,82784,CDM,,,,both,,,136,136,31.28,136,136,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,107.44,percent of total billed charges,107.44,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 ,107.44,percent of total billed charges ,107.44,percent of total billed charges ,115.6,percent of total billed charges ,115.6,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 ,,,,,,,,,,,,,,,,,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,
URINE CALCIUM 24HR,82340,CDM,,,,both,,,98,98,22.54,98,98,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,77.42,percent of total billed charges,77.42,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 ,77.42,percent of total billed charges ,77.42,percent of total billed charges ,83.3,percent of total billed charges ,83.3,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 ,,,,,,,,,,,,,,,,,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,
IGG,82784,CDM,,,,both,,,136,136,31.28,136,136,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,107.44,percent of total billed charges,107.44,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 ,107.44,percent of total billed charges ,107.44,percent of total billed charges ,115.6,percent of total billed charges ,115.6,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 ,,,,,,,,,,,,,,,,,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,
IGM,82784,CDM,,,,both,,,136,136,31.28,136,136,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,107.44,percent of total billed charges,107.44,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 ,107.44,percent of total billed charges ,107.44,percent of total billed charges ,115.6,percent of total billed charges ,115.6,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 ,,,,,,,,,,,,,,,,,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,
CSF ALBUMIN,83883,CDM,,,,both,,,249,249,57.27,249,249,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,196.71,percent of total billed charges,196.71,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 ,196.71,percent of total billed charges ,196.71,percent of total billed charges ,211.65,percent of total billed charges ,211.65,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 ,,,,,,,,,,,,,,,,,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,
**AST DO NOT USE,84450,CDM,,,,both,,,57,57,13.11,57,57,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,45.03,percent of total billed charges,45.03,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 ,45.03,percent of total billed charges ,45.03,percent of total billed charges ,48.45,percent of total billed charges ,48.45,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 ,,,,,,,,,,,,,,,,,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,
LEAD LEVEL,83655,CDM,,,,both,,,117,117,26.91,117,117,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,92.43,percent of total billed charges,92.43,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 ,92.43,percent of total billed charges ,92.43,percent of total billed charges ,99.45,percent of total billed charges ,99.45,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 ,,,,,,,,,,,,,,,,,,,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,
IGE,82785,CDM,,,,both,,,444,444,102.12,444,444,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,350.76,percent of total billed charges,350.76,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 ,350.76,percent of total billed charges ,350.76,percent of total billed charges ,377.4,percent of total billed charges ,377.4,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 ,,,,,,,,,,,,,,,,,,,102.12,percent of total billed charges,,,102.12,percent of total billed charges,,,102.12,percent of total billed charges,,,102.12,percent of total billed charges,,,102.12,percent of total billed charges,,,102.12,percent of total billed charges,,,102.12,percent of total billed charges,,,102.12,percent of total billed charges,,,102.12,percent of total billed charges,,,102.12,percent of total billed charges,,,102.12,percent of total billed charges,
"OSMOLALITY, BLOOD",83930,CDM,,,,both,,,176,176,40.48,176,176,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,139.04,percent of total billed charges,139.04,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 ,139.04,percent of total billed charges ,139.04,percent of total billed charges ,149.6,percent of total billed charges ,149.6,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 ,,,,,,,,,,,,,,,,,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,
LDH ISOENZYMES,83625,CDM,,,,both,,,312,312,71.76,312,312,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,246.48,percent of total billed charges,246.48,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 ,246.48,percent of total billed charges ,246.48,percent of total billed charges ,265.2,percent of total billed charges ,265.2,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
DESIPRAMINE,80335,CDM,,,,both,,,368,368,84.64,368,368,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,290.72,percent of total billed charges,290.72,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 ,290.72,percent of total billed charges ,290.72,percent of total billed charges ,312.8,percent of total billed charges ,312.8,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 ,,,,,,,,,,,,,,,,,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,
URINE AMYLASE,82150,CDM,,,,both,,,216,216,49.68,216,216,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,216,percent of total billed charges,216,percent of total billed charges,216,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,172.8,percent of total billed charges,172.8,percent of total billed charges,,,155.52,percent of total billed charges ,,,172.8,percent of total billed charges ,170.64,percent of total billed charges ,170.64,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,172.8,percent of total billed charges ,172.8,percent of total billed charges ,151.2,percent of total billed charges ,151.2,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 ,,,,,114.91,percent of total billed charges ,,,,,109.17,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,,,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,
URINE MAGNESIUM,83735,CDM,,,,both,,,128,128,29.44,128,128,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,101.12,percent of total billed charges,101.12,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 ,101.12,percent of total billed charges ,101.12,percent of total billed charges ,108.8,percent of total billed charges ,108.8,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
HAPTOGLOBIN QUANT,83010,CDM,,,,both,,,166,166,38.18,166,166,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,131.14,percent of total billed charges,131.14,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 ,131.14,percent of total billed charges ,131.14,percent of total billed charges ,141.1,percent of total billed charges ,141.1,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 ,,,,,,,,,,,,,,,,,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,
PROGESTERONE RECEPTOR AS,84234,CDM,,,,both,,,543,543,124.89,543,543,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,428.97,percent of total billed charges,428.97,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 ,428.97,percent of total billed charges ,428.97,percent of total billed charges ,461.55,percent of total billed charges ,461.55,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 ,,,,,,,,,,,,,,,,,,,124.89,percent of total billed charges,,,124.89,percent of total billed charges,,,124.89,percent of total billed charges,,,124.89,percent of total billed charges,,,124.89,percent of total billed charges,,,124.89,percent of total billed charges,,,124.89,percent of total billed charges,,,124.89,percent of total billed charges,,,124.89,percent of total billed charges,,,124.89,percent of total billed charges,,,124.89,percent of total billed charges,
ESTROGEN RECEPTOR ASSAY,84233,CDM,,,,both,,,543,543,124.89,543,543,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,428.97,percent of total billed charges,428.97,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 ,428.97,percent of total billed charges ,428.97,percent of total billed charges ,461.55,percent of total billed charges ,461.55,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 ,,,,,,,,,,,,,,,,,,,124.89,percent of total billed charges,,,124.89,percent of total billed charges,,,124.89,percent of total billed charges,,,124.89,percent of total billed charges,,,124.89,percent of total billed charges,,,124.89,percent of total billed charges,,,124.89,percent of total billed charges,,,124.89,percent of total billed charges,,,124.89,percent of total billed charges,,,124.89,percent of total billed charges,,,124.89,percent of total billed charges,
OLIGOCLONAL BANDS,83916,CDM,,,,both,,,538,538,123.74,538,538,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,425.02,percent of total billed charges,425.02,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 ,425.02,percent of total billed charges ,425.02,percent of total billed charges ,457.3,percent of total billed charges ,457.3,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 ,,,,,,,,,,,,,,,,,,,123.74,percent of total billed charges,,,123.74,percent of total billed charges,,,123.74,percent of total billed charges,,,123.74,percent of total billed charges,,,123.74,percent of total billed charges,,,123.74,percent of total billed charges,,,123.74,percent of total billed charges,,,123.74,percent of total billed charges,,,123.74,percent of total billed charges,,,123.74,percent of total billed charges,,,123.74,percent of total billed charges,
**TRANSFERRIN,84466,CDM,,,,both,,,113,113,25.99,113,113,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,89.27,percent of total billed charges,89.27,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 ,89.27,percent of total billed charges ,89.27,percent of total billed charges ,96.05,percent of total billed charges ,96.05,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 ,,,,,,,,,,,,,,,,,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,
PSEUDOCHOLINESTERASE SERUM,82480,CDM,,,,both,,,110,110,25.3,110,110,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,86.9,percent of total billed charges,86.9,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 ,86.9,percent of total billed charges ,86.9,percent of total billed charges ,93.5,percent of total billed charges ,93.5,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 ,,,,,,,,,,,,,,,,,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,
URINE UREA NITROGEN,84540,CDM,,,,both,,,176,176,40.48,176,176,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,139.04,percent of total billed charges,139.04,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 ,139.04,percent of total billed charges ,139.04,percent of total billed charges ,149.6,percent of total billed charges ,149.6,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 ,,,,,,,,,,,,,,,,,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,
MMC HOMOCYSTEINE,83090,CDM,,,,both,,,358,358,82.34,358,358,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,282.82,percent of total billed charges,282.82,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 ,282.82,percent of total billed charges ,282.82,percent of total billed charges ,304.3,percent of total billed charges ,304.3,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 ,,,,,,,,,,,,,,,,,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,
@HCG,84702,CDM,,,,both,,,134,134,30.82,134,134,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,105.86,percent of total billed charges,105.86,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 ,105.86,percent of total billed charges ,105.86,percent of total billed charges ,113.9,percent of total billed charges ,113.9,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,30.82,percent of total billed charges,,,30.82,percent of total billed charges,,,30.82,percent of total billed charges,
**CORTISOL SERUM TOTAL,82533,CDM,,,,both,,,205,205,47.15,205,205,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,161.95,percent of total billed charges,161.95,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 ,161.95,percent of total billed charges ,161.95,percent of total billed charges ,174.25,percent of total billed charges ,174.25,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 ,,,,,,,,,,,,,,,,,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,
AFP (ALPHA FETOPROTEIN),82105,CDM,,,,both,,,204,204,46.92,204,204,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,161.16,percent of total billed charges,161.16,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 ,161.16,percent of total billed charges ,161.16,percent of total billed charges ,173.4,percent of total billed charges ,173.4,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 ,,,,,,,,,,,,,,,,,,,46.92,percent of total billed charges,,,46.92,percent of total billed charges,,,46.92,percent of total billed charges,,,46.92,percent of total billed charges,,,46.92,percent of total billed charges,,,46.92,percent of total billed charges,,,46.92,percent of total billed charges,,,46.92,percent of total billed charges,,,46.92,percent of total billed charges,,,46.92,percent of total billed charges,,,46.92,percent of total billed charges,
@ALPHA FETOPROTEIN,82105,CDM,,,,both,,,134,134,30.82,134,134,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,105.86,percent of total billed charges,105.86,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 ,105.86,percent of total billed charges ,105.86,percent of total billed charges ,113.9,percent of total billed charges ,113.9,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,30.82,percent of total billed charges,,,30.82,percent of total billed charges,,,30.82,percent of total billed charges,
**FSH,83001,CDM,,,,both,,,360,360,82.8,360,360,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,284.4,percent of total billed charges,284.4,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 ,284.4,percent of total billed charges ,284.4,percent of total billed charges ,306,percent of total billed charges ,306,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**MYOGLOBIN DO NOT USE,83874,CDM,,,,both,,,199,199,45.77,199,199,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,157.21,percent of total billed charges,157.21,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 ,157.21,percent of total billed charges ,157.21,percent of total billed charges ,169.15,percent of total billed charges ,169.15,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 ,,,,,,,,,,,,,,,,,,,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,,,45.77,percent of total billed charges,,,45.77,percent of total billed charges,,,45.77,percent of total billed charges,
**ALPHA 1 ANTRITRY PHENOTYPE,82104,CDM,,,,both,,,81,81,18.63,81,81,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,63.99,percent of total billed charges,63.99,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 ,63.99,percent of total billed charges ,63.99,percent of total billed charges ,68.85,percent of total billed charges ,68.85,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 ,,,,,,,,,,,,,,,,,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,
PSA FREE,84154,CDM,,,,both,,,298,298,68.54,298,298,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,235.42,percent of total billed charges,235.42,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 ,235.42,percent of total billed charges ,235.42,percent of total billed charges ,253.3,percent of total billed charges ,253.3,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 ,,,,,,,,,,,,,,,,,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,
LIPOPROTEIN A,83695,CDM,,,,both,,,240,240,55.2,240,240,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,189.6,percent of total billed charges,189.6,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 ,189.6,percent of total billed charges ,189.6,percent of total billed charges ,204,percent of total billed charges ,204,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,55.2,percent of total billed charges,,,55.2,percent of total billed charges,,,55.2,percent of total billed charges,
VITAMIN B6,84207,CDM,,,,both,,,80,80,18.4,80,80,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,63.2,percent of total billed charges,63.2,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 ,63.2,percent of total billed charges ,63.2,percent of total billed charges ,68,percent of total billed charges ,68,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 ,,,,,,,,,,,,,,,,,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,
FOLATE LEVEL RBC,82747,CDM,,,,both,,,377,377,86.71,377,377,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,297.83,percent of total billed charges,297.83,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 ,297.83,percent of total billed charges ,297.83,percent of total billed charges ,320.45,percent of total billed charges ,320.45,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 ,,,,,,,,,,,,,,,,,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,
**CYCLOSPORINE,80158,CDM,,,,both,,,227,227,52.21,227,227,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,179.33,percent of total billed charges,179.33,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 ,179.33,percent of total billed charges ,179.33,percent of total billed charges ,192.95,percent of total billed charges ,192.95,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 ,,,,,,,,,,,,,,,,,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,
IMIPRAMINE,80335,CDM,,,,both,,,368,368,84.64,368,368,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,290.72,percent of total billed charges,290.72,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 ,290.72,percent of total billed charges ,290.72,percent of total billed charges ,312.8,percent of total billed charges ,312.8,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 ,,,,,,,,,,,,,,,,,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,
**SULFA LEVEL FREE,84311,CDM,,,,both,,,118,118,27.14,118,118,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,93.22,percent of total billed charges,93.22,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 ,93.22,percent of total billed charges ,93.22,percent of total billed charges ,100.3,percent of total billed charges ,100.3,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 ,,,,,,,,,,,,,,,,,,,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,,,27.14,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,
PROCAINAMIDE  NAPA,80192,CDM,,,,both,,,541,541,124.43,541,541,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,427.39,percent of total billed charges,427.39,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 ,427.39,percent of total billed charges ,427.39,percent of total billed charges ,459.85,percent of total billed charges ,459.85,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 ,,,,,,,,,,,,,,,,,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,
ETHYLENE GLYCOL,82693,CDM,,,,both,,,265,265,60.95,265,265,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,209.35,percent of total billed charges,209.35,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 ,209.35,percent of total billed charges ,209.35,percent of total billed charges ,225.25,percent of total billed charges ,225.25,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 ,,,,,,,,,,,,,,,,,,,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,,,60.95,percent of total billed charges,,,60.95,percent of total billed charges,,,60.95,percent of total billed charges,
**ACUTE HEPATITIS PANEL,80074,CDM,,,,both,,,761,761,175.03,761,761,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,601.19,percent of total billed charges,601.19,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 ,601.19,percent of total billed charges ,601.19,percent of total billed charges ,646.85,percent of total billed charges ,646.85,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 ,,,,,,,,,,,,,,,,,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,,,175.03,percent of total billed charges,
**HDL DO NOT USE,83718,CDM,,,,both,,,91,91,20.93,91,91,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,71.89,percent of total billed charges,71.89,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 ,71.89,percent of total billed charges ,71.89,percent of total billed charges ,77.35,percent of total billed charges ,77.35,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 ,,,,,,,,,,,,,,,,,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,
**PREALBUMIN,84134,CDM,,,,both,,,224,224,51.52,224,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,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,176.96,percent of total billed charges,176.96,percent of total billed charges,179.2,percent of total billed charges,179.2,percent of total billed charges,,,161.28,percent of total billed charges ,,,179.2,percent of total billed charges ,176.96,percent of total billed charges ,176.96,percent of total billed charges ,190.4,percent of total billed charges ,190.4,percent of total billed charges ,179.2,percent of total billed charges ,179.2,percent of total billed charges ,156.8,percent of total billed charges ,156.8,percent of total billed charges ,134.4,percent of total billed charges ,134.4,percent of total billed charges ,134.4,percent of total billed charges ,134.4,percent of total billed charges ,,,,,119.17,percent of total billed charges ,,,,,113.21,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,
**PROLACTIN,84146,CDM,,,,both,,,360,360,82.8,360,360,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,284.4,percent of total billed charges,284.4,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 ,284.4,percent of total billed charges ,284.4,percent of total billed charges ,306,percent of total billed charges ,306,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**LUTEINIZING HORMONE,83002,CDM,,,,both,,,290,290,66.7,290,290,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,229.1,percent of total billed charges,229.1,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 ,229.1,percent of total billed charges ,229.1,percent of total billed charges ,246.5,percent of total billed charges ,246.5,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 ,,,,,,,,,,,,,,,,,,,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,,,66.7,percent of total billed charges,,,66.7,percent of total billed charges,,,66.7,percent of total billed charges,
COPPER LEVEL,82525,CDM,,,,both,,,147,147,33.81,147,147,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,116.13,percent of total billed charges,116.13,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 ,116.13,percent of total billed charges ,116.13,percent of total billed charges ,124.95,percent of total billed charges ,124.95,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 ,,,,,,,,,,,,,,,,,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,
TOBRAMYCIN,80200,CDM,,,,both,,,308,308,70.84,308,308,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,243.32,percent of total billed charges,243.32,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 ,243.32,percent of total billed charges ,243.32,percent of total billed charges ,261.8,percent of total billed charges ,261.8,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 ,,,,,,,,,,,,,,,,,,,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,
**MOLECULAR DIAG INTERPRETATION & REPORT,83912,CDM,,,,both,,,113,113,25.99,113,113,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,89.27,percent of total billed charges,89.27,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 ,89.27,percent of total billed charges ,89.27,percent of total billed charges ,96.05,percent of total billed charges ,96.05,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 ,,,,,,,,,,,,,,,,,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,
**MOL DOT BLOT PRODUCTION,83893,CDM,,,,both,,,113,113,25.99,113,113,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,89.27,percent of total billed charges,89.27,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 ,89.27,percent of total billed charges ,89.27,percent of total billed charges ,96.05,percent of total billed charges ,96.05,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 ,,,,,,,,,,,,,,,,,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,
FETAL FIBRONECTIN,82731,CDM,,,,both,,,"1,083.00","1,083.00",249.09,"1,083.00","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,"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,779.76,percent of total billed charges,779.76,percent of total billed charges,779.76,percent of total billed charges,779.76,percent of total billed charges,779.76,percent of total billed charges,779.76,percent of total billed charges,855.57,percent of total billed charges,855.57,percent of total billed charges,866.4,percent of total billed charges,866.4,percent of total billed charges,,,779.76,percent of total billed charges ,,,866.4,percent of total billed charges ,855.57,percent of total billed charges ,855.57,percent of total billed charges ,920.55,percent of total billed charges ,920.55,percent of total billed charges ,866.4,percent of total billed charges ,866.4,percent of total billed charges ,758.1,percent of total billed charges ,758.1,percent of total billed charges ,649.8,percent of total billed charges ,649.8,percent of total billed charges ,649.8,percent of total billed charges ,649.8,percent of total billed charges ,,,,,576.16,percent of total billed charges ,,,,,547.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,249.09,percent of total billed charges,,,249.09,percent of total billed charges,,,249.09,percent of total billed charges,,,249.09,percent of total billed charges,,,249.09,percent of total billed charges,,,249.09,percent of total billed charges,,,249.09,percent of total billed charges,,,249.09,percent of total billed charges,,,249.09,percent of total billed charges,,,249.09,percent of total billed charges,,,249.09,percent of total billed charges,
PH BODY FLUID,83986,CDM,,,,both,,,75,75,17.25,75,75,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,59.25,percent of total billed charges,59.25,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 ,59.25,percent of total billed charges ,59.25,percent of total billed charges ,63.75,percent of total billed charges ,63.75,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 ,,,,,,,,,,,,,,,,,,,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,,,17.25,percent of total billed charges,,,17.25,percent of total billed charges,,,17.25,percent of total billed charges,
**HBA1C DO NOT USE,83036,CDM,,,,both,,,117,117,26.91,117,117,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,92.43,percent of total billed charges,92.43,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 ,92.43,percent of total billed charges ,92.43,percent of total billed charges ,99.45,percent of total billed charges ,99.45,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 ,,,,,,,,,,,,,,,,,,,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,
**MICROALBUMIN URINE,82043,CDM,,,,both,,,180,180,41.4,180,180,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,142.2,percent of total billed charges,142.2,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 ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,153,percent of total billed charges ,153,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,41.4,percent of total billed charges,,,41.4,percent of total billed charges,,,41.4,percent of total billed charges,
THYROGLOBULIN,84432,CDM,,,,both,,,154,154,35.42,154,154,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,121.66,percent of total billed charges,121.66,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 ,121.66,percent of total billed charges ,121.66,percent of total billed charges ,130.9,percent of total billed charges ,130.9,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 ,,,,,,,,,,,,,,,,,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,
**RENAL FUNCTION PANEL DO NOT USE,80069,CDM,,,,both,,,146,146,33.58,146,146,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,115.34,percent of total billed charges,115.34,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 ,115.34,percent of total billed charges ,115.34,percent of total billed charges ,124.1,percent of total billed charges ,124.1,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 ,,,,,,,,,,,,,,,,,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,
MEASURED LDL,83721,CDM,,,,both,,,146,146,33.58,146,146,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,115.34,percent of total billed charges,115.34,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 ,115.34,percent of total billed charges ,115.34,percent of total billed charges ,124.1,percent of total billed charges ,124.1,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 ,,,,,,,,,,,,,,,,,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,
ALPHA 1 ANTITRYPSIN TOTAL,82103,CDM,,,,both,,,163,163,37.49,163,163,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,128.77,percent of total billed charges,128.77,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 ,128.77,percent of total billed charges ,128.77,percent of total billed charges ,138.55,percent of total billed charges ,138.55,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 ,,,,,,,,,,,,,,,,,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,
CLOZAPINE,80299,CDM,,,,both,,,483,483,111.09,483,483,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,381.57,percent of total billed charges,381.57,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 ,381.57,percent of total billed charges ,381.57,percent of total billed charges ,410.55,percent of total billed charges ,410.55,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 ,,,,,,,,,,,,,,,,,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,
**VITAMIN D 25 HYDROXY,82306,CDM,,,,both,,,787,787,181.01,787,787,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,621.73,percent of total billed charges,621.73,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 ,621.73,percent of total billed charges ,621.73,percent of total billed charges ,668.95,percent of total billed charges ,668.95,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 ,,,,,,,,,,,,,,,,,,,181.01,percent of total billed charges,,,181.01,percent of total billed charges,,,181.01,percent of total billed charges,,,181.01,percent of total billed charges,,,181.01,percent of total billed charges,,,181.01,percent of total billed charges,,,181.01,percent of total billed charges,,,181.01,percent of total billed charges,,,181.01,percent of total billed charges,,,181.01,percent of total billed charges,,,181.01,percent of total billed charges,
SOMATOMEDIN C PLASMA,84305,CDM,,,,both,,,568,568,130.64,568,568,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,448.72,percent of total billed charges,448.72,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 ,448.72,percent of total billed charges ,448.72,percent of total billed charges ,482.8,percent of total billed charges ,482.8,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 ,,,,,,,,,,,,,,,,,,,130.64,percent of total billed charges,,,130.64,percent of total billed charges,,,130.64,percent of total billed charges,,,130.64,percent of total billed charges,,,130.64,percent of total billed charges,,,130.64,percent of total billed charges,,,130.64,percent of total billed charges,,,130.64,percent of total billed charges,,,130.64,percent of total billed charges,,,130.64,percent of total billed charges,,,130.64,percent of total billed charges,
OXALATE URINE,83945,CDM,,,,both,,,125,125,28.75,125,125,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,98.75,percent of total billed charges,98.75,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 ,98.75,percent of total billed charges ,98.75,percent of total billed charges ,106.25,percent of total billed charges ,106.25,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 ,,,,,,,,,,,,,,,,,,,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,,,28.75,percent of total billed charges,,,28.75,percent of total billed charges,,,28.75,percent of total billed charges,
MYELIN BASIC PROTEIN CSF,83873,CDM,,,,both,,,214,214,49.22,214,214,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,169.06,percent of total billed charges,169.06,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 ,169.06,percent of total billed charges ,169.06,percent of total billed charges ,181.9,percent of total billed charges ,181.9,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 ,,,,,,,,,,,,,,,,,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,
**INSULIN SERUM TOTAL,83525,CDM,,,,both,,,126,126,28.98,126,126,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,99.54,percent of total billed charges,99.54,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 ,99.54,percent of total billed charges ,99.54,percent of total billed charges ,107.1,percent of total billed charges ,107.1,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 ,,,,,,,,,,,,,,,,,,,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,
CALCITONIN,82308,CDM,,,,both,,,712,712,163.76,712,712,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,562.48,percent of total billed charges,562.48,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 ,562.48,percent of total billed charges ,562.48,percent of total billed charges ,605.2,percent of total billed charges ,605.2,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 ,,,,,,,,,,,,,,,,,,,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,,,163.76,percent of total billed charges,,,163.76,percent of total billed charges,,,163.76,percent of total billed charges,
ANGIOTENSIN CONV ENZ,82164,CDM,,,,both,,,182,182,41.86,182,182,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,143.78,percent of total billed charges,143.78,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 ,143.78,percent of total billed charges ,143.78,percent of total billed charges ,154.7,percent of total billed charges ,154.7,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 ,,,,,,,,,,,,,,,,,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,
GROWTH HORMONE HUMAN,83003,CDM,,,,both,,,439,439,100.97,439,439,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,346.81,percent of total billed charges,346.81,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 ,346.81,percent of total billed charges ,346.81,percent of total billed charges ,373.15,percent of total billed charges ,373.15,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 ,,,,,,,,,,,,,,,,,,,100.97,percent of total billed charges,,,100.97,percent of total billed charges,,,100.97,percent of total billed charges,,,100.97,percent of total billed charges,,,100.97,percent of total billed charges,,,100.97,percent of total billed charges,,,100.97,percent of total billed charges,,,100.97,percent of total billed charges,,,100.97,percent of total billed charges,,,100.97,percent of total billed charges,,,100.97,percent of total billed charges,
GASTRIN,82941,CDM,,,,both,,,316,316,72.68,316,316,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,249.64,percent of total billed charges,249.64,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 ,249.64,percent of total billed charges ,249.64,percent of total billed charges ,268.6,percent of total billed charges ,268.6,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,72.68,percent of total billed charges,,,72.68,percent of total billed charges,,,72.68,percent of total billed charges,
FAT QUANTITATIVE STOOL,82710,CDM,,,,both,,,100,100,23,100,100,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,79,percent of total billed charges,79,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 ,79,percent of total billed charges ,79,percent of total billed charges ,85,percent of total billed charges ,85,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 ,,,,,,,,,,,,,,,,,,,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,,,23,percent of total billed charges,,,23,percent of total billed charges,,,23,percent of total billed charges,
ERYTHROPOIETIN,82668,CDM,,,,both,,,504,504,115.92,504,504,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,398.16,percent of total billed charges,398.16,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 ,398.16,percent of total billed charges ,398.16,percent of total billed charges ,428.4,percent of total billed charges ,428.4,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 ,,,,,,,,,,,,,,,,,,,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,
AMIODARONE & METABOLITE,80299,CDM,,,,both,,,193,193,44.39,193,193,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,152.47,percent of total billed charges,152.47,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 ,152.47,percent of total billed charges ,152.47,percent of total billed charges ,164.05,percent of total billed charges ,164.05,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 ,,,,,,,,,,,,,,,,,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,
LAMOTRIGINE,80175,CDM,,,,both,,,269,269,61.87,269,269,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,212.51,percent of total billed charges,212.51,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 ,212.51,percent of total billed charges ,212.51,percent of total billed charges ,228.65,percent of total billed charges ,228.65,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,61.87,percent of total billed charges,,,61.87,percent of total billed charges,,,61.87,percent of total billed charges,
"CORTISOL, FREE URINE",82530,CDM,,,,both,,,193,193,44.39,193,193,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,152.47,percent of total billed charges,152.47,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 ,152.47,percent of total billed charges ,152.47,percent of total billed charges ,164.05,percent of total billed charges ,164.05,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 ,,,,,,,,,,,,,,,,,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,
CITRATE EXCRETION URINE,82507,CDM,,,,both,,,208,208,47.84,208,208,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,164.32,percent of total billed charges,164.32,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 ,164.32,percent of total billed charges ,164.32,percent of total billed charges ,176.8,percent of total billed charges ,176.8,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 ,,,,,,,,,,,,,,,,,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,
DHEA,82626,CDM,,,,both,,,411,411,94.53,411,411,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,324.69,percent of total billed charges,324.69,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 ,324.69,percent of total billed charges ,324.69,percent of total billed charges ,349.35,percent of total billed charges ,349.35,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 ,,,,,,,,,,,,,,,,,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,
CATECHOL FRACTION URINE,82384,CDM,,,,both,,,383,383,88.09,383,383,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,302.57,percent of total billed charges,302.57,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 ,302.57,percent of total billed charges ,302.57,percent of total billed charges ,325.55,percent of total billed charges ,325.55,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 ,,,,,,,,,,,,,,,,,,,88.09,percent of total billed charges,,,88.09,percent of total billed charges,,,88.09,percent of total billed charges,,,88.09,percent of total billed charges,,,88.09,percent of total billed charges,,,88.09,percent of total billed charges,,,88.09,percent of total billed charges,,,88.09,percent of total billed charges,,,88.09,percent of total billed charges,,,88.09,percent of total billed charges,,,88.09,percent of total billed charges,
CLOMIPRAMINE,80335,CDM,,,,both,,,683,683,157.09,683,683,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,539.57,percent of total billed charges,539.57,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 ,539.57,percent of total billed charges ,539.57,percent of total billed charges ,580.55,percent of total billed charges ,580.55,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 ,,,,,,,,,,,,,,,,,,,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,
CATECHOL FRACTION PLASMA,82384,CDM,,,,both,,,255,255,58.65,255,255,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,201.45,percent of total billed charges,201.45,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 ,201.45,percent of total billed charges ,201.45,percent of total billed charges ,216.75,percent of total billed charges ,216.75,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 ,,,,,,,,,,,,,,,,,,,58.65,percent of total billed charges,,,58.65,percent of total billed charges,,,58.65,percent of total billed charges,,,58.65,percent of total billed charges,,,58.65,percent of total billed charges,,,58.65,percent of total billed charges,,,58.65,percent of total billed charges,,,58.65,percent of total billed charges,,,58.65,percent of total billed charges,,,58.65,percent of total billed charges,,,58.65,percent of total billed charges,
CAROTENE,82380,CDM,,,,both,,,117,117,26.91,117,117,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,92.43,percent of total billed charges,92.43,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 ,92.43,percent of total billed charges ,92.43,percent of total billed charges ,99.45,percent of total billed charges ,99.45,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 ,,,,,,,,,,,,,,,,,,,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,
C-PEPTIDE,84681,CDM,,,,both,,,220,220,50.6,220,220,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,173.8,percent of total billed charges,173.8,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 ,173.8,percent of total billed charges ,173.8,percent of total billed charges ,187,percent of total billed charges ,187,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
PANCREATIC POLYPEPTIDES,83519,CDM,,,,both,,,365,365,83.95,365,365,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,288.35,percent of total billed charges,288.35,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 ,288.35,percent of total billed charges ,288.35,percent of total billed charges ,310.25,percent of total billed charges ,310.25,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 ,,,,,,,,,,,,,,,,,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,
PYRUVIC ACID,84210,CDM,,,,both,,,293,293,67.39,293,293,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,231.47,percent of total billed charges,231.47,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 ,231.47,percent of total billed charges ,231.47,percent of total billed charges ,249.05,percent of total billed charges ,249.05,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 ,,,,,,,,,,,,,,,,,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,
SELENIUM,84255,CDM,,,,both,,,232,232,53.36,232,232,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,183.28,percent of total billed charges,183.28,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 ,183.28,percent of total billed charges ,183.28,percent of total billed charges ,197.2,percent of total billed charges ,197.2,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 ,,,,,,,,,,,,,,,,,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,
STRIATED MUSCLE AB,86255,CDM,,,,both,,,291,291,66.93,291,291,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,229.89,percent of total billed charges,229.89,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 ,229.89,percent of total billed charges ,229.89,percent of total billed charges ,247.35,percent of total billed charges ,247.35,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 ,,,,,,,,,,,,,,,,,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,
ANDROSTENEDIONE SERUM,82157,CDM,,,,both,,,310,310,71.3,310,310,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,244.9,percent of total billed charges,244.9,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 ,244.9,percent of total billed charges ,244.9,percent of total billed charges ,263.5,percent of total billed charges ,263.5,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 ,,,,,,,,,,,,,,,,,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,
ALKALINE PHOS ISOENZYMES,84080,CDM,,,,both,,,152,152,34.96,152,152,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,120.08,percent of total billed charges,120.08,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 ,120.08,percent of total billed charges ,120.08,percent of total billed charges ,129.2,percent of total billed charges ,129.2,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 ,,,,,,,,,,,,,,,,,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,,,34.96,percent of total billed charges,
TBG,84442,CDM,,,,both,,,235,235,54.05,235,235,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,185.65,percent of total billed charges,185.65,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 ,185.65,percent of total billed charges ,185.65,percent of total billed charges ,199.75,percent of total billed charges ,199.75,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 ,,,,,,,,,,,,,,,,,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,
"THIAMINE,PLASMA",84425,CDM,,,,both,,,217,217,49.91,217,217,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,171.43,percent of total billed charges,171.43,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 ,171.43,percent of total billed charges ,171.43,percent of total billed charges ,184.45,percent of total billed charges ,184.45,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 ,,,,,,,,,,,,,,,,,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,
VITAMIN A LEVEL,84590,CDM,,,,both,,,313,313,71.99,313,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,247.27,percent of total billed charges,247.27,percent of total billed charges,250.4,percent of total billed charges,250.4,percent of total billed charges,,,225.36,percent of total billed charges ,,,250.4,percent of total billed charges ,247.27,percent of total billed charges ,247.27,percent of total billed charges ,266.05,percent of total billed charges ,266.05,percent of total billed charges ,250.4,percent of total billed charges ,250.4,percent of total billed charges ,219.1,percent of total billed charges ,219.1,percent of total billed charges ,187.8,percent of total billed charges ,187.8,percent of total billed charges ,187.8,percent of total billed charges ,187.8,percent of total billed charges ,,,,,166.52,percent of total billed charges ,,,,,158.19,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,,,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,
ALDOSTERONE SERUM,82088,CDM,,,,both,,,342,342,78.66,342,342,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,270.18,percent of total billed charges,270.18,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 ,270.18,percent of total billed charges ,270.18,percent of total billed charges ,290.7,percent of total billed charges ,290.7,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 ,,,,,,,,,,,,,,,,,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,,,78.66,percent of total billed charges,
ETHOSUXIMIDE,80168,CDM,,,,both,,,441,441,101.43,441,441,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,348.39,percent of total billed charges,348.39,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 ,348.39,percent of total billed charges ,348.39,percent of total billed charges ,374.85,percent of total billed charges ,374.85,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
ACTH,82024,CDM,,,,both,,,353,353,81.19,353,353,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,278.87,percent of total billed charges,278.87,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 ,278.87,percent of total billed charges ,278.87,percent of total billed charges ,300.05,percent of total billed charges ,300.05,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 ,,,,,,,,,,,,,,,,,,,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,,,81.19,percent of total billed charges,,,81.19,percent of total billed charges,,,81.19,percent of total billed charges,
ACETYLCHOLINE REC BLOCKING AB,84238,CDM,,,,both,,,325,325,74.75,325,325,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,256.75,percent of total billed charges,256.75,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 ,256.75,percent of total billed charges ,256.75,percent of total billed charges ,276.25,percent of total billed charges ,276.25,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 ,,,,,,,,,,,,,,,,,,,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,
NUCLEOTIDASE 5',83915,CDM,,,,both,,,154,154,35.42,154,154,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,121.66,percent of total billed charges,121.66,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 ,121.66,percent of total billed charges ,121.66,percent of total billed charges ,130.9,percent of total billed charges ,130.9,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 ,,,,,,,,,,,,,,,,,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,
HYDROXY-PROGEST 17,83498,CDM,,,,both,,,252,252,57.96,252,252,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,199.08,percent of total billed charges,199.08,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 ,199.08,percent of total billed charges ,199.08,percent of total billed charges ,214.2,percent of total billed charges ,214.2,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 ,,,,,,,,,,,,,,,,,,,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,
AMINO ACIDS PLASMA 2 TO 5  QUANT,82136,CDM,,,,both,,,247,247,56.81,247,247,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,195.13,percent of total billed charges,195.13,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 ,195.13,percent of total billed charges ,195.13,percent of total billed charges ,209.95,percent of total billed charges ,209.95,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 ,,,,,,,,,,,,,,,,,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,
AMINO ACIDS URINE,82136,CDM,,,,both,,,247,247,56.81,247,247,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,195.13,percent of total billed charges,195.13,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 ,195.13,percent of total billed charges ,195.13,percent of total billed charges ,209.95,percent of total billed charges ,209.95,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 ,,,,,,,,,,,,,,,,,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,
"CARNITINE, 2 TO 5 QUANT",82379,CDM,,,,both,,,223,223,51.29,223,223,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,176.17,percent of total billed charges,176.17,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 ,176.17,percent of total billed charges ,176.17,percent of total billed charges ,189.55,percent of total billed charges ,189.55,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 ,,,,,,,,,,,,,,,,,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,
STONE ANALYSIS,82365,CDM,,,,both,,,290,290,66.7,290,290,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,229.1,percent of total billed charges,229.1,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 ,229.1,percent of total billed charges ,229.1,percent of total billed charges ,246.5,percent of total billed charges ,246.5,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 ,,,,,,,,,,,,,,,,,,,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,,,66.7,percent of total billed charges,,,66.7,percent of total billed charges,,,66.7,percent of total billed charges,
G6PD,82955,CDM,,,,both,,,265,265,60.95,265,265,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,209.35,percent of total billed charges,209.35,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 ,209.35,percent of total billed charges ,209.35,percent of total billed charges ,225.25,percent of total billed charges ,225.25,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 ,,,,,,,,,,,,,,,,,,,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,,,60.95,percent of total billed charges,,,60.95,percent of total billed charges,,,60.95,percent of total billed charges,
AMYLASE ISOENZYMES,82150,CDM,,,,both,,,216,216,49.68,216,216,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,216,percent of total billed charges,216,percent of total billed charges,216,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,172.8,percent of total billed charges,172.8,percent of total billed charges,,,155.52,percent of total billed charges ,,,172.8,percent of total billed charges ,170.64,percent of total billed charges ,170.64,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,172.8,percent of total billed charges ,172.8,percent of total billed charges ,151.2,percent of total billed charges ,151.2,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 ,,,,,114.91,percent of total billed charges ,,,,,109.17,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,,,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,
5-HIAA 24HR URINE,83497,CDM,,,,both,,,347,347,79.81,347,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,274.13,percent of total billed charges,274.13,percent of total billed charges,277.6,percent of total billed charges,277.6,percent of total billed charges,,,249.84,percent of total billed charges ,,,277.6,percent of total billed charges ,274.13,percent of total billed charges ,274.13,percent of total billed charges ,294.95,percent of total billed charges ,294.95,percent of total billed charges ,277.6,percent of total billed charges ,277.6,percent of total billed charges ,242.9,percent of total billed charges ,242.9,percent of total billed charges ,208.2,percent of total billed charges ,208.2,percent of total billed charges ,208.2,percent of total billed charges ,208.2,percent of total billed charges ,,,,,184.6,percent of total billed charges ,,,,,175.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,
"AMINOLEVULINIC ACID, UR",82135,CDM,,,,both,,,414,414,95.22,414,414,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,327.06,percent of total billed charges,327.06,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 ,327.06,percent of total billed charges ,327.06,percent of total billed charges ,351.9,percent of total billed charges ,351.9,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 ,,,,,,,,,,,,,,,,,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,
**TACROLIMUS,80197,CDM,,,,both,,,368,368,84.64,368,368,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,290.72,percent of total billed charges,290.72,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 ,290.72,percent of total billed charges ,290.72,percent of total billed charges ,312.8,percent of total billed charges ,312.8,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 ,,,,,,,,,,,,,,,,,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,
AMOXAPINE,80299,CDM,,,,both,,,518,518,119.14,518,518,percent of total billed charges,518,percent of total billed charges,518,percent of total billed charges,518,percent of total billed charges,518,percent of total billed charges,518,percent of total billed charges,518,percent of total billed charges,518,percent of total billed charges,372.96,percent of total billed charges,372.96,percent of total billed charges,372.96,percent of total billed charges,372.96,percent of total billed charges,372.96,percent of total billed charges,372.96,percent of total billed charges,409.22,percent of total billed charges,409.22,percent of total billed charges,414.4,percent of total billed charges,414.4,percent of total billed charges,,,372.96,percent of total billed charges ,,,414.4,percent of total billed charges ,409.22,percent of total billed charges ,409.22,percent of total billed charges ,440.3,percent of total billed charges ,440.3,percent of total billed charges ,414.4,percent of total billed charges ,414.4,percent of total billed charges ,362.6,percent of total billed charges ,362.6,percent of total billed charges ,310.8,percent of total billed charges ,310.8,percent of total billed charges ,310.8,percent of total billed charges ,310.8,percent of total billed charges ,,,,,275.58,percent of total billed charges ,,,,,261.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,119.14,percent of total billed charges,,,119.14,percent of total billed charges,,,119.14,percent of total billed charges,,,119.14,percent of total billed charges,,,119.14,percent of total billed charges,,,119.14,percent of total billed charges,,,119.14,percent of total billed charges,,,119.14,percent of total billed charges,,,119.14,percent of total billed charges,,,119.14,percent of total billed charges,,,119.14,percent of total billed charges,
C1 ESTERASE,83883,CDM,,,,both,,,249,249,57.27,249,249,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,196.71,percent of total billed charges,196.71,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 ,196.71,percent of total billed charges ,196.71,percent of total billed charges ,211.65,percent of total billed charges ,211.65,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 ,,,,,,,,,,,,,,,,,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,
SEROTONIN,84260,CDM,,,,both,,,159,159,36.57,159,159,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,125.61,percent of total billed charges,125.61,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 ,125.61,percent of total billed charges ,125.61,percent of total billed charges ,135.15,percent of total billed charges ,135.15,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,36.57,percent of total billed charges,,,36.57,percent of total billed charges,,,36.57,percent of total billed charges,
VMA URINE,84585,CDM,,,,both,,,416,416,95.68,416,416,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,328.64,percent of total billed charges,328.64,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 ,328.64,percent of total billed charges ,328.64,percent of total billed charges ,353.6,percent of total billed charges ,353.6,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 ,,,,,,,,,,,,,,,,,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,
TOPIRAMATE (TOPOMAX),80201,CDM,,,,both,,,323,323,74.29,323,323,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,255.17,percent of total billed charges,255.17,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 ,255.17,percent of total billed charges ,255.17,percent of total billed charges ,274.55,percent of total billed charges ,274.55,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 ,,,,,,,,,,,,,,,,,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,
FAT QUALITATIVE-STOOL,82705,CDM,,,,both,,,84,84,19.32,84,84,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,66.36,percent of total billed charges,66.36,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 ,66.36,percent of total billed charges ,66.36,percent of total billed charges ,71.4,percent of total billed charges ,71.4,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 ,,,,,,,,,,,,,,,,,,,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,
GLIADIN IgA,83516,CDM,,,,both,,,162,162,37.26,162,162,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,127.98,percent of total billed charges,127.98,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 ,127.98,percent of total billed charges ,127.98,percent of total billed charges ,137.7,percent of total billed charges ,137.7,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 ,,,,,,,,,,,,,,,,,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,
GLIADIN IGG,83516,CDM,,,,both,,,162,162,37.26,162,162,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,127.98,percent of total billed charges,127.98,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 ,127.98,percent of total billed charges ,127.98,percent of total billed charges ,137.7,percent of total billed charges ,137.7,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 ,,,,,,,,,,,,,,,,,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,
RENIN PLASMA,84244,CDM,,,,both,,,589,589,135.47,589,589,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,465.31,percent of total billed charges,465.31,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 ,465.31,percent of total billed charges ,465.31,percent of total billed charges ,500.65,percent of total billed charges ,500.65,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 ,,,,,,,,,,,,,,,,,,,135.47,percent of total billed charges,,,135.47,percent of total billed charges,,,135.47,percent of total billed charges,,,135.47,percent of total billed charges,,,135.47,percent of total billed charges,,,135.47,percent of total billed charges,,,135.47,percent of total billed charges,,,135.47,percent of total billed charges,,,135.47,percent of total billed charges,,,135.47,percent of total billed charges,,,135.47,percent of total billed charges,
**THEOPHYLLINE DO NOT USE,80198,CDM,,,,both,,,167,167,38.41,167,167,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,131.93,percent of total billed charges,131.93,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 ,131.93,percent of total billed charges ,131.93,percent of total billed charges ,141.95,percent of total billed charges ,141.95,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 ,,,,,,,,,,,,,,,,,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,
"GABAPENTIN, PLASMA",82542,CDM,,,,both,,,483,483,111.09,483,483,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,381.57,percent of total billed charges,381.57,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 ,381.57,percent of total billed charges ,381.57,percent of total billed charges ,410.55,percent of total billed charges ,410.55,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 ,,,,,,,,,,,,,,,,,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,,,111.09,percent of total billed charges,
**TOTAL T3 DO NOT USE,84480,CDM,,,,both,,,169,169,38.87,169,169,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,133.51,percent of total billed charges,133.51,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 ,133.51,percent of total billed charges ,133.51,percent of total billed charges ,143.65,percent of total billed charges ,143.65,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 ,,,,,,,,,,,,,,,,,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,
**FERRITIN DO NOT USE,82728,CDM,,,,both,,,156,156,35.88,156,156,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,123.24,percent of total billed charges,123.24,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 ,123.24,percent of total billed charges ,123.24,percent of total billed charges ,132.6,percent of total billed charges ,132.6,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 ,,,,,,,,,,,,,,,,,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,
**PARATHYROID HORMONE,83970,CDM,,,,both,,,527,527,121.21,527,527,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,416.33,percent of total billed charges,416.33,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 ,416.33,percent of total billed charges ,416.33,percent of total billed charges ,447.95,percent of total billed charges ,447.95,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**CARCINOGENIC EMB AG,82378,CDM,,,,both,,,508,508,116.84,508,508,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,401.32,percent of total billed charges,401.32,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 ,401.32,percent of total billed charges ,401.32,percent of total billed charges ,431.8,percent of total billed charges ,431.8,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 ,,,,,,,,,,,,,,,,,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,
**VITAMIN B12,82607,CDM,,,,both,,,157,157,36.11,157,157,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,124.03,percent of total billed charges,124.03,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 ,124.03,percent of total billed charges ,124.03,percent of total billed charges ,133.45,percent of total billed charges ,133.45,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 ,,,,,,,,,,,,,,,,,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,
ESTRADIOL,82670,CDM,,,,both,,,276,276,63.48,276,276,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,218.04,percent of total billed charges,218.04,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 ,218.04,percent of total billed charges ,218.04,percent of total billed charges ,234.6,percent of total billed charges ,234.6,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 ,,,,,,,,,,,,,,,,,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,
**PROGESTERONE,84144,CDM,,,,both,,,504,504,115.92,504,504,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,398.16,percent of total billed charges,398.16,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 ,398.16,percent of total billed charges ,398.16,percent of total billed charges ,428.4,percent of total billed charges ,428.4,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 ,,,,,,,,,,,,,,,,,,,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,
@ESTRIOL,82677,CDM,,,,both,,,228,228,52.44,228,228,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,180.12,percent of total billed charges,180.12,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 ,180.12,percent of total billed charges ,180.12,percent of total billed charges ,193.8,percent of total billed charges ,193.8,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 ,,,,,,,,,,,,,,,,,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,
ESTRIOL,82677,CDM,,,,both,,,228,228,52.44,228,228,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,180.12,percent of total billed charges,180.12,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 ,180.12,percent of total billed charges ,180.12,percent of total billed charges ,193.8,percent of total billed charges ,193.8,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 ,,,,,,,,,,,,,,,,,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,
THYROID STIM IMMUG,84445,CDM,,,,both,,,"1,348.00","1,348.00",310.04,"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,"1,064.92",percent of total billed charges,"1,064.92",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 ,"1,064.92",percent of total billed charges ,"1,064.92",percent of total billed charges ,"1,145.80",percent of total billed charges ,"1,145.80",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 ,,,,,,,,,,,,,,,,,,,310.04,percent of total billed charges,,,310.04,percent of total billed charges,,,310.04,percent of total billed charges,,,310.04,percent of total billed charges,,,310.04,percent of total billed charges,,,310.04,percent of total billed charges,,,310.04,percent of total billed charges,,,310.04,percent of total billed charges,,,310.04,percent of total billed charges,,,310.04,percent of total billed charges,,,310.04,percent of total billed charges,
VOLATILES (MEOH),80320,CDM,,,,both,,,262,262,60.26,262,262,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,206.98,percent of total billed charges,206.98,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 ,206.98,percent of total billed charges ,206.98,percent of total billed charges ,222.7,percent of total billed charges ,222.7,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,60.26,percent of total billed charges,,,60.26,percent of total billed charges,,,60.26,percent of total billed charges,
DHEA-S,82627,CDM,,,,both,,,411,411,94.53,411,411,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,324.69,percent of total billed charges,324.69,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 ,324.69,percent of total billed charges ,324.69,percent of total billed charges ,349.35,percent of total billed charges ,349.35,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 ,,,,,,,,,,,,,,,,,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,
T3 UPTAKE,84479,CDM,,,,both,,,111,111,25.53,111,111,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,87.69,percent of total billed charges,87.69,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 ,87.69,percent of total billed charges ,87.69,percent of total billed charges ,94.35,percent of total billed charges ,94.35,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 ,,,,,,,,,,,,,,,,,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,
**MOLECULAR DIAG ISOL/EXT,83891,CDM,,,,both,,,189,189,43.47,189,189,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,149.31,percent of total billed charges,149.31,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 ,149.31,percent of total billed charges ,149.31,percent of total billed charges ,160.65,percent of total billed charges ,160.65,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 ,,,,,,,,,,,,,,,,,,,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,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,
MICROGLOBULIN BETA II,82232,CDM,,,,both,,,290,290,66.7,290,290,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,229.1,percent of total billed charges,229.1,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 ,229.1,percent of total billed charges ,229.1,percent of total billed charges ,246.5,percent of total billed charges ,246.5,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 ,,,,,,,,,,,,,,,,,,,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,,,66.7,percent of total billed charges,,,66.7,percent of total billed charges,,,66.7,percent of total billed charges,
ARSENIC,82175,CDM,,,,both,,,162,162,37.26,162,162,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,127.98,percent of total billed charges,127.98,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 ,127.98,percent of total billed charges ,127.98,percent of total billed charges ,137.7,percent of total billed charges ,137.7,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 ,,,,,,,,,,,,,,,,,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,
**HEPA C GENOTYPING REVERSE TRANSCRIPT,87902,CDM,,,,both,,,682,682,156.86,682,682,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,538.78,percent of total billed charges,538.78,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 ,538.78,percent of total billed charges ,538.78,percent of total billed charges ,579.7,percent of total billed charges ,579.7,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 ,,,,,,,,,,,,,,,,,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,
VITAMIN K LEVEL,84597,CDM,,,,both,,,259,259,59.57,259,259,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,204.61,percent of total billed charges,204.61,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 ,204.61,percent of total billed charges ,204.61,percent of total billed charges ,220.15,percent of total billed charges ,220.15,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 ,,,,,,,,,,,,,,,,,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,
SEX HORMONE BIND GLOBULIN,84270,CDM,,,,both,,,551,551,126.73,551,551,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,435.29,percent of total billed charges,435.29,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 ,435.29,percent of total billed charges ,435.29,percent of total billed charges ,468.35,percent of total billed charges ,468.35,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 ,,,,,,,,,,,,,,,,,,,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,
HEPA C GENOTYPING BY PCR,87902,CDM,,,,both,,,"1,123.00","1,123.00",258.29,"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,887.17,percent of total billed charges,887.17,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 ,887.17,percent of total billed charges ,887.17,percent of total billed charges ,954.55,percent of total billed charges ,954.55,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 ,,,,,,,,,,,,,,,,,,,258.29,percent of total billed charges,,,258.29,percent of total billed charges,,,258.29,percent of total billed charges,,,258.29,percent of total billed charges,,,258.29,percent of total billed charges,,,258.29,percent of total billed charges,,,258.29,percent of total billed charges,,,258.29,percent of total billed charges,,,258.29,percent of total billed charges,,,258.29,percent of total billed charges,,,258.29,percent of total billed charges,
TETANUS ANTIBODY,86317,CDM,,,,both,,,117,117,26.91,117,117,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,92.43,percent of total billed charges,92.43,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 ,92.43,percent of total billed charges ,92.43,percent of total billed charges ,99.45,percent of total billed charges ,99.45,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 ,,,,,,,,,,,,,,,,,,,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,
BARTONELLA IGG,86611,CDM,,,,both,,,140,140,32.2,140,140,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,110.6,percent of total billed charges,110.6,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 ,110.6,percent of total billed charges ,110.6,percent of total billed charges ,119,percent of total billed charges ,119,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 ,,,,,,,,,,,,,,,,,,,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,
H INFLUENZA AB IgG,86317,CDM,,,,both,,,406,406,93.38,406,406,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,320.74,percent of total billed charges,320.74,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 ,320.74,percent of total billed charges ,320.74,percent of total billed charges ,345.1,percent of total billed charges ,345.1,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 ,,,,,,,,,,,,,,,,,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,
ANTIBODY VIRUS UNSPECIFIED,86790,CDM,,,,both,,,223,223,51.29,223,223,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,176.17,percent of total billed charges,176.17,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 ,176.17,percent of total billed charges ,176.17,percent of total billed charges ,189.55,percent of total billed charges ,189.55,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 ,,,,,,,,,,,,,,,,,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,
**CA 125,86304,CDM,,,,both,,,560,560,128.8,560,560,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,442.4,percent of total billed charges,442.4,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 ,442.4,percent of total billed charges ,442.4,percent of total billed charges ,476,percent of total billed charges ,476,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 ,,,,,,,,,,,,,,,,,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,
**ROCKY MOUNTAIN SF,86000,CDM,,,,both,,,258,258,59.34,258,258,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,203.82,percent of total billed charges,203.82,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 ,203.82,percent of total billed charges ,203.82,percent of total billed charges ,219.3,percent of total billed charges ,219.3,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 ,,,,,,,,,,,,,,,,,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,
"LYME DISEASE ANTIBODIES, TOTAL",86618,CDM,,,,both,,,200,200,46,200,200,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,158,percent of total billed charges,158,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 ,158,percent of total billed charges ,158,percent of total billed charges ,170,percent of total billed charges ,170,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 ,,,,,,,,,,,,,,,,,,,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,,,46,percent of total billed charges,,,46,percent of total billed charges,,,46,percent of total billed charges,
"HEPATITIS A AB, TOTAL",86708,CDM,,,,both,,,145,145,33.35,145,145,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,114.55,percent of total billed charges,114.55,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 ,114.55,percent of total billed charges ,114.55,percent of total billed charges ,123.25,percent of total billed charges ,123.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,33.35,percent of total billed charges,,,33.35,percent of total billed charges,,,33.35,percent of total billed charges,
"Q FEVER AB, IGG",86638,CDM,,,,both,,,105,105,24.15,105,105,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,82.95,percent of total billed charges,82.95,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 ,82.95,percent of total billed charges ,82.95,percent of total billed charges ,89.25,percent of total billed charges ,89.25,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 ,,,,,,,,,,,,,,,,,,,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,
HEPA C RIBA SUPPLEMENTAL,86804,CDM,,,,both,,,445,445,102.35,445,445,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,351.55,percent of total billed charges,351.55,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 ,351.55,percent of total billed charges ,351.55,percent of total billed charges ,378.25,percent of total billed charges ,378.25,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 ,,,,,,,,,,,,,,,,,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,
"HISTONE  AB, IGG",83516,CDM,,,,both,,,325,325,74.75,325,325,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,256.75,percent of total billed charges,256.75,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 ,256.75,percent of total billed charges ,256.75,percent of total billed charges ,276.25,percent of total billed charges ,276.25,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 ,,,,,,,,,,,,,,,,,,,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,
CA 19-9,86301,CDM,,,,both,,,341,341,78.43,341,341,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,269.39,percent of total billed charges,269.39,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 ,269.39,percent of total billed charges ,269.39,percent of total billed charges ,289.85,percent of total billed charges ,289.85,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 ,,,,,,,,,,,,,,,,,,,78.43,percent of total billed charges,,,78.43,percent of total billed charges,,,78.43,percent of total billed charges,,,78.43,percent of total billed charges,,,78.43,percent of total billed charges,,,78.43,percent of total billed charges,,,78.43,percent of total billed charges,,,78.43,percent of total billed charges,,,78.43,percent of total billed charges,,,78.43,percent of total billed charges,,,78.43,percent of total billed charges,
CENTROMERE ANTIBODY,83516,CDM,,,,both,,,162,162,37.26,162,162,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,127.98,percent of total billed charges,127.98,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 ,127.98,percent of total billed charges ,127.98,percent of total billed charges ,137.7,percent of total billed charges ,137.7,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 ,,,,,,,,,,,,,,,,,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,
IMMUNOELECTROPHORESIS,86320,CDM,,,,both,,,363,363,83.49,363,363,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,286.77,percent of total billed charges,286.77,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 ,286.77,percent of total billed charges ,286.77,percent of total billed charges ,308.55,percent of total billed charges ,308.55,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 ,,,,,,,,,,,,,,,,,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,
TREPONEMA PALLIDUM AB by FTA-ABS,86780,CDM,,,,both,,,358,358,82.34,358,358,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,282.82,percent of total billed charges,282.82,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 ,282.82,percent of total billed charges ,282.82,percent of total billed charges ,304.3,percent of total billed charges ,304.3,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 ,,,,,,,,,,,,,,,,,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,
SMOOTH MUSCLE AB TITER,86256,CDM,,,,both,,,166,166,38.18,166,166,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,131.14,percent of total billed charges,131.14,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 ,131.14,percent of total billed charges ,131.14,percent of total billed charges ,141.1,percent of total billed charges ,141.1,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 ,,,,,,,,,,,,,,,,,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,
COMPLEMENT TOTAL CH50,86162,CDM,,,,both,,,542,542,124.66,542,542,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,428.18,percent of total billed charges,428.18,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 ,428.18,percent of total billed charges ,428.18,percent of total billed charges ,460.7,percent of total billed charges ,460.7,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 ,,,,,,,,,,,,,,,,,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,,,124.66,percent of total billed charges,
COMPLEMENT C4,86160,CDM,,,,both,,,176,176,40.48,176,176,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,139.04,percent of total billed charges,139.04,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 ,139.04,percent of total billed charges ,139.04,percent of total billed charges ,149.6,percent of total billed charges ,149.6,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 ,,,,,,,,,,,,,,,,,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,
COMPLEMENT C3,86160,CDM,,,,both,,,176,176,40.48,176,176,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,139.04,percent of total billed charges,139.04,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 ,139.04,percent of total billed charges ,139.04,percent of total billed charges ,149.6,percent of total billed charges ,149.6,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 ,,,,,,,,,,,,,,,,,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,
HEPATITIS DELTA AB,86692,CDM,,,,both,,,960,960,220.8,960,960,percent of total billed charges,960,percent of total billed charges,960,percent of total billed charges,960,percent of total billed charges,960,percent of total billed charges,960,percent of total billed charges,960,percent of total billed charges,960,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,691.2,percent of total billed charges,691.2,percent of total billed charges,758.4,percent of total billed charges,758.4,percent of total billed charges,768,percent of total billed charges,768,percent of total billed charges,,,691.2,percent of total billed charges ,,,768,percent of total billed charges ,758.4,percent of total billed charges ,758.4,percent of total billed charges ,816,percent of total billed charges ,816,percent of total billed charges ,768,percent of total billed charges ,768,percent of total billed charges ,672,percent of total billed charges ,672,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 ,,,,,510.72,percent of total billed charges ,,,,,485.18,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,,,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,,,220.8,percent of total billed charges,,,220.8,percent of total billed charges,,,220.8,percent of total billed charges,
RAST SINGLE,86003,CDM,,,,both,,,59,59,13.57,59,59,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,46.61,percent of total billed charges,46.61,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 ,46.61,percent of total billed charges ,46.61,percent of total billed charges ,50.15,percent of total billed charges ,50.15,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 ,,,,,,,,,,,,,,,,,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,
BENCE JONES PROT-IEP,86325,CDM,,,,both,,,249,249,57.27,249,249,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,196.71,percent of total billed charges,196.71,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 ,196.71,percent of total billed charges ,196.71,percent of total billed charges ,211.65,percent of total billed charges ,211.65,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 ,,,,,,,,,,,,,,,,,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,
"PLATELET ANTIBODY,INDIRET",86022,CDM,,,,both,,,535,535,123.05,535,535,percent of total billed charges,535,percent of total billed charges,535,percent of total billed charges,535,percent of total billed charges,535,percent of total billed charges,535,percent of total billed charges,535,percent of total billed charges,535,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,385.2,percent of total billed charges,385.2,percent of total billed charges,422.65,percent of total billed charges,422.65,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,,,385.2,percent of total billed charges ,,,428,percent of total billed charges ,422.65,percent of total billed charges ,422.65,percent of total billed charges ,454.75,percent of total billed charges ,454.75,percent of total billed charges ,428,percent of total billed charges ,428,percent of total billed charges ,374.5,percent of total billed charges ,374.5,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 ,,,,,284.62,percent of total billed charges ,,,,,270.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,
LYME IgM CONFIRM WESTERN BLOT,86617,CDM,,,,both,,,173,173,39.79,173,173,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,136.67,percent of total billed charges,136.67,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 ,136.67,percent of total billed charges ,136.67,percent of total billed charges ,147.05,percent of total billed charges ,147.05,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 ,,,,,,,,,,,,,,,,,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,
LYME IgG CONFIRM WESTERN BLOT,86617,CDM,,,,both,,,173,173,39.79,173,173,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,136.67,percent of total billed charges,136.67,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 ,136.67,percent of total billed charges ,136.67,percent of total billed charges ,147.05,percent of total billed charges ,147.05,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 ,,,,,,,,,,,,,,,,,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,
INTRINSIC FACTOR ANTIBODY,86340,CDM,,,,both,,,245,245,56.35,245,245,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,193.55,percent of total billed charges,193.55,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 ,193.55,percent of total billed charges ,193.55,percent of total billed charges ,208.25,percent of total billed charges ,208.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,56.35,percent of total billed charges,,,56.35,percent of total billed charges,,,56.35,percent of total billed charges,
STRONGYLOIDES AB,86682,CDM,,,,both,,,294,294,67.62,294,294,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,232.26,percent of total billed charges,232.26,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 ,232.26,percent of total billed charges ,232.26,percent of total billed charges ,249.9,percent of total billed charges ,249.9,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
HLA-B27,86812,CDM,,,,both,,,269,269,61.87,269,269,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,212.51,percent of total billed charges,212.51,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 ,212.51,percent of total billed charges ,212.51,percent of total billed charges ,228.65,percent of total billed charges ,228.65,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,61.87,percent of total billed charges,,,61.87,percent of total billed charges,,,61.87,percent of total billed charges,
PNEUMOCOCCAL IgG,86317,CDM,,,,both,,,117,117,26.91,117,117,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,92.43,percent of total billed charges,92.43,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 ,92.43,percent of total billed charges ,92.43,percent of total billed charges ,99.45,percent of total billed charges ,99.45,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 ,,,,,,,,,,,,,,,,,,,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,
SCLERODERMA AB (ANTI SCL-70),86235,CDM,,,,both,,,175,175,40.25,175,175,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,138.25,percent of total billed charges,138.25,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 ,138.25,percent of total billed charges ,138.25,percent of total billed charges ,148.75,percent of total billed charges ,148.75,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 ,,,,,,,,,,,,,,,,,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,
HEPATITIS Be ANTIGEN,87350,CDM,,,,both,,,630,630,144.9,630,630,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,497.7,percent of total billed charges,497.7,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 ,497.7,percent of total billed charges ,497.7,percent of total billed charges ,535.5,percent of total billed charges ,535.5,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 ,,,,,,,,,,,,,,,,,,,144.9,percent of total billed charges,,,144.9,percent of total billed charges,,,144.9,percent of total billed charges,,,144.9,percent of total billed charges,,,144.9,percent of total billed charges,,,144.9,percent of total billed charges,,,144.9,percent of total billed charges,,,144.9,percent of total billed charges,,,144.9,percent of total billed charges,,,144.9,percent of total billed charges,,,144.9,percent of total billed charges,
BARTONELLA IGM,86611,CDM,,,,both,,,140,140,32.2,140,140,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,110.6,percent of total billed charges,110.6,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 ,110.6,percent of total billed charges ,110.6,percent of total billed charges ,119,percent of total billed charges ,119,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 ,,,,,,,,,,,,,,,,,,,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,
EBV AB TO EARLY AG EA-D IGG,86663,CDM,,,,both,,,113,113,25.99,113,113,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,89.27,percent of total billed charges,89.27,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 ,89.27,percent of total billed charges ,89.27,percent of total billed charges ,96.05,percent of total billed charges ,96.05,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 ,,,,,,,,,,,,,,,,,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,
EBV CAPSID AB IGG,86665,CDM,,,,both,,,171,171,39.33,171,171,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,135.09,percent of total billed charges,135.09,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 ,135.09,percent of total billed charges ,135.09,percent of total billed charges ,145.35,percent of total billed charges ,145.35,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 ,,,,,,,,,,,,,,,,,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,
PARVOVIRUS IGM,86747,CDM,,,,both,,,147,147,33.81,147,147,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,116.13,percent of total billed charges,116.13,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 ,116.13,percent of total billed charges ,116.13,percent of total billed charges ,124.95,percent of total billed charges ,124.95,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 ,,,,,,,,,,,,,,,,,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,
PARVOVIRUS IGG,86747,CDM,,,,both,,,147,147,33.81,147,147,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,116.13,percent of total billed charges,116.13,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 ,116.13,percent of total billed charges ,116.13,percent of total billed charges ,124.95,percent of total billed charges ,124.95,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 ,,,,,,,,,,,,,,,,,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,
**CA 15-3,86300,CDM,,,,both,,,385,385,88.55,385,385,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,304.15,percent of total billed charges,304.15,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 ,304.15,percent of total billed charges ,304.15,percent of total billed charges ,327.25,percent of total billed charges ,327.25,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 ,,,,,,,,,,,,,,,,,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,
HEPATITIS B SURFACE AB,86706,CDM,,,,both,,,161,161,37.03,161,161,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,127.19,percent of total billed charges,127.19,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 ,127.19,percent of total billed charges ,127.19,percent of total billed charges ,136.85,percent of total billed charges ,136.85,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 ,,,,,,,,,,,,,,,,,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,
DNA SINGLE STRANDED ANTIBODY,86226,CDM,,,,both,,,325,325,74.75,325,325,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,256.75,percent of total billed charges,256.75,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 ,256.75,percent of total billed charges ,256.75,percent of total billed charges ,276.25,percent of total billed charges ,276.25,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 ,,,,,,,,,,,,,,,,,,,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,
"MYCOPLASMA PNEUMONIAE AB, IGM",86738,CDM,,,,both,,,150,150,34.5,150,150,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,118.5,percent of total billed charges,118.5,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 ,118.5,percent of total billed charges ,118.5,percent of total billed charges ,127.5,percent of total billed charges ,127.5,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 ,,,,,,,,,,,,,,,,,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,
ROTAVIRUS,86759,CDM,,,,both,,,326,326,74.98,326,326,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,257.54,percent of total billed charges,257.54,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 ,257.54,percent of total billed charges ,257.54,percent of total billed charges ,277.1,percent of total billed charges ,277.1,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 ,,,,,,,,,,,,,,,,,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,
MEASLES IGG AB,86765,CDM,,,,both,,,135,135,31.05,135,135,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,106.65,percent of total billed charges,106.65,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 ,106.65,percent of total billed charges ,106.65,percent of total billed charges ,114.75,percent of total billed charges ,114.75,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 ,,,,,,,,,,,,,,,,,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,
**RPR,86592,CDM,,,,both,,,72,72,16.56,72,72,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,56.88,percent of total billed charges,56.88,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 ,56.88,percent of total billed charges ,56.88,percent of total billed charges ,61.2,percent of total billed charges ,61.2,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
ANA,86038,CDM,,,,both,,,228,228,52.44,228,228,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,180.12,percent of total billed charges,180.12,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 ,180.12,percent of total billed charges ,180.12,percent of total billed charges ,193.8,percent of total billed charges ,193.8,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 ,,,,,,,,,,,,,,,,,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,
**RHEUMATOID FACTOR,86430,CDM,,,,both,,,95,95,21.85,95,95,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,75.05,percent of total billed charges,75.05,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 ,75.05,percent of total billed charges ,75.05,percent of total billed charges ,80.75,percent of total billed charges ,80.75,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,21.85,percent of total billed charges,,,21.85,percent of total billed charges,,,21.85,percent of total billed charges,
"**C-REACTIVE PROTEIN, HIGH SENSITIVITY",86141,CDM,,,,both,,,175,175,40.25,175,175,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,138.25,percent of total billed charges,138.25,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 ,138.25,percent of total billed charges ,138.25,percent of total billed charges ,148.75,percent of total billed charges ,148.75,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 ,,,,,,,,,,,,,,,,,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,
**CYTOPLASMIC NEUTROPHIL,86021,CDM,,,,both,,,229,229,52.67,229,229,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,180.91,percent of total billed charges,180.91,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 ,180.91,percent of total billed charges ,180.91,percent of total billed charges ,194.65,percent of total billed charges ,194.65,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 ,,,,,,,,,,,,,,,,,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,
COLD AGGLUTININ TITER,86157,CDM,,,,both,,,162,162,37.26,162,162,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,127.98,percent of total billed charges,127.98,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 ,127.98,percent of total billed charges ,127.98,percent of total billed charges ,137.7,percent of total billed charges ,137.7,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 ,,,,,,,,,,,,,,,,,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,
ASO TITER,86060,CDM,,,,both,,,193,193,44.39,193,193,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,152.47,percent of total billed charges,152.47,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 ,152.47,percent of total billed charges ,152.47,percent of total billed charges ,164.05,percent of total billed charges ,164.05,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 ,,,,,,,,,,,,,,,,,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,
CRYPTOCOCCAL AG,86641,CDM,,,,both,,,387,387,89.01,387,387,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,305.73,percent of total billed charges,305.73,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 ,305.73,percent of total billed charges ,305.73,percent of total billed charges ,328.95,percent of total billed charges ,328.95,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 ,,,,,,,,,,,,,,,,,,,89.01,percent of total billed charges,,,89.01,percent of total billed charges,,,89.01,percent of total billed charges,,,89.01,percent of total billed charges,,,89.01,percent of total billed charges,,,89.01,percent of total billed charges,,,89.01,percent of total billed charges,,,89.01,percent of total billed charges,,,89.01,percent of total billed charges,,,89.01,percent of total billed charges,,,89.01,percent of total billed charges,
CRYPTOCOCCAL AB TITER,86406,CDM,,,,both,,,410,410,94.3,410,410,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,323.9,percent of total billed charges,323.9,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 ,323.9,percent of total billed charges ,323.9,percent of total billed charges ,348.5,percent of total billed charges ,348.5,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 ,,,,,,,,,,,,,,,,,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,
BACTERIAL ANTIGEN,86403,CDM,,,,both,,,976,976,224.48,976,976,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,771.04,percent of total billed charges,771.04,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 ,771.04,percent of total billed charges ,771.04,percent of total billed charges ,829.6,percent of total billed charges ,829.6,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 ,,,,,,,,,,,,,,,,,,,224.48,percent of total billed charges,,,224.48,percent of total billed charges,,,224.48,percent of total billed charges,,,224.48,percent of total billed charges,,,224.48,percent of total billed charges,,,224.48,percent of total billed charges,,,224.48,percent of total billed charges,,,224.48,percent of total billed charges,,,224.48,percent of total billed charges,,,224.48,percent of total billed charges,,,224.48,percent of total billed charges,
ASPERGILLOSIS IMMUNODIF,86606,CDM,,,,both,,,126,126,28.98,126,126,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,99.54,percent of total billed charges,99.54,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 ,99.54,percent of total billed charges ,99.54,percent of total billed charges ,107.1,percent of total billed charges ,107.1,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 ,,,,,,,,,,,,,,,,,,,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,
CMV-IgG,86644,CDM,,,,both,,,162,162,37.26,162,162,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,127.98,percent of total billed charges,127.98,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 ,127.98,percent of total billed charges ,127.98,percent of total billed charges ,137.7,percent of total billed charges ,137.7,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 ,,,,,,,,,,,,,,,,,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,
CMV-IgM,86645,CDM,,,,both,,,212,212,48.76,212,212,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,167.48,percent of total billed charges,167.48,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 ,167.48,percent of total billed charges ,167.48,percent of total billed charges ,180.2,percent of total billed charges ,180.2,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 ,,,,,,,,,,,,,,,,,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,
"HERPES SIMPLEX 2, IGM AB",86696,CDM,,,,both,,,148,148,34.04,148,148,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,116.92,percent of total billed charges,116.92,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 ,116.92,percent of total billed charges ,116.92,percent of total billed charges ,125.8,percent of total billed charges ,125.8,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 ,,,,,,,,,,,,,,,,,,,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,,,34.04,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,
"HERPES SIMPLEX 1, IGM AB",86695,CDM,,,,both,,,126,126,28.98,126,126,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,99.54,percent of total billed charges,99.54,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 ,99.54,percent of total billed charges ,99.54,percent of total billed charges ,107.1,percent of total billed charges ,107.1,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 ,,,,,,,,,,,,,,,,,,,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,
MEASLES IGM AB,86765,CDM,,,,both,,,228,228,52.44,228,228,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,180.12,percent of total billed charges,180.12,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 ,180.12,percent of total billed charges ,180.12,percent of total billed charges ,193.8,percent of total billed charges ,193.8,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 ,,,,,,,,,,,,,,,,,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,
"RUBELLA ANTIBODY, IgM",86762,CDM,,,,both,,,194,194,44.62,194,194,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,153.26,percent of total billed charges,153.26,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 ,153.26,percent of total billed charges ,153.26,percent of total billed charges ,164.9,percent of total billed charges ,164.9,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 ,,,,,,,,,,,,,,,,,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,
DNA ANTIBODY DOUBLE STRANDED,86225,CDM,,,,both,,,369,369,84.87,369,369,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,291.51,percent of total billed charges,291.51,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 ,291.51,percent of total billed charges ,291.51,percent of total billed charges ,313.65,percent of total billed charges ,313.65,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 ,,,,,,,,,,,,,,,,,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,
TOXOPLASMOSIS IGG AB,86777,CDM,,,,both,,,305,305,70.15,305,305,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,240.95,percent of total billed charges,240.95,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 ,240.95,percent of total billed charges ,240.95,percent of total billed charges ,259.25,percent of total billed charges ,259.25,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 ,,,,,,,,,,,,,,,,,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,
VARICELLA ZOSTER IGG AB,86787,CDM,,,,both,,,149,149,34.27,149,149,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,117.71,percent of total billed charges,117.71,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 ,117.71,percent of total billed charges ,117.71,percent of total billed charges ,126.65,percent of total billed charges ,126.65,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 ,,,,,,,,,,,,,,,,,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,
VARICELLA ZOSTER IGM AB,86787,CDM,,,,both,,,149,149,34.27,149,149,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,117.71,percent of total billed charges,117.71,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 ,117.71,percent of total billed charges ,117.71,percent of total billed charges ,126.65,percent of total billed charges ,126.65,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 ,,,,,,,,,,,,,,,,,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,
H PYLORI IGG ANTIBODY,86677,CDM,,,,both,,,190,190,43.7,190,190,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,150.1,percent of total billed charges,150.1,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 ,150.1,percent of total billed charges ,150.1,percent of total billed charges ,161.5,percent of total billed charges ,161.5,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 ,,,,,,,,,,,,,,,,,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,
HIV ANTI WEST BLOT ASSAY,86689,CDM,,,,both,,,224,224,51.52,224,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,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,176.96,percent of total billed charges,176.96,percent of total billed charges,179.2,percent of total billed charges,179.2,percent of total billed charges,,,161.28,percent of total billed charges ,,,179.2,percent of total billed charges ,176.96,percent of total billed charges ,176.96,percent of total billed charges ,190.4,percent of total billed charges ,190.4,percent of total billed charges ,179.2,percent of total billed charges ,179.2,percent of total billed charges ,156.8,percent of total billed charges ,156.8,percent of total billed charges ,134.4,percent of total billed charges ,134.4,percent of total billed charges ,134.4,percent of total billed charges ,134.4,percent of total billed charges ,,,,,119.17,percent of total billed charges ,,,,,113.21,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,
THYROID AB PEROXIDASE,86376,CDM,,,,both,,,159,159,36.57,159,159,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,125.61,percent of total billed charges,125.61,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 ,125.61,percent of total billed charges ,125.61,percent of total billed charges ,135.15,percent of total billed charges ,135.15,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,36.57,percent of total billed charges,,,36.57,percent of total billed charges,,,36.57,percent of total billed charges,
MUMPS IGG,86735,CDM,,,,both,,,137,137,31.51,137,137,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,108.23,percent of total billed charges,108.23,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 ,108.23,percent of total billed charges ,108.23,percent of total billed charges ,116.45,percent of total billed charges ,116.45,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 ,,,,,,,,,,,,,,,,,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,
THYROGLOBULIN ANTIBODY,86800,CDM,,,,both,,,249,249,57.27,249,249,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,196.71,percent of total billed charges,196.71,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 ,196.71,percent of total billed charges ,196.71,percent of total billed charges ,211.65,percent of total billed charges ,211.65,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 ,,,,,,,,,,,,,,,,,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,
CA 27.29,86300,CDM,,,,both,,,212,212,48.76,212,212,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,167.48,percent of total billed charges,167.48,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 ,167.48,percent of total billed charges ,167.48,percent of total billed charges ,180.2,percent of total billed charges ,180.2,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 ,,,,,,,,,,,,,,,,,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,
EBV AB TO NUCLEAR AG IGG,86664,CDM,,,,both,,,436,436,100.28,436,436,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,344.44,percent of total billed charges,344.44,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 ,344.44,percent of total billed charges ,344.44,percent of total billed charges ,370.6,percent of total billed charges ,370.6,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 ,,,,,,,,,,,,,,,,,,,100.28,percent of total billed charges,,,100.28,percent of total billed charges,,,100.28,percent of total billed charges,,,100.28,percent of total billed charges,,,100.28,percent of total billed charges,,,100.28,percent of total billed charges,,,100.28,percent of total billed charges,,,100.28,percent of total billed charges,,,100.28,percent of total billed charges,,,100.28,percent of total billed charges,,,100.28,percent of total billed charges,
**HEPATITIS C ANTIBODY,86803,CDM,,,,both,,,382,382,87.86,382,382,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,301.78,percent of total billed charges,301.78,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 ,301.78,percent of total billed charges ,301.78,percent of total billed charges ,324.7,percent of total billed charges ,324.7,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 ,,,,,,,,,,,,,,,,,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,
"**HEPATITIS B CORE AB,IGM",86704,CDM,,,,both,,,308,308,70.84,308,308,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,243.32,percent of total billed charges,243.32,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 ,243.32,percent of total billed charges ,243.32,percent of total billed charges ,261.8,percent of total billed charges ,261.8,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 ,,,,,,,,,,,,,,,,,,,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,
EXTRACTABLE NUCLEAR AB,86235,CDM,,,,both,,,265,265,60.95,265,265,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,209.35,percent of total billed charges,209.35,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 ,209.35,percent of total billed charges ,209.35,percent of total billed charges ,225.25,percent of total billed charges ,225.25,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 ,,,,,,,,,,,,,,,,,,,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,,,60.95,percent of total billed charges,,,60.95,percent of total billed charges,,,60.95,percent of total billed charges,
MUMPS IGM,86735,CDM,,,,both,,,127,127,29.21,127,127,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,100.33,percent of total billed charges,100.33,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 ,100.33,percent of total billed charges ,100.33,percent of total billed charges ,107.95,percent of total billed charges ,107.95,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 ,,,,,,,,,,,,,,,,,,,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,
CARDIOLIPIN AB IgG,86147,CDM,,,,both,,,194,194,44.62,194,194,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,153.26,percent of total billed charges,153.26,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 ,153.26,percent of total billed charges ,153.26,percent of total billed charges ,164.9,percent of total billed charges ,164.9,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 ,,,,,,,,,,,,,,,,,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,
SPINAL VDRL,86592,CDM,,,,both,,,121,121,27.83,121,121,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,95.59,percent of total billed charges,95.59,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 ,95.59,percent of total billed charges ,95.59,percent of total billed charges ,102.85,percent of total billed charges ,102.85,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,27.83,percent of total billed charges,,,27.83,percent of total billed charges,,,27.83,percent of total billed charges,
VON WILLEBRAND RISTO COFACTOR,85245,CDM,,,,both,,,258,258,59.34,258,258,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,203.82,percent of total billed charges,203.82,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 ,203.82,percent of total billed charges ,203.82,percent of total billed charges ,219.3,percent of total billed charges ,219.3,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 ,,,,,,,,,,,,,,,,,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,
**RETIC COUNT,85045,CDM,,,,both,,,125,125,28.75,125,125,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,98.75,percent of total billed charges,98.75,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 ,98.75,percent of total billed charges ,98.75,percent of total billed charges ,106.25,percent of total billed charges ,106.25,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 ,,,,,,,,,,,,,,,,,,,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,,,28.75,percent of total billed charges,,,28.75,percent of total billed charges,,,28.75,percent of total billed charges,
SICKLE CELL PREP,85660,CDM,,,,both,,,173,173,39.79,173,173,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,136.67,percent of total billed charges,136.67,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 ,136.67,percent of total billed charges ,136.67,percent of total billed charges ,147.05,percent of total billed charges ,147.05,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 ,,,,,,,,,,,,,,,,,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,
FACTOR 8,85240,CDM,,,,both,,,481,481,110.63,481,481,percent of total billed charges,481,percent of total billed charges,481,percent of total billed charges,481,percent of total billed charges,481,percent of total billed charges,481,percent of total billed charges,481,percent of total billed charges,481,percent of total billed charges,346.32,percent of total billed charges,346.32,percent of total billed charges,346.32,percent of total billed charges,346.32,percent of total billed charges,346.32,percent of total billed charges,346.32,percent of total billed charges,379.99,percent of total billed charges,379.99,percent of total billed charges,384.8,percent of total billed charges,384.8,percent of total billed charges,,,346.32,percent of total billed charges ,,,384.8,percent of total billed charges ,379.99,percent of total billed charges ,379.99,percent of total billed charges ,408.85,percent of total billed charges ,408.85,percent of total billed charges ,384.8,percent of total billed charges ,384.8,percent of total billed charges ,336.7,percent of total billed charges ,336.7,percent of total billed charges ,288.6,percent of total billed charges ,288.6,percent of total billed charges ,288.6,percent of total billed charges ,288.6,percent of total billed charges ,,,,,255.89,percent of total billed charges ,,,,,243.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,110.63,percent of total billed charges,,,110.63,percent of total billed charges,,,110.63,percent of total billed charges,,,110.63,percent of total billed charges,,,110.63,percent of total billed charges,,,110.63,percent of total billed charges,,,110.63,percent of total billed charges,,,110.63,percent of total billed charges,,,110.63,percent of total billed charges,,,110.63,percent of total billed charges,,,110.63,percent of total billed charges,
ANTITHROMBIN 3,85300,CDM,,,,both,,,245,245,56.35,245,245,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,193.55,percent of total billed charges,193.55,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 ,193.55,percent of total billed charges ,193.55,percent of total billed charges ,208.25,percent of total billed charges ,208.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,56.35,percent of total billed charges,,,56.35,percent of total billed charges,,,56.35,percent of total billed charges,
FACTOR 5,85220,CDM,,,,both,,,184,184,42.32,184,184,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,145.36,percent of total billed charges,145.36,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 ,145.36,percent of total billed charges ,145.36,percent of total billed charges ,156.4,percent of total billed charges ,156.4,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 ,,,,,,,,,,,,,,,,,,,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,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,
THROMBIN TIME,85670,CDM,,,,both,,,269,269,61.87,269,269,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,212.51,percent of total billed charges,212.51,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 ,212.51,percent of total billed charges ,212.51,percent of total billed charges ,228.65,percent of total billed charges ,228.65,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,61.87,percent of total billed charges,,,61.87,percent of total billed charges,,,61.87,percent of total billed charges,
DILUTE VIPER VENOM TIME,85613,CDM,,,,both,,,249,249,57.27,249,249,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,196.71,percent of total billed charges,196.71,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 ,196.71,percent of total billed charges ,196.71,percent of total billed charges ,211.65,percent of total billed charges ,211.65,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 ,,,,,,,,,,,,,,,,,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,
LEUKOCYTE ALKALINE PHOSPHATASE,85540,CDM,,,,both,,,96,96,22.08,96,96,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,75.84,percent of total billed charges,75.84,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 ,75.84,percent of total billed charges ,75.84,percent of total billed charges ,81.6,percent of total billed charges ,81.6,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 ,,,,,,,,,,,,,,,,,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,
ACTIVATED PROTEIN C,85307,CDM,,,,both,,,193,193,44.39,193,193,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,152.47,percent of total billed charges,152.47,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 ,152.47,percent of total billed charges ,152.47,percent of total billed charges ,164.05,percent of total billed charges ,164.05,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 ,,,,,,,,,,,,,,,,,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,
FDP,85362,CDM,,,,both,,,199,199,45.77,199,199,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,157.21,percent of total billed charges,157.21,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 ,157.21,percent of total billed charges ,157.21,percent of total billed charges ,169.15,percent of total billed charges ,169.15,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 ,,,,,,,,,,,,,,,,,,,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,,,45.77,percent of total billed charges,,,45.77,percent of total billed charges,,,45.77,percent of total billed charges,
MMC FIBRINOGEN,85384,CDM,,,,both,,,232,232,53.36,232,232,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,183.28,percent of total billed charges,183.28,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 ,183.28,percent of total billed charges ,183.28,percent of total billed charges ,197.2,percent of total billed charges ,197.2,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 ,,,,,,,,,,,,,,,,,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,
**PROTEIN C,85303,CDM,,,,both,,,"1,260.00","1,260.00",289.8,"1,260.00","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,"1,260.00",percent of total billed charges,"1,260.00",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,907.2,percent of total billed charges,907.2,percent of total billed charges,995.4,percent of total billed charges,995.4,percent of total billed charges,"1,008.00",percent of total billed charges,"1,008.00",percent of total billed charges,,,907.2,percent of total billed charges ,,,"1,008.00",percent of total billed charges ,995.4,percent of total billed charges ,995.4,percent of total billed charges ,"1,071.00",percent of total billed charges ,"1,071.00",percent of total billed charges ,"1,008.00",percent of total billed charges ,"1,008.00",percent of total billed charges ,882,percent of total billed charges ,882,percent of total billed charges ,756,percent of total billed charges ,756,percent of total billed charges ,756,percent of total billed charges ,756,percent of total billed charges ,,,,,670.32,percent of total billed charges ,,,,,636.8,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,,,289.8,percent of total billed charges,
MMC D-DIMER,85378,CDM,,,,both,,,272,272,62.56,272,272,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,214.88,percent of total billed charges,214.88,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 ,214.88,percent of total billed charges ,214.88,percent of total billed charges ,231.2,percent of total billed charges ,231.2,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 ,,,,,,,,,,,,,,,,,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,
PROTEIN C FUNCTIONAL ACTIVITY,85303,CDM,,,,both,,,497,497,114.31,497,497,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,392.63,percent of total billed charges,392.63,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 ,392.63,percent of total billed charges ,392.63,percent of total billed charges ,422.45,percent of total billed charges ,422.45,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 ,,,,,,,,,,,,,,,,,,,114.31,percent of total billed charges,,,114.31,percent of total billed charges,,,114.31,percent of total billed charges,,,114.31,percent of total billed charges,,,114.31,percent of total billed charges,,,114.31,percent of total billed charges,,,114.31,percent of total billed charges,,,114.31,percent of total billed charges,,,114.31,percent of total billed charges,,,114.31,percent of total billed charges,,,114.31,percent of total billed charges,
"PROTEIN S FUNCTIONAL, FREE",85306,CDM,,,,both,,,462,462,106.26,462,462,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,364.98,percent of total billed charges,364.98,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 ,364.98,percent of total billed charges ,364.98,percent of total billed charges ,392.7,percent of total billed charges ,392.7,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 ,,,,,,,,,,,,,,,,,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,
SMEAR REVIEW,85060,CDM,,,,both,,,246,246,56.58,246,246,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,194.34,percent of total billed charges,194.34,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 ,194.34,percent of total billed charges ,194.34,percent of total billed charges ,209.1,percent of total billed charges ,209.1,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 ,,,,,,,,,,,,,,,,,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,
VON WILLEBRAND FACTOR AG,85246,CDM,,,,both,,,383,383,88.09,383,383,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,302.57,percent of total billed charges,302.57,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 ,302.57,percent of total billed charges ,302.57,percent of total billed charges ,325.55,percent of total billed charges ,325.55,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 ,,,,,,,,,,,,,,,,,,,88.09,percent of total billed charges,,,88.09,percent of total billed charges,,,88.09,percent of total billed charges,,,88.09,percent of total billed charges,,,88.09,percent of total billed charges,,,88.09,percent of total billed charges,,,88.09,percent of total billed charges,,,88.09,percent of total billed charges,,,88.09,percent of total billed charges,,,88.09,percent of total billed charges,,,88.09,percent of total billed charges,
FIBRINOGEN ANTIGEN,85385,CDM,,,,both,,,115,115,26.45,115,115,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,90.85,percent of total billed charges,90.85,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 ,90.85,percent of total billed charges ,90.85,percent of total billed charges ,97.75,percent of total billed charges ,97.75,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 ,,,,,,,,,,,,,,,,,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,
EOSINOPHIL CNT,85048,CDM,,,,both,,,65,65,14.95,65,65,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,51.35,percent of total billed charges,51.35,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 ,51.35,percent of total billed charges ,51.35,percent of total billed charges ,55.25,percent of total billed charges ,55.25,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 ,,,,,,,,,,,,,,,,,,,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,,,14.95,percent of total billed charges,,,14.95,percent of total billed charges,,,14.95,percent of total billed charges,
AT3 FUNCTIONAL ACTIVITY,85300,CDM,,,,both,,,645,645,148.35,645,645,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,509.55,percent of total billed charges,509.55,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 ,509.55,percent of total billed charges ,509.55,percent of total billed charges ,548.25,percent of total billed charges ,548.25,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 ,,,,,,,,,,,,,,,,,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,
INHIBITOR STUDY,85300,CDM,,,,both,,,318,318,73.14,318,318,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,251.22,percent of total billed charges,251.22,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 ,251.22,percent of total billed charges ,251.22,percent of total billed charges ,270.3,percent of total billed charges ,270.3,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 ,,,,,,,,,,,,,,,,,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,
"PROTEIN S, TOTAL",85305,CDM,,,,both,,,183,183,42.09,183,183,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,144.57,percent of total billed charges,144.57,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 ,144.57,percent of total billed charges ,144.57,percent of total billed charges ,155.55,percent of total billed charges ,155.55,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 ,,,,,,,,,,,,,,,,,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,
VISCOSITY,85810,CDM,,,,both,,,175,175,40.25,175,175,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,138.25,percent of total billed charges,138.25,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 ,138.25,percent of total billed charges ,138.25,percent of total billed charges ,148.75,percent of total billed charges ,148.75,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 ,,,,,,,,,,,,,,,,,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,
**VIRAL LOAD HIV,87536,CDM,,,,both,,,336,336,77.28,336,336,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,336,percent of total billed charges,336,percent of total billed charges,336,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,265.44,percent of total billed charges,265.44,percent of total billed charges,268.8,percent of total billed charges,268.8,percent of total billed charges,,,241.92,percent of total billed charges ,,,268.8,percent of total billed charges ,265.44,percent of total billed charges ,265.44,percent of total billed charges ,285.6,percent of total billed charges ,285.6,percent of total billed charges ,268.8,percent of total billed charges ,268.8,percent of total billed charges ,235.2,percent of total billed charges ,235.2,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 ,,,,,178.75,percent of total billed charges ,,,,,169.81,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,
MINIMUM INHIBITORY CONCENTRATION (MMC),87186,CDM,,,,both,,,158,158,36.34,158,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,113.76,percent of total billed charges,113.76,percent of total billed charges,113.76,percent of total billed charges,113.76,percent of total billed charges,113.76,percent of total billed charges,113.76,percent of total billed charges,124.82,percent of total billed charges,124.82,percent of total billed charges,126.4,percent of total billed charges,126.4,percent of total billed charges,,,113.76,percent of total billed charges ,,,126.4,percent of total billed charges ,124.82,percent of total billed charges ,124.82,percent of total billed charges ,134.3,percent of total billed charges ,134.3,percent of total billed charges ,126.4,percent of total billed charges ,126.4,percent of total billed charges ,110.6,percent of total billed charges ,110.6,percent of total billed charges ,94.8,percent of total billed charges ,94.8,percent of total billed charges ,94.8,percent of total billed charges ,94.8,percent of total billed charges ,,,,,84.06,percent of total billed charges ,,,,,79.85,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,
CULTURE TB,87116,CDM,,,,both,,,307,307,70.61,307,307,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,242.53,percent of total billed charges,242.53,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 ,242.53,percent of total billed charges ,242.53,percent of total billed charges ,260.95,percent of total billed charges ,260.95,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 ,,,,,,,,,,,,,,,,,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,
"GC PROBE, MALE SWAB, MMC",87591,CDM,,,,both,,,235,235,54.05,235,235,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,185.65,percent of total billed charges,185.65,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 ,185.65,percent of total billed charges ,185.65,percent of total billed charges ,199.75,percent of total billed charges ,199.75,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 ,,,,,,,,,,,,,,,,,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,
**ANAEROBIC SUSCEPTIBILTY,87181,CDM,,,,both,,,68,68,15.64,68,68,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,53.72,percent of total billed charges,53.72,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 ,53.72,percent of total billed charges ,53.72,percent of total billed charges ,57.8,percent of total billed charges ,57.8,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 ,,,,,,,,,,,,,,,,,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,,,15.64,percent of total billed charges,
STAIN ACID FAST,87206,CDM,,,,both,,,117,117,26.91,117,117,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,92.43,percent of total billed charges,92.43,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 ,92.43,percent of total billed charges ,92.43,percent of total billed charges ,99.45,percent of total billed charges ,99.45,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 ,,,,,,,,,,,,,,,,,,,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,
SCHLICHTER TEST,87197,CDM,,,,both,,,313,313,71.99,313,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,247.27,percent of total billed charges,247.27,percent of total billed charges,250.4,percent of total billed charges,250.4,percent of total billed charges,,,225.36,percent of total billed charges ,,,250.4,percent of total billed charges ,247.27,percent of total billed charges ,247.27,percent of total billed charges ,266.05,percent of total billed charges ,266.05,percent of total billed charges ,250.4,percent of total billed charges ,250.4,percent of total billed charges ,219.1,percent of total billed charges ,219.1,percent of total billed charges ,187.8,percent of total billed charges ,187.8,percent of total billed charges ,187.8,percent of total billed charges ,187.8,percent of total billed charges ,,,,,166.52,percent of total billed charges ,,,,,158.19,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,,,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,
GIARDIA/CRYPTO ANTIGEN,87272,CDM,,,,both,,,226,226,51.98,226,226,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,178.54,percent of total billed charges,178.54,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 ,178.54,percent of total billed charges ,178.54,percent of total billed charges ,192.1,percent of total billed charges ,192.1,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,51.98,percent of total billed charges,,,51.98,percent of total billed charges,,,51.98,percent of total billed charges,
"O&P EXAM, FECAL",87177,CDM,,,,both,,,227,227,52.21,227,227,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,179.33,percent of total billed charges,179.33,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 ,179.33,percent of total billed charges ,179.33,percent of total billed charges ,192.95,percent of total billed charges ,192.95,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 ,,,,,,,,,,,,,,,,,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,
MALARIA SMEAR,87207,CDM,,,,both,,,251,251,57.73,251,251,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,198.29,percent of total billed charges,198.29,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 ,198.29,percent of total billed charges ,198.29,percent of total billed charges ,213.35,percent of total billed charges ,213.35,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 ,,,,,,,,,,,,,,,,,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,
IGG SUBCLASSES,82787,CDM,,,,both,,,388,388,89.24,388,388,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,306.52,percent of total billed charges,306.52,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 ,306.52,percent of total billed charges ,306.52,percent of total billed charges ,329.8,percent of total billed charges ,329.8,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 ,,,,,,,,,,,,,,,,,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,
**MMC LEGIONELLA ANTIGEN UR,87449,CDM,,,,both,,,167,167,38.41,167,167,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,131.93,percent of total billed charges,131.93,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 ,131.93,percent of total billed charges ,131.93,percent of total billed charges ,141.95,percent of total billed charges ,141.95,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 ,,,,,,,,,,,,,,,,,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,
HEPATITIS Be ANTIBODY,86707,CDM,,,,both,,,96,96,22.08,96,96,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,75.84,percent of total billed charges,75.84,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 ,75.84,percent of total billed charges ,75.84,percent of total billed charges ,81.6,percent of total billed charges ,81.6,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 ,,,,,,,,,,,,,,,,,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,
HEPA C RNA QUAL PCR,87521,CDM,,,,both,,,433,433,99.59,433,433,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,342.07,percent of total billed charges,342.07,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 ,342.07,percent of total billed charges ,342.07,percent of total billed charges ,368.05,percent of total billed charges ,368.05,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 ,,,,,,,,,,,,,,,,,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,
**RSV BY RIA DO NOT USE,87807,CDM,,,,both,,,200,200,46,200,200,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,158,percent of total billed charges,158,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 ,158,percent of total billed charges ,158,percent of total billed charges ,170,percent of total billed charges ,170,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 ,,,,,,,,,,,,,,,,,,,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,,,46,percent of total billed charges,,,46,percent of total billed charges,,,46,percent of total billed charges,
HSV TYPE 1/2 DNA PCR CSF,87529,CDM,,,,both,,,656,656,150.88,656,656,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,518.24,percent of total billed charges,518.24,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 ,518.24,percent of total billed charges ,518.24,percent of total billed charges ,557.6,percent of total billed charges ,557.6,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 ,,,,,,,,,,,,,,,,,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,,,150.88,percent of total billed charges,
"HEPA C RNA QUANT,PCR",87522,CDM,,,,both,,,545,545,125.35,545,545,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,430.55,percent of total billed charges,430.55,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 ,430.55,percent of total billed charges ,430.55,percent of total billed charges ,463.25,percent of total billed charges ,463.25,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 ,,,,,,,,,,,,,,,,,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,
"CULTURE FUNGUS, OTHER SOURCE",87102,CDM,,,,both,,,228,228,52.44,228,228,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,180.12,percent of total billed charges,180.12,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 ,180.12,percent of total billed charges ,180.12,percent of total billed charges ,193.8,percent of total billed charges ,193.8,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 ,,,,,,,,,,,,,,,,,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,
"CHLAMYDIA PROBE,MALE SWAB,MMC",87491,CDM,,,,both,,,239,239,54.97,239,239,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,188.81,percent of total billed charges,188.81,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 ,188.81,percent of total billed charges ,188.81,percent of total billed charges ,203.15,percent of total billed charges ,203.15,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 ,,,,,,,,,,,,,,,,,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,
YEAST IDENTIFICATION,87106,CDM,,,,both,,,102,102,23.46,102,102,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,80.58,percent of total billed charges,80.58,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 ,80.58,percent of total billed charges ,80.58,percent of total billed charges ,86.7,percent of total billed charges ,86.7,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 ,,,,,,,,,,,,,,,,,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,
CULTURE YERSINIA,87046,CDM,,,,both,,,127,127,29.21,127,127,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,100.33,percent of total billed charges,100.33,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 ,100.33,percent of total billed charges ,100.33,percent of total billed charges ,107.95,percent of total billed charges ,107.95,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 ,,,,,,,,,,,,,,,,,,,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,
CULTURE VIRUS,87252,CDM,,,,both,,,292,292,67.16,292,292,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,230.68,percent of total billed charges,230.68,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 ,230.68,percent of total billed charges ,230.68,percent of total billed charges ,248.2,percent of total billed charges ,248.2,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 ,,,,,,,,,,,,,,,,,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,
CULTURE CHLAMYDIA VIRAL,87110,CDM,,,,both,,,631,631,145.13,631,631,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,498.49,percent of total billed charges,498.49,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 ,498.49,percent of total billed charges ,498.49,percent of total billed charges ,536.35,percent of total billed charges ,536.35,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 ,,,,,,,,,,,,,,,,,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,
CULTURE LEGIONELLA,87075,CDM,,,,both,,,963,963,221.49,963,963,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,760.77,percent of total billed charges,760.77,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 ,760.77,percent of total billed charges ,760.77,percent of total billed charges ,818.55,percent of total billed charges ,818.55,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 ,,,,,,,,,,,,,,,,,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,,,221.49,percent of total billed charges,
**HEPATITIS B SURFACE AG,87340,CDM,,,,both,,,324,324,74.52,324,324,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,255.96,percent of total billed charges,255.96,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 ,255.96,percent of total billed charges ,255.96,percent of total billed charges ,275.4,percent of total billed charges ,275.4,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**NEISSERIA GC PROBE,87591,CDM,,,,both,,,313,313,71.99,313,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,247.27,percent of total billed charges,247.27,percent of total billed charges,250.4,percent of total billed charges,250.4,percent of total billed charges,,,225.36,percent of total billed charges ,,,250.4,percent of total billed charges ,247.27,percent of total billed charges ,247.27,percent of total billed charges ,266.05,percent of total billed charges ,266.05,percent of total billed charges ,250.4,percent of total billed charges ,250.4,percent of total billed charges ,219.1,percent of total billed charges ,219.1,percent of total billed charges ,187.8,percent of total billed charges ,187.8,percent of total billed charges ,187.8,percent of total billed charges ,187.8,percent of total billed charges ,,,,,166.52,percent of total billed charges ,,,,,158.19,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,,,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,
KOH PREPARATION TISSUE,87220,CDM,,,,both,,,153,153,35.19,153,153,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,120.87,percent of total billed charges,120.87,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 ,120.87,percent of total billed charges ,120.87,percent of total billed charges ,130.05,percent of total billed charges ,130.05,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 ,,,,,,,,,,,,,,,,,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,
REDUCING SUBSTANCES FECAL,84376,CDM,,,,both,,,77,77,17.71,77,77,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,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,60.83,percent of total billed charges,60.83,percent of total billed charges,61.6,percent of total billed charges,61.6,percent of total billed charges,,,55.44,percent of total billed charges ,,,61.6,percent of total billed charges ,60.83,percent of total billed charges ,60.83,percent of total billed charges ,65.45,percent of total billed charges ,65.45,percent of total billed charges ,61.6,percent of total billed charges ,61.6,percent of total billed charges ,53.9,percent of total billed charges ,53.9,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 ,,,,,40.96,percent of total billed charges ,,,,,38.92,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,,,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,
URINE EOSINOPHIL,81015,CDM,,,,both,,,55,55,12.65,55,55,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,43.45,percent of total billed charges,43.45,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 ,43.45,percent of total billed charges ,43.45,percent of total billed charges ,46.75,percent of total billed charges ,46.75,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 ,,,,,,,,,,,,,,,,,,,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,
EOSINOPHIL SMEAR,89190,CDM,,,,both,,,77,77,17.71,77,77,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,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,60.83,percent of total billed charges,60.83,percent of total billed charges,61.6,percent of total billed charges,61.6,percent of total billed charges,,,55.44,percent of total billed charges ,,,61.6,percent of total billed charges ,60.83,percent of total billed charges ,60.83,percent of total billed charges ,65.45,percent of total billed charges ,65.45,percent of total billed charges ,61.6,percent of total billed charges ,61.6,percent of total billed charges ,53.9,percent of total billed charges ,53.9,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 ,,,,,40.96,percent of total billed charges ,,,,,38.92,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,,,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,
FLUID CRYSTALS,89060,CDM,,,,both,,,196,196,45.08,196,196,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,154.84,percent of total billed charges,154.84,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 ,154.84,percent of total billed charges ,154.84,percent of total billed charges ,166.6,percent of total billed charges ,166.6,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 ,,,,,,,,,,,,,,,,,,,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,
GMS SMEAR,88312,CDM,,,26,both,,,288,288,66.24,288,288,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,227.52,percent of total billed charges,227.52,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 ,227.52,percent of total billed charges ,227.52,percent of total billed charges ,244.8,percent of total billed charges ,244.8,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
SURG PATH 88309,88309,CDM,,,26,both,,,"1,673.00","1,673.00",384.79,"1,673.00","1,673.00",percent of total billed charges,"1,673.00",percent of total billed charges,"1,673.00",percent of total billed charges,"1,673.00",percent of total billed charges,"1,673.00",percent of total billed charges,"1,673.00",percent of total billed charges,"1,673.00",percent of total billed charges,"1,673.00",percent of total billed charges,"1,204.56",percent of total billed charges,"1,204.56",percent of total billed charges,"1,204.56",percent of total billed charges,"1,204.56",percent of total billed charges,"1,204.56",percent of total billed charges,"1,204.56",percent of total billed charges,"1,321.67",percent of total billed charges,"1,321.67",percent of total billed charges,"1,338.40",percent of total billed charges,"1,338.40",percent of total billed charges,,,"1,204.56",percent of total billed charges ,,,"1,338.40",percent of total billed charges ,"1,321.67",percent of total billed charges ,"1,321.67",percent of total billed charges ,"1,422.05",percent of total billed charges ,"1,422.05",percent of total billed charges ,"1,338.40",percent of total billed charges ,"1,338.40",percent of total billed charges ,"1,171.10",percent of total billed charges ,"1,171.10",percent of total billed charges ,"1,003.80",percent of total billed charges ,"1,003.80",percent of total billed charges ,"1,003.80",percent of total billed charges ,"1,003.80",percent of total billed charges ,,,,,890.04,percent of total billed charges ,,,,,845.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,384.79,percent of total billed charges,,,384.79,percent of total billed charges,,,384.79,percent of total billed charges,,,384.79,percent of total billed charges,,,384.79,percent of total billed charges,,,384.79,percent of total billed charges,,,384.79,percent of total billed charges,,,384.79,percent of total billed charges,,,384.79,percent of total billed charges,,,384.79,percent of total billed charges,,,384.79,percent of total billed charges,
SURG PATH 88348,88348,CDM,,,26,both,,,"1,134.00","1,134.00",260.82,"1,134.00","1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,"1,134.00",percent of total billed charges,816.48,percent of total billed charges,816.48,percent of total billed charges,816.48,percent of total billed charges,816.48,percent of total billed charges,816.48,percent of total billed charges,816.48,percent of total billed charges,895.86,percent of total billed charges,895.86,percent of total billed charges,907.2,percent of total billed charges,907.2,percent of total billed charges,,,816.48,percent of total billed charges ,,,907.2,percent of total billed charges ,895.86,percent of total billed charges ,895.86,percent of total billed charges ,963.9,percent of total billed charges ,963.9,percent of total billed charges ,907.2,percent of total billed charges ,907.2,percent of total billed charges ,793.8,percent of total billed charges ,793.8,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 ,,,,,603.29,percent of total billed charges ,,,,,573.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,,,260.82,percent of total billed charges,
SURG PATH 88305,88305,CDM,,,26,both,,,506,506,116.38,506,506,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,399.74,percent of total billed charges,399.74,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 ,399.74,percent of total billed charges ,399.74,percent of total billed charges ,430.1,percent of total billed charges ,430.1,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 ,,,,,,,,,,,,,,,,,,,116.38,percent of total billed charges,,,116.38,percent of total billed charges,,,116.38,percent of total billed charges,,,116.38,percent of total billed charges,,,116.38,percent of total billed charges,,,116.38,percent of total billed charges,,,116.38,percent of total billed charges,,,116.38,percent of total billed charges,,,116.38,percent of total billed charges,,,116.38,percent of total billed charges,,,116.38,percent of total billed charges,
SURG PATH 88331,88331,CDM,,,26,both,,,800,800,184,800,800,percent of total billed charges,800,percent of total billed charges,800,percent of total billed charges,800,percent of total billed charges,800,percent of total billed charges,800,percent of total billed charges,800,percent of total billed charges,800,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,632,percent of total billed charges,632,percent of total billed charges,640,percent of total billed charges,640,percent of total billed charges,,,576,percent of total billed charges ,,,640,percent of total billed charges ,632,percent of total billed charges ,632,percent of total billed charges ,680,percent of total billed charges ,680,percent of total billed charges ,640,percent of total billed charges ,640,percent of total billed charges ,560,percent of total billed charges ,560,percent of total billed charges ,480,percent of total billed charges ,480,percent of total billed charges ,480,percent of total billed charges ,480,percent of total billed charges ,,,,,425.6,percent of total billed charges ,,,,,404.32,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,,,184,percent of total billed charges,,,184,percent of total billed charges,,,184,percent of total billed charges,,,184,percent of total billed charges,
SURG PATH 88313,88313,CDM,,,26,both,,,561,561,129.03,561,561,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,443.19,percent of total billed charges,443.19,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 ,443.19,percent of total billed charges ,443.19,percent of total billed charges ,476.85,percent of total billed charges ,476.85,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 ,,,,,,,,,,,,,,,,,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,
SURG PATH 88332,88332,CDM,,,26,both,,,204,204,46.92,204,204,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,161.16,percent of total billed charges,161.16,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 ,161.16,percent of total billed charges ,161.16,percent of total billed charges ,173.4,percent of total billed charges ,173.4,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 ,,,,,,,,,,,,,,,,,,,46.92,percent of total billed charges,,,46.92,percent of total billed charges,,,46.92,percent of total billed charges,,,46.92,percent of total billed charges,,,46.92,percent of total billed charges,,,46.92,percent of total billed charges,,,46.92,percent of total billed charges,,,46.92,percent of total billed charges,,,46.92,percent of total billed charges,,,46.92,percent of total billed charges,,,46.92,percent of total billed charges,
**MITOCHONDRIAL AB,88347,CDM,,,,both,,,436,436,100.28,436,436,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,344.44,percent of total billed charges,344.44,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 ,344.44,percent of total billed charges ,344.44,percent of total billed charges ,370.6,percent of total billed charges ,370.6,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 ,,,,,,,,,,,,,,,,,,,100.28,percent of total billed charges,,,100.28,percent of total billed charges,,,100.28,percent of total billed charges,,,100.28,percent of total billed charges,,,100.28,percent of total billed charges,,,100.28,percent of total billed charges,,,100.28,percent of total billed charges,,,100.28,percent of total billed charges,,,100.28,percent of total billed charges,,,100.28,percent of total billed charges,,,100.28,percent of total billed charges,
SURG PATH 88307,88307,CDM,,,26,both,,,886,886,203.78,886,886,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,699.94,percent of total billed charges,699.94,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 ,699.94,percent of total billed charges ,699.94,percent of total billed charges ,753.1,percent of total billed charges ,753.1,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 ,,,,,,,,,,,,,,,,,,,203.78,percent of total billed charges,,,203.78,percent of total billed charges,,,203.78,percent of total billed charges,,,203.78,percent of total billed charges,,,203.78,percent of total billed charges,,,203.78,percent of total billed charges,,,203.78,percent of total billed charges,,,203.78,percent of total billed charges,,,203.78,percent of total billed charges,,,203.78,percent of total billed charges,,,203.78,percent of total billed charges,
SURG PATH 80500,80500,CDM,,,26,both,,,157,157,36.11,157,157,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,124.03,percent of total billed charges,124.03,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 ,124.03,percent of total billed charges ,124.03,percent of total billed charges ,133.45,percent of total billed charges ,133.45,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 ,,,,,,,,,,,,,,,,,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,
HIGH RES CHROMOSOME INTERP +REPORT,88291,CDM,,,,both,,,314,314,72.22,314,314,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,248.06,percent of total billed charges,248.06,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 ,248.06,percent of total billed charges ,248.06,percent of total billed charges ,266.9,percent of total billed charges ,266.9,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 ,,,,,,,,,,,,,,,,,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,
SURG PATH 88300,88300,CDM,,,26,both,,,169,169,38.87,169,169,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,133.51,percent of total billed charges,133.51,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 ,133.51,percent of total billed charges ,133.51,percent of total billed charges ,143.65,percent of total billed charges ,143.65,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 ,,,,,,,,,,,,,,,,,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,
SURG PATH 88311 DECAL,88311,CDM,,,,both,,,153,153,35.19,153,153,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,120.87,percent of total billed charges,120.87,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 ,120.87,percent of total billed charges ,120.87,percent of total billed charges ,130.05,percent of total billed charges ,130.05,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 ,,,,,,,,,,,,,,,,,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,
SURG PATH 88342,88342,CDM,,,26,both,,,398,398,91.54,398,398,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,314.42,percent of total billed charges,314.42,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 ,314.42,percent of total billed charges ,314.42,percent of total billed charges ,338.3,percent of total billed charges ,338.3,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 ,,,,,,,,,,,,,,,,,,,91.54,percent of total billed charges,,,91.54,percent of total billed charges,,,91.54,percent of total billed charges,,,91.54,percent of total billed charges,,,91.54,percent of total billed charges,,,91.54,percent of total billed charges,,,91.54,percent of total billed charges,,,91.54,percent of total billed charges,,,91.54,percent of total billed charges,,,91.54,percent of total billed charges,,,91.54,percent of total billed charges,
SURG PATH 88346,88346,CDM,,,26,both,,,"1,777.00","1,777.00",408.71,"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,"1,403.83",percent of total billed charges,"1,403.83",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 ,"1,403.83",percent of total billed charges ,"1,403.83",percent of total billed charges ,"1,510.45",percent of total billed charges ,"1,510.45",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 ,,,,,,,,,,,,,,,,,,,408.71,percent of total billed charges,,,408.71,percent of total billed charges,,,408.71,percent of total billed charges,,,408.71,percent of total billed charges,,,408.71,percent of total billed charges,,,408.71,percent of total billed charges,,,408.71,percent of total billed charges,,,408.71,percent of total billed charges,,,408.71,percent of total billed charges,,,408.71,percent of total billed charges,,,408.71,percent of total billed charges,
SURG PATH 88312,88312,CDM,,,26,both,,,247,247,56.81,247,247,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,195.13,percent of total billed charges,195.13,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 ,195.13,percent of total billed charges ,195.13,percent of total billed charges ,209.95,percent of total billed charges ,209.95,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 ,,,,,,,,,,,,,,,,,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,
MARROW INTERPRETATION,85097,CDM,,,,both,,,252,252,57.96,252,252,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,199.08,percent of total billed charges,199.08,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 ,199.08,percent of total billed charges ,199.08,percent of total billed charges ,214.2,percent of total billed charges ,214.2,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 ,,,,,,,,,,,,,,,,,,,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,
LAB-HIGH RES CHROMOSOME,88289,CDM,,,,both,,,224,224,51.52,224,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,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,176.96,percent of total billed charges,176.96,percent of total billed charges,179.2,percent of total billed charges,179.2,percent of total billed charges,,,161.28,percent of total billed charges ,,,179.2,percent of total billed charges ,176.96,percent of total billed charges ,176.96,percent of total billed charges ,190.4,percent of total billed charges ,190.4,percent of total billed charges ,179.2,percent of total billed charges ,179.2,percent of total billed charges ,156.8,percent of total billed charges ,156.8,percent of total billed charges ,134.4,percent of total billed charges ,134.4,percent of total billed charges ,134.4,percent of total billed charges ,134.4,percent of total billed charges ,,,,,119.17,percent of total billed charges ,,,,,113.21,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,
HIGH RESOLUTION CHROM.ANALYSIS 15-20 CEL,88262,CDM,,,,both,,,"1,558.00","1,558.00",358.34,"1,558.00","1,558.00",percent of total billed charges,"1,558.00",percent of total billed charges,"1,558.00",percent of total billed charges,"1,558.00",percent of total billed charges,"1,558.00",percent of total billed charges,"1,558.00",percent of total billed charges,"1,558.00",percent of total billed charges,"1,558.00",percent of total billed charges,"1,121.76",percent of total billed charges,"1,121.76",percent of total billed charges,"1,121.76",percent of total billed charges,"1,121.76",percent of total billed charges,"1,121.76",percent of total billed charges,"1,121.76",percent of total billed charges,"1,230.82",percent of total billed charges,"1,230.82",percent of total billed charges,"1,246.40",percent of total billed charges,"1,246.40",percent of total billed charges,,,"1,121.76",percent of total billed charges ,,,"1,246.40",percent of total billed charges ,"1,230.82",percent of total billed charges ,"1,230.82",percent of total billed charges ,"1,324.30",percent of total billed charges ,"1,324.30",percent of total billed charges ,"1,246.40",percent of total billed charges ,"1,246.40",percent of total billed charges ,"1,090.60",percent of total billed charges ,"1,090.60",percent of total billed charges ,934.8,percent of total billed charges ,934.8,percent of total billed charges ,934.8,percent of total billed charges ,934.8,percent of total billed charges ,,,,,828.86,percent of total billed charges ,,,,,787.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,358.34,percent of total billed charges,,,358.34,percent of total billed charges,,,358.34,percent of total billed charges,,,358.34,percent of total billed charges,,,358.34,percent of total billed charges,,,358.34,percent of total billed charges,,,358.34,percent of total billed charges,,,358.34,percent of total billed charges,,,358.34,percent of total billed charges,,,358.34,percent of total billed charges,,,358.34,percent of total billed charges,
VIRUS SMEAR DFA,88346,CDM,,,26,both,,,374,374,86.02,374,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,269.28,percent of total billed charges,269.28,percent of total billed charges,269.28,percent of total billed charges,269.28,percent of total billed charges,269.28,percent of total billed charges,269.28,percent of total billed charges,295.46,percent of total billed charges,295.46,percent of total billed charges,299.2,percent of total billed charges,299.2,percent of total billed charges,,,269.28,percent of total billed charges ,,,299.2,percent of total billed charges ,295.46,percent of total billed charges ,295.46,percent of total billed charges ,317.9,percent of total billed charges ,317.9,percent of total billed charges ,299.2,percent of total billed charges ,299.2,percent of total billed charges ,261.8,percent of total billed charges ,261.8,percent of total billed charges ,224.4,percent of total billed charges ,224.4,percent of total billed charges ,224.4,percent of total billed charges ,224.4,percent of total billed charges ,,,,,198.97,percent of total billed charges ,,,,,189.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,
SURG PATH 88302,88302,CDM,,,26,both,,,318,318,73.14,318,318,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,251.22,percent of total billed charges,251.22,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 ,251.22,percent of total billed charges ,251.22,percent of total billed charges ,270.3,percent of total billed charges ,270.3,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 ,,,,,,,,,,,,,,,,,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,
SURG PATH 88304,88304,CDM,,,26,both,,,385,385,88.55,385,385,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,304.15,percent of total billed charges,304.15,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 ,304.15,percent of total billed charges ,304.15,percent of total billed charges ,327.25,percent of total billed charges ,327.25,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 ,,,,,,,,,,,,,,,,,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,
CYTO-FINE NEEDLE ASPIRATE,88173,CDM,,,,both,,,482,482,110.86,482,482,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,380.78,percent of total billed charges,380.78,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 ,380.78,percent of total billed charges ,380.78,percent of total billed charges ,409.7,percent of total billed charges ,409.7,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**@ FINE NDLE ASP BASIC,88172,CDM,,,,both,,,487,487,112.01,487,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,350.64,percent of total billed charges,350.64,percent of total billed charges,350.64,percent of total billed charges,350.64,percent of total billed charges,350.64,percent of total billed charges,350.64,percent of total billed charges,384.73,percent of total billed charges,384.73,percent of total billed charges,389.6,percent of total billed charges,389.6,percent of total billed charges,,,350.64,percent of total billed charges ,,,389.6,percent of total billed charges ,384.73,percent of total billed charges ,384.73,percent of total billed charges ,413.95,percent of total billed charges ,413.95,percent of total billed charges ,389.6,percent of total billed charges ,389.6,percent of total billed charges ,340.9,percent of total billed charges ,340.9,percent of total billed charges ,292.2,percent of total billed charges ,292.2,percent of total billed charges ,292.2,percent of total billed charges ,292.2,percent of total billed charges ,,,,,259.08,percent of total billed charges ,,,,,246.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,
PAP SMEAR 88147,88147,CDM,,,,both,,,112,112,25.76,112,112,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,88.48,percent of total billed charges,88.48,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 ,88.48,percent of total billed charges ,88.48,percent of total billed charges ,95.2,percent of total billed charges ,95.2,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 ,,,,,,,,,,,,,,,,,,,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,
PAP SMEAR 88148,88148,CDM,,,,both,,,112,112,25.76,112,112,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,88.48,percent of total billed charges,88.48,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 ,88.48,percent of total billed charges ,88.48,percent of total billed charges ,95.2,percent of total billed charges ,95.2,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 ,,,,,,,,,,,,,,,,,,,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,
PAP SMEAR 88164,88164,CDM,,,,both,,,112,112,25.76,112,112,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,88.48,percent of total billed charges,88.48,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 ,88.48,percent of total billed charges ,88.48,percent of total billed charges ,95.2,percent of total billed charges ,95.2,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 ,,,,,,,,,,,,,,,,,,,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,
NONGYN CYT-L (P14179),88161,CDM,,,26,both,,,196,196,45.08,196,196,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,154.84,percent of total billed charges,154.84,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 ,154.84,percent of total billed charges ,154.84,percent of total billed charges ,166.6,percent of total billed charges ,166.6,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 ,,,,,,,,,,,,,,,,,,,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,
NONGYN CYT-E (P14179),88162,CDM,,,26,both,,,203,203,46.69,203,203,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,160.37,percent of total billed charges,160.37,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 ,160.37,percent of total billed charges ,160.37,percent of total billed charges ,172.55,percent of total billed charges ,172.55,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 ,,,,,,,,,,,,,,,,,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,
**NEEDLE ASPIRATE,10022,CDM,,,,both,,,341,341,78.43,341,341,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,269.39,percent of total billed charges,269.39,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 ,269.39,percent of total billed charges ,269.39,percent of total billed charges ,289.85,percent of total billed charges ,289.85,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 ,,,,,,,,,,,,,,,,,,,78.43,percent of total billed charges,,,78.43,percent of total billed charges,,,78.43,percent of total billed charges,,,78.43,percent of total billed charges,,,78.43,percent of total billed charges,,,78.43,percent of total billed charges,,,78.43,percent of total billed charges,,,78.43,percent of total billed charges,,,78.43,percent of total billed charges,,,78.43,percent of total billed charges,,,78.43,percent of total billed charges,
CELL SURFACE 1ST MARKER FL. CYT.,88184,CDM,,,,both,,,323,323,74.29,323,323,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,255.17,percent of total billed charges,255.17,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 ,255.17,percent of total billed charges ,255.17,percent of total billed charges ,274.55,percent of total billed charges ,274.55,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 ,,,,,,,,,,,,,,,,,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,
**SURG PATH 88313 PF,88313,CDM,,,26,both,,,85,85,19.55,85,85,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,67.15,percent of total billed charges,67.15,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 ,67.15,percent of total billed charges ,67.15,percent of total billed charges ,72.25,percent of total billed charges ,72.25,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 ,,,,,,,,,,,,,,,,,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,
**SURG PATH 80500 PF,80500,CDM,,,26,both,,,194,194,44.62,194,194,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,153.26,percent of total billed charges,153.26,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 ,153.26,percent of total billed charges ,153.26,percent of total billed charges ,164.9,percent of total billed charges ,164.9,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 ,,,,,,,,,,,,,,,,,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,
**SURG PATH 88332 PF,88332,CDM,,,26,both,,,295,295,67.85,295,295,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,233.05,percent of total billed charges,233.05,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 ,233.05,percent of total billed charges ,233.05,percent of total billed charges ,250.75,percent of total billed charges ,250.75,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 ,,,,,,,,,,,,,,,,,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,,,67.85,percent of total billed charges,
**SURG PATH 88331 PF,88331,CDM,,,26,both,,,216,216,49.68,216,216,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,216,percent of total billed charges,216,percent of total billed charges,216,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,172.8,percent of total billed charges,172.8,percent of total billed charges,,,155.52,percent of total billed charges ,,,172.8,percent of total billed charges ,170.64,percent of total billed charges ,170.64,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,172.8,percent of total billed charges ,172.8,percent of total billed charges ,151.2,percent of total billed charges ,151.2,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 ,,,,,114.91,percent of total billed charges ,,,,,109.17,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,,,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,
**CSF CYTOHEMO(P14181)PF,88161,CDM,,,26,both,,,150,150,34.5,150,150,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,118.5,percent of total billed charges,118.5,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 ,118.5,percent of total billed charges ,118.5,percent of total billed charges ,127.5,percent of total billed charges ,127.5,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 ,,,,,,,,,,,,,,,,,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,
**NONGYN CYT-E (P14179)PF,88162,CDM,,,26,both,,,267,267,61.41,267,267,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,210.93,percent of total billed charges,210.93,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 ,210.93,percent of total billed charges ,210.93,percent of total billed charges ,226.95,percent of total billed charges ,226.95,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 ,,,,,,,,,,,,,,,,,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,
**NONGYN CYT-L (P14179)PF,88161,CDM,,,26,both,,,150,150,34.5,150,150,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,118.5,percent of total billed charges,118.5,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 ,118.5,percent of total billed charges ,118.5,percent of total billed charges ,127.5,percent of total billed charges ,127.5,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 ,,,,,,,,,,,,,,,,,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,
**SURG PATH 88348 PF,88348,CDM,,,26,both,,,291,291,66.93,291,291,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,229.89,percent of total billed charges,229.89,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 ,229.89,percent of total billed charges ,229.89,percent of total billed charges ,247.35,percent of total billed charges ,247.35,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 ,,,,,,,,,,,,,,,,,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,
**SURG PATH 88312 PF,88312,CDM,,,26,both,,,117,117,26.91,117,117,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,92.43,percent of total billed charges,92.43,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 ,92.43,percent of total billed charges ,92.43,percent of total billed charges ,99.45,percent of total billed charges ,99.45,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 ,,,,,,,,,,,,,,,,,,,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,
**SURG PATH 88346 PF,88346,CDM,,,26,both,,,164,164,37.72,164,164,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,129.56,percent of total billed charges,129.56,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 ,129.56,percent of total billed charges ,129.56,percent of total billed charges ,139.4,percent of total billed charges ,139.4,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 ,,,,,,,,,,,,,,,,,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,
**SURG PATH 88342 PF,88342,CDM,,,26,both,,,147,147,33.81,147,147,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,116.13,percent of total billed charges,116.13,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 ,116.13,percent of total billed charges ,116.13,percent of total billed charges ,124.95,percent of total billed charges ,124.95,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 ,,,,,,,,,,,,,,,,,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,
**GRSS MICRO PRF CAT 6P,88309,CDM,,,26,both,,,785,785,180.55,785,785,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,620.15,percent of total billed charges,620.15,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 ,620.15,percent of total billed charges ,620.15,percent of total billed charges ,667.25,percent of total billed charges ,667.25,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 ,,,,,,,,,,,,,,,,,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,,,180.55,percent of total billed charges,
**SURG PATH 88302 PF,88302,CDM,,,26,both,,,172,172,39.56,172,172,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,135.88,percent of total billed charges,135.88,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 ,135.88,percent of total billed charges ,135.88,percent of total billed charges ,146.2,percent of total billed charges ,146.2,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 ,,,,,,,,,,,,,,,,,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,
**SURG PATH 88304 PF,88304,CDM,,,26,both,,,238,238,54.74,238,238,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,188.02,percent of total billed charges,188.02,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 ,188.02,percent of total billed charges ,188.02,percent of total billed charges ,202.3,percent of total billed charges ,202.3,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 ,,,,,,,,,,,,,,,,,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,,,54.74,percent of total billed charges,
**SURG PATH 88307 PF,88307,CDM,,,26,both,,,500,500,115,500,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,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,395,percent of total billed charges,395,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,,,360,percent of total billed charges ,,,400,percent of total billed charges ,395,percent of total billed charges ,395,percent of total billed charges ,425,percent of total billed charges ,425,percent of total billed charges ,400,percent of total billed charges ,400,percent of total billed charges ,350,percent of total billed charges ,350,percent of total billed charges ,300,percent of total billed charges ,300,percent of total billed charges ,300,percent of total billed charges ,300,percent of total billed charges ,,,,,266,percent of total billed charges ,,,,,252.7,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,,,115,percent of total billed charges,,,115,percent of total billed charges,,,115,percent of total billed charges,,,115,percent of total billed charges,
CSF CYTOHEMO (P14181),88161,CDM,,,26,both,,,245,245,56.35,245,245,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,193.55,percent of total billed charges,193.55,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 ,193.55,percent of total billed charges ,193.55,percent of total billed charges ,208.25,percent of total billed charges ,208.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,56.35,percent of total billed charges,,,56.35,percent of total billed charges,,,56.35,percent of total billed charges,
CELL SURF MARKER FLOW CYT LV2,88185,CDM,,,,both,,,232,232,53.36,232,232,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,183.28,percent of total billed charges,183.28,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 ,183.28,percent of total billed charges ,183.28,percent of total billed charges ,197.2,percent of total billed charges ,197.2,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 ,,,,,,,,,,,,,,,,,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,
**SURG PATH 88300 PF,88300,CDM,,,26,both,,,67,67,15.41,67,67,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,52.93,percent of total billed charges,52.93,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 ,52.93,percent of total billed charges ,52.93,percent of total billed charges ,56.95,percent of total billed charges ,56.95,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 ,,,,,,,,,,,,,,,,,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,,,15.41,percent of total billed charges,
**SURG PATH 88305 PF,88305,CDM,,,26,both,,,312,312,71.76,312,312,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,246.48,percent of total billed charges,246.48,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 ,246.48,percent of total billed charges ,246.48,percent of total billed charges ,265.2,percent of total billed charges ,265.2,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**REDUCING SUBSTA URINE DO NOT USE,81002,CDM,,,,both,,,41,41,9.43,41,41,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,32.39,percent of total billed charges,32.39,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 ,32.39,percent of total billed charges ,32.39,percent of total billed charges ,34.85,percent of total billed charges ,34.85,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 ,,,,,,,,,,,,,,,,,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,,,9.43,percent of total billed charges,
**URINE PROTEIN 24HR DO NOT USE,84156,CDM,,,,both,,,62,62,14.26,62,62,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,48.98,percent of total billed charges,48.98,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 ,48.98,percent of total billed charges ,48.98,percent of total billed charges ,52.7,percent of total billed charges ,52.7,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 ,,,,,,,,,,,,,,,,,,,14.26,percent of total billed charges,,,14.26,percent of total billed charges,,,14.26,percent of total billed charges,,,14.26,percent of total billed charges,,,14.26,percent of total billed charges,,,14.26,percent of total billed charges,,,14.26,percent of total billed charges,,,14.26,percent of total billed charges,,,14.26,percent of total billed charges,,,14.26,percent of total billed charges,,,14.26,percent of total billed charges,
VITAMIN D 1-25 DIHYDROXY,82652,CDM,,,,both,,,"1,021.00","1,021.00",234.83,"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,806.59,percent of total billed charges,806.59,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 ,806.59,percent of total billed charges ,806.59,percent of total billed charges ,867.85,percent of total billed charges ,867.85,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 ,,,,,,,,,,,,,,,,,,,234.83,percent of total billed charges,,,234.83,percent of total billed charges,,,234.83,percent of total billed charges,,,234.83,percent of total billed charges,,,234.83,percent of total billed charges,,,234.83,percent of total billed charges,,,234.83,percent of total billed charges,,,234.83,percent of total billed charges,,,234.83,percent of total billed charges,,,234.83,percent of total billed charges,,,234.83,percent of total billed charges,
**HIV I+II MEDICAL,86703,CDM,,,,both,,,158,158,36.34,158,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,158,percent of total billed charges,113.76,percent of total billed charges,113.76,percent of total billed charges,113.76,percent of total billed charges,113.76,percent of total billed charges,113.76,percent of total billed charges,113.76,percent of total billed charges,124.82,percent of total billed charges,124.82,percent of total billed charges,126.4,percent of total billed charges,126.4,percent of total billed charges,,,113.76,percent of total billed charges ,,,126.4,percent of total billed charges ,124.82,percent of total billed charges ,124.82,percent of total billed charges ,134.3,percent of total billed charges ,134.3,percent of total billed charges ,126.4,percent of total billed charges ,126.4,percent of total billed charges ,110.6,percent of total billed charges ,110.6,percent of total billed charges ,94.8,percent of total billed charges ,94.8,percent of total billed charges ,94.8,percent of total billed charges ,94.8,percent of total billed charges ,,,,,84.06,percent of total billed charges ,,,,,79.85,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,
TRILEPTAL/OXCARBAZEPINE,80299,CDM,,,,both,,,228,228,52.44,228,228,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,180.12,percent of total billed charges,180.12,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 ,180.12,percent of total billed charges ,180.12,percent of total billed charges ,193.8,percent of total billed charges ,193.8,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 ,,,,,,,,,,,,,,,,,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,
SOLUBLE TRANSFERRIN RECEPTOR,82397,CDM,,,,both,,,216,216,49.68,216,216,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,216,percent of total billed charges,216,percent of total billed charges,216,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,172.8,percent of total billed charges,172.8,percent of total billed charges,,,155.52,percent of total billed charges ,,,172.8,percent of total billed charges ,170.64,percent of total billed charges ,170.64,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,172.8,percent of total billed charges ,172.8,percent of total billed charges ,151.2,percent of total billed charges ,151.2,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 ,,,,,114.91,percent of total billed charges ,,,,,109.17,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,,,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,
ESTRONE,82679,CDM,,,,both,,,259,259,59.57,259,259,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,204.61,percent of total billed charges,204.61,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 ,204.61,percent of total billed charges ,204.61,percent of total billed charges ,220.15,percent of total billed charges ,220.15,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 ,,,,,,,,,,,,,,,,,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,
TISSUE TRANSGLUTAMINASE AB IGA,83516,CDM,,,,both,,,162,162,37.26,162,162,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,127.98,percent of total billed charges,127.98,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 ,127.98,percent of total billed charges ,127.98,percent of total billed charges ,137.7,percent of total billed charges ,137.7,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 ,,,,,,,,,,,,,,,,,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,
EBV CAPSID AB IGM,86665,CDM,,,,both,,,171,171,39.33,171,171,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,135.09,percent of total billed charges,135.09,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 ,135.09,percent of total billed charges ,135.09,percent of total billed charges ,145.35,percent of total billed charges ,145.35,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 ,,,,,,,,,,,,,,,,,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,
FELBAMATE/FELBATOL,80339,CDM,,,,both,,,126,126,28.98,126,126,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,99.54,percent of total billed charges,99.54,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 ,99.54,percent of total billed charges ,99.54,percent of total billed charges ,107.1,percent of total billed charges ,107.1,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 ,,,,,,,,,,,,,,,,,,,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,
**SURG PAT 88309 PF,88309,CDM,,,26,both,,,719,719,165.37,719,719,percent of total billed charges,719,percent of total billed charges,719,percent of total billed charges,719,percent of total billed charges,719,percent of total billed charges,719,percent of total billed charges,719,percent of total billed charges,719,percent of total billed charges,517.68,percent of total billed charges,517.68,percent of total billed charges,517.68,percent of total billed charges,517.68,percent of total billed charges,517.68,percent of total billed charges,517.68,percent of total billed charges,568.01,percent of total billed charges,568.01,percent of total billed charges,575.2,percent of total billed charges,575.2,percent of total billed charges,,,517.68,percent of total billed charges ,,,575.2,percent of total billed charges ,568.01,percent of total billed charges ,568.01,percent of total billed charges ,611.15,percent of total billed charges ,611.15,percent of total billed charges ,575.2,percent of total billed charges ,575.2,percent of total billed charges ,503.3,percent of total billed charges ,503.3,percent of total billed charges ,431.4,percent of total billed charges ,431.4,percent of total billed charges ,431.4,percent of total billed charges ,431.4,percent of total billed charges ,,,,,382.51,percent of total billed charges ,,,,,363.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,
**@MECONIUM DRUG AMPHET,80307,CDM,,,,both,,,110,110,25.3,110,110,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,86.9,percent of total billed charges,86.9,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 ,86.9,percent of total billed charges ,86.9,percent of total billed charges ,93.5,percent of total billed charges ,93.5,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 ,,,,,,,,,,,,,,,,,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,
**@MECONIUM DRUG COCAINE,80307,CDM,,,,both,,,110,110,25.3,110,110,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,86.9,percent of total billed charges,86.9,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 ,86.9,percent of total billed charges ,86.9,percent of total billed charges ,93.5,percent of total billed charges ,93.5,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 ,,,,,,,,,,,,,,,,,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,
**@MECONIUM DRUG OPI,80307,CDM,,,,both,,,110,110,25.3,110,110,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,86.9,percent of total billed charges,86.9,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 ,86.9,percent of total billed charges ,86.9,percent of total billed charges ,93.5,percent of total billed charges ,93.5,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 ,,,,,,,,,,,,,,,,,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,
**@MECONIUM DRUG PCP,80307,CDM,,,,both,,,110,110,25.3,110,110,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,86.9,percent of total billed charges,86.9,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 ,86.9,percent of total billed charges ,86.9,percent of total billed charges ,93.5,percent of total billed charges ,93.5,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 ,,,,,,,,,,,,,,,,,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,
**@MECONIUM THC,80307,CDM,,,,both,,,110,110,25.3,110,110,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,86.9,percent of total billed charges,86.9,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 ,86.9,percent of total billed charges ,86.9,percent of total billed charges ,93.5,percent of total billed charges ,93.5,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 ,,,,,,,,,,,,,,,,,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,
"ANCA  (NEUTROPHIL CYTOPLASMIC AB, IGG)",86036,CDM,,,,both,,,200,200,46,200,200,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,158,percent of total billed charges,158,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 ,158,percent of total billed charges ,158,percent of total billed charges ,170,percent of total billed charges ,170,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 ,,,,,,,,,,,,,,,,,,,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,,,46,percent of total billed charges,,,46,percent of total billed charges,,,46,percent of total billed charges,
ANCA TITER,86256,CDM,,,,both,,,166,166,38.18,166,166,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,131.14,percent of total billed charges,131.14,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 ,131.14,percent of total billed charges ,131.14,percent of total billed charges ,141.1,percent of total billed charges ,141.1,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 ,,,,,,,,,,,,,,,,,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,
HEMOGLOBIN CHROMATOGRAPHY,83021,CDM,,,,both,,,222,222,51.06,222,222,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,175.38,percent of total billed charges,175.38,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 ,175.38,percent of total billed charges ,175.38,percent of total billed charges ,188.7,percent of total billed charges ,188.7,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
HEMOGLOBIN FRACTIONATION AND QUANTIFICAT,83020,CDM,,,,both,,,270,270,62.1,270,270,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,270,percent of total billed charges,270,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,194.4,percent of total billed charges,194.4,percent of total billed charges,213.3,percent of total billed charges,213.3,percent of total billed charges,216,percent of total billed charges,216,percent of total billed charges,,,194.4,percent of total billed charges ,,,216,percent of total billed charges ,213.3,percent of total billed charges ,213.3,percent of total billed charges ,229.5,percent of total billed charges ,229.5,percent of total billed charges ,216,percent of total billed charges ,216,percent of total billed charges ,189,percent of total billed charges ,189,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 ,,,,,143.64,percent of total billed charges ,,,,,136.46,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,,,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,,,62.1,percent of total billed charges,,,62.1,percent of total billed charges,,,62.1,percent of total billed charges,
HISTOPLASMA AB (MYCELIAL) CF,86698,CDM,,,,both,,,121,121,27.83,121,121,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,95.59,percent of total billed charges,95.59,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 ,95.59,percent of total billed charges ,95.59,percent of total billed charges ,102.85,percent of total billed charges ,102.85,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,27.83,percent of total billed charges,,,27.83,percent of total billed charges,,,27.83,percent of total billed charges,
BLASTOMYCOSIS BY CF,86612,CDM,,,,both,,,134,134,30.82,134,134,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,105.86,percent of total billed charges,105.86,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 ,105.86,percent of total billed charges ,105.86,percent of total billed charges ,113.9,percent of total billed charges ,113.9,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,30.82,percent of total billed charges,,,30.82,percent of total billed charges,,,30.82,percent of total billed charges,
COCCIDIODES BY CF,86635,CDM,,,,both,,,112,112,25.76,112,112,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,88.48,percent of total billed charges,88.48,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 ,88.48,percent of total billed charges ,88.48,percent of total billed charges ,95.2,percent of total billed charges ,95.2,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 ,,,,,,,,,,,,,,,,,,,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,
DOXEPIN,80335,CDM,,,,both,,,431,431,99.13,431,431,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,340.49,percent of total billed charges,340.49,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 ,340.49,percent of total billed charges ,340.49,percent of total billed charges ,366.35,percent of total billed charges ,366.35,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 ,,,,,,,,,,,,,,,,,,,99.13,percent of total billed charges,,,99.13,percent of total billed charges,,,99.13,percent of total billed charges,,,99.13,percent of total billed charges,,,99.13,percent of total billed charges,,,99.13,percent of total billed charges,,,99.13,percent of total billed charges,,,99.13,percent of total billed charges,,,99.13,percent of total billed charges,,,99.13,percent of total billed charges,,,99.13,percent of total billed charges,
INHIBIN A,86336,CDM,,,,both,,,285,285,65.55,285,285,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,225.15,percent of total billed charges,225.15,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 ,225.15,percent of total billed charges ,225.15,percent of total billed charges ,242.25,percent of total billed charges ,242.25,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 ,,,,,,,,,,,,,,,,,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,
**@GEL DIFFUSIN QUANT,86331,CDM,,,,both,,,142,142,32.66,142,142,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,112.18,percent of total billed charges,112.18,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 ,112.18,percent of total billed charges ,112.18,percent of total billed charges ,120.7,percent of total billed charges ,120.7,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 ,,,,,,,,,,,,,,,,,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,,,32.66,percent of total billed charges,
SURG PATH 88329,88329,CDM,,,26,both,,,410,410,94.3,410,410,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,323.9,percent of total billed charges,323.9,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 ,323.9,percent of total billed charges ,323.9,percent of total billed charges ,348.5,percent of total billed charges ,348.5,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 ,,,,,,,,,,,,,,,,,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,
**SURG PATH 88329 PF,88329,CDM,,,26,both,,,323,323,74.29,323,323,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,255.17,percent of total billed charges,255.17,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 ,255.17,percent of total billed charges ,255.17,percent of total billed charges ,274.55,percent of total billed charges ,274.55,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 ,,,,,,,,,,,,,,,,,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,
"CHLAMYDIA ANTIBODY,IgG",86631,CDM,,,,both,,,189,189,43.47,189,189,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,149.31,percent of total billed charges,149.31,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 ,149.31,percent of total billed charges ,149.31,percent of total billed charges ,160.65,percent of total billed charges ,160.65,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 ,,,,,,,,,,,,,,,,,,,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,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,
BRUCELLA ANTIBODY,86622,CDM,,,,both,,,75,75,17.25,75,75,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,59.25,percent of total billed charges,59.25,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 ,59.25,percent of total billed charges ,59.25,percent of total billed charges ,63.75,percent of total billed charges ,63.75,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 ,,,,,,,,,,,,,,,,,,,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,,,17.25,percent of total billed charges,,,17.25,percent of total billed charges,,,17.25,percent of total billed charges,
DIBUCAINE NUMBER,82638,CDM,,,,both,,,81,81,18.63,81,81,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,63.99,percent of total billed charges,63.99,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 ,63.99,percent of total billed charges ,63.99,percent of total billed charges ,68.85,percent of total billed charges ,68.85,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 ,,,,,,,,,,,,,,,,,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,
MMC LEVETIRACETAM,80299,CDM,,,,both,,,341,341,78.43,341,341,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,269.39,percent of total billed charges,269.39,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 ,269.39,percent of total billed charges ,269.39,percent of total billed charges ,289.85,percent of total billed charges ,289.85,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 ,,,,,,,,,,,,,,,,,,,78.43,percent of total billed charges,,,78.43,percent of total billed charges,,,78.43,percent of total billed charges,,,78.43,percent of total billed charges,,,78.43,percent of total billed charges,,,78.43,percent of total billed charges,,,78.43,percent of total billed charges,,,78.43,percent of total billed charges,,,78.43,percent of total billed charges,,,78.43,percent of total billed charges,,,78.43,percent of total billed charges,
URINE SULFATE,84392,CDM,,,,both,,,112,112,25.76,112,112,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,88.48,percent of total billed charges,88.48,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 ,88.48,percent of total billed charges ,88.48,percent of total billed charges ,95.2,percent of total billed charges ,95.2,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 ,,,,,,,,,,,,,,,,,,,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,
BUPROPRION,80299,CDM,,,,both,,,239,239,54.97,239,239,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,188.81,percent of total billed charges,188.81,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 ,188.81,percent of total billed charges ,188.81,percent of total billed charges ,203.15,percent of total billed charges ,203.15,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 ,,,,,,,,,,,,,,,,,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,
METANEPHRINES PLASMA,83835,CDM,,,,both,,,267,267,61.41,267,267,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,210.93,percent of total billed charges,210.93,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 ,210.93,percent of total billed charges ,210.93,percent of total billed charges ,226.95,percent of total billed charges ,226.95,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 ,,,,,,,,,,,,,,,,,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,
HISTOPLASMA AG URINE,87385,CDM,,,,both,,,276,276,63.48,276,276,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,218.04,percent of total billed charges,218.04,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 ,218.04,percent of total billed charges ,218.04,percent of total billed charges ,234.6,percent of total billed charges ,234.6,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 ,,,,,,,,,,,,,,,,,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,
FRUCTOSAMINE,82985,CDM,,,,both,,,344,344,79.12,344,344,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,271.76,percent of total billed charges,271.76,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 ,271.76,percent of total billed charges ,271.76,percent of total billed charges ,292.4,percent of total billed charges ,292.4,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
RI ANTIBODY,86255,CDM,,,,both,,,265,265,60.95,265,265,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,209.35,percent of total billed charges,209.35,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 ,209.35,percent of total billed charges ,209.35,percent of total billed charges ,225.25,percent of total billed charges ,225.25,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 ,,,,,,,,,,,,,,,,,,,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,,,60.95,percent of total billed charges,,,60.95,percent of total billed charges,,,60.95,percent of total billed charges,
RI ANTIBODY TITER,86256,CDM,,,,both,,,269,269,61.87,269,269,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,212.51,percent of total billed charges,212.51,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 ,212.51,percent of total billed charges ,212.51,percent of total billed charges ,228.65,percent of total billed charges ,228.65,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,61.87,percent of total billed charges,,,61.87,percent of total billed charges,,,61.87,percent of total billed charges,
**MOL AMPLIC OF PT DNA,83901,CDM,,,,both,,,448,448,103.04,448,448,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,353.92,percent of total billed charges,353.92,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 ,353.92,percent of total billed charges ,353.92,percent of total billed charges ,380.8,percent of total billed charges ,380.8,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 ,,,,,,,,,,,,,,,,,,,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,
**IMMUNOASSAY FOR IBD,83520,CDM,,,,both,,,511,511,117.53,511,511,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,403.69,percent of total billed charges,403.69,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 ,403.69,percent of total billed charges ,403.69,percent of total billed charges ,434.35,percent of total billed charges ,434.35,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 ,,,,,,,,,,,,,,,,,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,
**INDIRECT FLUOR. IBD,88347,CDM,,,,both,,,668,668,153.64,668,668,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,527.72,percent of total billed charges,527.72,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 ,527.72,percent of total billed charges ,527.72,percent of total billed charges ,567.8,percent of total billed charges ,567.8,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 ,,,,,,,,,,,,,,,,,,,153.64,percent of total billed charges,,,153.64,percent of total billed charges,,,153.64,percent of total billed charges,,,153.64,percent of total billed charges,,,153.64,percent of total billed charges,,,153.64,percent of total billed charges,,,153.64,percent of total billed charges,,,153.64,percent of total billed charges,,,153.64,percent of total billed charges,,,153.64,percent of total billed charges,,,153.64,percent of total billed charges,
ACETYLCHOLINE REC BINDING AB,84238,CDM,,,,both,,,325,325,74.75,325,325,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,256.75,percent of total billed charges,256.75,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 ,256.75,percent of total billed charges ,256.75,percent of total billed charges ,276.25,percent of total billed charges ,276.25,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 ,,,,,,,,,,,,,,,,,,,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,
"**HEPATITIS A AB, IGM ONLY",86709,CDM,,,,both,,,162,162,37.26,162,162,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,127.98,percent of total billed charges,127.98,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 ,127.98,percent of total billed charges ,127.98,percent of total billed charges ,137.7,percent of total billed charges ,137.7,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 ,,,,,,,,,,,,,,,,,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,
ZONISAMIDE,80299,CDM,,,,both,,,228,228,52.44,228,228,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,180.12,percent of total billed charges,180.12,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 ,180.12,percent of total billed charges ,180.12,percent of total billed charges ,193.8,percent of total billed charges ,193.8,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 ,,,,,,,,,,,,,,,,,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,
METHYLMALONIC ACID,83921,CDM,,,,both,,,246,246,56.58,246,246,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,194.34,percent of total billed charges,194.34,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 ,194.34,percent of total billed charges ,194.34,percent of total billed charges ,209.1,percent of total billed charges ,209.1,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 ,,,,,,,,,,,,,,,,,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,
THIOPURINE METHYL TRANSFERASE,83789,CDM,,,,both,,,"1,176.00","1,176.00",270.48,"1,176.00","1,176.00",percent of total billed charges,"1,176.00",percent of total billed charges,"1,176.00",percent of total billed charges,"1,176.00",percent of total billed charges,"1,176.00",percent of total billed charges,"1,176.00",percent of total billed charges,"1,176.00",percent of total billed charges,"1,176.00",percent of total billed charges,846.72,percent of total billed charges,846.72,percent of total billed charges,846.72,percent of total billed charges,846.72,percent of total billed charges,846.72,percent of total billed charges,846.72,percent of total billed charges,929.04,percent of total billed charges,929.04,percent of total billed charges,940.8,percent of total billed charges,940.8,percent of total billed charges,,,846.72,percent of total billed charges ,,,940.8,percent of total billed charges ,929.04,percent of total billed charges ,929.04,percent of total billed charges ,999.6,percent of total billed charges ,999.6,percent of total billed charges ,940.8,percent of total billed charges ,940.8,percent of total billed charges ,823.2,percent of total billed charges ,823.2,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 ,,,,,625.63,percent of total billed charges ,,,,,594.35,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,
"HERPES SIMPLEX 2, IGG AB",86696,CDM,,,,both,,,148,148,34.04,148,148,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,116.92,percent of total billed charges,116.92,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 ,116.92,percent of total billed charges ,116.92,percent of total billed charges ,125.8,percent of total billed charges ,125.8,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 ,,,,,,,,,,,,,,,,,,,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,,,34.04,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,
HERPES SIMPLEX 1 IGG AB,86695,CDM,,,,both,,,126,126,28.98,126,126,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,99.54,percent of total billed charges,99.54,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 ,99.54,percent of total billed charges ,99.54,percent of total billed charges ,107.1,percent of total billed charges ,107.1,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 ,,,,,,,,,,,,,,,,,,,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,
ANTI A TITER,86941,CDM,,,,both,,,148,148,34.04,148,148,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,116.92,percent of total billed charges,116.92,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 ,116.92,percent of total billed charges ,116.92,percent of total billed charges ,125.8,percent of total billed charges ,125.8,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 ,,,,,,,,,,,,,,,,,,,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,,,34.04,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,
ANTI B TITER,86941,CDM,,,,both,,,148,148,34.04,148,148,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,116.92,percent of total billed charges,116.92,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 ,116.92,percent of total billed charges ,116.92,percent of total billed charges ,125.8,percent of total billed charges ,125.8,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 ,,,,,,,,,,,,,,,,,,,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,,,34.04,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,
GHRELIN,83519,CDM,,,,both,,,"1,157.00","1,157.00",266.11,"1,157.00","1,157.00",percent of total billed charges,"1,157.00",percent of total billed charges,"1,157.00",percent of total billed charges,"1,157.00",percent of total billed charges,"1,157.00",percent of total billed charges,"1,157.00",percent of total billed charges,"1,157.00",percent of total billed charges,"1,157.00",percent of total billed charges,833.04,percent of total billed charges,833.04,percent of total billed charges,833.04,percent of total billed charges,833.04,percent of total billed charges,833.04,percent of total billed charges,833.04,percent of total billed charges,914.03,percent of total billed charges,914.03,percent of total billed charges,925.6,percent of total billed charges,925.6,percent of total billed charges,,,833.04,percent of total billed charges ,,,925.6,percent of total billed charges ,914.03,percent of total billed charges ,914.03,percent of total billed charges ,983.45,percent of total billed charges ,983.45,percent of total billed charges ,925.6,percent of total billed charges ,925.6,percent of total billed charges ,809.9,percent of total billed charges ,809.9,percent of total billed charges ,694.2,percent of total billed charges ,694.2,percent of total billed charges ,694.2,percent of total billed charges ,694.2,percent of total billed charges ,,,,,615.52,percent of total billed charges ,,,,,584.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,,,266.11,percent of total billed charges,
LEPTIN,83520,CDM,,,,both,,,535,535,123.05,535,535,percent of total billed charges,535,percent of total billed charges,535,percent of total billed charges,535,percent of total billed charges,535,percent of total billed charges,535,percent of total billed charges,535,percent of total billed charges,535,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,385.2,percent of total billed charges,385.2,percent of total billed charges,422.65,percent of total billed charges,422.65,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,,,385.2,percent of total billed charges ,,,428,percent of total billed charges ,422.65,percent of total billed charges ,422.65,percent of total billed charges ,454.75,percent of total billed charges ,454.75,percent of total billed charges ,428,percent of total billed charges ,428,percent of total billed charges ,374.5,percent of total billed charges ,374.5,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 ,,,,,284.62,percent of total billed charges ,,,,,270.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,
TNF-ALPHA SERUM,83520,CDM,,,,both,,,607,607,139.61,607,607,percent of total billed charges,607,percent of total billed charges,607,percent of total billed charges,607,percent of total billed charges,607,percent of total billed charges,607,percent of total billed charges,607,percent of total billed charges,607,percent of total billed charges,437.04,percent of total billed charges,437.04,percent of total billed charges,437.04,percent of total billed charges,437.04,percent of total billed charges,437.04,percent of total billed charges,437.04,percent of total billed charges,479.53,percent of total billed charges,479.53,percent of total billed charges,485.6,percent of total billed charges,485.6,percent of total billed charges,,,437.04,percent of total billed charges ,,,485.6,percent of total billed charges ,479.53,percent of total billed charges ,479.53,percent of total billed charges ,515.95,percent of total billed charges ,515.95,percent of total billed charges ,485.6,percent of total billed charges ,485.6,percent of total billed charges ,424.9,percent of total billed charges ,424.9,percent of total billed charges ,364.2,percent of total billed charges ,364.2,percent of total billed charges ,364.2,percent of total billed charges ,364.2,percent of total billed charges ,,,,,322.92,percent of total billed charges ,,,,,306.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,139.61,percent of total billed charges,,,139.61,percent of total billed charges,,,139.61,percent of total billed charges,,,139.61,percent of total billed charges,,,139.61,percent of total billed charges,,,139.61,percent of total billed charges,,,139.61,percent of total billed charges,,,139.61,percent of total billed charges,,,139.61,percent of total billed charges,,,139.61,percent of total billed charges,,,139.61,percent of total billed charges,
SULFONYLUREA HYPOGLYCEMICS,80299,CDM,,,,both,,,452,452,103.96,452,452,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,357.08,percent of total billed charges,357.08,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 ,357.08,percent of total billed charges ,357.08,percent of total billed charges ,384.2,percent of total billed charges ,384.2,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 ,,,,,,,,,,,,,,,,,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,
H PYLORI AG ON STOOL,87338,CDM,,,,both,,,346,346,79.58,346,346,percent of total billed charges,346,percent of total billed charges,346,percent of total billed charges,346,percent of total billed charges,346,percent of total billed charges,346,percent of total billed charges,346,percent of total billed charges,346,percent of total billed charges,249.12,percent of total billed charges,249.12,percent of total billed charges,249.12,percent of total billed charges,249.12,percent of total billed charges,249.12,percent of total billed charges,249.12,percent of total billed charges,273.34,percent of total billed charges,273.34,percent of total billed charges,276.8,percent of total billed charges,276.8,percent of total billed charges,,,249.12,percent of total billed charges ,,,276.8,percent of total billed charges ,273.34,percent of total billed charges ,273.34,percent of total billed charges ,294.1,percent of total billed charges ,294.1,percent of total billed charges ,276.8,percent of total billed charges ,276.8,percent of total billed charges ,242.2,percent of total billed charges ,242.2,percent of total billed charges ,207.6,percent of total billed charges ,207.6,percent of total billed charges ,207.6,percent of total billed charges ,207.6,percent of total billed charges ,,,,,184.07,percent of total billed charges ,,,,,174.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,79.58,percent of total billed charges,,,79.58,percent of total billed charges,,,79.58,percent of total billed charges,,,79.58,percent of total billed charges,,,79.58,percent of total billed charges,,,79.58,percent of total billed charges,,,79.58,percent of total billed charges,,,79.58,percent of total billed charges,,,79.58,percent of total billed charges,,,79.58,percent of total billed charges,,,79.58,percent of total billed charges,
"HISTAMINE,URINE",83088,CDM,,,,both,,,500,500,115,500,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,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,395,percent of total billed charges,395,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,,,360,percent of total billed charges ,,,400,percent of total billed charges ,395,percent of total billed charges ,395,percent of total billed charges ,425,percent of total billed charges ,425,percent of total billed charges ,400,percent of total billed charges ,400,percent of total billed charges ,350,percent of total billed charges ,350,percent of total billed charges ,300,percent of total billed charges ,300,percent of total billed charges ,300,percent of total billed charges ,300,percent of total billed charges ,,,,,266,percent of total billed charges ,,,,,252.7,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,,,115,percent of total billed charges,,,115,percent of total billed charges,,,115,percent of total billed charges,,,115,percent of total billed charges,
ANTI SSA,86235,CDM,,,,both,,,175,175,40.25,175,175,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,138.25,percent of total billed charges,138.25,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 ,138.25,percent of total billed charges ,138.25,percent of total billed charges ,148.75,percent of total billed charges ,148.75,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 ,,,,,,,,,,,,,,,,,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,
ANTI SSB,86235,CDM,,,,both,,,175,175,40.25,175,175,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,138.25,percent of total billed charges,138.25,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 ,138.25,percent of total billed charges ,138.25,percent of total billed charges ,148.75,percent of total billed charges ,148.75,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 ,,,,,,,,,,,,,,,,,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,
ANTI SMITH AB,86235,CDM,,,,both,,,175,175,40.25,175,175,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,138.25,percent of total billed charges,138.25,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 ,138.25,percent of total billed charges ,138.25,percent of total billed charges ,148.75,percent of total billed charges ,148.75,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 ,,,,,,,,,,,,,,,,,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,
ANTI RNP,86235,CDM,,,,both,,,175,175,40.25,175,175,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,138.25,percent of total billed charges,138.25,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 ,138.25,percent of total billed charges ,138.25,percent of total billed charges ,148.75,percent of total billed charges ,148.75,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 ,,,,,,,,,,,,,,,,,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,
ANTI SPERM ANTIBODY,89325,CDM,,,,both,,,172,172,39.56,172,172,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,135.88,percent of total billed charges,135.88,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 ,135.88,percent of total billed charges ,135.88,percent of total billed charges ,146.2,percent of total billed charges ,146.2,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 ,,,,,,,,,,,,,,,,,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,
LYSOZYME,85549,CDM,,,,both,,,113,113,25.99,113,113,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,89.27,percent of total billed charges,89.27,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 ,89.27,percent of total billed charges ,89.27,percent of total billed charges ,96.05,percent of total billed charges ,96.05,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 ,,,,,,,,,,,,,,,,,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,
VASO INTESTINAL POLYPEPTIDE,84586,CDM,,,,both,,,434,434,99.82,434,434,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,342.86,percent of total billed charges,342.86,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 ,342.86,percent of total billed charges ,342.86,percent of total billed charges ,368.9,percent of total billed charges ,368.9,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 ,,,,,,,,,,,,,,,,,,,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,,,99.82,percent of total billed charges,,,99.82,percent of total billed charges,,,99.82,percent of total billed charges,
ACETYLCHOLINE REC MODULATING AB,84238,CDM,,,,both,,,325,325,74.75,325,325,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,256.75,percent of total billed charges,256.75,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 ,256.75,percent of total billed charges ,256.75,percent of total billed charges ,276.25,percent of total billed charges ,276.25,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 ,,,,,,,,,,,,,,,,,,,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,
THYROTROPIN INHIBITORY ASSAY,83519,CDM,,,,both,,,292,292,67.16,292,292,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,230.68,percent of total billed charges,230.68,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 ,230.68,percent of total billed charges ,230.68,percent of total billed charges ,248.2,percent of total billed charges ,248.2,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 ,,,,,,,,,,,,,,,,,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,
"CHLAMYDIA AB, IGM",86632,CDM,,,,both,,,220,220,50.6,220,220,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,173.8,percent of total billed charges,173.8,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 ,173.8,percent of total billed charges ,173.8,percent of total billed charges ,187,percent of total billed charges ,187,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
HEMOCHROMATOSIS MUTATION C282Y H63D S65C,81256,CDM,,,,both,,,610,610,140.3,610,610,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,481.9,percent of total billed charges,481.9,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 ,481.9,percent of total billed charges ,481.9,percent of total billed charges ,518.5,percent of total billed charges ,518.5,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 ,,,,,,,,,,,,,,,,,,,140.3,percent of total billed charges,,,140.3,percent of total billed charges,,,140.3,percent of total billed charges,,,140.3,percent of total billed charges,,,140.3,percent of total billed charges,,,140.3,percent of total billed charges,,,140.3,percent of total billed charges,,,140.3,percent of total billed charges,,,140.3,percent of total billed charges,,,140.3,percent of total billed charges,,,140.3,percent of total billed charges,
TAU PROTEIN AMYLOID B42,83520,CDM,,,,both,,,712,712,163.76,712,712,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,562.48,percent of total billed charges,562.48,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 ,562.48,percent of total billed charges ,562.48,percent of total billed charges ,605.2,percent of total billed charges ,605.2,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 ,,,,,,,,,,,,,,,,,,,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,,,163.76,percent of total billed charges,,,163.76,percent of total billed charges,,,163.76,percent of total billed charges,
PROINSULIN,84206,CDM,,,,both,,,127,127,29.21,127,127,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,100.33,percent of total billed charges,100.33,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 ,100.33,percent of total billed charges ,100.33,percent of total billed charges ,107.95,percent of total billed charges ,107.95,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 ,,,,,,,,,,,,,,,,,,,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,
**REPORT INTERPRETATION,83912,CDM,,,,both,,,86,86,19.78,86,86,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,67.94,percent of total billed charges,67.94,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 ,67.94,percent of total billed charges ,67.94,percent of total billed charges ,73.1,percent of total billed charges ,73.1,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
VITAMIN E,84446,CDM,,,,both,,,265,265,60.95,265,265,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,209.35,percent of total billed charges,209.35,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 ,209.35,percent of total billed charges ,209.35,percent of total billed charges ,225.25,percent of total billed charges ,225.25,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 ,,,,,,,,,,,,,,,,,,,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,,,60.95,percent of total billed charges,,,60.95,percent of total billed charges,,,60.95,percent of total billed charges,
TOXOPLASMOSIS IGM AB,86778,CDM,,,,both,,,79,79,18.17,79,79,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,62.41,percent of total billed charges,62.41,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 ,62.41,percent of total billed charges ,62.41,percent of total billed charges ,67.15,percent of total billed charges ,67.15,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 ,,,,,,,,,,,,,,,,,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,,,18.17,percent of total billed charges,
ORGANIC ACID URINE,83918,CDM,,,,both,,,388,388,89.24,388,388,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,306.52,percent of total billed charges,306.52,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 ,306.52,percent of total billed charges ,306.52,percent of total billed charges ,329.8,percent of total billed charges ,329.8,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 ,,,,,,,,,,,,,,,,,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,
ALDACTONE,80299,CDM,,,,both,,,565,565,129.95,565,565,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,446.35,percent of total billed charges,446.35,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 ,446.35,percent of total billed charges ,446.35,percent of total billed charges ,480.25,percent of total billed charges ,480.25,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 ,,,,,,,,,,,,,,,,,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,
VOLTAGE GATED CALCIUM CHANNEL AB,83519,CDM,,,,both,,,997,997,229.31,997,997,percent of total billed charges,997,percent of total billed charges,997,percent of total billed charges,997,percent of total billed charges,997,percent of total billed charges,997,percent of total billed charges,997,percent of total billed charges,997,percent of total billed charges,717.84,percent of total billed charges,717.84,percent of total billed charges,717.84,percent of total billed charges,717.84,percent of total billed charges,717.84,percent of total billed charges,717.84,percent of total billed charges,787.63,percent of total billed charges,787.63,percent of total billed charges,797.6,percent of total billed charges,797.6,percent of total billed charges,,,717.84,percent of total billed charges ,,,797.6,percent of total billed charges ,787.63,percent of total billed charges ,787.63,percent of total billed charges ,847.45,percent of total billed charges ,847.45,percent of total billed charges ,797.6,percent of total billed charges ,797.6,percent of total billed charges ,697.9,percent of total billed charges ,697.9,percent of total billed charges ,598.2,percent of total billed charges ,598.2,percent of total billed charges ,598.2,percent of total billed charges ,598.2,percent of total billed charges ,,,,,530.4,percent of total billed charges ,,,,,503.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,229.31,percent of total billed charges,,,229.31,percent of total billed charges,,,229.31,percent of total billed charges,,,229.31,percent of total billed charges,,,229.31,percent of total billed charges,,,229.31,percent of total billed charges,,,229.31,percent of total billed charges,,,229.31,percent of total billed charges,,,229.31,percent of total billed charges,,,229.31,percent of total billed charges,,,229.31,percent of total billed charges,
CARDIOLIPIN AB IgM,86147,CDM,,,,both,,,194,194,44.62,194,194,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,153.26,percent of total billed charges,153.26,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 ,153.26,percent of total billed charges ,153.26,percent of total billed charges ,164.9,percent of total billed charges ,164.9,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 ,,,,,,,,,,,,,,,,,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,
.BORDETELLA PERTUSIS BY PCR,87801,CDM,,,,both,,,479,479,110.17,479,479,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,378.41,percent of total billed charges,378.41,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 ,378.41,percent of total billed charges ,378.41,percent of total billed charges ,407.15,percent of total billed charges ,407.15,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 ,,,,,,,,,,,,,,,,,,,110.17,percent of total billed charges,,,110.17,percent of total billed charges,,,110.17,percent of total billed charges,,,110.17,percent of total billed charges,,,110.17,percent of total billed charges,,,110.17,percent of total billed charges,,,110.17,percent of total billed charges,,,110.17,percent of total billed charges,,,110.17,percent of total billed charges,,,110.17,percent of total billed charges,,,110.17,percent of total billed charges,
SIROLIMUS,80195,CDM,,,,both,,,388,388,89.24,388,388,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,306.52,percent of total billed charges,306.52,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 ,306.52,percent of total billed charges ,306.52,percent of total billed charges ,329.8,percent of total billed charges ,329.8,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 ,,,,,,,,,,,,,,,,,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,
**MRSA SCREEN,87081,CDM,,,,both,,,189,189,43.47,189,189,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,149.31,percent of total billed charges,149.31,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 ,149.31,percent of total billed charges ,149.31,percent of total billed charges ,160.65,percent of total billed charges ,160.65,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 ,,,,,,,,,,,,,,,,,,,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,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,
PAP TEST INTERPRETATION,88141,CDM,,,,both,,,246,246,56.58,246,246,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,194.34,percent of total billed charges,194.34,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 ,194.34,percent of total billed charges ,194.34,percent of total billed charges ,209.1,percent of total billed charges ,209.1,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 ,,,,,,,,,,,,,,,,,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,
LACTOSE TOLERANCE TEST 3 SPECIMEN,82951,CDM,,,,both,,,200,200,46,200,200,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,158,percent of total billed charges,158,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 ,158,percent of total billed charges ,158,percent of total billed charges ,170,percent of total billed charges ,170,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 ,,,,,,,,,,,,,,,,,,,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,,,46,percent of total billed charges,,,46,percent of total billed charges,,,46,percent of total billed charges,
LACTOSE TOLERANCE ADD'L HOUR,82952,CDM,,,,both,,,64,64,14.72,64,64,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,50.56,percent of total billed charges,50.56,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 ,50.56,percent of total billed charges ,50.56,percent of total billed charges ,54.4,percent of total billed charges ,54.4,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
PM1 AUTO ANTIBODY,86235,CDM,,,,both,,,265,265,60.95,265,265,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,209.35,percent of total billed charges,209.35,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 ,209.35,percent of total billed charges ,209.35,percent of total billed charges ,225.25,percent of total billed charges ,225.25,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 ,,,,,,,,,,,,,,,,,,,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,,,60.95,percent of total billed charges,,,60.95,percent of total billed charges,,,60.95,percent of total billed charges,
Jo-1 AUTO ANTIBODY,86235,CDM,,,,both,,,175,175,40.25,175,175,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,138.25,percent of total billed charges,138.25,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 ,138.25,percent of total billed charges ,138.25,percent of total billed charges ,148.75,percent of total billed charges ,148.75,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 ,,,,,,,,,,,,,,,,,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,
TEICHOIC ACID BY IMD,86329,CDM,,,,both,,,249,249,57.27,249,249,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,196.71,percent of total billed charges,196.71,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 ,196.71,percent of total billed charges ,196.71,percent of total billed charges ,211.65,percent of total billed charges ,211.65,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 ,,,,,,,,,,,,,,,,,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,
ENDOMYSIAL ANTIBODY,83516,CDM,,,,both,,,162,162,37.26,162,162,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,127.98,percent of total billed charges,127.98,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 ,127.98,percent of total billed charges ,127.98,percent of total billed charges ,137.7,percent of total billed charges ,137.7,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 ,,,,,,,,,,,,,,,,,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,
ANTITRANSAMINASE ANTIBODY,83516,CDM,,,,both,,,249,249,57.27,249,249,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,196.71,percent of total billed charges,196.71,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 ,196.71,percent of total billed charges ,196.71,percent of total billed charges ,211.65,percent of total billed charges ,211.65,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 ,,,,,,,,,,,,,,,,,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,
VERY LONG CHAIN FATTY ACIDS,82726,CDM,,,,both,,,551,551,126.73,551,551,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,435.29,percent of total billed charges,435.29,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 ,435.29,percent of total billed charges ,435.29,percent of total billed charges ,468.35,percent of total billed charges ,468.35,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 ,,,,,,,,,,,,,,,,,,,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,
GAMMA-HYDROXYBUTYRIC ACID,80368,CDM,,,,both,,,410,410,94.3,410,410,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,323.9,percent of total billed charges,323.9,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 ,323.9,percent of total billed charges ,323.9,percent of total billed charges ,348.5,percent of total billed charges ,348.5,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 ,,,,,,,,,,,,,,,,,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,
CYCLIC CITRULLINATED PEPTIDE ANTIBODY,86200,CDM,,,,both,,,203,203,46.69,203,203,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,160.37,percent of total billed charges,160.37,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 ,160.37,percent of total billed charges ,160.37,percent of total billed charges ,172.55,percent of total billed charges ,172.55,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 ,,,,,,,,,,,,,,,,,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,
PERTUSSIS (SWAB) DETECTION,87798,CDM,,,,both,,,330,330,75.9,330,330,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,260.7,percent of total billed charges,260.7,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 ,260.7,percent of total billed charges ,260.7,percent of total billed charges ,280.5,percent of total billed charges ,280.5,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 ,,,,,,,,,,,,,,,,,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,
"ORGANIC ACID,SERUM TOTAL",83918,CDM,,,,both,,,964,964,221.72,964,964,percent of total billed charges,964,percent of total billed charges,964,percent of total billed charges,964,percent of total billed charges,964,percent of total billed charges,964,percent of total billed charges,964,percent of total billed charges,964,percent of total billed charges,694.08,percent of total billed charges,694.08,percent of total billed charges,694.08,percent of total billed charges,694.08,percent of total billed charges,694.08,percent of total billed charges,694.08,percent of total billed charges,761.56,percent of total billed charges,761.56,percent of total billed charges,771.2,percent of total billed charges,771.2,percent of total billed charges,,,694.08,percent of total billed charges ,,,771.2,percent of total billed charges ,761.56,percent of total billed charges ,761.56,percent of total billed charges ,819.4,percent of total billed charges ,819.4,percent of total billed charges ,771.2,percent of total billed charges ,771.2,percent of total billed charges ,674.8,percent of total billed charges ,674.8,percent of total billed charges ,578.4,percent of total billed charges ,578.4,percent of total billed charges ,578.4,percent of total billed charges ,578.4,percent of total billed charges ,,,,,512.85,percent of total billed charges ,,,,,487.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,221.72,percent of total billed charges,,,221.72,percent of total billed charges,,,221.72,percent of total billed charges,,,221.72,percent of total billed charges,,,221.72,percent of total billed charges,,,221.72,percent of total billed charges,,,221.72,percent of total billed charges,,,221.72,percent of total billed charges,,,221.72,percent of total billed charges,,,221.72,percent of total billed charges,,,221.72,percent of total billed charges,
AFB CONCENTRATION,87015,CDM,,,,both,,,85,85,19.55,85,85,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,67.15,percent of total billed charges,67.15,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 ,67.15,percent of total billed charges ,67.15,percent of total billed charges ,72.25,percent of total billed charges ,72.25,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 ,,,,,,,,,,,,,,,,,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,
**HELITECH DRUG SCREEN,80101,CDM,,,,both,,,98,98,22.54,98,98,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,77.42,percent of total billed charges,77.42,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 ,77.42,percent of total billed charges ,77.42,percent of total billed charges ,83.3,percent of total billed charges ,83.3,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 ,,,,,,,,,,,,,,,,,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,
"RITALIN,URINE",80299,CDM,,,,both,,,348,348,80.04,348,348,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,274.92,percent of total billed charges,274.92,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 ,274.92,percent of total billed charges ,274.92,percent of total billed charges ,295.8,percent of total billed charges ,295.8,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 ,,,,,,,,,,,,,,,,,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,
COCAINE METABOLITE CONFIRMATION,80353,CDM,,,,both,,,249,249,57.27,249,249,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,196.71,percent of total billed charges,196.71,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 ,196.71,percent of total billed charges ,196.71,percent of total billed charges ,211.65,percent of total billed charges ,211.65,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 ,,,,,,,,,,,,,,,,,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,
PHADIATOP INHALANT MULTIALLERGEN ASSAY,83516,CDM,,,,both,,,117,117,26.91,117,117,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,92.43,percent of total billed charges,92.43,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 ,92.43,percent of total billed charges ,92.43,percent of total billed charges ,99.45,percent of total billed charges ,99.45,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 ,,,,,,,,,,,,,,,,,,,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,
**NASAL VIRAL CULTURE,87252,CDM,,,,both,,,386,386,88.78,386,386,percent of total billed charges,386,percent of total billed charges,386,percent of total billed charges,386,percent of total billed charges,386,percent of total billed charges,386,percent of total billed charges,386,percent of total billed charges,386,percent of total billed charges,277.92,percent of total billed charges,277.92,percent of total billed charges,277.92,percent of total billed charges,277.92,percent of total billed charges,277.92,percent of total billed charges,277.92,percent of total billed charges,304.94,percent of total billed charges,304.94,percent of total billed charges,308.8,percent of total billed charges,308.8,percent of total billed charges,,,277.92,percent of total billed charges ,,,308.8,percent of total billed charges ,304.94,percent of total billed charges ,304.94,percent of total billed charges ,328.1,percent of total billed charges ,328.1,percent of total billed charges ,308.8,percent of total billed charges ,308.8,percent of total billed charges ,270.2,percent of total billed charges ,270.2,percent of total billed charges ,231.6,percent of total billed charges ,231.6,percent of total billed charges ,231.6,percent of total billed charges ,231.6,percent of total billed charges ,,,,,205.35,percent of total billed charges ,,,,,195.08,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,,,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,
DIPHTHERIA ANTIBODY TITER,86317,CDM,,,,both,,,189,189,43.47,189,189,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,149.31,percent of total billed charges,149.31,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 ,149.31,percent of total billed charges ,149.31,percent of total billed charges ,160.65,percent of total billed charges ,160.65,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 ,,,,,,,,,,,,,,,,,,,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,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,
MYCOPHENOLIC ACID,80299,CDM,,,,both,,,228,228,52.44,228,228,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,180.12,percent of total billed charges,180.12,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 ,180.12,percent of total billed charges ,180.12,percent of total billed charges ,193.8,percent of total billed charges ,193.8,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 ,,,,,,,,,,,,,,,,,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,
TOTAL T CELLS (CD3+),86359,CDM,,,,both,,,169,169,38.87,169,169,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,133.51,percent of total billed charges,133.51,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 ,133.51,percent of total billed charges ,133.51,percent of total billed charges ,143.65,percent of total billed charges ,143.65,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 ,,,,,,,,,,,,,,,,,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,
ABSOLUTE CD4 & CD8,86360,CDM,,,,both,,,212,212,48.76,212,212,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,167.48,percent of total billed charges,167.48,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 ,167.48,percent of total billed charges ,167.48,percent of total billed charges ,180.2,percent of total billed charges ,180.2,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 ,,,,,,,,,,,,,,,,,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,
TOTAL B CELLS (CD19+),86355,CDM,,,,both,,,169,169,38.87,169,169,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,133.51,percent of total billed charges,133.51,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 ,133.51,percent of total billed charges ,133.51,percent of total billed charges ,143.65,percent of total billed charges ,143.65,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 ,,,,,,,,,,,,,,,,,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,
"NATURAL KILLER CELLS, TOTAL COUNT",86357,CDM,,,,both,,,169,169,38.87,169,169,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,133.51,percent of total billed charges,133.51,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 ,133.51,percent of total billed charges ,133.51,percent of total billed charges ,143.65,percent of total billed charges ,143.65,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 ,,,,,,,,,,,,,,,,,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,
**MOL. DX. CMT,83891,CDM,,,,both,,,189,189,43.47,189,189,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,149.31,percent of total billed charges,149.31,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 ,149.31,percent of total billed charges ,149.31,percent of total billed charges ,160.65,percent of total billed charges ,160.65,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 ,,,,,,,,,,,,,,,,,,,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,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,
**MOL. DX. AMPL CMT,83898,CDM,,,,both,,,448,448,103.04,448,448,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,353.92,percent of total billed charges,353.92,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 ,353.92,percent of total billed charges ,353.92,percent of total billed charges ,380.8,percent of total billed charges ,380.8,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 ,,,,,,,,,,,,,,,,,,,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,
**MOL. DX. MUT CMT,83904,CDM,,,,both,,,245,245,56.35,245,245,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,193.55,percent of total billed charges,193.55,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 ,193.55,percent of total billed charges ,193.55,percent of total billed charges ,208.25,percent of total billed charges ,208.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,56.35,percent of total billed charges,,,56.35,percent of total billed charges,,,56.35,percent of total billed charges,
**MOL. DX. INTERP CMT,83912,CDM,,,,both,,,245,245,56.35,245,245,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,193.55,percent of total billed charges,193.55,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 ,193.55,percent of total billed charges ,193.55,percent of total billed charges ,208.25,percent of total billed charges ,208.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,56.35,percent of total billed charges,,,56.35,percent of total billed charges,,,56.35,percent of total billed charges,
**MOL. DX. DIGEST CMT,83892,CDM,,,,both,,,251,251,57.73,251,251,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,198.29,percent of total billed charges,198.29,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 ,198.29,percent of total billed charges ,198.29,percent of total billed charges ,213.35,percent of total billed charges ,213.35,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 ,,,,,,,,,,,,,,,,,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,
**SEP ELEC CMT,83894,CDM,,,,both,,,245,245,56.35,245,245,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,193.55,percent of total billed charges,193.55,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 ,193.55,percent of total billed charges ,193.55,percent of total billed charges ,208.25,percent of total billed charges ,208.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,56.35,percent of total billed charges,,,56.35,percent of total billed charges,,,56.35,percent of total billed charges,
**NUC ACID CMT,83896,CDM,,,,both,,,245,245,56.35,245,245,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,193.55,percent of total billed charges,193.55,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 ,193.55,percent of total billed charges ,193.55,percent of total billed charges ,208.25,percent of total billed charges ,208.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,56.35,percent of total billed charges,,,56.35,percent of total billed charges,,,56.35,percent of total billed charges,
**NUC ACID TRANS CMT,83897,CDM,,,,both,,,245,245,56.35,245,245,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,193.55,percent of total billed charges,193.55,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 ,193.55,percent of total billed charges ,193.55,percent of total billed charges ,208.25,percent of total billed charges ,208.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,56.35,percent of total billed charges,,,56.35,percent of total billed charges,,,56.35,percent of total billed charges,
ITRACONAZOLE,80299,CDM,,,,both,,,228,228,52.44,228,228,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,180.12,percent of total billed charges,180.12,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 ,180.12,percent of total billed charges ,180.12,percent of total billed charges ,193.8,percent of total billed charges ,193.8,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 ,,,,,,,,,,,,,,,,,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,
HEPATITIS C GENOTYPING,87902,CDM,,,,both,,,"1,123.00","1,123.00",258.29,"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,887.17,percent of total billed charges,887.17,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 ,887.17,percent of total billed charges ,887.17,percent of total billed charges ,954.55,percent of total billed charges ,954.55,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 ,,,,,,,,,,,,,,,,,,,258.29,percent of total billed charges,,,258.29,percent of total billed charges,,,258.29,percent of total billed charges,,,258.29,percent of total billed charges,,,258.29,percent of total billed charges,,,258.29,percent of total billed charges,,,258.29,percent of total billed charges,,,258.29,percent of total billed charges,,,258.29,percent of total billed charges,,,258.29,percent of total billed charges,,,258.29,percent of total billed charges,
BORDETELLA PERTUSSIS ANTIBODY IgM,86615,CDM,,,,both,,,136,136,31.28,136,136,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,107.44,percent of total billed charges,107.44,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 ,107.44,percent of total billed charges ,107.44,percent of total billed charges ,115.6,percent of total billed charges ,115.6,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 ,,,,,,,,,,,,,,,,,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,
BORDETELLA PERTUSSIS ANTIBODY IgG,86615,CDM,,,,both,,,136,136,31.28,136,136,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,107.44,percent of total billed charges,107.44,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 ,107.44,percent of total billed charges ,107.44,percent of total billed charges ,115.6,percent of total billed charges ,115.6,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 ,,,,,,,,,,,,,,,,,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,
"MYELOPEROXIDASE AB, IgG",83876,CDM,,,,both,,,180,180,41.4,180,180,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,142.2,percent of total billed charges,142.2,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 ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,153,percent of total billed charges ,153,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,41.4,percent of total billed charges,,,41.4,percent of total billed charges,,,41.4,percent of total billed charges,
"SERINE PROTEASES, IGG",83516,CDM,,,,both,,,162,162,37.26,162,162,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,127.98,percent of total billed charges,127.98,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 ,127.98,percent of total billed charges ,127.98,percent of total billed charges ,137.7,percent of total billed charges ,137.7,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 ,,,,,,,,,,,,,,,,,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,
MTHFR (C677T)(A1298C),81291,CDM,,,,both,,,547,547,125.81,547,547,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,432.13,percent of total billed charges,432.13,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 ,432.13,percent of total billed charges ,432.13,percent of total billed charges ,464.95,percent of total billed charges ,464.95,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 ,,,,,,,,,,,,,,,,,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,
**ISOLATION MTHSR,83890,CDM,,,,both,,,216,216,49.68,216,216,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,216,percent of total billed charges,216,percent of total billed charges,216,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,172.8,percent of total billed charges,172.8,percent of total billed charges,,,155.52,percent of total billed charges ,,,172.8,percent of total billed charges ,170.64,percent of total billed charges ,170.64,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,172.8,percent of total billed charges ,172.8,percent of total billed charges ,151.2,percent of total billed charges ,151.2,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 ,,,,,114.91,percent of total billed charges ,,,,,109.17,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,,,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,
**AMPLIFICATION MTHSR,83898,CDM,,,,both,,,84,84,19.32,84,84,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,66.36,percent of total billed charges,66.36,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 ,66.36,percent of total billed charges ,66.36,percent of total billed charges ,71.4,percent of total billed charges ,71.4,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 ,,,,,,,,,,,,,,,,,,,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,
**NUC PROBE MTHSR,83896,CDM,,,,both,,,84,84,19.32,84,84,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,66.36,percent of total billed charges,66.36,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 ,66.36,percent of total billed charges ,66.36,percent of total billed charges ,71.4,percent of total billed charges ,71.4,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 ,,,,,,,,,,,,,,,,,,,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,
**INTERP/REPORT MTHSR,83912,CDM,,,,both,,,84,84,19.32,84,84,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,66.36,percent of total billed charges,66.36,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 ,66.36,percent of total billed charges ,66.36,percent of total billed charges ,71.4,percent of total billed charges ,71.4,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 ,,,,,,,,,,,,,,,,,,,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,
"AMNIO.FLUID, CHROMOSOME ANALYSIS",Local ,Local ,,,,both,,,175,175,40.25,175,175,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,138.25,percent of total billed charges,138.25,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 ,138.25,percent of total billed charges ,138.25,percent of total billed charges ,148.75,percent of total billed charges ,148.75,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 ,,,,,,,,,,,,,,,,,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,
"TISSUE CULTURE, AMNIOTIC FLUID",88235,CDM,,,,both,,,583,583,134.09,583,583,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,460.57,percent of total billed charges,460.57,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 ,460.57,percent of total billed charges ,460.57,percent of total billed charges ,495.55,percent of total billed charges ,495.55,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 ,,,,,,,,,,,,,,,,,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,
CHROMOSOME ANALYSIS,88267,CDM,,,,both,,,583,583,134.09,583,583,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,460.57,percent of total billed charges,460.57,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 ,460.57,percent of total billed charges ,460.57,percent of total billed charges ,495.55,percent of total billed charges ,495.55,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 ,,,,,,,,,,,,,,,,,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,
CHROMOSOME ANYLYSIS ADD,88280,CDM,,,,both,,,583,583,134.09,583,583,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,460.57,percent of total billed charges,460.57,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 ,460.57,percent of total billed charges ,460.57,percent of total billed charges ,495.55,percent of total billed charges ,495.55,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 ,,,,,,,,,,,,,,,,,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,
CYTO INTERP REPORT,88291,CDM,,,,both,,,314,314,72.22,314,314,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,248.06,percent of total billed charges,248.06,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 ,248.06,percent of total billed charges ,248.06,percent of total billed charges ,266.9,percent of total billed charges ,266.9,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 ,,,,,,,,,,,,,,,,,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,
FRAGILE X DNA,81243,CDM,,,,both,,,715,715,164.45,715,715,percent of total billed charges,715,percent of total billed charges,715,percent of total billed charges,715,percent of total billed charges,715,percent of total billed charges,715,percent of total billed charges,715,percent of total billed charges,715,percent of total billed charges,514.8,percent of total billed charges,514.8,percent of total billed charges,514.8,percent of total billed charges,514.8,percent of total billed charges,514.8,percent of total billed charges,514.8,percent of total billed charges,564.85,percent of total billed charges,564.85,percent of total billed charges,572,percent of total billed charges,572,percent of total billed charges,,,514.8,percent of total billed charges ,,,572,percent of total billed charges ,564.85,percent of total billed charges ,564.85,percent of total billed charges ,607.75,percent of total billed charges ,607.75,percent of total billed charges ,572,percent of total billed charges ,572,percent of total billed charges ,500.5,percent of total billed charges ,500.5,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 ,,,,,380.38,percent of total billed charges ,,,,,361.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,164.45,percent of total billed charges,,,164.45,percent of total billed charges,,,164.45,percent of total billed charges,,,164.45,percent of total billed charges,,,164.45,percent of total billed charges,,,164.45,percent of total billed charges,,,164.45,percent of total billed charges,,,164.45,percent of total billed charges,,,164.45,percent of total billed charges,,,164.45,percent of total billed charges,,,164.45,percent of total billed charges,
**EXTRACTION FX,83891,CDM,,,,both,,,189,189,43.47,189,189,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,149.31,percent of total billed charges,149.31,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 ,149.31,percent of total billed charges ,149.31,percent of total billed charges ,160.65,percent of total billed charges ,160.65,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 ,,,,,,,,,,,,,,,,,,,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,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,
**ENZ OIG FX,83892,CDM,,,,both,,,251,251,57.73,251,251,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,198.29,percent of total billed charges,198.29,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 ,198.29,percent of total billed charges ,198.29,percent of total billed charges ,213.35,percent of total billed charges ,213.35,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 ,,,,,,,,,,,,,,,,,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,
**SEPARATION FX,83894,CDM,,,,both,,,251,251,57.73,251,251,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,198.29,percent of total billed charges,198.29,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 ,198.29,percent of total billed charges ,198.29,percent of total billed charges ,213.35,percent of total billed charges ,213.35,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 ,,,,,,,,,,,,,,,,,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,
**NUCLEIC ACID FX,83896,CDM,,,,both,,,251,251,57.73,251,251,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,198.29,percent of total billed charges,198.29,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 ,198.29,percent of total billed charges ,198.29,percent of total billed charges ,213.35,percent of total billed charges ,213.35,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 ,,,,,,,,,,,,,,,,,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,
**NUC ACID TRANSFER FX,83897,CDM,,,,both,,,251,251,57.73,251,251,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,198.29,percent of total billed charges,198.29,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 ,198.29,percent of total billed charges ,198.29,percent of total billed charges ,213.35,percent of total billed charges ,213.35,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 ,,,,,,,,,,,,,,,,,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,
**AMPLIFICATION FX,83898,CDM,,,,both,,,251,251,57.73,251,251,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,198.29,percent of total billed charges,198.29,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 ,198.29,percent of total billed charges ,198.29,percent of total billed charges ,213.35,percent of total billed charges ,213.35,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 ,,,,,,,,,,,,,,,,,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,
**INTERP REPORT FX,83912,CDM,,,,both,,,251,251,57.73,251,251,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,198.29,percent of total billed charges,198.29,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 ,198.29,percent of total billed charges ,198.29,percent of total billed charges ,213.35,percent of total billed charges ,213.35,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 ,,,,,,,,,,,,,,,,,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,
CAFFEINE,80299,CDM,,,,both,,,168,168,38.64,168,168,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,132.72,percent of total billed charges,132.72,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 ,132.72,percent of total billed charges ,132.72,percent of total billed charges ,142.8,percent of total billed charges ,142.8,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 ,,,,,,,,,,,,,,,,,,,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,
CSF IMMUNOGLOBULIN IGG,82784,CDM,,,,both,,,136,136,31.28,136,136,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,107.44,percent of total billed charges,107.44,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 ,107.44,percent of total billed charges ,107.44,percent of total billed charges ,115.6,percent of total billed charges ,115.6,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 ,,,,,,,,,,,,,,,,,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,
"ALBUMIN, CSF",82042,CDM,,,,both,,,87,87,20.01,87,87,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,68.73,percent of total billed charges,68.73,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 ,68.73,percent of total billed charges ,68.73,percent of total billed charges ,73.95,percent of total billed charges ,73.95,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 ,,,,,,,,,,,,,,,,,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,
TBII TSH RECEPTOR ANTIBODY,83519,CDM,,,,both,,,245,245,56.35,245,245,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,193.55,percent of total billed charges,193.55,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 ,193.55,percent of total billed charges ,193.55,percent of total billed charges ,208.25,percent of total billed charges ,208.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,56.35,percent of total billed charges,,,56.35,percent of total billed charges,,,56.35,percent of total billed charges,
CYTOLOGY CSF,88108,CDM,,,,both,,,291,291,66.93,291,291,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,229.89,percent of total billed charges,229.89,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 ,229.89,percent of total billed charges ,229.89,percent of total billed charges ,247.35,percent of total billed charges ,247.35,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 ,,,,,,,,,,,,,,,,,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,
AUTOCYTE REVIEW,88175,CDM,,,,both,,,239,239,54.97,239,239,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,188.81,percent of total billed charges,188.81,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 ,188.81,percent of total billed charges ,188.81,percent of total billed charges ,203.15,percent of total billed charges ,203.15,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 ,,,,,,,,,,,,,,,,,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,
"SURGICAL FROZEN, ADD",88332,CDM,,,26,both,,,333,333,76.59,333,333,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,263.07,percent of total billed charges,263.07,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 ,263.07,percent of total billed charges ,263.07,percent of total billed charges ,283.05,percent of total billed charges ,283.05,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 ,,,,,,,,,,,,,,,,,,,76.59,percent of total billed charges,,,76.59,percent of total billed charges,,,76.59,percent of total billed charges,,,76.59,percent of total billed charges,,,76.59,percent of total billed charges,,,76.59,percent of total billed charges,,,76.59,percent of total billed charges,,,76.59,percent of total billed charges,,,76.59,percent of total billed charges,,,76.59,percent of total billed charges,,,76.59,percent of total billed charges,
GRINDING TISSUE,87176,CDM,,,,both,,,32,32,7.36,32,32,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,25.28,percent of total billed charges,25.28,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 ,25.28,percent of total billed charges ,25.28,percent of total billed charges ,27.2,percent of total billed charges ,27.2,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 ,,,,,,,,,,,,,,,,,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,,,7.36,percent of total billed charges,
"TISSUE TRANSGLUTAMINASE, IGG",83516,CDM,,,,both,,,162,162,37.26,162,162,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,127.98,percent of total billed charges,127.98,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 ,127.98,percent of total billed charges ,127.98,percent of total billed charges ,137.7,percent of total billed charges ,137.7,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 ,,,,,,,,,,,,,,,,,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,
"WEST NILE ANTIBODY, IgG",86789,CDM,,,,both,,,146,146,33.58,146,146,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,115.34,percent of total billed charges,115.34,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 ,115.34,percent of total billed charges ,115.34,percent of total billed charges ,124.1,percent of total billed charges ,124.1,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 ,,,,,,,,,,,,,,,,,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,
"WEST NILE ANTIBODY, IgM",86788,CDM,,,,both,,,146,146,33.58,146,146,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,115.34,percent of total billed charges,115.34,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 ,115.34,percent of total billed charges ,115.34,percent of total billed charges ,124.1,percent of total billed charges ,124.1,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 ,,,,,,,,,,,,,,,,,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,
"RETICULIN AB, IGG",86256,CDM,,,,both,,,209,209,48.07,209,209,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,165.11,percent of total billed charges,165.11,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 ,165.11,percent of total billed charges ,165.11,percent of total billed charges ,177.65,percent of total billed charges ,177.65,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 ,,,,,,,,,,,,,,,,,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,
"CYTOLOGY, MISCELLANEOUS FLUID",88108,CDM,,,,both,,,253,253,58.19,253,253,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,199.87,percent of total billed charges,199.87,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 ,199.87,percent of total billed charges ,199.87,percent of total billed charges ,215.05,percent of total billed charges ,215.05,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 ,,,,,,,,,,,,,,,,,,,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,,,58.19,percent of total billed charges,,,58.19,percent of total billed charges,,,58.19,percent of total billed charges,
HIV VIRAL LOAD,87536,CDM,,,,both,,,541,541,124.43,541,541,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,427.39,percent of total billed charges,427.39,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 ,427.39,percent of total billed charges ,427.39,percent of total billed charges ,459.85,percent of total billed charges ,459.85,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 ,,,,,,,,,,,,,,,,,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,,,124.43,percent of total billed charges,
AMNIOTIC FLUID PG,84081,CDM,,,,both,,,314,314,72.22,314,314,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,248.06,percent of total billed charges,248.06,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 ,248.06,percent of total billed charges ,248.06,percent of total billed charges ,266.9,percent of total billed charges ,266.9,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 ,,,,,,,,,,,,,,,,,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,
**AMN. FETAL LUNG MATURITY L/S,83661,CDM,,,,both,,,102,102,23.46,102,102,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,80.58,percent of total billed charges,80.58,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 ,80.58,percent of total billed charges ,80.58,percent of total billed charges ,86.7,percent of total billed charges ,86.7,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 ,,,,,,,,,,,,,,,,,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,
EHRLICHIA IGG,86666,CDM,,,,both,,,126,126,28.98,126,126,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,99.54,percent of total billed charges,99.54,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 ,99.54,percent of total billed charges ,99.54,percent of total billed charges ,107.1,percent of total billed charges ,107.1,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 ,,,,,,,,,,,,,,,,,,,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,
EHRLICHIA IGM,86666,CDM,,,,both,,,126,126,28.98,126,126,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,99.54,percent of total billed charges,99.54,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 ,99.54,percent of total billed charges ,99.54,percent of total billed charges ,107.1,percent of total billed charges ,107.1,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 ,,,,,,,,,,,,,,,,,,,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,
CMV BY PCR,87496,CDM,,,,both,,,377,377,86.71,377,377,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,297.83,percent of total billed charges,297.83,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 ,297.83,percent of total billed charges ,297.83,percent of total billed charges ,320.45,percent of total billed charges ,320.45,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 ,,,,,,,,,,,,,,,,,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,
CYTO. CELL. ENHANCEMENT,88112,CDM,,,,both,,,515,515,118.45,515,515,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,406.85,percent of total billed charges,406.85,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 ,406.85,percent of total billed charges ,406.85,percent of total billed charges ,437.75,percent of total billed charges ,437.75,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 ,,,,,,,,,,,,,,,,,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,
PAP IN PRES. 88175,88175,CDM,,,,both,,,239,239,54.97,239,239,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,188.81,percent of total billed charges,188.81,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 ,188.81,percent of total billed charges ,188.81,percent of total billed charges ,203.15,percent of total billed charges ,203.15,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 ,,,,,,,,,,,,,,,,,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,
CD19 FLOW READ 2-8,88187,CDM,,,,both,,,190,190,43.7,190,190,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,150.1,percent of total billed charges,150.1,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 ,150.1,percent of total billed charges ,150.1,percent of total billed charges ,161.5,percent of total billed charges ,161.5,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 ,,,,,,,,,,,,,,,,,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,,,43.7,percent of total billed charges,
CARBOHYDRATE DEFICIENT TRANSFERRIN,82373,CDM,,,,both,,,314,314,72.22,314,314,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,248.06,percent of total billed charges,248.06,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 ,248.06,percent of total billed charges ,248.06,percent of total billed charges ,266.9,percent of total billed charges ,266.9,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 ,,,,,,,,,,,,,,,,,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,
CELL SURF EA ADD. MARKER,88185,CDM,,,,both,,,168,168,38.64,168,168,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,132.72,percent of total billed charges,132.72,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 ,132.72,percent of total billed charges ,132.72,percent of total billed charges ,142.8,percent of total billed charges ,142.8,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 ,,,,,,,,,,,,,,,,,,,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,
BK VIRUS PCR. QUANT,87799,CDM,,,,both,,,539,539,123.97,539,539,percent of total billed charges,539,percent of total billed charges,539,percent of total billed charges,539,percent of total billed charges,539,percent of total billed charges,539,percent of total billed charges,539,percent of total billed charges,539,percent of total billed charges,388.08,percent of total billed charges,388.08,percent of total billed charges,388.08,percent of total billed charges,388.08,percent of total billed charges,388.08,percent of total billed charges,388.08,percent of total billed charges,425.81,percent of total billed charges,425.81,percent of total billed charges,431.2,percent of total billed charges,431.2,percent of total billed charges,,,388.08,percent of total billed charges ,,,431.2,percent of total billed charges ,425.81,percent of total billed charges ,425.81,percent of total billed charges ,458.15,percent of total billed charges ,458.15,percent of total billed charges ,431.2,percent of total billed charges ,431.2,percent of total billed charges ,377.3,percent of total billed charges ,377.3,percent of total billed charges ,323.4,percent of total billed charges ,323.4,percent of total billed charges ,323.4,percent of total billed charges ,323.4,percent of total billed charges ,,,,,286.75,percent of total billed charges ,,,,,272.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,
**EXTRACTION TAU DO NOT USE,83891,CDM,,,,both,,,115,115,26.45,115,115,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,90.85,percent of total billed charges,90.85,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 ,90.85,percent of total billed charges ,90.85,percent of total billed charges ,97.75,percent of total billed charges ,97.75,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 ,,,,,,,,,,,,,,,,,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,
**AMPLIFICATION TAU DO NOT USE,83898,CDM,,,,both,,,259,259,59.57,259,259,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,204.61,percent of total billed charges,204.61,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 ,204.61,percent of total billed charges ,204.61,percent of total billed charges ,220.15,percent of total billed charges ,220.15,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 ,,,,,,,,,,,,,,,,,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,
**REV TRANSCRIPTION TAU,83898,CDM,,,,both,,,418,418,96.14,418,418,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,330.22,percent of total billed charges,330.22,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 ,330.22,percent of total billed charges ,330.22,percent of total billed charges ,355.3,percent of total billed charges ,355.3,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 ,,,,,,,,,,,,,,,,,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,
**MUTATION ID BY SEQ TAU,83904,CDM,,,,both,,,418,418,96.14,418,418,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,330.22,percent of total billed charges,330.22,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 ,330.22,percent of total billed charges ,330.22,percent of total billed charges ,355.3,percent of total billed charges ,355.3,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 ,,,,,,,,,,,,,,,,,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,
**INTERP REPORT TAU,83912,CDM,,,,both,,,418,418,96.14,418,418,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,330.22,percent of total billed charges,330.22,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 ,330.22,percent of total billed charges ,330.22,percent of total billed charges ,355.3,percent of total billed charges ,355.3,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 ,,,,,,,,,,,,,,,,,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,
HISTOPLASMA AB(YEAST) CF,86698,CDM,,,,both,,,121,121,27.83,121,121,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,95.59,percent of total billed charges,95.59,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 ,95.59,percent of total billed charges ,95.59,percent of total billed charges ,102.85,percent of total billed charges ,102.85,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,27.83,percent of total billed charges,,,27.83,percent of total billed charges,,,27.83,percent of total billed charges,
ASPERGILLOSIS BY ID,86606,CDM,,,,both,,,126,126,28.98,126,126,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,99.54,percent of total billed charges,99.54,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 ,99.54,percent of total billed charges ,99.54,percent of total billed charges ,107.1,percent of total billed charges ,107.1,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 ,,,,,,,,,,,,,,,,,,,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,
HISTOPLASMA ANTIBODY BY ID,86698,CDM,,,,both,,,121,121,27.83,121,121,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,95.59,percent of total billed charges,95.59,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 ,95.59,percent of total billed charges ,95.59,percent of total billed charges ,102.85,percent of total billed charges ,102.85,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,27.83,percent of total billed charges,,,27.83,percent of total billed charges,,,27.83,percent of total billed charges,
BLASTOMYCOSIS BY ID,86612,CDM,,,,both,,,134,134,30.82,134,134,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,105.86,percent of total billed charges,105.86,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 ,105.86,percent of total billed charges ,105.86,percent of total billed charges ,113.9,percent of total billed charges ,113.9,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,30.82,percent of total billed charges,,,30.82,percent of total billed charges,,,30.82,percent of total billed charges,
COCCIDIOMYCOSIS BY ID,86635,CDM,,,,both,,,112,112,25.76,112,112,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,88.48,percent of total billed charges,88.48,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 ,88.48,percent of total billed charges ,88.48,percent of total billed charges ,95.2,percent of total billed charges ,95.2,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 ,,,,,,,,,,,,,,,,,,,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,
BONE SPECIFIC ALK. PHOS.,84080,CDM,,,,both,,,291,291,66.93,291,291,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,229.89,percent of total billed charges,229.89,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 ,229.89,percent of total billed charges ,229.89,percent of total billed charges ,247.35,percent of total billed charges ,247.35,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 ,,,,,,,,,,,,,,,,,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,
"ANTI SMOOTH MUSCLE AB, IGG",86255,CDM,,,,both,,,200,200,46,200,200,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,158,percent of total billed charges,158,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 ,158,percent of total billed charges ,158,percent of total billed charges ,170,percent of total billed charges ,170,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 ,,,,,,,,,,,,,,,,,,,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,,,46,percent of total billed charges,,,46,percent of total billed charges,,,46,percent of total billed charges,
URINE PROTEIN ELECTROPHORESIS,84166,CDM,,,,both,,,184,184,42.32,184,184,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,145.36,percent of total billed charges,145.36,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 ,145.36,percent of total billed charges ,145.36,percent of total billed charges ,156.4,percent of total billed charges ,156.4,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 ,,,,,,,,,,,,,,,,,,,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,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,
BORDETELLA PERTUSSIS IgA,86615,CDM,,,,both,,,136,136,31.28,136,136,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,107.44,percent of total billed charges,107.44,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 ,107.44,percent of total billed charges ,107.44,percent of total billed charges ,115.6,percent of total billed charges ,115.6,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 ,,,,,,,,,,,,,,,,,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,
TISSUE CULT SKIN/TISSUE,88233,CDM,,,,both,,,"1,304.00","1,304.00",299.92,"1,304.00","1,304.00",percent of total billed charges,"1,304.00",percent of total billed charges,"1,304.00",percent of total billed charges,"1,304.00",percent of total billed charges,"1,304.00",percent of total billed charges,"1,304.00",percent of total billed charges,"1,304.00",percent of total billed charges,"1,304.00",percent of total billed charges,938.88,percent of total billed charges,938.88,percent of total billed charges,938.88,percent of total billed charges,938.88,percent of total billed charges,938.88,percent of total billed charges,938.88,percent of total billed charges,"1,030.16",percent of total billed charges,"1,030.16",percent of total billed charges,"1,043.20",percent of total billed charges,"1,043.20",percent of total billed charges,,,938.88,percent of total billed charges ,,,"1,043.20",percent of total billed charges ,"1,030.16",percent of total billed charges ,"1,030.16",percent of total billed charges ,"1,108.40",percent of total billed charges ,"1,108.40",percent of total billed charges ,"1,043.20",percent of total billed charges ,"1,043.20",percent of total billed charges ,912.8,percent of total billed charges ,912.8,percent of total billed charges ,782.4,percent of total billed charges ,782.4,percent of total billed charges ,782.4,percent of total billed charges ,782.4,percent of total billed charges ,,,,,693.73,percent of total billed charges ,,,,,659.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,299.92,percent of total billed charges,,,299.92,percent of total billed charges,,,299.92,percent of total billed charges,,,299.92,percent of total billed charges,,,299.92,percent of total billed charges,,,299.92,percent of total billed charges,,,299.92,percent of total billed charges,,,299.92,percent of total billed charges,,,299.92,percent of total billed charges,,,299.92,percent of total billed charges,,,299.92,percent of total billed charges,
COMPLEMENT C2,86160,CDM,,,,both,,,324,324,74.52,324,324,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,255.96,percent of total billed charges,255.96,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 ,255.96,percent of total billed charges ,255.96,percent of total billed charges ,275.4,percent of total billed charges ,275.4,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
"COMPLEMENT 1, FUNCTIONAL",86161,CDM,,,,both,,,592,592,136.16,592,592,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,467.68,percent of total billed charges,467.68,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 ,467.68,percent of total billed charges ,467.68,percent of total billed charges ,503.2,percent of total billed charges ,503.2,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,136.16,percent of total billed charges,,,136.16,percent of total billed charges,,,136.16,percent of total billed charges,
HDL SUBCLASSES,82664,CDM,,,,both,,,969,969,222.87,969,969,percent of total billed charges,969,percent of total billed charges,969,percent of total billed charges,969,percent of total billed charges,969,percent of total billed charges,969,percent of total billed charges,969,percent of total billed charges,969,percent of total billed charges,697.68,percent of total billed charges,697.68,percent of total billed charges,697.68,percent of total billed charges,697.68,percent of total billed charges,697.68,percent of total billed charges,697.68,percent of total billed charges,765.51,percent of total billed charges,765.51,percent of total billed charges,775.2,percent of total billed charges,775.2,percent of total billed charges,,,697.68,percent of total billed charges ,,,775.2,percent of total billed charges ,765.51,percent of total billed charges ,765.51,percent of total billed charges ,823.65,percent of total billed charges ,823.65,percent of total billed charges ,775.2,percent of total billed charges ,775.2,percent of total billed charges ,678.3,percent of total billed charges ,678.3,percent of total billed charges ,581.4,percent of total billed charges ,581.4,percent of total billed charges ,581.4,percent of total billed charges ,581.4,percent of total billed charges ,,,,,515.51,percent of total billed charges ,,,,,489.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,,,222.87,percent of total billed charges,
"**PROTEIN, TOTAL; CSF DO NOT USE",84157,CDM,,,,both,,,62,62,14.26,62,62,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,48.98,percent of total billed charges,48.98,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 ,48.98,percent of total billed charges ,48.98,percent of total billed charges ,52.7,percent of total billed charges ,52.7,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 ,,,,,,,,,,,,,,,,,,,14.26,percent of total billed charges,,,14.26,percent of total billed charges,,,14.26,percent of total billed charges,,,14.26,percent of total billed charges,,,14.26,percent of total billed charges,,,14.26,percent of total billed charges,,,14.26,percent of total billed charges,,,14.26,percent of total billed charges,,,14.26,percent of total billed charges,,,14.26,percent of total billed charges,,,14.26,percent of total billed charges,
"N-TELOPEPTIDE, URINE",82523,CDM,,,,both,,,439,439,100.97,439,439,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,346.81,percent of total billed charges,346.81,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 ,346.81,percent of total billed charges ,346.81,percent of total billed charges ,373.15,percent of total billed charges ,373.15,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 ,,,,,,,,,,,,,,,,,,,100.97,percent of total billed charges,,,100.97,percent of total billed charges,,,100.97,percent of total billed charges,,,100.97,percent of total billed charges,,,100.97,percent of total billed charges,,,100.97,percent of total billed charges,,,100.97,percent of total billed charges,,,100.97,percent of total billed charges,,,100.97,percent of total billed charges,,,100.97,percent of total billed charges,,,100.97,percent of total billed charges,
HSV BY PCR,87529,CDM,,,,both,,,334,334,76.82,334,334,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,263.86,percent of total billed charges,263.86,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 ,263.86,percent of total billed charges ,263.86,percent of total billed charges ,283.9,percent of total billed charges ,283.9,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 ,,,,,,,,,,,,,,,,,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,
LIPOPROTEIN SUBCLASSESS,83701,CDM,,,,both,,,235,235,54.05,235,235,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,185.65,percent of total billed charges,185.65,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 ,185.65,percent of total billed charges ,185.65,percent of total billed charges ,199.75,percent of total billed charges ,199.75,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 ,,,,,,,,,,,,,,,,,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,
LEGIONELLA BY PCR,87541,CDM,,,,both,,,374,374,86.02,374,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,269.28,percent of total billed charges,269.28,percent of total billed charges,269.28,percent of total billed charges,269.28,percent of total billed charges,269.28,percent of total billed charges,269.28,percent of total billed charges,295.46,percent of total billed charges,295.46,percent of total billed charges,299.2,percent of total billed charges,299.2,percent of total billed charges,,,269.28,percent of total billed charges ,,,299.2,percent of total billed charges ,295.46,percent of total billed charges ,295.46,percent of total billed charges ,317.9,percent of total billed charges ,317.9,percent of total billed charges ,299.2,percent of total billed charges ,299.2,percent of total billed charges ,261.8,percent of total billed charges ,261.8,percent of total billed charges ,224.4,percent of total billed charges ,224.4,percent of total billed charges ,224.4,percent of total billed charges ,224.4,percent of total billed charges ,,,,,198.97,percent of total billed charges ,,,,,189.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,
"ROHYPNOL, SERUM",80346,CDM,,,,both,,,175,175,40.25,175,175,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,138.25,percent of total billed charges,138.25,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 ,138.25,percent of total billed charges ,138.25,percent of total billed charges ,148.75,percent of total billed charges ,148.75,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 ,,,,,,,,,,,,,,,,,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,
**ISOLATION PGM,83891,CDM,,,,both,,,189,189,43.47,189,189,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,149.31,percent of total billed charges,149.31,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 ,149.31,percent of total billed charges ,149.31,percent of total billed charges ,160.65,percent of total billed charges ,160.65,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 ,,,,,,,,,,,,,,,,,,,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,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,
**AMPLIFICATION PGM,83898,CDM,,,,both,,,150,150,34.5,150,150,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,118.5,percent of total billed charges,118.5,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 ,118.5,percent of total billed charges ,118.5,percent of total billed charges ,127.5,percent of total billed charges ,127.5,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 ,,,,,,,,,,,,,,,,,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,
**NUCLEIC ACID PROBE 1 PGM,83896,CDM,,,,both,,,44,44,10.12,44,44,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,34.76,percent of total billed charges,34.76,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 ,34.76,percent of total billed charges ,34.76,percent of total billed charges ,37.4,percent of total billed charges ,37.4,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 ,,,,,,,,,,,,,,,,,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,
**NUC ACID PROBE 2 PGM,83896,CDM,,,,both,,,44,44,10.12,44,44,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,34.76,percent of total billed charges,34.76,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 ,34.76,percent of total billed charges ,34.76,percent of total billed charges ,37.4,percent of total billed charges ,37.4,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 ,,,,,,,,,,,,,,,,,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,
**SCANNING PGM,83903,CDM,,,,both,,,150,150,34.5,150,150,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,118.5,percent of total billed charges,118.5,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 ,118.5,percent of total billed charges ,118.5,percent of total billed charges ,127.5,percent of total billed charges ,127.5,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 ,,,,,,,,,,,,,,,,,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,
**INTERP & REPORT PGM,83912,CDM,,,,both,,,44,44,10.12,44,44,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,34.76,percent of total billed charges,34.76,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 ,34.76,percent of total billed charges ,34.76,percent of total billed charges ,37.4,percent of total billed charges ,37.4,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 ,,,,,,,,,,,,,,,,,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,
"ESTROGENS, FRACTIONATED",82671,CDM,,,,both,,,180,180,41.4,180,180,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,142.2,percent of total billed charges,142.2,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 ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,153,percent of total billed charges ,153,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,41.4,percent of total billed charges,,,41.4,percent of total billed charges,,,41.4,percent of total billed charges,
**ISOLATION FVL,83891,CDM,,,,both,,,189,189,43.47,189,189,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,149.31,percent of total billed charges,149.31,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 ,149.31,percent of total billed charges ,149.31,percent of total billed charges ,160.65,percent of total billed charges ,160.65,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 ,,,,,,,,,,,,,,,,,,,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,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,
**AMPLIFICATION FVL,83898,CDM,,,,both,,,150,150,34.5,150,150,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,118.5,percent of total billed charges,118.5,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 ,118.5,percent of total billed charges ,118.5,percent of total billed charges ,127.5,percent of total billed charges ,127.5,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 ,,,,,,,,,,,,,,,,,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,
**NUCLEIC ACID PROBE 1 FVL,83896,CDM,,,,both,,,44,44,10.12,44,44,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,34.76,percent of total billed charges,34.76,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 ,34.76,percent of total billed charges ,34.76,percent of total billed charges ,37.4,percent of total billed charges ,37.4,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 ,,,,,,,,,,,,,,,,,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,
**NUCLEIC ACID PROBE 2 FVL,83896,CDM,,,,both,,,44,44,10.12,44,44,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,34.76,percent of total billed charges,34.76,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 ,34.76,percent of total billed charges ,34.76,percent of total billed charges ,37.4,percent of total billed charges ,37.4,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 ,,,,,,,,,,,,,,,,,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,
**SCANNING FVL,83903,CDM,,,,both,,,150,150,34.5,150,150,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,118.5,percent of total billed charges,118.5,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 ,118.5,percent of total billed charges ,118.5,percent of total billed charges ,127.5,percent of total billed charges ,127.5,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 ,,,,,,,,,,,,,,,,,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,
**INTERP & REPORT FVL,83912,CDM,,,,both,,,44,44,10.12,44,44,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,34.76,percent of total billed charges,34.76,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 ,34.76,percent of total billed charges ,34.76,percent of total billed charges ,37.4,percent of total billed charges ,37.4,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 ,,,,,,,,,,,,,,,,,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,
MMC PTT,85730,CDM,,,,both,,,135,135,31.05,135,135,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,106.65,percent of total billed charges,106.65,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 ,106.65,percent of total billed charges ,106.65,percent of total billed charges ,114.75,percent of total billed charges ,114.75,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 ,,,,,,,,,,,,,,,,,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,
MMC PROTIME,85610,CDM,,,,both,,,98,98,22.54,98,98,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,77.42,percent of total billed charges,77.42,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 ,77.42,percent of total billed charges ,77.42,percent of total billed charges ,83.3,percent of total billed charges ,83.3,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 ,,,,,,,,,,,,,,,,,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,
CK ISOENZYMES,82552,CDM,,,,both,,,145,145,33.35,145,145,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,114.55,percent of total billed charges,114.55,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 ,114.55,percent of total billed charges ,114.55,percent of total billed charges ,123.25,percent of total billed charges ,123.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,33.35,percent of total billed charges,,,33.35,percent of total billed charges,,,33.35,percent of total billed charges,
CORTISOL; 60 MIN. POST,82533,CDM,,,,both,,,276,276,63.48,276,276,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,218.04,percent of total billed charges,218.04,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 ,218.04,percent of total billed charges ,218.04,percent of total billed charges ,234.6,percent of total billed charges ,234.6,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 ,,,,,,,,,,,,,,,,,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,
CORTISOL-BASELINE,82533,CDM,,,,both,,,228,228,52.44,228,228,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,180.12,percent of total billed charges,180.12,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 ,180.12,percent of total billed charges ,180.12,percent of total billed charges ,193.8,percent of total billed charges ,193.8,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 ,,,,,,,,,,,,,,,,,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,
CORTISOL; 30 MIN. POST,82533,CDM,,,,both,,,228,228,52.44,228,228,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,180.12,percent of total billed charges,180.12,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 ,180.12,percent of total billed charges ,180.12,percent of total billed charges ,193.8,percent of total billed charges ,193.8,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 ,,,,,,,,,,,,,,,,,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,
**CRP-NON HIGH SENS,86140,CDM,,,,both,,,146,146,33.58,146,146,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,115.34,percent of total billed charges,115.34,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 ,115.34,percent of total billed charges ,115.34,percent of total billed charges ,124.1,percent of total billed charges ,124.1,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 ,,,,,,,,,,,,,,,,,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,
FACTOR X ASSAY,85260,CDM,,,,both,,,456,456,104.88,456,456,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,360.24,percent of total billed charges,360.24,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 ,360.24,percent of total billed charges ,360.24,percent of total billed charges ,387.6,percent of total billed charges ,387.6,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 ,,,,,,,,,,,,,,,,,,,104.88,percent of total billed charges,,,104.88,percent of total billed charges,,,104.88,percent of total billed charges,,,104.88,percent of total billed charges,,,104.88,percent of total billed charges,,,104.88,percent of total billed charges,,,104.88,percent of total billed charges,,,104.88,percent of total billed charges,,,104.88,percent of total billed charges,,,104.88,percent of total billed charges,,,104.88,percent of total billed charges,
"BHCG, TUMOR MARKER",84702,CDM,,,,both,,,406,406,93.38,406,406,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,320.74,percent of total billed charges,320.74,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 ,320.74,percent of total billed charges ,320.74,percent of total billed charges ,345.1,percent of total billed charges ,345.1,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 ,,,,,,,,,,,,,,,,,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,
**ISOL/EXTR N ACID CF,83891,CDM,,,,both,,,189,189,43.47,189,189,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,149.31,percent of total billed charges,149.31,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 ,149.31,percent of total billed charges ,149.31,percent of total billed charges ,160.65,percent of total billed charges ,160.65,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 ,,,,,,,,,,,,,,,,,,,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,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,
**N ACID PROBE CF,83896,CDM,,,,both,,,110,110,25.3,110,110,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,86.9,percent of total billed charges,86.9,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 ,86.9,percent of total billed charges ,86.9,percent of total billed charges ,93.5,percent of total billed charges ,93.5,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 ,,,,,,,,,,,,,,,,,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,
"**AMPLIFICATION, N ACID CF",83901,CDM,,,,both,,,430,430,98.9,430,430,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,339.7,percent of total billed charges,339.7,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 ,339.7,percent of total billed charges ,339.7,percent of total billed charges ,365.5,percent of total billed charges ,365.5,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 ,,,,,,,,,,,,,,,,,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,
**DOT/SLOT/BLOT N ACID CF,83893,CDM,,,,both,,,113,113,25.99,113,113,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,89.27,percent of total billed charges,89.27,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 ,89.27,percent of total billed charges ,89.27,percent of total billed charges ,96.05,percent of total billed charges ,96.05,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 ,,,,,,,,,,,,,,,,,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,
**SEPARATION BY GEL CF,83894,CDM,,,,both,,,110,110,25.3,110,110,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,86.9,percent of total billed charges,86.9,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 ,86.9,percent of total billed charges ,86.9,percent of total billed charges ,93.5,percent of total billed charges ,93.5,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 ,,,,,,,,,,,,,,,,,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,
"**MOLECULAR INTERP, N ACID CF",83912,CDM,,,,both,,,110,110,25.3,110,110,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,86.9,percent of total billed charges,86.9,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 ,86.9,percent of total billed charges ,86.9,percent of total billed charges ,93.5,percent of total billed charges ,93.5,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 ,,,,,,,,,,,,,,,,,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,
VARICELLA ZOSTER DFA,87290,CDM,,,,both,,,310,310,71.3,310,310,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,244.9,percent of total billed charges,244.9,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 ,244.9,percent of total billed charges ,244.9,percent of total billed charges ,263.5,percent of total billed charges ,263.5,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 ,,,,,,,,,,,,,,,,,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,
HERPES SIMPLEX 1 DFA,87274,CDM,,,,both,,,310,310,71.3,310,310,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,244.9,percent of total billed charges,244.9,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 ,244.9,percent of total billed charges ,244.9,percent of total billed charges ,263.5,percent of total billed charges ,263.5,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 ,,,,,,,,,,,,,,,,,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,
HERPES SIMPLEX 2 DFA,87273,CDM,,,,both,,,310,310,71.3,310,310,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,244.9,percent of total billed charges,244.9,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 ,244.9,percent of total billed charges ,244.9,percent of total billed charges ,263.5,percent of total billed charges ,263.5,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 ,,,,,,,,,,,,,,,,,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,
VIRUS INOC SHELL VIAL,87254,CDM,,,,both,,,501,501,115.23,501,501,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,395.79,percent of total billed charges,395.79,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 ,395.79,percent of total billed charges ,395.79,percent of total billed charges ,425.85,percent of total billed charges ,425.85,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 ,,,,,,,,,,,,,,,,,,,115.23,percent of total billed charges,,,115.23,percent of total billed charges,,,115.23,percent of total billed charges,,,115.23,percent of total billed charges,,,115.23,percent of total billed charges,,,115.23,percent of total billed charges,,,115.23,percent of total billed charges,,,115.23,percent of total billed charges,,,115.23,percent of total billed charges,,,115.23,percent of total billed charges,,,115.23,percent of total billed charges,
IMMUNO CYTO CHEMISTRY,88342,CDM,,,26,both,,,461,461,106.03,461,461,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,364.19,percent of total billed charges,364.19,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 ,364.19,percent of total billed charges ,364.19,percent of total billed charges ,391.85,percent of total billed charges ,391.85,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 ,,,,,,,,,,,,,,,,,,,106.03,percent of total billed charges,,,106.03,percent of total billed charges,,,106.03,percent of total billed charges,,,106.03,percent of total billed charges,,,106.03,percent of total billed charges,,,106.03,percent of total billed charges,,,106.03,percent of total billed charges,,,106.03,percent of total billed charges,,,106.03,percent of total billed charges,,,106.03,percent of total billed charges,,,106.03,percent of total billed charges,
HCV RNA QUANT BY PCR,87522,CDM,,,,both,,,545,545,125.35,545,545,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,430.55,percent of total billed charges,430.55,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 ,430.55,percent of total billed charges ,430.55,percent of total billed charges ,463.25,percent of total billed charges ,463.25,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 ,,,,,,,,,,,,,,,,,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,
NOROVIRUS EIA (STOOL),86790,CDM,,,,both,,,179,179,41.17,179,179,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,141.41,percent of total billed charges,141.41,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 ,141.41,percent of total billed charges ,141.41,percent of total billed charges ,152.15,percent of total billed charges ,152.15,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 ,,,,,,,,,,,,,,,,,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,
FACTOR II ASSAY,85210,CDM,,,,both,,,335,335,77.05,335,335,percent of total billed charges,335,percent of total billed charges,335,percent of total billed charges,335,percent of total billed charges,335,percent of total billed charges,335,percent of total billed charges,335,percent of total billed charges,335,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,241.2,percent of total billed charges,241.2,percent of total billed charges,264.65,percent of total billed charges,264.65,percent of total billed charges,268,percent of total billed charges,268,percent of total billed charges,,,241.2,percent of total billed charges ,,,268,percent of total billed charges ,264.65,percent of total billed charges ,264.65,percent of total billed charges ,284.75,percent of total billed charges ,284.75,percent of total billed charges ,268,percent of total billed charges ,268,percent of total billed charges ,234.5,percent of total billed charges ,234.5,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 ,,,,,178.22,percent of total billed charges ,,,,,169.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,77.05,percent of total billed charges,,,77.05,percent of total billed charges,,,77.05,percent of total billed charges,,,77.05,percent of total billed charges,,,77.05,percent of total billed charges,,,77.05,percent of total billed charges,,,77.05,percent of total billed charges,,,77.05,percent of total billed charges,,,77.05,percent of total billed charges,,,77.05,percent of total billed charges,,,77.05,percent of total billed charges,
FRANCISELLA TULARENSIS AB,86668,CDM,,,,both,,,270,270,62.1,270,270,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,270,percent of total billed charges,270,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,194.4,percent of total billed charges,194.4,percent of total billed charges,213.3,percent of total billed charges,213.3,percent of total billed charges,216,percent of total billed charges,216,percent of total billed charges,,,194.4,percent of total billed charges ,,,216,percent of total billed charges ,213.3,percent of total billed charges ,213.3,percent of total billed charges ,229.5,percent of total billed charges ,229.5,percent of total billed charges ,216,percent of total billed charges ,216,percent of total billed charges ,189,percent of total billed charges ,189,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 ,,,,,143.64,percent of total billed charges ,,,,,136.46,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,,,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,,,62.1,percent of total billed charges,,,62.1,percent of total billed charges,,,62.1,percent of total billed charges,
SPOROTHRIX AB,86671,CDM,,,,both,,,527,527,121.21,527,527,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,416.33,percent of total billed charges,416.33,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 ,416.33,percent of total billed charges ,416.33,percent of total billed charges ,447.95,percent of total billed charges ,447.95,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
CYTO. MANUAL SCREEN,88143,CDM,,,,both,,,515,515,118.45,515,515,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,406.85,percent of total billed charges,406.85,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 ,406.85,percent of total billed charges ,406.85,percent of total billed charges ,437.75,percent of total billed charges ,437.75,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 ,,,,,,,,,,,,,,,,,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,,,118.45,percent of total billed charges,
LEPTOSPIRA ANTIBODY,86720,CDM,,,,both,,,341,341,78.43,341,341,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,269.39,percent of total billed charges,269.39,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 ,269.39,percent of total billed charges ,269.39,percent of total billed charges ,289.85,percent of total billed charges ,289.85,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 ,,,,,,,,,,,,,,,,,,,78.43,percent of total billed charges,,,78.43,percent of total billed charges,,,78.43,percent of total billed charges,,,78.43,percent of total billed charges,,,78.43,percent of total billed charges,,,78.43,percent of total billed charges,,,78.43,percent of total billed charges,,,78.43,percent of total billed charges,,,78.43,percent of total billed charges,,,78.43,percent of total billed charges,,,78.43,percent of total billed charges,
LIVER-KIDNEY MICROSOME-1 Ab,86376,CDM,,,,both,,,371,371,85.33,371,371,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,293.09,percent of total billed charges,293.09,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 ,293.09,percent of total billed charges ,293.09,percent of total billed charges ,315.35,percent of total billed charges ,315.35,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 ,,,,,,,,,,,,,,,,,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,
CSF PROTEIN ELECTROPHORESIS,84166,CDM,,,,both,,,455,455,104.65,455,455,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,359.45,percent of total billed charges,359.45,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 ,359.45,percent of total billed charges ,359.45,percent of total billed charges ,386.75,percent of total billed charges ,386.75,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 ,,,,,,,,,,,,,,,,,,,104.65,percent of total billed charges,,,104.65,percent of total billed charges,,,104.65,percent of total billed charges,,,104.65,percent of total billed charges,,,104.65,percent of total billed charges,,,104.65,percent of total billed charges,,,104.65,percent of total billed charges,,,104.65,percent of total billed charges,,,104.65,percent of total billed charges,,,104.65,percent of total billed charges,,,104.65,percent of total billed charges,
PORPHOBILINOGEN DEAMINASE,82657,CDM,,,,both,,,561,561,129.03,561,561,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,443.19,percent of total billed charges,443.19,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 ,443.19,percent of total billed charges ,443.19,percent of total billed charges ,476.85,percent of total billed charges ,476.85,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 ,,,,,,,,,,,,,,,,,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,
PARASITE MACROSCOPIC EXAM,87169,CDM,,,,both,,,131,131,30.13,131,131,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,103.49,percent of total billed charges,103.49,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 ,103.49,percent of total billed charges ,103.49,percent of total billed charges ,111.35,percent of total billed charges ,111.35,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 ,,,,,,,,,,,,,,,,,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,
TISSUE IHC (PRA),88360,CDM,,,,both,,,433,433,99.59,433,433,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,342.07,percent of total billed charges,342.07,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 ,342.07,percent of total billed charges ,342.07,percent of total billed charges ,368.05,percent of total billed charges ,368.05,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 ,,,,,,,,,,,,,,,,,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,
TISSUE IHC (ERA),88360,CDM,,,,both,,,433,433,99.59,433,433,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,342.07,percent of total billed charges,342.07,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 ,342.07,percent of total billed charges ,342.07,percent of total billed charges ,368.05,percent of total billed charges ,368.05,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 ,,,,,,,,,,,,,,,,,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,
HER-2-NEUTO CHEMISTRY,88361,CDM,,,,both,,,500,500,115,500,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,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,395,percent of total billed charges,395,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,,,360,percent of total billed charges ,,,400,percent of total billed charges ,395,percent of total billed charges ,395,percent of total billed charges ,425,percent of total billed charges ,425,percent of total billed charges ,400,percent of total billed charges ,400,percent of total billed charges ,350,percent of total billed charges ,350,percent of total billed charges ,300,percent of total billed charges ,300,percent of total billed charges ,300,percent of total billed charges ,300,percent of total billed charges ,,,,,266,percent of total billed charges ,,,,,252.7,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,,,115,percent of total billed charges,,,115,percent of total billed charges,,,115,percent of total billed charges,,,115,percent of total billed charges,
CSF ENTEROVIRAL STUDY,87798,CDM,,,,both,,,603,603,138.69,603,603,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,476.37,percent of total billed charges,476.37,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 ,476.37,percent of total billed charges ,476.37,percent of total billed charges ,512.55,percent of total billed charges ,512.55,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 ,,,,,,,,,,,,,,,,,,,138.69,percent of total billed charges,,,138.69,percent of total billed charges,,,138.69,percent of total billed charges,,,138.69,percent of total billed charges,,,138.69,percent of total billed charges,,,138.69,percent of total billed charges,,,138.69,percent of total billed charges,,,138.69,percent of total billed charges,,,138.69,percent of total billed charges,,,138.69,percent of total billed charges,,,138.69,percent of total billed charges,
"CALCIUM, URINE QUANT.",82340,CDM,,,,both,,,98,98,22.54,98,98,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,77.42,percent of total billed charges,77.42,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 ,77.42,percent of total billed charges ,77.42,percent of total billed charges ,83.3,percent of total billed charges ,83.3,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 ,,,,,,,,,,,,,,,,,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,
TPMT GENETICS,81401,CDM,,,,both,,,737,737,169.51,737,737,percent of total billed charges,737,percent of total billed charges,737,percent of total billed charges,737,percent of total billed charges,737,percent of total billed charges,737,percent of total billed charges,737,percent of total billed charges,737,percent of total billed charges,530.64,percent of total billed charges,530.64,percent of total billed charges,530.64,percent of total billed charges,530.64,percent of total billed charges,530.64,percent of total billed charges,530.64,percent of total billed charges,582.23,percent of total billed charges,582.23,percent of total billed charges,589.6,percent of total billed charges,589.6,percent of total billed charges,,,530.64,percent of total billed charges ,,,589.6,percent of total billed charges ,582.23,percent of total billed charges ,582.23,percent of total billed charges ,626.45,percent of total billed charges ,626.45,percent of total billed charges ,589.6,percent of total billed charges ,589.6,percent of total billed charges ,515.9,percent of total billed charges ,515.9,percent of total billed charges ,442.2,percent of total billed charges ,442.2,percent of total billed charges ,442.2,percent of total billed charges ,442.2,percent of total billed charges ,,,,,392.08,percent of total billed charges ,,,,,372.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,169.51,percent of total billed charges,,,169.51,percent of total billed charges,,,169.51,percent of total billed charges,,,169.51,percent of total billed charges,,,169.51,percent of total billed charges,,,169.51,percent of total billed charges,,,169.51,percent of total billed charges,,,169.51,percent of total billed charges,,,169.51,percent of total billed charges,,,169.51,percent of total billed charges,,,169.51,percent of total billed charges,
**ISOL/EXT TPMT,83891,CDM,,,,both,,,189,189,43.47,189,189,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,149.31,percent of total billed charges,149.31,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 ,149.31,percent of total billed charges ,149.31,percent of total billed charges ,160.65,percent of total billed charges ,160.65,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 ,,,,,,,,,,,,,,,,,,,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,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,
**AMPLIFICATION TPMT,83898,CDM,,,,both,,,402,402,92.46,402,402,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,317.58,percent of total billed charges,317.58,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 ,317.58,percent of total billed charges ,317.58,percent of total billed charges ,341.7,percent of total billed charges ,341.7,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 ,,,,,,,,,,,,,,,,,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,
**NUCLEIC ACID PROBE TPMT,83896,CDM,,,,both,,,193,193,44.39,193,193,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,152.47,percent of total billed charges,152.47,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 ,152.47,percent of total billed charges ,152.47,percent of total billed charges ,164.05,percent of total billed charges ,164.05,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 ,,,,,,,,,,,,,,,,,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,
**INTERP/REPORT TPMT,83896,CDM,,,,both,,,186,186,42.78,186,186,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,146.94,percent of total billed charges,146.94,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 ,146.94,percent of total billed charges ,146.94,percent of total billed charges ,158.1,percent of total billed charges ,158.1,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 ,,,,,,,,,,,,,,,,,,,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,
"HCV RNA QUAL, BY PCR",87521,CDM,,,,both,,,917,917,210.91,917,917,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,660.24,percent of total billed charges,660.24,percent of total billed charges,660.24,percent of total billed charges,660.24,percent of total billed charges,660.24,percent of total billed charges,660.24,percent of total billed charges,724.43,percent of total billed charges,724.43,percent of total billed charges,733.6,percent of total billed charges,733.6,percent of total billed charges,,,660.24,percent of total billed charges ,,,733.6,percent of total billed charges ,724.43,percent of total billed charges ,724.43,percent of total billed charges ,779.45,percent of total billed charges ,779.45,percent of total billed charges ,733.6,percent of total billed charges ,733.6,percent of total billed charges ,641.9,percent of total billed charges ,641.9,percent of total billed charges ,550.2,percent of total billed charges ,550.2,percent of total billed charges ,550.2,percent of total billed charges ,550.2,percent of total billed charges ,,,,,487.84,percent of total billed charges ,,,,,463.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,210.91,percent of total billed charges,,,210.91,percent of total billed charges,,,210.91,percent of total billed charges,,,210.91,percent of total billed charges,,,210.91,percent of total billed charges,,,210.91,percent of total billed charges,,,210.91,percent of total billed charges,,,210.91,percent of total billed charges,,,210.91,percent of total billed charges,,,210.91,percent of total billed charges,,,210.91,percent of total billed charges,
"TISSUE CULTURE, LYMPH",88230,CDM,,,,both,,,"1,021.00","1,021.00",234.83,"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,806.59,percent of total billed charges,806.59,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 ,806.59,percent of total billed charges ,806.59,percent of total billed charges ,867.85,percent of total billed charges ,867.85,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 ,,,,,,,,,,,,,,,,,,,234.83,percent of total billed charges,,,234.83,percent of total billed charges,,,234.83,percent of total billed charges,,,234.83,percent of total billed charges,,,234.83,percent of total billed charges,,,234.83,percent of total billed charges,,,234.83,percent of total billed charges,,,234.83,percent of total billed charges,,,234.83,percent of total billed charges,,,234.83,percent of total billed charges,,,234.83,percent of total billed charges,
ELASTASE PANCREATIC,83520,CDM,,,,both,,,225,225,51.75,225,225,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,177.75,percent of total billed charges,177.75,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 ,177.75,percent of total billed charges ,177.75,percent of total billed charges ,191.25,percent of total billed charges ,191.25,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 ,,,,,,,,,,,,,,,,,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,
CULTURE C DIFFICILE,87075,CDM,,,,both,,,249,249,57.27,249,249,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,196.71,percent of total billed charges,196.71,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 ,196.71,percent of total billed charges ,196.71,percent of total billed charges ,211.65,percent of total billed charges ,211.65,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 ,,,,,,,,,,,,,,,,,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,
IBUPROFEN,80299,CDM,,,,both,,,418,418,96.14,418,418,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,330.22,percent of total billed charges,330.22,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 ,330.22,percent of total billed charges ,330.22,percent of total billed charges ,355.3,percent of total billed charges ,355.3,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 ,,,,,,,,,,,,,,,,,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,
ALBUTEROL,80299,CDM,,,,both,,,618,618,142.14,618,618,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,488.22,percent of total billed charges,488.22,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 ,488.22,percent of total billed charges ,488.22,percent of total billed charges ,525.3,percent of total billed charges ,525.3,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 ,,,,,,,,,,,,,,,,,,,142.14,percent of total billed charges,,,142.14,percent of total billed charges,,,142.14,percent of total billed charges,,,142.14,percent of total billed charges,,,142.14,percent of total billed charges,,,142.14,percent of total billed charges,,,142.14,percent of total billed charges,,,142.14,percent of total billed charges,,,142.14,percent of total billed charges,,,142.14,percent of total billed charges,,,142.14,percent of total billed charges,
"PORPHOBILINOGEN, UR",84110,CDM,,,,both,,,172,172,39.56,172,172,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,135.88,percent of total billed charges,135.88,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 ,135.88,percent of total billed charges ,135.88,percent of total billed charges ,146.2,percent of total billed charges ,146.2,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 ,,,,,,,,,,,,,,,,,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,
"UROPORPHYRIN, QUANT",84120,CDM,,,,both,,,316,316,72.68,316,316,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,249.64,percent of total billed charges,249.64,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 ,249.64,percent of total billed charges ,249.64,percent of total billed charges ,268.6,percent of total billed charges ,268.6,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,72.68,percent of total billed charges,,,72.68,percent of total billed charges,,,72.68,percent of total billed charges,
"MERCURY, WHOLE BLOOD QUANT",83825,CDM,,,,both,,,146,146,33.58,146,146,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,115.34,percent of total billed charges,115.34,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 ,115.34,percent of total billed charges ,115.34,percent of total billed charges ,124.1,percent of total billed charges ,124.1,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 ,,,,,,,,,,,,,,,,,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,
HEX PHASE PHOS. NEUTRALIZER,85597,CDM,,,,both,,,303,303,69.69,303,303,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,303,percent of total billed charges,303,percent of total billed charges,303,percent of total billed charges,218.16,percent of total billed charges,218.16,percent of total billed charges,218.16,percent of total billed charges,218.16,percent of total billed charges,218.16,percent of total billed charges,218.16,percent of total billed charges,239.37,percent of total billed charges,239.37,percent of total billed charges,242.4,percent of total billed charges,242.4,percent of total billed charges,,,218.16,percent of total billed charges ,,,242.4,percent of total billed charges ,239.37,percent of total billed charges ,239.37,percent of total billed charges ,257.55,percent of total billed charges ,257.55,percent of total billed charges ,242.4,percent of total billed charges ,242.4,percent of total billed charges ,212.1,percent of total billed charges ,212.1,percent of total billed charges ,181.8,percent of total billed charges ,181.8,percent of total billed charges ,181.8,percent of total billed charges ,181.8,percent of total billed charges ,,,,,161.2,percent of total billed charges ,,,,,153.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,
URINE MYOGLOBIN,83874,CDM,,,,both,,,202,202,46.46,202,202,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,159.58,percent of total billed charges,159.58,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 ,159.58,percent of total billed charges ,159.58,percent of total billed charges ,171.7,percent of total billed charges ,171.7,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 ,,,,,,,,,,,,,,,,,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,,,46.46,percent of total billed charges,
"BETA 2 GLYCOPROTIEN, IGG",86146,CDM,,,,both,,,165,165,37.95,165,165,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,130.35,percent of total billed charges,130.35,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 ,130.35,percent of total billed charges ,130.35,percent of total billed charges ,140.25,percent of total billed charges ,140.25,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 ,,,,,,,,,,,,,,,,,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,
"BETA 2 GLYCOPROTEIN, IGM",86146,CDM,,,,both,,,165,165,37.95,165,165,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,130.35,percent of total billed charges,130.35,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 ,130.35,percent of total billed charges ,130.35,percent of total billed charges ,140.25,percent of total billed charges ,140.25,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 ,,,,,,,,,,,,,,,,,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,
"BETA 2 GLYCOPROTIEN, IGA",86146,CDM,,,,both,,,298,298,68.54,298,298,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,235.42,percent of total billed charges,235.42,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 ,235.42,percent of total billed charges ,235.42,percent of total billed charges ,253.3,percent of total billed charges ,253.3,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 ,,,,,,,,,,,,,,,,,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,
"HEPATITIS B DNA QUANT, PCR",87517,CDM,,,,both,,,626,626,143.98,626,626,percent of total billed charges,626,percent of total billed charges,626,percent of total billed charges,626,percent of total billed charges,626,percent of total billed charges,626,percent of total billed charges,626,percent of total billed charges,626,percent of total billed charges,450.72,percent of total billed charges,450.72,percent of total billed charges,450.72,percent of total billed charges,450.72,percent of total billed charges,450.72,percent of total billed charges,450.72,percent of total billed charges,494.54,percent of total billed charges,494.54,percent of total billed charges,500.8,percent of total billed charges,500.8,percent of total billed charges,,,450.72,percent of total billed charges ,,,500.8,percent of total billed charges ,494.54,percent of total billed charges ,494.54,percent of total billed charges ,532.1,percent of total billed charges ,532.1,percent of total billed charges ,500.8,percent of total billed charges ,500.8,percent of total billed charges ,438.2,percent of total billed charges ,438.2,percent of total billed charges ,375.6,percent of total billed charges ,375.6,percent of total billed charges ,375.6,percent of total billed charges ,375.6,percent of total billed charges ,,,,,333.03,percent of total billed charges ,,,,,316.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,143.98,percent of total billed charges,,,143.98,percent of total billed charges,,,143.98,percent of total billed charges,,,143.98,percent of total billed charges,,,143.98,percent of total billed charges,,,143.98,percent of total billed charges,,,143.98,percent of total billed charges,,,143.98,percent of total billed charges,,,143.98,percent of total billed charges,,,143.98,percent of total billed charges,,,143.98,percent of total billed charges,
"**ISOLATION, HCR",83890,CDM,,,,both,,,216,216,49.68,216,216,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,216,percent of total billed charges,216,percent of total billed charges,216,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,172.8,percent of total billed charges,172.8,percent of total billed charges,,,155.52,percent of total billed charges ,,,172.8,percent of total billed charges ,170.64,percent of total billed charges ,170.64,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,172.8,percent of total billed charges ,172.8,percent of total billed charges ,151.2,percent of total billed charges ,151.2,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 ,,,,,114.91,percent of total billed charges ,,,,,109.17,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,,,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,
"**AMPLIFICATION, HCR",83900,CDM,,,,both,,,254,254,58.42,254,254,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,200.66,percent of total billed charges,200.66,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 ,200.66,percent of total billed charges ,200.66,percent of total billed charges ,215.9,percent of total billed charges ,215.9,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 ,,,,,,,,,,,,,,,,,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,
"**NUC, ACIDPROBE, HCR",83896,CDM,,,,both,,,147,147,33.81,147,147,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,116.13,percent of total billed charges,116.13,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 ,116.13,percent of total billed charges ,116.13,percent of total billed charges ,124.95,percent of total billed charges ,124.95,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 ,,,,,,,,,,,,,,,,,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,
"**INTERP/REPORT, HCR",83912,CDM,,,,both,,,174,174,40.02,174,174,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,137.46,percent of total billed charges,137.46,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 ,137.46,percent of total billed charges ,137.46,percent of total billed charges ,147.9,percent of total billed charges ,147.9,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
VIRAL DNA STAIN,87140,CDM,,,,both,,,185,185,42.55,185,185,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,146.15,percent of total billed charges,146.15,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 ,146.15,percent of total billed charges ,146.15,percent of total billed charges ,157.25,percent of total billed charges ,157.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,42.55,percent of total billed charges,,,42.55,percent of total billed charges,,,42.55,percent of total billed charges,
"CONCENTRATION, SPECIMEN",87015,CDM,,,,both,,,165,165,37.95,165,165,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,130.35,percent of total billed charges,130.35,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 ,130.35,percent of total billed charges ,130.35,percent of total billed charges ,140.25,percent of total billed charges ,140.25,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 ,,,,,,,,,,,,,,,,,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,
MMC CBC W/AUTO DIFF,85025,CDM,,,,both,,,148,148,34.04,148,148,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,116.92,percent of total billed charges,116.92,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 ,116.92,percent of total billed charges ,116.92,percent of total billed charges ,125.8,percent of total billed charges ,125.8,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 ,,,,,,,,,,,,,,,,,,,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,,,34.04,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,
"MERCURY, UR",83825,CDM,,,,both,,,146,146,33.58,146,146,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,115.34,percent of total billed charges,115.34,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 ,115.34,percent of total billed charges ,115.34,percent of total billed charges ,124.1,percent of total billed charges ,124.1,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 ,,,,,,,,,,,,,,,,,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,
CADMIUM,82300,CDM,,,,both,,,148,148,34.04,148,148,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,116.92,percent of total billed charges,116.92,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 ,116.92,percent of total billed charges ,116.92,percent of total billed charges ,125.8,percent of total billed charges ,125.8,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 ,,,,,,,,,,,,,,,,,,,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,,,34.04,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,
"TAUAB/42, CSF",83520,CDM,,,,both,,,351,351,80.73,351,351,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,277.29,percent of total billed charges,277.29,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 ,277.29,percent of total billed charges ,277.29,percent of total billed charges ,298.35,percent of total billed charges ,298.35,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 ,,,,,,,,,,,,,,,,,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,
"DSG1, MULTISTEP",83516,CDM,,,,both,,,246,246,56.58,246,246,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,194.34,percent of total billed charges,194.34,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 ,194.34,percent of total billed charges ,194.34,percent of total billed charges ,209.1,percent of total billed charges ,209.1,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 ,,,,,,,,,,,,,,,,,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,
"**DSG1, INDIRECT",88347,CDM,,,,both,,,476,476,109.48,476,476,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,376.04,percent of total billed charges,376.04,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 ,376.04,percent of total billed charges ,376.04,percent of total billed charges ,404.6,percent of total billed charges ,404.6,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 ,,,,,,,,,,,,,,,,,,,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,
"**DSG3, INDIRECT",88347,CDM,,,,both,,,476,476,109.48,476,476,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,376.04,percent of total billed charges,376.04,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 ,376.04,percent of total billed charges ,376.04,percent of total billed charges ,404.6,percent of total billed charges ,404.6,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 ,,,,,,,,,,,,,,,,,,,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,
"TRYPTASE, BETA & TOTAL",84999,CDM,,,,both,,,578,578,132.94,578,578,percent of total billed charges,578,percent of total billed charges,578,percent of total billed charges,578,percent of total billed charges,578,percent of total billed charges,578,percent of total billed charges,578,percent of total billed charges,578,percent of total billed charges,416.16,percent of total billed charges,416.16,percent of total billed charges,416.16,percent of total billed charges,416.16,percent of total billed charges,416.16,percent of total billed charges,416.16,percent of total billed charges,456.62,percent of total billed charges,456.62,percent of total billed charges,462.4,percent of total billed charges,462.4,percent of total billed charges,,,416.16,percent of total billed charges ,,,462.4,percent of total billed charges ,456.62,percent of total billed charges ,456.62,percent of total billed charges ,491.3,percent of total billed charges ,491.3,percent of total billed charges ,462.4,percent of total billed charges ,462.4,percent of total billed charges ,404.6,percent of total billed charges ,404.6,percent of total billed charges ,346.8,percent of total billed charges ,346.8,percent of total billed charges ,346.8,percent of total billed charges ,346.8,percent of total billed charges ,,,,,307.5,percent of total billed charges ,,,,,292.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,
"DSG3, MULTISTEP",83516,CDM,,,,both,,,246,246,56.58,246,246,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,194.34,percent of total billed charges,194.34,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 ,194.34,percent of total billed charges ,194.34,percent of total billed charges ,209.1,percent of total billed charges ,209.1,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 ,,,,,,,,,,,,,,,,,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,,,56.58,percent of total billed charges,
LATEX ALLERGY RIA (IBT X 3),86003,CDM,,,,both,,,294,294,67.62,294,294,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,232.26,percent of total billed charges,232.26,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 ,232.26,percent of total billed charges ,232.26,percent of total billed charges ,249.9,percent of total billed charges ,249.9,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
"VITAMIN C, PLASMA",82180,CDM,,,,both,,,220,220,50.6,220,220,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,173.8,percent of total billed charges,173.8,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 ,173.8,percent of total billed charges ,173.8,percent of total billed charges ,187,percent of total billed charges ,187,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
"IMMUNOFIXATION, UR",86335,CDM,,,,both,,,406,406,93.38,406,406,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,320.74,percent of total billed charges,320.74,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 ,320.74,percent of total billed charges ,320.74,percent of total billed charges ,345.1,percent of total billed charges ,345.1,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 ,,,,,,,,,,,,,,,,,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,
"**OCC BLD FECAL PEROX, SCREENING",G0394,CDM,,,,both,,,55,55,12.65,55,55,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,43.45,percent of total billed charges,43.45,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 ,43.45,percent of total billed charges ,43.45,percent of total billed charges ,46.75,percent of total billed charges ,46.75,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 ,,,,,,,,,,,,,,,,,,,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,
CLONAZEPAM (CLONOPIN),80346,CDM,,,,both,,,291,291,66.93,291,291,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,229.89,percent of total billed charges,229.89,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 ,229.89,percent of total billed charges ,229.89,percent of total billed charges ,247.35,percent of total billed charges ,247.35,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 ,,,,,,,,,,,,,,,,,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,
ADIPONECTIN,83520,CDM,,,,both,,,639,639,146.97,639,639,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,639,percent of total billed charges,639,percent of total billed charges,639,percent of total billed charges,460.08,percent of total billed charges,460.08,percent of total billed charges,460.08,percent of total billed charges,460.08,percent of total billed charges,460.08,percent of total billed charges,460.08,percent of total billed charges,504.81,percent of total billed charges,504.81,percent of total billed charges,511.2,percent of total billed charges,511.2,percent of total billed charges,,,460.08,percent of total billed charges ,,,511.2,percent of total billed charges ,504.81,percent of total billed charges ,504.81,percent of total billed charges ,543.15,percent of total billed charges ,543.15,percent of total billed charges ,511.2,percent of total billed charges ,511.2,percent of total billed charges ,447.3,percent of total billed charges ,447.3,percent of total billed charges ,383.4,percent of total billed charges ,383.4,percent of total billed charges ,383.4,percent of total billed charges ,383.4,percent of total billed charges ,,,,,339.95,percent of total billed charges ,,,,,322.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,146.97,percent of total billed charges,,,146.97,percent of total billed charges,,,146.97,percent of total billed charges,,,146.97,percent of total billed charges,,,146.97,percent of total billed charges,,,146.97,percent of total billed charges,,,146.97,percent of total billed charges,,,146.97,percent of total billed charges,,,146.97,percent of total billed charges,,,146.97,percent of total billed charges,,,146.97,percent of total billed charges,
PLASMINOGEN ACT. INHIBITOR 1,85415,CDM,,,,both,,,530,530,121.9,530,530,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,418.7,percent of total billed charges,418.7,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 ,418.7,percent of total billed charges ,418.7,percent of total billed charges ,450.5,percent of total billed charges ,450.5,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 ,,,,,,,,,,,,,,,,,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,
THIOPURINE METABOLITES,82542,CDM,,,,both,,,269,269,61.87,269,269,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,212.51,percent of total billed charges,212.51,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 ,212.51,percent of total billed charges ,212.51,percent of total billed charges ,228.65,percent of total billed charges ,228.65,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,61.87,percent of total billed charges,,,61.87,percent of total billed charges,,,61.87,percent of total billed charges,
**ISOLATION/EXT RYRI,83890,CDM,,,,both,,,216,216,49.68,216,216,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,216,percent of total billed charges,216,percent of total billed charges,216,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,172.8,percent of total billed charges,172.8,percent of total billed charges,,,155.52,percent of total billed charges ,,,172.8,percent of total billed charges ,170.64,percent of total billed charges ,170.64,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,172.8,percent of total billed charges ,172.8,percent of total billed charges ,151.2,percent of total billed charges ,151.2,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 ,,,,,114.91,percent of total billed charges ,,,,,109.17,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,,,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,
**AMPLIFICATION RYRI,83898,CDM,,,,both,,,312,312,71.76,312,312,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,246.48,percent of total billed charges,246.48,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 ,246.48,percent of total billed charges ,246.48,percent of total billed charges ,265.2,percent of total billed charges ,265.2,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**SEPARATION RYRI,83894,CDM,,,,both,,,212,212,48.76,212,212,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,167.48,percent of total billed charges,167.48,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 ,167.48,percent of total billed charges ,167.48,percent of total billed charges ,180.2,percent of total billed charges ,180.2,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 ,,,,,,,,,,,,,,,,,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,
**ID BY SEQUENCE RYRI,83904,CDM,,,,both,,,285,285,65.55,285,285,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,225.15,percent of total billed charges,225.15,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 ,225.15,percent of total billed charges ,225.15,percent of total billed charges ,242.25,percent of total billed charges ,242.25,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 ,,,,,,,,,,,,,,,,,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,
**INTER/REPORT RYRI,83912,CDM,,,,both,,,183,183,42.09,183,183,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,144.57,percent of total billed charges,144.57,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 ,144.57,percent of total billed charges ,144.57,percent of total billed charges ,155.55,percent of total billed charges ,155.55,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 ,,,,,,,,,,,,,,,,,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,
**ISOL/EXTRACTION RHDZ,83891,CDM,,,,both,,,189,189,43.47,189,189,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,149.31,percent of total billed charges,149.31,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 ,149.31,percent of total billed charges ,149.31,percent of total billed charges ,160.65,percent of total billed charges ,160.65,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 ,,,,,,,,,,,,,,,,,,,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,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,
"**AMPLIFICATION, RHDZ",83900,CDM,,,,both,,,272,272,62.56,272,272,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,214.88,percent of total billed charges,214.88,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 ,214.88,percent of total billed charges ,214.88,percent of total billed charges ,231.2,percent of total billed charges ,231.2,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 ,,,,,,,,,,,,,,,,,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,
**AMP. ADDITIONAL RHDZ,83901,CDM,,,,both,,,291,291,66.93,291,291,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,229.89,percent of total billed charges,229.89,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 ,229.89,percent of total billed charges ,229.89,percent of total billed charges ,247.35,percent of total billed charges ,247.35,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 ,,,,,,,,,,,,,,,,,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,
**SEPARATION RHDZ,83909,CDM,,,,both,,,183,183,42.09,183,183,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,144.57,percent of total billed charges,144.57,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 ,144.57,percent of total billed charges ,144.57,percent of total billed charges ,155.55,percent of total billed charges ,155.55,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 ,,,,,,,,,,,,,,,,,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,
**INTERP & REPORT RHDZ,83912,CDM,,,,both,,,183,183,42.09,183,183,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,144.57,percent of total billed charges,144.57,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 ,144.57,percent of total billed charges ,144.57,percent of total billed charges ,155.55,percent of total billed charges ,155.55,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 ,,,,,,,,,,,,,,,,,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,
"HISTAMINE, BLOOD",83088,CDM,,,,both,,,500,500,115,500,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,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,395,percent of total billed charges,395,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,,,360,percent of total billed charges ,,,400,percent of total billed charges ,395,percent of total billed charges ,395,percent of total billed charges ,425,percent of total billed charges ,425,percent of total billed charges ,400,percent of total billed charges ,400,percent of total billed charges ,350,percent of total billed charges ,350,percent of total billed charges ,300,percent of total billed charges ,300,percent of total billed charges ,300,percent of total billed charges ,300,percent of total billed charges ,,,,,266,percent of total billed charges ,,,,,252.7,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,,,115,percent of total billed charges,,,115,percent of total billed charges,,,115,percent of total billed charges,,,115,percent of total billed charges,
RISPERIDONE,80299,CDM,,,,both,,,371,371,85.33,371,371,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,293.09,percent of total billed charges,293.09,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 ,293.09,percent of total billed charges ,293.09,percent of total billed charges ,315.35,percent of total billed charges ,315.35,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 ,,,,,,,,,,,,,,,,,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,
PROPANOLOL,82542,CDM,,,,both,,,497,497,114.31,497,497,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,392.63,percent of total billed charges,392.63,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 ,392.63,percent of total billed charges ,392.63,percent of total billed charges ,422.45,percent of total billed charges ,422.45,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 ,,,,,,,,,,,,,,,,,,,114.31,percent of total billed charges,,,114.31,percent of total billed charges,,,114.31,percent of total billed charges,,,114.31,percent of total billed charges,,,114.31,percent of total billed charges,,,114.31,percent of total billed charges,,,114.31,percent of total billed charges,,,114.31,percent of total billed charges,,,114.31,percent of total billed charges,,,114.31,percent of total billed charges,,,114.31,percent of total billed charges,
"CARDIOLIPIN ANTIBODY, IgA",86147,CDM,,,,both,,,194,194,44.62,194,194,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,153.26,percent of total billed charges,153.26,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 ,153.26,percent of total billed charges ,153.26,percent of total billed charges ,164.9,percent of total billed charges ,164.9,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 ,,,,,,,,,,,,,,,,,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,
"PARIETAL CELL ANTIBODY, IgG",86255,CDM,,,,both,,,291,291,66.93,291,291,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,229.89,percent of total billed charges,229.89,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 ,229.89,percent of total billed charges ,229.89,percent of total billed charges ,247.35,percent of total billed charges ,247.35,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 ,,,,,,,,,,,,,,,,,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,
GLUTAMIC ACID DECARBOXYLASE,86341,CDM,,,,both,,,208,208,47.84,208,208,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,164.32,percent of total billed charges,164.32,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 ,164.32,percent of total billed charges ,164.32,percent of total billed charges ,176.8,percent of total billed charges ,176.8,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 ,,,,,,,,,,,,,,,,,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,
IA-2 ANTIBODIES,86341,CDM,,,,both,,,208,208,47.84,208,208,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,164.32,percent of total billed charges,164.32,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 ,164.32,percent of total billed charges ,164.32,percent of total billed charges ,176.8,percent of total billed charges ,176.8,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 ,,,,,,,,,,,,,,,,,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,
INSULIN ANTIBODIES,86340,CDM,,,,both,,,165,165,37.95,165,165,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,130.35,percent of total billed charges,130.35,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 ,130.35,percent of total billed charges ,130.35,percent of total billed charges ,140.25,percent of total billed charges ,140.25,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 ,,,,,,,,,,,,,,,,,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,
CHROMOGRANIN A,86316,CDM,,,,both,,,232,232,53.36,232,232,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,183.28,percent of total billed charges,183.28,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 ,183.28,percent of total billed charges ,183.28,percent of total billed charges ,197.2,percent of total billed charges ,197.2,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 ,,,,,,,,,,,,,,,,,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,
LYMPHOCYTE AG/MG PANEL,86353,CDM,,,,both,,,765,765,175.95,765,765,percent of total billed charges,765,percent of total billed charges,765,percent of total billed charges,765,percent of total billed charges,765,percent of total billed charges,765,percent of total billed charges,765,percent of total billed charges,765,percent of total billed charges,550.8,percent of total billed charges,550.8,percent of total billed charges,550.8,percent of total billed charges,550.8,percent of total billed charges,550.8,percent of total billed charges,550.8,percent of total billed charges,604.35,percent of total billed charges,604.35,percent of total billed charges,612,percent of total billed charges,612,percent of total billed charges,,,550.8,percent of total billed charges ,,,612,percent of total billed charges ,604.35,percent of total billed charges ,604.35,percent of total billed charges ,650.25,percent of total billed charges ,650.25,percent of total billed charges ,612,percent of total billed charges ,612,percent of total billed charges ,535.5,percent of total billed charges ,535.5,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 ,,,,,406.98,percent of total billed charges ,,,,,386.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,175.95,percent of total billed charges,,,175.95,percent of total billed charges,,,175.95,percent of total billed charges,,,175.95,percent of total billed charges,,,175.95,percent of total billed charges,,,175.95,percent of total billed charges,,,175.95,percent of total billed charges,,,175.95,percent of total billed charges,,,175.95,percent of total billed charges,,,175.95,percent of total billed charges,,,175.95,percent of total billed charges,
"ALDOSTERONE, URINE 24HR",82088,CDM,,,,both,,,462,462,106.26,462,462,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,364.98,percent of total billed charges,364.98,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 ,364.98,percent of total billed charges ,364.98,percent of total billed charges ,392.7,percent of total billed charges ,392.7,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 ,,,,,,,,,,,,,,,,,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,,,106.26,percent of total billed charges,
DRUG SCREEN 9 ARUP,80307,CDM,,,,both,,,186,186,42.78,186,186,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,146.94,percent of total billed charges,146.94,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 ,146.94,percent of total billed charges ,146.94,percent of total billed charges ,158.1,percent of total billed charges ,158.1,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 ,,,,,,,,,,,,,,,,,,,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,
**ISOLATION (BCR),83891,CDM,,,,both,,,189,189,43.47,189,189,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,149.31,percent of total billed charges,149.31,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 ,149.31,percent of total billed charges ,149.31,percent of total billed charges ,160.65,percent of total billed charges ,160.65,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 ,,,,,,,,,,,,,,,,,,,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,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,
**REVERSE TRAN (BCR),83902,CDM,,,,both,,,251,251,57.73,251,251,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,198.29,percent of total billed charges,198.29,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 ,198.29,percent of total billed charges ,198.29,percent of total billed charges ,213.35,percent of total billed charges ,213.35,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 ,,,,,,,,,,,,,,,,,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,
**RNA STAB (BCR),83913,CDM,,,,both,,,169,169,38.87,169,169,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,133.51,percent of total billed charges,133.51,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 ,133.51,percent of total billed charges ,133.51,percent of total billed charges ,143.65,percent of total billed charges ,143.65,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 ,,,,,,,,,,,,,,,,,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,
**AMPLIFICATION (BCR),83898,CDM,,,,both,,,289,289,66.47,289,289,percent of total billed charges,289,percent of total billed charges,289,percent of total billed charges,289,percent of total billed charges,289,percent of total billed charges,289,percent of total billed charges,289,percent of total billed charges,289,percent of total billed charges,208.08,percent of total billed charges,208.08,percent of total billed charges,208.08,percent of total billed charges,208.08,percent of total billed charges,208.08,percent of total billed charges,208.08,percent of total billed charges,228.31,percent of total billed charges,228.31,percent of total billed charges,231.2,percent of total billed charges,231.2,percent of total billed charges,,,208.08,percent of total billed charges ,,,231.2,percent of total billed charges ,228.31,percent of total billed charges ,228.31,percent of total billed charges ,245.65,percent of total billed charges ,245.65,percent of total billed charges ,231.2,percent of total billed charges ,231.2,percent of total billed charges ,202.3,percent of total billed charges ,202.3,percent of total billed charges ,173.4,percent of total billed charges ,173.4,percent of total billed charges ,173.4,percent of total billed charges ,173.4,percent of total billed charges ,,,,,153.75,percent of total billed charges ,,,,,146.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,66.47,percent of total billed charges,,,66.47,percent of total billed charges,,,66.47,percent of total billed charges,,,66.47,percent of total billed charges,,,66.47,percent of total billed charges,,,66.47,percent of total billed charges,,,66.47,percent of total billed charges,,,66.47,percent of total billed charges,,,66.47,percent of total billed charges,,,66.47,percent of total billed charges,,,66.47,percent of total billed charges,
**NUC ACID (BCR),83896,CDM,,,,both,,,127,127,29.21,127,127,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,100.33,percent of total billed charges,100.33,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 ,100.33,percent of total billed charges ,100.33,percent of total billed charges ,107.95,percent of total billed charges ,107.95,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 ,,,,,,,,,,,,,,,,,,,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,
**INTERP/REPORT (BCR),83912,CDM,,,,both,,,169,169,38.87,169,169,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,133.51,percent of total billed charges,133.51,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 ,133.51,percent of total billed charges ,133.51,percent of total billed charges ,143.65,percent of total billed charges ,143.65,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 ,,,,,,,,,,,,,,,,,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,
**ISOL (J2),83891,CDM,,,,both,,,189,189,43.47,189,189,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,149.31,percent of total billed charges,149.31,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 ,149.31,percent of total billed charges ,149.31,percent of total billed charges ,160.65,percent of total billed charges ,160.65,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 ,,,,,,,,,,,,,,,,,,,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,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,
**MULTIPLEX (J2),83900,CDM,,,,both,,,272,272,62.56,272,272,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,214.88,percent of total billed charges,214.88,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 ,214.88,percent of total billed charges ,214.88,percent of total billed charges ,231.2,percent of total billed charges ,231.2,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 ,,,,,,,,,,,,,,,,,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,
**MUL. ID. (J2),83914,CDM,,,,both,,,183,183,42.09,183,183,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,144.57,percent of total billed charges,144.57,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 ,144.57,percent of total billed charges ,144.57,percent of total billed charges ,155.55,percent of total billed charges ,155.55,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 ,,,,,,,,,,,,,,,,,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,
**GEL SEP (J2),83894,CDM,,,,both,,,196,196,45.08,196,196,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,154.84,percent of total billed charges,154.84,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 ,154.84,percent of total billed charges ,154.84,percent of total billed charges ,166.6,percent of total billed charges ,166.6,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 ,,,,,,,,,,,,,,,,,,,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,
**INTERP/REPORT (J2),83912,CDM,,,,both,,,169,169,38.87,169,169,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,133.51,percent of total billed charges,133.51,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 ,133.51,percent of total billed charges ,133.51,percent of total billed charges ,143.65,percent of total billed charges ,143.65,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 ,,,,,,,,,,,,,,,,,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,
**TRANSFERRIN/IRON STUDY,84466,CDM,,,,both,,,113,113,25.99,113,113,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,89.27,percent of total billed charges,89.27,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 ,89.27,percent of total billed charges ,89.27,percent of total billed charges ,96.05,percent of total billed charges ,96.05,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 ,,,,,,,,,,,,,,,,,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,
"FATTY ACIDS, FREE",82725,CDM,,,,both,,,174,174,40.02,174,174,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,137.46,percent of total billed charges,137.46,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 ,137.46,percent of total billed charges ,137.46,percent of total billed charges ,147.9,percent of total billed charges ,147.9,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
LYMPHOCYTE SUBSET 1,86361,CDM,,,,both,,,347,347,79.81,347,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,274.13,percent of total billed charges,274.13,percent of total billed charges,277.6,percent of total billed charges,277.6,percent of total billed charges,,,249.84,percent of total billed charges ,,,277.6,percent of total billed charges ,274.13,percent of total billed charges ,274.13,percent of total billed charges ,294.95,percent of total billed charges ,294.95,percent of total billed charges ,277.6,percent of total billed charges ,277.6,percent of total billed charges ,242.9,percent of total billed charges ,242.9,percent of total billed charges ,208.2,percent of total billed charges ,208.2,percent of total billed charges ,208.2,percent of total billed charges ,208.2,percent of total billed charges ,,,,,184.6,percent of total billed charges ,,,,,175.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,
HPV DNA HIGH RISK,87625,CDM,,,,both,,,347,347,79.81,347,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,274.13,percent of total billed charges,274.13,percent of total billed charges,277.6,percent of total billed charges,277.6,percent of total billed charges,,,249.84,percent of total billed charges ,,,277.6,percent of total billed charges ,274.13,percent of total billed charges ,274.13,percent of total billed charges ,294.95,percent of total billed charges ,294.95,percent of total billed charges ,277.6,percent of total billed charges ,277.6,percent of total billed charges ,242.9,percent of total billed charges ,242.9,percent of total billed charges ,208.2,percent of total billed charges ,208.2,percent of total billed charges ,208.2,percent of total billed charges ,208.2,percent of total billed charges ,,,,,184.6,percent of total billed charges ,,,,,175.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,
DRUG SCREEN (CORD),80307,CDM,,,,both,,,"1,913.00","1,913.00",439.99,"1,913.00","1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,913.00",percent of total billed charges,"1,377.36",percent of total billed charges,"1,377.36",percent of total billed charges,"1,377.36",percent of total billed charges,"1,377.36",percent of total billed charges,"1,377.36",percent of total billed charges,"1,377.36",percent of total billed charges,"1,511.27",percent of total billed charges,"1,511.27",percent of total billed charges,"1,530.40",percent of total billed charges,"1,530.40",percent of total billed charges,,,"1,377.36",percent of total billed charges ,,,"1,530.40",percent of total billed charges ,"1,511.27",percent of total billed charges ,"1,511.27",percent of total billed charges ,"1,626.05",percent of total billed charges ,"1,626.05",percent of total billed charges ,"1,530.40",percent of total billed charges ,"1,530.40",percent of total billed charges ,"1,339.10",percent of total billed charges ,"1,339.10",percent of total billed charges ,"1,147.80",percent of total billed charges ,"1,147.80",percent of total billed charges ,"1,147.80",percent of total billed charges ,"1,147.80",percent of total billed charges ,,,,,"1,017.72",percent of total billed charges ,,,,,966.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,,,439.99,percent of total billed charges,
TISSUE PREP (CORD),Local ,Local ,,,,both,,,239,239,54.97,239,239,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,188.81,percent of total billed charges,188.81,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 ,188.81,percent of total billed charges ,188.81,percent of total billed charges ,203.15,percent of total billed charges ,203.15,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 ,,,,,,,,,,,,,,,,,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,
Lp PLA2,83698,CDM,,,,both,,,358,358,82.34,358,358,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,282.82,percent of total billed charges,282.82,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 ,282.82,percent of total billed charges ,282.82,percent of total billed charges ,304.3,percent of total billed charges ,304.3,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 ,,,,,,,,,,,,,,,,,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,
TPMT (RBC),82657,CDM,,,,both,,,383,383,88.09,383,383,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,302.57,percent of total billed charges,302.57,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 ,302.57,percent of total billed charges ,302.57,percent of total billed charges ,325.55,percent of total billed charges ,325.55,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 ,,,,,,,,,,,,,,,,,,,88.09,percent of total billed charges,,,88.09,percent of total billed charges,,,88.09,percent of total billed charges,,,88.09,percent of total billed charges,,,88.09,percent of total billed charges,,,88.09,percent of total billed charges,,,88.09,percent of total billed charges,,,88.09,percent of total billed charges,,,88.09,percent of total billed charges,,,88.09,percent of total billed charges,,,88.09,percent of total billed charges,
TPMT (HPLC),82542,CDM,,,,both,,,683,683,157.09,683,683,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,539.57,percent of total billed charges,539.57,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 ,539.57,percent of total billed charges ,539.57,percent of total billed charges ,580.55,percent of total billed charges ,580.55,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 ,,,,,,,,,,,,,,,,,,,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,
"ROHYPNOL, URINE",80346,CDM,,,,both,,,175,175,40.25,175,175,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,138.25,percent of total billed charges,138.25,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 ,138.25,percent of total billed charges ,138.25,percent of total billed charges ,148.75,percent of total billed charges ,148.75,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 ,,,,,,,,,,,,,,,,,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,
ANTI XA HEPARIN,85520,CDM,,,,both,,,430,430,98.9,430,430,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,339.7,percent of total billed charges,339.7,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 ,339.7,percent of total billed charges ,339.7,percent of total billed charges ,365.5,percent of total billed charges ,365.5,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 ,,,,,,,,,,,,,,,,,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,,,98.9,percent of total billed charges,
ERYTHROCYTE PORPHYRIN,84202,CDM,,,,both,,,217,217,49.91,217,217,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,171.43,percent of total billed charges,171.43,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 ,171.43,percent of total billed charges ,171.43,percent of total billed charges ,184.45,percent of total billed charges ,184.45,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 ,,,,,,,,,,,,,,,,,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,
LHR (CUI),86343,CDM,,,,both,,,208,208,47.84,208,208,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,164.32,percent of total billed charges,164.32,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 ,164.32,percent of total billed charges ,164.32,percent of total billed charges ,176.8,percent of total billed charges ,176.8,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 ,,,,,,,,,,,,,,,,,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,
HISTAMINE  (CUI),83088,CDM,,,,both,,,500,500,115,500,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,500,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,395,percent of total billed charges,395,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,,,360,percent of total billed charges ,,,400,percent of total billed charges ,395,percent of total billed charges ,395,percent of total billed charges ,425,percent of total billed charges ,425,percent of total billed charges ,400,percent of total billed charges ,400,percent of total billed charges ,350,percent of total billed charges ,350,percent of total billed charges ,300,percent of total billed charges ,300,percent of total billed charges ,300,percent of total billed charges ,300,percent of total billed charges ,,,,,266,percent of total billed charges ,,,,,252.7,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,,,115,percent of total billed charges,,,115,percent of total billed charges,,,115,percent of total billed charges,,,115,percent of total billed charges,
LEUK. AB. ID (CUI),86021,CDM,,,,both,,,369,369,84.87,369,369,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,291.51,percent of total billed charges,291.51,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 ,291.51,percent of total billed charges ,291.51,percent of total billed charges ,313.65,percent of total billed charges ,313.65,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 ,,,,,,,,,,,,,,,,,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,
ELISA (C+),83520,CDM,,,,both,,,367,367,84.41,367,367,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,289.93,percent of total billed charges,289.93,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 ,289.93,percent of total billed charges ,289.93,percent of total billed charges ,311.95,percent of total billed charges ,311.95,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 ,,,,,,,,,,,,,,,,,,,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,,,84.41,percent of total billed charges,,,84.41,percent of total billed charges,,,84.41,percent of total billed charges,
**EMA  (C+),88347,CDM,,,,both,,,422,422,97.06,422,422,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,333.38,percent of total billed charges,333.38,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 ,333.38,percent of total billed charges ,333.38,percent of total billed charges ,358.7,percent of total billed charges ,358.7,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 ,,,,,,,,,,,,,,,,,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,
IgA  (C+),82784,CDM,,,,both,,,208,208,47.84,208,208,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,164.32,percent of total billed charges,164.32,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 ,164.32,percent of total billed charges ,164.32,percent of total billed charges ,176.8,percent of total billed charges ,176.8,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 ,,,,,,,,,,,,,,,,,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,
**ISOLATION  (C+),83891,CDM,,,,both,,,189,189,43.47,189,189,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,149.31,percent of total billed charges,149.31,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 ,149.31,percent of total billed charges ,149.31,percent of total billed charges ,160.65,percent of total billed charges ,160.65,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 ,,,,,,,,,,,,,,,,,,,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,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,
**NUC. ACID PROBE X72  (C+),83896,CDM,,,,both,,,"9,729.00","9,729.00","2,237.67","9,729.00","9,729.00",percent of total billed charges,"9,729.00",percent of total billed charges,"9,729.00",percent of total billed charges,"9,729.00",percent of total billed charges,"9,729.00",percent of total billed charges,"9,729.00",percent of total billed charges,"9,729.00",percent of total billed charges,"9,729.00",percent of total billed charges,"7,004.88",percent of total billed charges,"7,004.88",percent of total billed charges,"7,004.88",percent of total billed charges,"7,004.88",percent of total billed charges,"7,004.88",percent of total billed charges,"7,004.88",percent of total billed charges,"7,685.91",percent of total billed charges,"7,685.91",percent of total billed charges,"7,783.20",percent of total billed charges,"7,783.20",percent of total billed charges,,,"7,004.88",percent of total billed charges ,,,"7,783.20",percent of total billed charges ,"7,685.91",percent of total billed charges ,"7,685.91",percent of total billed charges ,"8,269.65",percent of total billed charges ,"8,269.65",percent of total billed charges ,"7,783.20",percent of total billed charges ,"7,783.20",percent of total billed charges ,"6,810.30",percent of total billed charges ,"6,810.30",percent of total billed charges ,"5,837.40",percent of total billed charges ,"5,837.40",percent of total billed charges ,"5,837.40",percent of total billed charges ,"5,837.40",percent of total billed charges ,,,,,"5,175.83",percent of total billed charges ,,,,,"4,917.04",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,237.67",percent of total billed charges,,,"2,237.67",percent of total billed charges,,,"2,237.67",percent of total billed charges,,,"2,237.67",percent of total billed charges,,,"2,237.67",percent of total billed charges,,,"2,237.67",percent of total billed charges,,,"2,237.67",percent of total billed charges,,,"2,237.67",percent of total billed charges,,,"2,237.67",percent of total billed charges,,,"2,237.67",percent of total billed charges,,,"2,237.67",percent of total billed charges,
**INTERP & REPORT  (C+),83912,CDM,,,,both,,,183,183,42.09,183,183,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,144.57,percent of total billed charges,144.57,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 ,144.57,percent of total billed charges ,144.57,percent of total billed charges ,155.55,percent of total billed charges ,155.55,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 ,,,,,,,,,,,,,,,,,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,
**AMPLIFICATION  (C+),83900,CDM,,,,both,,,272,272,62.56,272,272,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,214.88,percent of total billed charges,214.88,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 ,214.88,percent of total billed charges ,214.88,percent of total billed charges ,231.2,percent of total billed charges ,231.2,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 ,,,,,,,,,,,,,,,,,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,
"URIC ACID, BODY FLUID",84550,CDM,,,,both,,,135,135,31.05,135,135,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,106.65,percent of total billed charges,106.65,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 ,106.65,percent of total billed charges ,106.65,percent of total billed charges ,114.75,percent of total billed charges ,114.75,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 ,,,,,,,,,,,,,,,,,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,
VITAMIN B2,84252,CDM,,,,both,,,406,406,93.38,406,406,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,320.74,percent of total billed charges,320.74,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 ,320.74,percent of total billed charges ,320.74,percent of total billed charges ,345.1,percent of total billed charges ,345.1,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 ,,,,,,,,,,,,,,,,,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,
FETAL LUNG PROFILE,83663,CDM,,,,both,,,658,658,151.34,658,658,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,519.82,percent of total billed charges,519.82,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 ,519.82,percent of total billed charges ,519.82,percent of total billed charges ,559.3,percent of total billed charges ,559.3,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 ,,,,,,,,,,,,,,,,,,,151.34,percent of total billed charges,,,151.34,percent of total billed charges,,,151.34,percent of total billed charges,,,151.34,percent of total billed charges,,,151.34,percent of total billed charges,,,151.34,percent of total billed charges,,,151.34,percent of total billed charges,,,151.34,percent of total billed charges,,,151.34,percent of total billed charges,,,151.34,percent of total billed charges,,,151.34,percent of total billed charges,
FETAL LUNG MATURITY-AMNIOTIC,80299,CDM,,,,both,,,334,334,76.82,334,334,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,263.86,percent of total billed charges,263.86,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 ,263.86,percent of total billed charges ,263.86,percent of total billed charges ,283.9,percent of total billed charges ,283.9,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 ,,,,,,,,,,,,,,,,,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,
DENGUE FEVER AB,86790,CDM,,,,both,,,262,262,60.26,262,262,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,206.98,percent of total billed charges,206.98,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 ,206.98,percent of total billed charges ,206.98,percent of total billed charges ,222.7,percent of total billed charges ,222.7,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,60.26,percent of total billed charges,,,60.26,percent of total billed charges,,,60.26,percent of total billed charges,
TYPHOID IGG/IGM,86757,CDM,,,,both,,,270,270,62.1,270,270,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,270,percent of total billed charges,270,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,194.4,percent of total billed charges,194.4,percent of total billed charges,213.3,percent of total billed charges,213.3,percent of total billed charges,216,percent of total billed charges,216,percent of total billed charges,,,194.4,percent of total billed charges ,,,216,percent of total billed charges ,213.3,percent of total billed charges ,213.3,percent of total billed charges ,229.5,percent of total billed charges ,229.5,percent of total billed charges ,216,percent of total billed charges ,216,percent of total billed charges ,189,percent of total billed charges ,189,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 ,,,,,143.64,percent of total billed charges ,,,,,136.46,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,,,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,,,62.1,percent of total billed charges,,,62.1,percent of total billed charges,,,62.1,percent of total billed charges,
CHIKUNGUNYA AB,87798,CDM,,,,both,,,603,603,138.69,603,603,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,476.37,percent of total billed charges,476.37,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 ,476.37,percent of total billed charges ,476.37,percent of total billed charges ,512.55,percent of total billed charges ,512.55,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 ,,,,,,,,,,,,,,,,,,,138.69,percent of total billed charges,,,138.69,percent of total billed charges,,,138.69,percent of total billed charges,,,138.69,percent of total billed charges,,,138.69,percent of total billed charges,,,138.69,percent of total billed charges,,,138.69,percent of total billed charges,,,138.69,percent of total billed charges,,,138.69,percent of total billed charges,,,138.69,percent of total billed charges,,,138.69,percent of total billed charges,
PROTEINASE 3,83516,CDM,,,,both,,,259,259,59.57,259,259,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,204.61,percent of total billed charges,204.61,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 ,204.61,percent of total billed charges ,204.61,percent of total billed charges ,220.15,percent of total billed charges ,220.15,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 ,,,,,,,,,,,,,,,,,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,
QUANTIFERON TB,86480,CDM,,,,both,,,348,348,80.04,348,348,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,274.92,percent of total billed charges,274.92,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 ,274.92,percent of total billed charges ,274.92,percent of total billed charges ,295.8,percent of total billed charges ,295.8,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 ,,,,,,,,,,,,,,,,,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,,,80.04,percent of total billed charges,
EBV BY PCR,87798,CDM,,,,both,,,330,330,75.9,330,330,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,260.7,percent of total billed charges,260.7,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 ,260.7,percent of total billed charges ,260.7,percent of total billed charges ,280.5,percent of total billed charges ,280.5,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 ,,,,,,,,,,,,,,,,,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,
"CORTISOL, FREE (SERUM)",82530,CDM,,,,both,,,193,193,44.39,193,193,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,152.47,percent of total billed charges,152.47,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 ,152.47,percent of total billed charges ,152.47,percent of total billed charges ,164.05,percent of total billed charges ,164.05,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 ,,,,,,,,,,,,,,,,,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,
"DILANTIN, FREE",80186,CDM,,,,both,,,227,227,52.21,227,227,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,179.33,percent of total billed charges,179.33,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 ,179.33,percent of total billed charges ,179.33,percent of total billed charges ,192.95,percent of total billed charges ,192.95,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 ,,,,,,,,,,,,,,,,,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,
THORAZINE,80342,CDM,,,,both,,,228,228,52.44,228,228,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,180.12,percent of total billed charges,180.12,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 ,180.12,percent of total billed charges ,180.12,percent of total billed charges ,193.8,percent of total billed charges ,193.8,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 ,,,,,,,,,,,,,,,,,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,
ALPHA-1-ANTITRYPSIN PHENOTYPE,82104,CDM,,,,both,,,284,284,65.32,284,284,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,224.36,percent of total billed charges,224.36,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 ,224.36,percent of total billed charges ,224.36,percent of total billed charges ,241.4,percent of total billed charges ,241.4,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 ,,,,,,,,,,,,,,,,,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,
C-TELOPEPTIDE,82523,CDM,,,,both,,,298,298,68.54,298,298,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,235.42,percent of total billed charges,235.42,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 ,235.42,percent of total billed charges ,235.42,percent of total billed charges ,253.3,percent of total billed charges ,253.3,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 ,,,,,,,,,,,,,,,,,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,
OSTEOCALCIN,83937,CDM,,,,both,,,278,278,63.94,278,278,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,219.62,percent of total billed charges,219.62,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 ,219.62,percent of total billed charges ,219.62,percent of total billed charges ,236.3,percent of total billed charges ,236.3,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
DES-GAMMA-CARBOXY-PROTHROMBIN,86316,CDM,,,,both,,,353,353,81.19,353,353,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,278.87,percent of total billed charges,278.87,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 ,278.87,percent of total billed charges ,278.87,percent of total billed charges ,300.05,percent of total billed charges ,300.05,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 ,,,,,,,,,,,,,,,,,,,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,,,81.19,percent of total billed charges,,,81.19,percent of total billed charges,,,81.19,percent of total billed charges,
RSV DFA,87280,CDM,,,,both,,,205,205,47.15,205,205,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,161.95,percent of total billed charges,161.95,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 ,161.95,percent of total billed charges ,161.95,percent of total billed charges ,174.25,percent of total billed charges ,174.25,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 ,,,,,,,,,,,,,,,,,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,
TOXOCARA CANIS ANTIBODY,86682,CDM,,,,both,,,294,294,67.62,294,294,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,232.26,percent of total billed charges,232.26,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 ,232.26,percent of total billed charges ,232.26,percent of total billed charges ,249.9,percent of total billed charges ,249.9,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
VARICELLA ZOSTER BY PCR,87798,CDM,,,,both,,,330,330,75.9,330,330,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,260.7,percent of total billed charges,260.7,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 ,260.7,percent of total billed charges ,260.7,percent of total billed charges ,280.5,percent of total billed charges ,280.5,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 ,,,,,,,,,,,,,,,,,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,
CYTOGENETICS DNA PROBE (11;14),88271,CDM,,,,both,,,414,414,95.22,414,414,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,327.06,percent of total billed charges,327.06,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 ,327.06,percent of total billed charges ,327.06,percent of total billed charges ,351.9,percent of total billed charges ,351.9,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 ,,,,,,,,,,,,,,,,,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,
CYTOGENETICS 100-300 (11;14),88275,CDM,,,,both,,,574,574,132.02,574,574,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,453.46,percent of total billed charges,453.46,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 ,453.46,percent of total billed charges ,453.46,percent of total billed charges ,487.9,percent of total billed charges ,487.9,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 ,,,,,,,,,,,,,,,,,,,132.02,percent of total billed charges,,,132.02,percent of total billed charges,,,132.02,percent of total billed charges,,,132.02,percent of total billed charges,,,132.02,percent of total billed charges,,,132.02,percent of total billed charges,,,132.02,percent of total billed charges,,,132.02,percent of total billed charges,,,132.02,percent of total billed charges,,,132.02,percent of total billed charges,,,132.02,percent of total billed charges,
CYTOGEN. INT/REPORT (11;14),88291,CDM,,,,both,,,314,314,72.22,314,314,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,248.06,percent of total billed charges,248.06,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 ,248.06,percent of total billed charges ,248.06,percent of total billed charges ,266.9,percent of total billed charges ,266.9,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 ,,,,,,,,,,,,,,,,,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,
"SPERM ANTIBODY, IgG",89325,CDM,,,,both,,,270,270,62.1,270,270,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,270,percent of total billed charges,270,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,194.4,percent of total billed charges,194.4,percent of total billed charges,213.3,percent of total billed charges,213.3,percent of total billed charges,216,percent of total billed charges,216,percent of total billed charges,,,194.4,percent of total billed charges ,,,216,percent of total billed charges ,213.3,percent of total billed charges ,213.3,percent of total billed charges ,229.5,percent of total billed charges ,229.5,percent of total billed charges ,216,percent of total billed charges ,216,percent of total billed charges ,189,percent of total billed charges ,189,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 ,,,,,143.64,percent of total billed charges ,,,,,136.46,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,,,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,,,62.1,percent of total billed charges,,,62.1,percent of total billed charges,,,62.1,percent of total billed charges,
ENTAMOEBA HISTOLYTICA,87337,CDM,,,,both,,,157,157,36.11,157,157,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,124.03,percent of total billed charges,124.03,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 ,124.03,percent of total billed charges ,124.03,percent of total billed charges ,133.45,percent of total billed charges ,133.45,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 ,,,,,,,,,,,,,,,,,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,
CIQ BINDING IMMUNE COMPLEX ASSAY,86332,CDM,,,,both,,,337,337,77.51,337,337,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,266.23,percent of total billed charges,266.23,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 ,266.23,percent of total billed charges ,266.23,percent of total billed charges ,286.45,percent of total billed charges ,286.45,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 ,,,,,,,,,,,,,,,,,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,
C1 ESTERASE INHIBITOR,86160,CDM,,,,both,,,245,245,56.35,245,245,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,193.55,percent of total billed charges,193.55,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 ,193.55,percent of total billed charges ,193.55,percent of total billed charges ,208.25,percent of total billed charges ,208.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,56.35,percent of total billed charges,,,56.35,percent of total billed charges,,,56.35,percent of total billed charges,
C1 ESTERASE INHIBITOR FUNCTIONAL,86161,CDM,,,,both,,,274,274,63.02,274,274,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,216.46,percent of total billed charges,216.46,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 ,216.46,percent of total billed charges ,216.46,percent of total billed charges ,232.9,percent of total billed charges ,232.9,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 ,,,,,,,,,,,,,,,,,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,
IMMUNOFIX.ELECTROPHORESIS,86334,CDM,,,,both,,,242,242,55.66,242,242,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,191.18,percent of total billed charges,191.18,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 ,191.18,percent of total billed charges ,191.18,percent of total billed charges ,205.7,percent of total billed charges ,205.7,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 ,,,,,,,,,,,,,,,,,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,
TRICHROME STAIN,87209,CDM,,,,both,,,137,137,31.51,137,137,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,108.23,percent of total billed charges,108.23,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 ,108.23,percent of total billed charges ,108.23,percent of total billed charges ,116.45,percent of total billed charges ,116.45,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 ,,,,,,,,,,,,,,,,,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,
UR VOL MEASUREMENT KSR,81050,CDM,,,,both,,,59,59,13.57,59,59,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,46.61,percent of total billed charges,46.61,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 ,46.61,percent of total billed charges ,46.61,percent of total billed charges ,50.15,percent of total billed charges ,50.15,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 ,,,,,,,,,,,,,,,,,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,
AMMONIA KSR,82140,CDM,,,,both,,,290,290,66.7,290,290,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,229.1,percent of total billed charges,229.1,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 ,229.1,percent of total billed charges ,229.1,percent of total billed charges ,246.5,percent of total billed charges ,246.5,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 ,,,,,,,,,,,,,,,,,,,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,,,66.7,percent of total billed charges,,,66.7,percent of total billed charges,,,66.7,percent of total billed charges,
CALCIUM KSR,82340,CDM,,,,both,,,159,159,36.57,159,159,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,125.61,percent of total billed charges,125.61,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 ,125.61,percent of total billed charges ,125.61,percent of total billed charges ,135.15,percent of total billed charges ,135.15,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,36.57,percent of total billed charges,,,36.57,percent of total billed charges,,,36.57,percent of total billed charges,
CITRATE KSR,82507,CDM,,,,both,,,371,371,85.33,371,371,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,293.09,percent of total billed charges,293.09,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 ,293.09,percent of total billed charges ,293.09,percent of total billed charges ,315.35,percent of total billed charges ,315.35,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 ,,,,,,,,,,,,,,,,,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,
.CREATININE KSR,82570,CDM,,,,both,,,106,106,24.38,106,106,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,83.74,percent of total billed charges,83.74,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 ,83.74,percent of total billed charges ,83.74,percent of total billed charges ,90.1,percent of total billed charges ,90.1,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 ,,,,,,,,,,,,,,,,,,,24.38,percent of total billed charges,,,24.38,percent of total billed charges,,,24.38,percent of total billed charges,,,24.38,percent of total billed charges,,,24.38,percent of total billed charges,,,24.38,percent of total billed charges,,,24.38,percent of total billed charges,,,24.38,percent of total billed charges,,,24.38,percent of total billed charges,,,24.38,percent of total billed charges,,,24.38,percent of total billed charges,
MAGNESIUM KSR,83735,CDM,,,,both,,,159,159,36.57,159,159,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,125.61,percent of total billed charges,125.61,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 ,125.61,percent of total billed charges ,125.61,percent of total billed charges ,135.15,percent of total billed charges ,135.15,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,36.57,percent of total billed charges,,,36.57,percent of total billed charges,,,36.57,percent of total billed charges,
PH KSR,83986,CDM,,,,both,,,102,102,23.46,102,102,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,80.58,percent of total billed charges,80.58,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 ,80.58,percent of total billed charges ,80.58,percent of total billed charges ,86.7,percent of total billed charges ,86.7,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 ,,,,,,,,,,,,,,,,,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,,,23.46,percent of total billed charges,
PHOSPHORUS KSR,84105,CDM,,,,both,,,156,156,35.88,156,156,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,123.24,percent of total billed charges,123.24,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 ,123.24,percent of total billed charges ,123.24,percent of total billed charges ,132.6,percent of total billed charges ,132.6,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 ,,,,,,,,,,,,,,,,,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,
POTASSIUM KSR,84133,CDM,,,,both,,,130,130,29.9,130,130,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,102.7,percent of total billed charges,102.7,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 ,102.7,percent of total billed charges ,102.7,percent of total billed charges ,110.5,percent of total billed charges ,110.5,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 ,,,,,,,,,,,,,,,,,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,
SODIUM KSR,84300,CDM,,,,both,,,138,138,31.74,138,138,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,109.02,percent of total billed charges,109.02,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 ,109.02,percent of total billed charges ,109.02,percent of total billed charges ,117.3,percent of total billed charges ,117.3,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 ,,,,,,,,,,,,,,,,,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,,,31.74,percent of total billed charges,
SULFATE KSR,84392,CDM,,,,both,,,112,112,25.76,112,112,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,88.48,percent of total billed charges,88.48,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 ,88.48,percent of total billed charges ,88.48,percent of total billed charges ,95.2,percent of total billed charges ,95.2,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 ,,,,,,,,,,,,,,,,,,,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,
URIC ACID KSR,84560,CDM,,,,both,,,157,157,36.11,157,157,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,124.03,percent of total billed charges,124.03,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 ,124.03,percent of total billed charges ,124.03,percent of total billed charges ,133.45,percent of total billed charges ,133.45,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 ,,,,,,,,,,,,,,,,,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,
OXALATE KSR,83945,CDM,,,,both,,,193,193,44.39,193,193,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,152.47,percent of total billed charges,152.47,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 ,152.47,percent of total billed charges ,152.47,percent of total billed charges ,164.05,percent of total billed charges ,164.05,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 ,,,,,,,,,,,,,,,,,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,
MANNOSE BINDING LECTIN,83520,CDM,,,,both,,,365,365,83.95,365,365,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,288.35,percent of total billed charges,288.35,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 ,288.35,percent of total billed charges ,288.35,percent of total billed charges ,310.25,percent of total billed charges ,310.25,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 ,,,,,,,,,,,,,,,,,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,
ALBUMIN-MMC,82040,CDM,,,,both,,,83,83,19.09,83,83,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,65.57,percent of total billed charges,65.57,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 ,65.57,percent of total billed charges ,65.57,percent of total billed charges ,70.55,percent of total billed charges ,70.55,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 ,,,,,,,,,,,,,,,,,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,
VONWILLEBRAND MULTIMERIC ANALYSIS,85247,CDM,,,,both,,,540,540,124.2,540,540,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,426.6,percent of total billed charges,426.6,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 ,426.6,percent of total billed charges ,426.6,percent of total billed charges ,459,percent of total billed charges ,459,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,124.2,percent of total billed charges,,,124.2,percent of total billed charges,,,124.2,percent of total billed charges,
"CMV DNA, QNT, PCR",87497,CDM,,,,both,,,841,841,193.43,841,841,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,664.39,percent of total billed charges,664.39,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 ,664.39,percent of total billed charges ,664.39,percent of total billed charges ,714.85,percent of total billed charges ,714.85,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 ,,,,,,,,,,,,,,,,,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,
"INSULIN, FREE",83527,CDM,,,,both,,,200,200,46,200,200,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,158,percent of total billed charges,158,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 ,158,percent of total billed charges ,158,percent of total billed charges ,170,percent of total billed charges ,170,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 ,,,,,,,,,,,,,,,,,,,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,,,46,percent of total billed charges,,,46,percent of total billed charges,,,46,percent of total billed charges,
HEPATITIS B GENOTYPE,87912,CDM,,,,both,,,"1,023.00","1,023.00",235.29,"1,023.00","1,023.00",percent of total billed charges,"1,023.00",percent of total billed charges,"1,023.00",percent of total billed charges,"1,023.00",percent of total billed charges,"1,023.00",percent of total billed charges,"1,023.00",percent of total billed charges,"1,023.00",percent of total billed charges,"1,023.00",percent of total billed charges,736.56,percent of total billed charges,736.56,percent of total billed charges,736.56,percent of total billed charges,736.56,percent of total billed charges,736.56,percent of total billed charges,736.56,percent of total billed charges,808.17,percent of total billed charges,808.17,percent of total billed charges,818.4,percent of total billed charges,818.4,percent of total billed charges,,,736.56,percent of total billed charges ,,,818.4,percent of total billed charges ,808.17,percent of total billed charges ,808.17,percent of total billed charges ,869.55,percent of total billed charges ,869.55,percent of total billed charges ,818.4,percent of total billed charges ,818.4,percent of total billed charges ,716.1,percent of total billed charges ,716.1,percent of total billed charges ,613.8,percent of total billed charges ,613.8,percent of total billed charges ,613.8,percent of total billed charges ,613.8,percent of total billed charges ,,,,,544.24,percent of total billed charges ,,,,,517.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,,,235.29,percent of total billed charges,
**ISOLATION HEPB,83890,CDM,,,,both,,,216,216,49.68,216,216,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,216,percent of total billed charges,216,percent of total billed charges,216,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,172.8,percent of total billed charges,172.8,percent of total billed charges,,,155.52,percent of total billed charges ,,,172.8,percent of total billed charges ,170.64,percent of total billed charges ,170.64,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,172.8,percent of total billed charges ,172.8,percent of total billed charges ,151.2,percent of total billed charges ,151.2,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 ,,,,,114.91,percent of total billed charges ,,,,,109.17,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,,,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,
**AMPLIFICATION HEPB,83898,CDM,,,,both,,,285,285,65.55,285,285,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,225.15,percent of total billed charges,225.15,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 ,225.15,percent of total billed charges ,225.15,percent of total billed charges ,242.25,percent of total billed charges ,242.25,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 ,,,,,,,,,,,,,,,,,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,
**ID BY SEQ HEPB,83904,CDM,,,,both,,,245,245,56.35,245,245,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,193.55,percent of total billed charges,193.55,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 ,193.55,percent of total billed charges ,193.55,percent of total billed charges ,208.25,percent of total billed charges ,208.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,56.35,percent of total billed charges,,,56.35,percent of total billed charges,,,56.35,percent of total billed charges,
**SEPARATION HEPB,83909,CDM,,,,both,,,183,183,42.09,183,183,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,144.57,percent of total billed charges,144.57,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 ,144.57,percent of total billed charges ,144.57,percent of total billed charges ,155.55,percent of total billed charges ,155.55,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 ,,,,,,,,,,,,,,,,,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,
**INTERP REPORT HEPB,83912,CDM,,,,both,,,172,172,39.56,172,172,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,135.88,percent of total billed charges,135.88,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 ,135.88,percent of total billed charges ,135.88,percent of total billed charges ,146.2,percent of total billed charges ,146.2,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 ,,,,,,,,,,,,,,,,,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,
PROTEIN C IMMUNOLOGIC,85302,CDM,,,,both,,,402,402,92.46,402,402,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,317.58,percent of total billed charges,317.58,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 ,317.58,percent of total billed charges ,317.58,percent of total billed charges ,341.7,percent of total billed charges ,341.7,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 ,,,,,,,,,,,,,,,,,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,
"CHROMIUM, SERUM",82495,CDM,,,,both,,,245,245,56.35,245,245,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,193.55,percent of total billed charges,193.55,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 ,193.55,percent of total billed charges ,193.55,percent of total billed charges ,208.25,percent of total billed charges ,208.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,56.35,percent of total billed charges,,,56.35,percent of total billed charges,,,56.35,percent of total billed charges,
"RHEUMATOID FACTOR, QUANT",86431,CDM,,,,both,,,156,156,35.88,156,156,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,123.24,percent of total billed charges,123.24,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 ,123.24,percent of total billed charges ,123.24,percent of total billed charges ,132.6,percent of total billed charges ,132.6,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 ,,,,,,,,,,,,,,,,,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,
"HISTOPLASMA ANTIGEN, SERUM",87385,CDM,,,,both,,,276,276,63.48,276,276,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,218.04,percent of total billed charges,218.04,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 ,218.04,percent of total billed charges ,218.04,percent of total billed charges ,234.6,percent of total billed charges ,234.6,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 ,,,,,,,,,,,,,,,,,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,
INSULIN-LIKE GROWTH FACTOR II,83519,CDM,,,,both,,,423,423,97.29,423,423,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,423,percent of total billed charges,423,percent of total billed charges,423,percent of total billed charges,304.56,percent of total billed charges,304.56,percent of total billed charges,304.56,percent of total billed charges,304.56,percent of total billed charges,304.56,percent of total billed charges,304.56,percent of total billed charges,334.17,percent of total billed charges,334.17,percent of total billed charges,338.4,percent of total billed charges,338.4,percent of total billed charges,,,304.56,percent of total billed charges ,,,338.4,percent of total billed charges ,334.17,percent of total billed charges ,334.17,percent of total billed charges ,359.55,percent of total billed charges ,359.55,percent of total billed charges ,338.4,percent of total billed charges ,338.4,percent of total billed charges ,296.1,percent of total billed charges ,296.1,percent of total billed charges ,253.8,percent of total billed charges ,253.8,percent of total billed charges ,253.8,percent of total billed charges ,253.8,percent of total billed charges ,,,,,225.04,percent of total billed charges ,,,,,213.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,
AMIKACIN PEAK,80150,CDM,,,,both,,,196,196,45.08,196,196,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,154.84,percent of total billed charges,154.84,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 ,154.84,percent of total billed charges ,154.84,percent of total billed charges ,166.6,percent of total billed charges ,166.6,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 ,,,,,,,,,,,,,,,,,,,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,
AMIKACIN TROUGH,80150,CDM,,,,both,,,196,196,45.08,196,196,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,154.84,percent of total billed charges,154.84,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 ,154.84,percent of total billed charges ,154.84,percent of total billed charges ,166.6,percent of total billed charges ,166.6,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 ,,,,,,,,,,,,,,,,,,,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,
TSH RECEPTOR AB 3RD GENERATION,83516,CDM,,,,both,,,245,245,56.35,245,245,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,193.55,percent of total billed charges,193.55,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 ,193.55,percent of total billed charges ,193.55,percent of total billed charges ,208.25,percent of total billed charges ,208.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,56.35,percent of total billed charges,,,56.35,percent of total billed charges,,,56.35,percent of total billed charges,
HEMOGLOBIN F QUANTITATIVE,83021,CDM,,,,both,,,222,222,51.06,222,222,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,175.38,percent of total billed charges,175.38,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 ,175.38,percent of total billed charges ,175.38,percent of total billed charges ,188.7,percent of total billed charges ,188.7,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
HEMOGLOBIN A2 QUANTITATIVE,83021,CDM,,,,both,,,222,222,51.06,222,222,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,175.38,percent of total billed charges,175.38,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 ,175.38,percent of total billed charges ,175.38,percent of total billed charges ,188.7,percent of total billed charges ,188.7,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
IFE FLUID (B2T),86335,CDM,,,,both,,,334,334,76.82,334,334,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,263.86,percent of total billed charges,263.86,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 ,263.86,percent of total billed charges ,263.86,percent of total billed charges ,283.9,percent of total billed charges ,283.9,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 ,,,,,,,,,,,,,,,,,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,,,76.82,percent of total billed charges,
IFE SERUM (B2T),86334,CDM,,,,both,,,242,242,55.66,242,242,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,191.18,percent of total billed charges,191.18,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 ,191.18,percent of total billed charges ,191.18,percent of total billed charges ,205.7,percent of total billed charges ,205.7,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 ,,,,,,,,,,,,,,,,,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,
"THIAZIDE DIURETIC, URINE",82542,CDM,,,,both,,,365,365,83.95,365,365,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,288.35,percent of total billed charges,288.35,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 ,288.35,percent of total billed charges ,288.35,percent of total billed charges ,310.25,percent of total billed charges ,310.25,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 ,,,,,,,,,,,,,,,,,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,,,83.95,percent of total billed charges,
WEST NILE IGG (ARBO),86789,CDM,,,,both,,,214,214,49.22,214,214,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,169.06,percent of total billed charges,169.06,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 ,169.06,percent of total billed charges ,169.06,percent of total billed charges ,181.9,percent of total billed charges ,181.9,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 ,,,,,,,,,,,,,,,,,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,
WEST NILE IGM (ARBO),86788,CDM,,,,both,,,205,205,47.15,205,205,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,161.95,percent of total billed charges,161.95,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 ,161.95,percent of total billed charges ,161.95,percent of total billed charges ,174.25,percent of total billed charges ,174.25,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 ,,,,,,,,,,,,,,,,,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,
CALIF. IGG(ARBO),86651,CDM,,,,both,,,176,176,40.48,176,176,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,139.04,percent of total billed charges,139.04,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 ,139.04,percent of total billed charges ,139.04,percent of total billed charges ,149.6,percent of total billed charges ,149.6,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 ,,,,,,,,,,,,,,,,,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,
CALIF. IGM(ARBO),86651,CDM,,,,both,,,176,176,40.48,176,176,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,139.04,percent of total billed charges,139.04,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 ,139.04,percent of total billed charges ,139.04,percent of total billed charges ,149.6,percent of total billed charges ,149.6,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 ,,,,,,,,,,,,,,,,,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,
ST. LOUIS IGG (ARBO),86653,CDM,,,,both,,,156,156,35.88,156,156,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,123.24,percent of total billed charges,123.24,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 ,123.24,percent of total billed charges ,123.24,percent of total billed charges ,132.6,percent of total billed charges ,132.6,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 ,,,,,,,,,,,,,,,,,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,
ST. LOUIS IGM (ARBO),86653,CDM,,,,both,,,156,156,35.88,156,156,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,123.24,percent of total billed charges,123.24,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 ,123.24,percent of total billed charges ,123.24,percent of total billed charges ,132.6,percent of total billed charges ,132.6,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 ,,,,,,,,,,,,,,,,,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,
EASTERN EQUINE IGG (ARBO),86652,CDM,,,,both,,,174,174,40.02,174,174,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,137.46,percent of total billed charges,137.46,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 ,137.46,percent of total billed charges ,137.46,percent of total billed charges ,147.9,percent of total billed charges ,147.9,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
EASTERN EQUINE IGM (ARBO),86652,CDM,,,,both,,,174,174,40.02,174,174,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,137.46,percent of total billed charges,137.46,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 ,137.46,percent of total billed charges ,137.46,percent of total billed charges ,147.9,percent of total billed charges ,147.9,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
WESTERN EQUINE IGG (ARBO),86654,CDM,,,,both,,,159,159,36.57,159,159,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,125.61,percent of total billed charges,125.61,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 ,125.61,percent of total billed charges ,125.61,percent of total billed charges ,135.15,percent of total billed charges ,135.15,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,36.57,percent of total billed charges,,,36.57,percent of total billed charges,,,36.57,percent of total billed charges,
WESTERN EQUINE IGM (ARBO),86654,CDM,,,,both,,,159,159,36.57,159,159,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,125.61,percent of total billed charges,125.61,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 ,125.61,percent of total billed charges ,125.61,percent of total billed charges ,135.15,percent of total billed charges ,135.15,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,36.57,percent of total billed charges,,,36.57,percent of total billed charges,,,36.57,percent of total billed charges,
TISSUE INSITU HYBRIDIZATION,88365,CDM,,,,both,,,700,700,161,700,700,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,553,percent of total billed charges,553,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 ,553,percent of total billed charges ,553,percent of total billed charges ,595,percent of total billed charges ,595,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 ,,,,,,,,,,,,,,,,,,,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,
MOD. TRICHROME STAIN (MICR),87207,CDM,,,,both,,,189,189,43.47,189,189,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,149.31,percent of total billed charges,149.31,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 ,149.31,percent of total billed charges ,149.31,percent of total billed charges ,160.65,percent of total billed charges ,160.65,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 ,,,,,,,,,,,,,,,,,,,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,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,
CONCENTRATION (MICR),87015,CDM,,,,both,,,134,134,30.82,134,134,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,105.86,percent of total billed charges,105.86,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 ,105.86,percent of total billed charges ,105.86,percent of total billed charges ,113.9,percent of total billed charges ,113.9,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,30.82,percent of total billed charges,,,30.82,percent of total billed charges,,,30.82,percent of total billed charges,
MOD. ACID FAST (PARA),87207,CDM,,,,both,,,189,189,43.47,189,189,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,149.31,percent of total billed charges,149.31,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 ,149.31,percent of total billed charges ,149.31,percent of total billed charges ,160.65,percent of total billed charges ,160.65,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 ,,,,,,,,,,,,,,,,,,,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,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,
CONCENTRATION (PARA),87015,CDM,,,,both,,,134,134,30.82,134,134,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,105.86,percent of total billed charges,105.86,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 ,105.86,percent of total billed charges ,105.86,percent of total billed charges ,113.9,percent of total billed charges ,113.9,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,30.82,percent of total billed charges,,,30.82,percent of total billed charges,,,30.82,percent of total billed charges,
FREE KAPPA LIGHT CHAINS,83883,CDM,,,,both,,,162,162,37.26,162,162,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,127.98,percent of total billed charges,127.98,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 ,127.98,percent of total billed charges ,127.98,percent of total billed charges ,137.7,percent of total billed charges ,137.7,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 ,,,,,,,,,,,,,,,,,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,
FREE LAMBDA LIGHT CHAINS,83883,CDM,,,,both,,,162,162,37.26,162,162,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,127.98,percent of total billed charges,127.98,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 ,127.98,percent of total billed charges ,127.98,percent of total billed charges ,137.7,percent of total billed charges ,137.7,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 ,,,,,,,,,,,,,,,,,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,
IGF BINDING PROTEIN-3,82397,CDM,,,,both,,,386,386,88.78,386,386,percent of total billed charges,386,percent of total billed charges,386,percent of total billed charges,386,percent of total billed charges,386,percent of total billed charges,386,percent of total billed charges,386,percent of total billed charges,386,percent of total billed charges,277.92,percent of total billed charges,277.92,percent of total billed charges,277.92,percent of total billed charges,277.92,percent of total billed charges,277.92,percent of total billed charges,277.92,percent of total billed charges,304.94,percent of total billed charges,304.94,percent of total billed charges,308.8,percent of total billed charges,308.8,percent of total billed charges,,,277.92,percent of total billed charges ,,,308.8,percent of total billed charges ,304.94,percent of total billed charges ,304.94,percent of total billed charges ,328.1,percent of total billed charges ,328.1,percent of total billed charges ,308.8,percent of total billed charges ,308.8,percent of total billed charges ,270.2,percent of total billed charges ,270.2,percent of total billed charges ,231.6,percent of total billed charges ,231.6,percent of total billed charges ,231.6,percent of total billed charges ,231.6,percent of total billed charges ,,,,,205.35,percent of total billed charges ,,,,,195.08,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,,,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,
**ISOL AND EXTRACT (PHOX),83891,CDM,,,,both,,,180,180,41.4,180,180,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,142.2,percent of total billed charges,142.2,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 ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,153,percent of total billed charges ,153,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,41.4,percent of total billed charges,,,41.4,percent of total billed charges,,,41.4,percent of total billed charges,
**SEPARATION BY GEL (PHOX),83894,CDM,,,,both,,,163,163,37.49,163,163,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,128.77,percent of total billed charges,128.77,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 ,128.77,percent of total billed charges ,128.77,percent of total billed charges ,138.55,percent of total billed charges ,138.55,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 ,,,,,,,,,,,,,,,,,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,
**AMPLIFICATION (PHOX),83898,CDM,,,,both,,,270,270,62.1,270,270,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,270,percent of total billed charges,270,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,194.4,percent of total billed charges,194.4,percent of total billed charges,213.3,percent of total billed charges,213.3,percent of total billed charges,216,percent of total billed charges,216,percent of total billed charges,,,194.4,percent of total billed charges ,,,216,percent of total billed charges ,213.3,percent of total billed charges ,213.3,percent of total billed charges ,229.5,percent of total billed charges ,229.5,percent of total billed charges ,216,percent of total billed charges ,216,percent of total billed charges ,189,percent of total billed charges ,189,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 ,,,,,143.64,percent of total billed charges ,,,,,136.46,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,,,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,,,62.1,percent of total billed charges,,,62.1,percent of total billed charges,,,62.1,percent of total billed charges,
**MUTATION ID (PHOX),83904,CDM,,,,both,,,235,235,54.05,235,235,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,185.65,percent of total billed charges,185.65,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 ,185.65,percent of total billed charges ,185.65,percent of total billed charges ,199.75,percent of total billed charges ,199.75,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 ,,,,,,,,,,,,,,,,,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,
**HIGH RESOL. ID (PHOX),83909,CDM,,,,both,,,185,185,42.55,185,185,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,146.15,percent of total billed charges,146.15,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 ,146.15,percent of total billed charges ,146.15,percent of total billed charges ,157.25,percent of total billed charges ,157.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,42.55,percent of total billed charges,,,42.55,percent of total billed charges,,,42.55,percent of total billed charges,
**INTERP & REPORT (PHOX),83912,CDM,,,,both,,,159,159,36.57,159,159,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,125.61,percent of total billed charges,125.61,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 ,125.61,percent of total billed charges ,125.61,percent of total billed charges ,135.15,percent of total billed charges ,135.15,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,36.57,percent of total billed charges,,,36.57,percent of total billed charges,,,36.57,percent of total billed charges,
HEPARIN ANTIBODIES,86022,CDM,,,,both,,,535,535,123.05,535,535,percent of total billed charges,535,percent of total billed charges,535,percent of total billed charges,535,percent of total billed charges,535,percent of total billed charges,535,percent of total billed charges,535,percent of total billed charges,535,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,385.2,percent of total billed charges,385.2,percent of total billed charges,422.65,percent of total billed charges,422.65,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,,,385.2,percent of total billed charges ,,,428,percent of total billed charges ,422.65,percent of total billed charges ,422.65,percent of total billed charges ,454.75,percent of total billed charges ,454.75,percent of total billed charges ,428,percent of total billed charges ,428,percent of total billed charges ,374.5,percent of total billed charges ,374.5,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 ,,,,,284.62,percent of total billed charges ,,,,,270.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,
REVERSE T3,84482,CDM,,,,both,,,323,323,74.29,323,323,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,255.17,percent of total billed charges,255.17,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 ,255.17,percent of total billed charges ,255.17,percent of total billed charges ,274.55,percent of total billed charges ,274.55,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 ,,,,,,,,,,,,,,,,,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,,,74.29,percent of total billed charges,
FENTANYL & METABOLITES,80354,CDM,,,,both,,,290,290,66.7,290,290,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,229.1,percent of total billed charges,229.1,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 ,229.1,percent of total billed charges ,229.1,percent of total billed charges ,246.5,percent of total billed charges ,246.5,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 ,,,,,,,,,,,,,,,,,,,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,,,66.7,percent of total billed charges,,,66.7,percent of total billed charges,,,66.7,percent of total billed charges,
"LDH, BODY FLUID",83615,CDM,,,,both,,,110,110,25.3,110,110,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,86.9,percent of total billed charges,86.9,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 ,86.9,percent of total billed charges ,86.9,percent of total billed charges ,93.5,percent of total billed charges ,93.5,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 ,,,,,,,,,,,,,,,,,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,
ISLET CELL ANTIBODY,86341,CDM,,,,both,,,316,316,72.68,316,316,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,249.64,percent of total billed charges,249.64,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 ,249.64,percent of total billed charges ,249.64,percent of total billed charges ,268.6,percent of total billed charges ,268.6,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,72.68,percent of total billed charges,,,72.68,percent of total billed charges,,,72.68,percent of total billed charges,
"VITAMIN B1, WHOLE BLOOD",84425,CDM,,,,both,,,217,217,49.91,217,217,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,171.43,percent of total billed charges,171.43,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 ,171.43,percent of total billed charges ,171.43,percent of total billed charges ,184.45,percent of total billed charges ,184.45,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 ,,,,,,,,,,,,,,,,,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,
"GABITRIL, SERUM",80299,CDM,,,,both,,,308,308,70.84,308,308,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,243.32,percent of total billed charges,243.32,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 ,243.32,percent of total billed charges ,243.32,percent of total billed charges ,261.8,percent of total billed charges ,261.8,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 ,,,,,,,,,,,,,,,,,,,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,
"CHROMOSOME ANALYSIS, IN SITU",88269,CDM,,,,both,,,"1,481.00","1,481.00",340.63,"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,"1,169.99",percent of total billed charges,"1,169.99",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 ,"1,169.99",percent of total billed charges ,"1,169.99",percent of total billed charges ,"1,258.85",percent of total billed charges ,"1,258.85",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 ,,,,,,,,,,,,,,,,,,,340.63,percent of total billed charges,,,340.63,percent of total billed charges,,,340.63,percent of total billed charges,,,340.63,percent of total billed charges,,,340.63,percent of total billed charges,,,340.63,percent of total billed charges,,,340.63,percent of total billed charges,,,340.63,percent of total billed charges,,,340.63,percent of total billed charges,,,340.63,percent of total billed charges,,,340.63,percent of total billed charges,
**CAPILLARY ELECTROPHORESIS (FX),83909,CDM,,,,both,,,185,185,42.55,185,185,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,146.15,percent of total billed charges,146.15,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 ,146.15,percent of total billed charges ,146.15,percent of total billed charges ,157.25,percent of total billed charges ,157.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,42.55,percent of total billed charges,,,42.55,percent of total billed charges,,,42.55,percent of total billed charges,
PARATHYROID HORMONE-RELATED PEPTIDE,83519,CDM,,,,both,,,292,292,67.16,292,292,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,230.68,percent of total billed charges,230.68,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 ,230.68,percent of total billed charges ,230.68,percent of total billed charges ,248.2,percent of total billed charges ,248.2,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 ,,,,,,,,,,,,,,,,,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,
COLLAGEN TYPE 1 C TELOPEPTIDE,82523,CDM,,,,both,,,305,305,70.15,305,305,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,240.95,percent of total billed charges,240.95,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 ,240.95,percent of total billed charges ,240.95,percent of total billed charges ,259.25,percent of total billed charges ,259.25,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 ,,,,,,,,,,,,,,,,,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,
"BK VIRUS, QUANTITATIVE PCR, URINE",87799,CDM,,,,both,,,539,539,123.97,539,539,percent of total billed charges,539,percent of total billed charges,539,percent of total billed charges,539,percent of total billed charges,539,percent of total billed charges,539,percent of total billed charges,539,percent of total billed charges,539,percent of total billed charges,388.08,percent of total billed charges,388.08,percent of total billed charges,388.08,percent of total billed charges,388.08,percent of total billed charges,388.08,percent of total billed charges,388.08,percent of total billed charges,425.81,percent of total billed charges,425.81,percent of total billed charges,431.2,percent of total billed charges,431.2,percent of total billed charges,,,388.08,percent of total billed charges ,,,431.2,percent of total billed charges ,425.81,percent of total billed charges ,425.81,percent of total billed charges ,458.15,percent of total billed charges ,458.15,percent of total billed charges ,431.2,percent of total billed charges ,431.2,percent of total billed charges ,377.3,percent of total billed charges ,377.3,percent of total billed charges ,323.4,percent of total billed charges ,323.4,percent of total billed charges ,323.4,percent of total billed charges ,323.4,percent of total billed charges ,,,,,286.75,percent of total billed charges ,,,,,272.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,,,123.97,percent of total billed charges,
LACOSAMIDE,80299,CDM,,,,both,,,228,228,52.44,228,228,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,180.12,percent of total billed charges,180.12,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 ,180.12,percent of total billed charges ,180.12,percent of total billed charges ,193.8,percent of total billed charges ,193.8,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 ,,,,,,,,,,,,,,,,,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,
17-HYDROXY-PREGNENOLONE,84143,CDM,,,,both,,,249,249,57.27,249,249,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,196.71,percent of total billed charges,196.71,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 ,196.71,percent of total billed charges ,196.71,percent of total billed charges ,211.65,percent of total billed charges ,211.65,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 ,,,,,,,,,,,,,,,,,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,
"GALACTOMANNAN ANTIGEN,UR",87385,CDM,,,,both,,,276,276,63.48,276,276,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,218.04,percent of total billed charges,218.04,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 ,218.04,percent of total billed charges ,218.04,percent of total billed charges ,234.6,percent of total billed charges ,234.6,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 ,,,,,,,,,,,,,,,,,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,
CYANIDE LEVEL,82600,CDM,,,,both,,,252,252,57.96,252,252,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,199.08,percent of total billed charges,199.08,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 ,199.08,percent of total billed charges ,199.08,percent of total billed charges ,214.2,percent of total billed charges ,214.2,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 ,,,,,,,,,,,,,,,,,,,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,
"VIRUS INOCULATION, TISSUE",87252,CDM,,,,both,,,408,408,93.84,408,408,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,322.32,percent of total billed charges,322.32,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 ,322.32,percent of total billed charges ,322.32,percent of total billed charges ,346.8,percent of total billed charges ,346.8,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 ,,,,,,,,,,,,,,,,,,,93.84,percent of total billed charges,,,93.84,percent of total billed charges,,,93.84,percent of total billed charges,,,93.84,percent of total billed charges,,,93.84,percent of total billed charges,,,93.84,percent of total billed charges,,,93.84,percent of total billed charges,,,93.84,percent of total billed charges,,,93.84,percent of total billed charges,,,93.84,percent of total billed charges,,,93.84,percent of total billed charges,
VIRUS INOC SHELL VIAL,87254,CDM,,,,both,,,251,251,57.73,251,251,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,198.29,percent of total billed charges,198.29,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 ,198.29,percent of total billed charges ,198.29,percent of total billed charges ,213.35,percent of total billed charges ,213.35,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 ,,,,,,,,,,,,,,,,,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,
PARAINFLUENZA ANTIBODY,86790,CDM,,,,both,,,232,232,53.36,232,232,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,183.28,percent of total billed charges,183.28,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 ,183.28,percent of total billed charges ,183.28,percent of total billed charges ,197.2,percent of total billed charges ,197.2,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 ,,,,,,,,,,,,,,,,,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,
COXSACKIE VIRUS AB,86658,CDM,,,,both,,,186,186,42.78,186,186,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,146.94,percent of total billed charges,146.94,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 ,146.94,percent of total billed charges ,146.94,percent of total billed charges ,158.1,percent of total billed charges ,158.1,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 ,,,,,,,,,,,,,,,,,,,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,
HTLV 1 AND 2,86790,CDM,,,,both,,,179,179,41.17,179,179,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,141.41,percent of total billed charges,141.41,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 ,141.41,percent of total billed charges ,141.41,percent of total billed charges ,152.15,percent of total billed charges ,152.15,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 ,,,,,,,,,,,,,,,,,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,
**ISOL (ATM),83891,CDM,,,,both,,,59,59,13.57,59,59,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,46.61,percent of total billed charges,46.61,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 ,46.61,percent of total billed charges ,46.61,percent of total billed charges ,50.15,percent of total billed charges ,50.15,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 ,,,,,,,,,,,,,,,,,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,
**NUCLEIC ACID PROBE (ATM),83896,CDM,,,,both,,,59,59,13.57,59,59,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,46.61,percent of total billed charges,46.61,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 ,46.61,percent of total billed charges ,46.61,percent of total billed charges ,50.15,percent of total billed charges ,50.15,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 ,,,,,,,,,,,,,,,,,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,
**AMPLIFICATION (ATM),83898,CDM,,,,both,,,59,59,13.57,59,59,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,46.61,percent of total billed charges,46.61,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 ,46.61,percent of total billed charges ,46.61,percent of total billed charges ,50.15,percent of total billed charges ,50.15,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 ,,,,,,,,,,,,,,,,,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,
**MULTIPLEX  (ATM),83900,CDM,,,,both,,,59,59,13.57,59,59,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,46.61,percent of total billed charges,46.61,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 ,46.61,percent of total billed charges ,46.61,percent of total billed charges ,50.15,percent of total billed charges ,50.15,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 ,,,,,,,,,,,,,,,,,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,
"**AMPLIFICATION, EA ADD (ATM)",83901,CDM,,,,both,,,59,59,13.57,59,59,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,46.61,percent of total billed charges,46.61,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 ,46.61,percent of total billed charges ,46.61,percent of total billed charges ,50.15,percent of total billed charges ,50.15,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 ,,,,,,,,,,,,,,,,,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,
**MUTATION ID (ATM),83904,CDM,,,,both,,,59,59,13.57,59,59,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,46.61,percent of total billed charges,46.61,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 ,46.61,percent of total billed charges ,46.61,percent of total billed charges ,50.15,percent of total billed charges ,50.15,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 ,,,,,,,,,,,,,,,,,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,
**SEPARATION (ATM),83909,CDM,,,,both,,,59,59,13.57,59,59,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,46.61,percent of total billed charges,46.61,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 ,46.61,percent of total billed charges ,46.61,percent of total billed charges ,50.15,percent of total billed charges ,50.15,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 ,,,,,,,,,,,,,,,,,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,
**INTERP REPORT (ATM),83912,CDM,,,,both,,,59,59,13.57,59,59,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,46.61,percent of total billed charges,46.61,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 ,46.61,percent of total billed charges ,46.61,percent of total billed charges ,50.15,percent of total billed charges ,50.15,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 ,,,,,,,,,,,,,,,,,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,
**MUTATION ID (ATM),83914,CDM,,,,both,,,59,59,13.57,59,59,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,46.61,percent of total billed charges,46.61,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 ,46.61,percent of total billed charges ,46.61,percent of total billed charges ,50.15,percent of total billed charges ,50.15,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 ,,,,,,,,,,,,,,,,,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,,,13.57,percent of total billed charges,
"RUBELLA ANTIBODY, IgG",86762,CDM,,,,both,,,136,136,31.28,136,136,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,107.44,percent of total billed charges,107.44,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 ,107.44,percent of total billed charges ,107.44,percent of total billed charges ,115.6,percent of total billed charges ,115.6,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 ,,,,,,,,,,,,,,,,,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,
AUTOCYTE VERIFY,88174,CDM,,,,both,,,193,193,44.39,193,193,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,152.47,percent of total billed charges,152.47,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 ,152.47,percent of total billed charges ,152.47,percent of total billed charges ,164.05,percent of total billed charges ,164.05,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 ,,,,,,,,,,,,,,,,,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,
CT/GC BY AMP DETECTION,87801,CDM,,,,both,,,530,530,121.9,530,530,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,418.7,percent of total billed charges,418.7,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 ,418.7,percent of total billed charges ,418.7,percent of total billed charges ,450.5,percent of total billed charges ,450.5,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 ,,,,,,,,,,,,,,,,,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,
FDP (DIC),85362,CDM,,,,both,,,199,199,45.77,199,199,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,157.21,percent of total billed charges,157.21,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 ,157.21,percent of total billed charges ,157.21,percent of total billed charges ,169.15,percent of total billed charges ,169.15,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 ,,,,,,,,,,,,,,,,,,,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,,,45.77,percent of total billed charges,,,45.77,percent of total billed charges,,,45.77,percent of total billed charges,
CRYOGLOBULIN QUAL W/REFLEX,82595,CDM,,,,both,,,98,98,22.54,98,98,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,77.42,percent of total billed charges,77.42,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 ,77.42,percent of total billed charges ,77.42,percent of total billed charges ,83.3,percent of total billed charges ,83.3,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 ,,,,,,,,,,,,,,,,,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,
MACROBROTH DILUTION SENSITIVITY,87188,CDM,,,,both,,,174,174,40.02,174,174,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,137.46,percent of total billed charges,137.46,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 ,137.46,percent of total billed charges ,137.46,percent of total billed charges ,147.9,percent of total billed charges ,147.9,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
"GALACTOSEMIA REFLEX, BLOOD",82775,CDM,,,,both,,,173,173,39.79,173,173,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,136.67,percent of total billed charges,136.67,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 ,136.67,percent of total billed charges ,136.67,percent of total billed charges ,147.05,percent of total billed charges ,147.05,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 ,,,,,,,,,,,,,,,,,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,
**K2/SPICE DRUG TEST,82541,CDM,,,,both,,,186,186,42.78,186,186,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,146.94,percent of total billed charges,146.94,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 ,146.94,percent of total billed charges ,146.94,percent of total billed charges ,158.1,percent of total billed charges ,158.1,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 ,,,,,,,,,,,,,,,,,,,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,
**BATH SALTS DRUG TEST,82541,CDM,,,,both,,,186,186,42.78,186,186,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,146.94,percent of total billed charges,146.94,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 ,146.94,percent of total billed charges ,146.94,percent of total billed charges ,158.1,percent of total billed charges ,158.1,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 ,,,,,,,,,,,,,,,,,,,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,
**SALVINORIN DRUG TEST,82541,CDM,,,,both,,,186,186,42.78,186,186,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,146.94,percent of total billed charges,146.94,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 ,146.94,percent of total billed charges ,146.94,percent of total billed charges ,158.1,percent of total billed charges ,158.1,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 ,,,,,,,,,,,,,,,,,,,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,
RUFINAMIDE,80299,CDM,,,,both,,,384,384,88.32,384,384,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,303.36,percent of total billed charges,303.36,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 ,303.36,percent of total billed charges ,303.36,percent of total billed charges ,326.4,percent of total billed charges ,326.4,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 ,,,,,,,,,,,,,,,,,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,
DULOXETINE LEVEL,83789,CDM,,,,both,,,358,358,82.34,358,358,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,282.82,percent of total billed charges,282.82,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 ,282.82,percent of total billed charges ,282.82,percent of total billed charges ,304.3,percent of total billed charges ,304.3,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 ,,,,,,,,,,,,,,,,,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,,,82.34,percent of total billed charges,
TRAZODONE LEVEL,80338,CDM,,,,both,,,296,296,68.08,296,296,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,233.84,percent of total billed charges,233.84,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 ,233.84,percent of total billed charges ,233.84,percent of total billed charges ,251.6,percent of total billed charges ,251.6,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 ,,,,,,,,,,,,,,,,,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,
ALPRAZOLAM LEVEL,80346,CDM,,,,both,,,249,249,57.27,249,249,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,196.71,percent of total billed charges,196.71,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 ,196.71,percent of total billed charges ,196.71,percent of total billed charges ,211.65,percent of total billed charges ,211.65,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 ,,,,,,,,,,,,,,,,,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,
"SULFONAMIDE, FREE",80299,CDM,,,,both,,,296,296,68.08,296,296,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,233.84,percent of total billed charges,233.84,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 ,233.84,percent of total billed charges ,233.84,percent of total billed charges ,251.6,percent of total billed charges ,251.6,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 ,,,,,,,,,,,,,,,,,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,
USCREEN DRUG TEST,80305,CDM,,,,both,,,66,66,15.18,66,66,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,52.14,percent of total billed charges,52.14,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 ,52.14,percent of total billed charges ,52.14,percent of total billed charges ,56.1,percent of total billed charges ,56.1,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 ,,,,,,,,,,,,,,,,,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,
"GLOMERULAR BASEMENT MEMBRANE, AB,IGG",86255,CDM,,,,both,,,254,254,58.42,254,254,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,200.66,percent of total billed charges,200.66,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 ,200.66,percent of total billed charges ,200.66,percent of total billed charges ,215.9,percent of total billed charges ,215.9,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 ,,,,,,,,,,,,,,,,,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,
**ISOLATION (IL28B),83891,CDM,,,,both,,,159,159,36.57,159,159,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,125.61,percent of total billed charges,125.61,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 ,125.61,percent of total billed charges ,125.61,percent of total billed charges ,135.15,percent of total billed charges ,135.15,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,36.57,percent of total billed charges,,,36.57,percent of total billed charges,,,36.57,percent of total billed charges,
**AMPLIFICATION (IL28B),83900,CDM,,,,both,,,240,240,55.2,240,240,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,189.6,percent of total billed charges,189.6,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 ,189.6,percent of total billed charges ,189.6,percent of total billed charges ,204,percent of total billed charges ,204,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,55.2,percent of total billed charges,,,55.2,percent of total billed charges,,,55.2,percent of total billed charges,
**NUC ACID PROBE (IL28B),83896,CDM,,,,both,,,112,112,25.76,112,112,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,88.48,percent of total billed charges,88.48,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 ,88.48,percent of total billed charges ,88.48,percent of total billed charges ,95.2,percent of total billed charges ,95.2,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 ,,,,,,,,,,,,,,,,,,,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,
**GENETIC EXAMINATION (IL28B),83912,CDM,,,,both,,,140,140,32.2,140,140,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,110.6,percent of total billed charges,110.6,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 ,110.6,percent of total billed charges ,110.6,percent of total billed charges ,119,percent of total billed charges ,119,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 ,,,,,,,,,,,,,,,,,,,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,
"HEPATITIS B CORE AB, IgM",86705,CDM,,,,both,,,222,222,51.06,222,222,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,175.38,percent of total billed charges,175.38,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 ,175.38,percent of total billed charges ,175.38,percent of total billed charges ,188.7,percent of total billed charges ,188.7,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
"**LACTOFERRIN, STOOL",83630,CDM,,,,both,,,203,203,46.69,203,203,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,160.37,percent of total billed charges,160.37,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 ,160.37,percent of total billed charges ,160.37,percent of total billed charges ,172.55,percent of total billed charges ,172.55,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 ,,,,,,,,,,,,,,,,,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,
FECAL CALPROTECTIN,83993,CDM,,,,both,,,545,545,125.35,545,545,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,430.55,percent of total billed charges,430.55,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 ,430.55,percent of total billed charges ,430.55,percent of total billed charges ,463.25,percent of total billed charges ,463.25,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 ,,,,,,,,,,,,,,,,,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,,,125.35,percent of total billed charges,
CONSULT COMPREHENSIVE,88325,CDM,,,,both,,,650,650,149.5,650,650,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,513.5,percent of total billed charges,513.5,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 ,513.5,percent of total billed charges ,513.5,percent of total billed charges ,552.5,percent of total billed charges ,552.5,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 ,,,,,,,,,,,,,,,,,,,149.5,percent of total billed charges,,,149.5,percent of total billed charges,,,149.5,percent of total billed charges,,,149.5,percent of total billed charges,,,149.5,percent of total billed charges,,,149.5,percent of total billed charges,,,149.5,percent of total billed charges,,,149.5,percent of total billed charges,,,149.5,percent of total billed charges,,,149.5,percent of total billed charges,,,149.5,percent of total billed charges,
**ISOL/EXTRACTION-FAN,83890,CDM,,,,both,,,22,22,5.06,22,22,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,17.38,percent of total billed charges,17.38,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 ,17.38,percent of total billed charges ,17.38,percent of total billed charges ,18.7,percent of total billed charges ,18.7,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 ,,,,,,,,,,,,,,,,,,,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,,,5.06,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,
**NUC ACID EXTRACTION-FAN,83891,CDM,,,,both,,,19,19,4.37,19,19,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,15.01,percent of total billed charges,15.01,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 ,15.01,percent of total billed charges ,15.01,percent of total billed charges ,16.15,percent of total billed charges ,16.15,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,4.37,percent of total billed charges,,,4.37,percent of total billed charges,,,4.37,percent of total billed charges,
**SEP BY GEL-FAN,83894,CDM,,,,both,,,19,19,4.37,19,19,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,15.01,percent of total billed charges,15.01,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 ,15.01,percent of total billed charges ,15.01,percent of total billed charges ,16.15,percent of total billed charges ,16.15,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,4.37,percent of total billed charges,,,4.37,percent of total billed charges,,,4.37,percent of total billed charges,
**AMPLIFICATION-FAN,83898,CDM,,,,both,,,19,19,4.37,19,19,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,15.01,percent of total billed charges,15.01,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 ,15.01,percent of total billed charges ,15.01,percent of total billed charges ,16.15,percent of total billed charges ,16.15,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,4.37,percent of total billed charges,,,4.37,percent of total billed charges,,,4.37,percent of total billed charges,
**ID BY SEQUENCE -FAN,83904,CDM,,,,both,,,19,19,4.37,19,19,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,15.01,percent of total billed charges,15.01,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 ,15.01,percent of total billed charges ,15.01,percent of total billed charges ,16.15,percent of total billed charges ,16.15,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,4.37,percent of total billed charges,,,4.37,percent of total billed charges,,,4.37,percent of total billed charges,
**SEP BY HI RES-FAN,83909,CDM,,,,both,,,19,19,4.37,19,19,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,15.01,percent of total billed charges,15.01,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 ,15.01,percent of total billed charges ,15.01,percent of total billed charges ,16.15,percent of total billed charges ,16.15,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,4.37,percent of total billed charges,,,4.37,percent of total billed charges,,,4.37,percent of total billed charges,
**INTERP & REPORT-FAN,83912,CDM,,,,both,,,22,22,5.06,22,22,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,17.38,percent of total billed charges,17.38,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 ,17.38,percent of total billed charges ,17.38,percent of total billed charges ,18.7,percent of total billed charges ,18.7,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 ,,,,,,,,,,,,,,,,,,,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,,,5.06,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,
GRANULOCYTE ANTIBODY,86021,CDM,,,,both,,,347,347,79.81,347,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,274.13,percent of total billed charges,274.13,percent of total billed charges,277.6,percent of total billed charges,277.6,percent of total billed charges,,,249.84,percent of total billed charges ,,,277.6,percent of total billed charges ,274.13,percent of total billed charges ,274.13,percent of total billed charges ,294.95,percent of total billed charges ,294.95,percent of total billed charges ,277.6,percent of total billed charges ,277.6,percent of total billed charges ,242.9,percent of total billed charges ,242.9,percent of total billed charges ,208.2,percent of total billed charges ,208.2,percent of total billed charges ,208.2,percent of total billed charges ,208.2,percent of total billed charges ,,,,,184.6,percent of total billed charges ,,,,,175.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,
LYMPHOCYTE TRANSFORMATION (TOLL),86353,CDM,,,,both,,,719,719,165.37,719,719,percent of total billed charges,719,percent of total billed charges,719,percent of total billed charges,719,percent of total billed charges,719,percent of total billed charges,719,percent of total billed charges,719,percent of total billed charges,719,percent of total billed charges,517.68,percent of total billed charges,517.68,percent of total billed charges,517.68,percent of total billed charges,517.68,percent of total billed charges,517.68,percent of total billed charges,517.68,percent of total billed charges,568.01,percent of total billed charges,568.01,percent of total billed charges,575.2,percent of total billed charges,575.2,percent of total billed charges,,,517.68,percent of total billed charges ,,,575.2,percent of total billed charges ,568.01,percent of total billed charges ,568.01,percent of total billed charges ,611.15,percent of total billed charges ,611.15,percent of total billed charges ,575.2,percent of total billed charges ,575.2,percent of total billed charges ,503.3,percent of total billed charges ,503.3,percent of total billed charges ,431.4,percent of total billed charges ,431.4,percent of total billed charges ,431.4,percent of total billed charges ,431.4,percent of total billed charges ,,,,,382.51,percent of total billed charges ,,,,,363.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,,,165.37,percent of total billed charges,
CYTOKINES (TOLL),83520,CDM,,,,both,,,324,324,74.52,324,324,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,255.96,percent of total billed charges,255.96,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 ,255.96,percent of total billed charges ,255.96,percent of total billed charges ,275.4,percent of total billed charges ,275.4,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**EVAL MOL PROBE 251-500,88386,CDM,,,,both,,,485,485,111.55,485,485,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,383.15,percent of total billed charges,383.15,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 ,383.15,percent of total billed charges ,383.15,percent of total billed charges ,412.25,percent of total billed charges ,412.25,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 ,,,,,,,,,,,,,,,,,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,
**EVAL INTERP,83891,CDM,,,,both,,,485,485,111.55,485,485,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,383.15,percent of total billed charges,383.15,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 ,383.15,percent of total billed charges ,383.15,percent of total billed charges ,412.25,percent of total billed charges ,412.25,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 ,,,,,,,,,,,,,,,,,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,
SUSCEPTIBILITY STUDY-CEFINASE,87186,CDM,,,,both,,,87,87,20.01,87,87,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,68.73,percent of total billed charges,68.73,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 ,68.73,percent of total billed charges ,68.73,percent of total billed charges ,73.95,percent of total billed charges ,73.95,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 ,,,,,,,,,,,,,,,,,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,
"BILE ACIDS, TOTAL AND FRACTIONATED",83789,CDM,,,,both,,,250,250,57.5,250,250,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,197.5,percent of total billed charges,197.5,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 ,197.5,percent of total billed charges ,197.5,percent of total billed charges ,212.5,percent of total billed charges ,212.5,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 ,,,,,,,,,,,,,,,,,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,
ALPHA 1 ANTITRYPSIN-A1AG,82103,CDM,,,,both,,,163,163,37.49,163,163,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,128.77,percent of total billed charges,128.77,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 ,128.77,percent of total billed charges ,128.77,percent of total billed charges ,138.55,percent of total billed charges ,138.55,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 ,,,,,,,,,,,,,,,,,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,
**ISOLATION-A1AG,83891,CDM,,,,both,,,169,169,38.87,169,169,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,133.51,percent of total billed charges,133.51,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 ,133.51,percent of total billed charges ,133.51,percent of total billed charges ,143.65,percent of total billed charges ,143.65,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 ,,,,,,,,,,,,,,,,,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,
**AMPLIFICATION-A1AG,83898,CDM,,,,both,,,245,245,56.35,245,245,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,193.55,percent of total billed charges,193.55,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 ,193.55,percent of total billed charges ,193.55,percent of total billed charges ,208.25,percent of total billed charges ,208.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,56.35,percent of total billed charges,,,56.35,percent of total billed charges,,,56.35,percent of total billed charges,
**NUC ACID PROBE-A1AG,83896,CDM,,,,both,,,113,113,25.99,113,113,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,89.27,percent of total billed charges,89.27,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 ,89.27,percent of total billed charges ,89.27,percent of total billed charges ,96.05,percent of total billed charges ,96.05,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 ,,,,,,,,,,,,,,,,,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,
**INTERP-A1AG,83912,CDM,,,,both,,,153,153,35.19,153,153,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,120.87,percent of total billed charges,120.87,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 ,120.87,percent of total billed charges ,120.87,percent of total billed charges ,130.05,percent of total billed charges ,130.05,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 ,,,,,,,,,,,,,,,,,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,,,35.19,percent of total billed charges,
"ACYLCARNITINES, QUANT",82017,CDM,,,,both,,,422,422,97.06,422,422,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,333.38,percent of total billed charges,333.38,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 ,333.38,percent of total billed charges ,333.38,percent of total billed charges ,358.7,percent of total billed charges ,358.7,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 ,,,,,,,,,,,,,,,,,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,
"**ACYLGLYCINE, QUANT, URINE",82542,CDM,,,,both,,,452,452,103.96,452,452,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,357.08,percent of total billed charges,357.08,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 ,357.08,percent of total billed charges ,357.08,percent of total billed charges ,384.2,percent of total billed charges ,384.2,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 ,,,,,,,,,,,,,,,,,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,
ANA TITER,86039,CDM,,,,both,,,223,223,51.29,223,223,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,176.17,percent of total billed charges,176.17,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 ,176.17,percent of total billed charges ,176.17,percent of total billed charges ,189.55,percent of total billed charges ,189.55,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 ,,,,,,,,,,,,,,,,,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,
**URINE CHLAMYDIA BY PCR,87591,CDM,,,,both,,,313,313,71.99,313,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,247.27,percent of total billed charges,247.27,percent of total billed charges,250.4,percent of total billed charges,250.4,percent of total billed charges,,,225.36,percent of total billed charges ,,,250.4,percent of total billed charges ,247.27,percent of total billed charges ,247.27,percent of total billed charges ,266.05,percent of total billed charges ,266.05,percent of total billed charges ,250.4,percent of total billed charges ,250.4,percent of total billed charges ,219.1,percent of total billed charges ,219.1,percent of total billed charges ,187.8,percent of total billed charges ,187.8,percent of total billed charges ,187.8,percent of total billed charges ,187.8,percent of total billed charges ,,,,,166.52,percent of total billed charges ,,,,,158.19,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,,,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,
URINE GC BY PCR,87591,CDM,,,,both,,,235,235,54.05,235,235,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,185.65,percent of total billed charges,185.65,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 ,185.65,percent of total billed charges ,185.65,percent of total billed charges ,199.75,percent of total billed charges ,199.75,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 ,,,,,,,,,,,,,,,,,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,
PAP-LIQUID MEDIA,88142,CDM,,,,both,,,209,209,48.07,209,209,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,165.11,percent of total billed charges,165.11,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 ,165.11,percent of total billed charges ,165.11,percent of total billed charges ,177.65,percent of total billed charges ,177.65,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 ,,,,,,,,,,,,,,,,,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,
HYPERSENSIVITY PNEUMONITIS,86331,CDM,,,,both,,,139,139,31.97,139,139,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,109.81,percent of total billed charges,109.81,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 ,109.81,percent of total billed charges ,109.81,percent of total billed charges ,118.15,percent of total billed charges ,118.15,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 ,,,,,,,,,,,,,,,,,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,
COMPLEMENT PROTEIN FACTOR H,86160,CDM,,,,both,,,247,247,56.81,247,247,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,195.13,percent of total billed charges,195.13,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 ,195.13,percent of total billed charges ,195.13,percent of total billed charges ,209.95,percent of total billed charges ,209.95,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 ,,,,,,,,,,,,,,,,,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,
ROCKY MOUNTAIN SPOTTED FEVER IGG IGM,86757,CDM,,,,both,,,251,251,57.73,251,251,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,198.29,percent of total billed charges,198.29,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 ,198.29,percent of total billed charges ,198.29,percent of total billed charges ,213.35,percent of total billed charges ,213.35,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 ,,,,,,,,,,,,,,,,,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,,,57.73,percent of total billed charges,
"CULTURE FUNGUS SKIN, HAIR, NAILS",87101,CDM,,,,both,,,212,212,48.76,212,212,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,167.48,percent of total billed charges,167.48,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 ,167.48,percent of total billed charges ,167.48,percent of total billed charges ,180.2,percent of total billed charges ,180.2,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 ,,,,,,,,,,,,,,,,,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,
SMEAR-GMS,87205,CDM,,,,both,,,134,134,30.82,134,134,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,105.86,percent of total billed charges,105.86,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 ,105.86,percent of total billed charges ,105.86,percent of total billed charges ,113.9,percent of total billed charges ,113.9,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,30.82,percent of total billed charges,,,30.82,percent of total billed charges,,,30.82,percent of total billed charges,
SCREEN CERV/VAG THIN LAYER,G0123,CDM,,,,both,,,209,209,48.07,209,209,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,165.11,percent of total billed charges,165.11,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 ,165.11,percent of total billed charges ,165.11,percent of total billed charges ,177.65,percent of total billed charges ,177.65,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 ,,,,,,,,,,,,,,,,,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,
LORAZEPAM LEVEL,80346,CDM,,,,both,,,166,166,38.18,166,166,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,131.14,percent of total billed charges,131.14,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 ,131.14,percent of total billed charges ,131.14,percent of total billed charges ,141.1,percent of total billed charges ,141.1,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 ,,,,,,,,,,,,,,,,,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,
"LATEX ALLERGY, OCCUPATIONAL",86003,CDM,,,,both,,,88,88,20.24,88,88,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,69.52,percent of total billed charges,69.52,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 ,69.52,percent of total billed charges ,69.52,percent of total billed charges ,74.8,percent of total billed charges ,74.8,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 ,,,,,,,,,,,,,,,,,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,
CRYOFIBRINOGEN,82585,CDM,,,,both,,,121,121,27.83,121,121,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,95.59,percent of total billed charges,95.59,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 ,95.59,percent of total billed charges ,95.59,percent of total billed charges ,102.85,percent of total billed charges ,102.85,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,27.83,percent of total billed charges,,,27.83,percent of total billed charges,,,27.83,percent of total billed charges,
"MYCOPLASMA PNEUMONIAE, IGG",86738,CDM,,,,both,,,150,150,34.5,150,150,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,118.5,percent of total billed charges,118.5,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 ,118.5,percent of total billed charges ,118.5,percent of total billed charges ,127.5,percent of total billed charges ,127.5,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 ,,,,,,,,,,,,,,,,,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,
"MUSCLE FIBER, STOOL",89160,CDM,,,,both,,,222,222,51.06,222,222,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,175.38,percent of total billed charges,175.38,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 ,175.38,percent of total billed charges ,175.38,percent of total billed charges ,188.7,percent of total billed charges ,188.7,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
HEPATITIS E IGG,86790,CDM,,,,both,,,232,232,53.36,232,232,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,183.28,percent of total billed charges,183.28,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 ,183.28,percent of total billed charges ,183.28,percent of total billed charges ,197.2,percent of total billed charges ,197.2,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 ,,,,,,,,,,,,,,,,,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,
HEPATITIS E IGM,86790,CDM,,,,both,,,232,232,53.36,232,232,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,183.28,percent of total billed charges,183.28,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 ,183.28,percent of total billed charges ,183.28,percent of total billed charges ,197.2,percent of total billed charges ,197.2,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 ,,,,,,,,,,,,,,,,,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,
**CHEMILUMINESCENT ASSAY (PIBD),82397,CDM,,,,both,,,185,185,42.55,185,185,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,146.15,percent of total billed charges,146.15,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 ,146.15,percent of total billed charges ,146.15,percent of total billed charges ,157.25,percent of total billed charges ,157.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,42.55,percent of total billed charges,,,42.55,percent of total billed charges,,,42.55,percent of total billed charges,
**IMMUNOASSAY (PIBD),83520,CDM,,,,both,,,511,511,117.53,511,511,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,403.69,percent of total billed charges,403.69,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 ,403.69,percent of total billed charges ,403.69,percent of total billed charges ,434.35,percent of total billed charges ,434.35,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 ,,,,,,,,,,,,,,,,,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,
**MOLEC. DIAGNOSTICS (PIBD),83896,CDM,,,,both,,,511,511,117.53,511,511,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,403.69,percent of total billed charges,403.69,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 ,403.69,percent of total billed charges ,403.69,percent of total billed charges ,434.35,percent of total billed charges ,434.35,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 ,,,,,,,,,,,,,,,,,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,,,117.53,percent of total billed charges,
**NUCLEIC AMPLIFICATION (PIBD),83898,CDM,,,,both,,,259,259,59.57,259,259,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,204.61,percent of total billed charges,204.61,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 ,204.61,percent of total billed charges ,204.61,percent of total billed charges ,220.15,percent of total billed charges ,220.15,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 ,,,,,,,,,,,,,,,,,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,
**NUCLEIC EXTRACTION (PIBD),83907,CDM,,,,both,,,70,70,16.1,70,70,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,55.3,percent of total billed charges,55.3,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 ,55.3,percent of total billed charges ,55.3,percent of total billed charges ,59.5,percent of total billed charges ,59.5,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 ,,,,,,,,,,,,,,,,,,,16.1,percent of total billed charges,,,16.1,percent of total billed charges,,,16.1,percent of total billed charges,,,16.1,percent of total billed charges,,,16.1,percent of total billed charges,,,16.1,percent of total billed charges,,,16.1,percent of total billed charges,,,16.1,percent of total billed charges,,,16.1,percent of total billed charges,,,16.1,percent of total billed charges,,,16.1,percent of total billed charges,
**INTERP REPORT,83912,CDM,,,,both,,,75,75,17.25,75,75,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,59.25,percent of total billed charges,59.25,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 ,59.25,percent of total billed charges ,59.25,percent of total billed charges ,63.75,percent of total billed charges ,63.75,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 ,,,,,,,,,,,,,,,,,,,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,,,17.25,percent of total billed charges,,,17.25,percent of total billed charges,,,17.25,percent of total billed charges,
**IMMUNO FLURO (PIBD),88347,CDM,,,,both,,,135,135,31.05,135,135,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,106.65,percent of total billed charges,106.65,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 ,106.65,percent of total billed charges ,106.65,percent of total billed charges ,114.75,percent of total billed charges ,114.75,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 ,,,,,,,,,,,,,,,,,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,
TSH RECEPTOR ANTIBODY,83520,CDM,,,,both,,,225,225,51.75,225,225,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,177.75,percent of total billed charges,177.75,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 ,177.75,percent of total billed charges ,177.75,percent of total billed charges ,191.25,percent of total billed charges ,191.25,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 ,,,,,,,,,,,,,,,,,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,
ALPHA SUBUNIT PGH,83520,CDM,,,,both,,,421,421,96.83,421,421,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,332.59,percent of total billed charges,332.59,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 ,332.59,percent of total billed charges ,332.59,percent of total billed charges ,357.85,percent of total billed charges ,357.85,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 ,,,,,,,,,,,,,,,,,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,
UROVISION,88121,CDM,,,,both,,,916,916,210.68,916,916,percent of total billed charges,916,percent of total billed charges,916,percent of total billed charges,916,percent of total billed charges,916,percent of total billed charges,916,percent of total billed charges,916,percent of total billed charges,916,percent of total billed charges,659.52,percent of total billed charges,659.52,percent of total billed charges,659.52,percent of total billed charges,659.52,percent of total billed charges,659.52,percent of total billed charges,659.52,percent of total billed charges,723.64,percent of total billed charges,723.64,percent of total billed charges,732.8,percent of total billed charges,732.8,percent of total billed charges,,,659.52,percent of total billed charges ,,,732.8,percent of total billed charges ,723.64,percent of total billed charges ,723.64,percent of total billed charges ,778.6,percent of total billed charges ,778.6,percent of total billed charges ,732.8,percent of total billed charges ,732.8,percent of total billed charges ,641.2,percent of total billed charges ,641.2,percent of total billed charges ,549.6,percent of total billed charges ,549.6,percent of total billed charges ,549.6,percent of total billed charges ,549.6,percent of total billed charges ,,,,,487.31,percent of total billed charges ,,,,,462.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,210.68,percent of total billed charges,,,210.68,percent of total billed charges,,,210.68,percent of total billed charges,,,210.68,percent of total billed charges,,,210.68,percent of total billed charges,,,210.68,percent of total billed charges,,,210.68,percent of total billed charges,,,210.68,percent of total billed charges,,,210.68,percent of total billed charges,,,210.68,percent of total billed charges,,,210.68,percent of total billed charges,
DRUG CONFIRMATION-BENZO,80346,CDM,,,,both,,,166,166,38.18,166,166,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,131.14,percent of total billed charges,131.14,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 ,131.14,percent of total billed charges ,131.14,percent of total billed charges ,141.1,percent of total billed charges ,141.1,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 ,,,,,,,,,,,,,,,,,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,
BORDETELLA PERT REFLEX,86615,CDM,,,,both,,,193,193,44.39,193,193,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,152.47,percent of total billed charges,152.47,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 ,152.47,percent of total billed charges ,152.47,percent of total billed charges ,164.05,percent of total billed charges ,164.05,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 ,,,,,,,,,,,,,,,,,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,
**ISOLATION (HARMONY),83891,CDM,,,,both,,,22,22,5.06,22,22,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,17.38,percent of total billed charges,17.38,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 ,17.38,percent of total billed charges ,17.38,percent of total billed charges ,18.7,percent of total billed charges ,18.7,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 ,,,,,,,,,,,,,,,,,,,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,,,5.06,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,
**AMPLICATION (HARMONY),83900,CDM,,,,both,,,22,22,5.06,22,22,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,17.38,percent of total billed charges,17.38,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 ,17.38,percent of total billed charges ,17.38,percent of total billed charges ,18.7,percent of total billed charges ,18.7,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 ,,,,,,,,,,,,,,,,,,,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,,,5.06,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,
**ADDITIONAL (HARMONY),83901,CDM,,,,both,,,532,532,122.36,532,532,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,420.28,percent of total billed charges,420.28,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 ,420.28,percent of total billed charges ,420.28,percent of total billed charges ,452.2,percent of total billed charges ,452.2,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 ,,,,,,,,,,,,,,,,,,,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,
**MUTATION ID (HARMONY),83904,CDM,,,,both,,,532,532,122.36,532,532,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,420.28,percent of total billed charges,420.28,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 ,420.28,percent of total billed charges ,420.28,percent of total billed charges ,452.2,percent of total billed charges ,452.2,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 ,,,,,,,,,,,,,,,,,,,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,
**GENETIC EXAM (HARMONY),83912,CDM,,,,both,,,21,21,4.83,21,21,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,16.59,percent of total billed charges,16.59,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 ,16.59,percent of total billed charges ,16.59,percent of total billed charges ,17.85,percent of total billed charges ,17.85,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 ,,,,,,,,,,,,,,,,,,,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,
**MUTIN ID (HARMONY),83914,CDM,,,,both,,,532,532,122.36,532,532,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,420.28,percent of total billed charges,420.28,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 ,420.28,percent of total billed charges ,420.28,percent of total billed charges ,452.2,percent of total billed charges ,452.2,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 ,,,,,,,,,,,,,,,,,,,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,
CYSTIC FIBROSIS FULL 97 MUTATIONS,81223,CDM,,,,both,,,"3,298.00","3,298.00",758.54,"3,298.00","3,298.00",percent of total billed charges,"3,298.00",percent of total billed charges,"3,298.00",percent of total billed charges,"3,298.00",percent of total billed charges,"3,298.00",percent of total billed charges,"3,298.00",percent of total billed charges,"3,298.00",percent of total billed charges,"3,298.00",percent of total billed charges,"2,374.56",percent of total billed charges,"2,374.56",percent of total billed charges,"2,374.56",percent of total billed charges,"2,374.56",percent of total billed charges,"2,374.56",percent of total billed charges,"2,374.56",percent of total billed charges,"2,605.42",percent of total billed charges,"2,605.42",percent of total billed charges,"2,638.40",percent of total billed charges,"2,638.40",percent of total billed charges,,,"2,374.56",percent of total billed charges ,,,"2,638.40",percent of total billed charges ,"2,605.42",percent of total billed charges ,"2,605.42",percent of total billed charges ,"2,803.30",percent of total billed charges ,"2,803.30",percent of total billed charges ,"2,638.40",percent of total billed charges ,"2,638.40",percent of total billed charges ,"2,308.60",percent of total billed charges ,"2,308.60",percent of total billed charges ,"1,978.80",percent of total billed charges ,"1,978.80",percent of total billed charges ,"1,978.80",percent of total billed charges ,"1,978.80",percent of total billed charges ,,,,,"1,754.54",percent of total billed charges ,,,,,"1,666.81",percent of total billed charges ,,,,,,,,,,,,,,,,,,,758.54,percent of total billed charges,,,758.54,percent of total billed charges,,,758.54,percent of total billed charges,,,758.54,percent of total billed charges,,,758.54,percent of total billed charges,,,758.54,percent of total billed charges,,,758.54,percent of total billed charges,,,758.54,percent of total billed charges,,,758.54,percent of total billed charges,,,758.54,percent of total billed charges,,,758.54,percent of total billed charges,
FACTOR V LEIDEN,81241,CDM,,,,both,,,578,578,132.94,578,578,percent of total billed charges,578,percent of total billed charges,578,percent of total billed charges,578,percent of total billed charges,578,percent of total billed charges,578,percent of total billed charges,578,percent of total billed charges,578,percent of total billed charges,416.16,percent of total billed charges,416.16,percent of total billed charges,416.16,percent of total billed charges,416.16,percent of total billed charges,416.16,percent of total billed charges,416.16,percent of total billed charges,456.62,percent of total billed charges,456.62,percent of total billed charges,462.4,percent of total billed charges,462.4,percent of total billed charges,,,416.16,percent of total billed charges ,,,462.4,percent of total billed charges ,456.62,percent of total billed charges ,456.62,percent of total billed charges ,491.3,percent of total billed charges ,491.3,percent of total billed charges ,462.4,percent of total billed charges ,462.4,percent of total billed charges ,404.6,percent of total billed charges ,404.6,percent of total billed charges ,346.8,percent of total billed charges ,346.8,percent of total billed charges ,346.8,percent of total billed charges ,346.8,percent of total billed charges ,,,,,307.5,percent of total billed charges ,,,,,292.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,
PROTHROMBIN GENE MUTATION,81240,CDM,,,,both,,,578,578,132.94,578,578,percent of total billed charges,578,percent of total billed charges,578,percent of total billed charges,578,percent of total billed charges,578,percent of total billed charges,578,percent of total billed charges,578,percent of total billed charges,578,percent of total billed charges,416.16,percent of total billed charges,416.16,percent of total billed charges,416.16,percent of total billed charges,416.16,percent of total billed charges,416.16,percent of total billed charges,416.16,percent of total billed charges,456.62,percent of total billed charges,456.62,percent of total billed charges,462.4,percent of total billed charges,462.4,percent of total billed charges,,,416.16,percent of total billed charges ,,,462.4,percent of total billed charges ,456.62,percent of total billed charges ,456.62,percent of total billed charges ,491.3,percent of total billed charges ,491.3,percent of total billed charges ,462.4,percent of total billed charges ,462.4,percent of total billed charges ,404.6,percent of total billed charges ,404.6,percent of total billed charges ,346.8,percent of total billed charges ,346.8,percent of total billed charges ,346.8,percent of total billed charges ,346.8,percent of total billed charges ,,,,,307.5,percent of total billed charges ,,,,,292.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,
DIGITOXIN,80299,CDM,,,,both,,,291,291,66.93,291,291,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,229.89,percent of total billed charges,229.89,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 ,229.89,percent of total billed charges ,229.89,percent of total billed charges ,247.35,percent of total billed charges ,247.35,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 ,,,,,,,,,,,,,,,,,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,
POSACONAZOLE,80299,CDM,,,,both,,,291,291,66.93,291,291,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,229.89,percent of total billed charges,229.89,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 ,229.89,percent of total billed charges ,229.89,percent of total billed charges ,247.35,percent of total billed charges ,247.35,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 ,,,,,,,,,,,,,,,,,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,
NOROVIRUS 1 PCR,87798,CDM,,,,both,,,505,505,116.15,505,505,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,398.95,percent of total billed charges,398.95,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 ,398.95,percent of total billed charges ,398.95,percent of total billed charges ,429.25,percent of total billed charges ,429.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
NOROVIRUS 2 PCR,87798,CDM,,,,both,,,505,505,116.15,505,505,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,398.95,percent of total billed charges,398.95,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 ,398.95,percent of total billed charges ,398.95,percent of total billed charges ,429.25,percent of total billed charges ,429.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
INHIBIN B,83520,CDM,,,,both,,,310,310,71.3,310,310,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,244.9,percent of total billed charges,244.9,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 ,244.9,percent of total billed charges ,244.9,percent of total billed charges ,263.5,percent of total billed charges ,263.5,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 ,,,,,,,,,,,,,,,,,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,
DONOR SPECIFIC ANTIBODIES,86808,CDM,,,,both,,,693,693,159.39,693,693,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,547.47,percent of total billed charges,547.47,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 ,547.47,percent of total billed charges ,547.47,percent of total billed charges ,589.05,percent of total billed charges ,589.05,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 ,,,,,,,,,,,,,,,,,,,159.39,percent of total billed charges,,,159.39,percent of total billed charges,,,159.39,percent of total billed charges,,,159.39,percent of total billed charges,,,159.39,percent of total billed charges,,,159.39,percent of total billed charges,,,159.39,percent of total billed charges,,,159.39,percent of total billed charges,,,159.39,percent of total billed charges,,,159.39,percent of total billed charges,,,159.39,percent of total billed charges,
IBD SGI IMMUNO,83520,CDM,,,,both,,,611,611,140.53,611,611,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,482.69,percent of total billed charges,482.69,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 ,482.69,percent of total billed charges ,482.69,percent of total billed charges ,519.35,percent of total billed charges ,519.35,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 ,,,,,,,,,,,,,,,,,,,140.53,percent of total billed charges,,,140.53,percent of total billed charges,,,140.53,percent of total billed charges,,,140.53,percent of total billed charges,,,140.53,percent of total billed charges,,,140.53,percent of total billed charges,,,140.53,percent of total billed charges,,,140.53,percent of total billed charges,,,140.53,percent of total billed charges,,,140.53,percent of total billed charges,,,140.53,percent of total billed charges,
IBD SGI CHEMI,82397,CDM,,,,both,,,298,298,68.54,298,298,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,235.42,percent of total billed charges,235.42,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 ,235.42,percent of total billed charges ,235.42,percent of total billed charges ,253.3,percent of total billed charges ,253.3,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 ,,,,,,,,,,,,,,,,,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,
IBD SGI CRP,86140,CDM,,,,both,,,162,162,37.26,162,162,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,127.98,percent of total billed charges,127.98,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 ,127.98,percent of total billed charges ,127.98,percent of total billed charges ,137.7,percent of total billed charges ,137.7,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 ,,,,,,,,,,,,,,,,,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,
**IBD SGI IMFL,88347,CDM,,,,both,,,369,369,84.87,369,369,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,291.51,percent of total billed charges,291.51,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 ,291.51,percent of total billed charges ,291.51,percent of total billed charges ,313.65,percent of total billed charges ,313.65,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 ,,,,,,,,,,,,,,,,,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,
IBD SGI MOL PATH,81479,CDM,,,,both,,,404,404,92.92,404,404,percent of total billed charges,404,percent of total billed charges,404,percent of total billed charges,404,percent of total billed charges,404,percent of total billed charges,404,percent of total billed charges,404,percent of total billed charges,404,percent of total billed charges,290.88,percent of total billed charges,290.88,percent of total billed charges,290.88,percent of total billed charges,290.88,percent of total billed charges,290.88,percent of total billed charges,290.88,percent of total billed charges,319.16,percent of total billed charges,319.16,percent of total billed charges,323.2,percent of total billed charges,323.2,percent of total billed charges,,,290.88,percent of total billed charges ,,,323.2,percent of total billed charges ,319.16,percent of total billed charges ,319.16,percent of total billed charges ,343.4,percent of total billed charges ,343.4,percent of total billed charges ,323.2,percent of total billed charges ,323.2,percent of total billed charges ,282.8,percent of total billed charges ,282.8,percent of total billed charges ,242.4,percent of total billed charges ,242.4,percent of total billed charges ,242.4,percent of total billed charges ,242.4,percent of total billed charges ,,,,,214.93,percent of total billed charges ,,,,,204.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,,,92.92,percent of total billed charges,
IMMUNOASSAY (CS),83520,CDM,,,,both,,,310,310,71.3,310,310,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,244.9,percent of total billed charges,244.9,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 ,244.9,percent of total billed charges ,244.9,percent of total billed charges ,263.5,percent of total billed charges ,263.5,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 ,,,,,,,,,,,,,,,,,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,
**IMMUNOFL (CS),88347,CDM,,,,both,,,369,369,84.87,369,369,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,291.51,percent of total billed charges,291.51,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 ,291.51,percent of total billed charges ,291.51,percent of total billed charges ,313.65,percent of total billed charges ,313.65,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 ,,,,,,,,,,,,,,,,,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,
IGA (CS),82784,CDM,,,,both,,,183,183,42.09,183,183,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,144.57,percent of total billed charges,144.57,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 ,144.57,percent of total billed charges ,144.57,percent of total billed charges ,155.55,percent of total billed charges ,155.55,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 ,,,,,,,,,,,,,,,,,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,
IMMUKNOW,86352,CDM,,,,both,,,667,667,153.41,667,667,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,526.93,percent of total billed charges,526.93,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 ,526.93,percent of total billed charges ,526.93,percent of total billed charges ,566.95,percent of total billed charges ,566.95,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 ,,,,,,,,,,,,,,,,,,,153.41,percent of total billed charges,,,153.41,percent of total billed charges,,,153.41,percent of total billed charges,,,153.41,percent of total billed charges,,,153.41,percent of total billed charges,,,153.41,percent of total billed charges,,,153.41,percent of total billed charges,,,153.41,percent of total billed charges,,,153.41,percent of total billed charges,,,153.41,percent of total billed charges,,,153.41,percent of total billed charges,
"ALBUMIN, BODY FLUID",82040,CDM,,,,both,,,83,83,19.09,83,83,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,65.57,percent of total billed charges,65.57,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 ,65.57,percent of total billed charges ,65.57,percent of total billed charges ,70.55,percent of total billed charges ,70.55,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 ,,,,,,,,,,,,,,,,,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,
"CHOLESTEROL,BODY FLUID",84311,CDM,,,,both,,,121,121,27.83,121,121,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,95.59,percent of total billed charges,95.59,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 ,95.59,percent of total billed charges ,95.59,percent of total billed charges ,102.85,percent of total billed charges ,102.85,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,27.83,percent of total billed charges,,,27.83,percent of total billed charges,,,27.83,percent of total billed charges,
"JAK2 GENE, V617F MUTATION",81270,CDM,,,,both,,,655,655,150.65,655,655,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,517.45,percent of total billed charges,517.45,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 ,517.45,percent of total billed charges ,517.45,percent of total billed charges ,556.75,percent of total billed charges ,556.75,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 ,,,,,,,,,,,,,,,,,,,150.65,percent of total billed charges,,,150.65,percent of total billed charges,,,150.65,percent of total billed charges,,,150.65,percent of total billed charges,,,150.65,percent of total billed charges,,,150.65,percent of total billed charges,,,150.65,percent of total billed charges,,,150.65,percent of total billed charges,,,150.65,percent of total billed charges,,,150.65,percent of total billed charges,,,150.65,percent of total billed charges,
JAK2 MOLECULAR PATHOLOGY,81270,CDM,,,,both,,,308,308,70.84,308,308,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,243.32,percent of total billed charges,243.32,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 ,243.32,percent of total billed charges ,243.32,percent of total billed charges ,261.8,percent of total billed charges ,261.8,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 ,,,,,,,,,,,,,,,,,,,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,
JAK2 EXONS 12 & 13,81403,CDM,,,,both,,,973,973,223.79,973,973,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,768.67,percent of total billed charges,768.67,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 ,768.67,percent of total billed charges ,768.67,percent of total billed charges ,827.05,percent of total billed charges ,827.05,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 ,,,,,,,,,,,,,,,,,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,
ERGOCALCIFEROL LEVEL,82306,CDM,,,,both,,,281,281,64.63,281,281,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,221.99,percent of total billed charges,221.99,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 ,221.99,percent of total billed charges ,221.99,percent of total billed charges ,238.85,percent of total billed charges ,238.85,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 ,,,,,,,,,,,,,,,,,,,64.63,percent of total billed charges,,,64.63,percent of total billed charges,,,64.63,percent of total billed charges,,,64.63,percent of total billed charges,,,64.63,percent of total billed charges,,,64.63,percent of total billed charges,,,64.63,percent of total billed charges,,,64.63,percent of total billed charges,,,64.63,percent of total billed charges,,,64.63,percent of total billed charges,,,64.63,percent of total billed charges,
.INFLUENZA A&B BY PCR,87502,CDM,,,,both,,,487,487,112.01,487,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,350.64,percent of total billed charges,350.64,percent of total billed charges,350.64,percent of total billed charges,350.64,percent of total billed charges,350.64,percent of total billed charges,350.64,percent of total billed charges,384.73,percent of total billed charges,384.73,percent of total billed charges,389.6,percent of total billed charges,389.6,percent of total billed charges,,,350.64,percent of total billed charges ,,,389.6,percent of total billed charges ,384.73,percent of total billed charges ,384.73,percent of total billed charges ,413.95,percent of total billed charges ,413.95,percent of total billed charges ,389.6,percent of total billed charges ,389.6,percent of total billed charges ,340.9,percent of total billed charges ,340.9,percent of total billed charges ,292.2,percent of total billed charges ,292.2,percent of total billed charges ,292.2,percent of total billed charges ,292.2,percent of total billed charges ,,,,,259.08,percent of total billed charges ,,,,,246.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,
.H1N1 SUBTYPE,87503,CDM,,,,both,,,171,171,39.33,171,171,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,135.09,percent of total billed charges,135.09,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 ,135.09,percent of total billed charges ,135.09,percent of total billed charges ,145.35,percent of total billed charges ,145.35,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 ,,,,,,,,,,,,,,,,,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,
HIV1 GENOTYPING,87901,CDM,,,,both,,,"1,740.00","1,740.00",400.2,"1,740.00","1,740.00",percent of total billed charges,"1,740.00",percent of total billed charges,"1,740.00",percent of total billed charges,"1,740.00",percent of total billed charges,"1,740.00",percent of total billed charges,"1,740.00",percent of total billed charges,"1,740.00",percent of total billed charges,"1,740.00",percent of total billed charges,"1,252.80",percent of total billed charges,"1,252.80",percent of total billed charges,"1,252.80",percent of total billed charges,"1,252.80",percent of total billed charges,"1,252.80",percent of total billed charges,"1,252.80",percent of total billed charges,"1,374.60",percent of total billed charges,"1,374.60",percent of total billed charges,"1,392.00",percent of total billed charges,"1,392.00",percent of total billed charges,,,"1,252.80",percent of total billed charges ,,,"1,392.00",percent of total billed charges ,"1,374.60",percent of total billed charges ,"1,374.60",percent of total billed charges ,"1,479.00",percent of total billed charges ,"1,479.00",percent of total billed charges ,"1,392.00",percent of total billed charges ,"1,392.00",percent of total billed charges ,"1,218.00",percent of total billed charges ,"1,218.00",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 ,,,,,925.68,percent of total billed charges ,,,,,879.4,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,,,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,,,400.2,percent of total billed charges,,,400.2,percent of total billed charges,,,400.2,percent of total billed charges,
"MICRODISSECTION, MANUAL",88381,CDM,,,,both,,,384,384,88.32,384,384,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,303.36,percent of total billed charges,303.36,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 ,303.36,percent of total billed charges ,303.36,percent of total billed charges ,326.4,percent of total billed charges ,326.4,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 ,,,,,,,,,,,,,,,,,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,
EGFR GENE ANALYSIS,81235,CDM,,,,both,,,836,836,192.28,836,836,percent of total billed charges,836,percent of total billed charges,836,percent of total billed charges,836,percent of total billed charges,836,percent of total billed charges,836,percent of total billed charges,836,percent of total billed charges,836,percent of total billed charges,601.92,percent of total billed charges,601.92,percent of total billed charges,601.92,percent of total billed charges,601.92,percent of total billed charges,601.92,percent of total billed charges,601.92,percent of total billed charges,660.44,percent of total billed charges,660.44,percent of total billed charges,668.8,percent of total billed charges,668.8,percent of total billed charges,,,601.92,percent of total billed charges ,,,668.8,percent of total billed charges ,660.44,percent of total billed charges ,660.44,percent of total billed charges ,710.6,percent of total billed charges ,710.6,percent of total billed charges ,668.8,percent of total billed charges ,668.8,percent of total billed charges ,585.2,percent of total billed charges ,585.2,percent of total billed charges ,501.6,percent of total billed charges ,501.6,percent of total billed charges ,501.6,percent of total billed charges ,501.6,percent of total billed charges ,,,,,444.75,percent of total billed charges ,,,,,422.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,192.28,percent of total billed charges,,,192.28,percent of total billed charges,,,192.28,percent of total billed charges,,,192.28,percent of total billed charges,,,192.28,percent of total billed charges,,,192.28,percent of total billed charges,,,192.28,percent of total billed charges,,,192.28,percent of total billed charges,,,192.28,percent of total billed charges,,,192.28,percent of total billed charges,,,192.28,percent of total billed charges,
ALK 2P23 BY FISH,88374,CDM,,,,both,,,766,766,176.18,766,766,percent of total billed charges,766,percent of total billed charges,766,percent of total billed charges,766,percent of total billed charges,766,percent of total billed charges,766,percent of total billed charges,766,percent of total billed charges,766,percent of total billed charges,551.52,percent of total billed charges,551.52,percent of total billed charges,551.52,percent of total billed charges,551.52,percent of total billed charges,551.52,percent of total billed charges,551.52,percent of total billed charges,605.14,percent of total billed charges,605.14,percent of total billed charges,612.8,percent of total billed charges,612.8,percent of total billed charges,,,551.52,percent of total billed charges ,,,612.8,percent of total billed charges ,605.14,percent of total billed charges ,605.14,percent of total billed charges ,651.1,percent of total billed charges ,651.1,percent of total billed charges ,612.8,percent of total billed charges ,612.8,percent of total billed charges ,536.2,percent of total billed charges ,536.2,percent of total billed charges ,459.6,percent of total billed charges ,459.6,percent of total billed charges ,459.6,percent of total billed charges ,459.6,percent of total billed charges ,,,,,407.51,percent of total billed charges ,,,,,387.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,176.18,percent of total billed charges,,,176.18,percent of total billed charges,,,176.18,percent of total billed charges,,,176.18,percent of total billed charges,,,176.18,percent of total billed charges,,,176.18,percent of total billed charges,,,176.18,percent of total billed charges,,,176.18,percent of total billed charges,,,176.18,percent of total billed charges,,,176.18,percent of total billed charges,,,176.18,percent of total billed charges,
ELISA (CHRON'S PROG),83520,CDM,,,,both,,,296,296,68.08,296,296,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,233.84,percent of total billed charges,233.84,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 ,233.84,percent of total billed charges ,233.84,percent of total billed charges ,251.6,percent of total billed charges ,251.6,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 ,,,,,,,,,,,,,,,,,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,
**IBD SPECIFIC PANICA (CHRON'S),88347,CDM,,,,both,,,366,366,84.18,366,366,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,289.14,percent of total billed charges,289.14,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 ,289.14,percent of total billed charges ,289.14,percent of total billed charges ,311.1,percent of total billed charges ,311.1,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 ,,,,,,,,,,,,,,,,,,,84.18,percent of total billed charges,,,84.18,percent of total billed charges,,,84.18,percent of total billed charges,,,84.18,percent of total billed charges,,,84.18,percent of total billed charges,,,84.18,percent of total billed charges,,,84.18,percent of total billed charges,,,84.18,percent of total billed charges,,,84.18,percent of total billed charges,,,84.18,percent of total billed charges,,,84.18,percent of total billed charges,
HUMAN EPIDIDYMIS PROTEIN 4 HEA,86305,CDM,,,,both,,,496,496,114.08,496,496,percent of total billed charges,496,percent of total billed charges,496,percent of total billed charges,496,percent of total billed charges,496,percent of total billed charges,496,percent of total billed charges,496,percent of total billed charges,496,percent of total billed charges,357.12,percent of total billed charges,357.12,percent of total billed charges,357.12,percent of total billed charges,357.12,percent of total billed charges,357.12,percent of total billed charges,357.12,percent of total billed charges,391.84,percent of total billed charges,391.84,percent of total billed charges,396.8,percent of total billed charges,396.8,percent of total billed charges,,,357.12,percent of total billed charges ,,,396.8,percent of total billed charges ,391.84,percent of total billed charges ,391.84,percent of total billed charges ,421.6,percent of total billed charges ,421.6,percent of total billed charges ,396.8,percent of total billed charges ,396.8,percent of total billed charges ,347.2,percent of total billed charges ,347.2,percent of total billed charges ,297.6,percent of total billed charges ,297.6,percent of total billed charges ,297.6,percent of total billed charges ,297.6,percent of total billed charges ,,,,,263.87,percent of total billed charges ,,,,,250.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,
CMV-IgG AVIDITY,86644,CDM,,,,both,,,272,272,62.56,272,272,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,214.88,percent of total billed charges,214.88,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 ,214.88,percent of total billed charges ,214.88,percent of total billed charges ,231.2,percent of total billed charges ,231.2,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 ,,,,,,,,,,,,,,,,,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,
"COBALT, SERUM",83018,CDM,,,,both,,,290,290,66.7,290,290,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,229.1,percent of total billed charges,229.1,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 ,229.1,percent of total billed charges ,229.1,percent of total billed charges ,246.5,percent of total billed charges ,246.5,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 ,,,,,,,,,,,,,,,,,,,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,,,66.7,percent of total billed charges,,,66.7,percent of total billed charges,,,66.7,percent of total billed charges,
TISSUE IHC (INTERNAL),88360,CDM,,,,both,,,433,433,99.59,433,433,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,342.07,percent of total billed charges,342.07,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 ,342.07,percent of total billed charges ,342.07,percent of total billed charges ,368.05,percent of total billed charges ,368.05,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 ,,,,,,,,,,,,,,,,,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,,,99.59,percent of total billed charges,
SURG IHC  (G0461),88341,CDM,,,,both,,,326,326,74.98,326,326,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,257.54,percent of total billed charges,257.54,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 ,257.54,percent of total billed charges ,257.54,percent of total billed charges ,277.1,percent of total billed charges ,277.1,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 ,,,,,,,,,,,,,,,,,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,
SURG IHC EACH ADDITIONAL,88341,CDM,,,,both,,,116,116,26.68,116,116,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,91.64,percent of total billed charges,91.64,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 ,91.64,percent of total billed charges ,91.64,percent of total billed charges ,98.6,percent of total billed charges ,98.6,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 ,,,,,,,,,,,,,,,,,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,
HCV GENOSURE NS3/4,87900,CDM,,,,both,,,"1,014.00","1,014.00",233.22,"1,014.00","1,014.00",percent of total billed charges,"1,014.00",percent of total billed charges,"1,014.00",percent of total billed charges,"1,014.00",percent of total billed charges,"1,014.00",percent of total billed charges,"1,014.00",percent of total billed charges,"1,014.00",percent of total billed charges,"1,014.00",percent of total billed charges,730.08,percent of total billed charges,730.08,percent of total billed charges,730.08,percent of total billed charges,730.08,percent of total billed charges,730.08,percent of total billed charges,730.08,percent of total billed charges,801.06,percent of total billed charges,801.06,percent of total billed charges,811.2,percent of total billed charges,811.2,percent of total billed charges,,,730.08,percent of total billed charges ,,,811.2,percent of total billed charges ,801.06,percent of total billed charges ,801.06,percent of total billed charges ,861.9,percent of total billed charges ,861.9,percent of total billed charges ,811.2,percent of total billed charges ,811.2,percent of total billed charges ,709.8,percent of total billed charges ,709.8,percent of total billed charges ,608.4,percent of total billed charges ,608.4,percent of total billed charges ,608.4,percent of total billed charges ,608.4,percent of total billed charges ,,,,,539.45,percent of total billed charges ,,,,,512.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,233.22,percent of total billed charges,,,233.22,percent of total billed charges,,,233.22,percent of total billed charges,,,233.22,percent of total billed charges,,,233.22,percent of total billed charges,,,233.22,percent of total billed charges,,,233.22,percent of total billed charges,,,233.22,percent of total billed charges,,,233.22,percent of total billed charges,,,233.22,percent of total billed charges,,,233.22,percent of total billed charges,
HCV GENOSURE NS3/4 Q80K,87902,CDM,,,,both,,,"1,666.00","1,666.00",383.18,"1,666.00","1,666.00",percent of total billed charges,"1,666.00",percent of total billed charges,"1,666.00",percent of total billed charges,"1,666.00",percent of total billed charges,"1,666.00",percent of total billed charges,"1,666.00",percent of total billed charges,"1,666.00",percent of total billed charges,"1,666.00",percent of total billed charges,"1,199.52",percent of total billed charges,"1,199.52",percent of total billed charges,"1,199.52",percent of total billed charges,"1,199.52",percent of total billed charges,"1,199.52",percent of total billed charges,"1,199.52",percent of total billed charges,"1,316.14",percent of total billed charges,"1,316.14",percent of total billed charges,"1,332.80",percent of total billed charges,"1,332.80",percent of total billed charges,,,"1,199.52",percent of total billed charges ,,,"1,332.80",percent of total billed charges ,"1,316.14",percent of total billed charges ,"1,316.14",percent of total billed charges ,"1,416.10",percent of total billed charges ,"1,416.10",percent of total billed charges ,"1,332.80",percent of total billed charges ,"1,332.80",percent of total billed charges ,"1,166.20",percent of total billed charges ,"1,166.20",percent of total billed charges ,999.6,percent of total billed charges ,999.6,percent of total billed charges ,999.6,percent of total billed charges ,999.6,percent of total billed charges ,,,,,886.31,percent of total billed charges ,,,,,842,percent of total billed charges ,,,,,,,,,,,,,,,,,,,383.18,percent of total billed charges,,,383.18,percent of total billed charges,,,383.18,percent of total billed charges,,,383.18,percent of total billed charges,,,383.18,percent of total billed charges,,,383.18,percent of total billed charges,,,383.18,percent of total billed charges,,,383.18,percent of total billed charges,,,383.18,percent of total billed charges,,,383.18,percent of total billed charges,,,383.18,percent of total billed charges,
PROCOLLAGEN 3 PEPTIDE,83519,CDM,,,,both,,,392,392,90.16,392,392,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,309.68,percent of total billed charges,309.68,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 ,309.68,percent of total billed charges ,309.68,percent of total billed charges ,333.2,percent of total billed charges ,333.2,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 ,,,,,,,,,,,,,,,,,,,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,
HAEMOPHILUS INFLUENZA B ANTIBODY,86317,CDM,,,,both,,,117,117,26.91,117,117,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,92.43,percent of total billed charges,92.43,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 ,92.43,percent of total billed charges ,92.43,percent of total billed charges ,99.45,percent of total billed charges ,99.45,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 ,,,,,,,,,,,,,,,,,,,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,
"CARNITINE, FREE AND TOTAL, URINE",82379,CDM,,,,both,,,221,221,50.83,221,221,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,174.59,percent of total billed charges,174.59,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 ,174.59,percent of total billed charges ,174.59,percent of total billed charges ,187.85,percent of total billed charges ,187.85,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 ,,,,,,,,,,,,,,,,,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,
PROCALCITONIN-MMC,84145,CDM,,,,both,,,472,472,108.56,472,472,percent of total billed charges,472,percent of total billed charges,472,percent of total billed charges,472,percent of total billed charges,472,percent of total billed charges,472,percent of total billed charges,472,percent of total billed charges,472,percent of total billed charges,339.84,percent of total billed charges,339.84,percent of total billed charges,339.84,percent of total billed charges,339.84,percent of total billed charges,339.84,percent of total billed charges,339.84,percent of total billed charges,372.88,percent of total billed charges,372.88,percent of total billed charges,377.6,percent of total billed charges,377.6,percent of total billed charges,,,339.84,percent of total billed charges ,,,377.6,percent of total billed charges ,372.88,percent of total billed charges ,372.88,percent of total billed charges ,401.2,percent of total billed charges ,401.2,percent of total billed charges ,377.6,percent of total billed charges ,377.6,percent of total billed charges ,330.4,percent of total billed charges ,330.4,percent of total billed charges ,283.2,percent of total billed charges ,283.2,percent of total billed charges ,283.2,percent of total billed charges ,283.2,percent of total billed charges ,,,,,251.1,percent of total billed charges ,,,,,238.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,
"TRAMADOL, URINE",80373,CDM,,,,both,,,259,259,59.57,259,259,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,204.61,percent of total billed charges,204.61,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 ,204.61,percent of total billed charges ,204.61,percent of total billed charges ,220.15,percent of total billed charges ,220.15,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 ,,,,,,,,,,,,,,,,,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,
GIARDIA ANTIGEN BY EIA,87329,CDM,,,,both,,,130,130,29.9,130,130,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,102.7,percent of total billed charges,102.7,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 ,102.7,percent of total billed charges ,102.7,percent of total billed charges ,110.5,percent of total billed charges ,110.5,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 ,,,,,,,,,,,,,,,,,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,,,29.9,percent of total billed charges,
Gal-1-PUridyltransferase,82775,CDM,,,,both,,,583,583,134.09,583,583,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,460.57,percent of total billed charges,460.57,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 ,460.57,percent of total billed charges ,460.57,percent of total billed charges ,495.55,percent of total billed charges ,495.55,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 ,,,,,,,,,,,,,,,,,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,,,134.09,percent of total billed charges,
Gal-1-Phosphate,84378,CDM,,,,both,,,508,508,116.84,508,508,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,401.32,percent of total billed charges,401.32,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 ,401.32,percent of total billed charges ,401.32,percent of total billed charges ,431.8,percent of total billed charges ,431.8,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 ,,,,,,,,,,,,,,,,,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,,,116.84,percent of total billed charges,
FIBROSURE-APOLIPORPROTEIN,82172,CDM,,,91,both,,,133,133,30.59,133,133,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,105.07,percent of total billed charges,105.07,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 ,105.07,percent of total billed charges ,105.07,percent of total billed charges ,113.05,percent of total billed charges ,113.05,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 ,,,,,,,,,,,,,,,,,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,
FIBROSURE-TBIL,82247,CDM,,,,both,,,91,91,20.93,91,91,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,71.89,percent of total billed charges,71.89,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 ,71.89,percent of total billed charges ,71.89,percent of total billed charges ,77.35,percent of total billed charges ,77.35,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 ,,,,,,,,,,,,,,,,,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,,,20.93,percent of total billed charges,
FIBROSURE-GGT,82977,CDM,,,,both,,,116,116,26.68,116,116,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,91.64,percent of total billed charges,91.64,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 ,91.64,percent of total billed charges ,91.64,percent of total billed charges ,98.6,percent of total billed charges ,98.6,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 ,,,,,,,,,,,,,,,,,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,
FIBROSURE-HAPTOGLOBIN,83010,CDM,,,,both,,,166,166,38.18,166,166,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,131.14,percent of total billed charges,131.14,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 ,131.14,percent of total billed charges ,131.14,percent of total billed charges ,141.1,percent of total billed charges ,141.1,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 ,,,,,,,,,,,,,,,,,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,
FIBROSURE-A2MACROGLOBULIN,83883,CDM,,,,both,,,162,162,37.26,162,162,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,127.98,percent of total billed charges,127.98,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 ,127.98,percent of total billed charges ,127.98,percent of total billed charges ,137.7,percent of total billed charges ,137.7,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 ,,,,,,,,,,,,,,,,,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,
FIBROSURE-ALT,84460,CDM,,,,both,,,96,96,22.08,96,96,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,75.84,percent of total billed charges,75.84,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 ,75.84,percent of total billed charges ,75.84,percent of total billed charges ,81.6,percent of total billed charges ,81.6,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 ,,,,,,,,,,,,,,,,,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,
PATH CONSULT -CYTO INITIAL SITE,88333,CDM,,,,both,,,272,272,62.56,272,272,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,214.88,percent of total billed charges,214.88,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 ,214.88,percent of total billed charges ,214.88,percent of total billed charges ,231.2,percent of total billed charges ,231.2,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 ,,,,,,,,,,,,,,,,,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,
PATH CONSULT -CYTO ADDITIONAL SITE,88334,CDM,,,,both,,,178,178,40.94,178,178,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,140.62,percent of total billed charges,140.62,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 ,140.62,percent of total billed charges ,140.62,percent of total billed charges ,151.3,percent of total billed charges ,151.3,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 ,,,,,,,,,,,,,,,,,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,
.HIV 1 AB,86701,CDM,,,,both,,,212,212,48.76,212,212,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,167.48,percent of total billed charges,167.48,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 ,167.48,percent of total billed charges ,167.48,percent of total billed charges ,180.2,percent of total billed charges ,180.2,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 ,,,,,,,,,,,,,,,,,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,
.HIV 2 AB,86702,CDM,,,,both,,,256,256,58.88,256,256,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,202.24,percent of total billed charges,202.24,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 ,202.24,percent of total billed charges ,202.24,percent of total billed charges ,217.6,percent of total billed charges ,217.6,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 ,,,,,,,,,,,,,,,,,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,
T-SPOT TB,86481,CDM,,,,both,,,392,392,90.16,392,392,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,309.68,percent of total billed charges,309.68,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 ,309.68,percent of total billed charges ,309.68,percent of total billed charges ,333.2,percent of total billed charges ,333.2,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 ,,,,,,,,,,,,,,,,,,,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,
MSI ANALYSIS,81301,CDM,,,,both,,,685,685,157.55,685,685,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,541.15,percent of total billed charges,541.15,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 ,541.15,percent of total billed charges ,541.15,percent of total billed charges ,582.25,percent of total billed charges ,582.25,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 ,,,,,,,,,,,,,,,,,,,157.55,percent of total billed charges,,,157.55,percent of total billed charges,,,157.55,percent of total billed charges,,,157.55,percent of total billed charges,,,157.55,percent of total billed charges,,,157.55,percent of total billed charges,,,157.55,percent of total billed charges,,,157.55,percent of total billed charges,,,157.55,percent of total billed charges,,,157.55,percent of total billed charges,,,157.55,percent of total billed charges,
"ALPHA-GAL 1,3",86003,CDM,,,,both,,,90,90,20.7,90,90,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,71.1,percent of total billed charges,71.1,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 ,71.1,percent of total billed charges ,71.1,percent of total billed charges ,76.5,percent of total billed charges ,76.5,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
H PYLORI BREATH TEST,83013,CDM,,,,both,,,485,485,111.55,485,485,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,383.15,percent of total billed charges,383.15,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 ,383.15,percent of total billed charges ,383.15,percent of total billed charges ,412.25,percent of total billed charges ,412.25,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 ,,,,,,,,,,,,,,,,,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,
CANNABINOIDS CONFIRMATION,80349,CDM,,,,both,,,288,288,66.24,288,288,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,227.52,percent of total billed charges,227.52,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 ,227.52,percent of total billed charges ,227.52,percent of total billed charges ,244.8,percent of total billed charges ,244.8,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
METHADONE & METABOLITES CONFIRMATION,80358,CDM,,,,both,,,274,274,63.02,274,274,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,216.46,percent of total billed charges,216.46,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 ,216.46,percent of total billed charges ,216.46,percent of total billed charges ,232.9,percent of total billed charges ,232.9,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 ,,,,,,,,,,,,,,,,,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,
PROPOXYPHENE CONFIRMATION,80367,CDM,,,,both,,,274,274,63.02,274,274,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,216.46,percent of total billed charges,216.46,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 ,216.46,percent of total billed charges ,216.46,percent of total billed charges ,232.9,percent of total billed charges ,232.9,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 ,,,,,,,,,,,,,,,,,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,
OPIATES CONFIRMATION,80361,CDM,,,,both,,,274,274,63.02,274,274,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,216.46,percent of total billed charges,216.46,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 ,216.46,percent of total billed charges ,216.46,percent of total billed charges ,232.9,percent of total billed charges ,232.9,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 ,,,,,,,,,,,,,,,,,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,
TRICYCLIC ANTIDEPRESSANT SCREEN,80307,CDM,,,,both,,,291,291,66.93,291,291,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,229.89,percent of total billed charges,229.89,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 ,229.89,percent of total billed charges ,229.89,percent of total billed charges ,247.35,percent of total billed charges ,247.35,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 ,,,,,,,,,,,,,,,,,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,
VENLAFAXINE LEVEL,80299,CDM,,,,both,,,285,285,65.55,285,285,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,225.15,percent of total billed charges,225.15,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 ,225.15,percent of total billed charges ,225.15,percent of total billed charges ,242.25,percent of total billed charges ,242.25,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 ,,,,,,,,,,,,,,,,,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,
CYSTIC FIBROSIS PATHOGENIC 165 VARIANTS,81220,CDM,,,,both,,,"1,080.00","1,080.00",248.4,"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,853.2,percent of total billed charges,853.2,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 ,853.2,percent of total billed charges ,853.2,percent of total billed charges ,918,percent of total billed charges ,918,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
PTH RELATED PEPTIDE,82542,CDM,,,,both,,,305,305,70.15,305,305,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,240.95,percent of total billed charges,240.95,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 ,240.95,percent of total billed charges ,240.95,percent of total billed charges ,259.25,percent of total billed charges ,259.25,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 ,,,,,,,,,,,,,,,,,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,
HLA CLASS I (ABC locus),81379,CDM,,,,both,,,"2,185.00","2,185.00",502.55,"2,185.00","2,185.00",percent of total billed charges,"2,185.00",percent of total billed charges,"2,185.00",percent of total billed charges,"2,185.00",percent of total billed charges,"2,185.00",percent of total billed charges,"2,185.00",percent of total billed charges,"2,185.00",percent of total billed charges,"2,185.00",percent of total billed charges,"1,573.20",percent of total billed charges,"1,573.20",percent of total billed charges,"1,573.20",percent of total billed charges,"1,573.20",percent of total billed charges,"1,573.20",percent of total billed charges,"1,573.20",percent of total billed charges,"1,726.15",percent of total billed charges,"1,726.15",percent of total billed charges,"1,748.00",percent of total billed charges,"1,748.00",percent of total billed charges,,,"1,573.20",percent of total billed charges ,,,"1,748.00",percent of total billed charges ,"1,726.15",percent of total billed charges ,"1,726.15",percent of total billed charges ,"1,857.25",percent of total billed charges ,"1,857.25",percent of total billed charges ,"1,748.00",percent of total billed charges ,"1,748.00",percent of total billed charges ,"1,529.50",percent of total billed charges ,"1,529.50",percent of total billed charges ,"1,311.00",percent of total billed charges ,"1,311.00",percent of total billed charges ,"1,311.00",percent of total billed charges ,"1,311.00",percent of total billed charges ,,,,,"1,162.42",percent of total billed charges ,,,,,"1,104.30",percent of total billed charges ,,,,,,,,,,,,,,,,,,,502.55,percent of total billed charges,,,502.55,percent of total billed charges,,,502.55,percent of total billed charges,,,502.55,percent of total billed charges,,,502.55,percent of total billed charges,,,502.55,percent of total billed charges,,,502.55,percent of total billed charges,,,502.55,percent of total billed charges,,,502.55,percent of total billed charges,,,502.55,percent of total billed charges,,,502.55,percent of total billed charges,
**GLUCOSE POCT,82948,CDM,,,,both,,,69,69,15.87,69,69,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,54.51,percent of total billed charges,54.51,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 ,54.51,percent of total billed charges ,54.51,percent of total billed charges ,58.65,percent of total billed charges ,58.65,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 ,,,,,,,,,,,,,,,,,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,,,15.87,percent of total billed charges,
**.INFLUENZA A MOLECULAR,87502,CDM,,,,both,,,267,267,61.41,267,267,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,210.93,percent of total billed charges,210.93,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 ,210.93,percent of total billed charges ,210.93,percent of total billed charges ,226.95,percent of total billed charges ,226.95,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 ,,,,,,,,,,,,,,,,,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,
**.INFLUENZA B MOLECULAR,87502,CDM,,,,both,,,267,267,61.41,267,267,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,210.93,percent of total billed charges,210.93,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 ,210.93,percent of total billed charges ,210.93,percent of total billed charges ,226.95,percent of total billed charges ,226.95,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 ,,,,,,,,,,,,,,,,,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,
CHROMOSOME MICROARRAY SNP,81229,CDM,,,,both,,,"3,598.00","3,598.00",827.54,"3,598.00","3,598.00",percent of total billed charges,"3,598.00",percent of total billed charges,"3,598.00",percent of total billed charges,"3,598.00",percent of total billed charges,"3,598.00",percent of total billed charges,"3,598.00",percent of total billed charges,"3,598.00",percent of total billed charges,"3,598.00",percent of total billed charges,"2,590.56",percent of total billed charges,"2,590.56",percent of total billed charges,"2,590.56",percent of total billed charges,"2,590.56",percent of total billed charges,"2,590.56",percent of total billed charges,"2,590.56",percent of total billed charges,"2,842.42",percent of total billed charges,"2,842.42",percent of total billed charges,"2,878.40",percent of total billed charges,"2,878.40",percent of total billed charges,,,"2,590.56",percent of total billed charges ,,,"2,878.40",percent of total billed charges ,"2,842.42",percent of total billed charges ,"2,842.42",percent of total billed charges ,"3,058.30",percent of total billed charges ,"3,058.30",percent of total billed charges ,"2,878.40",percent of total billed charges ,"2,878.40",percent of total billed charges ,"2,518.60",percent of total billed charges ,"2,518.60",percent of total billed charges ,"2,158.80",percent of total billed charges ,"2,158.80",percent of total billed charges ,"2,158.80",percent of total billed charges ,"2,158.80",percent of total billed charges ,,,,,"1,914.14",percent of total billed charges ,,,,,"1,818.43",percent of total billed charges ,,,,,,,,,,,,,,,,,,,827.54,percent of total billed charges,,,827.54,percent of total billed charges,,,827.54,percent of total billed charges,,,827.54,percent of total billed charges,,,827.54,percent of total billed charges,,,827.54,percent of total billed charges,,,827.54,percent of total billed charges,,,827.54,percent of total billed charges,,,827.54,percent of total billed charges,,,827.54,percent of total billed charges,,,827.54,percent of total billed charges,
"FNA, ADEQUACY",88172,CDM,,,,both,,,325,325,74.75,325,325,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,256.75,percent of total billed charges,256.75,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 ,256.75,percent of total billed charges ,256.75,percent of total billed charges ,276.25,percent of total billed charges ,276.25,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 ,,,,,,,,,,,,,,,,,,,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,
"MALARIA AB, IGG",86750,CDM,,,,both,,,228,228,52.44,228,228,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,180.12,percent of total billed charges,180.12,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 ,180.12,percent of total billed charges ,180.12,percent of total billed charges ,193.8,percent of total billed charges ,193.8,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 ,,,,,,,,,,,,,,,,,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,
APTT MIXING STUDIES,85732,CDM,,,,both,,,175,175,40.25,175,175,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,138.25,percent of total billed charges,138.25,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 ,138.25,percent of total billed charges ,138.25,percent of total billed charges ,148.75,percent of total billed charges ,148.75,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 ,,,,,,,,,,,,,,,,,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,
PT MIXING STUDIES,85611,CDM,,,,both,,,140,140,32.2,140,140,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,110.6,percent of total billed charges,110.6,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 ,110.6,percent of total billed charges ,110.6,percent of total billed charges ,119,percent of total billed charges ,119,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 ,,,,,,,,,,,,,,,,,,,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,
RHEUMATOID FACTOR IGM,83516,CDM,,,,both,,,217,217,49.91,217,217,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,171.43,percent of total billed charges,171.43,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 ,171.43,percent of total billed charges ,171.43,percent of total billed charges ,184.45,percent of total billed charges ,184.45,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 ,,,,,,,,,,,,,,,,,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,
RHEUMATOID FACTOR IGA,83516,CDM,,,,both,,,217,217,49.91,217,217,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,171.43,percent of total billed charges,171.43,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 ,171.43,percent of total billed charges ,171.43,percent of total billed charges ,184.45,percent of total billed charges ,184.45,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 ,,,,,,,,,,,,,,,,,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,,,49.91,percent of total billed charges,
JC VIRUS AB W/REFLEX INHIB ASSAY,86711,CDM,,,,both,,,"2,479.00","2,479.00",570.17,"2,479.00","2,479.00",percent of total billed charges,"2,479.00",percent of total billed charges,"2,479.00",percent of total billed charges,"2,479.00",percent of total billed charges,"2,479.00",percent of total billed charges,"2,479.00",percent of total billed charges,"2,479.00",percent of total billed charges,"2,479.00",percent of total billed charges,"1,784.88",percent of total billed charges,"1,784.88",percent of total billed charges,"1,784.88",percent of total billed charges,"1,784.88",percent of total billed charges,"1,784.88",percent of total billed charges,"1,784.88",percent of total billed charges,"1,958.41",percent of total billed charges,"1,958.41",percent of total billed charges,"1,983.20",percent of total billed charges,"1,983.20",percent of total billed charges,,,"1,784.88",percent of total billed charges ,,,"1,983.20",percent of total billed charges ,"1,958.41",percent of total billed charges ,"1,958.41",percent of total billed charges ,"2,107.15",percent of total billed charges ,"2,107.15",percent of total billed charges ,"1,983.20",percent of total billed charges ,"1,983.20",percent of total billed charges ,"1,735.30",percent of total billed charges ,"1,735.30",percent of total billed charges ,"1,487.40",percent of total billed charges ,"1,487.40",percent of total billed charges ,"1,487.40",percent of total billed charges ,"1,487.40",percent of total billed charges ,,,,,"1,318.83",percent of total billed charges ,,,,,"1,252.89",percent of total billed charges ,,,,,,,,,,,,,,,,,,,570.17,percent of total billed charges,,,570.17,percent of total billed charges,,,570.17,percent of total billed charges,,,570.17,percent of total billed charges,,,570.17,percent of total billed charges,,,570.17,percent of total billed charges,,,570.17,percent of total billed charges,,,570.17,percent of total billed charges,,,570.17,percent of total billed charges,,,570.17,percent of total billed charges,,,570.17,percent of total billed charges,
FNA EVALUATE ADDITIONAL,88177,CDM,,,,both,,,194,194,44.62,194,194,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,153.26,percent of total billed charges,153.26,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 ,153.26,percent of total billed charges ,153.26,percent of total billed charges ,164.9,percent of total billed charges ,164.9,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 ,,,,,,,,,,,,,,,,,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,,,44.62,percent of total billed charges,
PROMETHEUS ANSER ADA,84999,CDM,,,,both,,,"4,307.00","4,307.00",990.61,"4,307.00","4,307.00",percent of total billed charges,"4,307.00",percent of total billed charges,"4,307.00",percent of total billed charges,"4,307.00",percent of total billed charges,"4,307.00",percent of total billed charges,"4,307.00",percent of total billed charges,"4,307.00",percent of total billed charges,"4,307.00",percent of total billed charges,"3,101.04",percent of total billed charges,"3,101.04",percent of total billed charges,"3,101.04",percent of total billed charges,"3,101.04",percent of total billed charges,"3,101.04",percent of total billed charges,"3,101.04",percent of total billed charges,"3,402.53",percent of total billed charges,"3,402.53",percent of total billed charges,"3,445.60",percent of total billed charges,"3,445.60",percent of total billed charges,,,"3,101.04",percent of total billed charges ,,,"3,445.60",percent of total billed charges ,"3,402.53",percent of total billed charges ,"3,402.53",percent of total billed charges ,"3,660.95",percent of total billed charges ,"3,660.95",percent of total billed charges ,"3,445.60",percent of total billed charges ,"3,445.60",percent of total billed charges ,"3,014.90",percent of total billed charges ,"3,014.90",percent of total billed charges ,"2,584.20",percent of total billed charges ,"2,584.20",percent of total billed charges ,"2,584.20",percent of total billed charges ,"2,584.20",percent of total billed charges ,,,,,"2,291.32",percent of total billed charges ,,,,,"2,176.76",percent of total billed charges ,,,,,,,,,,,,,,,,,,,990.61,percent of total billed charges,,,990.61,percent of total billed charges,,,990.61,percent of total billed charges,,,990.61,percent of total billed charges,,,990.61,percent of total billed charges,,,990.61,percent of total billed charges,,,990.61,percent of total billed charges,,,990.61,percent of total billed charges,,,990.61,percent of total billed charges,,,990.61,percent of total billed charges,,,990.61,percent of total billed charges,
"ANTITHROMBIN AG, QUANT",85301,CDM,,,,both,,,272,272,62.56,272,272,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,214.88,percent of total billed charges,214.88,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 ,214.88,percent of total billed charges ,214.88,percent of total billed charges ,231.2,percent of total billed charges ,231.2,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 ,,,,,,,,,,,,,,,,,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,
DHR NEUTROPHIL OXIDATIVE BURST,86352,CDM,,,,both,,,667,667,153.41,667,667,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,526.93,percent of total billed charges,526.93,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 ,526.93,percent of total billed charges ,526.93,percent of total billed charges ,566.95,percent of total billed charges ,566.95,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 ,,,,,,,,,,,,,,,,,,,153.41,percent of total billed charges,,,153.41,percent of total billed charges,,,153.41,percent of total billed charges,,,153.41,percent of total billed charges,,,153.41,percent of total billed charges,,,153.41,percent of total billed charges,,,153.41,percent of total billed charges,,,153.41,percent of total billed charges,,,153.41,percent of total billed charges,,,153.41,percent of total billed charges,,,153.41,percent of total billed charges,
BK VIRUS PCR QT PLASMA,87798,CDM,,,,both,,,330,330,75.9,330,330,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,260.7,percent of total billed charges,260.7,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 ,260.7,percent of total billed charges ,260.7,percent of total billed charges ,280.5,percent of total billed charges ,280.5,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 ,,,,,,,,,,,,,,,,,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,
ALPHA1 ANTITRYPSIN FECAL,82103,CDM,,,,both,,,205,205,47.15,205,205,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,161.95,percent of total billed charges,161.95,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 ,161.95,percent of total billed charges ,161.95,percent of total billed charges ,174.25,percent of total billed charges ,174.25,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 ,,,,,,,,,,,,,,,,,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,
"SODIUM, FECAL",84302,CDM,,,,both,,,99,99,22.77,99,99,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,78.21,percent of total billed charges,78.21,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 ,78.21,percent of total billed charges ,78.21,percent of total billed charges ,84.15,percent of total billed charges ,84.15,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 ,,,,,,,,,,,,,,,,,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,
POTASSIUM  FECAL,84133,CDM,,,,both,,,116,116,26.68,116,116,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,91.64,percent of total billed charges,91.64,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 ,91.64,percent of total billed charges ,91.64,percent of total billed charges ,98.6,percent of total billed charges ,98.6,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 ,,,,,,,,,,,,,,,,,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,
"CHLORIDE,  FECAL",82438,CDM,,,,both,,,113,113,25.99,113,113,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,89.27,percent of total billed charges,89.27,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 ,89.27,percent of total billed charges ,89.27,percent of total billed charges ,96.05,percent of total billed charges ,96.05,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 ,,,,,,,,,,,,,,,,,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,
"BUPRENORPHINE, QT URINE",80348,CDM,,,,both,,,86,86,19.78,86,86,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,67.94,percent of total billed charges,67.94,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 ,67.94,percent of total billed charges ,67.94,percent of total billed charges ,73.1,percent of total billed charges ,73.1,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
CMV PCR QL SALIVA,87496,CDM,,,,both,,,377,377,86.71,377,377,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,297.83,percent of total billed charges,297.83,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 ,297.83,percent of total billed charges ,297.83,percent of total billed charges ,320.45,percent of total billed charges ,320.45,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 ,,,,,,,,,,,,,,,,,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,
"INDICANS, QUAL UR",81005,CDM,,,,both,,,77,77,17.71,77,77,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,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,60.83,percent of total billed charges,60.83,percent of total billed charges,61.6,percent of total billed charges,61.6,percent of total billed charges,,,55.44,percent of total billed charges ,,,61.6,percent of total billed charges ,60.83,percent of total billed charges ,60.83,percent of total billed charges ,65.45,percent of total billed charges ,65.45,percent of total billed charges ,61.6,percent of total billed charges ,61.6,percent of total billed charges ,53.9,percent of total billed charges ,53.9,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 ,,,,,40.96,percent of total billed charges ,,,,,38.92,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,,,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,
NIACIN,84591,CDM,,,,both,,,223,223,51.29,223,223,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,176.17,percent of total billed charges,176.17,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 ,176.17,percent of total billed charges ,176.17,percent of total billed charges ,189.55,percent of total billed charges ,189.55,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 ,,,,,,,,,,,,,,,,,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,
MUMPS VIRUS CULTURE INOC,87252,CDM,,,,both,,,374,374,86.02,374,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,269.28,percent of total billed charges,269.28,percent of total billed charges,269.28,percent of total billed charges,269.28,percent of total billed charges,269.28,percent of total billed charges,269.28,percent of total billed charges,295.46,percent of total billed charges,295.46,percent of total billed charges,299.2,percent of total billed charges,299.2,percent of total billed charges,,,269.28,percent of total billed charges ,,,299.2,percent of total billed charges ,295.46,percent of total billed charges ,295.46,percent of total billed charges ,317.9,percent of total billed charges ,317.9,percent of total billed charges ,299.2,percent of total billed charges ,299.2,percent of total billed charges ,261.8,percent of total billed charges ,261.8,percent of total billed charges ,224.4,percent of total billed charges ,224.4,percent of total billed charges ,224.4,percent of total billed charges ,224.4,percent of total billed charges ,,,,,198.97,percent of total billed charges ,,,,,189.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,
MUMPS VIRUS SHELL VIAL,87254,CDM,,,,both,,,232,232,53.36,232,232,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,183.28,percent of total billed charges,183.28,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 ,183.28,percent of total billed charges ,183.28,percent of total billed charges ,197.2,percent of total billed charges ,197.2,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 ,,,,,,,,,,,,,,,,,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,
OROTIC ACID,83921,CDM,,,,both,,,314,314,72.22,314,314,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,248.06,percent of total billed charges,248.06,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 ,248.06,percent of total billed charges ,248.06,percent of total billed charges ,266.9,percent of total billed charges ,266.9,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 ,,,,,,,,,,,,,,,,,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,
OROTIDINE,83921,CDM,,,,both,,,314,314,72.22,314,314,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,248.06,percent of total billed charges,248.06,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 ,248.06,percent of total billed charges ,248.06,percent of total billed charges ,266.9,percent of total billed charges ,266.9,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 ,,,,,,,,,,,,,,,,,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,,,72.22,percent of total billed charges,
.pANCA (IBD),88346,CDM,,,26,both,,,406,406,93.38,406,406,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,320.74,percent of total billed charges,320.74,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 ,320.74,percent of total billed charges ,320.74,percent of total billed charges ,345.1,percent of total billed charges ,345.1,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 ,,,,,,,,,,,,,,,,,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,
.DNASE SENS (IBD),88350,CDM,,,,both,,,920,920,211.6,920,920,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,726.8,percent of total billed charges,726.8,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 ,726.8,percent of total billed charges ,726.8,percent of total billed charges ,782,percent of total billed charges ,782,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 ,,,,,,,,,,,,,,,,,,,211.6,percent of total billed charges,,,211.6,percent of total billed charges,,,211.6,percent of total billed charges,,,211.6,percent of total billed charges,,,211.6,percent of total billed charges,,,211.6,percent of total billed charges,,,211.6,percent of total billed charges,,,211.6,percent of total billed charges,,,211.6,percent of total billed charges,,,211.6,percent of total billed charges,,,211.6,percent of total billed charges,
.pANCA (CROHNS),88346,CDM,,,26,both,,,406,406,93.38,406,406,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,320.74,percent of total billed charges,320.74,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 ,320.74,percent of total billed charges ,320.74,percent of total billed charges ,345.1,percent of total billed charges ,345.1,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 ,,,,,,,,,,,,,,,,,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,
.DNASE SENS (CHRONS),88350,CDM,,,,both,,,920,920,211.6,920,920,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,726.8,percent of total billed charges,726.8,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 ,726.8,percent of total billed charges ,726.8,percent of total billed charges ,782,percent of total billed charges ,782,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 ,,,,,,,,,,,,,,,,,,,211.6,percent of total billed charges,,,211.6,percent of total billed charges,,,211.6,percent of total billed charges,,,211.6,percent of total billed charges,,,211.6,percent of total billed charges,,,211.6,percent of total billed charges,,,211.6,percent of total billed charges,,,211.6,percent of total billed charges,,,211.6,percent of total billed charges,,,211.6,percent of total billed charges,,,211.6,percent of total billed charges,
.HPLC QNT (TPMT),82542,CDM,,,,both,,,269,269,61.87,269,269,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,212.51,percent of total billed charges,212.51,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 ,212.51,percent of total billed charges ,212.51,percent of total billed charges ,228.65,percent of total billed charges ,228.65,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,61.87,percent of total billed charges,,,61.87,percent of total billed charges,,,61.87,percent of total billed charges,
.HPLC 6-TGN,82542,CDM,,,,both,,,298,298,68.54,298,298,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,235.42,percent of total billed charges,235.42,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 ,235.42,percent of total billed charges ,235.42,percent of total billed charges ,253.3,percent of total billed charges ,253.3,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 ,,,,,,,,,,,,,,,,,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,
.HPLC 6-MMPN,82542,CDM,,,,both,,,298,298,68.54,298,298,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,235.42,percent of total billed charges,235.42,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 ,235.42,percent of total billed charges ,235.42,percent of total billed charges ,253.3,percent of total billed charges ,253.3,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 ,,,,,,,,,,,,,,,,,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,
ANTI MITOCHONDRIAL ANTIBODY,86255,CDM,,,,both,,,200,200,46,200,200,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,158,percent of total billed charges,158,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 ,158,percent of total billed charges ,158,percent of total billed charges ,170,percent of total billed charges ,170,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 ,,,,,,,,,,,,,,,,,,,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,,,46,percent of total billed charges,,,46,percent of total billed charges,,,46,percent of total billed charges,
BRAF V600E,81210,CDM,,,,both,,,"1,274.00","1,274.00",293.02,"1,274.00","1,274.00",percent of total billed charges,"1,274.00",percent of total billed charges,"1,274.00",percent of total billed charges,"1,274.00",percent of total billed charges,"1,274.00",percent of total billed charges,"1,274.00",percent of total billed charges,"1,274.00",percent of total billed charges,"1,274.00",percent of total billed charges,917.28,percent of total billed charges,917.28,percent of total billed charges,917.28,percent of total billed charges,917.28,percent of total billed charges,917.28,percent of total billed charges,917.28,percent of total billed charges,"1,006.46",percent of total billed charges,"1,006.46",percent of total billed charges,"1,019.20",percent of total billed charges,"1,019.20",percent of total billed charges,,,917.28,percent of total billed charges ,,,"1,019.20",percent of total billed charges ,"1,006.46",percent of total billed charges ,"1,006.46",percent of total billed charges ,"1,082.90",percent of total billed charges ,"1,082.90",percent of total billed charges ,"1,019.20",percent of total billed charges ,"1,019.20",percent of total billed charges ,891.8,percent of total billed charges ,891.8,percent of total billed charges ,764.4,percent of total billed charges ,764.4,percent of total billed charges ,764.4,percent of total billed charges ,764.4,percent of total billed charges ,,,,,677.77,percent of total billed charges ,,,,,643.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,293.02,percent of total billed charges,,,293.02,percent of total billed charges,,,293.02,percent of total billed charges,,,293.02,percent of total billed charges,,,293.02,percent of total billed charges,,,293.02,percent of total billed charges,,,293.02,percent of total billed charges,,,293.02,percent of total billed charges,,,293.02,percent of total billed charges,,,293.02,percent of total billed charges,,,293.02,percent of total billed charges,
"MAGNESIUM, RBC",83735,CDM,,,,both,,,276,276,63.48,276,276,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,218.04,percent of total billed charges,218.04,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 ,218.04,percent of total billed charges ,218.04,percent of total billed charges ,234.6,percent of total billed charges ,234.6,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 ,,,,,,,,,,,,,,,,,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,
.VIRUS CULTURE ADDL,87253,CDM,,,,both,,,227,227,52.21,227,227,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,179.33,percent of total billed charges,179.33,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 ,179.33,percent of total billed charges ,179.33,percent of total billed charges ,192.95,percent of total billed charges ,192.95,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 ,,,,,,,,,,,,,,,,,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,
.BETA LACTAMASE,87185,CDM,,,,both,,,85,85,19.55,85,85,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,67.15,percent of total billed charges,67.15,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 ,67.15,percent of total billed charges ,67.15,percent of total billed charges ,72.25,percent of total billed charges ,72.25,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 ,,,,,,,,,,,,,,,,,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,,,19.55,percent of total billed charges,
ESTROGEN TOTAL,82672,CDM,,,,both,,,841,841,193.43,841,841,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,664.39,percent of total billed charges,664.39,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 ,664.39,percent of total billed charges ,664.39,percent of total billed charges ,714.85,percent of total billed charges ,714.85,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 ,,,,,,,,,,,,,,,,,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,,,193.43,percent of total billed charges,
.HLA-DQA1 (C+),81382,CDM,,,,both,,,961,961,221.03,961,961,percent of total billed charges,961,percent of total billed charges,961,percent of total billed charges,961,percent of total billed charges,961,percent of total billed charges,961,percent of total billed charges,961,percent of total billed charges,961,percent of total billed charges,691.92,percent of total billed charges,691.92,percent of total billed charges,691.92,percent of total billed charges,691.92,percent of total billed charges,691.92,percent of total billed charges,691.92,percent of total billed charges,759.19,percent of total billed charges,759.19,percent of total billed charges,768.8,percent of total billed charges,768.8,percent of total billed charges,,,691.92,percent of total billed charges ,,,768.8,percent of total billed charges ,759.19,percent of total billed charges ,759.19,percent of total billed charges ,816.85,percent of total billed charges ,816.85,percent of total billed charges ,768.8,percent of total billed charges ,768.8,percent of total billed charges ,672.7,percent of total billed charges ,672.7,percent of total billed charges ,576.6,percent of total billed charges ,576.6,percent of total billed charges ,576.6,percent of total billed charges ,576.6,percent of total billed charges ,,,,,511.25,percent of total billed charges ,,,,,485.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,221.03,percent of total billed charges,,,221.03,percent of total billed charges,,,221.03,percent of total billed charges,,,221.03,percent of total billed charges,,,221.03,percent of total billed charges,,,221.03,percent of total billed charges,,,221.03,percent of total billed charges,,,221.03,percent of total billed charges,,,221.03,percent of total billed charges,,,221.03,percent of total billed charges,,,221.03,percent of total billed charges,
.ANTI-EMA IGA,88346,CDM,,,26,both,,,406,406,93.38,406,406,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,320.74,percent of total billed charges,320.74,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 ,320.74,percent of total billed charges ,320.74,percent of total billed charges ,345.1,percent of total billed charges ,345.1,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 ,,,,,,,,,,,,,,,,,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,,,93.38,percent of total billed charges,
DRUG CONFIRMATION-PCP,83992,CDM,,,,both,,,186,186,42.78,186,186,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,146.94,percent of total billed charges,146.94,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 ,146.94,percent of total billed charges ,146.94,percent of total billed charges ,158.1,percent of total billed charges ,158.1,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 ,,,,,,,,,,,,,,,,,,,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,
HPV AMPLIFIED PROBE,87624,CDM,,,,both,,,322,322,74.06,322,322,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,254.38,percent of total billed charges,254.38,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 ,254.38,percent of total billed charges ,254.38,percent of total billed charges ,273.7,percent of total billed charges ,273.7,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 ,,,,,,,,,,,,,,,,,,,74.06,percent of total billed charges,,,74.06,percent of total billed charges,,,74.06,percent of total billed charges,,,74.06,percent of total billed charges,,,74.06,percent of total billed charges,,,74.06,percent of total billed charges,,,74.06,percent of total billed charges,,,74.06,percent of total billed charges,,,74.06,percent of total billed charges,,,74.06,percent of total billed charges,,,74.06,percent of total billed charges,
OXYCODONE CONFIRMATION,80365,CDM,,,,both,,,110,110,25.3,110,110,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,86.9,percent of total billed charges,86.9,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 ,86.9,percent of total billed charges ,86.9,percent of total billed charges ,93.5,percent of total billed charges ,93.5,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 ,,,,,,,,,,,,,,,,,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,
K1F6,81479,CDM,,,,both,,,723,723,166.29,723,723,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,571.17,percent of total billed charges,571.17,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 ,571.17,percent of total billed charges ,571.17,percent of total billed charges ,614.55,percent of total billed charges ,614.55,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 ,,,,,,,,,,,,,,,,,,,166.29,percent of total billed charges,,,166.29,percent of total billed charges,,,166.29,percent of total billed charges,,,166.29,percent of total billed charges,,,166.29,percent of total billed charges,,,166.29,percent of total billed charges,,,166.29,percent of total billed charges,,,166.29,percent of total billed charges,,,166.29,percent of total billed charges,,,166.29,percent of total billed charges,,,166.29,percent of total billed charges,
9P21,81479,CDM,,,,both,,,723,723,166.29,723,723,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,571.17,percent of total billed charges,571.17,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 ,571.17,percent of total billed charges ,571.17,percent of total billed charges ,614.55,percent of total billed charges ,614.55,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 ,,,,,,,,,,,,,,,,,,,166.29,percent of total billed charges,,,166.29,percent of total billed charges,,,166.29,percent of total billed charges,,,166.29,percent of total billed charges,,,166.29,percent of total billed charges,,,166.29,percent of total billed charges,,,166.29,percent of total billed charges,,,166.29,percent of total billed charges,,,166.29,percent of total billed charges,,,166.29,percent of total billed charges,,,166.29,percent of total billed charges,
LIPOPROTEIN FRACTIONATION,82172,CDM,,,91,both,,,133,133,30.59,133,133,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,105.07,percent of total billed charges,105.07,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 ,105.07,percent of total billed charges ,105.07,percent of total billed charges ,113.05,percent of total billed charges ,113.05,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 ,,,,,,,,,,,,,,,,,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,,,30.59,percent of total billed charges,
CARDIO IQ R MYELOPEROXIDASE,83876,CDM,,,,both,,,258,258,59.34,258,258,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,203.82,percent of total billed charges,203.82,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 ,203.82,percent of total billed charges ,203.82,percent of total billed charges ,219.3,percent of total billed charges ,219.3,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 ,,,,,,,,,,,,,,,,,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,
"PROBNP,N-TERMINAL",83880,CDM,,,,both,,,422,422,97.06,422,422,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,333.38,percent of total billed charges,333.38,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 ,333.38,percent of total billed charges ,333.38,percent of total billed charges ,358.7,percent of total billed charges ,358.7,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 ,,,,,,,,,,,,,,,,,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,
.PENTA AFP,82105,CDM,,,,both,,,293,293,67.39,293,293,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,231.47,percent of total billed charges,231.47,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 ,231.47,percent of total billed charges ,231.47,percent of total billed charges ,249.05,percent of total billed charges ,249.05,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 ,,,,,,,,,,,,,,,,,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,
.PENTA ITA,82397,CDM,,,,both,,,239,239,54.97,239,239,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,188.81,percent of total billed charges,188.81,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 ,188.81,percent of total billed charges ,188.81,percent of total billed charges ,203.15,percent of total billed charges ,203.15,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 ,,,,,,,,,,,,,,,,,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,
.PENTA ESTRIOL,82677,CDM,,,,both,,,250,250,57.5,250,250,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,197.5,percent of total billed charges,197.5,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 ,197.5,percent of total billed charges ,197.5,percent of total billed charges ,212.5,percent of total billed charges ,212.5,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 ,,,,,,,,,,,,,,,,,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,,,57.5,percent of total billed charges,
.PENTA HCG,84702,CDM,,,,both,,,388,388,89.24,388,388,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,306.52,percent of total billed charges,306.52,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 ,306.52,percent of total billed charges ,306.52,percent of total billed charges ,329.8,percent of total billed charges ,329.8,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 ,,,,,,,,,,,,,,,,,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,,,89.24,percent of total billed charges,
.PENTA INHIBIN A,86336,CDM,,,,both,,,243,243,55.89,243,243,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,191.97,percent of total billed charges,191.97,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 ,191.97,percent of total billed charges ,191.97,percent of total billed charges ,206.55,percent of total billed charges ,206.55,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 ,,,,,,,,,,,,,,,,,,,55.89,percent of total billed charges,,,55.89,percent of total billed charges,,,55.89,percent of total billed charges,,,55.89,percent of total billed charges,,,55.89,percent of total billed charges,,,55.89,percent of total billed charges,,,55.89,percent of total billed charges,,,55.89,percent of total billed charges,,,55.89,percent of total billed charges,,,55.89,percent of total billed charges,,,55.89,percent of total billed charges,
NMDA RECEPTOR AB IGG,86255,CDM,,,,both,,,631,631,145.13,631,631,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,498.49,percent of total billed charges,498.49,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 ,498.49,percent of total billed charges ,498.49,percent of total billed charges ,536.35,percent of total billed charges ,536.35,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 ,,,,,,,,,,,,,,,,,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,
.HLA-DQB1,81382,CDM,,,,both,,,961,961,221.03,961,961,percent of total billed charges,961,percent of total billed charges,961,percent of total billed charges,961,percent of total billed charges,961,percent of total billed charges,961,percent of total billed charges,961,percent of total billed charges,961,percent of total billed charges,691.92,percent of total billed charges,691.92,percent of total billed charges,691.92,percent of total billed charges,691.92,percent of total billed charges,691.92,percent of total billed charges,691.92,percent of total billed charges,759.19,percent of total billed charges,759.19,percent of total billed charges,768.8,percent of total billed charges,768.8,percent of total billed charges,,,691.92,percent of total billed charges ,,,768.8,percent of total billed charges ,759.19,percent of total billed charges ,759.19,percent of total billed charges ,816.85,percent of total billed charges ,816.85,percent of total billed charges ,768.8,percent of total billed charges ,768.8,percent of total billed charges ,672.7,percent of total billed charges ,672.7,percent of total billed charges ,576.6,percent of total billed charges ,576.6,percent of total billed charges ,576.6,percent of total billed charges ,576.6,percent of total billed charges ,,,,,511.25,percent of total billed charges ,,,,,485.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,221.03,percent of total billed charges,,,221.03,percent of total billed charges,,,221.03,percent of total billed charges,,,221.03,percent of total billed charges,,,221.03,percent of total billed charges,,,221.03,percent of total billed charges,,,221.03,percent of total billed charges,,,221.03,percent of total billed charges,,,221.03,percent of total billed charges,,,221.03,percent of total billed charges,,,221.03,percent of total billed charges,
BABESIA IGG,86753,CDM,,,,both,,,159,159,36.57,159,159,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,125.61,percent of total billed charges,125.61,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 ,125.61,percent of total billed charges ,125.61,percent of total billed charges ,135.15,percent of total billed charges ,135.15,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,36.57,percent of total billed charges,,,36.57,percent of total billed charges,,,36.57,percent of total billed charges,
BABESIA IGM,86753,CDM,,,,both,,,159,159,36.57,159,159,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,125.61,percent of total billed charges,125.61,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 ,125.61,percent of total billed charges ,125.61,percent of total billed charges ,135.15,percent of total billed charges ,135.15,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,36.57,percent of total billed charges,,,36.57,percent of total billed charges,,,36.57,percent of total billed charges,
POLIOVIRUS ANTIBODY,86653,CDM,,,,both,,,145,145,33.35,145,145,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,114.55,percent of total billed charges,114.55,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 ,114.55,percent of total billed charges ,114.55,percent of total billed charges ,123.25,percent of total billed charges ,123.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,33.35,percent of total billed charges,,,33.35,percent of total billed charges,,,33.35,percent of total billed charges,
MDMA CONFIRMATION,80359,CDM,,,,both,,,394,394,90.62,394,394,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,311.26,percent of total billed charges,311.26,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 ,311.26,percent of total billed charges ,311.26,percent of total billed charges ,334.9,percent of total billed charges ,334.9,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 ,,,,,,,,,,,,,,,,,,,90.62,percent of total billed charges,,,90.62,percent of total billed charges,,,90.62,percent of total billed charges,,,90.62,percent of total billed charges,,,90.62,percent of total billed charges,,,90.62,percent of total billed charges,,,90.62,percent of total billed charges,,,90.62,percent of total billed charges,,,90.62,percent of total billed charges,,,90.62,percent of total billed charges,,,90.62,percent of total billed charges,
THC CONFIRMATION,80349,CDM,,,,both,,,249,249,57.27,249,249,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,196.71,percent of total billed charges,196.71,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 ,196.71,percent of total billed charges ,196.71,percent of total billed charges ,211.65,percent of total billed charges ,211.65,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 ,,,,,,,,,,,,,,,,,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,
.VIRUS AB NOS,86790,CDM,,,,both,,,224,224,51.52,224,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,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,176.96,percent of total billed charges,176.96,percent of total billed charges,179.2,percent of total billed charges,179.2,percent of total billed charges,,,161.28,percent of total billed charges ,,,179.2,percent of total billed charges ,176.96,percent of total billed charges ,176.96,percent of total billed charges ,190.4,percent of total billed charges ,190.4,percent of total billed charges ,179.2,percent of total billed charges ,179.2,percent of total billed charges ,156.8,percent of total billed charges ,156.8,percent of total billed charges ,134.4,percent of total billed charges ,134.4,percent of total billed charges ,134.4,percent of total billed charges ,134.4,percent of total billed charges ,,,,,119.17,percent of total billed charges ,,,,,113.21,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,
NRAS ONKOSIGHT,81404,CDM,,,,both,,,"1,482.00","1,482.00",340.86,"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,"1,170.78",percent of total billed charges,"1,170.78",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 ,"1,170.78",percent of total billed charges ,"1,170.78",percent of total billed charges ,"1,259.70",percent of total billed charges ,"1,259.70",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 ,,,,,,,,,,,,,,,,,,,340.86,percent of total billed charges,,,340.86,percent of total billed charges,,,340.86,percent of total billed charges,,,340.86,percent of total billed charges,,,340.86,percent of total billed charges,,,340.86,percent of total billed charges,,,340.86,percent of total billed charges,,,340.86,percent of total billed charges,,,340.86,percent of total billed charges,,,340.86,percent of total billed charges,,,340.86,percent of total billed charges,
PIK3CA ONKOSIGHT,81404,CDM,,,,both,,,"1,482.00","1,482.00",340.86,"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,"1,170.78",percent of total billed charges,"1,170.78",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 ,"1,170.78",percent of total billed charges ,"1,170.78",percent of total billed charges ,"1,259.70",percent of total billed charges ,"1,259.70",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 ,,,,,,,,,,,,,,,,,,,340.86,percent of total billed charges,,,340.86,percent of total billed charges,,,340.86,percent of total billed charges,,,340.86,percent of total billed charges,,,340.86,percent of total billed charges,,,340.86,percent of total billed charges,,,340.86,percent of total billed charges,,,340.86,percent of total billed charges,,,340.86,percent of total billed charges,,,340.86,percent of total billed charges,,,340.86,percent of total billed charges,
KRAS ONKOSIGHT,81275,CDM,,,,both,,,"1,244.00","1,244.00",286.12,"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,982.76,percent of total billed charges,982.76,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 ,982.76,percent of total billed charges ,982.76,percent of total billed charges ,"1,057.40",percent of total billed charges ,"1,057.40",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 ,,,,,,,,,,,,,,,,,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,,,286.12,percent of total billed charges,
KRAS ONKOSIGHT L4,81403,CDM,,,,both,,,"1,036.00","1,036.00",238.28,"1,036.00","1,036.00",percent of total billed charges,"1,036.00",percent of total billed charges,"1,036.00",percent of total billed charges,"1,036.00",percent of total billed charges,"1,036.00",percent of total billed charges,"1,036.00",percent of total billed charges,"1,036.00",percent of total billed charges,"1,036.00",percent of total billed charges,745.92,percent of total billed charges,745.92,percent of total billed charges,745.92,percent of total billed charges,745.92,percent of total billed charges,745.92,percent of total billed charges,745.92,percent of total billed charges,818.44,percent of total billed charges,818.44,percent of total billed charges,828.8,percent of total billed charges,828.8,percent of total billed charges,,,745.92,percent of total billed charges ,,,828.8,percent of total billed charges ,818.44,percent of total billed charges ,818.44,percent of total billed charges ,880.6,percent of total billed charges ,880.6,percent of total billed charges ,828.8,percent of total billed charges ,828.8,percent of total billed charges ,725.2,percent of total billed charges ,725.2,percent of total billed charges ,621.6,percent of total billed charges ,621.6,percent of total billed charges ,621.6,percent of total billed charges ,621.6,percent of total billed charges ,,,,,551.15,percent of total billed charges ,,,,,523.59,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,
.BCR MAJOR BP,81206,CDM,,,,both,,,367,367,84.41,367,367,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,289.93,percent of total billed charges,289.93,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 ,289.93,percent of total billed charges ,289.93,percent of total billed charges ,311.95,percent of total billed charges ,311.95,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 ,,,,,,,,,,,,,,,,,,,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,,,84.41,percent of total billed charges,,,84.41,percent of total billed charges,,,84.41,percent of total billed charges,
.BCR MINOR BP,81207,CDM,,,,both,,,325,325,74.75,325,325,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,256.75,percent of total billed charges,256.75,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 ,256.75,percent of total billed charges ,256.75,percent of total billed charges ,276.25,percent of total billed charges ,276.25,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 ,,,,,,,,,,,,,,,,,,,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,
"TCA, URINE",80307,CDM,,,,both,,,240,240,55.2,240,240,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,189.6,percent of total billed charges,189.6,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 ,189.6,percent of total billed charges ,189.6,percent of total billed charges ,204,percent of total billed charges ,204,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,55.2,percent of total billed charges,,,55.2,percent of total billed charges,,,55.2,percent of total billed charges,
ACADVL GENE SEQ MP1,81406,CDM,,,,both,,,"3,449.00","3,449.00",793.27,"3,449.00","3,449.00",percent of total billed charges,"3,449.00",percent of total billed charges,"3,449.00",percent of total billed charges,"3,449.00",percent of total billed charges,"3,449.00",percent of total billed charges,"3,449.00",percent of total billed charges,"3,449.00",percent of total billed charges,"3,449.00",percent of total billed charges,"2,483.28",percent of total billed charges,"2,483.28",percent of total billed charges,"2,483.28",percent of total billed charges,"2,483.28",percent of total billed charges,"2,483.28",percent of total billed charges,"2,483.28",percent of total billed charges,"2,724.71",percent of total billed charges,"2,724.71",percent of total billed charges,"2,759.20",percent of total billed charges,"2,759.20",percent of total billed charges,,,"2,483.28",percent of total billed charges ,,,"2,759.20",percent of total billed charges ,"2,724.71",percent of total billed charges ,"2,724.71",percent of total billed charges ,"2,931.65",percent of total billed charges ,"2,931.65",percent of total billed charges ,"2,759.20",percent of total billed charges ,"2,759.20",percent of total billed charges ,"2,414.30",percent of total billed charges ,"2,414.30",percent of total billed charges ,"2,069.40",percent of total billed charges ,"2,069.40",percent of total billed charges ,"2,069.40",percent of total billed charges ,"2,069.40",percent of total billed charges ,,,,,"1,834.87",percent of total billed charges ,,,,,"1,743.12",percent of total billed charges ,,,,,,,,,,,,,,,,,,,793.27,percent of total billed charges,,,793.27,percent of total billed charges,,,793.27,percent of total billed charges,,,793.27,percent of total billed charges,,,793.27,percent of total billed charges,,,793.27,percent of total billed charges,,,793.27,percent of total billed charges,,,793.27,percent of total billed charges,,,793.27,percent of total billed charges,,,793.27,percent of total billed charges,,,793.27,percent of total billed charges,
ACADVL GENE SEQ,81479,CDM,,,,both,,,723,723,166.29,723,723,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,571.17,percent of total billed charges,571.17,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 ,571.17,percent of total billed charges ,571.17,percent of total billed charges ,614.55,percent of total billed charges ,614.55,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 ,,,,,,,,,,,,,,,,,,,166.29,percent of total billed charges,,,166.29,percent of total billed charges,,,166.29,percent of total billed charges,,,166.29,percent of total billed charges,,,166.29,percent of total billed charges,,,166.29,percent of total billed charges,,,166.29,percent of total billed charges,,,166.29,percent of total billed charges,,,166.29,percent of total billed charges,,,166.29,percent of total billed charges,,,166.29,percent of total billed charges,
DIHYDROTESTOSTERONE,82542,CDM,,,,both,,,298,298,68.54,298,298,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,235.42,percent of total billed charges,235.42,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 ,235.42,percent of total billed charges ,235.42,percent of total billed charges ,253.3,percent of total billed charges ,253.3,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 ,,,,,,,,,,,,,,,,,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,
RIBOSOME P ANTIBODIES,83516,CDM,,,,both,,,208,208,47.84,208,208,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,164.32,percent of total billed charges,164.32,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 ,164.32,percent of total billed charges ,164.32,percent of total billed charges ,176.8,percent of total billed charges ,176.8,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 ,,,,,,,,,,,,,,,,,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,
METHYLENEDIOXAMPHETAMINE,80359,CDM,,,,both,,,394,394,90.62,394,394,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,311.26,percent of total billed charges,311.26,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 ,311.26,percent of total billed charges ,311.26,percent of total billed charges ,334.9,percent of total billed charges ,334.9,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 ,,,,,,,,,,,,,,,,,,,90.62,percent of total billed charges,,,90.62,percent of total billed charges,,,90.62,percent of total billed charges,,,90.62,percent of total billed charges,,,90.62,percent of total billed charges,,,90.62,percent of total billed charges,,,90.62,percent of total billed charges,,,90.62,percent of total billed charges,,,90.62,percent of total billed charges,,,90.62,percent of total billed charges,,,90.62,percent of total billed charges,
ALCOHOL URINE QNT,80320,CDM,,,,both,,,285,285,65.55,285,285,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,225.15,percent of total billed charges,225.15,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 ,225.15,percent of total billed charges ,225.15,percent of total billed charges ,242.25,percent of total billed charges ,242.25,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 ,,,,,,,,,,,,,,,,,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,
MDMA CONFIRMATION,80329,CDM,,,,both,,,80,80,18.4,80,80,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,63.2,percent of total billed charges,63.2,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 ,63.2,percent of total billed charges ,63.2,percent of total billed charges ,68,percent of total billed charges ,68,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 ,,,,,,,,,,,,,,,,,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,
ANTI-MULLERIAN HORMONE,83520,CDM,,,,both,,,225,225,51.75,225,225,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,177.75,percent of total billed charges,177.75,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 ,177.75,percent of total billed charges ,177.75,percent of total billed charges ,191.25,percent of total billed charges ,191.25,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 ,,,,,,,,,,,,,,,,,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,
MMC RPR WITH REFLEX,86592,CDM,,,,both,,,112,112,25.76,112,112,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,88.48,percent of total billed charges,88.48,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 ,88.48,percent of total billed charges ,88.48,percent of total billed charges ,95.2,percent of total billed charges ,95.2,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 ,,,,,,,,,,,,,,,,,,,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,
"CORTISOL, SALIVARY",82533,CDM,,,,both,,,276,276,63.48,276,276,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,218.04,percent of total billed charges,218.04,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 ,218.04,percent of total billed charges ,218.04,percent of total billed charges ,234.6,percent of total billed charges ,234.6,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 ,,,,,,,,,,,,,,,,,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,
AFB DNA PROBE,87149,CDM,,,,both,,,269,269,61.87,269,269,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,212.51,percent of total billed charges,212.51,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 ,212.51,percent of total billed charges ,212.51,percent of total billed charges ,228.65,percent of total billed charges ,228.65,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,61.87,percent of total billed charges,,,61.87,percent of total billed charges,,,61.87,percent of total billed charges,
AFB MALDI,87158,CDM,,,,both,,,172,172,39.56,172,172,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,135.88,percent of total billed charges,135.88,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 ,135.88,percent of total billed charges ,135.88,percent of total billed charges ,146.2,percent of total billed charges ,146.2,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 ,,,,,,,,,,,,,,,,,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,
AFB SUSCEPTIBILITY,87186,CDM,,,,both,,,189,189,43.47,189,189,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,149.31,percent of total billed charges,149.31,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 ,149.31,percent of total billed charges ,149.31,percent of total billed charges ,160.65,percent of total billed charges ,160.65,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 ,,,,,,,,,,,,,,,,,,,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,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,
PREGNENOLONE,84140,CDM,,,,both,,,222,222,51.06,222,222,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,175.38,percent of total billed charges,175.38,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 ,175.38,percent of total billed charges ,175.38,percent of total billed charges ,188.7,percent of total billed charges ,188.7,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
CDP CREATINE,82540,CDM,,,,both,,,121,121,27.83,121,121,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,95.59,percent of total billed charges,95.59,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 ,95.59,percent of total billed charges ,95.59,percent of total billed charges ,102.85,percent of total billed charges ,102.85,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,27.83,percent of total billed charges,,,27.83,percent of total billed charges,,,27.83,percent of total billed charges,
CDP-URINE CREATINE,82570,CDM,,,,both,,,119,119,27.37,119,119,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,94.01,percent of total billed charges,94.01,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 ,94.01,percent of total billed charges ,94.01,percent of total billed charges ,101.15,percent of total billed charges ,101.15,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 ,,,,,,,,,,,,,,,,,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,,,27.37,percent of total billed charges,
CDP- MASS SPEC,83789,CDM,,,,both,,,292,292,67.16,292,292,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,230.68,percent of total billed charges,230.68,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 ,230.68,percent of total billed charges ,230.68,percent of total billed charges ,248.2,percent of total billed charges ,248.2,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 ,,,,,,,,,,,,,,,,,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,
SRP MAGNESIUM,83735,CDM,,,,both,,,128,128,29.44,128,128,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,101.12,percent of total billed charges,101.12,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 ,101.12,percent of total billed charges ,101.12,percent of total billed charges ,108.8,percent of total billed charges ,108.8,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
SRP OXALATE,83945,CDM,,,,both,,,125,125,28.75,125,125,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,98.75,percent of total billed charges,98.75,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 ,98.75,percent of total billed charges ,98.75,percent of total billed charges ,106.25,percent of total billed charges ,106.25,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 ,,,,,,,,,,,,,,,,,,,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,,,28.75,percent of total billed charges,,,28.75,percent of total billed charges,,,28.75,percent of total billed charges,
SRP PH,83986,CDM,,,,both,,,75,75,17.25,75,75,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,59.25,percent of total billed charges,59.25,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 ,59.25,percent of total billed charges ,59.25,percent of total billed charges ,63.75,percent of total billed charges ,63.75,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 ,,,,,,,,,,,,,,,,,,,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,,,17.25,percent of total billed charges,,,17.25,percent of total billed charges,,,17.25,percent of total billed charges,
SRP UR PHOSPHATE,84105,CDM,,,,both,,,78,78,17.94,78,78,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,61.62,percent of total billed charges,61.62,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 ,61.62,percent of total billed charges ,61.62,percent of total billed charges ,66.3,percent of total billed charges ,66.3,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 ,,,,,,,,,,,,,,,,,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,
SRP UR POTASSIUM,84133,CDM,,,,both,,,93,93,21.39,93,93,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,73.47,percent of total billed charges,73.47,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 ,73.47,percent of total billed charges ,73.47,percent of total billed charges ,79.05,percent of total billed charges ,79.05,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 ,,,,,,,,,,,,,,,,,,,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,,,21.39,percent of total billed charges,,,21.39,percent of total billed charges,,,21.39,percent of total billed charges,
SRP UA SODIUM,84300,CDM,,,,both,,,99,99,22.77,99,99,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,78.21,percent of total billed charges,78.21,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 ,78.21,percent of total billed charges ,78.21,percent of total billed charges ,84.15,percent of total billed charges ,84.15,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 ,,,,,,,,,,,,,,,,,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,,,22.77,percent of total billed charges,
SRP UR SULFATE,84392,CDM,,,,both,,,57,57,13.11,57,57,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,45.03,percent of total billed charges,45.03,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 ,45.03,percent of total billed charges ,45.03,percent of total billed charges ,48.45,percent of total billed charges ,48.45,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 ,,,,,,,,,,,,,,,,,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,
SRP UR URIC ACID,84560,CDM,,,,both,,,83,83,19.09,83,83,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,65.57,percent of total billed charges,65.57,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 ,65.57,percent of total billed charges ,65.57,percent of total billed charges ,70.55,percent of total billed charges ,70.55,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 ,,,,,,,,,,,,,,,,,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,
.IBD FUNGUS AB,86671,CDM,,,,both,,,149,149,34.27,149,149,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,117.71,percent of total billed charges,117.71,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 ,117.71,percent of total billed charges ,117.71,percent of total billed charges ,126.65,percent of total billed charges ,126.65,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 ,,,,,,,,,,,,,,,,,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,
.IBD FLOURESCENT AB SCREEN,86255,CDM,,,,both,,,200,200,46,200,200,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,158,percent of total billed charges,158,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 ,158,percent of total billed charges ,158,percent of total billed charges ,170,percent of total billed charges ,170,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 ,,,,,,,,,,,,,,,,,,,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,,,46,percent of total billed charges,,,46,percent of total billed charges,,,46,percent of total billed charges,
CMV ANTIGENEMIA,87252,CDM,,,,both,,,292,292,67.16,292,292,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,230.68,percent of total billed charges,230.68,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 ,230.68,percent of total billed charges ,230.68,percent of total billed charges ,248.2,percent of total billed charges ,248.2,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 ,,,,,,,,,,,,,,,,,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,,,67.16,percent of total billed charges,
MECONIUM DRUG SCREEN,80307,CDM,,,,both,,,277,277,63.71,277,277,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,218.83,percent of total billed charges,218.83,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 ,218.83,percent of total billed charges ,218.83,percent of total billed charges ,235.45,percent of total billed charges ,235.45,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 ,,,,,,,,,,,,,,,,,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,,,63.71,percent of total billed charges,
.PSA TOTAL REF LAB,84153,CDM,,,,both,,,210,210,48.3,210,210,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,165.9,percent of total billed charges,165.9,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 ,165.9,percent of total billed charges ,165.9,percent of total billed charges ,178.5,percent of total billed charges ,178.5,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 ,,,,,,,,,,,,,,,,,,,48.3,percent of total billed charges,,,48.3,percent of total billed charges,,,48.3,percent of total billed charges,,,48.3,percent of total billed charges,,,48.3,percent of total billed charges,,,48.3,percent of total billed charges,,,48.3,percent of total billed charges,,,48.3,percent of total billed charges,,,48.3,percent of total billed charges,,,48.3,percent of total billed charges,,,48.3,percent of total billed charges,
.PSA FREE,84154,CDM,,,,both,,,174,174,40.02,174,174,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,137.46,percent of total billed charges,137.46,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 ,137.46,percent of total billed charges ,137.46,percent of total billed charges ,147.9,percent of total billed charges ,147.9,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
"IGG, PEAK",82784,CDM,,,,both,,,136,136,31.28,136,136,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,107.44,percent of total billed charges,107.44,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 ,107.44,percent of total billed charges ,107.44,percent of total billed charges ,115.6,percent of total billed charges ,115.6,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 ,,,,,,,,,,,,,,,,,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,
"IGG, TROUGH",82784,CDM,,,,both,,,136,136,31.28,136,136,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,107.44,percent of total billed charges,107.44,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 ,107.44,percent of total billed charges ,107.44,percent of total billed charges ,115.6,percent of total billed charges ,115.6,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 ,,,,,,,,,,,,,,,,,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,,,31.28,percent of total billed charges,
.NASH APOLIPORPROTEIN,82172,CDM,,,91,both,,,162,162,37.26,162,162,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,127.98,percent of total billed charges,127.98,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 ,127.98,percent of total billed charges ,127.98,percent of total billed charges ,137.7,percent of total billed charges ,137.7,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 ,,,,,,,,,,,,,,,,,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,
.NASH TBILIRUBIN,82247,CDM,,,,both,,,112,112,25.76,112,112,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,88.48,percent of total billed charges,88.48,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 ,88.48,percent of total billed charges ,88.48,percent of total billed charges ,95.2,percent of total billed charges ,95.2,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 ,,,,,,,,,,,,,,,,,,,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,
.NASH CHOLESTEROL,82465,CDM,,,,both,,,108,108,24.84,108,108,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,85.32,percent of total billed charges,85.32,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 ,85.32,percent of total billed charges ,85.32,percent of total billed charges ,91.8,percent of total billed charges ,91.8,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 ,,,,,,,,,,,,,,,,,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,,,24.84,percent of total billed charges,
.NASH GLUCOSE,82947,CDM,,,,both,,,98,98,22.54,98,98,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,77.42,percent of total billed charges,77.42,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 ,77.42,percent of total billed charges ,77.42,percent of total billed charges ,83.3,percent of total billed charges ,83.3,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 ,,,,,,,,,,,,,,,,,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,
.NASH GGT,82977,CDM,,,,both,,,146,146,33.58,146,146,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,115.34,percent of total billed charges,115.34,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 ,115.34,percent of total billed charges ,115.34,percent of total billed charges ,124.1,percent of total billed charges ,124.1,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 ,,,,,,,,,,,,,,,,,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,
.NASH HAPTOGLOBIN,83010,CDM,,,,both,,,205,205,47.15,205,205,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,161.95,percent of total billed charges,161.95,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 ,161.95,percent of total billed charges ,161.95,percent of total billed charges ,174.25,percent of total billed charges ,174.25,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 ,,,,,,,,,,,,,,,,,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,
.NASH NEPH NOS,83883,CDM,,,,both,,,200,200,46,200,200,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,158,percent of total billed charges,158,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 ,158,percent of total billed charges ,158,percent of total billed charges ,170,percent of total billed charges ,170,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 ,,,,,,,,,,,,,,,,,,,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,,,46,percent of total billed charges,,,46,percent of total billed charges,,,46,percent of total billed charges,
.NASH AST,84450,CDM,,,,both,,,113,113,25.99,113,113,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,89.27,percent of total billed charges,89.27,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 ,89.27,percent of total billed charges ,89.27,percent of total billed charges ,96.05,percent of total billed charges ,96.05,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 ,,,,,,,,,,,,,,,,,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,
.NASH ALT,84460,CDM,,,,both,,,112,112,25.76,112,112,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,88.48,percent of total billed charges,88.48,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 ,88.48,percent of total billed charges ,88.48,percent of total billed charges ,95.2,percent of total billed charges ,95.2,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 ,,,,,,,,,,,,,,,,,,,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,
.NASH TRIGLYCERIDES,84478,CDM,,,,both,,,131,131,30.13,131,131,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,103.49,percent of total billed charges,103.49,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 ,103.49,percent of total billed charges ,103.49,percent of total billed charges ,111.35,percent of total billed charges ,111.35,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 ,,,,,,,,,,,,,,,,,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,
AMOXAPINE & METABOLITE,80335,CDM,,,,both,,,402,402,92.46,402,402,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,317.58,percent of total billed charges,317.58,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 ,317.58,percent of total billed charges ,317.58,percent of total billed charges ,341.7,percent of total billed charges ,341.7,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 ,,,,,,,,,,,,,,,,,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,
"MMC VALPROIC ACID, TOTAL",80164,CDM,,,,both,,,224,224,51.52,224,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,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,176.96,percent of total billed charges,176.96,percent of total billed charges,179.2,percent of total billed charges,179.2,percent of total billed charges,,,161.28,percent of total billed charges ,,,179.2,percent of total billed charges ,176.96,percent of total billed charges ,176.96,percent of total billed charges ,190.4,percent of total billed charges ,190.4,percent of total billed charges ,179.2,percent of total billed charges ,179.2,percent of total billed charges ,156.8,percent of total billed charges ,156.8,percent of total billed charges ,134.4,percent of total billed charges ,134.4,percent of total billed charges ,134.4,percent of total billed charges ,134.4,percent of total billed charges ,,,,,119.17,percent of total billed charges ,,,,,113.21,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,
"MMC VALPROIC ACID, FREE",80165,CDM,,,,both,,,157,157,36.11,157,157,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,124.03,percent of total billed charges,124.03,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 ,124.03,percent of total billed charges ,124.03,percent of total billed charges ,133.45,percent of total billed charges ,133.45,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 ,,,,,,,,,,,,,,,,,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,
PNH (RBC & WBCS),86356,CDM,,,,both,,,236,236,54.28,236,236,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,186.44,percent of total billed charges,186.44,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 ,186.44,percent of total billed charges ,186.44,percent of total billed charges ,200.6,percent of total billed charges ,200.6,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 ,,,,,,,,,,,,,,,,,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,,,54.28,percent of total billed charges,
QUAD FETAL SCREEN,81511,CDM,,,,both,,,408,408,93.84,408,408,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,322.32,percent of total billed charges,322.32,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 ,322.32,percent of total billed charges ,322.32,percent of total billed charges ,346.8,percent of total billed charges ,346.8,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 ,,,,,,,,,,,,,,,,,,,93.84,percent of total billed charges,,,93.84,percent of total billed charges,,,93.84,percent of total billed charges,,,93.84,percent of total billed charges,,,93.84,percent of total billed charges,,,93.84,percent of total billed charges,,,93.84,percent of total billed charges,,,93.84,percent of total billed charges,,,93.84,percent of total billed charges,,,93.84,percent of total billed charges,,,93.84,percent of total billed charges,
.CHLAMYDIA PNEUM PCR,87486,CDM,,,,both,,,307,307,70.61,307,307,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,242.53,percent of total billed charges,242.53,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 ,242.53,percent of total billed charges ,242.53,percent of total billed charges ,260.95,percent of total billed charges ,260.95,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 ,,,,,,,,,,,,,,,,,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,
.ENTEROVIRUS PCR,87498,CDM,,,,both,,,468,468,107.64,468,468,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,369.72,percent of total billed charges,369.72,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 ,369.72,percent of total billed charges ,369.72,percent of total billed charges ,397.8,percent of total billed charges ,397.8,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 ,,,,,,,,,,,,,,,,,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,,,107.64,percent of total billed charges,
.MYCOPLASMA PNEUM PCR,87581,CDM,,,,both,,,308,308,70.84,308,308,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,243.32,percent of total billed charges,243.32,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 ,243.32,percent of total billed charges ,243.32,percent of total billed charges ,261.8,percent of total billed charges ,261.8,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 ,,,,,,,,,,,,,,,,,,,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,
.PARAINFLUENZA PCR,87631,CDM,,,,both,,,577,577,132.71,577,577,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,455.83,percent of total billed charges,455.83,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 ,455.83,percent of total billed charges ,455.83,percent of total billed charges ,490.45,percent of total billed charges ,490.45,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 ,,,,,,,,,,,,,,,,,,,132.71,percent of total billed charges,,,132.71,percent of total billed charges,,,132.71,percent of total billed charges,,,132.71,percent of total billed charges,,,132.71,percent of total billed charges,,,132.71,percent of total billed charges,,,132.71,percent of total billed charges,,,132.71,percent of total billed charges,,,132.71,percent of total billed charges,,,132.71,percent of total billed charges,,,132.71,percent of total billed charges,
.ADENOVIRUS PCR,87798,CDM,,,,both,,,330,330,75.9,330,330,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,260.7,percent of total billed charges,260.7,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 ,260.7,percent of total billed charges ,260.7,percent of total billed charges ,280.5,percent of total billed charges ,280.5,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 ,,,,,,,,,,,,,,,,,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,,,75.9,percent of total billed charges,
.METAPNEUMOVIRUS PCR,87798,CDM,,,,both,,,387,387,89.01,387,387,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,305.73,percent of total billed charges,305.73,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 ,305.73,percent of total billed charges ,305.73,percent of total billed charges ,328.95,percent of total billed charges ,328.95,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 ,,,,,,,,,,,,,,,,,,,89.01,percent of total billed charges,,,89.01,percent of total billed charges,,,89.01,percent of total billed charges,,,89.01,percent of total billed charges,,,89.01,percent of total billed charges,,,89.01,percent of total billed charges,,,89.01,percent of total billed charges,,,89.01,percent of total billed charges,,,89.01,percent of total billed charges,,,89.01,percent of total billed charges,,,89.01,percent of total billed charges,
EVEROLIMUS,80169,CDM,,,,both,,,317,317,72.91,317,317,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,250.43,percent of total billed charges,250.43,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 ,250.43,percent of total billed charges ,250.43,percent of total billed charges ,269.45,percent of total billed charges ,269.45,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 ,,,,,,,,,,,,,,,,,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,,,72.91,percent of total billed charges,
"GABAPENTIN, URINE",80355,CDM,,,,both,,,96,96,22.08,96,96,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,75.84,percent of total billed charges,75.84,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 ,75.84,percent of total billed charges ,75.84,percent of total billed charges ,81.6,percent of total billed charges ,81.6,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 ,,,,,,,,,,,,,,,,,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,
ANTI-DNASE B,86215,CDM,,,,both,,,135,135,31.05,135,135,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,106.65,percent of total billed charges,106.65,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 ,106.65,percent of total billed charges ,106.65,percent of total billed charges ,114.75,percent of total billed charges ,114.75,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 ,,,,,,,,,,,,,,,,,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,
.SRP UR CITRATE,82507,CDM,,,,both,,,208,208,47.84,208,208,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,164.32,percent of total billed charges,164.32,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 ,164.32,percent of total billed charges ,164.32,percent of total billed charges ,176.8,percent of total billed charges ,176.8,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 ,,,,,,,,,,,,,,,,,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,
.SRP UR AMMONIA,82140,CDM,,,,both,,,220,220,50.6,220,220,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,173.8,percent of total billed charges,173.8,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 ,173.8,percent of total billed charges ,173.8,percent of total billed charges ,187,percent of total billed charges ,187,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
.SRP UR POTASSIUM,84133,CDM,,,,both,,,93,93,21.39,93,93,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,73.47,percent of total billed charges,73.47,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 ,73.47,percent of total billed charges ,73.47,percent of total billed charges ,79.05,percent of total billed charges ,79.05,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 ,,,,,,,,,,,,,,,,,,,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,,,21.39,percent of total billed charges,,,21.39,percent of total billed charges,,,21.39,percent of total billed charges,
.SRP UR CREATININE,82570,CDM,,,,both,,,100,100,23,100,100,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,79,percent of total billed charges,79,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 ,79,percent of total billed charges ,79,percent of total billed charges ,85,percent of total billed charges ,85,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 ,,,,,,,,,,,,,,,,,,,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,,,23,percent of total billed charges,,,23,percent of total billed charges,,,23,percent of total billed charges,
.SRP UR URIC ACID,84560,CDM,,,,both,,,83,83,19.09,83,83,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,65.57,percent of total billed charges,65.57,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 ,65.57,percent of total billed charges ,65.57,percent of total billed charges ,70.55,percent of total billed charges ,70.55,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 ,,,,,,,,,,,,,,,,,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,
.SRP UR CALCIUM,82340,CDM,,,,both,,,98,98,22.54,98,98,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,77.42,percent of total billed charges,77.42,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 ,77.42,percent of total billed charges ,77.42,percent of total billed charges ,83.3,percent of total billed charges ,83.3,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 ,,,,,,,,,,,,,,,,,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,
"AMINO ACIDS 6 OR MORE, PLASMA",82139,CDM,,,,both,,,479,479,110.17,479,479,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,378.41,percent of total billed charges,378.41,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 ,378.41,percent of total billed charges ,378.41,percent of total billed charges ,407.15,percent of total billed charges ,407.15,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 ,,,,,,,,,,,,,,,,,,,110.17,percent of total billed charges,,,110.17,percent of total billed charges,,,110.17,percent of total billed charges,,,110.17,percent of total billed charges,,,110.17,percent of total billed charges,,,110.17,percent of total billed charges,,,110.17,percent of total billed charges,,,110.17,percent of total billed charges,,,110.17,percent of total billed charges,,,110.17,percent of total billed charges,,,110.17,percent of total billed charges,
.TOTAL PROTEIN-MMC,84155,CDM,,,,both,,,81,81,18.63,81,81,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,63.99,percent of total billed charges,63.99,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 ,63.99,percent of total billed charges ,63.99,percent of total billed charges ,68.85,percent of total billed charges ,68.85,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 ,,,,,,,,,,,,,,,,,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,,,18.63,percent of total billed charges,
CA 125-MMC,86304,CDM,,,,both,,,284,284,65.32,284,284,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,224.36,percent of total billed charges,224.36,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 ,224.36,percent of total billed charges ,224.36,percent of total billed charges ,241.4,percent of total billed charges ,241.4,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 ,,,,,,,,,,,,,,,,,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,
CA 15-3-MMC,86300,CDM,,,,both,,,212,212,48.76,212,212,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,167.48,percent of total billed charges,167.48,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 ,167.48,percent of total billed charges ,167.48,percent of total billed charges ,180.2,percent of total billed charges ,180.2,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 ,,,,,,,,,,,,,,,,,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,
MLH1 PROMOTER METHYLATION,81479,CDM,,,,both,,,710,710,163.3,710,710,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,560.9,percent of total billed charges,560.9,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 ,560.9,percent of total billed charges ,560.9,percent of total billed charges ,603.5,percent of total billed charges ,603.5,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 ,,,,,,,,,,,,,,,,,,,163.3,percent of total billed charges,,,163.3,percent of total billed charges,,,163.3,percent of total billed charges,,,163.3,percent of total billed charges,,,163.3,percent of total billed charges,,,163.3,percent of total billed charges,,,163.3,percent of total billed charges,,,163.3,percent of total billed charges,,,163.3,percent of total billed charges,,,163.3,percent of total billed charges,,,163.3,percent of total billed charges,
RPR TITER,86593,CDM,,,,both,,,129,129,29.67,129,129,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,101.91,percent of total billed charges,101.91,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 ,101.91,percent of total billed charges ,101.91,percent of total billed charges ,109.65,percent of total billed charges ,109.65,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 ,,,,,,,,,,,,,,,,,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,
CSF LYME DISEASE ANTIBODIES,86618,CDM,,,,both,,,200,200,46,200,200,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,158,percent of total billed charges,158,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 ,158,percent of total billed charges ,158,percent of total billed charges ,170,percent of total billed charges ,170,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 ,,,,,,,,,,,,,,,,,,,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,,,46,percent of total billed charges,,,46,percent of total billed charges,,,46,percent of total billed charges,
CSF CRYPTOCOCCAL ANTIGEN,86403,CDM,,,,both,,,163,163,37.49,163,163,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,128.77,percent of total billed charges,128.77,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 ,128.77,percent of total billed charges ,128.77,percent of total billed charges ,138.55,percent of total billed charges ,138.55,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 ,,,,,,,,,,,,,,,,,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,
CSF ACE,82164,CDM,,,,both,,,182,182,41.86,182,182,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,143.78,percent of total billed charges,143.78,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 ,143.78,percent of total billed charges ,143.78,percent of total billed charges ,154.7,percent of total billed charges ,154.7,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 ,,,,,,,,,,,,,,,,,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,
"OSMOTIC FRAGILITY, RBC",85555,CDM,,,,both,,,233,233,53.59,233,233,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,184.07,percent of total billed charges,184.07,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 ,184.07,percent of total billed charges ,184.07,percent of total billed charges ,198.05,percent of total billed charges ,198.05,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 ,,,,,,,,,,,,,,,,,,,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,
FLUPHENAZINE,80342,CDM,,,,both,,,179,179,41.17,179,179,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,141.41,percent of total billed charges,141.41,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 ,141.41,percent of total billed charges ,141.41,percent of total billed charges ,152.15,percent of total billed charges ,152.15,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 ,,,,,,,,,,,,,,,,,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,
"TESTOSTERONE, FREE",84402,CDM,,,,both,,,267,267,61.41,267,267,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,210.93,percent of total billed charges,210.93,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 ,210.93,percent of total billed charges ,210.93,percent of total billed charges ,226.95,percent of total billed charges ,226.95,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 ,,,,,,,,,,,,,,,,,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,,,61.41,percent of total billed charges,
FBN1 GENETIC TESTING,81479,CDM,,,,both,,,"1,819.00","1,819.00",418.37,"1,819.00","1,819.00",percent of total billed charges,"1,819.00",percent of total billed charges,"1,819.00",percent of total billed charges,"1,819.00",percent of total billed charges,"1,819.00",percent of total billed charges,"1,819.00",percent of total billed charges,"1,819.00",percent of total billed charges,"1,819.00",percent of total billed charges,"1,309.68",percent of total billed charges,"1,309.68",percent of total billed charges,"1,309.68",percent of total billed charges,"1,309.68",percent of total billed charges,"1,309.68",percent of total billed charges,"1,309.68",percent of total billed charges,"1,437.01",percent of total billed charges,"1,437.01",percent of total billed charges,"1,455.20",percent of total billed charges,"1,455.20",percent of total billed charges,,,"1,309.68",percent of total billed charges ,,,"1,455.20",percent of total billed charges ,"1,437.01",percent of total billed charges ,"1,437.01",percent of total billed charges ,"1,546.15",percent of total billed charges ,"1,546.15",percent of total billed charges ,"1,455.20",percent of total billed charges ,"1,455.20",percent of total billed charges ,"1,273.30",percent of total billed charges ,"1,273.30",percent of total billed charges ,"1,091.40",percent of total billed charges ,"1,091.40",percent of total billed charges ,"1,091.40",percent of total billed charges ,"1,091.40",percent of total billed charges ,,,,,967.71,percent of total billed charges ,,,,,919.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,418.37,percent of total billed charges,,,418.37,percent of total billed charges,,,418.37,percent of total billed charges,,,418.37,percent of total billed charges,,,418.37,percent of total billed charges,,,418.37,percent of total billed charges,,,418.37,percent of total billed charges,,,418.37,percent of total billed charges,,,418.37,percent of total billed charges,,,418.37,percent of total billed charges,,,418.37,percent of total billed charges,
FBN1 GENETIC TESTING ADD.,81479,CDM,,,,both,,,629,629,144.67,629,629,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,496.91,percent of total billed charges,496.91,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 ,496.91,percent of total billed charges ,496.91,percent of total billed charges ,534.65,percent of total billed charges ,534.65,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 ,,,,,,,,,,,,,,,,,,,144.67,percent of total billed charges,,,144.67,percent of total billed charges,,,144.67,percent of total billed charges,,,144.67,percent of total billed charges,,,144.67,percent of total billed charges,,,144.67,percent of total billed charges,,,144.67,percent of total billed charges,,,144.67,percent of total billed charges,,,144.67,percent of total billed charges,,,144.67,percent of total billed charges,,,144.67,percent of total billed charges,
MILK ALLERGEN RAST IGE,86008,CDM,,,,both,,,112,112,25.76,112,112,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,88.48,percent of total billed charges,88.48,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 ,88.48,percent of total billed charges ,88.48,percent of total billed charges ,95.2,percent of total billed charges ,95.2,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 ,,,,,,,,,,,,,,,,,,,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,
"BLASTOMYCES AG, URINE",87449,CDM,,,,both,,,189,189,43.47,189,189,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,149.31,percent of total billed charges,149.31,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 ,149.31,percent of total billed charges ,149.31,percent of total billed charges ,160.65,percent of total billed charges ,160.65,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 ,,,,,,,,,,,,,,,,,,,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,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,
RESPIRATORY VIRUS PANEL,87633,CDM,,,,both,,,"1,710.00","1,710.00",393.3,"1,710.00","1,710.00",percent of total billed charges,"1,710.00",percent of total billed charges,"1,710.00",percent of total billed charges,"1,710.00",percent of total billed charges,"1,710.00",percent of total billed charges,"1,710.00",percent of total billed charges,"1,710.00",percent of total billed charges,"1,710.00",percent of total billed charges,"1,231.20",percent of total billed charges,"1,231.20",percent of total billed charges,"1,231.20",percent of total billed charges,"1,231.20",percent of total billed charges,"1,231.20",percent of total billed charges,"1,231.20",percent of total billed charges,"1,350.90",percent of total billed charges,"1,350.90",percent of total billed charges,"1,368.00",percent of total billed charges,"1,368.00",percent of total billed charges,,,"1,231.20",percent of total billed charges ,,,"1,368.00",percent of total billed charges ,"1,350.90",percent of total billed charges ,"1,350.90",percent of total billed charges ,"1,453.50",percent of total billed charges ,"1,453.50",percent of total billed charges ,"1,368.00",percent of total billed charges ,"1,368.00",percent of total billed charges ,"1,197.00",percent of total billed charges ,"1,197.00",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 ,,,,,909.72,percent of total billed charges ,,,,,864.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,393.3,percent of total billed charges,,,393.3,percent of total billed charges,,,393.3,percent of total billed charges,,,393.3,percent of total billed charges,,,393.3,percent of total billed charges,,,393.3,percent of total billed charges,,,393.3,percent of total billed charges,,,393.3,percent of total billed charges,,,393.3,percent of total billed charges,,,393.3,percent of total billed charges,,,393.3,percent of total billed charges,
"CARNITINE, SERUM",82379,CDM,,,,both,,,221,221,50.83,221,221,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,174.59,percent of total billed charges,174.59,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 ,174.59,percent of total billed charges ,174.59,percent of total billed charges ,187.85,percent of total billed charges ,187.85,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 ,,,,,,,,,,,,,,,,,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,,,50.83,percent of total billed charges,
GASTROINTESTINAL PARASITE PANEL,87505,CDM,,,,both,,,529,529,121.67,529,529,percent of total billed charges,529,percent of total billed charges,529,percent of total billed charges,529,percent of total billed charges,529,percent of total billed charges,529,percent of total billed charges,529,percent of total billed charges,529,percent of total billed charges,380.88,percent of total billed charges,380.88,percent of total billed charges,380.88,percent of total billed charges,380.88,percent of total billed charges,380.88,percent of total billed charges,380.88,percent of total billed charges,417.91,percent of total billed charges,417.91,percent of total billed charges,423.2,percent of total billed charges,423.2,percent of total billed charges,,,380.88,percent of total billed charges ,,,423.2,percent of total billed charges ,417.91,percent of total billed charges ,417.91,percent of total billed charges ,449.65,percent of total billed charges ,449.65,percent of total billed charges ,423.2,percent of total billed charges ,423.2,percent of total billed charges ,370.3,percent of total billed charges ,370.3,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 ,,,,,281.43,percent of total billed charges ,,,,,267.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,121.67,percent of total billed charges,,,121.67,percent of total billed charges,,,121.67,percent of total billed charges,,,121.67,percent of total billed charges,,,121.67,percent of total billed charges,,,121.67,percent of total billed charges,,,121.67,percent of total billed charges,,,121.67,percent of total billed charges,,,121.67,percent of total billed charges,,,121.67,percent of total billed charges,,,121.67,percent of total billed charges,
GASTROINTESTINAL VIRUS PANEL,87506,CDM,,,,both,,,756,756,173.88,756,756,percent of total billed charges,756,percent of total billed charges,756,percent of total billed charges,756,percent of total billed charges,756,percent of total billed charges,756,percent of total billed charges,756,percent of total billed charges,756,percent of total billed charges,544.32,percent of total billed charges,544.32,percent of total billed charges,544.32,percent of total billed charges,544.32,percent of total billed charges,544.32,percent of total billed charges,544.32,percent of total billed charges,597.24,percent of total billed charges,597.24,percent of total billed charges,604.8,percent of total billed charges,604.8,percent of total billed charges,,,544.32,percent of total billed charges ,,,604.8,percent of total billed charges ,597.24,percent of total billed charges ,597.24,percent of total billed charges ,642.6,percent of total billed charges ,642.6,percent of total billed charges ,604.8,percent of total billed charges ,604.8,percent of total billed charges ,529.2,percent of total billed charges ,529.2,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 ,,,,,402.19,percent of total billed charges ,,,,,382.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,173.88,percent of total billed charges,,,173.88,percent of total billed charges,,,173.88,percent of total billed charges,,,173.88,percent of total billed charges,,,173.88,percent of total billed charges,,,173.88,percent of total billed charges,,,173.88,percent of total billed charges,,,173.88,percent of total billed charges,,,173.88,percent of total billed charges,,,173.88,percent of total billed charges,,,173.88,percent of total billed charges,
HIV-1 PCR,87535,CDM,,,,both,,,506,506,116.38,506,506,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,399.74,percent of total billed charges,399.74,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 ,399.74,percent of total billed charges ,399.74,percent of total billed charges ,430.1,percent of total billed charges ,430.1,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 ,,,,,,,,,,,,,,,,,,,116.38,percent of total billed charges,,,116.38,percent of total billed charges,,,116.38,percent of total billed charges,,,116.38,percent of total billed charges,,,116.38,percent of total billed charges,,,116.38,percent of total billed charges,,,116.38,percent of total billed charges,,,116.38,percent of total billed charges,,,116.38,percent of total billed charges,,,116.38,percent of total billed charges,,,116.38,percent of total billed charges,
BCR-ABL1 MAJOR P210 QUANT,81206,CDM,,,,both,,,703,703,161.69,703,703,percent of total billed charges,703,percent of total billed charges,703,percent of total billed charges,703,percent of total billed charges,703,percent of total billed charges,703,percent of total billed charges,703,percent of total billed charges,703,percent of total billed charges,506.16,percent of total billed charges,506.16,percent of total billed charges,506.16,percent of total billed charges,506.16,percent of total billed charges,506.16,percent of total billed charges,506.16,percent of total billed charges,555.37,percent of total billed charges,555.37,percent of total billed charges,562.4,percent of total billed charges,562.4,percent of total billed charges,,,506.16,percent of total billed charges ,,,562.4,percent of total billed charges ,555.37,percent of total billed charges ,555.37,percent of total billed charges ,597.55,percent of total billed charges ,597.55,percent of total billed charges ,562.4,percent of total billed charges ,562.4,percent of total billed charges ,492.1,percent of total billed charges ,492.1,percent of total billed charges ,421.8,percent of total billed charges ,421.8,percent of total billed charges ,421.8,percent of total billed charges ,421.8,percent of total billed charges ,,,,,374,percent of total billed charges ,,,,,355.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,161.69,percent of total billed charges,,,161.69,percent of total billed charges,,,161.69,percent of total billed charges,,,161.69,percent of total billed charges,,,161.69,percent of total billed charges,,,161.69,percent of total billed charges,,,161.69,percent of total billed charges,,,161.69,percent of total billed charges,,,161.69,percent of total billed charges,,,161.69,percent of total billed charges,,,161.69,percent of total billed charges,
BULLOUS PEMPHIGOLD,83516,CDM,,,,both,,,162,162,37.26,162,162,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,127.98,percent of total billed charges,127.98,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 ,127.98,percent of total billed charges ,127.98,percent of total billed charges ,137.7,percent of total billed charges ,137.7,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 ,,,,,,,,,,,,,,,,,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,
"**BRCADVANTAGE, COMP",81162,CDM,,,,both,,,"4,376.00","4,376.00","1,006.48","4,376.00","4,376.00",percent of total billed charges,"4,376.00",percent of total billed charges,"4,376.00",percent of total billed charges,"4,376.00",percent of total billed charges,"4,376.00",percent of total billed charges,"4,376.00",percent of total billed charges,"4,376.00",percent of total billed charges,"4,376.00",percent of total billed charges,"3,150.72",percent of total billed charges,"3,150.72",percent of total billed charges,"3,150.72",percent of total billed charges,"3,150.72",percent of total billed charges,"3,150.72",percent of total billed charges,"3,150.72",percent of total billed charges,"3,457.04",percent of total billed charges,"3,457.04",percent of total billed charges,"3,500.80",percent of total billed charges,"3,500.80",percent of total billed charges,,,"3,150.72",percent of total billed charges ,,,"3,500.80",percent of total billed charges ,"3,457.04",percent of total billed charges ,"3,457.04",percent of total billed charges ,"3,719.60",percent of total billed charges ,"3,719.60",percent of total billed charges ,"3,500.80",percent of total billed charges ,"3,500.80",percent of total billed charges ,"3,063.20",percent of total billed charges ,"3,063.20",percent of total billed charges ,"2,625.60",percent of total billed charges ,"2,625.60",percent of total billed charges ,"2,625.60",percent of total billed charges ,"2,625.60",percent of total billed charges ,,,,,"2,328.03",percent of total billed charges ,,,,,"2,211.63",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,006.48",percent of total billed charges,,,"1,006.48",percent of total billed charges,,,"1,006.48",percent of total billed charges,,,"1,006.48",percent of total billed charges,,,"1,006.48",percent of total billed charges,,,"1,006.48",percent of total billed charges,,,"1,006.48",percent of total billed charges,,,"1,006.48",percent of total billed charges,,,"1,006.48",percent of total billed charges,,,"1,006.48",percent of total billed charges,,,"1,006.48",percent of total billed charges,
METHYLPHENIDATE,80360,CDM,,,,both,,,159,159,36.57,159,159,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,125.61,percent of total billed charges,125.61,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 ,125.61,percent of total billed charges ,125.61,percent of total billed charges ,135.15,percent of total billed charges ,135.15,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,36.57,percent of total billed charges,,,36.57,percent of total billed charges,,,36.57,percent of total billed charges,
"TSH, ULTRA SENS",84443,CDM,,,,both,,,229,229,52.67,229,229,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,180.91,percent of total billed charges,180.91,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 ,180.91,percent of total billed charges ,180.91,percent of total billed charges ,194.65,percent of total billed charges ,194.65,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 ,,,,,,,,,,,,,,,,,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,,,52.67,percent of total billed charges,
.PROLACTIN TOTAL,84146,CDM,,,,both,,,258,258,59.34,258,258,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,203.82,percent of total billed charges,203.82,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 ,203.82,percent of total billed charges ,203.82,percent of total billed charges ,219.3,percent of total billed charges ,219.3,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 ,,,,,,,,,,,,,,,,,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,
"BUPRENORPHINE, SERUM/PLASMA",80348,CDM,,,,both,,,86,86,19.78,86,86,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,67.94,percent of total billed charges,67.94,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 ,67.94,percent of total billed charges ,67.94,percent of total billed charges ,73.1,percent of total billed charges ,73.1,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
.PROLACTIN MONOMER,84146,CDM,,,,both,,,258,258,59.34,258,258,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,203.82,percent of total billed charges,203.82,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 ,203.82,percent of total billed charges ,203.82,percent of total billed charges ,219.3,percent of total billed charges ,219.3,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 ,,,,,,,,,,,,,,,,,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,
".ARSENIC, UR",82175,CDM,,,,both,,,162,162,37.26,162,162,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,127.98,percent of total billed charges,127.98,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 ,127.98,percent of total billed charges ,127.98,percent of total billed charges ,137.7,percent of total billed charges ,137.7,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 ,,,,,,,,,,,,,,,,,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,
".CADMIUM, UR",82300,CDM,,,,both,,,148,148,34.04,148,148,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,116.92,percent of total billed charges,116.92,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 ,116.92,percent of total billed charges ,116.92,percent of total billed charges ,125.8,percent of total billed charges ,125.8,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 ,,,,,,,,,,,,,,,,,,,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,,,34.04,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,
".COPPER, UR",82525,CDM,,,,both,,,147,147,33.81,147,147,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,116.13,percent of total billed charges,116.13,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 ,116.13,percent of total billed charges ,116.13,percent of total billed charges ,124.95,percent of total billed charges ,124.95,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 ,,,,,,,,,,,,,,,,,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,
".LEAD, UR",83655,CDM,,,,both,,,117,117,26.91,117,117,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,92.43,percent of total billed charges,92.43,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 ,92.43,percent of total billed charges ,92.43,percent of total billed charges ,99.45,percent of total billed charges ,99.45,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 ,,,,,,,,,,,,,,,,,,,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,
".MERCURY, UR",83825,CDM,,,,both,,,146,146,33.58,146,146,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,115.34,percent of total billed charges,115.34,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 ,115.34,percent of total billed charges ,115.34,percent of total billed charges ,124.1,percent of total billed charges ,124.1,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 ,,,,,,,,,,,,,,,,,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,
PEANUT ALLERGEN EXTRACT,86003,CDM,,,,both,,,63,63,14.49,63,63,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,49.77,percent of total billed charges,49.77,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 ,49.77,percent of total billed charges ,49.77,percent of total billed charges ,53.55,percent of total billed charges ,53.55,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,14.49,percent of total billed charges,,,14.49,percent of total billed charges,,,14.49,percent of total billed charges,
PEANUT ALLERGEN IGE,86008,CDM,,,,both,,,315,315,72.45,315,315,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,248.85,percent of total billed charges,248.85,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 ,248.85,percent of total billed charges ,248.85,percent of total billed charges ,267.75,percent of total billed charges ,267.75,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 ,,,,,,,,,,,,,,,,,,,72.45,percent of total billed charges,,,72.45,percent of total billed charges,,,72.45,percent of total billed charges,,,72.45,percent of total billed charges,,,72.45,percent of total billed charges,,,72.45,percent of total billed charges,,,72.45,percent of total billed charges,,,72.45,percent of total billed charges,,,72.45,percent of total billed charges,,,72.45,percent of total billed charges,,,72.45,percent of total billed charges,
".ZINC, UR",84630,CDM,,,,both,,,131,131,30.13,131,131,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,103.49,percent of total billed charges,103.49,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 ,103.49,percent of total billed charges ,103.49,percent of total billed charges ,111.35,percent of total billed charges ,111.35,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 ,,,,,,,,,,,,,,,,,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,
INTERLEUKIN BETA 1,83520,CDM,,,,both,,,225,225,51.75,225,225,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,177.75,percent of total billed charges,177.75,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 ,177.75,percent of total billed charges ,177.75,percent of total billed charges ,191.25,percent of total billed charges ,191.25,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 ,,,,,,,,,,,,,,,,,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,
"RNA POLYMERASE III AB, IGG",83516,CDM,,,,both,,,162,162,37.26,162,162,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,127.98,percent of total billed charges,127.98,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 ,127.98,percent of total billed charges ,127.98,percent of total billed charges ,137.7,percent of total billed charges ,137.7,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 ,,,,,,,,,,,,,,,,,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,
GASTROINTESTINAL BACTERIAL PANEL,87506,CDM,,,,both,,,756,756,173.88,756,756,percent of total billed charges,756,percent of total billed charges,756,percent of total billed charges,756,percent of total billed charges,756,percent of total billed charges,756,percent of total billed charges,756,percent of total billed charges,756,percent of total billed charges,544.32,percent of total billed charges,544.32,percent of total billed charges,544.32,percent of total billed charges,544.32,percent of total billed charges,544.32,percent of total billed charges,544.32,percent of total billed charges,597.24,percent of total billed charges,597.24,percent of total billed charges,604.8,percent of total billed charges,604.8,percent of total billed charges,,,544.32,percent of total billed charges ,,,604.8,percent of total billed charges ,597.24,percent of total billed charges ,597.24,percent of total billed charges ,642.6,percent of total billed charges ,642.6,percent of total billed charges ,604.8,percent of total billed charges ,604.8,percent of total billed charges ,529.2,percent of total billed charges ,529.2,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 ,,,,,402.19,percent of total billed charges ,,,,,382.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,173.88,percent of total billed charges,,,173.88,percent of total billed charges,,,173.88,percent of total billed charges,,,173.88,percent of total billed charges,,,173.88,percent of total billed charges,,,173.88,percent of total billed charges,,,173.88,percent of total billed charges,,,173.88,percent of total billed charges,,,173.88,percent of total billed charges,,,173.88,percent of total billed charges,,,173.88,percent of total billed charges,
FACTOR 9 ASSAY,85250,CDM,,,,both,,,347,347,79.81,347,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,347,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,249.84,percent of total billed charges,274.13,percent of total billed charges,274.13,percent of total billed charges,277.6,percent of total billed charges,277.6,percent of total billed charges,,,249.84,percent of total billed charges ,,,277.6,percent of total billed charges ,274.13,percent of total billed charges ,274.13,percent of total billed charges ,294.95,percent of total billed charges ,294.95,percent of total billed charges ,277.6,percent of total billed charges ,277.6,percent of total billed charges ,242.9,percent of total billed charges ,242.9,percent of total billed charges ,208.2,percent of total billed charges ,208.2,percent of total billed charges ,208.2,percent of total billed charges ,208.2,percent of total billed charges ,,,,,184.6,percent of total billed charges ,,,,,175.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,,,79.81,percent of total billed charges,
ROS1 BY FISH,88374,CDM,,,,both,,,715,715,164.45,715,715,percent of total billed charges,715,percent of total billed charges,715,percent of total billed charges,715,percent of total billed charges,715,percent of total billed charges,715,percent of total billed charges,715,percent of total billed charges,715,percent of total billed charges,514.8,percent of total billed charges,514.8,percent of total billed charges,514.8,percent of total billed charges,514.8,percent of total billed charges,514.8,percent of total billed charges,514.8,percent of total billed charges,564.85,percent of total billed charges,564.85,percent of total billed charges,572,percent of total billed charges,572,percent of total billed charges,,,514.8,percent of total billed charges ,,,572,percent of total billed charges ,564.85,percent of total billed charges ,564.85,percent of total billed charges ,607.75,percent of total billed charges ,607.75,percent of total billed charges ,572,percent of total billed charges ,572,percent of total billed charges ,500.5,percent of total billed charges ,500.5,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 ,,,,,380.38,percent of total billed charges ,,,,,361.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,164.45,percent of total billed charges,,,164.45,percent of total billed charges,,,164.45,percent of total billed charges,,,164.45,percent of total billed charges,,,164.45,percent of total billed charges,,,164.45,percent of total billed charges,,,164.45,percent of total billed charges,,,164.45,percent of total billed charges,,,164.45,percent of total billed charges,,,164.45,percent of total billed charges,,,164.45,percent of total billed charges,
ONKOSIGHT LUNG PANEL,81445,CDM,,,,both,,,"3,547.00","3,547.00",815.81,"3,547.00","3,547.00",percent of total billed charges,"3,547.00",percent of total billed charges,"3,547.00",percent of total billed charges,"3,547.00",percent of total billed charges,"3,547.00",percent of total billed charges,"3,547.00",percent of total billed charges,"3,547.00",percent of total billed charges,"3,547.00",percent of total billed charges,"2,553.84",percent of total billed charges,"2,553.84",percent of total billed charges,"2,553.84",percent of total billed charges,"2,553.84",percent of total billed charges,"2,553.84",percent of total billed charges,"2,553.84",percent of total billed charges,"2,802.13",percent of total billed charges,"2,802.13",percent of total billed charges,"2,837.60",percent of total billed charges,"2,837.60",percent of total billed charges,,,"2,553.84",percent of total billed charges ,,,"2,837.60",percent of total billed charges ,"2,802.13",percent of total billed charges ,"2,802.13",percent of total billed charges ,"3,014.95",percent of total billed charges ,"3,014.95",percent of total billed charges ,"2,837.60",percent of total billed charges ,"2,837.60",percent of total billed charges ,"2,482.90",percent of total billed charges ,"2,482.90",percent of total billed charges ,"2,128.20",percent of total billed charges ,"2,128.20",percent of total billed charges ,"2,128.20",percent of total billed charges ,"2,128.20",percent of total billed charges ,,,,,"1,887.00",percent of total billed charges ,,,,,"1,792.65",percent of total billed charges ,,,,,,,,,,,,,,,,,,,815.81,percent of total billed charges,,,815.81,percent of total billed charges,,,815.81,percent of total billed charges,,,815.81,percent of total billed charges,,,815.81,percent of total billed charges,,,815.81,percent of total billed charges,,,815.81,percent of total billed charges,,,815.81,percent of total billed charges,,,815.81,percent of total billed charges,,,815.81,percent of total billed charges,,,815.81,percent of total billed charges,
TUMOR NECROSIS FACTOR ALPHA,83520,CDM,,,,both,,,225,225,51.75,225,225,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,177.75,percent of total billed charges,177.75,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 ,177.75,percent of total billed charges ,177.75,percent of total billed charges ,191.25,percent of total billed charges ,191.25,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 ,,,,,,,,,,,,,,,,,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,,,51.75,percent of total billed charges,
ENDOMYSIAL AB TITER,86256,CDM,,,,both,,,166,166,38.18,166,166,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,131.14,percent of total billed charges,131.14,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 ,131.14,percent of total billed charges ,131.14,percent of total billed charges ,141.1,percent of total billed charges ,141.1,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 ,,,,,,,,,,,,,,,,,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,
.EPI BASEMENT IGG,83516,CDM,,,,both,,,178,178,40.94,178,178,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,140.62,percent of total billed charges,140.62,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 ,140.62,percent of total billed charges ,140.62,percent of total billed charges ,151.3,percent of total billed charges ,151.3,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 ,,,,,,,,,,,,,,,,,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,
.EPI BASEMENT IGG,83516,CDM,,,,both,,,178,178,40.94,178,178,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,140.62,percent of total billed charges,140.62,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 ,140.62,percent of total billed charges ,140.62,percent of total billed charges ,151.3,percent of total billed charges ,151.3,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 ,,,,,,,,,,,,,,,,,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,
".BP 180 AND BP230 AB, IGG",88346,CDM,,,26,both,,,384,384,88.32,384,384,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,303.36,percent of total billed charges,303.36,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 ,303.36,percent of total billed charges ,303.36,percent of total billed charges ,326.4,percent of total billed charges ,326.4,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 ,,,,,,,,,,,,,,,,,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,
.BP 180 AND BP230 ADDL STAIN,88350,CDM,,,,both,,,302,302,69.46,302,302,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,238.58,percent of total billed charges,238.58,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 ,238.58,percent of total billed charges ,238.58,percent of total billed charges ,256.7,percent of total billed charges ,256.7,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 ,,,,,,,,,,,,,,,,,,,69.46,percent of total billed charges,,,69.46,percent of total billed charges,,,69.46,percent of total billed charges,,,69.46,percent of total billed charges,,,69.46,percent of total billed charges,,,69.46,percent of total billed charges,,,69.46,percent of total billed charges,,,69.46,percent of total billed charges,,,69.46,percent of total billed charges,,,69.46,percent of total billed charges,,,69.46,percent of total billed charges,
.BORD PERTUSSIS PCR,87798,CDM,,,,both,,,363,363,83.49,363,363,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,286.77,percent of total billed charges,286.77,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 ,286.77,percent of total billed charges ,286.77,percent of total billed charges ,308.55,percent of total billed charges ,308.55,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 ,,,,,,,,,,,,,,,,,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,
.BORD PARAPERTUSSIS PCR,87798,CDM,,,,both,,,363,363,83.49,363,363,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,286.77,percent of total billed charges,286.77,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 ,286.77,percent of total billed charges ,286.77,percent of total billed charges ,308.55,percent of total billed charges ,308.55,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 ,,,,,,,,,,,,,,,,,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,
.BORD HOLMES II PCR,87798,CDM,,,,both,,,363,363,83.49,363,363,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,286.77,percent of total billed charges,286.77,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 ,286.77,percent of total billed charges ,286.77,percent of total billed charges ,308.55,percent of total billed charges ,308.55,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 ,,,,,,,,,,,,,,,,,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,,,83.49,percent of total billed charges,
.C BURNETTII PHASE 1 IGG,86638,CDM,,,,both,,,115,115,26.45,115,115,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,90.85,percent of total billed charges,90.85,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 ,90.85,percent of total billed charges ,90.85,percent of total billed charges ,97.75,percent of total billed charges ,97.75,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 ,,,,,,,,,,,,,,,,,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,
.C BURNETTII PHASE 2 IGG,86638,CDM,,,,both,,,115,115,26.45,115,115,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,90.85,percent of total billed charges,90.85,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 ,90.85,percent of total billed charges ,90.85,percent of total billed charges ,97.75,percent of total billed charges ,97.75,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 ,,,,,,,,,,,,,,,,,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,
.C BURNETTI PHASE 1 IGM,86638,CDM,,,,both,,,115,115,26.45,115,115,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,90.85,percent of total billed charges,90.85,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 ,90.85,percent of total billed charges ,90.85,percent of total billed charges ,97.75,percent of total billed charges ,97.75,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 ,,,,,,,,,,,,,,,,,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,
.C BURNETTI PHASE 2 IGM,86638,CDM,,,,both,,,115,115,26.45,115,115,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,90.85,percent of total billed charges,90.85,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 ,90.85,percent of total billed charges ,90.85,percent of total billed charges ,97.75,percent of total billed charges ,97.75,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 ,,,,,,,,,,,,,,,,,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,
"ESTRADIOL, ULTRASENSITIVE",82670,CDM,,,,both,,,305,305,70.15,305,305,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,240.95,percent of total billed charges,240.95,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 ,240.95,percent of total billed charges ,240.95,percent of total billed charges ,259.25,percent of total billed charges ,259.25,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 ,,,,,,,,,,,,,,,,,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,
BODY FLUID TRIGLYCERIDE,84478,CDM,,,,both,,,121,121,27.83,121,121,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,95.59,percent of total billed charges,95.59,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 ,95.59,percent of total billed charges ,95.59,percent of total billed charges ,102.85,percent of total billed charges ,102.85,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,27.83,percent of total billed charges,,,27.83,percent of total billed charges,,,27.83,percent of total billed charges,
PLATELET FUNCTION ANALYSIS,85576,CDM,,,,both,,,272,272,62.56,272,272,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,214.88,percent of total billed charges,214.88,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 ,214.88,percent of total billed charges ,214.88,percent of total billed charges ,231.2,percent of total billed charges ,231.2,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 ,,,,,,,,,,,,,,,,,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,,,62.56,percent of total billed charges,
MUSCLE-SPECIFIC KINASE ANTIBODY,83519,CDM,,,,both,,,920,920,211.6,920,920,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,726.8,percent of total billed charges,726.8,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 ,726.8,percent of total billed charges ,726.8,percent of total billed charges ,782,percent of total billed charges ,782,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 ,,,,,,,,,,,,,,,,,,,211.6,percent of total billed charges,,,211.6,percent of total billed charges,,,211.6,percent of total billed charges,,,211.6,percent of total billed charges,,,211.6,percent of total billed charges,,,211.6,percent of total billed charges,,,211.6,percent of total billed charges,,,211.6,percent of total billed charges,,,211.6,percent of total billed charges,,,211.6,percent of total billed charges,,,211.6,percent of total billed charges,
TNF-ALPHA HIGHLY SENSITIVE,83520,CDM,,,,both,,,260,260,59.8,260,260,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,205.4,percent of total billed charges,205.4,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 ,205.4,percent of total billed charges ,205.4,percent of total billed charges ,221,percent of total billed charges ,221,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,59.8,percent of total billed charges,,,59.8,percent of total billed charges,,,59.8,percent of total billed charges,
FUNGAL STAIN KOH CALCOFLUOR,87206,CDM,,,,both,,,129,129,29.67,129,129,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,101.91,percent of total billed charges,101.91,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 ,101.91,percent of total billed charges ,101.91,percent of total billed charges ,109.65,percent of total billed charges ,109.65,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 ,,,,,,,,,,,,,,,,,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,,,29.67,percent of total billed charges,
RESPIRATORY VIRUS PCR W/O FLU,87632,CDM,,,,both,,,"1,006.00","1,006.00",231.38,"1,006.00","1,006.00",percent of total billed charges,"1,006.00",percent of total billed charges,"1,006.00",percent of total billed charges,"1,006.00",percent of total billed charges,"1,006.00",percent of total billed charges,"1,006.00",percent of total billed charges,"1,006.00",percent of total billed charges,"1,006.00",percent of total billed charges,724.32,percent of total billed charges,724.32,percent of total billed charges,724.32,percent of total billed charges,724.32,percent of total billed charges,724.32,percent of total billed charges,724.32,percent of total billed charges,794.74,percent of total billed charges,794.74,percent of total billed charges,804.8,percent of total billed charges,804.8,percent of total billed charges,,,724.32,percent of total billed charges ,,,804.8,percent of total billed charges ,794.74,percent of total billed charges ,794.74,percent of total billed charges ,855.1,percent of total billed charges ,855.1,percent of total billed charges ,804.8,percent of total billed charges ,804.8,percent of total billed charges ,704.2,percent of total billed charges ,704.2,percent of total billed charges ,603.6,percent of total billed charges ,603.6,percent of total billed charges ,603.6,percent of total billed charges ,603.6,percent of total billed charges ,,,,,535.19,percent of total billed charges ,,,,,508.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,231.38,percent of total billed charges,,,231.38,percent of total billed charges,,,231.38,percent of total billed charges,,,231.38,percent of total billed charges,,,231.38,percent of total billed charges,,,231.38,percent of total billed charges,,,231.38,percent of total billed charges,,,231.38,percent of total billed charges,,,231.38,percent of total billed charges,,,231.38,percent of total billed charges,,,231.38,percent of total billed charges,
"MDM2, FISH",88377,CDM,,,,both,,,835,835,192.05,835,835,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,659.65,percent of total billed charges,659.65,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 ,659.65,percent of total billed charges ,659.65,percent of total billed charges ,709.75,percent of total billed charges ,709.75,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 ,,,,,,,,,,,,,,,,,,,192.05,percent of total billed charges,,,192.05,percent of total billed charges,,,192.05,percent of total billed charges,,,192.05,percent of total billed charges,,,192.05,percent of total billed charges,,,192.05,percent of total billed charges,,,192.05,percent of total billed charges,,,192.05,percent of total billed charges,,,192.05,percent of total billed charges,,,192.05,percent of total billed charges,,,192.05,percent of total billed charges,
ANTI-DNA TITER,86256,CDM,,,,both,,,183,183,42.09,183,183,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,144.57,percent of total billed charges,144.57,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 ,144.57,percent of total billed charges ,144.57,percent of total billed charges ,155.55,percent of total billed charges ,155.55,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 ,,,,,,,,,,,,,,,,,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,
CALRETICULIN EXON 9 MUTATION,81219,CDM,,,,both,,,814,814,187.22,814,814,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,643.06,percent of total billed charges,643.06,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 ,643.06,percent of total billed charges ,643.06,percent of total billed charges ,691.9,percent of total billed charges ,691.9,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 ,,,,,,,,,,,,,,,,,,,187.22,percent of total billed charges,,,187.22,percent of total billed charges,,,187.22,percent of total billed charges,,,187.22,percent of total billed charges,,,187.22,percent of total billed charges,,,187.22,percent of total billed charges,,,187.22,percent of total billed charges,,,187.22,percent of total billed charges,,,187.22,percent of total billed charges,,,187.22,percent of total billed charges,,,187.22,percent of total billed charges,
"CLL, IGVH MUTATION PANEL",81263,CDM,,,,both,,,"1,271.00","1,271.00",292.33,"1,271.00","1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,915.12,percent of total billed charges,915.12,percent of total billed charges,915.12,percent of total billed charges,915.12,percent of total billed charges,915.12,percent of total billed charges,915.12,percent of total billed charges,"1,004.09",percent of total billed charges,"1,004.09",percent of total billed charges,"1,016.80",percent of total billed charges,"1,016.80",percent of total billed charges,,,915.12,percent of total billed charges ,,,"1,016.80",percent of total billed charges ,"1,004.09",percent of total billed charges ,"1,004.09",percent of total billed charges ,"1,080.35",percent of total billed charges ,"1,080.35",percent of total billed charges ,"1,016.80",percent of total billed charges ,"1,016.80",percent of total billed charges ,889.7,percent of total billed charges ,889.7,percent of total billed charges ,762.6,percent of total billed charges ,762.6,percent of total billed charges ,762.6,percent of total billed charges ,762.6,percent of total billed charges ,,,,,676.17,percent of total billed charges ,,,,,642.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,
"FISH, CLL",88271,CDM,,,,both,,,276,276,63.48,276,276,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,218.04,percent of total billed charges,218.04,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 ,218.04,percent of total billed charges ,218.04,percent of total billed charges ,234.6,percent of total billed charges ,234.6,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 ,,,,,,,,,,,,,,,,,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,
"HLA DRB 3,4,5",81382,CDM,,,,both,,,808,808,185.84,808,808,percent of total billed charges,808,percent of total billed charges,808,percent of total billed charges,808,percent of total billed charges,808,percent of total billed charges,808,percent of total billed charges,808,percent of total billed charges,808,percent of total billed charges,581.76,percent of total billed charges,581.76,percent of total billed charges,581.76,percent of total billed charges,581.76,percent of total billed charges,581.76,percent of total billed charges,581.76,percent of total billed charges,638.32,percent of total billed charges,638.32,percent of total billed charges,646.4,percent of total billed charges,646.4,percent of total billed charges,,,581.76,percent of total billed charges ,,,646.4,percent of total billed charges ,638.32,percent of total billed charges ,638.32,percent of total billed charges ,686.8,percent of total billed charges ,686.8,percent of total billed charges ,646.4,percent of total billed charges ,646.4,percent of total billed charges ,565.6,percent of total billed charges ,565.6,percent of total billed charges ,484.8,percent of total billed charges ,484.8,percent of total billed charges ,484.8,percent of total billed charges ,484.8,percent of total billed charges ,,,,,429.86,percent of total billed charges ,,,,,408.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,185.84,percent of total billed charges,,,185.84,percent of total billed charges,,,185.84,percent of total billed charges,,,185.84,percent of total billed charges,,,185.84,percent of total billed charges,,,185.84,percent of total billed charges,,,185.84,percent of total billed charges,,,185.84,percent of total billed charges,,,185.84,percent of total billed charges,,,185.84,percent of total billed charges,,,185.84,percent of total billed charges,
SEROQUEL,80342,CDM,,,,both,,,172,172,39.56,172,172,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,135.88,percent of total billed charges,135.88,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 ,135.88,percent of total billed charges ,135.88,percent of total billed charges ,146.2,percent of total billed charges ,146.2,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 ,,,,,,,,,,,,,,,,,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,
ONKOSIGHT NGS KIT,81272,CDM,,,,both,,,"1,153.00","1,153.00",265.19,"1,153.00","1,153.00",percent of total billed charges,"1,153.00",percent of total billed charges,"1,153.00",percent of total billed charges,"1,153.00",percent of total billed charges,"1,153.00",percent of total billed charges,"1,153.00",percent of total billed charges,"1,153.00",percent of total billed charges,"1,153.00",percent of total billed charges,830.16,percent of total billed charges,830.16,percent of total billed charges,830.16,percent of total billed charges,830.16,percent of total billed charges,830.16,percent of total billed charges,830.16,percent of total billed charges,910.87,percent of total billed charges,910.87,percent of total billed charges,922.4,percent of total billed charges,922.4,percent of total billed charges,,,830.16,percent of total billed charges ,,,922.4,percent of total billed charges ,910.87,percent of total billed charges ,910.87,percent of total billed charges ,980.05,percent of total billed charges ,980.05,percent of total billed charges ,922.4,percent of total billed charges ,922.4,percent of total billed charges ,807.1,percent of total billed charges ,807.1,percent of total billed charges ,691.8,percent of total billed charges ,691.8,percent of total billed charges ,691.8,percent of total billed charges ,691.8,percent of total billed charges ,,,,,613.4,percent of total billed charges ,,,,,582.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,265.19,percent of total billed charges,,,265.19,percent of total billed charges,,,265.19,percent of total billed charges,,,265.19,percent of total billed charges,,,265.19,percent of total billed charges,,,265.19,percent of total billed charges,,,265.19,percent of total billed charges,,,265.19,percent of total billed charges,,,265.19,percent of total billed charges,,,265.19,percent of total billed charges,,,265.19,percent of total billed charges,
HER2NEU BY FISH GLOBAL,88374,CDM,,,,both,,,766,766,176.18,766,766,percent of total billed charges,766,percent of total billed charges,766,percent of total billed charges,766,percent of total billed charges,766,percent of total billed charges,766,percent of total billed charges,766,percent of total billed charges,766,percent of total billed charges,551.52,percent of total billed charges,551.52,percent of total billed charges,551.52,percent of total billed charges,551.52,percent of total billed charges,551.52,percent of total billed charges,551.52,percent of total billed charges,605.14,percent of total billed charges,605.14,percent of total billed charges,612.8,percent of total billed charges,612.8,percent of total billed charges,,,551.52,percent of total billed charges ,,,612.8,percent of total billed charges ,605.14,percent of total billed charges ,605.14,percent of total billed charges ,651.1,percent of total billed charges ,651.1,percent of total billed charges ,612.8,percent of total billed charges ,612.8,percent of total billed charges ,536.2,percent of total billed charges ,536.2,percent of total billed charges ,459.6,percent of total billed charges ,459.6,percent of total billed charges ,459.6,percent of total billed charges ,459.6,percent of total billed charges ,,,,,407.51,percent of total billed charges ,,,,,387.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,176.18,percent of total billed charges,,,176.18,percent of total billed charges,,,176.18,percent of total billed charges,,,176.18,percent of total billed charges,,,176.18,percent of total billed charges,,,176.18,percent of total billed charges,,,176.18,percent of total billed charges,,,176.18,percent of total billed charges,,,176.18,percent of total billed charges,,,176.18,percent of total billed charges,,,176.18,percent of total billed charges,
"TRICHOMONAS VAGINALIS, MISC",87661,CDM,,,,both,,,223,223,51.29,223,223,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,176.17,percent of total billed charges,176.17,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 ,176.17,percent of total billed charges ,176.17,percent of total billed charges ,189.55,percent of total billed charges ,189.55,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 ,,,,,,,,,,,,,,,,,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,
.ADALIMUMAB ASSAY,80299,CDM,,,,both,,,249,249,57.27,249,249,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,196.71,percent of total billed charges,196.71,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 ,196.71,percent of total billed charges ,196.71,percent of total billed charges ,211.65,percent of total billed charges ,211.65,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 ,,,,,,,,,,,,,,,,,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,
.ADALIMUMAB CHEMI. ASSAY,82397,CDM,,,,both,,,220,220,50.6,220,220,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,173.8,percent of total billed charges,173.8,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 ,173.8,percent of total billed charges ,173.8,percent of total billed charges ,187,percent of total billed charges ,187,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
"FIBROTEST, QUEST",81596,CDM,,,,both,,,472,472,108.56,472,472,percent of total billed charges,472,percent of total billed charges,472,percent of total billed charges,472,percent of total billed charges,472,percent of total billed charges,472,percent of total billed charges,472,percent of total billed charges,472,percent of total billed charges,339.84,percent of total billed charges,339.84,percent of total billed charges,339.84,percent of total billed charges,339.84,percent of total billed charges,339.84,percent of total billed charges,339.84,percent of total billed charges,372.88,percent of total billed charges,372.88,percent of total billed charges,377.6,percent of total billed charges,377.6,percent of total billed charges,,,339.84,percent of total billed charges ,,,377.6,percent of total billed charges ,372.88,percent of total billed charges ,372.88,percent of total billed charges ,401.2,percent of total billed charges ,401.2,percent of total billed charges ,377.6,percent of total billed charges ,377.6,percent of total billed charges ,330.4,percent of total billed charges ,330.4,percent of total billed charges ,283.2,percent of total billed charges ,283.2,percent of total billed charges ,283.2,percent of total billed charges ,283.2,percent of total billed charges ,,,,,251.1,percent of total billed charges ,,,,,238.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,
CD57 +NK CELLS,86356,CDM,,,,both,,,208,208,47.84,208,208,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,164.32,percent of total billed charges,164.32,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 ,164.32,percent of total billed charges ,164.32,percent of total billed charges ,176.8,percent of total billed charges ,176.8,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 ,,,,,,,,,,,,,,,,,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,
ANTI-DIURETIC HORMONE,84588,CDM,,,,both,,,247,247,56.81,247,247,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,195.13,percent of total billed charges,195.13,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 ,195.13,percent of total billed charges ,195.13,percent of total billed charges ,209.95,percent of total billed charges ,209.95,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 ,,,,,,,,,,,,,,,,,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,
MITOCHONDRIAL M2,83516,CDM,,,,both,,,162,162,37.26,162,162,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,127.98,percent of total billed charges,127.98,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 ,127.98,percent of total billed charges ,127.98,percent of total billed charges ,137.7,percent of total billed charges ,137.7,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 ,,,,,,,,,,,,,,,,,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,
"ZIKA VIRUS, BLOOD",87662,CDM,,,,both,,,201,201,46.23,201,201,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,158.79,percent of total billed charges,158.79,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 ,158.79,percent of total billed charges ,158.79,percent of total billed charges ,170.85,percent of total billed charges ,170.85,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 ,,,,,,,,,,,,,,,,,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,
"ZIKA VIRUS, URINE",87662,CDM,,,,both,,,201,201,46.23,201,201,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,158.79,percent of total billed charges,158.79,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 ,158.79,percent of total billed charges ,158.79,percent of total billed charges ,170.85,percent of total billed charges ,170.85,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 ,,,,,,,,,,,,,,,,,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,
"MICROALBUMIN, 24 HR UR",82043,CDM,,,,both,,,162,162,37.26,162,162,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,127.98,percent of total billed charges,127.98,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 ,127.98,percent of total billed charges ,127.98,percent of total billed charges ,137.7,percent of total billed charges ,137.7,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 ,,,,,,,,,,,,,,,,,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,
.CREAT UR MMC,82570,CDM,,,,both,,,106,106,24.38,106,106,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,83.74,percent of total billed charges,83.74,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 ,83.74,percent of total billed charges ,83.74,percent of total billed charges ,90.1,percent of total billed charges ,90.1,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 ,,,,,,,,,,,,,,,,,,,24.38,percent of total billed charges,,,24.38,percent of total billed charges,,,24.38,percent of total billed charges,,,24.38,percent of total billed charges,,,24.38,percent of total billed charges,,,24.38,percent of total billed charges,,,24.38,percent of total billed charges,,,24.38,percent of total billed charges,,,24.38,percent of total billed charges,,,24.38,percent of total billed charges,,,24.38,percent of total billed charges,
TRYPTASE,83520,CDM,,,,both,,,235,235,54.05,235,235,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,185.65,percent of total billed charges,185.65,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 ,185.65,percent of total billed charges ,185.65,percent of total billed charges ,199.75,percent of total billed charges ,199.75,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 ,,,,,,,,,,,,,,,,,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,
HLA ORGAN DONOR MOL,81372,CDM,,,,both,,,"1,369.00","1,369.00",314.87,"1,369.00","1,369.00",percent of total billed charges,"1,369.00",percent of total billed charges,"1,369.00",percent of total billed charges,"1,369.00",percent of total billed charges,"1,369.00",percent of total billed charges,"1,369.00",percent of total billed charges,"1,369.00",percent of total billed charges,"1,369.00",percent of total billed charges,985.68,percent of total billed charges,985.68,percent of total billed charges,985.68,percent of total billed charges,985.68,percent of total billed charges,985.68,percent of total billed charges,985.68,percent of total billed charges,"1,081.51",percent of total billed charges,"1,081.51",percent of total billed charges,"1,095.20",percent of total billed charges,"1,095.20",percent of total billed charges,,,985.68,percent of total billed charges ,,,"1,095.20",percent of total billed charges ,"1,081.51",percent of total billed charges ,"1,081.51",percent of total billed charges ,"1,163.65",percent of total billed charges ,"1,163.65",percent of total billed charges ,"1,095.20",percent of total billed charges ,"1,095.20",percent of total billed charges ,958.3,percent of total billed charges ,958.3,percent of total billed charges ,821.4,percent of total billed charges ,821.4,percent of total billed charges ,821.4,percent of total billed charges ,821.4,percent of total billed charges ,,,,,728.31,percent of total billed charges ,,,,,691.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,314.87,percent of total billed charges,,,314.87,percent of total billed charges,,,314.87,percent of total billed charges,,,314.87,percent of total billed charges,,,314.87,percent of total billed charges,,,314.87,percent of total billed charges,,,314.87,percent of total billed charges,,,314.87,percent of total billed charges,,,314.87,percent of total billed charges,,,314.87,percent of total billed charges,,,314.87,percent of total billed charges,
HLA ORGAN DONOR MOLECULAR,81375,CDM,,,,both,,,688,688,158.24,688,688,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,543.52,percent of total billed charges,543.52,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 ,543.52,percent of total billed charges ,543.52,percent of total billed charges ,584.8,percent of total billed charges ,584.8,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 ,,,,,,,,,,,,,,,,,,,158.24,percent of total billed charges,,,158.24,percent of total billed charges,,,158.24,percent of total billed charges,,,158.24,percent of total billed charges,,,158.24,percent of total billed charges,,,158.24,percent of total billed charges,,,158.24,percent of total billed charges,,,158.24,percent of total billed charges,,,158.24,percent of total billed charges,,,158.24,percent of total billed charges,,,158.24,percent of total billed charges,
DQA1/DPB1,81376,CDM,,,,both,,,509,509,117.07,509,509,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,402.11,percent of total billed charges,402.11,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 ,402.11,percent of total billed charges ,402.11,percent of total billed charges ,432.65,percent of total billed charges ,432.65,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 ,,,,,,,,,,,,,,,,,,,117.07,percent of total billed charges,,,117.07,percent of total billed charges,,,117.07,percent of total billed charges,,,117.07,percent of total billed charges,,,117.07,percent of total billed charges,,,117.07,percent of total billed charges,,,117.07,percent of total billed charges,,,117.07,percent of total billed charges,,,117.07,percent of total billed charges,,,117.07,percent of total billed charges,,,117.07,percent of total billed charges,
"CYSTATIN C, SERUM",82610,CDM,,,,both,,,169,169,38.87,169,169,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,133.51,percent of total billed charges,133.51,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 ,133.51,percent of total billed charges ,133.51,percent of total billed charges ,143.65,percent of total billed charges ,143.65,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 ,,,,,,,,,,,,,,,,,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,,,38.87,percent of total billed charges,
.CYTOKINE,83520,CDM,,,,both,,,233,233,53.59,233,233,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,184.07,percent of total billed charges,184.07,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 ,184.07,percent of total billed charges ,184.07,percent of total billed charges ,198.05,percent of total billed charges ,198.05,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 ,,,,,,,,,,,,,,,,,,,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,
COVID-19 LABCORP,87635,CDM,,,,both,,,313,313,71.99,313,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,247.27,percent of total billed charges,247.27,percent of total billed charges,250.4,percent of total billed charges,250.4,percent of total billed charges,,,225.36,percent of total billed charges ,,,250.4,percent of total billed charges ,247.27,percent of total billed charges ,247.27,percent of total billed charges ,266.05,percent of total billed charges ,266.05,percent of total billed charges ,250.4,percent of total billed charges ,250.4,percent of total billed charges ,219.1,percent of total billed charges ,219.1,percent of total billed charges ,187.8,percent of total billed charges ,187.8,percent of total billed charges ,187.8,percent of total billed charges ,187.8,percent of total billed charges ,,,,,166.52,percent of total billed charges ,,,,,158.19,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,,,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,
ETHYL GLUCURONIDE,80321,CDM,,,,both,,,127,127,29.21,127,127,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,100.33,percent of total billed charges,100.33,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 ,100.33,percent of total billed charges ,100.33,percent of total billed charges ,107.95,percent of total billed charges ,107.95,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 ,,,,,,,,,,,,,,,,,,,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,
"POLIOVIRUS (TYPES 1,3) AB",Local ,Local ,,,,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
.POLIO 1 AB,86658,CDM,,,,both,,,128,128,29.44,128,128,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,101.12,percent of total billed charges,101.12,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 ,101.12,percent of total billed charges ,101.12,percent of total billed charges ,108.8,percent of total billed charges ,108.8,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
.POLIO 3 AB,86658,CDM,,,,both,,,128,128,29.44,128,128,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,101.12,percent of total billed charges,101.12,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 ,101.12,percent of total billed charges ,101.12,percent of total billed charges ,108.8,percent of total billed charges ,108.8,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
"BETA-D-GLUCAN (1,3)",87449,CDM,,,,both,,,209,209,48.07,209,209,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,165.11,percent of total billed charges,165.11,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 ,165.11,percent of total billed charges ,165.11,percent of total billed charges ,177.65,percent of total billed charges ,177.65,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 ,,,,,,,,,,,,,,,,,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,
ASPERGILLUS GALACTOMANNAN ANTIGEN,87305,CDM,,,,both,,,242,242,55.66,242,242,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,191.18,percent of total billed charges,191.18,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 ,191.18,percent of total billed charges ,191.18,percent of total billed charges ,205.7,percent of total billed charges ,205.7,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 ,,,,,,,,,,,,,,,,,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,
JC VIRUS,87798,CDM,,,,both,,,335,335,77.05,335,335,percent of total billed charges,335,percent of total billed charges,335,percent of total billed charges,335,percent of total billed charges,335,percent of total billed charges,335,percent of total billed charges,335,percent of total billed charges,335,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,241.2,percent of total billed charges,241.2,percent of total billed charges,264.65,percent of total billed charges,264.65,percent of total billed charges,268,percent of total billed charges,268,percent of total billed charges,,,241.2,percent of total billed charges ,,,268,percent of total billed charges ,264.65,percent of total billed charges ,264.65,percent of total billed charges ,284.75,percent of total billed charges ,284.75,percent of total billed charges ,268,percent of total billed charges ,268,percent of total billed charges ,234.5,percent of total billed charges ,234.5,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 ,,,,,178.22,percent of total billed charges ,,,,,169.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,77.05,percent of total billed charges,,,77.05,percent of total billed charges,,,77.05,percent of total billed charges,,,77.05,percent of total billed charges,,,77.05,percent of total billed charges,,,77.05,percent of total billed charges,,,77.05,percent of total billed charges,,,77.05,percent of total billed charges,,,77.05,percent of total billed charges,,,77.05,percent of total billed charges,,,77.05,percent of total billed charges,
COVID-19 IGG AB,86328,CDM,,,,both,,,103,103,23.69,103,103,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,81.37,percent of total billed charges,81.37,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 ,81.37,percent of total billed charges ,81.37,percent of total billed charges ,87.55,percent of total billed charges ,87.55,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 ,,,,,,,,,,,,,,,,,,,23.69,percent of total billed charges,,,23.69,percent of total billed charges,,,23.69,percent of total billed charges,,,23.69,percent of total billed charges,,,23.69,percent of total billed charges,,,23.69,percent of total billed charges,,,23.69,percent of total billed charges,,,23.69,percent of total billed charges,,,23.69,percent of total billed charges,,,23.69,percent of total billed charges,,,23.69,percent of total billed charges,
.PHOSPHATIDYLSERINE AB IGA,86148,CDM,,,,both,,,163,163,37.49,163,163,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,128.77,percent of total billed charges,128.77,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 ,128.77,percent of total billed charges ,128.77,percent of total billed charges ,138.55,percent of total billed charges ,138.55,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 ,,,,,,,,,,,,,,,,,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,
.PHOSPHATIDYLSERINE AB IGG,86148,CDM,,,,both,,,163,163,37.49,163,163,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,128.77,percent of total billed charges,128.77,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 ,128.77,percent of total billed charges ,128.77,percent of total billed charges ,138.55,percent of total billed charges ,138.55,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 ,,,,,,,,,,,,,,,,,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,
.PHOSPHATIDYLSERINE AB IGG,86148,CDM,,,,both,,,163,163,37.49,163,163,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,128.77,percent of total billed charges,128.77,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 ,128.77,percent of total billed charges ,128.77,percent of total billed charges ,138.55,percent of total billed charges ,138.55,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 ,,,,,,,,,,,,,,,,,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,
.SRS PH,81003,CDM,,,,both,,,77,77,17.71,77,77,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,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,60.83,percent of total billed charges,60.83,percent of total billed charges,61.6,percent of total billed charges,61.6,percent of total billed charges,,,55.44,percent of total billed charges ,,,61.6,percent of total billed charges ,60.83,percent of total billed charges ,60.83,percent of total billed charges ,65.45,percent of total billed charges ,65.45,percent of total billed charges ,61.6,percent of total billed charges ,61.6,percent of total billed charges ,53.9,percent of total billed charges ,53.9,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 ,,,,,40.96,percent of total billed charges ,,,,,38.92,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,,,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,
.SRS AMINO ACID,82131,CDM,,,,both,,,233,233,53.59,233,233,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,184.07,percent of total billed charges,184.07,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 ,184.07,percent of total billed charges ,184.07,percent of total billed charges ,198.05,percent of total billed charges ,198.05,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 ,,,,,,,,,,,,,,,,,,,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,
.SRS OSMO,83935,CDM,,,,both,,,137,137,31.51,137,137,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,108.23,percent of total billed charges,108.23,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 ,108.23,percent of total billed charges ,108.23,percent of total billed charges ,116.45,percent of total billed charges ,116.45,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 ,,,,,,,,,,,,,,,,,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,
"PREGABALIN, URINE",80366,CDM,,,,both,,,86,86,19.78,86,86,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,67.94,percent of total billed charges,67.94,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 ,67.94,percent of total billed charges ,67.94,percent of total billed charges ,73.1,percent of total billed charges ,73.1,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
BARTONELLA PCR,87471,CDM,,,,both,,,340,340,78.2,340,340,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,268.6,percent of total billed charges,268.6,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 ,268.6,percent of total billed charges ,268.6,percent of total billed charges ,289,percent of total billed charges ,289,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 ,,,,,,,,,,,,,,,,,,,78.2,percent of total billed charges,,,78.2,percent of total billed charges,,,78.2,percent of total billed charges,,,78.2,percent of total billed charges,,,78.2,percent of total billed charges,,,78.2,percent of total billed charges,,,78.2,percent of total billed charges,,,78.2,percent of total billed charges,,,78.2,percent of total billed charges,,,78.2,percent of total billed charges,,,78.2,percent of total billed charges,
COVID-19 MMC PCR,87635,CDM,,,,both,,,313,313,71.99,313,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,247.27,percent of total billed charges,247.27,percent of total billed charges,250.4,percent of total billed charges,250.4,percent of total billed charges,,,225.36,percent of total billed charges ,,,250.4,percent of total billed charges ,247.27,percent of total billed charges ,247.27,percent of total billed charges ,266.05,percent of total billed charges ,266.05,percent of total billed charges ,250.4,percent of total billed charges ,250.4,percent of total billed charges ,219.1,percent of total billed charges ,219.1,percent of total billed charges ,187.8,percent of total billed charges ,187.8,percent of total billed charges ,187.8,percent of total billed charges ,187.8,percent of total billed charges ,,,,,166.52,percent of total billed charges ,,,,,158.19,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,,,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,
.CHLAM APTIMA,87491,CDM,,,,both,,,247,247,56.81,247,247,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,195.13,percent of total billed charges,195.13,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 ,195.13,percent of total billed charges ,195.13,percent of total billed charges ,209.95,percent of total billed charges ,209.95,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 ,,,,,,,,,,,,,,,,,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,
.GC ATPIMA,87591,CDM,,,,both,,,242,242,55.66,242,242,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,191.18,percent of total billed charges,191.18,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 ,191.18,percent of total billed charges ,191.18,percent of total billed charges ,205.7,percent of total billed charges ,205.7,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 ,,,,,,,,,,,,,,,,,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,,,55.66,percent of total billed charges,
.TRICH APTIMA,87661,CDM,,,,both,,,212,212,48.76,212,212,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,167.48,percent of total billed charges,167.48,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 ,167.48,percent of total billed charges ,167.48,percent of total billed charges ,180.2,percent of total billed charges ,180.2,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 ,,,,,,,,,,,,,,,,,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,,,48.76,percent of total billed charges,
MANGANESE,83785,CDM,,,,both,,,193,193,44.39,193,193,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,152.47,percent of total billed charges,152.47,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 ,152.47,percent of total billed charges ,152.47,percent of total billed charges ,164.05,percent of total billed charges ,164.05,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 ,,,,,,,,,,,,,,,,,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,
COVID-19 IGM AB,86328,CDM,,,,both,,,103,103,23.69,103,103,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,81.37,percent of total billed charges,81.37,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 ,81.37,percent of total billed charges ,81.37,percent of total billed charges ,87.55,percent of total billed charges ,87.55,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 ,,,,,,,,,,,,,,,,,,,23.69,percent of total billed charges,,,23.69,percent of total billed charges,,,23.69,percent of total billed charges,,,23.69,percent of total billed charges,,,23.69,percent of total billed charges,,,23.69,percent of total billed charges,,,23.69,percent of total billed charges,,,23.69,percent of total billed charges,,,23.69,percent of total billed charges,,,23.69,percent of total billed charges,,,23.69,percent of total billed charges,
HLA CLASS 1 C1Q BINDING ANTIBODY,86832,CDM,,,,both,,,917,917,210.91,917,917,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,660.24,percent of total billed charges,660.24,percent of total billed charges,660.24,percent of total billed charges,660.24,percent of total billed charges,660.24,percent of total billed charges,660.24,percent of total billed charges,724.43,percent of total billed charges,724.43,percent of total billed charges,733.6,percent of total billed charges,733.6,percent of total billed charges,,,660.24,percent of total billed charges ,,,733.6,percent of total billed charges ,724.43,percent of total billed charges ,724.43,percent of total billed charges ,779.45,percent of total billed charges ,779.45,percent of total billed charges ,733.6,percent of total billed charges ,733.6,percent of total billed charges ,641.9,percent of total billed charges ,641.9,percent of total billed charges ,550.2,percent of total billed charges ,550.2,percent of total billed charges ,550.2,percent of total billed charges ,550.2,percent of total billed charges ,,,,,487.84,percent of total billed charges ,,,,,463.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,210.91,percent of total billed charges,,,210.91,percent of total billed charges,,,210.91,percent of total billed charges,,,210.91,percent of total billed charges,,,210.91,percent of total billed charges,,,210.91,percent of total billed charges,,,210.91,percent of total billed charges,,,210.91,percent of total billed charges,,,210.91,percent of total billed charges,,,210.91,percent of total billed charges,,,210.91,percent of total billed charges,
ALPHA GAL ALLERGEN,86008,CDM,,,,both,,,83,83,19.09,83,83,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,65.57,percent of total billed charges,65.57,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 ,65.57,percent of total billed charges ,65.57,percent of total billed charges ,70.55,percent of total billed charges ,70.55,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 ,,,,,,,,,,,,,,,,,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,
TISSUE INSIT HYBD I&R,88364,CDM,,,,both,,,459,459,105.57,459,459,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,362.61,percent of total billed charges,362.61,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 ,362.61,percent of total billed charges ,362.61,percent of total billed charges ,390.15,percent of total billed charges ,390.15,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 ,,,,,,,,,,,,,,,,,,,105.57,percent of total billed charges,,,105.57,percent of total billed charges,,,105.57,percent of total billed charges,,,105.57,percent of total billed charges,,,105.57,percent of total billed charges,,,105.57,percent of total billed charges,,,105.57,percent of total billed charges,,,105.57,percent of total billed charges,,,105.57,percent of total billed charges,,,105.57,percent of total billed charges,,,105.57,percent of total billed charges,
HLA CLASS I,81370,CDM,,,,both,,,"3,276.00","3,276.00",753.48,"3,276.00","3,276.00",percent of total billed charges,"3,276.00",percent of total billed charges,"3,276.00",percent of total billed charges,"3,276.00",percent of total billed charges,"3,276.00",percent of total billed charges,"3,276.00",percent of total billed charges,"3,276.00",percent of total billed charges,"3,276.00",percent of total billed charges,"2,358.72",percent of total billed charges,"2,358.72",percent of total billed charges,"2,358.72",percent of total billed charges,"2,358.72",percent of total billed charges,"2,358.72",percent of total billed charges,"2,358.72",percent of total billed charges,"2,588.04",percent of total billed charges,"2,588.04",percent of total billed charges,"2,620.80",percent of total billed charges,"2,620.80",percent of total billed charges,,,"2,358.72",percent of total billed charges ,,,"2,620.80",percent of total billed charges ,"2,588.04",percent of total billed charges ,"2,588.04",percent of total billed charges ,"2,784.60",percent of total billed charges ,"2,784.60",percent of total billed charges ,"2,620.80",percent of total billed charges ,"2,620.80",percent of total billed charges ,"2,293.20",percent of total billed charges ,"2,293.20",percent of total billed charges ,"1,965.60",percent of total billed charges ,"1,965.60",percent of total billed charges ,"1,965.60",percent of total billed charges ,"1,965.60",percent of total billed charges ,,,,,"1,742.83",percent of total billed charges ,,,,,"1,655.69",percent of total billed charges ,,,,,,,,,,,,,,,,,,,753.48,percent of total billed charges,,,753.48,percent of total billed charges,,,753.48,percent of total billed charges,,,753.48,percent of total billed charges,,,753.48,percent of total billed charges,,,753.48,percent of total billed charges,,,753.48,percent of total billed charges,,,753.48,percent of total billed charges,,,753.48,percent of total billed charges,,,753.48,percent of total billed charges,,,753.48,percent of total billed charges,
SALMONELLA TYPHI ANTIBODIES,86768,CDM,,,,both,,,96,96,22.08,96,96,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,75.84,percent of total billed charges,75.84,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 ,75.84,percent of total billed charges ,75.84,percent of total billed charges ,81.6,percent of total billed charges ,81.6,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 ,,,,,,,,,,,,,,,,,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,,,22.08,percent of total billed charges,
"CULTURE, UREAPLASMA",87109,CDM,,,,both,,,164,164,37.72,164,164,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,129.56,percent of total billed charges,129.56,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 ,129.56,percent of total billed charges ,129.56,percent of total billed charges ,139.4,percent of total billed charges ,139.4,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 ,,,,,,,,,,,,,,,,,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,,,37.72,percent of total billed charges,
ALLERGEN SPECIFIC IGE,86005,CDM,,,,both,,,56,56,12.88,56,56,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,44.24,percent of total billed charges,44.24,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 ,44.24,percent of total billed charges ,44.24,percent of total billed charges ,47.6,percent of total billed charges ,47.6,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 ,,,,,,,,,,,,,,,,,,,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,
BCR ABL1 MICRO BREAKPOINT,81208,CDM,,,,both,,,485,485,111.55,485,485,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,383.15,percent of total billed charges,383.15,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 ,383.15,percent of total billed charges ,383.15,percent of total billed charges ,412.25,percent of total billed charges ,412.25,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 ,,,,,,,,,,,,,,,,,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,
SMA PANEL,81329,CDM,,,,both,,,631,631,145.13,631,631,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,498.49,percent of total billed charges,498.49,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 ,498.49,percent of total billed charges ,498.49,percent of total billed charges ,536.35,percent of total billed charges ,536.35,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 ,,,,,,,,,,,,,,,,,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,,,145.13,percent of total billed charges,
PHOSPHOLIPASE A2 AB,86255,CDM,,,,both,,,199,199,45.77,199,199,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,157.21,percent of total billed charges,157.21,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 ,157.21,percent of total billed charges ,157.21,percent of total billed charges ,169.15,percent of total billed charges ,169.15,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 ,,,,,,,,,,,,,,,,,,,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,,,45.77,percent of total billed charges,,,45.77,percent of total billed charges,,,45.77,percent of total billed charges,
GIARDIA ANTIBODY,86674,CDM,,,,both,,,165,165,37.95,165,165,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,130.35,percent of total billed charges,130.35,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 ,130.35,percent of total billed charges ,130.35,percent of total billed charges ,140.25,percent of total billed charges ,140.25,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 ,,,,,,,,,,,,,,,,,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,,,37.95,percent of total billed charges,
IODINE,83018,CDM,,,,both,,,196,196,45.08,196,196,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,154.84,percent of total billed charges,154.84,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 ,154.84,percent of total billed charges ,154.84,percent of total billed charges ,166.6,percent of total billed charges ,166.6,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 ,,,,,,,,,,,,,,,,,,,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,
THIOPURINE,80299,CDM,,,,both,,,237,237,54.51,237,237,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,187.23,percent of total billed charges,187.23,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 ,187.23,percent of total billed charges ,187.23,percent of total billed charges ,201.45,percent of total billed charges ,201.45,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 ,,,,,,,,,,,,,,,,,,,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,,,54.51,percent of total billed charges,,,54.51,percent of total billed charges,,,54.51,percent of total billed charges,
"PORPHYRINS, TOTAL SERUM",84311,CDM,,,,both,,,141,141,32.43,141,141,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,111.39,percent of total billed charges,111.39,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 ,111.39,percent of total billed charges ,111.39,percent of total billed charges ,119.85,percent of total billed charges ,119.85,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 ,,,,,,,,,,,,,,,,,,,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,
COPEPTIN,84588,CDM,,,,both,,,308,308,70.84,308,308,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,243.32,percent of total billed charges,243.32,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 ,243.32,percent of total billed charges ,243.32,percent of total billed charges ,261.8,percent of total billed charges ,261.8,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 ,,,,,,,,,,,,,,,,,,,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,
AUTOIMMUNE CNS DEMYELINATING DISEASE,Local ,Local ,,,,both,,,3,3,0.69,3,3,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,2.37,percent of total billed charges,2.37,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 ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.55,percent of total billed charges ,2.55,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 ,,,,,,,,,,,,,,,,,,,0.69,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,
.AQUAPORIN 4 RECEPTOR AB,86052,CDM,,,,both,,,305,305,70.15,305,305,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,240.95,percent of total billed charges,240.95,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 ,240.95,percent of total billed charges ,240.95,percent of total billed charges ,259.25,percent of total billed charges ,259.25,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 ,,,,,,,,,,,,,,,,,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,
.MOG ANTIBODY,86362,CDM,,,,both,,,305,305,70.15,305,305,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,240.95,percent of total billed charges,240.95,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 ,240.95,percent of total billed charges ,240.95,percent of total billed charges ,259.25,percent of total billed charges ,259.25,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 ,,,,,,,,,,,,,,,,,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,
GI PCR,87507,CDM,,,,both,,,"1,478.00","1,478.00",339.94,"1,478.00","1,478.00",percent of total billed charges,"1,478.00",percent of total billed charges,"1,478.00",percent of total billed charges,"1,478.00",percent of total billed charges,"1,478.00",percent of total billed charges,"1,478.00",percent of total billed charges,"1,478.00",percent of total billed charges,"1,478.00",percent of total billed charges,"1,064.16",percent of total billed charges,"1,064.16",percent of total billed charges,"1,064.16",percent of total billed charges,"1,064.16",percent of total billed charges,"1,064.16",percent of total billed charges,"1,064.16",percent of total billed charges,"1,167.62",percent of total billed charges,"1,167.62",percent of total billed charges,"1,182.40",percent of total billed charges,"1,182.40",percent of total billed charges,,,"1,064.16",percent of total billed charges ,,,"1,182.40",percent of total billed charges ,"1,167.62",percent of total billed charges ,"1,167.62",percent of total billed charges ,"1,256.30",percent of total billed charges ,"1,256.30",percent of total billed charges ,"1,182.40",percent of total billed charges ,"1,182.40",percent of total billed charges ,"1,034.60",percent of total billed charges ,"1,034.60",percent of total billed charges ,886.8,percent of total billed charges ,886.8,percent of total billed charges ,886.8,percent of total billed charges ,886.8,percent of total billed charges ,,,,,786.3,percent of total billed charges ,,,,,746.98,percent of total billed charges ,,,,,,,,,,,,,,,,,,,339.94,percent of total billed charges,,,339.94,percent of total billed charges,,,339.94,percent of total billed charges,,,339.94,percent of total billed charges,,,339.94,percent of total billed charges,,,339.94,percent of total billed charges,,,339.94,percent of total billed charges,,,339.94,percent of total billed charges,,,339.94,percent of total billed charges,,,339.94,percent of total billed charges,,,339.94,percent of total billed charges,
.VEDOLIZUMAB QUANT,80280,CDM,,,,both,,,343,343,78.89,343,343,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,270.97,percent of total billed charges,270.97,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 ,270.97,percent of total billed charges ,270.97,percent of total billed charges ,291.55,percent of total billed charges ,291.55,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 ,,,,,,,,,,,,,,,,,,,78.89,percent of total billed charges,,,78.89,percent of total billed charges,,,78.89,percent of total billed charges,,,78.89,percent of total billed charges,,,78.89,percent of total billed charges,,,78.89,percent of total billed charges,,,78.89,percent of total billed charges,,,78.89,percent of total billed charges,,,78.89,percent of total billed charges,,,78.89,percent of total billed charges,,,78.89,percent of total billed charges,
.VEDOLIZUMAB ANTIBODIES,82397,CDM,,,,both,,,223,223,51.29,223,223,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,176.17,percent of total billed charges,176.17,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 ,176.17,percent of total billed charges ,176.17,percent of total billed charges ,189.55,percent of total billed charges ,189.55,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 ,,,,,,,,,,,,,,,,,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,,,51.29,percent of total billed charges,
HCV NS5A DRUG RESISTANCE,87902,CDM,,,,both,,,"1,193.00","1,193.00",274.39,"1,193.00","1,193.00",percent of total billed charges,"1,193.00",percent of total billed charges,"1,193.00",percent of total billed charges,"1,193.00",percent of total billed charges,"1,193.00",percent of total billed charges,"1,193.00",percent of total billed charges,"1,193.00",percent of total billed charges,"1,193.00",percent of total billed charges,858.96,percent of total billed charges,858.96,percent of total billed charges,858.96,percent of total billed charges,858.96,percent of total billed charges,858.96,percent of total billed charges,858.96,percent of total billed charges,942.47,percent of total billed charges,942.47,percent of total billed charges,954.4,percent of total billed charges,954.4,percent of total billed charges,,,858.96,percent of total billed charges ,,,954.4,percent of total billed charges ,942.47,percent of total billed charges ,942.47,percent of total billed charges ,"1,014.05",percent of total billed charges ,"1,014.05",percent of total billed charges ,954.4,percent of total billed charges ,954.4,percent of total billed charges ,835.1,percent of total billed charges ,835.1,percent of total billed charges ,715.8,percent of total billed charges ,715.8,percent of total billed charges ,715.8,percent of total billed charges ,715.8,percent of total billed charges ,,,,,634.68,percent of total billed charges ,,,,,602.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,274.39,percent of total billed charges,,,274.39,percent of total billed charges,,,274.39,percent of total billed charges,,,274.39,percent of total billed charges,,,274.39,percent of total billed charges,,,274.39,percent of total billed charges,,,274.39,percent of total billed charges,,,274.39,percent of total billed charges,,,274.39,percent of total billed charges,,,274.39,percent of total billed charges,,,274.39,percent of total billed charges,
.PARANEOPLASTIC NONAB,83519,CDM,,,,both,,,278,278,63.94,278,278,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,219.62,percent of total billed charges,219.62,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 ,219.62,percent of total billed charges ,219.62,percent of total billed charges ,236.3,percent of total billed charges ,236.3,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
.PARANEOPLASTIC FLR AB,86255,CDM,,,,both,,,199,199,45.77,199,199,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,157.21,percent of total billed charges,157.21,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 ,157.21,percent of total billed charges ,157.21,percent of total billed charges ,169.15,percent of total billed charges ,169.15,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 ,,,,,,,,,,,,,,,,,,,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,,,45.77,percent of total billed charges,,,45.77,percent of total billed charges,,,45.77,percent of total billed charges,
.PARANEOPLASTIC IMM,86596,CDM,,,,both,,,278,278,63.94,278,278,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,219.62,percent of total billed charges,219.62,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 ,219.62,percent of total billed charges ,219.62,percent of total billed charges ,236.3,percent of total billed charges ,236.3,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
MONKEYPOX VIRUS BY PCR,87593,CDM,,,,both,,,240,240,55.2,240,240,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,189.6,percent of total billed charges,189.6,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 ,189.6,percent of total billed charges ,189.6,percent of total billed charges ,204,percent of total billed charges ,204,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,55.2,percent of total billed charges,,,55.2,percent of total billed charges,,,55.2,percent of total billed charges,
Y CHROMOSOME MICRODELETION,81403,CDM,,,,both,,,771,771,177.33,771,771,percent of total billed charges,771,percent of total billed charges,771,percent of total billed charges,771,percent of total billed charges,771,percent of total billed charges,771,percent of total billed charges,771,percent of total billed charges,771,percent of total billed charges,555.12,percent of total billed charges,555.12,percent of total billed charges,555.12,percent of total billed charges,555.12,percent of total billed charges,555.12,percent of total billed charges,555.12,percent of total billed charges,609.09,percent of total billed charges,609.09,percent of total billed charges,616.8,percent of total billed charges,616.8,percent of total billed charges,,,555.12,percent of total billed charges ,,,616.8,percent of total billed charges ,609.09,percent of total billed charges ,609.09,percent of total billed charges ,655.35,percent of total billed charges ,655.35,percent of total billed charges ,616.8,percent of total billed charges ,616.8,percent of total billed charges ,539.7,percent of total billed charges ,539.7,percent of total billed charges ,462.6,percent of total billed charges ,462.6,percent of total billed charges ,462.6,percent of total billed charges ,462.6,percent of total billed charges ,,,,,410.17,percent of total billed charges ,,,,,389.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,177.33,percent of total billed charges,,,177.33,percent of total billed charges,,,177.33,percent of total billed charges,,,177.33,percent of total billed charges,,,177.33,percent of total billed charges,,,177.33,percent of total billed charges,,,177.33,percent of total billed charges,,,177.33,percent of total billed charges,,,177.33,percent of total billed charges,,,177.33,percent of total billed charges,,,177.33,percent of total billed charges,
CANDIDA ALBICANS ANTIBODIES,86628,CDM,,,,both,,,83,83,19.09,83,83,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,65.57,percent of total billed charges,65.57,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 ,65.57,percent of total billed charges ,65.57,percent of total billed charges ,70.55,percent of total billed charges ,70.55,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 ,,,,,,,,,,,,,,,,,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,,,19.09,percent of total billed charges,
"FATTY ACIDS PROFILE,ESSENTIAL",82542,CDM,,,,both,,,235,235,54.05,235,235,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,185.65,percent of total billed charges,185.65,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 ,185.65,percent of total billed charges ,185.65,percent of total billed charges ,199.75,percent of total billed charges ,199.75,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 ,,,,,,,,,,,,,,,,,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,
PEPSINOGEN I,83520,CDM,,,,both,,,206,206,47.38,206,206,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,162.74,percent of total billed charges,162.74,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 ,162.74,percent of total billed charges ,162.74,percent of total billed charges ,175.1,percent of total billed charges ,175.1,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 ,,,,,,,,,,,,,,,,,,,47.38,percent of total billed charges,,,47.38,percent of total billed charges,,,47.38,percent of total billed charges,,,47.38,percent of total billed charges,,,47.38,percent of total billed charges,,,47.38,percent of total billed charges,,,47.38,percent of total billed charges,,,47.38,percent of total billed charges,,,47.38,percent of total billed charges,,,47.38,percent of total billed charges,,,47.38,percent of total billed charges,
PEPSINOGEN II,83520,CDM,,,,both,,,206,206,47.38,206,206,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,162.74,percent of total billed charges,162.74,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 ,162.74,percent of total billed charges ,162.74,percent of total billed charges ,175.1,percent of total billed charges ,175.1,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 ,,,,,,,,,,,,,,,,,,,47.38,percent of total billed charges,,,47.38,percent of total billed charges,,,47.38,percent of total billed charges,,,47.38,percent of total billed charges,,,47.38,percent of total billed charges,,,47.38,percent of total billed charges,,,47.38,percent of total billed charges,,,47.38,percent of total billed charges,,,47.38,percent of total billed charges,,,47.38,percent of total billed charges,,,47.38,percent of total billed charges,
.SUSCEPTIBILITY BY PCR,87150,CDM,,,,both,,,200,200,46,200,200,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,158,percent of total billed charges,158,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 ,158,percent of total billed charges ,158,percent of total billed charges ,170,percent of total billed charges ,170,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 ,,,,,,,,,,,,,,,,,,,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,,,46,percent of total billed charges,,,46,percent of total billed charges,,,46,percent of total billed charges,
USTEKINUMAB QUANT,80299,CDM,,,,both,,,224,224,51.52,224,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,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,176.96,percent of total billed charges,176.96,percent of total billed charges,179.2,percent of total billed charges,179.2,percent of total billed charges,,,161.28,percent of total billed charges ,,,179.2,percent of total billed charges ,176.96,percent of total billed charges ,176.96,percent of total billed charges ,190.4,percent of total billed charges ,190.4,percent of total billed charges ,179.2,percent of total billed charges ,179.2,percent of total billed charges ,156.8,percent of total billed charges ,156.8,percent of total billed charges ,134.4,percent of total billed charges ,134.4,percent of total billed charges ,134.4,percent of total billed charges ,134.4,percent of total billed charges ,,,,,119.17,percent of total billed charges ,,,,,113.21,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,
KINGELLA BY PCR,87798,CDM,,,,both,,,290,290,66.7,290,290,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,229.1,percent of total billed charges,229.1,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 ,229.1,percent of total billed charges ,229.1,percent of total billed charges ,246.5,percent of total billed charges ,246.5,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 ,,,,,,,,,,,,,,,,,,,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,,,66.7,percent of total billed charges,,,66.7,percent of total billed charges,,,66.7,percent of total billed charges,
USTEKINUMAB ANTIBODIES,83520,CDM,,,,both,,,211,211,48.53,211,211,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,166.69,percent of total billed charges,166.69,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 ,166.69,percent of total billed charges ,166.69,percent of total billed charges ,179.35,percent of total billed charges ,179.35,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
.TRICHOMONAS PROBE,87660,CDM,,,,both,,,111,111,25.53,111,111,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,87.69,percent of total billed charges,87.69,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 ,87.69,percent of total billed charges ,87.69,percent of total billed charges ,94.35,percent of total billed charges ,94.35,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 ,,,,,,,,,,,,,,,,,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,,,25.53,percent of total billed charges,
.CANDIDA PROBE,87480,CDM,,,,both,,,113,113,25.99,113,113,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,89.27,percent of total billed charges,89.27,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 ,89.27,percent of total billed charges ,89.27,percent of total billed charges ,96.05,percent of total billed charges ,96.05,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 ,,,,,,,,,,,,,,,,,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,
.GARDNERELLA PROBE,87510,CDM,,,,both,,,114,114,26.22,114,114,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,90.06,percent of total billed charges,90.06,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 ,90.06,percent of total billed charges ,90.06,percent of total billed charges ,96.9,percent of total billed charges ,96.9,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 ,,,,,,,,,,,,,,,,,,,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,,,26.22,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,
DONOR HIV/HCV/HBV,87801,CDM,,,,both,,,421,421,96.83,421,421,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,332.59,percent of total billed charges,332.59,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 ,332.59,percent of total billed charges ,332.59,percent of total billed charges ,357.85,percent of total billed charges ,357.85,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 ,,,,,,,,,,,,,,,,,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,,,96.83,percent of total billed charges,
CSF BIOFIRE,87483,CDM,,,,both,,,"1,554.00","1,554.00",357.42,"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,"1,227.66",percent of total billed charges,"1,227.66",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 ,"1,227.66",percent of total billed charges ,"1,227.66",percent of total billed charges ,"1,320.90",percent of total billed charges ,"1,320.90",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 ,,,,,,,,,,,,,,,,,,,357.42,percent of total billed charges,,,357.42,percent of total billed charges,,,357.42,percent of total billed charges,,,357.42,percent of total billed charges,,,357.42,percent of total billed charges,,,357.42,percent of total billed charges,,,357.42,percent of total billed charges,,,357.42,percent of total billed charges,,,357.42,percent of total billed charges,,,357.42,percent of total billed charges,,,357.42,percent of total billed charges,
VEDOLIZUMAB QUANT,82397,CDM,,,,both,,,199,199,45.77,199,199,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,157.21,percent of total billed charges,157.21,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 ,157.21,percent of total billed charges ,157.21,percent of total billed charges ,169.15,percent of total billed charges ,169.15,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 ,,,,,,,,,,,,,,,,,,,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,,,45.77,percent of total billed charges,,,45.77,percent of total billed charges,,,45.77,percent of total billed charges,
VEDOLIZUMAB ASSAY,80280,CDM,,,,both,,,305,305,70.15,305,305,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,240.95,percent of total billed charges,240.95,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 ,240.95,percent of total billed charges ,240.95,percent of total billed charges ,259.25,percent of total billed charges ,259.25,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 ,,,,,,,,,,,,,,,,,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,,,70.15,percent of total billed charges,
CLORAZEPATE,80346,CDM,,,,both,,,88,88,20.24,88,88,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,69.52,percent of total billed charges,69.52,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 ,69.52,percent of total billed charges ,69.52,percent of total billed charges ,74.8,percent of total billed charges ,74.8,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 ,,,,,,,,,,,,,,,,,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,
DLBCL FISH PANEL,88377,CDM,,,,both,,,853,853,196.19,853,853,percent of total billed charges,853,percent of total billed charges,853,percent of total billed charges,853,percent of total billed charges,853,percent of total billed charges,853,percent of total billed charges,853,percent of total billed charges,853,percent of total billed charges,614.16,percent of total billed charges,614.16,percent of total billed charges,614.16,percent of total billed charges,614.16,percent of total billed charges,614.16,percent of total billed charges,614.16,percent of total billed charges,673.87,percent of total billed charges,673.87,percent of total billed charges,682.4,percent of total billed charges,682.4,percent of total billed charges,,,614.16,percent of total billed charges ,,,682.4,percent of total billed charges ,673.87,percent of total billed charges ,673.87,percent of total billed charges ,725.05,percent of total billed charges ,725.05,percent of total billed charges ,682.4,percent of total billed charges ,682.4,percent of total billed charges ,597.1,percent of total billed charges ,597.1,percent of total billed charges ,511.8,percent of total billed charges ,511.8,percent of total billed charges ,511.8,percent of total billed charges ,511.8,percent of total billed charges ,,,,,453.8,percent of total billed charges ,,,,,431.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,196.19,percent of total billed charges,,,196.19,percent of total billed charges,,,196.19,percent of total billed charges,,,196.19,percent of total billed charges,,,196.19,percent of total billed charges,,,196.19,percent of total billed charges,,,196.19,percent of total billed charges,,,196.19,percent of total billed charges,,,196.19,percent of total billed charges,,,196.19,percent of total billed charges,,,196.19,percent of total billed charges,
LYMPHOMA BURKITT MYC,88377,CDM,,,,both,,,853,853,196.19,853,853,percent of total billed charges,853,percent of total billed charges,853,percent of total billed charges,853,percent of total billed charges,853,percent of total billed charges,853,percent of total billed charges,853,percent of total billed charges,853,percent of total billed charges,614.16,percent of total billed charges,614.16,percent of total billed charges,614.16,percent of total billed charges,614.16,percent of total billed charges,614.16,percent of total billed charges,614.16,percent of total billed charges,673.87,percent of total billed charges,673.87,percent of total billed charges,682.4,percent of total billed charges,682.4,percent of total billed charges,,,614.16,percent of total billed charges ,,,682.4,percent of total billed charges ,673.87,percent of total billed charges ,673.87,percent of total billed charges ,725.05,percent of total billed charges ,725.05,percent of total billed charges ,682.4,percent of total billed charges ,682.4,percent of total billed charges ,597.1,percent of total billed charges ,597.1,percent of total billed charges ,511.8,percent of total billed charges ,511.8,percent of total billed charges ,511.8,percent of total billed charges ,511.8,percent of total billed charges ,,,,,453.8,percent of total billed charges ,,,,,431.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,196.19,percent of total billed charges,,,196.19,percent of total billed charges,,,196.19,percent of total billed charges,,,196.19,percent of total billed charges,,,196.19,percent of total billed charges,,,196.19,percent of total billed charges,,,196.19,percent of total billed charges,,,196.19,percent of total billed charges,,,196.19,percent of total billed charges,,,196.19,percent of total billed charges,,,196.19,percent of total billed charges,
TITANIUM,83018,CDM,,,,both,,,201,201,46.23,201,201,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,158.79,percent of total billed charges,158.79,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 ,158.79,percent of total billed charges ,158.79,percent of total billed charges ,170.85,percent of total billed charges ,170.85,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 ,,,,,,,,,,,,,,,,,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,,,46.23,percent of total billed charges,
MuSK IgG with reflex to titer,86255,CDM,,,,both,,,366,366,84.18,366,366,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,289.14,percent of total billed charges,289.14,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 ,289.14,percent of total billed charges ,289.14,percent of total billed charges ,311.1,percent of total billed charges ,311.1,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 ,,,,,,,,,,,,,,,,,,,84.18,percent of total billed charges,,,84.18,percent of total billed charges,,,84.18,percent of total billed charges,,,84.18,percent of total billed charges,,,84.18,percent of total billed charges,,,84.18,percent of total billed charges,,,84.18,percent of total billed charges,,,84.18,percent of total billed charges,,,84.18,percent of total billed charges,,,84.18,percent of total billed charges,,,84.18,percent of total billed charges,
MYASTHENIA GRAVIS REFLEX -BINDING AB,83516,CDM,,,,both,,,140,140,32.2,140,140,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,110.6,percent of total billed charges,110.6,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 ,110.6,percent of total billed charges ,110.6,percent of total billed charges ,119,percent of total billed charges ,119,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 ,,,,,,,,,,,,,,,,,,,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,
MYASTHENIA GRAVIS REFLEX BLOCKING AB,83519,CDM,,,,both,,,262,262,60.26,262,262,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,206.98,percent of total billed charges,206.98,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 ,206.98,percent of total billed charges ,206.98,percent of total billed charges ,222.7,percent of total billed charges ,222.7,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,60.26,percent of total billed charges,,,60.26,percent of total billed charges,,,60.26,percent of total billed charges,
MULTIPLE ENDOCRINE NEOPLASIA,81404,CDM,,,,both,,,"1,445.00","1,445.00",332.35,"1,445.00","1,445.00",percent of total billed charges,"1,445.00",percent of total billed charges,"1,445.00",percent of total billed charges,"1,445.00",percent of total billed charges,"1,445.00",percent of total billed charges,"1,445.00",percent of total billed charges,"1,445.00",percent of total billed charges,"1,445.00",percent of total billed charges,"1,040.40",percent of total billed charges,"1,040.40",percent of total billed charges,"1,040.40",percent of total billed charges,"1,040.40",percent of total billed charges,"1,040.40",percent of total billed charges,"1,040.40",percent of total billed charges,"1,141.55",percent of total billed charges,"1,141.55",percent of total billed charges,"1,156.00",percent of total billed charges,"1,156.00",percent of total billed charges,,,"1,040.40",percent of total billed charges ,,,"1,156.00",percent of total billed charges ,"1,141.55",percent of total billed charges ,"1,141.55",percent of total billed charges ,"1,228.25",percent of total billed charges ,"1,228.25",percent of total billed charges ,"1,156.00",percent of total billed charges ,"1,156.00",percent of total billed charges ,"1,011.50",percent of total billed charges ,"1,011.50",percent of total billed charges ,867,percent of total billed charges ,867,percent of total billed charges ,867,percent of total billed charges ,867,percent of total billed charges ,,,,,768.74,percent of total billed charges ,,,,,730.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,332.35,percent of total billed charges,,,332.35,percent of total billed charges,,,332.35,percent of total billed charges,,,332.35,percent of total billed charges,,,332.35,percent of total billed charges,,,332.35,percent of total billed charges,,,332.35,percent of total billed charges,,,332.35,percent of total billed charges,,,332.35,percent of total billed charges,,,332.35,percent of total billed charges,,,332.35,percent of total billed charges,
MULTIPLE ENDOCRINE NEOPLASIA,81405,CDM,,,,both,,,"1,566.00","1,566.00",360.18,"1,566.00","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,"1,566.00",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,"1,127.52",percent of total billed charges,"1,127.52",percent of total billed charges,"1,127.52",percent of total billed charges,"1,127.52",percent of total billed charges,"1,127.52",percent of total billed charges,"1,127.52",percent of total billed charges,"1,237.14",percent of total billed charges,"1,237.14",percent of total billed charges,"1,252.80",percent of total billed charges,"1,252.80",percent of total billed charges,,,"1,127.52",percent of total billed charges ,,,"1,252.80",percent of total billed charges ,"1,237.14",percent of total billed charges ,"1,237.14",percent of total billed charges ,"1,331.10",percent of total billed charges ,"1,331.10",percent of total billed charges ,"1,252.80",percent of total billed charges ,"1,252.80",percent of total billed charges ,"1,096.20",percent of total billed charges ,"1,096.20",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 ,,,,,833.11,percent of total billed charges ,,,,,791.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,360.18,percent of total billed charges,,,360.18,percent of total billed charges,,,360.18,percent of total billed charges,,,360.18,percent of total billed charges,,,360.18,percent of total billed charges,,,360.18,percent of total billed charges,,,360.18,percent of total billed charges,,,360.18,percent of total billed charges,,,360.18,percent of total billed charges,,,360.18,percent of total billed charges,,,360.18,percent of total billed charges,
DEXAMETHASONE,80299,CDM,,,,both,,,224,224,51.52,224,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,224,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,176.96,percent of total billed charges,176.96,percent of total billed charges,179.2,percent of total billed charges,179.2,percent of total billed charges,,,161.28,percent of total billed charges ,,,179.2,percent of total billed charges ,176.96,percent of total billed charges ,176.96,percent of total billed charges ,190.4,percent of total billed charges ,190.4,percent of total billed charges ,179.2,percent of total billed charges ,179.2,percent of total billed charges ,156.8,percent of total billed charges ,156.8,percent of total billed charges ,134.4,percent of total billed charges ,134.4,percent of total billed charges ,134.4,percent of total billed charges ,134.4,percent of total billed charges ,,,,,119.17,percent of total billed charges ,,,,,113.21,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,
MPL MUTATION DETECTION,81338,CDM,,,,both,,,445,445,102.35,445,445,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,351.55,percent of total billed charges,351.55,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 ,351.55,percent of total billed charges ,351.55,percent of total billed charges ,378.25,percent of total billed charges ,378.25,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 ,,,,,,,,,,,,,,,,,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,,,102.35,percent of total billed charges,
ADAMST13 ACTIVITY,85397,CDM,,,,both,,,311,311,71.53,311,311,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,245.69,percent of total billed charges,245.69,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 ,245.69,percent of total billed charges ,245.69,percent of total billed charges ,264.35,percent of total billed charges ,264.35,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 ,,,,,,,,,,,,,,,,,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,,,71.53,percent of total billed charges,
ZINC TRANSPORTER 8 ANTIBODY,86341,CDM,,,,both,,,214,214,49.22,214,214,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,169.06,percent of total billed charges,169.06,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 ,169.06,percent of total billed charges ,169.06,percent of total billed charges ,181.9,percent of total billed charges ,181.9,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 ,,,,,,,,,,,,,,,,,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,
.CROSSMATCH IMMED SPIN TECH,86920,CDM,,,,both,,,303,303,69.69,303,303,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,303,percent of total billed charges,303,percent of total billed charges,303,percent of total billed charges,218.16,percent of total billed charges,218.16,percent of total billed charges,218.16,percent of total billed charges,218.16,percent of total billed charges,218.16,percent of total billed charges,218.16,percent of total billed charges,239.37,percent of total billed charges,239.37,percent of total billed charges,242.4,percent of total billed charges,242.4,percent of total billed charges,,,218.16,percent of total billed charges ,,,242.4,percent of total billed charges ,239.37,percent of total billed charges ,239.37,percent of total billed charges ,257.55,percent of total billed charges ,257.55,percent of total billed charges ,242.4,percent of total billed charges ,242.4,percent of total billed charges ,212.1,percent of total billed charges ,212.1,percent of total billed charges ,181.8,percent of total billed charges ,181.8,percent of total billed charges ,181.8,percent of total billed charges ,181.8,percent of total billed charges ,,,,,161.2,percent of total billed charges ,,,,,153.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,,,69.69,percent of total billed charges,
**.PLASMA PHERESIS PROC,36514,CDM,,,,both,,,"1,905.00","1,905.00",438.15,"1,905.00","1,905.00",percent of total billed charges,"1,905.00",percent of total billed charges,"1,905.00",percent of total billed charges,"1,905.00",percent of total billed charges,"1,905.00",percent of total billed charges,"1,905.00",percent of total billed charges,"1,905.00",percent of total billed charges,"1,905.00",percent of total billed charges,"1,371.60",percent of total billed charges,"1,371.60",percent of total billed charges,"1,371.60",percent of total billed charges,"1,371.60",percent of total billed charges,"1,371.60",percent of total billed charges,"1,371.60",percent of total billed charges,"1,504.95",percent of total billed charges,"1,504.95",percent of total billed charges,"1,524.00",percent of total billed charges,"1,524.00",percent of total billed charges,,,"1,371.60",percent of total billed charges ,,,"1,524.00",percent of total billed charges ,"1,504.95",percent of total billed charges ,"1,504.95",percent of total billed charges ,"1,619.25",percent of total billed charges ,"1,619.25",percent of total billed charges ,"1,524.00",percent of total billed charges ,"1,524.00",percent of total billed charges ,"1,333.50",percent of total billed charges ,"1,333.50",percent of total billed charges ,"1,143.00",percent of total billed charges ,"1,143.00",percent of total billed charges ,"1,143.00",percent of total billed charges ,"1,143.00",percent of total billed charges ,,,,,"1,013.46",percent of total billed charges ,,,,,962.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,438.15,percent of total billed charges,,,438.15,percent of total billed charges,,,438.15,percent of total billed charges,,,438.15,percent of total billed charges,,,438.15,percent of total billed charges,,,438.15,percent of total billed charges,,,438.15,percent of total billed charges,,,438.15,percent of total billed charges,,,438.15,percent of total billed charges,,,438.15,percent of total billed charges,,,438.15,percent of total billed charges,
**.FRESH FROZEN PLASMA,P9017,CDM,,,,both,,,117,117,26.91,117,117,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,92.43,percent of total billed charges,92.43,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 ,92.43,percent of total billed charges ,92.43,percent of total billed charges ,99.45,percent of total billed charges ,99.45,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 ,,,,,,,,,,,,,,,,,,,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,
.THAWING CHARGE,86927,CDM,,,,both,,,109,109,25.07,109,109,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,86.11,percent of total billed charges,86.11,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 ,86.11,percent of total billed charges ,86.11,percent of total billed charges ,92.65,percent of total billed charges ,92.65,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 ,,,,,,,,,,,,,,,,,,,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,
.POOLING FEE,86965,CDM,,,,both,,,14,14,3.22,14,14,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,11.06,percent of total billed charges,11.06,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 ,11.06,percent of total billed charges ,11.06,percent of total billed charges ,11.9,percent of total billed charges ,11.9,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 ,,,,,,,,,,,,,,,,,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,,,3.22,percent of total billed charges,
.RED BLOOD CELLS LEUKOREDUCED,P9016,CDM,,,,both,,,819,819,188.37,819,819,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,647.01,percent of total billed charges,647.01,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 ,647.01,percent of total billed charges ,647.01,percent of total billed charges ,696.15,percent of total billed charges ,696.15,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 ,,,,,,,,,,,,,,,,,,,188.37,percent of total billed charges,,,188.37,percent of total billed charges,,,188.37,percent of total billed charges,,,188.37,percent of total billed charges,,,188.37,percent of total billed charges,,,188.37,percent of total billed charges,,,188.37,percent of total billed charges,,,188.37,percent of total billed charges,,,188.37,percent of total billed charges,,,188.37,percent of total billed charges,,,188.37,percent of total billed charges,
**.CMV-CICBB,86644,CDM,,,,both,,,368,368,84.64,368,368,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,290.72,percent of total billed charges,290.72,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 ,290.72,percent of total billed charges ,290.72,percent of total billed charges ,312.8,percent of total billed charges ,312.8,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 ,,,,,,,,,,,,,,,,,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,,,84.64,percent of total billed charges,
"**.SINGLE DONOR PLATELET, LUEKOREDUCED",P9035,CDM,,,,both,,,824,824,189.52,824,824,percent of total billed charges,824,percent of total billed charges,824,percent of total billed charges,824,percent of total billed charges,824,percent of total billed charges,824,percent of total billed charges,824,percent of total billed charges,824,percent of total billed charges,593.28,percent of total billed charges,593.28,percent of total billed charges,593.28,percent of total billed charges,593.28,percent of total billed charges,593.28,percent of total billed charges,593.28,percent of total billed charges,650.96,percent of total billed charges,650.96,percent of total billed charges,659.2,percent of total billed charges,659.2,percent of total billed charges,,,593.28,percent of total billed charges ,,,659.2,percent of total billed charges ,650.96,percent of total billed charges ,650.96,percent of total billed charges ,700.4,percent of total billed charges ,700.4,percent of total billed charges ,659.2,percent of total billed charges ,659.2,percent of total billed charges ,576.8,percent of total billed charges ,576.8,percent of total billed charges ,494.4,percent of total billed charges ,494.4,percent of total billed charges ,494.4,percent of total billed charges ,494.4,percent of total billed charges ,,,,,438.37,percent of total billed charges ,,,,,416.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,189.52,percent of total billed charges,,,189.52,percent of total billed charges,,,189.52,percent of total billed charges,,,189.52,percent of total billed charges,,,189.52,percent of total billed charges,,,189.52,percent of total billed charges,,,189.52,percent of total billed charges,,,189.52,percent of total billed charges,,,189.52,percent of total billed charges,,,189.52,percent of total billed charges,,,189.52,percent of total billed charges,
**.ALIQUOT CHARGE,86985,CDM,,,,both,,,55,55,12.65,55,55,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,43.45,percent of total billed charges,43.45,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 ,43.45,percent of total billed charges ,43.45,percent of total billed charges ,46.75,percent of total billed charges ,46.75,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 ,,,,,,,,,,,,,,,,,,,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,
.CRYOPRECIPITATE,P9012,CDM,,,,both,,,294,294,67.62,294,294,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,232.26,percent of total billed charges,232.26,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 ,232.26,percent of total billed charges ,232.26,percent of total billed charges ,249.9,percent of total billed charges ,249.9,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**.IRRADIATION SERVICE,86945,CDM,,,,both,,,124,124,28.52,124,124,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,97.96,percent of total billed charges,97.96,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 ,97.96,percent of total billed charges ,97.96,percent of total billed charges ,105.4,percent of total billed charges ,105.4,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 ,,,,,,,,,,,,,,,,,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,
**RHIG CHARGE,86850,CDM,,,,both,,,137,137,31.51,137,137,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,108.23,percent of total billed charges,108.23,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 ,108.23,percent of total billed charges ,108.23,percent of total billed charges ,116.45,percent of total billed charges ,116.45,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 ,,,,,,,,,,,,,,,,,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,
THERAPEUTIC PHLEBOTOMY,99195,CDM,,,,both,,,278,278,63.94,278,278,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,219.62,percent of total billed charges,219.62,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 ,219.62,percent of total billed charges ,219.62,percent of total billed charges ,236.3,percent of total billed charges ,236.3,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**.ANTIBODY INDENTIFICATION,86870,CDM,,,,both,,,403,403,92.69,403,403,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,318.37,percent of total billed charges,318.37,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 ,318.37,percent of total billed charges ,318.37,percent of total billed charges ,342.55,percent of total billed charges ,342.55,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**.ANTIBODY INDENTIFICATION EXT,86870,CDM,,,,both,,,340,340,78.2,340,340,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,268.6,percent of total billed charges,268.6,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 ,268.6,percent of total billed charges ,268.6,percent of total billed charges ,289,percent of total billed charges ,289,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 ,,,,,,,,,,,,,,,,,,,78.2,percent of total billed charges,,,78.2,percent of total billed charges,,,78.2,percent of total billed charges,,,78.2,percent of total billed charges,,,78.2,percent of total billed charges,,,78.2,percent of total billed charges,,,78.2,percent of total billed charges,,,78.2,percent of total billed charges,,,78.2,percent of total billed charges,,,78.2,percent of total billed charges,,,78.2,percent of total billed charges,
ANTIBODY SCREEN,86850,CDM,,,,both,,,189,189,43.47,189,189,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,149.31,percent of total billed charges,149.31,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 ,149.31,percent of total billed charges ,149.31,percent of total billed charges ,160.65,percent of total billed charges ,160.65,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 ,,,,,,,,,,,,,,,,,,,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,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,
**.ANTIBODY TITER,86886,CDM,,,,both,,,171,171,39.33,171,171,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,135.09,percent of total billed charges,135.09,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 ,135.09,percent of total billed charges ,135.09,percent of total billed charges ,145.35,percent of total billed charges ,145.35,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 ,,,,,,,,,,,,,,,,,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,
**.ANTIGEN TYPE PATIENT,86905,CDM,,,,both,,,117,117,26.91,117,117,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,92.43,percent of total billed charges,92.43,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 ,92.43,percent of total billed charges ,92.43,percent of total billed charges ,99.45,percent of total billed charges ,99.45,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 ,,,,,,,,,,,,,,,,,,,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,
.ABO GROUP,86900,CDM,,,,both,,,110,110,25.3,110,110,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,86.9,percent of total billed charges,86.9,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 ,86.9,percent of total billed charges ,86.9,percent of total billed charges ,93.5,percent of total billed charges ,93.5,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 ,,,,,,,,,,,,,,,,,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,
.RH TYPE,86901,CDM,,,,both,,,105,105,24.15,105,105,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,82.95,percent of total billed charges,82.95,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 ,82.95,percent of total billed charges ,82.95,percent of total billed charges ,89.25,percent of total billed charges ,89.25,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 ,,,,,,,,,,,,,,,,,,,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,
DIRECT COOMBS,86880,CDM,,,,both,,,137,137,31.51,137,137,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,108.23,percent of total billed charges,108.23,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 ,108.23,percent of total billed charges ,108.23,percent of total billed charges ,116.45,percent of total billed charges ,116.45,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 ,,,,,,,,,,,,,,,,,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,
.INDIRECT COOMBS,86885,CDM,,,,both,,,154,154,35.42,154,154,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,121.66,percent of total billed charges,121.66,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 ,121.66,percent of total billed charges ,121.66,percent of total billed charges ,130.9,percent of total billed charges ,130.9,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 ,,,,,,,,,,,,,,,,,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,,,35.42,percent of total billed charges,
.RHOGAM INJECTION,J2790,CDM,,,,both,,,391,391,89.93,391,391,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,308.89,percent of total billed charges,308.89,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 ,308.89,percent of total billed charges ,308.89,percent of total billed charges ,332.35,percent of total billed charges ,332.35,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 ,,,,,,,,,,,,,,,,,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,
**.JKA UNIT AG TYPE,86903,CDM,,,,both,,,127,127,29.21,127,127,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,100.33,percent of total billed charges,100.33,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 ,100.33,percent of total billed charges ,100.33,percent of total billed charges ,107.95,percent of total billed charges ,107.95,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 ,,,,,,,,,,,,,,,,,,,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,
**.KELL UNIT AG TYPE,86903,CDM,,,,both,,,78,78,17.94,78,78,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,61.62,percent of total billed charges,61.62,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 ,61.62,percent of total billed charges ,61.62,percent of total billed charges ,66.3,percent of total billed charges ,66.3,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 ,,,,,,,,,,,,,,,,,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,,,17.94,percent of total billed charges,
**.E UNIT AG TYPE,86903,CDM,,,,both,,,75,75,17.25,75,75,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,59.25,percent of total billed charges,59.25,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 ,59.25,percent of total billed charges ,59.25,percent of total billed charges ,63.75,percent of total billed charges ,63.75,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 ,,,,,,,,,,,,,,,,,,,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,,,17.25,percent of total billed charges,,,17.25,percent of total billed charges,,,17.25,percent of total billed charges,
**.M UNIT AG TYPE,86903,CDM,,,,both,,,75,75,17.25,75,75,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,59.25,percent of total billed charges,59.25,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 ,59.25,percent of total billed charges ,59.25,percent of total billed charges ,63.75,percent of total billed charges ,63.75,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 ,,,,,,,,,,,,,,,,,,,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,,,17.25,percent of total billed charges,,,17.25,percent of total billed charges,,,17.25,percent of total billed charges,
*DO NOT USE,390,RC,00562-78-0501,NDC,,both,,,117,117,26.91,117,117,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,92.43,percent of total billed charges,92.43,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 ,92.43,percent of total billed charges ,92.43,percent of total billed charges ,99.45,percent of total billed charges ,99.45,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 ,,,,,,,,,,,,,,,,,,,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,
**.ELUTION,86860,CDM,,,,both,,,180,180,41.4,180,180,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,142.2,percent of total billed charges,142.2,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 ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,153,percent of total billed charges ,153,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,41.4,percent of total billed charges,,,41.4,percent of total billed charges,,,41.4,percent of total billed charges,
**.little c UNIT AG TYPE,86903,CDM,,,,both,,,135,135,31.05,135,135,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,106.65,percent of total billed charges,106.65,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 ,106.65,percent of total billed charges ,106.65,percent of total billed charges ,114.75,percent of total billed charges ,114.75,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 ,,,,,,,,,,,,,,,,,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,
.AUTOLOGOUS UNIT CHARGE,P9016,CDM,,,,both,,,962,962,221.26,962,962,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,759.98,percent of total billed charges,759.98,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 ,759.98,percent of total billed charges ,759.98,percent of total billed charges ,817.7,percent of total billed charges ,817.7,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 ,,,,,,,,,,,,,,,,,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,,,221.26,percent of total billed charges,
.ABO GROUP (CORD),86900,CDM,,,,both,,,110,110,25.3,110,110,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,86.9,percent of total billed charges,86.9,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 ,86.9,percent of total billed charges ,86.9,percent of total billed charges ,93.5,percent of total billed charges ,93.5,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 ,,,,,,,,,,,,,,,,,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,
.RH TYPE (CORD),86901,CDM,,,,both,,,105,105,24.15,105,105,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,82.95,percent of total billed charges,82.95,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 ,82.95,percent of total billed charges ,82.95,percent of total billed charges ,89.25,percent of total billed charges ,89.25,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 ,,,,,,,,,,,,,,,,,,,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,
**.CW UNIT AG TYPE,86903,CDM,,,,both,,,66,66,15.18,66,66,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,52.14,percent of total billed charges,52.14,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 ,52.14,percent of total billed charges ,52.14,percent of total billed charges ,56.1,percent of total billed charges ,56.1,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 ,,,,,,,,,,,,,,,,,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,
**.FYA UNIT AG TYPE,86903,CDM,,,,both,,,131,131,30.13,131,131,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,103.49,percent of total billed charges,103.49,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 ,103.49,percent of total billed charges ,103.49,percent of total billed charges ,111.35,percent of total billed charges ,111.35,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 ,,,,,,,,,,,,,,,,,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,
**.JKB UNIT AG TYPE,86903,CDM,,,,both,,,66,66,15.18,66,66,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,52.14,percent of total billed charges,52.14,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 ,52.14,percent of total billed charges ,52.14,percent of total billed charges ,56.1,percent of total billed charges ,56.1,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 ,,,,,,,,,,,,,,,,,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,,,15.18,percent of total billed charges,
.FETAL STAIN KLEIHAUER BETKE,85460,CDM,,,,both,,,297,297,68.31,297,297,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,234.63,percent of total billed charges,234.63,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 ,234.63,percent of total billed charges ,234.63,percent of total billed charges ,252.45,percent of total billed charges ,252.45,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 ,,,,,,,,,,,,,,,,,,,68.31,percent of total billed charges,,,68.31,percent of total billed charges,,,68.31,percent of total billed charges,,,68.31,percent of total billed charges,,,68.31,percent of total billed charges,,,68.31,percent of total billed charges,,,68.31,percent of total billed charges,,,68.31,percent of total billed charges,,,68.31,percent of total billed charges,,,68.31,percent of total billed charges,,,68.31,percent of total billed charges,
.FROZEN PLASMA,P9059,CDM,,,,both,,,412,412,94.76,412,412,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,325.48,percent of total billed charges,325.48,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 ,325.48,percent of total billed charges ,325.48,percent of total billed charges ,350.2,percent of total billed charges ,350.2,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 ,,,,,,,,,,,,,,,,,,,94.76,percent of total billed charges,,,94.76,percent of total billed charges,,,94.76,percent of total billed charges,,,94.76,percent of total billed charges,,,94.76,percent of total billed charges,,,94.76,percent of total billed charges,,,94.76,percent of total billed charges,,,94.76,percent of total billed charges,,,94.76,percent of total billed charges,,,94.76,percent of total billed charges,,,94.76,percent of total billed charges,
.OK FOR SOP DEVIATION,86079,CDM,,,,both,,,481,481,110.63,481,481,percent of total billed charges,481,percent of total billed charges,481,percent of total billed charges,481,percent of total billed charges,481,percent of total billed charges,481,percent of total billed charges,481,percent of total billed charges,481,percent of total billed charges,346.32,percent of total billed charges,346.32,percent of total billed charges,346.32,percent of total billed charges,346.32,percent of total billed charges,346.32,percent of total billed charges,346.32,percent of total billed charges,379.99,percent of total billed charges,379.99,percent of total billed charges,384.8,percent of total billed charges,384.8,percent of total billed charges,,,346.32,percent of total billed charges ,,,384.8,percent of total billed charges ,379.99,percent of total billed charges ,379.99,percent of total billed charges ,408.85,percent of total billed charges ,408.85,percent of total billed charges ,384.8,percent of total billed charges ,384.8,percent of total billed charges ,336.7,percent of total billed charges ,336.7,percent of total billed charges ,288.6,percent of total billed charges ,288.6,percent of total billed charges ,288.6,percent of total billed charges ,288.6,percent of total billed charges ,,,,,255.89,percent of total billed charges ,,,,,243.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,110.63,percent of total billed charges,,,110.63,percent of total billed charges,,,110.63,percent of total billed charges,,,110.63,percent of total billed charges,,,110.63,percent of total billed charges,,,110.63,percent of total billed charges,,,110.63,percent of total billed charges,,,110.63,percent of total billed charges,,,110.63,percent of total billed charges,,,110.63,percent of total billed charges,,,110.63,percent of total billed charges,
.TRANS RXN INVESTIGATION,86078,CDM,,,,both,,,391,391,89.93,391,391,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,308.89,percent of total billed charges,308.89,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 ,308.89,percent of total billed charges ,308.89,percent of total billed charges ,332.35,percent of total billed charges ,332.35,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 ,,,,,,,,,,,,,,,,,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,,,89.93,percent of total billed charges,
.CROSSMATCH-AHG,86922,CDM,,,,both,,,264,264,60.72,264,264,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,208.56,percent of total billed charges,208.56,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 ,208.56,percent of total billed charges ,208.56,percent of total billed charges ,224.4,percent of total billed charges ,224.4,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 ,,,,,,,,,,,,,,,,,,,60.72,percent of total billed charges,,,60.72,percent of total billed charges,,,60.72,percent of total billed charges,,,60.72,percent of total billed charges,,,60.72,percent of total billed charges,,,60.72,percent of total billed charges,,,60.72,percent of total billed charges,,,60.72,percent of total billed charges,,,60.72,percent of total billed charges,,,60.72,percent of total billed charges,,,60.72,percent of total billed charges,
FETAL SCREEN WITH REFLEX,85461,CDM,,,,both,,,227,227,52.21,227,227,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,179.33,percent of total billed charges,179.33,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 ,179.33,percent of total billed charges ,179.33,percent of total billed charges ,192.95,percent of total billed charges ,192.95,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 ,,,,,,,,,,,,,,,,,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,
FETAL SCREEN WITH REFLEX (DIC),85461,CDM,,,,both,,,227,227,52.21,227,227,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,179.33,percent of total billed charges,179.33,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 ,179.33,percent of total billed charges ,179.33,percent of total billed charges ,192.95,percent of total billed charges ,192.95,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 ,,,,,,,,,,,,,,,,,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,
.ABO CONFIRMATION,86900,CDM,,,,both,,,110,110,25.3,110,110,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,86.9,percent of total billed charges,86.9,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 ,86.9,percent of total billed charges ,86.9,percent of total billed charges ,93.5,percent of total billed charges ,93.5,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 ,,,,,,,,,,,,,,,,,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,
**.BB SEND OUT SPECIMEN,300,RC,00562-78-0501,NDC,,both,,,745,745,171.35,745,745,percent of total billed charges,745,percent of total billed charges,745,percent of total billed charges,745,percent of total billed charges,745,percent of total billed charges,745,percent of total billed charges,745,percent of total billed charges,745,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,536.4,percent of total billed charges,536.4,percent of total billed charges,588.55,percent of total billed charges,588.55,percent of total billed charges,596,percent of total billed charges,596,percent of total billed charges,,,536.4,percent of total billed charges ,,,596,percent of total billed charges ,588.55,percent of total billed charges ,588.55,percent of total billed charges ,633.25,percent of total billed charges ,633.25,percent of total billed charges ,596,percent of total billed charges ,596,percent of total billed charges ,521.5,percent of total billed charges ,521.5,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 ,,,,,396.34,percent of total billed charges ,,,,,376.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,171.35,percent of total billed charges,,,171.35,percent of total billed charges,,,171.35,percent of total billed charges,,,171.35,percent of total billed charges,,,171.35,percent of total billed charges,,,171.35,percent of total billed charges,,,171.35,percent of total billed charges,,,171.35,percent of total billed charges,,,171.35,percent of total billed charges,,,171.35,percent of total billed charges,,,171.35,percent of total billed charges,
**.THAWING CHARGE,86927,CDM,,,,both,,,64,64,14.72,64,64,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,50.56,percent of total billed charges,50.56,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 ,50.56,percent of total billed charges ,50.56,percent of total billed charges ,54.4,percent of total billed charges ,54.4,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
.CMV-CICBC,86644,CDM,,,,both,,,162,162,37.26,162,162,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,127.98,percent of total billed charges,127.98,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 ,127.98,percent of total billed charges ,127.98,percent of total billed charges ,137.7,percent of total billed charges ,137.7,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 ,,,,,,,,,,,,,,,,,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,
.PLATELET PHERESIS,P9035,CDM,,,,both,,,"2,783.00","2,783.00",640.09,"2,783.00","2,783.00",percent of total billed charges,"2,783.00",percent of total billed charges,"2,783.00",percent of total billed charges,"2,783.00",percent of total billed charges,"2,783.00",percent of total billed charges,"2,783.00",percent of total billed charges,"2,783.00",percent of total billed charges,"2,783.00",percent of total billed charges,"2,003.76",percent of total billed charges,"2,003.76",percent of total billed charges,"2,003.76",percent of total billed charges,"2,003.76",percent of total billed charges,"2,003.76",percent of total billed charges,"2,003.76",percent of total billed charges,"2,198.57",percent of total billed charges,"2,198.57",percent of total billed charges,"2,226.40",percent of total billed charges,"2,226.40",percent of total billed charges,,,"2,003.76",percent of total billed charges ,,,"2,226.40",percent of total billed charges ,"2,198.57",percent of total billed charges ,"2,198.57",percent of total billed charges ,"2,365.55",percent of total billed charges ,"2,365.55",percent of total billed charges ,"2,226.40",percent of total billed charges ,"2,226.40",percent of total billed charges ,"1,948.10",percent of total billed charges ,"1,948.10",percent of total billed charges ,"1,669.80",percent of total billed charges ,"1,669.80",percent of total billed charges ,"1,669.80",percent of total billed charges ,"1,669.80",percent of total billed charges ,,,,,"1,480.56",percent of total billed charges ,,,,,"1,406.53",percent of total billed charges ,,,,,,,,,,,,,,,,,,,640.09,percent of total billed charges,,,640.09,percent of total billed charges,,,640.09,percent of total billed charges,,,640.09,percent of total billed charges,,,640.09,percent of total billed charges,,,640.09,percent of total billed charges,,,640.09,percent of total billed charges,,,640.09,percent of total billed charges,,,640.09,percent of total billed charges,,,640.09,percent of total billed charges,,,640.09,percent of total billed charges,
.IRRADIATION SERVICE,86945,CDM,,,,both,,,203,203,46.69,203,203,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,160.37,percent of total billed charges,160.37,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 ,160.37,percent of total billed charges ,160.37,percent of total billed charges ,172.55,percent of total billed charges ,172.55,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 ,,,,,,,,,,,,,,,,,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,
.ANTIBODY IDENTIFICATION,86870,CDM,,,,both,,,378,378,86.94,378,378,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,298.62,percent of total billed charges,298.62,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 ,298.62,percent of total billed charges ,298.62,percent of total billed charges ,321.3,percent of total billed charges ,321.3,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 ,,,,,,,,,,,,,,,,,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,
.ANTIBODY IDENTIFICATION EXT,86870,CDM,,,,both,,,547,547,125.81,547,547,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,432.13,percent of total billed charges,432.13,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 ,432.13,percent of total billed charges ,432.13,percent of total billed charges ,464.95,percent of total billed charges ,464.95,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 ,,,,,,,,,,,,,,,,,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,
.ANTIBODY TITER,86886,CDM,,,,both,,,276,276,63.48,276,276,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,218.04,percent of total billed charges,218.04,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 ,218.04,percent of total billed charges ,218.04,percent of total billed charges ,234.6,percent of total billed charges ,234.6,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 ,,,,,,,,,,,,,,,,,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,,,63.48,percent of total billed charges,
.ANTIGEN TYPE PATIENT,86905,CDM,,,,both,,,157,157,36.11,157,157,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,124.03,percent of total billed charges,124.03,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 ,124.03,percent of total billed charges ,124.03,percent of total billed charges ,133.45,percent of total billed charges ,133.45,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 ,,,,,,,,,,,,,,,,,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,
**.RHOGAM INJECTION,J2790,CDM,,,,both,,,592,592,136.16,592,592,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,467.68,percent of total billed charges,467.68,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 ,467.68,percent of total billed charges ,467.68,percent of total billed charges ,503.2,percent of total billed charges ,503.2,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,136.16,percent of total billed charges,,,136.16,percent of total billed charges,,,136.16,percent of total billed charges,
.JKA UNIT AG TYPE,86902,CDM,,,,both,,,247,247,56.81,247,247,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,195.13,percent of total billed charges,195.13,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 ,195.13,percent of total billed charges ,195.13,percent of total billed charges ,209.95,percent of total billed charges ,209.95,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 ,,,,,,,,,,,,,,,,,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,
.KELL UNIT AG TYPE,86902,CDM,,,,both,,,172,172,39.56,172,172,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,135.88,percent of total billed charges,135.88,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 ,135.88,percent of total billed charges ,135.88,percent of total billed charges ,146.2,percent of total billed charges ,146.2,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 ,,,,,,,,,,,,,,,,,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,
.E UNIT AG TYPE,86902,CDM,,,,both,,,126,126,28.98,126,126,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,99.54,percent of total billed charges,99.54,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 ,99.54,percent of total billed charges ,99.54,percent of total billed charges ,107.1,percent of total billed charges ,107.1,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 ,,,,,,,,,,,,,,,,,,,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,
.M UNIT AG TYPE,86902,CDM,,,,both,,,183,183,42.09,183,183,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,144.57,percent of total billed charges,144.57,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 ,144.57,percent of total billed charges ,144.57,percent of total billed charges ,155.55,percent of total billed charges ,155.55,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 ,,,,,,,,,,,,,,,,,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,
".ELUTION, RBC ANTIBODY",86860,CDM,,,,both,,,293,293,67.39,293,293,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,231.47,percent of total billed charges,231.47,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 ,231.47,percent of total billed charges ,231.47,percent of total billed charges ,249.05,percent of total billed charges ,249.05,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 ,,,,,,,,,,,,,,,,,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,
.LITTLE c UNIT AG TYPE,86902,CDM,,,,both,,,220,220,50.6,220,220,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,173.8,percent of total billed charges,173.8,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 ,173.8,percent of total billed charges ,173.8,percent of total billed charges ,187,percent of total billed charges ,187,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
.CW UNIT AG TYPE,86902,CDM,,,,both,,,247,247,56.81,247,247,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,195.13,percent of total billed charges,195.13,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 ,195.13,percent of total billed charges ,195.13,percent of total billed charges ,209.95,percent of total billed charges ,209.95,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 ,,,,,,,,,,,,,,,,,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,
.FYA UNIT AG TYPE,86902,CDM,,,,both,,,216,216,49.68,216,216,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,216,percent of total billed charges,216,percent of total billed charges,216,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,155.52,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,172.8,percent of total billed charges,172.8,percent of total billed charges,,,155.52,percent of total billed charges ,,,172.8,percent of total billed charges ,170.64,percent of total billed charges ,170.64,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,172.8,percent of total billed charges ,172.8,percent of total billed charges ,151.2,percent of total billed charges ,151.2,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 ,,,,,114.91,percent of total billed charges ,,,,,109.17,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,,,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,
.JKB UNIT AG TYPE,86902,CDM,,,,both,,,247,247,56.81,247,247,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,195.13,percent of total billed charges,195.13,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 ,195.13,percent of total billed charges ,195.13,percent of total billed charges ,209.95,percent of total billed charges ,209.95,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 ,,,,,,,,,,,,,,,,,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,
.LEWIS A AG TYPE,86902,CDM,,,,both,,,189,189,43.47,189,189,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,149.31,percent of total billed charges,149.31,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 ,149.31,percent of total billed charges ,149.31,percent of total billed charges ,160.65,percent of total billed charges ,160.65,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 ,,,,,,,,,,,,,,,,,,,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,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,
.BLOOD BANK PHYSICIAN SERVICES,86077,CDM,,,,both,,,291,291,66.93,291,291,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,229.89,percent of total billed charges,229.89,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 ,229.89,percent of total billed charges ,229.89,percent of total billed charges ,247.35,percent of total billed charges ,247.35,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 ,,,,,,,,,,,,,,,,,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,,,66.93,percent of total billed charges,
".RARE AG-CICBC, UNIT",86902,CDM,,,,both,,,355,355,81.65,355,355,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,280.45,percent of total billed charges,280.45,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 ,280.45,percent of total billed charges ,280.45,percent of total billed charges ,301.75,percent of total billed charges ,301.75,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 ,,,,,,,,,,,,,,,,,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,
.PLATELET CROSSMATCH,86806,CDM,,,,both,,,"1,024.00","1,024.00",235.52,"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,808.96,percent of total billed charges,808.96,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 ,808.96,percent of total billed charges ,808.96,percent of total billed charges ,870.4,percent of total billed charges ,870.4,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 ,,,,,,,,,,,,,,,,,,,235.52,percent of total billed charges,,,235.52,percent of total billed charges,,,235.52,percent of total billed charges,,,235.52,percent of total billed charges,,,235.52,percent of total billed charges,,,235.52,percent of total billed charges,,,235.52,percent of total billed charges,,,235.52,percent of total billed charges,,,235.52,percent of total billed charges,,,235.52,percent of total billed charges,,,235.52,percent of total billed charges,
.BIG C UNIT AG TYPE,86902,CDM,,,,both,,,184,184,42.32,184,184,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,145.36,percent of total billed charges,145.36,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 ,145.36,percent of total billed charges ,145.36,percent of total billed charges ,156.4,percent of total billed charges ,156.4,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 ,,,,,,,,,,,,,,,,,,,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,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,
.STROMAL ADSORPTION,86978,CDM,,,,both,,,318,318,73.14,318,318,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,251.22,percent of total billed charges,251.22,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 ,251.22,percent of total billed charges ,251.22,percent of total billed charges ,270.3,percent of total billed charges ,270.3,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 ,,,,,,,,,,,,,,,,,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,
.AHG CROSSMATCH-CICBC/MMC,86922,CDM,,,,both,,,294,294,67.62,294,294,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,232.26,percent of total billed charges,232.26,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 ,232.26,percent of total billed charges ,232.26,percent of total billed charges ,249.9,percent of total billed charges ,249.9,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
.PRE-TREAT RBC/CHEM-CICBC,86970,CDM,,,,both,,,209,209,48.07,209,209,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,165.11,percent of total billed charges,165.11,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 ,165.11,percent of total billed charges ,165.11,percent of total billed charges ,177.65,percent of total billed charges ,177.65,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 ,,,,,,,,,,,,,,,,,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,
.RARE UNIT FEE,86999,CDM,,,,both,,,580,580,133.4,580,580,percent of total billed charges,580,percent of total billed charges,580,percent of total billed charges,580,percent of total billed charges,580,percent of total billed charges,580,percent of total billed charges,580,percent of total billed charges,580,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,417.6,percent of total billed charges,417.6,percent of total billed charges,458.2,percent of total billed charges,458.2,percent of total billed charges,464,percent of total billed charges,464,percent of total billed charges,,,417.6,percent of total billed charges ,,,464,percent of total billed charges ,458.2,percent of total billed charges ,458.2,percent of total billed charges ,493,percent of total billed charges ,493,percent of total billed charges ,464,percent of total billed charges ,464,percent of total billed charges ,406,percent of total billed charges ,406,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 ,,,,,308.56,percent of total billed charges ,,,,,293.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,133.4,percent of total billed charges,,,133.4,percent of total billed charges,,,133.4,percent of total billed charges,,,133.4,percent of total billed charges,,,133.4,percent of total billed charges,,,133.4,percent of total billed charges,,,133.4,percent of total billed charges,,,133.4,percent of total billed charges,,,133.4,percent of total billed charges,,,133.4,percent of total billed charges,,,133.4,percent of total billed charges,
.ANTIBODY SCRN-CICBC/MMC,86850,CDM,,,,both,,,189,189,43.47,189,189,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,149.31,percent of total billed charges,149.31,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 ,149.31,percent of total billed charges ,149.31,percent of total billed charges ,160.65,percent of total billed charges ,160.65,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 ,,,,,,,,,,,,,,,,,,,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,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,
.RBC MOLECULAR PHENOTYPE,86999,CDM,,,,both,,,387,387,89.01,387,387,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,305.73,percent of total billed charges,305.73,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 ,305.73,percent of total billed charges ,305.73,percent of total billed charges ,328.95,percent of total billed charges ,328.95,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 ,,,,,,,,,,,,,,,,,,,89.01,percent of total billed charges,,,89.01,percent of total billed charges,,,89.01,percent of total billed charges,,,89.01,percent of total billed charges,,,89.01,percent of total billed charges,,,89.01,percent of total billed charges,,,89.01,percent of total billed charges,,,89.01,percent of total billed charges,,,89.01,percent of total billed charges,,,89.01,percent of total billed charges,,,89.01,percent of total billed charges,
.DIRECT COOMBS-MMC/CICBC,86880,CDM,,,,both,,,137,137,31.51,137,137,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,108.23,percent of total billed charges,108.23,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 ,108.23,percent of total billed charges ,108.23,percent of total billed charges ,116.45,percent of total billed charges ,116.45,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 ,,,,,,,,,,,,,,,,,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,
.PRE-TREAT RBC/ENZYMES-CICBC,86971,CDM,,,,both,,,193,193,44.39,193,193,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,152.47,percent of total billed charges,152.47,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 ,152.47,percent of total billed charges ,152.47,percent of total billed charges ,164.05,percent of total billed charges ,164.05,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 ,,,,,,,,,,,,,,,,,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,
.HPA MOLECULAR PHENOTYPE,86999,CDM,,,,both,,,496,496,114.08,496,496,percent of total billed charges,496,percent of total billed charges,496,percent of total billed charges,496,percent of total billed charges,496,percent of total billed charges,496,percent of total billed charges,496,percent of total billed charges,496,percent of total billed charges,357.12,percent of total billed charges,357.12,percent of total billed charges,357.12,percent of total billed charges,357.12,percent of total billed charges,357.12,percent of total billed charges,357.12,percent of total billed charges,391.84,percent of total billed charges,391.84,percent of total billed charges,396.8,percent of total billed charges,396.8,percent of total billed charges,,,357.12,percent of total billed charges ,,,396.8,percent of total billed charges ,391.84,percent of total billed charges ,391.84,percent of total billed charges ,421.6,percent of total billed charges ,421.6,percent of total billed charges ,396.8,percent of total billed charges ,396.8,percent of total billed charges ,347.2,percent of total billed charges ,347.2,percent of total billed charges ,297.6,percent of total billed charges ,297.6,percent of total billed charges ,297.6,percent of total billed charges ,297.6,percent of total billed charges ,,,,,263.87,percent of total billed charges ,,,,,250.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,
.BIG S UNIT AG TYPE,86902,CDM,,,,both,,,355,355,81.65,355,355,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,280.45,percent of total billed charges,280.45,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 ,280.45,percent of total billed charges ,280.45,percent of total billed charges ,301.75,percent of total billed charges ,301.75,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 ,,,,,,,,,,,,,,,,,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,
".ANTIBODY ID-PANEL,CICBC",86870,CDM,,,,both,,,378,378,86.94,378,378,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,298.62,percent of total billed charges,298.62,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 ,298.62,percent of total billed charges ,298.62,percent of total billed charges ,321.3,percent of total billed charges ,321.3,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 ,,,,,,,,,,,,,,,,,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,,,86.94,percent of total billed charges,
.PRE-TREATMENT-NEUTRALIZATION-CICBC,86977,CDM,,,,both,,,186,186,42.78,186,186,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,146.94,percent of total billed charges,146.94,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 ,146.94,percent of total billed charges ,146.94,percent of total billed charges ,158.1,percent of total billed charges ,158.1,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 ,,,,,,,,,,,,,,,,,,,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,
.RARE AG TYPE-CICBC-PATIENT,86905,CDM,,,,both,,,355,355,81.65,355,355,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,280.45,percent of total billed charges,280.45,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 ,280.45,percent of total billed charges ,280.45,percent of total billed charges ,301.75,percent of total billed charges ,301.75,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 ,,,,,,,,,,,,,,,,,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,
.AG SCREEN W/PT. PLASMA,86904,CDM,,,,both,,,176,176,40.48,176,176,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,139.04,percent of total billed charges,139.04,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 ,139.04,percent of total billed charges ,139.04,percent of total billed charges ,149.6,percent of total billed charges ,149.6,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 ,,,,,,,,,,,,,,,,,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,
.PRE-TREATMENT BY RETIC/SICKLE CELL SEP,86972,CDM,,,,both,,,288,288,66.24,288,288,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,227.52,percent of total billed charges,227.52,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 ,227.52,percent of total billed charges ,227.52,percent of total billed charges ,244.8,percent of total billed charges ,244.8,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
.CICBC AG TYPE - TIER I,86905,CDM,,,,both,,,157,157,36.11,157,157,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,124.03,percent of total billed charges,124.03,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 ,124.03,percent of total billed charges ,124.03,percent of total billed charges ,133.45,percent of total billed charges ,133.45,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 ,,,,,,,,,,,,,,,,,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,
.CICBC AG TYPE - TIER II,86905,CDM,,,,both,,,173,173,39.79,173,173,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,136.67,percent of total billed charges,136.67,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 ,136.67,percent of total billed charges ,136.67,percent of total billed charges ,147.05,percent of total billed charges ,147.05,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 ,,,,,,,,,,,,,,,,,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,
.CICBC AG TYPE - TIER III,86905,CDM,,,,both,,,235,235,54.05,235,235,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,185.65,percent of total billed charges,185.65,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 ,185.65,percent of total billed charges ,185.65,percent of total billed charges ,199.75,percent of total billed charges ,199.75,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 ,,,,,,,,,,,,,,,,,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,,,54.05,percent of total billed charges,
.CICBC AG TYPE - TIER IV,86905,CDM,,,,both,,,337,337,77.51,337,337,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,266.23,percent of total billed charges,266.23,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 ,266.23,percent of total billed charges ,266.23,percent of total billed charges ,286.45,percent of total billed charges ,286.45,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 ,,,,,,,,,,,,,,,,,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,
.MMC AG TYPE LEVEL 1,86902,CDM,,,,both,,,100,100,23,100,100,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,79,percent of total billed charges,79,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 ,79,percent of total billed charges ,79,percent of total billed charges ,85,percent of total billed charges ,85,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 ,,,,,,,,,,,,,,,,,,,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,,,23,percent of total billed charges,,,23,percent of total billed charges,,,23,percent of total billed charges,
.ANTIBODY SCREEN-PREWARM,86850,CDM,,,,both,,,189,189,43.47,189,189,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,149.31,percent of total billed charges,149.31,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 ,149.31,percent of total billed charges ,149.31,percent of total billed charges ,160.65,percent of total billed charges ,160.65,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 ,,,,,,,,,,,,,,,,,,,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,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,
.LEVEL 1 ANTIGEN TYPING,86902,CDM,,,,both,,,193,193,44.39,193,193,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,152.47,percent of total billed charges,152.47,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 ,152.47,percent of total billed charges ,152.47,percent of total billed charges ,164.05,percent of total billed charges ,164.05,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 ,,,,,,,,,,,,,,,,,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,
.DIRECT COOMBS-MMC COMPLEMENT,86880,CDM,,,,both,,,137,137,31.51,137,137,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,108.23,percent of total billed charges,108.23,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 ,108.23,percent of total billed charges ,108.23,percent of total billed charges ,116.45,percent of total billed charges ,116.45,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 ,,,,,,,,,,,,,,,,,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,,,31.51,percent of total billed charges,
RHD VARIANT ASSAY,81403,CDM,,,,both,,,877,877,201.71,877,877,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,692.83,percent of total billed charges,692.83,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 ,692.83,percent of total billed charges ,692.83,percent of total billed charges ,745.45,percent of total billed charges ,745.45,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 ,,,,,,,,,,,,,,,,,,,201.71,percent of total billed charges,,,201.71,percent of total billed charges,,,201.71,percent of total billed charges,,,201.71,percent of total billed charges,,,201.71,percent of total billed charges,,,201.71,percent of total billed charges,,,201.71,percent of total billed charges,,,201.71,percent of total billed charges,,,201.71,percent of total billed charges,,,201.71,percent of total billed charges,,,201.71,percent of total billed charges,
.APHERESIS PLATELET LR 7DAY,P9035,CDM,,,,both,,,"2,783.00","2,783.00",640.09,"2,783.00","2,783.00",percent of total billed charges,"2,783.00",percent of total billed charges,"2,783.00",percent of total billed charges,"2,783.00",percent of total billed charges,"2,783.00",percent of total billed charges,"2,783.00",percent of total billed charges,"2,783.00",percent of total billed charges,"2,783.00",percent of total billed charges,"2,003.76",percent of total billed charges,"2,003.76",percent of total billed charges,"2,003.76",percent of total billed charges,"2,003.76",percent of total billed charges,"2,003.76",percent of total billed charges,"2,003.76",percent of total billed charges,"2,198.57",percent of total billed charges,"2,198.57",percent of total billed charges,"2,226.40",percent of total billed charges,"2,226.40",percent of total billed charges,,,"2,003.76",percent of total billed charges ,,,"2,226.40",percent of total billed charges ,"2,198.57",percent of total billed charges ,"2,198.57",percent of total billed charges ,"2,365.55",percent of total billed charges ,"2,365.55",percent of total billed charges ,"2,226.40",percent of total billed charges ,"2,226.40",percent of total billed charges ,"1,948.10",percent of total billed charges ,"1,948.10",percent of total billed charges ,"1,669.80",percent of total billed charges ,"1,669.80",percent of total billed charges ,"1,669.80",percent of total billed charges ,"1,669.80",percent of total billed charges ,,,,,"1,480.56",percent of total billed charges ,,,,,"1,406.53",percent of total billed charges ,,,,,,,,,,,,,,,,,,,640.09,percent of total billed charges,,,640.09,percent of total billed charges,,,640.09,percent of total billed charges,,,640.09,percent of total billed charges,,,640.09,percent of total billed charges,,,640.09,percent of total billed charges,,,640.09,percent of total billed charges,,,640.09,percent of total billed charges,,,640.09,percent of total billed charges,,,640.09,percent of total billed charges,,,640.09,percent of total billed charges,
.APHERESIS PLATELET LR 7DAY CMVNEG,P9051,CDM,,,,both,,,959,959,220.57,959,959,percent of total billed charges,959,percent of total billed charges,959,percent of total billed charges,959,percent of total billed charges,959,percent of total billed charges,959,percent of total billed charges,959,percent of total billed charges,959,percent of total billed charges,690.48,percent of total billed charges,690.48,percent of total billed charges,690.48,percent of total billed charges,690.48,percent of total billed charges,690.48,percent of total billed charges,690.48,percent of total billed charges,757.61,percent of total billed charges,757.61,percent of total billed charges,767.2,percent of total billed charges,767.2,percent of total billed charges,,,690.48,percent of total billed charges ,,,767.2,percent of total billed charges ,757.61,percent of total billed charges ,757.61,percent of total billed charges ,815.15,percent of total billed charges ,815.15,percent of total billed charges ,767.2,percent of total billed charges ,767.2,percent of total billed charges ,671.3,percent of total billed charges ,671.3,percent of total billed charges ,575.4,percent of total billed charges ,575.4,percent of total billed charges ,575.4,percent of total billed charges ,575.4,percent of total billed charges ,,,,,510.19,percent of total billed charges ,,,,,484.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,,,220.57,percent of total billed charges,
.APHERESIS PLATELET LR 7DAY IRR,P9037,CDM,,,,both,,,"3,066.00","3,066.00",705.18,"3,066.00","3,066.00",percent of total billed charges,"3,066.00",percent of total billed charges,"3,066.00",percent of total billed charges,"3,066.00",percent of total billed charges,"3,066.00",percent of total billed charges,"3,066.00",percent of total billed charges,"3,066.00",percent of total billed charges,"3,066.00",percent of total billed charges,"2,207.52",percent of total billed charges,"2,207.52",percent of total billed charges,"2,207.52",percent of total billed charges,"2,207.52",percent of total billed charges,"2,207.52",percent of total billed charges,"2,207.52",percent of total billed charges,"2,422.14",percent of total billed charges,"2,422.14",percent of total billed charges,"2,452.80",percent of total billed charges,"2,452.80",percent of total billed charges,,,"2,207.52",percent of total billed charges ,,,"2,452.80",percent of total billed charges ,"2,422.14",percent of total billed charges ,"2,422.14",percent of total billed charges ,"2,606.10",percent of total billed charges ,"2,606.10",percent of total billed charges ,"2,452.80",percent of total billed charges ,"2,452.80",percent of total billed charges ,"2,146.20",percent of total billed charges ,"2,146.20",percent of total billed charges ,"1,839.60",percent of total billed charges ,"1,839.60",percent of total billed charges ,"1,839.60",percent of total billed charges ,"1,839.60",percent of total billed charges ,,,,,"1,631.11",percent of total billed charges ,,,,,"1,549.56",percent of total billed charges ,,,,,,,,,,,,,,,,,,,705.18,percent of total billed charges,,,705.18,percent of total billed charges,,,705.18,percent of total billed charges,,,705.18,percent of total billed charges,,,705.18,percent of total billed charges,,,705.18,percent of total billed charges,,,705.18,percent of total billed charges,,,705.18,percent of total billed charges,,,705.18,percent of total billed charges,,,705.18,percent of total billed charges,,,705.18,percent of total billed charges,
.APHERESIS PLATELET LR 7DAY IRR CMVNEG,P9053,CDM,,,,both,,,"2,685.00","2,685.00",617.55,"2,685.00","2,685.00",percent of total billed charges,"2,685.00",percent of total billed charges,"2,685.00",percent of total billed charges,"2,685.00",percent of total billed charges,"2,685.00",percent of total billed charges,"2,685.00",percent of total billed charges,"2,685.00",percent of total billed charges,"2,685.00",percent of total billed charges,"1,933.20",percent of total billed charges,"1,933.20",percent of total billed charges,"1,933.20",percent of total billed charges,"1,933.20",percent of total billed charges,"1,933.20",percent of total billed charges,"1,933.20",percent of total billed charges,"2,121.15",percent of total billed charges,"2,121.15",percent of total billed charges,"2,148.00",percent of total billed charges,"2,148.00",percent of total billed charges,,,"1,933.20",percent of total billed charges ,,,"2,148.00",percent of total billed charges ,"2,121.15",percent of total billed charges ,"2,121.15",percent of total billed charges ,"2,282.25",percent of total billed charges ,"2,282.25",percent of total billed charges ,"2,148.00",percent of total billed charges ,"2,148.00",percent of total billed charges ,"1,879.50",percent of total billed charges ,"1,879.50",percent of total billed charges ,"1,611.00",percent of total billed charges ,"1,611.00",percent of total billed charges ,"1,611.00",percent of total billed charges ,"1,611.00",percent of total billed charges ,,,,,"1,428.42",percent of total billed charges ,,,,,"1,357.00",percent of total billed charges ,,,,,,,,,,,,,,,,,,,617.55,percent of total billed charges,,,617.55,percent of total billed charges,,,617.55,percent of total billed charges,,,617.55,percent of total billed charges,,,617.55,percent of total billed charges,,,617.55,percent of total billed charges,,,617.55,percent of total billed charges,,,617.55,percent of total billed charges,,,617.55,percent of total billed charges,,,617.55,percent of total billed charges,,,617.55,percent of total billed charges,
.APHERESIS PLTS 7DAY LR LOW YIELD,P9035,CDM,,,,both,,,"2,783.00","2,783.00",640.09,"2,783.00","2,783.00",percent of total billed charges,"2,783.00",percent of total billed charges,"2,783.00",percent of total billed charges,"2,783.00",percent of total billed charges,"2,783.00",percent of total billed charges,"2,783.00",percent of total billed charges,"2,783.00",percent of total billed charges,"2,783.00",percent of total billed charges,"2,003.76",percent of total billed charges,"2,003.76",percent of total billed charges,"2,003.76",percent of total billed charges,"2,003.76",percent of total billed charges,"2,003.76",percent of total billed charges,"2,003.76",percent of total billed charges,"2,198.57",percent of total billed charges,"2,198.57",percent of total billed charges,"2,226.40",percent of total billed charges,"2,226.40",percent of total billed charges,,,"2,003.76",percent of total billed charges ,,,"2,226.40",percent of total billed charges ,"2,198.57",percent of total billed charges ,"2,198.57",percent of total billed charges ,"2,365.55",percent of total billed charges ,"2,365.55",percent of total billed charges ,"2,226.40",percent of total billed charges ,"2,226.40",percent of total billed charges ,"1,948.10",percent of total billed charges ,"1,948.10",percent of total billed charges ,"1,669.80",percent of total billed charges ,"1,669.80",percent of total billed charges ,"1,669.80",percent of total billed charges ,"1,669.80",percent of total billed charges ,,,,,"1,480.56",percent of total billed charges ,,,,,"1,406.53",percent of total billed charges ,,,,,,,,,,,,,,,,,,,640.09,percent of total billed charges,,,640.09,percent of total billed charges,,,640.09,percent of total billed charges,,,640.09,percent of total billed charges,,,640.09,percent of total billed charges,,,640.09,percent of total billed charges,,,640.09,percent of total billed charges,,,640.09,percent of total billed charges,,,640.09,percent of total billed charges,,,640.09,percent of total billed charges,,,640.09,percent of total billed charges,
.APHERESIS PLTS 7DAY LR LOW YIELD IRR,P9037,CDM,,,,both,,,"3,066.00","3,066.00",705.18,"3,066.00","3,066.00",percent of total billed charges,"3,066.00",percent of total billed charges,"3,066.00",percent of total billed charges,"3,066.00",percent of total billed charges,"3,066.00",percent of total billed charges,"3,066.00",percent of total billed charges,"3,066.00",percent of total billed charges,"3,066.00",percent of total billed charges,"2,207.52",percent of total billed charges,"2,207.52",percent of total billed charges,"2,207.52",percent of total billed charges,"2,207.52",percent of total billed charges,"2,207.52",percent of total billed charges,"2,207.52",percent of total billed charges,"2,422.14",percent of total billed charges,"2,422.14",percent of total billed charges,"2,452.80",percent of total billed charges,"2,452.80",percent of total billed charges,,,"2,207.52",percent of total billed charges ,,,"2,452.80",percent of total billed charges ,"2,422.14",percent of total billed charges ,"2,422.14",percent of total billed charges ,"2,606.10",percent of total billed charges ,"2,606.10",percent of total billed charges ,"2,452.80",percent of total billed charges ,"2,452.80",percent of total billed charges ,"2,146.20",percent of total billed charges ,"2,146.20",percent of total billed charges ,"1,839.60",percent of total billed charges ,"1,839.60",percent of total billed charges ,"1,839.60",percent of total billed charges ,"1,839.60",percent of total billed charges ,,,,,"1,631.11",percent of total billed charges ,,,,,"1,549.56",percent of total billed charges ,,,,,,,,,,,,,,,,,,,705.18,percent of total billed charges,,,705.18,percent of total billed charges,,,705.18,percent of total billed charges,,,705.18,percent of total billed charges,,,705.18,percent of total billed charges,,,705.18,percent of total billed charges,,,705.18,percent of total billed charges,,,705.18,percent of total billed charges,,,705.18,percent of total billed charges,,,705.18,percent of total billed charges,,,705.18,percent of total billed charges,
.POOLED PLTS LR,P9031,CDM,,,,both,,,751,751,172.73,751,751,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,593.29,percent of total billed charges,593.29,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 ,593.29,percent of total billed charges ,593.29,percent of total billed charges ,638.35,percent of total billed charges ,638.35,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 ,,,,,,,,,,,,,,,,,,,172.73,percent of total billed charges,,,172.73,percent of total billed charges,,,172.73,percent of total billed charges,,,172.73,percent of total billed charges,,,172.73,percent of total billed charges,,,172.73,percent of total billed charges,,,172.73,percent of total billed charges,,,172.73,percent of total billed charges,,,172.73,percent of total billed charges,,,172.73,percent of total billed charges,,,172.73,percent of total billed charges,
.POOLED PLTS LR IRR,P9033,CDM,,,,both,,,852,852,195.96,852,852,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,673.08,percent of total billed charges,673.08,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 ,673.08,percent of total billed charges ,673.08,percent of total billed charges ,724.2,percent of total billed charges ,724.2,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 ,,,,,,,,,,,,,,,,,,,195.96,percent of total billed charges,,,195.96,percent of total billed charges,,,195.96,percent of total billed charges,,,195.96,percent of total billed charges,,,195.96,percent of total billed charges,,,195.96,percent of total billed charges,,,195.96,percent of total billed charges,,,195.96,percent of total billed charges,,,195.96,percent of total billed charges,,,195.96,percent of total billed charges,,,195.96,percent of total billed charges,
.APHERESIS PLTS PATHOGEN REDUCED,P9073,CDM,,,,both,,,"2,204.00","2,204.00",506.92,"2,204.00","2,204.00",percent of total billed charges,"2,204.00",percent of total billed charges,"2,204.00",percent of total billed charges,"2,204.00",percent of total billed charges,"2,204.00",percent of total billed charges,"2,204.00",percent of total billed charges,"2,204.00",percent of total billed charges,"2,204.00",percent of total billed charges,"1,586.88",percent of total billed charges,"1,586.88",percent of total billed charges,"1,586.88",percent of total billed charges,"1,586.88",percent of total billed charges,"1,586.88",percent of total billed charges,"1,586.88",percent of total billed charges,"1,741.16",percent of total billed charges,"1,741.16",percent of total billed charges,"1,763.20",percent of total billed charges,"1,763.20",percent of total billed charges,,,"1,586.88",percent of total billed charges ,,,"1,763.20",percent of total billed charges ,"1,741.16",percent of total billed charges ,"1,741.16",percent of total billed charges ,"1,873.40",percent of total billed charges ,"1,873.40",percent of total billed charges ,"1,763.20",percent of total billed charges ,"1,763.20",percent of total billed charges ,"1,542.80",percent of total billed charges ,"1,542.80",percent of total billed charges ,"1,322.40",percent of total billed charges ,"1,322.40",percent of total billed charges ,"1,322.40",percent of total billed charges ,"1,322.40",percent of total billed charges ,,,,,"1,172.53",percent of total billed charges ,,,,,"1,113.90",percent of total billed charges ,,,,,,,,,,,,,,,,,,,506.92,percent of total billed charges,,,506.92,percent of total billed charges,,,506.92,percent of total billed charges,,,506.92,percent of total billed charges,,,506.92,percent of total billed charges,,,506.92,percent of total billed charges,,,506.92,percent of total billed charges,,,506.92,percent of total billed charges,,,506.92,percent of total billed charges,,,506.92,percent of total billed charges,,,506.92,percent of total billed charges,
.PATHOGEN TEST FOR LVDS PLTS,P9100,CDM,,,,both,,,148,148,34.04,148,148,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,116.92,percent of total billed charges,116.92,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 ,116.92,percent of total billed charges ,116.92,percent of total billed charges ,125.8,percent of total billed charges ,125.8,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 ,,,,,,,,,,,,,,,,,,,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,,,34.04,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,
.DTT TREATMENT OF RBC,86970,CDM,,,,both,,,189,189,43.47,189,189,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,149.31,percent of total billed charges,149.31,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 ,149.31,percent of total billed charges ,149.31,percent of total billed charges ,160.65,percent of total billed charges ,160.65,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 ,,,,,,,,,,,,,,,,,,,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,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,,,43.47,percent of total billed charges,
.RED CELL MOLECULAR TYPE,81403,CDM,,,,both,,,771,771,177.33,771,771,percent of total billed charges,771,percent of total billed charges,771,percent of total billed charges,771,percent of total billed charges,771,percent of total billed charges,771,percent of total billed charges,771,percent of total billed charges,771,percent of total billed charges,555.12,percent of total billed charges,555.12,percent of total billed charges,555.12,percent of total billed charges,555.12,percent of total billed charges,555.12,percent of total billed charges,555.12,percent of total billed charges,609.09,percent of total billed charges,609.09,percent of total billed charges,616.8,percent of total billed charges,616.8,percent of total billed charges,,,555.12,percent of total billed charges ,,,616.8,percent of total billed charges ,609.09,percent of total billed charges ,609.09,percent of total billed charges ,655.35,percent of total billed charges ,655.35,percent of total billed charges ,616.8,percent of total billed charges ,616.8,percent of total billed charges ,539.7,percent of total billed charges ,539.7,percent of total billed charges ,462.6,percent of total billed charges ,462.6,percent of total billed charges ,462.6,percent of total billed charges ,462.6,percent of total billed charges ,,,,,410.17,percent of total billed charges ,,,,,389.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,177.33,percent of total billed charges,,,177.33,percent of total billed charges,,,177.33,percent of total billed charges,,,177.33,percent of total billed charges,,,177.33,percent of total billed charges,,,177.33,percent of total billed charges,,,177.33,percent of total billed charges,,,177.33,percent of total billed charges,,,177.33,percent of total billed charges,,,177.33,percent of total billed charges,,,177.33,percent of total billed charges,
**BLENDER SUBSEQUENT DO NOT USE,Local ,Local ,,,,both,,,45,45,10.35,45,45,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,35.55,percent of total billed charges,35.55,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 ,35.55,percent of total billed charges ,35.55,percent of total billed charges ,38.25,percent of total billed charges ,38.25,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 ,,,,,,,,,,,,,,,,,,,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,
OXYGEN HOURLY CHARGE,Local ,Local ,,,,both,,,37,37,8.51,37,37,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,29.23,percent of total billed charges,29.23,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 ,29.23,percent of total billed charges ,29.23,percent of total billed charges ,31.45,percent of total billed charges ,31.45,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 ,,,,,,,,,,,,,,,,,,,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,
**NEBULIZER EVAL,94664,CDM,,,,both,,,151,151,34.73,151,151,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,119.29,percent of total billed charges,119.29,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 ,119.29,percent of total billed charges ,119.29,percent of total billed charges ,128.35,percent of total billed charges ,128.35,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 ,,,,,,,,,,,,,,,,,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,
**OXYGEN MASKS DO NOT USE,Local ,Local ,,,,both,,,18,18,4.14,18,18,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,14.22,percent of total billed charges,14.22,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 ,14.22,percent of total billed charges ,14.22,percent of total billed charges ,15.3,percent of total billed charges ,15.3,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 ,,,,,,,,,,,,,,,,,,,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,,,4.14,percent of total billed charges,,,4.14,percent of total billed charges,,,4.14,percent of total billed charges,
**IPPB CIRCUIT DO NOT USE,Local ,Local ,,,,both,,,48,48,11.04,48,48,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,37.92,percent of total billed charges,37.92,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 ,37.92,percent of total billed charges ,37.92,percent of total billed charges ,40.8,percent of total billed charges ,40.8,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 ,,,,,,,,,,,,,,,,,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,,,11.04,percent of total billed charges,
**NEBULIZER KIT DO NOT USE,Local ,Local ,,,,both,,,18,18,4.14,18,18,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,14.22,percent of total billed charges,14.22,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 ,14.22,percent of total billed charges ,14.22,percent of total billed charges ,15.3,percent of total billed charges ,15.3,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 ,,,,,,,,,,,,,,,,,,,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,,,4.14,percent of total billed charges,,,4.14,percent of total billed charges,,,4.14,percent of total billed charges,
**BLENDER INITIAL DO NOT USE,Local ,Local ,,,,both,,,163,163,37.49,163,163,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,128.77,percent of total billed charges,128.77,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 ,128.77,percent of total billed charges ,128.77,percent of total billed charges ,138.55,percent of total billed charges ,138.55,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 ,,,,,,,,,,,,,,,,,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,
*COMPRESSOR SET UP CH,Local ,Local ,,,,both,,,156,156,35.88,156,156,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,123.24,percent of total billed charges,123.24,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 ,123.24,percent of total billed charges ,123.24,percent of total billed charges ,132.6,percent of total billed charges ,132.6,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 ,,,,,,,,,,,,,,,,,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,
**RESUSCITATION SET UP DO NOT USE,Local ,Local ,,,,both,,,167,167,38.41,167,167,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,131.93,percent of total billed charges,131.93,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 ,131.93,percent of total billed charges ,131.93,percent of total billed charges ,141.95,percent of total billed charges ,141.95,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 ,,,,,,,,,,,,,,,,,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,,,38.41,percent of total billed charges,
**VENTILATOR INITIAL DO NOT USE,Local ,Local ,,,,both,,,197,197,45.31,197,197,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,155.63,percent of total billed charges,155.63,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 ,155.63,percent of total billed charges ,155.63,percent of total billed charges ,167.45,percent of total billed charges ,167.45,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
CPAP TREATMENT PER 24HR,94660,CDM,,,,both,,,992,992,228.16,992,992,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,783.68,percent of total billed charges,783.68,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 ,783.68,percent of total billed charges ,783.68,percent of total billed charges ,843.2,percent of total billed charges ,843.2,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 ,,,,,,,,,,,,,,,,,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,
**RT-INTUBATION,31500,CDM,,,,both,,,"1,201.00","1,201.00",276.23,"1,201.00","1,201.00",percent of total billed charges,"1,201.00",percent of total billed charges,"1,201.00",percent of total billed charges,"1,201.00",percent of total billed charges,"1,201.00",percent of total billed charges,"1,201.00",percent of total billed charges,"1,201.00",percent of total billed charges,"1,201.00",percent of total billed charges,864.72,percent of total billed charges,864.72,percent of total billed charges,864.72,percent of total billed charges,864.72,percent of total billed charges,864.72,percent of total billed charges,864.72,percent of total billed charges,948.79,percent of total billed charges,948.79,percent of total billed charges,960.8,percent of total billed charges,960.8,percent of total billed charges,,,864.72,percent of total billed charges ,,,960.8,percent of total billed charges ,948.79,percent of total billed charges ,948.79,percent of total billed charges ,"1,020.85",percent of total billed charges ,"1,020.85",percent of total billed charges ,960.8,percent of total billed charges ,960.8,percent of total billed charges ,840.7,percent of total billed charges ,840.7,percent of total billed charges ,720.6,percent of total billed charges ,720.6,percent of total billed charges ,720.6,percent of total billed charges ,720.6,percent of total billed charges ,,,,,638.93,percent of total billed charges ,,,,,606.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,276.23,percent of total billed charges,,,276.23,percent of total billed charges,,,276.23,percent of total billed charges,,,276.23,percent of total billed charges,,,276.23,percent of total billed charges,,,276.23,percent of total billed charges,,,276.23,percent of total billed charges,,,276.23,percent of total billed charges,,,276.23,percent of total billed charges,,,276.23,percent of total billed charges,,,276.23,percent of total billed charges,
PENTAMIDINE NEB TX,94642,CDM,,,,both,,,496,496,114.08,496,496,percent of total billed charges,496,percent of total billed charges,496,percent of total billed charges,496,percent of total billed charges,496,percent of total billed charges,496,percent of total billed charges,496,percent of total billed charges,496,percent of total billed charges,357.12,percent of total billed charges,357.12,percent of total billed charges,357.12,percent of total billed charges,357.12,percent of total billed charges,357.12,percent of total billed charges,357.12,percent of total billed charges,391.84,percent of total billed charges,391.84,percent of total billed charges,396.8,percent of total billed charges,396.8,percent of total billed charges,,,357.12,percent of total billed charges ,,,396.8,percent of total billed charges ,391.84,percent of total billed charges ,391.84,percent of total billed charges ,421.6,percent of total billed charges ,421.6,percent of total billed charges ,396.8,percent of total billed charges ,396.8,percent of total billed charges ,347.2,percent of total billed charges ,347.2,percent of total billed charges ,297.6,percent of total billed charges ,297.6,percent of total billed charges ,297.6,percent of total billed charges ,297.6,percent of total billed charges ,,,,,263.87,percent of total billed charges ,,,,,250.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,,,114.08,percent of total billed charges,
VENTILATOR SUBSEQUENT,94003,CDM,,,,both,,,"1,722.00","1,722.00",396.06,"1,722.00","1,722.00",percent of total billed charges,"1,722.00",percent of total billed charges,"1,722.00",percent of total billed charges,"1,722.00",percent of total billed charges,"1,722.00",percent of total billed charges,"1,722.00",percent of total billed charges,"1,722.00",percent of total billed charges,"1,722.00",percent of total billed charges,"1,239.84",percent of total billed charges,"1,239.84",percent of total billed charges,"1,239.84",percent of total billed charges,"1,239.84",percent of total billed charges,"1,239.84",percent of total billed charges,"1,239.84",percent of total billed charges,"1,360.38",percent of total billed charges,"1,360.38",percent of total billed charges,"1,377.60",percent of total billed charges,"1,377.60",percent of total billed charges,,,"1,239.84",percent of total billed charges ,,,"1,377.60",percent of total billed charges ,"1,360.38",percent of total billed charges ,"1,360.38",percent of total billed charges ,"1,463.70",percent of total billed charges ,"1,463.70",percent of total billed charges ,"1,377.60",percent of total billed charges ,"1,377.60",percent of total billed charges ,"1,205.40",percent of total billed charges ,"1,205.40",percent of total billed charges ,"1,033.20",percent of total billed charges ,"1,033.20",percent of total billed charges ,"1,033.20",percent of total billed charges ,"1,033.20",percent of total billed charges ,,,,,916.1,percent of total billed charges ,,,,,870.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,396.06,percent of total billed charges,,,396.06,percent of total billed charges,,,396.06,percent of total billed charges,,,396.06,percent of total billed charges,,,396.06,percent of total billed charges,,,396.06,percent of total billed charges,,,396.06,percent of total billed charges,,,396.06,percent of total billed charges,,,396.06,percent of total billed charges,,,396.06,percent of total billed charges,,,396.06,percent of total billed charges,
**IPPB FIRST TX,94640,CDM,,,76,both,,,203,203,46.69,203,203,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,160.37,percent of total billed charges,160.37,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 ,160.37,percent of total billed charges ,160.37,percent of total billed charges ,172.55,percent of total billed charges ,172.55,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 ,,,,,,,,,,,,,,,,,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,
**CPAP SUBSEQUENT,94660,CDM,,,,both,,,992,992,228.16,992,992,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,783.68,percent of total billed charges,783.68,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 ,783.68,percent of total billed charges ,783.68,percent of total billed charges ,843.2,percent of total billed charges ,843.2,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 ,,,,,,,,,,,,,,,,,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,
**IPPB EVAL DO NOT USE,94664,CDM,,,,both,,,247,247,56.81,247,247,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,195.13,percent of total billed charges,195.13,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 ,195.13,percent of total billed charges ,195.13,percent of total billed charges ,209.95,percent of total billed charges ,209.95,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 ,,,,,,,,,,,,,,,,,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,
CHEST PERCUSSION INITIAL,94667,CDM,,,,both,,,256,256,58.88,256,256,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,202.24,percent of total billed charges,202.24,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 ,202.24,percent of total billed charges ,202.24,percent of total billed charges ,217.6,percent of total billed charges ,217.6,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 ,,,,,,,,,,,,,,,,,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,
**RESUSCITATION DO NOT USE,Local ,Local ,,,,both,,,64,64,14.72,64,64,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,50.56,percent of total billed charges,50.56,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 ,50.56,percent of total billed charges ,50.56,percent of total billed charges ,54.4,percent of total billed charges ,54.4,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
VENTILATOR INITIAL DAY,94002,CDM,,,,both,,,"2,858.00","2,858.00",657.34,"2,858.00","2,858.00",percent of total billed charges,"2,858.00",percent of total billed charges,"2,858.00",percent of total billed charges,"2,858.00",percent of total billed charges,"2,858.00",percent of total billed charges,"2,858.00",percent of total billed charges,"2,858.00",percent of total billed charges,"2,858.00",percent of total billed charges,"2,057.76",percent of total billed charges,"2,057.76",percent of total billed charges,"2,057.76",percent of total billed charges,"2,057.76",percent of total billed charges,"2,057.76",percent of total billed charges,"2,057.76",percent of total billed charges,"2,257.82",percent of total billed charges,"2,257.82",percent of total billed charges,"2,286.40",percent of total billed charges,"2,286.40",percent of total billed charges,,,"2,057.76",percent of total billed charges ,,,"2,286.40",percent of total billed charges ,"2,257.82",percent of total billed charges ,"2,257.82",percent of total billed charges ,"2,429.30",percent of total billed charges ,"2,429.30",percent of total billed charges ,"2,286.40",percent of total billed charges ,"2,286.40",percent of total billed charges ,"2,000.60",percent of total billed charges ,"2,000.60",percent of total billed charges ,"1,714.80",percent of total billed charges ,"1,714.80",percent of total billed charges ,"1,714.80",percent of total billed charges ,"1,714.80",percent of total billed charges ,,,,,"1,520.46",percent of total billed charges ,,,,,"1,444.43",percent of total billed charges ,,,,,,,,,,,,,,,,,,,657.34,percent of total billed charges,,,657.34,percent of total billed charges,,,657.34,percent of total billed charges,,,657.34,percent of total billed charges,,,657.34,percent of total billed charges,,,657.34,percent of total billed charges,,,657.34,percent of total billed charges,,,657.34,percent of total billed charges,,,657.34,percent of total billed charges,,,657.34,percent of total billed charges,,,657.34,percent of total billed charges,
**ULTRASONIC NEBULIZER DO NOT USE,94664,CDM,,,,both,,,151,151,34.73,151,151,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,119.29,percent of total billed charges,119.29,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 ,119.29,percent of total billed charges ,119.29,percent of total billed charges ,128.35,percent of total billed charges ,128.35,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 ,,,,,,,,,,,,,,,,,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,,,34.73,percent of total billed charges,
PULSE OX WITH EXERCISE,94761,CDM,,,,both,,,271,271,62.33,271,271,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,214.09,percent of total billed charges,214.09,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 ,214.09,percent of total billed charges ,214.09,percent of total billed charges ,230.35,percent of total billed charges ,230.35,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 ,,,,,,,,,,,,,,,,,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,
CHEST PERCUSSION SUBSEQUENT,94668,CDM,,,,both,,,209,209,48.07,209,209,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,165.11,percent of total billed charges,165.11,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 ,165.11,percent of total billed charges ,165.11,percent of total billed charges ,177.65,percent of total billed charges ,177.65,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 ,,,,,,,,,,,,,,,,,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,
PULSE OXIMETER-OP,94760,CDM,,,,both,,,163,163,37.49,163,163,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,128.77,percent of total billed charges,128.77,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 ,128.77,percent of total billed charges ,128.77,percent of total billed charges ,138.55,percent of total billed charges ,138.55,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 ,,,,,,,,,,,,,,,,,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,
CO2 MONITORING,94799,CDM,,,,both,,,353,353,81.19,353,353,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,278.87,percent of total billed charges,278.87,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 ,278.87,percent of total billed charges ,278.87,percent of total billed charges ,300.05,percent of total billed charges ,300.05,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 ,,,,,,,,,,,,,,,,,,,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,,,81.19,percent of total billed charges,,,81.19,percent of total billed charges,,,81.19,percent of total billed charges,
BRONCHODIALATOR-PFT,94060,CDM,,,,both,,,275,275,63.25,275,275,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,217.25,percent of total billed charges,217.25,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 ,217.25,percent of total billed charges ,217.25,percent of total billed charges ,233.75,percent of total billed charges ,233.75,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 ,,,,,,,,,,,,,,,,,,,63.25,percent of total billed charges,,,63.25,percent of total billed charges,,,63.25,percent of total billed charges,,,63.25,percent of total billed charges,,,63.25,percent of total billed charges,,,63.25,percent of total billed charges,,,63.25,percent of total billed charges,,,63.25,percent of total billed charges,,,63.25,percent of total billed charges,,,63.25,percent of total billed charges,,,63.25,percent of total billed charges,
DLCO-CARBON MONOXIDE DIFFUSING,94729,CDM,,,,both,,,614,614,141.22,614,614,percent of total billed charges,614,percent of total billed charges,614,percent of total billed charges,614,percent of total billed charges,614,percent of total billed charges,614,percent of total billed charges,614,percent of total billed charges,614,percent of total billed charges,442.08,percent of total billed charges,442.08,percent of total billed charges,442.08,percent of total billed charges,442.08,percent of total billed charges,442.08,percent of total billed charges,442.08,percent of total billed charges,485.06,percent of total billed charges,485.06,percent of total billed charges,491.2,percent of total billed charges,491.2,percent of total billed charges,,,442.08,percent of total billed charges ,,,491.2,percent of total billed charges ,485.06,percent of total billed charges ,485.06,percent of total billed charges ,521.9,percent of total billed charges ,521.9,percent of total billed charges ,491.2,percent of total billed charges ,491.2,percent of total billed charges ,429.8,percent of total billed charges ,429.8,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 ,,,,,326.65,percent of total billed charges ,,,,,310.32,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,,,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,
SPIROMETRY-PFT,94010,CDM,,,,both,,,461,461,106.03,461,461,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,364.19,percent of total billed charges,364.19,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 ,364.19,percent of total billed charges ,364.19,percent of total billed charges ,391.85,percent of total billed charges ,391.85,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 ,,,,,,,,,,,,,,,,,,,106.03,percent of total billed charges,,,106.03,percent of total billed charges,,,106.03,percent of total billed charges,,,106.03,percent of total billed charges,,,106.03,percent of total billed charges,,,106.03,percent of total billed charges,,,106.03,percent of total billed charges,,,106.03,percent of total billed charges,,,106.03,percent of total billed charges,,,106.03,percent of total billed charges,,,106.03,percent of total billed charges,
NITROGEN/WASHOUT,94727,CDM,,,,both,,,680,680,156.4,680,680,percent of total billed charges,680,percent of total billed charges,680,percent of total billed charges,680,percent of total billed charges,680,percent of total billed charges,680,percent of total billed charges,680,percent of total billed charges,680,percent of total billed charges,489.6,percent of total billed charges,489.6,percent of total billed charges,489.6,percent of total billed charges,489.6,percent of total billed charges,489.6,percent of total billed charges,489.6,percent of total billed charges,537.2,percent of total billed charges,537.2,percent of total billed charges,544,percent of total billed charges,544,percent of total billed charges,,,489.6,percent of total billed charges ,,,544,percent of total billed charges ,537.2,percent of total billed charges ,537.2,percent of total billed charges ,578,percent of total billed charges ,578,percent of total billed charges ,544,percent of total billed charges ,544,percent of total billed charges ,476,percent of total billed charges ,476,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 ,,,,,361.76,percent of total billed charges ,,,,,343.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,
PULMONARY FUNCTION SIMPLE,94010,CDM,,,,both,,,504,504,115.92,504,504,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,398.16,percent of total billed charges,398.16,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 ,398.16,percent of total billed charges ,398.16,percent of total billed charges ,428.4,percent of total billed charges ,428.4,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 ,,,,,,,,,,,,,,,,,,,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,
PULSE OXIMETER-SPOT,94760,CDM,,,,both,,,163,163,37.49,163,163,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,128.77,percent of total billed charges,128.77,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 ,128.77,percent of total billed charges ,128.77,percent of total billed charges ,138.55,percent of total billed charges ,138.55,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 ,,,,,,,,,,,,,,,,,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,
OVERNIGHT PULSE OXIMETER,94762,CDM,,,,both,,,110,110,25.3,110,110,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,86.9,percent of total billed charges,86.9,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 ,86.9,percent of total billed charges ,86.9,percent of total billed charges ,93.5,percent of total billed charges ,93.5,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 ,,,,,,,,,,,,,,,,,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,,,25.3,percent of total billed charges,
METHACHOLINECHALLENG,94070,CDM,,,,both,,,"1,271.00","1,271.00",292.33,"1,271.00","1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,915.12,percent of total billed charges,915.12,percent of total billed charges,915.12,percent of total billed charges,915.12,percent of total billed charges,915.12,percent of total billed charges,915.12,percent of total billed charges,"1,004.09",percent of total billed charges,"1,004.09",percent of total billed charges,"1,016.80",percent of total billed charges,"1,016.80",percent of total billed charges,,,915.12,percent of total billed charges ,,,"1,016.80",percent of total billed charges ,"1,004.09",percent of total billed charges ,"1,004.09",percent of total billed charges ,"1,080.35",percent of total billed charges ,"1,080.35",percent of total billed charges ,"1,016.80",percent of total billed charges ,"1,016.80",percent of total billed charges ,889.7,percent of total billed charges ,889.7,percent of total billed charges ,762.6,percent of total billed charges ,762.6,percent of total billed charges ,762.6,percent of total billed charges ,762.6,percent of total billed charges ,,,,,676.17,percent of total billed charges ,,,,,642.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,
CARDIOPULMONARY RESUSCITATIO,92950,CDM,,,GF,both,,,967,967,222.41,967,967,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,763.93,percent of total billed charges,763.93,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 ,763.93,percent of total billed charges ,763.93,percent of total billed charges ,821.95,percent of total billed charges ,821.95,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 ,,,,,,,,,,,,,,,,,,,222.41,percent of total billed charges,,,222.41,percent of total billed charges,,,222.41,percent of total billed charges,,,222.41,percent of total billed charges,,,222.41,percent of total billed charges,,,222.41,percent of total billed charges,,,222.41,percent of total billed charges,,,222.41,percent of total billed charges,,,222.41,percent of total billed charges,,,222.41,percent of total billed charges,,,222.41,percent of total billed charges,
POLYSOMNOGRAPHY,95810,CDM,,,52,both,,,"5,987.00","5,987.00","1,377.01","5,987.00","5,987.00",percent of total billed charges,"5,987.00",percent of total billed charges,"5,987.00",percent of total billed charges,"5,987.00",percent of total billed charges,"5,987.00",percent of total billed charges,"5,987.00",percent of total billed charges,"5,987.00",percent of total billed charges,"5,987.00",percent of total billed charges,"4,310.64",percent of total billed charges,"4,310.64",percent of total billed charges,"4,310.64",percent of total billed charges,"4,310.64",percent of total billed charges,"4,310.64",percent of total billed charges,"4,310.64",percent of total billed charges,"4,729.73",percent of total billed charges,"4,729.73",percent of total billed charges,"4,789.60",percent of total billed charges,"4,789.60",percent of total billed charges,,,"4,310.64",percent of total billed charges ,,,"4,789.60",percent of total billed charges ,"4,729.73",percent of total billed charges ,"4,729.73",percent of total billed charges ,"5,088.95",percent of total billed charges ,"5,088.95",percent of total billed charges ,"4,789.60",percent of total billed charges ,"4,789.60",percent of total billed charges ,"4,190.90",percent of total billed charges ,"4,190.90",percent of total billed charges ,"3,592.20",percent of total billed charges ,"3,592.20",percent of total billed charges ,"3,592.20",percent of total billed charges ,"3,592.20",percent of total billed charges ,,,,,"3,185.08",percent of total billed charges ,,,,,"3,025.83",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,377.01",percent of total billed charges,,,"1,377.01",percent of total billed charges,,,"1,377.01",percent of total billed charges,,,"1,377.01",percent of total billed charges,,,"1,377.01",percent of total billed charges,,,"1,377.01",percent of total billed charges,,,"1,377.01",percent of total billed charges,,,"1,377.01",percent of total billed charges,,,"1,377.01",percent of total billed charges,,,"1,377.01",percent of total billed charges,,,"1,377.01",percent of total billed charges,
**IPPB ADD'L TREATMENTS DO NOT USE,94640,CDM,,,76,both,,,203,203,46.69,203,203,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,160.37,percent of total billed charges,160.37,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 ,160.37,percent of total billed charges ,160.37,percent of total billed charges ,172.55,percent of total billed charges ,172.55,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 ,,,,,,,,,,,,,,,,,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,
NEBULIZER TREATMENT,94640,CDM,,,76,both,,,262,262,60.26,262,262,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,206.98,percent of total billed charges,206.98,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 ,206.98,percent of total billed charges ,206.98,percent of total billed charges ,222.7,percent of total billed charges ,222.7,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,60.26,percent of total billed charges,,,60.26,percent of total billed charges,,,60.26,percent of total billed charges,
POLYSOMNOGRAPHY WITH CPAP,95811,CDM,,,,both,,,"6,664.00","6,664.00","1,532.72","6,664.00","6,664.00",percent of total billed charges,"6,664.00",percent of total billed charges,"6,664.00",percent of total billed charges,"6,664.00",percent of total billed charges,"6,664.00",percent of total billed charges,"6,664.00",percent of total billed charges,"6,664.00",percent of total billed charges,"6,664.00",percent of total billed charges,"4,798.08",percent of total billed charges,"4,798.08",percent of total billed charges,"4,798.08",percent of total billed charges,"4,798.08",percent of total billed charges,"4,798.08",percent of total billed charges,"4,798.08",percent of total billed charges,"5,264.56",percent of total billed charges,"5,264.56",percent of total billed charges,"5,331.20",percent of total billed charges,"5,331.20",percent of total billed charges,,,"4,798.08",percent of total billed charges ,,,"5,331.20",percent of total billed charges ,"5,264.56",percent of total billed charges ,"5,264.56",percent of total billed charges ,"5,664.40",percent of total billed charges ,"5,664.40",percent of total billed charges ,"5,331.20",percent of total billed charges ,"5,331.20",percent of total billed charges ,"4,664.80",percent of total billed charges ,"4,664.80",percent of total billed charges ,"3,998.40",percent of total billed charges ,"3,998.40",percent of total billed charges ,"3,998.40",percent of total billed charges ,"3,998.40",percent of total billed charges ,,,,,"3,545.25",percent of total billed charges ,,,,,"3,367.99",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,532.72",percent of total billed charges,,,"1,532.72",percent of total billed charges,,,"1,532.72",percent of total billed charges,,,"1,532.72",percent of total billed charges,,,"1,532.72",percent of total billed charges,,,"1,532.72",percent of total billed charges,,,"1,532.72",percent of total billed charges,,,"1,532.72",percent of total billed charges,,,"1,532.72",percent of total billed charges,,,"1,532.72",percent of total billed charges,,,"1,532.72",percent of total billed charges,
**POLYSOMNOGRAPHY INCOMPLETE,95810,CDM,,,52,both,,,"5,377.00","5,377.00","1,236.71","5,377.00","5,377.00",percent of total billed charges,"5,377.00",percent of total billed charges,"5,377.00",percent of total billed charges,"5,377.00",percent of total billed charges,"5,377.00",percent of total billed charges,"5,377.00",percent of total billed charges,"5,377.00",percent of total billed charges,"5,377.00",percent of total billed charges,"3,871.44",percent of total billed charges,"3,871.44",percent of total billed charges,"3,871.44",percent of total billed charges,"3,871.44",percent of total billed charges,"3,871.44",percent of total billed charges,"3,871.44",percent of total billed charges,"4,247.83",percent of total billed charges,"4,247.83",percent of total billed charges,"4,301.60",percent of total billed charges,"4,301.60",percent of total billed charges,,,"3,871.44",percent of total billed charges ,,,"4,301.60",percent of total billed charges ,"4,247.83",percent of total billed charges ,"4,247.83",percent of total billed charges ,"4,570.45",percent of total billed charges ,"4,570.45",percent of total billed charges ,"4,301.60",percent of total billed charges ,"4,301.60",percent of total billed charges ,"3,763.90",percent of total billed charges ,"3,763.90",percent of total billed charges ,"3,226.20",percent of total billed charges ,"3,226.20",percent of total billed charges ,"3,226.20",percent of total billed charges ,"3,226.20",percent of total billed charges ,,,,,"2,860.56",percent of total billed charges ,,,,,"2,717.54",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,236.71",percent of total billed charges,,,"1,236.71",percent of total billed charges,,,"1,236.71",percent of total billed charges,,,"1,236.71",percent of total billed charges,,,"1,236.71",percent of total billed charges,,,"1,236.71",percent of total billed charges,,,"1,236.71",percent of total billed charges,,,"1,236.71",percent of total billed charges,,,"1,236.71",percent of total billed charges,,,"1,236.71",percent of total billed charges,,,"1,236.71",percent of total billed charges,
**AIRWAY RESISTANCE,94360,CDM,,,,both,,,607,607,139.61,607,607,percent of total billed charges,607,percent of total billed charges,607,percent of total billed charges,607,percent of total billed charges,607,percent of total billed charges,607,percent of total billed charges,607,percent of total billed charges,607,percent of total billed charges,437.04,percent of total billed charges,437.04,percent of total billed charges,437.04,percent of total billed charges,437.04,percent of total billed charges,437.04,percent of total billed charges,437.04,percent of total billed charges,479.53,percent of total billed charges,479.53,percent of total billed charges,485.6,percent of total billed charges,485.6,percent of total billed charges,,,437.04,percent of total billed charges ,,,485.6,percent of total billed charges ,479.53,percent of total billed charges ,479.53,percent of total billed charges ,515.95,percent of total billed charges ,515.95,percent of total billed charges ,485.6,percent of total billed charges ,485.6,percent of total billed charges ,424.9,percent of total billed charges ,424.9,percent of total billed charges ,364.2,percent of total billed charges ,364.2,percent of total billed charges ,364.2,percent of total billed charges ,364.2,percent of total billed charges ,,,,,322.92,percent of total billed charges ,,,,,306.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,139.61,percent of total billed charges,,,139.61,percent of total billed charges,,,139.61,percent of total billed charges,,,139.61,percent of total billed charges,,,139.61,percent of total billed charges,,,139.61,percent of total billed charges,,,139.61,percent of total billed charges,,,139.61,percent of total billed charges,,,139.61,percent of total billed charges,,,139.61,percent of total billed charges,,,139.61,percent of total billed charges,
THORACIC GAS VOLUME,94726,CDM,,,,both,,,607,607,139.61,607,607,percent of total billed charges,607,percent of total billed charges,607,percent of total billed charges,607,percent of total billed charges,607,percent of total billed charges,607,percent of total billed charges,607,percent of total billed charges,607,percent of total billed charges,437.04,percent of total billed charges,437.04,percent of total billed charges,437.04,percent of total billed charges,437.04,percent of total billed charges,437.04,percent of total billed charges,437.04,percent of total billed charges,479.53,percent of total billed charges,479.53,percent of total billed charges,485.6,percent of total billed charges,485.6,percent of total billed charges,,,437.04,percent of total billed charges ,,,485.6,percent of total billed charges ,479.53,percent of total billed charges ,479.53,percent of total billed charges ,515.95,percent of total billed charges ,515.95,percent of total billed charges ,485.6,percent of total billed charges ,485.6,percent of total billed charges ,424.9,percent of total billed charges ,424.9,percent of total billed charges ,364.2,percent of total billed charges ,364.2,percent of total billed charges ,364.2,percent of total billed charges ,364.2,percent of total billed charges ,,,,,322.92,percent of total billed charges ,,,,,306.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,139.61,percent of total billed charges,,,139.61,percent of total billed charges,,,139.61,percent of total billed charges,,,139.61,percent of total billed charges,,,139.61,percent of total billed charges,,,139.61,percent of total billed charges,,,139.61,percent of total billed charges,,,139.61,percent of total billed charges,,,139.61,percent of total billed charges,,,139.61,percent of total billed charges,,,139.61,percent of total billed charges,
**NEBULIZER TREATMENT x2,94640,CDM,,,76,both,,,400,400,92,400,400,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,400,percent of total billed charges,400,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,316,percent of total billed charges,316,percent of total billed charges,320,percent of total billed charges,320,percent of total billed charges,,,288,percent of total billed charges ,,,320,percent of total billed charges ,316,percent of total billed charges ,316,percent of total billed charges ,340,percent of total billed charges ,340,percent of total billed charges ,320,percent of total billed charges ,320,percent of total billed charges ,280,percent of total billed charges ,280,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 ,,,,,212.8,percent of total billed charges ,,,,,202.16,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,,,92,percent of total billed charges,,,92,percent of total billed charges,,,92,percent of total billed charges,,,92,percent of total billed charges,
**NEBULIZER TREATMENT x3,94640,CDM,,,76,both,,,597,597,137.31,597,597,percent of total billed charges,597,percent of total billed charges,597,percent of total billed charges,597,percent of total billed charges,597,percent of total billed charges,597,percent of total billed charges,597,percent of total billed charges,597,percent of total billed charges,429.84,percent of total billed charges,429.84,percent of total billed charges,429.84,percent of total billed charges,429.84,percent of total billed charges,429.84,percent of total billed charges,429.84,percent of total billed charges,471.63,percent of total billed charges,471.63,percent of total billed charges,477.6,percent of total billed charges,477.6,percent of total billed charges,,,429.84,percent of total billed charges ,,,477.6,percent of total billed charges ,471.63,percent of total billed charges ,471.63,percent of total billed charges ,507.45,percent of total billed charges ,507.45,percent of total billed charges ,477.6,percent of total billed charges ,477.6,percent of total billed charges ,417.9,percent of total billed charges ,417.9,percent of total billed charges ,358.2,percent of total billed charges ,358.2,percent of total billed charges ,358.2,percent of total billed charges ,358.2,percent of total billed charges ,,,,,317.6,percent of total billed charges ,,,,,301.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,137.31,percent of total billed charges,,,137.31,percent of total billed charges,,,137.31,percent of total billed charges,,,137.31,percent of total billed charges,,,137.31,percent of total billed charges,,,137.31,percent of total billed charges,,,137.31,percent of total billed charges,,,137.31,percent of total billed charges,,,137.31,percent of total billed charges,,,137.31,percent of total billed charges,,,137.31,percent of total billed charges,
**NEBULIZER TREATMENT x4,94640,CDM,,,76,both,,,208,208,47.84,208,208,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,164.32,percent of total billed charges,164.32,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 ,164.32,percent of total billed charges ,164.32,percent of total billed charges ,176.8,percent of total billed charges ,176.8,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 ,,,,,,,,,,,,,,,,,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,,,47.84,percent of total billed charges,
**NEBULIZER TREATMENT x5,94640,CDM,,,76,both,,,992,992,228.16,992,992,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,783.68,percent of total billed charges,783.68,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 ,783.68,percent of total billed charges ,783.68,percent of total billed charges ,843.2,percent of total billed charges ,843.2,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 ,,,,,,,,,,,,,,,,,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,,,228.16,percent of total billed charges,
**NEBULIZER TREATMENT x6,94640,CDM,,,76,both,,,"1,190.00","1,190.00",273.7,"1,190.00","1,190.00",percent of total billed charges,"1,190.00",percent of total billed charges,"1,190.00",percent of total billed charges,"1,190.00",percent of total billed charges,"1,190.00",percent of total billed charges,"1,190.00",percent of total billed charges,"1,190.00",percent of total billed charges,"1,190.00",percent of total billed charges,856.8,percent of total billed charges,856.8,percent of total billed charges,856.8,percent of total billed charges,856.8,percent of total billed charges,856.8,percent of total billed charges,856.8,percent of total billed charges,940.1,percent of total billed charges,940.1,percent of total billed charges,952,percent of total billed charges,952,percent of total billed charges,,,856.8,percent of total billed charges ,,,952,percent of total billed charges ,940.1,percent of total billed charges ,940.1,percent of total billed charges ,"1,011.50",percent of total billed charges ,"1,011.50",percent of total billed charges ,952,percent of total billed charges ,952,percent of total billed charges ,833,percent of total billed charges ,833,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 ,,,,,633.08,percent of total billed charges ,,,,,601.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,273.7,percent of total billed charges,,,273.7,percent of total billed charges,,,273.7,percent of total billed charges,,,273.7,percent of total billed charges,,,273.7,percent of total billed charges,,,273.7,percent of total billed charges,,,273.7,percent of total billed charges,,,273.7,percent of total billed charges,,,273.7,percent of total billed charges,,,273.7,percent of total billed charges,,,273.7,percent of total billed charges,
**NEBULIZER TREATMENT x7,94640,CDM,,,76,both,,,"1,386.00","1,386.00",318.78,"1,386.00","1,386.00",percent of total billed charges,"1,386.00",percent of total billed charges,"1,386.00",percent of total billed charges,"1,386.00",percent of total billed charges,"1,386.00",percent of total billed charges,"1,386.00",percent of total billed charges,"1,386.00",percent of total billed charges,"1,386.00",percent of total billed charges,997.92,percent of total billed charges,997.92,percent of total billed charges,997.92,percent of total billed charges,997.92,percent of total billed charges,997.92,percent of total billed charges,997.92,percent of total billed charges,"1,094.94",percent of total billed charges,"1,094.94",percent of total billed charges,"1,108.80",percent of total billed charges,"1,108.80",percent of total billed charges,,,997.92,percent of total billed charges ,,,"1,108.80",percent of total billed charges ,"1,094.94",percent of total billed charges ,"1,094.94",percent of total billed charges ,"1,178.10",percent of total billed charges ,"1,178.10",percent of total billed charges ,"1,108.80",percent of total billed charges ,"1,108.80",percent of total billed charges ,970.2,percent of total billed charges ,970.2,percent of total billed charges ,831.6,percent of total billed charges ,831.6,percent of total billed charges ,831.6,percent of total billed charges ,831.6,percent of total billed charges ,,,,,737.35,percent of total billed charges ,,,,,700.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,318.78,percent of total billed charges,,,318.78,percent of total billed charges,,,318.78,percent of total billed charges,,,318.78,percent of total billed charges,,,318.78,percent of total billed charges,,,318.78,percent of total billed charges,,,318.78,percent of total billed charges,,,318.78,percent of total billed charges,,,318.78,percent of total billed charges,,,318.78,percent of total billed charges,,,318.78,percent of total billed charges,
MULTIPLE SLEEP LATENCY TEST,95805,CDM,,,,both,,,"4,773.00","4,773.00","1,097.79","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,"3,770.67",percent of total billed charges,"3,770.67",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 ,"3,770.67",percent of total billed charges ,"3,770.67",percent of total billed charges ,"4,057.05",percent of total billed charges ,"4,057.05",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 ,,,,,,,,,,,,,,,,,,,"1,097.79",percent of total billed charges,,,"1,097.79",percent of total billed charges,,,"1,097.79",percent of total billed charges,,,"1,097.79",percent of total billed charges,,,"1,097.79",percent of total billed charges,,,"1,097.79",percent of total billed charges,,,"1,097.79",percent of total billed charges,,,"1,097.79",percent of total billed charges,,,"1,097.79",percent of total billed charges,,,"1,097.79",percent of total billed charges,,,"1,097.79",percent of total billed charges,
HOME SLEEP STUDY,95806,CDM,,,,both,,,"1,081.00","1,081.00",248.63,"1,081.00","1,081.00",percent of total billed charges,"1,081.00",percent of total billed charges,"1,081.00",percent of total billed charges,"1,081.00",percent of total billed charges,"1,081.00",percent of total billed charges,"1,081.00",percent of total billed charges,"1,081.00",percent of total billed charges,"1,081.00",percent of total billed charges,778.32,percent of total billed charges,778.32,percent of total billed charges,778.32,percent of total billed charges,778.32,percent of total billed charges,778.32,percent of total billed charges,778.32,percent of total billed charges,853.99,percent of total billed charges,853.99,percent of total billed charges,864.8,percent of total billed charges,864.8,percent of total billed charges,,,778.32,percent of total billed charges ,,,864.8,percent of total billed charges ,853.99,percent of total billed charges ,853.99,percent of total billed charges ,918.85,percent of total billed charges ,918.85,percent of total billed charges ,864.8,percent of total billed charges ,864.8,percent of total billed charges ,756.7,percent of total billed charges ,756.7,percent of total billed charges ,648.6,percent of total billed charges ,648.6,percent of total billed charges ,648.6,percent of total billed charges ,648.6,percent of total billed charges ,,,,,575.09,percent of total billed charges ,,,,,546.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,248.63,percent of total billed charges,,,248.63,percent of total billed charges,,,248.63,percent of total billed charges,,,248.63,percent of total billed charges,,,248.63,percent of total billed charges,,,248.63,percent of total billed charges,,,248.63,percent of total billed charges,,,248.63,percent of total billed charges,,,248.63,percent of total billed charges,,,248.63,percent of total billed charges,,,248.63,percent of total billed charges,
PAP-NAP,95807,CDM,,,52,both,,,"3,532.00","3,532.00",812.36,"3,532.00","3,532.00",percent of total billed charges,"3,532.00",percent of total billed charges,"3,532.00",percent of total billed charges,"3,532.00",percent of total billed charges,"3,532.00",percent of total billed charges,"3,532.00",percent of total billed charges,"3,532.00",percent of total billed charges,"3,532.00",percent of total billed charges,"2,543.04",percent of total billed charges,"2,543.04",percent of total billed charges,"2,543.04",percent of total billed charges,"2,543.04",percent of total billed charges,"2,543.04",percent of total billed charges,"2,543.04",percent of total billed charges,"2,790.28",percent of total billed charges,"2,790.28",percent of total billed charges,"2,825.60",percent of total billed charges,"2,825.60",percent of total billed charges,,,"2,543.04",percent of total billed charges ,,,"2,825.60",percent of total billed charges ,"2,790.28",percent of total billed charges ,"2,790.28",percent of total billed charges ,"3,002.20",percent of total billed charges ,"3,002.20",percent of total billed charges ,"2,825.60",percent of total billed charges ,"2,825.60",percent of total billed charges ,"2,472.40",percent of total billed charges ,"2,472.40",percent of total billed charges ,"2,119.20",percent of total billed charges ,"2,119.20",percent of total billed charges ,"2,119.20",percent of total billed charges ,"2,119.20",percent of total billed charges ,,,,,"1,879.02",percent of total billed charges ,,,,,"1,785.07",percent of total billed charges ,,,,,,,,,,,,,,,,,,,812.36,percent of total billed charges,,,812.36,percent of total billed charges,,,812.36,percent of total billed charges,,,812.36,percent of total billed charges,,,812.36,percent of total billed charges,,,812.36,percent of total billed charges,,,812.36,percent of total billed charges,,,812.36,percent of total billed charges,,,812.36,percent of total billed charges,,,812.36,percent of total billed charges,,,812.36,percent of total billed charges,
SMOKING/TOBACCO COUNSEL >3 MIN TO 10 MIN,99406,CDM,,,,both,,,80,80,18.4,80,80,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,63.2,percent of total billed charges,63.2,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 ,63.2,percent of total billed charges ,63.2,percent of total billed charges ,68,percent of total billed charges ,68,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 ,,,,,,,,,,,,,,,,,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,
SMOKING/TOBACCO COUNSEL > 10 MINS,99407,CDM,,,,both,,,115,115,26.45,115,115,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,90.85,percent of total billed charges,90.85,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 ,90.85,percent of total billed charges ,90.85,percent of total billed charges ,97.75,percent of total billed charges ,97.75,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 ,,,,,,,,,,,,,,,,,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,
SMOKING/TOBACCO INTERMED >3 MIN TO 10 MI,99406,CDM,,,,both,,,86,86,19.78,86,86,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,67.94,percent of total billed charges,67.94,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 ,67.94,percent of total billed charges ,67.94,percent of total billed charges ,73.1,percent of total billed charges ,73.1,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
SMOKING/TOBACCO INTERMED> 10 MINS,99407,CDM,,,,both,,,115,115,26.45,115,115,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,90.85,percent of total billed charges,90.85,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 ,90.85,percent of total billed charges ,90.85,percent of total billed charges ,97.75,percent of total billed charges ,97.75,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 ,,,,,,,,,,,,,,,,,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,,,26.45,percent of total billed charges,
AIRVO,94799,CDM,,,,both,,,329,329,75.67,329,329,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,259.91,percent of total billed charges,259.91,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 ,259.91,percent of total billed charges ,259.91,percent of total billed charges ,279.65,percent of total billed charges ,279.65,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 ,,,,,,,,,,,,,,,,,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,,,75.67,percent of total billed charges,
Polysomnography < 4hours,95807,CDM,,,52,both,,,"3,532.00","3,532.00",812.36,"3,532.00","3,532.00",percent of total billed charges,"3,532.00",percent of total billed charges,"3,532.00",percent of total billed charges,"3,532.00",percent of total billed charges,"3,532.00",percent of total billed charges,"3,532.00",percent of total billed charges,"3,532.00",percent of total billed charges,"3,532.00",percent of total billed charges,"2,543.04",percent of total billed charges,"2,543.04",percent of total billed charges,"2,543.04",percent of total billed charges,"2,543.04",percent of total billed charges,"2,543.04",percent of total billed charges,"2,543.04",percent of total billed charges,"2,790.28",percent of total billed charges,"2,790.28",percent of total billed charges,"2,825.60",percent of total billed charges,"2,825.60",percent of total billed charges,,,"2,543.04",percent of total billed charges ,,,"2,825.60",percent of total billed charges ,"2,790.28",percent of total billed charges ,"2,790.28",percent of total billed charges ,"3,002.20",percent of total billed charges ,"3,002.20",percent of total billed charges ,"2,825.60",percent of total billed charges ,"2,825.60",percent of total billed charges ,"2,472.40",percent of total billed charges ,"2,472.40",percent of total billed charges ,"2,119.20",percent of total billed charges ,"2,119.20",percent of total billed charges ,"2,119.20",percent of total billed charges ,"2,119.20",percent of total billed charges ,,,,,"1,879.02",percent of total billed charges ,,,,,"1,785.07",percent of total billed charges ,,,,,,,,,,,,,,,,,,,812.36,percent of total billed charges,,,812.36,percent of total billed charges,,,812.36,percent of total billed charges,,,812.36,percent of total billed charges,,,812.36,percent of total billed charges,,,812.36,percent of total billed charges,,,812.36,percent of total billed charges,,,812.36,percent of total billed charges,,,812.36,percent of total billed charges,,,812.36,percent of total billed charges,,,812.36,percent of total billed charges,
**ELECTRODES SET DO NOT USE,Local ,Local ,,,,both,,,86,86,19.78,86,86,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,67.94,percent of total billed charges,67.94,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 ,67.94,percent of total billed charges ,67.94,percent of total billed charges ,73.1,percent of total billed charges ,73.1,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**HBO/2 SLEEVE DO NOT USE,Local ,Local ,,,,both,,,163,163,37.49,163,163,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,128.77,percent of total billed charges,128.77,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 ,128.77,percent of total billed charges ,128.77,percent of total billed charges ,138.55,percent of total billed charges ,138.55,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 ,,,,,,,,,,,,,,,,,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,
**DEBRIDEMENT SELECTIVE DO NOT USE,Local ,Local ,,,,both,,,633,633,145.59,633,633,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,500.07,percent of total billed charges,500.07,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 ,500.07,percent of total billed charges ,500.07,percent of total billed charges ,538.05,percent of total billed charges ,538.05,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 ,,,,,,,,,,,,,,,,,,,145.59,percent of total billed charges,,,145.59,percent of total billed charges,,,145.59,percent of total billed charges,,,145.59,percent of total billed charges,,,145.59,percent of total billed charges,,,145.59,percent of total billed charges,,,145.59,percent of total billed charges,,,145.59,percent of total billed charges,,,145.59,percent of total billed charges,,,145.59,percent of total billed charges,,,145.59,percent of total billed charges,
DEBRIDEMENT/NONSELECTIVE,97602,CDM,,,GP,both,,,371,371,85.33,371,371,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,293.09,percent of total billed charges,293.09,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 ,293.09,percent of total billed charges ,293.09,percent of total billed charges ,315.35,percent of total billed charges ,315.35,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 ,,,,,,,,,,,,,,,,,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,,,85.33,percent of total billed charges,
PT PHYSICAL PERFORMANCE TEST EA 15 MIN,97750,CDM,,,GP,both,,,245,245,56.35,245,245,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,193.55,percent of total billed charges,193.55,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 ,193.55,percent of total billed charges ,193.55,percent of total billed charges ,208.25,percent of total billed charges ,208.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,56.35,percent of total billed charges,,,56.35,percent of total billed charges,,,56.35,percent of total billed charges,
**MASSAGE 15 MIN,97124,CDM,,,GP,both,,,185,185,42.55,185,185,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,146.15,percent of total billed charges,146.15,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 ,146.15,percent of total billed charges ,146.15,percent of total billed charges ,157.25,percent of total billed charges ,157.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,42.55,percent of total billed charges,,,42.55,percent of total billed charges,,,42.55,percent of total billed charges,
**ULTRAVIOLET,97028,CDM,,,GP,both,,,117,117,26.91,117,117,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,92.43,percent of total billed charges,92.43,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 ,92.43,percent of total billed charges ,92.43,percent of total billed charges ,99.45,percent of total billed charges ,99.45,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 ,,,,,,,,,,,,,,,,,,,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,
TRACTION MECHANICAL,97012,CDM,,,GP,both,,,214,214,49.22,214,214,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,169.06,percent of total billed charges,169.06,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 ,169.06,percent of total billed charges ,169.06,percent of total billed charges ,181.9,percent of total billed charges ,181.9,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 ,,,,,,,,,,,,,,,,,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,,,49.22,percent of total billed charges,
ULTRASOUND EA 15 MIN,97035,CDM,,,GP,both,,,150,150,34.5,150,150,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,118.5,percent of total billed charges,118.5,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 ,118.5,percent of total billed charges ,118.5,percent of total billed charges ,127.5,percent of total billed charges ,127.5,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 ,,,,,,,,,,,,,,,,,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,
**WHIRLPOOL,97022,CDM,,,GP,both,,,258,258,59.34,258,258,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,203.82,percent of total billed charges,203.82,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 ,203.82,percent of total billed charges ,203.82,percent of total billed charges ,219.3,percent of total billed charges ,219.3,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 ,,,,,,,,,,,,,,,,,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,
**PROSTHETIC TRAINING 15 MIN,97761,CDM,,,GP,both,,,156,156,35.88,156,156,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,123.24,percent of total billed charges,123.24,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 ,123.24,percent of total billed charges ,123.24,percent of total billed charges ,132.6,percent of total billed charges ,132.6,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 ,,,,,,,,,,,,,,,,,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,,,35.88,percent of total billed charges,
PT ESTIM-UNATTENDED,97014,CDM,,,GP,both,,,148,148,34.04,148,148,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,116.92,percent of total billed charges,116.92,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 ,116.92,percent of total billed charges ,116.92,percent of total billed charges ,125.8,percent of total billed charges ,125.8,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 ,,,,,,,,,,,,,,,,,,,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,,,34.04,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,
**PARAFFIN,97018,CDM,,,GP,both,,,175,175,40.25,175,175,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,138.25,percent of total billed charges,138.25,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 ,138.25,percent of total billed charges ,138.25,percent of total billed charges ,148.75,percent of total billed charges ,148.75,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 ,,,,,,,,,,,,,,,,,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,
PT THERAPEUTIC PROCEDURE/15 MIN,97110,CDM,,,GP,both,,,185,185,42.55,185,185,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,146.15,percent of total billed charges,146.15,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 ,146.15,percent of total billed charges ,146.15,percent of total billed charges ,157.25,percent of total billed charges ,157.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,42.55,percent of total billed charges,,,42.55,percent of total billed charges,,,42.55,percent of total billed charges,
**CONTRAST BATH EA 15 MIN,97034,CDM,,,GP,both,,,185,185,42.55,185,185,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,146.15,percent of total billed charges,146.15,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 ,146.15,percent of total billed charges ,146.15,percent of total billed charges ,157.25,percent of total billed charges ,157.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,42.55,percent of total billed charges,,,42.55,percent of total billed charges,,,42.55,percent of total billed charges,
PT ESTIM-ATTENDED EA 15 MIN,97032,CDM,,,GP,both,,,161,161,37.03,161,161,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,127.19,percent of total billed charges,127.19,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 ,127.19,percent of total billed charges ,127.19,percent of total billed charges ,136.85,percent of total billed charges ,136.85,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 ,,,,,,,,,,,,,,,,,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,
PT NEUROMUSCULAR RE-ED EA 15 MIN,97112,CDM,,,GP,both,,,182,182,41.86,182,182,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,143.78,percent of total billed charges,143.78,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 ,143.78,percent of total billed charges ,143.78,percent of total billed charges ,154.7,percent of total billed charges ,154.7,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 ,,,,,,,,,,,,,,,,,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,
PT THERAPEUTIC ACTIVITY EA 15 MIN,97530,CDM,,,GP,both,,,179,179,41.17,179,179,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,141.41,percent of total billed charges,141.41,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 ,141.41,percent of total billed charges ,141.41,percent of total billed charges ,152.15,percent of total billed charges ,152.15,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 ,,,,,,,,,,,,,,,,,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,
PT COMMUNITY WORK RE-INT EA 15 MIN,97537,CDM,,,GP,both,,,218,218,50.14,218,218,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,172.22,percent of total billed charges,172.22,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 ,172.22,percent of total billed charges ,172.22,percent of total billed charges ,185.3,percent of total billed charges ,185.3,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 ,,,,,,,,,,,,,,,,,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,
AQUATIC THERAPY EA 15 MIN,97113,CDM,,,GP,both,,,178,178,40.94,178,178,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,140.62,percent of total billed charges,140.62,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 ,140.62,percent of total billed charges ,140.62,percent of total billed charges ,151.3,percent of total billed charges ,151.3,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 ,,,,,,,,,,,,,,,,,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,
GAIT TRAINING 15 MIN,97116,CDM,,,GP,both,,,166,166,38.18,166,166,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,131.14,percent of total billed charges,131.14,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 ,131.14,percent of total billed charges ,131.14,percent of total billed charges ,141.1,percent of total billed charges ,141.1,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 ,,,,,,,,,,,,,,,,,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,,,38.18,percent of total billed charges,
PT MANUAL THERAPY EA 15 MIN,97140,CDM,,,GP,both,,,183,183,42.09,183,183,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,144.57,percent of total billed charges,144.57,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 ,144.57,percent of total billed charges ,144.57,percent of total billed charges ,155.55,percent of total billed charges ,155.55,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 ,,,,,,,,,,,,,,,,,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,
PT ORTHOTIC TRAINING 15 MIN,97760,CDM,,,GP,both,,,182,182,41.86,182,182,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,143.78,percent of total billed charges,143.78,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 ,143.78,percent of total billed charges ,143.78,percent of total billed charges ,154.7,percent of total billed charges ,154.7,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 ,,,,,,,,,,,,,,,,,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,
**IONTOPHORESIS EA 15 MIN,97033,CDM,,,GP,both,,,232,232,53.36,232,232,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,183.28,percent of total billed charges,183.28,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 ,183.28,percent of total billed charges ,183.28,percent of total billed charges ,197.2,percent of total billed charges ,197.2,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 ,,,,,,,,,,,,,,,,,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,
**EMG BIOFEEDBACK,90901,CDM,,,GP,both,,,431,431,99.13,431,431,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,340.49,percent of total billed charges,340.49,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 ,340.49,percent of total billed charges ,340.49,percent of total billed charges ,366.35,percent of total billed charges ,366.35,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 ,,,,,,,,,,,,,,,,,,,99.13,percent of total billed charges,,,99.13,percent of total billed charges,,,99.13,percent of total billed charges,,,99.13,percent of total billed charges,,,99.13,percent of total billed charges,,,99.13,percent of total billed charges,,,99.13,percent of total billed charges,,,99.13,percent of total billed charges,,,99.13,percent of total billed charges,,,99.13,percent of total billed charges,,,99.13,percent of total billed charges,
PT THERAPEUTIC PROCEDURE\GROUP,97150,CDM,,,GP,both,,,171,171,39.33,171,171,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,135.09,percent of total billed charges,135.09,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 ,135.09,percent of total billed charges ,135.09,percent of total billed charges ,145.35,percent of total billed charges ,145.35,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 ,,,,,,,,,,,,,,,,,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,,,39.33,percent of total billed charges,
**WELLNESS/AQUATIC DO NOT USE,Local ,Local ,,,,both,,,125,125,28.75,125,125,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,98.75,percent of total billed charges,98.75,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 ,98.75,percent of total billed charges ,98.75,percent of total billed charges ,106.25,percent of total billed charges ,106.25,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 ,,,,,,,,,,,,,,,,,,,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,,,28.75,percent of total billed charges,,,28.75,percent of total billed charges,,,28.75,percent of total billed charges,
**HBO/2 TREATMENT DO NOT USE,99183,CDM,,,GP,both,,,396,396,91.08,396,396,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,312.84,percent of total billed charges,312.84,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 ,312.84,percent of total billed charges ,312.84,percent of total billed charges ,336.6,percent of total billed charges ,336.6,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 ,,,,,,,,,,,,,,,,,,,91.08,percent of total billed charges,,,91.08,percent of total billed charges,,,91.08,percent of total billed charges,,,91.08,percent of total billed charges,,,91.08,percent of total billed charges,,,91.08,percent of total billed charges,,,91.08,percent of total billed charges,,,91.08,percent of total billed charges,,,91.08,percent of total billed charges,,,91.08,percent of total billed charges,,,91.08,percent of total billed charges,
**CHECKOUT FOR ORTHOTIC/PROSHETIC 15 MIN,97762,CDM,,,GP,both,,,296,296,68.08,296,296,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,233.84,percent of total billed charges,233.84,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 ,233.84,percent of total billed charges ,233.84,percent of total billed charges ,251.6,percent of total billed charges ,251.6,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 ,,,,,,,,,,,,,,,,,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,
**PT EVALUATION,97001,CDM,,,,both,,,530,530,121.9,530,530,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,418.7,percent of total billed charges,418.7,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 ,418.7,percent of total billed charges ,418.7,percent of total billed charges ,450.5,percent of total billed charges ,450.5,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 ,,,,,,,,,,,,,,,,,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,
PT RE-EVALUATION,97164,CDM,,,GP,both,,,307,307,70.61,307,307,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,242.53,percent of total billed charges,242.53,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 ,242.53,percent of total billed charges ,242.53,percent of total billed charges ,260.95,percent of total billed charges ,260.95,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 ,,,,,,,,,,,,,,,,,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,
**MUSCLE TESTING,95831,CDM,,,GP,both,,,185,185,42.55,185,185,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,146.15,percent of total billed charges,146.15,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 ,146.15,percent of total billed charges ,146.15,percent of total billed charges ,157.25,percent of total billed charges ,157.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,42.55,percent of total billed charges,,,42.55,percent of total billed charges,,,42.55,percent of total billed charges,
**ROM MEASUREMENTS,95851,CDM,,,GP,both,,,184,184,42.32,184,184,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,145.36,percent of total billed charges,145.36,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 ,145.36,percent of total billed charges ,145.36,percent of total billed charges ,156.4,percent of total billed charges ,156.4,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 ,,,,,,,,,,,,,,,,,,,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,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,
**ELBOW EXT SPLINT LONG ARM,29105,CDM,,,GF,both,,,530,530,121.9,530,530,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,418.7,percent of total billed charges,418.7,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 ,418.7,percent of total billed charges ,418.7,percent of total billed charges ,450.5,percent of total billed charges ,450.5,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 ,,,,,,,,,,,,,,,,,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,
"**APP SHORT ARM SPLINT, HAND/WRIST STATI",29125,CDM,,,GF,both,,,487,487,112.01,487,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,350.64,percent of total billed charges,350.64,percent of total billed charges,350.64,percent of total billed charges,350.64,percent of total billed charges,350.64,percent of total billed charges,350.64,percent of total billed charges,384.73,percent of total billed charges,384.73,percent of total billed charges,389.6,percent of total billed charges,389.6,percent of total billed charges,,,350.64,percent of total billed charges ,,,389.6,percent of total billed charges ,384.73,percent of total billed charges ,384.73,percent of total billed charges ,413.95,percent of total billed charges ,413.95,percent of total billed charges ,389.6,percent of total billed charges ,389.6,percent of total billed charges ,340.9,percent of total billed charges ,340.9,percent of total billed charges ,292.2,percent of total billed charges ,292.2,percent of total billed charges ,292.2,percent of total billed charges ,292.2,percent of total billed charges ,,,,,259.08,percent of total billed charges ,,,,,246.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,
"**APP SHORT ARM SPLINT, THUMB STATIC",29125,CDM,,,GF,both,,,487,487,112.01,487,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,350.64,percent of total billed charges,350.64,percent of total billed charges,350.64,percent of total billed charges,350.64,percent of total billed charges,350.64,percent of total billed charges,350.64,percent of total billed charges,384.73,percent of total billed charges,384.73,percent of total billed charges,389.6,percent of total billed charges,389.6,percent of total billed charges,,,350.64,percent of total billed charges ,,,389.6,percent of total billed charges ,384.73,percent of total billed charges ,384.73,percent of total billed charges ,413.95,percent of total billed charges ,413.95,percent of total billed charges ,389.6,percent of total billed charges ,389.6,percent of total billed charges ,340.9,percent of total billed charges ,340.9,percent of total billed charges ,292.2,percent of total billed charges ,292.2,percent of total billed charges ,292.2,percent of total billed charges ,292.2,percent of total billed charges ,,,,,259.08,percent of total billed charges ,,,,,246.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,
"**APP SHORT ARM SPLINT, STATIC HAND",29125,CDM,,,GF,both,,,487,487,112.01,487,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,350.64,percent of total billed charges,350.64,percent of total billed charges,350.64,percent of total billed charges,350.64,percent of total billed charges,350.64,percent of total billed charges,350.64,percent of total billed charges,384.73,percent of total billed charges,384.73,percent of total billed charges,389.6,percent of total billed charges,389.6,percent of total billed charges,,,350.64,percent of total billed charges ,,,389.6,percent of total billed charges ,384.73,percent of total billed charges ,384.73,percent of total billed charges ,413.95,percent of total billed charges ,413.95,percent of total billed charges ,389.6,percent of total billed charges ,389.6,percent of total billed charges ,340.9,percent of total billed charges ,340.9,percent of total billed charges ,292.2,percent of total billed charges ,292.2,percent of total billed charges ,292.2,percent of total billed charges ,292.2,percent of total billed charges ,,,,,259.08,percent of total billed charges ,,,,,246.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,
**WOUND CLEANSER DO NOT USE,A6260,CDM,,,,both,,,100,100,23,100,100,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,79,percent of total billed charges,79,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 ,79,percent of total billed charges ,79,percent of total billed charges ,85,percent of total billed charges ,85,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 ,,,,,,,,,,,,,,,,,,,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,,,23,percent of total billed charges,,,23,percent of total billed charges,,,23,percent of total billed charges,
STRAPPING; MULTI LAYER COMPRESSION,29581,CDM,,,GP,both,,,448,448,103.04,448,448,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,353.92,percent of total billed charges,353.92,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 ,353.92,percent of total billed charges ,353.92,percent of total billed charges ,380.8,percent of total billed charges ,380.8,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 ,,,,,,,,,,,,,,,,,,,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,
PT ADL EDUCATION/15M,97535,CDM,,,GP,both,,,176,176,40.48,176,176,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,139.04,percent of total billed charges,139.04,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 ,139.04,percent of total billed charges ,139.04,percent of total billed charges ,149.6,percent of total billed charges ,149.6,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 ,,,,,,,,,,,,,,,,,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,
**CLASSSIC VAC DRGST KIT DO NOT USE,Local ,Local ,,,,both,,,"1,040.00","1,040.00",239.2,"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,821.6,percent of total billed charges,821.6,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 ,821.6,percent of total billed charges ,821.6,percent of total billed charges ,884,percent of total billed charges ,884,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 ,,,,,,,,,,,,,,,,,,,239.2,percent of total billed charges,,,239.2,percent of total billed charges,,,239.2,percent of total billed charges,,,239.2,percent of total billed charges,,,239.2,percent of total billed charges,,,239.2,percent of total billed charges,,,239.2,percent of total billed charges,,,239.2,percent of total billed charges,,,239.2,percent of total billed charges,,,239.2,percent of total billed charges,,,239.2,percent of total billed charges,
**PT STRAPPING TOE,29550,CDM,,,,both,,,712,712,163.76,712,712,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,562.48,percent of total billed charges,562.48,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 ,562.48,percent of total billed charges ,562.48,percent of total billed charges ,605.2,percent of total billed charges ,605.2,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 ,,,,,,,,,,,,,,,,,,,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,,,163.76,percent of total billed charges,,,163.76,percent of total billed charges,,,163.76,percent of total billed charges,
**PT STRAPPING HIP,29520,CDM,,,,both,,,355,355,81.65,355,355,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,280.45,percent of total billed charges,280.45,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 ,280.45,percent of total billed charges ,280.45,percent of total billed charges ,301.75,percent of total billed charges ,301.75,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 ,,,,,,,,,,,,,,,,,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,,,81.65,percent of total billed charges,
**PT STRAPPING LOW BACK,29220,CDM,,,,both,,,296,296,68.08,296,296,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,233.84,percent of total billed charges,233.84,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 ,233.84,percent of total billed charges ,233.84,percent of total billed charges ,251.6,percent of total billed charges ,251.6,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 ,,,,,,,,,,,,,,,,,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,
**PT STRAPPING ANKLE &/OR FOOT,29540,CDM,,,,both,,,377,377,86.71,377,377,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,297.83,percent of total billed charges,297.83,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 ,297.83,percent of total billed charges ,297.83,percent of total billed charges ,320.45,percent of total billed charges ,320.45,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 ,,,,,,,,,,,,,,,,,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,,,86.71,percent of total billed charges,
**PT STRAPPING SHOULDER,29240,CDM,,,,both,,,452,452,103.96,452,452,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,357.08,percent of total billed charges,357.08,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 ,357.08,percent of total billed charges ,357.08,percent of total billed charges ,384.2,percent of total billed charges ,384.2,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 ,,,,,,,,,,,,,,,,,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,
**PT STRAPPING KNEE,29530,CDM,,,,both,,,418,418,96.14,418,418,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,330.22,percent of total billed charges,330.22,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 ,330.22,percent of total billed charges ,330.22,percent of total billed charges ,355.3,percent of total billed charges ,355.3,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 ,,,,,,,,,,,,,,,,,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,,,96.14,percent of total billed charges,
**PT STRAPPING WRIST OR ELBOW,29260,CDM,,,GP,both,,,422,422,97.06,422,422,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,333.38,percent of total billed charges,333.38,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 ,333.38,percent of total billed charges ,333.38,percent of total billed charges ,358.7,percent of total billed charges ,358.7,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 ,,,,,,,,,,,,,,,,,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,
SELECTIVE DEBRIDEMENT <20CM,97597,CDM,,,GP,both,,,697,697,160.31,697,697,percent of total billed charges,697,percent of total billed charges,697,percent of total billed charges,697,percent of total billed charges,697,percent of total billed charges,697,percent of total billed charges,697,percent of total billed charges,697,percent of total billed charges,501.84,percent of total billed charges,501.84,percent of total billed charges,501.84,percent of total billed charges,501.84,percent of total billed charges,501.84,percent of total billed charges,501.84,percent of total billed charges,550.63,percent of total billed charges,550.63,percent of total billed charges,557.6,percent of total billed charges,557.6,percent of total billed charges,,,501.84,percent of total billed charges ,,,557.6,percent of total billed charges ,550.63,percent of total billed charges ,550.63,percent of total billed charges ,592.45,percent of total billed charges ,592.45,percent of total billed charges ,557.6,percent of total billed charges ,557.6,percent of total billed charges ,487.9,percent of total billed charges ,487.9,percent of total billed charges ,418.2,percent of total billed charges ,418.2,percent of total billed charges ,418.2,percent of total billed charges ,418.2,percent of total billed charges ,,,,,370.8,percent of total billed charges ,,,,,352.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,
SELECTIVE DEBRIDEMENT >20CM,97598,CDM,,,GP,both,,,520,520,119.6,520,520,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,410.8,percent of total billed charges,410.8,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 ,410.8,percent of total billed charges ,410.8,percent of total billed charges ,442,percent of total billed charges ,442,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 ,,,,,,,,,,,,,,,,,,,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,
PT NEG PRESSURE WOUND CARE <50CM,97605,CDM,,,GP,both,,,697,697,160.31,697,697,percent of total billed charges,697,percent of total billed charges,697,percent of total billed charges,697,percent of total billed charges,697,percent of total billed charges,697,percent of total billed charges,697,percent of total billed charges,697,percent of total billed charges,501.84,percent of total billed charges,501.84,percent of total billed charges,501.84,percent of total billed charges,501.84,percent of total billed charges,501.84,percent of total billed charges,501.84,percent of total billed charges,550.63,percent of total billed charges,550.63,percent of total billed charges,557.6,percent of total billed charges,557.6,percent of total billed charges,,,501.84,percent of total billed charges ,,,557.6,percent of total billed charges ,550.63,percent of total billed charges ,550.63,percent of total billed charges ,592.45,percent of total billed charges ,592.45,percent of total billed charges ,557.6,percent of total billed charges ,557.6,percent of total billed charges ,487.9,percent of total billed charges ,487.9,percent of total billed charges ,418.2,percent of total billed charges ,418.2,percent of total billed charges ,418.2,percent of total billed charges ,418.2,percent of total billed charges ,,,,,370.8,percent of total billed charges ,,,,,352.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,
PT NEG PRESSURE WOUND CARE >50CM,97606,CDM,,,GP,both,,,697,697,160.31,697,697,percent of total billed charges,697,percent of total billed charges,697,percent of total billed charges,697,percent of total billed charges,697,percent of total billed charges,697,percent of total billed charges,697,percent of total billed charges,697,percent of total billed charges,501.84,percent of total billed charges,501.84,percent of total billed charges,501.84,percent of total billed charges,501.84,percent of total billed charges,501.84,percent of total billed charges,501.84,percent of total billed charges,550.63,percent of total billed charges,550.63,percent of total billed charges,557.6,percent of total billed charges,557.6,percent of total billed charges,,,501.84,percent of total billed charges ,,,557.6,percent of total billed charges ,550.63,percent of total billed charges ,550.63,percent of total billed charges ,592.45,percent of total billed charges ,592.45,percent of total billed charges ,557.6,percent of total billed charges ,557.6,percent of total billed charges ,487.9,percent of total billed charges ,487.9,percent of total billed charges ,418.2,percent of total billed charges ,418.2,percent of total billed charges ,418.2,percent of total billed charges ,418.2,percent of total billed charges ,,,,,370.8,percent of total billed charges ,,,,,352.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,
**INFRARED LIGHT THERAPY/15 MIN,97026,CDM,,,,both,,,147,147,33.81,147,147,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,116.13,percent of total billed charges,116.13,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 ,116.13,percent of total billed charges ,116.13,percent of total billed charges ,124.95,percent of total billed charges ,124.95,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 ,,,,,,,,,,,,,,,,,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,
PT WHEELCHAIR MANAGEMENT/15 MIN,97542,CDM,,,GP,both,,,296,296,68.08,296,296,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,233.84,percent of total billed charges,233.84,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 ,233.84,percent of total billed charges ,233.84,percent of total billed charges ,251.6,percent of total billed charges ,251.6,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 ,,,,,,,,,,,,,,,,,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,
**STRAPPING FOR FINGER OR HAND,29280,CDM,,,GP,both,,,423,423,97.29,423,423,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,423,percent of total billed charges,423,percent of total billed charges,423,percent of total billed charges,304.56,percent of total billed charges,304.56,percent of total billed charges,304.56,percent of total billed charges,304.56,percent of total billed charges,304.56,percent of total billed charges,304.56,percent of total billed charges,334.17,percent of total billed charges,334.17,percent of total billed charges,338.4,percent of total billed charges,338.4,percent of total billed charges,,,304.56,percent of total billed charges ,,,338.4,percent of total billed charges ,334.17,percent of total billed charges ,334.17,percent of total billed charges ,359.55,percent of total billed charges ,359.55,percent of total billed charges ,338.4,percent of total billed charges ,338.4,percent of total billed charges ,296.1,percent of total billed charges ,296.1,percent of total billed charges ,253.8,percent of total billed charges ,253.8,percent of total billed charges ,253.8,percent of total billed charges ,253.8,percent of total billed charges ,,,,,225.04,percent of total billed charges ,,,,,213.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,
**STRAPPING FOR ELBOW OR WRIST,29260,CDM,,,GP,both,,,422,422,97.06,422,422,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,333.38,percent of total billed charges,333.38,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 ,333.38,percent of total billed charges ,333.38,percent of total billed charges ,358.7,percent of total billed charges ,358.7,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 ,,,,,,,,,,,,,,,,,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,
**THERAPEUTIC PROC (REC)/15 MIN,97110,CDM,,,GP,both,,,222,222,51.06,222,222,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,175.38,percent of total billed charges,175.38,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 ,175.38,percent of total billed charges ,175.38,percent of total billed charges ,188.7,percent of total billed charges ,188.7,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**THERAPEUTIC PROC/GROUP/REC,97150,CDM,,,GP,both,,,227,227,52.21,227,227,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,179.33,percent of total billed charges,179.33,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 ,179.33,percent of total billed charges ,179.33,percent of total billed charges ,192.95,percent of total billed charges ,192.95,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 ,,,,,,,,,,,,,,,,,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,
**ATHLETIC TRAINING EVAL,97005,CDM,,,GP,both,,,269,269,61.87,269,269,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,212.51,percent of total billed charges,212.51,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 ,212.51,percent of total billed charges ,212.51,percent of total billed charges ,228.65,percent of total billed charges ,228.65,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,61.87,percent of total billed charges,,,61.87,percent of total billed charges,,,61.87,percent of total billed charges,
**ATHLETIC TRAINING RE-EVAL,97006,CDM,,,GP,both,,,163,163,37.49,163,163,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,128.77,percent of total billed charges,128.77,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 ,128.77,percent of total billed charges ,128.77,percent of total billed charges ,138.55,percent of total billed charges ,138.55,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 ,,,,,,,,,,,,,,,,,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,,,37.49,percent of total billed charges,
**ATHLETIC TRAINING ULTRASOUND EA 15 MIN,97035,CDM,,,GP,both,,,112,112,25.76,112,112,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,88.48,percent of total billed charges,88.48,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 ,88.48,percent of total billed charges ,88.48,percent of total billed charges ,95.2,percent of total billed charges ,95.2,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 ,,,,,,,,,,,,,,,,,,,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,
**ATHLETIC TRAINING ELECTRIC STIMULATION,97014,CDM,,,GP,both,,,112,112,25.76,112,112,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,88.48,percent of total billed charges,88.48,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 ,88.48,percent of total billed charges ,88.48,percent of total billed charges ,95.2,percent of total billed charges ,95.2,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 ,,,,,,,,,,,,,,,,,,,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,
**ATHLETIC TRAINING THERP PROC 15 MIN,97110,CDM,,,GP,both,,,112,112,25.76,112,112,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,88.48,percent of total billed charges,88.48,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 ,88.48,percent of total billed charges ,88.48,percent of total billed charges ,95.2,percent of total billed charges ,95.2,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 ,,,,,,,,,,,,,,,,,,,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,
**ATHLETIC TRAINING MANUAL THERP 15 MIN,97140,CDM,,,GP,both,,,112,112,25.76,112,112,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,88.48,percent of total billed charges,88.48,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 ,88.48,percent of total billed charges ,88.48,percent of total billed charges ,95.2,percent of total billed charges ,95.2,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 ,,,,,,,,,,,,,,,,,,,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,
**ATHLETIC TRAINING ORTHOTIC TRAIN 15MIN,97760,CDM,,,GP,both,,,112,112,25.76,112,112,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,88.48,percent of total billed charges,88.48,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 ,88.48,percent of total billed charges ,88.48,percent of total billed charges ,95.2,percent of total billed charges ,95.2,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 ,,,,,,,,,,,,,,,,,,,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,
**ATHLETIC TRAINING NEUROMUSCULAR RE-ED,97112,CDM,,,GP,both,,,112,112,25.76,112,112,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,88.48,percent of total billed charges,88.48,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 ,88.48,percent of total billed charges ,88.48,percent of total billed charges ,95.2,percent of total billed charges ,95.2,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 ,,,,,,,,,,,,,,,,,,,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,
**ATHLETIC TRAINING GAIT TRAINING 15 MIN,97116,CDM,,,GP,both,,,112,112,25.76,112,112,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,88.48,percent of total billed charges,88.48,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 ,88.48,percent of total billed charges ,88.48,percent of total billed charges ,95.2,percent of total billed charges ,95.2,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 ,,,,,,,,,,,,,,,,,,,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,
**APP SHORT ARM SPL FOREARM/HAND DYNAMIC,29126,CDM,,,GP,both,,,560,560,128.8,560,560,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,442.4,percent of total billed charges,442.4,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 ,442.4,percent of total billed charges ,442.4,percent of total billed charges ,476,percent of total billed charges ,476,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 ,,,,,,,,,,,,,,,,,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,
**APP FINGER SPLINT STATIC,29130,CDM,,,GF,both,,,448,448,103.04,448,448,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,353.92,percent of total billed charges,353.92,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 ,353.92,percent of total billed charges ,353.92,percent of total billed charges ,380.8,percent of total billed charges ,380.8,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 ,,,,,,,,,,,,,,,,,,,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,
**APP FINGER SPLINT DYNAMIC,29131,CDM,,,GP,both,,,482,482,110.86,482,482,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,380.78,percent of total billed charges,380.78,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 ,380.78,percent of total billed charges ,380.78,percent of total billed charges ,409.7,percent of total billed charges ,409.7,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
PT WHEELCHAIR EVALUATION,97163,CDM,,,GP,both,,,682,682,156.86,682,682,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,538.78,percent of total billed charges,538.78,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 ,538.78,percent of total billed charges ,538.78,percent of total billed charges ,579.7,percent of total billed charges ,579.7,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 ,,,,,,,,,,,,,,,,,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,,,156.86,percent of total billed charges,
**NEUROPSYCH TESTING VIA TECH,96119,CDM,,,,both,,,649,649,149.27,649,649,percent of total billed charges,649,percent of total billed charges,649,percent of total billed charges,649,percent of total billed charges,649,percent of total billed charges,649,percent of total billed charges,649,percent of total billed charges,649,percent of total billed charges,467.28,percent of total billed charges,467.28,percent of total billed charges,467.28,percent of total billed charges,467.28,percent of total billed charges,467.28,percent of total billed charges,467.28,percent of total billed charges,512.71,percent of total billed charges,512.71,percent of total billed charges,519.2,percent of total billed charges,519.2,percent of total billed charges,,,467.28,percent of total billed charges ,,,519.2,percent of total billed charges ,512.71,percent of total billed charges ,512.71,percent of total billed charges ,551.65,percent of total billed charges ,551.65,percent of total billed charges ,519.2,percent of total billed charges ,519.2,percent of total billed charges ,454.3,percent of total billed charges ,454.3,percent of total billed charges ,389.4,percent of total billed charges ,389.4,percent of total billed charges ,389.4,percent of total billed charges ,389.4,percent of total billed charges ,,,,,345.27,percent of total billed charges ,,,,,328,percent of total billed charges ,,,,,,,,,,,,,,,,,,,149.27,percent of total billed charges,,,149.27,percent of total billed charges,,,149.27,percent of total billed charges,,,149.27,percent of total billed charges,,,149.27,percent of total billed charges,,,149.27,percent of total billed charges,,,149.27,percent of total billed charges,,,149.27,percent of total billed charges,,,149.27,percent of total billed charges,,,149.27,percent of total billed charges,,,149.27,percent of total billed charges,
**NEUROPSYCH TESTING VIA COMPUTER,96120,CDM,,,,both,,,326,326,74.98,326,326,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,257.54,percent of total billed charges,257.54,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 ,257.54,percent of total billed charges ,257.54,percent of total billed charges ,277.1,percent of total billed charges ,277.1,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 ,,,,,,,,,,,,,,,,,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,
**PT MOBILITY (CURRENT) CH,G8978,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**PT MOBILITY (CURRENT) CI,G8978,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**PT MOBILITY (CURRENT) CJ,G8978,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**PT MOBILITY (CURRENT) CK,G8978,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**PT MOBILITY (CURRENT) CL,G8978,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**PT MOBILITY (CURRENT) CM,G8978,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**PT MOBILITY (CURRENT) CN,G8978,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**PT MOBILITY (GOAL) CH,G8979,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**PT MOBILITY (GOAL) CI,G8979,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**PT MOBILITY (GOAL) CJ,G8979,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**PT MOBILITY (GOAL) CK,G8979,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**PT MOBILITY (GOAL) CL,G8979,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**PT MOBILITY (GOAL) CM,G8979,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**PT MOBILITY (GOAL) CN,G8979,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**PT MOBILITY (DC) CH,G8980,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**PT MOBILITY (DC) CI,G8980,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**PT MOBILITY (DC) CJ,G8980,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**PT MOBILITY (DC) CK,G8980,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**PT MOBILITY (DC) CL,G8980,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
*PT MOBILITY (DC) CM,G8980,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
*PT MOBILITY (DC) CN,G8980,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**PT CHANGING BODY POSTION (CURRENT) CH,G8981,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**PT CHANGING BODY POSTION (CURRENT) CI,G8981,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**PT CHANGING BODY POSTION (CURRENT) CJ,G8981,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**PT CHANGING BODY POSTION (CURRENT) CK,G8981,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**PT CHANGING BODY POSTION (CURRENT) CL,G8981,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**PT CHANGING BODY POSTION (CURRENT) CM,G8981,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**PT CHANGING BODY POSTION (CURRENT) CN,G8981,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**PT CHANGING BODY POSTION (GOAL) CH,G8982,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**PT CHANGING BODY POSTION (GOAL) CI,G8982,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**PT CHANGING BODY POSTION (GOAL) CJ,G8982,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**PT CHANGING BODY POSTION (GOAL) CK,G8982,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**PT CHANGING BODY POSTION (GOAL) CL,G8982,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**PT CHANGING BODY POSTION (GOAL) CM,G8982,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**PT CHANGING BODY POSTION (GOAL) CN,G8982,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**PT CHANGING BODY POSTION (DC) CH,G8983,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**PT CHANGING BODY POSTION (DC) CI,G8983,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**PT CHANGING BODY POSTION (DC) CJ,G8983,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**PT CHANGING BODY POSTION (DC) CK,G8983,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**PT CHANGING BODY POSTION (DC) CL,G8983,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**PT CHANGING BODY POSTION (DC) CM,G8983,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**PT CHANGING BODY POSTION (DC) CN,G8983,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
"**CARRYING, MOVING OBJECTS (CURRENT) CH",G8984,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
"**CARRYING, MOVING OBJECTS (CURRENT) CI",G8984,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
"**CARRYING, MOVING OBJECTS (CURRENT) CJ",G8984,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
"**CARRYING, MOVING OBJECTS (CURRENT) CK",G8984,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
"**CARRYING, MOVING OBJECTS (CURRENT) CL",G8984,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
"**CARRYING, MOVING OBJECTS (CURRENT) CM",G8984,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
"**CARRYING, MOVING OBJECTS (CURRENT) CN",G8984,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
"**CARRYING, MOVING OBJECTS (GOAL) CH",G8985,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
"**CARRYING, MOVING OBJECTS (GOAL) CI",G8985,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
"**CARRYING, MOVING OBJECTS (GOAL) CJ",G8985,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
"**CARRYING, MOVING OBJECTS (GOAL) CK",G8985,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
"**CARRYING, MOVING OBJECTS (GOAL) CL",G8985,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
"**CARRYING, MOVING OBJECTS (GOAL) CM",G8985,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
"**CARRYING, MOVING OBJECTS (GOAL) CN",G8985,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
"**CARRYING, MOVING OBJECTS (DC) CH",G8986,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
"**CARRYING, MOVING OBJECTS (DC) CI",G8986,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
"**CARRYING, MOVING OBJECTS (DC) CJ",G8986,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
"**CARRYING, MOVING OBJECTS (DC) CK",G8986,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
"**CARRYING, MOVING OBJECTS (DC) CL",G8986,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
"**CARRYING, MOVING OBJECTS (DC) CM",G8986,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
"**CARRYING, MOVING OBJECTS (DC) CN",G8986,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**SELF CARE (CURRENT) CH,G8987,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**SELF CARE (CURRENT) CI,G8987,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**SELF CARE (CURRENT) CJ,G8987,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**SELF CARE (CURRENT) CK,G8987,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**SELF CARE (CURRENT) CL,G8987,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**SELF CARE (CURRENT) CM,G8987,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SELF CARE (CURRENT) CN,G8987,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SELF CARE (GOAL) CH,G8988,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SELF CARE (GOAL) CI,G8988,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SELF CARE (GOAL) CJ,G8988,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**SELF CARE (GOAL) CK,G8988,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SELF CARE (GOAL) CL,G8988,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SELF CARE (GOAL) CM,G8988,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SELF CARE (GOAL) CN,G8988,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SELF CARE (DC) CH,G8989,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SELF CARE (DC) CI,G8989,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SELF CARE (DC) CJ,G8989,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SELF CARE (DC) CK,G8989,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SELF CARE (DC) CL,G8989,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SELF CARE (DC) CM,G8989,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SELF CARE (DC) CN,G8989,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**OTHER PT PRIMARY FUNC LIMIT (CURRENT),G8990,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER PT PRIMARY FUNC LIMIT (CURRENT),G8990,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER PT PRIMARY FUNC LIMIT (CURRENT),G8990,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER PT PRIMARY FUNC LIMIT (CURRENT),G8990,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER PT PRIMARY FUNC LIMIT (CURRENT),G8990,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER PT PRIMARY FUNC LIMIT (CURRENT),G8990,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER PT PRIMARY FUNC LIMIT (CURRENT),G8990,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER PT PRIMARY FUNC LIMIT (GOAL),G8991,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER PT PRIMARY FUNC LIMIT (GOAL),G8991,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER PT PRIMARY FUNC LIMIT (GOAL),G8991,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER PT PRIMARY FUNC LIMIT (GOAL),G8991,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER PT PRIMARY FUNC LIMIT (GOAL),G8991,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER PT PRIMARY FUNC LIMIT (GOAL) CM,G8991,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER PT PRIMARY FUNC LIMIT (GOAL),G8991,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER PT PRIMARY FUNC LIMIT (DC),G8992,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER PT PRIMARY FUNC LIMIT (DC),G8992,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER PT PRIMARY FUNC LIMIT (DC),G8992,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER PT PRIMARY FUNC LIMIT (DC),G8992,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER PT PRIMARY FUNC LIMIT (DC),G8992,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER PT PRIMARY FUNC LIMIT (DC),G8992,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER PT PRIMARY FUNC LIMIT (DC),G8992,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER PT SUBSEQ FUNC LIMIT (CURRENT),G8993,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER PT SUBSEQ FUNC LIMIT (CURRENT),G8993,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER PT SUBSEQ FUNC LIMIT (CURRENT),G8993,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER PT SUBSEQ FUNC LIMIT (CURRENT),G8993,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER PT SUBSEQ FUNC LIMIT (CURRENT),G8993,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER PT SUBSEQ FUNC LIMIT (CURRENT),G8993,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER PT SUBSEQ FUNC LIMIT (CURRENT),G8993,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER PT SUBSEQ FUNC LIMIT (GOAL),G8994,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER PT SUBSEQ FUNC LIMIT (GOAL),G8994,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER PT SUBSEQ FUNC LIMIT (GOAL),G8994,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER PT SUBSEQ FUNC LIMIT (GOAL),G8994,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER PT SUBSEQ FUNC LIMIT (GOAL),G8994,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER PT SUBSEQ FUNC LIMIT (GOAL),G8994,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER PT SUBSEQ FUNC LIMIT (GOAL),G8994,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER PT SUBSEQ FUNC LIMIT (DC),G8995,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER PT SUBSEQ FUNC LIMIT (DC),G8995,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER PT SUBSEQ FUNC LIMIT (DC),G8995,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER PT SUBSEQ FUNC LIMIT (DC),G8995,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER PT SUBSEQ FUNC LIMIT (DC),G8995,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER PT SUBSEQ FUNC LIMIT (DC),G8995,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER PT SUBSEQ FUNC LIMIT (DC),G8995,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**PT SNaP NEG PRESSURE <=50 SQ CM,97607,CDM,,,GP,both,,,697,697,160.31,697,697,percent of total billed charges,697,percent of total billed charges,697,percent of total billed charges,697,percent of total billed charges,697,percent of total billed charges,697,percent of total billed charges,697,percent of total billed charges,697,percent of total billed charges,501.84,percent of total billed charges,501.84,percent of total billed charges,501.84,percent of total billed charges,501.84,percent of total billed charges,501.84,percent of total billed charges,501.84,percent of total billed charges,550.63,percent of total billed charges,550.63,percent of total billed charges,557.6,percent of total billed charges,557.6,percent of total billed charges,,,501.84,percent of total billed charges ,,,557.6,percent of total billed charges ,550.63,percent of total billed charges ,550.63,percent of total billed charges ,592.45,percent of total billed charges ,592.45,percent of total billed charges ,557.6,percent of total billed charges ,557.6,percent of total billed charges ,487.9,percent of total billed charges ,487.9,percent of total billed charges ,418.2,percent of total billed charges ,418.2,percent of total billed charges ,418.2,percent of total billed charges ,418.2,percent of total billed charges ,,,,,370.8,percent of total billed charges ,,,,,352.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,
**PT SNaP NEG PRESSURE  >50 SQ CM,97608,CDM,,,GP,both,,,973,973,223.79,973,973,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,768.67,percent of total billed charges,768.67,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 ,768.67,percent of total billed charges ,768.67,percent of total billed charges ,827.05,percent of total billed charges ,827.05,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 ,,,,,,,,,,,,,,,,,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,
**THERAPEUTIC PROCEDURE/2 UNITS,97110,CDM,,,GP,both,,,184,184,42.32,184,184,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,145.36,percent of total billed charges,145.36,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 ,145.36,percent of total billed charges ,145.36,percent of total billed charges ,156.4,percent of total billed charges ,156.4,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 ,,,,,,,,,,,,,,,,,,,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,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,
**THERAPEUTIC PROCEDURE/3 UNITS,97110,CDM,,,GP,both,,,649,649,149.27,649,649,percent of total billed charges,649,percent of total billed charges,649,percent of total billed charges,649,percent of total billed charges,649,percent of total billed charges,649,percent of total billed charges,649,percent of total billed charges,649,percent of total billed charges,467.28,percent of total billed charges,467.28,percent of total billed charges,467.28,percent of total billed charges,467.28,percent of total billed charges,467.28,percent of total billed charges,467.28,percent of total billed charges,512.71,percent of total billed charges,512.71,percent of total billed charges,519.2,percent of total billed charges,519.2,percent of total billed charges,,,467.28,percent of total billed charges ,,,519.2,percent of total billed charges ,512.71,percent of total billed charges ,512.71,percent of total billed charges ,551.65,percent of total billed charges ,551.65,percent of total billed charges ,519.2,percent of total billed charges ,519.2,percent of total billed charges ,454.3,percent of total billed charges ,454.3,percent of total billed charges ,389.4,percent of total billed charges ,389.4,percent of total billed charges ,389.4,percent of total billed charges ,389.4,percent of total billed charges ,,,,,345.27,percent of total billed charges ,,,,,328,percent of total billed charges ,,,,,,,,,,,,,,,,,,,149.27,percent of total billed charges,,,149.27,percent of total billed charges,,,149.27,percent of total billed charges,,,149.27,percent of total billed charges,,,149.27,percent of total billed charges,,,149.27,percent of total billed charges,,,149.27,percent of total billed charges,,,149.27,percent of total billed charges,,,149.27,percent of total billed charges,,,149.27,percent of total billed charges,,,149.27,percent of total billed charges,
**THERAPEUTIC PROCEDURE/4 UNITS,97110,CDM,,,GP,both,,,184,184,42.32,184,184,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,145.36,percent of total billed charges,145.36,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 ,145.36,percent of total billed charges ,145.36,percent of total billed charges ,156.4,percent of total billed charges ,156.4,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 ,,,,,,,,,,,,,,,,,,,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,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,
**THERAPEUTIC ACTIVITY EA/ 2 UNITS,97530,CDM,,,GP,both,,,455,455,104.65,455,455,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,359.45,percent of total billed charges,359.45,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 ,359.45,percent of total billed charges ,359.45,percent of total billed charges ,386.75,percent of total billed charges ,386.75,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 ,,,,,,,,,,,,,,,,,,,104.65,percent of total billed charges,,,104.65,percent of total billed charges,,,104.65,percent of total billed charges,,,104.65,percent of total billed charges,,,104.65,percent of total billed charges,,,104.65,percent of total billed charges,,,104.65,percent of total billed charges,,,104.65,percent of total billed charges,,,104.65,percent of total billed charges,,,104.65,percent of total billed charges,,,104.65,percent of total billed charges,
**THERAPEUTIC ACTIVITY EA/ 3 UNITS,97530,CDM,,,GP,both,,,681,681,156.63,681,681,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,537.99,percent of total billed charges,537.99,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 ,537.99,percent of total billed charges ,537.99,percent of total billed charges ,578.85,percent of total billed charges ,578.85,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 ,,,,,,,,,,,,,,,,,,,156.63,percent of total billed charges,,,156.63,percent of total billed charges,,,156.63,percent of total billed charges,,,156.63,percent of total billed charges,,,156.63,percent of total billed charges,,,156.63,percent of total billed charges,,,156.63,percent of total billed charges,,,156.63,percent of total billed charges,,,156.63,percent of total billed charges,,,156.63,percent of total billed charges,,,156.63,percent of total billed charges,
**THERAPEUTIC ACTIVITY EA/ 4 UNITS,97530,CDM,,,GP,both,,,905,905,208.15,905,905,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,714.95,percent of total billed charges,714.95,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 ,714.95,percent of total billed charges ,714.95,percent of total billed charges ,769.25,percent of total billed charges ,769.25,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 ,,,,,,,,,,,,,,,,,,,208.15,percent of total billed charges,,,208.15,percent of total billed charges,,,208.15,percent of total billed charges,,,208.15,percent of total billed charges,,,208.15,percent of total billed charges,,,208.15,percent of total billed charges,,,208.15,percent of total billed charges,,,208.15,percent of total billed charges,,,208.15,percent of total billed charges,,,208.15,percent of total billed charges,,,208.15,percent of total billed charges,
**NEUROMUSCULAR RE-ED /2 UNITS,97112,CDM,,,GP,both,,,434,434,99.82,434,434,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,342.86,percent of total billed charges,342.86,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 ,342.86,percent of total billed charges ,342.86,percent of total billed charges ,368.9,percent of total billed charges ,368.9,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 ,,,,,,,,,,,,,,,,,,,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,,,99.82,percent of total billed charges,,,99.82,percent of total billed charges,,,99.82,percent of total billed charges,
**NEUROMUSCULAR RE-ED /3 UNITS,97112,CDM,,,GP,both,,,645,645,148.35,645,645,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,509.55,percent of total billed charges,509.55,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 ,509.55,percent of total billed charges ,509.55,percent of total billed charges ,548.25,percent of total billed charges ,548.25,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 ,,,,,,,,,,,,,,,,,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,
**NEUROMUSCULAR RE-ED /4 UNITS,97112,CDM,,,GP,both,,,859,859,197.57,859,859,percent of total billed charges,859,percent of total billed charges,859,percent of total billed charges,859,percent of total billed charges,859,percent of total billed charges,859,percent of total billed charges,859,percent of total billed charges,859,percent of total billed charges,618.48,percent of total billed charges,618.48,percent of total billed charges,618.48,percent of total billed charges,618.48,percent of total billed charges,618.48,percent of total billed charges,618.48,percent of total billed charges,678.61,percent of total billed charges,678.61,percent of total billed charges,687.2,percent of total billed charges,687.2,percent of total billed charges,,,618.48,percent of total billed charges ,,,687.2,percent of total billed charges ,678.61,percent of total billed charges ,678.61,percent of total billed charges ,730.15,percent of total billed charges ,730.15,percent of total billed charges ,687.2,percent of total billed charges ,687.2,percent of total billed charges ,601.3,percent of total billed charges ,601.3,percent of total billed charges ,515.4,percent of total billed charges ,515.4,percent of total billed charges ,515.4,percent of total billed charges ,515.4,percent of total billed charges ,,,,,456.99,percent of total billed charges ,,,,,434.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,197.57,percent of total billed charges,,,197.57,percent of total billed charges,,,197.57,percent of total billed charges,,,197.57,percent of total billed charges,,,197.57,percent of total billed charges,,,197.57,percent of total billed charges,,,197.57,percent of total billed charges,,,197.57,percent of total billed charges,,,197.57,percent of total billed charges,,,197.57,percent of total billed charges,,,197.57,percent of total billed charges,
**GAIT TRAINING / 2 UNITS,97116,CDM,,,GP,both,,,411,411,94.53,411,411,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,324.69,percent of total billed charges,324.69,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 ,324.69,percent of total billed charges ,324.69,percent of total billed charges ,349.35,percent of total billed charges ,349.35,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 ,,,,,,,,,,,,,,,,,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,,,94.53,percent of total billed charges,
**GAIT TRAINING / 3 UNITS,97116,CDM,,,GP,both,,,610,610,140.3,610,610,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,481.9,percent of total billed charges,481.9,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 ,481.9,percent of total billed charges ,481.9,percent of total billed charges ,518.5,percent of total billed charges ,518.5,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 ,,,,,,,,,,,,,,,,,,,140.3,percent of total billed charges,,,140.3,percent of total billed charges,,,140.3,percent of total billed charges,,,140.3,percent of total billed charges,,,140.3,percent of total billed charges,,,140.3,percent of total billed charges,,,140.3,percent of total billed charges,,,140.3,percent of total billed charges,,,140.3,percent of total billed charges,,,140.3,percent of total billed charges,,,140.3,percent of total billed charges,
**GAIT TRAINING / 4 UNITS,97116,CDM,,,GP,both,,,811,811,186.53,811,811,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,640.69,percent of total billed charges,640.69,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 ,640.69,percent of total billed charges ,640.69,percent of total billed charges ,689.35,percent of total billed charges ,689.35,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 ,,,,,,,,,,,,,,,,,,,186.53,percent of total billed charges,,,186.53,percent of total billed charges,,,186.53,percent of total billed charges,,,186.53,percent of total billed charges,,,186.53,percent of total billed charges,,,186.53,percent of total billed charges,,,186.53,percent of total billed charges,,,186.53,percent of total billed charges,,,186.53,percent of total billed charges,,,186.53,percent of total billed charges,,,186.53,percent of total billed charges,
**MANUAL THERAPY /2 UNITS,97140,CDM,,,GP,both,,,183,183,42.09,183,183,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,144.57,percent of total billed charges,144.57,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 ,144.57,percent of total billed charges ,144.57,percent of total billed charges ,155.55,percent of total billed charges ,155.55,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 ,,,,,,,,,,,,,,,,,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,
**MANUAL THERAPY /3 UNITS,97140,CDM,,,GP,both,,,671,671,154.33,671,671,percent of total billed charges,671,percent of total billed charges,671,percent of total billed charges,671,percent of total billed charges,671,percent of total billed charges,671,percent of total billed charges,671,percent of total billed charges,671,percent of total billed charges,483.12,percent of total billed charges,483.12,percent of total billed charges,483.12,percent of total billed charges,483.12,percent of total billed charges,483.12,percent of total billed charges,483.12,percent of total billed charges,530.09,percent of total billed charges,530.09,percent of total billed charges,536.8,percent of total billed charges,536.8,percent of total billed charges,,,483.12,percent of total billed charges ,,,536.8,percent of total billed charges ,530.09,percent of total billed charges ,530.09,percent of total billed charges ,570.35,percent of total billed charges ,570.35,percent of total billed charges ,536.8,percent of total billed charges ,536.8,percent of total billed charges ,469.7,percent of total billed charges ,469.7,percent of total billed charges ,402.6,percent of total billed charges ,402.6,percent of total billed charges ,402.6,percent of total billed charges ,402.6,percent of total billed charges ,,,,,356.97,percent of total billed charges ,,,,,339.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,
**MANUAL THERAPY /4 UNITS,97140,CDM,,,GP,both,,,897,897,206.31,897,897,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,708.63,percent of total billed charges,708.63,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 ,708.63,percent of total billed charges ,708.63,percent of total billed charges ,762.45,percent of total billed charges ,762.45,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 ,,,,,,,,,,,,,,,,,,,206.31,percent of total billed charges,,,206.31,percent of total billed charges,,,206.31,percent of total billed charges,,,206.31,percent of total billed charges,,,206.31,percent of total billed charges,,,206.31,percent of total billed charges,,,206.31,percent of total billed charges,,,206.31,percent of total billed charges,,,206.31,percent of total billed charges,,,206.31,percent of total billed charges,,,206.31,percent of total billed charges,
**PT ADL EDUCATION/ 2 UNITS,97535,CDM,,,GP,both,,,414,414,95.22,414,414,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,327.06,percent of total billed charges,327.06,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 ,327.06,percent of total billed charges ,327.06,percent of total billed charges ,351.9,percent of total billed charges ,351.9,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 ,,,,,,,,,,,,,,,,,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,
**PT ADL EDUCATION/ 3 UNITS,97535,CDM,,,GP,both,,,617,617,141.91,617,617,percent of total billed charges,617,percent of total billed charges,617,percent of total billed charges,617,percent of total billed charges,617,percent of total billed charges,617,percent of total billed charges,617,percent of total billed charges,617,percent of total billed charges,444.24,percent of total billed charges,444.24,percent of total billed charges,444.24,percent of total billed charges,444.24,percent of total billed charges,444.24,percent of total billed charges,444.24,percent of total billed charges,487.43,percent of total billed charges,487.43,percent of total billed charges,493.6,percent of total billed charges,493.6,percent of total billed charges,,,444.24,percent of total billed charges ,,,493.6,percent of total billed charges ,487.43,percent of total billed charges ,487.43,percent of total billed charges ,524.45,percent of total billed charges ,524.45,percent of total billed charges ,493.6,percent of total billed charges ,493.6,percent of total billed charges ,431.9,percent of total billed charges ,431.9,percent of total billed charges ,370.2,percent of total billed charges ,370.2,percent of total billed charges ,370.2,percent of total billed charges ,370.2,percent of total billed charges ,,,,,328.24,percent of total billed charges ,,,,,311.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,
**PT ADL EDUCATION/ 4 UNITS,97535,CDM,,,GP,both,,,820,820,188.6,820,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,647.8,percent of total billed charges,647.8,percent of total billed charges,656,percent of total billed charges,656,percent of total billed charges,,,590.4,percent of total billed charges ,,,656,percent of total billed charges ,647.8,percent of total billed charges ,647.8,percent of total billed charges ,697,percent of total billed charges ,697,percent of total billed charges ,656,percent of total billed charges ,656,percent of total billed charges ,574,percent of total billed charges ,574,percent of total billed charges ,492,percent of total billed charges ,492,percent of total billed charges ,492,percent of total billed charges ,492,percent of total billed charges ,,,,,436.24,percent of total billed charges ,,,,,414.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,
**ESTIM-ATTENDED / 2 UNITS,97032,CDM,,,GP,both,,,414,414,95.22,414,414,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,327.06,percent of total billed charges,327.06,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 ,327.06,percent of total billed charges ,327.06,percent of total billed charges ,351.9,percent of total billed charges ,351.9,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 ,,,,,,,,,,,,,,,,,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,
**ESTIM-ATTENDED / 3UNITS,97032,CDM,,,GP,both,,,617,617,141.91,617,617,percent of total billed charges,617,percent of total billed charges,617,percent of total billed charges,617,percent of total billed charges,617,percent of total billed charges,617,percent of total billed charges,617,percent of total billed charges,617,percent of total billed charges,444.24,percent of total billed charges,444.24,percent of total billed charges,444.24,percent of total billed charges,444.24,percent of total billed charges,444.24,percent of total billed charges,444.24,percent of total billed charges,487.43,percent of total billed charges,487.43,percent of total billed charges,493.6,percent of total billed charges,493.6,percent of total billed charges,,,444.24,percent of total billed charges ,,,493.6,percent of total billed charges ,487.43,percent of total billed charges ,487.43,percent of total billed charges ,524.45,percent of total billed charges ,524.45,percent of total billed charges ,493.6,percent of total billed charges ,493.6,percent of total billed charges ,431.9,percent of total billed charges ,431.9,percent of total billed charges ,370.2,percent of total billed charges ,370.2,percent of total billed charges ,370.2,percent of total billed charges ,370.2,percent of total billed charges ,,,,,328.24,percent of total billed charges ,,,,,311.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,
**ESTIM-ATTENDED / 4 UNITS,97032,CDM,,,GP,both,,,820,820,188.6,820,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,647.8,percent of total billed charges,647.8,percent of total billed charges,656,percent of total billed charges,656,percent of total billed charges,,,590.4,percent of total billed charges ,,,656,percent of total billed charges ,647.8,percent of total billed charges ,647.8,percent of total billed charges ,697,percent of total billed charges ,697,percent of total billed charges ,656,percent of total billed charges ,656,percent of total billed charges ,574,percent of total billed charges ,574,percent of total billed charges ,492,percent of total billed charges ,492,percent of total billed charges ,492,percent of total billed charges ,492,percent of total billed charges ,,,,,436.24,percent of total billed charges ,,,,,414.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,
**ESTIM-UNATTENDED / 2 UNITS,97014,CDM,,,GP,both,,,402,402,92.46,402,402,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,317.58,percent of total billed charges,317.58,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 ,317.58,percent of total billed charges ,317.58,percent of total billed charges ,341.7,percent of total billed charges ,341.7,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 ,,,,,,,,,,,,,,,,,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,
**ESTIM-UNATTENDED / 3 UNITS,97014,CDM,,,GP,both,,,599,599,137.77,599,599,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,473.21,percent of total billed charges,473.21,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 ,473.21,percent of total billed charges ,473.21,percent of total billed charges ,509.15,percent of total billed charges ,509.15,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,137.77,percent of total billed charges,,,137.77,percent of total billed charges,,,137.77,percent of total billed charges,
**ESTIM-UNATTENDED / 4 UNITS,97014,CDM,,,GP,both,,,797,797,183.31,797,797,percent of total billed charges,797,percent of total billed charges,797,percent of total billed charges,797,percent of total billed charges,797,percent of total billed charges,797,percent of total billed charges,797,percent of total billed charges,797,percent of total billed charges,573.84,percent of total billed charges,573.84,percent of total billed charges,573.84,percent of total billed charges,573.84,percent of total billed charges,573.84,percent of total billed charges,573.84,percent of total billed charges,629.63,percent of total billed charges,629.63,percent of total billed charges,637.6,percent of total billed charges,637.6,percent of total billed charges,,,573.84,percent of total billed charges ,,,637.6,percent of total billed charges ,629.63,percent of total billed charges ,629.63,percent of total billed charges ,677.45,percent of total billed charges ,677.45,percent of total billed charges ,637.6,percent of total billed charges ,637.6,percent of total billed charges ,557.9,percent of total billed charges ,557.9,percent of total billed charges ,478.2,percent of total billed charges ,478.2,percent of total billed charges ,478.2,percent of total billed charges ,478.2,percent of total billed charges ,,,,,424,percent of total billed charges ,,,,,402.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,183.31,percent of total billed charges,,,183.31,percent of total billed charges,,,183.31,percent of total billed charges,,,183.31,percent of total billed charges,,,183.31,percent of total billed charges,,,183.31,percent of total billed charges,,,183.31,percent of total billed charges,,,183.31,percent of total billed charges,,,183.31,percent of total billed charges,,,183.31,percent of total billed charges,,,183.31,percent of total billed charges,
**ULTRASOUND EA / 2UNITS,97035,CDM,,,GP,both,,,382,382,87.86,382,382,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,301.78,percent of total billed charges,301.78,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 ,301.78,percent of total billed charges ,301.78,percent of total billed charges ,324.7,percent of total billed charges ,324.7,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 ,,,,,,,,,,,,,,,,,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,
**ULTRASOUND EA / 3 UNITS,97035,CDM,,,GP,both,,,565,565,129.95,565,565,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,446.35,percent of total billed charges,446.35,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 ,446.35,percent of total billed charges ,446.35,percent of total billed charges ,480.25,percent of total billed charges ,480.25,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 ,,,,,,,,,,,,,,,,,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,
**ULTRASOUND EA / 4 UNITS,97035,CDM,,,GP,both,,,749,749,172.27,749,749,percent of total billed charges,749,percent of total billed charges,749,percent of total billed charges,749,percent of total billed charges,749,percent of total billed charges,749,percent of total billed charges,749,percent of total billed charges,749,percent of total billed charges,539.28,percent of total billed charges,539.28,percent of total billed charges,539.28,percent of total billed charges,539.28,percent of total billed charges,539.28,percent of total billed charges,539.28,percent of total billed charges,591.71,percent of total billed charges,591.71,percent of total billed charges,599.2,percent of total billed charges,599.2,percent of total billed charges,,,539.28,percent of total billed charges ,,,599.2,percent of total billed charges ,591.71,percent of total billed charges ,591.71,percent of total billed charges ,636.65,percent of total billed charges ,636.65,percent of total billed charges ,599.2,percent of total billed charges ,599.2,percent of total billed charges ,524.3,percent of total billed charges ,524.3,percent of total billed charges ,449.4,percent of total billed charges ,449.4,percent of total billed charges ,449.4,percent of total billed charges ,449.4,percent of total billed charges ,,,,,398.47,percent of total billed charges ,,,,,378.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,172.27,percent of total billed charges,,,172.27,percent of total billed charges,,,172.27,percent of total billed charges,,,172.27,percent of total billed charges,,,172.27,percent of total billed charges,,,172.27,percent of total billed charges,,,172.27,percent of total billed charges,,,172.27,percent of total billed charges,,,172.27,percent of total billed charges,,,172.27,percent of total billed charges,,,172.27,percent of total billed charges,
**DEBRIDEMENT/NONSELECTIVE/ 2 UNITS,97602,CDM,,,GP,both,,,560,560,128.8,560,560,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,442.4,percent of total billed charges,442.4,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 ,442.4,percent of total billed charges ,442.4,percent of total billed charges ,476,percent of total billed charges ,476,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 ,,,,,,,,,,,,,,,,,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,,,128.8,percent of total billed charges,
**DEBRIDEMENT/NONSELECTIVE/ 3 UNITS,97602,CDM,,,GP,both,,,832,832,191.36,832,832,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,657.28,percent of total billed charges,657.28,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 ,657.28,percent of total billed charges ,657.28,percent of total billed charges ,707.2,percent of total billed charges ,707.2,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 ,,,,,,,,,,,,,,,,,,,191.36,percent of total billed charges,,,191.36,percent of total billed charges,,,191.36,percent of total billed charges,,,191.36,percent of total billed charges,,,191.36,percent of total billed charges,,,191.36,percent of total billed charges,,,191.36,percent of total billed charges,,,191.36,percent of total billed charges,,,191.36,percent of total billed charges,,,191.36,percent of total billed charges,,,191.36,percent of total billed charges,
**DEBRIDEMENT/NONSELECTIVE/ 4 UNITS,97602,CDM,,,GP,both,,,"1,108.00","1,108.00",254.84,"1,108.00","1,108.00",percent of total billed charges,"1,108.00",percent of total billed charges,"1,108.00",percent of total billed charges,"1,108.00",percent of total billed charges,"1,108.00",percent of total billed charges,"1,108.00",percent of total billed charges,"1,108.00",percent of total billed charges,"1,108.00",percent of total billed charges,797.76,percent of total billed charges,797.76,percent of total billed charges,797.76,percent of total billed charges,797.76,percent of total billed charges,797.76,percent of total billed charges,797.76,percent of total billed charges,875.32,percent of total billed charges,875.32,percent of total billed charges,886.4,percent of total billed charges,886.4,percent of total billed charges,,,797.76,percent of total billed charges ,,,886.4,percent of total billed charges ,875.32,percent of total billed charges ,875.32,percent of total billed charges ,941.8,percent of total billed charges ,941.8,percent of total billed charges ,886.4,percent of total billed charges ,886.4,percent of total billed charges ,775.6,percent of total billed charges ,775.6,percent of total billed charges ,664.8,percent of total billed charges ,664.8,percent of total billed charges ,664.8,percent of total billed charges ,664.8,percent of total billed charges ,,,,,589.46,percent of total billed charges ,,,,,559.98,percent of total billed charges ,,,,,,,,,,,,,,,,,,,254.84,percent of total billed charges,,,254.84,percent of total billed charges,,,254.84,percent of total billed charges,,,254.84,percent of total billed charges,,,254.84,percent of total billed charges,,,254.84,percent of total billed charges,,,254.84,percent of total billed charges,,,254.84,percent of total billed charges,,,254.84,percent of total billed charges,,,254.84,percent of total billed charges,,,254.84,percent of total billed charges,
**SELECTIVE DEBRIDEMENT <20CM/ 2 UNITS,97597,CDM,,,GP,both,,,"1,385.00","1,385.00",318.55,"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,"1,094.15",percent of total billed charges,"1,094.15",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 ,"1,094.15",percent of total billed charges ,"1,094.15",percent of total billed charges ,"1,177.25",percent of total billed charges ,"1,177.25",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 ,,,,,,,,,,,,,,,,,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,
**SELECTIVE DEBRIDEMENT <20CM/ 3 UNITS,97597,CDM,,,GP,both,,,"2,073.00","2,073.00",476.79,"2,073.00","2,073.00",percent of total billed charges,"2,073.00",percent of total billed charges,"2,073.00",percent of total billed charges,"2,073.00",percent of total billed charges,"2,073.00",percent of total billed charges,"2,073.00",percent of total billed charges,"2,073.00",percent of total billed charges,"2,073.00",percent of total billed charges,"1,492.56",percent of total billed charges,"1,492.56",percent of total billed charges,"1,492.56",percent of total billed charges,"1,492.56",percent of total billed charges,"1,492.56",percent of total billed charges,"1,492.56",percent of total billed charges,"1,637.67",percent of total billed charges,"1,637.67",percent of total billed charges,"1,658.40",percent of total billed charges,"1,658.40",percent of total billed charges,,,"1,492.56",percent of total billed charges ,,,"1,658.40",percent of total billed charges ,"1,637.67",percent of total billed charges ,"1,637.67",percent of total billed charges ,"1,762.05",percent of total billed charges ,"1,762.05",percent of total billed charges ,"1,658.40",percent of total billed charges ,"1,658.40",percent of total billed charges ,"1,451.10",percent of total billed charges ,"1,451.10",percent of total billed charges ,"1,243.80",percent of total billed charges ,"1,243.80",percent of total billed charges ,"1,243.80",percent of total billed charges ,"1,243.80",percent of total billed charges ,,,,,"1,102.84",percent of total billed charges ,,,,,"1,047.69",percent of total billed charges ,,,,,,,,,,,,,,,,,,,476.79,percent of total billed charges,,,476.79,percent of total billed charges,,,476.79,percent of total billed charges,,,476.79,percent of total billed charges,,,476.79,percent of total billed charges,,,476.79,percent of total billed charges,,,476.79,percent of total billed charges,,,476.79,percent of total billed charges,,,476.79,percent of total billed charges,,,476.79,percent of total billed charges,,,476.79,percent of total billed charges,
**SELECTIVE DEBRIDEMENT <20CM/ 4 UN,97597,CDM,,,GP,both,,,"2,761.00","2,761.00",635.03,"2,761.00","2,761.00",percent of total billed charges,"2,761.00",percent of total billed charges,"2,761.00",percent of total billed charges,"2,761.00",percent of total billed charges,"2,761.00",percent of total billed charges,"2,761.00",percent of total billed charges,"2,761.00",percent of total billed charges,"2,761.00",percent of total billed charges,"1,987.92",percent of total billed charges,"1,987.92",percent of total billed charges,"1,987.92",percent of total billed charges,"1,987.92",percent of total billed charges,"1,987.92",percent of total billed charges,"1,987.92",percent of total billed charges,"2,181.19",percent of total billed charges,"2,181.19",percent of total billed charges,"2,208.80",percent of total billed charges,"2,208.80",percent of total billed charges,,,"1,987.92",percent of total billed charges ,,,"2,208.80",percent of total billed charges ,"2,181.19",percent of total billed charges ,"2,181.19",percent of total billed charges ,"2,346.85",percent of total billed charges ,"2,346.85",percent of total billed charges ,"2,208.80",percent of total billed charges ,"2,208.80",percent of total billed charges ,"1,932.70",percent of total billed charges ,"1,932.70",percent of total billed charges ,"1,656.60",percent of total billed charges ,"1,656.60",percent of total billed charges ,"1,656.60",percent of total billed charges ,"1,656.60",percent of total billed charges ,,,,,"1,468.85",percent of total billed charges ,,,,,"1,395.41",percent of total billed charges ,,,,,,,,,,,,,,,,,,,635.03,percent of total billed charges,,,635.03,percent of total billed charges,,,635.03,percent of total billed charges,,,635.03,percent of total billed charges,,,635.03,percent of total billed charges,,,635.03,percent of total billed charges,,,635.03,percent of total billed charges,,,635.03,percent of total billed charges,,,635.03,percent of total billed charges,,,635.03,percent of total billed charges,,,635.03,percent of total billed charges,
**SELECTIVE DEBRIDEMENT >20CM/ 2 UNITS,97598,CDM,,,GP,both,,,"1,385.00","1,385.00",318.55,"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,"1,094.15",percent of total billed charges,"1,094.15",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 ,"1,094.15",percent of total billed charges ,"1,094.15",percent of total billed charges ,"1,177.25",percent of total billed charges ,"1,177.25",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 ,,,,,,,,,,,,,,,,,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,
**SELECTIVE DEBRIDEMENT >20CM/ 3 UNITS,97598,CDM,,,GP,both,,,"2,073.00","2,073.00",476.79,"2,073.00","2,073.00",percent of total billed charges,"2,073.00",percent of total billed charges,"2,073.00",percent of total billed charges,"2,073.00",percent of total billed charges,"2,073.00",percent of total billed charges,"2,073.00",percent of total billed charges,"2,073.00",percent of total billed charges,"2,073.00",percent of total billed charges,"1,492.56",percent of total billed charges,"1,492.56",percent of total billed charges,"1,492.56",percent of total billed charges,"1,492.56",percent of total billed charges,"1,492.56",percent of total billed charges,"1,492.56",percent of total billed charges,"1,637.67",percent of total billed charges,"1,637.67",percent of total billed charges,"1,658.40",percent of total billed charges,"1,658.40",percent of total billed charges,,,"1,492.56",percent of total billed charges ,,,"1,658.40",percent of total billed charges ,"1,637.67",percent of total billed charges ,"1,637.67",percent of total billed charges ,"1,762.05",percent of total billed charges ,"1,762.05",percent of total billed charges ,"1,658.40",percent of total billed charges ,"1,658.40",percent of total billed charges ,"1,451.10",percent of total billed charges ,"1,451.10",percent of total billed charges ,"1,243.80",percent of total billed charges ,"1,243.80",percent of total billed charges ,"1,243.80",percent of total billed charges ,"1,243.80",percent of total billed charges ,,,,,"1,102.84",percent of total billed charges ,,,,,"1,047.69",percent of total billed charges ,,,,,,,,,,,,,,,,,,,476.79,percent of total billed charges,,,476.79,percent of total billed charges,,,476.79,percent of total billed charges,,,476.79,percent of total billed charges,,,476.79,percent of total billed charges,,,476.79,percent of total billed charges,,,476.79,percent of total billed charges,,,476.79,percent of total billed charges,,,476.79,percent of total billed charges,,,476.79,percent of total billed charges,,,476.79,percent of total billed charges,
**SELECTIVE DEBRIDEMENT >20CM/ 4 UNITS,97598,CDM,,,GP,both,,,"2,761.00","2,761.00",635.03,"2,761.00","2,761.00",percent of total billed charges,"2,761.00",percent of total billed charges,"2,761.00",percent of total billed charges,"2,761.00",percent of total billed charges,"2,761.00",percent of total billed charges,"2,761.00",percent of total billed charges,"2,761.00",percent of total billed charges,"2,761.00",percent of total billed charges,"1,987.92",percent of total billed charges,"1,987.92",percent of total billed charges,"1,987.92",percent of total billed charges,"1,987.92",percent of total billed charges,"1,987.92",percent of total billed charges,"1,987.92",percent of total billed charges,"2,181.19",percent of total billed charges,"2,181.19",percent of total billed charges,"2,208.80",percent of total billed charges,"2,208.80",percent of total billed charges,,,"1,987.92",percent of total billed charges ,,,"2,208.80",percent of total billed charges ,"2,181.19",percent of total billed charges ,"2,181.19",percent of total billed charges ,"2,346.85",percent of total billed charges ,"2,346.85",percent of total billed charges ,"2,208.80",percent of total billed charges ,"2,208.80",percent of total billed charges ,"1,932.70",percent of total billed charges ,"1,932.70",percent of total billed charges ,"1,656.60",percent of total billed charges ,"1,656.60",percent of total billed charges ,"1,656.60",percent of total billed charges ,"1,656.60",percent of total billed charges ,,,,,"1,468.85",percent of total billed charges ,,,,,"1,395.41",percent of total billed charges ,,,,,,,,,,,,,,,,,,,635.03,percent of total billed charges,,,635.03,percent of total billed charges,,,635.03,percent of total billed charges,,,635.03,percent of total billed charges,,,635.03,percent of total billed charges,,,635.03,percent of total billed charges,,,635.03,percent of total billed charges,,,635.03,percent of total billed charges,,,635.03,percent of total billed charges,,,635.03,percent of total billed charges,,,635.03,percent of total billed charges,
**STRAPPING; MULTI LAYER COMPRESS/ 2 UNI,29581,CDM,,,GP,both,,,893,893,205.39,893,893,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,705.47,percent of total billed charges,705.47,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 ,705.47,percent of total billed charges ,705.47,percent of total billed charges ,759.05,percent of total billed charges ,759.05,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 ,,,,,,,,,,,,,,,,,,,205.39,percent of total billed charges,,,205.39,percent of total billed charges,,,205.39,percent of total billed charges,,,205.39,percent of total billed charges,,,205.39,percent of total billed charges,,,205.39,percent of total billed charges,,,205.39,percent of total billed charges,,,205.39,percent of total billed charges,,,205.39,percent of total billed charges,,,205.39,percent of total billed charges,,,205.39,percent of total billed charges,
**STRAPPING; MULTI LAYER COMPRESS/ 3 UNI,29581,CDM,,,GP,both,,,"1,337.00","1,337.00",307.51,"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,"1,056.23",percent of total billed charges,"1,056.23",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 ,"1,056.23",percent of total billed charges ,"1,056.23",percent of total billed charges ,"1,136.45",percent of total billed charges ,"1,136.45",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 ,,,,,,,,,,,,,,,,,,,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,,,307.51,percent of total billed charges,,,307.51,percent of total billed charges,,,307.51,percent of total billed charges,
**STRAPPING; MULTI LAYER COMPRESS/ 4 UNI,29581,CDM,,,GP,both,,,"1,778.00","1,778.00",408.94,"1,778.00","1,778.00",percent of total billed charges,"1,778.00",percent of total billed charges,"1,778.00",percent of total billed charges,"1,778.00",percent of total billed charges,"1,778.00",percent of total billed charges,"1,778.00",percent of total billed charges,"1,778.00",percent of total billed charges,"1,778.00",percent of total billed charges,"1,280.16",percent of total billed charges,"1,280.16",percent of total billed charges,"1,280.16",percent of total billed charges,"1,280.16",percent of total billed charges,"1,280.16",percent of total billed charges,"1,280.16",percent of total billed charges,"1,404.62",percent of total billed charges,"1,404.62",percent of total billed charges,"1,422.40",percent of total billed charges,"1,422.40",percent of total billed charges,,,"1,280.16",percent of total billed charges ,,,"1,422.40",percent of total billed charges ,"1,404.62",percent of total billed charges ,"1,404.62",percent of total billed charges ,"1,511.30",percent of total billed charges ,"1,511.30",percent of total billed charges ,"1,422.40",percent of total billed charges ,"1,422.40",percent of total billed charges ,"1,244.60",percent of total billed charges ,"1,244.60",percent of total billed charges ,"1,066.80",percent of total billed charges ,"1,066.80",percent of total billed charges ,"1,066.80",percent of total billed charges ,"1,066.80",percent of total billed charges ,,,,,945.9,percent of total billed charges ,,,,,898.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,408.94,percent of total billed charges,,,408.94,percent of total billed charges,,,408.94,percent of total billed charges,,,408.94,percent of total billed charges,,,408.94,percent of total billed charges,,,408.94,percent of total billed charges,,,408.94,percent of total billed charges,,,408.94,percent of total billed charges,,,408.94,percent of total billed charges,,,408.94,percent of total billed charges,,,408.94,percent of total billed charges,
LOW FREQUENCY NON-THERMAL ULTRASOUND,97610,CDM,,,,both,,,485,485,111.55,485,485,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,383.15,percent of total billed charges,383.15,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 ,383.15,percent of total billed charges ,383.15,percent of total billed charges ,412.25,percent of total billed charges ,412.25,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 ,,,,,,,,,,,,,,,,,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,,,111.55,percent of total billed charges,
**WW PT EVALUATION,97161,CDM,,,GP,both,,,530,530,121.9,530,530,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,418.7,percent of total billed charges,418.7,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 ,418.7,percent of total billed charges ,418.7,percent of total billed charges ,450.5,percent of total billed charges ,450.5,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 ,,,,,,,,,,,,,,,,,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,
**WW PT RE-EVALUATION,97164,CDM,,,GP,both,,,307,307,70.61,307,307,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,242.53,percent of total billed charges,242.53,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 ,242.53,percent of total billed charges ,242.53,percent of total billed charges ,260.95,percent of total billed charges ,260.95,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 ,,,,,,,,,,,,,,,,,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,,,70.61,percent of total billed charges,
**WW THERAPEUTIC PROCEDURE/15 MIN,97110,CDM,,,GP,both,,,184,184,42.32,184,184,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,145.36,percent of total billed charges,145.36,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 ,145.36,percent of total billed charges ,145.36,percent of total billed charges ,156.4,percent of total billed charges ,156.4,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 ,,,,,,,,,,,,,,,,,,,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,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,
**WW AQUATIC THERAPY EA 15 MIN,97113,CDM,,,GP,both,,,178,178,40.94,178,178,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,140.62,percent of total billed charges,140.62,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 ,140.62,percent of total billed charges ,140.62,percent of total billed charges ,151.3,percent of total billed charges ,151.3,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 ,,,,,,,,,,,,,,,,,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,,,40.94,percent of total billed charges,
**WW GAIT TRAINING 15 MIN,97116,CDM,,,GP,both,,,209,209,48.07,209,209,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,165.11,percent of total billed charges,165.11,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 ,165.11,percent of total billed charges ,165.11,percent of total billed charges ,177.65,percent of total billed charges ,177.65,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 ,,,,,,,,,,,,,,,,,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,,,48.07,percent of total billed charges,
**WW NEUROMUSCULAR RE-ED EA 15 MIN,97112,CDM,,,GP,both,,,220,220,50.6,220,220,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,173.8,percent of total billed charges,173.8,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 ,173.8,percent of total billed charges ,173.8,percent of total billed charges ,187,percent of total billed charges ,187,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**WW ESTIM-UNATTENDED,97014,CDM,,,GP,both,,,205,205,47.15,205,205,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,161.95,percent of total billed charges,161.95,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 ,161.95,percent of total billed charges ,161.95,percent of total billed charges ,174.25,percent of total billed charges ,174.25,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 ,,,,,,,,,,,,,,,,,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,
**WW ULTRASOUND EA 15 MIN,97035,CDM,,,GP,both,,,193,193,44.39,193,193,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,152.47,percent of total billed charges,152.47,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 ,152.47,percent of total billed charges ,152.47,percent of total billed charges ,164.05,percent of total billed charges ,164.05,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 ,,,,,,,,,,,,,,,,,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,
**WW MANUAL THERAPY EA 15 MIN,97140,CDM,,,GP,both,,,228,228,52.44,228,228,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,180.12,percent of total billed charges,180.12,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 ,180.12,percent of total billed charges ,180.12,percent of total billed charges ,193.8,percent of total billed charges ,193.8,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 ,,,,,,,,,,,,,,,,,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,
**WW THERAPEUTIC ACTIVITY EA 15 MIN,97530,CDM,,,GP,both,,,232,232,53.36,232,232,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,183.28,percent of total billed charges,183.28,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 ,183.28,percent of total billed charges ,183.28,percent of total billed charges ,197.2,percent of total billed charges ,197.2,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 ,,,,,,,,,,,,,,,,,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,
PT CANALITH REPOSITIONING PROC,95992,CDM,,,GP,both,,,239,239,54.97,239,239,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,188.81,percent of total billed charges,188.81,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 ,188.81,percent of total billed charges ,188.81,percent of total billed charges ,203.15,percent of total billed charges ,203.15,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 ,,,,,,,,,,,,,,,,,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,
**PT ELBOW RIGID W/O JOINTS PRE OTS,L3762,CDM,,,,both,,,245,245,56.35,245,245,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,193.55,percent of total billed charges,193.55,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 ,193.55,percent of total billed charges ,193.55,percent of total billed charges ,208.25,percent of total billed charges ,208.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,56.35,percent of total billed charges,,,56.35,percent of total billed charges,,,56.35,percent of total billed charges,
**PT ELBOW WRIST HAND ORTH RIGID W/O JNT,L3763,CDM,,,,both,,,"1,009.00","1,009.00",232.07,"1,009.00","1,009.00",percent of total billed charges,"1,009.00",percent of total billed charges,"1,009.00",percent of total billed charges,"1,009.00",percent of total billed charges,"1,009.00",percent of total billed charges,"1,009.00",percent of total billed charges,"1,009.00",percent of total billed charges,"1,009.00",percent of total billed charges,726.48,percent of total billed charges,726.48,percent of total billed charges,726.48,percent of total billed charges,726.48,percent of total billed charges,726.48,percent of total billed charges,726.48,percent of total billed charges,797.11,percent of total billed charges,797.11,percent of total billed charges,807.2,percent of total billed charges,807.2,percent of total billed charges,,,726.48,percent of total billed charges ,,,807.2,percent of total billed charges ,797.11,percent of total billed charges ,797.11,percent of total billed charges ,857.65,percent of total billed charges ,857.65,percent of total billed charges ,807.2,percent of total billed charges ,807.2,percent of total billed charges ,706.3,percent of total billed charges ,706.3,percent of total billed charges ,605.4,percent of total billed charges ,605.4,percent of total billed charges ,605.4,percent of total billed charges ,605.4,percent of total billed charges ,,,,,536.79,percent of total billed charges ,,,,,509.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,232.07,percent of total billed charges,,,232.07,percent of total billed charges,,,232.07,percent of total billed charges,,,232.07,percent of total billed charges,,,232.07,percent of total billed charges,,,232.07,percent of total billed charges,,,232.07,percent of total billed charges,,,232.07,percent of total billed charges,,,232.07,percent of total billed charges,,,232.07,percent of total billed charges,,,232.07,percent of total billed charges,
**TENS UNIT APPLICATION,64550,CDM,,,GP,both,,,227,227,52.21,227,227,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,179.33,percent of total billed charges,179.33,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 ,179.33,percent of total billed charges ,179.33,percent of total billed charges ,192.95,percent of total billed charges ,192.95,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 ,,,,,,,,,,,,,,,,,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,
PT EVALUATION-LOW COMPLEXITY,97161,CDM,,,GP,both,,,477,477,109.71,477,477,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,376.83,percent of total billed charges,376.83,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 ,376.83,percent of total billed charges ,376.83,percent of total billed charges ,405.45,percent of total billed charges ,405.45,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 ,,,,,,,,,,,,,,,,,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,
PT EVALUATION-MODERATE COMPLEXITY,97162,CDM,,,GP,both,,,410,410,94.3,410,410,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,323.9,percent of total billed charges,323.9,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 ,323.9,percent of total billed charges ,323.9,percent of total billed charges ,348.5,percent of total billed charges ,348.5,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 ,,,,,,,,,,,,,,,,,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,
PT EVALUATION-HIGH COMPLEXITY,97163,CDM,,,GP,both,,,477,477,109.71,477,477,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,376.83,percent of total billed charges,376.83,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 ,376.83,percent of total billed charges ,376.83,percent of total billed charges ,405.45,percent of total billed charges ,405.45,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 ,,,,,,,,,,,,,,,,,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,
PT RE-EVALUATION,97164,CDM,,,GP,both,,,385,385,88.55,385,385,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,304.15,percent of total billed charges,304.15,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 ,304.15,percent of total billed charges ,304.15,percent of total billed charges ,327.25,percent of total billed charges ,327.25,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 ,,,,,,,,,,,,,,,,,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,,,88.55,percent of total billed charges,
WORK CONDITIONING/HARDENING INTIAL 2 HRS,97545,CDM,,,GP,both,,,749,749,172.27,749,749,percent of total billed charges,749,percent of total billed charges,749,percent of total billed charges,749,percent of total billed charges,749,percent of total billed charges,749,percent of total billed charges,749,percent of total billed charges,749,percent of total billed charges,539.28,percent of total billed charges,539.28,percent of total billed charges,539.28,percent of total billed charges,539.28,percent of total billed charges,539.28,percent of total billed charges,539.28,percent of total billed charges,591.71,percent of total billed charges,591.71,percent of total billed charges,599.2,percent of total billed charges,599.2,percent of total billed charges,,,539.28,percent of total billed charges ,,,599.2,percent of total billed charges ,591.71,percent of total billed charges ,591.71,percent of total billed charges ,636.65,percent of total billed charges ,636.65,percent of total billed charges ,599.2,percent of total billed charges ,599.2,percent of total billed charges ,524.3,percent of total billed charges ,524.3,percent of total billed charges ,449.4,percent of total billed charges ,449.4,percent of total billed charges ,449.4,percent of total billed charges ,449.4,percent of total billed charges ,,,,,398.47,percent of total billed charges ,,,,,378.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,172.27,percent of total billed charges,,,172.27,percent of total billed charges,,,172.27,percent of total billed charges,,,172.27,percent of total billed charges,,,172.27,percent of total billed charges,,,172.27,percent of total billed charges,,,172.27,percent of total billed charges,,,172.27,percent of total billed charges,,,172.27,percent of total billed charges,,,172.27,percent of total billed charges,,,172.27,percent of total billed charges,
WORK CONDITIONING/HARDENING EA .ADD HR,97546,CDM,,,GP,both,,,310,310,71.3,310,310,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,244.9,percent of total billed charges,244.9,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 ,244.9,percent of total billed charges ,244.9,percent of total billed charges ,263.5,percent of total billed charges ,263.5,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 ,,,,,,,,,,,,,,,,,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,
**WW PT EVALUATION-LOW COMPLEXITY,97161,CDM,,,GP,both,,,448,448,103.04,448,448,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,353.92,percent of total billed charges,353.92,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 ,353.92,percent of total billed charges ,353.92,percent of total billed charges ,380.8,percent of total billed charges ,380.8,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 ,,,,,,,,,,,,,,,,,,,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,
**WW PT EVALUATION-MODERATE COMPLEXITY,97162,CDM,,,GP,both,,,530,530,121.9,530,530,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,418.7,percent of total billed charges,418.7,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 ,418.7,percent of total billed charges ,418.7,percent of total billed charges ,450.5,percent of total billed charges ,450.5,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 ,,,,,,,,,,,,,,,,,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,
**WW PT EVALUATION-HIGH COMPLEXITY,97163,CDM,,,GP,both,,,609,609,140.07,609,609,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,481.11,percent of total billed charges,481.11,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 ,481.11,percent of total billed charges ,481.11,percent of total billed charges ,517.65,percent of total billed charges ,517.65,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 ,,,,,,,,,,,,,,,,,,,140.07,percent of total billed charges,,,140.07,percent of total billed charges,,,140.07,percent of total billed charges,,,140.07,percent of total billed charges,,,140.07,percent of total billed charges,,,140.07,percent of total billed charges,,,140.07,percent of total billed charges,,,140.07,percent of total billed charges,,,140.07,percent of total billed charges,,,140.07,percent of total billed charges,,,140.07,percent of total billed charges,
**WW GYM MEMBERSHIP-MONTHLY,Local ,Local ,,,,both,,,57,57,13.11,57,57,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,45.03,percent of total billed charges,45.03,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 ,45.03,percent of total billed charges ,45.03,percent of total billed charges ,48.45,percent of total billed charges ,48.45,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 ,,,,,,,,,,,,,,,,,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,,,13.11,percent of total billed charges,
**SUMMERSCHOOL PT SERVICES/15 MIN,Local ,Local ,,,,both,,,19,19,4.37,19,19,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,15.01,percent of total billed charges,15.01,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 ,15.01,percent of total billed charges ,15.01,percent of total billed charges ,16.15,percent of total billed charges ,16.15,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,4.37,percent of total billed charges,,,4.37,percent of total billed charges,,,4.37,percent of total billed charges,
**BLOOD PATCH,62273,CDM,,,,both,,,"1,764.00","1,764.00",405.72,"1,764.00","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,"1,764.00",percent of total billed charges,"1,764.00",percent of total billed charges,"1,270.08",percent of total billed charges,"1,270.08",percent of total billed charges,"1,270.08",percent of total billed charges,"1,270.08",percent of total billed charges,"1,270.08",percent of total billed charges,"1,270.08",percent of total billed charges,"1,393.56",percent of total billed charges,"1,393.56",percent of total billed charges,"1,411.20",percent of total billed charges,"1,411.20",percent of total billed charges,,,"1,270.08",percent of total billed charges ,,,"1,411.20",percent of total billed charges ,"1,393.56",percent of total billed charges ,"1,393.56",percent of total billed charges ,"1,499.40",percent of total billed charges ,"1,499.40",percent of total billed charges ,"1,411.20",percent of total billed charges ,"1,411.20",percent of total billed charges ,"1,234.80",percent of total billed charges ,"1,234.80",percent of total billed charges ,"1,058.40",percent of total billed charges ,"1,058.40",percent of total billed charges ,"1,058.40",percent of total billed charges ,"1,058.40",percent of total billed charges ,,,,,938.45,percent of total billed charges ,,,,,891.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,405.72,percent of total billed charges,,,405.72,percent of total billed charges,,,405.72,percent of total billed charges,,,405.72,percent of total billed charges,,,405.72,percent of total billed charges,,,405.72,percent of total billed charges,,,405.72,percent of total billed charges,,,405.72,percent of total billed charges,,,405.72,percent of total billed charges,,,405.72,percent of total billed charges,,,405.72,percent of total billed charges,
INJECTION INTO SMALL JOINT BURS,20600,CDM,,,,both,,,"1,272.00","1,272.00",292.56,"1,272.00","1,272.00",percent of total billed charges,"1,272.00",percent of total billed charges,"1,272.00",percent of total billed charges,"1,272.00",percent of total billed charges,"1,272.00",percent of total billed charges,"1,272.00",percent of total billed charges,"1,272.00",percent of total billed charges,"1,272.00",percent of total billed charges,915.84,percent of total billed charges,915.84,percent of total billed charges,915.84,percent of total billed charges,915.84,percent of total billed charges,915.84,percent of total billed charges,915.84,percent of total billed charges,"1,004.88",percent of total billed charges,"1,004.88",percent of total billed charges,"1,017.60",percent of total billed charges,"1,017.60",percent of total billed charges,,,915.84,percent of total billed charges ,,,"1,017.60",percent of total billed charges ,"1,004.88",percent of total billed charges ,"1,004.88",percent of total billed charges ,"1,081.20",percent of total billed charges ,"1,081.20",percent of total billed charges ,"1,017.60",percent of total billed charges ,"1,017.60",percent of total billed charges ,890.4,percent of total billed charges ,890.4,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 ,,,,,676.7,percent of total billed charges ,,,,,642.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,292.56,percent of total billed charges,,,292.56,percent of total billed charges,,,292.56,percent of total billed charges,,,292.56,percent of total billed charges,,,292.56,percent of total billed charges,,,292.56,percent of total billed charges,,,292.56,percent of total billed charges,,,292.56,percent of total billed charges,,,292.56,percent of total billed charges,,,292.56,percent of total billed charges,,,292.56,percent of total billed charges,
**CONTIN EPIDURAL/LUMBAR/DO NOT USE,62319,CDM,,,,both,,,"1,645.00","1,645.00",378.35,"1,645.00","1,645.00",percent of total billed charges,"1,645.00",percent of total billed charges,"1,645.00",percent of total billed charges,"1,645.00",percent of total billed charges,"1,645.00",percent of total billed charges,"1,645.00",percent of total billed charges,"1,645.00",percent of total billed charges,"1,645.00",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,"1,299.55",percent of total billed charges,"1,299.55",percent of total billed charges,"1,316.00",percent of total billed charges,"1,316.00",percent of total billed charges,,,"1,184.40",percent of total billed charges ,,,"1,316.00",percent of total billed charges ,"1,299.55",percent of total billed charges ,"1,299.55",percent of total billed charges ,"1,398.25",percent of total billed charges ,"1,398.25",percent of total billed charges ,"1,316.00",percent of total billed charges ,"1,316.00",percent of total billed charges ,"1,151.50",percent of total billed charges ,"1,151.50",percent of total billed charges ,987,percent of total billed charges ,987,percent of total billed charges ,987,percent of total billed charges ,987,percent of total billed charges ,,,,,875.14,percent of total billed charges ,,,,,831.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,378.35,percent of total billed charges,,,378.35,percent of total billed charges,,,378.35,percent of total billed charges,,,378.35,percent of total billed charges,,,378.35,percent of total billed charges,,,378.35,percent of total billed charges,,,378.35,percent of total billed charges,,,378.35,percent of total billed charges,,,378.35,percent of total billed charges,,,378.35,percent of total billed charges,,,378.35,percent of total billed charges,
**NERVE ROOT/GANGLION BLOCK INJ,64520,CDM,,,,both,,,"2,427.00","2,427.00",558.21,"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,"1,917.33",percent of total billed charges,"1,917.33",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 ,"1,917.33",percent of total billed charges ,"1,917.33",percent of total billed charges ,"2,062.95",percent of total billed charges ,"2,062.95",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 ,,,,,,,,,,,,,,,,,,,558.21,percent of total billed charges,,,558.21,percent of total billed charges,,,558.21,percent of total billed charges,,,558.21,percent of total billed charges,,,558.21,percent of total billed charges,,,558.21,percent of total billed charges,,,558.21,percent of total billed charges,,,558.21,percent of total billed charges,,,558.21,percent of total billed charges,,,558.21,percent of total billed charges,,,558.21,percent of total billed charges,
**STELLATE GANGLION BK,64510,CDM,,,,both,,,"2,125.00","2,125.00",488.75,"2,125.00","2,125.00",percent of total billed charges,"2,125.00",percent of total billed charges,"2,125.00",percent of total billed charges,"2,125.00",percent of total billed charges,"2,125.00",percent of total billed charges,"2,125.00",percent of total billed charges,"2,125.00",percent of total billed charges,"2,125.00",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,"1,678.75",percent of total billed charges,"1,678.75",percent of total billed charges,"1,700.00",percent of total billed charges,"1,700.00",percent of total billed charges,,,"1,530.00",percent of total billed charges ,,,"1,700.00",percent of total billed charges ,"1,678.75",percent of total billed charges ,"1,678.75",percent of total billed charges ,"1,806.25",percent of total billed charges ,"1,806.25",percent of total billed charges ,"1,700.00",percent of total billed charges ,"1,700.00",percent of total billed charges ,"1,487.50",percent of total billed charges ,"1,487.50",percent of total billed charges ,"1,275.00",percent of total billed charges ,"1,275.00",percent of total billed charges ,"1,275.00",percent of total billed charges ,"1,275.00",percent of total billed charges ,,,,,"1,130.50",percent of total billed charges ,,,,,"1,073.98",percent of total billed charges ,,,,,,,,,,,,,,,,,,,488.75,percent of total billed charges,,,488.75,percent of total billed charges,,,488.75,percent of total billed charges,,,488.75,percent of total billed charges,,,488.75,percent of total billed charges,,,488.75,percent of total billed charges,,,488.75,percent of total billed charges,,,488.75,percent of total billed charges,,,488.75,percent of total billed charges,,,488.75,percent of total billed charges,,,488.75,percent of total billed charges,
**ADDLT TRANS EPID/LUMB/SACRA,64484,CDM,,,,both,,,259,259,59.57,259,259,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,204.61,percent of total billed charges,204.61,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 ,204.61,percent of total billed charges ,204.61,percent of total billed charges ,220.15,percent of total billed charges ,220.15,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 ,,,,,,,,,,,,,,,,,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,
**TRANSFORAMINAL EPID/LUMB/SACR,64483,CDM,,,,both,,,"2,449.00","2,449.00",563.27,"2,449.00","2,449.00",percent of total billed charges,"2,449.00",percent of total billed charges,"2,449.00",percent of total billed charges,"2,449.00",percent of total billed charges,"2,449.00",percent of total billed charges,"2,449.00",percent of total billed charges,"2,449.00",percent of total billed charges,"2,449.00",percent of total billed charges,"1,763.28",percent of total billed charges,"1,763.28",percent of total billed charges,"1,763.28",percent of total billed charges,"1,763.28",percent of total billed charges,"1,763.28",percent of total billed charges,"1,763.28",percent of total billed charges,"1,934.71",percent of total billed charges,"1,934.71",percent of total billed charges,"1,959.20",percent of total billed charges,"1,959.20",percent of total billed charges,,,"1,763.28",percent of total billed charges ,,,"1,959.20",percent of total billed charges ,"1,934.71",percent of total billed charges ,"1,934.71",percent of total billed charges ,"2,081.65",percent of total billed charges ,"2,081.65",percent of total billed charges ,"1,959.20",percent of total billed charges ,"1,959.20",percent of total billed charges ,"1,714.30",percent of total billed charges ,"1,714.30",percent of total billed charges ,"1,469.40",percent of total billed charges ,"1,469.40",percent of total billed charges ,"1,469.40",percent of total billed charges ,"1,469.40",percent of total billed charges ,,,,,"1,302.87",percent of total billed charges ,,,,,"1,237.72",percent of total billed charges ,,,,,,,,,,,,,,,,,,,563.27,percent of total billed charges,,,563.27,percent of total billed charges,,,563.27,percent of total billed charges,,,563.27,percent of total billed charges,,,563.27,percent of total billed charges,,,563.27,percent of total billed charges,,,563.27,percent of total billed charges,,,563.27,percent of total billed charges,,,563.27,percent of total billed charges,,,563.27,percent of total billed charges,,,563.27,percent of total billed charges,
**ADDLT TRANS EPID/CERV/THOR,64480,CDM,,,,both,,,259,259,59.57,259,259,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,204.61,percent of total billed charges,204.61,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 ,204.61,percent of total billed charges ,204.61,percent of total billed charges ,220.15,percent of total billed charges ,220.15,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 ,,,,,,,,,,,,,,,,,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,
**TRANSFORAMINAL EPID/CERV/THOR,64479,CDM,,,,both,,,"2,362.00","2,362.00",543.26,"2,362.00","2,362.00",percent of total billed charges,"2,362.00",percent of total billed charges,"2,362.00",percent of total billed charges,"2,362.00",percent of total billed charges,"2,362.00",percent of total billed charges,"2,362.00",percent of total billed charges,"2,362.00",percent of total billed charges,"2,362.00",percent of total billed charges,"1,700.64",percent of total billed charges,"1,700.64",percent of total billed charges,"1,700.64",percent of total billed charges,"1,700.64",percent of total billed charges,"1,700.64",percent of total billed charges,"1,700.64",percent of total billed charges,"1,865.98",percent of total billed charges,"1,865.98",percent of total billed charges,"1,889.60",percent of total billed charges,"1,889.60",percent of total billed charges,,,"1,700.64",percent of total billed charges ,,,"1,889.60",percent of total billed charges ,"1,865.98",percent of total billed charges ,"1,865.98",percent of total billed charges ,"2,007.70",percent of total billed charges ,"2,007.70",percent of total billed charges ,"1,889.60",percent of total billed charges ,"1,889.60",percent of total billed charges ,"1,653.40",percent of total billed charges ,"1,653.40",percent of total billed charges ,"1,417.20",percent of total billed charges ,"1,417.20",percent of total billed charges ,"1,417.20",percent of total billed charges ,"1,417.20",percent of total billed charges ,,,,,"1,256.58",percent of total billed charges ,,,,,"1,193.75",percent of total billed charges ,,,,,,,,,,,,,,,,,,,543.26,percent of total billed charges,,,543.26,percent of total billed charges,,,543.26,percent of total billed charges,,,543.26,percent of total billed charges,,,543.26,percent of total billed charges,,,543.26,percent of total billed charges,,,543.26,percent of total billed charges,,,543.26,percent of total billed charges,,,543.26,percent of total billed charges,,,543.26,percent of total billed charges,,,543.26,percent of total billed charges,
**ADDTL FACET INJ LUMBAR/SACRAL,64476,CDM,,,,both,,,259,259,59.57,259,259,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,204.61,percent of total billed charges,204.61,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 ,204.61,percent of total billed charges ,204.61,percent of total billed charges ,220.15,percent of total billed charges ,220.15,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 ,,,,,,,,,,,,,,,,,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,
**FACET INJ/LUMBAR/MEDIAN/SACRAL,64475,CDM,,,,both,,,"2,340.00","2,340.00",538.2,"2,340.00","2,340.00",percent of total billed charges,"2,340.00",percent of total billed charges,"2,340.00",percent of total billed charges,"2,340.00",percent of total billed charges,"2,340.00",percent of total billed charges,"2,340.00",percent of total billed charges,"2,340.00",percent of total billed charges,"2,340.00",percent of total billed charges,"1,684.80",percent of total billed charges,"1,684.80",percent of total billed charges,"1,684.80",percent of total billed charges,"1,684.80",percent of total billed charges,"1,684.80",percent of total billed charges,"1,684.80",percent of total billed charges,"1,848.60",percent of total billed charges,"1,848.60",percent of total billed charges,"1,872.00",percent of total billed charges,"1,872.00",percent of total billed charges,,,"1,684.80",percent of total billed charges ,,,"1,872.00",percent of total billed charges ,"1,848.60",percent of total billed charges ,"1,848.60",percent of total billed charges ,"1,989.00",percent of total billed charges ,"1,989.00",percent of total billed charges ,"1,872.00",percent of total billed charges ,"1,872.00",percent of total billed charges ,"1,638.00",percent of total billed charges ,"1,638.00",percent of total billed charges ,"1,404.00",percent of total billed charges ,"1,404.00",percent of total billed charges ,"1,404.00",percent of total billed charges ,"1,404.00",percent of total billed charges ,,,,,"1,244.88",percent of total billed charges ,,,,,"1,182.64",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,,,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,,,538.2,percent of total billed charges,,,538.2,percent of total billed charges,,,538.2,percent of total billed charges,
**ADDTL FACET INJ CERV/THORACIC,64472,CDM,,,,both,,,416,416,95.68,416,416,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,328.64,percent of total billed charges,328.64,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 ,328.64,percent of total billed charges ,328.64,percent of total billed charges ,353.6,percent of total billed charges ,353.6,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 ,,,,,,,,,,,,,,,,,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,,,95.68,percent of total billed charges,
**FACET INJ/CERVICAL,64470,CDM,,,,both,,,"1,645.00","1,645.00",378.35,"1,645.00","1,645.00",percent of total billed charges,"1,645.00",percent of total billed charges,"1,645.00",percent of total billed charges,"1,645.00",percent of total billed charges,"1,645.00",percent of total billed charges,"1,645.00",percent of total billed charges,"1,645.00",percent of total billed charges,"1,645.00",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,"1,299.55",percent of total billed charges,"1,299.55",percent of total billed charges,"1,316.00",percent of total billed charges,"1,316.00",percent of total billed charges,,,"1,184.40",percent of total billed charges ,,,"1,316.00",percent of total billed charges ,"1,299.55",percent of total billed charges ,"1,299.55",percent of total billed charges ,"1,398.25",percent of total billed charges ,"1,398.25",percent of total billed charges ,"1,316.00",percent of total billed charges ,"1,316.00",percent of total billed charges ,"1,151.50",percent of total billed charges ,"1,151.50",percent of total billed charges ,987,percent of total billed charges ,987,percent of total billed charges ,987,percent of total billed charges ,987,percent of total billed charges ,,,,,875.14,percent of total billed charges ,,,,,831.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,378.35,percent of total billed charges,,,378.35,percent of total billed charges,,,378.35,percent of total billed charges,,,378.35,percent of total billed charges,,,378.35,percent of total billed charges,,,378.35,percent of total billed charges,,,378.35,percent of total billed charges,,,378.35,percent of total billed charges,,,378.35,percent of total billed charges,,,378.35,percent of total billed charges,,,378.35,percent of total billed charges,
**TRIGEMINAL NERVE BRANCH BLOCK,64400,CDM,,,GF,both,,,"1,155.00","1,155.00",265.65,"1,155.00","1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,831.6,percent of total billed charges,831.6,percent of total billed charges,831.6,percent of total billed charges,831.6,percent of total billed charges,831.6,percent of total billed charges,831.6,percent of total billed charges,912.45,percent of total billed charges,912.45,percent of total billed charges,924,percent of total billed charges,924,percent of total billed charges,,,831.6,percent of total billed charges ,,,924,percent of total billed charges ,912.45,percent of total billed charges ,912.45,percent of total billed charges ,981.75,percent of total billed charges ,981.75,percent of total billed charges ,924,percent of total billed charges ,924,percent of total billed charges ,808.5,percent of total billed charges ,808.5,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 ,,,,,614.46,percent of total billed charges ,,,,,583.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,
**CONT EPIDURAL/SUBARAC DO NOT USE,62318,CDM,,,,both,,,"1,611.00","1,611.00",370.53,"1,611.00","1,611.00",percent of total billed charges,"1,611.00",percent of total billed charges,"1,611.00",percent of total billed charges,"1,611.00",percent of total billed charges,"1,611.00",percent of total billed charges,"1,611.00",percent of total billed charges,"1,611.00",percent of total billed charges,"1,611.00",percent of total billed charges,"1,159.92",percent of total billed charges,"1,159.92",percent of total billed charges,"1,159.92",percent of total billed charges,"1,159.92",percent of total billed charges,"1,159.92",percent of total billed charges,"1,159.92",percent of total billed charges,"1,272.69",percent of total billed charges,"1,272.69",percent of total billed charges,"1,288.80",percent of total billed charges,"1,288.80",percent of total billed charges,,,"1,159.92",percent of total billed charges ,,,"1,288.80",percent of total billed charges ,"1,272.69",percent of total billed charges ,"1,272.69",percent of total billed charges ,"1,369.35",percent of total billed charges ,"1,369.35",percent of total billed charges ,"1,288.80",percent of total billed charges ,"1,288.80",percent of total billed charges ,"1,127.70",percent of total billed charges ,"1,127.70",percent of total billed charges ,966.6,percent of total billed charges ,966.6,percent of total billed charges ,966.6,percent of total billed charges ,966.6,percent of total billed charges ,,,,,857.05,percent of total billed charges ,,,,,814.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,370.53,percent of total billed charges,,,370.53,percent of total billed charges,,,370.53,percent of total billed charges,,,370.53,percent of total billed charges,,,370.53,percent of total billed charges,,,370.53,percent of total billed charges,,,370.53,percent of total billed charges,,,370.53,percent of total billed charges,,,370.53,percent of total billed charges,,,370.53,percent of total billed charges,,,370.53,percent of total billed charges,
**EPIDURAL INJ/LUMBAR/SACR/CAUD,62311,CDM,,,,both,,,"2,051.00","2,051.00",471.73,"2,051.00","2,051.00",percent of total billed charges,"2,051.00",percent of total billed charges,"2,051.00",percent of total billed charges,"2,051.00",percent of total billed charges,"2,051.00",percent of total billed charges,"2,051.00",percent of total billed charges,"2,051.00",percent of total billed charges,"2,051.00",percent of total billed charges,"1,476.72",percent of total billed charges,"1,476.72",percent of total billed charges,"1,476.72",percent of total billed charges,"1,476.72",percent of total billed charges,"1,476.72",percent of total billed charges,"1,476.72",percent of total billed charges,"1,620.29",percent of total billed charges,"1,620.29",percent of total billed charges,"1,640.80",percent of total billed charges,"1,640.80",percent of total billed charges,,,"1,476.72",percent of total billed charges ,,,"1,640.80",percent of total billed charges ,"1,620.29",percent of total billed charges ,"1,620.29",percent of total billed charges ,"1,743.35",percent of total billed charges ,"1,743.35",percent of total billed charges ,"1,640.80",percent of total billed charges ,"1,640.80",percent of total billed charges ,"1,435.70",percent of total billed charges ,"1,435.70",percent of total billed charges ,"1,230.60",percent of total billed charges ,"1,230.60",percent of total billed charges ,"1,230.60",percent of total billed charges ,"1,230.60",percent of total billed charges ,,,,,"1,091.13",percent of total billed charges ,,,,,"1,036.58",percent of total billed charges ,,,,,,,,,,,,,,,,,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,,,471.73,percent of total billed charges,
**EPIDURAL INJ/CERVICAL/THORACIC,62310,CDM,,,,both,,,"2,225.00","2,225.00",511.75,"2,225.00","2,225.00",percent of total billed charges,"2,225.00",percent of total billed charges,"2,225.00",percent of total billed charges,"2,225.00",percent of total billed charges,"2,225.00",percent of total billed charges,"2,225.00",percent of total billed charges,"2,225.00",percent of total billed charges,"2,225.00",percent of total billed charges,"1,602.00",percent of total billed charges,"1,602.00",percent of total billed charges,"1,602.00",percent of total billed charges,"1,602.00",percent of total billed charges,"1,602.00",percent of total billed charges,"1,602.00",percent of total billed charges,"1,757.75",percent of total billed charges,"1,757.75",percent of total billed charges,"1,780.00",percent of total billed charges,"1,780.00",percent of total billed charges,,,"1,602.00",percent of total billed charges ,,,"1,780.00",percent of total billed charges ,"1,757.75",percent of total billed charges ,"1,757.75",percent of total billed charges ,"1,891.25",percent of total billed charges ,"1,891.25",percent of total billed charges ,"1,780.00",percent of total billed charges ,"1,780.00",percent of total billed charges ,"1,557.50",percent of total billed charges ,"1,557.50",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 ,,,,,"1,183.70",percent of total billed charges ,,,,,"1,124.52",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,
**TRIGGER PINT INJ,20550,CDM,,,,both,,,"1,155.00","1,155.00",265.65,"1,155.00","1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,831.6,percent of total billed charges,831.6,percent of total billed charges,831.6,percent of total billed charges,831.6,percent of total billed charges,831.6,percent of total billed charges,831.6,percent of total billed charges,912.45,percent of total billed charges,912.45,percent of total billed charges,924,percent of total billed charges,924,percent of total billed charges,,,831.6,percent of total billed charges ,,,924,percent of total billed charges ,912.45,percent of total billed charges ,912.45,percent of total billed charges ,981.75,percent of total billed charges ,981.75,percent of total billed charges ,924,percent of total billed charges ,924,percent of total billed charges ,808.5,percent of total billed charges ,808.5,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 ,,,,,614.46,percent of total billed charges ,,,,,583.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,
**SHOULDER INJECTION,20610,CDM,,,GF,both,,,"1,155.00","1,155.00",265.65,"1,155.00","1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,831.6,percent of total billed charges,831.6,percent of total billed charges,831.6,percent of total billed charges,831.6,percent of total billed charges,831.6,percent of total billed charges,831.6,percent of total billed charges,912.45,percent of total billed charges,912.45,percent of total billed charges,924,percent of total billed charges,924,percent of total billed charges,,,831.6,percent of total billed charges ,,,924,percent of total billed charges ,912.45,percent of total billed charges ,912.45,percent of total billed charges ,981.75,percent of total billed charges ,981.75,percent of total billed charges ,924,percent of total billed charges ,924,percent of total billed charges ,808.5,percent of total billed charges ,808.5,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 ,,,,,614.46,percent of total billed charges ,,,,,583.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,
**KNEE JOINT INJECTION,20610,CDM,,,GF,both,,,"1,155.00","1,155.00",265.65,"1,155.00","1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,831.6,percent of total billed charges,831.6,percent of total billed charges,831.6,percent of total billed charges,831.6,percent of total billed charges,831.6,percent of total billed charges,831.6,percent of total billed charges,912.45,percent of total billed charges,912.45,percent of total billed charges,924,percent of total billed charges,924,percent of total billed charges,,,831.6,percent of total billed charges ,,,924,percent of total billed charges ,912.45,percent of total billed charges ,912.45,percent of total billed charges ,981.75,percent of total billed charges ,981.75,percent of total billed charges ,924,percent of total billed charges ,924,percent of total billed charges ,808.5,percent of total billed charges ,808.5,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 ,,,,,614.46,percent of total billed charges ,,,,,583.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,
**LUMBAR PUNCTURE DO NOT USE,62270,CDM,,,,both,,,"1,271.00","1,271.00",292.33,"1,271.00","1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,915.12,percent of total billed charges,915.12,percent of total billed charges,915.12,percent of total billed charges,915.12,percent of total billed charges,915.12,percent of total billed charges,915.12,percent of total billed charges,"1,004.09",percent of total billed charges,"1,004.09",percent of total billed charges,"1,016.80",percent of total billed charges,"1,016.80",percent of total billed charges,,,915.12,percent of total billed charges ,,,"1,016.80",percent of total billed charges ,"1,004.09",percent of total billed charges ,"1,004.09",percent of total billed charges ,"1,080.35",percent of total billed charges ,"1,080.35",percent of total billed charges ,"1,016.80",percent of total billed charges ,"1,016.80",percent of total billed charges ,889.7,percent of total billed charges ,889.7,percent of total billed charges ,762.6,percent of total billed charges ,762.6,percent of total billed charges ,762.6,percent of total billed charges ,762.6,percent of total billed charges ,,,,,676.17,percent of total billed charges ,,,,,642.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,
**SPINAL INJ/INTERTHECAL DO NOT USE,62318,CDM,,,,both,,,"1,611.00","1,611.00",370.53,"1,611.00","1,611.00",percent of total billed charges,"1,611.00",percent of total billed charges,"1,611.00",percent of total billed charges,"1,611.00",percent of total billed charges,"1,611.00",percent of total billed charges,"1,611.00",percent of total billed charges,"1,611.00",percent of total billed charges,"1,611.00",percent of total billed charges,"1,159.92",percent of total billed charges,"1,159.92",percent of total billed charges,"1,159.92",percent of total billed charges,"1,159.92",percent of total billed charges,"1,159.92",percent of total billed charges,"1,159.92",percent of total billed charges,"1,272.69",percent of total billed charges,"1,272.69",percent of total billed charges,"1,288.80",percent of total billed charges,"1,288.80",percent of total billed charges,,,"1,159.92",percent of total billed charges ,,,"1,288.80",percent of total billed charges ,"1,272.69",percent of total billed charges ,"1,272.69",percent of total billed charges ,"1,369.35",percent of total billed charges ,"1,369.35",percent of total billed charges ,"1,288.80",percent of total billed charges ,"1,288.80",percent of total billed charges ,"1,127.70",percent of total billed charges ,"1,127.70",percent of total billed charges ,966.6,percent of total billed charges ,966.6,percent of total billed charges ,966.6,percent of total billed charges ,966.6,percent of total billed charges ,,,,,857.05,percent of total billed charges ,,,,,814.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,370.53,percent of total billed charges,,,370.53,percent of total billed charges,,,370.53,percent of total billed charges,,,370.53,percent of total billed charges,,,370.53,percent of total billed charges,,,370.53,percent of total billed charges,,,370.53,percent of total billed charges,,,370.53,percent of total billed charges,,,370.53,percent of total billed charges,,,370.53,percent of total billed charges,,,370.53,percent of total billed charges,
**SELECTIVE NERVE BLK/CERV/THOR,64479,CDM,,,,both,,,"2,362.00","2,362.00",543.26,"2,362.00","2,362.00",percent of total billed charges,"2,362.00",percent of total billed charges,"2,362.00",percent of total billed charges,"2,362.00",percent of total billed charges,"2,362.00",percent of total billed charges,"2,362.00",percent of total billed charges,"2,362.00",percent of total billed charges,"2,362.00",percent of total billed charges,"1,700.64",percent of total billed charges,"1,700.64",percent of total billed charges,"1,700.64",percent of total billed charges,"1,700.64",percent of total billed charges,"1,700.64",percent of total billed charges,"1,700.64",percent of total billed charges,"1,865.98",percent of total billed charges,"1,865.98",percent of total billed charges,"1,889.60",percent of total billed charges,"1,889.60",percent of total billed charges,,,"1,700.64",percent of total billed charges ,,,"1,889.60",percent of total billed charges ,"1,865.98",percent of total billed charges ,"1,865.98",percent of total billed charges ,"2,007.70",percent of total billed charges ,"2,007.70",percent of total billed charges ,"1,889.60",percent of total billed charges ,"1,889.60",percent of total billed charges ,"1,653.40",percent of total billed charges ,"1,653.40",percent of total billed charges ,"1,417.20",percent of total billed charges ,"1,417.20",percent of total billed charges ,"1,417.20",percent of total billed charges ,"1,417.20",percent of total billed charges ,,,,,"1,256.58",percent of total billed charges ,,,,,"1,193.75",percent of total billed charges ,,,,,,,,,,,,,,,,,,,543.26,percent of total billed charges,,,543.26,percent of total billed charges,,,543.26,percent of total billed charges,,,543.26,percent of total billed charges,,,543.26,percent of total billed charges,,,543.26,percent of total billed charges,,,543.26,percent of total billed charges,,,543.26,percent of total billed charges,,,543.26,percent of total billed charges,,,543.26,percent of total billed charges,,,543.26,percent of total billed charges,
**SELECTIVE NERVE BLK/LUMB/SACR,64483,CDM,,,,both,,,"2,449.00","2,449.00",563.27,"2,449.00","2,449.00",percent of total billed charges,"2,449.00",percent of total billed charges,"2,449.00",percent of total billed charges,"2,449.00",percent of total billed charges,"2,449.00",percent of total billed charges,"2,449.00",percent of total billed charges,"2,449.00",percent of total billed charges,"2,449.00",percent of total billed charges,"1,763.28",percent of total billed charges,"1,763.28",percent of total billed charges,"1,763.28",percent of total billed charges,"1,763.28",percent of total billed charges,"1,763.28",percent of total billed charges,"1,763.28",percent of total billed charges,"1,934.71",percent of total billed charges,"1,934.71",percent of total billed charges,"1,959.20",percent of total billed charges,"1,959.20",percent of total billed charges,,,"1,763.28",percent of total billed charges ,,,"1,959.20",percent of total billed charges ,"1,934.71",percent of total billed charges ,"1,934.71",percent of total billed charges ,"2,081.65",percent of total billed charges ,"2,081.65",percent of total billed charges ,"1,959.20",percent of total billed charges ,"1,959.20",percent of total billed charges ,"1,714.30",percent of total billed charges ,"1,714.30",percent of total billed charges ,"1,469.40",percent of total billed charges ,"1,469.40",percent of total billed charges ,"1,469.40",percent of total billed charges ,"1,469.40",percent of total billed charges ,,,,,"1,302.87",percent of total billed charges ,,,,,"1,237.72",percent of total billed charges ,,,,,,,,,,,,,,,,,,,563.27,percent of total billed charges,,,563.27,percent of total billed charges,,,563.27,percent of total billed charges,,,563.27,percent of total billed charges,,,563.27,percent of total billed charges,,,563.27,percent of total billed charges,,,563.27,percent of total billed charges,,,563.27,percent of total billed charges,,,563.27,percent of total billed charges,,,563.27,percent of total billed charges,,,563.27,percent of total billed charges,
**PREOP CARE,Local ,Local ,,,,both,,,441,441,101.43,441,441,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,348.39,percent of total billed charges,348.39,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 ,348.39,percent of total billed charges ,348.39,percent of total billed charges ,374.85,percent of total billed charges ,374.85,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**SACRAL ILIAC INJ,27096,CDM,,,,both,,,"1,356.00","1,356.00",311.88,"1,356.00","1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,"1,356.00",percent of total billed charges,976.32,percent of total billed charges,976.32,percent of total billed charges,976.32,percent of total billed charges,976.32,percent of total billed charges,976.32,percent of total billed charges,976.32,percent of total billed charges,"1,071.24",percent of total billed charges,"1,071.24",percent of total billed charges,"1,084.80",percent of total billed charges,"1,084.80",percent of total billed charges,,,976.32,percent of total billed charges ,,,"1,084.80",percent of total billed charges ,"1,071.24",percent of total billed charges ,"1,071.24",percent of total billed charges ,"1,152.60",percent of total billed charges ,"1,152.60",percent of total billed charges ,"1,084.80",percent of total billed charges ,"1,084.80",percent of total billed charges ,949.2,percent of total billed charges ,949.2,percent of total billed charges ,813.6,percent of total billed charges ,813.6,percent of total billed charges ,813.6,percent of total billed charges ,813.6,percent of total billed charges ,,,,,721.39,percent of total billed charges ,,,,,685.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,,,311.88,percent of total billed charges,
**SDC RECOVERY,Local ,Local ,,,,both,,,284,284,65.32,284,284,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,224.36,percent of total billed charges,224.36,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 ,224.36,percent of total billed charges ,224.36,percent of total billed charges ,241.4,percent of total billed charges ,241.4,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 ,,,,,,,,,,,,,,,,,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,
**PUMP REFILL PROC,99211,CDM,,,,both,,,259,259,59.57,259,259,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,204.61,percent of total billed charges,204.61,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 ,204.61,percent of total billed charges ,204.61,percent of total billed charges ,220.15,percent of total billed charges ,220.15,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 ,,,,,,,,,,,,,,,,,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,
PAIN/EXTENDED NEW PATIENT,99204,CDM,,,,both,,,561,561,129.03,561,561,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,443.19,percent of total billed charges,443.19,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 ,443.19,percent of total billed charges ,443.19,percent of total billed charges ,476.85,percent of total billed charges ,476.85,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 ,,,,,,,,,,,,,,,,,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,
INJECTION TRIGGER PT 1 OR 2 MUSCLE,20552,CDM,,,,both,,,897,897,206.31,897,897,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,708.63,percent of total billed charges,708.63,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 ,708.63,percent of total billed charges ,708.63,percent of total billed charges ,762.45,percent of total billed charges ,762.45,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 ,,,,,,,,,,,,,,,,,,,206.31,percent of total billed charges,,,206.31,percent of total billed charges,,,206.31,percent of total billed charges,,,206.31,percent of total billed charges,,,206.31,percent of total billed charges,,,206.31,percent of total billed charges,,,206.31,percent of total billed charges,,,206.31,percent of total billed charges,,,206.31,percent of total billed charges,,,206.31,percent of total billed charges,,,206.31,percent of total billed charges,
INJ SINGLE TENDON,20551,CDM,,,,both,,,578,578,132.94,578,578,percent of total billed charges,578,percent of total billed charges,578,percent of total billed charges,578,percent of total billed charges,578,percent of total billed charges,578,percent of total billed charges,578,percent of total billed charges,578,percent of total billed charges,416.16,percent of total billed charges,416.16,percent of total billed charges,416.16,percent of total billed charges,416.16,percent of total billed charges,416.16,percent of total billed charges,416.16,percent of total billed charges,456.62,percent of total billed charges,456.62,percent of total billed charges,462.4,percent of total billed charges,462.4,percent of total billed charges,,,416.16,percent of total billed charges ,,,462.4,percent of total billed charges ,456.62,percent of total billed charges ,456.62,percent of total billed charges ,491.3,percent of total billed charges ,491.3,percent of total billed charges ,462.4,percent of total billed charges ,462.4,percent of total billed charges ,404.6,percent of total billed charges ,404.6,percent of total billed charges ,346.8,percent of total billed charges ,346.8,percent of total billed charges ,346.8,percent of total billed charges ,346.8,percent of total billed charges ,,,,,307.5,percent of total billed charges ,,,,,292.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,,,132.94,percent of total billed charges,
PAIN/COMPREHENSIVE NEW PATIENT,99205,CDM,,,,both,,,648,648,149.04,648,648,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,648,percent of total billed charges,648,percent of total billed charges,648,percent of total billed charges,466.56,percent of total billed charges,466.56,percent of total billed charges,466.56,percent of total billed charges,466.56,percent of total billed charges,466.56,percent of total billed charges,466.56,percent of total billed charges,511.92,percent of total billed charges,511.92,percent of total billed charges,518.4,percent of total billed charges,518.4,percent of total billed charges,,,466.56,percent of total billed charges ,,,518.4,percent of total billed charges ,511.92,percent of total billed charges ,511.92,percent of total billed charges ,550.8,percent of total billed charges ,550.8,percent of total billed charges ,518.4,percent of total billed charges ,518.4,percent of total billed charges ,453.6,percent of total billed charges ,453.6,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 ,,,,,344.74,percent of total billed charges ,,,,,327.5,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,,,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,
PAIN/INTERMEDIATE NEW PATIENT,99203,CDM,,,,both,,,535,535,123.05,535,535,percent of total billed charges,535,percent of total billed charges,535,percent of total billed charges,535,percent of total billed charges,535,percent of total billed charges,535,percent of total billed charges,535,percent of total billed charges,535,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,385.2,percent of total billed charges,385.2,percent of total billed charges,422.65,percent of total billed charges,422.65,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,,,385.2,percent of total billed charges ,,,428,percent of total billed charges ,422.65,percent of total billed charges ,422.65,percent of total billed charges ,454.75,percent of total billed charges ,454.75,percent of total billed charges ,428,percent of total billed charges ,428,percent of total billed charges ,374.5,percent of total billed charges ,374.5,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 ,,,,,284.62,percent of total billed charges ,,,,,270.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,,,123.05,percent of total billed charges,
PAIN/LIMITED NEW PATIENT,99202,CDM,,,,both,,,447,447,102.81,447,447,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,353.13,percent of total billed charges,353.13,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 ,353.13,percent of total billed charges ,353.13,percent of total billed charges ,379.95,percent of total billed charges ,379.95,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 ,,,,,,,,,,,,,,,,,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,,,102.81,percent of total billed charges,
PAIN/EXTENDED ESTABLISHED,99214,CDM,,,25,both,,,502,502,115.46,502,502,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,396.58,percent of total billed charges,396.58,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 ,396.58,percent of total billed charges ,396.58,percent of total billed charges ,426.7,percent of total billed charges ,426.7,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 ,,,,,,,,,,,,,,,,,,,115.46,percent of total billed charges,,,115.46,percent of total billed charges,,,115.46,percent of total billed charges,,,115.46,percent of total billed charges,,,115.46,percent of total billed charges,,,115.46,percent of total billed charges,,,115.46,percent of total billed charges,,,115.46,percent of total billed charges,,,115.46,percent of total billed charges,,,115.46,percent of total billed charges,,,115.46,percent of total billed charges,
PAIN/INTERMEDIATE ESTABLISHED,99213,CDM,,,25,both,,,369,369,84.87,369,369,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,291.51,percent of total billed charges,291.51,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 ,291.51,percent of total billed charges ,291.51,percent of total billed charges ,313.65,percent of total billed charges ,313.65,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 ,,,,,,,,,,,,,,,,,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,
PAIN/LIMITED ESTABLISHED,99212,CDM,,,25,both,,,326,326,74.98,326,326,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,257.54,percent of total billed charges,257.54,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 ,257.54,percent of total billed charges ,257.54,percent of total billed charges ,277.1,percent of total billed charges ,277.1,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 ,,,,,,,,,,,,,,,,,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,,,74.98,percent of total billed charges,
INJECTION TRIGGER POINT 3 OR MORE MUSCLE,20553,CDM,,,,both,,,"1,111.00","1,111.00",255.53,"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,877.69,percent of total billed charges,877.69,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 ,877.69,percent of total billed charges ,877.69,percent of total billed charges ,944.35,percent of total billed charges ,944.35,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 ,,,,,,,,,,,,,,,,,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,,,255.53,percent of total billed charges,
BIOFEEDBACK,90901,CDM,,,GP,both,,,337,337,77.51,337,337,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,266.23,percent of total billed charges,266.23,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 ,266.23,percent of total billed charges ,266.23,percent of total billed charges ,286.45,percent of total billed charges ,286.45,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 ,,,,,,,,,,,,,,,,,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,,,77.51,percent of total billed charges,
**TRIGEMINAL NERVE BRANCH BLOCK,64400,CDM,,,GF,both,,,"1,155.00","1,155.00",265.65,"1,155.00","1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,831.6,percent of total billed charges,831.6,percent of total billed charges,831.6,percent of total billed charges,831.6,percent of total billed charges,831.6,percent of total billed charges,831.6,percent of total billed charges,912.45,percent of total billed charges,912.45,percent of total billed charges,924,percent of total billed charges,924,percent of total billed charges,,,831.6,percent of total billed charges ,,,924,percent of total billed charges ,912.45,percent of total billed charges ,912.45,percent of total billed charges ,981.75,percent of total billed charges ,981.75,percent of total billed charges ,924,percent of total billed charges ,924,percent of total billed charges ,808.5,percent of total billed charges ,808.5,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 ,,,,,614.46,percent of total billed charges ,,,,,583.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,
**PYRIFORMIS MUSCLE INJECTION,90772,CDM,,,,both,,,"1,086.00","1,086.00",249.78,"1,086.00","1,086.00",percent of total billed charges,"1,086.00",percent of total billed charges,"1,086.00",percent of total billed charges,"1,086.00",percent of total billed charges,"1,086.00",percent of total billed charges,"1,086.00",percent of total billed charges,"1,086.00",percent of total billed charges,"1,086.00",percent of total billed charges,781.92,percent of total billed charges,781.92,percent of total billed charges,781.92,percent of total billed charges,781.92,percent of total billed charges,781.92,percent of total billed charges,781.92,percent of total billed charges,857.94,percent of total billed charges,857.94,percent of total billed charges,868.8,percent of total billed charges,868.8,percent of total billed charges,,,781.92,percent of total billed charges ,,,868.8,percent of total billed charges ,857.94,percent of total billed charges ,857.94,percent of total billed charges ,923.1,percent of total billed charges ,923.1,percent of total billed charges ,868.8,percent of total billed charges ,868.8,percent of total billed charges ,760.2,percent of total billed charges ,760.2,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 ,,,,,577.75,percent of total billed charges ,,,,,548.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,249.78,percent of total billed charges,,,249.78,percent of total billed charges,,,249.78,percent of total billed charges,,,249.78,percent of total billed charges,,,249.78,percent of total billed charges,,,249.78,percent of total billed charges,,,249.78,percent of total billed charges,,,249.78,percent of total billed charges,,,249.78,percent of total billed charges,,,249.78,percent of total billed charges,,,249.78,percent of total billed charges,
"HIP,KNEE,SHOULDER,JOINT INJ",20610,CDM,,,GF,both,,,"1,301.00","1,301.00",299.23,"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,"1,027.79",percent of total billed charges,"1,027.79",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 ,"1,027.79",percent of total billed charges ,"1,027.79",percent of total billed charges ,"1,105.85",percent of total billed charges ,"1,105.85",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 ,,,,,,,,,,,,,,,,,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,,,299.23,percent of total billed charges,
**LUMBAR PUNCTURE,62270,CDM,,,,both,,,"1,271.00","1,271.00",292.33,"1,271.00","1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,"1,271.00",percent of total billed charges,915.12,percent of total billed charges,915.12,percent of total billed charges,915.12,percent of total billed charges,915.12,percent of total billed charges,915.12,percent of total billed charges,915.12,percent of total billed charges,"1,004.09",percent of total billed charges,"1,004.09",percent of total billed charges,"1,016.80",percent of total billed charges,"1,016.80",percent of total billed charges,,,915.12,percent of total billed charges ,,,"1,016.80",percent of total billed charges ,"1,004.09",percent of total billed charges ,"1,004.09",percent of total billed charges ,"1,080.35",percent of total billed charges ,"1,080.35",percent of total billed charges ,"1,016.80",percent of total billed charges ,"1,016.80",percent of total billed charges ,889.7,percent of total billed charges ,889.7,percent of total billed charges ,762.6,percent of total billed charges ,762.6,percent of total billed charges ,762.6,percent of total billed charges ,762.6,percent of total billed charges ,,,,,676.17,percent of total billed charges ,,,,,642.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,,,292.33,percent of total billed charges,
**PARAINTERPARTICULASIS INJECTION,64475,CDM,,,,both,,,"2,340.00","2,340.00",538.2,"2,340.00","2,340.00",percent of total billed charges,"2,340.00",percent of total billed charges,"2,340.00",percent of total billed charges,"2,340.00",percent of total billed charges,"2,340.00",percent of total billed charges,"2,340.00",percent of total billed charges,"2,340.00",percent of total billed charges,"2,340.00",percent of total billed charges,"1,684.80",percent of total billed charges,"1,684.80",percent of total billed charges,"1,684.80",percent of total billed charges,"1,684.80",percent of total billed charges,"1,684.80",percent of total billed charges,"1,684.80",percent of total billed charges,"1,848.60",percent of total billed charges,"1,848.60",percent of total billed charges,"1,872.00",percent of total billed charges,"1,872.00",percent of total billed charges,,,"1,684.80",percent of total billed charges ,,,"1,872.00",percent of total billed charges ,"1,848.60",percent of total billed charges ,"1,848.60",percent of total billed charges ,"1,989.00",percent of total billed charges ,"1,989.00",percent of total billed charges ,"1,872.00",percent of total billed charges ,"1,872.00",percent of total billed charges ,"1,638.00",percent of total billed charges ,"1,638.00",percent of total billed charges ,"1,404.00",percent of total billed charges ,"1,404.00",percent of total billed charges ,"1,404.00",percent of total billed charges ,"1,404.00",percent of total billed charges ,,,,,"1,244.88",percent of total billed charges ,,,,,"1,182.64",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,,,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,,,538.2,percent of total billed charges,,,538.2,percent of total billed charges,,,538.2,percent of total billed charges,
**INTERCOSTAL NERVE BLOCK SINGLE,64420,CDM,,,,both,,,"1,421.00","1,421.00",326.83,"1,421.00","1,421.00",percent of total billed charges,"1,421.00",percent of total billed charges,"1,421.00",percent of total billed charges,"1,421.00",percent of total billed charges,"1,421.00",percent of total billed charges,"1,421.00",percent of total billed charges,"1,421.00",percent of total billed charges,"1,421.00",percent of total billed charges,"1,023.12",percent of total billed charges,"1,023.12",percent of total billed charges,"1,023.12",percent of total billed charges,"1,023.12",percent of total billed charges,"1,023.12",percent of total billed charges,"1,023.12",percent of total billed charges,"1,122.59",percent of total billed charges,"1,122.59",percent of total billed charges,"1,136.80",percent of total billed charges,"1,136.80",percent of total billed charges,,,"1,023.12",percent of total billed charges ,,,"1,136.80",percent of total billed charges ,"1,122.59",percent of total billed charges ,"1,122.59",percent of total billed charges ,"1,207.85",percent of total billed charges ,"1,207.85",percent of total billed charges ,"1,136.80",percent of total billed charges ,"1,136.80",percent of total billed charges ,994.7,percent of total billed charges ,994.7,percent of total billed charges ,852.6,percent of total billed charges ,852.6,percent of total billed charges ,852.6,percent of total billed charges ,852.6,percent of total billed charges ,,,,,755.97,percent of total billed charges ,,,,,718.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,326.83,percent of total billed charges,,,326.83,percent of total billed charges,,,326.83,percent of total billed charges,,,326.83,percent of total billed charges,,,326.83,percent of total billed charges,,,326.83,percent of total billed charges,,,326.83,percent of total billed charges,,,326.83,percent of total billed charges,,,326.83,percent of total billed charges,,,326.83,percent of total billed charges,,,326.83,percent of total billed charges,
ESTABLISHED PATIENT VISIT NURSE ONLY,99211,CDM,,,,both,,,259,259,59.57,259,259,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,204.61,percent of total billed charges,204.61,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 ,204.61,percent of total billed charges ,204.61,percent of total billed charges ,220.15,percent of total billed charges ,220.15,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 ,,,,,,,,,,,,,,,,,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,
**INJECTION MAJOR POINT,20610,CDM,,,GF,both,,,"1,155.00","1,155.00",265.65,"1,155.00","1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,"1,155.00",percent of total billed charges,831.6,percent of total billed charges,831.6,percent of total billed charges,831.6,percent of total billed charges,831.6,percent of total billed charges,831.6,percent of total billed charges,831.6,percent of total billed charges,912.45,percent of total billed charges,912.45,percent of total billed charges,924,percent of total billed charges,924,percent of total billed charges,,,831.6,percent of total billed charges ,,,924,percent of total billed charges ,912.45,percent of total billed charges ,912.45,percent of total billed charges ,981.75,percent of total billed charges ,981.75,percent of total billed charges ,924,percent of total billed charges ,924,percent of total billed charges ,808.5,percent of total billed charges ,808.5,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 ,,,,,614.46,percent of total billed charges ,,,,,583.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,,,265.65,percent of total billed charges,
**OCCIPITAL NERVE BLOCK,64450,CDM,,,GF,both,,,"1,422.00","1,422.00",327.06,"1,422.00","1,422.00",percent of total billed charges,"1,422.00",percent of total billed charges,"1,422.00",percent of total billed charges,"1,422.00",percent of total billed charges,"1,422.00",percent of total billed charges,"1,422.00",percent of total billed charges,"1,422.00",percent of total billed charges,"1,422.00",percent of total billed charges,"1,023.84",percent of total billed charges,"1,023.84",percent of total billed charges,"1,023.84",percent of total billed charges,"1,023.84",percent of total billed charges,"1,023.84",percent of total billed charges,"1,023.84",percent of total billed charges,"1,123.38",percent of total billed charges,"1,123.38",percent of total billed charges,"1,137.60",percent of total billed charges,"1,137.60",percent of total billed charges,,,"1,023.84",percent of total billed charges ,,,"1,137.60",percent of total billed charges ,"1,123.38",percent of total billed charges ,"1,123.38",percent of total billed charges ,"1,208.70",percent of total billed charges ,"1,208.70",percent of total billed charges ,"1,137.60",percent of total billed charges ,"1,137.60",percent of total billed charges ,995.4,percent of total billed charges ,995.4,percent of total billed charges ,853.2,percent of total billed charges ,853.2,percent of total billed charges ,853.2,percent of total billed charges ,853.2,percent of total billed charges ,,,,,756.5,percent of total billed charges ,,,,,718.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,327.06,percent of total billed charges,,,327.06,percent of total billed charges,,,327.06,percent of total billed charges,,,327.06,percent of total billed charges,,,327.06,percent of total billed charges,,,327.06,percent of total billed charges,,,327.06,percent of total billed charges,,,327.06,percent of total billed charges,,,327.06,percent of total billed charges,,,327.06,percent of total billed charges,,,327.06,percent of total billed charges,
PAIN/ PROBLEM FOCUSED NEW PATIENT,99201,CDM,,,,both,,,274,274,63.02,274,274,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,216.46,percent of total billed charges,216.46,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 ,216.46,percent of total billed charges ,216.46,percent of total billed charges ,232.9,percent of total billed charges ,232.9,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 ,,,,,,,,,,,,,,,,,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,,,63.02,percent of total billed charges,
PAIN/ COMPREHENSIVE EST PATIENT,99215,CDM,,,25,both,,,645,645,148.35,645,645,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,509.55,percent of total billed charges,509.55,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 ,509.55,percent of total billed charges ,509.55,percent of total billed charges ,548.25,percent of total billed charges ,548.25,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 ,,,,,,,,,,,,,,,,,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,
MEDICAR BASE MILEAGE,A0425,CDM,,,,both,,,16,16,3.68,16,16,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,12.64,percent of total billed charges,12.64,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 ,12.64,percent of total billed charges ,12.64,percent of total billed charges ,13.6,percent of total billed charges ,13.6,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 ,,,,,,,,,,,,,,,,,,,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,,,3.68,percent of total billed charges,,,3.68,percent of total billed charges,,,3.68,percent of total billed charges,
MEDICAR BASE TRIP,A0130,CDM,,,,both,,,86,86,19.78,86,86,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,67.94,percent of total billed charges,67.94,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 ,67.94,percent of total billed charges ,67.94,percent of total billed charges ,73.1,percent of total billed charges ,73.1,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
MEDICAR RETURN MILEAGE,A0425,CDM,,,,both,,,16,16,3.68,16,16,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,12.64,percent of total billed charges,12.64,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 ,12.64,percent of total billed charges ,12.64,percent of total billed charges ,13.6,percent of total billed charges ,13.6,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 ,,,,,,,,,,,,,,,,,,,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,,,3.68,percent of total billed charges,,,3.68,percent of total billed charges,,,3.68,percent of total billed charges,
MEDICAR RETURN TRIP,A0130,CDM,,,,both,,,86,86,19.78,86,86,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,67.94,percent of total billed charges,67.94,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 ,67.94,percent of total billed charges ,67.94,percent of total billed charges ,73.1,percent of total billed charges ,73.1,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
SPEECH TREATMENT,92507,CDM,,,GN,both,,,410,410,94.3,410,410,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,323.9,percent of total billed charges,323.9,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 ,323.9,percent of total billed charges ,323.9,percent of total billed charges ,348.5,percent of total billed charges ,348.5,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 ,,,,,,,,,,,,,,,,,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,
**PROSTHESIS FOLLOWUP DO NOT USE,Local ,Local ,,,,both,,,192,192,44.16,192,192,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,151.68,percent of total billed charges,151.68,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 ,151.68,percent of total billed charges ,151.68,percent of total billed charges ,163.2,percent of total billed charges ,163.2,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 ,,,,,,,,,,,,,,,,,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,
SWALLOWING TX,92526,CDM,,,GN,both,,,393,393,90.39,393,393,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,310.47,percent of total billed charges,310.47,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 ,310.47,percent of total billed charges ,310.47,percent of total billed charges ,334.05,percent of total billed charges ,334.05,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 ,,,,,,,,,,,,,,,,,,,90.39,percent of total billed charges,,,90.39,percent of total billed charges,,,90.39,percent of total billed charges,,,90.39,percent of total billed charges,,,90.39,percent of total billed charges,,,90.39,percent of total billed charges,,,90.39,percent of total billed charges,,,90.39,percent of total billed charges,,,90.39,percent of total billed charges,,,90.39,percent of total billed charges,,,90.39,percent of total billed charges,
**VOICE PROS/EVAL,92597,CDM,,,GN,both,,,648,648,149.04,648,648,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,648,percent of total billed charges,648,percent of total billed charges,648,percent of total billed charges,466.56,percent of total billed charges,466.56,percent of total billed charges,466.56,percent of total billed charges,466.56,percent of total billed charges,466.56,percent of total billed charges,466.56,percent of total billed charges,511.92,percent of total billed charges,511.92,percent of total billed charges,518.4,percent of total billed charges,518.4,percent of total billed charges,,,466.56,percent of total billed charges ,,,518.4,percent of total billed charges ,511.92,percent of total billed charges ,511.92,percent of total billed charges ,550.8,percent of total billed charges ,550.8,percent of total billed charges ,518.4,percent of total billed charges ,518.4,percent of total billed charges ,453.6,percent of total billed charges ,453.6,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 ,,,,,344.74,percent of total billed charges ,,,,,327.5,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,,,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,
SWALLOWING EVAL/CLINICAL,92610,CDM,,,GN,both,,,905,905,208.15,905,905,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,714.95,percent of total billed charges,714.95,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 ,714.95,percent of total billed charges ,714.95,percent of total billed charges ,769.25,percent of total billed charges ,769.25,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 ,,,,,,,,,,,,,,,,,,,208.15,percent of total billed charges,,,208.15,percent of total billed charges,,,208.15,percent of total billed charges,,,208.15,percent of total billed charges,,,208.15,percent of total billed charges,,,208.15,percent of total billed charges,,,208.15,percent of total billed charges,,,208.15,percent of total billed charges,,,208.15,percent of total billed charges,,,208.15,percent of total billed charges,,,208.15,percent of total billed charges,
SWALLOWING EVAL/W RADIOLOGY,92611,CDM,,,GN,both,,,925,925,212.75,925,925,percent of total billed charges,925,percent of total billed charges,925,percent of total billed charges,925,percent of total billed charges,925,percent of total billed charges,925,percent of total billed charges,925,percent of total billed charges,925,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,730.75,percent of total billed charges,730.75,percent of total billed charges,740,percent of total billed charges,740,percent of total billed charges,,,666,percent of total billed charges ,,,740,percent of total billed charges ,730.75,percent of total billed charges ,730.75,percent of total billed charges ,786.25,percent of total billed charges ,786.25,percent of total billed charges ,740,percent of total billed charges ,740,percent of total billed charges ,647.5,percent of total billed charges ,647.5,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 ,,,,,492.1,percent of total billed charges ,,,,,467.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,
**SPEECH LANG EVAL,92506,CDM,,,GN,both,,,680,680,156.4,680,680,percent of total billed charges,680,percent of total billed charges,680,percent of total billed charges,680,percent of total billed charges,680,percent of total billed charges,680,percent of total billed charges,680,percent of total billed charges,680,percent of total billed charges,489.6,percent of total billed charges,489.6,percent of total billed charges,489.6,percent of total billed charges,489.6,percent of total billed charges,489.6,percent of total billed charges,489.6,percent of total billed charges,537.2,percent of total billed charges,537.2,percent of total billed charges,544,percent of total billed charges,544,percent of total billed charges,,,489.6,percent of total billed charges ,,,544,percent of total billed charges ,537.2,percent of total billed charges ,537.2,percent of total billed charges ,578,percent of total billed charges ,578,percent of total billed charges ,544,percent of total billed charges ,544,percent of total billed charges ,476,percent of total billed charges ,476,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 ,,,,,361.76,percent of total billed charges ,,,,,343.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,
SPEECH TREATMENT-EI 15 MIN,92507,CDM,,,GN,both,,,410,410,94.3,410,410,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,323.9,percent of total billed charges,323.9,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 ,323.9,percent of total billed charges ,323.9,percent of total billed charges ,348.5,percent of total billed charges ,348.5,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 ,,,,,,,,,,,,,,,,,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,,,94.3,percent of total billed charges,
**SPEECH LANG EVAL-EI 15 MIN,92506,CDM,,,GN,both,,,173,173,39.79,173,173,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,136.67,percent of total billed charges,136.67,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 ,136.67,percent of total billed charges ,136.67,percent of total billed charges ,147.05,percent of total billed charges ,147.05,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 ,,,,,,,,,,,,,,,,,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,
IFSP DEVELOPMENT-EI 15 MIN,99499,CDM,,,GN,both,,,125,125,28.75,125,125,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,98.75,percent of total billed charges,98.75,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 ,98.75,percent of total billed charges ,98.75,percent of total billed charges ,106.25,percent of total billed charges ,106.25,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 ,,,,,,,,,,,,,,,,,,,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,,,28.75,percent of total billed charges,,,28.75,percent of total billed charges,,,28.75,percent of total billed charges,
**SPEECH GRP TREATMENT-EI 15 MIN,92508,CDM,,,,both,,,44,44,10.12,44,44,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,34.76,percent of total billed charges,34.76,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 ,34.76,percent of total billed charges ,34.76,percent of total billed charges ,37.4,percent of total billed charges ,37.4,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 ,,,,,,,,,,,,,,,,,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,,,10.12,percent of total billed charges,
EVALUATION SPEECH FLUENCY,92521,CDM,,,GN,both,,,680,680,156.4,680,680,percent of total billed charges,680,percent of total billed charges,680,percent of total billed charges,680,percent of total billed charges,680,percent of total billed charges,680,percent of total billed charges,680,percent of total billed charges,680,percent of total billed charges,489.6,percent of total billed charges,489.6,percent of total billed charges,489.6,percent of total billed charges,489.6,percent of total billed charges,489.6,percent of total billed charges,489.6,percent of total billed charges,537.2,percent of total billed charges,537.2,percent of total billed charges,544,percent of total billed charges,544,percent of total billed charges,,,489.6,percent of total billed charges ,,,544,percent of total billed charges ,537.2,percent of total billed charges ,537.2,percent of total billed charges ,578,percent of total billed charges ,578,percent of total billed charges ,544,percent of total billed charges ,544,percent of total billed charges ,476,percent of total billed charges ,476,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 ,,,,,361.76,percent of total billed charges ,,,,,343.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,
EVALUATION SPEECH SOUND PRODUCTION,92522,CDM,,,GN,both,,,680,680,156.4,680,680,percent of total billed charges,680,percent of total billed charges,680,percent of total billed charges,680,percent of total billed charges,680,percent of total billed charges,680,percent of total billed charges,680,percent of total billed charges,680,percent of total billed charges,489.6,percent of total billed charges,489.6,percent of total billed charges,489.6,percent of total billed charges,489.6,percent of total billed charges,489.6,percent of total billed charges,489.6,percent of total billed charges,537.2,percent of total billed charges,537.2,percent of total billed charges,544,percent of total billed charges,544,percent of total billed charges,,,489.6,percent of total billed charges ,,,544,percent of total billed charges ,537.2,percent of total billed charges ,537.2,percent of total billed charges ,578,percent of total billed charges ,578,percent of total billed charges ,544,percent of total billed charges ,544,percent of total billed charges ,476,percent of total billed charges ,476,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 ,,,,,361.76,percent of total billed charges ,,,,,343.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,
EVAL SPEECH SOUND PROD W/ EVAL LANG,92523,CDM,,,GN,both,,,645,645,148.35,645,645,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,509.55,percent of total billed charges,509.55,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 ,509.55,percent of total billed charges ,509.55,percent of total billed charges ,548.25,percent of total billed charges ,548.25,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 ,,,,,,,,,,,,,,,,,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,
BEHAV & QUALITATIVE ANALYSIS OF VOICE,92524,CDM,,,GN,both,,,680,680,156.4,680,680,percent of total billed charges,680,percent of total billed charges,680,percent of total billed charges,680,percent of total billed charges,680,percent of total billed charges,680,percent of total billed charges,680,percent of total billed charges,680,percent of total billed charges,489.6,percent of total billed charges,489.6,percent of total billed charges,489.6,percent of total billed charges,489.6,percent of total billed charges,489.6,percent of total billed charges,489.6,percent of total billed charges,537.2,percent of total billed charges,537.2,percent of total billed charges,544,percent of total billed charges,544,percent of total billed charges,,,489.6,percent of total billed charges ,,,544,percent of total billed charges ,537.2,percent of total billed charges ,537.2,percent of total billed charges ,578,percent of total billed charges ,578,percent of total billed charges ,544,percent of total billed charges ,544,percent of total billed charges ,476,percent of total billed charges ,476,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 ,,,,,361.76,percent of total billed charges ,,,,,343.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,,,156.4,percent of total billed charges,
**EVAL SPEECH FLUENCY-EI 15 MIN,92521,CDM,,,GN,both,,,173,173,39.79,173,173,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,136.67,percent of total billed charges,136.67,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 ,136.67,percent of total billed charges ,136.67,percent of total billed charges ,147.05,percent of total billed charges ,147.05,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 ,,,,,,,,,,,,,,,,,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,
**EVAL SPEECH SOUND PRODUCTION-EI 15 MIN,92522,CDM,,,GN,both,,,173,173,39.79,173,173,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,136.67,percent of total billed charges,136.67,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 ,136.67,percent of total billed charges ,136.67,percent of total billed charges ,147.05,percent of total billed charges ,147.05,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 ,,,,,,,,,,,,,,,,,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,
EVAL SP SOUND PROD W/ EVAL LAN-EI 15 MIN,92523,CDM,,,GN,both,,,173,173,39.79,173,173,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,136.67,percent of total billed charges,136.67,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 ,136.67,percent of total billed charges ,136.67,percent of total billed charges ,147.05,percent of total billed charges ,147.05,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 ,,,,,,,,,,,,,,,,,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,
**BEHAV & QUALITATIVE ANALYSIS OF VOICE,92523,CDM,,,GN,both,,,173,173,39.79,173,173,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,136.67,percent of total billed charges,136.67,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 ,136.67,percent of total billed charges ,136.67,percent of total billed charges ,147.05,percent of total billed charges ,147.05,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 ,,,,,,,,,,,,,,,,,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,
ASSESSMENT OF APHASIA / HR,96105,CDM,,,GN,both,,,764,764,175.72,764,764,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,603.56,percent of total billed charges,603.56,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 ,603.56,percent of total billed charges ,603.56,percent of total billed charges ,649.4,percent of total billed charges ,649.4,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 ,,,,,,,,,,,,,,,,,,,175.72,percent of total billed charges,,,175.72,percent of total billed charges,,,175.72,percent of total billed charges,,,175.72,percent of total billed charges,,,175.72,percent of total billed charges,,,175.72,percent of total billed charges,,,175.72,percent of total billed charges,,,175.72,percent of total billed charges,,,175.72,percent of total billed charges,,,175.72,percent of total billed charges,,,175.72,percent of total billed charges,
STANDARDIZED CONGNITIVE PERFORM / HR,96125,CDM,,,,both,,,547,547,125.81,547,547,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,432.13,percent of total billed charges,432.13,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 ,432.13,percent of total billed charges ,432.13,percent of total billed charges ,464.95,percent of total billed charges ,464.95,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 ,,,,,,,,,,,,,,,,,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,,,125.81,percent of total billed charges,
EVAL FOR SPEECH-GENERATING DEVICE 1ST HR,92607,CDM,,,,both,,,"1,090.00","1,090.00",250.7,"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,861.1,percent of total billed charges,861.1,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 ,861.1,percent of total billed charges ,861.1,percent of total billed charges ,926.5,percent of total billed charges ,926.5,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 ,,,,,,,,,,,,,,,,,,,250.7,percent of total billed charges,,,250.7,percent of total billed charges,,,250.7,percent of total billed charges,,,250.7,percent of total billed charges,,,250.7,percent of total billed charges,,,250.7,percent of total billed charges,,,250.7,percent of total billed charges,,,250.7,percent of total billed charges,,,250.7,percent of total billed charges,,,250.7,percent of total billed charges,,,250.7,percent of total billed charges,
EVAL FOR SPEECH-GEN DEVICE ADD'L 30 MIN,92608,CDM,,,,both,,,790,790,181.7,790,790,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,624.1,percent of total billed charges,624.1,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 ,624.1,percent of total billed charges ,624.1,percent of total billed charges ,671.5,percent of total billed charges ,671.5,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 ,,,,,,,,,,,,,,,,,,,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,,,181.7,percent of total billed charges,,,181.7,percent of total billed charges,,,181.7,percent of total billed charges,
**LANGUAGE-ONLY EVALUATION,92523,CDM,,,GN,both,,,369,369,84.87,369,369,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,291.51,percent of total billed charges,291.51,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 ,291.51,percent of total billed charges ,291.51,percent of total billed charges ,313.65,percent of total billed charges ,313.65,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 ,,,,,,,,,,,,,,,,,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,
**LANGUAGE-ONLY EVALUATION-EI 15 MIN,92523,CDM,,,GN,both,,,98,98,22.54,98,98,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,77.42,percent of total billed charges,77.42,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 ,77.42,percent of total billed charges ,77.42,percent of total billed charges ,83.3,percent of total billed charges ,83.3,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 ,,,,,,,,,,,,,,,,,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,
**SWALLOW (CURRENT) CH,G8996,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**SWALLOW (CURRENT) CI,G8996,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**SWALLOW (CURRENT) CJ,G8996,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**SWALLOW (CURRENT) CK,G8996,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**SWALLOW (CURRENT) CL,G8996,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**SWALLOW (CURRENT) CM,G8996,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**SWALLOW (CURRENT) CN,G8996,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**SWALLOW (GOAL) CH,G8997,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**SWALLOW (GOAL) CI,G8997,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**SWALLOW (GOAL) CJ,G8997,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**SWALLOW (GOAL) CK,G8997,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**SWALLOW (GOAL) CL,G8997,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**SWALLOW (GOAL) CM,G8997,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**SWALLOW (GOAL) CN,G8997,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**SWALLOW (DC) CH,G8998,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**SWALLOW (DC) CI,G8998,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**SWALLOW (DC) CJ,G8998,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**SWALLOW (DC) CK,G8998,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**SWALLOW (DC) CL,G8998,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**SWALLOW (DC) CM,G8998,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**SWALLOW (DC) CN,G8998,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**MOTOR SPEECH (CURRENT) CH,G8999,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**MOTOR SPEECH (CURRENT) CI,G8999,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**MOTOR SPEECH (CURRENT) CJ,G8999,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**MOTOR SPEECH (CURRENT) CK,G8999,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**MOTOR SPEECH (CURRENT) CL,G8999,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**MOTOR SPEECH (CURRENT) CM,G8999,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**MOTOR SPEECH (CURRENT) CN,G8999,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**MOTOR SPEECH (GOAL) CH,G9186,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**MOTOR SPEECH (GOAL) CI,G9186,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**MOTOR SPEECH (GOAL) CJ,G9186,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**MOTOR SPEECH (GOAL) CK,G9186,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**MOTOR SPEECH (GOAL) CL,G9186,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**MOTOR SPEECH (GOAL) CM,G9186,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**MOTOR SPEECH (GOAL) CN,G9186,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**MOTOR SPEECH (DC) CH,G9158,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**MOTOR SPEECH (DC) CI,G9158,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**MOTOR SPEECH (DC) CJ,G9158,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**MOTOR SPEECH (DC) CK,G9158,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**MOTOR SPEECH (DC) CL,G9158,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**MOTOR SPEECH (DC) CM,G9158,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**MOTOR SPEECH (DC) CN,G9158,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**LANG COMP (CURRENT) CH,G9159,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**LANG COMP (CURRENT) CI,G9159,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**LANG COMP (CURRENT) CJ,G9159,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**LANG COMP (CURRENT) CK,G9159,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**LANG COMP (CURRENT) CL,G9159,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**LANG COMP (CURRENT) CM,G9159,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**LANG COMP (CURRENT) CN,G9159,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**LANG COMP (GOAL) CH,G9160,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**LANG COMP (GOAL) CI,G9160,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**LANG COMP (GOAL) CJ,G9160,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**LANG COMP (GOAL) CK,G9160,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**LANG COMP (GOAL) CL,G9160,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**LANG COMP (GOAL) CM,G9160,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**LANG COMP (GOAL) CN,G9160,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**LANG COMP (DC) CH,G9161,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**LANG COMP (DC) CI,G9161,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**LANG COMP (DC) CJ,G9161,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**LANG COMP (DC) CK,G9161,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**LANG COMP (DC) CL,G9161,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**LANG COMP (DC) CM,G9161,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**LANG COMP (DC) CN,G9161,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**LANG EXPRESS (CURRENT) CH,G9162,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**LANG EXPRESS (CURRENT) CI,G9162,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**LANG EXPRESS (CURRENT) CJ,G9162,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**LANG EXPRESS (CURRENT) CK,G9162,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**LANG EXPRESS (CURRENT) CL,G9162,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**LANG EXPRESS (CURRENT) CM,G9162,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**LANG EXPRESS (CURRENT) CN,G9162,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**LANG EXPRESS (GOAL) CH,G9163,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**LANG EXPRESS (GOAL) CI,G9163,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**LANG EXPRESS (GOAL) CJ,G9163,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**LANG EXPRESS (GOAL) CK,G9163,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**LANG EXPRESS (GOAL) CL,G9163,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**LANG EXPRESS (GOAL) CM,G9163,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**LANG EXPRESS (DC) CH,G9164,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**LANG EXPRESS (DC) CI,G9164,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**LANG EXPRESS (DC) CJ,G9164,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**LANG EXPRESS (DC) CK,G9164,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**LANG EXPRESS (DC) CL,G9164,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**LANG EXPRESS (DC) CM,G9164,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**LANG EXPRESS (DC) CN,G9164,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**ATTEN (CURRENT) CH,G9165,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**ATTEN (CURRENT) CI,G9165,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**ATTEN (CURRENT) CJ,G9165,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**ATTEN (CURRENT) CK,G9165,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**ATTEN (CURRENT) CL,G9165,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**ATTEN (CURRENT) CM,G9165,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**ATTEN (CURRENT) CN,G9165,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**ATTEN (GOAL) CH,G9166,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**ATTEN (GOAL) CI,G9166,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**ATTEN (GOAL) CJ,G9166,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**ATTEN (GOAL) CK,G9166,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**ATTEN (GOAL) CL,G9166,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**ATTEN (GOAL) CM,G9166,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**ATTEN (GOAL) CN,G9166,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**ATTEN (DC) CH,G9167,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**ATTEN (DC) CI,G9167,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**ATTEN (DC) CJ,G9167,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**ATTEN (DC) CK,G9167,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**ATTEN (DC) CL,G9167,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**ATTEN (DC) CM,G9167,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**ATTEN (DC) CN,G9167,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**MEMORY (CURRENT) CH,G9168,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**MEMORY (CURRENT) CI,G9168,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**MEMORY (CURRENT) CJ,G9168,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**MEMORY (CURRENT) CK,G9168,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**MEMORY (CURRENT) CL,G9168,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**MEMORY (CURRENT) CM,G9168,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**MEMORY (CURRENT) CN,G9168,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**MEMORY (GOAL) CH,G9169,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**MEMORY (GOAL) CI,G9169,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**MEMORY (GOAL) CJ,G9169,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**MEMORY (GOAL) CK,G9169,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**MEMORY (GOAL) CL,G9169,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**MEMORY (GOAL) CM,G9169,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**MEMORY (GOAL) CN,G9169,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**MEMORY (DC) CH,G9170,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**MEMORY (DC) CI,G9170,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**MEMORY (DC) CJ,G9170,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**MEMORY (DC) CK,G9170,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**MEMORY (DC) CL,G9170,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**MEMORY (DC) CM,G9170,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**MEMORY (DC) CN,G9170,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**VOICE (CURRENT) CH,G9171,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**VOICE (CURRENT) CI,G9171,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**VOICE (CURRENT) CJ,G9171,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**VOICE (CURRENT) CK,G9171,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**VOICE (CURRENT) CL,G9171,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**VOICE (CURRENT) CM,G9171,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**VOICE (CURRENT) CN,G9171,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**VOICE (GOAL) CH,G9172,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**VOICE (GOAL) CI,G9172,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**VOICE (GOAL) CJ,G9172,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**VOICE (GOAL) CK,G9172,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**VOICE (GOAL) CL,G9172,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**VOICE (GOAL) CM,G9172,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**VOICE (GOAL) CN,G9172,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**VOICE (DC) CH,G9173,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**VOICE (DC) CI,G9173,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**VOICE (DC) CJ,G9173,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**VOICE (DC) CK,G9173,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**VOICE (DC) CL,G9173,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**VOICE (DC) CM,G9173,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**VOICE (DC) CN,G9173,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SPEECH LANG (CURRENT) CH,G9174,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SPEECH LANG (CURRENT) CI,G9174,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SPEECH LANG (CURRENT) CJ,G9174,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SPEECH LANG (CURRENT) CK,G9174,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SPEECH LANG (CURRENT) CL,G9174,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SPEECH LANG (CURRENT) CM,G9174,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SPEECH LANG (CURRENT) CN,G9174,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SPEECH LANG (GOAL) CH,G9175,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SPEECH LANG (GOAL) CI,G9175,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SPEECH LANG (GOAL) CJ,G9175,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SPEECH LANG (GOAL) CK,G9175,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SPEECH LANG (GOAL) CL,G9175,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SPEECH LANG (GOAL) CM,G9175,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SPEECH LANG (GOAL) CN,G9175,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**SPEECH LANG (DC) CH,G9176,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SPEECH LANG (DC) CI,G9176,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SPEECH LANG (DC) CJ,G9176,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SPEECH LANG (DC) CK,G9176,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SPEECH LANG (DC) CL,G9176,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SPEECH LANG (DC) CM,G9176,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SPEECH LANG (DC) CN,G9176,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SPEECH TREATMENT/ 2 UNITS,92507,CDM,,,GN,both,,,890,890,204.7,890,890,percent of total billed charges,890,percent of total billed charges,890,percent of total billed charges,890,percent of total billed charges,890,percent of total billed charges,890,percent of total billed charges,890,percent of total billed charges,890,percent of total billed charges,640.8,percent of total billed charges,640.8,percent of total billed charges,640.8,percent of total billed charges,640.8,percent of total billed charges,640.8,percent of total billed charges,640.8,percent of total billed charges,703.1,percent of total billed charges,703.1,percent of total billed charges,712,percent of total billed charges,712,percent of total billed charges,,,640.8,percent of total billed charges ,,,712,percent of total billed charges ,703.1,percent of total billed charges ,703.1,percent of total billed charges ,756.5,percent of total billed charges ,756.5,percent of total billed charges ,712,percent of total billed charges ,712,percent of total billed charges ,623,percent of total billed charges ,623,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 ,,,,,473.48,percent of total billed charges ,,,,,449.81,percent of total billed charges ,,,,,,,,,,,,,,,,,,,204.7,percent of total billed charges,,,204.7,percent of total billed charges,,,204.7,percent of total billed charges,,,204.7,percent of total billed charges,,,204.7,percent of total billed charges,,,204.7,percent of total billed charges,,,204.7,percent of total billed charges,,,204.7,percent of total billed charges,,,204.7,percent of total billed charges,,,204.7,percent of total billed charges,,,204.7,percent of total billed charges,
**SPEECH TREATMENT/ 3 UNITS,92507,CDM,,,GN,both,,,"1,333.00","1,333.00",306.59,"1,333.00","1,333.00",percent of total billed charges,"1,333.00",percent of total billed charges,"1,333.00",percent of total billed charges,"1,333.00",percent of total billed charges,"1,333.00",percent of total billed charges,"1,333.00",percent of total billed charges,"1,333.00",percent of total billed charges,"1,333.00",percent of total billed charges,959.76,percent of total billed charges,959.76,percent of total billed charges,959.76,percent of total billed charges,959.76,percent of total billed charges,959.76,percent of total billed charges,959.76,percent of total billed charges,"1,053.07",percent of total billed charges,"1,053.07",percent of total billed charges,"1,066.40",percent of total billed charges,"1,066.40",percent of total billed charges,,,959.76,percent of total billed charges ,,,"1,066.40",percent of total billed charges ,"1,053.07",percent of total billed charges ,"1,053.07",percent of total billed charges ,"1,133.05",percent of total billed charges ,"1,133.05",percent of total billed charges ,"1,066.40",percent of total billed charges ,"1,066.40",percent of total billed charges ,933.1,percent of total billed charges ,933.1,percent of total billed charges ,799.8,percent of total billed charges ,799.8,percent of total billed charges ,799.8,percent of total billed charges ,799.8,percent of total billed charges ,,,,,709.16,percent of total billed charges ,,,,,673.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,306.59,percent of total billed charges,,,306.59,percent of total billed charges,,,306.59,percent of total billed charges,,,306.59,percent of total billed charges,,,306.59,percent of total billed charges,,,306.59,percent of total billed charges,,,306.59,percent of total billed charges,,,306.59,percent of total billed charges,,,306.59,percent of total billed charges,,,306.59,percent of total billed charges,,,306.59,percent of total billed charges,
**SPEECH TREATMENT/ 4 UNITS,92507,CDM,,,GN,both,,,"1,772.00","1,772.00",407.56,"1,772.00","1,772.00",percent of total billed charges,"1,772.00",percent of total billed charges,"1,772.00",percent of total billed charges,"1,772.00",percent of total billed charges,"1,772.00",percent of total billed charges,"1,772.00",percent of total billed charges,"1,772.00",percent of total billed charges,"1,772.00",percent of total billed charges,"1,275.84",percent of total billed charges,"1,275.84",percent of total billed charges,"1,275.84",percent of total billed charges,"1,275.84",percent of total billed charges,"1,275.84",percent of total billed charges,"1,275.84",percent of total billed charges,"1,399.88",percent of total billed charges,"1,399.88",percent of total billed charges,"1,417.60",percent of total billed charges,"1,417.60",percent of total billed charges,,,"1,275.84",percent of total billed charges ,,,"1,417.60",percent of total billed charges ,"1,399.88",percent of total billed charges ,"1,399.88",percent of total billed charges ,"1,506.20",percent of total billed charges ,"1,506.20",percent of total billed charges ,"1,417.60",percent of total billed charges ,"1,417.60",percent of total billed charges ,"1,240.40",percent of total billed charges ,"1,240.40",percent of total billed charges ,"1,063.20",percent of total billed charges ,"1,063.20",percent of total billed charges ,"1,063.20",percent of total billed charges ,"1,063.20",percent of total billed charges ,,,,,942.7,percent of total billed charges ,,,,,895.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,407.56,percent of total billed charges,,,407.56,percent of total billed charges,,,407.56,percent of total billed charges,,,407.56,percent of total billed charges,,,407.56,percent of total billed charges,,,407.56,percent of total billed charges,,,407.56,percent of total billed charges,,,407.56,percent of total billed charges,,,407.56,percent of total billed charges,,,407.56,percent of total billed charges,,,407.56,percent of total billed charges,
**SWALLOWING TX/ 2 UNITS,92526,CDM,,,GN,both,,,"1,117.00","1,117.00",256.91,"1,117.00","1,117.00",percent of total billed charges,"1,117.00",percent of total billed charges,"1,117.00",percent of total billed charges,"1,117.00",percent of total billed charges,"1,117.00",percent of total billed charges,"1,117.00",percent of total billed charges,"1,117.00",percent of total billed charges,"1,117.00",percent of total billed charges,804.24,percent of total billed charges,804.24,percent of total billed charges,804.24,percent of total billed charges,804.24,percent of total billed charges,804.24,percent of total billed charges,804.24,percent of total billed charges,882.43,percent of total billed charges,882.43,percent of total billed charges,893.6,percent of total billed charges,893.6,percent of total billed charges,,,804.24,percent of total billed charges ,,,893.6,percent of total billed charges ,882.43,percent of total billed charges ,882.43,percent of total billed charges ,949.45,percent of total billed charges ,949.45,percent of total billed charges ,893.6,percent of total billed charges ,893.6,percent of total billed charges ,781.9,percent of total billed charges ,781.9,percent of total billed charges ,670.2,percent of total billed charges ,670.2,percent of total billed charges ,670.2,percent of total billed charges ,670.2,percent of total billed charges ,,,,,594.24,percent of total billed charges ,,,,,564.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,256.91,percent of total billed charges,,,256.91,percent of total billed charges,,,256.91,percent of total billed charges,,,256.91,percent of total billed charges,,,256.91,percent of total billed charges,,,256.91,percent of total billed charges,,,256.91,percent of total billed charges,,,256.91,percent of total billed charges,,,256.91,percent of total billed charges,,,256.91,percent of total billed charges,,,256.91,percent of total billed charges,
**SWALLOWING TX/ 3 UNITS,92526,CDM,,,GN,both,,,"1,670.00","1,670.00",384.1,"1,670.00","1,670.00",percent of total billed charges,"1,670.00",percent of total billed charges,"1,670.00",percent of total billed charges,"1,670.00",percent of total billed charges,"1,670.00",percent of total billed charges,"1,670.00",percent of total billed charges,"1,670.00",percent of total billed charges,"1,670.00",percent of total billed charges,"1,202.40",percent of total billed charges,"1,202.40",percent of total billed charges,"1,202.40",percent of total billed charges,"1,202.40",percent of total billed charges,"1,202.40",percent of total billed charges,"1,202.40",percent of total billed charges,"1,319.30",percent of total billed charges,"1,319.30",percent of total billed charges,"1,336.00",percent of total billed charges,"1,336.00",percent of total billed charges,,,"1,202.40",percent of total billed charges ,,,"1,336.00",percent of total billed charges ,"1,319.30",percent of total billed charges ,"1,319.30",percent of total billed charges ,"1,419.50",percent of total billed charges ,"1,419.50",percent of total billed charges ,"1,336.00",percent of total billed charges ,"1,336.00",percent of total billed charges ,"1,169.00",percent of total billed charges ,"1,169.00",percent of total billed charges ,"1,002.00",percent of total billed charges ,"1,002.00",percent of total billed charges ,"1,002.00",percent of total billed charges ,"1,002.00",percent of total billed charges ,,,,,888.44,percent of total billed charges ,,,,,844.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,384.1,percent of total billed charges,,,384.1,percent of total billed charges,,,384.1,percent of total billed charges,,,384.1,percent of total billed charges,,,384.1,percent of total billed charges,,,384.1,percent of total billed charges,,,384.1,percent of total billed charges,,,384.1,percent of total billed charges,,,384.1,percent of total billed charges,,,384.1,percent of total billed charges,,,384.1,percent of total billed charges,
**SWALLOWING TX/ 4 UNITS,92526,CDM,,,GN,both,,,"2,225.00","2,225.00",511.75,"2,225.00","2,225.00",percent of total billed charges,"2,225.00",percent of total billed charges,"2,225.00",percent of total billed charges,"2,225.00",percent of total billed charges,"2,225.00",percent of total billed charges,"2,225.00",percent of total billed charges,"2,225.00",percent of total billed charges,"2,225.00",percent of total billed charges,"1,602.00",percent of total billed charges,"1,602.00",percent of total billed charges,"1,602.00",percent of total billed charges,"1,602.00",percent of total billed charges,"1,602.00",percent of total billed charges,"1,602.00",percent of total billed charges,"1,757.75",percent of total billed charges,"1,757.75",percent of total billed charges,"1,780.00",percent of total billed charges,"1,780.00",percent of total billed charges,,,"1,602.00",percent of total billed charges ,,,"1,780.00",percent of total billed charges ,"1,757.75",percent of total billed charges ,"1,757.75",percent of total billed charges ,"1,891.25",percent of total billed charges ,"1,891.25",percent of total billed charges ,"1,780.00",percent of total billed charges ,"1,780.00",percent of total billed charges ,"1,557.50",percent of total billed charges ,"1,557.50",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 ,,,,,"1,183.70",percent of total billed charges ,,,,,"1,124.52",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,
**LANG EXPRESS (GOAL) CN,G9163,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
SUMMERSCHOOL ST/15MIN,Local ,Local ,,,,both,,,17,17,3.91,17,17,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,13.43,percent of total billed charges,13.43,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 ,13.43,percent of total billed charges ,13.43,percent of total billed charges ,14.45,percent of total billed charges ,14.45,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 ,,,,,,,,,,,,,,,,,,,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,
**HEARING AID DIGITAL MANUARAL,V5256,CDM,,,,both,,,"4,946.00","4,946.00","1,137.58","4,946.00","4,946.00",percent of total billed charges,"4,946.00",percent of total billed charges,"4,946.00",percent of total billed charges,"4,946.00",percent of total billed charges,"4,946.00",percent of total billed charges,"4,946.00",percent of total billed charges,"4,946.00",percent of total billed charges,"4,946.00",percent of total billed charges,"3,561.12",percent of total billed charges,"3,561.12",percent of total billed charges,"3,561.12",percent of total billed charges,"3,561.12",percent of total billed charges,"3,561.12",percent of total billed charges,"3,561.12",percent of total billed charges,"3,907.34",percent of total billed charges,"3,907.34",percent of total billed charges,"3,956.80",percent of total billed charges,"3,956.80",percent of total billed charges,,,"3,561.12",percent of total billed charges ,,,"3,956.80",percent of total billed charges ,"3,907.34",percent of total billed charges ,"3,907.34",percent of total billed charges ,"4,204.10",percent of total billed charges ,"4,204.10",percent of total billed charges ,"3,956.80",percent of total billed charges ,"3,956.80",percent of total billed charges ,"3,462.20",percent of total billed charges ,"3,462.20",percent of total billed charges ,"2,967.60",percent of total billed charges ,"2,967.60",percent of total billed charges ,"2,967.60",percent of total billed charges ,"2,967.60",percent of total billed charges ,,,,,"2,631.27",percent of total billed charges ,,,,,"2,499.71",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,137.58",percent of total billed charges,,,"1,137.58",percent of total billed charges,,,"1,137.58",percent of total billed charges,,,"1,137.58",percent of total billed charges,,,"1,137.58",percent of total billed charges,,,"1,137.58",percent of total billed charges,,,"1,137.58",percent of total billed charges,,,"1,137.58",percent of total billed charges,,,"1,137.58",percent of total billed charges,,,"1,137.58",percent of total billed charges,,,"1,137.58",percent of total billed charges,
**HEARING AID DIGITAL LIFE,V5257,CDM,,,,both,,,"6,071.00","6,071.00","1,396.33","6,071.00","6,071.00",percent of total billed charges,"6,071.00",percent of total billed charges,"6,071.00",percent of total billed charges,"6,071.00",percent of total billed charges,"6,071.00",percent of total billed charges,"6,071.00",percent of total billed charges,"6,071.00",percent of total billed charges,"6,071.00",percent of total billed charges,"4,371.12",percent of total billed charges,"4,371.12",percent of total billed charges,"4,371.12",percent of total billed charges,"4,371.12",percent of total billed charges,"4,371.12",percent of total billed charges,"4,371.12",percent of total billed charges,"4,796.09",percent of total billed charges,"4,796.09",percent of total billed charges,"4,856.80",percent of total billed charges,"4,856.80",percent of total billed charges,,,"4,371.12",percent of total billed charges ,,,"4,856.80",percent of total billed charges ,"4,796.09",percent of total billed charges ,"4,796.09",percent of total billed charges ,"5,160.35",percent of total billed charges ,"5,160.35",percent of total billed charges ,"4,856.80",percent of total billed charges ,"4,856.80",percent of total billed charges ,"4,249.70",percent of total billed charges ,"4,249.70",percent of total billed charges ,"3,642.60",percent of total billed charges ,"3,642.60",percent of total billed charges ,"3,642.60",percent of total billed charges ,"3,642.60",percent of total billed charges ,,,,,"3,229.77",percent of total billed charges ,,,,,"3,068.28",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,396.33",percent of total billed charges,,,"1,396.33",percent of total billed charges,,,"1,396.33",percent of total billed charges,,,"1,396.33",percent of total billed charges,,,"1,396.33",percent of total billed charges,,,"1,396.33",percent of total billed charges,,,"1,396.33",percent of total billed charges,,,"1,396.33",percent of total billed charges,,,"1,396.33",percent of total billed charges,,,"1,396.33",percent of total billed charges,,,"1,396.33",percent of total billed charges,
**HEARING AID CANAL,V5255,CDM,,,,both,,,"4,207.00","4,207.00",967.61,"4,207.00","4,207.00",percent of total billed charges,"4,207.00",percent of total billed charges,"4,207.00",percent of total billed charges,"4,207.00",percent of total billed charges,"4,207.00",percent of total billed charges,"4,207.00",percent of total billed charges,"4,207.00",percent of total billed charges,"4,207.00",percent of total billed charges,"3,029.04",percent of total billed charges,"3,029.04",percent of total billed charges,"3,029.04",percent of total billed charges,"3,029.04",percent of total billed charges,"3,029.04",percent of total billed charges,"3,029.04",percent of total billed charges,"3,323.53",percent of total billed charges,"3,323.53",percent of total billed charges,"3,365.60",percent of total billed charges,"3,365.60",percent of total billed charges,,,"3,029.04",percent of total billed charges ,,,"3,365.60",percent of total billed charges ,"3,323.53",percent of total billed charges ,"3,323.53",percent of total billed charges ,"3,575.95",percent of total billed charges ,"3,575.95",percent of total billed charges ,"3,365.60",percent of total billed charges ,"3,365.60",percent of total billed charges ,"2,944.90",percent of total billed charges ,"2,944.90",percent of total billed charges ,"2,524.20",percent of total billed charges ,"2,524.20",percent of total billed charges ,"2,524.20",percent of total billed charges ,"2,524.20",percent of total billed charges ,,,,,"2,238.12",percent of total billed charges ,,,,,"2,126.22",percent of total billed charges ,,,,,,,,,,,,,,,,,,,967.61,percent of total billed charges,,,967.61,percent of total billed charges,,,967.61,percent of total billed charges,,,967.61,percent of total billed charges,,,967.61,percent of total billed charges,,,967.61,percent of total billed charges,,,967.61,percent of total billed charges,,,967.61,percent of total billed charges,,,967.61,percent of total billed charges,,,967.61,percent of total billed charges,,,967.61,percent of total billed charges,
**HEARING AID BATTERY DO NOT USE,V5266,CDM,,,,both,,,52,52,11.96,52,52,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,41.08,percent of total billed charges,41.08,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 ,41.08,percent of total billed charges ,41.08,percent of total billed charges ,44.2,percent of total billed charges ,44.2,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 ,,,,,,,,,,,,,,,,,,,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,
**ITE COMPRESSION DO NOT USE,V5050,CDM,,,,both,,,"3,504.00","3,504.00",805.92,"3,504.00","3,504.00",percent of total billed charges,"3,504.00",percent of total billed charges,"3,504.00",percent of total billed charges,"3,504.00",percent of total billed charges,"3,504.00",percent of total billed charges,"3,504.00",percent of total billed charges,"3,504.00",percent of total billed charges,"3,504.00",percent of total billed charges,"2,522.88",percent of total billed charges,"2,522.88",percent of total billed charges,"2,522.88",percent of total billed charges,"2,522.88",percent of total billed charges,"2,522.88",percent of total billed charges,"2,522.88",percent of total billed charges,"2,768.16",percent of total billed charges,"2,768.16",percent of total billed charges,"2,803.20",percent of total billed charges,"2,803.20",percent of total billed charges,,,"2,522.88",percent of total billed charges ,,,"2,803.20",percent of total billed charges ,"2,768.16",percent of total billed charges ,"2,768.16",percent of total billed charges ,"2,978.40",percent of total billed charges ,"2,978.40",percent of total billed charges ,"2,803.20",percent of total billed charges ,"2,803.20",percent of total billed charges ,"2,452.80",percent of total billed charges ,"2,452.80",percent of total billed charges ,"2,102.40",percent of total billed charges ,"2,102.40",percent of total billed charges ,"2,102.40",percent of total billed charges ,"2,102.40",percent of total billed charges ,,,,,"1,864.13",percent of total billed charges ,,,,,"1,770.92",percent of total billed charges ,,,,,,,,,,,,,,,,,,,805.92,percent of total billed charges,,,805.92,percent of total billed charges,,,805.92,percent of total billed charges,,,805.92,percent of total billed charges,,,805.92,percent of total billed charges,,,805.92,percent of total billed charges,,,805.92,percent of total billed charges,,,805.92,percent of total billed charges,,,805.92,percent of total billed charges,,,805.92,percent of total billed charges,,,805.92,percent of total billed charges,
**HEARING AID DIGITAL PREMUIM,V5258,CDM,,,,both,,,"6,860.00","6,860.00","1,577.80","6,860.00","6,860.00",percent of total billed charges,"6,860.00",percent of total billed charges,"6,860.00",percent of total billed charges,"6,860.00",percent of total billed charges,"6,860.00",percent of total billed charges,"6,860.00",percent of total billed charges,"6,860.00",percent of total billed charges,"6,860.00",percent of total billed charges,"4,939.20",percent of total billed charges,"4,939.20",percent of total billed charges,"4,939.20",percent of total billed charges,"4,939.20",percent of total billed charges,"4,939.20",percent of total billed charges,"4,939.20",percent of total billed charges,"5,419.40",percent of total billed charges,"5,419.40",percent of total billed charges,"5,488.00",percent of total billed charges,"5,488.00",percent of total billed charges,,,"4,939.20",percent of total billed charges ,,,"5,488.00",percent of total billed charges ,"5,419.40",percent of total billed charges ,"5,419.40",percent of total billed charges ,"5,831.00",percent of total billed charges ,"5,831.00",percent of total billed charges ,"5,488.00",percent of total billed charges ,"5,488.00",percent of total billed charges ,"4,802.00",percent of total billed charges ,"4,802.00",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 ,,,,,"3,649.52",percent of total billed charges ,,,,,"3,467.04",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,577.80",percent of total billed charges,,,"1,577.80",percent of total billed charges,,,"1,577.80",percent of total billed charges,,,"1,577.80",percent of total billed charges,,,"1,577.80",percent of total billed charges,,,"1,577.80",percent of total billed charges,,,"1,577.80",percent of total billed charges,,,"1,577.80",percent of total billed charges,,,"1,577.80",percent of total billed charges,,,"1,577.80",percent of total billed charges,,,"1,577.80",percent of total billed charges,
**HEARING AID CIC,V5242,CDM,,,,both,,,"2,833.00","2,833.00",651.59,"2,833.00","2,833.00",percent of total billed charges,"2,833.00",percent of total billed charges,"2,833.00",percent of total billed charges,"2,833.00",percent of total billed charges,"2,833.00",percent of total billed charges,"2,833.00",percent of total billed charges,"2,833.00",percent of total billed charges,"2,833.00",percent of total billed charges,"2,039.76",percent of total billed charges,"2,039.76",percent of total billed charges,"2,039.76",percent of total billed charges,"2,039.76",percent of total billed charges,"2,039.76",percent of total billed charges,"2,039.76",percent of total billed charges,"2,238.07",percent of total billed charges,"2,238.07",percent of total billed charges,"2,266.40",percent of total billed charges,"2,266.40",percent of total billed charges,,,"2,039.76",percent of total billed charges ,,,"2,266.40",percent of total billed charges ,"2,238.07",percent of total billed charges ,"2,238.07",percent of total billed charges ,"2,408.05",percent of total billed charges ,"2,408.05",percent of total billed charges ,"2,266.40",percent of total billed charges ,"2,266.40",percent of total billed charges ,"1,983.10",percent of total billed charges ,"1,983.10",percent of total billed charges ,"1,699.80",percent of total billed charges ,"1,699.80",percent of total billed charges ,"1,699.80",percent of total billed charges ,"1,699.80",percent of total billed charges ,,,,,"1,507.16",percent of total billed charges ,,,,,"1,431.80",percent of total billed charges ,,,,,,,,,,,,,,,,,,,651.59,percent of total billed charges,,,651.59,percent of total billed charges,,,651.59,percent of total billed charges,,,651.59,percent of total billed charges,,,651.59,percent of total billed charges,,,651.59,percent of total billed charges,,,651.59,percent of total billed charges,,,651.59,percent of total billed charges,,,651.59,percent of total billed charges,,,651.59,percent of total billed charges,,,651.59,percent of total billed charges,
**BEHIND THE EAR HA,V5060,CDM,,,,both,,,"2,674.00","2,674.00",615.02,"2,674.00","2,674.00",percent of total billed charges,"2,674.00",percent of total billed charges,"2,674.00",percent of total billed charges,"2,674.00",percent of total billed charges,"2,674.00",percent of total billed charges,"2,674.00",percent of total billed charges,"2,674.00",percent of total billed charges,"2,674.00",percent of total billed charges,"1,925.28",percent of total billed charges,"1,925.28",percent of total billed charges,"1,925.28",percent of total billed charges,"1,925.28",percent of total billed charges,"1,925.28",percent of total billed charges,"1,925.28",percent of total billed charges,"2,112.46",percent of total billed charges,"2,112.46",percent of total billed charges,"2,139.20",percent of total billed charges,"2,139.20",percent of total billed charges,,,"1,925.28",percent of total billed charges ,,,"2,139.20",percent of total billed charges ,"2,112.46",percent of total billed charges ,"2,112.46",percent of total billed charges ,"2,272.90",percent of total billed charges ,"2,272.90",percent of total billed charges ,"2,139.20",percent of total billed charges ,"2,139.20",percent of total billed charges ,"1,871.80",percent of total billed charges ,"1,871.80",percent of total billed charges ,"1,604.40",percent of total billed charges ,"1,604.40",percent of total billed charges ,"1,604.40",percent of total billed charges ,"1,604.40",percent of total billed charges ,,,,,"1,422.57",percent of total billed charges ,,,,,"1,351.44",percent of total billed charges ,,,,,,,,,,,,,,,,,,,615.02,percent of total billed charges,,,615.02,percent of total billed charges,,,615.02,percent of total billed charges,,,615.02,percent of total billed charges,,,615.02,percent of total billed charges,,,615.02,percent of total billed charges,,,615.02,percent of total billed charges,,,615.02,percent of total billed charges,,,615.02,percent of total billed charges,,,615.02,percent of total billed charges,,,615.02,percent of total billed charges,
**HEARING AID EVAL MONAURAL DO NOT USE,V5010,CDM,,,,both,,,528,528,121.44,528,528,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,417.12,percent of total billed charges,417.12,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 ,417.12,percent of total billed charges ,417.12,percent of total billed charges ,448.8,percent of total billed charges ,448.8,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**EARMOLDS,V5264,CDM,,,,both,,,193,193,44.39,193,193,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,152.47,percent of total billed charges,152.47,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 ,152.47,percent of total billed charges ,152.47,percent of total billed charges ,164.05,percent of total billed charges ,164.05,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 ,,,,,,,,,,,,,,,,,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,
**HEARING AID MAINTENCE FEE,V5241,CDM,,,,both,,,467,467,107.41,467,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,467,percent of total billed charges,336.24,percent of total billed charges,336.24,percent of total billed charges,336.24,percent of total billed charges,336.24,percent of total billed charges,336.24,percent of total billed charges,336.24,percent of total billed charges,368.93,percent of total billed charges,368.93,percent of total billed charges,373.6,percent of total billed charges,373.6,percent of total billed charges,,,336.24,percent of total billed charges ,,,373.6,percent of total billed charges ,368.93,percent of total billed charges ,368.93,percent of total billed charges ,396.95,percent of total billed charges ,396.95,percent of total billed charges ,373.6,percent of total billed charges ,373.6,percent of total billed charges ,326.9,percent of total billed charges ,326.9,percent of total billed charges ,280.2,percent of total billed charges ,280.2,percent of total billed charges ,280.2,percent of total billed charges ,280.2,percent of total billed charges ,,,,,248.44,percent of total billed charges ,,,,,236.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,,,107.41,percent of total billed charges,
**SWIMMOLDS DO NOT USE,V5264,CDM,,,,both,,,193,193,44.39,193,193,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,152.47,percent of total billed charges,152.47,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 ,152.47,percent of total billed charges ,152.47,percent of total billed charges ,164.05,percent of total billed charges ,164.05,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 ,,,,,,,,,,,,,,,,,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,
**AUDOP-HEAR AID EVAL BINAURAL,V5010,CDM,,,,both,,,528,528,121.44,528,528,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,417.12,percent of total billed charges,417.12,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 ,417.12,percent of total billed charges ,417.12,percent of total billed charges ,448.8,percent of total billed charges ,448.8,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**LIMITED OTOACOUSTIC TEST,92587,CDM,,,,both,,,237,237,54.51,237,237,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,187.23,percent of total billed charges,187.23,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 ,187.23,percent of total billed charges ,187.23,percent of total billed charges ,201.45,percent of total billed charges ,201.45,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 ,,,,,,,,,,,,,,,,,,,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,,,54.51,percent of total billed charges,,,54.51,percent of total billed charges,,,54.51,percent of total billed charges,
**HEARING AID ANALYSIS,92594,CDM,,,,both,,,131,131,30.13,131,131,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,103.49,percent of total billed charges,103.49,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 ,103.49,percent of total billed charges ,103.49,percent of total billed charges ,111.35,percent of total billed charges ,111.35,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 ,,,,,,,,,,,,,,,,,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,,,30.13,percent of total billed charges,
**HEARING SCREEN,92553,CDM,,,,both,,,157,157,36.11,157,157,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,124.03,percent of total billed charges,124.03,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 ,124.03,percent of total billed charges ,124.03,percent of total billed charges ,133.45,percent of total billed charges ,133.45,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 ,,,,,,,,,,,,,,,,,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,
**TYMPANOGRAM,92567,CDM,,,,both,,,157,157,36.11,157,157,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,124.03,percent of total billed charges,124.03,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 ,124.03,percent of total billed charges ,124.03,percent of total billed charges ,133.45,percent of total billed charges ,133.45,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 ,,,,,,,,,,,,,,,,,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,
**INDUSTRIAL SCREEN PURE TONE AUDIOME,92552,CDM,,,,both,,,56,56,12.88,56,56,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,44.24,percent of total billed charges,44.24,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 ,44.24,percent of total billed charges ,44.24,percent of total billed charges ,47.6,percent of total billed charges ,47.6,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 ,,,,,,,,,,,,,,,,,,,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,
**COMPRESHENSIVE OTOACOUSTIC TE DO NOT U,92588,CDM,,,,both,,,431,431,99.13,431,431,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,340.49,percent of total billed charges,340.49,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 ,340.49,percent of total billed charges ,340.49,percent of total billed charges ,366.35,percent of total billed charges ,366.35,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 ,,,,,,,,,,,,,,,,,,,99.13,percent of total billed charges,,,99.13,percent of total billed charges,,,99.13,percent of total billed charges,,,99.13,percent of total billed charges,,,99.13,percent of total billed charges,,,99.13,percent of total billed charges,,,99.13,percent of total billed charges,,,99.13,percent of total billed charges,,,99.13,percent of total billed charges,,,99.13,percent of total billed charges,,,99.13,percent of total billed charges,
**HEARING EVALUATION,92557,CDM,,,,both,,,318,318,73.14,318,318,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,251.22,percent of total billed charges,251.22,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 ,251.22,percent of total billed charges ,251.22,percent of total billed charges ,270.3,percent of total billed charges ,270.3,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 ,,,,,,,,,,,,,,,,,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,
**AUDOP=HEAR AID CHECK BINAURAL DO NOT U,92593,CDM,,,,both,,,53,53,12.19,53,53,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,41.87,percent of total billed charges,41.87,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 ,41.87,percent of total billed charges ,41.87,percent of total billed charges ,45.05,percent of total billed charges ,45.05,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 ,,,,,,,,,,,,,,,,,,,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,
**AUDOP-HEAR AID CHECK MONAURAL DO NOT U,92592,CDM,,,,both,,,29,29,6.67,29,29,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,22.91,percent of total billed charges,22.91,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 ,22.91,percent of total billed charges ,22.91,percent of total billed charges ,24.65,percent of total billed charges ,24.65,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 ,,,,,,,,,,,,,,,,,,,6.67,percent of total billed charges,,,6.67,percent of total billed charges,,,6.67,percent of total billed charges,,,6.67,percent of total billed charges,,,6.67,percent of total billed charges,,,6.67,percent of total billed charges,,,6.67,percent of total billed charges,,,6.67,percent of total billed charges,,,6.67,percent of total billed charges,,,6.67,percent of total billed charges,,,6.67,percent of total billed charges,
**CERUMEN MANAGEMENT,69210,CDM,,,GF,both,,,384,384,88.32,384,384,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,303.36,percent of total billed charges,303.36,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 ,303.36,percent of total billed charges ,303.36,percent of total billed charges ,326.4,percent of total billed charges ,326.4,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 ,,,,,,,,,,,,,,,,,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,,,88.32,percent of total billed charges,
EEG INCLUDING REPORTING AWAKE & ASLEEP,95819,CDM,,,,both,,,"1,453.00","1,453.00",334.19,"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,"1,147.87",percent of total billed charges,"1,147.87",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 ,"1,147.87",percent of total billed charges ,"1,147.87",percent of total billed charges ,"1,235.05",percent of total billed charges ,"1,235.05",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 ,,,,,,,,,,,,,,,,,,,334.19,percent of total billed charges,,,334.19,percent of total billed charges,,,334.19,percent of total billed charges,,,334.19,percent of total billed charges,,,334.19,percent of total billed charges,,,334.19,percent of total billed charges,,,334.19,percent of total billed charges,,,334.19,percent of total billed charges,,,334.19,percent of total billed charges,,,334.19,percent of total billed charges,,,334.19,percent of total billed charges,
**RH DRAWING FEE DO NOT USE,36415,CDM,,,,both,,,60,60,13.8,60,60,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,47.4,percent of total billed charges,47.4,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 ,47.4,percent of total billed charges ,47.4,percent of total billed charges ,51,percent of total billed charges ,51,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 ,,,,,,,,,,,,,,,,,,,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,,,13.8,percent of total billed charges,,,13.8,percent of total billed charges,,,13.8,percent of total billed charges,
**LAB-TRAVEL FEE DO NOT USE,P9604,CDM,,,,both,,,31,31,7.13,31,31,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,24.49,percent of total billed charges,24.49,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 ,24.49,percent of total billed charges ,24.49,percent of total billed charges ,26.35,percent of total billed charges ,26.35,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 ,,,,,,,,,,,,,,,,,,,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,
**RH ELECT PANEL DO NOT USE,80051,CDM,,,,both,,,205,205,47.15,205,205,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,161.95,percent of total billed charges,161.95,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 ,161.95,percent of total billed charges ,161.95,percent of total billed charges ,174.25,percent of total billed charges ,174.25,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 ,,,,,,,,,,,,,,,,,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,
**RH GENTAMYCIN PEAK DO NOT USE,80170,CDM,,,,both,,,344,344,79.12,344,344,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,271.76,percent of total billed charges,271.76,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 ,271.76,percent of total billed charges ,271.76,percent of total billed charges ,292.4,percent of total billed charges ,292.4,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**RH CEA DO NOT USE,82378,CDM,,,,both,,,185,185,42.55,185,185,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,146.15,percent of total billed charges,146.15,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 ,146.15,percent of total billed charges ,146.15,percent of total billed charges ,157.25,percent of total billed charges ,157.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,42.55,percent of total billed charges,,,42.55,percent of total billed charges,,,42.55,percent of total billed charges,
**RH URIC ACID DO NOT USE,84550,CDM,,,,both,,,135,135,31.05,135,135,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,106.65,percent of total billed charges,106.65,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 ,106.65,percent of total billed charges ,106.65,percent of total billed charges ,114.75,percent of total billed charges ,114.75,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 ,,,,,,,,,,,,,,,,,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,,,31.05,percent of total billed charges,
**PH BUN DO NOT USE,84520,CDM,,,,both,,,87,87,20.01,87,87,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,68.73,percent of total billed charges,68.73,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 ,68.73,percent of total billed charges ,68.73,percent of total billed charges ,73.95,percent of total billed charges ,73.95,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 ,,,,,,,,,,,,,,,,,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,,,20.01,percent of total billed charges,
**RH TSH DO NOT USE,84443,CDM,,,,both,,,285,285,65.55,285,285,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,225.15,percent of total billed charges,225.15,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 ,225.15,percent of total billed charges ,225.15,percent of total billed charges ,242.25,percent of total billed charges ,242.25,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 ,,,,,,,,,,,,,,,,,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,,,65.55,percent of total billed charges,
**RH T4 FREE DO NOT USE,84439,CDM,,,,both,,,222,222,51.06,222,222,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,175.38,percent of total billed charges,175.38,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 ,175.38,percent of total billed charges ,175.38,percent of total billed charges ,188.7,percent of total billed charges ,188.7,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**RH T4 DO NOT USE,84436,CDM,,,,both,,,173,173,39.79,173,173,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,136.67,percent of total billed charges,136.67,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 ,136.67,percent of total billed charges ,136.67,percent of total billed charges ,147.05,percent of total billed charges ,147.05,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 ,,,,,,,,,,,,,,,,,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,,,39.79,percent of total billed charges,
**RH THEOPHYLLINE DO NOT USE,80198,CDM,,,,both,,,273,273,62.79,273,273,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,215.67,percent of total billed charges,215.67,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 ,215.67,percent of total billed charges ,215.67,percent of total billed charges ,232.05,percent of total billed charges ,232.05,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**RH PROTEIN TOTAL DO NOT USE,84155,CDM,,,,both,,,117,117,26.91,117,117,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,92.43,percent of total billed charges,92.43,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 ,92.43,percent of total billed charges ,92.43,percent of total billed charges ,99.45,percent of total billed charges ,99.45,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 ,,,,,,,,,,,,,,,,,,,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,
**RH POTASSIUM DO NOT USE,84132,CDM,,,,both,,,90,90,20.7,90,90,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,71.1,percent of total billed charges,71.1,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 ,71.1,percent of total billed charges ,71.1,percent of total billed charges ,76.5,percent of total billed charges ,76.5,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**RH PHOSPORUS DO NOT USE,84100,CDM,,,,both,,,104,104,23.92,104,104,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,82.16,percent of total billed charges,82.16,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 ,82.16,percent of total billed charges ,82.16,percent of total billed charges ,88.4,percent of total billed charges ,88.4,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 ,,,,,,,,,,,,,,,,,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,,,23.92,percent of total billed charges,
**RH DILANTIN/PHENYTOIN DO NOT USE,80185,CDM,,,,both,,,284,284,65.32,284,284,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,224.36,percent of total billed charges,224.36,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 ,224.36,percent of total billed charges ,224.36,percent of total billed charges ,241.4,percent of total billed charges ,241.4,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 ,,,,,,,,,,,,,,,,,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,,,65.32,percent of total billed charges,
**RH MAGNESIUM DO NOT USE,83735,CDM,,,,both,,,159,159,36.57,159,159,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,125.61,percent of total billed charges,125.61,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 ,125.61,percent of total billed charges ,125.61,percent of total billed charges ,135.15,percent of total billed charges ,135.15,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,36.57,percent of total billed charges,,,36.57,percent of total billed charges,,,36.57,percent of total billed charges,
**RH LITHIUM SERUM DO NOT USE,80178,CDM,,,,both,,,172,172,39.56,172,172,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,135.88,percent of total billed charges,135.88,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 ,135.88,percent of total billed charges ,135.88,percent of total billed charges ,146.2,percent of total billed charges ,146.2,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 ,,,,,,,,,,,,,,,,,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,,,39.56,percent of total billed charges,
**RH IRON BINDING CAPACITY TOTAL DO NOT,83550,CDM,,,,both,,,162,162,37.26,162,162,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,127.98,percent of total billed charges,127.98,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 ,127.98,percent of total billed charges ,127.98,percent of total billed charges ,137.7,percent of total billed charges ,137.7,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 ,,,,,,,,,,,,,,,,,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,
**RH SERUM IRON DO NOT USE,83540,CDM,,,,both,,,180,180,41.4,180,180,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,142.2,percent of total billed charges,142.2,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 ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,153,percent of total billed charges ,153,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,41.4,percent of total billed charges,,,41.4,percent of total billed charges,,,41.4,percent of total billed charges,
**RH GLYCOSYLATED HGB DO NOT USE,83036,CDM,,,,both,,,192,192,44.16,192,192,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,151.68,percent of total billed charges,151.68,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 ,151.68,percent of total billed charges ,151.68,percent of total billed charges ,163.2,percent of total billed charges ,163.2,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 ,,,,,,,,,,,,,,,,,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,,,44.16,percent of total billed charges,
**RH GLUCOSE CONFIRM DO NOT USE,82947,CDM,,,,both,,,86,86,19.78,86,86,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,67.94,percent of total billed charges,67.94,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 ,67.94,percent of total billed charges ,67.94,percent of total billed charges ,73.1,percent of total billed charges ,73.1,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**RH FOLIC ACID DO NOT USE,82746,CDM,,,,both,,,249,249,57.27,249,249,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,196.71,percent of total billed charges,196.71,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 ,196.71,percent of total billed charges ,196.71,percent of total billed charges ,211.65,percent of total billed charges ,211.65,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 ,,,,,,,,,,,,,,,,,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,,,57.27,percent of total billed charges,
**RH FERRITIN DO NOT USE,82728,CDM,,,,both,,,252,252,57.96,252,252,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,199.08,percent of total billed charges,199.08,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 ,199.08,percent of total billed charges ,199.08,percent of total billed charges ,214.2,percent of total billed charges ,214.2,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 ,,,,,,,,,,,,,,,,,,,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,
**RH PROT ELECT DO NOT USE,84165,CDM,,,,both,,,256,256,58.88,256,256,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,202.24,percent of total billed charges,202.24,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 ,202.24,percent of total billed charges ,202.24,percent of total billed charges ,217.6,percent of total billed charges ,217.6,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 ,,,,,,,,,,,,,,,,,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,
**RH DIGOXIN LEVEL DO NOT USE,80162,CDM,,,,both,,,265,265,60.95,265,265,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,209.35,percent of total billed charges,209.35,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 ,209.35,percent of total billed charges ,209.35,percent of total billed charges ,225.25,percent of total billed charges ,225.25,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 ,,,,,,,,,,,,,,,,,,,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,,,60.95,percent of total billed charges,,,60.95,percent of total billed charges,,,60.95,percent of total billed charges,
**RH VITAMIN B-12 DO NOT USE,82607,CDM,,,,both,,,254,254,58.42,254,254,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,200.66,percent of total billed charges,200.66,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 ,200.66,percent of total billed charges ,200.66,percent of total billed charges ,215.9,percent of total billed charges ,215.9,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 ,,,,,,,,,,,,,,,,,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,,,58.42,percent of total billed charges,
**RH CREATININE DO NOT USE,82565,CDM,,,,both,,,98,98,22.54,98,98,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,77.42,percent of total billed charges,77.42,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 ,77.42,percent of total billed charges ,77.42,percent of total billed charges ,83.3,percent of total billed charges ,83.3,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 ,,,,,,,,,,,,,,,,,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,,,22.54,percent of total billed charges,
**LAB-TEGRETOL/CARBAMAZEPINE DO NOT USE,80156,CDM,,,,both,,,308,308,70.84,308,308,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,243.32,percent of total billed charges,243.32,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 ,243.32,percent of total billed charges ,243.32,percent of total billed charges ,261.8,percent of total billed charges ,261.8,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 ,,,,,,,,,,,,,,,,,,,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,
**PH CALCIUM DO NOT USE,82310,CDM,,,,both,,,146,146,33.58,146,146,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,115.34,percent of total billed charges,115.34,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 ,115.34,percent of total billed charges ,115.34,percent of total billed charges ,124.1,percent of total billed charges ,124.1,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 ,,,,,,,,,,,,,,,,,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,
**RH OCCULT BLOOD FECAL DO NOT USE,82270,CDM,,,,both,,,90,90,20.7,90,90,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,71.1,percent of total billed charges,71.1,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 ,71.1,percent of total billed charges ,71.1,percent of total billed charges ,76.5,percent of total billed charges ,76.5,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**RH PHENOBARBITOL DO NOT USE,80184,CDM,,,,both,,,310,310,71.3,310,310,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,244.9,percent of total billed charges,244.9,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 ,244.9,percent of total billed charges ,244.9,percent of total billed charges ,263.5,percent of total billed charges ,263.5,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 ,,,,,,,,,,,,,,,,,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,,,71.3,percent of total billed charges,
**RH ALBUMIN SERUM DO NOT USE,82040,CDM,,,,both,,,113,113,25.99,113,113,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,89.27,percent of total billed charges,89.27,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 ,89.27,percent of total billed charges ,89.27,percent of total billed charges ,96.05,percent of total billed charges ,96.05,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 ,,,,,,,,,,,,,,,,,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,,,25.99,percent of total billed charges,
**RH URINALYSIS W/MICRO DO NOT USE,81001,CDM,,,,both,,,139,139,31.97,139,139,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,109.81,percent of total billed charges,109.81,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 ,109.81,percent of total billed charges ,109.81,percent of total billed charges ,118.15,percent of total billed charges ,118.15,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 ,,,,,,,,,,,,,,,,,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,,,31.97,percent of total billed charges,
**RH VANCOMYCIN PEAK DO NOT USE,80202,CDM,,,,both,,,353,353,81.19,353,353,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,278.87,percent of total billed charges,278.87,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 ,278.87,percent of total billed charges ,278.87,percent of total billed charges ,300.05,percent of total billed charges ,300.05,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 ,,,,,,,,,,,,,,,,,,,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,,,81.19,percent of total billed charges,,,81.19,percent of total billed charges,,,81.19,percent of total billed charges,
**RH DEPAKANE VALPROIC ACID DO NOT USE,80164,CDM,,,,both,,,293,293,67.39,293,293,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,231.47,percent of total billed charges,231.47,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 ,231.47,percent of total billed charges ,231.47,percent of total billed charges ,249.05,percent of total billed charges ,249.05,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 ,,,,,,,,,,,,,,,,,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,,,67.39,percent of total billed charges,
**RH LIPID PROFILE DO NOT USE,80061,CDM,,,,both,,,270,270,62.1,270,270,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,270,percent of total billed charges,270,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,194.4,percent of total billed charges,194.4,percent of total billed charges,213.3,percent of total billed charges,213.3,percent of total billed charges,216,percent of total billed charges,216,percent of total billed charges,,,194.4,percent of total billed charges ,,,216,percent of total billed charges ,213.3,percent of total billed charges ,213.3,percent of total billed charges ,229.5,percent of total billed charges ,229.5,percent of total billed charges ,216,percent of total billed charges ,216,percent of total billed charges ,189,percent of total billed charges ,189,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 ,,,,,143.64,percent of total billed charges ,,,,,136.46,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,,,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,,,62.1,percent of total billed charges,,,62.1,percent of total billed charges,,,62.1,percent of total billed charges,
**RH CMP DO NOT USE,80053,CDM,,,,both,,,382,382,87.86,382,382,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,301.78,percent of total billed charges,301.78,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 ,301.78,percent of total billed charges ,301.78,percent of total billed charges ,324.7,percent of total billed charges ,324.7,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 ,,,,,,,,,,,,,,,,,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,
**RH HEPATIC FUNCTION PANEL DO NOT USE,80076,CDM,,,,both,,,273,273,62.79,273,273,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,215.67,percent of total billed charges,215.67,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 ,215.67,percent of total billed charges ,215.67,percent of total billed charges ,232.05,percent of total billed charges ,232.05,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**RH BASIC METABOLIC PANEL DO NOT USE,80048,CDM,,,,both,,,294,294,67.62,294,294,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,232.26,percent of total billed charges,232.26,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 ,232.26,percent of total billed charges ,232.26,percent of total billed charges ,249.9,percent of total billed charges ,249.9,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**RH PSA SCREENING DO NOT USE,G0103,CDM,,,,both,,,273,273,62.79,273,273,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,215.67,percent of total billed charges,215.67,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 ,215.67,percent of total billed charges ,215.67,percent of total billed charges ,232.05,percent of total billed charges ,232.05,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**RH NUCLEAR ANTIBODY DO NOT USE,86038,CDM,,,,both,,,228,228,52.44,228,228,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,180.12,percent of total billed charges,180.12,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 ,180.12,percent of total billed charges ,180.12,percent of total billed charges ,193.8,percent of total billed charges ,193.8,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 ,,,,,,,,,,,,,,,,,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,,,52.44,percent of total billed charges,
**RH RHEUMATOID FACTOR DO NOT USE,86430,CDM,,,,both,,,157,157,36.11,157,157,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,124.03,percent of total billed charges,124.03,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 ,124.03,percent of total billed charges ,124.03,percent of total billed charges ,133.45,percent of total billed charges ,133.45,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 ,,,,,,,,,,,,,,,,,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,,,36.11,percent of total billed charges,
**RH SPINAL VDRL DO NOT USE,86592,CDM,,,,both,,,121,121,27.83,121,121,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,95.59,percent of total billed charges,95.59,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 ,95.59,percent of total billed charges ,95.59,percent of total billed charges ,102.85,percent of total billed charges ,102.85,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,27.83,percent of total billed charges,,,27.83,percent of total billed charges,,,27.83,percent of total billed charges,
**RH HIV I&II DO NOT USE,86703,CDM,,,,both,,,256,256,58.88,256,256,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,202.24,percent of total billed charges,202.24,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 ,202.24,percent of total billed charges ,202.24,percent of total billed charges ,217.6,percent of total billed charges ,217.6,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 ,,,,,,,,,,,,,,,,,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,
**RH WESTERGREN SED RATE DO NOT USE,85651,CDM,,,,both,,,112,112,25.76,112,112,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,88.48,percent of total billed charges,88.48,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 ,88.48,percent of total billed charges ,88.48,percent of total billed charges ,95.2,percent of total billed charges ,95.2,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 ,,,,,,,,,,,,,,,,,,,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,
**RH PTT DO NOT USE,85730,CDM,,,,both,,,53,53,12.19,53,53,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,41.87,percent of total billed charges,41.87,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 ,41.87,percent of total billed charges ,41.87,percent of total billed charges ,45.05,percent of total billed charges ,45.05,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 ,,,,,,,,,,,,,,,,,,,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,
**RH PRO TIME DO NOT USE,85610,CDM,,,,both,,,116,116,26.68,116,116,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,91.64,percent of total billed charges,91.64,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 ,91.64,percent of total billed charges ,91.64,percent of total billed charges ,98.6,percent of total billed charges ,98.6,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 ,,,,,,,,,,,,,,,,,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,,,26.68,percent of total billed charges,
**RH CBC WITH AUTO DIFF DO NOT USE,85025,CDM,,,,both,,,193,193,44.39,193,193,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,152.47,percent of total billed charges,152.47,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 ,152.47,percent of total billed charges ,152.47,percent of total billed charges ,164.05,percent of total billed charges ,164.05,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 ,,,,,,,,,,,,,,,,,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,,,44.39,percent of total billed charges,
**RH HEMOGLOBIN DO NOT USE,85018,CDM,,,QW,both,,,82,82,18.86,82,82,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,64.78,percent of total billed charges,64.78,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 ,64.78,percent of total billed charges ,64.78,percent of total billed charges ,69.7,percent of total billed charges ,69.7,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**RH HCT DO NOT USE,85014,CDM,,,,both,,,80,80,18.4,80,80,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,63.2,percent of total billed charges,63.2,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 ,63.2,percent of total billed charges ,63.2,percent of total billed charges ,68,percent of total billed charges ,68,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 ,,,,,,,,,,,,,,,,,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,,,18.4,percent of total billed charges,
**LAB-ANTIBIOTICE SENSITIVITY DO NOT USE,87184,CDM,,,,both,,,159,159,36.57,159,159,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,125.61,percent of total billed charges,125.61,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 ,125.61,percent of total billed charges ,125.61,percent of total billed charges ,135.15,percent of total billed charges ,135.15,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,36.57,percent of total billed charges,,,36.57,percent of total billed charges,,,36.57,percent of total billed charges,
**RH PARASITIC EXAM DO NOT USE,87177,CDM,,,,both,,,227,227,52.21,227,227,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,179.33,percent of total billed charges,179.33,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 ,179.33,percent of total billed charges ,179.33,percent of total billed charges ,192.95,percent of total billed charges ,192.95,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 ,,,,,,,,,,,,,,,,,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,
**RH ORGANISM ID ADDITIONAL DO NOT USE,87077,CDM,,,,both,,,145,145,33.35,145,145,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,114.55,percent of total billed charges,114.55,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 ,114.55,percent of total billed charges ,114.55,percent of total billed charges ,123.25,percent of total billed charges ,123.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,33.35,percent of total billed charges,,,33.35,percent of total billed charges,,,33.35,percent of total billed charges,
**RH CULTURE FECES DO NOT USE,87045,CDM,,,,both,,,265,265,60.95,265,265,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,209.35,percent of total billed charges,209.35,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 ,209.35,percent of total billed charges ,209.35,percent of total billed charges ,225.25,percent of total billed charges ,225.25,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 ,,,,,,,,,,,,,,,,,,,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,,,60.95,percent of total billed charges,,,60.95,percent of total billed charges,,,60.95,percent of total billed charges,
**RH CULTURE THROAT DO NOT USE,87070,CDM,,,,both,,,273,273,62.79,273,273,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,215.67,percent of total billed charges,215.67,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 ,215.67,percent of total billed charges ,215.67,percent of total billed charges ,232.05,percent of total billed charges ,232.05,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**RH CULTURE WOUND DO NOT USE,87070,CDM,,,,both,,,273,273,62.79,273,273,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,215.67,percent of total billed charges,215.67,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 ,215.67,percent of total billed charges ,215.67,percent of total billed charges ,232.05,percent of total billed charges ,232.05,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**RH CULTURE SPUTUM DO NOT USE,87070,CDM,,,,both,,,273,273,62.79,273,273,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,215.67,percent of total billed charges,215.67,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 ,215.67,percent of total billed charges ,215.67,percent of total billed charges ,232.05,percent of total billed charges ,232.05,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
**RH CULUTURE BLOOD DO NOT USE,87040,CDM,,,,both,,,392,392,90.16,392,392,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,309.68,percent of total billed charges,309.68,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 ,309.68,percent of total billed charges ,309.68,percent of total billed charges ,333.2,percent of total billed charges ,333.2,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 ,,,,,,,,,,,,,,,,,,,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,
**RH CULTURE URINE DO NOT USE,87086,CDM,,,,both,,,205,205,47.15,205,205,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,161.95,percent of total billed charges,161.95,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 ,161.95,percent of total billed charges ,161.95,percent of total billed charges ,174.25,percent of total billed charges ,174.25,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 ,,,,,,,,,,,,,,,,,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,
**RH CULTURE URINE W/ISOL DO NOT USE,87088,CDM,,,,both,,,186,186,42.78,186,186,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,146.94,percent of total billed charges,146.94,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 ,146.94,percent of total billed charges ,146.94,percent of total billed charges ,158.1,percent of total billed charges ,158.1,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 ,,,,,,,,,,,,,,,,,,,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,
**RH VANCOMYCIN TROUGH DO NOT USE,80202,CDM,,,,both,,,353,353,81.19,353,353,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,278.87,percent of total billed charges,278.87,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 ,278.87,percent of total billed charges ,278.87,percent of total billed charges ,300.05,percent of total billed charges ,300.05,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 ,,,,,,,,,,,,,,,,,,,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,,,81.19,percent of total billed charges,,,81.19,percent of total billed charges,,,81.19,percent of total billed charges,
**TREATMENT SET UP CHRG DO NOT USE,Local ,Local ,,,,both,,,88,88,20.24,88,88,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,69.52,percent of total billed charges,69.52,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 ,69.52,percent of total billed charges ,69.52,percent of total billed charges ,74.8,percent of total billed charges ,74.8,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 ,,,,,,,,,,,,,,,,,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,
**PULMONARY SIX MINUTE WALK DO NOT USE,97750,CDM,,,GP,both,,,149,149,34.27,149,149,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,117.71,percent of total billed charges,117.71,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 ,117.71,percent of total billed charges ,117.71,percent of total billed charges ,126.65,percent of total billed charges ,126.65,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 ,,,,,,,,,,,,,,,,,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,,,34.27,percent of total billed charges,
**CHEST PERCUSSIONS/SUB DO NOT USE,94668,CDM,,,,both,,,100,100,23,100,100,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,79,percent of total billed charges,79,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 ,79,percent of total billed charges ,79,percent of total billed charges ,85,percent of total billed charges ,85,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 ,,,,,,,,,,,,,,,,,,,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,,,23,percent of total billed charges,,,23,percent of total billed charges,,,23,percent of total billed charges,
**PULMONARY ADL TRAINING/15 MIN DO NOT U,G0238,CDM,,,,both,,,125,125,28.75,125,125,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,98.75,percent of total billed charges,98.75,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 ,98.75,percent of total billed charges ,98.75,percent of total billed charges ,106.25,percent of total billed charges ,106.25,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 ,,,,,,,,,,,,,,,,,,,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,,,28.75,percent of total billed charges,,,28.75,percent of total billed charges,,,28.75,percent of total billed charges,
PULMONARY EXERCISE/PHASE 3,Local ,Local ,,,,both,,,33,33,7.59,33,33,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,26.07,percent of total billed charges,26.07,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 ,26.07,percent of total billed charges ,26.07,percent of total billed charges ,28.05,percent of total billed charges ,28.05,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 ,,,,,,,,,,,,,,,,,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,,,7.59,percent of total billed charges,
**PULMONARY EXERCISE/15 MIN DO NOT USE,G0237,CDM,,,,both,,,162,162,37.26,162,162,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,127.98,percent of total billed charges,127.98,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 ,127.98,percent of total billed charges ,127.98,percent of total billed charges ,137.7,percent of total billed charges ,137.7,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 ,,,,,,,,,,,,,,,,,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,
PULMONARY EXERCISE/GROUP,G0239,CDM,,,,both,,,298,298,68.54,298,298,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,235.42,percent of total billed charges,235.42,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 ,235.42,percent of total billed charges ,235.42,percent of total billed charges ,253.3,percent of total billed charges ,253.3,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 ,,,,,,,,,,,,,,,,,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,
**PULMONARY RE-EVALUATION,99211,CDM,,,,both,,,259,259,59.57,259,259,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,204.61,percent of total billed charges,204.61,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 ,204.61,percent of total billed charges ,204.61,percent of total billed charges ,220.15,percent of total billed charges ,220.15,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 ,,,,,,,,,,,,,,,,,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,
**PULMONARY REHAB EVALUATION,99211,CDM,,,,both,,,259,259,59.57,259,259,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,204.61,percent of total billed charges,204.61,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 ,204.61,percent of total billed charges ,204.61,percent of total billed charges ,220.15,percent of total billed charges ,220.15,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 ,,,,,,,,,,,,,,,,,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,,,59.57,percent of total billed charges,
**NEBULIZER/INHALER EVAL,94664,CDM,,,,both,,,247,247,56.81,247,247,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,195.13,percent of total billed charges,195.13,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 ,195.13,percent of total billed charges ,195.13,percent of total billed charges ,209.95,percent of total billed charges ,209.95,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 ,,,,,,,,,,,,,,,,,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,,,56.81,percent of total billed charges,
**NEBULIZER/INHALER 1ST TREAT DO NOT USE,94640,CDM,,,76,both,,,203,203,46.69,203,203,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,160.37,percent of total billed charges,160.37,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 ,160.37,percent of total billed charges ,160.37,percent of total billed charges ,172.55,percent of total billed charges ,172.55,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 ,,,,,,,,,,,,,,,,,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,
**PULMONARY STRESS TEST DO NOT USE,94620,CDM,,,,both,,,159,159,36.57,159,159,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,125.61,percent of total billed charges,125.61,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 ,125.61,percent of total billed charges ,125.61,percent of total billed charges ,135.15,percent of total billed charges ,135.15,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,36.57,percent of total billed charges,,,36.57,percent of total billed charges,,,36.57,percent of total billed charges,
**INHALATION TR/ACUTE OBST DO NOT USE,94640,CDM,,,76,both,,,124,124,28.52,124,124,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,97.96,percent of total billed charges,97.96,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 ,97.96,percent of total billed charges ,97.96,percent of total billed charges ,105.4,percent of total billed charges ,105.4,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 ,,,,,,,,,,,,,,,,,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,,,28.52,percent of total billed charges,
**PULSE OX WITH EXERCISE,94761,CDM,,,,both,,,271,271,62.33,271,271,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,214.09,percent of total billed charges,214.09,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 ,214.09,percent of total billed charges ,214.09,percent of total billed charges ,230.35,percent of total billed charges ,230.35,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 ,,,,,,,,,,,,,,,,,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,,,62.33,percent of total billed charges,
**CHEST PERCUSSION INITIAL,94667,CDM,,,,both,,,256,256,58.88,256,256,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,202.24,percent of total billed charges,202.24,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 ,202.24,percent of total billed charges ,202.24,percent of total billed charges ,217.6,percent of total billed charges ,217.6,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 ,,,,,,,,,,,,,,,,,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,,,58.88,percent of total billed charges,
**NEBULIZER/INHALER ADD'L TREATMENT,94640,CDM,,,76,both,,,203,203,46.69,203,203,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,160.37,percent of total billed charges,160.37,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 ,160.37,percent of total billed charges ,160.37,percent of total billed charges ,172.55,percent of total billed charges ,172.55,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 ,,,,,,,,,,,,,,,,,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,,,46.69,percent of total billed charges,
**SIX MINUTE WALK TEST,94618,CDM,,,,both,,,258,258,59.34,258,258,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,203.82,percent of total billed charges,203.82,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 ,203.82,percent of total billed charges ,203.82,percent of total billed charges ,219.3,percent of total billed charges ,219.3,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 ,,,,,,,,,,,,,,,,,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,
PUL REHAB MONITORING SESSION-COPD,94625,CDM,,,,both,,,298,298,68.54,298,298,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,235.42,percent of total billed charges,235.42,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 ,235.42,percent of total billed charges ,235.42,percent of total billed charges ,253.3,percent of total billed charges ,253.3,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 ,,,,,,,,,,,,,,,,,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,
PRE LVRS PULM REHAB,G0302,CDM,,,,both,,,"5,794.00","5,794.00","1,332.62","5,794.00","5,794.00",percent of total billed charges,"5,794.00",percent of total billed charges,"5,794.00",percent of total billed charges,"5,794.00",percent of total billed charges,"5,794.00",percent of total billed charges,"5,794.00",percent of total billed charges,"5,794.00",percent of total billed charges,"5,794.00",percent of total billed charges,"4,171.68",percent of total billed charges,"4,171.68",percent of total billed charges,"4,171.68",percent of total billed charges,"4,171.68",percent of total billed charges,"4,171.68",percent of total billed charges,"4,171.68",percent of total billed charges,"4,577.26",percent of total billed charges,"4,577.26",percent of total billed charges,"4,635.20",percent of total billed charges,"4,635.20",percent of total billed charges,,,"4,171.68",percent of total billed charges ,,,"4,635.20",percent of total billed charges ,"4,577.26",percent of total billed charges ,"4,577.26",percent of total billed charges ,"4,924.90",percent of total billed charges ,"4,924.90",percent of total billed charges ,"4,635.20",percent of total billed charges ,"4,635.20",percent of total billed charges ,"4,055.80",percent of total billed charges ,"4,055.80",percent of total billed charges ,"3,476.40",percent of total billed charges ,"3,476.40",percent of total billed charges ,"3,476.40",percent of total billed charges ,"3,476.40",percent of total billed charges ,,,,,"3,082.41",percent of total billed charges ,,,,,"2,928.29",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,332.62",percent of total billed charges,,,"1,332.62",percent of total billed charges,,,"1,332.62",percent of total billed charges,,,"1,332.62",percent of total billed charges,,,"1,332.62",percent of total billed charges,,,"1,332.62",percent of total billed charges,,,"1,332.62",percent of total billed charges,,,"1,332.62",percent of total billed charges,,,"1,332.62",percent of total billed charges,,,"1,332.62",percent of total billed charges,,,"1,332.62",percent of total billed charges,
**POST LVRS PULM REHAB,G0305,CDM,,,,both,,,"1,739.00","1,739.00",399.97,"1,739.00","1,739.00",percent of total billed charges,"1,739.00",percent of total billed charges,"1,739.00",percent of total billed charges,"1,739.00",percent of total billed charges,"1,739.00",percent of total billed charges,"1,739.00",percent of total billed charges,"1,739.00",percent of total billed charges,"1,739.00",percent of total billed charges,"1,252.08",percent of total billed charges,"1,252.08",percent of total billed charges,"1,252.08",percent of total billed charges,"1,252.08",percent of total billed charges,"1,252.08",percent of total billed charges,"1,252.08",percent of total billed charges,"1,373.81",percent of total billed charges,"1,373.81",percent of total billed charges,"1,391.20",percent of total billed charges,"1,391.20",percent of total billed charges,,,"1,252.08",percent of total billed charges ,,,"1,391.20",percent of total billed charges ,"1,373.81",percent of total billed charges ,"1,373.81",percent of total billed charges ,"1,478.15",percent of total billed charges ,"1,478.15",percent of total billed charges ,"1,391.20",percent of total billed charges ,"1,391.20",percent of total billed charges ,"1,217.30",percent of total billed charges ,"1,217.30",percent of total billed charges ,"1,043.40",percent of total billed charges ,"1,043.40",percent of total billed charges ,"1,043.40",percent of total billed charges ,"1,043.40",percent of total billed charges ,,,,,925.15,percent of total billed charges ,,,,,878.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,399.97,percent of total billed charges,,,399.97,percent of total billed charges,,,399.97,percent of total billed charges,,,399.97,percent of total billed charges,,,399.97,percent of total billed charges,,,399.97,percent of total billed charges,,,399.97,percent of total billed charges,,,399.97,percent of total billed charges,,,399.97,percent of total billed charges,,,399.97,percent of total billed charges,,,399.97,percent of total billed charges,
CARDIAC REHAB W/MON,93798,CDM,,,,both,,,346,346,79.58,346,346,percent of total billed charges,346,percent of total billed charges,346,percent of total billed charges,346,percent of total billed charges,346,percent of total billed charges,346,percent of total billed charges,346,percent of total billed charges,346,percent of total billed charges,249.12,percent of total billed charges,249.12,percent of total billed charges,249.12,percent of total billed charges,249.12,percent of total billed charges,249.12,percent of total billed charges,249.12,percent of total billed charges,273.34,percent of total billed charges,273.34,percent of total billed charges,276.8,percent of total billed charges,276.8,percent of total billed charges,,,249.12,percent of total billed charges ,,,276.8,percent of total billed charges ,273.34,percent of total billed charges ,273.34,percent of total billed charges ,294.1,percent of total billed charges ,294.1,percent of total billed charges ,276.8,percent of total billed charges ,276.8,percent of total billed charges ,242.2,percent of total billed charges ,242.2,percent of total billed charges ,207.6,percent of total billed charges ,207.6,percent of total billed charges ,207.6,percent of total billed charges ,207.6,percent of total billed charges ,,,,,184.07,percent of total billed charges ,,,,,174.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,79.58,percent of total billed charges,,,79.58,percent of total billed charges,,,79.58,percent of total billed charges,,,79.58,percent of total billed charges,,,79.58,percent of total billed charges,,,79.58,percent of total billed charges,,,79.58,percent of total billed charges,,,79.58,percent of total billed charges,,,79.58,percent of total billed charges,,,79.58,percent of total billed charges,,,79.58,percent of total billed charges,
CARDIAC INITIAL VISIT/MONITOR,93798,CDM,,,,both,,,346,346,79.58,346,346,percent of total billed charges,346,percent of total billed charges,346,percent of total billed charges,346,percent of total billed charges,346,percent of total billed charges,346,percent of total billed charges,346,percent of total billed charges,346,percent of total billed charges,249.12,percent of total billed charges,249.12,percent of total billed charges,249.12,percent of total billed charges,249.12,percent of total billed charges,249.12,percent of total billed charges,249.12,percent of total billed charges,273.34,percent of total billed charges,273.34,percent of total billed charges,276.8,percent of total billed charges,276.8,percent of total billed charges,,,249.12,percent of total billed charges ,,,276.8,percent of total billed charges ,273.34,percent of total billed charges ,273.34,percent of total billed charges ,294.1,percent of total billed charges ,294.1,percent of total billed charges ,276.8,percent of total billed charges ,276.8,percent of total billed charges ,242.2,percent of total billed charges ,242.2,percent of total billed charges ,207.6,percent of total billed charges ,207.6,percent of total billed charges ,207.6,percent of total billed charges ,207.6,percent of total billed charges ,,,,,184.07,percent of total billed charges ,,,,,174.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,79.58,percent of total billed charges,,,79.58,percent of total billed charges,,,79.58,percent of total billed charges,,,79.58,percent of total billed charges,,,79.58,percent of total billed charges,,,79.58,percent of total billed charges,,,79.58,percent of total billed charges,,,79.58,percent of total billed charges,,,79.58,percent of total billed charges,,,79.58,percent of total billed charges,,,79.58,percent of total billed charges,
CARDIAC REHAB III,Local ,Local ,,,,both,,,50,50,11.5,50,50,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,39.5,percent of total billed charges,39.5,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 ,39.5,percent of total billed charges ,39.5,percent of total billed charges ,42.5,percent of total billed charges ,42.5,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 ,,,,,,,,,,,,,,,,,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,,,11.5,percent of total billed charges,
**CARDIACE REHAB II DO NOT USE,93797,CDM,,,,both,,,240,240,55.2,240,240,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,189.6,percent of total billed charges,189.6,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 ,189.6,percent of total billed charges ,189.6,percent of total billed charges ,204,percent of total billed charges ,204,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,55.2,percent of total billed charges,,,55.2,percent of total billed charges,,,55.2,percent of total billed charges,
PADSET,93668,CDM,,,,both,,,324,324,74.52,324,324,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,255.96,percent of total billed charges,255.96,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 ,255.96,percent of total billed charges ,255.96,percent of total billed charges ,275.4,percent of total billed charges ,275.4,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 ,,,,,,,,,,,,,,,,,,,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,,,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,
PULMONARY REHAB GROUP,G0239,CDM,,,,both,,,298,298,68.54,298,298,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,235.42,percent of total billed charges,235.42,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 ,235.42,percent of total billed charges ,235.42,percent of total billed charges ,253.3,percent of total billed charges ,253.3,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 ,,,,,,,,,,,,,,,,,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,
PULSE OX WITH EXERCISE,94761,CDM,,,,both,,,374,374,86.02,374,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,374,percent of total billed charges,269.28,percent of total billed charges,269.28,percent of total billed charges,269.28,percent of total billed charges,269.28,percent of total billed charges,269.28,percent of total billed charges,269.28,percent of total billed charges,295.46,percent of total billed charges,295.46,percent of total billed charges,299.2,percent of total billed charges,299.2,percent of total billed charges,,,269.28,percent of total billed charges ,,,299.2,percent of total billed charges ,295.46,percent of total billed charges ,295.46,percent of total billed charges ,317.9,percent of total billed charges ,317.9,percent of total billed charges ,299.2,percent of total billed charges ,299.2,percent of total billed charges ,261.8,percent of total billed charges ,261.8,percent of total billed charges ,224.4,percent of total billed charges ,224.4,percent of total billed charges ,224.4,percent of total billed charges ,224.4,percent of total billed charges ,,,,,198.97,percent of total billed charges ,,,,,189.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,,,86.02,percent of total billed charges,
CHEST PERCUSSION INITIAL,94667,CDM,,,,both,,,146,146,33.58,146,146,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,115.34,percent of total billed charges,115.34,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 ,115.34,percent of total billed charges ,115.34,percent of total billed charges ,124.1,percent of total billed charges ,124.1,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 ,,,,,,,,,,,,,,,,,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,,,33.58,percent of total billed charges,
SIX MINUTE WALK TEST,94618,CDM,,,,both,,,258,258,59.34,258,258,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,203.82,percent of total billed charges,203.82,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 ,203.82,percent of total billed charges ,203.82,percent of total billed charges ,219.3,percent of total billed charges ,219.3,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 ,,,,,,,,,,,,,,,,,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,,,59.34,percent of total billed charges,
CARDIAC REHAB PHASE 3 (2 DAY),93798,CDM,,,,both,,,35,35,8.05,35,35,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,27.65,percent of total billed charges,27.65,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 ,27.65,percent of total billed charges ,27.65,percent of total billed charges ,29.75,percent of total billed charges ,29.75,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 ,,,,,,,,,,,,,,,,,,,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,
PHY-AVULSION OF NAIL PLATE - EACH ADDITI,11732,CDM,,,GF,both,,,88,88,20.24,88,88,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,69.52,percent of total billed charges,69.52,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 ,69.52,percent of total billed charges ,69.52,percent of total billed charges ,74.8,percent of total billed charges ,74.8,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 ,,,,,,,,,,,,,,,,,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,
AHP-AVULSION OF NAIL PLATE - EACH ADDITI,11732,CDM,,,GF,both,,,88,88,20.24,88,88,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,69.52,percent of total billed charges,69.52,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 ,69.52,percent of total billed charges ,69.52,percent of total billed charges ,74.8,percent of total billed charges ,74.8,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 ,,,,,,,,,,,,,,,,,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,,,20.24,percent of total billed charges,
OT THERAPEUTIC ACTIVITY EA 15 MIN,97530,CDM,,,GP,both,,,179,179,41.17,179,179,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,141.41,percent of total billed charges,141.41,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 ,141.41,percent of total billed charges ,141.41,percent of total billed charges ,152.15,percent of total billed charges ,152.15,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 ,,,,,,,,,,,,,,,,,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,,,41.17,percent of total billed charges,
OT ADL TRAIN EA 15 MIN,97535,CDM,,,GP,both,,,176,176,40.48,176,176,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,139.04,percent of total billed charges,139.04,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 ,139.04,percent of total billed charges ,139.04,percent of total billed charges ,149.6,percent of total billed charges ,149.6,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 ,,,,,,,,,,,,,,,,,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,,,40.48,percent of total billed charges,
**OT-SENSORY INTEGRATION EA 15 M,97533,CDM,,,GO,both,,,351,351,80.73,351,351,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,277.29,percent of total billed charges,277.29,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 ,277.29,percent of total billed charges ,277.29,percent of total billed charges ,298.35,percent of total billed charges ,298.35,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 ,,,,,,,,,,,,,,,,,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,,,80.73,percent of total billed charges,
**OT MUSCLE TESTING/HAND,95832,CDM,,,GO,both,,,697,697,160.31,697,697,percent of total billed charges,697,percent of total billed charges,697,percent of total billed charges,697,percent of total billed charges,697,percent of total billed charges,697,percent of total billed charges,697,percent of total billed charges,697,percent of total billed charges,501.84,percent of total billed charges,501.84,percent of total billed charges,501.84,percent of total billed charges,501.84,percent of total billed charges,501.84,percent of total billed charges,501.84,percent of total billed charges,550.63,percent of total billed charges,550.63,percent of total billed charges,557.6,percent of total billed charges,557.6,percent of total billed charges,,,501.84,percent of total billed charges ,,,557.6,percent of total billed charges ,550.63,percent of total billed charges ,550.63,percent of total billed charges ,592.45,percent of total billed charges ,592.45,percent of total billed charges ,557.6,percent of total billed charges ,557.6,percent of total billed charges ,487.9,percent of total billed charges ,487.9,percent of total billed charges ,418.2,percent of total billed charges ,418.2,percent of total billed charges ,418.2,percent of total billed charges ,418.2,percent of total billed charges ,,,,,370.8,percent of total billed charges ,,,,,352.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,
**OT DYNAMIC ARM SPLINT,29126,CDM,,,GP,both,,,313,313,71.99,313,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,313,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,225.36,percent of total billed charges,247.27,percent of total billed charges,247.27,percent of total billed charges,250.4,percent of total billed charges,250.4,percent of total billed charges,,,225.36,percent of total billed charges ,,,250.4,percent of total billed charges ,247.27,percent of total billed charges ,247.27,percent of total billed charges ,266.05,percent of total billed charges ,266.05,percent of total billed charges ,250.4,percent of total billed charges ,250.4,percent of total billed charges ,219.1,percent of total billed charges ,219.1,percent of total billed charges ,187.8,percent of total billed charges ,187.8,percent of total billed charges ,187.8,percent of total billed charges ,187.8,percent of total billed charges ,,,,,166.52,percent of total billed charges ,,,,,158.19,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,,,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,
**OT CONTRAST BATH EA 15 MIN,97034,CDM,,,GP,both,,,185,185,42.55,185,185,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,146.15,percent of total billed charges,146.15,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 ,146.15,percent of total billed charges ,146.15,percent of total billed charges ,157.25,percent of total billed charges ,157.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,42.55,percent of total billed charges,,,42.55,percent of total billed charges,,,42.55,percent of total billed charges,
OT NEUROMUSC RE-ED EA 15 MIN,97112,CDM,,,GP,both,,,182,182,41.86,182,182,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,143.78,percent of total billed charges,143.78,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 ,143.78,percent of total billed charges ,143.78,percent of total billed charges ,154.7,percent of total billed charges ,154.7,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 ,,,,,,,,,,,,,,,,,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,
OT COMM WORK RE-INT EA 15 MIN,97537,CDM,,,GP,both,,,218,218,50.14,218,218,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,172.22,percent of total billed charges,172.22,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 ,172.22,percent of total billed charges ,172.22,percent of total billed charges ,185.3,percent of total billed charges ,185.3,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 ,,,,,,,,,,,,,,,,,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,,,50.14,percent of total billed charges,
**OT ROM/HAND,95852,CDM,,,GO,both,,,"1,040.00","1,040.00",239.2,"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,821.6,percent of total billed charges,821.6,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 ,821.6,percent of total billed charges ,821.6,percent of total billed charges ,884,percent of total billed charges ,884,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 ,,,,,,,,,,,,,,,,,,,239.2,percent of total billed charges,,,239.2,percent of total billed charges,,,239.2,percent of total billed charges,,,239.2,percent of total billed charges,,,239.2,percent of total billed charges,,,239.2,percent of total billed charges,,,239.2,percent of total billed charges,,,239.2,percent of total billed charges,,,239.2,percent of total billed charges,,,239.2,percent of total billed charges,,,239.2,percent of total billed charges,
OT PARAFFIN BATH,97018,CDM,,,GP,both,,,175,175,40.25,175,175,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,138.25,percent of total billed charges,138.25,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 ,138.25,percent of total billed charges ,138.25,percent of total billed charges ,148.75,percent of total billed charges ,148.75,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 ,,,,,,,,,,,,,,,,,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,,,40.25,percent of total billed charges,
**OT PROSTH TRAIN EA 15 MIN,97761,CDM,,,GP,both,,,296,296,68.08,296,296,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,233.84,percent of total billed charges,233.84,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 ,233.84,percent of total billed charges ,233.84,percent of total billed charges ,251.6,percent of total billed charges ,251.6,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 ,,,,,,,,,,,,,,,,,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,
**OT SHORT ARM SPLINT,29125,CDM,,,GF,both,,,487,487,112.01,487,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,487,percent of total billed charges,350.64,percent of total billed charges,350.64,percent of total billed charges,350.64,percent of total billed charges,350.64,percent of total billed charges,350.64,percent of total billed charges,350.64,percent of total billed charges,384.73,percent of total billed charges,384.73,percent of total billed charges,389.6,percent of total billed charges,389.6,percent of total billed charges,,,350.64,percent of total billed charges ,,,389.6,percent of total billed charges ,384.73,percent of total billed charges ,384.73,percent of total billed charges ,413.95,percent of total billed charges ,413.95,percent of total billed charges ,389.6,percent of total billed charges ,389.6,percent of total billed charges ,340.9,percent of total billed charges ,340.9,percent of total billed charges ,292.2,percent of total billed charges ,292.2,percent of total billed charges ,292.2,percent of total billed charges ,292.2,percent of total billed charges ,,,,,259.08,percent of total billed charges ,,,,,246.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,,,112.01,percent of total billed charges,
OT WC MANAGEMENT EA 15 MIN,97542,CDM,,,GP,both,,,296,296,68.08,296,296,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,233.84,percent of total billed charges,233.84,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 ,233.84,percent of total billed charges ,233.84,percent of total billed charges ,251.6,percent of total billed charges ,251.6,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 ,,,,,,,,,,,,,,,,,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,
OT THERAPEUTIC EXERCISE EA 15 MIN,97110,CDM,,,GP,both,,,184,184,42.32,184,184,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,145.36,percent of total billed charges,145.36,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 ,145.36,percent of total billed charges ,145.36,percent of total billed charges ,156.4,percent of total billed charges ,156.4,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 ,,,,,,,,,,,,,,,,,,,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,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,,,42.32,percent of total billed charges,
OT MANUAL THERAPY EA 15 MIN,97140,CDM,,,GP,both,,,183,183,42.09,183,183,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,144.57,percent of total billed charges,144.57,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 ,144.57,percent of total billed charges ,144.57,percent of total billed charges ,155.55,percent of total billed charges ,155.55,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 ,,,,,,,,,,,,,,,,,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,,,42.09,percent of total billed charges,
OT ESTIM ATTENDED EA 15 MIN,97032,CDM,,,GP,both,,,161,161,37.03,161,161,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,127.19,percent of total billed charges,127.19,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 ,127.19,percent of total billed charges ,127.19,percent of total billed charges ,136.85,percent of total billed charges ,136.85,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 ,,,,,,,,,,,,,,,,,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,,,37.03,percent of total billed charges,
OT IONTOPHORESIS EA 15 MIN,97033,CDM,,,GP,both,,,232,232,53.36,232,232,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,183.28,percent of total billed charges,183.28,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 ,183.28,percent of total billed charges ,183.28,percent of total billed charges ,197.2,percent of total billed charges ,197.2,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 ,,,,,,,,,,,,,,,,,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,,,53.36,percent of total billed charges,
OT ULTRASOUND EA 15 MIN,97035,CDM,,,GP,both,,,150,150,34.5,150,150,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,118.5,percent of total billed charges,118.5,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 ,118.5,percent of total billed charges ,118.5,percent of total billed charges ,127.5,percent of total billed charges ,127.5,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 ,,,,,,,,,,,,,,,,,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,,,34.5,percent of total billed charges,
**OT LONG ARM SPLINT,29105,CDM,,,GF,both,,,530,530,121.9,530,530,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,418.7,percent of total billed charges,418.7,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 ,418.7,percent of total billed charges ,418.7,percent of total billed charges ,450.5,percent of total billed charges ,450.5,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 ,,,,,,,,,,,,,,,,,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,,,121.9,percent of total billed charges,
**OT COGNITIVE EA 15 MIN,97532,CDM,,,GO,both,,,162,162,37.26,162,162,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,127.98,percent of total billed charges,127.98,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 ,127.98,percent of total billed charges ,127.98,percent of total billed charges ,137.7,percent of total billed charges ,137.7,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 ,,,,,,,,,,,,,,,,,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,,,37.26,percent of total billed charges,
OT E-STIM UNATTENDED,97014,CDM,,,GP,both,,,205,205,47.15,205,205,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,161.95,percent of total billed charges,161.95,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 ,161.95,percent of total billed charges ,161.95,percent of total billed charges ,174.25,percent of total billed charges ,174.25,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 ,,,,,,,,,,,,,,,,,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,,,47.15,percent of total billed charges,
**OT CKOUT FOR ORTHOTIC/PROSTHETIC EA 15,97762,CDM,,,GP,both,,,296,296,68.08,296,296,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,233.84,percent of total billed charges,233.84,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 ,233.84,percent of total billed charges ,233.84,percent of total billed charges ,251.6,percent of total billed charges ,251.6,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 ,,,,,,,,,,,,,,,,,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,
OT ORTHOTIC MANG & TRAINING EA 15 MIN,97760,CDM,,,GP,both,,,182,182,41.86,182,182,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,143.78,percent of total billed charges,143.78,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 ,143.78,percent of total billed charges ,143.78,percent of total billed charges ,154.7,percent of total billed charges ,154.7,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 ,,,,,,,,,,,,,,,,,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,,,41.86,percent of total billed charges,
**OT DYNAMIC FINGER SPLINT,29131,CDM,,,GP,both,,,239,239,54.97,239,239,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,188.81,percent of total billed charges,188.81,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 ,188.81,percent of total billed charges ,188.81,percent of total billed charges ,203.15,percent of total billed charges ,203.15,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 ,,,,,,,,,,,,,,,,,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,,,54.97,percent of total billed charges,
**OT STATIC FINGER SPLINT,29130,CDM,,,GF,both,,,438,438,100.74,438,438,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,346.02,percent of total billed charges,346.02,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 ,346.02,percent of total billed charges ,346.02,percent of total billed charges ,372.3,percent of total billed charges ,372.3,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 ,,,,,,,,,,,,,,,,,,,100.74,percent of total billed charges,,,100.74,percent of total billed charges,,,100.74,percent of total billed charges,,,100.74,percent of total billed charges,,,100.74,percent of total billed charges,,,100.74,percent of total billed charges,,,100.74,percent of total billed charges,,,100.74,percent of total billed charges,,,100.74,percent of total billed charges,,,100.74,percent of total billed charges,,,100.74,percent of total billed charges,
OT THERAPEUTIC EXERCISE/GROUP,97150,CDM,,,GP,both,,,227,227,52.21,227,227,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,179.33,percent of total billed charges,179.33,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 ,179.33,percent of total billed charges ,179.33,percent of total billed charges ,192.95,percent of total billed charges ,192.95,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 ,,,,,,,,,,,,,,,,,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,,,52.21,percent of total billed charges,
**OT EVALUATION,97165,CDM,,,GO,both,,,561,561,129.03,561,561,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,443.19,percent of total billed charges,443.19,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 ,443.19,percent of total billed charges ,443.19,percent of total billed charges ,476.85,percent of total billed charges ,476.85,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 ,,,,,,,,,,,,,,,,,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,,,129.03,percent of total billed charges,
OT RE-EVALUATION,97168,CDM,,,GO,both,,,318,318,73.14,318,318,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,251.22,percent of total billed charges,251.22,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 ,251.22,percent of total billed charges ,251.22,percent of total billed charges ,270.3,percent of total billed charges ,270.3,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 ,,,,,,,,,,,,,,,,,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,,,73.14,percent of total billed charges,
**OT STRAPPING FINGER OR HAND,29280,CDM,,,GP,both,,,423,423,97.29,423,423,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,423,percent of total billed charges,423,percent of total billed charges,423,percent of total billed charges,304.56,percent of total billed charges,304.56,percent of total billed charges,304.56,percent of total billed charges,304.56,percent of total billed charges,304.56,percent of total billed charges,304.56,percent of total billed charges,334.17,percent of total billed charges,334.17,percent of total billed charges,338.4,percent of total billed charges,338.4,percent of total billed charges,,,304.56,percent of total billed charges ,,,338.4,percent of total billed charges ,334.17,percent of total billed charges ,334.17,percent of total billed charges ,359.55,percent of total billed charges ,359.55,percent of total billed charges ,338.4,percent of total billed charges ,338.4,percent of total billed charges ,296.1,percent of total billed charges ,296.1,percent of total billed charges ,253.8,percent of total billed charges ,253.8,percent of total billed charges ,253.8,percent of total billed charges ,253.8,percent of total billed charges ,,,,,225.04,percent of total billed charges ,,,,,213.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,,,97.29,percent of total billed charges,
**OT STRAPPING ELBOW OR WRIST,29260,CDM,,,GP,both,,,422,422,97.06,422,422,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,333.38,percent of total billed charges,333.38,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 ,333.38,percent of total billed charges ,333.38,percent of total billed charges ,358.7,percent of total billed charges ,358.7,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 ,,,,,,,,,,,,,,,,,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,,,97.06,percent of total billed charges,
**OT STRAPPING SHOULDER,29240,CDM,,,,both,,,452,452,103.96,452,452,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,357.08,percent of total billed charges,357.08,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 ,357.08,percent of total billed charges ,357.08,percent of total billed charges ,384.2,percent of total billed charges ,384.2,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 ,,,,,,,,,,,,,,,,,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,
**OT-INFRARED LIGHT THERP,97026,CDM,,,,both,,,147,147,33.81,147,147,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,116.13,percent of total billed charges,116.13,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 ,116.13,percent of total billed charges ,116.13,percent of total billed charges ,124.95,percent of total billed charges ,124.95,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 ,,,,,,,,,,,,,,,,,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,,,33.81,percent of total billed charges,
**OT-WHEELCHAIR MANAGEMENT/15 MIN,97542,CDM,,,GP,both,,,296,296,68.08,296,296,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,233.84,percent of total billed charges,233.84,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 ,233.84,percent of total billed charges ,233.84,percent of total billed charges ,251.6,percent of total billed charges ,251.6,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 ,,,,,,,,,,,,,,,,,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,,,68.08,percent of total billed charges,
**OT MOBILITY (CURRENT) CH,G8978,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OT MOBILITY (CURRENT) CI,G8978,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OT MOBILITY (CURRENT) CJ,G8978,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OT MOBILITY (CURRENT) CK,G8978,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OT MOBILITY (CURRENT) CL,G8978,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OT MOBILITY (CURRENT) CM,G8978,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OT MOBILITY (CURRENT) CN,G8978,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OT MOBILITY (GOAL) CH,G8979,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OT MOBILITY (GOAL) CI,G8979,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OT MOBILITY (GOAL) CJ,G8979,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OT MOBILITY (GOAL) CK,G8979,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OT MOBILITY (GOAL) CL,G8979,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OT MOBILITY (GOAL) CM,G8979,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OT MOBILITY (GOAL) CN,G8979,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OT MOBILITY (DC) CH,G8980,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OT MOBILITY (DC) CI,G8980,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OT MOBILITY (DC) CJ,G8980,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OT MOBILITY (DC) CK,G8980,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OT MOBILITY (DC) CL,G8980,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OT MOBILITY (DC) CM,G8980,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OT MOBILITY (DC) CN,G8980,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**CHANGING BODY POSITION (CURRENT) CH,G8981,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**CHANGING BODY POSITION (CURRENT) CI,G8981,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**CHANGING BODY POSITION (CURRENT) CJ,G8981,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**CHANGING BODY POSITION (CURRENT) CK,G8981,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**CHANGING BODY POSITION (CURRENT) CL,G8981,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**CHANGING BODY POSITION (CURRENT) CM,G8981,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**CHANGING BODY POSITION (CURRENT) CN,G8981,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**CHANGING BODY POSITION (GOAL) CH,G8982,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**CHANGING BODY POSITION (GOAL) CI,G8982,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**CHANGING BODY POSITION (GOAL) CJ,G8982,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**CHANGING BODY POSITION (GOAL) CK,G8982,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**CHANGING BODY POSITION (GOAL) CL,G8982,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**CHANGING BODY POSITION (GOAL) CM,G8982,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**CHANGING BODY POSITION (GOAL) CN,G8982,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**CHANGING BODY POSITION (DC) CH,G8983,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**CHANGING BODY POSITION (DC) CI,G8983,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**CHANGING BODY POSITION (DC) CJ,G8983,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**CHANGING BODY POSITION (DC) CK,G8983,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**CHANGING BODY POSITION (DC) CL,G8983,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**CHANGING BODY POSITION (DC) CM,G8983,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**CHANGING BODY POSITION (DC) CN,G8983,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
"**CARRYING, MOVING OBJECTS (CURRENT) CH",G8984,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
"**CARRYING, MOVING OBJECTS (CURRENT) CI",G8984,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
"**CARRYING, MOVING OBJECTS (CURRENT) CJ",G8984,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
"**CARRYING, MOVING OBJECTS (CURRENT) CK",G8984,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
"**CARRYING, MOVING OBJECTS (CURRENT) CL",G8984,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
"**CARRYING, MOVING OBJECTS (CURRENT) CM",G8984,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
"**CARRYING, MOVING OBJECTS (CURRENT) CN",G8984,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
"**CARRYING, MOVING OBJECTS (GOAL) CH",G8985,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
"**CARRYING, MOVING OBJECTS (GOAL) CI",G8985,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
"**CARRYING, MOVING OBJECTS (GOAL) CJ",G8985,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
"**CARRYING, MOVING OBJECTS (GOAL) CK",G8985,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
"**CARRYING, MOVING OBJECTS (GOAL) CL",G8985,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
"**CARRYING, MOVING OBJECTS (GOAL) CM",G8985,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
"**CARRYING, MOVING OBJECTS (GOAL) CN",G8985,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
"**CARRYING, MOVING OBJECTS (DC) CH",G8986,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
"**CARRYING, MOVING OBJECTS (DC) CI",G8986,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
"**CARRYING, MOVING OBJECTS (DC) CJ",G8986,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
"**CARRYING, MOVING OBJECTS (DC) CK",G8986,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
"**CARRYING, MOVING OBJECTS (DC) CL",G8986,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
"**CARRYING, MOVING OBJECTS (DC) CM",G8986,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
"**CARRYING, MOVING OBJECTS (DC) CN",G8986,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**SELF CARE (CURRENT) CH,G8987,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**SELF CARE (CURRENT) CI,G8987,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**SELF CARE (CURRENT) CJ,G8987,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**SELF CARE (CURRENT) CK,G8987,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**SELF CARE (CURRENT) CL,G8987,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**SELF CARE (CURRENT) CM,G8987,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SELF CARE (CURRENT) CN,G8987,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SELF CARE (GOAL) CH,G8988,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SELF CARE (GOAL) CI,G8988,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SELF CARE (GOAL) CJ,G8988,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SELF CARE (GOAL) CK,G8988,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**SELF CARE (GOAL) CL,G8988,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SELF CARE (GOAL) CM,G8988,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SELF CARE (GOAL) CN,G8988,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SELF CARE (DC) CH,G8989,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SELF CARE (DC) CI,G8989,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SELF CARE (DC) CJ,G8989,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SELF CARE (DC) CK,G8989,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SELF CARE (DC) CL,G8989,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SELF CARE (DC) CM,G8989,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**SELF CARE (DC) CN,G8989,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**OTHER OT PRIMARY FUNC LIMIT (CURRENT),G8990,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER OT PRIMARY FUNC LIMIT (CURRENT),G8990,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER OT PRIMARY FUNC LIMIT (CURRENT),G8990,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER OT PRIMARY FUNC LIMIT (CURRENT),G8990,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER OT PRIMARY FUNC LIMIT (CURRENT),G8990,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER OT PRIMARY FUNC LIMIT (CURRENT),G8990,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER OT PRIMARY FUNC LIMIT (CURRENT),G8990,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER OT PRIMARY FUNC LIMIT (GOAL),G8991,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER OT PRIMARY FUNC LIMIT (GOAL),G8991,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER OT PRIMARY FUNC LIMIT (GOAL),G8991,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER OT PRIMARY FUNC LIMIT (GOAL),G8991,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER OT PRIMARY FUNC LIMIT (GOAL),G8991,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER OT PRIMARY FUNC LIMIT (GOAL),G8991,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER OT PRIMARY FUNC LIMIT (GOAL),G8991,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER OT PRIMARY FUNC LIMIT (DC) CH,G8992,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER OT PRIMARY FUNC LIMIT (DC) CI,G8992,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER OT PRIMARY FUNC LIMIT (DC) CJ,G8992,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER OT PRIMARY FUNC LIMIT (DC) CK,G8992,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER OT PRIMARY FUNC LIMIT (DC) CL,G8992,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER OT PRIMARY FUNC LIMIT (DC) CM,G8992,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER OT PRIMARY FUNC LIMIT (DC) CN,G8992,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER OT SUBSEQ FUNC LIMIT (CURRENT),G8993,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER OT SUBSEQ FUNC LIMIT (CURRENT),G8993,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER OT SUBSEQ FUNC LIMIT (CURRENT),G8993,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER OT SUBSEQ FUNC LIMIT (CURRENT),G8993,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER OT SUBSEQ FUNC LIMIT (CURRENT),G8993,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER OT SUBSEQ FUNC LIMIT (CURRENT),G8993,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER OT SUBSEQ FUNC LIMIT (CURRENT),G8993,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER OT SUBSEQ FUNC LIMIT (GOAL),G8994,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER OT SUBSEQ FUNC LIMIT (GOAL) CI,G8994,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER OT SUBSEQ FUNC LIMIT (GOAL) CJ,G8994,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER OT SUBSEQ FUNC LIMIT (GOAL) CK,G8994,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER OT SUBSEQ FUNC LIMIT (GOAL) CL,G8994,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER OT SUBSEQ FUNC LIMIT (GOAL) CM,G8994,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER OT SUBSEQ FUNC LIMIT (GOAL) CN,G8994,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER OT SUBSEQ FUNC LIMIT (DC) CH,G8995,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER OT SUBSEQ FUNC LIMIT (DC) CI,G8995,CDM,,,CH,both,,,7,7,1.61,7,7,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,5.53,percent of total billed charges,5.53,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 ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.95,percent of total billed charges ,5.95,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 ,,,,,,,,,,,,,,,,,,,1.61,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,
**OTHER OT SUBSEQ FUNC LIMIT (DC) CJ,G8995,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER OT SUBSEQ FUNC LIMIT (DC) CK,G8995,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER OT SUBSEQ FUNC LIMIT (DC) CL,G8995,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER OT SUBSEQ FUNC LIMIT (DC) CM,G8995,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OTHER OT SUBSEQ FUNC LIMIT (DC) CN,G8995,CDM,,,CH,both,,,5,5,1.15,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,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,
**OT THERAPEUTIC EXERCISE / 2 UNITS,97110,CDM,,,GP,both,,,439,439,100.97,439,439,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,346.81,percent of total billed charges,346.81,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 ,346.81,percent of total billed charges ,346.81,percent of total billed charges ,373.15,percent of total billed charges ,373.15,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 ,,,,,,,,,,,,,,,,,,,100.97,percent of total billed charges,,,100.97,percent of total billed charges,,,100.97,percent of total billed charges,,,100.97,percent of total billed charges,,,100.97,percent of total billed charges,,,100.97,percent of total billed charges,,,100.97,percent of total billed charges,,,100.97,percent of total billed charges,,,100.97,percent of total billed charges,,,100.97,percent of total billed charges,,,100.97,percent of total billed charges,
**OT THERAPEUTIC EXERCISE / 3 UNITS,97110,CDM,,,GP,both,,,649,649,149.27,649,649,percent of total billed charges,649,percent of total billed charges,649,percent of total billed charges,649,percent of total billed charges,649,percent of total billed charges,649,percent of total billed charges,649,percent of total billed charges,649,percent of total billed charges,467.28,percent of total billed charges,467.28,percent of total billed charges,467.28,percent of total billed charges,467.28,percent of total billed charges,467.28,percent of total billed charges,467.28,percent of total billed charges,512.71,percent of total billed charges,512.71,percent of total billed charges,519.2,percent of total billed charges,519.2,percent of total billed charges,,,467.28,percent of total billed charges ,,,519.2,percent of total billed charges ,512.71,percent of total billed charges ,512.71,percent of total billed charges ,551.65,percent of total billed charges ,551.65,percent of total billed charges ,519.2,percent of total billed charges ,519.2,percent of total billed charges ,454.3,percent of total billed charges ,454.3,percent of total billed charges ,389.4,percent of total billed charges ,389.4,percent of total billed charges ,389.4,percent of total billed charges ,389.4,percent of total billed charges ,,,,,345.27,percent of total billed charges ,,,,,328,percent of total billed charges ,,,,,,,,,,,,,,,,,,,149.27,percent of total billed charges,,,149.27,percent of total billed charges,,,149.27,percent of total billed charges,,,149.27,percent of total billed charges,,,149.27,percent of total billed charges,,,149.27,percent of total billed charges,,,149.27,percent of total billed charges,,,149.27,percent of total billed charges,,,149.27,percent of total billed charges,,,149.27,percent of total billed charges,,,149.27,percent of total billed charges,
**OT THERAPEUTIC EXERCISE / 4 UNITS,97110,CDM,,,GP,both,,,865,865,198.95,865,865,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,683.35,percent of total billed charges,683.35,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 ,683.35,percent of total billed charges ,683.35,percent of total billed charges ,735.25,percent of total billed charges ,735.25,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 ,,,,,,,,,,,,,,,,,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,,,198.95,percent of total billed charges,
**OT THERAPEUTIC ACTIVITY / 2 UNITS,97530,CDM,,,GP,both,,,455,455,104.65,455,455,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,359.45,percent of total billed charges,359.45,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 ,359.45,percent of total billed charges ,359.45,percent of total billed charges ,386.75,percent of total billed charges ,386.75,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 ,,,,,,,,,,,,,,,,,,,104.65,percent of total billed charges,,,104.65,percent of total billed charges,,,104.65,percent of total billed charges,,,104.65,percent of total billed charges,,,104.65,percent of total billed charges,,,104.65,percent of total billed charges,,,104.65,percent of total billed charges,,,104.65,percent of total billed charges,,,104.65,percent of total billed charges,,,104.65,percent of total billed charges,,,104.65,percent of total billed charges,
**OT THERAPEUTIC ACTIVITY / 3 UNITS,97530,CDM,,,GP,both,,,681,681,156.63,681,681,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,537.99,percent of total billed charges,537.99,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 ,537.99,percent of total billed charges ,537.99,percent of total billed charges ,578.85,percent of total billed charges ,578.85,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 ,,,,,,,,,,,,,,,,,,,156.63,percent of total billed charges,,,156.63,percent of total billed charges,,,156.63,percent of total billed charges,,,156.63,percent of total billed charges,,,156.63,percent of total billed charges,,,156.63,percent of total billed charges,,,156.63,percent of total billed charges,,,156.63,percent of total billed charges,,,156.63,percent of total billed charges,,,156.63,percent of total billed charges,,,156.63,percent of total billed charges,
**OT THERAPEUTIC ACTIVITY / 4 UNITS,97530,CDM,,,GP,both,,,905,905,208.15,905,905,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,714.95,percent of total billed charges,714.95,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 ,714.95,percent of total billed charges ,714.95,percent of total billed charges ,769.25,percent of total billed charges ,769.25,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 ,,,,,,,,,,,,,,,,,,,208.15,percent of total billed charges,,,208.15,percent of total billed charges,,,208.15,percent of total billed charges,,,208.15,percent of total billed charges,,,208.15,percent of total billed charges,,,208.15,percent of total billed charges,,,208.15,percent of total billed charges,,,208.15,percent of total billed charges,,,208.15,percent of total billed charges,,,208.15,percent of total billed charges,,,208.15,percent of total billed charges,
**OT NEUROMUSC RE-ED / 2 UNITS,97112,CDM,,,GP,both,,,434,434,99.82,434,434,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,342.86,percent of total billed charges,342.86,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 ,342.86,percent of total billed charges ,342.86,percent of total billed charges ,368.9,percent of total billed charges ,368.9,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 ,,,,,,,,,,,,,,,,,,,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,,,99.82,percent of total billed charges,,,99.82,percent of total billed charges,,,99.82,percent of total billed charges,
**OT NEUROMUSC RE-ED / 3 UNITS,97112,CDM,,,GP,both,,,645,645,148.35,645,645,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,509.55,percent of total billed charges,509.55,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 ,509.55,percent of total billed charges ,509.55,percent of total billed charges ,548.25,percent of total billed charges ,548.25,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 ,,,,,,,,,,,,,,,,,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,,,148.35,percent of total billed charges,
**OT NEUROMUSC RE-ED / 4 UNITS,97112,CDM,,,GP,both,,,859,859,197.57,859,859,percent of total billed charges,859,percent of total billed charges,859,percent of total billed charges,859,percent of total billed charges,859,percent of total billed charges,859,percent of total billed charges,859,percent of total billed charges,859,percent of total billed charges,618.48,percent of total billed charges,618.48,percent of total billed charges,618.48,percent of total billed charges,618.48,percent of total billed charges,618.48,percent of total billed charges,618.48,percent of total billed charges,678.61,percent of total billed charges,678.61,percent of total billed charges,687.2,percent of total billed charges,687.2,percent of total billed charges,,,618.48,percent of total billed charges ,,,687.2,percent of total billed charges ,678.61,percent of total billed charges ,678.61,percent of total billed charges ,730.15,percent of total billed charges ,730.15,percent of total billed charges ,687.2,percent of total billed charges ,687.2,percent of total billed charges ,601.3,percent of total billed charges ,601.3,percent of total billed charges ,515.4,percent of total billed charges ,515.4,percent of total billed charges ,515.4,percent of total billed charges ,515.4,percent of total billed charges ,,,,,456.99,percent of total billed charges ,,,,,434.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,197.57,percent of total billed charges,,,197.57,percent of total billed charges,,,197.57,percent of total billed charges,,,197.57,percent of total billed charges,,,197.57,percent of total billed charges,,,197.57,percent of total billed charges,,,197.57,percent of total billed charges,,,197.57,percent of total billed charges,,,197.57,percent of total billed charges,,,197.57,percent of total billed charges,,,197.57,percent of total billed charges,
**OT MANUAL THERAPY / 2 UNITS,97140,CDM,,,GP,both,,,452,452,103.96,452,452,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,357.08,percent of total billed charges,357.08,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 ,357.08,percent of total billed charges ,357.08,percent of total billed charges ,384.2,percent of total billed charges ,384.2,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 ,,,,,,,,,,,,,,,,,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,,,103.96,percent of total billed charges,
**OT MANUAL THERAPY / 3 UNITS,97140,CDM,,,GP,both,,,671,671,154.33,671,671,percent of total billed charges,671,percent of total billed charges,671,percent of total billed charges,671,percent of total billed charges,671,percent of total billed charges,671,percent of total billed charges,671,percent of total billed charges,671,percent of total billed charges,483.12,percent of total billed charges,483.12,percent of total billed charges,483.12,percent of total billed charges,483.12,percent of total billed charges,483.12,percent of total billed charges,483.12,percent of total billed charges,530.09,percent of total billed charges,530.09,percent of total billed charges,536.8,percent of total billed charges,536.8,percent of total billed charges,,,483.12,percent of total billed charges ,,,536.8,percent of total billed charges ,530.09,percent of total billed charges ,530.09,percent of total billed charges ,570.35,percent of total billed charges ,570.35,percent of total billed charges ,536.8,percent of total billed charges ,536.8,percent of total billed charges ,469.7,percent of total billed charges ,469.7,percent of total billed charges ,402.6,percent of total billed charges ,402.6,percent of total billed charges ,402.6,percent of total billed charges ,402.6,percent of total billed charges ,,,,,356.97,percent of total billed charges ,,,,,339.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,,,154.33,percent of total billed charges,
**OT MANUAL THERAPY / 4 UNITS,97140,CDM,,,GP,both,,,897,897,206.31,897,897,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,708.63,percent of total billed charges,708.63,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 ,708.63,percent of total billed charges ,708.63,percent of total billed charges ,762.45,percent of total billed charges ,762.45,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 ,,,,,,,,,,,,,,,,,,,206.31,percent of total billed charges,,,206.31,percent of total billed charges,,,206.31,percent of total billed charges,,,206.31,percent of total billed charges,,,206.31,percent of total billed charges,,,206.31,percent of total billed charges,,,206.31,percent of total billed charges,,,206.31,percent of total billed charges,,,206.31,percent of total billed charges,,,206.31,percent of total billed charges,,,206.31,percent of total billed charges,
**OT COGNITIVE / 2 UNITS,97532,CDM,,,GO,both,,,316,316,72.68,316,316,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,249.64,percent of total billed charges,249.64,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 ,249.64,percent of total billed charges ,249.64,percent of total billed charges ,268.6,percent of total billed charges ,268.6,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,72.68,percent of total billed charges,,,72.68,percent of total billed charges,,,72.68,percent of total billed charges,
**OT COGNITIVE / 3 UNITS,97532,CDM,,,GO,both,,,472,472,108.56,472,472,percent of total billed charges,472,percent of total billed charges,472,percent of total billed charges,472,percent of total billed charges,472,percent of total billed charges,472,percent of total billed charges,472,percent of total billed charges,472,percent of total billed charges,339.84,percent of total billed charges,339.84,percent of total billed charges,339.84,percent of total billed charges,339.84,percent of total billed charges,339.84,percent of total billed charges,339.84,percent of total billed charges,372.88,percent of total billed charges,372.88,percent of total billed charges,377.6,percent of total billed charges,377.6,percent of total billed charges,,,339.84,percent of total billed charges ,,,377.6,percent of total billed charges ,372.88,percent of total billed charges ,372.88,percent of total billed charges ,401.2,percent of total billed charges ,401.2,percent of total billed charges ,377.6,percent of total billed charges ,377.6,percent of total billed charges ,330.4,percent of total billed charges ,330.4,percent of total billed charges ,283.2,percent of total billed charges ,283.2,percent of total billed charges ,283.2,percent of total billed charges ,283.2,percent of total billed charges ,,,,,251.1,percent of total billed charges ,,,,,238.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,,,108.56,percent of total billed charges,
**OT COGNITIVE / 4 UNITS,97532,CDM,,,GO,both,,,626,626,143.98,626,626,percent of total billed charges,626,percent of total billed charges,626,percent of total billed charges,626,percent of total billed charges,626,percent of total billed charges,626,percent of total billed charges,626,percent of total billed charges,626,percent of total billed charges,450.72,percent of total billed charges,450.72,percent of total billed charges,450.72,percent of total billed charges,450.72,percent of total billed charges,450.72,percent of total billed charges,450.72,percent of total billed charges,494.54,percent of total billed charges,494.54,percent of total billed charges,500.8,percent of total billed charges,500.8,percent of total billed charges,,,450.72,percent of total billed charges ,,,500.8,percent of total billed charges ,494.54,percent of total billed charges ,494.54,percent of total billed charges ,532.1,percent of total billed charges ,532.1,percent of total billed charges ,500.8,percent of total billed charges ,500.8,percent of total billed charges ,438.2,percent of total billed charges ,438.2,percent of total billed charges ,375.6,percent of total billed charges ,375.6,percent of total billed charges ,375.6,percent of total billed charges ,375.6,percent of total billed charges ,,,,,333.03,percent of total billed charges ,,,,,316.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,143.98,percent of total billed charges,,,143.98,percent of total billed charges,,,143.98,percent of total billed charges,,,143.98,percent of total billed charges,,,143.98,percent of total billed charges,,,143.98,percent of total billed charges,,,143.98,percent of total billed charges,,,143.98,percent of total billed charges,,,143.98,percent of total billed charges,,,143.98,percent of total billed charges,,,143.98,percent of total billed charges,
**OT ORTHOTIC MANG & TRAINING / 2UNITS,97760,CDM,,,GP,both,,,697,697,160.31,697,697,percent of total billed charges,697,percent of total billed charges,697,percent of total billed charges,697,percent of total billed charges,697,percent of total billed charges,697,percent of total billed charges,697,percent of total billed charges,697,percent of total billed charges,501.84,percent of total billed charges,501.84,percent of total billed charges,501.84,percent of total billed charges,501.84,percent of total billed charges,501.84,percent of total billed charges,501.84,percent of total billed charges,550.63,percent of total billed charges,550.63,percent of total billed charges,557.6,percent of total billed charges,557.6,percent of total billed charges,,,501.84,percent of total billed charges ,,,557.6,percent of total billed charges ,550.63,percent of total billed charges ,550.63,percent of total billed charges ,592.45,percent of total billed charges ,592.45,percent of total billed charges ,557.6,percent of total billed charges ,557.6,percent of total billed charges ,487.9,percent of total billed charges ,487.9,percent of total billed charges ,418.2,percent of total billed charges ,418.2,percent of total billed charges ,418.2,percent of total billed charges ,418.2,percent of total billed charges ,,,,,370.8,percent of total billed charges ,,,,,352.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,,,160.31,percent of total billed charges,
**OT ORTHOTIC MANG & TRAINING / 3UNITS,97760,CDM,,,GP,both,,,"1,040.00","1,040.00",239.2,"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,821.6,percent of total billed charges,821.6,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 ,821.6,percent of total billed charges ,821.6,percent of total billed charges ,884,percent of total billed charges ,884,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 ,,,,,,,,,,,,,,,,,,,239.2,percent of total billed charges,,,239.2,percent of total billed charges,,,239.2,percent of total billed charges,,,239.2,percent of total billed charges,,,239.2,percent of total billed charges,,,239.2,percent of total billed charges,,,239.2,percent of total billed charges,,,239.2,percent of total billed charges,,,239.2,percent of total billed charges,,,239.2,percent of total billed charges,,,239.2,percent of total billed charges,
**OT ORTHOTIC MANG & TRAINING / 4UNITS,97760,CDM,,,GP,both,,,"1,385.00","1,385.00",318.55,"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,"1,094.15",percent of total billed charges,"1,094.15",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 ,"1,094.15",percent of total billed charges ,"1,094.15",percent of total billed charges ,"1,177.25",percent of total billed charges ,"1,177.25",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 ,,,,,,,,,,,,,,,,,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,,,318.55,percent of total billed charges,
**OT ADL TRAIN / 2UNITS,97535,CDM,,,GP,both,,,414,414,95.22,414,414,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,327.06,percent of total billed charges,327.06,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 ,327.06,percent of total billed charges ,327.06,percent of total billed charges ,351.9,percent of total billed charges ,351.9,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 ,,,,,,,,,,,,,,,,,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,
**OT ADL TRAIN / 3UNITS,97535,CDM,,,GP,both,,,617,617,141.91,617,617,percent of total billed charges,617,percent of total billed charges,617,percent of total billed charges,617,percent of total billed charges,617,percent of total billed charges,617,percent of total billed charges,617,percent of total billed charges,617,percent of total billed charges,444.24,percent of total billed charges,444.24,percent of total billed charges,444.24,percent of total billed charges,444.24,percent of total billed charges,444.24,percent of total billed charges,444.24,percent of total billed charges,487.43,percent of total billed charges,487.43,percent of total billed charges,493.6,percent of total billed charges,493.6,percent of total billed charges,,,444.24,percent of total billed charges ,,,493.6,percent of total billed charges ,487.43,percent of total billed charges ,487.43,percent of total billed charges ,524.45,percent of total billed charges ,524.45,percent of total billed charges ,493.6,percent of total billed charges ,493.6,percent of total billed charges ,431.9,percent of total billed charges ,431.9,percent of total billed charges ,370.2,percent of total billed charges ,370.2,percent of total billed charges ,370.2,percent of total billed charges ,370.2,percent of total billed charges ,,,,,328.24,percent of total billed charges ,,,,,311.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,
**OT ADL TRAIN / 4UNITS,97535,CDM,,,GP,both,,,820,820,188.6,820,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,647.8,percent of total billed charges,647.8,percent of total billed charges,656,percent of total billed charges,656,percent of total billed charges,,,590.4,percent of total billed charges ,,,656,percent of total billed charges ,647.8,percent of total billed charges ,647.8,percent of total billed charges ,697,percent of total billed charges ,697,percent of total billed charges ,656,percent of total billed charges ,656,percent of total billed charges ,574,percent of total billed charges ,574,percent of total billed charges ,492,percent of total billed charges ,492,percent of total billed charges ,492,percent of total billed charges ,492,percent of total billed charges ,,,,,436.24,percent of total billed charges ,,,,,414.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,
**OT LONG ARM SPLINT/ 2 UNITS,29105,CDM,,,GF,both,,,"1,049.00","1,049.00",241.27,"1,049.00","1,049.00",percent of total billed charges,"1,049.00",percent of total billed charges,"1,049.00",percent of total billed charges,"1,049.00",percent of total billed charges,"1,049.00",percent of total billed charges,"1,049.00",percent of total billed charges,"1,049.00",percent of total billed charges,"1,049.00",percent of total billed charges,755.28,percent of total billed charges,755.28,percent of total billed charges,755.28,percent of total billed charges,755.28,percent of total billed charges,755.28,percent of total billed charges,755.28,percent of total billed charges,828.71,percent of total billed charges,828.71,percent of total billed charges,839.2,percent of total billed charges,839.2,percent of total billed charges,,,755.28,percent of total billed charges ,,,839.2,percent of total billed charges ,828.71,percent of total billed charges ,828.71,percent of total billed charges ,891.65,percent of total billed charges ,891.65,percent of total billed charges ,839.2,percent of total billed charges ,839.2,percent of total billed charges ,734.3,percent of total billed charges ,734.3,percent of total billed charges ,629.4,percent of total billed charges ,629.4,percent of total billed charges ,629.4,percent of total billed charges ,629.4,percent of total billed charges ,,,,,558.07,percent of total billed charges ,,,,,530.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,241.27,percent of total billed charges,,,241.27,percent of total billed charges,,,241.27,percent of total billed charges,,,241.27,percent of total billed charges,,,241.27,percent of total billed charges,,,241.27,percent of total billed charges,,,241.27,percent of total billed charges,,,241.27,percent of total billed charges,,,241.27,percent of total billed charges,,,241.27,percent of total billed charges,,,241.27,percent of total billed charges,
**OT LONG ARM SPLINT/ 3 UNITS,29105,CDM,,,GF,both,,,"1,569.00","1,569.00",360.87,"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,"1,239.51",percent of total billed charges,"1,239.51",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 ,"1,239.51",percent of total billed charges ,"1,239.51",percent of total billed charges ,"1,333.65",percent of total billed charges ,"1,333.65",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 ,,,,,,,,,,,,,,,,,,,360.87,percent of total billed charges,,,360.87,percent of total billed charges,,,360.87,percent of total billed charges,,,360.87,percent of total billed charges,,,360.87,percent of total billed charges,,,360.87,percent of total billed charges,,,360.87,percent of total billed charges,,,360.87,percent of total billed charges,,,360.87,percent of total billed charges,,,360.87,percent of total billed charges,,,360.87,percent of total billed charges,
**OT LONG ARM SPLINT/ 4 UNITS,29105,CDM,,,GF,both,,,"2,088.00","2,088.00",480.24,"2,088.00","2,088.00",percent of total billed charges,"2,088.00",percent of total billed charges,"2,088.00",percent of total billed charges,"2,088.00",percent of total billed charges,"2,088.00",percent of total billed charges,"2,088.00",percent of total billed charges,"2,088.00",percent of total billed charges,"2,088.00",percent of total billed charges,"1,503.36",percent of total billed charges,"1,503.36",percent of total billed charges,"1,503.36",percent of total billed charges,"1,503.36",percent of total billed charges,"1,503.36",percent of total billed charges,"1,503.36",percent of total billed charges,"1,649.52",percent of total billed charges,"1,649.52",percent of total billed charges,"1,670.40",percent of total billed charges,"1,670.40",percent of total billed charges,,,"1,503.36",percent of total billed charges ,,,"1,670.40",percent of total billed charges ,"1,649.52",percent of total billed charges ,"1,649.52",percent of total billed charges ,"1,774.80",percent of total billed charges ,"1,774.80",percent of total billed charges ,"1,670.40",percent of total billed charges ,"1,670.40",percent of total billed charges ,"1,461.60",percent of total billed charges ,"1,461.60",percent of total billed charges ,"1,252.80",percent of total billed charges ,"1,252.80",percent of total billed charges ,"1,252.80",percent of total billed charges ,"1,252.80",percent of total billed charges ,,,,,"1,110.82",percent of total billed charges ,,,,,"1,055.28",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,,,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,
**OT SHORT ARM SPLINT/ 2UNITS,29125,CDM,,,GF,both,,,973,973,223.79,973,973,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,768.67,percent of total billed charges,768.67,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 ,768.67,percent of total billed charges ,768.67,percent of total billed charges ,827.05,percent of total billed charges ,827.05,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 ,,,,,,,,,,,,,,,,,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,
**OT SHORT ARM SPLINT/ 3UNITS,29125,CDM,,,GF,both,,,"1,456.00","1,456.00",334.88,"1,456.00","1,456.00",percent of total billed charges,"1,456.00",percent of total billed charges,"1,456.00",percent of total billed charges,"1,456.00",percent of total billed charges,"1,456.00",percent of total billed charges,"1,456.00",percent of total billed charges,"1,456.00",percent of total billed charges,"1,456.00",percent of total billed charges,"1,048.32",percent of total billed charges,"1,048.32",percent of total billed charges,"1,048.32",percent of total billed charges,"1,048.32",percent of total billed charges,"1,048.32",percent of total billed charges,"1,048.32",percent of total billed charges,"1,150.24",percent of total billed charges,"1,150.24",percent of total billed charges,"1,164.80",percent of total billed charges,"1,164.80",percent of total billed charges,,,"1,048.32",percent of total billed charges ,,,"1,164.80",percent of total billed charges ,"1,150.24",percent of total billed charges ,"1,150.24",percent of total billed charges ,"1,237.60",percent of total billed charges ,"1,237.60",percent of total billed charges ,"1,164.80",percent of total billed charges ,"1,164.80",percent of total billed charges ,"1,019.20",percent of total billed charges ,"1,019.20",percent of total billed charges ,873.6,percent of total billed charges ,873.6,percent of total billed charges ,873.6,percent of total billed charges ,873.6,percent of total billed charges ,,,,,774.59,percent of total billed charges ,,,,,735.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,334.88,percent of total billed charges,,,334.88,percent of total billed charges,,,334.88,percent of total billed charges,,,334.88,percent of total billed charges,,,334.88,percent of total billed charges,,,334.88,percent of total billed charges,,,334.88,percent of total billed charges,,,334.88,percent of total billed charges,,,334.88,percent of total billed charges,,,334.88,percent of total billed charges,,,334.88,percent of total billed charges,
**OT SHORT ARM SPLINT/ 4UNITS,29125,CDM,,,GF,both,,,"1,941.00","1,941.00",446.43,"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,"1,533.39",percent of total billed charges,"1,533.39",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 ,"1,533.39",percent of total billed charges ,"1,533.39",percent of total billed charges ,"1,649.85",percent of total billed charges ,"1,649.85",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 ,,,,,,,,,,,,,,,,,,,446.43,percent of total billed charges,,,446.43,percent of total billed charges,,,446.43,percent of total billed charges,,,446.43,percent of total billed charges,,,446.43,percent of total billed charges,,,446.43,percent of total billed charges,,,446.43,percent of total billed charges,,,446.43,percent of total billed charges,,,446.43,percent of total billed charges,,,446.43,percent of total billed charges,,,446.43,percent of total billed charges,
**OT DYNAMIC ARM SPLINT/ 2 UNITS,29126,CDM,,,GP,both,,,618,618,142.14,618,618,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,488.22,percent of total billed charges,488.22,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 ,488.22,percent of total billed charges ,488.22,percent of total billed charges ,525.3,percent of total billed charges ,525.3,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 ,,,,,,,,,,,,,,,,,,,142.14,percent of total billed charges,,,142.14,percent of total billed charges,,,142.14,percent of total billed charges,,,142.14,percent of total billed charges,,,142.14,percent of total billed charges,,,142.14,percent of total billed charges,,,142.14,percent of total billed charges,,,142.14,percent of total billed charges,,,142.14,percent of total billed charges,,,142.14,percent of total billed charges,,,142.14,percent of total billed charges,
**OT DYNAMIC ARM SPLINT/ 3 UNITS,29126,CDM,,,GP,both,,,925,925,212.75,925,925,percent of total billed charges,925,percent of total billed charges,925,percent of total billed charges,925,percent of total billed charges,925,percent of total billed charges,925,percent of total billed charges,925,percent of total billed charges,925,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,730.75,percent of total billed charges,730.75,percent of total billed charges,740,percent of total billed charges,740,percent of total billed charges,,,666,percent of total billed charges ,,,740,percent of total billed charges ,730.75,percent of total billed charges ,730.75,percent of total billed charges ,786.25,percent of total billed charges ,786.25,percent of total billed charges ,740,percent of total billed charges ,740,percent of total billed charges ,647.5,percent of total billed charges ,647.5,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 ,,,,,492.1,percent of total billed charges ,,,,,467.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,,,212.75,percent of total billed charges,
**OT DYNAMIC ARM SPLINT/ 4 UNITS,29126,CDM,,,GP,both,,,"1,229.00","1,229.00",282.67,"1,229.00","1,229.00",percent of total billed charges,"1,229.00",percent of total billed charges,"1,229.00",percent of total billed charges,"1,229.00",percent of total billed charges,"1,229.00",percent of total billed charges,"1,229.00",percent of total billed charges,"1,229.00",percent of total billed charges,"1,229.00",percent of total billed charges,884.88,percent of total billed charges,884.88,percent of total billed charges,884.88,percent of total billed charges,884.88,percent of total billed charges,884.88,percent of total billed charges,884.88,percent of total billed charges,970.91,percent of total billed charges,970.91,percent of total billed charges,983.2,percent of total billed charges,983.2,percent of total billed charges,,,884.88,percent of total billed charges ,,,983.2,percent of total billed charges ,970.91,percent of total billed charges ,970.91,percent of total billed charges ,"1,044.65",percent of total billed charges ,"1,044.65",percent of total billed charges ,983.2,percent of total billed charges ,983.2,percent of total billed charges ,860.3,percent of total billed charges ,860.3,percent of total billed charges ,737.4,percent of total billed charges ,737.4,percent of total billed charges ,737.4,percent of total billed charges ,737.4,percent of total billed charges ,,,,,653.83,percent of total billed charges ,,,,,621.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,282.67,percent of total billed charges,,,282.67,percent of total billed charges,,,282.67,percent of total billed charges,,,282.67,percent of total billed charges,,,282.67,percent of total billed charges,,,282.67,percent of total billed charges,,,282.67,percent of total billed charges,,,282.67,percent of total billed charges,,,282.67,percent of total billed charges,,,282.67,percent of total billed charges,,,282.67,percent of total billed charges,
**OT DYNAMIC FINGER SPLINT/ 2 Units,29131,CDM,,,GP,both,,,470,470,108.1,470,470,percent of total billed charges,470,percent of total billed charges,470,percent of total billed charges,470,percent of total billed charges,470,percent of total billed charges,470,percent of total billed charges,470,percent of total billed charges,470,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,338.4,percent of total billed charges,338.4,percent of total billed charges,371.3,percent of total billed charges,371.3,percent of total billed charges,376,percent of total billed charges,376,percent of total billed charges,,,338.4,percent of total billed charges ,,,376,percent of total billed charges ,371.3,percent of total billed charges ,371.3,percent of total billed charges ,399.5,percent of total billed charges ,399.5,percent of total billed charges ,376,percent of total billed charges ,376,percent of total billed charges ,329,percent of total billed charges ,329,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 ,,,,,250.04,percent of total billed charges ,,,,,237.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,,,108.1,percent of total billed charges,
**OT DYNAMIC FINGER SPLINT/ 3 Units,29131,CDM,,,GP,both,,,699,699,160.77,699,699,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,552.21,percent of total billed charges,552.21,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 ,552.21,percent of total billed charges ,552.21,percent of total billed charges ,594.15,percent of total billed charges ,594.15,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 ,,,,,,,,,,,,,,,,,,,160.77,percent of total billed charges,,,160.77,percent of total billed charges,,,160.77,percent of total billed charges,,,160.77,percent of total billed charges,,,160.77,percent of total billed charges,,,160.77,percent of total billed charges,,,160.77,percent of total billed charges,,,160.77,percent of total billed charges,,,160.77,percent of total billed charges,,,160.77,percent of total billed charges,,,160.77,percent of total billed charges,
**OT DYNAMIC FINGER SPLINT/ 4 Units,29131,CDM,,,GP,both,,,929,929,213.67,929,929,percent of total billed charges,929,percent of total billed charges,929,percent of total billed charges,929,percent of total billed charges,929,percent of total billed charges,929,percent of total billed charges,929,percent of total billed charges,929,percent of total billed charges,668.88,percent of total billed charges,668.88,percent of total billed charges,668.88,percent of total billed charges,668.88,percent of total billed charges,668.88,percent of total billed charges,668.88,percent of total billed charges,733.91,percent of total billed charges,733.91,percent of total billed charges,743.2,percent of total billed charges,743.2,percent of total billed charges,,,668.88,percent of total billed charges ,,,743.2,percent of total billed charges ,733.91,percent of total billed charges ,733.91,percent of total billed charges ,789.65,percent of total billed charges ,789.65,percent of total billed charges ,743.2,percent of total billed charges ,743.2,percent of total billed charges ,650.3,percent of total billed charges ,650.3,percent of total billed charges ,557.4,percent of total billed charges ,557.4,percent of total billed charges ,557.4,percent of total billed charges ,557.4,percent of total billed charges ,,,,,494.23,percent of total billed charges ,,,,,469.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,213.67,percent of total billed charges,,,213.67,percent of total billed charges,,,213.67,percent of total billed charges,,,213.67,percent of total billed charges,,,213.67,percent of total billed charges,,,213.67,percent of total billed charges,,,213.67,percent of total billed charges,,,213.67,percent of total billed charges,,,213.67,percent of total billed charges,,,213.67,percent of total billed charges,,,213.67,percent of total billed charges,
**OT STATIC FINGER SPLINT/ 2 Units,29130,CDM,,,GF,both,,,973,973,223.79,973,973,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,768.67,percent of total billed charges,768.67,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 ,768.67,percent of total billed charges ,768.67,percent of total billed charges ,827.05,percent of total billed charges ,827.05,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 ,,,,,,,,,,,,,,,,,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,,,223.79,percent of total billed charges,
**OT STATIC FINGER SPLINT/ 3 Units,29130,CDM,,,GF,both,,,"1,456.00","1,456.00",334.88,"1,456.00","1,456.00",percent of total billed charges,"1,456.00",percent of total billed charges,"1,456.00",percent of total billed charges,"1,456.00",percent of total billed charges,"1,456.00",percent of total billed charges,"1,456.00",percent of total billed charges,"1,456.00",percent of total billed charges,"1,456.00",percent of total billed charges,"1,048.32",percent of total billed charges,"1,048.32",percent of total billed charges,"1,048.32",percent of total billed charges,"1,048.32",percent of total billed charges,"1,048.32",percent of total billed charges,"1,048.32",percent of total billed charges,"1,150.24",percent of total billed charges,"1,150.24",percent of total billed charges,"1,164.80",percent of total billed charges,"1,164.80",percent of total billed charges,,,"1,048.32",percent of total billed charges ,,,"1,164.80",percent of total billed charges ,"1,150.24",percent of total billed charges ,"1,150.24",percent of total billed charges ,"1,237.60",percent of total billed charges ,"1,237.60",percent of total billed charges ,"1,164.80",percent of total billed charges ,"1,164.80",percent of total billed charges ,"1,019.20",percent of total billed charges ,"1,019.20",percent of total billed charges ,873.6,percent of total billed charges ,873.6,percent of total billed charges ,873.6,percent of total billed charges ,873.6,percent of total billed charges ,,,,,774.59,percent of total billed charges ,,,,,735.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,334.88,percent of total billed charges,,,334.88,percent of total billed charges,,,334.88,percent of total billed charges,,,334.88,percent of total billed charges,,,334.88,percent of total billed charges,,,334.88,percent of total billed charges,,,334.88,percent of total billed charges,,,334.88,percent of total billed charges,,,334.88,percent of total billed charges,,,334.88,percent of total billed charges,,,334.88,percent of total billed charges,
**OT STATIC FINGER SPLINT/ 4 Units,29130,CDM,,,GF,both,,,"1,941.00","1,941.00",446.43,"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,"1,533.39",percent of total billed charges,"1,533.39",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 ,"1,533.39",percent of total billed charges ,"1,533.39",percent of total billed charges ,"1,649.85",percent of total billed charges ,"1,649.85",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 ,,,,,,,,,,,,,,,,,,,446.43,percent of total billed charges,,,446.43,percent of total billed charges,,,446.43,percent of total billed charges,,,446.43,percent of total billed charges,,,446.43,percent of total billed charges,,,446.43,percent of total billed charges,,,446.43,percent of total billed charges,,,446.43,percent of total billed charges,,,446.43,percent of total billed charges,,,446.43,percent of total billed charges,,,446.43,percent of total billed charges,
**OT ESTIM ATTENDED /2 Units,97032,CDM,,,GP,both,,,414,414,95.22,414,414,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,327.06,percent of total billed charges,327.06,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 ,327.06,percent of total billed charges ,327.06,percent of total billed charges ,351.9,percent of total billed charges ,351.9,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 ,,,,,,,,,,,,,,,,,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,,,95.22,percent of total billed charges,
**OT ESTIM ATTENDED /3 Units,97032,CDM,,,GP,both,,,617,617,141.91,617,617,percent of total billed charges,617,percent of total billed charges,617,percent of total billed charges,617,percent of total billed charges,617,percent of total billed charges,617,percent of total billed charges,617,percent of total billed charges,617,percent of total billed charges,444.24,percent of total billed charges,444.24,percent of total billed charges,444.24,percent of total billed charges,444.24,percent of total billed charges,444.24,percent of total billed charges,444.24,percent of total billed charges,487.43,percent of total billed charges,487.43,percent of total billed charges,493.6,percent of total billed charges,493.6,percent of total billed charges,,,444.24,percent of total billed charges ,,,493.6,percent of total billed charges ,487.43,percent of total billed charges ,487.43,percent of total billed charges ,524.45,percent of total billed charges ,524.45,percent of total billed charges ,493.6,percent of total billed charges ,493.6,percent of total billed charges ,431.9,percent of total billed charges ,431.9,percent of total billed charges ,370.2,percent of total billed charges ,370.2,percent of total billed charges ,370.2,percent of total billed charges ,370.2,percent of total billed charges ,,,,,328.24,percent of total billed charges ,,,,,311.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,,,141.91,percent of total billed charges,
**OT ESTIM ATTENDED /4 Units,97032,CDM,,,GP,both,,,820,820,188.6,820,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,820,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,647.8,percent of total billed charges,647.8,percent of total billed charges,656,percent of total billed charges,656,percent of total billed charges,,,590.4,percent of total billed charges ,,,656,percent of total billed charges ,647.8,percent of total billed charges ,647.8,percent of total billed charges ,697,percent of total billed charges ,697,percent of total billed charges ,656,percent of total billed charges ,656,percent of total billed charges ,574,percent of total billed charges ,574,percent of total billed charges ,492,percent of total billed charges ,492,percent of total billed charges ,492,percent of total billed charges ,492,percent of total billed charges ,,,,,436.24,percent of total billed charges ,,,,,414.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,,,188.6,percent of total billed charges,
**OT E-STIM UNATTENDED/ 2 Units,97014,CDM,,,GP,both,,,402,402,92.46,402,402,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,317.58,percent of total billed charges,317.58,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 ,317.58,percent of total billed charges ,317.58,percent of total billed charges ,341.7,percent of total billed charges ,341.7,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 ,,,,,,,,,,,,,,,,,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,,,92.46,percent of total billed charges,
**OT E-STIM UNATTENDED/ 3 Units,97014,CDM,,,GP,both,,,599,599,137.77,599,599,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,473.21,percent of total billed charges,473.21,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 ,473.21,percent of total billed charges ,473.21,percent of total billed charges ,509.15,percent of total billed charges ,509.15,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,137.77,percent of total billed charges,,,137.77,percent of total billed charges,,,137.77,percent of total billed charges,
**OT E-STIM UNATTENDED/ 4408. Units,97014,CDM,,,GP,both,,,797,797,183.31,797,797,percent of total billed charges,797,percent of total billed charges,797,percent of total billed charges,797,percent of total billed charges,797,percent of total billed charges,797,percent of total billed charges,797,percent of total billed charges,797,percent of total billed charges,573.84,percent of total billed charges,573.84,percent of total billed charges,573.84,percent of total billed charges,573.84,percent of total billed charges,573.84,percent of total billed charges,573.84,percent of total billed charges,629.63,percent of total billed charges,629.63,percent of total billed charges,637.6,percent of total billed charges,637.6,percent of total billed charges,,,573.84,percent of total billed charges ,,,637.6,percent of total billed charges ,629.63,percent of total billed charges ,629.63,percent of total billed charges ,677.45,percent of total billed charges ,677.45,percent of total billed charges ,637.6,percent of total billed charges ,637.6,percent of total billed charges ,557.9,percent of total billed charges ,557.9,percent of total billed charges ,478.2,percent of total billed charges ,478.2,percent of total billed charges ,478.2,percent of total billed charges ,478.2,percent of total billed charges ,,,,,424,percent of total billed charges ,,,,,402.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,183.31,percent of total billed charges,,,183.31,percent of total billed charges,,,183.31,percent of total billed charges,,,183.31,percent of total billed charges,,,183.31,percent of total billed charges,,,183.31,percent of total billed charges,,,183.31,percent of total billed charges,,,183.31,percent of total billed charges,,,183.31,percent of total billed charges,,,183.31,percent of total billed charges,,,183.31,percent of total billed charges,
**OT ULTRASOUND / 2 Units,97035,CDM,,,GP,both,,,382,382,87.86,382,382,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,301.78,percent of total billed charges,301.78,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 ,301.78,percent of total billed charges ,301.78,percent of total billed charges ,324.7,percent of total billed charges ,324.7,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 ,,,,,,,,,,,,,,,,,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,,,87.86,percent of total billed charges,
**OT ULTRASOUND / 3 Units,97035,CDM,,,GP,both,,,565,565,129.95,565,565,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,446.35,percent of total billed charges,446.35,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 ,446.35,percent of total billed charges ,446.35,percent of total billed charges ,480.25,percent of total billed charges ,480.25,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 ,,,,,,,,,,,,,,,,,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,,,129.95,percent of total billed charges,
**OT ULTRASOUND / 4 Units,97035,CDM,,,GP,both,,,749,749,172.27,749,749,percent of total billed charges,749,percent of total billed charges,749,percent of total billed charges,749,percent of total billed charges,749,percent of total billed charges,749,percent of total billed charges,749,percent of total billed charges,749,percent of total billed charges,539.28,percent of total billed charges,539.28,percent of total billed charges,539.28,percent of total billed charges,539.28,percent of total billed charges,539.28,percent of total billed charges,539.28,percent of total billed charges,591.71,percent of total billed charges,591.71,percent of total billed charges,599.2,percent of total billed charges,599.2,percent of total billed charges,,,539.28,percent of total billed charges ,,,599.2,percent of total billed charges ,591.71,percent of total billed charges ,591.71,percent of total billed charges ,636.65,percent of total billed charges ,636.65,percent of total billed charges ,599.2,percent of total billed charges ,599.2,percent of total billed charges ,524.3,percent of total billed charges ,524.3,percent of total billed charges ,449.4,percent of total billed charges ,449.4,percent of total billed charges ,449.4,percent of total billed charges ,449.4,percent of total billed charges ,,,,,398.47,percent of total billed charges ,,,,,378.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,172.27,percent of total billed charges,,,172.27,percent of total billed charges,,,172.27,percent of total billed charges,,,172.27,percent of total billed charges,,,172.27,percent of total billed charges,,,172.27,percent of total billed charges,,,172.27,percent of total billed charges,,,172.27,percent of total billed charges,,,172.27,percent of total billed charges,,,172.27,percent of total billed charges,,,172.27,percent of total billed charges,
**OT ELBOW RIGID W/O JNTS PRE OTS,L3762,CDM,,,,both,,,245,245,56.35,245,245,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,193.55,percent of total billed charges,193.55,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 ,193.55,percent of total billed charges ,193.55,percent of total billed charges ,208.25,percent of total billed charges ,208.25,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 ,,,,,,,,,,,,,,,,,,,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,,,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,,,56.35,percent of total billed charges,,,56.35,percent of total billed charges,,,56.35,percent of total billed charges,
**OT ELBOW WRIST HAND ORTH RIGID W/O JNT,L3763,CDM,,,,both,,,"1,009.00","1,009.00",232.07,"1,009.00","1,009.00",percent of total billed charges,"1,009.00",percent of total billed charges,"1,009.00",percent of total billed charges,"1,009.00",percent of total billed charges,"1,009.00",percent of total billed charges,"1,009.00",percent of total billed charges,"1,009.00",percent of total billed charges,"1,009.00",percent of total billed charges,726.48,percent of total billed charges,726.48,percent of total billed charges,726.48,percent of total billed charges,726.48,percent of total billed charges,726.48,percent of total billed charges,726.48,percent of total billed charges,797.11,percent of total billed charges,797.11,percent of total billed charges,807.2,percent of total billed charges,807.2,percent of total billed charges,,,726.48,percent of total billed charges ,,,807.2,percent of total billed charges ,797.11,percent of total billed charges ,797.11,percent of total billed charges ,857.65,percent of total billed charges ,857.65,percent of total billed charges ,807.2,percent of total billed charges ,807.2,percent of total billed charges ,706.3,percent of total billed charges ,706.3,percent of total billed charges ,605.4,percent of total billed charges ,605.4,percent of total billed charges ,605.4,percent of total billed charges ,605.4,percent of total billed charges ,,,,,536.79,percent of total billed charges ,,,,,509.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,232.07,percent of total billed charges,,,232.07,percent of total billed charges,,,232.07,percent of total billed charges,,,232.07,percent of total billed charges,,,232.07,percent of total billed charges,,,232.07,percent of total billed charges,,,232.07,percent of total billed charges,,,232.07,percent of total billed charges,,,232.07,percent of total billed charges,,,232.07,percent of total billed charges,,,232.07,percent of total billed charges,
OT EVALUATION-LOW COMPLEXITY,97165,CDM,,,GO,both,,,477,477,109.71,477,477,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,376.83,percent of total billed charges,376.83,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 ,376.83,percent of total billed charges ,376.83,percent of total billed charges ,405.45,percent of total billed charges ,405.45,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 ,,,,,,,,,,,,,,,,,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,
OT EVALUATION-MODERATE COMPLEXITY,97166,CDM,,,GO,both,,,477,477,109.71,477,477,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,376.83,percent of total billed charges,376.83,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 ,376.83,percent of total billed charges ,376.83,percent of total billed charges ,405.45,percent of total billed charges ,405.45,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 ,,,,,,,,,,,,,,,,,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,
OT EVALUATION-HIGH COMPLEXITY,97167,CDM,,,GO,both,,,477,477,109.71,477,477,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,376.83,percent of total billed charges,376.83,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 ,376.83,percent of total billed charges ,376.83,percent of total billed charges ,405.45,percent of total billed charges ,405.45,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 ,,,,,,,,,,,,,,,,,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,,,109.71,percent of total billed charges,
OT RE-EVALUATION,97168,CDM,,,GO,both,,,506,506,116.38,506,506,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,399.74,percent of total billed charges,399.74,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 ,399.74,percent of total billed charges ,399.74,percent of total billed charges ,430.1,percent of total billed charges ,430.1,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 ,,,,,,,,,,,,,,,,,,,116.38,percent of total billed charges,,,116.38,percent of total billed charges,,,116.38,percent of total billed charges,,,116.38,percent of total billed charges,,,116.38,percent of total billed charges,,,116.38,percent of total billed charges,,,116.38,percent of total billed charges,,,116.38,percent of total billed charges,,,116.38,percent of total billed charges,,,116.38,percent of total billed charges,,,116.38,percent of total billed charges,
PSYCH DX EVAL NO MEDICAL SVS,90791,CDM,,,,both,,,522,522,120.06,522,522,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,412.38,percent of total billed charges,412.38,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 ,412.38,percent of total billed charges ,412.38,percent of total billed charges ,443.7,percent of total billed charges ,443.7,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 ,,,,,,,,,,,,,,,,,,,120.06,percent of total billed charges,,,120.06,percent of total billed charges,,,120.06,percent of total billed charges,,,120.06,percent of total billed charges,,,120.06,percent of total billed charges,,,120.06,percent of total billed charges,,,120.06,percent of total billed charges,,,120.06,percent of total billed charges,,,120.06,percent of total billed charges,,,120.06,percent of total billed charges,,,120.06,percent of total billed charges,
PICC 5FR TRIPLE W/SAPIN,C1751,CDM,,,,both,,,"2,176.00","2,176.00",500.48,"2,176.00","2,176.00",percent of total billed charges,"2,176.00",percent of total billed charges,"2,176.00",percent of total billed charges,"2,176.00",percent of total billed charges,"2,176.00",percent of total billed charges,"2,176.00",percent of total billed charges,"2,176.00",percent of total billed charges,"2,176.00",percent of total billed charges,"1,566.72",percent of total billed charges,"1,566.72",percent of total billed charges,"1,566.72",percent of total billed charges,"1,566.72",percent of total billed charges,"1,566.72",percent of total billed charges,"1,566.72",percent of total billed charges,"1,719.04",percent of total billed charges,"1,719.04",percent of total billed charges,"1,740.80",percent of total billed charges,"1,740.80",percent of total billed charges,,,"1,566.72",percent of total billed charges ,,,"1,740.80",percent of total billed charges ,"1,719.04",percent of total billed charges ,"1,719.04",percent of total billed charges ,"1,849.60",percent of total billed charges ,"1,849.60",percent of total billed charges ,"1,740.80",percent of total billed charges ,"1,740.80",percent of total billed charges ,"1,523.20",percent of total billed charges ,"1,523.20",percent of total billed charges ,"1,305.60",percent of total billed charges ,"1,305.60",percent of total billed charges ,"1,305.60",percent of total billed charges ,"1,305.60",percent of total billed charges ,,,,,"1,157.63",percent of total billed charges ,,,,,"1,099.75",percent of total billed charges ,,,,,,,,,,,,,,,,,,,500.48,percent of total billed charges,,,500.48,percent of total billed charges,,,500.48,percent of total billed charges,,,500.48,percent of total billed charges,,,500.48,percent of total billed charges,,,500.48,percent of total billed charges,,,500.48,percent of total billed charges,,,500.48,percent of total billed charges,,,500.48,percent of total billed charges,,,500.48,percent of total billed charges,,,500.48,percent of total billed charges,
KIT MISSION NEEDLE BX 16GX10CM,Local ,Local ,,,,both,,,486,486,111.78,486,486,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,383.94,percent of total billed charges,383.94,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 ,383.94,percent of total billed charges ,383.94,percent of total billed charges ,413.1,percent of total billed charges ,413.1,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 ,,,,,,,,,,,,,,,,,,,111.78,percent of total billed charges,,,111.78,percent of total billed charges,,,111.78,percent of total billed charges,,,111.78,percent of total billed charges,,,111.78,percent of total billed charges,,,111.78,percent of total billed charges,,,111.78,percent of total billed charges,,,111.78,percent of total billed charges,,,111.78,percent of total billed charges,,,111.78,percent of total billed charges,,,111.78,percent of total billed charges,
SYS FEC MGMT DIGNISHIELD STRL,Local ,Local ,,,,both,,,"1,016.00","1,016.00",233.68,"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,802.64,percent of total billed charges,802.64,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 ,802.64,percent of total billed charges ,802.64,percent of total billed charges ,863.6,percent of total billed charges ,863.6,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 ,,,,,,,,,,,,,,,,,,,233.68,percent of total billed charges,,,233.68,percent of total billed charges,,,233.68,percent of total billed charges,,,233.68,percent of total billed charges,,,233.68,percent of total billed charges,,,233.68,percent of total billed charges,,,233.68,percent of total billed charges,,,233.68,percent of total billed charges,,,233.68,percent of total billed charges,,,233.68,percent of total billed charges,,,233.68,percent of total billed charges,
LAVAGE TUBE 24FR FOR TUM-E-VAC,Local ,Local ,,,,both,,,369,369,84.87,369,369,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,291.51,percent of total billed charges,291.51,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 ,291.51,percent of total billed charges ,291.51,percent of total billed charges ,313.65,percent of total billed charges ,313.65,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 ,,,,,,,,,,,,,,,,,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,,,84.87,percent of total billed charges,
**AHP-INCISION OF THROMBOSED HEMORROID,46083,CDM,,,,both,,,519,519,119.37,519,519,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,410.01,percent of total billed charges,410.01,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 ,410.01,percent of total billed charges ,410.01,percent of total billed charges ,441.15,percent of total billed charges ,441.15,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 ,,,,,,,,,,,,,,,,,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,,,119.37,percent of total billed charges,
**NM PARATHYROID W/SPECT CT,78072,CDM,,,,both,,,"2,164.00","2,164.00",497.72,"2,164.00","2,164.00",percent of total billed charges,"2,164.00",percent of total billed charges,"2,164.00",percent of total billed charges,"2,164.00",percent of total billed charges,"2,164.00",percent of total billed charges,"2,164.00",percent of total billed charges,"2,164.00",percent of total billed charges,"2,164.00",percent of total billed charges,"1,558.08",percent of total billed charges,"1,558.08",percent of total billed charges,"1,558.08",percent of total billed charges,"1,558.08",percent of total billed charges,"1,558.08",percent of total billed charges,"1,558.08",percent of total billed charges,"1,709.56",percent of total billed charges,"1,709.56",percent of total billed charges,"1,731.20",percent of total billed charges,"1,731.20",percent of total billed charges,,,"1,558.08",percent of total billed charges ,,,"1,731.20",percent of total billed charges ,"1,709.56",percent of total billed charges ,"1,709.56",percent of total billed charges ,"1,839.40",percent of total billed charges ,"1,839.40",percent of total billed charges ,"1,731.20",percent of total billed charges ,"1,731.20",percent of total billed charges ,"1,514.80",percent of total billed charges ,"1,514.80",percent of total billed charges ,"1,298.40",percent of total billed charges ,"1,298.40",percent of total billed charges ,"1,298.40",percent of total billed charges ,"1,298.40",percent of total billed charges ,,,,,"1,151.25",percent of total billed charges ,,,,,"1,093.69",percent of total billed charges ,,,,,,,,,,,,,,,,,,,497.72,percent of total billed charges,,,497.72,percent of total billed charges,,,497.72,percent of total billed charges,,,497.72,percent of total billed charges,,,497.72,percent of total billed charges,,,497.72,percent of total billed charges,,,497.72,percent of total billed charges,,,497.72,percent of total billed charges,,,497.72,percent of total billed charges,,,497.72,percent of total billed charges,,,497.72,percent of total billed charges,
**PUL REHAB MONITORING SESSION-COPD,G0424,CDM,,,,both,,,298,298,68.54,298,298,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,235.42,percent of total billed charges,235.42,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 ,235.42,percent of total billed charges ,235.42,percent of total billed charges ,253.3,percent of total billed charges ,253.3,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 ,,,,,,,,,,,,,,,,,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,,,68.54,percent of total billed charges,
POST LVRS PULM REHAB,G0305,CDM,,,,both,,,"1,739.00","1,739.00",399.97,"1,739.00","1,739.00",percent of total billed charges,"1,739.00",percent of total billed charges,"1,739.00",percent of total billed charges,"1,739.00",percent of total billed charges,"1,739.00",percent of total billed charges,"1,739.00",percent of total billed charges,"1,739.00",percent of total billed charges,"1,739.00",percent of total billed charges,"1,252.08",percent of total billed charges,"1,252.08",percent of total billed charges,"1,252.08",percent of total billed charges,"1,252.08",percent of total billed charges,"1,252.08",percent of total billed charges,"1,252.08",percent of total billed charges,"1,373.81",percent of total billed charges,"1,373.81",percent of total billed charges,"1,391.20",percent of total billed charges,"1,391.20",percent of total billed charges,,,"1,252.08",percent of total billed charges ,,,"1,391.20",percent of total billed charges ,"1,373.81",percent of total billed charges ,"1,373.81",percent of total billed charges ,"1,478.15",percent of total billed charges ,"1,478.15",percent of total billed charges ,"1,391.20",percent of total billed charges ,"1,391.20",percent of total billed charges ,"1,217.30",percent of total billed charges ,"1,217.30",percent of total billed charges ,"1,043.40",percent of total billed charges ,"1,043.40",percent of total billed charges ,"1,043.40",percent of total billed charges ,"1,043.40",percent of total billed charges ,,,,,925.15,percent of total billed charges ,,,,,878.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,399.97,percent of total billed charges,,,399.97,percent of total billed charges,,,399.97,percent of total billed charges,,,399.97,percent of total billed charges,,,399.97,percent of total billed charges,,,399.97,percent of total billed charges,,,399.97,percent of total billed charges,,,399.97,percent of total billed charges,,,399.97,percent of total billed charges,,,399.97,percent of total billed charges,,,399.97,percent of total billed charges,
001-1 - LIVER TRANSPLANT &/OR INTESTINAL TRANSPLANT,001-1,APR-DRG,,,,inpatient ,,,0,,"35,749.09","35,749.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"35,749.09",APRDRG Case Rate,,,"35,749.09",APRDRG Case Rate,,,"35,749.09",APRDRG Case Rate,,,"35,749.09",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
001-2 - LIVER TRANSPLANT &/OR INTESTINAL TRANSPLANT,001-2,APR-DRG,,,,inpatient ,,,0,,"40,263.84","40,263.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"40,263.84",APRDRG Case Rate,,,"40,263.84",APRDRG Case Rate,,,"40,263.84",APRDRG Case Rate,,,"40,263.84",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
001-3 - LIVER TRANSPLANT &/OR INTESTINAL TRANSPLANT,001-3,APR-DRG,,,,inpatient ,,,0,,"48,040.66","48,040.66",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,040.66",APRDRG Case Rate,,,"48,040.66",APRDRG Case Rate,,,"48,040.66",APRDRG Case Rate,,,"48,040.66",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
001-4 - LIVER TRANSPLANT &/OR INTESTINAL TRANSPLANT,001-4,APR-DRG,,,,inpatient ,,,0,,"83,096.72","83,096.72",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"83,096.72",APRDRG Case Rate,,,"83,096.72",APRDRG Case Rate,,,"83,096.72",APRDRG Case Rate,,,"83,096.72",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
002-1 - HEART &/OR LUNG TRANSPLANT,002-1,APR-DRG,,,,inpatient ,,,0,,"51,138.36","51,138.36",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"51,138.36",APRDRG Case Rate,,,"51,138.36",APRDRG Case Rate,,,"51,138.36",APRDRG Case Rate,,,"51,138.36",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
002-2 - HEART &/OR LUNG TRANSPLANT,002-2,APR-DRG,,,,inpatient ,,,0,,"59,652.92","59,652.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,652.92",APRDRG Case Rate,,,"59,652.92",APRDRG Case Rate,,,"59,652.92",APRDRG Case Rate,,,"59,652.92",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
002-3 - HEART &/OR LUNG TRANSPLANT,002-3,APR-DRG,,,,inpatient ,,,0,,"80,383.01","80,383.01",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"80,383.01",APRDRG Case Rate,,,"80,383.01",APRDRG Case Rate,,,"80,383.01",APRDRG Case Rate,,,"80,383.01",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
002-4 - HEART &/OR LUNG TRANSPLANT,002-4,APR-DRG,,,,inpatient ,,,0,,"129,988.54","129,988.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"129,988.54",APRDRG Case Rate,,,"129,988.54",APRDRG Case Rate,,,"129,988.54",APRDRG Case Rate,,,"129,988.54",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
004-1 - TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE,004-1,APR-DRG,,,,inpatient ,,,0,,"26,519.68","26,519.68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"26,519.68",APRDRG Case Rate,,,"26,519.68",APRDRG Case Rate,,,"26,519.68",APRDRG Case Rate,,,"26,519.68",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
004-2 - TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE,004-2,APR-DRG,,,,inpatient ,,,0,,"39,712.65","39,712.65",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"39,712.65",APRDRG Case Rate,,,"39,712.65",APRDRG Case Rate,,,"39,712.65",APRDRG Case Rate,,,"39,712.65",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
004-3 - TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE,004-3,APR-DRG,,,,inpatient ,,,0,,"57,763.53","57,763.53",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"57,763.53",APRDRG Case Rate,,,"57,763.53",APRDRG Case Rate,,,"57,763.53",APRDRG Case Rate,,,"57,763.53",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
004-4 - TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE,004-4,APR-DRG,,,,inpatient ,,,0,,"84,409.22","84,409.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"84,409.22",APRDRG Case Rate,,,"84,409.22",APRDRG Case Rate,,,"84,409.22",APRDRG Case Rate,,,"84,409.22",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
005-1 - TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE,005-1,APR-DRG,,,,inpatient ,,,0,,"24,899.20","24,899.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"24,899.20",APRDRG Case Rate,,,"24,899.20",APRDRG Case Rate,,,"24,899.20",APRDRG Case Rate,,,"24,899.20",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
005-2 - TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE,005-2,APR-DRG,,,,inpatient ,,,0,,"29,984.14","29,984.14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"29,984.14",APRDRG Case Rate,,,"29,984.14",APRDRG Case Rate,,,"29,984.14",APRDRG Case Rate,,,"29,984.14",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
005-3 - TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE,005-3,APR-DRG,,,,inpatient ,,,0,,"40,963.21","40,963.21",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"40,963.21",APRDRG Case Rate,,,"40,963.21",APRDRG Case Rate,,,"40,963.21",APRDRG Case Rate,,,"40,963.21",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
005-4 - TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE,005-4,APR-DRG,,,,inpatient ,,,0,,"55,627.41","55,627.41",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"55,627.41",APRDRG Case Rate,,,"55,627.41",APRDRG Case Rate,,,"55,627.41",APRDRG Case Rate,,,"55,627.41",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
006-1 - PANCREAS TRANSPLANT,006-1,APR-DRG,,,,inpatient ,,,0,,"35,209.87","35,209.87",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"35,209.87",APRDRG Case Rate,,,"35,209.87",APRDRG Case Rate,,,"35,209.87",APRDRG Case Rate,,,"35,209.87",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
006-2 - PANCREAS TRANSPLANT,006-2,APR-DRG,,,,inpatient ,,,0,,"44,793.72","44,793.72",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,793.72",APRDRG Case Rate,,,"44,793.72",APRDRG Case Rate,,,"44,793.72",APRDRG Case Rate,,,"44,793.72",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
006-3 - PANCREAS TRANSPLANT,006-3,APR-DRG,,,,inpatient ,,,0,,"51,599.80","51,599.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"51,599.80",APRDRG Case Rate,,,"51,599.80",APRDRG Case Rate,,,"51,599.80",APRDRG Case Rate,,,"51,599.80",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
006-4 - PANCREAS TRANSPLANT,006-4,APR-DRG,,,,inpatient ,,,0,,"73,384.05","73,384.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,384.05",APRDRG Case Rate,,,"73,384.05",APRDRG Case Rate,,,"73,384.05",APRDRG Case Rate,,,"73,384.05",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
007-1 - ALLOGENEIC BONE MARROW TRANSPLANT,007-1,APR-DRG,,,,inpatient ,,,0,,"34,978.98","34,978.98",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"34,978.98",APRDRG Case Rate,,,"34,978.98",APRDRG Case Rate,,,"34,978.98",APRDRG Case Rate,,,"34,978.98",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
007-2 - ALLOGENEIC BONE MARROW TRANSPLANT,007-2,APR-DRG,,,,inpatient ,,,0,,"39,283.59","39,283.59",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"39,283.59",APRDRG Case Rate,,,"39,283.59",APRDRG Case Rate,,,"39,283.59",APRDRG Case Rate,,,"39,283.59",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
007-3 - ALLOGENEIC BONE MARROW TRANSPLANT,007-3,APR-DRG,,,,inpatient ,,,0,,"50,221.48","50,221.48",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"50,221.48",APRDRG Case Rate,,,"50,221.48",APRDRG Case Rate,,,"50,221.48",APRDRG Case Rate,,,"50,221.48",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
007-4 - ALLOGENEIC BONE MARROW TRANSPLANT,007-4,APR-DRG,,,,inpatient ,,,0,,"85,218.40","85,218.40",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"85,218.40",APRDRG Case Rate,,,"85,218.40",APRDRG Case Rate,,,"85,218.40",APRDRG Case Rate,,,"85,218.40",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
008-1 - AUTOLOGOUS BONE MARROW TRANSPLANT,008-1,APR-DRG,,,,inpatient ,,,0,,"17,066.77","17,066.77",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,066.77",APRDRG Case Rate,,,"17,066.77",APRDRG Case Rate,,,"17,066.77",APRDRG Case Rate,,,"17,066.77",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
008-2 - AUTOLOGOUS BONE MARROW TRANSPLANT,008-2,APR-DRG,,,,inpatient ,,,0,,"22,711.35","22,711.35",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,711.35",APRDRG Case Rate,,,"22,711.35",APRDRG Case Rate,,,"22,711.35",APRDRG Case Rate,,,"22,711.35",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
008-3 - AUTOLOGOUS BONE MARROW TRANSPLANT,008-3,APR-DRG,,,,inpatient ,,,0,,"27,144.78","27,144.78",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"27,144.78",APRDRG Case Rate,,,"27,144.78",APRDRG Case Rate,,,"27,144.78",APRDRG Case Rate,,,"27,144.78",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
008-4 - AUTOLOGOUS BONE MARROW TRANSPLANT,008-4,APR-DRG,,,,inpatient ,,,0,,"43,108.47","43,108.47",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"43,108.47",APRDRG Case Rate,,,"43,108.47",APRDRG Case Rate,,,"43,108.47",APRDRG Case Rate,,,"43,108.47",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
009-1 - EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),009-1,APR-DRG,,,,inpatient ,,,0,,"22,798.28","22,798.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,798.28",APRDRG Case Rate,,,"22,798.28",APRDRG Case Rate,,,"22,798.28",APRDRG Case Rate,,,"22,798.28",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
009-2 - EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),009-2,APR-DRG,,,,inpatient ,,,0,,"27,779.74","27,779.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"27,779.74",APRDRG Case Rate,,,"27,779.74",APRDRG Case Rate,,,"27,779.74",APRDRG Case Rate,,,"27,779.74",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
009-3 - EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),009-3,APR-DRG,,,,inpatient ,,,0,,"38,087.59","38,087.59",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"38,087.59",APRDRG Case Rate,,,"38,087.59",APRDRG Case Rate,,,"38,087.59",APRDRG Case Rate,,,"38,087.59",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
009-4 - EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),009-4,APR-DRG,,,,inpatient ,,,0,,"82,638.80","82,638.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"82,638.80",APRDRG Case Rate,,,"82,638.80",APRDRG Case Rate,,,"82,638.80",APRDRG Case Rate,,,"82,638.80",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
010-1 - HEAD TRAUMA WITH DEEP COMA,010-1,APR-DRG,,,,inpatient ,,,0,,"15,570.89","15,570.89",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,570.89",APRDRG Case Rate,,,"15,570.89",APRDRG Case Rate,,,"15,570.89",APRDRG Case Rate,,,"15,570.89",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
010-2 - HEAD TRAUMA WITH DEEP COMA,010-2,APR-DRG,,,,inpatient ,,,0,,"23,104.15","23,104.15",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,104.15",APRDRG Case Rate,,,"23,104.15",APRDRG Case Rate,,,"23,104.15",APRDRG Case Rate,,,"23,104.15",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
010-3 - HEAD TRAUMA WITH DEEP COMA,010-3,APR-DRG,,,,inpatient ,,,0,,"43,617.43","43,617.43",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"43,617.43",APRDRG Case Rate,,,"43,617.43",APRDRG Case Rate,,,"43,617.43",APRDRG Case Rate,,,"43,617.43",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
010-4 - HEAD TRAUMA WITH DEEP COMA,010-4,APR-DRG,,,,inpatient ,,,0,,"88,612.47","88,612.47",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"88,612.47",APRDRG Case Rate,,,"88,612.47",APRDRG Case Rate,,,"88,612.47",APRDRG Case Rate,,,"88,612.47",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
020-1 - CRANIOTOMY FOR TRAUMA,020-1,APR-DRG,,,,inpatient ,,,0,,"11,816.05","11,816.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,816.05",APRDRG Case Rate,,,"11,816.05",APRDRG Case Rate,,,"11,816.05",APRDRG Case Rate,,,"11,816.05",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
020-2 - CRANIOTOMY FOR TRAUMA,020-2,APR-DRG,,,,inpatient ,,,0,,"14,194.68","14,194.68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,194.68",APRDRG Case Rate,,,"14,194.68",APRDRG Case Rate,,,"14,194.68",APRDRG Case Rate,,,"14,194.68",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
020-3 - CRANIOTOMY FOR TRAUMA,020-3,APR-DRG,,,,inpatient ,,,0,,"19,422.17","19,422.17",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,422.17",APRDRG Case Rate,,,"19,422.17",APRDRG Case Rate,,,"19,422.17",APRDRG Case Rate,,,"19,422.17",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
020-4 - CRANIOTOMY FOR TRAUMA,020-4,APR-DRG,,,,inpatient ,,,0,,"30,363.57","30,363.57",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"30,363.57",APRDRG Case Rate,,,"30,363.57",APRDRG Case Rate,,,"30,363.57",APRDRG Case Rate,,,"30,363.57",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
021-1 - CRANIOTOMY EXCEPT FOR TRAUMA,021-1,APR-DRG,,,,inpatient ,,,0,,"11,076.56","11,076.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,076.56",APRDRG Case Rate,,,"11,076.56",APRDRG Case Rate,,,"11,076.56",APRDRG Case Rate,,,"11,076.56",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
021-2 - CRANIOTOMY EXCEPT FOR TRAUMA,021-2,APR-DRG,,,,inpatient ,,,0,,"14,099.65","14,099.65",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,099.65",APRDRG Case Rate,,,"14,099.65",APRDRG Case Rate,,,"14,099.65",APRDRG Case Rate,,,"14,099.65",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
021-3 - CRANIOTOMY EXCEPT FOR TRAUMA,021-3,APR-DRG,,,,inpatient ,,,0,,"21,094.74","21,094.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,094.74",APRDRG Case Rate,,,"21,094.74",APRDRG Case Rate,,,"21,094.74",APRDRG Case Rate,,,"21,094.74",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
021-4 - CRANIOTOMY EXCEPT FOR TRAUMA,021-4,APR-DRG,,,,inpatient ,,,0,,"32,911.85","32,911.85",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"32,911.85",APRDRG Case Rate,,,"32,911.85",APRDRG Case Rate,,,"32,911.85",APRDRG Case Rate,,,"32,911.85",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
022-1 - VENTRICULAR SHUNT PROCEDURES,022-1,APR-DRG,,,,inpatient ,,,0,,"7,551.91","7,551.91",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,551.91",APRDRG Case Rate,,,"7,551.91",APRDRG Case Rate,,,"7,551.91",APRDRG Case Rate,,,"7,551.91",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
022-2 - VENTRICULAR SHUNT PROCEDURES,022-2,APR-DRG,,,,inpatient ,,,0,,"8,956.28","8,956.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,956.28",APRDRG Case Rate,,,"8,956.28",APRDRG Case Rate,,,"8,956.28",APRDRG Case Rate,,,"8,956.28",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
022-3 - VENTRICULAR SHUNT PROCEDURES,022-3,APR-DRG,,,,inpatient ,,,0,,"12,453.47","12,453.47",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,453.47",APRDRG Case Rate,,,"12,453.47",APRDRG Case Rate,,,"12,453.47",APRDRG Case Rate,,,"12,453.47",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
022-4 - VENTRICULAR SHUNT PROCEDURES,022-4,APR-DRG,,,,inpatient ,,,0,,"25,150.51","25,150.51",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"25,150.51",APRDRG Case Rate,,,"25,150.51",APRDRG Case Rate,,,"25,150.51",APRDRG Case Rate,,,"25,150.51",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
023-1 - SPINAL PROCEDURES,023-1,APR-DRG,,,,inpatient ,,,0,,"8,878.49","8,878.49",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,878.49",APRDRG Case Rate,,,"8,878.49",APRDRG Case Rate,,,"8,878.49",APRDRG Case Rate,,,"8,878.49",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
023-2 - SPINAL PROCEDURES,023-2,APR-DRG,,,,inpatient ,,,0,,"12,171.90","12,171.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,171.90",APRDRG Case Rate,,,"12,171.90",APRDRG Case Rate,,,"12,171.90",APRDRG Case Rate,,,"12,171.90",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
023-3 - SPINAL PROCEDURES,023-3,APR-DRG,,,,inpatient ,,,0,,"20,504.83","20,504.83",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,504.83",APRDRG Case Rate,,,"20,504.83",APRDRG Case Rate,,,"20,504.83",APRDRG Case Rate,,,"20,504.83",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
023-4 - SPINAL PROCEDURES,023-4,APR-DRG,,,,inpatient ,,,0,,"33,369.06","33,369.06",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"33,369.06",APRDRG Case Rate,,,"33,369.06",APRDRG Case Rate,,,"33,369.06",APRDRG Case Rate,,,"33,369.06",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
024-1 - EXTRACRANIAL VASCULAR PROCEDURES,024-1,APR-DRG,,,,inpatient ,,,0,,"5,932.49","5,932.49",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,932.49",APRDRG Case Rate,,,"5,932.49",APRDRG Case Rate,,,"5,932.49",APRDRG Case Rate,,,"5,932.49",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
024-2 - EXTRACRANIAL VASCULAR PROCEDURES,024-2,APR-DRG,,,,inpatient ,,,0,,"7,401.27","7,401.27",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,401.27",APRDRG Case Rate,,,"7,401.27",APRDRG Case Rate,,,"7,401.27",APRDRG Case Rate,,,"7,401.27",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
024-3 - EXTRACRANIAL VASCULAR PROCEDURES,024-3,APR-DRG,,,,inpatient ,,,0,,"12,933.92","12,933.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,933.92",APRDRG Case Rate,,,"12,933.92",APRDRG Case Rate,,,"12,933.92",APRDRG Case Rate,,,"12,933.92",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
024-4 - EXTRACRANIAL VASCULAR PROCEDURES,024-4,APR-DRG,,,,inpatient ,,,0,,"22,007.40","22,007.40",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,007.40",APRDRG Case Rate,,,"22,007.40",APRDRG Case Rate,,,"22,007.40",APRDRG Case Rate,,,"22,007.40",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
026-1 - OTHER NERVOUS SYSTEM & RELATED PROCEDURES,026-1,APR-DRG,,,,inpatient ,,,0,,"6,996.50","6,996.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,996.50",APRDRG Case Rate,,,"6,996.50",APRDRG Case Rate,,,"6,996.50",APRDRG Case Rate,,,"6,996.50",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
026-2 - OTHER NERVOUS SYSTEM & RELATED PROCEDURES,026-2,APR-DRG,,,,inpatient ,,,0,,"8,864.06","8,864.06",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,864.06",APRDRG Case Rate,,,"8,864.06",APRDRG Case Rate,,,"8,864.06",APRDRG Case Rate,,,"8,864.06",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
026-3 - OTHER NERVOUS SYSTEM & RELATED PROCEDURES,026-3,APR-DRG,,,,inpatient ,,,0,,"13,552.68","13,552.68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,552.68",APRDRG Case Rate,,,"13,552.68",APRDRG Case Rate,,,"13,552.68",APRDRG Case Rate,,,"13,552.68",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
026-4 - OTHER NERVOUS SYSTEM & RELATED PROCEDURES,026-4,APR-DRG,,,,inpatient ,,,0,,"25,302.21","25,302.21",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"25,302.21",APRDRG Case Rate,,,"25,302.21",APRDRG Case Rate,,,"25,302.21",APRDRG Case Rate,,,"25,302.21",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
040-1 - SPINAL DISORDERS & INJURIES,040-1,APR-DRG,,,,inpatient ,,,0,,"9,302.27","9,302.27",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,302.27",APRDRG Case Rate,,,"9,302.27",APRDRG Case Rate,,,"9,302.27",APRDRG Case Rate,,,"9,302.27",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
040-2 - SPINAL DISORDERS & INJURIES,040-2,APR-DRG,,,,inpatient ,,,0,,"10,828.42","10,828.42",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,828.42",APRDRG Case Rate,,,"10,828.42",APRDRG Case Rate,,,"10,828.42",APRDRG Case Rate,,,"10,828.42",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
040-3 - SPINAL DISORDERS & INJURIES,040-3,APR-DRG,,,,inpatient ,,,0,,"17,594.73","17,594.73",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,594.73",APRDRG Case Rate,,,"17,594.73",APRDRG Case Rate,,,"17,594.73",APRDRG Case Rate,,,"17,594.73",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
040-4 - SPINAL DISORDERS & INJURIES,040-4,APR-DRG,,,,inpatient ,,,0,,"29,009.88","29,009.88",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"29,009.88",APRDRG Case Rate,,,"29,009.88",APRDRG Case Rate,,,"29,009.88",APRDRG Case Rate,,,"29,009.88",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
041-1 - NERVOUS SYSTEM MALIGNANCY,041-1,APR-DRG,,,,inpatient ,,,0,,"10,539.45","10,539.45",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,539.45",APRDRG Case Rate,,,"10,539.45",APRDRG Case Rate,,,"10,539.45",APRDRG Case Rate,,,"10,539.45",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
041-2 - NERVOUS SYSTEM MALIGNANCY,041-2,APR-DRG,,,,inpatient ,,,0,,"11,066.35","11,066.35",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,066.35",APRDRG Case Rate,,,"11,066.35",APRDRG Case Rate,,,"11,066.35",APRDRG Case Rate,,,"11,066.35",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
041-3 - NERVOUS SYSTEM MALIGNANCY,041-3,APR-DRG,,,,inpatient ,,,0,,"14,239.38","14,239.38",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,239.38",APRDRG Case Rate,,,"14,239.38",APRDRG Case Rate,,,"14,239.38",APRDRG Case Rate,,,"14,239.38",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
041-4 - NERVOUS SYSTEM MALIGNANCY,041-4,APR-DRG,,,,inpatient ,,,0,,"23,519.12","23,519.12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,519.12",APRDRG Case Rate,,,"23,519.12",APRDRG Case Rate,,,"23,519.12",APRDRG Case Rate,,,"23,519.12",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
042-1 - DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS,042-1,APR-DRG,,,,inpatient ,,,0,,"10,594.36","10,594.36",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,594.36",APRDRG Case Rate,,,"10,594.36",APRDRG Case Rate,,,"10,594.36",APRDRG Case Rate,,,"10,594.36",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
042-2 - DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS,042-2,APR-DRG,,,,inpatient ,,,0,,"14,196.44","14,196.44",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,196.44",APRDRG Case Rate,,,"14,196.44",APRDRG Case Rate,,,"14,196.44",APRDRG Case Rate,,,"14,196.44",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
042-3 - DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS,042-3,APR-DRG,,,,inpatient ,,,0,,"19,449.97","19,449.97",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,449.97",APRDRG Case Rate,,,"19,449.97",APRDRG Case Rate,,,"19,449.97",APRDRG Case Rate,,,"19,449.97",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
042-4 - DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS,042-4,APR-DRG,,,,inpatient ,,,0,,"25,678.82","25,678.82",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"25,678.82",APRDRG Case Rate,,,"25,678.82",APRDRG Case Rate,,,"25,678.82",APRDRG Case Rate,,,"25,678.82",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
043-1 - MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES,043-1,APR-DRG,,,,inpatient ,,,0,,"4,962.45","4,962.45",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,962.45",APRDRG Case Rate,,,"4,962.45",APRDRG Case Rate,,,"4,962.45",APRDRG Case Rate,,,"4,962.45",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
043-2 - MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES,043-2,APR-DRG,,,,inpatient ,,,0,,"6,979.25","6,979.25",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,979.25",APRDRG Case Rate,,,"6,979.25",APRDRG Case Rate,,,"6,979.25",APRDRG Case Rate,,,"6,979.25",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
043-3 - MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES,043-3,APR-DRG,,,,inpatient ,,,0,,"9,691.90","9,691.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,691.90",APRDRG Case Rate,,,"9,691.90",APRDRG Case Rate,,,"9,691.90",APRDRG Case Rate,,,"9,691.90",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
043-4 - MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES,043-4,APR-DRG,,,,inpatient ,,,0,,"15,712.03","15,712.03",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,712.03",APRDRG Case Rate,,,"15,712.03",APRDRG Case Rate,,,"15,712.03",APRDRG Case Rate,,,"15,712.03",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
044-1 - INTRACRANIAL HEMORRHAGE,044-1,APR-DRG,,,,inpatient ,,,0,,"3,996.64","3,996.64",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,996.64",APRDRG Case Rate,,,"3,996.64",APRDRG Case Rate,,,"3,996.64",APRDRG Case Rate,,,"3,996.64",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
044-2 - INTRACRANIAL HEMORRHAGE,044-2,APR-DRG,,,,inpatient ,,,0,,"4,454.56","4,454.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,454.56",APRDRG Case Rate,,,"4,454.56",APRDRG Case Rate,,,"4,454.56",APRDRG Case Rate,,,"4,454.56",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
044-3 - INTRACRANIAL HEMORRHAGE,044-3,APR-DRG,,,,inpatient ,,,0,,"5,884.62","5,884.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,884.62",APRDRG Case Rate,,,"5,884.62",APRDRG Case Rate,,,"5,884.62",APRDRG Case Rate,,,"5,884.62",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
044-4 - INTRACRANIAL HEMORRHAGE,044-4,APR-DRG,,,,inpatient ,,,0,,"8,706.03","8,706.03",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,706.03",APRDRG Case Rate,,,"8,706.03",APRDRG Case Rate,,,"8,706.03",APRDRG Case Rate,,,"8,706.03",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
045-1 - CVA & PRECEREBRAL OCCLUSION W INFARCT,045-1,APR-DRG,,,,inpatient ,,,0,,"3,721.75","3,721.75",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,721.75",APRDRG Case Rate,,,"3,721.75",APRDRG Case Rate,,,"3,721.75",APRDRG Case Rate,,,"3,721.75",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
045-2 - CVA & PRECEREBRAL OCCLUSION W INFARCT,045-2,APR-DRG,,,,inpatient ,,,0,,"4,723.82","4,723.82",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,723.82",APRDRG Case Rate,,,"4,723.82",APRDRG Case Rate,,,"4,723.82",APRDRG Case Rate,,,"4,723.82",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
045-3 - CVA & PRECEREBRAL OCCLUSION W INFARCT,045-3,APR-DRG,,,,inpatient ,,,0,,"6,355.91","6,355.91",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,355.91",APRDRG Case Rate,,,"6,355.91",APRDRG Case Rate,,,"6,355.91",APRDRG Case Rate,,,"6,355.91",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
045-4 - CVA & PRECEREBRAL OCCLUSION W INFARCT,045-4,APR-DRG,,,,inpatient ,,,0,,"11,316.96","11,316.96",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,316.96",APRDRG Case Rate,,,"11,316.96",APRDRG Case Rate,,,"11,316.96",APRDRG Case Rate,,,"11,316.96",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
046-1 - NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT,046-1,APR-DRG,,,,inpatient ,,,0,,"4,550.29","4,550.29",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,550.29",APRDRG Case Rate,,,"4,550.29",APRDRG Case Rate,,,"4,550.29",APRDRG Case Rate,,,"4,550.29",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
046-2 - NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT,046-2,APR-DRG,,,,inpatient ,,,0,,"6,127.13","6,127.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,127.13",APRDRG Case Rate,,,"6,127.13",APRDRG Case Rate,,,"6,127.13",APRDRG Case Rate,,,"6,127.13",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
046-3 - NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT,046-3,APR-DRG,,,,inpatient ,,,0,,"9,497.96","9,497.96",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,497.96",APRDRG Case Rate,,,"9,497.96",APRDRG Case Rate,,,"9,497.96",APRDRG Case Rate,,,"9,497.96",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
046-4 - NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT,046-4,APR-DRG,,,,inpatient ,,,0,,"17,317.37","17,317.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,317.37",APRDRG Case Rate,,,"17,317.37",APRDRG Case Rate,,,"17,317.37",APRDRG Case Rate,,,"17,317.37",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
047-1 - TRANSIENT ISCHEMIA,047-1,APR-DRG,,,,inpatient ,,,0,,"4,140.25","4,140.25",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,140.25",APRDRG Case Rate,,,"4,140.25",APRDRG Case Rate,,,"4,140.25",APRDRG Case Rate,,,"4,140.25",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
047-2 - TRANSIENT ISCHEMIA,047-2,APR-DRG,,,,inpatient ,,,0,,"5,795.22","5,795.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,795.22",APRDRG Case Rate,,,"5,795.22",APRDRG Case Rate,,,"5,795.22",APRDRG Case Rate,,,"5,795.22",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
047-3 - TRANSIENT ISCHEMIA,047-3,APR-DRG,,,,inpatient ,,,0,,"7,588.87","7,588.87",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,588.87",APRDRG Case Rate,,,"7,588.87",APRDRG Case Rate,,,"7,588.87",APRDRG Case Rate,,,"7,588.87",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
047-4 - TRANSIENT ISCHEMIA,047-4,APR-DRG,,,,inpatient ,,,0,,"8,455.42","8,455.42",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,455.42",APRDRG Case Rate,,,"8,455.42",APRDRG Case Rate,,,"8,455.42",APRDRG Case Rate,,,"8,455.42",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"048-1 - PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS",048-1,APR-DRG,,,,inpatient ,,,0,,"4,406.69","4,406.69",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,406.69",APRDRG Case Rate,,,"4,406.69",APRDRG Case Rate,,,"4,406.69",APRDRG Case Rate,,,"4,406.69",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"048-2 - PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS",048-2,APR-DRG,,,,inpatient ,,,0,,"5,450.99","5,450.99",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,450.99",APRDRG Case Rate,,,"5,450.99",APRDRG Case Rate,,,"5,450.99",APRDRG Case Rate,,,"5,450.99",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"048-3 - PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS",048-3,APR-DRG,,,,inpatient ,,,0,,"7,296.38","7,296.38",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,296.38",APRDRG Case Rate,,,"7,296.38",APRDRG Case Rate,,,"7,296.38",APRDRG Case Rate,,,"7,296.38",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"048-4 - PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS",048-4,APR-DRG,,,,inpatient ,,,0,,"10,969.21","10,969.21",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,969.21",APRDRG Case Rate,,,"10,969.21",APRDRG Case Rate,,,"10,969.21",APRDRG Case Rate,,,"10,969.21",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
049-1 - BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,049-1,APR-DRG,,,,inpatient ,,,0,,"3,616.86","3,616.86",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,616.86",APRDRG Case Rate,,,"3,616.86",APRDRG Case Rate,,,"3,616.86",APRDRG Case Rate,,,"3,616.86",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
049-2 - BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,049-2,APR-DRG,,,,inpatient ,,,0,,"4,560.50","4,560.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,560.50",APRDRG Case Rate,,,"4,560.50",APRDRG Case Rate,,,"4,560.50",APRDRG Case Rate,,,"4,560.50",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
049-3 - BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,049-3,APR-DRG,,,,inpatient ,,,0,,"5,634.02","5,634.02",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,634.02",APRDRG Case Rate,,,"5,634.02",APRDRG Case Rate,,,"5,634.02",APRDRG Case Rate,,,"5,634.02",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
049-4 - BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,049-4,APR-DRG,,,,inpatient ,,,0,,"9,888.30","9,888.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,888.30",APRDRG Case Rate,,,"9,888.30",APRDRG Case Rate,,,"9,888.30",APRDRG Case Rate,,,"9,888.30",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
050-1 - NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS,050-1,APR-DRG,,,,inpatient ,,,0,,"3,687.61","3,687.61",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,687.61",APRDRG Case Rate,,,"3,687.61",APRDRG Case Rate,,,"3,687.61",APRDRG Case Rate,,,"3,687.61",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
050-2 - NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS,050-2,APR-DRG,,,,inpatient ,,,0,,"4,208.53","4,208.53",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,208.53",APRDRG Case Rate,,,"4,208.53",APRDRG Case Rate,,,"4,208.53",APRDRG Case Rate,,,"4,208.53",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
050-3 - NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS,050-3,APR-DRG,,,,inpatient ,,,0,,"5,285.21","5,285.21",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,285.21",APRDRG Case Rate,,,"5,285.21",APRDRG Case Rate,,,"5,285.21",APRDRG Case Rate,,,"5,285.21",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
050-4 - NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS,050-4,APR-DRG,,,,inpatient ,,,0,,"8,598.32","8,598.32",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,598.32",APRDRG Case Rate,,,"8,598.32",APRDRG Case Rate,,,"8,598.32",APRDRG Case Rate,,,"8,598.32",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
051-1 - VIRAL MENINGITIS,051-1,APR-DRG,,,,inpatient ,,,0,,"3,434.54","3,434.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,434.54",APRDRG Case Rate,,,"3,434.54",APRDRG Case Rate,,,"3,434.54",APRDRG Case Rate,,,"3,434.54",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
051-2 - VIRAL MENINGITIS,051-2,APR-DRG,,,,inpatient ,,,0,,"3,955.11","3,955.11",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,955.11",APRDRG Case Rate,,,"3,955.11",APRDRG Case Rate,,,"3,955.11",APRDRG Case Rate,,,"3,955.11",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
051-3 - VIRAL MENINGITIS,051-3,APR-DRG,,,,inpatient ,,,0,,"5,367.57","5,367.57",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,367.57",APRDRG Case Rate,,,"5,367.57",APRDRG Case Rate,,,"5,367.57",APRDRG Case Rate,,,"5,367.57",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
051-4 - VIRAL MENINGITIS,051-4,APR-DRG,,,,inpatient ,,,0,,"9,952.01","9,952.01",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,952.01",APRDRG Case Rate,,,"9,952.01",APRDRG Case Rate,,,"9,952.01",APRDRG Case Rate,,,"9,952.01",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
052-1 - ALTERATION IN CONSCIOUSNESS,052-1,APR-DRG,,,,inpatient ,,,0,,"5,262.33","5,262.33",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,262.33",APRDRG Case Rate,,,"5,262.33",APRDRG Case Rate,,,"5,262.33",APRDRG Case Rate,,,"5,262.33",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
052-2 - ALTERATION IN CONSCIOUSNESS,052-2,APR-DRG,,,,inpatient ,,,0,,"10,438.08","10,438.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,438.08",APRDRG Case Rate,,,"10,438.08",APRDRG Case Rate,,,"10,438.08",APRDRG Case Rate,,,"10,438.08",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
052-3 - ALTERATION IN CONSCIOUSNESS,052-3,APR-DRG,,,,inpatient ,,,0,,"11,628.45","11,628.45",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,628.45",APRDRG Case Rate,,,"11,628.45",APRDRG Case Rate,,,"11,628.45",APRDRG Case Rate,,,"11,628.45",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
052-4 - ALTERATION IN CONSCIOUSNESS,052-4,APR-DRG,,,,inpatient ,,,0,,"19,463.70","19,463.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,463.70",APRDRG Case Rate,,,"19,463.70",APRDRG Case Rate,,,"19,463.70",APRDRG Case Rate,,,"19,463.70",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
053-1 - SEIZURE,053-1,APR-DRG,,,,inpatient ,,,0,,"3,646.08","3,646.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,646.08",APRDRG Case Rate,,,"3,646.08",APRDRG Case Rate,,,"3,646.08",APRDRG Case Rate,,,"3,646.08",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
053-2 - SEIZURE,053-2,APR-DRG,,,,inpatient ,,,0,,"6,335.50","6,335.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,335.50",APRDRG Case Rate,,,"6,335.50",APRDRG Case Rate,,,"6,335.50",APRDRG Case Rate,,,"6,335.50",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
053-3 - SEIZURE,053-3,APR-DRG,,,,inpatient ,,,0,,"10,048.45","10,048.45",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,048.45",APRDRG Case Rate,,,"10,048.45",APRDRG Case Rate,,,"10,048.45",APRDRG Case Rate,,,"10,048.45",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
053-4 - SEIZURE,053-4,APR-DRG,,,,inpatient ,,,0,,"20,582.97","20,582.97",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,582.97",APRDRG Case Rate,,,"20,582.97",APRDRG Case Rate,,,"20,582.97",APRDRG Case Rate,,,"20,582.97",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
054-1 - MIGRAINE & OTHER HEADACHES,054-1,APR-DRG,,,,inpatient ,,,0,,"2,673.93","2,673.93",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,673.93",APRDRG Case Rate,,,"2,673.93",APRDRG Case Rate,,,"2,673.93",APRDRG Case Rate,,,"2,673.93",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
054-2 - MIGRAINE & OTHER HEADACHES,054-2,APR-DRG,,,,inpatient ,,,0,,"4,027.26","4,027.26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,027.26",APRDRG Case Rate,,,"4,027.26",APRDRG Case Rate,,,"4,027.26",APRDRG Case Rate,,,"4,027.26",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
054-3 - MIGRAINE & OTHER HEADACHES,054-3,APR-DRG,,,,inpatient ,,,0,,"6,693.10","6,693.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,693.10",APRDRG Case Rate,,,"6,693.10",APRDRG Case Rate,,,"6,693.10",APRDRG Case Rate,,,"6,693.10",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
054-4 - MIGRAINE & OTHER HEADACHES,054-4,APR-DRG,,,,inpatient ,,,0,,"13,309.47","13,309.47",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,309.47",APRDRG Case Rate,,,"13,309.47",APRDRG Case Rate,,,"13,309.47",APRDRG Case Rate,,,"13,309.47",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
055-1 - HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE,055-1,APR-DRG,,,,inpatient ,,,0,,"3,236.73","3,236.73",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,236.73",APRDRG Case Rate,,,"3,236.73",APRDRG Case Rate,,,"3,236.73",APRDRG Case Rate,,,"3,236.73",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
055-2 - HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE,055-2,APR-DRG,,,,inpatient ,,,0,,"3,831.22","3,831.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,831.22",APRDRG Case Rate,,,"3,831.22",APRDRG Case Rate,,,"3,831.22",APRDRG Case Rate,,,"3,831.22",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
055-3 - HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE,055-3,APR-DRG,,,,inpatient ,,,0,,"4,980.40","4,980.40",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,980.40",APRDRG Case Rate,,,"4,980.40",APRDRG Case Rate,,,"4,980.40",APRDRG Case Rate,,,"4,980.40",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
055-4 - HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE,055-4,APR-DRG,,,,inpatient ,,,0,,"9,740.12","9,740.12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,740.12",APRDRG Case Rate,,,"9,740.12",APRDRG Case Rate,,,"9,740.12",APRDRG Case Rate,,,"9,740.12",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"056-1 - BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA",056-1,APR-DRG,,,,inpatient ,,,0,,"2,741.51","2,741.51",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,741.51",APRDRG Case Rate,,,"2,741.51",APRDRG Case Rate,,,"2,741.51",APRDRG Case Rate,,,"2,741.51",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"056-2 - BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA",056-2,APR-DRG,,,,inpatient ,,,0,,"3,496.49","3,496.49",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,496.49",APRDRG Case Rate,,,"3,496.49",APRDRG Case Rate,,,"3,496.49",APRDRG Case Rate,,,"3,496.49",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"056-3 - BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA",056-3,APR-DRG,,,,inpatient ,,,0,,"4,555.93","4,555.93",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,555.93",APRDRG Case Rate,,,"4,555.93",APRDRG Case Rate,,,"4,555.93",APRDRG Case Rate,,,"4,555.93",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"056-4 - BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA",056-4,APR-DRG,,,,inpatient ,,,0,,"10,366.28","10,366.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,366.28",APRDRG Case Rate,,,"10,366.28",APRDRG Case Rate,,,"10,366.28",APRDRG Case Rate,,,"10,366.28",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"057-1 - CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA",057-1,APR-DRG,,,,inpatient ,,,0,,"3,076.24","3,076.24",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,076.24",APRDRG Case Rate,,,"3,076.24",APRDRG Case Rate,,,"3,076.24",APRDRG Case Rate,,,"3,076.24",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"057-2 - CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA",057-2,APR-DRG,,,,inpatient ,,,0,,"3,745.33","3,745.33",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,745.33",APRDRG Case Rate,,,"3,745.33",APRDRG Case Rate,,,"3,745.33",APRDRG Case Rate,,,"3,745.33",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"057-3 - CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA",057-3,APR-DRG,,,,inpatient ,,,0,,"4,661.87","4,661.87",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,661.87",APRDRG Case Rate,,,"4,661.87",APRDRG Case Rate,,,"4,661.87",APRDRG Case Rate,,,"4,661.87",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"057-4 - CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA",057-4,APR-DRG,,,,inpatient ,,,0,,"7,280.19","7,280.19",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,280.19",APRDRG Case Rate,,,"7,280.19",APRDRG Case Rate,,,"7,280.19",APRDRG Case Rate,,,"7,280.19",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
058-1 - OTHER DISORDERS OF NERVOUS SYSTEM,058-1,APR-DRG,,,,inpatient ,,,0,,"3,533.45","3,533.45",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,533.45",APRDRG Case Rate,,,"3,533.45",APRDRG Case Rate,,,"3,533.45",APRDRG Case Rate,,,"3,533.45",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
058-2 - OTHER DISORDERS OF NERVOUS SYSTEM,058-2,APR-DRG,,,,inpatient ,,,0,,"4,977.24","4,977.24",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,977.24",APRDRG Case Rate,,,"4,977.24",APRDRG Case Rate,,,"4,977.24",APRDRG Case Rate,,,"4,977.24",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
058-3 - OTHER DISORDERS OF NERVOUS SYSTEM,058-3,APR-DRG,,,,inpatient ,,,0,,"7,458.99","7,458.99",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,458.99",APRDRG Case Rate,,,"7,458.99",APRDRG Case Rate,,,"7,458.99",APRDRG Case Rate,,,"7,458.99",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
058-4 - OTHER DISORDERS OF NERVOUS SYSTEM,058-4,APR-DRG,,,,inpatient ,,,0,,"13,179.24","13,179.24",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,179.24",APRDRG Case Rate,,,"13,179.24",APRDRG Case Rate,,,"13,179.24",APRDRG Case Rate,,,"13,179.24",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
059-1 - ANOXIC & OTHER SEVERE BRAIN DAMAGE,059-1,APR-DRG,,,,inpatient ,,,0,,"3,359.22","3,359.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,359.22",APRDRG Case Rate,,,"3,359.22",APRDRG Case Rate,,,"3,359.22",APRDRG Case Rate,,,"3,359.22",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
059-2 - ANOXIC & OTHER SEVERE BRAIN DAMAGE,059-2,APR-DRG,,,,inpatient ,,,0,,"4,794.91","4,794.91",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,794.91",APRDRG Case Rate,,,"4,794.91",APRDRG Case Rate,,,"4,794.91",APRDRG Case Rate,,,"4,794.91",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
059-3 - ANOXIC & OTHER SEVERE BRAIN DAMAGE,059-3,APR-DRG,,,,inpatient ,,,0,,"6,602.29","6,602.29",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,602.29",APRDRG Case Rate,,,"6,602.29",APRDRG Case Rate,,,"6,602.29",APRDRG Case Rate,,,"6,602.29",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
059-4 - ANOXIC & OTHER SEVERE BRAIN DAMAGE,059-4,APR-DRG,,,,inpatient ,,,0,,"10,574.65","10,574.65",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,574.65",APRDRG Case Rate,,,"10,574.65",APRDRG Case Rate,,,"10,574.65",APRDRG Case Rate,,,"10,574.65",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
073-1 - ORBIT AND EYE PROCEDURES,073-1,APR-DRG,,,,inpatient ,,,0,,"3,013.23","3,013.23",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,013.23",APRDRG Case Rate,,,"3,013.23",APRDRG Case Rate,,,"3,013.23",APRDRG Case Rate,,,"3,013.23",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
073-2 - ORBIT AND EYE PROCEDURES,073-2,APR-DRG,,,,inpatient ,,,0,,"4,490.46","4,490.46",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,490.46",APRDRG Case Rate,,,"4,490.46",APRDRG Case Rate,,,"4,490.46",APRDRG Case Rate,,,"4,490.46",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
073-3 - ORBIT AND EYE PROCEDURES,073-3,APR-DRG,,,,inpatient ,,,0,,"6,613.55","6,613.55",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,613.55",APRDRG Case Rate,,,"6,613.55",APRDRG Case Rate,,,"6,613.55",APRDRG Case Rate,,,"6,613.55",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
073-4 - ORBIT AND EYE PROCEDURES,073-4,APR-DRG,,,,inpatient ,,,0,,"10,930.84","10,930.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,930.84",APRDRG Case Rate,,,"10,930.84",APRDRG Case Rate,,,"10,930.84",APRDRG Case Rate,,,"10,930.84",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
082-1 - EYE INFECTIONS AND OTHER EYE DISORDERS,082-1,APR-DRG,,,,inpatient ,,,0,,"4,369.03","4,369.03",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,369.03",APRDRG Case Rate,,,"4,369.03",APRDRG Case Rate,,,"4,369.03",APRDRG Case Rate,,,"4,369.03",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
082-2 - EYE INFECTIONS AND OTHER EYE DISORDERS,082-2,APR-DRG,,,,inpatient ,,,0,,"5,862.45","5,862.45",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,862.45",APRDRG Case Rate,,,"5,862.45",APRDRG Case Rate,,,"5,862.45",APRDRG Case Rate,,,"5,862.45",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
082-3 - EYE INFECTIONS AND OTHER EYE DISORDERS,082-3,APR-DRG,,,,inpatient ,,,0,,"7,680.38","7,680.38",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,680.38",APRDRG Case Rate,,,"7,680.38",APRDRG Case Rate,,,"7,680.38",APRDRG Case Rate,,,"7,680.38",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
082-4 - EYE INFECTIONS AND OTHER EYE DISORDERS,082-4,APR-DRG,,,,inpatient ,,,0,,"10,687.28","10,687.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,687.28",APRDRG Case Rate,,,"10,687.28",APRDRG Case Rate,,,"10,687.28",APRDRG Case Rate,,,"10,687.28",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
089-1 - MAJOR CRANIAL/FACIAL BONE PROCEDURES,089-1,APR-DRG,,,,inpatient ,,,0,,"2,928.06","2,928.06",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,928.06",APRDRG Case Rate,,,"2,928.06",APRDRG Case Rate,,,"2,928.06",APRDRG Case Rate,,,"2,928.06",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
089-2 - MAJOR CRANIAL/FACIAL BONE PROCEDURES,089-2,APR-DRG,,,,inpatient ,,,0,,"4,808.99","4,808.99",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,808.99",APRDRG Case Rate,,,"4,808.99",APRDRG Case Rate,,,"4,808.99",APRDRG Case Rate,,,"4,808.99",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
089-3 - MAJOR CRANIAL/FACIAL BONE PROCEDURES,089-3,APR-DRG,,,,inpatient ,,,0,,"6,783.56","6,783.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,783.56",APRDRG Case Rate,,,"6,783.56",APRDRG Case Rate,,,"6,783.56",APRDRG Case Rate,,,"6,783.56",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
089-4 - MAJOR CRANIAL/FACIAL BONE PROCEDURES,089-4,APR-DRG,,,,inpatient ,,,0,,"9,389.21","9,389.21",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,389.21",APRDRG Case Rate,,,"9,389.21",APRDRG Case Rate,,,"9,389.21",APRDRG Case Rate,,,"9,389.21",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
091-1 - OTHER MAJOR HEAD & NECK PROCEDURES,091-1,APR-DRG,,,,inpatient ,,,0,,"5,112.39","5,112.39",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,112.39",APRDRG Case Rate,,,"5,112.39",APRDRG Case Rate,,,"5,112.39",APRDRG Case Rate,,,"5,112.39",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
091-2 - OTHER MAJOR HEAD & NECK PROCEDURES,091-2,APR-DRG,,,,inpatient ,,,0,,"6,489.66","6,489.66",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,489.66",APRDRG Case Rate,,,"6,489.66",APRDRG Case Rate,,,"6,489.66",APRDRG Case Rate,,,"6,489.66",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
091-3 - OTHER MAJOR HEAD & NECK PROCEDURES,091-3,APR-DRG,,,,inpatient ,,,0,,"10,155.10","10,155.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,155.10",APRDRG Case Rate,,,"10,155.10",APRDRG Case Rate,,,"10,155.10",APRDRG Case Rate,,,"10,155.10",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
091-4 - OTHER MAJOR HEAD & NECK PROCEDURES,091-4,APR-DRG,,,,inpatient ,,,0,,"19,587.59","19,587.59",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,587.59",APRDRG Case Rate,,,"19,587.59",APRDRG Case Rate,,,"19,587.59",APRDRG Case Rate,,,"19,587.59",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
092-1 - FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES,092-1,APR-DRG,,,,inpatient ,,,0,,"3,053.01","3,053.01",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,053.01",APRDRG Case Rate,,,"3,053.01",APRDRG Case Rate,,,"3,053.01",APRDRG Case Rate,,,"3,053.01",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
092-2 - FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES,092-2,APR-DRG,,,,inpatient ,,,0,,"3,752.02","3,752.02",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,752.02",APRDRG Case Rate,,,"3,752.02",APRDRG Case Rate,,,"3,752.02",APRDRG Case Rate,,,"3,752.02",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
092-3 - FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES,092-3,APR-DRG,,,,inpatient ,,,0,,"5,460.14","5,460.14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,460.14",APRDRG Case Rate,,,"5,460.14",APRDRG Case Rate,,,"5,460.14",APRDRG Case Rate,,,"5,460.14",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
092-4 - FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES,092-4,APR-DRG,,,,inpatient ,,,0,,"10,787.94","10,787.94",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,787.94",APRDRG Case Rate,,,"10,787.94",APRDRG Case Rate,,,"10,787.94",APRDRG Case Rate,,,"10,787.94",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
095-1 - CLEFT LIP & PALATE REPAIR,095-1,APR-DRG,,,,inpatient ,,,0,,"8,794.72","8,794.72",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,794.72",APRDRG Case Rate,,,"8,794.72",APRDRG Case Rate,,,"8,794.72",APRDRG Case Rate,,,"8,794.72",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
095-2 - CLEFT LIP & PALATE REPAIR,095-2,APR-DRG,,,,inpatient ,,,0,,"11,771.35","11,771.35",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,771.35",APRDRG Case Rate,,,"11,771.35",APRDRG Case Rate,,,"11,771.35",APRDRG Case Rate,,,"11,771.35",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
095-3 - CLEFT LIP & PALATE REPAIR,095-3,APR-DRG,,,,inpatient ,,,0,,"21,503.38","21,503.38",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,503.38",APRDRG Case Rate,,,"21,503.38",APRDRG Case Rate,,,"21,503.38",APRDRG Case Rate,,,"21,503.38",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
095-4 - CLEFT LIP & PALATE REPAIR,095-4,APR-DRG,,,,inpatient ,,,0,,"30,963.33","30,963.33",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"30,963.33",APRDRG Case Rate,,,"30,963.33",APRDRG Case Rate,,,"30,963.33",APRDRG Case Rate,,,"30,963.33",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
097-1 - TONSIL & ADENOID PROCEDURES,097-1,APR-DRG,,,,inpatient ,,,0,,"8,318.86","8,318.86",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,318.86",APRDRG Case Rate,,,"8,318.86",APRDRG Case Rate,,,"8,318.86",APRDRG Case Rate,,,"8,318.86",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
097-2 - TONSIL & ADENOID PROCEDURES,097-2,APR-DRG,,,,inpatient ,,,0,,"12,487.61","12,487.61",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,487.61",APRDRG Case Rate,,,"12,487.61",APRDRG Case Rate,,,"12,487.61",APRDRG Case Rate,,,"12,487.61",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
097-3 - TONSIL & ADENOID PROCEDURES,097-3,APR-DRG,,,,inpatient ,,,0,,"22,231.61","22,231.61",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,231.61",APRDRG Case Rate,,,"22,231.61",APRDRG Case Rate,,,"22,231.61",APRDRG Case Rate,,,"22,231.61",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
097-4 - TONSIL & ADENOID PROCEDURES,097-4,APR-DRG,,,,inpatient ,,,0,,"34,830.80","34,830.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"34,830.80",APRDRG Case Rate,,,"34,830.80",APRDRG Case Rate,,,"34,830.80",APRDRG Case Rate,,,"34,830.80",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"098-1 - OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES",098-1,APR-DRG,,,,inpatient ,,,0,,"7,097.87","7,097.87",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,097.87",APRDRG Case Rate,,,"7,097.87",APRDRG Case Rate,,,"7,097.87",APRDRG Case Rate,,,"7,097.87",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"098-2 - OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES",098-2,APR-DRG,,,,inpatient ,,,0,,"9,138.60","9,138.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,138.60",APRDRG Case Rate,,,"9,138.60",APRDRG Case Rate,,,"9,138.60",APRDRG Case Rate,,,"9,138.60",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"098-3 - OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES",098-3,APR-DRG,,,,inpatient ,,,0,,"14,326.67","14,326.67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,326.67",APRDRG Case Rate,,,"14,326.67",APRDRG Case Rate,,,"14,326.67",APRDRG Case Rate,,,"14,326.67",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"098-4 - OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES",098-4,APR-DRG,,,,inpatient ,,,0,,"27,554.48","27,554.48",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"27,554.48",APRDRG Case Rate,,,"27,554.48",APRDRG Case Rate,,,"27,554.48",APRDRG Case Rate,,,"27,554.48",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"110-1 - EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES",110-1,APR-DRG,,,,inpatient ,,,0,,"4,535.86","4,535.86",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,535.86",APRDRG Case Rate,,,"4,535.86",APRDRG Case Rate,,,"4,535.86",APRDRG Case Rate,,,"4,535.86",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"110-2 - EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES",110-2,APR-DRG,,,,inpatient ,,,0,,"5,239.10","5,239.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,239.10",APRDRG Case Rate,,,"5,239.10",APRDRG Case Rate,,,"5,239.10",APRDRG Case Rate,,,"5,239.10",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"110-3 - EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES",110-3,APR-DRG,,,,inpatient ,,,0,,"8,466.33","8,466.33",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,466.33",APRDRG Case Rate,,,"8,466.33",APRDRG Case Rate,,,"8,466.33",APRDRG Case Rate,,,"8,466.33",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"110-4 - EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES",110-4,APR-DRG,,,,inpatient ,,,0,,"12,087.07","12,087.07",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,087.07",APRDRG Case Rate,,,"12,087.07",APRDRG Case Rate,,,"12,087.07",APRDRG Case Rate,,,"12,087.07",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
111-1 - VERTIGO & OTHER LABYRINTH DISORDERS,111-1,APR-DRG,,,,inpatient ,,,0,,"2,944.25","2,944.25",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,944.25",APRDRG Case Rate,,,"2,944.25",APRDRG Case Rate,,,"2,944.25",APRDRG Case Rate,,,"2,944.25",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
111-2 - VERTIGO & OTHER LABYRINTH DISORDERS,111-2,APR-DRG,,,,inpatient ,,,0,,"4,266.60","4,266.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,266.60",APRDRG Case Rate,,,"4,266.60",APRDRG Case Rate,,,"4,266.60",APRDRG Case Rate,,,"4,266.60",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
111-3 - VERTIGO & OTHER LABYRINTH DISORDERS,111-3,APR-DRG,,,,inpatient ,,,0,,"6,561.81","6,561.81",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,561.81",APRDRG Case Rate,,,"6,561.81",APRDRG Case Rate,,,"6,561.81",APRDRG Case Rate,,,"6,561.81",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
111-4 - VERTIGO & OTHER LABYRINTH DISORDERS,111-4,APR-DRG,,,,inpatient ,,,0,,"15,072.14","15,072.14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,072.14",APRDRG Case Rate,,,"15,072.14",APRDRG Case Rate,,,"15,072.14",APRDRG Case Rate,,,"15,072.14",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
113-1 - INFECTIONS OF UPPER RESPIRATORY TRACT,113-1,APR-DRG,,,,inpatient ,,,0,,"4,708.33","4,708.33",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,708.33",APRDRG Case Rate,,,"4,708.33",APRDRG Case Rate,,,"4,708.33",APRDRG Case Rate,,,"4,708.33",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
113-2 - INFECTIONS OF UPPER RESPIRATORY TRACT,113-2,APR-DRG,,,,inpatient ,,,0,,"6,518.87","6,518.87",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,518.87",APRDRG Case Rate,,,"6,518.87",APRDRG Case Rate,,,"6,518.87",APRDRG Case Rate,,,"6,518.87",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
113-3 - INFECTIONS OF UPPER RESPIRATORY TRACT,113-3,APR-DRG,,,,inpatient ,,,0,,"10,962.52","10,962.52",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,962.52",APRDRG Case Rate,,,"10,962.52",APRDRG Case Rate,,,"10,962.52",APRDRG Case Rate,,,"10,962.52",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
113-4 - INFECTIONS OF UPPER RESPIRATORY TRACT,113-4,APR-DRG,,,,inpatient ,,,0,,"18,702.74","18,702.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,702.74",APRDRG Case Rate,,,"18,702.74",APRDRG Case Rate,,,"18,702.74",APRDRG Case Rate,,,"18,702.74",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
114-1 - DENTAL DISEASES AND DISORDERS,114-1,APR-DRG,,,,inpatient ,,,0,,"3,977.64","3,977.64",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,977.64",APRDRG Case Rate,,,"3,977.64",APRDRG Case Rate,,,"3,977.64",APRDRG Case Rate,,,"3,977.64",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
114-2 - DENTAL DISEASES AND DISORDERS,114-2,APR-DRG,,,,inpatient ,,,0,,"4,549.59","4,549.59",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,549.59",APRDRG Case Rate,,,"4,549.59",APRDRG Case Rate,,,"4,549.59",APRDRG Case Rate,,,"4,549.59",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
114-3 - DENTAL DISEASES AND DISORDERS,114-3,APR-DRG,,,,inpatient ,,,0,,"6,590.68","6,590.68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,590.68",APRDRG Case Rate,,,"6,590.68",APRDRG Case Rate,,,"6,590.68",APRDRG Case Rate,,,"6,590.68",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
114-4 - DENTAL DISEASES AND DISORDERS,114-4,APR-DRG,,,,inpatient ,,,0,,"10,732.33","10,732.33",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,732.33",APRDRG Case Rate,,,"10,732.33",APRDRG Case Rate,,,"10,732.33",APRDRG Case Rate,,,"10,732.33",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"115-1 - OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES",115-1,APR-DRG,,,,inpatient ,,,0,,"3,088.55","3,088.55",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,088.55",APRDRG Case Rate,,,"3,088.55",APRDRG Case Rate,,,"3,088.55",APRDRG Case Rate,,,"3,088.55",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"115-2 - OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES",115-2,APR-DRG,,,,inpatient ,,,0,,"3,548.23","3,548.23",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,548.23",APRDRG Case Rate,,,"3,548.23",APRDRG Case Rate,,,"3,548.23",APRDRG Case Rate,,,"3,548.23",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"115-3 - OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES",115-3,APR-DRG,,,,inpatient ,,,0,,"4,283.85","4,283.85",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,283.85",APRDRG Case Rate,,,"4,283.85",APRDRG Case Rate,,,"4,283.85",APRDRG Case Rate,,,"4,283.85",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"115-4 - OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES",115-4,APR-DRG,,,,inpatient ,,,0,,"7,510.73","7,510.73",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,510.73",APRDRG Case Rate,,,"7,510.73",APRDRG Case Rate,,,"7,510.73",APRDRG Case Rate,,,"7,510.73",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
120-1 - MAJOR RESPIRATORY & CHEST PROCEDURES,120-1,APR-DRG,,,,inpatient ,,,0,,"1,857.00","1,857.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,857.00",APRDRG Case Rate,,,"1,857.00",APRDRG Case Rate,,,"1,857.00",APRDRG Case Rate,,,"1,857.00",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
120-2 - MAJOR RESPIRATORY & CHEST PROCEDURES,120-2,APR-DRG,,,,inpatient ,,,0,,"2,740.45","2,740.45",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,740.45",APRDRG Case Rate,,,"2,740.45",APRDRG Case Rate,,,"2,740.45",APRDRG Case Rate,,,"2,740.45",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
120-3 - MAJOR RESPIRATORY & CHEST PROCEDURES,120-3,APR-DRG,,,,inpatient ,,,0,,"3,993.12","3,993.12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,993.12",APRDRG Case Rate,,,"3,993.12",APRDRG Case Rate,,,"3,993.12",APRDRG Case Rate,,,"3,993.12",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
120-4 - MAJOR RESPIRATORY & CHEST PROCEDURES,120-4,APR-DRG,,,,inpatient ,,,0,,"6,530.49","6,530.49",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,530.49",APRDRG Case Rate,,,"6,530.49",APRDRG Case Rate,,,"6,530.49",APRDRG Case Rate,,,"6,530.49",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
121-1 - OTHER RESPIRATORY & CHEST PROCEDURES,121-1,APR-DRG,,,,inpatient ,,,0,,"2,197.36","2,197.36",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,197.36",APRDRG Case Rate,,,"2,197.36",APRDRG Case Rate,,,"2,197.36",APRDRG Case Rate,,,"2,197.36",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
121-2 - OTHER RESPIRATORY & CHEST PROCEDURES,121-2,APR-DRG,,,,inpatient ,,,0,,"3,032.94","3,032.94",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,032.94",APRDRG Case Rate,,,"3,032.94",APRDRG Case Rate,,,"3,032.94",APRDRG Case Rate,,,"3,032.94",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
121-3 - OTHER RESPIRATORY & CHEST PROCEDURES,121-3,APR-DRG,,,,inpatient ,,,0,,"4,870.94","4,870.94",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,870.94",APRDRG Case Rate,,,"4,870.94",APRDRG Case Rate,,,"4,870.94",APRDRG Case Rate,,,"4,870.94",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
121-4 - OTHER RESPIRATORY & CHEST PROCEDURES,121-4,APR-DRG,,,,inpatient ,,,0,,"8,525.47","8,525.47",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,525.47",APRDRG Case Rate,,,"8,525.47",APRDRG Case Rate,,,"8,525.47",APRDRG Case Rate,,,"8,525.47",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
130-1 - RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS,130-1,APR-DRG,,,,inpatient ,,,0,,"2,557.08","2,557.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,557.08",APRDRG Case Rate,,,"2,557.08",APRDRG Case Rate,,,"2,557.08",APRDRG Case Rate,,,"2,557.08",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
130-2 - RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS,130-2,APR-DRG,,,,inpatient ,,,0,,"3,533.45","3,533.45",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,533.45",APRDRG Case Rate,,,"3,533.45",APRDRG Case Rate,,,"3,533.45",APRDRG Case Rate,,,"3,533.45",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
130-3 - RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS,130-3,APR-DRG,,,,inpatient ,,,0,,"5,347.16","5,347.16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,347.16",APRDRG Case Rate,,,"5,347.16",APRDRG Case Rate,,,"5,347.16",APRDRG Case Rate,,,"5,347.16",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
130-4 - RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS,130-4,APR-DRG,,,,inpatient ,,,0,,"9,781.30","9,781.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,781.30",APRDRG Case Rate,,,"9,781.30",APRDRG Case Rate,,,"9,781.30",APRDRG Case Rate,,,"9,781.30",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
131-1 - CYSTIC FIBROSIS - PULMONARY DISEASE,131-1,APR-DRG,,,,inpatient ,,,0,,"10,390.57","10,390.57",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,390.57",APRDRG Case Rate,,,"10,390.57",APRDRG Case Rate,,,"10,390.57",APRDRG Case Rate,,,"10,390.57",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
131-2 - CYSTIC FIBROSIS - PULMONARY DISEASE,131-2,APR-DRG,,,,inpatient ,,,0,,"12,757.93","12,757.93",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,757.93",APRDRG Case Rate,,,"12,757.93",APRDRG Case Rate,,,"12,757.93",APRDRG Case Rate,,,"12,757.93",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
131-3 - CYSTIC FIBROSIS - PULMONARY DISEASE,131-3,APR-DRG,,,,inpatient ,,,0,,"17,326.53","17,326.53",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,326.53",APRDRG Case Rate,,,"17,326.53",APRDRG Case Rate,,,"17,326.53",APRDRG Case Rate,,,"17,326.53",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
131-4 - CYSTIC FIBROSIS - PULMONARY DISEASE,131-4,APR-DRG,,,,inpatient ,,,0,,"30,223.48","30,223.48",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"30,223.48",APRDRG Case Rate,,,"30,223.48",APRDRG Case Rate,,,"30,223.48",APRDRG Case Rate,,,"30,223.48",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
132-1 - BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,132-1,APR-DRG,,,,inpatient ,,,0,,"7,567.40","7,567.40",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,567.40",APRDRG Case Rate,,,"7,567.40",APRDRG Case Rate,,,"7,567.40",APRDRG Case Rate,,,"7,567.40",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
132-2 - BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,132-2,APR-DRG,,,,inpatient ,,,0,,"9,783.41","9,783.41",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,783.41",APRDRG Case Rate,,,"9,783.41",APRDRG Case Rate,,,"9,783.41",APRDRG Case Rate,,,"9,783.41",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
132-3 - BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,132-3,APR-DRG,,,,inpatient ,,,0,,"14,880.67","14,880.67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,880.67",APRDRG Case Rate,,,"14,880.67",APRDRG Case Rate,,,"14,880.67",APRDRG Case Rate,,,"14,880.67",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
132-4 - BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,132-4,APR-DRG,,,,inpatient ,,,0,,"24,711.60","24,711.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"24,711.60",APRDRG Case Rate,,,"24,711.60",APRDRG Case Rate,,,"24,711.60",APRDRG Case Rate,,,"24,711.60",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
133-1 - RESPIRATORY FAILURE,133-1,APR-DRG,,,,inpatient ,,,0,,"18,085.03","18,085.03",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,085.03",APRDRG Case Rate,,,"18,085.03",APRDRG Case Rate,,,"18,085.03",APRDRG Case Rate,,,"18,085.03",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
133-2 - RESPIRATORY FAILURE,133-2,APR-DRG,,,,inpatient ,,,0,,"18,088.90","18,088.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,088.90",APRDRG Case Rate,,,"18,088.90",APRDRG Case Rate,,,"18,088.90",APRDRG Case Rate,,,"18,088.90",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
133-3 - RESPIRATORY FAILURE,133-3,APR-DRG,,,,inpatient ,,,0,,"22,142.56","22,142.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,142.56",APRDRG Case Rate,,,"22,142.56",APRDRG Case Rate,,,"22,142.56",APRDRG Case Rate,,,"22,142.56",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
133-4 - RESPIRATORY FAILURE,133-4,APR-DRG,,,,inpatient ,,,0,,"28,681.85","28,681.85",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"28,681.85",APRDRG Case Rate,,,"28,681.85",APRDRG Case Rate,,,"28,681.85",APRDRG Case Rate,,,"28,681.85",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
134-1 - PULMONARY EMBOLISM,134-1,APR-DRG,,,,inpatient ,,,0,,"6,002.53","6,002.53",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,002.53",APRDRG Case Rate,,,"6,002.53",APRDRG Case Rate,,,"6,002.53",APRDRG Case Rate,,,"6,002.53",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
134-2 - PULMONARY EMBOLISM,134-2,APR-DRG,,,,inpatient ,,,0,,"8,445.57","8,445.57",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,445.57",APRDRG Case Rate,,,"8,445.57",APRDRG Case Rate,,,"8,445.57",APRDRG Case Rate,,,"8,445.57",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
134-3 - PULMONARY EMBOLISM,134-3,APR-DRG,,,,inpatient ,,,0,,"11,249.73","11,249.73",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,249.73",APRDRG Case Rate,,,"11,249.73",APRDRG Case Rate,,,"11,249.73",APRDRG Case Rate,,,"11,249.73",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
134-4 - PULMONARY EMBOLISM,134-4,APR-DRG,,,,inpatient ,,,0,,"14,602.97","14,602.97",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,602.97",APRDRG Case Rate,,,"14,602.97",APRDRG Case Rate,,,"14,602.97",APRDRG Case Rate,,,"14,602.97",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
135-1 - MAJOR CHEST & RESPIRATORY TRAUMA,135-1,APR-DRG,,,,inpatient ,,,0,,"2,169.56","2,169.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,169.56",APRDRG Case Rate,,,"2,169.56",APRDRG Case Rate,,,"2,169.56",APRDRG Case Rate,,,"2,169.56",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
135-2 - MAJOR CHEST & RESPIRATORY TRAUMA,135-2,APR-DRG,,,,inpatient ,,,0,,"2,848.86","2,848.86",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,848.86",APRDRG Case Rate,,,"2,848.86",APRDRG Case Rate,,,"2,848.86",APRDRG Case Rate,,,"2,848.86",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
135-3 - MAJOR CHEST & RESPIRATORY TRAUMA,135-3,APR-DRG,,,,inpatient ,,,0,,"4,785.76","4,785.76",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,785.76",APRDRG Case Rate,,,"4,785.76",APRDRG Case Rate,,,"4,785.76",APRDRG Case Rate,,,"4,785.76",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
135-4 - MAJOR CHEST & RESPIRATORY TRAUMA,135-4,APR-DRG,,,,inpatient ,,,0,,"7,624.77","7,624.77",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,624.77",APRDRG Case Rate,,,"7,624.77",APRDRG Case Rate,,,"7,624.77",APRDRG Case Rate,,,"7,624.77",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
136-1 - RESPIRATORY MALIGNANCY,136-1,APR-DRG,,,,inpatient ,,,0,,"2,485.98","2,485.98",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,485.98",APRDRG Case Rate,,,"2,485.98",APRDRG Case Rate,,,"2,485.98",APRDRG Case Rate,,,"2,485.98",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
136-2 - RESPIRATORY MALIGNANCY,136-2,APR-DRG,,,,inpatient ,,,0,,"4,103.99","4,103.99",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,103.99",APRDRG Case Rate,,,"4,103.99",APRDRG Case Rate,,,"4,103.99",APRDRG Case Rate,,,"4,103.99",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
136-3 - RESPIRATORY MALIGNANCY,136-3,APR-DRG,,,,inpatient ,,,0,,"6,180.28","6,180.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,180.28",APRDRG Case Rate,,,"6,180.28",APRDRG Case Rate,,,"6,180.28",APRDRG Case Rate,,,"6,180.28",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
136-4 - RESPIRATORY MALIGNANCY,136-4,APR-DRG,,,,inpatient ,,,0,,"10,200.85","10,200.85",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,200.85",APRDRG Case Rate,,,"10,200.85",APRDRG Case Rate,,,"10,200.85",APRDRG Case Rate,,,"10,200.85",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
137-1 - MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS,137-1,APR-DRG,,,,inpatient ,,,0,,"3,243.07","3,243.07",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,243.07",APRDRG Case Rate,,,"3,243.07",APRDRG Case Rate,,,"3,243.07",APRDRG Case Rate,,,"3,243.07",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
137-2 - MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS,137-2,APR-DRG,,,,inpatient ,,,0,,"4,222.96","4,222.96",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,222.96",APRDRG Case Rate,,,"4,222.96",APRDRG Case Rate,,,"4,222.96",APRDRG Case Rate,,,"4,222.96",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
137-3 - MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS,137-3,APR-DRG,,,,inpatient ,,,0,,"6,092.28","6,092.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,092.28",APRDRG Case Rate,,,"6,092.28",APRDRG Case Rate,,,"6,092.28",APRDRG Case Rate,,,"6,092.28",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
137-4 - MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS,137-4,APR-DRG,,,,inpatient ,,,0,,"9,273.41","9,273.41",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,273.41",APRDRG Case Rate,,,"9,273.41",APRDRG Case Rate,,,"9,273.41",APRDRG Case Rate,,,"9,273.41",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
138-1 - BRONCHIOLITIS & RSV PNEUMONIA,138-1,APR-DRG,,,,inpatient ,,,0,,"3,929.42","3,929.42",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,929.42",APRDRG Case Rate,,,"3,929.42",APRDRG Case Rate,,,"3,929.42",APRDRG Case Rate,,,"3,929.42",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
138-2 - BRONCHIOLITIS & RSV PNEUMONIA,138-2,APR-DRG,,,,inpatient ,,,0,,"4,572.82","4,572.82",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,572.82",APRDRG Case Rate,,,"4,572.82",APRDRG Case Rate,,,"4,572.82",APRDRG Case Rate,,,"4,572.82",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
138-3 - BRONCHIOLITIS & RSV PNEUMONIA,138-3,APR-DRG,,,,inpatient ,,,0,,"6,559.70","6,559.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,559.70",APRDRG Case Rate,,,"6,559.70",APRDRG Case Rate,,,"6,559.70",APRDRG Case Rate,,,"6,559.70",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
138-4 - BRONCHIOLITIS & RSV PNEUMONIA,138-4,APR-DRG,,,,inpatient ,,,0,,"11,050.51","11,050.51",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,050.51",APRDRG Case Rate,,,"11,050.51",APRDRG Case Rate,,,"11,050.51",APRDRG Case Rate,,,"11,050.51",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
139-1 - OTHER PNEUMONIA,139-1,APR-DRG,,,,inpatient ,,,0,,"3,413.07","3,413.07",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,413.07",APRDRG Case Rate,,,"3,413.07",APRDRG Case Rate,,,"3,413.07",APRDRG Case Rate,,,"3,413.07",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
139-2 - OTHER PNEUMONIA,139-2,APR-DRG,,,,inpatient ,,,0,,"4,723.11","4,723.11",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,723.11",APRDRG Case Rate,,,"4,723.11",APRDRG Case Rate,,,"4,723.11",APRDRG Case Rate,,,"4,723.11",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
139-3 - OTHER PNEUMONIA,139-3,APR-DRG,,,,inpatient ,,,0,,"6,714.57","6,714.57",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,714.57",APRDRG Case Rate,,,"6,714.57",APRDRG Case Rate,,,"6,714.57",APRDRG Case Rate,,,"6,714.57",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
139-4 - OTHER PNEUMONIA,139-4,APR-DRG,,,,inpatient ,,,0,,"9,518.73","9,518.73",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,518.73",APRDRG Case Rate,,,"9,518.73",APRDRG Case Rate,,,"9,518.73",APRDRG Case Rate,,,"9,518.73",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
140-1 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE,140-1,APR-DRG,,,,inpatient ,,,0,,"3,489.10","3,489.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,489.10",APRDRG Case Rate,,,"3,489.10",APRDRG Case Rate,,,"3,489.10",APRDRG Case Rate,,,"3,489.10",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
140-2 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE,140-2,APR-DRG,,,,inpatient ,,,0,,"4,446.46","4,446.46",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,446.46",APRDRG Case Rate,,,"4,446.46",APRDRG Case Rate,,,"4,446.46",APRDRG Case Rate,,,"4,446.46",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
140-3 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE,140-3,APR-DRG,,,,inpatient ,,,0,,"6,060.96","6,060.96",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,060.96",APRDRG Case Rate,,,"6,060.96",APRDRG Case Rate,,,"6,060.96",APRDRG Case Rate,,,"6,060.96",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
140-4 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE,140-4,APR-DRG,,,,inpatient ,,,0,,"8,755.30","8,755.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,755.30",APRDRG Case Rate,,,"8,755.30",APRDRG Case Rate,,,"8,755.30",APRDRG Case Rate,,,"8,755.30",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
141-1 - ASTHMA,141-1,APR-DRG,,,,inpatient ,,,0,,"1,644.77","1,644.77",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,644.77",APRDRG Case Rate,,,"1,644.77",APRDRG Case Rate,,,"1,644.77",APRDRG Case Rate,,,"1,644.77",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
141-2 - ASTHMA,141-2,APR-DRG,,,,inpatient ,,,0,,"2,355.40","2,355.40",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,355.40",APRDRG Case Rate,,,"2,355.40",APRDRG Case Rate,,,"2,355.40",APRDRG Case Rate,,,"2,355.40",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
141-3 - ASTHMA,141-3,APR-DRG,,,,inpatient ,,,0,,"3,731.61","3,731.61",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,731.61",APRDRG Case Rate,,,"3,731.61",APRDRG Case Rate,,,"3,731.61",APRDRG Case Rate,,,"3,731.61",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
141-4 - ASTHMA,141-4,APR-DRG,,,,inpatient ,,,0,,"7,933.45","7,933.45",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,933.45",APRDRG Case Rate,,,"7,933.45",APRDRG Case Rate,,,"7,933.45",APRDRG Case Rate,,,"7,933.45",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
142-1 - INTERSTITIAL & ALVEOLAR LUNG DISEASES,142-1,APR-DRG,,,,inpatient ,,,0,,"2,550.04","2,550.04",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,550.04",APRDRG Case Rate,,,"2,550.04",APRDRG Case Rate,,,"2,550.04",APRDRG Case Rate,,,"2,550.04",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
142-2 - INTERSTITIAL & ALVEOLAR LUNG DISEASES,142-2,APR-DRG,,,,inpatient ,,,0,,"3,536.97","3,536.97",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,536.97",APRDRG Case Rate,,,"3,536.97",APRDRG Case Rate,,,"3,536.97",APRDRG Case Rate,,,"3,536.97",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
142-3 - INTERSTITIAL & ALVEOLAR LUNG DISEASES,142-3,APR-DRG,,,,inpatient ,,,0,,"4,902.62","4,902.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,902.62",APRDRG Case Rate,,,"4,902.62",APRDRG Case Rate,,,"4,902.62",APRDRG Case Rate,,,"4,902.62",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
142-4 - INTERSTITIAL & ALVEOLAR LUNG DISEASES,142-4,APR-DRG,,,,inpatient ,,,0,,"7,374.17","7,374.17",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,374.17",APRDRG Case Rate,,,"7,374.17",APRDRG Case Rate,,,"7,374.17",APRDRG Case Rate,,,"7,374.17",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"143-1 - OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES",143-1,APR-DRG,,,,inpatient ,,,0,,"3,029.42","3,029.42",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,029.42",APRDRG Case Rate,,,"3,029.42",APRDRG Case Rate,,,"3,029.42",APRDRG Case Rate,,,"3,029.42",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"143-2 - OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES",143-2,APR-DRG,,,,inpatient ,,,0,,"3,730.90","3,730.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,730.90",APRDRG Case Rate,,,"3,730.90",APRDRG Case Rate,,,"3,730.90",APRDRG Case Rate,,,"3,730.90",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"143-3 - OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES",143-3,APR-DRG,,,,inpatient ,,,0,,"4,524.25","4,524.25",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,524.25",APRDRG Case Rate,,,"4,524.25",APRDRG Case Rate,,,"4,524.25",APRDRG Case Rate,,,"4,524.25",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"143-4 - OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES",143-4,APR-DRG,,,,inpatient ,,,0,,"6,690.99","6,690.99",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,690.99",APRDRG Case Rate,,,"6,690.99",APRDRG Case Rate,,,"6,690.99",APRDRG Case Rate,,,"6,690.99",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"144-1 - RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES",144-1,APR-DRG,,,,inpatient ,,,0,,"2,142.10","2,142.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,142.10",APRDRG Case Rate,,,"2,142.10",APRDRG Case Rate,,,"2,142.10",APRDRG Case Rate,,,"2,142.10",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"144-2 - RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES",144-2,APR-DRG,,,,inpatient ,,,0,,"3,222.30","3,222.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,222.30",APRDRG Case Rate,,,"3,222.30",APRDRG Case Rate,,,"3,222.30",APRDRG Case Rate,,,"3,222.30",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"144-3 - RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES",144-3,APR-DRG,,,,inpatient ,,,0,,"3,875.21","3,875.21",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,875.21",APRDRG Case Rate,,,"3,875.21",APRDRG Case Rate,,,"3,875.21",APRDRG Case Rate,,,"3,875.21",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"144-4 - RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES",144-4,APR-DRG,,,,inpatient ,,,0,,"6,810.31","6,810.31",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,810.31",APRDRG Case Rate,,,"6,810.31",APRDRG Case Rate,,,"6,810.31",APRDRG Case Rate,,,"6,810.31",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
145-1 - ACUTE BRONCHITIS AND RELATED SYMPTOMS,145-1,APR-DRG,,,,inpatient ,,,0,,"3,508.10","3,508.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,508.10",APRDRG Case Rate,,,"3,508.10",APRDRG Case Rate,,,"3,508.10",APRDRG Case Rate,,,"3,508.10",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
145-2 - ACUTE BRONCHITIS AND RELATED SYMPTOMS,145-2,APR-DRG,,,,inpatient ,,,0,,"4,131.10","4,131.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,131.10",APRDRG Case Rate,,,"4,131.10",APRDRG Case Rate,,,"4,131.10",APRDRG Case Rate,,,"4,131.10",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
145-3 - ACUTE BRONCHITIS AND RELATED SYMPTOMS,145-3,APR-DRG,,,,inpatient ,,,0,,"5,593.19","5,593.19",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,593.19",APRDRG Case Rate,,,"5,593.19",APRDRG Case Rate,,,"5,593.19",APRDRG Case Rate,,,"5,593.19",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
145-4 - ACUTE BRONCHITIS AND RELATED SYMPTOMS,145-4,APR-DRG,,,,inpatient ,,,0,,"8,433.60","8,433.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,433.60",APRDRG Case Rate,,,"8,433.60",APRDRG Case Rate,,,"8,433.60",APRDRG Case Rate,,,"8,433.60",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
160-1 - MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,160-1,APR-DRG,,,,inpatient ,,,0,,"2,837.95","2,837.95",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,837.95",APRDRG Case Rate,,,"2,837.95",APRDRG Case Rate,,,"2,837.95",APRDRG Case Rate,,,"2,837.95",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
160-2 - MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,160-2,APR-DRG,,,,inpatient ,,,0,,"4,020.93","4,020.93",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,020.93",APRDRG Case Rate,,,"4,020.93",APRDRG Case Rate,,,"4,020.93",APRDRG Case Rate,,,"4,020.93",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
160-3 - MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,160-3,APR-DRG,,,,inpatient ,,,0,,"5,753.69","5,753.69",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,753.69",APRDRG Case Rate,,,"5,753.69",APRDRG Case Rate,,,"5,753.69",APRDRG Case Rate,,,"5,753.69",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
160-4 - MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,160-4,APR-DRG,,,,inpatient ,,,0,,"8,861.25","8,861.25",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,861.25",APRDRG Case Rate,,,"8,861.25",APRDRG Case Rate,,,"8,861.25",APRDRG Case Rate,,,"8,861.25",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
161-1 - CARDIAC DEFIBRILLATOR & HEART ASSIST IMPLANT,161-1,APR-DRG,,,,inpatient ,,,0,,"2,753.83","2,753.83",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,753.83",APRDRG Case Rate,,,"2,753.83",APRDRG Case Rate,,,"2,753.83",APRDRG Case Rate,,,"2,753.83",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
161-2 - CARDIAC DEFIBRILLATOR & HEART ASSIST IMPLANT,161-2,APR-DRG,,,,inpatient ,,,0,,"3,624.61","3,624.61",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,624.61",APRDRG Case Rate,,,"3,624.61",APRDRG Case Rate,,,"3,624.61",APRDRG Case Rate,,,"3,624.61",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
161-3 - CARDIAC DEFIBRILLATOR & HEART ASSIST IMPLANT,161-3,APR-DRG,,,,inpatient ,,,0,,"5,120.49","5,120.49",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,120.49",APRDRG Case Rate,,,"5,120.49",APRDRG Case Rate,,,"5,120.49",APRDRG Case Rate,,,"5,120.49",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
161-4 - CARDIAC DEFIBRILLATOR & HEART ASSIST IMPLANT,161-4,APR-DRG,,,,inpatient ,,,0,,"8,929.53","8,929.53",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,929.53",APRDRG Case Rate,,,"8,929.53",APRDRG Case Rate,,,"8,929.53",APRDRG Case Rate,,,"8,929.53",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
162-1 - CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX,162-1,APR-DRG,,,,inpatient ,,,0,,"2,635.92","2,635.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,635.92",APRDRG Case Rate,,,"2,635.92",APRDRG Case Rate,,,"2,635.92",APRDRG Case Rate,,,"2,635.92",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
162-2 - CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX,162-2,APR-DRG,,,,inpatient ,,,0,,"3,369.08","3,369.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,369.08",APRDRG Case Rate,,,"3,369.08",APRDRG Case Rate,,,"3,369.08",APRDRG Case Rate,,,"3,369.08",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
162-3 - CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX,162-3,APR-DRG,,,,inpatient ,,,0,,"4,346.85","4,346.85",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,346.85",APRDRG Case Rate,,,"4,346.85",APRDRG Case Rate,,,"4,346.85",APRDRG Case Rate,,,"4,346.85",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
162-4 - CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX,162-4,APR-DRG,,,,inpatient ,,,0,,"6,622.00","6,622.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,622.00",APRDRG Case Rate,,,"6,622.00",APRDRG Case Rate,,,"6,622.00",APRDRG Case Rate,,,"6,622.00",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
163-1 - CARDIAC VALVE PROCEDURES W/O AMI OR COMPLEX PDX,163-1,APR-DRG,,,,inpatient ,,,0,,"16,099.20","16,099.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,099.20",APRDRG Case Rate,,,"16,099.20",APRDRG Case Rate,,,"16,099.20",APRDRG Case Rate,,,"16,099.20",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
163-2 - CARDIAC VALVE PROCEDURES W/O AMI OR COMPLEX PDX,163-2,APR-DRG,,,,inpatient ,,,0,,"19,829.75","19,829.75",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,829.75",APRDRG Case Rate,,,"19,829.75",APRDRG Case Rate,,,"19,829.75",APRDRG Case Rate,,,"19,829.75",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
163-3 - CARDIAC VALVE PROCEDURES W/O AMI OR COMPLEX PDX,163-3,APR-DRG,,,,inpatient ,,,0,,"30,596.22","30,596.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"30,596.22",APRDRG Case Rate,,,"30,596.22",APRDRG Case Rate,,,"30,596.22",APRDRG Case Rate,,,"30,596.22",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
163-4 - CARDIAC VALVE PROCEDURES W/O AMI OR COMPLEX PDX,163-4,APR-DRG,,,,inpatient ,,,0,,"56,996.94","56,996.94",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"56,996.94",APRDRG Case Rate,,,"56,996.94",APRDRG Case Rate,,,"56,996.94",APRDRG Case Rate,,,"56,996.94",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
165-1 - CORONARY BYPASS W AMI OR COMPLEX PDX,165-1,APR-DRG,,,,inpatient ,,,0,,"78,712.20","78,712.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"78,712.20",APRDRG Case Rate,,,"78,712.20",APRDRG Case Rate,,,"78,712.20",APRDRG Case Rate,,,"78,712.20",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
165-2 - CORONARY BYPASS W AMI OR COMPLEX PDX,165-2,APR-DRG,,,,inpatient ,,,0,,"82,855.26","82,855.26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"82,855.26",APRDRG Case Rate,,,"82,855.26",APRDRG Case Rate,,,"82,855.26",APRDRG Case Rate,,,"82,855.26",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
165-3 - CORONARY BYPASS W AMI OR COMPLEX PDX,165-3,APR-DRG,,,,inpatient ,,,0,,"103,193.26","103,193.26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"103,193.26",APRDRG Case Rate,,,"103,193.26",APRDRG Case Rate,,,"103,193.26",APRDRG Case Rate,,,"103,193.26",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
165-4 - CORONARY BYPASS W AMI OR COMPLEX PDX,165-4,APR-DRG,,,,inpatient ,,,0,,"134,698.98","134,698.98",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"134,698.98",APRDRG Case Rate,,,"134,698.98",APRDRG Case Rate,,,"134,698.98",APRDRG Case Rate,,,"134,698.98",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
166-1 - CORONARY BYPASS W/O AMI OR COMPLEX PDX,166-1,APR-DRG,,,,inpatient ,,,0,,"24,884.07","24,884.07",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"24,884.07",APRDRG Case Rate,,,"24,884.07",APRDRG Case Rate,,,"24,884.07",APRDRG Case Rate,,,"24,884.07",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
166-2 - CORONARY BYPASS W/O AMI OR COMPLEX PDX,166-2,APR-DRG,,,,inpatient ,,,0,,"29,159.82","29,159.82",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"29,159.82",APRDRG Case Rate,,,"29,159.82",APRDRG Case Rate,,,"29,159.82",APRDRG Case Rate,,,"29,159.82",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
166-3 - CORONARY BYPASS W/O AMI OR COMPLEX PDX,166-3,APR-DRG,,,,inpatient ,,,0,,"36,792.69","36,792.69",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,792.69",APRDRG Case Rate,,,"36,792.69",APRDRG Case Rate,,,"36,792.69",APRDRG Case Rate,,,"36,792.69",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
166-4 - CORONARY BYPASS W/O AMI OR COMPLEX PDX,166-4,APR-DRG,,,,inpatient ,,,0,,"53,718.67","53,718.67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"53,718.67",APRDRG Case Rate,,,"53,718.67",APRDRG Case Rate,,,"53,718.67",APRDRG Case Rate,,,"53,718.67",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
167-1 - OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES,167-1,APR-DRG,,,,inpatient ,,,0,,"21,764.54","21,764.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,764.54",APRDRG Case Rate,,,"21,764.54",APRDRG Case Rate,,,"21,764.54",APRDRG Case Rate,,,"21,764.54",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
167-2 - OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES,167-2,APR-DRG,,,,inpatient ,,,0,,"24,083.33","24,083.33",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"24,083.33",APRDRG Case Rate,,,"24,083.33",APRDRG Case Rate,,,"24,083.33",APRDRG Case Rate,,,"24,083.33",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
167-3 - OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES,167-3,APR-DRG,,,,inpatient ,,,0,,"30,431.15","30,431.15",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"30,431.15",APRDRG Case Rate,,,"30,431.15",APRDRG Case Rate,,,"30,431.15",APRDRG Case Rate,,,"30,431.15",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
167-4 - OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES,167-4,APR-DRG,,,,inpatient ,,,0,,"45,711.31","45,711.31",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"45,711.31",APRDRG Case Rate,,,"45,711.31",APRDRG Case Rate,,,"45,711.31",APRDRG Case Rate,,,"45,711.31",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
169-1 - MAJOR ABDOMINAL VASCULAR PROCEDURES,169-1,APR-DRG,,,,inpatient ,,,0,,"21,086.64","21,086.64",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,086.64",APRDRG Case Rate,,,"21,086.64",APRDRG Case Rate,,,"21,086.64",APRDRG Case Rate,,,"21,086.64",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
169-2 - MAJOR ABDOMINAL VASCULAR PROCEDURES,169-2,APR-DRG,,,,inpatient ,,,0,,"25,677.77","25,677.77",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"25,677.77",APRDRG Case Rate,,,"25,677.77",APRDRG Case Rate,,,"25,677.77",APRDRG Case Rate,,,"25,677.77",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
169-3 - MAJOR ABDOMINAL VASCULAR PROCEDURES,169-3,APR-DRG,,,,inpatient ,,,0,,"30,873.58","30,873.58",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"30,873.58",APRDRG Case Rate,,,"30,873.58",APRDRG Case Rate,,,"30,873.58",APRDRG Case Rate,,,"30,873.58",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
169-4 - MAJOR ABDOMINAL VASCULAR PROCEDURES,169-4,APR-DRG,,,,inpatient ,,,0,,"41,801.95","41,801.95",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"41,801.95",APRDRG Case Rate,,,"41,801.95",APRDRG Case Rate,,,"41,801.95",APRDRG Case Rate,,,"41,801.95",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"170-1 - PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK",170-1,APR-DRG,,,,inpatient ,,,0,,"19,411.61","19,411.61",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,411.61",APRDRG Case Rate,,,"19,411.61",APRDRG Case Rate,,,"19,411.61",APRDRG Case Rate,,,"19,411.61",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"170-2 - PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK",170-2,APR-DRG,,,,inpatient ,,,0,,"21,614.60","21,614.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,614.60",APRDRG Case Rate,,,"21,614.60",APRDRG Case Rate,,,"21,614.60",APRDRG Case Rate,,,"21,614.60",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"170-3 - PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK",170-3,APR-DRG,,,,inpatient ,,,0,,"25,667.91","25,667.91",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"25,667.91",APRDRG Case Rate,,,"25,667.91",APRDRG Case Rate,,,"25,667.91",APRDRG Case Rate,,,"25,667.91",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"170-4 - PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK",170-4,APR-DRG,,,,inpatient ,,,0,,"37,680.71","37,680.71",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"37,680.71",APRDRG Case Rate,,,"37,680.71",APRDRG Case Rate,,,"37,680.71",APRDRG Case Rate,,,"37,680.71",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"171-1 - PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK",171-1,APR-DRG,,,,inpatient ,,,0,,"16,319.89","16,319.89",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,319.89",APRDRG Case Rate,,,"16,319.89",APRDRG Case Rate,,,"16,319.89",APRDRG Case Rate,,,"16,319.89",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"171-2 - PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK",171-2,APR-DRG,,,,inpatient ,,,0,,"16,963.64","16,963.64",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,963.64",APRDRG Case Rate,,,"16,963.64",APRDRG Case Rate,,,"16,963.64",APRDRG Case Rate,,,"16,963.64",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"171-3 - PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK",171-3,APR-DRG,,,,inpatient ,,,0,,"25,610.19","25,610.19",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"25,610.19",APRDRG Case Rate,,,"25,610.19",APRDRG Case Rate,,,"25,610.19",APRDRG Case Rate,,,"25,610.19",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"171-4 - PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK",171-4,APR-DRG,,,,inpatient ,,,0,,"41,117.72","41,117.72",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"41,117.72",APRDRG Case Rate,,,"41,117.72",APRDRG Case Rate,,,"41,117.72",APRDRG Case Rate,,,"41,117.72",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
174-1 - PERCUTANEOUS CORONARY INTERVENTION W AMI,174-1,APR-DRG,,,,inpatient ,,,0,,"16,369.51","16,369.51",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,369.51",APRDRG Case Rate,,,"16,369.51",APRDRG Case Rate,,,"16,369.51",APRDRG Case Rate,,,"16,369.51",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
174-2 - PERCUTANEOUS CORONARY INTERVENTION W AMI,174-2,APR-DRG,,,,inpatient ,,,0,,"16,590.20","16,590.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,590.20",APRDRG Case Rate,,,"16,590.20",APRDRG Case Rate,,,"16,590.20",APRDRG Case Rate,,,"16,590.20",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
174-3 - PERCUTANEOUS CORONARY INTERVENTION W AMI,174-3,APR-DRG,,,,inpatient ,,,0,,"21,678.66","21,678.66",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,678.66",APRDRG Case Rate,,,"21,678.66",APRDRG Case Rate,,,"21,678.66",APRDRG Case Rate,,,"21,678.66",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
174-4 - PERCUTANEOUS CORONARY INTERVENTION W AMI,174-4,APR-DRG,,,,inpatient ,,,0,,"35,267.95","35,267.95",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"35,267.95",APRDRG Case Rate,,,"35,267.95",APRDRG Case Rate,,,"35,267.95",APRDRG Case Rate,,,"35,267.95",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
175-1 - PERCUTANEOUS CORONARY INTERVENTION W/O AMI,175-1,APR-DRG,,,,inpatient ,,,0,,"12,277.49","12,277.49",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,277.49",APRDRG Case Rate,,,"12,277.49",APRDRG Case Rate,,,"12,277.49",APRDRG Case Rate,,,"12,277.49",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
175-2 - PERCUTANEOUS CORONARY INTERVENTION W/O AMI,175-2,APR-DRG,,,,inpatient ,,,0,,"13,945.83","13,945.83",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,945.83",APRDRG Case Rate,,,"13,945.83",APRDRG Case Rate,,,"13,945.83",APRDRG Case Rate,,,"13,945.83",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
175-3 - PERCUTANEOUS CORONARY INTERVENTION W/O AMI,175-3,APR-DRG,,,,inpatient ,,,0,,"17,686.59","17,686.59",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,686.59",APRDRG Case Rate,,,"17,686.59",APRDRG Case Rate,,,"17,686.59",APRDRG Case Rate,,,"17,686.59",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
175-4 - PERCUTANEOUS CORONARY INTERVENTION W/O AMI,175-4,APR-DRG,,,,inpatient ,,,0,,"24,868.58","24,868.58",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"24,868.58",APRDRG Case Rate,,,"24,868.58",APRDRG Case Rate,,,"24,868.58",APRDRG Case Rate,,,"24,868.58",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
176-1 - CARDIAC PACEMAKER & DEFIBRILLATOR DEVICE REPLACEMENT,176-1,APR-DRG,,,,inpatient ,,,0,,"9,099.18","9,099.18",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,099.18",APRDRG Case Rate,,,"9,099.18",APRDRG Case Rate,,,"9,099.18",APRDRG Case Rate,,,"9,099.18",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
176-2 - CARDIAC PACEMAKER & DEFIBRILLATOR DEVICE REPLACEMENT,176-2,APR-DRG,,,,inpatient ,,,0,,"10,433.51","10,433.51",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,433.51",APRDRG Case Rate,,,"10,433.51",APRDRG Case Rate,,,"10,433.51",APRDRG Case Rate,,,"10,433.51",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
176-3 - CARDIAC PACEMAKER & DEFIBRILLATOR DEVICE REPLACEMENT,176-3,APR-DRG,,,,inpatient ,,,0,,"13,353.47","13,353.47",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,353.47",APRDRG Case Rate,,,"13,353.47",APRDRG Case Rate,,,"13,353.47",APRDRG Case Rate,,,"13,353.47",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
176-4 - CARDIAC PACEMAKER & DEFIBRILLATOR DEVICE REPLACEMENT,176-4,APR-DRG,,,,inpatient ,,,0,,"19,859.67","19,859.67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,859.67",APRDRG Case Rate,,,"19,859.67",APRDRG Case Rate,,,"19,859.67",APRDRG Case Rate,,,"19,859.67",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
177-1 - CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,177-1,APR-DRG,,,,inpatient ,,,0,,"11,318.72","11,318.72",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,318.72",APRDRG Case Rate,,,"11,318.72",APRDRG Case Rate,,,"11,318.72",APRDRG Case Rate,,,"11,318.72",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
177-2 - CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,177-2,APR-DRG,,,,inpatient ,,,0,,"12,282.06","12,282.06",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,282.06",APRDRG Case Rate,,,"12,282.06",APRDRG Case Rate,,,"12,282.06",APRDRG Case Rate,,,"12,282.06",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
177-3 - CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,177-3,APR-DRG,,,,inpatient ,,,0,,"15,067.22","15,067.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,067.22",APRDRG Case Rate,,,"15,067.22",APRDRG Case Rate,,,"15,067.22",APRDRG Case Rate,,,"15,067.22",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
177-4 - CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,177-4,APR-DRG,,,,inpatient ,,,0,,"21,056.37","21,056.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,056.37",APRDRG Case Rate,,,"21,056.37",APRDRG Case Rate,,,"21,056.37",APRDRG Case Rate,,,"21,056.37",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
180-1 - OTHER CIRCULATORY SYSTEM PROCEDURES,180-1,APR-DRG,,,,inpatient ,,,0,,"11,397.91","11,397.91",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,397.91",APRDRG Case Rate,,,"11,397.91",APRDRG Case Rate,,,"11,397.91",APRDRG Case Rate,,,"11,397.91",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
180-2 - OTHER CIRCULATORY SYSTEM PROCEDURES,180-2,APR-DRG,,,,inpatient ,,,0,,"12,882.88","12,882.88",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,882.88",APRDRG Case Rate,,,"12,882.88",APRDRG Case Rate,,,"12,882.88",APRDRG Case Rate,,,"12,882.88",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
180-3 - OTHER CIRCULATORY SYSTEM PROCEDURES,180-3,APR-DRG,,,,inpatient ,,,0,,"15,899.63","15,899.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,899.63",APRDRG Case Rate,,,"15,899.63",APRDRG Case Rate,,,"15,899.63",APRDRG Case Rate,,,"15,899.63",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
180-4 - OTHER CIRCULATORY SYSTEM PROCEDURES,180-4,APR-DRG,,,,inpatient ,,,0,,"23,266.76","23,266.76",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,266.76",APRDRG Case Rate,,,"23,266.76",APRDRG Case Rate,,,"23,266.76",APRDRG Case Rate,,,"23,266.76",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
181-1 - LOWER EXTREMITY ARTERIAL PROCEDURES,181-1,APR-DRG,,,,inpatient ,,,0,,"9,410.68","9,410.68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,410.68",APRDRG Case Rate,,,"9,410.68",APRDRG Case Rate,,,"9,410.68",APRDRG Case Rate,,,"9,410.68",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
181-2 - LOWER EXTREMITY ARTERIAL PROCEDURES,181-2,APR-DRG,,,,inpatient ,,,0,,"11,164.20","11,164.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,164.20",APRDRG Case Rate,,,"11,164.20",APRDRG Case Rate,,,"11,164.20",APRDRG Case Rate,,,"11,164.20",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
181-3 - LOWER EXTREMITY ARTERIAL PROCEDURES,181-3,APR-DRG,,,,inpatient ,,,0,,"17,295.90","17,295.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,295.90",APRDRG Case Rate,,,"17,295.90",APRDRG Case Rate,,,"17,295.90",APRDRG Case Rate,,,"17,295.90",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
181-4 - LOWER EXTREMITY ARTERIAL PROCEDURES,181-4,APR-DRG,,,,inpatient ,,,0,,"28,646.30","28,646.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"28,646.30",APRDRG Case Rate,,,"28,646.30",APRDRG Case Rate,,,"28,646.30",APRDRG Case Rate,,,"28,646.30",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
182-1 - OTHER PERIPHERAL VASCULAR PROCEDURES,182-1,APR-DRG,,,,inpatient ,,,0,,"6,742.38","6,742.38",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,742.38",APRDRG Case Rate,,,"6,742.38",APRDRG Case Rate,,,"6,742.38",APRDRG Case Rate,,,"6,742.38",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
182-2 - OTHER PERIPHERAL VASCULAR PROCEDURES,182-2,APR-DRG,,,,inpatient ,,,0,,"9,733.08","9,733.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,733.08",APRDRG Case Rate,,,"9,733.08",APRDRG Case Rate,,,"9,733.08",APRDRG Case Rate,,,"9,733.08",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
182-3 - OTHER PERIPHERAL VASCULAR PROCEDURES,182-3,APR-DRG,,,,inpatient ,,,0,,"13,077.87","13,077.87",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,077.87",APRDRG Case Rate,,,"13,077.87",APRDRG Case Rate,,,"13,077.87",APRDRG Case Rate,,,"13,077.87",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
182-4 - OTHER PERIPHERAL VASCULAR PROCEDURES,182-4,APR-DRG,,,,inpatient ,,,0,,"18,044.55","18,044.55",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,044.55",APRDRG Case Rate,,,"18,044.55",APRDRG Case Rate,,,"18,044.55",APRDRG Case Rate,,,"18,044.55",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
190-1 - ACUTE MYOCARDIAL INFARCTION,190-1,APR-DRG,,,,inpatient ,,,0,,"27,914.20","27,914.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"27,914.20",APRDRG Case Rate,,,"27,914.20",APRDRG Case Rate,,,"27,914.20",APRDRG Case Rate,,,"27,914.20",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
190-2 - ACUTE MYOCARDIAL INFARCTION,190-2,APR-DRG,,,,inpatient ,,,0,,"31,296.65","31,296.65",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,296.65",APRDRG Case Rate,,,"31,296.65",APRDRG Case Rate,,,"31,296.65",APRDRG Case Rate,,,"31,296.65",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
190-3 - ACUTE MYOCARDIAL INFARCTION,190-3,APR-DRG,,,,inpatient ,,,0,,"33,591.50","33,591.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"33,591.50",APRDRG Case Rate,,,"33,591.50",APRDRG Case Rate,,,"33,591.50",APRDRG Case Rate,,,"33,591.50",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
190-4 - ACUTE MYOCARDIAL INFARCTION,190-4,APR-DRG,,,,inpatient ,,,0,,"45,406.15","45,406.15",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"45,406.15",APRDRG Case Rate,,,"45,406.15",APRDRG Case Rate,,,"45,406.15",APRDRG Case Rate,,,"45,406.15",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
191-1 - CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,191-1,APR-DRG,,,,inpatient ,,,0,,"19,393.31","19,393.31",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,393.31",APRDRG Case Rate,,,"19,393.31",APRDRG Case Rate,,,"19,393.31",APRDRG Case Rate,,,"19,393.31",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
191-2 - CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,191-2,APR-DRG,,,,inpatient ,,,0,,"21,977.48","21,977.48",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,977.48",APRDRG Case Rate,,,"21,977.48",APRDRG Case Rate,,,"21,977.48",APRDRG Case Rate,,,"21,977.48",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
191-3 - CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,191-3,APR-DRG,,,,inpatient ,,,0,,"26,974.08","26,974.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"26,974.08",APRDRG Case Rate,,,"26,974.08",APRDRG Case Rate,,,"26,974.08",APRDRG Case Rate,,,"26,974.08",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
191-4 - CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,191-4,APR-DRG,,,,inpatient ,,,0,,"36,993.67","36,993.67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,993.67",APRDRG Case Rate,,,"36,993.67",APRDRG Case Rate,,,"36,993.67",APRDRG Case Rate,,,"36,993.67",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
192-1 - CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,192-1,APR-DRG,,,,inpatient ,,,0,,"6,609.33","6,609.33",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,609.33",APRDRG Case Rate,,,"6,609.33",APRDRG Case Rate,,,"6,609.33",APRDRG Case Rate,,,"6,609.33",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
192-2 - CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,192-2,APR-DRG,,,,inpatient ,,,0,,"8,250.93","8,250.93",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,250.93",APRDRG Case Rate,,,"8,250.93",APRDRG Case Rate,,,"8,250.93",APRDRG Case Rate,,,"8,250.93",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
192-3 - CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,192-3,APR-DRG,,,,inpatient ,,,0,,"11,401.08","11,401.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,401.08",APRDRG Case Rate,,,"11,401.08",APRDRG Case Rate,,,"11,401.08",APRDRG Case Rate,,,"11,401.08",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
192-4 - CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,192-4,APR-DRG,,,,inpatient ,,,0,,"20,984.57","20,984.57",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,984.57",APRDRG Case Rate,,,"20,984.57",APRDRG Case Rate,,,"20,984.57",APRDRG Case Rate,,,"20,984.57",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
193-1 - ACUTE & SUBACUTE ENDOCARDITIS,193-1,APR-DRG,,,,inpatient ,,,0,,"8,708.49","8,708.49",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,708.49",APRDRG Case Rate,,,"8,708.49",APRDRG Case Rate,,,"8,708.49",APRDRG Case Rate,,,"8,708.49",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
193-2 - ACUTE & SUBACUTE ENDOCARDITIS,193-2,APR-DRG,,,,inpatient ,,,0,,"12,034.63","12,034.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,034.63",APRDRG Case Rate,,,"12,034.63",APRDRG Case Rate,,,"12,034.63",APRDRG Case Rate,,,"12,034.63",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
193-3 - ACUTE & SUBACUTE ENDOCARDITIS,193-3,APR-DRG,,,,inpatient ,,,0,,"18,703.09","18,703.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,703.09",APRDRG Case Rate,,,"18,703.09",APRDRG Case Rate,,,"18,703.09",APRDRG Case Rate,,,"18,703.09",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
193-4 - ACUTE & SUBACUTE ENDOCARDITIS,193-4,APR-DRG,,,,inpatient ,,,0,,"29,159.82","29,159.82",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"29,159.82",APRDRG Case Rate,,,"29,159.82",APRDRG Case Rate,,,"29,159.82",APRDRG Case Rate,,,"29,159.82",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
194-1 - HEART FAILURE,194-1,APR-DRG,,,,inpatient ,,,0,,"10,524.31","10,524.31",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,524.31",APRDRG Case Rate,,,"10,524.31",APRDRG Case Rate,,,"10,524.31",APRDRG Case Rate,,,"10,524.31",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
194-2 - HEART FAILURE,194-2,APR-DRG,,,,inpatient ,,,0,,"11,428.53","11,428.53",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,428.53",APRDRG Case Rate,,,"11,428.53",APRDRG Case Rate,,,"11,428.53",APRDRG Case Rate,,,"11,428.53",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
194-3 - HEART FAILURE,194-3,APR-DRG,,,,inpatient ,,,0,,"13,831.09","13,831.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,831.09",APRDRG Case Rate,,,"13,831.09",APRDRG Case Rate,,,"13,831.09",APRDRG Case Rate,,,"13,831.09",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
194-4 - HEART FAILURE,194-4,APR-DRG,,,,inpatient ,,,0,,"24,774.25","24,774.25",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"24,774.25",APRDRG Case Rate,,,"24,774.25",APRDRG Case Rate,,,"24,774.25",APRDRG Case Rate,,,"24,774.25",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
196-1 - CARDIAC ARREST & SHOCK,196-1,APR-DRG,,,,inpatient ,,,0,,"22,724.72","22,724.72",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,724.72",APRDRG Case Rate,,,"22,724.72",APRDRG Case Rate,,,"22,724.72",APRDRG Case Rate,,,"22,724.72",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
196-2 - CARDIAC ARREST & SHOCK,196-2,APR-DRG,,,,inpatient ,,,0,,"23,376.22","23,376.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,376.22",APRDRG Case Rate,,,"23,376.22",APRDRG Case Rate,,,"23,376.22",APRDRG Case Rate,,,"23,376.22",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
196-3 - CARDIAC ARREST & SHOCK,196-3,APR-DRG,,,,inpatient ,,,0,,"27,218.35","27,218.35",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"27,218.35",APRDRG Case Rate,,,"27,218.35",APRDRG Case Rate,,,"27,218.35",APRDRG Case Rate,,,"27,218.35",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
196-4 - CARDIAC ARREST & SHOCK,196-4,APR-DRG,,,,inpatient ,,,0,,"38,747.19","38,747.19",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"38,747.19",APRDRG Case Rate,,,"38,747.19",APRDRG Case Rate,,,"38,747.19",APRDRG Case Rate,,,"38,747.19",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
197-1 - PERIPHERAL & OTHER VASCULAR DISORDERS,197-1,APR-DRG,,,,inpatient ,,,0,,"4,395.78","4,395.78",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,395.78",APRDRG Case Rate,,,"4,395.78",APRDRG Case Rate,,,"4,395.78",APRDRG Case Rate,,,"4,395.78",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
197-2 - PERIPHERAL & OTHER VASCULAR DISORDERS,197-2,APR-DRG,,,,inpatient ,,,0,,"4,792.10","4,792.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,792.10",APRDRG Case Rate,,,"4,792.10",APRDRG Case Rate,,,"4,792.10",APRDRG Case Rate,,,"4,792.10",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
197-3 - PERIPHERAL & OTHER VASCULAR DISORDERS,197-3,APR-DRG,,,,inpatient ,,,0,,"6,136.98","6,136.98",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,136.98",APRDRG Case Rate,,,"6,136.98",APRDRG Case Rate,,,"6,136.98",APRDRG Case Rate,,,"6,136.98",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
197-4 - PERIPHERAL & OTHER VASCULAR DISORDERS,197-4,APR-DRG,,,,inpatient ,,,0,,"8,905.24","8,905.24",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,905.24",APRDRG Case Rate,,,"8,905.24",APRDRG Case Rate,,,"8,905.24",APRDRG Case Rate,,,"8,905.24",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
198-1 - ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS,198-1,APR-DRG,,,,inpatient ,,,0,,"5,245.44","5,245.44",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,245.44",APRDRG Case Rate,,,"5,245.44",APRDRG Case Rate,,,"5,245.44",APRDRG Case Rate,,,"5,245.44",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
198-2 - ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS,198-2,APR-DRG,,,,inpatient ,,,0,,"6,148.95","6,148.95",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,148.95",APRDRG Case Rate,,,"6,148.95",APRDRG Case Rate,,,"6,148.95",APRDRG Case Rate,,,"6,148.95",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
198-3 - ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS,198-3,APR-DRG,,,,inpatient ,,,0,,"7,985.54","7,985.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,985.54",APRDRG Case Rate,,,"7,985.54",APRDRG Case Rate,,,"7,985.54",APRDRG Case Rate,,,"7,985.54",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
198-4 - ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS,198-4,APR-DRG,,,,inpatient ,,,0,,"11,451.76","11,451.76",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,451.76",APRDRG Case Rate,,,"11,451.76",APRDRG Case Rate,,,"11,451.76",APRDRG Case Rate,,,"11,451.76",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
199-1 - HYPERTENSION,199-1,APR-DRG,,,,inpatient ,,,0,,"5,626.98","5,626.98",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,626.98",APRDRG Case Rate,,,"5,626.98",APRDRG Case Rate,,,"5,626.98",APRDRG Case Rate,,,"5,626.98",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
199-2 - HYPERTENSION,199-2,APR-DRG,,,,inpatient ,,,0,,"7,001.78","7,001.78",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,001.78",APRDRG Case Rate,,,"7,001.78",APRDRG Case Rate,,,"7,001.78",APRDRG Case Rate,,,"7,001.78",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
199-3 - HYPERTENSION,199-3,APR-DRG,,,,inpatient ,,,0,,"9,819.31","9,819.31",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,819.31",APRDRG Case Rate,,,"9,819.31",APRDRG Case Rate,,,"9,819.31",APRDRG Case Rate,,,"9,819.31",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
199-4 - HYPERTENSION,199-4,APR-DRG,,,,inpatient ,,,0,,"15,258.69","15,258.69",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,258.69",APRDRG Case Rate,,,"15,258.69",APRDRG Case Rate,,,"15,258.69",APRDRG Case Rate,,,"15,258.69",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
200-1 - CARDIAC STRUCTURAL & VALVULAR DISORDERS,200-1,APR-DRG,,,,inpatient ,,,0,,"4,272.24","4,272.24",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,272.24",APRDRG Case Rate,,,"4,272.24",APRDRG Case Rate,,,"4,272.24",APRDRG Case Rate,,,"4,272.24",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
200-2 - CARDIAC STRUCTURAL & VALVULAR DISORDERS,200-2,APR-DRG,,,,inpatient ,,,0,,"6,293.26","6,293.26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,293.26",APRDRG Case Rate,,,"6,293.26",APRDRG Case Rate,,,"6,293.26",APRDRG Case Rate,,,"6,293.26",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
200-3 - CARDIAC STRUCTURAL & VALVULAR DISORDERS,200-3,APR-DRG,,,,inpatient ,,,0,,"8,335.75","8,335.75",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,335.75",APRDRG Case Rate,,,"8,335.75",APRDRG Case Rate,,,"8,335.75",APRDRG Case Rate,,,"8,335.75",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
200-4 - CARDIAC STRUCTURAL & VALVULAR DISORDERS,200-4,APR-DRG,,,,inpatient ,,,0,,"12,953.98","12,953.98",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,953.98",APRDRG Case Rate,,,"12,953.98",APRDRG Case Rate,,,"12,953.98",APRDRG Case Rate,,,"12,953.98",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
201-1 - CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS,201-1,APR-DRG,,,,inpatient ,,,0,,"2,927.00","2,927.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,927.00",APRDRG Case Rate,,,"2,927.00",APRDRG Case Rate,,,"2,927.00",APRDRG Case Rate,,,"2,927.00",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
201-2 - CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS,201-2,APR-DRG,,,,inpatient ,,,0,,"3,841.42","3,841.42",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,841.42",APRDRG Case Rate,,,"3,841.42",APRDRG Case Rate,,,"3,841.42",APRDRG Case Rate,,,"3,841.42",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
201-3 - CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS,201-3,APR-DRG,,,,inpatient ,,,0,,"5,313.72","5,313.72",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,313.72",APRDRG Case Rate,,,"5,313.72",APRDRG Case Rate,,,"5,313.72",APRDRG Case Rate,,,"5,313.72",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
201-4 - CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS,201-4,APR-DRG,,,,inpatient ,,,0,,"8,054.88","8,054.88",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,054.88",APRDRG Case Rate,,,"8,054.88",APRDRG Case Rate,,,"8,054.88",APRDRG Case Rate,,,"8,054.88",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
203-1 - CHEST PAIN,203-1,APR-DRG,,,,inpatient ,,,0,,"2,101.98","2,101.98",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,101.98",APRDRG Case Rate,,,"2,101.98",APRDRG Case Rate,,,"2,101.98",APRDRG Case Rate,,,"2,101.98",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
203-2 - CHEST PAIN,203-2,APR-DRG,,,,inpatient ,,,0,,"3,109.32","3,109.32",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,109.32",APRDRG Case Rate,,,"3,109.32",APRDRG Case Rate,,,"3,109.32",APRDRG Case Rate,,,"3,109.32",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
203-3 - CHEST PAIN,203-3,APR-DRG,,,,inpatient ,,,0,,"4,842.43","4,842.43",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,842.43",APRDRG Case Rate,,,"4,842.43",APRDRG Case Rate,,,"4,842.43",APRDRG Case Rate,,,"4,842.43",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
203-4 - CHEST PAIN,203-4,APR-DRG,,,,inpatient ,,,0,,"8,708.84","8,708.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,708.84",APRDRG Case Rate,,,"8,708.84",APRDRG Case Rate,,,"8,708.84",APRDRG Case Rate,,,"8,708.84",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
204-1 - SYNCOPE & COLLAPSE,204-1,APR-DRG,,,,inpatient ,,,0,,"2,688.36","2,688.36",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,688.36",APRDRG Case Rate,,,"2,688.36",APRDRG Case Rate,,,"2,688.36",APRDRG Case Rate,,,"2,688.36",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
204-2 - SYNCOPE & COLLAPSE,204-2,APR-DRG,,,,inpatient ,,,0,,"3,590.82","3,590.82",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,590.82",APRDRG Case Rate,,,"3,590.82",APRDRG Case Rate,,,"3,590.82",APRDRG Case Rate,,,"3,590.82",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
204-3 - SYNCOPE & COLLAPSE,204-3,APR-DRG,,,,inpatient ,,,0,,"4,965.97","4,965.97",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,965.97",APRDRG Case Rate,,,"4,965.97",APRDRG Case Rate,,,"4,965.97",APRDRG Case Rate,,,"4,965.97",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
204-4 - SYNCOPE & COLLAPSE,204-4,APR-DRG,,,,inpatient ,,,0,,"9,048.85","9,048.85",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,048.85",APRDRG Case Rate,,,"9,048.85",APRDRG Case Rate,,,"9,048.85",APRDRG Case Rate,,,"9,048.85",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
205-1 - CARDIOMYOPATHY,205-1,APR-DRG,,,,inpatient ,,,0,,"2,666.54","2,666.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,666.54",APRDRG Case Rate,,,"2,666.54",APRDRG Case Rate,,,"2,666.54",APRDRG Case Rate,,,"2,666.54",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
205-2 - CARDIOMYOPATHY,205-2,APR-DRG,,,,inpatient ,,,0,,"3,186.40","3,186.40",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,186.40",APRDRG Case Rate,,,"3,186.40",APRDRG Case Rate,,,"3,186.40",APRDRG Case Rate,,,"3,186.40",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
205-3 - CARDIOMYOPATHY,205-3,APR-DRG,,,,inpatient ,,,0,,"4,203.95","4,203.95",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,203.95",APRDRG Case Rate,,,"4,203.95",APRDRG Case Rate,,,"4,203.95",APRDRG Case Rate,,,"4,203.95",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
205-4 - CARDIOMYOPATHY,205-4,APR-DRG,,,,inpatient ,,,0,,"7,309.05","7,309.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,309.05",APRDRG Case Rate,,,"7,309.05",APRDRG Case Rate,,,"7,309.05",APRDRG Case Rate,,,"7,309.05",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"206-1 - MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE",206-1,APR-DRG,,,,inpatient ,,,0,,"2,845.34","2,845.34",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,845.34",APRDRG Case Rate,,,"2,845.34",APRDRG Case Rate,,,"2,845.34",APRDRG Case Rate,,,"2,845.34",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"206-2 - MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE",206-2,APR-DRG,,,,inpatient ,,,0,,"3,476.78","3,476.78",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,476.78",APRDRG Case Rate,,,"3,476.78",APRDRG Case Rate,,,"3,476.78",APRDRG Case Rate,,,"3,476.78",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"206-3 - MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE",206-3,APR-DRG,,,,inpatient ,,,0,,"4,789.28","4,789.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,789.28",APRDRG Case Rate,,,"4,789.28",APRDRG Case Rate,,,"4,789.28",APRDRG Case Rate,,,"4,789.28",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"206-4 - MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE",206-4,APR-DRG,,,,inpatient ,,,0,,"6,993.68","6,993.68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,993.68",APRDRG Case Rate,,,"6,993.68",APRDRG Case Rate,,,"6,993.68",APRDRG Case Rate,,,"6,993.68",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
207-1 - OTHER CIRCULATORY SYSTEM DIAGNOSES,207-1,APR-DRG,,,,inpatient ,,,0,,"2,441.98","2,441.98",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,441.98",APRDRG Case Rate,,,"2,441.98",APRDRG Case Rate,,,"2,441.98",APRDRG Case Rate,,,"2,441.98",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
207-2 - OTHER CIRCULATORY SYSTEM DIAGNOSES,207-2,APR-DRG,,,,inpatient ,,,0,,"3,615.10","3,615.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,615.10",APRDRG Case Rate,,,"3,615.10",APRDRG Case Rate,,,"3,615.10",APRDRG Case Rate,,,"3,615.10",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
207-3 - OTHER CIRCULATORY SYSTEM DIAGNOSES,207-3,APR-DRG,,,,inpatient ,,,0,,"5,228.19","5,228.19",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,228.19",APRDRG Case Rate,,,"5,228.19",APRDRG Case Rate,,,"5,228.19",APRDRG Case Rate,,,"5,228.19",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
207-4 - OTHER CIRCULATORY SYSTEM DIAGNOSES,207-4,APR-DRG,,,,inpatient ,,,0,,"8,112.60","8,112.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,112.60",APRDRG Case Rate,,,"8,112.60",APRDRG Case Rate,,,"8,112.60",APRDRG Case Rate,,,"8,112.60",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"220-1 - MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES",220-1,APR-DRG,,,,inpatient ,,,0,,"2,526.81","2,526.81",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,526.81",APRDRG Case Rate,,,"2,526.81",APRDRG Case Rate,,,"2,526.81",APRDRG Case Rate,,,"2,526.81",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"220-2 - MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES",220-2,APR-DRG,,,,inpatient ,,,0,,"3,276.16","3,276.16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,276.16",APRDRG Case Rate,,,"3,276.16",APRDRG Case Rate,,,"3,276.16",APRDRG Case Rate,,,"3,276.16",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"220-3 - MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES",220-3,APR-DRG,,,,inpatient ,,,0,,"4,892.76","4,892.76",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,892.76",APRDRG Case Rate,,,"4,892.76",APRDRG Case Rate,,,"4,892.76",APRDRG Case Rate,,,"4,892.76",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"220-4 - MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES",220-4,APR-DRG,,,,inpatient ,,,0,,"8,036.22","8,036.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,036.22",APRDRG Case Rate,,,"8,036.22",APRDRG Case Rate,,,"8,036.22",APRDRG Case Rate,,,"8,036.22",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"222-1 - OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES",222-1,APR-DRG,,,,inpatient ,,,0,,"2,701.03","2,701.03",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,701.03",APRDRG Case Rate,,,"2,701.03",APRDRG Case Rate,,,"2,701.03",APRDRG Case Rate,,,"2,701.03",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"222-2 - OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES",222-2,APR-DRG,,,,inpatient ,,,0,,"3,194.85","3,194.85",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,194.85",APRDRG Case Rate,,,"3,194.85",APRDRG Case Rate,,,"3,194.85",APRDRG Case Rate,,,"3,194.85",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"222-3 - OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES",222-3,APR-DRG,,,,inpatient ,,,0,,"3,982.21","3,982.21",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,982.21",APRDRG Case Rate,,,"3,982.21",APRDRG Case Rate,,,"3,982.21",APRDRG Case Rate,,,"3,982.21",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"222-4 - OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES",222-4,APR-DRG,,,,inpatient ,,,0,,"5,914.19","5,914.19",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,914.19",APRDRG Case Rate,,,"5,914.19",APRDRG Case Rate,,,"5,914.19",APRDRG Case Rate,,,"5,914.19",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
223-1 - OTHER SMALL & LARGE BOWEL PROCEDURES,223-1,APR-DRG,,,,inpatient ,,,0,,"3,112.84","3,112.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,112.84",APRDRG Case Rate,,,"3,112.84",APRDRG Case Rate,,,"3,112.84",APRDRG Case Rate,,,"3,112.84",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
223-2 - OTHER SMALL & LARGE BOWEL PROCEDURES,223-2,APR-DRG,,,,inpatient ,,,0,,"3,659.10","3,659.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,659.10",APRDRG Case Rate,,,"3,659.10",APRDRG Case Rate,,,"3,659.10",APRDRG Case Rate,,,"3,659.10",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
223-3 - OTHER SMALL & LARGE BOWEL PROCEDURES,223-3,APR-DRG,,,,inpatient ,,,0,,"4,714.66","4,714.66",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,714.66",APRDRG Case Rate,,,"4,714.66",APRDRG Case Rate,,,"4,714.66",APRDRG Case Rate,,,"4,714.66",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
223-4 - OTHER SMALL & LARGE BOWEL PROCEDURES,223-4,APR-DRG,,,,inpatient ,,,0,,"7,387.54","7,387.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,387.54",APRDRG Case Rate,,,"7,387.54",APRDRG Case Rate,,,"7,387.54",APRDRG Case Rate,,,"7,387.54",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
224-1 - PERITONEAL ADHESIOLYSIS,224-1,APR-DRG,,,,inpatient ,,,0,,"2,795.36","2,795.36",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,795.36",APRDRG Case Rate,,,"2,795.36",APRDRG Case Rate,,,"2,795.36",APRDRG Case Rate,,,"2,795.36",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
224-2 - PERITONEAL ADHESIOLYSIS,224-2,APR-DRG,,,,inpatient ,,,0,,"3,483.11","3,483.11",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,483.11",APRDRG Case Rate,,,"3,483.11",APRDRG Case Rate,,,"3,483.11",APRDRG Case Rate,,,"3,483.11",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
224-3 - PERITONEAL ADHESIOLYSIS,224-3,APR-DRG,,,,inpatient ,,,0,,"5,156.39","5,156.39",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,156.39",APRDRG Case Rate,,,"5,156.39",APRDRG Case Rate,,,"5,156.39",APRDRG Case Rate,,,"5,156.39",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
224-4 - PERITONEAL ADHESIOLYSIS,224-4,APR-DRG,,,,inpatient ,,,0,,"9,267.77","9,267.77",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,267.77",APRDRG Case Rate,,,"9,267.77",APRDRG Case Rate,,,"9,267.77",APRDRG Case Rate,,,"9,267.77",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
226-1 - ANAL PROCEDURES,226-1,APR-DRG,,,,inpatient ,,,0,,"3,582.72","3,582.72",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,582.72",APRDRG Case Rate,,,"3,582.72",APRDRG Case Rate,,,"3,582.72",APRDRG Case Rate,,,"3,582.72",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
226-2 - ANAL PROCEDURES,226-2,APR-DRG,,,,inpatient ,,,0,,"3,653.47","3,653.47",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,653.47",APRDRG Case Rate,,,"3,653.47",APRDRG Case Rate,,,"3,653.47",APRDRG Case Rate,,,"3,653.47",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
226-3 - ANAL PROCEDURES,226-3,APR-DRG,,,,inpatient ,,,0,,"5,477.74","5,477.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,477.74",APRDRG Case Rate,,,"5,477.74",APRDRG Case Rate,,,"5,477.74",APRDRG Case Rate,,,"5,477.74",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
226-4 - ANAL PROCEDURES,226-4,APR-DRG,,,,inpatient ,,,0,,"10,847.43","10,847.43",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,847.43",APRDRG Case Rate,,,"10,847.43",APRDRG Case Rate,,,"10,847.43",APRDRG Case Rate,,,"10,847.43",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"227-1 - HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL",227-1,APR-DRG,,,,inpatient ,,,0,,"2,987.19","2,987.19",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,987.19",APRDRG Case Rate,,,"2,987.19",APRDRG Case Rate,,,"2,987.19",APRDRG Case Rate,,,"2,987.19",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"227-2 - HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL",227-2,APR-DRG,,,,inpatient ,,,0,,"3,742.52","3,742.52",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,742.52",APRDRG Case Rate,,,"3,742.52",APRDRG Case Rate,,,"3,742.52",APRDRG Case Rate,,,"3,742.52",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"227-3 - HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL",227-3,APR-DRG,,,,inpatient ,,,0,,"5,205.67","5,205.67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,205.67",APRDRG Case Rate,,,"5,205.67",APRDRG Case Rate,,,"5,205.67",APRDRG Case Rate,,,"5,205.67",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"227-4 - HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL",227-4,APR-DRG,,,,inpatient ,,,0,,"8,820.77","8,820.77",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,820.77",APRDRG Case Rate,,,"8,820.77",APRDRG Case Rate,,,"8,820.77",APRDRG Case Rate,,,"8,820.77",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"228-1 - INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES",228-1,APR-DRG,,,,inpatient ,,,0,,"7,986.60","7,986.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,986.60",APRDRG Case Rate,,,"7,986.60",APRDRG Case Rate,,,"7,986.60",APRDRG Case Rate,,,"7,986.60",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"228-2 - INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES",228-2,APR-DRG,,,,inpatient ,,,0,,"11,461.26","11,461.26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,461.26",APRDRG Case Rate,,,"11,461.26",APRDRG Case Rate,,,"11,461.26",APRDRG Case Rate,,,"11,461.26",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"228-3 - INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES",228-3,APR-DRG,,,,inpatient ,,,0,,"17,453.94","17,453.94",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,453.94",APRDRG Case Rate,,,"17,453.94",APRDRG Case Rate,,,"17,453.94",APRDRG Case Rate,,,"17,453.94",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"228-4 - INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES",228-4,APR-DRG,,,,inpatient ,,,0,,"31,173.81","31,173.81",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,173.81",APRDRG Case Rate,,,"31,173.81",APRDRG Case Rate,,,"31,173.81",APRDRG Case Rate,,,"31,173.81",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
229-1 - OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES,229-1,APR-DRG,,,,inpatient ,,,0,,"4,262.03","4,262.03",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,262.03",APRDRG Case Rate,,,"4,262.03",APRDRG Case Rate,,,"4,262.03",APRDRG Case Rate,,,"4,262.03",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
229-2 - OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES,229-2,APR-DRG,,,,inpatient ,,,0,,"7,190.44","7,190.44",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,190.44",APRDRG Case Rate,,,"7,190.44",APRDRG Case Rate,,,"7,190.44",APRDRG Case Rate,,,"7,190.44",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
229-3 - OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES,229-3,APR-DRG,,,,inpatient ,,,0,,"10,741.13","10,741.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,741.13",APRDRG Case Rate,,,"10,741.13",APRDRG Case Rate,,,"10,741.13",APRDRG Case Rate,,,"10,741.13",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
229-4 - OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES,229-4,APR-DRG,,,,inpatient ,,,0,,"22,898.95","22,898.95",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,898.95",APRDRG Case Rate,,,"22,898.95",APRDRG Case Rate,,,"22,898.95",APRDRG Case Rate,,,"22,898.95",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
230-1 - MAJOR SMALL BOWEL PROCEDURES,230-1,APR-DRG,,,,inpatient ,,,0,,"5,865.61","5,865.61",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,865.61",APRDRG Case Rate,,,"5,865.61",APRDRG Case Rate,,,"5,865.61",APRDRG Case Rate,,,"5,865.61",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
230-2 - MAJOR SMALL BOWEL PROCEDURES,230-2,APR-DRG,,,,inpatient ,,,0,,"8,873.57","8,873.57",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,873.57",APRDRG Case Rate,,,"8,873.57",APRDRG Case Rate,,,"8,873.57",APRDRG Case Rate,,,"8,873.57",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
230-3 - MAJOR SMALL BOWEL PROCEDURES,230-3,APR-DRG,,,,inpatient ,,,0,,"12,471.42","12,471.42",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,471.42",APRDRG Case Rate,,,"12,471.42",APRDRG Case Rate,,,"12,471.42",APRDRG Case Rate,,,"12,471.42",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
230-4 - MAJOR SMALL BOWEL PROCEDURES,230-4,APR-DRG,,,,inpatient ,,,0,,"22,008.81","22,008.81",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,008.81",APRDRG Case Rate,,,"22,008.81",APRDRG Case Rate,,,"22,008.81",APRDRG Case Rate,,,"22,008.81",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
231-1 - MAJOR LARGE BOWEL PROCEDURES,231-1,APR-DRG,,,,inpatient ,,,0,,"7,100.33","7,100.33",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,100.33",APRDRG Case Rate,,,"7,100.33",APRDRG Case Rate,,,"7,100.33",APRDRG Case Rate,,,"7,100.33",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
231-2 - MAJOR LARGE BOWEL PROCEDURES,231-2,APR-DRG,,,,inpatient ,,,0,,"8,780.29","8,780.29",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,780.29",APRDRG Case Rate,,,"8,780.29",APRDRG Case Rate,,,"8,780.29",APRDRG Case Rate,,,"8,780.29",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
231-3 - MAJOR LARGE BOWEL PROCEDURES,231-3,APR-DRG,,,,inpatient ,,,0,,"12,476.00","12,476.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,476.00",APRDRG Case Rate,,,"12,476.00",APRDRG Case Rate,,,"12,476.00",APRDRG Case Rate,,,"12,476.00",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
231-4 - MAJOR LARGE BOWEL PROCEDURES,231-4,APR-DRG,,,,inpatient ,,,0,,"21,374.20","21,374.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,374.20",APRDRG Case Rate,,,"21,374.20",APRDRG Case Rate,,,"21,374.20",APRDRG Case Rate,,,"21,374.20",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
232-1 - GASTRIC FUNDOPLICATION,232-1,APR-DRG,,,,inpatient ,,,0,,"4,698.47","4,698.47",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,698.47",APRDRG Case Rate,,,"4,698.47",APRDRG Case Rate,,,"4,698.47",APRDRG Case Rate,,,"4,698.47",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
232-2 - GASTRIC FUNDOPLICATION,232-2,APR-DRG,,,,inpatient ,,,0,,"6,216.88","6,216.88",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,216.88",APRDRG Case Rate,,,"6,216.88",APRDRG Case Rate,,,"6,216.88",APRDRG Case Rate,,,"6,216.88",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
232-3 - GASTRIC FUNDOPLICATION,232-3,APR-DRG,,,,inpatient ,,,0,,"9,120.65","9,120.65",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,120.65",APRDRG Case Rate,,,"9,120.65",APRDRG Case Rate,,,"9,120.65",APRDRG Case Rate,,,"9,120.65",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
232-4 - GASTRIC FUNDOPLICATION,232-4,APR-DRG,,,,inpatient ,,,0,,"15,246.02","15,246.02",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,246.02",APRDRG Case Rate,,,"15,246.02",APRDRG Case Rate,,,"15,246.02",APRDRG Case Rate,,,"15,246.02",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
233-1 - APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,233-1,APR-DRG,,,,inpatient ,,,0,,"6,688.52","6,688.52",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,688.52",APRDRG Case Rate,,,"6,688.52",APRDRG Case Rate,,,"6,688.52",APRDRG Case Rate,,,"6,688.52",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
233-2 - APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,233-2,APR-DRG,,,,inpatient ,,,0,,"8,367.43","8,367.43",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,367.43",APRDRG Case Rate,,,"8,367.43",APRDRG Case Rate,,,"8,367.43",APRDRG Case Rate,,,"8,367.43",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
233-3 - APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,233-3,APR-DRG,,,,inpatient ,,,0,,"11,825.91","11,825.91",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,825.91",APRDRG Case Rate,,,"11,825.91",APRDRG Case Rate,,,"11,825.91",APRDRG Case Rate,,,"11,825.91",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
233-4 - APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,233-4,APR-DRG,,,,inpatient ,,,0,,"21,543.15","21,543.15",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,543.15",APRDRG Case Rate,,,"21,543.15",APRDRG Case Rate,,,"21,543.15",APRDRG Case Rate,,,"21,543.15",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
234-1 - APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,234-1,APR-DRG,,,,inpatient ,,,0,,"5,082.12","5,082.12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,082.12",APRDRG Case Rate,,,"5,082.12",APRDRG Case Rate,,,"5,082.12",APRDRG Case Rate,,,"5,082.12",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
234-2 - APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,234-2,APR-DRG,,,,inpatient ,,,0,,"6,553.01","6,553.01",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,553.01",APRDRG Case Rate,,,"6,553.01",APRDRG Case Rate,,,"6,553.01",APRDRG Case Rate,,,"6,553.01",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
234-3 - APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,234-3,APR-DRG,,,,inpatient ,,,0,,"8,923.90","8,923.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,923.90",APRDRG Case Rate,,,"8,923.90",APRDRG Case Rate,,,"8,923.90",APRDRG Case Rate,,,"8,923.90",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
234-4 - APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,234-4,APR-DRG,,,,inpatient ,,,0,,"15,351.96","15,351.96",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,351.96",APRDRG Case Rate,,,"15,351.96",APRDRG Case Rate,,,"15,351.96",APRDRG Case Rate,,,"15,351.96",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
240-1 - DIGESTIVE MALIGNANCY,240-1,APR-DRG,,,,inpatient ,,,0,,"6,371.40","6,371.40",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,371.40",APRDRG Case Rate,,,"6,371.40",APRDRG Case Rate,,,"6,371.40",APRDRG Case Rate,,,"6,371.40",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
240-2 - DIGESTIVE MALIGNANCY,240-2,APR-DRG,,,,inpatient ,,,0,,"8,784.17","8,784.17",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,784.17",APRDRG Case Rate,,,"8,784.17",APRDRG Case Rate,,,"8,784.17",APRDRG Case Rate,,,"8,784.17",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
240-3 - DIGESTIVE MALIGNANCY,240-3,APR-DRG,,,,inpatient ,,,0,,"13,263.71","13,263.71",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,263.71",APRDRG Case Rate,,,"13,263.71",APRDRG Case Rate,,,"13,263.71",APRDRG Case Rate,,,"13,263.71",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
240-4 - DIGESTIVE MALIGNANCY,240-4,APR-DRG,,,,inpatient ,,,0,,"22,888.04","22,888.04",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,888.04",APRDRG Case Rate,,,"22,888.04",APRDRG Case Rate,,,"22,888.04",APRDRG Case Rate,,,"22,888.04",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
241-1 - PEPTIC ULCER & GASTRITIS,241-1,APR-DRG,,,,inpatient ,,,0,,"7,478.70","7,478.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,478.70",APRDRG Case Rate,,,"7,478.70",APRDRG Case Rate,,,"7,478.70",APRDRG Case Rate,,,"7,478.70",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
241-2 - PEPTIC ULCER & GASTRITIS,241-2,APR-DRG,,,,inpatient ,,,0,,"10,254.70","10,254.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,254.70",APRDRG Case Rate,,,"10,254.70",APRDRG Case Rate,,,"10,254.70",APRDRG Case Rate,,,"10,254.70",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
241-3 - PEPTIC ULCER & GASTRITIS,241-3,APR-DRG,,,,inpatient ,,,0,,"15,186.18","15,186.18",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,186.18",APRDRG Case Rate,,,"15,186.18",APRDRG Case Rate,,,"15,186.18",APRDRG Case Rate,,,"15,186.18",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
241-4 - PEPTIC ULCER & GASTRITIS,241-4,APR-DRG,,,,inpatient ,,,0,,"27,940.59","27,940.59",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"27,940.59",APRDRG Case Rate,,,"27,940.59",APRDRG Case Rate,,,"27,940.59",APRDRG Case Rate,,,"27,940.59",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
242-1 - MAJOR ESOPHAGEAL DISORDERS,242-1,APR-DRG,,,,inpatient ,,,0,,"8,542.71","8,542.71",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,542.71",APRDRG Case Rate,,,"8,542.71",APRDRG Case Rate,,,"8,542.71",APRDRG Case Rate,,,"8,542.71",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
242-2 - MAJOR ESOPHAGEAL DISORDERS,242-2,APR-DRG,,,,inpatient ,,,0,,"10,489.82","10,489.82",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,489.82",APRDRG Case Rate,,,"10,489.82",APRDRG Case Rate,,,"10,489.82",APRDRG Case Rate,,,"10,489.82",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
242-3 - MAJOR ESOPHAGEAL DISORDERS,242-3,APR-DRG,,,,inpatient ,,,0,,"14,994.01","14,994.01",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,994.01",APRDRG Case Rate,,,"14,994.01",APRDRG Case Rate,,,"14,994.01",APRDRG Case Rate,,,"14,994.01",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
242-4 - MAJOR ESOPHAGEAL DISORDERS,242-4,APR-DRG,,,,inpatient ,,,0,,"24,584.19","24,584.19",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"24,584.19",APRDRG Case Rate,,,"24,584.19",APRDRG Case Rate,,,"24,584.19",APRDRG Case Rate,,,"24,584.19",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
243-1 - OTHER ESOPHAGEAL DISORDERS,243-1,APR-DRG,,,,inpatient ,,,0,,"6,478.04","6,478.04",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,478.04",APRDRG Case Rate,,,"6,478.04",APRDRG Case Rate,,,"6,478.04",APRDRG Case Rate,,,"6,478.04",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
243-2 - OTHER ESOPHAGEAL DISORDERS,243-2,APR-DRG,,,,inpatient ,,,0,,"7,913.03","7,913.03",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,913.03",APRDRG Case Rate,,,"7,913.03",APRDRG Case Rate,,,"7,913.03",APRDRG Case Rate,,,"7,913.03",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
243-3 - OTHER ESOPHAGEAL DISORDERS,243-3,APR-DRG,,,,inpatient ,,,0,,"10,459.55","10,459.55",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,459.55",APRDRG Case Rate,,,"10,459.55",APRDRG Case Rate,,,"10,459.55",APRDRG Case Rate,,,"10,459.55",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
243-4 - OTHER ESOPHAGEAL DISORDERS,243-4,APR-DRG,,,,inpatient ,,,0,,"22,953.50","22,953.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,953.50",APRDRG Case Rate,,,"22,953.50",APRDRG Case Rate,,,"22,953.50",APRDRG Case Rate,,,"22,953.50",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
244-1 - DIVERTICULITIS & DIVERTICULOSIS,244-1,APR-DRG,,,,inpatient ,,,0,,"5,792.05","5,792.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,792.05",APRDRG Case Rate,,,"5,792.05",APRDRG Case Rate,,,"5,792.05",APRDRG Case Rate,,,"5,792.05",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
244-2 - DIVERTICULITIS & DIVERTICULOSIS,244-2,APR-DRG,,,,inpatient ,,,0,,"7,480.46","7,480.46",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,480.46",APRDRG Case Rate,,,"7,480.46",APRDRG Case Rate,,,"7,480.46",APRDRG Case Rate,,,"7,480.46",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
244-3 - DIVERTICULITIS & DIVERTICULOSIS,244-3,APR-DRG,,,,inpatient ,,,0,,"10,840.03","10,840.03",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,840.03",APRDRG Case Rate,,,"10,840.03",APRDRG Case Rate,,,"10,840.03",APRDRG Case Rate,,,"10,840.03",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
244-4 - DIVERTICULITIS & DIVERTICULOSIS,244-4,APR-DRG,,,,inpatient ,,,0,,"16,216.05","16,216.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,216.05",APRDRG Case Rate,,,"16,216.05",APRDRG Case Rate,,,"16,216.05",APRDRG Case Rate,,,"16,216.05",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
245-1 - INFLAMMATORY BOWEL DISEASE,245-1,APR-DRG,,,,inpatient ,,,0,,"4,697.07","4,697.07",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,697.07",APRDRG Case Rate,,,"4,697.07",APRDRG Case Rate,,,"4,697.07",APRDRG Case Rate,,,"4,697.07",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
245-2 - INFLAMMATORY BOWEL DISEASE,245-2,APR-DRG,,,,inpatient ,,,0,,"6,066.94","6,066.94",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,066.94",APRDRG Case Rate,,,"6,066.94",APRDRG Case Rate,,,"6,066.94",APRDRG Case Rate,,,"6,066.94",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
245-3 - INFLAMMATORY BOWEL DISEASE,245-3,APR-DRG,,,,inpatient ,,,0,,"8,919.67","8,919.67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,919.67",APRDRG Case Rate,,,"8,919.67",APRDRG Case Rate,,,"8,919.67",APRDRG Case Rate,,,"8,919.67",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
245-4 - INFLAMMATORY BOWEL DISEASE,245-4,APR-DRG,,,,inpatient ,,,0,,"15,191.11","15,191.11",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,191.11",APRDRG Case Rate,,,"15,191.11",APRDRG Case Rate,,,"15,191.11",APRDRG Case Rate,,,"15,191.11",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
246-1 - GASTROINTESTINAL VASCULAR INSUFFICIENCY,246-1,APR-DRG,,,,inpatient ,,,0,,"4,042.05","4,042.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,042.05",APRDRG Case Rate,,,"4,042.05",APRDRG Case Rate,,,"4,042.05",APRDRG Case Rate,,,"4,042.05",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
246-2 - GASTROINTESTINAL VASCULAR INSUFFICIENCY,246-2,APR-DRG,,,,inpatient ,,,0,,"4,671.72","4,671.72",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,671.72",APRDRG Case Rate,,,"4,671.72",APRDRG Case Rate,,,"4,671.72",APRDRG Case Rate,,,"4,671.72",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
246-3 - GASTROINTESTINAL VASCULAR INSUFFICIENCY,246-3,APR-DRG,,,,inpatient ,,,0,,"6,370.69","6,370.69",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,370.69",APRDRG Case Rate,,,"6,370.69",APRDRG Case Rate,,,"6,370.69",APRDRG Case Rate,,,"6,370.69",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
246-4 - GASTROINTESTINAL VASCULAR INSUFFICIENCY,246-4,APR-DRG,,,,inpatient ,,,0,,"10,472.22","10,472.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,472.22",APRDRG Case Rate,,,"10,472.22",APRDRG Case Rate,,,"10,472.22",APRDRG Case Rate,,,"10,472.22",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
247-1 - INTESTINAL OBSTRUCTION,247-1,APR-DRG,,,,inpatient ,,,0,,"3,417.30","3,417.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,417.30",APRDRG Case Rate,,,"3,417.30",APRDRG Case Rate,,,"3,417.30",APRDRG Case Rate,,,"3,417.30",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
247-2 - INTESTINAL OBSTRUCTION,247-2,APR-DRG,,,,inpatient ,,,0,,"4,253.93","4,253.93",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,253.93",APRDRG Case Rate,,,"4,253.93",APRDRG Case Rate,,,"4,253.93",APRDRG Case Rate,,,"4,253.93",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
247-3 - INTESTINAL OBSTRUCTION,247-3,APR-DRG,,,,inpatient ,,,0,,"6,200.69","6,200.69",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,200.69",APRDRG Case Rate,,,"6,200.69",APRDRG Case Rate,,,"6,200.69",APRDRG Case Rate,,,"6,200.69",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
247-4 - INTESTINAL OBSTRUCTION,247-4,APR-DRG,,,,inpatient ,,,0,,"12,077.22","12,077.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,077.22",APRDRG Case Rate,,,"12,077.22",APRDRG Case Rate,,,"12,077.22",APRDRG Case Rate,,,"12,077.22",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
248-1 - MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS,248-1,APR-DRG,,,,inpatient ,,,0,,"3,117.42","3,117.42",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,117.42",APRDRG Case Rate,,,"3,117.42",APRDRG Case Rate,,,"3,117.42",APRDRG Case Rate,,,"3,117.42",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
248-2 - MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS,248-2,APR-DRG,,,,inpatient ,,,0,,"4,032.54","4,032.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,032.54",APRDRG Case Rate,,,"4,032.54",APRDRG Case Rate,,,"4,032.54",APRDRG Case Rate,,,"4,032.54",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
248-3 - MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS,248-3,APR-DRG,,,,inpatient ,,,0,,"5,783.25","5,783.25",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,783.25",APRDRG Case Rate,,,"5,783.25",APRDRG Case Rate,,,"5,783.25",APRDRG Case Rate,,,"5,783.25",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
248-4 - MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS,248-4,APR-DRG,,,,inpatient ,,,0,,"11,868.14","11,868.14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,868.14",APRDRG Case Rate,,,"11,868.14",APRDRG Case Rate,,,"11,868.14",APRDRG Case Rate,,,"11,868.14",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"249-1 - OTHER GASTROENTERITIS, NAUSEA & VOMITING",249-1,APR-DRG,,,,inpatient ,,,0,,"2,936.15","2,936.15",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,936.15",APRDRG Case Rate,,,"2,936.15",APRDRG Case Rate,,,"2,936.15",APRDRG Case Rate,,,"2,936.15",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"249-2 - OTHER GASTROENTERITIS, NAUSEA & VOMITING",249-2,APR-DRG,,,,inpatient ,,,0,,"3,775.60","3,775.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,775.60",APRDRG Case Rate,,,"3,775.60",APRDRG Case Rate,,,"3,775.60",APRDRG Case Rate,,,"3,775.60",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"249-3 - OTHER GASTROENTERITIS, NAUSEA & VOMITING",249-3,APR-DRG,,,,inpatient ,,,0,,"5,503.79","5,503.79",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,503.79",APRDRG Case Rate,,,"5,503.79",APRDRG Case Rate,,,"5,503.79",APRDRG Case Rate,,,"5,503.79",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"249-4 - OTHER GASTROENTERITIS, NAUSEA & VOMITING",249-4,APR-DRG,,,,inpatient ,,,0,,"9,913.64","9,913.64",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,913.64",APRDRG Case Rate,,,"9,913.64",APRDRG Case Rate,,,"9,913.64",APRDRG Case Rate,,,"9,913.64",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
251-1 - ABDOMINAL PAIN,251-1,APR-DRG,,,,inpatient ,,,0,,"2,951.99","2,951.99",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,951.99",APRDRG Case Rate,,,"2,951.99",APRDRG Case Rate,,,"2,951.99",APRDRG Case Rate,,,"2,951.99",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
251-2 - ABDOMINAL PAIN,251-2,APR-DRG,,,,inpatient ,,,0,,"3,856.56","3,856.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,856.56",APRDRG Case Rate,,,"3,856.56",APRDRG Case Rate,,,"3,856.56",APRDRG Case Rate,,,"3,856.56",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
251-3 - ABDOMINAL PAIN,251-3,APR-DRG,,,,inpatient ,,,0,,"5,831.12","5,831.12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,831.12",APRDRG Case Rate,,,"5,831.12",APRDRG Case Rate,,,"5,831.12",APRDRG Case Rate,,,"5,831.12",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
251-4 - ABDOMINAL PAIN,251-4,APR-DRG,,,,inpatient ,,,0,,"9,981.93","9,981.93",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,981.93",APRDRG Case Rate,,,"9,981.93",APRDRG Case Rate,,,"9,981.93",APRDRG Case Rate,,,"9,981.93",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"252-1 - MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE",252-1,APR-DRG,,,,inpatient ,,,0,,"3,160.71","3,160.71",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,160.71",APRDRG Case Rate,,,"3,160.71",APRDRG Case Rate,,,"3,160.71",APRDRG Case Rate,,,"3,160.71",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"252-2 - MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE",252-2,APR-DRG,,,,inpatient ,,,0,,"4,030.78","4,030.78",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,030.78",APRDRG Case Rate,,,"4,030.78",APRDRG Case Rate,,,"4,030.78",APRDRG Case Rate,,,"4,030.78",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"252-3 - MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE",252-3,APR-DRG,,,,inpatient ,,,0,,"5,782.55","5,782.55",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,782.55",APRDRG Case Rate,,,"5,782.55",APRDRG Case Rate,,,"5,782.55",APRDRG Case Rate,,,"5,782.55",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"252-4 - MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE",252-4,APR-DRG,,,,inpatient ,,,0,,"10,104.06","10,104.06",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,104.06",APRDRG Case Rate,,,"10,104.06",APRDRG Case Rate,,,"10,104.06",APRDRG Case Rate,,,"10,104.06",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
253-1 - OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,253-1,APR-DRG,,,,inpatient ,,,0,,"3,348.31","3,348.31",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,348.31",APRDRG Case Rate,,,"3,348.31",APRDRG Case Rate,,,"3,348.31",APRDRG Case Rate,,,"3,348.31",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
253-2 - OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,253-2,APR-DRG,,,,inpatient ,,,0,,"4,237.39","4,237.39",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,237.39",APRDRG Case Rate,,,"4,237.39",APRDRG Case Rate,,,"4,237.39",APRDRG Case Rate,,,"4,237.39",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
253-3 - OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,253-3,APR-DRG,,,,inpatient ,,,0,,"5,989.86","5,989.86",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,989.86",APRDRG Case Rate,,,"5,989.86",APRDRG Case Rate,,,"5,989.86",APRDRG Case Rate,,,"5,989.86",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
253-4 - OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,253-4,APR-DRG,,,,inpatient ,,,0,,"8,658.51","8,658.51",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,658.51",APRDRG Case Rate,,,"8,658.51",APRDRG Case Rate,,,"8,658.51",APRDRG Case Rate,,,"8,658.51",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
254-1 - OTHER DIGESTIVE SYSTEM DIAGNOSES,254-1,APR-DRG,,,,inpatient ,,,0,,"2,680.97","2,680.97",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,680.97",APRDRG Case Rate,,,"2,680.97",APRDRG Case Rate,,,"2,680.97",APRDRG Case Rate,,,"2,680.97",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
254-2 - OTHER DIGESTIVE SYSTEM DIAGNOSES,254-2,APR-DRG,,,,inpatient ,,,0,,"3,473.26","3,473.26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,473.26",APRDRG Case Rate,,,"3,473.26",APRDRG Case Rate,,,"3,473.26",APRDRG Case Rate,,,"3,473.26",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
254-3 - OTHER DIGESTIVE SYSTEM DIAGNOSES,254-3,APR-DRG,,,,inpatient ,,,0,,"5,192.29","5,192.29",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,192.29",APRDRG Case Rate,,,"5,192.29",APRDRG Case Rate,,,"5,192.29",APRDRG Case Rate,,,"5,192.29",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
254-4 - OTHER DIGESTIVE SYSTEM DIAGNOSES,254-4,APR-DRG,,,,inpatient ,,,0,,"9,578.57","9,578.57",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,578.57",APRDRG Case Rate,,,"9,578.57",APRDRG Case Rate,,,"9,578.57",APRDRG Case Rate,,,"9,578.57",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"260-1 - MAJOR PANCREAS, LIVER & SHUNT PROCEDURES",260-1,APR-DRG,,,,inpatient ,,,0,,"2,953.05","2,953.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,953.05",APRDRG Case Rate,,,"2,953.05",APRDRG Case Rate,,,"2,953.05",APRDRG Case Rate,,,"2,953.05",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"260-2 - MAJOR PANCREAS, LIVER & SHUNT PROCEDURES",260-2,APR-DRG,,,,inpatient ,,,0,,"3,887.88","3,887.88",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,887.88",APRDRG Case Rate,,,"3,887.88",APRDRG Case Rate,,,"3,887.88",APRDRG Case Rate,,,"3,887.88",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"260-3 - MAJOR PANCREAS, LIVER & SHUNT PROCEDURES",260-3,APR-DRG,,,,inpatient ,,,0,,"5,711.45","5,711.45",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,711.45",APRDRG Case Rate,,,"5,711.45",APRDRG Case Rate,,,"5,711.45",APRDRG Case Rate,,,"5,711.45",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"260-4 - MAJOR PANCREAS, LIVER & SHUNT PROCEDURES",260-4,APR-DRG,,,,inpatient ,,,0,,"10,381.41","10,381.41",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,381.41",APRDRG Case Rate,,,"10,381.41",APRDRG Case Rate,,,"10,381.41",APRDRG Case Rate,,,"10,381.41",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
261-1 - MAJOR BILIARY TRACT PROCEDURES,261-1,APR-DRG,,,,inpatient ,,,0,,"2,504.98","2,504.98",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,504.98",APRDRG Case Rate,,,"2,504.98",APRDRG Case Rate,,,"2,504.98",APRDRG Case Rate,,,"2,504.98",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
261-2 - MAJOR BILIARY TRACT PROCEDURES,261-2,APR-DRG,,,,inpatient ,,,0,,"3,131.14","3,131.14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,131.14",APRDRG Case Rate,,,"3,131.14",APRDRG Case Rate,,,"3,131.14",APRDRG Case Rate,,,"3,131.14",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
261-3 - MAJOR BILIARY TRACT PROCEDURES,261-3,APR-DRG,,,,inpatient ,,,0,,"4,528.82","4,528.82",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,528.82",APRDRG Case Rate,,,"4,528.82",APRDRG Case Rate,,,"4,528.82",APRDRG Case Rate,,,"4,528.82",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
261-4 - MAJOR BILIARY TRACT PROCEDURES,261-4,APR-DRG,,,,inpatient ,,,0,,"8,335.75","8,335.75",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,335.75",APRDRG Case Rate,,,"8,335.75",APRDRG Case Rate,,,"8,335.75",APRDRG Case Rate,,,"8,335.75",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
263-1 - CHOLECYSTECTOMY,263-1,APR-DRG,,,,inpatient ,,,0,,"2,636.27","2,636.27",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,636.27",APRDRG Case Rate,,,"2,636.27",APRDRG Case Rate,,,"2,636.27",APRDRG Case Rate,,,"2,636.27",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
263-2 - CHOLECYSTECTOMY,263-2,APR-DRG,,,,inpatient ,,,0,,"3,404.63","3,404.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,404.63",APRDRG Case Rate,,,"3,404.63",APRDRG Case Rate,,,"3,404.63",APRDRG Case Rate,,,"3,404.63",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
263-3 - CHOLECYSTECTOMY,263-3,APR-DRG,,,,inpatient ,,,0,,"4,493.98","4,493.98",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,493.98",APRDRG Case Rate,,,"4,493.98",APRDRG Case Rate,,,"4,493.98",APRDRG Case Rate,,,"4,493.98",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
263-4 - CHOLECYSTECTOMY,263-4,APR-DRG,,,,inpatient ,,,0,,"7,595.20","7,595.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,595.20",APRDRG Case Rate,,,"7,595.20",APRDRG Case Rate,,,"7,595.20",APRDRG Case Rate,,,"7,595.20",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"264-1 - OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES",264-1,APR-DRG,,,,inpatient ,,,0,,"3,207.87","3,207.87",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,207.87",APRDRG Case Rate,,,"3,207.87",APRDRG Case Rate,,,"3,207.87",APRDRG Case Rate,,,"3,207.87",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"264-2 - OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES",264-2,APR-DRG,,,,inpatient ,,,0,,"3,970.60","3,970.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,970.60",APRDRG Case Rate,,,"3,970.60",APRDRG Case Rate,,,"3,970.60",APRDRG Case Rate,,,"3,970.60",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"264-3 - OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES",264-3,APR-DRG,,,,inpatient ,,,0,,"5,644.22","5,644.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,644.22",APRDRG Case Rate,,,"5,644.22",APRDRG Case Rate,,,"5,644.22",APRDRG Case Rate,,,"5,644.22",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"264-4 - OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES",264-4,APR-DRG,,,,inpatient ,,,0,,"10,740.43","10,740.43",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,740.43",APRDRG Case Rate,,,"10,740.43",APRDRG Case Rate,,,"10,740.43",APRDRG Case Rate,,,"10,740.43",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
279-1 - HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS,279-1,APR-DRG,,,,inpatient ,,,0,,"3,223.36","3,223.36",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,223.36",APRDRG Case Rate,,,"3,223.36",APRDRG Case Rate,,,"3,223.36",APRDRG Case Rate,,,"3,223.36",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
279-2 - HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS,279-2,APR-DRG,,,,inpatient ,,,0,,"4,165.24","4,165.24",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,165.24",APRDRG Case Rate,,,"4,165.24",APRDRG Case Rate,,,"4,165.24",APRDRG Case Rate,,,"4,165.24",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
279-3 - HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS,279-3,APR-DRG,,,,inpatient ,,,0,,"5,865.61","5,865.61",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,865.61",APRDRG Case Rate,,,"5,865.61",APRDRG Case Rate,,,"5,865.61",APRDRG Case Rate,,,"5,865.61",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
279-4 - HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS,279-4,APR-DRG,,,,inpatient ,,,0,,"10,103.71","10,103.71",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,103.71",APRDRG Case Rate,,,"10,103.71",APRDRG Case Rate,,,"10,103.71",APRDRG Case Rate,,,"10,103.71",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
280-1 - ALCOHOLIC LIVER DISEASE,280-1,APR-DRG,,,,inpatient ,,,0,,"2,761.22","2,761.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,761.22",APRDRG Case Rate,,,"2,761.22",APRDRG Case Rate,,,"2,761.22",APRDRG Case Rate,,,"2,761.22",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
280-2 - ALCOHOLIC LIVER DISEASE,280-2,APR-DRG,,,,inpatient ,,,0,,"3,854.80","3,854.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,854.80",APRDRG Case Rate,,,"3,854.80",APRDRG Case Rate,,,"3,854.80",APRDRG Case Rate,,,"3,854.80",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
280-3 - ALCOHOLIC LIVER DISEASE,280-3,APR-DRG,,,,inpatient ,,,0,,"5,542.86","5,542.86",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,542.86",APRDRG Case Rate,,,"5,542.86",APRDRG Case Rate,,,"5,542.86",APRDRG Case Rate,,,"5,542.86",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
280-4 - ALCOHOLIC LIVER DISEASE,280-4,APR-DRG,,,,inpatient ,,,0,,"9,740.12","9,740.12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,740.12",APRDRG Case Rate,,,"9,740.12",APRDRG Case Rate,,,"9,740.12",APRDRG Case Rate,,,"9,740.12",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
281-1 - MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS,281-1,APR-DRG,,,,inpatient ,,,0,,"9,905.55","9,905.55",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,905.55",APRDRG Case Rate,,,"9,905.55",APRDRG Case Rate,,,"9,905.55",APRDRG Case Rate,,,"9,905.55",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
281-2 - MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS,281-2,APR-DRG,,,,inpatient ,,,0,,"12,556.95","12,556.95",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,556.95",APRDRG Case Rate,,,"12,556.95",APRDRG Case Rate,,,"12,556.95",APRDRG Case Rate,,,"12,556.95",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
281-3 - MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS,281-3,APR-DRG,,,,inpatient ,,,0,,"17,210.02","17,210.02",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,210.02",APRDRG Case Rate,,,"17,210.02",APRDRG Case Rate,,,"17,210.02",APRDRG Case Rate,,,"17,210.02",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
281-4 - MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS,281-4,APR-DRG,,,,inpatient ,,,0,,"32,493.35","32,493.35",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"32,493.35",APRDRG Case Rate,,,"32,493.35",APRDRG Case Rate,,,"32,493.35",APRDRG Case Rate,,,"32,493.35",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
282-1 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY,282-1,APR-DRG,,,,inpatient ,,,0,,"8,269.58","8,269.58",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,269.58",APRDRG Case Rate,,,"8,269.58",APRDRG Case Rate,,,"8,269.58",APRDRG Case Rate,,,"8,269.58",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
282-2 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY,282-2,APR-DRG,,,,inpatient ,,,0,,"10,822.44","10,822.44",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,822.44",APRDRG Case Rate,,,"10,822.44",APRDRG Case Rate,,,"10,822.44",APRDRG Case Rate,,,"10,822.44",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
282-3 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY,282-3,APR-DRG,,,,inpatient ,,,0,,"14,994.71","14,994.71",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,994.71",APRDRG Case Rate,,,"14,994.71",APRDRG Case Rate,,,"14,994.71",APRDRG Case Rate,,,"14,994.71",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
282-4 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY,282-4,APR-DRG,,,,inpatient ,,,0,,"28,560.77","28,560.77",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"28,560.77",APRDRG Case Rate,,,"28,560.77",APRDRG Case Rate,,,"28,560.77",APRDRG Case Rate,,,"28,560.77",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
283-1 - OTHER DISORDERS OF THE LIVER,283-1,APR-DRG,,,,inpatient ,,,0,,"6,066.24","6,066.24",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,066.24",APRDRG Case Rate,,,"6,066.24",APRDRG Case Rate,,,"6,066.24",APRDRG Case Rate,,,"6,066.24",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
283-2 - OTHER DISORDERS OF THE LIVER,283-2,APR-DRG,,,,inpatient ,,,0,,"7,689.53","7,689.53",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,689.53",APRDRG Case Rate,,,"7,689.53",APRDRG Case Rate,,,"7,689.53",APRDRG Case Rate,,,"7,689.53",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
283-3 - OTHER DISORDERS OF THE LIVER,283-3,APR-DRG,,,,inpatient ,,,0,,"9,755.26","9,755.26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,755.26",APRDRG Case Rate,,,"9,755.26",APRDRG Case Rate,,,"9,755.26",APRDRG Case Rate,,,"9,755.26",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
283-4 - OTHER DISORDERS OF THE LIVER,283-4,APR-DRG,,,,inpatient ,,,0,,"18,002.66","18,002.66",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,002.66",APRDRG Case Rate,,,"18,002.66",APRDRG Case Rate,,,"18,002.66",APRDRG Case Rate,,,"18,002.66",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
284-1 - DISORDERS OF GALLBLADDER & BILIARY TRACT,284-1,APR-DRG,,,,inpatient ,,,0,,"7,506.51","7,506.51",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,506.51",APRDRG Case Rate,,,"7,506.51",APRDRG Case Rate,,,"7,506.51",APRDRG Case Rate,,,"7,506.51",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
284-2 - DISORDERS OF GALLBLADDER & BILIARY TRACT,284-2,APR-DRG,,,,inpatient ,,,0,,"8,212.91","8,212.91",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,212.91",APRDRG Case Rate,,,"8,212.91",APRDRG Case Rate,,,"8,212.91",APRDRG Case Rate,,,"8,212.91",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
284-3 - DISORDERS OF GALLBLADDER & BILIARY TRACT,284-3,APR-DRG,,,,inpatient ,,,0,,"11,936.43","11,936.43",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,936.43",APRDRG Case Rate,,,"11,936.43",APRDRG Case Rate,,,"11,936.43",APRDRG Case Rate,,,"11,936.43",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
284-4 - DISORDERS OF GALLBLADDER & BILIARY TRACT,284-4,APR-DRG,,,,inpatient ,,,0,,"25,369.09","25,369.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"25,369.09",APRDRG Case Rate,,,"25,369.09",APRDRG Case Rate,,,"25,369.09",APRDRG Case Rate,,,"25,369.09",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
301-1 - HIP JOINT REPLACEMENT,301-1,APR-DRG,,,,inpatient ,,,0,,"2,820.35","2,820.35",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,820.35",APRDRG Case Rate,,,"2,820.35",APRDRG Case Rate,,,"2,820.35",APRDRG Case Rate,,,"2,820.35",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
301-2 - HIP JOINT REPLACEMENT,301-2,APR-DRG,,,,inpatient ,,,0,,"3,462.00","3,462.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,462.00",APRDRG Case Rate,,,"3,462.00",APRDRG Case Rate,,,"3,462.00",APRDRG Case Rate,,,"3,462.00",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
301-3 - HIP JOINT REPLACEMENT,301-3,APR-DRG,,,,inpatient ,,,0,,"5,297.53","5,297.53",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,297.53",APRDRG Case Rate,,,"5,297.53",APRDRG Case Rate,,,"5,297.53",APRDRG Case Rate,,,"5,297.53",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
301-4 - HIP JOINT REPLACEMENT,301-4,APR-DRG,,,,inpatient ,,,0,,"11,060.02","11,060.02",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,060.02",APRDRG Case Rate,,,"11,060.02",APRDRG Case Rate,,,"11,060.02",APRDRG Case Rate,,,"11,060.02",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
302-1 - KNEE JOINT REPLACEMENT,302-1,APR-DRG,,,,inpatient ,,,0,,"2,903.07","2,903.07",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,903.07",APRDRG Case Rate,,,"2,903.07",APRDRG Case Rate,,,"2,903.07",APRDRG Case Rate,,,"2,903.07",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
302-2 - KNEE JOINT REPLACEMENT,302-2,APR-DRG,,,,inpatient ,,,0,,"3,746.04","3,746.04",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,746.04",APRDRG Case Rate,,,"3,746.04",APRDRG Case Rate,,,"3,746.04",APRDRG Case Rate,,,"3,746.04",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
302-3 - KNEE JOINT REPLACEMENT,302-3,APR-DRG,,,,inpatient ,,,0,,"5,704.41","5,704.41",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,704.41",APRDRG Case Rate,,,"5,704.41",APRDRG Case Rate,,,"5,704.41",APRDRG Case Rate,,,"5,704.41",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
302-4 - KNEE JOINT REPLACEMENT,302-4,APR-DRG,,,,inpatient ,,,0,,"11,997.67","11,997.67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,997.67",APRDRG Case Rate,,,"11,997.67",APRDRG Case Rate,,,"11,997.67",APRDRG Case Rate,,,"11,997.67",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
303-1 - DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK,303-1,APR-DRG,,,,inpatient ,,,0,,"3,525.00","3,525.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,525.00",APRDRG Case Rate,,,"3,525.00",APRDRG Case Rate,,,"3,525.00",APRDRG Case Rate,,,"3,525.00",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
303-2 - DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK,303-2,APR-DRG,,,,inpatient ,,,0,,"4,674.54","4,674.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,674.54",APRDRG Case Rate,,,"4,674.54",APRDRG Case Rate,,,"4,674.54",APRDRG Case Rate,,,"4,674.54",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
303-3 - DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK,303-3,APR-DRG,,,,inpatient ,,,0,,"6,083.13","6,083.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,083.13",APRDRG Case Rate,,,"6,083.13",APRDRG Case Rate,,,"6,083.13",APRDRG Case Rate,,,"6,083.13",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
303-4 - DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK,303-4,APR-DRG,,,,inpatient ,,,0,,"8,943.61","8,943.61",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,943.61",APRDRG Case Rate,,,"8,943.61",APRDRG Case Rate,,,"8,943.61",APRDRG Case Rate,,,"8,943.61",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
304-1 - DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK,304-1,APR-DRG,,,,inpatient ,,,0,,"2,976.28","2,976.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,976.28",APRDRG Case Rate,,,"2,976.28",APRDRG Case Rate,,,"2,976.28",APRDRG Case Rate,,,"2,976.28",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
304-2 - DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK,304-2,APR-DRG,,,,inpatient ,,,0,,"3,875.21","3,875.21",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,875.21",APRDRG Case Rate,,,"3,875.21",APRDRG Case Rate,,,"3,875.21",APRDRG Case Rate,,,"3,875.21",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
304-3 - DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK,304-3,APR-DRG,,,,inpatient ,,,0,,"5,899.05","5,899.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,899.05",APRDRG Case Rate,,,"5,899.05",APRDRG Case Rate,,,"5,899.05",APRDRG Case Rate,,,"5,899.05",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
304-4 - DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK,304-4,APR-DRG,,,,inpatient ,,,0,,"13,063.09","13,063.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,063.09",APRDRG Case Rate,,,"13,063.09",APRDRG Case Rate,,,"13,063.09",APRDRG Case Rate,,,"13,063.09",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
305-1 - AMPUTATION OF LOWER LIMB EXCEPT TOES,305-1,APR-DRG,,,,inpatient ,,,0,,"2,812.96","2,812.96",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,812.96",APRDRG Case Rate,,,"2,812.96",APRDRG Case Rate,,,"2,812.96",APRDRG Case Rate,,,"2,812.96",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
305-2 - AMPUTATION OF LOWER LIMB EXCEPT TOES,305-2,APR-DRG,,,,inpatient ,,,0,,"3,599.62","3,599.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,599.62",APRDRG Case Rate,,,"3,599.62",APRDRG Case Rate,,,"3,599.62",APRDRG Case Rate,,,"3,599.62",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
305-3 - AMPUTATION OF LOWER LIMB EXCEPT TOES,305-3,APR-DRG,,,,inpatient ,,,0,,"5,238.05","5,238.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,238.05",APRDRG Case Rate,,,"5,238.05",APRDRG Case Rate,,,"5,238.05",APRDRG Case Rate,,,"5,238.05",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
305-4 - AMPUTATION OF LOWER LIMB EXCEPT TOES,305-4,APR-DRG,,,,inpatient ,,,0,,"9,821.07","9,821.07",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,821.07",APRDRG Case Rate,,,"9,821.07",APRDRG Case Rate,,,"9,821.07",APRDRG Case Rate,,,"9,821.07",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
308-1 - HIP & FEMUR FRACTURE REPAIR,308-1,APR-DRG,,,,inpatient ,,,0,,"3,602.08","3,602.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,602.08",APRDRG Case Rate,,,"3,602.08",APRDRG Case Rate,,,"3,602.08",APRDRG Case Rate,,,"3,602.08",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
308-2 - HIP & FEMUR FRACTURE REPAIR,308-2,APR-DRG,,,,inpatient ,,,0,,"4,757.25","4,757.25",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,757.25",APRDRG Case Rate,,,"4,757.25",APRDRG Case Rate,,,"4,757.25",APRDRG Case Rate,,,"4,757.25",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
308-3 - HIP & FEMUR FRACTURE REPAIR,308-3,APR-DRG,,,,inpatient ,,,0,,"6,588.92","6,588.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,588.92",APRDRG Case Rate,,,"6,588.92",APRDRG Case Rate,,,"6,588.92",APRDRG Case Rate,,,"6,588.92",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
308-4 - HIP & FEMUR FRACTURE REPAIR,308-4,APR-DRG,,,,inpatient ,,,0,,"11,435.57","11,435.57",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,435.57",APRDRG Case Rate,,,"11,435.57",APRDRG Case Rate,,,"11,435.57",APRDRG Case Rate,,,"11,435.57",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
309-1 - OTHER SIGNIFICANT HIP & FEMUR SURGERY,309-1,APR-DRG,,,,inpatient ,,,0,,"23,521.94","23,521.94",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,521.94",APRDRG Case Rate,,,"23,521.94",APRDRG Case Rate,,,"23,521.94",APRDRG Case Rate,,,"23,521.94",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
309-2 - OTHER SIGNIFICANT HIP & FEMUR SURGERY,309-2,APR-DRG,,,,inpatient ,,,0,,"28,252.09","28,252.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"28,252.09",APRDRG Case Rate,,,"28,252.09",APRDRG Case Rate,,,"28,252.09",APRDRG Case Rate,,,"28,252.09",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
309-3 - OTHER SIGNIFICANT HIP & FEMUR SURGERY,309-3,APR-DRG,,,,inpatient ,,,0,,"38,885.51","38,885.51",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"38,885.51",APRDRG Case Rate,,,"38,885.51",APRDRG Case Rate,,,"38,885.51",APRDRG Case Rate,,,"38,885.51",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
309-4 - OTHER SIGNIFICANT HIP & FEMUR SURGERY,309-4,APR-DRG,,,,inpatient ,,,0,,"51,356.59","51,356.59",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"51,356.59",APRDRG Case Rate,,,"51,356.59",APRDRG Case Rate,,,"51,356.59",APRDRG Case Rate,,,"51,356.59",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
310-1 - INTERVERTEBRAL DISC EXCISION & DECOMPRESSION,310-1,APR-DRG,,,,inpatient ,,,0,,"15,897.87","15,897.87",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,897.87",APRDRG Case Rate,,,"15,897.87",APRDRG Case Rate,,,"15,897.87",APRDRG Case Rate,,,"15,897.87",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
310-2 - INTERVERTEBRAL DISC EXCISION & DECOMPRESSION,310-2,APR-DRG,,,,inpatient ,,,0,,"18,886.11","18,886.11",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,886.11",APRDRG Case Rate,,,"18,886.11",APRDRG Case Rate,,,"18,886.11",APRDRG Case Rate,,,"18,886.11",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
310-3 - INTERVERTEBRAL DISC EXCISION & DECOMPRESSION,310-3,APR-DRG,,,,inpatient ,,,0,,"26,639.35","26,639.35",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"26,639.35",APRDRG Case Rate,,,"26,639.35",APRDRG Case Rate,,,"26,639.35",APRDRG Case Rate,,,"26,639.35",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
310-4 - INTERVERTEBRAL DISC EXCISION & DECOMPRESSION,310-4,APR-DRG,,,,inpatient ,,,0,,"39,418.75","39,418.75",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"39,418.75",APRDRG Case Rate,,,"39,418.75",APRDRG Case Rate,,,"39,418.75",APRDRG Case Rate,,,"39,418.75",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"312-1 - SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES",312-1,APR-DRG,,,,inpatient ,,,0,,"5,936.01","5,936.01",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,936.01",APRDRG Case Rate,,,"5,936.01",APRDRG Case Rate,,,"5,936.01",APRDRG Case Rate,,,"5,936.01",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"312-2 - SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES",312-2,APR-DRG,,,,inpatient ,,,0,,"7,915.50","7,915.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,915.50",APRDRG Case Rate,,,"7,915.50",APRDRG Case Rate,,,"7,915.50",APRDRG Case Rate,,,"7,915.50",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"312-3 - SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES",312-3,APR-DRG,,,,inpatient ,,,0,,"11,988.52","11,988.52",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,988.52",APRDRG Case Rate,,,"11,988.52",APRDRG Case Rate,,,"11,988.52",APRDRG Case Rate,,,"11,988.52",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"312-4 - SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES",312-4,APR-DRG,,,,inpatient ,,,0,,"22,255.19","22,255.19",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,255.19",APRDRG Case Rate,,,"22,255.19",APRDRG Case Rate,,,"22,255.19",APRDRG Case Rate,,,"22,255.19",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
313-1 - KNEE & LOWER LEG PROCEDURES EXCEPT FOOT,313-1,APR-DRG,,,,inpatient ,,,0,,"7,949.64","7,949.64",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,949.64",APRDRG Case Rate,,,"7,949.64",APRDRG Case Rate,,,"7,949.64",APRDRG Case Rate,,,"7,949.64",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
313-2 - KNEE & LOWER LEG PROCEDURES EXCEPT FOOT,313-2,APR-DRG,,,,inpatient ,,,0,,"9,376.89","9,376.89",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,376.89",APRDRG Case Rate,,,"9,376.89",APRDRG Case Rate,,,"9,376.89",APRDRG Case Rate,,,"9,376.89",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
313-3 - KNEE & LOWER LEG PROCEDURES EXCEPT FOOT,313-3,APR-DRG,,,,inpatient ,,,0,,"12,038.85","12,038.85",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,038.85",APRDRG Case Rate,,,"12,038.85",APRDRG Case Rate,,,"12,038.85",APRDRG Case Rate,,,"12,038.85",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
313-4 - KNEE & LOWER LEG PROCEDURES EXCEPT FOOT,313-4,APR-DRG,,,,inpatient ,,,0,,"17,400.79","17,400.79",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,400.79",APRDRG Case Rate,,,"17,400.79",APRDRG Case Rate,,,"17,400.79",APRDRG Case Rate,,,"17,400.79",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
314-1 - FOOT & TOE PROCEDURES,314-1,APR-DRG,,,,inpatient ,,,0,,"7,711.71","7,711.71",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,711.71",APRDRG Case Rate,,,"7,711.71",APRDRG Case Rate,,,"7,711.71",APRDRG Case Rate,,,"7,711.71",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
314-2 - FOOT & TOE PROCEDURES,314-2,APR-DRG,,,,inpatient ,,,0,,"10,256.46","10,256.46",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,256.46",APRDRG Case Rate,,,"10,256.46",APRDRG Case Rate,,,"10,256.46",APRDRG Case Rate,,,"10,256.46",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
314-3 - FOOT & TOE PROCEDURES,314-3,APR-DRG,,,,inpatient ,,,0,,"14,586.78","14,586.78",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,586.78",APRDRG Case Rate,,,"14,586.78",APRDRG Case Rate,,,"14,586.78",APRDRG Case Rate,,,"14,586.78",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
314-4 - FOOT & TOE PROCEDURES,314-4,APR-DRG,,,,inpatient ,,,0,,"23,332.58","23,332.58",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,332.58",APRDRG Case Rate,,,"23,332.58",APRDRG Case Rate,,,"23,332.58",APRDRG Case Rate,,,"23,332.58",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"315-1 - SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",315-1,APR-DRG,,,,inpatient ,,,0,,"6,277.77","6,277.77",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,277.77",APRDRG Case Rate,,,"6,277.77",APRDRG Case Rate,,,"6,277.77",APRDRG Case Rate,,,"6,277.77",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"315-2 - SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",315-2,APR-DRG,,,,inpatient ,,,0,,"8,463.52","8,463.52",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,463.52",APRDRG Case Rate,,,"8,463.52",APRDRG Case Rate,,,"8,463.52",APRDRG Case Rate,,,"8,463.52",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"315-3 - SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",315-3,APR-DRG,,,,inpatient ,,,0,,"11,844.21","11,844.21",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,844.21",APRDRG Case Rate,,,"11,844.21",APRDRG Case Rate,,,"11,844.21",APRDRG Case Rate,,,"11,844.21",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"315-4 - SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",315-4,APR-DRG,,,,inpatient ,,,0,,"20,372.84","20,372.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,372.84",APRDRG Case Rate,,,"20,372.84",APRDRG Case Rate,,,"20,372.84",APRDRG Case Rate,,,"20,372.84",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
316-1 - HAND & WRIST PROCEDURES,316-1,APR-DRG,,,,inpatient ,,,0,,"6,380.55","6,380.55",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,380.55",APRDRG Case Rate,,,"6,380.55",APRDRG Case Rate,,,"6,380.55",APRDRG Case Rate,,,"6,380.55",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
316-2 - HAND & WRIST PROCEDURES,316-2,APR-DRG,,,,inpatient ,,,0,,"10,221.62","10,221.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,221.62",APRDRG Case Rate,,,"10,221.62",APRDRG Case Rate,,,"10,221.62",APRDRG Case Rate,,,"10,221.62",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
316-3 - HAND & WRIST PROCEDURES,316-3,APR-DRG,,,,inpatient ,,,0,,"17,265.28","17,265.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,265.28",APRDRG Case Rate,,,"17,265.28",APRDRG Case Rate,,,"17,265.28",APRDRG Case Rate,,,"17,265.28",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
316-4 - HAND & WRIST PROCEDURES,316-4,APR-DRG,,,,inpatient ,,,0,,"35,014.17","35,014.17",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"35,014.17",APRDRG Case Rate,,,"35,014.17",APRDRG Case Rate,,,"35,014.17",APRDRG Case Rate,,,"35,014.17",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"317-1 - TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES",317-1,APR-DRG,,,,inpatient ,,,0,,"7,409.36","7,409.36",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,409.36",APRDRG Case Rate,,,"7,409.36",APRDRG Case Rate,,,"7,409.36",APRDRG Case Rate,,,"7,409.36",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"317-2 - TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES",317-2,APR-DRG,,,,inpatient ,,,0,,"9,754.55","9,754.55",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,754.55",APRDRG Case Rate,,,"9,754.55",APRDRG Case Rate,,,"9,754.55",APRDRG Case Rate,,,"9,754.55",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"317-3 - TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES",317-3,APR-DRG,,,,inpatient ,,,0,,"14,231.64","14,231.64",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,231.64",APRDRG Case Rate,,,"14,231.64",APRDRG Case Rate,,,"14,231.64",APRDRG Case Rate,,,"14,231.64",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"317-4 - TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES",317-4,APR-DRG,,,,inpatient ,,,0,,"22,160.51","22,160.51",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,160.51",APRDRG Case Rate,,,"22,160.51",APRDRG Case Rate,,,"22,160.51",APRDRG Case Rate,,,"22,160.51",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
320-1 - OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES,320-1,APR-DRG,,,,inpatient ,,,0,,"6,279.88","6,279.88",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,279.88",APRDRG Case Rate,,,"6,279.88",APRDRG Case Rate,,,"6,279.88",APRDRG Case Rate,,,"6,279.88",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
320-2 - OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES,320-2,APR-DRG,,,,inpatient ,,,0,,"6,685.00","6,685.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,685.00",APRDRG Case Rate,,,"6,685.00",APRDRG Case Rate,,,"6,685.00",APRDRG Case Rate,,,"6,685.00",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
320-3 - OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES,320-3,APR-DRG,,,,inpatient ,,,0,,"8,866.88","8,866.88",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,866.88",APRDRG Case Rate,,,"8,866.88",APRDRG Case Rate,,,"8,866.88",APRDRG Case Rate,,,"8,866.88",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
320-4 - OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES,320-4,APR-DRG,,,,inpatient ,,,0,,"16,088.29","16,088.29",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,088.29",APRDRG Case Rate,,,"16,088.29",APRDRG Case Rate,,,"16,088.29",APRDRG Case Rate,,,"16,088.29",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
321-1 - CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP,321-1,APR-DRG,,,,inpatient ,,,0,,"5,440.08","5,440.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,440.08",APRDRG Case Rate,,,"5,440.08",APRDRG Case Rate,,,"5,440.08",APRDRG Case Rate,,,"5,440.08",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
321-2 - CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP,321-2,APR-DRG,,,,inpatient ,,,0,,"8,706.73","8,706.73",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,706.73",APRDRG Case Rate,,,"8,706.73",APRDRG Case Rate,,,"8,706.73",APRDRG Case Rate,,,"8,706.73",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
321-3 - CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP,321-3,APR-DRG,,,,inpatient ,,,0,,"12,973.34","12,973.34",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,973.34",APRDRG Case Rate,,,"12,973.34",APRDRG Case Rate,,,"12,973.34",APRDRG Case Rate,,,"12,973.34",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
321-4 - CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP,321-4,APR-DRG,,,,inpatient ,,,0,,"21,094.74","21,094.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,094.74",APRDRG Case Rate,,,"21,094.74",APRDRG Case Rate,,,"21,094.74",APRDRG Case Rate,,,"21,094.74",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
322-1 - SHOULDER & ELBOW JOINT REPLACEMENT,322-1,APR-DRG,,,,inpatient ,,,0,,"4,584.79","4,584.79",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,584.79",APRDRG Case Rate,,,"4,584.79",APRDRG Case Rate,,,"4,584.79",APRDRG Case Rate,,,"4,584.79",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
322-2 - SHOULDER & ELBOW JOINT REPLACEMENT,322-2,APR-DRG,,,,inpatient ,,,0,,"6,190.84","6,190.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,190.84",APRDRG Case Rate,,,"6,190.84",APRDRG Case Rate,,,"6,190.84",APRDRG Case Rate,,,"6,190.84",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
322-3 - SHOULDER & ELBOW JOINT REPLACEMENT,322-3,APR-DRG,,,,inpatient ,,,0,,"9,553.58","9,553.58",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,553.58",APRDRG Case Rate,,,"9,553.58",APRDRG Case Rate,,,"9,553.58",APRDRG Case Rate,,,"9,553.58",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
322-4 - SHOULDER & ELBOW JOINT REPLACEMENT,322-4,APR-DRG,,,,inpatient ,,,0,,"17,427.19","17,427.19",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,427.19",APRDRG Case Rate,,,"17,427.19",APRDRG Case Rate,,,"17,427.19",APRDRG Case Rate,,,"17,427.19",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
340-1 - FRACTURE OF FEMUR,340-1,APR-DRG,,,,inpatient ,,,0,,"5,383.76","5,383.76",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,383.76",APRDRG Case Rate,,,"5,383.76",APRDRG Case Rate,,,"5,383.76",APRDRG Case Rate,,,"5,383.76",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
340-2 - FRACTURE OF FEMUR,340-2,APR-DRG,,,,inpatient ,,,0,,"6,963.77","6,963.77",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,963.77",APRDRG Case Rate,,,"6,963.77",APRDRG Case Rate,,,"6,963.77",APRDRG Case Rate,,,"6,963.77",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
340-3 - FRACTURE OF FEMUR,340-3,APR-DRG,,,,inpatient ,,,0,,"10,692.91","10,692.91",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,692.91",APRDRG Case Rate,,,"10,692.91",APRDRG Case Rate,,,"10,692.91",APRDRG Case Rate,,,"10,692.91",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
340-4 - FRACTURE OF FEMUR,340-4,APR-DRG,,,,inpatient ,,,0,,"19,528.81","19,528.81",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,528.81",APRDRG Case Rate,,,"19,528.81",APRDRG Case Rate,,,"19,528.81",APRDRG Case Rate,,,"19,528.81",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
341-1 - FRACTURE OF PELVIS OR DISLOCATION OF HIP,341-1,APR-DRG,,,,inpatient ,,,0,,"5,980.00","5,980.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,980.00",APRDRG Case Rate,,,"5,980.00",APRDRG Case Rate,,,"5,980.00",APRDRG Case Rate,,,"5,980.00",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
341-2 - FRACTURE OF PELVIS OR DISLOCATION OF HIP,341-2,APR-DRG,,,,inpatient ,,,0,,"8,285.42","8,285.42",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,285.42",APRDRG Case Rate,,,"8,285.42",APRDRG Case Rate,,,"8,285.42",APRDRG Case Rate,,,"8,285.42",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
341-3 - FRACTURE OF PELVIS OR DISLOCATION OF HIP,341-3,APR-DRG,,,,inpatient ,,,0,,"12,069.47","12,069.47",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,069.47",APRDRG Case Rate,,,"12,069.47",APRDRG Case Rate,,,"12,069.47",APRDRG Case Rate,,,"12,069.47",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
341-4 - FRACTURE OF PELVIS OR DISLOCATION OF HIP,341-4,APR-DRG,,,,inpatient ,,,0,,"20,591.42","20,591.42",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,591.42",APRDRG Case Rate,,,"20,591.42",APRDRG Case Rate,,,"20,591.42",APRDRG Case Rate,,,"20,591.42",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"342-1 - FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK",342-1,APR-DRG,,,,inpatient ,,,0,,"9,909.07","9,909.07",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,909.07",APRDRG Case Rate,,,"9,909.07",APRDRG Case Rate,,,"9,909.07",APRDRG Case Rate,,,"9,909.07",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"342-2 - FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK",342-2,APR-DRG,,,,inpatient ,,,0,,"12,019.84","12,019.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,019.84",APRDRG Case Rate,,,"12,019.84",APRDRG Case Rate,,,"12,019.84",APRDRG Case Rate,,,"12,019.84",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"342-3 - FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK",342-3,APR-DRG,,,,inpatient ,,,0,,"16,545.50","16,545.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,545.50",APRDRG Case Rate,,,"16,545.50",APRDRG Case Rate,,,"16,545.50",APRDRG Case Rate,,,"16,545.50",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"342-4 - FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK",342-4,APR-DRG,,,,inpatient ,,,0,,"25,867.83","25,867.83",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"25,867.83",APRDRG Case Rate,,,"25,867.83",APRDRG Case Rate,,,"25,867.83",APRDRG Case Rate,,,"25,867.83",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
343-1 - MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG,343-1,APR-DRG,,,,inpatient ,,,0,,"10,269.84","10,269.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,269.84",APRDRG Case Rate,,,"10,269.84",APRDRG Case Rate,,,"10,269.84",APRDRG Case Rate,,,"10,269.84",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
343-2 - MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG,343-2,APR-DRG,,,,inpatient ,,,0,,"11,150.82","11,150.82",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,150.82",APRDRG Case Rate,,,"11,150.82",APRDRG Case Rate,,,"11,150.82",APRDRG Case Rate,,,"11,150.82",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
343-3 - MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG,343-3,APR-DRG,,,,inpatient ,,,0,,"14,642.74","14,642.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,642.74",APRDRG Case Rate,,,"14,642.74",APRDRG Case Rate,,,"14,642.74",APRDRG Case Rate,,,"14,642.74",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
343-4 - MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG,343-4,APR-DRG,,,,inpatient ,,,0,,"19,605.54","19,605.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,605.54",APRDRG Case Rate,,,"19,605.54",APRDRG Case Rate,,,"19,605.54",APRDRG Case Rate,,,"19,605.54",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"344-1 - OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS",344-1,APR-DRG,,,,inpatient ,,,0,,"9,482.83","9,482.83",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,482.83",APRDRG Case Rate,,,"9,482.83",APRDRG Case Rate,,,"9,482.83",APRDRG Case Rate,,,"9,482.83",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"344-2 - OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS",344-2,APR-DRG,,,,inpatient ,,,0,,"10,648.21","10,648.21",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,648.21",APRDRG Case Rate,,,"10,648.21",APRDRG Case Rate,,,"10,648.21",APRDRG Case Rate,,,"10,648.21",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"344-3 - OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS",344-3,APR-DRG,,,,inpatient ,,,0,,"14,172.15","14,172.15",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,172.15",APRDRG Case Rate,,,"14,172.15",APRDRG Case Rate,,,"14,172.15",APRDRG Case Rate,,,"14,172.15",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"344-4 - OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS",344-4,APR-DRG,,,,inpatient ,,,0,,"19,766.75","19,766.75",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,766.75",APRDRG Case Rate,,,"19,766.75",APRDRG Case Rate,,,"19,766.75",APRDRG Case Rate,,,"19,766.75",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
346-1 - CONNECTIVE TISSUE DISORDERS,346-1,APR-DRG,,,,inpatient ,,,0,,"8,478.65","8,478.65",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,478.65",APRDRG Case Rate,,,"8,478.65",APRDRG Case Rate,,,"8,478.65",APRDRG Case Rate,,,"8,478.65",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
346-2 - CONNECTIVE TISSUE DISORDERS,346-2,APR-DRG,,,,inpatient ,,,0,,"9,236.80","9,236.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,236.80",APRDRG Case Rate,,,"9,236.80",APRDRG Case Rate,,,"9,236.80",APRDRG Case Rate,,,"9,236.80",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
346-3 - CONNECTIVE TISSUE DISORDERS,346-3,APR-DRG,,,,inpatient ,,,0,,"12,466.50","12,466.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,466.50",APRDRG Case Rate,,,"12,466.50",APRDRG Case Rate,,,"12,466.50",APRDRG Case Rate,,,"12,466.50",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
346-4 - CONNECTIVE TISSUE DISORDERS,346-4,APR-DRG,,,,inpatient ,,,0,,"19,785.05","19,785.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,785.05",APRDRG Case Rate,,,"19,785.05",APRDRG Case Rate,,,"19,785.05",APRDRG Case Rate,,,"19,785.05",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"347-1 - OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES",347-1,APR-DRG,,,,inpatient ,,,0,,"11,782.97","11,782.97",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,782.97",APRDRG Case Rate,,,"11,782.97",APRDRG Case Rate,,,"11,782.97",APRDRG Case Rate,,,"11,782.97",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"347-2 - OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES",347-2,APR-DRG,,,,inpatient ,,,0,,"13,716.35","13,716.35",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,716.35",APRDRG Case Rate,,,"13,716.35",APRDRG Case Rate,,,"13,716.35",APRDRG Case Rate,,,"13,716.35",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"347-3 - OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES",347-3,APR-DRG,,,,inpatient ,,,0,,"18,104.74","18,104.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,104.74",APRDRG Case Rate,,,"18,104.74",APRDRG Case Rate,,,"18,104.74",APRDRG Case Rate,,,"18,104.74",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"347-4 - OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES",347-4,APR-DRG,,,,inpatient ,,,0,,"25,202.60","25,202.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"25,202.60",APRDRG Case Rate,,,"25,202.60",APRDRG Case Rate,,,"25,202.60",APRDRG Case Rate,,,"25,202.60",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"349-1 - MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE",349-1,APR-DRG,,,,inpatient ,,,0,,"8,429.38","8,429.38",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,429.38",APRDRG Case Rate,,,"8,429.38",APRDRG Case Rate,,,"8,429.38",APRDRG Case Rate,,,"8,429.38",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"349-2 - MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE",349-2,APR-DRG,,,,inpatient ,,,0,,"8,948.54","8,948.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,948.54",APRDRG Case Rate,,,"8,948.54",APRDRG Case Rate,,,"8,948.54",APRDRG Case Rate,,,"8,948.54",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"349-3 - MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE",349-3,APR-DRG,,,,inpatient ,,,0,,"12,725.90","12,725.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,725.90",APRDRG Case Rate,,,"12,725.90",APRDRG Case Rate,,,"12,725.90",APRDRG Case Rate,,,"12,725.90",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"349-4 - MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE",349-4,APR-DRG,,,,inpatient ,,,0,,"16,677.14","16,677.14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,677.14",APRDRG Case Rate,,,"16,677.14",APRDRG Case Rate,,,"16,677.14",APRDRG Case Rate,,,"16,677.14",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
351-1 - OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES,351-1,APR-DRG,,,,inpatient ,,,0,,"2,642.61","2,642.61",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,642.61",APRDRG Case Rate,,,"2,642.61",APRDRG Case Rate,,,"2,642.61",APRDRG Case Rate,,,"2,642.61",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
351-2 - OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES,351-2,APR-DRG,,,,inpatient ,,,0,,"3,285.31","3,285.31",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,285.31",APRDRG Case Rate,,,"3,285.31",APRDRG Case Rate,,,"3,285.31",APRDRG Case Rate,,,"3,285.31",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
351-3 - OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES,351-3,APR-DRG,,,,inpatient ,,,0,,"4,684.40","4,684.40",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,684.40",APRDRG Case Rate,,,"4,684.40",APRDRG Case Rate,,,"4,684.40",APRDRG Case Rate,,,"4,684.40",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
351-4 - OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES,351-4,APR-DRG,,,,inpatient ,,,0,,"6,890.20","6,890.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,890.20",APRDRG Case Rate,,,"6,890.20",APRDRG Case Rate,,,"6,890.20",APRDRG Case Rate,,,"6,890.20",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
361-1 - SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES,361-1,APR-DRG,,,,inpatient ,,,0,,"2,839.36","2,839.36",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,839.36",APRDRG Case Rate,,,"2,839.36",APRDRG Case Rate,,,"2,839.36",APRDRG Case Rate,,,"2,839.36",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
361-2 - SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES,361-2,APR-DRG,,,,inpatient ,,,0,,"3,482.76","3,482.76",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,482.76",APRDRG Case Rate,,,"3,482.76",APRDRG Case Rate,,,"3,482.76",APRDRG Case Rate,,,"3,482.76",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
361-3 - SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES,361-3,APR-DRG,,,,inpatient ,,,0,,"4,438.01","4,438.01",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,438.01",APRDRG Case Rate,,,"4,438.01",APRDRG Case Rate,,,"4,438.01",APRDRG Case Rate,,,"4,438.01",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
361-4 - SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES,361-4,APR-DRG,,,,inpatient ,,,0,,"8,280.14","8,280.14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,280.14",APRDRG Case Rate,,,"8,280.14",APRDRG Case Rate,,,"8,280.14",APRDRG Case Rate,,,"8,280.14",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
362-1 - MASTECTOMY PROCEDURES,362-1,APR-DRG,,,,inpatient ,,,0,,"2,847.45","2,847.45",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,847.45",APRDRG Case Rate,,,"2,847.45",APRDRG Case Rate,,,"2,847.45",APRDRG Case Rate,,,"2,847.45",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
362-2 - MASTECTOMY PROCEDURES,362-2,APR-DRG,,,,inpatient ,,,0,,"3,835.79","3,835.79",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,835.79",APRDRG Case Rate,,,"3,835.79",APRDRG Case Rate,,,"3,835.79",APRDRG Case Rate,,,"3,835.79",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
362-3 - MASTECTOMY PROCEDURES,362-3,APR-DRG,,,,inpatient ,,,0,,"5,346.10","5,346.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,346.10",APRDRG Case Rate,,,"5,346.10",APRDRG Case Rate,,,"5,346.10",APRDRG Case Rate,,,"5,346.10",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
362-4 - MASTECTOMY PROCEDURES,362-4,APR-DRG,,,,inpatient ,,,0,,"8,781.35","8,781.35",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,781.35",APRDRG Case Rate,,,"8,781.35",APRDRG Case Rate,,,"8,781.35",APRDRG Case Rate,,,"8,781.35",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
363-1 - BREAST PROCEDURES EXCEPT MASTECTOMY,363-1,APR-DRG,,,,inpatient ,,,0,,"4,326.09","4,326.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,326.09",APRDRG Case Rate,,,"4,326.09",APRDRG Case Rate,,,"4,326.09",APRDRG Case Rate,,,"4,326.09",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
363-2 - BREAST PROCEDURES EXCEPT MASTECTOMY,363-2,APR-DRG,,,,inpatient ,,,0,,"5,084.59","5,084.59",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,084.59",APRDRG Case Rate,,,"5,084.59",APRDRG Case Rate,,,"5,084.59",APRDRG Case Rate,,,"5,084.59",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
363-3 - BREAST PROCEDURES EXCEPT MASTECTOMY,363-3,APR-DRG,,,,inpatient ,,,0,,"7,430.13","7,430.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,430.13",APRDRG Case Rate,,,"7,430.13",APRDRG Case Rate,,,"7,430.13",APRDRG Case Rate,,,"7,430.13",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
363-4 - BREAST PROCEDURES EXCEPT MASTECTOMY,363-4,APR-DRG,,,,inpatient ,,,0,,"12,031.46","12,031.46",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,031.46",APRDRG Case Rate,,,"12,031.46",APRDRG Case Rate,,,"12,031.46",APRDRG Case Rate,,,"12,031.46",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"364-1 - OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES",364-1,APR-DRG,,,,inpatient ,,,0,,"3,758.36","3,758.36",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,758.36",APRDRG Case Rate,,,"3,758.36",APRDRG Case Rate,,,"3,758.36",APRDRG Case Rate,,,"3,758.36",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"364-2 - OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES",364-2,APR-DRG,,,,inpatient ,,,0,,"4,767.81","4,767.81",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,767.81",APRDRG Case Rate,,,"4,767.81",APRDRG Case Rate,,,"4,767.81",APRDRG Case Rate,,,"4,767.81",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"364-3 - OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES",364-3,APR-DRG,,,,inpatient ,,,0,,"6,839.17","6,839.17",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,839.17",APRDRG Case Rate,,,"6,839.17",APRDRG Case Rate,,,"6,839.17",APRDRG Case Rate,,,"6,839.17",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"364-4 - OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES",364-4,APR-DRG,,,,inpatient ,,,0,,"10,981.88","10,981.88",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,981.88",APRDRG Case Rate,,,"10,981.88",APRDRG Case Rate,,,"10,981.88",APRDRG Case Rate,,,"10,981.88",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
380-1 - SKIN ULCERS,380-1,APR-DRG,,,,inpatient ,,,0,,"3,418.00","3,418.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,418.00",APRDRG Case Rate,,,"3,418.00",APRDRG Case Rate,,,"3,418.00",APRDRG Case Rate,,,"3,418.00",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
380-2 - SKIN ULCERS,380-2,APR-DRG,,,,inpatient ,,,0,,"4,551.35","4,551.35",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,551.35",APRDRG Case Rate,,,"4,551.35",APRDRG Case Rate,,,"4,551.35",APRDRG Case Rate,,,"4,551.35",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
380-3 - SKIN ULCERS,380-3,APR-DRG,,,,inpatient ,,,0,,"6,946.17","6,946.17",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,946.17",APRDRG Case Rate,,,"6,946.17",APRDRG Case Rate,,,"6,946.17",APRDRG Case Rate,,,"6,946.17",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
380-4 - SKIN ULCERS,380-4,APR-DRG,,,,inpatient ,,,0,,"14,419.94","14,419.94",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,419.94",APRDRG Case Rate,,,"14,419.94",APRDRG Case Rate,,,"14,419.94",APRDRG Case Rate,,,"14,419.94",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
381-1 - MAJOR SKIN DISORDERS,381-1,APR-DRG,,,,inpatient ,,,0,,"3,357.46","3,357.46",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,357.46",APRDRG Case Rate,,,"3,357.46",APRDRG Case Rate,,,"3,357.46",APRDRG Case Rate,,,"3,357.46",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
381-2 - MAJOR SKIN DISORDERS,381-2,APR-DRG,,,,inpatient ,,,0,,"4,234.22","4,234.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,234.22",APRDRG Case Rate,,,"4,234.22",APRDRG Case Rate,,,"4,234.22",APRDRG Case Rate,,,"4,234.22",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
381-3 - MAJOR SKIN DISORDERS,381-3,APR-DRG,,,,inpatient ,,,0,,"5,730.10","5,730.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,730.10",APRDRG Case Rate,,,"5,730.10",APRDRG Case Rate,,,"5,730.10",APRDRG Case Rate,,,"5,730.10",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
381-4 - MAJOR SKIN DISORDERS,381-4,APR-DRG,,,,inpatient ,,,0,,"9,878.45","9,878.45",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,878.45",APRDRG Case Rate,,,"9,878.45",APRDRG Case Rate,,,"9,878.45",APRDRG Case Rate,,,"9,878.45",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
382-1 - MALIGNANT BREAST DISORDERS,382-1,APR-DRG,,,,inpatient ,,,0,,"2,973.81","2,973.81",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,973.81",APRDRG Case Rate,,,"2,973.81",APRDRG Case Rate,,,"2,973.81",APRDRG Case Rate,,,"2,973.81",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
382-2 - MALIGNANT BREAST DISORDERS,382-2,APR-DRG,,,,inpatient ,,,0,,"4,210.99","4,210.99",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,210.99",APRDRG Case Rate,,,"4,210.99",APRDRG Case Rate,,,"4,210.99",APRDRG Case Rate,,,"4,210.99",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
382-3 - MALIGNANT BREAST DISORDERS,382-3,APR-DRG,,,,inpatient ,,,0,,"6,048.99","6,048.99",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,048.99",APRDRG Case Rate,,,"6,048.99",APRDRG Case Rate,,,"6,048.99",APRDRG Case Rate,,,"6,048.99",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
382-4 - MALIGNANT BREAST DISORDERS,382-4,APR-DRG,,,,inpatient ,,,0,,"10,760.49","10,760.49",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,760.49",APRDRG Case Rate,,,"10,760.49",APRDRG Case Rate,,,"10,760.49",APRDRG Case Rate,,,"10,760.49",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
383-1 - CELLULITIS & OTHER SKIN INFECTIONS,383-1,APR-DRG,,,,inpatient ,,,0,,"2,686.60","2,686.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,686.60",APRDRG Case Rate,,,"2,686.60",APRDRG Case Rate,,,"2,686.60",APRDRG Case Rate,,,"2,686.60",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
383-2 - CELLULITIS & OTHER SKIN INFECTIONS,383-2,APR-DRG,,,,inpatient ,,,0,,"3,406.39","3,406.39",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,406.39",APRDRG Case Rate,,,"3,406.39",APRDRG Case Rate,,,"3,406.39",APRDRG Case Rate,,,"3,406.39",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
383-3 - CELLULITIS & OTHER SKIN INFECTIONS,383-3,APR-DRG,,,,inpatient ,,,0,,"5,273.24","5,273.24",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,273.24",APRDRG Case Rate,,,"5,273.24",APRDRG Case Rate,,,"5,273.24",APRDRG Case Rate,,,"5,273.24",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
383-4 - CELLULITIS & OTHER SKIN INFECTIONS,383-4,APR-DRG,,,,inpatient ,,,0,,"9,263.55","9,263.55",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,263.55",APRDRG Case Rate,,,"9,263.55",APRDRG Case Rate,,,"9,263.55",APRDRG Case Rate,,,"9,263.55",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"384-1 - CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE",384-1,APR-DRG,,,,inpatient ,,,0,,"7,786.32","7,786.32",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,786.32",APRDRG Case Rate,,,"7,786.32",APRDRG Case Rate,,,"7,786.32",APRDRG Case Rate,,,"7,786.32",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"384-2 - CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE",384-2,APR-DRG,,,,inpatient ,,,0,,"9,671.13","9,671.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,671.13",APRDRG Case Rate,,,"9,671.13",APRDRG Case Rate,,,"9,671.13",APRDRG Case Rate,,,"9,671.13",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"384-3 - CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE",384-3,APR-DRG,,,,inpatient ,,,0,,"14,747.63","14,747.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,747.63",APRDRG Case Rate,,,"14,747.63",APRDRG Case Rate,,,"14,747.63",APRDRG Case Rate,,,"14,747.63",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"384-4 - CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE",384-4,APR-DRG,,,,inpatient ,,,0,,"29,652.59","29,652.59",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"29,652.59",APRDRG Case Rate,,,"29,652.59",APRDRG Case Rate,,,"29,652.59",APRDRG Case Rate,,,"29,652.59",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"385-1 - OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS",385-1,APR-DRG,,,,inpatient ,,,0,,"7,186.92","7,186.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,186.92",APRDRG Case Rate,,,"7,186.92",APRDRG Case Rate,,,"7,186.92",APRDRG Case Rate,,,"7,186.92",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"385-2 - OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS",385-2,APR-DRG,,,,inpatient ,,,0,,"10,348.33","10,348.33",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,348.33",APRDRG Case Rate,,,"10,348.33",APRDRG Case Rate,,,"10,348.33",APRDRG Case Rate,,,"10,348.33",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"385-3 - OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS",385-3,APR-DRG,,,,inpatient ,,,0,,"12,264.46","12,264.46",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,264.46",APRDRG Case Rate,,,"12,264.46",APRDRG Case Rate,,,"12,264.46",APRDRG Case Rate,,,"12,264.46",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"385-4 - OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS",385-4,APR-DRG,,,,inpatient ,,,0,,"21,777.56","21,777.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,777.56",APRDRG Case Rate,,,"21,777.56",APRDRG Case Rate,,,"21,777.56",APRDRG Case Rate,,,"21,777.56",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
401-1 - ADRENAL PROCEDURES,401-1,APR-DRG,,,,inpatient ,,,0,,"5,930.38","5,930.38",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,930.38",APRDRG Case Rate,,,"5,930.38",APRDRG Case Rate,,,"5,930.38",APRDRG Case Rate,,,"5,930.38",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
401-2 - ADRENAL PROCEDURES,401-2,APR-DRG,,,,inpatient ,,,0,,"10,915.71","10,915.71",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,915.71",APRDRG Case Rate,,,"10,915.71",APRDRG Case Rate,,,"10,915.71",APRDRG Case Rate,,,"10,915.71",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
401-3 - ADRENAL PROCEDURES,401-3,APR-DRG,,,,inpatient ,,,0,,"13,855.03","13,855.03",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,855.03",APRDRG Case Rate,,,"13,855.03",APRDRG Case Rate,,,"13,855.03",APRDRG Case Rate,,,"13,855.03",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
401-4 - ADRENAL PROCEDURES,401-4,APR-DRG,,,,inpatient ,,,0,,"17,599.66","17,599.66",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,599.66",APRDRG Case Rate,,,"17,599.66",APRDRG Case Rate,,,"17,599.66",APRDRG Case Rate,,,"17,599.66",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
403-1 - PROCEDURES FOR OBESITY,403-1,APR-DRG,,,,inpatient ,,,0,,"4,244.43","4,244.43",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,244.43",APRDRG Case Rate,,,"4,244.43",APRDRG Case Rate,,,"4,244.43",APRDRG Case Rate,,,"4,244.43",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
403-2 - PROCEDURES FOR OBESITY,403-2,APR-DRG,,,,inpatient ,,,0,,"5,864.21","5,864.21",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,864.21",APRDRG Case Rate,,,"5,864.21",APRDRG Case Rate,,,"5,864.21",APRDRG Case Rate,,,"5,864.21",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
403-3 - PROCEDURES FOR OBESITY,403-3,APR-DRG,,,,inpatient ,,,0,,"9,364.92","9,364.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,364.92",APRDRG Case Rate,,,"9,364.92",APRDRG Case Rate,,,"9,364.92",APRDRG Case Rate,,,"9,364.92",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
403-4 - PROCEDURES FOR OBESITY,403-4,APR-DRG,,,,inpatient ,,,0,,"16,739.08","16,739.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,739.08",APRDRG Case Rate,,,"16,739.08",APRDRG Case Rate,,,"16,739.08",APRDRG Case Rate,,,"16,739.08",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"404-1 - THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES",404-1,APR-DRG,,,,inpatient ,,,0,,"2,971.00","2,971.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,971.00",APRDRG Case Rate,,,"2,971.00",APRDRG Case Rate,,,"2,971.00",APRDRG Case Rate,,,"2,971.00",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"404-2 - THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES",404-2,APR-DRG,,,,inpatient ,,,0,,"3,868.17","3,868.17",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,868.17",APRDRG Case Rate,,,"3,868.17",APRDRG Case Rate,,,"3,868.17",APRDRG Case Rate,,,"3,868.17",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"404-3 - THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES",404-3,APR-DRG,,,,inpatient ,,,0,,"5,596.35","5,596.35",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,596.35",APRDRG Case Rate,,,"5,596.35",APRDRG Case Rate,,,"5,596.35",APRDRG Case Rate,,,"5,596.35",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"404-4 - THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES",404-4,APR-DRG,,,,inpatient ,,,0,,"9,808.76","9,808.76",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,808.76",APRDRG Case Rate,,,"9,808.76",APRDRG Case Rate,,,"9,808.76",APRDRG Case Rate,,,"9,808.76",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"405-1 - OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL & METABOLIC DISORDERS",405-1,APR-DRG,,,,inpatient ,,,0,,"2,096.35","2,096.35",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,096.35",APRDRG Case Rate,,,"2,096.35",APRDRG Case Rate,,,"2,096.35",APRDRG Case Rate,,,"2,096.35",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"405-2 - OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL & METABOLIC DISORDERS",405-2,APR-DRG,,,,inpatient ,,,0,,"3,453.90","3,453.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,453.90",APRDRG Case Rate,,,"3,453.90",APRDRG Case Rate,,,"3,453.90",APRDRG Case Rate,,,"3,453.90",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"405-3 - OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL & METABOLIC DISORDERS",405-3,APR-DRG,,,,inpatient ,,,0,,"6,944.06","6,944.06",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,944.06",APRDRG Case Rate,,,"6,944.06",APRDRG Case Rate,,,"6,944.06",APRDRG Case Rate,,,"6,944.06",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"405-4 - OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL & METABOLIC DISORDERS",405-4,APR-DRG,,,,inpatient ,,,0,,"13,672.35","13,672.35",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,672.35",APRDRG Case Rate,,,"13,672.35",APRDRG Case Rate,,,"13,672.35",APRDRG Case Rate,,,"13,672.35",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
420-1 - DIABETES,420-1,APR-DRG,,,,inpatient ,,,0,,"3,331.06","3,331.06",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,331.06",APRDRG Case Rate,,,"3,331.06",APRDRG Case Rate,,,"3,331.06",APRDRG Case Rate,,,"3,331.06",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
420-2 - DIABETES,420-2,APR-DRG,,,,inpatient ,,,0,,"3,922.73","3,922.73",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,922.73",APRDRG Case Rate,,,"3,922.73",APRDRG Case Rate,,,"3,922.73",APRDRG Case Rate,,,"3,922.73",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
420-3 - DIABETES,420-3,APR-DRG,,,,inpatient ,,,0,,"5,555.88","5,555.88",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,555.88",APRDRG Case Rate,,,"5,555.88",APRDRG Case Rate,,,"5,555.88",APRDRG Case Rate,,,"5,555.88",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
420-4 - DIABETES,420-4,APR-DRG,,,,inpatient ,,,0,,"8,228.05","8,228.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,228.05",APRDRG Case Rate,,,"8,228.05",APRDRG Case Rate,,,"8,228.05",APRDRG Case Rate,,,"8,228.05",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"421-1 - MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS",421-1,APR-DRG,,,,inpatient ,,,0,,"2,438.46","2,438.46",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,438.46",APRDRG Case Rate,,,"2,438.46",APRDRG Case Rate,,,"2,438.46",APRDRG Case Rate,,,"2,438.46",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"421-2 - MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS",421-2,APR-DRG,,,,inpatient ,,,0,,"3,341.97","3,341.97",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,341.97",APRDRG Case Rate,,,"3,341.97",APRDRG Case Rate,,,"3,341.97",APRDRG Case Rate,,,"3,341.97",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"421-3 - MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS",421-3,APR-DRG,,,,inpatient ,,,0,,"4,972.31","4,972.31",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,972.31",APRDRG Case Rate,,,"4,972.31",APRDRG Case Rate,,,"4,972.31",APRDRG Case Rate,,,"4,972.31",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"421-4 - MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS",421-4,APR-DRG,,,,inpatient ,,,0,,"9,082.99","9,082.99",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,082.99",APRDRG Case Rate,,,"9,082.99",APRDRG Case Rate,,,"9,082.99",APRDRG Case Rate,,,"9,082.99",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
422-1 - HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS,422-1,APR-DRG,,,,inpatient ,,,0,,"3,119.18","3,119.18",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,119.18",APRDRG Case Rate,,,"3,119.18",APRDRG Case Rate,,,"3,119.18",APRDRG Case Rate,,,"3,119.18",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
422-2 - HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS,422-2,APR-DRG,,,,inpatient ,,,0,,"3,909.35","3,909.35",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,909.35",APRDRG Case Rate,,,"3,909.35",APRDRG Case Rate,,,"3,909.35",APRDRG Case Rate,,,"3,909.35",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
422-3 - HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS,422-3,APR-DRG,,,,inpatient ,,,0,,"5,695.96","5,695.96",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,695.96",APRDRG Case Rate,,,"5,695.96",APRDRG Case Rate,,,"5,695.96",APRDRG Case Rate,,,"5,695.96",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
422-4 - HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS,422-4,APR-DRG,,,,inpatient ,,,0,,"9,547.24","9,547.24",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,547.24",APRDRG Case Rate,,,"9,547.24",APRDRG Case Rate,,,"9,547.24",APRDRG Case Rate,,,"9,547.24",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
423-1 - INBORN ERRORS OF METABOLISM,423-1,APR-DRG,,,,inpatient ,,,0,,"2,400.80","2,400.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,400.80",APRDRG Case Rate,,,"2,400.80",APRDRG Case Rate,,,"2,400.80",APRDRG Case Rate,,,"2,400.80",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
423-2 - INBORN ERRORS OF METABOLISM,423-2,APR-DRG,,,,inpatient ,,,0,,"3,166.69","3,166.69",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,166.69",APRDRG Case Rate,,,"3,166.69",APRDRG Case Rate,,,"3,166.69",APRDRG Case Rate,,,"3,166.69",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
423-3 - INBORN ERRORS OF METABOLISM,423-3,APR-DRG,,,,inpatient ,,,0,,"4,916.70","4,916.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,916.70",APRDRG Case Rate,,,"4,916.70",APRDRG Case Rate,,,"4,916.70",APRDRG Case Rate,,,"4,916.70",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
423-4 - INBORN ERRORS OF METABOLISM,423-4,APR-DRG,,,,inpatient ,,,0,,"9,864.02","9,864.02",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,864.02",APRDRG Case Rate,,,"9,864.02",APRDRG Case Rate,,,"9,864.02",APRDRG Case Rate,,,"9,864.02",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
424-1 - OTHER ENDOCRINE DISORDERS,424-1,APR-DRG,,,,inpatient ,,,0,,"7,369.94","7,369.94",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,369.94",APRDRG Case Rate,,,"7,369.94",APRDRG Case Rate,,,"7,369.94",APRDRG Case Rate,,,"7,369.94",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
424-2 - OTHER ENDOCRINE DISORDERS,424-2,APR-DRG,,,,inpatient ,,,0,,"12,987.06","12,987.06",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,987.06",APRDRG Case Rate,,,"12,987.06",APRDRG Case Rate,,,"12,987.06",APRDRG Case Rate,,,"12,987.06",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
424-3 - OTHER ENDOCRINE DISORDERS,424-3,APR-DRG,,,,inpatient ,,,0,,"16,297.71","16,297.71",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,297.71",APRDRG Case Rate,,,"16,297.71",APRDRG Case Rate,,,"16,297.71",APRDRG Case Rate,,,"16,297.71",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
424-4 - OTHER ENDOCRINE DISORDERS,424-4,APR-DRG,,,,inpatient ,,,0,,"27,364.06","27,364.06",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"27,364.06",APRDRG Case Rate,,,"27,364.06",APRDRG Case Rate,,,"27,364.06",APRDRG Case Rate,,,"27,364.06",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
425-1 - OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,425-1,APR-DRG,,,,inpatient ,,,0,,"6,404.48","6,404.48",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,404.48",APRDRG Case Rate,,,"6,404.48",APRDRG Case Rate,,,"6,404.48",APRDRG Case Rate,,,"6,404.48",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
425-2 - OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,425-2,APR-DRG,,,,inpatient ,,,0,,"7,435.41","7,435.41",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,435.41",APRDRG Case Rate,,,"7,435.41",APRDRG Case Rate,,,"7,435.41",APRDRG Case Rate,,,"7,435.41",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
425-3 - OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,425-3,APR-DRG,,,,inpatient ,,,0,,"10,606.68","10,606.68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,606.68",APRDRG Case Rate,,,"10,606.68",APRDRG Case Rate,,,"10,606.68",APRDRG Case Rate,,,"10,606.68",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
425-4 - OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,425-4,APR-DRG,,,,inpatient ,,,0,,"21,664.23","21,664.23",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,664.23",APRDRG Case Rate,,,"21,664.23",APRDRG Case Rate,,,"21,664.23",APRDRG Case Rate,,,"21,664.23",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
426-1 - NON-HYPOVOLEMIC SODIUM DISORDERS,426-1,APR-DRG,,,,inpatient ,,,0,,"5,251.07","5,251.07",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,251.07",APRDRG Case Rate,,,"5,251.07",APRDRG Case Rate,,,"5,251.07",APRDRG Case Rate,,,"5,251.07",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
426-2 - NON-HYPOVOLEMIC SODIUM DISORDERS,426-2,APR-DRG,,,,inpatient ,,,0,,"7,703.61","7,703.61",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,703.61",APRDRG Case Rate,,,"7,703.61",APRDRG Case Rate,,,"7,703.61",APRDRG Case Rate,,,"7,703.61",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
426-3 - NON-HYPOVOLEMIC SODIUM DISORDERS,426-3,APR-DRG,,,,inpatient ,,,0,,"12,927.58","12,927.58",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,927.58",APRDRG Case Rate,,,"12,927.58",APRDRG Case Rate,,,"12,927.58",APRDRG Case Rate,,,"12,927.58",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
426-4 - NON-HYPOVOLEMIC SODIUM DISORDERS,426-4,APR-DRG,,,,inpatient ,,,0,,"26,891.01","26,891.01",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"26,891.01",APRDRG Case Rate,,,"26,891.01",APRDRG Case Rate,,,"26,891.01",APRDRG Case Rate,,,"26,891.01",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
427-1 - THYROID DISORDERS,427-1,APR-DRG,,,,inpatient ,,,0,,"7,384.02","7,384.02",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,384.02",APRDRG Case Rate,,,"7,384.02",APRDRG Case Rate,,,"7,384.02",APRDRG Case Rate,,,"7,384.02",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
427-2 - THYROID DISORDERS,427-2,APR-DRG,,,,inpatient ,,,0,,"8,325.90","8,325.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,325.90",APRDRG Case Rate,,,"8,325.90",APRDRG Case Rate,,,"8,325.90",APRDRG Case Rate,,,"8,325.90",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
427-3 - THYROID DISORDERS,427-3,APR-DRG,,,,inpatient ,,,0,,"12,645.65","12,645.65",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,645.65",APRDRG Case Rate,,,"12,645.65",APRDRG Case Rate,,,"12,645.65",APRDRG Case Rate,,,"12,645.65",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
427-4 - THYROID DISORDERS,427-4,APR-DRG,,,,inpatient ,,,0,,"25,094.20","25,094.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"25,094.20",APRDRG Case Rate,,,"25,094.20",APRDRG Case Rate,,,"25,094.20",APRDRG Case Rate,,,"25,094.20",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
440-1 - KIDNEY TRANSPLANT,440-1,APR-DRG,,,,inpatient ,,,0,,"2,451.48","2,451.48",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,451.48",APRDRG Case Rate,,,"2,451.48",APRDRG Case Rate,,,"2,451.48",APRDRG Case Rate,,,"2,451.48",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
440-2 - KIDNEY TRANSPLANT,440-2,APR-DRG,,,,inpatient ,,,0,,"3,150.50","3,150.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,150.50",APRDRG Case Rate,,,"3,150.50",APRDRG Case Rate,,,"3,150.50",APRDRG Case Rate,,,"3,150.50",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
440-3 - KIDNEY TRANSPLANT,440-3,APR-DRG,,,,inpatient ,,,0,,"4,658.00","4,658.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,658.00",APRDRG Case Rate,,,"4,658.00",APRDRG Case Rate,,,"4,658.00",APRDRG Case Rate,,,"4,658.00",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
440-4 - KIDNEY TRANSPLANT,440-4,APR-DRG,,,,inpatient ,,,0,,"9,108.33","9,108.33",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,108.33",APRDRG Case Rate,,,"9,108.33",APRDRG Case Rate,,,"9,108.33",APRDRG Case Rate,,,"9,108.33",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
441-1 - MAJOR BLADDER PROCEDURES,441-1,APR-DRG,,,,inpatient ,,,0,,"2,246.64","2,246.64",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,246.64",APRDRG Case Rate,,,"2,246.64",APRDRG Case Rate,,,"2,246.64",APRDRG Case Rate,,,"2,246.64",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
441-2 - MAJOR BLADDER PROCEDURES,441-2,APR-DRG,,,,inpatient ,,,0,,"3,360.63","3,360.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,360.63",APRDRG Case Rate,,,"3,360.63",APRDRG Case Rate,,,"3,360.63",APRDRG Case Rate,,,"3,360.63",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
441-3 - MAJOR BLADDER PROCEDURES,441-3,APR-DRG,,,,inpatient ,,,0,,"5,092.68","5,092.68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,092.68",APRDRG Case Rate,,,"5,092.68",APRDRG Case Rate,,,"5,092.68",APRDRG Case Rate,,,"5,092.68",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
441-4 - MAJOR BLADDER PROCEDURES,441-4,APR-DRG,,,,inpatient ,,,0,,"9,822.13","9,822.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,822.13",APRDRG Case Rate,,,"9,822.13",APRDRG Case Rate,,,"9,822.13",APRDRG Case Rate,,,"9,822.13",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
442-1 - KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY,442-1,APR-DRG,,,,inpatient ,,,0,,"1,904.17","1,904.17",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,904.17",APRDRG Case Rate,,,"1,904.17",APRDRG Case Rate,,,"1,904.17",APRDRG Case Rate,,,"1,904.17",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
442-2 - KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY,442-2,APR-DRG,,,,inpatient ,,,0,,"2,833.73","2,833.73",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,833.73",APRDRG Case Rate,,,"2,833.73",APRDRG Case Rate,,,"2,833.73",APRDRG Case Rate,,,"2,833.73",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
442-3 - KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY,442-3,APR-DRG,,,,inpatient ,,,0,,"4,124.76","4,124.76",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,124.76",APRDRG Case Rate,,,"4,124.76",APRDRG Case Rate,,,"4,124.76",APRDRG Case Rate,,,"4,124.76",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
442-4 - KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY,442-4,APR-DRG,,,,inpatient ,,,0,,"7,210.85","7,210.85",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,210.85",APRDRG Case Rate,,,"7,210.85",APRDRG Case Rate,,,"7,210.85",APRDRG Case Rate,,,"7,210.85",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
443-1 - KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY,443-1,APR-DRG,,,,inpatient ,,,0,,"2,888.28","2,888.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,888.28",APRDRG Case Rate,,,"2,888.28",APRDRG Case Rate,,,"2,888.28",APRDRG Case Rate,,,"2,888.28",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
443-2 - KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY,443-2,APR-DRG,,,,inpatient ,,,0,,"3,783.70","3,783.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,783.70",APRDRG Case Rate,,,"3,783.70",APRDRG Case Rate,,,"3,783.70",APRDRG Case Rate,,,"3,783.70",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
443-3 - KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY,443-3,APR-DRG,,,,inpatient ,,,0,,"5,943.05","5,943.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,943.05",APRDRG Case Rate,,,"5,943.05",APRDRG Case Rate,,,"5,943.05",APRDRG Case Rate,,,"5,943.05",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
443-4 - KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY,443-4,APR-DRG,,,,inpatient ,,,0,,"12,857.54","12,857.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,857.54",APRDRG Case Rate,,,"12,857.54",APRDRG Case Rate,,,"12,857.54",APRDRG Case Rate,,,"12,857.54",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
444-1 - RENAL DIALYSIS ACCESS DEVICE AND VESSEL REPAIR,444-1,APR-DRG,,,,inpatient ,,,0,,"2,752.77","2,752.77",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,752.77",APRDRG Case Rate,,,"2,752.77",APRDRG Case Rate,,,"2,752.77",APRDRG Case Rate,,,"2,752.77",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
444-2 - RENAL DIALYSIS ACCESS DEVICE AND VESSEL REPAIR,444-2,APR-DRG,,,,inpatient ,,,0,,"3,830.51","3,830.51",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,830.51",APRDRG Case Rate,,,"3,830.51",APRDRG Case Rate,,,"3,830.51",APRDRG Case Rate,,,"3,830.51",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
444-3 - RENAL DIALYSIS ACCESS DEVICE AND VESSEL REPAIR,444-3,APR-DRG,,,,inpatient ,,,0,,"5,632.61","5,632.61",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,632.61",APRDRG Case Rate,,,"5,632.61",APRDRG Case Rate,,,"5,632.61",APRDRG Case Rate,,,"5,632.61",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
444-4 - RENAL DIALYSIS ACCESS DEVICE AND VESSEL REPAIR,444-4,APR-DRG,,,,inpatient ,,,0,,"9,955.53","9,955.53",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,955.53",APRDRG Case Rate,,,"9,955.53",APRDRG Case Rate,,,"9,955.53",APRDRG Case Rate,,,"9,955.53",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
445-1 - OTHER BLADDER PROCEDURES,445-1,APR-DRG,,,,inpatient ,,,0,,"2,447.61","2,447.61",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,447.61",APRDRG Case Rate,,,"2,447.61",APRDRG Case Rate,,,"2,447.61",APRDRG Case Rate,,,"2,447.61",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
445-2 - OTHER BLADDER PROCEDURES,445-2,APR-DRG,,,,inpatient ,,,0,,"2,997.04","2,997.04",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,997.04",APRDRG Case Rate,,,"2,997.04",APRDRG Case Rate,,,"2,997.04",APRDRG Case Rate,,,"2,997.04",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
445-3 - OTHER BLADDER PROCEDURES,445-3,APR-DRG,,,,inpatient ,,,0,,"4,056.48","4,056.48",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,056.48",APRDRG Case Rate,,,"4,056.48",APRDRG Case Rate,,,"4,056.48",APRDRG Case Rate,,,"4,056.48",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
445-4 - OTHER BLADDER PROCEDURES,445-4,APR-DRG,,,,inpatient ,,,0,,"8,019.68","8,019.68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,019.68",APRDRG Case Rate,,,"8,019.68",APRDRG Case Rate,,,"8,019.68",APRDRG Case Rate,,,"8,019.68",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
446-1 - URETHRAL & TRANSURETHRAL PROCEDURES,446-1,APR-DRG,,,,inpatient ,,,0,,"2,612.69","2,612.69",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,612.69",APRDRG Case Rate,,,"2,612.69",APRDRG Case Rate,,,"2,612.69",APRDRG Case Rate,,,"2,612.69",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
446-2 - URETHRAL & TRANSURETHRAL PROCEDURES,446-2,APR-DRG,,,,inpatient ,,,0,,"3,460.59","3,460.59",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,460.59",APRDRG Case Rate,,,"3,460.59",APRDRG Case Rate,,,"3,460.59",APRDRG Case Rate,,,"3,460.59",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
446-3 - URETHRAL & TRANSURETHRAL PROCEDURES,446-3,APR-DRG,,,,inpatient ,,,0,,"5,058.54","5,058.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,058.54",APRDRG Case Rate,,,"5,058.54",APRDRG Case Rate,,,"5,058.54",APRDRG Case Rate,,,"5,058.54",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
446-4 - URETHRAL & TRANSURETHRAL PROCEDURES,446-4,APR-DRG,,,,inpatient ,,,0,,"8,968.25","8,968.25",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,968.25",APRDRG Case Rate,,,"8,968.25",APRDRG Case Rate,,,"8,968.25",APRDRG Case Rate,,,"8,968.25",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"447-1 - OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES",447-1,APR-DRG,,,,inpatient ,,,0,,"2,550.74","2,550.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,550.74",APRDRG Case Rate,,,"2,550.74",APRDRG Case Rate,,,"2,550.74",APRDRG Case Rate,,,"2,550.74",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"447-2 - OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES",447-2,APR-DRG,,,,inpatient ,,,0,,"3,518.66","3,518.66",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,518.66",APRDRG Case Rate,,,"3,518.66",APRDRG Case Rate,,,"3,518.66",APRDRG Case Rate,,,"3,518.66",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"447-3 - OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES",447-3,APR-DRG,,,,inpatient ,,,0,,"5,604.45","5,604.45",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,604.45",APRDRG Case Rate,,,"5,604.45",APRDRG Case Rate,,,"5,604.45",APRDRG Case Rate,,,"5,604.45",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"447-4 - OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES",447-4,APR-DRG,,,,inpatient ,,,0,,"9,787.99","9,787.99",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,787.99",APRDRG Case Rate,,,"9,787.99",APRDRG Case Rate,,,"9,787.99",APRDRG Case Rate,,,"9,787.99",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
461-1 - KIDNEY & URINARY TRACT MALIGNANCY,461-1,APR-DRG,,,,inpatient ,,,0,,"24,646.14","24,646.14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"24,646.14",APRDRG Case Rate,,,"24,646.14",APRDRG Case Rate,,,"24,646.14",APRDRG Case Rate,,,"24,646.14",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
461-2 - KIDNEY & URINARY TRACT MALIGNANCY,461-2,APR-DRG,,,,inpatient ,,,0,,"27,601.64","27,601.64",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"27,601.64",APRDRG Case Rate,,,"27,601.64",APRDRG Case Rate,,,"27,601.64",APRDRG Case Rate,,,"27,601.64",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
461-3 - KIDNEY & URINARY TRACT MALIGNANCY,461-3,APR-DRG,,,,inpatient ,,,0,,"32,182.21","32,182.21",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"32,182.21",APRDRG Case Rate,,,"32,182.21",APRDRG Case Rate,,,"32,182.21",APRDRG Case Rate,,,"32,182.21",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
461-4 - KIDNEY & URINARY TRACT MALIGNANCY,461-4,APR-DRG,,,,inpatient ,,,0,,"48,823.44","48,823.44",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,823.44",APRDRG Case Rate,,,"48,823.44",APRDRG Case Rate,,,"48,823.44",APRDRG Case Rate,,,"48,823.44",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
462-1 - NEPHRITIS & NEPHROSIS,462-1,APR-DRG,,,,inpatient ,,,0,,"8,393.48","8,393.48",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,393.48",APRDRG Case Rate,,,"8,393.48",APRDRG Case Rate,,,"8,393.48",APRDRG Case Rate,,,"8,393.48",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
462-2 - NEPHRITIS & NEPHROSIS,462-2,APR-DRG,,,,inpatient ,,,0,,"12,773.42","12,773.42",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,773.42",APRDRG Case Rate,,,"12,773.42",APRDRG Case Rate,,,"12,773.42",APRDRG Case Rate,,,"12,773.42",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
462-3 - NEPHRITIS & NEPHROSIS,462-3,APR-DRG,,,,inpatient ,,,0,,"16,701.78","16,701.78",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,701.78",APRDRG Case Rate,,,"16,701.78",APRDRG Case Rate,,,"16,701.78",APRDRG Case Rate,,,"16,701.78",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
462-4 - NEPHRITIS & NEPHROSIS,462-4,APR-DRG,,,,inpatient ,,,0,,"32,905.86","32,905.86",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"32,905.86",APRDRG Case Rate,,,"32,905.86",APRDRG Case Rate,,,"32,905.86",APRDRG Case Rate,,,"32,905.86",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
463-1 - KIDNEY & URINARY TRACT INFECTIONS,463-1,APR-DRG,,,,inpatient ,,,0,,"7,851.09","7,851.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,851.09",APRDRG Case Rate,,,"7,851.09",APRDRG Case Rate,,,"7,851.09",APRDRG Case Rate,,,"7,851.09",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
463-2 - KIDNEY & URINARY TRACT INFECTIONS,463-2,APR-DRG,,,,inpatient ,,,0,,"9,117.13","9,117.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,117.13",APRDRG Case Rate,,,"9,117.13",APRDRG Case Rate,,,"9,117.13",APRDRG Case Rate,,,"9,117.13",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
463-3 - KIDNEY & URINARY TRACT INFECTIONS,463-3,APR-DRG,,,,inpatient ,,,0,,"13,245.76","13,245.76",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,245.76",APRDRG Case Rate,,,"13,245.76",APRDRG Case Rate,,,"13,245.76",APRDRG Case Rate,,,"13,245.76",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
463-4 - KIDNEY & URINARY TRACT INFECTIONS,463-4,APR-DRG,,,,inpatient ,,,0,,"23,205.87","23,205.87",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,205.87",APRDRG Case Rate,,,"23,205.87",APRDRG Case Rate,,,"23,205.87",APRDRG Case Rate,,,"23,205.87",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
465-1 - URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION,465-1,APR-DRG,,,,inpatient ,,,0,,"6,608.63","6,608.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,608.63",APRDRG Case Rate,,,"6,608.63",APRDRG Case Rate,,,"6,608.63",APRDRG Case Rate,,,"6,608.63",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
465-2 - URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION,465-2,APR-DRG,,,,inpatient ,,,0,,"7,651.87","7,651.87",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,651.87",APRDRG Case Rate,,,"7,651.87",APRDRG Case Rate,,,"7,651.87",APRDRG Case Rate,,,"7,651.87",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
465-3 - URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION,465-3,APR-DRG,,,,inpatient ,,,0,,"11,252.54","11,252.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,252.54",APRDRG Case Rate,,,"11,252.54",APRDRG Case Rate,,,"11,252.54",APRDRG Case Rate,,,"11,252.54",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
465-4 - URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION,465-4,APR-DRG,,,,inpatient ,,,0,,"18,857.60","18,857.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,857.60",APRDRG Case Rate,,,"18,857.60",APRDRG Case Rate,,,"18,857.60",APRDRG Case Rate,,,"18,857.60",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"466-1 - MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC",466-1,APR-DRG,,,,inpatient ,,,0,,"5,197.92","5,197.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,197.92",APRDRG Case Rate,,,"5,197.92",APRDRG Case Rate,,,"5,197.92",APRDRG Case Rate,,,"5,197.92",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"466-2 - MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC",466-2,APR-DRG,,,,inpatient ,,,0,,"7,750.78","7,750.78",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,750.78",APRDRG Case Rate,,,"7,750.78",APRDRG Case Rate,,,"7,750.78",APRDRG Case Rate,,,"7,750.78",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"466-3 - MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC",466-3,APR-DRG,,,,inpatient ,,,0,,"11,435.57","11,435.57",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,435.57",APRDRG Case Rate,,,"11,435.57",APRDRG Case Rate,,,"11,435.57",APRDRG Case Rate,,,"11,435.57",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"466-4 - MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC",466-4,APR-DRG,,,,inpatient ,,,0,,"19,541.84","19,541.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,541.84",APRDRG Case Rate,,,"19,541.84",APRDRG Case Rate,,,"19,541.84",APRDRG Case Rate,,,"19,541.84",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"468-1 - OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS",468-1,APR-DRG,,,,inpatient ,,,0,,"5,407.70","5,407.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,407.70",APRDRG Case Rate,,,"5,407.70",APRDRG Case Rate,,,"5,407.70",APRDRG Case Rate,,,"5,407.70",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"468-2 - OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS",468-2,APR-DRG,,,,inpatient ,,,0,,"6,880.35","6,880.35",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,880.35",APRDRG Case Rate,,,"6,880.35",APRDRG Case Rate,,,"6,880.35",APRDRG Case Rate,,,"6,880.35",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"468-3 - OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS",468-3,APR-DRG,,,,inpatient ,,,0,,"9,662.34","9,662.34",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,662.34",APRDRG Case Rate,,,"9,662.34",APRDRG Case Rate,,,"9,662.34",APRDRG Case Rate,,,"9,662.34",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"468-4 - OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS",468-4,APR-DRG,,,,inpatient ,,,0,,"18,043.84","18,043.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,043.84",APRDRG Case Rate,,,"18,043.84",APRDRG Case Rate,,,"18,043.84",APRDRG Case Rate,,,"18,043.84",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
469-1 - ACUTE KIDNEY INJURY,469-1,APR-DRG,,,,inpatient ,,,0,,"4,680.52","4,680.52",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,680.52",APRDRG Case Rate,,,"4,680.52",APRDRG Case Rate,,,"4,680.52",APRDRG Case Rate,,,"4,680.52",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
469-2 - ACUTE KIDNEY INJURY,469-2,APR-DRG,,,,inpatient ,,,0,,"5,699.13","5,699.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,699.13",APRDRG Case Rate,,,"5,699.13",APRDRG Case Rate,,,"5,699.13",APRDRG Case Rate,,,"5,699.13",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
469-3 - ACUTE KIDNEY INJURY,469-3,APR-DRG,,,,inpatient ,,,0,,"8,959.10","8,959.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,959.10",APRDRG Case Rate,,,"8,959.10",APRDRG Case Rate,,,"8,959.10",APRDRG Case Rate,,,"8,959.10",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
469-4 - ACUTE KIDNEY INJURY,469-4,APR-DRG,,,,inpatient ,,,0,,"14,848.99","14,848.99",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,848.99",APRDRG Case Rate,,,"14,848.99",APRDRG Case Rate,,,"14,848.99",APRDRG Case Rate,,,"14,848.99",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
470-1 - CHRONIC KIDNEY DISEASE,470-1,APR-DRG,,,,inpatient ,,,0,,"7,053.87","7,053.87",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,053.87",APRDRG Case Rate,,,"7,053.87",APRDRG Case Rate,,,"7,053.87",APRDRG Case Rate,,,"7,053.87",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
470-2 - CHRONIC KIDNEY DISEASE,470-2,APR-DRG,,,,inpatient ,,,0,,"8,540.60","8,540.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,540.60",APRDRG Case Rate,,,"8,540.60",APRDRG Case Rate,,,"8,540.60",APRDRG Case Rate,,,"8,540.60",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
470-3 - CHRONIC KIDNEY DISEASE,470-3,APR-DRG,,,,inpatient ,,,0,,"11,920.59","11,920.59",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,920.59",APRDRG Case Rate,,,"11,920.59",APRDRG Case Rate,,,"11,920.59",APRDRG Case Rate,,,"11,920.59",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
470-4 - CHRONIC KIDNEY DISEASE,470-4,APR-DRG,,,,inpatient ,,,0,,"24,301.91","24,301.91",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"24,301.91",APRDRG Case Rate,,,"24,301.91",APRDRG Case Rate,,,"24,301.91",APRDRG Case Rate,,,"24,301.91",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
480-1 - MAJOR MALE PELVIC PROCEDURES,480-1,APR-DRG,,,,inpatient ,,,0,,"3,483.11","3,483.11",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,483.11",APRDRG Case Rate,,,"3,483.11",APRDRG Case Rate,,,"3,483.11",APRDRG Case Rate,,,"3,483.11",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
480-2 - MAJOR MALE PELVIC PROCEDURES,480-2,APR-DRG,,,,inpatient ,,,0,,"4,201.14","4,201.14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,201.14",APRDRG Case Rate,,,"4,201.14",APRDRG Case Rate,,,"4,201.14",APRDRG Case Rate,,,"4,201.14",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
480-3 - MAJOR MALE PELVIC PROCEDURES,480-3,APR-DRG,,,,inpatient ,,,0,,"6,080.32","6,080.32",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,080.32",APRDRG Case Rate,,,"6,080.32",APRDRG Case Rate,,,"6,080.32",APRDRG Case Rate,,,"6,080.32",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
480-4 - MAJOR MALE PELVIC PROCEDURES,480-4,APR-DRG,,,,inpatient ,,,0,,"8,801.76","8,801.76",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,801.76",APRDRG Case Rate,,,"8,801.76",APRDRG Case Rate,,,"8,801.76",APRDRG Case Rate,,,"8,801.76",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
482-1 - TRANSURETHRAL PROSTATECTOMY,482-1,APR-DRG,,,,inpatient ,,,0,,"2,382.15","2,382.15",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,382.15",APRDRG Case Rate,,,"2,382.15",APRDRG Case Rate,,,"2,382.15",APRDRG Case Rate,,,"2,382.15",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
482-2 - TRANSURETHRAL PROSTATECTOMY,482-2,APR-DRG,,,,inpatient ,,,0,,"3,478.54","3,478.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,478.54",APRDRG Case Rate,,,"3,478.54",APRDRG Case Rate,,,"3,478.54",APRDRG Case Rate,,,"3,478.54",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
482-3 - TRANSURETHRAL PROSTATECTOMY,482-3,APR-DRG,,,,inpatient ,,,0,,"6,455.87","6,455.87",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,455.87",APRDRG Case Rate,,,"6,455.87",APRDRG Case Rate,,,"6,455.87",APRDRG Case Rate,,,"6,455.87",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
482-4 - TRANSURETHRAL PROSTATECTOMY,482-4,APR-DRG,,,,inpatient ,,,0,,"14,490.34","14,490.34",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,490.34",APRDRG Case Rate,,,"14,490.34",APRDRG Case Rate,,,"14,490.34",APRDRG Case Rate,,,"14,490.34",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"483-1 - PENIS, TESTES & SCROTAL PROCEDURES",483-1,APR-DRG,,,,inpatient ,,,0,,"2,655.98","2,655.98",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,655.98",APRDRG Case Rate,,,"2,655.98",APRDRG Case Rate,,,"2,655.98",APRDRG Case Rate,,,"2,655.98",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"483-2 - PENIS, TESTES & SCROTAL PROCEDURES",483-2,APR-DRG,,,,inpatient ,,,0,,"3,338.10","3,338.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,338.10",APRDRG Case Rate,,,"3,338.10",APRDRG Case Rate,,,"3,338.10",APRDRG Case Rate,,,"3,338.10",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"483-3 - PENIS, TESTES & SCROTAL PROCEDURES",483-3,APR-DRG,,,,inpatient ,,,0,,"4,482.36","4,482.36",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,482.36",APRDRG Case Rate,,,"4,482.36",APRDRG Case Rate,,,"4,482.36",APRDRG Case Rate,,,"4,482.36",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"483-4 - PENIS, TESTES & SCROTAL PROCEDURES",483-4,APR-DRG,,,,inpatient ,,,0,,"6,973.62","6,973.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,973.62",APRDRG Case Rate,,,"6,973.62",APRDRG Case Rate,,,"6,973.62",APRDRG Case Rate,,,"6,973.62",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
484-1 - OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES,484-1,APR-DRG,,,,inpatient ,,,0,,"2,797.83","2,797.83",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,797.83",APRDRG Case Rate,,,"2,797.83",APRDRG Case Rate,,,"2,797.83",APRDRG Case Rate,,,"2,797.83",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
484-2 - OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES,484-2,APR-DRG,,,,inpatient ,,,0,,"3,437.36","3,437.36",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,437.36",APRDRG Case Rate,,,"3,437.36",APRDRG Case Rate,,,"3,437.36",APRDRG Case Rate,,,"3,437.36",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
484-3 - OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES,484-3,APR-DRG,,,,inpatient ,,,0,,"5,688.92","5,688.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,688.92",APRDRG Case Rate,,,"5,688.92",APRDRG Case Rate,,,"5,688.92",APRDRG Case Rate,,,"5,688.92",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
484-4 - OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES,484-4,APR-DRG,,,,inpatient ,,,0,,"9,881.97","9,881.97",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,881.97",APRDRG Case Rate,,,"9,881.97",APRDRG Case Rate,,,"9,881.97",APRDRG Case Rate,,,"9,881.97",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"500-1 - MALIGNANCY, MALE REPRODUCTIVE SYSTEM",500-1,APR-DRG,,,,inpatient ,,,0,,"2,400.80","2,400.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,400.80",APRDRG Case Rate,,,"2,400.80",APRDRG Case Rate,,,"2,400.80",APRDRG Case Rate,,,"2,400.80",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"500-2 - MALIGNANCY, MALE REPRODUCTIVE SYSTEM",500-2,APR-DRG,,,,inpatient ,,,0,,"3,438.77","3,438.77",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,438.77",APRDRG Case Rate,,,"3,438.77",APRDRG Case Rate,,,"3,438.77",APRDRG Case Rate,,,"3,438.77",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"500-3 - MALIGNANCY, MALE REPRODUCTIVE SYSTEM",500-3,APR-DRG,,,,inpatient ,,,0,,"4,886.43","4,886.43",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,886.43",APRDRG Case Rate,,,"4,886.43",APRDRG Case Rate,,,"4,886.43",APRDRG Case Rate,,,"4,886.43",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"500-4 - MALIGNANCY, MALE REPRODUCTIVE SYSTEM",500-4,APR-DRG,,,,inpatient ,,,0,,"8,182.29","8,182.29",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,182.29",APRDRG Case Rate,,,"8,182.29",APRDRG Case Rate,,,"8,182.29",APRDRG Case Rate,,,"8,182.29",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
501-1 - MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,501-1,APR-DRG,,,,inpatient ,,,0,,"2,591.22","2,591.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,591.22",APRDRG Case Rate,,,"2,591.22",APRDRG Case Rate,,,"2,591.22",APRDRG Case Rate,,,"2,591.22",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
501-2 - MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,501-2,APR-DRG,,,,inpatient ,,,0,,"3,563.72","3,563.72",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,563.72",APRDRG Case Rate,,,"3,563.72",APRDRG Case Rate,,,"3,563.72",APRDRG Case Rate,,,"3,563.72",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
501-3 - MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,501-3,APR-DRG,,,,inpatient ,,,0,,"5,088.11","5,088.11",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,088.11",APRDRG Case Rate,,,"5,088.11",APRDRG Case Rate,,,"5,088.11",APRDRG Case Rate,,,"5,088.11",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
501-4 - MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,501-4,APR-DRG,,,,inpatient ,,,0,,"8,918.62","8,918.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,918.62",APRDRG Case Rate,,,"8,918.62",APRDRG Case Rate,,,"8,918.62",APRDRG Case Rate,,,"8,918.62",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"510-1 - PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS",510-1,APR-DRG,,,,inpatient ,,,0,,"2,621.14","2,621.14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,621.14",APRDRG Case Rate,,,"2,621.14",APRDRG Case Rate,,,"2,621.14",APRDRG Case Rate,,,"2,621.14",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"510-2 - PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS",510-2,APR-DRG,,,,inpatient ,,,0,,"3,399.35","3,399.35",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,399.35",APRDRG Case Rate,,,"3,399.35",APRDRG Case Rate,,,"3,399.35",APRDRG Case Rate,,,"3,399.35",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"510-3 - PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS",510-3,APR-DRG,,,,inpatient ,,,0,,"5,305.63","5,305.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,305.63",APRDRG Case Rate,,,"5,305.63",APRDRG Case Rate,,,"5,305.63",APRDRG Case Rate,,,"5,305.63",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"510-4 - PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS",510-4,APR-DRG,,,,inpatient ,,,0,,"9,926.31","9,926.31",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,926.31",APRDRG Case Rate,,,"9,926.31",APRDRG Case Rate,,,"9,926.31",APRDRG Case Rate,,,"9,926.31",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
511-1 - UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY,511-1,APR-DRG,,,,inpatient ,,,0,,"2,191.73","2,191.73",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,191.73",APRDRG Case Rate,,,"2,191.73",APRDRG Case Rate,,,"2,191.73",APRDRG Case Rate,,,"2,191.73",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
511-2 - UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY,511-2,APR-DRG,,,,inpatient ,,,0,,"2,984.72","2,984.72",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,984.72",APRDRG Case Rate,,,"2,984.72",APRDRG Case Rate,,,"2,984.72",APRDRG Case Rate,,,"2,984.72",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
511-3 - UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY,511-3,APR-DRG,,,,inpatient ,,,0,,"4,932.18","4,932.18",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,932.18",APRDRG Case Rate,,,"4,932.18",APRDRG Case Rate,,,"4,932.18",APRDRG Case Rate,,,"4,932.18",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
511-4 - UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY,511-4,APR-DRG,,,,inpatient ,,,0,,"8,638.80","8,638.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,638.80",APRDRG Case Rate,,,"8,638.80",APRDRG Case Rate,,,"8,638.80",APRDRG Case Rate,,,"8,638.80",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
512-1 - UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG,512-1,APR-DRG,,,,inpatient ,,,0,,"7,381.56","7,381.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,381.56",APRDRG Case Rate,,,"7,381.56",APRDRG Case Rate,,,"7,381.56",APRDRG Case Rate,,,"7,381.56",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
512-2 - UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG,512-2,APR-DRG,,,,inpatient ,,,0,,"8,483.93","8,483.93",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,483.93",APRDRG Case Rate,,,"8,483.93",APRDRG Case Rate,,,"8,483.93",APRDRG Case Rate,,,"8,483.93",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
512-3 - UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG,512-3,APR-DRG,,,,inpatient ,,,0,,"12,651.99","12,651.99",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,651.99",APRDRG Case Rate,,,"12,651.99",APRDRG Case Rate,,,"12,651.99",APRDRG Case Rate,,,"12,651.99",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
512-4 - UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG,512-4,APR-DRG,,,,inpatient ,,,0,,"20,779.72","20,779.72",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,779.72",APRDRG Case Rate,,,"20,779.72",APRDRG Case Rate,,,"20,779.72",APRDRG Case Rate,,,"20,779.72",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
513-1 - UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,513-1,APR-DRG,,,,inpatient ,,,0,,"4,063.87","4,063.87",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,063.87",APRDRG Case Rate,,,"4,063.87",APRDRG Case Rate,,,"4,063.87",APRDRG Case Rate,,,"4,063.87",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
513-2 - UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,513-2,APR-DRG,,,,inpatient ,,,0,,"4,969.84","4,969.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,969.84",APRDRG Case Rate,,,"4,969.84",APRDRG Case Rate,,,"4,969.84",APRDRG Case Rate,,,"4,969.84",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
513-3 - UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,513-3,APR-DRG,,,,inpatient ,,,0,,"9,038.99","9,038.99",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,038.99",APRDRG Case Rate,,,"9,038.99",APRDRG Case Rate,,,"9,038.99",APRDRG Case Rate,,,"9,038.99",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
513-4 - UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,513-4,APR-DRG,,,,inpatient ,,,0,,"15,041.52","15,041.52",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,041.52",APRDRG Case Rate,,,"15,041.52",APRDRG Case Rate,,,"15,041.52",APRDRG Case Rate,,,"15,041.52",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
514-1 - FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,514-1,APR-DRG,,,,inpatient ,,,0,,"5,233.82","5,233.82",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,233.82",APRDRG Case Rate,,,"5,233.82",APRDRG Case Rate,,,"5,233.82",APRDRG Case Rate,,,"5,233.82",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
514-2 - FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,514-2,APR-DRG,,,,inpatient ,,,0,,"6,990.87","6,990.87",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,990.87",APRDRG Case Rate,,,"6,990.87",APRDRG Case Rate,,,"6,990.87",APRDRG Case Rate,,,"6,990.87",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
514-3 - FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,514-3,APR-DRG,,,,inpatient ,,,0,,"10,507.07","10,507.07",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,507.07",APRDRG Case Rate,,,"10,507.07",APRDRG Case Rate,,,"10,507.07",APRDRG Case Rate,,,"10,507.07",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
514-4 - FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,514-4,APR-DRG,,,,inpatient ,,,0,,"18,961.79","18,961.79",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,961.79",APRDRG Case Rate,,,"18,961.79",APRDRG Case Rate,,,"18,961.79",APRDRG Case Rate,,,"18,961.79",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
517-1 - DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,517-1,APR-DRG,,,,inpatient ,,,0,,"6,238.70","6,238.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,238.70",APRDRG Case Rate,,,"6,238.70",APRDRG Case Rate,,,"6,238.70",APRDRG Case Rate,,,"6,238.70",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
517-2 - DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,517-2,APR-DRG,,,,inpatient ,,,0,,"7,973.22","7,973.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,973.22",APRDRG Case Rate,,,"7,973.22",APRDRG Case Rate,,,"7,973.22",APRDRG Case Rate,,,"7,973.22",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
517-3 - DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,517-3,APR-DRG,,,,inpatient ,,,0,,"9,561.67","9,561.67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,561.67",APRDRG Case Rate,,,"9,561.67",APRDRG Case Rate,,,"9,561.67",APRDRG Case Rate,,,"9,561.67",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
517-4 - DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,517-4,APR-DRG,,,,inpatient ,,,0,,"21,076.08","21,076.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,076.08",APRDRG Case Rate,,,"21,076.08",APRDRG Case Rate,,,"21,076.08",APRDRG Case Rate,,,"21,076.08",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
518-1 - OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES,518-1,APR-DRG,,,,inpatient ,,,0,,"2,797.12","2,797.12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,797.12",APRDRG Case Rate,,,"2,797.12",APRDRG Case Rate,,,"2,797.12",APRDRG Case Rate,,,"2,797.12",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
518-2 - OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES,518-2,APR-DRG,,,,inpatient ,,,0,,"3,833.33","3,833.33",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,833.33",APRDRG Case Rate,,,"3,833.33",APRDRG Case Rate,,,"3,833.33",APRDRG Case Rate,,,"3,833.33",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
518-3 - OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES,518-3,APR-DRG,,,,inpatient ,,,0,,"5,907.85","5,907.85",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,907.85",APRDRG Case Rate,,,"5,907.85",APRDRG Case Rate,,,"5,907.85",APRDRG Case Rate,,,"5,907.85",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
518-4 - OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES,518-4,APR-DRG,,,,inpatient ,,,0,,"10,500.73","10,500.73",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,500.73",APRDRG Case Rate,,,"10,500.73",APRDRG Case Rate,,,"10,500.73",APRDRG Case Rate,,,"10,500.73",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
519-1 - UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA,519-1,APR-DRG,,,,inpatient ,,,0,,"2,544.76","2,544.76",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,544.76",APRDRG Case Rate,,,"2,544.76",APRDRG Case Rate,,,"2,544.76",APRDRG Case Rate,,,"2,544.76",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
519-2 - UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA,519-2,APR-DRG,,,,inpatient ,,,0,,"3,414.83","3,414.83",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,414.83",APRDRG Case Rate,,,"3,414.83",APRDRG Case Rate,,,"3,414.83",APRDRG Case Rate,,,"3,414.83",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
519-3 - UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA,519-3,APR-DRG,,,,inpatient ,,,0,,"5,013.84","5,013.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,013.84",APRDRG Case Rate,,,"5,013.84",APRDRG Case Rate,,,"5,013.84",APRDRG Case Rate,,,"5,013.84",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
519-4 - UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA,519-4,APR-DRG,,,,inpatient ,,,0,,"10,234.29","10,234.29",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,234.29",APRDRG Case Rate,,,"10,234.29",APRDRG Case Rate,,,"10,234.29",APRDRG Case Rate,,,"10,234.29",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
530-1 - FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,530-1,APR-DRG,,,,inpatient ,,,0,,"7,612.10","7,612.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,612.10",APRDRG Case Rate,,,"7,612.10",APRDRG Case Rate,,,"7,612.10",APRDRG Case Rate,,,"7,612.10",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
530-2 - FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,530-2,APR-DRG,,,,inpatient ,,,0,,"8,907.71","8,907.71",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,907.71",APRDRG Case Rate,,,"8,907.71",APRDRG Case Rate,,,"8,907.71",APRDRG Case Rate,,,"8,907.71",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
530-3 - FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,530-3,APR-DRG,,,,inpatient ,,,0,,"13,576.26","13,576.26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,576.26",APRDRG Case Rate,,,"13,576.26",APRDRG Case Rate,,,"13,576.26",APRDRG Case Rate,,,"13,576.26",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
530-4 - FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,530-4,APR-DRG,,,,inpatient ,,,0,,"27,930.39","27,930.39",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"27,930.39",APRDRG Case Rate,,,"27,930.39",APRDRG Case Rate,,,"27,930.39",APRDRG Case Rate,,,"27,930.39",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
531-1 - FEMALE REPRODUCTIVE SYSTEM INFECTIONS,531-1,APR-DRG,,,,inpatient ,,,0,,"7,654.34","7,654.34",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,654.34",APRDRG Case Rate,,,"7,654.34",APRDRG Case Rate,,,"7,654.34",APRDRG Case Rate,,,"7,654.34",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
531-2 - FEMALE REPRODUCTIVE SYSTEM INFECTIONS,531-2,APR-DRG,,,,inpatient ,,,0,,"9,295.58","9,295.58",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,295.58",APRDRG Case Rate,,,"9,295.58",APRDRG Case Rate,,,"9,295.58",APRDRG Case Rate,,,"9,295.58",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
531-3 - FEMALE REPRODUCTIVE SYSTEM INFECTIONS,531-3,APR-DRG,,,,inpatient ,,,0,,"13,689.95","13,689.95",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,689.95",APRDRG Case Rate,,,"13,689.95",APRDRG Case Rate,,,"13,689.95",APRDRG Case Rate,,,"13,689.95",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
531-4 - FEMALE REPRODUCTIVE SYSTEM INFECTIONS,531-4,APR-DRG,,,,inpatient ,,,0,,"25,213.51","25,213.51",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"25,213.51",APRDRG Case Rate,,,"25,213.51",APRDRG Case Rate,,,"25,213.51",APRDRG Case Rate,,,"25,213.51",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
532-1 - MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,532-1,APR-DRG,,,,inpatient ,,,0,,"7,018.67","7,018.67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,018.67",APRDRG Case Rate,,,"7,018.67",APRDRG Case Rate,,,"7,018.67",APRDRG Case Rate,,,"7,018.67",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
532-2 - MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,532-2,APR-DRG,,,,inpatient ,,,0,,"8,303.72","8,303.72",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,303.72",APRDRG Case Rate,,,"8,303.72",APRDRG Case Rate,,,"8,303.72",APRDRG Case Rate,,,"8,303.72",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
532-3 - MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,532-3,APR-DRG,,,,inpatient ,,,0,,"13,068.02","13,068.02",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,068.02",APRDRG Case Rate,,,"13,068.02",APRDRG Case Rate,,,"13,068.02",APRDRG Case Rate,,,"13,068.02",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
532-4 - MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,532-4,APR-DRG,,,,inpatient ,,,0,,"22,388.94","22,388.94",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,388.94",APRDRG Case Rate,,,"22,388.94",APRDRG Case Rate,,,"22,388.94",APRDRG Case Rate,,,"22,388.94",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
540-1 - CESAREAN DELIVERY,540-1,APR-DRG,,,,inpatient ,,,0,,"5,423.18","5,423.18",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,423.18",APRDRG Case Rate,,,"5,423.18",APRDRG Case Rate,,,"5,423.18",APRDRG Case Rate,,,"5,423.18",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
540-2 - CESAREAN DELIVERY,540-2,APR-DRG,,,,inpatient ,,,0,,"6,528.38","6,528.38",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,528.38",APRDRG Case Rate,,,"6,528.38",APRDRG Case Rate,,,"6,528.38",APRDRG Case Rate,,,"6,528.38",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
540-3 - CESAREAN DELIVERY,540-3,APR-DRG,,,,inpatient ,,,0,,"10,371.56","10,371.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,371.56",APRDRG Case Rate,,,"10,371.56",APRDRG Case Rate,,,"10,371.56",APRDRG Case Rate,,,"10,371.56",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
540-4 - CESAREAN DELIVERY,540-4,APR-DRG,,,,inpatient ,,,0,,"16,832.00","16,832.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,832.00",APRDRG Case Rate,,,"16,832.00",APRDRG Case Rate,,,"16,832.00",APRDRG Case Rate,,,"16,832.00",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
541-1 - VAGINAL DELIVERY W STERILIZATION &/OR D&C,541-1,APR-DRG,,,,inpatient ,,,0,,"4,491.16","4,491.16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,491.16",APRDRG Case Rate,,,"4,491.16",APRDRG Case Rate,,,"4,491.16",APRDRG Case Rate,,,"4,491.16",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
541-2 - VAGINAL DELIVERY W STERILIZATION &/OR D&C,541-2,APR-DRG,,,,inpatient ,,,0,,"6,662.13","6,662.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,662.13",APRDRG Case Rate,,,"6,662.13",APRDRG Case Rate,,,"6,662.13",APRDRG Case Rate,,,"6,662.13",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
541-3 - VAGINAL DELIVERY W STERILIZATION &/OR D&C,541-3,APR-DRG,,,,inpatient ,,,0,,"12,859.30","12,859.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,859.30",APRDRG Case Rate,,,"12,859.30",APRDRG Case Rate,,,"12,859.30",APRDRG Case Rate,,,"12,859.30",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
541-4 - VAGINAL DELIVERY W STERILIZATION &/OR D&C,541-4,APR-DRG,,,,inpatient ,,,0,,"21,492.47","21,492.47",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,492.47",APRDRG Case Rate,,,"21,492.47",APRDRG Case Rate,,,"21,492.47",APRDRG Case Rate,,,"21,492.47",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
542-1 - VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C,542-1,APR-DRG,,,,inpatient ,,,0,,"3,792.85","3,792.85",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,792.85",APRDRG Case Rate,,,"3,792.85",APRDRG Case Rate,,,"3,792.85",APRDRG Case Rate,,,"3,792.85",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
542-2 - VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C,542-2,APR-DRG,,,,inpatient ,,,0,,"4,814.62","4,814.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,814.62",APRDRG Case Rate,,,"4,814.62",APRDRG Case Rate,,,"4,814.62",APRDRG Case Rate,,,"4,814.62",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
542-3 - VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C,542-3,APR-DRG,,,,inpatient ,,,0,,"8,080.93","8,080.93",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,080.93",APRDRG Case Rate,,,"8,080.93",APRDRG Case Rate,,,"8,080.93",APRDRG Case Rate,,,"8,080.93",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
542-4 - VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C,542-4,APR-DRG,,,,inpatient ,,,0,,"14,214.39","14,214.39",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,214.39",APRDRG Case Rate,,,"14,214.39",APRDRG Case Rate,,,"14,214.39",APRDRG Case Rate,,,"14,214.39",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"544-1 - D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY FOR OBSTETRIC DIAGNOSES",544-1,APR-DRG,,,,inpatient ,,,0,,"4,606.26","4,606.26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,606.26",APRDRG Case Rate,,,"4,606.26",APRDRG Case Rate,,,"4,606.26",APRDRG Case Rate,,,"4,606.26",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"544-2 - D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY FOR OBSTETRIC DIAGNOSES",544-2,APR-DRG,,,,inpatient ,,,0,,"6,685.71","6,685.71",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,685.71",APRDRG Case Rate,,,"6,685.71",APRDRG Case Rate,,,"6,685.71",APRDRG Case Rate,,,"6,685.71",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"544-3 - D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY FOR OBSTETRIC DIAGNOSES",544-3,APR-DRG,,,,inpatient ,,,0,,"11,244.10","11,244.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,244.10",APRDRG Case Rate,,,"11,244.10",APRDRG Case Rate,,,"11,244.10",APRDRG Case Rate,,,"11,244.10",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"544-4 - D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY FOR OBSTETRIC DIAGNOSES",544-4,APR-DRG,,,,inpatient ,,,0,,"20,621.69","20,621.69",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,621.69",APRDRG Case Rate,,,"20,621.69",APRDRG Case Rate,,,"20,621.69",APRDRG Case Rate,,,"20,621.69",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
545-1 - ECTOPIC PREGNANCY PROCEDURE,545-1,APR-DRG,,,,inpatient ,,,0,,"5,128.58","5,128.58",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,128.58",APRDRG Case Rate,,,"5,128.58",APRDRG Case Rate,,,"5,128.58",APRDRG Case Rate,,,"5,128.58",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
545-2 - ECTOPIC PREGNANCY PROCEDURE,545-2,APR-DRG,,,,inpatient ,,,0,,"6,517.11","6,517.11",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,517.11",APRDRG Case Rate,,,"6,517.11",APRDRG Case Rate,,,"6,517.11",APRDRG Case Rate,,,"6,517.11",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
545-3 - ECTOPIC PREGNANCY PROCEDURE,545-3,APR-DRG,,,,inpatient ,,,0,,"10,534.87","10,534.87",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,534.87",APRDRG Case Rate,,,"10,534.87",APRDRG Case Rate,,,"10,534.87",APRDRG Case Rate,,,"10,534.87",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
545-4 - ECTOPIC PREGNANCY PROCEDURE,545-4,APR-DRG,,,,inpatient ,,,0,,"20,151.45","20,151.45",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,151.45",APRDRG Case Rate,,,"20,151.45",APRDRG Case Rate,,,"20,151.45",APRDRG Case Rate,,,"20,151.45",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
546-1 - OTHER O.R. PROC FOR OBSTETRIC DIAGNOSES EXCEPT DELIVERY DIAGNOSES,546-1,APR-DRG,,,,inpatient ,,,0,,"3,019.57","3,019.57",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,019.57",APRDRG Case Rate,,,"3,019.57",APRDRG Case Rate,,,"3,019.57",APRDRG Case Rate,,,"3,019.57",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
546-2 - OTHER O.R. PROC FOR OBSTETRIC DIAGNOSES EXCEPT DELIVERY DIAGNOSES,546-2,APR-DRG,,,,inpatient ,,,0,,"4,065.63","4,065.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,065.63",APRDRG Case Rate,,,"4,065.63",APRDRG Case Rate,,,"4,065.63",APRDRG Case Rate,,,"4,065.63",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
546-3 - OTHER O.R. PROC FOR OBSTETRIC DIAGNOSES EXCEPT DELIVERY DIAGNOSES,546-3,APR-DRG,,,,inpatient ,,,0,,"5,911.02","5,911.02",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,911.02",APRDRG Case Rate,,,"5,911.02",APRDRG Case Rate,,,"5,911.02",APRDRG Case Rate,,,"5,911.02",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
546-4 - OTHER O.R. PROC FOR OBSTETRIC DIAGNOSES EXCEPT DELIVERY DIAGNOSES,546-4,APR-DRG,,,,inpatient ,,,0,,"9,492.68","9,492.68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,492.68",APRDRG Case Rate,,,"9,492.68",APRDRG Case Rate,,,"9,492.68",APRDRG Case Rate,,,"9,492.68",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
560-1 - VAGINAL DELIVERY,560-1,APR-DRG,,,,inpatient ,,,0,,"2,759.11","2,759.11",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,759.11",APRDRG Case Rate,,,"2,759.11",APRDRG Case Rate,,,"2,759.11",APRDRG Case Rate,,,"2,759.11",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
560-2 - VAGINAL DELIVERY,560-2,APR-DRG,,,,inpatient ,,,0,,"3,602.08","3,602.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,602.08",APRDRG Case Rate,,,"3,602.08",APRDRG Case Rate,,,"3,602.08",APRDRG Case Rate,,,"3,602.08",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
560-3 - VAGINAL DELIVERY,560-3,APR-DRG,,,,inpatient ,,,0,,"5,561.51","5,561.51",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,561.51",APRDRG Case Rate,,,"5,561.51",APRDRG Case Rate,,,"5,561.51",APRDRG Case Rate,,,"5,561.51",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
560-4 - VAGINAL DELIVERY,560-4,APR-DRG,,,,inpatient ,,,0,,"9,102.00","9,102.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,102.00",APRDRG Case Rate,,,"9,102.00",APRDRG Case Rate,,,"9,102.00",APRDRG Case Rate,,,"9,102.00",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
561-1 - POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE,561-1,APR-DRG,,,,inpatient ,,,0,,"2,300.49","2,300.49",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,300.49",APRDRG Case Rate,,,"2,300.49",APRDRG Case Rate,,,"2,300.49",APRDRG Case Rate,,,"2,300.49",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
561-2 - POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE,561-2,APR-DRG,,,,inpatient ,,,0,,"2,884.06","2,884.06",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,884.06",APRDRG Case Rate,,,"2,884.06",APRDRG Case Rate,,,"2,884.06",APRDRG Case Rate,,,"2,884.06",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
561-3 - POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE,561-3,APR-DRG,,,,inpatient ,,,0,,"4,535.86","4,535.86",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,535.86",APRDRG Case Rate,,,"4,535.86",APRDRG Case Rate,,,"4,535.86",APRDRG Case Rate,,,"4,535.86",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
561-4 - POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE,561-4,APR-DRG,,,,inpatient ,,,0,,"7,501.93","7,501.93",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,501.93",APRDRG Case Rate,,,"7,501.93",APRDRG Case Rate,,,"7,501.93",APRDRG Case Rate,,,"7,501.93",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
563-1 - PRETERM LABOR,563-1,APR-DRG,,,,inpatient ,,,0,,"3,427.15","3,427.15",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,427.15",APRDRG Case Rate,,,"3,427.15",APRDRG Case Rate,,,"3,427.15",APRDRG Case Rate,,,"3,427.15",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
563-2 - PRETERM LABOR,563-2,APR-DRG,,,,inpatient ,,,0,,"3,958.63","3,958.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,958.63",APRDRG Case Rate,,,"3,958.63",APRDRG Case Rate,,,"3,958.63",APRDRG Case Rate,,,"3,958.63",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
563-3 - PRETERM LABOR,563-3,APR-DRG,,,,inpatient ,,,0,,"5,594.59","5,594.59",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,594.59",APRDRG Case Rate,,,"5,594.59",APRDRG Case Rate,,,"5,594.59",APRDRG Case Rate,,,"5,594.59",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
563-4 - PRETERM LABOR,563-4,APR-DRG,,,,inpatient ,,,0,,"11,577.42","11,577.42",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,577.42",APRDRG Case Rate,,,"11,577.42",APRDRG Case Rate,,,"11,577.42",APRDRG Case Rate,,,"11,577.42",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"564-1 - ABORTION W/O D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",564-1,APR-DRG,,,,inpatient ,,,0,,"3,362.74","3,362.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,362.74",APRDRG Case Rate,,,"3,362.74",APRDRG Case Rate,,,"3,362.74",APRDRG Case Rate,,,"3,362.74",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"564-2 - ABORTION W/O D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",564-2,APR-DRG,,,,inpatient ,,,0,,"4,096.25","4,096.25",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,096.25",APRDRG Case Rate,,,"4,096.25",APRDRG Case Rate,,,"4,096.25",APRDRG Case Rate,,,"4,096.25",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"564-3 - ABORTION W/O D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",564-3,APR-DRG,,,,inpatient ,,,0,,"5,177.86","5,177.86",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,177.86",APRDRG Case Rate,,,"5,177.86",APRDRG Case Rate,,,"5,177.86",APRDRG Case Rate,,,"5,177.86",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"564-4 - ABORTION W/O D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",564-4,APR-DRG,,,,inpatient ,,,0,,"8,700.75","8,700.75",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,700.75",APRDRG Case Rate,,,"8,700.75",APRDRG Case Rate,,,"8,700.75",APRDRG Case Rate,,,"8,700.75",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
565-1 - FALSE LABOR,565-1,APR-DRG,,,,inpatient ,,,0,,"3,491.21","3,491.21",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,491.21",APRDRG Case Rate,,,"3,491.21",APRDRG Case Rate,,,"3,491.21",APRDRG Case Rate,,,"3,491.21",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
565-2 - FALSE LABOR,565-2,APR-DRG,,,,inpatient ,,,0,,"3,638.33","3,638.33",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,638.33",APRDRG Case Rate,,,"3,638.33",APRDRG Case Rate,,,"3,638.33",APRDRG Case Rate,,,"3,638.33",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
565-3 - FALSE LABOR,565-3,APR-DRG,,,,inpatient ,,,0,,"4,478.84","4,478.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,478.84",APRDRG Case Rate,,,"4,478.84",APRDRG Case Rate,,,"4,478.84",APRDRG Case Rate,,,"4,478.84",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
565-4 - FALSE LABOR,565-4,APR-DRG,,,,inpatient ,,,0,,"6,022.94","6,022.94",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,022.94",APRDRG Case Rate,,,"6,022.94",APRDRG Case Rate,,,"6,022.94",APRDRG Case Rate,,,"6,022.94",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
566-1 - OTHER ANTEPARTUM DIAGNOSES,566-1,APR-DRG,,,,inpatient ,,,0,,"2,290.63","2,290.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,290.63",APRDRG Case Rate,,,"2,290.63",APRDRG Case Rate,,,"2,290.63",APRDRG Case Rate,,,"2,290.63",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
566-2 - OTHER ANTEPARTUM DIAGNOSES,566-2,APR-DRG,,,,inpatient ,,,0,,"2,606.35","2,606.35",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,606.35",APRDRG Case Rate,,,"2,606.35",APRDRG Case Rate,,,"2,606.35",APRDRG Case Rate,,,"2,606.35",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
566-3 - OTHER ANTEPARTUM DIAGNOSES,566-3,APR-DRG,,,,inpatient ,,,0,,"3,843.89","3,843.89",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,843.89",APRDRG Case Rate,,,"3,843.89",APRDRG Case Rate,,,"3,843.89",APRDRG Case Rate,,,"3,843.89",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
566-4 - OTHER ANTEPARTUM DIAGNOSES,566-4,APR-DRG,,,,inpatient ,,,0,,"8,827.11","8,827.11",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,827.11",APRDRG Case Rate,,,"8,827.11",APRDRG Case Rate,,,"8,827.11",APRDRG Case Rate,,,"8,827.11",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"580-1 - NEONATE, TRANSFERRED <5 DAYS OLD, NOT BORN HERE",580-1,APR-DRG,,,,inpatient ,,,0,,"2,675.69","2,675.69",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,675.69",APRDRG Case Rate,,,"2,675.69",APRDRG Case Rate,,,"2,675.69",APRDRG Case Rate,,,"2,675.69",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"580-2 - NEONATE, TRANSFERRED <5 DAYS OLD, NOT BORN HERE",580-2,APR-DRG,,,,inpatient ,,,0,,"3,541.89","3,541.89",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,541.89",APRDRG Case Rate,,,"3,541.89",APRDRG Case Rate,,,"3,541.89",APRDRG Case Rate,,,"3,541.89",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"580-3 - NEONATE, TRANSFERRED <5 DAYS OLD, NOT BORN HERE",580-3,APR-DRG,,,,inpatient ,,,0,,"4,788.58","4,788.58",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,788.58",APRDRG Case Rate,,,"4,788.58",APRDRG Case Rate,,,"4,788.58",APRDRG Case Rate,,,"4,788.58",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"580-4 - NEONATE, TRANSFERRED <5 DAYS OLD, NOT BORN HERE",580-4,APR-DRG,,,,inpatient ,,,0,,"12,997.97","12,997.97",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,997.97",APRDRG Case Rate,,,"12,997.97",APRDRG Case Rate,,,"12,997.97",APRDRG Case Rate,,,"12,997.97",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"581-1 - NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",581-1,APR-DRG,,,,inpatient ,,,0,,"3,442.64","3,442.64",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,442.64",APRDRG Case Rate,,,"3,442.64",APRDRG Case Rate,,,"3,442.64",APRDRG Case Rate,,,"3,442.64",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"581-2 - NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",581-2,APR-DRG,,,,inpatient ,,,0,,"4,813.57","4,813.57",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,813.57",APRDRG Case Rate,,,"4,813.57",APRDRG Case Rate,,,"4,813.57",APRDRG Case Rate,,,"4,813.57",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"581-3 - NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",581-3,APR-DRG,,,,inpatient ,,,0,,"7,152.42","7,152.42",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,152.42",APRDRG Case Rate,,,"7,152.42",APRDRG Case Rate,,,"7,152.42",APRDRG Case Rate,,,"7,152.42",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"581-4 - NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",581-4,APR-DRG,,,,inpatient ,,,0,,"12,776.23","12,776.23",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,776.23",APRDRG Case Rate,,,"12,776.23",APRDRG Case Rate,,,"12,776.23",APRDRG Case Rate,,,"12,776.23",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
583-1 - NEONATE W ECMO,583-1,APR-DRG,,,,inpatient ,,,0,,"2,323.02","2,323.02",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,323.02",APRDRG Case Rate,,,"2,323.02",APRDRG Case Rate,,,"2,323.02",APRDRG Case Rate,,,"2,323.02",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
583-2 - NEONATE W ECMO,583-2,APR-DRG,,,,inpatient ,,,0,,"4,817.79","4,817.79",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,817.79",APRDRG Case Rate,,,"4,817.79",APRDRG Case Rate,,,"4,817.79",APRDRG Case Rate,,,"4,817.79",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
583-3 - NEONATE W ECMO,583-3,APR-DRG,,,,inpatient ,,,0,,"8,047.84","8,047.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,047.84",APRDRG Case Rate,,,"8,047.84",APRDRG Case Rate,,,"8,047.84",APRDRG Case Rate,,,"8,047.84",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
583-4 - NEONATE W ECMO,583-4,APR-DRG,,,,inpatient ,,,0,,"18,376.11","18,376.11",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,376.11",APRDRG Case Rate,,,"18,376.11",APRDRG Case Rate,,,"18,376.11",APRDRG Case Rate,,,"18,376.11",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
588-1 - NEONATE BWT <1500G W MAJOR PROCEDURE,588-1,APR-DRG,,,,inpatient ,,,0,,"1,986.88","1,986.88",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,986.88",APRDRG Case Rate,,,"1,986.88",APRDRG Case Rate,,,"1,986.88",APRDRG Case Rate,,,"1,986.88",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
588-2 - NEONATE BWT <1500G W MAJOR PROCEDURE,588-2,APR-DRG,,,,inpatient ,,,0,,"2,268.81","2,268.81",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,268.81",APRDRG Case Rate,,,"2,268.81",APRDRG Case Rate,,,"2,268.81",APRDRG Case Rate,,,"2,268.81",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
588-3 - NEONATE BWT <1500G W MAJOR PROCEDURE,588-3,APR-DRG,,,,inpatient ,,,0,,"2,954.80","2,954.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,954.80",APRDRG Case Rate,,,"2,954.80",APRDRG Case Rate,,,"2,954.80",APRDRG Case Rate,,,"2,954.80",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
588-4 - NEONATE BWT <1500G W MAJOR PROCEDURE,588-4,APR-DRG,,,,inpatient ,,,0,,"4,160.66","4,160.66",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,160.66",APRDRG Case Rate,,,"4,160.66",APRDRG Case Rate,,,"4,160.66",APRDRG Case Rate,,,"4,160.66",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 ,,,0,,"1,395.22","1,395.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,395.22",APRDRG Case Rate,,,"1,395.22",APRDRG Case Rate,,,"1,395.22",APRDRG Case Rate,,,"1,395.22",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 ,,,0,,"2,118.87","2,118.87",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,118.87",APRDRG Case Rate,,,"2,118.87",APRDRG Case Rate,,,"2,118.87",APRDRG Case Rate,,,"2,118.87",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 ,,,0,,"3,314.17","3,314.17",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,314.17",APRDRG Case Rate,,,"3,314.17",APRDRG Case Rate,,,"3,314.17",APRDRG Case Rate,,,"3,314.17",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 ,,,0,,"7,002.83","7,002.83",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,002.83",APRDRG Case Rate,,,"7,002.83",APRDRG Case Rate,,,"7,002.83",APRDRG Case Rate,,,"7,002.83",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
591-1 - NEONATE BIRTHWT 500-749G W/O MAJOR PROCEDURE,591-1,APR-DRG,,,,inpatient ,,,0,,"1,708.82","1,708.82",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,708.82",APRDRG Case Rate,,,"1,708.82",APRDRG Case Rate,,,"1,708.82",APRDRG Case Rate,,,"1,708.82",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
591-2 - NEONATE BIRTHWT 500-749G W/O MAJOR PROCEDURE,591-2,APR-DRG,,,,inpatient ,,,0,,"2,285.35","2,285.35",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,285.35",APRDRG Case Rate,,,"2,285.35",APRDRG Case Rate,,,"2,285.35",APRDRG Case Rate,,,"2,285.35",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
591-3 - NEONATE BIRTHWT 500-749G W/O MAJOR PROCEDURE,591-3,APR-DRG,,,,inpatient ,,,0,,"3,190.27","3,190.27",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,190.27",APRDRG Case Rate,,,"3,190.27",APRDRG Case Rate,,,"3,190.27",APRDRG Case Rate,,,"3,190.27",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
591-4 - NEONATE BIRTHWT 500-749G W/O MAJOR PROCEDURE,591-4,APR-DRG,,,,inpatient ,,,0,,"8,392.77","8,392.77",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,392.77",APRDRG Case Rate,,,"8,392.77",APRDRG Case Rate,,,"8,392.77",APRDRG Case Rate,,,"8,392.77",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
593-1 - NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE,593-1,APR-DRG,,,,inpatient ,,,0,,"1,344.89","1,344.89",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,344.89",APRDRG Case Rate,,,"1,344.89",APRDRG Case Rate,,,"1,344.89",APRDRG Case Rate,,,"1,344.89",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
593-2 - NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE,593-2,APR-DRG,,,,inpatient ,,,0,,"1,809.49","1,809.49",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,809.49",APRDRG Case Rate,,,"1,809.49",APRDRG Case Rate,,,"1,809.49",APRDRG Case Rate,,,"1,809.49",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
593-3 - NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE,593-3,APR-DRG,,,,inpatient ,,,0,,"2,632.75","2,632.75",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,632.75",APRDRG Case Rate,,,"2,632.75",APRDRG Case Rate,,,"2,632.75",APRDRG Case Rate,,,"2,632.75",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
593-4 - NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE,593-4,APR-DRG,,,,inpatient ,,,0,,"5,840.98","5,840.98",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,840.98",APRDRG Case Rate,,,"5,840.98",APRDRG Case Rate,,,"5,840.98",APRDRG Case Rate,,,"5,840.98",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
602-1 - NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM,602-1,APR-DRG,,,,inpatient ,,,0,,"1,692.63","1,692.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,692.63",APRDRG Case Rate,,,"1,692.63",APRDRG Case Rate,,,"1,692.63",APRDRG Case Rate,,,"1,692.63",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
602-2 - NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM,602-2,APR-DRG,,,,inpatient ,,,0,,"2,164.63","2,164.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,164.63",APRDRG Case Rate,,,"2,164.63",APRDRG Case Rate,,,"2,164.63",APRDRG Case Rate,,,"2,164.63",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
602-3 - NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM,602-3,APR-DRG,,,,inpatient ,,,0,,"3,551.05","3,551.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,551.05",APRDRG Case Rate,,,"3,551.05",APRDRG Case Rate,,,"3,551.05",APRDRG Case Rate,,,"3,551.05",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
602-4 - NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM,602-4,APR-DRG,,,,inpatient ,,,0,,"5,822.67","5,822.67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,822.67",APRDRG Case Rate,,,"5,822.67",APRDRG Case Rate,,,"5,822.67",APRDRG Case Rate,,,"5,822.67",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
603-1 - NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION,603-1,APR-DRG,,,,inpatient ,,,0,,589.2,589.2,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,589.2,APRDRG Case Rate,,,589.2,APRDRG Case Rate,,,589.2,APRDRG Case Rate,,,589.2,APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
603-2 - NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION,603-2,APR-DRG,,,,inpatient ,,,0,,882.75,882.75,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,882.75,APRDRG Case Rate,,,882.75,APRDRG Case Rate,,,882.75,APRDRG Case Rate,,,882.75,APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
603-3 - NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION,603-3,APR-DRG,,,,inpatient ,,,0,,"1,353.33","1,353.33",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,353.33",APRDRG Case Rate,,,"1,353.33",APRDRG Case Rate,,,"1,353.33",APRDRG Case Rate,,,"1,353.33",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
603-4 - NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION,603-4,APR-DRG,,,,inpatient ,,,0,,"2,264.59","2,264.59",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,264.59",APRDRG Case Rate,,,"2,264.59",APRDRG Case Rate,,,"2,264.59",APRDRG Case Rate,,,"2,264.59",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
607-1 - NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM,607-1,APR-DRG,,,,inpatient ,,,0,,"86,684.37","86,684.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,684.37",APRDRG Case Rate,,,"86,684.37",APRDRG Case Rate,,,"86,684.37",APRDRG Case Rate,,,"86,684.37",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
607-2 - NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM,607-2,APR-DRG,,,,inpatient ,,,0,,"100,308.15","100,308.15",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"100,308.15",APRDRG Case Rate,,,"100,308.15",APRDRG Case Rate,,,"100,308.15",APRDRG Case Rate,,,"100,308.15",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
607-3 - NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM,607-3,APR-DRG,,,,inpatient ,,,0,,"136,028.73","136,028.73",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"136,028.73",APRDRG Case Rate,,,"136,028.73",APRDRG Case Rate,,,"136,028.73",APRDRG Case Rate,,,"136,028.73",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
607-4 - NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM,607-4,APR-DRG,,,,inpatient ,,,0,,"171,749.31","171,749.31",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"171,749.31",APRDRG Case Rate,,,"171,749.31",APRDRG Case Rate,,,"171,749.31",APRDRG Case Rate,,,"171,749.31",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
608-1 - NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION,608-1,APR-DRG,,,,inpatient ,,,0,,"58,499.15","58,499.15",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"58,499.15",APRDRG Case Rate,,,"58,499.15",APRDRG Case Rate,,,"58,499.15",APRDRG Case Rate,,,"58,499.15",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
608-2 - NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION,608-2,APR-DRG,,,,inpatient ,,,0,,"88,872.58","88,872.58",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"88,872.58",APRDRG Case Rate,,,"88,872.58",APRDRG Case Rate,,,"88,872.58",APRDRG Case Rate,,,"88,872.58",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
608-3 - NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION,608-3,APR-DRG,,,,inpatient ,,,0,,"90,760.91","90,760.91",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,760.91",APRDRG Case Rate,,,"90,760.91",APRDRG Case Rate,,,"90,760.91",APRDRG Case Rate,,,"90,760.91",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
608-4 - NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION,608-4,APR-DRG,,,,inpatient ,,,0,,"140,881.02","140,881.02",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"140,881.02",APRDRG Case Rate,,,"140,881.02",APRDRG Case Rate,,,"140,881.02",APRDRG Case Rate,,,"140,881.02",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
609-1 - NEONATE BWT 1500-2499G W MAJOR PROCEDURE,609-1,APR-DRG,,,,inpatient ,,,0,,"27,524.91","27,524.91",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"27,524.91",APRDRG Case Rate,,,"27,524.91",APRDRG Case Rate,,,"27,524.91",APRDRG Case Rate,,,"27,524.91",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
609-2 - NEONATE BWT 1500-2499G W MAJOR PROCEDURE,609-2,APR-DRG,,,,inpatient ,,,0,,"22,850.02","22,850.02",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,850.02",APRDRG Case Rate,,,"22,850.02",APRDRG Case Rate,,,"22,850.02",APRDRG Case Rate,,,"22,850.02",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
609-3 - NEONATE BWT 1500-2499G W MAJOR PROCEDURE,609-3,APR-DRG,,,,inpatient ,,,0,,"18,175.13","18,175.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,175.13",APRDRG Case Rate,,,"18,175.13",APRDRG Case Rate,,,"18,175.13",APRDRG Case Rate,,,"18,175.13",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
609-4 - NEONATE BWT 1500-2499G W MAJOR PROCEDURE,609-4,APR-DRG,,,,inpatient ,,,0,,385.41,385.41,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,385.41,APRDRG Case Rate,,,385.41,APRDRG Case Rate,,,385.41,APRDRG Case Rate,,,385.41,APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
611-1 - NEONATE BIRTHWT 1500-1999G W MAJOR ANOMALY,611-1,APR-DRG,,,,inpatient ,,,0,,751.46,751.46,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,751.46,APRDRG Case Rate,,,751.46,APRDRG Case Rate,,,751.46,APRDRG Case Rate,,,751.46,APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
611-2 - NEONATE BIRTHWT 1500-1999G W MAJOR ANOMALY,611-2,APR-DRG,,,,inpatient ,,,0,,"27,660.07","27,660.07",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"27,660.07",APRDRG Case Rate,,,"27,660.07",APRDRG Case Rate,,,"27,660.07",APRDRG Case Rate,,,"27,660.07",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
611-3 - NEONATE BIRTHWT 1500-1999G W MAJOR ANOMALY,611-3,APR-DRG,,,,inpatient ,,,0,,"51,980.28","51,980.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"51,980.28",APRDRG Case Rate,,,"51,980.28",APRDRG Case Rate,,,"51,980.28",APRDRG Case Rate,,,"51,980.28",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
611-4 - NEONATE BIRTHWT 1500-1999G W MAJOR ANOMALY,611-4,APR-DRG,,,,inpatient ,,,0,,"88,726.51","88,726.51",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"88,726.51",APRDRG Case Rate,,,"88,726.51",APRDRG Case Rate,,,"88,726.51",APRDRG Case Rate,,,"88,726.51",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
612-1 - NEONATE BWT 1500-1999G W RESP DIST SYND/OTH MAJ RESP COND,612-1,APR-DRG,,,,inpatient ,,,0,,867.26,867.26,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,867.26,APRDRG Case Rate,,,867.26,APRDRG Case Rate,,,867.26,APRDRG Case Rate,,,867.26,APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
612-2 - NEONATE BWT 1500-1999G W RESP DIST SYND/OTH MAJ RESP COND,612-2,APR-DRG,,,,inpatient ,,,0,,"46,830.93","46,830.93",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"46,830.93",APRDRG Case Rate,,,"46,830.93",APRDRG Case Rate,,,"46,830.93",APRDRG Case Rate,,,"46,830.93",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
612-3 - NEONATE BWT 1500-1999G W RESP DIST SYND/OTH MAJ RESP COND,612-3,APR-DRG,,,,inpatient ,,,0,,"59,085.54","59,085.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,085.54",APRDRG Case Rate,,,"59,085.54",APRDRG Case Rate,,,"59,085.54",APRDRG Case Rate,,,"59,085.54",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
612-4 - NEONATE BWT 1500-1999G W RESP DIST SYND/OTH MAJ RESP COND,612-4,APR-DRG,,,,inpatient ,,,0,,"91,881.23","91,881.23",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"91,881.23",APRDRG Case Rate,,,"91,881.23",APRDRG Case Rate,,,"91,881.23",APRDRG Case Rate,,,"91,881.23",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
613-1 - NEONATE BIRTHWT 1500-1999G W CONGENITAL/PERINATAL INFECTION,613-1,APR-DRG,,,,inpatient ,,,0,,"7,791.96","7,791.96",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,791.96",APRDRG Case Rate,,,"7,791.96",APRDRG Case Rate,,,"7,791.96",APRDRG Case Rate,,,"7,791.96",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
613-2 - NEONATE BIRTHWT 1500-1999G W CONGENITAL/PERINATAL INFECTION,613-2,APR-DRG,,,,inpatient ,,,0,,"39,626.42","39,626.42",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"39,626.42",APRDRG Case Rate,,,"39,626.42",APRDRG Case Rate,,,"39,626.42",APRDRG Case Rate,,,"39,626.42",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
613-3 - NEONATE BIRTHWT 1500-1999G W CONGENITAL/PERINATAL INFECTION,613-3,APR-DRG,,,,inpatient ,,,0,,"51,932.76","51,932.76",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"51,932.76",APRDRG Case Rate,,,"51,932.76",APRDRG Case Rate,,,"51,932.76",APRDRG Case Rate,,,"51,932.76",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
613-4 - NEONATE BIRTHWT 1500-1999G W CONGENITAL/PERINATAL INFECTION,613-4,APR-DRG,,,,inpatient ,,,0,,"65,860.65","65,860.65",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"65,860.65",APRDRG Case Rate,,,"65,860.65",APRDRG Case Rate,,,"65,860.65",APRDRG Case Rate,,,"65,860.65",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
614-1 - NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION,614-1,APR-DRG,,,,inpatient ,,,0,,860.92,860.92,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,860.92,APRDRG Case Rate,,,860.92,APRDRG Case Rate,,,860.92,APRDRG Case Rate,,,860.92,APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
614-2 - NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION,614-2,APR-DRG,,,,inpatient ,,,0,,"17,733.05","17,733.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,733.05",APRDRG Case Rate,,,"17,733.05",APRDRG Case Rate,,,"17,733.05",APRDRG Case Rate,,,"17,733.05",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
614-3 - NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION,614-3,APR-DRG,,,,inpatient ,,,0,,"35,941.27","35,941.27",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"35,941.27",APRDRG Case Rate,,,"35,941.27",APRDRG Case Rate,,,"35,941.27",APRDRG Case Rate,,,"35,941.27",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
614-4 - NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION,614-4,APR-DRG,,,,inpatient ,,,0,,"73,857.10","73,857.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,857.10",APRDRG Case Rate,,,"73,857.10",APRDRG Case Rate,,,"73,857.10",APRDRG Case Rate,,,"73,857.10",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
621-1 - NEONATE BWT 2000-2499G W MAJOR ANOMALY,621-1,APR-DRG,,,,inpatient ,,,0,,"12,613.27","12,613.27",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,613.27",APRDRG Case Rate,,,"12,613.27",APRDRG Case Rate,,,"12,613.27",APRDRG Case Rate,,,"12,613.27",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
621-2 - NEONATE BWT 2000-2499G W MAJOR ANOMALY,621-2,APR-DRG,,,,inpatient ,,,0,,"30,472.68","30,472.68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"30,472.68",APRDRG Case Rate,,,"30,472.68",APRDRG Case Rate,,,"30,472.68",APRDRG Case Rate,,,"30,472.68",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
621-3 - NEONATE BWT 2000-2499G W MAJOR ANOMALY,621-3,APR-DRG,,,,inpatient ,,,0,,"39,353.64","39,353.64",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"39,353.64",APRDRG Case Rate,,,"39,353.64",APRDRG Case Rate,,,"39,353.64",APRDRG Case Rate,,,"39,353.64",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
621-4 - NEONATE BWT 2000-2499G W MAJOR ANOMALY,621-4,APR-DRG,,,,inpatient ,,,0,,"50,586.82","50,586.82",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"50,586.82",APRDRG Case Rate,,,"50,586.82",APRDRG Case Rate,,,"50,586.82",APRDRG Case Rate,,,"50,586.82",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
622-1 - NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND,622-1,APR-DRG,,,,inpatient ,,,0,,"3,050.89","3,050.89",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,050.89",APRDRG Case Rate,,,"3,050.89",APRDRG Case Rate,,,"3,050.89",APRDRG Case Rate,,,"3,050.89",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
622-2 - NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND,622-2,APR-DRG,,,,inpatient ,,,0,,"22,518.82","22,518.82",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,518.82",APRDRG Case Rate,,,"22,518.82",APRDRG Case Rate,,,"22,518.82",APRDRG Case Rate,,,"22,518.82",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
622-3 - NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND,622-3,APR-DRG,,,,inpatient ,,,0,,"30,504.01","30,504.01",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"30,504.01",APRDRG Case Rate,,,"30,504.01",APRDRG Case Rate,,,"30,504.01",APRDRG Case Rate,,,"30,504.01",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
622-4 - NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND,622-4,APR-DRG,,,,inpatient ,,,0,,"32,029.45","32,029.45",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"32,029.45",APRDRG Case Rate,,,"32,029.45",APRDRG Case Rate,,,"32,029.45",APRDRG Case Rate,,,"32,029.45",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
623-1 - NEONATE BWT 2000-2499G W CONGENITAL/PERINATAL INFECTION,623-1,APR-DRG,,,,inpatient ,,,0,,"19,819.19","19,819.19",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,819.19",APRDRG Case Rate,,,"19,819.19",APRDRG Case Rate,,,"19,819.19",APRDRG Case Rate,,,"19,819.19",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
623-2 - NEONATE BWT 2000-2499G W CONGENITAL/PERINATAL INFECTION,623-2,APR-DRG,,,,inpatient ,,,0,,"20,862.44","20,862.44",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,862.44",APRDRG Case Rate,,,"20,862.44",APRDRG Case Rate,,,"20,862.44",APRDRG Case Rate,,,"20,862.44",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
623-3 - NEONATE BWT 2000-2499G W CONGENITAL/PERINATAL INFECTION,623-3,APR-DRG,,,,inpatient ,,,0,,"43,921.88","43,921.88",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"43,921.88",APRDRG Case Rate,,,"43,921.88",APRDRG Case Rate,,,"43,921.88",APRDRG Case Rate,,,"43,921.88",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
623-4 - NEONATE BWT 2000-2499G W CONGENITAL/PERINATAL INFECTION,623-4,APR-DRG,,,,inpatient ,,,0,,"88,160.54","88,160.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"88,160.54",APRDRG Case Rate,,,"88,160.54",APRDRG Case Rate,,,"88,160.54",APRDRG Case Rate,,,"88,160.54",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
625-1 - NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION,625-1,APR-DRG,,,,inpatient ,,,0,,"6,453.05","6,453.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,453.05",APRDRG Case Rate,,,"6,453.05",APRDRG Case Rate,,,"6,453.05",APRDRG Case Rate,,,"6,453.05",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
625-2 - NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION,625-2,APR-DRG,,,,inpatient ,,,0,,"14,341.80","14,341.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,341.80",APRDRG Case Rate,,,"14,341.80",APRDRG Case Rate,,,"14,341.80",APRDRG Case Rate,,,"14,341.80",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
625-3 - NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION,625-3,APR-DRG,,,,inpatient ,,,0,,"25,038.58","25,038.58",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"25,038.58",APRDRG Case Rate,,,"25,038.58",APRDRG Case Rate,,,"25,038.58",APRDRG Case Rate,,,"25,038.58",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
625-4 - NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION,625-4,APR-DRG,,,,inpatient ,,,0,,"38,442.03","38,442.03",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"38,442.03",APRDRG Case Rate,,,"38,442.03",APRDRG Case Rate,,,"38,442.03",APRDRG Case Rate,,,"38,442.03",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"626-1 - NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM",626-1,APR-DRG,,,,inpatient ,,,0,,"13,085.97","13,085.97",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,085.97",APRDRG Case Rate,,,"13,085.97",APRDRG Case Rate,,,"13,085.97",APRDRG Case Rate,,,"13,085.97",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"626-2 - NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM",626-2,APR-DRG,,,,inpatient ,,,0,,"20,020.17","20,020.17",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,020.17",APRDRG Case Rate,,,"20,020.17",APRDRG Case Rate,,,"20,020.17",APRDRG Case Rate,,,"20,020.17",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"626-3 - NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM",626-3,APR-DRG,,,,inpatient ,,,0,,"25,852.70","25,852.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"25,852.70",APRDRG Case Rate,,,"25,852.70",APRDRG Case Rate,,,"25,852.70",APRDRG Case Rate,,,"25,852.70",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"626-4 - NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM",626-4,APR-DRG,,,,inpatient ,,,0,,"36,760.31","36,760.31",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,760.31",APRDRG Case Rate,,,"36,760.31",APRDRG Case Rate,,,"36,760.31",APRDRG Case Rate,,,"36,760.31",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
630-1 - NEONATE BIRTHWT >2499G W MAJOR CARDIOVASCULAR PROCEDURE,630-1,APR-DRG,,,,inpatient ,,,0,,"8,050.66","8,050.66",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,050.66",APRDRG Case Rate,,,"8,050.66",APRDRG Case Rate,,,"8,050.66",APRDRG Case Rate,,,"8,050.66",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
630-2 - NEONATE BIRTHWT >2499G W MAJOR CARDIOVASCULAR PROCEDURE,630-2,APR-DRG,,,,inpatient ,,,0,,"14,611.41","14,611.41",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,611.41",APRDRG Case Rate,,,"14,611.41",APRDRG Case Rate,,,"14,611.41",APRDRG Case Rate,,,"14,611.41",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
630-3 - NEONATE BIRTHWT >2499G W MAJOR CARDIOVASCULAR PROCEDURE,630-3,APR-DRG,,,,inpatient ,,,0,,"23,518.42","23,518.42",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,518.42",APRDRG Case Rate,,,"23,518.42",APRDRG Case Rate,,,"23,518.42",APRDRG Case Rate,,,"23,518.42",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
630-4 - NEONATE BIRTHWT >2499G W MAJOR CARDIOVASCULAR PROCEDURE,630-4,APR-DRG,,,,inpatient ,,,0,,"36,066.22","36,066.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,066.22",APRDRG Case Rate,,,"36,066.22",APRDRG Case Rate,,,"36,066.22",APRDRG Case Rate,,,"36,066.22",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
631-1 - NEONATE BIRTHWT >2499G W OTHER MAJOR PROCEDURE,631-1,APR-DRG,,,,inpatient ,,,0,,"5,028.98","5,028.98",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,028.98",APRDRG Case Rate,,,"5,028.98",APRDRG Case Rate,,,"5,028.98",APRDRG Case Rate,,,"5,028.98",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
631-2 - NEONATE BIRTHWT >2499G W OTHER MAJOR PROCEDURE,631-2,APR-DRG,,,,inpatient ,,,0,,"12,215.89","12,215.89",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,215.89",APRDRG Case Rate,,,"12,215.89",APRDRG Case Rate,,,"12,215.89",APRDRG Case Rate,,,"12,215.89",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
631-3 - NEONATE BIRTHWT >2499G W OTHER MAJOR PROCEDURE,631-3,APR-DRG,,,,inpatient ,,,0,,"22,234.42","22,234.42",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,234.42",APRDRG Case Rate,,,"22,234.42",APRDRG Case Rate,,,"22,234.42",APRDRG Case Rate,,,"22,234.42",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
631-4 - NEONATE BIRTHWT >2499G W OTHER MAJOR PROCEDURE,631-4,APR-DRG,,,,inpatient ,,,0,,"28,983.49","28,983.49",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"28,983.49",APRDRG Case Rate,,,"28,983.49",APRDRG Case Rate,,,"28,983.49",APRDRG Case Rate,,,"28,983.49",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
633-1 - NEONATE BIRTHWT >2499G W MAJOR ANOMALY,633-1,APR-DRG,,,,inpatient ,,,0,,"2,298.38","2,298.38",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,298.38",APRDRG Case Rate,,,"2,298.38",APRDRG Case Rate,,,"2,298.38",APRDRG Case Rate,,,"2,298.38",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
633-2 - NEONATE BIRTHWT >2499G W MAJOR ANOMALY,633-2,APR-DRG,,,,inpatient ,,,0,,"7,444.21","7,444.21",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,444.21",APRDRG Case Rate,,,"7,444.21",APRDRG Case Rate,,,"7,444.21",APRDRG Case Rate,,,"7,444.21",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
633-3 - NEONATE BIRTHWT >2499G W MAJOR ANOMALY,633-3,APR-DRG,,,,inpatient ,,,0,,"17,702.78","17,702.78",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,702.78",APRDRG Case Rate,,,"17,702.78",APRDRG Case Rate,,,"17,702.78",APRDRG Case Rate,,,"17,702.78",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
633-4 - NEONATE BIRTHWT >2499G W MAJOR ANOMALY,633-4,APR-DRG,,,,inpatient ,,,0,,"30,158.37","30,158.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"30,158.37",APRDRG Case Rate,,,"30,158.37",APRDRG Case Rate,,,"30,158.37",APRDRG Case Rate,,,"30,158.37",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"634-1 - NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND",634-1,APR-DRG,,,,inpatient ,,,0,,"8,172.79","8,172.79",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,172.79",APRDRG Case Rate,,,"8,172.79",APRDRG Case Rate,,,"8,172.79",APRDRG Case Rate,,,"8,172.79",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"634-2 - NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND",634-2,APR-DRG,,,,inpatient ,,,0,,"12,223.99","12,223.99",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,223.99",APRDRG Case Rate,,,"12,223.99",APRDRG Case Rate,,,"12,223.99",APRDRG Case Rate,,,"12,223.99",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"634-3 - NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND",634-3,APR-DRG,,,,inpatient ,,,0,,"13,863.12","13,863.12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,863.12",APRDRG Case Rate,,,"13,863.12",APRDRG Case Rate,,,"13,863.12",APRDRG Case Rate,,,"13,863.12",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"634-4 - NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND",634-4,APR-DRG,,,,inpatient ,,,0,,"23,803.87","23,803.87",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,803.87",APRDRG Case Rate,,,"23,803.87",APRDRG Case Rate,,,"23,803.87",APRDRG Case Rate,,,"23,803.87",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
636-1 - NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION,636-1,APR-DRG,,,,inpatient ,,,0,,"5,047.28","5,047.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,047.28",APRDRG Case Rate,,,"5,047.28",APRDRG Case Rate,,,"5,047.28",APRDRG Case Rate,,,"5,047.28",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
636-2 - NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION,636-2,APR-DRG,,,,inpatient ,,,0,,"8,187.57","8,187.57",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,187.57",APRDRG Case Rate,,,"8,187.57",APRDRG Case Rate,,,"8,187.57",APRDRG Case Rate,,,"8,187.57",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
636-3 - NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION,636-3,APR-DRG,,,,inpatient ,,,0,,"18,014.98","18,014.98",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,014.98",APRDRG Case Rate,,,"18,014.98",APRDRG Case Rate,,,"18,014.98",APRDRG Case Rate,,,"18,014.98",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
636-4 - NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION,636-4,APR-DRG,,,,inpatient ,,,0,,"21,846.20","21,846.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,846.20",APRDRG Case Rate,,,"21,846.20",APRDRG Case Rate,,,"21,846.20",APRDRG Case Rate,,,"21,846.20",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
639-1 - NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION,639-1,APR-DRG,,,,inpatient ,,,0,,"5,832.53","5,832.53",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,832.53",APRDRG Case Rate,,,"5,832.53",APRDRG Case Rate,,,"5,832.53",APRDRG Case Rate,,,"5,832.53",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
639-2 - NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION,639-2,APR-DRG,,,,inpatient ,,,0,,"7,930.99","7,930.99",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,930.99",APRDRG Case Rate,,,"7,930.99",APRDRG Case Rate,,,"7,930.99",APRDRG Case Rate,,,"7,930.99",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
639-3 - NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION,639-3,APR-DRG,,,,inpatient ,,,0,,"14,343.56","14,343.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,343.56",APRDRG Case Rate,,,"14,343.56",APRDRG Case Rate,,,"14,343.56",APRDRG Case Rate,,,"14,343.56",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
639-4 - NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION,639-4,APR-DRG,,,,inpatient ,,,0,,"20,125.41","20,125.41",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,125.41",APRDRG Case Rate,,,"20,125.41",APRDRG Case Rate,,,"20,125.41",APRDRG Case Rate,,,"20,125.41",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"640-1 - NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM",640-1,APR-DRG,,,,inpatient ,,,0,,882.75,882.75,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,882.75,APRDRG Case Rate,,,882.75,APRDRG Case Rate,,,882.75,APRDRG Case Rate,,,882.75,APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"640-2 - NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM",640-2,APR-DRG,,,,inpatient ,,,0,,"1,029.87","1,029.87",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,029.87",APRDRG Case Rate,,,"1,029.87",APRDRG Case Rate,,,"1,029.87",APRDRG Case Rate,,,"1,029.87",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"640-3 - NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM",640-3,APR-DRG,,,,inpatient ,,,0,,"2,438.46","2,438.46",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,438.46",APRDRG Case Rate,,,"2,438.46",APRDRG Case Rate,,,"2,438.46",APRDRG Case Rate,,,"2,438.46",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"640-4 - NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM",640-4,APR-DRG,,,,inpatient ,,,0,,"13,433.36","13,433.36",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,433.36",APRDRG Case Rate,,,"13,433.36",APRDRG Case Rate,,,"13,433.36",APRDRG Case Rate,,,"13,433.36",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
650-1 - SPLENECTOMY,650-1,APR-DRG,,,,inpatient ,,,0,,"12,435.52","12,435.52",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,435.52",APRDRG Case Rate,,,"12,435.52",APRDRG Case Rate,,,"12,435.52",APRDRG Case Rate,,,"12,435.52",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
650-2 - SPLENECTOMY,650-2,APR-DRG,,,,inpatient ,,,0,,"31,347.68","31,347.68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,347.68",APRDRG Case Rate,,,"31,347.68",APRDRG Case Rate,,,"31,347.68",APRDRG Case Rate,,,"31,347.68",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
650-3 - SPLENECTOMY,650-3,APR-DRG,,,,inpatient ,,,0,,"49,408.07","49,408.07",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"49,408.07",APRDRG Case Rate,,,"49,408.07",APRDRG Case Rate,,,"49,408.07",APRDRG Case Rate,,,"49,408.07",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
650-4 - SPLENECTOMY,650-4,APR-DRG,,,,inpatient ,,,0,,"102,256.67","102,256.67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"102,256.67",APRDRG Case Rate,,,"102,256.67",APRDRG Case Rate,,,"102,256.67",APRDRG Case Rate,,,"102,256.67",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
651-1 - OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS,651-1,APR-DRG,,,,inpatient ,,,0,,"2,574.32","2,574.32",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,574.32",APRDRG Case Rate,,,"2,574.32",APRDRG Case Rate,,,"2,574.32",APRDRG Case Rate,,,"2,574.32",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
651-2 - OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS,651-2,APR-DRG,,,,inpatient ,,,0,,"19,933.93","19,933.93",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,933.93",APRDRG Case Rate,,,"19,933.93",APRDRG Case Rate,,,"19,933.93",APRDRG Case Rate,,,"19,933.93",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
651-3 - OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS,651-3,APR-DRG,,,,inpatient ,,,0,,"32,503.21","32,503.21",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"32,503.21",APRDRG Case Rate,,,"32,503.21",APRDRG Case Rate,,,"32,503.21",APRDRG Case Rate,,,"32,503.21",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
651-4 - OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS,651-4,APR-DRG,,,,inpatient ,,,0,,"84,638.00","84,638.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"84,638.00",APRDRG Case Rate,,,"84,638.00",APRDRG Case Rate,,,"84,638.00",APRDRG Case Rate,,,"84,638.00",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
660-1 - MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL,660-1,APR-DRG,,,,inpatient ,,,0,,"1,050.64","1,050.64",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,050.64",APRDRG Case Rate,,,"1,050.64",APRDRG Case Rate,,,"1,050.64",APRDRG Case Rate,,,"1,050.64",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
660-2 - MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL,660-2,APR-DRG,,,,inpatient ,,,0,,"2,986.48","2,986.48",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,986.48",APRDRG Case Rate,,,"2,986.48",APRDRG Case Rate,,,"2,986.48",APRDRG Case Rate,,,"2,986.48",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
660-3 - MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL,660-3,APR-DRG,,,,inpatient ,,,0,,"10,599.64","10,599.64",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,599.64",APRDRG Case Rate,,,"10,599.64",APRDRG Case Rate,,,"10,599.64",APRDRG Case Rate,,,"10,599.64",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
660-4 - MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL,660-4,APR-DRG,,,,inpatient ,,,0,,"27,410.88","27,410.88",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"27,410.88",APRDRG Case Rate,,,"27,410.88",APRDRG Case Rate,,,"27,410.88",APRDRG Case Rate,,,"27,410.88",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
661-1 - COAGULATION & PLATELET DISORDERS,661-1,APR-DRG,,,,inpatient ,,,0,,"3,119.88","3,119.88",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,119.88",APRDRG Case Rate,,,"3,119.88",APRDRG Case Rate,,,"3,119.88",APRDRG Case Rate,,,"3,119.88",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
661-2 - COAGULATION & PLATELET DISORDERS,661-2,APR-DRG,,,,inpatient ,,,0,,"6,399.20","6,399.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,399.20",APRDRG Case Rate,,,"6,399.20",APRDRG Case Rate,,,"6,399.20",APRDRG Case Rate,,,"6,399.20",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
661-3 - COAGULATION & PLATELET DISORDERS,661-3,APR-DRG,,,,inpatient ,,,0,,"7,225.99","7,225.99",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,225.99",APRDRG Case Rate,,,"7,225.99",APRDRG Case Rate,,,"7,225.99",APRDRG Case Rate,,,"7,225.99",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
661-4 - COAGULATION & PLATELET DISORDERS,661-4,APR-DRG,,,,inpatient ,,,0,,"21,008.50","21,008.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,008.50",APRDRG Case Rate,,,"21,008.50",APRDRG Case Rate,,,"21,008.50",APRDRG Case Rate,,,"21,008.50",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
662-1 - SICKLE CELL ANEMIA CRISIS,662-1,APR-DRG,,,,inpatient ,,,0,,"2,779.87","2,779.87",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,779.87",APRDRG Case Rate,,,"2,779.87",APRDRG Case Rate,,,"2,779.87",APRDRG Case Rate,,,"2,779.87",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
662-2 - SICKLE CELL ANEMIA CRISIS,662-2,APR-DRG,,,,inpatient ,,,0,,"5,206.72","5,206.72",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,206.72",APRDRG Case Rate,,,"5,206.72",APRDRG Case Rate,,,"5,206.72",APRDRG Case Rate,,,"5,206.72",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
662-3 - SICKLE CELL ANEMIA CRISIS,662-3,APR-DRG,,,,inpatient ,,,0,,"10,763.66","10,763.66",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,763.66",APRDRG Case Rate,,,"10,763.66",APRDRG Case Rate,,,"10,763.66",APRDRG Case Rate,,,"10,763.66",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
662-4 - SICKLE CELL ANEMIA CRISIS,662-4,APR-DRG,,,,inpatient ,,,0,,"17,391.99","17,391.99",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,391.99",APRDRG Case Rate,,,"17,391.99",APRDRG Case Rate,,,"17,391.99",APRDRG Case Rate,,,"17,391.99",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
663-1 - OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS,663-1,APR-DRG,,,,inpatient ,,,0,,"1,943.94","1,943.94",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,943.94",APRDRG Case Rate,,,"1,943.94",APRDRG Case Rate,,,"1,943.94",APRDRG Case Rate,,,"1,943.94",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
663-2 - OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS,663-2,APR-DRG,,,,inpatient ,,,0,,"2,658.80","2,658.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,658.80",APRDRG Case Rate,,,"2,658.80",APRDRG Case Rate,,,"2,658.80",APRDRG Case Rate,,,"2,658.80",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
663-3 - OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS,663-3,APR-DRG,,,,inpatient ,,,0,,"8,707.44","8,707.44",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,707.44",APRDRG Case Rate,,,"8,707.44",APRDRG Case Rate,,,"8,707.44",APRDRG Case Rate,,,"8,707.44",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
663-4 - OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS,663-4,APR-DRG,,,,inpatient ,,,0,,"12,857.89","12,857.89",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,857.89",APRDRG Case Rate,,,"12,857.89",APRDRG Case Rate,,,"12,857.89",APRDRG Case Rate,,,"12,857.89",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
680-1 - MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS,680-1,APR-DRG,,,,inpatient ,,,0,,614.19,614.19,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,614.19,APRDRG Case Rate,,,614.19,APRDRG Case Rate,,,614.19,APRDRG Case Rate,,,614.19,APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
680-2 - MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS,680-2,APR-DRG,,,,inpatient ,,,0,,812.7,812.7,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,812.7,APRDRG Case Rate,,,812.7,APRDRG Case Rate,,,812.7,APRDRG Case Rate,,,812.7,APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
680-3 - MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS,680-3,APR-DRG,,,,inpatient ,,,0,,"1,468.78","1,468.78",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,468.78",APRDRG Case Rate,,,"1,468.78",APRDRG Case Rate,,,"1,468.78",APRDRG Case Rate,,,"1,468.78",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
680-4 - MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS,680-4,APR-DRG,,,,inpatient ,,,0,,"11,084.65","11,084.65",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,084.65",APRDRG Case Rate,,,"11,084.65",APRDRG Case Rate,,,"11,084.65",APRDRG Case Rate,,,"11,084.65",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
681-1 - OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS,681-1,APR-DRG,,,,inpatient ,,,0,,"7,738.81","7,738.81",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,738.81",APRDRG Case Rate,,,"7,738.81",APRDRG Case Rate,,,"7,738.81",APRDRG Case Rate,,,"7,738.81",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
681-2 - OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS,681-2,APR-DRG,,,,inpatient ,,,0,,"10,241.33","10,241.33",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,241.33",APRDRG Case Rate,,,"10,241.33",APRDRG Case Rate,,,"10,241.33",APRDRG Case Rate,,,"10,241.33",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
681-3 - OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS,681-3,APR-DRG,,,,inpatient ,,,0,,"15,091.86","15,091.86",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,091.86",APRDRG Case Rate,,,"15,091.86",APRDRG Case Rate,,,"15,091.86",APRDRG Case Rate,,,"15,091.86",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
681-4 - OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS,681-4,APR-DRG,,,,inpatient ,,,0,,"24,676.40","24,676.40",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"24,676.40",APRDRG Case Rate,,,"24,676.40",APRDRG Case Rate,,,"24,676.40",APRDRG Case Rate,,,"24,676.40",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
690-1 - ACUTE LEUKEMIA,690-1,APR-DRG,,,,inpatient ,,,0,,"5,978.95","5,978.95",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,978.95",APRDRG Case Rate,,,"5,978.95",APRDRG Case Rate,,,"5,978.95",APRDRG Case Rate,,,"5,978.95",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
690-2 - ACUTE LEUKEMIA,690-2,APR-DRG,,,,inpatient ,,,0,,"8,752.49","8,752.49",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,752.49",APRDRG Case Rate,,,"8,752.49",APRDRG Case Rate,,,"8,752.49",APRDRG Case Rate,,,"8,752.49",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
690-3 - ACUTE LEUKEMIA,690-3,APR-DRG,,,,inpatient ,,,0,,"11,834.00","11,834.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,834.00",APRDRG Case Rate,,,"11,834.00",APRDRG Case Rate,,,"11,834.00",APRDRG Case Rate,,,"11,834.00",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
690-4 - ACUTE LEUKEMIA,690-4,APR-DRG,,,,inpatient ,,,0,,"27,190.89","27,190.89",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"27,190.89",APRDRG Case Rate,,,"27,190.89",APRDRG Case Rate,,,"27,190.89",APRDRG Case Rate,,,"27,190.89",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"691-1 - LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA",691-1,APR-DRG,,,,inpatient ,,,0,,"3,416.24","3,416.24",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,416.24",APRDRG Case Rate,,,"3,416.24",APRDRG Case Rate,,,"3,416.24",APRDRG Case Rate,,,"3,416.24",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"691-2 - LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA",691-2,APR-DRG,,,,inpatient ,,,0,,"4,014.59","4,014.59",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,014.59",APRDRG Case Rate,,,"4,014.59",APRDRG Case Rate,,,"4,014.59",APRDRG Case Rate,,,"4,014.59",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"691-3 - LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA",691-3,APR-DRG,,,,inpatient ,,,0,,"6,258.41","6,258.41",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,258.41",APRDRG Case Rate,,,"6,258.41",APRDRG Case Rate,,,"6,258.41",APRDRG Case Rate,,,"6,258.41",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"691-4 - LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA",691-4,APR-DRG,,,,inpatient ,,,0,,"13,655.81","13,655.81",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,655.81",APRDRG Case Rate,,,"13,655.81",APRDRG Case Rate,,,"13,655.81",APRDRG Case Rate,,,"13,655.81",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
692-1 - RADIOTHERAPY,692-1,APR-DRG,,,,inpatient ,,,0,,"3,936.10","3,936.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,936.10",APRDRG Case Rate,,,"3,936.10",APRDRG Case Rate,,,"3,936.10",APRDRG Case Rate,,,"3,936.10",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
692-2 - RADIOTHERAPY,692-2,APR-DRG,,,,inpatient ,,,0,,"5,241.92","5,241.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,241.92",APRDRG Case Rate,,,"5,241.92",APRDRG Case Rate,,,"5,241.92",APRDRG Case Rate,,,"5,241.92",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
692-3 - RADIOTHERAPY,692-3,APR-DRG,,,,inpatient ,,,0,,"6,771.94","6,771.94",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,771.94",APRDRG Case Rate,,,"6,771.94",APRDRG Case Rate,,,"6,771.94",APRDRG Case Rate,,,"6,771.94",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
692-4 - RADIOTHERAPY,692-4,APR-DRG,,,,inpatient ,,,0,,"12,899.77","12,899.77",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,899.77",APRDRG Case Rate,,,"12,899.77",APRDRG Case Rate,,,"12,899.77",APRDRG Case Rate,,,"12,899.77",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
694-1 - LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR,694-1,APR-DRG,,,,inpatient ,,,0,,"2,817.54","2,817.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,817.54",APRDRG Case Rate,,,"2,817.54",APRDRG Case Rate,,,"2,817.54",APRDRG Case Rate,,,"2,817.54",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
694-2 - LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR,694-2,APR-DRG,,,,inpatient ,,,0,,"3,863.60","3,863.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,863.60",APRDRG Case Rate,,,"3,863.60",APRDRG Case Rate,,,"3,863.60",APRDRG Case Rate,,,"3,863.60",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
694-3 - LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR,694-3,APR-DRG,,,,inpatient ,,,0,,"5,478.09","5,478.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,478.09",APRDRG Case Rate,,,"5,478.09",APRDRG Case Rate,,,"5,478.09",APRDRG Case Rate,,,"5,478.09",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
694-4 - LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR,694-4,APR-DRG,,,,inpatient ,,,0,,"10,299.76","10,299.76",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,299.76",APRDRG Case Rate,,,"10,299.76",APRDRG Case Rate,,,"10,299.76",APRDRG Case Rate,,,"10,299.76",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
695-1 - CHEMOTHERAPY FOR ACUTE LEUKEMIA,695-1,APR-DRG,,,,inpatient ,,,0,,"2,697.16","2,697.16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,697.16",APRDRG Case Rate,,,"2,697.16",APRDRG Case Rate,,,"2,697.16",APRDRG Case Rate,,,"2,697.16",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
695-2 - CHEMOTHERAPY FOR ACUTE LEUKEMIA,695-2,APR-DRG,,,,inpatient ,,,0,,"3,815.02","3,815.02",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,815.02",APRDRG Case Rate,,,"3,815.02",APRDRG Case Rate,,,"3,815.02",APRDRG Case Rate,,,"3,815.02",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
695-3 - CHEMOTHERAPY FOR ACUTE LEUKEMIA,695-3,APR-DRG,,,,inpatient ,,,0,,"5,327.80","5,327.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,327.80",APRDRG Case Rate,,,"5,327.80",APRDRG Case Rate,,,"5,327.80",APRDRG Case Rate,,,"5,327.80",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
695-4 - CHEMOTHERAPY FOR ACUTE LEUKEMIA,695-4,APR-DRG,,,,inpatient ,,,0,,"8,807.40","8,807.40",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,807.40",APRDRG Case Rate,,,"8,807.40",APRDRG Case Rate,,,"8,807.40",APRDRG Case Rate,,,"8,807.40",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
696-1 - OTHER CHEMOTHERAPY,696-1,APR-DRG,,,,inpatient ,,,0,,"8,861.95","8,861.95",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,861.95",APRDRG Case Rate,,,"8,861.95",APRDRG Case Rate,,,"8,861.95",APRDRG Case Rate,,,"8,861.95",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
696-2 - OTHER CHEMOTHERAPY,696-2,APR-DRG,,,,inpatient ,,,0,,"11,692.51","11,692.51",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,692.51",APRDRG Case Rate,,,"11,692.51",APRDRG Case Rate,,,"11,692.51",APRDRG Case Rate,,,"11,692.51",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
696-3 - OTHER CHEMOTHERAPY,696-3,APR-DRG,,,,inpatient ,,,0,,"19,229.99","19,229.99",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,229.99",APRDRG Case Rate,,,"19,229.99",APRDRG Case Rate,,,"19,229.99",APRDRG Case Rate,,,"19,229.99",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
696-4 - OTHER CHEMOTHERAPY,696-4,APR-DRG,,,,inpatient ,,,0,,"36,840.21","36,840.21",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,840.21",APRDRG Case Rate,,,"36,840.21",APRDRG Case Rate,,,"36,840.21",APRDRG Case Rate,,,"36,840.21",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
710-1 - INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE,710-1,APR-DRG,,,,inpatient ,,,0,,"6,554.42","6,554.42",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,554.42",APRDRG Case Rate,,,"6,554.42",APRDRG Case Rate,,,"6,554.42",APRDRG Case Rate,,,"6,554.42",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
710-2 - INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE,710-2,APR-DRG,,,,inpatient ,,,0,,"8,601.84","8,601.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,601.84",APRDRG Case Rate,,,"8,601.84",APRDRG Case Rate,,,"8,601.84",APRDRG Case Rate,,,"8,601.84",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
710-3 - INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE,710-3,APR-DRG,,,,inpatient ,,,0,,"14,764.87","14,764.87",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,764.87",APRDRG Case Rate,,,"14,764.87",APRDRG Case Rate,,,"14,764.87",APRDRG Case Rate,,,"14,764.87",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
710-4 - INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE,710-4,APR-DRG,,,,inpatient ,,,0,,"31,414.20","31,414.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,414.20",APRDRG Case Rate,,,"31,414.20",APRDRG Case Rate,,,"31,414.20",APRDRG Case Rate,,,"31,414.20",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"711-1 - POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE",711-1,APR-DRG,,,,inpatient ,,,0,,"4,788.23","4,788.23",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,788.23",APRDRG Case Rate,,,"4,788.23",APRDRG Case Rate,,,"4,788.23",APRDRG Case Rate,,,"4,788.23",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"711-2 - POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE",711-2,APR-DRG,,,,inpatient ,,,0,,"9,271.65","9,271.65",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,271.65",APRDRG Case Rate,,,"9,271.65",APRDRG Case Rate,,,"9,271.65",APRDRG Case Rate,,,"9,271.65",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"711-3 - POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE",711-3,APR-DRG,,,,inpatient ,,,0,,"17,270.56","17,270.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,270.56",APRDRG Case Rate,,,"17,270.56",APRDRG Case Rate,,,"17,270.56",APRDRG Case Rate,,,"17,270.56",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"711-4 - POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE",711-4,APR-DRG,,,,inpatient ,,,0,,"30,070.02","30,070.02",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"30,070.02",APRDRG Case Rate,,,"30,070.02",APRDRG Case Rate,,,"30,070.02",APRDRG Case Rate,,,"30,070.02",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
720-1 - SEPTICEMIA & DISSEMINATED INFECTIONS,720-1,APR-DRG,,,,inpatient ,,,0,,"4,891.71","4,891.71",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,891.71",APRDRG Case Rate,,,"4,891.71",APRDRG Case Rate,,,"4,891.71",APRDRG Case Rate,,,"4,891.71",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
720-2 - SEPTICEMIA & DISSEMINATED INFECTIONS,720-2,APR-DRG,,,,inpatient ,,,0,,"6,340.07","6,340.07",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,340.07",APRDRG Case Rate,,,"6,340.07",APRDRG Case Rate,,,"6,340.07",APRDRG Case Rate,,,"6,340.07",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
720-3 - SEPTICEMIA & DISSEMINATED INFECTIONS,720-3,APR-DRG,,,,inpatient ,,,0,,"9,497.61","9,497.61",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,497.61",APRDRG Case Rate,,,"9,497.61",APRDRG Case Rate,,,"9,497.61",APRDRG Case Rate,,,"9,497.61",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
720-4 - SEPTICEMIA & DISSEMINATED INFECTIONS,720-4,APR-DRG,,,,inpatient ,,,0,,"17,670.40","17,670.40",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,670.40",APRDRG Case Rate,,,"17,670.40",APRDRG Case Rate,,,"17,670.40",APRDRG Case Rate,,,"17,670.40",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"721-1 - POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",721-1,APR-DRG,,,,inpatient ,,,0,,"3,432.43","3,432.43",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,432.43",APRDRG Case Rate,,,"3,432.43",APRDRG Case Rate,,,"3,432.43",APRDRG Case Rate,,,"3,432.43",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"721-2 - POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",721-2,APR-DRG,,,,inpatient ,,,0,,"5,820.21","5,820.21",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,820.21",APRDRG Case Rate,,,"5,820.21",APRDRG Case Rate,,,"5,820.21",APRDRG Case Rate,,,"5,820.21",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"721-3 - POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",721-3,APR-DRG,,,,inpatient ,,,0,,"10,558.10","10,558.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,558.10",APRDRG Case Rate,,,"10,558.10",APRDRG Case Rate,,,"10,558.10",APRDRG Case Rate,,,"10,558.10",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"721-4 - POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",721-4,APR-DRG,,,,inpatient ,,,0,,"18,764.68","18,764.68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,764.68",APRDRG Case Rate,,,"18,764.68",APRDRG Case Rate,,,"18,764.68",APRDRG Case Rate,,,"18,764.68",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
722-1 - FEVER,722-1,APR-DRG,,,,inpatient ,,,0,,"3,451.44","3,451.44",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,451.44",APRDRG Case Rate,,,"3,451.44",APRDRG Case Rate,,,"3,451.44",APRDRG Case Rate,,,"3,451.44",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
722-2 - FEVER,722-2,APR-DRG,,,,inpatient ,,,0,,"4,319.05","4,319.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,319.05",APRDRG Case Rate,,,"4,319.05",APRDRG Case Rate,,,"4,319.05",APRDRG Case Rate,,,"4,319.05",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
722-3 - FEVER,722-3,APR-DRG,,,,inpatient ,,,0,,"6,347.82","6,347.82",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,347.82",APRDRG Case Rate,,,"6,347.82",APRDRG Case Rate,,,"6,347.82",APRDRG Case Rate,,,"6,347.82",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
722-4 - FEVER,722-4,APR-DRG,,,,inpatient ,,,0,,"10,964.98","10,964.98",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,964.98",APRDRG Case Rate,,,"10,964.98",APRDRG Case Rate,,,"10,964.98",APRDRG Case Rate,,,"10,964.98",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
723-1 - VIRAL ILLNESS,723-1,APR-DRG,,,,inpatient ,,,0,,"3,149.09","3,149.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,149.09",APRDRG Case Rate,,,"3,149.09",APRDRG Case Rate,,,"3,149.09",APRDRG Case Rate,,,"3,149.09",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
723-2 - VIRAL ILLNESS,723-2,APR-DRG,,,,inpatient ,,,0,,"4,361.99","4,361.99",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,361.99",APRDRG Case Rate,,,"4,361.99",APRDRG Case Rate,,,"4,361.99",APRDRG Case Rate,,,"4,361.99",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
723-3 - VIRAL ILLNESS,723-3,APR-DRG,,,,inpatient ,,,0,,"9,120.65","9,120.65",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,120.65",APRDRG Case Rate,,,"9,120.65",APRDRG Case Rate,,,"9,120.65",APRDRG Case Rate,,,"9,120.65",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
723-4 - VIRAL ILLNESS,723-4,APR-DRG,,,,inpatient ,,,0,,"28,300.31","28,300.31",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"28,300.31",APRDRG Case Rate,,,"28,300.31",APRDRG Case Rate,,,"28,300.31",APRDRG Case Rate,,,"28,300.31",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
724-1 - OTHER INFECTIOUS & PARASITIC DISEASES,724-1,APR-DRG,,,,inpatient ,,,0,,"3,655.93","3,655.93",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,655.93",APRDRG Case Rate,,,"3,655.93",APRDRG Case Rate,,,"3,655.93",APRDRG Case Rate,,,"3,655.93",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
724-2 - OTHER INFECTIOUS & PARASITIC DISEASES,724-2,APR-DRG,,,,inpatient ,,,0,,"4,655.53","4,655.53",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,655.53",APRDRG Case Rate,,,"4,655.53",APRDRG Case Rate,,,"4,655.53",APRDRG Case Rate,,,"4,655.53",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
724-3 - OTHER INFECTIOUS & PARASITIC DISEASES,724-3,APR-DRG,,,,inpatient ,,,0,,"6,930.68","6,930.68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,930.68",APRDRG Case Rate,,,"6,930.68",APRDRG Case Rate,,,"6,930.68",APRDRG Case Rate,,,"6,930.68",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
724-4 - OTHER INFECTIOUS & PARASITIC DISEASES,724-4,APR-DRG,,,,inpatient ,,,0,,"13,775.48","13,775.48",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,775.48",APRDRG Case Rate,,,"13,775.48",APRDRG Case Rate,,,"13,775.48",APRDRG Case Rate,,,"13,775.48",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
740-1 - MENTAL ILLNESS DIAGNOSIS W O.R. PROCEDURE,740-1,APR-DRG,,,,inpatient ,,,0,,"5,785.01","5,785.01",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,785.01",APRDRG Case Rate,,,"5,785.01",APRDRG Case Rate,,,"5,785.01",APRDRG Case Rate,,,"5,785.01",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
740-2 - MENTAL ILLNESS DIAGNOSIS W O.R. PROCEDURE,740-2,APR-DRG,,,,inpatient ,,,0,,"8,369.19","8,369.19",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,369.19",APRDRG Case Rate,,,"8,369.19",APRDRG Case Rate,,,"8,369.19",APRDRG Case Rate,,,"8,369.19",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
740-3 - MENTAL ILLNESS DIAGNOSIS W O.R. PROCEDURE,740-3,APR-DRG,,,,inpatient ,,,0,,"13,711.77","13,711.77",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,711.77",APRDRG Case Rate,,,"13,711.77",APRDRG Case Rate,,,"13,711.77",APRDRG Case Rate,,,"13,711.77",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
740-4 - MENTAL ILLNESS DIAGNOSIS W O.R. PROCEDURE,740-4,APR-DRG,,,,inpatient ,,,0,,"25,287.78","25,287.78",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"25,287.78",APRDRG Case Rate,,,"25,287.78",APRDRG Case Rate,,,"25,287.78",APRDRG Case Rate,,,"25,287.78",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
750-1 - SCHIZOPHRENIA,750-1,APR-DRG,,,,inpatient ,,,0,,"5,878.64","5,878.64",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,878.64",APRDRG Case Rate,,,"5,878.64",APRDRG Case Rate,,,"5,878.64",APRDRG Case Rate,,,"5,878.64",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
750-2 - SCHIZOPHRENIA,750-2,APR-DRG,,,,inpatient ,,,0,,"7,687.42","7,687.42",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,687.42",APRDRG Case Rate,,,"7,687.42",APRDRG Case Rate,,,"7,687.42",APRDRG Case Rate,,,"7,687.42",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
750-3 - SCHIZOPHRENIA,750-3,APR-DRG,,,,inpatient ,,,0,,"12,703.02","12,703.02",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,703.02",APRDRG Case Rate,,,"12,703.02",APRDRG Case Rate,,,"12,703.02",APRDRG Case Rate,,,"12,703.02",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
750-4 - SCHIZOPHRENIA,750-4,APR-DRG,,,,inpatient ,,,0,,"23,854.20","23,854.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,854.20",APRDRG Case Rate,,,"23,854.20",APRDRG Case Rate,,,"23,854.20",APRDRG Case Rate,,,"23,854.20",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
751-1 - MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES,751-1,APR-DRG,,,,inpatient ,,,0,,"3,232.16","3,232.16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,232.16",APRDRG Case Rate,,,"3,232.16",APRDRG Case Rate,,,"3,232.16",APRDRG Case Rate,,,"3,232.16",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
751-2 - MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES,751-2,APR-DRG,,,,inpatient ,,,0,,"4,156.44","4,156.44",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,156.44",APRDRG Case Rate,,,"4,156.44",APRDRG Case Rate,,,"4,156.44",APRDRG Case Rate,,,"4,156.44",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
751-3 - MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES,751-3,APR-DRG,,,,inpatient ,,,0,,"6,109.88","6,109.88",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,109.88",APRDRG Case Rate,,,"6,109.88",APRDRG Case Rate,,,"6,109.88",APRDRG Case Rate,,,"6,109.88",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
751-4 - MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES,751-4,APR-DRG,,,,inpatient ,,,0,,"10,658.06","10,658.06",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,658.06",APRDRG Case Rate,,,"10,658.06",APRDRG Case Rate,,,"10,658.06",APRDRG Case Rate,,,"10,658.06",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
752-1 - DISORDERS OF PERSONALITY & IMPULSE CONTROL,752-1,APR-DRG,,,,inpatient ,,,0,,"3,132.55","3,132.55",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,132.55",APRDRG Case Rate,,,"3,132.55",APRDRG Case Rate,,,"3,132.55",APRDRG Case Rate,,,"3,132.55",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
752-2 - DISORDERS OF PERSONALITY & IMPULSE CONTROL,752-2,APR-DRG,,,,inpatient ,,,0,,"4,128.63","4,128.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,128.63",APRDRG Case Rate,,,"4,128.63",APRDRG Case Rate,,,"4,128.63",APRDRG Case Rate,,,"4,128.63",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
752-3 - DISORDERS OF PERSONALITY & IMPULSE CONTROL,752-3,APR-DRG,,,,inpatient ,,,0,,"6,510.78","6,510.78",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,510.78",APRDRG Case Rate,,,"6,510.78",APRDRG Case Rate,,,"6,510.78",APRDRG Case Rate,,,"6,510.78",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
752-4 - DISORDERS OF PERSONALITY & IMPULSE CONTROL,752-4,APR-DRG,,,,inpatient ,,,0,,"11,666.11","11,666.11",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,666.11",APRDRG Case Rate,,,"11,666.11",APRDRG Case Rate,,,"11,666.11",APRDRG Case Rate,,,"11,666.11",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
753-1 - BIPOLAR DISORDERS,753-1,APR-DRG,,,,inpatient ,,,0,,"2,136.82","2,136.82",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,136.82",APRDRG Case Rate,,,"2,136.82",APRDRG Case Rate,,,"2,136.82",APRDRG Case Rate,,,"2,136.82",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
753-2 - BIPOLAR DISORDERS,753-2,APR-DRG,,,,inpatient ,,,0,,"3,206.11","3,206.11",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,206.11",APRDRG Case Rate,,,"3,206.11",APRDRG Case Rate,,,"3,206.11",APRDRG Case Rate,,,"3,206.11",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
753-3 - BIPOLAR DISORDERS,753-3,APR-DRG,,,,inpatient ,,,0,,"4,369.38","4,369.38",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,369.38",APRDRG Case Rate,,,"4,369.38",APRDRG Case Rate,,,"4,369.38",APRDRG Case Rate,,,"4,369.38",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
753-4 - BIPOLAR DISORDERS,753-4,APR-DRG,,,,inpatient ,,,0,,"6,341.83","6,341.83",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,341.83",APRDRG Case Rate,,,"6,341.83",APRDRG Case Rate,,,"6,341.83",APRDRG Case Rate,,,"6,341.83",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
754-1 - DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,754-1,APR-DRG,,,,inpatient ,,,0,,"2,049.88","2,049.88",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,049.88",APRDRG Case Rate,,,"2,049.88",APRDRG Case Rate,,,"2,049.88",APRDRG Case Rate,,,"2,049.88",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
754-2 - DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,754-2,APR-DRG,,,,inpatient ,,,0,,"2,924.54","2,924.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,924.54",APRDRG Case Rate,,,"2,924.54",APRDRG Case Rate,,,"2,924.54",APRDRG Case Rate,,,"2,924.54",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
754-3 - DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,754-3,APR-DRG,,,,inpatient ,,,0,,"4,388.74","4,388.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,388.74",APRDRG Case Rate,,,"4,388.74",APRDRG Case Rate,,,"4,388.74",APRDRG Case Rate,,,"4,388.74",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
754-4 - DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,754-4,APR-DRG,,,,inpatient ,,,0,,"8,669.07","8,669.07",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,669.07",APRDRG Case Rate,,,"8,669.07",APRDRG Case Rate,,,"8,669.07",APRDRG Case Rate,,,"8,669.07",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
755-1 - ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,755-1,APR-DRG,,,,inpatient ,,,0,,"3,150.85","3,150.85",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,150.85",APRDRG Case Rate,,,"3,150.85",APRDRG Case Rate,,,"3,150.85",APRDRG Case Rate,,,"3,150.85",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
755-2 - ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,755-2,APR-DRG,,,,inpatient ,,,0,,"3,774.90","3,774.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,774.90",APRDRG Case Rate,,,"3,774.90",APRDRG Case Rate,,,"3,774.90",APRDRG Case Rate,,,"3,774.90",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
755-3 - ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,755-3,APR-DRG,,,,inpatient ,,,0,,"6,298.54","6,298.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,298.54",APRDRG Case Rate,,,"6,298.54",APRDRG Case Rate,,,"6,298.54",APRDRG Case Rate,,,"6,298.54",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
755-4 - ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,755-4,APR-DRG,,,,inpatient ,,,0,,"12,690.70","12,690.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,690.70",APRDRG Case Rate,,,"12,690.70",APRDRG Case Rate,,,"12,690.70",APRDRG Case Rate,,,"12,690.70",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
756-1 - ACUTE ANXIETY & DELIRIUM STATES,756-1,APR-DRG,,,,inpatient ,,,0,,"6,467.49","6,467.49",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,467.49",APRDRG Case Rate,,,"6,467.49",APRDRG Case Rate,,,"6,467.49",APRDRG Case Rate,,,"6,467.49",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
756-2 - ACUTE ANXIETY & DELIRIUM STATES,756-2,APR-DRG,,,,inpatient ,,,0,,"9,949.19","9,949.19",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,949.19",APRDRG Case Rate,,,"9,949.19",APRDRG Case Rate,,,"9,949.19",APRDRG Case Rate,,,"9,949.19",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
756-3 - ACUTE ANXIETY & DELIRIUM STATES,756-3,APR-DRG,,,,inpatient ,,,0,,"13,431.25","13,431.25",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,431.25",APRDRG Case Rate,,,"13,431.25",APRDRG Case Rate,,,"13,431.25",APRDRG Case Rate,,,"13,431.25",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
756-4 - ACUTE ANXIETY & DELIRIUM STATES,756-4,APR-DRG,,,,inpatient ,,,0,,"32,076.97","32,076.97",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"32,076.97",APRDRG Case Rate,,,"32,076.97",APRDRG Case Rate,,,"32,076.97",APRDRG Case Rate,,,"32,076.97",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
757-1 - ORGANIC MENTAL HEALTH DISTURBANCES,757-1,APR-DRG,,,,inpatient ,,,0,,"2,985.43","2,985.43",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,985.43",APRDRG Case Rate,,,"2,985.43",APRDRG Case Rate,,,"2,985.43",APRDRG Case Rate,,,"2,985.43",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
757-2 - ORGANIC MENTAL HEALTH DISTURBANCES,757-2,APR-DRG,,,,inpatient ,,,0,,"3,721.05","3,721.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,721.05",APRDRG Case Rate,,,"3,721.05",APRDRG Case Rate,,,"3,721.05",APRDRG Case Rate,,,"3,721.05",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
757-3 - ORGANIC MENTAL HEALTH DISTURBANCES,757-3,APR-DRG,,,,inpatient ,,,0,,"6,228.85","6,228.85",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,228.85",APRDRG Case Rate,,,"6,228.85",APRDRG Case Rate,,,"6,228.85",APRDRG Case Rate,,,"6,228.85",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
757-4 - ORGANIC MENTAL HEALTH DISTURBANCES,757-4,APR-DRG,,,,inpatient ,,,0,,"14,085.92","14,085.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,085.92",APRDRG Case Rate,,,"14,085.92",APRDRG Case Rate,,,"14,085.92",APRDRG Case Rate,,,"14,085.92",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
758-1 - BEHAVIORAL DISORDERS,758-1,APR-DRG,,,,inpatient ,,,0,,"2,054.46","2,054.46",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,054.46",APRDRG Case Rate,,,"2,054.46",APRDRG Case Rate,,,"2,054.46",APRDRG Case Rate,,,"2,054.46",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
758-2 - BEHAVIORAL DISORDERS,758-2,APR-DRG,,,,inpatient ,,,0,,"2,766.50","2,766.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,766.50",APRDRG Case Rate,,,"2,766.50",APRDRG Case Rate,,,"2,766.50",APRDRG Case Rate,,,"2,766.50",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
758-3 - BEHAVIORAL DISORDERS,758-3,APR-DRG,,,,inpatient ,,,0,,"5,088.11","5,088.11",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,088.11",APRDRG Case Rate,,,"5,088.11",APRDRG Case Rate,,,"5,088.11",APRDRG Case Rate,,,"5,088.11",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
758-4 - BEHAVIORAL DISORDERS,758-4,APR-DRG,,,,inpatient ,,,0,,"10,348.33","10,348.33",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,348.33",APRDRG Case Rate,,,"10,348.33",APRDRG Case Rate,,,"10,348.33",APRDRG Case Rate,,,"10,348.33",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
759-1 - EATING DISORDERS,759-1,APR-DRG,,,,inpatient ,,,0,,"1,645.12","1,645.12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,645.12",APRDRG Case Rate,,,"1,645.12",APRDRG Case Rate,,,"1,645.12",APRDRG Case Rate,,,"1,645.12",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
759-2 - EATING DISORDERS,759-2,APR-DRG,,,,inpatient ,,,0,,"2,318.09","2,318.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,318.09",APRDRG Case Rate,,,"2,318.09",APRDRG Case Rate,,,"2,318.09",APRDRG Case Rate,,,"2,318.09",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
759-3 - EATING DISORDERS,759-3,APR-DRG,,,,inpatient ,,,0,,"5,313.02","5,313.02",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,313.02",APRDRG Case Rate,,,"5,313.02",APRDRG Case Rate,,,"5,313.02",APRDRG Case Rate,,,"5,313.02",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
759-4 - EATING DISORDERS,759-4,APR-DRG,,,,inpatient ,,,0,,"21,034.90","21,034.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,034.90",APRDRG Case Rate,,,"21,034.90",APRDRG Case Rate,,,"21,034.90",APRDRG Case Rate,,,"21,034.90",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
760-1 - OTHER MENTAL HEALTH DISORDERS,760-1,APR-DRG,,,,inpatient ,,,0,,"2,244.88","2,244.88",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,244.88",APRDRG Case Rate,,,"2,244.88",APRDRG Case Rate,,,"2,244.88",APRDRG Case Rate,,,"2,244.88",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
760-2 - OTHER MENTAL HEALTH DISORDERS,760-2,APR-DRG,,,,inpatient ,,,0,,"3,032.24","3,032.24",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,032.24",APRDRG Case Rate,,,"3,032.24",APRDRG Case Rate,,,"3,032.24",APRDRG Case Rate,,,"3,032.24",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
760-3 - OTHER MENTAL HEALTH DISORDERS,760-3,APR-DRG,,,,inpatient ,,,0,,"5,371.09","5,371.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,371.09",APRDRG Case Rate,,,"5,371.09",APRDRG Case Rate,,,"5,371.09",APRDRG Case Rate,,,"5,371.09",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
760-4 - OTHER MENTAL HEALTH DISORDERS,760-4,APR-DRG,,,,inpatient ,,,0,,"10,191.00","10,191.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,191.00",APRDRG Case Rate,,,"10,191.00",APRDRG Case Rate,,,"10,191.00",APRDRG Case Rate,,,"10,191.00",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"770-1 - DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",770-1,APR-DRG,,,,inpatient ,,,0,,"1,824.62","1,824.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,824.62",APRDRG Case Rate,,,"1,824.62",APRDRG Case Rate,,,"1,824.62",APRDRG Case Rate,,,"1,824.62",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"770-2 - DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",770-2,APR-DRG,,,,inpatient ,,,0,,"2,441.28","2,441.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,441.28",APRDRG Case Rate,,,"2,441.28",APRDRG Case Rate,,,"2,441.28",APRDRG Case Rate,,,"2,441.28",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"770-3 - DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",770-3,APR-DRG,,,,inpatient ,,,0,,"3,872.75","3,872.75",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,872.75",APRDRG Case Rate,,,"3,872.75",APRDRG Case Rate,,,"3,872.75",APRDRG Case Rate,,,"3,872.75",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"770-4 - DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",770-4,APR-DRG,,,,inpatient ,,,0,,"8,190.39","8,190.39",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,190.39",APRDRG Case Rate,,,"8,190.39",APRDRG Case Rate,,,"8,190.39",APRDRG Case Rate,,,"8,190.39",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
772-1 - ALCOHOL & DRUG DEPENDENCE W REHAB OR REHAB/DETOX THERAPY,772-1,APR-DRG,,,,inpatient ,,,0,,"1,659.55","1,659.55",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,659.55",APRDRG Case Rate,,,"1,659.55",APRDRG Case Rate,,,"1,659.55",APRDRG Case Rate,,,"1,659.55",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
772-2 - ALCOHOL & DRUG DEPENDENCE W REHAB OR REHAB/DETOX THERAPY,772-2,APR-DRG,,,,inpatient ,,,0,,"2,433.18","2,433.18",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,433.18",APRDRG Case Rate,,,"2,433.18",APRDRG Case Rate,,,"2,433.18",APRDRG Case Rate,,,"2,433.18",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
772-3 - ALCOHOL & DRUG DEPENDENCE W REHAB OR REHAB/DETOX THERAPY,772-3,APR-DRG,,,,inpatient ,,,0,,"3,814.32","3,814.32",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,814.32",APRDRG Case Rate,,,"3,814.32",APRDRG Case Rate,,,"3,814.32",APRDRG Case Rate,,,"3,814.32",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
772-4 - ALCOHOL & DRUG DEPENDENCE W REHAB OR REHAB/DETOX THERAPY,772-4,APR-DRG,,,,inpatient ,,,0,,"6,575.19","6,575.19",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,575.19",APRDRG Case Rate,,,"6,575.19",APRDRG Case Rate,,,"6,575.19",APRDRG Case Rate,,,"6,575.19",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
773-1 - OPIOID ABUSE & DEPENDENCE,773-1,APR-DRG,,,,inpatient ,,,0,,"2,469.44","2,469.44",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,469.44",APRDRG Case Rate,,,"2,469.44",APRDRG Case Rate,,,"2,469.44",APRDRG Case Rate,,,"2,469.44",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
773-2 - OPIOID ABUSE & DEPENDENCE,773-2,APR-DRG,,,,inpatient ,,,0,,"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,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
773-3 - OPIOID ABUSE & DEPENDENCE,773-3,APR-DRG,,,,inpatient ,,,0,,"3,347.96","3,347.96",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,347.96",APRDRG Case Rate,,,"3,347.96",APRDRG Case Rate,,,"3,347.96",APRDRG Case Rate,,,"3,347.96",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
773-4 - OPIOID ABUSE & DEPENDENCE,773-4,APR-DRG,,,,inpatient ,,,0,,"6,918.36","6,918.36",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,918.36",APRDRG Case Rate,,,"6,918.36",APRDRG Case Rate,,,"6,918.36",APRDRG Case Rate,,,"6,918.36",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
774-1 - COCAINE ABUSE & DEPENDENCE,774-1,APR-DRG,,,,inpatient ,,,0,,"2,525.75","2,525.75",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,525.75",APRDRG Case Rate,,,"2,525.75",APRDRG Case Rate,,,"2,525.75",APRDRG Case Rate,,,"2,525.75",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
774-2 - COCAINE ABUSE & DEPENDENCE,774-2,APR-DRG,,,,inpatient ,,,0,,"3,421.87","3,421.87",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,421.87",APRDRG Case Rate,,,"3,421.87",APRDRG Case Rate,,,"3,421.87",APRDRG Case Rate,,,"3,421.87",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
774-3 - COCAINE ABUSE & DEPENDENCE,774-3,APR-DRG,,,,inpatient ,,,0,,"5,225.02","5,225.02",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,225.02",APRDRG Case Rate,,,"5,225.02",APRDRG Case Rate,,,"5,225.02",APRDRG Case Rate,,,"5,225.02",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
774-4 - COCAINE ABUSE & DEPENDENCE,774-4,APR-DRG,,,,inpatient ,,,0,,"12,057.50","12,057.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,057.50",APRDRG Case Rate,,,"12,057.50",APRDRG Case Rate,,,"12,057.50",APRDRG Case Rate,,,"12,057.50",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
775-1 - ALCOHOL ABUSE & DEPENDENCE,775-1,APR-DRG,,,,inpatient ,,,0,,"2,102.68","2,102.68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,102.68",APRDRG Case Rate,,,"2,102.68",APRDRG Case Rate,,,"2,102.68",APRDRG Case Rate,,,"2,102.68",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
775-2 - ALCOHOL ABUSE & DEPENDENCE,775-2,APR-DRG,,,,inpatient ,,,0,,"2,600.37","2,600.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,600.37",APRDRG Case Rate,,,"2,600.37",APRDRG Case Rate,,,"2,600.37",APRDRG Case Rate,,,"2,600.37",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
775-3 - ALCOHOL ABUSE & DEPENDENCE,775-3,APR-DRG,,,,inpatient ,,,0,,"4,535.16","4,535.16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,535.16",APRDRG Case Rate,,,"4,535.16",APRDRG Case Rate,,,"4,535.16",APRDRG Case Rate,,,"4,535.16",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
775-4 - ALCOHOL ABUSE & DEPENDENCE,775-4,APR-DRG,,,,inpatient ,,,0,,"5,985.28","5,985.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,985.28",APRDRG Case Rate,,,"5,985.28",APRDRG Case Rate,,,"5,985.28",APRDRG Case Rate,,,"5,985.28",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
776-1 - OTHER DRUG ABUSE & DEPENDENCE,776-1,APR-DRG,,,,inpatient ,,,0,,"3,356.05","3,356.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,356.05",APRDRG Case Rate,,,"3,356.05",APRDRG Case Rate,,,"3,356.05",APRDRG Case Rate,,,"3,356.05",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
776-2 - OTHER DRUG ABUSE & DEPENDENCE,776-2,APR-DRG,,,,inpatient ,,,0,,"5,251.77","5,251.77",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,251.77",APRDRG Case Rate,,,"5,251.77",APRDRG Case Rate,,,"5,251.77",APRDRG Case Rate,,,"5,251.77",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
776-3 - OTHER DRUG ABUSE & DEPENDENCE,776-3,APR-DRG,,,,inpatient ,,,0,,"7,265.76","7,265.76",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,265.76",APRDRG Case Rate,,,"7,265.76",APRDRG Case Rate,,,"7,265.76",APRDRG Case Rate,,,"7,265.76",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
776-4 - OTHER DRUG ABUSE & DEPENDENCE,776-4,APR-DRG,,,,inpatient ,,,0,,"30,016.17","30,016.17",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"30,016.17",APRDRG Case Rate,,,"30,016.17",APRDRG Case Rate,,,"30,016.17",APRDRG Case Rate,,,"30,016.17",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
792-1 - EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,792-1,APR-DRG,,,,inpatient ,,,0,,"2,918.20","2,918.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,918.20",APRDRG Case Rate,,,"2,918.20",APRDRG Case Rate,,,"2,918.20",APRDRG Case Rate,,,"2,918.20",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
792-2 - EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,792-2,APR-DRG,,,,inpatient ,,,0,,"3,586.24","3,586.24",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,586.24",APRDRG Case Rate,,,"3,586.24",APRDRG Case Rate,,,"3,586.24",APRDRG Case Rate,,,"3,586.24",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
792-3 - EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,792-3,APR-DRG,,,,inpatient ,,,0,,"5,018.42","5,018.42",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,018.42",APRDRG Case Rate,,,"5,018.42",APRDRG Case Rate,,,"5,018.42",APRDRG Case Rate,,,"5,018.42",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
792-4 - EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,792-4,APR-DRG,,,,inpatient ,,,0,,"8,416.71","8,416.71",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,416.71",APRDRG Case Rate,,,"8,416.71",APRDRG Case Rate,,,"8,416.71",APRDRG Case Rate,,,"8,416.71",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
793-1 - MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,793-1,APR-DRG,,,,inpatient ,,,0,,"1,425.84","1,425.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,425.84",APRDRG Case Rate,,,"1,425.84",APRDRG Case Rate,,,"1,425.84",APRDRG Case Rate,,,"1,425.84",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
793-2 - MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,793-2,APR-DRG,,,,inpatient ,,,0,,"2,181.17","2,181.17",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,181.17",APRDRG Case Rate,,,"2,181.17",APRDRG Case Rate,,,"2,181.17",APRDRG Case Rate,,,"2,181.17",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
793-3 - MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,793-3,APR-DRG,,,,inpatient ,,,0,,"3,455.31","3,455.31",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,455.31",APRDRG Case Rate,,,"3,455.31",APRDRG Case Rate,,,"3,455.31",APRDRG Case Rate,,,"3,455.31",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
793-4 - MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,793-4,APR-DRG,,,,inpatient ,,,0,,"7,035.57","7,035.57",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,035.57",APRDRG Case Rate,,,"7,035.57",APRDRG Case Rate,,,"7,035.57",APRDRG Case Rate,,,"7,035.57",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
794-1 - NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,794-1,APR-DRG,,,,inpatient ,,,0,,"2,594.03","2,594.03",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,594.03",APRDRG Case Rate,,,"2,594.03",APRDRG Case Rate,,,"2,594.03",APRDRG Case Rate,,,"2,594.03",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
794-2 - NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,794-2,APR-DRG,,,,inpatient ,,,0,,"3,189.92","3,189.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,189.92",APRDRG Case Rate,,,"3,189.92",APRDRG Case Rate,,,"3,189.92",APRDRG Case Rate,,,"3,189.92",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
794-3 - NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,794-3,APR-DRG,,,,inpatient ,,,0,,"3,905.83","3,905.83",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,905.83",APRDRG Case Rate,,,"3,905.83",APRDRG Case Rate,,,"3,905.83",APRDRG Case Rate,,,"3,905.83",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
794-4 - NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,794-4,APR-DRG,,,,inpatient ,,,0,,"10,312.43","10,312.43",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,312.43",APRDRG Case Rate,,,"10,312.43",APRDRG Case Rate,,,"10,312.43",APRDRG Case Rate,,,"10,312.43",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
810-1 - HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,810-1,APR-DRG,,,,inpatient ,,,0,,"1,614.50","1,614.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,614.50",APRDRG Case Rate,,,"1,614.50",APRDRG Case Rate,,,"1,614.50",APRDRG Case Rate,,,"1,614.50",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
810-2 - HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,810-2,APR-DRG,,,,inpatient ,,,0,,"2,305.06","2,305.06",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,305.06",APRDRG Case Rate,,,"2,305.06",APRDRG Case Rate,,,"2,305.06",APRDRG Case Rate,,,"2,305.06",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
810-3 - HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,810-3,APR-DRG,,,,inpatient ,,,0,,"4,277.52","4,277.52",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,277.52",APRDRG Case Rate,,,"4,277.52",APRDRG Case Rate,,,"4,277.52",APRDRG Case Rate,,,"4,277.52",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
810-4 - HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,810-4,APR-DRG,,,,inpatient ,,,0,,"9,448.34","9,448.34",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,448.34",APRDRG Case Rate,,,"9,448.34",APRDRG Case Rate,,,"9,448.34",APRDRG Case Rate,,,"9,448.34",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
811-1 - ALLERGIC REACTIONS,811-1,APR-DRG,,,,inpatient ,,,0,,"1,821.81","1,821.81",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,821.81",APRDRG Case Rate,,,"1,821.81",APRDRG Case Rate,,,"1,821.81",APRDRG Case Rate,,,"1,821.81",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
811-2 - ALLERGIC REACTIONS,811-2,APR-DRG,,,,inpatient ,,,0,,"2,207.92","2,207.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,207.92",APRDRG Case Rate,,,"2,207.92",APRDRG Case Rate,,,"2,207.92",APRDRG Case Rate,,,"2,207.92",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
811-3 - ALLERGIC REACTIONS,811-3,APR-DRG,,,,inpatient ,,,0,,"4,017.41","4,017.41",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,017.41",APRDRG Case Rate,,,"4,017.41",APRDRG Case Rate,,,"4,017.41",APRDRG Case Rate,,,"4,017.41",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
811-4 - ALLERGIC REACTIONS,811-4,APR-DRG,,,,inpatient ,,,0,,"9,410.68","9,410.68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,410.68",APRDRG Case Rate,,,"9,410.68",APRDRG Case Rate,,,"9,410.68",APRDRG Case Rate,,,"9,410.68",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
812-1 - POISONING OF MEDICINAL AGENTS,812-1,APR-DRG,,,,inpatient ,,,0,,"2,130.49","2,130.49",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,130.49",APRDRG Case Rate,,,"2,130.49",APRDRG Case Rate,,,"2,130.49",APRDRG Case Rate,,,"2,130.49",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
812-2 - POISONING OF MEDICINAL AGENTS,812-2,APR-DRG,,,,inpatient ,,,0,,"2,918.20","2,918.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,918.20",APRDRG Case Rate,,,"2,918.20",APRDRG Case Rate,,,"2,918.20",APRDRG Case Rate,,,"2,918.20",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
812-3 - POISONING OF MEDICINAL AGENTS,812-3,APR-DRG,,,,inpatient ,,,0,,"4,965.97","4,965.97",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,965.97",APRDRG Case Rate,,,"4,965.97",APRDRG Case Rate,,,"4,965.97",APRDRG Case Rate,,,"4,965.97",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
812-4 - POISONING OF MEDICINAL AGENTS,812-4,APR-DRG,,,,inpatient ,,,0,,"11,000.88","11,000.88",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,000.88",APRDRG Case Rate,,,"11,000.88",APRDRG Case Rate,,,"11,000.88",APRDRG Case Rate,,,"11,000.88",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
813-1 - OTHER COMPLICATIONS OF TREATMENT,813-1,APR-DRG,,,,inpatient ,,,0,,"2,233.26","2,233.26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,233.26",APRDRG Case Rate,,,"2,233.26",APRDRG Case Rate,,,"2,233.26",APRDRG Case Rate,,,"2,233.26",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
813-2 - OTHER COMPLICATIONS OF TREATMENT,813-2,APR-DRG,,,,inpatient ,,,0,,"2,447.61","2,447.61",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,447.61",APRDRG Case Rate,,,"2,447.61",APRDRG Case Rate,,,"2,447.61",APRDRG Case Rate,,,"2,447.61",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
813-3 - OTHER COMPLICATIONS OF TREATMENT,813-3,APR-DRG,,,,inpatient ,,,0,,"4,279.98","4,279.98",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,279.98",APRDRG Case Rate,,,"4,279.98",APRDRG Case Rate,,,"4,279.98",APRDRG Case Rate,,,"4,279.98",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
813-4 - OTHER COMPLICATIONS OF TREATMENT,813-4,APR-DRG,,,,inpatient ,,,0,,"7,400.56","7,400.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,400.56",APRDRG Case Rate,,,"7,400.56",APRDRG Case Rate,,,"7,400.56",APRDRG Case Rate,,,"7,400.56",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"815-1 - OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES",815-1,APR-DRG,,,,inpatient ,,,0,,"7,750.78","7,750.78",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,750.78",APRDRG Case Rate,,,"7,750.78",APRDRG Case Rate,,,"7,750.78",APRDRG Case Rate,,,"7,750.78",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"815-2 - OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES",815-2,APR-DRG,,,,inpatient ,,,0,,"9,804.18","9,804.18",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,804.18",APRDRG Case Rate,,,"9,804.18",APRDRG Case Rate,,,"9,804.18",APRDRG Case Rate,,,"9,804.18",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"815-3 - OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES",815-3,APR-DRG,,,,inpatient ,,,0,,"14,607.54","14,607.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,607.54",APRDRG Case Rate,,,"14,607.54",APRDRG Case Rate,,,"14,607.54",APRDRG Case Rate,,,"14,607.54",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"815-4 - OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES",815-4,APR-DRG,,,,inpatient ,,,0,,"27,420.73","27,420.73",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"27,420.73",APRDRG Case Rate,,,"27,420.73",APRDRG Case Rate,,,"27,420.73",APRDRG Case Rate,,,"27,420.73",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
816-1 - TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,816-1,APR-DRG,,,,inpatient ,,,0,,"5,629.79","5,629.79",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,629.79",APRDRG Case Rate,,,"5,629.79",APRDRG Case Rate,,,"5,629.79",APRDRG Case Rate,,,"5,629.79",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
816-2 - TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,816-2,APR-DRG,,,,inpatient ,,,0,,"7,467.44","7,467.44",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,467.44",APRDRG Case Rate,,,"7,467.44",APRDRG Case Rate,,,"7,467.44",APRDRG Case Rate,,,"7,467.44",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
816-3 - TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,816-3,APR-DRG,,,,inpatient ,,,0,,"11,065.65","11,065.65",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,065.65",APRDRG Case Rate,,,"11,065.65",APRDRG Case Rate,,,"11,065.65",APRDRG Case Rate,,,"11,065.65",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
816-4 - TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,816-4,APR-DRG,,,,inpatient ,,,0,,"21,591.37","21,591.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,591.37",APRDRG Case Rate,,,"21,591.37",APRDRG Case Rate,,,"21,591.37",APRDRG Case Rate,,,"21,591.37",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
817-1 - OVERDOSE,817-1,APR-DRG,,,,inpatient ,,,0,,"4,810.05","4,810.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,810.05",APRDRG Case Rate,,,"4,810.05",APRDRG Case Rate,,,"4,810.05",APRDRG Case Rate,,,"4,810.05",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
817-2 - OVERDOSE,817-2,APR-DRG,,,,inpatient ,,,0,,"6,182.74","6,182.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,182.74",APRDRG Case Rate,,,"6,182.74",APRDRG Case Rate,,,"6,182.74",APRDRG Case Rate,,,"6,182.74",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
817-3 - OVERDOSE,817-3,APR-DRG,,,,inpatient ,,,0,,"8,995.70","8,995.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,995.70",APRDRG Case Rate,,,"8,995.70",APRDRG Case Rate,,,"8,995.70",APRDRG Case Rate,,,"8,995.70",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
817-4 - OVERDOSE,817-4,APR-DRG,,,,inpatient ,,,0,,"16,099.90","16,099.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,099.90",APRDRG Case Rate,,,"16,099.90",APRDRG Case Rate,,,"16,099.90",APRDRG Case Rate,,,"16,099.90",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
841-1 - EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT,841-1,APR-DRG,,,,inpatient ,,,0,,"2,559.19","2,559.19",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,559.19",APRDRG Case Rate,,,"2,559.19",APRDRG Case Rate,,,"2,559.19",APRDRG Case Rate,,,"2,559.19",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
841-2 - EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT,841-2,APR-DRG,,,,inpatient ,,,0,,"3,571.11","3,571.11",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,571.11",APRDRG Case Rate,,,"3,571.11",APRDRG Case Rate,,,"3,571.11",APRDRG Case Rate,,,"3,571.11",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
841-3 - EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT,841-3,APR-DRG,,,,inpatient ,,,0,,"5,612.55","5,612.55",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,612.55",APRDRG Case Rate,,,"5,612.55",APRDRG Case Rate,,,"5,612.55",APRDRG Case Rate,,,"5,612.55",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
841-4 - EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT,841-4,APR-DRG,,,,inpatient ,,,0,,"11,548.55","11,548.55",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,548.55",APRDRG Case Rate,,,"11,548.55",APRDRG Case Rate,,,"11,548.55",APRDRG Case Rate,,,"11,548.55",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
842-1 - BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS,842-1,APR-DRG,,,,inpatient ,,,0,,"1,809.49","1,809.49",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,809.49",APRDRG Case Rate,,,"1,809.49",APRDRG Case Rate,,,"1,809.49",APRDRG Case Rate,,,"1,809.49",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
842-2 - BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS,842-2,APR-DRG,,,,inpatient ,,,0,,"2,691.88","2,691.88",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,691.88",APRDRG Case Rate,,,"2,691.88",APRDRG Case Rate,,,"2,691.88",APRDRG Case Rate,,,"2,691.88",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
842-3 - BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS,842-3,APR-DRG,,,,inpatient ,,,0,,"5,176.45","5,176.45",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,176.45",APRDRG Case Rate,,,"5,176.45",APRDRG Case Rate,,,"5,176.45",APRDRG Case Rate,,,"5,176.45",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
842-4 - BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS,842-4,APR-DRG,,,,inpatient ,,,0,,"10,115.32","10,115.32",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,115.32",APRDRG Case Rate,,,"10,115.32",APRDRG Case Rate,,,"10,115.32",APRDRG Case Rate,,,"10,115.32",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
843-1 - EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS W/O SKIN GRAFT,843-1,APR-DRG,,,,inpatient ,,,0,,"1,997.79","1,997.79",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,997.79",APRDRG Case Rate,,,"1,997.79",APRDRG Case Rate,,,"1,997.79",APRDRG Case Rate,,,"1,997.79",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
843-2 - EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS W/O SKIN GRAFT,843-2,APR-DRG,,,,inpatient ,,,0,,"2,850.62","2,850.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,850.62",APRDRG Case Rate,,,"2,850.62",APRDRG Case Rate,,,"2,850.62",APRDRG Case Rate,,,"2,850.62",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
843-3 - EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS W/O SKIN GRAFT,843-3,APR-DRG,,,,inpatient ,,,0,,"4,176.15","4,176.15",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,176.15",APRDRG Case Rate,,,"4,176.15",APRDRG Case Rate,,,"4,176.15",APRDRG Case Rate,,,"4,176.15",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
843-4 - EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS W/O SKIN GRAFT,843-4,APR-DRG,,,,inpatient ,,,0,,"7,429.07","7,429.07",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,429.07",APRDRG Case Rate,,,"7,429.07",APRDRG Case Rate,,,"7,429.07",APRDRG Case Rate,,,"7,429.07",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
844-1 - PARTIAL THICKNESS BURNS W/O SKIN GRAFT,844-1,APR-DRG,,,,inpatient ,,,0,,"3,106.50","3,106.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,106.50",APRDRG Case Rate,,,"3,106.50",APRDRG Case Rate,,,"3,106.50",APRDRG Case Rate,,,"3,106.50",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
844-2 - PARTIAL THICKNESS BURNS W/O SKIN GRAFT,844-2,APR-DRG,,,,inpatient ,,,0,,"3,826.64","3,826.64",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,826.64",APRDRG Case Rate,,,"3,826.64",APRDRG Case Rate,,,"3,826.64",APRDRG Case Rate,,,"3,826.64",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
844-3 - PARTIAL THICKNESS BURNS W/O SKIN GRAFT,844-3,APR-DRG,,,,inpatient ,,,0,,"5,549.19","5,549.19",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,549.19",APRDRG Case Rate,,,"5,549.19",APRDRG Case Rate,,,"5,549.19",APRDRG Case Rate,,,"5,549.19",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
844-4 - PARTIAL THICKNESS BURNS W/O SKIN GRAFT,844-4,APR-DRG,,,,inpatient ,,,0,,"9,946.73","9,946.73",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,946.73",APRDRG Case Rate,,,"9,946.73",APRDRG Case Rate,,,"9,946.73",APRDRG Case Rate,,,"9,946.73",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"850-1 - PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE",850-1,APR-DRG,,,,inpatient ,,,0,,"2,172.02","2,172.02",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,172.02",APRDRG Case Rate,,,"2,172.02",APRDRG Case Rate,,,"2,172.02",APRDRG Case Rate,,,"2,172.02",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"850-2 - PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE",850-2,APR-DRG,,,,inpatient ,,,0,,"3,092.43","3,092.43",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,092.43",APRDRG Case Rate,,,"3,092.43",APRDRG Case Rate,,,"3,092.43",APRDRG Case Rate,,,"3,092.43",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"850-3 - PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE",850-3,APR-DRG,,,,inpatient ,,,0,,"5,066.99","5,066.99",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,066.99",APRDRG Case Rate,,,"5,066.99",APRDRG Case Rate,,,"5,066.99",APRDRG Case Rate,,,"5,066.99",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"850-4 - PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE",850-4,APR-DRG,,,,inpatient ,,,0,,"10,641.52","10,641.52",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,641.52",APRDRG Case Rate,,,"10,641.52",APRDRG Case Rate,,,"10,641.52",APRDRG Case Rate,,,"10,641.52",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
860-1 - REHABILITATION,860-1,APR-DRG,,,,inpatient ,,,0,,"2,937.91","2,937.91",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,937.91",APRDRG Case Rate,,,"2,937.91",APRDRG Case Rate,,,"2,937.91",APRDRG Case Rate,,,"2,937.91",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
860-2 - REHABILITATION,860-2,APR-DRG,,,,inpatient ,,,0,,"3,110.38","3,110.38",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,110.38",APRDRG Case Rate,,,"3,110.38",APRDRG Case Rate,,,"3,110.38",APRDRG Case Rate,,,"3,110.38",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
860-3 - REHABILITATION,860-3,APR-DRG,,,,inpatient ,,,0,,"4,110.68","4,110.68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,110.68",APRDRG Case Rate,,,"4,110.68",APRDRG Case Rate,,,"4,110.68",APRDRG Case Rate,,,"4,110.68",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
860-4 - REHABILITATION,860-4,APR-DRG,,,,inpatient ,,,0,,"7,419.22","7,419.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,419.22",APRDRG Case Rate,,,"7,419.22",APRDRG Case Rate,,,"7,419.22",APRDRG Case Rate,,,"7,419.22",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"861-1 - SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS",861-1,APR-DRG,,,,inpatient ,,,0,,"2,173.78","2,173.78",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,173.78",APRDRG Case Rate,,,"2,173.78",APRDRG Case Rate,,,"2,173.78",APRDRG Case Rate,,,"2,173.78",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"861-2 - SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS",861-2,APR-DRG,,,,inpatient ,,,0,,"2,740.45","2,740.45",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,740.45",APRDRG Case Rate,,,"2,740.45",APRDRG Case Rate,,,"2,740.45",APRDRG Case Rate,,,"2,740.45",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"861-3 - SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS",861-3,APR-DRG,,,,inpatient ,,,0,,"4,452.80","4,452.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,452.80",APRDRG Case Rate,,,"4,452.80",APRDRG Case Rate,,,"4,452.80",APRDRG Case Rate,,,"4,452.80",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"861-4 - SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS",861-4,APR-DRG,,,,inpatient ,,,0,,"8,083.74","8,083.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,083.74",APRDRG Case Rate,,,"8,083.74",APRDRG Case Rate,,,"8,083.74",APRDRG Case Rate,,,"8,083.74",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
862-1 - OTHER AFTERCARE & CONVALESCENCE,862-1,APR-DRG,,,,inpatient ,,,0,,"8,965.43","8,965.43",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,965.43",APRDRG Case Rate,,,"8,965.43",APRDRG Case Rate,,,"8,965.43",APRDRG Case Rate,,,"8,965.43",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
862-2 - OTHER AFTERCARE & CONVALESCENCE,862-2,APR-DRG,,,,inpatient ,,,0,,"10,205.43","10,205.43",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,205.43",APRDRG Case Rate,,,"10,205.43",APRDRG Case Rate,,,"10,205.43",APRDRG Case Rate,,,"10,205.43",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
862-3 - OTHER AFTERCARE & CONVALESCENCE,862-3,APR-DRG,,,,inpatient ,,,0,,"34,860.36","34,860.36",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"34,860.36",APRDRG Case Rate,,,"34,860.36",APRDRG Case Rate,,,"34,860.36",APRDRG Case Rate,,,"34,860.36",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
862-4 - OTHER AFTERCARE & CONVALESCENCE,862-4,APR-DRG,,,,inpatient ,,,0,,"94,990.20","94,990.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"94,990.20",APRDRG Case Rate,,,"94,990.20",APRDRG Case Rate,,,"94,990.20",APRDRG Case Rate,,,"94,990.20",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
863-1 - NEONATAL AFTERCARE,863-1,APR-DRG,,,,inpatient ,,,0,,"6,766.31","6,766.31",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,766.31",APRDRG Case Rate,,,"6,766.31",APRDRG Case Rate,,,"6,766.31",APRDRG Case Rate,,,"6,766.31",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
863-2 - NEONATAL AFTERCARE,863-2,APR-DRG,,,,inpatient ,,,0,,"10,494.75","10,494.75",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,494.75",APRDRG Case Rate,,,"10,494.75",APRDRG Case Rate,,,"10,494.75",APRDRG Case Rate,,,"10,494.75",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
863-3 - NEONATAL AFTERCARE,863-3,APR-DRG,,,,inpatient ,,,0,,"19,797.37","19,797.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,797.37",APRDRG Case Rate,,,"19,797.37",APRDRG Case Rate,,,"19,797.37",APRDRG Case Rate,,,"19,797.37",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
863-4 - NEONATAL AFTERCARE,863-4,APR-DRG,,,,inpatient ,,,0,,"48,005.46","48,005.46",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,005.46",APRDRG Case Rate,,,"48,005.46",APRDRG Case Rate,,,"48,005.46",APRDRG Case Rate,,,"48,005.46",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
890-1 - HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS,890-1,APR-DRG,,,,inpatient ,,,0,,"2,606.35","2,606.35",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,606.35",APRDRG Case Rate,,,"2,606.35",APRDRG Case Rate,,,"2,606.35",APRDRG Case Rate,,,"2,606.35",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
890-2 - HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS,890-2,APR-DRG,,,,inpatient ,,,0,,"3,999.81","3,999.81",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,999.81",APRDRG Case Rate,,,"3,999.81",APRDRG Case Rate,,,"3,999.81",APRDRG Case Rate,,,"3,999.81",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
890-3 - HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS,890-3,APR-DRG,,,,inpatient ,,,0,,"5,419.66","5,419.66",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,419.66",APRDRG Case Rate,,,"5,419.66",APRDRG Case Rate,,,"5,419.66",APRDRG Case Rate,,,"5,419.66",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
890-4 - HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS,890-4,APR-DRG,,,,inpatient ,,,0,,"11,160.68","11,160.68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,160.68",APRDRG Case Rate,,,"11,160.68",APRDRG Case Rate,,,"11,160.68",APRDRG Case Rate,,,"11,160.68",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
892-1 - HIV W MAJOR HIV RELATED CONDITION,892-1,APR-DRG,,,,inpatient ,,,0,,"2,049.88","2,049.88",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,049.88",APRDRG Case Rate,,,"2,049.88",APRDRG Case Rate,,,"2,049.88",APRDRG Case Rate,,,"2,049.88",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
892-2 - HIV W MAJOR HIV RELATED CONDITION,892-2,APR-DRG,,,,inpatient ,,,0,,"3,321.91","3,321.91",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,321.91",APRDRG Case Rate,,,"3,321.91",APRDRG Case Rate,,,"3,321.91",APRDRG Case Rate,,,"3,321.91",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
892-3 - HIV W MAJOR HIV RELATED CONDITION,892-3,APR-DRG,,,,inpatient ,,,0,,"5,708.99","5,708.99",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,708.99",APRDRG Case Rate,,,"5,708.99",APRDRG Case Rate,,,"5,708.99",APRDRG Case Rate,,,"5,708.99",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
892-4 - HIV W MAJOR HIV RELATED CONDITION,892-4,APR-DRG,,,,inpatient ,,,0,,"13,183.82","13,183.82",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,183.82",APRDRG Case Rate,,,"13,183.82",APRDRG Case Rate,,,"13,183.82",APRDRG Case Rate,,,"13,183.82",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
893-1 - HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,893-1,APR-DRG,,,,inpatient ,,,0,,"9,470.86","9,470.86",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,470.86",APRDRG Case Rate,,,"9,470.86",APRDRG Case Rate,,,"9,470.86",APRDRG Case Rate,,,"9,470.86",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
893-2 - HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,893-2,APR-DRG,,,,inpatient ,,,0,,"12,845.22","12,845.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,845.22",APRDRG Case Rate,,,"12,845.22",APRDRG Case Rate,,,"12,845.22",APRDRG Case Rate,,,"12,845.22",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
893-3 - HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,893-3,APR-DRG,,,,inpatient ,,,0,,"15,746.88","15,746.88",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,746.88",APRDRG Case Rate,,,"15,746.88",APRDRG Case Rate,,,"15,746.88",APRDRG Case Rate,,,"15,746.88",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
893-4 - HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,893-4,APR-DRG,,,,inpatient ,,,0,,"33,454.94","33,454.94",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"33,454.94",APRDRG Case Rate,,,"33,454.94",APRDRG Case Rate,,,"33,454.94",APRDRG Case Rate,,,"33,454.94",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
894-1 - HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND,894-1,APR-DRG,,,,inpatient ,,,0,,"5,513.99","5,513.99",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,513.99",APRDRG Case Rate,,,"5,513.99",APRDRG Case Rate,,,"5,513.99",APRDRG Case Rate,,,"5,513.99",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
894-2 - HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND,894-2,APR-DRG,,,,inpatient ,,,0,,"6,759.27","6,759.27",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,759.27",APRDRG Case Rate,,,"6,759.27",APRDRG Case Rate,,,"6,759.27",APRDRG Case Rate,,,"6,759.27",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
894-3 - HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND,894-3,APR-DRG,,,,inpatient ,,,0,,"8,608.88","8,608.88",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,608.88",APRDRG Case Rate,,,"8,608.88",APRDRG Case Rate,,,"8,608.88",APRDRG Case Rate,,,"8,608.88",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
894-4 - HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND,894-4,APR-DRG,,,,inpatient ,,,0,,"10,545.79","10,545.79",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,545.79",APRDRG Case Rate,,,"10,545.79",APRDRG Case Rate,,,"10,545.79",APRDRG Case Rate,,,"10,545.79",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
910-1 - CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,910-1,APR-DRG,,,,inpatient ,,,0,,"1,961.19","1,961.19",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,961.19",APRDRG Case Rate,,,"1,961.19",APRDRG Case Rate,,,"1,961.19",APRDRG Case Rate,,,"1,961.19",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
910-2 - CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,910-2,APR-DRG,,,,inpatient ,,,0,,"3,399.35","3,399.35",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,399.35",APRDRG Case Rate,,,"3,399.35",APRDRG Case Rate,,,"3,399.35",APRDRG Case Rate,,,"3,399.35",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
910-3 - CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,910-3,APR-DRG,,,,inpatient ,,,0,,"4,755.85","4,755.85",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,755.85",APRDRG Case Rate,,,"4,755.85",APRDRG Case Rate,,,"4,755.85",APRDRG Case Rate,,,"4,755.85",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
910-4 - CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,910-4,APR-DRG,,,,inpatient ,,,0,,"5,136.68","5,136.68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,136.68",APRDRG Case Rate,,,"5,136.68",APRDRG Case Rate,,,"5,136.68",APRDRG Case Rate,,,"5,136.68",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
911-1 - EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA,911-1,APR-DRG,,,,inpatient ,,,0,,"2,657.74","2,657.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,657.74",APRDRG Case Rate,,,"2,657.74",APRDRG Case Rate,,,"2,657.74",APRDRG Case Rate,,,"2,657.74",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
911-2 - EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA,911-2,APR-DRG,,,,inpatient ,,,0,,"3,872.75","3,872.75",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,872.75",APRDRG Case Rate,,,"3,872.75",APRDRG Case Rate,,,"3,872.75",APRDRG Case Rate,,,"3,872.75",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
911-3 - EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA,911-3,APR-DRG,,,,inpatient ,,,0,,"4,327.14","4,327.14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,327.14",APRDRG Case Rate,,,"4,327.14",APRDRG Case Rate,,,"4,327.14",APRDRG Case Rate,,,"4,327.14",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
911-4 - EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA,911-4,APR-DRG,,,,inpatient ,,,0,,"4,543.96","4,543.96",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,543.96",APRDRG Case Rate,,,"4,543.96",APRDRG Case Rate,,,"4,543.96",APRDRG Case Rate,,,"4,543.96",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
912-1 - MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,912-1,APR-DRG,,,,inpatient ,,,0,,"4,877.28","4,877.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,877.28",APRDRG Case Rate,,,"4,877.28",APRDRG Case Rate,,,"4,877.28",APRDRG Case Rate,,,"4,877.28",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
912-2 - MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,912-2,APR-DRG,,,,inpatient ,,,0,,"12,407.01","12,407.01",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,407.01",APRDRG Case Rate,,,"12,407.01",APRDRG Case Rate,,,"12,407.01",APRDRG Case Rate,,,"12,407.01",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
912-3 - MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,912-3,APR-DRG,,,,inpatient ,,,0,,"24,181.18","24,181.18",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"24,181.18",APRDRG Case Rate,,,"24,181.18",APRDRG Case Rate,,,"24,181.18",APRDRG Case Rate,,,"24,181.18",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
912-4 - MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,912-4,APR-DRG,,,,inpatient ,,,0,,"37,687.05","37,687.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"37,687.05",APRDRG Case Rate,,,"37,687.05",APRDRG Case Rate,,,"37,687.05",APRDRG Case Rate,,,"37,687.05",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
930-1 - MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE,930-1,APR-DRG,,,,inpatient ,,,0,,"4,630.54","4,630.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,630.54",APRDRG Case Rate,,,"4,630.54",APRDRG Case Rate,,,"4,630.54",APRDRG Case Rate,,,"4,630.54",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
930-2 - MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE,930-2,APR-DRG,,,,inpatient ,,,0,,"4,874.46","4,874.46",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,874.46",APRDRG Case Rate,,,"4,874.46",APRDRG Case Rate,,,"4,874.46",APRDRG Case Rate,,,"4,874.46",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
930-3 - MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE,930-3,APR-DRG,,,,inpatient ,,,0,,"7,271.74","7,271.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,271.74",APRDRG Case Rate,,,"7,271.74",APRDRG Case Rate,,,"7,271.74",APRDRG Case Rate,,,"7,271.74",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
930-4 - MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE,930-4,APR-DRG,,,,inpatient ,,,0,,"13,894.80","13,894.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,894.80",APRDRG Case Rate,,,"13,894.80",APRDRG Case Rate,,,"13,894.80",APRDRG Case Rate,,,"13,894.80",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
950-1 - EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,950-1,APR-DRG,,,,inpatient ,,,0,,"3,884.01","3,884.01",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,884.01",APRDRG Case Rate,,,"3,884.01",APRDRG Case Rate,,,"3,884.01",APRDRG Case Rate,,,"3,884.01",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
950-2 - EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,950-2,APR-DRG,,,,inpatient ,,,0,,"4,125.82","4,125.82",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,125.82",APRDRG Case Rate,,,"4,125.82",APRDRG Case Rate,,,"4,125.82",APRDRG Case Rate,,,"4,125.82",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
950-3 - EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,950-3,APR-DRG,,,,inpatient ,,,0,,"5,716.03","5,716.03",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,716.03",APRDRG Case Rate,,,"5,716.03",APRDRG Case Rate,,,"5,716.03",APRDRG Case Rate,,,"5,716.03",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
950-4 - EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,950-4,APR-DRG,,,,inpatient ,,,0,,"8,890.81","8,890.81",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,890.81",APRDRG Case Rate,,,"8,890.81",APRDRG Case Rate,,,"8,890.81",APRDRG Case Rate,,,"8,890.81",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
951-1 - MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,951-1,APR-DRG,,,,inpatient ,,,0,,"4,278.22","4,278.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,278.22",APRDRG Case Rate,,,"4,278.22",APRDRG Case Rate,,,"4,278.22",APRDRG Case Rate,,,"4,278.22",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
951-2 - MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,951-2,APR-DRG,,,,inpatient ,,,0,,"4,634.06","4,634.06",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,634.06",APRDRG Case Rate,,,"4,634.06",APRDRG Case Rate,,,"4,634.06",APRDRG Case Rate,,,"4,634.06",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
951-3 - MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,951-3,APR-DRG,,,,inpatient ,,,0,,"6,468.19","6,468.19",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,468.19",APRDRG Case Rate,,,"6,468.19",APRDRG Case Rate,,,"6,468.19",APRDRG Case Rate,,,"6,468.19",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
951-4 - MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,951-4,APR-DRG,,,,inpatient ,,,0,,"9,874.22","9,874.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,874.22",APRDRG Case Rate,,,"9,874.22",APRDRG Case Rate,,,"9,874.22",APRDRG Case Rate,,,"9,874.22",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
952-1 - NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,952-1,APR-DRG,,,,inpatient ,,,0,,"3,154.02","3,154.02",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,154.02",APRDRG Case Rate,,,"3,154.02",APRDRG Case Rate,,,"3,154.02",APRDRG Case Rate,,,"3,154.02",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
952-2 - NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,952-2,APR-DRG,,,,inpatient ,,,0,,"3,947.01","3,947.01",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,947.01",APRDRG Case Rate,,,"3,947.01",APRDRG Case Rate,,,"3,947.01",APRDRG Case Rate,,,"3,947.01",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
952-3 - NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,952-3,APR-DRG,,,,inpatient ,,,0,,"5,710.39","5,710.39",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,710.39",APRDRG Case Rate,,,"5,710.39",APRDRG Case Rate,,,"5,710.39",APRDRG Case Rate,,,"5,710.39",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
952-4 - NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,952-4,APR-DRG,,,,inpatient ,,,0,,"8,826.05","8,826.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,826.05",APRDRG Case Rate,,,"8,826.05",APRDRG Case Rate,,,"8,826.05",APRDRG Case Rate,,,"8,826.05",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
955-0 - Principal Diag Invalid,955-0,APR-DRG,,,,inpatient ,,,0,,"17,222.34","17,222.34",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,222.34",APRDRG Case Rate,,,"17,222.34",APRDRG Case Rate,,,"17,222.34",APRDRG Case Rate,,,"17,222.34",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
956-0 - Ungroupable,956-0,APR-DRG,,,,inpatient ,,,0,,"19,701.28","19,701.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,701.28",APRDRG Case Rate,,,"19,701.28",APRDRG Case Rate,,,"19,701.28",APRDRG Case Rate,,,"19,701.28",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1 - PHOTOCHEMOTHERAPY,1,EAPG,,,,outpatient ,,,0,,"1,107.09","1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,107.09",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
2 - SUPERFICIAL NEEDLE BIOPSY AND ASPIRATION,2,EAPG,,,,outpatient ,,,0,,267.66,267.66,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,267.66,EAPG Case Rate,,,267.66,EAPG Case Rate,,,267.66,EAPG Case Rate,,,267.66,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
3 - LEVEL I SKIN INCISION AND DRAINAGE,3,EAPG,,,,outpatient ,,,0,,"1,739.17","1,739.17",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,739.17",EAPG Case Rate,,,"1,739.17",EAPG Case Rate,,,"1,739.17",EAPG Case Rate,,,"1,739.17",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
4 - LEVEL II SKIN INCISION AND DRAINAGE,4,EAPG,,,,outpatient ,,,0,,107.69,107.69,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,107.69,EAPG Case Rate,,,107.69,EAPG Case Rate,,,107.69,EAPG Case Rate,,,107.69,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
5 - NAIL PROCEDURES,5,EAPG,,,,outpatient ,,,0,,681.67,681.67,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,681.67,EAPG Case Rate,,,681.67,EAPG Case Rate,,,681.67,EAPG Case Rate,,,681.67,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
6 - LEVEL I SKIN DEBRIDEMENT AND DESTRUCTION,6,EAPG,,,,outpatient ,,,0,,"1,960.73","1,960.73",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,960.73",EAPG Case Rate,,,"1,960.73",EAPG Case Rate,,,"1,960.73",EAPG Case Rate,,,"1,960.73",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
7 - LEVEL II SKIN DEBRIDEMENT AND DESTRUCTION,7,EAPG,,,,outpatient ,,,0,,"2,898.19","2,898.19",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,898.19",EAPG Case Rate,,,"2,898.19",EAPG Case Rate,,,"2,898.19",EAPG Case Rate,,,"2,898.19",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
8 - LEVEL III SKIN DEBRIDEMENT AND DESTRUCTION,8,EAPG,,,,outpatient ,,,0,,295.49,295.49,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,295.49,EAPG Case Rate,,,295.49,EAPG Case Rate,,,295.49,EAPG Case Rate,,,295.49,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
9 - LEVEL I EXCISION AND BIOPSY OF SKIN AND SOFT TISSUE,9,EAPG,,,,outpatient ,,,0,,618.92,618.92,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,618.92,EAPG Case Rate,,,618.92,EAPG Case Rate,,,618.92,EAPG Case Rate,,,618.92,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
10 - LEVEL II EXCISION AND BIOPSY OF SKIN AND SOFT TISSUE,10,EAPG,,,,outpatient ,,,0,,"1,646.50","1,646.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,646.50",EAPG Case Rate,,,"1,646.50",EAPG Case Rate,,,"1,646.50",EAPG Case Rate,,,"1,646.50",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
11 - LEVEL III EXCISION AND BIOPSY OF SKIN AND SOFT TISSUE,11,EAPG,,,,outpatient ,,,0,,"1,529.60","1,529.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,529.60",EAPG Case Rate,,,"1,529.60",EAPG Case Rate,,,"1,529.60",EAPG Case Rate,,,"1,529.60",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
12 - LEVEL I SKIN REPAIR,12,EAPG,,,,outpatient ,,,0,,"2,156.79","2,156.79",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,156.79",EAPG Case Rate,,,"2,156.79",EAPG Case Rate,,,"2,156.79",EAPG Case Rate,,,"2,156.79",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
13 - LEVEL II SKIN REPAIR,13,EAPG,,,,outpatient ,,,0,,"5,273.98","5,273.98",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,273.98",EAPG Case Rate,,,"5,273.98",EAPG Case Rate,,,"5,273.98",EAPG Case Rate,,,"5,273.98",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
14 - LEVEL III SKIN REPAIR,14,EAPG,,,,outpatient ,,,0,,"11,710.13","11,710.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,710.13",EAPG Case Rate,,,"11,710.13",EAPG Case Rate,,,"11,710.13",EAPG Case Rate,,,"11,710.13",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
15 - LEVEL IV SKIN REPAIR,15,EAPG,,,,outpatient ,,,0,,"2,754.52","2,754.52",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,754.52",EAPG Case Rate,,,"2,754.52",EAPG Case Rate,,,"2,754.52",EAPG Case Rate,,,"2,754.52",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
20 - LEVEL I BREAST PROCEDURES,20,EAPG,,,,outpatient ,,,0,,"8,884.93","8,884.93",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,884.93",EAPG Case Rate,,,"8,884.93",EAPG Case Rate,,,"8,884.93",EAPG Case Rate,,,"8,884.93",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
21 - LEVEL II BREAST PROCEDURES,21,EAPG,,,,outpatient ,,,0,,"7,610.77","7,610.77",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,610.77",EAPG Case Rate,,,"7,610.77",EAPG Case Rate,,,"7,610.77",EAPG Case Rate,,,"7,610.77",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
22 - LEVEL III BREAST PROCEDURES,22,EAPG,,,,outpatient ,,,0,,"5,071.63","5,071.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,071.63",EAPG Case Rate,,,"5,071.63",EAPG Case Rate,,,"5,071.63",EAPG Case Rate,,,"5,071.63",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
30 - LEVEL I MUSCULOSKELETAL PROCEDURES EXCLUDING HAND AND FOOT,30,EAPG,,,,outpatient ,,,0,,"6,739.67","6,739.67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,739.67",EAPG Case Rate,,,"6,739.67",EAPG Case Rate,,,"6,739.67",EAPG Case Rate,,,"6,739.67",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
31 - LEVEL II MUSCULOSKELETAL PROCEDURES EXCLUDING HAND AND FOOT,31,EAPG,,,,outpatient ,,,0,,"8,000.21","8,000.21",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,000.21",EAPG Case Rate,,,"8,000.21",EAPG Case Rate,,,"8,000.21",EAPG Case Rate,,,"8,000.21",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
32 - LEVEL III MUSCULOSKELETAL PROCEDURES EXCLUDING HAND AND FOOT,32,EAPG,,,,outpatient ,,,0,,"18,628.86","18,628.86",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,628.86",EAPG Case Rate,,,"18,628.86",EAPG Case Rate,,,"18,628.86",EAPG Case Rate,,,"18,628.86",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
33 - LEVEL I HAND PROCEDURES,33,EAPG,,,,outpatient ,,,0,,"2,115.11","2,115.11",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,115.11",EAPG Case Rate,,,"2,115.11",EAPG Case Rate,,,"2,115.11",EAPG Case Rate,,,"2,115.11",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
34 - LEVEL II HAND PROCEDURES,34,EAPG,,,,outpatient ,,,0,,"3,488.01","3,488.01",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,488.01",EAPG Case Rate,,,"3,488.01",EAPG Case Rate,,,"3,488.01",EAPG Case Rate,,,"3,488.01",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
35 - LEVEL I FOOT PROCEDURES,35,EAPG,,,,outpatient ,,,0,,"3,464.84","3,464.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,464.84",EAPG Case Rate,,,"3,464.84",EAPG Case Rate,,,"3,464.84",EAPG Case Rate,,,"3,464.84",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
36 - LEVEL II FOOT PROCEDURES,36,EAPG,,,,outpatient ,,,0,,"8,834.64","8,834.64",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,834.64",EAPG Case Rate,,,"8,834.64",EAPG Case Rate,,,"8,834.64",EAPG Case Rate,,,"8,834.64",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
37 - LEVEL I ARTHROSCOPY,37,EAPG,,,,outpatient ,,,0,,"3,467.86","3,467.86",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,467.86",EAPG Case Rate,,,"3,467.86",EAPG Case Rate,,,"3,467.86",EAPG Case Rate,,,"3,467.86",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
38 - LEVEL II ARTHROSCOPY,38,EAPG,,,,outpatient ,,,0,,"8,746.04","8,746.04",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,746.04",EAPG Case Rate,,,"8,746.04",EAPG Case Rate,,,"8,746.04",EAPG Case Rate,,,"8,746.04",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
39 - REPLACEMENT OF CAST,39,EAPG,,,,outpatient ,,,0,,291.53,291.53,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,291.53,EAPG Case Rate,,,291.53,EAPG Case Rate,,,291.53,EAPG Case Rate,,,291.53,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"40 - SPLINT, STRAPPING AND CAST REMOVAL",40,EAPG,,,,outpatient ,,,0,,122.71,122.71,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,122.71,EAPG Case Rate,,,122.71,EAPG Case Rate,,,122.71,EAPG Case Rate,,,122.71,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"41 - CLOSED TREATMENT FX & DISLOCATION OF FINGER, TOE & TRUNK",41,EAPG,,,,outpatient ,,,0,,745.71,745.71,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,745.71,EAPG Case Rate,,,745.71,EAPG Case Rate,,,745.71,EAPG Case Rate,,,745.71,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"42 - CLOSED TREATMENT FX & DISLOCATION EXC FINGER, TOE & TRUNK",42,EAPG,,,,outpatient ,,,0,,"8,552.30","8,552.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,552.30",EAPG Case Rate,,,"8,552.30",EAPG Case Rate,,,"8,552.30",EAPG Case Rate,,,"8,552.30",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
43 - OPEN OR PERCUTANEOUS TREATMENT OF FRACTURES,43,EAPG,,,,outpatient ,,,0,,"1,564.77","1,564.77",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,564.77",EAPG Case Rate,,,"1,564.77",EAPG Case Rate,,,"1,564.77",EAPG Case Rate,,,"1,564.77",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
44 - BONE OR JOINT MANIPULATION UNDER ANESTHESIA,44,EAPG,,,,outpatient ,,,0,,"5,490.53","5,490.53",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,490.53",EAPG Case Rate,,,"5,490.53",EAPG Case Rate,,,"5,490.53",EAPG Case Rate,,,"5,490.53",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
45 - BUNION PROCEDURES,45,EAPG,,,,outpatient ,,,0,,"15,381.74","15,381.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,381.74",EAPG Case Rate,,,"15,381.74",EAPG Case Rate,,,"15,381.74",EAPG Case Rate,,,"15,381.74",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
46 - LEVEL I ARTHROPLASTY,46,EAPG,,,,outpatient ,,,0,,399.11,399.11,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,399.11,EAPG Case Rate,,,399.11,EAPG Case Rate,,,399.11,EAPG Case Rate,,,399.11,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
47 - LEVEL II ARTHROPLASTY,47,EAPG,,,,outpatient ,,,0,,743.85,743.85,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,743.85,EAPG Case Rate,,,743.85,EAPG Case Rate,,,743.85,EAPG Case Rate,,,743.85,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
48 - HAND AND FOOT TENOTOMY,48,EAPG,,,,outpatient ,,,0,,"2,901.22","2,901.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,901.22",EAPG Case Rate,,,"2,901.22",EAPG Case Rate,,,"2,901.22",EAPG Case Rate,,,"2,901.22",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
49 - ARTHROCENTESIS AND LIGAMENT OR TENDON INJECTION,49,EAPG,,,,outpatient ,,,0,,"11,884.77","11,884.77",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,884.77",EAPG Case Rate,,,"11,884.77",EAPG Case Rate,,,"11,884.77",EAPG Case Rate,,,"11,884.77",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
60 - PULMONARY TESTS,60,EAPG,,,,outpatient ,,,0,,"1,238.54","1,238.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,238.54",EAPG Case Rate,,,"1,238.54",EAPG Case Rate,,,"1,238.54",EAPG Case Rate,,,"1,238.54",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"61 - NEEDLE AND CATHETER BIOPSY, ASPIRATION, LAVAGE AND INTUBATION",61,EAPG,,,,outpatient ,,,0,,"3,753.11","3,753.11",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,753.11",EAPG Case Rate,,,"3,753.11",EAPG Case Rate,,,"3,753.11",EAPG Case Rate,,,"3,753.11",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
62 - LEVEL I ENDOSCOPY OF THE UPPER AIRWAY,62,EAPG,,,,outpatient ,,,0,,"18,975.46","18,975.46",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,975.46",EAPG Case Rate,,,"18,975.46",EAPG Case Rate,,,"18,975.46",EAPG Case Rate,,,"18,975.46",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
63 - LEVEL II ENDOSCOPY OF THE UPPER AIRWAY,63,EAPG,,,,outpatient ,,,0,,"3,147.93","3,147.93",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,147.93",EAPG Case Rate,,,"3,147.93",EAPG Case Rate,,,"3,147.93",EAPG Case Rate,,,"3,147.93",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
64 - ENDOSCOPY OF THE LOWER AIRWAY,64,EAPG,,,,outpatient ,,,0,,"26,985.68","26,985.68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"26,985.68",EAPG Case Rate,,,"26,985.68",EAPG Case Rate,,,"26,985.68",EAPG Case Rate,,,"26,985.68",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
65 - RESPIRATORY THERAPY,65,EAPG,,,,outpatient ,,,0,,"14,490.73","14,490.73",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,490.73",EAPG Case Rate,,,"14,490.73",EAPG Case Rate,,,"14,490.73",EAPG Case Rate,,,"14,490.73",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
66 - PULMONARY REHABILITATION,66,EAPG,,,,outpatient ,,,0,,"5,704.41","5,704.41",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,704.41",EAPG Case Rate,,,"5,704.41",EAPG Case Rate,,,"5,704.41",EAPG Case Rate,,,"5,704.41",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
67 - VENTILATION ASSISTANCE AND MANAGEMENT,67,EAPG,,,,outpatient ,,,0,,167.3,167.3,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,167.3,EAPG Case Rate,,,167.3,EAPG Case Rate,,,167.3,EAPG Case Rate,,,167.3,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"78 - LEVEL I VASCULAR LIGATION, REPAIR AND RECONSTRUCTION",78,EAPG,,,,outpatient ,,,0,,978.79,978.79,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,978.79,EAPG Case Rate,,,978.79,EAPG Case Rate,,,978.79,EAPG Case Rate,,,978.79,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
79 - LEVEL I PERIPHERAL VASCULAR AND TRANSCATHETER PROCEDURES,79,EAPG,,,,outpatient ,,,0,,"3,051.41","3,051.41",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,051.41",EAPG Case Rate,,,"3,051.41",EAPG Case Rate,,,"3,051.41",EAPG Case Rate,,,"3,051.41",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
80 - EXERCISE TOLERANCE TESTS,80,EAPG,,,,outpatient ,,,0,,"2,905.53","2,905.53",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,905.53",EAPG Case Rate,,,"2,905.53",EAPG Case Rate,,,"2,905.53",EAPG Case Rate,,,"2,905.53",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
81 - ECHOCARDIOGRAPHY,81,EAPG,,,,outpatient ,,,0,,55.42,55.42,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,55.42,EAPG Case Rate,,,55.42,EAPG Case Rate,,,55.42,EAPG Case Rate,,,55.42,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
82 - CARDIAC ELECTROPHYSIOLOGIC TESTS AND MONITORING,82,EAPG,,,,outpatient ,,,0,,"1,714.37","1,714.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,714.37",EAPG Case Rate,,,"1,714.37",EAPG Case Rate,,,"1,714.37",EAPG Case Rate,,,"1,714.37",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
83 - PLACEMENT OF TRANSVENOUS CATHETERS,83,EAPG,,,,outpatient ,,,0,,"1,615.18","1,615.18",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,615.18",EAPG Case Rate,,,"1,615.18",EAPG Case Rate,,,"1,615.18",EAPG Case Rate,,,"1,615.18",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
84 - DIAGNOSTIC CARDIAC CATHETERIZATION,84,EAPG,,,,outpatient ,,,0,,"3,753.81","3,753.81",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,753.81",EAPG Case Rate,,,"3,753.81",EAPG Case Rate,,,"3,753.81",EAPG Case Rate,,,"3,753.81",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
85 - LEVEL II PERIPHERAL VASCULAR AND TRANSCATHETER PROCEDURES,85,EAPG,,,,outpatient ,,,0,,"8,186.96","8,186.96",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,186.96",EAPG Case Rate,,,"8,186.96",EAPG Case Rate,,,"8,186.96",EAPG Case Rate,,,"8,186.96",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
86 - PACEMAKER AND OTHER CARDIOVASCULAR DEVICE INSERTION AND REPLACEMENT,86,EAPG,,,,outpatient ,,,0,,"5,919.80","5,919.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,919.80",EAPG Case Rate,,,"5,919.80",EAPG Case Rate,,,"5,919.80",EAPG Case Rate,,,"5,919.80",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
87 - REMOVAL OR REVISION OF PACEMAKERS AND OTHER CARDIOVASCULAR DEVICES,87,EAPG,,,,outpatient ,,,0,,"3,333.04","3,333.04",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,333.04",EAPG Case Rate,,,"3,333.04",EAPG Case Rate,,,"3,333.04",EAPG Case Rate,,,"3,333.04",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
88 - LEVEL I CARDIOTHORACIC PROCEDURES W OR W/O VASCULAR DEVICE,88,EAPG,,,,outpatient ,,,0,,"10,402.20","10,402.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,402.20",EAPG Case Rate,,,"10,402.20",EAPG Case Rate,,,"10,402.20",EAPG Case Rate,,,"10,402.20",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
89 - LEVEL II CARDIOTHORACIC PROCEDURES W OR W/O VASCULAR DEVICE,89,EAPG,,,,outpatient ,,,0,,"2,542.98","2,542.98",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,542.98",EAPG Case Rate,,,"2,542.98",EAPG Case Rate,,,"2,542.98",EAPG Case Rate,,,"2,542.98",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
90 - SECONDARY VARICOSE VEINS AND VASCULAR INJECTION,90,EAPG,,,,outpatient ,,,0,,"1,778.87","1,778.87",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,778.87",EAPG Case Rate,,,"1,778.87",EAPG Case Rate,,,"1,778.87",EAPG Case Rate,,,"1,778.87",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"91 - LEVEL II VASCULAR LIGATION, REPAIR AND RECONSTRUCTION",91,EAPG,,,,outpatient ,,,0,,"1,195.00","1,195.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,195.00",EAPG Case Rate,,,"1,195.00",EAPG Case Rate,,,"1,195.00",EAPG Case Rate,,,"1,195.00",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
92 - RESUSCITATION,92,EAPG,,,,outpatient ,,,0,,"5,973.12","5,973.12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,973.12",EAPG Case Rate,,,"5,973.12",EAPG Case Rate,,,"5,973.12",EAPG Case Rate,,,"5,973.12",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
93 - CARDIOVERSION,93,EAPG,,,,outpatient ,,,0,,"3,395.80","3,395.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,395.80",EAPG Case Rate,,,"3,395.80",EAPG Case Rate,,,"3,395.80",EAPG Case Rate,,,"3,395.80",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
94 - CARDIAC REHABILITATION,94,EAPG,,,,outpatient ,,,0,,"10,016.36","10,016.36",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,016.36",EAPG Case Rate,,,"10,016.36",EAPG Case Rate,,,"10,016.36",EAPG Case Rate,,,"10,016.36",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
95 - THROMBOLYSIS,95,EAPG,,,,outpatient ,,,0,,268.71,268.71,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,268.71,EAPG Case Rate,,,268.71,EAPG Case Rate,,,268.71,EAPG Case Rate,,,268.71,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
96 - ATRIAL AND VENTRICULAR RECORDING AND PACING,96,EAPG,,,,outpatient ,,,0,,702.05,702.05,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,702.05,EAPG Case Rate,,,702.05,EAPG Case Rate,,,702.05,EAPG Case Rate,,,702.05,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
97 - AICD IMPLANT,97,EAPG,,,,outpatient ,,,0,,"28,335.06","28,335.06",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"28,335.06",EAPG Case Rate,,,"28,335.06",EAPG Case Rate,,,"28,335.06",EAPG Case Rate,,,"28,335.06",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
99 - CORONARY ANGIOPLASTY AND RELATED PROCEDURES,99,EAPG,,,,outpatient ,,,0,,"3,435.38","3,435.38",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,435.38",EAPG Case Rate,,,"3,435.38",EAPG Case Rate,,,"3,435.38",EAPG Case Rate,,,"3,435.38",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
101 - LEVEL III CARDIOTHORACIC PROCEDURES W OR W/O VASCULAR DEVICE,101,EAPG,,,,outpatient ,,,0,,"3,911.10","3,911.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,911.10",EAPG Case Rate,,,"3,911.10",EAPG Case Rate,,,"3,911.10",EAPG Case Rate,,,"3,911.10",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
110 - PHARMACOTHERAPY BY EXTENDED INFUSION,110,EAPG,,,,outpatient ,,,0,,"17,342.00","17,342.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,342.00",EAPG Case Rate,,,"17,342.00",EAPG Case Rate,,,"17,342.00",EAPG Case Rate,,,"17,342.00",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
111 - PHARMACOTHERAPY EXCEPT BY EXTENDED INFUSION,111,EAPG,,,,outpatient ,,,0,,"12,756.68","12,756.68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,756.68",EAPG Case Rate,,,"12,756.68",EAPG Case Rate,,,"12,756.68",EAPG Case Rate,,,"12,756.68",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
112 - PHLEBOTOMY,112,EAPG,,,,outpatient ,,,0,,"11,713.97","11,713.97",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,713.97",EAPG Case Rate,,,"11,713.97",EAPG Case Rate,,,"11,713.97",EAPG Case Rate,,,"11,713.97",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
113 - LEVEL I BLOOD AND BLOOD PRODUCT EXCHANGE,113,EAPG,,,,outpatient ,,,0,,"1,029.56","1,029.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,029.56",EAPG Case Rate,,,"1,029.56",EAPG Case Rate,,,"1,029.56",EAPG Case Rate,,,"1,029.56",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
114 - LEVEL II BLOOD AND BLOOD PRODUCT EXCHANGE,114,EAPG,,,,outpatient ,,,0,,"6,478.29","6,478.29",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,478.29",EAPG Case Rate,,,"6,478.29",EAPG Case Rate,,,"6,478.29",EAPG Case Rate,,,"6,478.29",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
115 - DEEP LYMPH STRUCTURE AND THYROID PROCEDURES,115,EAPG,,,,outpatient ,,,0,,"1,139.46","1,139.46",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,139.46",EAPG Case Rate,,,"1,139.46",EAPG Case Rate,,,"1,139.46",EAPG Case Rate,,,"1,139.46",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
116 - ALLERGY TESTS,116,EAPG,,,,outpatient ,,,0,,"1,004.64","1,004.64",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,004.64",EAPG Case Rate,,,"1,004.64",EAPG Case Rate,,,"1,004.64",EAPG Case Rate,,,"1,004.64",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
117 - HOME INFUSION,117,EAPG,,,,outpatient ,,,0,,252.99,252.99,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,252.99,EAPG Case Rate,,,252.99,EAPG Case Rate,,,252.99,EAPG Case Rate,,,252.99,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
118 - NUTRITION THERAPY,118,EAPG,,,,outpatient ,,,0,,"10,328.85","10,328.85",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,328.85",EAPG Case Rate,,,"10,328.85",EAPG Case Rate,,,"10,328.85",EAPG Case Rate,,,"10,328.85",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
130 - ALIMENTARY TESTS AND SIMPLE TUBE PLACEMENT,130,EAPG,,,,outpatient ,,,0,,"35,933.37","35,933.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"35,933.37",EAPG Case Rate,,,"35,933.37",EAPG Case Rate,,,"35,933.37",EAPG Case Rate,,,"35,933.37",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
131 - ESOPHAGEAL DILATION WITHOUT ENDOSCOPY,131,EAPG,,,,outpatient ,,,0,,"13,294.92","13,294.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,294.92",EAPG Case Rate,,,"13,294.92",EAPG Case Rate,,,"13,294.92",EAPG Case Rate,,,"13,294.92",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
132 - ANOSCOPY WITH BIOPSY AND DIAGNOSTIC PROCTOSIGMOIDOSCOPY,132,EAPG,,,,outpatient ,,,0,,0,0,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
133 - PROCTOSIGMOIDOSCOPY WITH EXCISION OR BIOPSY,133,EAPG,,,,outpatient ,,,0,,"4,409.63","4,409.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,409.63",EAPG Case Rate,,,"4,409.63",EAPG Case Rate,,,"4,409.63",EAPG Case Rate,,,"4,409.63",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
134 - DIAGNOSTIC UPPER GI ENDOSCOPY OR INTUBATION,134,EAPG,,,,outpatient ,,,0,,"28,282.09","28,282.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"28,282.09",EAPG Case Rate,,,"28,282.09",EAPG Case Rate,,,"28,282.09",EAPG Case Rate,,,"28,282.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
135 - THERAPEUTIC UPPER GI ENDOSCOPY OR INTUBATION,135,EAPG,,,,outpatient ,,,0,,"17,596.16","17,596.16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,596.16",EAPG Case Rate,,,"17,596.16",EAPG Case Rate,,,"17,596.16",EAPG Case Rate,,,"17,596.16",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
136 - DIAGNOSTIC LOWER GASTROINTESTINAL ENDOSCOPY,136,EAPG,,,,outpatient ,,,0,,"15,446.47","15,446.47",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,446.47",EAPG Case Rate,,,"15,446.47",EAPG Case Rate,,,"15,446.47",EAPG Case Rate,,,"15,446.47",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
137 - THERAPEUTIC COLONOSCOPY,137,EAPG,,,,outpatient ,,,0,,"5,566.44","5,566.44",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,566.44",EAPG Case Rate,,,"5,566.44",EAPG Case Rate,,,"5,566.44",EAPG Case Rate,,,"5,566.44",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
138 - ERCP AND MISCELLANEOUS GI ENDOSCOPY PROCEDURES,138,EAPG,,,,outpatient ,,,0,,"5,925.97","5,925.97",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,925.97",EAPG Case Rate,,,"5,925.97",EAPG Case Rate,,,"5,925.97",EAPG Case Rate,,,"5,925.97",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
139 - LEVEL I HERNIA REPAIR,139,EAPG,,,,outpatient ,,,0,,75.09,75.09,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.09,EAPG Case Rate,,,75.09,EAPG Case Rate,,,75.09,EAPG Case Rate,,,75.09,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
140 - LEVEL II HERNIA REPAIR,140,EAPG,,,,outpatient ,,,0,,748.15,748.15,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,748.15,EAPG Case Rate,,,748.15,EAPG Case Rate,,,748.15,EAPG Case Rate,,,748.15,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
141 - LEVEL I ANAL AND RECTAL PROCEDURES,141,EAPG,,,,outpatient ,,,0,,477.58,477.58,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,477.58,EAPG Case Rate,,,477.58,EAPG Case Rate,,,477.58,EAPG Case Rate,,,477.58,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
142 - LEVEL II ANAL AND RECTAL PROCEDURES,142,EAPG,,,,outpatient ,,,0,,654.66,654.66,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,654.66,EAPG Case Rate,,,654.66,EAPG Case Rate,,,654.66,EAPG Case Rate,,,654.66,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
143 - LEVEL I GASTROINTESTINAL PROCEDURES,143,EAPG,,,,outpatient ,,,0,,"2,651.37","2,651.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,651.37",EAPG Case Rate,,,"2,651.37",EAPG Case Rate,,,"2,651.37",EAPG Case Rate,,,"2,651.37",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
144 - LEVEL II GASTROINTESTINAL PROCEDURES,144,EAPG,,,,outpatient ,,,0,,"5,152.20","5,152.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,152.20",EAPG Case Rate,,,"5,152.20",EAPG Case Rate,,,"5,152.20",EAPG Case Rate,,,"5,152.20",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
145 - LEVEL I LAPAROSCOPY,145,EAPG,,,,outpatient ,,,0,,56.47,56.47,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,56.47,EAPG Case Rate,,,56.47,EAPG Case Rate,,,56.47,EAPG Case Rate,,,56.47,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
146 - LEVEL II LAPAROSCOPY,146,EAPG,,,,outpatient ,,,0,,0,0,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
147 - LEVEL III LAPAROSCOPY,147,EAPG,,,,outpatient ,,,0,,269.18,269.18,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,269.18,EAPG Case Rate,,,269.18,EAPG Case Rate,,,269.18,EAPG Case Rate,,,269.18,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
148 - LEVEL IV LAPAROSCOPY,148,EAPG,,,,outpatient ,,,0,,971.23,971.23,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,971.23,EAPG Case Rate,,,971.23,EAPG Case Rate,,,971.23,EAPG Case Rate,,,971.23,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
149 - SCREENING COLORECTAL SERVICES,149,EAPG,,,,outpatient ,,,0,,"72,700.82","72,700.82",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"72,700.82",EAPG Case Rate,,,"72,700.82",EAPG Case Rate,,,"72,700.82",EAPG Case Rate,,,"72,700.82",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
160 - EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY,160,EAPG,,,,outpatient ,,,0,,"23,390.68","23,390.68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,390.68",EAPG Case Rate,,,"23,390.68",EAPG Case Rate,,,"23,390.68",EAPG Case Rate,,,"23,390.68",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
161 - URINARY STUDIES AND PROCEDURES,161,EAPG,,,,outpatient ,,,0,,"26,613.59","26,613.59",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"26,613.59",EAPG Case Rate,,,"26,613.59",EAPG Case Rate,,,"26,613.59",EAPG Case Rate,,,"26,613.59",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
162 - URINARY DILATATION,162,EAPG,,,,outpatient ,,,0,,"8,969.11","8,969.11",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,969.11",EAPG Case Rate,,,"8,969.11",EAPG Case Rate,,,"8,969.11",EAPG Case Rate,,,"8,969.11",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
163 - LEVEL I BLADDER AND KIDNEY PROCEDURES,163,EAPG,,,,outpatient ,,,0,,"2,685.83","2,685.83",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,685.83",EAPG Case Rate,,,"2,685.83",EAPG Case Rate,,,"2,685.83",EAPG Case Rate,,,"2,685.83",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
164 - LEVEL II BLADDER AND KIDNEY PROCEDURES,164,EAPG,,,,outpatient ,,,0,,"5,266.41","5,266.41",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,266.41",EAPG Case Rate,,,"5,266.41",EAPG Case Rate,,,"5,266.41",EAPG Case Rate,,,"5,266.41",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
165 - LEVEL III BLADDER AND KIDNEY PROCEDURES,165,EAPG,,,,outpatient ,,,0,,"5,744.92","5,744.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,744.92",EAPG Case Rate,,,"5,744.92",EAPG Case Rate,,,"5,744.92",EAPG Case Rate,,,"5,744.92",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
166 - LEVEL I URETHRA AND PROSTATE PROCEDURES,166,EAPG,,,,outpatient ,,,0,,"3,341.78","3,341.78",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,341.78",EAPG Case Rate,,,"3,341.78",EAPG Case Rate,,,"3,341.78",EAPG Case Rate,,,"3,341.78",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
167 - LEVEL II URETHRA AND PROSTATE PROCEDURES,167,EAPG,,,,outpatient ,,,0,,"6,188.27","6,188.27",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,188.27",EAPG Case Rate,,,"6,188.27",EAPG Case Rate,,,"6,188.27",EAPG Case Rate,,,"6,188.27",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
168 - HEMODIALYSIS,168,EAPG,,,,outpatient ,,,0,,"8,149.82","8,149.82",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,149.82",EAPG Case Rate,,,"8,149.82",EAPG Case Rate,,,"8,149.82",EAPG Case Rate,,,"8,149.82",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
169 - PERITONEAL DIALYSIS,169,EAPG,,,,outpatient ,,,0,,630.68,630.68,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,630.68,EAPG Case Rate,,,630.68,EAPG Case Rate,,,630.68,EAPG Case Rate,,,630.68,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
180 - TESTICULAR AND EPIDIDYMAL PROCEDURES,180,EAPG,,,,outpatient ,,,0,,"1,563.60","1,563.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,563.60",EAPG Case Rate,,,"1,563.60",EAPG Case Rate,,,"1,563.60",EAPG Case Rate,,,"1,563.60",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
181 - CIRCUMCISION,181,EAPG,,,,outpatient ,,,0,,"3,250.96","3,250.96",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,250.96",EAPG Case Rate,,,"3,250.96",EAPG Case Rate,,,"3,250.96",EAPG Case Rate,,,"3,250.96",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
182 - INSERTION OF PENILE PROSTHESIS,182,EAPG,,,,outpatient ,,,0,,"1,597.71","1,597.71",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,597.71",EAPG Case Rate,,,"1,597.71",EAPG Case Rate,,,"1,597.71",EAPG Case Rate,,,"1,597.71",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
183 - OTHER PENILE PROCEDURES,183,EAPG,,,,outpatient ,,,0,,"3,284.61","3,284.61",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,284.61",EAPG Case Rate,,,"3,284.61",EAPG Case Rate,,,"3,284.61",EAPG Case Rate,,,"3,284.61",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
184 - DESTRUCTION OR RESECTION OF PROSTATE,184,EAPG,,,,outpatient ,,,0,,"4,152.10","4,152.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,152.10",EAPG Case Rate,,,"4,152.10",EAPG Case Rate,,,"4,152.10",EAPG Case Rate,,,"4,152.10",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
185 - PROSTATE NEEDLE AND PUNCH BIOPSY,185,EAPG,,,,outpatient ,,,0,,"2,331.66","2,331.66",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,331.66",EAPG Case Rate,,,"2,331.66",EAPG Case Rate,,,"2,331.66",EAPG Case Rate,,,"2,331.66",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
190 - ARTIFICIAL FERTILIZATION,190,EAPG,,,,outpatient ,,,0,,"3,647.04","3,647.04",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,647.04",EAPG Case Rate,,,"3,647.04",EAPG Case Rate,,,"3,647.04",EAPG Case Rate,,,"3,647.04",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
191 - LEVEL I FETAL PROCEDURES,191,EAPG,,,,outpatient ,,,0,,"1,169.73","1,169.73",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,169.73",EAPG Case Rate,,,"1,169.73",EAPG Case Rate,,,"1,169.73",EAPG Case Rate,,,"1,169.73",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
192 - LEVEL II FETAL PROCEDURES,192,EAPG,,,,outpatient ,,,0,,"3,591.16","3,591.16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,591.16",EAPG Case Rate,,,"3,591.16",EAPG Case Rate,,,"3,591.16",EAPG Case Rate,,,"3,591.16",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
193 - TREATMENT OF INCOMPLETE ABORTION,193,EAPG,,,,outpatient ,,,0,,"8,790.05","8,790.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,790.05",EAPG Case Rate,,,"8,790.05",EAPG Case Rate,,,"8,790.05",EAPG Case Rate,,,"8,790.05",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
194 - THERAPEUTIC ABORTION,194,EAPG,,,,outpatient ,,,0,,"6,906.97","6,906.97",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,906.97",EAPG Case Rate,,,"6,906.97",EAPG Case Rate,,,"6,906.97",EAPG Case Rate,,,"6,906.97",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
195 - VAGINAL DELIVERY,195,EAPG,,,,outpatient ,,,0,,"6,083.84","6,083.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,083.84",EAPG Case Rate,,,"6,083.84",EAPG Case Rate,,,"6,083.84",EAPG Case Rate,,,"6,083.84",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
196 - LEVEL I FEMALE REPRODUCTIVE PROCEDURES,196,EAPG,,,,outpatient ,,,0,,"7,193.50","7,193.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,193.50",EAPG Case Rate,,,"7,193.50",EAPG Case Rate,,,"7,193.50",EAPG Case Rate,,,"7,193.50",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
197 - LEVEL II FEMALE REPRODUCTIVE PROCEDURES,197,EAPG,,,,outpatient ,,,0,,90.7,90.7,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90.7,EAPG Case Rate,,,90.7,EAPG Case Rate,,,90.7,EAPG Case Rate,,,90.7,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
198 - LEVEL III FEMALE REPRODUCTIVE PROCEDURES,198,EAPG,,,,outpatient ,,,0,,157.87,157.87,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.87,EAPG Case Rate,,,157.87,EAPG Case Rate,,,157.87,EAPG Case Rate,,,157.87,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
199 - DILATION AND CURETTAGE,199,EAPG,,,,outpatient ,,,0,,135.4,135.4,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,135.4,EAPG Case Rate,,,135.4,EAPG Case Rate,,,135.4,EAPG Case Rate,,,135.4,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
200 - HYSTEROSCOPY,200,EAPG,,,,outpatient ,,,0,,139.71,139.71,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,139.71,EAPG Case Rate,,,139.71,EAPG Case Rate,,,139.71,EAPG Case Rate,,,139.71,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
201 - COLPOSCOPY,201,EAPG,,,,outpatient ,,,0,,654.2,654.2,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,654.2,EAPG Case Rate,,,654.2,EAPG Case Rate,,,654.2,EAPG Case Rate,,,654.2,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
210 - EXTENDED EEG STUDIES,210,EAPG,,,,outpatient ,,,0,,"4,644.82","4,644.82",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,644.82",EAPG Case Rate,,,"4,644.82",EAPG Case Rate,,,"4,644.82",EAPG Case Rate,,,"4,644.82",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
211 - ELECTROENCEPHALOGRAM,211,EAPG,,,,outpatient ,,,0,,"9,268.91","9,268.91",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,268.91",EAPG Case Rate,,,"9,268.91",EAPG Case Rate,,,"9,268.91",EAPG Case Rate,,,"9,268.91",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
212 - ELECTROCONVULSIVE THERAPY,212,EAPG,,,,outpatient ,,,0,,"1,259.85","1,259.85",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,259.85",EAPG Case Rate,,,"1,259.85",EAPG Case Rate,,,"1,259.85",EAPG Case Rate,,,"1,259.85",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
213 - NERVE AND MUSCLE TESTS,213,EAPG,,,,outpatient ,,,0,,"2,373.81","2,373.81",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,373.81",EAPG Case Rate,,,"2,373.81",EAPG Case Rate,,,"2,373.81",EAPG Case Rate,,,"2,373.81",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"214 - LEVEL I NERVOUS SYSTEM INJECTIONS, STIMULATIONS OR CRANIAL TAP",214,EAPG,,,,outpatient ,,,0,,"4,693.60","4,693.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,693.60",EAPG Case Rate,,,"4,693.60",EAPG Case Rate,,,"4,693.60",EAPG Case Rate,,,"4,693.60",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
215 - LEVEL I REVISION OR REMOVAL OF NEUROLOGICAL DEVICE,215,EAPG,,,,outpatient ,,,0,,"11,046.96","11,046.96",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,046.96",EAPG Case Rate,,,"11,046.96",EAPG Case Rate,,,"11,046.96",EAPG Case Rate,,,"11,046.96",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
216 - LEVEL II REVISION OR REMOVAL OF NEUROLOGICAL DEVICE,216,EAPG,,,,outpatient ,,,0,,"2,524.35","2,524.35",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,524.35",EAPG Case Rate,,,"2,524.35",EAPG Case Rate,,,"2,524.35",EAPG Case Rate,,,"2,524.35",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
217 - LEVEL I NERVE PROCEDURES,217,EAPG,,,,outpatient ,,,0,,"6,573.30","6,573.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,573.30",EAPG Case Rate,,,"6,573.30",EAPG Case Rate,,,"6,573.30",EAPG Case Rate,,,"6,573.30",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
218 - LEVEL II NERVE PROCEDURES,218,EAPG,,,,outpatient ,,,0,,"7,925.93","7,925.93",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,925.93",EAPG Case Rate,,,"7,925.93",EAPG Case Rate,,,"7,925.93",EAPG Case Rate,,,"7,925.93",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
219 - SPINAL TAP,219,EAPG,,,,outpatient ,,,0,,"2,759.99","2,759.99",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,759.99",EAPG Case Rate,,,"2,759.99",EAPG Case Rate,,,"2,759.99",EAPG Case Rate,,,"2,759.99",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"220 - LEVEL II NERVOUS SYSTEM INJECTIONS, STIMULATIONS OR CRANIAL TAP",220,EAPG,,,,outpatient ,,,0,,45.64,45.64,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45.64,EAPG Case Rate,,,45.64,EAPG Case Rate,,,45.64,EAPG Case Rate,,,45.64,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
221 - LAMINOTOMY AND LAMINECTOMY,221,EAPG,,,,outpatient ,,,0,,935.37,935.37,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,935.37,EAPG Case Rate,,,935.37,EAPG Case Rate,,,935.37,EAPG Case Rate,,,935.37,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
222 - SLEEP STUDIES,222,EAPG,,,,outpatient ,,,0,,"5,846.22","5,846.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,846.22",EAPG Case Rate,,,"5,846.22",EAPG Case Rate,,,"5,846.22",EAPG Case Rate,,,"5,846.22",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
223 - LEVEL III NERVE PROCEDURES,223,EAPG,,,,outpatient ,,,0,,"3,836.24","3,836.24",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,836.24",EAPG Case Rate,,,"3,836.24",EAPG Case Rate,,,"3,836.24",EAPG Case Rate,,,"3,836.24",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
224 - LEVEL IV NERVE PROCEDURES,224,EAPG,,,,outpatient ,,,0,,"21,440.20","21,440.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,440.20",EAPG Case Rate,,,"21,440.20",EAPG Case Rate,,,"21,440.20",EAPG Case Rate,,,"21,440.20",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
230 - MINOR OPHTHALMOLOGICAL TESTS AND PROCEDURES,230,EAPG,,,,outpatient ,,,0,,"3,195.20","3,195.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,195.20",EAPG Case Rate,,,"3,195.20",EAPG Case Rate,,,"3,195.20",EAPG Case Rate,,,"3,195.20",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
231 - FITTING OF CONTACT LENSES,231,EAPG,,,,outpatient ,,,0,,"7,134.59","7,134.59",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,134.59",EAPG Case Rate,,,"7,134.59",EAPG Case Rate,,,"7,134.59",EAPG Case Rate,,,"7,134.59",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
232 - LASER EYE PROCEDURES,232,EAPG,,,,outpatient ,,,0,,"4,948.45","4,948.45",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,948.45",EAPG Case Rate,,,"4,948.45",EAPG Case Rate,,,"4,948.45",EAPG Case Rate,,,"4,948.45",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
233 - CATARACT PROCEDURES,233,EAPG,,,,outpatient ,,,0,,"3,949.40","3,949.40",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,949.40",EAPG Case Rate,,,"3,949.40",EAPG Case Rate,,,"3,949.40",EAPG Case Rate,,,"3,949.40",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
234 - LEVEL I ANTERIOR SEGMENT EYE PROCEDURES,234,EAPG,,,,outpatient ,,,0,,"8,982.38","8,982.38",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,982.38",EAPG Case Rate,,,"8,982.38",EAPG Case Rate,,,"8,982.38",EAPG Case Rate,,,"8,982.38",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
235 - LEVEL II ANTERIOR SEGMENT EYE PROCEDURES,235,EAPG,,,,outpatient ,,,0,,662.23,662.23,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,662.23,EAPG Case Rate,,,662.23,EAPG Case Rate,,,662.23,EAPG Case Rate,,,662.23,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
236 - LEVEL III ANTERIOR SEGMENT EYE PROCEDURES,236,EAPG,,,,outpatient ,,,0,,313.77,313.77,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,313.77,EAPG Case Rate,,,313.77,EAPG Case Rate,,,313.77,EAPG Case Rate,,,313.77,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
237 - LEVEL I POSTERIOR SEGMENT EYE PROCEDURES,237,EAPG,,,,outpatient ,,,0,,"1,616.23","1,616.23",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,616.23",EAPG Case Rate,,,"1,616.23",EAPG Case Rate,,,"1,616.23",EAPG Case Rate,,,"1,616.23",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
238 - LEVEL II POSTERIOR SEGMENT EYE PROCEDURES,238,EAPG,,,,outpatient ,,,0,,"2,803.42","2,803.42",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,803.42",EAPG Case Rate,,,"2,803.42",EAPG Case Rate,,,"2,803.42",EAPG Case Rate,,,"2,803.42",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
239 - STRABISMUS AND MUSCLE EYE PROCEDURES,239,EAPG,,,,outpatient ,,,0,,"3,491.73","3,491.73",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,491.73",EAPG Case Rate,,,"3,491.73",EAPG Case Rate,,,"3,491.73",EAPG Case Rate,,,"3,491.73",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
240 - LEVEL I REPAIR AND PLASTIC PROCEDURES OF EYE,240,EAPG,,,,outpatient ,,,0,,"4,193.78","4,193.78",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,193.78",EAPG Case Rate,,,"4,193.78",EAPG Case Rate,,,"4,193.78",EAPG Case Rate,,,"4,193.78",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
241 - LEVEL II REPAIR AND PLASTIC PROCEDURES OF EYE,241,EAPG,,,,outpatient ,,,0,,396.43,396.43,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,396.43,EAPG Case Rate,,,396.43,EAPG Case Rate,,,396.43,EAPG Case Rate,,,396.43,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
250 - COCHLEAR DEVICE IMPLANTATION,250,EAPG,,,,outpatient ,,,0,,"6,672.96","6,672.96",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,672.96",EAPG Case Rate,,,"6,672.96",EAPG Case Rate,,,"6,672.96",EAPG Case Rate,,,"6,672.96",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
251 - OTORHINOLARYNGOLOGIC FUNCTION TESTS,251,EAPG,,,,outpatient ,,,0,,"2,745.91","2,745.91",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,745.91",EAPG Case Rate,,,"2,745.91",EAPG Case Rate,,,"2,745.91",EAPG Case Rate,,,"2,745.91",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
252 - LEVEL I FACIAL AND ENT PROCEDURES,252,EAPG,,,,outpatient ,,,0,,"9,434.70","9,434.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,434.70",EAPG Case Rate,,,"9,434.70",EAPG Case Rate,,,"9,434.70",EAPG Case Rate,,,"9,434.70",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
253 - LEVEL II FACIAL AND ENT PROCEDURES,253,EAPG,,,,outpatient ,,,0,,"3,768.01","3,768.01",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,768.01",EAPG Case Rate,,,"3,768.01",EAPG Case Rate,,,"3,768.01",EAPG Case Rate,,,"3,768.01",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
254 - LEVEL III FACIAL AND ENT PROCEDURES,254,EAPG,,,,outpatient ,,,0,,"6,868.09","6,868.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,868.09",EAPG Case Rate,,,"6,868.09",EAPG Case Rate,,,"6,868.09",EAPG Case Rate,,,"6,868.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
255 - LEVEL IV FACIAL AND ENT PROCEDURES,255,EAPG,,,,outpatient ,,,0,,862.13,862.13,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,862.13,EAPG Case Rate,,,862.13,EAPG Case Rate,,,862.13,EAPG Case Rate,,,862.13,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
256 - TONSIL AND ADENOID PROCEDURES,256,EAPG,,,,outpatient ,,,0,,726.61,726.61,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,726.61,EAPG Case Rate,,,726.61,EAPG Case Rate,,,726.61,EAPG Case Rate,,,726.61,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
257 - AUDIOMETRY,257,EAPG,,,,outpatient ,,,0,,537.19,537.19,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,537.19,EAPG Case Rate,,,537.19,EAPG Case Rate,,,537.19,EAPG Case Rate,,,537.19,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
260 - CASE MANAGEMENT AND CARE PLANNING SERVICES,260,EAPG,,,,outpatient ,,,0,,794.84,794.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,794.84,EAPG Case Rate,,,794.84,EAPG Case Rate,,,794.84,EAPG Case Rate,,,794.84,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
270 - OCCUPATIONAL THERAPY,270,EAPG,,,,outpatient ,,,0,,214.92,214.92,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,214.92,EAPG Case Rate,,,214.92,EAPG Case Rate,,,214.92,EAPG Case Rate,,,214.92,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
271 - PHYSICAL THERAPY,271,EAPG,,,,outpatient ,,,0,,646.75,646.75,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,646.75,EAPG Case Rate,,,646.75,EAPG Case Rate,,,646.75,EAPG Case Rate,,,646.75,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
272 - SPEECH THERAPY AND EVALUATION,272,EAPG,,,,outpatient ,,,0,,"2,182.87","2,182.87",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,182.87",EAPG Case Rate,,,"2,182.87",EAPG Case Rate,,,"2,182.87",EAPG Case Rate,,,"2,182.87",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
273 - MANIPULATION THERAPY,273,EAPG,,,,outpatient ,,,0,,"7,744.08","7,744.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,744.08",EAPG Case Rate,,,"7,744.08",EAPG Case Rate,,,"7,744.08",EAPG Case Rate,,,"7,744.08",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"274 - OCCUPATIONAL/PHYSICAL THERAPY, GROUP",274,EAPG,,,,outpatient ,,,0,,"2,074.48","2,074.48",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,074.48",EAPG Case Rate,,,"2,074.48",EAPG Case Rate,,,"2,074.48",EAPG Case Rate,,,"2,074.48",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"275 - SPEECH THERAPY & EVALUATION, GROUP",275,EAPG,,,,outpatient ,,,0,,"1,281.50","1,281.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,281.50",EAPG Case Rate,,,"1,281.50",EAPG Case Rate,,,"1,281.50",EAPG Case Rate,,,"1,281.50",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
280 - VASCULAR RADIOLOGY EXCEPT VENOGRAPHY OF EXTREMITY,280,EAPG,,,,outpatient ,,,0,,"9,913.32","9,913.32",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,913.32",EAPG Case Rate,,,"9,913.32",EAPG Case Rate,,,"9,913.32",EAPG Case Rate,,,"9,913.32",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
281 - MAGNETIC RESONANCE ANGIOGRAPHY - HEAD AND/OR NECK,281,EAPG,,,,outpatient ,,,0,,"30,592.10","30,592.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"30,592.10",EAPG Case Rate,,,"30,592.10",EAPG Case Rate,,,"30,592.10",EAPG Case Rate,,,"30,592.10",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
282 - MAGNETIC RESONANCE ANGIOGRAPHY - CHEST,282,EAPG,,,,outpatient ,,,0,,"6,140.42","6,140.42",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,140.42",EAPG Case Rate,,,"6,140.42",EAPG Case Rate,,,"6,140.42",EAPG Case Rate,,,"6,140.42",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
283 - MAGNETIC RESONANCE ANGIOGRAPHY - OTHER SITES,283,EAPG,,,,outpatient ,,,0,,246.12,246.12,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,246.12,EAPG Case Rate,,,246.12,EAPG Case Rate,,,246.12,EAPG Case Rate,,,246.12,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
284 - MYELOGRAPHY,284,EAPG,,,,outpatient ,,,0,,"4,238.60","4,238.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,238.60",EAPG Case Rate,,,"4,238.60",EAPG Case Rate,,,"4,238.60",EAPG Case Rate,,,"4,238.60",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
285 - MISCELLANEOUS RADIOLOGICAL PROCEDURES WITH CONTRAST,285,EAPG,,,,outpatient ,,,0,,"8,084.04","8,084.04",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,084.04",EAPG Case Rate,,,"8,084.04",EAPG Case Rate,,,"8,084.04",EAPG Case Rate,,,"8,084.04",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
286 - MAMMOGRAPHY & OTHER RELATED PROCEDURES,286,EAPG,,,,outpatient ,,,0,,49.48,49.48,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.48,EAPG Case Rate,,,49.48,EAPG Case Rate,,,49.48,EAPG Case Rate,,,49.48,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
287 - DIGESTIVE RADIOLOGY,287,EAPG,,,,outpatient ,,,0,,468.38,468.38,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,468.38,EAPG Case Rate,,,468.38,EAPG Case Rate,,,468.38,EAPG Case Rate,,,468.38,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
288 - DIAGNOSTIC ULTRASOUND EXCEPT OBSTETRICAL AND VASCULAR OF LOWER EXTREMITIES,288,EAPG,,,,outpatient ,,,0,,"2,767.10","2,767.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,767.10",EAPG Case Rate,,,"2,767.10",EAPG Case Rate,,,"2,767.10",EAPG Case Rate,,,"2,767.10",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
289 - VASCULAR DIAGNOSTIC ULTRASOUND OF LOWER EXTREMITIES,289,EAPG,,,,outpatient ,,,0,,"1,633.81","1,633.81",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,633.81",EAPG Case Rate,,,"1,633.81",EAPG Case Rate,,,"1,633.81",EAPG Case Rate,,,"1,633.81",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
290 - PET SCANS,290,EAPG,,,,outpatient ,,,0,,"5,391.11","5,391.11",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,391.11",EAPG Case Rate,,,"5,391.11",EAPG Case Rate,,,"5,391.11",EAPG Case Rate,,,"5,391.11",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
291 - BONE DENSITOMETRY,291,EAPG,,,,outpatient ,,,0,,"1,663.03","1,663.03",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,663.03",EAPG Case Rate,,,"1,663.03",EAPG Case Rate,,,"1,663.03",EAPG Case Rate,,,"1,663.03",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
292 - MRI- ABDOMEN,292,EAPG,,,,outpatient ,,,0,,"5,064.76","5,064.76",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,064.76",EAPG Case Rate,,,"5,064.76",EAPG Case Rate,,,"5,064.76",EAPG Case Rate,,,"5,064.76",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
293 - MRI- JOINTS,293,EAPG,,,,outpatient ,,,0,,"3,433.17","3,433.17",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,433.17",EAPG Case Rate,,,"3,433.17",EAPG Case Rate,,,"3,433.17",EAPG Case Rate,,,"3,433.17",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
294 - MRI- BACK,294,EAPG,,,,outpatient ,,,0,,"4,564.95","4,564.95",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,564.95",EAPG Case Rate,,,"4,564.95",EAPG Case Rate,,,"4,564.95",EAPG Case Rate,,,"4,564.95",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
295 - MRI- CHEST,295,EAPG,,,,outpatient ,,,0,,0,0,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
296 - MRI- OTHER,296,EAPG,,,,outpatient ,,,0,,647.56,647.56,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,647.56,EAPG Case Rate,,,647.56,EAPG Case Rate,,,647.56,EAPG Case Rate,,,647.56,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
297 - MRI BRAIN AND MAGNETOENCEPHALOGRAPHY,297,EAPG,,,,outpatient ,,,0,,"19,996.98","19,996.98",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,996.98",EAPG Case Rate,,,"19,996.98",EAPG Case Rate,,,"19,996.98",EAPG Case Rate,,,"19,996.98",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
298 - CAT SCAN BACK,298,EAPG,,,,outpatient ,,,0,,"58,329.54","58,329.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"58,329.54",EAPG Case Rate,,,"58,329.54",EAPG Case Rate,,,"58,329.54",EAPG Case Rate,,,"58,329.54",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
299 - CAT SCAN - BRAIN,299,EAPG,,,,outpatient ,,,0,,922.56,922.56,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,922.56,EAPG Case Rate,,,922.56,EAPG Case Rate,,,922.56,EAPG Case Rate,,,922.56,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
300 - CAT SCAN - ABDOMEN,300,EAPG,,,,outpatient ,,,0,,"5,148.94","5,148.94",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,148.94",EAPG Case Rate,,,"5,148.94",EAPG Case Rate,,,"5,148.94",EAPG Case Rate,,,"5,148.94",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
301 - CAT SCAN - OTHER,301,EAPG,,,,outpatient ,,,0,,274.65,274.65,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,274.65,EAPG Case Rate,,,274.65,EAPG Case Rate,,,274.65,EAPG Case Rate,,,274.65,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"302 - ANGIOGRAPHY, OTHER",302,EAPG,,,,outpatient ,,,0,,"38,568.21","38,568.21",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"38,568.21",EAPG Case Rate,,,"38,568.21",EAPG Case Rate,,,"38,568.21",EAPG Case Rate,,,"38,568.21",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"303 - ANGIOGRAPHY, CEREBRAL",303,EAPG,,,,outpatient ,,,0,,223.19,223.19,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,223.19,EAPG Case Rate,,,223.19,EAPG Case Rate,,,223.19,EAPG Case Rate,,,223.19,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
310 - DEVELOPMENTAL & NEUROPSYCHOLOGICAL TESTING,310,EAPG,,,,outpatient ,,,0,,"2,267.75","2,267.75",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,267.75",EAPG Case Rate,,,"2,267.75",EAPG Case Rate,,,"2,267.75",EAPG Case Rate,,,"2,267.75",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
311 - FULL DAY PARTIAL HOSPITALIZATION FOR SUBSTANCE ABUSE,311,EAPG,,,,outpatient ,,,0,,"4,107.74","4,107.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,107.74",EAPG Case Rate,,,"4,107.74",EAPG Case Rate,,,"4,107.74",EAPG Case Rate,,,"4,107.74",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
312 - FULL DAY PARTIAL HOSPITALIZATION FOR MENTAL ILLNESS,312,EAPG,,,,outpatient ,,,0,,"5,369.57","5,369.57",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,369.57",EAPG Case Rate,,,"5,369.57",EAPG Case Rate,,,"5,369.57",EAPG Case Rate,,,"5,369.57",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
313 - HALF DAY PARTIAL HOSPITALIZATION FOR SUBSTANCE ABUSE,313,EAPG,,,,outpatient ,,,0,,"7,119.68","7,119.68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,119.68",EAPG Case Rate,,,"7,119.68",EAPG Case Rate,,,"7,119.68",EAPG Case Rate,,,"7,119.68",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
314 - HALF DAY PARTIAL HOSPITALIZATION FOR MENTAL ILLNESS,314,EAPG,,,,outpatient ,,,0,,"3,217.78","3,217.78",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,217.78",EAPG Case Rate,,,"3,217.78",EAPG Case Rate,,,"3,217.78",EAPG Case Rate,,,"3,217.78",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
315 - COUNSELLING OR INDIVIDUAL BRIEF PSYCHOTHERAPY,315,EAPG,,,,outpatient ,,,0,,129.47,129.47,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,129.47,EAPG Case Rate,,,129.47,EAPG Case Rate,,,129.47,EAPG Case Rate,,,129.47,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
316 - INDIVIDUAL COMPREHENSIVE PSYCHOTHERAPY,316,EAPG,,,,outpatient ,,,0,,"2,144.22","2,144.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,144.22",EAPG Case Rate,,,"2,144.22",EAPG Case Rate,,,"2,144.22",EAPG Case Rate,,,"2,144.22",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
317 - FAMILY PSYCHOTHERAPY,317,EAPG,,,,outpatient ,,,0,,"2,778.62","2,778.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,778.62",EAPG Case Rate,,,"2,778.62",EAPG Case Rate,,,"2,778.62",EAPG Case Rate,,,"2,778.62",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
318 - GROUP PSYCHOTHERAPY,318,EAPG,,,,outpatient ,,,0,,176.27,176.27,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,176.27,EAPG Case Rate,,,176.27,EAPG Case Rate,,,176.27,EAPG Case Rate,,,176.27,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
319 - ACTIVITY THERAPY,319,EAPG,,,,outpatient ,,,0,,966.1,966.1,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,966.1,EAPG Case Rate,,,966.1,EAPG Case Rate,,,966.1,EAPG Case Rate,,,966.1,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
320 - MENTAL HEALTH & SUBSTANCE ABUSE - CASE MANAGEMENT AND TREATMENT PLAN DEVELOPMENT,320,EAPG,,,,outpatient ,,,0,,"4,326.27","4,326.27",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,326.27",EAPG Case Rate,,,"4,326.27",EAPG Case Rate,,,"4,326.27",EAPG Case Rate,,,"4,326.27",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
321 - CRISIS INTERVENTION,321,EAPG,,,,outpatient ,,,0,,"7,001.74","7,001.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,001.74",EAPG Case Rate,,,"7,001.74",EAPG Case Rate,,,"7,001.74",EAPG Case Rate,,,"7,001.74",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
322 - MEDICATION ADMINISTRATION & OBSERVATION,322,EAPG,,,,outpatient ,,,0,,"6,065.45","6,065.45",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,065.45",EAPG Case Rate,,,"6,065.45",EAPG Case Rate,,,"6,065.45",EAPG Case Rate,,,"6,065.45",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
323 - MENTAL HEALTH ASSESSMENT,323,EAPG,,,,outpatient ,,,0,,"22,793.53","22,793.53",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,793.53",EAPG Case Rate,,,"22,793.53",EAPG Case Rate,,,"22,793.53",EAPG Case Rate,,,"22,793.53",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
324 - MENTAL HEALTH SCREENING & BRIEF ASSESSMENT,324,EAPG,,,,outpatient ,,,0,,"6,736.64","6,736.64",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,736.64",EAPG Case Rate,,,"6,736.64",EAPG Case Rate,,,"6,736.64",EAPG Case Rate,,,"6,736.64",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
327 - INTENSIVE OUTPATIENT PSYCHIATRIC TREATMENT,327,EAPG,,,,outpatient ,,,0,,"8,646.73","8,646.73",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,646.73",EAPG Case Rate,,,"8,646.73",EAPG Case Rate,,,"8,646.73",EAPG Case Rate,,,"8,646.73",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"328 - DAY REHABILITATION, HALF DAY",328,EAPG,,,,outpatient ,,,0,,"9,330.15","9,330.15",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,330.15",EAPG Case Rate,,,"9,330.15",EAPG Case Rate,,,"9,330.15",EAPG Case Rate,,,"9,330.15",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"329 - DAY REHABILITATION, FULL DAY",329,EAPG,,,,outpatient ,,,0,,58.45,58.45,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58.45,EAPG Case Rate,,,58.45,EAPG Case Rate,,,58.45,EAPG Case Rate,,,58.45,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
330 - LEVEL I DIAGNOSTIC NUCLEAR MEDICINE,330,EAPG,,,,outpatient ,,,0,,336.59,336.59,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,336.59,EAPG Case Rate,,,336.59,EAPG Case Rate,,,336.59,EAPG Case Rate,,,336.59,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
331 - LEVEL II DIAGNOSTIC NUCLEAR MEDICINE,331,EAPG,,,,outpatient ,,,0,,307.25,307.25,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,307.25,EAPG Case Rate,,,307.25,EAPG Case Rate,,,307.25,EAPG Case Rate,,,307.25,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
332 - LEVEL III DIAGNOSTIC NUCLEAR MEDICINE,332,EAPG,,,,outpatient ,,,0,,369.3,369.3,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,369.3,EAPG Case Rate,,,369.3,EAPG Case Rate,,,369.3,EAPG Case Rate,,,369.3,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
340 - THERAPEUTIC NUCLEAR MEDICINE,340,EAPG,,,,outpatient ,,,0,,"5,410.20","5,410.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,410.20",EAPG Case Rate,,,"5,410.20",EAPG Case Rate,,,"5,410.20",EAPG Case Rate,,,"5,410.20",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
341 - RADIATION THERAPY AND HYPERTHERMIA,341,EAPG,,,,outpatient ,,,0,,"1,741.38","1,741.38",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,741.38",EAPG Case Rate,,,"1,741.38",EAPG Case Rate,,,"1,741.38",EAPG Case Rate,,,"1,741.38",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
342 - LEVEL I AFTERLOADING BRACHYTHERAPY,342,EAPG,,,,outpatient ,,,0,,531.02,531.02,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,531.02,EAPG Case Rate,,,531.02,EAPG Case Rate,,,531.02,EAPG Case Rate,,,531.02,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
343 - RADIATION TREATMENT DELIVERY,343,EAPG,,,,outpatient ,,,0,,"2,744.39","2,744.39",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,744.39",EAPG Case Rate,,,"2,744.39",EAPG Case Rate,,,"2,744.39",EAPG Case Rate,,,"2,744.39",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
344 - INSTILLATION OF RADIOELEMENT SOLUTIONS,344,EAPG,,,,outpatient ,,,0,,"7,165.90","7,165.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,165.90",EAPG Case Rate,,,"7,165.90",EAPG Case Rate,,,"7,165.90",EAPG Case Rate,,,"7,165.90",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
345 - HYPERTHERMIC THERAPIES,345,EAPG,,,,outpatient ,,,0,,797.17,797.17,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,797.17,EAPG Case Rate,,,797.17,EAPG Case Rate,,,797.17,EAPG Case Rate,,,797.17,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
346 - RADIOSURGERY,346,EAPG,,,,outpatient ,,,0,,906.49,906.49,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,906.49,EAPG Case Rate,,,906.49,EAPG Case Rate,,,906.49,EAPG Case Rate,,,906.49,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
347 - HIGH ENERGY NEUTRON RADIATION TREATMENT DELIVERY,347,EAPG,,,,outpatient ,,,0,,77.42,77.42,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,77.42,EAPG Case Rate,,,77.42,EAPG Case Rate,,,77.42,EAPG Case Rate,,,77.42,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
348 - PROTON TREATMENT DELIVERY,348,EAPG,,,,outpatient ,,,0,,177.2,177.2,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,177.2,EAPG Case Rate,,,177.2,EAPG Case Rate,,,177.2,EAPG Case Rate,,,177.2,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
349 - LEVEL II AFTERLOADING BRACHYTHERAPY,349,EAPG,,,,outpatient ,,,0,,273.02,273.02,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,273.02,EAPG Case Rate,,,273.02,EAPG Case Rate,,,273.02,EAPG Case Rate,,,273.02,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
350 - LEVEL I  ADJUNCTIVE GENERAL DENTAL SERVICES,350,EAPG,,,,outpatient ,,,0,,"2,163.08","2,163.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,163.08",EAPG Case Rate,,,"2,163.08",EAPG Case Rate,,,"2,163.08",EAPG Case Rate,,,"2,163.08",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
351 - LEVEL II ADJUNCTIVE GENERAL DENTAL SERVICES,351,EAPG,,,,outpatient ,,,0,,127.84,127.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,127.84,EAPG Case Rate,,,127.84,EAPG Case Rate,,,127.84,EAPG Case Rate,,,127.84,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
352 - LEVEL I PERIODONTICS,352,EAPG,,,,outpatient ,,,0,,391.19,391.19,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,391.19,EAPG Case Rate,,,391.19,EAPG Case Rate,,,391.19,EAPG Case Rate,,,391.19,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"353 - LEVEL I PROSTHODONTICS, FIXED",353,EAPG,,,,outpatient ,,,0,,660.02,660.02,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,660.02,EAPG Case Rate,,,660.02,EAPG Case Rate,,,660.02,EAPG Case Rate,,,660.02,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"354 - LEVEL II PROSTHODONTICS, FIXED",354,EAPG,,,,outpatient ,,,0,,"3,771.85","3,771.85",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,771.85",EAPG Case Rate,,,"3,771.85",EAPG Case Rate,,,"3,771.85",EAPG Case Rate,,,"3,771.85",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"355 - LEVEL III PROSTHODONTICS, FIXED",355,EAPG,,,,outpatient ,,,0,,173.01,173.01,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,173.01,EAPG Case Rate,,,173.01,EAPG Case Rate,,,173.01,EAPG Case Rate,,,173.01,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"356 - LEVEL I PROSTHODONTICS, REMOVABLE",356,EAPG,,,,outpatient ,,,0,,492.83,492.83,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,492.83,EAPG Case Rate,,,492.83,EAPG Case Rate,,,492.83,EAPG Case Rate,,,492.83,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"357 - LEVEL II PROSTHODONTICS, REMOVABLE",357,EAPG,,,,outpatient ,,,0,,418.55,418.55,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,418.55,EAPG Case Rate,,,418.55,EAPG Case Rate,,,418.55,EAPG Case Rate,,,418.55,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"358 - LEVEL III PROSTHODONTICS, REMOVABLE",358,EAPG,,,,outpatient ,,,0,,602.16,602.16,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,602.16,EAPG Case Rate,,,602.16,EAPG Case Rate,,,602.16,EAPG Case Rate,,,602.16,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
359 - LEVEL I MAXILLOFACIAL PROSTHETICS,359,EAPG,,,,outpatient ,,,0,,4.42,4.42,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.42,EAPG Case Rate,,,4.42,EAPG Case Rate,,,4.42,EAPG Case Rate,,,4.42,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
360 - LEVEL II MAXILLOFACIAL PROSTHETICS,360,EAPG,,,,outpatient ,,,0,,52.28,52.28,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.28,EAPG Case Rate,,,52.28,EAPG Case Rate,,,52.28,EAPG Case Rate,,,52.28,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
361 - LEVEL I DENTAL RESTORATIONS,361,EAPG,,,,outpatient ,,,0,,213.29,213.29,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,213.29,EAPG Case Rate,,,213.29,EAPG Case Rate,,,213.29,EAPG Case Rate,,,213.29,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
362 - LEVEL II DENTAL RESTORATIONS,362,EAPG,,,,outpatient ,,,0,,519.03,519.03,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,519.03,EAPG Case Rate,,,519.03,EAPG Case Rate,,,519.03,EAPG Case Rate,,,519.03,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
363 - LEVEL III DENTAL RESTORATION,363,EAPG,,,,outpatient ,,,0,,239.6,239.6,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,239.6,EAPG Case Rate,,,239.6,EAPG Case Rate,,,239.6,EAPG Case Rate,,,239.6,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
364 - LEVEL I ENDODONTICS,364,EAPG,,,,outpatient ,,,0,,70.44,70.44,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.44,EAPG Case Rate,,,70.44,EAPG Case Rate,,,70.44,EAPG Case Rate,,,70.44,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
365 - LEVEL II ENDODONTICS,365,EAPG,,,,outpatient ,,,0,,946.66,946.66,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,946.66,EAPG Case Rate,,,946.66,EAPG Case Rate,,,946.66,EAPG Case Rate,,,946.66,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
366 - LEVEL III ENDODONTICS,366,EAPG,,,,outpatient ,,,0,,576.43,576.43,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,576.43,EAPG Case Rate,,,576.43,EAPG Case Rate,,,576.43,EAPG Case Rate,,,576.43,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
367 - LEVEL I ORAL AND MAXILLOFACIAL SURGERY,367,EAPG,,,,outpatient ,,,0,,209.68,209.68,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,209.68,EAPG Case Rate,,,209.68,EAPG Case Rate,,,209.68,EAPG Case Rate,,,209.68,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
368 - LEVEL II ORAL AND MAXILLOFACIAL SURGERY,368,EAPG,,,,outpatient ,,,0,,250.55,250.55,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,250.55,EAPG Case Rate,,,250.55,EAPG Case Rate,,,250.55,EAPG Case Rate,,,250.55,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
369 - LEVEL III ORAL AND MAXILLOFACIAL SURGERY,369,EAPG,,,,outpatient ,,,0,,273.25,273.25,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,273.25,EAPG Case Rate,,,273.25,EAPG Case Rate,,,273.25,EAPG Case Rate,,,273.25,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
370 - LEVEL IV ORAL AND MAXILLOFACIAL SURGERY,370,EAPG,,,,outpatient ,,,0,,381.88,381.88,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,381.88,EAPG Case Rate,,,381.88,EAPG Case Rate,,,381.88,EAPG Case Rate,,,381.88,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
371 - LEVEL I ORTHODONTICS,371,EAPG,,,,outpatient ,,,0,,249.85,249.85,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,249.85,EAPG Case Rate,,,249.85,EAPG Case Rate,,,249.85,EAPG Case Rate,,,249.85,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
372 - SEALANT,372,EAPG,,,,outpatient ,,,0,,160.55,160.55,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,160.55,EAPG Case Rate,,,160.55,EAPG Case Rate,,,160.55,EAPG Case Rate,,,160.55,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
373 - LEVEL I DENTAL FILM,373,EAPG,,,,outpatient ,,,0,,298.75,298.75,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,298.75,EAPG Case Rate,,,298.75,EAPG Case Rate,,,298.75,EAPG Case Rate,,,298.75,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
374 - LEVEL II DENTAL FILM,374,EAPG,,,,outpatient ,,,0,,70.32,70.32,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.32,EAPG Case Rate,,,70.32,EAPG Case Rate,,,70.32,EAPG Case Rate,,,70.32,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
375 - DENTAL ANESTHESIA,375,EAPG,,,,outpatient ,,,0,,402.6,402.6,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,402.6,EAPG Case Rate,,,402.6,EAPG Case Rate,,,402.6,EAPG Case Rate,,,402.6,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
376 - DIAGNOSTIC DENTAL PROCEDURES,376,EAPG,,,,outpatient ,,,0,,37.37,37.37,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37.37,EAPG Case Rate,,,37.37,EAPG Case Rate,,,37.37,EAPG Case Rate,,,37.37,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
377 - PREVENTIVE DENTAL PROCEDURES,377,EAPG,,,,outpatient ,,,0,,117.12,117.12,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,117.12,EAPG Case Rate,,,117.12,EAPG Case Rate,,,117.12,EAPG Case Rate,,,117.12,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
378 - LEVEL II PERIODONTICS,378,EAPG,,,,outpatient ,,,0,,562.22,562.22,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,562.22,EAPG Case Rate,,,562.22,EAPG Case Rate,,,562.22,EAPG Case Rate,,,562.22,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
379 - LEVEL II ORTHODONTICS,379,EAPG,,,,outpatient ,,,0,,508.78,508.78,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,508.78,EAPG Case Rate,,,508.78,EAPG Case Rate,,,508.78,EAPG Case Rate,,,508.78,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
380 - ANESTHESIA,380,EAPG,,,,outpatient ,,,0,,758.05,758.05,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,758.05,EAPG Case Rate,,,758.05,EAPG Case Rate,,,758.05,EAPG Case Rate,,,758.05,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
381 - LEVEL I DENTAL IMPLANTS,381,EAPG,,,,outpatient ,,,0,,595.75,595.75,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,595.75,EAPG Case Rate,,,595.75,EAPG Case Rate,,,595.75,EAPG Case Rate,,,595.75,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
382 - LEVEL II DENTAL IMPLANTS,382,EAPG,,,,outpatient ,,,0,,"1,426.92","1,426.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,426.92",EAPG Case Rate,,,"1,426.92",EAPG Case Rate,,,"1,426.92",EAPG Case Rate,,,"1,426.92",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
385 - LEVEL I MOLECULAR PATHOLOGY AND GENETIC TESTS,385,EAPG,,,,outpatient ,,,0,,842.23,842.23,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,842.23,EAPG Case Rate,,,842.23,EAPG Case Rate,,,842.23,EAPG Case Rate,,,842.23,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
386 - LEVEL II MOLECULAR PATHOLOGY AND GENETIC TESTS,386,EAPG,,,,outpatient ,,,0,,414.71,414.71,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,414.71,EAPG Case Rate,,,414.71,EAPG Case Rate,,,414.71,EAPG Case Rate,,,414.71,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
387 - LEVEL III MOLECULAR PATHOLOGY AND GENETIC TESTS,387,EAPG,,,,outpatient ,,,0,,"5,471.56","5,471.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,471.56",EAPG Case Rate,,,"5,471.56",EAPG Case Rate,,,"5,471.56",EAPG Case Rate,,,"5,471.56",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
390 - LEVEL I PATHOLOGY,390,EAPG,,,,outpatient ,,,0,,"18,163.62","18,163.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,163.62",EAPG Case Rate,,,"18,163.62",EAPG Case Rate,,,"18,163.62",EAPG Case Rate,,,"18,163.62",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
391 - LEVEL II PATHOLOGY,391,EAPG,,,,outpatient ,,,0,,440.67,440.67,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,440.67,EAPG Case Rate,,,440.67,EAPG Case Rate,,,440.67,EAPG Case Rate,,,440.67,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
392 - PAP SMEARS,392,EAPG,,,,outpatient ,,,0,,291.53,291.53,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,291.53,EAPG Case Rate,,,291.53,EAPG Case Rate,,,291.53,EAPG Case Rate,,,291.53,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
393 - BLOOD AND TISSUE TYPING,393,EAPG,,,,outpatient ,,,0,,"8,812.17","8,812.17",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,812.17",EAPG Case Rate,,,"8,812.17",EAPG Case Rate,,,"8,812.17",EAPG Case Rate,,,"8,812.17",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
394 - LEVEL I IMMUNOLOGY TESTS,394,EAPG,,,,outpatient ,,,0,,766.43,766.43,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,766.43,EAPG Case Rate,,,766.43,EAPG Case Rate,,,766.43,EAPG Case Rate,,,766.43,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
395 - LEVEL II IMMUNOLOGY TESTS,395,EAPG,,,,outpatient ,,,0,,"2,306.75","2,306.75",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,306.75",EAPG Case Rate,,,"2,306.75",EAPG Case Rate,,,"2,306.75",EAPG Case Rate,,,"2,306.75",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
396 - LEVEL I MICROBIOLOGY TESTS,396,EAPG,,,,outpatient ,,,0,,375.59,375.59,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,375.59,EAPG Case Rate,,,375.59,EAPG Case Rate,,,375.59,EAPG Case Rate,,,375.59,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
397 - LEVEL II MICROBIOLOGY TESTS,397,EAPG,,,,outpatient ,,,0,,"1,712.63","1,712.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,712.63",EAPG Case Rate,,,"1,712.63",EAPG Case Rate,,,"1,712.63",EAPG Case Rate,,,"1,712.63",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
398 - LEVEL I ENDOCRINOLOGY TESTS,398,EAPG,,,,outpatient ,,,0,,165.67,165.67,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,165.67,EAPG Case Rate,,,165.67,EAPG Case Rate,,,165.67,EAPG Case Rate,,,165.67,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
399 - LEVEL II ENDOCRINOLOGY TESTS,399,EAPG,,,,outpatient ,,,0,,619.85,619.85,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,619.85,EAPG Case Rate,,,619.85,EAPG Case Rate,,,619.85,EAPG Case Rate,,,619.85,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
400 - LEVEL I CHEMISTRY TESTS,400,EAPG,,,,outpatient ,,,0,,766.9,766.9,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,766.9,EAPG Case Rate,,,766.9,EAPG Case Rate,,,766.9,EAPG Case Rate,,,766.9,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
401 - LEVEL II CHEMISTRY TESTS,401,EAPG,,,,outpatient ,,,0,,335.89,335.89,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,335.89,EAPG Case Rate,,,335.89,EAPG Case Rate,,,335.89,EAPG Case Rate,,,335.89,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
402 - BASIC CHEMISTRY TESTS,402,EAPG,,,,outpatient ,,,0,,415.29,415.29,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,415.29,EAPG Case Rate,,,415.29,EAPG Case Rate,,,415.29,EAPG Case Rate,,,415.29,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
403 - ORGAN OR DISEASE ORIENTED PANELS,403,EAPG,,,,outpatient ,,,0,,494.58,494.58,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,494.58,EAPG Case Rate,,,494.58,EAPG Case Rate,,,494.58,EAPG Case Rate,,,494.58,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
404 - TOXICOLOGY TESTS,404,EAPG,,,,outpatient ,,,0,,"2,472.66","2,472.66",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,472.66",EAPG Case Rate,,,"2,472.66",EAPG Case Rate,,,"2,472.66",EAPG Case Rate,,,"2,472.66",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
405 - THERAPEUTIC DRUG MONITORING,405,EAPG,,,,outpatient ,,,0,,"5,564.58","5,564.58",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,564.58",EAPG Case Rate,,,"5,564.58",EAPG Case Rate,,,"5,564.58",EAPG Case Rate,,,"5,564.58",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
406 - LEVEL I CLOTTING TESTS,406,EAPG,,,,outpatient ,,,0,,"3,250.50","3,250.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,250.50",EAPG Case Rate,,,"3,250.50",EAPG Case Rate,,,"3,250.50",EAPG Case Rate,,,"3,250.50",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
407 - LEVEL II CLOTTING TESTS,407,EAPG,,,,outpatient ,,,0,,"4,023.22","4,023.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,023.22",EAPG Case Rate,,,"4,023.22",EAPG Case Rate,,,"4,023.22",EAPG Case Rate,,,"4,023.22",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
408 - LEVEL I HEMATOLOGY TESTS,408,EAPG,,,,outpatient ,,,0,,"4,425.59","4,425.59",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,425.59",EAPG Case Rate,,,"4,425.59",EAPG Case Rate,,,"4,425.59",EAPG Case Rate,,,"4,425.59",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
409 - LEVEL II HEMATOLOGY TESTS,409,EAPG,,,,outpatient ,,,0,,227.61,227.61,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,227.61,EAPG Case Rate,,,227.61,EAPG Case Rate,,,227.61,EAPG Case Rate,,,227.61,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
410 - URINALYSIS,410,EAPG,,,,outpatient ,,,0,,409.35,409.35,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,409.35,EAPG Case Rate,,,409.35,EAPG Case Rate,,,409.35,EAPG Case Rate,,,409.35,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
411 - BLOOD AND URINE DIPSTICK TESTS,411,EAPG,,,,outpatient ,,,0,,487.71,487.71,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,487.71,EAPG Case Rate,,,487.71,EAPG Case Rate,,,487.71,EAPG Case Rate,,,487.71,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
412 - SIMPLE PULMONARY FUNCTION TESTS,412,EAPG,,,,outpatient ,,,0,,"1,939.77","1,939.77",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,939.77",EAPG Case Rate,,,"1,939.77",EAPG Case Rate,,,"1,939.77",EAPG Case Rate,,,"1,939.77",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
413 - CARDIOGRAM,413,EAPG,,,,outpatient ,,,0,,"2,946.74","2,946.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,946.74",EAPG Case Rate,,,"2,946.74",EAPG Case Rate,,,"2,946.74",EAPG Case Rate,,,"2,946.74",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
414 - LEVEL I IMMUNIZATION,414,EAPG,,,,outpatient ,,,0,,"4,579.15","4,579.15",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,579.15",EAPG Case Rate,,,"4,579.15",EAPG Case Rate,,,"4,579.15",EAPG Case Rate,,,"4,579.15",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
415 - LEVEL II IMMUNIZATION,415,EAPG,,,,outpatient ,,,0,,"2,187.30","2,187.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,187.30",EAPG Case Rate,,,"2,187.30",EAPG Case Rate,,,"2,187.30",EAPG Case Rate,,,"2,187.30",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
416 - LEVEL III IMMUNIZATION,416,EAPG,,,,outpatient ,,,0,,67.18,67.18,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,67.18,EAPG Case Rate,,,67.18,EAPG Case Rate,,,67.18,EAPG Case Rate,,,67.18,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
417 - MINOR REPRODUCTIVE PROCEDURES,417,EAPG,,,,outpatient ,,,0,,49.83,49.83,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.83,EAPG Case Rate,,,49.83,EAPG Case Rate,,,49.83,EAPG Case Rate,,,49.83,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
418 - MINOR CARDIAC AND VASCULAR TESTS,418,EAPG,,,,outpatient ,,,0,,190.36,190.36,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,190.36,EAPG Case Rate,,,190.36,EAPG Case Rate,,,190.36,EAPG Case Rate,,,190.36,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"419 - MINOR OPHTHALMOLOGICAL INJECTION, SCRAPING AND TESTS",419,EAPG,,,,outpatient ,,,0,,56.82,56.82,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,56.82,EAPG Case Rate,,,56.82,EAPG Case Rate,,,56.82,EAPG Case Rate,,,56.82,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
420 - PACEMAKER AND OTHER ELECTRONIC ANALYSIS,420,EAPG,,,,outpatient ,,,0,,170.56,170.56,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,170.56,EAPG Case Rate,,,170.56,EAPG Case Rate,,,170.56,EAPG Case Rate,,,170.56,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
421 - TUBE CHANGE,421,EAPG,,,,outpatient ,,,0,,179.18,179.18,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,179.18,EAPG Case Rate,,,179.18,EAPG Case Rate,,,179.18,EAPG Case Rate,,,179.18,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
422 - PROVISION OF VISION AIDS,422,EAPG,,,,outpatient ,,,0,,"1,817.29","1,817.29",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,817.29",EAPG Case Rate,,,"1,817.29",EAPG Case Rate,,,"1,817.29",EAPG Case Rate,,,"1,817.29",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
423 - INTRODUCTION OF NEEDLE AND CATHETER,423,EAPG,,,,outpatient ,,,0,,"2,406.06","2,406.06",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,406.06",EAPG Case Rate,,,"2,406.06",EAPG Case Rate,,,"2,406.06",EAPG Case Rate,,,"2,406.06",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
424 - DRESSINGS AND OTHER MINOR PROCEDURES,424,EAPG,,,,outpatient ,,,0,,36.91,36.91,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36.91,EAPG Case Rate,,,36.91,EAPG Case Rate,,,36.91,EAPG Case Rate,,,36.91,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
425 - LEVEL I OTHER MISCELLANEOUS ANCILLARY PROCEDURES,425,EAPG,,,,outpatient ,,,0,,"2,099.16","2,099.16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,099.16",EAPG Case Rate,,,"2,099.16",EAPG Case Rate,,,"2,099.16",EAPG Case Rate,,,"2,099.16",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
426 - PSYCHOTROPIC MEDICATION MANAGEMENT,426,EAPG,,,,outpatient ,,,0,,"2,309.08","2,309.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,309.08",EAPG Case Rate,,,"2,309.08",EAPG Case Rate,,,"2,309.08",EAPG Case Rate,,,"2,309.08",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
427 - BIOFEEDBACK AND OTHER TRAINING,427,EAPG,,,,outpatient ,,,0,,89.53,89.53,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,89.53,EAPG Case Rate,,,89.53,EAPG Case Rate,,,89.53,EAPG Case Rate,,,89.53,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"428 - PATIENT EDUCATION, INDIVIDUAL",428,EAPG,,,,outpatient ,,,0,,61.24,61.24,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,61.24,EAPG Case Rate,,,61.24,EAPG Case Rate,,,61.24,EAPG Case Rate,,,61.24,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"429 - PATIENT EDUCATION, GROUP",429,EAPG,,,,outpatient ,,,0,,216.55,216.55,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,216.55,EAPG Case Rate,,,216.55,EAPG Case Rate,,,216.55,EAPG Case Rate,,,216.55,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
430 - CLASS I CHEMOTHERAPY DRUGS,430,EAPG,,,,outpatient ,,,0,,472.46,472.46,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,472.46,EAPG Case Rate,,,472.46,EAPG Case Rate,,,472.46,EAPG Case Rate,,,472.46,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
431 - CLASS II CHEMOTHERAPY DRUGS,431,EAPG,,,,outpatient ,,,0,,268.13,268.13,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,268.13,EAPG Case Rate,,,268.13,EAPG Case Rate,,,268.13,EAPG Case Rate,,,268.13,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
432 - CLASS III CHEMOTHERAPY DRUGS,432,EAPG,,,,outpatient ,,,0,,191.87,191.87,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,191.87,EAPG Case Rate,,,191.87,EAPG Case Rate,,,191.87,EAPG Case Rate,,,191.87,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
433 - CLASS IV CHEMOTHERAPY DRUGS,433,EAPG,,,,outpatient ,,,0,,6.52,6.52,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.52,EAPG Case Rate,,,6.52,EAPG Case Rate,,,6.52,EAPG Case Rate,,,6.52,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
434 - CLASS V CHEMOTHERAPY DRUGS,434,EAPG,,,,outpatient ,,,0,,43.19,43.19,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43.19,EAPG Case Rate,,,43.19,EAPG Case Rate,,,43.19,EAPG Case Rate,,,43.19,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
435 - CLASS I PHARMACOTHERAPY,435,EAPG,,,,outpatient ,,,0,,26.89,26.89,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26.89,EAPG Case Rate,,,26.89,EAPG Case Rate,,,26.89,EAPG Case Rate,,,26.89,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
436 - CLASS II PHARMACOTHERAPY,436,EAPG,,,,outpatient ,,,0,,82.08,82.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,82.08,EAPG Case Rate,,,82.08,EAPG Case Rate,,,82.08,EAPG Case Rate,,,82.08,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
437 - CLASS III PHARMACOTHERAPY,437,EAPG,,,,outpatient ,,,0,,15.14,15.14,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15.14,EAPG Case Rate,,,15.14,EAPG Case Rate,,,15.14,EAPG Case Rate,,,15.14,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
438 - CLASS IV PHARMACOTHERAPY,438,EAPG,,,,outpatient ,,,0,,53.67,53.67,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.67,EAPG Case Rate,,,53.67,EAPG Case Rate,,,53.67,EAPG Case Rate,,,53.67,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
439 - CLASS V PHARMACOTHERAPY,439,EAPG,,,,outpatient ,,,0,,13.85,13.85,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13.85,EAPG Case Rate,,,13.85,EAPG Case Rate,,,13.85,EAPG Case Rate,,,13.85,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
440 - CLASS VI PHARMACOTHERAPY,440,EAPG,,,,outpatient ,,,0,,56.35,56.35,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,56.35,EAPG Case Rate,,,56.35,EAPG Case Rate,,,56.35,EAPG Case Rate,,,56.35,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
441 - CLASS VI CHEMOTHERAPY DRUGS,441,EAPG,,,,outpatient ,,,0,,17.35,17.35,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17.35,EAPG Case Rate,,,17.35,EAPG Case Rate,,,17.35,EAPG Case Rate,,,17.35,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
443 - CLASS VII CHEMOTHERAPY DRUGS,443,EAPG,,,,outpatient ,,,0,,45.99,45.99,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45.99,EAPG Case Rate,,,45.99,EAPG Case Rate,,,45.99,EAPG Case Rate,,,45.99,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
444 - CLASS VII PHARMACOTHERAPY,444,EAPG,,,,outpatient ,,,0,,15.72,15.72,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15.72,EAPG Case Rate,,,15.72,EAPG Case Rate,,,15.72,EAPG Case Rate,,,15.72,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
448 - EXPANDED HOURS ACCESS,448,EAPG,,,,outpatient ,,,0,,37.02,37.02,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37.02,EAPG Case Rate,,,37.02,EAPG Case Rate,,,37.02,EAPG Case Rate,,,37.02,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
449 - ADDITIONAL UNDIFFERENTIATED MEDICAL VISITS/SERVICES,449,EAPG,,,,outpatient ,,,0,,7.1,7.1,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.1,EAPG Case Rate,,,7.1,EAPG Case Rate,,,7.1,EAPG Case Rate,,,7.1,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
450 - OBSERVATION,450,EAPG,,,,outpatient ,,,0,,11.88,11.88,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.88,EAPG Case Rate,,,11.88,EAPG Case Rate,,,11.88,EAPG Case Rate,,,11.88,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
451 - SMOKING CESSATION TREATMENT,451,EAPG,,,,outpatient ,,,0,,16.18,16.18,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16.18,EAPG Case Rate,,,16.18,EAPG Case Rate,,,16.18,EAPG Case Rate,,,16.18,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
452 - DIABETES SUPPLIES,452,EAPG,,,,outpatient ,,,0,,15.95,15.95,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15.95,EAPG Case Rate,,,15.95,EAPG Case Rate,,,15.95,EAPG Case Rate,,,15.95,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
453 - MOTORIZED WHEELCHAIR,453,EAPG,,,,outpatient ,,,0,,5.82,5.82,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.82,EAPG Case Rate,,,5.82,EAPG Case Rate,,,5.82,EAPG Case Rate,,,5.82,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
454 - TPN FORMULAE,454,EAPG,,,,outpatient ,,,0,,33.3,33.3,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33.3,EAPG Case Rate,,,33.3,EAPG Case Rate,,,33.3,EAPG Case Rate,,,33.3,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
455 - IMPLANTED TISSUE OF ANY TYPE,455,EAPG,,,,outpatient ,,,0,,7.8,7.8,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.8,EAPG Case Rate,,,7.8,EAPG Case Rate,,,7.8,EAPG Case Rate,,,7.8,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
456 - MOTORIZED WHEELCHAIR ACCESSORIES,456,EAPG,,,,outpatient ,,,0,,19.56,19.56,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19.56,EAPG Case Rate,,,19.56,EAPG Case Rate,,,19.56,EAPG Case Rate,,,19.56,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
457 - VENIPUNCTURE,457,EAPG,,,,outpatient ,,,0,,3.96,3.96,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.96,EAPG Case Rate,,,3.96,EAPG Case Rate,,,3.96,EAPG Case Rate,,,3.96,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
458 - ALLERGY THERAPY,458,EAPG,,,,outpatient ,,,0,,93.37,93.37,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,93.37,EAPG Case Rate,,,93.37,EAPG Case Rate,,,93.37,EAPG Case Rate,,,93.37,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
459 - VACCINE ADMINISTRATION,459,EAPG,,,,outpatient ,,,0,,41.68,41.68,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41.68,EAPG Case Rate,,,41.68,EAPG Case Rate,,,41.68,EAPG Case Rate,,,41.68,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
460 - CLASS VIII COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY,460,EAPG,,,,outpatient ,,,0,,34.46,34.46,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34.46,EAPG Case Rate,,,34.46,EAPG Case Rate,,,34.46,EAPG Case Rate,,,34.46,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
461 - CLASS IX COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY,461,EAPG,,,,outpatient ,,,0,,182.44,182.44,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,182.44,EAPG Case Rate,,,182.44,EAPG Case Rate,,,182.44,EAPG Case Rate,,,182.44,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
462 - CLASS X COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY,462,EAPG,,,,outpatient ,,,0,,342.53,342.53,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,342.53,EAPG Case Rate,,,342.53,EAPG Case Rate,,,342.53,EAPG Case Rate,,,342.53,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
463 - CLASS XI COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY,463,EAPG,,,,outpatient ,,,0,,100.13,100.13,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,100.13,EAPG Case Rate,,,100.13,EAPG Case Rate,,,100.13,EAPG Case Rate,,,100.13,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
464 - CLASS XII COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY,464,EAPG,,,,outpatient ,,,0,,122.13,122.13,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,122.13,EAPG Case Rate,,,122.13,EAPG Case Rate,,,122.13,EAPG Case Rate,,,122.13,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
465 - CLASS XIII COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY,465,EAPG,,,,outpatient ,,,0,,230.87,230.87,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,230.87,EAPG Case Rate,,,230.87,EAPG Case Rate,,,230.87,EAPG Case Rate,,,230.87,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
470 - OBSTETRICAL ULTRASOUND,470,EAPG,,,,outpatient ,,,0,,"1,108.61","1,108.61",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,108.61",EAPG Case Rate,,,"1,108.61",EAPG Case Rate,,,"1,108.61",EAPG Case Rate,,,"1,108.61",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
471 - PLAIN FILM,471,EAPG,,,,outpatient ,,,0,,142.85,142.85,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,142.85,EAPG Case Rate,,,142.85,EAPG Case Rate,,,142.85,EAPG Case Rate,,,142.85,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
472 - ULTRASOUND GUIDANCE,472,EAPG,,,,outpatient ,,,0,,116.54,116.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,116.54,EAPG Case Rate,,,116.54,EAPG Case Rate,,,116.54,EAPG Case Rate,,,116.54,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
473 - CT GUIDANCE,473,EAPG,,,,outpatient ,,,0,,61.12,61.12,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,61.12,EAPG Case Rate,,,61.12,EAPG Case Rate,,,61.12,EAPG Case Rate,,,61.12,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
474 - RADIOLOGICAL GUIDANCE FOR THERAPEUTIC OR DIAGNOSTIC PROCEDURES,474,EAPG,,,,outpatient ,,,0,,0,0,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
475 - MRI GUIDANCE,475,EAPG,,,,outpatient ,,,0,,58.1,58.1,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58.1,EAPG Case Rate,,,58.1,EAPG Case Rate,,,58.1,EAPG Case Rate,,,58.1,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
476 - LEVEL I THERAPEUTIC RADIATION TREATMENT PREPARATION,476,EAPG,,,,outpatient ,,,0,,201.42,201.42,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,201.42,EAPG Case Rate,,,201.42,EAPG Case Rate,,,201.42,EAPG Case Rate,,,201.42,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
477 - LEVEL II THERAPEUTIC RADIATION TREATMENT PREPARATION,477,EAPG,,,,outpatient ,,,0,,475.02,475.02,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,475.02,EAPG Case Rate,,,475.02,EAPG Case Rate,,,475.02,EAPG Case Rate,,,475.02,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
478 - MEDICAL RADIATION PHYSICS,478,EAPG,,,,outpatient ,,,0,,516.7,516.7,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,516.7,EAPG Case Rate,,,516.7,EAPG Case Rate,,,516.7,EAPG Case Rate,,,516.7,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
479 - TREATMENT DEVICE DESIGN AND CONSTRUCTION,479,EAPG,,,,outpatient ,,,0,,0,0,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
480 - TELETHERAPY/BRACHYTHERAPY CALCULATION,480,EAPG,,,,outpatient ,,,0,,157.18,157.18,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.18,EAPG Case Rate,,,157.18,EAPG Case Rate,,,157.18,EAPG Case Rate,,,157.18,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
481 - THERAPEUTIC RADIOLOGY SIMULATION FIELD SETTING,481,EAPG,,,,outpatient ,,,0,,187.8,187.8,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,187.8,EAPG Case Rate,,,187.8,EAPG Case Rate,,,187.8,EAPG Case Rate,,,187.8,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
482 - RADIOELEMENT APPLICATION,482,EAPG,,,,outpatient ,,,0,,305.15,305.15,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,305.15,EAPG Case Rate,,,305.15,EAPG Case Rate,,,305.15,EAPG Case Rate,,,305.15,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
483 - RADIATION THERAPY MANAGEMENT,483,EAPG,,,,outpatient ,,,0,,736.63,736.63,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,736.63,EAPG Case Rate,,,736.63,EAPG Case Rate,,,736.63,EAPG Case Rate,,,736.63,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
484 - THERAPEUTIC RADIOLOGY TREATMENT PLANNING,484,EAPG,,,,outpatient ,,,0,,897.41,897.41,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,897.41,EAPG Case Rate,,,897.41,EAPG Case Rate,,,897.41,EAPG Case Rate,,,897.41,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
485 - CORNEAL TISSUE PROCESSING,485,EAPG,,,,outpatient ,,,0,,942.24,942.24,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,942.24,EAPG Case Rate,,,942.24,EAPG Case Rate,,,942.24,EAPG Case Rate,,,942.24,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
486 - BASIC BLOOD TYPING,486,EAPG,,,,outpatient ,,,0,,"1,497.24","1,497.24",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,497.24",EAPG Case Rate,,,"1,497.24",EAPG Case Rate,,,"1,497.24",EAPG Case Rate,,,"1,497.24",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
487 - MINOR CARDIAC MONITORING,487,EAPG,,,,outpatient ,,,0,,"1,567.91","1,567.91",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,567.91",EAPG Case Rate,,,"1,567.91",EAPG Case Rate,,,"1,567.91",EAPG Case Rate,,,"1,567.91",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
488 - MINOR DEVICE EVALUATION & ELECTRONIC ANALYSIS,488,EAPG,,,,outpatient ,,,0,,45.52,45.52,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45.52,EAPG Case Rate,,,45.52,EAPG Case Rate,,,45.52,EAPG Case Rate,,,45.52,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
489 - LEVEL II OTHER MISCELLANEOUS ANCILLARY PROCEDURES,489,EAPG,,,,outpatient ,,,0,,0,0,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
490 - INCIDENTAL TO MEDICAL VISIT OR SIGNIFICANT PROCEDURE,490,EAPG,,,,outpatient ,,,0,,"1,134.57","1,134.57",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,134.57",EAPG Case Rate,,,"1,134.57",EAPG Case Rate,,,"1,134.57",EAPG Case Rate,,,"1,134.57",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
491 - MEDICAL VISIT INDICATOR,491,EAPG,,,,outpatient ,,,0,,0,0,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
493 - ANCILLARY THERAPEUTIC SERVICES,493,EAPG,,,,outpatient ,,,0,,0,0,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
495 - MINOR CHEMOTHERAPY DRUGS,495,EAPG,,,,outpatient ,,,0,,0,0,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
496 - MINOR PHARMACOTHERAPY,496,EAPG,,,,outpatient ,,,0,,0,0,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
497 - TELEHEALTH FACILITATION,497,EAPG,,,,outpatient ,,,0,,0,0,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
498 - PEN FORMULAE,498,EAPG,,,,outpatient ,,,0,,40.63,40.63,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40.63,EAPG Case Rate,,,40.63,EAPG Case Rate,,,40.63,EAPG Case Rate,,,40.63,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"510 - MAJOR SIGNS, SYMPTOMS AND FINDINGS",510,EAPG,,,,outpatient ,,,0,,62.99,62.99,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62.99,EAPG Case Rate,,,62.99,EAPG Case Rate,,,62.99,EAPG Case Rate,,,62.99,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
520 - SPINAL DIAGNOSES & INJURIES,520,EAPG,,,,outpatient ,,,0,,"2,044.32","2,044.32",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,044.32",EAPG Case Rate,,,"2,044.32",EAPG Case Rate,,,"2,044.32",EAPG Case Rate,,,"2,044.32",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
521 - NERVOUS SYSTEM MALIGNANCY,521,EAPG,,,,outpatient ,,,0,,"2,902.97","2,902.97",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,902.97",EAPG Case Rate,,,"2,902.97",EAPG Case Rate,,,"2,902.97",EAPG Case Rate,,,"2,902.97",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
522 - DEGENERATIVE NERVOUS SYSTEM DIAGNOSES EXC MULT SCLEROSIS,522,EAPG,,,,outpatient ,,,0,,"5,772.63","5,772.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,772.63",EAPG Case Rate,,,"5,772.63",EAPG Case Rate,,,"5,772.63",EAPG Case Rate,,,"5,772.63",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
523 - MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES,523,EAPG,,,,outpatient ,,,0,,"7,187.09","7,187.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,187.09",EAPG Case Rate,,,"7,187.09",EAPG Case Rate,,,"7,187.09",EAPG Case Rate,,,"7,187.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
524 - LEVEL I CNS DIAGNOSES,524,EAPG,,,,outpatient ,,,0,,"11,457.13","11,457.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,457.13",EAPG Case Rate,,,"11,457.13",EAPG Case Rate,,,"11,457.13",EAPG Case Rate,,,"11,457.13",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
525 - LEVEL II CNS DIAGNOSES,525,EAPG,,,,outpatient ,,,0,,"25,565.05","25,565.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"25,565.05",EAPG Case Rate,,,"25,565.05",EAPG Case Rate,,,"25,565.05",EAPG Case Rate,,,"25,565.05",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
526 - TRANSIENT ISCHEMIA,526,EAPG,,,,outpatient ,,,0,,"34,813.82","34,813.82",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"34,813.82",EAPG Case Rate,,,"34,813.82",EAPG Case Rate,,,"34,813.82",EAPG Case Rate,,,"34,813.82",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
527 - PERIPHERAL AND CRANIAL NERVE DIAGNOSES,527,EAPG,,,,outpatient ,,,0,,163.23,163.23,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,163.23,EAPG Case Rate,,,163.23,EAPG Case Rate,,,163.23,EAPG Case Rate,,,163.23,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
528 - NONTRAUMATIC STUPOR & COMA,528,EAPG,,,,outpatient ,,,0,,91.05,91.05,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,91.05,EAPG Case Rate,,,91.05,EAPG Case Rate,,,91.05,EAPG Case Rate,,,91.05,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
529 - SEIZURE,529,EAPG,,,,outpatient ,,,0,,182.21,182.21,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,182.21,EAPG Case Rate,,,182.21,EAPG Case Rate,,,182.21,EAPG Case Rate,,,182.21,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
530 - HEADACHES OTHER THAN MIGRAINE,530,EAPG,,,,outpatient ,,,0,,133.54,133.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,133.54,EAPG Case Rate,,,133.54,EAPG Case Rate,,,133.54,EAPG Case Rate,,,133.54,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
531 - MIGRAINE,531,EAPG,,,,outpatient ,,,0,,327.74,327.74,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,327.74,EAPG Case Rate,,,327.74,EAPG Case Rate,,,327.74,EAPG Case Rate,,,327.74,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
532 - HEAD TRAUMA,532,EAPG,,,,outpatient ,,,0,,353.59,353.59,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,353.59,EAPG Case Rate,,,353.59,EAPG Case Rate,,,353.59,EAPG Case Rate,,,353.59,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
533 - AFTEREFFECTS OF CEREBROVASCULAR ACCIDENT,533,EAPG,,,,outpatient ,,,0,,194.78,194.78,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,194.78,EAPG Case Rate,,,194.78,EAPG Case Rate,,,194.78,EAPG Case Rate,,,194.78,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
534 - NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARC,534,EAPG,,,,outpatient ,,,0,,302.36,302.36,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,302.36,EAPG Case Rate,,,302.36,EAPG Case Rate,,,302.36,EAPG Case Rate,,,302.36,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
535 - CVA & PRECEREBRAL OCCLUSION W INFARCT,535,EAPG,,,,outpatient ,,,0,,"1,725.55","1,725.55",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,725.55",EAPG Case Rate,,,"1,725.55",EAPG Case Rate,,,"1,725.55",EAPG Case Rate,,,"1,725.55",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
536 - CEREBRAL PALSY,536,EAPG,,,,outpatient ,,,0,,652.1,652.1,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,652.1,EAPG Case Rate,,,652.1,EAPG Case Rate,,,652.1,EAPG Case Rate,,,652.1,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
550 - ACUTE MAJOR EYE INFECTIONS,550,EAPG,,,,outpatient ,,,0,,"4,004.47","4,004.47",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,004.47",EAPG Case Rate,,,"4,004.47",EAPG Case Rate,,,"4,004.47",EAPG Case Rate,,,"4,004.47",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
551 - CATARACTS,551,EAPG,,,,outpatient ,,,0,,5.82,5.82,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.82,EAPG Case Rate,,,5.82,EAPG Case Rate,,,5.82,EAPG Case Rate,,,5.82,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
552 - GLAUCOMA,552,EAPG,,,,outpatient ,,,0,,58.68,58.68,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58.68,EAPG Case Rate,,,58.68,EAPG Case Rate,,,58.68,EAPG Case Rate,,,58.68,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
553 - LEVEL I OTHER OPHTHALMIC DIAGNOSES,553,EAPG,,,,outpatient ,,,0,,0,0,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
554 - LEVEL II OTHER OPHTHALMIC DIAGNOSES,554,EAPG,,,,outpatient ,,,0,,0,0,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
555 - CONJUNCTIVITIS,555,EAPG,,,,outpatient ,,,0,,49.13,49.13,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.13,EAPG Case Rate,,,49.13,EAPG Case Rate,,,49.13,EAPG Case Rate,,,49.13,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"560 - EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES",560,EAPG,,,,outpatient ,,,0,,121.78,121.78,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,121.78,EAPG Case Rate,,,121.78,EAPG Case Rate,,,121.78,EAPG Case Rate,,,121.78,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
561 - VERTIGINOUS DIAGNOSES EXCEPT FOR BENIGN VERTIGO,561,EAPG,,,,outpatient ,,,0,,0,0,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
562 - INFECTIONS OF UPPER RESPIRATORY TRACT & OTITIS MEDIA,562,EAPG,,,,outpatient ,,,0,,0,0,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
563 - DENTAL & ORAL DIAGNOSES & INJURIES,563,EAPG,,,,outpatient ,,,0,,22.82,22.82,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22.82,EAPG Case Rate,,,22.82,EAPG Case Rate,,,22.82,EAPG Case Rate,,,22.82,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"564 - LEVEL I OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES",564,EAPG,,,,outpatient ,,,0,,0,0,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"565 - LEVEL II OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES",565,EAPG,,,,outpatient ,,,0,,137.38,137.38,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,137.38,EAPG Case Rate,,,137.38,EAPG Case Rate,,,137.38,EAPG Case Rate,,,137.38,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
570 - CYSTIC FIBROSIS - PULMONARY DISEASE,570,EAPG,,,,outpatient ,,,0,,298.87,298.87,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,298.87,EAPG Case Rate,,,298.87,EAPG Case Rate,,,298.87,EAPG Case Rate,,,298.87,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
571 - RESPIRATORY MALIGNANCY,571,EAPG,,,,outpatient ,,,0,,212.36,212.36,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,212.36,EAPG Case Rate,,,212.36,EAPG Case Rate,,,212.36,EAPG Case Rate,,,212.36,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
572 - BRONCHIOLITIS & RSV PNEUMONIA,572,EAPG,,,,outpatient ,,,0,,259.63,259.63,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,259.63,EAPG Case Rate,,,259.63,EAPG Case Rate,,,259.63,EAPG Case Rate,,,259.63,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
573 - COMMUNITY ACQUIRED PNUEMONIA,573,EAPG,,,,outpatient ,,,0,,232.15,232.15,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,232.15,EAPG Case Rate,,,232.15,EAPG Case Rate,,,232.15,EAPG Case Rate,,,232.15,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
574 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE,574,EAPG,,,,outpatient ,,,0,,214.81,214.81,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,214.81,EAPG Case Rate,,,214.81,EAPG Case Rate,,,214.81,EAPG Case Rate,,,214.81,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
575 - ASTHMA,575,EAPG,,,,outpatient ,,,0,,192.45,192.45,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,192.45,EAPG Case Rate,,,192.45,EAPG Case Rate,,,192.45,EAPG Case Rate,,,192.45,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
576 - LEVEL I OTHER RESPIRATORY DIAGNOSES,576,EAPG,,,,outpatient ,,,0,,257.88,257.88,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,257.88,EAPG Case Rate,,,257.88,EAPG Case Rate,,,257.88,EAPG Case Rate,,,257.88,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
577 - LEVEL II OTHER RESPIRATORY DIAGNOSES,577,EAPG,,,,outpatient ,,,0,,401.55,401.55,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,401.55,EAPG Case Rate,,,401.55,EAPG Case Rate,,,401.55,EAPG Case Rate,,,401.55,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
578 - PNEUMONIA EXCEPT FOR COMMUNITY ACQUIRED PNEUMONIA,578,EAPG,,,,outpatient ,,,0,,219.11,219.11,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,219.11,EAPG Case Rate,,,219.11,EAPG Case Rate,,,219.11,EAPG Case Rate,,,219.11,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
579 - STATUS ASTHMATICUS,579,EAPG,,,,outpatient ,,,0,,337.29,337.29,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,337.29,EAPG Case Rate,,,337.29,EAPG Case Rate,,,337.29,EAPG Case Rate,,,337.29,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
591 - ACUTE MYOCARDIAL INFARCTION,591,EAPG,,,,outpatient ,,,0,,314.7,314.7,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,314.7,EAPG Case Rate,,,314.7,EAPG Case Rate,,,314.7,EAPG Case Rate,,,314.7,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
592 - LEVEL I CARDIOVASCULAR DIAGNOSES,592,EAPG,,,,outpatient ,,,0,,284.66,284.66,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,284.66,EAPG Case Rate,,,284.66,EAPG Case Rate,,,284.66,EAPG Case Rate,,,284.66,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
593 - LEVEL II CARDIOVASCULAR DIAGNOSES,593,EAPG,,,,outpatient ,,,0,,209.68,209.68,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,209.68,EAPG Case Rate,,,209.68,EAPG Case Rate,,,209.68,EAPG Case Rate,,,209.68,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
594 - HEART FAILURE,594,EAPG,,,,outpatient ,,,0,,378.85,378.85,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,378.85,EAPG Case Rate,,,378.85,EAPG Case Rate,,,378.85,EAPG Case Rate,,,378.85,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
595 - CARDIAC ARREST OR OTHER CAUSES OF MORTALITY,595,EAPG,,,,outpatient ,,,0,,258.81,258.81,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,258.81,EAPG Case Rate,,,258.81,EAPG Case Rate,,,258.81,EAPG Case Rate,,,258.81,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
596 - PERIPHERAL & OTHER VASCULAR DIAGNOSES,596,EAPG,,,,outpatient ,,,0,,201.53,201.53,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,201.53,EAPG Case Rate,,,201.53,EAPG Case Rate,,,201.53,EAPG Case Rate,,,201.53,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
597 - PHLEBITIS,597,EAPG,,,,outpatient ,,,0,,378.5,378.5,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,378.5,EAPG Case Rate,,,378.5,EAPG Case Rate,,,378.5,EAPG Case Rate,,,378.5,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
598 - ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS,598,EAPG,,,,outpatient ,,,0,,261.38,261.38,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,261.38,EAPG Case Rate,,,261.38,EAPG Case Rate,,,261.38,EAPG Case Rate,,,261.38,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
599 - HYPERTENSION,599,EAPG,,,,outpatient ,,,0,,327.62,327.62,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,327.62,EAPG Case Rate,,,327.62,EAPG Case Rate,,,327.62,EAPG Case Rate,,,327.62,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
600 - CARDIAC STRUCTURAL & VALVULAR DIAGNOSES,600,EAPG,,,,outpatient ,,,0,,885.07,885.07,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,885.07,EAPG Case Rate,,,885.07,EAPG Case Rate,,,885.07,EAPG Case Rate,,,885.07,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
601 - LEVEL I CARDIAC ARRHYTHMIA & CONDUCTION DIAGNOSES,601,EAPG,,,,outpatient ,,,0,,488.64,488.64,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,488.64,EAPG Case Rate,,,488.64,EAPG Case Rate,,,488.64,EAPG Case Rate,,,488.64,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
602 - ATRIAL FIBRILLATION,602,EAPG,,,,outpatient ,,,0,,292.93,292.93,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,292.93,EAPG Case Rate,,,292.93,EAPG Case Rate,,,292.93,EAPG Case Rate,,,292.93,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
603 - LEVEL II CARDIAC ARRHYTHMIA & CONDUCTION DIAGNOSES,603,EAPG,,,,outpatient ,,,0,,349.63,349.63,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,349.63,EAPG Case Rate,,,349.63,EAPG Case Rate,,,349.63,EAPG Case Rate,,,349.63,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
604 - CHEST PAIN,604,EAPG,,,,outpatient ,,,0,,225.98,225.98,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,225.98,EAPG Case Rate,,,225.98,EAPG Case Rate,,,225.98,EAPG Case Rate,,,225.98,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
605 - SYNCOPE & COLLAPSE,605,EAPG,,,,outpatient ,,,0,,182.21,182.21,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,182.21,EAPG Case Rate,,,182.21,EAPG Case Rate,,,182.21,EAPG Case Rate,,,182.21,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
620 - DIGESTIVE MALIGNANCY,620,EAPG,,,,outpatient ,,,0,,217.95,217.95,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,217.95,EAPG Case Rate,,,217.95,EAPG Case Rate,,,217.95,EAPG Case Rate,,,217.95,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
621 - PEPTIC ULCER & GASTRITIS,621,EAPG,,,,outpatient ,,,0,,246.94,246.94,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,246.94,EAPG Case Rate,,,246.94,EAPG Case Rate,,,246.94,EAPG Case Rate,,,246.94,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
623 - ESOPHAGITIS,623,EAPG,,,,outpatient ,,,0,,192.69,192.69,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,192.69,EAPG Case Rate,,,192.69,EAPG Case Rate,,,192.69,EAPG Case Rate,,,192.69,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
624 - LEVEL I GASTROINTESTINAL DIAGNOSES,624,EAPG,,,,outpatient ,,,0,,264.4,264.4,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,264.4,EAPG Case Rate,,,264.4,EAPG Case Rate,,,264.4,EAPG Case Rate,,,264.4,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
625 - LEVEL II GASTROINTESTINAL DIAGNOSES,625,EAPG,,,,outpatient ,,,0,,167.77,167.77,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,167.77,EAPG Case Rate,,,167.77,EAPG Case Rate,,,167.77,EAPG Case Rate,,,167.77,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
626 - INFLAMMATORY BOWEL DISEASE,626,EAPG,,,,outpatient ,,,0,,217.95,217.95,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,217.95,EAPG Case Rate,,,217.95,EAPG Case Rate,,,217.95,EAPG Case Rate,,,217.95,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"627 - NON-BACTERIAL GASTROENTERITIS, NAUSEA & VOMITING",627,EAPG,,,,outpatient ,,,0,,272.55,272.55,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,272.55,EAPG Case Rate,,,272.55,EAPG Case Rate,,,272.55,EAPG Case Rate,,,272.55,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
628 - ABDOMINAL PAIN,628,EAPG,,,,outpatient ,,,0,,370.12,370.12,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,370.12,EAPG Case Rate,,,370.12,EAPG Case Rate,,,370.12,EAPG Case Rate,,,370.12,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"629 - MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE",629,EAPG,,,,outpatient ,,,0,,256.37,256.37,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,256.37,EAPG Case Rate,,,256.37,EAPG Case Rate,,,256.37,EAPG Case Rate,,,256.37,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
630 - CONSTIPATION,630,EAPG,,,,outpatient ,,,0,,208.52,208.52,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,208.52,EAPG Case Rate,,,208.52,EAPG Case Rate,,,208.52,EAPG Case Rate,,,208.52,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
631 - HERNIA,631,EAPG,,,,outpatient ,,,0,,252.53,252.53,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,252.53,EAPG Case Rate,,,252.53,EAPG Case Rate,,,252.53,EAPG Case Rate,,,252.53,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
632 - IRRITABLE BOWEL SYNDROME,632,EAPG,,,,outpatient ,,,0,,234.48,234.48,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,234.48,EAPG Case Rate,,,234.48,EAPG Case Rate,,,234.48,EAPG Case Rate,,,234.48,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
633 - ALCOHOLIC LIVER DISEASE,633,EAPG,,,,outpatient ,,,0,,477.23,477.23,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,477.23,EAPG Case Rate,,,477.23,EAPG Case Rate,,,477.23,EAPG Case Rate,,,477.23,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
634 - MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS,634,EAPG,,,,outpatient ,,,0,,247.06,247.06,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,247.06,EAPG Case Rate,,,247.06,EAPG Case Rate,,,247.06,EAPG Case Rate,,,247.06,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
635 - PANCREAS DIAGNOSES EXCEPT MALIGNANCY,635,EAPG,,,,outpatient ,,,0,,534.4,534.4,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,534.4,EAPG Case Rate,,,534.4,EAPG Case Rate,,,534.4,EAPG Case Rate,,,534.4,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
636 - HEPATITIS WITHOUT COMA,636,EAPG,,,,outpatient ,,,0,,398.76,398.76,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,398.76,EAPG Case Rate,,,398.76,EAPG Case Rate,,,398.76,EAPG Case Rate,,,398.76,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
637 - GALLBLADDER & BILIARY TRACT DIAGNOSES,637,EAPG,,,,outpatient ,,,0,,336.47,336.47,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,336.47,EAPG Case Rate,,,336.47,EAPG Case Rate,,,336.47,EAPG Case Rate,,,336.47,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
638 - CHOLECYSTITIS,638,EAPG,,,,outpatient ,,,0,,326.46,326.46,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,326.46,EAPG Case Rate,,,326.46,EAPG Case Rate,,,326.46,EAPG Case Rate,,,326.46,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
639 - LEVEL I HEPATOBILIARY DIAGNOSES,639,EAPG,,,,outpatient ,,,0,,506.45,506.45,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,506.45,EAPG Case Rate,,,506.45,EAPG Case Rate,,,506.45,EAPG Case Rate,,,506.45,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
640 - LEVEL II HEPATOBILIARY DIAGNOSES,640,EAPG,,,,outpatient ,,,0,,626.84,626.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,626.84,EAPG Case Rate,,,626.84,EAPG Case Rate,,,626.84,EAPG Case Rate,,,626.84,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
650 - FRACTURE OF FEMUR,650,EAPG,,,,outpatient ,,,0,,494.69,494.69,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,494.69,EAPG Case Rate,,,494.69,EAPG Case Rate,,,494.69,EAPG Case Rate,,,494.69,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
651 - FRACTURE OF PELVIS OR DISLOCATION OF HIP,651,EAPG,,,,outpatient ,,,0,,321.57,321.57,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,321.57,EAPG Case Rate,,,321.57,EAPG Case Rate,,,321.57,EAPG Case Rate,,,321.57,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"652 - FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK",652,EAPG,,,,outpatient ,,,0,,482.94,482.94,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,482.94,EAPG Case Rate,,,482.94,EAPG Case Rate,,,482.94,EAPG Case Rate,,,482.94,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
653 - MUSCULOSKELETAL MALIGNANCY & PATHOLOGICAL FRACTURES,653,EAPG,,,,outpatient ,,,0,,429.03,429.03,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,429.03,EAPG Case Rate,,,429.03,EAPG Case Rate,,,429.03,EAPG Case Rate,,,429.03,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"654 - OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS",654,EAPG,,,,outpatient ,,,0,,195.01,195.01,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,195.01,EAPG Case Rate,,,195.01,EAPG Case Rate,,,195.01,EAPG Case Rate,,,195.01,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
655 - CONNECTIVE TISSUE DIAGNOSES,655,EAPG,,,,outpatient ,,,0,,297,297,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,297,EAPG Case Rate,,,297,EAPG Case Rate,,,297,EAPG Case Rate,,,297,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
656 - BACK & NECK DIAGNOSES EXCEPT LUMBAR DISC DIAGNOSES,656,EAPG,,,,outpatient ,,,0,,657.34,657.34,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,657.34,EAPG Case Rate,,,657.34,EAPG Case Rate,,,657.34,EAPG Case Rate,,,657.34,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
657 - LUMBAR DISC DIAGNOSES,657,EAPG,,,,outpatient ,,,0,,401.55,401.55,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,401.55,EAPG Case Rate,,,401.55,EAPG Case Rate,,,401.55,EAPG Case Rate,,,401.55,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
658 - LUMBAR DISC DIAGNOSES WITH SCIATICA,658,EAPG,,,,outpatient ,,,0,,702.05,702.05,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,702.05,EAPG Case Rate,,,702.05,EAPG Case Rate,,,702.05,EAPG Case Rate,,,702.05,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"659 - MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE",659,EAPG,,,,outpatient ,,,0,,308.53,308.53,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,308.53,EAPG Case Rate,,,308.53,EAPG Case Rate,,,308.53,EAPG Case Rate,,,308.53,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
660 - LEVEL I OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES,660,EAPG,,,,outpatient ,,,0,,335.42,335.42,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,335.42,EAPG Case Rate,,,335.42,EAPG Case Rate,,,335.42,EAPG Case Rate,,,335.42,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
661 - LEVEL II OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES,661,EAPG,,,,outpatient ,,,0,,339.73,339.73,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,339.73,EAPG Case Rate,,,339.73,EAPG Case Rate,,,339.73,EAPG Case Rate,,,339.73,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
662 - OSTEOPOROSIS,662,EAPG,,,,outpatient ,,,0,,246.01,246.01,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,246.01,EAPG Case Rate,,,246.01,EAPG Case Rate,,,246.01,EAPG Case Rate,,,246.01,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
663 - PAIN,663,EAPG,,,,outpatient ,,,0,,347.53,347.53,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,347.53,EAPG Case Rate,,,347.53,EAPG Case Rate,,,347.53,EAPG Case Rate,,,347.53,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
670 - SKIN ULCERS,670,EAPG,,,,outpatient ,,,0,,214.57,214.57,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,214.57,EAPG Case Rate,,,214.57,EAPG Case Rate,,,214.57,EAPG Case Rate,,,214.57,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
671 - MAJOR SKIN DIAGNOSES,671,EAPG,,,,outpatient ,,,0,,224.12,224.12,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,224.12,EAPG Case Rate,,,224.12,EAPG Case Rate,,,224.12,EAPG Case Rate,,,224.12,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
672 - MALIGNANT BREAST DIAGNOSES,672,EAPG,,,,outpatient ,,,0,,217.25,217.25,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,217.25,EAPG Case Rate,,,217.25,EAPG Case Rate,,,217.25,EAPG Case Rate,,,217.25,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
673 - CELLULITIS & OTHER BACTERIAL SKIN INFECTIONS,673,EAPG,,,,outpatient ,,,0,,311.44,311.44,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,311.44,EAPG Case Rate,,,311.44,EAPG Case Rate,,,311.44,EAPG Case Rate,,,311.44,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"674 - CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE",674,EAPG,,,,outpatient ,,,0,,235.06,235.06,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,235.06,EAPG Case Rate,,,235.06,EAPG Case Rate,,,235.06,EAPG Case Rate,,,235.06,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"675 - OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DIAGNOSES",675,EAPG,,,,outpatient ,,,0,,615.89,615.89,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,615.89,EAPG Case Rate,,,615.89,EAPG Case Rate,,,615.89,EAPG Case Rate,,,615.89,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
676 - DECUBITUS ULCER,676,EAPG,,,,outpatient ,,,0,,464.89,464.89,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,464.89,EAPG Case Rate,,,464.89,EAPG Case Rate,,,464.89,EAPG Case Rate,,,464.89,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"690 - MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DIAGNOSES",690,EAPG,,,,outpatient ,,,0,,213.06,213.06,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,213.06,EAPG Case Rate,,,213.06,EAPG Case Rate,,,213.06,EAPG Case Rate,,,213.06,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
691 - INBORN ERRORS OF METABOLISM,691,EAPG,,,,outpatient ,,,0,,204.44,204.44,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,204.44,EAPG Case Rate,,,204.44,EAPG Case Rate,,,204.44,EAPG Case Rate,,,204.44,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
692 - LEVEL I ENDOCRINE DIAGNOSES,692,EAPG,,,,outpatient ,,,0,,419.37,419.37,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,419.37,EAPG Case Rate,,,419.37,EAPG Case Rate,,,419.37,EAPG Case Rate,,,419.37,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
693 - LEVEL II ENDOCRINE DIAGNOSES,693,EAPG,,,,outpatient ,,,0,,350.68,350.68,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,350.68,EAPG Case Rate,,,350.68,EAPG Case Rate,,,350.68,EAPG Case Rate,,,350.68,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
694 - ELECTROLYTE DISORDERS,694,EAPG,,,,outpatient ,,,0,,458.72,458.72,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,458.72,EAPG Case Rate,,,458.72,EAPG Case Rate,,,458.72,EAPG Case Rate,,,458.72,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
695 - OBESITY,695,EAPG,,,,outpatient ,,,0,,457.67,457.67,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,457.67,EAPG Case Rate,,,457.67,EAPG Case Rate,,,457.67,EAPG Case Rate,,,457.67,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
710 - DIABETES WITH OPHTHALMIC MANIFESTATIONS,710,EAPG,,,,outpatient ,,,0,,344.74,344.74,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,344.74,EAPG Case Rate,,,344.74,EAPG Case Rate,,,344.74,EAPG Case Rate,,,344.74,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
711 - DIABETES WITH OTHER MANIFESTATIONS & COMPLICATIONS,711,EAPG,,,,outpatient ,,,0,,292,292,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,292,EAPG Case Rate,,,292,EAPG Case Rate,,,292,EAPG Case Rate,,,292,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
712 - DIABETES WITH NEUROLOGIC MANIFESTATIONS,712,EAPG,,,,outpatient ,,,0,,451.03,451.03,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,451.03,EAPG Case Rate,,,451.03,EAPG Case Rate,,,451.03,EAPG Case Rate,,,451.03,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
713 - DIABETES WITHOUT COMPLICATIONS,713,EAPG,,,,outpatient ,,,0,,256.6,256.6,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,256.6,EAPG Case Rate,,,256.6,EAPG Case Rate,,,256.6,EAPG Case Rate,,,256.6,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
714 - DIABETES WITH RENAL MANIFESTATIONS,714,EAPG,,,,outpatient ,,,0,,293.16,293.16,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,293.16,EAPG Case Rate,,,293.16,EAPG Case Rate,,,293.16,EAPG Case Rate,,,293.16,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
720 - RENAL FAILURE,720,EAPG,,,,outpatient ,,,0,,214.34,214.34,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,214.34,EAPG Case Rate,,,214.34,EAPG Case Rate,,,214.34,EAPG Case Rate,,,214.34,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
721 - KIDNEY & URINARY TRACT MALIGNANCY,721,EAPG,,,,outpatient ,,,0,,348.93,348.93,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,348.93,EAPG Case Rate,,,348.93,EAPG Case Rate,,,348.93,EAPG Case Rate,,,348.93,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
722 - NEPHRITIS & NEPHROSIS,722,EAPG,,,,outpatient ,,,0,,406.21,406.21,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,406.21,EAPG Case Rate,,,406.21,EAPG Case Rate,,,406.21,EAPG Case Rate,,,406.21,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
723 - KIDNEY AND CHRONIC URINARY TRACT INFECTIONS,723,EAPG,,,,outpatient ,,,0,,481.54,481.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,481.54,EAPG Case Rate,,,481.54,EAPG Case Rate,,,481.54,EAPG Case Rate,,,481.54,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
724 - URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION,724,EAPG,,,,outpatient ,,,0,,331.7,331.7,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,331.7,EAPG Case Rate,,,331.7,EAPG Case Rate,,,331.7,EAPG Case Rate,,,331.7,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"725 - MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC",725,EAPG,,,,outpatient ,,,0,,255.9,255.9,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,255.9,EAPG Case Rate,,,255.9,EAPG Case Rate,,,255.9,EAPG Case Rate,,,255.9,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"726 - OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS",726,EAPG,,,,outpatient ,,,0,,186.51,186.51,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,186.51,EAPG Case Rate,,,186.51,EAPG Case Rate,,,186.51,EAPG Case Rate,,,186.51,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
727 - ACUTE LOWER URINARY TRACT INFECTIONS,727,EAPG,,,,outpatient ,,,0,,294.56,294.56,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,294.56,EAPG Case Rate,,,294.56,EAPG Case Rate,,,294.56,EAPG Case Rate,,,294.56,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"740 - MALIGNANCY, MALE REPRODUCTIVE SYSTEM",740,EAPG,,,,outpatient ,,,0,,351.96,351.96,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,351.96,EAPG Case Rate,,,351.96,EAPG Case Rate,,,351.96,EAPG Case Rate,,,351.96,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
741 - MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,741,EAPG,,,,outpatient ,,,0,,336.01,336.01,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,336.01,EAPG Case Rate,,,336.01,EAPG Case Rate,,,336.01,EAPG Case Rate,,,336.01,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
742 - NEOPLASMS OF THE MALE REPRODUCTIVE SYSTEM,742,EAPG,,,,outpatient ,,,0,,280.59,280.59,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,280.59,EAPG Case Rate,,,280.59,EAPG Case Rate,,,280.59,EAPG Case Rate,,,280.59,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
743 - PROSTATITIS,743,EAPG,,,,outpatient ,,,0,,343.69,343.69,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,343.69,EAPG Case Rate,,,343.69,EAPG Case Rate,,,343.69,EAPG Case Rate,,,343.69,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
744 - MALE REPRODUCTIVE INFECTIONS,744,EAPG,,,,outpatient ,,,0,,492.02,492.02,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,492.02,EAPG Case Rate,,,492.02,EAPG Case Rate,,,492.02,EAPG Case Rate,,,492.02,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
750 - FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,750,EAPG,,,,outpatient ,,,0,,286.99,286.99,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,286.99,EAPG Case Rate,,,286.99,EAPG Case Rate,,,286.99,EAPG Case Rate,,,286.99,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
751 - FEMALE REPRODUCTIVE SYSTEM INFECTIONS,751,EAPG,,,,outpatient ,,,0,,269.29,269.29,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,269.29,EAPG Case Rate,,,269.29,EAPG Case Rate,,,269.29,EAPG Case Rate,,,269.29,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
752 - LEVEL I MENSTRUAL AND OTHER FEMALE DIAGNOSES,752,EAPG,,,,outpatient ,,,0,,360.45,360.45,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,360.45,EAPG Case Rate,,,360.45,EAPG Case Rate,,,360.45,EAPG Case Rate,,,360.45,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
753 - LEVEL II MENSTRUAL AND OTHER FEMALE DIAGNOSES,753,EAPG,,,,outpatient ,,,0,,453.83,453.83,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,453.83,EAPG Case Rate,,,453.83,EAPG Case Rate,,,453.83,EAPG Case Rate,,,453.83,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
760 - VAGINAL DELIVERY,760,EAPG,,,,outpatient ,,,0,,519.84,519.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,519.84,EAPG Case Rate,,,519.84,EAPG Case Rate,,,519.84,EAPG Case Rate,,,519.84,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
761 - POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE,761,EAPG,,,,outpatient ,,,0,,435.43,435.43,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,435.43,EAPG Case Rate,,,435.43,EAPG Case Rate,,,435.43,EAPG Case Rate,,,435.43,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
762 - THREATENED ABORTION,762,EAPG,,,,outpatient ,,,0,,447.89,447.89,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,447.89,EAPG Case Rate,,,447.89,EAPG Case Rate,,,447.89,EAPG Case Rate,,,447.89,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"763 - ABORTION W/O D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",763,EAPG,,,,outpatient ,,,0,,567.58,567.58,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,567.58,EAPG Case Rate,,,567.58,EAPG Case Rate,,,567.58,EAPG Case Rate,,,567.58,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
764 - FALSE LABOR,764,EAPG,,,,outpatient ,,,0,,234.48,234.48,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,234.48,EAPG Case Rate,,,234.48,EAPG Case Rate,,,234.48,EAPG Case Rate,,,234.48,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
765 - OTHER ANTEPARTUM DIAGNOSES,765,EAPG,,,,outpatient ,,,0,,317.14,317.14,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,317.14,EAPG Case Rate,,,317.14,EAPG Case Rate,,,317.14,EAPG Case Rate,,,317.14,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
766 - ROUTINE PRENATAL CARE,766,EAPG,,,,outpatient ,,,0,,247.17,247.17,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,247.17,EAPG Case Rate,,,247.17,EAPG Case Rate,,,247.17,EAPG Case Rate,,,247.17,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
770 - NORMAL NEONATE,770,EAPG,,,,outpatient ,,,0,,205.03,205.03,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,205.03,EAPG Case Rate,,,205.03,EAPG Case Rate,,,205.03,EAPG Case Rate,,,205.03,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
771 - LEVEL I NEONATAL DIAGNOSES,771,EAPG,,,,outpatient ,,,0,,497.49,497.49,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,497.49,EAPG Case Rate,,,497.49,EAPG Case Rate,,,497.49,EAPG Case Rate,,,497.49,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
772 - LEVEL II NEONATAL DIAGNOSES,772,EAPG,,,,outpatient ,,,0,,276.63,276.63,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,276.63,EAPG Case Rate,,,276.63,EAPG Case Rate,,,276.63,EAPG Case Rate,,,276.63,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
780 - OTHER HEMATOLOGICAL DIAGNOSES,780,EAPG,,,,outpatient ,,,0,,269.29,269.29,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,269.29,EAPG Case Rate,,,269.29,EAPG Case Rate,,,269.29,EAPG Case Rate,,,269.29,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
781 - COAGULATION & PLATELET DIAGNOSES,781,EAPG,,,,outpatient ,,,0,,311.09,311.09,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,311.09,EAPG Case Rate,,,311.09,EAPG Case Rate,,,311.09,EAPG Case Rate,,,311.09,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
782 - CONGENITAL FACTOR DEFICIENCIES,782,EAPG,,,,outpatient ,,,0,,276.74,276.74,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,276.74,EAPG Case Rate,,,276.74,EAPG Case Rate,,,276.74,EAPG Case Rate,,,276.74,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
783 - SICKLE CELL ANEMIA CRISIS,783,EAPG,,,,outpatient ,,,0,,220.74,220.74,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,220.74,EAPG Case Rate,,,220.74,EAPG Case Rate,,,220.74,EAPG Case Rate,,,220.74,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
784 - SICKLE CELL ANEMIA,784,EAPG,,,,outpatient ,,,0,,230.52,230.52,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,230.52,EAPG Case Rate,,,230.52,EAPG Case Rate,,,230.52,EAPG Case Rate,,,230.52,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
785 - ANEMIA EXCEPT FOR IRON DEFICIENCY ANEMIA AND SICKLE CELL ANEMIA,785,EAPG,,,,outpatient ,,,0,,233.67,233.67,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,233.67,EAPG Case Rate,,,233.67,EAPG Case Rate,,,233.67,EAPG Case Rate,,,233.67,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
786 - IRON DEFICIENCY ANEMIA,786,EAPG,,,,outpatient ,,,0,,205.03,205.03,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,205.03,EAPG Case Rate,,,205.03,EAPG Case Rate,,,205.03,EAPG Case Rate,,,205.03,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
800 - ACUTE LEUKEMIA,800,EAPG,,,,outpatient ,,,0,,219.93,219.93,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,219.93,EAPG Case Rate,,,219.93,EAPG Case Rate,,,219.93,EAPG Case Rate,,,219.93,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"801 - LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA",801,EAPG,,,,outpatient ,,,0,,301.89,301.89,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,301.89,EAPG Case Rate,,,301.89,EAPG Case Rate,,,301.89,EAPG Case Rate,,,301.89,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
802 - RADIOTHERAPY,802,EAPG,,,,outpatient ,,,0,,275.93,275.93,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,275.93,EAPG Case Rate,,,275.93,EAPG Case Rate,,,275.93,EAPG Case Rate,,,275.93,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
803 - CHEMOTHERAPY,803,EAPG,,,,outpatient ,,,0,,174.41,174.41,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,174.41,EAPG Case Rate,,,174.41,EAPG Case Rate,,,174.41,EAPG Case Rate,,,174.41,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
804 - LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR,804,EAPG,,,,outpatient ,,,0,,239.6,239.6,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,239.6,EAPG Case Rate,,,239.6,EAPG Case Rate,,,239.6,EAPG Case Rate,,,239.6,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
805 - SEPTICEMIA & DISSEMINATED INFECTIONS,805,EAPG,,,,outpatient ,,,0,,263.12,263.12,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,263.12,EAPG Case Rate,,,263.12,EAPG Case Rate,,,263.12,EAPG Case Rate,,,263.12,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"806 - POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS AND COMPLICATIONS",806,EAPG,,,,outpatient ,,,0,,189.89,189.89,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,189.89,EAPG Case Rate,,,189.89,EAPG Case Rate,,,189.89,EAPG Case Rate,,,189.89,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
807 - FEVER,807,EAPG,,,,outpatient ,,,0,,231.45,231.45,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,231.45,EAPG Case Rate,,,231.45,EAPG Case Rate,,,231.45,EAPG Case Rate,,,231.45,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
808 - VIRAL ILLNESS,808,EAPG,,,,outpatient ,,,0,,391.07,391.07,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,391.07,EAPG Case Rate,,,391.07,EAPG Case Rate,,,391.07,EAPG Case Rate,,,391.07,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
809 - OTHER INFECTIOUS & PARASITIC DISEASES,809,EAPG,,,,outpatient ,,,0,,184.42,184.42,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,184.42,EAPG Case Rate,,,184.42,EAPG Case Rate,,,184.42,EAPG Case Rate,,,184.42,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
810 - H. PYLORI INFECTION,810,EAPG,,,,outpatient ,,,0,,212.94,212.94,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,212.94,EAPG Case Rate,,,212.94,EAPG Case Rate,,,212.94,EAPG Case Rate,,,212.94,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
820 - SCHIZOPHRENIA,820,EAPG,,,,outpatient ,,,0,,300.61,300.61,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,300.61,EAPG Case Rate,,,300.61,EAPG Case Rate,,,300.61,EAPG Case Rate,,,300.61,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
821 - MAJOR DEPRESSIVE DIAGNOSES & OTHER/UNSPECIFIED PSYCHOSES,821,EAPG,,,,outpatient ,,,0,,260.68,260.68,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,260.68,EAPG Case Rate,,,260.68,EAPG Case Rate,,,260.68,EAPG Case Rate,,,260.68,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
822 - PERSONALITY & IMPULSE CONTROL DIAGNOSES,822,EAPG,,,,outpatient ,,,0,,207.01,207.01,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,207.01,EAPG Case Rate,,,207.01,EAPG Case Rate,,,207.01,EAPG Case Rate,,,207.01,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
823 - BIPOLAR DISORDERS,823,EAPG,,,,outpatient ,,,0,,192.57,192.57,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,192.57,EAPG Case Rate,,,192.57,EAPG Case Rate,,,192.57,EAPG Case Rate,,,192.57,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
824 - DEPRESSION EXCEPT MAJOR DEPRESSIVE DIAGNOSES,824,EAPG,,,,outpatient ,,,0,,217.25,217.25,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,217.25,EAPG Case Rate,,,217.25,EAPG Case Rate,,,217.25,EAPG Case Rate,,,217.25,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
825 - ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,825,EAPG,,,,outpatient ,,,0,,220.16,220.16,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,220.16,EAPG Case Rate,,,220.16,EAPG Case Rate,,,220.16,EAPG Case Rate,,,220.16,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
826 - ACUTE ANXIETY & DELIRIUM STATES,826,EAPG,,,,outpatient ,,,0,,238.67,238.67,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,238.67,EAPG Case Rate,,,238.67,EAPG Case Rate,,,238.67,EAPG Case Rate,,,238.67,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
827 - ORGANIC MENTAL HEALTH DISTURBANCES,827,EAPG,,,,outpatient ,,,0,,223.54,223.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,223.54,EAPG Case Rate,,,223.54,EAPG Case Rate,,,223.54,EAPG Case Rate,,,223.54,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
828 - MENTAL RETARDATION,828,EAPG,,,,outpatient ,,,0,,270.22,270.22,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,270.22,EAPG Case Rate,,,270.22,EAPG Case Rate,,,270.22,EAPG Case Rate,,,270.22,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
829 - CHILDHOOD BEHAVIORAL DIAGNOSES,829,EAPG,,,,outpatient ,,,0,,406.33,406.33,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,406.33,EAPG Case Rate,,,406.33,EAPG Case Rate,,,406.33,EAPG Case Rate,,,406.33,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
830 - EATING DISORDERS,830,EAPG,,,,outpatient ,,,0,,274.18,274.18,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,274.18,EAPG Case Rate,,,274.18,EAPG Case Rate,,,274.18,EAPG Case Rate,,,274.18,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
831 - OTHER MENTAL HEALTH DIAGNOSES,831,EAPG,,,,outpatient ,,,0,,392.82,392.82,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,392.82,EAPG Case Rate,,,392.82,EAPG Case Rate,,,392.82,EAPG Case Rate,,,392.82,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
840 - OPIOID ABUSE & DEPENDENCE,840,EAPG,,,,outpatient ,,,0,,267.08,267.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,267.08,EAPG Case Rate,,,267.08,EAPG Case Rate,,,267.08,EAPG Case Rate,,,267.08,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
841 - COCAINE ABUSE & DEPENDENCE,841,EAPG,,,,outpatient ,,,0,,378.38,378.38,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,378.38,EAPG Case Rate,,,378.38,EAPG Case Rate,,,378.38,EAPG Case Rate,,,378.38,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
842 - ALCOHOL ABUSE & DEPENDENCE,842,EAPG,,,,outpatient ,,,0,,441.25,441.25,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,441.25,EAPG Case Rate,,,441.25,EAPG Case Rate,,,441.25,EAPG Case Rate,,,441.25,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
843 - OTHER DRUG ABUSE & DEPENDENCE,843,EAPG,,,,outpatient ,,,0,,228.89,228.89,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,228.89,EAPG Case Rate,,,228.89,EAPG Case Rate,,,228.89,EAPG Case Rate,,,228.89,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
850 - ALLERGIC REACTIONS,850,EAPG,,,,outpatient ,,,0,,251.83,251.83,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,251.83,EAPG Case Rate,,,251.83,EAPG Case Rate,,,251.83,EAPG Case Rate,,,251.83,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
851 - POISONING OF MEDICINAL AGENTS,851,EAPG,,,,outpatient ,,,0,,207.01,207.01,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,207.01,EAPG Case Rate,,,207.01,EAPG Case Rate,,,207.01,EAPG Case Rate,,,207.01,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
852 - OTHER COMPLICATIONS OF TREATMENT,852,EAPG,,,,outpatient ,,,0,,248.92,248.92,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,248.92,EAPG Case Rate,,,248.92,EAPG Case Rate,,,248.92,EAPG Case Rate,,,248.92,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"853 - OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES",853,EAPG,,,,outpatient ,,,0,,261.03,261.03,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,261.03,EAPG Case Rate,,,261.03,EAPG Case Rate,,,261.03,EAPG Case Rate,,,261.03,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
854 - TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,854,EAPG,,,,outpatient ,,,0,,285.48,285.48,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,285.48,EAPG Case Rate,,,285.48,EAPG Case Rate,,,285.48,EAPG Case Rate,,,285.48,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
860 - EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS W/O SKIN GRAFT,860,EAPG,,,,outpatient ,,,0,,231.69,231.69,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,231.69,EAPG Case Rate,,,231.69,EAPG Case Rate,,,231.69,EAPG Case Rate,,,231.69,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
861 - PARTIAL THICKNESS BURNS W OR W/O SKIN GRAFT,861,EAPG,,,,outpatient ,,,0,,398.88,398.88,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,398.88,EAPG Case Rate,,,398.88,EAPG Case Rate,,,398.88,EAPG Case Rate,,,398.88,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
870 - REHABILITATION,870,EAPG,,,,outpatient ,,,0,,345.67,345.67,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,345.67,EAPG Case Rate,,,345.67,EAPG Case Rate,,,345.67,EAPG Case Rate,,,345.67,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"871 - SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS",871,EAPG,,,,outpatient ,,,0,,589.93,589.93,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,589.93,EAPG Case Rate,,,589.93,EAPG Case Rate,,,589.93,EAPG Case Rate,,,589.93,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
872 - OTHER AFTERCARE & CONVALESCENCE,872,EAPG,,,,outpatient ,,,0,,551.39,551.39,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,551.39,EAPG Case Rate,,,551.39,EAPG Case Rate,,,551.39,EAPG Case Rate,,,551.39,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
873 - NEONATAL AFTERCARE,873,EAPG,,,,outpatient ,,,0,,348.46,348.46,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,348.46,EAPG Case Rate,,,348.46,EAPG Case Rate,,,348.46,EAPG Case Rate,,,348.46,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
874 - JOINT REPLACEMENT,874,EAPG,,,,outpatient ,,,0,,418.55,418.55,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,418.55,EAPG Case Rate,,,418.55,EAPG Case Rate,,,418.55,EAPG Case Rate,,,418.55,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
875 - CONTRACEPTIVE MANAGEMENT,875,EAPG,,,,outpatient ,,,0,,305.62,305.62,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,305.62,EAPG Case Rate,,,305.62,EAPG Case Rate,,,305.62,EAPG Case Rate,,,305.62,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
876 - ADULT PREVENTIVE MEDICINE,876,EAPG,,,,outpatient ,,,0,,622.53,622.53,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,622.53,EAPG Case Rate,,,622.53,EAPG Case Rate,,,622.53,EAPG Case Rate,,,622.53,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
877 - CHILD PREVENTIVE MEDICINE,877,EAPG,,,,outpatient ,,,0,,389.21,389.21,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,389.21,EAPG Case Rate,,,389.21,EAPG Case Rate,,,389.21,EAPG Case Rate,,,389.21,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
878 - GYNECOLOGIC PREVENTIVE MEDICINE,878,EAPG,,,,outpatient ,,,0,,223.77,223.77,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,223.77,EAPG Case Rate,,,223.77,EAPG Case Rate,,,223.77,EAPG Case Rate,,,223.77,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
879 - PREVENTIVE OR SCREENING ENCOUNTER,879,EAPG,,,,outpatient ,,,0,,380.71,380.71,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,380.71,EAPG Case Rate,,,380.71,EAPG Case Rate,,,380.71,EAPG Case Rate,,,380.71,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
880 - HIV INFECTION,880,EAPG,,,,outpatient ,,,0,,317.03,317.03,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,317.03,EAPG Case Rate,,,317.03,EAPG Case Rate,,,317.03,EAPG Case Rate,,,317.03,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
881 - AIDS,881,EAPG,,,,outpatient ,,,0,,378.62,378.62,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,378.62,EAPG Case Rate,,,378.62,EAPG Case Rate,,,378.62,EAPG Case Rate,,,378.62,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
882 - GENETIC COUNSELING,882,EAPG,,,,outpatient ,,,0,,234.37,234.37,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,234.37,EAPG Case Rate,,,234.37,EAPG Case Rate,,,234.37,EAPG Case Rate,,,234.37,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
993 - INPATIENT ONLY PROCEDURES,993,EAPG,,,,outpatient ,,,0,,457.55,457.55,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,457.55,EAPG Case Rate,,,457.55,EAPG Case Rate,,,457.55,EAPG Case Rate,,,457.55,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
994 - USER CUSTOMIZABLE INPATIENT PROCEDURES,994,EAPG,,,,outpatient ,,,0,,283.03,283.03,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,283.03,EAPG Case Rate,,,283.03,EAPG Case Rate,,,283.03,EAPG Case Rate,,,283.03,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
999 - UNASSIGNED,999,EAPG,,,,outpatient ,,,0,,208.17,208.17,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,208.17,EAPG Case Rate,,,208.17,EAPG Case Rate,,,208.17,EAPG Case Rate,,,208.17,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1001 - DURABLE MEDICAL EQUIPMENT AND SUPPLIES - LEVEL 1,1001,EAPG,,,,outpatient ,,,0,,424.14,424.14,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,424.14,EAPG Case Rate,,,424.14,EAPG Case Rate,,,424.14,EAPG Case Rate,,,424.14,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1002 - DURABLE MEDICAL EQUIPMENT AND SUPPLIES - LEVEL 2,1002,EAPG,,,,outpatient ,,,0,,310.62,310.62,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,310.62,EAPG Case Rate,,,310.62,EAPG Case Rate,,,310.62,EAPG Case Rate,,,310.62,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1003 - DURABLE MEDICAL EQUIPMENT AND SUPPLIES - LEVEL 3,1003,EAPG,,,,outpatient ,,,0,,215.85,215.85,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,215.85,EAPG Case Rate,,,215.85,EAPG Case Rate,,,215.85,EAPG Case Rate,,,215.85,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1004 - DURABLE MEDICAL EQUIPMENT - LEVEL 4,1004,EAPG,,,,outpatient ,,,0,,348,348,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,348,EAPG Case Rate,,,348,EAPG Case Rate,,,348,EAPG Case Rate,,,348,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1005 - DURABLE MEDICAL EQUIPMENT - LEVEL 5,1005,EAPG,,,,outpatient ,,,0,,276.51,276.51,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,276.51,EAPG Case Rate,,,276.51,EAPG Case Rate,,,276.51,EAPG Case Rate,,,276.51,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1006 - DURABLE MEDICAL EQUIPMENT - LEVEL 6,1006,EAPG,,,,outpatient ,,,0,,942.82,942.82,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,942.82,EAPG Case Rate,,,942.82,EAPG Case Rate,,,942.82,EAPG Case Rate,,,942.82,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1007 - DURABLE MEDICAL EQUIPMENT - LEVEL 7,1007,EAPG,,,,outpatient ,,,0,,328.2,328.2,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,328.2,EAPG Case Rate,,,328.2,EAPG Case Rate,,,328.2,EAPG Case Rate,,,328.2,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1008 - DURABLE MEDICAL EQUIPMENT - LEVEL 8,1008,EAPG,,,,outpatient ,,,0,,554.77,554.77,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,554.77,EAPG Case Rate,,,554.77,EAPG Case Rate,,,554.77,EAPG Case Rate,,,554.77,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1009 - DURABLE MEDICAL EQUIPMENT - LEVEL 9,1009,EAPG,,,,outpatient ,,,0,,490.97,490.97,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,490.97,EAPG Case Rate,,,490.97,EAPG Case Rate,,,490.97,EAPG Case Rate,,,490.97,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1010 - DURABLE MEDICAL EQUIPMENT - LEVEL 10,1010,EAPG,,,,outpatient ,,,0,,248.92,248.92,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,248.92,EAPG Case Rate,,,248.92,EAPG Case Rate,,,248.92,EAPG Case Rate,,,248.92,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1011 - DURABLE MEDICAL EQUIPMENT - LEVEL 11,1011,EAPG,,,,outpatient ,,,0,,197.57,197.57,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,197.57,EAPG Case Rate,,,197.57,EAPG Case Rate,,,197.57,EAPG Case Rate,,,197.57,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1012 - DURABLE MEDICAL EQUIPMENT - LEVEL 12,1012,EAPG,,,,outpatient ,,,0,,328.2,328.2,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,328.2,EAPG Case Rate,,,328.2,EAPG Case Rate,,,328.2,EAPG Case Rate,,,328.2,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1013 - DURABLE MEDICAL EQUIPMENT - LEVEL 13,1013,EAPG,,,,outpatient ,,,0,,352.42,352.42,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,352.42,EAPG Case Rate,,,352.42,EAPG Case Rate,,,352.42,EAPG Case Rate,,,352.42,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1014 - DURABLE MEDICAL EQUIPMENT - LEVEL 14,1014,EAPG,,,,outpatient ,,,0,,261.84,261.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,261.84,EAPG Case Rate,,,261.84,EAPG Case Rate,,,261.84,EAPG Case Rate,,,261.84,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1015 - DURABLE MEDICAL EQUIPMENT - LEVEL 15,1015,EAPG,,,,outpatient ,,,0,,353.59,353.59,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,353.59,EAPG Case Rate,,,353.59,EAPG Case Rate,,,353.59,EAPG Case Rate,,,353.59,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1016 - DURABLE MEDICAL EQUIPMENT - LEVEL 16,1016,EAPG,,,,outpatient ,,,0,,272.67,272.67,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,272.67,EAPG Case Rate,,,272.67,EAPG Case Rate,,,272.67,EAPG Case Rate,,,272.67,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1017 - DURABLE MEDICAL EQUIPMENT - LEVEL 17,1017,EAPG,,,,outpatient ,,,0,,256.6,256.6,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,256.6,EAPG Case Rate,,,256.6,EAPG Case Rate,,,256.6,EAPG Case Rate,,,256.6,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1018 - DURABLE MEDICAL EQUIPMENT - LEVEL 18,1018,EAPG,,,,outpatient ,,,0,,256.72,256.72,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,256.72,EAPG Case Rate,,,256.72,EAPG Case Rate,,,256.72,EAPG Case Rate,,,256.72,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1019 - DURABLE MEDICAL EQUIPMENT - LEVEL 19,1019,EAPG,,,,outpatient ,,,0,,339.27,339.27,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,339.27,EAPG Case Rate,,,339.27,EAPG Case Rate,,,339.27,EAPG Case Rate,,,339.27,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1020 - DURABLE MEDICAL EQUIPMENT - LEVEL 20,1020,EAPG,,,,outpatient ,,,0,,234.02,234.02,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,234.02,EAPG Case Rate,,,234.02,EAPG Case Rate,,,234.02,EAPG Case Rate,,,234.02,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1030 - AMBULANCE SERVICES,1030,EAPG,,,,outpatient ,,,0,,237.86,237.86,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,237.86,EAPG Case Rate,,,237.86,EAPG Case Rate,,,237.86,EAPG Case Rate,,,237.86,EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1090 - USER DEFINED 340B DRUGS,1090,EAPG,,,,outpatient ,,,0,,252.3,252.3,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,252.3,EAPG Case Rate,,,252.3,EAPG Case Rate,,,252.3,EAPG Case Rate,,,252.3,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","73,027.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,010.70",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,,"19,721.10","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,721.10",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 ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
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,,"15,939.00","90,783.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,939.00",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 ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
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,,"29,185.80","29,185.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"29,185.80",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 ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
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","21,529.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,529.20",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 ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
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,,"13,261.50","13,261.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,261.50",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 ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
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,,"9,216.90","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,216.90",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 ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"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,,"76,179.60","76,179.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"76,179.60",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 ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
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","60,490.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"60,490.50",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 ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
411 - CHOLECYSTECTOMY WITH C.D.E. WITH MCC,411,MS-DRG,,,,inpatient ,,,0,,"30,031.93","42,955.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"42,955.50",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 ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
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,,"43,833.30","73,027.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"43,833.30",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 ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
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,,"27,850.20","59,663.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"27,850.20",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 ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
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,,"17,081.40","17,081.40",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,081.40",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 ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
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,,"19,336.80","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,336.80",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 ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
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","35,009.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"35,009.10",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,,"13,049.40","31,612.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,049.40",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 ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
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,,"13,074.60","44,810.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,074.60",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 ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
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,,"54,358.50","59,663.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"54,358.50",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,,"19,376.70","23,167.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,376.70",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 ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
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,,"44,520.00","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,520.00",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 ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
709 - PENIS PROCEDURES WITH CC/MCC,709,MS-DRG,,,,inpatient ,,,0,,"25,920.30","73,027.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"25,920.30",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,,"17,035.20","17,035.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,035.20",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 ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
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,,"71,196.30","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"71,196.30",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 ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
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","47,355.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"47,355.00",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,,"24,635.10","163,961.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"24,635.10",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","92,164.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"92,164.80",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 ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
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,,"21,205.80","23,167.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,205.80",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 ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
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,,"25,143.30","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"25,143.30",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 ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
836 - ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC,836,MS-DRG,,,,inpatient ,,,0,,"69,376.16","99,888.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"99,888.60",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 ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
837 - CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC,837,MS-DRG,,,,inpatient ,,,0,,"41,000.40","99,979.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"41,000.40",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 ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
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,,"15,949.50","23,167.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,949.50",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 ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
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","21,758.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,758.10",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 ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
949 - AFTERCARE WITH CC/MCC,949,MS-DRG,,,,inpatient ,,,0,,"13,192.20","146,543.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,192.20",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 ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
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,,"50,492.40","90,783.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"50,492.40",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 ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
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,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,